Nursing Commons^™

Vitamin D Status And Risk Of Incident Tuberculosis Disease: A Nested Case-Control Study, Systematic Review, And Individual-Participant Data Meta-Analysis, Omowunmi Aibana, Chuan-Chin Huang, Said Aboud, Alberto Arnedo-Pena, Mercedes C Becerra, Juan Bautista Bellido-Blasco, Ramesh Bhosale, Roger Calderon, Silvia Chiang, Carmen Contreras, Ganmaa Davaasambuu, Wafaie W Fawzi, Molly F Franke, Jerome T Galea, Daniel Garcia-Ferrer, Maria Gil-Fortuño, Barbará Gomila-Sard, Amita Gupta, Nikhil Gupte, Rabia Hussain, Jesus Iborra-Millet, Najeeha T Iqbal, Jose Vicente Juan-Cerdán, Aarti Kinikar, Leonid Lecca, Vidya Mave, Noemi Meseguer-Ferrer, Grace Montepiedra, Ferdinand M Mugusi, Olumuyiwa A Owolabi, Julie Parsonnet, Freddy Roach-Poblete, Maria Angeles Romeu-García, Stephen A Spector, Christopher R Sudfeld, Mark W Tenforde, Toyin O Togun, Rosa Yataco, Zibiao Zhang, Megan B Murray

Faculty, Staff and Student Publications

BACKGROUND: Few studies have evaluated the association between preexisting vitamin D deficiency and incident tuberculosis (TB). We assessed the impact of baseline vitamins D levels on TB disease risk.

METHODS AND FINDINGS: We assessed the association between baseline vitamin D and incident TB in a prospective cohort of 6,751 HIV-negative household contacts of TB patients enrolled between September 1, 2009, and August 29, 2012, in Lima, Peru. We screened for TB disease at 2, 6, and 12 months after enrollment. We defined cases as household contacts who developed TB disease at least 15 days after enrollment of the index patient. …

Centeringpregnancy: Perceptions Of Providers And Staff In A Private Ob Practice, Allison F. Mills

Doctoral Dissertations and Projects

Traditional prenatal care has been the stalwart of care in the United States since the 1920s; however, a new model of care is emerging: group-style prenatal care. This model of care has been well-documented within literature as having notable maternal and fetal outcomes, including increased patient satisfaction, decreased preterm birth rates, increased breastfeeding rates, and increased patient compliance, to name only a few. With such remarkable outcomes, it begs the question of why the group prenatal care model is not more widely utilized. This project aimed to determine if increasing the knowledge of healthcare providers in a private obstetrics practice …

Sepsis Education Utilizing ‘Sepsis Alert’ Checklist To Support The Adherence Of Early Management Bundle In The Emergency Department, Jean Jun

Doctoral Dissertations and Projects

Early recognition and timely management of sepsis is a priority within hospitals due to its direct impact on patients’ outcomes. It is critical for healthcare providers to be educated and aware of the signs and symptoms of sepsis. The emergency department (ED) is the forefront of the hospital where majority of patients with sepsis are assessed and either discharged or admitted into the hospital. Therefore, it is critical for ED nurses to be educated in the early signs of sepsis and follow evidence-based practice guidelines when managing these patients. The project leader implemented a sepsis education intervention aimed at clinical …

An Interdisciplinary Framework For Impacting Older Adults Health And Physical Activity, Christopher J. Dondzila, Elaine Vandoren

Open Access Publishing Support Funded Articles

The exploration of feasible and cost-effective strategies is warranted to mitigate rising healthcare costs and lessen the impact of chronic diseases, functional decline, and disability in older adults. The overwhelming sedentariness of older adults is accompanied by a lack of expertise by healthcare professionals in exercise programming that acknowledge factors influencing physical activity (PA) patterns. We present a framework for a nursing/exercise science interdisciplinary effort to increase PA and improve health in older adults via the delivery of individually tailored exercise programming for an 8-week intervention. Results from this study will be integral in translating effective interdisciplinary efforts across diverse …

Visual Boards To Improve Compliance With Administration Of Glucose Gel, Bonnie Hibbs

Graduate Theses, Dissertations, and Capstones

The purpose of this quality improvement project is to increase staff compliance of administering glucose gel for the treatment of newborn hypoglycemia through use of a daily management board. Through improved compliance to gel administration, the project further seeks to decrease NICU admissions for hypoglycemia, decrease formula supplementation of breastfed newborns, and improve exclusive breastfeeding rates at discharge.

