Nursing Commons^™

Nutritional Intake And Weight Gain In Infants With Neonatal Abstinence Syndrome: A Literature Review, Kailey A. Kubisch

Honors Undergraduate Theses

Neonatal abstinence syndrome (NAS) in infants presents unique challenges in feeding and weight gain. The unpredictable clinical manifestations associated with the newborns withdrawal from exposure to drugs in utero can lead to costly delays in transition of the infant out of the Neonatal Intensive Care Unit (NICU).The purpose of this review of literature was to explore feeding positions and nutritional intake with the greatest impact on weight gain in infants with neonatal abstinence syndrome (NAS) following delivery. The secondary purpose was to compare the clinical manifestations of infants with NAS that influence nutritional intake and their relationship to length of …

Womens Perception Of Their Childbirth Expereinces: An Integrated Literature Review, Nancy M. Farmer

Honors Undergraduate Theses

Pregnancy and childbirth are a unique and sacred time in many womens' lives and the process of giving birth often leaves women and families in a vulnerable position.

This integrated literature review examined birthing experiences from the maternal perspective and focused on the short-term and long-term implications of negatively perceived maternal experiences. While there are several international studies, only a few have been published studies from the United States.

The integrated review showed a significant impact of provider-client communication and shared decision making on a woman's overall perception of her birthing experience. Reports of excess intervention, lack of informed consent, …

Exploring Environmental Heat Injuries In The Pediatric Population, Jennifer Bowman

Honors Undergraduate Theses

Children are considered a vulnerable population in society. While thermoregulation in children is similar to that of an adult, children are vulnerable to heat-related illness. Student athletes have been found to be particularly vulnerable to heat-related illness for numerous reasons, including intense outdoor play. Football players are perhaps the most at-risk population of student athletes due to the intense physical requirements, outdoor practice during the hottest months of the year, and the extensive protective equipment required. By conducting a literature review on the subject of pediatric heat illness, the purpose of this thesis is to explore evidenced based research and …

Sepsis Knowledge In Undergraduate Nursing Students, Kelsey E. Tilton

Honors Undergraduate Theses

Background: Sepsis is the most common cause of death in critically ill patients in settings other than cardiovascular intensive care units (ICUs). Research shows that early detection is the best way to prevent sepsis progression and improve patient outcomes. Nurses can play a critical role in the treatment of sepsis using their knowledge and resources to detect the presence of sepsis at the earliest possible point in the progression of the syndrome. Baccalaureate nursing students were surveyed to assess students' beliefs and knowledge of sepsis and to examine the gaps in students' abilities to identify sepsis. Methodology: An …

The Effects Of Medical Cannabis Use Among Adults With Chronic Pain: An Integrative Review Of The Literature, Bridget A. Asevedo

Honors Undergraduate Theses

The purpose of this integrative literature review was to understand the effects of medical cannabis for chronic pain management in adults. Anecdotal reports suggest the use of medical marijuana as a pain management therapy could be an alternative to opioids and other medications which have long term consequences. Potential uses span the health care continuum, from prescribed outpatient symptom management, to acute care, extended care, home care, and hospice treatment settings. The methodology included a review and synthesis of relevant research articles from 2012 to 2018, written in the English language. The findings suggest medical cannabis has the potential of …

Autologous Skin Cell Spray-Transplantation As An Innovative Alternative To Autologous Split- Thickness Skin Grafts For Deep Partial Thickness Burn Wounds: An Integrative Literature Review, Alexandria M. Beaudet

Honors Undergraduate Theses

Burn wounds tend to be a critical problem with a complicated healing process. Although advancements have been made and the treatment of burn wounds has improved significantly, the healing process for deep-partial thickness burn wounds remains problematic. The purpose of this thesis is to review the available literature on an innovate biotechnology, autologous skin cell-spray transplantation, to more effectively treat burn wounds and potentially other injuries in the future. This study was conducted by critically researching and comparing (N=7) peer-reviewed research articles focusing not only on burn wounds using traditional treatments, but also the treatment of burn wounds using revolutionary …

