Nursing Commons^™

Perceptions And Utilization Of A Multimedia Teaching Strategy To Prevent Student Nurse Attrition, Lorretta Krautscheid, Pamela Fifer, Rebecca Hernandez, Taryn Blum

Faculty Publications - College of Nursing

Untethered Lecture Capture (ULC) is a teaching method facilitating student classroom engagement while simultaneously creating audiovisual lecture capture (LC) resources. This single-site, convergent parallel mixed-methods study qualitatively described how nursing students with attrition risk factors perceived ULC influenced learning and quantified how such students utilized LC. Study participants (N = 28) reported watching most LC resources (57.1%) and 42.9% watched entire LC videos from start to finish. Qualitative findings produced new evidence about untethered faculty proximity in the classroom and ULC techniques supporting in-class focus and post-class self-paced learning efficiencies. Findings help nurse educators prioritize instructional methods among students with …

Examining Relationships Between Resilience Protective Factors And Moral Distress Among Nursing Students, Lorretta Krautscheid,, Laura Mood, Susan M. Mclennon, Taylor C. Mossman, Marie Wagner, Jessica Wode

Faculty Publications - College of Nursing

A correlation pilot study was conducted to examine relationships between resilience protective factors and moral distress associated with clinical practica in nursing students. Aggregate moral distress rating was x = 3.67. Two of four resilience protective factor subcategories demonstrated significant inverse correlations with moral distress rating. Inverse correlations were found between social support and moral distress (r = −.27, p < .05) and between goal efficacy and moral distress (r = −.37, p < .01). The findings should help educators prioritize resilience-enhancing educational strategies.

Untethered Lecture Capture: A Qualitative Investigation Of College Student Experiences, Lorretta Krautscheid, Samuel Williams, Benjamin Kahn, Katherine Adams

Faculty Publications - College of Nursing

Untethered Lecture Capture (ULC), a technology-enhanced teaching strategy, permits faculty to be freely mobile in the classroom (untethered) while simultaneously teaching and creating audiovisual media assets (lecture capture). Faculty, representing nine disciplines, implemented ULC in undergraduate courses. Qualitative content analysis resulted in three themes. Undergraduate participants (n¼23) reported ULC supports accessibility and education affordances, enhancing personalized, self-paced learning, and equal opportunities for academic success. Untethered faculty teach on our turf, teaching among rather than talking at students, enhancing time-on-task, in-class focus, and learner socialization. Understanding and retention were perceived as improved when multimedia instruction principles were integrated in the classroom.

Christ-Focused Service-Learning: Learning To Receive Ministry In Humility, Stephanie Matthew, Elizabeth Roark, Eloise Hockett

Faculty Publications - College of Nursing

Service-learning is an experiential process of action and reflection that allows students to expand their knowledge through real-world activities that benefit others. Service-learning opportunities for baccalaureate nursing students in Kenya have provided many ongoing examples of learning from our Kenyan collaborators. Receiving ministry from those we came to serve, allows allows us, in turn, to demonstrate Christ’s humility. In this article, we share specific stories of how various community partners ministered in unexpected ways to our teams of students and faculty, as we served in Kenya through healthcare and education.

Learning Cultural Humility Through Stories And Global Service-Learning, Stephanie Fisher, Eloise Hockett, Linda Samek

Faculty Publications - College of Nursing

Service-learning experiences are often utilized by nursing programs in efforts to increase the cultural competence of nursing students. Through the use of sharing story, the concepts of cultural competence and cultural humility can be explained for students preparing for upcoming intercultural experiences. This case study describes the experience of nursing students and university faculty on their first service-learning trip to rural Kenya and how the intercultural issues were navigated there as students developed characteristics of cultural humility. This story is now being shared in preparations for subsequent international trips with nursing students and can be a model for programs wanting …

Conflict-Handling Styles Demonstrated By Nursing Students In Response To Microethical Dilemmas, Lorretta Krautscheid, Carissa M. Luebbering, Beth A. Krautscheid

Faculty Publications - College of Nursing

Undergraduate nursing students have reported feeling ill-prepared to handle the conflict that accompanies the routine exposure to microethical dilemmas. Microethical dilemmas, as first defined by Worthley (1997), are routine questionable practices that have the potential to compromise quality patient care, negatively impact workplace culture, and initiate moral distress. Nurse educators employ a variety of strategies to support students’ ability to effectively manage conflict; however, little is known about how students authentically respond to ethical dilemmas. The purpose of this pilot study was to describe the frequency of conflict-handling styles demonstrated by undergraduate nursing students who encountered microethical dilemmas embedded within …

