The Impact Of A Revised Discharge Process From Acute Care To Home Care On Hospital Utilization In Children With Single Ventricle Heart Disease, Brian M. Stahulak

Doctor of Nursing Practice Projects

Problem Description: It is estimated that approximately ~0.5%, or ~400,000, of all U.S. children, are identified as having complex chronic conditions (CCC) and account for as much as one-third, or ~$100 billion, of health care spending for all children. The goal of this quality improvement (QI) project was to identify the impact of a revised discharge process for children with Single Ventricle Heart Disease (SVHD) on hospital utilization rates and the parent’s perception of discharge readiness during the interstage period. The QI project was conducted in a 44-bed cardiac care unit within a 336-bed freestanding pediatric, academic medical center in …

Improving Adolescent Risk Behavior Screening: Implementation Of The I-Cloud Rapid Assessment Adolescent Preventive Screening (Raaps) Tool, Donna L. Rinker

Doctoral Projects

Adolescents are engaging in risky behaviors earlier contributing to 75% of adolescent morbidity and mortality with unintentional injuries listed as the most common cause of death among this population in the United States. It is reported that engaging in more than one risk behavior will lead to other risk behaviors resulting in the rise of indirect and direct costs in society today. The scholarly project was conducted in response to a midwestern Michigan primary care clinic need to improve the early identification and documentation of adolescent risk behaviors with evidence-based technology screening. The purpose of this quality improvement project was …

Kebtuhan Keluarga Saat Anak Dirawat Di Paediatric Intensive Care Unit (Picu): Sudut Pandang Keluarga Dan Perawat, Efa Apriyanti, Robiyatul Adawiyah

Jurnal Keperawatan Indonesia

Mutual understanding between nurses and patients’ family on family needs during their child’s stay in PICU. The literature review indicated that factors affecting parents’ needs in a PICU are interrelated and not easily, or appropriately, assessed by using an inventory. Therefore, the objective of this study was to explore the needs of parents whose child has been an inpatient in a PICU, not only from the parents, but also from the perspective of nurses. A mixed method approach has been employed in this study. Quantitative data has been collected by using modified version of Critical Care Family Need Inventory, while …

Model Kepemimpinan Servant Paling Dominan Berhubungan Dengan Kinerja, Lilis Rayatin, Enie Novieastari, Efy Afifah

Jurnal Keperawatan Indonesia

Head Nurse Leadership Model Can Improve The Performance of Nurses in Providing Nursing Care. The purpose of this study was to identify the correlation between the head nurse leadership model and the nurses’ performance. This study applied a cross-sectional method and involved 141 nurses at a Hospital. This study used the instruments was developed in the other studies. The results showed that the leadership model related to the performance was a servant, visionary, and transactional. The most dominant leadership model related to the performance was servant (p= 0.0001; α= 0.05,CI: 2.733 to 11.853; odd sratio: 5.691). Head nurses that were …

Pengalaman Perawat Kepala Ruangan Tentang Pelaksanaan Model Delegasi Keperawatan 'Relactor' (Mdk'r'), Vivi Yosafianti Pohan, Dewi Gayatri, Eni Hidayati

Jurnal Keperawatan Indonesia

The experience of head nurses in the implementation of the relactor nursing delegation model at roemani hospital. The head of the nursing room delegates nursing as one of the activities in carrying out the nursing management function. The purpose of this study was to explore the experiences of the head nurses about the implementation of Relactor Nursing Delegation Model (RNDM) and the constraints faced in implementing RNDM at Roemani Hospital Semarang. In this study, the qualitative research design was conducted with a descriptive phenomenological approach. Data collection was done by interviewing and using interview guidelines as an instrument of research …

Kepuasan Perawat Terhadap Kualitas Pendokumentasian Asuhan Keperawatan Berbasis Komputer, Amalia Amalia, Hema Malini, Sri Yulia

Jurnal Keperawatan Indonesia

Nursing satisfaction to quality of nursing of computer-based nursing. Nursing service demands make some hospitals apply documentation of nursing care using computerization. Patients is often unsatisfactory service so that the patient's time is wasted because the nurse is too long looking for patient history history data. This study aims to find out about nurse satisfaction with the quality of documenting computer-based nursing care. The design uses analytical descriptive research design. The study sample used total sampling, namely all nurses inpatients amounted to 81 respondents. The results showed that more than half of nurses (58%) expressed dissatisfaction, more than half of …

