Nursing Commons^™

Addressing Gaps In Quality And Safety Education During Pre-Licensure Clinical Rotations, Susan Pauly-O'Neill, Elizabeth E. Cooper

Nursing and Health Professions Faculty Research and Publications

United States national reports have called for improvement in healthcare professions education to better address patient care outcomes. In response, an initiative titled “Quality and Safety Education for Nurses (QSEN)” has been adopted by nursing programs across the nation, which describes the six main competencies to be included in nursing curricula. As early adopters of the QSEN competencies, the University of San Francisco nursing faculty promptly threaded the material throughout the 4-year Bachelor’s of Science in Nursing (BSN) curriculum. Confident that the topics were well covered in the classroom, we then sought to learn how often our students practiced these …

People Who Inject Drugs, Hiv Risk, And Hiv Testing Uptake In Sub-Saharan Africa, A K. Asher, J A. Hahn, Marie-Claude Couture, K Maher, Page

Nursing and Health Professions Faculty Research and Publications

Dramatic rises in injection drug use (IDU) in sub-Saharan Africa account for increasingly more infections in a region already overwhelmed by the HIV epidemic. There is no known estimate of the number of people who inject drugs (PWID) in the region, or the associated HIV prevalence in PWID. We reviewed literature with the goal of describing high-risk practices and exposures in PWID in sub-Saharan Africa, as well as current HIV prevention activities aimed at drug use. The literature search looked for articles related to HIV risk, injection drug users, stigma, and HIV testing in sub-Saharan Africa. This review found evidence …

Liberation Health And The Role Of The Public Health Leader, Courtney Keeler

Nursing and Health Professions Faculty Research and Publications

The following short report lays the groundwork for rethinking the practice and implications of public health leadership in the context of liberation health. Liberation health reduces to a universal idea:health is freedom. In short, everyone holds a subjective notion of health and, within certain bounds, has the right to promote and maintain that health. This report briefly describes liberation health, discusses the implications of liberation health for public health leadership, and outlines two needed transformations in moving towards a liberation health model of leadership. The report details areas for future research on this topic among public health leaders …

A Comparison Of Two Teaching Methods For Pediatric Medication Administration: Multimedia And Text-Based Modules, Renee Granados

Doctoral Dissertations

A Comparison of Two Teaching Methods for Pediatrics: Multimedia and Text-based Modules to Teach Pediatric Medication Administration

Nurse educators are in a position to design and develop effective methods that consider the cognitive structures and how the mind processes information to teach pediatric medication content to nursing students. The majority of methods teaching medication administration use only one mode: the visual mode. One mode to present leaning material does not take advantage of the additive effects of using two modes to present learning material.

The purpose of the study was to compare the effectiveness of two teaching methods to present …

Adoption Of Innovation: Impact Of Rituximab (Rituxan®) Faster Infusion On Oncology Nurses' Perceptions, Practice, And Resource Utilization, Keith Dawson

Doctor of Nursing Practice (DNP) Projects

The translation of advances in clinical research into clinical practice in a manner that provides benefits while reducing potential harm is a challenge within the health care delivery system. Data from a phase III multicenter clinical trial led to the 2012 US Food and Drug Administration (FDA) approval of a 90-minute infusion of rituximab (Rituxan) starting at Cycle 2 for patients with non-Hodgkin’s lymphoma who did not experience a Grade 3 or 4 infusion-related adverse event during Cycle 1. The 90-minute rituximab faster infusion will result in a significant change in how nurses in the United States have been administering …

Recognition Of Compassion Fatigue Among Medical-Surgical Nurses: The Provision Of Education To Manage The Effects, Kandace Woodruff

Doctor of Nursing Practice (DNP) Projects

The Institute of Medicine (IOM) (2010) recommends that healthcare organizations make the “recruitment and retention of qualified nurses a priority”. The ability to comply with the recommendation is fraught with challenges. Nurses are required to care for patients across the age span with varying medical complexities. There are work related stressors which are inherent to the care of a more acutely ill patient population. The tenuousness produced by this type of environment can predispose the nurse to a stress induced phenomenon known as, Compassion Fatigue. The literature is abounding with information related to compassion fatigue among various nursing specialties. However, …

A Gap Analysis Of Nursing Systems And Practices In Malaysia: Culturally Appropriate Interventions To Advance Nursing, Chenit Ong-Flaherty