Moral Distress And Associated Factors Among Baccalaureate Nursing Students: A Multisite Descriptive Study, Lorretta Krautscheid,, Deborah A. Demeester, Valorie Orton, Austin Smith, Conor Livingston, Susan M. Mclennon

Faculty Publications - College of Nursing

Moral distress and its associated negative consequences among postlicensure nurses have been extensively discussed in the literature. Moral distress is defined as knowing the ethically correct action one should take but feeling constrained from acting on one’s convictions because of internal and external constraints (Epstein & Delgado, 2010; Hamric, 2014; Jameton, 1984; McCarthy & Gastmans, 2015; Musto, Rodney, & Vanderheide, 2015). The focus in much of the reviewed literature is on measuring and describing moral distress, moral residue (lingering feelings associated with moral distress), and subsequent deleterious consequences (frustration, apathy, compassion

The Art Of Compassion: Educating Nurses For The World (Chapter In Awaken The Stars: Reflections On What We Really Teach), Lorretta Krautscheid

Faculty Publications - College of Nursing

Excerpt: "A unique and perhaps subtle difference exists between educating the best nurses in the world and educating the best nurses for the world. There is a distinction between the two that is at the heart of what makes caring for someone in their time of need an incredible vocation. Think upon a time when you experienced the knowledge, skills, and care of a nurse! think each of us can identify or recall nurses who were proficient and effective coordinators of care. They were nurses who were professionals in the world, protecting and promoting health and safety for ind ividuals, …

Answering Student Questions During Examinations: A Descriptive Study Of Faculty Beliefs, Susan B. Stillwell, Lorretta Krautscheid

Faculty Publications - College of Nursing

Outcomes of examinations have serious implications for students. Thus, implementing evidence-based testing administration practices is critical. Conversations with faculty peers revealed a variety of beliefs and practices, including whether or not students may ask questions while taking an exam; some faculty answer questions on a case-by-case basis and others do not permit students to ask questions. A review of the literature offered little empirical evidence on testing administration practices and, specifically, no evidence on how to respond to students who ask questions during an exam. This study describes nurse educator beliefs about answering individual student questions while administering an examination. …

Rural India Women's Perception Of Health, Kaye Wilson-Anderson

Faculty Publications - College of Nursing

This qualitative, descriptive, phenomenological study explored how southern, rural women in India ( N = 14) view health, how they learned about health, and what health education they desired. Health education classes were offered, based on participants’ responses. Recommendations are offered for a best practice model that could potentially enhance the efforts of non-Indian nurses desiring to assist impoverished women and families in India.

Challenges To Breastfeeding Infants With Phenylketonuria, Sandra Banta-Wright

Faculty Publications - College of Nursing

Breastfeeding duration for infants with phenylketonuria (PKU) is less than other full-term infants. However, no study has examined the challenges encountered by mothers' breastfeeding infants with PKU. In 75 mothers of a child with PKU, three categories of breastfeeding challenges were identified: common breastfeeding issues, breastfeeding and PKU, and no challenges. The common breastfeeding issues can be identified in the literature but for these mothers, the issues are heightened due to frequent phenylalanine (Phe) monitoring. Even so, many mothers adapt breastfeeding to maintain desired Phe levels. A few mothers had no issues and were the exception, not the norm.

Development And Reliability Testing Of A Survey: Measuring Trusting And Deference Behaviors In Microethical Nursing Practice, Lorretta Krautscheid, Justin Britton, Carol Craig

Faculty Publications - College of Nursing

Novice post-licensure nurses are frequently exposed to microethical nursing practice problems during their first 24 months of formative practice. Often, novice nurses trust the advice of experienced nurse coworkers, deferring to such advice even when they know the advice contradicts evidence-based practice. This study revealed the prevalence of deference behaviors and associated rationale. Study findings emphasize the importance of incorporating conflict management, effective communication techniques, ethical frameworks, and EBP standards within pre- and post-licensure education.

