Medicine and Health Sciences Commons^™

The Effect Of Competency-Based Education On Medical And Nursing Students' Academic Performance, Technical Skill Development, And Overall Satisfaction And Preparedness For Future Practice: An Integrative Literature Review, Haris Saud, Ruth Chen

International Journal of Health Sciences Education

Purpose: This article provides an integrative review of competency-based education (CBE) in medical and nursing programs and examines the effect of CBE on students’ academic performance, technical skill development, and overall satisfaction and preparedness for future practice.

Background: In recent decades, CBE has increasingly been discussed in medical and nursing education programs. The impact of the CBE curriculum on learning outcomes including academic performance, technical skill development, overall satisfaction, and preparedness for future practice has not been fully elucidated.

Method: A review of the literature was conducted, and multiple databases were searched for studies that analyzed the impact of CBE …

Millenial Nurses Connecting With Patients In The 21st Century: A Phenomenological Studyh, Heather Caramanzana

Theses & Dissertations

Problem: Millennial nurses are the largest portion of the profession reporting burnout and compassion fatigue. The millennial generation was impacted by the explosion of technology in the late twentieth century. Constant technological stimulation heavily impacted developmental milestones. Early adolescence is a critical time for the abstract development of empathy and compassion. The millennial generation communicates through technology while performing more than one task in a short amount of time, known as multi-tasking. With less time spent at the bedside due to increases in administrative tasks, deficits in the development of empathy and expression of compassion may impact the development of …

Fighting Fatigue With Caffeine: Exploring Perceptions On Patient Safety, Camille Quitangon

Honors Theses

Objective: To examine the association between fatigue and caffeine consumption, and explore nurses’ perceptions of the impact of these factors on patient safety.

Background: Many people consume caffeine for its benefits, such as stimulating the central nervous system to feel more awake. Health professionals, such as nurses, commonly experience fatigue and often will drink coffee to get through their long shifts.

Methods: A comprehensive literature review was conducted. Studies were split into two categories – fatigue and patient safety or caffeine's effect on human performance.

Results: Fatigue causes nurses to be impaired; it affects their ability to be alert, vigilant, …

Building Resilience To Combat Symptoms Of Moral Distress And Burnout In Nurses: Is It Effective? An Integrative Review, Julia M. Mcauley-Gonzalez

Doctoral Dissertations and Projects

Background: Moral Distress (MD) is an experience of painful feelings and/or psychological imbalance that occurs when a person’s moral integrity is seriously compromised, either because one feels unable to act in accordance with core values and obligations, or attempted actions fail to achieve the desired outcome (Hamric, 2014). The consequences of repeated episodes of moral distress have been linked to nurses reporting symptoms of low job satisfaction, caregiver burnout, compassion fatigue, emotional exhaustion, poor work engagement, and nurses leaving their positions. Problem: There is evidence that makes the connection between an existing high level of resilience and a low level …

Examining The Relationships Among Authentic Leadership, Interprofessional Collaboration, And Nurse Assessed Adverse Events: A Mediation Model, Vanessa Safian

Electronic Thesis and Dissertation Repository

Adverse events that occur in healthcare settings may have serious negative implications for patients, families, health care providers, and healthcare organizations. There is a need for strong leadership to prevent and mitigate the damaging effects of adverse events. Authentic leaders have been shown to enhance interprofessional collaboration among healthcare providers and reduce the frequency of adverse events. The purpose of this study was to test the relationships among authentic leadership, interprofessional collaboration, and nurse assessed adverse events in a mediation model. A secondary analysis of 269 experienced registered nurses randomly selected from three provinces (Alberta, Nova Scotia, and Ontario) were …

Exploring How Nurse Beliefs And Attitudes Influence End-Of-Life-Care Practice, Cara Chandler

Doctoral Dissertations

Nurses are the cornerstones to provide safe patient care. Studies about nurses experiencing challenges while providing end-of-life care (EOLC) are limited. It is imperative to understand how nurses’ beliefs and attitudes influence their actions while providing EOLC. The aims of this study were to (a) explore the relationship of personal factors and nurse beliefs and attitudes on providing EOLC and (b) examine the relationship of nurse beliefs and attitudes on intention and performance to provide EOLC. These aims were explored in a convenience sample of nurses working in multiple adult patient settings. The Theory of Planned Behavior guided a cross-sectional …

