Nursing Commons^™

Nurse Practice Environment And Peripheral Intravenous Infiltrations In A Pediatric Hospital On The Magnet Journey, Jannise Topacio Baclig Phd

Dissertations

Background: Characteristics such as quality patient care, excellence in nursing, and innovations in professional nursing practice shape a health care organization into a "magnet" organization. Magnet designation is a key aspect of nursing, which places pressure on healthcare organizations to commit to nursing excellence and patient care should they take the challenge of attaining this prestige. With growing focus on quality and safety, nursing needs to remain diligent in ensuring a healthy work environment that not only supports the profession, but also sustains exceptional patient outcomes. The purpose of this research study was to describe the relationship of the nurse …

Evaluation Of An Educational Breastfeeding Program For A Non-Profit Agency In South Texas, Marcela Urbina Zavala

Theses and Dissertations - UTB/UTPA

Breastfeeding has been recognized as the most cost effective practice to promote healthier babies among populations (Dennis, 2002). The purpose of the study was to evaluate the effect of an educational breastfeeding and a prenatal + breastfeeding program for individuals attending group classes and to compare the differences between Spanish only and English only versions of the curriculum. Two research questions were stated to know if there were significant differences between pre and post-tests scores and if there were any significant differences in the impact of the intervention between English only and Spanish only versions of the classes. The present …

The Unique Needs Of Older Adults Readmitted To The Hospital, Laila Hasan, Maharaj Singh, Ariba Khan, John Lung, Michael Malone, Anna Karst

College of Nursing Faculty Research and Publications

Approximately 20% of Medicare beneficiaries are readmitted within 30 days of discharge from the hospital, costing $17.4 billion per year.1 A number of studies have examined the factors associated with risk of hospital readmissions.1 To the best of the knowledge of the authors of the current study, no studies have examined the characteristics of individuals who are on their second hospital stay. Identification of these characteristics is important for quality care, better interventions, and economic reasons.2 This study was performed to examine the characteristics and vulnerabilities of individuals aged 65 and older who had a second hospital stay within 30 …

Self-Assessed Health In Caregivers Of Persons With Autism: Associations With Depressive Symptoms, Positive Cognitions, Resourcefulness, And Well-Being, Abir K. Bekhet

College of Nursing Faculty Research and Publications

Purpose

Caregiving for children with autism spectrum disorder (ASD) can affect family caregivers' self-assessed health. The purpose of this study was to determine whether depressive symptoms, positive cognitions, resourcefulness, and well-being will differ significantly among those who rated their health as fair, good, or excellent.

Design and Methods

This study is a secondary analysis of 109 ASD caregivers who were recruited from the Interactive ASD Network.

Findings

Depression was significantly lower among those who rated their health as excellent than among those who rated their health as fair. Positive cognitions, resourcefulness, and well-being were significantly higher among those who rated …

A Comparison Of Two Formulas Of Topical Menthol On Vascular Responses And Perceived Intensity Prior To And Following A Bout Of Maximum Voluntary Muscular Contractions (Mvmcs), Robert V. Topp, Alexander V. Ng, Alyson Cybulski, Katalin W. Skelton, Paula E. Papanek

College of Nursing Faculty Research and Publications

The purpose of this study was to compare the vascular responses in the brachial artery and perceived intensity of two different formulas of topical menthol gels prior to and following a bout of maximum voluntary muscular contractions (MVMCs).

18 adults completed the same protocol on different days using blinded topical menthol gels (Old Formula and New Formula). Heart rate, brachial artery blood flow (ml/min), vessel diameter and reported intensity of sensation were measured at baseline (T1), at 5 min after application of the gel to the upper arm (T2), and immediately following five MVMCs hand grips (T3).

The New Formula …

Emotional Intelligence And Spiritual Well-Being, Audrey M. Beauvais, Julie G. Stewart, Susan M. Denisco

Nursing Faculty Publications

Understanding factors that influence spiritual well-being may improve nurses’ spiritual caregiving. This study examined relationships between emotional intelligence (EI) and spiritual well-being (SWB) in undergraduate and graduate nursing students. Using the Mayer–Salovey–Caruso Emotional Intelligence Test (MSCEIT) and the Spiritual Well-Being Scale (SWBS), relationships were found between managing emotion and spiritual well-being, and managing emotion and existential well-being. Implications for education and practice are discussed.

