Nursing Commons^™

Clinicians’ Perspectives And Utilization Regarding Harm Reduction In Nursing Practice In Care Of Persons With Addiction: A Literature Review, Audrey Killarney

Grace Peterson Nursing Research Colloquium

Clinicians’ perspectives and utilization regarding harm reduction in nursing practice in care of persons with addiction: A literature review

Audrey Killarney, BS

Prof. Michelle Neuman, MSN, APN, RN

NSG 598: Graduate Research Synthesis

18 August 2017

Introduction

Background & Significance

Harm reduction is a concept best described as the recognition that individuals will engage in unhealthy behaviors, and the goal is to minimize the associated potential harm. (Stockwell, Reist, Macdonald, Benoit, & Jansson, 2010). Classically, it was used an alternative model of care for treating smokers and controlling the spread of HIV and hepatitis B (Henwood, Padgett, & Tiderington, 2014). …

Factors That Affect United States Latina Immigrants’ Perception Of Preventative Care Of Stis And Contraceptive Use: An Integrative Review Of Literature Daniela Moody Linda Graf, Dnp, Cnm, Whnp-C, Apn, Rn Background: Latina Immigrants Are The Largest Growing Minority Group In The United States Yet They Have Limited Access To Healthcare Providers Who Can Accurately Educate The Women How To Best Prevent Transmission Of Stis And Also Provide Accurate Information On Various Types Of Contraceptive Use. Objectives: This Integrative Review Examined Current Research To Identify Factors That Affect A Latina Immigrant’S Perception On Preventative Care For Stis And Contraceptive Use. Methods: This Integrative Review Used Relevant Evidence To Answer The Specific Question Using A Narrative Analysis To Explain The Compilation Of Literature And Findings Of Varied Studies. Studies Were Organized, Coded, Summarized And In Classified In A Table Per Their Category. Findings: This Study Found That Acculturation And Language Affected Latina Immigrants’ Perception Of Obtaining Preventive Care For Stis And Contraceptive Use, Shown By Higher Rates Of Hpv And Other Stis. A Lack Of Education Or A Lack Of Information Also Increased The Lack Of Preventive For Stis And Contraceptive Use Within The Latina Immigrant Population. Conclusions: Due To The Evidence For This Integrative Review, The Nursing Community Needs To Provide More Outreach With Accurate Information Regarding Sti Transmission And Contraceptive Use For This Population., Daniela Granados Moody

Grace Peterson Nursing Research Colloquium

Factors that affect United States Latina immigrants’ perception of preventative care of STIs and contraceptive useFACTOFF: An Integrative Review of Literature

Daniela Moody Linda Graf, DNP, CNM, WHNP-C, APN, RN

Background: Latina immigrants are the largest growing minority group in the United States yet they have limited access to healthcare providers who can accurately educate the women how to best prevent transmission of STIs and also provide accurate information on various types of contraceptive use. Objectives: This integrative review examined current research to identify factors that affect a Latina immigrant’s perception on preventative care for STIs and contraceptive use. Methods: …

Best Evidence-Based Best Practices For Helping Women That Are Addicted To Opiates During Pregnancy, Jordan Edwards

Grace Peterson Nursing Research Colloquium

Background: Women of childbearing age that are active opiate users are at high risk of inflicting irreversible damage on not only themselves but onto their unborn children as well. There are limited studies on effective treatment options and education models for pregnant women addicted to opiates. Current practices for helping women that are addicted to opiates do not address the importance of education models for successful cessation of opiate abuse, and defer to treatment options that are used for the general population.

Objectives: The purpose of this integrative literature review was to identify what evidence-based best practices are being used …

The Benefits Of And Barriers To Psychiatric Advance Directive Implementation, Lauren Haindfield

Grace Peterson Nursing Research Colloquium

The Benefits of and Barriers to Psychiatric Advance Directive Implementation

Lauren Haindfield

Faculty Sponsor: Dr. Barbara Harris

Background: Psychiatric advance directives can be beneficial for patients with mental disorders, but their implementation is limited in large part due to a knowledge gap.

