Medicine and Health Sciences Commons^™

Nurse Leader Burnout: A Pre-Survey/Post-Survey Quality Improvement Project, Shannon Martinez

Regis University Student Publications (comprehensive collection)

Title of the Project: Nurse Leader Burnout: A Pre-Survey/Post-Survey Quality Improvement Project

Objective/Purpose of the project: The objective of the project was to provide time for inpatient nurse leaders to take time to visit the resiliency room and or cart. The purpose of the study is to determine if scheduled use of the resiliency room and or cart can help improve nurse leaders’ ability to clear their mind and decrease burnout. Methods: Sample size of 17 inpatient nurse leaders at Sky Ridge Medical center were sent via Survey Monkey, a pre-survey using the Occupational Fatigue Recovery scale (OFERs). After …

Development And Implementation Of A Standardized Multimodal Nurse Training Program For The Placement Of Ultrasound-Guided Peripheral Intravenous (Usgpiv) Access, Timothy J. Belden

Regis University Student Publications (comprehensive collection)

Objective

The purpose of the quality improvement project was to develop and implement a standardized multimodal nurse training program following a fixed curriculum for the placement of USGPIV in patients with Difficult Venous Access (DVA) to increase nurse knowledge, self-efficacy, skill level, and increase the number of nurses proficient for independent placements.

Evaluation Methods

This project incorporated a quasi-experimental time series with a mixed methodology study design using purposeful and convenience sampling. Participant demographic and descriptive data were collected at the beginning of the training program. Additionally, quantitative data was collected by evaluating pre-test data, followed by post-test data collection …

Radiation Therapy Of Glioblastoma: Experience Of A Moroccan Center, Hassani Wissal, El Ayachi Zineb, Farhane Fatim-Zahra, Alami Zenab, Bouhafa Touria

Health Sciences

Background: Glioblastomas are the most frequent and aggressive primary brain tumors. Their prognosis remains bleak, despite progress in management and understanding of the different biological mechanisms. Our objective is to highlight the impact of radiotherapy in improving the management of glioblastoma through the experience of the radiotherapy department at Hassan II University Hospital. Materials and Methods: This was a retrospective study analyzing the medical records of patients with glioblastoma over the period from August 2012 to January 2020. The data was analyzed using the epi-info software, therapeutic toxicities evaluated according to CTCAE V.4 scale, and overall survival estimated by the …

To Publish Or Not To Publish Phd Parts Before Its Completion Is Also An Ethical Question, Christos Melidis

Health Sciences

No Abstract for this article type.

Work-Life Balance: Combating Nurse Practitioner Burnout And Primary Care Provider Shortages Utilizing Telehealth, Jennifer O'Dell

Graduate Research Projects

No abstract provided.

Robotic Team High Reliability Organization’S Communication Evaluation Tool, Joanne F. Mercurio

Regis University Student Publications (comprehensive collection)

Multidisciplinary team communication in robotic surgery presents several safety considerations for the intraoperative surgical patient. It is an important consideration since the surgeon and the operating room team are geographically distanced with the surgeon at the console, and the other team members situated at the patient bedside. Scrubbed team members are performing such functions as positioning the robotic arms as well as exchanging instruments, while the remaining interprofessional team members are coordinating multiple patient care activities. It therefore becomes imperative that the recognition of the potential for miscommunication is of paramount importance, and strategies need to be generated that will …

Implementation Of A Revised Intubation Checklist For A Critical Care Transport Team, Teresa M. Zuber

Regis University Student Publications (comprehensive collection)

Critical care transport teams are often tasked with performing endotracheal intubation (ETI) during transport while adhering “to the same standards as in-hospital emergency anesthesia” (Lockey et al., 2017). One transport team adopted a checklist in 2014 to meet this high standard, but because of changes in equipment and practice expectation, an updated version was needed. The purpose of this quality improvement (QI) project was to design an updated checklist and measure the following primary outcomes: first pass success and steps taken to mitigate hypoxia and hypotension (and/or elevated shock index) prior to intubation. Additionally, a survey was administered to the …

The Impact Of Self-Care On Nursing Faculty Burnout And Worklife, Jennifer J. Harrington

