Medicine and Health Sciences Commons^™

Mandating Nursing Faculty Disability Training: Learn To See The Ability In All Your Students, Rebekkah Stanko

Nursing (graduate) Student Scholarship

Nursing students with disabilities are an under recognized, and under supported, minority student population. Though the exact statistics for nursing students with disabilities is unknown, the presence of these students within nursing programs across the United States has been increasing significantly over the past decade. As the profession of nursing continues to strive to educate and grow a diverse professional workforce, nursing faculty will need to develop a working knowledge and understanding of disability and disability law to maintain compliance with federal law and best meet the educational needs and requirements of nursing students with disabilities. However, nursing programs have …

Improving Preventive Care For International Travelers Through Primary Care Screening, Rena Zody

Nursing (graduate) Student Scholarship

Background: Prior to recent restrictions on travel, international travel was popular with an increasing number of U.S. residents traveling to emerging markets, which may have unfamiliar health risks. In additional to risk of illness, travelers may carry nonendemic disease across country borders, increasing risks to public health. Problem: Though many international travelers report illness during travel or after returning home, only a portion receive a pretravel health consult for preventive care and education. Newer recommendations are to screen for upcoming international travel during routine health contacts; however, a travel medicine provider is best able to perform a comprehensive risk assessment …

Implementing Standardized Chlamydia Screening In A College Health Center, Lacey Ehrenfeuchter

Nursing (graduate) Student Scholarship

Background: Chlamydia trachomatis (CT) is the most common reportable sexually transmitted infection (STI) in the United States. Despite regulatory agencies’ recommendations, routine CT screening is not being performed in many high-risk settings. Problem: The burden of undetected CT infections is substantial to patients and the healthcare system. There is a lack of consensus regarding an effective standardized CT screening strategy and screening rates remain suboptimal. Methods: A standardized CT screening, testing, and treatment process was implemented in Spring of 2020 and compared to screening rates pre-intervention in Spring 2019. Intervention: A 3-question sexual health screening questionnaire (SHSQ) was administered to …

Sleep Quality Screening In Primary Care Patients With Chronic Pain, Nicholas Montgomery

Nursing (graduate) Student Scholarship

Background: Many patients receive treatment for chronic pain from a primary care provider. There is a known relationship between sleep and pain perception, making sleep an important factor to assess in patients with chronic pain. Unlike in specialist pain management settings, sleep is not routinely assessed in the primary care setting, resulting in missed treatment opportunities and suboptimal chronic pain management. Objective: To assess the sleep quality of patients with chronic pain in the primary care setting through the use of the Pittsburgh Sleep Quality Index (PSQI) questionnaire during the patient intake process. Methods: Patients meeting inclusion criteria received a …

Implementation Of Interventions To Reduce Pediatric Pain Associated With Vaccination: A Quality Improvement Initiative, Kelly Snyder

Nursing (graduate) Student Scholarship

Background: Routine vaccination is an important component of pediatric preventative care but for many children, the experience can be painful and anxiety provoking, potentially leading to a cascade of negative events. Problem: Under-recognition of the pain that children experience during vaccination leads to an under management of such pain in ambulatory care settings. Methods: The Face, Activity, Legs, Cry, Consolability (FLACC) scores of a convenience sample of children ages 2 months to 7 years at a small, rural family practice clinic were evaluated throughout the vaccination process over a three-month time period. Intervention: Two evidence-based interventions - distraction techniques and …

Mobile Technology In Undergraduate Nursing Education: An Evidence-Synthesizing Project, Jillian Sisson

Nursing (graduate) Student Scholarship

Background: Undergraduate nursing students are faced with entering a complex healthcare environment with increasing acuity in which they must perform significant information recall in order to provide safe and quality patient care. Students are also tasked with the translation of nursing theory into ever-changing practice. The purpose of this capstone project was to review published studies to discover what is known about the accessibility of educational content on mobile technology in undergraduate nursing education.

Methods: A systematic literature search was conducted using Medline, CINAHL, and the Cochrane Library databases. Articles were chosen for inclusion in the project if they were …

The Influence Of Nurse Residency Programs On Retention Rates, Jennifer Wagner

Nursing (graduate) Student Scholarship

Background: New nurses face many challenges when starting their jobs, leading to job vacancy if the challenges are not addressed. Turnover can be costly for an institution due to training costs. Nurse residency programs have become more common to reduce turnover rates. Additionally, nurse residency programs provide support and professional development opportunities as new nurses’ transition into their new positions. Mentorship, preceptorship and the duration of orientation are all components of nurse residency programs that are necessary to evaluate. The purpose of the paper is to investigate how nurse residency programs affect retention rates of new nurses after one year. …

Influence Of Nurse Educators On The Inclusion Of Interprofessional Education In Nursing Curricula, Holly Freas-Webster

Nursing (graduate) Student Scholarship

Background: The Institute of Medicine (2010) and the Quality and Safety Education for Nurses () action recognized the impact that collaboration among health care workers has on safe patient care. Ineffective communication and teamwork are a cause of medical errors. To remedy this cause, including interprofessional education in program curriculum will better prepare nurses and strengthen their skills as they enter the workforce. Methods: Selected data bases were searched for interprofessional education that identified the methodologies nursing faculty were implementing and what obstacles were identified to successful curriculum inclusion of interprofessional education (IPE). Results: A variety of methods are being …

Disability ≠ Inability: How Framing Disability Through A Social Model Impacts Rn Recruitment And Retention, Rebekkah Stanko

Nursing (graduate) Student Scholarship

Registered nurses with disabilities are a minority group within the profession of nursing; though the exact number of nurses with disabilities is unknown, it is projected to be about 1 in 5, and is estimated to increase as the nursing population ages. As more nurses develop physical disabilities, related to age or the demanding nature of nursing work, health care organizations should develop methods to recruit and retain these nurses within the profession. The recruitment and retention of registered nurses with disabilities is mandated by the Americans with Disabilities Act and the America Nurses Association Code of Ethics, and has …

