Nursing Commons^™

Miriam Sanchez, Miriam Sanchez

Lake Union Herald

No abstract provided.

Mortality Prognostication In Long-Term Care Residents: The Mds-Chess Scale, Caroline Etland Phd, Msn, Cns

Dissertations

Quality end of life (EOL) care for the elderly continues to be a challenge, in part due to late referral for palliative and/or hospice services. The purpose of this study was to determine the accuracy of the MDS-CHESS scale (Hirdes, Frijters & Teare, 2003) in predicting 6-month mortality in a stable American nursing home (NH) population. A secondary aim was to determine any differences in mortality between the 2 sites. A sample of 191 residents of two NHs was analyzed in a retrospective, correlational cohort study, using data collected from the federal MDS database. Correlational statistics and logistic regression were …

Dyspnea: Effect Of Auricular Acupressure In End Stage Lung Cancer Patients, A Pilot Feasibility Study, Roger Alan Strong Phd

Dissertations

Introduction: Dyspnea is a debilitating symptom, common in advanced lung cancer patients, and poorly controlled. The National Institutes of Health has promoted the need for research regarding end of life care symptom control. Purpose: Conduct a feasibility study evaluating auricular acupressure effects on dyspnea in hospice lung cancer patients. Theoretical framework: The UCSF School of Nursing Symptom Management Faculty Group's Model for Symptom Management was used for the conceptual framework. The model includes three dimensions: symptom experience, symptom management strategies, and symptom outcomes. The Human Energy Field Theory provided context for using auricular acupressure. Aim: Conduct a pilot study evaluating …

A Quantitative And Qualitative Inquiry Into Moral Distress, Compassion Fatigue, Medication Error, And Critical Care Nursing, Jeanne Maiden Phd, Ms, Rn, Cns

Dissertations

A correlational embedded mixed method design was used for this study. A purposive sample of 205 critical care nurses (CCNs) provided quantitative data for the study. A focus group interview of five CCNs provided the qualitative data. The Moral Distress Scale (MDS), Professional Quality of Life Scale (ProQOL), and Medication Administration Error (MAE) Scale and demographics form were used to measure quantitative data. Quantitative findings included the majority of participants were female (91.7%); mean age 47 (SD = 7.91) years; mean years worked as a nurse was 23 (SD = 8.48); mean years worked on respective unit was 13.6 (SD …

Comparing Net And Eri Standardized Exam Scores Between Baccaulureate Graduates Who Pass Or Fail The Nclex-Rn, Mary D. Bondmass, Sheniz Moonie, Susan Kowalski

Environmental & Global Health Faculty Research

In the United States, nursing programs are commonly evaluated by their graduates success on the National Council Licensure Examination for Registered Nurses (NCLEX-RN). The purpose of this paper is to describe a change in NCLEX-RN success rates following the addition of standardized exams throughout our program's curriculum, and to compare these exam scores between graduates who pass NCLEX-RN and those who do not. Our results indicate an 8.5% change (p < 0.000) in the NCLEX-RN pass rate from our previous 5-year mean pass rate, and significant differences in standardized test scores for those who pass the NCLEX-RN compared to those who do not (p < 0.03). We conclude that our selected standardized exam scores are able to significantly identify graduates who are more likely to pass NCLEX-RN than not.

Predictors Of Re-Hospitalization For Home Healthcare Patients, Brenda Fischer Phd, Msn, Mba, Rn, Cphq

Dissertations

The overall purpose of this study was to examine the predictive capability of OASIS admission data for acute care re-hospitalization of home healthcare patients. Secondary data analysis using logistic regression was conducted on retrospective data from OASIS collected during the time period of July 1, 2006 to June 30, 2007. This study was conducted in a Medicare certified Home Health organization that is part of the largest public health system in California. The sample of 1802 patients with complete episodes of care was derived from a data set of 5,523 patients. All patients were included in the analysis and logistic …

Obesity Risk Knowledge, Self-Efficacy, And Physical Activity In Families Of Adolescents, Elaine M. Rutkowski Phd, Msn, Rn, Cns

Dissertations

There were no significant relationships found between parental obesity risk knowledge and physical activity in their children. nor between parent's self efficacy and their children's physical activity. In addition there was no significant relationship between the adolescents' obesity risk knowledge and their physical activity. There was, however, a statistically significant relationship between adolescent's self efficacy and physical activity. The result of the correlation between parent's self-efficacy and their level of physical activity was not significant but approached significance (p = .07) and may be identified as a trend. There was a statistically significant negative correlation between parents who describe their …