Regis University Student Publications (comprehensive collection)

Nursing faculty are relied upon to prepare the nursing workforce of the future. The stress and pressure felt by nursing faculty impacts their ability to practice self-care, and this threatens their ability to perform optimally. Lack of self-care can lead to diminished quality of life, and ultimately burnout. Feelings of burnout and decreased quality of life, which are precursors to faculty turnover, further perpetuates the nursing shortage. A Quality Improvement (QI) Pilot Initiative, with an evidence-based design methodology was implemented within one university’s nursing department, located in a western state, to address this problem. Using a pre-post survey design and …

What Impact Does The Ability To Access Healthcare Have On Maternal Outcomes In Africa?, Helena Harris

Nursing | Senior Theses

Background: Maternal mortality rates reflect health inequities in access to obstetric care in some parts of the world including many African countries. Geographical barriers and limited number of skilled human resources have put women in rural areas at a significantly higher risk of maternal mortality.

Research Question: What impact does the ability to access healthcare have on maternal outcomes in African rural areas compared to urban cities?

Methods: A literature review was performed of credible databases. Six articles were reviewed extensively highlighting the purpose, strengths, and limitations of each study. Refer to Appendix A for the literature review table.

Findings: …

Ineffective Aggregation Of Filipino-American Health Assessment Data & It's Effect On Individualized Healthcare, Marrian Gutierrez, Anthony Rain Macoy

Nursing | Senior Theses

Background

Filipino-Americans and their health care data seem to be difficult to find individually, and this is due to the continual grouping of this population with other Asian subgroups into the Asian-American population. The needs of the Filipino-American population are distinctly different from other Asian-American subgroups, and the underrepresentation leads to inadequate health care, lack of education within the community, and in some cases, disproportional deaths of Filipino-Americans.

Objective

To highlight the importance of adequate aggregation of health assessment data of a specific population on individualized care, in this paper, Filipino-Americans.

Summary of Findings

In the review of literature, it …

Retinopathy: Reducing The Risk For Patients With Type Ii Diabetes Mellitus, Jasmyn Mei

Nursing | Senior Theses

Background In our modern environment, diabetes has become a significant public health issue. It is estimated that there are currently 537 million diabetics living in the world. According to those predictions, there will be about 783 million diabetics worldwide by 2045. With the effects of rapid lifestyle changes and urbanization, there is a rising tendency in the prevalence of diabetes and its consequences, such as retinopathy. Moreover, diabetic retinopathy is an important cause of avoidable blindness.

Objective The purpose of this study is to evaluate whether there is a relationship between early education and health outcomes in regards to retinopathy. …

Studying The Impact Of Hyperlipidemia Monitoring Tools On Referral Rates In Patients Taking Antipsychotics, Jasmyn S. Allen

Doctoral Projects

The purpose of this DNP project is to determine how well an evaluation tool may be used to track hyperlipidemia in patients using antipsychotic medicines who are between the ages of 20 and 50. Elevated lipid contents in the bloodstream, or hyperlipidemia, increase the danger of heart-related illnesses. Antipsychotic drugs, frequently administered for mental health disorders and dyslipidemia, have been connected. The goal is to ascertain whether utilizing an evaluation tool raises the three-month referral rates for hyperlipidemia to primary care (Dayabandara et al., 2017). The foundation of the research is found in several articles collected from different websites. According …

Early Identification Of Barriers To Medication Adherence In The Elderly Population Through The Use Of A Modified Screening Tool, Miranda Joyner, Blake Meranto

Doctoral Projects

Medication nonadherence (MNA) is a major contributor to hospitalizations and accounts for billions of dollars spent every year on health care. Despite medications being prescribed in nearly 75% of healthcare interactions, it is estimated that 33 to 50% of Americans do not take their medications as prescribed, if at all (Bartlett Ellis et al., 2020; Kleinsinger, 2018). The COM-B (Capability, Opportunity, Motivation, Behavior) Model used in this DNP project suggests that an individual must have the capability, opportunity, and motivation to enact a certain behavior, and should any of these areas be lacking, the behavior is unlikely to occur. This …

Effectiveness Of Staff Training On Trauma-Informed Care, Brandy Tramel Williams

Doctoral Projects

The connection between experiencing trauma and the development of substance use disorder is widely recognized. Although trauma is more prevalent among individuals with substance use disorders, healthcare professionals have limited access to training focused on trauma informed care. It is crucial for those working in addiction treatment to receive training and education on trauma informed care to understand the impact of trauma and its association with substance use disorders.

