Nursing Commons^™

Characteristics Of All-Terrain Vehicles And Their Operators On Kentucky Farms, Jessica L. Wilson

Theses and Dissertations--Nursing

All-terrain vehicles (ATVs) were first developed and marketed in the U.S. in the 1970s. They have soared in popularity for occupational and recreational uses since that time. In 2008, there were approximately 10.2 million all-terrain vehicles (ATVs) in use in the United States. In 2001, it was estimated that 23 million Americans rode ATVs; 69% were adults and 31% children (CPSC, 2003). Deaths and injuries from ATVs have increased over time. According to the U.S. Consumer Product Safety Commission, Kentucky led the nation for ATV deaths from 2002-2006, with increasing numbers of fatalities annually.

ATV use on farms is increasing …

Paediatric Nursing : An Investigation Of The Effect Of Specialist Paediatric Nurse Education On The Quality Of Children’S Nursing Care In Western Australia, Jonathan Mark Mould

Theses: Doctorates and Masters

In Australia, specialist education in paediatrics is not a requirement for nurses caring for hospitalised children. Thus, nurses can work in paediatrics without any prior knowledge of the unique needs of children such as developmental stages or separation anxiety. As a consequence, there are some clinicians and authors who advocate that when children require health care, they should be cared for by nurses who are educated in, and understand the specific physical, psychological and social needs of children. Despite this, the evidence is lacking as to whether specialist nurse education affects the quality of care in paediatrics. This study investigates …

Portraits Of Nursing Resilience: Listening For A Story, Vicki Cope

Theses: Doctorates and Masters

The nursing workforce in Australia is a workforce under pressure. Within in-patient settings, rapidly increasing turnover of more acutely ill or co-morbid patients, and staff retention issues, place those staff that remain under extra pressure to maintain a quality service. In nurse education settings the increasing imperative to recruit more students into the profession combined with financial cutbacks leading to staff retention issues creates a similar tension. Yet many Registered Nurses (RNs) do remain in their chosen work setting displaying tenacity and resilience despite well documented trials and tribulations.

A qualitative approach, Portraiture, was used to construct a collection of …

Which Providers Can Bridge The Health Literacy Gap In Lifestyle Risk Factor Modification Education: A Systematic Review And Narrative Synthesis, S Dennis, A Williams, J Taggart, A Newall, E Denny-Wilson, N Zwar, T Shortus, M Harris

Nursing Papers and Journal Articles

Background: People with low health literacy may not have the capacity to self-manage their health and prevent the development of chronic disease through lifestyle risk factor modification. The aim of this narrative synthesis is to determine the effectiveness of primary healthcare providers in developing health literacy of patients to make SNAPW (smoking, nutrition, alcohol, physical activity and weight) lifestyle changes.

Methods: Studies were identified by searching Medline, Embase, Cochrane Library, CINAHL, Joanna Briggs Institute, Psychinfo, Web of Science, Scopus, APAIS, Australian Medical Index, Community of Science and Google Scholar from 1 January 1985 to 30 April 2009. Health literacy and …

Identifying Patient's Reasons Or Rationales For Choosing To Skip Or Shorten Hemodialysis, Linda Marie Lindberg

All Graduate Theses, Dissertations, and Other Capstone Projects

Missed dialysis treatment time has potential to increase morbidity and mortality and reduce life expectancy for people with End Stage Renal Disease (ESRD) who are dependent on hemodialysis (HD) to live. The purpose of this study was to identify some of the reasons that hemodialysis patients provide when explaining their decision to skip or shorten their prescribed HD treatment time by providing ESRD patients with the opportunity to give voice to their perspectives. A secondary purpose of this project was to increase the health care provider's understanding of the HD patient's perspectives and reasons for choosing to skip or shorten …

Nurses' Knowledge Of Heart Failure Education Topics At A Regional Midwestern Hospital, Catherine Joy Standfuss

All Graduate Theses, Dissertations, and Other Capstone Projects

The purpose of this capstone project was to better understand Registered Nurses' knowledge level of commonly taught heart failure education topics. Heart failure is a large reason for hospital readmissions, and subsequently, a major contributor to rising health care costs. Research for this project was completed at a Regional Midwestern hospital using a questionnaire consisting of 20 knowledge questions. Registered nurses working on three separate units with high volumes of heart failure patients were invited to participate. Sixty-nine nurses responded to the survey and obtained an average score of 16.67 out of a possible 20, or 83%. Nurses work in …

Acute Clinical Conditions Of School-Aged Children In A Rural Kenyan Community, Nicolle A. Koester, Karen M. Parker, Vivian Cunningham, Christine R. Birnie

Pharmacy Faculty/Staff Publications

No abstract provided.

