Nursing Commons^™

Percepciones Ante La Preparación Al Alta En Pacientes Médico-Quirúrgicos De Un Hospital De Alta Complejidad, Viviana Silva, Pilar Espinoza Quiroz, Marianne E. Weiss

College of Nursing Faculty Research and Publications

Objetivo principal:

Analizar la relación entre las percepciones de la calidad de educación al alta y la disposición de pacientes para ser dados de alta.

Metodología:

Se aplicaron la Escala de la Calidad de la Educación al alta (Quality of Discharge Teaching Scale - QDTS) y la Escala para ver si los pacientes están listos para el alta (Readiness Hospital Discharge Scale – RDHS), 1 a 2 horas previas al alta.

Resultados principales:

Los puntajes en la Escala de la Calidad de la Educación al alta explicaron el 22% de la varianza en las …

Caring For Newborns With Transitional Hypoglycemia: Best Practices For Education Healthcare Providers And Families, Emelia C. Garcia, Joann D. Long, Monica T. Foster

Books, Presentations, Posters, Etc.

A number of fetal-maternal conditions predispose infants to hypoglycemia. Consensus on postnatal glucose screening and management is mixed contributing to ineffective communication during level of care transition. This project presents evidence informing best practices in how to educate healthcare providers and families of newborns with hypoglycemia.

Immune System Overdrive: A Case Study Of An Obstetric Patient With Hemophagocytic Lymphohistiocytosis., Jaime Kupillas Msn, Rn, Laurie Griesel Rn, Rnc-Ob

Patient Care Services / Nursing

No abstract provided.

Physical And Psychological Violence Against Married Men In District Dir (Lower), Khyber Pukhtoonkhwa, Pakistan, Hizbullah Khan, Tazeen Saeed Ali, Aamir Abdullah, Shadbehr Shahid

School of Nursing & Midwifery

No abstract provided.

The Effect Of Mantram Repetition On Qol In Low-Income, Urban Dwelling Older Adults, Marissa Katerina Mackiewicz

Dissertations

Background: Quality of life is an important concept of increasing significance for the healthcare in the United States, especially when taken in perspective of the aging population. Low-income, urban dwelling older adults are challenged in a number of ways that may negatively impact their QOL. This unique group is prone to report lower QOL, therefore, interventions targeted to improve QOL are timely. The purpose of this study was to describe the effect of mantram repetition (MR) on QOL in a sample of low-income, urban dwelling older adults.

Methods: A quasi-experimental pre-posttest study was conducted using a sample population of low-income …

Examining The Relationships Between Ethnicity, Palliative Care And Readmissions In The Heart Failure Population, Deanna Johnston

Dissertations

Specific Aim: The aim of this dissertation is to analyze the relationships between ethnicity, palliative care consultation and readmissions in the heart failure population at a community hospital that serves a large diverse population.

Background: Hospitals struggle with preventing readmissions. There are many interventions that can be implemented to help prevent readmissions, and Palliative Care (PC) is one of those interventions. PC has many benefits including symptom management, improved communication through the healthcare continuum, understanding of illness and treatment options, and can be provided in conjunction with curative treatments. Heart failure is one of the most common readmission diagnoses. …

The Association Of Kangaroo Mother Care, Energy Conservation, And Bonding In Preterm Neonates, Dorothy Forde

Dissertations

Purpose:To examine the association of kangaroo mother care (KMC) on energy utilization and bonding as evidenced by reduced biochemical markers of adenosine triphosphate (ATP) degradation, hypoxanthine (Hx), xanthine (Xa), and uric acid (UA), and (allantoin), a measure of oxidative stress in preterm infants 24-36 weeks gestation. A secondary objective was to compare specific physiological parameters using bedside monitoring and perfusion and oxygenation of the gut using near-infrared spectroscopy (NIRS) during 1 hour of KMC compared to incubator care.

