Nursing Commons^™

Identifying United States And Territory Education Requirements For Childhood Vaccination Exemptions, Lacey M. Eden, Emily G. Dunn, Karlen E. Luthy, Katelyn Wells, Janelle L. B. Macintosh, Renea Beckstrand

Faculty Publications

Background: : Children are required by law to receive vaccinations to enter school. States and territories offer exemptions for parents who refuse to vaccinate their children. Types of exemptions vary by state or territory, as does the exemption filing process. The purpose of this research was to identify the various education-related processes implemented by states and territories which allow parents to exempt children from vaccinations.

Methods: A questionnaire was distributed to immunization program managers in the 50 United States, District of Columbia, the United States Indian Health Service, and eight United States territories. Managers reported vaccination requirements for their jurisdiction …

Trafficking Victims In The Emergency Room Setting, Lisa M. Archer

Theses and Graduate Projects

Human trafficking, a form of modern-day slavery, is a violation of human rights and a public health issue. Affecting millions worldwide, a high prevalence of human trafficking exists in the United States (US). Traffickers target vulnerable victims in an effort, through coercion and exploitation, to benefit financially, perpetuating the issue of supply and demand. Lacking a specific demographic, traffickers opportunistically seek out victims, such as targeting runaway and homeless youth, those sold through poverty, or those surviving in conditions caused by natural disaster. Multidisciplinary health care staff are uniquely positioned to recognize, assess, and intervene when encountering victims who seek …

Comparison Of Human Vs. Technological Identification Of Blood Products, Abbey Carruthers, Gabrielle Dyer, Sarah Holman, Anne Lawson, Jenna Litteral, Suzi White

Celebration of Student Scholarship Poster Sessions Archive

No abstract provided.

Recommendations For Nursing Staff Education On The Use Of Anticoagulants, Gena Brumlwy, Kayla Harless, Clara Spriggs, Madison Steele, Kaitlin Williams, Suzi White

Celebration of Student Scholarship Poster Sessions Archive

No abstract provided.

Management For Spinal-Induced Hypotension In Elective Cesarean Section, Louise Lok Yun Sin

Nursing Capstones

No abstract provided.

Role Of The Endocannabinoid System And Medical Cannabis, Sabrina Jarvis, Sean Rassmussen, Blaine A. Winters

Faculty Publications

Our bodies produce complex substrates called endocannabinoids, which attach to the endocannabinoid system (ECS) receptors and impact many physiologic processes. Current research on the ECS and cannabis-based medications is accelerating in the presence of continued conflict between federal and state laws. In this article we present a summary of the latest information on the ECS, its receptors, and current research on the cannabis-based medicines and their potential to treat various disease pathologies and medical conditions. Our study includes the latest information on the continued legal ramifications nurse practitioners face in treating patients with these medications.

Anesthesia Considerations For Intraoperative Blood Transfusion, Ana I. Dahl

Nursing Capstones

No abstract provided.

The Effect Of Intravenous Tranexamic Acid On Postoperative Blood Loss In Patients Undergoing A Total Knee Arthroplasty, Kaylene Hill

Nursing Capstones

No abstract provided.

Concept Development Of "Compassion Fatigue" In Clinical Nurses: Application Of Schwartz-Barcott And Kim's Hybrid Model, Mahdieh Sabery, Meimanat Hosseini, Mansoureh Zagheri Tafreshi, Jamileh Mohtashami, Abbas Ebadi

Asian/Pacific Island Nursing Journal

Compassion fatigue is not a new concept in nursing; yet, it is not well known and there is no fixed clear definition of the term. The ambiguity surrounding how to define compassion fatigue has challenged its measurement and evaluation. Thus, any attempt to determine attributes of this underdeveloped concept and studying it in a new socio-cultural context requires concept development. The purpose of this study is to clarify the concept of compassion fatigue through concept development and to produce a vivid and tentative definition of this concept in clinical practice.

Concept development was conducted using a three-step hybrid concept analysis …

The Peanut Allergic Patient: Diagnosis, Treatment, And Prevention, Daniel W. Hill, Jane H. Lassetter, Craig Nuttall

Faculty Publications

The prevalence of peanut allergies (PAs) continues to rise through recent decades, despite the best attempts to reverse that trend. PAs are unpredictable and can be life-threatening. Therefore, it is imperative that nurse practitioners (NPs) are fully aware of the most recent guidelines and evidence regarding diagnosis, treatment, and prevention of PAs. This article presents information on the current research in the diagnosis and treatment of PAs as well as the latest guidelines established to prevent PA development. NPs should understand this information, allowing them to provide the best care possible for their patients.

