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Articles 1 - 30 of 45
Full-Text Articles in Nursing
Hospice Nurse Perceptions Of Constipation And Attitudes Towards Abdominal Massage, Elizabeth Everette
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 …
Self-Care Agency And Self-Care Practice Of Adult African Americans With Type 2 Diabetes, Martha Eddings
Self-Care Agency And Self-Care Practice Of Adult African Americans With Type 2 Diabetes, Martha Eddings
Nursing Theses and Capstone Projects
The purpose of the study was to identify and examine the concepts of self-care agency and self-care practice of African American adults diagnosed with type 2 diabetes, living in the local community. The research questions addressed were: 1) What is the self-care agency of adult African Americans diagnosed with type 2 diabetes? 2) What is the self-care practice of adult African Americans diagnosed with type 2 diabetes? 3) Is there a relationship between self-care agency and self-care practice in adult African Americans diagnosed with type 2 diabetes? The Denyes Self-Care Agency Instrument (DSCAI-90) and the Denyes Self-Care Practice Instrument (DSCPI-90) …
Nurses' Perceptions Of Intradermal Sterile Water Injection Use In Labor, Abby E. Garlock
Nurses' Perceptions Of Intradermal Sterile Water Injection Use In Labor, Abby E. Garlock
Nursing Theses and Capstone Projects
Nurses' perceptions of barriers may influence the type of pain control options offered to women in labor. While effective in relieving low-back pain associated with labor, nurses rarely utilize intradermal sterile water injections for women during labor. Using the Nurses' Perceptions of the Use of Intradermal Sterile Water Injections in Labor survey, labor nurses identified barriers to offering intradermal sterile water injections during labor. Individual and institutional characteristics were associated with higher perceived barriers. Nurses who reported working primarily day shift ( t = 2.06, p = .05), higher epidural rates ( r = .45, p = .018), and higher …
Incivility Among Nurses - Prevalence And Impact, Nadin Knippschild
Incivility Among Nurses - Prevalence And Impact, Nadin Knippschild
Nursing Theses and Capstone Projects
Incivility, horizontal violence, uncivil behavior or bullying are only a few terms used to describe the conduct one individual may display toward another that are undesirable in healthcare organizations and consequently gained the attention of regulatory agencies, such as The Joint Commission. Incivility adversely affects healthy work environments, impedes with patient safety and collaboration, has negative financial implications for organizations, and represents an ethical concern in nursing. The purpose of this study was to identify the overall prevalence as well as prevalence based on work areas. In addition, further aims were to examine the likelihood of the study participants calling …
Attitudes And Practices Of Perioperative Nurses Effecting The Election Of Wearing Protection From Occupational Radiation Exposure, Jane Leonard
Nursing Theses and Capstone Projects
Health effects from exposure to radiation are unpredictable. On a daily bases, nurses working in the perioperative setting are exposed to medical x-rays (ionizing radiation) and are vulnerable to its carcinogenic effects. Regardless of the potential health consequences, the use of protective equipment remains inconsistent among perioperative nurses. Most research studies regarding nurses' occupational health risks either failed to include or separate radiation exposure from chemicals and blood borne pathogens. The purpose of this study was to examine the relationship between the attitudes and practices of perioperative nurses that influence their decisions to wear or not wear radiation protection equipment …
Workplace Violence: Emergency Department Versus Medical Surgical Nurses, Dakeita K. Roakes
Workplace Violence: Emergency Department Versus Medical Surgical Nurses, Dakeita K. Roakes
Nursing Theses and Capstone Projects
The purpose of this study is to answer the following question: Does a registered nurses department, medical-surgical versus emergency department, change the amount of workplace violence they may experience? To accomplish this, a cross sectional descriptive study using an anonymous web-based Workplace Violence questionnaire survey by Wolters Kluwer Health was used to collect data from nurses working on medical-surgical units and in the emergency department at the facility. The findings indicate more physical violence with more frequent or occasional occurrences in emergency departments. The medical-surgical nurses reported more intimidation or emotional violence and never experience workplace violence.
