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Articles 1 - 30 of 102
Full-Text Articles in Nursing
Exploring Medical-Surgical Nurse Turnover And Stratagies, Amber D. Weaver
Exploring Medical-Surgical Nurse Turnover And Stratagies, Amber D. Weaver
Nursing Theses and Capstone Projects
This study explored the issue of medical-surgical unit nurse turnover and strategies to create nurse retention. The goal of this study was to provide nursing administrators with data that shows the cause of nurse turnover in this nursing specialty. The hypothesis was that there will be findings to indicate that medical-surgical nurses are at increased risk for employment turnover due to increased patient load and patient turnover. To study this concept, the Revised Casey-Fink Nurse Retention Survey was utilized. The results of the survey were revealed, and recommendations were made that may lead to nurse retention on the medical-surgical unit.
Active Shooter Awareness Education And Training Using Best Practices For Nurses In Acute Care Facilities, Amanda Carol Dean
Active Shooter Awareness Education And Training Using Best Practices For Nurses In Acute Care Facilities, Amanda Carol Dean
Nursing Theses and Capstone Projects
The thought of having an active shooter at your place of work is unimaginable. The thought of having an active shooter at a place of healing is terrifying and distressing for patients, families, and nursing staff. An active shooter event, as defined by Hauk (2018), is when at least one person is actively killing or trying to kill people in a confined populated space. If an active shooter event were to take place in an acute care facility, nurses must be educated on best practices of responding to an active shooter, including identifying the situation, notifying the appropriate personnel of …
The Effect Of Training And Recognition On Nursing Assistant Retention In Acute Care Settings, Rachael Austin Swann
The Effect Of Training And Recognition On Nursing Assistant Retention In Acute Care Settings, Rachael Austin Swann
Nursing Theses and Capstone Projects
Nursing assistants are being hired in acute care settings to alleviate staffing issues associated with the nursing shortage. This has been a great economical solution to ensure adequate staff because of the large number of trained individuals in this vocation. Turnover and retention with nursing assistants in all settings including acute care is an expensive and reoccurring problem. Although several strategies have been implemented to prevent this, few provide a sustainable positive outcome. This situation requires an approach to look at the causes of turnover and provide interventions to reverse the negative impact. The intent of this research looked at …
Emergency Registered Nurses’ Perceptions Of Workplace Violence, Margarite Elsey
Emergency Registered Nurses’ Perceptions Of Workplace Violence, Margarite Elsey
Nursing Theses and Capstone Projects
Workplace violence (WPV) is a significant issue in today’s healthcare field, especially for nurses in the emergency department. WPV is defined by action of verbal abuse, threats, disruptive behavior, harassment, intimidation and/or physical abuse, or assault (Stene, Larson, Levy, & Dohlman, 2015). Emergency Department (ED) registered nurses (RNs) are in a prime position to experience WPV due to the nature and purpose of the emergency room. To address effectively the problem of WPV against RNs in the ED, it is crucial first to understand how nurses in this setting perceive WPV from patients and/or visitors. In a Level I Trauma …
Exploring Nurse Stress, Andrea Butler
Exploring Nurse Stress, Andrea Butler
Nursing Theses and Capstone Projects
Aims: To explore levels of stress among nurses working in medical-surgical, telemetry and medical-telemetry nursing departments. Background: Bedside nurses are continuously confronted with stressful situations. These stressors can be very unpredictable and varying in intensity. As the nurse will face many different stressors, it is important for leadership to recognize the origin of the stress in order do everything possible to promote positive outcomes. Conquering stress within nursing departments provides a benefit for the greater good. Methods: This study used a descriptive, correlational study design. The association of occupational job stress for a nurse working within medical-surgical, telemetry, and medical-telemetry …
The Impact A Nurse's Work Environment Has On Breastfeeding, Ashley Dawn Hull
The Impact A Nurse's Work Environment Has On Breastfeeding, Ashley Dawn Hull
Nursing Theses and Capstone Projects
Breastfeeding is a global health initiative, as defined by the World Health Organization (WHO), because of its numerous health benefits to mothers and infants. Despite breast milk’s documented benefits to mothers and babies, many women are not choosing to breastfeed their infants. A lack of paid maternity leave policy within the United States influences postpartum responsibilities, physically, and psychologically. This paper presents nurses’ responses to the Workplace Breastfeeding Support Scale survey regarding their workplace environment support of breastfeeding. Nurses providing direct patient care for more than 50% of their shifts revealed 45.5% disagreed in some variance with their comfort in …
