Medicine and Health Sciences Commons^™

Utilizing A Protocol To Reduce Post-Operative Urinary Retention In Total Joint Arthroplasty, Gina Anderson-Malum, Naomi Schneider

Nursing Posters

Foley catheters have not routinely been used for our total joint patients for many years, leading staff to bladder scan and straight catheterize patients postoperatively. Bladder scanning and catheterization were identified as an inconsistent practice. Patients were commonly straight catheterized when nurses determind bladder scan volume and time of last void; yet the amounts for both and decision to catheterize were inconsistent. Also, the clinical evaluation and treatment was inconsistent among physicians. Variations in practice included rationale for a urology consult, use of medications for urinary retention, and documentation. Baseline urinary retention condition codes ranged from 8-18%, which led our …

Assessing The Cultural In Culturally Sensitive Printed Patient-Education Materials For Chinese Americans With Type 2 Diabetes, Evelyn Y. Ho, H Tran, Catherine A. Chesla

Communication Studies

Type 2 diabetes affects Chinese Americans at an alarming rate. To address this health disparity, research in the area of cultural sensitivity and health literacy provide useful guidelines for creating culturally appropriate health education. In this article, we use discourse analysis to examine a group of locally-available, Chinese and English language diabetes print documents from a surface and deep structure level of culture. First, we compared these documents to research findings about printed health information to determine if and how these documents apply current best practices for health literacy and culturally appropriate health communication. Second, we examined how diabetes as …

Mobile Nurse Practitioner: A Pilot Program To Address Service Gaps Experienced By Homeless Individuals, Joan Alviar Fraino

Nursing and Health Professions Student Research and Publications

An estimated 2.3 to 3.5 million individuals are homeless in the United States, many of whom have chronic medical and mental illnesses. Underserved individuals who are homeless experience gaps in services, resulting in poor health care outcomes and readmission to the hospital setting, often presenting in crisis through the emergency department. The financial state of hospitals is negatively impacted by the burden of patients returning to the hospital due to unresolved issues. The current article presents the role of a psychiatric-mental health nurse practitioner as part of a pilot program, Opportunity Village Mobile Health, that provides a comprehensive approach to …

Nursing Annual Report Fy14-Fy15, Children's Mercy Hospital

Nursing Annual Reports

Annual report for nursing services for Fiscal Years 14 and 15 (July 2013-June 2015) at Children's Mercy Kansas City.

Cognitive-Behavioral Therapy, Robert H. Rice

Nursing Faculty/Staff Publications

Cognitive-behavioral therapy (CBT) is the merging of behavioral and cognitive therapies that mostly focuses on working with the client in the present. Although there are many approaches to CBT, there tend to be some common features. For example, CBT is generally a directive approach to psychotherapy that helps clients to challenge their problematic thoughts and to change the behaviors associated with those thoughts. In addition, most approaches to CBT are structured and time limited and include some type of homework where the client can practice the cognitive and behavioral strategies learned in the therapeutic setting. This entry focuses mostly on …

Narrative Therapy, Robert H. Rice

Nursing Faculty/Staff Publications

Narrative therapy (NT) is a strengths-based approach to psychotherapy that uses collaboration between the client or family and the therapist to help clients see themselves as empowered and capable of living the way they want. In the face of crisis or trauma, NT helps clients achieve a “This too will pass” attitude, while positioning the therapist as an appreciative ally in the process. NT is useful with individuals and is used extensively with families due to its ability to separate clients from problems and unite families against problematic patterns. NT also lends itself well to joining with families because it …

Nursing Students' Perceived Value Of The Pre-Briefing Phase Of Simulation, Jill Renae Chamberlain

Student Theses, Dissertations and Capstones

As technology has grown, many healthcare professions’ programs, including nursing, have incorporated simulation into their curricula. Overwhelmingly, research has highlighted the last phase of simulation, debriefing, as the most important component influencing learning outcomes, with limited focus on prebriefing. The purpose of this study was to describe the influence the prebriefing phase during simulation has on undergraduate nursing students’ perceptions of overall simulation effectiveness, learning, and self-confidence. Situated learning theory was selected to guide the research design due to its unique view that learning is a social process that is enhanced within the authentic environment. The quasi-experimental design study compared …

Telehealth Tool, Heidi A. Mennenga, Laurie Johansen, Becka Foerster, Lori Hendrickx

College of Nursing Faculty Publications

This tool examines current knowledge regarding telehealth.

Rural Characteristics Tool, Heidi A. Mennenga, Laurie Johansen, Becka Foerster, Lori Hendrickx

College of Nursing Faculty Publications

This tool examines current knowledge and confidence in teaching rural characteristics.

