Medicine and Health Sciences Commons^™

The Role Of Nurses In Environmental Sustainability, Olivia Monroe

Honors Projects

This project explores the current literature on pollution originating from the United States healthcare sector, with emphasis on greenhouse gas emissions and waste production. Strategies healthcare organizations are implementing to reduce their pollution and actions nurses can take to support these initiatives are discussed.

Tackling Fall Risk In Geriatric Dementia Patients: The Impact Of Medication Reconciliation Relating To Polypharmacy & Falls, Jenl Khristen Ang

Nursing | Student Research Posters

Over half of the elderly population are taking three or more prescription drugs daily. For those aged 65 and older, polypharmacy, taking five or more medications, is common due to conditions like hypertension, heart disease, arthritis, and diabetes (CDC, 2019). Managing these medications can be challenging, especially for those with dementia, who may also take drugs for conditions such as diabetes or depression, which can worsen cognitive impairment (Chippa & Roy, 2023). The complex regimens and increased sensitivity to medications heighten the risk of adverse events, particularly falls, a major cause of injury, hospitalizations, and loss of independence in older …

Domestic Violence And Mental Health In Pregnant Women, Arabella M. Co

Nursing | Student Research Posters

Background: Domestic violence can include verbal, emotional, and physical abuse, which can lead to long-term mental health disorders such as stress, anxiety, or post-traumatic stress disorder. Purpose: This research includes a literature review, as well as a proposed research design to examine the significance of intimate partner violence in relation to mental health by implementing screening methods and interventions. Method: Participants will be recruited from prenatal clinics around the Bay Area. A quantitative, randomized, controlled-trial cohort study will investigate the effectiveness of the Pregnancy Risk Assessment Monitoring Systems (PRAMS). A screening tool used in determining intimate partner violence within the …

Medical Aid In Dying Education For Hospice Nurses, Ian K. Woo

Nursing | Student Research Posters

Background: Medical aid in dying (MAID) is an option surrounding end-of-life care for hospice patients. This process gives patients the autonomy to end their life during the time and location of their choosing. MAID is growing in legalization and practice across the US. However, many nurses feel uncomfortable or unprepared when providing care for patients contemplating it. Hospice nurses should have confidence in their ability to care for patients through the process of MAID. Objective: To evaluate the effectiveness of education in strengthening new hospice nurses’ ability to care for patients through the process of MAID. Method: The research will …

Editorial – Dec 2024, Edwin Van Teijlingen, Abeer Musaddique, Rafat Jan

Journal of Asian Midwives (JAM)

No abstract provided.

Enhancing Respiratory Health With Post-Yoga Exercises During Pregnancy, Hiromi Ito-Kaneko, Masayuki Uehara

Journal of Asian Midwives (JAM)

Pregnancy results in enlarged uterus and diaphragm elevation, which may cause shallow breathing. These changes often cause nocturnal dyspnea, chest discomfort, and difficulty breathing, especially late pregnancy. Training of pregnant women for extending their exhalation reduces suffocation during movement, increasing comfort during pregnancy. In prenatal yoga, deep breathing is practiced and has a relaxing effect.
The purpose of this study is to determine whether yoga exercises during pregnancy improves exhalation length.
We enrolled 152 pregnant women and used a chronograph to measure their exhalation length pre- and post-yoga exercises and compared exhaled breath length by gestational age group. The pre-yoga …

The Role Of Midwives In Achieving The Global Sustainable Development Goals, Bakhtawar Muhammad Hanif Khowaja Bk, Elizabeth K. Darling

Journal of Asian Midwives (JAM)

The sustainable development goals (SDGs) provide a comprehensive framework for global development. Midwives are playing an important role in achieving the targets of the world’s priority agendas. They are actively involved in achieving the targets of SDG#2 by providing education to women on their nutritional requirements, supporting postnatal women with breastfeeding, and educating communities on the use of clean water, sanitation, and hygiene management. Beyond counseling and educating communities on nutrition and hygiene management, they are also involved in improving other health-related outcomes that are indicators for SDG#3, such as improving maternal and child immunization, counseling mothers on tobacco …

