Nursing Commons^™

Implementation And Evaluation Of Dietary Modification With Gestational Diabetes, Celia T. Ojeaga

Walden Dissertations and Doctoral Studies

Gestational diabetes mellitus (GDM) negatively affects the health of both mothers and babies, and is the most common pregnancy complication in the United States. Many dietary modification programs for pregnant women diagnosed with GDM rely on a one-size-fits-all approach to menu planning. The purpose of this project was to develop a diet modification program for GDM management using a patient-centered approach. The project objective was to develop the policies, procedures, and supporting documents needed to implement a successful GDM management program for pregnant women receiving antenatal care at an obstetrical clinic. The developed program incorporated strategies for clinic nursing staff …

Identifying The Beliefs And Barriers To Mammography In Rural African Women, Linda Harper Mangum

Walden Dissertations and Doctoral Studies

Breast cancer is the most commonly diagnosed cancer in African-American (AA) women and is the second leading cause of cancer-related deaths in the United States among AA women ages 40 to 55 years of age. The 5-year breast cancer survival rates for AA women (78%) are lower than are those of Caucasian women (90%). The purpose of this project was to describe the benefits and barriers toward screening mammograms for breast cancer in AA women living in the Southside Health District in Virginia. The subscales of The Champion's Mammography Beliefs and Attitudes Questionnaire (MBAQ, 1999), which is based on the …

Nurses' Knowledge Of Pain Assessments And Reassessments Impacts Hospitalized Patients' Reporting Of Pain, M. Michele Potter Williams Williams

Walden Dissertations and Doctoral Studies

Ineffective pain management can prolong a patient's length of stay and increase cost of care. Inadequate pain control decreases the patient's quality of life and contributes to poor health outcomes. A recent record audit showed that documentation of pain reassessments occurred only 20% of the time within an hour after administering pain medication. Furthermore, nurses may have insufficient knowledge regarding pain assessments and reassessments or hold irrational fears about addiction leading to inadequate treatment of pain. The purpose of this quality improvement project was to evaluate the effectiveness of an educational program for acute care nurses for the assessment and …

Reflections On Leadership In Nursing Education: A Minority Perspective, Angela Banks, Chenit Ong-Flaherty, Claire Sharifi

Nursing and Health Professions Faculty Research and Publications

Academic leadership is at once engaging and stimulating, demanding and overwhelming. This article discusses the experiences and perspectives of minority faculty members working at a Jesuit institution. In this article, the authors use Ignatian pedagogical values as the foundation to guide their responses to the challenges they experience in leadership roles and to turn these challenges into opportunities for growth.

Why We Belong - Exploring Membership Of Healthcare Professionals In An Intensive Care Virtual Community Via Online Focus Groups: Rationale And Protocol, K Rolls, Margaret M. Hansen Edd, Msn, Rn, D Jackson, D Elliott

Nursing and Health Professions Faculty Research and Publications

Background: Many current challenges of evidence-based practice are related to ineffective social networks among health care professionals. Opportunities exist for multidisciplinary virtual communities to transcend professional and organizational boundaries and facilitate important knowledge transfer. Although health care professionals have been using the Internet to form virtual communities for many years, little is known regarding “why” they join, as most research has focused on the perspective of “posters,” who form a minority of members.

Objective: Our aim was to develop a comprehensive understanding of why health care professionals belong to a virtual community (VC).

Methods: A qualitative approach will be used …

How Health Care Professionals Use Social Media To Create Virtual Communities: An Integrative Review, K Rolls, Margaret M. Hansen Edd, Msn, Rn, D Jackson, D Elliott

Nursing and Health Professions Faculty Research and Publications

Background: Prevailing health care structures and cultures restrict intraprofessional communication, inhibiting knowledge dissemination and impacting the translation of research into practice. Virtual communities may facilitate professional networking and knowledge sharing in and between health care disciplines.