Defining Professional Nursing Accountability: A Literature Review, Lorretta Krautscheid

Faculty Publications - College of Nursing

Professional nursing accountability is described by both professional nursing organizations and nursing education credentialing agencies as a core aspect that underpins professional nursing practice. Although accountability is foundational to professional practice, a review of the literature revealed no consistent language or definition regarding professional nursing accountability. Instead, the literature itself reveals that professional nursing accountability is challenging to both describe and define. The ambiguity surrounding how to define professional nursing accountability contributes to challenges associated with both teaching and evaluating student nurse accountability within nursing education curricula. This article provides a reliable and comprehensive definition of professional nursing accountability derived …

Breast Health Teaching In Predominantly African American Rural Mississippi Delta, Kaye Wilson-Anderson, Renee P. Williams, Tracilia Beacham, Naekhia Mcdonald

Faculty Publications - College of Nursing

This study's primary focus was breast health education to rural African American women in Mississippi and training of community members. Through practice in this area, women were found to lack knowledge of breast health which is the third leading cause of death in Mississippi Black women. They were open to education: N = 130, t = -16.6, df = 126, p < .001; 1 year, N = 35; 2-3 year N = 16 and 3 trained. Data suggest knowledge increased, a small percentage continued practices and community members would become trainers. One participant was diagnosed with breast cancer, received treatment and remained cancer-free after two years.

Breastfeeding Success Among Infants With Phenylketonuria, Sandra Banta-Wright, Kathleen C. Shelton, Nancy D. Lowe, Kathleen A. Knafl, Gayle M. Houck

Faculty Publications - College of Nursing

Breast milk is the nutrition of choice for human infants (American Academy of Pediatrics, 2005; American Association of Family Physicians, 2008; Association of Women’s Health Obstetric and Neonatal Nurses, 2005; Canadian Paediatric Society, 2005; U.S. Preventive Services Task Force, 2008; World Health Organization, 2009). The literature on the benefits of breast milk and breastfeeding for infants and mothers has established multiple positive outcomes for infants (Hoddinott, Tappin, & Wright, 2008; Horta, Bahl, Martines, & Victora, 2007; Ip et al., 2007). Breast milk has advantages for infants that distinguish it from standard commercial infant formulas. These advantages include growth factors, hormones, …

Student Perception Of Clicker Usage In Nursing Education, Pamela Fifer

Faculty Publications - College of Nursing

Nurse educators must explore innovative ways to engage students and stimulate learning. Student response system (SRS) technology is one tool educators can use to increase participation, provide immediate feedback, and encourage critical thinking. This study evaluated perceptions of first-year nursing students using SRS technology. The findings support the use of SRS technology as a positive pedagogical approach to incorporate in teaching associate degree nursing students.

Student Nurse Perceptions Of Effective Medication Administration Education, Lorretta C. Krautscheid, Valorie J. Orton, Lori Chorpenning, Rachel Ryerson

Faculty Publications - College of Nursing

Nursing faculty strive to educate students in a manner that prevents errors, promoting quality, patient-centered care. This endeavor is dependent upon meaningful and effective education that incorporates educational experiences reflective of the service sector. Anecdotal reports from clinical faculty and student nurses suggest that academic medication administration education may not optimally prepare students for safe entry into clinical practice. The aim of this phenomenologic qualitative research is to understand student nurse perceptions regarding teaching strategies and learning activities that prepared them for safe medication administration in acute care clinical settings. Focus group interviews resulted in two broad themes that are …

‘How Should I Touch You?’: A Qualitative Study Of Attitudes On Intimate Touch In Nursing Care, Chad O'Lynn, Lorretta Krautscheid

Faculty Publications - College of Nursing

Objective: Although touch is essential to nursing practice, few studies have investigated patients' preferences for how nurses should perform tasks involving touch, especially intimate touch involving private and sometimes anxiety-provoking areas of patients' bodies. Some studies suggest that patients have more concerns about intimate touch from male than female nurses. This study sought to elicit the attitudes of laypersons on intimate touch provided by nurses in general and male nurses in particular.

Methods: A maximum-variation sample of 24 adults was selected and semistructured interviews were conducted in four focus groups. Interviews were recorded and transcribed; thematic analysis was performed.

