Nursing Commons^™

Cerebral Venous Sinus Thrombosis (Cvst), Meghan N. Delong

Nursing Student Class Projects (Formerly MSN)

Cerebral venous sinus thrombosis (CVST) is an uncommon condition with incidence resulting in approximately 1-3 % of all strokes. Cerebral venous sinus thrombosis remains often unrecognized initially due to its vague manifestations of symptoms which range from isolated headaches to focal neurological signs and symptoms. CVST is slightly more common in women, particularly in the age group of 20 to 35, due to pregnancy, puerperium and oral contraceptive use (Stam, 2005).

Acute Pancreatitis, Laura Payne

Nursing Student Class Projects (Formerly MSN)

Acute pancreatitis is a common diagnosis seen in intensive care units worldwide. The incidence of pancreatitis has increased over the last decade. It ranks third amongst the gastrointestinal diseases resulting in hospital admissions. The destructive complications of pancreatitis make it a life-threatening disease. If pancreatitis progresses to the severe form the mortality rate significantly increase from one percent to upwards of thirty percent. Pancreatitis is associated with high rates of morbidity, mortality, and prolonged hospital admissions(Goozen, Besselink, Santroort, & Bollen, 2013). An increased understanding of the pathophysiology of pancreatitis has changed the approach to treatment from early surgical treatment to …

Ascaris Lumbricoides: The Unforeseen Diagnosis, Suzette Maynard

Nursing Student Class Projects (Formerly MSN)

Infections from Ascaris lumbricoides have become very prevalent in lesser developed countries. These infections are believed to migrate into the United States through the border with Mexico, and immigration from other countries, through increased world travel and international adoptions (Cardenas et al., 2010). A. lumbricoides have been found to cause cases in the United States, one being in Westerville, Ohio (J. Leonard, personal communication, September 6, 2014). As the world has become smaller, it has become imperative that as a nation we are able to prepare for infections that are popular outside the United States. The first step in preparing …

When Exercise Is A Pain In The Head, Rebecca D. Granger

Nursing Student Class Projects (Formerly MSN)

Headache is one of the five most common chief complaints in the US, resulting in nearly 5 million visits to the ED (Lange, 2011). With great variance in quality, etiology, pathophysiology, and as a potential indicator of a serious underlying problem, it is critical that these headaches be accurately diagnosed, primarily for rapid identification of life threatening factors, but also to offer treatment and education specific to the particular type of headache the patient is experiencing. This will result in better outcomes for the patient through better control and will subsequently save health care dollars by reducing ED visits and …

Evaluating The Student Health Needs At Dalton State College, Cheryl W. Owens

Doctor of Nursing Practice (DNP) Translational and Clinical Research Projects

The incidence of chronic diseases in college students mirrors that of older adults. Yet despite the enactment of the Affordable Care Act (ACA), college student continue to have difficulty accessing medical care. Many have no insurance, limited transportation and inadequate finances during college to obtain medical care. While college health centers may improve access to care, smaller colleges often do not have the financial and personnel resources to provide student health services. Even in colleges that provide student health services, the focuses are primarily on sexual health, mental health, violence, and substance abuse. Prevention and treatment of chronic diseases services …

Assessment And Re-Assessment Of Psychiatirc Patients Boarded In The Emergnecy Department: The Impact Of Compliance With Best Practice Standards On Patient Outcomes, Jacquelyn Byrd

Doctor of Nursing Practice (DNP) Translational and Clinical Research Projects

Psychiatric patients have been “deinstitutionalized” over recent decades with their care shifting from the inpatient to outpatient setting. As a result of the closing of more than 13,500 in-patient psychiatric beds between 2005 and 2010, emergency departments (ED) across the nation have become both safe havens and holding areas for psychiatric patients seeking care in the ED. The boarding of psychiatric patients in the ED impacts the timeliness of care provide to psychiatric and non-psychiatric patients alike lengthening door to discharge time for all patients. The purpose of this study is to assess the nursing staff’s compliance with departmental standards …

Nurse Practitioner Screening Practices For Mild Cognitive Impairment In The Older Adult, Margaret Mcilwain

Doctor of Nursing Practice (DNP) Translational and Clinical Research Projects

Abstract

Nurse practitioners (NPs/APRNs) who provide primary care services may be the first line providers in situations where adults present with symptoms of memory loss and forgetfulness. Though protocols are available for evaluating dementia, specific guidelines for evaluating early cognitive changes, Mild Cognitive Impairment (MCI), are lacking. This descriptive research project assesses the knowledge, current screening methods, and barriers to screening for MCI by nurse practitioners (APRNs) in the state of Georgia. One hundred and thirty two NPs participated in the survey. Forty-five percent of the participants were unfamiliar with the diagnostic category of MCI. Of the major barriers identified, …

Point In Time The Fitsteps For Life Exercise Program Improves Quality Of Life Of Persons With Cancer, Barbara Haas, Gary Kimmel, Melinda Hermanns

Faculty Posters

This poster was presented at the National Collegiate Honors College Conference in Fall of 2014 at Denver, Colorado.

