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2016

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Articles 721 - 750 of 1615

Full-Text Articles in Nursing

Integrating Pediatric Burn Patients, Less Than 12 Years Old, Into An Adult Burn Icu Setting, Jennifer A. Nagle Rn, Jessica Ayers Rn, Nancy Humes Bsn, Rn May 2016

Integrating Pediatric Burn Patients, Less Than 12 Years Old, Into An Adult Burn Icu Setting, Jennifer A. Nagle Rn, Jessica Ayers Rn, Nancy Humes Bsn, Rn

Patient Care Services / Nursing

No abstract provided.


Management Of Hypertension In Women Of Childbearing Age, Victor T. Davis May 2016

Management Of Hypertension In Women Of Childbearing Age, Victor T. Davis

Nursing Capstones

No abstract provided.


Impact Of Emergency Department Sepsis Policy, Lynette Rayman May 2016

Impact Of Emergency Department Sepsis Policy, Lynette Rayman

Evidence-Based Practice Project Reports

Sepsis is a serious concern of key healthcare stakeholders due to high incidence, mortality, and cost. The objectives of this evidence-based project were to 1) identify potential sepsis patients early during the emergency department (ED) triage process and 2) implement Sepsis Order Sets. Kotter’s change model and the Stetler model of evidence-based practice guided this project. An extensive literature search was undertaken to find best practice evidence regarding care of sepsis patients. Recommended care includes a protocolized format utilizing a screening tool and point of care lactate levels for early identification of sepsis, and early treatment with antibiotics and fluid …


The Effects Of Continuing Education On Nurse Knowledge Of Safe Haven Laws In Illinois, Lindsay Thiemkey Gordon May 2016

The Effects Of Continuing Education On Nurse Knowledge Of Safe Haven Laws In Illinois, Lindsay Thiemkey Gordon

Evidence-Based Practice Project Reports

Illegal and often fatal infant abandonment is a pervasive public health crisis. Safe Haven Laws (SHLs) help to prevent illegal infant abandonment by allowing specific professionals, including nurses, to accept unharmed newborns within statutorily defined parameters. SHLs have existed for nearly two decades, yet many healthcare workers are not knowledgeable about these laws: this implies that initial efforts to educate healthcare workers about SHLs have been ineffective. Continuing education supports lifelong learning which is a basic tenet of nursing practice. The purpose of this evidence-based practice (EBP) project was to teach nurses about SHLs through evidence-based continuing education. Literature firmly …


Management Of Type 1 Diabetes Perioperatively, Biye Gohla Tambang May 2016

Management Of Type 1 Diabetes Perioperatively, Biye Gohla Tambang

Nursing Capstones

No abstract provided.


Why Sepsis Diagnosis Is Missed In The Emergency Department, Elizabeth Nolan May 2016

Why Sepsis Diagnosis Is Missed In The Emergency Department, Elizabeth Nolan

Grace Peterson Nursing Research Colloquium

No abstract provided.


Building The Foundation: Utilizing Concept Maps To Enhance Critical Thinking In First Semester Nursing Students, Lisa S. Smith May 2016

Building The Foundation: Utilizing Concept Maps To Enhance Critical Thinking In First Semester Nursing Students, Lisa S. Smith

Nursing Theses and Capstone Projects

Critical thinking and clinical decision making are essential components of the knowledge and skills necessary for all nurses in order to make complex decisions that improve patient outcomes, safety, and quality of nursing care. Promoting student competence in critical thinking skills is imperative for nurse educators. Concept mapping is an active teaching strategy that can assist nurse educators in preparing nursing students to think critically in today’s complex health care environment. The purpose of this project was to implement concept maps as an additional instructional activity with first semester Associate Degree Nursing (ADN) students to promote confidence in basic critical …


Post-Concussion Policy Change For The Student-Athlete, Heather Porter May 2016

Post-Concussion Policy Change For The Student-Athlete, Heather Porter

Nursing Theses and Capstone Projects

The intent of the evidence-based practice project was to implement a policy change for the development and implementation of a policy and related procedures to ensure equity and continuity in practices for successful reintegration of student-athletes who had sustained a concussion back into their classrooms. The lack of attention on cognitive effects of concussion and the “ripple effect” in the classroom needed to be addressed by the nursing profession from an education-intervention focus. A corrective action plan was developed by a doctoral student including an educational teaching session and PowerPoint Presentation and pilot policy. The end result of the project …


