Nursing Commons^™

Spirit And Practice Excellence, Maine Medical Center

Annual Reports

Biennial Report on Nursing, 2011-2012

Bridging The Gap Between Student And Real World. Student Perspectives On Nursing Externships, Janice Hawkins, Lauren O'Connor, Rachelle Ann Santo Domingo

Ellmer School of Nursing Faculty Publications

[First paragraph] As senior nursing students in the 2011-2012 academic year, we recognized how difficult it is for students to transition from the classroom to the "real world" of nursing practice. Through the nursing curriculum, we have become extremely knowledgeable about numerous diseases and nursing care for different patient populations. However, with limited hands-on clinical experience, how are student nurses able to comprehend all of the diseases, disorders, and conditions studied in the classroom? Making connections between what is learned in theory and what is applied in nursing practice can only be achieved through experience.

Outcome Comparison Of An Evidence-Based Nurse Residency Program To Other Orientation Models, Debra A. Harrison

UNF Graduate Theses and Dissertations

The purpose of this evidence-based project was to compare one-year outcomes for newly licensed Registered Nurses (NLRNs) in three organizations within the same healthcare system. All three have lower than nationally reported turnover and strategies for NLRN retention. Only one is using a Nurse Residency Program (NRP).

NRPs are recognized as an effective strategy to retain newly licensed registered nurses (NLRNs) in their first year of employment (Institute of Medicine [IOM], 2010; The Advisory Board, 2007; Spector, 2007). The Commission on Collegiate Nursing Education (CCNE) (2008) defines an NRP as a series of learning sessions and work experiences that occur …

The Relationship Between Staff Nurse Perception Of Nurse Manager Leadership Behavior And Staff Nurse Job Satisfaction In A Hospital Applying For Magnet Recognition Status, Lorraine B. Bormann

Nursing Faculty Publications

Hospitals are challenged to understand factors related to staff nurse retention in the context of the nursing shortage slowdown (Huselid, 1995; Mancino, 2008; Mancino, 2009). Leadership is a major factor in organizational success (Gandossy & Guarnieri, 2008; Gettler, 2003; Wooten & Crane, 2003) and nurse managers are the direct link between the executive nurse leaders and the registered nurses (RN) in the staff position (Taunton, Boyle, Woods, Hansen, & Bott, 1997).

Studies show that nurse manager leader behaviors influence staff nurse job satisfaction (Blegen, 1993; Irvine & Evans, 1995; Lashinger & Finegan, 2005). A primary role of the nurse leader …

Transformational Leadership, Job Satisfaction, Organizational Commitment, And Non-Supervisory Nurses' Intention To Leave, Audrey E. Gregory

Graduate Student Dissertations, Theses, Capstones, and Portfolios

The United States is currently experiencing a nursing shortage. To compound the problem, hospital nurses are leaving their organizations and executives are scrambling to figure out the reasons behind the increased turnover. Many factors are associated with nurses' intention to leave their current employment. Among these factors are job satisfaction, organizational commitment, work satisfaction, work setting, control over practice, salary, nurse-physician collaboration, job stress, and leadership style. Effective nursing leadership is an integral factor in the retention of hospital nurses and nurses who perceive their nursing leadership as participative and transformational may be more likely to be satisfied with their …

Multimethod Teaching Strategies To Integrate Selected Qsen Competencies In A Doctor Of Nursing Practice Distance Education Program, Mary Lou Manning, Phd, Crnp, Anthony J. Frisby, Phd

College of Nursing Faculty Papers & Presentations

The Quality and Safety Education for Nurses (QSEN) initiative identified 6 competencies for the education of nurses (patient-centered care, teamwork and collaboration, evidence-based practice, quality improvement, safety, and informatics) and the related knowledge, skills, and attitudes (KSAs) for each competency. The initial QSEN focus was on competency development during prelicensure nursing education, with subsequent attention on adapting the KSAs for graduate programs that prepare advanced practice nurses for clinical roles. Description of successful QSEN competency integration in Doctor of Nursing Practice (DNP) programs is limited. Although the ultimate goal is executing DNP programs where quality and safety is thoroughly integrated …

The Effects Of Education And Training On Nurses' Perception Of Lateral Violence In The Healthcare Field, Tamara Cook

Nursing Theses and Capstone Projects

The effects of lateral violence are costly for all aspects of the healthcare profession. Lateral violence is an act of aggression directed towards another nurse. Educating nurses of lateral violence and its appearance may prove to increase nurse's perception of lateral violence therefore decreasing its occurrence. This study will explore the effects of education and training on nurses' perception of lateral violence in the healthcare field. Lateral violence threatens the integrity of each nurse, the nursing profession, and the organization. Increasing the awareness of lateral violence attempts to make a culture change among nurses in the healthcare profession. Minimizing lateral …