This DNP project's objective was to develop and evaluate an educational presentation for staff emphasizing the importance of trauma-informed care in the context of addiction. The effectiveness of this intervention was …

A Multifaceted Approach Using Implementation Science Methods To Increase Chg Bathing Compliance And Reduce Central Line Associated Blood Stream Infections On A Non-Icu Unit, Emily E. Warwick

VCU Health Nursing

BACKGROUND or RATIONALE:

The Acute Care Surgery unit (ACS) is a General and Progressive level of care post-operative unit at VCU Health system. Between quarter four 2021 and quarter one of 2023, five Central line associated blood stream infections (CLABSIs) occurred. NDNQI data revealed ACS had a higher CLABSI rate per 1,000 patient days than the national average of other similar type units in other magnet hospitals.

STATEMENT OF THE PROBLEM:

A GAP analysis revealed ACS did not achieve the 80% CHG compliance goal set by VCU Health’s Infection Prevention Department in all six quarters that these five CLABSIs occurred. …

The Role Of Body Appreciation And Self-Worth In The Social Support, Self-Management, And Glycemic Control Relationships With Type 2 Diabetes Mellitus Among Adult Arab Omani Women, Samia Alharrasi

Wayne State University Dissertations

Background: Diabetes self-management (DSM) is the mainstay of type 2 diabetes mellitus (T2DM) control. Adhering to self-management tasks is demanding, especially for women living with T2DM. Adult Arab Omani women living with T2DM are highly influenced by their social environment, which might impact women’s body appreciation and self-worth. The literature focused on these psychological determinants of DSM adherence behavior among Omani women living with T2DM is scared. Objective: Therefore, this study aimed to examine the relationship between social support and DSM behavior as mediated by body appreciation and self-worth in adult (≥ 40 years old) Arab Omani women living with …

Postgraduate Residency Program: Pedagogical Strategies In Bridging The Transition From Novice Nurse Practitioner To Confident Primary Care Provider, Kelly Stauter, Katherine Bydalek

CoTL 2023 Research Talks

Advancing the education of new nurse practitioners helps close the gap with the knowledge and core competencies necessary to practice independently and master delivery of quality care across the life span to vulnerable populations. Innovative teaching strategies incorporate the needs of the novice nurse practitioner and are designed to support the inclusive learning environment through educational technology, learner-centered activities, interprofessional partnerships, and local community-based agencies that facilitate active learning. Expanding the didactic and clinical training experience by integrating specialty rotations and simulation immersive events, enhances learning outside of the classroom and equips the postgraduate nurse practitioner with the skills and …

Bundle Up To Improve Cauti, Jennifer Anderson, Valorie Dearmon

DNP Manuscripts

Catheter Associated Urinary Tract Infections (CAUTIs) are a leading cause of healthcare acquired infections. Strong evidence for CAUTI best practices exists, however, the struggle to translate best practice evidence into everyday practice remains a challenge. Catheter associated urinary tract infection rates continue to be a problem despite organizational efforts to implement best practice guidelines; the challenge is to effectively translate and embed best practices into everyday practice. The Centers for Medicare and Medicaid Services (CMS) will no longer reimburse hospitals for expenses associated with hospital acquired CAUTI; moreover, hospitals are subject to penalties for high rates of hospital acquired CAUTIs. …

Stress Management For Healthcare Providers In The Emergency Department During Covid-19 Pandemic, Carrie A. Warns

Theses and Graduate Projects

The challenges healthcare providers face during the COVID-19 pandemic are

unprecedented, leading to work-related stress and burnout symptoms. Stress management for health care providers is crucial during the COVID-19 pandemic. Healthcare providers must find effective modalities during this time. Animal Assist therapy is a stress management modality that evidence-based research has proven to be effective. A comprehensive literature review of the importance of stress reduction for health care providers and the effectiveness of Animal Assist Therapy will help support this project. Jean Watson's human caring theory will serve as a model for this project. The implementation of the scholarly project …

