Medicine and Health Sciences Commons^™

Fall 2021

Scientia

A Decade of Progress and Success; Speech Language Pathology Program; COVID-19 Long-Hauler Study; Peer Mentors Initiative; Faculty Update; Expert Engagement: Three CSH initiatives further education and scholarship while supporting communities in need; Strategic Command: Business consultant and med tech expert Stephen Sichak helps others face pandemic challenges; Taking Care: A School of Nursing research team plumbs the pandemic experiences of nurses nationwide

Simulation Education For Ultrasound Guided Peripheral Intravenous Catheter Insertion, Ronald Mack

College of Science and Health Theses and Dissertations

The purpose of this study was to evaluate student registered nurse anesthetist (SRNA) knowledge and confidence of ultrasound guided peripheral intravenous catheter insertion (UGPIV) before and after viewing an educational video. As a basis for developing a single group pre-test and post-test study, the dual coding theory was used. The authors hypothesize that SRNA knowledge and confidence would improve after an educational video intervention. A convenience sample of first, second, and third year SRNAs was used (N=31). The study participants completed a pre-survey to evaluate UGPIV knowledge and confidence, along with demographic questions. Participants were then instructed to view a …

A Qualitative Examination Of Opioid Sparing Anesthesia Practices Among Crnas, Stephanie Knell

College of Science and Health Theses and Dissertations

The opioid epidemic has had significant consequences across the healthcare system in the United States. While anesthesia providers have historically provided quality intraoperative analgesia utilizing opioids, research to date suggests that these care experiences may have lasting implications on patients’ long term health outcomes. In contrast, opioid sparing anesthesia can provide patients superb analgesic coverage without the noxious side effects of opioids or the risk of misuse. As an emerging topic, no known study to date has described anesthesia providers’ qualitative experiences with opioid sparing anesthesia. Therefore, the purpose of this qualitative descriptive study was to conduct semi-structured interviews to …

Implications Of An Education Tool As A Noise Reduction Strategy In The Operating Room, Sona Wardius, Amanda Parker

College of Science and Health Theses and Dissertations

Noise in the operating room (OR) can be from many sources, including personnel and medical equipment. Excessive noise is prevalent in the OR and can lead to distractions, interruptions, stress, and medical errors. These distractions have been well-documented in the literature and can reduce the quality of patient care. Awareness and education have proven to be solutions to noise reduction, but there is little evidence in the literature regarding the adoption of a clinical guideline. The goal of this study is to bring awareness of noise levels in the OR, the most common noise distractions, and how these relate to …

Implementation Of An Emergency Reflex Action Drill To Improve Perceived Knowledge And Confidence In Intubation Skills Of Nurse Anesthesia Trainees, Amanda Lamacki

College of Science and Health Theses and Dissertations

Direct laryngoscopy remains the primary method for achieving intubation of the airway in general anesthesia. Novice laryngoscopists may encounter high stress and cognitive load when unexpectedly faced with a Cormack-Lehane Grade III or IV view in an unfamiliar and time-pressured environment. An Emergency Reflex Action Drill (ERAD) is a specifically designed action sequence intended to execute clinical interventions with minimal cognitive load in the setting of marked time pressure. The purpose of this study was to examine the implementation of the ERAD “Head-Neck-Reset” to improve perceived knowledge and confidence in intubation skills of nurse anesthesia trainees. A convenience sample of …

Perioperative Non-Opioid Modalities (Pnom) Questionnaire Implementation And Validation Of Its Psychometric Properties, Liliya Sprisovskiy

College of Science and Health Theses and Dissertations

Introduction: The opioid epidemic and prescription opioid related deaths continue to grow in the US. Contributing factors to this epidemic include nonrestrictive opioid administration in the perioperative period. Though solutions to the epidemic has been discussed by anesthesia providers, there is no tool to quantiatively evaluate of their beliefs and practices for the perioperative management of pain. Over the past three years, there has been advancement in the science of nurse anesthesia on this front and in 2020 Tucker and Wong completed the development of a quantitative tool aimed at assessing CRNA beliefs and practices with regard to their use …