Differential Impacts Of Smoke-Free Laws On Indoor Air Quality, Kiyoung Lee, Ellen J. Hahn, Nick Pieper, Chizimuzo T.C. Okoli, James Repace, Adewale Troutman

Nursing Faculty Publications

The authors assessed the impacts of two different smoke-free laws on indoor air quality. They compared the indoor air quality of 10 hospitality venues in Lexington and Louisville, Kentucky, before and after the smoke-free laws went into effect. Real-time measurements of particulate matter with aerodynamic diameter of 2.5 µm or smaller (PM_2.5) were made. One Lexington establishment was excluded from the analysis of results because of apparent smoking violation after the law went into effect. The average indoor PM_2.5 concentrations in the nine Lexington venues decreased 91 percent, from 199 to 18 µg/m³. The average …

Nursing In Uganda: My Summer Of Unexpected Discoveries, Emily Roberts

Inquiry Journal 2008

No abstract provided.

Volume 01, Jessica Fields, Stephanie Neeley, Derek W. Hambright, Mary E. Lehman, Andrew R. Grzankowski, Zachary Johnson, Boone M. Prentice, Ashley M. Swandby, Victoria Morgan, Katie Williamson, Kristine G. Bender, Katelyn N. Romaine, D. Nicole Swann, Jessica Fox, Mike Mcateer, Alex Grabiec, Laura Nodtvedt, Nick Costa, Rachel Wolfe, Zack Dalton

Incite: The Journal of Undergraduate Scholarship

Introduction from Dean Dr. Charles Ross

Three Decades of Digging: Undergraduate Archeology at Longwood by Jessica Fields and Stephanie Neeley

Interactions of Allelopathy and Heat Stress in Plants by Derek W. Hambright and Mary E. Lehman

Inertial Electrostatic Confinement D-D Fusion Device: Construction and Simulation by Andrew R. Grzankowski

Shackled Nim by Zachary Johnson

Development of GC-MS and Chemometric Methods for the Analysis of Accelerants in Arson Cases by Boone M. Prentice

A Comparison of Image Analysis Methods in cDNA Microarrays by Ashley M. Swandby

Perceived Sexual Activity of Short and Long-Term Relationships by Victoria Morgan and Katie Williamson

Elderly …

Leadership, Bonnie M. Jennings, Joanne Disch, Laura Senn

Faculty Research, Scholarly, and Creative Activity

No abstract provided.

Peripheral Intravenous Catheters Started In Prehospital And Emergency Department Settings, Ligia Zarate, Barbara Mandleco, Russell Wilshaw, Patricia K. Ravert

Faculty Publications

The purpose of this study was to determine the rates of phlebitis in trauma patients according to where the peripheral intravenous catheter (PIVC) was inserted in a prehospital setting or in an emergency department setting. Variables investigated also included where the catheter was anatomically placed, the gauge of the catheter, and the patients' Injury Severity Score. The overall phlebitis rate was 5.79%. The rate of phlebitis was 2.92% when started by an RN in the emergency department, 6.09% when started by an intermediate emergency medical technician and 7.78% when started by a paramedic in prehospital setting. There was no significant …

Struggling With Disconnection: The Lived Experience Of Being Homeless And In Need Of Healthcare, Nonceba Mbangata

Theses and Graduate Projects

The intent of this field project was to study the disconnection that is experienced by homeless persons within the healthcare system. Homelessness is a growing concern that affects all age groups throughout the United States. It is not a secret that the increase in homelessness is stressing the health care system and limiting choices of becoming a healthy individual. The state of the health care system today and the nomadic habits of homeless persons make it impossible for those struggling with homelessness to stay connected to health care services. This project will illuminate the lived experiences of homeless persons as …

Sleep And Affect In Older Adults: Using Multilevel Modeling To Examine Daily Associations, Christina S. Mccrae, Joseph P. H. Mcnamara, Meredeth Rowe, Joseph M. Dzierzewski, Judith Dirk, Michael Marsiske, Jason G. Craggs

Nursing Faculty Publications

The main objective of the present study was to examine daily associations (intraindividual variability or IIV) between sleep and affect in older adults. Greater understanding of these associations is important, because both sleep and affect represent modifiable behaviors that can have a major influence on older adults’ health and well-being. We collected sleep diaries, actigraphy, and affect data concurrently for 14 days in 103 community-dwelling older adults. Multilevel modeling was used to assess the sleep–affect relationship at both the group (between-persons) and individual (within-person or IIV) levels. We hypothesized that nights characterized by better sleep would be associated with days …

Admission Criteria And Subsequent Academic Performance Of General Nursing Diploma Students, Parveen Azam Ali

School of Nursing & Midwifery

OBJECTIVE: To determine the relationship between admission criteria used to select students and their subsequent academic performance in general nursing diploma Programme in the province of Sindh.

