Nursing Commons^™

Care Of Adult Cancer Survivors, Kelsey Kloosterman

Doctoral Projects

As innovative cancer treatments emerge, more people are surviving cancer. Cancer survivors have multiple and unique healthcare needs due to their cancer and cancer treatments. Communication among those treating the cancer, primary care providers, and cancer survivors is necessary to coordinate care once treatment is finished. The development of a survivorship care plan that is reviewed with the cancer survivor is intended to facilitate communication among all stakeholders. This quality improvement project examined current practice in a survivorship clinic in a Midwestern health system cancer center that cares for a variety of types of cancer patients. By reviewing evidence in …

Evaluation Of Short Term Cognitive Behavioral Therapy Intervention In A Primary Care Setting, Kevin Hengeveld

Doctoral Projects

Introduction: Depression and anxiety are chronic recurring medical conditions that impact all aspects of health. When depression and anxiety are present with other comorbid diseases, mortality and health care costs are higher. Children and young adults are particularly vulnerable to mental health issues. Suicide is the 2nd leading cause of death for this demographic. Depression is common in adolescents with an incidence of 8 to 20 percent. Primary care provides 70 percent of mental health care in the United States, and the primary intervention offered is pharmacological. Evidence suggests that a combination of medication and psychotherapy provide superior relief of …

Improving Adolescent Risk Behavior Screening: Implementation Of The I-Cloud Rapid Assessment Adolescent Preventive Screening (Raaps) Tool, Donna L. Rinker

Doctoral Projects

Adolescents are engaging in risky behaviors earlier contributing to 75% of adolescent morbidity and mortality with unintentional injuries listed as the most common cause of death among this population in the United States. It is reported that engaging in more than one risk behavior will lead to other risk behaviors resulting in the rise of indirect and direct costs in society today. The scholarly project was conducted in response to a midwestern Michigan primary care clinic need to improve the early identification and documentation of adolescent risk behaviors with evidence-based technology screening. The purpose of this quality improvement project was …

Forensic Nursing: Overview Of A Growing Profession, Julie L. Valentine

Faculty Publications

IN THE CURRENT ERA of the #MeToo movement and prominent sexual assault disclosures, these types of crimes are finally receiving the attention they deserve. Our society is acknowledging what research has been telling us for years about the high incidence of sexual violence in the United States. According to a recent Centers for Disease Control and Prevention (CDC) report, more than 36% of women have experienced contact sexual violence in their lifetime and 19% have experienced attempted or completed rape. Men also report high rates of sexual violence; more than 17% have experienced some form of contact sexual violence in …

Hiv Screening In Non-Pregnant Patients Age 13 – 64 Years Old In Primary Care Through The Implementation Of The Cdc Guidelines For Hiv Screening, Ashten M. Martin

Doctor of Nursing Practice

As many as 216,000 people living with HIV are unaware they have the disease. In order to combat the inadvertent spreading of HIV, the CDC recommends screening everyone 13 – 64 years of age. The purpose of this Quality Improvement project was to implement the 2015 Sexually Transmitted Diseases Treatment Guidelines as it pertains to HIV screening within a Southeast Texas rural health clinic. The objectives were 1) educating all staff and patients regarding the CDC recommendations for HIV screening, and 2) increase the number of eligible patients who were offered and received HIV screening. A colored checklist served as …

Effective Measures Of Weight Gain Five Years Post-Kidney Transplantation, Tara Calico Cherry

Theses and Dissertations (ETD)

BACKGROUND: Weight gain is commonly observed post-kidney transplantation and is associated with unfavorable health outcomes, such as graft loss, new onset diabetes, and cardiovascular disease. The purpose of this study was to determine the most effective measure for assessing body composition after kidney transplantation.

DESIGN: The study was a descriptive correlational follow-up study from a single kidney transplant site.

SUBJECTS: A total of 45 eligible patients from a 2007-2011 parent study were selected, ages of 37 to 78.

