Nursing Commons^™

Using Video Games For Decreasing Pain Caused By Acute Painful Crisis In Adolescents With Sickle Cell Pain, Talal Ali

Wayne State University Dissertations

Purpose: The most common symptom of sickle cell disease is pain, which occurs as the cells clump compromising further blood flow to distal organs. Despite the advancement in pain management, many children and adolescents' pain remains under treated. The purpose of this study is measure the effectiveness of a videogame as a developmentally appropriate non-pharmacological modality on pain in adolescents 12-21 years of age with sickle cell crisis.

Methods: A one-group repeated measure quasi-experimental design was used to evaluate the effectiveness of using videogames on pain in a sample of adolescents 12-21 years of age. Using a repeated measures design …

Development And Initial Psychometric Testing Of The Perceived Racism Shifting Survey (Prss), Saran Hollier

Wayne State University Dissertations

ABSTRACT

DEVELOPMENT AND INITIAL PSYCHOMETRIC TESTING OF THE PERCEIVED RACISM SHIFTING SURVEY (PRSS)

by

SARAN T. HOLLIER, MSN, RN

May, 2015

Advisor: Dr. Rosalind Peters

Major: Nursing

Degree: Doctor of Philosophy

Perceived racism experienced from those of a different race (intergroup), and those of the same race (intragroup), is a stressor that may be contributing to health disparities among African Americans. As a result, coping strategies are necessary for African Americans to navigate in both a "Black" and "White" world. Hence, African Americans may use "shifting" as a way to cope with inter- and intragroup racism. Shifting has been defined …

Falls And Hospitalized Cancer Patients, Rebecca Allan-Gibbs

Wayne State University Dissertations

FALLS AND HOSPITALIZED CANCER PATIENTS

by

REBECCA ALLAN-GIBBS, MSN, RN, CNS-BC, AOCNS

May 2014

Advisor: Dr. Patricia Jarosz, PhD, RN

Major: Nursing

Degree: Doctor of Philosophy

Problem: Many hospital fall prevention studies have shown that having a diagnosis of cancer places patients at higher risk for falls/falls with injury when compared to other hospitalized groups of patients. Few studies have focused solely on cancer patients at risk for falls in the hospital setting. Specifically, this study used Dorothea Orem's theory of self-care (Orem, 2001), and Albert Bandura's (2001), social cognitive theory to determine if factors such as age, gender, health …

Spirituality In Nursing Practice, Regina Conway-Phillips

Nursing: School of Nursing Faculty Publications and Other Works

No abstract provided.

Neighborhood-Level Influences On Delays In Diagnostic Follow-Up From Mammography Screening In African-American Women: A Systematic Review, Barbara A. Fowler

Nursing Faculty Publications

Although there has been a steady decrease in breast cancer deaths among all women (pooled data) age 40 to 65 years during the past two decades in the United States, breast cancer deaths remain substantially higher among African-American women than White women (32.4% vs. 23.9%), resulting in an overall lower five-year survival rate (78.4% vs. 91.2%). These differences are primarily due to delays in diagnostic follow-up from mammography screening (MS) (ACS, 2012]. Following the secondary research data methods by analyzing the popular medical databases and articles published in the peer-reviewed medical journals in US during 2004-2014 the author would like …

The Impact Of Implementation Of An Evidence-Based Practice Model In A Long Term Acute Care Hospital, Michele L. Marshall

Doctor of Nursing Practice Program Projects

Inadequate and delayed implementation of current evidence into practice has contributed to medical errors, safety issues and patient deaths. The Institute of Medicine (IOM) has challenged the healthcare profession to achieve 90% of integration of current evidence into practice by 2020. The purpose of this doctoral project was to implement an evidence-based practice (EBP) model in a long-term acute care hospital as they began their journey in pursuit of Magnet recognition. Implementation of an EBP model, the Advancing Research and Clinical practice through close Collaboration (ARCC) model, involved conducting an initial organizational assessment of staff to understand the staff’s beliefs, …

Implementation Of A Total Knee Arthroplasty Evidence Based Practice Guideline Quality Improvement Project In A Va Orthopedic Surgical Setting To Reduce Surgical Infections, Paula A. Kimpton

Doctor of Nursing Practice Program Projects

The prevention of surgical site infections, specifically orthopedic surgery cases, has been cited as the most preventable source for morbidity and mortality for patients undergoing total knee arthroplasties (TKA). In the most recent Veteran Affairs (VA) National Surgery Office Quarterly Report (July 1, 2012 through June 30, 2013), a problem with surgical site infections was identified in patients with TKA surgery at Dayton Veterans Affairs Medical Center (VAMC). The Dayton VAMC had a 5.3% TKA surgical infection rate versus 1.3% nationally.

