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Full-Text Articles in Nursing

Teaching Nursing Students To Communicate With Older Adults, Lena Moffitt Mceachern Jan 2019

Teaching Nursing Students To Communicate With Older Adults, Lena Moffitt Mceachern

Nursing Theses and Capstone Projects

Student nurses have difficulty communicating effectively with older adults. Nurses willing to work with this age groups are in high demand due to the growing population. Lack of knowledge and preconceived ideas deter students from a willingness to work in geriatrics. Improving communication skills by increasing knowledge and decreasing bias in the clinical setting will benefit students and the community. The focus of this project was to discover if instruction, practice through role playing, and completion of a simulation with standardized patients prepare students for communicating effectively with older adults and increase the desire to work with this population. The …


Lived Experiences Of Individuals With End-Stage Renal Disease On Peritoneal Dialysis, Jessica W. Airheart Jul 2016

Lived Experiences Of Individuals With End-Stage Renal Disease On Peritoneal Dialysis, Jessica W. Airheart

Nursing Theses and Capstone Projects

End-stage renal disease (ESRD) is a prevalent condition among the elderly population in the United States. ESRD is the most feared stage of chronic kidney disease (CKD), as it is a terminal diagnosis requiring long-term management. Peritoneal dialysis (PD) is the most common method of home-dialysis treatment for individuals with ESRD. The purpose of this research is to gain insight into patient experiences of integrating PD therapy into daily lifestyle for a selected sample of people diagnosed with ESRD and currently on PD therapy. The research questions addressed include: how decisions about ESRD treatment options are made, choosing between PD …


The Effect Of Art Therapy On Hospice And Palliative Caregivers, Carol E. Gress Jan 2015

The Effect Of Art Therapy On Hospice And Palliative Caregivers, Carol E. Gress

Nursing Theses and Capstone Projects

A quazi-experimental, one-group, pretest/posttest study was conducted with a group of 25 hospice workers employed by a medium sized county hospice organization in the southeastern United States that was experiencing rapid personnel turn-over. Participants in the study included a doctor, a physician’s assistant, a nurse practitioner, a massage therapist, a grief counselor, a licensed practical nurse, a certified nursing assistant, two clergy, three administrative staff, three social workers, seven volunteers, eight registered nurses and one other. The purpose was to investigate whether attending four 1-hour art therapy sessions could help reduce stress and thereby Burnout. Stamm’s (2010) Professional Quality of …


Early Intervention Of Non-Invasive Positive Pressure Ventilation In Elderly Patients With Rib Fractures, Jaclyn Gosnell Jan 2015

Early Intervention Of Non-Invasive Positive Pressure Ventilation In Elderly Patients With Rib Fractures, Jaclyn Gosnell

Nursing Theses and Capstone Projects

Rib fractures in the elderly population, 65 years and older, is more prevalent than any other population. Mortality increases with each year over the age of 65 and with each number of ribs fractured. Rib fractures are painful and can lead to a decreased respiratory effort. This results in complications such as pneumonia, respiratory depression, respiratory failure, Acute Respiratory Distress Syndrome (ARDS), and respiratory infections. Non-Invasive Positive Pressure Ventilation (NIPPV) assists with reducing the patient efforts to breathe while also ensuring spontaneous lung expansion. NIPPV can assist with promoting positive outcomes in patients with respiratory complications. The purpose of this …


Rural Healthcare Providers' Behavioral Intentions With Hospice Referrals: Attitudes, Knowledge, Beliefs, Benefits And Barriers, Meki Jacobs Graham Jan 2015

Rural Healthcare Providers' Behavioral Intentions With Hospice Referrals: Attitudes, Knowledge, Beliefs, Benefits And Barriers, Meki Jacobs Graham

Nursing Theses and Capstone Projects

As hospice programs gain recognition, hospice referrals are gaining momentum. Yet for multiple reasons hospice referrals are challenging amongst rural healthcare providers (HCPs). For rural healthcare providers, lack of knowledge about hospice services and care contributes to a decrease in hospice referrals. The purpose of this capstone project was to develop an intervention to improve rural health care providers' behavioral intention to make hospice referral. The study sought to determine if an educational intervention would improve behavioral intentions to make a hospice referral resulting in increased hospice referral rates. Outcome data was based on utilizing a pretest/posttest survey design. An …


An Assessment Of Nurses' Knowledge And Attitudes Toward End Of Life Care Pain Management, Amy Davis Jan 2014

An Assessment Of Nurses' Knowledge And Attitudes Toward End Of Life Care Pain Management, Amy Davis

Nursing Theses and Capstone Projects

This study was completed to help determine if nurses had a true understanding of how to provide pain management to patients in their care who were at the end of their life. A review of literature was completed and it revealed that nurses have a fear of opioid overdose and respiratory depression in their patients when providing proper pain management. It also revealed that patients have a fear of dying in pain at the end of their life especially if they have been diagnosed with a terminal illness. The study also revealed that when patients die in pain it actually …


