Medicine and Health Sciences Commons^™

Filling The Knowledge Gap For Nurse Leaders: Next Steps Following Covid-19, Mikel W. Hand, Catherine Alexander, Bret Lyman, Joy Parchment, M Lindell Joseph, Esther Chipps

Faculty Publications

The purpose of this article is to share gaps in knowledge and research related to pandemic management identified by nurse leaders during the COVID-19 pandemic. As part of a larger Delphi study, nurse leaders responded to an open-ended question about gaps in research they saw as important following the pandemic. Responses were analyzed using directed content analysis. Results are presented as 4 supercategories: Organizational leadership preparedness, adaptive leadership in crisis, innovations in care delivery, and health, well-being, and resilience.

Pre-Licensure Nursing Students' Experiences Of Psychological Safety: A Qualitative Descriptive Study, Bret Lyman, Camille R. Mendon

Faculty Publications

Background: Organizational learning is essential for consistently providing safe, efficient, high-quality patient care. Psychological safety is foundational for organizational learning. For pre-licensure nursing students psychological safety is crucial for both their learning and patient safety. Understanding pre-licensure nursing students' experiences of psychological safety can guide efforts to cultivate clinical environments conducive to learning and excellent patient care.

Objectives: The objective of this study was to gain insight into pre-licensure nursing students' first-hand experiences with psychological safety in clinical settings.

Design: A qualitative, descriptive design was used for this study.

Settings: Participants were recruited from 12 different nursing programs across eight …

Organizational Learning During Covid-19: A Qualitative Study Of Nurses' Experiences, Bret Lyman, Morgan K. Horton, Alyssa Oman

Faculty Publications

Aim: The aim of this study is to test the validity of the Organizational Learning in Hospitals model in the context of the COVID-19 pandemic.

Background: Organizational learning is especially crucial in circumstances of intense, complex, enduring change, as with the COVID-19 pandemic. Nurse managers need additional guidance for fostering organizational learning under such circumstances. The Organizational Learning in Hospitals model may be a helpful resource but requires additional validation.

Methods: Semi-structured interviews were conducted to gather 19 nurses' first-hand experiences of organizational learning during the COVID-19 pandemic. Data were analysed using deductive thematic analysis.

Results: Nurses' experiences of organizational …

Setting The Research Agenda For Nursing Administration And Leadership Science: A Delphi Study, Esther Maria Chipps, M Lindell Joseph, Catherine Alexander, Bret Lyman, Logan Mcginty, Heather Nelson-Brantley, Joy Parchment, Reynaldo R. Rivera, Mary Anne Schultz, Danielle M. Ward, Susan Weaver

Faculty Publications

Objective: The aim of this study was to identify and prioritize research topics for nursing administration and leadership science.

Background: Nursing administration and leadership research priorities should provide a framework for building the science needed to inform practice.

Methods: The Association for Leadership Science in Nursing (ALSN) and American Organization for Nursing Leadership (AONL) Foundation (AONL-F) for Nursing Leadership and Education collaborated on a Delphi study. Initial input on research priority items were received from ALSN and AONL members. National experts participated in a 3-round Delphi study.

Results: Top-ranked priorities included: 1) nurses' health, well-being, resiliency, and safety in the …

Responding To Parents' Questions Regarding Polysorbate 80, Aluminum, And Thimerosal In Vaccines, Elli Hugh, Beth Luthy

Student Works

Vaccines save millions of lives worldwide every year. Nevertheless, misinformation regarding vaccine ingredients circulates on various media platforms and may negatively influence parental decisions regarding childhood vaccinations. Three vaccine ingredients commonly associated with parental vaccine concerns include polysorbate 80, aluminum, and thimerosal. Common misconceptions about polysorbate 80 and neurological sequela exist within the vaccine hesitant community. Additionally, aluminum has been incorrectly connected to chronic disease in children. Though proven that thimerosal does not cause autism, vaccine critics have now inaccurately reformed the argument claiming that it is the combination of thimerosal and aluminum that causes autism. The purpose of this …

Student Nurse Knowledge And Confidence Regarding Childhood Immunizations, Heather Westergard

Theses and Dissertations

Background: Immunization training is essential for nursing students. However, Brigham Young University's (BYU) Nursing Program lacks data regarding the current curriculum's effect on vaccination knowledge and confidence. Purpose: The purpose of the study is to explore BYU nursing students' knowledge and confidence regarding vaccinations. Methods: Nursing students at BYU in the second and fourth semesters were surveyed using pre-and post-test questionnaires designed to measure student nurses' knowledge of and confidence about immunizations. To help evaluate current curricula established immunization content was taught during both the public health course and pediatric course via direct instruction, assigned reading, quizzes, exams, lab, and …