The Impact Of Simulation-Based Learning Experience On Critical Thinking Acquisition, Candice Rome
The Impact Of Simulation-Based Learning Experience On Critical Thinking Acquisition, Candice Rome
Nursing Theses and Capstone Projects
The purpose of this comparative experimental project was to compare the impact of simulation-based learning experiences to traditional clinical rotations on critical thinking acquisition of associate nursing students within a maternal-child course. Innovative pedagogies have been integrated in nursing programs to augment inadequate clinical placement and instructor availabilities. A longitudinal convenience sample of 45 second year associate level nursing students enrolled in a maternal-child course was utilized. Four experimental groups, 24 students were exposed to an eight-hour simulation-based learning experience in place of one clinical rotation. During the eight hour simulation day, students participated in three various maternal-child centered simulations. …
The Effect Of Medium Fidelity Simulation On Perceived Competence Level Of Novice Nursing Students, Tracy D. Arnold
The Effect Of Medium Fidelity Simulation On Perceived Competence Level Of Novice Nursing Students, Tracy D. Arnold
Nursing Theses and Capstone Projects
This Capstone Project examined the effect of medium fidelity simulation on perceived competence level of novice nursing students. A convenience sample of 56 second-year associate degree nursing students enrolled in an Adult Medical-Surgical II nursing course and experiential laboratory course participated in this project. Students were divided into two separate groups based on course schedules: 27 students participated in the traditional laboratory experience, and 29 students participated in the instructor guided Mock Code simulation-based learning experience. Descriptive statistics were used to determine the overall mean of all student responses to each question on an altered version of the Perceived Competence …
Senior Nursing Students' Perception Of Clinical Teacher Behavior, Karen Baker
Senior Nursing Students' Perception Of Clinical Teacher Behavior, Karen Baker
Nursing Theses and Capstone Projects
Clinical experience is the most important component of nursing education (Gaberson and Oermann, 2007; Walker, 2005). As part of the clinical education environment, the teaching behaviors of nursing faculty have considerable potential to influence students' learning. To produce effective learning by students, nurse educators have a responsibility to instruct students so that learning is optimal. The purpose of this study was to explore students' perception of clinical teaching behaviors of nursing faculty. The study uncovers new knowledge about clinical teaching behaviors based on the student's perceptions during their own clinical experiences. A non-experimental survey, descriptive exploratory design was used. A …
Evidence Based Practice In School Nursing: A Study Of School Nurses In Central And Eastern North Carolina, Lisa M. Barnes
Evidence Based Practice In School Nursing: A Study Of School Nurses In Central And Eastern North Carolina, Lisa M. Barnes
Nursing Theses and Capstone Projects
The purpose of the study, Evidence Based Practice Use: A Study of School Nurses in Central and Eastern North Carolina, is to gain insight of the barriers and facilitators of evidence based research in the school setting. The unique and autonomous nature of school nursing makes evidence base practice and research utilization especially important to achieve optimal outcomes in this setting that is often isolated from other health care providers. A descriptive cross sectional survey design using the BARRIER scale was used in this quantitative study (Funk et al., 1991). Using the BARRIER scale by Sandra Funk, school nurses from …
Nurses' Perception Of Clinical Ladder Programs, Bobbie Baucom
Nurses' Perception Of Clinical Ladder Programs, Bobbie Baucom
Nursing Theses and Capstone Projects
The purpose of this study was to measure registered nurses' perceptions of clinical ladder programs and to determine what registered nurses consider to be satisfiers in order to keep them at the bedside. Clinical ladder programs reward registered nurses for their advancement in nursing education, nursing research, expert clinical skills, and leadership skills. This study was conducted on 68 post-licensed registered nurses from the ADN to BSN program at Gardner-Webb University. A quantitative descriptive study using an instrument which items measured perceptions of registered nurses' regarding clinical ladder programs was utilized. The results concluded that registered nurses thought autonomy and …
Neurological Outcomes In Induced Hypothermic States (Post Cardiac Arrest Resuscitation), Shonna Lee Bible
Neurological Outcomes In Induced Hypothermic States (Post Cardiac Arrest Resuscitation), Shonna Lee Bible
Nursing Theses and Capstone Projects
International studies indicate that induced hypothermia in successful Post Cardiac Arrest Resuscitation improves cerebral perfusion resulting in improved neurological function. Patients undergoing a neurological exam prior to induction of hypothermia may indicate potential mortality prognosis in this population. Literature Review indicated the use of the Glasgow-Pittsburg Cerebral Performance Categories for evaluation of neurological status in this population, but most institutions seem to utilize Glasgow Coma Scoring (GCS) in all patient populations for neurological examination. The purpose of this study was to determine if a neurological evaluation prior to and during the Induced Hypothermia state would affect the mortality outcomes in …
