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2016

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Articles 1111 - 1140 of 1615

Full-Text Articles in Nursing

Zika Virus, Abigail Hanneken Jan 2016

Zika Virus, Abigail Hanneken

Nursing Student Class Projects (Formerly MSN)

Zika virus (ZIKV) is a member of the Spondweni serocomplex within the genus Flavivovirus, family flaviviridae (Weaver et. al, 2012). ZIKV is related to dengue, West Nile, and yellow fever viruses (Lazear et. al, 2016). ZIKV was first discovered in Uganda, but since then outbreaks have been reported in Africa and Southeast Asia. In May 2015, the Pan American Health Organization (PAHO) issued an alert regarding the first confirmed Zika virus infection in Brazil, where it began to rapidly spread throughout the region (CDC, 2016). Recently, the World Health Organization (WHO) declared the ongoing outbreak of Zika virus and associated …

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Sepsis In The Intensive Care Setting, Katie Mojzisik Jan 2016

Sepsis In The Intensive Care Setting, Katie Mojzisik

Nursing Student Class Projects (Formerly MSN)

Sepsis is a complex systemic illness. According to Kruse et al. (2016), neutropenic sepsis is a frequent complication in cancer patients. Although the underlying disease is curable, once transferred to the ICU with sepsis these patients have poor outcomes. • Patients who develop sepsis are commonly admitted to an Intensive Care Unit. Working on the Medical Intensive Care Unit (JMICU) at the James Cancer Hospital, one sees septic cancer patients often. This cancer diagnosis places patients at a higher risk of developing sepsis. Some patients also have a high risk due to decreased immunity from chemotherapy treatments. Oncology patients can …

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Pathophysiology Of Sepsis Associated Acute Kidney Injury, Amanda M. Urban Jan 2016

Pathophysiology Of Sepsis Associated Acute Kidney Injury, Amanda M. Urban

Nursing Student Class Projects (Formerly MSN)

Sepsis is a common cause of AKI. The research shows that AKI associated sepsis has high morbidity and mortality rates. According to Bonventre and Yang (2011) even if a patient survives the acute phase of kidney injury there are many chronic consequences that can occur as a result. These can include chronic kidney disease and end-stage renal disease (p. 4210). This makes keeping up with further research and developments related to AKI all the more important to nurses. Many factors contribute to the occurrence of sepsis associated AKI. Sepsis is a major cause of AKI due to the alterations in …

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Driving In Early-Stage Alzheimer’S Disease: An Integrative Review Of The Literature, Rebecca L. Davis, Jennifer M. Ohman Jan 2016

Driving In Early-Stage Alzheimer’S Disease: An Integrative Review Of The Literature, Rebecca L. Davis, Jennifer M. Ohman

Peer Reviewed Articles

One of the most difficult decisions for individuals with Alzheimer’s disease (AD) is when to stop driving. Because driving is a fundamental activity linked to socialization, independent functioning, and wellbeing, making the decision to stop driving is not easy. Cognitive decline in older adults can lead to getting lost while driving, difficulty detecting and avoiding hazards, as well as increased errors while driving due to compromised judgment and difficulty in making decisions. The purpose of the current literature review was to synthesize evidence regarding how individuals with early-stage AD, their families, and providers make determinations about driving safety, interventions to …

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Bone Health Promotion For Youth: A Primary Care Intervention, Kay G. Wilson Jan 2016

Bone Health Promotion For Youth: A Primary Care Intervention, Kay G. Wilson

Doctor of Nursing Practice Projects

Obese youth have high rates of vitamin D and calcium deficiencies and are at risk for developing osteoporosis. Clinical guidelines are needed in primary pediatric care services to promote bone-healthy behaviors. The aim of this project was to: a) implement the infrastructure and processes for physiological monitoring, consistent parameter-based vitamin D & calcium supplementation, family education, and coaching, and b) evaluate the impact of bone promotion changes on patients and parents and the primary care delivery system. The project outcomes included modest gains in bone health awareness among staff, patients, and families. In addition, modifications to clinical pathways and related …

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Establishing A Nurse Mentor Program To Improve Nurse Satisfaction And Intent To Stay, Sara Jane Jones Jan 2016

Establishing A Nurse Mentor Program To Improve Nurse Satisfaction And Intent To Stay, Sara Jane Jones

Doctor of Nursing Practice Projects

Retention of new graduate registered nurses (RNs) is a problem within the healthcare system negatively impacting patient safety and health care outcomes. The problem of retention of qualified RNs is compounded by the potential shortage of RNs, the aging RN workforce and the aging US population. During a period of transition, a novice RN requires the guidance of others to learn to apply theoretical knowledge to real life clinical experiences. In the linear progression of Benner’s levels of clinical competency, the beginning two levels of nurses need a resource person to guide their progression in clinical practice. A mentoring relationship …

