Medicine and Health Sciences Commons^™

Addressing Inpatient Substance Use Stigma And Bias: An Examination To Support Training For Healthcare Professionals, Tara Flood, Dnp, Rn, Cbc

College of Nursing Posters

Background

The current opioid crisis is a significant public health issue in the United States, especially amongst women of reproductive age. In the last two decades, the rate of opioid use disorder (OUD) in pregnant women has quadrupled. Women with substance use disorders (SUD) experience more sociodemographic and health disadvantages, pre-existing health conditions, and co-morbid psychiatric diagnoses than their counterparts without SUDs. They are also more likely to experience emergency department visits and hospitalizations during the antenatal period and less likely to utilize prenatal healthcare services.

Acute Inpatient Stabilization Study Primary Stakeholders Evaluation, Tara Flood, Dnp, Rn, Cbc

College of Nursing Posters

Background

The current opioid crisis is a significant public health issue in the United States, especially amongst women of reproductive age. In the last two decades, the rate of opioid use disorder (OUD) in pregnant women has quadrupled. Women with substance use disorders (SUD) experience more sociodemographic and health disadvantages, pre-existing health conditions, and co-morbid psychiatric diagnoses than their counterparts without SUDs. They are also more likely to experience emergency department visits and hospitalizations during the antenatal period and less likely to utilize prenatal healthcare services.

Opioid Use Disorder (Oud) And Neonatal Abstinence Syndrome (Nas) Education In An Undergraduate Nursing Program, Tara Flood, Dnp, Rn, Cbc

College of Nursing Posters

Background

In 2018 the American Academy of Nursing urged all nursing schools to adopt curriculum to address the opioid epidemic, although few programs have begun this work.

Minimal background training in nursing school is focused on caring for patients with Opiate use disorder ( OUD) and Neonatal Abstinence Syndrome (NAS) leaving nurses to develop the necessary skills for optimal patient engagement to be formulated in practice. An undergraduate nursing program in an urban setting developed OUD and NAS education into their curriculum.

Undergraduate nursing students are increasingly encountering patients with opioid use disorder in the clinical setting. Previous research indicates …

The Impact Of Role Perception Gaps Among Nurses: An Integrative Review, Anita Fennessey, Drnp, Rn, Cne

College of Nursing Posters

Background & Significance

• Inadequate communication has consistently been indicated as a contributor to adverse events in all areas of healthcare (Paltved et al, 2017).
• Factors related to individual, team, work environment, organizational and institutional aspects have also been shown to influence patient safety, with increased chances of causing patient harm (Rezende da Silva dos Santos, Campos & Celestino da Silva, 2018).
• Efficient communication among healthcare members is considered a contributing element in promoting a culture of safety (Rezende da Silva dos Santos, Campos & Celestino da Silva, 2018).
• Errors in communication can compromise continuity of care and place patient safety …

The Extent Of Disability Education In Three Levels Of Nursing Education: A Descriptive Quantitative Stud, Ksenia Zukowsky, Phd, Crnp, Nnp, Julia Ward, Rn, Phd, Ruth Wittmann-Price, Phd, Rn, Anef, Faan

College of Nursing Posters

Purpose

• This quasi-experimental research project, completed by a Qualtrics survey, assessed the knowledge and confidence of baccalaureate, masters, and Doctor of Nursing Practice (DNP) nursing students’ about caring for People With Disabilities (PWD).
• Participants completed a Qualtrics survey to assessed the knowledge and confidence about caring for People With Disabilities.

Reflecting On Student And Novice Nurses’ Clinical Decision-Making At The Bedside: Considering A Gen Z Influence, Teresa Wenner, Edd, Msn, Rn-Bc, Cne, Karen Waterfall, Msn, Rn-Ccrn, Mary Hanson-Zalot, Edd, Msn, Rn, Cne, Julia Ward, Phd, Rn

College of Nursing Posters

Introduction: The relationship between nurses’ decision-making and healthcare outcomes is a high priority in nursing research today. Prior studies and nursing theory have indicated that students and novice nurses rely primarily on formal procedures and concrete evidence to make clinical decisions, but with the passage of time and through meaningful experience, decision-making becomes more intuitive in nature. Increased awareness of the decision-making processes among students and novice nurses is needed to improve health outcomes.

