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2016

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Articles 1081 - 1110 of 1615

Full-Text Articles in Nursing

Best Practice For Core Charge Nurse Orientation And Leadership Development, Melissa Fradette Jan 2016

Best Practice For Core Charge Nurse Orientation And Leadership Development, Melissa Fradette

Nursing Posters

Purpose Statement: Develop and implement evidence based, standardized orientation and leadership development for core charge nurses (CCN) compared to current unit-based orientation which has inconsistent content and structure.


Heart Huddle: Increasing Cohesiveness In Ccu And Cvtu, Ashley Douvier Jan 2016

Heart Huddle: Increasing Cohesiveness In Ccu And Cvtu, Ashley Douvier

Nursing Posters

The American Association of Critical Care Nurses identifies six standards for a healthy work environment, two of which are skilled communication and true collaboration. CCU and CVTU are two separate units staffed by one Charge RN. A need to improve communication and collaboration has existed throughout both units. Thus, Heart Huddle has been developed. The objective of Heart Huddle is to bring cohesiveness to CCU and CVTU through improving communication and collaboration, which is imperative to a healthy work environment.


Finding The Missing Pieces: Comprehensive Cerebellar Assessments With Cytarabine Administration, Tara Hinnenkamp Jan 2016

Finding The Missing Pieces: Comprehensive Cerebellar Assessments With Cytarabine Administration, Tara Hinnenkamp

Nursing Posters

A study conducted at the University of Maryland Greenebaum Cancer Center found that one in four nurses felt there were widespread inconsistencies with cerebellar assessments. One of every two nurses felt the current assessment was incomplete and the patient may be suffering as a result. Nurses need to have the means to accurately and consistently assess and document neurological changes noted with Cytarabine administration.


Improving Bedside Ecg Monitoring In Telemetry, Teresa Jahn, Jennifer Lang, Jaclyn Hoppe Jan 2016

Improving Bedside Ecg Monitoring In Telemetry, Teresa Jahn, Jennifer Lang, Jaclyn Hoppe

Nursing Posters

To improve accuracy of bedside ECG (EASI lead) monitoring through accurate placement of electrodes and proper skin preparation.


Etc Code Stroke Improvement, Melissa Fradette, Jessica Miller Jan 2016

Etc Code Stroke Improvement, Melissa Fradette, Jessica Miller

Nursing Posters

There was a 42% increase in median times for patients receiving alteplase (tPA) within 60 minutes from 48 minutes in Q3FY13 to 68 minutes in Q1FY15. Research indicates every 15 minute delay in stroke treatment, the odds of good outcome decreased by 10%. During two day rapid improvement event team members and content experts used process mapping to identify waste in current state ETC Code Stroke process and determine countermeasures to eliminate waste and improve throughout.


Improving Transitions Of Care For Newborns Requiring Home Phototherapy Through Innovation & Collaboration, Carla Bieniek, Kristi Patterson Jan 2016

Improving Transitions Of Care For Newborns Requiring Home Phototherapy Through Innovation & Collaboration, Carla Bieniek, Kristi Patterson

Nursing Posters

Improve transitions of care for newborns requiring home phototherapy by providing skilled nursing services through Home Care and changing the phototherapy modality from the BiliBed to the BiliSoft which provides more intense home phototherapy & is easier to administer.


Inpatient Rehabilitation Performance Improvement: Skin Care And Guidelines, Golden Fisk Jan 2016

Inpatient Rehabilitation Performance Improvement: Skin Care And Guidelines, Golden Fisk

Nursing Posters

To improve skin integrity care as well as use of hospital policies and guidelines within Inpatient Rehabilitation.


Integrative Therapy Program: Evaluation And Implementation Of Aromatherapy In An Inpatient Setting, Wendy Wheeler Jan 2016

Integrative Therapy Program: Evaluation And Implementation Of Aromatherapy In An Inpatient Setting, Wendy Wheeler

Nursing Posters

Purpose Statement: The purpose of this project is to implement integrative therapies, such as aromatherapy, in addition to current nursing interventions. Goal is to improve patient experience and outcomes and enhance the patient/nurse relationship.


Mindfulness Program At Work, Chelsie Bakken, Kathleen Mahon, Kristi Patterson Jan 2016

Mindfulness Program At Work, Chelsie Bakken, Kathleen Mahon, Kristi Patterson

Nursing Posters

Develop and implement a mindfulness based stress reduction program that is easily accessible, effective, and utilized by staff to improve care quality and positively affect the wellbeing of CCH employees.


Moving Weekly Team Conference To Bedside, Joyce Belanger Jan 2016

Moving Weekly Team Conference To Bedside, Joyce Belanger

Nursing Posters

CMS has specific requirements for all Inpatient Rehab Facilities. Weekly team conferences on the patients is one of the requirements. Team members required are Dr, LSW, PT, OT, SLP and RN. Our Practice Nurse (RN) attended conferences, as she has working knowledge of the patient. Our challenge was to get the bedside nurse, instead of the practice nurse, to attend the weekly conference.


