Nursing Commons^™

Mindfulness-Based Interventions And Stress, Jacqueline Parker

Doctor of Nursing Practice Final Project Abstract

Purpose: Stress within the nursing profession is a substantial issue. Staff shortages, poor leadership, and even COVID-19 have contributed to an increase in nursing stress. Stress can negatively impact a nurse’s ability to perform at an optimal level while at work. The purpose of this project is to reduce perceived stress by implementing mindfulness-based interventions (MBI).

Background: The project was implemented in a twenty-three-bed unit that cares for the post operative pediatric population in Houston, Texas.

Methodology: A series of in-person and virtual educational lessons (eight total) on MBIs (with flyers) were implemented throughout this project. The Perceived Stress Scale …

Network Analysis Of Headache Diagnoses Using International Classification Of Headache Disorders, 3rd Edition, Pengfei Zhang, Thomas Berk

College of Nursing Faculty Papers & Presentations

BACKGROUND AND OBJECTIVE: The International Classification of Headache Disorders, Third Edition (ICHD-3), significantly influences clinicians' understanding of headache disorders. In this study, we aim to elucidate how the hierarchical structure of ICHD-3 shapes the understanding of interconnectivity among headache disorders.

METHODS: A network comprises elements known as "nodes," with the connections between them referred to as "edges." In our study, a node represents a headache diagnosis that meets at least one ICHD-3 diagnostic criterion of the ICHD-3. We developed two network models for ICHD-3: a non-hierarchical model, where edges are only formed by cross-references found within the text of diagnoses, …

Adverse Childhood Experiences: Healing Through Storytelling And Mindful Narrative Therapy, Julie Kemp

Mindfulness Studies Theses

This study presents research about the nature and prevalence of adverse childhood experiences (ACEs), the mental and physical impacts to individuals exposed to ACEs, and incorporating mindfulness practices into therapeutic approaches to treating them, particularly Mindfulness-Based Narrative Therapy (MBNT). It is important because ACEs have become a global crisis, with the potential for interfering with psychological and physical development, early mortality, and other harmful life outcomes. This thesis provides critical information for mindfulness teachers and practitioners, therapists, educators, regulators, parents, and individuals subjected to ACEs.

The methodology includes extensive literature searches for narrative therapy and mindfulness-based interventions (MBIs) in peer-reviewed …

Caring For Native American Elders: Developing Cultural Knowledge And Comfort Levels Of Senior Nursing Students In Northern California, Ireland Odonnell

Nursing | Senior Theses

Providing appropriate care to patients in the healthcare setting includes being aware of their culture. Nurses play an important role in caring for patients and need to know how to be culturally sensitive toward their patients. Various research articles highlight the lack of knowledge and comfort that current nurses and nurse educators have when caring for culturally diverse patients. Research also shows that a lack of overall knowledge about how to be culturally competent, knowing how to care for patients from different backgrounds, and understanding the effect cultural beliefs have on modern-day medicine poses a challenge when trying to provide …

A "Mind"Ful Diet: Analyzing Nursing Education On The Mind Diet For Early-Onset Alzheimer's Disease, Audrey Marie Rafols

Nursing | Senior Theses

Early-Onset Alzheimer’s Disease (EOAD) is a rare form of Alzheimer’s Disease (AD) that makes up around 5% of AD cases. The Mediterranean-DASH Intervention for Neurodegenerative Delay (MIND) diet, a hybrid diet of the Mediterranean and DASH (dietary approaches to stop hypertension) is an approach that patients with EOAD can adapt to slow down the progression of cognitive decline. Current literature focuses on what the effects of the diet are more for AD and not EOAD specifically, where there is less of an established baseline of nurse knowledge. The lack of research about what nurses understand regarding providing education of the …

Developing A Culturally Sensitive Nursing Framework For Muslim Patients Practicing Ramadan: Focusing On Fasting Benefits And Islamic Dietary Recommendations, Amreen M. Munshi

Nursing | Senior Theses

Background: Muslims practice Ramadan, a month-long period of fasting from dawn to dusk, yet many healthcare providers lack knowledge of its principles and practices. Hospitals lack formal education on caring for fasting Muslim patients, leading to a knowledge deficit in cultural competence and sensitivity of Islamic practices. Purpose: This paper proposes a research design for a nurse education program on Ramadan fasting to promote cultural competence and sensitivity in nursing care. The proposed research aims to educate nurses on Islamic practices, particularly Ramadan, to bridge the cultural competency gap. The literature review also explores the health benefits of …

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 …

The Role Of Sexual Assault Nurse Examiners: Addressing The Shortage And Its Implications For Healthcare, Isabel Mary Mccarthy

Nursing | Senior Theses

Background: Sexual Assault Nurse Examiners (SANE) are registered nurses specifically trained to perform forensic examinations and provide medical and emotional support to sexual assault victims. Many nursing programs lack formal education on SANE practices, which can hinder students' preparedness to address such cases in their future careers.

