Nursing Commons^™

A Quality Improvement Project: Adopting The Standards Of Best Practice In Simulation: Debriefing With Pearls, Rebecca Lea Hooper Keesee

Doctor of Nursing Practice Projects

Background

There is evidence the best practices of simulation, specifically, the use of debriefing, will assist the new graduate nurse’s transition into the profession by increasing their clinical judgment. This quality improvement (QI) project explored the pedagogy of High Fidelity Simulation and Debriefing as a solution for the lag in New Graduate Nurse (NGN) practice readiness. The specific aims of this project were: 1) to teach the NGN residency educators how to implement Standard: Debriefing of the International Nursing Association for Clinical Simulation and Learning (INACSL) Standards of Best Practices: Simulation^SM by focusing on the role of the debriefer; …

Factors Affecting Student Success In Oregon Associate Degree Nursing Programs, Tracy Fawns

Doctor of Nursing Practice Projects

Background: Multiple factors contribute to student retention and attrition rates in undergraduate nursing programs. Attrition rates are rising, which affects society as the population is aging and there is a need for more nurses. Identifying attrition risk as a method to increase student success is imperative in order to produce more nurses. The purpose of this project was to analyze and evaluate predictive factors and academic issues that affect student success at Oregon Consortium of Nursing Education (OCNE) schools in order decrease attrition rates in the science courses and increase associate degree of nursing (ADN) program completion.

Methods: This records-based …

Educating Mothers Of Obese Hispanic Preschoolers To Create Lifelong Healthy Habits, Lynette Marshall

Doctor of Nursing Practice Projects

Problem and Background: Childhood obesity has doubled in children and quadrupled in adolescents in the past 3 decades, increasing from 5% to 17% in one generation. The highest rates of childhood obesity are among Mexican Americans. Obesity can increase health morbidities, and as obese children continue to grow, these health concerns progress to adulthood. In spite of enhanced education and communication between mothers of obese children and their primary care providers, minimal improvement has taken place in terms of outcomes and lifestyle changes.

Methods: Fourteen obese Hispanic 2- to 5-year-olds and their mothers participated in the study. The children’s BMIs …

The Relationship Between Pre-Licensure Employment And Student Nurse Self-Efficacy, Khristina Lee Grimm

2017 Program & Posters

Lack of self-efficacy in nursing practice contributes to high levels of stress as new nurses enter the workforce, which causes turnover during their first year of practice. Little is known about how the type and amount of pre-licensure employment affects the selfefficacy in nursing practice of the student nurse.

Postpartum Depression And Acculturation Among U.S. Immigrant Women Of Arabic Descent, Dalia Alhasanat

Wayne State University Dissertations

Purpose and Background/Significance: Postpartum depression (PPD) affects 12-20% of U.S. mothers. The PPD rates for women of Arabic descent are even higher (up to 37%). Higher acculturative stress and acculturation and lack of social support have been related to higher risk for PPD symptoms among immigrant women. No published research has investigated the relationship between acculturative stress, social support, and/ or acculturation and PPD symptoms among U.S. immigrant women of Arabic descent. Therefore, the purpose of this dissertation research was to examine the impact of acculturative stress, social support, and acculturation on PPD symptoms among these women. The specific aims …

Sleep Disturbance And The Immunological Acute Phase Response In Hospitalized Post-Operative Adults., Jean Dorothy Humphries

Wayne State University Dissertations

Abstract

Sleep Disturbance and the Immunological Acute Phase Response

in Postoperative Hospitalized Adults

Abstract

The purpose of this study was to examine the subjective and objective (actigraphy) sleep patterns, the immunological acute phase response of IL1-β and TNF-α, and the physiological stress response of cortisol and systolic blood pressure in post-operative abdominal surgical patients. Nineteen subjects, 10 men and 9 women, mean age 45.63 years (SD = 11.44) were enrolled between April 2015 and March 2016. All subjects were elective major invasive abdominal surgery patients. Laparoscopic surgery occurred in 10 patients and incisional surgery occurred in 9 patients. This descriptive …

The Influence On Morbidity And Mortality When Blood Products Are Transfused Using Conventional Coagulation Tests Versus Teg Or Rotem In Trauma Patients Perioperatively, Teresa Diana Kelley