Study design: A randomized controlled trial (RCT) examining the effects of 1-hour of KMC or 1-hour incubator care on urinary markers …

The Weight Of A Healthy Home: Early Screening For Childhood Obesity Risk, Sara Herbenick, Kathy James, Dnsc, Aprn, Faan, Jill Milton, Msn, Fnp

Doctor of Nursing Practice Final Manuscripts

Purpose

Despite the Healthy People 2020 target of 14.5%, the California obesity prevalence among low-income children ages 2 to 19 was 21% in 2010. An obesogenic home environment is a major contributor to overeating and sedentariness during this phase of development as children have less autonomy and are influenced by family environmental cues. The purpose of this evidence-based project was to implement a screening tool at a low socioeconomic elementary school clinic to identify children at risk of developing obesity and provide standardization for practitioners on educating parents regarding child obesity risk factors. The Family Nutrition and Physical Activity (FNPA) …

A Common Goal: Primary Care And Psychiatry Improve Depression Detection And Outcomes, Katherine Kilkenny

Doctor of Nursing Practice Final Manuscripts

Background: Major Depressive Disorder (MDD) affects over 15 million (6.7%) adult Americans. While one in four primary care patients suffer from depressive symptoms, MDD is accurately diagnosed as little as 25% of the time.

Purpose: Implementation of an evidence-based protocol outlining the process for screening, behavioral health referral, and the role of a collaborative care team would improve detection and treatment of adult MDD patients in the ambulatory setting.

Process: A systematic Patient Health Questionnaire (PHQ-9) based screening protocol was implemented. Every new and existing patient completed the PHQ-9 during scheduled primary care appointments. If a patient scored 15 or …

Stop, Meditate, And Listen: A Treatment Modality For Iraqi Refugees With Depression, Katherine Goehring

Doctor of Nursing Practice Final Manuscripts

Purposes: To implement a mindfulness meditation program with Arabic speaking clients as an adjunctive treatment of depression

Background: Depression rates among Iraqi refugees are between 28.3 and 75% compared to 8.6% in the general population (Slewa-Younan, Guajardo, Heriseanu, & Hasan, 2015). Treatment options are limited at Neighborhood Healthcare in El Cajon due to budget limitations, cultural beliefs and language barriers, among other reasons. Individual therapy is intended to be a brief intervention due to limited staffing. Many middle eastern refugees decline group therapy due to stigma surrounding mental health treatment and concerns about privacy. Even though traditional treatment …

Optimizing Chronic Pain Management: Self-Care Utilization Among Veterans With Post-Traumatic Stress Disorder, Paul Krug, Anamarie J. Lazo, Joseph Burkard, David Bittleman

Doctor of Nursing Practice Final Manuscripts

Purpose: To implement a chronic pain management regimen that utilizes a self-care approach, integrating all dimensions of the biopsychosocial model to optimally treat the complex needs of younger Veterans with comorbid PTSD and chronic pain. The project aims to provide more insight and knowledge on safer chronic pain management among Veterans, reflected by improvement in patient’s pain level, quality of life, and depression scale.

Design: The project was implemented at the ASPIRE Center, a domiciliary residential rehabilitation treatment program for Veterans who suffer from PTSD and traumatic brain injury. The 5A’s behavior change model was utilized during clinic …

Management Of Chronic Low Back Pain With A Nonpharmacological Pain Management Kit Among Military Personnel, Heidi M. Sterling Bsn, Rn, Dnp Student, Karen A. Macauley Phd, Dnp, Fnp-Bc, Gnp-Bc, Robert Topp Phd, Rn

Doctor of Nursing Practice Final Manuscripts

Background & Purpose:Low back pain is the second leading cause of disability in the United States, affecting 17% of Americans. Chronic low back pain (CLBP) is particularly debilitating among professions such as active duty military personnel (ADMP) who are required to maintain military readiness without the assistance of opioids. This scenario can result in individuals enduring untreated pain or resigning from participation in their unit. The purpose of this project is to determine the effect of providing a nonpharmacological pain management kit (NPMK) on pain and functional ability among ADMP who report CLBP.

