Nursing Commons^™

Implementing Staff Education To Reduce Stress And Increase Resilience, Samantha Lambert, Mariana Corpus, Sherry Chesak, Susanne M. Cutshall, Diane M. Forsyth, Habibo A. Haji

Nursing DNP Projects

Purpose: Persistent levels of high stress among nurses impact work activities and job performance, leading to burnout, compassion fatigue, lower job satisfaction, high workplace turnover, and diminished quality of patient care (Lin et al., 2018). Nurses who demonstrate resilience are better able to adapt to unexpected events with a positive attitude, self-esteem, and tolerance (Huang et al., 2020). The purpose of this project was to decrease stress levels and improve resilience among nursing staff, utilizing education on holistic stress management and resilience techniques.

Methods: A four-hour mindfulness-based education course was provided to staff members (N=76). Components included an initial two-hour …

Psychological Distress During The Covid-19 Pandemic In Nursing Students: A Mixed Methods Study, Mayantoinette Watson

Dissertations

During such an unprecedented time of the largest public health crisis, the COVID-19 pandemic, nursing students are of the utmost concern regarding their psychological and physical well-being. Questions are emerging and circulating about what will happen to the nursing students and the long-term effects of the pandemic, especially now that hospitals are being overwhelmed with COVID-19 cases and patients as well as a significant need for nursing staff (Jividen, 2020). Expectations, demands, change, and the fear of the unknown during this unprecedented time can only contribute to the many stressors that accompany nursing students through laborious clinical and didactic courses …

Stress As A Contributing Factor For Pediatric Obesity: Literature Review And Internship Experience, Jessica Handley

The Eleanor Mann School of Nursing Undergraduate Honors Theses

This article is an examination of how stress drives diet and physical activity behaviors that contribute to pediatric obesity in the United States. An increasing rate of childhood obesity is being reported in the United States and therefore a multitude of studies and reviews have been conducted on the topic. This review of the literature systematically analyzes how stress, diet, and physical activity behaviors contribute to this rising rate of pediatric obesity. An analysis of the chosen articles for review indicates that stress and its counterpart (resilience) tend to be driving forces in how American children and adolescents participate in …

School Nursing Practice And Experiences During School Closures, Susie E. Birden Brown

Electronic Theses and Dissertations

This evidence-based quality improvement project was to evaluate public school nurses’ relationships and reaction to their new work environment during the closure of schools in Northern California resulting from the COVID-19 pandemic. This project addressed the change in school nursing, especially the nurses’ working environment. A stress management program was offered to the school nurses as an intervention to give them information on perceived stress. The stress management program included mindfulness and stress-relieving techniques over a 1-month period. The research methodology used in the project was a pre- and postintervention using the Perceived Stress Scale-10 (PSS) to measure if the …

Aspects Of The Physical Work Environment And Nursing Work, Yolanda Keys

Nursing Theses and Dissertations

Objective: The purpose of this body of work is to inform nurse leaders and design professionals of opportunities to leverage the physical environment to enhance the overall work environment for nurses.

Background: The environments in which nursing work takes place need to support the staff who work within them. Healthy work environments have been shown to improve outcomes for patients, nurses, and organizations; however, the contribution of the built environment to the overall work environment for nurses is not fully understood.

Methods: Included in this portfolio are three studies: 1) a descriptive study exploring the experiences of …

Exercise As Self-Care To Combat Nurse Burnout, Jessica Petefish

Theses and Graduate Projects

The demands on nurses continue to grow, inducing stress and other symptoms of burnout. Nurse burnout can cause short and long term physiological and psychological symptoms. Nurse burnout not only affects nurses but has implications for patients and hospitals as well. Exercise has been proven to have many health benefits and the ability to alleviate symptoms of burnout. Nurses on a hematology/oncology unit cited burnout as their reason for leaving the unit. This project proposes a walking program as a self-care method to reduce symptoms of nurse burnout. Utilizing Jean Watson’s Theory of Human Caring and her idea of self-care …

Psychosocial Effects Of Providing Nursing Care To Patients From A Multi-Casualty, School-Associated Shooting Event, William Travis Mccall

Doctoral Dissertations

Secondary traumatic stress describes symptoms consistent with post-traumatic stress disorder but that result from witnessing or experiencing the trauma of another individual through a helping relationship. The associated symptoms include intrusions, avoidance, and hyperarousal. Secondary traumatic stress is also associated with the development of compassion fatigue and burnout. The current state of the science identifies that secondary traumatic stress may affect those nurses who provide care to critically ill or injured patients. Research has most commonly examined the prevalence of secondary traumatic stress, compassion fatigue, and burnout among nurses in emergency department settings. While attention is frequently given to the …

Relationships Between Mindfulness, Nonacademic Factors, Stress, And Test Performance: A Cross-Sectional Study, Rebecca A. Baumeister

UNLV Theses, Dissertations, Professional Papers, and Capstones

Successful test performance is essential to nursing students. Poor performance comes with consequences such as inability to progress or removal from the program, leading to attrition. The influence of academic factors on test performance have been widely researched and stress is known to hinder it, yet other factors may also impact test performance.