Generalist Versus Specialist Nurses' Knowledge, Attitudes, And Behavioral Intentions Toward Promoting Pulmonary Rehabilitation For Patients With Chronic Obstructive Pulmonary Disease: A Cross-Sectional Correlational Study, Su-Er Guo, Hsueh-Chen Shen, Chizimuzo T. C. Okoli, Yen-Chi Liao, Kuen-Daw Tsai, Ming-Shian Lin, Hsin-Tien Hsu

Nursing Faculty Publications

Pulmonary rehabilitation (PR) is an effective strategy to manage chronic obstructive pulmonary disease (COPD), though its utilization rate is low. One reason for this low utilization rate is that nurses do not provide COPD patients with enough health education to increase the patient's motivation for PR participation. This study examined knowledge, attitudes, and behavioral intention toward PR promotion. The study also investigated the correlates of behavioral intentions to promote PR among pulmonary nurses.

A cross-sectional correlational design was used. Overall, 284 nurses (all women) from chest medicine and general internal medicine wards in 3 hospitals within Midwest Taiwan were recruited. …

Nurses Alumni Association Bulletin, Fall 2018, Susan Albrecht Curcio

Nursing Alumni Bulletins

2018 – 2019 Meeting Dates Calendar

2019 Annual Luncheon and Meeting Notice

Officers, Committee Chairs, and Satellite

2018 President’s Message

Treasurer’s Report

Resume of Minutes

Office News

Committee Reports

• Social
• Relief Trust Fund
• Satellite – Harrisburg Satellite Area
• Scholarship
• By-Laws
• Nominating
• Bulletin

Jefferson Office of Alumni Relations

Annual Giving

Janet C. Hindson Award

• Janet C. Hindson Award Winner

News About and From Our Graduates

Pearls of Wisdom

Brain Health by YOU...and by Music!

Three Months at Byberry

Happy Birthday – To Be 80 or More

Annual Luncheon

• 1969 50th Anniversary Class List for 2019 Annual Luncheon
• Luncheon Photos
• Annual Luncheon …

Strategies To Improve Resource Availability For New Graduate Nurses In A Critical Care Setting, Natasha Stankiewicz, Jonathan Archibald, Shawn Taylor, Deborah Jackson, Bonnie Boivin, Mark Parker, Suneela Nayak, Stephen Tyzik, Ruth Hanselman, Amy Sparks

Operational Transformation

STRATEGIES TO IMPROVE RESOURCE AVAILABILITY FOR NEW GRADUATE NURSES

Due to changes in the employment arena, health care organizations are hiring new graduate RNs into acute care. At an academic tertiary medical center, new hires typically are assigned into a night shift, which traditionally has less resource availability.

The results of a recent AHRQ hospital survey on patient culture safety demonstrated that new graduates were feeling unsupported and that patient safety could be potentially compromised. A team of caregivers developed several goals to provide increased support, encouragement and education to night shift new hires. Improvement in overall patient care and …

Relationship Between Shift Hours Worked (12 Versus 8), Workload, And Nurses' Burnout: A Study Across Acute Care Units In A Community Hospital, Liliane Nyamuziga

Doctor of Nursing Practice Projects

Nurses are expected to provide quality care to patients, and work demands in the health care system are increasing. An increased turnover in nursing staff was observed in a southwest Michigan community hospital, and the possibility of burnout contributing to this turnout was proposed. The purpose of this scholarly project was to evaluate the significance and level of perceived burnout in nurses who work the 12-hour shift compared to those who work the eight-hour shift, to investigate the relationship between nurse-to-patient ratios and burnout, and to compare burnout levels between nurses working day versus night shifts. This project utilized a …

A Comparative Study To Assess The Risk Of Varicose Vein Among Critical Care Nurses And Nurses Working In Other Nursing Units Of Selected Hospital, Guwahati, Assam, Rony Bosco Shadap Mr, Manashi Sengupta Ms, Rikupar Iawin Ms

