Medicine and Health Sciences Commons^™

Depression Awareness Programs For Adolescents: A Scoping Review, Kincharska N. Freeman Msn, Aprn, Fnp-C, Cnor, Michelle Rickard Dnp, Cpnp-Ac

Doctor of Nursing Practice Projects

The purpose of this DNP project is to determine if receiving school-based depression awareness education affects the depression scores of adolescents between 10 and 19 years of age.

Evaluation Of Pharmaceutically Compounded Oral Caffeine On The Impact Of Medication Adherence And Risk Of Readmission Among Preterm Neonates: A Single-Center Quasi-Experimental Study, Gul Ambreen, Manoj Kumar, Amin Ali, Syed Akbar Ali Shah, Syed Muzaffar Saleem, Ayesha Tahir, Muhammad Sohail Salat, Muhammad Shahzad Aslam, Kashif Hussain

Department of Biological & Biomedical Sciences

Background: Caffeine is available in an ampoule, used via parenteral and enteral routes in preterm neonates to treat apnea of prematurity (AOP) in neonates of gestational age ≥ 35-40 weeks. A longer duration of therapy has a higher risk of medication non-adherence due to higher costs and inappropriate dosage forms. Pharmaceutically compounded oral caffeine (PCC) could be an appropriate alternate dosage form. The researchers aimed to determine the impact of PCC on medication-related factors influencing medication adherence (MA) and the frequency of hospital readmission with apnea (HRA) in preterm neonates.
Methods: We conducted a single-center quasi-experimental study for this quality …

The Misperceptions Of Palliative Care, Sara Lake M.S., B.S, Beth Schultz Phd, Dnp, Rn

Nursing Publications, Posters, & Presentations

Poster Presented at the Nursing Research Symposium 2022.

Palliative care is comfort care aimed at relieving pain and symptoms caused by a serious illness, regardless of the patient’s prognosis, age, or stage of disease. (Yoost & Crawford, 2020) The problem is that there are often multiple factors that act as barriers to the integration of palliative care. What are those factors, and how can we overcome them to ensure positive patient outcomes? This literature review summarizes previous research and the suggestions for improving the understanding of palliative care by patients and providers. There are common themes among the articles selected …

Utilizing Clinical Nurse Specialists To Improve Care & Management Of Suprapubic Catheters, Andrea D. Conley Msn, Rn, Agcns-Bc, Mscrn, Michele Kadenko-Monirian Msn Rn Ccrn Cnrn Accns-Ag Agcns-Bc, Janette Richardson Msn, Rn, Agcns-Bc, Ccrn

Nursing Publications, Posters, & Presentations

Poster presented at Nursing Research Symposium 2022.

Purpose:

Utilize the Advance Practice Registered Nurse (APRN) knowledge and skill of the CNS in management of chronic SPT to decrease unnecessary consults to urology for routine SPT exchanges and maintenance • Streamline SPT consults to decrease urology workload as the CNS will assess the patient and identify any urgent needs that require urology • This will allow urology to focus on acute and emergent patient needs • CNS consults for SPT management and exchange will also decrease time to patient catheter exchange

Weighted Blanket Versus Traditional Perioperative Practices On Anxiety And Pain In Elective Surgery Patients: A Randomized Controlled Trial, Danielle Payne , Msn, Bsbio, Rn, Jaime Vinson Bsn, Rn, Hn-Bc, Jan Powers Phd, Rn, Ccrn, Brandon T. Mcdaniel Phd, Cherise Sevier, Cynthia Marshall, Sue Sell

Nursing Publications, Posters, & Presentations

Poster presented at Nursing Research Symposium 2022.

Introduction: Perioperative anxiety is common in surgical patients and has been linked to poor patient outcomes. A weighted blanket may offer an alternative to or enhancement of anti-anxiety medications by activating a physiological response through the vagal system. This response successfully decreases anxiety and agitation in other patient populations but had not been studied in this population. This randomized study assessed the effectiveness of a weighted blanket for the reduction of presurgical anxiety and pain as well as post-surgical restlessness and nausea.

