Medicine and Health Sciences Commons^™

Nurses Utilizing The V.O.I.C.E.S. Hiv Prevention Intervention In The Black Church Community, Jason Richard

Theses and Dissertations

The Human Immunodeficiency Virus (HIV) epidemic is a significant problem in the United States, especially in the “Bible Belt” Deep South where the epidemic is hitting this region the hardest. The HIV epidemic in the state of South Carolina is very real, significant, and quite alarming. In fact, the Center for Disease Control and Prevention (CDC) labels South Carolina as an HIV “hot spot.” All racial and ethnic groups are susceptible and impacted by HIV. However, evidence shows that African Americans – especially young adults 18-35, bear the brunt of the burden to the extent that the “new face” of …

Factors Influencing Critical Care Nurses To Speak Up When Patients Are At Risk For Harm: Development Of An Instrument, Deborah Ruth Crumpler

Nursing Theses and Dissertations

Nurses intervene in situations where patients may be at risk for harm, particularly in critical care units where risk due to severity of illness and complexity of treatment is higher. Although safety improvements have been made, nurses still report barriers to speaking-up. Improvement in skilled communication and true collaboration among health care professionals begins with assessment of the problem. Attitudes and beliefs that influence speaking-up behaviors among critical care nurses have not been well-documented. This research study utilized a mixed-method design framed by the Theory of Planned Behavior to explore factors associated with intention to speak up among critical care …

The Concept Of Mattering As Critical To Nursing-Student Recovery, Ronald Steven Hutchins

Master's Theses and Doctoral Dissertations

This qualitative study using a phenomenological case study and grounded-theory design was conducted to examine the phenomena of nursing-student recovery following a failure in a clinical nursing course. For the purpose of this study nursing-student recovery was defined as: The academic progression of a student who failed a core clinical nursing course, and subsequently successfully completed the course, the nursing program, and passed the NCLEX-RN exam. A literature review was conducted focusing on student academic recovery, and three conceptual theories that support transitional change, growth and stability: Neuman System Model (NSM), Self Determination Theory (SDT), and Schlossberg's Transitional Theory (STT). …

Developing Capacity To Care For A Client At Risk For Delirium And For The Acutely Delirious Client, Sherida G. Ingram

Electronic Thesis and Dissertation Repository

ABSTRACT

The purpose of this mixed methods study was: (a) to assess nurses’ knowledge and self-efficacy of caring for clients experiencing delirium and those at risk of developing delirium in a hospital setting prior to and immediately after taking part in a clinical education session, and (b) to explore nurses’ experiences of applying knowledge from the education session to the practice setting. Objectives of the education session included reviewing risks, signs, symptoms, standardized screening tools, and management strategies for clients at risk for or experiencing delirium in a hospital setting.

For the quantitative methods portion of the study, participants completed …

Cultural Competence Among Nursing Faculty, Colleen Marzilli

Nursing Theses and Dissertations

Research of culture and cultural competence in nursing faculty is vitally important when considering the state of the United States health care system and health disparities that can be reduced through culturally competent care. Recent studies address cultural competence among nurses, but there is limited information exploring cultural competence in nursing faculty. A concept analysis of "cultural competence" using Rodger's method further established the need to examine cultural competence from the perspective of nursing faculty, who are responsible for educating future nurses in culturally competent care. The purposes of this study were to determine the level of cultural competence in …

Nurses' Self-Efficacy For Managing Elder Abuse, Alana Anderson

Nursing Theses and Dissertations

Elder abuse is a serious issue that negatively affects physical and mental health in a significant portion of the older population. Abuse of older adults is not adequately detected or reported. Nurses have frequent contact with older victims of abuse, providing them the opportunity to play a significant role in detecting, reporting, and intervening in such cases. Nurses are reluctant to intervene due to lack of education on elder abuse and lack of self-efficacy in their ability to properly manage elder abuse. This quantitative, descriptive study was designed to determine whether educational content on elder abuse, perceived capability, and self-efficacy …

Consequences Of Providing Nursing Care In The Neonatal Intensive Care Unit, Riko Sano

