Medicine and Health Sciences Commons^™

Experience Of Clinical Judgment Among Senior Associate Degree Nursing Students: A Transcendental Phenomenological Study, Hollie Bell Elmore

Doctoral Dissertations and Projects

This transcendental phenomenological study aimed to understand the experience of clinical judgment for senior associate degree nursing students at a rural community college. The students completed a 60-minute simulation involving the cardiac system and debriefed after the active simulation. The theory that guided this study was David Kolb’s experiential learning theory, which defines the learning process as creating knowledge through transforming experience. Because the experiential learning theory is flexible, it can be readily applied to many disciplines such as nursing. This theory also helped to incorporate Tanner’s Clinical Judgment Model. Data for this transcendental qualitative study were collected using semi-structured …

Medication Errors In Hospitals, Isata Jalloh

Doctoral Dissertations and Projects

In hospitals, the issue of medication errors poses a serious problem, often leading to substantial health complications and, in some cases, even deaths among hospitalized as well as discharged patients. This health challenge not only imposes a substantial financial burden on patients, insurance providers, and Federal/State governments but also contributes to elevated healthcare expenses, hindering the effective allocation of resources to address other healthcare issues. Understanding the triggers of medication errors in hospitals is critical in solving this problem. The purpose of this integrative review is to determine the causes/triggers of medication errors in hospitals. This review will highlight the …

Fall Prevention In Behavioral Health, Kanesha Moss

All Doctor of Nursing Practice (DNP) Scholarly Projects

Problem:

Falls in hospital settings pose significant safety and financial risks, particularly in Behavioral Health Units (BHU), where fall rates often exceed national averages. Despite traditional fall prevention practices, such as risk assessments and post-fall huddles, the target BH unit continued to experience high fall rates, failing to meet the National Database of Nursing Quality Indicators (NDNQI) standards. The lack of alignment between fall prevention strategies and the unique needs of behavioral health patients contributed to these unmet targets.

Aim of the Project:

This project aimed to reduce the number of falls in a 41-bed BH unit by 20% over …

Association Between Depressive Symptoms And Dynamic Balance Among Young Adults In The Community, Jinyoung Park, Cynthia Lee, Ye Eun Nam, Hyunhwa Lee

Nursing Faculty Research

Background: Detecting and addressing depression symptoms at their outset can reduce the burden on individuals and society; however, it has a limitation in that such evaluations mainly rely on self-reports. Several studies have demonstrated a strong association between motor symptoms and early depression. We aimed to associate body balance measured by the Lower Quarter Y Balance Test (YBT-LQ) with depressive symptoms among young adults in the community, to confirm the current evidence that depression negatively influences body balance. Research question: Is the YBT-LQ an objective tool for measuring and evaluating young adults’ depression risks, as well as assessing whether depression …

Concurrent Enrollment Adn-Bsn Programs: A Call To Expand Access To This Innovative Approach To The Bsn, J. Michelle Nelson

Nursing Faculty Publications and Presentations

Background: The National Education Progression in Nursing's current goal is for one million incumbent nurses and 90% of new ADN nurses to achieve a BSN or higher by 2025 in the United States. To meet this goal, programs nationwide are exploring options to increase BSN graduates. One method is the concurrent enrollment ADN-BSN pathway. This review examines how nurse educators develop and implement concurrent enrollment ADN-BSN programs in the US and calls to expand access to this important approach to academic progression in nursing. Method: A PRISMA search strategy was used to identify articles that detailed the development and implementation …

The Acceptability And Feasibility Of A Virtual Mantram Program For Patients With Posttraumatic Stress Disorder And Substance Use Disorders: Mixed Method Results, Sean Ferkul, Zena Agabani, Osamu Minami, Jill E. Bormann, Bernard Le Foll, Leah Lobo, Ahmed N. Hassan

School of Nursing and Health Science: Faculty Scholarship

Background

There is a need for expanded options for therapeutic interventions for patients with posttraumatic stress disorder (PTSD) and substance use disorder (SUD). The study aimed to examine evidence for the feasibility, safety, and acceptability of a virtual Mantram Repetition Program for adults with PTSD and SUD.