Apakah Pengetahuan Dan Sikap Menjadi Kontributor Utama Dalam Pembentukan Perilaku Penggunaan Pembalut Pada Remaja Putri Di Daerah Pedesaan Kabupaten Pangkep?, Rosmina Rosmina, Safrullah Amir, Badaruddin Badaruddin, Ahdy Syafar

Jurnal Keperawatan Indonesia

Are Knowledge and Attitude Being Main Contributors in Shaping Behavior of Pad Use among Female Adolescents in Rural Pangkep District? Inappropriate use of pads may lead to various reproductive health problems. Behavior of pad use is initiated by knowledge and attitude domain. Female adolescents are the most vulnerable group in which there is a tendency to develop negative stigma against menstruation so that impact on lack of exposure to the menstrual hygiene information. This study aims to determine association between knowledge and attitude in shaping behavior of pad use among female adolescents in rural. The type of research used was …

Management Of Diabetic Foot Ulcer: A Literature Review, Angger Anugerah Hadi Sulistyo

Jurnal Keperawatan Indonesia

This article explores the effective management of diabetic foot ulcer. A literature review was conducted by analyzing scholar papers including systematic review, clinical and a randomized control trial published between 2000 to 2016 in the English language. Data were searched through CINAHL, PubMed, Proquest and Google Scholar. The keywords used were diabetic foot ulcer or diabetic foot ulcers or diabetic foot or neuropathic foot ulcer combined with assessment and treatment. There were two kinds of assessment used in diabetic foot ulcer which are risk assessment and wound assessment. The treatments that frequently used in diabetic foot ulcer are systemic treatment …

The Effect Of Cognitibe Behavioral Therapy On Heads Of Families' Smoking Behavior And Anxiety, Giur Hargiana, Budi Anna Keliat, Mustikasari Mustikasari

Jurnal Keperawatan Indonesia

Indonesia is the fifth largest producer of cigarettes and has the third highest number of smokers in the world. This has potential biological, psychological, and social consequences. The aims of this study were to investigate the effects of Cognitive Behavioral Therapy (CBT) on smoking behavior and anxiety. Quasi-experimental non-equivalent control group pretest-posttest design was used. A total of 80 respondents were selected at random from 10 districts in proportion to the number of smokers in each district. Respondents completed questionnaires and received a course of CBT conducted over five meetings. There was a significant decrease smoking behavior and anxiety (p< 0.05) in the intervention group. Smoking behavior, nicotine dependence, and anxiety in male heads of family who smoke and who received CBT were significantly lower than in control group. The decreases in smoking behavior and anxiety were significantly correlated (p< 0.05). The study reveals, CBT can effectively change smoking habits as well as reduce anxiety.

Pengalaman Ibu Merawat Anak Usia Sekolah Dengan Autis, Siti Chodidjah, Alfani Prima Kusumasari

Jurnal Keperawatan Indonesia

The Experience of Mother Caring for School Age Children with Autism. Autism is a type of developmental disorder characterized by social interaction impairment, communication difficulties, and cognitive and behavior problems. This condition causes rearing child with autism present with profound challenges. This research aimed to explore the experience of mothers of school age children with autism. The data was obtained from 8 school aged children, chosen with snow balling sampling technique and was analized with Collaizi’s method. Themes found mother’s stress which included: experiencing emotional stress, the need to control child’s behaviour, worried about child’s problem with siblings, child’s future …

Efektivitas Lembar Pemantauan Insulin Terintegrasi Untuk Mengurangi Kejadian Hipoglikemia Pada Pasien Diabetes Mellitus Tipe 2, Dikha Ayu Kurnia, Debie Dahlia

Jurnal Keperawatan Indonesia

The Effectiveness of the Integrated Insulin Monitoring Sheets to Decrease Hypoglycemia Incidence on the Diabetes Mellitus Type 2 Patients. Hypoglycemia is one of the side effects of insulin therapy administration for Type 2 Diabetes Mellitus patients. The study aimed to develop the integrated insulin monitoring sheets and examine its effectiveness in identifying and recording the incidence of hypoglycemia who received analog insulin therapies. The results showed that the integrated insulin monitoring sheet recorded the significantly higher incidence of hypoglycemia during the morning (t (18)= 2.9732; p= 0.0059) and evening (t (18)= 3.0956; p= 0.0043) meals after the administration of rapid-acting …

Traumatic Brain Injuries: A Telehealth Alternative For Veterans, Jessica Dickman

Dissertations

Problem: Traumatic Brain Injuries (TBI) are known as the signature wound of veterans serving in Operation Enduring Freedom (OEF) and the Operation Iraqi Freedom (OIF). After the initial TBI diagnosis, outpatient TBI follow-up rates are reported to be approximately 9% less in the Veteran Healthcare Administration (VA) system when compared to the private sector. The purpose of this quality initiative was to decrease the rate of missed appointments among OEF/OIF veterans using a telehealth alternative.