Transitioning Novice Nurses To Expert Nurses In Progressive Telemetry Care, Timothy E. Fraley May 2016

Transitioning Novice Nurses To Expert Nurses In Progressive Telemetry Care, Timothy E. Fraley

Nursing Theses and Capstone Projects

New nurses do not possess the clinical skills necessary to thrive in a fast-paced, rapidly changing telemetry unit. The study explores the idea that nurses with less than two years’ experience may not have the self-confidence or experience to begin a career on a telemetry unit. A search of the literature was performed to identify the skills needed to be successful in a critical care telemetry unit. Established orientation programs, nurse internships, and nursing experience were the keywords researched. Patricia Benner’s Theory: From Novice to Expert Excellence and Power in Clinical Nursing Practice (1984) serves as the foundation for this …


Lateral Violence Among New Graduate Nurses, Megan Russell May 2016

Lateral Violence Among New Graduate Nurses, Megan Russell

Nursing Theses and Capstone Projects

Lateral violence is an act of aggression that is committed against one nurse by another. There are many names for lateral violence, some of these include: horizontal violence, bullying, aggression, horizontal hostility, verbal abuse, or nurses eating their young. Lateral violence occurs when nurses covertly or overtly direct the dissatisfaction they are feeling inward toward each other. The effects of lateral violence on new graduate nurses and the organizations in which they work can be detrimental. An extensive literature review was undertaken to understand the significance and prevalence of lateral violence against new graduate nurses. The purpose of this study …


Mindfulness Education For Stress Reduction In Nursing Students, Kathryn Kekenes Peterson May 2016

Mindfulness Education For Stress Reduction In Nursing Students, Kathryn Kekenes Peterson

Nursing Theses and Capstone Projects

Problem. The level of stress experienced by college students can be significant. It can be even more pronounced in nursing students as a result of the intense curriculum and clinical experiences. Stress can be the result of academic, personal, or interpersonal causes. It can affect physical, psychological, spiritual, and social well-being. Stress is not always avoidable but learning techniques to manage stress can improve overall well-being by decreasing the physical, psychological, spiritual, and social effects of stress. Learning to manage stress through holistic self-care with mindfulness stress reduction techniques could help alleviate the negative effects of stress, enabling the student …


Proper Technique When Administering Intramuscular Injections, Ashley M. Isaac-Dockery May 2016

Proper Technique When Administering Intramuscular Injections, Ashley M. Isaac-Dockery

Nursing Theses and Capstone Projects

The intent of the evidence-based practice project was to implement a policy change requiring licensed nurses employed by a local rural healthcare organization to complete an educational module on correct intramuscular (IM) administration technique. During the 2014 influenza season, injuries were noted to employees who received influenza vaccinations within the healthcare organization. The injuries occurred after licensed nurses employed by the healthcare organization administered the influenza injection incorrectly to other employees. Injuries were noted after the influenza injection was administered too high in the deltoid causing injury to the shoulder joint. A corrective action plan was developed by a doctoral …


Chhs May 2016 Icymi, Dr. John Bonaguro, Dean, Vashon S. Wells, Editor, Wku College Of Health & Human Services May 2016

Chhs May 2016 Icymi, Dr. John Bonaguro, Dean, Vashon S. Wells, Editor, Wku College Of Health & Human Services

College of Health & Human Services Publications

No abstract provided.


