Nursing Commons^™

Gw Nursing, Spring 2017, George Washington University, School Of Nursing

GW Nursing Magazine

No abstract provided.

Addressing The Relationship Between Socioeconomic Status And Childhood Obesity: An Inter-­Professional Approach, Lorande J. Furey

Thinking Matters Symposium Archive

No abstract provided.

Which Leads To Higher Medication Substitution Treatment Retention – Methadone Or Buprenorphine?: A Systematic Literature Review, Magalloway Field, Amy Rowe

Thinking Matters Symposium Archive

The purpose of this literature review is to review and report on the relationship between type of medication-assisted treatment for opioid addiction and treatment retention.

Addressing The Relationship Between Food Security And Oral Health In Low Socioeconomic Populations: An Inter-Professional Approach, Elizabeth Guerdan

Thinking Matters Symposium Archive

The aim of this poster is, based on current evidence on the relationship between food insecurity in low socioeconomic populations and oral health, to present an inter-professional approach to this population health issue.

Application Of The Patient Checklist Tool In Anesthesia Handoffs, Theresa Durley

Doctor of Nursing Practice Scholarly Projects

Accurate and essential communication is required during the transfer of patient care from one health care provider to another. Communication errors during the handoff process have been identified as contributing factors in sentinel events. There is a plethora of literature supporting a standardized transfer of care process as well as several accepted handoff communication tools for the various units within a healthcare institution. However, in the anesthesia domain, there is currently only one protocol specifically created for the transfer of patient care between certified registered nurse anesthetists (CRNAs). The PATIENT protocol, created by Dr. Suzanne M. Wright, CRNA, PhD (2013) …

College Of Nursing, South Dakota State University

College of Nursing Magazine

Called to serve:
Profiles of student nurses who became military health professionals.
[Page] 2 Meet Dolores (Gleich) Pogrebniak and Nick Westphalen, two Army Student Nurse Program participants on opposite ends of the chronological spectrum.
[Page] 3 Deployment delays nurse practitioner studies for Alex Kalsbeck.
[Page] 3 Commissioning to Navy Nurse Corps gave faculty member the opportunity to serve U.S. president, other dignitaries.
[Page] 4 Undergrad Nick Westphalen credits time management for being able to meet the demands of ROTC training and a nursing degree.
[Page] 5 Asha Wyatt: ‘Who better to serve than my country?’
[Page] 5 Bruce Kyllonen: ‘Rewards …

Examining The Relationship Between Medical Concerns And Overall Mental Health Rating, Sarah M. Wilson

Masters Theses & Specialist Projects

It is widely supported that there are significant, positive relationships between the occurrence of some mental health symptoms and physical illnesses. Research indicates that the burden experienced by those with a physical and mental illness are magnified compared to individuals who do not experience an illness. More specifically, one of the burdens experienced by individuals is the monetary burden of affording the necessary health services to properly manage their illness.

This study attempts to reveal a difference between mental health symptom count for individuals who do and do not experience difficulty affording health care for their physical problems. The first …

An S.O.S. From The Lgbt: Identifying Healthcare Barriers Among The Lgbt Community, Timothy J. Nervina

Nursing Masters

Introduction: Members of the Lesbian, Gay, Bisexual, and Transgender (LGBT) communities are a vulnerable population in accessing routine healthcare. Studies have indicated that LGBT individuals are at an increased risk for conditions regarding physical and mental health, as well as socioeconomic disparities; however, little is currently known regarding the leading causes of these discrepancies. This study aims to identify the leading causes that impede access to routine healthcare on behalf of the LGBT population.

Methodology: The Access Barriers to Care Index (ACBI) was sent to participants via the Internet over the course of three weeks. The survey assessed the level …

Lost In Translation: Infusing Ignatian Pedagogy In On-Line Undergraduate Nursing Program, Jorgia Connor, Joanne Dunderdale, Tavis D. Jules, Patty Stapleton

Ignatian Pedagogy Educational Resources

No abstract provided.

Promoting Influenza Immunizations For Seniors In South Central Kentucky, M. Susan Jones, Matthew L. Hunt, Sujaya Thogaru

Nursing Faculty Publications

No abstract provided.