Method: A mixed-methods, three-phase approach to evaluate the effectiveness of a Sexual Assault Nurse Examiner (SANE) training module within the Dominican University of California Nursing Program. 40- 60 nursing students will be separated into two separate community health classes with one given module in SANEs nursing and the other not. Both classes …

Burnout Among Nurses In The United States, Faheem Ohri

Social Work Dissertations - Archive

Burnout is an exhausted state of the body, mind, and emotions, characterized by feelings of “depersonalization and reduced personal accomplishment” resulting from prolonged and continuous occupational stress. Burnout among nurses in the United States (U.S.) is a growing concern with significant implications for healthcare professionals and patient outcomes. Nurse burnout compromises patient safety and workforce stability, but pre-pandemic national correlates remain understudied. This dissertation examined employment settings and demographic correlates of burnout among U.S. nurses using the National Sample Survey of Registered Nurses (NSSRN) secondary datasets. Compared inpatient burnout odds pre-/post-pandemic using national twin surveys. Jackknife complex survey logistic regression …

Resilience And Reality: Exploring The Lived Experiences Of People Living With Hiv In Texas During The Covid-19 Pandemic – A Qualitative Study., Ahmed F. Alanazi

Social Work Dissertations - Archive

This study investigated the lived experiences of individuals living with HIV (PLWH) in the Dallas-Fort Worth (DFW) area of Texas during the COVID-19 pandemic, using an Interpretative Phenomenological Analysis (IPA) framework. The research examined the intersection of health, social dynamics, and psychological resilience among PLWH, who faced compounded vulnerabilities due to systemic inequities and the dual public health crises of HIV and COVID-19. Through semi-structured interviews with ten participants from diverse backgrounds, the study captured the profound impacts of disrupted healthcare systems, heightened stigma, and social isolation on this marginalized population. The findings reveal that the pandemic exacerbated existing inequities …

Exploring Factors Influencing Posttraumatic Growth Among Nurses: A Path Analysis, Shinhi Han, Hee Sun Kang, Koun Eum, Kathleen Karsten, Faith Armstrong

Publications and Research

Introduction: Persistent exposure to the COVID-19 pandemic has subjected frontline nurses to heightened levels of collective traumatic syndromes, including stress, burnout, and emotional distress. Resilience and self-compassion may serve as protective factors in mitigating stress and burnout stemming from the pandemic. Moreover, these factors may contribute to posttraumatic growth (PTG), which has been recognized as a potential outcome for nurses caring for patients. This study aimed to investigate the factors contributing to PTG among registered nurses, with perceived stress, burnout, resilience, and self-compassion.

Methods: This cross-sectional observational survey used convenience sampling with 228 registered nurses from New York. Data were …

Psychosocial Factors Affecting Quality Of Life In Kidney Transplant Recipients, Lawrence Panlilio

Nursing | Senior Theses

Background: Kidney transplantation is the best solution to save lives for those that have end-stage renal disease. However, psychosocial issues play a huge role in their quality of life after the procedure which can affect these individuals negatively. These issues recipients face include depression and anxiety, a lack of social support, and self management difficulties. Objective: This research consists of investigating psychosocial factors that affect kidney transplant recipients’ quality of life. Evidenced by research, focused assistance with ongoing support in patients is essential after receiving surgery and recovery. A literature review was conducted that consists of research on studies with …

Racial Health Disparities Among Pregnant Women Of Color In New York City: Biological And Systemic Impacts, Kaylin Peña

Pitzer Senior Theses

Racial Health Disparities Among Pregnant Women of Color in New York City: Biological and Systemic Impacts