The Validity And Utility Of Violence Risk Assessment Tools To Predict Patient Violence In Acute Care Settings: An Integrative Literature Review, Manonita Ghosh, Di Twigg, Yvonne Kutzer, Amanda Towell-Barnard, Gideon De Jong, Mary Dodds

Research outputs 2014 to 2021

To examine risk assessment tools to predict patient violence in acute care settings. An integrative review of the literature. Five electronic databases – CINAHL Plus, MEDLINE, OVID, PsycINFO, and Web of Science were searched between 2000 and 2018. The reference list of articles was also inspected manually. The PICOS framework was used to refine the inclusion and exclusion of the literature, and the PRISMA statement guided the search strategy to systematically present findings. Forty-one studies were retained for review. Three studies developed or tested tools to measure patient violence in general acute care settings, and two described the primary and …

Cost Differences Between Sugammadex And Neostigmine Use In Non-Operating Room Anesthesia Care, Lindsey Marie Kilsdonk, Mindy Ruan

College of Science and Health Theses and Dissertations

rior to the introduction of sugammadex, the only option to reverse rocuronium-induced neuromuscular blockade (NMB) were cholinesterase inhibitors (i.e. neostigmine) and anticholinergics (i.e. glycopyrrolate). Sugammadex administration has been shown to provide a more effective and complete reversal of rocuronium. However, the higher cost of sugammadex has been cited as a limiting factor to its use. The medication costs of sugammadex and neostigmine with glycopyrrolate have been studied in the operating room setting. There is a lack of information regarding the usage and medication costs of sugammadex and neostigmine with glycopyrrolate for non-operating room anesthesia care (NORA). A retrospective chart review …

Certified Registered Nurse Anesthetist’S Awareness And Knowledge Of Herbal Supplements And Perioperative Interactions, Catherine Carman, Victoria N. Rosinski

College of Science and Health Theses and Dissertations

Previous studies have asserted that anesthesia providers are deficient in their knowledge of herbal supplements and their perioperative interactions. The purpose of this project was to examine the impact of an educational handout on Certified Registered Nurse Anesthetists’ (CRNAs) knowledge and attitudes of herbal supplements and their perioperative interactions utilizing a pre-posttest project design. The survey components were sent to approximately 1,600 members of the Illinois Association of Nurse Anesthetists (IANA) with a response of 140 surveys. Data was analyzed using descriptive Cohen’s d and nonparametric statistical tests. Reliability of the instruments used were assessed using Cronbach’s ɑ coefficients. The …

Improving Knowledge And Self-Efficacy In Student Registered Nurse Anesthetists Through Simulation Based Learning On Pulmonary Artery Catheter Insertions, Neal Allen Johnson, Amanda Lipa

College of Science and Health Theses and Dissertations

Simulation is increasingly being used within the educational setting for invasive procedures, such as pulmonary artery (PA) catheter insertion. The purpose of this study was to assess how student registered nurse anesthetists (SRNAs) knowledge and confidence is effected by viewing an educational video and participating in a low-fidelity simulation. Dual coding theory was used to develop a single group pre-test and post-test study. A convenience sample of second year SRNAs was used. Participants completed a knowledge assessment tool and a confidence survey. Each participant then viewed the video and completed a hands on low-fidelity simulation. Following both these, each participant …

Pre-Anesthetic Evaluation: A Needs Assessment Of Student Registered Nurse Anesthetists Transitioning To Clinical Practice, Amanda B. Munnich, Cara A. Murphy

College of Science and Health Theses and Dissertations

The pre-anesthetic evaluation (PAE) is a critical part of providing anesthesia, and an important component of patient safety. Student registered nurse anesthetists (SRNAs) are often required to independently perform the PAE upon entering their clinical training. Stress, anxiety, doubt, a novel environment and time constraints can lead to a lack of confidence and competence at this time. These barriers can result in an inefficient and inadequate assessment. The purpose of this qualitative study was to conduct a needs assessment to determine the overall readiness of SRNAs to independently perform a thorough PAE upon entering clinical residency. A focus group was …

Exploring The Protective Effects Of Judaism On Risky Behaviors In College Students, Michelle E. Neuman