Cultural Relevance During Pediatric End-Of-Life Care, Helen Jahna

Nursing Masters

Abstract: Cultural competency is essential to patient and family centered care, and signifies recognition of the patient’s and family’s healthcare beliefs, customs, and values. Understanding these concepts opens communication with families and healthcare providers and brings out information needed to make the End-of-Life process as meaningful, respectful, and comfortable as possible. This study explored pediatric nursing attitudes on education for cultural relevance and cultural consideration during the end-of-life process. A cross-sectional survey was emailed to pediatric nurses working in the Neonatal Intensive Care Unit (NICU) and Pediatric Cardiac Care Center (PCCC) in a children’s center associated within a teaching hospital …

Palliative Care: An Alien Concept In Pakistan, Nadia Pyarali Mulji, Sumaira Sachwani

School of Nursing & Midwifery

Every living being has to die. Respecting a dying individual’s personal values and preferences is a challenge. We live in a culture where family decisions are given priority over individual’s wish. To address this challenge, a concept of palliative or comfort care is newly introduced in Pakistan. Palliative care is a multidisciplinary specialty that emphases on prevention and relieving suffering as well as supporting the optimal quality of life of patients and their families (Bailey, Harman, Bruera, Arnold, & Savarese,2014). In Pakistan, the concept of palliative care is like a newborn baby who needs a lot of ethical attention in …

Practices Of Faculty Members Regarding Teaching And Learning Strategies In Nursing Education, Shams Ul Huda, Tazeen Saeed Ali, Kashmira Nanji, Shanaz Hussein Cassum

School of Nursing & Midwifery

Objective: To determine the different teaching learning strategies utilized, percentage of faculty members utilizing these teaching strategies and faculty perceptions regarding effectiveness of these in undergraduate nursing degree programs in Khyber Pakhtunkhwa (KPK), Pakistan.
Methodology: Cross sectional descriptive design was used to conduct this study. The sample size was 42. The faculty members were recruited from different nursing institutes offering degree programs in KPK, Pakistan. Statistical analysis was done using SPSS & STAT.
Results:Discussion, lecture, group discussion, and PPT were used by 78.6%, 73.8%, 73.8%, and 69% of the faculty members, respectively. However, other learning strategies like debate, PBL, …

Rn To Bsn Education For Future Nurse Leaders, Janice Smolowitz, Courtney Reinisch

School of Nursing Faculty Scholarship and Creative Works

No abstract provided.

Transprofessional Education – An Asynchronous Approach, Courtney Reinisch

School of Nursing Faculty Scholarship and Creative Works

Creating an opportunity inter-professional educational for nursing students involves challenges in logistics and resources.

Innovations In Rn To Bsn Education Through Inter-Professional Partnership, Courtney Reinisch, Janice Smolowitz

School of Nursing Faculty Scholarship and Creative Works

No abstract provided.

Quality Of Life And Its Determinants In Adult Cancer Patients Undergoing Chemotherapy Treatment In Pakistan., Parveen Chagani, Yasmin Parpio, Raisa B. Gul, Adnan Jabbar

School of Nursing & Midwifery

Objective:

Cancer is a leading cause of death worldwide. Likewise, in Pakistan, it is a major health problem, with an approximate increase each year. Cancer treatment, particularly chemotherapy, produces a detrimental effect on individuals' well-being. Since the past few years, quality of life (QOL) is considered as the primary goal of cancer treatment in patients' survival. This study aimed to assess the QOL and its determinants in adult cancer patients undergoing chemotherapy treatment.

Methods:

An analytical cross-sectional design was employed to achieve the study objectives, utilizing consecutive sampling technique. A total of 150 adult (>19 years) cancer patients were …

Relationships Among Substance Use, Multiple Sexual Partners, And Condomless Sex: Differences Between Male And Female U.S. High School Adolescents, Yunchuan (Lucy) Zhao, Heejung Kim, Jill Peltzer

Nursing Faculty Publications and Presentations

Male and female students manifest different behaviors in condomless sex. This cross-sectional, exploratory, correlational study examined the differences in risk factors for condomless sex between male and female high school students, using secondary data from 4,968 sexually active males and females participating in the 2011 National Youth Risk Behavior Survey. Results in descriptive statistics and multivariate binary logistic regressions revealed that condomless sex was reported as 39.70% in general. A greater proportion of females engaged in condomless sex (23.26%) than did males (16.44%). Physical abuse by sex partners was a common reason for failure to use condoms regardless of gender. …

