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Full-Text Articles in Nursing

Pepsin And Amylase In Oral And Tracheal Secretions Of Patients With Standard Versus Continuous Subglottic Suctioning Endotracheal Tubes, Katherine Allen Dec 2012

Pepsin And Amylase In Oral And Tracheal Secretions Of Patients With Standard Versus Continuous Subglottic Suctioning Endotracheal Tubes, Katherine Allen

HIM 1990-2015

The aspiration of oral and gastric substances is a well-known risk for ventilator associated pneumonia (VAP) in the intubated, mechanically ventilated (MV), patient of the intensive care unit (ICU) population. The gastric biomarker pepsin and the oral biomarker salivary amylase have been identified as evidence of aspiration prior to the manifestation of acute pulmonary illness. In an effort to decrease the risk for aspiration, several evidence based nursing practices are in place. Actions include 30 degree head of the bed positioning, oral care, suctioning, and circuit change interval protocols, as well as the administration of medication with the objective of …


Non-Invasive Positive Pressure Ventilation (Nppv) Its Uses, Complications, & Implications Within Nursing Practice In Acute Care Settings, Alexis Marano Dec 2012

Non-Invasive Positive Pressure Ventilation (Nppv) Its Uses, Complications, & Implications Within Nursing Practice In Acute Care Settings, Alexis Marano

HIM 1990-2015

The use of noninvasive positive pressure ventilation (NPPV) in acute care settings has drastically increased within the past 20 years. Research has indicated that NPPV is equally as effective as traditional mechanical ventilation(MV) in treating acute exacerbations of chronic pulmonary obstructive disease (COPD) and cardiogenic pulmonary edema. Furthermore, the risk of complication from NPPV is much lower than MV, in terms of ventilator-associated pneumonia and sepsis. It is imperative for the nurse to understand the various indications, interfaces, and potential complications associated with NPPV use. In addition to treating acute exacerbations of COPD and cardiogenic pulmonary edema, NPPV has been …


Pepsin And Salivary Amylase Biomarkers Of Microaspiration In Oral And Tracheal Secretions Of Intubated Patients, Aurea Middleton Dec 2012

Pepsin And Salivary Amylase Biomarkers Of Microaspiration In Oral And Tracheal Secretions Of Intubated Patients, Aurea Middleton

HIM 1990-2015

Introduction: The presence of an endotracheal tube (ETT) increases the risk for microaspiration of secretions around the ETT. Biomarkers of pepsin and salivary amylase may be used to identify microaspiration in intubated patients because of their naturally occurring presence in the stomach or oral cavity and non-occurrence in the respiratory tract. Microaspiration may be difficult to detect until pulmonary complications, such as lung injury or infection, occur. This study assessed the presence of pepsin and salivary amylase in oral and tracheal secretions of ventilated adults. Method(s): This is a secondary analysis of data collected from 11 critically ill, adult patients …


Spiritual Care Interventions To Improve The Quality Of Life In Patients With Advanced Cancer Receiving Palliative Care, Maria Ballen-Sanchez Aug 2012

Spiritual Care Interventions To Improve The Quality Of Life In Patients With Advanced Cancer Receiving Palliative Care, Maria Ballen-Sanchez

HIM 1990-2015

Title: Spiritual Care Interventions and Quality of Life in Cancer Patients Receiving Palliative Care Background: Despite the evidence supporting spiritual care in nursing and an increased quality of life among patients, patients feel that their spiritual needs are not being supported by medical professionals. Nurses agree that the role they play is significant in addressing the needs of cancer patients; however, they feel that they lack the knowledge for addressing spirituality concerns at the end of life. The purpose of this study is to identify spiritual care interventions that nurses can implement to improve quality of life (QOL) in patients …


Healing Hands Reviewing The Potential Applications Of Energy Therapies To Redirect Pain During Labor And Childbirth, Cecilia Dinh Aug 2012

Healing Hands Reviewing The Potential Applications Of Energy Therapies To Redirect Pain During Labor And Childbirth, Cecilia Dinh

HIM 1990-2015

The birth experience is a highly subjective phenomenon that leaves a lasting impression for mothers and their families and friends. Although the passage of a child from the mother's womb into the world is typically joyous, the experience is not always as positive. Negative physical and psychological factors may greatly impact a woman's impression of the childbirth experience. Among childbearing women, the two main concerns of childbirth are pain and safe management. Similarly among healthcare providers, management of labor pain is one of the main goals of maternity care. Pain is a highly subjective phenomenon that is expected during the …


Minimizing Incivility In The Workplace To Increase Retention Of New Graduate Nurses, Amanda D'Ambra Aug 2012