The purpose of this quality improvement project was to decrease post-operative TKA infection rates with utilization of evidence based …

Hispanic Construction Workers And Assertiveness Training, Pramen Shrestha, Nancy Menzel

Nursing Faculty Research

BACKGROUND: Hispanic (Latino) construction workers experience disparities in occupational death and injury rates in the United States. The cultural value of respect for those in authority may hinder these workers from requesting safe working conditions from supervisors.

OBJECTIVE: To evaluate whether Hispanic construction workers in Las Vegas, Nevada found assertiveness training more useful than non-Hispanic trainees and whether or not they practiced this behavior at work after the training.

METHODS: An assertiveness training simulation was part of fall prevention classes offered to area construction workers. Eight weeks after the training, participants were interviewed by telephone about class topics they found …

Population Focused Nursing: Advocacy For Vulnerable Populations In An Rn-Bsn Program, Melissa Jones, Paul Smith

Faculty Publications

The purpose of this article is to describe an innovative learning activity for online RN-BSN students designed to foster advocacy for vulnerable populations. The Vulnerable Population Advocacy Assignment, included as a component of the online Population-Focused Nursing class, provides students with the opportunity to identify and develop an awareness of issues impacting vulnerable populations and to advocate for policy changes that will influence the health of individuals, families, and populations. RN-BSN students build on previous knowledge and skills in professional communication and advocacy as they develop a policy statement designed to address health disparities impacting local, national, and global populations.

Fostering Rn-To-Bsn Students’ Confidence In Searching Online For Scholarly Information On Evidence-Based Practice, Carol Mcculley, Melissa Jones

Faculty & Staff Publications

Graduates of bachelor of science in nursing (BSN) programs are increasingly expected to take an active role in assessing and improving nursing practice, and nurse educators are expected to prepare BSN students for this expanding role. Information literacy, the ability to search for, find, get, and use scholarly information to inform nursing practice, should be a critical component of nursing education. This article focuses on five strategies for teaching information literacy to registered nurse (RN)-to-BSN students in an online continuing education environment. These strategies include the addition of an embedded librarian to the online courses, collaboration between the librarian and …

Nursing Student Experiences Of Death And Dying During A Palliative Care Clinical Placement: Teaching And Learning Implications, Olivia Gallagher, Rosemary Saunders, Karen Tambree, Selma Alliex, Leanne Monterosso, Y Naglazas

Nursing Conference Papers

The Building Capacity in Palliative Care Clinical Training project commenced in 2012 and is providing a dedicated palliative care clinical learning experience for nursing and medical students as part of preparation for palliative care practice in future workplaces. Many students fear death on a clinical placement. This paper reports on a pilot study as part the broader project evaluation that examined nursing students’ experiences of death and how the project driven teaching and learning supported students’ learning experiences.

Development Of An Education Module On Conflict Resolution For Charge Nurses, Robert H. Petersson

Theses and Graduate Projects

A healthy work environment is essential for providing safe and efficient care for patients. When nurses avoid conflict on a patient care unit they create an unhealthy work environment by leaving problems unresolved. Avoiding conflict is common due to the perception that conflict is a negative outcome of dysfunctional relationships. In reality, conflict is a normal part of human interactions that stimulates individuals to adapt to the diversity that surrounds them. Increasing charge nurses‟ understanding of interpersonal conflict and improving their skills of constructive conflict resolution, supports the creation and maintaining of a healthy work environment. An education module titled …

Caring Minds, University Of Texas Health Science Center At Houston School Of Nursing

Caring Minds

No abstract provided.

Safe And Effective Use Of Aromatherapy For Postoperative Nausea, Kristen M. Haack

Theses and Graduate Projects

No abstract provided.

A Support Group Proposal For Women Seeking Fertility Treatment, Emily Jazdzewski

Theses and Graduate Projects

lnfertility is the inability to conceive a pregnancy. Not being able to conceive or carry a child is a devastating reality for many women. Infertility causes both physical and emotional stress that can make it difficult to cope. A literature search revealed the need for a support group for fertility patients to share their journey to decrease the incidence of depression and anxiety. A proposal to develop a support group supported by a Reproductive Endocrinology Department will be explored. The proposal will describe benefits of a support group, integrating cognitive behavioral therapy and relaxation and Mindfulness techniques to promote self-soothing …

