Medicine and Health Sciences Commons^™

Resilience, Social Support, And Quality Of Life Among People Living With Hiv/Aids, Firman Firman, Sri Yona, Agung Waluyo

Jurnal Keperawatan Indonesia

One of the most common challenges faced by people living with human immunodeficiency virus/acquired immune deficiency syndrome (HIV/AIDS) is a low quality of life, particularly during the coronavirus disease 2019 (COVID-19) pandemic, as they are considered a vulnerable group. This study aimed to examine the relationship between resilience, social support, and quality of life among people living with HIV/AIDS during the pandemic. Conducted as a cross- sectional study, it involved 433 respondents. Data collection was carried out using a questionnaire, with Connor–Davidson Resilience Scale-25 (CD-RISC-25), Multidimensional Scale of Perceived Social Support (MSPSS), and World Health Organization Quality of Life–HIV Brief …

Evaluation Of The Use Of Structural Gamification-Based Applications By Users In Makassar City, Indonesia, Andi Fitria Idham, Ade Putrawan, Firdi Athaya, Fitrah Ramadhan, Arnis Puspitha Rasyid

Jurnal Keperawatan Indonesia

Structural gamification is a trending concept in today’s application landscape that leverages various elements and features from game design for nongame contexts. This concept has become increasingly common in various health applications today, such as Lose It!, Fat Secret, and Google Fit. This study aims to evaluate respondents’ use of structural gamification- based health applications. The research method employed in this study is quantitative and descriptive, involving data collection through questionnaires administered from July 2023 to September 2023 in Makassar City, Indonesia. The research results indicate that 90% of the respondents appreciated the ease of access and attractive interface of …

Acuity-Based Nurse Staffing, Kassandra E. Arnold, Hannah Powers, Sara Evans

SPARK Symposium Presentations

As future RNs preparing to enter the workforce in a few short months, we chose to explore the effects of nurse-to-patient ratios, specifically acuity-based staffing assignments. The Summit Medical Center’s 4th and 5th floor medical-surgical units currently utilize a fixed numerical assignment system, not considering the complexity of individual patients when assigning patients to nurses. This form of assignment-making poses potential problems with unequal workloads, contributes to an increase in nurse burnout, and potentially compromised care. Shifting to an acuity-based staffing ratio by utilizing a validated acuity assessment tool will work to improve patient outcomes and nurses’ job satisfaction. Such …

Continuous Renal Replacement Therapy Training In The Icu: An Evidence-Based Practice Proposal, Joseph C. Brabec

SACAD: Scholarly Activities

Continuous renal replacement therapy (CRRT) is a complex, high-risk intervention used in intensive care units (ICUs) for critically ill patients with acute kidney injury and hemodynamic instability. ICU nurses are responsible for initiating, monitoring, troubleshooting, and discontinuing CRRT while providing continuous bedside care (Richardson & Whatmore, 2015). However, variability in training frequency and competency validation remains a significant gap, potentially contributing to errors and adverse patient outcomes. Guided by the Iowa Model of Evidence-Based Practice, a literature review was conducted to identify best practices for CRRT training. A proposed evidence-based practice (EBP) project was developed to implement a standardized CRRT …

Do Nursing Students Perceive That They Are Educationally Prepared To Care For Minority And Ethnically Diverse Populations Upon Graduation?, Trinity T. Brisbane, Trinity T. Brisbane

Honors College Theses

Every individual has the right to receive safe and efficient care in the healthcare setting. As healthcare grows and demographics evolve rapidly, it is crucial that frontline workers, especially nurses, are adequately prepared to address the unique needs of minority and ethnically diverse populations. However, a significant gap exists in understanding how effective current nursing school curricula is in preparing students for this critical aspect of patient care. This research utilizes a quantitative survey methodology to address the central question: “Do Nursing Students Perceive That They Are Educationally Prepared to Care for Minority and Ethnically Diverse Populations upon Graduation?” The …

The Impact Of Cyber Victimization On Adolescent Mental Health, Sherri Ann Walker, Folashade Odedina

Mental Health Summit

Cyber victimization is a growing risk factor for mental health disorders among adolescents. This session explores its prevalence and impact on adolescent well-being, as well as evidence-based interventions to mitigate harm. Attendees will learn strategies for screening, risk assessment, and promoting protective factors with an integrated Christian perspective on supporting affected youth.

