Nursing Commons^™

Creating A Culture Change Through A Unit-Based Coaching Model For Improved Effectiveness Of A Safe Patient Handling Program, Nancy Kirchner

Theses and Graduate Projects

Nurses have one of the highest work-related musculoskeletal injury rates of any profession. Much research has been done to define the high-risk nature of patient handling and further to describe the necessary components of a Safe Patient Handling (SPH) program. Despite the evidence and the purchase of equipment, overall musculoskeletal injury rates remain high among nurses and nursing assistants in the United States. New strategies are needed to incorporate safe patient handling into everyday practices of healthcare providers to create a culture of safety. The purpose of this project is to develop and implement a SPH unit-based coaching metaphor and …

Culturally Appropriate Nursing Care For International Patients, Kate Larson

Theses and Graduate Projects

Cultural competence is a necessary skill for nurses. It requires ongoing learning for continuous improvement in the healthcare setting. Nurses who are knowledgeable in providing culturally appropriate nursing care are able to meet patients' needs by building trust and minimizing cultural pain. Providing nursing care with nurses who have advanced nursing degrees and knowledge of culture and international patient care is an effective model for the ambulatory setting. Trans-global travel for healthcare is increasing therefore a nursing model designed to meet the culture care needs of international patient care is required. This nursing model describes culturally appropriate nursing care in …

Reviving The Dream: Giving Form To A Faith-Based Holistic Clinic At An Urban Lutheran Church, Kathy Leu

Theses and Graduate Projects

To be able to live full, productive lives, all people can benefit from having a consistent, unified team of health care providers who offer emotional, physical, mental, and spiritual support at one health care center. Historically, churches have been involved in health care, and the Christian faith has been integral in holistic healing. Today, the spiritual component of health is often missing in clinic settings. This project will lay the foundation for the establishment of a faith-based holistic clinic in a large charismatic urban Lutheran church. Utilizing Leininger's Culture Care Theory, the transcultural nurse, a key member of the holistic …

Feeding The Homeless Through Collaboration: A Proposal For Consideration, Valetta M. Johnson Massaquoi

Theses and Graduate Projects

The homeless are faced with many challenges of adverse nutritional deficiencies that predispose them to several illnesses commonly associated with the lack of adequate nutrition and the frequent utilizations of health care resources. Provision of nutritious food for the homeless can help decrease the prevalence of these identifiable markers and can be accomplished by u collaborative effort. The purpose of this project is to describe a collaboration between Regions Hospital and the Dorothy Day Center to provide supplemental nutrition for the homeless. Leininger's culture care diversity and universality theory along with culture care accommodation/negotiation are used as a theoretical framework …

Creating A Healing Environment In The Operating Room By Reducing Noise, Emily Grimshaw

Theses and Graduate Projects

The operating room can be a very noisy environment. Noise in this setting can affect patient's physiologically as well as psychologically and it can also affect operating room staff. The review of the literafure shows the effects noise in the operating room has on patients and staff. Patients can become tachycardic and hypertensive due to the exposure to increased noise in the operating room while staff concentration can be impeded as well. The creation of a noise reduction program for the operating room will create a healing environment. The healing environment will help both patients and operating room staff, Patients …

Prevalence And Factors Associated With Maternal Postpartum Haemorrhage In Khyber Agency, Pakistan, N Gani, Tazeen S. Ali

School of Nursing & Midwifery

Background: Postpartum haemorrhage (PPH) is one of the main causes of maternal mortality globally. The objective of this study was to estimate the prevalence of PPH and identify factors associated with PPH in Khyber Agency, Pakistan.
Methodology: A quantitative, cross-sectional study design was selected to estimate the prevalence and associated factors for PPH among married women aged 15–49 years, residing in the Khyber Agency, FATA, Pakistan. A pre-tested structured questionnaire was adapted with some modifications to interview 1,000 women.
Results: Prevalence of PPH was 21.3% in the study population. Factors associated with PPH were age, number of pregnancies, …

Sleep Experiences Of Hospitalized Antepartum Patients, Andrea M. Erwin

Nursing Dissertations - Archive

For many women, pregnancy can be a time of sleep disturbance. Physiological, hormonal, and emotional changes associated with pregnancy often lead to sleep disturbance. Women who develop antepartum complications frequently are prescribed bed rest and hospitalization. Both pregnancy and hospitalization can influence sleep. This study examined the sleep experience of hospitalized antepartum women. The purposes of this descriptive correlational study were to determine whether being in the hospital affects sleep in pregnant women, gestational age influences sleep while hospitalized, and patient's usual sleep patterns influence sleep during hospitalization. A conceptual model of impaired sleep for the childbearing family provided theoretical …