Critical Analysis Of Breastfeeding Education Provided In The Hospital, Abigail Sweet

Senior Honors Projects

The World Health Organization (W.H.O) recommends exclusive breastfeeding for the first six months of an infant’s life. A large majority of new mothers are making the decision to breastfeed their newborn child. According to the Centers for Disease Control and Prevention, as of 2016, high breastfeeding initiation rates show that most mothers in the U.S. want to breastfeed and are trying to do so. However, there are several indicators that suggest that mothers may not be getting the support they need and the early postpartum period is a critical time for establishing support for breastfeeding. Depending on the type of …

Improved Outcomes Associated With An Early Mobilization Protocol Among Hip And Knee Replacement Patients, Emily Emma, Dnp, Rn-Bc, Onc

Doctor of Nursing Practice Projects

Background: According to the National Association of Orthopedic Nurses (NAON), research indicates that evidence-based practice for post-operative hip and knee replacement patients includes early mobilization several hours following surgery. Findings indicate that early mobilization on the day of surgery directly correlates to decreased pain, increased distance ambulated and decrease in length of stay (LOS) in the hospital. Objectives: The aim of this research was to validate findings in the literature indicating that improved patient outcomes (pain, distance ambulated and LOS) are associated with implementation of an Early Mobilization Protocol among post-operative total hip and knee replacement patients. Methods: The study …

A Retrospective Analysis Of Surgeon Estimated Time And Actual Operative Time To Develop An Efficient Operating Room Scheduling System, Pearly T. Brown, Dnp, Rn, Cnor

Doctor of Nursing Practice Projects

Problem: Surgical departments account for sizable budgets in hospitals. To ensure efficiency, optimal processes need to be maintained. The current practice for posting a surgical case is using surgeon estimated times (SETs), which only includes the reporting points of component 2 (C2) “incision” to “dressing.”

Objective: To analyze if there was a significant difference in minutes between actual operative times (AOT) and SET in patients undergoing outpatient general laparoscopic and inpatient orthopedic total joint surgery.

Methods: The facility is a level one trauma teaching center, with 371 beds, and a yearly surgical volume of 17,000 cases. This retrospective …

Effects Of A Comprehensive Bariatric Program Implementation On 30-Day Readmission And 30-Day Er/Infusion Clinic Visit Rates Due To Dehydration, Azra Kukic, Dnp, Rn, Cbn, Acm

Doctor of Nursing Practice Projects

Background: Program accreditation requires adherence to MBSAQIP standards to assist patient in making needed changes to his/her diet and lifestyle. However, literature provides conflicting information regarding the value of a comprehensive bariatric program accreditation and its effects on 30-day readmission and 30-day ER/infusion clinic visit due to dehydration development.

Objectives: To examine the effects of implementing a comprehensive bariatric surgical program on 30-day readmission rates, and 30-day emergency room (ER) and infusion clinic visit rates due to dehydration for bariatric surgical patients.

Methods: Our study was a retrospective separate sample pre-post intervention chart review. The data were collected before and …

An Assessment Of Errors And Near-Misses From Pre-Licensure Student Nurses, Megan Wolfe, Dnp, Fnp-C, Ms Ed., Rd, Rn, Cne

Doctor of Nursing Practice Projects

Background: Approximately one-half of new nurses with less than one year of experience who were involved in adverse patient events identified that their formal education preparation was a causal factor in their error (Saintsing, Gibson & Pennington, 2011). An examination of quality and safety measures of a current hospital based associate degree nursing (ADN) educational program provided data regarding errors committed by prelicensure students. Tracking and analysis of frequency and type of student clinical errors provided for identification of similarities and an opportunity for system evaluation and improvements.