Methods: The Plan-Do-Study-Act (PDSA) method was used to implement a consistent process for the telehealth visit option. A retrospective medical record review over the same …

Efficacy Of Smart Infusion Pumps From A Nursing Perspective, Kassi B. Zaborowski

Applied Research Projects

In today’s healthcare, intravenous (IV) therapy-related errors have become rampant and are responsible for a substantial portion of hospital injuries and deaths. In the last decade, however, since the development and implementation of “smart” IV pumps, a significant number of these IV medication errors have allegedly been reduced. The purpose of this paper is to discuss research surrounding an evaluation of the efficacy of smart IV pumps from a nursing perspective.

Letter To The Editor: Patient And Staff Experiences With Inpatient Video Monitoring, Eric Shoemaker Md, Aysha Athar Do, Jonathon Brewis Md, Daniel Angell Do, Rana Zaban Do

Clinical Research in Practice: The Journal of Team Hippocrates

We describe the patient experience with remote video monitoring on a general practice inpatient floor in the hospital. We raise questions about unexplored areas relevant to this practice.

Patient Acceptance Of Remote Scribing Powered By Google Glass In Outpatient Dermatology: Cross-Sectional Study, Sandra Odenheimer, Deepika Goyal, Veena Jones, Ruth Rosenblum, Lam Ho, Albert Chan

Faculty Publications

Background: The ubiquitous use of electronic health records (EHRs) during medical office visits using a computer monitor and keyboard can be distracting and can disrupt patient-health care provider (HCP) nonverbal eye contact cues, which are integral to effective communication. Provider use of a remote medical scribe with face-mounted technology (FMT), such as Google Glass, may preserve patient-HCP communication dynamics in health care settings by allowing providers to maintain direct eye contact with their patients while still having access to the patient’s relevant EHR information. The medical scribe is able to chart patient encounters in real-time working in an offsite location, …

Interlace: Designing An Inclusionary Architecture For Alzheimer's Sufferers, Alexander Fashinasi

Bachelor of Architecture Theses - 5th Year

This thesis intends to address the increasing challenges the Alzheimer’s disease poses for our growing American population. The research begins by looking at the brain as a combination of components which make up the individual. Following this, the research compiles information on the Alzheimer’s disease and its symptoms, followed by an analysis of the built environments effects on the condition.

Through analysis of precedent cases and the combined Alzheimer’s research, I chose to propose an experimental community in which those with Alzheimer’s can live a life with greater autonomy while simultaneously slowing the progression of the disease. I place this …

An Exploration Of Patients’ Experience Of Nurses’ Use Of Point-Of-Care Information Technology In Acute Care, Leigh Mcnicol, Anastasia F. Hutchinson, Beverley Wood, Mari Botti, Bernice Redley

Patient Experience Journal

The rapid introduction of technology into acute healthcare settings, specifically the presence of point-of-care health information technology at patients’ bedsides, is expected to impact patients’ healthcare experience by altering nurse-patient interactions. This research was a multi-method naturalistic pilot study designed to explore patients’ perception of their interactions with nurses using bedside point-of-care health information technology in acute care. Data were collected using observation, interviews and surveys. Twenty-four participants were purposefully recruited from medical and surgical wards, to capture variability in their self-reported confidence with information technology; 29% were not confident, 38% were somewhat confident and 33% were completely confident with …

Exploring Standardized Nursing Languages: Moving Toward A Faith Community Nursing Intervention, Deborah J. Ziebarth

International Journal of Faith Community Nursing

There are many benefits when a specialty is able to translate nursing interventions into a standardized language. One of the benefits is that nurses from different specialties, geographic areas, or countries are able to understand terminologies and concepts. The aim of this paper is to examine three standardized nursing languages and their use in describing faith community nursing through an integrative literature review.