The Effect Of Purposeful Hourly Rounding On The Incidence Of Patient Falls, Crista H. Brown May 2016

The Effect Of Purposeful Hourly Rounding On The Incidence Of Patient Falls, Crista H. Brown

Nursing Theses and Capstone Projects

The purpose of this study was to evaluate the effectiveness of purposeful hourly rounding on the incidence of patient falls. Purposeful hourly rounding is a vital component of the nursing care delivery model that is impacting the fall rates. Providing structure and emphasis to the hourly rounding process assist in the evaluation of the desired outcomes as it relates to patients falls. As healthcare organizations experience the concept of public reporting, patient safety has become an increasingly important concern. Purposeful hourly rounding can improve quality, safety, and the patient’s perception of their care. The results of this study found there …


Pre-Employment Testing To Improve Nurse Retention, Jonathan Brandon May 2016

Pre-Employment Testing To Improve Nurse Retention, Jonathan Brandon

Nursing Theses and Capstone Projects

Nurse retention is an issue healthcare organizations cannot afford to ignore. The nursing shortage continues to impact healthcare in this country which increases the importance and urgency of retaining nurses. Job success, also referred as job satisfaction, is a key indicator of a nurse’s intent to stay. There are pre-employment tests that were designed specifically for healthcare organizations to help them choose applicants that are most likely to be successful resulting in better patient outcomes and improved nurse retention. The purpose of this study was to compare the perceived job satisfaction and intent to stay of nurses that completed pre-employment …


Orientation Program For Psychiatric Clinical Experience, Kathy C. Williams May 2016

Orientation Program For Psychiatric Clinical Experience, Kathy C. Williams

Nursing Theses and Capstone Projects

Student nurses often experience anxiety prior to their psychiatric clinical experience and this anxiety can adversely affect their learning experience and ability to provide optimal nursing care to clients who have psychiatric illnesses. A formal Orientation Program for the Psychiatric Clinical Experience (OP-PCE) was developed to reduce student nurses’ anxiety prior to their psychiatric clinical experience. The OP-PCE was implemented as a component of the routine psychiatric curriculum in a pre-licensure registered nursing program at a university in Southeastern United States of America. Thirty-four student nurses participated in the OP-PCE. The content of the OP-PCE included general orientation information such …


Preprocedure Warming To Prevent Intraoperative Hypothermia, Kathy C. Anders May 2016

Preprocedure Warming To Prevent Intraoperative Hypothermia, Kathy C. Anders

Nursing Theses and Capstone Projects

Maintaining homeostasis during surgery is vital to preserving health and preventing postoperative complications. Research supports the benefits of preprocedure warming in preventing or reducing intraoperative hypothermia. Better postoperative outcomes are linked to intraop normothermia such as a reduction in the occurrence of surgical site wound infection, reduced bleeding, and faster recovery from anesthetics. However there were barriers to prewarming at the researcher’s institution such as cost, convenience, and compliance. The purpose of this research project was to study the impact of prewarming in the high risk population of surgical spine fusion patients. The researcher also hoped to examine and raise …


Evidence-Based Obstetric Emergency Team Training And Drills, Michelle R. Cox May 2016

Evidence-Based Obstetric Emergency Team Training And Drills, Michelle R. Cox

Nursing Theses and Capstone Projects

Obstetrical emergencies occur in less than two percent of all pregnancies in the United States. These emergency situations are unanticipated and occur rapidly. According to the American Congress of Obstetricians and Gynecologists, the most common obstetric emergencies in the United States are postpartum hemorrhage and shoulder dystocia. When these emergency medical situations occur, the entire medical team should respond immediately with precision and confidence. There is evidence to support planning and collaboration of interdisciplinary teams with ongoing education and training, leading to prompt recognition and response to critical situations, which can ultimately mitigate poor outcomes during obstetric emergencies. This capstone …


Rekindling The Passion For Nursing, Susan M. Cannon May 2016

Rekindling The Passion For Nursing, Susan M. Cannon

Nursing Theses and Capstone Projects

Nurses often experience compassion fatigue and burnout when working in stressful environments. Nurses tend to put the needs of their patients above their own needs. It is imperative for the work environment to promote relaxation and restoration, to avert compassion fatigue and nursing burnout. All employees of the project director’s organization were encouraged to attend Caring for the Caregiver Day, a hospital-sponsored event which provided education and promoted self-help interventions aimed to decrease compassion fatigue and burnout. The event included aromatherapy, music therapy, art therapy, pet therapy, massage therapy, and education on compassion fatigue for nurses. In addition, the Progressive …