The Use Of Behavioral Pain Assessment Tools And Pain Outcomes In Nonverbal Patients, Patrick A. Healy

Honors Undergraduate Theses

Acute and critical care patients experience significantly more pain than those patients on a general nursing unit. Due to the severity of their condition, acute care patients may be nonverbal and unable to self-report their pain. Behavioral pain assessment tools are a method of objectively measuring pain in patients who are unable to communicate. While the use of these tools has been shown to improve short- and long-term outcome for patients, there is a paucity of evidence as to nurses' perceptions related to their use. The purpose of this study is to investigate acute care nurses' perceptions of the relationship …

Christ-Focused Service-Learning: Learning To Receive Ministry In Humility, Stephanie Matthew, Elizabeth Roark, Eloise Hockett

Faculty Publications - College of Nursing

Service-learning is an experiential process of action and reflection that allows students to expand their knowledge through real-world activities that benefit others. Service-learning opportunities for baccalaureate nursing students in Kenya have provided many ongoing examples of learning from our Kenyan collaborators. Receiving ministry from those we came to serve, allows allows us, in turn, to demonstrate Christ’s humility. In this article, we share specific stories of how various community partners ministered in unexpected ways to our teams of students and faculty, as we served in Kenya through healthcare and education.

Personal Satisfaction, Cardiovascular Disease Risk, And Health Promoting Behavior Among Arab American Middle-Aged Women, Rnda Ibrahim Ashgar

Wayne State University Dissertations

ABSTRACT

PERSONAL SATISFACTION, CARDIOVASCULAR DISEASE RISK, AND HEALTH PROMOTING BEHAVIOR AMONG ARAB AMERICAN MIDDLE-AGED WOMEN

by

RNDA I. ASHGAR

MAY 2019

Advisor: Dr. Debra Schutte Major: Nursing

Degree: Doctor of Philosophy

Purpose and Background/Significance: Cardiovascular disease (CVD) is the number one leading cause of death among middle-aged women. It was estimated that CVD causes 1 in 3 deaths each year, or one woman each minute. The purpose of this study was to examine the impact of personal satisfaction on CVD risk and health promoting behavior (HPB) among Arab American middle-aged women. The specific aims of this study were:

1) Specific …

Utilizing A Decision Aid In Acute Inpatients To Increase Patient Satisfaction In Communication With The Provider, Elizabeth Fiedler

Doctor of Nursing Practice (DNP) Practice Innovation Projects

Introduction. If communication between patients and providers is improved, patients have better outcomes because of adhering to medications and treatments. Evidence Summary. Poor communication can lead to unnecessary readmissions and decreased quality of care. Decision aid tools assist patients in compiling thoughts and questions for providers, lead to a higher understanding of the plan of care, and can help patients to clarify confusing components of the treatment plan. Tools that improve communication between patients and providers lead to an increase in patient satisfaction. The HCAHPS survey is a measurement of patient satisfaction. Gaps in Literature. There were no articles found …

Growing Evidence For The Impact Of Air Pollution On Depression, Naureen Akber Ali, Adeel Khoja

School of Nursing & Midwifery

No abstract provided.

Climate Change, Climate Justice, And A Call For Action, Jasmine Travers, Elizabeth Schenk, William Rosa, Patrice Nicholas

Articles, Abstracts, and Reports

No abstract provided.

2018 American Nurses Credentialing Center’S (Ancc) Magnet Conference, Barbara (Basia) Delawska-Elliott

Articles, Abstracts, and Reports

No abstract provided.

Increasing Communication Through Improved Nursing Education: The Histories, Policies, And Manufacturing Process Of Vaccines, Alyssa R. Gruich

Senior Honors Theses and Projects

Increasing nursing education of vaccines is incredibly important when nurses are attempting to educate families on the risks and benefits of many childhood vaccines. Through learning about the history of major vaccines, vaccine policies and the vaccine manufacturing process, nurses may better understand how to communicate with families.

