Medicine and Health Sciences Commons^™

Student Veterans’ Transition To Nursing Education: Barriers And Facilitators, Bruce P. Hunter, Steven Busby Dr., Jeannie Giese Dr., David Phillippi Dr.

DNP Scholarly Projects

Student Veterans’ Transition to Nursing Education: Barriers and Facilitators

Abstract

The transition for student veterans from military service to higher education can be a challenging endeavor, especially for those pursuing an education in nursing. While the experiences and perspectives of each student veteran is unique, their successful integration into an academic environment can be influenced by a complex array of barriers and facilitators. This mixed-methods study aims to explore the themes and concepts that can be found in the transition experiences of student veterans in nursing education, with a focus on identifying the barriers they face and the facilitators that …

Undergraduate Nursing Education Simulation Training Using Virtual Reality Goggles And Teamstepps Methodology, Jennifer Koalenz

SACAD: John Heinrichs Scholarly and Creative Activity Days

Abstract

Due to changes in educational processes during global pandemic restrictions and the rapid pace of innovation and developments in virtual reality technology, this modality of education is expected to become a common presence in healthcare education. Immersive simulation activities can be an effective way to facilitate collaboration and communication skills in a constructivist-based classroom. Evidence shows that virtual simulation improves critical thinking skills, psychomotor skills, and decision making (Padilha et al., 2019). In addition, the availability of an on-demand, customizable scenario is highly useful to supplement clinical learning when necessary. But many caution that virtual simulation, just like any …

Optimizing Ventilator-Associated Pneumonia Prevention And Education: In Adult Icu Settings, Danielle Gonzalez

Nursing | Student Research Posters

Abstract

Background: Ventilator associated pneumonia (VAP) in adult intensive care patient units (ICU) is one of the most common and deadly nosocomial infections today. Studies have identified a gap in intensive care nurse ventilator education and compliance with hospital protocols. Overall increasing the rates of VAP and morbidity. Hospitals worldwide have shown a decrease in VAP rates after inheriting "VAP-bundles''. This includes nurse specific interventions and assessments as a preventative measure. However, studies failed to demonstrate which bundle interventions directly correspond to the prevention of VAP. Purpose: Address all components of education, a nurse’s ability to properly identify and understand …

Mentoring The Mentor: A Mentor Training Program, Sheri Gillis

Regis University Student Publications (comprehensive collection)

Mentorship has played an important role in nursing and nursing education for decades. However, there have yet to be any standard qualifications or training programs for those who mentor others. Poor mentorship increases faculty turnover, stress, and poor student outcomes. A quality improvement initiative was implemented in the Associate Degree Nursing Program using an evidence-based approach. Using a pre-post survey design with convenience sampling, five (N=5) nursing faculty met the qualifications to participate in the mentor training program. The Mentor Efficacy (MES) survey, which consisted of 30 questions, was administered to measure the participants' feelings of self-efficacy in the mentoring …

Canadianizing And Evaluating A Virtual Simulation Program For Community Health, Andrea Chircop, Shelley Cobbett, Ruth E. Schofield, Jamie Dicasmirro, Lisa Doucet

Quality Advancement in Nursing Education - Avancées en formation infirmière

Nurse educators are looking to integrate innovative pedagogies to enable students to acquire required competencies in community/population health nursing. Previously, nursing students who used Sentinel City® an American-based virtual simulation program for community health clinical learning have been shown to obtain equal or better learning outcomes compared to students who used traditional methods. To improve the fidelity of this virtual simulation program for our Canadian context, we Canadianized Sentinel City® to improve Canadian students learning experiences further.

The purpose of this research was to describe the development of Sentinel City® Canada and subsequent evaluation of student learning outcomes after implementation …

Nursing Perspectives On Intimate Partner Violence Screening In The Emergency Department, Justin Cabrera

Dissertations, Theses, and Capstone Projects

Using descriptive and quality descriptive (QD) analysis, emergency department nurses from around the country completed a modified version of the Physician Readiness to Manage Intimate Partner Violence Survey (PREMIS) tool to gain insight on their attitudes, knowledge, and preparedness about working with patient survivors of intimate partner violence (IPV) regarding their willingness to and comfort in engaging in IPV screening practices. In total, 1,523 responses were received from emergency department nurses currently or formerly in practice.