Symptom Perceptions And Self-Care Behaviors In Patients Who Self-Manage Heart Failure, Katherine M. Reeder, Patrick M. Ercole, Gina M. Peek, Carol E. Smith

College of Nursing Faculty Publications

Background: Patients with heart failure (HF) are at heightened risk for acute exacerbation requiring hospitalization. Although timely reporting of symptoms can expedite outpatient treatment and avoid the need for hospitalization, few patients recognize and respond to symptoms until acutely ill.

Objective: The purpose of this study was to explore patients’ perceptions of symptoms and self-care behaviors for symptom relief, leading up to a HF hospitalization.

Methods: To examine prehospitalization symptom scenarios, semistructured interviews were conducted with 60 patients hospitalized for acute decompensated HF.

Results: Thirty-seven patients (61.7%) said that they had a sense that “something just wasn’t quite right” before …

Student Perceptions Of Quality And Safety Competencies, Heidi A. Mennenga, Lois Tschetter, Lily Sanjaya

College of Nursing Faculty Publications

No abstract provided.

Il-4 Inhibits Il-1Β-Induced Depressive-Like Behavior And Central Neurotransmitter Alterations, Hyun-Jung Park, Hyun-Soo Shim, Kyungeh An, Angela Starkweather, Kyung Soo Kim, Insop Shim

School of Nursing Publications

It has been known that activation of the central innate immune system or exposure to stress can disrupt balance of anti-/proinflammatory cytokines. The aim of the present study was to investigate the role of pro- and anti-inflammatory cytokines in the modulation of depressive-like behaviors, the hormonal and neurotransmitter systems in rats. We investigated whether centrally administered IL-1β is associated with activation of CNS inflammatory pathways and behavioral changes and whether treatment with IL-4 could modulate IL-1β-induced depressive-like behaviors and central neurotransmitter systems. Infusion of IL-4 significantly decreased IL-1β-induced anhedonic responses and increased social exploration and …

Randomized Sham Controlled Trial Of Cranial Microcurrent Stimulation For Symptoms Of Depression, Anxiety, Pain, Fatigue And Sleep Disturbances In Women Receiving Chemotherapy For Early-Stage Breast Cancer, Debra Lyon, Debra Kelley, Jeanne M. Walter, Harry Bear, Leroy R. Thacker, R.K. Elswick

School of Nursing Publications

Purpose

Women with breast cancer may experience symptoms of depression, anxiety, pain, fatigue and sleep disturbances during chemotherapy. However, there are few modalities that address multiple, commonly occurring symptoms that may occur in individuals receiving cancer treatment. Cranial electrical stimulation (CES) is a treatment that is FDA cleared for depression, anxiety and insomnia. CES is applied via electrodes placed on the ear that deliver pulsed, low amplitude electrical current to the head.

Methods

This phase III randomized, sham-controlled study aimed to examine the effects of cranial microcurrent stimulation on symptoms of depression, anxiety, pain, fatigue, and sleep disturbances in women …

Virginia Commonwealth University Volunteer Doula Program Training Manual, Kathleen M. Bell, Susan L. Linder

School of Nursing Publications

A birth doula is a specially trained birth assistant who provides emotional, psychological and physical support and care to a pregnant and/or laboring woman. In providing this care, the doula helps the laboring woman and her support person achieve their most optimal birth experience. This is typically an unmedicated birth; however, doulas may attend any birth and be of profound assistance and comfort.

This curriculum was written specifically for nursing students who are being trained as lay doulas. Unique in its approach and delivery, the curriculum is written with the nursing student in mind; particularly a student who has already …

Inhalation Anesthesia Vs. Total Intravenous Anesthesia For Ambulatory Dental Surgery In Children, Kristin D. Neal

Theses, Dissertations and Capstones

Abstract: The purpose of this study was to compare inhalation anesthesia with sevoflurane versus Total Intra Venous Anesthesia (TIVA) with propofol infusion as it relates to the quality of recovery including postoperative pain, Post Operative Nausea and Vomiting (PONV), and Post Anesthesia Care Unit (PACU) Length Of Stay (LOS) in pediatric patients undergoing ambulatory dental surgery. Introduction: Pediatric dental procedures are increasingly performed in an outpatient setting under general anesthesia due to inadequate cooperation, circumstantial anxiety, and other behavioral and health issues. Commonly used inhalation anesthetics, such as sevoflurane, can induce hyperalgesia in children. While sevoflurane increases the risk PONV, …

Cultural Norms Of Clinical Simulation In Undergraduate Nursing Education, Susan G. Mcniesh

