Nursing Commons^™

Effects Of Case Management On Frequent Users In The Emergency Department: An Integrative Literature Review, Jillian Oliszewicz

Grace Peterson Nursing Research Colloquium

Background: Frequent users of the emergency department (ED) can result in overcrowding, compromised quality of care, increased cost, and reduced efficiency. It is hypothesized that case management interventions can decrease the amount of ED visits, therefore improving quality of care, improving patient outcome, and lowering costs.

Objectives: The purpose of this integrative literature review was to identify if case management interventions are an effective way to decrease the number of visits in frequent users of the ED.

Method: An integrative literature review was conducted by searching ProQuest, CINAHL, and PubMed databases. Search terms included “emergency department,” “frequent,” “case manage,*” “overcrowd,*” …

Canine-Assisted Therapy: How It Can Provide Social And Health Benefits To Patients With Autism Spectrum Disorder, Nadia Sarnecki

Grace Peterson Nursing Research Colloquium

Background: Over the years, there have been major developments that assist with the improvement of social skills and health among patients with Autism Spectrum Disorder (ASD), and canine-assisted therapy is one of them. Access to therapeutic resources such as canine-assisted therapy has introduced an inspiring, motivating, and furry new way for providing social and health benefits in patients with ASD in the hospital setting.

Objectives: The primary purpose this integrative review is to highlight the areas of research that have assessed the areas of social functioning positively affected by canine-assisted therapy and health benefits as a result of canine-assisted therapy …

Higher Medication Administration Errors Associated With Automated Dispensing System Usage, Jillian Cramer

Grace Peterson Nursing Research Colloquium

According to a report by The Institute of Medicine, medical errors were associated with up to 98,000 deaths and more than 1 million injuries each year in the United States. These errors can result in poor outcomes, which increase harm or death. According to the Pennsylvania Patient Safety Reporting System, up to 15% of errors reported cite automated dispensing cabinets as the source of the drug involved in the error.Nearly 58% to 70% of hospitals nationwide use automated dispensing cabinets. Nurses play a critical role in promoting patient safety by surveilling and intercepting any possible errors that could occur during …

Effective Methods For Domestic Violence Screening In The Emergency Department, Megan Bryan

Grace Peterson Nursing Research Colloquium

Abstract

Background: The CDC reports that one in four women and one in ten men will experience some form of domestic violence in their lifetime that will have either a short-term or long-term impact on their well-being. Often the first place these victims are seen where they can receive help is the emergency department. Objectives: The goal of this systematic integrative literature review was to explore existing literature on domestic violence screening methods used in the emergency department and determine which methods prove most effective. Concurrently, this review examined the barriers to effective domestic violence screening and how nursing education …

Efficacy Of No-Nit Policies: An Integrative Literature Review, Amanda Levigne

Grace Peterson Nursing Research Colloquium

No-Nit policies have been used in schools since their introduction in the mid-1980s to combat the spread of head lice throughout a school community. The policies state that if a child is found to have live lice or lice eggs, termed ‘nits,’ they are not able to return to school until they can show a complete removal of all nits. Despite the American Academy of Pediatrics and the National Association of School Nurses condemning the use of these policies, schools continue to implement them to try to curtail head lice outbreaks. The research analyzed in this literature review has found …

Pediatric Emergence Delirium Assessment: Current Practice And Perceived Barriers, Nicole Zeppo, Alyse Voronov

Grace Peterson Nursing Research Colloquium

Pediatric Emergence Delirium Assessment and Documentation: Current Practice and Perceived Barriers

Alyse Voronov & Nicole Zeppo

Faculty Sponsor: Susan Krawczyk DNP, CRNA

Background: Current literature addresses the complexity of identifying pediatric emergence delirium (PED), but does not address barriers to PED assessment and documentation. By identifying these barriers, further research can be conducted regarding prevention and treatment of PED.

