The Art Of Healing From The Inside Out: A Memoir, Lauren Thelen

Regis University Student Publications (comprehensive collection)

ABSTRACT

Name: Lauren Thelen Major: Health Care Administration The Art of Healing from the Inside-Out: A Memoir

Advisor’s Name: Anandita Mukherji, Ph.D. Reader’s Name: Melissa Bosworth, MS

The health care system is no stranger to many of us. From before we are born to our last days, we interact with health care settings and providers. This is a good thing--we receive care and feel better--or at least that is the case most of the time. What this statement does not acknowledge is that the health care system fails us, through inadequate communication, dialect barriers and inability to diagnose. The purpose …

Can Biology Define A Human Life?, Katelyn De Leon

Regis University Student Publications (comprehensive collection)

I grew up contemplating the concept of life. From my Catholic grandmother to my pediatrician mother, I always received mixed perspectives on the hot topics of abortions, vaccines, and embryo use. I found that the controversy lies in an ambiguous, mixed understanding of what constitutes a human life. From biochemical approaches to extraterrestrial life forms and spirituality there is no clear, coherent all-encompassing definition of life. However, that does not mean we can merely agree to disagree. The concept of a human life has drastic implications on our everyday lives. An insufficient definition has, and will continue to, diminish quality …

Mentoring The Mentor: A Mentor Training Program, Sheri Gillis

Regis University Student Publications (comprehensive collection)

Mentorship has played an important role in nursing and nursing education for decades. However, there have yet to be any standard qualifications or training programs for those who mentor others. Poor mentorship increases faculty turnover, stress, and poor student outcomes. A quality improvement initiative was implemented in the Associate Degree Nursing Program using an evidence-based approach. Using a pre-post survey design with convenience sampling, five (N=5) nursing faculty met the qualifications to participate in the mentor training program. The Mentor Efficacy (MES) survey, which consisted of 30 questions, was administered to measure the participants' feelings of self-efficacy in the mentoring …

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 …

Implementation Of A Revised Intubation Checklist For A Critical Care Transport Team, Teresa 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 …

How Sleep Disturbances Affect Those With Borderline Personality Disorder And The Implications For Treatment, Molly L. Schmanke

Regis University Student Publications (comprehensive collection)

This thesis argues that there is limited research on Borderline Personality Disorder’s comorbidity with sleep disorders, and by pointing out the gaps in knowledge this will encourage researchers and doctors to consider this topic as important in the health care field. Sleep disorders can be anything from reduced total sleep time, fragmented sleep, and changes in sleep architecture, and all of these can cause and be caused by disruption of the circadian clock. There are various ways in which circadian clock disruption can cause diseases, cancer, and mental disorders through genes, sleep, and the environment. Borderline Personality Disorder comorbid with …

Cultivating Health, Not Wealth In The United States' Healthcare System: Comprehensive Revisions For The Orphan Drug Act Of 1983, Kayla Smith

Regis University Student Publications (comprehensive collection)

This thesis explores the way in which the Orphan Drug Act of 1983, originally instituted in response to a lack of treatments for rare diseases in the United States of America, has failed to achieve its initial objectives in the 40 years since its implementation. In evaluating various successful examples of government subsidization programs designed to intervene in private industry, this thesis composes the criterion required for funding-based legislation which maximize market outcomes while minimizing tax-payer burden. An analysis of the synthetic organic chemistry industry – and a case study into the production of a particular orphan treatment for a …

Utilizing An Educational Intervention To Increase Advance Directive Completion Rates For African Americans In A Family Practice Clinic In Louisiana, Nicole N. Richards

Regis University Student Publications (comprehensive collection)

Abstract

Advance care planning (ACP) is a process that allows for an individual to document ahead of time the medical treatment they want if they are unable to communicate after an unexpected life-threatening situation. The legal forms used to document these wishes are called advance directives (ADs). Since African Americans (AAs) develop chronic disease at younger ages and often experience shorter lifespans than other racial groups, it is imperative that they have a clear understanding of the pros and cons of ACP. Regrettably, because AAs seldom complete ADs, more aggressive, and often, ineffective medical care is provided at the end …

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 …

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 …

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 …

Infant Safe Sleep Initiative, Heather Kuisle

Regis University Student Publications (comprehensive collection)

Abstract

Background: Sudden Unexpected Infant Death (SUID), which includes sudden infant death syndrome (SIDS), is one of the leading causes of infant deaths in the United States and a significant health issue. Although there has not been a distinct single cause found for SIDS, it has been determined that there are several risk factors identified that increase the risk of an infant dying from SIDS. Infant Safe Sleep Education as recommended by the American Academy of Pediatrics is essential for healthcare professionals to educate new families on infant safe sleep.