Variability Of Fev And Criterion For Acute Pulmonary Exacerbation, Bradlee A. Jenkins, L. Lee Glenn

ETSU Faculty Works

Excerpt: Morgan et al. (1) concluded that cystic fibrosis (CF) in children and adolescents with a high baseline forced expiratory volume (FEV₁) were less likely to have a therapeutic intervention or slower rate of FEV₁ decline after a single acute decline in FEV₁ of 10%. This conclusion is not well supported due to the arbitrary criteria used for defining a pulmonary exacerbation, as explained below.

Rain Rhythms: Fall 2014 - Summer 2015, College Of Nursing & Professional Disciplines

RAIN Rhythms

No abstract provided.

Factors Affecting Disruption In Families Of Adults With Mental Illness, M. Jane Suresky, Jaclene Zauszniewski, Abir K. Bekhet

College of Nursing Faculty Research and Publications

PURPOSE: This study examined relationships between vulnerability/risk and protective factors, and family functioning in women family members of adults with serious mental illness.

DESIGN AND METHODS: Using a descriptive, correlational design, this secondary analysis examined characteristics of the family member with mental illness (e.g., diagnosis, level of care) and measures of caregiver stigma and strain, client dependence, family disruption, sense of coherence, and resourcefulness.

FINDINGS: Family disruption was greatest inwomenwho provided direct care and whose family member had major depression, followed by bipolar disorder, schizophrenia, and panic disorder. Sense of coherence and resourcefulness were associated with lower family disruption, but …

Epigenetics And Social Context: Implications For Disparity In Cardiovascular Disease, Karen L. Saban, Herbert L. Matthews, Holli A. Devon, Linda W. Janusek

Nursing: School of Nursing Faculty Publications and Other Works

BACKGROUND:

Although it is well established that African Americans (AA) experience greater social stressors than non-Hispanic Whites (NHW), the extent to which early life adversity and cumulative social stressors such as perceived discrimination, neighborhood violence, subjective social status, and socioeconomic status contribute to disparity in coronary heart disease (CHD) and stroke between AA and NHW are not well understood.

PURPOSE:

The purpose of this paper is to propose a conceptual model based upon McEwen’s Allostatic Load Model suggesting how the relationships among social context, early life adversity, psychological stress, inflammation, adaptation, and epigenetic signature may contribute to the development of …

Relationships Among Uncertainty, Coping, And Psychological Distress In Older Adults With Mild Cognitive Impairment, Jennifer Sjostedt Avery

Dissertations (1934 -)

Mild cognitive impairment (MCI) has an average prevalence of 18.9% and most often affects people 60 years of age or older. It is a cognitive stage between normal functioning and dementia (Petersen, 2003; Petersen, 2011; Petersen et al., 2014). MCI can be broken into two subtypes classified by the presence of memory impairment (amnestic MCI) or the lack thereof (nonamnestic MCI). Medical diagnostic criteria are commonly used to guide research with older adults with MCI. A theoretical framework that addresses the antecedents and consequences of MCI, specifically one examining the relationships among MCI, uncertainty, coping and psychological distress, is essential …

Palliative Care's Sacramental And Liturgical Foundations: Healthcare Formed By Faith, Hope, And Love, Darren M. Henson

Dissertations (1934 -)

Medical history identifies Dame Cicely Saunders as the founder of modern hospice and palliative care for the unique care she gave to the incurably and terminally ill. Less known is how her Christian faith, combined with her knowledge of medicine, influenced her vision. This work retrieves the Christian roots of palliative care and asserts that the practice of faith preserves the practice of medicine from succumbing to medicalized dying--a phenomenon that excessively relies on technology with the implied hope that it will ultimately conquer illnesses and even death. Efficiency and effectiveness ground modern medicine's epistemology. These concepts follow the philosophical …

Hispanic Mothers' Normative Beliefs And Intentions About The Discussion Of Sex-Related Topics With Their Adolescent Daughters, Dana M. Rodriguez

Dissertations (1934 -)

