Nursing Commons^™

Resilience, Social Support, And Quality Of Life Among People Living With Hiv/Aids, Firman Firman, Sri Yona, Agung Waluyo

Jurnal Keperawatan Indonesia

One of the most common challenges faced by people living with human immunodeficiency virus/acquired immune deficiency syndrome (HIV/AIDS) is a low quality of life, particularly during the coronavirus disease 2019 (COVID-19) pandemic, as they are considered a vulnerable group. This study aimed to examine the relationship between resilience, social support, and quality of life among people living with HIV/AIDS during the pandemic. Conducted as a cross- sectional study, it involved 433 respondents. Data collection was carried out using a questionnaire, with Connor–Davidson Resilience Scale-25 (CD-RISC-25), Multidimensional Scale of Perceived Social Support (MSPSS), and World Health Organization Quality of Life–HIV Brief …

Evaluation Of The Use Of Structural Gamification-Based Applications By Users In Makassar City, Indonesia, Andi Fitria Idham, Ade Putrawan, Firdi Athaya, Fitrah Ramadhan, Arnis Puspitha Rasyid

Jurnal Keperawatan Indonesia

Structural gamification is a trending concept in today’s application landscape that leverages various elements and features from game design for nongame contexts. This concept has become increasingly common in various health applications today, such as Lose It!, Fat Secret, and Google Fit. This study aims to evaluate respondents’ use of structural gamification- based health applications. The research method employed in this study is quantitative and descriptive, involving data collection through questionnaires administered from July 2023 to September 2023 in Makassar City, Indonesia. The research results indicate that 90% of the respondents appreciated the ease of access and attractive interface of …

Using Ehr Reminders To Control Hypertension, Umme Kulsoom Ghous, Logan Mcculley, Danielle C. Hall, Linda Katherine Lambert, Laura Reed Dnp, Aprn, Fnp-Bc, Cne

Doctor of Nursing Practice Projects

Purpose/Background

Hypertension is a significant risk factor for cardiovascular and kidney diseases but is often under-diagnosed and poorly managed. Electronic Health Records (EHR) can help by providing automated reminders to recheck elevated blood pressure (BP) readings, ensuring accurate measurements, and guiding clinical interventions. This study aims to determine if EHR-based reminders improve BP control in adult patients aged 21 and older, focusing on hypertension diagnosis accuracy and timely management.

Methods

After a literature review, the study took place in a primary care clinic and only included patients with an existing diagnosis of hypertension. Thirty patients were included in the study. …

Optimizing Advance Care Planning: Leveraging An Electronic Medical Record Prompt To Impact Advance Directive Documentation, Annette L. Meares

Doctor of Nursing Practice Scholarly Projects

Abstract

Background: Advance Directives (ADs) support patient-centered care by documenting preferences for future medical treatment. While the Centers for Medicare & Medicaid Services (CMS) incentivizes AD documentation through billing codes, national adoption remains low.

Local Problem: A rural Northern Illinois primary care practice had electronic referral capabilities for ACP; however, referrals remained low and inconsistent during Medicare Annual Wellness Visits (AWVs), limiting opportunities for AD completion.

Methods: This quality improvement project targeted Medicare AWV patients without ADs documented in the electronic medical record (EMR). During a 10-week pre-intervention period, baseline data were collected. In the subsequent 10-week intervention phase, an …

Developing An Educational Session And Epic-Based Tools To Help Nurses Provide Culturally Sensitive Care To Their Muslim Patients, Laila Albutmeh

Nursing | Student Research Posters

Islam is currently the fastest growing religion in the world. The chances of nurses getting Muslim patients are on a rise. Islam is not just a religion but a way of life that shapes/guides every aspect of human experience. With religion being such an important part in a Muslim's life, they need nurses to be able to provide them culturally sensitive care. Nurses can do this if they are equipped with the right knowledge and tools. Implementing educational resources on how to provide culturally sensitive care to Muslim patients for nurses to use will help them be able to provide …

Evaluating The Impact Of Epic Integration And Dual Registered Nurse Check-Off On Pressure Injury Prevention Workflow Compliance, Darlene Y. Olowu

Doctor of Nursing Practice Final Project Abstract

Background

Hospital-acquired pressure injuries (HAPIs), particularly sacral and heel injuries, remain a persistent challenge in critical care settings, leading to increased morbidity, mortality, and healthcare costs.

