Medicine and Health Sciences Commons^™

Management Of Stage I And Stage Ii Labor Arrest Disorder To Reduce Primary Cesarean Section Birth Rate For African American Women, Ariam Yitbarek Mha, Bsn, Rn, Nea-Bc

Doctor of Nursing Practice Projects

Background: Cesarean section delivery rate in the United States has reached an alarming rate of over 30%. African American women experience a higher cesarean birth rate compared to Caucasian Women. The repeat c-section rate for all patients is greater than 80%. These findings underscore the need for intervention to reduce primary cesarean section deliveries in African American Women.

Objective: This quality improvement project aimed to implement caregiver education on the ACOG/SMFM definition of the first and second-stage labor arrest disorder to reduce primary cesarean section birth for African American women.

Method: This pre-and post-intervention quality improvement project was conducted on …

The Impact Of Nurse-To-Nurse Change Of Shift Report At The Bedside On Patient Satisfaction Scores And Patient Safety, Tonya Washington

Doctor of Nursing Practice Projects

Background: Nursing shift report is an essential part of the clinical practice. It allows nursing staff to exchange necessary patient information to ensure continuity of care and patient safety. Traditionally, nursing shift report was done at the nurses’ station or behind closed doors and did not involve the patient.

Objective: This project aims to implement an evidenced-based bedside shift report (BSR) on two medical and two surgical inpatient units to improve patient safety and patient satisfaction scores in the Communication with Nurses domain of the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) survey.

Methods: The project utilized a …

Kangaroo Care Education For Low Socioeconomic Status Families In The Neonatal Care Unit, Joara Peterson

Nursing | Student Research Posters

The early contact between mother and baby is known as skin-to-skin, also referred to as “kangaroo care” (KC). It involves placing the baby on the mother’s chest as soon as it is appropriate (Thompson, 1979). This interaction was primarily for bonding but many researchers have discovered additional benefits. There is significant correlation between kangaroo care and weight gain (especially for low birth weight infants), as well as body temperature and heart rate regulation, which reduces the risk of medical complications. It also decreases levels of stress in mothers and babies by lowering the release of cortisol hormone (Mohammadi et al. …

The Impact Of Remote Video Monitoring On Costs And Patient Outcomes, Karen Wyche Latham Msn, Rn, Nea-Bc, Cenp

Doctor of Nursing Practice Projects

Background: Reducing patient falls remains a challenge for many acute care hospitals. Sitters (1:1 observation) are often utilized as an intervention to mitigate this. This costly intervention has drained both personnel and financial resources, forcing hospitals to find less costly alternatives to achieve the same safety outcomes. Remote video monitoring technology (RVM) is an innovative technology that supports the monitoring of multiple patients by one observer from a remote location and is an effective alternative in reducing patient falls and/or injury and associated costs.

Aim: The goal of this evidence-based practice initiative was to evaluate the effectiveness of RVM compared …

Implementation Of Collaborative Care Intervention Within A Fqhc To Achieve Uniform Data System (Uds) Measure Of Depression Remission, Rasha A. Kafi Msn, Rn, Fnp-C

Doctor of Nursing Practice Projects

Background: Depression is one of the most common and treatable mental health conditions. Untreated depression causes emotional suffering, reduced productivity, lost wages, increased comorbidity risks, and increased healthcare costs.

Purpose: The purpose of this project was to implement Collaborative Care Interventions (CCI) to achieve the Uniform Data System (UDS) Measure of Depression Remission.

Aims: The AIMS of this project were: (a) Increases the percentage of nursing staff compliance and completion of the educational training; (b) increases nursing staff knowledge of recognition of depression signs and symptoms, early identification of depression, and administration to all adult patients; (c) Increase the percentage …

Improving Mental Wellness In Clinical Staff: Use Of Respite Rooms And Mindfulness Strategies In Ambulatory Care Settings, Whitney Hodges Shanley, Karen Whitt

GW Research Showcase 2021-2026

No abstract provided.

The Jackson/Cubbin Skin Risk Assessment Tool: Implementing An Evidence-Based Practice Change Initiative In The Intensive Care Unit, Stephan Andrew Riddle, Qiuping Zhou, Patricia Mccabe

GW Research Showcase 2021-2026

No abstract provided.

Benchmark: Impact Of Weight Loss Education On Obese Patients, Tabitha A. Moorehead

MSN Capstone Projects

Objective: With an epidemic as severe as obesity, it is paramount that healthcare professionals be aware of the overarching negative effects the disease can contribute to the human body. If constructive dialogue can be achieved between patient and provider without suspicion of bias or judgment, we would potentially experience an elevated willingness of patients to follow treatment steps.

