Nursing Commons^™

Identifying The Characterestics Of Patients With Community Versus Hospital Acquired Pressure Ulcers, Ahmad A. Hamdan

Nursing Dissertations - Archive

Pressure ulcers (PU) are a common problem with important implications for the nursing community and for patients, including pain and suffering, delayed recovery, morbidity, mortality, and healthcare costs, but little is known regarding what characterizes the difference between community acquired pressure ulcers (CAPU) and hospital acquired pressure ulcers (HAPU). Therefore, the purpose of this descriptive correlational retrospective study was to describe patient characteristics associated with CAPU and HAPU. Measured variables included gender, age, ethnicity, PU site, albumin, weight, BMI insurance, length of stay, type of bed, type of admission, and weekend admission, as well as Braden Scale measures of moisture, …

A Comparison Of Instructor Audio-Video With Text-Based Feedback Versus Text-Based Feedback Alone On Students' Perceptions Of Community Of Inquiry Among Rn-To-Bsn Online Students, Marie Kelly Lindley

Nursing Dissertations - Archive

In order to meet the healthcare needs of the US population, Registered Nurses (RNs), with Bachelor of Science in Nursing degrees, are needed. This descriptive posttest study, with independent samples, examined the use of audio-video with text-based feedback versus text-based only feedback on student's perceptions of the community of inquiry RN to BSN online students (n=125), enrolled in one course at one university. The COI survey performed reliably with Cronbach's alpha .94 on the pretest and .98 on the posttest. No statistically significant difference was found between the groups on the pretest for teaching presence (p=.31), social presence (p=.40) or …

Self-Efficacy Of Caregiving And Caregiver Stress In Adult Informal Caregivers Of Individuals At The End-Of-Life, Michelle Mary Hampton

Nursing Dissertations - Archive

Researchers have established an association between the stressors of providing informal care and physiological and psychological health risks (Applebaum & Breitbart, 2013; Au et al., 2010; Bainbridge, Krueger, Lohfeld, & Brazil, 2009; Gilliam & Steffen, 2006; Mausbach et al., 2012; Merluzzi, Philip, Vachon, & Heitzmann, 2011; Perez, Ussher, Butow, & Wain, 2011). Despite the recognized negative consequences of informal care, researchers have identified the existence of mediators which have the potential to buffer, manage, transform, or prevent the negative influence of stress (Bolden & Newsome-Wicks, 2008; Kreitler, Peleg, & Ehrenfeld, 2007; Merluzzi et al., 2011; Roscoe, Corsentino, Watkins, McCall, & …

Factors Affecting Quality Of Life In Persons With Multiple Sclerosis, Brian E. Holland

Nursing Dissertations - Archive

Multiple sclerosis is an autoimmune disease that can negatively affect the physical, emotional, and social aspects of one's life. This purpose of this descriptive-correlational study was to explore the relationships among individual characteristics, perceived healthcare provider engagement, treatment adherence, functional ability, and quality of life in persons with multiple sclerosis (MS). Additionally, differences in perceived healthcare provider engagement, treatment adherence, functional ability, and quality of life were examined across the four MS disease stages of relapsing-remitting, secondary-progressive, primary-progressive, and progressive-relapsing. A convenience sample of individuals (N = 158) with MS completed an online survey related to perceived healthcare provider engagement, …

Improving Provider Adherence With Completion Of A Written Asthma Action Plan According To Evidence-Based Practice Guidelines, Stephanie L. Collins

Doctor of Nursing Practice (DNP) Scholarly Projects - Archive

Asthma is a serious chronic inflammatory health condition of the airways that causes many Americans to experience distress {Agency for Health Care Research and Quality [AHRQ], 2009). Asthma prevalence over the age of 16 has become particularly concerning. It is a costly disease that has increased drastically in recent decades (AHRQ, 2009). Many factors cause our nation to collectively attempt to improve the quality of care for these individuals. The primary goal is to treat the underlying inflammation and manage daily symptoms. Regardless of national recommendations, health care providers experience challenges with compliance. In one study, all primary care providers …

Parent Health Literacy And Communication With Diabetes Educators In A Pediatric Diabetes Clinic: A Mixed Methods Approach, Carol J. Howe

