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- Keyword
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- Health care (13)
- Medical research (12)
- Advanced Practice Registered Nurses; APRN; DNR; code status; (1)
- Affordable Care Act; health care policy; (1)
- Age disparity; upper extremity injury; long bone fracture; pain management; (1)
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- Alcohol use disorder; AUD; women; health promotion behavior; (1)
- Alcohol withdrawal; alcohol dependence; CIWA; (1)
- Antimicrobials; infection; overprescription; respiratory infections; (1)
- Cardiovascular disease; EKG; gender disparity; door to EKG; (1)
- DNR; do-not-resuscitate; mortality rate; (1)
- Daily weight; weight measurement; (1)
- Enteral nutrition; enteral feedings; interruption; (1)
- Evidence-based practice; nursing; environmental readiness; (1)
- Health care policy (1)
- Mental health (1)
- Mental illness; anxiety; agitation; (1)
- Moral distress; medical-surgical nurses; AACN Rise Above Moral Distress; workplace; psychological distress; coping skills; (1)
- Opioid overdose; opioid overdose education; harm reduction; Naloxone (1)
- Osteoarthritis; total hip replacement; post-operative recovery; ambulation distances; (1)
- Pain management; neurologically critically ill; pain scales; (1)
- Palliative care; hospice; intensive care; standards; guidelines (1)
- Pressure ulcers; HAPUs; hospital acquired pressure ulcers; preventative care; silicone barrier; (1)
- Public health (1)
- Skin; ulcers; ulcer assessment; pressure ulcer; intervention (1)
- Urosepsis; sepsis; quik catheterization; urine collection; (1)
- Workplace violence; emergency department; WPV; (1)
Articles 1 - 21 of 21
Full-Text Articles in Medicine and Health Sciences
Respiratory Infection And Antimicrobial Prescribing: How Well Are The Guidelines Adhered To?, Veronica Seippel
Respiratory Infection And Antimicrobial Prescribing: How Well Are The Guidelines Adhered To?, Veronica Seippel
Master's Theses, Dissertations, Graduate Research and Major Papers Overview
Approximately two million people in the United States (US) are infected annually by organisms that have developed resistance to one or more of the antimicrobials designed to eradicate them. The highest-ranking category of illness for which antibiotics are most commonly overprescribed is respiratory infections (CDC, 2014a). The purpose of this project was to explore current antimicrobial prescribing trends for respiratory infections at an urgent care facility. The ACE Star Model of Knowledge Transformation (Stevens, 2004) was utilized to serve as a guide in conducting this research study. Utilizing the detailed guidelines and treatment criteria for respiratory infections developed by the …
Pressure Ulcer Assessment And Documentation, Cynthia Ruggiero
Pressure Ulcer Assessment And Documentation, Cynthia Ruggiero
Master's Theses, Dissertations, Graduate Research and Major Papers Overview
Accurate assessment and documentation of skin is an important nursing activity yet the task of identifying and documenting wounds can be difficult. New regulations from the Centers for Medicare and Medicaid dictate that hospitals will not receive payment for the treatment of stage III or stage IV hospital-acquired pressure ulcers. Literature supports that accurate assessment and documentation of a pressure ulcer is important to the care of the patient, to provide legal documentation, and for reimbursement. The purpose of this project was to develop and implement a pressure ulcer assessment and documentation pocket guide. The development of the pocket guide …
Overdose Education And Naloxone Distribution: Implementation In The Acute Care Setting, Emily A. Daniell
Overdose Education And Naloxone Distribution: Implementation In The Acute Care Setting, Emily A. Daniell
Master's Theses, Dissertations, Graduate Research and Major Papers Overview
The number of opioid related overdose deaths has increased significantly over the past ten years. In order to combat this problem, many drug treatment programs have implemented Overdose Education and Naloxone Distribution programs as a harm reduction technique. While these programs are fairly new, initial research demonstrated effective reduction in the number of opioid overdose related deaths. The risk of overdose deaths increases when an opioid addicted person is abstinent for a period of time and loses tolerance. Individuals who have been incarcerated, completed inpatient detoxification, or who have been admitted into an acute care setting face the risk of …
Evidence-Based Practice In Nursing, Sandra M. Linde
Evidence-Based Practice In Nursing, Sandra M. Linde
Master's Theses, Dissertations, Graduate Research and Major Papers Overview
Evidenced-based practice (EBP) as defined by the Institute of Medicine(IOM) is the integration of "best research with clinical expertise and patient values for optimum care"(IOM, 2003, p.45-46). Evidence-based practice (EBP) is considered a standard for safe and quality care (Carlson & Plonczynski, 2008). Healthcare leaders recognize EBP as an integral part of achieving quality outcomes and attaining high reliability. The Institute of Medicine (IOM) has established a goal that 90% of healthcare decisions in the United States be evidenced based by the year 2020 (IOM, 2009). Despite the fact that EBP has been promoted for many years, inconsistencies in implementation …
