Medicine and Health Sciences Commons^™

A Plan To Improve Sleep During Critical Care Hospital Stay, Andrea Nutting

MSN Capstone Projects

The purpose of this paper is to bring awareness and possible solutions to the ongoing issue of sleep deprivation in hospitalized patients, specifically patients in the intensive care unit. Sleep deprivation can lead to delay in healing, and therefore delay in discharge. There are also many other issues that coincide with sleep deprivation, such as risk for development of delirium and lack of motivation to participate in care. The ICU is a constant state of distress for not only the staff, but also the family members and ultimately the patient. The stressful environment can inhibit relaxation needed to sleep, which …

Nursing Care Of The Pediatric Patient With Autism, Cayley Frolik

Honors Capstones

The purpose of this project is to help educate current and future nurses on ways to understand and better connect with pediatric patients with autism. Standard nursing curriculum tends to focus primarily on the clinical approach for mainstream patients. In one short year, I recognized a glaring need for nurses to learn how to care for those with autism, as well as how to support and educate their families to create the best environment for whole success. It is very difficult to understand the needs of these specific patients without the proper toolkit. It is my intention to research and …

Nursing-Related Interventions To Obstetric Violence: A Literature Review, Annaliece M. Balensiefen

Honors Undergraduate Theses

The aim of this literature search was to explore the prevalence of obstetric violence and identify nursing interventions that could potentially prevent the mistreatment of pregnant women in the United States healthcare system. Background: The topics of obstetric violence and healthcare disparities have been gaining awareness. Other countries have a larger body of research for obstetric violence compared to the U.S. Methods: CINAHL Plus with Full Text and MEDLINE databases were utilized. Global perspectives were considered in conjunction with the U.S. and specifically Florida. Healthcare disparities in obstetric care were identified, based on race, ethnicity, socioeconomic status, sexuality, disability, …

In A Bind: Effect Of Abdominal Binding On Postoperative Pain In Abdominal Surgery Patients, Mattison Edinger-Vanatta

The Downtown Review

This evidence-based project seeks to answer the question, in patients who have undergone abdominal surgery, what is the effect of abdominal binders on postoperative pain? A literature review was conducted and ultimately, five peer-reviewed articles, comprised of three randomized controlled trials and two systematic reviews, were selected to answer this question. Each article studied the effect of abdominal binders using a “binder” and a “non-binder” group in patients who had undergone various types of open abdominal surgeries, including gynecological cancer excisions, cesarean deliveries, midline laparotomies, hernia repairs, and more. Each study used the visual analogue scale to assess patient pain …

Enhancing Public Health And School Nurse Knowledge Around Bullying And Mental Health Issues In The Pediatric Population, Holly Bartels

Nursing Capstones

Childhood bullying within schools and the community can leave lasting short- and long-term consequences that can extend into adulthood if not identified early on. Both the bullies and victims of bullies can be impacted both mentally and physically because of bullying. With the increase of technology and social media in schools, cyberbullying has also become a concern. A comprehensive electronic literature search was completed to understand if enhancing public health and school nurse knowledge around bullying and mental health issues would reduce the prevalence of adverse outcomes associated with childhood bullying. Results of the literary search found school and public …

The Importance Of Providing Multimodal Analgesia: A Literature Review Of Nonpharmacologic Pain Treatments, Miriam Swartzentruber

Senior Honors Theses

Pain is a central aspect of the human experience. While painful stimuli can be beneficial in alerting the brain to the fact that there is something wrong, left untreated, pain can cause devastating long-term effects on the individual, both physically and mentally. Pain has traditionally been either undertreated or managed solely using pharmacologic methods, with less thought given to the importance of supplementing therapy with nonpharmacologic interventions. By incorporating nonpharmacologic methods of pain management into nursing care, patients can be provided with holistic treatment that improves patient outcomes, decreases healthcare costs, avoids future complications, and improves overall quality of life.

Education To Prevent Psychological Distress In Icu Patients, Casey Robinson

Master of Science in Nursing Scholarly Project

Admission to an intensive care unit can become a traumatic event for some patients and can cause them to experience psychological distress. Psychological distress is when patients experience anxiety, depression or post-traumatic stress disorder related to ICU admission. With the introduction of the COVID-19 pandemic, this psychological distress has become more of a problem with patients and current nursing practices are falling short in providing quality psychological care. Surgery ICU nurses at the University of Cincinnati Medical Center were given a pre-test on preventing psychological distress in ICU patients to facilitate practice change. A short educational offering was provided to …

Facilitation Of Enviromental Factors To Reduce Sound Decibels In The Neonatal Intensive Care Unit: A Literature Review, Cassandra Hanlon

