Nursing Commons^™

Intraosseous Vascular Access For Alert Patients, Stacie Hunsaker

Faculty Publications

Nurses are often faced with the challenge of starting an IV line in a patient who is dehydrated, has suffered trauma, or is in shock. Even the efforts of the most skilled clinician may fail, while valuable time is lost. Intraosseous access is a rapid, safe, and effective route for delivering fluids and medications, and is recommended by numerous professional and specialty organizations for both pediatric and adult patients. Yet many clinicians remain unaware of the procedure. This article outlines the procedure and devices used, describes support for use in the literature, and discusses various considerations and nursing implications.

Executive Summary: Randomized Comparison Of Two Internet-Supported Methods Of Natural Family Planning, Richard J. Fehring, Mary Schneider

Randomized Comparison of Two Internet-Supported Methods of Natural Family Planning

Only 0.2% of US women use modern methods of natural family planning, i.e., the basal body temperature and the cervical mucus methods of natural family planning (NFP). The reason that such few women use NFP methods is because they are often ineffective, they are difficult to use, there is lack of access to properly trained NFP teachers, a lack of motivation to use a behavioral method, and health professionals are reluctant to prescribe NFP methods. One way to potentially increase the use of NFP methods is to provide easy access to an effective but simplified NFP method that uses a …

Influence Of Motivation On The Efficacy Of Natural Family Planning, Richard J. Fehring, Mary Schneider, Mary Lee Barron, Jessica E. Pruszynski

Randomized Comparison of Two Internet-Supported Methods of Natural Family Planning

Purpose: Mutual motivation is recognized as essential for effective behavioral methods of family planning. Few studies have studied this factor in family planning efficacy. The purpose of this study was to determine the influence of mutual motivation on unintended pregnancy rates of couples who used natural family planning (NFP) methods to avoid pregnancy.

Study Design and Methods: Using an online taught NFP method, 358women and ( their male partners) indicated “how much” and “how hard” they wished to avoid pregnancy on a scale of 0-10 before each menstrual cycle charted over 12 month of use. This motivation scale is used …

Effects Of Acculturation On Mammography Utilization Among Korean American Women, Jungeun K. Kim Phd

Dissertations

The purpose of this study was to examine the relationship between acculturation and mammography utilization among Korean American (KA) women. The specific aims of this study were to determine the differences in demographic characteristics, perceived health beliefs, self-efficacy, and knowledge of breast cancer, and mammogram history among the four cultural groups (American identity, Bicultural, Korean identity, and Marginality) of KA women, and to examine the effects of the level of acculturation on the likelihood of getting a mammogram. Breast cancer remains the most commonly diagnosed cancer among KA women. However, KA women consistently have lower screening rates for breast cancer. …

New Instruments To Evaluate Geriatric Nurse Practitioners Incorporation Of Spiritual Care Into Practice, Barbara Vincensi

Faculty Presentations

No abstract provided.

Staying Connected: Increases Scholarly Productivity Through Peer Mentorship, Melinda Hermanns

Nursing Faculty Publications and Presentations

A presentation for the Sigma Theta Tau International 41st Biennial Convention in Indianapolis, Indiana, in November, 2013.

Engaging Robotic Care Teams Across The Perioperative Continuum, Stephanie E. Nelson Rn, Cnor

Patient Care Services / Nursing

No abstract provided.

A Measure Of Nephrology Nurse Perceptions Toward Advance Care Planning: Validation Of The Nephrn Perceptions Toward Advance Care Planning Instrument, Mary S. Haras

Theses and Dissertations

This dissertation is a report of a three-phase quantitative research study that included the development and testing of an instrument to examine the perceptions of nephrology nurses toward advance care planning for persons with chronic kidney disease. Phase 1 began with the identification of the dimensions of advance care planning and creation of an item pool for the instrument. The instrument was distributed to five content experts for evaluation and comments of inclusiveness to measure perceptions toward advance care planning. In Phase 2 the item pool was pilot tested in a convenience sample of 50 nephrology nurses. Exploratory factor analysis …

A Transformative Experience For Occupational Therapy Students In A Simulated Learning Environment, Kitsum Li, Barbara Mccamish

Collected Faculty Scholarship

Simulation is being integrated into nursing and medical curriculum nationally and it is well integrated into the Nursing program at Dominican University of California, However, use of simulation in allied health professionals is only an emerging practice. The aim of this program is to integrate simulation into the OT curriculum in order to facilitate the development of therapy foundation skill.