An Evaluation Of The Palliative Care Provided On A Medical Intensive Care Unit, Peter Musso
An Evaluation Of The Palliative Care Provided On A Medical Intensive Care Unit, Peter Musso
Master's Theses, Dissertations, Graduate Research and Major Papers Overview
More patients die in intensive care units (ICUs) than in any other hospital setting. For survivors, ICU treatment is often accompanied by a significant burden of symptoms for both the patient and for the family and may result in long-term cognitive and physical impairments and an unacceptable quality of life. Over the last decade, the idea that palliative care should be provided along with intensive care regardless of prognosis has evolved from a novel formulation to a clinical practice guideline. The purpose of this research was to determine whether the patients on a Medical Intensive Care Unit (MICU) were being …
Moral Distress, Manuel Silva
Moral Distress, Manuel Silva
Master's Theses, Dissertations, Graduate Research and Major Papers Overview
Moral distress is a common but frequently overlooked concept in the nursing profession, though not exclusive to nursing. Many professionals experience this distress, but nurses encounter this phenomenon more often than other professions. Moral distress can cause many physical and emotional symptoms that affect how a person perceives satisfaction in his/her profession. These include anxiety, fear, frustration, feeling of powerlessness, poor sense of safety and security, nursing turnover, and nursing professionals leaving the profession. This project targeted medical-surgical nurses and aimed to provide them with education to identify moral distress as well as appropriate coping skills that may be used …
Barriers To Nurses Reporting Workplace Violence In The Emergency Department, Christine M. Pierce
Barriers To Nurses Reporting Workplace Violence In The Emergency Department, Christine M. Pierce
Master's Theses, Dissertations, Graduate Research and Major Papers Overview
Violence in healthcare is a global problem and nurses are subjected to workplace violence (WPV) more than any healthcare professional. The International Council of Nurses (ICN) reports that nurses are three more likely to experience workplace violence than any other group. The Emergency department (ED) is one of the most frequent locations where this occurs. There is evidence that this problem is severely underestimated due to the under-reporting of WPV events and as such negative consequences ofWPV impact patient outcomes. Additional evidence suggests that the percentage of individuals reporting such events is low. The purpose of this study was to …
Perceived Barriers To Health Promotion Behavior Of Women In Early Recovery From Alcohol Use Disorder, Renee Ann Graham
Perceived Barriers To Health Promotion Behavior Of Women In Early Recovery From Alcohol Use Disorder, Renee Ann Graham
Master's Theses, Dissertations, Graduate Research and Major Papers Overview
Women with Alcohol Use Disorder (AUD) have a higher risk of chronic illness and a mortality rate that is 50 to 100% greater than men’s (National Institute on Alcohol Abuse and Alcoholism, 2008). Lifestyle changes in the recovery from AUD include adopting behaviors that foster health and identifying women’s barriers to health promotion behavior is important to fostering a healthy lifestyle. The purpose of this study was to explore perceived barriers to health promotion behavior of women in early recovery from AUD. Participants were women (N = 50) who attended 12-step recovery meetings for alcoholism, of which: 86% were 26 …
Neuroscience Nurses' Perceptions Of The Barriers To Identifying And Treating Pain In Acutely Brain-Injured Adult Patients, Kimberly A. Iannotti
Neuroscience Nurses' Perceptions Of The Barriers To Identifying And Treating Pain In Acutely Brain-Injured Adult Patients, Kimberly A. Iannotti
Master's Theses, Dissertations, Graduate Research and Major Papers Overview
Pain management for the critically ill adult can be daunting. Numerous factors contribute to this challenging process including altered level of consciousness (LOC), inability to speak, life support measures, family input, level of sedation, paralyzing agents, restraints, cognitive impairment, and numerous other factors. The current practice related to pain management in the neurologically critically ill adult patient population is limited by inadequate pain scales, altered neurological status, and atypical pain-associated behaviors. Additionally, nurses are challenged by unclear practice guidelines. The critical care nurse is required to assess and manage pain, as well as implement specific interventions based on the patient’s …
Disparities Between Men And Women In The Time Of Initial Ekg Acquisition, Beverly Mcgillivray
Disparities Between Men And Women In The Time Of Initial Ekg Acquisition, Beverly Mcgillivray
Master's Theses, Dissertations, Graduate Research and Major Papers Overview
