Nursing Commons^™

Hepatitis B, Kayla Rodgers

Nursing Student Class Projects (Formerly MSN)

This poster presents a patient case and information about the believed disease process, hepatitis B (HBV). The poster gives information on the signs and symptoms of HBV such as fatigue, jaundice, and abdominal pain. The poster also discusses the pathophysiology of HBV. The virus attacks the healthy cells of the liver, replacing healthy cells with those infected cells to reproduce, and form more infected cells. This is significant because knowing how the virus works helps to know how to treat the virus and keep it from causing permanent damage. This poster also discusses the nursing implications that come from the …

A Study To Compare The Five Different Body Positions On Peak Expiratory Flow Rate And Respiratory Rate In Patients With Chronic Obstructive Pulmonary Disease (Copd) At National Heart Institute, New Delhi, India, Sabita Negi Ms, Deepa Chugh Ms, Velmurugan

Manipal Journal of Nursing and Health Sciences

Introduction: Chronic obstructive pulmonary disease (COPD) is a non-transferable lung illness that continuously causes toiled breathing, weakness and inconvenience. If this situation continues, the patient may exhibit proof of respiratory disappointment with adjusted mental status and a noteworthy change in the values of arterial blood gas from normal values. Objective: The objective of the study was to find the effect and compare five different body positions (sitting with back support, supine, sitting without back support, semi-fowler and standing) on peak expiratory flow rate (PEFR) and respiratory rate (RR) in COPD patients. Method: One group repeated measures design was chosen for …

Impact Of Telehealth Education Versus Standard Care On Increasing Self-Efficacy Scores And Diabetes Knowledge In Adult Diabetics, Glenda A. Tisdale Msn Rn

Doctor of Nursing Practice Projects

Background: Evidence supports the use of telehealth as an effective method to support the increase in self-efficacy and knowledge among patients with Diabetes Mellitus.

Objectives: This study was to determine whether using telehealth education in conjunction with standard care compared to standard care only, could increase self-efficacy scores and knowledge for adults with diabetes.

Methodology: A randomized, pre-posttest design is used. A convenient sample of 58 adults with self-reported type 2 diabetes were recruited from a faith-based environment. The control group received two 45-minutes standard education sessions about diabetes and diabetes care. The intervention group received weekly smart-phone messaging for …

Change Agent Impact On Pain Management Experience Through Lavender Aromatherapy: Evidence-Based Practice Project, Karen Mack Ms, Mba, Aprn, Rn-Bc, Ccns, Acnpc

Doctor of Nursing Practice Projects

Inadequately controlled acute pain is a problem for hospitalized patients. Non-pharmacological pain management interventions (NPPMIs) are recommended but underutilized. Nurse-directed lavender aromatherapy is a feasible and effective NPPMI. Patients at a community hospital, including its surgical-orthopedic unit, reported lower patient pain management experience scores than the average score of Magnet Recognition status hospitals. The community hospital planned to improve pain management by implementing nurse-directed lavender aromatherapy. The purpose of this evidence-based practice project was to fortify the hospital’s nurse-directed lavender aromatherapy implementation with change agents. A logic model guided implementation. Project aims were to increase the surgical-orthopedic unit’s pain management …

Evidence-Based Practice Initiative For Staff Training To Reduce Adult Psychiatric Inpatient Restraints & Injuries, Mary Leveillee Phd, Rn, Pmhcns-Bc

Doctor of Nursing Practice Projects

Background: Violence against healthcare professionals is a growing phenomenon, and mental health care has the highest risk (Phillips, 2016). The experience of workplace violence is demoralizing, resulting in low job satisfaction, decrease productivity, physical injury, and potential Post-Traumatic Stress Disorder (Phillips, 2016; Howerton & Mentes, 2010). The Joint Commission and The Centers for Medicare and Medicaid identify patient perpetrated violence as a significant workplace risk, and they endorse education and training for risk reduction and safe intervention (The Joint Commission, 2018, 2019).