Ambiguous Loss In Perinatal Period: Mental Health Consequences, Rachel Joseph, Mary Highton

Mental Health Summit

Ambiguous loss (AL) occurs when grief lacks closure, such as in cases where a loved one is physically or emotionally absent. In this session, we’ll be discussing the impact of AL on parents of premature babies and how NICU nurses play a crucial role in recognizing grief, providing support, and using a holistic approach to promote parents’ long-term well-being

Integration Of A Biopsychosociospiritual Model In Mental Health Treatment Resistance, Sherri Ann Walker, Folashade Odedina

Mental Health Summit

Treatment resistance in mental health is a growing concern due to misdiagnosis, medication issues, socioeconomic barriers, and more. This presentation will cover a biopsychosocial model, addressing faith, existential concerns, and hope, expanding treatment approaches, and putting an emphasis on treatment resistance and holistic strategies to enhance patient outcomes and well-being.

Combating Compassion Fatigue Using Mindfulness Techniques, Christie Baker, Summer Cross

Student Scholarship & Creative Works

Demands placed on health care professionals have steadily increased and as a result, compassion fatigue has become an issue by adversely affecting the well-being of nurses and health care organizations. Compassion fatigue is a widely accepted phenomenon in nursing, creating an array of physical and emotional manifestations, impairing a health care provider’s ability to provide optimum quality care. The goal of this quality improvement project aimed to educate and provide emergency room nurses with a resource for self-care enhancement to subsequently decrease their risk of developing compassion fatigue. Nurses of a small, rural emergency department located in the southeastern region …

The Effects Of Dexmedetomidine On Nausea And Vomiting In Intraabdominal Surgical Patients, Sarah Mann

Scholars Week

Abstract

Purpose: Postoperative nausea and vomiting (PONV) affect a significant number of surgical patients. This Doctor of Nursing Practice project aimed to assess PONV rates and evaluate the effects of dexmedetomidine on PONV incidence in intraabdominal surgical patients. Additionally, the project sought to inform Certified Registered Nurse Anesthetists (CRNAs) about dexmedetomidine and assess the perceived value of this information through a survey.

Methodology: The retrospective analysis of 9,035 patients was conducted from January 2023 to July 2024. Data were divided into four datasets, and comparisons were made between the datasets to determine PONV rates and the effects of dexmedetomidine. The …

Defining Sexual Assault, Consent, And Resources To Empower Students: A Dnp Project, Sarah Powers

SACAD: Scholarly Activities

Abstract

Sexual assault (SA) remains a pervasive issue on college campuses in the United States, often compounded by underreporting and a lack of knowledge about available resources. This Doctor of Nursing Practice (DNP) project aims to educate first-year college students about SA, sexual consent, and available resources to empower students in preventing assaults and seeking help when needed. The intervention, which was integrated into mandatory freshman seminars at a four-year university, was guided by Knowles' Adult Learning Theory. A presentation provided critical information, and knowledge gains were assessed through pre- and post-presentation surveys. Initial findings indicated significant increases in understanding …

Use Of Telemetry In A Non-Critical Care Setting, Edna A. Howerton

Walden Dissertations and Doctoral Studies

This clinical practice guideline (CPG) project was developed for best utilization of telemetry. In order to diagnose arrhythmias and ischemic changes in the heart, continuous cardiac monitoring or telemetry is crucial. The practice-focused question was, “Does the evidence support the development and quality scoring of a CPG using the Appraisal of Guidelines for Research and Evaluation II (AGREE II) instrument, that is also approved for use in the practice setting by end users?” The purpose of this doctoral project was to create a CPG to offer the best evidence for practice and optimal approaches to improve the effective utilization of …