MEASUREMENTS: Body composition was obtained 5–8 years posttransplant via anthropometric measures (waist circumference, body mass index, and dual energy X-ray …

Moving Slow To Move Fast-Nursing Handovers-Implementing Electronic To Ed Report To Improve Throughput, Dawn Gilbert, Roni Lyons, Patrick Mugrage, Linda Severs

Books, Presentations, Posters, Etc.

No abstract provided.

Patient Safety Incentives For Residents: A Slippery Slope Or Reinforcement Of Desirable Behavior?, Kathryn Rapala

College of Nursing Faculty Research and Publications

In a study of error reporting in the care of Medicare beneficiaries, the US Department of Health and Human Services Office of Inspector General found that only 14% of patient safety events were reported.¹ A multicenter study found that 44.6% of residents were uncomfortable reporting diagnostic errors, possibly related to fear of repercussions and issues with the reporting system, among other factors.² A key question at the intersection of graduate medical education and patient safety is how to encourage resident and fellow error reporting.

The intervention described in the article, “Improving Resident and Fellow Engagement in Patient Safety …

Depression, Positive Thinking, Personal And Social Resourcefulness Among Caregivers Of Persons With Autism Spectrum Disorders, Abir K. Bekhet, Mauricio Garnier-Villarreal

College of Nursing Faculty Research and Publications

No abstract provided.

Promoting Team-Based Exercise Among African American Breast Cancer Survivors, Linda B. Piacentine, Karen Marie Robinson, Leslie J. Waltke, Judy A. Tjoe, Alexander V. Ng

College of Nursing Faculty Research and Publications

Physical activity benefits the health and well-being of breast cancer survivors (BCS). Yet, many African American survivors do not routinely exercise and have increased risk of poor outcomes. The purpose of this mixed-method study was to identify motivational factors compelling African American BCS to participate in a 14-week team walking program and to intend to continue exercise after the intervention concluded. Focus groups were held with participants (n = 12) before and after training. Content analysis discovered themes before the intervention: Not wanting to go at it alone, exercise not a life or treatment priority, cancer treatment affected activity, …

Comprehensive Evaluation Of Interventions: Eight Vital Parameters, Jaclene A. Zauszniewski, Abir K. Bekhet, Kayla Herbell

College of Nursing Faculty Research and Publications

Background It is critically important to determine the effectiveness of an intervention before it can be translated into clinical practice. However, the future implementation and sustainability of the intervention may be diminished if other intervention parameters are not assessed. This requires obtaining feedback from intervention recipients so interventions will be perceived as appealing, relevant, meaningful and beneficial to them; otherwise recipients may be unlikely to perform them over time, resulting in unsuccessful health outcomes.

Aim To propose the addition of two intervention parameters to the existing six-parameter model and provide examples from recent research of how each parameter can be …

Changing Culture One Pdsa At A Time: The Creation Of An Innovation Unit, Jennifer Hoople, Gale Arnold, Jennifer Bletscher, Shawna Bolgen, Andy Branca, Tana Case, Matthew Dietz, Jennifer Ferenczy, Heather Haake, Janine Holbrook, Ingrid Jonely, Liga Mezaraups, Jessica Osantowski, Jessica Sehorn, Linda Severs, Dina Shepelyuk

Books, Presentations, Posters, Etc.

An inpatient unit in an acute care hospital was designated as an Innovation Unit. This unit was challenged with the creation of culture change in regards to process improvement. The team learned to use Improvement Science to facilitate rapid and innovative process improvements. These changes have enhanced the quality of healthcare provided while decreasing cost. The poster highlights some of the Improvement Science processes, forms, and roles of the team as well as some of the projects and successes.

Service Operations Center Improves Hospital Flow And Reduces Ed Boarding!, Jeanne Rhynsburger, Patty Palmer, Michelle Hansen

Books, Presentations, Posters, Etc.

Swedish Edmonds 3 year journey to optimize hospital flow by opening a Service Operations Center – flow management hub.

Notable improvements included:

1. Patient visit times decreased 27 minutes per patient
2. Emergency department (ED) admit times decreased 68 minutes per patient
3. Boarding hours decreased 20%.

