Medicine and Health Sciences Commons^™

Redesigning Orientation: Embracing The Challenge Of Multidisciplinary Oncology Care, Donna Colabroy Rn, Msn, Ocn, Ccm, Maura Price Rn, Bsn, Ocn

Patient Care Services / Nursing

No abstract provided.

An Online Survey Of The Healthcare Needs Of Undergraduate Students At An Urban University, Linda Graf

College of Science and Health Theses and Dissertations

There is a growing body of evidence that reveals mounting need for radical modification of college health services for young adults in the United States. The health issues for this population, which are exacerbated by inadequate access to healthcare include alcoholism, depression, unintended pregnancy, disordered eating, sexual assault and sexually transmitted infections. Utilizing the College Student Health Survey developed by University of Minnesota’s Boynton Health Service, this study specifically focused on analyzing the health care needs of undergraduate students at a large, urban, university. Access and utilization of healthcare services for this population were also examined. An online survey was …

The Use Of Human Factors Training To Improve The Quality Of Decision-­‐Making In Nurse Anesthesia Trainees, Julia T. Feczko

College of Science and Health Theses and Dissertations

In the U.S, an estimated 44,000-­‐98,000 deaths occur annually due to medical errors. Adverse events can occur as anesthesia providers face a complex environment of high acuity patients undergoing interventions in a variety of locations. Production pressure, new equipment and medications, and constant turnover of personnel contribute to a hazardous working environment. Human factors educational training in cognitive errors, metacognition, and de-­‐biasing strategies has been proposed as a solution to help prevent medical errors in anesthesia practice The study of human factors has been integrated into safety culture industries such as aviation and nuclear power plants, but its incorporation into …

Relationships Between Activation Level, Knowledge, Self-Efficacy, And Self-Management Behavior In Heart Failure Patients Discharged From Rural Hospitals., Van Do, Lufei Young, Sue Barnason, Hoang Tran

Journal Articles: College of Nursing

Non-adherence to self-management guidelines accounted for 50% of hospital readmissions in heart failure patients. Evidence showed that patient activation affects self-management behaviors in populations living with chronic conditions. The purpose of this study was to describe patient activation level and its relationship with knowledge, self-efficacy and self-management behaviors in heart failure patients discharged from rural hospitals. Our study populations were recruited from two hospitals in rural areas of Nebraska. We found that two-thirds of the participants reported low activation levels (e.g., taking no action to manage their heart failure condition). In addition, low patient activation levels were associated with inadequate …

Radiation Oncology – Fulfilling A Need For Research, Education, And Practice: Effectiveness Of Calendula Lotion For Radiation Dermatitis (Poster), Jennifer B. Bergenstock Bsn, Rn, Ocn, Sandra Frey Rn Msn Ocn, Erin Light Rn Bsn Ocn, Kathy Krause Rn Ocn, Sue Lewis Rn Ocn, Marisa Kauker Rn Bsn Ocn, Jenna Byorek Rn Bsn, Debra Knappenberger Rn Ocn, Mary T. Konek Rn, Ocn, Ba, Ruth Ocasio Lpn, Mary Lenahan Durnin Rn Msn Ocn, Charles Andrews Md, Jeanette Blauth Md, Alyson Mcintosh Md, Steven Perch Md, Robert G. Prosnitz Md, Mph, Dennis Sopka Md, Clinton Leinweber Do, Tracy Kichline Data Systems Analyst, Mandy Hendricks Rn Msn Ocn

Patient Care Services / Nursing

No abstract provided.

