Medicine and Health Sciences Commons^™

A Comprehensive Reentry Policy For Student Registered Nurse Anesthetists With Substance Use Disorder, Thomas M. Nigro

College of Science and Health Theses and Dissertations

Substance use disorder (SUD) is a common problem in anesthesia. While there are policies in place for practicing anesthetists, there are no known studies to date discussing reentry policies specific to the student registered nurse anesthesia (SRNA) population. The purpose of this research study was to describe key stakeholders’ knowledge and perspectives surrounding policies for reentry into academic programs for SRNAs in Illinois with SUD.

The theoretical framework used to drive this research was based off George L. Engel’s Biopsychosocial Theory. The theory examines the biological component of a person’s disease process, the psychological component, and the social component.

During …

Use Of Non-Technical Skills Training & Video Simulation To Improve Knowledge Among Nurse Anesthesia Trainees, Kathryn Walus

College of Science and Health Theses and Dissertations

Background: The transition from didactic component to clinical practice is challenging for nurse anesthesia trainees. When faced with an airway crisis, successful management involves non-technical skills, which include recognition, decision-making, and prioritization. Limited data is available on the efficacy of instructional video on enhancing non-technical skills during airway crisis management among nurse anesthesia trainees.

Purpose: The purpose of this study was to examine the efficacy of instructional video simulation on enhancing the nurse anesthesia trainee’s knowledge of recognition, decisionmaking, and prioritization during bronchospasm and laryngospasm airway crises. Methods: A quasi-experimental pre-test and post-test design was used to investigate the effect …

Populations At Risk For Cervical Cancer, Danielle Dodd, Chantal Boyd

Grace Peterson Nursing Research Colloquium

Abstract

This integrative literature review discusses the possible negative effects of the current cervical cancer screening guidelines enforced by the U.S. Preventative Task Force. Potential negative effects of guidelines are examined to determine the need for a more personalized approach in future cervical cancer screening guidelines. The purpose of this integrated literature review is to identify women at greater risk for developing breast cancer and their need to have more frequent screenings. The U.S. Preventative Task Force currently only requires frequent cervical cancer screenings in women who are immunocompromised, due to diseases such as HIV, or women who are diagnosed …

The Effect Of Workplace Violence On Inpatient Psychiatric Nursing: An Integrative Literature Review, Elizabeth Lubinski, Jessica Kolber

Grace Peterson Nursing Research Colloquium

Abstract

Background: Psychiatric nurses are at an increased risk for experiencing violence while working in an inpatient psychiatric unit, which may result in emotional distress and mental trauma for the nurse, potentially leading to impaired functioning and compromised patient care.

Objectives: The purpose of this integrative literature review is to explore the effect of violence on inpatient psychiatric nursing and the psychiatric nurse’s response to experiencing violence. The impact of violence on the nurse’s ability to take care of the psychiatric patient will also be addressed.

Method: An integrated literature review using the updated Whittemore and Knafl (2005) methodology was …

A Comparison Of Prescriber-Based Opioid Addiction Prevention Strategies: An Integrative Literature Review, Lida Ann Schenkier

Grace Peterson Nursing Research Colloquium

Background: Opioid addiction causes many preventable deaths across the United States. Many recommendations to prevent opioid addiction have been made, however, many recommendations have not been fully evaluated for efficacy. This has led to a gap in knowledge for providers and healthcare systems to make informed decisions on how to reduce opioid addiction.

Objectives: This study explores different prescriber-based opioid prevention strategies, providing an analysis and ranking for the strategies that most effectively reduce opioid abuse and exposure. Additionally, the analysis provides recommendations for future research.

Methods: An integrative literature review was conducted to investigate three opioid abuse prevention strategies: …

Multisensor Non-Invasive Telemonitoring System For Prediction Of Chronic Obstructive Pulmonary Disease Exacerbation: Trial Design, Louis Kananowicz, Karen Larimer Phd, Acnp-Bc, Faha

Grace Peterson Nursing Research Colloquium

Abstract

Background: Chronic Obstructive Pulmonary Disease (COPD) is a debilitating lung disease. COPD is typically managed through pharmacological therapies however nonpharmacological therapies such as pulmonary rehabilitation can be added for treatment. Measuring a patient’s progress in a pulmonary rehabilitation program relies on pulmonary function tests, exercise testing, and patient reported outcomes. There is no gold standard for monitoring progress with the patient in pulmonary rehabilitation and no biomarkers are established to indicate responsiveness to treatment.

