Nursing Commons^™

Regulatory Orientation To Support Transition To Academic Leadership, Annmarie Munana

Doctor of Nursing Practice (DNP) Projects

Background: As pre-licensure nursing education is burdened by levels of regulations and standards, it is important the academic leader understand regulatory compliance and the applicable federal, state, and local rules and laws. At a multi-campus university, the leader’s ability to address regulatory issues is critical to the program’s success.

Local Problem: The university’s campus leader regulatory orientation lacks consistency and standardization of content and resources. This situation results in campus leaders having varying degrees of knowledge and competency ensuring academic regulatory compliance.

Context: Regulatory compliance stems from external influences and multiple layers of regulations and accreditation. The university provides onboarding …

Impact Of Theory-Based Interventions On Meaningfulness Of Undergraduate Nursing Pharmacology Student Learning, Betsy L. Mauldin

Nursing Theses and Dissertations

Objective: Nursing pharmacology is a complex and content-dense course, often cited as difficult for nurse educators and students and a reason for not progressing in nursing curricula. Even nurses who experience high academic performance report feeling ill-prepared to adequately perform medication management for nursing practice in the current fast-paced environment. The objective of this five-chapter portfolio is to explain the development and implementation of a two-pronged intervention to facilitate meaningful learning of pharmacology principles within nursing students. Chapter 1 describes an overview of the approach to the intervention.

Methods: Chapter 2 describes one prong of the study intervention, the Pharmacology …

Implementation And Evaluation Of A Registered Nurse Pre-Eclampsia Education Program Within A Women's Urgent Care Center, Amber Vetter

Doctoral Projects

Pre-eclampsia can be a serious development for both mother and fetus during pregnancy. Increased mortality and morbidity rates have been shown in women diagnosed with pre-eclampsia. Higher education for registered nurses on a Women’s Urgent Care (WUC) center will help diagnose the mother more quickly and inevitably receive treatment sooner leading to better outcomes for the birth of her newborn. The educational tools used in the study were a pre-and post-test and an educational video for the registered nurses to watch. A retrospective chart review before and after the intervention will help to see if there is any decrease in …

Self-Study: A Method For Continuous Professional Learning And A Methodology For Knowledge Transfer, Judy C. Woods

Quality Advancement in Nursing Education - Avancées en formation infirmière

Purpose: Clinical nursing instructors must participate in continuous professional learning to maintain competency in nursing practice and in clinical instruction to prepare nursing students adequately for professional practice. The purpose of this research was to examine self-study as a method of continuous professional learning in nursing education.

Procedures: A clinical instructor undertook to improve her clinical instruction with regard to five formative assessment strategies illustrated to promote student learning in regular classrooms. She translated and then implemented these strategies in nursing education. This self-study of instructional practice employed a reflective journal and systematic documentation of iterative processes of planning, action, …

Physical Assessment Skills Used By Registered Nurses, Sherry Morrell, Gina Pittman, Natalie Giannotti, Fabrice Mowbray

Quality Advancement in Nursing Education - Avancées en formation infirmière

Background: Nurses work in a wide variety of settings. Therefore, it is essential for nursing educators to continually evaluate and adapt nursing programs to ensure that the curricula prepare students to practice in a variety of health care settings. In this study, we sought to determine which skills were routinely used by registered nurses and to examine whether the cumulative number of practice settings influenced the number, and type, of physical assessments used.

Methods: An electronic or a paper survey was distributed to registered nurses who worked as nursing clinical instructors at a mid-sized university in this cross-sectional study. Measures …

The Holistic Self-Care Learning Experience Of Rn-To-Bsn Students: A Phenomenological Study Of Meaning And Value, Elaina C. Mahlan

Doctor of Education (Ed.D)

The health of the nursing workforce is a critical aspect of high-quality health care and community health promotion, but extensive research indicates that too many nurses neglect selfcare and suffer negative health outcomes. While nursing education must provide self-care learning experiences to improve the health of nurses, the value and influence of a learning experience must be interpreted from the learner’s point of view. The purpose of this phenomenological study was to elicit the personal value that RN-to-BSN students ascribed to a self-care learning experience within a holistic nursing course at a public university. The holistic nursing paradigm offers a …

Missed Nursing Care: Accounting For Education, Experience, And Job Satisfaction In Registered Nurses, Jessica Bechard

Electronic Theses and Dissertations

Aim. The aim of this study was to examine missed nursing care in the context of academic preparedness, years of experience, and job satisfaction and determine predictors of missed nursing care.

