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Articles 1 - 30 of 213
Full-Text Articles in Nursing
Use Of Acupuncture As A Complementary Therapy For The Treatment Of Chronic Pain In The Veteran Population To Improve Outcomes: An Integrative Review, Tabitha T. Smithers
Use Of Acupuncture As A Complementary Therapy For The Treatment Of Chronic Pain In The Veteran Population To Improve Outcomes: An Integrative Review, Tabitha T. Smithers
Doctoral Dissertations and Projects
Clinical care in patient management is progressive and should change as evidence-based practice research is available. Veterans’ experiences with pain related to their service-related injuries are unique. This pain can limit their ability to function in society successfully. Many of the patients continue to experience uncontrolled pain, as well as side effects from medications that have been prescribed. This integrative review focused on the use of acupuncture as a complementary therapy to improve pain and quality of life in the Veteran population. The review analyzes systematic reviews, randomized control trials, and additional levels of evidence from scholarly articles supporting the …
The Predictive Relationship Between Pre-Nursing Boot Camp Participation And Successful Completion Of The First Semester And Retention In An Associate Degree Nursing Program, Misty Beth Stine
Doctoral Dissertations and Projects
First semester students in undergraduate nursing programs are at the highest risk for attrition, so retention of these students is a priority concern. The purpose of this non-experimental correlational predictive quantitative study was to investigate whether participation in a pre-nursing student boot camp is predictive of successful completion of the first semester and retention at an Associate Degree Nursing program at a community college in the rural Southwestern United States. Data was retrospectively obtained from archival student records for all first semester nursing students accepted into the ADN program from 2018-2022. Sample size was N = 227. The chi-square test …
An Exploration Of The Lived Experience Of Novice Adjunct Nursing Faculty As They Transition From Clinical Expert To Novice Educator, Angelique Tolentino-Martin
An Exploration Of The Lived Experience Of Novice Adjunct Nursing Faculty As They Transition From Clinical Expert To Novice Educator, Angelique Tolentino-Martin
Doctoral Dissertations and Projects
This transcendental phenomenological study aimed to describe and understand the lived experiences of novice adjunct nursing faculty teaching in the United States in undergraduate nursing programs as they transition from clinical practice to academia. The theories that guided this study are Meleis’ transition theory and Schoening’s nurse educator transition model which provide a framework for the transition experiences for novice adjunct nursing faculty. The central research question is: What are the lived experiences of novice undergraduate adjunct nursing faculty transitioning from clinical expert to novice nurse faculty? Purposive sampling and snowball sampling were used to recruit participants who were novice …
Educating Outpatient Clinic Nurses In The Management Of Diabetes, Deborah O. Yisa
Educating Outpatient Clinic Nurses In The Management Of Diabetes, Deborah O. Yisa
Doctoral Dissertations and Projects
Diabetes mellitus must be carefully managed and cared for to reduce complications and enhance quality of life. Nurses are essential to the treatment of people with diabetes, so they must have up- to-date knowledge and expertise in diabetic education. The significance of diabetic education for nurses, its effect on patient outcomes, and techniques for boosting nurses' competency in diabetes care are critical to positive patient outcomes and are all explored in this academic research. The results suggest a notable disparity between the participants' knowledge ratings before and after the intervention, confirming that all 13 participants benefited from the diabetic self-management …
The Lived Experiences Of Student Nurses During Simulation Of Perinatal Loss, Paloma Alejandra Peña
The Lived Experiences Of Student Nurses During Simulation Of Perinatal Loss, Paloma Alejandra Peña
Doctoral Dissertations and Projects
The purpose of this phenomenological study was to understand the experiences and perceptions of undergraduate nursing students in providing care following a perinatal loss simulation. The theories that guided this study included Malcolm Knowles’ Theory of Andragogy and the National League for Nursing Jeffries Simulation. The selected theories provide structure for adult learners’ need to experience situational learning activities that are relevant to their job while building upon the foundation of students’ knowledge. Incorporation of Knowles’ and Jeffries’ theories guides the qualitative study of the simulation of a perinatal loss and the experiences of nursing students in providing care during …