Objectives: This study aimed to: 1) describe the current PED assessment and documentation practices among post anesthesia care unit (PACU) registered nurses and anesthesia providers at UIHHSS; 2) describe the perceived barriers to PED assessment and documentation; and 3) develop an …

Potential Adverse Effects Of Novel Drug Therapies In Multiple Myeloma Treatment, Anndria Cluster

Grace Peterson Nursing Research Colloquium

Abstract

Background: Multiple Myeloma (MM) has undergone a surge in the introduction of novel therapies to treat the disease in recent years. As of yet, the research has yet to be done compiling the information on the adverse effects caused by these drugs and how patients can manage them.

Objectives: The purpose of this integrative literature review is to identify the adverse effects caused by the novel therapies and to find management techniques for these effects.

Method: An integrative literature review was conducted.

Results: The most common adverse effects included peripheral neuropathy, myelosuppression, fatigue, gastrointestinal disturbances, and cardiopulmonary events. The …

Racial Microaggressions Within The Field Of Nursing, Theresa Farris, Elizabeth Hartman, Young-Me Lee

Grace Peterson Nursing Research Colloquium

Racial microaggressions (RM) have transitioned into a subtle form of contemporary racism and are potentially involved within our communication as healthcare providers. Though cultural competency is addressed within nursing education, this RM phenomenon continues to happen in everyday discourse and can occur with little or no awareness on the part of Caucasians. The aim of this study was to gain a better understanding of how RMs against African Americans exist within the field of nursing and how their underlying discrimination increases the marginalization of this community. A detailed search was conducted using CINAHL, PsycInfo and ProQuest databases using the keywords: …

Effects Of Sleep Deprivation In Children And Adolescents, Anne Dronen

Grace Peterson Nursing Research Colloquium

Abstract

Sleep plays a vital role in proper health and well-being throughout every person’s life. The damage from sleep deficiency can occur in an instant, or it can cause harm if it accumulates over time. Sleep deficiency can raise one’s risk for serious health problems. The problem in today’s fast paced, technology driven society is that children are not getting enough sleep at night and their schools are demanding they start, thus wake, earlier and earlier. Sleep deprivation can cause a plethora of negative health consequences which set our children up for developmental failure. The purpose of this integrative literature …

The Efficacy Of Public Health Interventions Aimed At Curbing Gun Violence: An Integrative Review, Brian Cook

Grace Peterson Nursing Research Colloquium

Abstract

Background: Gun violence is a pressing public health issue in the United States. Homicide is the second-leading cause of death for 15 to 24 year-old Americans, and the third-leading cause of death for 25 to 34 year-old Americans, and 80% of these homicides are committed via firearm. In recent years, the field of criminology has studied the efficacy of a variety of policing, public health, and public policy interventions that aim to reduce the incidence of gun violence, but many of their findings have yet to be incorporated into the body of nursing literature.

Objective: This project’s objective was …

The Effects Of Dance Therapy On Patients With Parkinson’S Disease: An Integrative Literature Review, Jennifer Pence

Grace Peterson Nursing Research Colloquium

Abstract

Parkinson’s disease (PD) is a chronic, progressive, degenerative disease of the nervous system that affects more than one million Americans. Individuals who have PD generally exhibit bradykinesia, postural instability, shuffling steps and freezing during gait. These impairments in motor function cannot be fully addressed with pharmacological treatment and can eventually become unresponsive to this form of treatment. Dance therapy, on the other hand, is one non-pharmacological method that may prove beneficial for PD. It utilizes motor planning skills, which can lead to an improvement in muscle flexibility and balance. The purpose of the systematic integrative literature review was to …

Current Use Of Muscle Relaxants And Laryngeal Mask Airways: A Survey Of Anesthesia Providers’ Knowledge And Beliefs For Best Practice, Claritess Sarangay, Amber Muhlhan

Grace Peterson Nursing Research Colloquium

Current Use of Muscle Relaxants and Laryngeal Mask Airways: A Survey of Anesthesia Providers’ Knowledge and Beliefs for Best Practice

Amber Muhlhan, BSN, RN, DNP Candidate and Claritess Sarangay, BSN, RN, DNP Candidate

Faculty Sponsor: Julia Feczko CRNA, DNP- Chair and Pamela Schwartz, CRNA, DNP

Background: Current clinical studies have shown that muscle relaxant use has beneficial effects with laryngeal mask airways; however, knowledge and beliefs differ regarding this practice amongst anesthesia providers.

