Medicine and Health Sciences Commons^™

Health And Healing In Compariative Perspective: U.S. And Mexico, Mary Scheerhorn, Jonathan D. Hagood

Faculty Presentations

A global experience comparing the development of the healing professions, the economics of the modern health sector, and practices of health and healing in the U. S. and México. An intense three week cultural experience in Querétaro, México in health clinics and hospitals under the supervision of faculty from the Universidad Autónoma de Queretaro and the Hope College Nursing Department. Cultural enrichment for nursing, pre-physical therapy, pre-med and other pre-health major students.

An Educational Approach: Increasing College Freshmen's Knowledge Regarding Sexually Transmitted Infections, Jennie Mcclain

Evidence-Based Practice Project Reports

According to the Centers for Disease Control (2009), young adults account for only 25% o fsexually active persons in the United States, but account for 50% of the newly diagnosed cases of sexually transmitted infections (STIs). Some young adults may not have received appropriate or credible information on sexual health by which to make knowledgeable decisions that may influence the rest of their lives. High schools are not required to offer comprehensive sex education. Therefore, some students may have received abstinence-only sex education. Risk reduction and disease prevention are important in college health. This evidenced-based practice project included the creation, …

Measuring Cultural Competence In Nursing: A Qualitative Comparison Of Education And Workforce Measures, Robin Ellis, Dr. Erin Maughan

Journal of Undergraduate Research

The most recently published United States census indicates that nearly one fourth of the United States population is non-Caucasian (“Race and Ethnic Distribution,” 2001). Unlike the general population, nearly 90% of registered nurses identify themselves as primary Caucasian. Consequently, cultural awareness in health care has become an imperative issue.

The Subcutaneous Administration Of Bortezomib Practice Guideline Capstone Project, Jasmine Martin

Regis University Student Publications (comprehensive collection)

Multiple myeloma is the second leading cause of hematological malignancies in the United States. Bortezomib is a chemotherapy agent effective in the treatment of all stages of multiple myeloma. Bortezomib administered by the subcutaneous (SC) route is as efficacious as the intravenous (IV) route. However, the literature does not describe how the drug was to be administered SC. A review of literature was inconclusive on how to administer SC injections and supported the need to describe how nurses are administering SC injections in order to develop practice guidelines. A 44-question electronic survey on SC bortezomib administration was developed, with all …

Scripted Communication, Shannon L. Cook

Regis University Student Publications (comprehensive collection)

Variables related to scripted communication and patient satisfaction was studied. Patients who were admitted to the hospital and had inpatient status considered for the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) patient satisfaction survey. Inclusion criteria for the study population were if the patient was not a newborn, deceased, a ward of the state, or a No Publicity patient. The HCAHPS survey was only sent every 90 days per The Agency for Healthcare Research and Quality (CRMC, 2012). The independent variable was scripted communication with the use of AIDET (Acknowledge, Introduce, Duration, Explanation, Thanking) measured by the HCAHPS …

The Effect Of Heart Failure Education On Reducing Readmissions, Mayola Lara Villarruel

Evidence-Based Practice Project Reports

Management of heart failure is a significant financial challenge for the health care industry, costing approximately $33.2 billion annually. Common reasons for preventable heart failure readmissions include inadequate discharge education and lack of self-care and health management activities. Education at discharge is a vital component of improving heart failure outcomes. Following a review of the literature, high quality evidence supports that heart failure education should focus on medication adherence, sodium and fluid restriction, daily weights, activity tolerance, identification of deteriorating signs and symptoms of heart failure, and smoking cessation. The purpose of this EBP project was to reduce heart failure …

Military Nurses Caring For The Enemy, Sharon Thompson, Beth Mastel-Smith, Gloria Duke, Barbara K. Haas, Shellye Vardaman, Susan Yarbrough

Nursing Theses and Dissertations

Purpose: This phenomenological study described the lived experience and aftermath of U.S. military nurses assigned enemy detainees during Operation Iraqi Freedom/Operation Enduring Freedom. Two themes emerged: Insurgent Assignments (subthemes included identification of and interactions with insurgents; training, precautions, and ethical issues, thoughts and feelings, coping, and meanings of insurgent care) and The Aftermath (subthemes were mental, emotional, personal, professional, and positive). Conclusions: Insurgent assignments caused ethical dilemmas and challenged theoretical constructs related to caring. Formal training is needed to prepare nurses for the practicalities of and responses to insurgent assignments.