The Presence Of Compassion Fatigue In The Private Practice Setting, Santisha Lynette Walker
The Presence Of Compassion Fatigue In The Private Practice Setting, Santisha Lynette Walker
Nursing Theses and Capstone Projects
Nurses play an intricate role in healthcare and may carry a burden while providing patient care. Bearing this burden could lead to a significant level of stress, which in turn could cause compassion fatigue. Many nurses face issues of stress and fatigue during their daily nursing practice, lending to unsafe conditions for patients and a decrease in quality of life. The purpose of this study was to assess nurses’ perception of the presence of compassion fatigue for nurses working in the private practice setting. This quantitative study, guided by the Neuman Systems Model, consisted of a non-randomized convenience sample of …
Clinical Workload Policy In Nursing Programs: Striving To Be Equitable And Transparent, Melinda West
Clinical Workload Policy In Nursing Programs: Striving To Be Equitable And Transparent, Melinda West
Nursing Theses and Capstone Projects
Nursing schools throughout the country are facing a dilemma over how to concisely and fairly count faculty's clinical workload hours. Faculty members report dissatisfaction with their workload as one of the reasons for leaving the education field and contributing to the shortage of qualified nursing educators. There is no standardized method or policy for counting clinical teaching hours, so schools are left to create their own policies or simply not have one. The purpose of this study was to determine the perceptions of the faculty members at a community college of the current clinical teaching workload policy and to determine …
Compassion Fatigue In Medical Surgical Nurses, Ashlee Nicole Simmons
Compassion Fatigue In Medical Surgical Nurses, Ashlee Nicole Simmons
Nursing Theses and Capstone Projects
Often nurses are consumed by providing care to others and forget to care for themselves. The lack of self-care can lead to compassion fatigue in the nurse's life. The purpose of this thesis was to assess the level of compassion fatigue within medical surgical nurses, and determine the correlation between years of experience as a registered nurse and compassion fatigue. The Professional Quality of Life (ProQOL-5) was used to identify the existence of compassion fatigue in medical surgical nurses. Data was collected and analyzed using Statistical Package for Social Sciences (SPSS) software. Seventy-five medical surgical nurses working in an acute …
Assessing For Barriers To Shared Governance To Increase Employee Engagement, Cheryl Allison Motte
Assessing For Barriers To Shared Governance To Increase Employee Engagement, Cheryl Allison Motte
Nursing Theses and Capstone Projects
Empirical evidence supports the numerous benefits to an organization with engaged employees as well as benefits to those engaged employees. Never-the-less, over half of American workers are not engaged in their work. In healthcare, nurses score the lowest of all professional healthcare disciplines with engagement. Participation in shared governance has been shown to increase work engagement. The purpose of this MSN descriptive research is to assess for barriers to participation in shared governance and increase work engagement on a geriatric behavioral health unit. The study began with an online shared governance needs assessment questionnaire followed by the Utrecht Work Engagement …
Nurse Workloads: The Relationship Between Nurse Compassion Satisfaction And Burnout, Lisa M. Greene
Nurse Workloads: The Relationship Between Nurse Compassion Satisfaction And Burnout, Lisa M. Greene
Nursing Theses and Capstone Projects
Nurses face a wide variety of challenges and demands while caring for their patients and families. While nurses are an important part of healthcare, both for their compassion and care and for their skills at the bedside, they can become stressed and burned out. Compassion satisfaction is essential for nurses in today’s society. Compassion satisfaction has been defined as the pleasure an individual derives from being able to help others and do their work to the best of their ability. The lack of compassion satisfaction can lead to compassion fatigue. Compassion fatigue affects the care provided to patients. Compassion fatigue …
Depression And Personal Depression Stigma Among Hospital Employed Nurses, Christy Herman Moose
Depression And Personal Depression Stigma Among Hospital Employed Nurses, Christy Herman Moose
Nursing Theses and Capstone Projects
Background. Nurses experience depression at twice the rate of the general public. Personal depression stigma may complicate the issue by creating a barrier to help-seeking behaviors. This study sought to determine if depressed nurses have a higher rate of personal depression stigma than non-depressed nurses. Method. This study used a quantitative study design and a convenience sampling method of nurses at a community hospital. Data was obtained using a web-based survey that included the Patient Health Questionnaire 9 item depression scale (PHQ-9) and the Depression Stigma Scale – personal (DSS – personal). The total depression score (TDS) was used to …
Hospice Nurses’ Perception Of Factors Influencing Nurse Retention, Vanessa Kelly Boris