Objectives: The purpose of this study was to evaluate the knowledge and beliefs of anesthesia providers about muscle relaxant use with laryngeal mask airways before and after …

Factors Contributing To Weight-Gain In Pediatric Psychiatric Patients: An Integrative Literature Review, Holly Ann Douglas Charles

Grace Peterson Nursing Research Colloquium

Obesity and excess weight occur more frequently in the psychiatric patient population. Inappropriate weight gain during in-patient treatment indicates long-term increases in weight. Children are particularly vulnerable to the ill effects of obesity with an increased risk of premature mortality and adult morbidity. Thus, it is imperative to minimize weight gain during psychiatric treatment. The purpose of this review was to identify factors contributing to weight gain in youth psychiatric patients, effective strategies to control modifiable risk factors, and the population that would benefit most from these strategies. An intensive review of literature was conducted. The search utilized multiple databases, …

Psychological & Psychosocial Deficits Among Pediatric Survivors Of Hematological Neoplasms, Elizabeth Ross

Grace Peterson Nursing Research Colloquium

Background: Pediatric cancer patients are surviving cancer and living long, relatively healthy lives due to advances in pediatric cancer therapeutics. Even with modern medical research and technology, pediatric cancer is still the leading cause of death for children and adolescents in the United States. Based on statistics from the American Cancer Society (ACS), hematological cancers, such as leukemia and lymphoma, are the leading type of non-solid malignancies in children (ACS, 2016). For decades pediatric cancer survival rates have steadily increased with an overall cure rate of over 75%.

While it is great that the survivor rate has and is steadily …

Delirium Rates Increasing In Elderly Hospitalized Patients, Sarah Jane Soffel

Grace Peterson Nursing Research Colloquium

Delirium commonly affects hospitalized elderly patients, and is associated with increased mortality and morbidity, among other detrimental outcomes. Delirium is increasing in prevalence, yet remains under detected. Many of the negative effects of hospitalization, such as immobility, dehydration, and polypharmacy, increase the risk for developing delirium. Early detection of delirium remains an important factor for treatment and reversal. The aim of the integrative literature review was to determine whether delirium rates are increasing among elderly hospitalized patients, as well as to identify risk factors associated with delirium and nursing interventions that may prevent the increasing prevalence of delirium. The study …

The Influence Of Compassion Satisfaction And Its Effect On The Nurse-Patient Relationship, Brandon Larsen

Grace Peterson Nursing Research Colloquium

No abstract provided.

The Effects Of Physical Exercise On The Executive Functions Of Children With Attention Deficit Hyperactivity Disorder: An Integrative Review Of Literature, Julie Diamond

Grace Peterson Nursing Research Colloquium

Abstract

Attention deficit hyperactivity disorder (ADHD) is a common neurodevelopmental disorder that affects 6.4 million children in the United States. These children often experience deficits in both behavioral and cognitive executive functioning. Physical exercise (PE) has been gaining recognition as an alternative non-pharmacological treatment option for children with ADHD. This study aims to gain a better understanding of the efficacy of physical exercise in improving the executive functions (EF) of these children. Critical gaps in the literature were identified and addressed. A detailed search was conducted using CINAHL, PubMed, and PsycINFO. Peer-reviewed studies written in English and published between 2006 …

Intra-Operative Awareness With Recall Under General Anesthesia, Kelly Lannert, Dulcie Schippa

Grace Peterson Nursing Research Colloquium

Abstract

Background: Anesthesia practitioners are familiar with awareness with recall (AWR) as a phenomenon, however, research has shown it is inadequately assessed, evaluated, and treated in patients receiving general anesthesia leading to significant undesired sequela.