College of Science and Health Theses and Dissertations

Background: Common risky behaviors among college-aged young adults include risky sexual behaviors and substance use. Purpose: This study examines the protective effects of Judaism on students’ engagement in risky behaviors, building on a body of research on the protective effects of religious beliefs on risky health behaviors. Methods: Validated and reliable measures were used to assess religiosity and risky behaviors through anonymous surveys. Data was collected in Fall 2018 from a small cohort (N=15) of Jewish day school students. Results: Higher religiosity was more associated with delayed sexual activity than substance use behaviors. Judaism and religiosity were more strongly associated …

Cultural Competence In Student Registered Nurse Anesthetists In Illinois, Lisa Brown, Saad Iqbal

College of Science and Health Theses and Dissertations

Objective: To determine the level of perceived cultural competence in student registered nurse anesthetists (SRNAs) in Illinois and make educational recommendations. Methods: A descriptive, cross-sectional study was completed using the Clinical Cultural Competency Questionnaire (CCCQ) to evaluate the perceived level of cultural competence among SRNAs in Illinois. Four domains of clinical cultural competency [knowledge, skills, attitudes (awareness), and encounters] were evaluated and reported. Results: The survey response rate was 16.7% (N=57). A statistically significant positive correlation was observed between cultural knowledge and age (p=0.03). There is a statistically significant difference in cultural knowledge between students attending a nurse anesthesia program …

Examination Of Reflections From Nurse Anesthesia Trainee Volunteers In Honduras, Thomas M. Boyce

College of Science and Health Theses and Dissertations

There is a lack of surgical and anesthesia services in low-income and middle-income countries (LMICs) which creates an increased burden of disease from otherwise surgically treatable conditions. Nurse anesthesia trainees (NATs) can serve to fill this lack of anesthesia services while also gaining real life experience that can enhance their training. Identifying common experiences and barriers among NATs that have volunteered on a surgical brigade is important to understand the benefits experienced by NATs and to increase volunteer surgical brigade programs among nurse anesthesia programs. A retrospective thematic analysis of 23 written reflections of NATs who participated in a one-week …

Anesthesia Alarm Fatigue Policy Recommendations: The Path Of Development, Kelsey J. Leveille, Kelsey Anne Simoens

College of Science and Health Theses and Dissertations

Healthcare workers are inundated with alarms every minute, yet 80-95% of these alarms do not result in provider intervention. False alarms cause a “cry-wolf” phenomenon among providers resulting in cognitive stress and workflow interruptions. A cross-sectional design was used to examine the perceptions of alarm fatigue and alarm management of Certified Registered Nurse Anesthetists (CRNAs), Student Registered Nurse Anesthetists (SRNAs) and Anesthesiologists. This Likert-scale questionnaire was sent to approximately 150 anesthesia providers at NorthShore University HealthSystem (NSUHS) through an online survey. Data analysis revealed anesthesia trainees and providers with less total years in practice and less clinical experience exhibit statistically …

Identifying Pediatric Obesity In The Retail Health Setting And Implications For Quality, Jodie Nicole Guardi

College of Science and Health Theses and Dissertations

Pediatric obesity has reached an epidemic status. The purpose of this study was to examine the prevalence of overweight and obese patients, as well as how often and how accurately a diagnosis was coded. The population for this study included children ages 3-18. This cohort presented to retail health clinics in a large urban health system for school or sports physicals from June 1, 2017 to November 30, 2017. Method. A retrospective chart review was conducted. Statistical analysis was performed to determine if there was a relationship between obesity and age, ethnicity, race, and gender. Results. The study identified 15.9% …

What We Say Matters: A Survey Of Anesthesia Providers’ Knowledge And Beliefs, Stefanie Glasgow, Lindsey Harris

College of Science and Health Theses and Dissertations

Pain is a serious concern and fear of patients. Due to the Joint Commission’s introduction of standards to address undertreatment of pain, it is now a focus of healthcare providers. Emerging research is focused on language in assessing pain. This study investigated the knowledge gap among anesthesia providers on positive language and pain assessment. The study objectives were to conduct a survey of Illinois Association of Nurse Anesthetists (IANA) members’ current knowledge and beliefs on Positive Language and the Nocebo Effect related to patient outcomes, and to educate anesthesia providers with an evidence-based fact sheet. The fact sheet and Qualtrics …

Enhancing Patient Well-Being: Apply Positive Psychology In Nursing Practice, Farida Bibi Mughal