Hospice Nurses’ Perception Of Factors Influencing Nurse Retention, Vanessa Kelly Boris
Nursing Theses and Capstone Projects
Aim. To identify factors that affect hospice nurses’ intent to remain employed. Background. Recent literature indicates that turnover is a major problem for health care organizations, since it is costly and negatively affects patient care. Several strategies have been highlighted to help improve retention rates, however hospice nurses have special needs. Methods. To assess hospice nurse perspectives, a survey was conducted using registered nurses working in a multi-county Hospice and Palliative Care facility in the southeastern U.S. Survey items were based on information gathered from previous focus groups exploring determinants of nurse retention. Results. Eighty-eight percent (n=7) of nurses chose …
Job Satisfaction And Stress Level Of The Occupational Health Nurse, Angela Ballard
Job Satisfaction And Stress Level Of The Occupational Health Nurse, Angela Ballard
Nursing Theses and Capstone Projects
Occupational health nursing is a specialized field of nursing, employing only about 1% of total U.S. nurses (Moore & Moore, 2014). For this reason, it is often difficult to recruit prospective occupational health nurses (OHN). The need for OHN has grown in the auto industry in 2014 and 2015 due to increased production rates. It is important to determine whether or not current OHN, specifically in the auto manufacturing field, are satisfied and plan to stay in their current positions. Identifying reasons for job stress and job satisfaction helps leadership to correct deficiencies and develop and maintain a positive work …
Outcomes Of Peer Mentoring At An Associate Degree Nursing Program, Melissa B. Harper
Outcomes Of Peer Mentoring At An Associate Degree Nursing Program, Melissa B. Harper
Nursing Theses and Capstone Projects
Nursing students have described clinical experiences as being stressful, yet the application of classroom knowledge to the clinical health care setting is a requirement. The purpose of this mixed-method study is to compare students’ perceptions of the peer mentoring leadership experience (PMLE) and the student charge nurse experience (SCNE). The PMLE was piloted at a southeastern community college’s associate degree nursing (ADN) program. Hand-selected PMLE second-year nursing students (n=5) were paired with hand-selected PMLE first-year nursing students (n=5) for medical/surgical clinical rotations. The ADN program’s purpose for these clinical rotations was to provide a mutually beneficial mentoring experience. The remaining …
Pre-Employment Testing To Improve Nurse Retention, Jonathan Brandon
Pre-Employment Testing To Improve Nurse Retention, Jonathan Brandon
Nursing Theses and Capstone Projects
Nurse retention is an issue healthcare organizations cannot afford to ignore. The nursing shortage continues to impact healthcare in this country which increases the importance and urgency of retaining nurses. Job success, also referred as job satisfaction, is a key indicator of a nurse’s intent to stay. There are pre-employment tests that were designed specifically for healthcare organizations to help them choose applicants that are most likely to be successful resulting in better patient outcomes and improved nurse retention. The purpose of this study was to compare the perceived job satisfaction and intent to stay of nurses that completed pre-employment …
Incivility In Nursing Education: An Intervention, Ruthanne Palumbo
Incivility In Nursing Education: An Intervention, Ruthanne Palumbo
Nursing Theses and Capstone Projects
Incivility in nursing education is an unfortunate phenomenon affecting nursing students. in all aspects of their educational experience. Students and their instructors are often ill equipped to deal with academic incivility and their lack of ability to handle such behaviors has proven detrimental to the future of the nursing profession. Nursing instructors need tools to help educate nursing students on how to recognize uncivil behaviors within themselves as well as others and ways to combat it. This Capstone Project addressed these aspects of academic incivility and implemented an e-learning module that was developed to educate students on incivility. The data …
Rekindling The Passion For Nursing, Susan M. Cannon
Rekindling The Passion For Nursing, Susan M. Cannon
Nursing Theses and Capstone Projects
Nurses often experience compassion fatigue and burnout when working in stressful environments. Nurses tend to put the needs of their patients above their own needs. It is imperative for the work environment to promote relaxation and restoration, to avert compassion fatigue and nursing burnout. All employees of the project director’s organization were encouraged to attend Caring for the Caregiver Day, a hospital-sponsored event which provided education and promoted self-help interventions aimed to decrease compassion fatigue and burnout. The event included aromatherapy, music therapy, art therapy, pet therapy, massage therapy, and education on compassion fatigue for nurses. In addition, the Progressive …
The Impact Of Self-Care Education On Heart Failure Patients With A High Risk For Readmission, Neil Williams Ii
The Impact Of Self-Care Education On Heart Failure Patients With A High Risk For Readmission, Neil Williams Ii