Purpose

This quality improvement project aimed to improve compliance with a pressure injury prevention (PIP) workflow by integrating a dual RN check-off system within EPIC, thereby reducing sacral and heel pressure injuries. The project sought to enhance accountability, standardize documentation, and optimize compliance with evidence-based PIP measures.

Methodology

A Plan-Do-Study-Act (PDSA) framework guided the project implementation in an oncologic intensive care unit (ICU). Key interventions included: (1) EPIC integration of a dual RN check-off …

Closing Racial And Ethnic Disparity Gaps In Pediatric Asthma Follow Up Care - A Quality Improvement Initiative, Ayodele Ayeko

Graduate Theses, Dissertations, and Problem Reports (ETD)

ABSTRACT

Closing racial and ethnic disparity gaps in pediatric asthma follow up care - A quality improvement initiative

Ayodele Ayeko

Introduction/Background: Inadequate management of asthma significantly contributes to poor asthma control, poor quality of life (QOL), and high hospitalization rates among pediatric patients. The Global Initiative for Asthma (GINA) guidelines offer recommendations designed to enhance asthma control and improve the quality of life for those affected (2015), including recommendations for close follow up care. At WVU Medicine Children’s Hospital (WVUMCH), insufficient asthma control has been associated with lower clinic follow-up rates and an increase in hospitalization. Although educational initiatives …

Exploring The Reassessment Of Palliative Home Care Clients: A Mixed Methods Study, Maya Canham

Theses and Dissertations (Comprehensive)

Introduction: The timely reassessment of clients receiving palliative home care (HC) is critical for supporting clinicians with care planning and service delivery. However, there is little information on the frequency of reassessments and factors driving reassessment in palliative HC clients.

Objectives: The objectives of this study were to: (i) determine the proportion of palliative HC clients reassessed with the interRAI Palliative Care (interRAI PC) instrument, (ii) calculate the average interRAI PC reassessment interval, (iii) identify the key factors driving interRAI PC reassessment at various intervals, and (iv) explore the factors that influence palliative HC clinicians to reassess their clients in …

Implementing The Brief Confusion Assessment Method (Bcam) Delirium Screening Tool In An Emergency Department, Carolina Van Dalen

Master's Projects and Capstones

Problem: Persons with delirium have an elevated risk of falls. Thus, falls and delirium are inextricably linked. Both should be routinely screened for older adults.

Context: A 40-bed Emergency Department (ED) in the East San Francisco Bay area of Northern California and the first site among all acute care hospitals in the organization to implement the Brief Confusion Assessment Method (bCAM) delirium scoring tool within the Electronic Health Record (EHR).

Interventions: An EHR toolkit for delirium screening using bCAM was developed, tested, and implemented in the ED.

Measures: The outcome measure was the percentage of patients with a reported fall …

Robotics And A.I In Oncological Surgery, Ian Ngo

Nursing | Student Research Posters

Throughout the decades, advancements in

technology have been surpassing limits that

were thought impossible. Every day these

breakthroughs are improving modern

surgery whether it be enhancing precision

on surgical sites, increasing accuracy of

procedure, or reducing recovery rates for

patients. Among the newly increasing

innovations, the implementation of robotics

systems and artificial intelligence (AI) into

the surgical field has emerged into

becoming a transformative force, especially

within a context as delicate as tumor removal.

This study explores the numerous benefits

of incorporating robotics and artificial

intelligence (AI) in tumor removal surgeries.