This work is the dissertation manuscript of Sharon Thompson, completed …

The Lived Experience Of The Novice Nursing Dean: Exploring The Meaning And Significance, Melissa Rae Bouws

UNLV Theses, Dissertations, Professional Papers, and Capstones

Deans of nursing hold a unique position for the future of the profession. Few others have the potential to bring about change within the academic setting, or hold such a strong influence on the future of nursing and on our students. Current statistics reveal multiple vacancies in nursing dean positions. Further understanding of how nursing deans begin their role, attain their identity as dean, and successfully execute this important position is needed to recruit and retain strong leaders who have the methods and skills to develop and support the advancement of the nursing profession. Understanding the process of becoming nursing …

A Rural Tobacco Smoke Pollution Study, Kelly Buettner-Schmidt

Nursing ETDs

The purpose of this study was to determine whether the location of hospitality venues considering; rurality, presence of local ordinances, and socioeconomic status, influenced the quantity of tobacco smoke pollution in a predominantly rural state. The study built on current scientific literature in four aspects. First, it was the first U.S. statewide study on tobacco smoke pollution levels in hospitality venues. Second, it quantified indoor tobacco smoke pollution specifically in rural areas. Third, it used random sampling, a method rarely used in studying indoor tobacco smoke pollution. Fourth, it analyzed tobacco smoke exposure as a function of socioeconomic status. A …

Education And Referral Criteria: Impact On Oncology Referrals To Palliative Care., Barbara Reville, Joanne Reifsnyder, Deborah B Mcguire, Karen Kaiser, Abbie Santana

Department of Family & Community Medicine Faculty Papers

OBJECTIVE: To describe a quality improvement project involving education and referral criteria to influence oncology provider referrals to a palliative care service.

METHODS: A single group post-test only quasi-experimental design was used to evaluate palliative care service (PCS) referrals following an intervention consisting of a didactic presentation, education outreach visits (EOV) to key providers, and referral criteria. Data on patient demographics, cancer types, consult volume, reasons for referral, pre-consult length of stay, overall hospital stay, and discharge disposition were collected pre-intervention, then post-intervention for 7.5 months and compared.

SETTING AND SAMPLE: Attending oncologists, nurse practitioner, and house staff from the …

School Of Nursing Newsletter June 2013, Southern Adventist University School Of Nursing

Southern Nursing - School of Nursing Newsletter

The June 2013 issue of the newsletter features articles on Linda Marlowe's retirement, senior recognition, mission trips, a simulated disaster, a visit from Japanese nursing students, and the debut of a standardized patient program.

Carter, Tim Lee, 1910-1987 (Mss 80), Manuscripts & Folklife Archives

Manuscript Collection Finding Aids

Finding aid only for Manuscripts Collection 80. Correspondence, photographs, audiotapes, film, clippings, general office files, and records of legislative proceedings relating to the political career of Tim Lee Carter, U.S. Representative (Republican) for Kentucky's Fifth Congressional District, 1965-1981.

Reducing Heart Failure In An Era Of Reform, Sandra M. Kurpela

Evidence-Based Practice Project Reports

Heart failure (HF) affects an estimated 5 million Americans, with 550,000 new patients diagnosed yearly (American Heart Association, 2004). Despite advancements, readmissions for HF remain high. Management is especially important due to recent legislation that penalizes hospitals with excessive readmissions. The purpose of this evidence-based project (EBP) was to determine if a chronic disease HF management program with advance practice nurse, home care, and telehealth would affect hospital readmission 4 weeks post-discharge. Orem’s Self-Care Deficit Nursing Theory and the Iowa Model guided this system change. The project used a longitudinal experimental pre- and post-test design with convenience sample from two …

Self-Medication Practices Of Adults With Sickle Cell Disease: Design And Methodology, Courtney Marie Beyers

Honors Scholar Theses

Aim of study

To survey the self-medication practices of adults with Sickle Cell Disease (SCD) using NIH-validated ActualMeds™ Medication Management System via Apple iPad®, in order to improve individual medication management (adherence).

Rationale and Significance

Adults with SCD are a significant population to study when considering self-medication behaviors. Because individuals with SCD are now outgrowing the speciality care of pediatricians, and often find themselves left to manage multiple medications and self-care interventions.