Objective: The purpose of this evidence-based practice initiative was to evaluate the impact of staff training with the …

Optimizing Intraprofessional Communication At Patient Handover, Allison Crabtree

Doctor of Nursing Practice Projects

This performance improvement project aimed to increase the communication competency of nurses during intraprofessional interactions at patient handover. An educational program focused on optimizing communication among nurses was implemented in a community-based, not-for-profit, rural hospital. The course was designed to incorporate a variety of instructional strategies to meet learner needs. Consistency and standardization of the patient handover process was a central theme. Topics of the course focused on the use of a standardized communication tool, the relationship of communication on patient safety, the importance of clear and effective communication, the role of the nurse as gatekeeper and facilitator of patient-specific …

Pre-Discharge Bnp: A Policy Change To Reduce Hospital Readmission, Melissa Duckett

Doctor of Nursing Practice Projects

Heart Failure (HF) is the leading cause of hospital readmission for patients 65 years of age and older. A pre-discharge B-type natriuretic peptide is a strong predictor of hospital readmission and mortality. The annual cost for admission of patients with HF is greater than $17 billion. Diagnosed heart failure patients continue to be discharged without the physician knowing their current BNP levels. The Affordable Care Act established the Hospital Readmissions Reduction Program (HRRP) requiring the Center for Medicare and Medicaid Services (CMS) to reduce reimbursement to hospitals with high readmission rates. A change in policy should be initiated to include …

Cultivating Self-Confidence: Integrating Simulation Into Hospital Nursing Orientation, Martha Richey

Doctor of Nursing Practice Projects

Background: Simulation provides a safe environment for newly hired nurses at all levels to learn and practice new skills in a safe and structured approach. Simulation allows nurses the opportunity to increase self-confidence at the bedside without placing a patient at risk for harm.

Purpose: The purpose of this Doctor of Nursing Practice (DNP) project is to evaluate the effectiveness of implementing a simulation program during hospital orientation to increase self-confidence with newly hired nurses.

Design Method: A quasi-experimental design using a pre-test-post-test data collection method.

Conclusion: The rapidly changing healthcare environment requires that nurses are prepared to provide patient …

Improving Sepsis Bundle Compliance Through Comprehensive Education, Stacy Mikel

Doctor of Nursing Practice Projects

Purpose: The purpose of this project was to improve emergency department compliance with sepsis bundles by educating registered nurses and licensed practical nurses on the proper use of sepsis screening tools, make changes to screening tools identified through chart reviews, and finally to evaluate the impact of these changes once initiated. This project sought to increase staff knowledge using an educational module.

Methods: This project began with the delivery of a pre-test questionnaire. The facility's target audience was asked to complete this to determine their current knowledge level regarding sepsis. Once these questionnaires were completed, they were reviewed, and information …

The Use Of Mobile Applications To Promote Sleep In Clients With A Mental Health Diagnosis, Joanna Johnson

Nursing Capstones

Background: Disrupted sleep patterns are a common occurrence in those with a diagnosis of a mental health disorder. Unfortunately, many people are often treated for their mental health disorders solely, or prescribed additional medications to manage sleep, leaving sleep management poorly addressed in the clinical setting. There is a growing body of evidence supporting the benefits of integrating mobile applications into psychiatric clinical practice.

Objective: The purpose of this DNP project was to evaluate the benefit of utilizing mobile applications that promote relaxation prior to bedtime, in order to improve overall sleep patterns in patients with a diagnosis of a …

Optimizing Clinical Processes Using The Electronic Health Record To Improve Patient Outcomes In Primary Care, Alex Jubril

Doctoral Projects

Background: The EHR has been used to leverage clinical processes for the improvement of patient outcomes. The average users of EHR limit its uses to the minimum level required to complete the daily tasks needed, regardless of the existence of features within the EHR that are readily available to optimize clinical processes for efficiency and effectiveness.

Objectives: The objective of this project was to improve the documentation in a nurse-managed health clinic related to the patient-centered medical home (PCMH) core criteria through enhancing the EHR to foster the quality improvement metrics and reporting.