Methods

This project utilized mixed-method design (explanatory sequential design) to collect quantitative and qualitative data to evaluate the program in terms of its feasibility and acceptability. The program took place over Webex, an encrypted virtual platform. The group ran over 8 weeks, was 90 min in length, and facilitated by two individuals per …

Lived Experiences: Growing Up With A Seriously Mentally Ill Parent, Deborah Lindell, Elliane Irani

Faculty Scholarship

Introduction: Individuals with serious mental illness often have persistent and disruptive symptoms. These can profoundly affect their children's lives, exposing them to adverse social and psychological conditions. Such conditions can result in traumatic lived experiences during childhood, which can carry over into adulthood, influencing their self-perceptions and shaping their attitudes toward themselves and society. To gain insights into this phenomenon, this study explored the lived experiences of adults who grew up with a parent with serious mental illness and their perceptions of their lives in adulthood. Design: This study used an interpretive phenomenological design. Methods: Participants were invited to voluntarily …

Is Long-Term Survival Higher In Patients Who Receive Propofol-Based Total Intravenous Anesthesia During Colorectal Cancer Surgery Compared To Volatile Anesthesia, Shad Anthony Mitchell

Theses, Dissertations and Capstones

The study reviewed several retrospective cohort studies that examined the impact of propofol-based total intravenous anesthesia (TIVA) versus volatile anesthesia (VA) on the long-term survival of colorectal cancer (CRC) surgery patients. Eight studies found no significant difference in mortality between the two anesthesia types, while three studies indicated a significant decrease in all-cause mortality favoring propofol TIVA. The studies had varying follow-up periods, with some extending to five years. Notably, two studies controlled the type of volatile anesthetic used, specifically sevoflurane and desflurane. The findings suggest a potential survival advantage for propofol TIVA, warranting further investigation.

Impact Of Education As A Social Determinant On The Risk Of Type 2 Diabetes Mellitus In Korean Adults, Mi-Joon Lee, Bum-Jeun Seo, Yeon-Sook Kim

Health Science and Human Ecology Faculty Publications

Education is correlated with health literacy, which is a combination of reading and listening skills, data analysis, and decision-making during the necessary health situations. This study aims to evaluate the effect of education on the risk of type 2 diabetes mellitus (T2DM). This is a population-based cross-sectional study using the 2019 nationwide survey data in Korea. There were 3951 study subjects, after excluding participants with missing data for key exposures and outcome variables. Descriptive statistics, χ2 (chi-square) test, and logistic regression were performed to analyze the data. The prevalence of T2DM was associated with educational attainment, sex, age, smoking status, …

Epds-Us (English), Sara W. Moyer, Patricia Kinser

School of Nursing Publications

How we talk about perinatal mental health matters, even in the minute details of words on screening forms. Any shifts towards removing barriers to screening, reducing stigma, encouraging disclosures, raising awareness related to symptom prevalence and the breadth symptom related experiences, and creating opportunities for connecting with support and care are essential.

In the EPDS-US, we have adapted the wording of the original Edinburgh Postnatal Depression Scale (EPDS), using a respectful care and trauma-informed approach with a focus on optimizing patient experiences and clinical utility while maintaining reliability and validity of the 10 item scale. Many individuals report feelings of …

Menopausal Awareness: Use Of A Menopausal Questionnaire To Assess Symptomology In Menopausal Transitional And Postmenopausal Women, Lori Dalcour, Debby Macmillan, Sallie Coke, Jessica Marcus

Graduate Research Showcase

INTRODUCTION: Many women experience the debilitating symptoms of hot flashes, night sweats, memory loss and vaginal dryness during the perimenopausal, menopausal, and postmenopausal period. Limited knowledge and awareness about the menopausal experience by patients and clinicians has been correlated to delays in recognizing and managing symptoms. The practice site for this quality improvement project did not have a formal process for screening, evaluating and educating patient’s menopausal awareness and goals for quality of life.

PURPOSE: The purpose of this project was to implement and evaluate a process for routinely screening and educating all patients between 40 and 65 years seen …

Raw Data For The Study Title As ‘The Role Of Rem Sleep In Consolidating Executive Function: A Prefrontal Cortex Perspective’, Muddsar Hameed, Syed Mughees Hussain Shah, Muhammad Ibrahim, Hamzah M. Alghzawi, Sana Shakeel, Qurat Ul Ain Haq, Zain Ali, Sheraz Khan Afridi, Habiba Ali

Nursing Faculty Research

No abstract provided.

Raw Data For The Study Title As ‘Examining The Impact Of Cognitive Control And Discrimination On Mental Health Outcomes’, Muddsar Hameed, Hamzah Alghzawi, Sherbano Hashmi, Muhammad Shahab Khalid, Zainab Salahuddin, Syeda Afraah Bukharee, Muniba Shafique, Meerab Riaz, Mobeen Arif, Anaya Zahra Rashid

Nursing Faculty Research

No abstract provided.

