Medicine and Health Sciences Commons^™

Associations Of Trauma, Nightmares, And Quality Of Life In Urban African American Adolescents, Barbara Peterson

Wayne State University Dissertations

Purpose: Exposure to trauma in youth is pervasive particularly among urban, African American teens. Nightmares are considered a hallmark symptom of Posttraumatic Stress Disorder (PTSD) and are associated with poor sleep quality and poor quality of life in adults. Research about nightmares in adolescents is lacking, and these relations have not been previously examined. The purpose of this study was to examine the relationships among nightmare frequency, nightmare distress, PTSD severity, sleep quality, and quality of life in teens.

Theory: The Roy Adaptation Model was used to conceptualize nightmares as focal stimuli reducing adaptation in teens. Nightmares may heighten memories …

Teamstepps Communication And In Situ Simulation Training To Improve Individual And Team Performance During Handoff Of The Immediate Post-Operative Cardiovascular Surgical Patient, Stacy Lynn Jepsen

All Graduate Theses, Dissertations, and Other Capstone Projects

The aim of this pilot study was to identify if establishing a reliable framework for consistent use of TeamSTEPPS communication would improve the team communication and performance during the critical handoff of the cardiac surgical patient from the OR team to the ICU team. Breakdown in handoff communication has been attributed as the cause of adverse health events, delays in treatment, inappropriate treatment, increased length of stay, and increased costs and inefficiencies from rework. Standardizing handoff communication is a Joint Commission National Patient Safety Goal, and immediate postoperative cardiac surgical patients are a high-risk population needing consistently high quality communication …

Addressing Limited Clinical Experiences For Nursing Students, Shelly Eisert

Walden Dissertations and Doctoral Studies

This descriptive case study addressed the problem that nursing students at a small community college lacked clinical experiences that promoted identification of their strengths and weaknesses in knowledge and skills expected of nurses. The interest in this individual case and purpose of this study was to understand the clinical learning activities nursing students at this site believed were effective strategies for evaluating their strengths and assessing areas needing improvement in their nursing practice. The theoretical foundation of adult learning formed the basis of this descriptive case study using a survey design to assess the students' perceptions of clinical learning activities …

Wage Equality Among Internationally Educated Nurses Working In The United States, Sat Ananda Hayden

Walden Dissertations and Doctoral Studies

Discrimination against immigrants based on country of origin, gender, or race is known to contribute to wage inequality, lower morale, and decrease worker satisfaction. Healthcare leaders are just beginning to study the impact of gender and race on the wages of internationally educated nurses (IENs). Grounded in Becker's theory of discrimination, this cross-sectional study examined nursing wages for evidence of wage inequality among IENs working in the United States using secondary data collected in the 2008 quadrennial National Sample Survey of Registered Nurses. Ordinary least square regression coupled with the Blinder-Oaxaca wage decomposition was used to analyze the wages of …

Influence Of Coping Styles On Social Support Seeking Among Cancer Patient Family Caregivers, Sandra Renee Rankin

Walden Dissertations and Doctoral Studies

Family caregivers of cancer patients may enter a predeath grief cycle when their loved one is diagnosed with cancer. The emotional upheaval and accompanying stress that define predeath grief may lead to health problems for the caregiver, and also interfere with their ability to provide care for their loved one. The purpose of the present research was to examine the relationship between coping styles of family caregivers and the tendency of those caregivers to seek social support during active caregiving. This study employed a quantitative approach based on the revised coping theory and the process of bereavement, which is grounded …

Leadership And Attitudes On Adopting Evidence-Based Practice For Influenza Vaccination, Pamela A. Paparone

Walden Dissertations and Doctoral Studies

The United States has set a 90% benchmark for influenza vaccinations for healthcare personnel. Unfortunately, healthcare personnel fall far short of that mark with current rates as low as 62%. Low vaccination rates are responsible for influenza, nosocomial influenza, influenza-like illness, and mortality during influenza season. The purpose of this quantitative correlational study was to understand the relationship between leadership styles, attitudes towards evidence-based practice, and vaccination intention among New Jersey registered nurses (RNs). Diffusion of innovations theory was the theoretical foundation. The 3 instruments used were the Multifactor Leadership Questionnaire, Evidence Based Practice Attitude Scale, and Behavioral Intention Scales, …

Nurses' Knowledge And Perceptions Of Rapid Response Teams In A Psychiatric Facility, Kimberly Cecil-Riddle

Walden Dissertations and Doctoral Studies

Psychiatric illnesses can sometimes lead to behavioral outbursts that need to be addressed quickly to deescalate potentially explosive situations. Nurses are in a unique position to respond to such outbursts by calling for a rapid response team. Nurses who are part of the rapid response team should be well-informed of their roles and responsibilities in managing aggressive and violent behavior. The purpose of this project was to explore RN's and LPN's knowledge and perceptions of a rapid response team in a psychiatric facility. The Iowa model of evidence-based practice provided the framework to integrate theory into practice to improve care. …

Stop The Silence Of Elder Abuse, Elizabeth Richards

School of Nursing Faculty Publications

No abstract provided.