Objective: The objective of this project was to create and …

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 …

The Relationship Between Nursing Faculty Stress And Gratitude Journaling, Kathleen L Whalen

Regis University Student Publications (comprehensive collection)

“The relationship between nursing faculty stress and gratitude journaling”

Kathleen L. Whalen, MS RN – Regis University

The National League for Nursing (NLN) has reported a national shortage of nursing faculty. Some of the factors involved are limited qualified faculty, schools’ inability to offer competitive wages, and faculty leaving due to stress or retiring. A quality improvement project was developed for full-time faculty in a university nursing program in dealing with stress, which could aid in retention. A quasi-experiment with a pre-test and post-test design was used to measure participants’ stress using the Perceived Stress Scale–10 (PSS-10) before and after …

The Benefits Of Therapeutic Ultrasound For Improving Recovery Of Collegiate Soccer Players In Between Friday And Sunday Matches, Adam Armijo

Regis University Student Publications (comprehensive collection)

Collegiate soccer athletes face physical and physiological stressors during match play that can lead to ailments such as inflammation, muscle soreness, decreased range of motion, and skeletal muscle damage. Through the use of evidence-based studies coaches, trainers, and collegiate soccer athletes can determine best practices for optimized recovery in a collegiate soccer setting. One of the lacking supplemental recovery modalities in collegiate soccer is therapeutic ultrasound. Therapeutic ultrasound is a machine that utilizes vibration and thermal effects to help decrease skeletal muscular damage, reduce soreness of skeletal muscles, improve blood flow, and increase relaxation of the muscles. Therapeutic ultrasound in …

Early Labor Management: A Quality Improvement Project, Amy Dempsey

Regis University Student Publications (comprehensive collection)

Objective

The purpose of this quality improvement project is to safely reduce early labor admission rates through the implementation of evidence-based nursing triage management protocol focused on patient education and labor support for spontaneous early labor management in a community hospital setting. This initiative is part of a bundle of care intended to safely reduce primary cesarean birth rates.

Methods

A paired sample t-test was used to compare the following: early admission rates of NTSV patients before and after the study intervention: a pre and post knowledge survey taken by labor and delivery nurses; pre and post ELEQ survey results …

Physiological Effects Of Activity-Based Anorexia In Female Rats And An Overview Of Eating Disorders, Madelyn Uyemura

Regis University Student Publications (comprehensive collection)

The aim of this thesis is to bring AN to the foreground of conversation both in a scientific and sociological framework. Nearly 40 million Americans suffer from anxiety disorders, which is characterized by the feeling of a loss of control. In some cases, another disorder called anorexia nervosa (AN) can codevelop. AN is characterized by a refusal, and inability, to maintain a healthy body weight. Some suffering from anxiety may restrict caloric intake and increase exercise to cope with stress. This results in extreme caloric deprivation. AN can be modeled in rats using an activity-based anorexia (ABA) method. In …

Implementation Of An Icu Surge Capacity Response Protocol, Patrick Simon Soria

Regis University Student Publications (comprehensive collection)

Implementation of an ICU Surge Capacity Response Protocol

Patrick Simon S. Soria

Abstract

High consequence infectious diseases (HCID) threaten healthcare systems because of their high transmissibility, resulting in massive infections within hours. In the initial stages of an HCID outbreak in developing countries, there are no definite treatment pathways and guidelines to manage patients who become critically ill. The prolonged surge of critically ill patients affects the physical and mental well-being of intensive care unit (ICU) nurses due to many factors. An ICU surge capacity response protocol was implemented in four intensive care units for four months at one government …