Nursing Dissertations - Archive

The association between low health literacy and poor patient-provider communication has been well established in adult patients. Little pediatric research has been reported on the relationship between parent health literacy and parent-provider communication. This mixed methods study examined and explored how parent health literacy affected the communication process with diabetes educators in a pediatric diabetes clinic. This study used the Conceptual Framework of Provider Patient Communication as a theoretical framework. Health literacy was measured with the Rapid Estimate of Adult Health Literacy in Medicine. Quality of communication was assessed with quantitative and qualitative methods using 5 subscales of the Interpersonal …

Effects Of Practice On Competency In Single-Rescuer Cardiopulmonary Resuscitation, Marilyn H. Oermann, Suzan E. Kardong-Edgren, Tamara Odom-Maryon, Caleb J. Roberts

Nursing Faculty Publications and Presentations

This study demonstrated the effectiveness of brief practice on voice advisory manikins in improving skill retention by nursing students in single-rescuer cardiopulmonary resuscitation (CPR). Brief practice can assist nurses and other providers in maintaining their CPR skills and may lead to improved performance competency.

An Evaluation Of The Chronic Disease Self-Management Program, Joan Sevy Majers

Doctor of Nursing Practice Program Projects

The prevalence and costs of chronic disease continue to escalate with the aging of the population and continued advancements in medical care. Self-management of chronic disease may be an alternative approach to care that could assist in moving away from a disease-oriented model to health-oriented one. Outcomes from chronic disease self-management programs are promising but inconsistent across disease entities and populations. Among the Veteran population, chronic disease self-management programs have been implemented in a number of Veteran Affairs facilities. The purpose of this project was to evaluate specific outcomes from the chronic disease self-management program conducted in the five medical …

Nurses Perceptions Of Shared Governance Two Years Post Implementation Of A Councilor Shared Governance Model, Kathleen L. Wilson

Doctor of Nursing Practice Program Projects

Participation in shared governance councils can provide nurses with an opportunity for input into organizational policies that influence quality health care outcomes. Nurse leaders are diligently seeking a practice model that has a foundation of engagement of staff in decision making, quality outcomes, competency, evidence-based practice, shared power and job satisfaction. With the Patient Protection and Affordable Care Act (PPACA) of 2010, health care systems can expect an influx of some 30 million more patients (Pfeifer, 2013). In addition, mandated purchase of health care insurance will replace the fee for service model with one that ties payment to outcomes and …

Assessing Provider Adherence To An Emergency Contraception Guideline In Reproductive Age Women, Amber E. Davis

DNP Projects

Purpose: To determine current provider adherence to the 2010 ACOG Emergency Contraception (EC) guidelines, specifically by assessing provider EC counseling with patients at well-woman annual exam visits or during contraceptive counseling visits. A second aim of this study is to identify provider facilitators and barriers of EC discussion with patients.

Methods: Using a retrospective design, 90 medical records of patients presenting to a university clinic within the previous year were reviewed for the discussion of EC during annual exams or contraceptive counseling. Forty-five medical records were reviewed prior to implementation of the Ambulatory Electronic Health Record (AEHR) and forty-five medical …

Routine Versus Ad Hoc Screening For Acute Stress Following Injury: Who Would Benefit And What Are The Opportunities For Prevention, Nathaniel Bell, Boris Sobolev, Stephen Anderson, Robert Hewko, Richard K. Simons

Faculty Publications

BACKGROUND:

Screening for acute stress is not part of routine trauma care owing in part to high variability of acute stress symptoms in identifying later onset of posttraumatic stress disorder (PTSD). The objective of this pilot study was to assess the sensitivity, specificity, and power to predict onset of PTSD symptoms at 1 and 4 months using a routine screening program in comparison to current ad hoc referral practice.

METHODS:

Prospective cross-sectional observational study of a sample of hospitalized trauma patients over a four-month period from a level-I hospital in Canada. Baseline assessments of acute stress (ASD) and subsyndromal ASD …

Implementation Of A Nurse-Initiated Topical Anesthesia Protocol, Jennifer Anderson

Doctor of Nursing Practice (DNP) Practice Innovation Projects

Although topical anesthetics are a safe, effective, and non-invasive alternative to infiltrated anesthesia for laceration repair, their availability to providers continues to limit their use. This practice innovation project developed a protocol for the nurse-initiated anesthesia for patients over one year of age presenting to a critical access hospital emergency department with lacerations. Pre and post implementation chart reviews were utilized to determine the effectiveness of the implementation of this protocol. This project has potential to impact patient pain levels, anxiety, restraint use, total treatment time, and patient satisfaction scores.

