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Articles 391 - 420 of 547
Full-Text Articles in Nursing
Perceived Ease Of Use And Usefulness Of Podcasting In Nursing Skills Competence, Lisa M. Barnes
Perceived Ease Of Use And Usefulness Of Podcasting In Nursing Skills Competence, Lisa M. Barnes
Nursing Theses and Capstone Projects
This capstone project examined nursing students' technology acceptance of podcasting as a tool for nursing skill acquisition. Technology acceptance was determined by measuring the students' perceived competence of the skill along with the perceived usefulness and ease of use of the provided podcasts. A convenience sample of 49 first semester nursing students from an associate degree and practical nursing program participated in the project. Perceived competence of the three nursing skills: obtaining vital signs, inserting a Foley catheter, and performing a sterile dressing change was examined and compared from pre-podcast availability to post-podcast availability. The overall means of the nursing …
Exploring Incivility Among Registered Nurses In The Hospital Setting, Lesley Ann Gillian
Exploring Incivility Among Registered Nurses In The Hospital Setting, Lesley Ann Gillian
Nursing Theses and Capstone Projects
The purpose of this study was to examine the level of incivility among registered nurses in the hospital setting. A non-experimental descriptive quantitative design was used.The Nursing Incivility Scale (NIS) was sent to all registered nurses (653) employed at the hospital via email with a response rate of 24% (n=158). The NIS has source specific subscales included. The results indicated that nurses did have experiences with incivility at this facility with the sources being identified as General Hostile Climate, Nurse Gossip and Rumors, Physician Abusive Supervision and Patient and Visitor Displaced Frustration.
Evaluating Chain-Of-Command Self-Efficacy Through High Fidelity, Student-Directed, Obstetrical Simulation, Michelle Mcewen-Campbell
Evaluating Chain-Of-Command Self-Efficacy Through High Fidelity, Student-Directed, Obstetrical Simulation, Michelle Mcewen-Campbell
Nursing Theses and Capstone Projects
The purpose of this quasi-experimental capstone project was to evaluate the impact of high fidelity, student-directed, obstetrical simulation upon chain-of-command self-efficacy of baccalaureate nursing students. The convenience sample, composed of 48 junior nursing students, was randomly divided into four simulation groups, and then further randomly divided into active or observational status. Active participants planned interventions and participated in high fidelity obstetrical simulations related to patient safety and chain-of-command initiation. Active and observational students participated in a combined debriefing session. A pretest posttest design utilizing the General Self-Efficacy Scale (GSES) was utilized to measure chain-of-command self-efficacy in relation to both active …
The Impact Of Simulation-Based Learning Experience On Student Satisfaction, Perceived Self-Confidence, And Anxiety, Michelle Britt Warren
The Impact Of Simulation-Based Learning Experience On Student Satisfaction, Perceived Self-Confidence, And Anxiety, Michelle Britt Warren
Nursing Theses and Capstone Projects
Nurse educators are faced with the challenges of facilitating student learning in shorter time frames along with decreasing student opportunities to further their learning experiences in real-world clinical situations (LaFond & Van Hulle Vincent, 2012; Smith & Barry, 2013). There is an identifiable need for safe environments where students can practice and apply the knowledge they have learned in the didactic component of the course to the clinical situations (LaFond & Van Hulle Vincent, 2012; McClure & Gigliotti, 2012). The capstone project, "The impact of simulation based learning experience on student satisfaction, perceived self-confidence and anxiety" examined the implementation of …
Early Intervention Of Non-Invasive Positive Pressure Ventilation In Elderly Patients With Rib Fractures, Jaclyn Gosnell
Early Intervention Of Non-Invasive Positive Pressure Ventilation In Elderly Patients With Rib Fractures, Jaclyn Gosnell
Nursing Theses and Capstone Projects