Nurse's Perception Of Factors Associated With Family Satisfaction In The Intensive Care, Phyllis K. Buie
Nurse's Perception Of Factors Associated With Family Satisfaction In The Intensive Care, Phyllis K. Buie
Nursing Theses and Capstone Projects
In health care, family satisfaction has become one of the most important and challenging competitive elements of the industry. The purpose of this study is to determine the factors associated with the Registered Nurse's perception of family satisfaction with services provided during a patient's hospitalization in the intensive care unit (ICU). Registered Nurses, with critical care experience within the past five years, were asked to rate factors that influenced family satisfaction in the intensive care using the Critical Care Family Satisfaction Survey (CCFSS) developed by Thomas Wasser (2001). Watson's Theory of Human Caring was used as the theoretical framework for …
Staff Nurse Perception Of Leadership Styles Among Nurse Managers, Robert A. Jaffe
Staff Nurse Perception Of Leadership Styles Among Nurse Managers, Robert A. Jaffe
Nursing Theses and Capstone Projects
This project examined if transformational nurse managers were perceived by their nursing staff as more effective leaders than transactional or passive/avoidant leaders using the Transformational Theory of Leadership through administration of the Multifactor Leadership Questionnaire (Form 5X) to nurse unit managers and staff nurses. 80 staff nurses and seven unit nurse managers participated in the study. Unit nurse managers completed the MLQ (Form 5X) about themselves and nursing staff completed the MLQ (Form 5X) about their unit nurse manager. Using descriptive statistics unit nurse manager results were compared with nursing staff results. The goal was for unit nurse managers to …
Job Satisfaction Among A Multigenerational, Critical Care, Nursing Workforce, Sara Clay
Job Satisfaction Among A Multigenerational, Critical Care, Nursing Workforce, Sara Clay
Nursing Theses and Capstone Projects
Despite the slight ease of the nursing shortage due to the current recession, the United States is expected to still have a shortage of approximately 260,000 registered nurses by the year 2025 (American Association of Colleges of Nursing, 2011). Healthcare is an ever changing profession where nurses, no matter their generation, must learn to adapt to their constantly changing environment and expectations. Job satisfaction is a strong and constant predictor of retention and can vary greatly across generations. The purpose of this study was to get insight into generational differences related to job satisfaction and to use these data to …
Registered Nurses' Perception Of Hispanic Women's Use, Decline And Preference Of Pain Control During Childbirth, Sarah R. Conte
Registered Nurses' Perception Of Hispanic Women's Use, Decline And Preference Of Pain Control During Childbirth, Sarah R. Conte
Nursing Theses and Capstone Projects
The purpose of this descriptive study was to identify registered nurses' perceptions of why Hispanic women use or decline pain control during the childbirth process and to identify preferences of pain control. A convenience sample of registered nurses (N = 30) from a large healthcare system in North Carolina was utilized. An 11-item questionnaire using a Likert scale was used. (Appendix A). The questionnaire instrument was developed specifically for this study, and was validated by Julie Stembridge, certified nurse mid- wife, an experienced mid-level provider in obstetrical care. (Appendix B) Demographic data was collected to provide a basis for variations …
Smoking And Tobacco Cessation Education, Leslie D. Bolin
Smoking And Tobacco Cessation Education, Leslie D. Bolin
Nursing Theses and Capstone Projects
The purpose of this study was to evaluate the impact of a brief computer-based learning module on nurses' self-efficacy regarding tobacco cessation counseling. Twelve registered nurses practicing in an acute care hospital system participated in the one-group pretest-posttest study. At registration, participants completed a demographical tool and the Modified "5 A's" Training Program Survey. The Modified "5 A's" Training Program Survey was completed again immediately after the training program. Descriptive statistics were used to analyze the demographic data. Statistical analysis did not reveal significant changes in the dependent variables for self-efficacy for smoking cessation counseling. Results of this study support …
Predicting Nclex-Rn Success Utilizing Standardized Testing, Michelle Jolly Dunn
Predicting Nclex-Rn Success Utilizing Standardized Testing, Michelle Jolly Dunn
Nursing Theses and Capstone Projects
The purpose of this quantitative study was to determine if Assessment Technologies Institute's (ATI) comprehensive predictor accurately predicts student results on the National Council Licensure Examination for Registered Nurses (NCLEX-RN) for graduates of an Associate Degree nurse program at a community college in the Northwestern part of North Carolina. The study was also used to determine the feasibility of the School of Nursing (SON) continuing to purchase the ATI standardized testing products for student use. This study evaluated the comprehensive predictor scores and first time pass/fail rates for graduates (N=285) from 2007 to 2011. All data was analyzed using IBM …