Dying To Be Masculine: The Barriers Men Face To Accessing Genetic Counseling, Malia Olson

Regis University Student Publications (comprehensive collection)

There is a crisis in healthcare that is often not discussed: men’s health. Men die younger, are more burdened by illness during life, fall ill at a younger age, and have more chronic illnesses than women. Contradictory concepts of health, struggles with help-seeking, and worse healthcare outcomes and life expectancies for men can be traced back to attempts to conform to hegemonic masculine ideals or social norms. Although researchers have studied the stigma of help-seeking in men, these ideas have yet to be extended to the field of genetic counseling. This review outlines the barriers that men face when accessing …

Health And Technology: Online Platform To Facilitate Access To Care And Prevention For Chronic Non-Communicable Conditions In Rwanda, Arnaud Michel Nibaruta Mdp

Regis University Student Publications (comprehensive collection)

Rwanda is confronted with a growing problem of non-communicable diseases (NCD). It is important that people in Rwanda have access to effective prevention and treatment. This paper explores a program that would use a digital platform to facilitate access to information, services, and products that would help NCD at risk populations in Rwanda to access appropriate prevention and care. The program was developed based on the author’s experience in Rwanda’s healthcare industry, the information from review of literature as well as key informant interviews (NCD patients, advocates, and caregivers) and a survey with health professionals. The research conducted highlighted that …

Improving Antibiotic Administration Timing In Neonatal Early-Onset Sepsis, Donia B. Bass

Regis University Student Publications (comprehensive collection)

Abstract

Neonatal early onset sepsis (EOS) remains one of the most common causes of neonatal morbidity and mortality. Neonates requiring evaluation and treatment for suspected EOS inconsistently receive antibiotics within one hour of decision to treat as recommended in the 2012 neonatal sepsis guidelines by the National Institutes for Health and Care Excellence (NICE). A mixed method quality improvement initiative was employed in a level three NICU, applying a standardized admission process to mitigate systems flaws impacting delay of first dose antibiotic. A nursing sepsis education module was provided, and the novel SAM admission prioritization tool was developed to guide …

Sexual And Reproductive Health Literacy In Rwanda Kazo Sector Murusenyi Village, Sandrine Nikuze, Mdp

Regis University Student Publications (comprehensive collection)

Unplanned pregnancies and other reproductive health issues are global health problems. Nowadays, young people are highly exposed compared to last time. Internet and other sources of misleading sexual information are available to them. Parents who are supposed to be the health information providers are not responsible because they do not want, but because they have limited knowledge, and they also face different challenges which prevent them from fulfilling their responsibilities towards their children such as education level, income level, gender, and religion. All these issues to young people have increased the number of young people who get pregnancies before and …

Np’S Perception Of Preparedness And Self-Efficacy Between Novice Nps That Participated In A Post Graduate Training Program And Those That Did Not, Tasha Bruner-Hill

Regis University Student Publications (comprehensive collection)

The role transition from a registered nurse (RN) to a nurse practitioner (NP) can be challenging and stressful as the RN moves from often expert status back to novice status as an NP. The purpose of this qualitative, descriptive study was to explore if role transition was easier for novice NPs that participated in a post-graduate training program, then for those that did not. Following IRB approval for the study, a self-report tool consisting of 18 questions was emailed to a national sample of NPs who graduated 2014-2020 and practiced at least one year but not more than five years …

The Inevitability Of Collision: Creating Empathy Through Fiction, Danielle Beckman

Regis University Student Publications (comprehensive collection)

While the stigma for mental illnesses has greatly declined in the last decade, there is still a disconnect between individuals without neurological illnesses and those with neurological illnesses, especially those that cause individuals to lose contact with reality. The goal of this interdisciplinary paper is to create empathy for these individuals, specifically people with schizophrenia, Alzheimer disease, and post-traumatic amnesia. Through a collection of four stories told from the perspective of these unreliable narrators, I used fiction writing techniques from the field of cognitive literary studies such as gapping and defamiliarization to create more empathy in the reader. In reading …

