Medicine and Health Sciences Commons^™

Mid-Atlantic Ethics Committee Newsletter, Spring 2013

Mid-Atlantic Ethics Committee Newsletter

No abstract provided.

Effects Of An Interprofessional Simulation Activity To Improve Students' Perceptions Of Other Healthcare Professions, Chase Raymond Poulsen

STEMPS Theses & Dissertations

Healthcare professionals have historically been educated and trained by members of their own profession within a curriculum that reinforces their individual discipline-specific strengths. This differentiation has contributed to students having little interaction with other professionals until after they have entered the workforce and consequently little formal education in collaboration or integration. The purpose of this mixed-method study was to evaluate the impact of an interprofessional (IP) collaborative activity on student's perceptions of the others discipline for the improvement in care of medical patients.

The sample population consisted of students from two programs, nursing (n=40) and respiratory therapy (n=33). Students were …

Nursing Simulation Experience: Self-Efficacy, State Anxiety, Locus Of Control, And Simulation Effectiveness, Ashley M. Gosselin

Honors Theses and Capstones

No abstract provided.

Determinants Of Health-Related Quality Of Life In Arab American Patients With Type 2 Diabetes, Yousef Zakarni Phd

Dissertations

HRQL is an important aspect of chronic illnesses such as diabetes and needs to be considered by healthcare providers. It is one of the most important outcomes of healthcare interventions, representing an integral public health goal in Healthy People 2000, 2010, and 2020. Arab Americans (AAs), one of the most rapidly growing minorities in United States, tend to have a high prevalence of type 2 diabetes. The purpose of this study was to describe determinants of HRQL, including social support attitude, religiosity, and select demographics for AA patients with type 2 diabetes. A descriptive correlational study using a cross sectional …

Nursing Textbooks: Comparative Representation Of Physicians And Advanced Practice Nurses, Kaitlin Kirby

Honors Theses and Capstones

Advanced practice registered nurses are nurses educated with a master’s degree who practice autonomously as well collaboratively with other healthcare professionals to diagnose, treat, and manage patients’ healthcare problems. Undergraduate nursing students often misunderstand the role and responsibilities of advanced practice nurses. As nursing students are cultured in the art and science of nursing, textbooks play an essential role. Therefore in this study, seven best-selling nursing textbooks were examined for content related to APRNs and physicians. Selections from all seven textbooks were collected and analyzed to determine the references to physicians, APRNs, and healthcare providers. APRN selections were less prevalent …

Measuring Nurses’ Impact On Health Care Quality: Progress, Challenges, And Future Directions, Susan L. Beck, Marianne E. Weiss, Nancy Ryan-Wenger, Nancy E. Donaldson, Carolyn Aydin, Gail L. Towsley, William Gardner

College of Nursing Faculty Research and Publications

Background: Quality measurement is central in efforts to improve health care delivery and financing. The Interdisciplinary Nursing Quality Research Initiative supported interdisciplinary research teams to address gaps in measuring the contributions of nursing to quality care.

Objective: To summarize the research of 4 interdisciplinary teams funded by The Interdisciplinary Nursing Quality Research Initiative and reflect on challenges and future directions to improving quality measurement.

Methods: Each team summarized their work including the targeted gap in measurement, the methods used, key results, and next steps. The authors discussed key challenges and recommended future directions.

Results: These exemplar projects addressed cross-cutting issues …

The Challenges And Blessings Of Missionary Nursing In Africa, Jordan E. Woosley

Senior Honors Theses

Nursing is a popular career choice in the twenty-first century, and there are many opportunities within the profession to serve. An American nurse has the ability to utilize nursing skills in Africa and share knowledge with the locals. The American nurse may face challenges when adapting to the African culture and healthcare but also may be blessed by the work and ministering to the people. The American nurse faces specific challenges such as educational differences, lack of facilities and equipment, unique diseases, and poor sanitation. In spite of these challenges, the American missionary nurse is able to grow through this …