Objective: Primary objective of this study is to evaluate the clinical utility of the accelerateIQ system in the management of patients in a …

Community Doula Services For Low-Income Population And Its Correlation To Hospital Re-Admissions Of Newborns, Eva Perez

Grace Peterson Nursing Research Colloquium

Abstract

This integrative literature review seeks to identify a correlation between an expectant mothers’ lack of familial support and lower socioeconomic status and their newborn baby’s hospital admission(s). Various journals and research studies demonstrate that when mothers have added support from community doulas, both mother and baby tend to have a more positive experience. Participants in the different studies included minority women under the age of 21 and women of lower socioeconomic status. A study conducted in rural Nepal showed that the mortality for newborn babies, specifically those with low birth weight (LBW) had sharply declined when they had home …

Complementary And Alternative Therapies For Military Veterans In The Management Of Chronic Pain And Ptsd: An Integrative Literature Review, Gintare Cepukaite, Amanda Munday

Grace Peterson Nursing Research Colloquium

Abstract

Background: A large percentage of veterans and military personal are living with the reality of chronic pain from war-related injuries both mental (PTSD) and physical (neuropathic pain or amputations). Research is being performed to evaluate integrative and alternative medicine to be a part of the interdisciplinary care in the management of chronic pain and PTSD.

Objectives: The objective of this integrative literature will be to analyze research regarding whether complementary and alternative therapies is an effective management for chronic pain and PTSD.

Methods: This integrative literature review will use a matrix method to evaluate the data and compare the …

Arts-Inclusive Education In Nursing Schools, Michelle Murtaugh

Grace Peterson Nursing Research Colloquium

Arts-Inclusive Education in Nursing Schools: An Integrative Literature Review

Michelle Murtaugh, DePaul University

Category: Research Abstract

Background: Nursing educators have long recognized and championed the value of art within a professional nursing science curriculum, yet many nursing programs exclude the study of the arts. Research suggests that an arts-inclusive nursing curriculum not only enhances student learning, communication, self-efficacy, and clinical confidence, but also positively impacts patient outcomes. To address this gap between what is needed and what is currently offered, some schools are collaborating with art museums to offer arts-based courses in nursing sciences, designed to enhance students’ competency and …

Needs Assessment For Palliative Care In Pediatric Oncology: An Integrative Literature Review, Tabitha Negrete

Grace Peterson Nursing Research Colloquium

Abstract

Background: Cancer is the leading cause of non-accidental death in childhood. Cancer is the primary disease for which pediatric palliative care services are utilized worldwide. Improvement in pediatric palliative care has been identified as an ongoing research priority. There are still significant gaps in current knowledge of pediatric palliative care because education has not been integrated into curriculum and clinical experiences.

Objectives: The purpose of this integrative literature review aims to provide a comprehensive review of current research about the need of nursing education on palliative care for long-term care in pediatric oncology.

Methods: This integrative literature review focused …

Wic Professionals’ Adaptations In Clinical Practice To Better Assess And Address Household Food Insecurity In Participating Families, Kristal Kim

Grace Peterson Nursing Research Colloquium

Abstract

Background: While research on Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) participation and proximal health indicators has been considerable, literature on best practices for assessing and addressing household food insecurity in public health clinics remains limited. The purpose of this study was to examine WIC professionals’ knowledge and perspectives of household food insecurity among WIC program participants.

Method: During January 2018, we conducted four focus groups utilizing a semi-structured interview guide with public health staff (N = 24) across four public health districts in Midwestern counties. WIC staff included social workers, nurses, nutritionists and ancillary staff. …

The Effects Of Music Therapy On Executive Functioning And Emotions In Stroke Patients: An Integrative Review Of The Literature, Michelle Brand

Grace Peterson Nursing Research Colloquium

Background: Presently the use of complementary alternative medicine such as music therapy is currently not included as part of the curative process for CVA patients. Review of the literature supports the use of music as a complementary source for quicker adaptation to rehabilitation.

Objectives: The purpose of this literature review is to explore the positive impact and potential that music therapy might provide to patients who are recovering from a CVA event.

