Nursing Commons^™

The Impact Of State Certification Of Community Health Workers On Team Climate Among Registered Nurses In The United States, Mark Siemon, Geoff Shuster, Blake Boursaw

Nursing Faculty Publications and Presentations

A number of states have adopted certification programs for community health workers (CHWs) to improve recognition of CHWs as members of health care teams, increase oversight, and to provide sustainable funding. There has been little research into the impact of state CHW certification on the diffusion and adoption of CHWs into existing health care systems. This study examined the impact of state CHW certification on the perceptions of team climate among registered nurses (RNs) who work with CHWs in states with and without CHW certification programs. The study recruited RNs using a purposeful sampling method and used an online survey, …

Loma Linda Nurse - Vol. 23, No. 01, Loma Linda University School Of Nursing

Loma Linda Nurse

Contents

From the dean

2 | Elizabeth Bossert shares her thoughts

News

4 | New dean continues tradition of strong leadership at LLU School of Nursing

6 | Honoring outgoing dean Marilyn Herrmann

7 | New BS-to-DNP program to begin

8 | First class of CRNA students graduates

9 | Vision 2020 charts future of Loma Linda University Health

10 | School expands to fill West Hall and upgrades skills laboratories

Features

12 | Learning assistance program offers safety net for struggling nursing students

14 Alumni profile: Dexter Emoto honored by grateful patient

15 | Student profile: Christian Rawlon gives …

Medication Reconciliation: A New Role To Decrease Discrepancies, Amanda Fougere, Tracie Heckman Msn, Rn, Cmsrn

Patient Care Services / Nursing

No abstract provided.

A Dual Conversation About Mentoring: Undergraduate Student Faculty Perspectives, Belinda Deal, Jennifer Grimes

Faculty Posters

This poster was presented at the Sigma Theta Tau, Beta Chi Regional Research Conference in Shreveport, LA.

Active Learning And Technology Immersion: Jumping In With Both Feet, Belinda Deal, Jerri L. Post

Faculty Posters

This poster was presented at the Sigma Theta Tau, Beta Chi Regional Research Conference in Shreveport, LA.

The Affordable Care Act And Student Perceptions, Jenifer Chilton, Danice B. Greer, Melinda Hermanns, Colleen Marzilli

Faculty Posters

A poster presented at UT Tyler's Faculty Awards, 2015.

Successful Strategies For Recruiting Minority Participants In Clinical Research, Danice B. Greer

Nursing Faculty Publications and Presentations

This presentation discusses the history of and successful strategies for recruiting minorities in participating in clinical research.

Are We Empowered? A Qualitative Approach To Unfold The Experiences Of Female Nurses In Pakistan, Saleema A. Gulzar, Rozina Karmaliani, Nasreen Lalani, Qurratulain Nasiruddin

School of Nursing & Midwifery

The disparity of men and women in certain societies, such as Pakistan, is a growing concern. The disparity, unchanging mind-set, and definitions rooted in traditions do not free individuals from the socially bound gender identities. In such circumstances, educational institutions can become a way of transforming social structures. Considering female nurses in Pakistan as a case study, this paper explores the notion of “empowerment” and the factors responsible for empowerment or disempowerment of female nurses. The study also evaluates the role of a leading nursing institution in Pakistan namely the Aga Khan University- School of Nursing and Midwifery (AKUSONAM) in …

Knowledge Of Stroke Symptom And Risk Factors And Acculturation Among Cambodian Immigrants Living In Southern California, Samantha N. Sangsanoi-Terkchareon

Dissertations

The purpose of this quantitative study was to describe and examine the relationships between age, gender, educational level, health insurance status, and income to level of acculturation and knowledge of stroke symptom and risk factors recognition among Cambodian immigrants (n=200) living in Southern California. The data were analyzed using Pearson correlation, Kendal Tau, Chi-Square, and multiple regression to the determine relationship between depend and independent variables. The results of this study were that Cambodian participants’ mean age was 46.07 (SD= 17.51), average years of education were 8.95 (SD=5.26) and the mean number of people in each household was …

Promoting Adult Pertussis Vaccination In The Workplace, Jennifer Bainum, Karlen Beth Luthy, Renea L. Beckstrand, Janelle L. B. Macintosh, Lacey M. Eden

Student Works

Vaccines are an important disease prevention strategy among individuals of all age groups. Despite the success of vaccinations in preventing communicable diseases, adults, in particular, often have sub-optimal vaccination rates. Consequently, some vaccine-preventable diseases, such as pertussis, are still on the rise in the United States despite the availability of the Tdap vaccine. As most adults can be found in the workplace, occupational health and environmental health nurses (OHEHNs) are in a unique role to encourage employers to promote adequate Tdap vaccination among their employees. As specific resources regarding Tdap vaccination are lacking, the Pertussis Prevention Toolkit was developed to …

What Will Nursing In Your Organization Look Like In 2020? Strategic Planning To Ignite The Ideal Future State. (Poster), Jacqueline D. Fenicle Rn, Msn, Nea-Bc

Patient Care Services / Nursing

No abstract provided.

