Nursing Commons^™

Nurse Executives' Lived Experience Of Incorporating Caring Leadership, Rachel Elizabeth Stepp

Walden Dissertations and Doctoral Studies

The link between compassion and caring at all levels of nursing practice and the enhancement of the patient experience is well-documented. However, the techniques nurse executives use to incorporate caring into their daily practice while coping with competing organizational priorities is poorly understood. The purpose of this qualitative phenomenological study, guided by Watson's theory of human caring, was to examine detailed accounts of the experiences of nurse executives incorporating compassion and caring into their daily practice, including techniques they use to build and sustain compassion and caring while balancing competing priorities. A purposive sample of 10 nurse executives participated in …

Knowledge, Attitudes, And Use Of Complementary And Alternative Medicine (Cam) Among Nurses, Nursing Assistants, And Unit Secretaries, Kim Dimaunahan, Sandy Martir, Amber Norman, Trisha Saul

Books, Presentations, Posters, Etc.

No abstract provided.

Becoming A Nurse, David Morera Costa

A with Honors Projects

This A with Honors essay walks the reader through the nurse career ladder, the educational requirements of each step of the ladder and associated duties. An assessment of the current job market is presented, along with the future prospects for the profession. The possible barriers to entry into the nurse job market and recommendations on how to overcome these barriers are presented. The essay concludes with a summary of the most important concepts.

Tanzanian Mothers’ Cultural Beliefs And Misinformation Regarding The Reasons For Their Cesarean Sections, Victor Mathias, Eleanor Holroyd, Grace Edwards

School of Nursing & Midwifery, East Africa

Background: In Tanzania, cesarean section (CS) rates have been steadily increasing, yet little is known about mothers’ understanding of the medical rationale for their CSs.

Aim: To identify mothers’ cultural understandings of the rationale for their CSs.

Methods: Design: A qualitative descriptive design was employed.

Setting: A government hospital in the western region in Tanzania.

Participants: A total of 117 mothers were interviewed using convenience sampling post CS.

Findings: Forty percent of the mothers were younger than 18 years, with more than 50% having had five or more live babies. Among multigravida women, 40.2% had had one or more previous …

Missed Nursing Care In Newborn Units: A Cross-Sectional Direct Observational Study, David Gathara, George Serem, Georgina A. V. Murphy, Alfred Obengo, Edna Tallam, Debra Jackson, Sharon Brownie, Mike English

School of Nursing & Midwifery, East Africa

Background: Improved hospital care is needed to reduce newborn mortality in low/middle-income countries (LMIC). Nurses are essential to the delivery of safe and effective care, but nurse shortages and high patient workloads may result in missed care. We aimed to examine nursing care delivered to sick newborns and identify missed care using direct observational methods.

Methods: A cross-sectional study using directobservational methods for 216 newborns admitted in six health facilities in Nairobi, Kenya, was used to determine which tasks were completed. We report the frequency of tasks done and develop a nursing care index (NCI), an unweighted summary score of …

Volume 11, Jacob Carney, Ryan White, Joseph Hyman, Jenny Raven, Megan Garrett, Ibrahim Kante, Summer Meinhard, Lauren Johnson, William "Editha" Dean Howells, Laura Gottschalk, Christopher Siefke, Pink Powell, Natasha Woodmancy, Katharine Colley, Abbey Mays, Charlotte Potts

Incite: The Journal of Undergraduate Scholarship

Table of Contents:

Introduction, Dr. Roger A. Byrne, Dean

From the Editor, Dr. Larissa "Kat" Tracy

From the Designers, Rachel English, Rachel Hanson

Synthesis of 3,5-substituted Parabens and their Antimicrobial Properties, Jacob Coarney, Ryan White

Chernobyl: Putting "Perestroika" and "Glasnot" to the Test, Joseph Hyman

Art by Jenny Raven

Watering Down Accessibility: The Issue with Public Access to Alaska's Federal Waterways, Meagan Garrett

Why Has the Democratic Republic of the Congo outsourced its Responsibility to Educate its Citizens? Ibrahim Kante