Findings show that there was no correlation between emergency department nurses’ education and training on IPV and willingness and comfort with IPV screening with …

Fantastic Four, Jaden Zumbahlen, Andrea Palmer

Doctor of Nursing Practice Projects

Clinical Issue
Heart failure claims one in four lives of those diagnosed each year. The term Guideline Directed Medication Therapy (GDMT) represents optimal medication therapy as defined by the American College of Cardiology Foundation and American Heart Association. Appropriate quadruple therapy results in an estimated 73% relative reduction in mortality over a two-year time span (Greene & Khan, 2021). However, there is a gap in proper GDMT stemming from suboptimal initiation and/or titration in the outpatient setting.

Project Implementation
Nursing staff in a rural midwestern cardiology clinic were provided with an in-service presentation discussing current guidelines and recommendations of GDMT …

Utilization Review And Utilization Of Evidence-Based Guidelines, Rosetta E. Hairston

Doctoral Projects

The quality improvement project focused on determining why utilization review nurses submitted epidural steroid injection treatment requests within evidence-based guidelines to peer review. The study reviewed six months of data from June 2022 through December 2022 to develop a pre-training baseline for the number of epidural steroid injection treatment requests approved by the nurse and approved by peer review. Deming's method for quality improvement was identified as the framework for implementing changes. The UR nurses were provided four weeks of refresher training on applying evidence-based guidelines to epidural steroid injection treatment requests. Post-group training sessions reflected a 91% increase in …

Code Blue: Back To Basics, Melissa N. Allen Msn, Rn, Hannah Taylor Msn, Rnc-Mnn, Jennifer Smith Bsn, Rn

Southern Maine Health Care

Introduction: High-quality cardiopulmonary resuscitation (CPR) improves a patient’s chance of survival. High-quality CPR started immediately after cardiac arrest combined with early defibrillation can double or triple the chances of survival.

In 2021 Joint Commission (JC) provided new and revised in-hospital resuscitation standards due to suboptimal patient outcomes related to poor resuscitation performance.

Staff Education Project: The Emergency Severity Index, Jo Crabtree

Walden Dissertations and Doctoral Studies

AbstractThe triage process is an important precursor to ensuring expeditious and appropriate medical care in the Emergency Department (ED). There is a positive correlation between proper triage technique and improved patient outcomes, making triage an essential issue for nursing practice. The purpose of this project addressed the results of a staff education program directed at teaching the Emergency Severity Index (ESI) Triage System to 42 triage nurses working in an ED in a critical access facility in the rural Midwest. The practice-focused problem for this project was as follows: Will a staff educational program improve understanding of the ESI triage …

Providing Diabetes Education To Improve Staff Nurses' Knowledge, Marcia A. Patterson

Walden Dissertations and Doctoral Studies

Diabetes mellitus is a chronic metabolic disease that affects over 34.2 million or 10.5% of the U.S. population and ranks as the seventh leading cause of death. Tennessee's diabetes prevalence rate is ranked 45th overall in the nation, with 14.9% of the population affected, and in the local area for this project, the rate is greater than 15%, creating a public health concern. Despite its prevalence, there is still a wide gap in knowledge among nurses on diabetes management. The practice-focused question for this project addressed whether a staff education program would improve nurses' knowledge regarding diabetes. The significant gap …

Nurses’ Perception Of Facilitators And Barriers To The Community College Faculty Role, Hallie Roselie Coppi

Walden Dissertations and Doctoral Studies

There is an increased nursing faculty shortage throughout the United States (U.S.) which can have a significant impact on student enrollment in nursing programs. The purpose of this descriptive qualitative study, which was guided by Herzberg’s two-factor theory, was to explore perceptions of nursing faculty about their role in community college associate degree nursing (ADN) programs in the western U.S. Data were collected via in-depth semi-structured interviews with 14 nurse educators to gain insights regarding experiences with role transition, work expectations, and plans in academia. Transcribed interview data were thematically analyzed to reveal seven overarching themes which were motivation, role …

Nurses’ Perception Of Facilitators And Barriers To The Community College Faculty Role, Hallie Roselie Coppi

Walden Dissertations and Doctoral Studies

There is an increased nursing faculty shortage throughout the United States (U.S.) which can have a significant impact on student enrollment in nursing programs. The purpose of this descriptive qualitative study, which was guided by Herzberg’s two-factor theory, was to explore perceptions of nursing faculty about their role in community college associate degree nursing (ADN) programs in the western U.S. Data were collected via in-depth semi-structured interviews with 14 nurse educators to gain insights regarding experiences with role transition, work expectations, and plans in academia. Transcribed interview data were thematically analyzed to reveal seven overarching themes which were motivation, role …