Empowering Home Care Nurses To Begin End-Of-Life Conversations, Angela Oujiri

Theses and Graduate Projects

In the United States, some people find the discussion of death and dying a difficult topic to discuss. This difficulty has often delayed conversations about goals and wishes until very late in the healthcare journey. Delays come with a significant cost to both patients and the entire healthcare system. Palliative care is a special type of care meant to provide an extra layer of support to patients and families who are living with serious illness; however, the practice of such care encounters has many challenges for patients, families, physicians, and nurses. Home care nurses are instrumental in the delivery of …

A Healthy Work Schedule: Improving Dynamics For Nurses’ Health, Amy Schei

Theses and Graduate Projects

Rotating shift work is an unavoidable, integral aspect of nursing at a large hospital in the Midwest; however, the fatigue involved in rotating shift work is avoidable. Research has shown how fatigue related to rotating shifts can impact nurses and ultimately affect patients. Fatigue caused by rotating shift work has been proven to decrease nurses’ levels of alertness and vigilance, which directly correlates to higher incidences of errors with patients. In addition, nurses who work rotating shifts have been proven to have problems with psycho-physical health, biological functions, and social relationships. It is through an understanding of the risks related …

Healthy Choice, Healthy Life, Dawn M. Sanderman

Theses and Graduate Projects

According to the U.S. Department of Health and Human Services, unhealthy eating and inactivity cause any where from 310,000 to 580,000 deaths every year. How and what a child eats today will have a significant impact on his/her health throughout adolescence and adulthood. Consuming nutritious foods helps children grow, develop, do well academically and also prevents health issues, such as obesity, Type 2 diabetes, nutrient deficiencies and poor bone health. A project to empower middle school children to make healthy food choices was designed. An after school educational “Health Fair” was created using the theoretical framework of Watson’s Theory of …

Advanced Practice Care Model In A Midwestern Allergy Clinic, Bernie Theobald

Theses and Graduate Projects

Health care organizations are creating innovative patient care models to deal with the rapidly changing healthcare environment. Implementation of the Affordable Care Act has led to reduced revenue for healthcare organizations and placed an impetus on quality. For healthcare providers to continue to practice, they must change their model of care. An allergy clinic in a large Midwestern healthcare organization created a care model which capitalizes on the unique skillset that nurses possess. Nurses in the care model contact the patient before their visit, assess patient needs, and follow-up with the patient in a post- consult nurse visit. The care …

Advanced Practice Care Model In A Midwestern Allergy Clinic, Bernie Theobald

Theses and Graduate Projects

Health care organizations are creating innovative patient care models to deal with the rapidly changing healthcare environment. Implementation of the Affordable Care Act has led to reduced revenue for healthcare organizations and placed an impetus on quality. For healthcare providers to continue to practice, they must change their model of care. An allergy clinic in a large Midwestern healthcare organization created acare model which capitalizes on the unique skillset that nurses possess. Nurses in the care model contact the patient before their visit, assess patient needs, and follow-up with the patient in a post-consult nurse visit. The care model has …

Creation Of Care Coordination Team, Linda Peterson

Theses and Graduate Projects

Healthcare in the United States is fragmented and costly. Care coordination positively impacts healthcare cost and quality in healthcare systems. Case managers, social workers, and community health workers create health care teams in a health care home model. A team approach, formed by relationships built from collaboration, communication, and application of Complexity Theory, produces these outcomes. Relational coordination based on shared goals, shared knowledge, and mutual respect creates the framework from which to establish a team. Watson's Caring Science theory provides the conceptual framework to support the connectedness that occurs within a team approach. Creating a collaborative team of case …

Advance Directives Educational Program For Nurses, Rose R. Pappas

Theses and Graduate Projects

Advance directives (AD) are legal documents outlining a patient's preferences for treatment at the end of life. AD allow people to communicate their end-of-life (EOL) decisions about medical care to family, friends, and health care professionals in the event that they are unable to make those decisions themselves. Many nurses observe patients and their families waiting until the patient is at the end of their life before they initiate an AD. With the current rate of aging baby boomers in the United States, AD would appear to be a phenomeron that should be encouraged. Assisting patients with completion of AD …

Interprofessional Collaboration, Amy L. Brabec

Theses and Graduate Projects

The World Health Organization emphasizes the importance of interprofessional collaboration, which occurs when multiple health workers from different professional backgrounds work together with patients, families, caregivers, and communities to deliver the highest quality of care. As the blood and marrow transplant (BMT) practice continues to grow at a large Midwestern hospital, the need for improved interprofessional collaboration between the hospital-based nurses and the mrse coordinators in the outpatient clinic was apparent. Using Newman's theoretical framework of nurse-patient relationship, person-environment interaction, and rurses being fully present, the BMT partnership group was formed. An interdisciplinary group consisting of the hospital-based nurses and …