Closing The Experience Complexity Gap Using Peripheral Iv Education, Taylor N. Daughtery Msn, Rn, Cv-Bc, Cphq, Melinda M. Webb Bsn, Rn, Va-Bc, Stephani Schultz Bsn, Rn, Cmsrn

Nursing Publications, Posters, & Presentations

Poster Presented at the Nursing Research Symposium, 2022

Introduction

At Parkview Health System, a gap in peripheral IV (PIV) insertion education was identified. • PIV insertion is not a curriculum priority in nursing school. • In practice, IV insertion needs to be completed in a timely manner to avoid care delays. • An aversion to starting PIVs, by new and seasoned nurses, create unique barriers to PIV insertion. • Experienced nurses may not be well versed in placing IVs due to the availability of a hospital IV team. To close the experience complexity gap and incorporate all learning styles, the …

Contextual Coding In Qualitative Research Involving Participants With Diverse Sociocultural Backgrounds, Ahtisham Younas, Angela Cuoco, Ercole Vellone, Sergi Fàbregues, Elsa Lucia Escalante Barrios, Angela Durante

The Qualitative Report

Understanding participants’ perspectives in qualitative research is contingent on unravelling the essential meaning of their speech. When data are collected in native language and translated into English language, the underlying sociocultural meaning of participants’ speech can be missed. This paper discusses a new contextual coding approach and illustrates its application in research. The technique was used in a phenomenological study in Pakistan and a mixed methods study in Europe. Contextual coding entails a preliminary coding stage involving data reading in native language, choosing socially and culturally relevant words and phrases, and developing preliminary codes. The concluding coding stage focuses on …

Use Of A Rapid Qualitative Method To Inform The Development Of A Text Messaging Intervention For People With Serious Mental Illness Who Smoke: Formative Research Study, Catherine S. Nagawa, Ian A. Lane, Colleen E. Mckay, Ariana Kamberi, Lisa L. Shenette, Megan M. Kelly, Maryann Davis, Rajani S. Sadasivam

Faculty Publications (Peer-Reviewed)

Background:  People with serious mental illness are disproportionately affected by smoking and face barriers to accessing smoking cessation treatments in mental health treatment settings. Text-based interventions are cost-effective and represent a widely accessible approach to providing smoking cessation support.

Objective:  We aimed to identify key factors for adapting text-based cessation interventions for people with serious mental illness who smoke.

Methods: We recruited 24 adults from mental health programs who had a serious mental illness and currently smoked cigarettes or had quit smoking within the past 5 years. We then conducted virtual qualitative interviews between November 2020 and August 2021. Data …

Implementing The Practice Of Rns And Uaps Receiving "Hand-Off" Report Conjointly, Gabby Pack, Cora Moll

Scholars Week

This is an informational presentation about ineffective communication within the nursing practice. This presentation outlines the benefits of RNs and UAPs giving/receiving "hand-off" report together.

Implementation Of Simulation Training For Newly Graduated Nurses, Lauren Hancock, Kurstin Martin

Scholars Week

Regardless of educational opportunities it is impossible to see every possible clinical situation necessary to develop adequate clinical judgment, before graduation. For this reason, we believe that simulation trainings should be implemented for newly graduated nurses upon their hiring.

Implementing The Option For 8-Hour Shifts Compared To 12-Hour Shifts To Protect The Well-Being Of Nurses And Patients, Savannah G. Bison, Madison R. Harden

Scholars Week

This project addresses the negative aspects of twelve hour shifts within the nursing profession and how a change to eight hour shifts leads to decreased burnout, increased job satisfaction, and a more positive work-life balance. The term ‘nursing shortage’ is often improperly used to imply only a deficit in registered nurses across the country; however, it is instead due to practicing nurses leaving the profession before retirement, especially in bedside positions. Nurses are searching for different paths for multiple reasons, but a common factor among all of them is burnout caused by the current system in place. This project addresses …

Subepidermal Moisture Measurement: Preventing Pressure Injury In Acute Clinical Settings, Allen Neese, Natalie Embry

Scholars Week

No abstract provided.

