Nursing Commons^™

Care Coordination: Roles Of Registered Nurses Across The Care Continuum, Beth Ann Swan, Sheila Haas, Anne T. Jessie

College of Nursing Faculty Papers & Presentations

Lack of coordination leads to health care that is fragmented, inconsistent, and poorly planned. Conversely, effective care coordination supports achieving the Quadruple Aim. Care coordination, roles of RNs in care coordination, and implications for healthcare delivery are explored.

Noninvasive Ventilation Protocol Development, Janise Pierce Tinsman

Doctoral Dissertations and Projects

Endotracheal intubation results in many serious complications including regurgitation, vocal cord paralysis, and death. Noninvasive ventilation using bi-level positive airway pressure has been shown to provide the necessary support without intubation and is also associated with better outcomes if trialed prior to endotracheal intubation. A noninvasive ventilation protocol was applied in a rural acute care facility. Results: The average length of stay for acute respiratory failure decreased from 5.32 to 4.44 days, while intubations fell from 41.9% to zero, and mortality fell from 9.7% to zero during the pilot period. Five cases met criteria for noninvasive ventilation, and three received …

The Nurse As The Facilitator Of Patients' Narration: An Educational Intervention, Petra Stockman

Electronic Theses and Dissertations

More than one million resident patients live and receive care at certified long-term facilities in the United States, many of whom suffer from depressive symptoms and anxiety. Prior research recommended storytelling as a vibrant nursing intervention to assist long-term care residents in overcoming challenges and emotional pain. However, nurses frequently lack knowledge of successful planning and implementation of narrative reminiscence. This scholarly project was designed to increase nursing competence and confidence in using storytelling as a clinical tool to improve mental health in long-term care, using a quasi-experimental, nonrandomized pretest, intervention, and posttest study design. A convenience sample of 10 …

Chronic Kidney Disease: The Need To Increase Nurse Practitioner Awareness, Juan Hernandez

Electronic Theses and Dissertations

Abstract

Chronic kidney disease (CKD) has become a major issue in the United States. Individuals with chronic disease such as diabetes, cardiovascular disease, or hyperlipidemia are at higher risk of CKD. Risk factors include family history, age, obesity, and smoking. Kidney function decreases with age and other related conditions. It is critical to increase awareness, education, and prevention of CKD to advanced practice nurses. Nurse practitioners encounter and have the responsibility to be able to identify and manage patients in their primary practice. To address this issue, a sample of nurse practitioners in a local community health center was surveyed …

Las Dos Cosas Versus Exclusive Breastfeeding: A Culturally And Linguistically Exploratory Intervention Study In Hispanic Mothers Living In Kentucky, Ana Maria Linares, Diana Cartagena, Mary Kay Rayens

Nursing Faculty Publications

INTRODUCTION: Formula supplementation among infants of breastfeeding Hispanic immigrants is common practice known as las dos cosas. The purpose of this study was to assess the feasibility, effectiveness, and acceptability of a culturally and linguistically diverse intervention to promote exclusive breastfeeding (EBF) for the first 6 months.

METHODS: A sample of 39 Hispanic pregnant women was recruited and randomly assigned to intervention (n = 20) and control groups (n = 19). The intervention included a peer counselor and professional support, and mothers were followed from pregnancy to 6 months after birth.

RESULTS: After the study, women assigned to …

Comparative Evaluation Of Chest Tube Insertion Site Dressings: A Randomized Controlled Trial., Michelle Wood Msn, Rn-Bc, Jan Powers ​Phd, Rn, Ccs, Ccrn, Cnrn, Ne-Bc, Fccm, Jennifer Rechter Msn, Rn-Bc, Agcns-Bc

Nursing Publications, Posters, & Presentations

BACKGROUND: Little empirical evidence is available to guide decisions on what type of dressing to use and how often to change the dressing after placement of a thoracostomy tube.

OBJECTIVES: This prospective randomized controlled study was conducted to compare various dressing types and procedures after placement of thoracic and mediastinal chest tubes. Outcome measures included length of time between dressing changes, skin integrity, air leak presence, and patient-reported pain.