Cardiovascular disease is the most common cause of death around the world. Initial treatment is often time dependent. An EKG is the single most important initial clinical test to diagnose acute myocardial infarctions. Recognizing acute coronary symptoms in the initial presentation to an emergency department is critical in order to obtain the initial EKG. Of concern is the likelihood of delay in the initial EKG acquisition for females. The purpose of the research study was to distinguish if there is a disparity between genders to the best practice of door to EKG in 10 minutes from the arrival time in …
Development Of An Education Program For Nursing Staff Related To Obtaining Standardized And Accurate Daily Weights, Jessica L. Prew
Development Of An Education Program For Nursing Staff Related To Obtaining Standardized And Accurate Daily Weights, Jessica L. Prew
Master's Theses, Dissertations, Graduate Research and Major Papers Overview
Obtaining daily weights is an integrated process in daily nursing practice and considered useful data in treatment options. Literature reviewed revealed evidence based knowledge that daily weights are routinely used in everyday practice. However this data obtained is not always reliable and the task is not performed based on a standardized practice. The purpose of this education program was to educate nursing staff regarding procedures to obtain accurate daily weights. The program development used a pre-survey, intervention and post-survey design. The educational program for nursing staff served as the intervention. The sample included nursing staff employed on 4 East, a …
Managing Hospitalized Adults With Alcohol Dependence, Lisa Darling
Managing Hospitalized Adults With Alcohol Dependence, Lisa Darling
Master's Theses, Dissertations, Graduate Research and Major Papers Overview
Alcohol withdrawal is a common clinical condition with a variety of presentations, complications and morbidities. According to the National Institute on Alcohol Abuse and Alcoholism (NIAAA), an estimated 17 million Americans, or one in every 12 adults, have an alcohol use disorder (AUD). An unanticipated hospital admission can precipitate alcohol withdrawal syndrome that can develop six hours after the cessation of alcohol. Early assessment of potential alcohol dependence, as well as symptoms of withdrawal and utilizing the CIWA tool, is important in identifying and managing this at risk population and reducing the potential incidence of complications. The purpose of this …
Reversing The Stop Signs To Proactive Nursing Care In Dnr Patients, Natalie Volpe
Reversing The Stop Signs To Proactive Nursing Care In Dnr Patients, Natalie Volpe
Master's Theses, Dissertations, Graduate Research and Major Papers Overview
Research has supported that patients with a do-not-resuscitate (DNR) code status receive less aggressive treatment and have higher mortality rates compared to those without DNR orders, after adjusting for confounding factors (Cohn, Fritz, Frankau, Laroche, & Fuld, 2012). Health care providers erroneously understand DNR status to imply that a patient is dying and should not undergo other life-saving interventions (Hewitt & Marco, 2004). Surveyed critical care nurses revealed that they believed that interventions such as complete history and physicals, checking vital signs, monitoring neuro status, and ICU admission should not be performed as regular interventions on patients with a DNR …
A Comparrison Of Two Emergency Departments, Erin C. Blais
A Comparrison Of Two Emergency Departments, Erin C. Blais
Master's Theses, Dissertations, Graduate Research and Major Papers Overview
Urosepsis accounts for approximately 25% of all cases of sepsis in the developed world. The mortality from urosepsis is high and the financial burden is exorbitant. Research has established that a patient’s survivability from sepsis is inversely proportional to time to antibiotic administration. The initial care of patients with urosepsis often occurs in the chaotic setting of the Emergency Department and obtaining a urine specimen is a key element of patient care. The purpose of the project was to compare two emergency departments door-to-urine time with a focus on urine procurement technique. Urine procurement may occur by straight catheterization, Quik …
Exploring Barriers To Code Status Discussions, Christina Marie Dickson
Exploring Barriers To Code Status Discussions, Christina Marie Dickson
Master's Theses, Dissertations, Graduate Research and Major Papers Overview
It is imperative that Advanced Practice Registered Nurses (APRNs) have the skill set necessary to initiate code status discussions with people. The literature supports that healthcare providers tend to avoid the topic, for reasons that include feeling uncomfortable, not having enough time, and not wanting to take away hope. How do we break down these barriers to ensure that healthcare providers feel comfortable and prepared to have code status discussions? The purpose of this project was to explore perceived barriers encountered by the Advanced Practice Registered Nurse (APRN) student population. A survey was developed that included sections on comfort level …
Is There A Difference In Pain Management Of Patients With Upper Extremity Injuries In Relation To Age?, Cheryl Pappas
Is There A Difference In Pain Management Of Patients With Upper Extremity Injuries In Relation To Age?, Cheryl Pappas
Master's Theses, Dissertations, Graduate Research and Major Papers Overview