Nursing Students' Knowledge Of And Attitudes Towards Near-Death Experiences, Laura Lee Varela

Theses & Dissertations

Incidence of reported near-death experiences (NDEs) has increased over decades; however, they continue to be inappropriately pathologized or dismissed. These types of responses to disclosures of NDEs by patients can potentially lead to them having problems integrating the experience into their lives. The purpose of this study was to assess undergraduate nursing students’ levels of accurate knowledge of and attitudes towards NDEs and to determine the predictors of nursing students’ knowledge of and attitudes toward NDEs. Additionally, I explored the sources in which nursing students acquire NDE knowledge. I accomplished this by using a cross-sectional, correlational research study design. I …

Relational Accountability: A Path Towards Transformative Reconciliation In Nursing Education, Joanna E. Fraser

Quality Advancement in Nursing Education - Avancées en formation infirmière

This paper provides a vision for working towards relationally accountable transformative reconciliation in nursing education. The author shares the teaching gifts she has received from Indigenous Knowledge Holders and through her experience of co-facilitating Indigenous led, land based, wellness-oriented field schools. It offers a way forward for nurse educators who are searching for ways to responsibly and meaningfully address colonial harms and actively engage in ethical, accountable and respectful relations with Indigenous People and Knowledges. The vision starts with transforming ourselves through bearing witness and experiencing the vulnerability of cultural humility. It requires us to transform our relationships through reframing …

Inspiring Excellence In Doctoral Nursing Education Through Partnership: Incorporating An Innovative Change Model To Improve Dnp Project Outcomes, Melanie Brewer, Debbie Conner, Transition Management Partners, Llc

All Faculty and Staff Scholarship

Background/Introduction

Franklin University, a leader in educating working adults, formed an academic practice partnership with OhioHealth. Integrating the OhioHealth Change Management Model (CM) into the Doctor of Nursing Practice (DNP) program marks a deviation from a theory-based project to a more theory-to-practice model for managing organizational change. The CM provides leadership-driven DNP students with access to an innovative, real-world approach to prepare to transform organizations, systems, and healthcare through evidence-based interventions.

Purpose

The CM is a novel, goals-focused, data-driven approach used to manage people while implementing evidence-based practice, policy, or business change in an organization. The model includes Identifying executive …

Quest To Belong: Nursing Students’ Perceptions While Transitioning From College To University, Janet Montague, Joyce Tsui, Roya Haghiri-Vijeh, Michelle Connell

Quality Advancement in Nursing Education - Avancées en formation infirmière

Background: Students face challenges throughout their undergraduate nursing programs. Adapting to university, accessing resources, and transitioning from one year to the next and between institutions are examples of these challenges. Limited research exists on the perceptions of undergraduate nursing students’ sense of belonging while transitioning from college to university in a collaborative nursing degree program in Canada.

Purpose of the Study: The purpose of the study was to examine third year undergraduate nursing students’ perception of sense of belonging while transitioning from college to university in a collaborative nursing degree program. More specifically, the study aimed to identify factors that …

Just Because I Am A “Student” Does Not Mean I Should Tolerate It: Students’ Perspectives Of Forum Theatre To Address Bullying In Nursing Education, Kathy O'Flynn-Magee, Caryn Dooner, Agnes Choi, Raluca Radu, Ranjit Dhari, Lynne Esson, Amy Fong-Yuk Poon, Patricia Rodney

Quality Advancement in Nursing Education - Avancées en formation infirmière

The authors of this paper developed a CRAB (Cognitive Rehearsal to Address Bullying) Workshop, using Forum Theatre as an innovative pedagogical approach to explore the overly prevalent issue of bullying in nursing education. We designed two open-ended descriptive written surveys to obtain feedback from students on the efficacy of the workshop with respect to students’ ability to address bullying, and with respect to their capacity to engage in related embodied learning through Forum Theatre. We collected survey data at two points in time; 1) following a workshop during students’ first year in the program and 2) following a workshop during …

Establishing A Community Of Practice For Doctoral Studies Amidst The Covid-19 Pandemic, Christina M. Cantin, Sara Brune, Laura Killam, Tyler Glass, Ruth Walker, Emma Vanderlee