Methods: This was a quality improvement project …

Effectiveness Of Self Instructional Module (Sim) On Knowledge Regarding Management Of Selected Poisoning In Children Among Paediatric Staff Nurses, Irene Freeda Ms, Smitha Bobby Ms, Sunita Solomon-Calvin Ms, Sophia Vinitha Ms

Manipal Journal of Nursing and Health Sciences

Background: Acute paediatric poisoning is a common medical emergency. Poisoning is one of the major causes of death among infants and toddlers in developing countries like India. Poisoning in children requires emergency intervention but, in every instance, medical evaluation is necessary to initiate appropriate action. Objectives: To assess the effectiveness of self-instructional module (SIM) on knowledge; Method: A quantitative, one group pre-test-post-test design was carried out among the purposive sample of 60 paediatric staff nurses. A structured knowledge questionnaire was used to assess the pre-test and post-test knowledge. A SIM was given on the day of the pre-test. Post-test was …

The Paediatric Nurse Practitioner: The Evolution Of A Role, Velerie Kiers, Caitlyn Shea, Elissa Ladd Dr

Manipal Journal of Nursing and Health Sciences

The paediatric nurse practitioner (PNP) is an advanced practice nursing role aimed at providing high quality care to children of all ages. Paediatric nurse practitioners are credentialed to provide a wide range of services dependent on their role as a paediatric nurse practitioner, i.e. primary care, acute care or neonatal. There are two possible paths that can be taken to become a paediatric nurse practitioner: the traditional path or apply for direct entry nursing program after completing Bachelor’s degree. This article describes the path to paediatric nurse practitioner practice.

Family Behaviors As Unchanging Obstacles In End-Of-Life Care: 16-Year Comparative Data, Jasmine Burson Jenkins

Theses and Dissertations

Background: Critical care nurses (CCNs) provide end-of-life (EOL) care for critically ill patients. CCNs face many obstacles while trying to provide quality EOL care. Some research has been published focusing on obstacles CCNs face while trying to provide quality EOL care; however, research focusing on family behavior obstacles is limited.Objective: To determine if magnitude scores (obstacle item size x obstacle item frequency of occurrence) have changed since previous magnitude score data were first gathered in 1999.Methods: A random geographically dispersed sample of 2,000 members of the American Association of Critical-Care Nurses (AACN) was surveyed. Responses from quantitative Likert- type items …

Testing Allostatic Load Factor Structures Among Adolescents: A Structural Equation Modeling Approach, Amanda L. King, Mauricio Garnier-Villarreal, Amanda M. Simanak, Norah L. Johnson

College of Nursing Faculty Research and Publications

Objectives

Allostatic load (AL) represents cumulative biological “wear and tear” that results from chronic stress exposure over time, ultimately increasing risk for chronic disease. A consensus is lacking regarding the best operationalization of AL, particularly for younger, less studied populations. The purpose of this study was to test multiple hypothesized factor structures for AL to determine the best measurement approach for adolescents.

Methods

We analyzed biologic data for 1900 adolescents aged 12‐18 from four waves (2003‐2010) of the National Health and Nutrition Examination Survey. AL indicator variables included cardiovascular (systolic BP, creatinine), metabolic (HDL, LDL, triglycerides, insulin, fasting glucose, HA1C, …

Urban Partnerships To Address Health Literacy In High Need Populations, Abiola O. Keller, Amy Vuyk, Joshua Knox

College of Nursing Faculty Research and Publications

Low health literacy disproportionately affects racial and ethnic minority communities and lower-income socioeconomic groups. To address this critical determinant of health inequity, two nonprofit organizations, Repairers of the Breach, a day shelter for individuals experiencing homelessness, and Bread of Healing a neighborhood-based clinic serving individuals with low incomes, partnered with researchers at Marquette University to implement and evaluate an evidence-supported health literacy program. The partnership delivered the curriculum in seven one-hour sessions over seven weeks. The program attendees were predominantly African American men and women from 19–73 years old. Most participants had formal education ranging from elementary school to some …

A Concept Analysis Of Parental Uncertainty In Illness Of An Infant, Kathryn J. Malin, Teresa S. Johnson

College of Nursing Faculty Research and Publications

Background:

The concept of uncertainty in illness has been well described and applied to many different areas of nursing and other disciplines. Specifically, parental uncertainty in illness of an infant is a meaningful concept that has specific attributes and implications. A current concept analysis that considers the changing healthcare setting, historical conceptual inconsistencies, and a lack of information concerning parents of infants is needed.

