Medicine and Health Sciences Commons^™

A New Gamboge Derivative Compound 2 Inhibits Cancer Stem-Like Cells Via Suppressing Egfr Tyrosine Phosphorylation In Head And Neck Squamous Cell Carcinoma, Rongxin Deng, Xu Wang, Yang Liu, Ming Yan, Sayaka Hanada, Qin Xu, Jianjun Zhang, Zeguang Han, Wentao Chen, Ping Zhang

Nursing Faculty Publications

Cancer stem-like cells represent a population of tumour-initiating cells that lead to the relapse and metastasis of cancer. Conventional anti-cancer therapeutic drugs are usually ineffective in eliminating the cancer stem-like cells. Therefore, new drugs or therapeutic methods effectively targeting cancer stem-like cells are in urgent need to successfully cure cancer. Gamboge is a natural anti-cancer medicine whose pharmacological effects are different from those of conventional chemotherapeutical drugs and they can kill some kinds of cancer cells selectively. In this study, we identified a new gamboge derivative, Compound 2 (C2), which presents eminent suppression effects on cancer cells. Interestingly, when compared …

Graduate-Level Nursing Doctor Of Nursing Practice Entering Class 2013, Nova Southeastern University

Health Professions Divisions Course Catalogs and Course Descriptions

No abstract provided.

Evidence Based Practice: Patient Discharge Education Barriers To Patient Education, Catherine Lyerly Lingle

Nursing Theses and Capstone Projects

Evidence-based guidelines for discharge instructions, when successfully administered, reduce readmission rates in patients, leading to improved quality of life and economic savings. Unfortunately, effective delivery is complex and time consuming, placing a high demand on already overworked bedside nurses. Failure to provide complete discharge instructions can result in non adherence to patient treatment regimens and lack of essential follow-up, the most commonly identified reasons for readmissions. To improve quality of care, hospitals need to adopt a new model that incorporates delivery of intensive, one on one education to patients during the hospital stay with continuing support, guidance, and education throughout …

The Effect Of A Simulation Experience On Student Perception Of Self Confidence, Ginny N. Little

Nursing Theses and Capstone Projects

The aim is to determine if participation in a high-fidelity simulation increases student levels of self-confidence. Thirty-eight first year associate degree nursing students enrolled in a medical-surgical course in a southeastern community college participated in a diabetes simulation as part of their course. Students then voluntarily completed a survey indicating self-confidence following the simulation. Descriptive statistics were used to determine the overall mean of student responses to each question on the National League for Nursing (NLN) Student Satisfaction and Self Confidence in Learning Tool. Students rated the teaching helpful and effective with a mean score of 4.47 (sd = .951). …

Pregnancy Resolution Counseling With Adolescents, Michelle Taylor Skipper

Nursing Theses and Capstone Projects

The results of a positive pregnancy test for an adolescent female mandate a time-sensitive decision to be chosen on the outcome of that pregnancy--whether to continue to pregnancy or terminate. Ambivalence regarding the pregnancy in adolescence is typically high as the rate of unplanned pregnancies has been reported as high as eighty-six percent. In this project, Allanson's Abortion Decision Balance Sheet (ADBS) was modified to an age-appropriate literacy level and completed by nine adolescents in a public health department setting in the project "Pregnancy Resolution Counseling with Adolescents" (PRCA). Providing objective questions related to emotions regarding the pregnancy was proposed …

Registered Nurses Experience With And Perceived Effects Of Horizontal Violence, Reba B. Williams

Nursing Theses and Capstone Projects

The prevalence of horizontal violence in nursing has been well documented in the past 20 years. Recently the focus of the literature has been on developing strategies to prevent horizontal violence from occurring. The purpose of this exploratory descriptive study was to ascertain how Registered Nurses at one rural North Carolina hospital experienced and perceived horizontal violence. A "zero" tolerance policy was in place at the time of the study. The Nursing 2011 horizontal violence survey was used to examine a convenience sample of 40 nurses in this facility. The subjects were employed in seven different units throughout the hospital. …

The Effects Of A Care Delivery Model Change On Nursing Staff And Patient Satisfaction, Kathleen Gier

Nursing Theses and Capstone Projects

Hospitals across the nation are faced with the challenge of providing high-quality, cost-effective patient care. The purpose of the research study, The Effects of a Care Delivery Model Change on Nursing Staff and Patient Satisfaction, was to examine the impact of implementing a team-approach care delivery model on defined outcomes of staff satisfaction and patient satisfaction. A quasi-experimental design study was utilized to examine the effects of implementing a team-approach care delivery model on a 33-bed Medical-Surgical unit. Prior to and after implementation of the new care delivery model, data were collected regarding patient and staff satisfaction. All nursing and …