A Flipped Classroom In Nursing: The Effects Of Peer-Led Simulation On Cognitive Learning And Critical Thinking, Shannon A. Matthews May 2016

A Flipped Classroom In Nursing: The Effects Of Peer-Led Simulation On Cognitive Learning And Critical Thinking, Shannon A. Matthews

Nursing Theses and Capstone Projects

This aim of this project was to implement a flipped classroom model of instruction using a peer-led in-class simulation in a nursing course. The student-centered learning environment fosters self-paced class preparation and provides interactive application of concepts in the classroom to improve critical thinking and cognitive learning in first level nursing students. The faculty introduced new content by using video lectures and online material assigned as homework with a peer-led simulation used during class to apply the concepts in a hands-on, interactive, learning experience. The effect the flipped classroom using a peer-led simulation had on cognitive learning, critical thinking, and …


Incivility In Nursing Education: An Intervention, Ruthanne Palumbo May 2016

Incivility In Nursing Education: An Intervention, Ruthanne Palumbo

Nursing Theses and Capstone Projects

Incivility in nursing education is an unfortunate phenomenon affecting nursing students. in all aspects of their educational experience. Students and their instructors are often ill equipped to deal with academic incivility and their lack of ability to handle such behaviors has proven detrimental to the future of the nursing profession. Nursing instructors need tools to help educate nursing students on how to recognize uncivil behaviors within themselves as well as others and ways to combat it. This Capstone Project addressed these aspects of academic incivility and implemented an e-learning module that was developed to educate students on incivility. The data …


Sleep Hygiene Program For Night Shift Workers, Dale Wicker May 2016

Sleep Hygiene Program For Night Shift Workers, Dale Wicker

Nursing Theses and Capstone Projects

Sleep is vital to health and wellbeing. Service professionals such as nurses, firefighters, and police officers, historically have worked in shifts requiring around the clock coverage. Now, many companies are following similar strategies with working employees in 12 hour or 8 hour shifts including night shift. Night shift workers must adjust to sleeping during the daytime by combating their normal circadian regulatory system. Maladaptation to daytime sleep can affect overall sleep time and poorer sleep quality. Shift Work Disorder is a medical condition where employees struggle with chronic sleep deprivation that can lead to other health problems. Employee health clinics …


School Mental Health Guide For Educators, Yvonne Smith May 2016

School Mental Health Guide For Educators, Yvonne Smith

Nursing Theses and Capstone Projects

This Capstone Project explored the impact of providing a staff development program to educators in a public school setting to address rising concerns over unmet student mental health needs in this school setting. Student mental health response and referral had become prominent concerns in the project school. The project leader developed two separate sessions addressing adolescent depression and mental health. The sessions, facilitated by the project leader and the project implementation team, represented the interprofessional disciplines of nursing, counseling, and social work. Each session addressed issues of confidentiality, definition and signs/symptoms of each conditions, common treatments, evidenced-based classroom strategies and …


Improving Patient Safety Through Patient Safety Aide (Sitter) Competency Education, Colman Tom May 2016

Improving Patient Safety Through Patient Safety Aide (Sitter) Competency Education, Colman Tom

Nursing Theses and Capstone Projects

Healthcare facilities today are faced with many difficult patient care and safety challenges. In addition to providing immediate complex patient medical needs, healthcare staff must ensure patients are in a safe environment. Patient safety has become a major focus of many medical and long-term care facilities. An in-house reporting system of a medium size medical healthcare facility identified a patient safety issue. Multiple patient safety sentinel events have been reported; namely patient elopements (unauthorized missing patients) and high-risk patient falls. Certified nursing assistants were contracted to sit with these high-risk patients to alleviate these patient safety issues; nevertheless, these patient …


Effectiveness And Feasibility Of In-Office Versus Smartphone Text-Delivered Nutrition Education In The College Setting: A Mixed-Methods Pilot Study, Jordan Rose, Deepika Goyal, Mary Ellen Wilkosz, Anita Catlin May 2016