Art by Summer Meinhard

A Computational Study of Single Molecule Diodes, Lauren Johnson

Satire of …

The Association Of Attitude, Perceived Behavioral Control, And Intention With Fruit And Vegetable Intake Among Rural West Virginian Residents With Pre-Diabetes In Mineral And Hampshire Counties, Diana Leigh Niland

Graduate Theses, Dissertations, and Problem Reports (ETD)

The Association of Attitude, Perceived Behavioral Control, and Intention with Fruit and Vegetable Intake among Rural West Virginian Residents in Mineral and Hampshire Counties with Pre-diabetes

Introduction: Pre-diabetes affects approximately 84.1 million adults in the United States. Pre-diabetes is one of the leading predictors of type 2 diabetes. West Virginia ranks number one in the prevalence of diabetes. Fruit and vegetable intake may assist in reducing risk for pre-diabetes. However, most adults do not consume the recommended daily amount. There are no studies investigating the fruit and vegetable intake (FVI) of rural West Virginian residents with pre-diabetes.

Method: After IRB …

A Video Decision Aid To Influence Advance Care Planning, Angela Petry

Graduate Theses, Dissertations, and Problem Reports (ETD)

The best mechanism to achieve successful advance care planning has yet to be identified. A randomized, controlled, experimental study was performed with a sample of 54 men and women who met inclusion criteria and were randomized into the intervention versus the control group in an outpatient clinical setting in rural West Virginia (WV) from December 2018 to March 2019. Participant mean age was 72.4 years. For those who chose to participate (n=42), the intervention group received the usual standard of care, which was a face to face advance care planning (ACP) discussion with the new intervention of a video decision …

Being On Track: A Phenomenological Study Of The Lived Experience Of Staff Development Nurses’ Transition From A Ward-Based Role To The Role Of Staff Development Nurse In A Hospital In Western Australia, Penny Keogh

Theses

Continuing education is widely accepted as a means to remain competent in nursing and knowledgeable about the numerous changes in health care and the health care environments in which nurses work. The ward-based staff development nurse (SDN) role is considered a vital support for clinical staff (Armstrong & Laschinger, 2006; Conway & Elwin, 2007), with the role responsible for organising orientation and continuing education for nursing staff in their respective area of specialty. There is a dearth of research on the lived experience of the hospital-based SDN, most of whom have no formal training or preparation for their role. Newly …

Factors Influencing Nurse Practitioners' Weight Management Practices In Primary Care, Suzanne Hyer

Electronic Theses and Dissertations

More American adults are overweight or obese than ever before. Nurse practitioners (NPs) play a critical and expanding role in primary care, which is an ideal setting for the assessment and management of weight loss. NPs can make a significant contribution to tackling the obesity crisis. The study presented here seeks to close the gap in data related to how NPs approach weight management with their primary care patients. This study focused on a comprehensive examination of the current practice patterns of NPs related to weight management, a theoretical concept analysis of weight bias among healthcare providers, along with the …

Stress, Coping, And Quality Of Life Among Parental Caregivers Of Children With Autism Spectrum Disorder, Dawn Turnage

Electronic Theses and Dissertations

Purpose: Parental caregivers of children with Autism Spectrum Disorder (ASD) are exposed to stressors associated with the daily care of raising a child with a developmental disability, which may negatively impact parental quality of life (QOL). The specific aim of this study was to examine the relationships between demographic factors, stress, and coping among parental caregivers of children with ASD to determine whether predictors of QOL exist. Methodology: This study was descriptive, and an electronic survey was distributed to Florida parents of children, age 3-21 years old, diagnosed with ASD. The survey measured parent reported demographic factors, severity of the …

The Maternal Health Behaviours Of Non-Irish Nationals During Pregnancy And The Effect Of Time Living In Ireland, R. Palmer, R. Layte, John Kearney

Articles

Objectives Maternal health behaviours (MHBs) can influence pregnancy outcomes. Despite efforts internationally to encourage positive MHBs, women often fail to comply with pregnancy guidelines. International studies show differences in MHBs between nationalities and an effect of time spent in the host country. There is limited Irish data in this area, with no previous research relating to the effect of time in Ireland.