METHODS: The study involved a convenience sample of 127 patients with 236 chest tubes from 3 intensive care units at a midwestern regional medical center. The patients were randomized to 1 …

The Effects Of Nurse-To-Patient Ratios On Patient Outcomes In A Variety Of Hospital Settings, Sydney Montgomery

Scholars Week

Nurse-to-patient ratios has been a topic of discussion that has gained momentum over the last several years. In the state of Kentucky, there is no policy mandating a maximum nurse to patient ratio. However, evidence-based practice suggests that lower nurse-to-patient ratios results in better patient outcomes and therefore, the majority of policies in place regarding nurse to patient ratios are not based on best evidence.

The Influence Of The Upbringing Styles Of Parents On The Risky Behavior Of Students From The Aspect Of The Consumption Of Psychoactive Substances (Drugs), Mirlinde Bilalli, Valdet Iseini, Emire Bilalli

UBT International Conference

Risky behavior is a serious public health problem in EU countries. Most of the illnesses in adolescents are the result of risky behaviors related to drug consumption. Problems that lead to the risk behavior may be required in the poor quality of family life and the inadequate way of upbringing.

Aim: To determine the role of upbringing styles of parents with the habits of consuming psychoactive substances (drugs).

Material and Methods: A study was conducted on a sample of 600 respondents, pupils from primary and secondary schools on the territory of the Polog region. Тhe scale used to …

Stress Level And Burn-Out Among Prizren Mental Health Professionals, Herolind Fanaj, Valedete Alidema Serreqi, Shukrije Statovci

UBT International Conference

Work stress as well as burnout have been found in different occupations at different levels. Maslach Burnout Inventory Questionnaires and Self-Report Form of Job Satisfaction were used to investigate the level of stress and burn-out in mental health professionals in Prizren and at the same time their possible causes of stress and burn-out. Participants in the research were (N = 24, Mage = 41.19, SD = 8.03), respondents of both sexes, dominated by female respondents with 16 respondents or 66.7%. High stress level resulted in 66.7% of the sample; emotional exhaustion at 16.7%; depersonalization at 37.5%and 100% resulted in a …

Community Score Card (Csc) On The Quality Of Health Services In Phc Focusing On Patients With Diabetes Mellitus In The Municipality Of Lipjan, Agim N. Krasniqi

UBT International Conference

Community score card was first used in Lipjan Municipality as an instrument for measuring patient satisfaction with health services, and evaluation of PHC services by providers of these services, focusing on type 1 and type 2 diabetes mellitus patients. This activity was developed in support of AQH, through the NGO POLIS and the workers of the PHC-Lipjan The purpose of this research was to identify community needs and opportunities to solve these problems, Involvement of the community in decision-making and monitoring of services in PHC, Relevance of findings by CSC and current internal management and Ministry of Health level.

Methodology …

Huge Malformation Of Head (Encephalocela) Case Report, Besnik Elshani, Saliha Sh. Krasniqi, Fëllënza Spahiu, Yllka Krasniqi

UBT International Conference

The skull is one of the most important elements which serve to protect the human head, and including other organs with the jaw. With this being said, sometimes the skull is not strong enough such as when a baby is born, therefore a condition such as Encephalocele may appear. Encephalocele is a neural tube defect that may appear in Parietal Lobe, Occipital Lobe, and Anterior meaning the face of an individual. Moreover, the most common case is the Occipital Lobe, which is located in the back of the head, while Parietal in on the top of the head

Nir Spectral Signatures Of Flexor And Extensor Muscles Of The Upper And Lower Limb In Humans At Varying Lengths, Antonio Curra, Riccardo Gasbarrone, Giuseppe Bonifazi

UBT International Conference

NIR spectroscopy provides the spectral signatures (i.e. “fingerprints”) of living human muscles, which represent specific, accurate, and reproducible measures of their overall biological status. We showed that chemometric analysis applied to NIR spectra acquired from the upper limb distinguishes the biceps from the triceps. We acquired muscles reflectance spectra in the Vis-SWIR regions (350-2500 nm), utilizing an ASD FieldSpec 4™ Standard-Res Spectroradiometer with a spectral sampling capability of 1.4 nm at 350-1000 nm and 1.1 nm at 1001-2500 nm. Optical spectroscopy proves effective for studying human muscles in vivo and contribute to non-invasive more thorough evaluation of the muscular system.