Faculty Publications

Simulated practice of clinical skills has occurred in skills laboratories for generations, and there is strong evidence to support high-fidelity clinical simulation as an effective tool for learning performance-based skills. What are less known are the processes within clinical simulation environments that facilitate the learning of socially bound and integrated components of nursing practice. Our purpose in this study was to ethnographically describe the situated learning within a simulation laboratory for baccalaureate nursing students within the western United States. We gathered and analyzed data from observations of simulation sessions as well as interviews with students and faculty to produce a …

A Mixed Method Study Of The Impact And Outcomes Of Graduates Of The Csu Northern California Consortium Doctor Of Nursing Practice Program Class Of 2014, Lori Rodriguez

Faculty Publications

In 2010, in response to a demand for advanced practice nurses to meet the burgeoning needs of the state's population, the California legislature passed AB 867 which called for a pilot project to institute the Doctor of Nursing Practice program in the California State University campus system (Nava & Arambula, 2010). Two programs, one based in Southern California and the other in Northern California, opened in fall of 2012. In Northern California, Fresno State was chosen as the base campus with San Jose State University as the partner campus for the CSU Northern California Consortium of the Doctor of Nursing …

The Effect Of In Situ Simulation On Teamwork Attitudes In Nursing Students, Janice Kaye Fuson

Nursing Theses and Capstone Projects

Nursing students are not adequately trained in teamwork principles. Positive teamwork has been identified by governmental and accrediting bodies of healthcare to be an essential element in patient safety. TeamSTEPPS© is a program developed by the Department of Defense adapted to healthcare as a cost effective method to change the culture of healthcare organizations. A capstone project that implemented in situ simulation using a TeamSTEPPS© tool was conducted in a rural North Carolina nursing program. Eighteen students participated in the simulation and completed a pre and post TeamSTEPPS© Teamwork Attitude Questionnaire. Mean scores were noted to be considerably lower post …

Variables Influencing Breastfeeding Among First Time Mothers, Myra Westbrooks

Nursing Theses and Capstone Projects

This research examined the variables that influence breastfeeding in first time mothers. The study utilized Fishbein and Ajzen’s Theory of Reasoned Action as the theoretical framework. The sample included 147 first time mothers and utilized a descriptive design with a retrospective chart review. The descriptive study allowed for the identification of variables and patterns or characteristics of first time mothers who chose to breastfeed. Associations between several demographic variables and breastfeeding were identified in this study. By identifying variables that have a significant influence on breastfeeding, focused action plans can be developed to improve both maternal and infant health outcomes.

The Use Of An Unfolding Case Study To Enhance Self-Efficacy In Nursing Students, Hettie V. Peele

Nursing Theses and Capstone Projects

Nurse educators are challenged with preparing new nurse graduates that can function in the current healthcare practice environment of high patient acuity, morbidities, and information technology while maintaining patient safety and quality care management (Cronenwett et al., 2007). Therefore, nurse educators are amenable to exploring alternative teaching pedagogies that provide students with engaging learning opportunities that simulate real-life clinical scenarios they may encounter in professional nursing practice. This study explored the use of an unfolding case study as an innovative teaching strategy to enhance the perception of student self-efficacy. A one-group pretest-posttest descriptive design with a convenience sample of 17 …

Perceived Ease Of Use And Usefulness Of Podcasting In Nursing Skills Competence, Lisa M. Barnes

Nursing Theses and Capstone Projects

This capstone project examined nursing students' technology acceptance of podcasting as a tool for nursing skill acquisition. Technology acceptance was determined by measuring the students' perceived competence of the skill along with the perceived usefulness and ease of use of the provided podcasts. A convenience sample of 49 first semester nursing students from an associate degree and practical nursing program participated in the project. Perceived competence of the three nursing skills: obtaining vital signs, inserting a Foley catheter, and performing a sterile dressing change was examined and compared from pre-podcast availability to post-podcast availability. The overall means of the nursing …

Exploring Incivility Among Registered Nurses In The Hospital Setting, Lesley Ann Gillian

Nursing Theses and Capstone Projects

The purpose of this study was to examine the level of incivility among registered nurses in the hospital setting. A non-experimental descriptive quantitative design was used.The Nursing Incivility Scale (NIS) was sent to all registered nurses (653) employed at the hospital via email with a response rate of 24% (n=158). The NIS has source specific subscales included. The results indicated that nurses did have experiences with incivility at this facility with the sources being identified as General Hostile Climate, Nurse Gossip and Rumors, Physician Abusive Supervision and Patient and Visitor Displaced Frustration.