Background. Patient care that is omitted or delayed is known as missed nursing care. Failure to provide the necessary care interventions on time can lead to decreased patient outcomes. Academic preparation, the number of years of nursing experience, and job satisfaction can also play a pivotal role in patient outcomes. Limited studies have assessed academic preparedness and years of nursing experience on missed nursing care while also …

The Current State Of Nursing Education In The Context Of Covid-19, Kaitlyn Kelly

Nursing Capstones

The field of nursing education has undergone massive changes in the context of COVID-19. Healthcare systems shifted to take care of an influx of patients, personal protective equipment shortages arose, and fear of transmission of the virus contributed to many nursing programs quickly transitioning to online instruction. These quick shifts leave many questions about the quality of education nursing students are currently experiencing. Although data may not yet be available to examine the effects of COVID-19 on nursing education, much can be learned by reviewing relevant literature published since the pandemic’s onset. This literature review describes changes to nursing education …

The Critical Shortage Of Nurse Educators: Implications For The Nursing Workforce, Catherine Lassila

Nursing Capstones

The profession of nursing depends upon the work of dedicated, caring, and skilled nursing educators. Not only do they prepare those new to the profession at the prelicensure level, but also to train nurses continuing their education. Nursing education is itself facing severe shortages of educators, the impact of which directly affects the number of nurses that are in the workforce. Many accomplished nurse educators are retiring, while the education institutions simultaneously struggle to attract and retain new educators to the field. To combat this, educational institutions must address the reasons behind high attrition rates of new teachers and other …

Enhancing Diversity In Nursing Education, Ellen Steidl

Nursing Capstones

Diversity in the nursing workforce lags behind the demographic of the national population; therefore, diversity of the student population must be enhanced in nursing education. While racial minority groups account for 40% and men account for 50% of the total population, only 20% of racial minority groups and 9% of men are represented in nursing. The Transcultural Nursing Theory serves as the theoretical framework for this study. A thorough review of the literature was conducted and analyzed. Several barriers to achieving diversity in nursing education exist including issues with recruitment and retention of diverse populations. Strategies for effective implementation techniques …

Integrating Ethics And The Opioid Crisis Via Simulation: An Ethical Debriefing For Nursing Students, Raigan A. J. Shackelford

Senior Honors Projects, 2020-current

Over the past three decades, opioid medication misuse and abuse has skyrocketed. The increase in improper use has created the need for more frequent exercise of ethical reasoning skills in practice. This study was designed to determine the effect of an ethics-centered debriefing exercise following a standardized simulation scenario concerning opioid misuse/abuse on nursing students’ value of and perceived confidence in ethical reasoning skills. 18 senior level BSN students at James Madison University in Harrisonburg, VA, participated in an ethics- focused debriefing exercise following the simulated scenario. The debriefing was constructed using the ANA Code of Ethics and James Madison …

Effects Of Rapid Response Teams On Patient Outcomes After Nursing Education, Abby Zeb

Doctor of Nursing Practice Scholarly Project

Purpose: The main purpose of this study was to review the number of calls of the rapid response team (RRT) and the potential change in cardiac arrest rates before and after education of the floor nurses concerning RRT.

Design: A quantitative study was completed using a retrospective chart review to observe the number of calls of the RRT as well as patient cardiac arrest rates after education of the floor nurses concerning the RRT. Chart reviews were conducted on all rapid response calls seven months after nursing education was complete and during a seven-month period one year after completion of …

Genetics In The Nicu: Nurses’ Perceived Knowledge And Desired Education, Kathleen Shields

Dissertations & Theses (Open Access)

A large proportion of infants admitted to neonatal intensive care units (NICUs) have genetic conditions. NICU nurses play an important role in providing comprehensive care to these patients and their families. Previous research has demonstrated gaps exist in the genetics knowledge of nurses and that they lack comfort applying genetics information to clinical practice, but no research has been done assessing the knowledge of or comfort with genetics of NICU nurses specifically. NICU nurses (n=122) completed an online survey assessing their perceived knowledge of genetics, comfort with clinical scenarios involving genetics, and desired genetics education. Participants reported the highest levels …

Nursing Toolkit For Care Of The Pediatric Patient With Suicidal Ideation, Christine Young