Purpose:

To identify essential antecedents, attributes, and consequences of parental uncertainty in illness using Rodgers' Evolutionary Concept Analysis method.

Methods:

A literature search was conducted using PubMed, CINAHL, and PsycInfo. The following keywords were used in …

The Influence Of Masculinity On Male Latino Adolescents’ Perceptions Regarding Dating Relationships And Dating Violence, Kristin Haglund, Ruth Ann Belknap, Lisa M. Edwards, Marcel Hernani Tassara, James C. Van Hoven, Aimee A. Woda

College of Nursing Faculty Research and Publications

In the United States, teen dating violence (TDV) is a concern across ethnic groups. Attitudes and correlates of violence differ by gender, culture, and acculturation. This study used a qualitative interpretive approach. Data were obtained in focus groups with 23 Latino male adolescents. Themes reflected contexts of participants’ lives, and definitions and nature of dating relationships and TDV. Participants described the importance of respecting dating partners, the destructive effects of TDV, and the pressure to display masculinity that can lead some young men to perpetrate TDV. These results may advance culturally relevant interventions to promote healthy relationships and prevent dating …

Variability In Catheter-Associated Asymptomatic Bacteriuria Rates Among Individual Nurses In Intensive Care Units: An Observational Cross-Sectional Study, Olga Yakusheva, Deena K. Costa, Kathleen L. Bobay, Jorge P. Parada, Marianne E. Weiss

College of Nursing Faculty Research and Publications

Catheter-associated asymptomatic bacteriuria (CAABU) is frequent in intensive care units (ICUs) and contributes to the routine use of antibiotics and to antibiotic-resistant infections. While nurses are responsible for the implementation of CAABU-prevention guidelines, variability in how individual nurses contribute to CAABU-free rates in ICUs has not been previously explored. This study’s objective was to examine the variability in CAABU-free outcomes of individual ICU nurses. This observational cross-sectional study used shift-level nurse-patient data from the electronic health records from two ICUs in a tertiary medical center in the US between July 2015 and June 2016. We included all adult (18+) catheterized …

Moving Nursing Beyond P < .05, Matthew J. Hayat, Vincent S. Staggs, Todd A. Schwartz, Melinda Higgins, Andres Azuero, Chakra Budhathoki, Rameela Chandrasekhar, Paul Cook, Emily Cramer, Mary S. Dietrich, Mauricio Garnier-Villarreal, Alexandra Hanlon, Jinghua He, Jinxiang Hu, Myoung Jin Kim, Martina Mueller, Joseph R. Nolan, Yelena Perkhounkova, Janet Rothers, Glenna Schluck, Xiaogang Su, Thomas N. Templin, Michael T. Weaver, Qing Yang, Sangbeak Ye

College of Nursing Faculty Research and Publications

No abstract provided.

The Use Of Halo Gravity Traction In The Treatment Of Severe Early Onset Spinal Deformity, Sravisht Iyer, Henry Ofori Duah, Irene Wulff, Henry O. Tutu, Rufai Mahmud, Kwadwo P. Yankey, Harry Akoto, Oheneba Boachie-Adjei

College of Nursing Faculty Research and Publications

Study Design. 

Retrospective Review of Prospective cohort.

Objective. 

To describe the feasibility of preoperative halo gravity traction (HGT) with subsequent growing rod/guided growth (GR/GG) placement in early onset spinal deformity (EOSD).

Summary of Background Data. 

In children with severe EOSD, primary implantation of GR/GG constructs is not always possible. We describe a staged protocol with preoperative HGT followed by GR/GG implantation.

Methods. 