Timely and appropriate analgesia for the treatment of long bone fractures is a primary goal of Emergency Departments. Despite incentives from the Centers of Medicare and Medicaid and accreditation agencies studies have found the existence of pain management disparities. The purpose of this research study was to conduct a retrospective chart review to investigate if patients with an upper extremity long bone fracture received pain medication within 60 minutes of arrival to the ED and to identify if there was a difference in the pain management of patients, with identical injuries, by age. Katharine Kolcaba’s comfort theory was used to …
Reducing Hospital Acquired Pressure Ulcers, Jessica M. Leblanc
Reducing Hospital Acquired Pressure Ulcers, Jessica M. Leblanc
Master's Theses, Dissertations, Graduate Research and Major Papers Overview
Pressure ulcers have been a persistent issue in hospitals for many years and continue to remain a major cause of morbidity and mortality. Most hospital acquired pressure ulcers (HAPUs) are considered preventable and are identified by the National Quality Forum as a nurse-sensitive quality indicator. Intensive care patients in particular tend to be at a higher risk to develop PUs and prevention in the intensive care population continues to be a major challenge in many hospitals. Recently, some intensive care units have been utilizing a preventative silicone foam barrier dressing applied to patients admitted to the unit in order reduce …
Do Patients In The Intensive Care Unit Receive Recommended Total Daily Calories With Enteral Feedings Using A Rate Based Protocol?, Karen A. Schaefer
Do Patients In The Intensive Care Unit Receive Recommended Total Daily Calories With Enteral Feedings Using A Rate Based Protocol?, Karen A. Schaefer
Master's Theses, Dissertations, Graduate Research and Major Papers Overview
When a patient is unable to eat or eat enough nutrients due to an illness or surgery, nutrition from another source may be required. Supplemental nutrition may be given in the form of enteral nutrition. The current practice is delivering enteral feedings on a rate based protocol to deliver calculated required calories over a specific length of time. Patients who receive enteral nutrition may have feedings interrupted due to a variety of reasons such as a procedure or diagnostic exam. Interruptions reduce the total daily calories delivered. If a patient does not achieve their total daily calories, it can be …
A Policy Analysis Of The Provisions Of The Patient Protection And Affordable Care Act Related To Access To Primary Care For Older Adults, Tonya M. Fontaine
A Policy Analysis Of The Provisions Of The Patient Protection And Affordable Care Act Related To Access To Primary Care For Older Adults, Tonya M. Fontaine
Master's Theses, Dissertations, Graduate Research and Major Papers Overview
This paper begins with a comprehensive literature review of health care around the globe, health care in America, and the Patient Protection and Affordable Care Act (ACA). A problem has emerged from the ACA, in which it is unclear if the health care workforce is prepared to take care of all insured Americans, which now includes a large population of newly insured under the ACA. Primary care and the elderly population are a focus, as primary care is most affected by the ACA, and the aging population is growing and will continue to grow. The ACA policy is analyzed using …
The Relationship Between Osteoarthritis, Hip Arthroplasty, And Post-Operative Ambulation Distances, Melissa E. Ings
The Relationship Between Osteoarthritis, Hip Arthroplasty, And Post-Operative Ambulation Distances, Melissa E. Ings
Master's Theses, Dissertations, Graduate Research and Major Papers Overview
Osteoarthritis, total hip replacements, and post-operative ambulation distances are three interrelated concepts that lead patients from diagnosis, to intervention, and to the first indications of recovery post-operatively. The purpose of the project was to quantify the ambulation distances of patients with one of three surgical approaches for total hip replacements (THR). The timeframe for measurement was from the day of surgery (day 0) through the second post-operative day (POD 2) comparing different surgical approaches with length of ambulation distances. Pre-operative elective joint replacement educational classes, may play a role in post-operative recovery, which provided the rationale for including them in …
Nurses' Knowledge Of Signs And Symptoms Of Anxiety And Agitation, Cindy L. Disano
Nurses' Knowledge Of Signs And Symptoms Of Anxiety And Agitation, Cindy L. Disano
Master's Theses, Dissertations, Graduate Research and Major Papers Overview
The diagnosis of mental illness is becoming more prevalent in the United States. With the increased identification, it is imperative that health care professionals are astute in identifying mental health conditions and behaviors associated with those conditions. The most common use of pro re nata (PRN) or “as needed” psychoactive medications in the inpatient psychiatric setting is for the reduction of behaviors associated with anxiety, agitation, and aggression. The administration of PRN medication rests solely on the nursing staff and their ability to use autonomous clinical decision-making to distinguish between different behaviors associated with those conditions prior to the administration …