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Selected Works

2018

Articles 1 - 23 of 23

Full-Text Articles in Nursing

Hospital Nurse Burnout: A Continuing Problem, David P. Paul Iii, Lama Bakhamis, Harlan M. Smith Ii, Alberto Coustasse Nov 2018

Hospital Nurse Burnout: A Continuing Problem, David P. Paul Iii, Lama Bakhamis, Harlan M. Smith Ii, Alberto Coustasse

Alberto Coustasse, DrPH, MD, MBA, MPH

RNs are a critically important component of the U.S. healthcare system. RN burnout – the feeling of exhaustion from working long hours without rest – is a real concern, having been reported in many hospitals. We examine the background, causes and consequences of burnout among RNs in U.S. hospitals, in order to identify solutions to this problem. Findings indicate that Burnout Syndrome in RNs can be analyzed in terms of four clusters of characteristics: individual, management, organizational, and work. The consequences of burnout include increased RN turnover rates, poor job performance, and threats to patient safety. RN burnout in hospitals …

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Implementation Of Motivational Interviewing Training In An Undergraduate Nursing Curriculum: Identifying Adolescents At Risk For Substance Use, Denise Seigart, Max Veltman, Janet Willhaus, Colene Letterle Nov 2018

Implementation Of Motivational Interviewing Training In An Undergraduate Nursing Curriculum: Identifying Adolescents At Risk For Substance Use, Denise Seigart, Max Veltman, Janet Willhaus, Colene Letterle

Janet Willhaus

Motivational interviewing (MI) has been increasingly utilized by health care practitioners for many years. MI has been practiced by social workers, nurses, physicians, psychologists, substance use counselors, and many other health care practitioners. Unfortunately, many health care practitioners do not have adequate training in motivational interviewing, and therefore feel ill equipped to utilize this approach when faced with clients who are in need of assessment and coaching. This paper discusses our experiences with a pilot project to implement MI training within an Adolescent SBIRT (Screening, Brief Intervention, Referral to Treatment) content addition to the undergraduate nursing curriculum. It includes discussion …

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Current Trends And Practices Of Intensive Care Unit Visitations., Geraldine Fike, Alham Abuatiq, Allan W. Stoner, Dawn Blue Nov 2018

Current Trends And Practices Of Intensive Care Unit Visitations., Geraldine Fike, Alham Abuatiq, Allan W. Stoner, Dawn Blue

Dr. Alham Abuatiq

No abstract provided.

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Development And Testing Of A Pre-Discharge Medication Management Course For Patients With Catastrophic Injuries And Their Family Caregivers, Tiffany Lecroy, Tolu O. Oyesanya Oct 2018

Development And Testing Of A Pre-Discharge Medication Management Course For Patients With Catastrophic Injuries And Their Family Caregivers, Tiffany Lecroy, Tolu O. Oyesanya

Tiffany LeCroy

Background:
  • A priority of recovery after a catastrophic injury, such as ABI or SCI, is independence in management of the condition, including medication management.
  • Research shows that after discharge from inpatient rehabilitation, patients with ABI and SCI and their family caregivers have difficulty managing the patient’s medication.
  • Medication adherence is consistently a major clinical problem for patients with ABI and SCI, with poor adherence being linked to readmissions and suboptimal outcomes.
Purpose of Study:
The purpose of this study was to develop and test the efficacy of a pre-discharge course designed to increase perceived knowledge and perceived confidence for post-discharge …

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Intraoperative Ketamine Administration: An Adjunctive Therapy That Reduces Postoperative Pain For Patients Undergoing Spinal Surgery, Brittany Pierce Sep 2018

Intraoperative Ketamine Administration: An Adjunctive Therapy That Reduces Postoperative Pain For Patients Undergoing Spinal Surgery, Brittany Pierce

Brittany Pierce

No abstract provided.

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Coping Strategies For Recovering Alcoholics And Addicts To Prevent Relapse, Heather Carr, Kristan Rigdon, Margaret Price, Hannah Fortner, Adam Herring Aug 2018

Coping Strategies For Recovering Alcoholics And Addicts To Prevent Relapse, Heather Carr, Kristan Rigdon, Margaret Price, Hannah Fortner, Adam Herring

Heather Carr

Purpose: Alcohol and drug addiction is a global concern with relapse rates between 65 and 70 percent among alcohol and opioid dependent individuals.  Recovery is a lifelong process, which an individual must work at maintaining daily. In conjunction with extensive inpatient and outpatient treatment, each individual is given a variety of coping strategies to facilitate sobriety maintenance.  This study aimed to identify effective coping strategies for prevention of relapse and increase the effectiveness of treatment.  Methods: A survey of 23-item questionnaire, consisting of both qualitative and quantitative origins, was distributed to a convenience sample of 250 of …

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Project 2018.Docx, Xin Zeng Aug 2018

Project 2018.Docx, Xin Zeng

xin zeng

No abstract provided.

