A Case Control Study To Identify The Biopsychosocial Risk Factors That May Contribute To Intellectual Disability Among Children Attending Selected Special School Of Udupi District, Karnataka., Henita Joshna Menezes

Manipal College of Nursing, Manipal Theses and Dissertations

ABSTRACT A research study entitled, “A case-control study to identify the biopsychosocial risk factors that may contribute to Intellectual Disability among children attending selected special schools of Udupi District, Karnataka”, was conducted by Ms Henita Joshna Menezes in partial fulfilment of the requirement for the award of Master of Science in Nursing at Manipal College of Nursing Manipal, MAHE, manipal. The objective of the study was to identify the biopsychosocial risk factors that may contribute to Intellectual Disability. The conceptual framework of this study was based on Kaoru Ishikawa’s fishbone model 1968. A quantitative study with case-control design was adopted …

Increasing Use Of A Tobacco Cessation Quitline In A Rural Prenatal Population, Rachel T. Schleenbaker

Master's Projects

This paper addresses prenatal smoking rates within in a rural northern Michigan district health department (HD) through a Master of Science in Nursing (MSN) quality improvement project. The paper provides a detailed microsystem assessment of the Maternal Infant Health Program (MIHP) at the district HD describing the clinical problem and identifying a practice gap in care of prenatal smokers. The literature review describes the three most effective prenatal smoking cessation interventions: counseling, incentives, and feedback. The literature review also addresses the effectiveness of and barriers to smoking quitlines. The clinical protocol followed the Model for Improvement framework with the completion …

Hospital Acquired Pressure Injury Gap Analysis, Mary Lou Hall

Master's Projects

Hospital acquired pressure injuries (HAPIs) were identified as an area for a quality improvement (QI) project in a progressive care unit (PCU) in a Midwestern Hospital. In order to reduce HAPIs and provide the best possible preventative care, a gap analysis between the current care practices on the progressive care unit and the best evidence-based practice recommendations for HAPI prevention in the areas of risk/skin assessment, surface support, nutrition and hydration, repositioning/movement, moisture management, and prophylactic dressings was conducted. The Model for Improvement (MFI) was the QI framework that guided this pressure injury gap analysis.

The goals of this gap …

Barriers To The Administration Of The Influenza Vaccine, Lauren Babb, Heather Bishop, Carrie Dozier, Renea Hopple, Hannah Marlin, Jennifer Sartin

MSN Research Projects

The Centers for Disease Control and Prevention (CDC) estimates that since 2010 influenza has caused between 9.2 million and 60.8 million illnesses. Numbers from the 2015-2016 influenza season indicate that influenza vaccination prevented approximately 5.1 million influenza illnesses. Though most healthy individuals recover from the flu within 2 weeks, there is great concern for those who do not as this can lead to serious complications. Vulnerable populations, such as the elderly, children, pregnant women and individuals with chronic disease that contract influenza, are at risk for more severe illnesses such as sinus infections or bacterial pneumonia. Influenza can lead to …

Confidence Level Of Primary Care Providers In Authorizing Athletic Return-To-Play, Cassie L. Austin, Laura H. Flippin, Cody R. Gullick, William J. Hodentott, Camille W. Lott, Hillary B. Lott

MSN Research Projects

The purpose of this study was to identify the level of confidence for primary care providers in authorizing athletic retum-to-play following sports-related injury. The Centers for Disease Control and Prevention (CDC) (as cited in Patel, Yamasaki, & Brown, 2017) reported that 2.6 million children and teens ages 0-19 years are treated annually for sports-related injuries, and 7.2 million high school students participate in sports and suffer an estimated 2 million injuries that require 500,000 doctor visits and 30,000 hospitalizations annually. Although primary care providers are providing care for musculoskeletal and concussive injuries, Benham and Geier (2016) reported that they may …

Implementation Of The Eighth Joint National Committee Guidelines Of Hypertension By The Primary Care Provider, Emily J. Stidham, Meagan Z. Hillhouse, Haley J. Murphy, Shelly R. Parker, Elaina A. Ponder, Lauren A. Tutor

