Medicine and Health Sciences Commons^™

Application Of A Judgment Model Toward Measurement Of Clinical Judgment In Senior Nursing Students, Tiwaporn Pongmarutai

UNLV Theses, Dissertations, Professional Papers, and Capstones

Clinical judgment, defined as “the application of the nurse’s knowledge and experience in making decisions about client care” (The National Council of State Boards of Nursing, 2005, p. 2), has been recognized as a vital and essential skill for healthcare providers when caring for clients. Undisputedly, nurses represent the largest component of the healthcare profession and, therefore, play a major role in ensuring quality patient care in the United States. Although the concept of clinical judgment in nursing has been discussed for more than three decades, and in spite of numerous efforts to improve student clinical judgment, the recent literature …

Recent Accelerated Second-Degree Baccalaureate Graduates’ Perceptions Of Educational Preparation, Susan Candelaria

UNLV Theses, Dissertations, Professional Papers, and Capstones

As of 2008, the U.S. Department of Labor is predicting a need for greater than one million new registered nurses by the year 2016 (American Associations of Colleges of Nursing [AACN], 2008). One way that nursing schools around the country are dealing with this issue is through the creation of accelerated second-degree programs for non-nursing graduates.

The purpose of this descriptive study was to examine the perceptions of educational preparation of accelerated second-degree baccalaureate graduates, who have been out of school for at least one year, but no longer than four years. The sample consisted of 54 graduates from an …

Anencephaly: Concepts Of Personhood, Ethical Questions, And Nursing Care, Jessica L. Ryskamp

Senior Honors Theses

Anencephaly is a neural tube defect that severely limits the lifespan of affected infants. While these infants have no higher brain function, they are still persons, and should be given the same moral and ethical considerations as healthy infants. With this in mind, organ donation procedures should follow the same guidelines that apply to other donors. Because a large part of nursing care for anencephalic infants is palliative care, nurses need appropriate training to care effectively for both the infant and the family, providing for physical, emotional, psychological, and spiritual needs.

Student Persistence In Associate Degree Nursing Programs At Mississippi Community Colleges, Kathryn Lee Fleming

Dissertations

The purpose of this study was to examine factors of student persistence and attrition in addition to strategies that may help students persist in associate degree nursing programs at community colleges. Data were collected from nursing students enrolled in first-year associate degree nursing programs at participating Mississippi community colleges and analyzed using multiple regression and repeated measures ANOVAs. Tinto’s Classic Model and Bean & Metzner’s Nontraditional Model of Student Attrition were utilized in this study. This mixed methods convenience sample yielded 564 participants, and the results were as follows: environmental factors and demographic factors of student persistence were found to …

Characterizing Dietary Intake And Physical Activity Affecting Weight Gain In Kidney Transplant Recipients, Connie Klopfenstein Cupples

Theses and Dissertations (ETD)

Weight gain following kidney transplant is a significant problem with 50 to 90% of kidney transplant recipients gaining weight. Potential factors leading to weight gain following kidney transplantation have been thought to include a change in lifestyle such asdietary intake and physical activity, along with the use of immunosuppressant medications to preserve the newly implanted organ. Other influences affecting weight gain include genetic determinates such as age, gender and race. There is little data to confirm which of these factors may indeed lead to weight gain and obesity. The purpose of this study was to examine dietary intake and physical …

Resilience In Family Members Of Persons With Serious Mental Illness, Jaclene Zauszniewski, Abir K. Bekhet, M. Jane Suresky

College of Nursing Faculty Research and Publications

This integrative review summarizes current research on resilience in adult family members who have a relative with a diagnosed mental disorder that is considered serious. Within the context of resilience theory, studies identifying risk/vulnerability and positive/protective factors in family members are summarized, and studies examining seven indicators of resilience, including acceptance, hardiness, hope, mastery, self-efficacy, sense of coherence, and resourcefulness, are described. Implications for clinical practice and recommendations for future research are presented.