METHODS: Using a descriptive co-relational study design, data was collected retrospectively from records of the entire nursing student population of the batch of 2004. Using multiple linear regression analysis method, three regression models were developed to identify the group of variables that could predict academic performance of the students in the three-year general nursing diploma programme.

RESULTS: Results identified a significant relationship between admission criteria and subsequent academic performance of the students in …

Promoting Self-Confidence In Clinical Nursing Students, Karen M. Lundberg

Faculty Publications

Clinical nursing instructors are continually telling their students that they just need more confidence. But how do students find this needed confidence and how can nursing instructors help them? The author discusses sources and principles of confidence in relationship to teaching behaviors and strategies for increasing self-confidence, such as simulations, peer modeling, story telling, skill review sessions, and journaling.

Online Teaching Preparedness: What About Faculty?, Elizabeth Elkind, Rnc, Msn, Mba, Phd(C), Kellie Smith, Edd, Rn

College of Nursing Faculty Papers & Presentations

Faculty development and online teaching: What about faculty? Drexel University’s e-learning 2.0 conference. Philadelphia, PA (podium presentation).

18 PowerPoint slides.

Martin, Patricia Interview For The Miami Valley College Of Nursing And Health Oral History Project, Carol Holdcraft, Donna M. Curry, Anika Surrat, Patricia Martin

Wright State University - Miami Valley College of Nursing and Health Oral History Project

Carol Holdcraft, Donna Miles Curry, and Anika Surrat interviewed Patricia Martin about the Wright State University College of Nursing and Health.

Happiness: Theoretical And Empirical Considerations, Abir K. Bekhet, Jaclene A. Zauszniewski, Wagdy E. Nakhla

College of Nursing Faculty Research and Publications

TOPIC. Although happiness is important in maintaining health, few studies of happiness can be found in the nursing literature.

PURPOSE. This paper explicates the concept of happiness through examination of its defining attributes, antecedents, consequences, and measurement.

SOURCES OF INFORMATION. Literature review using hand search, and databases were used as sources of information.

CONCLUSION. The information provided can be used in clinical practice so that nursing strategies can be developed and tested to help people to become happy and healthy.

Easterly, Linda Interview For The Miami Valley College Of Nursing And Health Oral History Project, Carol Holdcraft, Linda Easterly

Wright State University - Miami Valley College of Nursing and Health Oral History Project

Carol Holdcraft interviewed Linda Easterly about the founding of the Wright State University College of Nursing and Health. In the interview, Easterly discusses her career and her decision to come to Wright State as a student with the College of Nursing and Health.

Project Esl: Enhancing Student Learning For Esl Nursing Students, Mary Powell, Barbara Hoerst, Gloria Kersey-Matusiak, Lyn Buchheit, Terry Mcgee, Alexis Marsella

College of Nursing Faculty Papers & Presentations

It is incumbent upon nursing programs to recognize the demographics and issues involved in training nursing students for whom English is not their first language. Project ESL used a variety of techniques to boost academic success, facilitate progress through graduation, and develop faculty sensitivity to language and cultural issues.

Parenting Foster Children With Chronic Illness And Complex Medical Needs, Lori S. Lauver Phd, Rn

College of Nursing Faculty Papers & Presentations

The experience of parenting foster children with chronic illness and complex medical needs was explored in a phenomenological inquiry with 10 foster families. Thirteen participants currently fostering chronically ill children with complex medical needs were interviewed. Recorded interviews were transcribed and analyzed using van Manen's method. Data analysis yielded five essential themes: Foster parents described being committed to the child in their care, coming to know the needs of a medically complex foster child, and identifying effective and ineffective interventions encountered through day-to-day living with a medically complex child. Furthermore, they shared what it was like to experience loss of …

Hospital Nursing Research Program: Partnership Of Service And Academia, Patricia Ravert, Katreena Collette Merrill

Faculty Publications

Hospitals in a nonprofit mountain west corporation conducted a gap analysis to determine readiness for Magnet Recognition. Major gaps included nursing research and availability of consultation and resources for research. Based on the findings, the development of a dynamic research program promoting nursing research and evidence-based practice within hospitals was undertaken. A nursing research council was reestablished with representatives from service and academia. A literature review and analysis of corporate/academia resources were completed. The plan called for a nursing research coordinator position and development of a research budget. Academia continues to be represented on the hospital institutional review board. A …

Expectation Modulates Human Brain Responses To Acute Cocaine: A Functional Magnetic Resonance Imaging Study, Peter Kufahl, Zhu Li, Robert C. Risinger, Charles Rainey, Linda B. Piacentine, Gaohong Wu, Alan S. Bloom, Zheng Yang, Shi-Jiang Li

College of Nursing Faculty Research and Publications

Background

Human expectation of psychoactive drugs significantly alters drug effects and behavioral responses. However, their neurophysiological mechanisms are not clear. This study investigates how cocaine expectation modulates human brain responses to acute cocaine administration.

