Medicine and Health Sciences Commons^™

Go Wish- Pediatrics : Pilot Study Of A Conversation Tool In Pediatric Palliative Care, Meghan Ryan Potthoff

Electronic Theses and Dissertations

Problem: Difficult conversations and decisions are an unfortunate reality for parents caring for children facing life threatening conditions. Confusing, inadequate, and inconsistent communication by health care providers makes advance care planning difficult in pediatrics.
Design: A mixed methods design was utilized to evaluate the effectiveness of an advance care planning conversation tool, Go Wish- Pediatrics, on the emotional resources and distress experienced by parents caring for children in palliative care.
Methods: For this pilot study, a mailed invitation to participate was sent to 134 parents of children currently enrolled in palliative care which yielded a total of ten participants. …

Difficult And Frustrating? Caring For Those With Chronic And Complex Conditions, Rachel Rossiter, Sharon Brownie

School of Nursing & Midwifery, East Africa

Caring for people with chronic and complex health needs has become an ever-larger part of everyday nursing. The World Health Organization has identified common and preventable risk factors that are the primary cause of chronic illness worldwide—hypertension, tobacco use, hyperglycaemia, physical inactivity, and overweight or obesity. Nurses now need an expanded range of skills and expertise that will enable them to work effectively with people whose chronic and frequently complex health issues may be seen as difficult and challenging.

This article invites you to think about your experiences of caring for people with chronic and complex conditions. Before you read …

Current Intimate Partner Violence Screening Practices Of Maternity Nurses In A Hospital Setting, Lina Garrard

Summer Community of Scholars Posters (RCEU and HCR Combined Programs)

No abstract provided.

Factors Influencing Depression In Men: A Qualitative Investigation, Lori A. Mutiso

Theses and Dissertations--Nursing

The purpose of this qualitative descriptive study is to describe men’s experiences of depression in order to provide direction for future research of the screening, diagnosing, and treatment of men's depression. Previous research indicates that men experience different depressive symptoms than women, and there is a possibility that men's depression is not being adequately captured by current screening standards, which would theoretically lead to a large number of men with unrecognized, undiagnosed, and untreated depression. If this is the case, this may explain the disproportionately low number of men diagnosed with depression compared to women, in contrast to the disproportionately …

Characteristics Of Child Sexual Assault Within A Child Advocacy Center Client Population, Faye M. Carlson, Jane Grassley, Janet Reis, Kelley Davis

Nursing Faculty Publications and Presentations

This descriptive study summarized data from a child advocacy center to illustrate how such information might be used to profile the scope and character of child sexual abuse (CSA) at the community level. This detailed information is not available from national or state data but is needed to understand the circumstances of the children receiving services and the type of care they may need. Variables included victim demographics, type of sexual abuse and relationship to the perpetrator, and the person to whom the victim was most likely to disclose their sexual assault. A total sample of 841 case reports was …

Best Practice For A Standardized And Safe Registered Nurse Shift Handoff, Nancy Rankin Ewing

Theses and Dissertations

One of the most important times for the delivery of patient care occurs during the change of shift handoff between professional nurses. This complex interchange of information and responsibility carries with it distinct possibilities for error that can adversely affect a patient’s hospitalization, safety, and the quality of patient care outcomes (Blouin, 2011; Hilligoss & Cohen, 2011). Communication errors, including errors during shift handoff, account for more than 70% of sentinel events that occur in the provision of healthcare in the acute care setting (Federwisch, 2007; Streeter, 2010). Poorly conducted and unstructured shift handoffs are known to result in delayed …

"A Compromise To Help The Community": Rural Sexual Assault Nurse Examiner Experiences, Rebecca R. Gonnering

All Graduate Theses, Dissertations, and Other Capstone Projects

Victims of sexual assault require specialized medical care when they report to hospital emergency departments including physical examination, evidence collection, and emotional support. Sexual Assault Nurse Examiners (SANEs) are medical professionals trained to complete the examination and evidence collection in a prompt and sensitive manner. In fact, where SANE programs exist, emergency room waiting times are shorter, evidence collection improves, and revictimization from untrained staff is reduced. Unfortunately, SANEs are not widely available, particularly in rural areas. This lack of trained examiners employed at local hospitals creates a gap in access to proper care, often resulting in long waits as …

