Medicine and Health Sciences Commons^™

Anxiety Is Something To Worry About: The Effects Of A Cognitive Behavioral Therapy And Selective Serotonin Reuptake Inhibitor Intervention Protocol On Generalized Anxiety Disorder, Alesha E. Mcclanahan

Evidence-Based Practice Project Reports

Generalized anxiety disorder (GAD) is highly prevalent in the United States with at least 12% of the population affected (Edmund & Sheppard, 2018). GAD can pose significant distress and debilitation throughout the lifespan (Bystritsky, Khalsa, Cameron, & Schiffman, 2013; Edmund & Sheppard, 2018). Barriers to treatment include adverse effects, inaccessibility, and expense. The purpose of this project was to implement an evidence-based protocol involving combination therapy with self-administered cognitive behavioral therapy (CBT) and selective serotonin reuptake inhibitor (SSRI) medication in order to improve patient outcomes through more accessible, affordable, and standardized treatment of GAD. The Neuman Systems Model and Stetler …

Effects Of An Obstructive Sleep Apnea Screening Program On Providers' Adherence, Kelsie A. Tokarczyk

Evidence-Based Practice Project Reports

Obstructive sleep apnea (OSA) is a widely prevalent chronic disease estimated to affect 22 million Americans, with 80 percent of moderate to severe cases undiagnosed (American Sleep Apnea Association [ASAA], 2017). Unmanaged OSA has been associated with numerous detrimental health outcomes including hypertension, chronic heart failure, atrial fibrillation, stroke, and other cardiovascular conditions (ASAA, 2017). The purpose of this evidence-based practice project was to determine if the implementation of a screening protocol would affect providers’ adherence to screening for OSA. The Theory of Planned Change was used as a guide to optimize providers’ adherence to the protocol at a family …

Meditation As An Intervention To Help College Students Cope With Stress, Marissa Bottos

Evidence-Based Practice Project Reports

According to the American College Health Association (ACHA) (2017), in a survey of 31,463 students, 31.7% stated that stress negatively impacts their academic performance (lower grades, dropped course, etc.). Additionally, 45.1% of the students stated they have more than average stress levels. The purpose of this evidence-based practice (EBP) project was to determine if mindfulness meditation was effective in helping college students cope with stress. Based on current evidence, Jon Kabat-Zinn’s online application for mindfulness meditation is supported as an effective way to help college students cope with stress (Regehr et al. 2013; Yusufov et al. 2018; Cavanagh et al. …

An Analysis Of Major Issues For Culturally-Minded Professionals In Women's Health Care, Victoria Clark

Senior Honors Theses

Women's health care professionals, such as general physicians, obstetricians and gynecologists, midwives, nurses, and doulas, in the US need to be aware of cultural issues and disparities. Minorities and migrant women experience cultural challenges and disparities when receiving health care in the US. Without cultural sensitivity, patient care is compromised. Pregnancy and childbirth practices vary widely by culture, and potential differences in perspectives, beliefs, and treatment of these are critical issues for women’s health care professionals to study. Female genital cutting (FGC), obstetric fistulas (OF), and female cancer are also discussed in this paper.

Rn To Apn Role Transition, Bethney Hernandez

Honors Theses

Role Transition can be difficult whether the transition is planned or unplanned. The transition from student to practitioner for nurses who follow the traditional path to licensure is challenging. Practitioners who change specialties, roles or scope of practice experience some of these same challenges, as well as unique challenges. The consequences of an unsuccessful role transition include unresolved stress, reduced job satisfaction, increased risk of errors, and changing roles again, without settling into the current role. This literature review will explore these challenges from the perspective of Meleis’s Transition Theory. Successful transitions occur when the practitioner finds employment, feels pride …

Application Of Beers Criteria And A Brown Bag Event To Increase Prescribing Safety In Older Adults, Kristen Garza