Objectives: This study aimed to review the literature on the use of social media by health care professionals in developing virtual communities that facilitate professional networking, knowledge sharing, and evidence-informed practice.

Methods: An integrative literature review was conducted to identify research published between 1990 and 2015. Search strategies sourced electronic databases (PubMed, CINAHL), snowball references, and tables of contents of 3 journals. Papers that …

Textwithsurgerypatients-A Research Hypothesis In Enhancing Education And Physical Assessment For Abdominal Surgical Patients, Margaret M. Hansen Edd, Msn, Rn

Nursing and Health Professions Faculty Research and Publications

Medical surgical nurses may not have the time or resources to provide effective pre- and post-operative instructions for patients in today's healthcare system. And, making timely physical assessments following discharge from the hospital is not always straightforward. Therefore, the risk for readmission associated with post-surgical complications is a concern. At present, mobile healthcare technologies and patient care are precipitously evolving and may serve as a resource to enhance communication between the healthcare provider and patient. A mobile telephone text message (short message service [SMS]) intervention for abdominal surgical patients may foster effective education (communication) and timely self-reported physical assessment in …

Early Sex Work Initiation And Condom Use Among Alcohol-Using Female Sex Workers In Mombasa, Kenya: A Cross-Sectional Analysis, A. M. Parcesepe, Kelly L'Engle, S. L. Martin, S. Green, C. Suchindran, P. Mwarogo

Nursing and Health Professions Faculty Research and Publications

Objectives Early initiation of sex work is prevalent among female sex workers (FSWs) worldwide. The objectives of this study were to investigate if early initiation of sex work was associated with: (1) consistent condom use, (2) condom negotiation self-efficacy or (3) condom use norms among alcohol-using FSWs in Mombasa, Kenya.

Methods In-person interviews were conducted with 816 FSWs in Mombasa, Kenya. Sample participants were: recruited from HIV prevention drop-in centres, 18 years or older and moderate risk drinkers. Early initiation was defined as first engaging in sex work at 17 years or younger. Logistic regression modelled outcomes as a function …

Message, P Laxminarayana Rao Dr

Manipal Journal of Nursing and Health Sciences

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Message, Anice George Dr

Manipal Journal of Nursing and Health Sciences

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Guest Editorial, Judith A. Noronha Dr

Manipal Journal of Nursing and Health Sciences

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Effect Of Helfer Rhythmic Skin Tap Technique On Procedural Pain Among Patients Receiving Intramuscular Injection, Saleena Shah Dr, Asha Narayanan Ms

Manipal Journal of Nursing and Health Sciences

Objective: The present study aims at comparing the effect of Helfer Rhythmic Skin Tapping Technique (HST) and Conventional Technique (CT) on pain perception of patients receiving IM injection. Methods: Quasiexperimental two groups, interventional study using cross over design was conducted at orthopaedic wards of Govt. Medical College Kozhikode, Kerala from May 2 – 21, 2011. A total of 82 patients admitted in orthopaedic wards, in the first post-operative day after orthopaedic surgery, who were receiving Inj. Voveran were included. After informed consent, subjects were purposively selected to Group I and II. The tools used were, (a) Interview schedule to assess …

Pre-Operative Breathing Exercise Using Instructional Demonstrationin Preventing Post-Operative Pulmonary Complications For Patients Undergoing Elective Abdominal Surgery, Anil Raj A Mr, B V. Kathyayani Dr

Manipal Journal of Nursing and Health Sciences

Introduction: Pulmonary complications are the largest and serious post-operative complications of thorax and abdomen. Patients’ post-operative experience is directly linked to the pre-operative preparations. Objective of the study was to evaluate the effect of pre-operative teaching of breathing exercise in terms of knowledge and practice of patients undergoing elective abdominal surgery and on the incidence of post-operative pulmonary complications among patients undergoing elective abdominal surgery. Methods: A quantitative evaluative approach with a preexperimental one group pre-test – post-test design was adopted for the study. Fifty subjects were selected by using purposive sampling technique. Pre-test was checked by using structured knowledge …