A Study Of The Presence Of Relational Aggression In The Adult Population, Kathy C. Williams

Nursing Theses and Capstone Projects

Aggression can result in a challenge of the basic human need for safety and security (Plotnik, 1999). Historically there has been extensive research regarding physical aggression. However, only in the past two decades has relational aggression received attention. Most research studies regarding relational aggression have focused upon children, adolescents and young adults. The purpose of this study was to explore the presence of relational aggression in the adult population. The Self-Report of Aggression and Social Behavior Measure tool was used to survey a convenience sample of 67 nursing students. The participants were students enrolled in the school of nursing (associate, …

Comparison Of Registered Nurse Job Satisfaction To Patient Satisfaction And The Link To The Role Of The Nurse Manager, Deborah M. Spotts

Theses and Graduate Projects

This is an in depth qualitative research study using a compelling literature review and an in depth case study of one hospital comparing registered nurse job satisfaction scores with patient satisfaction scores. The literature review indicates that research positively correlates nurse job satisfaction to patient care satisfaction. This research study focuses on understanding the possible relationship between registered nurse job satisfaction and patient satisfaction with nursing care. The role of the nurse manager is explored in order to understand possible the impact of that role on the satisfaction scores of both groups.

Phasing Out The General Nursing Diploma Programme At Aga Khan University School Of Nursing Karachi, Pakistan, Salma Amin Rattani, Laila Akbar Ali, Shireen Salim Velji, Amina Malik

School of Nursing & Midwifery

Aga Khan University was established as medical complex in 1980 and in 1983 received charter as first private university in Pakistan. Thus nursing education moved under the umbrella of a university which allowed starting under graduate and graduate degree education and in light of global trends in nursing profession and staffing and financial impact of nursing education, 2010 was the last intake of university's founding programme; general nursing diploma. Concerns; male vs female nurses and taking nursing education as an easy route to enter in higher education resulting in unattained staffing require deliberations by stake holder including Pakistan Nursing Council.

A New Life For The Care Plan?, Laura K. Heermann Langford, Ann Tinker, Marc-Aurel Martial

Faculty Publications

The current hot topic within clinical informatics is meaningful use and incentive payments defined under the Health Information Technology for Economic and Clinical Health (HITECH) Act's electronic health record (EHR) incentive program. This recent legislation calls for healthcare providers to meet a set of minimum requirements using a certified EHR. The point of this government program is to support the widespread adoption of the EHR. The program lays out an overall plan that incentivizes hospitals and providers to implement, adopt, and "meaningfully" use an EHR. The incentive program starts with basic data entry and exchange in a standardized manner, with …

Knowledge, Attitudes, And Practice Behaviors Of Oncology Advanced Practice Nurses Regarding Advanced Care Planning For Patients With Cancer., Guiyun Zhou, Dnp, Crnp, Aocns, Jill C Stoltzfus, Phd, Arlene D Houldin, Phd, Pmhcns-Bc, Susan M Parks, Md, Beth Ann Swan, Phd, Crnp, Faan

College of Nursing Faculty Papers & Presentations

Purpose/Objectives: To establish initial reliability and validity of a Web-based survey focused on oncology advanced practice nurses' (APNs') knowledge, attitudes, and practice behaviors regarding advanced care planning, and to obtain preliminary understanding of APNs' knowledge, attitudes, and practice behaviors and perceived barriers to advanced care planning.

Design: Descriptive, cross-sectional, pilot survey study.

Setting: The eastern United States.Sample: 300 oncology APNs.Methods: Guided by the Theory of Planned Behavior, a knowledge, attitudes, and practice behaviors survey was developed and reviewed for content validity. The survey was distributed to 300 APNs via e-mail and sent again to the 89 APNs who responded to …

How To Organizationally Embed The Magnet Culture, Rachel Behrendt, Dnp, Rn, Acons, Donna Molyneaux Phd, Rn

College of Nursing Faculty Papers & Presentations

PowerPoint presentation given at 2010 National Magnet Conference in Phoenix Arizona.