The Stethoscoop, April 24, 2013, Mennonite College Of Nursing

The Stethoscoop

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

The Ties That Bind: The Relationships Between And Among Registered Nurses' Clinical Experience, Clinical Decision-Making Processes, And Nursing Practice Issues Related To Physical Restraint Use With Attitudes Toward The Use Of Physical Restraints In The Critical Care Environment, Kristi Stinson

Seton Hall University Dissertations and Theses (ETDs)

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The Relationship Of Perceived Trust And Perceived Stress Among Pregnant Women Receiving Care From A Certified Nurse Midwife, Maria Torchia Logrippo

Seton Hall University Dissertations and Theses (ETDs)

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Developing A Clinical Nurse Leader Practice Model: An Interpretive Synthesis, Miriam Bender Phd

Dissertations

Objective: The Institute of Medicine's Future of Nursing report identifies the Clinical Nurse Leader (CNL) as an innovative and necessary new role for meeting higher healthcare quality standards. The American Association of Colleges of Nursing CNL White Paper defines core competencies necessary for practice. The literature documents preliminary evidence of improved outcomes associated with CNL integration into clinical microsystems. However, the CNL role is not yet clearly defined in terms of fundamental activities and responsibilities necessary to produce outcomes. Lack of practice clarity limits the ability to articulate, implement, and measure CNL-specific practice and outcomes. The purpose of this study …

The Stethoscoop, February 14, 2013, Mennonite College Of Nursing

The Stethoscoop

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

Elevated Blood Glucose Levels In The Emergency Department: Missed Opportunity For Informing And Referring, Melissa D. Rouse Phd, Rn, Cns-Bc, Cen, Hacp, Cphq

Dissertations

The purpose of this research was to examine (1) the rates of elevated blood glucose ≥ 150 mg/dL in adults without a prior history of diabetes, receiving care for a non-diabetes related visit to the ED and (2) Emergency Department provider patterns for informing and referring discharged Emergency Department patients for follow-up of elevated random blood glucose levels. A descriptive, correlational, cross-sectional design, with purposive sample was used. Retrospective chart review was done for patients age 18 and older, treated in two EDs from March 1, 2010 through March 22, 2010. Significant relationships were found between blood glucose level and …

Relationship Of Internet-Delivered Mantram Repetition Program To Burnout, Stress Of Conscience, Spiritual Wellbeing, And Mindfulness In Healthcare Workers, Sheryl Leary Phd

Dissertations

This study evaluated the effect of the Mantram Repetition Program (MRP), an internet-delivered stress management course on burnout, stress of conscience, spiritual wellbeing, and mindfulness on a self-selected group of healthcare workers (HCWs). A quasi-experimental repeated measures design was used. Participants enrolled in a six-session MRP delivered over three months and completed baseline, post-course, and three-month post-course assessments. Measurement tools included the Maslach Burnout Inventory-General Survey (MBI-GS), the Stress of Conscience Questionnaire (SCQ), the Functional Assessment of Chronic Illness Therapy Spiritual Wellbeing Scale (FACIT-12), and the Mindfulness Awareness Attention Scale (MAAS). Statistically significant effects of the MRP showed a decrease …

Hanratty, Suzanne (Funk) (Fa 588), Manuscripts & Folklife Archives

Folklife Archives Finding Aids

Finding aid only for Folklife Archvies Project 588. Maydelle (Johnson) Funk, registered nurse, and her husband, physician Jesse Trusdale Funk, detail their genealogy and personal history in interviews conducted by their daughter, Suzanne (Funk) Hanratty. The Funks lived and worked in Bowling Green, Kentucky. Includes transcription and news clippings about a Girl Scout troop in Bowling Green led by Mrs. Funk.

Demonstrating Nurse-Sensitive Outcomes: Do Barrier Perceptions Differ By Role?, Jean Beckel

Nursing Posters

This study provides some of the first evidence to demonstrate the existence of barriers and differences in barrier perception related to role.

Mid-Atlantic Ethics Committee Newsletter, Winter 2013

Mid-Atlantic Ethics Committee Newsletter

No abstract provided.