Honors Undergraduate Theses

This literature review investigates nursing interventions to reduce decibel levels in the neonatal intensive care unit (NICU). The secondary purpose of this review was to evaluate if the interventions to reduce noise in the NICU had different outcomes for normal weight premature infants and infants afflicted with neonatal abstinence syndrome. The data bases for completing this review were Google Scholar, the Cumulative Index to Nursing and Allied Health Literature (CINAHL Plus), PubMed, and Elton B. Stephens Co. (EBSCO). The key search words included ‘NICU and decibels', ‘reducing decibels', ‘neonatal abstinence syndrome' ‘decibels', ‘preterm infants' and 'normal weight preterm infant*'. The …

Nurses’ Reported Use Of Therapeutic Interventions Surrounding A Stillbirth Event, Sonya Woo

Nursing | Senior Theses

Psychological alterations and therapeutic interventions utilized for mothers who have suffered a stillbirth have been assessed and addressed in prior literature. This researcher reviewed ten articles highlighting the depression, grief, guilt, stress and concerns that can arise and interventions that were initiated within weeks immediately following stillbirth, during the time of a subsequent pregnancy, and a few years after having a subsequent child. An increased utilization of healthcare and health care provider presence have shown to positively influence the psychological effects of stillbirth. This researcher looked into the frequency and variety of which these interventions are being implemented in a …

Creating Restful Environments: Applying Evidenced-Based Interventions To Increase The Patients Perceptions Of Room Quietness At Night, Timothy Marks

West Chester University Doctoral Projects

Florence Nightingale first described the detrimental effects of noise on patients as an element nurses could control. Hospitalized patients who sleep in the hospital are at risk for poor periods of rest from unwanted noise in the care environment. This Doctor of Nursing Practice Project will assess interventions aimed at increasing the patient’s perception of quietness around the care environment at night for a pilot population. Swanson’s Theory of Caring will be utilized as a framework for the project. Outcomes of nursing interventions were reviewed for the improved patient perception of the care environment at night and resultant health outcomes. …

Nursing Interventions That Address Barriers In The United States That Impact Neonatal Mortality, Victoria D. Sullivan, Ashton J. White

Nursing Undergraduate Work

In 2016, four out of every 1000 babies born in the US died within one month of age. This systematic research review explored nursing interventions that addressed barriers that impact neonatal mortality. The most significant barriers nurses faced in reducing and preventing NM were maternal access to healthcare and education during pregnancy, which can be influenced by maternal age, low socioeconomic status, lack of familial support, poor health literacy, and geographic location. The articles examined included nursing interventions that were evidence-based and addressed barriers relating to NM. Interventions promoting the reduction of NM included education of women’s health and prenatal …

Aortic Aneurysm, James Lower

Nursing Student Class Projects (Formerly MSN)

An aneurysm is a bulging or outpouching of the vessel wall which can progress to a dissection or a tear in the vessel wall. There are two types of classification for aortic aneurysms based on the Standford classification: type A involving the ascending aorta, and type B involving the descending aorta. Major risk factors for aortic aneurysms are hypertension, smoking, and male gender. Aortic aneurysms can be asymptomatic or include a wide range of symptoms such as vague back pain that radiates, and shortness of breath. The overarching pathophysiology is inflammation causing a breakdown in elastin and collagen. Inflammation, oxidative …

Post-Stroke Bladder Management, Oniria Gillenwaters

Nursing Posters

Urinary incontinence is commonly observed in patients recovering from a stroke. Bladder management and nurse-led interventions such as timed voiding, and double voiding, may be helpful to decrease the risk of urinary tract infections and incontinence episodes in these patients.

Psychometric Testing Of The Endotracheal Suction Assessment Tool© (Esat©): An Exploratory Sequential Mixed Methods Study, Kylie Davies

Theses

Background: Endotracheal tube (ETT) suction is a common nursing procedure performed in paediatric intensive care settings. Significant side effects of this procedure can dramatically affect the stability of the critically ill ventilated paediatric patient. The lack of clear standards for determining when the procedure is warranted, especially in paediatrics, can present challenges for the inexperienced paediatric intensive care nurse when assessing a patient’s need for ETT suction. Previous research underpinned the development of an Endotracheal Suction Assessment Tool© (ESAT©) to guide inexperienced nurses through the decision making process to determine suction requirements. The aim of the ESAT© is to improve …

Exploring The Relationship Between Symptom Management And Distress In Pediatric Oncology Nurses, Amanda M. Schultz