Theses and Dissertations

Compassion fatigue is a negative consequence of providing nursing care. It impacts nurses physically, emotionally, and psychologically. The purpose of this cross-sectional study was to examine a model of negative consequences of providing nursing care including compassion fatigue, secondary traumatic stress, and burnout in the Neonatal Intensive Care Unit (NICU). The conceptual model of consequences of providing nursing care was identified, and then specifically applied to NICU nurses for this study. The conceptual model consists of five main concepts: patient factor, personal factor, work environment factor, positive consequences of providing nursing care, and negative consequences of providing nursing care. The …

Intraprofessional Nursing Communication And Collaboration: Apn-Rn-Patient Bedside Rounding, Rita M. Herm-Barabasz

UNLV Theses, Dissertations, Professional Papers, and Capstones

Executive Summary

Leading advisory agencies have long advocated that health care must be safe and effective (Institute of Medicine [IOM], 2001). In order for health care to be safe and effective, good communication and collaboration are essential. Research has found that in health care, poor communication and teamwork failures are the major contributors to adverse events (Cornell, Townsend-Gervis, Vardaman, & Yates, 2014; The Joint Commission, 2011; O’Leary, 2012). Such communication-related adverse events can cause avoidable injury, loss of life, and financial devastation. In light of advanced practice nurses’ (APN) increasing contribution in care management, and in order to ensure delivery …

Patients' Perception Of Feeling Known By Their Nurses And The Nurse Practice Environment, Deene' L. Mollon

Dissertations

Healthcare leaders have a responsibility to understand the connection between healthy practice environments and patients’ perceptions of care. The purpose of this research was to explore the relationship between the nurses’ perception of the practice environment and the patients’ perception of feeling known by their nurses.

This descriptive, correlational study used quantitative and qualitative methodology. A convenience sample of 123 patients, on six patient care units, completed the Patients’ Perception of Feeling Known by their Nurses Scale and a supplemental survey designed to determine the content validity of the Patients’ Perception of Feeling Known by their Nurses Scale. To …

Job Embeddedness: The Differences Between Registered Nurses And Health Care Assistants, Zelda Gibbs

Nursing Theses and Dissertations

Job embeddedness (JE) directly affects job retention and quality of service. Financial challenges for hospitals demand strategies to ensure superior patient satisfaction scores. Knowledge regarding JE of HCAs is lacking, and studies about the differences between JE of RNs and HCAs in acute care facilities could not be located. Job descriptions for HCAs in acute care facilities are extremely diverse, and RNs feel reluctant to assign responsibilities to HCAs. Job retention, job satisfaction, commitment, and professional relationships can potentially suffer as a result. RNs valued community sacrifices significantly higher than HCAs. Total JE scores between baby boomers and millennials were …

Nursing Faculty Shortages: Perspectives From Deans And Directors Of Bsn Programs, Diane Porretta Fox

Master's Theses and Doctoral Dissertations

This study examined the shortage of nurse faculty in one Midwestern state. The purpose of the study was to identify facilitators and barriers to recruiting and retaining nurse faculty. Case studies were conducted, with the primary data source being semi-structured interviews with deans and directors of six nursing programs that offer the Bachelor of Science in Nursing (BSN) degree. The interviews and a review of institutional artifacts informed the study.

Rich, descriptive data gathered in this study revealed strategies employed by deans and directors, as they struggled to recruit and retain faculty at a time of burgeoning demand for the …

The Relationship Between Nurses' Emotional Intelligence And Patient Outcomes, Mary Kutash

USF Tampa Graduate Theses and Dissertations

Heart Failure readmissions (HFR) significantly contribute to all cause hospital readmissions rates. Current evidence on the effectiveness of interventions for reduction of HFR is inconclusive. Recent research suggests that nurses’ emotional intelligence (EI) may be associated with better patient outcomes.

