Medicine and Health Sciences Commons^™

Determining The Effects Of Past Negative Experiences Involving Patient Care, Jennifer L. Brown Phd, Francine M. Parker Edd, Msn, Cne, Ramona B. Lazenby Edd, Fn-Bc, Cne

Journal of Health Ethics

As the cost of healthcare continues to raise, the need to address nurse attrition, which is a contributing factor, also rises. While there are various factors that influence nurses’ decision to leave or stay, job satisfaction and ethical climate are significant variables. This study examined the effects of negative previous work experiences on job satisfaction and ethical climate. The results showed previous work experiences moderated both job satisfaction and ethical climate. In addition, ethical climate mediated the effects of previous experiences on job satisfaction. The implications include identifying nurses who may have had negative experiences prior to their current employment …

Meaningful Ethical Encounters:The Lived Experience Of The Genetics Nurse, Elizabeth A. Tinnon

Journal of Health Ethics

Meaningful Ethical Encounters: The Lived Experience of the Genetics Nurse

Abstract

Discoveries of the Human Genome Project, while beneficial to improving health, are accompanied by new and unique ethical concerns. The aim of this study was to describe and gain an understanding of the lived experience of genetics nurses as it relates to encountered ethical concerns. A hermeneutic phenomenological approach using van Manen’s thematic analysis was the method for this investigation. A sample of eight genetics nurses participated in the study. Seven essential themes emerged from the texts: (a) caring over time, (b) shared pain and suffering, (c) my job …

Five-Course Meal Infused With Information Skills And Resources, Kimberly J. Whalen, Suzanne E. Zentz

Library Faculty Publications

No abstract provided.

Ua1c11/57 Sigma Theta Tau Photos, Wku Nursing

WKU Administration Documents

Unidentified Sigma Theta Tau photos.

Nursing's Ethical Responsibilities In Value-Based Purchasing, Wendy B. Bailes, Marcia M. Rachel, Sheila Keller

Journal of Health Ethics

Healthcare changes have resulted in the development of reimbursement initiatives such as value-based purchasing. These initiatives are designed to improve quality of care, decrease healthcare costs and improve the perception of care. Many of the compliance mandates are related to care provided by the professional nurse. Ethical considerations of these mandates will be explored utilizing the American Nurses Association Code of Ethics.

Child Weight And Feeding Patterns In An Old Order Mennonite Community, Dawn M. Garrett Wright, Maria E. Main, M. Susan Jones

Nursing Faculty Publications

Feeding practices in some religious communities may decrease childhood obesity. However, there is limited research in these communities to assess maternal perceptions of their children’s weight and feeding patterns. The purpose of this study was to ascertain Old Order Mennonite mothers’ perceptions of their children’s body weight and to examine feeding patterns for their children. Sample: Participants for this descriptive, correlational study were recruited from an Old Order Mennonite community in south central Kentucky. Sampling was achieved using a snowball sampling strategy and the use of a community insider. Methods: Body Mass Index was measured for mothers and child participants, …

Can Follow Up Phone Calls Decrease Complications Of Chemotherapy Toxicities In Adults?, Maire M. Blankenship

Doctor of Nursing Practice Technical Reports

Approximately 22% of all cancer patients in the United States receive chemotherapy. Older adults account for 60 % of new cancer diagnoses in the United States. The aging process is associated with comorbidities that potentially can increase toxicities associated with chemotherapy. These include coronary artery disease, hypertension, and diabetes. Monitoring for toxicities during treatment and intervening when needed allows patients to move forward in their treatment plan. Interruptions in the treatment plan have the potential to adversely affect treatment goals. The purpose of this study is to determine if patients receiving phone calls on predetermined days had fewer days of …

The Effect Of An Early Mobility Protocol In Critically Ill Mechanically Ventilated Patients On Incidence And Duration Of Delirium And Length Of Stay, Melody R. Campbell

Doctor of Nursing Practice Program Projects

Delirium in mechanically ventilated patients is a significant problem. At Good Samaritan Hospital, the incidence of delirium in mechanically ventilated patients was found to be 78%, which is similar to results found by other researchers. Delirium is associated with longer lengths of stay on the mechanical ventilator, in the ICU, and hospital, as well as higher ICU mortality and healthcare costs.