Methods: This integrative literature review utilized the Whittmore and Knalf (2005) framework to synthesize and organize the research that was conducted. CINAHL, PsychInfo, and PubMed databases were utilized, …

Utilizing Phototherapy For Wound Healing In Nursing Practice: An Integrative Literature Review, Desiree Donovan

Grace Peterson Nursing Research Colloquium

Background: Foot ulcers are a major concern in diabetic patients with an estimated 25% of this population developing diabetic neuropathy. The current treatments do not directly address reestablishing the integrity of the microvascular circulation which would decrease wound healing time and the expense of wound care.

Objectives: To examine the possible benefits of utilizing phototherapy as an adjunct treatment to improve diabetic wound outcomes in nursing practice.

Methods: Three data bases were searched: CINAHL Complete, PubMed, and Health Source Nursing and Academic Edition. The search terms were as follows: light therapy, wound healing, low level light therapy, and diabetic …

Clinical Cues Of Suboptimal Glucose Homeostasis In Individuals Diagnosed With Type 2 Diabetes Mellitus: An Integrative Literature Review, Joel Hutson

Grace Peterson Nursing Research Colloquium

Background: General practice healthcare providers may not fully utilize all available subtle clinical cues (physical/behavioral signs and symptoms) when screening for diabetes, or when assessing for suboptimal control of glucose homeostasis.

Objectives: To assess the prevalence and utility of incorporating diabetic clinical cues into routine physical assessments and questionnaires of individuals with type 2 diabetes, and to compile a comprehensive list and questionnaire using clinical cues.

Methods: Utilizing the databases CINAHL Complete, PubMed, and Academic Search Complete, an integrative literature review of 78 studies was conducted using the key terms type 2 diabetes and clinical manifestations of diabetes. …

First Trimester Screening For Preeclampsia And Prevention With Aspirin Prophylaxis, Kathryn Starzyk

Grace Peterson Nursing Research Colloquium

Abstract

Background: Preeclampsia is a hypertensive disorder of pregnancy affecting multiple organ systems complicating 2-8% of pregnancies. It is defined as new-onset hypertension and proteinuria, or hypertension and significant end-organ dysfunction, typically presenting after 20 weeks of gestation. It is caused by placental and maternal vascular dysfunction and resolves with delivery of the fetus. Maternal and fetal/placental factors have been studied for their ability to aid in the early detection of preeclampsia.

Objectives: The purpose of this literature review was to determine if early screening and detection of preeclampsia would allow for appropriate clinical management and pharmacological prophylaxis interventions to …

Use Of Dietary Interventions To Manage Rheumatoid Arthritis Pain In The Adult Population, Andrea Ohmer

Grace Peterson Nursing Research Colloquium

Use of Dietary Interventions to Manage Rheumatoid Arthritis Pain in the Adult Population

An Integrative Review of Literature

Andrea Ohmer, MS

Advisor: Dr. Elizabeth Hartman, RN

Abstract

Background: Rheumatoid arthritis (RA) is a chronic inflammatory autoimmune disease affecting the joints, often leading to pain, permanent tissue damage, and joint deformity. Current conventional medicine can only slow the disease process, which has caused some people to seek alternative therapies, including dietary modification, in the treatment and management of RA symptoms.

Objective: The purpose of this integrative literature review was to identify if dietary interventions can be used as adjunct therapy in …

Addressing Standards Of Practice For Screening Youth For Onset Of Type 2 Diabetes Mellitus: An Integrative Review Of The Literature, Nancy Garrett

Grace Peterson Nursing Research Colloquium

Addressing Standards of Practice for Screening Youth for Onset of Type 2 Diabetes Mellitus: An Integrative Review of the Literature

Nancy Garrett, MS

Faculty Sponsor: Alison DiValerio, MS, RN

Abstract

Background:Accompanying the epidemic of childhood obesity over the past few decades is the rapidly growing incidence of type 2 diabetes mellitus (T2D) and prediabetes among the pediatric population. While expansive knowledge exists on diagnosing type 2 diabetes among adults, less is known regarding effective diagnosis of the disease in youth.

Objectives:To explore what standards of practice exist in screening pediatric patients for type 2 diabetes mellitus.