Abstract

This thesis aims to explore how racial health disparities, underrepresentation in gynecology, and socioeconomic barriers contribute to adverse pregnancy outcomes among women of color in New York City. Through an interdisciplinary approach that combines resources from medical anthropology and human biology, this research will examine the biological implications of chronic stress, specifically HPA axis dysregulation, and its role in maternal health outcomes. With the idea of intersectionality, as conceptualized by Kimberlé Crenshaw, the study analyzes the various effects of systemic inequities and social …

Implementing Gallup 12+ Employee Engagement Survey In A Critical Access Hospital, Catherine R. Hardwick

Honors Theses and Capstones

Objective: To utilize the Gallup Q12+ survey to assess baseline staff engagement among nurses and nursing assistants at a critical access hospital, implement direct education intervention, and evaluate its impact on staff engagement rates, with the goal of identifying micro and macro-problems.

Methods: This quality improved project was conducted at Littleton Regional Hospital, a level Ⅲ trauma center and critical access hospital. The PDSA cycle started on March 1 and ended May 10. The Gallup Q12+ survey was sent to Registered Nurses, Licensed Nursing Assistants, and Nursing Technicians to establish baseline staff engagement levels and areas that need improvement. Directed …

Exploring The Mental Impact Of End-Of-Life Care Exposure On Neonatal Nurses: Perspectives And Insights, Kaith Monterroso

Nursing | Student Research Posters

Purpose: This research investigates education interventions aimed to improve neonatal nurses’ knowledge in End-of-Life Care (EoLC), with a goal in improving their mental health using coping strategies. This study seeks to, in the end, deliver effective sensitive and comprehensive care during EoLC. Improved education in this area is expected to enhance higher quality of care while fostering better mental health outcomes for nurses themselves. Methods: The proposed research utilizes a pre- and post-test design to evaluate the effectiveness of education and training in nurses who have a minimum of 3 to 4 years of experience in the Neonatal Intensive Care …

Exploring Lgbtq+ Competency In Healthcare, Jordan Whiteman

Honors College Theses

Marginalized groups such as the LGBTQ+ community are known to face healthcare disparities that negatively affect their process of navigating healthcare systems. This project explores the perceived lack of representation and understanding of the LGBTQ+ community within healthcare settings, exposing the deficits in knowledge for unique challenges and inequalities these patients may face. By viewing the literature, a myriad of complications faced by LGBTQ+ people in clinical settings can be identified. They possess a generalized feeling of mistrust towards the healthcare system. Healthcare staff overall describe low confidence with caring for this demographic. Heteronormativity’s presence in the field of healthcare …

Improving Adherence In Adolescent Kidney Transplant Recipients, Kaylen Munoz

Nursing | Student Research Posters

Background: Adolescent and young adult (AYA) kidney transplant recipients face unique challenges in maintaining long-term graft function and overall health. Nonadherence to immunosuppressive therapy and difficulties transitioning from pediatric to adult care contribute to the increased risk of graft failure in this population. Despite proposed tools identifying adherence barriers, there is a lack of implementation and targeted interventions addressing the barriers AYA transplant recipients face. Purpose: This study aims to evaluate the effectiveness of a structured transition program that utilizes an adherence barrier tool and adherence-promoting interventions in improving health outcomes for adolescent and young adult (AYA) kidney transplant recipients. …

Developing A Culturally Sensitive Nursing Framework For Muslim Patients Practicing Ramadan: Focusing On Fasting Benefits And Islamic Dietary Recommendations, Amreen Mahmood Munshi

Nursing | Student Research Posters

Background: Muslims practice Ramadan, a month-long period of fasting from dawn to dusk, yet many healthcare providers lack knowledge of its principles and practices. Hospitals lack formal education on caring for fasting Muslim patients, leading to a knowledge deficit in cultural competence and sensitivity of Islamic practices. Purpose: This paper proposes a research design for a nurse education program on Ramadan fasting to promote cultural competence and sensitivity in nursing care. The proposed research aims to educate nurses on Islamic practices, particularly Ramadan, to bridge the cultural competency gap. The literature review also explores the health benefits of …

The Impact Of Parental Mental Health On Infants In The Neonatal Intensive Care Unit, Andee L. Plaskett