The purpose of this study was to examine if nurses’ EI is significantly related to HFR and if that relationship is mediated through patient satisfaction with care. One hundred and thirty six Registered Nurses were recruited from 11 in-patient units at a large teaching hospital in the south eastern United States. Two surveys were mailed to eligible participants; the Bar-On …

Correctional Nurses' Knowledge And Perceptions Of Methicillin-Resistant Staphylococcus Aureus, Deborah Winbush

Walden Dissertations and Doctoral Studies

Since 1999, Methicillin-resistant Staphylococcus aureus (MRSA) outbreaks have occurred in many correctional facilities. Even after the Federal Bureau of Prisons developed clinical practice guidelines on the management of MRSA within correctional facilities, the prevalence of MRSA decreased only insignificantly. Other researchers suggested infection control compliance was equally as important as developing clinical practice guidelines in reducing the incidence of MRSA. Several studies identified the healthcare professionals' nonadherence and inconsistencies to clinical practice guidelines as contributors to MRSA transmission. Accordingly, this project was designed to develop evidence-based recommendations for improving nurse professionals' adherence to MRSA practice guidelines in correctional settings. Using …

Attitudes And Beliefs Of Registered Retired And Registry Nurses Regarding Holistic Spiritual Care, Beverly S. Ward

Walden Dissertations and Doctoral Studies

The purpose of holistic spiritual care is to assess and provide for the spiritual needs of patients. Current literature indicates that holistic spiritual care is important to the healthcare of patients. Researchers suggest that nurses who practice holistic spiritual care are more aware of the attributes of caring, respect, and emotional support. This project study addressed a problem at the research site reported by local community nurses and holistic spiritual care experts of nurses not practicing holistic spiritual care. Mezirow's transformational learning theory was used as the theoretical foundation for this qualitative study, which was designed to examine the attitudes …

Evaluation Of Empowerment Levels Of The Cleveland Clinic Nurse, Cynthia J. Willis

Walden Dissertations and Doctoral Studies

Nurses' perceptions of their work environment and empowerment in relationship to patient satisfaction are well explored in the literature. Empowerment has been linked to improved job satisfaction and improving the elements of empowerment cam improve overall patient satisfaction. This project examined 2 nursing units, 1 with lower patient satisfaction scores (Unit A) and 1 with higher patient satisfaction scores (Unit B), in order to compare their structural empowerment scores as measured by the Conditions of Work Effectiveness Questionnaire II (CWEQ-II). A total of 29 nurses who worked full-time, part-time, or per diem on 1 of the 2 units were recruited …

Relationship Between Nurses' Job Satisfaction And Quality Of Healthcare They Deliver, Samuel Aron

All Graduate Theses, Dissertations, and Other Capstone Projects

The purpose of this study was to examine nurses’ perception of the relationship between job satisfaction and quality of care they deliver, and barriers to a quality care. Data for this cross-sectional study was collected using a paper survey developed by the researcher. This 28-item questionnaire assessed nurses’ perception of the relationship between job satisfaction and the quality of care they deliver, and factors that affect the delivery of a quality care and job satisfaction. The questionnaire was distributed to 80 nurses (RNs, LPNs, and nursing assistants) who work in direct patient care at a small Minnesota hospital. Analysis included …

Diversity, Inclusion And Organizational Citizenship Behaviours: A Study Of Nurses In The Irish Healthcare Sector, Deirdre O'Donovan

PhDs

This thesis focuses on inclusion, national culture and Organizational Citizenship Behaviour (OCB) in the Irish healthcare sector. Due to the high number of migrant nurses employed in the sector, the level of understaffing and subsequent requirement for effective performance and behaviours, the Irish healthcare sector was chosen as the primnary focus for the research. In particular, the study draws on in-depth interviews undertaken with 37 nurses and midwives, from four cultures, currently employed in hospitals in Cork. Analysis of the interviews resulted in the identification of a number of findings. One significant finding concerns the identification of a set of …

The Impact Of Nursing A Significant Other In The Course Of Employment, Tania Arnold

Theses: Doctorates and Masters

This thesis describes the experiences of nurses and midwives working in metropolitan hospitals who cared for a significant other in their role of employment.

The absence of research directly related to this topic guided the exploration of individuals’ experiences to establish base line knowledge relating to this phenomenon.

This study used descriptive research to provide information relating to the personal and professional effects on nurses who were required to, chose to or had no choice but to care for a significant other in their role of employment. An on-line survey gathered demographic, Likert scale responses to evaluate impact on care, …