Evidence-Based Practice Project Reports

With older adults making up about 14.5% of the U.S. population, polypharmacy may be an unintended consequence of adhering to clinical practice guidelines (Kim & Luck Parish, 2017). Effective polypharmacy interventions are needed in the primary care setting to increase prescribing safety and lower the risk of adverse drug events among older adults. The application of the Beers criteria, in conjunction with a brown bag medication reconciliation event, was initiated as focused interventions for a private primary practice without electronic health records. Outcomes included medication reduction, identification of possible inappropriate medication, decrease of medication dosages, and identification of duplicate medication. …

Traditional And Innovative Approaches To Faculty Practice: Income Generating Contracts At Non-University Clinics, Kelly Gonzales

Posters and Presentations: College of Nursing

No abstract provided.

Nursing Students’ Knowledge And Understanding Of Acute Cystitis, Kayla Weber

Undergraduate Honors Theses

Acute cystitis (AC) is characterized by a sudden inflammation of the bladder caused by bacteria. The severity of AC ranges from mild to severe and may be recurrent, especially in at-risk populations. Bacteria in the bladder may travel further into the urinary system, causes urinary tract infections (UTI’s) resulting in urosepsis. Hygienic procedures play a large role in decreasing the bacteria that causes AC, so it is important for nursing students to understand and correctly apply the knowledge learned throughout the curriculum. This study focused on the knowledge and understanding nursing students have about AC. To determine this information, a …

Evaluation Of Safety Related To Current Patient Mobility Practices, Karissa Bright, Logan Callahan, Sarah Saunders

Spring Showcase for Research and Creative Inquiry

A major practice that may be overlooked in the nursing field is how to move patients. Since nurses care for a diverse patient group, some patients may have limited to no mobility. In these cases, the nursing team must decide how to move the patient to provide care while still maintaining a safe environment. The purpose of this project is to evaluate current evidence on the safest ways to move and ambulate patients, while still maintaining the effectiveness that must be present in the medical environment. Hopefully, through this research, effective and safe ambulating practices can be determined.

A Multi-Faceted Intervention To Improve Diagnosis And Treatment Rates Of Overweight And Obesity By Nurse Practitioners In Primary Care, Susan Disser

Evidence-Based Practice Project Reports

The United States is amid an obesity epidemic (Institute of Medicine, 2012). Indiana ranks as the tenth most overweight state. (America’s Health Rankings, 2018). Despite guidelines outlining the treatment of obesity, primary care providers seldom use these guidelines (Hayes et al., 2017). In a 2010 study, only 28.9% of obese patients received a diagnosis of obesity and less than 25% of these patients received counseling on diet, exercise, or weight loss (Bleich, Pickett-Blackely, & Cooper, 2011). The purpose of this evidence-based practice (EBP) project is to determine if a multi-faceted intervention consisting of academic detailing, reminders, audit with feedback, and …

Optimizing Strategies For Care Coordination And Transition Management: Recommendations For Nursing Education, Beth Ann Swan, Regina Conway-Phillips, Sheila Haas, Laura De La Pena

College of Nursing Faculty Papers & Presentations

The purpose of this descriptive qualitative study was to explore nurse and healthcare leaders' experiences and perceptions of care coordination and transition management (CCTM®). Four barriers emerged that added insight into the lack of adopting and integrating CCTM knowledge, skills, and attitudes in nursing education in the following categories: curriculum redesign, silos of care settings and care providers, knowledge gap, and faculty development/resistance. Recommendations and implications for education, for both nursing students and practicing nurses, are described.

Clarifying Model For Continuity Of Care: A Concept Analysis, Sarah J. Bahr, Marianne E. Weiss

College of Nursing Faculty Research and Publications

Aim

The aim is to clarify the use of the term continuity in the specific context of acute care hospitalization and discharge.

Background

The meaning of “continuity” is often co‐mingled with other concepts, specifically coordination and communication. To increase usefulness for contemporary concerns with the hospitalization‐postdischarge continuum, continuity of care is examined from the specific context of acute hospitalization and discharge.

