Medical Education Commons^™

Barriers To Healthy Births At Nigerian Hospitals, Caroline Johnston

Senior Theses

Maternal mortality is a problem everywhere, but it is especially dangerous in Nigeria where the average woman experiences pregnancy six times during her lifetime (Population Reference Bureau, 2001). Many researchers focus on the medical complications associated with labor, such as hemorrhage, eclampsia, or infection. Although these birth complications are the direct sources of maternal death, it is also important to recognize how maternal mortality is a multifaceted issue influenced by local cultural groups, religions, politics, poverty level and the absence of basic infrastructures. Although maternal mortality is interconnected with social and geographical elements, my paper concentrates on Nigerian hospitals and …

Development And Implementation Of Computer-Based Learning Modules On Alternative Communication For Pediatric Nurses And Nursing Students, Amanda Kaye Simmons

Theses and Dissertations (ETD)

Purpose and Rationale. To develop, implement, and assess computer-based learning modules (CBLs) on augmentative and alternative communication (AAC) with pediatric nurses and nursing students for knowledge outcomes, self-efficacy, and perceived relevance and effectiveness. Effective communication ensures all parties can understand and express themselves clearly, through any means necessary, often including AAC tools, supports, and strategies. Communication is essential in healthcare but there is limited research with pediatric nurses. Previous research with a single hospital indicated a need for nurse education on AAC. This research used focus groups and interviews to understand pediatric nurse and nursing student knowledge about AAC. The …

Evidence-Based Practice: Delaying Infant Bathing, Gabrielle Wadle, Grace Frankland

Scholars Week

A hospital's policy regarding infant bathing is currently not congruent with best nursing practice. The hospital’s current policy is to bathe an infant once they are stable and their rectal temperature is at or above 98.6 °F. Although the infant may become stable within the first 24-hours of birth, the World Health Organization recommends that, “Bathing should be delayed until 24 hours after birth.” (2013, p. 4). Research has been completed to support delaying infant bathing until 24 hours post-delivery, suggesting potential modifications to current policy.

Infusing Interprofessional Education Core Competencies And Collaborative Practice Into Standards-Driven Curricula, Paula S. Currie, Phd, Ccc-Slp, Luanne Billingsley, Dnp, Mba, Aprn, Acns-Bc, Ryan Green, Phd, Atc, Ralph Wood, Phd, Ches

Collaborative Healthcare: Interprofessional Practice, Education and Evaluation (JCIPE)

One challenge facing healthcare training programs is balancing the need to provide students with interprofessional education (IPE) and collaborative practice (CP) opportunities in the context of highly prescribed standards-driven curricula (e.g. nursing and speech-language pathology). An infusion-based approach is an option for institutions and standards-driven programs that do not have specific IPE/CP courses or open electives in their curriculum.

Implementation And Sustainment Strategies For Open Visitation In The Intensive Care Unit: A Multicentre Qualitative Study, Kerry A. Milner, Suzanne Marmo, Susan A. Goncalves

Nursing Faculty Publications

Objective

Open visitation in adult intensive care units has been associated with improved family and patient outcomes. However, worldwide adoption of this practice has been slow and reasons for this are unclear. This study documents barriers and strategies for implementing and sustaining open visitation in adult intensive care units in the United States experienced by nursing leadership.

Research design

Qualitative approach using grounded theory.

Participants

Nurse leaders in adult intensive care units with open visitation.

Setting

Magnet® or Pathway to Excellence® designated hospitals in the United States.

Methods

Semi structured interviews were conducted with 19 nurse leaders from 15 geographically …

A Watched Pot Never Boils: Attentive Care Needs No Timer, Dennis J. Baumgardner

Journal of Patient-Centered Research and Reviews

In this issue introduction, the editor-in-chief of Journal of Patient-Centered Research and Reviews comments on the premise that length of patient consultation time is less important than what patients perceive happened during that time. Regardless of the time allotted to a clinical visit, health care providers should make efforts to address the emotional and psychosocial needs of their patients. As always, taking a little time to express empathy can make a big difference in patient satisfaction.

In Gratitude Of 2020 Jpcrr Peer Reviewers

Journal of Patient-Centered Research and Reviews

Peer review is an essential component to publishing high-quality scientific literature. Journal of Patient-Centered Research and Reviews relies on volunteer reviewers to grade and improve submissions to the journal. Our editorial team gratefully acknowledges the experts credited in this supplement for their generous contributions in 2020.