Simulation Education For Ultrasound Guided Peripheral Intravenous Catheter Insertion, Ryan Lewandowski

College of Science and Health Theses and Dissertations

The purpose of this study was to evaluate student registered nurse anesthetist (SRNA) knowledge and confidence of ultrasound guided peripheral intravenous catheter insertion (UGPIV) before and after viewing an educational video. As a basis for developing a single group pre-test and post-test study, the dual coding theory was used. The authors hypothesize that SRNA knowledge and confidence would improve after an educational video intervention. A convenience sample of first, second, and third year SRNAs was used (N=31). The study participants completed a pre-survey to evaluate UGPIV knowledge and confidence, along with demographic questions. Participants were then instructed to view a …

Examining Provider-Related Factors Associated With Role Competence In Shared Decision Making In Oncology Nurses, Alexandria Tarvainis

College of Science and Health Theses and Dissertations

Abstract

Purpose: To examine provider-related factors associated with higher levels of competence in shared decision-making (SDM) in oncology nurses.

Design: This study is a retrospective secondary data analysis of SDM survey data collected from 230 participants (oncology nurses that are active members of the Oncology Nursing Society) during February 2017 to September 2017.

Methods: Data collected from oncology nurses who actively provide direct care to patients from inpatient and outpatient oncology units in the Midwest and Pacific Northwest. Participants completed an online or mail survey on the following: knowledge, attitudes, communication, and adaptability which scores were derived from a 5-point …

Prevention Of Shaken Baby Syndrome Among High-Risk Neonates: Program Implementation And Evaluation, Rebecca Tortolano

College of Science and Health Theses and Dissertations

Abstract Background: Studies suggest that the implementation of high-quality education and support services for caregivers may reduce the incidence of unplanned harm to infants and young children under high-stress circumstances. Purpose: This study evaluates the usefulness of the Period of PURPLE Crying program in a high-acuity NICU at The University of Chicago Comer Children’s Hospital based on six measurable objectives. Methods: The study utilized a Likert-style pretest-posttest survey design to evaluate how the Period of PURPLE Crying program was perceived by NICU nurses. Nurses were educated on the program content during an in-service aimed to teach participants how to utilize …

Enhancing The Braden Scale Pressure Ulcer Risk Assessment In Long-Term Care Facilities: A Cohort Study, Rachel Deutsch

College of Science and Health Theses and Dissertations

The development of pressure ulcers remains challenging as they are associated with overwhelming costs, pain and suffering, prolonged hospitalization, and morbidity and mortality. In the United States, the Braden scale is the most widely used risk assessment tool among all healthcare organizations to identify high-risk individuals for pressure ulcer development. The objective of risk assessment is to detect high-risk patients, implement immediate interventions, and evaluate patients not at risk who do not require intervention. The purpose of this cohort study is to determine the pressure ulcer predictability of the Braden score in comparison to the Braden score with additional predictor …

The Barriers To The Timely Diagnosis And Treatment Of Adhd By Advanced Practice Nurses In The Pediatric Primary Care Setting, Annette Kowalczyk

College of Science and Health Theses and Dissertations

Introduction: This purpose of the study was to identify barriers to diagnosing and treating attention-deficit-hyperactivity-disorder (ADHD) in pediatric primary care. Method: This study utilized a survey tool sent to Advanced Practice Nurse members of the Pediatric Nursing Certification Board in March of 2020 and gathered information from 415 participants. Results: In a linear regression analysis, participants who received ADHD specific training showed a significantly increased level of comfort in overall ADHD management (p<0.001). Providers who are screening, diagnosing and managing ADHD most often, are also the most comfortable in doing so. Discussion: Barriers to the treatment and diagnosis of ADHD include the lack of training as it relates to varying levels of decreased provider comfort, absence of schedule II prescribing authority for APNs in some states and provider bias towards treating and managing ADHD.

