Nursing Commons^™

A Follow-Up Study On The Clinical Impact Of Pre-Registration Extended Immersive Ward-Based Simulation, Hugh Davies, Sue Robertson, Deb Sundin, Elisabeth Jacob

Research outputs 2022 to 2026

Aim: To explore how extended immersive ward-based simulation influenced graduate nurses’ experiences six-months post-registration. Background: Graduates of nursing training programs are expected to enter the workforce meeting the role of a registered nurse. Extended immersive ward-based simulation has been adopted by nurse educators as a means of easing the transition to professional practice. To what degree transfer of learning occurs from these experiences is yet to be determined. Design: A qualitative descriptive design was used to conduct a series of face-to-face focus groups. Methods: Participants were nine former students who had participated in a series of ward-based simulation workshops before …

Improving The Utilization Of Lunch Breaks For Nursing Staff, Norma Dawson, Kelsey Robinson, Bridget Miller, Deborah Monck, Beth Kessler

Operations Transformation

The Med-Surg Unit at LincolnHealth has a high number of nursing staff missing lunch breaks, despite encouragement and existing efforts to promote taking breaks. In addition, there are many instances where staff are not accounting for the breaks they have taken on their time sheets.

Approach To Pivie In Pediatrics: Standardization For Early Detection, Jamie Green, Jill Gregory, Elizabeth Murphy, Jessica Miller, Nicole Manchester, Frank Harris, Meaghan Wildes, Cecilia Inman, Jenn Paradis, Faye Weir

Operations Transformation

PIVIE (Peripheral Intravenous Infiltration & Extravasation) can have devastating effects, especially in the pediatric population. The condition may disrupt vasculature severe enough for permanent skin and tissue loss that can lead to impaired limb function due to severe scarring. Problem: No standardized process existed either to prevent or review these events at Barbara Bush Children’s Hospital at Maine Medical Center prior to the study. PIVIEs were measured through the event reporting platform and only severe PIVIEs were being documented in this report. All infiltrations (1-4 on the infiltration scale) should be measured for accurate benchmarking. Occurrences in the electronic medical …

Improving Access To Mainehealth Care At Home, Amanda Kunkel, Mhcah Intake Department, Mhcah Scheduling Department, Mhcah Clinical Leadership Team

Operations Transformation

It is known that there are capacity limitations at MaineHealth Care at Home caused by a decrease in staffing. This leads to limited availability of home health services to patients in the community and can also contribute to increased length of stay for patients in acute care hospitals. MaineHealth Care at Home needs a way to measure current capacity to accept referrals and improved systems for communicating with referral sources.

Nursing Care Of Individuals Engaging In Non-Suicidal Self-Injury: Impact Of Dialectical Behavior Therapy Skills Reinforcement, Lucas Bridgens

MSN Capstone Projects

As explained by Linehan et al. (2006b), the seriousness of borderline personality disorder can be highlighted by the manifestations of emotional dysregulation, such as impulsive and suicidal and non-suicidal self-injurious (NSSI) behaviors. As the mental health field grows, so too does the knowledge base from which practitioners derive therapeutic interventions with hopes of effectively and safely treating patients while maintaining a culture of dignity and respect. One such treatment modality that has proven to reduce NSSI and improve interpersonal functioning, specifically in patients with borderline personality disorder, is Dialectical Behavior Therapy (DBT) which is a form of cognitive-behavioral therapy developed …

Scopes Of Practice For Advanced Practice Nursing And Advanced Practice Midwifery In Kenya: A Gap Analysis, Eunice Ndirangu, Rachel Kimani, Catherine Onyancha, Bernard Mutwiri, Beatrice May, Isabel Kambo, Nicholas Koech, Ann Mukuna, Colette Henderson, Constance Shumba

School of Nursing & Midwifery, East Africa

Background: There is increasing global evidence on the impact of advanced nursing andmidwifery practitioners, and Kenya’s healthcare system has an excellent opportunity todevelop scopes of practice and other regulatory frameworks for the integration of theseroles.

Objective: The primary purpose of this gap analysis was to explore the existing evidenceon opportunities and threats toward the integration of the advanced practice nursing(APN) and advanced practice midwifery (APM) roles in Kenya’s healthcare system.