Rib fractures in the elderly population, 65 years and older, is more prevalent than any other population. Mortality increases with each year over the age of 65 and with each number of ribs fractured. Rib fractures are painful and can lead to a decreased respiratory effort. This results in complications such as pneumonia, respiratory depression, respiratory failure, Acute Respiratory Distress Syndrome (ARDS), and respiratory infections. Non-Invasive Positive Pressure Ventilation (NIPPV) assists with reducing the patient efforts to breathe while also ensuring spontaneous lung expansion. NIPPV can assist with promoting positive outcomes in patients with respiratory complications. The purpose of this …
The Use Of Peer Video Via M-Learning To Teach Essential Nursing Skills, Elizabeth Hall Carver
The Use Of Peer Video Via M-Learning To Teach Essential Nursing Skills, Elizabeth Hall Carver
Nursing Theses and Capstone Projects
The purpose of this project was to compare adding an additional educational intervention (the use of an instructional peer video on a mobile device) to standard practice in the skills lab to teach the skill of male and female urinary catheterization and the removal of a urinary catheter. The project had a quasi-experimental design, without control, and utilized a convenience sample of 31 pre-licensure nursing students. Failure rates at skills evaluation were compared between the previous semester A (fall 2014) and semester B (spring 2015). Semester B was subdivided into two groups, with approximately half in the traditional instructional B1 …
Exploration Of Work Environmental Factors That Affect Nurse Job Satisfaction In A Hospital Setting, Mary L. Peeler
Exploration Of Work Environmental Factors That Affect Nurse Job Satisfaction In A Hospital Setting, Mary L. Peeler
Nursing Theses and Capstone Projects
Nurses are experiencing increased stress and dissatisfaction in the health care arena. The work environment impacts nurses’ perception and loyalty to organizations based on satisfaction versus dissatisfaction, including quality patient care. The purpose of this study was to explore work environmental factors that affect nurse job satisfaction in a hospital setting. Marilyn Ray’s Theory of Bureaucratic Caring was the theoretical framework for this study. The research utilized the McCloskey/Mueller Satisfaction Scale (MMSS) to examine factors in an acute care hospital associated with nurse job satisfaction. The study invited 130 nurses from a hospital in rural South Carolina to participate electronically …
The Effect Of Community Education On Osteoporosis Knowledge, Avis O. Morrow
The Effect Of Community Education On Osteoporosis Knowledge, Avis O. Morrow
Nursing Theses and Capstone Projects
Osteoporosis is a metabolic disorder characterized by the loss of bone mass, increased bone fragility, and the increased risk of fractures. Bone loss is accelerated when the diet is deficient in vitamin D and calcium. The National Osteoporosis Foundation estimates that 57 million Americans are at risk for this disorder. The risk depends on the amount of bone mass achieved between ages 25-35 and how much bone loss occurs after that age. Bone loss increases after menopause. Lifestyle modifications needed include knowledge of vitamin D, calcium, and exercise recommendations.
Perceived Patient Satisfaction With Hospital Services And Interventions, Marietta Abernathy
Perceived Patient Satisfaction With Hospital Services And Interventions, Marietta Abernathy
Nursing Theses and Capstone Projects
The patient and family voice should be heard in the healthcare setting. Gaining knowledge and insight from a parent of a pediatric patient will allow hospital staff and administrators to see the hospital experience from the vantage point of a patient and family member (Uhl, Fisher, Docherty, & Brandon, 2013). It is important to continually review feedback and suggestions from families of pediatric patients to improve the care of future patients. Ultimately, this will improve patient satisfaction scores, but most importantly, it will improve the experience of pediatric patients (Creating patient and family advisory councils, 2010). The investigator interviewed ten …
Final Semester Associate Degree Nursing Student Stress And Comprehensive Nclex-Rn® Predictor Exam Results, Brittany Hudgins
Final Semester Associate Degree Nursing Student Stress And Comprehensive Nclex-Rn® Predictor Exam Results, Brittany Hudgins
