Medicine and Health Sciences Commons^™

How Younger Adults With Psychosocial Problems Experienced Person-Centered Health Consultations, Line Soot, Kirsten S. Freund, Jørgen Lous, Mikkel Vass, Lotte Hvas

Patient Experience Journal

Much attention is focused on the social determinants of health. Family medicine is challenged with a growing number of vulnerable persons with psychosocial or lifestyle related problems. The objective of this work was to explore how vulnerable younger adults experience person-centered preventive health consultations with their general practitioner. The design and setting for this work were a secondary qualitative analysis of a randomized controlled trial (RCT) in Danish general practices. Younger adults (20-45) were consecutively invited to answer a screening questionnaire about psychosocial and lifestyle-related problems when visiting general practice (28 general practitioners (GPs)) for ordinary consultations. The 30% most …

The Incorporation Of Evidence-Based Simulated Activities In An Existing Nurse Residency Program, Wendy Partin Thompson

Doctoral Dissertations and Projects

As new graduate nurses are challenged with caring for patients with complex disease processes, nurse residency programs are designed to ease the transition into practice. A community based hospital, in the southern United States has recently implemented such a program. However, the organization continues to have problems with nursing turnover. This problem is especially evident in nurses with less than one year of clinical experience. Research has shown that nurse residency programs without simulative activities eliminate vital critical thinking activities which prepare novice nurses for clinical practice. The purpose of this project was to design evidence-based simulative activities to increase …

Implementation Of A Sustainable Peer Mentor Program In Student Registered Nurse Anesthetists (Srnas)”, Kristin Cox

Doctoral Projects

Evidence has shown that Student Registered Nurse Anesthetist’s (SRNAs) stress is perceived as above average and is correlated with substandard patient care during clinical courses (Chipas et al., 2012). Some studies have indicated SRNAs experience low self-efficacy during clinical, which could lead to difficulty in thinking clearly or responding to clinical situations (Imus, Burns, & Weglarz, 2017). Peer mentoring has shown to result in stress reduction and improvement in self-efficacy in students (Barker et al., 2012; Giordana & Wedin, 2010). Despite the current evidence, a nurse anesthesia program in the southeastern United States did not have an organized peer mentor …

An Exploration Of Medication Errors Generated By Baccalaureate Nursing Students Using Electronic Medication Administration Record (Emar) Technology In Clinical Simulation, Ryan Chan

Electronic Thesis and Dissertation Repository

Background: Medication errors continue to be a significant issue within both academic and clinical settings, posing substantial threats to the safety and well-being of patients. Through Bandura’s theory of self-efficacy, nursing students’ self-efficacy (confidence) and preparedness related to medication administration were examined to investigate their influence on the generation of medication errors in clinical simulation.

Research Questions: The research questions of this study aimed to examine the generation of medication errors and the differences that may exist based on nursing students’ perceived confidence and preparedness.

Method: An exploratory secondary analysis of previously collected data that examined nursing students’ generation of …

Nursing Student Confidence And Self-Efficacy In Simulation: Evidence Synthesis Project, Serena Shirey

Nursing (graduate) Student Scholarship

The use of simulation-based activities is a growing trend in nursing pedagogy and requires evaluation to assess and improve outcomes. This project completed a review of multiple research studies and reviews to evaluate the effects of simulation and simulation methods on students’ sense of self-efficacy and confidence. The findings support the use of simulation and found that simulation does increase students’ perception of confidence and self-efficacy. The data collected included both qualitative and quantitative data. A few studies lacked generalizability due to small sample size and scenario selection. However, multiple methods were noted to improve the simulation experience and they …

The Impact Of Reflection On The Development Of Critical Thinking For Novice Nurses, Katherine D. Taylor

