Nursing Commons^™

Block Charting For Hemodynamic Unstable Patients, Tasha Walker

Student Scholarly Projects

Practice Problem: The intensive care unit poses many challenges for nurses. Nurses are placed in a position to decide on dosing and administration, which could conflict with their scope of practice, and documentation needs to coincide with orders. The accuracy of nursing documentation plays a vital role in measuring the outcomes, and failure to document accurately could result in noncompliance with scope of practice or a medication error.

PICOT: For intensive care nurses (P), how does block charting of vasoactive medications (I) compared to current documentation practices (C) affect the accuracy of nurses' documentation (O) within 4 weeks?

Evidence: Nursing …

Dnp Final Report: Preventing Critical Care Nurse Burnout: An Evidence Based Approach To Raising Awareness, Trendalyn S. King

DNP Final Reports

Burnout has affected nurses nationally and globally for decades. Burnout in nurses is characterized by emotional exhaustion, depersonalization, and lack of feelings of personal accomplishment. Consequences of burnout include physical and emotional suffering in nurses, poorer patient outcomes, and lost revenue and increased cost in healthcare organizations. Burnout is prevalent in many healthcare settings, but 81% of critical care nurses have reported severe symptoms of burnout, Because of the high risk of burnout in critical care nurses, raising awareness about burnout and its prevention in those nurses was imperative. The following PICOT question guided the search for evidence to support …

Using Debriefs To Reduce Nursing Burnout In Nurses Caring For The Oncology Population, Courtney M. Wilkes

MSN Capstone Projects

Nurses are a critical part of healthcare and make up the largest section of healthcare professionals in the United States. According to the World Health Organization (2020), there are approximately 29 million nurses and midwives globally. The increasing need for nurses is not a new discovery. According to the American Association of College of Nurses, more registered nursing jobs will be available through 2022 than any other profession in the United States. The number of nurses leaving the workforce each year has been growing steadily from around 40,000 in 2010 to nearly 80,000 in 2020. Nursing burnout is a known …

Assessment Of The Cleaning And Disinfection Practices Among Healthcare Workers In Intensive Care Units (Icus) Post-Patient Discharge, Tincy Varghese Ms, Radhika R. R Pai, Roseminu Varghese Mrs

Manipal Journal of Nursing and Health Sciences

Introduction: Patients being admitted to the intensive care unit (ICU) pose a risk of developing common healthcare acquired infections. Healthcare workers (HCWs) must be well-equipped and knowledgeable to deliver effective cleaning and disinfection protocols to reduce the chances of hospital-acquired infections. Objective: This study aimed to assess the knowledge and practice of cleaning and disinfection after the discharge/death of patients among the HCWs in selected ICUs. Methods: A cross-sectional descriptive survey was conducted in selected ICUs of a tertiary care hospital. A purposive sampling technique was used to select the participants which included 106 staff nurses and 47 housekeeping staff …

The Effectiveness Of A Webinar To Improve Icu Nurses’ Competency In Palliative Care, Justine Kirschner

The Eleanor Mann School of Nursing Student Works

Patients with serious illness lack access to quality patient-centered care despite the growth in palliative care awareness and services. Palliative care is an interdisciplinary care system intended to optimize the quality of life of patients with serious, life-limiting illness and their families. Patients admitted to the intensive care unit (ICU) are facing critical illnesses and can benefit from palliative care integration into their care. This DNP quality improvement (QI) project, grounded in Benner’s Novice to Expert nursing theory, aimed to increase ICU nurse competency in palliative care from novice to competent through a continuing education webinar. The study analyzed nurses’ …

Countering Moral Distress In Ecmo Nurses With Case-Review Debriefings, Sherry D. Griggs

DNP Projects

Abstract

Background: Moral Distress occurs when nurses know the ethically correct action to take, but they are restrained from taking it. It is especially prevalent in nurses caring for critically ill patients, such as those on extra-corporeal membrane oxygenation (ECMO). Effectively addressing moral distress is crucial to the growth and health of the nursing profession, which is the cornerstone of quality and safety in healthcare.