Results: …

Student Nurse Perceptions Of Effective Medication Administration Education, Lorretta C. Krautscheid, Valorie J. Orton, Lori Chorpenning, Rachel Ryerson

Faculty Publications - College of Nursing

Nursing faculty strive to educate students in a manner that prevents errors, promoting quality, patient-centered care. This endeavor is dependent upon meaningful and effective education that incorporates educational experiences reflective of the service sector. Anecdotal reports from clinical faculty and student nurses suggest that academic medication administration education may not optimally prepare students for safe entry into clinical practice. The aim of this phenomenologic qualitative research is to understand student nurse perceptions regarding teaching strategies and learning activities that prepared them for safe medication administration in acute care clinical settings. Focus group interviews resulted in two broad themes that are …

Improving Communication Among Healthcare Providers: Preparing Student Nurses For Practice, Lorretta Krautscheid

Faculty Publications - College of Nursing

Communication errors are identified by the Joint Commission as the primary root cause of sentinel events across all categories. In addition, improving the effectiveness of communication among healthcare providers is listed as one of the Joint Commission’s 2008 National Patient Safety Goals. Nursing programs are expected to graduate practice-ready nurses who demonstrate quality and safety in patient care, which includes interdisciplinary communication. Through objectively structured clinical assessment simulations, faculty evaluate each nursing student’s ability to perform many aspects of care, including the ability to communicate effectively with physicians via telephone in an emergent situation. This quality improvement project reports the …

Disorders Of Fatty Acid Oxidation In The Era Of Tandem Mass Spectrometry In Newborn Screening, Sandra A. Banta-Wright, Kathleen C. Shelton, Michael J. Bennett

Faculty Publications - College of Nursing

With recent advances in laboratory technology with tandem mass spectrometry (MS/MS), the number of infants identified with a fatty acid oxidation disorder has increased dramatically. Disorders of fatty acid oxidation comprise one of the most rapidly growing groups within the field of errors of metabolism. This review will explore the recent developments in newborn screening related to the use of tandem mass spectrometry and disorders of fatty acid oxidation.

Tandem Mass Spectrometry In Newborn Screening, Sandra Banta-Wright, Robert Steiner

Faculty Publications - College of Nursing

Since 1961 newborn screening for errors of metabolism (EM) has improved the diagnosis, treatment and outcome of newborns with an EM. Recently, advances in laboratory technology with tandem mass spectrometry (MS/MS) has increased the identification of newborns with an EM. With a single dried filter paper blood spot (Guthrie R, Susi A. A simple phenylalanine method for detecting PKU in large populations of newborn infants. Pediatrics. 1963;32:338-343). MS/MS can identify more than 30 disorders of metabolism This review will explore MS/MS to provide a better understanding of the development and application of this technology to newborn screening for perinatal and …

Neonatal Skin Disorders: A Review Of Selected Dermatologic Abnormalities, Juliana Campbell, Sandra Banta-Wright

Faculty Publications - College of Nursing

The skin serves many purposes, acting as a barrier to infection, protecting internal organs, contributing to temperature regulation, storing insulating fats, excreting electrolytes and water, and providing tactile sensory input. This article focuses on a review of normal skin structure and function and selected neonatal skin disorders. The disorders reviewed are Staphylococcal scalded skin syndrome, epidermolysis bullosa, and the ichthyoses. The basis for each skin disorder is presented. Nursing management and skin care are incorporated into the review of each selected disorder.

Integrating Christian Caring In Nursing Curriculum: One School’S Experience, Charlotte Stephenson, Charlotte Ann Thayer Wood, Mary Ann Henriques, Tina L. Magers, Kaye Wilson-Anderson

Faculty Publications - College of Nursing

The link between caring and nursing has been evident since the days of Florence Nightingale. She referred to nursing as an act of charity or "God's work." Nursing within the Judea-Christian tradition was viewed as a mission, ministry or call from God to serve others. Those entering nursing fulfilled a commitment to God through service and care for others. Over time the focus in nursing shifted from the Christian perspective of being "called to be a nurse" to technical and physio­logical reasons for helping people. Virginia Henderson defined nursing as "that service to an individual that helps him to attain …

Minimizing Infant Exposure To And Risks From Medications While Breastfeeding, Sandra Banta-Wright

Faculty Publications - College of Nursing

The advantages of breastfeeding to the mother and newborn are many. Lactating mothers frequently ask about the safety of taking medications and the risk to their newborn. It is well established that all drugs are excreted into breast milk. However, most medications appear in only small amounts within the breast milk. With the availability of numerous resources on drug use while breastfeeding, a medication can be identified as contraindicated or compatible with breastfeeding. By understanding the anatomy of the breast, principles of lactation, and drug passage into breast milk, an approach to minimize the transfer of the medications in the …