Minimizing Incivility In The Workplace To Increase Retention Of New Graduate Nurses, Amanda D'Ambra

HIM 1990-2015

Efforts to maintain a sufficient nurse workforce are hampered by dissatisfaction with the work environment. Incivility in the work environment is a major source of dissatisfaction. A healthy work environment is associated with higher levels of job satisfaction and improved retention. New graduate transition programs have been recommended as a deterrent to high levels of turnover associated within the first two years of employment, some of which is related to incivility. The purpose of this thesis was to examine the influence of incivility in the nursing workplace on new graduate job satisfaction and determine if there is an association between …


Psychosocial Status And Health Outcomes In Older Adults Living With Human Immunodeficiency Virus, Amanada Fernandez Aug 2012

Psychosocial Status And Health Outcomes In Older Adults Living With Human Immunodeficiency Virus, Amanada Fernandez

HIM 1990-2015

Purpose: To recognize and raise awareness about the psychosocial status and health outcomes in older adults living with HIV. Method: A literature search was conducted from the disciplines of nursing and medicine using the CINAHL, PubMed, and Medline databases. Inclusion criteria: articles exploring older adults who are HIV positive and factors related to depression, suicide and available healthcare resources. Exclusion criteria: articles including individuals under the age of 50 infected with HIV/AIDS and articles focused entirely on physiologic principles of HIV/AIDS. Results: In older adults living with HIV/AIDS, the literature review disclosed a comprehensive gap between identifying this age group …


Nursing Attitudes Toward The Use Of Reprocessed Single-Use Medical Devices, Laura Maben-Tenney Aug 2012

Nursing Attitudes Toward The Use Of Reprocessed Single-Use Medical Devices, Laura Maben-Tenney

HIM 1990-2015

Background: Before the implementation of single-use devices (SUD) in health care, medical equipment was sterilized and reused. Now many medical devices are used once and then thrown away, contributing to the 5.9 million tons of medical waste produced yearly. This project explores nursing attitudes toward single-use medical devices, evaluates current recycling practices and examines whether student nurses would be likely to use reprocessed SUDs in their practice if given the option. Methodology: After obtaining IRB approval, students enrolled in nursing research courses were invited to participate in this exploratory study. 157 undergraduate nursing students completed the 46-question survey. Descriptive statistics …


Ethanol Lock Therapy In The Treatment And Prevention Of Catheter-Related Bloodstream Infections, Breanna Anderson May 2012

Ethanol Lock Therapy In The Treatment And Prevention Of Catheter-Related Bloodstream Infections, Breanna Anderson

HIM 1990-2015

Ethanol lock therapy is a novel technique that is being studied for its efficacy in eradicating catheter related bloodstream infections. A systematic review of interdisciplinary studies from CINAHL, Medline, Academic Search Premier, Biological Abstracts, and Web of Knowledge databases was performed. This meta-analysis examined the findings of thirty-five studies on ethanol lock therapy. Twenty-six of these studies compared ethanol to a placebo and nine studies performed a direct comparison of ethanol to other agents frequently used in antimicrobial lock technique. Ethanol lock therapy was shown to be effective as both a prophylactic therapy and as an active treatment in eradicating …


Experiences Of Hospitalized Patients With Dementia, Samantha Bainbridge May 2012

Experiences Of Hospitalized Patients With Dementia, Samantha Bainbridge

HIM 1990-2015

People with dementia are hospitalized for a variety of reasons. The combination of dementia with additional health conditions creates a unique challenge to caregivers in acute care settings. There is a dearth of information available to provide guidance to the nursing staff caring for these patients. This integrated review of the literature examined the experiences of hospitalization from the perspective of the older adult with dementia, the family caregiver, and the patient care staff. Results showed a limited body of literature that addressed hospital experiences of people with dementia and those of family and professional caregivers. Additionally, few studies addressing …


An Evaluation Of Tracheostomy Care Anxiety Relief Through Education And Support (T-Cares) A Pilot Study, William Crosby May 2012

An Evaluation Of Tracheostomy Care Anxiety Relief Through Education And Support (T-Cares) A Pilot Study, William Crosby

HIM 1990-2015

Background: Home care of a patient with a tracheostomy after surgery for head and neck cancer requires the caregiver to be proficient with new equipment and required skills. The responsibility of managing an artificial airway, may lead to an increase in caregiver anxiety. Education of caregivers varies; it is often a 1:1 impromptu instruction provided by the patient's nurse and/or respiratory therapist. The purpose of this study was to evaluate the effect of the T-CARES course on caregiver anxiety and tracheostomy suctioning competency. Method: A quasi-experimental non-randomized control group design was used. The independent variable was method of instruction (T-CARES …