Nursing Commons^™

Telehealth Acceptance And Medical Mistrust Among The Elderly Of Rural Appalachia: A Correlational Study Using The Medical Mistrust Index And Technology Acceptance Model, Victoria Hood-Wells

Electronic Theses and Dissertations

Adults aged 65 years and above have grown substantially over with past decade. However, the chance of developing multiple comorbidities only increases with age. Because elderly residents of rural Appalachia often encounter barriers to healthcare, rural nurses, providers, and policy makers must overcome physical and structural barriers, but also gain a more in-depth understanding of the personal and cultural attitudes impacting the use of new and innovative forms of healthcare delivery. With a slow and variable uptake of telehealth adoption in rural Appalachia, and in the presence of well-documented medical mistrust, this study was designed to better understand the degree …

Measuring The Impact Of Primary Care Team Composition On Patient Activation Utilizing Electronic Health Record Big Data Analytics, Kristen K. Will, Yue Liang, Chih-Lin Chi, Gerri Lamb, Michael Todd, Connie Delaney

Journal of Patient-Centered Research and Reviews

Purpose

Team-based care has been linked to key outcomes associated with the Quadruple Aim and a key driver of high-value patient-centered care. Use of the electronic health record (EHR) and machine learning have significant potential to overcome previous barriers to studying the impact of teams, including delays in accessing data to improve teamwork and optimize patient outcomes.

Methods

This study utilized a large EHR dataset (n = 316,542) from an urban health system to explore the relationship between team composition and patient activation, a key driver of patient engagement. Teams were operationalized using consensus definitions of teamwork from the literature. …

Primary Care Organizational Readiness And Implementation Climate For Task Sharing Of Tele-Mental Health Interventions, Frances Chu, Brenna Renn, Erin Abu-Rish Blakeney, Sean Munson, Oleg Zaslavsky

Articles, Abstracts, and Reports

Primary Care Organizational Readiness and Implementation Climate for Task Sharing of Tele-Mental Health Interventions

Chu, F.; Renn, B.; Blakeney, E.; Munson, S.; Zaskavsky, O. Providence Swedish/University of Washington, Seattle, WA

Purpose: To examine perceptions of organizational readiness and implementation climate for task sharing of telemental health (TMH) interventions from primary care healthcare professionals by levels of behavioral health integration (BHI) and roles. Background/Significance: BHI clinics have positive impact on patient outcomes. Task sharing, a strategy used to address shortages of behavioral/mental health (BMH) specialists, with TMH interventions adds complexity. Method: The mixed methods study surveyed 151 healthcare professionals with Organizational …

Improving Emergency Department Belongings Inventory Electronic Medical Record Documentation, Shanekia Garrett, Stefanie Lai, Jairo Pagan, Wendy Lu, Katie Whitehead

Articles, Abstracts, and Reports

No abstract provided.

Efficacy Of Programs Designed To Reduce The Incidence Of Premarital Sexual Behavior Among Adolescents: A Systematic Review, Desy Ayu Wardani, Siti Khuzaimah Ahmad Sharoni, Endang Triyanto

Jurnal Keperawatan Indonesia

The incidence of premarital sexual behavior worldwide is increasing despite the fact that it is known that it may cause health and psychological problems. Hence, interventions are needed to reduce the incidence of premarital sexual behavior. The aim of this study was to provide an overview of the reported interventions used to reduce the incidence of premarital sexual behavior in adolescents and identify the implications for nursing practice. A systematic review was conducted using The Preferred Reporting Items for Systematic reviews and Meta-Analyses (PRISMA) guidelines. The Scopus, Science Direct, Web of Science, and ProQuest databases were searched using the keywords …

Nurses’ Job Satisfaction Regarding The Use Of Health Technology: A Survey Study, Diah Arruum, Setyowati Setyowati, Hanny Handiyani, Raldi Artono Koestoer

Jurnal Keperawatan Indonesia

The development of innovative health technology is continuously needed by health workers, including nurses in hospitals. Nurses need to adapt and are required to be able to use various current technological innovations. However, the demand for quality care in maintaining patient safety through the use of technology is still an issue, thereby affecting the achievement of nurse job satisfaction. This study aims to describe the job satisfaction of nurses regarding the use of health technology. It is a descriptive study with a cross-sectional design that included 172 hospital nurses. The sample was selected using the purposive sampling method, and the …

