Medicine and Health Sciences Commons^™

Perceptions Of Nurses’ Abilities To Provide Safe Care In Unhealthy Work Environments, Jacqueline Flannery

Walden Dissertations and Doctoral Studies

As many as 90% of nurses report working in an environment where their peers engage in passively and overtly violent activities against other nurses. Working in such an environment is unhealthy and has consequences for the career trajectory of nursing. There is a lack of literature available that specifically addresses nurses’ perceptions of their abilities to provide safe patient care in unhealthy work environments. The purpose of this phenomenological study was to explore the lived experiences of nurses who have experienced lateral violence and their perceptions of their ability to provide safe care. Husserl’s philosophy of phenomenology was used as …

Relationship Between Skepticism And Nursing Experiences When Treating Chronic Noncancer Pain Patients, Emily Jabour

Walden Dissertations and Doctoral Studies

Chronic pain is common, costly, challenging to manage, and affects patients’ quality of life. High confidence is placed in the nurses caring these patients. Nurses displaying skepticism or doubt about patients’ motives for seeking pain treatment contribute to the challenges of effective pain management. The purpose of this quantitative study was to determine if there was a relationship among the nurses’ professional skepticism, level of compassion, and years of experience during the treatment of chronic noncancer pain patients in the acute care setting. The communications model of pain guided the understanding of factors influencing nursing treatment of this patient population. …

Incivility Among Nurses, The Influence Of Structural Empowerment: A Systematic Review, Jennifer Gardner

Walden Dissertations and Doctoral Studies

Workplace nurse-on-nurse bullying is a well-known phenomenon in health care organizations at both national and global levels. Healthcare organizations struggle to find effective solutions to help nurses to mitigate bullying and incivility and create safer work environments. The purpose of this systematic literature review doctoral project was to critically appraise the literature to find the best research evidence to show that higher levels of structural empowerment lead to lower levels of incivility and increase nurses’ ability to create safer and more positive work environments. Kanter’s theory of structural empowerment served as the theoretical framework for this review. The evidence-based question …

The Impact Of Faculty Bullying On Associate Degree Nursing Students, Angela M. Vitale

Walden Dissertations and Doctoral Studies

Bullying is prevalent in the profession of nursing, impacting the quality of health care and health care costs. The foundation of bullying, in the profession of nursing, may be attributed to bullying behaviors in nursing academia among nursing faculty and nursing students. Using Bandura’s social learning theory, the purpose of this study was to determine the relationship between bullying behaviors of nursing faculty and bullying behaviors of nursing students in associate degree nursing programs. Seventy-one randomly selected registered nurses who graduated from associate degree nursing programs in the past 5 years completed an online Incivility in Nursing Education-Revised survey. Spearman’s …

Nurse Practitioner Approach To Care For Peripheral Vascular Disease, Jessica R. Wozniak

Walden Dissertations and Doctoral Studies

The Amputation Coalition indicates that there were approximately 2 million people with limb loss in the United States primarily caused by peripheral vascular disease in 2019. Those with amputation related to vascular disease have a 5-year mortality rate. The gap in clinical practice at the facility used for this project is that there were no comprehensive program guidelines for nurse practitioners and other health care professionals working with people who are at risk for vascular intervention or limb loss. The practice-focused question was answered that an interprofessional team did develop a prototype for a comprehensive peripheral vascular program that serves …

Nurse-Driven Protocols In The Pediatric Emergency Department: A Systematic Review, Roberta Miller

Walden Dissertations and Doctoral Studies

Long wait times in emergency departments across the United States contribute to overcrowding, and adverse patient outcomes. Adult emergency departments use nurse-driven protocols to decrease time to treatment and wait times. However, nurse-driven protocols are not commonly used in the pediatric emergency department (ED). The purpose of this project was to evaluate and appraise current evidence to determine if nurse-driven protocols can be safely implemented to improve ED wait times, time to disposition, patient/family satisfaction, and patient outcomes in the pediatric emergency setting. The Iowa model of evidence-based practice (EBP) was used to guide the mixed methods systematic review. A …

Self-Efficacy Of Registered Nurse Faculty To Facilitate A Flipped Classroom Pedagogy, Sharmeta L. Gibbon