Virtual Reality Pain Intervention For Pediatric Burn Patients, Tanya Ann Hinrichs

Theses and Graduate Projects

Burns can be devasting trauma in the pediatric population, leading to lifelong physical and psychological pain and anxiety. Burn pain management is complicated and undertreated traditionally. The purpose of this scholarly project is to examine the use of virtual reality (VR) for distraction in pediatric patients who have experienced a burn to determine if VR improves pain management during painful procedures. A literature review revealed a gap in pain management in pediatric burn survivors with just traditional pharmacologic analgesia during painful procedures. Leininger’s Culture Care Theory provides a theoretical framework for this project’s purpose to determine if implementing a virtual …

Patient Positioning To Prevent Pressure Injuries, Maria D. Trevis

Theses and Graduate Projects

Skincare is an important intervention to prevent pressure injuries (PIs) during hospitalization. Prolonged pressure on a body part can result in restricted blood flow and oxygen, inadequate nutrition, and varying degrees of tissue damage, ultimately leading to a PI. Patients who have undergone surgery or have limited mobility are particularly vulnerable to developing PIs. The Centers for Medicare and Medicaid Services made a ruling in 2008 that hospitals would not be reimbursed for any hospital-acquired PIs as they are costly and preventable. Unfortunately, there is a knowledge gap in PI prevention due to a shortage of nursing staff, and changes …

Determinants Of Progression Of Gestational Hypertension To Severe Preeclampsia And Eclampsia Among Postnatal Women At Machakos County Referral Hospital, Eunice Mwikali Muia

MSc in Advanced Practice Nursing

Worldwide, maternal morbidity and mortality among pregnant women pose a major challenge which is mainly brought by hypertensive disorders in pregnancy. Progression of gestational hypertension to severe preeclampsia contribute a lot in adverse birth outcomes hence posing a great challenge especially in developing countries. The study seeks to determine the factors leading to progression of gestational hypertension to severe preeclampsia by checking the sociodemographic factors, maternal obstetrical factors, medical factors and adverse birth outcomes. The study used descriptive cross-sectional design, including all mothers who had a diagnosis of gestational hypertension, pre-eclampsia and eclampsia and delivered in Machakos level 5 hospital. …

Therapeutic Gardening And Its Effects On Depressive Symptoms In Dementia Care, Shannon E. Norton

Honors Undergraduate Theses

Aim: To present a literature review of the positive effects and overall reduction of depressive symptoms that an intervention such as therapeutic gardening has on individuals living within memory care facilities.

Background: As most humans age, they often lose abilities or skills that they have had for their entire lives (e.g. driving, grooming, toileting, seeing and/or hearing). By implementing programs that involve therapeutic garden therapy, individuals with dementia who are at greater risk for clinical depressive symptoms may find that this alternative approach improves their symptoms.

Methods: A comprehensive, electronic, literature search in the CINAHL database was completed and included …

Evaluation Of The Violence And Stigmatization Against Children With Disabilities: A Literature Review, Nmesoma Ozougwu

Honors Undergraduate Theses

Violence and Stigmatization against children with disabilities are critical public health issues. Children with disabilities are a vulnerable population as they are exposed to various forms of discrimination and violence globally. The forms of abuse include, but are not limited to, physical, emotional, and sexual abuse. The experiences of Children with disabilities are massively undocumented and there is also a lack of existing literature addressing the issue. The abuse and violence against children with disabilities are also underreported specifically in cultures where this abuse is socially accepted. There are gaps in the literature regarding the condition of children with disabilities …

The Impact Of Student-Led Lactation Education On Self-Efficacy In Clinical Simulation: An Integrative Literature Review, Kaitlyn Flores Yu