Factors Influencing Colostrum Avoidance In Developing Countries: Insights From A Literature Review, Muhammad Zeeshan Aslam, Jonathan Johnson, Marina Baig, Abeer Musaddique

Journal of Asian Midwives (JAM)

Introduction: Colostrum is a thick, sticky, clear and yellowish-coloured milk produced after the first few hours of birth until day 3. It consists of vitamin A, proteins, lipids, potassium, and maternal antibodies, including lactoferrin, immunoglobulin, growth factors and antimicrobial factors. Colostrum avoidance is the practice of squeezing out, pumping, and discarding the first milk. Various studies have reported colostrum avoidance worldwide, but its prevalence is higher in developing countries. Every day, approximately 3000 to 4000 infants die due to diarrhea and respiratory infections in developing countries, and one of the leading causes is colostrum avoidance. Infants are unable to take …

Compassionate Care In Times Of Loss: Unraveling Nurses’ And Midwives’ Perspectives To Assess Preparedness In Stillbirth: A Review Article, Nabila Salim Ali, Arusa Lakhani, Salma Rattani, Sidrah Nausheen

Journal of Asian Midwives (JAM)

Perinatal death, including stillbirth, is a tragic event that significantly impacts holistically the well-being of affected families, particularly in low-middle-income countries (LMICs), where the incidence is alarmingly high. This paper explores the profound effects of stillbirth on parental mental health, emphasizing the associated risks of mental health challenges and examining the crucial role of nurses and midwives in managing stillbirth, from providing immediate emotional support to facilitating long-term coping strategies. Despite their essential role, they face significant challenges, including inadequate training, emotional burdens, and the need for culturally sensitive care practices. Through a comprehensive review of the literature, this paper …

Improve The Referral System Of Health Care Organizations In Rural Community Settings Of Pakistan Using Health Information Technology (Hit) - A Protocol, Saleema A. Gulzar, Alishah Aziz Gulzar, Zahid Ali Faheem, Ayesha Arif, Aamir Sarfaraz

Journal of Asian Midwives (JAM)

Pakistan is a developing country, with 65% of the population residing in rural areas. The rural population is considered vulnerable mainly due to several factors, including poverty. Climate change and the area's topography limit their access to basic human needs such as basic healthcare, affecting their quality of life. Most people lack basic information about the location and availability of healthcare facilities, including hospitals, diagnostic centres, pharmacies, and general clinics. Hence, the rural healthcare system lacks primary care physicians, nurses, midwives and allied health professionals. Inappropriate infrastructure makes it challenging to retain qualified professionals. A non-profit and non-governmental entity aims …

Kolcaba’S Comfort Theory: A Framework For Understanding The Significance Of Skin-To-Skin Care After Childbirth, Aqsa Nizar Ali

Journal of Asian Midwives (JAM)

Despite the WHO recommendations and evidenced-based results of skin-to-skin contact, it is quite an uncommon practice witnessed after childbirth. Compared to research conducted in low and middle-income nations, the majority of the studies conducted in high-income countries revealed greater rates of SSC [11]. Skin-to-skin contact, a nurturing practice, has gained significant recognition as a cornerstone of early infant care. Beyond its physiological benefits, skin-to-skin contact fosters a profound sense of comfort and connection between mother and infant. Kolcaba's theory of comfort, a comprehensive framework for understanding and promoting comfort, provides a valuable lens to explore the multifaceted benefits of skin-to-skin …

Adverse Childhood Experiences And Early Life Adversity And Their Effects On Chronic Health: A Literature Review, Ella Weatherford

The Eleanor Mann School of Nursing Undergraduate Honors Theses

With more than 439,000 annual U.S. deaths associated with childhood adversity, it is important to understand and prevent exposure to Adverse Childhood Events and Early Life Adversity. The purpose of this literature review is to identify and examine the pathophysiology between adverse childhood experiences (ACE’s) and their negative effects on health across the lifespan. Fifteen peer-reviewed articles that were published in notable journals were analyzed to include in this review. The results of these articles show that Adverse Childhood Experiences and Early Life Adversity can lead to the development of chronic inflammatory conditions across the lifespan. Using Barker Hypothesis and …