Walden Dissertations and Doctoral Studies

Nurse educators struggle with developing innovative teaching strategies that improve learners’ critical thinking, sound clinical judgment, and ability to provide safe patient care. In the local setting, nurse educators relied on passive teaching strategies. The purpose of this study was to explore the perceptions of nursing faculty members concerning their self-efficacy with implementation of a flipped classroom. The conceptual framework was transformative learning theory. The research question explored how nurse educators described their self-efficacy with implementing student-centered, active teaching methods. Participants included 9 experienced nursing faculty members at the local setting from the Associate Science of Nursing program. Data were …

The Lived Experiences Of Clinical Nursing Faculty With Student Performance Anxiety, Heather Lapoint

Walden Dissertations and Doctoral Studies

The nursing shortage in the United States has led to a call for nursing education reform. Current clinical educational methods precipitate nursing student performance anxiety (PA). PA can inhibit the clinical judgment, reasoning, critical thinking, and the adaptability required for advancing healthcare initiatives and reducing the nursing shortage. PA has not been defined nor addressed in undergraduate nursing education. The purpose of this descriptive phenomenological study was to explore the lived experiences of associate degree (AD) nursing program faculty in addressing student PA as it occurs in the clinical setting. Specifically, how faculty define PA and recognize, address, and assess …

Effects Of A Blended Basic Telemetry Course On The Telemetry Reading Proficiency Of Newly Licensed Registered Nurses, Joan Yankalunas

Walden Dissertations and Doctoral Studies

Telemetry interpretation is a common skill required by registered nurses (RNs) to take care of patients in an acute care setting. Telemetry education guidelines are needed because there are no established standards for the amount, type, or scope of education needed for RNs who take care of patients on continuous telemetry monitoring. The purpose of this retrospective analysis design study, guided by Benner’s skill acquisition model and Kirkpatrick’s learning outcomes measurement theory, was to (a) determine the effect of a blended telemetry course, which is a combination of eLearning and an instructor-led class, on the telemetry reading proficiency of RNs …

Staff Education Program For Nurses Caring For Patients With Medical Decline On A Geriatric Psychiatric Unit, Portia Denise Risper

Walden Dissertations and Doctoral Studies

AbstractElderly patients admitted to psychiatric units are a vulnerable population, some may have mental disorders, physical decline, cognitive challenges; along with other comorbidities in addition to their mental illness. However, their physical health needs may be overlooked due to the presenting behaviors mimicking mental health behaviors. The nurses working in the local hospital facility’s geri-psych unit failed to recognize signs and symptoms of physical decline in their severely mentally ill (SMI) patients. Not recognizing and reporting acute changes resulted in patients’ prolonged hospitalization, decreased quality of life, and increased cost to the facility. The purpose of this DNP project was …

Measuring Nurse Competence In The Emergency Department, Matthew Lojo

University of the Pacific Theses and Dissertations

Background: “Nurses provide essential care to the millions of people who are hospitalized each year as a result of illness or injury” (Smith, 2012, p. 172). The Institute of Medicine reported approximately 44,000-98,000 patients die annually resulting from a medical error, and health care errors ranked among the top 10 for the leading causes of death in the United States (Smith, 2012).

Problem: Nurse competence impacts safe and quality nursing, and several research studies investigated the measurement of nurse competence among nurses in various nursing settings (Flinkman et al., 2016). However, a review of the research revealed limited studies in …

The Effect Of Dyad Rounding On Collaboration And Patient Experience, Amy Christensen, Korby Miller, Jason Neff, Rusty A. Moore, Sharee Hirschi, Katreena Collette Merrill

Faculty Publications

Communication among the healthcare team is essential to providing high-quality patient care. In the hospital, nurses care for multiple patients during their shift. Physicians or advanced practice clinicians (APCs) visit hospitalized patients daily to update orders, complete assessments, and contribute to care plans. One method to ensure that healthcare providers communicate effectively is interdisciplinary, or dyad, rounding in the hospital. This consists of purposeful rounding on each patient by the nurse and the physician or APC together to review the patient's status and update the care plan. When healthcare providers and nurses round together, it improves communication, patients are more …