Objectives: The purpose of this integrative literature review was to identify both the benefits of and barriers to psychiatric advance directives.

Methods: This integrative literature review used the databases of CINAHL, PubMEd, and PsychInfo. Search terms included pad implementation, barriers to pad implementation, psychiatric advanced directives, benefits of psychiatric advanced directives, and current pad practices.

Results: PAD implementation …

Napping And Errors In Night Shift Nursing, Yoon-Hee Hong

Grace Peterson Nursing Research Colloquium

Napping and Errors in Night Shift Nursing

Yoon-Hee Hong, MS Candidate

Larry Maturin, MSN, APN, ACNS-BC, CEN, CCRN

DePaul University School of Nursing

Summer 2017

Abstract

Fatigue and sleepiness in nurses resulting from long 12-hour night work shifts were brought to the spotlight by a sentinel event alert published by The Joint Commission in 2011. By working these long hours, nurses place patient safety at risk. Napping mid-shift has been proposed as a means of reducing the physiological demands and mental decline of fatigue and sleepiness. However, implementation of napping and other fatigue relief measures by nurse managers has not …

Emergency Response Time And Fatalities In Rural Areas, Carrie Quinn

Grace Peterson Nursing Research Colloquium

Abstract

More than 90 people die every day in motor vehicle accidents. Rural residents are found to be five times more likely than their urban counterparts to die in a motor vehicle accident and three times more likely to be hospitalized. Many factors contribute to the severity and outcome of an accident; however, emergency medical services response time is one easily modifiable factor that is heavily related to the location of the accident and the patient’s outcome. This purpose of this research was to investigate motor vehicle accidents and emergency response time in a rural setting. The results reveal that …

Mesenchymal Stem Cells As An Alternative To Knee Replacement Surgery, Michelle Villegas-Downs

Grace Peterson Nursing Research Colloquium

Knee osteoarthritis is a degenerative disease that causes disability and persistent pain. Currently, treatment modalities for osteoarthritis focus on pain reduction and symptom management, but do little to address disease modification. Presently, the treatment of choice for knee osteoarthritis is total knee replacement surgery. Total knee replacement surgery carries significant risks and does not guarantee improvement in joint pain or function. In the last decade, advances in regenerative medicine have proposed the use of mesenchymal stem cells as a treatment strategy for joint preservation, cartilage regeneration and improved joint function in patients with osteoarthritis. The aim of this integrative literature …

The Grace Peterson Nursing Research Colloquium, Phutthaphen Sengpanich

Grace Peterson Nursing Research Colloquium

No abstract provided.

Food Insecurity And Its Impact On Health Status Among Homeless Individuals: An Integrative Literature Review, Jacqueline Munyasya

Grace Peterson Nursing Research Colloquium

FOOD INSECURITY AND ITS IMPACT ON HEALTH STATUS AMONG HOMELESS INDIVIDUALS:

AN INTEGRATIVE REVIEW

Jacqueline Munyasya

Faculty Sponsor: Dr. Shannon Simonovich

Background: Food insecurity is a serious problem in the United States and the number of people affected by food insecurity in the United States has risen dramatically in recent years. The homeless population is disproportionately affected. The combination of homelessness and food insecurity is a problem has the combined effect that is extremely costly to the public and the overall health of the population. As nurses, we will encounter these populations and treat them in both community and acute …

The Continuous Increased Occurrence Of Sexually Transmitted Infective Diseases, Kamila Lakoma

Grace Peterson Nursing Research Colloquium

No abstract provided.

Evaluation Of Entry-Level Nurse Anesthesia Educational Programs, Stephen Reimers

Grace Peterson Nursing Research Colloquium

Evaluation of Entry-Level Nurse Anesthesia Educational Programs: A National Survey Stephen Reimers, BSN, RN, CCRN Faculty Sponsor: Karen Kapanke, DNP, CRNA

Background: The requirement for all nurse anesthesia educational programs to transition to offering practice doctorates by January 1, 2022 signals a turning point in nurse anesthesia education.

