Medicine and Health Sciences Commons^™

Preparing Nurses In Management Positions For Bedside Care During Times Of Crisis, Trevor Murray

Doctor of Nursing Practice (DNP) Projects

Background

The purpose of this quality improvement project was to increase perceived self-efficacy in performing bedside skills among nurse leaders. As the demand for nurses increased, these leaders anticipated a direct role in providing patient care in the event of a patient surge due to COVID-19.

Problem

Due to the COVID-19 pandemic and Delta variant, hospital nursing leaders were and still are concerned with the challenge of providing enough competent nurses to deliver care. The DNP project prepared nurses who work in leadership roles to take or assist in taking a patient assignment.

Methods

Nurse leaders attended a skills lab …

Creating A Pipeline To Increase Diversity In Executive Leadership Positions, Trarina Harris

Doctor of Nursing Practice (DNP) Projects

Background: Minority nurse leader presence at the executive leadership level is suboptimal, with insufficient pathways to increase representation. The lack of diversity in executive leadership threatens efforts to improve patient care and reduce disparities (Jerome Harris, 2021).

Local Problem: Practices to increase the diversity of executive nurse leaders at a pediatric medical center have had very little to no impact. Frontline nurses and nurse executives are not racially or ethnically representative of the increasingly minority patient populations served.

Context: As a commitment to increasing workforce diversity, the medical center developed an executive-level Racial Equity Taskforce, which aligned with the …

Self-Efficacy: Nurses’ Perceptions Of Caring For Patients Living With Diabetes, Victoria Y. Mccue

Nursing & Health Sciences Research Journal

Introduction: Diabetes is an epidemic that affects over 415 million people worldwide. In the United States, the number of people diagnosed with diabetes is projected to triple to over 60 million by 2060. With this surge, the number of hospitalizations across the country has significantly increased. Direct care nurses play a vital role in the management of patients living with diabetes. The purpose of this research study was to explore and describe medical-surgical nurses’ perceptions of self-efficacy related to caring for patients living with diabetes. This study's guiding research question was: What are nurses’ perceptions on the influences that impact …

The Implementation Of A Standardized Car Safety Seat Discharge Teaching To Improve Self-Efficacy In Neonatal Intensive Care Unit Nurses., Madeline Sass

Doctor of Nursing Practice Papers

Background: There is a lack of standardization for car safety seat education to caregivers before hospital discharge. Nationally, 59% of motor vehicle accident deaths occur because the car seat is misused (Greenwall, 2015). The American Academy of Pediatrics (1999) states this is a gap in care because all caregivers need to receive proper car safety seat instruction before discharge. Purpose: This quality improvement project aimed to increase nursing self-efficacy and compliance of registered nurses (RNs) by implementing a standardized CSS discharge intervention. Methods: RNs on the unit were educated with a 7-minute presentation video titled “Car Seat Safety: Discharge Teaching” …

Improving Suicide Risk Assessment Through Educational Program Implementation, Timothy Booth

Doctor of Nursing Practice Projects

Background: Unsustainable behavioral health education focused on comprehensive suicide risk assessment performance contributes to decreased registered nurses’ perceived self-efficacy in assessing and caring for suicidal patients.

Purpose: To educate medical-surgical and progressive care registered nurses in assessing patients for suicide risk factors and warning signs comprehensively.

Design Method: A quasi-experimental designed quality improvement project with evidence-based suicide educational program implementation. Project results yielded a 56.7% increase in registered nurses’ perceived self-efficacy in assessing and caring for suicidal patients. Future DNP work will focus on sampling a larger population (N) to decrease opportunities for the skewness of project results …

Differences In Student Perceptions With Virtual Clinical Simulation, Melissa Wheeles

Doctor of Nursing Practice Projects

Background: Simulation has been a part of nursing education since its inception, with virtual clinical simulation gaining expanded use since the Coronavirus Pandemic. Once considered only a supplemental teaching method, this form of education has become an imperative means of program progression for nursing students when hospital clinical spaces are limited.

Purpose: The purpose of the study is to evaluate potential differences in nursing student perceptions of anxiety and self-confidence with clinical decision making in virtual clinical simulation compared to traditional face-to-face clinicals.