Study design This study is a cross-sectional analysis of the Growing Up in Ireland infant cohort, a nationally representative longitudinal study. Methods Examination of the MHBs of non-Irish nationals during pregnancy and the effect of time in Ireland …

Determinants Of Compassion Fatigue In Acute Care Nursing, Sherry Levering

Walden Dissertations and Doctoral Studies

Nurses experiencing compassion fatigue (CF) are emotionally exhausted, which contributes to decreased nurse retention and patient satisfaction. The focus of this project was to identify factors that contribute to CF. A systematic review was conducted to identify demographic factors that contribute to CF in the acute care setting, clarify the types of care situations that increase CF, and describe the social support networks of nursing units influencing CF. The review included peer-reviewed journal articles published between 2007 and 2018 that focused on registered nurses in the acute care setting. Using the grading of recommendation assessment development and evaluation format, 3 …

Helping Veterans Of Operation Enduring Freedom And Operation Iraqi Freedom, Dawn M. Robinson

Walden Dissertations and Doctoral Studies

Operation Enduring Freedom (OEF) and Operation Iraqi Freedom (OIF) created multiple challenges for the mental health of soldiers who served there. The local facility in this study determined there was a gap in providing OEF/OIF veterans assistance with mental health issues. The practice-focused question explored whether a training module for nurses would assist in the identification of signs and symptoms of mental health issues in OEF/OIF veterans, such as posttraumatic stress disorder, anxiety, depression, addictions, and suicidal/homicidal ideations, to help ensure timely referral for services. The project used Kolcaba's comfort theory as the basis for the training module. A pretest, …

U.S. Public Health Service Nurse Officers Working In Disaster Settings, Ingrid Stamand

Walden Dissertations and Doctoral Studies

The National Response Plan (NRP) was developed to provide support during national disasters. The U.S. Public Health Service (USPHS) Corps is 1 of the 7 uniform services and contributes to the mission of the (NRP). The USPHS Commissioned Corps (CC) Officers may be deployed for national disasters at any time and they must be ready to deploy. The purpose of this phenomenological qualitative study was to explore the lived experiences of USPHS CC Nurse Officers who have deployed in response to disasters in the United States. This study addressed the gap in literature related to the deployment perception of USPHS …

Adaptation Of Heart Failure Education Materials For The Middle Eastern Population, Nadine A. Williams

Walden Dissertations and Doctoral Studies

Cardiovascular disease, including heart failure, is the leading cause of death among male and female Middle Eastern Americans. In 2016, a medical center located in the northeastern region of the United States had an estimated 35% of heart failure patients readmitted within 30 days of discharge, 10% of these readmitted patients belonged to the local Middle Eastern community. The gap in nursing practice noted by nursing staff, patients, and their families was that the patient education materials on heart failure were not tailored to the cultural beliefs and customs of this high-risk population. The purpose of this project was to …

Achieving Improved Glycemic Control Among Hispanic Type 2 Diabetic Adults, Morenike Oyegbami

Walden Dissertations and Doctoral Studies

Type 2 diabetes is a major chronic health disease in the United States. A main concern of clinicians treating patients with Type 2 diabetes is poor glycemic control. The goal of this project was to improve glycemic control in Type 2 diabetic Hispanic adult patients in a private family practice clinic through the implementation of biweekly telephonic intervention focused on diabetes management by an advanced practice nurse/nurse practitioner. The project was guided by the chronic care model as a framework. The intervention was conducted over a 12-week period with 50 patients, ages 18 to 65. Data were collected from chart …

Improving Interdepartmental Care Collaboration For Pregnant Patients, Michelle Anne Ott

Walden Dissertations and Doctoral Studies

Communication is vital to improve patient care outcomes, especially with high acuity patients. Pregnant patients differ from other patient populations because their care involves 2 entities: the patient (mother-to-be) and her unborn fetus. There has been a noted gap in communication and care collaboration between the emergency department (ED) and obstetric (OB) teams at the project site, resulting in delays for patients and lack of appropriate maternal/fetal assessment and contributing negatively to patients' experiences. Using transitions theory and the Rosswurm and Larrabee model, a clinical practice guideline (CPG) inclusive of an obstetrically focused algorithm was developed and presented for use …

Recommendations For African American Family Caregivers Of Adult With Congestive Heart Failure., Callista Chika Ejim