Objectives: The goals of this project were to 1) determine the most significant barriers nurse anesthesia programs faced when transitioning offering a practice doctorate, 2) assess how the transition affected various program functions and outcomes, and 3) consider whether the requirement would result in a change in the number of graduates from …

The Grace Peterson Research Colloquium, Tolitu Aba-Omer

Grace Peterson Nursing Research Colloquium

No abstract provided.

Contributing Factors Of Substance Abuse In African-American Adolescents Residing In Public Housing: An Integrative Literature Review, Kristin Miller, Gabrielle Harvery

Grace Peterson Nursing Research Colloquium

CONTRIBUTING FACTORS OF SUBSTANCE ABUSE IN AFRICAN-AMERICAN

ADOLESCENTS RESIDING IN PUBLIC HOUSING: AN INTEGRATIVE LITERATURE

REVIEW

Kristin Miller and Gabrielle Harvey

Faculty Sponsor: Young-Me Lee, PhD, RN

Background: Despite the provided funding from the government and implementation of current prevention programs for African-American adolescents, substance abuse is still a serious public health problem in this population.

Objectives: To determine the contributing factors of substance abuse among African-American adolescents residing in public housing and to review the current effective intervention programs that address those factors that lead to substance abuse in this population.

Method: An integrative literature review was conducted. An …

Personality Traits, Perceived Stress, And Coping Mechanisms Of Emergency Department Nurses, Brittany Knipp

Grace Peterson Nursing Research Colloquium

No abstract provided.

Programs That Can Support Nurses To Reduce Compassion Fatigue And Secondary Traumatic Stress: An Integrative Literature Review, Molly Gruettner

Grace Peterson Nursing Research Colloquium

Compassion allows a nurse to empathize with their patient and their family, but it does not prepare the nurse to cope with stressful events. Repeatedly being exposed to traumatizing events, pain, distress, and suffering can lead to nurse burn-out and fatigue. Compassion fatigue is a unique form of burnout and secondary traumatic stress (STS) encompasses ideas of compassion fatigue and the two terms are often used interchangeably. Objective: The goal of this systematic integrated literature review is to discover interventions to reduce compassion fatigue and STS in trauma nurses Methods: A systematic integrated literature review study was conducted using Ebscohost …

Nurses Lack Education In Caring For Patients With Down Syndrome, Sarah Coughlin

Grace Peterson Nursing Research Colloquium

Abstract

Individuals with Down Syndrome have a longer life expectancy due to medical advancements made over the past several years. This creates a concern that nurses are not being effectively educated to provide competent care for this population. The purpose of this research was to conduct an integrated literature review which identified nursing knowledge deficits in providing competent care for patients with Down Syndrome. It also examined how nurses can be best educated to provide care for individuals with Down Syndrome to improve their quality of life. Scholarly articles were found searching scholarly databases such as PubMed and CINAHL Complete. …

The Meaning Of Will To Live In Patients, Jeanne Burdette

Grace Peterson Nursing Research Colloquium

The Meaning of Will to Live in Patients: An Integrative literature review

Jeanne Burdette

DePaul University

Abstract

Background: The will to live (WTL) is the desire, determination and effort to survive as defined by Mosby’s Medical Dictionary, 8^th edition (2009). According to Tataryn & Chochinov (2002), we know that the WTL can impact the trajectory of a terminal illness and “has been shown to vary considerably in relatively brief periods of time during the final course of a terminal illness” (p 370). Yet little is known about the concept. Health care professionals (HCPs) can benefit from increased knowledge …

Barriers To Advance Directives, Anna Malia Connor Ticknor

Grace Peterson Nursing Research Colloquium

Abstract

Background: Advanced directives (ADs) are legal documents that allows an individual to document their specific wishes for medical care should they be unable to speak for themselves. The use of advanced directives has implications directing the course of end-of-life care affecting both the cost and direction of care. Advance directives can clarify confusion and provide guidance, but their implementation is not clearly defined within the healthcare system. Despite their implications, multiple surveys indicate these documents have limited use within the United States for reasons that are not easily isolated including lack of knowledge of advanced directives and lack of …