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Community Acquired Pneumonia Project, Patricia Heaney Jan 2016

Community Acquired Pneumonia Project, Patricia Heaney

Doctor of Nursing Practice Projects

There is an increasing number of microorganisms that are becoming resistant to antimicrobial medications. This growing number of resistant organism poses a serious health threat, not only in this nation, but throughout the world. The Center for Disease Control and Prevention (CDC) estimates that there are greater than 2 million people who acquire serious infections that are resistant to one or more antimicrobial agents that were made to treat those organisms (CDC, 2013). Streptococcus pneumonia (S. pneumoniae or pneumococcus) is one such organism that has been identified by the CDC (2013) as becoming increasingly resistant to drugs that were once …

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Follow-Up Telephone Contact Following Discharge From Long-Term Acute Care Hospitals, Tonja Williams Jan 2016

Follow-Up Telephone Contact Following Discharge From Long-Term Acute Care Hospitals, Tonja Williams

Doctor of Nursing Practice Projects

Readmissions to acute care hospitals within 30 days post discharge are a burden to healthcare economy. Medicare Payment Advisory Commission (2007) estimated a cost of $12 billion dollars is spent each year on Medicare patients who are readmitted to an acute care hospital within 30 days post discharge. MedPAC (2007) estimated that 75% of those readmissions are avoidable. A review of the literature was conducted. Thirteen studies were reviewed and analyzed and the results of the literature review indicated there is evidence supportive of implementing telephone follow-up contact with patients discharged from the LTACH to assess for additional needs and …

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Implementing An Intervention To Reduce Seclusion And Restraints In An Inpatient Psychiatric Hospital, Amanda B. Lykins Jan 2016

Implementing An Intervention To Reduce Seclusion And Restraints In An Inpatient Psychiatric Hospital, Amanda B. Lykins

Doctor of Nursing Practice Projects

The need to enhance nursing staff’s knowledge, perceptions and attitudes around alternatives to seclusion and restraint has been well validated in the literature. Seclusion and restraint use in the inpatient psychiatric setting are highly dangerous physical interventions, used to control the behavior of a mentally ill patient who is a danger to self or others. Seclusion and restraint events have the potential to cause emotional trauma, physical injury to patients or staff and the possibility of patient death. The purpose of the capstone project was to implement an evidence-based education program to, improve nursing staff’s (RN, LPN, MHA and SRNA) …

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B.S. In Nursing Brochure, Nova Southeastern University Jan 2016

B.S. In Nursing Brochure, Nova Southeastern University

Health Professions Divisions Course Catalogs and Course Descriptions

No abstract provided.

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R.N. To M.S.N. Overview, Nova Southeastern University Jan 2016

R.N. To M.S.N. Overview, Nova Southeastern University

Health Professions Divisions Course Catalogs and Course Descriptions

No abstract provided.

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Shingles, Kimberly M. Holland Jan 2016

Shingles, Kimberly M. Holland

Nursing Student Class Projects (Formerly MSN)

Millions of people in the United States are effected by shingles each year. Shingles, which is also known as herpes zoster, is caused by the reactivation of the varicella zoster virus. The varicella zoster virus is what causes chicken pox. After a person is infected with chicken pox the virus lies dormant in the spinal and cranial sensory nerve ganglia. When the virus comes out of dormancy it travels down nerve axons affecting the skin in the area of the nerve endings. The prodromal phase is the time period before the rash appears where a person may experience itching, burning, …

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Treacher Collins Syndrome: Challenges For Anesthesia Care, Clara Smith Jan 2016

Treacher Collins Syndrome: Challenges For Anesthesia Care, Clara Smith

Nursing Student Class Projects (Formerly MSN)

This poster discusses the disorder known as Treacher Collins syndrome with a focus on understanding the syndrome and unique challenges in patient care. Hallmark features of the disorder present unique challenges for healthcare professionals, especially those providing anesthesia care. Patients with Treacher Collins syndrome are more much more likely than patients without the disorder to have a difficult airway. This poster explores the condition and some of the implications for providing safe patient care and achieving positive outcomes.

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Anaphylaxis: Signs, Symptoms, And Pathophysiology, Brian A. Snyder Jan 2016

Anaphylaxis: Signs, Symptoms, And Pathophysiology, Brian A. Snyder

Nursing Student Class Projects (Formerly MSN)

Anaphylaxis is an emergent, life-threatening condition and quick provider response is imperative. When a patient has this acute and severe Immunoglobulin E hypersensitivity immune response, the health care provider must be ready to immediately act using an expert level of awareness. This project serves as an overview of this important topic and should cultivate a spirit of inquiry into institutional policies for management, as well as to inspire further research.