Doctor of Nursing Practice (DNP) Projects

This project comprises a gap analysis of differences between American and Malaysian nursing programs, and additionally, proposes culturally appropriate interventions for Malaysian nursing to adopt American nursing models. The gap analysis was conducted on nursing systems and practices in Malaysia undertaken to identify the differences between Malaysian and American nursing, and the influences that affect Malaysian nursing. The aim is to facilitate the use of the American Nurses Credentialing Center (ANCC) Pathway to Excellence Practice Standard #4: Orientation Prepares New Nurses for the Work Environment, and #6: Professional Development is Provided and Used. The proposal of culturally appropriate interventions as …

Self-Tracking, Social Media And Personal Health Records For Patient Empowered Self-Care, C Paton, Margaret M. Hansen Edd, Msn, Rn, L Fernandez-Luque, Ays Lau

Nursing and Health Professions Faculty Research and Publications

Objectives: This paper explores the range of self-tracking devices and social media platforms used by the self-tracking community, and examines the implications of widespread adoption of these tools for scientific progress in health informatics. Methods: A literature review was performed to investigate the use of social media and self-tracking technologies in the health sector. An environmental scan identified a range of products and services which were used to exemplify three levels of self-tracking: self-experi- mentation, social sharing of data and patient controlled electronic health records. Results: There appears to be an increase in the use of self-tracking tools, particularly in …

Creating An Interactive Dnp Project Repository:A Model For Change, Sara D. Guido Dr.

Doctor of Nursing Practice (DNP) Projects

The creation of systems that can provide bridges to information technology requires rethinking old ways of doing business. In the past, individual universities and colleges would accommodate theses and dissertations on their library sites. Some of these sites are public and can be accessed by everyone, while some require university-specific affiliation.

This project aims to apply knowledge and skills related to information systems and technology. With the growth of the DNP clinical doctorate programs, and final outcome projects there is a need for specialized DNP database for a new method of data entry and retrieval for DNP’s. The creation of …

Overview Of Smart Phone Video Essentials, Scott Erdley, Margaret M. Hansen Edd, Msn, Rn

Nursing and Health Professions Faculty Research and Publications

No abstract provided.

Horizontal Violence Among Hospital Staff Nurses Related To Oppressed Self Or Oppressed Group, Christina Purpora, M A. Blegen, N A. Stotts

Nursing and Health Professions Faculty Research and Publications

Horizontal violence among nurses is recognized as a major problem in hospitals; however, the origins and effects on patient care have not been studied. This study described the incidence of horizontal violence among hospital staff RNs and tested 2 hypotheses about the social origins of this behavior. A random sample of 175 hospital staff RNs drawn from the California Board of Registered Nursing's mailing list was surveyed. Horizontal violence was reported by 21.1% (n = 37) of participating nurses. Hypotheses were supported. Findings suggested (a) a positive relationship between beliefs consistent with an oppressed self and horizontal violence (r = …

Horizontal Violence And The Quality And Safety Of Patient Care: A Conceptual Model, Christina Purpora, Mary A. Blegen

Nursing and Health Professions Faculty Research and Publications

For many years, nurses in international clinical and academic settings have voiced concern about horizontal violence among nurses and its consequences. However, no known framework exists to guide research on the topic to explain these consequences. This paper presents a conceptual model that was developed from four theories to illustrate how the quality and safety of patient care could be affected by horizontal violence. Research is needed to validate the new model and to gather empirical evidence of the consequences of horizontal violence on which to base recommendations for future research, education, and practice.

Distress During The Menopause Transition: A Rich Contextual Analysis Of Midlife Women's Narratives, Marcianna Nosek, Holly Powell Kennedy, Maria Gudmundsdottir

Nursing and Health Professions Faculty Research and Publications

In 2010, nearly 400 million women worldwide were of menopause age (45-54). Although many women transition through menopause with ease, some experience distress and a subsequent decrease in quality of life. The purpose of this qualitative study was to examine the experiences of distress in women during the menopause transition. A narrative analysis methodology was used maintaining participants’ complete narratives when possible. In-person interviews of 15 midlife women were digitally audio recorded and transcribed verbatim. Women shared narratives of distress related to menstrual changes, emotional instability, vaginal dryness, and decreased libido affected by their relationships with self, partners, work, and …

Screening, Brief Intervention, And Referral To Treatment: A Nursing Perspective, Chenit Ong-Flaherty

Nursing and Health Professions Faculty Research and Publications

Screening, brief intervention and referral to treatment (SBIRT) was first initiated by the World Health Organization (WHO) in the mid 1980’s in recognition of alcohol as an important contributor of ill health, mental health issues, injuries from trauma, and social problems .¹ For example, in 2002, 3.2% of deaths worldwide were attributed to alcohol use.¹ SBIRT has been successfully implemented in primary care and emergency departments and globally.^1-11 In emergency medicine, SBIRT has been mandated by the American College of Surgeons Committee on Trauma for all Level I trauma centers in the United States.⁸ There are …