Objectives: The purpose of this quality improvement project (QIP) was to attempt to improve the perceived knowledge and comfort of anesthesia practitioners relative to the assessment, evaluation, and treatment of patients with AWR, thus, closing the gap between knowledge and practice.

Method: The sample consisted of 150 anesthesia practitioners from the Northshore University HealthSystem. Pre-and post-test Likert-type surveys were used and uploaded into Qualtrics to …

Certified Registered Nurse Anesthetists (Crna’S) Knowledge And Attitudes Regarding Acupressure As An Adjunct To Postoperative Nausea And Vomiting Prevention, Jacqueline Kuhn, Kim Homa

Grace Peterson Nursing Research Colloquium

No abstract provided.

Family's Perspective On Quality End-Of-Life Care For The Dying Patient, Kelly Liu

Grace Peterson Nursing Research Colloquium

No abstract provided.

Advanced Maternal Age And The Correlation Between Cesarean Birth Rates, Hope Campbell

Grace Peterson Nursing Research Colloquium

According to the Center for Disease Control and Prevention (CDC), the mean age of mothers at the delivery of their first child has increased from 24.9 years to 26.3 years between 2000 and 2014. Miscarriages, financial instability, lack of a partner and more effective contraception may also be associated with the increasing rate of delayed pregnancy. The increasing rate of delayed pregnancy could contribute to the higher rate of cesarean section deliveries in women over the age of 35 which could lead to an increased risk to mother and fetus. The rising cesarean rate is associated with rising costs and …

Acupuncture As An Effective Method For Pain Management In Post-Op Care, Margaret Severance

Grace Peterson Nursing Research Colloquium

Abstract

Background: There is much evidence that portrays the lack of satisfactory pain control in post-operative care. Acupuncture has been shown to be effective in the clinical setting for pain management and control and its therapeutic indications are well recognized by WHO. A multimodal approach to post-op pain care can provide non-opioid pain, and anti-emetic relief.

Objectives: The aim of the integrative literature review was to determine whether acupuncture provides efficient pain management in post-operative care.

Method: This study is an integrative literature review, in which an intensive review of literature was analyzed to seek evidence that acupuncture for pain …

Provider Barriers To Delivery Of Quality Transgender Healthcare, Suthiratana Bhudvanbhen-Jung

Grace Peterson Nursing Research Colloquium

Provider Barriers to Delivery of Quality Transgender Healthcare

Background: Transgender encompasses anyone who does not identify with the gender they were assigned at birth. Due to the previous DSM-IV Gender Identity Disorder diagnosis, transgender was considered a pathology. The 2013 DSM-V switch to Gender Dysphoria depathologized the transgender identity. Subsequently, transgender care is now covered by insurance and considered part of expected patient care when before it was not covered. This research study focuses on provider reported barriers to trans healthcare over patient reported, though some patient reports were used in conjunction with provider perspective.

Objective: The objective of this …

Barriers To Medication-Assisted Opioid Recovery: An Integrative Review Of Literature, Emily Miller

Grace Peterson Nursing Research Colloquium

Abstract

Background: Opioid addiction has become one of the fastest growing epidemics sweeping the world, but despite the use of opioid agonist medication-assisted treatment (MAT) with methadone or buprenorphine having been found to be one of the most effective methods for treatment of this epidemic, there is still a significant gap between the number of people that need MAT and the number of people that actually receive MAT.

Objective: The purpose of this integrative literature review is to explore the barriers that prevent many addicts from receiving MAT and to identify strategies that may assist in eliminating these barriers in …

Barriers To Identification Of Domestic Violence Victims In Lgbtq Populations, Jill Sears

Grace Peterson Nursing Research Colloquium

Background: Clinicians perceptions of domestic violence victims in the LGBT community when presenting in the Emergency Department environment creates barriers to timely identification.