We investigate how these innovations

improve surgical accuracy, reduce …

Early Detection And Intervention Of Preschool-Aged Children Using Android-Based Monitoring During The Covid-19 Pandemic In Central Java, Triwiji Lestari, Elisa Elisa

Jurnal Keperawatan Indonesia

Preschool age is widely recognized as a critical phase in child development, often referred to as the golden period, the window of opportunity, and the critical period. Alarming statistics from the Indonesian Ministry of Health reveal that 16% of Indonesian toddlers, amounting to 0.4 million children, experience developmental delays, encompassing fine and gross motor skills, hearing impairments, reduced cognitive abilities, and speech delays. This study aims to assess the effectiveness of an Android-based early detection and intervention system on the development of preschool children during the challenging circumstances of the COVID-19 pandemic in Central Java. The research employed a quasi- …

Addressing The Teen Mom Situation In Thailand: A Systematic Review On Challenges, Initiatives And Recommendations For Improvement, Junkkrit Wunggrath, Phinphot Phrommasen, Wanchalerm Ritthimon

Jurnal Keperawatan Indonesia

Teenage pregnancy in Thailand poses significant public health challenges with implications for societal welfare and economic development. This systematic review analyzed the challenges faced by teenage mothers in Thailand, evaluated existing initiatives, and proposed evidence-based recommendations. A comprehensive literature search was conducted using the Scopus and Web of Science databases and others focusing on literature from 2016 to 2023. Keywords included “teenage pregnancy,” “teen mom,” “unwanted pregnancy,” and “unintended pregnancy” resulting in the selection of 36 studies. The PRISMA framework was followed to ensure a systematic approach. Data extraction focused on societal, educational, economic, and health-related challenges as well as …

Effectiveness Of Massive Open Online Course On Risk Communication Knowledge In Global Health Emergencies Among Nurses, Khin Thandar Aung, Rafiza Abdul Razak, Muhammad Fadli Zulkafely

Jurnal Keperawatan Indonesia

Massive Open Online Courses (MOOCs) have transformed education. The minimal usage of MOOCs in nursing education reveals a lack of continuous healthcare professional development. Although MOOCs are recognized as a viable means of continuing education for healthcare professionals, their application and content specifically tailored to healthcare have remained unexplored. This study aimed to determine the effectiveness of a dedicated Massive Open Online Course (MOOC) designed to enhance nurses' risk communication knowledge in global health emergencies through testing with a small nurse sample in a pilot trial. This preliminary examination seeks participant feedback and insights. A quasi- experimental research design was …

Assessing Knowledge And Preventive Practices Regarding Infectious Diseases Among Healthcare Workers In Hail City, Saudi Arabia, Sandro Costanilla Villareal

Jurnal Keperawatan Indonesia

Studies suggest that there may be gaps in knowledge and compliance with infection control measures among healthcare workers in Saudi Arabia. This study aimed to determine the knowledge of, and preventive measures employed by the healthcare workers in Hail City, Saudi Arabia, regarding infectious diseases. A cross-sectional design was employed, and the study participants were 265 healthcare workers aged 18 or older who were currently employed at government hospitals, involved in patient care or essential healthcare services, and fluent in English. Healthcare workers on leave, with cognitive impairments, with language barriers, or who refused to participate in the study were …

Family Perceptions Of Palliative Care For Advanced-Stage Cancer Patients At Home, Mariam Dasat, Sigit Mulyono, Uswatul Khasanah, Stepanus Maman Hermawan

Jurnal Keperawatan Indonesia

Family assistance with palliative care for advanced cancer patients is very important in optimizing patients’ quality of life. The purpose of this study was to explore family perceptions of palliative service provision to advanced cancer patients at home. The study adopted a qualitative research design with a phenomenological approach based on in-depth interviews with six participants. The main theme that emerged was family perceptions of participation in palliative care programs for cancer patients at home. There were three subthemes: family administering additional treatment, the patient being resigned to and accepting their condition, and the patient being helped by treatment. The …