Intentional Learning Theory: Validating Its Measurement, Sarah Mollman, Timothy J. Muckle, Margaret Martinez

College of Nursing Faculty Publications

The purpose of this article is to describe and analyze the psychometric properties of the Learning Orientation Questionnaire (LOQ), which have not been previously published. Psychometric validation involves the accumulation of proper empirical evidence to confirm measurement of the intended construct, and to justify the intended uses of the scales. LOQ is based upon the intentional learning theory, which is a comprehensive, holistic learning theory. Through the expertise of the LOQ’s developer, educational researcher, and psychometrician, this article presents evidence of LOQ’s reliability and validity according to published best practices for scale development and validation. LOQ is a reliable and …

Community Educational Session On Identifying The Signs Of Depression And Resources Available, Desiree Young

Doctor of Nursing Practice Projects

The DNP Project was designed to educate the community on identifying the signs of depression and the community resources available to them. The intent of the project was to improve the community’s knowledge of depression symptoms and the community resources available that offer assistance to those dealing with these symptoms. There is a great need for education on depression signs, as many in various communities suffer from untreated depression, which often leads to negative outcomes. The impact of the project implementation was measured by using pre- and post-survey data evaluating the participants' overall knowledge of the signs of depression, stigma …

Mobility Is Medicine: An Interdisciplinary Early Mobility Education In A Micu, Cj Lucia, Judson Mary, Vallerie Push, Jess Wojiski

Oral Presentations

This quality improvement project has implications for any ICU that has continued barriers with mobilizing patients, despite mobility being an established best practice. Due to the increase in clinician satisfaction and patient outcomes, a multimodal educational approach should be applied in other critical care settings.

Unlocking Vr Magic: Duration Of Anxiety Relief For Pediatric Needle Procedures, Anna Angelica Guzman Mendoza

Nursing | Senior Theses

There have been various studies that show the effectiveness of virtual reality (VR) being used as a non-pharmacologic and distraction method on school-aged children ranging from 6-12 years old. Despite this research, there has not been a follow-up with the use of VR and its duration of effect between each patient visit within this certain population. This study focuses on measuring the participants’ anxiety and pain levels during the needle-related procedure. The assessment tools that will be used to measure these important variables are the Children’s Fear Scale and Wong-Baker’s FACES scale. The participants of this study will be placed …

Incorporation Of Nutrition Education With Medication Injection To Sustain Weight Loss, Julia Calvelo

Nursing | Senior Theses

Background: Obesity is a widespread occurrence linked to comorbidities. Weight loss and maintenance is crucial to sustain existing health conditions and reduce risk of chronic diseases.

Lack of maintained weight loss is associated with poor education on nutrition, diet, and physical activity literacy. Objective: The purpose of this quantitative experimental study is to determine the efficacy of nutrition education among medication injection to sustain weight loss throughout treatment. It aims to promote comprehension of the aspects of nutrition, dietary habits, and physical education to not only sustain weight loss, but to understand the significance of how these elements contribute to …

Strategic Use Of Storytelling As An Advocacy Skill For Social Justice In Nursing Practice, Theresa Reichert

Nursing Posters

The purpose of this practice project is to cultivate storytelling as a nursing skillset, preparing nurses as social justice advocates within nursing practice.

The Association Between Early Exposure To Antibiotics And Childhood Asthma Incidence, Victoria Fischer

Soaring: A Journal of Undergraduate Research

This review examines the association between early exposure to antibiotics and the incidence of asthma in childhood, highlighting significant public health concerns related to antibiotic overuse. The misuse of antibiotics not only contributes to antibiotic resistance but may also impact long-term health outcomes, particularly respiratory diseases like asthma. Emerging evidence suggests that early antibiotic exposure may disrupt gut microbiota, altering immune responses and increasing the risk of asthma development. A systematic review of twenty-seven studies identified a significant correlation between antibiotic use in infancy and subsequent asthma diagnoses. However, there remains a need for further research to delineate the extent …

You've Got To Move It, Move It!, Jennifer Burris, Elizabeth Plante

Nursing Posters

An increase in reportable hospital acquired pressure injuries (stage 3, 4, or unstageable) was found to be associated with patients refusing to participate in the prevention plan of care.