Utilizing Watson's Theory Of Caring To Develop A Palliative Care Proposal For Olmsted Medical Center, Tammie Johnson

Theses and Graduate Projects

Palliative care is aimed at alleviating the suffering of patients with serious or chronic illnesses. Literature examined to determine the needs of seriously or chronically ill patients and their farnilies found patients to have physical, psychosocial, and spiritual needs while coping with their illness. In addition, patients' family needed support in physical care of their loved ones, as well as information and psychosocial needs for themselves. The purpose of this project is to develop a proposal for an inpatient palliative care program for Olmsted Medical Center's (OMC's) consideration, Watson's Theory of Caring was utilized in the development of a palliative …

Heart Nursing Care Model, Jennifer M. Harden

Theses and Graduate Projects

The role of the hematology ambulatory registered nurse (HARN) is currently disorganized at a large Midwestern clinic. Cumently the HARN is responsible for telephone care, lab results, prescription refills, patient education, submitting forms, and helping patients with miscellaneous items. The HARN is pulled in several directions throughout the day. With healthcare reimbursement changing, there is a growing need for HARNs to be utilized to one's fullest potential and licensure. The purpose of this project is to create a new model of nursing care, which will further enhance the HARN role. Jean Watson's Philosophy and Science of Caring provides a framework …

Diabetic Assessment In A Wound Care Clinic, Laura Dooley

Theses and Graduate Projects

The number of people with diabetes in the United States is continuing to grow at an alarming rate. Over 23 million people in the United States are affected with the disease and it is estimated that the number of people diagnosed with diabetes in the United States is increasing by 1 million people annually. It is essential that nurses working in all capacities help with the prevention and management of this disease. lssues surrounding adequate patient self-management of the disease are identified as smoking, glycemic control, diabetes education, footcare, and financial concerns. An algorithm for diabetes assessment was developed to …

Maendeleo Ya Wanawake Project: Developing A Nursing Based Support Group For Kenyan Women In Minneapolis, Jackline Ikobe

Theses and Graduate Projects

In recent years, the Kenyan community living in Minneapolis, Minnesota, has had many cases of violence that have resulted in death or injury to the women and their children. Domestic violence is especially difficult because it disrupts every aspect of the victim's well-being. Many women experience repeated victimization because of the difficulty in leaving their abusive relationships. A woman's ability to disclose abuse and receive emotional support is critical to her survival. Implementing a nursing based support group for Kenyan women living in Minneapolis, who are victims of domestic violence, will empower them to understand the effects of living in …

Holistic Understanding, Bridget Burness

Theses and Graduate Projects

In 2007, the Association of American Retired People (AARP) published its Funeral and Burial Planners survey key findings that revealed 12 percent were interested in green burial and that practitioners should provide education on environmentally friendly options to this audience. Nurses are currently knowledgeable about Advance Care Directives (ACD) for cessation of care. To gain a better understanding of nurses' attitudes toward green burial, a plan to create a holistic nurse-learning circle was developed to discuss the Funeral Rule, pre-burial planning for green funerals and flameless cremation, and the importance of collaborating with funeral directors. To facilitate this group, a …

Trauma Resource Nurse: A Leadership Role In A Pediatric Level 1 Trauma Center, Claudia Hines

Theses and Graduate Projects

Nurses in a pediatric emergency department are accustomed to caring for critically ill and injured children. Pediatric trauma requires nurses to have a high level of expertise. However, along with this expertise, nurses need to demonstrate strong leadership skills to be an effective partner in the trauma team. Attaining a pediatric level I trauma designation by the American College of Surgeons generated uncertainty in emergency nurses' perceptions of their ability to care for trauma patients. Emergency departments within trauma centers have recognized the need for specialized nursing programs or nursing roles in the care of trauma. Nursing leadership competencies, interprofessional …

Preparing Nurses For Medical Emergencies: Developing A Collaborative Mock Code Training Program, Joseph Heaser

Theses and Graduate Projects

Medical emergencies are stresstul and anxiety producing situations that require quick and precise action. As first responders in the hospital setting, nurses are often responsible for initiating resuscitative efforts until additional help arrives. Positive patient outcomes are dependent on the nurses' ability to quickly and accurately utilize basic life support (BLS) and advanced cardiac life support (ACLS) to deliver the care needed during the critical first few minutes following cardiac arrest. It is very difficult for nursing staff to maintain emergency medical response skills and knowledge when they are only required to practice them once a year for their annual …