The Impact Of Hospital Protocol For Severe Alcohol Use Disorder, Meredith Jones

The Eleanor Mann School of Nursing Undergraduate Honors Theses

Background: Alcohol use disorder remains a prevalent condition within current society. For a smaller, but ever growing population, alcohol use evolves into a severe, addictive disease process. Individuals managing this disorder can suffer from acute withdrawals and further comorbidities causing eventual detriment. Medical institutions attempt to combat withdrawal with varying forms of treatment, utilized to manage symptoms and further issues “as needed.” As this condition becomes increasingly more pervasive within casual society, hospitals’ fragmented attempts to manage this disease process proves to be ineffective for this patient population.

Purpose: The purpose of this systematic review is to analyze current methods …

Constructing A Blueprint For A Professional Development Module On Interventions For Bullying And Self-Advocacy For Nursing Faculty, Glenn Murphy

Boise State University Theses and Dissertations

Bullying remains a persistent issue among nursing faculty. Nursing faculty often claim they do not have the communication skills or the confidence to address bullying behaviors and to advocate for themselves. Instead, they often avoid the perpetrators or accept bullying as part of the nursing education environment. One possible solution involves creating a professional development module for nursing faculty. My Delphi study led to the creation of a blueprint for a professional development module on interventions for bullying and self-advocacy for nursing faculty. Over the three rounds of online questionnaires, an expert panel of nursing faculty suggested content areas, recommended …

The Assignment Despite Objection Construct: Its Efficacy And Utility In Measuring Nurse-Perceived Unsafe Staffing Events And Associated Outcomes, Debra F. Fox

UNLV Theses, Dissertations, Professional Papers, and Capstones

Purpose: This three-manuscript approach provided a progressively built overview of Assignment Despite Objection as a construct used by nurses to document their perceptions of unsafe staffing events and as an unstudied concept in the staffing outcomes literature.

Background: All nurses have an ethical, legal, and professional responsibility to refuse or object to assignments they believe are unsafe for their well-being or their patient’s safety. Assignment Despite Objection being the only widely used construct nurses use to document these perceptual details. No studies have focused on Assignment Despite Objection as a construct or concept, leaving a complete gap in understanding its …

Exploring Staff Nurses’ Perceptions Of Nursing Student Enculturation Within Clinical Teaching: A Focused Ethnography, Larizza Limjuco Woodruff

UNLV Theses, Dissertations, Professional Papers, and Capstones

The traditional clinical education model in nursing has utilized on-site learning experiences in clinical settings with patient encounters. With the growing complexity and demands of contemporary nursing care today, it is imperative to question the principal assumptions that guide the design and use of traditional clinical teaching experiences. Staff nurses working with nursing students can illuminate the impact of sociocultural workplace factors on clinical teaching and learning when preparing students for practice. Yet there is little known about staff nurses’ perspectives of nursing culture and how enculturation prepares nursing students for the profession. By understanding the perceptions of enculturation among …

Cultivating Nursing Student Competency Through Serious Gaming Simulation-Enhanced Prebriefing, Shopha M. Tserotas

UNLV Theses, Dissertations, Professional Papers, and Capstones

Problem: Simulation is an effective teaching strategy for undergraduate nursing students, providing a safe environment for learning in a low-risk setting. However, students are not fully prepared to take full advantage of high-fidelity simulation activities. The purpose of this study was to examine the impact of serious gaming simulation-enhanced prebriefing on student competency and simulation effectiveness. Methodology: The study employed a quantitative, cross-sectional, quasi-experimental design using secondary data. Participants included undergraduate nursing students in a southern private university. The students were enrolled in the prelicensure nursing program and the obstetric or the transition to practice course. The control group received …

Comparison Of Two Learning Methodologies: Virtual Reality And Osce Simulation, Connor Blackwell, Tabor Mcgee