MSN Research Projects

Hypertension is a widespread disease process and well-known risk factor for coronary artery disease, stroke, heart failure, and renal failure. Proper diagnosis and treatment of hypertension is crucial to reducing these adverse patient outcomes. The Eighth Joint National Committee (JNC 8) released their most recent guidelines of the diagnosis and management of hypertension in December 2013 with implementation to take effect in January 2014. The JNC 8 guidelines of hypertension include the following: proper diagnosis of hypertension (>140/90 for patients < 60 years of age and those with diabetes and/or chronic kidney disease and >150/90 in patients > 60 years of age), lifestyle modifications to be initiated with every hypertensive patient, and newly diagnosed …

Early Detection Of Mild Cognitive Impairment In Older Adults Through The Use Of Annual Screening In The Primary Care Setting, Jordan Fulcher, Donald Tisdale, Charles Knapp, Jessica Mann, Kayla Mcmorise

MSN Research Projects

The purpose of this study was to determine primary care providers’ adherence to USPSTF (2015), and the Alzheimer’s Association’s (2013) recommendations and guidelines advocating annual cognitive impairment screening on patients ages 65 years and older. The Alzheimer’s Association issued an algorithm for detecting cognitive impairment in older adults; this cognitive assessment algorithm was accepted and mandated by U.S. Centers for Medicare and Medicaid Services during annual wellness visits of patients 65 years and older. In addition to the Alzheimer’s Association, USPSTF acknowledges the increasing prevalence of cognitive impairment and the benefits of early detection. However, USPSTF argues a lack o …

Psychotropic Pharmacogenomic Testing: Effects On Provider Prescribing Patterns And Phq-9 Depression Screening Scores In A Rural Michigan Family Practice, Nicole Madalinski

Doctor of Nursing Practice Scholarly Projects

The rate of depression across the United States is on the rise with over 16.2 million people experiencing a depressive episode per year (Siu & and the US Preventive Services Task Force [USPSTF], 2016). Medications to treat depression typically take weeks or months to see clinical improvement (Uphold & Graham, 2013). If the medication is not effective, a dose or medication change may occur, lengthening the time spent in a depressive state. This scholarly project retrospectively analyzed charts at a rural primary care practice that implemented GeneSight® psychotropic pharmacogenomic testing for treatment resistant depression. This project sought to understand if …

Implication Of Concussion Preventative Behavior Through Youth Education On Playground Safety, Bryan Harris

Doctor of Nursing Practice Scholarly Projects

The concern with concussions has taken our society by storm as it relates to the health consequences either: acute, chronic, and/or later in life as a result of experiencing a single or multiple concussions. Research is thriving on concussion diagnosis, management, and treatment and will continue to do so in the years to come. Preventative measures in a variety of forms is the cornerstone for dealing with concussions at this time; with evidence showing formal educational programs are effective. ThinkFirst: National Injury Prevention Foundation, provides educational programs for first through eighth grade students on prevention of brain, spinal cord, and …

The Impact Of A Poverty Simulation On Practical Nursing Students’ Attitudes Towards Poverty, Jaime Crabb

Doctor of Nursing Practice Scholarly Projects

Poverty is a multi-faceted global problem. Nurses and providers are front-line caregivers for this vulnerable population. In order to provide effective care, individuals must understand their own attitudes towards poverty. The purpose of this study was to evaluate for changes in Practical Nursing students’ attitudes towards poverty with the use of a poverty simulation based upon the Experiential Learning Theory. Participants were surveyed using the Short Form Attitudes towards Poverty (SFATP) tool. The ELT espouses that the best learning occurs when students actively engage in an experience, reflect upon it, and then apply that learning to future experiences. Statistical significance …

Identifying Factors That Contribute To The Prevalence Of Obesity Among Nurses In The Acute Care Setting, Jennifer Anderson

Grace Peterson Nursing Research Colloquium

Abstract

Background: Obesity is the most prevalent, yet most controllable health problem threating society’s health and well-being. Nurses are a first line defense to address this pandemic, however, nurses exhibit higher incidence of obesity than the general population. When nurses are not a role model for the message they are delivering, patient care and outcomes are compromised.