Reducing Warfarin Adr’S With A Nurse Led Anticoagulation Clinic: A New Model Of Patient Care, Michael Salinero, Tina Hyman

All Publications

Introduction: Warfarin was the leading cause of drug related adverse events at South Miami Hospital, which resulted in 27 hospital admissions in a year. A retrospective chart review revealed that patients were being discharged without a clear plan for follow up and management. Having optimal outcomes as a result of Warfarin therapy depends on maintaining the INR (International Normalized Ratio) in its range. In order to do so, high-quality anticoagulation management (HQACM) is required.

Methods: In response to the increased in Warfarin toxicity hospital admissions and community physician’s concern regarding anticoagulation safety, an interdisciplinary team was formed to …

Continuous St Segment Monitoring In The Operating Room, Brett Cadwell

Nursing Capstones

No abstract provided.

Utilizing Dexmedetomidine During An Anterior Cervical Discectomy And Fusion, Danielle L. Kiedrowski

Nursing Capstones

No abstract provided.

Safer Sex Practices Among Newly Diagnosed Hiv-Positive Men Who Have Sex With Men In China: Results From An Ethnographic Study, Haochu Li, Andrea Sankar, Eleanor Holroyd, Baofa Jiang

School of Nursing & Midwifery, East Africa

The study reported here sought to understand the rationales of safer sex practices adopted by newly diagnosed HIV-positive men who have sex with men (MSM). Guided by a socio-ecological framework, an ethnography was conducted among newly diagnosed HIV-positive MSM. In-depth interviews and participant observation were employed to produce an account of the social and cultural settings that was faithful to the perspectives of participants. A total of 31 participants with diverse backgrounds were recruited in a southern city of China. Participant observation was conducted in local healthcare settings, MSM venues, and NGO offices. Most participants (24/31) reported stopping unprotected anal …

Critical Care Nurses’ Stories Of Eol Care Obstacles, Robin Grigg, Beckstrand Renea

Journal of Undergraduate Research

The purpose of this project was to discover critical care nurses’ perspectives of obstacles in providing end-of-life (EOL) care to patients. Because 20% of Americans die in an Intensive Care Unit (ICU) (CDC, 2011), EOL care is a vital component of critical care nursing. Therefore, discerning and overcoming obstacles to EOL care is necessary in order for critical care nurses to provide quality EOL care. Additionally, The National Institute of Nursing Research’s strategic plan lists five areas of focus, the third being EOL care, emphasizing the need for EOL care research (NINR, 2014).

Get Moving: Motivating Sedentary Young Adults, Rebecca Edmunds, Neil Peterson

Journal of Undergraduate Research

Obesity and sedentary behavior are increasing in the United States and the world. On the Centers for Disease Control and Prevention (CDC) website recent statistics put over one third of the American adult population as obese and over half as overweight (2015). This epidemic has contributed to a drastic increase in disease and cost. Obesity and the accompanying diseases are not only expensive to treat but also decrease quality of life. Prevention is essential. Many companies are working to find devices that help motivate people and encourage physical activity and a healthy lifestyle. This research project focused specifically on the …

Immunization Rates Of Nicu Infants, Emily Gardner, Janelle Macintosh

Journal of Undergraduate Research

The goal of this project was to determine the vaccination rates of infants in the Neonatal Intensive Care Unit (NICU) of various hospitals throughout the Wasatch Front in Utah. We collected data related to possible reasons why infants may not receive their immunizations during their stay at the facility. Many are uninformed of the recommendation from the American Academy of Pediatrics (AAP) which states that that preterm and low birth weight babies should receive all immunizations at the same chronological age as full term infants. Yet, many pre term infants fail to be immunized. Preterm infants are at an increased …

Meaning Of Childbirth For Hmong Women In Vietnam, Jamie Gettys, Cheryl Corbett

Journal of Undergraduate Research

The basis of this research project comes from data collected on a BYU Anthropology field school in Vietnam during the summer of 2015. The data consisted of eight in-depth interviews with Hmong women who had given birth within the last eighteen months. The focus of the interviews was on their experience giving birth and what that experience meant to them. The purpose of this research is to educate healthcare providers on the perceptions of the Hmong women interviewed so as to better accommodate to their preferences.