The use of an early mobility protocol has demonstrated effectiveness in decreasing delirium and ventilator stay with minimal risk or harm to patients. The objective of the project was to answer a population-intervention-comparison-outcome-time question (PICOT): In (P) critically ill, …

Project Title Improving Pci Door-To-Balloon Times Through Team Collaboration, Diane Rydzy Rn, Kenneth Forte Dnp, Rockman Ferrigno, Stuart Zarich

Posters

Objective: To utilize a team approach in identifying areas of improvement to reduce median door-to-balloon times (D2B) for heart attack patients

Simulating Real Life Enhances Palliative Care For Patients In The Micu, Jennifer O'Neil Bsn, Rn, Leigh Jimmie Bsn, Rn

Posters

The objective of this project was to determine whether or not a palliative care education program would increase RN knowledge and comfort in caring for palliative care appropriate patients in the Medical Intensive Care Unit.

Improving Efficacy In And Across The Intermediate Care Area (Ica) Team, Jennifer O'Neil Bsn, Rn, Emma Branca Bsn, Rn

Posters

PURPOSE •Improve staff efficacy through improved communication, management of daily workflow and allocation of work assignments •Better meet patient needs •Promote patient safety •Improve patient and staff satisfaction

Disseminating An Evidence-Based Course To Teach Self-Management Of Auditory Hallucinations, M Buffum, Robin Buccheri, L Trygstad, G Dowling

Nursing and Health Professions Faculty Research and Publications

This multi-site project extended course dissemination of the 10-session Behavioral Management of Auditory Hallucinations Course to U.S. Department of Veterans Affairs (VA) mental health outpatient settings. The VA Quality Enhancement Research Initiative (QUERI) model and Rogers' theory of diffusion of innovations served as the theoretical framework. The course was taught to mental health professionals using teleconferencing, electronic media, and monthly conference calls across 24 VA mental health outpatient sites. Twenty course leaders provided feedback. One hundred percent reported being better able to communicate with patients about their voices and 96% reported improved understanding of the voice-hearing experience. Thirty-three course participants …

Clinical Leadership And Asymmetric Information: The Impact Of Physician Advice On Smoking Cessation, Courtney Keeler

Nursing and Health Professions Faculty Research and Publications

A knowledge gradient exists between experts in a given field and consumers of that knowledge. When the need arises, not knowing the best path, an average individual typically relies on the advice of an expert. Given the steep knowledge gradient between patient and provider, clinicians play an essential role in the clinical setting, acting as both a health leader and a health facilitator; however, this asymmetric information implies that clinical providers face an acute pressure not only to advise but to advise correctly. This paper explores the importance of physician advice within the context of smoking cessation, addressing two specific …

Trauma And Violence Exposure Among Asian American And Pacific Islander Children, Dhara Thakar Meghani, Pratyusha Tummala-Narra, Asian American Psychological Association

Nursing and Health Professions Faculty Research and Publications

No abstract provided.

Nonviolent Communication Training Increases Empathy In Baccalaureate Nursing Students: A Mixed Method Study, Marcianna Nosek, Elizabeth Joy Gifford, Brendan Kober

Nursing and Health Professions Faculty Research and Publications

Background: Ineffective communication among healthcare team members is associated with decreased collaborative efforts and adverse patient outcomes. The impact of empathy on collaboration with colleagues and patient interaction has been previously demonstrated. Studies have yet to measure the impact of (Nonviolent Communication [NVC]) on empathy in nursing students.

Purpose: The purpose of this mixed methods study was to test a communication intervention (NVC) with baccalaureate student nurses to examine its effect on empathy.