Servant Leadership Towards Cultural Competency And Critical Thinking: A Mixed Methods Study In Zambia, Jill Marie Brown

Occupational Therapy Program Student Theses, Dissertations and Capstones

There is a paucity of occupational therapy literature related to the professional development process that occurs when students participate in immersive, international servant leadership experiences in developing countries. A scarcity of literature exists on how such culturally rich experiences can influence the development of the participating students’ dispositional critical thinking and cultural competency skill sets. This mixed methods study depicts how a 3-week servant leadership experience in Zambia, Africa, measured the acquisition of dispositional critical thinking and cultural competency skill sets in novice to experienced occupational therapy students. Moreover, this study infuses a constructivist grounded theory approach to uncover a …

Addressing Climate Change: We Can’T Afford Not To, Elizabeth Schenk

Articles, Abstracts, and Reports

No abstract provided.

Stresi Dhe Niveli I Burn-Out (Shterrimit) Tek Profesionistet E Shëndetit Mendor Në Prizren, Herolind Fanaj

Theses and Dissertations

Stresi në punë si dhe djegia janë gjetur në profesione të ndryshme në nivele të ndryshme. Me qëllim të hulumtimit të nivelit të stresit dhe të djegies (burn-outit) tek punëtorët profesional të shëndetit mendor në Prizren si dhe të njejtën kohë edhe shkaktarët e mundshëm të tyre janë përdorur pyetësorët Maslach Burnout Inventory dhe Forma vetë-raportuese e kënaqësisë në punë dhe shkaktarëve të mundshëm të stresit dhe të djegies (burn-out). Pjesëmarrës në hulumtim ishin (N=24, Mmes=41.19, DS=8.03), respodent të dy gjinive, ka dominuar gjinia femrore me 16 respodent apo 66.7%. Ka rezultuar nivel i lartë i stresit tek 66.7 % …

Awareness Matters: Improving Healthcare Workers’ Self-Efficacy, Knowledge, Skills And Attitudes Related To Mental Illness And Suicide Prevention, Carlana J. Coogle

Doctor of Nursing Practice Projects

Problem Description

Healthcare workers’ (HCWs) negative stigmas, poor attitudes, and lack of knowledge impact the care delivered to patients with a mental illness or who may be suffering with suicidal thoughts.

Rationale

Raising HCWs’ awareness, knowledge and skills have been linked to improving the negative stigmas, biases, and attitudes that impede the care required to achieve optimal health outcomes.

Intervention

Participants attended a 90-minute Question, Persuade, Refer (QPR) gatekeeper training, each participant received six bi-weekly emails about mental health issues, suicide prevention, and community resources. A pre/post survey design using the Mental Illness Clinicians’ Attitude Scale (MICA-4) and the Mental …

Screening For Alcohol Use, Misuse, Or Abuse In The Primary Care Setting Using The Audit-C Tool: An Extension Study, Courtney Amanda Minnis

DNP Projects

Abstract

PURPOSE: The purpose of this study was to improve alcohol screening rates in one primary care setting by educating and supporting providers and office staff on the use of the Audit-C alcohol screening tool.

METHODS: This study design was a Quasi-Experimental intervention, one group post-test. Data was collected utilizing a retrospective chart review from the electronic medical records of adults over age 18 years by visit type: New Patient Visit, Annual Visit, or Employee Wellness Exam. Data included: demographic data of patient age, race, gender, the Audit-C score, and whether or not an intervention was performed.