Acute Asthma Exacerbation Treatment And Impact In A Pediatric Emergency Department, Sarah Jindoyan, Paige Barber

College of Science and Health Theses and Dissertations

Pediatric asthma exacerbation account for more than 1.8 million Emergency Department visits annually and has been labeled as a global epidemic as the prevalence, morbidity and mortality have significantly increased over the past forty years (Dexheimer et al., 2013). While asthma is recognized as the most common chronic disease in children, issues of under-diagnosis and undertreatment persist (Serebrisky & Wiznia, 2019). Because of the severity of this issue, it is important to further examine the current process in place and what steps can be taken to improve this process.

Acquired knowledge on the research topic is based on objective findings …

Intraoperative Management Of Lumbar Cerebrospinal Fluid Drains: A Reference Tool, Victoria Shink

College of Science and Health Theses and Dissertations

Lumbar cerebrospinal fluid (CSF) drains are invasive interventional devices implemented for patients suffering from neurosurgical and complex aortic conditions. CSF drain management can be an infrequent task for anesthesia providers. Infrequent exposure can lead to inadvertent mismanagement leaving the patient vulnerable to increased morbidity and mortality. The purpose of this study was to develop a reference tool for basic intraoperative management of lumbar CSF drains and determine if CRNA and SRNA knowledge was improved with its use. This study utilized a pre-test/post-test design. The pre-test revealed significant knowledge gaps in content crucial for safe drain manipulation and management. Improvement in …

Use Of Fiberoptic Intubation Simulation To Enhance Skill And Confidence Among Anesthesia Providers, Kris Toribio

College of Science and Health Theses and Dissertations

Background The purpose of this study was to describe the usefulness of a video-recorded low-fidelity Fiber Optic (FO) intubation simulation and its effect on anesthesia providers’ confidence and skill in performing FO intubation. Method The study was conducted during the 2019 IANA Airway Workshop using a post-test only study design. All participants who volunteered to participate in the simulation were asked to watch a video-recorded instruction on FO intubation. Immediately after viewing the video, the participants completed a hands-on simulation while the researchers recorded their FO intubation times. Participants were allowed up to three recorded attempts. Results Fifty-eight participants completed …

Lab Notes

Scientia

Paleo Showcase; Expert Opinions; School of Nursing Director Appointed; EPISTEM Porject; CSH Honors Award Recipients; Diversity Fellowship

Strength And Agility Power Up Online Learning

Scientia

DePaul's College of Science and Health pivoted to online learning when the COVID-19 pandemic precluded in-person instruction. Using Labster and personalized support from tech-savvy instructional designers in the college, faculty were able to create virtual lab experiences for such areas as nursing and biology.

Alumna Profile: Empowering Women In Science

Scientia

Nursing school alumna Linda Degutis is interviewed about her career and her work with the CDC and other government programs aimed to reduce violence and improve women's and veterans' health care.

Examining The Efficacy Of Web-Based Quality Improvement Hand Hygiene Education In Reducing Post-Cesarean Birth Surgical Site Infection, Lilian Allen

Grace Peterson Nursing Research Colloquium

Abstract

Objective: This is a quality improvement project aimed to evaluate the effectiveness of an educational training initiative on hand-hygiene (HH) for health care providers in women's health department to identify learning needs, behaviors, and attitudes.

Design: A descriptive, prospective, longitudinal design, using baseline data collection points before the web-based intervention was introduced (time 0), immediately after the web-based intervention completion (time 1), one to six weeks after completion of the intervention (time 2).

Setting: A Chicagoland area tertiary care hospital.

Participants: Clinical staff of the women's care center, which included the Labor and Delivery, Mother and Baby, and …

Use Of Fiberoptic Intubation Simulation To Enhance Skill And Confidence Among Anesthesia Providers, Fredrich F. Raz, Kris Toribio

Grace Peterson Nursing Research Colloquium

Abstract

Background: The purpose of this study was to describe the usefulness of a video-recorded low-fidelity Fiber Optic (FO) intubation simulation and its effect on anesthesia providers’ confidence and skill in performing FO intubation.

Method: The study was conducted during the 2019 IANA Airway Workshop using a post-test only study design. All participants who volunteered to participate in the simulation were asked to watch a video-recorded instruction on FO intubation. Immediately after viewing the video, the participants completed a hands-on simulation while the researchers recorded their FO intubation times. Participants were allowed up to three recorded attempts.

