Medicine and Health Sciences Commons^™

Innovating Cultural Competence Education For Nurses, Darian A. Frieson, Jennifer Patrick, Walker Ray Corless, Abigail Taylor Coulthard, Rebecca R. Fogerty

Graduate Publications and Other Selected Works - Doctor of Nursing Practice (DNP)

Objective

To improve cultural competency levels of registered nurses on the Mother/Baby unit by educating nurses.

Background

Demographics are shifting in the U.S. with an increase in minority populations. Research has revealed insufficient education or a complete absence of education, resulting in nurses that are not equipped to adequately care for culturally diverse patients.

Methods

The Evidence-Based Practice Improvement (EBPI) Model guided the development and implementation of the project. A cultural competence education module was developed utilizing resources from the U.S. Department of Health and Human Services. Outcomes were measured using a pretest/posttest design tool, the Inventory for Assessing the …

Using Debriefs To Reduce Nursing Burnout In Nurses Caring For The Oncology Population, Courtney M. Wilkes

MSN Capstone Projects

Nurses are a critical part of healthcare and make up the largest section of healthcare professionals in the United States. According to the World Health Organization (2020), there are approximately 29 million nurses and midwives globally. The increasing need for nurses is not a new discovery. According to the American Association of College of Nurses, more registered nursing jobs will be available through 2022 than any other profession in the United States. The number of nurses leaving the workforce each year has been growing steadily from around 40,000 in 2010 to nearly 80,000 in 2020. Nursing burnout is a known …

Oncology Patients Oral Hygiene Education Intervention Mapping Among Nursing Staff: A Repeated Measure Non-Experimental Design, Maura Poleon

Nicole Wertheim College of Nursing Student Projects

OBJECTIVE: Oral health conditions mainly cavities and tooth decay had been implicated in oral cavities neoplasm incidence, complications, prognosis, and survival. The current study aimed to assess the knowledge and skills of oncology nurses, prior to the application of the training and education module on oral hygiene, and thereafter re-assessment.

MATERIALS & METHODS: A repeated measure, the non-experimental design was used to assess the knowledge and skills of nursing staff. The study was conducted at 5 Hope, 6 Hope, and 5 Clarke, Baptist Hospital of Miami, with 145 nurse participants in the pretest assessment, while 63 nurses completed …

The Impact Of Funding Models On The Integration Of Registered Nurses In Primary Health Care Teams: Protocol For A Multi-Phase Mixed-Methods Study In Canada., Maria Mathews, Sarah Spencer, Lindsay Hedden, Julia Lukewich, Marie-Eve Poitras, Emily Gard Marshall, Judith Belle Brown, Shannon Sibbald, Alison A Norful

Health Studies Publications

BACKGROUND: Family practice registered nurses co-managing patient care as healthcare professionals in interdisciplinary primary care teams have been shown to improve access, continuity of care, patient satisfaction, and clinical outcomes for patients with chronic diseases while being cost-effective. Currently, however, it is unclear how different funding models support or hinder the integration of family practice nurses into existing primary health care systems and interdisciplinary practices. This has resulted in the underutilisation of family practice nurses in contributing to high-quality patient care.

METHODS: This mixed-methods project is comprised of three studies: (1) a funding model analysis; (2) case studies; and (3) …

Reducing The Stigma Of Nurses In Recovery: Substance Use Disorder And Alternative-To-Discipline Program Education For Nurses, Daniel Paul Del Toro, Pamela Hardesty

Graduate Publications and Other Selected Works - Doctor of Nursing Practice (DNP)

Decades of previous studies suggest that approximately 10-15% of all actively licensed nurses in the United States may be impaired by or in recovery from alcohol or other drug addiction. As a result of the COVID-19 pandemic, medical professionals are experiencing unprecedented amounts of stress, fatigue and emotional distress that when coupled with poor coping mechanisms and easily accessible addictive substances may result in an increased risk for developing substance use disorder. By providing education to nurses regarding substance use disorder (SUD) and alternative to discipline programs (ADP), previous studies have shown that the risk of nurses developing SUD can …

Views Of Nurses And Other Healthcare Workers On Interventions To Reduce Disrespectful Maternity Care In Rural Health Facilities In Kilifi And Kisii Counties, Kenya: Analysis Of A Qualitative Interview Study, Adelaide Lusambili, Jerim Obure, Stefania Wisofschi, Lucy Nyaga, Kennedy Mulama, Marleen Temmerman

Institute for Human Development

Objective There is an abundance of evidence illuminating the factors that contribute to disrespectful maternity care in sub-Saharan Africa. However, there is limited documented evidence on how some of the key influences on the mistreatment of women could be addressed. We aimed to document the perspectives of nurses and other healthcare workers on existing and potential strategies embedded at the health facility level to promote respectful delivery of healthcare for women during delivery and on what interventions are needed to promote respectful and equitable treatment of women receiving maternity care in rural Kenya.