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What's Trending In Infection Control? Scoping And Narrative Reviews, Brett G. Mitchell, Dayna Petrie, Lindsay Morton, Stephanie Dancer Aug 2018

What's Trending In Infection Control? Scoping And Narrative Reviews, Brett G. Mitchell, Dayna Petrie, Lindsay Morton, Stephanie Dancer

Lindsay Morton

Objective.

To explore the trends in infection control peer-reviewed journals, mainstream media, and blogs written by infection control professionals

Design.

Narrative and scoping reviews methods. Narrative and scoping reviews were performed to identify trending infection prevention and control topics from international journals, national news websites, newspapers, and so-called grey literature throughout 2015. Data were analysed using word frequencies and results are displayed in word clouds.

Results.

For 2015, our search identified 6 news websites with a total of published 116 articles, 71 articles from selected newspapers, and 214 publications from infection control websites. In total, 1,059 journal articles …

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N5330 18 Moore A Poster.Pdf, Amanda Moore Jul 2018

N5330 18 Moore A Poster.Pdf, Amanda Moore

Amanda Moore

No abstract provided.

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Nurses' Spiritual Care Practices: Assessment, Type, Frequency, And Correlates, Iris Mamier Jun 2018

Nurses' Spiritual Care Practices: Assessment, Type, Frequency, And Correlates, Iris Mamier

Iris Mamier, PhD

This descriptive, correlational study described the type, frequency, and correlates of nurses' spiritual care practices (quantitative) and their experiences with the sacred at work (qualitative). A convenience sample of 554 (24%) of the Registered Nurses employed at a western United States faith-based tertiary care health system participated in this online survey. Nurses' spiritual care practices were assessed using the 17-item Nurses' Spiritual Care Practice Questionnaire (NSCQ). Factorial validity and reliability of the pilot NSCQ were established. Spiritual care practices most frequently endorsed were assessing patients' spiritual beliefs pertaining to health and listening to patients' stories of illness and their spiritual …

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Lymphedema Techniques To Manage Edema After Sci: A Retrospective Analysis, Rebecca Hammad, Catherine Furbish, W. Mark Sweatman, Edelle Field-Fote Jun 2018

Lymphedema Techniques To Manage Edema After Sci: A Retrospective Analysis, Rebecca Hammad, Catherine Furbish, W. Mark Sweatman, Edelle Field-Fote

Rebecca Hammad

Study design:
Retrospective analysis of treatment data for a cohort of clients with spinal cord injury (SCI) who received therapy for management of edema.

Objective:
To evaluate the safety, feasibility, and benefit of a modified lymphedema treatment approach for treatment of chronic lower extremity edema in persons with SCI.

Setting:
A specialty rehabilitation hospital in Atlanta, GA, USA.

Methods:
Certified lymphedema therapists with experience in SCI rehabilitation modified standard complete decongestive therapy (CDT) techniques to accommodate sensory and motor impairments and ensure skin safety. Therapists applied the modified CDT (mCDT) approach as part of treatment in 59 adults with SCI …

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Protocol For A Randomised Clinical Trial Investigating The Clinical Effectiveness And Cost Benefit Of A Lifestyle Intervention Targeting Type 2 Diabetes Mellitus, Linda Cloete, Brett G. Mitchell, Darren Morton Jun 2018

Protocol For A Randomised Clinical Trial Investigating The Clinical Effectiveness And Cost Benefit Of A Lifestyle Intervention Targeting Type 2 Diabetes Mellitus, Linda Cloete, Brett G. Mitchell, Darren Morton

Darren Morton

No abstract provided.