Nursing | Student Research Posters

The neonatal intensive care unit (NICU) provides critical and life saving care for infants born with medical complications that may need specialized care. The NICU environment can be an overwhelming and stressful place for both parents and infants. Parental mental health challenges, such as stress, anxiety, and depression, can significantly impact infants in the NICU by hindering parent infant interaction and connection. Parental mental distress is often linked to an increase in anxiety for the infant, as well as higher rates of medical complications and a higher likelihood of longer hospital stays for the infant. Parental stress can have a …

Culturally Sensitive Nursing Care And Its Impact On Abuse Disclosure Among Immigrant-Origin Populations​, Jaspal Uppal

Nursing | Student Research Posters

Background: Immigrant-origin patients often face many systemic barriers when accessing healthcare. Factors such as language barriers, fear of deportation, limited trust in healthcare providers, and lack of culturally sensitive care make it hard for patients to disclose abuse. These challenges contribute to poor health amongst vulnerable populations which highlights the importance of using culturally sensitive and trauma-informed care. Objective: This research aims to test whether culturally adapted, trauma-informed nursing care improves disclosure of abuse and access to support services. The objective is to strengthen safety and trust between healthcare providers and patients through culturally sensitive care. Method: A quantitative quasi-experimental …

Exploring Dominican University Nursing Student’S Perceptions Of Economic Barriers To Accessing Essential Women’S Health Products, Annabelle E. Burke

Nursing | Student Research Posters

Access to essential feminine hygiene products, including menstrual supplies and hygiene items, is a growing economic and public health issue. Rising product prices and reliance on costly disposable products contribute to financial strain for many women. Period poverty is the lack of access to menstrual products, education, and hygiene facilities due to financial constraints, and it negatively affects women’s physical and mental health, particularly among students and low-income populations. Research shows that limited access to menstrual products affects dignity, sanitation, and emotional well-being and is compounded by social stigma and cultural silence surrounding menstruation (Brinkley & Niebuhr, 2023). Findings from …

The Psychosocial Effects Of Chemotherapy On The Adolescent Population: Implementing Community Building Programs, Kareena Jakhu, Princess Kyra R. Anicete

Nursing | Student Research Posters

Background: During the adolescent stage (13-18), individuals go through role confusion and seek much of their validation from their fellow peers. Forming a strong sense of community is crucial in this stage of development as it helps with creating a foundation for who they want to become. Chemotherapy strips this aspect of socialization due to its ability to suppress the immune system. When socialization is taken away, adolescents face loneliness, which greatly impacts their development. Purpose: The purpose of this research is to look into the adolescent population undergoing chemotherapy and help them aid the lack of socialization caused by …

The Role Of Sexual Assault Nurse Examiners: Addressing The Shortage And Its Implications For Healthcare, Isabel Mary Mccarthy

Nursing | Student Research Posters

The increasing prevalence of sexual assault cases has highlighted the crucial need for trained healthcare professionals who can effectively provide sensitive care for survivors. Sexual Assault Nurse Examiners (SANE) are registered nurses specifically trained to perform forensic examinations and provide medical and emotional support to sexual assault victims. However, many nursing programs lack formal education on SANE practices, which can hinder students' preparedness to address such cases in their future careers. This study aims to evaluate the effectiveness of a specialized Sexual Assault Nurse Examiner (SANE) training module integrated into an undergraduate nursing curriculum at Dominican University of California. By …

The Effects Of Strong Social And Parental Support Compared To Low Or Absent Support In Lgbtqia+ Youth Mental Health, Kassandra Bautista

Nursing | Student Research Posters

Throughout history, sexual and gender minorities have faced a range of emotional and psychological challenges shaped by their unique experiences and interactions with society, family, and peers. According to the American Psychiatric Association (APA), homosexuality was classified as a sociopathic personality disturbance in the first edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-I) in 1952, and it remained listed as a mental disorder until it was removed in 1973. Individuals that identified as lesbian, gay, bisexual, transgender, queer, or other identities within the LGBTQIA+ community were historically seen as abnormal and were often subjected to ethically problematic …

The Impact Of Nurse-Led Distraction Techniques On Pain And Anxiety During Cancer Treatment In Pediatric Oncology Patients: Examining Virtual Reality And Play Therapy, Alexis Abalos