This research is important in understanding medication management, such as high-risk medication adherence behaviors, prescription drug interactions, and over-the-counter drug interactions with prescription drugs in the UCHC patient …

Description Of Medical-Surgical Nurses Care Of Patients At Risk For Pressure Ulcers, Barbara Jean Mayer Phd

Dissertations

Aim: The purpose of this qualitative study was to explore and describe the level of understanding of PU development and prevention and perceptions of implementing PU prevention measures in nurses caring for patients in medical-surgical units. Method: The study was conducted in three (3) community hospitals within the same healthcare system using an Interpretive Description approach. Six (6) focus groups were conducted including thirty (30) participants. Findings: Participants described their knowledge of PU development and prevention as good and perceived continuing education as important in maintaining knowledge levels. Two (2) methods of identifying patients at risk for PU development were …

Risk-Appropriate Maternal Care: Identifying Risk Factors That Effect Maternal Outcome, Lucy R. Van Otterloo Phd, Msn, Rnc, Cns

Dissertations

Although maternal deaths are the most tragic of obstetric events it continues to be a rare event. Maternal morbidity, on the other hand, is increasing and poses a greater impact on the economic, psychological, and physical health of the woman and her family, yet it has not been the focus of measurement or research since there is no systematic collection of data available. As complications increase, the likelihood of adverse maternal outcomes such as longer postpartum stays due to the need for more extensive care will also increase. Nurses are being challenged to use their knowledge and skills to identify …

Nutritional Status Of Patients With End Stage Liver Disease: An Outpatient Assessment, Anna Marie Cumming-Browne Hefner Phd, Msn, Cpnp, Rn

Dissertations

Cirrhosis is the 12th leading cause of death in the United States. It is well documented end stage liver disease drives a patient to a catabolic state thus depleting them of essential nutrients. Malnutrition is often unrecognized and untreated in outpatients. Though BMI, nutritional intake, anthropometric measurements have been used in clinical trials, there still remains no standard nutritional assessment. The purpose of this dissertation was to (1) identify the incidence of malnutrition in patients with compensated and decompensated liver disease utilizing defined nutritional parameters (Subjective Global Assessment, anthropometric measurements, hand grip strength, and laboratory values) and (2) correlate with …

Psychometric Properties Of Standardized Patient And Faculty Rater's Evaluations Of Pre-Licensure Nursing Student Competencies, Karen A. Macauley Phd, Dnp, Fnp-Bc, Gnp, Bc

Dissertations

The use of simulation as a teaching modality has been rooted in the military, aviation, space, and engineering for centuries (Bradley, 2006). Clinical simulation allows for training of healthcare providers that might be too costly, risky, or hazardous in the clinical setting (Bradley, 2006). A variety of simulation modalities are used including virtual learning, task trainers, mannequins, and standardized patients (SPs). External demands for improved accountability of clinical performance is requiring nursing educators to reevaluate methods of teaching and how we measure nursing competence (Nehring & Lashley, 2010). Standardized patients have been used in medical school curricula to teach and …

Perceptions Of Workplace Bullying Among Practicing Registered Nurses, Crystal Regina Threadgill

Dissertations

Workplace bullying (WPB) is a social and organizational problem. Within the health care arena, employees, particularly registered nurses, are at risk. WPB has several adverse effects and has been cited in the literature as closely associated with burnout and nurses leaving their positions. This quantitative study examined workplace bullying among practicing registered and its relationship with burnout and nurses’ intent to leave their current position.

The surveys utilized were the Negative Acts Questionnaires-Revised (NAQ-R), Maslach Burnout Inventory Survey, Intention to Turnover Scale and a demographic survey. Of the surveys distributed, a total of 185 were returned from one selected hospital …

Medical Home Model Of Patient-Centered Health Care, Sandra N. Berryman, Sheri P. Palmer, James E. Kohl, Jon S. Parham

Faculty Publications

The medical home offers a patient-centered model of care. The foundation of a medical home is the organized and continuous interprofessional care of patients.