National Database Of Nursing Quality Indicators, May Schomer Jan 2016

National Database Of Nursing Quality Indicators, May Schomer

Nursing Posters

National Database of Nursing Quality Indicators (NDNQI) was launched by American Nursing Association (ANA) in 1998, with an initial set of ten quality indicators that assessed the quality of patient care. The continued mission of the NDNQI's is to improve patient care and safety by providing evidence based national research to nurses by comparing nursing care data and the connection this data has on patient outcomes. A relationship between patient outcomes and nurse staffing practices was noted, but further data collection was needed to appraise the quality of nursing care on each hospital unit in order to assess, evaluate and …


Optimal Perioperative Management Of The Geriatric Patient, Sherry Sonsalla Jan 2016

Optimal Perioperative Management Of The Geriatric Patient, Sherry Sonsalla

Nursing Posters

Purpose: Review best practice guidelines, perform a gap analysis, and provide recommendations for areas of opportunity for geriatric surgical patients.


Reducing Overnight Vital Signs, Jill Libbesmeier Jan 2016

Reducing Overnight Vital Signs, Jill Libbesmeier

Nursing Posters

As delirium has been identified to increase functional decline, cost per patient day of hospitalization, and length of stay, previous delirium work has been completed at St. Cloud Hospital. Changes in sleep pattern and sleep environment have been identified as a cause of delirium. The purpose of this project is to change frequency of vital signs on Med 1, Med 2, and Medical and Oncology, allowing for increased uninterrupted periods of sleep to help reduce delirium rates; in turn reducing average length and cost of stay.


Protecting Patients From Hospital-Acquired Infections, Ann Backes Jan 2016

Protecting Patients From Hospital-Acquired Infections, Ann Backes

Nursing Posters

Goal: Implement chlorohexidine (CHG) bathing for patients on the Medical and Oncology Unit with a central venous catheter and/or urinary catheter in addition to existing prevention measures to reduce catheter associated urinary tract infections (CAUTIs) and central line associated bloodstream infections (CLABSIs), because increases in CAUTIs and CLABSIs were seen despite various unit and hospital prevention strategies in place.


Opening An Observation Unit, Emily Zempel Jan 2016

Opening An Observation Unit, Emily Zempel

Nursing Posters

The definition, benefits, and structure of an observation unit within a hospital.


Sep-1: Early Management Bundle, Severe Sepsis/Septic Shock, Roberta Basol, Jennifer Burris Jan 2016

Sep-1: Early Management Bundle, Severe Sepsis/Septic Shock, Roberta Basol, Jennifer Burris

Nursing Posters

To educate, monitor, and improve the sepsis core measure SEP-1 results required by CMS.


Reduction Of Cesarean Section Surgical Site Infections (Ssi): Progression And Implementation Of Evidence Based Practice, Patricia Dumonceaux, Melissa Erickson, Kim Schuster, Elizabeth Kiffmeyer Jan 2016

Reduction Of Cesarean Section Surgical Site Infections (Ssi): Progression And Implementation Of Evidence Based Practice, Patricia Dumonceaux, Melissa Erickson, Kim Schuster, Elizabeth Kiffmeyer

Nursing Posters

To improve cesarean section patient experience by reduction of postoperative SSI.


An Exploratory Study Of Patient Falls, Jeffrey A. Coto, Coleen Wilder Jan 2016

An Exploratory Study Of Patient Falls, Jeffrey A. Coto, Coleen Wilder

Nursing and Health Professions Faculty Presentations

Debate continues between the contribution of education level and clinical expertise in the nursing practice environment. Research suggests a link between Baccalaureate of Science in Nursing (BSN) nurses and positive patient outcomes such as lower mortality, decreased falls, and fewer medication errors. Purpose: To examine if there a negative correlation between patient falls and the level of nurse education at an urban hospital located in Midwest Illinois during the years 2010-2014? Methods: A retrospective crosssectional cohort analysis was conducted using data from the National Database of Nursing Quality Indicators (NDNQI) from the years 2010-2014. Sample: Inpatients aged ≥ 18 years …


Starting Your Own Primary Care Np Pratice--Lessons Learned, Laura Markwick Jan 2016

Starting Your Own Primary Care Np Pratice--Lessons Learned, Laura Markwick

Nursing Faculty/Staff Publications

The recently passed Modernization Act in New York (NY) eliminates the mandatory collaborative physician requirement for nurse practitioners (NPs) with 3600 hours of experience. Although NPs must provide referral sources upon request, the new law eliminates the barrier of filing written signed agreements. These changes could facilitate the process for NPs to start their own practice. This article provides some insight into this process from the lens on one who started a primary care FNP practice in Western New York (WNY), including barriers encountered and lessons learned.