Non-Pharmacological Interventions Project: Treatment For Dementia, Mandy Richards Jan 2014

Non-Pharmacological Interventions Project: Treatment For Dementia, Mandy Richards

Nursing Theses and Capstone Projects

In response to the Office of Inspector General's research report on atypical antipsychotic off label treatment of elderly dementia residents in long-term care, the Centers for Medicare and Medicaid Services developed a non-pharmacological intervention known as the Hand In Hand training tool. This projects focus was on training the direct care nursing staff with the Hand In Hand tool and evaluating for decrease in behavior and psychological symptoms in their patients. A retrospective chart review was utilized for the Minimum Data Sets tool Brief Interview of Mental Status (BIMS) and Mood interview. Pre training and post training scores were analyzed …


Relationship Between Psychotropic Drugs And Falls In The Geriatric Population, Lauren E. Fletcher Crotts Jan 2013

Relationship Between Psychotropic Drugs And Falls In The Geriatric Population, Lauren E. Fletcher Crotts

Nursing Theses and Capstone Projects

Falls in the geriatric population are extremely common and the risk for falls continues to increase with age. Falls are a leading cause of mortality in the geriatric population, and it is the number one reason for institutionalization in the United States. The purpose of this study was to explore the relationship of the prescribing effects of psychotropic medications such as antidepressants, benzodiazepines, and antipsychotics on falls in the geriatric population who live in a long term care community with a diagnosis of depression, dementia, anxiety, delirium, and Alzheimer's disease. The literature provided mixed conclusions on the effects of psychotropic …


Hospice Nurse Perceptions Of Constipation And Attitudes Towards Abdominal Massage, Elizabeth Everette Jan 2012

Hospice Nurse Perceptions Of Constipation And Attitudes Towards Abdominal Massage, Elizabeth Everette

Nursing Theses and Capstone Projects

Constipation is a prevalent symptom in the hospice population, negatively effecting quality of life for patients. Constipation is frequently overlooked, undiagnosed, and untreated by healthcare providers. The role of the hospice nurse is ideal for managing the symptom of constipation with traditional and alternative therapies. Literature review reveals very limited research on constipation and hospice patients, and alternative therapies for constipation. No research was found regarding nurse attitudes towards alternative therapies, such as abdominal massage for constipation. This research study tested the following hypothesis: Hospice nurses perceive constipation as significantly impacting the quality of life for the hospice patient, and …


Knowledge Of And Attitude Toward Pain Control Among Hospice Nurses In A Southeastern State In The Us, Brandy C. Leroy Jan 2012

Knowledge Of And Attitude Toward Pain Control Among Hospice Nurses In A Southeastern State In The Us, Brandy C. Leroy

Nursing Theses and Capstone Projects

The hospice philosophy is based on pain and symptom management, comfort measures, and enhancement of quality of life at end-of-life (EOL). Pain management at EOL requires advanced knowledge and understanding by the healthcare team caring for these patients. A primary concern for the nurse caring for a patient at EOL is to achieve adequate pain control, provide comfort measures and maximize the patient's quality of life. This descriptive correlation study examined the hospice RN's knowledge and attitude of pain control at end-of-life. Forty-nine nurses employed at a hospice facility in a Southeastern state in the US were surveyed. Findings of …


The Use Of Peppermint Oil To Reduce The Nausea Of The Palliative Care And Hospice Patient, Mary Seale Jan 2012

The Use Of Peppermint Oil To Reduce The Nausea Of The Palliative Care And Hospice Patient, Mary Seale

Nursing Theses and Capstone Projects

A descriptive study was initiated to investigate the use of peppermint oil to reduce the nausea of the palliative care and hospice patient. Two local palliative care and hospice programs were used as sites for the study. Patients eighteen and older complaining of nausea were invited to participate in the study. The study was conducted for one and a half months. A total of eight patients consented to participate in the study with a mean age of seventy one years. The Bieri Scale, a visual-numeric analog, was used as the measurement instrument for the patients to evaluate their nausea. Results …


Care Of The Dying Patient: How Comfortable Are Nursing Students Toward The Care Of Dying Patients At The Completion Of The Associate Nursing Degree Program?, Phyllis Bray Jan 2012

Care Of The Dying Patient: How Comfortable Are Nursing Students Toward The Care Of Dying Patients At The Completion Of The Associate Nursing Degree Program?, Phyllis Bray

Nursing Theses and Capstone Projects

People are living longer today due to lifestyle changes and treatment of illnesses. End of life nursing care has become a field of nursing practice that requires focus on meeting the needs of the patient and family. Nurses are central figures in advocating for interventions that minimize burden and distress and enhance quality of life for their patients. Given these extremely important responsibilities, new nurses must be adequately prepared to provide sensitive, quality of care for patients at the end of life. This quantitative study aimed to assess how comfortable nursing students feel toward the care of dying patients at …