Nursing Commons^™

How Women Manage Their Pain Non-Pharmacologically During Labor Outside The Hospital Setting, Sarah Christine Schueler

Research Horizons Day Posters

No abstract provided.

Pain, Agitation, And Delirium In The Intensive Care Unit, Elizabeth A. Bailey, Theresa Harris, Haley Hoy, Sandra Carpenter

Research Horizons Day Posters

No abstract provided.

How Can Utilizing Signage And Technology Help Minimize Interruptions For Postpartum Breastfeeding Mothers?, Mary Owens

Research Horizons Day Posters

No abstract provided.

Exploring The Transition From Hospital To Home In The Older Adult Population, Sharon Coffey

Research Horizons Day Posters

No abstract provided.

Analyzing The Presence Of Bacterial Colonies Within A Neonatal Suctioning Device: The Blue-Bulb Syringe, N. Edward Damron

Research Horizons Day Posters

No abstract provided.

The Effects Of Nutrition And Physical Activity Education On Knowledge And Glycemic Control Among Persons With Type 2 Diabetes, Alexandra Harris

Evidence-Based Practice Project Reports

Diabetes affects millions of people worldwide. Approximately 29.1 million people or 9.3% of the United States population has diabetes (Centers for Disease Control (CDC), 2014). Diabetes was the seventh leading cause of death in the United States in 2010 and is projected by the World Health Organization (WHO) to be the seventh leading cause of death globally by 2030. The purpose of this evidence-based project was to provide nutrition and physical activity education in an effort to improve diabetes knowledge and glycemic control among persons with type 2 diabetes. Hemoglobin A1c levels and Diabetes Knowledge Test scores were compared from …

Factors That Lead To Hospital Readmissions And Interventions That Reduce Them: Moving Toward A Faith Community Nursing Intervention, Deborah J. Ziebarth

International Journal of Faith Community Nursing

Abstract

Hospital readmissions affect over 80 percent of all Medicare enrollees. Hospitals have a responsibility to their Medicare patients to keep them safe after discharge in their homes and communities. With changes in the Medicare reimbursement model, hospitals are examining efficient methods of decreasing avoidable re-admissions. A Faith Community Nurse Transitional Care Program may be just the answer to improve patient’s discharge experience, ensure post-discharge support and reduce re-hospitalization.

Methods

In preparations for testing a Faith Community Nurse Transitional Care Program Model, a systematic integrative review was needed. Using PRISMA, a search was done, inclusion criteria identified, and articles retrieved. …

Examining Faith Community Nurses’ Perception And Utilization Of Electronic Health Records, Carole N. Mattingly, M. Eve Main

International Journal of Faith Community Nursing

Abstract

The purpose of this study is to identify current faith community nurse documentation practices, explore factors impacting intention to adopt electronic health records, and identify perceived barriers and benefits to electronic health record use among faith community nurses practicing in the Midwest. The technology acceptance model is used to examine impact of perceived usefulness and perceived ease of use of electronic health records on intention to adopt.

This study is a quantitative exploratory research study utilizing a cross-sectional researcher-developed 39-item questionnaire. Surveys were distributed by mail and e-mail to faith community nurses practicing in South-Central Indiana and Western Kentucky. …

Practice Matters: Screening And Caring For Those With Hypertension, Dawn M. Garrett Wright, Maria E. Main, Mary L. Branstetter

International Journal of Faith Community Nursing

The purpose of this article is to review best practices for screening and monitoring hypertension for Faith Community Nurses (FCNs). Epidemiological data regarding hypertension will be presented, along with current guidelines for blood pressure monitoring. Information on lifestyle modification and patient education resources is included to assist the FCN to improve service to patients at risk for and with current hypertension.

Does The Addition Of Dexamethasone To Local Anesthetic Used For Peripheral Nerve Block Prolong Analgesia In The Surgical Patient?, Janice M. Oliveira

Nurse Anesthesia Student Capstones

Pain after orthopedic surgery can be intense. Many anesthesia providers and orthopedic surgeons support the use of peripheral nerve blockade to assist in decreasing the amount of pain a patient may experience post operatively. Select medication adjuncts are being added to peripheral nerve blocks to prolong analgesia. The research presented here focuses on the addition of dexamethasone to peripheral nerve blocks to prolong analgesia. Dexamethasone is a synthetic glucocorticoid that acts as an anti-inflammatory. It has been shown to inhibit the release of inflammatory mediators such as, interleukins and cytokines, facilitating the release of anti-inflammatory mediators, decreasing postoperative pain. Recent …

Minimal Opioid Anesthetic In Patient With History Of Substance Abuse: A Case Study, Sarah E. Varney

Nurse Anesthesia Student Capstones

More than half of the population in the United States of America drinks alcohol regularly. Thousands of deaths annually are linked to drug overdoses, and that number continues to rise. Anesthesia professionals can expect to see patients in various levels of substance abuse and recovery during their practice. This case study is presented to discuss a minimal narcotic technique given in a patient with a history of prescription drug abuse, who had been substance free since successfully been through a recovery program years prior.