Ebp Fellows²: A Model For Sharing Science In The Oncology Setting And Beyond..., Elena Brinker Rn, Laura Herbener Rn, Ocn

Patient Care Services / Nursing

No abstract provided.

Attributed Meanings And Strategies To Prevent Challenging Behaviors Of Hospitalized Children With Autism: Two Perspectives, Norah L. Johnson, Abir K. Bekhet, Karen Marie Robinson, Dana Rodriguez

College of Nursing Faculty Research and Publications

Introduction

Understanding is limited of the meaning attributed to behaviors of children with autism spectrum disorder and strategies used to prevent challenging behaviors in the context of hospitalization.

Methods

This qualitative study consisted of two focus groups (n = 10; five mothers and five health care providers [HCPs]). Transcripts were analyzed using the qualitative method of narrative inquiry.

Results

The meaning attributed to behaviors by the mothers and the HCPs differed. The mothers attributed behaviors to the child's communication of frustration, hyperactivity, and self-calming. The HCPs attributed challenging behaviors to self-stimulation and child aggression. Strategies to prevent behaviors also …

Intraosseous Vascular Access For Alert Patients, Stacie Hunsaker

Faculty Publications

Nurses are often faced with the challenge of starting an IV line in a patient who is dehydrated, has suffered trauma, or is in shock. Even the efforts of the most skilled clinician may fail, while valuable time is lost. Intraosseous access is a rapid, safe, and effective route for delivering fluids and medications, and is recommended by numerous professional and specialty organizations for both pediatric and adult patients. Yet many clinicians remain unaware of the procedure. This article outlines the procedure and devices used, describes support for use in the literature, and discusses various considerations and nursing implications.

Preventing Maternal And Early Childhood Obesity: The Fetal Flaw In Australian Perinatal Care, Margaret R. Miller, Lydia A. Hearn, Paige Van Der Plight, Jane Willcox, Karen Campbell

Research outputs 2013

Almost half of Australian women of child-bearing age are overweight or obese, with a rate of 30–50% reported in early pregnancy. Maternal adiposity is a costly challenge for Australian obstetric care, with associated serious maternal and neonatal complications. Excess gestational weight gain is an important predictor of offspring adiposity into adulthood and higher maternal weight later in life. Current public health and perinatal care approaches in Australia do not adequately address excess perinatal maternal weight or gestational weight gain. This paper argues that the failure of primary health-care providers to offer systematic advice and support regarding women’s weight and related …

Embracing A Competency-Based Specialty Curriculum For Community-Based Nursing Roles, Pamela F. Levin, Susan M. Swider, Susan Breakwell, Julia M. Cowell, Virginia Reising

College of Nursing Faculty Research and Publications

The Quad Council competencies for public health nursing (PHN) provide guidance in developing curricula at both the generalist and specialist level. However, these competencies are based on nursing roles in traditional public health agencies and community/public health is defined more broadly than official agency practice. The question arises as to whether community-based specialties require largely the same knowledge and skill set as PHN. The purpose of the competency cross-mapping project reported here was to (a) assess the intersection of the Quad Council competencies with four community-based specialties and (b) ensure the appropriateness of a Quad Council-based curriculum to prepare graduates …

The Reality Of Disaster: An Educational Template That Brings Community Into The Classroom, Mary T. Bouchaud Phd, Msn, Cns, Rn, Crrn, Edward H. Jasper Md

Population Health Matters (Formerly Health Policy Newsletter)

No abstract provided.