Quality Advancement in Nursing Education - Avancées en formation infirmière

In this discussion paper, we describe our experience completing the first year of the doctorate in nursing program at a large urban academic centre during the COVID-19 pandemic. We highlight the current nursing shortage and the importance of supporting all nursing students, including nurses in doctoral programs, towards successful graduation. We describe the development of a virtual community of practice incorporating five key strategies: Building community, fostering collaboration, strengthening connection, enhancing creativity, and promoting consistency. We believe that utilizing these strategies will contribute to our success and may be relevant to nursing leaders seeking to support the development of more …

Effect Of The Virtual Simulation Paired Prebriefing-Debriefing Strategy On Nursing Students’ Self-Efficacy Perceptions And Virtual Simulation Performance In The Care Of Patients Experiencing A Myocardial Infarction, Laura M. Penalo

Dissertations, Theses, and Capstone Projects

Through the use of virtual simulations (VS) in nursing education, nursing students are exposed to a variety of clinical scenarios that may potentially improve their learning of competencies, increase their self-efficacy, and enhance their future clinical performance. Despite limited quantitative research incorporating evidence-based strategies such as prebriefing and debriefing as part of the VS experience, this educational technology continues to gain popularity. In 2020, the use of VS in the nursing curriculum exponentially increased when the global COVID-19 pandemic impacted traditional in-person clinicals, laboratory, and human patient simulation (HPS) experiences. Associate Degree Nursing (ADN) programs have benefited from the use …

Stop The Bleed And Seize Control: Educating Emergency Department Staff On Maternal Hypertension And Hemorrhage, Mayra A. Portillo-Guerra

Master's Projects and Capstones

Problem: A Not-for-Profit Hospital accredited by the Joint Commission was fined for not having a current policy or procedure set in place for the treatment of obstetric emergencies. This quality improvement project implemented a simulation and a training video to prepare Emergency Department (ED) nurses and clinical staff for the awareness of preeclampsia and postpartum hemorrhage (PPH).

Context: This quality improvement project was implemented in two different Emergency Room locations for this Not-for-Profit Hospital. One of the campuses does not have a Labor and Delivery (L&D) unit while the other one does. The overarching goal is to increase awareness of …

Stop The Bleed And Seize Control: The Use Of Simulation In Educating Emergency Department Staff Regarding Maternal Hypertension And Hemorrhage: A Quality Improvement Project, Raquel Andreina Torres

Master's Projects and Capstones

A quality improvement (QI) initiative was geared to assess and prepare Emergency Department (ED) nurses and clinical staff preparedness of pre-eclampsia and postpartum hemorrhage (PPH). The Non-Profit Hospital, with two different Emergency Room locations, currently does not have a Labor and Delivery (L&D) unit at one of their campuses. Additionally, there is no current policy or procedure set in place for the treatment of preeclamptic or postpartum women in the emergency room. As a direct result of The Joint Commission (TJC) standards and a very short timeline, a group of University of San Francisco Clinical Nurse Leader (CNL) graduate students …

Experiences Of Bsn Graduates Integrating Cultural Competence When Caring For Multicultural Patients, Judith A. Daniels

Walden Dissertations and Doctoral Studies

Registered nurses entering the workforce with baccalaureate of science degrees in nursing (BSN) are expected to be knowledgeable and skilled in planning and caring for multicultural patients, but there is little information on what experiences new nurses have in implementing culturally competent care. The purpose of this descriptive phenomenological study, guided by the Campinha-Bacote process of cultural competence in the delivery of health care services model, was to understand the lived experiences of BSN graduates with one year or less experience in implementing cultural competence in planning care for their multicultural patients. The research question directly addressed this purpose. Ten …

Relationship Between Student-Centered, Active Learning Strategies And Student Success In An Undergraduate Nursing Course, Camden Seal

Walden Dissertations and Doctoral Studies

In 2010, the Institute of Medicine issued a report calling for the transformation of undergraduate nursing education to prepare new graduates for the complexities of practice. To improve preparation for practice, faculty responded by incorporating student-centered, active learning strategies (SCALS); however, the effectiveness of SCALS has not been examined. The purposes of this descriptive correlational study, guided by Brunner’s constructivist theory, were to determine the relationship between (a) a nurse educator’s use of SCALS and the percent of students that successfully completed the course, (b) an educator’s self-perception of their learner-centeredness and the use of SCALS, and (c) an educator’s …