Nursing (graduate) Student Scholarship

This capstone project explores the use of intentional reflection as and educational intervention during the orientation process and the development of critical thinking skills in new graduate nurses. Nurse educators in the clinical practice setting could potentially impact one aspect of the transition to practice for the novice nurse through the development of critical thinking through by facilitating the incorporation of reflection during the onboarding of a novice nurse. Further investigation in the form of an evidence syntheses specifically related to the impact of reflection on the development of critical thinking in the new graduate nurse was necessary. The results …

A Mixed Methods Study Exploring The Relationship Of Cognitive And Motivational Factors To Sonography Student Performance, Renee Hathaway

College of Education and Human Sciences: Dissertations, Theses, and Student Research

The purpose of this mixed methods study was to examine relationships between sonography students’ levels of self-regulation and self-efficacy and their performance in a 16-week introductory vascular sonography skills laboratory course. Measures for the study were designed to yield qualitative and quantitative data related to student goals, strategies, and course performance, and were generated by both students and faculty. Qualitative data from the study included student self-reports of self-regulatory strategies and instructor evaluations of student performance, while quantitative data were provided by instructor and student ratings of performance, student self-efficacy ratings, and student reports on their use of deliberate practice. …

Failure-To-Rescue Simulations As A Risk Management Strategy For Registered Nurses, Trena K. Seago

Graduate Theses, Dissertations, and Capstones

In the hospital setting, prevention of failure-to-rescue (FTR) events is an important aspect of patient safety. The use of patient simulation as a strategy to educate nurses on the prevention of these events offers two modes of learning: 1) experiential learning through simulation and 2) reflection through debriefing. The act of practicing to recognize a deteriorating patient through experiential learning and reflection may help increase nurses’ self-efficacy in recognizing a similar situation in their future practice. This quasi-experimental, one-group, pretest-posttest pilot study investigated the use of patient simulation among registered nurses (RNs) in the hospital setting as an anticipatory educational …

Radiography Faculty Engaged In Online Education: Perceptions Of Effectiveness, Satisfaction, And Technological Self-Efficacy, Shirley J. Cherry, Bethany H. Flora

Shirley J. Cherry

Purpose To assess radiography faculty perceptions of the effectiveness of online courses.

Methods An original survey instrument was created by selecting items from 3 instruments used in prior research and adding unique questions designed to elicit demographic data from faculty. The sample included a national dataset of radiography faculty members employed in Joint Review Committee on Education in Radiologic Technology–accredited programs in the United States.

Results Findings showed that faculty perceptions of online course effectiveness are not affected significantly by faculty position, type of institution, faculty age, or years of teaching experience. Positive perceptions of the effectiveness of online courses …

Video Intervention To Increase Perceived Self-Efficacy For Condom Use In A Randomized Controlled Trial Of Female Adolescents, Julie S. Downs, Amie M. Ashcraft, Pamela J. Murray, Elise D. Berlan, Wändi Bruine De Bruin, Joan Eichner, Baruch Fischhoff, Janie M. Leary, Robert B. Mccall, Elizabeth Miller, Jennifer Salaway, Janell Smith-Jones, Gina S. Sucato

Clinical and Translational Science Institute

Study Objective—To assess the effects of the Seventeen Days interactive video on young women’s perceived self-efficacy for using condoms 6 months after being offered the intervention, relative to a control. Design—Multisite randomized controlled trial. Setting—Twenty participating health clinics and county health departments in Ohio, Pennsylvania, and West Virginia. Participants—Sexually active female adolescents ages 14 to 19 years. Interventions—Seventeen Days (treatment intervention; sex education) vs Driving Skills for Life (control intervention; driving education). Main Outcome Measures—Perceived self-efficacy for condom use. Results—Participants in the Seventeen Days group reported higher perceived condom acquisition self-efficacy after 6 months than those in the driving group. …

Social Cognitive Models Of Fruit And Vegetable Consumption, Moderate Physical Activity, And Sleep Behavior In Overweight And Obese Men, Adam P. Knowlden, Rebecca Robbins, Micahel Grandner