Nursing Theses and Capstone Projects
This study assessed perceived stress among graduating nursing students and explored the relationship between perceived stress and scores on a comprehensive NCLEX-RN® predictor exam. The goal was to provide data for educators to examine the correlation between student stress levels and comprehensive NCLEX-RN® predictor exam scores. Findings indicated that nursing students had higher than average stress levels based on established averages reported for the Perceived Stress Scale (PSS) three weeks prior to graduation. No relationship was found in regards to stress and ATI Comprehensive Predictor Scores administered two days after students completed the PSS questionnaire. Implications for nurse educators based …
Timeliness Of Patient Discharges: A Comparison Of The Acute Care Discharge Process For Medical And Surgical Patients, Robert Moore
Timeliness Of Patient Discharges: A Comparison Of The Acute Care Discharge Process For Medical And Surgical Patients, Robert Moore
Nursing Theses and Capstone Projects
Patient flow is becoming increasingly important to the efficient operations of an acute healthcare setting. Multiple factors peaking in their influence on the number of patients seeking healthcare services are on a collision course. When the true impact is felt in healthcare the potential for record numbers of patients to seek acute medical care are high. It is imperative to streamline patient flow processes to ensure healthcare facilities have the ability to provide the care sought by patients in a timely manner. This study’s purpose was to assist in increasing the number of patients an acute care facility can provide …
Incorporating Simulation Into Advanced Cardiac Life Support, Lorraine Calwile
Incorporating Simulation Into Advanced Cardiac Life Support, Lorraine Calwile
Nursing Theses and Capstone Projects
The knowledge and practical skills of the Basic Life Support (BLS) and the Advanced Cardiac Life Support (ACLS) are among the most important determining factors of the cardiopulmonary resuscitation (CPR) success rates. Every year there are millions of healthcare workers that dread coming to ACLS class for fear of failure of the written exam or the mega code. Many of these participants haven’t participated in a code situation since they left class the previous two years. Participants sit in class for two days listening to lectures and going through practice mega codes to prepare them for the final mega code. …
Utilizing Motivational Interviewing To Promote Condom Use Self-Efficacy, Ann Maria Bell
Utilizing Motivational Interviewing To Promote Condom Use Self-Efficacy, Ann Maria Bell
Nursing Theses and Capstone Projects
Condom use is one of the most important preventive mechanisms available to combat sexually transmitted diseases and unintended pregnancies, yet over 70% of adolescents and young adults lack education on the proper use of condoms. Lack of education and confidence in using condoms contributes to a decrease in condom usage, resulting in increased rates of sexually transmitted diseases and unintended pregnancies. The purpose of Project Motivate was to determine if motivational interviewing significantly improves self-efficacy related to condom use among patients presenting for screening of sexually transmitted diseases. The project sought to determine if motivational interviewing is an effective intervention …
Lean And Six Sigma Impact On Operating Room Safety Attitudes And Efficiency, Nancy Marlene Geedey
Lean And Six Sigma Impact On Operating Room Safety Attitudes And Efficiency, Nancy Marlene Geedey
Nursing Theses and Capstone Projects
Non-healthcare organizations have utilized Lean Six Sigma methodologies for several decades to eliminate waste, decrease expenses, and improve efficiency. This approach to problem-solving can be successfully applied to health care process improvement projects. Health care leaders and front line staff can use a prescribed set of steps to define steps in care processes and identify potential solutions. Health care leaders can use Lean Six Sigma tools such a fishbone diagram or a cause and effect matrix to identify issues. After carefully organizing the problems into groups according to priority, leaders can develop action steps toward resolution.