Characteristics Of Successful Nursing Students, Sergey G. Pugachov, David Maxwell, Jacob Youmans, Kurt Wahnschaff

Phi Kappa Phi Research Symposium (Archived)

In an attempt to look into ways to reduce attrition rates in nursing programs, we did a study to look into what non-academic factors can be looked at in addition to the current standard admission data. The research question of interest was “What non-academic characteristics of students can lead to best chance of success in nursing school?” Our sample included 115 students at Georgia Southern University School of Nursing, who have already completed at least one semester of nursing school. Instrument of collection was an IRB approved 20-item self-reported questionnaire with anonymous and passive content. Data was analyzed using SPSS …

Md Vs. Np: A Study On Nurse Practitioner Roles And Responsibilities And Their Acceptance In Our Generation, Celia A. Price, Neysa Hobbs, Lauren Stokes, Anquanett Scott

Phi Kappa Phi Research Symposium (Archived)

The purpose of this research was to compare the roles of physicians versus nurse practitioners in our community and raise awareness for nurse practitioners amongst our generation. It was hypothesized that there would be no difference in preference among the population to see a nurse practitioner or medical doctor as his/her routine provider. The null hypothesis was supported as evidenced by a p-value of 0.610. Results show that majority of the population understood the definition of a nurse practitioner. However, the surveyed population was unsure of the scope of practice of nurse practitioners. More than 90% of the studied population …

Nurses' Spiritual Care Practices: Becoming Less Religious?, Cheryl Delgado

Nursing Faculty Publications

Research indicates that nurses do not consistently provide spiritual care, feel ill equipped to do so, and there is a lack of information as to the type of spiritual care practices nurses use. This exploratory descriptive study surveyed nurses (N = 123) about their spiritual care practices and perceptions of effectiveness, followed by qualitative interviews with volunteers (n = 5) from the surveyed group. The nurses favored spiritual interventions that are not overtly religious, but conveyed concern and support, such as listening and providing comforting touch.

Strengthening Midwifery Education, Regulation And Association; A Case Study From Afghanistan, Sabera Turkmani, Fatima Gohar, Farida Shah, Saleha Hamnawazada, Pashtoon A. Zyaee

Journal of Asian Midwives (JAM)

Immediately after the fall of the Taliban in 2002, the midwifery system in Afghanistan underwent a massive reform, and Afghanistan has since developed a strong midwifery pre service educational (PSE) system to achieve the relevant MDG goals. Establishment and involvement of professional associations, and partnerships with the government and other key stakeholders have contributed in shared knowledge, resources, and coordinated activities to speed up achieving these goals.

The International Confederation of Midwives (ICM) and its partners believe that the midwifery profession needs to be a strong voice in reducing maternal and child mortality. The three pillars of the midwifery profession, …

Effect Of A Simulation Course On Medication Administration Safety Of Malaysian Nursing Student, Noraidah L. Guntalib

Loma Linda University Electronic Theses, Dissertations & Projects

Improving safety during medication administration has been a goal of today’s healthcare environment. The complexity of both medication use and the medication management process, especially in the in-patient setting, creates a significant risk for hospitalized clients. Medication administration errors have harmed millions of people and cost millions of dollars worldwide, including Malaysia. Patient safety is dependent on nurses (including student nurses), who must consistently demonstrate behaviour fundamental to the safe administration of medication. Therefore, nursing education must provide teaching and foster learning in students to prepare them to be a safe nurse. Literature has shown that deficiencies of knowledge and …

Hospice Care In Malaysia: Knowledge, Attitude And Time Of Discussion, Shanthi Ellen Solomon

Loma Linda University Electronic Theses, Dissertations & Projects

Despite available and adequate hospice care resources, fewer terminally ill patients in Malaysia use hospice care services than one might reasonably expect. It is reported that only around 10% of patients who die of terminal illness in Malaysia, die in hospice care (Devaraj, 2003). The projected number of individuals that should receive palliative care in Malaysia is 17 to 27% (Connor & Sepulveda Bermedo, 2014). In order to study why hospice care is not accessed as expected, nurses and doctors in Penang and Sabah completed a survey measuring knowledge of current hospice practices, attitude toward caring for the dying, personal …

Examining The Relationship Between Anemia, Cognitive Function, And Socioeconomic Status In School-Aged Ecuadorian Children, Angela Chamberlain

Theses and Dissertations

Background and Objectives: It is estimated that over 40% of children in Ecuador are anemic. Anemia in children can influence physical and cognitive development and have lasting effects on adulthood productivity and quality of life. The objectives of this study were to: (1) evaluate the relationship of anemia and cognitive function, and (2) determine the influence of demographic factors on cognitive function. Population and Setting: The sample consisted of 175 school-aged children between 5 to 11 years old attending a school in a poverty stricken area of Guayaquil, Ecuador. Methods: A descriptive correlational cross sectional design was used to study …

Leadership Style And Patient Safety: Implications For Nurse Managers, Katreena Collette Merrill

Faculty Publications

OBJECTIVE: The purpose of this study was to explore the relationship between nurse manager (NM) leadership style and safety climate.