Presence In Nursing Practice: A Critical Hermeneutic Analysis, Alicia Laurel Bright

Doctoral Dissertations

Research Topic

Presence, although it involves action at times, is a humanitarian quality of relating that is ethically generated and has real-world implications for both patient and nurse. It is an interpersonal process characterized by sensitivity, holism, intimacy, vulnerability, and adaptation to unique circumstances that results in enhanced mental wellbeing for nurses and patients, and improved physical wellbeing for patients. Knowing and being with are foundational to being present.

Theory and Protocol

This research is grounded in critical hermeneutics and follows an interpretive approach to field research and data analysis (Herda 1999). This orientation places the researcher and participants in …

Rn Transition To Practice Program In The Primary Care And School Settings: Development, Implementation, And Evaluation, Maria-Idalia O. Lens

Doctor of Nursing Practice (DNP) Projects

New graduate registered nurses (RN) are facing a difficult time finding jobs since the economy of the United States has declined. Since then the California Institute of Nursing and Health Care, along with funding from the Betty Moore Foundation, have developed RN transition programs. These programs were developed to increase skills, confidence, and experience among new RN graduates to promote their transition into the nursing workforce. The programs also were designed to retain newly licensed nurses in the nursing profession while engaging competencies that could be transferred to both acute and outpatient care settings. In addition, the programs are intended …

Are Nursing Students’ Clinical Skills Competency And Self-Confidence Levels Improved Via Video Ipods? A Randomized Controlled Pilot Study, Margaret M. Hansen Edd, Msn, Rn

Nursing and Health Professions Faculty Research and Publications

Background: Mobile technologies allow students the opportunity to enhance learning while away from the traditional classroom setting. However, educational outcome research is lacking in the use of mobile health (m-health) applications in healthcare professional practice development.

Objectives: The aim of this pilot study was to discover whether male and female urinary catheter insertion videos delivered via iPods increases students’ skills competency and self-confidence levels.

Methods: A prospective replicated study including second year, semester two, undergraduate nursing student participants (NSP) (N=16) was conducted: nine control participants (no video iPods) and seven intervention participants (video iPods). Nursing students attending a mandatory skills …

Disseminating The Course For The Behavioral Management Of Auditory Hallucinations Across Va Mental Health Settings, Marti Buffum, Robin Buccheri, Louise Trygstad

Nursing and Health Professions Faculty Research and Publications

No abstract provided.

Enhancement Of Medical Interns' Levels Of Clinical Skills Competence And Self-Confidence Levels Via Video Ipods: Pilot Randomized Controlled Trial, Margaret M. Hansen Edd, Msn, Rn, George Oosthuizen, John Windsor, Iain Doherty, Samuel Greig, Katrina Mchardy, Lloyd Mccann

Nursing and Health Professions Faculty Research and Publications

Background: Designing and delivering evidence-based medical practice for students requires careful consideration from medical science educators. Social Web (Web 2.0) applications are a part of today’s educational technology milieu; however, empirical research is lacking to support the impact of interactive Web 2.0 mobile applications on medical educational outcomes.
Objectives: The aim of our study was to determine whether instructional videos provided by iPod regarding female and male urinary catheter insertion would increase students’ confidence levels and enhance skill competencies.
Methods: We conducted a prospective study with medical trainee intern (TI) participants: 10 control participants (no technological intervention) and 11 intervention …

The Composite First Person Narrative: Texture, Structure, And Meaning In Writing Phenomenological Descriptions, Marcia Stanley Wertz, Marcianna Nosek, Susan Mcniesh, Elizabeth Marlow

Nursing and Health Professions Faculty Research and Publications

This paper illustrates the use of composite first person narrative interpretive methods, as described by Todres, across a range of phenomena. This methodology introduces texture into the presently understood structures of phenomena and thereby creates new understandings of the phenomenon, bringing about a form of understanding that is relationally alive that contributes to improved caring practices. The method is influenced by the work of Gendlin, Heidegger, van Manen, Gadamer, and Merleau-Ponty. The method’s applicability to different research topics is demonstrated through the composite narratives of nursing students learning nursing practice in an accelerated and condensed program, obese female adolescents attempting …

An Educational Workshop: Introducing An Evidence-Based Psychotherapy Strategy "Tool Kit" For The Treatment Of Chronic Depression, Kimberleigh Christine Cox

Doctor of Nursing Practice (DNP) Projects

No Abstract Available

Enhancing The New Patient Care Experience By Personalizing The New Patient Lab Screening Order Set, Enna Edouard Trevathan, Kelly Hautala, Lars Osterberg, Peter Lee, Sandra Parkes, Marites Relos, Rose Callejas, Mary Lou Faustina

Nursing and Health Professions Faculty Research and Publications

No abstract provided.