Pedagogy, Technology Acceptance, And Technological Pedagogical Content Knowledge Among Nursing Faculty, Rachel Ross

USF Tampa Graduate Theses and Dissertations

Integrating pedagogical and technological knowledge among faculty is crucial, especially within Florida state colleges’ Nursing (ADN) programs. I explored the impact of three decades of technological advancements on faculty's ability to incorporate technology into their teaching methods using a qualitative, exploratory design; I conducted semi-structured interviews via Microsoft Teams. The analysis of faculty perceptions, experiences, and challenges reveals a significant gap in pedagogical knowledge despite strong subject matter expertise, indicating underdeveloped instructional strategies and learner-centered pedagogies. Additionally, participants exhibited a diverse understanding of the Technological Pedagogical Content Knowledge (TPACK) framework, highlighting difficulties in effectively integrating technology, pedagogy, and content knowledge. …

The Advantages Of Being A Nurse Extern, Raylynn Broaddus, Elle Covington

Scholars Week

New graduate nurses experience low confidence levels and increased anxiety due to the limited exposure in the hospital. Nurse extern programs allow nursing students to get more hands on experience in the hospital. Is their any advantages to this? Three different research articles show advantages that arise when students complete one of these programs.

Ebp Implementing Telehealth In Outpatient Settings, Kylee Scott, Ellianna Grammer

Scholars Week

This evidence based practice project is researching if the implementation in outpatient settings would be beneficial. Specifically in the emergency department for areas such as triage and collaboration with other physicians.

Benefits Of Patient-Care Simulations For Nurse Education, Emily Pawlak, Macy Mohon, Molly Lewis

Scholars Week

This presentation was created to inform first-semester nursing students about the importance of the simulation labs they will complete throughout their BSN schooling. The research conducted indicated that these mock experiences were substantially beneficial for how nursing students learned bedside manners and clinical skills. Simulations allow students to prepare themselves to interact with patients professionally and safely while working effectively to improve patient outcomes. Although the sim-lab is a controlled environment, the scenarios that students will graded on are very real scenarios they may encounter during their clinical rotations. Our project aimed to inform students about what they can expect …

The Importance Of Nurse Involvement In Hospitalized Patient Smoking Cessation, Eudora Larson

Scholars Week

No abstract provided.

Hospital Passports: A Plan To Improve Care Of Patients With Intellectual Disabilities, Monica Mcmanemin, Kat Mccollum, Brianna Dennis

Scholars Week

Patients with intellectual disabilities frequent hospital settings, but often face barriers in communication and care due to altered needs that cannot be expressed. From these barriers hospital staff also experience frustrations in caring for these patients. Research supports that hospital passports are an excellent solution to improving care for patients with intellectual disabilities. These documents create a clear outline for hospital staff of these patients’ individual needs and allow reasonable adjustments to be made. This ensures that high quality care can be provided to all patients while also relieving stress from the healthcare providers. The goal of this project is …

Enhancing Cauti Prevention Through Daily Catheter Care Charting, Pre-Packaged Wipes, And Targeted Nursing Education, Alexis Bartolo, Hannah Todd, David Wagner

Scholars Week

Catheter-associated urinary tract infections (CAUTIs) are common healthcare-associated infections that increase patient morbidity, mortality, and healthcare costs. This evidence-based project aims to reduce CAUTIs by implementing daily catheter care charting, using pre-packaged antiseptic wipes, and providing targeted nursing education. These interventions will enhance accountability, improve hygiene practices, and equip nurses with the latest CAUTI prevention techniques. The project evaluates the current catheter care policy, comparing it with evidence-based practices to identify improvements. Guided by Dorothea Orem’s Self-Care Deficit Theory, the proposed policy changes aim to improve patient safety and care quality. By integrating these interventions into routine practice, the project …