Implicit Bias Training In Student Registered Nurse Anesthetists, Iteona Roundtree, Bsn, Rn, Srna, Jodi-Ann Smith, Bsn, Rn, Srna

College of Nursing Posters

Research Question:

In first-year DNP student registered nurse anesthetists (SRNAs), will an implicit bias training activity increase self-awareness and knowledge of implicit bias and its implications in healthcare?

Assessing Knowledge And Perspectives Of Pediatric Nurse Practitioners Students After Receiving Trauma Informed Care Training, Laura Roettger, Phd, Crnp, Jane Tobias, Dnp, Crnp

College of Nursing Posters

PNP students showed improved understanding and comfort level in caring and managing children exposed to adverse childhood experiences following two TIC learning sessions.

Future Implications

• TIC education should be integrated into curriculum.
• Interprofessional collaboration among students improves knowledge base and understanding of TIC

Reflux, Apnea And The Impact On Discharge, Michele Savin, Dnp, Nnp-Bc, Kaitlin Kenaley, Md, Maureen Moffet, Msn, Rula Nassar, Md

College of Nursing Posters

Decisions made about timing of discharge can be subjective. Definitions of significant bradycardia are multiple, and interventions are variable.

This necessitates an informed discussion with parents about the natural course of apnea, bradycardia and reflux.

The physiology of gastroesophageal reflux and respiratory control have intermingled confounding variables.

Critical thinking is required to educate and support families, however a paucity of research exists. Risks and benefits of pharmacologic and nonpharmacologic interventions should be evaluated.

Nurses need increased confidence in understanding how to approach the preterm infant with apnea and/or reflux as well as how to interact with families to support discharge …

Experiential Learning And Injury Prevention: A Win-Win, Christine Mckeever, Msn, Rn, Julia Ward, Phd, Rn, Anita Fennessey, Drnp, Rn, Cne, Kathryn M. Shaffer, Edd, Rn, Msn, Cne

College of Nursing Posters

Purpose

Experiential learning opportunities help prepare students for patients in crisis management

Harm reduction by ensuring students become certified in the Stop the Bleed Campaign & Opioid Overdose Narcan Prevention

Felty Syndrome, Dorothea Frederick, Dnp, Fnp-C

College of Nursing Posters

Take home point: It is important to remember that the diagnosis of FS may be masked in patients who present with infection, since active bacterial infection raises the WBC count to normal or slightly elevated – the neutropenia reappears shortly after successful treatment (Kay, 2017).

The Effect Of A Didactic Educational Program With Practical Application On Nursing Knowledge And Empowerment In Antibiotic Stewardship, Eleanor Fitzpatrick, Rn, Msn, Ag-Cns, Acnp, Ccrn

College of Nursing Posters

• Antimicrobial use is a crucial element of patient care but their overuse and misuse have detrimental effects including the growing problem of antimicrobial resistance (AMR).
• Nurse empowerment and engagement has resulted in improvements in many quality initiatives including enhanced patient safety in the areas of Central Line Associated Bloodstream Infections (CLABSI), Catheter-Associated Urinary Tract Infections (CAUTI) and pressure injuries (Carter, 2016).
• Enhancing nurse empowerment in AS may be effective in reducing antibiotic misuse.
• The purpose of this study is to implement an educational program engaging nurses in AS activities and determining the effect of this educational intervention on the knowledge …

Rotating Shifts Vs. Fixed Schedules, Sara Vallett, Ba, Bsn, Rn, Dilek Reisoglu, Bs, Bsn, Rn

College of Nursing Posters

Purpose

• This EBP project seeks to examine the literature and nurses’ perceptions related to rotating shifts, especially the impact of quick returns on nurses and possible solutions.
• Nurses struggle to manage rotating shifts with quick turnaround between shifts. Quick returns defined as returning to work a different shift within 24 hrs

PICO question: What effect does rotating shifts with (quick returns) have on clinical nurses?