The Relationship Of Online Learning And Information Technology With Cognitive, Affective, And Psychomotor Abilities, Sidik Awaludin, Usman Chatib Warsa, Soetrisno Soemardjo, Elly Nurachmah, Arum Atmawikarta, Dwi Novitasari

Jurnal Keperawatan Indonesia

The COVID-19 pandemic had a significant impact on education in nursing programs. Changes in the learning system were followed by changes in learning methods and information technology as a means of support. In fact, mastery of learning methods and information technology support is still not optimal. To improve students’ cognitive, affective, and psychomotor capacities, lecturers must grasp numerous learning approaches and information technology. This study aimed to examine the relationship of mastery of online learning methods and information technology assistance with nursing students’ cognitive, emotional, and psychomotor capacities in Indonesia. The design of this study was a cross- sectional internet-based …

Effect Of Telehealth Interventions On Hypertension Management In A Veterans Affairs Community-Based Outpatient Clinic (Cboc), Cherilyn Schumacher

Student Scholarly Projects

Practice Problem: Per U.S. Department of Veterans Affairs (2020), hypertension (HTN) is prevalent in active and retired military personnel with 13% of those in active duty and in “more than one in three Veterans…making it the most common chronic condition for Veterans” (p. 1). Per the Electronic Quality Measure (eQM) portal, a PACT clinic in a CBOC is scoring well below the national and facility benchmarks, showing a need for an intervention that will improve HTN management.

PICOT: For current veteran patients ages 18-85 assigned to a PACT (P), what is the effect of nurse-led telehealth blood pressure …

Nursing Informatics: The Vital Nursing Link Between Technology And Patient Care, Sherri L. Hess, Caryn Alper

HCA Healthcare Journal of Medicine

Advances in technology offer additional health care tools to improve the health of patients and efficiencies for our clinicians in innovative ways. These technologies cover a huge variety of therapeutics, ranging from wearable devices, such as insulin pumps, to robotic-assisted surgeries. Nursing informatics is firmly embedded in the use of technology to improve nursing care and science. One of the most recent developments in nursing is the exploration of virtual nursing. This paper will present the past, current, and future projections for this unique blend of nursing art and science with cutting-edge technology.

Patient Experiences With An Mhealth App For Complex Chronic Disease Care: Connections Despite Lack Of Traditional Clinical Interactions, Jenney Lee, Melissa Cheyney, Michael A. May, Marit L. Bovbjerg

Patient Experience Journal

Chronic diseases are costly to treat and burdensome for patients. Mobile health (mHealth) technologies might reduce costs of care and increase patient self-efficacy in chronic disease management, but the patient experience of mHealth is poorly understood. Our objective, therefore, was to evaluate patient experiences with using an mHealth app for complex chronic disease management, within a U.S. population of low-income patients. We used nurse/patient text messages from an mHealth complex chronic disease management tool, and exit interviews from patients, to assess qualitatively Medicaid patients' experiences with a remote monitoring mHealth app. Salient themes about the patient experience included: (1) Visibility …

Self-Management: A New Eight-Minute Stretching Program For Employees With Musculoskeletal Disorders (Msds), Siti Latipah, Shieva Nur Azizah Ahmad

Jurnal Keperawatan Indonesia

Musculoskeletal disorders (MSDs) are the main cause of workplace injuries. MSDs are health problems that attack the body’s propulsion systems, such as muscles, tendons, ligaments, joints, cartilage, and nerves. This study aims to determine the effectiveness of Self-Management: A New Eight-Minute Stretching Program against MSDs in a company X, Tangerang, Indonesia. A quantitative, quasi-experimental research method using a non-equivalent control group pre-test- post-test design was conducted on 90 respondents, who were divided into two sample groups by using side probability with a simple random sampling technique. The MSD risk measurement instrument used the Nordic Musculoskeletal Questionnaire. The results obtained showed …