Effectiveness Of Intermittent Normal Saline Flushing In Maintaining The Patency Of Intravenous Cannula, Thingujam Uma Ms, Mayengbam Benita Devi Ms, Mary Anthony Ms

Manipal Journal of Nursing and Health Sciences

Introduction: Blockage of intravenous cannula (IV) is one of the major discomforts faced by the patients. Nurses not only directly administer the medication to the patients but also experience the difficulty while administering the medication through non-patent IV cannula. It is one of the major roles of a nurse to maintain the patency of IV Cannula by just following a flushing technique. Methods: A Quasi-experimental study was conducted among 60 patients on intermittent intravenous medication, 30 each in experimental and control group who met the inclusion criteria. Purposive sampling technique was used for selecting the sample. Data were collected from …

Effectiveness Of Structured Teaching Program On Knowledge Of Health Promotional Activities Among Home Makers Of A Selected Rural Community In Mangalore, Karnataka, Anupama D. S Ms, Rosy K. O Ms

Manipal Journal of Nursing and Health Sciences

Introduction: Health promotion is the process of helping people to gain control over the determinants of health and thereby improve their health. Objectives: Objectives of the study were to determine the effectiveness of structured teaching program in terms of gain in knowledge of homemakers on health promoting activities and to determine the association between health promotional activities of homemakers and selected variables. Methods: A pre-experimental design was used for the study and 60 participants were drawn through simple random sampling technique. The structured interview schedule was used to collect the data. Results: The findings of the study revealed that maximum …

Perception Of Sexual Harassment Among The Undergraduate Students, Aditi Gurung Ms, Sangeetha Priyadarshini Ms, Binu E. Margaret Ms

Manipal Journal of Nursing and Health Sciences

Introduction: Sexual harassment means unwanted sexually determined behaviour such as physical contacts and advances, making sexually derogative comments, and sexual pressures whether by verbal or non- verbal actions. Students may not recognize the harassing behaviours and the harasser can take this as an advantage. Therefore, it becomes very important to understand how the students perceive different types of sexual harassment. Objective: To assess the perception of sexual harassment by the undergraduate students. Methods: A crosssectional survey was conducted among 408 undergraduate students of selected professional colleges of Udupi district. Data was collected using Perception Scale on sexual harassment. Stratified proportionate …

Performance Measurement Processes In Uganda: Role Of Nurse Administrators, Godfrey Katende

Manipal Journal of Nursing and Health Sciences

The concept of performance measurement is relatively new with inadequate documentation in Ugandan health sector. Worldwide, nursing professionals still represent the largest health workforce although their involvement in the policy formulation and development remains minimal. Despite the limited involvement in policy development, the performance measurement and transparency programs continue to target at nursing for quality care improvement. The objective of this paper was to examine performance measurement in the current policy arena with Uganda in order to recommend for use in other developing countries. The paper presents evidence based solutions and strategies for integration of performance measurement when developing standards …

Glomus Jugulare: A Case Series, Wilma P Ms, Roseminu Varghese Ms, Jyothi Chakrabarty Dr, Girish Menon Dr

Manipal Journal of Nursing and Health Sciences

Background: Glomus Jugulare tumours arise within the jugular foramen of the temporal lobe. Treatment and management of these very rare, slow growing and hypervascular tumours are always challenging. Patients with these tumours will have their lower cranial nerves affected. With the involvement of lower cranial nerves, the patients may have altered functions of swallowing, chewing, hearing, speaking, balance and coordination. Thus, these patients can be managed effectively by a nurse with the thorough knowledge and understanding of the signs and symptoms. The nurses taking care of these patients should anticipate these dysfunctions and plan the care of patients accordingly.