Walden Dissertations and Doctoral Studies

African Americans suffer disproportionately higher incidence of congestive heart failure (CHF) at an earlier age of onset and with more rapid progression compared to other races. Due to this escalating prevalence of CHF within the African American population and the lack of culturally responsive support for the caregiving role, African American family caregivers of adult CHF patients face greater challenges and suffer increased caregiver burden, stress, depression, and financial strain compared to European American caregivers. The purpose of this project was to conduct a systematic literature review to find the recommendations that target African American family caregivers of adult CHF …

Evidence-Based Practice Self-Study Education Program For Staff Nurses On Genomics, Nancy L. Norman-Marzella

Walden Dissertations and Doctoral Studies

Nurses routinely obtain genomic data when collecting family health histories. However, they report low confidence in their knowledge and understanding of genomics and the genetically engineered medications prescribed for their patients. The purpose of this project was the development and implementation of an evidence-based online education program about genetics and genomics to increase the nurses' understanding and ability to provide competent care for their patients receiving treatments based on the science of genomics. Knowles's principles of adult learning theory guided the development and delivery of the online education project to 12 medical-surgical registered nurses employed in a hospital in the …

Addressing Human Papillomavirus Vaccination In Primary Care Pediatrics, Natasha Marie Subramaniam

Walden Dissertations and Doctoral Studies

Human papillomavirus (HPV) is the most common sexually transmitted disease in the United States. Despite most common transmission, HPV immunization in adolescents remains below target rates of 80% as outlined by Healthy People 2020 Objectives. Nearly all individuals will contract HPV during their lifetime. The purpose of this project was to educate providers on successfully promoting HPV immunization in adolescents utilizing evidence-based methods. The health belief model (HBM) was the theoretical underpinning utilized to teach providers on discussions about 9vHPV immunization with parents of adolescents. The practice focused question explored whether an education program using concepts from the HBM would …

Improving Retention Strategies For Experienced Nurses, Kimberly M. Hollis

Walden Dissertations and Doctoral Studies

Experienced nurses depart the workforce in significant numbers; therefore, it is critical to understand how those departures affect patient care and safety. The focus of this systematic review included appraisal of recent research to provide an understanding of strategies used in acute care settings to retain experienced nurses. Guided by Benner's model of skill acquisition, the purpose of this systematic review was to identify factors that influence the decision of nurses with experience to leave or remain working in acute care work settings. The 19 articles selected for this review were limited to those pertaining to experienced registered nurses who …

Health Related Quality Of Life And Coping Strategies Of Children With Type 1 Diabetes Mellitus Attending A Tertiary Care Setting, Vineetha Vijaykumar Ms, Sreeja S. A Ms

Manipal Journal of Nursing and Health Sciences

Introduction: Diabetes mellitus (DM) is a syndrome that results in abnormally high blood sugar levels and is due to the combined effect of hereditary and environment. There is a global increase of type 1diabetes at a proportion of 3% annually in children and adolescents and frightening 5% increase annually among pre-school children. The highest incidences were found in the 10 to 14 years (Swift, 2007). Objectives: The objectives were to determine the health related quality of life (HRQOL) and coping strategies of children with type 1 DM, to find the association between HRQOL with selected demographic variables and to identify …

Social Determinants Of Adolescent Girls’ Dietary Pattern In Suburban Areas In Chennai: A Qualitative Approach, Ponnambily Jobin Ms

Manipal Journal of Nursing and Health Sciences

Background: The idea of adolescent well-being is getting importance all around the world and thus there is a lack of national investigations to survey the factors on the dietary pattern of young girls in suburban regions. Aim: The objective of the study is to explore the social determinants of adolescent girls’ dietary pattern in suburban areas of Chennai. Design: The phenomenological design was used to explore the social determinants of adolescent girl’s nutritional intake. The study population consisted of adolescent girls, who were in the age group of 15-18 years in suburban areas of Chennai. The tool had two sections: …

Self-Reported Practice Of Ergonomics And Musculoskeletal Problems Among Computer Users Of Selected Offices At Mangaluru, Preethi Fernandes Ms, Shwetha Rashmi Ms, Bimalu Benny Ms, Chinchu S. Peter Ms