Design, setting and participants We analysed relevant …

Debriefing For Meaningful Learning: Implementing A Train-The-Trainer Program For Debriefers, Aimee A. Woda, Jamie Hansen, Kristina Dreifuerst, Brandon Kyle Johnson, Anne Loomis, Nolan Cox, Cynthia Sherraden Bradley

College of Nursing Faculty Research and Publications

Debriefing for Meaningful Learning (DML) is a method of debriefing grounded in the theory of reflection used following a simulation or clinical learning experience to engage participants in an interactive dialogue aimed at examining and evaluating their thinking and decision-making processes. With increasing adoption of DML worldwide, a sustainable training program for nurse educators is needed. Attending conferences and workshops that provide training is challenging for many nurse educators because of time and cost constraints. One promising solution is the train-the-trainer (TTT) model. In this article, the development and implementation of a TTT model of DML debriefer training, adaptable to …

The Effectiveness Of A Webinar To Improve Icu Nurses’ Competency In Palliative Care, Justine Kirschner

The Eleanor Mann School of Nursing Student Works

Patients with serious illness lack access to quality patient-centered care despite the growth in palliative care awareness and services. Palliative care is an interdisciplinary care system intended to optimize the quality of life of patients with serious, life-limiting illness and their families. Patients admitted to the intensive care unit (ICU) are facing critical illnesses and can benefit from palliative care integration into their care. This DNP quality improvement (QI) project, grounded in Benner’s Novice to Expert nursing theory, aimed to increase ICU nurse competency in palliative care from novice to competent through a continuing education webinar. The study analyzed nurses’ …

Nurses’ Attitudes Towards Hospitalized Older Adults In A Tertiary Care Setting In Ghana, Yakubu H. Yakubu, Abdul-Ganiyu Fuseini, Eleanor Holroyd

School of Nursing & Midwifery, East Africa

Introduction: The increasing population of older adults and rapid increases in co- morbidities globally has necessitated the need for a healthcare delivery system that meets the multifaceted needs of the growing population of older adults. Concurrent with these rising complex health needs is the importance of positive, non-judgmental attitudes of health services providers towards older adults. Moreover, this is particu-larly important in the nursing profession, given nurses' significant and crucial roles in healthcare settings.

Aim: The study aimed to evaluate nurses’ attitudes towards older adults in a tertiary hospital in Ghana.

Design: It employed a descriptive cross-sectional …

Engagement Of Families In The Care Of Hospitalized Pediatric Patients: A Scoping Review, Teresa Jerofke-Owen, Natalie S. Mcandrew, Karen Gralton, Joan P. Totka, Marianne E. Weiss, Alissa V. Fial, Kathleen J. Sawin

College of Nursing Faculty Research and Publications

This scoping review was conducted to examine the range, nature, and extent of the published family engagement literature specific to the pediatric acute care setting to highlight future research and practice development opportunities. Included studies (N = 247) revealed global relevance. Engagement strategies ranged from more passive such as allowing/encouraging families to be present at the bedside to more active strategies aimed at promoting mutual and reciprocal nurse–patient interactions. Family engagement is distinguished by a mutually beneficial partnership of families with health care team members and care organizations. Future research in the area of family engagement in pediatric nursing …

Resiliency In Nursing: An Integrative Review, Valerie Yvonne Moke

Doctoral Dissertations and Projects

Nurses have been placed under tremendous pressure throughout their careers and the culmination of this pressure was the COVID-19 pandemic. Nurses had to remain stoic despite longer hours, heavier workloads, lack of PPE and the fear of becoming infected or infecting their families. A review of the current literature was accessed to see how nurses built their stamina to withstand those pressures and create interventions to improve patient outcomes. The research was used to evaluate ways to improve nurse retention, reduce nursing shortages, and improve job satisfaction for those nurses and future nurses. The evidence showed that nurses with support, …

Moving On After Critical Incidents In Health Care: A Qualitative Study Of The Perspectives And Experiences Of Second Victims, Melanie Buhlmann, Beverley Ewens, Amineh Rashidi

Research outputs 2022 to 2026

Aims To gain a deeper understanding of nurses and midwives' experiences following involvement in a critical incident in a non-critical care area and to explore how they have 'moved-on' from the event. Design An interpretive descriptive design guided inductive inquiry to interpret the meaning of moving-on. Methods Purposive sampling recruited 10 nurses and midwives. Data collection comprised semi-structured interviews, memos and field notes. Data were concurrently collected and analysed during 2016–2017 with NVivo 11. The thematic analysis enabled a coherent analytical framework evolving emerging themes and transformation of the data into credible interpretive description findings, adhering to the COREQ reporting …

Nicu Nurses’ Varying Levels Of And Experiences With Moral Distress While Caring For Infants With Neonatal Abstinence Syndrome, Sarah Battaglia