Background: According to the World Health Organization (WHO), worldwide obesity has nearly tripled since 1975. “Most of the world's population live in countries where overweight and obesity kills more people than underweight” (WHO, 2021). “More than 4 in 10 Americans are …

Nursing Care Of Family Caregivers: Interventions And Considerations Regarding Current Issues Facing Family Caregivers Of Persons With Dementia Relevant To Nursing Practice, Alayna Kent

Senior Honors Theses

There are an estimated 6.5 million Americans age 65 and older who are currently living with Alzheimer’s dementia. A large majority of these individuals receive care from a nonprofessional family caregiver, typically in the home setting. It is well documented that family caregivers of dementia patients experience many unique challenges. These challenges provide valuable opportunities for nurses to provide helpful interventions to aid this vulnerable population. An integrated review of the recent literature was conducted, and articles were chosen by a method modeled after the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) flowsheet. The research was then analyzed …

A Metabolic, Mechanical, Multi-Organ Masterpiece: Dural Device Support Bridge To En-Bloc Heart-Liver Transplantation In Propionic Acidemia, Rebecca Juhl, Brian Birnbaum, Aliessa P. Barnes, William Gibson, Bhargava Mullapudi, Beth Lang, Megan Faseler, Daniel E. Heble, Victoria Urban, Ryan T. Fischer, Jennifer L. Gannon, David Sutcliffe

Posters

Introduction: Propionic Acidemia (PA) is a disorder related to abnormal protein and lipid metabolism resulting in progressive neurological injury and dilated cardiomyopathy (DCM). Interventions for PA and secondary disease manifestations can require multi-organ transplantation. Herein we report the case of a child with PA and end-stage DCM requiring left ventricular assist device (LVAD) support with eventual heart-liver transplant. Case Report: A 17 year old male diagnosed in childhood with PA developed chronically progressive DCM culminating in end stage heart failure with acute decompensations. In a recurrent admission, he progressed to require dual inotropic support and systemic anticoagulation for new LV …

Lessons From A Natural-Born Teacher: Reflections On Mentorship And Kindness In Medical Education, Chloe Hille, Brianna Wetmore

be Still

The transition from preclinical education to medical clerkships is an important period of medical school that challenges students to advance their clinical knowledge. The help of strong and inspirational mentors is crucial for students to not only gain proficiency in their clinical skills, but to also develop into confident and compassionate future physicians.

2023 Research Day Program, Lincoln Memorial University

Research Day

This program contains abstracts and presentation summaries from LMU's 2023 Annual Research Day conference.

Iv Dexamethasone To Assist With Post Operative Pain And Nausea, Tasha Coumbs

Articles, Abstracts, and Reports

No abstract provided.

Crna Decision-Making Within The Anesthesia Care Team, Cindi L. Dabney

Theses and Dissertations (ETD)

This research focused on Certified Registered Nurse Anesthesiologists’ (CRNAs’) perspectives on the value placed on their decision-making skills within the Anesthesia Care Team (ACT). The emphasis of the study was to examine CRNA’s perspectives on the strengths, challenges, conflict resolutions, and any other information they were willing to divulge when working with physician anesthesiologists in the ACT model. An electronic survey questionnaire was sent to practicing CRNAs, primarily in the southeast region of the United States, with 171 informants completing the questionnaire. Data analysis included demographic information of the convenience sample that included age, gender, initial educational preparation as a …

Far From Home: The Role Of Travel Distance And Care Fragmentation In Surgical Outcomes For Inflammatory Bowel Disease, Alexander Booth, Henry Colorado, Gayenell Magwood Phd, Rn, Faha, Faan, Erin Forster, Robert N. Axon, Thomas Curran

Publications

BACKGROUND: Fragmented care for inflammatory bowel disease (IBD) is known to correlate negatively with outcomes, but it is unclear which aspects of care fragmentation are relevant and potentially modifiable. Furthermore, there is little data on the relationship between travel distance and the benefits of integrated care models. Hypothesizing care coordination in the preoperative period may have a significant impact on surgical outcomes, we explored associations between integrated care, travel distance, and surgical outcomes. METHODS: A single-center retrospective cohort study of patients undergoing index abdominal surgery was done to compare the rate of surgical complications with and without long travel distance …

To Obtain Informed Consent Or Not To Obtain Informed Consent? Drones For Health Programs In The Grey Zone Between Research And Public Health, Vyshnave Jeyabalan, Lorie Donelle, Patrick Meier, Elysée Nouvet