Study Design:ADMP who suffer from CLBP were …

Focus On Fitness: Incorporating Exercise Into The Treatment Of Children And Adolescents With Attention-Deficit Hyperactivity Disorder, Kristin Lulich

Doctor of Nursing Practice Final Manuscripts

Background: Psychotropic medications, particularly stimulants are frequently used as the first-line treatment for Attention Deficit Hyperactivity Disorder (ADHD). Many patients and their caregivers have concerns about psychotropic options for treatment. Review of current literature demonstrates the efficacy of physical activity in reducing symptoms of ADHD. Purpose: This evidence based practice (EBP) project introduced regular, scheduled aerobic activity into the treatment plan of children and adolescents with ADHD. The aim of this EBP was to reduce symptoms of ADHD measured by caregivers using the Vanderbilt Ratings Scale. The Johns Hopkins Nursing Evidence Based Practice Model was used to implement this project. …

Power To The Patients: A Heart Failure Transitions Of Care Program In A Heart Resource Center, Katherine Nicole Oxina Padiernos Bsn, Rn, Dnp Student, Scot Nolan Dnp, Rn, Cns, Ccrn, Teri Armour -Burton Phd, Cnml, Ne-Bc, Colleen Austel Nadeau Bsn, Rn, Chfn

Doctor of Nursing Practice Final Manuscripts

Background: In the United States an estimated 5.7 million adults have heart failure (HF), costing $30.7 billion annually. National HF readmission rates have remained high at 21.3%. After an extensive literature review, the purpose of this project was to incorporate teach back methods, self care education, resource accessibility, and increased post-discharge contact through an outpatient heart failure transitions of care program.

Methods and Results: Prior to discharge, HF patients were recruited and given a pre-test Self Care of Heart Failure Index (SCHFI). A DNP student and progressive care unit registered nurses provided discharge education utilizing a Healthy Heart Tracker booklet …

What’S Keeping America’S Heroes Awake? Screening For Obstructive Sleep Apnea In Male Veterans With Hypertension And Diabetes, Aaron James Stirling

Doctor of Nursing Practice Final Manuscripts

Purpose: To reduce cardiovascular risk through optimal obstructive sleep apnea (OSA) management with proactive screening utilizing the Epworth Sleepiness Scale (ESS) in male Veterans with hypertension (HTN) and diabetes mellitus (DM).

Background: OSA is a common finding in primary care, with 1 in 5 adults feeling its effects: excessive sleepiness, impaired cognition, reduced quality of life and increased mortality. Unmanaged OSA has been highly correlated with increased cardiac risk in populations with chronic diseases such as HTN and DM. Fortunately, identification and treatment of OSA has been shown to improve cardiovascular outcomes and reduce mortality. Evidence supports outpatient screening to …

Improving Quality Of Life In Veterans With Chronic Pain Through Patient Engagement, Linda Nyagaya

Doctor of Nursing Practice Final Manuscripts

Background: Various psychosocial factors affect follow up care among veterans with chronic pain. Engaging veterans by giving them the choice to decide contact modality for after clinic visit increases likelihood of successfully reaching patient and adherence to recommended pain management.

Purpose: To engage veterans through self-determined effective communication method: telephone, email or Myhealthevet for follow up care. The intervention aims to improve chronic pain self-care by assessing number of medications used for pain, numeric pain rating and quality of life score.

Framework/EBP Model: The Iowa Model and 5A’s will guide implementation and assessment of this project. Patients will self-determine the …

Diabetes Self Management Education In An Underserved Primary Care Setting, Jessica Salas

Doctor of Nursing Practice Final Manuscripts

Objective: A key component to the management of type 2 diabetes is appropriate self management of the disease by the patient. The purpose of this project was to provide culturally appropriate Diabetes Self Management Education in an underserved primary care setting to improve glycemic control among Spanish speaking patients who have uncontrolled diabetes.

Research Design and Methods: The evidence based practice project took place at a primary care practice in an underserved area. Fifteen Spanish speaking patients with uncontrolled type 2 diabetes with a hemoglobin A1c greater than 7% were included in the intervention. The intervention included implementation of Diabetes …

In Honor Of Self: A Weight Loss Project For A Military Population With Mental Disorders, Tanya Denise Stevenson-Gaines

Doctor of Nursing Practice Final Manuscripts

Background: Obesity in people diagnosed with mental disorders is at an epidemic level. Individuals with a mental illness who are prescribed medication for stability are at risk for obesity and metabolic syndrome. People with mental disorders have a 10 to 30-year decrease in life expectancy associated with chronic illnesses. Military personnel are separated from service when they are measured outside of body composition assessment standards.