Methods

Twenty-six right-handed non–treatment-seeking regular cocaine abusers participated in this study. Changes in blood oxygenation level-dependent (BOLD) signals were measured, and online behavioral ratings during cocaine expectation and acute cocaine administration were recorded.

Results

Distinct regional characteristics in BOLD responses to expected and unexpected cocaine infusions were observed in the medial orbitofrontal gyrus (Brodmann area [BA] 11), frontal pole (BA 10), and anterior cingulate gyrus regions. …

A Comparison Of Perinatal Care Providers' Use Of The National Institute Of Child Health And Human Development Standardized Terminology In Documentation Of Intrapartal Fetal Heart Rate Patterns, Faye M. Sigman

Dissertations

The purpose of this study was to determine if perinatal team members; nurses (RN) and primary care providers (PCP), were using the NICHD standardized terminology to document Fetal Heart Rate patterns during labor. Agreement in documentation of FHR and agreement in concept between the RN and PCP was also studied. A descriptive, comparative research design was used. Cohen?s Kappa statistics measured agreement in documentation of FHR patterns and Chi square measured agreement in concept, p< 0.05 for each. A retrospective medical records chart review was performed on 400 charts, meeting inclusion criteria, from three community hospitals. There were three data collection points and four criteria reviewed. This study found the use of NICHD terminology to document FHR alarmingly low (RN=51%; PCP=13%). It was used most often for decelerations (81%) RN, (22%) PCP, and least often for variability (19%) RN, (3%) PCP. Incomplete documentation was extremely high for the PCP (69%) and 81 charts (20%) had no FHR documentation. Agreement in documentation varied between the RN and PCP. They agreed most often on accelerations (81.4%) and least often on baseline rate (41.5%). When looking at all there points in time the RN and PCP agreed in documentation 59% but agreed in concept 78%. There were four areas where the RN and PCP agreed in their use of NICHD terminology: Accelerations on admission n=151, Kappa=0.091, p=0.007; variability during labor n=68, Kappa=0.27, p=0.015; variability prior to delivery n=33 Kappa=0.33, p=0.010, and decelerations during labor n=103, Kappa=0.16, p=0.018. Data from this study supports expanding this research, to identifying barriers to documentation. It also appears that education in use of NICHD terminology is needed.

Knowledge And Utilization Of The Perioperative Nursing Data Set By Perioperative Staff Nurses In Southeastern Michigan, Jill Ortmann

Master's Theses and Doctoral Dissertations

The purpose of this descriptive/correlational study was to describe what perioperative nurses practicing in southeastern Michigan know about the Perioperative Nursing Data Set (PNDS), how they are utilizing the PNDS, and their opinion of the PNDS, and also to examine the relationship between these variables and demographic data. Four research questions were addressed by the use of a questionnaire.

The results of this study were drawn from the return of 151 questionnaires out of a possible 319 questionnaires submitted to practicing perioperative registered nurses (RNs) in southeastern Michigan (47 percent return rate). These results showed that overall, perioperative RNs did …

The Clinical Efficacy Of Reflexology In Nursing Home Residents With Dementia, Nancy A. Hodgson

Selected Works of Nancy Hodgson, PhD

No abstract provided.

Graduate Bulletin, 2008-2010, Minnesota State University Moorhead

Graduate Bulletins (Catalogs)

No abstract provided.

Nursing Annual Report 2007, Children's Mercy Hospital

Nursing Annual Reports

Annual report for nursing services at Children's Mercy Kansas City.

The Effect Of A Nurse-Respiratory Therapist Weaning Protocol On The Duration Of Mechanical Ventilation And The Incidence Of Ventilator-Associated Pneumonia, Andrea Lucas

Theses, Dissertations and Capstones

The purpose of this research study was to show the effectiveness of implementing a standardized nurse-respiratory driven weaning protocol in decreasing the time spent on mechanical ventilation and the incidence of ventilator-associated pneumonia in mechanically ventilated patients compared to using individual physician methods. Chart reviews were performed to compare the incidence of ventilator-associated pneumonia (VAP) prior to the initiation of the nurse-respiratory driven weaning protocol. Sister Callista Roy’s Adaptation theory was used as a framework for this study to show that nurses could promote adaption by using a standardized ventilator weaning protocol. The study did not show statistical significance that …