Implementing A Screening Pathway For Identifying Patients At Risk For Obstructive Sleep Apnea In Primary Care, Emily Fett

Doctor of Nursing Practice (DNP) Practice Innovation Projects

Obstructive sleep apnea (OSA) is emerging as a significant health problem largely underrecognized by health care providers in the primary care setting (Pagel, 2008). The intent of this practice innovation project was to change and reduce the variation in practice for OSA screening that did not follow what is known about best practices. In this study, a preexperimental one-group pretest-posttest design was carried out to evaluate the outcomes associated with implementing an evidence-based screening pathway into practice for OSA based on the recommendations set forth in a clinical practice guideline recently published by the American Academy of Sleep Medicine (Epstein …

Role Of The "Tobacco Free Teens" Mobile Application In Adolescent Smoking, Juawanna L. Schuller

DNP Projects

Adolescent tobacco use rates have plateaued. Tobacco use education is not mandatory in all states, yet schools remain a good opportunity to reach this population. School nurses should be able to identify components of effective tobacco use prevention education programs and learn to overcome barriers to implementation of these programs. The "Tobacco Free Teens" mobile application is a novel tool that may decrease adolescent tobacco use rates. A pilot study found that the Tobacco Free Teens mobile application was satisfactory to most participants but appealed to girls more than boys. Further research is needed to determine the effectiveness of this …

Editorial: Nurses’ Role In Improving Interdisciplinary Delirium Care In Inpatient Settings: Steps For Action, Annmarie Hosie, Jane Phillips

Nursing Papers and Journal Articles

No abstract provided.

A Transition Program To Primary Health Care For New Graduate Nurses: A Strategy Towards Building A Sustainable Primary Health Care Nurse Workforce?, C Gordon, C Aggar, A Williams, L Walker, S Willcock, J Bloomfield

Nursing Papers and Journal Articles

Background: This debate discusses the potential merits of a New Graduate Nurse Transition to Primary Health Care Program as an untested but potential nursing workforce development and sustainability strategy. Increasingly in Australia, health policy is focusing on the role of general practice and multidisciplinary teams in meeting the service needs of ageing populations in the community. Primary health care nurses who work in general practice are integral members of the multidisciplinary team but this workforce is ageing and predicted to face increasing shortages in the future. At the same time, Australia is currently experiencing a surplus of and a corresponding …

In Children And Elderly Patients, What Are The Effects Of General Anesthesia On Neurological Health Compared With Procedural Sedation?, Taylor G. Caldwell

Theses and Dissertations

Anesthesia has been a necessity in the field of health care since it was discovered in the early to middle 1800s. Before anesthesia, many procedures and surgeries that are now considered an easy fix were life-threatening and patients often chose the inevitable death over the pain of surgery. The idea was stumbled upon when "laughing gas," nitrous oxide, was inhaled and credited in "produc[ing] a state of intoxication during which people became highly amused and insensitive to pain" (Palo Alto, 2013, para. 2). Anesthesia has come an unbelievably long way since the first surgery under anesthesia was performed by Dr. …

An Analysis Of The Cause, Effect & Control Of Hyperlipidemia From A Nursing Perspective, Melissa Rodgers

Theses and Dissertations

Two of the top four causes of death worldwide, heart disease and stroke, are related to hyperlipidemia, elevated cholesterol levels; these two illnesses account for approximately seventeen million deaths each year (World Health Organization, 2014). In order to combat the prevalence of these illnesses, the National Cholesterol Educational Panel has issued guidelines regarding cholesterol management. Extensive research has been published concerning cholesterol management. However, a gap remains between evidenced-based practice and community awareness of this phenomenon. This manuscript compiles research from peer reviewed nursing journals and acclaimed government and national organizations to express the cause, effect, and control of hyperlipidemia …

Preventing And Treating Complications Of Sickle Cell Disease In Pediatric Patients, Keandra S. Ferguson

Theses and Dissertations

Preventing and Treating Complications of Sickle Cell Disease in Pediatric Patients Sickle cell anemia, also known as sickle cell disease, affects over 90,000 people in the United States alone with those of African descent being at greater risk (Dobson & Byrne, 2014). Worldwide, it affects over 30 million people (Khoury, Musallam, Mroueh, & Abboud, 2011). It is usually detected during first year of life. After that, it is a lifelong disease (Hollins et al., 2012). Patients with sickle cell disease in the United States are expected to live until they are approximately 48 years old (BMJ Group, 2011). It is …

Achieving The Next Level In Patient Safety, Geri Schimmel, Yvonne Zawodny, Gina Vogt

All Publications

No abstract provided.