The Role Of Nursing Students At Two Rural Nurse-Managed Health Clinics, Elizabeth Richards, Elizabeth O'Neil, Carmen Jones, Lynn Davis, Loretta Krebs

School of Nursing Faculty Publications

With stiff competition for clinical sites, one Midwestern university partners nursing students with faculty who provide primary healthcare to clients in two rural nurse-managed clinics. Some students are also assigned to follow select clients during weekly home visit rotations for their public health clinical course. The result has been a successful faculty practice and preceptor model that benefits rural communities, a clinical setting which provides opportunities for students to experience client care needs of the underinsured or uninsured in small communities, and student exposure to the financial burdens and challenges of today’s healthcare environment in the United States.

Comparative Retrospective Analysis Assessment Of Extracellular Volume Excess In Hypertensive Hemodialysis Patients, Amma Serwaah-Bonsu

Electronic Theses and Dissertations

Cardiovascular disease, including hypertension, accounts for almost 50% of the deaths in patients with end stage renal disease (ESRD) on hemodialysis (HD) yet hypertension remains very poorly controlled in this population. The purpose of this study was to retrospectively compare control of hypertension in hemodialysis (HD) patients when extracellular volume (ECV) was assessed and managed by clinical parameters and physical assessment data alone with control of hypertension when data from blood volume monitoring (BVM) technology was also used to assess and manage ECV in a freestanding outpatient hemodialysis unit. The main cause of hypertension in the ESRD population has been …

Identifying Patients At Risk For Obstructive Sleep Apnea In Primary Health Care : Can Obesity In Combination With Other High-Risk Diagnoses Be Used For Screening Purposes?, Clelia Lima

Electronic Theses and Dissertations

Obstructive sleep apnea (OSA) affects about 15 million adults in the United States, and is an independent risk factor for all-cause mortality. The under-diagnosing of OSA has been linked to the inadequate screening by primary care practitioners (PCPs). Existing screening tools are not widely used by PCPs possibly due to time constraints they experience as providers. This study demonstrates how common high-risk diagnoses (obesity, hypertension, diabetes mellitus type 2, dyslipidemia, arrhythmia, and coronary artery disease) can be used to help PCPs identify adult patients at risk for OSA. Unlike other screening tools, these diagnoses are easy to identify in a …

Factors Related To Birth Transition Success Of Late-Preterm Infants, Karen L. Wright

Electronic Theses and Dissertations

Problem: Identifying the factors effecting birth transition success of late preterm infants may improve early recognition of newborn compromise. Multiple explanatory variables may be associated with birth transition success or failure. The purpose of the study was to determine the prevalence of, and clinical-epidemiological and demographic predictive factors for birth transition success of late preterm infants. Methods: A retrospective case-control chart review was used to compare the characteristics of successful and unsuccessful birth transition of 35 and 36 week gestational age late-preterm infants delivered in a large tertiary-care center during calendar year 2007. A mixture of categorical and numeric variables …

Effective, Efficacious, And Safe Nurse Driven Dysphagia Screening, Robin Fry, Bsn, Rn, Cnrn, Marie Wilson, Bsn, Rn, Ccrn, Cnrn, Carey Heck, Ms, Msn, Rn, Acnp-Cs, Ccrn, Cnrn

Department of Nursing papers and presentations

Introduction:

With 795,000 people suffering strokes and more than 140,000 deaths annually, stroke is the third leading cause of death in the United States.

Dysphagia screening can reduce stroke complications, such as aspiration, and can decrease delays in nutritional support.  Decreasing nutritional support delays can improve patient outcomes.

The Impact Of Gi Inpatient Nursing Rounds On Patient Procedure Cancellations, Barbara Alpini, Rn, Cgrn, Elise Dorr-Dorynek, Rn, Bsn, Crrn, Cgrn

Department of Nursing papers and presentations

Abstract:

Research on rounding among hospital providers demonstrated the fundamental value in the practice.  If rounding is of value in surgical, medical, and other areas, it is logical to hypothesize that structured rounds would be useful for other nursing units, such those performing special procedures.  Structured rounding between GI nurses and colleagues on inpatient units could enhance preparation and efficient care of patients, decrease same day cancellations, and increase RN satisfaction with communication.  Analysis using a Z-test demonstrated some support for a reduction in canceled procedures.  Nurses also reported satisfaction with this new rounding procedure.