Telehealth In The School Setting: An Integrative Review, Cori A. Reynolds, Erin Maughan

Student Works

Telehealth, the provision of healthcare through long-distance telecommunications technology, is a tool that can be used by school nurses to address and improve the health status of school children. The purpose of this literature review is to examine research related to implementation of telehealth in the school setting. A review of the literature was conducted using CINAHL, ERIC, Medline, and Pub Med databases, and the search terms telehealth, telecare, telemedicine, school, and schools. Fifteen research studies related to telehealth in the school setting were identified. Themes identified included: benefits, barriers, feasibility, and limitations of telehealth. Implications for practice are presented, …

Erectile Dysfunction As A Motivational Tool For Health Behavior Change In Men With Diabetes, Camille W. Allred, Donna Freeborn

Student Works

The purpose of this literature review is to outline a health promotion plan for healthcare providers and diabetes educators, using erectile dysfunction (ED) as a motivational tool to change health behaviors for men with diabetes. Because the most severe complications might not manifest themselves until later in life, patients with either type 1 diabetes mellitus (T1DM) or type 2 diabetes mellitus (T2DM) are less likely to make the dramatic behavioral changes necessary to control their diabetes at the time of diagnosis. Twenty-eight articles obtained from CINAHL and Medline databases were examined. Eleven of those articles were selected for analysis based …

Attention Deficit Hyperactivity Disorder: Comparison Of Medication Efficacy And Cost, Robert M. David, Karlen E. Luthy, Janelle L. B. Macintosh, Lacey M. Eden

Student Works

Although a common psychological disorder, pharmacological treatment of Attention Deficit Hyperactivity Disorder can be a costly endeavor. Among 4-5 year olds, methylphenidate is a safe, efficacious, and cost-effective option for short-, intermediate-, and long-acting medication options. Short-acting methylphenidate, intermediate-acting methylphenidate ER and SR, and long-acting methylphenidate LA are the most efficacious and cost-effective medications. Selection of non-stimulant medications should be based upon recommended guidelines rather than primarily on cost. For children incapable of swallowing pills, the most efficacious and cost-effective treatments are short-acting dextroamphetamine liquid and long-acting methylphenidate LA capsules that can be opened and sprinkled over food.

Obesity Hypoventilation Syndrome: Understanding, Diagnosing, And Treating, Chad W. Padovich

Student Works

The effects of obesity are multifaceted and lead to poor quality of life, increased risk of cardiovascular disease, stroke, and death. Obesity hypoventilation syndrome (OHS) is a widely misunderstood and under diagnosed disease process, which carries specific diagnostic criteria. The purpose of this work is to: (1) provide practitioners with a better understanding of OHS and how it differs from other obesity related breathing disorders (such as Obstructive Sleep Apnea, OSA), (2) provide diagnostic criteria of OHS, (3) provide work up recommendations, and (4) provide current recommended treatment. Data Sources: An electronic search of the literature was conducted to identify …

Safety Hazards Education For Mothers Who Are Homeless: Target Teaching To Improve Knowledge Of Safety Hazards For Children Under Five Years Of Age, Susan Halpern Fliesher

Dissertations

The leading cause of morbidity and mortality in children in the U. S. is unintentional injury (Center for Disease Control Child Injury Report, 2000 to 2006), but there is little information about homeless mothers with children and child unintentional injury. Frencher et al. (2010) compared lower socioeconomic families with children with housing to homeless families with children, and found that unintentional injury was 13% higher among homeless children. Mothers who are homeless often need to navigate a variety of temporary housing and may lack understanding of child safety hazards in strange environments, limiting their ability to ensure their children’s safety …

Oncology Nurses' Suggestions For Improving Obstacles In End-Of-Life Care, Rosanne Johnson Oliver

Theses and Dissertations

The purpose of this paper was to determine the most important changes needed to improve the quality of end-of-life (EOL) care to terminal cancer patients as perceived by experienced oncology nurses. The study was designed as a cross-sectional survey, sampling 1,000 Oncology Nursing Society members from the United States with experience caring for inpatient cancer patients, who could read English, and had experience in EOL care. Eligible nurses responded to an open-ended item sent to them as part of a mailed questionnaire. Nurses were asked to respond to the following question: “If you had the ability to change just one …