Dispositional mindfulness has the potential to support test performance, but no known studies have focused on these two variables among undergraduate nursing students. A gap also exists in relation to the influence of nonacademic factors on undergraduate nursing students’ test performance. Due to the ongoing nursing shortage, …

Evaluation Of Depression, Anxiety And Stress In Graduate Nursing Students, Rachel Dunston

Dissertations

Mental health issues are growing in the United States. Postgraduate school is widely known to increase the level of psychological difficulties (Dyrbye et al., 2006) experienced by students. There is a need to address mental health care in graduate nursing students. This project was a descriptive observational comparison pre-post-intervention design used to see if online modes of delivery would aid in decreasing mental health issues for nursing graduate students. Participants were provided with access to three podcasts and encouraged to use the Sanvello mobile application provided to all students at this university. The first podcast focused on using the Sanvello …

Compassionate Indifference, Judith Sullivan

Journal of Transformative Touch

ABSTRACT

How to turn a not-so-good treatment into an excellent treatment with presence, relaxation and compassionate indifference.

The Disproportionate Impact Of Covid-19 On Women, Ava Stallone

Honors Scholar Theses

The impact of COVID-19 is placing a large strain on women. This can be seen through reports of mental health and financial concerns. Women are more vulnerable to COVID-19 related economic effects due to existing gender inequalities, which in turn may also have a negative effect on mental health. Through this study gender disproportion is looked at between mental health and COVID-19 financial concerns among women and men. The aim is to asses how COVID-19 financial concerns may be contributing to stress, anxiety, and depression. It is hypothesized that; women will report worse mental health and greater economic concerns than …

Using Mindfulness To Decrease Stress In College Students, Saska Pavlovic

Evidence-Based Practice Project Reports

The prevalence of stress is increasing in colleges, where students are experiencing anxiety at an alarming rate, with anxiety being the topic most discussed in university counseling centers. The purpose of this evidence-based practice project was to determine the effect of mindfulness exercises on college students’ perceived stress. The Stetler Model guided the project development and implementation. The literature search revealed that best practice included mindfulness exercises through a combination of face-to-face instruction and remote online audio meditation for a duration of eight weeks. For this project, 56 undergraduate students (health care-leadership, health-science, and nursing majors) enrolled in a health …

Covid-19’S Psychological Influences: How Have University Students Been Affected?, Julaby Dalman

Nursing | Senior Theses

Undergraduate students are well-known as a vulnerable population prone to stress, anxiety, depression and various other psychological problems during their academic time at university or college. With the introduction and sudden integration of the COVID-19 pandemic into the daily lives of these high-risk students, globally, many people are concerned with how the mental health of this population will be affected, given the presence of the pandemic in addition to the multiple safety measures put in place in an attempt to contain the virus. This includes students having been subjected to prolonged implementation of shelter-in-place mandates and requirements of social-distancing across …

Dnp Final Report: The Impact Of Mindfulness Training On Stress, Burnout, And Mindfulness, Denise Mcnulty

DNP Final Reports

Stress and burnout are endemic in the health care profession, and the transition to practice is associated with even more stress and anxiety for new graduate nurses (Boehm & Tse, 2013). Researchers have demonstrated that mindfulness-based interventions mitigate stress and burnout and improve the workplace environment and patient outcomes (Perla et al., 2017; van den Riet et al., 2018). This scholarly evidence-based practice project assessed the impact of integrating mindfulness training into an existing nurse residency program. The team measured burnout, stress, and mindfulness via an online survey at the beginning of the February 2020 residency cohort with repeat measures …

Promoting Wellness For College Athletes Through Mindfulness Meditation, Lisa R. Braatz

Theses and Graduate Projects

The practice of mindfulness meditation may be beneficial for college athlete’s mental health and wellness. College athletes are in a period of significant personal growth and experience high amounts of stress related to athletic performance, academics, and peer relationships. Integrating mindfulness meditation for college athletes has been linked to improving relaxation, concentration, and performance while decreasing fatigue and negative emotions related to fear or anxiety. This scholarly project explores the implementation of four mindfulness meditation sessions on perceptions of stress, mental focus, athletic performance, and presence in female college track and field athletes. The participants were attending an urban college …