Honors Scholar Theses

Background: Opioid Use Disorder (OUD) is both a physical and psychological dependence on opioids. When a woman with OUD becomes pregnant, Neonatal Abstinence Syndrome (NAS) can occur in her child. NAS occurs when the infant shows manifestations of withdrawal, due to the exposure to opioids in the womb being abruptly discontinued once born. Nurses that care for mothers with OUD and their infants with NAS report varying degrees of moral distress related to preexisting stigmas, a lack of education on the chronic disease of addiction, and the multitude of ethical dilemmas experienced while caring for this vulnerable population of mothers …

Knowledge And Practices Regarding Standard Precautions For Infection Control Among Nurses Working At A Public, Tertiary Care Hospital Islamabad, Pakistan, Samina Yasmeen, Tazeen Saeed Ali, Wardah Khalid, Zohra Kurji, Shair Muhammad Hazara, Shahzad Bashir

School of Nursing & Midwifery

Introduction: To protect patients and healthcare providers from healthcare-associated infections (HAIs), standard precautions have been promoted universally. Nurses are the forefront force in patient care; therefore, evidence-based and up to date knowledge and practices can play a vital role in helping nurses apply standard precautions (SPs).
Methods: The analytical cross-sectional study design was used. Through purposive sampling, the data were collected from 320 nurses, via, a self-administered questionnaire, from April to May 2017, from a public tertiary level hospital in Islamabad. The validity and reliability of each section was established. Mean and standard deviation were computed for continuous variables’ whereas; …

“This Isn’T Just Busy, This Is Scary”: Stress, Social Support, And Coping Experiences Of Frontline Nurses During The Covid-19 Pandemic, Erin S. Craw, Tess M. Buckley, Michelle Miller-Day

Communication Faculty Articles and Research

Despite having previous experience and extensive trauma training, the COVID-19 pandemic presented unprecedented challenges for nurses working in hospital settings. During the pandemic, nurses struggle to care for patients and protect themselves from infection, while navigating ongoing organizational changes. Guided by prior literature on social support and coping, this study explores nurses’ experiences of coping with stress while treating COVID-19 patients during the pandemic. In-depth semi-structured interviews were conducted with 14 active staff nurses working in hospitals and one licensed practical nurse (LPN) at a rehabilitation center who treated COVID-19 patients during the pandemic. An inductive thematic analysis was employed …

The Roles And Contributions Of Certified Transport Registered Nurses In Critical Care Ground Transport Today., Jennifer Esslinger Bsn, Rn, Cfrn, Ctrn, Sue L Parrigin, Amy Grand, Kimberly D Bronow, Jacqueline C Stocking

Nursing Publications

Registered nurses are core members of critical care ground transport teams because of their education, experience, and scope of practice. Advances in medicine, technology, and equipment, combined with regionalization of specialized care and, most recently, the coronavirus disease 2019 pandemic, necessitate that transport nurses possess specialized knowledge, skills, and abilities. National specialty certification in ground transport nursing via the Certified Transport Registered Nurse (CTRN) offers registered nurses a process to validate their expertise. The most recent transport nursing role delineation study, which was conducted by the Board of Certification for Emergency Nursingin 2019, provided the foundation for the revised CTRN …

Deprescribing Medications At The End Of Life At A Community Hospice Setting, Shannon Dickson

Doctor of Nursing Practice (DNP) Projects

Background: Polypharmacy can yield various adverse outcomes for patients over the age of 65. The lack of a standardized process and education for hospice nurses to implement into their clinical practice can increase polypharmacy, which burdens patients and families at the end of life.

Purpose: This quality improvement project aimed to increase hospice nurses' knowledge and confidence to initiate deprescribing for non-essential or inappropriate medications with hospice patients.

Methods: A multimodal educational program that incorporated evidenced-based resources composed of STOPP Frail Criteria, Garfinkel algorithm, and the BUILD model was presented at a community hospice agency. Pre- and post-intervention questionnaires were …

Supporting Premature Infants’ Oral Feeding In The Nicu—A Qualitative Study Of Nurses’ Perspectives, Evalotte Mörelius, Charlotte Sahlén Helmer, Maria Hellgren, Siw Alehagen

Research outputs 2022 to 2026

One major task in the neonatal intensive care unit (NICU) involves ensuring adequate nutrition and supporting the provision of human milk. The aim of this study was to explore nurses’ experiences of the oral feeding process in the NICU when the infant is born extremely or very preterm. We used a qualitative inductive approach. Nine nurses from three family-centered NICUs were interviewed face-to-face. The interviews were transcribed verbatim and analyzed using content analysis. Five sub-categories and two generic categories formed the main category: ‘A complex and long-lasting collaboration.’ The nurses wished to contribute to the parents’ understanding of the feeding …