Health Behavior Research

Background. Approximately 35% of men in the United States are obese, though little theoretical work examining predictors correlates of obesity exists for this population. The purpose of this study was to test the capacity of Bandura’s social cognitive model of health behavior to account for variance in fruit and vegetable consumption, moderate physical activity, and sleep behavior in overweight and obese men. Methods. Data were collected from overweight and obese men using previously validated questionnaires. Structural equation models were built to examine the direct and indirect effects the social cognitive theory constructs of self-efficacy, outcome expectation, socio-structural factors, and goals …

When Disaster Strikes: A Training Intervention To Improve Nurses' Confidence And Preparedness For The Surge, Nichole M. Weber

Evidence-Based Practice Project Reports

There has been an exponential rise in mass casualty incidents (MCI) internationally. These human induced and naturally occurring events have affected over 4.6 billion people, and are not discriminatory to region or community (World Health Organization, 2011). Governing bodies require training and education, but nurses continue to report suboptimal competence and self-reported readiness, and a need for standardized, evidence-based training remains. The purpose if this evidence-based practice project is to authenticate current research supporting implementation of competency-based education, to improve nurses’ self- perceived preparedness and confidence in their ability to respond to MCI. The project results can be utilized for …

Text Message Intervention For Latino Adults To Improve Diabetes Outcomes In An Urban Free Clinic Setting, Sharon R. Allen

Nursing Theses and Capstone Projects

Introduction: This text message intervention sought to help patients at a free clinic in the Southeastern U.S. that have uncontrolled diabetes (DM) (A1C > or = 7) improve their DM clinical and behavioral outcomes, and thereby help them to live healthier, more hopeful and productive lives as they deal daily with this chronic illness. Eight weeks of educational text messages were sent to help improve DM care and outcomes. Method: Free clinic patient Latino adults with DM (n=25) pre-post one group design. Results: Statistically significant results (p < .05) were seen in three (SKILLD, p=.001, DSES, p = .000, and SDSCA, p = .042) of the four tools/surveys administered. A1C improvements were significant from the pre-intervention (M = 9.10, SD = 1.51) and the trended post-intervention values/results (M=8.26, SD = 1.29, t [21] = 2.79, p = .0110). Discussion: Does personalized communication, education and follow up for patients at the free clinic improve diabetes knowledge, self-efficacy and self-care? This text message intervention shows great promise to improve outcomes for diabetes self-management.

Improving Self-Efficacy In Persons Experiencing Chronic Back Pain, Mechell Smith

Nursing Theses and Capstone Projects

The effects of chronic pain are extensive and negatively impact the health of an individual. Negative impacts of chronic pain include issues with sleep, cognitive processes, mood/mental health, cardiovascular health, relationships, and overall quality of life. Self-efficacy is an important predictor of outcomes associated with persons experiencing chronic pain. The use of technology in healthcare is supported in the literature and is a promising way to enhance self-efficacy of those experiencing chronic pain. An evidenced-based project was conducted at a rehabilitation and pain specialty office in the northeastern part of North Carolina. The project evaluated if text message reminders of …

Hipaa Compliant Patient-Provider Communication: Student-Clinician Perceptions, Rachel Wenzl

Capstone Experience

Purpose: To evaluate the service learning clinical training facility’s HIPAA training by assessing student-clinician knowledge of the clinic’s HIPAA Compliance Plan and the impact of its training on student-clinician perceptions toward HIPAA-compliant patient-provider communication (PPC). For example, do student-clinicians feel it is important to be HIPAA-compliant and are they confident in discussing health-related activities and programs with patients or caregivers? The purpose of this project is not, at this time, to measure student-clinician intention to perform the behavior.