Methods:An …

The Efficacy Of Cold Therapy As An Alternative Pain Relief Method For Postpartum Discomfort: An Integrative Review Of The Literature, Laleh Afshar

Grace Peterson Nursing Research Colloquium

The Efficacy of Cold Therapy as an Alternative Pain Relief Method for Postpartum Discomfort:

An Integrative Review of the Literature

Laleh Afshar, MS

Alison DiValerio, MS, RN

Abstract

Background: The prevalence of perineal trauma has been well documented worldwide and is associated with acute and chronic perineal pain in postpartum women. Consequently, perineal pain has been shown to contribute to maternal morbidity. Review of literature suggests that addressing postpartum perineal pain utilizing holistical and various modalities as such may decrease the associated morbidity.

Objectives: Determine the efficacy of cold therapy as an alternative pain relief method for mothers in the …

An Extra Set Of Hands Or A Roadblock: Nursing Perceptions Of A Birth Doula In The United States Of America, Danielle Pearl

Grace Peterson Nursing Research Colloquium

An Extra Set of Hands or a Roadblock: Nursing Perceptions of a Birth Doula in the United States of America: An Integrative Literature Review

Danielle Pearl, MS

Faculty Sponsor: Alison DiValerio, MS, RN

Abstract

Background: Several studies analyze the relationship and perceptions of nurses of doulas. The studies establish that while the roles of the doula and the nurse are markedly different, they both aim at serving women best if they complement one another. A common thread among the research the threat some nurses feel by doula support, it is possible that the doula’s role is misunderstood.

Objectives: What …

Outcomes Of Bariatric Surgery Prior To Knee Replacement Arthroplasty In Obese Patients: An Integrative Review Of The Literature, Karissa Imperl

Grace Peterson Nursing Research Colloquium

Abstract

Background: Review of literature reveals that many obese patients who are requiring total knee replacement do not lose appropriate weight prior to the procedure, which impairs the healing process. Even though bariatric surgery is often a last-resort option for some patients; those that undergo the procedure could experience better outcomes post-knee replacement.

Objectives: The purpose of this integrative literature review was to identify contributing risk factors of obese patients that elect bariatric surgery prior to total knee replacement. Lastly, to evaluate the effectiveness of this route of weight loss prior to the arthroplasty procedure.

Method: A computerized search of …

The Effects Of Exercise On Brain Function In Alzheimer’S Patients, Jasmine Perez

Grace Peterson Nursing Research Colloquium

The Effects of Exercise on Brain Function in Alzheimer’s Patients

An Integrative Literature Review

Jasmine Perez, MS

Faculty Sponsor: Dr. Elizabeth Hartman, PhD, RN

Abstract

Background: Alzheimer’s disease affects nearly 26 million people and is the fourth leading cause of death in people over the age of seventy worldwide. There have been enormous amounts of funding and resources invested in the study of Alzheimer’s disease and pharmacological treatment. However, there is currently no disease-modifying or preventative management for Alzheimer’s disease. Researchers suggest that if exercise is integrated into the treatment regimen it may have the ability to mitigate or slow …

Impact Of Trauma Center Quality And Geographical Location On Patient Mortality Rates, Bobbie Woods

Grace Peterson Nursing Research Colloquium

Impact of Trauma Center Quality and Geographical Location on Patient Mortality Rates

An Integrative Literature Review

Bobbie Woods, MS

Advisor: Dr. Elizabeth Hartman, PhD, RN

Background: The geographic distribution affecting availability of care, in addition to the quality of trauma care centers significantly impacts patient stabilization and mortality resulting in higher rates of negative patient outcomes.

Objective: The purpose of this literature review is to analyze the impact of trauma systems on morbidity and mortality among populations who are geographically isolated or lack adequate resources to receive quality care, and to also make apparent a need for a more practical …

Reducing The Incidence Of Cervical Cancer In Somali Immigrant Women Through Culturally Competent Education And Health Screenings, Salma Bile

Grace Peterson Nursing Research Colloquium

Abstract

Background: The rate of participation in cervical cancer screenings in Somali women is disproportionately lower than for other ethnicities, leaving this population at risk for an increased incidence of cervical cancer. Previous literature has addressed the barriers to cervical cancer screenings however; research on the promotion of culturally based screenings and how such impacts health care outcomes in Somali women does not exist.