Alternative Therapies Of The Banjar People For Children With Fevers, Esme Anggeriyane, Hamzah Hamzah, Nurhikmah Nurhikmah

Jurnal Keperawatan Indonesia

Fevers often occur in children under five years of age due to the immature formation of their immune systems. Such fevers signify that something unusual is happening in the body, often due to illness. Parents conduct various management techniques, such as medical or traditional treatments, based on their beliefs. Banjar society has a health culture known as bapidara, which is used to treat children with fevers presumably attributable to supernatural disturbances. This exploratory research aimed to discover what alternative therapies the Banjar people use to treat children with fevers. This qualitative study used a transcendental phenomenological design. Data collection was …

Traditional Art Dance Therapy To Reduce Stress Levels Of Elementary School Students, Shinta Restu Wibawa, Christantie Effendy, Heny Suseani Pangastuti, Ami Novianti Subagya, Eryono Budi Wijoyo, Aisya Puteri Andari, Dwi Apriliana, Qurrota Aini Zahrotu Sholikhah

Jurnal Keperawatan Indonesia

COVID-19 pandemic has accelerated the development of new learning systems that are more student-centered. Unfortunately, elementary school students experienced stress and difficulties in adapting from face-to-face to online learning system. Online learning environment lacks in accommodating outdoor activities which are important for children. Several techniques can be applied to reduce stress, including dancing. This research aimed to examine the effectiveness of Traditional Art dance Therapy (TATA) for elementary school students in reducing stress. In this quasi-experimental research, one-group pretest-posttest design without control group was applied, involving 84 students at one elementary school in Yogyakarta , Indonesia. Students’ levels of stress …

Self-Efficacy In Salt Consumption Among Patients Undergoing Hemodialysis, Desy Listyaningrum, Melyza Perdana, Anita Kustanti

Jurnal Keperawatan Indonesia

Salt consumption restriction has many advantages in patients on hemodialysis (HD), but it is also very challenging for them. Self-efficacy is a crucial aspect of successful disease management. Factors related to self-efficacy have been evaluated in many countries. However, the different demographic characteristics in Indonesia may show different significant results. Understanding this problem may contribute to the development of nursing interventions and the patients’ self-management ability while undergoing HD. Hence, the present study aimed to determine the factors associated with self-efficacy for restricting salt consumption among HD patients. Altogether, 98 HD patients participated in this cross-sectional study. The Self-efficacy for …

Bibliometric Analysis Of Research Trends And Novelties For Pneumonia In Children, Ariyani Lutfitasari, Fitriani Nur Damayanti, Budi Santosa, Lia Mulyanti, Umi Khasanah

Jurnal Keperawatan Indonesia

Pneumonia is the leading cause of death among children globally, with most cases occurring in low- and middle-income nations. Pneumonia in children has been thoroughly researched in numerous countries throughout the world. However, no research performed bibliometric analyses of pneumonia in children. This study aims to use a biometric analysis to determine trends in the number of publications, the number of citations, network visualization, overlay visualization, and density visualization concerning the issue of pneumonia in children. This research method employs a systematic review with stages adhering to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) flowchart. The highest …

Why Did They Fail? Investigating The Eight Invalid Dimensions Of Patient Safety Culture: Mixed Method Research, Felicia Setiawan, Ferdi Antonio

Jurnal Keperawatan Indonesia

Resistance to adopting patient safety culture practices or technologies can hinder improvements in patient safety. This study contributes to enhancing the understanding of patient safety culture (PSC) assessment by identifying the specific factors that render some PSC dimensions invalid and offering actionable recommendations for improvement in healthcare settings. Primary data were gathered using a mixed method of explanatory sequential design, with quantitative data collection and analysis followed by qualitative data collection and analysis. The study was conducted in the leading Private Hospital XYZ, one of the private hospital groups internationally accredited with Joint Commission International with a 110-patient bed capacity. …