Design Methods: A descriptive, quantitative study using the NASC-CDM© tool completed by 5th (final) semester …

Chronic Disease Self-Management Support In Rural Areas: An Integrative Review, Karla A. Callahan

Doctoral Dissertations and Projects

Millions of Americans live with chronic health conditions which require careful attention and specific actions for optimal management. Chronic Disease Self-Management Education (CDSME) has been effectively utilized to improve health outcomes and quality of life for individuals with chronic disease, enhancing knowledge and self-efficacy. Traditional CDSME programs are less available for rural residents. An examination of successful CDSME programs highlights common interventions that yield success and may be utilized in a variety of settings. Self-management is more complex, but also more essential, for individuals with more than one chronic condition. Clinicians can provide individualized support for appropriate self-management techniques, thereby …

Examining Social Factors In Self-Management For Older Adults Living Alone, Margaret Salinas

Dissertations (1934 -)

Older adults living alone are a rapidly growing and often vulnerable segment of the population. Patient activation is an established predictor of self-management engagement, ability, and behaviors, and may be impacted by many factors, including social factors such as loneliness, social isolation, and neighborhood conditions. However, relationships among these social factors and environmental factors and patient activation are unclear. Using the Individual and Family Self-Management Theory, the purpose of this cross-sectional study was to examine the factor structure and bivariate correlations of loneliness, social isolation, neighborhood conditions and to test the effect of these factors on patient activation using self-efficacy …

A Systematic Review Of Acuity-Based Staffing In Acute Healthcare Environments, Demitria Idella Stafford

Electronic Theses and Dissertations

Nursing leadership is responsible for considering the equity of patient care assignments when providing nursing care. Nursing leadership is responsible for assuring the delivery of patient care assignments with the intent to offer nurses an unbiased, evenly distributed patient load. Effective distribution of patient care assignments ensures patients receive the safest, most efficient, and highest quality of care. The purpose of this project was to provide nursing leadership with an executive summary of a systematic review of evidence-based research on the structure and process of making patient care assignments, and it provided evidence on how those patient care assignments affect …

Cooking For Health: An Integrated Approach To Enhancing Food Agency, Rebecca Anne Nagle

College of Nursing and Health Sciences Doctor of Nursing Practice (DNP) Project Publications

Cooking for Health: An Integrated Approach to Enhancing Food Agency

Author: Rebecca Nagle, MSN, APRN, PNP, DNP-c

Advisor: Dr Jennifer Laurent, PhD

Mentor: Dr Amy Trubek, PhD

Background: College students have poor food habits and are disproportionately affected by food insecurity. Food agency is one’s ability to provision and cook for themselves. Promotion of healthy eating and food agency for college students has shown to increase their food self-efficacy, improve health, and prevent obesity.

Purpose: Determine the effectiveness of an undergraduate class focused on cooking for health in improving student’s food agency, eating behaviors, and health.

Methods: Undergraduate students participated …

Self-Efficacy: Nurses’ Perceptions Of Caring For Patients Living With Diabetes, Victoria Yaros Mccue

Student Theses, Dissertations and Capstones

Diabetes is an epidemic that affects over 415 million people worldwide. In the United States, the number of people diagnosed with diabetes is projected to triple to over 60 million by 2060. With this surge, the number of hospitalizations across the country has significantly increased. Direct care nurses play a vital role in the management of patients living with diabetes. The purpose of this research study was to explore and describe medical-surgical nurses’ perceptions of self-efficacy related to caring for patients living with diabetes. This study's guiding research question was: What are nurses’ perceptions on the influences that impact self-efficacy …

Enhancing Learning And Self-Efficacy With Virtual Simulation, Lawone J. Lane

Doctor of Nursing Practice Projects

Background Evidence is lacking for support in the use of virtual simulation as a viable alternative for experiential learning and enhancing satisfaction, self-efficacy, and learning.

Problem Virtual simulation activities can provide opportunities for nursing students outside of clinical sites. In prelicensure nursing education, how does the development of a virtual simulation compare to traditional nursing education and does virtual simulation enhance student satisfaction, self-efficacy, and learning?

Approach A non-experimental descriptive design was used to examine attitudes of prelicensure nursing students related to perceived satisfaction, self-efficacy, and learning following a virtual simulation in place of a clinical site experience.

Outcomes Nursing …

Self-Efficacy And Sexual And Reproductive Health In Women With Cystic Fibrosis: A Mixed Methods Study, Janet L. Brown

All ETDs from UAB

SELF-EFFICACY AND SEXUAL AND REPRODUCTIVE HEALTH IN WOMEN WITH CYSTIC FIBROSIS: A MIXED METHODS STUDY JANET BROWN DOCTOR OF PHILOSOPHY IN NURSING ABSTRACT BACKGROUND: Cystic fibrosis (CF) is the most common life-limiting genetic disorder among Caucasians. There are approximately 30,000 individuals with CF in the United States and over 70,000 worldwide, with approximately 1,000 new cases diagnosed globally each year. In other chronic diseases, a positive relationship between self-efficacy and behavior has been identified. Self-efficacy may be a factor related to behaviors, including underutilization of sexual and reproductive health (SRH) care services for women with CF.METHODS: Self-efficacy and utilization of …