RESULTS: Five providers …

Burnout Syndrome In Critical Care Nurses, Katie Burke, Kelly Claridge, Mallory Bidlen

Williams Honors College, Honors Research Projects

Burnout syndrome among nurses, especially within the critical care setting, has been a persistent and increasingly prevalent problem in the healthcare field. This systematic review aims to explore the common causes of burnout among nurses associated with working in a critical care setting. Twenty-five peer-reviewed articles, published between the years of 2000 and 2018, were selected for analysis and synthesis using the databases PubMed and CINAHL. The group included research studies conducted in the United States, Spain, France, China and Iran with sample sizes ranging from 42 to 2,392 intensive care unit (ICU) nurses. The articles included in this review …

Association Of Skeletal Muscle And Psychological Responses To Immobility After Major Injury, Jacob T. Higgins

Theses and Dissertations--Nursing

The purpose of this dissertation was to explore the physical and psychological responses to the combination of major trauma (Injury Severity Score [ISS] > 15) and variable periods of immobility. Specific aims were to: 1) develop a conceptual model that illustrates physiological and psychological alterations that occur after injury and subsequent immobility, and their association with skeletal muscle responses and recovery; 2) evaluate daily measures of skeletal muscle strength (bicep and quadricep) using dynamometry and skeletal muscle (rectus femoris and biceps brachii) muscle thickness measured with ultrasound in patients after major trauma; and 3) assess the predictive ability of anxiety and …

Barriers And Facilitators To Accessing And Utilizing Mental Health Services For Homeless Youth: A Systematic Review, Abbygail P. Lapinski

Honors Undergraduate Theses

Homelessness in the youth population is associated with elevated rates of mental illness, substance abuse, and suicidality compared to the housed population in the United States (Berdahl, Hoyt, and Whitbeck, 2005; Hodgson, Shelton, Van den Bree, 2014; Hughes et al., 2010). With a survival-focused perspective, exacerbating issues, stigmatization, and transience housing; homeless youth require special consideration to meet their diverse health needs. When barriers impede homeless youth's access to necessary health resources, their health concerns are left untreated and impound until emergency services are required. This review of literature is focused on identifying and synthesizing barriers and facilitators for homeless …

Alpha Amylase As An Emerging Biomarker Of Microaspiration In Mechanically Ventilated Patients: An Integrative Review Of The Literature, Chloe Chase

Honors Undergraduate Theses

Aims: The purpose of this thesis was to synthesize the current literature on alpha amylase as an emerging biomarker of microaspiration in mechanically ventilated patient.

Methods: The methodology included a review and synthesis of pertinent research articles from 1981-2018, written in English language. Criteria for inclusion in the review were all articles that evaluated α- amylase in tracheal secretions or bronchoalveolar lavage fluid (BAL) as a diagnostic tool for identifying microaspiration. The search yielded 11 studies that were reviewed.

Findings: The findings suggest that once aspiration occurs, the duration of α-amylase in the lungs requires further exploration to assist in …

Condom Use Among Urban African American Adolescent Females, Jaquetta Marie Reeves

Wayne State University Dissertations

ABSTRACT

Background: Sexually transmitted infections (STIs) are one of the most common global health problems, having a profound impact on sexual and reproductive health worldwide. The CDC estimates that approximately 20 million new infections occur each year in the U.S., and almost half of them are among adolescents age 15–24. Despite government initiatives on STI prevention programs for adolescents, there is dearth of knowledge regarding the lack of condom use among adolescent high school students, especially concerning African American females who live in urban areas.

Purpose: The purpose of this research was to explore attitudes towards condoms, subjective norms and …

A Public Health Perspective Of The Higher Education Experiences Of Women Studying Nursing: A Hermeneutic Inquiry Into Commencement And Progression, Lesley Jane Andrew

Theses: Doctorates and Masters

While student retention is a central goal across higher education, the projected shortage in the Australian health workforce has intensified its importance to undergraduate nursing.