BACKGROUND: Nursing leaders are needed who will change the environment and increase patient safety. Hospital NMs are positioned to impact day-to-day operations. Therefore, it is essential to inform nurse executives regarding the impact of leadership style on patient safety.

METHODS: A descriptive correlational study was conducted in 41 nursing departments across 9 hospitals. The hospital unit safety climate survey and multifactorial leadership questionnaire were completed by 466 staff nurses. Bivariate and regression analyses were conducted to determine how well leadership …

Examining The Relationship Between Anemia, Cognitive Function, And Socioeconomic Status In School-Aged Ecuadorian Children, Angela Chamberlain

Student Works

Background and Objectives: It is estimated that over 40% of children in Ecuador are anemic. Anemia in children can influence physical and cognitive development and have lasting effects on adulthood productivity and quality of life. The objectives of this study were to: (1) evaluate the relationship of anemia and cognitive function, and (2) determine the influence of demographic factors on cognitive function. Population and Setting: The sample consisted of 175 school-aged children between 5 to 11 years old attending a school in a poverty stricken area of Guayaquil, Ecuador. Methods: A descriptive correlational cross sectional design was used to study …

Jam: Sharing The Voices Of Regional Practicing Midwives, Rafat Jan, Edwin Van Teijlingen

Journal of Asian Midwives (JAM)

No abstract provided.

News & Events

Journal of Asian Midwives (JAM)

No abstract provided.

First Private Sector Midwifery Education Initiative In Bangladesh: Experience From The Brac University, Ismat Bhuiya, Asiful Haidar Chowdhury, Km Zahiduzzaman

Journal of Asian Midwives (JAM)

In an attempt to further improve maternal and newborn health in Bangladesh, the BRAC University has started a three-year diploma in midwifery education programme, with the goal of ensuring availability of at least one midwife in all the 4,500 unions of the country by 2030, starting from the hard-to-reach under-served areas. The programme used a ‘hub and spoke’ model, where the BRAC University is the hub and six NGOs working in the rural under-served areas are the spokes, termed as academic sites. In addition, a new academic site was established in 2014 by the BRAC University in urban, Dhaka through …

Twinning In Nepal: The Royal College Of Midwives Uk And The Midwifery Society Of Nepal Working In Partnership, Jillian Ireland, Edwin Van Teijlingen, Joy Kemp

Journal of Asian Midwives (JAM)

The midwifery association of the United Kingdom, the Royal College of Midwives (RCM), has twinned with the Midwifery Society of Nepal (MIDSON) to help strengthen the latter association, through its Global Midwifery Twinning Project (GMTP). The GMTP aims to strengthen midwifery and develop leadership, advocacy, and campaigning skills both at the level of the association and at the individual midwife level. Reciprocity is an important aspect of twinning as the RCM also hopes to strengthen midwifery in the UK through greater engagement of its members and a raised profile of global maternal and new-born health. This paper describes the importance …

A Survey Of Women’S Views Of Epidural Analgesia In The Middle East, Grace Edwards, Tarek Ansari

Journal of Asian Midwives (JAM)

Background: There is little information on the factors that influence epidural uptake in the Middle East. Anecdotal evidence suggests that the uptake is low, overall, but rising due to socio-economic change and increased awareness of analgesia options in labour. The low prevalence of epidural in labour is influenced by many factors; however, there is a general lack of information about epidurals, both risks and benefits.
Methods: This study was a questionnaire -based study eliciting women’s knowledge of epidural analgesia immediately post-delivery. It was based on a survey using a questionnaire with, largely, closed questions, with one final section inviting open-ended …