Perception Of Cultural Competence In Nurse Practitioners, Carolina G. Huerta, Peter L. Kranz, Janice A. Maville

School of Nursing Faculty Publications

Purpose: Nurse practitioners are at the forefront in providing quality care to diverse populations and must become cognizant of the importance of cultural competence in caring for diverse patients. The purpose of this study was to examine perceptions of cultural competence and its integration in the delivery of health care in nurse practitioners practicing in a Mexican-American region of South Texas.

Methodology: A descriptive, qualitative design using grounded theory and purposive sampling was utilized for this study. Sixteen nurse practitioners, fourteen females and two males, participated in the study. Qualitative data collection was elicited through individual interviews and …

Effect Of Perceived Stress On Cytokine Production In Healthy College Students, Vorachai Sribanditmongkol, Jeremy L. Neal, Laura A. Szalacha, Donna O. Mccarthy

College of Nursing Faculty Research and Publications

Chronic psychological stress impairs antibody synthesis following influenza vaccination. Chronic stress also increases circulating levels of proinflammatory cytokines and glucocorticoids in elders and caregivers, which can impair antibody synthesis. The purpose of this study was to determine whether psychological stress increases ex vivo cytokine production or decreases glucocorticoid sensitivity (GCS) of peripheral blood leukocytes from healthy college students. A convenience sample of Reserve Officer Training Corps (ROTC) students completed the Perceived Stress Scale (PSS). Whole blood was incubated in the presence of influenza vaccine and dexamethasone to evaluate production of interleukin-6 (IL-6), interleukin-1-beta (IL-1β), tumor necrosis factor-alpha (TNF-α), and interferon-gamma …

Comparison Of Nurse Staffing Based On Changes In Unit-Level Workload Associated With Patient Churn, Ronda G. Hughes, Kathleen Bobay, Nicholas A. Jolly, Chrysmarie Suby

College of Nursing Faculty Research and Publications

Aim

This analysis compares the staffing implications of three measures of nurse staffing requirements: midnight census, turnover adjustment based on length of stay, and volume of admissions, discharges and transfers.

Background

Midnight census is commonly used to determine registered nurse staffing. Unit-level workload increases with patient churn, the movement of patients in and out of the nursing unit. Failure to account for patient churn in staffing allocation impacts nurse workload and may result in adverse patient outcomes.

Method(s)

Secondary data analysis of unit-level data from 32 hospitals, where nursing units are grouped into three unit-type categories: intensive care, intermediate care, …

Cannabinoid Hyperemesis Syndrome, Lynn Heise

College of Nursing Faculty Research and Publications

Legalization of marijuana use will increase the number of people who will become long-term users. A prior medical record review study in Australia, in 2004, identified 19 chronic marijuana users who entered the emergency department with recurrent vomiting associated with abdominal pain. Routine treatment of the nausea and vomiting, associated with the chronic marijuana abuse, with antiemetics is ineffective in patients with cannabinoid hyperemesis syndrome. Narcotics do not relieve the abdominal pain but may cause worsening rebound pain. The best treatment of cannabinoid hyperemesis syndrome was found to be abstinence from the recreational use of marijuana. It is important for …

Childhood Type Ii Diabetes: The Risks And Complications, Danielle R. Kapke

Senior Honors Theses

Type II Diabetes Mellitus is an endocrine disorder that affects people of all ages. Type II Diabetes was once considered adult-onset diabetes, as it was nearly exclusively diagnosed in adults. Over the last three decades, the number of children diagnosed with Type II Diabetes has greatly increased. This rapid increase in childhood Type II Diabetes has prompted researchers to investigate why the epidemic exists and what its life-long ramifications may be for those diagnosed. Childhood Type II Diabetes is a heterogeneous disorder, meaning it is caused by both genetic and environmental factors. The incidence of childhood Type II Diabetes can …

Volume 07, Rachel C. Lombardi, Ben Osterhout, Lindsay Graybill, Rebecca E. Dey, Skyler T. Carpenter, Emma Beckett, Jason Ware, Mollie Andrews, James Bates, Landon Cooper, Tiffani Jeffries, Maria Wheaton, Dallas Price, Laura Kahler, Sarah Charlton, Anna Bultrowicz, Emily Spittle, Erin Godwin, Eamon Brokenbrough

Incite: The Journal of Undergraduate Scholarship

Introduction from Interim Dean Dr. Jennifer Apperson

Spatial Analysis of Potential Risk Factors Associated with Addition of Atlantic Coast Pipeline Through Virginia by Rachel C. Lombardi