Methods: The study team conducted a structured electronic database search of PubMed,CINAHL, Scopus, EBSCOhost Academic Search Complete, and PsycINFO to retrievearticles and credible websites for reports highlighting the opportunities …

Core Competencies For Registered Nurse Preceptors: A Mapping Review Of Quantitative Studies, Colleen L. Ryan, Robyn Cant, Lynda Hughes, Darrelle Ahchay, Karen Strickland

Research outputs 2022 to 2026

Aims: To review the contemporary international literature on nurse preceptor competencies and map the components and their descriptors. Review Methods: A mapping review. Data Sources: Articles reporting evidence-based and validated Registered Nurse (RN) preceptor competencies published between 2013 and 2022 were identified. Open access databases such as PubMed and Google Scholar and the library healthcare databases Scopus and CINAHL were searched. The authors collaborated at each review stage that included screening, article selection, tabulation, mapping and preparation of findings. Results: Seven quantitative studies were included. Three were based on existing nurse preceptor competency data sets and four were purposely developed …

Exploring The Relationship Between Staffing And Long-Term Care Worker Mental Health, Matthew R. Trombley

Doctoral Dissertations and Projects

This research delves into the relationship between staffing levels during a crisis in the healthcare workforce and the mental well-being of long-term care workers, with a specific focus on variables such as burnout, compassion fatigue, and compassion satisfaction. With increasing workforce shortages, the attention to providing quality care during this tumultuous period has become increasingly urgent. There has been scarce empirical research that has explicitly sought to comprehend the connection between staffing levels and the mental health of long-term care professionals. This study was designed as a non-experimental, quantitative correlational investigation, aiming to understand the intricate dynamics between patient-to-staff ratios …

Student Clinical Judgment Skills Using The Clinical Judgment Measurement Model, Sara E. Carr

Non-Thesis Student Work

Nurses provide care to clients in complex situations. Nurses entering practice need greater confidence and skills to make sound clinical judgment decisions when caring for clients. A question arises: do structured clinical judgment activities based on the Clinical Judgment Measurement Model (CJMM) improve students’ clinical judgment skills throughout a semester simulation and clinical rotation? A literature search of EBSCOhost, CINAHL, Next Generation: NCLEX News, and article reference lists were used. Peer-reviewed articles published from 2018-2023 were reviewed, resulting in 13 articles being selected. The literature demonstrated that nursing schools work to prepare nurses for entry-level practice by designing a curriculum …

The Challenge: No Harm Index Relay Race, Hannah Taylor, Kate Campbell

Nursing

The Challenge: No Harm Index Relay Race is an evidence-based learning program developed to provide a group of learners the opportunity to solve a series of skill-related puzzles and complete tasks related to the National Database of Nursing Quality Indicators

Nursing Research In Arab Countries: Current Status, Trends, Challenges, And Opportunities, Hiba Wehbe-Alamah, Myrna A.A. Doumit, Joshua Bernstein, Basil H. Aboul-Enein

Health Professions Education Faculty Publications

Introduction: Twenty-two Arab countries comprise the League of Arab States. While united in Arab identity, diversities among these countries exist at many levels. Conducting and publishing research in the Arabic speaking countries is an essential pillar for improving the status of the nursing profession. Purpose: The purpose of this study is to assess the current status, trends, challenges, and opportunities of nursing research in Arab countries. Methodology: An integrative review was conducted using (1) Index Medicus for the Eastern Mediterranean Regional Office Database Journals Directory (IMEMR), (2) the Iraqi Academic Scientific Journals Database (IASJD), (3) Ulrichsweb (UW), (4) The Geneva …

The Clinical Judgment Measurement Model And Improving Student Clinical Judgment, Sara E. Carr

Non-Thesis Student Work

Nurses provide care to clients in complex situations. Nurses entering practice need greater confidence and skills to make sound clinical judgment decisions when caring for clients. A question arises: Do structured clinical judgment activities based on the Clinical Judgment Measurement Model (CJMM) improve students’ clinical judgment skills throughout a semester simulation and clinical rotation? A literature search of EBSCOhost, CINAHL, Next Generation: NCLEX News, and article reference lists were used. Peer-reviewed articles published from 2018-2023 were reviewed, resulting in 13 articles being selected. The literature demonstrated that nursing schools work to prepare nurses for entry-level practice by designing a curriculum …

"Girls Don't Strike Without Provocation.": African American Women, The General Strike, And The Good Samaritan Hospital School Of Nursing, Charlotte, North Carolina, 1956-1959., Francena F.L. Turner

Sociology Department Faculty Working Papers

No abstract provided.