Attitudes To Patients’ Safety Questionnaire In The Arabic Context: Psychometric Properties, Muayyad Ahmad, Bushra Ghannam

Jurnal Keperawatan Indonesia

Patient safety education is often implicit in undergraduate nursing curricula, making it harder to meet competency standards. The Attitudes to Patient Safety Questionnaire (APSQ-III), which was developed in 2009 by Carruthers and collab- orators in the United Kingdom, examines patient safety on a more sophisticated system level and has the potential to lead productive, nonhierarchical collaboration in educational settings. This study's goal was to use rigorous psychometric testing to validate the Arabic version of the Attitudes to Patient Safety Questionnaire (APSQ-III) for nursing students in an Arabic context. The majority of the 217 students recruited for this study through a …

Coping Strategies For Nurses’ Distress In Dealing With The Covid-19 Pandemic: A Scoping Review, Ika Nopa, L Meily Kurniawidjaja, Dadan Erwandi

Jurnal Keperawatan Indonesia

It is a well-known fact that the COVID-19 pandemic exacerbated the work stressors of nurses, which were already a problem previously, causing great distress. Hence, the need for effective coping strategies has been realized to prevent such distress, especially if a pandemic recurs. Determining how the types of coping strategies used by nurses impact their distress level in COVID-19 Pandemic. This review was conducted using the PRISMA Statement Recommendations Checklist and PRISMA—Extension for Scoping Reviews (PRISMA-SCR). The databases used were Willey Library, Science Direct, SCOPUS, and Springer Link for the literature search. Nurse and (“coping type” or “brief cope”) and …

Heavy Burdens Of Family Caregivers Caring For Persons With Severe Mental Disorders, Kissa Bahari, Arief Bachtia, Gracia Herni Pertiwi, Ahmad Syahlani

Jurnal Keperawatan Indonesia

Family caregivers who live with and care for individuals with severe mental disorders face serious issues. This study aimed to investigate the burdens of these family caregivers. This descriptive phenomenological study involved 15 family caregivers who looked after persons with mental disorders in Malang City, Indonesia; the participants were selected using a purposive sampling technique. Data were gathered using individual in-depth interviews and observations, and then analyzed inductively. Based on the findings, the burdens of family caregivers can be grouped into four main themes: 1) families encountered challenges and stigma in caring for persons with severe mental disorders, 2) there …

Improving Emergency Department Belongings Inventory Electronic Medical Record Documentation Rates, Stefanie Lai

Providence Nursing Research Conference 2023 – Present

Background: Electronic Medical Record (EMR) education and training for RNs should be multifaceted and targeted to the RN clinical workflow. Input from direct care RNs is essential to ensure EMR education is relevant and effective. Shared Governance at a community hospital identified quality and safety concerns among inpatient RNs. RNs reported that belongings inventories were not consistently documented in the EMR for Emergency Department (ED) admissions. Hospital policy requires belongings inventory EMR documentation for all admitted patients. An audit of charts for ED admissions over three months revealed only 5% compliance with this policy.

Purpose: The purpose of this project …

Knowing The Patient As A Person: Social Media Listening And Gadamerian Analysis Of Nurses’ Expressions Shared During The Covid-19 Global Health Pandemic, Janusz A. Kaleta

Dissertations, Theses, and Capstone Projects

Background: COVID-19 has dramatically changed human-to-human interactions from in-person to the nonhuman domain of virtual space. In January 2021, every 28 seconds one person died of COVID-19 in the United States. An average of 3,100 Americans died each day during the deadliest month of the pandemic. As of January 2023, the number of COVID-19 deaths in the USA surpassed 1.000.000 people. In hospitals, human-to-human interactions were often limited to seeing one’s eyes behind the face shields, and respirator masks, and hearing a muffled voice, or sounds of the ventilators. In New York State 452 nurses died during the pandemic.

Research …

Digital Phobia: An Inquiry For Mapping The Unseen Dimension Of New Digital Anxiety, The ‘Digiphobia’, Amarjit Kumar Singh ,Library Assistant, Md. Arshad Ali , Professional Assistant, Dr. Pankaj Mathur, Deputy Librarian,

Library Philosophy and Practice (e-journal)

Background: As technology continues to advance, individuals' interactions with digital platforms have become integral to daily life. Amidst this technological evolution, a novel concern emerges—Digital Phobia, hereafter referred to as “Digiphobia.” This phenomenon, although not previously explored in scholarly literature, necessitates an in-depth investigation due to its potential impact on individuals' well-being. Our research employs a two-step methodology to investigate its existence, implications, and manifestations.