Hispanic adolescent females continue to have rates of pregnancy and STIs, which exceed those of white non-Hispanic peers. When mothers engage in the discussion of sex-related topics (DSRTs) with their adolescent daughters, it has been shown to delay or decrease sexual intercourse. However, it has been found that Hispanic parents talk less with their daughters about sex-related topics (SRTs) when compared to other ethnic groups. Understanding why Hispanic mothers may or may not intend to engage in DSRTs is important in order to design culturally appropriate programs aimed at increasing their DSRTs. A sequential mixed-methods predictive correlational design framed by …

Role Of The Serotonin Transporter Gene In Resilience To Stress And Trauma: An Integrative Review, Kosuke Niitsu

Posters and Presentations: College of Nursing

Resilience is defined as a multi-dimensional dynamic concept of positive adaptation to stress and trauma. It is estimated that 38 - 52% of phenotypic variation in resilience among Americans is due to genetic variance. Among nine candidate genes associated with resilience, the promoter region of serotonin transporter gene (5- HTTLPR) is of increasing clinical interest. Accumulating evidence suggests those who carry the Short (S) allele of 5-HTTLPR may be at increased risk of developing psychopathology such as Post-Traumatic Stress Disorder (PTSD). However, little is known about whether S allele carriers are less resilient to stress and trauma compared to Long …

Teaching Communication And Therapeutic Relationship Skills To Baccalaureate Nursing Students: A Peer Mentorship Simulation Approach, Leslie Miles, Linda Mabey, Sarah Leggett, Katie Stansfield

Faculty Publications

The literature on techniques for improving student competency in therapeutic communication and interpersonal skills is limited. A simulation approach to enhance the learning of communication skills was developed to address these issues. Second-semester and senior nursing students participated in videorecorded standardized patient simulations, with senior students portraying the patient. Following simulated interactions, senior students provided feedback to junior students on their use of communication skills and other therapeutic factors. To integrate the learning experience, junior students completed a written assignment, in which they identified effective and noneffective communication; personal strengths and weaknesses; and use of genuineness, empathy, and positive regard. …

Minimizing Pain During Childhood Vaccination Injections: Improving Adherence To Vaccination Schedules, Lacey M. Eden, Janelle L. B. Macintosh, Karlen E. Luthy, Renea L. Beckstrand

Faculty Publications

Pain experienced in childhood can lead to long-term and psychologically detrimental effects. Unfortunately, the most common pain experienced in childhood is caused by vaccinations and may lead to non-adherence to the recommended vaccination schedule. As a result, it is the health care provider's responsibility to take measures to reduce vaccination pain; however, there are a plethora of pain relieving interventions during immunizations and it is unclear which interventions are most cost efficient, timely, and effective. Studies have been conducted to investigate the efficacy of different pain management interventions during vaccinations. This review evaluates various pain relieving interventions and provide health …

Association Between Nurse Staffing Indicators, Patient Falls, And Hospital Acquired Pressure Ulcers In The Acute Care Setting, Cheryl Renee Moates

Dissertations, Theses and Capstone Projects

Purpose: To determine if there is an association between nurse staffing indicators, direct care nurses' perceptions of staffing and resources adequacy, patient falls, and hospital acquired pressure ulcers.

Design: A non-experimental, descriptive, correlational design using secondary data was used.

Methods: The study took place at a large metropolitan hospital located within the southeast United States. Unit level data for 11 medical-surgical nursing units from the hospital's National Database for Nursing Quality Indicators survey conducted in October 2011 were obtained.

Results: A statistically significant relationship was found between TNHPPD and RNNHPPD. No statistically significant relationship was found between nurses' perception of …

Development And Utilization Of An Acuity Scale For Oncology Patient Navigation, Raizalie Roman-Rosado Bsn, Ocn, Cmsrn, Laura Beaupre Bsn, Ocn, Cbpn-Ic, Kathy Sevedge Rn, Ma, Aocn, Jane Zubia Rn, Ocn, Cbpn I-C, Martiza Y. Chicas Rn, Pccn, Diane Mchugh Bsn, Ocn, Cbpn-Ic, Dorothy Morrone Rnc, Ms, Ocn, Tracy Kichline

Patient Care Services / Nursing

No abstract provided.

The Impact Of A Home-Based Palliative Medicine Service On The Care For A Community-Dwelling Patient With Intractable Cancer Pain, Stefanie Toman Crnp, Robin Fritsch Crnp, Barbara Sikora Lpn

Department of Medicine

No abstract provided.