Objectives: To identify the number, types and categories of Student …

Leveraging National Reports To Transform Ambulatory Care Practice, Anne T. Jessie, Beth Ann Swan

College of Nursing Faculty Papers & Presentations

• Multiple national reports identify actionable recommendations to transform education and practice to meet the needs of health care and healthcare delivery beyond the hospital walls.
• The Josiah Macy Jr. Conference (2016) focused on transforming primary care and changing healthcare culture to support expansion of roles for registered nurses (RNs).
• Partnerships between academia and clinical practice are critical to expanding learning opportunities beyond traditional acute care settings.
• Development of primary care expertise in nursing faculty and adjunct faculty, in collaboration with primary care and ambulatory care nursing leaders, is essential.
• Academic-practice partnerships must advocate for removing regulatory and practice barriers to …

Pain Management Efficacy Study Between Continuous And Single-Administration Bupivacaine Following Lumbar Spinal Fusion, Jay Tumulak, Steve Johnston, Patty Adams

College of Nursing Faculty Research and Publications

Poorly managed postoperative pain decreases patient satisfaction, impedes early patient mobilization, lengthens inpatient hospital stay, and increases healthcare costs. Multimodal analgesia with local anesthetics is considered most effective for postoperative pain management. This study compared patients undergoing lumbar fusion who received plain bupivacaine from May 2011 until August 2012 with those who received liposomal bupivacaine from September 2012 until May 2013. The aim was to determine which preparation reduced postoperative opioid use the most. All lumbar spinal fusion surgeries in the periods indicated were included in the study. Ninety-three patient charts were reviewed: 47 for the plain bupivacaine group and …

Efficacy Of Continuous Passive Motion After Total Knee Arthroplasty In Veteran Patients, Jaimee Riza B. Hare

Doctoral Projects

Since the early 1980s, continuous passive motion has been used as adjunct therapy in patients’ rehabilitation following total knee arthroplasty. Although existing literature challenged the benefits of continuous passive motion claiming it had no added short-term or long-term benefits after knee arthroplasty (Boese et al., 2014; Chen et al., 2012; Herbold et al., 2014; Leach et al., 2006; Maniar et al., 2012), the existing literature is difficult to generalize and apply to the veteran population at San Francisco Veterans Affairs Medical Center. This study was undertaken to determine the efficacy of continuous passive motion in helping veteran patients at San …

Developing A Clinical Tool For The Assessment And Diagnosis Of Pediatric Bipolar Disorder, Amanda Jill Horrocks

Doctoral Projects

Background: Pediatric bipolar disorder is a significant mental illness, characterized by changes in mood that can be abrupt, unpredictable, and extreme. The rate of diagnosis of this disorder has been increasing in recent decades. Purpose: A thorough review of existing literature was completed to inform practice. Additionally, a survey of clinician assessment practices was completed. Combining the information learned from the literature review, and the data from the clinician survey, a clinical tool has been created. This tool provides a thorough, multi-phasic process for the assessment and diagnosis of pediatric bipolar disorder. Method: Mental health clinicians were surveyed; respondents were …

Stress In New Graduate Nurses: Can They Sweat It? A Correlational Study Of Exercise And Stress In New Graduate Nurses, Kathleen Helgesen

Doctoral Projects

Stress in new graduate nurses has been a known issue in nursing for decades. The number of new graduate nurse turnover rates has reached up to 50% within the first three years of practice, according to some studies. Most new graduate nurses who choose to leave their job, or even the profession, cite stress as a major factor.

Methods: Single point correlation survey of new graduate BSN students in Southern California (n=32).

Results: Initial results showed a statistically significant difference between those who exercised three to five hours per week, versus though who exercised more than five hours per week. …

Building Research Infrastructure In Magnet® Hospitals: Current Status And Future Directions, Meg Johantgen, Marianne E. Weiss, Vicki Lundmark, Robin Newhouse, Karen Haller, Lynn Unruh, Maria Shirey

College of Nursing Faculty Research and Publications

OBJECTIVE: The aim of this study was to describe the infrastructures supporting research in Magnet® hospitals.

BACKGROUND: Hospitals undertaking the journey toward Magnet designation must build research and evidence-based practice (EBP) infrastructures that support the infusion of research and EBP into clinical practice.

METHODS: An electronic survey was developed and distributed to the chief nursing officer or Magnet coordinator of all Magnet hospitals between June 10, 2015, and July 8, 2015.

RESULTS: Of the 418 Magnet hospitals invited, 249 responses (60%) were received. Resources dedicated to nursing research were difficult to isolate from those for EBP. Supporting clinical nurses’ time …

Metformin: Can It Prevent Death From Cancer In Type 2 Diabetics?, Anna Merkens

Nursing Capstones

No abstract provided.