Nursing | Student Research Posters

Children undergoing cancer treatment often experience pain and anxiety during procedures such as port access or peripheral catheterization. Nurse-led distraction techniques, including virtual reality and play therapy, have emerged as promising non-pharmacologic interventions to reduce pain and anxiety in pediatric oncology patients. Existing data from primary and secondary research articles reveal the effectiveness of virtual reality and play therapy on reducing pain, anxiety, and psychosocial distress in pediatric oncology patients receiving cancer treatment. This study proposes a quasi-experimental design involving 90 pediatric oncology patients aged 6–12 years diagnosed with leukemia. Participants will be placed in a nurse-led VR distraction, play …

An Exploration Of The Clinical Senior Nursing Student Preceptor Relationship, Kimberly Nicole Dunker

Dissertations

Problem

The use of clinical preceptors for training is well documented in the literature as an effective strategy for helping students, new graduates, and RNs orient to their roles in healthcare facilities. The need to ensure that the preceptor is adequately trained and then matched to a preceptee for a successful relationship is a challenge. The healthcare facility does its best to identify a preceptor and ensure adequate training is completed and there is a willingness to facilitate the experience. The academic institution is required to ensure that preceptors are chosen based on criteria outlined by the board of nursing …

Reducing Stress Related To Injection Therapy: A Zen Bundle Approach, Valoree Bowen

Doctor of Nursing Practice (DNP) Scholarly Projects - Archive

Background: Needle fear and stress are common barriers preventing adults from seeking necessary medical treatments, including intramuscular (IM) injection therapy. Research highlights the need for evidence-based interventions to mitigate this fear and improve patient experience.

Objective: This evidence-based pilot project included a Zen Bundle—an intervention incorporating shared decision-making, aromatherapy, and distraction—to evaluate the impact on stress reduction and patient satisfaction in a retail vitamin shop in North Texas.

Methods: The project utilized a pre-and post-intervention design over eight weeks. Participants completed pre-surveys assessing stress levels using a Visual Analog Scale before choosing an intervention (aromatherapy, distraction, or both) during IM …

Traditional And Non-Traditional Behavioral Tests Demonstrate The Attenuation Of Cognitive Deficits By Therapeutic Hypothermia In A Rat Model Of Neonatal Hypoxic-Ischemic Encephalopathy, Angela Saadat, Cortney Kaszowski, Haree Pallera, Frank Lattanzio, Richard A. Britten, Asna Sulaiman, Stephanie Newman, Alireza Hosseini, Tushar Shah

Department of Pediatrics Faculty Publications

Introduction: Neonatal hypoxic-ischemic encephalopathy (HIE) is neurological disease caused by the deprivation of oxygen and blood flow to the brain during the developmentally-critical perinatal period. Therapeutic hypothermia (TH) is the standard of care treatment for HIE, though cognitive deficits can persistent throughout life despite treatment. The nature of these deficits, and the impacts of TH and sex are not well understood, and this presents a key barrier in the development of novel therapeutics.

Methods: The goal of this study was to enhance the characterization and measurement of cognitive outcomes with tasks that measure spontaneous behaviors in a rodent models of …

Addressing Barriers In The Primary Prevention Of Hypertension In Black People, Makalah Pierre Rn Bsn

Honors Undergraduate Theses

Hypertension is a significant health concern among minority groups, and the black population is most at risk (Abrahamowicz et al., 2023). The black population experience higher prevalence rates of hypertension compared to other racial groups and are more likely to experience hypertension-related problems, including cardiovascular disease (CVD) and chronic kidney disease (CKD).  This literature review explores various nursing interventions aimed at preventing hypertension within this population. In this review, the term “black people or persons” is a broad term used to describe both African Americans and people of Afro-Caribbean decent. This includes various backgrounds such as Haitian, Jamaican, or otherwise …

Screening For The Unseen: Depression Detection Through Phq-9 And Provider Education In Pain Management, Veronica Shaw

DNP Projects

Background: Depression leads to significant economic and health burdens, causing 200 million lost workdays and costing employers $17 to $44 billion annually (CDC, 2022). It accounts for 4.3% of the global disease burden and is a leading cause of disability worldwide (WHO, 2021). Chronic pain, affecting 20.9% of United States adults, often exacerbates depression, creating a vicious cycle of physical and emotional suffering (Rikard et al., 2023). Despite the availability of effective treatments, depression is frequently missed in primary care settings, with 50% of cases undiagnosed (Hawkes, 2019). Addressing both depression and chronic pain through improved screening and holistic care …