African American Men's Prostate Cancer Knowledge And Self-Efficacy For Informed Decision-Making: A Mixed Methods Study, Dionne J. Jones-Dendy Phd

Nursing Theses and Dissertations

A mixed methods study was conducted whereby, the quantitative portion has a randomized control design, in an urban Delaware community to examine the effectiveness of an educational intervention, which included the testimony of an African American (AA) prostate cancer survivor on AA men’s (n=98) prostate cancer knowledge and self-efficacy for informed decision making. Guided by Bandura’s Social Cognitive theory, participants’ prostate cancer knowledge measured by PROCASE and for self-efficacy measured by the Prostate Cancer Screening Self-efficacy scale, were evaluated before and following viewing of the American Cancer Society’s prostate cancer video. Participants randomized to the intervention completed evaluations after the …

Impact Of Hpv Education On Knowledge, Perception, And Cultural Influence Among African American Parents, Christina Lattner

College of Science and Health Theses and Dissertations

Background: Infection with human papillomavirus (HPV), the sexually transmitted virus that causes cervical and penial cancer can be prevented. An effective vaccine has been approved for both boys and girls since 2006. Despite recommendation from the Center of Disease Control, vaccination initiation and completion rates among African American adolescents in the United States are lower than average in the nation.

Objectives: The purpose of this descriptive survey study was to identify African-American parents’ knowledge and perceptions of sexually transmitted HPV infection and the HPV vaccination. The secondary objective was to use a single-group pre-test post-test research design to examine …

Simulation And Curriculum Integration: Does Simulation Improve Clinical Competence, Tamara M. Poole

College of Science and Health Theses and Dissertations

Background: While simulation is a widely used pedagogy in nursing education, there is inconsistent evidence regarding its effectiveness in demonstrating positive learning outcomes. Therefore, further research is needed to establish the effectiveness of simulation in developing clinical competence, and the incorporation of this pedagogy into nursing curricula. Purpose: To explore how the integration of high-fidelity simulation into nursing curricula influences learning outcomes. More specifically, to examine differences in clinical competence as measured by the outcomes: knowledge, skills, critical thinking, and clinical judgment in nursing fundamental students taught using high-fidelity simulation versus traditional instructional methods. Design: A two-group time series experimental …

Education Program Using Non-Pharmacologic Support During Benzodiazepine Reduction In Patients With Anxiety Disorders, Kelly D. Kearney Dnp, Rn, Pmhnp-Bc, Diane Wardell Phd, Whnp-Bc

Journal of Nursing & Interprofessional Leadership in Quality & Safety

A private mental health clinic developed an initiative to aid patients with anxiety disorders to taper their use of benzodiazepines. Based on best practices, a treatment protocol was developed in which patients attended 4 sessions (1 per month) in which they combined instruction in non-pharmaceutical anti-anxiety techniques (guided imagery, mindfulness meditation, deep breathing, progressive muscle relaxation, exercise, emotional freedom) with cognitive behavioral therapy and use of selective serotonin re uptake inhibitors. Participants experienced a reduction in benzodiazepine use. This small scale initiative showed that the holistic approach to anxiety management was an effective plan to decrease the use of benzodiazepines …

The Healer’S Art Learning History, Lisa Cowan-Echols, Bret Lyman

Journal of Undergraduate Research

A primary purpose of this study was to discover new insights related to organizational learning in a college of nursing that may guide nursing faculty and administrators as they strive to improve outcomes in their own colleges.

Organizational learning is highly context-dependent process through which organizations progress toward achieving their desired outcomes. For a college of nursing, desired outcomes may relate to student achievement, faculty productivity, leadership in the profession, etc. Although organizational learning has been studied in a variety of business and industrial settings, it has not been studied in colleges of nursing. Understanding organizational learning in colleges of …

Electronic Health Records And Patient Safeety: Nurse Practitioners’ Experiences In Clinical Practice, Lindsay Dixon, Karen Whitt