Design

Concept analysis.

Data Sources

Medline via Ovid, Cochrane Library, Cinahl, and Google Scholar. Search years encompassed 2001–2016.

Review Methods

Rodgers evolutionary concept analysis method.

Results

A total of 50 papers were included in this concept analysis. Synthesis of …

Bringing Truth To The Table: An Evidence Review To Dispell Common Dietary Myths, Madison Pierce

Senior Theses

Background/Significance

Nurses are most directly involved with patient care and are in an excellent position to be patient educators. Patients are more likely to actively listen after establishing rapport, especially for loaded topics such as lifestyle choices. While nurses have general nutrition knowledge, they may lack current, scientifically-based information to help patients implement a healthy diet. Nurses can both educate and be an example of health habits that patients should emulate, and therefore need to be adequately informed about topics like dietary misconceptions.

Purpose

The purpose of this project is to provide current evidence-based information regarding dietary misconceptions to nurses …

In Situ Pediatric Mock Codes: The First Five Minutes, Josephine N. Ruiz

Doctoral Projects

The purpose of this quality improvement project was to use in situ simulation-based mock codes to evaluate the effectiveness of participants’ actions and perceived confidence, and to potentially reinforce and improve knowledge retention, skill acquisition, and confidence levels of nursing staff with regards to pediatric emergencies. Simulated drills were evaluated with a tool focused on high-performance teams and team dynamics as outlined by American Heart Association Pediatric Advanced Life Support 2016. Twenty-four simulated drills were conducted from January to February 2019. Each hour-long session was composed of pre-briefing, simulated drill or scenario, and debriefing and took place in empty patient …

Implementation Of Lgbt+ Health Education For Master’S Entry Nursing Students, Daniel R. Mead

College of Science and Health Theses and Dissertations

Background: There is a paucity of evidence linking Lesbian, Gay, Bisexual, and Transgender (LGBT+) health education with improvement in nursing students’ knowledge, attitudes, and comfort of LGBT+ health considerations.

Methods: In a pre- and post-test study design, a total of 77 master’s entry to nursing practice students completed the LGBT+ health educational module during the Community Health Nursing course.

Results: Statistically significant results were found between pre-test to post-test data for knowledge (p < .001, Cohen’s d 2.52), attitudes (p < .001, Cohen’s d 0.35), and comfort (p = .001, Cohen’s d 0.31) of LGBT+ health considerations.

Conclusion: The LGBT+ health education module …

Rotating Shifts Vs. Fixed Schedules, Sara Vallett, Ba, Bsn, Rn, Dilek Reisoglu, Bs, Bsn, Rn

College of Nursing Posters

Purpose

• This EBP project seeks to examine the literature and nurses’ perceptions related to rotating shifts, especially the impact of quick returns on nurses and possible solutions.
• Nurses struggle to manage rotating shifts with quick turnaround between shifts. Quick returns defined as returning to work a different shift within 24 hrs

PICO question: What effect does rotating shifts with (quick returns) have on clinical nurses?

The Experience Of Being A Parent Of A Transgender Adolescent, Susan Martello-Gill

Seton Hall University Dissertations and Theses (ETDs)

Abstract

Background: According to the Williams Institute at the UCLA School of Law, about 150,000 U.S. adolescents aged 13-17 identify as transgender (Singhal, 2018). Therefore, parents of these growing number of adolescents face the daily struggles of being a parent of a transgender adolescent.