Does Self-Efficacy Influence The Application Of Evidence-Based Practice?, Kathleen Abrahamson, Priscilla Arling, Jenna Gillette

Scholarship and Professional Work - Business

Background: Implementation of Evidence-Based Practice (EBP) is complex and consequently, even within organizations that have made efforts to promote EBP use, EBP is often underutilized by individual clinicians.

Purpose: The aim of our study was to better understand the relationship between self-efficacy and EBP implementation in clinical environments that have undergone efforts to increase EBP utilization. We suggest that EBP is a set of behaviors that result from individuals acquiring, applying, and sharing new knowledge with others in the organization. We hypothesize, based upon a social cognitive theoretical approach, that these behaviors are influenced by clinician perception of self-efficacy.

Methods: …

Ubiquitous Learning Laboratory For Pediatric Nursing: A Cultural Algorithm Approach, David Lee Colon

Wayne State University Theses

ABSTRACT

UBIQUITOUS LEARNING LABORATORY FOR PEDIATRIC NURSING: A CULTURAL ALGORITHM APPROACH

by

DAVID L. COLON

December 2012

Advisor: Dr. Robert G. Reynolds

Major: Computer Science

Degree: Master of Science

Quality Medical Care is at the focus of all health care service providers. Each facility maintains a standard level of care that promises not only a precise diagnosis, but also the correct course of treatment. In part, this is due to the educational training and professional experience of Nurses. For high-risk patients such as children, the level of expertise of a Pediatric Nurse is even more critical in order to guarantee …

Itch Occurring With Chronic Wounds, Julia Claire Paul

Wayne State University Dissertations

Abstract

The Effectiveness Of An Incentivized Program To Increase Daily Fruit And Vegetable Dietary Intake By Low Income, Middle-Aged Women, Rebecca White

All Graduate Theses, Dissertations, and Other Capstone Projects

Little is known about the effectiveness of the SagePlus' Smart Choices Fruits and Vegetables Program's influence on behavior change and the effects of that behavior change on the cardiovascular health of the participants. The purpose of this study was to evaluate the effectiveness of the SagePlus Smart Choices Fruits and Vegetables Program at increasing the number of fruits and vegetables in participants' diets and decreasing their cardiovascular disease risk factors. A nonexperimental, descriptive correlational design was used in this study. The Minnesota Department of Health provided data from 327 SagePlus participants that had re-enrolled in the SagePlus Smart Choices Fruits …

Implementation Of The Sbar Checklist To Improve Patient Safety In The United States Air Force Aeromedical Evacuation, Karey M. Dufour

Nursing and Health Masters Publications

Inadequate or absent communication resulting in patient safety is an increasing problem in United States Air Force (USAF) aeromedical evacuation (AE). In 2010, 1,694 incident reports were filed. The lack of handoff communication was the second highest category affecting patient safety. Currently, there is no standardized patient handoff process in USAF AE. This evidence-based practice project is designed to answer the following question: In AF flight nurses transporting patients in the AE system, does the use of a standardized patient handoff checklist (using SBAR [situation-background-assessment-recommendation/request]), compared to current patient handoff practices, affect patient safety as measured by incident reports over …

Impact Of Cancer-Specific Advance Care Planning On Anxiety, Decisional Conflict, And Surrogate Understanding Of Patient Treatment Preferences, Lynn Waser

Electronic Theses and Dissertations

Patients with life-limiting cancer and their families face unique challenges that interfere with their ability to make decisions or adequately express their health care preferences about end of life (EOL) treatment. As a result, patients at EOL often receive aggressive unwanted treatment that nationally costs billions of dollars and results in surrogate distress about not honoring patient wishes. Respecting Choices® DS-ACP is a disease-specific Advance Care Planning (ACP) intervention that is designed to overcome barriers associated with ACP and potentially decrease the incidence of unwanted, overly aggressive treatments at EOL. The intervention is delivered to patient-surrogate dyads by a trained …

“I Think, Therefore I Count”: Changing The Count Process While Encouraging Critical Thinking, Marlene H. Leidy, Hope L. Johnson Msn, Rn, Cnor

Patient Care Services / Nursing

No abstract provided.

Riding The Tide Of Meaningful Use Implementation: Case Study Of Hospital Based Transitional Nursing Facility, Alice Vrsan Rn-Bc, Msn

Patient Care Services / Nursing

No abstract provided.

Creating A Niche: Medical-Surgical Nurses Role In Succesful Program Development (Oral), Eileen Sacco Msn, Rn, Cnrn, Onc

Patient Care Services / Nursing

No abstract provided.