Purpose: The purpose of this project was to evaluate the effectiveness of case-review debriefings on moral distress of ECMO nurses.

Conceptual Framework: Analysis of Moral Distress Process was utilized. This framework addresses moral distress …

Workplace Violence Interventions: A Benchmark Project, Madison Orwosky

MSN Capstone Projects

Workplace violence incidence rates are increasing in the medical field. The staff in the emergency department (ED) is especially prone to these workplace violence events due to patients arriving in such unpredictable states. Alarmingly, most medical staff members report experiencing some type of workplace violence, whether that is verbal, physical, or sexual violence. The former director of the Parkland ED sent out a survey to the ED staff regarding workplace violence. Out of 145 participants that completed this survey, 121 participants reported that they had personally experienced a workplace violence event. This survey data illuminates that a change is warranted …

Nursing Fatigue In Intensive Care Units: A Clinical Inquiry, Elizabeth A. Gambill

The Eleanor Mann School of Nursing Student Works

Registered Nurses (RN) working in Intensive Care Units (ICU) report increased physical and emotional fatigue from a combination of various environmental factors. Fatigue is suspected as contributing to low retention rates of ICU RNs. A meeting was arranged with an ICU nursing director in an acute care facility in Northern Arkansas revealing the need for a clinical inquiry into the prevalence of fatigue. A review of literature further analyzed the impact of fatigue, management practices, safety culture in the workplace, the Occupational Fatigue/Exhaustion and Recovery (OFER) scale, the Copenhagen Burnout Inventory (CBI), and the Moral Distress Scale- Revised (MDS-R). The …

Generating Evidence Of Critical Care Nurses' Perceptions, Knowledge, Beliefs, And Use Of Music Therapy, Aromatherapy, And Guided Imagery, Annie Heiderscheit, Shawna Vernisie, Wendy L. Magee, Helen Shoemark

Faculty Authored Articles

No abstract provided.

Are Healthcare Workers In The Hospital Ready For Disasters In The Community?, Nicholas Hromek

Student Research Poster Presentations 2020

This poster presents the idea that healthcare workers in hospitals are not equipped for disasters in the community. During such a vulnerable and relevant time such as the COVID-19 pandemic, this poster focuses on the pitfalls of the healthcare and hospital system.

Health Priorities, Current Lifestyle Behaviors, And Barriers To A Healthy Lifestyle Among Emergency Department Nurses, Shannon C. White

Theses and Dissertations--Kinesiology and Health Promotion

Background: Emergency nurses are tasked with managing the hectic, unpredictable, and constantly changing environment of an ED. In addition, emergency nurses have been shown to have high levels of stress, irregular meal schedules, rotating shift work, long hours, and a lack of physical activity. Furthermore, research has suggested that nurses are at an increased risk for non-communicable diseases, such as diabetes, hypertension, and coronary heart disease (Phiri, et al., 2014), in addition to a high prevalence of obesity (Kyle, et al., 2016).

Methodology: In this study, 23 emergency nurses completed a 43-item survey regarding current behaviors and constructs of …

Intensive Care To Intermediate Care Bridge Program, Natasha Bartlett, Sally Langerak, Lindsey Lucas, Jonathan Archibald, Tayla Robbins, Miranda Thompson, Patrice Tetu, Calla Hastings, Megan Garland, Suneela Nayak, Stephen Tyzik, Ruth Hanselman, Amy Sparks

Operations Transformation

To deliver the highest quality of care across the continuum, a large academic tertiary medical center envisioned a project that would provide an internal source of cross trained nurses for their medical intensive care unit (SCU2) and their medical intermediate care unit (R4/IMC/AVU). The hope for this program was to improve communication and collaboration between nurses and enhance the care that they provide to patients and their families.