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Dnp Final Paper V 7.0 .Docx, Maria Timofeeva Apr 2018

Dnp Final Paper V 7.0 .Docx, Maria Timofeeva

Maria Timofeeva

ABSTRACT
Background: Atrial fibrillation (AF) is the most common cardiac arrhythmia, the incidence of which is growing as the population ages. This disease is a significant cause of mortality and morbidity and is associated with comorbidities such as obstructive sleep apnea (OSA). Current AF treatment guidelines recommend identifying possible reversible causes of AF such as OSA. The Atrial Fibrillation Quality Care Program is an outpatient transition clinic designed to provide individualized evidence-based care to patients with a new diagnosis of AF. A lack of consistency in screening for OSA was found to be present in this outpatient clinic. This …

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A Quality Improvement Project To Address Medication Discrepancies Between Primary Care Providers And Prescribing Specialists For Intellectually And Developmentally Disabled Adults, Kristi Watson Apr 2018

A Quality Improvement Project To Address Medication Discrepancies Between Primary Care Providers And Prescribing Specialists For Intellectually And Developmentally Disabled Adults, Kristi Watson

Kristi Watson

Background: Adults with intellectual and developmental disabilities face many unique challenges when it comes to healthcare. There is a high rate of polypharmacy as well as specialty involvement to address the dynamic health needs of this underserved population.
Methods: This DNP project assessed the rate of medication discrepancies between primary care providers and prescribing specialists to determine if there is an increase in the re-hospitalization rate at 30-, 60-, 90-day intervals among those with an increased rate of medication discrepancies. Individuals in not-for-profit group homes in Western Massachusetts diagnosed with an intellectual or developmental disability with multiple prescribing providers were …

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Improving Patient Wait Times, Patient Satisfaction, Staff Satisfaction And Patient Reported Review Of Systems Completeness Through Increased Use Of Eclinicalworks Kiosk Technology In Pediatric Primary Care, Jessica Gatto Apr 2018

Improving Patient Wait Times, Patient Satisfaction, Staff Satisfaction And Patient Reported Review Of Systems Completeness Through Increased Use Of Eclinicalworks Kiosk Technology In Pediatric Primary Care, Jessica Gatto

Jessica Gatto

Background: Timeliness of care is considered one of the core aspects to quality health care. Patient wait times that exceed 20 minutes may decrease the quality of care by decreasing patient satisfaction. Generally, previous quality improvement studies have been successful in reducing patient wait times and increasing patient satisfaction using a check-in kiosk.  

Local Problem: Patient wait times in a pediatric primary care setting were found to exceed 20 minutes. Additionally, an existing check-in kiosk was not being utilized 100% of the time during the patient check-in process, potentially leading to longer total patient wait times and corresponding decreased …

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A Quality Improvement Project For Co-Occurring Disorders In Outpatient Behavioral Health, Erin Sheehan Apr 2018

A Quality Improvement Project For Co-Occurring Disorders In Outpatient Behavioral Health, Erin Sheehan

Erin Sheehan

Purpose: Patients with mental health diagnoses often have co-occurring alcohol use disorders, which can exacerbate their psychiatric symptoms. A standardized assessment tool should be utilized for screening for alcohol use disorders in outpatient mental health programs so that interventions can be implemented when a co-occurring disorder is identified. The purpose of this project was to provide clinicians with education and to improve the process for screening patients with mental health disorders for problematic drinking behaviors to implement recommended interventions when appropriate to improve the overall quality of the patient’s care and increase the clinician’s knowledge and confidence in treating …

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Evaluation Of A Staff Resilience Program In A Pediatric Intensive Care Unit (Picu), Stacy Flanders Mar 2018

Evaluation Of A Staff Resilience Program In A Pediatric Intensive Care Unit (Picu), Stacy Flanders

Stacy Flanders

Abstract
Background:  Compassion fatigue (CF) and secondary traumatic stress (STS) is prevalent in intensive care nurses, especially in pediatric intensive care nurses (PICU).  CF/STS leads to burnout, reduced employee engagement, and nursing turnover. 
Purpose: The purpose of this project was to evaluate the impact of a staff resilience program on nursing turnover, employee engagement and improved compassion satisfaction/ resilience among nurses in a PICU.  
Methods: Aretrospective pre-test and post-test design was used to evaluate the impact on turnover and engagement after implementation of the staff resilience program.  Comparison of RN turnover and engagement results pre-implementation were compared to RN …

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Validating The Revised Scale For Caregiving Self-Efficacy: A Cross-National Review, Ann M. Steffen, Dolores Gallagher-Thompson, Katherine M. Arenella, Alma Au, Sheung-Tak Cheng, María Crespo, Victoria Cristancho-Lacroix, Javier López, Andrés Losada-Baltar, María Márquez-González, Celia Nogales-González, Rosa Romero-Moreno Mar 2018

Validating The Revised Scale For Caregiving Self-Efficacy: A Cross-National Review, Ann M. Steffen, Dolores Gallagher-Thompson, Katherine M. Arenella, Alma Au, Sheung-Tak Cheng, María Crespo, Victoria Cristancho-Lacroix, Javier López, Andrés Losada-Baltar, María Márquez-González, Celia Nogales-González, Rosa Romero-Moreno

Ann Steffen

No abstract provided.