Results: Fifty-eight participants …

An Examination Of Certified Nurse-Midwives' Attitudes And Beliefs Surrounding Breastsleeping: Implications For Advanced Nursing Practice And Education, Lucy Mueller Wiesemann

Grace Peterson Nursing Research Colloquium

An Examination of Certified Nurse-Midwives' Attitudes and Beliefs Surrounding Breastsleeping: Implications for Advanced Nursing Practice and Education

Lucy Mueller Wiesemann, DNP, CNM, APN, CLS; DePaul University, Chicago, IL

Abstract

Introduction: Breastsleeping, defined as cosleeping while breastfeeding, is a practice commonly employed in breastfeeding families. However, literature examining this concept, its prevalence, and related education for safe breastsleeping is scant. Provider’s attitudes surrounding breastsleeping play an essential role in practice and outcomes when caring for breastfeeding patients and families. The purpose of the study was to examine Certified Nurse-Midwives’ attitudes and beliefs surrounding breastsleeping.

Methods: An adapted 18-item Nurse Attitudes and …

Self-Management And Quality Of Life In Young Adults After Healthcare Transition, Jennifer Herbert

Grace Peterson Nursing Research Colloquium

The transition from pediatric to adult healthcare has become healthcare concern of increasing importance as more adolescents with chronic conditions survive to adulthood requiring continuing care. In order to understand the current status of healthcare transition (HCT), we identified the HCT services received by young adults, their existing healthcare self-management skills and how skills correlated with their quality of life. A correlational and retrospective cross-sectional online survey of English-speaking young adults in the United States ages 18-26 with at least one pediatrically diagnosed chronic condition was conducted August-October 2019. Participants completed a healthcare transition feedback survey, the TRANSITION-Q self-management skills …

Implementing Positive Language In Anesthesia: Utilizing The Comfort Scale, Elisabeth Prehm, Tricia Oakes

Grace Peterson Nursing Research Colloquium

Implementing Positive Language in Anesthesia: Utilizing the Comfort Scale

Tricia Oakes & Elisabeth Prehm

Faculty Sponsor: Pamela Schwartz DNP, CRNA

Background

Verbal numeric pain scales (ranking pain on a scale from zero to ten) are widely utilized and taught in medicine. Evidence-based research has shown that verbal numeric comfort scales are associated with a decrease in opioid administration, improved pain perceptions, and overall better patient satisfaction .7

Objective

The purpose of this study is to assess the impact of a video-based educational tool demonstrating the use of a comfort scale in the perioperative setting among Nurse Anesthesia Trainees (NATs), and …

Malignant Hyperthermia Simulation, Michael D. Quidort, Rachael K. Tse

Grace Peterson Nursing Research Colloquium

Malignant Hyperthermia Simulation

Rachael Tse, BSN, RN and Michael Quidort, BSN, RN

Faculty Sponsor: Anne Sauri, CRNA, DNP and Julia Feczko, CRNA, DNP

Background: Malignant hyperthermia (MH) is a life-threatening condition in which survival is highly dependent on early recognition and prompt treatment. The purpose of this DNP project was to examine the impact of an in vivo high-fidelity malignant hyperthermia simulation on CRNA confidence in crisis management.

Objectives: Does a high-fidelity simulation training exercise improve CRNAs’ confidence in identifying signs and symptoms during a MH crisis? Does a simulation-based training exercise improve CRNAs’ confidence in the management of a …

The Effects Of Guided Meditation On The Stress Levels Of Student Registered Nurse Anesthetists, Olivia Nassoiy, Abigail Hadley

Grace Peterson Nursing Research Colloquium

Background: Student Registered Nurse Anesthetists (SRNAs) cope with both academic and clinical stressors which can lead to an increase in stress, anxiety and depression. ¹ The literature demonstrates that guided meditation is a useful tool that can be integrated into daily life to help decrease stress and improve well-being. ²

Objectives: The purpose of this DNP project was to describe the level of stress among SRNAs and examine the relationship between a guided meditation intervention and self-reported stress, depression, wellness, and self-efficacy among second year SRNAs.