Experiences Of Nurse Educators In Malaysia Regarding Problem Based Learning, Umadevi Alasingam

Student Works (2020-2029)

In 2010, declining standards of nursing care in Malaysia triggered immense concern. This erosion was traced to inadequate teacher-centric nurse instruction in nursing schools. The Malaysian government proposed that Problem-based learning, a student-led instruction method, be utilized henceforth. This study aims to investigate the experiences of nurse-educators regarding Problem-based learning presuming that successful implementation of Problem-based learning method hinged heavily on the role, capabilities and attitude of nurse-educators regarding this divergent learning method. A study was conducted among five nurse-educators with long experiences in using this method. They were interviewed using open-ended questions. Interview data obtained was analyzed using N-Vivo-12 …

Wound Nurse Specialists’ Pressure Injury Knowledge And Specialty Support Surface Preferences, Catherine Koutroumpis

Master of Science in Nursing Theses and Projects

Low-level foam specialty support surfaces are negatively affecting the number of hospital-acquired pressure injuries that occur each year and overall skin health of acute care patients. Lack of knowledge by wound care specialists on different types of therapy could lead to patients not receiving the best possible specialty surfaces available. An online anonymous survey of 19 certified wound care nurses was conducted. The survey examined the nurses’ knowledge of pressure injuries using the Pieper Zulkowski Pressure Ulcer Knowledge test (PZPUKT) and choice of specialty support surface for prevention of pressure injuries. One hundred percent of nurses scored 80% and higher …

Student Nurses' Association By-Laws, Hazleton State General Hospital

Historical Archives

No abstract provided.

Utilizing On-Line, Interactive, Adaptive Technology In Nursing Education, Zilola Khashimova

Physician Assistant Studies | Faculty Scholarship

The COVID-19 pandemic is affecting health care institutions and is disrupting the training of future nurses. It is more important than ever to ensure that the educators and students have access to high-quality educational materials and technologies to ensure trainee preparedness for clinical and global health challenges. To help meet this challenge, online tools have become a viable option with the recent development of information technology. E-learning can be used to enhance a classroom course, or as a stand-alone course. These online tools include online labs, videos, high resolution images (X-ray, CT-scan, histology), cadaver labs and adaptive, interactive technology such …

A Quantitative Study Of Learning Effectiveness For Participant Roles In Simulation, Alyssa Zweifel

Electronic Theses and Dissertations

No abstract provided.

Prebriefing In Simulation, Brittany A. Brennan

Electronic Theses and Dissertations

No abstract provided.

A Lesson Involving Nursing Management Of Diabetes Care: Incorporating Simulation In Didactic Instruction To Prepare Students For Entry-Level Practice, Elizabeth A. Moxley, Larry Maturin Jr., Desale Habtzghi

Faculty Articles, Papers, and Other Scholarship

Background: Diabetes is a global health problem requiring nursing students demonstrate a thorough understanding for NCLEX^® and entry-level practice, although clinical opportunities are increasingly limited, especially for Associate Degree Programs.

Method: A Simulation-based Education was incorporated in a didactic lesson to improve diabetes nursing care. Knowledge, confidence, application and relevance were measured using Wilcoxon signed-rank, Chi-square and Kruskal-Wallis analyses.

Results: Student (n=46, 85% female) perceived knowledge of glycemic management (post > pre, p < 0.0001), confidence administering insulin (post > pre, p < 0.0001), and clinical relevance improved. Confidence increased among three cohorts per Kruskal Wallis H test (² = 7.76, p = 0.021). Increased confidence correlated with relevance (² = 30.965, p = 0.009) and prior understanding of therapy ( …

Student Nurses' Manual, Hazleton State General Hospital

Historical Archives

No abstract provided.

Assessment Of Professional Identity Formation: Challenges And Opportunities, Kimberly B. Garza, Lindsey E. Moseley, Channing Ford

Research, Publications & Creative Work

This final chapter will discuss challenges of assessing PIF, available assessment tools, and future directions.

Educating Nursing Students Through The Pandemic: The Essentials Of Collaboration, Audrey M. Beauvais, Meredith Kazer, Lisa M. Rebeschi, Rosemarie Baker, Jeanette H. Lupinacci

St. Vincent’s College Faculty publications

Introduction: Throughout the COVID-19 pandemic, meeting regulatory educational requirements and graduating students competent for nursing practice was essential. Competent graduates were needed to support a strong nursing workforce in Connecticut during this chaotic time in health care. This paper describes the powerful impact of statewide collaboration toward meeting this goal.