Increasing Registered Nurse Retention Using A Mentorship Program, Krystle Lynette Forlines

Doctoral Dissertations and Projects

To address the nursing shortage, it is imperative that healthcare organizations understand the reasons for nurse turnover and develop programs to retain high quality nurses. A program that has been utilized by healthcare organizations is mentoring. Mentor programs have been found to improve job satisfaction thus improving nurse retention. In addition to focusing on orientation programs for new graduate nurses, mentorship programs can be utilized to assist with experienced nurse retention. The purpose of this evidence-based practice project was to pilot a three-month mentorship program with registered nurses with one to three years of experience.

Scientific Proceedings Of The Texas Children’S Hospital’S 17th Session Of The Advanced Quality Improvement And Patient Safety Program, Arjun M. Dangre Bds Mph, Kelly Wallin Ms Rn Chse, Gertrude A. Leidich Mba, Rn, Angelo P. Giardino Md, Phd

Journal of Nursing & Interprofessional Leadership in Quality & Safety

The Texas Children’s Hospital’s Advanced Quality Improvement and Patient Safety (AQI) Program is a six month mixed didactic and experiential learning experience designed to improve patient care, lower costs, change the culture, and develop quality leaders. As a part of AQI program participants are grouped into teams and each team completes a healthcare related Quality Improvement (QI) project. Each project demonstrates use of various QI tools including process maps, fishbone diagrams, and key driver diagrams. The projects use ‘Model for Improvement’ as the primary QI methodology to achieve their aim. Three or more Plan-do-study-act (PDSA) cycles are required for each …

Scientific Proceedings Of The Texas Children’S Hospital’S 16th Session Of The Advanced Quality Improvement And Patient Safety Program, Arjun M. Dangre Bds, Mph, Kelly Wallin Ms, Rn, Chse, Gertrude A. Leidich Mba, Rn, Angelo P. Giardino Md, Phd

Journal of Nursing & Interprofessional Leadership in Quality & Safety

The Texas Children’s Hospital’s Advanced Quality Improvement and Patient Safety (AQI) Program is a six month mixed didactic and experiential learning experience designed to improve patient care, lower costs, change the culture, and develop quality leaders. As a part of AQI program participants are grouped into teams and each team completes a healthcare related Quality Improvement (QI) project. Each project demonstrates use of various QI tools including process maps, fishbone diagrams, and key driver diagrams. The projects use the IHI ‘Model for Improvement’ as the primary QI methodology to achieve their aim. Three or more Plan-do-study-act (PDSA) cycles are required …

Diverse Stakeholder Perspectives On Rural Health Care Reform In A U.S. State That Rejected The Affordable Care Act: A Case Study, Molly Vaughan Prengaman, Dorinda L. Welle, Nancy Ridenour, Keith J. Mueller

Nursing Faculty Publications and Presentations

Purpose: This case study identifies rural health care stakeholder perspectives on the Affordable Care Act (ACA) and describes the health policy context in Idaho, the only state in the United States to reject Medicaid expansion yet develop a state-run health insurance exchange. Sample: The sample included 20 rural health care stakeholders, including clinicians, elected officials, state agency administrators, health care facility administrators, and interest group leaders. Method: A single-case study of stakeholder perspectives on the ACA and rural health care access in Idaho was conducted from 2014 to 2016. Data sources include qualitative interviews with 20 rural health care stakeholders …

Caring Science Education: Measuring Nurses Caring Behaviors, Linda Ackerman

DNP Qualifying Manuscripts

Abstract

In preparation for this DNP project and, in reviewing research and evidence-based practices it was found that there are limited research study articles available specifically focusing on caring science educational programs utilized as an intervention to inform and impact the nurses caring behaviors while caring for patients within a heath care environment. There are multiple survey tools directed at the patient which assess the caring behaviors based on the patient’s perception however, there are limited tools that examine the nurse’s perception of their caring behaviors and their personal professional practice as it relates to caring science or relationship-based care …

Integrating Behavioral Health Services With Primary Care For Depression Management, Amy Suomi

Nursing Capstones

No abstract provided.