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Prefinal With Without The Tables_ Clean 15-1-2018.Docx, Shahla Meedya, Carolyn Antoniou, Victoria Neville, Lindsey Brett, Neda Hodaei Dec 2017

Prefinal With Without The Tables_ Clean 15-1-2018.Docx, Shahla Meedya, Carolyn Antoniou, Victoria Neville, Lindsey Brett, Neda Hodaei

Shahla Meedya

Background: Rubrics and marking guides are commonly used in tertiary education to prepare students for a particular assessment task and to evaluate their performance in achieving the desired learning outcomes. However, it is important to identify students and academic markers’ perspectives when there is a shift from a traditional method of marking guide to a new rubric system.
Objective: To investigate the participants’ perspectives in introducing the rubric method compared to the usual marking guide in their assessment tasks.
Design: A concurrent mixed method pilot study
Setting: One of the tertiary institutions in Australia.
Participants: Third year undergraduate …

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Cultural Competency In Ethno-Pharmacology, Alham Abuatiq Dec 2017

Cultural Competency In Ethno-Pharmacology, Alham Abuatiq

Dr. Alham Abuatiq

Aims: To provide a review of literature to guide cultural competency in healthcare focusing on ethnopharmacology.
Methods: An integrative review completed using four databases including Science Direct, Scopus, Web of Science, and PubMed that covered the years between 2000 and 2018, and used the key words “Ethno pharmacology” and “Cultural Competency”. Ultimately, 12 studies meeting inclusion criteria were selected for analysis.
Findings: Most of the ethno pharmacology research applies to African Americans, Asians, and Whites, fewer studies targeted Hispanics. Asians require less psychotic drugs dosage, White individuals had a better antihypertensive response to β-blockers than Black individuals. Additionally, Whites responded …

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The Effectiveness Of Virtual Clinical Excursion Among Pre-Licensure Nursing Students, Alham Abuatiq Dec 2017

The Effectiveness Of Virtual Clinical Excursion Among Pre-Licensure Nursing Students, Alham Abuatiq

Dr. Alham Abuatiq

Background: The aims of this study were to first, investigate nursing students’ perceptions about the
effectiveness of implementing the Virtual Clinical Excursions (VCE) in improving their learning experiences. Second, to evaluate the effectiveness of VCE in improving students’ physical assessment skills. Third, to investigate if the VCE improved students’ oral and written communication skills.
Methodology: Mixed methods descriptive design, sample size was forty-two students.
Results: VCE effects on improving students’ physical assessment skills were evaluated by using Likert type question from 0 =”Not applicable” to 5=“Strongly agree”.26.2% (n=11) of students reported that the VCE was very effective in improving their …

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Evaluation Of Aprn Transition To Practice Program, Frances Hines Dec 2017

Evaluation Of Aprn Transition To Practice Program, Frances Hines

Frances Hines

The purpose of this quality improvement project is to evaluate the newly implemented APRN Onboarding Model.  The Onboarding pilot began in the summer of 2018.  This project focused on the second offering (pilot) of the onboarding program which occurred in June of 2018.  The APRN participants of the onboarding consisted of newly hired APRN’s into Norton Healthcare.  Both Adult-Gerontology Acute Care Nurse Practitioners and Family Nurse Practitioners were included in this program evaluation.  For this program evaluation a single survey instrument was developed to measure participants demographic, educational and work experience.  Additionally perceptions of their level of confidence and self-efficacy …

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Uncovering Stigma.Pdf, Donna M. Zucker Rn, Phd, Faan, Genevieve E. Chandler Phd, Suzanne Rataj Mph, Edith Dundon Phd, Dawn Heffernan Ms, Gloria T. Difulvio Phd, Mph, Diane Fedorchak M.Ed., Sally Linowski Phd Dec 2017

Uncovering Stigma.Pdf, Donna M. Zucker Rn, Phd, Faan, Genevieve E. Chandler Phd, Suzanne Rataj Mph, Edith Dundon Phd, Dawn Heffernan Ms, Gloria T. Difulvio Phd, Mph, Diane Fedorchak M.Ed., Sally Linowski Phd

Donna M. Zucker

No abstract provided.

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