School of Nursing & Midwifery

Objective: Positive psychology is the emerging concept in the medical field and has shown the positive effects on one’s well-being. This paper highlights the application of PERMA model in nursing practice.
Method: The model applied in the clinical area to access improvement in patient’s well-being. The concept of positive psychology’s applicability is discussed with the real life examples.
Result: The PERMA model when applied yields a positive impact on patient’s health and overall well-being.
Conclusion: The learning outcomes of this research will help the people in health care to understand the relationship between positive psychology and nursing practices for the …

Effectively Enhancing Health Resilience In Adolescents With Type 1 Diabetes Mellitus: An Integrative Literature Review, Shelbi Steele

Grace Peterson Nursing Research Colloquium

Effectively Enhancing Health Resilience in Adolescents

with Type 1 Diabetes Mellitus: An Integrative Literature Review

Shelbi Steele, MS

Faculty Sponsor: Elizabeth Hartman, PhD, RN

Background: Several studies suggest that adolescence is a particularly difficult time for diabetes management because of the drive for independence, the search for acceptance and the complexity of the disease. Lack of health management increases the risk for diabetes – related complications in adulthood.

Objectives: To explore what research has been conducted regarding factors that enhance resilience among adolescents with type 1 diabetes mellitus and to recommend incorporation of these factors within direct nursing care to …

The Critical Role Of Nursing Assessment In Clinical Outcomes Of Acute Compartment Syndrome: An Integrative Literature Review, Sedona Dowd

Grace Peterson Nursing Research Colloquium

The Critical Role of Nursing Assessment in Clinical Outcomes of

Acute Compartment Syndrome: An Integrative Literature Review

Sedona Dowd, MS

Faculty Sponsor: Elizabeth Hartman, PhD, RN

Abstract

Background: Nurses play a critical role in assessing for acute compartment syndrome. Despite the improvements made in diagnosing and treating patients with this potentially deadly situation, as well as an increased awareness of ACS, nurses are falling short when required to display knowledge and identify patients with the syndrome. Along with identifying at-risk patients for developing ACS, nurses can aide the clinical diagnosis of ACS through diligent assessment.

Objectives: To use current …

The Role Of Nursing In Fertility Preservation Of Cancer Patients: An Integrated Literature Review, Alexis Shanahan

Grace Peterson Nursing Research Colloquium

Background: Approximately 70,000 young people between the ages of 15 and 39 are diagnosed with cancer in the United States. Concurrently, ideal child bearing ages also fall within this age range. With this in mind, post treatment quality of life is considered. One of the most important aspects of post cancer treatment is preservation of fertility.

Objectives: To explore what research has been conducted to understand what the nurse’s role in fertility preservation of cancer patients.

Methods: An electronic search of literature was conducted using Academic Search Complete, Cumulative Index to Nursing and Health Literature (CINAHL), and …

Effective Pain Assessment Conducted By Nursing For Developmentally Disabled Clients: An Integrative Literature Review, Rebecca Silverman

Grace Peterson Nursing Research Colloquium

Background: Individuals with intellectual and developmental disabilities (IDD) cannot be cared for in the same way that typically developed individuals are cared for, especially when it comes to pain assessment. Self-report is currently the gold standard for pain assessment, making it difficult for nurses to manage the pain of individuals who cannot self-report. Techniques and strategies must be altered to provide effective care for developmentally impaired individuals to ensure their pain is not left untreated.

Objectives: To examine current methods of pain assessment for clients with cognitive and developmental disabilities in the hospital setting. This will help determine promising …

Factors That Affect Nurses’ Perception Of Lgbtq Patients, Caitlin Grudzinski

Grace Peterson Nursing Research Colloquium

Factors that Affect Nurses’ Perception of LGBTQ Patients

Caitlin Grudzinski, MS Elizabeth Hartman, PhD, RN

Background: The number of persons identifying as LGBTQ (lesbian, gay, bisexual, transgender, queer) increasing and therefore, it is imperative that we address the health needs of this patient population. Despite progress in equality legislation, the LGBTQ community still faces significant barriers in accessing health care and discrimination from health care staff. Nurses spend approximately one third of their time with patients and are often the first health care providers that a patient sees. An integrative literature conducted to determine nursing attitudes towards the LGBT patient …

The Role Of Effective Nursing Management Of Chronic Pain To Decrease Opioid Misuse, Julia Pfetzer

Grace Peterson Nursing Research Colloquium

Review of literature surrounding the current nursing management of chronic pain, and how the use of alternate interventions and improved management of pain can potentially lead to decreased or discontinued use of opioid analgesics.