Methods: A mixed methods single group pre/post test design incorporating the Interpersonal Reactivity Index (IRI) to measure empathy was used. A paired samples t test was calculated …

Creating A Strategic Partnership For Educating Nurse Practitioner Students About Sexual Health, Stefan Rowniak

Nursing and Health Professions Faculty Research and Publications

Sexual health is an essential and often neglected component of primary care. Nurse practitioners are ideal members of the healthcare team to be providing sexual health information, diagnoses, and treatments. Unfortunately, this is an area that has been lacking in the education of all healthcare providers. This paper describes a program that incorporates sexual health into the curriculum for nurse practitioner students through collaboration between the university school of nursing and the local health department. Given the increasing shortage of clinical sites and the need to train nurse practitioners to be competent in the delivery of sexual health, this is …

Clinical Nurse Leaders In The Community: Building An Academic Faculty Practice Partnership, Chenit Ong-Flaherty

Nursing and Health Professions Faculty Research and Publications

The Affordable Care Act (ACA) emphasis on preventive care and primary health has given community organizations and outpatient care environments renewed attention. Nursing has been offered the opportunity to lead healthcare into a new era. One of the two new nursing programs to be given life in this movement is the Clinical Nurse Leader (CNL). The CNL is a graduate level educated nurse who specializes in healthcare systems leadership, a facilitator of care in the complex healthcare environments of today. They are equipped to see the wider and broader perspective of things, assess needs, research the best interventions for problems …

Gw Nursing, 2014, George Washington University, School Of Nursing

GW Nursing Magazine

No abstract provided.

Assessment Of Mild Traumatic Brain Injury By Advanced Practice Registered Nurses, Mary Lou Garey

Doctor of Nursing Practice Scholarly Projects

The purpose of this project was to evaluate the knowledge about assessing mild traumatic brain injured patient by the advanced practice registered nurse (APRN) as reflected in the Centers for Disease Control (CDC) Acute Concussion Evaluation (ACE) Tool Kit. A descriptive cross-sectional survey research design was used to assess knowledge about the evidenced based assessment of APRNs practicing in an urgent care setting as established by the CDC for the evaluation of acute concussion. Specifically the history and physical assessment practices of the APRNs for the mild traumatic brain injured patient (MTBI) were evaluated in relationship to the CDC / …

Financial And Regulatory Considerations For A Nurse Owned Medical Clinic, Bruce Fox, Paula O'Bear

Graduate Research Projects

No abstract provided.

Attitudes And Beliefs Of Registered Nurses About The Process Of Changing To An Electronic Medical Record In A Community Hospital: A Mixed Method Investigation, Roberta Jo Myers

Doctor of Nursing Practice Scholarly Projects

The change from paper charting systems to electronic medical records (EMR) is a daunting task. Many hospitals today are undergoing this process. Kotter’s Change Model informs us that the process must be guided by sound principles and lead by an engaged, focused team of dedicated employees. The studied hospital is a small hospital in rural Ohio that initiated this change in late 2012. Their computer charting initiative launched the EPIC program for EMR use throughout the facility. Nursing staff was challenged to learn and eventually become proficient in its use. Because nurses are the largest care provider group in any …

Ua1c11/57 2014 School Year Photos, Wku Nursing

WKU Administration Documents

Unidentified images from the 2014 school year.

Music Therapy For Patients Who Have Undergone Hematopoietic Stem Cell Transplant, Chelsea G. Ratcliff, Sara Prinsloo, Michael Richardson, Laura Baynham-Fletcher, Richard Lee, Alejandro Chaoul, Marlene Z. Cohen, Marcos De Lima, Lorenzo Cohen

Journal Articles: College of Nursing

Objectives. This study examines the short- and long-term QOL benefits of a music therapy intervention for patients recovering from hematopoietic stem cell transplantation (HSCT). Methods. Ninety allogeneic HSCT patients, after transplant, were randomized to receive ISO-principle (i.e., mood matching) based music therapy (MT; n = 29), unstructured music (UM; n = 30), or usual care (UC; n = 31) for four weeks. The ISO principle posits that patients may shift their mood from one state to another by listening to music that is "equal to" the individual's initial mood state and subsequently listening to music selections that gradually shift in …

Using Video Games For Decreasing Pain Caused By Acute Painful Crisis In Adolescents With Sickle Cell Pain, Talal Ali

Wayne State University Dissertations

Purpose: The most common symptom of sickle cell disease is pain, which occurs as the cells clump compromising further blood flow to distal organs. Despite the advancement in pain management, many children and adolescents' pain remains under treated. The purpose of this study is measure the effectiveness of a videogame as a developmentally appropriate non-pharmacological modality on pain in adolescents 12-21 years of age with sickle cell crisis.