A Strategic Plan For The Development Of A Model Of Care For Post Operative Bariatric Patients In Rural Utah, Cris R. Chamberlain
A Strategic Plan For The Development Of A Model Of Care For Post Operative Bariatric Patients In Rural Utah, Cris R. Chamberlain
Doctoral Dissertations and Projects
The delivery of health care for postoperative bariatric patients remains a challenge in rural settings, often leading to varied patient outcomes and inefficient resource allocation. This study aims to develop and implement a strategic model of care for postoperative bariatric patients at Castleview Hospital in Rural Utah. Grounded in the Iowa Model of Evidence-Based Practice, this initiative focuses on creating a cohesive and comprehensive postoperative care pathway, tailored to the unique patient demographics and facility constraints of a 39-bed hospital serving 35-45 bariatric patients annually. Methodology includes ethical considerations, secured through CITI training and pending IRB approval, robust data collection …
The Impact Of Christian Education On Undergraduate Nursing Students’ Levels Of Spirituality And Resiliency, Lynette Rae Fair
The Impact Of Christian Education On Undergraduate Nursing Students’ Levels Of Spirituality And Resiliency, Lynette Rae Fair
Doctoral Dissertations and Projects
Nursing education must focus on preparing nursing students to be adaptable and resilient in the face of changing circumstances. The problem is there is a lack of research studies focused on evaluating the effect of a Christian college/education setting on nursing students’ level of spirituality and resilience. The purpose of this quantitative comparative study was to examine the differences between Christian and non-faith-based pre-licensure baccalaureate nursing education programs for spirituality and resiliency. This descriptive, non-experimental, cross-sectional comparative study utilized two key self-report instruments: the Assessment of Spirituality and Religious Sentiments (ASPIRES) and the Connor-Davidson Resilience Scale (CD-RISC). Data collection occurred …
The Effect Of Having A Higher Percentage Of Better-Educated Nurses At A Bsn Prepared Educational Level Or Higher In Any Clinical Setting To Improve Patient Outcomes, Olusegun Michael Nutayi
The Effect Of Having A Higher Percentage Of Better-Educated Nurses At A Bsn Prepared Educational Level Or Higher In Any Clinical Setting To Improve Patient Outcomes, Olusegun Michael Nutayi
Doctoral Dissertations and Projects
An understanding of the complexity of today’s healthcare system is important for providing the best evidence-based practice care in any clinical setting. Nursing care is paramount in today’s healthcare setting including nursing education, the nursing skills, knowledge, and productivity that can enhance patient overall care. This scholarly project put forth the effects of having vibrant and productive nursing care that will improve patient outcomes. It focuses on linking nursing education to better patient outcomes in any clinical setting as well as looking into the understanding of nursing staffing, and the work environment associated with patient outcomes. This scholarly project intends …
The Effectiveness Of Integrating Religious/Spirituality Beliefs Into Psychotherapy: An Integrative Review, Justina Anighoro-Okezie
The Effectiveness Of Integrating Religious/Spirituality Beliefs Into Psychotherapy: An Integrative Review, Justina Anighoro-Okezie
Doctoral Dissertations and Projects
This comprehensive review explores how integrating religious beliefs into psychotherapy impacts mental health outcomes. Following a structured approach guided by Whittemore and Knafl's (Nov 2005) methodology, the review involves a systematic literature search across academic databases, identifying 25 studies with diverse methods. Results indicate significant enhancements in both psychological and spiritual outcomes when religious beliefs are integrated into psychotherapy, compared to no-treatment control conditions. Compared to alternate treatments, adapted psychotherapy demonstrates a small to medium effect. Particularly in an additive design, while there's no significant superiority in psychological outcomes, there is in spiritual outcomes, emphasizing the potential benefits of incorporating …
Implementation Of An Evidence-Based Toolkit To Improve Colorectal Cancer Screening In A Federally Qualified Health Center, Stephanie Mckithan
Implementation Of An Evidence-Based Toolkit To Improve Colorectal Cancer Screening In A Federally Qualified Health Center, Stephanie Mckithan
Doctoral Dissertations and Projects