Development Of A Lateral Workplace Incivility Nurse Liaison Position In The Psychiatric Healthcare Setting, Christopher L. Brown

Nursing Theses and Capstone Projects

Workplace incivility is becoming commonplace in all work environments including health care. Research highlights the dangerous, distressing, and costly side effects of lateral workplace incivility (LWPI) including nursing staff's overall health, organizational commitment, and intent to stay. Historically, organizations have been considered safe work environments but LWPI has increased over the last several decades. There has also been limited research related to LWPI as it affects psychiatric healthcare staff and no study recommending a needs assessment or developing a position to educate and assist victims. The purpose of this project was to assess psychiatric healthcare staff's understanding and exposure to …

Floating Nurses To Specialty Areas, Deborah S. Hickman

Nursing Theses and Capstone Projects

As the largest group of health care providers, nurses play a vital role in the safety and satisfaction of patients. Despite this vital role, the nursing shortage continues to grow. As a result of this shortage and to fix staffing insufficiencies, nurses are frequently assigned to work in an area that they are not familiar with. This reassignment of a nurse to a different unit from their normally assigned unit is referred to as "floating." Nurses that are reassigned to a different unit from their normally assigned unit are referred to as "float nurses." Some healthcare professionals believe the use …

Medication Safety: Improving Faculty Knowledge And Confidence, Sharon S. Cherry

Nursing Theses and Capstone Projects

The purpose of this capstone project was to increase knowledge and confidence among nursing faculty assisting pre-licensure nursing students with the medication administration process. The project administrator designed a one day Safe Medication Practices seminar that included a Medication Administration Toolkit to increase knowledge and confidence in faculty members about safety and efficiency in giving medications with multiple students on any clinical day. This toolkit included high-fidelity simulation medication scenario case examples as a teaching pedagogy, as well as other teaching strategies to utilize in the clinical environment. Bandura's Social Learning theory provided the framework for this capstone project. The …

Compassion Fatigue Among Emergency Department Nurses, Tracy Ann Petleski

Nursing Theses and Capstone Projects

Aim: The purpose of this capstone project was to determine the prevalence of compassion fatigue among emergency department nurses. Background: Healthcare workers especially nurses working in high acuity areas are at high risk for developing compassion fatigue, burnout, and secondary stress. A concern is nurses working in the emergency department are at risk for developing compassion fatigue and should be aware of the concept, self-care activities, and available resources to improve compassion satisfaction scores and to reduce the effects of compassion fatigue burnout, and secondary stress on nurses' working in stressful environments. Method: The project was carried out at a …

Registered Nurses Perceptions Of Patient Advocacy Behaviors In The Clinical Setting, Irma Laney

Nursing Theses and Capstone Projects

Healthcare is becoming more complex and advanced; there is an increase in patient's awareness and safety, higher educational levels of the public, internet access, improved medical technology, development of the Patient's Bill of Rights, and distrust of experts. Patients are often left vulnerable and helpless in the healthcare setting due to limited knowledge about medicine, healthcare, illnesses, and their rights. The purpose of this thesis was to provide an understanding of the RN's perceptions of patient advocacy behaviors in the clinical settings. King's Interacting Systems Framework and middle range Theory of Goal Attainment provided the framework used to identify the …

Nurses' Perceptions Of Shared Medical Appointments, Kristin Monza

Nursing Theses and Capstone Projects

With the increased economic burdens placed on Americans in recent years, the topic of healthcare has been in the forefront. As healthcare reform embraces the country, healthcare organizations are forced to re-examine their business structure more accurately to reflect the changing culture and patient population. The Shared Medical Appointment (SMA) is a model in the chronic disease setting, and many of the benefits and proficiencies have been studied but no studies have assessed nurse experiences or perceptions of SMAs. The purpose of this study was to determine the Registered Nurses's experience with and perception of SMAs. A descriptive exploratory design …

The Late Preterm Infant: How Much Transition Time Is Needed To Prevent Hypothermia?, Sandi Lane

Nursing Theses and Capstone Projects

Late preterm infants are those infants born between 34 weeks and 36 and 6/7 weeks gestation. They are generally the same weight and appearance of full term infants and are treated in level 1 or well baby nurseries the same as full term infants. Late preterm infants are not as physiologically mature as full term infants and have problems that may go overlooked. Late preterm infants experience complications such as hypothermia, hypoglycemia, respiratory difficulties, and feeding problems that lead to hyperbilirubinemia. These complications can lead to longer hospital stays or readmissions and higher healthcare costs. It is the purpose of …