Introduction: This research paper introduces and proposes the term "Digiphobia" as a comprehensive conceptualization of anxiety arising from interactions with digital spaces, applications, and environments. The proliferation of digital technologies has led to the emergence …

Icu Nurse Mental Health: Telehealth Versus In-Person Therapy Effectiveness, Ariel Mach

Nursing | Senior Theses

Background Nurses working within high-stress specialties, such as Intensive Care Units (ICUs), often face a lack of resources aimed at supporting their mental health. The expectation for the nurses is to independently manage their psychological well-being based on their knowledge and educational background. However, many times it is difficult to manage persistent stress, anxiety, or depression and this could adversely affect the quality of patient care and eventually lead to burnout. Telehealth therapy has become more readily available and used since the COVID-19 pandemic, leading to two forms of treatment delivery. Currently, there is limited research on the effectiveness of …

Implementation Of Charting Guidelines: The Impact On A Telemetry Unit, Mckenna Freed, Kai Stein

Articles, Abstracts, and Reports

No abstract provided.

Icu Nurse Mental Health: Telehealth Vs In-Person Therapy, Ariel Mach

Nursing | Student Research Posters

Background Nurses working within high-stress specialties, such as Intensive Care Units (ICUs), often face a lack of resources aimed at supporting their mental health. The expectation for the nurses is to independently manage their psychological well-being based on their knowledge and educational background. However, many times it is difficult to manage persistent stress, anxiety, or depression and this could adversely affect the quality of patient care and eventually lead to burnout. Telehealth therapy has become more readily available and used since the COVID-19 pandemic, leading to two forms of treatment delivery. Currently, there is limited research on the effectiveness of …

Using The Electronic Medical Record To Improve Nurse Workload, Sharon C. Le Roux

Doctor of Nursing Practice (DNP) Scholarly Projects - Archive

Background

Equitable nurse-patient assignments have been associated with improved nurse well-being, patient satisfaction and outcomes. Despite this, in an academic medical center in the southwestern United States, there is no standardized process to create equitable nurse-patient assignments.

Objectives

The aim of this project was to improve inpatient oncology nurse well-being and satisfaction through the implementation of an EMR based nurse-patient assignment tool.

Methods

The IOWA Model-Revised for evidence-based practice was used as the basis for this project. Data collected included demographics, the Well-Being Index Survey, perception of satisfaction with manual workload tool, along with knowledge and use of the …

Developing Toolkit For Adults With Autism Spectrum Disorder In An Oncology Outpatient Clinic, Brittany J. Johnson Dnp, Fnp-C

Doctor of Nursing Practice (DNP) Scholarly Projects - Archive

Autistic adults are at higher risk of being diagnosed with co-occurring health conditions, and yet they are a vulnerable group for disparities in access and outcomes. One of the key barriers to better outcomes is poor patient-provider communication. This study the use of AASPIRE’s AHAT communication toolkit as a channel between healthcare workers and autistic adults to facilitate their appointments within the outpatient oncology department, as well as assessing healthcare providers’ knowledge and self-efficacy in caring for the patients. Sixteen healthcare providers (12 registered nurses and four patient care assistants) completed pre and post intervention surveys and utilized the AHAT …

Enhancing Communication Between Nurses And First Call Providers Using A Secure Chat Algorithm, Karen Hilt

DNP Projects

BACKGROUND: Healthcare requires quality multidisciplinary communication for patient care. Secure Chat is a feature within the Epic electronic health record to facilitate communication without violating Health Insurance Portability and Accountability Act (HIPPA). An algorithm to streamline communication utilizing this feature is needed to improve patient care.

