Nursing Commons^™

Nursing Bedside Swallow Screen: How It Affects Outcome Of Stroke Patients, Honoree Ceballos

All Publications

The assessment of a stroke patient’s ability to swallow plays an important role in the management, recovery and patient outcome in stroke. Nurses in the Neuroscience unit encounter this situation daily in caring for stroke patients. This nursing assessment is integral in providing adequate nursing care to prevent complications such as aspiration pneumonia.

Katherine Kingsley Kinsey, Katherine Kingsley Kinsey, Kelsey Duinkerken

Jefferson Nursing Oral Histories

Dr. Kinsey received her nursing diploma from the Jefferson Hospital School of Nursing in 1963 and later a BS in Education and School Health from Millersville University. She also has a BS in Nursing, Magna Cum Laude, a MS in Nursing in Community Health, and a PhD in Education, all from the University of Pennsylvania. She currently serves as the Nurse Administrator and Principal Investigator for the Philadelphia Nurse-Family Partnership (NFP), the Mabel Morris Family Home Visit Program (MM), and other early childhood initiatives. Previously, Dr. Kinsey was a tenured professor at La Salle University School of Nursing where she …

Mentoring, Job Satisfaction, Job Dissatisfaction, And Organizational Commitment Among Graduate Nurses, Abisola Adeyomibo Santos

Theses & Dissertations

Shortage of bedside nurses has been researched for a long time. Many researchers have referred to different shortage percentages, but the American Nurse Association stated that the shortage of bedside nurses would increase in the range of 29% to 36% by 2020. It is also reported that a large number of newly graduated, newly hired nurses leave within one year as compared to newly hired experienced nurses. The purpose of this correlational study was to evaluate the influence of mentoring, mediating job satisfaction, job dissatisfaction, and, therefore, organizational commitment, on nurses who completed the nurse residency program between January 2010 …

Nutrition For The Primary Prevention And Treatment Of Cardiovascular Disease: A Needs Assessment Of Medical Providers, Rachael T. Skeldon

Nursing Masters

Background: There is conflicting evidence informing the dietary recommendations for cardiovascular disease (CVD) prevention. In addition, there is a lack of education regarding nutrition for medical providers. In order to effect change among the growing population of Americans at risk for CVD, there needs to be a better understanding of the knowledge and attitudes towards nutrition among providers, as well as development and implementation of an educational module with evidence-based research to guide dietary recommendations.

The primary purpose of this study was to evaluate medical providers’ (including nurses, physicians, nurse practitioners, and physician assistants) knowledge and attitudes towards nutrition for …

Educated Birth: Beliefs Vs. Outcomes, Lauren Presley

Human Nutrition and Hospitality Management Undergraduate Honors Theses

“Our infant mortality rate is a national embarrassment.”¹ The words seem shocking and harsh across the headline of a 2014 Washington Post article. The thought of America not only not being the best at something, but falling upsettingly behind, is a foreign concept to many who view America as a nation inferior to none. However, the statistics on infant mortality rate tell the stark truth that of 26 “wealthy” countries, the U.S. ranks last, with a sobering 6.1 deaths per 1,000 live infant births.²

Part of the Healthy People 2020 Objectives is to reduce the rate of infant …

Ua1c11/57 Fall Graduation Photos, Wku Nursing

WKU Administration Documents

Unidentified photos of the fall Nursing graduation. Includes images of Gary Ransdell and David Lee.

Intravenous Acetaminophen Reduces Opioid Use For Postoperative Pain In Obese Patients Undergoing Laparoscopic Cholecystectomy, Kimberly S. Burks

Doctoral Projects

Opioid-induced respiratory depression is categorized as a sentinel event, which is an unanticipated occurrence that may result in severe injury or death. Although the incidence of opioid-induced respiratory depression is 0.2 to 2%, this issue persists as a substantial basis of morbidity and mortality. The obese population has multiple physiologic elements that increase their risk for opioid-induced respiratory depression. This retrospective study examined if intravenous (IV) acetaminophen reduces opioid consumption in the postoperative period in obese patients who underwent a laparoscopic cholecystectomy. Adequately controlled postoperative pain provides for greater patient satisfaction, decreased hospital length of stay (LOS), and reduced costs …

The Role Of Platelets In The Successful Closure Of The Ductus Arteriosus In Premature Infants After Indomethacin Treatment, Joan Heilskov

Nursing Dissertations - Archive

Premature birth (birth before 37 weeks gestation) remain a global problem with negative consequences profundly affecting the infants, their families, and society. Persistent patent ductus arteriosus (PDA) is a significant complication seen in preterm infants. Premature infants with persistent PDAs are at increased risk for morbidity and mortality. Indomethacin is reported to successfully close the PDA in only 20-40 percent of infants whose birth weights are less than 1,000g. Common side effects of Indomethacin include renal dysfunction, gastric perforations, and decreased cerebral blood flow and perfusion. Several studies have shown thrombocytopenia is associated with persistent PDA in premature infants who …