Publications

Drones are increasingly being introduced to support healthcare delivery around the world. Most Drones for Health projects are currently in the pilot phase, where frontline staff are testing the feasibility of implementing drones into their healthcare system. Many of these projects are happening in remote localities where populations have been historically under-served within national healthcare systems. Currently, there exists limited drone-specific guidance on best practices for engaging individuals in decision-making about drone use in their communities. Towards supporting the development of such guidance, this paper focuses on the issue of obtaining community and individual consent for implementing Drones for Health …

Dnp Final Report: Preventing Critical Care Nurse Burnout: An Evidence Based Approach To Raising Awareness, Trendalyn S. King

DNP Final Reports

Burnout has affected nurses nationally and globally for decades. Burnout in nurses is characterized by emotional exhaustion, depersonalization, and lack of feelings of personal accomplishment. Consequences of burnout include physical and emotional suffering in nurses, poorer patient outcomes, and lost revenue and increased cost in healthcare organizations. Burnout is prevalent in many healthcare settings, but 81% of critical care nurses have reported severe symptoms of burnout, Because of the high risk of burnout in critical care nurses, raising awareness about burnout and its prevention in those nurses was imperative. The following PICOT question guided the search for evidence to support …

2023 Spring Newsletter, Morehead State University. Nursing Department.

Nursing Department Publications Archive

2023 Spring Newsletter of the Department of Nursing at Morehead State University.

Treating Opioid Use Disorder: One Shot At A Time, Shelly Haferkamp, Michael P. Kinney, Daniel Yang, Lindsey Cunningham, Anna Davey, Amy G Burns

View All Graduate Medical Education Content

No abstract provided.

Impact Of Opioid-Free Anesthesia Versus Opioid-Based Anesthesia On Time To Extubation: A Scoping Review, Mary K. Connor Rn, Bsn, Srna, Dexter Browning Rn, Bsn, Srna, Ariel Clark Rn, Bsn, Srna, Erica B. Gates Rn, Bsn, Srna, Madison T. Mccaskill Rn, Bsn, Srna, Dwayne L. Accardo Dnp, Crna, Faana

Doctor of Nursing Practice Projects

Purpose/Background

Opioids during surgery have been clinically proven to lengthen the time between intubation and post-op extubation. Increased time to extubation is associated with negative patient outcomes. This scoping review aims to evaluate the use of ketamine with opioid free analgesia (OFA) versus traditional opioid usage and its outcomes on extubation times.

Methods

From September 2021 to November 2021, we conducted a literature search using the University of Tennessee Health Science Center’s (UTHSC) online library. Through the PubMed, CINAHL, Medline, and Cochrane databases, we identified seventy-one articles that matched our criteria. Of those articles, we selected twenty-five to undergo rapid …

Evaluating The Efficacy Of Medication-Assisted Treatment For First Episode Psychosis: A Scoping Review, Chanel Thomas Msn, Aprn, Fnp-Bc, Rn-Bc, Alexandra Wittenberg Bsn, Rn-Bc, Anttrenika Anderson Bsn, Rn, Tracy Mcclinton Dnp, Aprn, Agacnp-Bc, Ebp-C

Doctor of Nursing Practice Projects

Purpose/Background

The Substance Abuse and Mental Health Services Administration (SAMHSA) recommends that individuals with substance use disorder (SUD) receive medicated-assisted treatment (MAT), as a complete approach to substance use treatment (SAMHSA, 2019). However, treatment measures using combination treatment for SUD in individuals experiencing first episode psychosis (FEP) are seldom used. This scoping review assesses the efficacy of MAT in conjunction with antipsychotics compared to the use of antipsychotic monotherapy for FEP individuals on hospital readmission rates.

Methods

The authors conducted a literature review utilizing PubMed, EBSCO, Elsevier, Google Scholar, PsychINFO, and Medline from August 2020 to November 2022. Key phrases …

Firefighter: 24/48 Versus 48/96; Sleep, Strain, And Recovery, Amy Sprague

Honors Theses

Firefighters provide important safety services for a 24-hour society. Sleep is very important to the human body. Without sleep a person can experience both short- and long-term side effects. These side effects not only put the sleep deprived person in danger but can also put the public in danger as well. There are many different shift schedules that fire departments can run on. While on duty firefighters must be ready to respond to any emergency call, they receive no matter the time. This can impact the amount of sleep they get while on duty. The current study used biometric straps …

Substance Use Disorder Treatment Among African American Men Living In The Rural South Of The United States, Serge Raoul Wandji

Theses and Dissertations

Substance use disorders (SUD) affect more than 40 million Americans. African American (AA) men are disproportionally affected by the negative health and social consequences of SUD, and men in rural areas may be particularly at risk due to disadvantaged socioeconomic conditions and persistent race-related stressors such as perceived discrimination. The overall purpose of this study is to advance the understanding of factors associated with SUD treatment acceptance and relapse potential among Southern rural AA men.