Benefits Of Nursing Touch In Neonates, Lacy Baldwin, Camila Canedo Muzevic

Scholars Week

This paper explores the benefits of nursing neonatal soothing techniques, focusing on their short- and long-term effects in reducing stress and their influence on development. It emphasizes the nursing role through Kolcaba’s Theory of Comfort in providing proactive non-pharmacological care. Neonates, particularly preemies, face significant amounts of stress in the clinical setting which can impede proper growth and development, as well as immediate well-being. It is part of the nursing duty to alleviate stress and promote comfort. This project analyzes evidence-based research on soothing techniques, including tactile, kinesthetic, gentle human touch, interactive newborn bathing, etc. It demonstrates the positive outcomes …

The Implementation Of Music Therapy For Dementia Patients, Lauren Holcomb, Jessica Borror, Jenna Schanz

Scholars Week

This research looks into the implementation of music therapy for dementia patients in several different clinical settings. The framework for the research takes a look at person-centered nursing care which focuses on the patient as an individual with specific wants and needs.

After reviewing the research articles, aspects of changing patient care like adding implementations of personal speakers and playing music in group settings were brought up as recommendations for facilities caring for dementia patients.

With these recommendations, we believe that there will be a reduced use of pharmacological interventions for behavioral outbursts and reduce the use of restraints. Most …

Evidence Based Practice Presentation: Proper Use Of Personal Protective Equipment Protecting Health Care Workers, Bella Batts, Kristine Puckett, Jimena Calderon

Scholars Week

Personal protective equipment (PPE) is essential in safeguarding healthcare workers from exposure to infectious agents, hazardous substances, and physical risks in clinical environments. PPE includes a variety of items such as gloves, masks, face shields, gowns, and respirators, each designed to provide a barrier between healthcare workers and potentially harmful pathogens or environmental hazards. The use of PPE is particularly crucial in settings where healthcare workers are at heightened risk, such as during the treatment of patients with infectious diseases, surgical procedures, or when handling hazardous materials. The importance of PPE extends beyond individual protection, as it helps reduce the …

Mental Activities For Older Adults To Promote Cognitive Function, Paige Kramer, Riley Hancock

Scholars Week

Addressing mental activities for older adults to promote cognitive function while hospitalized. Implementing evidence-based practices that can help promote cognitive function such as crossword puzzles, word searches, art, and music therapy. Providing staff education on why cognitive function is important. Mental activities are essential needs that need to be addressed for patients.

Improving Recovery Nurses’ Satisfaction With Postoperative Transfer Of The Anesthetized Patient With The Utilization Of A Standardized Handoff Checklist, Gemma Nilsson

Scholars Week

Aim: To evaluate the effectiveness of using a standardized tool during patient handoff, addressing the lack of an organized structure for patient transfers and the risk of miscommunication. Poor communication is a leading cause of medical errors in the hospital and the transfer reports of postoperative patients in the post-anesthesia care unit are often inaccurate or incomplete (Milby, 2014; Salzwedel, 2012).

Design: A handoff tool was developed for anesthesia providers to use during postoperative patient transfers. Using descriptive statistics, the project evaluated subjective survey responses from registered nurses before and after the implementation of the tool. Perception of the tool’s …

Advancing Provider Knowledge On Precedex Use To Prevent Postoperative Delirium Through Targeted Education, Brian Gibbs

Scholars Week

Postoperative delirium (POD) is a serious and multifactorial complication commonly affecting elderly surgical patients. POD is associated with increased morbidity, longer hospital stays, and higher mortality rates. The use of benzodiazepines and opioids during the perioperative period is a significant modifiable risk factor for POD. Despite the potential of Dexmedetomidine (Precedex) to reduce POD incidence due to its sedative, and analgesic properties, it is not widely available in many operating rooms (OR). This project aimed to educate anesthesia providers on the benefits of Precedex and its role in reducing POD in patients over 65 years old. A quality improvement project …