Nurses' Knowledge Of Evidence-Based Guidelines For Prevention Of Ventilator-Associated Pneumonia In Critical Care Areas: A Pre And Post Test Design, Sm Meherali, Y Parpio, Tazeen S. Ali, F Javed

School of Nursing & Midwifery

Background: Ventilator associated pneumonia (VAP) is a common hospital acquired pneumonia inventilated patients. VAP is associated with increasedmorbidity, mortality duration of hospitalization and cost of treatment. Critical care nurses are usually unaware of evidence based preventiveguidelines for VAP, resulting in negative impact on all aspects of patient care. This studyinvestigated the impact of a 5-hour teaching moduleon nurses’ knowledge to practice evidence based guidelines for the prevention of VAP.
Methods: This study was conducted at a private tertiary care teaching hospital in Karachi, Pakistan. Single group pre-test post-test design was used. Fortynurses were included in the study. The knowledge of …

The Use Of Video Role Play For Teaching Therapeutic Communication Skills, Hong- Gu He, Sandra Mackey, Anthony O'Brien, Elaine Ng, David Arthur

School of Nursing & Midwifery

No abstract provided.

Phasing Out The General Nursing Diploma Programme At Aga Khan University School Of Nursing Karachi, Pakistan, Salma Amin Rattani, Laila Akbar Ali, Shireen Salim Velji, Amina Malik

School of Nursing & Midwifery

Aga Khan University was established as medical complex in 1980 and in 1983 received charter as first private university in Pakistan. Thus nursing education moved under the umbrella of a university which allowed starting under graduate and graduate degree education and in light of global trends in nursing profession and staffing and financial impact of nursing education, 2010 was the last intake of university's founding programme; general nursing diploma. Concerns; male vs female nurses and taking nursing education as an easy route to enter in higher education resulting in unattained staffing require deliberations by stake holder including Pakistan Nursing Council.

Undergraduate Student Catalog 2011-2012, Nova Southeastern University

Undergraduate Programs Course Catalogs

No abstract provided.

Examining The Relationship Among Physical And Psychological Health, Parent And Peer Attachment, And Cyberbullying In Adolescents In Urban And Suburban Environments, Jemica Monique Carter

Wayne State University Dissertations

Cyberbullying is a new phenomenon that has received substantial attention via media. An extensive review of the literature revealed limited nursing research on this topic. The purpose of this study was to examine the impact of cyberbullying on adolescents' physical (e.g., headache, stomachache, etc.) and psychosocial (e.g., self-esteem, depression, post traumatic stress syndrome, etc.) outcomes. Individuals who experience repeated traditional bullying are at increased risk for experiencing repeated incidents of cyberbullying. Research has shown that effects of cyberbullying may be more traumatic than traditional bullying because victims can be bullied 24 hours and 7 days a week, on and off …

The Influence Of Culture, Socioeconomic Status And Genetics On The Perception Of Pain And Efficacy Of Pain Treatments, Anne Whitworth Robbins

Senior Honors Theses and Projects

No abstract provided.

A Salutogenic Framework To Understand Disparity In Breast Cancer Screening Behavior In African American Women, Regina Conway-Phillips

Dissertations

African American women (AAW) have the highest breast cancer mortality rate than any other racial or ethnic group. Limited access to care reduces mammography screening for AAW. Despite barriers, some AAW engage in breast cancer screening (BCS) behaviors like mammography. The salutogenic theory of health focuses on positive health behaviors and offers a framework to understand personal factors which allow some AAW to overcome adversity and engage in BCS. Sense of coherence (SOC) is central to salutogenic theory. Individuals with greater SOC utilize available resources to attain optimal health. This study: 1) Evaluated the contribution of SOC, social support and …

Working Together Toward A Common Goal: A Grounded Theory Of Nurse-Physician Collaboration, Lori Lynn Fewster-Thuente

Dissertations

Purpose: Effective collaboration has been identified as essential to quality patient care processes and outcomes. Yet, the conceptual and theoretical basis for understanding and practicing collaboration remains underdeveloped and imprecise. These factors may hamper the study of collaboration and therefore the optimization of care processes and outcomes. The purpose of this study was to understand the social processes associated with collaboration between nurses and physicians, with the intention of theory development.