Teaching Strategies To Prepare Prelicensure Nursing Students To Teach-Back, Mariann Kerr Jan 2016

Teaching Strategies To Prepare Prelicensure Nursing Students To Teach-Back, Mariann Kerr

Student Theses, Dissertations and Capstones

Background: Prelicensure nursing programs prepare generalists with essential knowledge, skills, and attitudes to practice in complex health care environments. Nurse educators determine which teaching strategies will best prepare the nurse generalist. Purpose: The purpose of this study was to determine the effectiveness of a teaching plan that combined the strategies of pretest/posttest, classroom activities, and a problem-based learning activity: a clinical immersion experience. The skill of "teach-back" was taught and evaluated. Theoretical framework: Two theories guided the teaching plan for this research. Adult learning theory (Knowles, 1975, 1980, 2012) addressed how and why adults learn, and social cognitive theory (Bandura, …


Qualitative Descriptive Study Of The Experiences Of Nurse Educators In Developing And Implementing Concurrent Enrollment Adn-Bsn Programs, Janice Evans Hawkins Jan 2016

Qualitative Descriptive Study Of The Experiences Of Nurse Educators In Developing And Implementing Concurrent Enrollment Adn-Bsn Programs, Janice Evans Hawkins

Student Theses, Dissertations and Capstones

Nursing leaders have called for more bachelor-of-science-in-nursing-(BSN)-prepared nurses to meet workforce demands. There is limited capacity in BSN programs to meet the projected demand. Currently, associate degree in nursing (ADN) programs produce the majority of registered nurses. To increase the number of BSN graduates, nurse educators recommend innovative educational models for seamless progression from the ADN to the BSN. Concurrent enrollment ADN-BSN programs offer one potential model to produce more BSN graduates. The purpose of this study was to describe the process of developing and implementing concurrent enrollment ADN-BSN programs. The research question was as follows: What is the experience …


Predictive Factors Impacting Intent To Stay Teaching For Associate Degree Adjunct Clinical Nurse Faculty, Julie Ann Woodworth Jan 2016

Predictive Factors Impacting Intent To Stay Teaching For Associate Degree Adjunct Clinical Nurse Faculty, Julie Ann Woodworth

Student Theses, Dissertations and Capstones

Background: The full-time nurse faculty shortage has resulted in nursing programs employing adjunct nursing faculty heavily into the clinical teaching component to fill the gap. Many adjunct faculty members continue to teach semester after semester; however, there is a lack of evidence to support the predictive factors that facilitate intent to stay teaching. Purpose: The purpose of this study was to better understand predictors of intent to stay teaching for associate degree (AD) adjunct clinical nurse faculty. Theoretical Framework: Frederick Herzberg’s two-factor motivator-hygiene theory (1959) was utilized as a foundation to explore the factors that impact intent to stay teaching. …


Emotional Intelligence And Empathy Of Nursing Students In An Immersive Capstone Clinical Course, Michelle L. Finch Jan 2016

Emotional Intelligence And Empathy Of Nursing Students In An Immersive Capstone Clinical Course, Michelle L. Finch

Student Theses, Dissertations and Capstones

Background. Today’s baccalaureate nursing students need to be prepared to care for patients in an ever-changing, high acuity environment. Many programs offer a capstone immersive clinical experience. However, the benefits of this experience have not been fully explored, and the effect on patient care is unknown. Purpose. The purpose of the study was to determine if there was a change in levels of Emotional Intelligence (EI) and empathy in senior students who completed a capstone immersive clinical experience in the final semester of a baccalaureate nursing program. Theoretical Framework. The theoretical framework for this study was the Mayer and Salovey’s …


Influence Of Academic Self-Efficacy On The Early Academic Success Of Underrepresented Minority Nursing Students Enrolled In The First Semester Of A Baccalaureate Nursing Program, Connie Hataway Jan 2016

Influence Of Academic Self-Efficacy On The Early Academic Success Of Underrepresented Minority Nursing Students Enrolled In The First Semester Of A Baccalaureate Nursing Program, Connie Hataway

Student Theses, Dissertations and Capstones

The identification of reliable predictors of early academic achievement is imperative for the retention and graduation of all nursing students, and particularly underrepresented minority (URM) students. Students with a high sense of academic self-efficacy exhibit greater persistence and interest in their academic performance, a premise that led to this investigation of self-efficacy as a variable affecting early academic success among baccalaureate nursing students. The purpose of this study was to (a) to determine if a significant relationship existed between academic self-efficacy and successful progression for first semester baccalaureate nursing students in general and URM students specifically, (b) determine the predictive …