Doctoral Projects

Anesthesia education has evolved immensely over the past twenty years, and with the new virtual reality (VR) simulations created by SIMVANA, the exponential growth can continue. The anesthesia program at The University of Southern Mississippi (USM) currently utilizes an educational platform known as the Objective Structured Clinical Examination (OSCE) for their students’ clinical curriculum. With the development of technology and education models, the purpose of the doctoral project is to determine if VR simulation can produce more effective learning than the OSCE modules. To determine the effectiveness, pharmacologic lessons for intraoperative hypotension were administered through both platforms and then tested …

Improving Consistency Of Quality-Of-Life-Assessments In Schizophrenia Patients Through Structured Education For Healthcare Providers, Dorothy Stewart

Doctoral Projects

Schizophrenia is a chronic and debilitating mental disorder that significantly impacts patients' quality of life (QoL). Effective management of schizophrenia requires not only symptom control but also a comprehensive assessment of QoL to guide treatment plans. The Schizophrenia Quality of Life Scale Revision 4 (SQLS-R4) is a specialized tool designed to evaluate the unique challenges faced by patients with schizophrenia. However, inconsistencies in the administration and interpretation of the SQLS-R4 by healthcare providers have led to variability in patient care. This doctoral project aimed to address this gap by implementing a structured educational intervention for healthcare providers that focused on …

Optimizing Laboratory Appointment Adherence Among Patients Prescribed Psychoactive Medications, Tamara N. Blake

Doctor of Nursing Practice Final Project Abstract

PURPOSE

The purpose of this scholarly project was to implement a standardized nurse-driven phone call reminder protocol to improve adherence to scheduled laboratory appointments among patients prescribed psychoactive medications requiring bloodwork. This protocol is aimed to increase appointment adherence and reduce no-show rates within the clinic.

BACKGROUND

The project was implemented within a small outpatient community-based clinic in Round Rock, Texas which provides mental health services. The clinic experienced high no-show rates for scheduled laboratory appointments among patients prescribed psychoactive medications. Monitoring these patients is essential to ensure medication safety and prevent potential adverse effects.

METHODOLOGY

The six-week quality improvement …

A Proposed Instrument To Determine Mobility Eligibility Criteria And Levels For Mechanically Ventilated Patients In The Intensive Care Unit, Keira Gabrielle Miller

Doctoral Scholarly Projects & Capstones

Immobility is a problem among mechanically ventilated patients in the intensive care unit. Early mobility has been shown to benefit mechanically ventilated patient outcomes by minimizing hospital stays and costs, decreasing the risk of infection, and improving muscle strength to lead to a better quality of life. No inclusive checklists exist to evaluate patients progressing to varying levels of mobility based on specific criteria such as hemodynamics, neurological function, and disease acuity. This gap was identified after a current and comprehensive literature review on early mobilization among mechanically ventilated patients. The purpose of this project was to combine a comprehensive …

Incorporating The Pcl-5 Self Assessment Tool In The Treatment Of Post Traumatic Stress Disorder Using Virtual Reality Therapy, Janette Sanchez

Doctor of Nursing Practice

Background. Post-traumatic stress disorder occurs when individuals experience a traumatic event causing symptoms of depression, anxiety, and cognitive difficulties (Sadock et al., 2017). Failure to assess changes in post-traumatic stress disorder symptoms can result in ineffective treatments (Department of Veterans Affairs & Department of Defense, 2023). Purpose. Implement the Post Traumatic Stress Disorder Checklist for DSM-5 screening tool as part of an outpatient clinic’s virtual reality exposure therapy protocol evaluating patients’ perceived effectiveness of virtual reality exposure therapy in post-traumatic stress disorder management. Methods. All staff and providers were educated on the use of the PCL-5 screening tool. Patients were …

Young Adults’ Perceptions Of Adverse Childhood Experiences As Context And Causes Of Mental Health Conditions: Observations From The United States, Kathryn Sabella, Ian A. Lane, Murron O'Neill, Natalie Tincknell

Faculty Publications (Peer-Reviewed)

Background

Objective

Participants and setting

Methods …

Editorial Board

Nursing & Health Sciences Research Journal

No abstract provided.