The change in payor fee-for-service to value-based care is creating an opportunity for primary care clinics nationally to adjust their focus to meeting key clinical quality measures during patient encounters. Colorectal screening is one of such quality measures. Previous research has shown that early detection saves lives. The guidelines have lowered the recommended age of initial screening to 45 due to the incidence of colorectal cancer in younger patients. But with all the objectives that need to be met in the limited time of the visit, how can nurse practitioners improve their efficiency? This evidence-based project assessed the implementation of …
The Missing Link: The Significance Of Mental Health Screenings Post Natural Disasters: An Integrative Review, Chalita Mccormick Ellis
The Missing Link: The Significance Of Mental Health Screenings Post Natural Disasters: An Integrative Review, Chalita Mccormick Ellis
Doctoral Dissertations and Projects
Following a natural disaster, the emotional and psychological demands on survivors are great. In addition to generating suffering, such as bodily injuries, natural disasters impact disaster victims’ lives in catastrophic ways, causing loss of homes, property, and jobs; food insecurities; transportation disruption; and communication difficulties. These events disrupt communities, exacerbating adversities to physical and psychological well-being. This presents a critical need for effective mental health response. Screening specific to post-disaster trauma may assist in identifying clients who require prioritized mental health care. Depression, anxiety, and posttraumatic stress disorder are three common mental health issues that are often triggered by disasters. …
A Structured Handoff Report And Its Impact On Patient Experience, Gary N. Hicks
A Structured Handoff Report And Its Impact On Patient Experience, Gary N. Hicks
Doctoral Dissertations and Projects
Over the past decade, a fast-moving industry has challenged hospital health systems. Today, hospitals are measured on the effectiveness of healthcare delivery ensuring efficiency, quality, and safety. In addition to the delivery of effective healthcare, hospitals are now accountable for the overall patient experience, a system known as value-based purchasing. Value-based purchasing directly impacts the overall financial status of any healthcare organization and is based on data collected from the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS). Nursing practice can significantly influence the overall impact and outcomes of value-based purchasing by helping with an improvement of HCAHPS. One …
The Effect Of Formal Mentorship Programs On Nurse Faculty Retention: An Integrative Review, Lisa Livingston
The Effect Of Formal Mentorship Programs On Nurse Faculty Retention: An Integrative Review, Lisa Livingston
Doctoral Dissertations and Projects
The nursing shortage has been a hot topic for decades, and literature supports a need to address this issue. Although faculty are critical to educating the nurses of the future, the shortage has impacted nurse faculty numbers as well. Nursing shortages are predicted to increase over the next decade. Evidenced-based interventions are critical to help sustain the nursing workforce. This integrative review highlights the importance of formal mentorship programs for new nurse faculty as a retention strategy for use by administrators of schools of nursing.
A Leadership Training Program Improves Nurse Manager Retention, Lisa A. Longley
A Leadership Training Program Improves Nurse Manager Retention, Lisa A. Longley
Doctoral Dissertations and Projects
The need to retain nursing managers is at an all-time high. The turnover rate for a local xxxxxxxxxx (removed to protect privacy) healthcare system is 14% post pandemic compared to 8% pre-pandemic. The nursing management team reported a need for nursing specific management orientation because the current training included all organizational supervisors and covered general concepts, failing to meet the complex needs of frontline nursing managers. Literature confirms that organizations that provide nursing management training develop role competency have higher satisfaction and lower turnover rates. An organizational-specific needs assessment designed within the American Organization of Nursing Leadership competency framework was …
Comparing The Causal Effects Of Observational Versus Active Roles In High-Fidelity Simulation: A Quantitative Study, Bethany D. Rose
Comparing The Causal Effects Of Observational Versus Active Roles In High-Fidelity Simulation: A Quantitative Study, Bethany D. Rose
Doctoral Dissertations and Projects