Method: The participants were second year anesthesia students attending NorthShore University School of Nurse …

Evaluation Of Health And Wellness Education Components, Modalities And Timing On Srna Self Efficacy And Coping, Jessica Rogers, Amanda Hemple

Grace Peterson Nursing Research Colloquium

Background: Health and wellness education is touted as a tool for improved self-efficacy and coping for student registered nurse anesthetists but the details of the effectiveness remain unclear. Objectives: Evaluate effects of content, modalities and timing of health and wellness education on the self efficacy and coping mechanisms of students in a nurse anesthesia training program. Method: Survey responses from 159 participants were collected online. Participants identified their General Self-Efficacy Score (GSE), Brief COPE score, average daily stress, health and wellness education components and the timing and modalities in which they were delivered, and if they assessed their education as …

Crnas And Sugammadex Use: A Qualitative Analysis, Natalia Izquierdo Bsn, Rn, Emily Mancewicz Bsn, Rn

Grace Peterson Nursing Research Colloquium

Background: The availability of Sugammadex has increased options for Certified Registered Nurse Anesthetists’ (CRNAs) and their choice of neuromuscular reversal agents, however administration is impacted by a variety of provider and institutional factors.

Objectives: The purpose of this study was to examine and describe the personal and institutional factors impacting the use of Sugammadex in Illinois by CRNAs.

Method: A qualitative study design using an open-ended survey yielded 209 responses. The three main themes that emerged were 1) Why CRNAs choose to use or avoid Sugammadex 2) How CRNAs dose Sugammadex and 3) Practice variations existing within the clinical setting. …

Item Bank Development And Testing Of The Perioperative Non-Opioid Modalities (Pnom) Questionnaire: A Pilot Study, Austin Tucker Rn, Bsn, Dnp(C), James Wong Rn, Bsn, Dnp(C)

Grace Peterson Nursing Research Colloquium

Abstract

Background: There are validated tools available to identify surgical patients at risk of persistent opioid use, as well as protocols to decrease perioperative opioid use. However, there are no validated tools to assess the barriers and facilitators to using non-opioid modalities for the treatment of perioperative pain.

Objective: The purpose of this study was to develop the item bank for a new instrument entitled the Perioperative Non-Opioid Modalities (PNOM) questionnaire and examine its initial psychometric properties. The PNOM was designed to examine the barriers, moderators, and facilitators surrounding the nurse anesthetists' use of non-opioid modalities for the treatment of …

Correlation Of Mobile Device Application Use During Student Registered Nurse Anesthetist Training And First Time Nce Pass Rates, Morgan Lewis, Garrett Sawyer

Grace Peterson Nursing Research Colloquium

No abstract provided.

Medical Cannabis: Knowledge, Beliefs And Attitudes Of Certified Registered Nurse Anesthetists, Adam Conlon

Grace Peterson Nursing Research Colloquium

Medical Cannabis: Knowledge, Beliefs and Attitudes of Certified Registered Nurse Anesthetists

Student:Adam Conlon RN, BSN

Faculty Sponsor: Kathryn Coletto DNP, CRNA, APN

Abstract Patients who require anesthesia may have a history of using medical cannabis (MC). Illinois has had a MC program since 2013 and legalized recreational use on January 1, 2020. Certified Registered Nurse Anesthetists (CRNA) and Student Registered Nurse Anesthetists (SRNAs) in Illinois need to be adept at discussing MC with their patients and understand how this class of medication affects anesthesia. Multi-modal approaches to control pain are becoming the standard of care inside and outside of the …

Impact Of Implementing Delirium Precautions On Pharmacological And Non-Pharmacological Interventions In A Veteran Inpatient Hospice Population, Zoe Palisoc, Kevin Bacigalupo, Emily Ellsworth, Seema Limaye, Kavita Palla, Katie J. Suda, Joyce M. Wang

Grace Peterson Nursing Research Colloquium

Retrospective Study from July 2017 thru January 2019 on United States veteran admitted to Edward Hines Jr. Veterans Medical Center's inpatient hospice unit who developed terminal delirium on their last days of life.