Theses, Dissertations and Capstones

Abstract: Coagulopathy in trauma patients occurs due to tissue injury, hemodilution (dilution of hematocrit and clotting factors), infusion of hypo-coagulable blood products (e.g., packed red blood cells), acidosis, hypothermia, continued blood loss, and depletion of clotting factors. The onset of coagulopathy begins with the initial tissue injury and evolves rapidly. Many factors need consideration when determining resuscitative treatment for the trauma victim. These factors include the amount of time for extraction from the field, transport time to a trauma center, associated weather, and treatment provided in route. This study compared two clinical laboratory pathways (Conventional Coagulation test and Rotational Thromboelastometry …

Feasibility Of A Relaxation Guided Imagery Intervention To Reduce Maternal Stress In The Nicu, Lois C. Howland, Nancy Jallo, Cynthia D. Connelly, Rita H. Pickler

School of Nursing Publications

Objective: To test the feasibility of a relaxation guided imagery (RGI) intervention for mothers of hospitalized preterm infants and to explore the biobehavioral effects of RGI on their distress, responsiveness, and physiological stress.

Design: Single sample, pretest-posttest design.

Setting: A large Level III NICU in Southern California.

Participants: Twenty mothers of hospitalized preterm infants (24-32 weeks gestational age).

Methods: Correlational analyses of RGI use with self-reported measures of distress (perceived stress, state anxiety, and depression symptoms), awakening salivary cortisol level, and salivary cortisol awakening response collected from mothers at baseline and after 8 weeks of an RGI intervention.

Results: Nineteen …

Factors Distinguishing Positive Deviance Among Low-Income African American Women: A Qualitative Study On Infant Feeding, Cecilia E. Barbosa, Saba W. Masho, Kellie E. Carlyle, Maghboeba Mosavel

School of Nursing Publications

Background: Positive deviant individuals practice beneficial behaviors in spite of having qualities characterizing them as high risk for unhealthy behaviors.

Objective: This study aimed to identify and understand factors distinguishing low-income African American women who breastfeed the longest (positive deviants) from those who breastfeed for a shorter duration or do not breastfeed.

Methods: Seven mini-focus groups on infant-feeding attitudes and experiences were conducted with 25 low-income African American women, grouped by infant-feeding practice. Positive deviants, who had breastfed for 4 months or more, were compared with formula-feeding participants who had only formula fed their babies and short-term breastfeeding participants who …

Nitrous Oxide: Revival Of An Antiquated Pain Modality Helps To Empower Women, April Shuneson

All Electronic Theses and Dissertations

Background: Options for pharmacological pain management in labor are limited. The use of nitrous oxide during labor and gynecological procedures is supported by the American College of Nurse-Midwives (2016); they group suggested that different forms of coping with labor and pain should be made available for women. Purpose: The purpose of this critical review of the literature is to examine the factors contributing to availability, efficacy, safety, and patient outcomes of nitrous oxide when used during labor and gynecological procedures. Results: Twenty-four articles were selected for review and were appraised using the John Hopkins Research Evidence Appraisal Tool (Dearholt & …

Easy Breathing For Elementary School Children With Asthma At Dayton Public Schools, Jeanine M. Bochenek

Doctor of Nursing Practice Program Projects

Approximately 8.4% or 6.4 million children are diagnosed with asthma in the United States. Asthma is a chronic and life threatening disease that cannot be cured but only managed. Asthma is also one of the most expensive conditions to manage, requiring direct health care services if not adequately controlled. Asthma symptoms and exacerbations are also the number one reason for school absences among children. The PICOT question that guided the review of the literature to answer the clinical question was: In children with asthma, how does a school-based self-management asthma education program compared to standard management affect school absences and …

Adult Qdts, Chinese, Marianne E. Weiss, Binghua Wang

Quality of Discharge Teaching Scale

The Readiness for Hospital Discharge Scale, Quality of Discharge Teaching Scale, and Post-Discharge Coping Difficulty Scale were developed by Dr. Marianne Weiss to measure nurse-sensitive discharge care processes and patient outcomes. Three versions of the scales were developed concurrently for different patient populations – Adult medical-surgical patients, Parents of hospitalized children, and Postpartum Patient mothers (see Weiss & Piacentine, 2006, Weiss et al., 2007, and Bobay et al., 2018 for description of the development and initial testing). Additional scales and information about translation rights are located at Marquette Nursing.