Coordinating Care And Managing Transitions For Individuals With Complex Care Needs Using The Cctm Rn Model, Sheila Haas, Phd, Rn, Faan, Beth Swan, Phd, Crnp, Faan, Traci Haynes, Msn, Rn, Cen, Ccctm

College of Nursing Posters

Objectives

• Discuss demand for care transition management for individuals with complex care needs across the care continuum
• Describe development of the Care Coordination and Transition Management (CCTM) dimensions and competencies
• Discuss challenges, future directions, and outcomes of the CCTM RN Model in managing care transitions for individuals with complex care needs

Navigating Health Care Transition: An Exploration Into The Experiences Of Parents And Their Adolescents With Special Health Care Needs Utilizing A Transitional Care Service, Jane Tobias, Dnp, Crnp

College of Nursing Posters

Abstract

Adolescents with special health care needs encounter barriers and challenges during transition to adult health care that have the potential to impact health outcomes and satisfaction with the experience. The use of transitional care services can provide resources and support throughout the transition process to the adolescent and their parent/caregiver. This descriptive survey study was conducted to evaluate adolescent and/or parent/caregiver satisfaction with the transitional care services provided by an urban, academic, pediatric health care facility. Nineteen of 39 (49%) eligible participants completed the survey. Findings indicate that adolescents and their parent/caregiver were satisfied with the resources and support …

Refusing To Let The Dust Settle: Creative Evaluation Of A Concept-Based Curriculum, Jeannette Kates, Phd, Gnp-Bc, Rn, Mary Hanson-Zalot, Edd, Rn, Julia Ward, Phd, Rn, Jamie Smith, Msn, Rn, Ccrn, Valerie Clary-Muronda, Phd, Msn-Ed, Rn

College of Nursing Posters

Concept-based curricula are being implemented in nursing education as a means to shift the emphasis from content to an emphasis on concepts and conceptual learning (Giddens & Brady, 2007). This paradigm shift requires concomitant changes in how faculty teach and how students learn. In concept-based curricula, teachers use student-centered learning activities, such as case studies, questions, or problems to engage students in active learning (Giddens, Caputi, & Rodgers, 2015).

Utilization Of Care By Infants With Neonatal Abstinence Syndrome In Delaware, Michele K. Savin, Dnp, Aprn, Nnp-Bc

College of Nursing Posters

Introduction: There is little information regarding use of expected well care by infants diagnosed with neonatal abstinence syndrome (NAS) post initial discharge. We describe expected and unexpected utilization of care by infants with NAS in the first year of life.

Methods: A de-identified State of Delaware Medicaid data set was obtained. Included were all infants with an ICD-9 code for NAS from 01/01/2012-12/31/2014. All associated medical claims were extracted for one year after birth. Utilization rates of primary care, immunizations, urgent or emergency care, and re-hospitalization were quantified.

Results: 499 of 522 babies were able to be fully analyzed. The …

Prisons As Learning Environments For Nursing And Public Health Practice, Mary Bouchaud, Phd, Rn, Madeline Brooks

College of Nursing Posters

Background:

Challenges in Securing Community Nursing Rotation Sites Eighteen years of providing clinical placement for Bachelor of Science in Nursing (BSN) students has demonstrated that community-based educational opportunities are shrinking due to:

•Increased regulatory requirements

•Competing numbers of nursing schools

•Increasing student enrollment

•Decreasing availability of community resources capable and willing to precept students

These issues present challenges to preparing students for nursing practice. A college of nursing at an urban, academic health center found a solution by working with unexpected partners – maximum security prisons and juvenile detention centers.

A Novel Solution: Partnerships with Prisons

Several factors make prisons …

Treatment-Related Decisional Conflict, Quality Of Life, And Comorbid Illness In Older Adults With Cancer, Jeannette Kates, Phd, Msn, Gnp-Bc

College of Nursing Posters

As the aging population in the nation increases, cancer diagnoses in this age group will also increase. The many chronic medical conditions associated with older adults are confounded by a diagnosis of cancer. Older adults with cancer are at risk for physical, psychological, and functional decline as a result of not only the cancer, but also the cancer treatment. In their current research agenda, the Oncology Nursing Society identified the need for research related to multiple comorbidities in older adults with cancer. This study utilized a cross-sectional, descriptive, correlational study design to explore the relationships between and among treatment-related decisional …