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Understanding Ige-Mediated Food Allergies, Melissa M. Malinky Jan 2016

Understanding Ige-Mediated Food Allergies, Melissa M. Malinky

Nursing Student Class Projects (Formerly MSN)

Working as a nurse in a pediatric Allergy/Immunology clinic one would observe that the prevalence and resulting awareness of IgE-mediated food allergies in children has increased over the past decade. Many schools and camps are now going “nut free” and requiring Food Allergy Action Plans from a diagnosing physician. A study by Gupta et al. (2011) estimated 8% of children in the United States have a food allergy. Primary care providers (PCPs) are at the forefront of recognition, diagnosis, treatment and patient education of IgE-mediated food allergies. PCPs can benefit greatly from further education of the current evidence based diagnostic …

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Septic Shock, Lacey Lauer Jan 2016

Septic Shock, Lacey Lauer

Nursing Student Class Projects (Formerly MSN)

Sepsis is a frequently seen diagnosis in hospital settings, which when left untreated can progress to severe sepsis and septic shock. Septic shock occurs in more than 230,000 patients in the United States annually and is the cause of more than 40,000 deaths (Seymour & Rosengart, 2015). It is very important for hospital staff members to quickly and accurately identify signs of sepsis, severe sepsis, and septic shock so that patients can undergo treatment as quickly as possible. Studies have shown that the early treatment of sepsis may lead to decreased sepsis-related mortality (Benedict, 2015).

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Ards: Acute Respiratory Distress Syndrome, Jeffrey Lobacz Jan 2016

Ards: Acute Respiratory Distress Syndrome, Jeffrey Lobacz

Nursing Student Class Projects (Formerly MSN)

The purpose of this poster presentation is to discuss and examine the medical condition known as acute respiratory distress syndrome (ARDS). The presentation will include a review of the epidemiology, pathophysiology and etiologies of ARDS, as well as treatment strategies and recovery. The implications to nursing will also be discussed with the hope that a deeper understanding of the disease process will result in continued improvement of the management of this patient population.

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Takotsubo Cardiomyopathy, Jessica Walter Jan 2016

Takotsubo Cardiomyopathy, Jessica Walter

Nursing Student Class Projects (Formerly MSN)

Takotsubo cardiomyopathy (TCM) is a reversible form of non-ischemic cardiomyopathy. Patients typically present with symptoms of acute coronary syndrome including chest pain, shortness of breath, elevated cardiac biomarkers and ST elevation. As a result, patients are emergently taken to the coronary catheterization lab for angiography of the coronary arteries.

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Diabetic Nephropathy, Natalie Cochran Jan 2016

Diabetic Nephropathy, Natalie Cochran

Nursing Student Class Projects (Formerly MSN)

Poster project on Diabetes mellitus (DM) which is a group of metabolic diseases characterized by an increase in blood glucose levels, or hyperglycemia, resulting from inadequate secretion or action of insulin preventing glucose from being absorbed into the cells (McCance and Huether, 2014).

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Joint Manifestations Of Rheumatoid Arthritis, Pamela Allen Jan 2016

Joint Manifestations Of Rheumatoid Arthritis, Pamela Allen

Nursing Student Class Projects (Formerly MSN)

Poster project on Rheumatoid arthritis (RA) which is a common autoimmune disorder, affecting approximately 1% of the population worldwide. The interaction of genetic and environmental factors results in a cascade of immune reactions, which eventually lead to the development of structural bone damage, joint damage, and synovitis (Gibofsky, 2012).

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Postoperative Ileus, Jamie Pearson Jan 2016

Postoperative Ileus, Jamie Pearson

Nursing Student Class Projects (Formerly MSN)

This author’s goal with this poster is to provide research on postoperative ileus to help others learn more about the pathophysiology of the condition, causes of ileus, symptoms, treatments, and prevention. By learning more on postoperative ileus, healthcare providers will be better prepared to care for postoperative patients to help prevent ileus after surgery and to better care for the patient if they were to develop an ileus. This poster can also serve as an education tool for patients by teaching the patient preventative measures to help protect themselves postoperatively.

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Polycystic Ovarian Syndrome, Tameka Todd Jan 2016

Polycystic Ovarian Syndrome, Tameka Todd

Nursing Student Class Projects (Formerly MSN)

The content of this poster describes the pathophysiology of Polycystic Ovarian Syndrome. The components included are an introduction, signs & symptoms, implications for nursing care and evidence-based references.