UNLV Theses, Dissertations, Professional Papers, and Capstones

Nevada’s pediatric suicide rate is one of the highest in the country. Many patients require inpatient stabilization, either in an emergency department setting or on a pediatric unit, until they are ready for discharge to home or a subsequent behavioral health facility. In many instances, patients are assigned to nurses who have had no formal training on caring for pediatric patients with suicidal ideation. Providing care for these patients can increase nurses’ emotional stressors. Purpose: The purpose of this DNP project was to increase the knowledge of pediatric nurses in Nevada using a nursing toolkit containing information to aid in …

Education To Prevent Psychological Distress In Icu Patients, Casey Robinson

Master of Science in Nursing Scholarly Project

Admission to an intensive care unit can become a traumatic event for some patients and can cause them to experience psychological distress. Psychological distress is when patients experience anxiety, depression or post-traumatic stress disorder related to ICU admission. With the introduction of the COVID-19 pandemic, this psychological distress has become more of a problem with patients and current nursing practices are falling short in providing quality psychological care. Surgery ICU nurses at the University of Cincinnati Medical Center were given a pre-test on preventing psychological distress in ICU patients to facilitate practice change. A short educational offering was provided to …

Transforming Academic Internationalization In Nursing Education In Ghana, Emmanuel Akwasi Marfo, Desire Urindwanayo

Quality Advancement in Nursing Education - Avancées en formation infirmière

The development of formal nursing education in Ghana has been influenced by international organizations since its beginning in the mid-1940s. Some of the 218 accredited nursing institutions in Ghana engage in academic internationalization through several international activities. Today, the focus of nursing education and healthcare delivery worldwide appears to be shifting towards globalization owing to the emerging market economies and political alliances that lean towards neo-liberal perspectives. In this paper, the aspects of internationalization and globalization of Ghanaian nursing education that need to be retained and those aspects that require transformation are discussed. International student exchange programs with a western …

The Covid-19 Pivot To Online Education And Bsn Graduates’ Readiness To Practice, Abigail Schulte

Dissertations

There is a major nursing shortage worldwide, and amid the COVID-19 pandemic, it is essential to invest in the acceleration of nursing education to meet global needs. Nursing schools had to pivot to online education overnight, and many are unsure how this has impacted students. The purpose of this study is to see if the pivot to online education, prompted by COVID-19, impacted the readiness to practice and grade point averages (GPA) of graduating Bachelor of Nursing students. In this quantitative study, a casual-comparative survey design is used to test for readiness to practice and program modality. A cross-sectional design …

Nurses' And Nurse Educators' Experiences Of A Pediatric Nursing Continuing Professional Development Program In Rwanda, Amy K. Olson

Electronic Thesis and Dissertation Repository

Excellence in pediatric nursing education and practice can significantly impact child health globally. Educated pediatric nurses form a strong foundation for healthcare systems globally. In 2016, a Pediatric Nursing Continuing Professional Development (PNCPD) program was created and implemented in Kigali, Rwanda, through the Training, Support, and Access Model (TSAM) for Maternal, Newborn, and Child Health (MNCH) project. This partnership project between Canada and Rwanda provided pediatric nursing education to forty-one Rwandan nurses and nurse educators in 2018 and 2019. An interpretive descriptive study was conducted to explore the experiences of fourteen nurses and nurse educators applying pediatric knowledge and skills …

Improving Hepatitis B Vaccination Rates In Nephrology Patients With Chronic Kidney Disease: A Qi Initiative, Jill Swanson

Nursing Posters

• Hepatitis B vaccination is an important health maintenance preventative measure for patients with chronic kidney disease (CKD)
• Prior to initiating dialysis, hepatitis B vaccination administration is proven to be more effective than waiting until patients begin dialysis treatments.
• Efficacy and immune response of the hepatitis B vaccine is greater when kidney function is greater
• To better improve hepatitis B vaccine administration among the CKD stage 4 population, education measures and Epic modifiers will be implemented to achieve change
• Nursing knowledge and hepatitis B vaccine administration will improve after implementation of these measures

The Art Of Nursing: Perceptions, Experiences, And Interpretation Of Value Among Practicing Registered Nurses And Senior Bacclaureate Nursing Students, Anne Bizup

Student Theses, Dissertations and Capstones

Background: The art of nursing is enjoying renewed interest due to changes in the healthcare reimbursement models in the U.S. Value-based reimbursement strategies utilize quality metrics to determine payments. Quality metrics are linked to the art of nursing.

Purpose: The purpose of this study was to gather information about practicing nurses and senior baccalaureate nursing students’ interpretation of the human, social, and economic value and their experiences and perceptions of the art of nursing. This information supports changes in practice, policy, and education.