Barriers To Accessing And Utilizing Preventative Healthcare For The U.S. Hispanic Population, Maya Rosenberg

Grace Peterson Nursing Research Colloquium

Background: Utilization of healthcare in U.S. Hispanic populations is significantly lower compared to other population groups in the U.S. Many of the prevalent health conditions in the Hispanic population are ones that can be prevented or at least have better outcomes if detected and treated earlier. Despite the understanding that the Hispanic population is rapidly increasing and the growing concern of underutilization of healthcare services amongst Hispanics, there are limited studies that identify factors affecting healthcare access and utilization for this target population.

Objectives: The purpose of this integrative literature review is to identify barriers to accessing and utilizing preventative …

Interventions That Decrease Stigma In The Mentally Ill Adolescent Population: An Integrative Review Of Literature, Anita Stefanek

Grace Peterson Nursing Research Colloquium

Abstract

Background: One in five adolescents live with a mental health condition, with half developing the condition by age 14 and three quarters by age 24. Many adolescents choose not to seek treatment due to the stigma associated with being labeled by their peer groups. Due to the cost of delayed treatment, as well as the impact of public and self-stigma on the individual, research on interventions that seek to decrease stigma levels in adolescents is necessary.

Objectives: To identify what types of interventions currently exist within the high school setting that help decrease stigma in the mentally ill adolescent …

The Effect Of Motivational Interviewing On Medical Adherence In The Homeless Population, Kimberly Britt

Grace Peterson Nursing Research Colloquium

Abstract

Background: Methods of improving homelessness medical adherence are important because homeless populations incur higher than average costs in hospitalizations and medical treatment, disease rates, incarceration, police intervention, and emergency shelter expenses (“Cost of Homelessness,” n.d.). It is valuable to understand the role which Motivational Interviewing (MI) could play in improving medical adherence within the homeless population, thereby increasing the stabilization of homeless individual’s health, and decreasing needless overspending on emergency services.

Objectives: The purpose of this paper is to conduct an integrative literature review to determine if motivational interviewing can improve medical non-adherence with the homeless population.

Method: An …

The Effectiveness Of Discharge Planning In Mental Health: An Integrative Review Of Literature, Lindsey Meyers

Grace Peterson Nursing Research Colloquium

Background: Mental health inpatient treatment goals revolve around crisis stabilization and structure. In recent years, an evolution of mental health care has led to shorter inpatient hospital stays because insurance driven health plans place pressure on providers to expedite discharge.

Objective: The aim of this study was to explore the most effective discharge planning practices for inpatient mental health that are currently in practice.

Method: An integrative review of literature was conducted using CINAHL, PsycINFO, and PubMed with specific search terms.

Results: The results of the integrative literature review suggest that the discharge process is most effective when healthcare providers …

Effects Of Neurofeedback Therapy On Patients With Traumatic Brain Injuries, Erin Paige Robbins

Grace Peterson Nursing Research Colloquium

Abstract

One to two million traumatic brain injuries (TBIs) take place each year in the U.S. resulting in an estimated 153 related deaths every day, making it a major health concern due to disability and death. Surviving a TBI can result in a lifetime of neurological deficiencies and disabilities, yet no medically accepted treatments have been identified. Holistic treatments such as neurofeedback are often overlooked, even though the improvements and positive benefits are significant and quantifiable in patients with TBIs. The aim of this integrative literature review was to evaluate the effectiveness of neurofeedback as treatment for patients with TBIs, …

Non-Pharmacological Interventions For Dementia Patients Experiencing Agitation, Beata Prendergast

Grace Peterson Nursing Research Colloquium

Abstract

Background: Several studies suggest that nonpharmacological interventions are preferred for first-line therapy when managing symptoms such as agitation associated with dementia. Patients experiencing dementia most likely develop behavioral symptoms throughout the course of their illnesses. These symptoms include agitation, which affects their quality of life. Current pharmacological treatment modalities are not always effective, and thus the significant shift to address agitation through non-pharmacological interventions is necessary.