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Pediatric Gastroesophageal Reflux Disease, Regina F. Prusinski Jan 2016

Pediatric Gastroesophageal Reflux Disease, Regina F. Prusinski

Nursing Student Class Projects (Formerly MSN)

Gastroesophageal reflux is the return of stomach contents into the esophagus. It is normal in the newborn due to an immature gastroesophageal sphincter. Gastroesophageal reflux disease (GERD) is a common condition found in 3.3% of the pediatric population that occurs when the physiological barrier of the esophageal sphincter opens during a transient lower esophageal sphincter relaxation (TLESR)period (Rinsma et al., 2016) resulting in complications like mucosal erosion, bleeding, dysphagia or failure to thrive (Quitadamo, Ummarino, Saiano, 2015). GERD in children can be directly related to late maturation of the gastroesophageal (GE) sphincter or an impaired hormonal or neurotransmitter response. A …

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The Use Of Nitrous Oxide In The Management Of Labor Pain: Safet And Effiacy, Jennifer Ruth Christensen Jan 2016

The Use Of Nitrous Oxide In The Management Of Labor Pain: Safet And Effiacy, Jennifer Ruth Christensen

All Electronic Theses and Dissertations

Background: All women will experience pain while going through childbirth. The pain is caused by pressure and stretching on the uterus and visceral organs, lack of oxygen during uterine contractions, and musculoskeletal and perineal stretching. Difficulty coping with pain leads to an increase in catecholamines, which further complicates the labor process and can contribute to long term psychological consequences. Up to 75% of women in other countries use nitrous oxide, a colorless odorless gas, to manage their labor pain. In the United States, the options for managing labor pain have consisted of non-pharmacological methods such as massage, breathing and relaxation …

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The Meaning Of Evidence And Nonmaleficence: Cases From Nursing, Chenit Ong-Flaherty Dnp, Angela Banks Phd, Martha Doyle Msn, Claire Olivia Sharifi Jan 2016

The Meaning Of Evidence And Nonmaleficence: Cases From Nursing, Chenit Ong-Flaherty Dnp, Angela Banks Phd, Martha Doyle Msn, Claire Olivia Sharifi

Journal of Health Ethics

In our increasingly diverse environment, nurses are obligated to question the meaning of “evidence” when history has shown that our emphasis on the empirical and quantitative data has shaped our biases against knowledge unknown to us. This bias has limited our ability to provide patient or person-centered care, and can be harmful to patients. Nurses are encouraged to reflect on what evidence means in their practice, and to make sure harm is not caused to patients by dismissing evidence yet unknown to us or accepting “truths” not fully understood by us. The authors use composite case studies to share experiences …

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Western Kentucky University College Of Health And Human Services (Chhs) Strategic Plan 2016-2020, Wku College Of Health & Human Services Jan 2016

Western Kentucky University College Of Health And Human Services (Chhs) Strategic Plan 2016-2020, Wku College Of Health & Human Services

College of Health & Human Services Publications

No abstract provided.

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Reducing Violence On The Psychiatric Unit, Salome Accardi, Carlyn Chamberlain, Mafe Chase, Melinda Green Jan 2016

Reducing Violence On The Psychiatric Unit, Salome Accardi, Carlyn Chamberlain, Mafe Chase, Melinda Green

All Nursing Boot Camp Posters

No abstract provided.

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Pictorial Information Leaflets (Pils) In Conjunction With Verbal & Written Home Care Medication Instruction, Shawna Blix, Jennifer Hof, Cheri Lebrun Jan 2016

Pictorial Information Leaflets (Pils) In Conjunction With Verbal & Written Home Care Medication Instruction, Shawna Blix, Jennifer Hof, Cheri Lebrun

All Nursing Boot Camp Posters

No abstract provided.

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Initiating Early Post-Cesarean Feedings Is Best Practice!, Lisa Fellin, Sherry Hutton, Cindy Kenyon Jan 2016

Initiating Early Post-Cesarean Feedings Is Best Practice!, Lisa Fellin, Sherry Hutton, Cindy Kenyon

All Nursing Boot Camp Posters

No abstract provided.

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Zika Virus, Anne Ambrose-Young Jan 2016

Zika Virus, Anne Ambrose-Young

Nursing Student Class Projects (Formerly MSN)

The Zika virus (Zika) was first discovered in 1947 in Uganda, with only 14 cases documented before 2007 (Centers for Disease Control and Prevention, 2016). Over the last two years, however, this virus, formerly confined to the tropical regions of Africa and South East Asia, has been reported in South and Central America, Mexico, parts of the Caribbean, Polynesia, with the reports continuing to grow. In February, 2016, the World Health Organization reported that Zika has been elevated to a Public Health Emergency of International Concern. The spread of Zika is alarming because it has been associated with severe fetal …

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