Predictors Of Persistence In Online Graduate Nursing Students, Denise Cauble

Nursing Dissertations - Archive

Persistence is an important measure of success for individual students and institutions of higher learning. The purpose of this study was to explore personal and academic factors that influence persistence in online graduate nursing students. A predictive correlational study design was used. Data were extracted from existing student records in two online graduate programs within a large, urban college of nursing. A sample size of 197 graduate nursing students was selected, 94 who persisted to graduation from their program within 36 months and 103 who did not. Age, gender, race/ethnicity, undergraduate GPA, undergraduate education (BSN or RN-BSN level) were examined …

Enhancement Of Knowledge And Skills Of Community Midwives In Sindh, Pakistan, Sadia Abbas Ali, Arusa Lakhani, Rafat Jan, Shahnaz Shahid, Marina Baig, Farzana Adnan

Journal of Asian Midwives (JAM)

With a maternal mortality rate of 276 deaths per 100,000 live births, Pakistan is one of the countries with a large share in the percentage of world’s maternal mortality. As an intervention for the Millennium Development Goals (MDG) 4 and 5, the World Health Organization (WHO) strongly suggests that skilled care before, during, and after childbirth can save the lives of women and newborn babies. One of the interventions to ensure care to mothers and babies by skilled care providers is the capacity building training of Community Midwives (CMWs) aiming to improve their midwifery competency.

One such training intervention was …

Another Year Over …., Rafat Jan, Edwin Van Teijlingen

Journal of Asian Midwives (JAM)

No abstract provided.

The Effect Of Bereavement Counseling On Women With Psychological Problems Associated With Late Pregnancy Loss, Christy Simpson, Pramila Lee, Jessie Lionel

Journal of Asian Midwives (JAM)

Pregnancy is most often a joyful experience and a woman’s plans and dreams are shattered when the death of an unborn or newborn infant occurs. Studies have reported that these women experience psychological problems such as grief, depression, and anxiety which can be minimized by counselling. Hence, this study was undertaken to assess the effect of bereavement counseling on women with psychological problems associated with pregnancy, focusing on Roy’s adaptation theory. An experimental design, with pre-test and post-test, was used with randomly allocated experimental and control groups. Women were randomly allocated to the experimental and control groups with 45 women …

Conflict Between Paternalism And Autonomy., Amber Hussain Sayani

School of Nursing & Midwifery

In the past, paternalism played an important role in making decisions at the end of life. However, in the modern era its significance has become unpopular as it require physicians to decide what is good or bad for the patient without considering patients wish and interest. This commentary article is based on a case study of a woman whose life was lost due to complications of pregnancy. The paper critically reviews this case study, and attempts to provide a reasonable and systematic framework to make sound decisions in similar cases.

Sleep Disordered Breathing And Pregnancy: Prevalence And Outcomes At Delivery, Ryan Lyle Nations

Dissertations

Introduction
Sleep Disordered Breathing (SDB) during pregnancy is associated with maternal and neonatal morbidity, and in-hospital mortality. A recent prevalence study using the Nationwide Inpatient Sample reported an obstructive sleep apnea (OSA) prevalence of 7.3 per 10,000 in 2013, a rate of 24% per year over the last decade. The rise in prevalence mirrors the rise in obesity. Military Treatment Facilities (MTF) have seen an increase in obesity and related co-morbidities with an unknown prevalence of SDB. Most studies have been conducted in high-risk populations; the general prevalence of SDB and its association with adverse pregnancy outcomes in a military …

Common Factors In Unplanned Cesarean Section, Lauren C. Compton

The Eleanor Mann School of Nursing Undergraduate Honors Theses

Obstetrical delivery by cesarean section is a prevalent form of delivery. Whether clinically indicated or by maternal request, cesarean delivery rates in the United States have risen to account for over a third of all deliveries. Cesarean section procedures are often clinically indicated and occur because of fetal factors, but they can also be elected by maternal request. The aims of this study are to analyze the frequency of the factors in the study questions that are associated with unplanned cesarean section procedures and to compare the frequency of these factors per cesarean section with the time of day the …

Identifiable Risk Factors Associated With Congestive Heart Failure Hospital Readmissions, Kimberly M. Snyder

The Eleanor Mann School of Nursing Undergraduate Honors Theses

It is important to analyze patterns of risk factors associated with congestive heart failure (CHF) readmission rates. Today, if a CHF patient is readmitted within 30 days of their initial discharge the hospital will not be reimbursed for the stay. The aims of this study are to see if there is an association between patients readmitted within 30, 60, and 90 days of the initial discharge and to identify patterns of risk factors associated with CHF readmissions. A search of the CINAHL research database was conducted, using the key words “heart failure”, “signs and symptoms”, “readmission rates” and “comorbidities”. The …