Methods: The Connecticut League for Nursing Council of Deans and Directors (Council) organized six work groups to address the practice issues brought about by COVID-19 to continue educating nursing students and ensure a robust nursing workforce for the state. Volunteers from the Council offered to lead the groups and members …

Journeying Through Uncharted Territory: The Role Of Humour In Adaption Of Undergraduate Nursing Students In Their First Year Of Study, Marie-Josée Boulianne

Theses

Newly graduated nurses adapting to their professional role have been studied, mainly in their first year of practice. The development of coping strategies, acculturation and other adaptations to the nursing world begin at the onset of the educational journey. Understanding how these manifest early in the formative years can enable educators to tailor nursing programs to assist the future nurse to develop positive coping mechanisms and help pave the way to a successful transition into practice. This research aimed to identify elements conducive to positive adaptation and wellbeing of nursing students during their first year of nursing studies, including the …

Implementation Of Community Health Worker Education Toolkit To Promote Compliance In Managed Care Organization, Lamonica Johnson

DNP Scholarly Projects

Community health workers provide case management and care coordination services to high-risk members enrolled in Louisiana Department of Health’s Medicaid program. Centers for Medicare and Medicaid Services require states entering contracts with managed care organizations to conduct external quality reviews by an independent External Quality Review Organization. Healthcare Effectiveness Data and Information Set are quality metrics managed by the National Committee for Quality Assurance. These metrics are reported annually and required by Louisiana Department of Health. Community health workers are required to demonstrate quality accreditation and meet state specific requirement compliance through documentation. The aim of this project was to …

Virtual Pedagogical Strategies And Hesi Student Outcomes In Response To Covid-19, Elizabeth A. Moxley, Anitha Saravanan, Larinda Dixon, Janice Miller, Maureen Waller

Faculty Articles, Papers, and Other Scholarship

Background: To maintain curricular integrity in response to COVID-19, nurse educators are increasingly required to transition from traditional (face-to-face) to virtual pedagogy. Objectives: The purpose of this analysis was to compare the HESI scores based on a traditional pedagogy with the HESI scores following implementation of virtual pedagogy during Spring 2020. Methods: Student (n = 115; 81% female; mean age = 25.71 years) HESI scores were compared after each eightweek session using the Mann Whitney U test, permutation test and Wilcoxon rank test. Logistic regression was used to identify students achieving at least 850. Chi-square test was used to determine …

Social Media And Mental Health In Adolescents And Young Adults: A Systematic Review, Dawn Ritter, Kimberly Ray, Celia Keefe

Williams Honors College, Honors Research Projects

The goal of our project is to increase understanding of the link between social media use and mental illness in teens and young adults. Our objective is to write a systematic review of the literature to answer the PICOT questions: (1) In teens and adults, younger than 25 years, what is the relationship between social media use and mental illness? (2) In teens and adults, younger than 25 years, what is the effect of interventions, such as social media as a resource, on mental health promotion and well-being? The motivation for our project comes from the increased use of social …

Faculty Readiness To Integrate Clinical Simulation, Jercilla Murmu

DNP Research Projects

Abstract

Objective: Nursing education is called for reform in the nursing curriculum to meet the complex health care system of the 21st century. The traditional teaching model is inadequate to meet the current nursing practice and requires innovation in education using technology. Lack of faculty and clinical sites has called for alternative teaching methods such as clinical simulation. Currently, up to 50% of clinicals hours can be replaced by simulation in the prelicensure core nursing courses. However, the readiness of faculty to use the technology as an innovation strategy is not well established. This study aims to assess the readiness …

Promotion Of Most Forms Through Education About Importance Of Advance Care Planning In Seriously Ill Patients, Nidhi More

DNP Projects

Abstract

Purpose: To establish the importance of early Advance Care Planning (ACP) and improve the utilization of Medical Orders for Scope of Treatment (MOST) forms in seriously ill patients by educating providers and nurses to identify patients who meet specified criteria. The goals of this intervention are reduction of readmissions and better quality of life for this patient population.

Methods: A quasi-experimental design was used for evaluation of an Educational intervention to promote MOST forms, Advance Directives (AD) and Palliative Care (PC) consults. A retrospective and prospective chart review was conducted to determine the number of patients who met criteria …

Evaluating The Effect Of An Electronic Health Record Patient Portal On The Management Of Hypertension, Ashley Hall

DNP Projects

Background: Hypertension is the leading cause of cardiovascular disease and affects individuals globally, nationally, and locally. Consequences of uncontrolled hypertension include atherosclerosis, heart failure, stroke, and renal disease. The electronic health portal is a patient-specific, interactive tool that has been shown to promote adherence to provider recommendations and improve chronic disease management.