Very Low Birth Weight And Perinatal Periods Of Risk: Disparities In St. Louis, Pamela Xaverius, Joanne Salas, Deborah Kiel, Candice Woolfolk

Faculty Scholarship

Very low birth weight (VLBW) is a significant issue in St. Louis, Missouri. Our study evaluated risk factors associated with VLBW in this predominantly urban community. Methods. From 2000 to 2009, birth and fetal death certificates were evaluated (𝑛 = 160, 189), and mortality rates were calculated for perinatal periods of risk.The Kitagawa method was used to explore fetoinfant mortality rates (FIMR) in terms of birth weight distribution and birthweight specific mortality. Multivariable logistic regression was used to assess the magnitude of association of selected risk factors with VLBW. Results. VLBW contributes to 50% of the excess FIMR in St. …

Hospital Staff Registered Nurses’ Perception Of Horizontal Violence, Peer Relationships, And The Quality And Safety Of Patient Care, Christina Purpora, M. A. Blegen, N. A. Stotts

Nursing and Health Professions Faculty Research and Publications

Objective: To test hypotheses from a horizontal violence and quality and safety of patient care model: horizontal violence (negative behavior among peers) is inversely related to peer relations, quality of care and it is positively related to errors and adverse events. Additionally, the association between horizontal violence, peer relations, quality of care, errors and adverse events, and nurse and work characteristics were determined.

Participants: A random sample (n=175) of hospital staff Registered Nurses working in California.

Methods: Nurses participated via survey. Bivariate and multivariate analyses tested the study hypotheses.

Results: Hypotheses were supported. Horizontal violence was inversely related to peer …

Vaccination Status And Attitudes Of Urban School Employees In Utah, Kim Estella Thompson

Theses and Dissertations

Individuals who work with children are at risk for exposure to vaccine-preventable diseases. School settings can quickly become outbreak centers for communicable infection since school employees are in direct contact with children in confined areas for many hours each day. Therefore, it is important for school employees to be fully vaccinated. There are many reasons school employees may be inadequately vaccinated. One common myth is that adults believe vaccines are only for children. Another reason for inadequate vaccination rates among school employees is that many adults believe vaccinations received during childhood are still effective. Healthcare providers (HCPs) constitute the first …

The Use Of High-Fidelity Simulation In Psychiatric And Mental Health Nursing Clinical Education, Bethany A. Murray

International Journal of Health Sciences Education

Background: High-fidelity simulation recreates real-life situations in a safe learning environment and encourages critical thinking in students. Published research in simulation in psychiatric/mental health nursing is sparse.

Methods: Four scenarios exemplifying drug or alcohol abuse utilizing the computerized, mannequin SimMan® were implemented. Students evaluated their learning experience following completion of the simulation via a 20-item, Likert-scale survey which included open-ended questions.

Results: Results were positive. Students rated all items on the survey as “agree” or “strongly agree” (Mean 4.77, SD=0.55).

Conclusions: High fidelity clinical education simulations are an effective means of facilitating student learning of psychiatric and mental health clinical …

Investigating The Viability Of Two Stenotrophomonas Maltophilia Isolates After Air-Drying, Samantha Lane, Joanna Brooke

DePaul Discoveries

Abstract

Stenotrophomonas maltophilia is a water-borne infectious bacterium that is found in both clinical (hospitals) and non-clinical environments. This human pathogen is commonly recovered from respiratory tract infections. A recent study at a hospital in Taiwan suggested that dry patient charts can serve as a vehicle of transmission of this bacterium⁷. As S. maltophilia is not commonly isolated from dry surfaces, this current study tested the hypothesis that this pathogen can remain viable for some time on a dry surface. This study was designed to determine how long S. maltophilia could remain viable after air-drying by observing …

An Interprofessional Falls Assessment Clinic Model To Develop Collaborative Team Skills Among Health Professional Students, Tracey Vause-Earland, Ms, Otr/L, Leigh Ann Hewston, Pt, Med, Cecilia Borden, Edd, Msn, Brooke Salzman, Md, Emily Hajjar, Pharmd, Ellen Furman, Msw, Christine Hsieh, Md, Susan Parks, Md