Improving Quiet-At-Night On A Telemetry Unit: Introducing A Holistic Sleep Menu Intervention, Christian Karl Antonio

Master's Projects and Capstones

Improving Quiet-at-Night on a Telemetry Unit:

Introducing a Holistic Sleep Menu Intervention

Abstract

Problem

A hospital in San Francisco, California has performed poorly on patient care service as evidenced by low Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) scores. The survey’s lowest score was from the “Quiet at Night” measure.

Context

A Sleep Menu initiative was implemented in the hospital’s telemetry unit. Microsystem assessment and Strengths-Weakness-Opportunities-Threats (SWOT) analysis identified practices that might impede intervention success. Findings showed that benefits and opportunities outweighed costs; cost-benefit analysis estimated an annual net benefit of $6,354. Other benefits included improved patient well-being, …

Cardiovascular Risk Factors And Brain Health: Impact On Long‐Range Cortical Connections And Cognitive Performance, Barbara K. Marebwa, Robert J. Adams, Gayenell S. Magwood Phd, Rn, Faha, Faan, Alexandra Basilakos, Martina Mueller, Chris Rorden, Julius Fridriksson, Leonardo Bonilha

Publications

Background

Cardiovascular risk factor burden in the absence of clinical or radiological “events” is associated with mild cognitive impairment. Magnetic resonance imaging techniques exploring the integrity of neuronal fiber connectivity within white matter networks supporting cognitive processing could be used to measure the impact of cardiovascular disease on brain health and be used beyond bedside neuropsychological tests to detect subclinical changes and select or stratify participants for entry into clinical trials.

Methods and Results

We assessed the relationship between verbal IQ and brain network integrity and the effect of cardiovascular risk factors on network integrity by constructing whole‐brain structural connectomes …

Kebtuhan Keluarga Saat Anak Dirawat Di Paediatric Intensive Care Unit (Picu): Sudut Pandang Keluarga Dan Perawat, Efa Apriyanti, Robiyatul Adawiyah

Jurnal Keperawatan Indonesia

Mutual understanding between nurses and patients’ family on family needs during their child’s stay in PICU. The literature review indicated that factors affecting parents’ needs in a PICU are interrelated and not easily, or appropriately, assessed by using an inventory. Therefore, the objective of this study was to explore the needs of parents whose child has been an inpatient in a PICU, not only from the parents, but also from the perspective of nurses. A mixed method approach has been employed in this study. Quantitative data has been collected by using modified version of Critical Care Family Need Inventory, while …

Model Kepemimpinan Servant Paling Dominan Berhubungan Dengan Kinerja, Lilis Rayatin, Enie Novieastari, Efy Afifah

Jurnal Keperawatan Indonesia

Head Nurse Leadership Model Can Improve The Performance of Nurses in Providing Nursing Care. The purpose of this study was to identify the correlation between the head nurse leadership model and the nurses’ performance. This study applied a cross-sectional method and involved 141 nurses at a Hospital. This study used the instruments was developed in the other studies. The results showed that the leadership model related to the performance was a servant, visionary, and transactional. The most dominant leadership model related to the performance was servant (p= 0.0001; α= 0.05,CI: 2.733 to 11.853; odd sratio: 5.691). Head nurses that were …

Pengalaman Perawat Kepala Ruangan Tentang Pelaksanaan Model Delegasi Keperawatan 'Relactor' (Mdk'r'), Vivi Yosafianti Pohan, Dewi Gayatri, Eni Hidayati

Jurnal Keperawatan Indonesia

The experience of head nurses in the implementation of the relactor nursing delegation model at roemani hospital. The head of the nursing room delegates nursing as one of the activities in carrying out the nursing management function. The purpose of this study was to explore the experiences of the head nurses about the implementation of Relactor Nursing Delegation Model (RNDM) and the constraints faced in implementing RNDM at Roemani Hospital Semarang. In this study, the qualitative research design was conducted with a descriptive phenomenological approach. Data collection was done by interviewing and using interview guidelines as an instrument of research …

Kepuasan Perawat Terhadap Kualitas Pendokumentasian Asuhan Keperawatan Berbasis Komputer, Amalia Amalia, Hema Malini, Sri Yulia