Comparing Generational Differences In Job Satisfaction And Retention (Anticipated Turnover) Among Nurses Working In Magnet Versus Non-Magnet Designated Hospitals, Laura E. Cima

Seton Hall University Dissertations and Theses (ETDs)

Background and Purpose of the Study: Experts in the nursing profession predict a catastrophic nursing shortage by 2025. Nursing shortages have devastating effects on hospitals from a quality of care, patient and family satisfaction and financial perspectives. Given these issues, the most logical approach to this shortage is retention of nurses rather than recruitment. The Magnet designation is one mechanism to retain nursing staff.

Another phenomenon exists within the work environment that makes this shortage different from others. Currently, there are four generations of nurses working in the healthcare environment. Each of these generational cohorts has different values and …

Case Report-Maternal Death Due To Rupture Of The Uterus, Sumia Bari

Journal of Asian Midwives (JAM)

Objective: To present the case report of a woman who died during her third delivery due to the mismanagement of her labour. The woman had had one previous caesarean section and tried for vaginal delivery with injudicious use of oxytocin, leading to a rupturing of the uterus and death.
Methods & Result: During a maternal death audit it was found that a 28-years old woman (para 2) Meena (name changed to maintain anonymity) had died. Meena had one previous normal vaginal delivery and a second delivered by caesarean section. In her third pregnancy she did not take have any antenatal …

Birth Centre Management And Business Skill Training For Community Midwives Of Pakistan, Laila Lalji, Laila Akbar Ali, Marina Baig, Rozina Sewani, Arusa Lakhani, Karyn Kaufman, Rafat Jan

Journal of Asian Midwives (JAM)

The Community Midwifery program was introduced in 2007 across Pakistan with the idea that the trained Community Midwives (CMWs) will be deployed back to their ‘native’ rural communities. Hence, they are not employed by government rather they must earn their income by charging fees for their services. It is expected from them to attract clients, establish birth clinics and operate as a small business to support and sustain them financially. However, the CMW training program only teaches students about antenatal, intranatal, postnatal and newborn care, family planning services and awareness of community dynamics and does not include content about setting …

Midwifery In India And Its Roadmap, Manju Chhugani

Journal of Asian Midwives (JAM)

Healthy women are the key to the health of any nation. Midwifery in India has climbed up the ladder of progression from before independence till the present day. In the pre-independence era, maternal and newborn care was given by indigenous dais who not only helped during childbirth but also acted as consultants for any condition of the mother related to birth. They were midwives in the literal sense. Over the time, midwifery in India has broadened to the presence of a skilled birth attendant during childbirth. The maternal health status of women and maternal mortality are closely related to the …

Exploring Adolescent Reproductive Health Knowledge, Perceptions, And Behavior, Among Students Of Non-Government Secondary Schools Supported By Brac Mentoring Program In Rural Bangladesh, Bachera Aktar, Malabika Sarker, Andrew Jenkins

Journal of Asian Midwives (JAM)

Adolescence is the transition period from childhood to adulthood. Since Bangladesh is such a conservative society, reproductive health education for adolescents has not been widely introduced. Very small adolescent health components are included in the secondary and higher secondary school curricula. The BRAC Mentoring Program provides mentorship training to secondary school pupils to develop them as peer leaders. However, this program does not provide adolescent reproductive health education. Therefore, a study, supported by BRAC Education Program in rural Bangladesh, was conducted to explore the current status of reproductive health knowledge, perceptions and practice among the students of secondary schools. This …

Provision Of Mentorship Services For Midwives Working In Remote Areas In The Workplaces Of Afghanistan, Sabera Turkmani, Fatima Gohar, Pashtoon A. Zyaee, Mursal Musawi, Mahmood Azimi

Journal of Asian Midwives (JAM)

Background: Midwives working in remote facilities have little opportunity to receive technical support and coaching services. To close this gap and support rural midwives the Afghan Midwives Association (AMA) designed a field-based mentorship program for midwives working in remote areas.
Methods: The process included five stages:
1. Conduct base line assessment of mentees (midwives) and health facilities.
2. Identify and select of mentees through competitive process.
3. Provide on-the-job coaching and mentoring services to the mentees.
4. Assess the progress of the midwives regularly using existing quality assurance performance standards.
5. End-line / final evaluation
Results: That results of assessments …

News & Events

Journal of Asian Midwives (JAM)

No abstract provided.

Welcome To The First Journal Of Asian Midwives, Rafat Jan

Journal of Asian Midwives (JAM)

No abstract provided.

Quiet Please…A Compendium Of Strategies To Impact Hospital Noise, Sherri L. Betz Rn

Patient Care Services / Nursing

No abstract provided.