Patient Safety Organization Advances Patient Safety Through Collaboration, Geri Schimmel, Gina Vogt

All Publications

No abstract provided.

คุณลักษณะของโรงพยาบาลรัฐที่น่าอยู่น่าทำงาน สังกัดกระทรวงสาธารณสุข, นงลักษณ์ จิรประภาพงศ์, สุชาดา รัชชุกูล

Journal of Nursing Research, Innovation, and Health

วัตถุประสงค์: เพื่อศึกษาคุณลักษณะของโรงพยาบาลรัฐที่น่าอยู่น่าทํางาน สังกัดกระทรวงสาธารณสุข\n \nรูปแบบการวิจัย: การวิจัยเชิงพรรณนา โดยใช้เทคนิค EDFR\n \nวิธีดําเนินการวิจัย: กลุ่มตัวอย่าง คือ ผู้เชี่ยวชาญจํานวน 24 คน ประกอบด้วย ผู้เชี่ยวชาญกลุ่มผู้บริหาร กระทรวงสาธารณสุข กลุ่มนักวิชาการด้านการศึกษาองค์การ กลุ่มนักบริหารทรัพยากรบุคคล กลุ่ม ผู้บริหารโรงพยาบาล กลุ่มผู้บริหารการพยาบาล และกลุ่มพยาบาลด้านการปฏิบัติการ เครื่องมือที่ใช้ใน การวิจัย รอบแรกเป็นแบบสัมภาษณ์ รอบที่ 2 และรอบที่ 3 เป็นแบบสอบถามคุณลักษณะของ โรงพยาบาลรัฐที่น่าอยู่น่าทํางาน วิเคราะห์ข้อมูลโดยการหาค่ามัธยฐานและค่าพิสัยระหว่างควอไทล์ คัดเลือกคุณลักษณะของโรงพยาบาลรัฐที่น่าอยู่น่าทํางานจากค่าพิสัยที่มีความเห็นสอดคล้องกัน (IR ≤ 1.50) และค่ามัธยฐานที่มีระดับมากขึ้นไป (Median > 3.50)\n \nผลการวิจัย: คุณลักษณะของโรงพยาบาลรัฐที่น่าอยู่น่าทํางาน สังกัดกระทรวงสาธารณสุข ประกอบด้วย คุณลักษณะย่อย 64 ข้อ ซึ่งอยู่ในระดับความสําคัญ มาก ถึง มากที่สุด จําแนกได้เป็น 7 ด้าน ดังนี้ 1) ด้านการบริหารจัดการที่ดี จํานวน 18 ข้อ 2) ด้านการมีความสุขในการทํางานและผูกพันต่อองค์การ ของบุคลากร จํานวน 5 ข้อ 3) ด้านการให้ความสําคัญกับบุคลากร จํานวน 16 ข้อ 4) ด้านการมีภาวะ ผู้นําของผู้บริหาร จํานวน 10 ข้อ 5) ด้านการสื่อสารที่เปิดเผยและชัดเจน จํานวน 5 ข้อ 6) ด้านความ สามารถในการปรับตัวทันต่อการเปลี่ยนแปลง จํานวน 5 ข้อ และ 7) ด้านการดูแลสังคมและสิ่งแวดล้อม จํานวน 5 ข้อ\n \nสรุป: ผลการวิจัยที่ได้สามารถนําไปใช้เป็นแนวทางในการพัฒนาโรงพยาบาลให้น่าอยู่น่าทํางานต่อไป \n

Instilling Diet And Exercise Confidence: Influence Of Nurse Body Size, Erin Murdock Spaulding

Honors Theses and Capstones

This paper reports a research study focused on perspective of nurse body size and how it affects confidence in a nurses’ ability to provide education on diet and exercise. The study followed a descriptive method design guided by a cross-sectional survey with quantitative variables. Results show that there is increased confidence in a nurse’s ability to provide education and influence habits regarding diet and exercise when the nurse role models such behaviors. Other findings presented include respondents’ perception of their body mass index versus their actual body mass index, percentage of respondents with health care conditions related to obesity, and …