A Bitter Pill To Swallow: Registered Nurses And Medicines Regulation In Remote Australia, Katie R. Pennington, Kim D. Clark, Sabina Knight

Research outputs 2014 to 2021

INTRODUCTION: Access to essential medicines is a human right and an objective of the National Medicines Policy in Australia. Health workforce distribution characteristics in remote Australia implies registered nurses (RNs) may find themselves responsible for a broader range of activities in the medication management cycle than they would be elsewhere in the nation. The regulation of health professionals and their training requirements provides essential but complex protections for the public. These protections include the National Registration and Accreditation Scheme for health practitioners and the Australian Health Practitioner Regulation Agency. Other levels of control or regulation are also exerted over health …

Interpreting Health Events In Big Data Using Qualitative Traditions, Roschelle L. Fritz, Gordana Dermody

Research outputs 2014 to 2021

© The Author(s) 2020. The training of artificial intelligence requires integrating real-world context and mathematical computations. To achieve efficacious smart health artificial intelligence, contextual clinical knowledge serving as ground truth is required. Qualitative methods are well-suited to lend consistent and valid ground truth. In this methods article, we illustrate the use of qualitative descriptive methods for providing ground truth when training an intelligent agent to detect Restless Leg Syndrome. We show how one interdisciplinary, inter-methodological research team used both sensor-based data and the participant’s description of their experience with an episode of Restless Leg Syndrome for training the intelligent agent. …

Nursing And Midwifery Students' Experiences And Perception Of Their Clinical Learning Environment In Malawi: A Mixed-Method Study, B. C. Mbakaya, F. W. Kalembo, Maggie Zgambo, A. Konyani, F. Lungu, B. Tveit, A. Kaasen, M. Simango, T. Bvumbwe

Research outputs 2014 to 2021

© 2020 The Author(s). Background: The clinical learning environment is an important part of the nursing and midwifery training as it helps students to integrate theory into clinical practice. However, not all clinical learning environments foster positive learning. This study aimed to assess the student nurses and midwives' experiences and perception of the clinical learning environment in Malawi. Methods: A concurrent triangulation mixed methods research design was used to collect data from nursing and midwifery students. Quantitative data were collected using a Clinical Learning Environment Inventory, while qualitative data were collected using focus group discussions. The Clinical Learning Environment Inventory …

Experiences Of Parents Who Give Pharmacological Treatment To Children With Functional Constipation At Home, Gunilla Flankegård, Evalotte Mörelius, Karel Duchen, Patrik Rytterström

Research outputs 2014 to 2021

© 2020 The Authors. Journal of Advanced Nursing published by John Wiley & Sons Ltd Aim: The aim was to explore the lived experiences of parents who give oral and rectal pharmacological treatment to their children with functional constipation at home. Design: A phenomenological design with a reflective lifeworld research approach that describes phenomena as they are experienced by individuals. Methods: From January–May 2019, 15 interviews were conducted with parents of children with functional constipation with home-based oral and rectal treatment. Parents were recruited from three different healthcare levels. Open-ended questions were used starting from the description of a normal …

Exemplary Chief Nurse Executives Leading Through Storytelling, Tricia Kassab

Dissertations

Purpose: The purpose of this phenomenological study was to understand and describe how exemplary human resources administrators use storytelling to lead organizations using Denning’s (2011) model. In addition, it was the purpose to understand how they use storytelling to create transformational change. Denning’s The Leader’s Guide to Storytelling highlights eight storytelling narrative patterns: to ignite action, to communicate who you are, to build your brand, to transmit values, to foster collaboration, to share knowledge, to tame the grapevine, and to share vision.