Methods To Stop Caffeine Use And Minimize Caffeine Withdrawal Symptoms In The State Of Caffeine Dependence: A Literature Review, Morgan Behling, Blaine Winters

Student Works

Caffeine is the most consumed psychoactive drug in the world and those who consume it frequently become dependent. Even if individuals desire to quit caffeine, they may not be able to due to withdrawal side effects, or a lack of knowledge of how to quit. Harmful effects of long-term caffeine consumption include fatigue, irritability, headaches, nausea, and depression. The goal of this literature review was to explore current evidence on different methods to quit or reduce caffeine use and minimize caffeine withdrawal effects in those who are dependent. A literature review of studies from 2014 to 2020 was conducted using …

Critical Access Hospital Nurses' Perceptions Of Obstacles And Helpful Behaviors In End-Of-Life Care, Trissa Michelle Lyman

Theses and Dissertations

Background: The Critical Access Hospitals (CAHs) system was developed to bring health care to rural populations. Although CAHs lack equipment and resources, CAH nurses still provide end-of-life (EOL) care to critically-ill and dying patients. Objectives: To determine the largest and smallest ranked obstacles and helpful behaviors to providing EOL care to rural patients as perceived by CAH nurses. Also, to determine how CAH nurses' perceptions of obstacles and helpful behaviors to providing EOL care compare to that of their urban counterparts. Methods: A cross-sectional, nationally representative sample of nurses working in 39 CAHs were sent a questionnaire. Nurse participants were …

Effectiveness Of A Vaccination Education Module For College Freshman, Gavin Robert Behunin

Theses and Dissertations

The purpose of this thesis is to evaluate a vaccination education module and evaluate its effectiveness to improve vaccine beliefs and behaviors among college freshmen. The participants included 177 college freshmen at one Utah university. Participants were eligible for this study if admitted as a new freshman during the 2019-2020 school year. The study was a cross-sectional pre- and post-education evaluation assessing vaccine beliefs and behaviors using a Likert-type scale. After completing the vaccination education module, participants' vaccine beliefs and behavioral intentions improved. Participants reported they were more likely to be up-to-date on personal vaccines and more likely to expect …

Addressing Melanoma Risk In Families, Rebecca B. Roy, Deborah O. Himes

Student Works

Melanoma is one of the top 10 cancers in the United States. It is an aggressive and potentially fatal skin cancer. Up to 10% of all people diagnosed with melanoma have a positive family history of melanoma and a family history with a first degree relative can increase the risk for family members by 75%. Poor family communications often result in first degree relatives’ lack of knowledge about risk and prevention for melanoma. Considering this lack of knowledge, primary care providers have the opportunity to assess risk; teach and encourage prevention measures; teach and perform skin exams; and refer to …

Creating A Work Environment Conducive To Organizational Learning, Bret Lyman, Marisa E. Biddulph, V Grace Hopper, Morgan K. Horton, Camille R. Mendon

Faculty Publications

Through organizational learning, health care teams can consistently provide excellent patient care in a complex and changing environment. Nurse managers, educators, and other leaders can facilitate organizational learning within their teams by promoting certain contextual factors in the clinical work environment. This article provides an overview of contextual factors associated with organizational learning, includes practice-based examples of these factors, and offers evidence-based recommendations for creating a learning-focused work environment.

Musculoskeletal Injuries In The Austere Setting: A Pilot Training For Student Nurses, Diego H. González

Student Works

Registered Nurses (RNs) make up the largest proportion of healthcare workers in the United States. As such, RNs are frequently involved in responding to emergencies in austere settings such as natural disasters and wilderness environments. Many injuries in the austere setting are categorized as musculoskeletal. Currently, nursing programs do not provide any curricular training on austere medicine. This leaves nurses unprepared to face the challenge of responding to emergencies in the austere environment.

Purpose: Create and pilot test an effective training for a nursing program at a private university in the Western United States on musculoskeletal injuries in the austere …

Tapering Buprenorphine, Alexis Diane Snyder

Student Works

Opioid use disorder (OUD) is increasing in incidence in the United States. Buprenorphine is the mainstay of medication-assisted treatment for OUD. Nurse practitioners play an essential role in solving the opioid epidemic and are increasingly relied on to prescribe buprenorphine. Even though buprenorphine is considered a long-term therapy, many patients request to taper off the drug. Evidence suggests that tapering from buprenorphine is frequently unsuccessful and remains as a challenge. The purpose of this article is to provide the best available evidence regarding the taper of buprenorphine in patients with OUD. Considering a buprenorphine taper should begin by evaluating if …

Empowering Nurse Practitioners To Make Health Policy Change: A Guide To Successful Passage Of Legislation In Utah, Heather Merrill, Lacey Eden, Karlen Beth Luthy

Student Works

Introduction: There is growing political apathy among nurses. This trend must be reversed to make meaningful change in healthcare. In 2017, the authors championed a bill, House Bill 308 Substitution 2 (HB 308 Sub 2), which passed in the Utah Legislature.