“Medical Treatment” At Pristina Hospital Of 30 Albanians Injured Persons In Dubrava Prison During The Period 19-22 May 1999, Saliha Sh. Krasniqi, Besnik Elshani, Dafina Krasniqi, Isa Haxhiu, Shqiptar Demaç, Rexhep Gjyliqi, Florije Krasniqi, Besarta Bujupi Krasniqi, Fellanza Spahiu, Yllka Krasniqi, Fitim Selimi, Zejnë Buja

UBT International Conference

The horror experienced by the 30 wounded in Dubrava Prison from 19.05.1999 until release from Pristina Hospital which then continued in Serbian prisons. The study involved 30 patients injured in Dubrava Prison from 19-22 May 1999. Their hospitalization was performed at the Pristina Hospital at the Vascular Surgery Clinic from 26.05.1999-08.06.1999. They stayed in the hospital 1-15 days and then they returned to prison again. Their average age was 32.4 years, The youngest was 17 years old The oldest was 50 years old Two patients had no birthdays in the hospital admission protocol. Of the 30 Albanian wounded, two died …

International Conference On Medicine And Nursing & Pharmaceutical And Natural Sciences, University For Business And Technology - Ubt

UBT International Conference

UBT Annual International Conference is the 8th international interdisciplinary peer reviewed conference which publishes works of the scientists as well as practitioners in the area where UBT is active in Education, Research and Development.The UBT aims to implement an integrated strategy to establish itself as an internationally competitive, research-intensive university, committed to the transfer of knowledge and the provision of a world-class education to the most talented students from all background. The main perspective of the conference is to connect the scientists and practitioners from different disciplines in the same place and make them be aware of the recent advancements …

What Can Be Achieved With An Interprofessional Class?, Kitsum Li, Olivia Catolico

Occupational Therapy | Faculty Scholarship

Introduction Recently, educators advocated for interprofessional education to better prepare entry-level healthcare workers for efficient, effective, and respectful teamwork to lower the cost of healthcare and improve the delivery of collaborative quality patient care. This article describes the results of an educational program evaluation of an interprofessional class (IPC) taught over a five-year period between nursing and occupational therapy (OT) departments at a small private university.

Methods During the IPC sessions, a small group of nursing and OT students observed a simulated patient care scenario in which a nursing and an OT student provided care related to their respective discipline. …

06 Effect Of Empathy Development On Service-Learning - Andrews University Nursing School/Community Partnership – Benton Harbor Program., Carlisle Sutton, Shawna Trotman Henry, Khonnah Weithers , Rn, Bsn, Msnc, Ccrn, Bea Ade-Oshifogun

2024 Celebration of Community Engagement

Background: Andrews University’s administration acknowledges the university’s obligation to seek higher levels of community engagement. The relatively recent adoption of the motto—Seek knowledge, Affirm faith, Change the world—speaks to the intent of the organization to become an agent for positive change. Consequently, educators are encouraged to understand and support community engagement efforts to mold students into World Changers. It is with this backdrop that Andrews University embarked on a pilot project with the School of Nursing to see the effect of empathy development on a service-learning program at Benton Harbor High School.

Aim of Project: To determine the level of …

Picture Perfect: Pediatric Ct Utilization In Trauma, Laura Strickland, Christa Zino Md

Pediatrics

No abstract provided.