Methodology: This phenomenological qualitative study described the lived experiences of exemplary elementary chief nurse executives in California. The …

Increasing Nursing Policy And Advocacy Engagement, Marketa Houskova

Doctor of Nursing Practice (DNP) Projects

At present, professional nursing does not benefit from strong policy development and advocacy influence in the United States. This project focused on CA nursing policy development and advocacy influence deficit among new members of a statewide professional nursing association. There are nearly 457,000 licensed registered nurses (RNs) in CA (BRN, 2019) and around 3.8 million RNs in the United States (AACN, 2019) making CA RNs twelve percent of the national nursing workforce. Yet only five percent of RNs serve on hospital boards, and legislative efforts to advance important nursing issues such as full practice authority for advanced practice RNs in …

Increasing Utilization Of Motivational Interviewing To Promote Pediatric Oral Health, Ulyses Reamico

Doctor of Nursing Practice (DNP) Projects

Prevalence of early childhood caries (ECC) remains high even in developed countries such as the United States. An interprofessional education (IPE) project between University of San Francisco (USF) School of Nursing and Health Professions and the University of the Pacific (UoP), Arthur A. Dugoni School of Dentistry was initiated four years ago to enhance nurse practitioner (NP) and dental students’ pediatric oral-systemic health assessment and health promotion communication skills. Since then, USF NP students received pediatric oral health assessment training and spent clinical rotations at UoP to provide pediatric oral care alongside dental students. This doctor of nursing (DNP) project …

Using Information Practices Of Nurses To Reform Information Literacy Instruction In Baccalaureate Nursing Programs, Anne R. Diekema, Betsy S. Hopkins, Brandon Patterson, Nena Schvaneveldt

Faculty Publications

Objective - Seeking information is a key element of evidence based practice and successful healthcare delivery. Significant literature exists on both the information seeking behaviour of professional nurses and information literacy teaching methods, but scarce evidence connects nurses’ information behaviour and environments with their education. This study sought to use data from nursing alumni to answer the following research questions: What are the current information practices of professional bachelor’s-prepared nurses? How do recently-graduated nurses suggest that their education could have better prepared them to find and evaluate information in the workplace?

Methods - The researchers conducted a descriptive study using …

Willow Creek Women's Hospital Internship, Destinee Ross

The Eleanor Mann School of Nursing Undergraduate Honors Theses

While the use of midwifery is proven to improve outcomes for low-risk mothers and infants, many healthcare providers, nurses, and patients in Northwest Arkansas continue to be skeptical about utilizing midwifery care. During my internship, I worked directly with labor and delivery nurses, physicians, and a midwife at Willow Creek Women’s Hospital and provided high-quality care to women during their birthing process. This hospital focuses entirely on women and infant care and provides gynecological, obstetric, and newborn services. Willow Creek Women’s Hospital is also one of the few hospitals in Arkansas to implement a certified nurse-midwife (CNM) and has two …

Identifying The Risk Factors To Postpartum Depression, Jannica Bondoc Santos

Senior Theses

A woman’s life instantly changes after the birth of their child. Furthermore, culture influences the stigma that a mother is the primary caregiver of their children and are accountable for the health and upbringing of the child. Giving birth to a baby and taking up the responsibility of another human life is a great impact in a female’s existence. In addition to the new tasks that come with motherhood, women are also challenged to cope with their emotional and mental state after giving birth. The most chronic mental illness that can develop after labor is postpartum depression (PPD). Women who …

Local Anesthesia Before Intravenous Cannula Insertion: Recommendations For Registered Nurses In Practice, Vera Campbell-Jones

Electronic Theses and Dissertations

Abstract

Administering local anesthetics, such as intradermal, should become standard practice for RNs in pretreatments for pain control prior to intravenous insertion. Peripheral venous cannulation has provoked the most fear and anxiety in adult patients about everyday practice in hospitals. Adult patients often state that this procedure causes considerable discomfort. Local anesthesia for cannulation is usually not offered to adult patients who are on general medical units. Evidence has indicated inconsistency in the use of pain management strategies during these procedures. The researcher’s goal in this project was to educate RNs about the intradermal pretreatment procedure, provide education on the …

The Implementation Of An Open Source Electronic Medical Record At A Faith-Based Community Clinic, Gabri Warren

Graduate Theses, Dissertations, and Capstones

Faith-based nursing and healthcare is increasingly gaining popularity as the industry looks to minimize costs and improve health outcomes. Historically, qualitative studies have not shown the extent to which individuals and communities are impacted by health initiatives initiated by faith institutions. Healthcare technology can help support the specialty by providing increased quantity and quality data to analyze. Traditional, proprietary EMRs are too costly; however, open source systems offer a low cost, and easily modifiable option to non-profit, or smaller organizations. The data collected by an open source system allows organizations to improve the care that patients receive, and helps guide …