PURPOSE: The purpose of this study was to determine, develop, implement, and evaluate a communication protocol between nurses and first call providers. The overall goal was to improve the knowledge, attitudes, efficacy, and address barriers with communication of nursing staff and providers through efficient messaging embedded within Epic, electronic health record

CONCEPTUAL MODEL: …

Data Quality: Integral To Cauti Surveillance And Improvement In Non-Critical Care Units, Mary Grace Daria

Master's Projects and Capstones

Background: Urinary tract infections (UTIs) are the most common type of healthcare-acquired infection (HAI), with 75% approximately associated with urinary catheter use. The key to preventing UTIs is to avoid the use of indwelling urinary catheters (IUCs). This study explores denominator data extract logic modifications to increase IUC data capture and accuracy. It is set in a 249-bed acute care, teaching hospital in the Diablo Service Area in Northern California.

Problem: The electronic system used to extract the CAUTI denominator data is inconsistently capturing the IUC device days from the electronic medical record (EMR). This has regulatory reporting ramifications and …

Factors Associated With Depressive Symptoms Among Community-Dwelling Older People In East-Coast Malaysia, Siti Suhana Zakaria, Siti Nur Illiani Jaafar, Muhammad Kamil Che Hasan, Nik Noor Kaussar Nik Mohd Hatta, Wan Nor Aliza Wan Abdul Rahman

Jurnal Keperawatan Indonesia

Older people are increasing in number globally, and they are likely to have mental health problems, including de- pression. In this population, the risk of having depressive symptoms is very high due to multidimensional factors, but these symptoms are often undertreated. This study aimed to determine the prevalence and associated factors of de- pressive symptoms among community-dwelling older people living on the East Coast of Malaysia. A cross-sectional study was conducted in several areas of the state of Terengganu based on multilayered stratified sampling. A total of 240 participants were randomly selected. Several instruments were employed, such as the Geriatric …

Sleep Quality And Stress Levels Among Nurses: A Single Center Study, Siti Zuhaidah Shahadan, Mohamad Firdaus Mohamad Ismail, Khalidah Nadhirah Kamaruzaman

Jurnal Keperawatan Indonesia

The issue of nurses' sleep quality, which has a significant impact on their mental health, has not received enough attention. Nurses’ stress and mental health can affect patient care, so poor sleep quality in nurses can lead to stress and patient harm. Thus, this study examines the relationship between sleep quality and stress in nurses at a university hospital in Kuantan, Malaysia. This cross-sectional study used convenience sampling. A total of 101 nurses in the hospital were recruited to complete a series of questionnaires, including the Pittsburgh sleep quality index (PSQI) and the depression anxiety stress scale 21 (DASS21). SPSS …

Smoking Among Adolescents And Associated Factors In Rural Areas, Hanida Hani Mohd Mokhtar, Nurul Farhana Abdul Ghani, Siti Nur Illiani Jaafar, Aini Ahmad, Fitri Arofiati

Jurnal Keperawatan Indonesia

Smoking among adolescents is the major health-related issues in Malaysia. However, information concerning recent smoking rates and how they correlate among adolescents in rural areas is still limited. This study aimed to determine the percentage of adolescent smokers among high school students, examine their level of nicotine dependence, and study the association between sociodemographic data and smoking status. A cross-sectional study was conducted at one of the high schools located in the rural area of Bandar Tun Abdul Razak, Pahang, Malaysia. A convenience sampling method was used to select the participants, as only Form 2 students were available during the …

The Relationship Of Self-Care Behaviours And Online Learning Engagement Among Nursing Students During The Covid-19 Pandemic, Mazlinda Musa, Rohani Mamat, Hamidah Hassan, Sitti Fatimah Sa'at, Syed Syarizman Abd Rahim, Abdul Rahman Ramdzan, Octovia Abdullah, Vellerina Ally Paidius, Mariana Muitaba, Ashley Melissa George

Jurnal Keperawatan Indonesia

The COVID-19 pandemic and the sudden switch from conventional to virtual classes allegedly raised students' risk of mental health illnesses, adversely influencing their academic engagement and learning outcomes. Nursing students in Malaysia, especially those enrolled in universities in Sabah, have traditionally been accustomed to a conventional face- to-face teaching and learning approach. Due to the COVID-19 pandemic, e-learning or online classes have become one of the learning methods for university nursing students in Sabah, either while they are on campus or at home, to obtain access for educational purposes. The purpose of this study was to assess the relationship between …

Willingness Of Graduate Nursing Students To Provide Care For Covid-19 Patients, Andrea Beatrice Josef, Hannah Grace Pascual, Antonette Mei Surigao, Jemina E. Fuentebella, Kathyrine Calong Calong, Gil P. Soriano, Carrisa Juliana Balaria, Ryan Michael F. Oducado