Implementing New Staffing Ratios In The Emergency Room To Improve Nurse And Patient Outcomes, Analicia Solis

MSN Capstone Projects

The significance of appropriate nurse staffing in enhancing patient outcomes and mitigating nurse burnout is well-documented. Inadequate nurse staffing can lead to negative consequences, including burnout, decreased nurse retention, and potential safety risks (Shin et al. 2018; Wynendaele et al. 2019) Research has also established a strong connection between nurse-to-patient ratios, well-being, and job dissatisfaction among nursing staff (Andel et al. 2021; Thompson-Munn et al. 2021).

Given this evidence, there is a compelling rationale for aligning nurse staffing ratios with proposed federal standards to address burnout, improve well-being, and enhance patient outcomes. Implementing these changes necessitates careful planning and assessment. …

The Impact Of Shared Governance On Work Engagement And Job Satisfaction, Mikayla Adkins

MSN Capstone Projects

In 2023, the National Council of State Boards of Nursing revealed that 100,000 nurses left the workforce during the COVID-19 pandemic and another 900,000 plan to leave by 2027 due to stress, burnout, and retirement. Identifying and implementing practical strategies to reduce voluntary turnover as a result of stress and burnout is a top priority for nursing leaders across the country. Work engagement and job satisfaction have well been documented in the literature as antidotes to occupational stress and burnout in the nursing profession (Schaufeli & Bakker, 2004; Pressley & Garside, 2022). Evidence suggests that implementing shared governance is a …

Improving The Mental Health Of Nursing Students By Utilizing A Serenity Room: A Benchmark Study, Megan E. Taylor

MSN Capstone Projects

Research findings consistently show that even though improvements have been made through the years, there is much more work to be done concerning mental health nationwide, especially in nursing. Nurses are the front-line workers in healthcare and face challenging times daily. Mental health-related issues in nursing have increased on a national level since the COVID-19 pandemic (Xiong et al., 2022). A more significant nursing shortage will likely occur without drastic change and support for nurses’ well-being.

The purpose of this paper is to describe a benchmark Capstone project. This benchmark study was conducted with the goal of improving nursing students …

Implementation Of Coping Strategies For Compassion Fatigue Through Counseling, Caleb R. Turner

MSN Capstone Projects

Many healthcare organizations are struggling to retain nurses due to the recent COVID-19 pandemic. Understanding common reasons for decreased retention in nursing begins with evaluating job satisfaction and how it can be affected (Cuartero-Castañer, 2021). Compassion Fatigue (CF) and Burnout (BO) are two leading causes of decreased job satisfaction (Compassion Satisfaction (CS)). The Professional Quality of Life Scale (PROQoL) (see Appendix C) is designed to identify individuals at higher risk of CF and BO. Using this scale in conjunction with the Peer-Support coaches in the hospital setting allows nurses to have conversations and communicate effectively with coaches trained to have …

The Effect Of Hormonal Birth Control On Acne, Aurora Elston, Taraneh Bazyari, Shirley Kaikai, Kathryn Conrad

NURS 320: Evidence-Based Nursing Student Presentations

Research poster created as part of Nursing 320 class. The poster examines the question, "How does hormonal birth control affect acne in those with and without a predisposition to acne?"

Non-Pharmacological Interventions For Patients With Anorexia Nervosa, Calee Barss, Claire Daly, Kalysa Dombrigues, Kristina Do

NURS 320: Evidence-Based Nursing Student Presentations

Research poster created as part of Nursing 320 class. The poster looks to "Analyze non-pharmacological interventions for improving nutritional health in patients with anorexia nervosa."