Comprehensive Evidence-Based Program Teaching Self-Management Of Auditory Hallucinations On Inpatient Psychiatric Units, Robin Buccheri, L Trygstad, M Buffum, K Lyttle, G Dowling

Nursing and Health Professions Faculty Research and Publications

Patients hearing command hallucinations to harm whose only self-management strategies are to obey these commands, can represent serious safety concerns on inpatient psychiatric units. A comprehensive evidence-based program teaching self-management of auditory hallucinations on inpatient psychiatric units is described that includes five components: suggestions for staff education; patient self-assessment tools; an interview guide and safety protocol; a course to teach strategies for managing distressing voices and commands to harm; suggestions to improve staff communication; and a plan to extend the program from inpatient care settings into the community by sharing materials with community case managers and caregivers when patients are …

The Effects Of Perceived Stress And Attitudes Toward Menopause And Aging On Symptoms Of Menopause, Marcianna Nosek, Holly Powell Kennedy, Y Beyene, D Taylor, C Gilliss, K Lee

Nursing and Health Professions Faculty Research and Publications

As part of a longitudinal study of midlife women, the aim of this investigation was to describe the intensity of menopausal symptoms in relation to level of perceived stress in a woman’s life and her attitudes toward menopause and aging. Data were collected on 347 women between the ages of 40–50 in Northern California who began the study while pre-menopausal. Women self identified as African American, European American, or Mexican/Central American. Data collected over 3 time points in the first 12 months were used for this analysis. An investigatordeveloped tool for perception of specific types of stress was used. Attitudes …

The Impact Of Patient-Centered Narrative Interviewing On The Perceptions Of Primary Care Clinicians: A Pilot Evaluation, Michael James Terry

Doctor of Nursing Practice (DNP) Projects

In this project, psychiatric nurses were trained in patient-centered narrative interviewing approaches and placed in a variety of healthcare sites and conditions to function as consultants. Primary care clinicians (PCCs) in those sites selected patients that each clinician felt was frustrating or difficult and arranged for the consultant to interview them. The consultants then presented patient information to the PCC, data typically difficult to obtain using a standard medical interviewing format. The consultant and PCC discussed the new information provided. The PCC than determined if the information provided was valuable, whether it changed their clinical decision-making regarding this patient's diagnosis …

Entry-Level Clinical Nurse Leader: Evaluation Of Practice, Eira Ilse Klich-Heartt

Doctor of Nursing Practice (DNP) Projects

The Clinical Nurse Leader (CNL) is a master-prepared generalist accountable for patient outcomes through application of evidenced-based practice at the microsystem level. Accelerated nursing programs are educating entry level nurses as CNLs in a novel Model C program. This doctoral project evaluates entry-level master’s CNL graduates with the CNL end-of-program competencies to determine whether these graduates are able to have positive effects on patient, systems, and leadership outcomes in clinical settings.

Newborn Umbilical Cord Care: An Evidence Based Quality Improvement Project, Janeen Marie Whitmore

Doctor of Nursing Practice (DNP) Projects

No Abstract Available

Exploring The Value Of Group And Traditional Obstetrical Appointments To Reduce Health Disparity, Helene M. Holbrook

Doctor of Nursing Practice (DNP) Projects

Disparity in health outcomes is influenced by socioeconomic factors that may include access to important healthcare information in a culturally sensitive way. Can a group appointment model like the CenteringPregnancy model provide a more effective means for engaging Spanish-speaking pregnant women? Research studies using the group prenatal appointment model show increased pregnancy knowledge, readiness for labor and higher satisfaction compared with individual prenatal appointments. This paper discusses the importance of reducing disparities in birth outcomes using a group appointment model conducted in partial fulfillment for the Doctor of Nursing Practice degree.

Developing An Evidence-Based Practice For Psychiatric Nursing, Robin Buccheri, L Trygstad, M Buffum, A Gerlock

Nursing and Health Professions Faculty Research and Publications

No abstract provided.

Open To Being Different, Chenit Ong-Flaherty

Nursing and Health Professions Faculty Research and Publications

No abstract provided.