Serum Vitamin D And C-Reactive Protein: Predictors Of Glucose Control In African-Americans With Type 2 Diabetes?, Mary Luree Garvin-Surpris

All ETDs from UAB

Introduction African-Americans experience more years of life lost as a result of complications from type 2 diabetes mellitus (T2DM) than any other racial or ethnic group. Evidence suggests that serum 25(OH)D (serum vitamin D), generally low in African-Americans, may play a role in glucose control. In addition, elevated levels of chronic low-grade inflammation, measured by C-reactive protein (CRP), may also relate to glucose control. The purposes of this study were to determine whether serum 25(OH)D and CRP are independent predictors of glucose control in adult African-Americans with T2DM, after controlling for other factors associated with glucose control, and to examine …

The Experience Of The Expectant Mother Follwing A Diagnosis Of A Fetal Anomaly, Janet Adams Tucker

All ETDs from UAB

statistical analysis to estimate the parameters of a general linear model. Yet, when the

The Effects Of Perceived Stress, Sleep, And Stress Response On Cancer Related Fatigue In 8- To 12-Year-Old Central Nervous System Cancer Survivors, Ann Johnson

All ETDs from UAB

Survivors of childhood cancer are a growing population, and knowledge of persistent cancer related fatigue (CRF) is integral to survivorship. CRF in central nervous system (CNS) cancer is multifactorial and may be unique based on treatment and stage of survival. There is a gap in evidence for school-age survivors, especially during early survivorship. Aims: The aim of this study was to examine factors that influence CRF in child CNS cancer survivors at least 6 months and less than 6 years post treatment. The purpose of this study was to examine relationships between select factors and CRF and to determine effect …

The Effect Of Data-Entry Template Design And Anesthesia Provider Workload On Documentation Quality, Documentation Efficiency, And User-Satisfaction, Bryan Anthony Wilbanks

All ETDs from UAB

The purpose of this study was to evaluate the relationships between method of data entry into electronic health records and anesthesia provider workload on: (a) documentation efficiency, (b) intraoperative anesthesia documentation accuracy, and (c) user satisfaction. The study was separated into three papers. The first paper is an integrative literature review on how accuracy was defined in anesthesia information management systems. The second paper was a state-of-the-science literature review that presents evidence-based guidelines for interface design for data entry into electronic health records. The third paper was an empirical study to detect relationships among all of the concepts of interest …

Examining Hiv-Associated Symptom Burden And Microbial Translocation In The Veterans Aging Cohort Study: A Secondary Data Analysis, Natalie Lynn Wilson

All ETDs from UAB

group of 50 women (group 1) received computer-tailored feedback with brief counseling.

Exploring The Lived Experience Of Young African American Breast Cancer Survivorship To Inform The Adaptation Of A Psychoeducational Intervention: Y-Ambient, Timiya S. Nolan

All ETDs from UAB

In the United States, 26,393 young women (≤ 45 years) will be diagnosed with breast cancer in 2016. Though survival rates are improving, there are health disparities among young African American women when compared to young Caucasians (e.g., poorer quality of life). Despite recommendations to provide targeted evidence-based survivorship care, there are about 23,000 young African American breast cancer survivors (YAABCS) in Alabama, Louisiana, and Mississippi for whom this care does not exist. Few studies have examined survivorship experiences and/or tested intervention efficacy among this group. Further study is warranted to understand the experiences of YAABCS and adapt targeted interventions …

Evaluation Of Clinical Reasoning Of Nursing Students In The Clinical Setting, Stefanie Lynn Legrande

Walden Dissertations and Doctoral Studies

The primary focus of nursing education in the 21st century is to graduate students with well-developed critical thinking and clinical reasoning skills. This descriptive case study explored the perceptions of 6 faculty and 6 unit staff nurses concerning the assessment of critical thinking and clinical reasoning skills of nursing students in the clinical setting. Benner's novice to expert theory served as the conceptual framework for the research. The guiding research questions focused on faculty and staff perceptions concerning unit staff nurses' level of preparedness to assess the critical thinking and clinical reasoning ability of nursing students, and explored how faculty …