Impact Of High-Intensity Exercise And Moderate-Intensity Exercise On Cardiovascular Health, Terra Lieber, Cassandra Carroll, Christian Figueroa, Aksel Merchant Trejo

NURS 320: Evidence-Based Nursing Student Presentations

Research poster created as part of Nursing 320 class. The poster examines the question, "How does high-intensity interval training and moderate-intensity continuous training impact the human body’s cardiovascular system?"

Effects Of Music Therapy For Patients With Alzheimer's, Anastasiya Kapatsyna, Evelyn Staples, Meleah Sparks, Paige Schubert

NURS 320: Evidence-Based Nursing Student Presentations

Research poster created as part of Nursing 320 class. The poster examines the question, "Among the Alzheimer's disease population, does music therapy help enhance cognition compared to no treatment?"

Decreasing Hepatitis C Transmission, Marco Miller, Tessa Mcneely, Lizzy Riedlinger, Maddy Edwards

NURS 320: Evidence-Based Nursing Student Presentations

Research poster created as part of Nursing 320 class. The poster aims "To explore education and resource interventions for adults diagnosed with or at risk for Hepatitis C transmission."

Effects Of Humidity, Surface Textiles, And Education On Mrsa In Hospitals, Arisa Marx, Remi Mccullen, Mason Nehls, Cecilia Saenz

NURS 320: Evidence-Based Nursing Student Presentations

Research poster created as part of Nursing 320 class. The poster examines the question, "Does a balanced approach of specific humidity, education, and the textile of the surface decrease the amount of MRSA infections among patients?"

Interventions To Decrease Secondhand Smoke Exposure, Maya Letellier, Nicole Trujillo-Salazar, Grace Heimbigner, Jenna Wong

NURS 320: Evidence-Based Nursing Student Presentations

Research poster created as part of Nursing 320 class. The poster looks to, "To examine interventions to decrease secondhand smoke exposure in children; To examine the cost and effectiveness of interventions."

The Mediterranean Diet And Alzheimer's Disease, Katilyn Wright, Erin Willis, Joshua Villela, Renee Schroth

NURS 320: Evidence-Based Nursing Student Presentations

Research poster created as part of Nursing 320 class. The poster looks at, "whether implementing the use of the MD amongst those diagnosed with AD contributes to a decrease in the severity of symptoms compared to those not following a diet plan."

Decreasing The Risk Of Infection From Wristwatches And Hand Jewelry, Violet Strange, Mackenzi Smith, Reyanna Ruiz, Abraham Zlotowski

NURS 320: Evidence-Based Nursing Student Presentations

Research poster created as part of Nursing 320 class.The poster looks to, "Explore evidence-based practices to decrease the risk of infections related to wristwatches and other hand jewelry."

Sleep Disturbance Impact On Nursing Students, Collin Sommer, Katie Petrie, Savannah Short, Tina Tan

NURS 320: Evidence-Based Nursing Student Presentations

Research poster created as part of Nursing 320 class. The poster examines the question, "How does sleep disturbance impact nursing students academic performance?"

Prevention And Treatment Of Nursing Burnout Through Policy, Hannah Khiev, Marina Gerard, Anastasiya Likhovodova, Hailie Lopez-Santiago

NURS 320: Evidence-Based Nursing Student Presentations

Research poster created as part of Nursing 320 class. The poster looks "To research the causes of burnout, to then construct policies to combat the onset and treat those in need."

Implementation Of A Protocol To Improve The Intake Assessment And Treatment With Suboxone Among Patients’ Dependent On Opioids On Two Mental Health Crisis Units, Maeghan Dillon

Doctor of Nursing Practice Scholarly Projects

Abstract

Background: In 2021,106,699 people died from a drug overdose and of these deaths, over 75% were related to illicit or prescription opioids (Centers for Disease Control, 2023). At two in-patient community crisis stabilization units for psychiatric care, many patients have a comorbid diagnosis of a substance use disorder and another mental illness. Treatment with Buprenorphine/naloxone (Suboxone) is associated with decreased opioid overdoses and related deaths; however, Suboxone inductions have not been a part of admission treatment.

Methods: This quality improvement (QI) project initiated a Suboxone protocol for eligible patients on two crisis in-patient stabilization units. The outcomes …

Innovative Solutions To The Nursing Shortage, Adam Odolil, Rahul Nadendla

URGENT Matters

No abstract provided.