General descriptions, recognitions, populations, translations, reliability/validation/utility, and components of the Omaha System, the Nursing Intervention Classification, and the International Classification for Nursing Practice were presented. The author did not find literature to support the use of one …

Shelburne And Clark’S Harbour Quit Smoking: A Community-Based Smoking Cessation Initiative Process Evaluation, Georgeann Lois Macdonald Mn: Dnp, Anp, Rn, Accn, Np

Doctor of Nursing Practice Projects

Background: The prevalence of Canadian smokers is 14.6%. Clark’s Harbour and Shelburne’s rate of smoking increased from 15.6% in 2012 to 19.4% in 2015 (Propel Centre for Population Health Impact, 2015). It was imperative that innovative ways be found to reduce the smoking prevalence.

Objectives: 1) Identify a difference in the participants’ Stages of Change before and after completing the smoking cessation program. 2) Determine whether the participants quit smoking 3) Assess whether there was satisfaction with the program.

Methods: In this one group pre and post-test design, the participants completed a series of pre and post program questionnaires. The …

The Impact Of Digital Education Delivery On Postoperative Pain Outcomes, Amber Stitz, Dnp, Ms, Aprn, Acns-Bc, Ocns-C

Doctor of Nursing Practice Projects

Background. Advances in technology and communication tools offer new, innovative methodologies for delivering information to patients. Research is needed to understand the clinical effectiveness of different education delivery methods on outcomes and comprehension.

Purpose. Compare the effects of digital education with conventional, written and verbal instructions on patients’ pain outcomes, knowledge attainment, and treatment participation.

Methods. A quasi-experimental design evaluated outcomes in 133 patients undergoing major hip (n=73) and knee (n=60) arthroplasty who received point-of-care pain education delivered via a dynamic mobile-computing (iPad) platform (n=65) or by conventional education (n=68). The significance level was set at 0.05. Person’s r and …

Effects Of An Online Diabetes Self-Management Educational Class On Perceived Self-Efficacy In Patients With Type 2 Diabetes Mellitus, Samantha L. Sugarman, Dnp, Ba, Bsn, Msn, Fnp-C

Doctor of Nursing Practice Projects

Background: Diabetes is a complex, chronic disease that, without adequate glycemic control, may result in avoidable complications. Without proper diabetes self-management education, achieving good glycemic control is difficult. Furthermore, lacking self-efficacy to perform such tasks may prevent even the most educated patients from achieving good glycemic control. Studies have shown that live diabetes education has improved self-efficacy in patients with diabetes, but few look at the effects of a lecture-style educational format in an online approach.

Objectives: The purpose of this study is to determine if an online, lecture-style diabetes self-management educational class will improve self-efficacy among patients with type …

Kualitas Hidup Pasien Skizofrenia Dipersepsikan Melalui Stigma Diri, Ice Yulia Wardani, Fajar Apriliana Dewi

Jurnal Keperawatan Indonesia

Quality of Life Schizophrenia Patients Treated Through Self Stigma. Schizophrenia is a syndrome that could induce seriously psychology problems. Self stigma can induce because of consequence of negative stereotype in patients with Schizophrenia with the result that diminished ability to work, social function, self-esteem and hope. Quality of life in patients with Schizophrenia related to disability because of impaired cognitive and perception in their life. This study was conducted to correlation between self stigma with quality of life in patients Schizophrenia. Methodology use descriptive correlative with cross sectional study, used 92 patients with a diagnosis of Schizophrenia and used consecutive …

Regulasi Diri Pada Penyakit Kronis - Systematic Lupus Erythematosus: Kajian Literatur, Atikah Fatmawati

Jurnal Keperawatan Indonesia

Self Regulation in Chronic Illness -Systemic Lupus Erythematosus: Literature Review. Systemic Lupus Erythematosus (SLE) is one of the diseases that associated with immune system. SLE is still classified as a disease that lay in Indonesia. Many factors that cause this disease are not detected, one of which has not fulfilled the needs of patients and family of information, education, and support that is associated with SLE. This is necessary to enable the patient in self-management related illness. Articles were collected through electronic databases CINAHL, Science Direct, and ProQuest using keywords self-management, systemic lupus erythematosus, fatigue, and depression. The inclusion criteria …

Facilitated Tucking Effective To Pain Relief On The Preterm Infants In Perinatal Unit In Jakarta, Eva Oktaviani, Yeni Rustina, Defi Efendi

Jurnal Keperawatan Indonesia

The majority of preterm infants require a long period of hospitalization in intensive care units ,which often necessitates those undergoing painful procedures, including blood collection. This study aims to identify the effectiveness of facilitated tucking on pain responses, including physiological parameters and the duration of crying during blood collection. The study design is quasi-experimental, employing a non equivalent control group pretest-posttest approach. The study involves40 infants, selected by the consecutive sampling technique and assigned into two groups: an intervention group(n=20), which received facilitated tucking during blood collection, and a control group (n=20), which did not receive facilitated tucking. The General …