Barriers To Implementation Of Practice Guidelines Against Fluid Restriction In Heart Failure, Mary Geisenhof

Nursing Posters

The overall goal was to support best practice around fluid restriction in care of the patient with heart failure.

Maternal Health Crisis: Implicit Bias/Cultural Humility Education For Perinatal Nurses, Carmen Rezak

Regis University Student Publications (comprehensive collection)

Abstract

Today, perinatal nurses are challenged to provide equitable care for a very diverse and

high-risk pregnant/postpartum patient population. Pregnant women of color are mistrustful of

the health care system and concerned about their care and risks when admitted to the hospital for

fear that they are not listened to or treated with the same respect and intent as their white patient

counterparts. Reverend Martin Luther King, Jr., in a 1966 speech, made in connection with the

Medical Committee for Human rights stated, “Of all the forms of inequality, injustice in health is

the most shocking and inhumane.” Nurses play …

Identifying The Effects Of Virtual Reality Simulation In The Nurse Education Lab, Nancy N. Khuu

Schultz-Werth Award Papers

Currently in the United States, 844 colleges are accredited for a Bachelor of Science in Nursing (BSN) program (American Association of College of Nursing, 2023). Each year, over 155,000 newly graduated registered nurses enter the hospital and clinical setting (Bradley, 2021). Many factors, including cost, time, familiarity with the electronic medical record and unit, the ability to provide patient-centered care, as well as competence with hands-on skills, can impact how much time the novice-level nurse receives for orientation on the floor. Nursing programs not only play a key role in preparing students for the NCLEX but also introduce them to …

Top Of Scope Work And Bringing Joy To The Workplace For Clinical Rns, Julie Karls, Gini Pilles, Renee Doetkott

Nursing Posters

Purpose Statement:

Support primary care transformation and team-based care goals through the utilization of RNs

Objectives:

• Encouraging all care team members to work to the top of their scope of practice, increasing joy, and pride in work while strengthening team relationships.
• Creating access for providers through co-management of chronic disease (Diabetes, Asthma and Hypertension).
• Improving patient outcomes related to chronic disease through close monotiling, relationships, and accountability

Perception Of Students As Partners In Learning Among Students And Faculty Members Of Sonam Karachi, Pakistan, Anum Shiraz Gujrati

PhD-HS 2024

Background: Students as Partners (SaP) has emerged as a student-centred approach where students are taken as active partners in determining learning outcomes and pedagogies rather than being merely passive learners and consumers in Higher Education (HE). It shifts the focus from the teacher-centred to the student learning environment and from a product to process-orientated outcomes. There is still a need to explore the perception of students as partners in HE among undergraduate and graduate nursing students and faculty members.
Purpose: The purpose of the study is to explore the perception of students and faculty members regarding students as partners in …

Concept Of Health-Related Quality Of Life Among People With Heart Failure In Karachi, Pakistan, Anny Ashiq Ali

PhD-HS 2024

Background: Non-communicable diseases (NCDs), including cardiovascular diseases, are a leading cause of global mortality. The mortality rate for cardiovascular diseases is on the rise, with 80 % to 86 % of fatalities, particularly in low- and middle-income countries, including Pakistan. Among NCDs, heart failure (HF) is a condition for which there is no cure, and patients rely on supportive treatments to maintain their quality of life. HF not only affects physical well-being but also has far-reaching consequences on the emotional, social, and cognitive aspects of life. In the context of Pakistan, where unique healthcare, sociocultural, and economic factors prevail, the …

Creating A Centralized Immunization Resource Center, Teresa Nathan

Nursing Posters

To support clinic nurses in their knowledge & comfortability around immunizations, an Immunization Resource Center was created on SharePoint. Having resources and educational materials located in a single location can help ensure consistency across the clinic system in our work with immunizations.

Professional Development In Practice: Enhancing The Npd Role, Amy Stang

Nursing Posters

Inquiry:

The problem this project is addressing is a lack of knowledge related to NPD scope and standards in the organization. The education department is largely decentralized, with staff reporting to various leaders outside of NPD department. Some areas within the organization lack support and continuing education specific to NPD.

Standardized Orientation In A Multi-Site Clinic System, Cathrine Robak

Nursing Posters

There are over 50 clinics serving more than 8 counties in CentraCare. Managers and supervisors at each clinic lead orientation of new nursing employees. The ambulatory educator recognized a need for standard orientation tools and resources as clinic managers and supervisors shared that they were each completing orientation of new nursing employees in a different way.