Aims: To address the problem of obesity in military members by providing a weight loss program with structured and collaborative weight management education and telephonic coaching.

Methods: Stakeholders were informed about the purpose and goals …

Screening For Binge Eating Disorder In Patients Undergoing A Weight Loss Program, Doris Cheruiyot

Doctor of Nursing Practice Final Manuscripts

Background: Binge eating disorder (BED) is the most common eating disorder in the United States, it is more prevalent than Anorexia Nervosa and Bulimia combined. BED is characterized by recurrent episodes of binge eating accompanied by feeling a lack of control and marked distress over one’s eating behaviors. BED is a serious condition that impairs health-related quality of life (HRQL) and increases health care costs.

Purpose: The purpose of this project was to identify patients at risk for binge eating disorder at an outpatient weight loss clinic using the validated BEDS-7 screening tool.

Evidence-based Intervention: The 7-item Binge-Eating Disorder Screener …

Family Nurse Practitioner Student Competencies In Integrated Psychiatric Healthcare, Mark Manning

Doctor of Nursing Practice Final Manuscripts

Title: Practicum to Practice: Family Nurse Practitioner Student Competencies in Integrated Psychiatric Mental Healthcare.

Background: Major Depressive Disorder (MDD) is a widespread and costly diagnosis that affects nearly 16 million people annually and costs the United States nearly $83 Billion. Primary care providers such as Family Nurse Practitioners (FNP) play a crucial role in screening for health problems, preventing, and managing illness. Opportunities exist to integrate psychiatric mental healthcare into FNP curriculum and clinical practicums to better prepare providers to identify and screen for depression.

Purpose: The purpose of this evidenced-based practice project is to evaluate FNP student competencies …

Priapism Among Male Adolescents With Sickle Cell Disease, Prince Ocansey

Dissertations

The purpose of this qualitative phenomenological study was to describe the lived experience of priapism among male adolescents with sickle cell disease (SCD). A painful genetic disorder with no cure, SCD severely impacts the lives of patients, as well as their families and friends. Priapism is one of the complications of SCD and involves persistent and painful penile erections. The review of literature established a gap in researchers’ understanding of the lived experience of priapism among male adolescents with SCD. This study aimed to bridge that gap.

Using a convenience sampling method, 7 adolescent males between the ages of 16 …

Prevention Of Functional Decline In Hospitalized Geriatric Patients: An Evidence-Based Mobility Pilot Project On An Acute Care Elderly (Ace) Unit, Hannah Grushkowsky

Doctor of Nursing Practice Final Manuscripts

Problem: Functional decline is the leading complication of hospitalization in the elderly. Loss of functional independence during hospitalization results from the inability to maintain function during hospitalization compounded by acute illness. Potential negative outcomes from decreased function include increased length of stay (LOS), morbidity, and added discharges to a skilled nursing facilities (SNF).

Introduction: A mobility-based protocol created by an interdisciplinary team was implemented for three months on an 8 to 12-bed specialized Acute Care Elderly (ACE) medical-surgical floor. The purpose of the project was to evaluate if an evidence-based practice (EBP) mobility protocol can decrease discharges to SNFs, falls, …

Identification Of Nurse-Controlled Predictors Of Pain In Patients Undergoing A Total Hip Or Total Knee Arthroplasty, Melodie Ruth Daniels

Dissertations

Objectives: The purpose of this study was to examine relationships among nursing interventions and pain status during hospitalization in orthopedic surgical patients receiving total hip or knee arthroplasty in one of four community hospitals in San Diego, California.

Background: The epidemic of opioid-related adverse events creates a need for opioid sparing approaches to pain management. Pain management practices have been studied in relation to medicine; however, the relationship between pain and opioid sparing, nurse-specific interventions is not clear.