Jurnal Keperawatan Indonesia

Nursing satisfaction to quality of nursing of computer-based nursing. Nursing service demands make some hospitals apply documentation of nursing care using computerization. Patients is often unsatisfactory service so that the patient's time is wasted because the nurse is too long looking for patient history history data. This study aims to find out about nurse satisfaction with the quality of documenting computer-based nursing care. The design uses analytical descriptive research design. The study sample used total sampling, namely all nurses inpatients amounted to 81 respondents. The results showed that more than half of nurses (58%) expressed dissatisfaction, more than half of …

Apakah Pengetahuan Dan Sikap Menjadi Kontributor Utama Dalam Pembentukan Perilaku Penggunaan Pembalut Pada Remaja Putri Di Daerah Pedesaan Kabupaten Pangkep?, Rosmina Rosmina, Safrullah Amir, Badaruddin Badaruddin, Ahdy Syafar

Jurnal Keperawatan Indonesia

Are Knowledge and Attitude Being Main Contributors in Shaping Behavior of Pad Use among Female Adolescents in Rural Pangkep District? Inappropriate use of pads may lead to various reproductive health problems. Behavior of pad use is initiated by knowledge and attitude domain. Female adolescents are the most vulnerable group in which there is a tendency to develop negative stigma against menstruation so that impact on lack of exposure to the menstrual hygiene information. This study aims to determine association between knowledge and attitude in shaping behavior of pad use among female adolescents in rural. The type of research used was …

Hand Hygiene Among Hospital Staff: A Survey Of Knowledge, Attitude, And Practice In A General Hospital In Syria, Maha Othman, Cornelis Jonker

Jurnal Keperawatan Indonesia

Poor hand-hygiene adherence endangers the safety of both healthcare workers and patients. A cross-sectional Knowledge Attitudes Practicing (KAP) survey (n= 268) and an observation of hand-hygiene compliance (n= 36) were conducted among staff in a general hospital in Syria. The aim of this study was to investigate the degree of compliance with hand hygiene protocols by general health care workers including their knowledge, attitude and practice. The mean overall observed hand-hygiene compliance rate was 45.7% (95% CI 37.1 – 54.3). Nurses were observed to have better compliance than physicians. Staff were observed to be more concerned in performing hand-hygiene after …

Integrated Health Post For Child Health (Posyandu) As A Community-Based Program In Indonesia: An Exploratory Study, Agus Setiawan, Yodi Christiani

Jurnal Keperawatan Indonesia

Integrated Health Post for Child Health (Posyandu) has been endorsed since 1984 as a community-based health program in Indonesia. Despite its potential in improving child health outcomes, evidence related to its current implementation is lacking. This study aimed to explore the current implementation of posyandu in the country. Data of 638 posyandu surveyed in the 5th wave of Indonesia Family Life Survey (IFLS-5) located in urban and rural areas were analyzed, applying chi-square and independent t-test method. Posyandu surveyed run a number of activities (mean type of activities=8.1 in rural vs. 7.4 in urban areas, p

The Meaning Of A Family History Of Colorectal Cancer In Black Families In The United States, Cassandra Loggins

Dissertations

The purpose of this study is to understand the meaning of a family history of colorectal cancer (CRC) for first-degree relatives of Blacks diagnosed with CRC. Even though CRC is more preventable than other cancers because of effective screening tests for prevention and early detection, Blacks experience a disproportionate burden of CRC compared to other groups. Interventions to increase CRC screening among Blacks have not produced a significant reduction in CRC disparity. Underutilization of CRC screening and low perceived risk of CRC are major factors contributing to CRC disparity. The informing methodological approach employed in this study was hermeneutic phenomenology, …

Interprofessional Education: How Curriculum Influences And Develops Future Healthcare Professionals, Karen Keune

CUP Ed.D. Dissertations

The value of higher education is a topic of great consideration and discussion, not only for current and future students, but also for legislators, educators, and employers. A college degree is more than a pathway toward advanced knowledge in a given subject; it is a component of a larger outcome beyond a diploma, it's a job. While the scale of employment opportunities appears to rise for those with a college degree, it is not enough to guarantee security for new graduates, no matter their topic of study. More than a competency in the field of study is required to prove …