Colorectal Cancer Screening And Correlating Gender Disparities, Kara Marr, Megan Janssen, Margaret Payne, Laura Reed Dnp, Aprn, Fnp-Bc, Cne

Doctor of Nursing Practice Projects

Purpose/Background

In 2023, colorectal cancer (CRC) was the second leading cause of cancer-related deaths in the US, equating to approximately 50,000 total deaths (National Cancer Institute, 2024). Further, it is estimated that an additional 1.4 million Americans are living with CRC (National Cancer Institute, 2024). Early detection screening modalities remain imperative since the NIH has released a combined survival rate of 70% when utilized (National Cancer Institute, 2024). Different derivatives of CRC develop from pre-cancerous polyps and are often without signs or symptoms of disease progression; this asymptomatic period emphasizes the importance of early detection and prevention of colorectal cancer …

Staff Education Program On Utilizing Non-Pharmacological Interventions To Manage Aggression Among Psychiatric Patients, Olivia Nguh

Walden Dissertations and Doctoral Studies

The staff education project aimed to address the gap in practice regarding the management of aggression in psychiatric patients at a local mental health clinic. Approximately 40% of the clinic’s patient population exhibited aggressive behaviors, including verbal threats, and physical altercations. However, nurses primarily relied on pharmacological interventions and physical restraints to manage these behaviors, which failed to address underlying causes, such as psychiatric conditions and environmental stressors. A review of the literature demonstrated strong evidence supporting the effectiveness of non-pharmacological interventions, with studies highlighting how structured training programs significantly reduced aggression, and improved patient and staff outcomes. The project …

Repositioning High-Risk Hospital Patients To Prevent Pressure Injuries​, Kylie Corrigan, Anna Kate Alexander, Amelia Oulton, Marit Turvold

SPARK Symposium Presentations

This project aims to develop both a digital and physical system to track patient repositioning in hospitals to prevent pressure injuries, a common issue for immobile patients. With 2.5 million hospital patients developing pressure injuries annually in the U.S., consistent repositioning every two hours is crucial to prevention. However, busy hospital environments often make this task challenging, leading to missed opportunities and increased incidences of pressure injuries. Current methods, which rely on manual tracking, are inefficient and contribute to the problem.

 The proposed solution is an automated tracking system integrated with the hospital's Electronic Health Records (EHR), which will alert …

Nurse Retention Through Mentorship, Leah Lodato, Campbell Wroblewski, Sarah Endre, Annika Eldred

SPARK Symposium Presentations

High turnover rates contribute to staff shortages, increased workload, burnout, and a decline in patient care quality. Nurse retention can be incredibly costly, and it is estimated to cost $56,300 per every RN who leaves their job. For the average hospital, this can equate to roughly $3.9 to $5.8 million in losses per year.” (2024 NSI National Healthcare Retention and RN Staffing Report). Our initiative focuses on implementing a structured mentorship program for new graduate nurses at Vanderbilt’s 6 East Med-Surg unit. By pairing new nurses with experienced mentors, the program aims to improve job satisfaction, provide professional …

Utilizing Chatgpt To Address Billing & Coding Gaps Among Rural Nurse Practitioners, Sarah A. Rosander, Laura Gray, David R. Phillippi

DNP Projects

Over 75% of new healthcare providers report feeling unprepared to manage billing and coding requirements. The challenge is in part a result of limited coverage of these topics in advanced practice curricula and the lack of free, accessible, and up-to-date coding resources. This quality improvement project explored the potential of ChatGPT as an innovative tool to support rural nurse practitioners in Tennessee with billing and coding challenges. Using the IHI Model for Improvement, two Plan-Do-Study-Act cycles were conducted to assess ChatGPT’s effectiveness as a billing and coding resource. The first cycle evaluated ChatGPT's accuracy in generating Current Procedural Terminology (CPT) …