Diabetes Mellitus Type 2: A Quality Improvement And Patient Safety Initiative, Remeliza Navarrete Tukay

Walden Dissertations and Doctoral Studies

The purpose of the quality improvement (QI) project was to examine the relationship between amended nursing education concerning diabetes mellitus (DM) Type 2 self-care management incorporating Tune in, Explore, Assist, Communicate, and Honor (TEACH) and Motivational Interviewing (MI) strategies and techniques and the Glycosylated hemoglobin (HgbA1C) of veteran patients with uncontrolled diabetes. The target sample included the 2 licensed practical nurses and 2 registered nurses assigned to 2 primary care teams, and the 10 purposively sampled patients with uncontrolled DM Type 2 from each team. The nurses' competencies were measured through descriptive comparison before and after nursing education implementation using …

An Effective Succession Planning Educational Program For Operating Room Nurses, Sherly Bejoy Alexander

Walden Dissertations and Doctoral Studies

The current nationwide shortage of registered nurses is a growing problem impacting patient care and hospital operations. The operating room is the area most affected by the nursing shortage. Reasons cited for this shortage include ineffective nursing orientation programs and a decline in job satisfaction. The purpose of this project was to develop a best practice succession planning educational program to provide novice operating room nurses with an introduction to the operating room. The Dreyfus model of skills acquisition and Benner's novice to expert theory guided this project. A 2-step process was used to assess and validate the content and …

Nurse Staffing And Patient Outcomes: A Longitudinal Study On Trend And Seasonality., Jianghua He, Vincent S. Staggs, Sandra Bergquist-Beringer, Nancy Dunton

Manuscripts, Articles, Book Chapters and Other Papers

BACKGROUND: Time trends and seasonal patterns have been observed in nurse staffing and nursing-sensitive patient outcomes in recent years. It is unknown whether these changes were associated.

METHODS: Quarterly unit-level nursing data in 2004-2012 were extracted from the National Database of Nursing Quality Indicators® (NDNQI®). Units were divided into groups based on patterns of missing data. All variables were aggregated across units within these groups and analyses were conducted at the group level. Patient outcomes included rates of inpatient falls and hospital-acquired pressure ulcers. Staffing variables included total nursing hours per patient days (HPPD) and percent of nursing hours provided …

Ghanaian Nurses’ Emigration Intentions: The Role Of Workplace Violence, Isaac Mensah Boafo

Research outputs 2014 to 2021

A cross-sectional study was conducted in Ghana to examine the impact of workplace violence on nurses’ emigration intentions from 2013 to 14. A combination of purposive and random sampling techniques was used to select 12 public hospitals and 592 professional nurses. The results showed that 48.9% of the participants had emigration intentions. Junior nurses were 2.8 times more likely to have emigration intentions compared to senior nurses, and those who experienced violence were also more likely than their counterparts who were not involved in such incidents (physical 2.1 times; verbally abused 1.8 times and sexually harassed 2.4 times) to have …

“... They Think We Are Conversing, So We Don ’ T Care About Them ...” Examining The Causes Of Workplace Violence Against Nurses In Ghana, Isaac Mensah Boafo

Research outputs 2014 to 2021

Background:

This study is part of a larger project aimed at exploring the workplace experiences of nurses working in public general hospitals in Ghana. The current paper explores the causes of workplace violence against nurses in Ghana.

Methods:

Twenty-four semi-structured in-depth interviews were conducted with professional nurses working in five regions of Ghana. They were selected through purposive and participant-to-participant snowball sampling techniques. Data was analysed through thematic analyses.

Results:

The findings of the study suggest that nurses are not (always) passive recipients of violence. Workplace violence can be instigated by either of the parties to the nurse-patient/relative interaction. Nurses’ …