Nursing Commons^™

Self-Concept Of Precocious Puberty Among Girls And The Link To Risky Behavior: An Integrative Review, Samantha Zackowitz

Grace Peterson Nursing Research Colloquium

Background: Several studies show that early-onset pubertal development is occurring sooner than ever before in female adolescents. While this is problematic in and of itself, concerns about the impact of precocious puberty on young girls include a possible link to detrimental outcomes, including deviant behavior and self-esteem issues.

Objective: The purpose of this literature review is to synthesize the research on precocious puberty by answering the following research questions: How does precocious puberty influence adolescent girls’ perception of self-concept? What risky behaviors are prevalent among girls who experience precocious puberty?

Methods: Articles were found using CINAHL, ProQuest Nursing, and PubMed. …

Examining The Delivery Of Patient- And Family-Centered Care To Pediatric Patients In The Emergency Department Setting: An Integrative Literature Review, Amanda Kell

Grace Peterson Nursing Research Colloquium

Abstract

Background: To optimize the care delivered to pediatric patients, pediatric EDs have begun to focus on delivering patient- and family-centered care (PFCC). Recent studies have focused on identifying and solving issues related to the barriers to implementing PFCC in the pediatric ED setting.

Objectives: The purpose of this research was to examine parent satisfaction and factors that affect the care delivered using a PFCC approach to pediatric care in the ED.

Methods: An integrated literature review was conducted using the CINAHL Complete, Pubmed, and ProQuest Nursing and Allied Health databases. The keywords “emergency services and patient and family centered” …

Determination Of A Correlation Between Bipolar Disorder And Intelligence, Eleanor Sparks

Grace Peterson Nursing Research Colloquium

Determination of a Correlation Between Bipolar Disorder and Intelligence: An Integrative Literature Review

Ellie Sparks

Faculty Sponsor: Dr. Elizabeth Hartman

Abstract

Background: History has linked high intelligence or advanced creativity with mental illness. However, there has been little research done to confirm or reject this suggestion.

Objectives: The goal of this systematic integrated literature review was to determine whether there is a correlation between high intelligence or education performance and the development of bipolar disorder in adulthood. In addition, childhood school performance or IQ is a risk factor for adulthood development of bipolar disorder.

Methods: This integrative literature review was …

Factors Effecting Parental Decision-Making In Measles, Mumps, And Rubella Vaccine Determination: An Integrative Review Of The Literature, Cameron Anderson

Grace Peterson Nursing Research Colloquium

Background: Measles, Mumps, and Rubella (MMR) are diseases that can be vaccinated against but have had a recent increase in incidence. The vaccination is not mandatory allowing parents to decide whether or not to vaccinate their child. Health decision-making is multifaceted including many sources of information and factors that surround it. This complicates the decision making especially regarding the MMR vaccination.

Objectives: This integrative literature review explored the factors and appraisal that parents conduct to make an informed decision regarding the MMR vaccination for their child.

Methods: A search from CINAHL Complete and PsychINFO, where the terms …

Implementation Of A Quality Practice Model In The Emergency Department, W Wysocki

Grace Peterson Nursing Research Colloquium

Implementation of a Quality Practice Model in the Emergency Department An Integrative Literature Review

Wojtek Wysocki

Faculty Sponsor: Larry Maturin, RN, MSN

Background: Various factors can affect delivery of care along with the efficiency of the effectiveness of the practice environment. In the last several decades’ significant changes occurred in the healthcare delivery systems that have created a setting that does not support delivery of quality care provided by nursing.

Objectives: The purpose of this research review is to explore the need for and implementation strategies of a quality practice setting attribute model in the ED that increases nursing satisfaction …

Sensitivity Of Pain Assessment For Critically Ill, Nonverbal Adults, Ruta Jarmontaviciute

Grace Peterson Nursing Research Colloquium

Abstract

Background: Patient’s self-report is a “gold standard” in assessing pain, yet it is not always possible in critically ill, nonverbal adults. In such cases, the use of reliable behavioral pain assessment tools is paramount to patient outcomes. However, the literature presented conflicting information regarding behavioral pain assessment tools and their sensitivity in assessing pain in critically ill, nonverbal adults.

Objective: This integrative research aimed to explore the effectiveness and barriers in the clinical guidelines of the Critical-Care Pain Observation Tool (CPOT) and the Behavioral Pain Scale (BPS) assessment tools for the detection of pain in critically ill, nonverbal adults. …

The Transition From Prescription Opioid Drug Abuse To Heroin Use: An Integrative Review Of The Literature, Maria Varela

Grace Peterson Nursing Research Colloquium

The Transition from Prescription Opioid Drug Abuse to Heroin Use

Maria Varela

Faculty Sponsor: Dr. Barbara Harris, RN, PhD

Abstract

Background: The United States is currently facing alarmingly high and increasing rates of prescription opioid abuse and heroin use. Research has indicated that the abuse of prescription opioids such as hydrocodone and oxycodone may lead users to illicit drug use, specifically heroin.