Methods: The retrospective descriptive study examined Electronic Health Record (EHR) data of patients (N = 1657) discharged after a total hip …

A Standardized Hand-Off Tool For Undergraduate Nursing Students, Abigail Sutton, Stacie Hunsaker

Journal of Undergraduate Research

In establishing patient safety, communication is one of the most important components to consider. In order to coordinate a patient’s care properly, the multiple and diverse healthcare providers must operate smoothly as a team through well-constructed communication techniques. TeamSTEPPS is a government designed program to educated healthcare professionals on how to work and communicate effectively as a team. The program initiators included specific tools to be used to perform hand-offs. Hand-offs is when a healthcare professional transfers crucial information requiring a patient’s care with another healthcare professional. This is an extremely important process because it can cause devastating results if …

Food Insecurity Among Byu Students, Kielee Wiser, Neil Peterson

Journal of Undergraduate Research

The purpose of this project was to assess food insecurity among college students attending Brigham Young University (BYU). Food insecurity is the lack of consistent access to food, which has become an increasing problem among college students throughout the United States. The lack of food can contribute to poor performance in school, health complications, and homelessness.

It Runs In The Family: Determining The Most Important Characteristics In Family Health Histories, Lauren Bretzing, Gaye Ray

Journal of Undergraduate Research

Family health history (FHH) is a significant risk factor for many diseases and can help determine which patients need further genetic testing, lifestyle changes, and preventative screenings at earlier ages. Though recognized as an important step in controlling and preventing disease, FHH is often underutilized in health care settings. In a busy clinic setting, many clinicians may only have a couple minutes to discuss FHH with their patient, or may choose to forego it entirely. Apart from being time intensive and inaccurate, the FHH tools available are often seen as too complex. Additionally, a lack of uniformity in the collection, …

Effect Of Formal Simulation Training On Perceptions Of Students, Joni Lybbert, Stacie Hunsaker

Journal of Undergraduate Research

High-fidelity simulation refers to the use of computerized manikins to simulate real-life situations. High-fidelity simulation is now a crucial part of nursing programs everywhere helping students gain necessary critical-thinking skills. The College of Nursing (CON) at Brigham Young University (BYU) includes simulation in their curriculum to assist students in developing decision-making skills in a modified clinical setting. However, more than the possession of simulation technology, the interaction between students and the simulation facilitator helps to achieve these aims.

Parents Of Children With Special Healthcare Needs: Relationships With Healthcare Providers, Janet Jackson, Dr. Janelle Macintosh

Journal of Undergraduate Research

The purpose of this project was to explore the significance and influence of relationships between healthcare providers (HCP) and parents of children with special healthcare needs (CSHCN) regarding healthcare plans.

In exploring previous research conducted in this area, we found many examples of the stress related to raising CSHCN, including physical, mental, and social stress. Much of this stress involved caregivers feeling unsupported, isolated, and misunderstood. For this reason, we chose to conduct focus groups to gather data and provide connections for these caregivers that would help them feel less stressed.

Research previously conducted in this area lacked an emphasis, …

Palliative Care Services Perception Study, Klinton Metcalf, Katreena Collette-Merril, Phd, Rn, Kevin Mcewan

Journal of Undergraduate Research

Patients with chronic illnesses are often plagued with multiple side effects and secondary diagnoses that significantly limit everyday function. Managing these side effects along with the patient’s illness often requires a multidisciplinary approach to providing optimal care. Palliative Care is a growing field of medicine that delivers quality symptom management for patients with complex illnesses and symptoms. Although relatively new, evidence shows that Palliative Care interventions not only decrease the severity of side effects during the treatment process, but also improve the quality of life and feelings of well-being for the patient, and even extend length of survival. Palliative Care …

Increasing Follow-Up In College Students With Latent Tuberculosis Infection, Emily Middleton, Dnp, Aprn, Ccrn, Kathy James, Dnsc, Aprn, Faan, Kimberly Woodruff, Md, Mph

Doctor of Nursing Practice Final Manuscripts

Around 13 million people in the United States have latent tuberculosis infection (LTBI) with a 5-10% chance of developing active tuberculosis (TB) in their lifetime if not treated (Center for Disease Control, 2015). At a University Student Health Center (SHC), there is a matriculation requirement for TB testing for students that screen as high risk. Many students have these testing requirements performed at outside clinics, including foreign clinics, and follow-up regarding education about LTBI and treatment recommendations was often missing. The purpose of this evidence-based practice (EBP) project was to increase follow-up, education, and treatment options after diagnosis of LTBI. …