Psychometric Properties Of The Arabic Version Of The Depressive Cognition Scale In First-Year Adolescent Egyptian Nursing Students, Abir K. Bekhet, Jaclene Zauszniewski

College of Nursing Faculty Research and Publications

Background: Identifying depressive cognitions in adolescent nursing students can be an important step to prevent the development of clinical depression, which is positively associated with suicide. Purpose: This study focused on the psychometric testing of the Arabic version of the Depressive Cognition Scale (A-DCS) among 170 first-year adolescent Egyptian nursing students. Methods: The questionnaire was assessed for internal consistency, homogeneity, and construct validity using factor analysis and convergent validity. Results: Cronbach's alpha for (A-DCS) was .86. The homogeneity of the instrument was supported by item-to-total correlations between .30 and .70. Factor extraction generated only one factor with eigenvalues greater than …

The Association Of Religiosity, Sexual Education, And Parental Factors With Risky Sexual Behaviors Among Adolescents And Young Adults, Kristin Haglund, Richard J. Fehring

College of Nursing Faculty Research and Publications

This study examined the association of religiosity, sexual education and family structure with risky sexual behaviors among adolescents and young adults. The nationally representative sample, from the 2002 National Survey of Family Growth, included 3,168 women and men ages 15–21 years. Those who viewed religion as very important, had frequent church attendance, and held religious sexual attitudes were 27–54% less likely to have had sex and had significantly fewer sex partners than peers. Participants whose formal and parental sexual education included abstinence and those from two-parent families were 15% less likely to have had sex and had fewer partners.

Near Miss Reporting: An Educational Program, William Strub

Nursing Masters

In October 2007, the Medicare system contemplated future introduction of a new policy, which would no longer pay for eight preventable medical errors. With this potential new change in policy it becomes increasingly more important for health care institutions to monitor (track) medical errors and determine what measures can be taken proactively to prevent the occurrence of errors. The errors that might not be financially reimbursed under Medicare in the future include: - Sponges and/or surgical tools left in patients after surgery - Treatment of problems arising from air embolisms or incompatible blood transfusions - Treatment of bedsores developed while …

Further Validation Of The Body-Mind-Spirit Wellness Behavior And Characteristic Inventory For College Students, Nicole Mareno, Kathy Shadle James

Faculty Articles

Health promotion is a vital component of college health programs. College health professionals are challenged to find cost-effective, comprehensive measures to assess wellness and risk behaviors. Hettler’s 1979 Six Dimension of Wellness Model guided this inquiry. Physical, emotional, intellectual, occupational, social, and spiritual wellness dimensions were measured by the Body-Mind-Spirit Wellness Behavior and Characteristic Inventory (BMS-WBCI). This study aimed to further validate the BMS-WBCI by reporting reliability as internal consistency of the scale when used to measure wellness in a sample of college students. A descriptive cross-sectional design was utilized. A convenience sample of 106 college students from a small, …

A New Life For The Care Plan?, Laura K. Heermann Langford, Ann Tinker, Marc-Aurel Martial

Faculty Publications

The current hot topic within clinical informatics is meaningful use and incentive payments defined under the Health Information Technology for Economic and Clinical Health (HITECH) Act's electronic health record (EHR) incentive program. This recent legislation calls for healthcare providers to meet a set of minimum requirements using a certified EHR. The point of this government program is to support the widespread adoption of the EHR. The program lays out an overall plan that incentivizes hospitals and providers to implement, adopt, and "meaningfully" use an EHR. The incentive program starts with basic data entry and exchange in a standardized manner, with …

Infant Pain Management, Breanne Ziraldo

Senior Honors Theses

Emphasis on infant pain management has recently become prominent in the medical field. Though it was once thought that infants do not feel pain or remember pain, this thinking has changed due to recent research on the subject. This research has found that infants’ underdeveloped nervous systems actually leads to increased pain rather than decreased pain as previously thought. Research has also found that there are long-term developmental risks associated with prolonged or unmanaged pain in infancy. However, this has not been applied to clinical practice. Studies show that infants are still being under-medicated, if medicated at all, for painful …

Staying Alive: A Nursing Care Model In The Technical Delivery Of Dialysis, Sylvia Moe

Theses and Graduate Projects

The purpose of this project is to develop a model of a caring-healing transformational relationship by using Watson's caring theory to enhance the patient's experience on dialysis. The nursing model in a large tertiary hospital in the Midwest uses relationship-based care to identify nursing roles that will be used in the mentoring model. Transpersonal caring promotes the caring practice which is the essence of nursing and is associated with a greater sense of self-knowledge, self-control and well being with increased nurse satisfaction. It is the authentic caring knowledge and caring practice integrated in the environment for the delivery of the …