An Exploration Of Nurse Adherence To Ventilator-Associated Pneumonia Bundle Interventions: A Quantitative Study, Alexis Luna

Senior Theses

Ventilator-associated pneumonia (VAP) poses a significant health risk to patients on mechanical ventilation in hospital intensive care units (ICU). It is the responsibility of the nurse to implement VAP bundle interventions to decrease the prevalence of VAP in mechanically ventilated patients. The objective of the study was to measure nurse perception of adherence to VAP bundle interventions of oral hygiene, head-of-bed elevation, spontaneous breathing trials, daily sedation vacations, and peptic ulcer and deep vein thrombosis prophylaxis. A descriptive study involving a sample population of 28 ICU nurses at 3 hospitals in northern California was conducted. A 57-item questionnaire was developed …

Knowledge, Intake, And Willingness To Consume Fruits And Vegetables Of Children Located In A Food Desert Versus A Non-Food Desert, Brittany A. Pierce

The Eleanor Mann School of Nursing Undergraduate Honors Theses

The United States Department of Agriculture (USDA) defines a food desert as “urban neighborhoods and rural towns without ready access to fresh, healthy, and affordable foods” (“Food Deserts”, 2014). The purpose of this study was to determine the differences between knowledge, intake, and willingness to consume fruits and vegetables between students going to school in a food desert and students not going to school in a food desert. This study was conducted by showing students picture cards to determine knowledge of fruits and vegetables, surveying students to determine intake of fruits and vegetables, and food sampling to determine wiliness to …

Assessing The Need For A New Oral Care Protocol In The Non-Ventilated Patient Population, Talia J. Johnson

The Eleanor Mann School of Nursing Undergraduate Honors Theses

Abstract

Purpose: Nonventilator-associated hospital acquired pneumonia is a nosocomial infection that has not been heavily researched. With hospital-acquired pneumonia accounting for some of the most frequent nosocomial infections in the United States, it is important to determine ways to decrease rates of infection. The purpose of this study was to determine the rate of nonventilator-associated pneumonia in a hospital patient population, to determine charting compliance of nurses, and to determine whether there was a need for a new oral care protocol.

Design: A retrospective electronic record review was performed to determine the rate of nonventilator- associated hospital acquired …

The Impact Of Breastfeeding Education: A Retrospective Look At Breastfeeding Education And Breastfeeding Rates, Hannah Newell

The Eleanor Mann School of Nursing Undergraduate Honors Theses

Breastfeeding is associated with improved health outcomes for both mother and child. Not only does it provide optimal nutrition for the infant, it also encourages an intimate maternal-infant bonding experience that establishes the basis for parenting and interaction. Major medical organizations including the Surgeon General’s Healthy People 2020 have an aim of increasing the number of women who initiate breastfeeding, and a recommendation of exclusive breastfeeding for the first six months and continued breastfeeding for at least one year. While most women are aware that breastfeeding is the best source of nutrition for infants, they often lack knowledge regarding the …

Visible Tattoos And Professional Nursing Characteristics: A Study On How Appearance Affects The Perception Of Essential Qualities Of Nurses, Darcy M. Boultinghouse

The Eleanor Mann School of Nursing Undergraduate Honors Theses

Previous studies have indicated that nurses with tattoos are viewed less favorably than nurses without tattoos, regardless of gender. Additionally, older adults are more likely to negatively evaluate nurses with tattoos than young adults. Images of male and female nurses with and without tattoos were shown to 128 participants between the ages of 18-80 years on an iPad. Participants selected according to gender which nurse possessed more of the following professional characteristics based on their initial impression of their physical traits, or selected no difference: respectfulness, kindness, trustworthiness, intelligence and competence. The study showed that male nurses with tattoos were …

Community-Based Participatory Research To Improve Early Detection And Treatment Of Hypertension In A Suburban Community In Thailand, Chuncharaporn Sinsiri

Dissertations and Theses (Open Access)

Communities have a significant role in working with health personnel to detect new and previously diagnosed cases of high blood pressure during community BP screening programs. In Thailand there are many people with elevated BP who do not access care. The purpose of this Community-Based Participatory Research (CBPR) was to build a community partnership following the CBPR approach to develop a health program to improve early detection and treatment of hypertension. Three specific aims were: Aim 1. Using CBPR principles, describe the process of building a community partnership to develop a community health program to improve early detection and treatment …

News & Events

Journal of Asian Midwives (JAM)

No abstract provided.