Re-Envisioning Nurse Faculty Mentoring: Developmental Network Connections That Count, Margaret Babb Kennedy

MUSC Theses and Dissertations

Fears surrounding the nurse faculty shortage in the United States have prompted significant emphasis on supporting novice educators and those in transition to new roles within academia through mentoring. Yet a continued focus on traditionally held notions of a hierarchical dyad limits possibilities for facilitating rich, diverse, mentoring relationships. A novel theoretical framework incorporating social network perspective is used to conceptualize the dynamic, multilevel reality of mentoring in examination of nurse faculty mentoring. This dissertation presents the results of an integrative review and qualitative study that explore evidence and experiences of nurse faculty mentoring using the unique developmental network lens, …

How Effectively Do Health Care Providers Adhere To Established Clinical Guidelines Concerning Breast And Cervical Screening As Outlined By The American Cancer Society And The American College Of Obstetrics And Gynecology?, Mary Werlinger

Doctor of Nursing Practice (DNP) Scholarly Projects - Archive

Purpose: To investigate how effectively health care providers in a rural health clinic setting adhere to established clinical practice guidelines (CPGs) concerning breast and cervical screenings as outlined by the American Cancer Society (ACS) and the American College of Obstetrics and Gynecology (ACOG). 2 Methodology: A retrospective chart review of 226 randomly selected medical records of females aged 21 years to 69 years of age during the six month period from April 1, 2011 through September 30, 2011 was performed. Charts were reviewed using an investigator developed medical records review tool for date of last preventive screening, currency of screening, …

Giving Birth: The Voices Of Women In Tamil Nadu, India, Cheryl A. Corbett, Lynn Clark Callister

Faculty Publications

Purpose: The purpose of this qualitative descriptive study is to describe the perceptions of childbearing women living in Tamil Nadu, India. This study can increase cultural understanding and foster cultural competence in nurses caring for Indian women.

Study Design and Methods: Women were invited to share their childbearing experiences. Following institutional review board approval, interviews were held with 22 women who had given birth in the previous 18 months to a viable infant. The women were grateful for the opportunity to share their perspectives with an interested nurse investigator. Data collection proceeded concurrently with data analysis. Themes were generated collaboratively …

Symptom Assessment And Management In Patients With Heart Failure, Kyoung Suk Lee

Theses and Dissertations--Nursing

Patients with heart failure (HF) must monitor and recognize escalating symptoms to manage worsening HF in a timely manner. However, routine symptom monitoring is not commonly performed by this population.

Providing a symptom diary along with an education and counseling session may help HF patients promote symptom monitoring and interpretation. The accumulated information about changes in daily symptoms will allow patients to easily compare current symptom status to the past without depending on memory and can rapidly capture worsening HF. To date, few studies have tested the effect of a daily symptom diary.

The purpose of this dissertation was to …

Medically Ill Smokers And Planning To Quit, Audrey Darville

Theses and Dissertations--Nursing

Cigarette smoking is the leading cause of preventable disease and is the cause of nearly 1 in 5 deaths in the United States. The prevalence of smoking has had a leveling off effect after many years of significant decline. Certain subgroups of the population, such as those with low income and certain illnesses, continue to smoke at disproportionately high rates. Reasons for these disparities in smoking rates are complex. Developing a better understanding of the issues related to persistent smoking particularly for those with medical illness and limited access to cessation resources can help focus interventions to help these high …

Equitable Consequences? Issues Of Evidence, Equity And Ethics Arising From Outdoor Smoke-Free Policies, Ann Pederson, Wendy Rice, Phoebe M. Long, Natasha Jategaonkar, Lorraine Greaves, Steven Chasey, Natalie Hemsing, Chizimuzo T.C. Okoli, Joan L. Bottorff

Nursing Faculty Publications

From Introduction:

Kass argues that an ethical approach in public health is one that places the fewest burdens on individuals’ health without significantly reducing the potential benefits of intervening. Yet many population health regulations are highly intrusive, compromising individual liberty and imposing penalties for non-compliance. Moreover, the benefits of these regulations and the burdens they impose may not be shared equally. When developing interventions, the state has, therefore, an obligation to consider the benefits and burdens, particularly on those vulnerable to health inequities and other disparities.