The Relationships Between Nursing Staff Knowledge Of Personhood And Resident Cognitive Status, Leeanne Compere Yopp

Inquiry: The University of Arkansas Undergraduate Research Journal

The purpose of this pilot study was to explore the relationships between nursing staff knowledge of extended care resident personhood and resident cognitive status. Eighty nursing staff from two similar extended care facilities in Arkansas completed a self-administered questionnaire to assess their knowledge of 21 residents, including information related to residents’ past jobs/careers; likes/dislikes/ interests; family members; other non-specific knowledge; and total knowledge. The Brief Interview for Mental Status (BIMS) was used to evaluate resident cognitive impairment. Results of a Pearson correlation demonstrate a positive correlation between (1) staff knowledge of residents’ families, and (2) total knowledge of residents with …

Breast Health Teaching In Predominantly African American Rural Mississippi Delta, Kaye Wilson-Anderson, Renee P. Williams, Tracilia Beacham, Naekhia Mcdonald

Faculty Publications - College of Nursing

This study's primary focus was breast health education to rural African American women in Mississippi and training of community members. Through practice in this area, women were found to lack knowledge of breast health which is the third leading cause of death in Mississippi Black women. They were open to education: N = 130, t = -16.6, df = 126, p < .001; 1 year, N = 35; 2-3 year N = 16 and 3 trained. Data suggest knowledge increased, a small percentage continued practices and community members would become trainers. One participant was diagnosed with breast cancer, received treatment and remained cancer-free after two years.

Hope At The End Of Life Among U.S. Military Veterans, Jaime L. Huffman

Wayne State University Dissertations

The purpose of this research study was to examine the meaning of hope at the end of life among Veterans. As people enter the terminal phase of life hope becomes especially important. Recent research has been conducted examining hope among various cultural groups and their experiences of the phenomenon. These studies showed that although hope is a universal phenomenon, different cultural groups ascribe different meanings to it. These cultural variations are important for nurses to consider when caring for patients.

Research conducted among Veterans has shown that as a cultural group, Veterans have different experiences and needs throughout their lives …

Intimate Partner Violence And Mental Health Effects: A Population-Based Study Among Married Women In Karachi, Pakistan, Tazeen S. Ali, Ingrid Mogren, Gunilla Krantz

School of Nursing & Midwifery

Background: Intimate partner violence (IPV) is recognized all over the world for its association with mental health problems in women. In Pakistan, such violence occurs commonly, but detailed information on mental health effects is scarce. The purpose of this study is to focused on married couples in urban Karachi to investigate mental health effects associated with physical, sexual and psychological violence perpetrated by husbands towards wives. Disclosure rates and health care-seeking behaviour were also investigated.
Method: This cross-sectional study involved 759 women between the ages of 25 and 60 years, selected using a multi-stage random sampling technique. The women …

Women's Health: An Achievable Goal For Public Health Nursing In Pakistan, Samina Vertejee, Noureen Nasruddin Karamali

School of Nursing & Midwifery

Monsoons of 2010; left devastated effects in Pakistan; it wiped away thousands of houses and damaged health infrastructure. The national and international communities rescued Internally Displaced People (IDP). Alongside the other health professionals' Public health nurses (PHN) were instrumental in assisting IDPs. This is a case study of a 30 year old postnatal woman; who sustained an injury on her right breast and developed an abscess in IDP camp. The client was assisted by the team of public health nurses by timely referral to undergo incision and drainage for appropriate management. Moreover, post procedure follow-up assisted the woman in wound …

Prevalence Of Perceived Heavy Postpartum Hemorrhage And Its Associated Factors Among Married Mothers In Squatter Settlements Of Karachi, Tazeen S. Ali, Fazal Ather

School of Nursing & Midwifery

Objectives; To estimate the prevalence of postpartum hemorrhage (PPH) and identify its associated factors among the married women of 15-49 years, residingin the Karachi, Pakistan. Methodology: This cross-sectional survey was carried out in five squatter settlements of Karachi during 2000-2001. Information was collected regarding age, gravida, education, antenatal, natal and postnatal care, with perceived puerperal morbidities from 525 mothers, who were in their 42nd to 56th post delivery day. Univariate and multivariate analyses were computed using multiple logistic regression method. Results: The estimated prevalence for perceived PPH was 7.24%. Three hundred and ninety six (75.4 %) women received ante-natal …

Self-Management Education Interventions For Persons With Schizophrenia: A Meta-Analysis, Haiou Zou, Zheng Li, Marie T Nolan, David Arthur, Hongxing Wang, Lili Hu

School of Nursing & Midwifery

Although self-management education programs for persons with schizophrenia are being developed and advocated, uncertainty about their overall effectiveness remains. The purpose of this meta-analysis was to examine outcomes of self-management education interventions in persons with schizophrenia. Six electronic databases were searched. Manual searches were conducted of the reference lists of the identified studies and major psychiatric journals. Randomized controlled trials of self-management education interventions aimed at reducing relapse and hospital readmissions, as well as improving symptoms, psychosocial functioning, and adherence to medication treatment were identified. Data were extracted and the quality of included studies were rated by two authors independently. …

Undergraduate Student Catalog 2013-2014, Nova Southeastern University

Undergraduate Programs Course Catalogs

No abstract provided.