Critical Illness Myopathy, Salima Moez Meherali, Yasmin Parpio, Tazeen Ali

School of Nursing & Midwifery

Critical illness myopathy (CIM) is a syndrome of widespread muscle weakness and neurological dysfunction which can develop in critically ill patients receiving intensive care. CIM are often distinguished largely on the basis of specialized electrophysiologic testing or muscle and nerve biopsy and its causes are unknown, though they are thought to be a possible neurological manifestation of systemic inflammatory response syndrome usually developing in patients after a brief period of stay in the Intensive Care Unit (ICU). This case report aims to analyze the Clinical feature, diagnosis and treatment of CIM of 60 years old male case with Chronic Obstructive …

Subglottic Secretion Aspiration In The Prevention Of Ventilator-Associated Pneumonia: A Review Of The Literature., Rachel Scherzer

Jefferson Hospital Staff Papers and Presentations

Ventilator-associated pneumonia is a common nosocomial infection that results in both negative patient outcomes and increased health care costs. Recently, many efforts have been targeted at ventilator-associated pneumonia prevention, including the practice of subglottic secretion aspiration. Six randomized control studies examining the effectiveness of subglottic secretion aspiration in the prevention of ventilator-associated pneumonia were reviewed for this article. Results consistently show that subglottic secretion aspiration significantly reduces the incidence of ventilator-associated pneumonia in a variety of patient populations. Despite these findings, this practice is limited in clinical settings. This clinical practice should be implemented in individuals requiring mechanical ventilation to …

Factors That Influence Organizational Commitment In Nurse Manager / Subordinate Dyads, Laurie Stegeman

Master's Theses or Doctor of Nursing Practice

According to Buerhaus, Auerbach and Staiger (2009), despite the current easing of the nursing shortage due to the recent recession and many nurses putting off retirement, the nursing shortage is projected to grow to approximately 260,000 registered nurses by the year 2025. Creating a work environment within nursing practice that is healthy and productive is essential to maintaining an adequate nursing workforce (Shirey, 2006). Nurse leaders play a vital role in creating work environments that are healthy, positive and productive. The problems associated with decreasing levels of organizational commitment (OC) among staff nurses ultimately resulting in losing dedicated, skilled nursing …

Barcoding In The Ed: Who Said It Couldn’T Be Done?, Neil Kocher Rn, Cen, Charlotte Buckenmyer Rn, Ms, Susan Teti Bsn, Rn, Tara Lynne Sell Bsn, Rn., Diane Haines Msn, Rn, Cen, Neil Kocher, Peggy Borton

Department of Emergency Medicine

No abstract provided.

Intimidation And Disruptive Behaviors In The Health Care Setting, Janelle Wade

Master's Theses or Doctor of Nursing Practice

Intimidation and disruptive behavior can undermine patient care and cause staff dissatisfaction and turnover of professionals in the health care setting. These behaviors have been linked to patient safety issues, nurse satisfaction, nurse retention, as well as ineffective communication and collaboration (Fontaine & Gerardi, 2005; Institute for Safe Medication Practices (ISMP), 2004; Martin, 2008; Rosenstein & O'Daniel, 2005). The Joint Commission has made recommendations to reduce the incidence of disruptive behaviors. Hospitals are being asked to take responsibility, hold physicians accountable for their actions, and address workplace intimidation (ISMP, 2004; Rosenstein & O'Daniel, 2005; The Joint Commission, July 2008). The …

Knowledge, Attitudes, And Practice Behaviors Of Oncology Advanced Practice Nurses Regarding Advanced Care Planning For Patients With Cancer., Guiyun Zhou, Dnp, Crnp, Aocns, Jill C Stoltzfus, Phd, Arlene D Houldin, Phd, Pmhcns-Bc, Susan M Parks, Md, Beth Ann Swan, Phd, Crnp, Faan

College of Nursing Faculty Papers & Presentations

Purpose/Objectives: To establish initial reliability and validity of a Web-based survey focused on oncology advanced practice nurses' (APNs') knowledge, attitudes, and practice behaviors regarding advanced care planning, and to obtain preliminary understanding of APNs' knowledge, attitudes, and practice behaviors and perceived barriers to advanced care planning.

Design: Descriptive, cross-sectional, pilot survey study.

Setting: The eastern United States.Sample: 300 oncology APNs.Methods: Guided by the Theory of Planned Behavior, a knowledge, attitudes, and practice behaviors survey was developed and reviewed for content validity. The survey was distributed to 300 APNs via e-mail and sent again to the 89 APNs who responded to …

Reducing Mislabeled Specimen Through Lean Processes., Kay Ruachfuss Msn, Rn

Patient Care Services / Nursing

No abstract provided.