This purpose was achieved by determining differences in treatment acceptance and relapse potential by race and gender among rural residents admitted in a SUD treatment …

Nurse Perceptions Of Caring And Professional Governance, Lan Angela Nguyen

Theses and Dissertations

Background: Caring, a characteristic of an effective work environment, and clinical nurse control over the professional governance of nursing practice results in higher nursing retention and better patient outcomes. Although the concepts of caring and professional governance of nursing practice, and their discrete associations with patient outcomes, are widely studied, little to no research is published on the nature of the relationship between caring and professional governance of nursing practice. Without understanding this relationship, it is challenging to explore the impact of this relationship on nursing practice and patient outcomes.

Aims: The purpose of this study was to describe nurse …

Is There A Relationship Between Direct Patient Care Registered Nurses Emotional Intelligence And Patient Satisfaction?, James J. Leach

Theses and Dissertations

Many studies have examined Emotional Intelligence (EI) ’s role in various groups of people. However, to date, there have not been any studies examining the role of EI in direct patient care given by ICU nurses and the relationship between the nurses’ EI and patient satisfaction. With the importance of patient satisfaction tied to hospital reimbursement and the many approaches that have been made to improve patient satisfaction, studying the people (nurses) who spend the most time with the patient seems right. The data used for this study was obtained from an EI inventory for the nurses and an ICU-specific …

Examining Relationships Among Nursing Students' Views Of Suffering, Positive Thinking, And Professional Quality Of Life, Ruth Anne Engbers

Dissertations (1934 -)

Despite the association between nursing students’ exposure to suffering and the development of compassion fatigue, little research exists regarding promoting nursing students’ adaptation to caring for suffering patients and families. As a possible nursing shortage is projected, it is imperative to better understand the factors that impact this adaptation to ensure that nursing students can successfully transition into their nursing role. Although beliefs about the reasons for human suffering affect their ability to cope with their exposure to the suffering of others, there is no empirical data regarding nursing students’ views of suffering. Nursing students also report using positive reframing …

Throughput Without Barriers, Laura Longacre

Articles, Abstracts, and Reports

No abstract provided.

Deriving A Model For Predicting Hospital Falls, Aubreylynne Porras, Kim Nicole Rossillo, Elizabeth Winokur, Jose Ramirez, Angela Leano

Articles, Abstracts, and Reports

Background: In the United States 700,000 to 1,000,000 people fall in the hospital annually, 1/3 result in injury. One single fall averages $14,000, resulting in an increase in hospital length of stay and burden on hospital budget. In St. Joseph Hospital of Orange, from calendar year 2019 to 2020, there was an increase in falls from 178 to 185 falls, despite the use of a telesitter. At time of data collection, 12 telesitter cameras were initiated after a fall. An investigation was deemed necessary to determine the cause of the increase and the factors related to patient falls.

Purpose: The …

Work-Related Burnout, Compassion Fatigue, And Nurse Intention To Leave The Profession During Covid-19, Jacqueline Christianson, Norah L. Johnson, Amanda Nelson, Maharaj Singh

College of Nursing Faculty Research and Publications

The purpose of this mixed-method study was to understand the relationships between work-related burnout (WRB), compassion fatigue (CF), and intention to leave the nursing profession. The Job Demands-Resources model was used to predict intention to leave as a function of WRB, CF, and caring for COVID-19 patients in a sample of 1299 US nurses. Greater WRB and CF scores were associated with intention to leave the profession. Contrary to prior research, working with COVID-19 patients was associated with greater intention to stay in nursing. Personal finances may represent the rationale for nurses to choose to stay nurses despite burnout.

Building A Community-Academic Partnership To Improve Screening For Intimate Partner Violence: Integrating Advocates In Healthcare Clinic Settings, Erin C. Schubert, Colleen M. Galambos, Teresa Jerofke-Owen, Erica Arrington, Greer C. Jordan, Nilanjan Lodh, Heidi Paquette, Gisela Chelimsky, Linda B. Piacentine

College of Nursing Faculty Research and Publications

Aims

To develop an innovative community-academic partnership to advance, test and promote intimate partner violence screening and referral protocols by comparing the effect of integrating intimate partner violence advocates versus enhancing medical training in medical clinic settings serving women from vulnerable populations. Detecting intimate partner violence in healthcare settings allows for survivors to connect to safety and referral resources prior to violence escalating. Screening for intimate partner violence and connecting patients to referral resources requires creating a safe and trusting relationship between healthcare providers and patients. Developing screening and referral protocols responsive to survivors' needs requires involvement of clinic staff, …