Assessing Mississippians’ Preparedness For Disasters Using The Citizen Corps National Survey 2009, Carl Huston Mangum Ii

Dissertations

Disaster preparedness, a shared responsibility of all citizens and disaster agencies, is the most critical component in minimizing risk and damage from disaster. Mississippi has been affected by some of the most devastating disasters in American history, both in terms of physical destruction and human life. The purpose of this study was to assess Mississippians’ disaster preparedness by replicating The 2009 Citizen Corps National Survey (CCNS). The 65 question 2009 CCNS was slightly modified to survey 678 randomly selected Mississippians about the Citizen Corps Personal Disaster Preparedness Model: Demographics, Volunteering, Drills/Exercises, Community Plan, Household Plan, Disaster Supplies, Prevention, Self-efficacy, Reliance, …

The Relationship And Effects Of Mindfulness On Comfort, Work Satisfaction, And Burnout Among Nurses Who Provide Direct Patient Care, Pamela Lichtenberg Heard

Dissertations

This study proposed to examine the problem of burnout in the nursing profession and ways to ameliorate burnout. Many burnout studies in the past focused on the problem and possible solutions that managers and/or hospital administrators could incorporate into their organization. The focus of this study is to evaluate ways that nurses can decrease their own propensity to burnout through the use of mindfulness. Therefore, this study examined burnout in a non-traditional manner. It is not assumed that others must assist nurses with decreasing their levels of burnout. Mindfulness is a means by which nurses can empower themselves to combat …

What Is The Experience Of Emergency Department Nurses With Lateral Verbal Aggression?, Wendi Harper-Lonabaugh

Nursing Theses and Capstone Projects

This descriptive study investigated the incidence of lateral verbal aggression among emergency department nurses. A sample of registered emergency department nurses currently working in western North Carolina with more than one year of full time work experience was surveyed (N=68). Roy's adaptation model was used as a theoretical framework for this qualitative study. A survey was utilized to collect the frequency, source, and incidences of reporting the lateral verbal aggression that occurred. Nurses also reported personal and professional ramifications to the lateral verbal aggression. Aggregate data was examined; no specific individual data was analyzed. The most common perpetrators of lateral …

Reorientation Of The Experienced General Medical/Surgical Nurse To A Progressive Care Medical/Surgical Nurse Utilizing Benner's Novice To Expert Theory, Barbara Radford

Nursing Theses and Capstone Projects

The decisive factor for this project was the Health Care Organization's decision to combine the medical/surgical units from two campuses into one department. This process required the Registered Nurses to reapply for their positions, merge into one unit, and transition to a different physical location. The next major process to occur will be the changing of patient acuity-levels from general medical/surgical to medical/surgical progressive care.

This project will provide a cost effective educational plan based on Benner's novice to expert theory which will ensure efficient transition for the expert medical/surgical nurse to an expert progressive care nurse. A structured orientation …

Does Medication Error Reporting Increase With Anonymity?, Kristina Mccall

Nursing Theses and Capstone Projects

Medication errors have been a long and growing problem within all health care areas. Prevention and education is the key to prevent the errors from occurring. All efforts must be made to achieve an overall goal of an error-proof health care society. The purpose of this study was to determine if the anonymity of medication error reporting would make a difference in the amount of medication errors reported. Research has shown that many nurses and health care professionals find it stressful to report an error due to fear of disciplinary action or blame; a no-blame culture must be implemented into …

Evaluation Of Purposeful Rounding On Patient Falls, Stephanie Spittle

Nursing Theses and Capstone Projects

The purpose of this study was to evaluate the effectiveness of routine purposeful rounding on the total number of falls on a medical unit in an acute care hospital. The project was prompted by high fall rates within the hospital and the implementation of the purposeful rounding initiative. Staff training was provided in a two hour educational class which covered the purpose for the initiative as well as the specific functions that must be performed with each round. To evaluate the effectiveness of purposeful rounding on patient falls, pre and post rounding fall rates were compared. These initial results were …

Nurse Perceptions Of Physician-Nurse Collaboration In The Home Health Setting: A Pilot Study, Tameki Mongo

Nursing Theses and Capstone Projects

This quantitative, descriptive study surveyed 20 registered nurses in a single home health setting for the purpose of uncovering nurse attitudes toward physician-nurse collaboration. Particularly, the researcher was interested in whether the nurses held "positive" or "negative" attitudes. The data collection instrument was the Jefferson Scale of Attitudes toward Physician-Nurse Collaboration (JSAPNC). Study data was analyzed via means of descriptive and inferential statistics.

Although non-significant, the findings of this study indicate that nurses in this particular home health setting demonstrated positive attitudes toward physician-nurse collaboration. Age and number of years in nursing practice had no effect on total scores on …

The Experienced Critical Care Rn's Perception Of New Graduate Rns Competence In Critical Care Using Benner's Novice To Expert, Denise H. Reid

Nursing Theses and Capstone Projects

The purpose of the study was to describe the experienced critical care RNs' perception of the new graduate RNs' competence in critical care areas. Using the Six-Dimension Scale of Nursing Performance (Six-D Scale) by Patricia Schwirian, experienced nurses from critical care areas with at least three years of experience were asked to rate new graduate RNs in their critical care area on specific nursing activities. Benner's theory of Novice to Expert is used as the theoretical framework. Findings revealed that experienced critical care RNs perception of new graduate RNs is greater than expected. All activities on the Six-D Scale were …

Entry-Level Clinical Nurse Leader: Evaluation Of Practice, Eira Ilse Klich-Heartt

Doctor of Nursing Practice (DNP) Projects

The Clinical Nurse Leader (CNL) is a master-prepared generalist accountable for patient outcomes through application of evidenced-based practice at the microsystem level. Accelerated nursing programs are educating entry level nurses as CNLs in a novel Model C program. This doctoral project evaluates entry-level master’s CNL graduates with the CNL end-of-program competencies to determine whether these graduates are able to have positive effects on patient, systems, and leadership outcomes in clinical settings.