Looking Beyond The Traditional: Integrating A New Curriculum Design Into An Immersion Practicum Evaluation Tool, Denise Brown, Msn, Rnc-Ob, Kathleen D. Black, Phd, Rnc-Ob, Maureen Fitzgerald, Msn, Rnc-Nic, Tara Flood, Msn, Cbc, Maureen Kane, Msn, Rn, Cen, Laura Roettger, Msn, Cpnp-Pc

College of Nursing Posters

Abstract

Changes in health care delivery and recent reports from the Institute of Medicine (IOM, 2010) call for nurse educators to reconstruct the way they prepare nursing students for practice in the 21st century. Health care delivery continues to shift from the acute care to outpatient and transitional settings, therefore faculty must assure that graduates are prepared to practice in those environments. In order to address these changes, the Jefferson College of Nursing at Thomas Jefferson University embarked on a mission to redesign their undergraduate curriculum. The new clinical courses, now referred to as Immersion Practicums, were designed to allow …

Infection Prevention And Control In Baccalaureate Nursing Education: Identifying Content, Teaching Strategies And Gaps, Mary Lou Manning, Phd, Crnp, Cic, Faan, Monika Pogorzelska-Maziarz, Phd, Mph, Cic

College of Nursing Posters

Background

Healthcare-associated infections (HAI) are a major risk to patient safety. In the US, on any given day, 1 of every 25 inpatients has at least one HAI, resulting in significant health, social, and economic consequences.¹ It is estimated that up to 70% of some types of HAIs are preventable through improved infection prevention and control (IPC) practices of health care providers.²

Additionally, antibiotic resistant infections and emerging and re-emerging infectious diseases represent ongoing threats to population health.

Integrating IPC concepts and content in baccalaureate nursing education is crucial to ensure that nurses have the essential knowledge, skills …

Perceptions Of Accelerated Bachelor Of Science In Nursing Program Graduates Regarding Andragogical Practices Employed By Faculty, Mary Hanson-Zalot, Edd, Msn, Rn, Aocn, Cne

College of Nursing Posters

Abstract

This research study was designed to examine accelerated, second-degree prelicensure baccalaureate graduates’ perceptions of the andragogical practices employed by faculty that prepared students best to begin practice as entry level professional nurses. Through listening to the voices of graduates an emic perspective of the perceptions of the second-degree graduates emerged. Six key themes were identified related to the educational experience.

Community Nursing: Health Care Behind Closed Doors, Mary Bouchaud, Phd, Rn, Mary Mangiaracina, Msn, Rn, 2009 Nln

College of Nursing Posters

Focus of nursing education in the 21st century is to teach students how to work with individuals & families within a community setting & to develop skills in providing nursing care that stresses community as the client.

The expectation of the APHA is that BSN students will be educationally prepared to work with & improve the health of individuals, families, & diverse populations within the community.

The H.E.R.E.© Curricular Model...Educating Nursing Students For 21st Century Health Care, Susan Egger, Phd, Rn, Mary Bouchaud, Phd, Rn, Beth Ann Swan, Phd, Crnp, Faan, Ann Phalen, Phd, Aprn, Nnp-Bc

College of Nursing Posters

Background:

The focus on traditional acute, hospital-based health care is being replaced with a new paradigm aimed at providing primary care, care of populations, and care across transitions and providers. As changes unfold, nursing education is challenged to prepare graduates who can effectively function in new healthcare environments of the 21st century. In response, the Jefferson College of Nursing (JCN) embarked on the ambitious task of designing a new 21st century baccalaureate nursing curriculum over a 13-month period. Although a 13-month turnaround time for curriculum design is unprecedented, what is most unique about JCN’s initiative is that it began with …

The H.E.R.E.© Curricular Model…Educating Nursing Students For 21st Century Health Care, Susan Egger, Msn, Rn, Mary Bouchaud, Phd, Rn, Beth Ann Swan, Phd, Crnp, Faan, Ann Phalen, Phd, Aprn, Nnp-Bc

College of Nursing Posters

Background

The focus on traditional acute, hospital-based health care is being replaced with a new paradigm aimed at providing primary care, care of populations, and care across transitions and providers. As changes unfold, nursing education is challenged to prepare graduates who can effectively function in new healthcare environments of the 21st century. In response, the Jefferson College of Nursing (JCN) embarked on the ambitious task of designing a new 21st century baccalaureate nursing curriculum over a 13-month period. Although a 13-month turnaround time for curriculum design is unprecedented, what is most unique about JCN’s initiative is that it began with …