The Effects Of An Educational Support Group Intervention On Nurse Manager Burnout, Donna Faviere

Regis University Student Publications (comprehensive collection)

The purpose of this capstone project was to assess whether an educational support group intervention would increase the level of engagement among Nurse Managers (NM) at an acute care facility. NMs play a key role in helping an organization achieve strategic goals and financial outcomes. These complex demands put the NM at high risk to experience occupational stress, which may lead to burnout (Shirey, 2006). Based on this assessment the research questions: what is the level of engagement among NMs at an acute care facility before and after an educational support group intervention was developed? The goal of the intervention …

Transcultural Nursing And Malaria: Identifying Global Health Strategies Through The Lived Experiences Of Nurses From The Villages Surrounding Bamenda, Cameroon, Noella Sob Tataw

Theses Digitization Project

This study highlights the challenges faced by nurses working in the villages surrounding Bamenda, Cameroon. This is done as a necessary first step towards developing a culturally compelling intervention strategy fro Malaria prevention/treatment, through direct interaction of nurses in villages surrounding Bamenda in Cameroon. Malaria and other diseases pose significant health care problems in remote regions of Cameroon.

Virtual Collaboration In The Online Educational Setting: A Concept Analysis, Henny Breen

Faculty Publications

This study was designed to explore the concept of virtual collaboration within the context of an online learning environment in an academic setting. Rodgers’ method of evolutionary concept analysis was used to provide a contextual view of the concept to identify attributes, antecedents, and consequences of virtual collaboration. Commonly used terms to describe virtual collaboration are collaborative and cooperative learning, group work, group interaction, group learning and teamwork. A constructivist pedagogy, group-based process with a shared purpose, support and web-based technology are required for virtual collaboration to take place. Consequences of virtual collaboration are higher order thinking and learning to …

Mind The Gap: Fostering Scholarship-Into-Practice For Advanced Practice Nursing Students Through Embedded Librarianship, Brenda H. Sheingold, Thomas Harrod

Nursing Faculty Publications

In recent years, librarianship has been increasingly recognized as a critical component of inter-professional healthcare education. This manuscript describes how innovative coordination between libraries and university healthcare programs can remove the barriers to scholarship for graduate students who enroll in distance education (DE) programs. The authors examined the perceived impact of librarian embedment for DE nursing students graduating with master’s degrees from George Washington University in 2013. Librarians were embedded in the first course in which they were enrolled in 2010 to support the mastery of scientific research skills. Analysis indicated that students strongly agreed that contact with embedded librarians …

The Bus Stops Here: Mobile Education Program, Katie Juskewitch

Theses and Graduate Projects

Medical knowledge and technology are rapidly evolving. Nurses need to continuously adapt their practice to provide the best care for their patients and to meet the financial incentives being applied to hospitals. The need for continuous nursing education is apparent since healthcare continues to advance. A project to the develop an alternative method of continuing nursing education for hospital nurses called "bus stop education" was designed to optimize the retention of new knowledge by addressing the needs of the adult learner. The framework of a hands-on learning approach guided by Malcolm Knowles classic theory on andragogy of learning, Watson's theory …

Preparing Rn’S For The Online Learning Environment, Jayne Josephsen, Vivian Schrader

Nursing Faculty Publications and Presentations

Adult learners returning to online education can face considerable barriers to the successful completion of their degree. These obstacles may be due to work and family obligations, lack of familiarity with course and academic requirements, the use of educational technology, or lack of self-direction in their learning. The authors conceptualized, developed, and implemented a preparatory course in an RN-BS Online Completion program designed to familiarize students with online learning and technological and personal skill requirements that could lead to academic success. This article outlines course development and implementation, syllabus and course objectives related to distance learning, and assignments and rubrics …

Caregivers Of Older Adults: Burden, Perception Of Strain, And Health, Juana Ferrerosa Phd, Msn, Rn, Phn