Objective: The purpose of an literature review is to explore current research to evaluate the prevalence of obesity among nurses in the acute care setting, identify its causative factors, determine the potential impact on patient education, and recommend possible evidenced-based solutions for the …

Implementing Evidence-Based Fall Reduction Interventions In An Urban Emergency Department, Nichole L. Schmidt

Master's Projects

The patient population that is falls in the emergency department (ED) tends to differ from population that falls on inpatient units. However, there is no validated fall risk assessment for the ED setting. In an ED in a western Michigan hospital a fall reference card was designed and trialed by a small group of ED nurses on twenty-five ED patients. The fall reference card was created as a quick-reference guide for the assessment of fall risk, and the implementation of evidence-based fall risk interventions. The card utilized interventions supported by literature as the most common reasons for ED falls. The …

Nursing Perceptions Of Non-Pharmacologic Protocols For Delirium In The Intensive Care Unit, David Johnson

Nursing Masters

Objective: The purpose of this study was to research current non-pharmacologic strategies used to prevent and combat delirium in the intensive care unit (ICU) setting; and to determine how these strategies are perceived and utilized by nurses. A secondary objective was to assess current nursing knowledge of the impact of delirium on patients.

Design: A cross-sectional design using a survey of the researcher’s design released on social media with snowballing method for subject recruitment.

Subjects: Registered Nurses (RNs) working in the intensive care unit.

Measurements and Main results: Data were analyzed using proportions and frequencies. Main findings identified a fragmented …

Validation Of The Registered Nurse Assessment Of Readiness For Hospital Discharge Scale, Kathleen L. Bobay, Marianne E. Weiss, Debra Oswald, Olga Yakusheva

Nursing: School of Nursing Faculty Publications and Other Works

Background Statistical models for predicting readmissions have been published for high-risk patient populations but typically focus on patient characteristics; nurse judgment is rarely considered in a formalized way to supplement prediction models.

Objectives The purpose of this study was to determine psychometric properties of long and short forms of the Registered Nurse Readiness for Hospital Discharge Scale (RN-RHDS), including reliability, factor structure, and predictive validity.

Methods Data were aggregated from two studies conducted at four hospitals in the Midwestern United States. The RN-RHDS was completed within 4 hours before hospital discharge by the discharging nurse. Data on readmissions and emergency …

Employee Influenza Immunization: Education And A Directive To Increase Immunization Rates, Ashley Roman

Doctor of Nursing Practice

Purpose: The aim of this quality improvement project was to improve the influenza vaccination rate of health care workers at an ambulatory care center to meet the national benchmark of 90%.

Background: Influenza is a communicable disease that affects over 130,000 people causing 7,000 deaths (CDC, 2017b). Over the last 3 years the influenza immunization rates at the facility of interest have been on a downward trend despite multiple interventions, resulting in 43% last season. A directive was published at the beginning of the 2017-2018 influenza season mandating each employee to either get a vaccine or decline in writing. This …

Implementation Of Motivational Interviewing Training In An Undergraduate Nursing Curriculum: Identifying Adolescents At Risk For Substance Use, Denise Seigart, Max Veltman, Janet Willhaus, Colene Letterle

Nursing Faculty Publications and Presentations

Motivational interviewing (MI) has been increasingly utilized by health care practitioners for many years. MI has been practiced by social workers, nurses, physicians, psychologists, substance use counselors, and many other health care practitioners. Unfortunately, many health care practitioners do not have adequate training in motivational interviewing, and therefore feel ill equipped to utilize this approach when faced with clients who are in need of assessment and coaching. This paper discusses our experiences with a pilot project to implement MI training within an Adolescent SBIRT (Screening, Brief Intervention, Referral to Treatment) content addition to the undergraduate nursing curriculum. It includes discussion …

Leadership Rounding In The Intensive Care Unit To Improve Satisfaction, Stephanie Laborde

Master's Projects and Capstones

A mid-sized hospital in Alameda County would like to increase its Hospital Consumer Assessment of Healthcare Providers and System (HCAHPS) scores by improving the patient care experience. The specific aim for this project is that by August 2018, the implementation of daily leadership rounding in the ICU will result in an increase of patient satisfaction HCAHPS scores by 5%. The project team used the Plan-Do-Study-Act cycle to guide the implementation of leadership rounding. Leadership rounding was conducted daily over a 10-week period by the project team, which consisted of the floor manager and clinical nurse leader (CNL) student. The project …

Uams Summer Health Literacy Study, Merritt Osment

Health, Human Performance and Recreation Undergraduate Honors Theses

Background: Health Literacy is a barrier to self-care; patients often lack the skills to understand complicated instructions that deal with medications, wound care, follow up schedules, and preventative care. Patients who undergo hip and knee replacements are often older adults, a population that normally struggles with various aspects of health literacy. Patient education materials are a common means of communicating with these individuals. However, if the patient does not understand the materials that they are given, they are more likely to experience negative side effects after their operation. Purpose: The purpose of this study is to compare the health literacy …