Evaluating Chain-Of-Command Self-Efficacy Through High Fidelity, Student-Directed, Obstetrical Simulation, Michelle Mcewen-Campbell

Nursing Theses and Capstone Projects

The purpose of this quasi-experimental capstone project was to evaluate the impact of high fidelity, student-directed, obstetrical simulation upon chain-of-command self-efficacy of baccalaureate nursing students. The convenience sample, composed of 48 junior nursing students, was randomly divided into four simulation groups, and then further randomly divided into active or observational status. Active participants planned interventions and participated in high fidelity obstetrical simulations related to patient safety and chain-of-command initiation. Active and observational students participated in a combined debriefing session. A pretest posttest design utilizing the General Self-Efficacy Scale (GSES) was utilized to measure chain-of-command self-efficacy in relation to both active …

The Impact Of Simulation-Based Learning Experience On Student Satisfaction, Perceived Self-Confidence, And Anxiety, Michelle Britt Warren

Nursing Theses and Capstone Projects

Nurse educators are faced with the challenges of facilitating student learning in shorter time frames along with decreasing student opportunities to further their learning experiences in real-world clinical situations (LaFond & Van Hulle Vincent, 2012; Smith & Barry, 2013). There is an identifiable need for safe environments where students can practice and apply the knowledge they have learned in the didactic component of the course to the clinical situations (LaFond & Van Hulle Vincent, 2012; McClure & Gigliotti, 2012). The capstone project, "The impact of simulation based learning experience on student satisfaction, perceived self-confidence and anxiety" examined the implementation of …

Do You Understand What I Mean? How Cognitive Interviewing Can Strengthen Valid, Reliable Study Instruments And Dissemination Products, Anne Hofmeyer, Brenda H. Sheingold, Ruth Taylor

Nursing Faculty Publications

It is now well accepted that working in research teams that span universities, jurisdictions and countries can be rewarding and economically prudent. To this end, investigators collaborate in the pursuit of knowledge to address human and societal problems and translate results into local and global contexts. This implies that investigators need to develop study instruments that are fit for purpose and strategically manage issues arising from geographical, linguistic and cultural diversity. A proven method is cognitive interviewing to pre-test the study materials to ensure clarity and relevance in the study population. This paper describes the steps taken to increase the …

The Nurse Manager's Leadership And Nurse Satisfaction, Deborah Bryant

Doctor of Nursing Practice Projects

Nurse managers face many challenges in today's healthcare environment including how to retain staff. The purpose of this capstone was to give tools to nurse managers on specific units to develop techniques for shaping a positive culture making a difference for the nursing staff, patients, families and others on the nursing units. Culture-shaping tools were taught to five nurse managers after completion of a pre-assessment survey by bedside nurses to determine if the behaviors of the nurse managers could impact the nurse satisfaction and improve retention. Nursing staff were queried for effectiveness in nurse satisfaction after the nurse managers had …

Implementation And Evaluation Of A Team Simulation Training Program, Yvonne Rice

Doctor of Nursing Practice Projects

Trauma care, characterized by complex, shifting priorities, presents many challenges to providers. Traditionally, immediate trauma care has been provided in emergency departments. It has recently been recognized that severely injured patients receive better care with improved outcomes when they bypass the emergency department and are admitted directly to the trauma surgical intensive care unit (TSICU). To assure that TSICU nurses and interprofessional staff are prepared to handle such patients, all new registered nurses in the TSICU of a Level I Trauma Center participate in a one-day Trauma Boot Camp. Originally, the focus of the Trauma Boot Camp was solely on …

Optimizing Antiplatelet Therapy In Acs After Pci, Mary Beth Johnson

Graduate Research Projects

No abstract provided.

Bordered Silver Foam Dressings For Colorectal Surgical Patients, Jessica Maynard

Doctor of Nursing Practice Projects

Although a surgical site infection (SSI) is a risk of an operative procedure, most are preventable (Health Protection Agency, 2009). The Joint Commission National Patient Safety Goal 7 stipulates the implementation of evidence-based practice for SSI prevention in acute care facilities. The purpose of this pilot project was to implement a bordered silver foam dressing protocol for post-operative colorectal surgical patients. Using a pre- and post-comparison design, the new dressing protocol was implemented for a two-month pilot for colorectal surgical patients meeting the specified criteria at Cabell Huntington Hospital. SSI rate following the protocol was compared to the SSI rate …

The Effect Of A Facilitated Educational Program And Experiential Learning On Nursing Workplace Incivility, Nancy E. Armstrong

Doctor of Nursing Practice Projects

Workplace incivility is a well-documented issue in nursing. It has the potential to cause emotional and physical distress in victims, and potentially affect the quality of care provided. Research in acute care settings found that facilitated educational training sessions related to workplace incivility, in combination with experiential learning activities, assisted nurses in improving their understanding of workplace incivility and their communication skills. It has also been found to reduce workplace incivility. The purpose of this Capstone Project was to implement a civility training program that included education about incivility through facilitated discussions, as well as teambuilding exercises and experiential learning …