Penerapan Mobile Video Efektif Meningkatkan Pengetahuan Dan Sikap Ibu Dalam Menurunkan Lama Diare Balita Di Wilayah Puskesmas Kedaton Bandar Lampung, Yuli Lestari, Nani Nurhaeni, Happy Hayati

Jurnal Keperawatan Indonesia

Application of Mobile Video Effective to Increase the Knowledge and Attitude in Managing Diarrhea of the Mothers and to Reduce Diarrhea Duration of Under Five Children. Proper handling of diarrhea and education of diarrhea management in mothers can decrease morbidity and mortality of children under five due to diarrhea. This study aimed to examine the effectiveness of video education about management of diarrhea toward knowledge and attitude of the mother, and duration diarrhea of under five children. The design applied a pre and post-test with the control group. The total sample was 71 respondents divided to control group and interventions …

Refleksi Otot Progresif Menurunkan Stres Keluarga Yang Merawat Pasien Gangguan Jiwa, Livana Ph, Novy Helena Catharina Daulima, Mustikasari Mustikasari

Jurnal Keperawatan Indonesia

Effect of progressive muscle relaxation to the level of family stress in caring for clients of mental disorders in Psiciatry Polyclinic Regional General Hospital Kendal. Mental disorders are not contagious disease that is public health problem, both in the world and in Indonesia. In kendal the number of mental disorders increase so increasing the level of family stress. The purpose of this study to identify the effect of progressive muscle relaxation on the level of family stress in caring for clients of mental disorders in Psiciatry Polyclinic Regional General Hospital Kendal. Quasi experiments research design pre-post test with control group …

Terapi Kelompok Asertif Efektif Meningkatkan Kemampuan Asertif Dan Resiliensi Pada Remaja Di Smpn Padangpanjang, Rosa Fitri Amalia, Budi Anna Keliat

Jurnal Keperawatan Indonesia

The Effect of Assertive Group Therapy on Assertive and Resilience Ability of Adolescent in Padangpanjang Junior High School. Adolescent’s lack of ability in assertive behaviour causes deviant behaviour e.g. unable to express wishes, violate other people right and ask forcefully. One solution to overcome this is that assertive ability and resilience need to be improved through assertive group therapy. This study aims to find the effect of assertive group therapy on assertive ability and resilience of adolescents. Quasi Experimental Pre and Post-test with control group was used. Intervention has been performed to 42 participants while 42 others were as a …

Navigating Through The Challenges Of Healthcare Simulated Education, Ryan Chan, Adam Morse

Western Research Forum

Background: The use of simulation as an adjunct tool for student learning and development in addition to traditional didactic teaching modalities has been traditionally favored by health care education. However, evidence suggest that there are limitations to the current use of simulation and thoughtful considerations must be made to leverage the current use of simulation to promote further learning strategies including the use of haptic technology. The aim of this research is to examine the strengths and limitations of haptic technology and to identify opportunities for future research relating to the use and adaptation of haptic technology as part of …

Berduka Pada Perempuan Hiv Positif, Rizka Ristriyani, Imami Nur Rachmawati, Yati Afiyanti

Jurnal Keperawatan Indonesia

The Grieving Process of The HIV-Positive Women. HIV as a chronic disease can change the quality of life of sufferers. This study aimed to identify the intensity of grief response in HIV-positive women. The study was a survey which applied a consecutive sampling to involve 235 HIV positive women. The women were at a Community Health Center in Jakarta, Indonesia. The result showed that a mean value of denial was 2.25 (SD 0.75) in the range of 2.18 to 2.38; a mean value of resistance was 1.67 (SD 0.89) in the range of 1.84–2.07; the middle value of sorrow was …

Telehealth Education And Training For School Nurses, Billie C. Walker

Nursing Theses and Capstone Projects

Telehealth, as a healthcare delivery model, is quickly integrating into various healthcare fields. School health is one area of nursing that is preparing for this integration. This study explored through literature review, the previous studies conducted on this type of service. Evidence found more research was needed on this topic. The purpose of this study was to demonstrate an increase in school nurse’s confidence and commitment level to implementation of telehealth. A purposeful sample was used in the selection of participants for this study. This project was conducted in a small rural county school system located in the North West …