"Delicate Matters with No Speaking," "Hope and Nothing," "Mono Duality" by Ben Osterhout

"Connect" Graphic Design Senior Project by Lindsay Graybill

Phenolic Acids in Brassicaceae Plants: Ovipositional Stimulants or Deterrents for Cabbage White Butterfly, Pieris Rapae? by Rebecca E. Dey And Skyler T. Carpenter

"Abecedarian Cards" by Emma Beckett, Jason Ware, And Mollie Andrews

Helvetica: A Type Specimen Book by James Bates, Landon Cooper, Tiffani Jeffries, And Maria Wheaton

“Things Left Behind” by Dallas …

Use Of Quick Response Coding To Create Interactive Patient And Provider Resources., Jennifer L. Bellot, Phd, Rn, Cne, Kathryn Shaffer, Edd, Rn, Cne, Mary Wang, Msn, Crnp

College of Nursing Faculty Papers & Presentations

BACKGROUND: Since their creation more than 20 years ago, the proliferation of Quick Response (QR) codes has expanded tremendously. Little was found in the literature to support the innovative use of QR coding in the classroom or in health care provision. Thus, the authors created a doctoral-level practicum experience using QR coding to create interactive, individualized patient or provider resource guides.

METHOD: Short, descriptive surveys were used before and after implementation of the practicum experience to determine students' comfort level using QR technology, their knowledge base, ease of use, and overall satisfaction with the practicum.

RESULTS: Students reported high levels …

Are You Demonstrating The Value Of Caring?, Beth B. Boyd

Nursing Faculty Publications

Are you making a difference? Christian values and caring are at the heart of nursing practice. However, it seems there is little talk about caring values with nursing students, even though nurse educators can share these important messages with their students. Demonstrating compassion and caring in an environment of mutual respect can truly make a difference to future nurses.

Implementation Of Interprofessional Education And Physician Order Set Improves Compliance With Early Recognition And Treatment Of Maternal Sepsis, Lori Susan Olvera

Doctoral Projects

Septic shock is rare in pregnancy; however, sepsis remains an important contributor to maternal mortality. The perinatal patient can appear deceptively well before rapidly deteriorating to septic shock. There is a need for protocols regarding early recognition and management of maternal sepsis. The Surviving Sepsis Campaign developed guidelines to provide guidance for the clinician caring for patients with severe sepsis or septic shock. The purpose of this doctoral project was to evaluate compliance with early goal directed therapy before, during, and following the implementation of a standardized physician order set and interprofessional education for nurses and physicians in the perinatal …

Sexually Transmitted Disease Education And Effects On Condom Use In College Students, Patricia Alvarez

Doctoral Projects

In the United States, nearly 50% of the sexually transmitted diseases (STDs) reported each year occur in adolescents and young adults ages 15-24. An IRB approved, exploratory mix method research study was conducted in a California Community College to investigate participants' opinions on STD education tools, effectiveness, and to rank preferred instructional methods used in 51h-12'h grades. One hundred and thirteen students participated and reported use of variety of educational tools with the lecture technique selected by almost 80% surveyed. Demonstration of condom application had highest percent ranked as number one for the preferred educational tool; yet had the least …

Access To Care Barriers For Native American Veterans, Joanne Kristen Rhoads

Doctoral Projects

There are very few studies that examine Native American Veterans and access to care issues. Therefore, the researchers implemented an exploratory, descriptive, qualitative project to explore and identify the potential barriers that Native American Veterans have experienced with access to healthcare and participation in veteran benefit programs. A purposeful sample consisted of 14 Native veterans from the American Indian Veteran Association who were eligible for veteran services, and were willing to participate in the project. Fieldwork was performed in the natural environment of the Sierra Nevada foothills on the ancestral homeland of a California Tribe. The facilitator utilized a demographic …

Sternal Precautions: Is It Necessary To Restrict Our Patients?, Lauren Belyea

Honors College Theses

This paper is based on the inquiry about the effects of sternal precautions as part of a patient’s recovery following a sternotomy. It is important to explore this because nurses should always be asking themselves “why am I doing what I am doing with my patients?” “Which of my practices are evidence based and which do not have any evidence to support them?” (MeInyk, 2009). If sternal precautions are indeed overly restrictive and preventing patients from achieving the best possible recovery outcomes, it is the job of the nurse and other healthcare providers to make changes to the current practice.