Guide: This health policy paper details the process of enacting HB 308 Substitution 2 to guide Nurse Practitioners in enacting legislation. The steps detailed to enact legislation are based on the acronym CHANGE which stands for collecting data, hinge, associations, negotiate, gather, and expect to be the expert. Basics of the legislature are also explained such as timing, the …

Recommendations For Perioperative Care Of Adolescents At Risk For Suicide, Rachelle Huber Dustin Rn, Bsn, Blaine A. Winters Dnp, Acnp-Bc

Student Works

Suicide is one of the leading causes of death for the adolescent population, and as such, should be addressed when adolescents have any contact with the healthcare system, including perioperative appointments. Although some surgical facilities screen patients with a history of suicide attempt or severe mental health conditions, many adolescents who have died by suicide do not have official mental health diagnoses or history of previous suicide attempt. Because of the impact surgery can have on mental health, each adolescent should be screened for suicide risk during pre-surgical consult appointments to assess suicide risk and take proper precautions, as needed. …

Non-Anogenital And Anogenital Injuries Of Females Following Sexual Assault: A Retrospective, Descriptive Study From 5,464 Sexual Assault Forensic Medical Examination (Safme) Reports, Atalie M. Bradshaw

Theses and Dissertations

The focus of this retrospective, descriptive study is to describe non-anogenital and anogenital injuries documented in over 5,000 sexual assault forensic medical examination (SAFME) reports of female patients. The study findings expand understanding of injuries documented following sexual assault by exploring associations between injuries and a multitude of variables: patient demographics (age, race, gender); time between assault and examination; patient-perpetrator relationship; perpetrator actions (strangulation, hit, verbally threatened/coerced, use of restraints, grabbed/held); number of assaultive acts; multiple-perpetrators; suspected drug-facilitated assaults; patient and perpetrator use of alcohol and drugs; and physically or mentally impaired patients. The various types and locations of injuries …

Talking To Your Patients About Antibiotics: What Nurse Practitioners Need To Know, Danae M. Titensor, Katreena Collette-Merrill

Student Works

Antibiotic resistance is a growing threat to our current ways of treating infections. The overuse of antibiotics is a major contributor to this threat, especially with the prevalence of unnecessary prescriptions written for upper respiratory infections (URIs). Better education tools are needed for providers and patients regarding antibiotic resistance. The purpose of this project was to use evidence-based practice to produce an educational video about antibiotic resistance. Following a review of the literature, a 6-minute video was made using Mayer’s cognitive theory of multimedia learning. A convenience sample of 15 family nurse practitioner (FNP) students, from one master’s program, participated …

Prehabilitation Prior To Cabg, Casey Bunker, Neil Peterson

Student Works

Background and Purpose: Globally, coronary artery disease (CAD) affects 126.5 million adults. To decrease mortality, coronary artery bypass graft (CABG) surgeries are often performed. CABGs have inherent risks such as financial burden, physical complication, and emotional stress. Cardiac rehabilitation programs help decrease complications postoperatively. However, few interventions are performed preoperatively. Prehabilitation (prehab) programs have been created to address this gap in other types of surgeries. Prehab is the purposeful implementation of physical activity before a procedure to improve perioperative outcomes. Prehab prior to CABG has not been well studied previously. Furthermore, it is unknown if families should support a sedentary …

Anemia Management In Rural Haitian Children: A Mixed Methods Study, Marc-Aurel Martial, Kathy A. Sward, Janice M. Morse, Andrew R. Wilson, Cempaka S. Martial, Debra S. Penney, Elie Nicolas

Faculty Publications

Introduction: We examined factors influencing anemia outcomes in rural children following implementation of a prevention program. Method: Mixed methods study of children, parents, and clinicians utilized statistical modeling and content/ ethnographic analysis. Retrospective chart abstraction evaluated treatments administered and measured hemoglobin in children aged 6 to 59 months (n = 161). Prospective interviews/questionnaires examined parent (n = 51) and clinician (n = 19) perceptions. Results: Anemia prevalence decreased by 21.2%. Predictors of increased hemoglobin were clinic visit number and age at first visit. Once anemia improved, children were likely to remain improved (P = .65). Despite favorable program perceptions, stakeholders …