Pregnancy Outcomes After Covid-19 Infection, Angela M. Blanco Guertin, Arvinder Singh, Arianna Tapia, Emily Dickinson

Nursing & Health Sciences Research Journal

Background: Since the onset of the Coronavirus 19 (COVID-19) pandemic in 2020, the medical community has raced to keep up with the continued healthcare sequelae of the virus. During this time, pregnant women and newborns have been of particular concern. A higher incidence of pregnancy-related complications was seen among women during the pandemic. This study aimed to assess the relationship between COVID-19 and pregnancy complications among women. Methods: This retrospective study analyzed records of pregnant women with active COVID-19 or a history of COVID-19 during pregnancy, admitted to a South Florida hospital between March 2020 and December 2021. Patients’ charts …

A Theory-Guided Qualitative Exploration Of Occupational Influences On Firefighters’ Dietary Behaviors, Cynthia Horton Dias, Courtney Catledge Dnp, Msn, Aprn, Fnp-Bc, Robin M. Dawson Phd, Rn, Cpnp-Pc

Publications

Background: Firefighters face many inherent occupational health hazards and increased risk for several cancers, making peak health essential. However, cardiac events and stroke continue as leading causes of on-duty deaths. Healthy diets promote prevention of cardiovascular disease and cancers. While some dietary interventions have been undertaken, sustained improvements have not been observed. Understanding firefighters’ occupational influences on dietary behavior is vital for implementation of effective interventions to improve nutrition. Methods: The Theoretical Domains Framework (TDF) guided this qualitative study. Nine focus groups of firefighters who work 24-hour shifts and one interview with a fire administrator (N = 34) were conducted …

Enhancing Warning Signs Of Mental Health Literacy: Evaluating A Digital Base Intervention For Health Profession Students, Nashwa Ibrahim

Nursing

Background: Despite its importance, Mental health literacy (MHL) among nursing and other health profession students often remains inadequate, potentially impacting their future roles as healthcare providers. This inadequacy can lead to delayed or inappropriate care for individuals with mental health concerns, perpetuating adverse outcomes and increasing the burden on healthcare systems. Aim: To evaluate a digital-based intervention designed to enhance the warning signs of mental health literacy among health profession students. Design: A quasi-experimental, one-group pretest-posttest study design was used to conduct the current study. Methods: A non-randomized trial was conducted using digital mental health literacy intervention about the warning …

Relationship Between Nursing Care Provided For Children On Mechanical Ventilation And Their Clinical Outcomes, Marwa G. Abouheiba, Nehad S. Basiouny

Nursing

Background: Indication of mechanical ventilation are variable and diverse. It is required whenever the child is unable to maintain adequate alveolar oxygenation or ventilation. Objective: To assess the relationship between provided nursing care for children on mechanical ventilation and their clinical outcomes. Setting: The Pediatric Intensive Care Unit (PICU) of Alexandria University Children’s Hospital (AUCH)at El-Shatby. Subjects: Study subjects were included both nurses and children. The first part of the study are all nurses (30) worked at the previously mentioned setting were included this inclusion was regardless of their level of education and years of experience. The second part is …

Relationship Between Nursing Care Provided For Children Postextubated From Mechanical Ventilation And Their Reventilation., Marwa G. Abouheiba, Magda E. Youssef

Nursing

Background: Respiratory failure requires mechanical ventilation to maintain gas exchange. Extubation means endotracheal tube removal, where ventilated children maintain an efficient gas exchange without ventilatory support. If extubation fails, the children will need reventilation. Therefore, after extubation, children must receive proper nursing care to prevent reventilation. Aim: This study aims to identify the relationship between nursing care provided for children post-extubated from mechanical ventilation and their reventilation. Settings: The study was conducted at the Pediatric Intensive Care Unit of Alexandria University Children’s Hospital at El-Shatby. Subjects: A convenient sample of 50 extubated children and all nurses provided care to these …

The Fields Of Care Project: Diabetes Education For Agricultural Laborers Of Stockton, California, Matthew Medel, Juan Fernando Rosero, Valerie Visochin, Antonella Winer

ELMSN E-Portfolio. A collection of Scholarly and Creative Works

No abstract provided.