El Rol Del Parto Mapuche En El Mundo De La Medicina Moderna / The Role Of Mapuche Birth In A World Of Modern Medicine, Nita Chai

Independent Study Project (ISP) Collection

Research Question: Is there existing demand for Mapuche birth practices and what are the barriers to incorporating them in the Chilean healthcare system? Objective: Analyze the current role of Mapuche birth practicesby determining what is the demand from the Mapuche for their use, describing the quality of communication between Mapuche women andmodern professionals, and identifying the perspectives of modern professionals on Mapuche birth practices. Background: Childbirth is an integral process for the human race. For many indigenous communities, the arrival of a new life holds cultural significance that is recognized through ceremonies during or after childbirth. Chile has implemented health …

Identification Of Candidate Genes For Psychological Resilience To Develop An Additive Genetic Resilience Index: An Integrative Review, Kosuke Niitsu, Julia F. Houfek

Posters and Presentations: College of Nursing

Problem: Most individuals experience at least one potentially traumatic event (PTE), such as tornado, in their lifetime. When exposed to PTEs, some individuals are more vulnerable to psychopathology, such as Posttraumatic Stress Disorder (PTSD). In contrast, other individuals are better able to cope with PTEs and maintain their psychological health. Such individuals are often described as psychologically resilient. Resilience is heritable, influenced by multiple genes including the Serotonin-Transporter-Linked Polymorphic Region (5-HTTLPR), the most studied candidate gene. Because resilience is polygenic, it is important to consider the influence of multiple genes in addition to 5-HTTLPR when studying the heritable component of …

Diffusion Of Inclusion: Measuring Willingness, Janet A. Levey

Dissertations (1934 -)

The purpose of the study was to: (1) examine psychometric properties of the Willingness to Adopt Inclusive Teaching Strategies (ITSinNE) instrument and (2) measure factors influencing a nurse educator's willingness to adopt inclusive teaching strategies based in universal design for instruction (UDI). Universal design for instruction (UDI) is one approach to facilitate multiple ways of learning and evaluation in various learning environments for all learners; however, it is not well known or researched in nursing education. Diffusion of innovation theory (Rogers, 2003) and universal design for instruction (McGuire & Scott, 2006) provided the theoretical framework for the study. A cross-sectional …

Effect Of An Adaptive Thinking Training Methodology On Critical Thinking Disposition Using Human Patient Simulators: A Catalyst For Preparing Advanced Nursing Students, Robert Joseph Fitkin Jr.

Teaching & Learning Theses & Dissertations

Critical thinking decision making is the foundation for effective, safe, nursing practice. Nurses have to assess patient issues rapidly regardless of whether it is emotional, psychological, or physical, and then sort through "rapid fire" questions resulting in invisible sorting, discerning, and drawing of conclusions. Doing this "invisible sorting" well requires practice. Nursing education provides practice through preceptors or scenarios-driven human patient simulators to practice critical thinking. This study examines Adaptive Thinking Training Methodology with simulation exercises as a possible catalyst for growth in critical thinking disposition, and help in addressing the preparation-practice gap for novice nurses.

A class of advanced …

The Benefits Of Breastfeeding, Helen L. Byers

Senior Honors Theses

It is important to educate women of childbearing age, their families, and society of the benefits that breastfeeding has over bottle-feeding and formula-feeding. The benefits of breastfeeding are in three main categories. First, the developmental, physical, emotional, and spiritual benefits of the baby will be discussed. Then the physical, emotional, and spiritual benefits for the mother will be talked about along with possible contraindications or difficulties. Finally, the financial benefits of breastfeeding over feeding an infant from the bottle will be discussed as it relates to the family and government. The goal is to persuade that breastfeeding is a superior …

Communicating With Patients And Their Families About Palliative And End-Of-Life Care: Comfort And Educational Needs Of Nurses, Cheryl Moir, Renee Roberts, Kim Martz, Judith Perry, Laura J. Tivis

Nursing Faculty Publications and Presentations

Introduction: Effectively discussing palliative care with patients and families requires knowledge and skill. The purpose of this study was to determine perceived needs of inpatient nurses for communicating with patients and families about palliative and end-of-life (EoL) care. Method: A non-experimental design was used. In total, 60 inpatient nurses from one hospital in Idaho completed the End of Life Professional Caregiver Survey (EPCS), which examines three domains: patient and family-centered communication, cultural and ethical values, and effective care delivery. Results: The number of years’ experience nurses had (F(9,131.57)=2.22, p=0.0246; Wilk's ^=0.709) and the unit they worked on (F(6,110)=2.49, p=0.0269; Wilk's …

The Use Of Teamstepps® In The Development And Implementation Of Staff Nurse Councils, Katreena Collette Merrill

Journal of Undergraduate Research

1. TeamSTEPPS training: As a result of this project, 395 number of students received training on TeamSTEPPS. Students created case studies and role play videos about communication in healthcare.
2. In addition to the effect on the senior undergraduate nursing students and family nurse practitioner graduate students, we were able to implement TeamSTEPPS into a new interprofessional education course STDEV 214R.
3. As a result of this project, we were contacted by the Agency for Healthcare Research Quality for an interview on how we have applied TeamSTEPPS. Results of the interview will be posted on the web site in 2015 citing Brigham Young …