Improving Attitudes Toward Interdisciplinary Collaboration Between Nursing And Medical Students In Simulation, Kristy H. Williams
Improving Attitudes Toward Interdisciplinary Collaboration Between Nursing And Medical Students In Simulation, Kristy H. Williams
Nursing Theses and Capstone Projects
This capstone project assessed whether a curriculum change for senior nursing students could have an impact on improving attitudes toward physician-nurse collaboration. A convenience sample of 60 senior level nursing students and eight residents were enrolled in the study. The nursing students and residents participated in a high-fidelity simulation scenario, and were given a pretest and posttest using the Jefferson Scale of Attitudes Toward Physician-Nurse Collaboration. There was strong evidence (t= -1.971, p=.05) that the attitudes of physician-nurse collaboration improved for nursing students through a simulation based scenario with residents. The confidence interval for the difference was (-0.22, 0.002). Although …
Effects Of Comfort Education On Maternal Comfort And Labor Pain, Abby E. Garlock
Effects Of Comfort Education On Maternal Comfort And Labor Pain, Abby E. Garlock
Nursing Theses and Capstone Projects
A lack of understanding regarding the relationship between comfort education and maternal comfort experienced during labor exists within current literature. This project examined the effects of providing education regarding comfort and comfort options available in the hospital setting on level of maternal comfort during labor. A quasi-experimental pretest/posttest comparison group design was used for this project, in which a convenience sample of 80 participants was randomly assigned into a standard care control group or an educational intervention group. Providing comfort education during admission to the labor and delivery unit did not increase comfort scores or decrease pain scores in the …
Rural Healthcare Providers' Behavioral Intentions With Hospice Referrals: Attitudes, Knowledge, Beliefs, Benefits And Barriers, Meki Jacobs Graham
Rural Healthcare Providers' Behavioral Intentions With Hospice Referrals: Attitudes, Knowledge, Beliefs, Benefits And Barriers, Meki Jacobs Graham
Nursing Theses and Capstone Projects
As hospice programs gain recognition, hospice referrals are gaining momentum. Yet for multiple reasons hospice referrals are challenging amongst rural healthcare providers (HCPs). For rural healthcare providers, lack of knowledge about hospice services and care contributes to a decrease in hospice referrals. The purpose of this capstone project was to develop an intervention to improve rural health care providers' behavioral intention to make hospice referral. The study sought to determine if an educational intervention would improve behavioral intentions to make a hospice referral resulting in increased hospice referral rates. Outcome data was based on utilizing a pretest/posttest survey design. An …
Relationship Between Patient Safety Culture And Safety Outcome Measures Among Nurses, Jamie Kay Brown
Relationship Between Patient Safety Culture And Safety Outcome Measures Among Nurses, Jamie Kay Brown
Nursing Theses and Capstone Projects
Preventable errors in healthcare are a significant problem in today’s society, contributing to numerous adverse patient outcomes and even deaths on a daily basis. Identifying adverse outcomes is an imperative first step in creating a safer healthcare system, which can be followed by cause analyses and action plans to address systematic issues and improve process reliability. Despite the widespread use of voluntary reporting systems to identify adverse events, recent literature has found extreme limitations and severe underreporting with its use in healthcare facilities. A frequent theme in the literature implies that identifying reportable events and discouraging hesitation in reporting begins …
The Effect Of Art Therapy On Hospice And Palliative Caregivers, Carol E. Gress
The Effect Of Art Therapy On Hospice And Palliative Caregivers, Carol E. Gress
Nursing Theses and Capstone Projects
A quazi-experimental, one-group, pretest/posttest study was conducted with a group of 25 hospice workers employed by a medium sized county hospice organization in the southeastern United States that was experiencing rapid personnel turn-over. Participants in the study included a doctor, a physician’s assistant, a nurse practitioner, a massage therapist, a grief counselor, a licensed practical nurse, a certified nursing assistant, two clergy, three administrative staff, three social workers, seven volunteers, eight registered nurses and one other. The purpose was to investigate whether attending four 1-hour art therapy sessions could help reduce stress and thereby Burnout. Stamm’s (2010) Professional Quality of …
Exploring The Relationship Between Reporting Medication Errors And Nurse Fear Of Retribution, Emily J. Hanna