Purpose of the Study: A scant amount of research exists on the multitude of issues that parents of transgender/ non-binary adolescents confront in seeking guidance and support with the challenges they face daily. There is little in the literature concerning the experience of being a parent of a transgender/non-binary teen. Hence, the purpose of this study …

Effects Of High-Fidelity Simulation Based On Life-Threatening Clinical Condition Scenarios On Learning Outcomes Of Undergraduate And Postgraduate Nursing Students: A Systematic Review And Meta-Analysis, Celeste Marie Alfes

Faculty Scholarship

Objective The purpose was to analyse the effectiveness of high-fidelity patient simulation (HFPS) based on life-threatening clinical condition scenarios on undergraduate and postgraduate nursing students' learning outcomes. Design A systematic review and meta-analysis were conducted based on the Cochrane Handbook for Systematic Reviews of Interventions and its reporting was checked against the Preferred Reporting Items for Systematic Reviews and Meta-Analyses checklist. Data sources PubMed, Scopus, CINAHL with Full Text, Wiley Online Library and Web of Science were searched until July 2017. Author contact, reference and citation lists were checked to obtain additional references. Study selection To be included, available full-texts …

The American Academy Of Ambulatory Care Nursing's Invitational Summit On Care Coordination And Transition Management: An Overview, Sheila Haas, Beth Ann Swan

College of Nursing Faculty Papers & Presentations

The American Academy of Ambulatory Care Nursing convened an Invitational Summit of national leaders to assist with strategic planning for promulgation of the care coordination and transition management (CCTM™) model. The conference was devoted to CCTM and the roles of registered nurses (RNs) across the care continuum to ensure safety and quality health care. The specific emphasis was on embedding the CCTM RN in healthcare policy and payment reform, as well as integration into academic and ongoing education across all care settings and specialties.

Emergency Department Nurses: Post Code Pause, Lynn Alice Hauck

Student Theses, Dissertations and Capstones

Background: The consistent witnessing of death and critical incidents takes an emotional toll on the emergency department (ED) nurses. In addressing critical incident events, research has shown us that debriefing nurses after a traumatic event helped reduce stress and, in turn, decreased staff turnover in the ED at an acute care facility (Hirschinger, Scott, & Hahn-Cover, 2015). Purpose: The purpose of this DNP project was to implement a Post Code Pause (PCP) debriefing tool in conjunction with the hospital’s Unit Practice Council (UPC) members and the ED direct patient care nurses for use after adult and pediatric cardiopulmonary resuscitation (CPR), …

Promoting Cultural Humility: Lgbtqia+ Education For Healthcare Providers, Lexi Robertson, Lauren Connelly

VCU Health Nursing

Abstract:

Purpose:

LGBTQIA+ patients experience devastating mental health and substance abuse disparities. While our organization has a broad non-discrimination statement that includes gender identity and sexual orientation, there is no guidance for how to best serve these patients. Evidence suggests training sessions are a successful means of increasing LGBTQIA+ cultural competency, with “Safe Zone” identified as being especially successful on college campuses. The Healthcare Equality Index also calls for education to demonstrate healthcare organizations’ commitment to LGBTQIA+ patients.

Intervention:

We developed an educational workshop - Safe Zone – with university psychologists. This workshop included interactive exercises that focused on increasing …

Own Your Outcomes: Driving Down Hapis In The Cardiac Surgery Intensive Care Unit, Linda Currie

VCU Health Nursing

Abstract:

Purpose (What): To achieve sustainable reduction of pressure injury (PI) rates through systematic culture change, in a quaternary, level 1, urban academic medical center cardiac surgery intensive care unit (CSICU).

Relevance/Significance (Why): The CSICU is a high-risk patient population, hosting multiple potential barriers to pressure injury prevention. Prior to 2012, the CSICU pressure injury rate was 17% higher than the National Database of Nursing Quality Indicators benchmark, negatively impacting patient outcomes and organizational goals. Leveraging Magnet principles of Evidence-Based Practice, CSICU advanced practice nurse leaders empowered and motivated bedside nurses to lead and sustain unit culture change.

Strategy and …

Acute Respiratory Distress Syndrome, Allison Bruce

Nursing Student Class Projects (Formerly MSN)

Acute Respiratory Distress Syndrome (ARDS) burdens intensive care units (ICU) and their patients across the world. This presentation discusses the presentation, pathophysiology, current treatment and nursing implications for ARDS. This pathophysiological process requires exceptional interprofessional teamwork by the healthcare team. It is important for nurses to have an in-depth comprehension of this disease and its manifestations so that it can be detected and treated as quickly as possible. Further research and education are needed to improve the mortality rates of patients with ARDS.