Objectives: The purpose of this integrative literature was to explore the various research studies that have been conducted regarding several non-pharmacological interventions that can be beneficial in managing the dementia individual …

Postpartum Depression And Childbirth Education: An Integrative Literature Review, Marialicia J. Kunkel

Grace Peterson Nursing Research Colloquium

Background: Postpartum Depression (PPD) is a mood disorder that affects approximately 15% of women. Preventative methods are key to reducing the prevalence of PPD, and childbirth educators are in a unique position to disseminate information to new parents.

Objective: The purpose of this literature to review was to investigate what PPD information is currently being incorporated in Childbirth education curriculum. The goal of this literature review was to establish whether new parents were being educated on PPD prior to giving birth and if that helped raise levels of awareness.

Methods: Articles were found using Cumulative Index of Nursing and Allied …

The Health Benefits Of Intermittent Fasting, Michael Bacol

Grace Peterson Nursing Research Colloquium

Abstract

Background: The practice of voluntarily abstaining from food has traditionally been seen as a religious observance. However, as the nation’s prevalence of obesity continues to rise along with diabetes and cardiovascular disease, the concept of fasting has recently gained momentum as a means of achieving weight control. Intermittent fasting (IF) as a weight control protocol has become a popular intervention in weight control.

Objective: The purpose of this literature review was to examine the health benefits of intermittent fasting.

Methods: A computerized online search was utilized to populate research articles. Databases used included PubMed, CINAHL, & PsychInfo, using a …

The Effects Of Service Dogs In Patients With Post-Traumatic Stress Disorder, Angie Slowik

Grace Peterson Nursing Research Colloquium

Abstract

Background: Of the 2 million veterans that have been deployed to combat zones, 13-20% of them most likely have developed posttraumatic stress disorder (PTSD). Only half of the returning combat veterans seek care, and only about 40% experience significant improvement of their symptoms of PTSD. One potentially effective intervention for PTSD has been the use of service dogs. Veterans have reported that service dogs have decreased their PTSD symptoms when they could not find relief from other PTSD interventions.

Objectives: The purpose of this literature review is to determine if service dogs decrease symptoms of depression in …

Intraoperative Blood Pressure And Effect Of Volatile Anesthetic In Brain Dead Organ Donors, Alison Karmanian

Grace Peterson Nursing Research Colloquium

Intraoperative Blood Pressure and Effect of Volatile Anesthetic in Brain Dead Organ Donors

Alison L. Karmanian

Faculty Sponsor: Dr. Pamela Schwartz, CRNA, DNP

Background: There is a large disparity between the number of people waiting for organ transplants and the number of organs available. Optimal hemodynamic management can influence transplant outcomes, therefore evidence-based hemodynamic management should be practiced to maximize scarce donor organs.

Purpose: The purpose of this study was to examine intraoperative blood pressures and administration of volatile anesthetics during brain dead organ donor procurements. Use of volatile anesthetics was examined to determine how use and dose affected the …

Cognitive Issues In Childhood Cancer Survivors And Related Parental Perceptions And Behaviors: An Integrative Review Of Literature, Brian Decant, Joseph Tariman

Grace Peterson Nursing Research Colloquium

Background: Survivorship of childhood cancer is often accompanied by neurocognitive late-effects (NCLE) related to the disease and/or it’s associated treatment regimes.

Objectives: The primary purpose of this integrative literature review was to examine NCLE in pediatric cancer survivors and identify parental perceptions and behaviors that correlated to cognitive dysfunction in their children.

Method: An integrative literature review was completed utilizing searches in PubMed, CINAHL Complete, and PsycINFO. Some search terms included “childhood cancer”, “survivor”, “cognition”, “cognitive disorder”, “neurocognitive”, “late-effects”, “child(ren)”, “parent(s)”, and “perception”.

Results: Analysis of ten predominant methods of neurocognitive evaluation yielded five major cognitive deficit measures in pediatric …

Concussion Screening Tools Within The Emergency Department: A Literature Review, Bethany Meyer

Grace Peterson Nursing Research Colloquium

No abstract provided.