Dissertations

Background: By the year 2030, the older population in the United States is projected to double from 35 to 70 million. Consequently, increasing the number of informal caregivers required to care for an aging population. Research suggests that levels of caregiver strain and their ability to cope can impact the health of caregivers. Tsai's (2003) Middle-Range Theory of Caregiver Stress guided this study and was modified to present an innovative approach which used perceived caregiver strain as a specific stressor in the Control Process of the model; it provided a basis for examining caregiver strain and its effect on the …

Early Identification Of At-Risk Lpn-To-Rn Students, Lisa K. Hawthorne Phd, Msn, Rn, Phn, Cne,

Dissertations

Nurse education programs are implementing standardized assessments without evaluating their effectiveness. Graduates of associate degree nursing programs continue to be unsuccessful with licensure examinations, despite standardized testing and stronger admission criteria. This problem is also prevalent for LPN-to-RN education programs due to a lack of research on this group of graduates, who by all accounts should be successful in nursing education based on their work experience and prior nursing education. Findings of this quantitative, non-experimental descriptive correlational study are presented to determine the effectiveness of standardized testing from Assessment Technologies Institute (ATI) as it relates to identifying at-risk LPN-RN students …

High Fidelity Simulation Effectiveness In Nursing Students’ Transfer Of Learning, Tera R. Kirkman

Nursing

Background: Members of nursing faculty are utilizing interactive teaching tools to improve nursing student’s clinical judgment; one method that has been found to be potentially effective is high fidelity simulation (HFS). The purpose of this time series design study was to determine whether undergraduate nursing students were able to transfer knowledge and skills learned from classroom lecture and a HFS clinical to the traditional clinical setting.

Method: Students (n ¼ 42) were observed and rated on their ability to perform a respiratory assessment. The observations and ratings took place at the bedside, prior to a respiratory lecture, following the respiratory …

The Call Of Nursing: Stories From The Frontlines Of Nursing, Melissa Erickson

Book Chapters

The Call of Nursing is not a typical book about nurses. It takes us behind the curtain of silence that often hangs between us -- the patients who rely on the health care system -- and the women and men who form the backbone of that system, and who are entrusted with our intimate care.

Melissa Erickson:

I worked in Women Care at a large hospital in Minneapolis which delivers more babies than any other hospital in the state. Women Care is a level IV obstetric care facility. Primarily, I cared for high-risk mothers and babies there, including high-order multiples. …

Examining Generational Differences Across Organizational Factors That Relate To Turnover, Kimberly Asuncion

All Graduate Theses, Dissertations, and Other Capstone Projects

Turnover continues to pose a problem for all organizations across industries. This study examines the complex nature of turnover, by examining the relationship of turnover intentions with perceptions of distributive justice, procedural justice, growth opportunities, and recognition across age groups. Age groups will be used as a proxy for generational cohort membership. Results of the study confirm previous research that generational differences do exist; however, those differences are fairly small. Perceptions of distributive justice, procedural justice, growth opportunities, and recognition were found to be significant predictors of turnover intentions regardless of the age group.

Yale School Of Nursing : Celebrating 90 Years Of Excellence ; Ysn: A Brief History, Helen Varney Burst Cnm, Msn, Dhl (Hon.), Facnm

Yale School of Nursing Alumni Newsletters and Magazines

This book is a brief history of Yale University's School of Nursing for the past 90 years, from 1923-2013.

Barriers To Diabetes Care In Appalachia: Challenges Faced By Healthcare Providers, Megan Cullinan

Senior Honors Theses

Appalachia is a region of the United States that is characterized by high rates of poverty, low levels of education, elevated incidence of chronic disease, and inadequate healthcare. Compared to the national average, the area has an elevated incidence of Type 2 diabetes. Though this disease process is an issue that must be addressed by healthcare providers, these providers face many challenges and barriers to providing adequate care for this disease in the Appalachian population. Barriers to care include geography with limited transportation, an inadequate number of healthcare personnel, patient inability to afford healthcare, patient attitudes toward diabetes care, and …