The Role Of Telehealth In Reducing Hospital Readmissions For Heart Failure Patients, Tommy Lee Bratcher

Graduate Theses, Dissertations, and Capstones

Heart failure affects over six million people annually, and is expected to increase to over eight million by 2030. Over 60 million people live in the rural United States. Telehealth is a tool to improve access to care, provide early intervention, and follow up with patients within 48 hours of a hospital discharge. Utilizing Telehealth to conduct a medication reconciliation within 48 hours of discharge to address any medication errors or admission, and reinforce adherence is a way to improve access to care to those living in rural areas.

Utilization Of A Multimodal De-Escalation Class To Improve Staff Confidence When Caring For Behaviorally Escalating Patients, Tara B. Neuner

Graduate Theses, Dissertations, and Capstones

Workplace violence is a common challenge seen in the healthcare settings across the world. This problem is steadily increasing in all types of hospitals, including a level one trauma center located in an urban area. There has been a steady rise in the number of assaults and workplace violence reported from bedside staff at this hospital. The leadership of the organization formed a work group to help combat the workplace violence and staff assaults that were occurring. In this process, a behavior response team was created to help nursing staff with escalating behavior in patients, and to help de-escalate the …

Telehealth And Hospital Readmissions For Heart Failure Patients: A Literature Review, Tommy Lee Bratcher

Graduate Theses, Dissertations, and Capstones

Currently heart failure affects over six million people and is expected to increase to over eight million people by 20230. The US Census Bureau estimates over 60 million people live in a rural setting. This literature review seeks to determine the state of the science regarding the utilization of Telehealth to reduce heart failure readmissions in rural areas.

Creatively Capturing Structure And Energy: Zero Balancing's Essential Elements (Article & Video), Lisa Bardarson

Journal of Transformative Touch

Through the creative use of coloring, I am devising a way to document Zero Balancing’s two foundational elements, structure and energy and the changes that occur following a ZB session. I believe this experiential activity will be a creative fulcrum, helping the client connect more effectively with the deepest part of themselves thereby experiencing greater ease and freedom from their issues. As the activity of coloring is a “right brain”/ creative endeavor, I believe it can serve to enhance a client’s expanded state of consciousness, one of the hallmarks of a Zero Balancing session, as well as improve their overall …

Impact Of Moral Injury On Work Performance In Nurses Following The Covid-19 Surges, Annette Callis, Trisha Saul, Ross Bindler

Articles, Abstracts, and Reports

Background

Moral Injury (MI) was defined by Jonathan Shay in 1994 as committing acts that betray one’s moral compass in high-stakes situations, while under the authority of another, that severely affect one’s well-being. MI was measured solely in the military prior to the COVID pandemic.

Aims

1.Explore the relationship between moral injury (MI) and perceived work performance in hospital nurses following the pandemic surges. 2. Determine relationships between MI and select participant demographics and between work performance and select demographics.

Sample

A convenience sample of 191 nurses from seven Southern California Hospitals participated in the study from March to June …

Non-Covid-19 Hospitalizations: Patients’ Experiences During The Covid-19 Pandemic, Julia Patrick

Patient Experience Journal

The purpose of this Qualitative Descriptive study was to describe the experience of hospitalized adults during the pandemic who did not have COVID-19. Semi-structured interviews were conducted with 20 English-speaking adults who were hospitalized on a medical or surgical floor after April 1, 2020 and were negative for COVID-19 throughout their entire hospital stay. The interview questions focused on the overall hospital experience, the nurse’s role in their experience, comfort needs, and the experience of having comfort needs met during the hospitalization. Conventional content analysis of the transcribed transcripts revealed five main themes related to the hospital experience: I don’t …

Home Health Care Cahps® Survey: Predicting Patient Experience Performance, Stephanie Ballengee, Girlyn Cachaper, Kim S. Bradley, Hessamaldin Sadatsafavi, Ralitsa S. Maduro, Merri K. Morgan, Kathie S. Zimbro