Perceived Stress In Undergraduate Nursing Students, Emily Vore, Abbie Mcgee, Amy Henderson

Nursing Masters Papers

This secondary analysis explored the prevalence of perceived stress in undergraduate nursing students and the effects of self-efficacy and helplessness on the perceived stress. There were three purposes of this study.  The primary purpose was to assess levels of perceived stress among undergraduate nursing students, based on the variables of age, gender, and academic term.  The second purpose was to identify how students’ reported feelings of self-efficacy and helplessness correlated to their overall perceived stress scores. The final purpose was to identify how students applied skills learned in a stress management program. Lazarus’ theory of stress guided this study. Following …

Journals Bibliometric Portfolios; Case Of Nursing Research, Helena Blazun Vošner Phd, Peter Kokol Prof

Library Philosophy and Practice (e-journal)

Number of journals is raising exponentially. Consequently authors have a problem which journal to select when publishing their research. Journal portfolios including information like impact factors and productivity trends, state of the art topics, topics evolution and citation patterns might help authors to select the journal where their paper will have optimal chances to be published, read and cited. To build portfolios we used two approaches; namely descriptive bibliometric analysis to extract distribution of types of documents, most prolific authors, institutions, countries, citation histories, etc. and bibliometric mapping to visualize the content

Our study showed that journals portfolios can improve …

Generational Differences In Nursing Influencing Job Satisfaction, Sarah Carter, Rn, Capa, Maryjo Marino Hertzog, Rn, Bsn, Capa, Demetrius Trihoulis, Rn, Viktor Hum, Rn

Jefferson Health - Northeast Posters (formerly Aria Health Posters)

Purpose

A generation is defined as a group of individuals who are roughly the same age, and who experience and are influenced by the same set of significant historical events during key developmental periods in their lives.

With multiple Nursing generations working together in the heath care setting identifying and understanding generational differences that influence job satisfaction will help to promote a healthy work environment and a sustainable work force.

Does Having A Nurse Navigator Vs. Not Having A Nurse Navigator Decrease The Cost Of Healthcare In Patients With A Sepsis Diagnosis?, Marybeth Forward, Rn, Amanda Kuzewycz, Bsn, Rn-Bc, Sandra Little, Msn, Rn, Anne Lyons, Bsn, Rn-Bc, Kelly Panei, Bsn, Rn, Pccn, Diane Yaple, Ms, Lpc

Jefferson Health - Northeast Posters (formerly Aria Health Posters)

Purpose

The nurse navigator facilitates the care of a patient with the diagnosis of sepsis across the healthcare continuum. This includes:

• Promoting optimal outcomes
• Preventing readmissions
• Patient education
• Decreasing length of stay in skilled nursing facilities

The coordination of transition of care starts from the time of admission through the 90 day post acute period.

Academic Nursing: Time To Joint The Street Medicine Movement, Jennifer King

DNP Qualifying Manuscripts

Academic based street medicine programs are springing up across the United States to provide critical points of access to persons experiencing homelessness. This innovative specialty care practice was developed by Dr. Jim Withers in 1992. His vision of increasing access to care by bringing healthcare to the streets is a proven solution to improve outcomes while building trust with the larger mainstream healthcare system. Street medicine programs provide teaching learning opportunities for medical professionals. The majority of street programs internationally are founded by medical schools. Nursing schools are well suited to begin street medicine programs and provide immersive experiences for …

Impact Of An Educational Intervention On Faculty To Faculty Incivility, Sandy Bailey

Journal of Interprofessional Practice and Collaboration

: Faculty –to- faculty incivility within schools of nursing is a growing problem. Incivility amongst nursing faculty has the potential to effect other nursing faculty, nursing students, the school of nursing, and increase the risk of harm to patients in the clinical setting. A common recommendation for addressing faculty-to-faculty incivility is an educational offering about civility, incivility, and methods to address incivility. Ideally, an educational intervention about incivility can decrease levels of incivility in nursing education thereby increasing the amount of civility within the organization. The purpose of the research was to measure the impact of an educational intervention on …