Journal of Undergraduate Research

The purpose of this project was to evaluate practicing nurse practitioners’ experiences and satisfaction with electronic health records (EHRs). In response to health policy initiatives and incentives, many healthcare organizations in the U.S. have recently implemented EHRs in clinical practice. Despite expectations that EHRs can improve patient safety, there is evidence that EHRs have the potential to contribute to adverse patient events and medical errors. Therefore, an urgent need to improve the safety of EHRs has been recognized. In June 2015, a study was conducted by Dr. Karen Whitt that invited nurse practitioners to share their experiences and satisfaction with …

Effects Of Poverty Simulation: Perceptions Of Medical Sociology Students, Mike Mcneil, Gaye Ray, Rn, Ms, Fnp-C

Journal of Undergraduate Research

Poverty affects 46.7 million people in the United States. The U.S. Census data show that poverty rates have increased 2.3% from 2007 to 2014 (DeNevas-Walt and Proctor, 2015). It is shown that poverty has become a major social determinant of health. Beckles (2011) states that the socioeconomic circumstances of individuals and the places where they live and work strongly influence their health. In the United States, the risk for mortality, morbidity, unhealthy behaviors, reduced access to healthcare, and poor quality of care increases with decreasing socioeconomic circumstances. Evidence indicates that students benefit remarkably from classroom and clinical learning experience in …

Predicting New Graduate Rn Success Through Pre-Hire Simulation, Brooke Holman, Katreena Merrill, Rn, Phd

Journal of Undergraduate Research

Decisions about which new nursing graduate to hire can be difficult. Pre-employment testing and assessments have shown to aid in this process. Pre-employment testing, including both medical tests (drug screening) and psychosocial testing (simulations), are well known in both the health care field and other industries. Simulation is often used in healthcare for employees to teach and assess critical thinking. With the implementation of simulation in healthcare, however, little information is available related to how simulation can help us in the pre-employment process, especially when deciding which new nursing graduate to hire. The purpose of this paper is to discuss …

Understanding Performance Improvement In A Post-Surgery Unit, Lindsey Shaw, Bret Lyman

Journal of Undergraduate Research

The purpose of this study was to discover how a health system, specifically a hospital unit, learned to improve patient and hospital outcomes. This study builds upon previous research in which the Learning History research method was used to discover and describe the pathway by which a critical care unit learned to achieve and sustain excellent outcomes. The previous study focused on hospital unit situated in a regional medical center that was part of a large, not-for-profit health system. That hospital unit’s history of learning improvement extended over 10 years, and included several distinct developmental eras, progressing from creating staff …

Validating Basis Peak Activity Tracker And Its Influence On Activity Level In Adolescent And Young Adults, Austen Tullis, Neil Peterson

Journal of Undergraduate Research

As the population of obesity is increasing, there is greater need to address this health issue (CDC, 2012). Many companies have been developing activity tracking devices to motivate people to be active and live healthy balanced lives. This research project is focused on the product Basis Peak and its influence on activity levels of young adults and adolescents.

Parent Perspectives Of Their Child’S Diagnosis With Type 1 Diabetes, Elizabeth Kerr, Dr. Donna Freeborn

Journal of Undergraduate Research

Type 1 diabetes is an autoimmune disease where the beta cells of the pancreas stop secreting insulin. Insulin is the hormone that delivers blood sugar to the body tissues. This life changing diagnosis affects not only the newly diagnosed child—It affects the whole family.

Although research has previously been done on parent experiences raising a child with type 1 diabetes, no research has been done from the perspective of a parent who has raised their child to adulthood. This unique outlook provides greater perspective and insight on the experience as a whole. The purpose of this project was to increase …

Sedentary Behavior Research Network (Sbrn) – Terminology Consensus Project Process And Outcome, Mark S. Tremblay, Salomé Aubert, Joel D. Barnes, Travis J. Saunders, Valerie Carson, Amy E. Latimer-Cheung, Sabastien F.M. Chastin, Teatske M. Altenburg, Mai J.M. Chinapaw, Neil E. Peterson

Faculty Publications

Background

The prominence of sedentary behavior research in health science has grown rapidly. With this growth there is increasing urgency for clear, common and accepted terminology and definitions. Such standardization is difficult to achieve, especially across multi-disciplinary researchers, practitioners, and industries. The Sedentary Behavior Research Network (SBRN) undertook a Terminology Consensus Project to address this need.

Method

First, a literature review was completed to identify key terms in sedentary behavior research. These key terms were then reviewed and modified by a Steering Committee formed by SBRN. Next, SBRN members were invited to contribute to this project and interested participants reviewed …