Background: Collaboration, or a lack thereof, has been shown to impact both provider and patient satisfaction and outcomes. JCAHO now requires proof of collaboration for accreditation. Many organizations state …

Rapid Response Team Utilization Of Modified Early Warning Scores To Improve Patient Outcomes, Nikki L. Stoffel-Lowis

All Graduate Theses, Dissertations, and Other Capstone Projects

This retrospective, descriptive study was designed to (a) determine if the Modified Early Warning Score risk assessment tool identified moderate to high risk patients prior to the activation of the Rapid Response Team (b) determine how much time occurred from the onset of clinical deterioration until activation of the Rapid Response Team. A Modified Early Warning Score (MEWS) was applied to the documented vital signs in the medical records of a convenience sample of 108 adult patients between the ages of 19 and 99 years of age who had experienced an activation of the Rapid Response Team (RRT). A risk …

The Meaning Of Adherence Among Veterans Receiving Pegylated Interferon And Ribavirin Antiviral Treatment For Chronic Hepatitis C, Frances Hinshaw Phillips

Nursing Dissertations - Archive

The purpose of this study was to describe the meaning of adherence and adherence experiences in hepatitis C (HCV) infected Veterans receiving pegylated interferon and ribavirin antiviral treatment. In addition, how these experiences influenced the Veteran‟s choice to remain adherent or non-adherent was vital to the concept of adherence. The theoretical framework used to guide this project was the Information, Motivation and Behavioral Skills Model of Adherence.A convenience sample of 21 HCV infected Veterans who were enrolled in a VA HCV treatment clinic were recruited. Those who were receiving antiviral treatment or who had recently completed antiviral treatment were eligible …

Mentoring Nurse Practitioners In A Hospital Setting, Rodica S. Pop

Nursing Dissertations - Archive

In 2009, the American Academy of Nurse Practitioners report identified more than 125, 000 Nurse Practitioners (NP) working in the United States. As the number of NPs increases and their role expands, questions about their work satisfaction and ability to learn and perform the role arise. Since NPs have to combine a nursing philosophy with a medical care model, it is often difficult to mediate the two approaches and fully understand the role. Mentoring has been successfully used to facilitate role transition and role understanding for nurses and physicians, but has been rarely studied in NPs. Although widely used in …

Strategies To Improve Respiratory Outcomes In Premature Infants With Respiratory Distress Syndrome, Patricia Thomas

Nursing Dissertations - Archive

Infants born prematurely with respiratory distress syndrome (RDS) are at high risk for complications from mechanical ventilation. Strategies are needed to minimize their days on the ventilator. The purpose of this study was to compare extubation success rates in infants treated with two different types of continuous positive airway pressure (CPAP). A retrospective cohort study design was used. Data were retrieved from electronic medical records for patients in a large, metropolitan, Level III neonatal intensive care unit. A sample of 194 premature infants with RDS were selected, 124 of whom were treated with nasal intermittent positive pressure ventilation (NIPPV) and …

Health Screenings Beyond A History Of Gestational Diabetes Mellitus: A Secondary Analysis Of The Behavioral Risk Factor Surveillance System, Johnnetta Phillips Kelly

Nursing Dissertations - Archive

Gestational diabetes mellitus (GDM) affects over 200,000 women in the United States each year placing them at a sevenfold risk of developing type 2 diabetes mellitus within a decade of delivery as compared to women without GDM. Diabetes has been projected to become more epidemic among women yet, a paucity of research has examined glucose screening trends beyond the postpartum period and longitudinal studies are few among those with a reproductive history of GDM. Suboptimal glucose screening and delayed diabetes detection can lead to an increased risk of cardiometabolic morbidity and mortality. Therefore, this study was designed to examine the …

Evaluation Of A Peer-Delivered, Strength-Based Family Education Program On Family Resilience Factors In Veterans Returning From Iraq And Afghanistan, Jane M. Harmon

Doctor of Nursing Practice (DNP) Scholarly Projects - Archive

Purpose: The purpose of this study was to evaluate the effects of participation in a peer-led, strength-based family education program focused on family resilience factors in returning OIF/OEF veterans and their families. 4 Data sources: De-identified data from Veterans returning from Iraq and Afghanistan and veteran family member participants in the 8-week Operation Resilient Families (ORP) program was analyzed. Data analysis included review of demographic information and statistical analysis of pre- and post self-assessment evaluation questionnaires. Results: Demographic data was provided on forty seven of fifty-three known participants - 89%. Data represented veterans and veteran family members, with nineteen (19) …

Providing Mobile Librarian Service To A College Of Nursing To Increase Interactions And Transactions: One Wayne State University, Science And Technology Librarian's Experience, Nancy A. Wilmes

Library Scholarly Publications

A mobile librarian service to the Wayne State University College of Nursing was developed to provide in-person reference and research support. This service has been successfully used for eight semesters by College of Nursing faculty, graduate students, and some undergraduates for support of research and course work. This article will address the details and provide a description of the service.

Taking Care Of Pressure Ulcers, Christina Madura

Natural Sciences Student Research Presentations

No abstract provided.