Self-Harm In Female Youth With Undiagnosed Adhd: Implementing American Academy Of Pediatrics Screening Guidelines, Roselie M. Woodard

Dissertations

Attention deficit hyperactivity disorder (ADHD) is a common neurodevelopmental disorder characterized by inattention, hyperactivity, and impulsivity. If undiagnosed or untreated, ADHD can lead to severe psychosocial issues such as academic failure, substance abuse, unplanned pregnancy, and incarceration. The financial burden in the U.S. from diagnostic errors creates an immense, rising fiscal impact. Early diagnosis and management are crucial to prevent these complications.

Females with ADHD, particularly those with the inattentive subtype, often face diagnostic challenges due to symptom masking and over-compensation. This results in poorer cognitive functioning and self-esteem compared to males with ADHD. ADHD is linked to autonomic nervous …

Evaluation Of An Educational Training On Telehelath Utilization Rates And Hospital Readmissions In A Home Health Setting., Gabrielle A. Coomer

Doctor of Nursing Practice Papers

Background: Hospital readmissions are on the rise and continue to be a concern within healthcare due to their effects on the quality of care and healthcare costs. Telehealth strategies have been utilized across healthcare settings to improve hospital readmission rates.

Purpose: The purpose of this project was to evaluate the effectiveness of a telehealth training program in increasing telehealth utilization rates and reducing the acute care hospitalization rate within a single home health agency.

Intervention: A 30-minute PowerPoint presentation on the definition of telehealth, goals, and benefits of telehealth, patient eligibility, special considerations for clinicians, billing and coding guidelines, …

Daily Alarm Rounds: Enhancing Interdisciplinary Communication And Reducing Perceived Alarm Burden In Bedside Nurses., Shelby Mangeot

Doctor of Nursing Practice Papers

Purpose: The Joint Commission established alarm management as a national patient safety goal in 2013 and has continued this goal through 2023 (2022). This goal mandates hospitals to prioritize alarm system management and establish evidence-based techniques to manage and reduce nuisance alarms. The purpose of this quality improvement project was to provide bedside nurses with education about excessive alarm burden and evidence-based alarm management techniques, then implement a daily bedside alarm rounding tool to enhance interdisciplinary communication and address patient alarm limits during daily rounds.

Methods: After extensive review of the literature, prompts discussing daily alarm limits were added to …

The Future Of Nursing Leadership: Incorporating E-Learned Artificial Intelligence (Ai) Pathways With A Precautionary Focus On Patient-Centered-Care, Jamie Anne Marcus Dr., Bonnette Villalba Webb

FDLA Journal

Artificial Intelligence (AI) is a data-driven mathematical process that incorporates machine-based-logic, usually in the form of algorithms. Education, training, and competencies are now conducted through virtual reality, robotics, simulation, and technology learning-based-platforms by healthcare organizations. This represents a significant change in the future of nursing practice. The adaptability of technology-based-learning platforms can impact the quality and efficiency of learning for some of the workforce population. Nurses' perception of technology and AI-driven nursing practice may vary based on generational orientation and can be a potential barrier to learning, practicing, and adaptability of this framework. The forging of well-trained resilient nurse leaders …

Dnp Final Report: Effects Of Open-Access Scheduling On Patient No-Show Rates In An Outpatient Clinic, Maria Aileen A. Wilkinson Msn, Mba, Rn

DNP Final Reports

No-show rates in a South Texas outpatient clinic have been as high as 16% to 20% which increases wait times to be seen in the clinic and decreases patient access to outpatient care. This no-show rate data has continued despite multiple interventions that have been implemented in an academic health science center. Physical, socio-economic, geographic, and health/lifestyle factors affecting no show or missed appointments are crucial to determining the most appropriate interventions to alleviate this issue. No-show rates are important metrics to improve because it directly affects the organization's revenue, access to care, and appointment wait times. Research evidence regarding …