The Effect Of Maternal Beliefs And Behavior On The Body Weight Status Of Preschool-Aged Children, Nicole Lynn Boucher

Wayne State University Dissertations

Early onset pediatric obesity has become a major health concern in the United States. Pediatric obesity can lead to childhood hypertension, type II diabetes, and orthopedic problems. Currently, in the United States one in seven low-income preschools are overweight or obese. One of the key contributing factors to early onset childhood obesity is how children are socialized to the eating and mealtime environment. Maternal feeding styles play an integral role in how children are socialized to the eating and mealtime environment.

The purpose of the this study was to determine the extent to which maternal beliefs and behavior regarding the …

Opening The Black Box: Understanding Adult Inpatient Falls, Laura M. Rogers

Dissertations

Within the United States, falls are the largest category of adverse events reported in hospitals. Injuries associated with falls include increased costs, extended length of stays, increased mortality and morbidity, and liability to hospitals. The purpose of this study was to discover, describe, and systematically analyze universal and diverse care meanings and expressions of adults experiencing a fall while hospitalized. The research was conceptualized with the ethnographic theoretical framework of Culture Care Diversity and Universality (Leininger 2001, 2006). Data collection took place in a large academic medical center, over a five month period and included 24 participants: eight adult inpatients …

Preparing Rn’S For The Online Learning Environment, Jayne Josephsen, Vivian Schrader

Nursing Faculty Publications and Presentations

Adult learners returning to online education can face considerable barriers to the successful completion of their degree. These obstacles may be due to work and family obligations, lack of familiarity with course and academic requirements, the use of educational technology, or lack of self-direction in their learning. The authors conceptualized, developed, and implemented a preparatory course in an RN-BS Online Completion program designed to familiarize students with online learning and technological and personal skill requirements that could lead to academic success. This article outlines course development and implementation, syllabus and course objectives related to distance learning, and assignments and rubrics …

A Correlational Study Of A Reading Comprehension Program And Attrition Rates Of Esl Nursing Students In Texas, Wendy Morris Donnell

Nursing Dissertations - Archive

Decreasing the attrition rate of nursing students has become an important issue for programs in Texas as a means to alleviate the nursing shortage (THECB, 2009). Programs are admitting a more diverse group of students but attrition has historically been high among minority groups (Gilchrist & Rector, 2007). The purpose of this study was to examine the associations between English as a Second Language (ESL), a reading comprehension program, and attrition rates of nursing students. A secondary analysis of a large database which included nursing students from 27 initial licensure programs in Texas was completed. Jeffreys (2012) NURS model was …

Timing Of Breastfeeding Initiation In Rural Haiti: A Focused Ethnography, Christy Bomer-Norton

Nursing Dissertations - Archive

A focused ethnography aimed at describing the factors affecting the timing of breastfeeding initiation among Haitian mothers, particularly the specific cultural beliefs and practices was conducted in Artribonite, Haiti. A total of 25 Haitian mothers with children less than 12 months old participated in the study which included the use of interviews, observations and artifacts. A thick description was developed by integration of qualitative and quantitative data. Self-reported timing of breastfeeding initiation ranged from 10 minutes to 24 hours post birth among the 23 participants able to quantify the specific time of breastfeeding initiation. Birth attendants were identified as key …

Integrating Primary Care Into Behavioral Health: Evaluating An Evidence-Based Referral Process In A Community Mental Health Facility, Marcia Harris

Doctor of Nursing Practice (DNP) Scholarly Projects - Archive

A collaboration to serve individuals with mental disorders and co-morbid physical health issues is vital to improving health care outcomes for the individual as a whole. Objective: This project sought to answer the following research questions: (a) Did the patients with mental illness attend referred appointments at the co-located primary health care clinic?; (b) If referred appointments at the primary health care clinic were missed, what were the most common reasons?; ( c) Did the primary care and mental health care prescribers at the colocated clinics report that the referral process was beneficial? Results: Throughout this 8 week project, there …

Beliefs In Medications And Treatment Complexity As Predictors Of Medication Adherence Among Adults 18-65 Years Old With Inflammatory Bowel Disease, Donna Bacchus