Department of Occupational Therapy Posters and Presentations

BACKGROUND

• Older adults are at increased risk for falls and fall related injuries, leading to loss of independence, disability, and increased mortality.
• Preventing injury and falls is a national Healthy People 2010 objective. However, physicians and other health professionals frequently fail to incorporate known evidence into usual care. Screening for falls is not consistently performed as an essential assessment in older adults by primary care providers.
• Multidisciplinary assessment can be an important component in preventing falls in community dwelling adults.
• In new practice models, such as the Chronic Care Model, there is an emphasis on interdisciplinary collaboration, however health professions …

Nursing Students' Attitude And Knowledge Of Alzheimer's Disease, Michelle Kimzey

Nursing Theses and Dissertations

As the population ages, nurses must be prepared to provide care for the large number of people with Alzheimer's disease (PWAD). Research is limited on nursing students and people with AD, whether nursing education prepares students to care for this population, or the best methods to educate students in an insightful and collaborative environment. The aim of this mixed methods design study was to determine the effects of educational experiences on nursing students' knowledge and attitudes towards people with AD. The qualitative piece identified factors that influenced and explained differences in nursing students' knowledge and attitudes surrounding the care of …

Vaccination Perceptions Of School Employees In A Rural School District, Janelle L. B. Macintosh

Faculty Publications

Background: There continues to be a need for increases in adult vaccination rates, especially among those working in environments which may easily become communicable disease outbreak centers, such as school employees in the school environment. The purpose of this study was to evaluate why rural Utah school employees were non-compliant with the influenza and measles, mumps, and rubella (MMR) vaccines, as well as to identify their view on mandatory vaccination policies.

Methods: A questionnaire was distributed to all school employees in a rural Utah school district. Data analysis included frequencies and measures of central tendency and dispersion for quantitative items …

Teaching Patient To "Scip"---Skin Care Intervention Program, Kaitlyn Hoch Bsn, Rn, Kelsey Miller Bsn, Rn, Mary O'Connor Bsn, Rn, Nadiya Tverdun Bsn, Rn

Patient Care Services / Nursing

No abstract provided.

Bedside Shift Handoff, Amelia Bard Bsn, Rn, Tyler Mclean Bsn, Rn, Mollie Rohrbach Bsn, Rn

Patient Care Services / Nursing

No abstract provided.

Pediatric Falls In The Outpatient Setting, Nicole Pasquarello Bsn, Rn

Patient Care Services / Nursing

No abstract provided.

Point Of Care Testing On Adult Patients With Insulin And Vasopressor, Rachel Marouchoc Bsn, Rn, Rhyan Rupp Bsn, Rn

Patient Care Services / Nursing

No abstract provided.

Bedside Neurological Exams, Patrick Keane Bsn, Rn, Hannah Layfield Bsn, Rn

Patient Care Services / Nursing

No abstract provided.

Early Progressive Mobility- Letting Go Of Bedrest, Jacqueline Clapp Bsn, Rn, Holly Leighton Bsn, Rn, Kimberly Mclaughlin Bsn, Rn, Bridget Toy Bsn, Rn

Patient Care Services / Nursing

No abstract provided.

Pediatric Early Warning Score (Pews), Emily Keim Bsn, Rn, Jennifer Senske Bsn, Rn

Patient Care Services / Nursing

No abstract provided.

Falls In The Emergency Department (Adult), Katherine Andia Bsn, Rn, Emily Joyce

Patient Care Services / Nursing

No abstract provided.

Implementing A Nurse Shadowing Program For Medical Residents, Maria Fiore Bsn,Rn, Tara Getz Bsn, Rn, Melissa Lunney Bsn, Rn, Audrey Machose Bsn, Rn, Nina Patel Bsn, Rn

Patient Care Services / Nursing

No abstract provided.

Newborn Cord Care Is Clean Cord Care As Effective As Antiseptic Agents In Preventing Infection And Decreasing Cord Separation Time?, Jaclynn Carl Bsn, Rn, Amy Hess Bsn, Rn, Felicia Mazzoni Bsn, Rn

Patient Care Services / Nursing

No abstract provided.