PERMISSION TO USE

The Readiness for Discharge Scale, Quality of Discharge …

Factors & Risks Associated With Adolescents Late Entry Into Prenatal Care, Shannon Almonia, Kimberly Damian, Giuliana Enea, Solveig Karlsen, Jessica Markham

Student Research Posters

Prenatal care is a type of preventative health care for pregnant women that is typically initiated in the first trimester. However, when prenatal care is inadequate, initiated past the first trimester or missed, the mother and fetus experience an increased risk for preterm delivery. Adolescents are apart of a specific subgroup of pregnant women that are at a higher risk for adverse outcomes during pregnancy due to knowledge deficits. Therefore, adolescents are especially likely to receive inadequate prenatal services. Numerous studies have been conducted to discover the result of inadequate prenatal care; however, not as many studies explore the factors …

What Is The Relationship Between Food Insecurity And College Students Aged 18-22 And Its Effects On Academic Performance And How Can Proper Nutrition Be Promoted?, Karla Ramos, John Magbanua, Daniella Flores, Janelle De Dios, Karla Bugtong, Shannon Almonia

Student Research Posters

Food insecurity is defined as the limited or uncertain availability of nutritionally adequate and safe foods. It can also be defined as the limited or uncertain ability to acquire acceptable foods in socially acceptable ways. Previous research has observed that food insecurity can disrupt optimal development throughout the life cycle. A growing body of literature has documented the effects of food insecurity on cognitive, academic, and psychosocial development among college students. These studies consistently observed that food insecurity is associated with lower academic performance, poor health, and decreased psychosocial function. Among college students, financial hardship can translate into budget demands, …

Influenza Vaccination In School-Aged Children, Isabella Jao, Chloe Mcfadin, Nica Nuguid, Dan Recinto, Kaitlin Van Ryn

Student Research Posters

Should schools in the United States require children between the ages of six months to 17 years to have flu vaccination shots? Influenza is a serious disease that can lead to hospitalization and sometimes even death. According to the Center of Disease Control (CDC), every flu season varies, and an influenza infection can affect people differently. Millions of people get the flu every year, hundreds of thousands of people are hospitalized, and thousands or tens of thousands of people die from flu-related causes every year. Everyone is at risk for influenza, but the highest risk lies within children who are …

Common Factors Related To Illicit Substance Use Among Nurses In North America, Madison Marshall, Reinelle Regala, Lucy Gray, Emma Pedlar, Samantha Naguit

Student Research Posters

The prevalence of illicit substance use among registered nurses, though not widely studied or addressed, is understood to be an essential issue facing healthcare professionals. An impaired nurse is defined as someone who has impaired functioning as a result of substance abuse and it interferes with their professional judgment and ability to deliver safe, high quality care. Registered nurses have access to many high-controlled prescription medications, with little oversight, and the opportunity for substance abuse is significant. In our research, we studied the risk factors, the prevalence, and the preventative measures involved in addressing illicit substance use among nurses.

Moral Distress And Associated Factors Among Baccalaureate Nursing Students: A Multisite Descriptive Study, Lorretta Krautscheid,, Deborah A. Demeester, Valorie Orton, Austin Smith, Conor Livingston, Susan M. Mclennon

Faculty Publications - College of Nursing

Moral distress and its associated negative consequences among postlicensure nurses have been extensively discussed in the literature. Moral distress is defined as knowing the ethically correct action one should take but feeling constrained from acting on one’s convictions because of internal and external constraints (Epstein & Delgado, 2010; Hamric, 2014; Jameton, 1984; McCarthy & Gastmans, 2015; Musto, Rodney, & Vanderheide, 2015). The focus in much of the reviewed literature is on measuring and describing moral distress, moral residue (lingering feelings associated with moral distress), and subsequent deleterious consequences (frustration, apathy, compassion

Increasing Providers’ Adherence To Ordering Urine Microalbumin Tests, Florence Fadele

Student Theses, Dissertations and Capstones

Currently, a microalbumin urine test is an annual test for diabetic patients recommended by the American Diabetes Association, but primary care providers are not ordering the tests. This may be, in part, attributable to the fact that there are no guidelines for ordering microalbumin urine tests. The purpose of this capstone project was to assess providers' compliance in identifying the need for the microalbumin urine test for patients with diabetes, to develop evidence-based guidelines for monitoring and ordering microalbumin urine tests, and to evaluate providers' compliance. Rogers's theory of the diffusion of innovation provided the framework for this capstone project. …

Arab American Adolescents’ Bullying Experiences And Effects On Their Perceived Stress And Health, Maha Albdour

Wayne State University Dissertations

This study is intended to examine the bullying experience among Arab American adolescents and effects on their perceived stress and health. Adolescents who are vulnerable or marginalized might be at higher risk for bullying. Arab American adolescents have not been included in research studies examining bullying and described as the invisible population.