The Efficacy Of A Communication Guide On Stress Experienced By Family Members Of Patients Admitted In The Intensive Care Unit With Covid-19, Kandace Williams

The Eleanor Mann School of Nursing Student Works

Coronavirus disease (COVID-19), first introduced in the United States on January 20, 2020, has created worldwide panic due insufficient research and understanding of the nature of this new disease. Patients suffering from COVID-19 often require intensive care unit (ICU) admissions, resulting in stress and confusion amongst patients and their families. The high transmissibility of the disease has caused hospitals to adopt firm visitor restrictions to protect the public from exposure and spread. Families experience increased anxiety and stress due to ineffective communication with staff and restricted access to their hospitalized loved ones. A needs assessment revealed a gap in care …

Resilience 101: A Resilience Education Intervention For College Freshmen, Angie Childre

Doctor of Nursing Practice (DNP) Translational and Clinical Research Projects

This evidence-based project sought to evaluate resilience in freshmen college students enrolled in a Bridge scholar program (BSP) in a liberal arts university in the southeastern United States. The American College Health Association (ACHA) found that stress and anxiety were the top two indicators for impacting academics in 2019 and had been at the top since 2009 at the university of study (ACHA, 2019). The study used a pretest and posttest design method with the implementation of a five-week resilience education intervention. There was no significant difference found in students’ resilience, health promoting behaviors, anxiety or stress from baseline to …

Resilience 101: A Resilience Education Intervention For College Freshmen, Angie Childre

Graduate Research Showcase

This evidence-based project sought to evaluate resilience in freshmen college students enrolled in a Bridge scholar program (BSP) in a liberal arts university in the southeastern United States. The American College Health Association (ACHA) found that stress and anxiety were the top two indicators for impacting academics in 2019 and had been at the top since 2009 at the university of study (ACHA, 2019). The study used a pretest and posttest design method with the implementation of a five-week resilience education intervention. The research questions (Q1-5) were: Q1: What effect did the intervention have on BSP student's resilience? Q2: What …

Insights From Healthcare Worker Parents On Parenting Stress During The Covid 19 Pandemic: A Qualitative Perspective, Michelle Clausen, Annalyn Velasquez, Min Jeong Jeon, Sherrie Flynt Wallington

GW Research Showcase 2021-2024

No abstract provided.

Stress Management & Resiliency Training (Smart) For Nursing Students, Lili Martin, Msn, Rn, Pccn, Dnp(C), Marcia Bosek, Dnsc, Laura Foran-Lewis, Ph.D, Rn

College of Nursing and Health Sciences Doctor of Nursing Practice (DNP) Project Publications

Background: Baccalaureate nursing students report high levels of stress and anxiety. Chronic stress in nursing students is on the rise and can increase the risk for suicide, depression, burnout, and increased academic attrition.

Objectives: The purpose of this EBP/QI project was to establish baseline stress and anxiety levels for senior baccalaureate nursing students and to evaluate the effectiveness of implementing the Benson Henry Institute (BHI) SMART program with nursing students.

Methods: Senior nursing students (n=32) self-selected into either the control or SMART group. The SMART group participated in 8 weekly 1.5 hour SMART sessions during the fall, 2020 semester. All …

The Effectiveness Of Mixed Personality Trait Analysis With Multiple Stress Education Model In Coping With Stress Among International Students In American, Xiaoyang Mei

DNP Research Projects

No abstract provided.

Evaluating The Impact Of A Mindfulness Intervention On Mindful Attention And Awareness, Resilience To Stress, And Perceived Stress In Newly Licensed Nurses In A Nurse Residency Program, Vicki L. Washington

Doctor of Nursing Practice Scholarly Projects

Background: A career in the healthcare profession of nursing provokes significant stress in newly licensed nurses. Previous studies suggested that mindful practice enhanced well-being by bringing awareness to thinking and living in the present moment (being mindful), decreased stress, and enhanced resilience to stress. Purpose: The purpose of this study was to evaluate the impact of a mindfulness intervention on mindful attention and awareness, resilience to stress, perceived stress, and health status in newly licensed nurses in a nurse residency program (NRP).
Methods and Procedure: This mixed-methods quasi-experimental study used a pretest-posttest design with an intervention and comparison group. Surveys …