A highly qualified team of nurses was established to create a performance improvement project. The overall goal of this endeavor was to build a more collaborative relationship between the units and ultimately …

The Effect Of A Simulation-Based Education Program On Nihss Accuracy And Inter-Rater Reliability Among Nursing Staff In The Neurological/Neurosurgical Intensive Care Unit, Amanda Novak

DNP Projects

PURPOSE: The purpose of this Quasi-experimental study was to examine the effect of a simulation-based educational NIHSS workshop on nursing accuracy and inter-rater reliability upon use of the National Institutes of Health Stroke Scale (NIHSS).

METHODS: This study was conducted in the Neurological/Neurosurgical Intensive Care Unit (ICU) at Baptist Health, a comprehensive stroke center located in Lexington, KY. The sample included 26 eligible nurses employed in the aforesaid unit. Nurses completed the NIHSS on a patient actor in a simulated scenario (this session was videotaped), a one-on-one debriefing with review of the videotape was conducted afterward, and then the nurse …

Burnout Syndrome In Critical Care Nurses, Katie Burke, Kelly Claridge, Mallory Bidlen

Williams Honors College, Honors Research Projects

Burnout syndrome among nurses, especially within the critical care setting, has been a persistent and increasingly prevalent problem in the healthcare field. This systematic review aims to explore the common causes of burnout among nurses associated with working in a critical care setting. Twenty-five peer-reviewed articles, published between the years of 2000 and 2018, were selected for analysis and synthesis using the databases PubMed and CINAHL. The group included research studies conducted in the United States, Spain, France, China and Iran with sample sizes ranging from 42 to 2,392 intensive care unit (ICU) nurses. The articles included in this review …

Strategies To Improve Resource Availability For New Graduate Nurses In A Critical Care Setting, Natasha Stankiewicz, Jonathan Archibald, Shawn Taylor, Deborah Jackson, Bonnie Boivin, Mark Parker, Suneela Nayak, Stephen Tyzik, Ruth Hanselman, Amy Sparks

Operations Transformation

STRATEGIES TO IMPROVE RESOURCE AVAILABILITY FOR NEW GRADUATE NURSES

Due to changes in the employment arena, health care organizations are hiring new graduate RNs into acute care. At an academic tertiary medical center, new hires typically are assigned into a night shift, which traditionally has less resource availability.

The results of a recent AHRQ hospital survey on patient culture safety demonstrated that new graduates were feeling unsupported and that patient safety could be potentially compromised. A team of caregivers developed several goals to provide increased support, encouragement and education to night shift new hires. Improvement in overall patient care and …

Knowledge And Attitudes Of Orthopedic Nurses Regarding Pain Management, Matthew Neumann

Doctoral Dissertations and Scholarly Projects

Nurses are at the forefront in the care of patient pain management; however, many nurses do not possess the knowledge, skills, and attitudes required for best pain management outcomes. Adequate pain management education is often infrequent in academic settings and in post-graduate health care environments. That shortcoming suggests a need to improve pain management education as advocated by The Joint Commission and U.S. Department of Health and Human Services. The purpose of this study is to measure 20 nurses’ knowledge and attitudes regarding pain and pain management while working in an orthopedic setting. It was an evidence-based practice project utilizing …

Critical Care Nurses' Perceptions Of End-Of-Life Care Obstacles: Comparative 17-Year Data, Renea L. Beckstrand, Nicole Lamoreaux, Karlen E. Luthy, Janelle L. B. Macintosh

Faculty Publications

Background: Nurses working in intensive care units (ICUs) frequently care for patients and their families at the end of life (EOL). Providing high-quality EOL care is important for both patients and families, yet ICU nurses face many obstacles that hinder EOL care. Researchers have identified various ICU nurse-perceived obstacles, but no studies have been found addressing the progress that has been made for the last 17 years.