Among many of the innovative changes in nursing education, high-fidelity simulation is expanding roles and providing students with new perspectives. The purpose of this quantitative, causal-comparative, posttest only, nonexperimental, between-groups research design study was to determine whether students in active supervisor (observer) roles had an effect on associate degree nursing (ADN) students’ self-perceived knowledge, skills, and attitudes in comparison to students in active participant roles. A convenience sample of second-semester nursing students and third-semester nursing students enrolled in an ADN program in the 2023 academic year was utilized for this study. Participants completed a demographic survey and the Self-Evaluation Scale …
Diabetic Management With Glp1-Ra Ozempic And Diabetic Education, Katrina Sivo-Souza
Diabetic Management With Glp1-Ra Ozempic And Diabetic Education, Katrina Sivo-Souza
Doctoral Dissertations and Projects
A condition with observed poor management by most who possess a diagnosis, diabetes mellitus remains the seventh leading cause of death within the country. This diagnosis can and often does lead to severe complications, creating implications for not only the patient but also families, caregivers, and the community. Most diabetic patients possess a diagnosis of type 2 diabetes mellitus. The healthcare industry continues to implement improvement with diabetic management and complications resulting from diabetes. Research suggests that the standard of care for patients with diabetes begins with lifestyle modification to improve glycemic control. New medications, such as Ozempic (semaglutide), have …
Support Systems: The Effect They Have On Domestic Violence Victims, Kimberly Diann Burton
Support Systems: The Effect They Have On Domestic Violence Victims, Kimberly Diann Burton
Doctoral Dissertations and Projects
In the last five years, domestic violence has escalated in the number of episodes reported and in the severity of violence. Researchers attribute this increased frequency and severity to the COVID-19 pandemic. During the lockdown time of the pandemic, victims and their abusers could not escape from arguments, which resulted in tensions rising. This study brings attention to the fact that domestic violence is still a pervasive problem. It gives information to help the abused stay out of violent relationships and/or escape. There was conflicting research on whether support systems help victims of these violent relationships escape or stay in …
Burnout Triggers In The Novice Registered Nurse, Sharon K. Nguyen
Burnout Triggers In The Novice Registered Nurse, Sharon K. Nguyen
Doctoral Dissertations and Projects
Nurse burnout has been strongly associated with decreased patient satisfaction and reduced retention rates in the novice registered nurse. This phenomenon is exacerbating the already rising global nursing shortage. A strong correlation is established between novice registered nurses who endure repeated or multiple triggers, such as unsafe staffing ratios, inadequate preceptorship, and ineffective leadership to those who succumb to burnout. Burnout is a significant problem in the United States, impacting how healthcare is perceived by the public. In 2019 there were more than six million nurses, making up the largest segment of the healthcare population and directly affecting the safety …
Exploring The Relationship Between Staffing And Long-Term Care Worker Mental Health, Matthew R. Trombley
Exploring The Relationship Between Staffing And Long-Term Care Worker Mental Health, Matthew R. Trombley
Doctoral Dissertations and Projects
This research delves into the relationship between staffing levels during a crisis in the healthcare workforce and the mental well-being of long-term care workers, with a specific focus on variables such as burnout, compassion fatigue, and compassion satisfaction. With increasing workforce shortages, the attention to providing quality care during this tumultuous period has become increasingly urgent. There has been scarce empirical research that has explicitly sought to comprehend the connection between staffing levels and the mental health of long-term care professionals. This study was designed as a non-experimental, quantitative correlational investigation, aiming to understand the intricate dynamics between patient-to-staff ratios …
Medication Errors In Hospitals, Isata Jalloh
Medication Errors In Hospitals, Isata Jalloh
Doctoral Dissertations and Projects
In hospitals, the issue of medication errors poses a serious problem, often leading to substantial health complications and, in some cases, even deaths among hospitalized as well as discharged patients. This health challenge not only imposes a substantial financial burden on patients, insurance providers, and Federal/State governments but also contributes to elevated healthcare expenses, hindering the effective allocation of resources to address other healthcare issues. Understanding the triggers of medication errors in hospitals is critical in solving this problem. The purpose of this integrative review is to determine the causes/triggers of medication errors in hospitals. This review will highlight the …