The Use Of Music To Reduce Test Anxiety In Nursing Students, Janice Kaye Fuson
The Use Of Music To Reduce Test Anxiety In Nursing Students, Janice Kaye Fuson
Nursing Theses and Capstone Projects
The purpose of this study was to determine if listening to music at 60-80 beats per minute prior to testing would decrease anxiety. The following null hypotheses were presented, 1. There is no significant difference between the experimental and control group test STATE-TRAIT Anxiety scores. 2. There is no significant difference between experimental and control group pretest STATE and TEST anxiety score and pulse rates. 3. There is no significant difference between experimental and control group post-test STATE and TEST Anxiety Score and pulse rate (Summers et. al 1990). A previous pilot study was used as a basis for additional …
Implications Of Perinatal Safety Nurse Fetal Monitoring Surveillance In The Labor And Delivery Setting, Kellie M. Griggs
Implications Of Perinatal Safety Nurse Fetal Monitoring Surveillance In The Labor And Delivery Setting, Kellie M. Griggs
Nursing Theses and Capstone Projects
Successful maternal and infant outcomes are the most important safety goals for all obstetrical units providing care for low and high-risk patients. The purpose of this research study was to describe how the implementation of the "Perinatal Safety Nurse" position in the Labor and Delivery setting effected fetal outcomes as well as provided an added level of safety. This study proposed that a direct correlation exists between fetal outcomes and fetal safety initiatives. The research design chosen for this proposal was a retrospective study that utilized a descriptive design. The data compared one hundred deliveries from January 2009 to December …
Preoperative Education: How Effective Teaching Impacts Knowledge With The Surgical Patient, Heidi Grossweiler
Preoperative Education: How Effective Teaching Impacts Knowledge With The Surgical Patient, Heidi Grossweiler
Nursing Theses and Capstone Projects
This research study involved questions identifying the perception of nursing staff related to preoperative teaching. Does initiating teaching, built through relationships and learning during the preadmission visit, have a positive effect on outcomes? The study design included a survey based on the Likert scale, evaluating nurses who conduct preadmission testing visits with patients in the outpatient surgical setting. The evaluation provided information about the correlation of information given between the nurse and the patient, which provides teaching guidelines for educating a patient preoperatively. A cover letter was given to the participant that detailed the purpose of the study and included …
Nurse Practitioner Supply And Demand And Development Of A Family Nurse Practitioner Program, Cassaundra Hefner
Nurse Practitioner Supply And Demand And Development Of A Family Nurse Practitioner Program, Cassaundra Hefner
Nursing Theses and Capstone Projects
The development of a nurse practitioner program in a rural community to meet the supply and demand of Nurse Practitioners (NP) in North Carolina was the focus of this project. With the recent enactment of the Patient Protection and Affordable Care Act (PPACA) (H.R. 3890), the United States (U.S.) is faced with a predicted primary care provider shortage of 45,400-65,800. According to Miller (2011) The New England Journal of Medicine ranked North Carolina as # 7 in the U.S. as having the biggest challenge of producing enough primary care providers to meet the needs of the newly insured. A detailed …
Emergency Departments And Stemi Care, Are The Guidelines Being Followed?, Dawn W. Hendren
Emergency Departments And Stemi Care, Are The Guidelines Being Followed?, Dawn W. Hendren
Nursing Theses and Capstone Projects
The purpose of this study examined if an Emergency Department (ED) in a small rural hospital in western North Carolina is compliant with the American College of Cardiology (ACC) and the American Heart Association (AHA) guidelines for obtaining Electrocardiogram's (ECG's), administering fibrinolytics, and performing Primary Percutaneous Coronary Intervention (PCI) on patients with chest pain diagnosed with ST-Elevation Myocardial Infarction (STEMI). The national standards for ECGs is less than 10 minutes from arrival to first medical contact (FMC) with triage nurse; for fibrinolytics, less than 30 minutes from arrival to FMC; and for FMC to PCI, less than 90 minutes. The …
Transition From Student To Nurse: The Orientation Process, Jessica Ivey
Transition From Student To Nurse: The Orientation Process, Jessica Ivey
Nursing Theses and Capstone Projects
The transition from a student nurse to a registered nurse poses a difficult transition for some. Benner's model, Novice to Expert, details the transition in stages. It is important for hospital educators and administrators to understand Benner's stages and model their orientation programs appropriately. The Revised Casey-Fink Graduate Nurse Experience Survey was used to query new nurses (≤ 2 years experience) and their preceptors. Results indicate that new nurses feel uncomfortable performing certain skills, communicating with doctors, and lack support after their orientation period. The results support a change in the orientation process and preceptor education.