Massage Therapy For Anxiety And Depression, R. Maryam Lempke

Doctor of Nursing Practice (DNP) Projects

Abstract

Background: Massage therapy is a proven method for reducing symptoms of anxiety and depression as evidenced through literature review. However, the practice of complementary and integrative modalities (CIM), such as massage, is uncommon within psychiatric care. This leaves a gap in practice in the psychiatric setting. Purpose: The capstone quality improvement project addressed the identified gap by providing education on massage therapy to mental health providers and clients, and by increasing massage accessibility and use in the outpatient psychiatric setting by providing education on performing self-massage. Methods: The education was provided via pre-recorded video. Clients/providers completed pre and post-assessments …

Reducing Stress And Burnout In Hospice And Palliative Care Through Education, Marvet Wint

Walden Dissertations and Doctoral Studies

AbstractBurnout, a syndrome described as a state of mental and or physical exhaustion, impacts the workforce of hospice and palliative nurses where employees’ behaviors and professional efficacy reflect poorly on their work. The prevalence of burnout among hospice nurses led to the development of this project. The Maslach Burnout Inventory (MBI) served as a reference guide for developing the content, which addressed whether a staff education program at this Southeastern United States facility, would affect a change in knowledge among hospice nurses reduce burnout. Knowles’s theory of adult learning framed this education program on self-care and stress management. Focus was …

Education Of Staff On Promoting Yoga Activities In Women With Depression, Ahaoma Roselima Nnebedum

Walden Dissertations and Doctoral Studies

Major depression is a serious global health issue and one of the most common mental health problems women face in the United States. The problem in this DNP project, Education of Staff on Promoting Yoga Activities in Women with Depression, was the lack of staff knowledge in using yoga activity to treat women with depression resulting in suboptimal care of women with depression. The DNP project questions were addressed by collecting evidence-based information from the literature to develop the education and to explore if the DNP project would improve the staff knowledge of yoga allowing for the application of the …

The Effect Of Multimethodological Emotional Intelligence Training On Emotional Intelligence Levels In Nurses At An Academic Medical Center, Chad Eldridge

DNP Projects

Background: Stress levels associated with the nursing career can be amplified by hostile social environments in the workplace, horizontal aggression, lack of leadership support, and poor communication. This can lead to poor retention rates and increased burnout.

Conversely, supportive work environments positively influence nursing sensitive quality indicators such as patient satisfaction, nosocomial infections, patient falls, pressure ulcers, and medication errors. Strong relationships enhance workplace social capital leading to an increased sense of belonging, strengthened mental health, and improved job satisfaction ratings.

Executive nurse leaders can promote an empowering environment dedicated to the physical, mental, and social well-being of their staff …

Self-Care Practice In Nursing, Leslie Rhom

Doctor of Nursing Practice Projects

Nurses encounter multiple stressors throughout each shift. If this is not managed well through self-care and coping strategies, it can negatively impact one 's health and the well-being and care delivered to patients. The purpose of this project is to bring awareness of current self-care strengths and limitations of nursing students, equipping students with evidence-based practices to enhance self-care. This effort can lead to improved patient care outcomes by decreasing job turnover, burnout, and compassion fatigue. The participants in this project were pre-licensure nursing students in the final semester of nursing school. Participants attended a didactic lecture, completed the Mindful …

Evaluating The Impact Of Resilience Training In The Group Home Care Provider Population, Gwangia O. Hudson

Doctor of Nursing Practice Projects

Stress, compassion fatigue (CF), and burnout are all potential problems faced by those who have adopted a career in caring for others. Poorly managed stresses are associated with strained work interactions, dysfunctional personal connections, poor health, and poor quality of work (Edwards & Burnard, 2003; Richardson et al., 2015; Zajac et al., 2017). Organizations do well to focus on preventing stress, CF, and burnout; and or at a minimum providing, employees with tools to build resilience (Edwards & Burnard, 2003; Gentry, 2018; Zajac et al., 2017).

Research Regarding The Stress And Coping Practices Of Neonatal Intensive Care Unit Nurses, Gabriella Musto

Honors College Theses

No abstract provided.

The Relationship Between Stress And Emotional Eating In Baccalaureate Nursing Students, Rachel Gasser, Sydney Dominek

Williams Honors College, Honors Research Projects

Nursing students consistently report high levels of stress. This replication study examined the relationship between stress and emotional eating in undergraduate nursing students and compared findings with the original 2012 study. The non-experimental study was guided by the Psychosomatic Theory. Sampling and data collection occurred using three waves of recruitment emails to all sophomore and senior nursing students in spring of 2021. Stress was measured with the Perceived Stress Tool. Emotional eating was measured with the Weight and Efficacy Lifestyle Questionnaire. Emotional eating was higher in seniors, there was no level difference in stress, and BMI was higher in sophomores, …