Evaluation Of Cardiomems Heart Failure Device, Danielle Moe, Msn, Rn

Doctor of Nursing Practice Projects

Background: Heart failure (HF) is a chronic condition where the heart cannot pump enough blood to adequately oxygenate cells. The CardioMEMS HF device is implanted into the pulmonary artery (PA) allowing practitioners to monitor pressures remotely and prescribe interventions. Objectives: The primary purpose of this project was to determine if CardioMEMS is an effective intervention in the reduction of hospital admissions, emergency department (ED), and clinic visits for HF patients. The secondary purpose was to determine if the quality of life (QOL) and exercise tolerance was improved post-implant. Methods: The author conducted a retrospective chart review by accessing previously compiled …

Pain, Need-Driven Behaviors In Dementia, And Nurses' Perceptions: An Embedded Mixed Methods Study, Suzanne E. Parkman

Nursing Theses and Dissertations

This dissertation is an exploration of psychosocial and behavioral concepts related to the experience of pain in persons with severe dementia and whether the use of an observational pain scale would provide better pain management and comfort for these individuals. Pain has been under-detected, under-reported, and under-treated in this population mainly because persons with dementia (PWD) are unable to self-report pain. Cognitive decline associated with dementia is commonly accompanied by loss of ability to communicate and neuropsychiatric behaviors known as need-driven behaviors (NDB). Nurses must correctly interpret ‘pain behaviors’ in order to assess and treat appropriately. The overlapping of …

A Quality Protocol For A Federally Qualified Health Center: A Pilot Project, John K. Dekock

Doctoral Projects

Federally Qualified Health Centers (FQHCs) have become a vital part of access to care for low socioeconomic status individuals. The federal government has allocated funds to be distributed to FQHCs via Medicare and Medicaid reimbursement based on insurance claims and through the Health Resources and Service Administration (HRSA) via grants and incentives based on Uniform Data System (UDS) reporting. Federally Qualified Health Centers must complete annual uniform data system (UDS) reporting on quality indicator metrics to receive grants and incentives from HRSA. The Health Resources and Service Administration (HRSA) funded health centers are expected to have ongoing quality assurance and …

Saudi Nurse Knowledge, Cultural Perspective, And Intent Regarding Cervical Cancer Prevention, Alaa Mujallad

Loma Linda University Electronic Theses, Dissertations & Projects

Cervical cancer can be controlled by providing screening and vaccination. Although rates for this female cancer are decreasing in developed countries, these low rates are not observed in the other countries. In Saudi Arabia, cervical cancer cases are increasing dramatically (from only 152 cases in 2014, to 241 cases in 2017). Lack of knowledge about cervical cancer prevention presumably contributes to the morbidity and mortality rate among Saudi women, as do religio-cultural beliefs about modesty, sexuality, and premarital virginity. Therefore, this study sought to describe how Saudi nurses’ knowledge and religio-cultural beliefs effected their intentions to promote cervical cancer prevention. …

Failure-To-Rescue Simulations As A Risk Management Strategy For Registered Nurses, Trena K. Seago

Graduate Theses, Dissertations, and Capstones

In the hospital setting, prevention of failure-to-rescue (FTR) events is an important aspect of patient safety. The use of patient simulation as a strategy to educate nurses on the prevention of these events offers two modes of learning: 1) experiential learning through simulation and 2) reflection through debriefing. The act of practicing to recognize a deteriorating patient through experiential learning and reflection may help increase nurses’ self-efficacy in recognizing a similar situation in their future practice. This quasi-experimental, one-group, pretest-posttest pilot study investigated the use of patient simulation among registered nurses (RNs) in the hospital setting as an anticipatory educational …

Rediscovering The Art Of Nursing For Nursing Practice, Deborah Henry

Electronic Theses and Dissertations

The art of nursing is discussed throughout nursing literature but research on the topic is lacking. The purpose of this research was to reveal experiences of the art of nursing. Nurses were asked to describe experiences about the art of nursing from their own nursing practice. This study was qualitative in nature and used a phenomenological approach to answer the research question, “What is the experience of the art of nursing in nursing practice?” The study was guided by the philosophical stance of Merleau-Ponty and the research strategies of Thomas and Pollio. Participants included nurses who had experience using the …