Theoretical Framework: Alligood’s theory of the art of nursing (2002) is the theoretical basis for the study. …

Mentorship Experience Among Nurse Practitioners, Chelsea L. Noble

Doctor of Nursing Practice Scholarly Projects

Background and Review of Literature: The current literature provides the context of mentorship and its benefits across various disciplines. Nursing and medicine use mentorship frequently to guide each new generation of healthcare providers. There is a current lack of research focusing on nurse practitioners as it relates specifically to mentorship.
Purpose: The purpose of this Doctor of Nursing Practice (DNP) project was to evaluate mentorship in nurse practitioners and across subspecialties.
Methods: A descriptive correlational study was conducted. Data were collected using the Mentor Evaluation Tool (MET) and the National University Hospital Mentorship Evaluation (NUH ME) tool that were administered …

Elearning Module For Nursing Students To Improve Delirium Identification, Prevention, And Management, Shannon Baker

Doctor of Nursing Practice (DNP) Projects

Background and Review of Literature: Delirium is a serious, acute alteration in cognition and consciousness, which is common amongst older hospitalized patients and has an overwhelmingly negative impact on patient outcomes. Under-recognition by healthcare providers poses a barrier and contributes to poor patient outcomes, including increased morbidity and mortality.

Purpose: To reduce the incidence of delirium amongst acutely ill patients via internet-based education for student nurses on delirium prevention, assessment, and management.

Methods: An eLearning intervention consisting of a virtual lecture with an unfolding case study for undergraduate nursing students. This project utilized the Nurses’ Delirium Knowledge Assessment (NDKA) …

Increasing Fall Awareness Through Nursing Staff Education, Evelyn Ahiante Dennis

Walden Dissertations and Doctoral Studies

Patient falls are a significant healthcare concern, with the highest risk being among older adults aged 65 and older. A lack of nursing knowledge can contribute to patient falls. This DNP project was conducted in the medical-surgical trauma unit of a 137-bed local rehabilitation center in Northern Georgia. The intention of the project was to understand if a nursing staff education program would increase knowledge regarding falls prevention. Kurt Lewin’s change theory provided the framework for the project. The project participants were nine medical surgical nurses. Using the analysis, design, development, implementation (ADDIE) model, a falls prevention education program was …

Lived Experiences Of Nurse Faculty Teaching Patient Safety Risks From Smartphone Distractions, Nicole Irene Helstowski

Walden Dissertations and Doctoral Studies

Smartphone distractions frequently occur in healthcare, disrupting nurses’ provision of patient care and threatening patient safety. To ensure safe care for patients, nurse faculty must prepare prelicensure nursing students with the knowledge, skills, and behaviors that they need to mitigate patient safety risks. A lack of research regarding how nurse faculty teach nursing students about patient safety risks from smartphone distractions was the concern for this study. The purpose of this qualitative, descriptive phenomenology study was to identify and report the lived experiences of undergraduate nurse faculty regarding teaching about patient safety risks from smartphone distractions in prelicensure nursing programs …

Yearly Endometriosis Education For Reproductive Nurses, Jessica Boyer

Master of Science in Nursing Theses and Projects

Reproductive and infertility nursing is an ever-growing subspecialty of women’s health where education and nursing resources are often limited and these nurses learn the majority of their skills through experience. Endometriosis is an increasingly common disease that reproductive nurses are encountering in growing numbers. A thorough literary analysis discovered the importance of early diagnosis to aid in a patient’s overall prognosis and long-term success with symptom management. A continuing education curriculum was created and implemented in a reproductive clinic in the South Eastern United States as a yearly learning opportunity for reproductive nurses in an effort to review the fundamentals …

The Impact Of An Escape Room Simulation On Confidence And Competence In Nursing Student’S Identification Of Critical Changes In Patients: A Mixed-Method Approach, Kristy Schmaldinst

Doctor of Nursing Practice Projects

Background The novice nurse takes time to show competency and confidence when implementing the new skills learned throughout their time in nursing school. With the increasing complexities of the healthcare system in the United States, it is necessary to ensure graduates are adequately prepared to handle critical situations. However, the ability of novice nurses to recognize critical changes in patients continues to be a hurdle that nursing faculty are attempting to address.

Objectives The objectives of this project were to explore the impact of an escape room simulation on student’s confidence and competence in recognizing critical changes in patients.

Design …