Objective: The purpose of this integrative review is to identify biological, social, and psychological factors that aid in the transition from prescription drug abuse to heroin use.

Method: An integrative review guided by Whittemore and …

Incorporating Family Centered Care In The Nicu: An Integrative Literature Review, Nicki Kory, Gabriele Fredian

Grace Peterson Nursing Research Colloquium

Background: Family centered care (FCC) in the NICU is an essential component of improving outcomes of both parents’ health and infants’ health.

Objective/Method: This integrative literature review defines and outlines effective practices nurses can take to incorporate FCC in the NICU.

Findings: This review discusses three major categories that emerged from the literature. Nurses should encourage parent-specific practices, such as facilitation of kangaroo care, scrapbooking and education groups. Nurses should also establish a therapeutic relationship with the entire family, and can do so by incorporating shared problem solving and using cautious guidance when parents are providing care. Nurses can also …

Cultural Competency In Effective Medical Missions, Abigail Drogosz

Grace Peterson Nursing Research Colloquium

Abstract

Background: Every year medical professionals and volunteers travel internationally to provide services to individuals in need. However, some times these trips can be more detrimental than helpful. This can be due to the fact that these trips are self-serving in which they provide value for visitors without meeting the local community needs (Unite for Site, 2015). Secondly, they raise unmet expectations due to language barriers or lack of medical training for particular diseases. In addition, they may provide culturally irrelevant or inadequate care to the communities they are serving. Lastly, these missions may not follow current standards of health …

Interventions To Promote Coping In Hospitalized Children: An Integrative Review Of The Literature, Allison S. Dubois

Grace Peterson Nursing Research Colloquium

Background: Hospitalized children face many stressors that significantly affect their psychological, social, and developmental well-being. Children may experience a number of short- or long-term negative reactions to hospitalization, including sleep disturbances, anxiety, regression, and post-traumatic stress.

Purpose: The aim of this integrative literature review was to identify interventions to promote coping in hospitalized children and to examine their efficacy.

Methods: An integrative literature review was conducted to find relevant articles in the recent literature. Only peer-reviewed articles, published within the past ten years in English, and with full-text available were included. Secondary sources were excluded.

Results: …

Cellular Phone Use And Possible Risk Of Cancer In Children And Adolescents: An Integrative Literature Review, Sarah Navarro

Grace Peterson Nursing Research Colloquium

Cellular Phone Use and Possible Risk of Cancer in Children and Adolescents: An Integrative Literature Review

Sarah Navarro

Faculty Sponsor: Elizabeth Hartman, PhD

Abstract

Background: Prolonged use of wireless devices may be correlated to the development of cancer, especially in children and adolescents. Certain factors contribute to an increased risk of radiofrequency (RF) radiation exposure when putting the phone next to their ear, which is targeted near the brain.

Objectives: This integrative literature review was conducted to investigate and fill in the knowledge gap regarding the possible risk of cancer development associated with children and adolescents through prolonging their use …

Effectiveness Of Nurse Practitioners/Physician's Assistants In Triage, Kyle Thomas Bergan

Grace Peterson Nursing Research Colloquium

As the number of patients seen annually by Emergency Departments (EDs) continues to increase, EDs have implemented a number of strategies to improve throughput efficiency, including placing nurse practitioners and/or physician’s assistants in triage. While prior studies have found these strategies to be effective, they have failed to distinguish between whether this intervention truly reduces left without being seen rates or simply encourages elopement, whereby patients who have received a medical screening exam then leave without receiving definitive treatment or disposition. This study reviewed throughput at a site that placed mid-level providers in triage, comparing metrics in the months prior …

Grace Peterson Research Colloquium, Emma Pfeiffer

Grace Peterson Nursing Research Colloquium

Mental illness is commonly under-diagnosed, misdiagnosed, or untreated, particularly in the elderly population. An expected population increase for those 65 years and older, increased in health care expenses coupled with the moral and ethical obligation of health care providers to promote quality of life at all ages makes investigation to alternative treatments in this population is worth investigating. The purpose of this literature review is to synthesize existing studies to clarify the following questions: What are the effects of pet therapy on those experiencing signs and symptoms of depression and anxiety? Why is pet therapy still lagging in validated studies, …

Major Components Of Quality Of Life In Pediatric Oncology Patients, Katelyn Mccabe

Grace Peterson Nursing Research Colloquium

No abstract provided.

Fatigue And Treatment Adherence In Ms Patients, Angela Wonnacott

Grace Peterson Nursing Research Colloquium

No abstract provided.