Nursing Staff Education On The Use Of The American Diabetes Association Guidelines, Terrie Hattie Allen

Walden Dissertations and Doctoral Studies

AbstractDiabetes mellitus is a complex chronic condition that requires continuous care and management. Approximately 34 million Americans are diagnosed with diabetes and around 90%–95% suffer from Type 2 diabetes. The problem identified in this project was the need to follow the American Diabetes Association guidelines in place at the study site clinic but are not adhered to by the staff. Framed within the analysis, design, development, implementation, and evaluation model of instructional design, the purpose of this project was to plan, implement, and evaluate a nursing staff education program on the use of the American Diabetes Association Guidelines for diabetes. …

Sepsis Identification In The Long-Term Care Facility, Shonna Bible

Doctor of Nursing Practice Projects

BACKGROUND: Each year approximately 1.7 million people in the United States develop sepsis, and an estimated 270,000 Americans die from this disease (Center for Disease Control and Prevention [CDC], 2020). Early recognition, and identification is essential in decreasing potential for mortality in this population.

METHODS: During a two-week period six individual sessions via a one-hour presentation was provided on evidence based best practice of sepsis recognition. A pretest was utilized to determine prior knowledge of sepsis recognition. A post-test was provided to evaluate the effectiveness of the educational material. Finally, a survey was conducted to provide input for …

Abrupt Changes In Learning Platforms During A Pandemic, Nicole Nelson, Katie M. Villont

Nursing Masters Papers

The purpose of this secondary analysis is to explore academic nurse educators’ perceived changes to accommodate learning for undergraduate (UG) nursing education in the early months of the COVID-19 pandemic. The objective of this secondary analysis is to investigate three research questions: what perceived changes are needed to accommodate learning, what are new/revised teaching innovations applied for undergraduate (UG) students during the pandemic that may be used post-pandemic, and what are concerns about UG students who will enter the workforce following the pandemic.

“Education Is Definitely Key”: An Interpretive Description Of Nursing Students’ Experiences With Pediatric Oral Health Nursing Education, Jill Bally, Shelley Spurr

Quality Advancement in Nursing Education - Avancées en formation infirmière

In North America, dental disease is the leading pediatric chronic illness. Poor oral health influences a child’s ability to speak, eat, and socialize and has been linked with heart disease, diabetes, and cancer. Despite overwhelming evidence that poor oral health can have lifelong and systemic influences on overall well-being, comprehensive oral health care has not been emphasized in nursing education. The purpose of this study was to explore third-year nursing students’ perceptions and experiences with pediatric oral health nursing education through an interpretive description approach. Data for analysis gathered in focus group interviews resulted in three main themes: nursing education …

The Crab Workshop: Using Forum Theatre And Cognitive Rehearsal To Address Bullying In Nursing Education, Kathy O'Flynn-Magee, Patricia Rodney, Skye Maitland, Kate Proznick, Hannah Turner, Lynne Esson, Ranjit Dhari, Amy Fong-Yuk Poon, Raluca Radu, Tom Scholte

Quality Advancement in Nursing Education - Avancées en formation infirmière

Bullying is a pervasive issue in nursing and other health care professional programs. As a student/faculty team at one university in Western Canada, we have created a number of initiatives within an overall project entitled Cognitive Rehearsal to Address Bullying (CRAB) that was designed to support students in managing bullying if they witnessed or experienced it during their program of study. One such initiative is the CRAB Workshop (herein referred to as “the CRAB Workshop” or “the Workshop”). In this paper, we describe the Workshop, which emerged in response to concerns shared by students and faculty regarding the normalized and …

Effects Of A Discourse Intervention On End-Of-Life Knowledge And Attitudes Of Bsn Nursing Students, Jayme Gullone Haynes

UNLV Theses, Dissertations, Professional Papers, and Capstones

Introduction. A number of challenges exist to providing effective, formalized end of life (EOL) education for undergraduate nursing students. Despite advanced resources provided by the End-of-Life Nursing Education Consortium (ELNEC), many nursing program curricula are overloaded with content and have little opportunity to incorporate other content and information.

In addition, the topic of EOL care may elicit significant emotional responses from nursing students with numerous studies indicating nursing students experience fear and anxiety when caring for patients at EOL. Recent research demonstrates the need to approach emotionally laden topics such as EOL care from a pedagogical perspective that acknowledges and …