Nurses’ Self-Report Of Behavior Changes Following Needlestick Or Other Sharp Instrument Injuries, Lucille Christensen Woolston, Dr. Renea L. Beckstrand

Journal of Undergraduate Research

My research questions regarded needlestick and sharp instrument injuries, how many were reported, and what behavior changes have been made following the injury. I approached nurse managers at Utah Valley Regional Medical Center and gave surveys to nurses in staff meetings. I received results that I expected. I found most injuries that are not reported are clean injuries and so the staff feels the injuries are not worth reporting.

Parent And Child Perceptions Of Clinical Trials, Jaclyn F. Wood, Dr. Barbara Mandleco

Journal of Undergraduate Research

The purpose of this research project was to determine parental perceptions surrounding the involvement of their children in a clinical trial. A secondary purpose was to talk to the children and obtain their perceptions surrounding their own involvement in the clinical trial. For this ORCA funded project I analyzed interviews with the parents to find out their perceptions. In a future project (for which I will be applying for an ORCA grant) I hope to analyze interviews with the children and gain their insight into their involvement in the clinical trial.

Siblings Of Children With Down Syndrome: Perceptions Of Their Experiences, Allison Ash Malnar, Dr. Barbara Mandleco

Journal of Undergraduate Research

Approximately 350,000 families in the United States are affected by Down syndrome, and the vast majority of these families include one or more nondisabled children (National Down Syndrome Society, 1999). Because of this, many researchers are interested in how this disability affects the family. Marsha Van Riper (1999) writes, “…While the birth of a child with Down syndrome involves a ‘change of plans’ for families, it does not have to be a negative experience. In fact for many families, it is a positive, growth producing experience” (p. 3). While much research in the past concerned interviewing parents of children with …

Patients’ Perceptions Of Mechanical Ventilation: What Hurt And What Helped?, Lisa M. Ewert, Dr. Renea Beckstrand

Journal of Undergraduate Research

When a patient is on a ventilator, it’s the critical care nurse’s role to recognize and respond to any factors that cause the patient distress. Anytime a patient is ill, the illness causes both physiological and emotional stress. However, an acute illness that is severe enough to require mechanical ventilation intensifies the physical and psychological distress with which the patient and their family must cope (1).

Assessment Of Family Satisfaction Of Intensive Care Unit Experience, Breann Brady, Dr. Joan Baldwin

Journal of Undergraduate Research

When a patient enters the Intensive Care Unit (ICU), the experience is stressful and traumatic, for both the patient and their family members. The fast paced environment may seem scary to those unfamiliar with it. Families are left in a waiting room, only to enter and see their loved one in a strange environment full of equipment and beeping machinery. The family is sometimes left confused and unsure of what is happening in the care of their loved one. Nurses need to be aware of families’ needs. By meeting their needs, nurses can be invaluable to families of ICU patients.

Perceptions Of The Maintenance Of Dignity In Women Giving Birth, Rachel Matthews, Dr. Lynn Callister

Journal of Undergraduate Research

Entering a hospital is often an intimidating and stressful event for patients. They enter a world about which they often know very little. They may enter with apprehension about the unknown, their illness, or excitement about starting a new phase of life with the birth of a child. As they are experiencing the unknown, patients are often put into situations where they are told what to do and when to do it, sometimes with little or no explanation. Tasks that health care personnel consider routine are not only unfamiliar, but also are often very invasive, leaving patients feeling uncomfortable, helpless, …

Pain Assessment In Pediatric Post-Tonsillectomy Patients, Tamara Baird, Dr. Renea L. Beckstrand

Journal of Undergraduate Research

A nurse’s obligation to manage pain and relieve patients’ suffering is an integral part of the commitment to patient care. Adequate pain assessment and management benefits the patient by shortening the hospital stay, speeding recovery, reducing costs, and promoting physical activity. Specific populations who may have difficulty communicating their pain require special attention, especially children. Although many effective techniques are available for pain management in children, studies indicate that their pain is managed less well than pain in adults (United States Department of Health and Human Services, 1992).