The Real Hunger Games: Disordered Eating In Male Endurance Athletes And Implications For Bone Health, Sarah Smagacz

Regis University Student Publications (comprehensive collection)

n this thesis, I aim to identify the social factors that cause men with disordered eating and negative body images to be neglected in research, explain a possible mechanism for bone injuries in male endurance athletes, and identify sociocultural factors that could make subpopulations of athletes more susceptible to disordered eating, hormone dysfunction, and bone injuries. The consequences of the physiological dysfunction resulting from disordered eating is not limited to the time in which the individual has disordered eating, but can impact the individual for the rest of their life. I will summarize research about female athletes’ patterns of disordered …

International Medical Service Trips: Colonialist Roots And Ethics Of Global Health Today, Lorenzo Patti

Regis University Student Publications (comprehensive collection)

Service trips have become a relatively common part of society today. People in both the professional and academic world often jump at the opportunity to be able to travel through the lens of learning or working. Service trips are framed as excursions to help marginalized communities, in reality, the trips end up being more about tourism and travel. Despite the attractive façade of medical service, its harmful impact is evident when examining it further. Medical trips often fall into two categories, voluntourism and capacity building. Voluntourism has a number of flaws, which cause long-term detrimental effects to the communities visited …

Improving Self-Efficacy And Nursing Knowledge In Cardiac Step-Down Unit Nurses, Gail Markowski

Regis University Student Publications (comprehensive collection)

Improving Self-Efficacy and Nursing Knowledge in Cardiac Step-Down Unit Nurses

Abstract

The Cardiac Step-Down Unit (CSDU) is a fast-paced, high-acuity patient unit that consists of patients with a variety of complex medical issues. Many nurses working on this CSDU have worked as a nurse for three years or less, many being new graduates. Each CSDU patient has multiple nursing needs, some of which the nurses have not received additional education or training. This can lead to stress and frustration on the part of the nurse, and less than optimal care for the patient. The purpose of this quality improvement (QI) …

Bilingualism: A Way To Delay The Onset Of Alzheimer’S Disease And Fight The Global Burden Of Disease It Imposes, Abigail Wester

Regis University Student Publications (comprehensive collection)

Dementia is the second leading cause of death (accounts for 16.5%) and the leading cause of dependency and disability worldwide (GBD 2016 Neurology Collaborators, 2019). This burden associated with dementia falls heavily on family members, communities, and the individuals themselves. When looking at global dementia cases, the numbers are on the rise and expected to triple by 2050 (World Health Organization, 2019; Robinson, Stephan, & Magklara, 2019). The most common type of dementia is Alzheimer’s Disease (AD), which accounts for 60-80% of all dementia cases (DeTure & Dickson, 2019). Characterized by memory impairment and cognitive decline, AD later impacts behavior, …

A Recognition/Appreciation Intervention To Decrease Stress And Burnout In Nursing Faculty, Jennifer Anderson

Regis University Student Publications (comprehensive collection)

Nursing faculty are at risk of stress and burnout that could lead to negative personal and system-level repercussions. A recognition and appreciation program was implemented at one public, four-year university to determine if it would decrease stress and burnout experienced by nursing faculty. The program utilized no- and low- cost strategies, including virtual events and sharing of faculty activities and achievements. Stress and burnout were measured before and after implementation of the program using the Perceived Stress Scale-10 (PSS-10) and the Maslach Burnout Inventory-Educator Survey (MBI), respectively. Improvements in mean scores on 31 of 36 measures of stress and burnout …

Teamstepps In A Pediatric Operating Room, Lisa Kerrick

Regis University Student Publications (comprehensive collection)

Despite numerous patient safety and quality programs available and in use in the healthcare environment, adverse events in operating rooms continue to occur. The operating room is a complex and chaotic environment where teamwork is necessary for safe patient care. Team training is a strategy that improves teamwork. TeamSTEPPS is an evidence-based team training program designed to integrate teamwork into clinical practice. This project aims to determine if TeamSTEPPS communication tools and strategies improve the perception of teamwork and efficiency in a pediatric operating room. The outcome objectives for this project are to increase the perception of teamwork and improve …