Manipal Journal of Nursing and Health Sciences

Background: Varicose veins is increasing worldwide, since the nurses especially the critical care nurses spend most of the time standing, they are prone to get lower limb symptoms like itchiness, cramps, burning sensation, and pain especially when standing which result in superficial swollen veins and later develop to varicose veins. Objective: The main objective of the study is to assess the risk of varicose vein among critical care nurses and nurses working in other general units of selected hospital. Method: A non-experimental descriptive research design was adopted for the study. In this study 100 staff nurses working in Guwahati Neurological …

Assessment Of The Validity Of Patient-Stated Allergies: De-Labeling And Education, Tawny Thomas, Angelina Leitschuh

Doctor of Nursing Practice Projects

The initial direction of the project was to develop and implement a research-based protocol to de-label hospitalized patients with a patient-stated penicillin allergy who were not truly allergic (Phase I). The project was abruptly halted due to the lack of data to justify the need, lack of sufficient communication among stakeholders, questions regarding financial cost of implementation, and strong concerns regarding educational needs of nursing staff. After developing the initial protocol, the project team was redirected to provide evidence-based allergy assessment education to the nursing staff to foster reliable and accurate patient interviews and documentation of the results (Phase II). …

Nurse Confidence Levels In Malignant Hyperthermia, Paige Wilson

Nursing Theses and Capstone Projects

Malignant hyperthermia is a life threatening medical emergency. When individuals with a certain genetic predisposition are exposed to certain pharmaceutical triggering agents, a malignant hyperthermia crisis can occur. If the crisis is not recognized early and symptoms are not treated, the ending result will be patient death. The ability to recognize and intervene in a malignant hyperthermia crisis demonstrates knowledge and confidence by the nurse. Simulation training is an educational tool that nurses can use to increase confidence levels in recognizing and intervening in this type of medical emergency in a safe environment. The findings from this research indicate a …

Most Effective Interventions For Disaster Relief Preparation, Elizabeth Keating, Faith Edwards, Cheryl Swanson Phd, Rn

Nursing Undergraduate Work

Because disasters are sometimes unpredictable and difficult to measure, it is exceedingly important to have properly trained healthcare professionals that are prepared for a variety of natural and manmade crises. Victims affected by disasters may be numerous and have severe injuries, but nurses, as first-responders, with proper education and experience can drastically reduce the amount of casualties in a particular disaster. However, it is clear that nurses currently feel unprepared in the event of a natural or manmade disaster, and therefore need more training and preparation for such occurrences. This systematic research review set out to find the most effective …

Perceptions Of Pediatric Nurses And Parents Of Hospitalized Children Engaged In Shared Decision Making., Lisa English Long

Electronic Theses and Dissertations

Achievement of optimal quality in today’s healthcare environment practices means that clinical practices must be based on evidence. Evidence-based practice (EBP) is the integration of research findings, clinician expertise, and patient-centeredness that includes a focus on preferences and values (Melnyk & Fineout-Overholt, 2015). An area within EBP needing increased attention is the aspect of patient preferences and values. The process of Shared Decision Making (SDM) incorporates assessment of preferences and values within a process in which where patients, families and healthcare professionals collaborate to make decisions regarding patient care. The purpose of this study was to describe perceptions of parents …

Motivation: An Integral Part Towards Job Satisfaction Among Nurses, Nasreen Panjwani

School of Nursing & Midwifery

World over, there has been a dearth of nursing staff in hospitals. It has been observed that our most precious asset – „A Nurse‟ is disappointed with the working conditions in the hospital settings and intends to quit her profession which she chose with a lot of enthusiasm. A multi-component approach rather than a single strategy would work to create the milieu of job satisfaction. Efforts need to be made to motivate employees for Hygiene factors (extrinsic factors), such as good working conditions and interpersonal relations focus on dissatisfaction and promote satisfaction among the employees, and motivators (intrinsic factors) such …

Nurses' Health And Professional Quality Of Life, Deborah Amason

Doctor of Nursing Practice (DNP) Translational and Clinical Research Projects

Nurse's Health and Professional Quality of Life

Abstract

This study investigated relationships between general health (GH), professional quality of life (PQL) and perceived stress (PS) of nurses at a 382-bed southeastern hospital.

Background: Several studies showed that GH and PQL are associated. The health, quality of life, and perceived stress of nurses was a growing concern in the hospital. Nurse leaders needed data to inform evidence-based efforts to promote nurse health and improve quality of life while reducing stress.