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 …

The Impact Of Cross-Cultural Experiences On The Expression Of Cultural Humility, Teri L. Witter

Nursing (graduate) Student Scholarship

Cultural humility is a process in understanding and accepting differences between diverse groups of people. Nurses are challenged to develop cultural humility to care for the changing population in the United States. Nurse educators are tasked with the challenge of facilitating students’ awareness and expression of cultural humility. Immersion experiences are one approach to helping students grow in their cultural humility. Along with teaching cultural humility, educators must evaluate a student’s level of cultural humility. Measuring an abstract concept such as cultural humility can be a difficult. Limited instruments have been developed and used to measure the concept of cultural …

Effectiveness Of Cultural Competence Education In Baccalaureate Nursing, Sharon Kessler

Nursing (graduate) Student Scholarship

Health disparities based on race and socioeconomic status persist despite efforts to improve access to care. Culturally competent nurses play an important role in providing quality care and reducing health disparities. The American Association of Colleges of Nursing (AACN) has asked colleges to develop programs to prepare students to decrease health disparities, resulting in nursing programs working to increase cultural competence among students in response to the changing demographic makeup of this country. This paper reviewed and critically appraised current literature regarding methods baccalaureate programs use to develop culturally competent nurses. The evidence based practice question guiding this project was, …

The Value Of An Established Nursing Mentorship Program For Novice Pre-Licensure Undergraduate Nursing Students, Christina Morgan

Nursing (graduate) Student Scholarship

The purpose of this literature review is to discover the effect that a mentor relationship can have on novice pre-licensed undergraduate nursing students and provide recommendations for future mentor programs. The studies reviewed had to meet specific criteria including: found in scholarly peer reviewed journals, original research studies or systematic reviews, and current literature, completed within or near five years. There were ten pieces of evidence reviewed which included one randomized-controlled trial, four quasi-experimental studies, four qualitative studies and one integrative review. Participants in the primary studies included undergraduate nursing students (mentees) and the mentors which were the more experienced …

Flipped Approach On Student Outcomes, Christina Johnson

Nursing (graduate) Student Scholarship

The flipped classroom approach guided by Constructivist Theory uses active learning strategies to promote student critical thinking. Active learning strategies include activities that promote student engagement and application of knowledge. The purpose of this evidence-synthesis project focused on conducting a review and critical appraisal of literature on the flipped classroom approach and its effects on student satisfaction and learning outcomes. The themes discussed are teaching strategies, student satisfaction, theoretical support, and learning. The author of this paper presented findings of fourteen research studies including reviews which discussed student satisfaction and student outcomes. Swart and Wuensch (2016) suggested the flipped classroom …

Minority Nursing Students And Increasing Nclex Pass Rates: Support Program Intervention, Ellis Choi Lafrance

Nursing (graduate) Student Scholarship

Background: There is growing evidence for the need to increase the minority nurse workforce to mirror the growing minority population in the United States. Health disparities among the minority population may be alleviated by having more minority nurses in the community. The purpose of the project was to examine increasing minority nurses in the workforce through comprehensive support programs at schools of nursing. Methods: In this evidence synthesis project, a comprehensive literature review was done using CINAHL, ERIC, and PubMed databases with search terms including NCLEX-RN, diversity, minority, licensure, and retention. A total of 13 articles were screened and 5 …

Nurse Educators' Use Of The Affective Domain Of Learning In Critical Instruction, Sarah Wagoner

Nursing (graduate) Student Scholarship

The purpose of this project was to explore the lived experience of nurse educators’ use of the affective domain in clinical post-conference at the baccalaureate level. Five nursing faculty members who provide clinical instruction to undergraduate nursing students were interviewed to explore the experiences and challenges of teaching within the affective domain of learning. Data saturation was reached after transcription and analysis of five participant interviews. Elicited data were coded for identification of common themes with researcher triangulation of raw data themes. Four themes that immerged were lack of knowledge in the affective domain, use of open-ended questions to illicit …

The Impact Of The Flipped Classroom Approach On The Development Of Self-Directed Learning Readiness Of The Undergraduate Nursing Student, Cynthia R. Wallis

Nursing (graduate) Student Scholarship

For the baccalaureate nursing student preparing to enter today’s dynamic, information-rich, and

highly collaborative healthcare environment, the ability to actively engage in lifelong self- directed learning is recognized as an essential nursing competency. The application of team- based flipped classroom curricular design that incorporates active learning strategies has been

linked to the improvement of students’ independent learning behaviors. Minimal research has

been conducted, however, to document the impact of the flipped classroom model on self- directed learning readiness (SDLR) of the undergraduate nursing student. This evidenced-based

practice implementing project used the Self-directed Learning Readiness Scale for Nursing Education (SDLRSNE) to …

The Effect Of Test-Taking Strategy Education On Kaplan Integrated Exam Scores, Nancy Frank

Nursing (graduate) Student Scholarship

Achieving minimum NCLEX-RN® pass rates is problematic for many nursing programs. Much research focuses on determining predictors of NCLEX-RN® success and preventing failure. Schools implement standardized content assessments to provide computerized test taking practice and identify at risk students. Using standardized content assessments as predictors allows for early remediation. Although many studies demonstrate a reactionary, multifaceted approach, proactive remediation potentially prevents a problem. However, current research provides poor indication of effective, generalizable techniques. Test-taking strategies typically combined with other interventions, show potential benefit, but limited research is available on effective methods. Cognitive behavioral test taking techniques and Mayfield’s Four Questions© …