A Study To Detect The Presence Of Racial/Ethnic Pay Disparities Among Registered Nurses (Rns) In U.S. Hospitals, Jean M. Moore

Legacy Theses & Dissertations (2009 - 2024)

For this research study, a regression decomposition of hospital RN salaries was conducted to detect the presence of racial/ethnic pay disparities for hospital RNs working in the most populous metropolitan statistical areas in the United States. Regression

A Mixed Methods Study Of Shared Epistemic Agency In Team Projects In An Online Baccalaureate Nursing Course, Suzanne Hayes

Legacy Theses & Dissertations (2009 - 2024)

This study explores the role of instructional design in the development of shared epistemic agency (SEA) when RN to BSN nursing students collaborate to complete a team project in an online course. Paavola & Hakkarainen's (2005) trialogical model of learning is used to design a learning activity where teams create a shared knowledge object, a co-authored patient interprofessional care plan to support group knowledge creation. The study addresses the following research questions:

Los Sistemas De Sa Iud: Una Comparacion Entre Illinois, Ee.Uu. Y Cataluna, Espana (A Comparison Of Healthcare Systems In Illinois, Usa And Catalonia, Spain), Jennifer Boll

Honors Projects

This project focuses on the differences in healthcare systems in Illinois, United States and Catalonia, Spain. The research includes a literature review on the different systems and the fundamental differences in how care is delivered. An investigation of the major differences in the cultural and political approaches to health care and how the systems provide for their patients is part of the study. Another focus is the treatment of Spanish-speaking patients in hospitals in Illinois and also the treatment of patients who speak Castilian (traditional Spanish) in hospitals in Catalan-speaking Barcelona. This comparison displays the importance of language in the …

Evidence-Based Practice In Action: Ensuring Quality Of Pediatric Assessment Frequency, Katelyn Mcdonald

Honors Projects

Optimal head to toe assessment frequency in hospitalized pediatric patients is unknown. Although pediatric patients have many accommodations based on their age, developmental state, and varied needs, healthcare professionals have not published any research regarding the optimal frequency for registered nurses to perform head-to-toe assessments in hospitalized pediatric patients. Healthcare professionals must make decisions based on evidence-based practice. A change in pediatric assessment intervals was proposed at a Midwestern regional medical center. The purpose of this pilot study was to ensure patient safety and staff satisfaction following a policy change in head-to-toe assessment frequency Chart audits were performed on all …

Development Of A Measure Of Nurse Vigilance From The Patient ' S Perspective: A Content Validity Study, Jennifer Boll

Honors Projects

Problem: Since the landmark Institute of Medicine report, To Err is Human, was published in 1999, patient safety has become a major concern in healthcare systems. Although attention is being given to patient safety and preventing patient morbidity and mortality, experts indicate that little progress has been made in decreasing healthcare errors. Vigilance is a phenomenon often identified in the literature as a means to promote patient safety and well-being. Purpose: The aim of this study was to establish content validity in a newly developed instrument designed to measure nurse vigilance from a patient perspective. Method: Generated 130 items and …

School Nurse Job Satisfaction, Provision Of Health Education, And Student Attendence, Molly G. Guenette

Honors Projects

School nurses have a large scope of practice (American Nurses Association [ANA] & National Association of School Nurses [NASN], 2011). However, school administrators often misunderstand, and therefore under appreciate, the school nurses' role (Junious et al., 2004). In addition, few schools meet the 1 :750 nurse to student ratio recommended by the NASN and the ANA (2011); high nurse to student ratios negatively affect school nurses' job satisfaction (Maughn & Adams, 2011). Several studies found that interventions by the school nurse positively impacted students (Bonauito, 2007; Denny et al., 2012), while others have linked the presence of a school nurse …

The “Secret” Impact Of Population Statistics On The Metrics Of Diabetes, Lyndal H. Hunter, Sharon Brownie, Walter F. Robb

School of Nursing & Midwifery, East Africa

The accuracy of disease metrics is dependent on the quality of population-based data. Many diseases, including diabetes, are age and sex dependant. Accurate age- and sexspecific population survey data, population estimates and projections are required to assess the scale and trends in the burden of these diseases. No assessment of the quality of population data being used in the UAE diabetes metrics has been published. We provide insight into the availability and quality of published population data, which is currently being used to inform diabetes research and health services planning in the UAE. We show the absence of credible population-based …