Honors Undergraduate Theses

Simulation is a critical component of nursing education. It provides a safe environment to practice and evaluate skills, supplements clinical hours, and removes barriers to a well-rounded education. Nurses are expected to be educators as part of our scope of practice, and simulation can facilitate this. One topic of nursing importance is lactation education, as breastfeeding has been shown to have multiple benefits for both mother and baby. National rates of exclusive breastfeeding for the first 6 months do not currently meet CDC recommendations. The pedagogy known as the Protégé Effect suggests that learning can be improved through teaching. Breastfeeding …

Prevention Of Perineal Tearing During Childbirth: A Literature Review, Victoria Manzo

Honors Undergraduate Theses

Perineal lacerations can be caused by a variety of risk factors such as a large fetal head circumference, birthing positions that place strain on the sacrum, and first-time births. Preventing perineal tears can be challenging for laboring women. Exploring the possible prevention methods to decrease the severity of perineal tearing or preventing it altogether can be beneficial for laboring women's physical and mental health. The primary purpose of this literature review was to examine which interventions are most likely to prevent perineal tearing during childbirth. The secondary purpose was to evaluate natural perineal tears in comparison to surgical incision, or …

Conservative Anabaptists Descriptions Of Delay, Comfort In Connectedness, And Ease In Cultural Tension When Seeking And Responding To Healthcare, Matthew Donald Hottle

Graduate Theses, Dissertations, and Problem Reports (ETD)

Abstract

Conservative Anabaptists description of delay in health seeking behaviors, comfort in connectedness, and ease in cultural tension when seeking and responding to healthcare

Background: Conservative Anabaptists are a large ethnic religious population that continues to grow in the United States. This includes groups of Amish, Mennonites, Hutterites, and Brethren populations residing in rural areas. These groups are known to experience adverse health related outcomes such as community acquired infections, advanced cancer diagnosis, and undiagnosed chronic conditions such as hypertension, diabetes, and heart disease. Therefore, the concept transcending health values has been developed to better understand how conservative anabaptists describe …

Evaluation Of A Math And Medication Administration Proficiency Program In A Pre-Licensure Nursing Program, Dianne J. Hoekstra

Graduate Research Theses & Dissertations

Calculation of the correct dosages is a key factor for safe patient medication administration. For decades nurse educators have aimed to improve the knowledge and skills of the pre-licensure nursing students for medication administration. In a midwestern pre-licensure nursing school, a program was implemented using a curriculum wide approach for the teaching, remediation, and assessment of the math skills required for safe medication administration; known as the Math and Medication Administration Proficiency (MMAP) program. This dissertation evaluates the MMAP program using a logic model and mixed methods approach. Results indicated improvement in the pre-licensure nursing students’ success with the testing …

Implementation Of Point-Of-Care Tick-Borne Disease Powerplan™ And Algorithm For Early Detection And Treatment Of Tick-Borne Diseases, Ashley Pinkham

DNP Scholarly Projects

Abstract

Local Problem: The Concord Hospital system, serving 30+ communities, is situated in the heart of New Hampshire surrounded by densely wooded forests, lakes, and mountains and is a mecca for camping, vacationing, and sightseeing, doubling its population of 1.6 million residents during spring, summer, and fall months. Despite the serenity, there is a predator that lingers among the hiking trails and lake shorelines. From January 2021 through August 2022 there were a total of 41 hospitalizations from tick-borne diseases, some with life threatening symptoms. Unfortunately, nearly half (43%) of patients presented to their primary care provider first where the …

A Comparison Of Outcomes For Lipid Emulsions In Total Parenteral Nutrition Among Home Infusion Patients, Gregory W. Wesley-Lynch

DNP Scholarly Projects

This quality improvement project aimed to compare the outcomes of lipid emulsions used in total parenteral nutrition among home infusion patients. The quality improvement project included 45 patients who received four weeks or more of either Intralipid or SMOFlipid. Paired t-tests were used to compare SMOFlipid and Intralipid regarding three liver function test (LFTs) values; (Alkaline Phosphate (ALP), Aspartate transaminase (AST,) and Alanine transaminase (ALT). Results demonstrated that SMOFlipid was superior to Intralipid, resulting in lower LFTs for ALP, AST, and ALT. This study provides evidence to support the use of SMOFlipid over Intralipid in total parenteral nutrition for home …