The Lived Experiences Of The Newly Graduated Generation "Z": Registered Nurse Entering The Intensive Care Unit, Matthew Robert Loveitt
The Lived Experiences Of The Newly Graduated Generation "Z": Registered Nurse Entering The Intensive Care Unit, Matthew Robert Loveitt
Doctoral Dissertations and Projects
The purpose of this transcendental phenomenological study was to illuminate, understand, and describe the meaning of the lived experiences of Gen Z new graduate registered nurses (NGRNs) transitioning directly into the ICU in their first position as registered nurses. Duchscher’s stages of transitional theory and the Strauss-Howe generational theory provided this study’s theoretical framework, focusing on the Gen Z NGRN transition into practice. This study answered the following central research question: What is the lived experience of Gen Z NGRNs transitioning into the ICU work environment employed in their first position as registered nurses? Data were collected for this study …
Correlation Between Purposeful Patient Medication Education And Patient Experience Scores, Paula Shredl
Correlation Between Purposeful Patient Medication Education And Patient Experience Scores, Paula Shredl
Doctoral Dissertations and Projects
The Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) is a national grading system that is used by payors to determine patients’ perception of their hospital stay. This public benchmarking system is tied to reimbursements and encompasses several domain areas. The medication and nursing domain questions revolve around how the nursing staff explained the purpose and possible side effects of patient medication. This project targeted a medical-surgical unit in a suburban faith-based hospital that was not meeting the national benchmarks in the nursing domain. The purpose of this evidence-based practice project, which was conducted using the Iowa Model of …
The Nurse's Lived Experience Of Transferring Nutrition Knowledge To Patients: A Descriptive Phenomenology, Kendrah Lynne Cunningham
The Nurse's Lived Experience Of Transferring Nutrition Knowledge To Patients: A Descriptive Phenomenology, Kendrah Lynne Cunningham
Doctoral Dissertations and Projects
This descriptive phenomenological qualitative study aimed to gain insight into the nurse’s lived experience of transferring nutrition knowledge to patients. Nurses play an important role in assisting the patient to become more proficient in health and nutrition literacy to make proper choices related to their nutrition. It is necessary to evaluate the lived experience of the nurse in transferring nutrition knowledge to patients. There is a gap in the literature on nurses’ experience in providing nutrition knowledge to their patients. This descriptive phenomenological qualitative study examines the lived experience of nurses in transferring nutrition education to their patients. This was …
Using Mindfulness In Nursing Burnout. An Integrative Review., April Day Branham
Using Mindfulness In Nursing Burnout. An Integrative Review., April Day Branham
Doctoral Dissertations and Projects
The purpose of this integrative review is to evaluate if mindfulness is effective in decreasing nursing burnout. Nursing burnout has negatively affected the nursing profession for many years, and since the COVID-19 pandemic, it appears to be worse. Mindfulness is a practice that has been used for decades, however, it is gaining more attention in the nursing realm. Mindfulness consists of being present in a moment without judgment. It can consist of individual exercises that are completed using an instructor in person, in an application on a smartphone or computer, or yoga-based mindful activities. A preliminary literature review was completed …
Camera Assisted Monitoring Device As A Tool To Reduce Falls In Inpatient Adults: An Integrative Review, Pamela Oriaifo
Camera Assisted Monitoring Device As A Tool To Reduce Falls In Inpatient Adults: An Integrative Review, Pamela Oriaifo
Doctoral Dissertations and Projects
Background: Adult inpatient falls remain a significant challenge in many hospitals, resulting in poor quality of life and severe financial burden. There have been tremendous efforts to curb the number of falls ranging from environmental modification, clinician education, review of medications, and use of assistive devices. One such assistive device is the use of camera monitoring systems. This systemic review scopes camera/video-assisted fall prevention programs in hospitals. It was hypothesized that camera/video-assisted fall prevention programs would reduce adult inpatient fall and costs significantly. The outcomes of camera or video-assisted fall prevention programs were considered in some hospital settings. Method: The …