Effective Coping Methods For Pediatric Nurses Working With Terminally Ill Patients: A Literature Review, Jenna Gatziolis

Grace Peterson Nursing Research Colloquium

EFFECTIVE COPING MECHANISMS FOR PEDIATRIC NURSES WORKING WITH CRITICALLY AND TERMINALLY ILL PATIENTS: A LITERATURE REVIEW

Jenna Gatziolis

Faculty Sponsor: Dr. Kim Amer, PhD, RN

Background: One of the hardest aspects of pediatric nursing is dealing with the death of young and sick children. Because the death of a child is a traumatic event, special consideration must be taken into account as to how pediatric nurses are able to effectively cope with the death of a child. Oftentimes the emotional needs for nurses are overlooked and not discussed leading to poor personal and career related outcomes for the nurse.

Objectives: …

Why American Parents Circumcise Their Sons: An Integrative Review Of Literature, Lacy Lauber

Grace Peterson Nursing Research Colloquium

Background: Since medical evidence supports both pros and cons of routine neonatal male circumcision, expectant and new parents are left to make the decision to circumcise their sons on their own. There is limited research as to why American parents choose to circumcise their newborn sons.

Objectives: The purpose of this integrative literature review is to identify the reasons behind parental decision making in neonatal male circumcision in the United States. Understanding motivating factors in parental decision-making can highlight areas of prenatal education for expectant parents.

Method: An integrative literature review was conducted utilizing these online databases: PubMed, The Cumulative …

Effects Of Anti-Inflammatory Diets On Rheumatoid Arthritis: An Integrative Literature Review, Jeffrey James

Grace Peterson Nursing Research Colloquium

Effects of Anti-Inflammatory Diets on Rheumatoid Arthritis: An Integrative Literature Review

Jeffrey James

Faculty Sponsor: Dr. Elizabeth Hartman

Abstract

Background: Rheumatoid arthritis (RA) was estimated to have affected 1.5 million adults above the age of 18 in 2005 and rate of incidence has been reported to be increasing. Only 40-60% of rheumatoid arthritis risk can be attributed to genetics. Many studies suggest a link between RA and diet.

Objectives: The aim of this literature review was to investigate whether or not dietary choices could have a significant impact on the development of RA.

Methods: This integrative literature was conducted using …

Effects Of Animal-Assisted Therapy Among Children With Mental Health Disorders, Alysa Amelio

Grace Peterson Nursing Research Colloquium

Abstract

Background: Mental health illness is on the rise amongst children in the United States. Research is still underway about alternative forms of therapy to provide to this vulnerable population. One of the alternative therapies utilized is Animal-Assisted Therapy (AAT).

Objectives: The aim of this study was to identify the effects of AAT on children whom have been diagnosed with a mental health disorder.

Method: An integrative literature review was conducted to include primary research that was peer reviewed, and completed within the last ten years. Data synthesis and analysis was completed to identify themes within the literature. The themes …

A Reduction In Stress Is Associated With A Decrease In Chemotherapy Symptoms: An Integrative Literature Review, Kelsy Foat

Grace Peterson Nursing Research Colloquium

A Reduction in Stress is Associated with a Decrease in Chemotherapy Symptoms:

An Integrative Literature Review

Kelsy Foat

Faculty Sponsor: Alison DiValerio

Abstract

Background: When individuals with cancer are stressed this can affect their tumor’s ability to grow and spread, thus causing treatments, such as chemotherapy, to be less effective. Awareness of the effect that stress has on cancer therapy can play a role in how patients perceive the importance of stress reducing activities.

Objectives: To determine if there is a positive effect on chemotherapy symptoms when reducing stress in cancer patients, and if so, what types of stress reduction …

Outcomes For Resistant Hypertension In Patient On Treatment For Obstructive Sleep Apnea: An Integrated Literature Review, Kelechukwu Otuonye

Grace Peterson Nursing Research Colloquium

No abstract provided.

Cesarean Births Are More Profitable To Hospitals Versus Natural Births, Samantha Martinez

Grace Peterson Nursing Research Colloquium

Cesarean Births Are More Beneficial to Hospitals Than Natural Births: An Integrative Review

Samantha Martinez

Faculty Sponsor: Elizabeth Hartman

Abstract

Background: In the last two decades, cesarean section rates have risen 60 percent and a large percentage was due to new mothers and not repeat cesarean sections. The American College of Obstetricians and Gynecologists (ACOG), disclosed that for every 100,000 births that occur in the United States, four women die from vaginal birth complications and 13 die from cesarean complications.