Midwifery In Gilgit Baltistan By Aga Khan Health Service, Pakistan, Nawroz Zeenat, Rafat Jan

Journal of Asian Midwives (JAM)

Midwives are practicing in diverse capacities in public and private health settings of Pakistan, including Non-Governmental Organizations (NGOs) such as the Aga Khan Health Service, Pakistan (AKHS, P), which is a leading non-profit, non-governmental and non-denominational community-based organization that provides quality maternal and child health services all over Pakistan. Maternal and child health centers led by registered Midwives and Lady Health visitors (LHV), were specifically established in Gilgit Baltistan in 1974 by this NGO as a strategy to combat the alarming rates of maternal and child mortalities.

Woman, Mother And Baby: A Relishing Experience, Shahnaz Shahid, Ayesha Anwar

Journal of Asian Midwives (JAM)

No abstract provided.

Designing An Effective User Interface For A Mobile Application, Cynthia N. Kim

Graphic Communication

The purpose of this study was to determine the best user interface design practices for an iOS mobile application created for Pre-R, a local start-up company that offers physician house calls and telemedicine services throughout San Luis Obispo. The study included initial background research on best user interface design practices, mapping out and implementing the entire process of designing for mobile applications, conducting usability tests on potential users, and making changes according to the test results. Usability tests allowed for a greater understanding of the effectiveness of Pre-R’s mobile interface design prototype. Results from the usability tests have indicated a …

Nicu Nurses' Perceptions Of Obstacles And Supportive Behaviors In End-Of-Life Care, Ann Rogerson

Theses and Dissertations

Background: Losing an infant is difficult for parents to face. To improve EOL care for dying neonates and their families, NICU nurses need to overcome obstacles and implement supportive behaviors. Understanding the size of obstacles and supportive behaviors will better enable NICU nurses to provide quality EOL care. Objectives: To determine the largest obstacles and supportive behaviors in NICU EOL care. Methods: A descriptive quantitative study of a random national sample of 1058 NICU nurses who were members of NANN (National Association of Neonatal Nurses). The National Survey of NICU Nurses' Perceptions of End-of-Life Care questionnaire was mailed twice yielding …

Effects Of Nurse Caring Behaviors On Mothers' Anxiety And Attachment In Pregnancy Following Perinatal Loss, Joyce G. Oliverio Volsch

Loma Linda University Electronic Theses, Dissertations & Projects

Childbirth is usually a joyful experience for most families. However, women who have experienced the death of a baby during pregnancy often view subsequent pregnancies with fear and apprehension. It is estimated that 59% – 86% of women with previous perinatal loss will become pregnant again (O’Leary, 2004). There is limited research on what bereaved parents perceive as caring behaviors by nurses following the human experience of perinatal loss. The purpose of this research study was to determine if nurse caring behaviors (NCB) during the perinatal loss event affect pregnancy-specific anxiety (PSA) and maternal-fetal attachment (MFA) in women who are …

The Impact Of Nursing Hours And Hospital And Patient Characteristics On Medicare Hospital Acquired Conditions: A National Pooled Cross-Sectional Secondary Data Model And Analysis, Terry Kahlert Eng

Graduate Doctoral Dissertations

Background: Previous research and quality improvement initiatives have underscored the prevalence of healthcare acquired conditions (HACs) and their associated costs in American hospitals. In response to these findings, in 2008, The Centers for Medicare and Medicaid Services identified 10 condition categories that they would no longer pay for if acquired during hospitalization. The conditions were selected based on high cost, high volume, or both, assigned to a higher paying medical severity diagnostic related group (MS-DRG), and were deemed preventable through application of evidence-based guidelines. The Health Quality Outcomes Model and a Path Model guided the study.