The Effect Of Emotional Freedom Technique On Stress And Anxiety In Nursing Students, Susan L. Patterson

Nursing Theses and Capstone Projects

Stress and anxiety have been identified as significant issues experienced by student nurses during their education. In fact, some studies have suggested that the stress experienced by nursing students is greater than that experienced by medical students, other non-nursing healthcare students, degreed nurses, and the female population in general. A recently introduced energy type therapy, Emotional Freedom Technique (EFT), combines the tapping of meridian points with a focus on the feared object or negative emotion to provide desensitization to the fear. In addition, there is repetition of a statement of self-acceptance suggested to contribute to cognitive restructuring. The purpose of …

The Effect Of Diabetes Education On Self-Efficacy And Readmission Rates Of Diabetic Patients, Angela M. Rasheed

Nursing Theses and Capstone Projects

The purpose of this study was to determine the effect of a diabetes education program on self-efficacy and readmission rates of diabetic patients. All participants were recruited based on their current enrollment with one of the largest primary care physician's practices in the Southeastern United States. Qualifying criteria included the diagnosis of being either diabetic type I or II and commitment to attend a five-week diabetes educational workshop. Participants were given the Diabetes Self-Efficacy Survey at the initial start of the diabetes educational program and also at the end of the five-week workshop to evaluate the effectiveness of the diabetes …

Awareness Of Academic Incivility: Comparison Utilizing Second Year Associate Degree Nursing Students, Myra T. Thompson

Nursing Theses and Capstone Projects

Academic incivility is a growing concern on college campuses ranging from rude behaviors, offensive language, and cheating, to hostile violent behaviors. A quantitative descriptive design was used to compare the awareness of perceptions regarding academic incivility among fourth semester nursing students currently enrolled in a private, Christian, Baptist-related university, and a rural public community college. As evidenced in the literature, uncivil behaviors in the classroom negatively impact the teaching-learning environment. Research is limited regarding academic incivility in the private institution. An identifiable gap in research is found when comparing awareness of academic incivility among students who attend a private institution …

A Structured Orientation Development System For Nursing Faculty, Dana R. Mangum

Nursing Theses and Capstone Projects

A national nursing shortage is nearing its crest. The Baby Boomer generation is beginning to retire in record numbers. Healthcare technology is continually evolving and the topography of nursing education is changing. In order to acquire, develop, and retain excellent nursing faculty to meet the ever changing demands, nursing faculty need to be streamlined into the world of academia. A Structured Orientation Development System (SODS) was developed to aid nursing faculty into the transition from expert bedside nurse to expert nursing faculty. A literature review found no evidence of a structured type nursing faculty orientation system. The purpose of this …

A Descriptive Study Of Second Year Adn Students On The Use Of Study Groups Outside The Classroom, Francine Hebert Sheppard

Nursing Theses and Capstone Projects

Study groups formed independently by students outside the classroom environment have been reported to provide some positive assistance to the learning process. This study was conducted to define the frequency that students use such study groups, to establish any relationship between using study groups and academic outcome, and to identify any themes common to the participants when describing their perceptions and experiences with study groups. The study utilized a previously-published survey tool acquired from the public domain. Forty-five ADN students enrolled at a private, Christian university participated in this study. Sample mean age of participants was 25.7 years of age. …

The Qualitative Learning Experience Of Healthcare Workers Completing A Hybrid Workplace Violence Educational Program, Gordon Gillespie, Sharon Farra, Donna Gates, Patricia Kunz Howard, Kristy L. Atkinson

Nursing Faculty Publications

Background: Hybrid educational methodologies which include online and classroom-based learning experiences increase learning. However, the course delivery preferences of learners need to be evaluated so the design and delivery of future programs will maximize learning outcomes. The aim of this study was to describe how the delivery of a hybrid program contributes to learning outcomes.

Methods: A qualitative descriptive design was used. Participants were recruited from two large emergency departments that completed a hybrid workplace violence educational program. Four focus group sessions were held with a convenience sample of 17 participants to discuss their learning experience with the hybrid educational …

The Relationship Of Moral Distress, Ethical Environment And Nurse Job Satisfaction, Francine M. Parker Edd, Msn, Rn, Ramona B. Lazenby Msn, Rn, Crnp, Jennifer L. Brown B.S.Ed., M.Ed., Ed.S, Ph.D.