The Relationship Between Psychological Contract Breach, Organizational Identification, And Organizational Agility Among Nursing Faculty Members, Yaldez Zeineldin

Nursing

Psychological contract is defined as the unwritten or hidden agreement between both the employers and the employees to ensure reciprocity and safe productive work environment. The concept of the relationship between Psychological Contract Breach (PCB) as one of many recognized antecedents of organizational identification has been emphasises for years. Organizational Identification (OI) is defined as the extent to which both the organisation and the employee’s identities are overlapped. Organizational Identification (OI) has many benefits. For instance, it has a robust effect on the employees’ cognitive abilities, attitude, and behavior including their organizational agility and acceptance to the external and internal …

Factors Related To 30-Day Readmission Among Hispanics With Type 2 Diabetes, Athena Mohebbi

Dissertations

Background: Medicare spends $17 billion yearly on 30-day readmissions. Hispanic adults have a higher prevalence of diabetes (12.6%) compared to non-Hispanic whites (9.4%). Those with a diagnosis of diabetes have the 17% higher rate (14-23%) for 30-day readmission. Little research has been conducted on Hispanics with diabetes relative to 30-day readmissions. Aims: Among Hispanics with type 2 diabetes: 1) measure the incidence of 30-day readmission by sociodemographic, behavioral and clinical factors;2) identify independent factors associated with 30-day readmission among Hispanic adults with type 2 diabetes accounting for potential covariates; 3) compare the ability of the Hispanic Diabetic Study Model plus …

Methodology For Sampling Women At High Maternal Risk In Administrative Data, Jennifer Vanderlaan, Anne Dunlop, Roger Rochat, Bryan Williams, Susan E. Shapiro

Nursing Faculty Research

Background: In population level studies, the conventional practice of categorizing women into low and high maternal risk samples relies upon ascertaining the presence of various comorbid conditions in administrative data. Two problems with the conventional method include variability in the recommended comorbidities to consider and inability to distinguish between maternal and fetal risks. High maternal risk sample selection may be improved by using the Obstetric Comorbidity Index (OCI), a system of risk scoring based on weighting comorbidities associated with maternal end organ damage. The purpose of this study was to compare the net benefit of using OCI risk scoring vs …

Generational Differences In Nursing Influencing Job Satisfaction, Sarah Carter, Rn, Capa, Maryjo Marino Hertzog, Rn, Bsn, Capa, Demetrius Trihoulis, Rn, Viktor Hum, Rn

Jefferson Health - Northeast Posters (formerly Aria Health Posters)

Purpose

A generation is defined as a group of individuals who are roughly the same age, and who experience and are influenced by the same set of significant historical events during key developmental periods in their lives.

With multiple Nursing generations working together in the heath care setting identifying and understanding generational differences that influence job satisfaction will help to promote a healthy work environment and a sustainable work force.

Does Having A Nurse Navigator Vs. Not Having A Nurse Navigator Decrease The Cost Of Healthcare In Patients With A Sepsis Diagnosis?, Marybeth Forward, Rn, Amanda Kuzewycz, Bsn, Rn-Bc, Sandra Little, Msn, Rn, Anne Lyons, Bsn, Rn-Bc, Kelly Panei, Bsn, Rn, Pccn, Diane Yaple, Ms, Lpc

Jefferson Health - Northeast Posters (formerly Aria Health Posters)

Purpose

The nurse navigator facilitates the care of a patient with the diagnosis of sepsis across the healthcare continuum. This includes:

• Promoting optimal outcomes
• Preventing readmissions
• Patient education
• Decreasing length of stay in skilled nursing facilities

The coordination of transition of care starts from the time of admission through the 90 day post acute period.

Step It Up Macks Creek, Mo: A Community Walking Program, Amy Butler

Doctor of Nursing Practice Scholarly Project

An Abstract of the Scholarly Project by

Amy Renee Butler, MSN, FNP-C

Physical inactivity is a major risk factor for chronic disease. Despite goals, guidelines and interventions physical inactivity continues to rise. Rural residents are at even higher risks of sedentary lifestyles highlighting the need for research and interventions focusing on this particular population.