The Neuman System Model, which focuses on wellness of adolescents in relation to environmental stress, guided this study. Bullying is a tension producing stressor, operationally defined as repeated attacks or intimidation that cause fear, distress or harm and perceived power imbalance between bully and victim. Perceived stress is …

Online Health Information Gathering And Health Service Utilization By Emergency Department Patients With Acute, Non-Urgent Illness Symptoms, Joanne Yastik

Wayne State University Dissertations

ABSTRACT

ONLINE HEALTH INFORMATION GATHERING AND HEALTH SERVICE UTILIZATION BY EMERGENCY DEPARTMENT PATIENTS WITH ACUTE, NON-URGENT ILLNESS SYMPTOMS

by

JOANNE M. YASTIK

May 2017

Advisor: Dr. Deborah Schutte

Major: Nursing

Degree: Doctor of Philosophy

Statement of the Problem: The influence of the Internet on our global society cannot be overstated. One of the most utilized areas on the Internet is the quest for health information (Bouche & Migeot, 2008; Goldman & Macpherson, 2006; Warner & Procaccino, 2007, Seckin, 2014). To date, little is known on how this information is being used or whether there is a link between online health …

Introduction: Nursing Research Project Posters, Jamela Martin, Janice Evans Hawkins

OUR Journal: ODU Undergraduate Research Journal

Nursing 363, Principles of Practice: Research as Foundation for Practice, is a required course in the undergraduate nursing curriculum at Old Dominion University. This course, offered every spring, focuses on the theories and concepts utilized in the scientific investigation of nursing practice. Students are introduced to scientific inquiry in nursing which forms the basis for nursing practice and theory. To meet course requirements, student groups create professional scientific research posters of their research proposal projects. What follows is a compilation of their research posters which were presented at the College of Health Sciences Interprofessional Poster Presentation day in the spring …

Examining The Attitudes And Knowledge Of Pregnant Teens On The Topic Of Sids, Delani Beilsmith, Emily Garzon, Maurice Jones, Erika Jurist, Catherine Knapp, Nicole Page, Ashley Smith, Courtney Wagner

OUR Journal: ODU Undergraduate Research Journal

Background: Norfolk has the second highest teen pregnancy rate and third highest infant mortality rate in Southeastern Virginia. SIDS is the third leading cause of infant death in Virginia. Providing a group education intervention modeled after centering pregnancy gives teen mothers the opportunity to learn and receive support in a safe space in hopes of making a positive impact on their attitudes and knowledge regarding SIDS.

Hypothesis: Do the attitudes and knowledge of pregnant teens and recent teen mothers change positively after a group education intervention on sudden infant death syndrome (SIDS).

Method: Quasi-experimental non-randomized group trial. …

The Effect Of Prenatal Breastfeeding Classes On The Initiation Rate And Duration Of Breastfeeding, Rebecca Rupnarine, Sarah Hall, Jasmine Harris, Sarah Mariano, Kelley Everhart, Christen Hansel, Arianne Kris Eichas

OUR Journal: ODU Undergraduate Research Journal

Aim: To determine whether an educational prenatal breastfeeding class will increase the initiation rate and duration of breastfeeding among mothers.

Background: Breastfeeding rates continue to be low, particularly among teenage mothers and nonwhite mothers. Some of the factors that contribute to this are social support, education about breastfeeding, social stigmas, and time.

Significance: Breastfeeding can provide many positive benefits to mothers, babies, and communities. Having no breastfeeding education makes women less likely to initiate and maintain breastfeeding.

Methods: Correlational quasi-experimental design. Prenatal breastfeeding class lasting 8 weeks prior to childbirth. Phone interview at 1 week postpartum …

Exploring Community-Based Nutrition Education Programs On Children’S Knowledge Of Effective Budgeting And Nutritional Analysis, Danielle Beard, Katie Harris, Charlotte Harrison, Amanda Hawley, Kerri Healy, Ashley Tuttle

OUR Journal: ODU Undergraduate Research Journal

Children from low-income areas, ages 5-18, are at high risk for obesity and other related nutritional issues, partially due to lack of knowledge about effective budgeting and nutritional content analysis. Little information is known about the education provided by current community programs in Hampton Roads for teaching children to 1) shop smart, 2) read nutrition labels, and 3) the importance of eating healthier. We propose a longitudinal (12-week) observational study to determine what community-based education is provided to children on how and why to shop smart and read nutritional content; and to determine whether or not the education is effective. …

Impact Of After-School Activities On Meeting Cdc Requirements In Virginian Adolescents, Dorcas Bentil, Leah Crouch, Vignette Kaltsas, Christina Luchau, Phoebe Wallen, Lily Zheng

OUR Journal: ODU Undergraduate Research Journal

Aim: To assess the correlation between after-school program attendance and meeting the Center for Disease Control (CDC) requirement of 60 minutes of moderate to vigorous physical activity (MVPA) per day.