The Efficacy Of Statin Therapy In Reducing Cardiovascular Accident Stroke (Cva) Risk Among Type 2 Diabetes Adult Patients Using Patient-Centered Care: An Integrative Review, Bridgett Simone Anckle
The Efficacy Of Statin Therapy In Reducing Cardiovascular Accident Stroke (Cva) Risk Among Type 2 Diabetes Adult Patients Using Patient-Centered Care: An Integrative Review, Bridgett Simone Anckle
Doctoral Dissertations and Projects
This study was an integrated review that comprehensively analyzed the efficacy of statin therapy in mitigating the risk of cardiovascular accidents (CVA) among individuals with type 2 diabetes mellitus (DM). The research seeks to explore statin management in preventing CVAs, a significant concern for this patient population. The study conducts a thorough synthesis of twenty-one peer-reviewed articles, critically evaluating the efficacy, safety, adherence factors, and cost-effectiveness of statin therapy for diabetic patients. The study adhered to the Whitmore and Knafl Framework and used the constant comparison approach to systematically categorize and pattern findings, culminating in an integrated understanding of statin …
Reducing Readmission Rates In Adult Patients (18–25 Years) With Alcohol And Substance Use Disorder Through Implementation Of Care Coordination Strategy: An Integrative Review, Godswill Evouka
Doctoral Dissertations and Projects
Alcohol and substance use disorders are a major issue in adults ages 18 to 25. According to the 2021 National Survey on Drug Use and Health, 6.6 million young adults ages 18 to 25 reported that they drank alcohol in the past month, and 2.4 million young adults ages 18 to 25 reported heavy alcohol use in the past. Over 20 million alcohol use cases were reported in the past year in the United States. Further, 21.6% of patients with drug use disorders were readmitted to hospitals within 30 days of discharge. Adults ages 18 to 25 years who are …
Improving Stemi Transfer Times, Beth Anne Geiger
Improving Stemi Transfer Times, Beth Anne Geiger
Doctoral Dissertations and Projects
Early identification and treatment for the patient experiencing an ST elevation myocardial infarction is imperative. The American Heart Association and the American College of Cardiology have provided national guidelines to standardize the expectation of care for these patients. When organizations are not equipped to perform a percutaneous coronary intervention, the patient requires transfer. Delay in patient transfer leads to increased morbidity and mortality and poor patient outcomes. For this reason, it is essential that non-PCI capable hospitals have a standard protocol that is followed to expedite treatment and transfer of the patient to a higher level of care. This project …
Determining The Effectiveness Of Gender-Based Integrated Care For Women Veterans: An Integrative Review, Karina Karin Espinoza-Palmer
Determining The Effectiveness Of Gender-Based Integrated Care For Women Veterans: An Integrative Review, Karina Karin Espinoza-Palmer
Doctoral Dissertations and Projects
As the Veterans Health Administration (VHA) improves their services to keep up with the needs of the rapidly-rising population of minority veterans, the aspects of gender-sensitive care must be tailored to the needs of women veterans. The purpose of this integrative review was to discover and critique evidence-based research studies of women veterans to determine the state of gender-sensitive care for improving access and coordination care, specifically to enhance mental health approaches needed at VA settings. The women veterans minority population is the fastest growing group of patients in the Department of Veterans Affairs (VA). Women veterans are less likely …
Implementation Of Nutritional Screening In Adults (Ages 19-65) With Major Depressive Disorder: An Integrative Review, Laurie S. Stephens
Implementation Of Nutritional Screening In Adults (Ages 19-65) With Major Depressive Disorder: An Integrative Review, Laurie S. Stephens
Doctoral Dissertations and Projects
The World Health Organization estimates the total percentage of depression at 3.8% and projects it to be the leading cause of global disability by 2030 (WHO, 2023). The economic burden for adults with major depressive disorder in the United States is estimated at a staggering annual cost of 236 billion dollars (Greenberg et al., 2018). Nutritional psychiatry is a growing subspecialty focused upon how diet can improve mental health outcomes. The evidence shows a correlation between diet and depression, influencing questions on how this translates to current dietary recommendations and treatment. An integrative review of current literature was performed to …