The purpose of this study was to develop a community walking program to create an environment of favorable health resources in a rural area of mid-Missouri. The walking program provided residents with an educational meeting followed by a five week walking intervention that evaluated participants step …

Understanding Multigenerational Nurse-Faculty-Collaboration Strategies-A Delphi Study, Heather M. Fowler

Nursing Theses and Dissertations

Four distinct generations have come together to work cooperatively, producing higher quality nursing students who are engaged and satisfied in their learning experience from nursing faculty. The multigenerational nursing faculty workforce must learn to work together through positive collaboration, using teamwork strategies, and decreasing conflict and negative influences in the workplace. Strauss and Howe’s (1991) generational-cycle model depicted four archetypes that recur throughout history every 22 years; the life stages of generations provided the foundation for this study. Generations can come together if they understand what various generational cohorts perceive as positive collaboration factors, teamwork strategies, and negative influences. A …

The Burden Of Diarrhea: A Survey Of The Caregivers’ Opinions And Perceptions Of Workload In The Intensive Care Unit, Martha Weatherhead, Alana Trottier, Paul Blakeslee, Erin Corica, John Dziodzio, Kristiina Hyrkas, Sonja Orff, Shawn Taylor, Elizabeth Turner

2019 Sigma Region 15 Nursing Research Symposium

In the literature, the prevalence of diarrhea in the Intensive Care Unit (ICU) has been reported to be 3.3-78%. The problem is significant to patients and also increases workload burden for ICU staff. Unfortunately, research on this topic is very limited; we found one single study on the impact that diarrhea has on nursing staff workload. Therefore, we conducted a retrospective chart review to describe the prevalence and impact of diarrhea in our organization. For the purposes of this study, we equated diarrhea with type 7 stools as defined in the Bristol Stool Form Scale. In January of 2018, we …

Tell Me A Story As A Bibliotherapy Intervention To Promote Resiliency In Military Children, Katherinemarie Conover

2019 Sigma Region 15 Nursing Research Symposium

Project studied effect on resiliency of Tell Me A Story™ intervention with children of active duty military members. Outcomes included improvement in resiliency and ego-resiliency after attending intervention; boys benefited in reduction of internalizing problem behaviors more than girls.

Educating And Engaging Elders In The Sure Steps® Fall Prevention Program, Karin L. Ciance

2019 Sigma Region 15 Nursing Research Symposium

Purpose of this project was to determine the effects of reducing the incidence of falls for adults aged sixty five years and older living in their homes. Falls and accidents seldom “just happen” and many can be prevented. This project provided adults >=65 living in their home a safer environmental atmosphere and an ongoing exercise program. VNA staff received training at four additional office sites. The program decreased the fall risk for the sample group.

Health Information Technology (Hit) Experiences Of The Person With Heart Failure: A Descriptive Interpretive Phenomenological Mini Study, Pamela S. Kallmerten

2019 Sigma Region 15 Nursing Research Symposium

Sufficient research has been conducted to explore the lived experience of the person with heart failure. Gap in the knowledge is in regards to the lived experience of those with repeated hospitalizations and their use of health information technology (HIT) which can support self management. Purpose of this project is to describe the lived experience of using HIT by the person with heart failure who has been readmitted to the hospital within the previous six months.

Identifying Pragmatic Aspects For Succession Planning Needs: Conversations With Nurse Managers And Nurse Directors, Tammy Whitney

2019 Sigma Region 15 Nursing Research Symposium

A severe nursing shortage is predicted by 2020, and just as alarming is the likely shortage of nurse managers and nurse directors. Effective succession planning for nurse leaders affects recruitment and retention, patient outcomes, staff engagement, and finances. Preparing successors for leadership is imperative for hospitals to surmount challenges today and in the future. The focus of this project was to discover first hand challenges of succession planning and opportunities for developments.

New Graduate Orientation Evaluation: Are There Any Best Practices Out There?”, Jennifer Laflamme

2019 Sigma Region 15 Nursing Research Symposium

In the current nursing shortage, a time when healthcare needs to get innovative with hiring and retaining new graduate nurses, orientation can be a factor in a new graduate’s decision to leave their place of employment. Efficient, cost effective, and safe orientations with clear expectations are necessary, including orientation evaluation. There is, however, little guidance in the literature on best practices for completing an orientation evaluation. Although scarce, innovations and evidence do exist, as do research opportunities, and those are discussed during this presentation. The purpose of this project was to describe, based on the literature, current evidence that seeks …