Student And Faculty Perceptions: Appropriate Consequences Of Lapses In Academic Integrity In Health Sciences Education, Tianna Antill Keener, Marina Galvez Peralta, Melinda Smith, Lauren Swager, James Ingles, Sijin Wen, Mariette Barbier

Faculty & Staff Scholarship

Background: A breadth of evidence supports that academic dishonesty is prevalent among higher education students, including students in health sciences educational programs. Research suggest individuals who engage in academic dishonesty may continue to exhibit unethical behaviors in professional practice. Thus, it is imperative to appropriately address lapses in academic dishonesty among health sciences students to ensure the future safety of patients. However, students and faculty have varying perceptions of what constitutes academic dishonesty and the seriousness of breaches in academic dishonesty. The purpose of this study is to gain health sciences faculty and students’ perceptions on the appropriate consequences of …

News From The Graduate School - Nursing, Otterbein Office Of Graduate Programs

Graduate School

Newsletter that provides updates from the Graduate School and the Nursing Graduate Program.

Brain Pathology Of Heroin Addiction, Nickcolis Florentine

Nursing Student Class Projects (Formerly MSN)

This poster focuses on the effects of heroin addiction on the neurobiology of the brain and its implications for nursing care. Heroin use causes long term changes in the function of multiple areas of the brain. It is the hope of the author that understanding the pathophysiology of heroin addiction will help caregivers overcome innate bias and to become better caregivers for our patients.

Draft: Department Of Nursing Master Of Science In Nursing Eportfolio Policy, Cheryl Brandt

Q2S Enhancing Pedagogy

The purpose of the Department of Nursing Master of Science in Nursing program portfolio requirement was unclear. To clarify the portfolio purpose and process, and to update from a paper to an electronic portfolio format, a detailed ePortfolio policy was drafted in the course of the Teaching Resource Center 2019 Summer ePortfolio Institute. Reflection prompts and a scoring rubric were to be finalized after approval of the policy. The policy was submitted to the Department of Nursing Graduate Affairs Committee for review and approval. Ironically, the discussion of the policy among Graduate Affairs Committee members culminated in a decision to …

Creating A Clinical Ladder Education Program For Perioperative Surgical Services (Clepps), Velma Davis, Natalie Sorensen

VCU Health Nursing

Problem Statement:

Low participation in challenging the Clinical Ladder within the Perioperative Surgical Services was observed. The period 2016-2017, only five nurses from the department challenged and were successful on the ladder. As a process improvement initiative, the department implemented CLEPPS, using the organization’s clinical ladder program as a tool.

Background:

It is documented in the literature that a robust Clinical Ladder Program increases staff satisfaction, enhances professional development, and improve patient outcomes.

The Perioperative Surgical Services has a total of 102 Clinical Nurse II within the department who were eligible for advancement on the clinical ladder. An internal survey, …

Implementing A Discharge Navigator Reducing 30-Day Readmissions For Heart Failure And Sepsis Populations, Karen Weeks

Doctor of Nursing Practice (DNP) Final Clinical Projects, 2016-2019

A national focus for healthcare reform is preventing hospital readmissions. Thirty-day unplanned hospital readmissions impact patient outcomes and are costly to the healthcare system. This project explored the impact between the discharge navigator and 30-day unplanned readmissions for heart failure and sepsis populations in a 238-bed community hospital located in central Virginia. The primary aim of this discharge navigator project was to reduce 30-day readmissions for the heart failure and sepsis populations to meet the goals of the top quartile for like hospitals and the evaluation of cost avoidance for these readmissions. Heart failure and sepsis populations are high risks …

Health Professions Division 2019-2020 Catalog, Nova Southeastern University

Health Professions Divisions Course Catalogs and Course Descriptions

No abstract provided.