Purpose: The purpose of this project was to determine the effects of education via an electronic healthcare portal on the blood pressure management of adults at a primary care clinic in a small town in Kentucky.

Methods: This study was a one-group pre/post intervention designed to evaluate provider …

Perceptions Of Paediatric Surgeons On The Selection & Admission Processes In Master Of Paediatric Surgery : A Qualitative Study, Anand Sanmugam

Student Works (2020-2029)

The selection and intake criteria for the paediatric training surgery training program (Master of Paediatric Surgery) has undergone changes. Changes were instituted to ensure a more robust selection system to ensure that the best candidates were selected into the program. However, there has not been any data to show that these changes have resulted in selection of candidates that could graduate on time and possess the attributes that predicted the development of competencies required. The aim of this study aim was to explore the perspectives of senior paediatric surgeons on the Master of Paediatric Surgery selection and intake process. The …

Nursing, Physical Therapy, And Cytotechnology Graduate And Undergraduate Students' Attitudes Toward Teamwork Before And After Participation In An Interprofessional Education Experience, Shelley C. Mishoe, Muge Akpinar Elci, Rebecca Poston, Kimberly Adams Tufts, Beth Thompson

Community & Environmental Health Faculty Publications

BACKGROUND Educating health professional (HP) students in environments wherein they can learn about, from, and with each other can prepare them for interprofessional collaborative practice (IPCP), which may positively impact patient safety and satisfaction (Brashers et al., 2015; Health Professions Accreditors Collaborative [HPAC], 2019). IPCP is characterized by effective communication, shared values, respect for diverse disciplines and teamwork among health professionals (IOM, 2015). However, professional silos in practice can foster competition rather than collaboration. Knowledge of HP roles and responsibilities is a primary tenet of IPCP (Interprofessional Educational Collaborative [IPEC], 2011).

PURPOSE An interprofessional education (IPE) approach that combined book …

Discharge Instructions In The Emergency Department, Josh Jorgensen

Master of Science in Nursing Family Nurse Practitioner

No abstract provided.

Implementation And Program Evaluation Pilot Study: Educating Health Care Providers About Protecting Population Health During Climate Change., Christine Fasching Maphis

Doctors of Nursing Practice (DNP) Final Projects, 2020-current

Recommendations regarding the need to prepare nurses and other health care providers (HCPs) for the health impacts of climate change (CC) have grown ubiquitous in the literature. Timely, efficient and sustainable strategies by the health care industry are necessary. Failure to act is predicted to result in catastrophic and lethal population health consequences. A growing body of research identifies related knowledge gaps and supports HCP competencies and best practice interventions to mitigate adverse population health impacts of CC. A social ecological framework and the PRECEDE-PROCEED approach were employed to develop and evaluate a series of online webinars designed to equip …

Introducing A New 12 Week Education & Simulation Program To Optimize Financial Performance Of Nurse Managers, Melissa Hathcoat

Master's Projects and Capstones

Problem: Several nurse executives (Waxman 2018; Massarweh, 2017; Hunt, 2018) agree that in today's increasingly complex health care environment, the reality of decreasing reimbursements and increasing focus on value-based metrics reflects a crucial knowledge base for nurse managers. Therefore, it is imperative for unit-based nurse leaders to receive education and support to attain and maintain the requisite business competencies to achieve both fiscal and quality targets in their microsystem (McFarlan, 2020). In an integrated managed care delivery system in northern California, no education curriculum exists for nurse managers and assistant nurse managers that addresses gaps in financial knowledge, skills, and …

Increasing Nurse Knowledge Using A Formal Lung Transplant Education Program, Amy M. Stoddard, Donna Lynch-Smith, Kate Carlson Wrammert, Bobby Bellflower

Doctor of Nursing Practice Projects

This quality improvement project was completed to show that a formal lung transplant education course for nurses caring for lung transplant patients increased their knowledge. An eight-hour education course was developed by experts in the field of lung transplantation. A pretest was administered before the education course. A posttest was administered to determine if knowledge was improved. A three-month follow-up test was administered to determine knowledge retention. Based on the data analysis, nurse knowledge improved after formal education. Item analysis determined what areas of educational content need to be the focus of quarterly education. The education course was adopted as …