Examining Barriers To Nurse Mandated Reporting Of Child Abuse, Michele Green

Grace Peterson Nursing Research Colloquium

Abstract

Background: Child abuse is a serious and far-reaching issue with effects negatively influencing development across the lifespan. Intervention of child protective services is a significant component to mitigating abuse and assuring the well-being of children at risk for or experiencing abuse.

Objectives: The purpose of this integrative literature review was to identify barriers nurses as front-line workers may encounter when identifying child abuse, may experience when completing child abuse reporting measures, and to explore potential action measures for reduction in the identified reporting barriers.

Method: This integrative literature review was conducted utilizing the key terms child, abuse, maltreatment, nurse, …

Effective Teaching By Nurses Through Use Of Latest Technology For Type 1 Diabetics, Kristen Neumann

Grace Peterson Nursing Research Colloquium

No abstract provided.

Examining The Demand For Higher Education Nursing In Relation To The Nursing Shortage, Avani Thakkar

Grace Peterson Nursing Research Colloquium

Background: Advanced training of nursing professionals is directly correlated with improved patient outcomes. As several leading health care organizations reported that the United States is witnessing a dramatic nursing shortage, the implementation of nursing residency programs would solve the shortage of nursing personnel while simultaneously improving patient outcomes.

Objectives: To investigate current research regarding the significance of nursing education in relation to patient outcomes, and to recommend a feasible solution to the current nursing shortage while prioritizing patient outcomes.

Methods: This integrative literature review was conducted using keywords such as “nursing shortage, shortage of nurses, aging population and shortage of …

Addressing Burnout Of Neonatal Nurses And Effective Coping Strategies: An Integrative Literature Review, Jessica Proano

Grace Peterson Nursing Research Colloquium

Abstract

Background: Neonatal nurses care for newborns with many different illnesses, from the moment they are born up the the age of two. Neonatal nurses experience burnout due to the stress of caring for theses neonates. Burnout leads to nurses leaving the profession, developing health problems, and committing errors.

Objectives: The purpose of this integrative literature review was to examine burnout experienced by the nurses in the neonatal intensive care unit and to identify effective coping strategies that are being used.

Method: This integrative literature review was conducted using keywords “neonatal nurse,” “neonatal nursing,” “burnout,” and “coping” to search the …

The Effects Of Interpersonal Therapy In The Treatment Of Postpartum Depression: An Integrative Literature Review, Abigail Henderson

Grace Peterson Nursing Research Colloquium

Abstract

Background: Many women suffer from postpartum depression (PPD) and delay seeking treatment due to a misunderstanding of the disorder and a shame of their depressive symptoms. These depressive symptoms have adverse effects for both the mother and the infant.

Study Purpose: The purpose of this study is to provide a detailed analysis that examines the efficacy and effects of Interpersonal Therapy (IPT) in the treatment of women with postpartum depression. With a deeper understanding of treatment options for postpartum depression, rates of this debilitating disorder may decrease.

Method: A search was conducted utilizing databases that included PubMed, the Cumulative …

Effective Screening Of Postpartum Depression And Its Potential To Increase Treatment: An Integrative Literature Review, Isabella C. Huminsky

Grace Peterson Nursing Research Colloquium

Abstract

Background: Several studies suggest nurses specializing in women’s health, pediatrics, and family health have a critical role quickly identifying and subsequently, treating postpartum depression. Due to lack of knowledge surrounding postpartum depression and differences among assessments, it is estimated that almost half of postpartum depression cases go undiagnosed and untreated.

Objectives: To explore what research has been conducted regarding the clinical outcomes associated with effective screening of postpartum patients, to recommend educational programs for staff and patients, and screening and treatment protocols development so screening for postpartum depression can becomes universal.

Methods: This integrative literature review was conducted …

Postpartum Depression In Women Whose Babies Were Admitted To The Nicu: An Integrative Literature Review, Tara Winkelmann

Grace Peterson Nursing Research Colloquium

Background: Postpartum depression is a major depressive disorder that can occur anytime during pregnancy and for up to a few weeks after giving birth. Postpartum depression affects a significant proportion of women who have given birth, regardless of the birth outcomes. Mothers who had their babies admitted into the NICU face a different postpartum experience than mothers who had healthy babies, which increases their risk for developing postpartum depression.

Objective: The purpose of this study was to examine if women whose babies were admitted to the NICU were at a higher risk for developing postpartum depression, and how depression screenings …