Nursing degrees attract a higher proportion of mature-age women students than ever before. More are therefore beginning university at life stage characterised by marriage (or co-habitation) and traditional family structures. Nursing retention strategies require an understanding of the unique university experiences of these women, however, this is missing in the nursing literature. This study is the first to explore the experiences of these women students, doing so from the perspective of Bachelor of Science (Nursing) …

Searching For A Sense Of Place: The Process Of How Adolescent Girls Overcome Suicidality, Tamara Keefner

Electronic Theses and Dissertations

Suicide and self-harming behaviors are significant public health problems among children and adolescents globally and in the United States. Despite significant advances in recent decades to understand, prevent, and treat childhood and adolescent self-harming and suicide, suicide rates remain high. Since the National Action Alliance for Suicide Prevention set a goal to reduce suicide deaths and attempts by 40% by 2020, there has been a paradigm shift in the study of suicide yielding significant advances in the understanding of suicide and other forms of self-inflicted injury. This dissertation highlights some of the new developments in the study of suicide. First, …

Understanding Emotional Intelligence And Its Relationship To Clinical Reasoning In Nursing Students: A Mixed Methods Study, Heidi M. Meyer

Electronic Theses and Dissertations

Purpose. The purpose of this study was to explore emotional intelligence (EI) and its relationship to clinical reasoning in senior bachelor of science in nursing (BSN) students to gain a better understanding of how emotions are used in clinical learning experiences. This study was guided by the Four Branch Ability Model of EI.
Background. The current complex healthcare environment requires nursing students to be prepared to effectively reason in emotionally charged situations. The concept of EI and its beneficial effects in nursing are becoming more evident in the literature. However, it is still not well understood what the …

The Effects Of Early Laxative, Diet, And Exercise Education On Postpartum Constipation Prevention, Amber Thompson

Doctor of Nursing Practice (DNP) Practice Innovation Projects

Introduction: Postpartum constipation is a common problem women face after delivery. Vaginal tears, pain medications, hormonal changes, decreased activity, dietary changes, and hemorrhoids can all increase the risk of developing constipation in the postpartum period. Evidence Summary: Constipation can cause pain, discomfort, decreased quality of life, and life-long consequences if left untreated. Nurses have a responsibility to the patient to provide quality care by taking a proactive approach to bowel management. Regular assessment of patient bowel habits and the provision of education on non-pharmacologic and pharmacologic prevention measures are recommended. Gaps: There is a lack of literature specific to constipation …

Giving To The Giver: A Research Proposal On Implementing Donor Nutrition Education To Promote Healthier Options In The Food Bank, Antionette Rivera, David Pantagan, Tavia Hunt, Mia Mitnaul, Chelsa Johnson, Joana San Luis, Kirstine Huey

OUR Journal: ODU Undergraduate Research Journal

Objective: To increase the nutritional value of donations given by donor organizations to the Food Bank based on a Red-Yellow-Green (RYG) scale. Background: Food banks have been planted across the Southeastern Virginia region to help with the prevalent issue of food insecurity. The food bank receives various food donations. The goal, however, is to implement education to the donor organizations to improve the nutritional value of the donations based on the Red-Yellow-Green scale. Participants and Methods: A Quasi-Experimental Before-and-After design across multiple groups will be used. Consistent donor groups will be selected for the intervention and baseline …

A Qualitative Evaluation Of A Young Parents Program (Ypp) - Parent And Facilitator Perspectives, Cecily Strange, Elaine Bennett, Maggie Tait, Yvonne Hauck

Nursing Papers and Journal Articles

Issue addressed: Young parents (<25 years) have lower engagement with health and community services and are more likely to experience negative outcomes in the perinatal period compared to older parents. The aim of this study was to evaluate the short to medium‐term outcomes of the Young Parents Program (YPP), specifically designed to engage and support young parents, using responsive and codesign strategies in a community setting.

Methods: A qualitative case study used data from interviews with participating parents (n = 20) and a focus group with YPP facilitators (n = 5).

Results: The findings report on the following short to medium‐term YPP outcomes for parents and children. Young parents: are engaged in early parenting services that are welcoming, non-judgemental and holistic; build parenting skills, knowledge, confidence and are tuned into their infants’ needs; are empowered to codesign program activities to meet their parenting and non-parenting needs; have developed friendships and a social support network in their local community; and, are linked …