Nursing Theses and Capstone Projects
The purpose of this Capstone Project study was to answer the question: Does self-care education improve knowledge and decrease 30 day readmission rates in a class of heart failure patients that are at high risk for exacerbation? The study used a randomized control design with a pre-test/post-test. A convenience sample of 50 African Americans diagnosed with heart failure were entered; control group (n=25) and experimental group (n=25). Both groups received the Heart failure Pre/Post Test developed by the researcher during the initial interview and four weeks post discharge. The experimental group received a phone call weekly over the four weeks …
Exploration Of Work Environmental Factors That Affect Nurse Job Satisfaction In A Hospital Setting, Mary L. Peeler
Exploration Of Work Environmental Factors That Affect Nurse Job Satisfaction In A Hospital Setting, Mary L. Peeler
Nursing Theses and Capstone Projects
Nurses are experiencing increased stress and dissatisfaction in the health care arena. The work environment impacts nurses’ perception and loyalty to organizations based on satisfaction versus dissatisfaction, including quality patient care. The purpose of this study was to explore work environmental factors that affect nurse job satisfaction in a hospital setting. Marilyn Ray’s Theory of Bureaucratic Caring was the theoretical framework for this study. The research utilized the McCloskey/Mueller Satisfaction Scale (MMSS) to examine factors in an acute care hospital associated with nurse job satisfaction. The study invited 130 nurses from a hospital in rural South Carolina to participate electronically …
The Use Of An Unfolding Case Study To Enhance Self-Efficacy In Nursing Students, Hettie V. Peele
The Use Of An Unfolding Case Study To Enhance Self-Efficacy In Nursing Students, Hettie V. Peele
Nursing Theses and Capstone Projects
Nurse educators are challenged with preparing new nurse graduates that can function in the current healthcare practice environment of high patient acuity, morbidities, and information technology while maintaining patient safety and quality care management (Cronenwett et al., 2007). Therefore, nurse educators are amenable to exploring alternative teaching pedagogies that provide students with engaging learning opportunities that simulate real-life clinical scenarios they may encounter in professional nursing practice. This study explored the use of an unfolding case study as an innovative teaching strategy to enhance the perception of student self-efficacy. A one-group pretest-posttest descriptive design with a convenience sample of 17 …
Final Semester Associate Degree Nursing Student Stress And Comprehensive Nclex-Rn® Predictor Exam Results, Brittany Hudgins
Final Semester Associate Degree Nursing Student Stress And Comprehensive Nclex-Rn® Predictor Exam Results, Brittany Hudgins
Nursing Theses and Capstone Projects
This study assessed perceived stress among graduating nursing students and explored the relationship between perceived stress and scores on a comprehensive NCLEX-RN® predictor exam. The goal was to provide data for educators to examine the correlation between student stress levels and comprehensive NCLEX-RN® predictor exam scores. Findings indicated that nursing students had higher than average stress levels based on established averages reported for the Perceived Stress Scale (PSS) three weeks prior to graduation. No relationship was found in regards to stress and ATI Comprehensive Predictor Scores administered two days after students completed the PSS questionnaire. Implications for nurse educators based …
Perceived Ease Of Use And Usefulness Of Podcasting In Nursing Skills Competence, Lisa M. Barnes
Perceived Ease Of Use And Usefulness Of Podcasting In Nursing Skills Competence, Lisa M. Barnes
Nursing Theses and Capstone Projects
This capstone project examined nursing students' technology acceptance of podcasting as a tool for nursing skill acquisition. Technology acceptance was determined by measuring the students' perceived competence of the skill along with the perceived usefulness and ease of use of the provided podcasts. A convenience sample of 49 first semester nursing students from an associate degree and practical nursing program participated in the project. Perceived competence of the three nursing skills: obtaining vital signs, inserting a Foley catheter, and performing a sterile dressing change was examined and compared from pre-podcast availability to post-podcast availability. The overall means of the nursing …
The Effect Of Community Education On Osteoporosis Knowledge, Avis O. Morrow
The Effect Of Community Education On Osteoporosis Knowledge, Avis O. Morrow
Nursing Theses and Capstone Projects
Osteoporosis is a metabolic disorder characterized by the loss of bone mass, increased bone fragility, and the increased risk of fractures. Bone loss is accelerated when the diet is deficient in vitamin D and calcium. The National Osteoporosis Foundation estimates that 57 million Americans are at risk for this disorder. The risk depends on the amount of bone mass achieved between ages 25-35 and how much bone loss occurs after that age. Bone loss increases after menopause. Lifestyle modifications needed include knowledge of vitamin D, calcium, and exercise recommendations.