Objectives: The purpose of the intended integrated literature review was to explore the need for cesarean section and …

The Comparison Of Post Abortion Emotional Effects In African Americans And Other Races, Melissa Pinney

Grace Peterson Nursing Research Colloquium

The Comparison of Post Abortion Emotional Effects in African Americans and Other Races: An Integrative Literature Review

Faculty Sponsor: Elizabeth Hartman, PhD, RN

Abstract

Background: African American women tend to encounter pregnancy and infant loss twice as high as any other racial group; however, present research does not supply adequate information with regard to abortion concerning minority women. Consequently, African American females may be experiencing post abortion emotional effects and not be receiving proper mental health care.

Objective: To determine if African American women experience a higher rate of post abortion emotional effects compared to other races and …

Strategies For Delivering Sexual Health Education To Adolescents With Autism Spectrum Disorders: An Integrative Review Of The Literature, Megan Harris

Grace Peterson Nursing Research Colloquium

Autism spectrum disorder (ASD) is a neurobiological condition leading to cognitive and social deficits within individuals on the spectrum. Adolescence is a time of intense physical and psychosocial changes that prove difficult for youth with ASDs. As families work through this transition they try to navigate teaching sexual health to their adolescent with an ASD. Teaching should be done to promote health, healthy relationships, and to prevent victimization. Yet, parents report that they lack the knowledge and support to complete this task. The purpose of this literature review was to synthesize research on strategies for teaching sexual health education to …

Inconsistencies In Geriatric Uti Management In Long Term Care, Wilsy Abraham

Grace Peterson Nursing Research Colloquium

Inconsistencies in Geriatric UTI Management in Long Term Care

Wilsy Abraham

Faculty Sponsor: Dr. Elizabeth Hartman

Abstract

Background: Urinary tract infection is one of the most common infections in nursing home facilities among older adults with studies reporting a 28-day mortality of 5%. Such infections are associated with high rates of morbidity, extended hospital stays, re-hospitalization, and significant healthcare expenses.

Objectives: To identify barriers in adherence to the management of UTI and how effective protocols can benefit the geriatric population. Although guidelines on UTI management are available, there are inconsistencies in adherence to managing the infection among healthcare …

Barriers That Cause Delayed Breast Cancer Screenings Among Older Adult African-American Women: An Integrative Literature Review, Sophia Damtew

Grace Peterson Nursing Research Colloquium

Abstract

Background: In the U.S., breast cancer incidence has increased among older adult African-American women, particularly among those aged 60 to79 while white women have either decreased or stabilized (CDC, 2016). Within the last 10 years, breast cancer mortality rates are approximately 40% higher among African-American women compared to white women (CDC, 2016). Many barriers limit breast cancer screenings among this population. Recognizing and addressing specific barriers may improve utilization of breast cancer screenings in the future.

Objective: The purpose of this study was to identify barriers that caused delayed breast cancer screenings among older adult African-American women.

Method: The …

Nurses Can Do Better At Recognizing And Treating Sepsis, Stefan Lindsay

Grace Peterson Nursing Research Colloquium

No abstract provided.

Approaches To The Care Of Geriatric, Terminally Ill Oncology Patients: An Integrative Literature Review, Lauren Gersten

Grace Peterson Nursing Research Colloquium

Background: The second leading cause of death for the geriatric population in the United States, persons aged 65 years and older, is cancer. The over 65 population comprises most cancer diagnoses and presents a high mortality rate. The terminally-ill, geriatric oncology population also is among the most complex due to comorbidities and other special considerations (McCarthy et al., 2014, p. 197).

Objective: The purpose of this integrative literature review was to answer the following questions: What resources are currently available to help guide the care for geriatric, terminally ill oncology patients? Are the current resources sufficient to determine optimal care …

Organizational Learning In A College Of Nursing: A Learning History, Bret Lyman, Lisa A. Cowan, Hannah C. Hoyt

Faculty Publications

Background: College of nursing leaders can foster organizational learning as a means of achieving their desired organizational outcomes. Organizational learning has not previously been studied in colleges of nursing, leaving college administrators and faculty little guidance as they strive to improve outcomes in their own colleges.

Objectives: The purpose of this study was to discover new insights related to organizational learning in a college of nursing.

Design: The learning history method was used to document and describe organizational learning in a college of nursing.

Setting: This study was conducted with a college of nursing situated in a private, religious-based university …

Examining The Relationship Between Registered Nurses’ Turnover And The Benefits Of An Affirming Climate Of Diversity As Mediated By Workplace Outcomes, James Mark Clardy

Human Resource Development Theses and Dissertations

The Affordable Care Act has created within health care a growing demand for primary care services in both the inpatient and outpatient settings. The anticipated growth in need for registered nurses (RN) of 19% by 2020 is compounded by a current estimated national turnover rate greater than 17%. Human Resource Development (HRD) practitioners in health care are challenged to develop and implement interventions that can influence turnover in RNs despite identifying variables that effect turnover. This research explored how RN turnover can be positively affected by a government mandated requirement that health care create a diverse workforce and cultural competency. …