Objective: The purpose of this study is to examine the influence of culturally based education and screenings on the prevention and early detection of cervical cancer in Somali immigrant women and to determine the contribution of …

Balancing Quality Of Life With Comfort: Educating Medical Surgical Nurses About Pain Management For The Adult Hospice Patient: An Integrative Literature Review, Atree Keso

Grace Peterson Nursing Research Colloquium

No abstract provided.

Meditation At The Bedside: An Integrative Literature Review, Aaron Newfield

Grace Peterson Nursing Research Colloquium

Background: In the hospital setting, several forms of meditation have been shown to elicit the relaxation response and improve patient outcomes.

Objectives: The purpose of this literature review is to identify which forms of meditation both elicit the relaxation response and will function smoothly in a hospital environment. This information will provide nurses and other healthcare workers with a set of tools that can be used in day-to-day scenarios to decrease stress and improve health outcomes.

Method: An integrative literature review was used. The search engines PubMed, CINAHL, and PsycINFO were used to find articles. 9 articles that met criteria …

Examining Delayed Onset Of Dementia In The Bilingual Geriatric Population, Erica Brown, Elizabeth Hartman

Grace Peterson Nursing Research Colloquium

Background: Dementia is the largest cause of dependency and disability in older adults, affecting nearly 50 million people worldwide with about 10 million new cases every year. Presently, there are no cures for dementia. Consequently, a growing body of evidence suggests that bilingualism may delay the onset of clinical dementia symptoms by several years.

Objectives: The purpose of this review is to summarize and analyze current evidence from studies that examined how bilingualism delays the onset of dementia. Evidence is reviewed suggesting that bilingualism may delay the dementia symptoms due to an increase in cognitive reserve, which refers to an …

The Effects Of Family Support Within The Long-Term Care Facility: An Integrative Literature Review, Mia Delesdernier

Grace Peterson Nursing Research Colloquium

Background: As people age they might require more care, and this care can become more difficult; the family can only take on this burden for so long. It is common for a family to move their loved one into a long-term care facility. Many of these facilities are moving towards a family-centered model for patient care.

Objective: The purpose of this literature review was to determine the effects of a family-centered model within long-term care facilities, to determine if these effects were positive or negative, and to discover changes that can be made to this model in order to generate …

Effects Of A Gluten Free Diet On Cardiovascular Health, Alexandra Williamson, Nicole Baty

Grace Peterson Nursing Research Colloquium

Abstract

Background: Implementing fad diets without the knowledge about actual health costs or benefits of the diet has become common practice. One diet being utilized that needs more research done is the gluten free diet (GFD). Individuals with celiac disease (CD) need to implement a GFD. However, individuals without celiac disease may not benefit from a gluten free diet at all.

Objective: The purpose of the integrative literature review is to investigate what research has been conducted regarding the effects of a gluten free diet on individuals without celiac disease, especially in relation to cardiovascular health.

Methods: Multiple databases were …

Maternal And Infant Attributes And Antecedents Of Breastfeeding, Riyan Yanes, Jessie Lakota Dinelli

Grace Peterson Nursing Research Colloquium

Abstract

Background: The Center for Disease Control (CDC) claim that breastfeeding rates are increasing in the United States. Surveys show that 81.1% of newborn infants started to breastfeed in 2013 (2016). Unfortunately, breastfeeding duration did not meet the recommended length and of the infants born in 2013, 51.8% were breastfeeding at 6 months and 30.7% at 12 months (CDC, 2016). Breastfeeding offers various health benefits to the mother and child, which is why the identification of antecedents and attributes to breastfeeding need to be addressed in order to impact mothers and infants.

Objectives: The goal of this study is to …

Scarring And The Psychosocial Impact On Surgical Patients: A Review Of Questionnaires, Shandra Melick

Grace Peterson Nursing Research Colloquium

Scarring and the Psychosocial Impact on Surgical Patients:

Integrative Literature Review

Abstract

Background: Skin scars have the potential to impact patients in a variety of ways which can include impaired psychological, physical, social, and emotional well-being. Beginning in the 1990s, guidelines were created for patient-reported outcomes (PRO) to measure these patient specific concepts of scarring. but guidelines require refinement.

Objectives: The primary objective was to examine validated instruments to measure the psychosocial impact of surgical patients in relation to their acquired scar.

Methods: An integrative literature review was conducted to analyze results and findings of different validated …