Journal of Health Ethics

Nurses are fundamental to the delivery of quality, safe and competent health care in multilevel complex systems. Faced with challenging, dynamic, and evolving patient care and workforce issues, nurses must create ethical environments, which foster a respectful climate in which decisions are made and supported. The current study examined the relationship between ethical climate, frequency of moral distress, intensity of moral distress, and overall job satisfaction among registered nurses at two hospitals located in the Southeastern United States as measured by the Moral Distress Scale and the Hospital Ethical Climate Survey. The results of the correlational study suggest a …

Ua1c11/57 Sigma Theta Tau Research Day, Wku Nursing

WKU Administration Documents

Unidentified images from the 2013 Sigma Theta Tau research day.

Predictors Of Newly Licensed Registered Nurse Employability, Kevin Alan Durr

Theses Digitization Project

This study explored the applicability of a business employability model to nursing. The need for nursing education programs to assess and track employability of NLRN graduates has been demonstrated by several studies. Successful alumni surveys help generate aggregate data that faculty can use to evaluate and strengthen their programs, stimulate change, and improve outcomes.

Self-Directed Online Learning Verses Role Play: Educating Students Nursing About The Physician Orders For Life-Sustaining Treatment Document, Brenda Lee Everly

Theses Digitization Project

The purpose of this study was to compare the effectiveness of online self-directed learning (SDL) and role simulation in undergraduate baccalaureate nursing students learning about the "Physicians Orders for Life-Sustaining Treatment" (POLST) document.

Measurement Of Critical Thinking For The Rn To Bsn Student, Cathy H. Abell, M. Susan Jones, Deborah Williams, Grace Lartey

Nursing Faculty Publications

No abstract provided.

Ua61/1 Health & Human Services Nursing & Allied Health, Wku Archives

WKU Archives Collection Inventories

Publications by and about the School of Nursing.

A Practical Solution To The Challenges Of Rehabilitation Nursing Documentation, Ann Summar, Joyce Belanger, Melissa Vee

Nursing Posters

To evaluate and improve the daily progress note template in rehabilitation nursing documentation.

Simulation Training For Fiberoptic Intubations, Kelley Clark Moore

Doctor of Nursing Practice Program Projects

Airway management is the cornerstone of anesthesia practice. Fiberoptic intubations (FOIs) are one advanced airway method that Certified Registered Nurse Anesthetists (CRNAs) must be able to use. However, the low volume, high risk nature of this skill may affect a practitioner’s ability to perform this type of intubation. Despite this, no standardized training programs had been developed for this skill. The purpose of this project was to develop and implement an evidence-based educational simulation training program that allowed CRNAs the opportunity to practice safe FOIs and evaluate its effect on competence and self-confidence.

A review of the literature suggested the …

Overweight, Obesity, And Neighborhood Characteristics Among Postpartum Latinas, Colleen Keller, Michael Todd, Barbara Ainsworth, Kathryn Records, Sonia Vega-Lopez, Paska Permana, Dean Coonrod, Allison Williams

Nursing Faculty Works

Background. Weight gain during the childbearing years and failure to lose pregnancy weight after birth contribute to the development of obesity in Latinas. Design and Methods. Madres para la Salud (Mothers for Health) is a 12-month prospective, randomized controlled trial exploring a social support intervention with moderate-intensity physical activity to effect changes in body fat, systemic and fat tissue inflammation, and depression symptoms in sedentary postpartum Latinas. This paper describes the initial body composition of the sample, social support, and neighborhood contextual correlations of overweight and obese Latina mothers within the first 6 months after birth. Results. The mean body …

Self-Management Of Unpleasant Auditory Hallucinations: A Tested Practice Model, Robin Buccheri, L Trygstad, M Buffum, P Birmingham, G Dowling

Nursing and Health Professions Faculty Research and Publications

Individuals who experience auditory hallucinations (AH) frequently report hearing unpleasant voices saying disturbing things to them, making derogatory remarks about them, or commanding them to do something, including harming themselves or someone else. The Self-Management of Unpleasant Auditory Hallucinations Practice Model was developed to help psychiatric-mental health nurses in both inpatient and outpatient settings implement evidence-based nursing care for voice hearers who are distressed by unpleasant voices. The model's utility extends to nursing education, administration, and research. The model is comprised of three parts: (a) Assessment of Voice Hearer's Experience, (b) Nursing Interventions, and (c) Voice Hearer's Expected Positive Outcomes. …