Methods: This project employed a mixed-methods, non-experimental cross-sectional study design using a retrospective post-test survey and group interview. The survey …

Resilience And Protective Factors In Older Adults, Jessica Mcclain, Katelyn Gullatt, Caroline Lee

Dissertations, Masters Theses, Capstones, and Culminating Projects

Evidence suggests resilience promotes successful aging in place and protective factors promote resilience. This study sought to investigate whether or not the combination of three protective factors, physical health, social support, and self-efficacy are all of equal importance in predicting resilience among Marin County older adults, or if some individual protective factors have a greater impact on resilience than the others. Fifty-eight participants ages 62 and higher were recruited from senior community programs and personal contacts. Four self-report questionnaires were completed by the participants in this exploratory, cross-sectional, quantitative design. SPSS was used for a descriptive and multivariate analyses to …

Functional Mastery Of Health Ownership In Patients With Inflammatory Bowel Disease, Maria Donnelley

Nursing Theses and Dissertations

Inflammatory bowel disease (IBD; Crohn’s and ulcerative colitis) is an incurable autoimmune disease causing overwhelming physical distress and psychological adaptation. The negative disease symptoms effect all aspects of everyday life. The physical and biological burdens of the disease progression can be complicated and long-term. Not all patients have a positive outcome throughout their health journey. This dissertation is an exploration of the associations between an individual’s personal characteristics and life situation and the ability to function fully and achieve mastery of their health within the parameters of their disease burden. The first manuscript, Functional Mastery of Health Ownership: A Model …

La Classe Inversée: Impact Sur Le Sentiment D'Efficacité Personnelle Et L'Utilisation Des Résultats Probants Chez Des Étudiantes En Sciences Infirmières (Flipped Classroom: Impact On Self-Efficacy And Evidence-Based Practice For Nursing Students), Laurence Harvey, Marjolaine Héon, Jacinthe I. Pepin, Louise Boyer

Quality Advancement in Nursing Education - Avancées en formation infirmière

Résumé

Contexte : La pratique fondée sur des résultats probants (PFRP) s’impose comme l’approche de préférence quant à la prise de décisions cliniques afin de répondre à la complexité croissante des situations de santé (DiCenso, Guyatt et Ciliska, 2005). Malgré son importance dans l’offre de soins de qualité, l’utilisation des résultats probants demeure sous-optimale dans la prise de décisions cliniques des infirmières (Forsman, Wallin, Gustavsson, et Rudman, 2012; Melnyk, Fineout Overholt, Gallagher-Ford et Kaplan, 2012; Pravikoff, Tanner, et Pierce, 2005), ce qui serait lié à différents facteurs tels que les habiletés (Jones, Crookes et Johnson, 2011; Melnyk et al., 2012), …

Using Video Self-Modeling To Improve Reading Fluency In School Aged Children With Specific Learning Disabilities, Chelsea Nicole Ollar

Theses and Dissertations

Effective reading interventions for students with specific learning disabilities (SLD) are needed. A multiprobe multiple baseline across participants design was used to evaluate the effects of a video self-modeling intervention (VSM) on reading fluency skills. The VSM interventions effects on self-efficacy were also measured. Four male middle school students with SLD watched a pre-recorded video of themselves reading a passage fluently and were then asked to read another passage. Words correct per minute (WCPM) and accuracy data were taken. Results showed that students read significantly more words correct when they watched themselves read the same passage they were about to …

Foster Youth Transition To Adulthood: Effects Of Housing Stability And Social Support On Mental Health, Elizabeth Gray Kaiser

DNP Scholarly Projects

Foster care adolescents have a more difficult time transitioning to adulthood, compared to non-foster care peers, due to the maltreatment and uprooting they often experience prior to entering the foster care system. Although foster care protects children from harmful environments, literature supports that multiple placement changes and lack of stable family and social support contributes to higher likelihood of housing instability, such as homelessness, and mental health problems, including stress, anxiety, and depression, in adulthood. Independent living programs, such as YVLifeSet, facilitate more successful transitions to adulthood by offering support in the form of mentors, life-skills training, and counseling. These …