Providing Maternal And Newborn Health Services: Experiences Of Auxiliary Nurse Midwives In Rajasthan, K.G. Santhya, Shireen J. Jejeebhoy

Poverty, Gender, and Youth

To better understand the experiences of auxiliary nurse-midwives (ANMs) in providing maternal and newborn health services and to obtain their perspectives on Janani Suraksha Yojana (JSY), the Population Council undertook an exploratory study of ANMs in two districts of the north-western state of Rajasthan, India. Findings show that the vast majority of the ANMs were aware of best practices related to the immediate care of the newborn. Nevertheless, the findings also suggested a number of priority areas for action, including increased investment in training, encouraging provision of services on a more regular basis, making special efforts to enable ANMs to …

The Effect Of An Evidence Based Bowel Protocol On Time Taken To Return To Normal Bowel Function In Post Operative Total Hip And Total Knee Replacement Patients, Gail Ross-Adjie

Theses

Total hip and knee replacement operations are one of the most commonly performed orthopaedic procedures in Australia. It is estimated however that up to 65% of patients will experience some degree of opioid-related bowel dysfunction in the post operative period. Often considered a mild and selflimiting problem, constipation can lead to significant morbidity and occasional mortality. Several clinical incidents and a lack of robust evidence to guide bowel management in this cohort was the impetus for this study.

This cluster randomised study sought to evaluate the Murdoch Bowel Protocol©, a simple nursing intervention based on the administration of polyethylene glycol …

Sleep Characteristics In Patients With Whiplash-Associated Disorders: A Descriptive Study, Jay S. Greenstein, Barton Bishop, Jean Edward, Allen Huffman, Danielle Davis, Robert V. Topp

College of Nursing Faculty Research and Publications

Study Objectives: The purpose of this study was to explore sleep habits and characteristics of patients with whiplash-associated disorders (WAD) presenting at an outpatient, chiropractic clinic using the Medical Outcomes Study (MOS) Sleep Scale.

Methods: Fifty-one patients from an outpatient chiropractic and physical therapy clinic specializing in spinal rehabilitation participated in this cross-sectional, descriptive study. Data were collected using a descriptive survey, the Visual Analog Scale (VAS), the Neck Disability Index (NDI), and the self-administered 12-item MOS Sleep Scale. Data analysis included descriptive statistics to describe pain, disability, and sleep characteristics of the study sample, and computation of …

A Survey Of Napnap Members’ Clinical And Professional Research Priorities, Kathleen J. Sawin, Linda C. Lewin, Victoria P. Niederhauser, Margaret A. Brady, Dolores Jones, Arlene Butz, Agatha M. Gallo, Christine A. Schindler, Cynthia A. Trent

College of Nursing Faculty Research and Publications

Introduction

The purpose of this methodological article is to describe the development, implementation, and analysis of the survey used to determine NAPNAP members' ranking of research priorities, to describe the top priorities ranked by participants, and to determine if priorities differed by area of practice (primary, acute, or specialty care) or participant age.

Method

A cross-sectional descriptive design with an online survey was used. Completed by 324 NAPNAP members, the survey consisted of a demographic section and 90 statements in two domains: Clinical Priorities and Professional Role Priorities.

Results

Survey respondents strongly supported the top priorities with an average overall …

Increasing Access To Family Planning And Reproductive Health Services Through Community Work: A Case Study Of A Dual Cadre Model In India, Jaleel Ahmad, Isha Bhatnagar, M.E. Khan

Reproductive Health

Before the introduction of Accredited Social Health Activists (ASHAs) in India, mid-level auxiliary nurse midwives (ANMs) were responsible for community health education and services such as antenatal care, delivery, IUCD insertion, and sterilization referrals. The Population Council studied how community extension work and some primary care responsibilities have been shifted to ASHAs, who are tasked with identifying pregnant women; facilitating ANC check-ups; motivating women for institutional deliveries during ANC checkups; and organizing child immunization. Establishing dual worker cadres in India by shifting community extension tasks from ANMs to local ASHAs has been well conceived. Task shifting has allowed ANMs, as …

Biobehavioral Correlates In Fibromyalgia, Ann Trivigno Mcnallen

Theses and Dissertations

Introduction: Fibromyalgia (FMS) is a chronic pain syndrome characterized by non-restorative sleep, and fatigue. Over 75% of individuals with FMS complain of poor sleep quality and fatigue. These have been ranked by patients with FMS as having great impact on quality of life. A literature review suggested that poor sleep quality may be a predictor of increased stress and FMS symptom onset in those affected. However, no experimental studies have demonstrated a causal relationship between poor sleep and stress in people with FMS. Methods: Using a single stage cross-sectional design, the primary study aim was to compare 25 women with …

The Gift Of Life: Optimizing Organ Donation Through Collaboration, Jennifer Houp Rn, Cnrn

Patient Care Services / Nursing

No abstract provided.

To Uniform Or Not To Uniform? That Is The Question…, Nicole Hartman Msn, Rn, Donald J. Butz Rn, Cnrn

Patient Care Services / Nursing

No abstract provided.