Jurnal Keperawatan Indonesia

Nurses play a key role in management and care services to maintain patient safety; however, with the emergence of COVID-19, the number of nurses still continues to decline. Due to the on-going problem that even novice nurses may see as a major challenge, this study aims to identify whether nursing graduates are willing to participate in the care of COVID- 19 patients. The study is cross-sectional where a total of 146 conveniently chosen nursing graduates currently enrolled in Nursing Review Centers in the Philippines preparing to take the Nurse Licensure Examination. The data were collected using Google forms from August …

Promoting Mammography Screenings In African American Women: Media, Church, And Health Providers, Lasonya Little, Debra C. Wallace, K.Jay Poole

Journal of Health Disparities Research and Practice

Due to the underutilization of screening mammography, African American women (AAW) are more likely to experience negative health outcomes after receiving a late-stage breast cancer diagnosis than White Women (WW). The purpose of this article is to examine the roles of the media, health community and the African American church and pastor and their potential impact in AAW screening decisions. Fifteen AAW, ages 45 and older, were invited to participate in a semi-structured interview. Most women agreed the African American pastor and church as well as the health community, and media are an integral part of their lives. Therefore, specific …

The Benefits Of Telehealth For Rural Communities, Cade Alberson, Taylor Alberson

Scholars Week

No abstract provided.

Poster: Improving Emergency Department Belongings Inventory Electronic Medical Record Documentation, Shanekia Garrett, Stefanie Lai, Jairo Pagan, Wendy Lu, Katie Whitehead

2023 South Division Nursing Research Conference

Improving Emergency Department Belongings Inventory Electronic Medical Record Documentation Rates Background: Electronic Medical Record (EMR) education and training for RNs should be multifaceted and targeted to the RN clinical workflow. Input from direct care RNs is essential to ensure EMR education is relevant and effective. Shared Governance at a community hospital identified quality and safety concerns among inpatient RNs. RNs reported that belongings inventories were not consistently documented in the EMR for Emergency Department (ED) admissions. Hospital policy requires belongings inventory EMR documentation for all admitted patients. An audit of charts for ED admissions over three months revealed only 5% …

Anxiety, Depression, Loneliness, Spirituality, And Social Support In Older People During The Covid-19 Pandemic, Esti Widiani, Nurul Hidayah, Abdul Hanan

Jurnal Keperawatan Indonesia

The COVID-19 pandemic has resulted in the threat of death. Some older people feel they are not ready to face the end of their lives, so psychosocial problems arise, such as loneliness, anxiety, and depression. This research study aims to explore some psychosocial aspects, namely spirituality, social support, depression, anxiety, and loneliness in the elderly during the pandemic. The research design was cross-sectional. The total sample was 142 people selected using the purposive sampling method. Data collection used various scales to look at spirituality, depression, anxiety, and loneliness. The results showed that median spirituality and social support scores were high. …

Factors Determining Commitment To Health-Promoting Behavior During Covid-19, Dheni Koerniawan, Sanny Frisca

Jurnal Keperawatan Indonesia

Forming new behaviors during the COVID-19 pandemic required individual commitment. Based on Pender’s health promotion model (HPM), factors affecting commitment to new behaviors include benefit perception, barriers, self-efficacy, related activities, as well as interpersonal and situational influences. This study aims to determine the determinant factors that affected commitment to health-promoting behavior and habits during the COVID-19 pandemic. This study randomly assigned online questionnaires to 186 people in Palembang. The instruments used in this study were developed by the author based on Pender’s HPM. Path analysis with the SEM-PLS approach was used to analyze determinant factors of community commitment. The results …

Family Caregivers’ Preparedness With Death And Dying: An Ethnographic Study, Erna Rochmawati, Rick Wiechula

Jurnal Keperawatan Indonesia

Death and dying is a complex process and influenced by belief and culture. Understanding the cultural practice is therefore important to enable providing quality end-of-life care. This paper focus in reporting how family caregivers prepare and deal with death and dying within palliative care context. This study was a contemporary ethnographic study that deriving data from observations and informal interviews. Field observation and informal interviews were conducted over three months with 21 patients’ relatives. Data was analyzed using ethnographic data analysis framework. Dealing with death and dying relates to how this was experienced and managed by the patient’s relatives. Three …