Detection And Treatment Of Hemorrhage In The Postoperative Patient, Vanessa M. Derosby

Nurse Anesthesia Student Capstones

Hemorrhage is a devastating event that can occur in the perioperative period. It is estimated that 2.35 in 1000 patients will experience hemorrhage associate with surgery. Adverse outcomes affecting patient morbidity, mortality and quality of life are associated with hemorrhage. Timely detection, diagnosis and appropriate intervention in the setting of hemorrhage are imperative to reduce adverse outcomes of shock such as end organ damage, chronic disability or death. Anesthesia practitioners hold the charge of monitoring and managing the patient’s hemodynamic status and play an integral role in the detection and management of the hemorrhaging patient.

Assessment Of The Preoperative Assessment: A Case Study, Steven James Birchenough

Nurse Anesthesia Student Capstones

The geriatric population defined as individuals 65 years of age or older is expected to increase to 20% of the total population by the year 2020. This population currently makes up one-third of the surgical population and is projected to double by 2020. The perioperative risks for this population are also increased and pose significant increases in morbidity and mortality. The need for a detailed preoperative assessment is crucial in any surgical patient. It is increasingly imperative for the geriatric surgical patient as assessment is vital for the surgical team to make decisions regarding the projected necessity, plan and desired …

Religious Spiritual Coping In African American Women With Hypertension, Danice B. Greer

Faculty Posters

This poster was presented at the 28th Annual Southern Nursing Research Society-Enhancing Value-based Care: Generating New Knowledge, The Southern Nursing Research Society, San Antonio, TX, 2014.

Maine's Breastfeeding Gap: How Initiation And Duration Differ By Socioeconomic Status, Zoe Miller

Thinking Matters Symposium Archive

The preventive health benefits of breastfeeding for both mothers and children are widely recognized. Leading health authorities recommend exclusive breastfeeding for the first six months of life.

Though breastfeeding rates in the United States have been increasing for the past decade, significant disparities continue across race and socioeconomic status.

Ouch, That Hurts: Childbirth-Related Pain Management And The Inappropriate Replacement Of Traditional Obstetrical Knowledge In Kumaon, Uttarakhand, India, Sabrina Zionts

Independent Study Project (ISP) Collection

Throughout India, obstetrical knowledge and practice has been developed and passed down by generations of women. In many Indian societies, traditional birth attendants, or dais, remain the gatekeepers of childbirth-related knowledge. Yet with the push towards institutional delivery, traditional knowledge and practices are being increasingly replaced with modern and Western ones. While the trend of hospital deliveries has yielded positive health outcomes, its socio-cultural consequences remain unclear. Situated in Uttarakhand’s Kumaon Himalayas, this study employs a bio-social framework and begins to reveal these consequences. Using labor pain management as an entry point, this study argues that the push towards institutional …

Ua1c11/57 Spring Graduate Hooding Ceremony Photos Part I, Wku Nursing

WKU Administration Documents

Unidentified images from the 2015 Nursing graduate hooding ceremony.

Ua1c11/57 Spring Graduate Hooding Ceremony Photos Part Ii, Wku Nursing

WKU Administration Documents

Unidentified images of the 2015 Nursing graduate hooding ceremony.

Diabetes Distress: Transforming A Practice, Goff M. Jeannie

Doctor of Nursing Practice Scholarly Projects

Diabetes mellitus affects millions of people in the United States, placing them at risk for other disease related complications. This makes the management of diabetes and the prevention of complications an important challenge. The psychological aspect of diabetes care may present a barrier to patients that inhibit them from achieving optimal self-care.

Diabetes distress (DD) is the psychological aspect of diabetes that is specific to the emotional distress caused from living a chronic disease. DD has been linked to poorer self-management behaviors which makes it a significant problem that should be taken into consideration for effective management of the diabetic …

Understanding And Treating Emergence Delirium, Peter Currie

Nurse Anesthesia Student Capstones

This paper examines our current understanding of the phenomena of emergence delirium, which can occur following general anesthesia. Much research has been conducted to elucidate the causative factors of this condition, with findings ranging from anxiety to volatile agents and the neurodevelopment of the brain (Aono, Ueda, & Mamiya, 1997; Kain et al., 2004; McLott, Jurecic, Hemphill, & Dunn, 2013). While much of our understanding of emergence delirium has come from studying children, who are more prone to this condition, we can attempt to learn even more by examining the increased incidence of emergence delirium that occurs in those with …

Childhood Obesity In School-Aged Children: A Public Health Crisis, Carrie St. Hilaire (Class Of 2015)

SHU Undergraduate Works

Childhood obesity is a public and community health problem with real and serious consequences. Public health (school) nurses are in prime positions to advance change by promoting healthy food choices, encouraging an active and healthy lifestyle, and educating children, families, and communities as to the benefits of these choices. Our children are our future, and by making lifestyle changes together we can move forward toward a healthier future for all.