Methods: A one-group repeated measure quasi-experimental design was used to evaluate the effectiveness of using videogames on pain in a sample of adolescents 12-21 years of age. Using a repeated measures design …

Development And Initial Psychometric Testing Of The Perceived Racism Shifting Survey (Prss), Saran Hollier

Wayne State University Dissertations

ABSTRACT

DEVELOPMENT AND INITIAL PSYCHOMETRIC TESTING OF THE PERCEIVED RACISM SHIFTING SURVEY (PRSS)

by

SARAN T. HOLLIER, MSN, RN

May, 2015

Advisor: Dr. Rosalind Peters

Major: Nursing

Degree: Doctor of Philosophy

Perceived racism experienced from those of a different race (intergroup), and those of the same race (intragroup), is a stressor that may be contributing to health disparities among African Americans. As a result, coping strategies are necessary for African Americans to navigate in both a "Black" and "White" world. Hence, African Americans may use "shifting" as a way to cope with inter- and intragroup racism. Shifting has been defined …

Falls And Hospitalized Cancer Patients, Rebecca Allan-Gibbs

Wayne State University Dissertations

FALLS AND HOSPITALIZED CANCER PATIENTS

by

REBECCA ALLAN-GIBBS, MSN, RN, CNS-BC, AOCNS

May 2014

Advisor: Dr. Patricia Jarosz, PhD, RN

Major: Nursing

Degree: Doctor of Philosophy

Problem: Many hospital fall prevention studies have shown that having a diagnosis of cancer places patients at higher risk for falls/falls with injury when compared to other hospitalized groups of patients. Few studies have focused solely on cancer patients at risk for falls in the hospital setting. Specifically, this study used Dorothea Orem's theory of self-care (Orem, 2001), and Albert Bandura's (2001), social cognitive theory to determine if factors such as age, gender, health …

Spirituality In Nursing Practice, Regina Conway-Phillips

Nursing: School of Nursing Faculty Publications and Other Works

No abstract provided.

Neighborhood-Level Influences On Delays In Diagnostic Follow-Up From Mammography Screening In African-American Women: A Systematic Review, Barbara A. Fowler

Nursing Faculty Publications

Although there has been a steady decrease in breast cancer deaths among all women (pooled data) age 40 to 65 years during the past two decades in the United States, breast cancer deaths remain substantially higher among African-American women than White women (32.4% vs. 23.9%), resulting in an overall lower five-year survival rate (78.4% vs. 91.2%). These differences are primarily due to delays in diagnostic follow-up from mammography screening (MS) (ACS, 2012]. Following the secondary research data methods by analyzing the popular medical databases and articles published in the peer-reviewed medical journals in US during 2004-2014 the author would like …

The Impact Of Implementation Of An Evidence-Based Practice Model In A Long Term Acute Care Hospital, Michele L. Marshall

Doctor of Nursing Practice Program Projects

Inadequate and delayed implementation of current evidence into practice has contributed to medical errors, safety issues and patient deaths. The Institute of Medicine (IOM) has challenged the healthcare profession to achieve 90% of integration of current evidence into practice by 2020. The purpose of this doctoral project was to implement an evidence-based practice (EBP) model in a long-term acute care hospital as they began their journey in pursuit of Magnet recognition. Implementation of an EBP model, the Advancing Research and Clinical practice through close Collaboration (ARCC) model, involved conducting an initial organizational assessment of staff to understand the staff’s beliefs, …

Implementation Of A Total Knee Arthroplasty Evidence Based Practice Guideline Quality Improvement Project In A Va Orthopedic Surgical Setting To Reduce Surgical Infections, Paula A. Kimpton

Doctor of Nursing Practice Program Projects

The prevention of surgical site infections, specifically orthopedic surgery cases, has been cited as the most preventable source for morbidity and mortality for patients undergoing total knee arthroplasties (TKA). In the most recent Veteran Affairs (VA) National Surgery Office Quarterly Report (July 1, 2012 through June 30, 2013), a problem with surgical site infections was identified in patients with TKA surgery at Dayton Veterans Affairs Medical Center (VAMC). The Dayton VAMC had a 5.3% TKA surgical infection rate versus 1.3% nationally.

The purpose of this quality improvement project was to decrease post-operative TKA infection rates with utilization of evidence based …