Effectiveness And Feasibility Of In-Office Versus Smartphone Text-Delivered Nutrition Education In The College Setting: A Mixed-Methods Pilot Study, Jordan Rose, Deepika Goyal, Mary Ellen Wilkosz, Anita Catlin

Doctoral Projects

Often, being away from home for the first time, coupled with limited knowledge regarding healthy eating behaviors, leads to poor food choices and an increased risk of obesity among college-aged young adults. These college students are prone to high-calorie diets and limited physical activity, putting them at risk for obesity, a physiologically, psychologically, and financially costly epidemic in the United States. College students use their cellular phones over eight and a half hours a day and cell phones are their primary means of information consumption outside of the classroom, suggesting that the phones would be a useful tool to provide …


Student's Assistance And Contribution To Their Community After Participating In An Emergency Prepardeness Inter-Professional Collaborative Practice Simulation, Elizabeth Scott, Ronda Chrstman, Sonia Wrate, Rebecca Retzer, Laura Racovita-Szilagyi, Cynthia Gettys, Brooks Kirschmann May 2016

Student's Assistance And Contribution To Their Community After Participating In An Emergency Prepardeness Inter-Professional Collaborative Practice Simulation, Elizabeth Scott, Ronda Chrstman, Sonia Wrate, Rebecca Retzer, Laura Racovita-Szilagyi, Cynthia Gettys, Brooks Kirschmann

Faculty Works

Poster presented at Teaching to Transform for the New Reality of Nursing Practice. The 12th Annual Nursing Faculty Development Workshop at University of Kentucky. Lexington, KY in May 2016.


Effect Of Glycemic Control On Infection In Post Total Joint Replacements In The Diabetic Patient, Sandra Hall May 2016

Effect Of Glycemic Control On Infection In Post Total Joint Replacements In The Diabetic Patient, Sandra Hall

Nursing Capstones

No abstract provided.


Development Of A Social Marketing Plan To Decrease Long Term Care Nurses Use Of Unnecessary Pharmacological Interventions To Address Residents' Behavioral Disturbances, Kela Spikes Bickham May 2016

Development Of A Social Marketing Plan To Decrease Long Term Care Nurses Use Of Unnecessary Pharmacological Interventions To Address Residents' Behavioral Disturbances, Kela Spikes Bickham

Doctoral Projects

Seventy-six percent of long term care (LTC) residents display behavioral disturbances associated with psychiatric disorders, including dementia, which “often occur in clusters and include depression, psychosis, aggression, agitation, anxiety, and wandering” (Agency for Healthcare Research and Quality [AHRQ], 2014 para. 2; Perkins, 2012). Forty percent of LTC residents with behavioral disturbances receive pharmacological treatments to manage their behavioral disturbances, but these medications have limited efficacy and significant adverse effects (Gustafsson, Karlsson, & Lövheim, 2013). This remains important because the population, ages 65 and older (approximately 88% of all LTC residents), represent the most vulnerable to the effects of pharmacological interventions …


Multigene Panel Testing For Hereditary Cancer Risk, Alyssa Grissom, Patricia Friend May 2016

Multigene Panel Testing For Hereditary Cancer Risk, Alyssa Grissom, Patricia Friend

Nursing: School of Nursing Faculty Publications and Other Works

Historically, an understanding of a patient and/or their family’s cancer risk and predisposition was based in large part on patient pedigree or family history, histology, and age at diagnosis. However, since the completion of the Human Genome Project, advances in technology have moved from pedigree to single-gene testing to multigene testing and next-generation sequencing. Advanced practitioners need to follow developments in genetic testing to interpret results, ensure that their patients/families receive appropriate counseling before and after testing, understand the clinical impact of genetic testing across the trajectory of healthcare, including surveillance, screening, diagnosis, treatment, lifestyle, pharmacogenomics, and new targeted therapies. …


Optimizing The Teachable Moment For Health Promotion For Cancer Survivors And Their Families, Michelle Frazelle, Patricia J. Friend May 2016

Optimizing The Teachable Moment For Health Promotion For Cancer Survivors And Their Families, Michelle Frazelle, Patricia J. Friend

Nursing: School of Nursing Faculty Publications and Other Works

No abstract provided.