Manipal Journal of Nursing and Health Sciences

Introduction: The extent of computer use in the offices has greatly increased over the recent decades, resulting in the risk of several health problems among computer users. Symptoms like pain, numbness, tingling, etc. occur in various body parts due to the improper practice of computer ergonomics. Methodology: The descriptive survey approach had been used in view of accomplishing the main objective of the study. The tool consists of baseline pro forma along with rating scale to assess the self-reported practice of ergonomics and rating scale to assess musculoskeletal problems. The subjects consisted of 100 office workers who used the computer …

Knowledge And Practice Among Housekeeping Staff On Methods Of Bio-Medical Waste (Bmw) Management, Nanda Kumar Paniyadi Mr, Asha P. Shetty Dr, Alice Minj Ms, Edavathra Jennie Varghese Ms

Manipal Journal of Nursing and Health Sciences

Waste is any substance that is not useful. Bio-medical waste (BMW) is any kind of waste containing infectious material. Inappropriate and inadequate handling of health care waste has serious public health issues and significant influence on environment. Objective: Objective of the study is to find out the relation between knowledge and practice regarding the method of BMW disposal. Methodology: A descriptive study design with non-probability convenient sampling technique was used to collect the data from 65 housekeeping staff of AIIMS, Bhubaneswar after obtaining administrative approval from the authorities. Structured knowledge questionnaire on BMW disposal and observational checklist for the practice …

A New Approach For Scoring In Objective Structured Clinical Examination, Jomon C. U Mr, Roseminu Varghese Ms

Manipal Journal of Nursing and Health Sciences

The Objective Structured Clinical Examination (OSCE) is a useful multi-use assessment tool which may be used to evaluate health care providers of various disciplines in a clinical setting. It appraises proficiency, through direct observation based on objective or unbiased testing. It is accurate, objective and consistent letting uniform testing of clinical skills among an extensive range of students. OSCE software, developed at Manipal College of Nursing (MCON), a constituent unit of Manipal Academy of Higher Education (MAHE) is a windows-based platform which is integrated with student’s information system and is designed to access only through the intranet of MAHE. It …

An Explorative Study On Factors Affecting Nursing Student’S Academic Failure, Seema S. Chavan Ms, Jeni Jose Ms, Jovita D'Souza Ms, Ashly Anna Mathews

Manipal Journal of Nursing and Health Sciences

Introduction: Academic failure among nursing students has become a phenomenon of interest, as it does not limit itself to only financial consequences, but also compromises the nurse’s availability in the health care sector in the future. Quality of education becomes important as nurses admit and graduate every year in various universities. Objectives: The objectives of the study were to assess factors affecting academic failure among nursing students and to find the association between factors affecting nursing student’s academic failure and selected demographic variables. Methods: A descriptive explorative design was used for the study among 100 nursing students studying in the …

Knowledge Of Nurses Working In Maternity Units Before And After The Implementation Of Structured Teaching Program On Obstetrical Emergencies In Selected Hospitals, Guntur District, Andhra Pradesh, Geetha Dhanasiri Ms, Vasundhara R Ms

Manipal Journal of Nursing and Health Sciences

Introduction: The experience of pregnancy is individualistic and an important experience for a woman. The process of child birth is viewed as a rebirth of the woman, because of the very fact that the period of pregnancy, child birth and puerperium, which show a very normal course till that time, may suddenly turn in to life threatening situations called obstetrical emergencies. These conditions endanger the life of both the mother and the baby. Hence, it is the bound duty of all the obstetrical care providers to give due concentration in identifying the emergency conditions and safe guarding the life of …

Interventions To Reduce Urinary Tract Infections Among Hospitalized Children: A Systematic Review, Edlin Glane Mathias Ms, Judith A. Noronha Dr

Manipal Journal of Nursing and Health Sciences

Background: Among the bacterial infections, urinary tract infection (UTI) is commonly diagnosed among the children. Although there is a variety of research on diagnosis and treatment of UTI, still the clinician faces many challenges in day-to-day care of the children. Studies have reported that the incidence of UTI is highest among the first year of life and decreases in the later life. The appropriate interventions to diagnose and manage the UTIs are important to reduce them among children. Purpose: The purpose of this systematic review is to identify the interventions to reduce UTIs among hospitalized children. Data sources: The electronic …