Exploring The Relationship Between Reporting Medication Errors And Nurse Fear Of Retribution, Emily J. Hanna
Nursing Theses and Capstone Projects
Studies have shown that medication administration errors are a critical issue in healthcare and more importantly preventing this type of error depends on precise reporting. Analysis of medication errors can lead to healthcare system improvement and reduced risk if the errors are detected, reported, and used to formulate improved patient care practices and systems. Nurses are the front line of defense to intercept and report errors. Through a review of the literature, it has been determined that nurses possibly fear blame and punishment when a Medication Administration Error (MAE) occurs; therefore, the purpose of this Master of Science in Nursing …
Utilization Review Software: The Impact On Productivity And Structural Empowerment In Case Management Nurses In An Acute Care Setting, Kimberly Frazier
Utilization Review Software: The Impact On Productivity And Structural Empowerment In Case Management Nurses In An Acute Care Setting, Kimberly Frazier
Nursing Theses and Capstone Projects
The Center for Medicare and Medicaid (CMS) seeks to achieve cost control by implementing aggressive cost containment mechanisms for an exploding Medicare population. One such mechanism is utilization review, which is employed to limit reimbursement of medical care that is determined to not be medically necessary. The CMS Conditions of Participation mandate that all hospitals determine whether a patient qualifies for an Inpatient or Observation stay. Utilization Review Specialist (UR) nurses were given the Conditions of Work Effectiveness Questionnaire II (CWEQ-II), Organizational Relationship Scale II (ORS-II), and the Job Activity Scale II (JAS II), six months after McKesson InterQual software …
Nursing Students' Perceptions Of Mental Health Patients And Mental Health Nursing, Susan Furr
Nursing Students' Perceptions Of Mental Health Patients And Mental Health Nursing, Susan Furr
Nursing Theses and Capstone Projects
This Capstone project evaluated the impact of a simulation-based learning experience on nursing students' anxiety levels, preparedness for psychiatric practicum, and stereotypical views towards individuals with mental illness. A sample of 15 bachelor level nursing students was utilized. The experimental group (n=8) was exposed to a four-hour simulation-based learning experience prior to the beginning of their clinical experience. The control group (n=7) began their clinical rotation without any simulation exposure. A pretest, posttest design utilizing the Mental Health Nursing Survey Part 1 (MHN-1) and the Mental Health Nursing Survey Part 2 (MHN-2) was used to measure the students' stereotypical views, …
Implementation Of A Second Victim Program: Hope Team, Sherrie Lee
Implementation Of A Second Victim Program: Hope Team, Sherrie Lee
Nursing Theses and Capstone Projects
The healthcare workforce is composed of a variety of roles and disciplines that do their best ensuring patient safety and quality care. Nurses spend more time with the patient than any other discipline. They not only are responsible for the care of their patients but their families during hospitalization. The role and responsibilities of a nurse puts them in a position for making mistakes. After a mistake is made, the patient becomes the first victim, the nurse becomes the second victim, and the organization becomes the third victim. A second victim is a healthcare worker who makes a mistake and …
Patient Navigator's Role Definition, Joann Smith
Patient Navigator's Role Definition, Joann Smith
Nursing Theses and Capstone Projects
Patient navigation as a care coordination model continues to evolve. Early programs focused on access to care for the underserved and uninsured. With no standard credentials, title, training or job descriptions, navigator programs are as varied as the people who perform these duties. The nurse navigator provides a holistic approach to care delivery and focuses on care coordination, education, and physical, social and emotional aspects of care. Workload for the navigators is increasing as a result of patient, facility, departmental, and national accreditation demands. The goal of this capstone project was to redefine the job descriptions of the Oncology Nurse …
Relationship Between Job Satisfaction And Nurse To Patient Ratio With Nurse Burnout, Kayla Teeter
Relationship Between Job Satisfaction And Nurse To Patient Ratio With Nurse Burnout, Kayla Teeter
Nursing Theses and Capstone Projects