The Effects Of Nursing Care On The Patient Experiencing A Stillborn Birth, Katherine Totten

Senior Honors Theses

Childbirth has the potential of being one of the most joyous and fulfilling experiences a woman goes through in her entire life. Being a mom, driving the kids to soccer practice, and sitting around the Christmas tree with the family can easily be seen as an ideal life. Conversely, the negative experiences with childbirth are rarely discussed. There is an overlooked category: moms who conceive but lose the baby in the womb. Not only are these women overlooked, but also the hospital care they receive proves inconsistent with the latest research. Nurses and doctors should be aware of the latest …

The Effects Of A Violence Assessment Checklist On The Incidence Of Violence For Emergency Department Nurses, Sarah Knapp

Evidence-Based Practice Project Reports

Workplace violence (WV) is commonplace in American culture, and nurses working in emergency departments (ED) are not immune to its effects. Violence against emergency department nurses is prominent in current nursing literature, and a cause for major concern. Regrettably there is no consistent tool being used to assess for potential patient violence specific to the emergency department. Current assessment tools have been developed and are commonly used in the mental health arena. This evidence-based practice project concentrated on answering the clinical question of whether or not a violence risk assessment checklist reduced the incidence of violence and increased perception of …

The Role Of Nurses In Pediatric Pain Assessment And Interventions, Katie Pfannenstein

Honors Capstones

Capstone submitted as a graduation requirement for the BSU Honors Program.

The Stethoscoop, March 22, 2013, Mennonite College Of Nursing

The Stethoscoop

The Stethoscoop is the newsletter for Mennonite College of Nursing students.

A Case Study Exploring Restraint And Seclusion Use In School-Age Children On An Inpatient Psychiatric Unit, Michelle Buckman Phd

Dissertations

Perceptions of children restrained and secluded (R&S) were explored using Yin's methodology and critical theory. The literature presented reviewed proponent's and opponent's views of the R&S intervention used on inpatient psychiatric units for the containment of violent patients. Despite reports of physical and emotional injury to staff and patient during restraining and secluding children, the intervention is still in use. Using Machover's framework, a semi-structured interview and drawings were used to illicit information from a 12 year old boy about his perceptions of R&S. Then, a presentation of barriers to conducting research is made. Results of the child's perceptions included …

Malnutrition And Diseases Affecting The Children Of Uganda, Crystal Brooke Baldwin

Senior Honors Theses

Every day there are children in underdeveloped countries, such as Uganda, who are struggling to survive on minimal food, money, and other resources. These children do not have the opportunity to enjoy the benefits of a normal childhood because their main focus is on survival. Many of these children will die because of preventable disease and starvation that have resulted from the endless cycle of poverty and lack of education. Those who are lucky enough to survive must fight a daily battle to find the nutrients they need and to combat the diseases they may acquire. It is heartbreaking to …

Providing Holistic And Spiritual Nursing Care, Jessika D. Gore

Senior Honors Theses

Holistic nursing is care of the whole person, which addresses physical, mental, emotional, spiritual, and relational aspects of health. Historically, nursing has always integrated these aspects into providing care. Nursing developed out of religious orders and was predominantly a way to serve God by serving the poor and the sick. Florence Nightingale believed that nursing was her calling from God and her faith and spirituality influenced every aspect of her care. Nurses today are often fearful of addressing the spiritual needs of their patients, despite research that demonstrates the importance of providing care in these areas. Nurses can use interventions …

Effectiveness Of A Reference Accuracy Strategy For Faculty Scholarship, Kirsten Speck, Barbara St. Pierre Schneider,

Interdisciplinary Research Scholarship Day

The dissemination of scholarly information through scholarly publishing is one of the most important requirements to be successful in academia. Approximately 25-45% of nursing scholarship has at least one reference error. Reference inaccuracy occurs in scholarly publishing because most faculty authors focus more on the writing than on the accuracy of the references or these authors inadvertently miss the reference errors. Nevertheless, inaccurate references hinder the retrieval of material if author names are misspelled or the year or volume number is incorrect. Also, this lack of precision can raise questions about the accuracy of other parts of the material and …

School Of Nursing News, Georgia Southern University

Nursing: News & Publications (2013-2023)

• Georgia Southern University nursing students learn to deal with disaster

Identification Of Roach’S Concepts Of Caring In Sophomore Nursing Students At A Women’S Prison, Mary Ann Burnam, Mary Mckelvey

Annual Conference Presentations, Papers, and Posters

The concept of caring has been identified with nursing since its professional organization. Several theories of caring have been developed and some adopted for instruction and implementation in nursing programs. This study’s aim was to identify caring attributes exhibited in a group of sophomore nursing students who had their maternity experience in a women’s prison. A focus group of six students responded in a semi-structured interview about their experiences with pregnant prisoners. The interview was recorded, transcribed and analyzed for Roach’s five caring concepts. The qualitative analysis revealed that sophomore nursing students manifested the caring concepts in their experience with …