Honors Undergraduate Theses

Pediatric oncology is known to be a stressful work environment due to the difficult aspects regarding patient care. This known stress related to work and caring for pediatric oncology patients can negatively impact nurses, patients, and families. The purpose of this study is to examine: relationships between patient symptom management and nurse distress; strategies used by nurses to manage symptoms in pediatric patients with cancer; nurse perceptions of the effectiveness of non-pharmacologic or nursing interventions; and nurse distress related to managing symptoms in pediatric patients with cancer. Registered nurses (N=13) at a local children’s hospital participated in an online survey. …

The Partnering With Patients Model Of Nursing Interventions : A First Step To A Practice Theory, Wendy Moyle, Claire M. Rickard, Suzanne K. Chambers, Wendy Chaboyer

Research outputs 2014 to 2021

The development of a body of knowledge, gained through research and theory building, is one hallmark of a profession. This paper presents the “Partnering with Patients Model of Nursing Interventions”, providing direction towards how complex nursing interventions can be developed, tested and subsequently adopted into practice. Coalescence of understanding of patient-centred care, the capabilities approach and the concept of complex healthcare interventions led to the development of the model assumptions and concepts. Application of the model to clinical practice is described, including presentation of a case study, and areas for future research including understanding both patients’ and nurses’ perceptions and …

Nicu Culture Of Care For Infants With Neonatal Abstinence Syndrome: A Focused Ethnography, Monica M. Nelson

Electronic Theses and Dissertations

Purpose: The purpose of this ethnographic study was to describe the culture of care and nonpharmacological nursing interventions performed by NICU nurses for infants with NAS. Background: Infants with NAS are increasingly being cared for in the inpatient hospital setting by NICU nurses. Interventions used for the care of premature and sick infants in the NICU may or may not be the exact interventions that should be used for the care of the fragile infant with NAS. Research studies on the nonpharmacological nursing care of infants with NAS encompass 5 main areas of practice: environment, adequate rest and sleep, feeding, …

Nursing Skin Integrity Guidelines: A New Approach To Skin Care, Kim Schuster, Amy Gorecki, Jennifer Burris

Nursing Posters

What is nursing skin integrity guidelines: a nursing driven order to provide evidence based skin integrity interventions; provides a streamlined process for immediate application of best practice interventions for identified skin impairments; the interventions can be implemented based on assessment findings and clinical judgment; and provides a guideline for consulting the WOC Nurse, including when wounds are not healing, all pressure ulcers, and ostomy needs.

A New Approach To An Old Problem: Defining Nursing’S Role In Successful Transitions To Long-Term Residential Care, Kyleen Aldrich

Honors College Theses

A growing body of nursing research addresses the transitional period for older adults entering long-term residential care. However, gaps exist in our understanding of nursing’s role in the transition process. Our aim is to examine the available evidence and develop a model of nursing strategies and interventions to ease the transition to long-term care. This model describes interventions that nurses can incorporate into everyday practice.

A literature review was conducted to examine the transitional care needs and interventions for older adults with a goal of developing a model addressing transitions to long-term care.

Most nursing studies provided descriptive information about …

The Effect Of Oral Care On Intracranial Pressure In Critically Ill Adults, Christina Szabo

Theses and Dissertations

A major goal in the care of patients with neurological problems is to prevent or minimize episodes of increased intracranial pressure (ICP). Elevations in ICP in response to nursing interventions have been acknowledged since the 1960’s when ICP monitoring was first introduced in the clinical setting. Until recently few studies have specifically examined the effect of oral care on ICP and oral care and other hygiene measures were combined or not specified, prohibiting a direct interpretation of the influence of oral care alone on ICP. The purpose of this study was to describe the relationship between routine oral care interventions …

The Process Of Clinical Trials: A Model For Successful Clinical Trial Participation, Cecile A. Lengacher, Lois L. Gonzalez, Rosemary Giuliano, Mary P. Bennett, Charles E. Cox, Douglas S. Reintgen

Nursing Faculty Publications

No abstract provided.

Multidimensional Factors Affecting Well-Being: A Pni Based Model For Therapeutic Nursing Intervention., Mary P. Bennett

Nursing Faculty Publications

This paper is posted to assist graduate nursing students and others who are interested in my early PNI theory development work. The paper documents development and initial testing of a midrange theory of the effects of various nursing interventions on the psychoneuroimmunological (PNI) network. The hypothesized effects of interventions on various immune factors and subsequent health outcomes are explored, with special interest given to the use of PNI theory in nursing. More traditional nursing theory design principles are imbedded in this theory, including a definition of nursing and nursing intervention, as well as outlining how nurses educated at various levels …