There is evidence that the increase in patients per nurse ratio and job dissatisfaction are leading causes of nurse burnout in the United States; however, current research mostly focuses on the hospital setting which limits the generalization of the findings. Therefore, more research is needed beyond the hospital environment. The purpose of this MSN thesis was to examine the relationship between job satisfaction and nurse-patient ratio with nurse burnout among home health nurses. The hypothesis is that home health nurses who experience a higher nurse to patient ratio and greater job dissatisfaction will experience increased nurse burnout. A review of …
Staff Perception Related To Family Presence During Resuscitation, Stephanie L. Herron
Staff Perception Related To Family Presence During Resuscitation, Stephanie L. Herron
Nursing Theses and Capstone Projects
The purpose of this study was to examine the perception of health care professionals (staff nurses) regarding family presence during resuscitation. The sample consisted of 59 nurses of different ages and working in different departments. The Staff Perceptions of Family-Witnessed Resuscitation questionnaire was used to collect data. The relationships between participants' demographic data and perceived attitudes and beliefs were also analyzed. Many of the healthcare professionals felt that it was acceptable to have family members present during resuscitation if the patient makes clear decisions prior to the incident or if the physician makes the decision for the patient. Almost half …
Discharge Education In The Emergency Department: Are We Effectively Teaching Chest Pain Patients?, Emily Edwards Nishiyama
Discharge Education In The Emergency Department: Are We Effectively Teaching Chest Pain Patients?, Emily Edwards Nishiyama
Nursing Theses and Capstone Projects
Millions of individuals visit the emergency department (ED) each year with complaints of chest pain. Many chest pain patients do not have an underlying condition of Acute Coronary Syndrome (ACS) but the health and well-being of these patients is indispensable. Research has indicated soaring costs, an increased demand in medical resources, and an increasingly poor quality of life for these patients after discharge. Although research encourages quality education at discharge, very few studies have been conducted on ED discharge education for non-ACS chest pain patients. Using a cross-sectional descriptive research design, this quantitative study discovered the frequency of education provided …
Lateral Violence In The Emergency Department, Lesley Swafford
Lateral Violence In The Emergency Department, Lesley Swafford
Nursing Theses and Capstone Projects
This study examined the types, frequency, and scopes of emergency room nurses' personal experience with disruptive behavior and its impact on staff, their patients, and the organization. Seventy registered nurses completed the Johns Hopkins Disruptive Clinician Behavior survey. Descriptive statics were used to analyze results. The most significant findings included: (a) Passive aggressive behavior was the most commonly reported form of disruptive behavior occurring on a daily basis, (b) RN's were identified as the most common instigators of disruptive behavior, (c) pressure from high census, volume, and patient flow was identified as the most common trigger of disruptive behavior occurring …
Breastfeeding Education: Improving Initiation And Duration Of Breastfeeding, Rhonda Coffey
Breastfeeding Education: Improving Initiation And Duration Of Breastfeeding, Rhonda Coffey
Nursing Theses and Capstone Projects
The purpose of this research study was to examine the level of self-efficacy for new mothers attending a formal breastfeeding education compared to those that did not. Participants were asked to complete the Breast Feeding Self-Efficacy Scale - Short Form via telephone. Twenty primigravida mothers who were breastfeeding at the time of discharge agreed to participate. A Pearson correlation coefficient was calculated examining the relationship between the participant's level of self-efficacy and participation in formal breastfeeding. The Pearson correlation coefficient was positive but was not statistically significant ( r (18)= .250, p > .05) indicating no relationship between the participant's self-efficacy …
A Measure Of Perceived Fatigue Among Nurses In Western North Carolina, Karen R. Cochran
A Measure Of Perceived Fatigue Among Nurses In Western North Carolina, Karen R. Cochran
Nursing Theses and Capstone Projects
We are anticipating a heightened shortage of nurses as our aging population retires. A shortage of workers tends to lead to overtime for those still in the work force. Previous research has demonstrated a link between working long hours, fatigue, and decreased performance among nurses. Fatigue has specifically been linked to on the job injuries and poorer patient outcomes. This research study examined perceived fatigue among nurses in western North Carolina. A convenience sample of nurses from five hospitals in western North Carolina was surveyed to measure fatigue, as well as compare differences in reported fatigue across varying demographic groups. …