Electronic Health Record Instruction In First-Semester Nursing Students: A Comparative Study, Angela Ruckdeschel

UNLV Theses, Dissertations, Professional Papers, and Capstones

The use of health information technology has been shown to have positive effects on patient outcomes and provider efficiency. New nurses make more than half of the 7 million life-threatening medication errors that occur each year, and electronic health records (EHRs) have been shown to significantly reduce these errors. Nurses now are expected to enter practice with a solid foundation in health information technology and the use of the EHR. Unfortunately, the vast majority of nursing schools do not specifically train their students in effective EHR utilization. Academic EHRs (AEHRs) are software packages with learning features that can be incorporated …

Moral Distress In Critical Care Nursing: The State Of The Science, Natalie S. Mcandrew, Jane Leske, Kathryn Schroeter

College of Nursing Faculty Research and Publications

Background:

Moral distress is a complex phenomenon frequently experienced by critical care nurses. Ethical conflicts in this practice area are related to technological advancement, high intensity work environments, and end-of-life decisions.

Objectives:

An exploration of contemporary moral distress literature was undertaken to determine measurement, contributing factors, impact, and interventions.

Review Methods:

This state of the science review focused on moral distress research in critical care nursing from 2009 to 2015, and included 12 qualitative, 24 quantitative, and 6 mixed methods studies.

Results:

Synthesis of the scientific literature revealed inconsistencies in measurement, conflicting findings of moral distress and nurse demographics, problems …

Current Medical Research: Summer/Fall 2017, Richard J. Fehring, Mary Lee Barron

College of Nursing Faculty Research and Publications

This issue of Current Medical Research (CMR) includes studies that provide evidence that use of natural family planning (NFP) can be helpful for subfertile couples wishing to achieve a pregnancy, the effectiveness of a method of NFP during breastfeeding, and the effects of using NFP on marital relationships. This review also includes evidence on predicting the sex of a baby by timing intercourse, evidence that brain injuries can be reflected in changes in the menstrual cycle, and that women prefer methods of family planning that have no side effects. The issue ends with an in-depth review of new technologies that …

Development Of An Evidence-Based Nursing Leadership Fellowship Program Guide, Jennie Noren

UNLV Theses, Dissertations, Professional Papers, and Capstones

Faced with an increasing demand for nurse leaders with competencies in effective inter-professional communication, change management, conflict resolution, business and financial acumen, and the ability to lead both within and across systems, the current practice of promoting the highest skilled clinicians into leadership positions is not effective. Leadership skills which have been demonstrated in the literature to generate successful and impactful leaders must be provided through immersive educational experiences in an efficient and effective manner to produce leaders who can promote the transformation of healthcare at all levels with confidence. This DNP Project has created a guide for an evidence-based …

Psychometric Evaluation Of The Smartphone For Clinical Work Scale To Measure Nurses' Use Of Smartphones For Work Purposes, John Robert Bautista, Sonny Rosenthal, Trisha Tsui-Chuan Lin, Yin Leng Theng

Research Collection College of Integrative Studies

Objective: This study reports the development and psychometric evaluation of the Smartphone for Clinical WorkScale (SCWS)to measurenurses’use of smartphones for work purposes. Methods: Items were developed based on literature review and a preliminary study. After expert consultations and pilot testing, a 20-item scale was administered in January-June 2017 to 517 staff nurses from 19 tertiary level general hospitals in Metro Manila, Philippines. Exploratory factor analysis (EFA) and confirmatory factor analysis (CFA) were used to evaluate construct validity. Structural equation modeling (SEM) was used to test the predictive validity of SCWS on perceived work productivity. Results: EFA results show that 15 …

Nursing Students' Perception Of Lateral Violence: The Impact Of An Educational Intervention, Kathryn M. Ledwin

Nursing Masters

Background: Interventions and educational curricula components have emerged outlining strategies to address lateral violence in nursing, however the ongoing efficacy of those interventions has not been thoroughly studied. The purpose of this study was to explore how an education program in undergraduate nursing education affects student perception of personal and classmate civility and lateral violence.

Method: A pilot study was conducted at a private college in western New York utilizing a one-group, pretest-posttest design. Measurement consisted of a 15-minute self-reported survey at the start and end of the first clinical nursing semester in an undergraduate baccalaureate program. During the semester, …