How Is Nursing Facing The Nursing Faculty Shortage?, J. R. Meadows, Dr. Barbara Mandleco

Journal of Undergraduate Research

A severe nursing shortage has been growing across the United States over the past six years and the outlook on immediate signs of recovery is bleak. It has become an increasing worry to the federal and state governments, nurses, health-care providers and hospitals, current nursing students, and nursing schools. Despite efforts, the need for nurses continues to rise, tabulating to 75% of all hospital personnel vacancies. Nursing schools and colleges are faced with the dilemma of how to produce more nursing faculty while health-care providers are making decisions on how to recruit more nurses to their institutions.

Recruitment And Retention Of Rural Nursing Students: A Retrospective Study, J. Bigbee, D. Mixon

Nursing Faculty Publications and Presentations

Introduction: The shortage of registered nurses is an issue globally, but particularly in rural and remote areas. Previous research in medicine suggests that recruiting students from rural backgrounds is an effective strategy to enhance the supply of rural healthcare providers. This strategy has not been widely adopted or evaluated in nursing. The purpose of this study was to compare rural and urban nursing students in relation to application, admission, and retention/graduation trends at a metropolitan state university in the Pacific Northwest area of the USA.
Methods: A retrospective longitudinal descriptive design was used, analyzing existing data from 2005 to …

Severe Mental Illness In Adults And Physical Health Outcomes, Kathryn L. Speeter

Doctoral Projects

Adults with severe mental illness (SMI) experience higher morbidity and mortality rates than the general population due to poor physical health and because physical and psychiatric health are rarely addressed holistically. Two questions were posed for this project: (a) Will the use of a physical health screening tool and development of healthpromotion goals result in a change in healthy lifestyle behaviors for participants? (b) Will case managers see value in the use of the screening tool and health-promotion action plan development and incorporate the tool into their day-to-day work with clients? Fourteen adults with SMI, from a community case management …

Introducing A New Cadre Into Uganda’S Health Care System: Lessons Learnt From The Implementation Process, Gerald M. Amandu, Leana R. Uys, Joseph Mwizerwa, Alex Erejo, Irene A. Cheruto, Margaret Chota

School of Nursing & Midwifery, East Africa

Uganda introduced Registered Comprehensive Nursing (RCN) and Enrolled Comprehensive Nursing (ECN) training programs in 1994 and 2003 respectively, to create certificate and diploma level cadre of nurses with competencies in general nursing, midwifery, public health, psychiatry, paediatrics and management. This paper is based on an evaluation study undertaken to assess how the programs were implemented including stakeholders’ perceptions about the graduates. Despite being relevant, the implementation process of both programs failed to meet acceptable standards. We conclude that introducing a new cadre of nurses without proper preparation hinders realization of their full potential including their contribution to the healthcare system.

Personal Characteristics And Learning Preference In End-Of-Life Decision Making Of Chronically Ill Community Dwelling Elders, Leigh Ann Bonney

Theses and Dissertations

Leigh Ann Bonney, RN, MSN; Susan Kossman, RN, PhD; MyoungJin Kim, PhD; Wendy Woith, PhD, Caroline Mallory, PhD

Illinois State University, Mennonite College of Nursing

Personal Characteristics and Learning Preference in End-of-Life Decision Making of

Chronically Ill Community Dwelling Elders

Purpose and Background: Clear decision-making (DM) about end-of-life [EOL] contributes to a good death This requires knowledge of life-sustaining treatment with lack of knowledge contributing to feelings of decisional conflict Decision aids can increase knowledge, but elders' preferred learning methods are unknown. Identifying characteristics associated with preferred learning method and decisional conflict can help nurses tailor information to assist in …

Stahl, Sandra Fulkerson, B. 1950 (Sc 1124), Manuscripts & Folklife Archives

Manuscript Collection Finding Aids

Finding aid only for Manuscripts Small Collection 1124. Student paper written by Sandra Fulkerson Stahl titled, “Critical Care: The Birth of a Nursing Specialty,” which discusses the history of critical care nursing and the development of a coronary care unit at Bowling Green’s City-County Hospital.

The Stethoscoop, October 11, 2013, Mennonite College Of Nursing

The Stethoscoop

The Stethoscoop is the newsletter for Mennonite College of Nursing students.

Promoting Human Health Through Manned Space Flight, Deidra Fortenberry Carter

Von Braun Symposium Student Posters

No abstract provided.