Knowledge And Perceptions Regarding Sexual And Reproductive Health Among High School Students In Kathmandu, Nepal, Magdalena Mattebo, Rebecka Elfstrand, Ulrika Karlsson, Kerstin Erlandsson

Journal of Asian Midwives (JAM)

Background: Nepal recently began teaching sexual education in the school system and has established youth friendly services in order to meet the need of increased sexual and reproductive knowledge among the youth.
Objective: To examine the sexual and reproductive knowledge and perceptions among young people attending schools in Kathmandu.
Method: A written questionnaire was distributed to 160 students, in a classroom environment, in four schools in Kathmandu.
Results: Two thirds of the females and nearly 60% of the males knew that it was possible to get sexually transmitted infection (STI) during one sexual encounter and more than half of the …

International Cooperation: Strengthening Midwifery In Central Asia, Meike Kolfenbach, Karen Birdsall

Journal of Asian Midwives (JAM)

Even 25 years after their independence, the Central Asian States (Kyrgyzstan / Tajikistan / Uzbekistan) are facing enormous challenges in the health system. Several years ago it became obvious that the MDG 4 and 5 would not be fully achieved. This led to an increased support of the health systems of the concerned countries by Germany’s International Cooperation. The GIZ Regional Health Programme in Central Asia placed great emphasis upon increasing the number of births attended by health professionals, including midwives. The strengthening of midwifery as a model of a sustainable maternal and child health relies on a broad based …

Community Based Midwives Practice In Patriarchal Social System, Yasmeen Jan Mohammad, Rafat Jan

Journal of Asian Midwives (JAM)

It is well accepted globally, that midwives can save the lives of mothers and their new-born successfully, if the community stakeholders provide support and freedom for full scope of practice. Recognising this many countries deploy midwives in the community as an intervention to achieve the MDGs (Millennium Development Goals) 4 and 5 targets set for decreasing maternal and neonatal mortality, respectively.

However, high-income countries’ reports show very good results, in achieving MDGs 4 and 5 while the low-income countries lag behind in this regard. The situation in high-income and low-income countries is different because midwives practising in the community in …

An Evidence Based Approach To Sepsis: Educational Program, Dolores Perez

UNLV Theses, Dissertations, Professional Papers, and Capstones

Evidence-based guidelines for recognizing and treating sepsis have been available for decades, yet healthcare providers do not adhere to the recommendations. Sepsis can progress rapidly if not recognized early. Literature reports reveal that sepsis is the leading cause of death in non-cardiac intensive care units (ICUs), and it is one of the most expensive conditions to treat. A hospital in the Las Vegas, Nevada area had previously introduced sepsis management prescriptions in 2011 with no formal education of sepsis guidelines to nurses. The original hospital’s sepsis management prescription sets followed guidelines dated 2008. The purpose of this project was to …

The Lived Experience Of Registered Nurses With Substance Use Disorder Who Complete An Alternative To Discipline Program Through A State Board Of Nursing, Susan Melanie Ervin

UNLV Theses, Dissertations, Professional Papers, and Capstones

Substance use disorder, defined as the misuse of drugs and/or alcohol, is a major health problem in the United States. Health care providers, including nurses, are at risk for this disorder. Risk factors for substance use disorder (SUD) in nurses include social factors such as family history of the disorder and biological factors such as genetic predisposition. Specific risk factors for nurses include easy access to controlled substances (such as opiates), stressful work environments, the belief that substance use assists with coping and a lack of education related to substance use disorder.

Substance use disorder in nurses is a significant …

The Rates Of Mothers Who Continually Breastfeed After Implemented Breastfeeding Teaching, Katherine L. Moore

The Eleanor Mann School of Nursing Undergraduate Honors Theses

Many mothers are unaware of the benefits of breastfeeding. This lack of knowledge leads to an inability to weigh the advantages and disadvantages of the potential source of nutrition their infant will receive during his or her first months of life. Many mothers never even attempt to breastfeed their infant. Even among the mothers who do initially choose to breastfeed, the majority deviate to other forms of feeding early in the postpartum period. Despite the fact that most major medical organizations encourage exclusive breastfeeding through the first six months of an infant’s life, the CDC report for 2013 claims the …

Problem Solving Skill And Obesity In Children, Caitlin R. Spano

The Eleanor Mann School of Nursing Undergraduate Honors Theses

Abstract:

Introduction: Childhood obesity is a problem that leads to many serious health effects including early maturation, decreased quality of life and increased risk for cardiovascular disease. In 2012, over one third of children were considered obese (Childhood Obesity Facts 2015). Efforts have been made to reduce this number but they have not been fully successful (Nutrition Standards for School Meals 2015, Prevalence of Childhood obesity in the United States 2011-2012 2015). What other factors are causing kids to choose foods that lead to weight gain.

Literature Review: In research regarding psychological motivations of overeating, there has been a correlation …