Assessment Of Self-Efficacy And Outcome Expectations In Evidence-Based Activities For Nurses In A Newly Opened Hospital, Julie Lamoureux, Andrea Lavallee, Tanya Cohn, Brittany Pichette

Nursing & Health Sciences Research Journal

Background: There may be a lack of self-efficacy or confidence in some nurses in the use of evidence-based practice (EBP) especially in a new hospital with nurses who are early in their careers. The aim of this study was to measure self-efficacy and outcomes expectations of nurses in the area of EBP in a new non-replacement hospital on the Magnet® designation journey.

Methods: The study design was a cross-sectional survey using a 28-item questionnaire measuring the total level of self-efficacy in undertaking the 5 steps of EBP of direct patient care nurses.

Results: 66 surveys were returned with 6(9%) men …

Impact Of An Interprofessional Communication Course On Nursing, Medical, And Pharmacy Students’ Communication Skill Self-Efficacy Beliefs, Nicholas E. Hagemeier, Rick Hess, Kyle S. Hagen, Emily L. Sorah

Nicholas E. Hagemeier

Objective. To describe an interprofessional communication course in an academic health sciences center and to evaluate and compare interpersonal and interprofessional communication self-efficacy beliefs of medical, nursing, and pharmacy students before and after course participation, using Bandura’s self-efficacy theory as a guiding framework. Design. First-year nursing (n=36), first-year medical (n=73), and second-year pharmacy students (n=83) enrolled in an interprofessional communication skills development course voluntarily completed a 33-item survey instrument based on Interprofessional Education Collaborative (IPEC) core competencies prior to and upon completion of the course during the fall semester of 2012. Assessment. Nursing students entered the course with higher interpersonal …

Impact Of A Leadership Development Program On Perceptions Of Structural Empowerment, Leadership Self-Efficacy, And Staff Nurse Clinical Leadership, Matthew E. Proud

DNP Projects

BACKGROUND: In order to serve as full partners on the interdisciplinary health care team: nurses at all levels must develop essential leadership competencies Organizations need to identify the essential leadership competencies required for bedside nursing staff and develop programs to enhance these competencies. Leadership competencies in areas such as managing change can help bedside nursing staff improve care delivery and quality outcomes.

PURPOSE: The purpose of this project was to evaluate the impact of an established leadership development program on participants’ perceptions of structural empowerment, leadership self-efficacy, and staff nurse clinical leadership in one university health system.

METHODS: The pilot …

Preparedness Of Student Affairs Professionals: The Difference Between A Council For Accreditation Of Counseling And Other Related Educational Programs Accredited And Council For The Achievement Of Standards- Best Practice Guided Academic Preparation Programs, Kelly J. Smith

Graduate Research Theses & Dissertations

A complicated relationship exists among several variables related to entry-level student affairs professionals’ preparedness for their first positions in the field of student affairs. In order to better understand the academic preparation of and the unusually high levels of attrition for entry-level student affairs professionals, their influence on job satisfaction and self-efficacy needed to be examined. The purpose of this study was to determine a difference between Council for the Advancement of Standards (CAS) best practice guided and Council for the Accreditation of Counseling and Related Educational Program (CACREP) accredited academic preparation programs and intentions to leave the profession of …

Ability Of Patient-Reported Outcomes To Characterize Patient Acceptable Symptom State (Pass) After Attending A Primary Care Physical Therapist And Medical Doctor Collaborative Service: A Cross-Sectional Study, Jeff Houck, Daniel Kang, Tyler Cuddeford, Sarah Rahkola

Faculty Publications - College of Physical Therapy

Objectives: To determine if the Patient-Reported Outcome Measurement Information System (PROMIS) physical function, pain interference, self-efficacy, and global rating of normal function (GRNF) scales are able to accurately characterize a patient’s acceptable symptom state (PASS).