Evaluating The Effectiveness Of Nurse-Focused Computerized Clinical Decision Support On Urinary Catheter Practice Guidelines, Robin Lynn Neal Lang
Evaluating The Effectiveness Of Nurse-Focused Computerized Clinical Decision Support On Urinary Catheter Practice Guidelines, Robin Lynn Neal Lang
Nursing Theses and Capstone Projects
A growing national emphasis has been placed on health information technology (HIT) with robust computerized clinical decision support (CCDS) integration into health care delivery. Catheter-associated urinary tract infection is the most frequent health care-associated infection in the United States and is associated with high cost, high volumes and determined to be preventable through the application of evidence-based guidelines. The purpose of this quasi-experimental, ex post facto study was to evaluate the impact of an evidence-based practice guideline computerized clinical decision support (CCDS) intervention in patients with a urinary catheter device. Correlational relationships were explored among patient and nurse-specific demographics as …
Knowledge Of And Attitude Toward Pain Control Among Hospice Nurses In A Southeastern State In The Us, Brandy C. Leroy
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 Effects Of A High Fidelity Simulation Experience On Students' Knowledge, Starla H. Logan
The Effects Of A High Fidelity Simulation Experience On Students' Knowledge, Starla H. Logan
Nursing Theses and Capstone Projects
The purpose of this study was to identify and examine the effects of high-fidelity simulation on the knowledge of second semester associate degree nursing students at a small community college. The research question addressed was: Does high-fidelity simulation increase the knowledge level of second semester ADN students. Researcher developed pre and post tests were used to measure the effects of the simulation on the students' knowledge level. The data was analyzed using the Statistical Package for Social Sciences, Version 19. Findings revealed a significant difference between the scores of the pre-test and the scores of the post-tests. The results of …
Registered Nurses' Practices And Perceptions Of Indwelling Urinary Catheters And Number Of Indwelling Urinary Catheter Days In A Hospitalized Population, Janice Martin
Nursing Theses and Capstone Projects
Prevention of catheter associated urinary tract infections (CAUTIs) is an important component of the delivery of safe quality care. A common theme is emerging from the literature: not all indwelling urinary catheters are appropriate for the duration of the catheterization, which places the patient at an increased risk of CAUTI (Blodgett, 2009). Often, the reasoning used for determining if a patient needs a catheter is not evidence-based. The placement and maintenance of indwelling urinary catheters (IUCs) are in the scope of practice for registered nurses. Nurses should play an integral role in developing strategies to limit the use of catheters …
Open Visitation Effects On The Critically Ill Individual, Melissa Mcneilly
Open Visitation Effects On The Critically Ill Individual, Melissa Mcneilly
Nursing Theses and Capstone Projects
The Intensive Care Unit has been known to be fast paced, stressful, and at times a loud atmosphere. Being a nurse in the ICU can be intimidating and being a patient can be frightening. Critically ill patients require close monitoring and supervision by the nursing staff. Many different aspects of care are crucial to the patients' recovery. Family members are an important part of a critically ill individual's recuperation. Different factors have an effect on the level of stress that a patient may experience while in the hospital. Critical Care Nurses were given a questionnaire to determine the beliefs and …
Critical Care Nursing Interventions And Incidence Of Ventilator Associated Pneumonia In The Trauma Population, Kelli R. Moore
Critical Care Nursing Interventions And Incidence Of Ventilator Associated Pneumonia In The Trauma Population, Kelli R. Moore
Nursing Theses and Capstone Projects
Ventilator Associated Pneumonia (VAP) in the Trauma Intensive Care Unit is the most commonly encountered infection in the intensive care unit and can be linked to increased morbidity, increased mortality, increased mechanical ventilation days, increased hospital length of stay, and increased cost. A retrospective, correlational study examined the effect of compliance with a ventilator bundle protocol in the Neuro-Trauma Intensive Care Unit on aggregate VAP rates. The study's primary focus was to determine if interventions performed by critical care nurses reduced the incidence of Ventilator Associated Pneumonia (VAP) in the Trauma Intensive Care Unit. The study utilized the retrospective collection …