Patient Perceptions Of Bedpan Usage And Comfort Levels, Emily Kay Schlachter

Honors Theses and Capstones

While it may be seemingly obvious, there is very little data on patient perceptions of bedpan use. In order to create a better bedpan, there needs to be evidence as to why it is necessary. The objective of this study is to explore patient experiences of bedpan use in order to define their perceptions of comfort levels. The literature shows that patients are physically and emotionally uncomfortable when using the bedpan, find the device unpleasant, and are not receiving the necessary levels of education and compassion from their care staff. A mixed methods study using a descriptive quantitative design was …

Graduate Bulletin, 2015-2016, Minnesota State University Moorhead

Graduate Bulletins (Catalogs)

No abstract provided.

Improving Compliance With Clinical Practice Guidelines To Reduce Urinary Tract Infection In Long Term Care, Charman L. Miller

Doctor of Nursing Practice Program Projects

This evidence-based clinical change project addressed the clinical problem trigger of increased rates of urinary tract infections and related unplanned discharges in a rural Ohio nursing center. The clinical change involved the implementation of a nursing-driven protocol for suspected Urinary Tract Infection (sUTI) based on the American Medical Director’s Association Clinical Practice Guideline: Common Infections. An interdisciplinary team approach to evidence-based clinical change was utilized through use of the Iowa Model of Evidence-based Practice to Promote Quality Care. Both the process and the intervention were evaluated through analysis of outcome data including rates of urinary tract infection, compliance with the …

Use Of Change Agent To Facilitate Implementation Of Personalized Health Plans, Colleen Miranda

Doctor of Nursing Practice Program Projects

In 2015, the Centers of Disease Control and Prevention reported that the most common, costly but preventable health problems are heart disease, stroke, cancer, diabetes, obesity, and arthritis. Literature shows preventable chronic diseases have increased in the current healthcare system. Healthcare leaders are calling for a change in the current faulty healthcare delivery system to personalized healthcare. A patient-centered approach focuses on the health gains that can be made in the prevention and treatment of chronic disease with a higher level of patient engagement.

The Veterans Health Administration (VHA) is advocating patient-centered care (PCC) to focus on the health gains …

Perception And Use Of Communication Care Plans By Certified Nursing Assistants In Nursing Homes: The Role Of Professional Support, Christen G. Page

Theses and Dissertations--Rehabilitation Sciences

The majority of individuals in nursing homes have cognitive-communication impairments which impact quality of care because direct care providers, certified nursing assistants, (CNAs) are unsure how to respond to resident’s communication behaviors. One intervention that facilitates staff-resident communication in nursing homes is communication plans; however, the research to date about communication plans has not specifically involved CNAs.

The purpose of this study, using a grounded theory qualitative approach, was to describe development, implementation and evaluation of communication care plans (CCPs) for residents with cognitive-communication impairments in nursing homes by CNAs who did and did not receive professional support. Communication care …

Academic And Non-Academic Variables As Predictors Of Nclex-Rn Success Among Traditional Associate Degree Students At Southern Adventist University, Christine Moniyung

Dissertations

Problem

The School of Nursing at Southern Adventist University offers both Associate of Science and Bachelor of Science in nursing degrees. A majority of the students who sit for the NCLEX-RN are associate of science in nursing graduates. The pass rate dropped from 94.9% in 2010 to 88.8% in 2011. The pass rate went up to 93.3% in 2012, but dropped again by almost 5% in the following year, and to an all-time low of 76.5% in 2014.