Patient Experience Journal

Our home health (HH) division has collected Home Health Care CAHPS® Survey (HHCAHPS) data since 2011. To date, HH providers have not met performance thresholds related to patient experience. This study aimed to explore HHCAHPS composite measures and specific questions to predict 1) overall rating of care provided by the agency (Care Rating) and 2) willingness to recommend home health agency to family and friends (Recommend Agency). We also explored survey comments to identify specific themes related to positive and negative patient experiences. Logistic regression (N = 7 268) revealed being treated with courtesy and respect, and providers being informed …

Patients’ Perceptions And Knowledge Of Source Isolation For Multi-Resistant Organisms In An Australian Metropolitan Hospital: A Bedside Interview With Questionnaire Study, Alison Smith, Gillian Ray-Barruel

Patient Experience Journal

The aim of this study was to explore perceptions and knowledge of source isolation among hospitalised patients colonised or infected with multi-resistant organisms, to identify if information provided and delivery method are helpful and appropriate, and to identify areas for practice improvements. Purposive sampling was conducted. Between November 2019 and January 2020, bedside interviews with structured questionnaires (combining multiple-choice and free-text questions) were conducted with adult in-patients requiring isolation for multi-resistant organisms in a 180-bed metropolitan hospital in Brisbane, Australia. Data analysis included quantifying multiple-choice responses and thematic analysis of free-text responses. Thirty participants completed the interview questionnaire. Lack of …

Mystay – Development Of Nurse-Facilitated Condition-Specific Multimedia Resources To Facilitate Patient Participation In Postoperative Care, Jo Mcdonall, Anastasia F. Hutchinson, Natalie Heynesbergh, Bernice Redley, Richard De Steiger, Damien Khaw, Mari Botti

Patient Experience Journal

Improved postoperative outcomes and the global drive toward the provision of patient-centred care underpins efforts to enhance the nature and capacity of patient participation in acute postoperative hospital care. In this paper, we describe the design, framework and processes used to develop a modular, procedure-specific, digital health intervention platform aimed at improving the patient experience and patient participation in care following surgery. The intervention, a multimedia application MyStay, uses bedside delivery of audio-visual and text-based information to engage postoperative patients to better participate in their care. MyStay modules are developed using an iterative, multi-method approach intended to balance procedure-specific best …

Children’S Experiences Of Hospitalization Over Time: An Evaluation Of Using Poetry And Creative Writing By Children To Assess Their Experiences Of Hospitalization, David Wood

Patient Experience Journal

This article explores children’s experiences of hospital admissions through their poetry and creative writing and assesses the validity of this medium compared to other methods of evaluation. Pediatric patient experiences of hospital and their effects on children have been studied in various ways and there have been stepwise changes throughout the past century, matching the overall changes of medical care from paternalistic to patient centered. 17 poems were analyzed from children aged 6-13 years old (median 10) for recurrent themes whilst admitted to a large tertiary hospital in the north of England. Children frequently wrote about attacks on their senses, …

Evaluation Of Nurse Burnout And Currently Used Prevention And Treatment Interventions, Karina Burton

Doctor of Nursing Practice Scholarly Project

The purpose of this scholarly project was to determine the feelings of nurse burnout and intervention techniques utilized and available to registered nurses at a regional medical center in the Midwest on a Cardiac-Telemetry unit. A survey was provided to 61 registered nurses to evaluate the feelings of nurse burnout and evaluate intervention resources available to gain a better understanding of the feelings of burnout on a Cardiac-Telemetry unit.

Microaggression Among Registered Nurses: An Exploratory Study, Saige Addison

The Journal of Purdue Undergraduate Research

No abstract provided.