Effectiveness Of Two Various Types Of School-Based Instruction Methods In Relation To Bmi, Physical Activity, And Nutrition Outcomes, Sherri Bakland, Elizabeth Moore-Jones

Graduate Research Projects

No abstract provided.

Effectiveness Of An Observation Unit And Transition Team On Length Of Stay: Before And After Study, Charinette Guerrero, John Rogers, Barratt Schichtel

Graduate Research Projects

There have been many proposed solutions to decrease emergency department (ED) overcrowding and increase the quality of care in this particular population. However, there is little research suggesting the use of combining short-term observational units, as well as transition teams, in order to reduce ED length of stay (LOS) in patients awaiting disposition or inpatient bed assignments.

The purpose of this study is to explore the effect of using short-term observational units and transition teams in order to decrease length of stay in patients originating from the emergency department who are awaiting disposition or inpatient bed assignments.

Breastfeeding Initiation And Continuation By Employment Status Among Korean Women, Yeon Bai, Nam Mi Kang, Jung Eun Lee, Theo Van Achterberg, Taisun Hyun

Department of Nutrition and Food Studies Scholarship and Creative Works

The objective of this study was to examine the factors associated with the initiation and continuation of breastfeeding among Korean women in relation to their employment status. Data were collected using a web-based self-administered questionnaire from 1,031 Korean mothers living in Seoul with babies younger than 24 months. Demographic characteristics, education on breastfeeding, rooming in, breastfeeding during a hospital stay, and breastfeeding knowledge were examined. Multivariate logistic regression analyses were performed to identify factors associated with initiation and continuation at 1, 6 and 12 months according to mothers' employment status. Breastfeeding initiation rates were similar regardless of mothers' employment status. …

Masking Tuberculosis Patients, James Bowen, Austin Greenwood

Graduate Research Projects

Authors proposed a study to determine what effect a non-fit-tested patient-worn surgical mask has on inpatient tuberculosis transmission rates as compared to no mask usage.

An Evaluation Of Patient Satisfaction With Telephone Follow-Up In An Urgent Care, Audia L. Ellis

Doctor of Nursing Practice Scholarly Projects

Telephone follow-up (TFU) is a very valuable innovation. It is a service that is found to be desirable by both patients and health care professionals. It has been utilized successfully in a variety of settings, however, evidence of its use or evaluation of its use in the urgent care setting has not been found. Through evaluation of patient satisfaction (PS) with use of the protocol, new cost and labor effective interventions were constructed and implemented with the goal of meeting patients’ needs.

This study utilized mixed method methodology and employed a descriptive design. Convenience sampling was utilized and a sample …

Clinical Challenges In Isolation Care, Elizabeth L. Beam, Shawn G. Gibbs, Angela L. Hewlett, Peter C. Iwen, Suzanne L. Nuss, Philip W. Smith

Journal Articles: College of Nursing

OVERVIEW: In 2014, the authors published the results of a study investigating nurses' use of personal protective equipment (PPE) in the care of a live simulated patient requiring contact and airborne precautions. The 24 participants were video-recorded as they donned and doffed PPE. Variations in practices that had the potential to cause contamination were noted. In this article, the authors comment on those variations, analyzing each element of proper PPE protocols and examining why the behaviors are a safety concern for the nurse and a potential risk for disease transmission in the hospital or other clinical area. The authors note …

What Do You Want To Eat? A Descriptive Study Of Native Hawaiian And Pacific Islanders' Home Food Environment, Petr Ruda

Theses and Dissertations

Objectives: Home food environments are created when families stock their kitchens with food, which contributes to their dietary patterns and weight management. Native Hawaiians and Pacific Islanders (NPHIs) have a high prevalence of overweight and obesity. A description of their home food environment can help nurses understand NHPIs' dietary patterns. Our purpose was to describe NHPIs' home food environments by analyzing grocery store and restaurant receipts. Design and Sample: This descriptive study used analyzed qualitative and quantitative data from eight NHPI families, collected over an 8-week period. Measures: Grocery store and restaurant receipts were analyzed with descriptive statistics. Families' dietary …

The Stethoscoop, April 2015, Mennonite College Of Nursing

The Stethoscoop

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

Levels Of Empathy In Undergraduate Healthcare Professions Students, Ashley M. Tegge

Honors Projects

Empathy is a central component in effective healthcare provider-patient relationships, yet evidence exists that healthcare professions students lack empathy. A cross-sectional survey was completed to identify whether a relationship exists between empathy levels in baccalaureate nursing, psychology, pre-medical, pre-dental, pre-physical therapy, and pre-occupational therapy majors who have or have not identified a projected specialty within their profession upon entry into practice, and compare these findings. A 28-item questionnaire was completed by a convenience sample of 202 students with declared majors in the healthcare professions of interest. There was no significant difference in empathy levels between students of all majors who …