Unlike most AS nursing program student populations in the nation, the majority of SAU students are young and considered traditional-age college students. …

Relationship Between Nurses' Job Satisfaction And Quality Of Healthcare They Deliver, Samuel Aron

All Graduate Theses, Dissertations, and Other Capstone Projects

The purpose of this study was to examine nurses’ perception of the relationship between job satisfaction and quality of care they deliver, and barriers to a quality care. Data for this cross-sectional study was collected using a paper survey developed by the researcher. This 28-item questionnaire assessed nurses’ perception of the relationship between job satisfaction and the quality of care they deliver, and factors that affect the delivery of a quality care and job satisfaction. The questionnaire was distributed to 80 nurses (RNs, LPNs, and nursing assistants) who work in direct patient care at a small Minnesota hospital. Analysis included …

Helping Mothers Defend Their Decision To Breastfeed, Kandis Natoli

Electronic Theses and Dissertations

The United States has established breastfeeding as an important health indicator within the Healthy People agenda. Healthy People target goals for breastfeeding initiation, duration, and exclusivity remain unmet. The US Surgeon General's Office reports that lack of knowledge and widespread misinformation about breastfeeding are barriers to meeting Healthy People goals. Breastfeeding mothers are vulnerable to messages that cast doubt on their ability to breastfeed. Very little research has examined specific approaches to help people resist negative messages about health beliefs and behaviors. The objective of this quasi-experimental study was to test an intervention designed to help mothers defend their breastfeeding …

The Impact Of Relational Coordination And The Nurse On Patient Outcomes, Fanya Dejesus

Electronic Theses and Dissertations

Healthcare quality remains a significant issue due to fragmentation of care in our complex U.S. healthcare systems. While coordination of care is foundational to healthcare quality as well as identified as a National Priority, fragmentation and uncoordinated care continues to afflict our systems. The purpose of this study was to explore the relationship between relational coordination and adverse nurse sensitive patient outcomes, namely hospital acquired pressure ulcers, patient falls with injury, catheter- associated urinary tract infection, and central line-associated blood stream infection. A retrospective correlational survey design using cross sectional data was used to conduct this quantitative study. An electronic …

Mothers’ Perception Of Breast Feeding And Bottle Feeding, Gabrielle Buteau, Danielle Barron

Nursing Student Work

No abstract provided.

Ethics, Cheryl Monturo

Nursing Faculty Publications

No abstract provided.

A Literature Review Of Effects Of Swaddling And Safe Swaddling Practices, Erin Eckert, Anna Shumard

Nursing Student Work

No abstract provided.

Benefits Of Kangaroo Mother Care, Rachel Pippin, Stephanie Lyons

Nursing Student Work

No abstract provided.

Use Of Bed/Chair Alarms In Skilled Nursing Facilities For Reduction Of Patient Falls, Nicole Werner, Juliana Wilson

Nursing Student Work

No abstract provided.

Policy And Feeding Preference On Glucose Stabilization In Hypoglycemic Newborns: A Literature Review, Haley Chaump, Claudia Coke-Pierre

Nursing Student Work

No abstract provided.

The Effectiveness Of Varying Birthing Positions In Laboring Women, Marissa Giovinazzo, Elaine Panelli

Nursing Student Work

No abstract provided.

Is It Safe To Sleep With Your Newborn?, Zachary Caldwell

Nursing Student Work

No abstract provided.

Verification Of Nasogastric Tube Placement In Inpatient Populations: A Review Of Current Literature, Sarah Hines, Jenna Magee

Nursing Student Work

No abstract provided.

Impact Of Skin-To-Skin Care On Infants, Cora Littlejohns, Rachel Gadbow

Nursing Student Work

No abstract provided.

Effects Of Kangaroo Care On Postpartum Depression, Katie Tomeo, Andrew Chinofsky

Nursing Student Work

No abstract provided.

What Parents Should Know Prior To Making Decisions About Circumcising Their Male Newborn: A Literature Review, Brittnie Felice, Jena Pritzlaff

Nursing Student Work

No abstract provided.

Reducing The Incidence Of Hospital-Acquired Pressure Ulcers By Using Alternating Pressure Air Mattresses, Marie Morrison, Mary Wise

Nursing Student Work

No abstract provided.

Impact Of Staffing On Falls In Acute Care Facilities, Christopher Gurunian, John Ripple

Nursing Student Work

No abstract provided.