Objective: To quantify the …

“Wet Suction Technique (West)”: A Novel Way To Enhance The Quality Of Eus-Fna Aspirate. Results Of A Prospective, Single-Blind, Randomized, Controlled Trial Using A 22-Gauge Needle For Eus-Fna Of Solid Lesions, Rajeev Attam, Mustafa A. Arain, Staphen J. Bloechl, Guru Trikudanathan, Satish Munigala, Yan Bakman, Maharaj Singh, Timothy Wallace, Joseph B. Henderson, Nalini M. Guda

College of Nursing Faculty Research and Publications

Background Contemporary EUS-guided FNA techniques involve the use of a needle, with an air column within the lumen, with or without suction. We describe a novel technique with an aim to improve the quality of the aspirate. Objective To compare a novel “wet suction” technique (WEST) with the conventional FNA technique (CFNAT) of EUS-guided FNA using a 22-gauge FNA needle. Design Prospective, single-blind, and randomized trial. Setting Two large tertiary-care hospitals. Patients All consecutive adult patients presenting for EUS with possible FNA of solid lesions were offered the chance to participate in the study. Methods All lesions were sampled with …

Anesthesia Preoperative Clinic Referral For Elevated Hba1c Reduces Complication Rate In Diabetic Patients Undergoing Total Joint Arthroplasty, Peter J. Kallio, Jenea Nolan, Amy C. Olsen, Susan Breakwell, Richard Topp, Paul S. Pagel

College of Nursing Faculty Research and Publications

Background: Diabetes mellitus (DM) is risk factor for complications after orthopedic surgery.

Objectives: We tested the hypothesis that anesthesia preoperative clinic (APC) referral for elevated glycosylated hemoglobin (HbA1c) reduces complication rate after total joint arthroplasty (TJA).

Patients and Methods: Patients (n = 203) with and without DM were chosen from 1,237 patients undergoing TJA during 2006 - 12. Patients evaluated in the APC had surgery in 2006 - 8 regardless of HbA1c (uncontrolled). Those evaluated between in subsequent two-year intervals were referred to primary care for HbA1c ≥ 10% and ≥ 8%, respectively, to improve DM control before surgery. Complications …

“Not Being Able To Talk Was Horrid”: A Descriptive, Correlational Study Of Communication During Mechanical Ventilation, Jill L. Guttormson, Karin Lindstrom Bremmer, Rachel M. Jones

College of Nursing Faculty Research and Publications

Objectives: The purpose of this study was to describe the patient experience of communication during mechanical ventilation.

Research methodology: This descriptive study is a secondary analysis of data collected to study the relationship between sedation and the MV patients’ recall of the ICU. Interviews, conducted after extubation, included the Intensive Care Experience Questionnaire. Data were analysed with Spearman correlation coefficients (r_s) and content analysis.

Setting: Participants were recruited from a medical-surgical intensive care unit in the Midwest United States.

Results: Participants (n = 31) with a mean age of 65 ± 11.9 were on the …

Rural Emergency Nurses' Suggestions For Improving End-Of-Life Care Obstacles, Kelly Elizabeth Smith

Theses and Dissertations

Introduction: In 2010, of the 129 million visits to the emergency department (ED), 240,000 resulted in the patient dying or being pronounced dead on arrival. This number is likely to continue to increase as a significant portion of the American population ages and seeks care in the ED. Though care in the ED is focused on saving lives, death cannot always be prevented. Consequently, nurses face many barriers to providing quality end-of-life (EOL) care in the ED when death occurs. The purpose of this study was to identify suggestions emergency nurses have to improve EOL care specifically in rural ED's. …

A Grounded Theory Study Of How Parents Made The Decision About Residential Group Home Placement For Their Adult Child With Intellectual/Developmental Disabilities, Laura A. Sardinia-Prager

Theses & Dissertations

Background: The parent caregivers of a child with an Intellectual Disability/Developmental Disability (ID/DD) face lifelong challenges that may at some point involve the decision about residential group home placement of the adult child. In the course of the child’s lifetime, the parents who have provided care may need to consider a safe alternative. The decision about residential group home placement of the adult child can be the result of numerous factors. Objective: The purpose of this qualitative inquiry was to investigate the phenomenon of how the parent caregivers made the decision for residential group home placement for their adult child …