Spirit & Practice, Maine Medical Center

Annual Reports

Annual Report on Nursing, 2009-2010

Culture Change And Quality Of Life In Elderly Persons Living In Long Term Care, Carol S. Jones

UNF Graduate Theses and Dissertations

Quality of life in long term care (LTC) is a concern for many stakeholders. The elders who are living in LTC facilities, their families, the staff, and government and policy makers are all interested in providing quality care and quality of life to those persons living within the facility. Culture change is one way for LTC facilities to begin to give decision making to the residents, and to increase quality of life of these elders. There are different culture change models that embrace the concept of person-centered care. No matter which model is chosen, the essence of the change is …

Can We Get Nurses To Stay? A Qualitative Study To Evaluate The Effectiveness Of A Formal Mentoring Program In An Acute Care Health System, Eileen M. Willits

Dissertations

This qualitative phenomenological case study was designed to investigate the affect that a formal mentoring program had on job satisfaction including a nurse's intent to stay with their current employer and their intent to stay in the nursing profession. The research was intended to determine whether mentoring programs could be used to help avoid the affect of the upcoming predicted nursing shortage in the acute care hospital.

The findings were based on the results of a sample of twelve nurses who had voluntarily signed up to take part in a formal mentoring program sponsored by the staff development department of …

A Pilot Study Of Organizational Performance, Performance Barriers And Faculty Engagement In The Nursing Education Unit, Yolanda Chapman Turner

Dissertations

This pilot study was driven by the problem of market disequilibrium and the subsequent overarching desire to identify and describe principles and processes taken by nursing education units to optimize market equilibrium for nursing service in response to cyclical market demands. Given the complexities of market responsiveness in conjunction with changes in healthcare delivery, health economics, population demographics, higher education and other contextual factors, it is essential for nursing education as a whole to be in a position to respond to demand. The purpose of this study was to investigate organizational performance, performance barriers and faculty engagement in the nursing …

An Evaluation Of Interventions Designed To Impact Nurses : A Pilot Project, Pamela G. Bing Perry

Loma Linda University Electronic Theses, Dissertations & Projects

This pilot project was designed from a systems approach as defined within the field of marriage and family (MFT). Systems theory has been used successfully in examining and working with organizational relationships as exemplified in the work of Edwin H. Friedman. His contribution includes several books specifically developed for use in organizations; one that was tailored for religious groups; and another for managers (Friedman, 2007). While other MFT modalities have also been used effectively with organizations, the complexity of the influences operating within an organization most closely matches the systems approach. For this reason, this is the conceptual framework applied …

Preparing For Cne Certification: A Journey To Excellence, Dawn Garrett-Wright, Crista Briggs, Cathy H. Abell

Nursing Faculty Publications

No abstract provided.

A Study Of Program Completion And Attrition In One Baccalaureate Nursing Program In The Southeastern United States, Lori J. Shrock

Nursing Theses and Capstone Projects

Already facing a national hospital and long-term care registered nurse (RN) shortage, the current number of potential nurse candidates successfully completing baccalaureate nursing programs (BNPs) is not sufficient to meet the estimated demand for baccalaureate-prepared nurses in the United States of America (U.S.) and worldwide. Yet program attrition due to varying reasons leads to graduating nursing classes that are below the clinical program's admission limit in a particular BNP in the Southeastern U.S.--often considerably lower. The study used a convenience sample of all current or former BNP students enrolled in the university from the fall of 2004 to the spring …

Ob-Pdcds English, Marianne E. Weiss

Quality of Discharge Teaching Scale

The Readiness for Hospital Discharge Scale, Quality of Discharge Teaching Scale, and Post-Discharge Coping Difficulty Scale were developed by Dr. Marianne Weiss to measure nurse-sensitive discharge care processes and patient outcomes. Three versions of the scales were developed concurrently for different patient populations – Adult medical-surgical patients, Parents of hospitalized children, and Postpartum Patient mothers (see Weiss & Piacentine, 2006, Weiss et al., 2007, and Bobay et al., 2018 for description of the development and initial testing). Additional scales and information about translation rights are located at Marquette Nursing.

PERMISSION TO USE

The Readiness for Discharge Scale, Quality of Discharge …