Nursing Dissertations - Archive

Low adherence to medications in patients with inflammatory bowel disease (IBD) results in relapses and subsequently increased healthcare costs, poor quality of life, and increased comorbidities. In this correlational study, treatment complexity and beliefs in medications were tested to determine if they are predictors of medication adherence. Through convenience sampling, participants were recruited through face book, IBD organizations, and foundation websites (n = 369 final sample size). Females comprised the overwhelming majority (81.8%) of the sample. Using the Morisky Medication Adherence Scale, approximately 56% were classified as nonadherent and 44% as adherent. Beliefs in medications were measured by four subscales: …

Validation Of A Transcutaneous Bilirubin Nomogram In Identifying Hispanic Neonates At Risk For Hyperbilirubinemia, Nancy G. Engle

Nursing Dissertations - Archive

All newborns are at potential risk of adverse outcomes if they are not monitored for hyperbilirubinemia or if treatment for this problem is inadequate. Strategies are needed to accurately identify those newborns with clinically significant hyperbilirubinemia. Transcutaneous bilirubin (TcB) nomograms offer a useful screening tool to identify and monitor newborns with jaundice, as well as a way to predict the subsequent development of hyperbilirubinemia; however, there have been few studies examining the accuracy of TcB nomograms. The primary purpose of this study was to validate a previously published but unvalidated TcB nomogram to independently determine its accuracy in identifying Hispanic …

It’S All About The Culture – Creating A Culture Of Inquiry And Passion For Quality Improvement, Jennifer Devine Bsn, Rn, Cmsrn

Patient Care Services / Nursing

No abstract provided.

Graduate-Level Nursing Ph.D. In Nursing Education Entering Class 2013, Nova Southeastern University

Health Professions Divisions Course Catalogs and Course Descriptions

No abstract provided.

Epidemiology Of Hospital Acquired Methicillin Resistant Staphylococcus Aureus In A Veterans Affairs Medical Center Spinal Cord Injury Unit: Fiscal Years 2008-2011, Rebecca B. Stone

College of Graduate Studies: Theses & Dissertations

The purpose of this retrospective case-control study was to assess risk factors contributing to hospital acquired methicillin Staphylococcus aureus (HA-MRSA) and gain a better understanding of the burden of HA-MRSA infection in patients with spinal cord injuries. The study was also conducted to see if new information would be found on HA-MRSA infections and validate or refute current research for patients in a dedicated spinal cord injury unit at a Veterans Affairs Medical Center. During the study period, the infection control department identified 95 cases of HA-MRSA. Additional data retrospectively collected were basic demographics, admitting diagnosis, presence of varying comorbidities, …

Migration Matters : The Experience Of United Kingdom Registered Nurses Migrating To Western Australia, Caroline J. Vafeas

Theses: Doctorates and Masters

This qualitative study uses heuristic inquiry to investigate the unique journey of 21 registered nurses (RN) who migrated from the United Kingdom (UK) to Perth in Western Australia (WA) between 2003 and 2008. The study explores the reasons for migration as well as the professional, social and psychological impact on each participant and their accompanying family during the first two years of settling in a new country.

In the contemporary climate of international nurse mobility, many employers are attempting to attract new employees, often with tantalising offers of an immediate visa and the enticement of a better climate and standard …

Risk Factors For Release In Nurses With Substance Use Disorder, Kathleen J. Tinklenberg

Electronic Theses and Dissertations

Substance Use Disorder (SUD) is defined as the continued use of mood-altering addicting substances despite adverse consequences (Morse & Flavin, 1992). Nurses are not immune from this progressive and fatal disease and if left untreated, a nurse with SUD poses a double jeopardy: risk to the patients and a threat to her or his own health. Many State Boards of Nursing (SBN) have implemented a non-disciplinary alternative to punitive treatment of professionals with SUD; such programs offer monitoring for nurses afflicted with SUD. While studies have found a lower relapse rate for healthcare professionals enrolled in these monitoring programs than …

The Use Of Social Media In Undergraduate Curriculum, K Clark-Burg, P Carr, B Hay, K Mcnaught

Nursing Papers and Journal Articles

Social media (SoMe) and mobile technology (MT) have been topics of interest to many educators, health professionals and policy developers over the last decade. This year, two editorials in leading nursing journals have described the potential for SoMe in nursing (Jones & Hayter 2013; Ferguson 2013). A recent Australian journal publication further supports the potential of SoMe and in particular Twitter (Wilson, R, et al. 2013). Increasingly, nurses and other health professionals and the general public are actively utilizing new technology to improve health and enhance practice (Barton, A 2012)]. To-date, there is limited evidence on the use of information …

Debunking Myths Regarding Provisions Of The Affordable Care Act, Sheila A. Haas

Nursing: School of Nursing Faculty Publications and Other Works

No abstract provided.