Perceived Patient Satisfaction With Hospital Services And Interventions, Marietta Abernathy
Perceived Patient Satisfaction With Hospital Services And Interventions, Marietta Abernathy
Nursing Theses and Capstone Projects
The patient and family voice should be heard in the healthcare setting. Gaining knowledge and insight from a parent of a pediatric patient will allow hospital staff and administrators to see the hospital experience from the vantage point of a patient and family member (Uhl, Fisher, Docherty, & Brandon, 2013). It is important to continually review feedback and suggestions from families of pediatric patients to improve the care of future patients. Ultimately, this will improve patient satisfaction scores, but most importantly, it will improve the experience of pediatric patients (Creating patient and family advisory councils, 2010). The investigator interviewed ten …
Utilizing Motivational Interviewing To Promote Condom Use Self-Efficacy, Ann Maria Bell
Utilizing Motivational Interviewing To Promote Condom Use Self-Efficacy, Ann Maria Bell
Nursing Theses and Capstone Projects
Condom use is one of the most important preventive mechanisms available to combat sexually transmitted diseases and unintended pregnancies, yet over 70% of adolescents and young adults lack education on the proper use of condoms. Lack of education and confidence in using condoms contributes to a decrease in condom usage, resulting in increased rates of sexually transmitted diseases and unintended pregnancies. The purpose of Project Motivate was to determine if motivational interviewing significantly improves self-efficacy related to condom use among patients presenting for screening of sexually transmitted diseases. The project sought to determine if motivational interviewing is an effective intervention …
The Use Of Peer Video Via M-Learning To Teach Essential Nursing Skills, Elizabeth Hall Carver
The Use Of Peer Video Via M-Learning To Teach Essential Nursing Skills, Elizabeth Hall Carver
Nursing Theses and Capstone Projects
The purpose of this project was to compare adding an additional educational intervention (the use of an instructional peer video on a mobile device) to standard practice in the skills lab to teach the skill of male and female urinary catheterization and the removal of a urinary catheter. The project had a quasi-experimental design, without control, and utilized a convenience sample of 31 pre-licensure nursing students. Failure rates at skills evaluation were compared between the previous semester A (fall 2014) and semester B (spring 2015). Semester B was subdivided into two groups, with approximately half in the traditional instructional B1 …
Exploring Incivility Among Registered Nurses In The Hospital Setting, Lesley Ann Gillian
Exploring Incivility Among Registered Nurses In The Hospital Setting, Lesley Ann Gillian
Nursing Theses and Capstone Projects
The purpose of this study was to examine the level of incivility among registered nurses in the hospital setting. A non-experimental descriptive quantitative design was used.The Nursing Incivility Scale (NIS) was sent to all registered nurses (653) employed at the hospital via email with a response rate of 24% (n=158). The NIS has source specific subscales included. The results indicated that nurses did have experiences with incivility at this facility with the sources being identified as General Hostile Climate, Nurse Gossip and Rumors, Physician Abusive Supervision and Patient and Visitor Displaced Frustration.
Evaluating Chain-Of-Command Self-Efficacy Through High Fidelity, Student-Directed, Obstetrical Simulation, Michelle Mcewen-Campbell
Evaluating Chain-Of-Command Self-Efficacy Through High Fidelity, Student-Directed, Obstetrical Simulation, Michelle Mcewen-Campbell
Nursing Theses and Capstone Projects
The purpose of this quasi-experimental capstone project was to evaluate the impact of high fidelity, student-directed, obstetrical simulation upon chain-of-command self-efficacy of baccalaureate nursing students. The convenience sample, composed of 48 junior nursing students, was randomly divided into four simulation groups, and then further randomly divided into active or observational status. Active participants planned interventions and participated in high fidelity obstetrical simulations related to patient safety and chain-of-command initiation. Active and observational students participated in a combined debriefing session. A pretest posttest design utilizing the General Self-Efficacy Scale (GSES) was utilized to measure chain-of-command self-efficacy in relation to both active …
Improving Attitudes Toward Interdisciplinary Collaboration Between Nursing And Medical Students In Simulation, Kristy H. Williams
Improving Attitudes Toward Interdisciplinary Collaboration Between Nursing And Medical Students In Simulation, Kristy H. Williams
Nursing Theses and Capstone Projects
This capstone project assessed whether a curriculum change for senior nursing students could have an impact on improving attitudes toward physician-nurse collaboration. A convenience sample of 60 senior level nursing students and eight residents were enrolled in the study. The nursing students and residents participated in a high-fidelity simulation scenario, and were given a pretest and posttest using the Jefferson Scale of Attitudes Toward Physician-Nurse Collaboration. There was strong evidence (t= -1.971, p=.05) that the attitudes of physician-nurse collaboration improved for nursing students through a simulation based scenario with residents. The confidence interval for the difference was (-0.22, 0.002). Although …