From B17 Bomber To Bedside: Using A Bundle Methodology To Enhance Quality, Kim Jordan Mha, Bsn, Rn, Ne-Bc, Carolyn L. Davidson Phd, Rn, Ccrn, Fnp-Bc, Debra Peter Msn, Rn-Bc, Kim Holleran Bsn, Rn, Cmsrn

Patient Care Services / Nursing

No abstract provided.

Technology-Enhanced Practice For Patients With Chronic Cardiac Disease: Home Implementation And Evaluation, Patricia Flatley Brennan, Gail Casper, Laura Burke, Kathy Johnson, Roger L. Brown, Rupa Valdez, Margaret Sebern, Oscar Perez, Billie Sturgeon

College of Nursing Faculty Research and Publications

Objective: This 3-year field experiment engaged 60 nurses and 282 patients in the design and evaluation of an innovative home-care nursing model, referred to as technology-enhanced practice (TEP).

Methods: Nurses using TEP augmented the usual care with a web-based resource (HeartCareII) that provided patients with self-management information, self-monitoring tools, and messaging services.

Results: Patients exposed to TEP demonstrated better quality of life and self-management of chronic heart disease during the first 4 weeks, and were no more likely than patients in usual care to make unplanned visits to a clinician or hospital. Both groups demonstrated the same long-term symptom management …

Teaching And Learning About Patient-Centered Care And Quality Using A Hybrid Learning Approach, Linda A. Johnson

Nursing Masters

Teaching RN to BSN nursing students to incorporate patient-centered care and quality concepts into practice presents both challenges and opportunities for educators. While guidelines and tools exist, the development of praxis can be an intricate process. This article describes the development, deployment and evaluation of an RN to BSN hybrid course focused on patient-centered care and quality. Strategies and evaluation methods will be outlined and consideration of the efficacy of using a hybrid instructional design will be discussed.

Evaluation Of Oncology Nurses' Knowledge, Practice Behaviors, And Confidence Specific To Chemotherapy Induced Peripheral Neuropathy, Rebecca Denise Mcallister

USF Tampa Graduate Theses and Dissertations

Chemotherapy induced peripheral neuropathy (CIPN) remains one of the most serious and challenging symptoms oncology nurses encounter in caring for patients receiving neurotoxic chemotherapy. CIPN is under-addressed, under-reported, and symptoms are minimized by healthcare providers, which adversely affect patient quality of life, physical function, and emotional well-being. There is an absence of research examining nurses’ knowledge and practice behaviors related to CIPN. The purpose of this study was to explore oncology nurses knowledge, practice behaviors, confidence, and the relationship between education, experience, and knowledge specific to CIPN.

Data was collected at Oncology Nursing Society (ONS) Chapter meetings throughout central and …

Nurturing The Novice: Lnitiating The Journey Of Transformational Shifts In The Development Of Future Nurse Mentors, Brenda Ranstrom-Llambes

Theses and Graduate Projects

The nursing profession is facing a shortage of 400,000 RNs by 2020 (Shirey, 2006), many of them holding Ieadership positions, This situation could lead to a large number of novice nurse leaders during a time when the demands for dynamic and effective leadership are growing in the evolving and complex healthcare environment. Now is the time to educate current leaders regarding the role they play in the success or failure of these novice leaders. By incorporating knowledge from Jean Watson's (1985, 2005) Caring Theory, Bernard Bass' (1985, 1998) Transformational Leadership Theory and Patricia Benner's (2001) adaptation of the Dreyfus Skill …

How To Organizationally Embed The Magnet Culture, Rachel Behrendt, Dnp, Rn, Acons, Donna Molyneaux Phd, Rn

College of Nursing Faculty Papers & Presentations

PowerPoint presentation given at 2010 National Magnet Conference in Phoenix Arizona.

Critiquing Evidence., Carolyn L. Davidson Rn, Phd, Mae Ann Pasquale Phd, Msn, Rn, Linda M. Schwartz Mde, Ahip, Cm

Patient Care Services / Nursing

No abstract provided.

Yourname In The Masthead-Yes, You Can Write For Publication!., Kim S. Hitchings Msn, Rn, Nea-Bc

Patient Care Services / Nursing

No abstract provided.

Current State And Future Of Nursing Research At Lvhn., Anne Panik Ms, Rn, Nea-Bc, Deborah Swavely Dnp, Rn

Patient Care Services / Nursing

No abstract provided.

Basic Principles For Successful Grant Writing., Mary Ellen Herzog Me D, Cfre, Cgms

Patient Care Services / Nursing

No abstract provided.