Design: A cross-sectional analysis, using receiver operator curves and chi-square analysis to explore criteria to determine thresholds (80% and 95% sensitivity/specificity) for PASS that are applicable to PROMIS and GRNF scales.

Setting: Phone survey after primary care. Participants: Patients (NZ94) attending primary care for musculoskeletal problems. Interventions: Not applicable. Main Outcomes Measures: Accuracy and proportion of patients classified as PASS Yes or No.

Results: Receiver …

Increasing Self-Efficacy Through Role Emerging Placements: Implications For Occupational Therapy Experiential Learning, Amy Mattila, Elizabeth D. Deiuliis, Ann B. Cook

Journal of Occupational Therapy Education

Fieldwork education is an essential component of occupational therapy curriculum design and student development. Today’s students are faced with a variety of challenges in the changing, diverse healthcare system, and educators need to ensure there are placements that best prepare them for these demands. Role emerging fieldwork offers an opportunity to not only meet the curricular requirements of fieldwork education, but also afford students the chance to develop confidence and skills unique to this kind of placement. The purpose of this explanatory case study was to explore graduate occupational therapy students’ self-efficacy before and after a Level I role emerging …

Relationship Of Physical Health Risk Screenings In Seriously Mentally Ill With Self-Efficacy For Health, Perception Of Health Risk, And Intention To Follow-Up With Medical Care., Dawn (Vanruler) Bos

Electronic Theses and Dissertations

Morbidity and mortality occur at higher rates in those with serious mental illness (SMI) than those without SMI. These higher rates are worsening in degree, despite known preventative strategies, such as physical health risk screening (HRS). This study evaluates the relationship of physical HRS with self-efficacy for health prevention behaviors, perception of level of risk of health consequences, and intention to follow up with medical care for identified health risks. The study considers Protection Motivation Theory (PMT) factors related to HRS in individuals with SMI. A HRS tool was administered to 54 adult ambulatory clients from the Midwestern United States …

The Effects Of A Digital Educational Intervention On Undergraduate Nursing Students' Attitudes, Knowledge And Self-Efficacy With Female Genital Cutting, Najla Barnawi

Graduate Dissertations and Theses

Background: Due to increasing transmigration, care of women with female genital cutting FGC has become a national and global public health and human rights issue. The US is one of the Western countries that have a large number of women who underwent or are at risk to undergo FGC. Based on the US Population Reference Bureau (PRB) (2013), there were more than 507,000 females with different migration status who were subjected to some form of FGC. Around 55% of these women were during their reproductive cycle (15 to 49 years old). Caring for immigrant women with FGC, especially those who …

Influence Of Psychological Capital And Thinking Perspectives On Construction Safety Climate And Performance, Anne-Perrine Pascale Cades

Walden Dissertations and Doctoral Studies

Understanding safety factors in construction is critical to reducing accident frequency and severity. Grounded in the safety performance model, this study was conducted to examine the impact of psychological capital (PsyCap), which consists of the shared variance of hope, efficacy, resilience and optimism, and Past, Present, and Future thinking perspectives, on safety climate and performance. A nonexperimental quantitative design was used to determine whether PsyCap and thinking perspectives of construction project employees predicted safety performance and/or moderated the relationship between safety climate and performance across construction sites in different countries. 411 construction employees were recruited via a multistage and clustering …

Increasing Knowledge About Food Allergy Management In The Preschool Setting, Katherine Mizell Crow

Walden Dissertations and Doctoral Studies

The prevalence of food allergies is a growing concern in the United States. Approximately 8% of the pediatric population has some form of food allergy. Many of these children are either in the preschool and primary school setting, which is where the majority of allergic reactions occur. If the symptoms of a food allergy reaction are not treated within minutes of exposure, the results can be damaging or fatal. Evidence continues to demonstrate that preschool and school personnel do not feel trained or prepared should a severe reaction arise. The purpose of this evidence-based project was to determine if the …