Design: This cross-sectional correlation study measured GH, PQL, and PS using four validated and reliable instruments: The Medical Outcomes Short Form …

Improving The Interprofessional Relationship Between Nurses And Speech-Langauge Pathologists - Expansion Of A Project, Christina Hamling, Kristy Weissling, Jan Tubbs, Jenna Dubas

UCARE Research Products

The research presented on this poster explored the impact of extraprofessional education on undergraduate nursing and speech-language pathology students with an overall goal of improving the interprofessional relationship between the two fields. Utilizing quantitative and qualitative methods in the form of a pre-test, educational materials, live guided observation, and post-tests, the researchers found an increase in the nursing students ability to identify the role of the speech-language pathologist in a medical setting. There was also an increase in the speech-language pathology student’s ability to understand how and when to communicate with nurses in a medical setting.

The Effectiveness Of Yoga In Preventing And Managing Back Pain, Sonja M. Brockman

Theses and Graduate Projects

In this Doctorate of Nursing Practice-Family Nurse Practitioner (DNP-FNP) scholarly

project, a yoga program was developed and implemented to educate how the practice of yoga can be utilized to manage or prevent back pain in nurses. Back pain in nurses is a common condition that can cause nurses to become unable to work and ultimately affect the nursing work unit. The practice of yoga has gained popularity in Western culture for improving health and back pain. A review of the recent research literature from 2000- 2015 that investigated back pain in nurses, back pain management, treatment, and yoga, is provided …

Clinical Decision-Making Skills Among Nurses Working In Selected Hospitals: Comparison Between Government And Private Sector, Pramilaa R Ms

Manipal Journal of Nursing and Health Sciences

Introduction: Clinical decision making (CDM) is a vital component in the professional nursing care. The sound decisions made by the nurses have direct influence on patient’s speedy recovery. Objectives: The objectives of the study were to assess the level of scores of CDM skills among nurses, assess the scores of CDM skills related to subscales and item analysis, compare the scores of CDM between government and private sector nurses and associate the level of CDM skills with selected demographic variables. Method: A comparative study was conducted among 94 nurses working at government and private sector hospitals. A convenience sampling technique …

The Impact A Nurse's Work Environment Has On Breastfeeding, Ashley Dawn Hull

Nursing Theses and Capstone Projects

Breastfeeding is a global health initiative, as defined by the World Health Organization (WHO), because of its numerous health benefits to mothers and infants. Despite breast milk’s documented benefits to mothers and babies, many women are not choosing to breastfeed their infants. A lack of paid maternity leave policy within the United States influences postpartum responsibilities, physically, and psychologically. This paper presents nurses’ responses to the Workplace Breastfeeding Support Scale survey regarding their workplace environment support of breastfeeding. Nurses providing direct patient care for more than 50% of their shifts revealed 45.5% disagreed in some variance with their comfort in …

Using An On-Line Educational Module To Increase Nurses' Conviction And Confidence In The Use Of The Teach-Back Method For Discharge Instructions, Allison S. Morrison

Doctor of Nursing Practice Projects

Health literacy status can affect an individual’s ability to self-monitor and manage chronic conditions. It is not uncommon for patients to have difficulty comprehending key patient instructions. The role of the nurse in the hospital setting encompasses many facets which include patient teaching. Providing effective patient teaching is one role that many nurses do not feel confident in implementing. A sample of (N=18) nurses participated in on-line educational program to improve conviction and confidence in use of the teach-back method for delivery of discharge instructions. A pretest-posttest design was utilized and measured nurses’ conviction and confidence using the Conviction and …

Improving Breastfeeding Education Among Hospital Nurses, Kara R. Connelly

Graduate Dissertations and Theses

Breastfeeding is well-documented as the most beneficial method of infant feeding worldwide. There are numerous national initiatives present to improve breastfeeding outcomes. Despite knowledge and health care organization efforts, the recommendations of exclusive breastfeeding through six months of life with continued breastfeeding through one year of age are not being met. The purpose of this DNP project is to determine if a structured self-study educational program on breastfeeding recommendations, the 4^th Edition of the Lactation Management Self-Study Modules created by Wellstart International™, provided to hospital nurses on a maternity unit in Central, New York with a Level One nursery, …

Critical Choices Conversation Pilot Project, Lorena Paul

Doctor of Nursing Practice (DNP) Projects

Background: Advance care planning (ACP) and advance directives (AD) inform the provision of health care that aligns with clients’ goals and wishes. Less than 30% of female cancer care clients presented AD when admitted for care to a Magnet® designated hospital located in the Southwest United States (U.S.).