Objectives: A literature review examined clinician’s perceptions of domestic violence in the LGBT compared to heterosexuals and how those perceptions create barrier to identification of victims.

Method: An integrative literature review was conducted utilizing four databases including: Cumulative Index of Nursing and Allied Health (Cinnahl) Complete, Proquest Nursing & Allied Health Source, Psychinfo, and PubMed. Key search words used and included “domestic violence”, “intimate partner violence”, “gay”, “homosexual”, “lesbian”, “LGBT”, “LGBTQ”, “perceptions”, “same-sex”, “identification”, “barriers”.

Results: Clinician …

The Nurse’S Role In Overcoming Barriers To Cancer Screening Of African Americans, Wendy Clayton

Grace Peterson Nursing Research Colloquium

Abstract

Background: While investigations into racial cancer disparities have been conducted since cancer screening practices have begun, there are few studies that address barriers to cancer screening behaviors in African Americans particularly within the perspective of nursing. This concept is of particular concern for nurses because nursing personnel have an opportunity and responsibility to impact the overall incidence and mortality of cancers.

Objective: The purposes of this literature review were to identify various barriers to early cancer detection and screening behaviors among African Americans and to evaluate the nursing interventions constituting the nurse’s role in overcoming these barriers.

Method: Research …

Impact Of Socioeconomic Status On Prenatal Nutrition And Postpartum Depression, Kelsey Moran

Grace Peterson Nursing Research Colloquium

Background: Postpartum depression (PPD) is the most common complication of childbirth, affecting 11-20% of women who give birth each year. Women suffering from PPD may experience feelings of guilt, worthlessness, and anxiety related to birth, and may think of suicide or harm towards their baby. Nutrition plays a key role in the onset, severity, and duration of general depression. Although nutritional deficiencies can be prevalent among all Americans, they disproportionately affect low-income individuals. There is currently a knowledge gap regarding postpartum depression causation in low-income women. It is important to understand the cause of postpartum depression to provide appropriate intervention …

Effect Of Body Image On Health Outcomes In Individuals With Weight-Related Disorders, Anna Gertsberg

Grace Peterson Nursing Research Colloquium

Weight related disorders are on the rise in the United States with a prevalence rate for anorexia nervosa of 0.6% and obesity of 20%. The increase is attributed to emphasis on body image. Body image is the combined perception of how one feels about their appearance with how others perceive them. The purpose of the integrative literature review was to analyze the effect of body image on individuals with anorexia nervosa and obesity and the mechanisms underlying such. A literature search was conducted through Cumulative Index to Nursing and Allied Health Literature (CINAHL) Complete, PubMed, ProQuest Nursing and Allied Health …

A Needs Assessment For Development Of An Interpreter Services Educational Tool For Crnas, Angela Meyer, Rachel Ferral

Grace Peterson Nursing Research Colloquium

Abstract

Background: Despite evidence of provider misuse of interpreter services and the resultant adverse outcomes that can and have occurred, few studies have assessed or addressed the gaps in knowledge and attitudes of certified registered nurse anesthetists (CRNAs) towards interpreter service usage when providing care for and consenting limited English proficient (LEP) patients.

Objectives: The purpose of this descriptive survey study was to identify CRNA knowledge and attitudes toward interpreter service usage for LEP patients to guide the development of a competency educational tool for CRNAs.

Methods: A descriptive, online survey research design was used. The Qualtrics online …

Development And Testing Of Cancer Treatment Shared Decision Making Scale For Nurses, Pamela Katz

Grace Peterson Nursing Research Colloquium

Abstract

Background: Shared decision-making (SDM) has emerged as the preferred model for decision-making in treatment decisions for cancer patients. Patient outcomes are maximized when this model is used since the patient is more engaged and empowered to be a part of their care. Yet, there are many barriers to participation in SDM that must be overcome from the patient, practitioner, and structural perspectives. It is important to find a way to accurately measure nurses’ competency in SDM since they are the ones spending the lion’s share of time with patients.

Theoretical Framework: The framework for SDM has evolved over the …