The Jefferson Teamwork Observation Guide: Reliability And Validity For Use In Education And Practice, June Andrews Horowitz,, Elizabeth T. Speakman, Edd, Rn, Fnap, Anef, Shoshana Sicks, Med

College of Nursing Posters

Background & Purpose

• Interprofessional education (IPE) is fast becoming an integral part of the education of health professions students. To meet this aim, it is important to provide students with the skills needed for interprofessional success, but also to use reliable and valid measures to help students and clinicians to recognize characteristics of well-functioning teams.
• The Jefferson Teamwork Observation Guide (JTOG) was created for health professions students to evaluate teams in action by rating behaviors indicative of good team work.
• The JTOG, mapped to the 2011 Interprofessional Education Collaborative Expert Panel (IPEC) core competencies, was developed over two …

Promoting Health And Quality Of Life Along The Care Continuum: Creating A Nursing Curriculum For Today’S Health Care Environment, Kathleen D. Black, Mary Bouchaud, Denise Brown

College of Nursing Posters

Background

The focus on traditional acute, hospital-based health care is being replaced with a new paradigm aimed at providing primary care, care of populations, and care across transitions and providers. The Institute of Medicine’s report (2010), the “Future of Nursing” emphasized the need for nurses to lead health care change and called for nursing education focused on a community and population-based perspective, person centered care, and emerging roles for nurses across the care continuum. In response, the Jefferson College of Nursing embarked on the ambitious task of designing a new and innovative baccalaureate nursing curriculum over a 13 month period.

The Use Of Narrative Pedagogy And Unfolding Case “Ivan” To Promote Interprofessional Collaboration And Education Among Nursing And Radiology Students, Mary Bouchaud, Phd, Rn, Elizabeth Speakman, Edd, Rn, Anef, Fnap

College of Nursing Posters

Purpose:

Nursing students are unfamiliar with roles and responsibilities of their healthcare colleagues and how partnering with them can impact patient health outcomes. Many are unaware of how an interprofessional healthcare team contributes to preventing and resolving healthcare issues affecting care transition from tertiary settings back to the community. Case “Ivan” is a real lived experience that was shared to prepare nursing and allied health students for interprofessional, patient-centered care practice.

Poster presented at:

NLN Education Summit, 2015:Bridging Practice and Education, Las Vegas, Nevada, September 30, 2015-October 2, 2015.

Accelerating Curriculum Design: "A Love It, Don't Leave It" Approach To Creative Process And Idealized Design, Mary Bouchaud, Phd, Rn, Angela Gerolamo, Phd, Aprn, Bcps, Beth Ann Swan, Phd, Crnp, Faan, Kathleen Black, Phd, Rnc, Karen Alexander, Msn, Rn, Ccrn, Jennifer L. Bellot, Phd, Mhsa, Cne, Denise Brown, Msn, Rnc, Susan Egger, Phd, Rn, Rachel Scherzer, Msn, Rn, Ccrn, Kathy Shaffer, Edd, Rn, Cne, Catherine Levonian, Phd, Rn, Dori Sullivan, Phd, Rn, Ne-Bc, Cphq, Faan

College of Nursing Posters

Purpose and Background:

The Institute of Medicine’s (IOM) report (2010) on the “Future of Nursing” emphasized the need for nurses to lead health care change. One of the key messages in this report is a call to action for nursing schools to re-envision nursing education that focuses on a population-based perspective and emerging roles for nurses across the care continuum. With an evolving focus on primary and community-based care rather than acute care, and recognition of the importance of coordinating care and managing transitions across providers and settings of care, registered nurses now and in the future will need to …

Fostering The Development Of Emotional Intelligence Among Health Science Students: Empowering Students To Impact Institutional Culture, Julia Ward, Phd, Rn, Mary Hanson-Zalot, Msn, Rn, Aocn, Collleen Dempsey, Ms, Rt(R)

College of Nursing Posters

Objectives:

Identify challenges of navigating institutional culture for students interacting in a variety of clinical settings

Discuss the importance of integrating concepts of emotional intelligence throughout curricular plans of study

Consider contemporary research findings in the health science literature regarding emotional intelligence among students.