Background: Less than 50% of all children meet the CDC required amount of MVPA.1

Methods: Survey provided to 350 students in grades 6-12 describing participation in after-school programs

Analysis: We will analyze how many students participate in the after-school programs and how long those programs dedicate to physical exercise. We will also analyze what type of exercise is performed.

Limitations: We are limited to the …

Effectiveness Of Interactive, Collaborative Vs. Traditional, Lecture-Based Educational Interventions For Adolescents In Low-Income Areas To Increase Knowledge Regarding Sexually Transmitted Infections, Nelan Tagra, Maia Jimenez, Christina Benedicto, Christopher Tucker, Gerrard Norman, Charmein Harris, Stephanie Green

OUR Journal: ODU Undergraduate Research Journal

Aim: To assess whether teens who live in low-income areas who participate in interactive, collaborative sexually transmitted infections (STI) prevention education will have a significant increase in learning outcomes in comparison to students who participate in a traditional, lecture-based approach.

Background: More STIs are reported each year. Among those infected, young people are of the highest incidence at 50% of new STIs in the US annually. High STI incidence is an unintended health outcome as a result of engaging in risky sexual behaviors. This highlights the need to improve STI education among adolescents.

Methods: A quasi-experimental method …

Impact Of Social Activities On Healthy Aging In Community-Dwelling Adults, Karen Perry, Carl Rojas, Michelle Ross, Sutarto Soeng, Shana Williams, Rachel Jones, Jordan Kaoudis

OUR Journal: ODU Undergraduate Research Journal

Humans are highly social beings which is evidenced by our desire to continually establish social relationships with each other. Healthy social relationships promote engagement in social activities and provide access to social support which greatly benefits overall health outcomes. In our research study, we provide an overview of the impact of social activities on the quality of life among nursing home residents (65+) and evaluate different aspects of social relationships on various health, physiological and psychological functioning. Evidence suggests that a level of social engagement increases life satisfaction and is also associated with a lower risk of physiological dysregulation while …

Research Proposal: The Effects Of Therapeutic Interventions On Illicit Drug Abuse Among Homeless Adolescents, Alice Baillio, Meghan Stanley, Sarah Kroupa, Rania Ajaj, Paige Rabidoux

OUR Journal: ODU Undergraduate Research Journal

Aim: To compare case management versus community-based therapy on illicit drug abuse among homeless adolescents

Background: Homeless adolescents are at high risk for illicit drug abuse.

Methods:

• A quasi-experimental, multiple baseline time series design

• 52 sessions over a 12-month period

• Baseline assessment and survey on demographics

• Follow-up: closed-ended questionnaire (every four months)

Analysis: Repeated ANOVA test and dependent t-test

Limitations: Lack of recent evidence-based research, a small sample size, self-report data, and length of the study.

Efficacy Of Formal Training And Education On Foster Child Abuse In Newly Hired Nurses, Andrea Jefferson, Caroline Stascavage, Nico Foronda, Michael Andrews, Brillant Ngoune, Rudolfo Agustin

OUR Journal: ODU Undergraduate Research Journal

Foster care child abuse cases are more prevalent in the United States. Evidence suggests a significant gap between self reports of abuse and reports by health professionals. 120 nurses will be selected to participate in formal training. A time series design will be used to test the participant’s knowledge before, immediately after, and six months after the formal training. The data collected will be analyzed using descriptive statistics for demographic variables and an one-way ANOVA test will determine significant differences among group scores. Limitations to the study include accessibility to sample size, turnover of participants, the self reporting nature of …

The Effect Of Community Health Education On Respiratory Illnesses In Children Living In Under-Heated Homes, Allora Vico, Daisy Estep, Raynee Hamilton, Ruby Melton, Zhanna Gelman

OUR Journal: ODU Undergraduate Research Journal

The aim is to evaluate the effectiveness of community health teaching focused on the importance of increasing home temperature in order to reduce respiratory symptoms and disease. Studies exists that prove that under-heated homes cause high-risk for children to develop respiratory illnesses. Our methods include a pretest-posttest which will be used to evaluate the learning of the parents. An adapted Health Belief Model survey using a standard Likert scale will also be used. Analysis will be conducted using demographic information and reported using descriptive data. Survey data will be reported using inferential data and analyzed with a matched t-test to …