Initiating A Perinatal Depression Screening Protocol In A Community-Based Hospital, Mari Seidu Jan 2016

Initiating A Perinatal Depression Screening Protocol In A Community-Based Hospital, Mari Seidu

Student Theses, Dissertations and Capstones

Background: According to the World Health Organization (WHO), perinatal depression (PD) is the most common childbirth complication. About 10% of pregnant women and about 13% of postpartum women experience a mental health disorder, primarily depression (WHO, 2016). One of the WHO (2015 a) goals for maternal mental health includes providing strategies for the promotion of psychosocial well-being and prevention of mental disorders of mothers during and after delivery. Purpose: The purpose of this performance improvement project was to establish a perinatal depression risk screening protocol and improve nursing knowledge on PD at a community-based hospital in Miami. Theoretical Framework: Beck’s …


Decreased Interleukin-4 Release From The Neurons Of The Locus Coeruleus In Response To Immobilization Stress, Hyun-Ju Lee, Hyun-Jung Park, Angela Starkweather, Kyungeh An, Insop Shim Jan 2016

Decreased Interleukin-4 Release From The Neurons Of The Locus Coeruleus In Response To Immobilization Stress, Hyun-Ju Lee, Hyun-Jung Park, Angela Starkweather, Kyungeh An, Insop Shim

School of Nursing Publications

It has been demonstrated that immobilization (IMO) stress affects neuroimmune systems followed by alterations of physiology and behavior. Interleukin-4 (IL-4), an anti-inflammatory cytokine, is known to regulate inflammation caused by immune challenge but the effect of IMO on modulation of IL-4 expression in the brain has not been assessed yet. Here, it was demonstrated that IL-4 was produced by noradrenergic neurons in the locus coeruleus (LC) of the brain and release of IL-4 was reduced in response to IMO. It was observed that IMO groups were more anxious than nontreated groups. Acute IMO (2 h/day, once) stimulated secretion of plasma …


Self-Regulated Learning Prompts In The Enhancement Of Critical Thinking Skills, Patricia A. Pawlak Jan 2016

Self-Regulated Learning Prompts In The Enhancement Of Critical Thinking Skills, Patricia A. Pawlak

ETD Archive

Critical thinking has been recognized as an essential concept in nursing curricula, as well as an important outcome for nursing students. The process of journaling has been used as an educational tool within nursing education to evaluate the critical thinking skills in nursing students. Despite its vigorous use, there is no specific format or conceptual model that is used consistently in nursing education to guide the journaling process or to evaluate if critical thinking is or has indeed occurred. This study will introduce the concept of using self-regulated learning (SRL) theory to prompt Basic BSN students in the development of …


Rural India Women's Perception Of Health, Kaye Wilson-Anderson Jan 2016

Rural India Women's Perception Of Health, Kaye Wilson-Anderson

Faculty Publications - College of Nursing

This qualitative, descriptive, phenomenological study explored how southern, rural women in India ( N = 14) view health, how they learned about health, and what health education they desired. Health education classes were offered, based on participants’ responses. Recommendations are offered for a best practice model that could potentially enhance the efforts of non-Indian nurses desiring to assist impoverished women and families in India.


Simulation As Staff Development For Competency In Nursing Care Of Patients With Chest Tubes, Jennifer Dent Jan 2016

Simulation As Staff Development For Competency In Nursing Care Of Patients With Chest Tubes, Jennifer Dent

Doctor of Nursing Practice Projects

There is an estimated 98,000 to 400,000 hospital errors that result in patient harm or death annually (David, Gunnarsson, Waters, Horblyuk and Kaplan, 2013; James 2013). As a member of the health care team nurses coordinate and provide continual care to the hospitalized patient (American Association of Colleges of Nursing, 2011; Parker, 2014). Patient safety is promoted when nurses are competent in their knowledge, skills, attitude, and performance related to evidence-based practice, protocols, and standards of care (; American Nurses Association, n.d; Schroeter, 2009). The purpose of this evidence-based project was to promote patent safety by developing and maintaining competency …


Implementation Of Community-Based Education To Promote Colorectal Cancer Knowledge And Screening Rates, Marsha Woodall Jan 2016

Implementation Of Community-Based Education To Promote Colorectal Cancer Knowledge And Screening Rates, Marsha Woodall

Doctor of Nursing Practice Projects

Colorectal cancer (CRC) is the third most commonly diagnosed cancer and the second-leading cause of cancer death for both men and women in Kentucky and in the US. Although early detection and diagnosis greatly affect survival rates, only about half (58.2%) of the US population participates in screening (Screening Rates, 2016). Two of the previously reported barriers with colorectal cancer screening are provider neglect to fully educate patients on the need for screening and patient compliance with screening recommendations. The purpose of this capstone project was to implement community-based CRC education and screening. Watson’s Human Caring Theory and Prochaska and …