Methods: A quality improvement project took place on a 25 bed in-patient cancer care unit to improve these rates. The nurses received ACP training and used a clinical support tool to facilitate discussions with clients. A Palliative Care Clinical Nurse Specialist assisted as needed.

Results: Seven nurses accomplished a self-paced learning activity …

The Delivery Of Primary Health Care In Remote Australian Communities: A Grounded Theory Study Of The Perspective Of Nurses, Kylie Mccullough

Theses: Doctorates and Masters

Around 85% of Australia’s landmass is remote and sparsely populated. Across these vast areas of desert, wilderness and tropical islands, nurses provide the majority of health care services. The residents of Australia’s remote communities have poorer health status than their metropolitan counterparts. The proportion of Indigenous people is high and health and social disadvantage is widespread. The characteristics of each remote community are unique and often reflect challenges associated with distance to tertiary health services and limited health resources. As a result, nursing practice within this context is very different to other nursing contexts. Despite recognition of Primary Health Care …

Enhancing Urinary Catheter Skills Among Clinically Practicing Nurses, Arvella Derisa Battick

Walden Dissertations and Doctoral Studies

Catheter-associated urinary tract infections (CAUTIs) contribute to increased patient length of stay and health care costs. The literature has shown that one plausible cause of CAUTIs is improper Foley catheter insertion techniques among nurses. The purpose of this project was to answer the project-focused question that asked if there was a difference in nurses' practice skills following an educational intervention involving aseptic Foley insertion. Benner's novice-to-expert theory was the conceptual model for the study. Nurses from a college nursing program were asked to demonstrate Foley catheter insertion on a simulation model, and their technique was evaluated using a standardized checklist. …

Workplace Violence Among Nurses And Nursing Assistants In Texas, Tamala Norris

Walden Dissertations and Doctoral Studies

Workplace violence (WPV) is ranked as one of the leading causes of occupational injury in the United States and is common in health settings. Nurses have the highest rate of violent victimization reported in the U.S., thus presenting a significant issue for healthcare leaders. Various researchers focus on prevalence rates of WPV among nurses discussing types of violence, location, and the setting where the WPV occurred. Less information exists regarding time taken off work and factors associated with WPV among nurses versus nursing assistants (NAs). This information is important due to the impact on safe work environments for nursing employees. …

Increasing Medication Adherence In Hypertensive Patients With Million Hearts® Health Literacy Program, Tammy Ross

Walden Dissertations and Doctoral Studies

Healthy People 2020 identified hypertension (HTN) as a controllable risk factor to prevent cardiovascular disease and stroke. Adhering to regular antihypertensive (AHT) medications improves outcomes in patients diagnosed with HTN by controlling blood pressure, reducing hospital visits, and promoting patient wellness. Medication adherence occurs when prescribed medicine regimens are utilized by the patient as directed to manage illness or disease, as evidenced by patients receiving medications at their pharmacy. The practice-focused question for this quality improvement project asked whether implementation of health literacy tools from Million Hearts® HTN Control: Action Steps for Clinicians, increased medication adherence as evidenced by regular …

Evaluation Of An E-Learning Training Package By Nurses For Various Designations For Developing Clinical Skills And Knowledge., Nitasha A. Narayan

Theses

An essential component of nurses delivering good healthcare is continuous education. However, nurses’ [participation in continuing education can be hampered by lack of time, limited access to educational resources and cost concerns. Globally, electronic learning has emerged in the last decade as a flexible mechanism to provide education for nurses.

The purpose of this research is to evaluate an e-learning training package used by nurses of various designations for developing clinical skills and knowledge at a private hospital in Perth, Western Australia (‘The Hospital’). This study employs descriptive correlational design – a non-experimental quantitative approach. Data was collected via a …