Objective: The aims of this study were to determine the most common and current obstacles in EOL care as perceived by ICU nurses and then to evaluate whether meaningful changes have occurred since …

A Biobehavioral Approach To Examining Moral Distress In Critical Care Nurses, Marian Altman

Theses and Dissertations

Moral distress is a complex and challenging problem that may cause negative biopsycohosical and professional outcomes for critical care nurses. The purpose of this work was to explore the relationship between the ethical climate of the work environment and moral distress as experienced by critical care nurses; and to explore relationships among mediators of stress (nurse characteristics e.g. education (BSN, nonBSN), years certified as a critical care nurse, and tolerance of ambiguity) and their relationship with perceived stress, moral distress, health status and salivary alpha amylase. A descriptive correlational cross-sectional design was used for this pilot study of 100 critical …

Factors That Most Influence Job Satisfaction Among Cardiac Nurses In An Acute Care Setting, Lashonda Leigh Bare

Theses, Dissertations and Capstones

The purpose of this study is to determine cardiac nurses’ level of job satisfaction through an examination of the relationship between Herzberg’s motivation and hygiene factors and job satisfaction. The study used a non-experimental, quantitative design with a theoretical framework based on Herzberg’s Motivation Versus Hygiene theory. The independent variables were motivation and hygiene factors and the dependent variable was nurse job satisfaction. The Work Quality Index and a demographic survey were given to approximately 32 registered nurses at a medical center in southwestern, West Virginia. The data was collected over three weeks and was analyzed using descriptive and correlational …

Head Nurse Leadership Behavior And Head Nurse And Staff Nurse Job Satisfaction And Burnout In The Intensive Care Setting, Dianne Vick Benton

Nursing Theses & Dissertations

The purpose of this study was to examine the relationship between head nurse (HN) leadership behavior and head nurse and staff nurse (SN) job satisfaction and burnout in the Intensive Care Unit (ICU). The two target populations for this study were: ICU HNs and ICU SNs. A sample of 10 HNs and 65 SNs completed four questionnaires. This study was conducted in eight community hospitals ranging in bed size between 150 to 700. Four research questions were tested. Utilizing t-tests. a significant difference was found between ICU HNs' and SNs' perceptions of the HN leader behavior of high task - …

The Influence Of Nursing Experience And Education On Nurses Inferences Of Patients' Suffering, Patricia A. Coots

Nursing Theses & Dissertations

A primary dimension of nursing is caring tor patients who suffer. This study examined the inferences made about patients' suffering oy 65 registered nurses employed in acute care health facilities. Utilizing The standard Measure of Inferences of Suffering Questionnaire. the purpose of the study was to explore the influence of nursing education and experience on the degree of pain and psychological distress inferred by the nurses. Analysis of Covariance was used to test for group differences on the basis of nursing education when number of months of nursing experience was controlled. Although nursing education did not influence nurses' inferences of …

Perceived Job Stress In Critical Care Nursing In A Military Setting, Jeannette Theriault

Nursing Theses & Dissertations

The purposes of this study. were: to explore job-related perceptions of stress in a group of military critical care nurses; and to determine if differences in anxiety and stress levels existed between nurses working in coronary care (CCCU) and medical/surgical intensive care (ICU) settings using the State/Trait Anxiety Inventory and the Questionnaire of Stressful Factors in Intensive Care. A free response question and a force-response checklist were also used to identify and rank work-related stressors. The sample of Navy nurses (n=105) consisted of 39 CCU nurses, 62 medical/surgical ICU nurses and 4 critical care supervisors. The results of the mailed …

Human Need Fulfillment Alteration In The Client With Uterine Cancer: The Registered Nurses' Perception Versus The Clients' Perception, Linda Lane Lilley

Nursing Theses & Dissertations

This study was a comparison of the similarities and differences between the registered nurses' perception and clients' perception of human need fulfillment alterations in the client with uterine cancer. The effect of level of educational preparation and number of years work experience on the nurses' perception was also analyzed. The participants were 15 registered nurses and 15 clients who had uterine cancer and were admitted to two acute care hospitals in Tidewater. Registered nurses were asked to complete the tool entitled Human Needs Assessment Scale and rate the 35 human needs in relation to the perceived importance for the client. …