Working Out The Kinks: Creating Solutions To Assist Health Care Workers To Take Vital Signs Through Effective Cable Management, Carl R. Russell Iii, Emily J. Linder, Maya A. Godbole

Purdue Journal of Service-Learning and International Engagement

EPICS (Engineering Projects in Community Service) is a service-learning design program run through Purdue University. It strives to teach students design skills through providing solutions for individuals, communities, and organizations in the surrounding area while mirroring engineering industry standards. BME (Bio-medical Engineering) is a team within EPICS that strives to serve community partners through biomedical applications. Members of a health care team often spend valuable time organizing cables associated with machines used to take patients’ vital signs. Due to time constraints and the fast-paced work environment, these cables may be mismanaged and damaged. The BME team is working on a …

Atrial Fibrillation With Controlled Ventricular Rate And New-Onset Heart Failure: Atypical Presentation, Worse Prognosis, Vinay Mehta, Alexander Albers, Maharaj Singh, Timothy E. Paterick

College of Nursing Faculty Research and Publications

Background: There is deficient literature comparing patients with atrial fibrillation (AF) who present with rapid ventricular rate (RVR) versus controlled ventricular rate (CVR) associated with new-onset heart failure.

Purpose: This study aimed to evaluate patients with new-onset cardiomyopathy (CM) and a concomitant or preceding history of AF and compare patients with CVR (≤100 bpm) to those with RVR (>100 bpm).

Methods: Patients with newly diagnosed CM, defined as a left ventricular ejection fraction ≤40%, were identified from our healthcare database and divided into two groups: those with a ventricular rate ≤100 bpm (CVR-CM, n=79) and those with a ventricular …

Analyzing Concept Mapping Integration Into A Bsn Curriculum Using The H-Pepss Survey, Tina Michelle Mathers

Electronic Theses and Dissertations

Background: This project’s foundational focus was on improving nursing students’ preparedness for their profession and patient care. Data supports that nursing graduates face challenges at the patient bedside, which often cause injury or harm. These deficits are known as preparation-to-practice, failure-to-rescue, and transition-to-practice gaps that occur despite the integration of preceptorship and residency programs. Through the integration of concept mapping into an established curriculum, an analysis of student patient safety perceptions in a pre- and postsurvey was completed. Method: This quality improvement project received approval from the institutional review board. The project was a quasi-experimental, nonrandomized, single-blinded design measuring first-semester …

From The First Encounter: A Communication Program For High Volume, High Acuity Patient Care Locations, Shazam Bacchus

Student Scholarly Projects

Effective communication is a true value to healthcare organizations. Far too many communication sessions are detrimental to patient health outcomes. National data and hospital records are proven information to suggest communication is a major barrier to overall patient satisfaction. Organizations struggle to increase market share and patient satisfaction with a likelihood to recommend because of poor communication by physician and nurses. The use of a strategic communication tool like AIDET plus the Promise can influence the improvement of an organization’s quality of care.

This paper examines the use of AIDET plus the Promise as a strategic communication tool. High volume, …

Breast Surgery Super-Specialization: Impact On Advanced Surgical Training And Research, Danish Ali, Sana Zeeshan, Nifasat Farooqi, Lubna Vohra

Medical College Documents

The earliest records of breast cancer (BC) date back to 3,000 - 2,500 B.C., ever since multiple curative options have been explored. First known wide margin excision was performed around 1st Century AD and a prototype of the modern-day BC surgery, Halsted radical mastectomy, was performed in the 20th Century. BC is the most common cancer in Pakistan accounting for up to 14.5% of the total cancer incidences. Accredited breast surgery fellowships were established in the UK and USA in 2002 and 2003, respectively. In Pakistan, the movement was delayed and the two-year College of Physicians and Surgeons Pakistan (CPSP) …

A Qualitative Document Analysis Of Policies Influencing Preeclampsia Management By Midwives In Ghana, Isabella Garti, Michelle Gray, Angela Bromley, Jing-Yu (Benjamin) Tan

Research outputs 2022 to 2026

Background: Preeclampsia is a global issue that causes significant morbidity and mortality in low- and middle-income countries (LMICs). The care women with preeclampsia receive in LMICs is below the standard experienced by women in westernised countries due to multiple interacting factors. A review of policy factors influencing the management of preeclampsia in Ghana is needed. Aim: This study focuses on the midwife's role and scope of practice concerning preeclampsia management. The study aimed to explore the congruence between Ghanaian preeclampsia guidelines and international best practice recommendations for midwifery practice. The study also aimed to describe how recommendations are incorporated into …