EOSD patients treated with HGT prior to GR/GG implantation were included. HGT used traction up to 50% body weight for 4 to 29 weeks. Pulmonary function tests (PFTs) were performed before and after HGT. Coronal Cobb (CC) and …

Decreasing Caregiver Stress, Dexter Ramos

Doctoral Dissertations and Projects

Stress is both critical and personal experience and has significant effects on caregivers’ physical, mental, and social well-being. The nature of caregiving and the responsibility to work and serve individuals at their illness conditions are very personal encounters that often result in adverse effects on the health and well-being of caregivers (Frederick, 2016). A decrease in stress experience can lead to the satisfaction of caregiver roles and improvement of patient’s quality of life (Choi, Jisun & Boyle, Diane, 2013; Yada, Nagata, & Inagaki, 2014). This scholarly project determined that evidence-based stress management interventions have decreased the perceived stress in caregivers. …

Spousal Factors Associated With Antenatal Psychosocial Stress: A Case Control Study, Asha K. V Ms

Manipal Journal of Nursing and Health Sciences

Stress during pregnancy affects both mother and foetus resulting in unfavourable pregnancy outcomes. Studies regarding the factors linked with increased stress during pregnancy aids to improve the mental status of the mother during gestation and can lead to a reduction in negative pregnancy outcomes. The objective of the study was to identify spousal factors associated with antenatal psychosocial stress among pregnant women seeking prenatal care from a teaching hospital at the Thiruvananthapuram district of Kerala. Methods: Case control design was used for the study. The tools used for data collection were the Antenatal Psychosocial Stress scale (APSS) and a semi-structured …

Effect Of Breast Massage On Breast Milk Volume And Experience On The Expression Of Breast Milk Among Mothers Of Preterm Neonates, Sharmila Jose Ms, Sonia R B D'Souza Dr, Sreedevi C Ms

Manipal Journal of Nursing and Health Sciences

Prematurity is a serious and unmet challenge in perinatal health care. The incidence of premature births in India in 2010 was about 13%. As survival rates of preterm infants improve, prime attention is given on the management of nutrition and the mothers are motivated to supply expressed breastmilk to improve the quality of survival. Methods: The study included mothers of preterm neonates who belonged to the 27 to 34 weeks of gestational age. Recruitment to the study was based on breast engorgement screening using a breast engorgement screening scale on the second and the third postnatal day. The study had …

Physiological Needs Of Immobilized Patients As Perceived By Family Members, Rahul Bisht Mr, Rajesh Kumar Sharma Mr, Sanchita Pagazhendi Dr, Kamli Prakash Ms

Manipal Journal of Nursing and Health Sciences

Introduction: The term family caregiver which is associated with informal caregiver refers to an unpaid dear, friend or neighbour, who provides care to a person having an associated acute or chronic condition and desires to manage a variety of tasks, from simple ones such as bathing, dressing, and taking medications to nasogastric tube feeding and ventilator care. Objective: The objectives were to assess the perception of family members regarding psychological needs of immobilized patients. Methods and material: A descriptive survey was undertaken to assess the perception of family members regarding physiological needs of immobilized patients admitted to a selected hospital …

The Impact Of Social Networking On Adolescents, Krupa Susan Koshy Ms, Sunita Solomon-Calvin Ms, Smitha Bobby Ms, Sophia Vinitha Ms

Manipal Journal of Nursing and Health Sciences

Background: Social Networking Sites (SNSs) such as Facebook and WhatsApp, etc. has a great influence on young minds across the globe. Nowadays, SNSs are one of the most growing media of communication among rural and urban adolescents. The study was conducted to assess the knowledge of adolescents on the impact of social networking in selected rural and urban schools, Bangalore. Objective: The objective was to compare and assess the level of knowledge of adolescents in selected urban and rural schools about the impact of social networking. Method: A descriptive study was conducted and structured knowledge questionnaire on the impact of …

Inhibitor In Hemophilia And Its Management-A Case Report, Anjalin D'Souza Ms, Dinesh M. Nayak Dr, Annamma Kurien Dr

Manipal Journal of Nursing and Health Sciences

Hemophilia is a genetic disease with a deficiency of factor VIII or IX. People with inhibitors require special care and treatment due to complexity of the disease. Treatment is expensive due to high dose infusion and unavailability of factor in developing countries like India. This case report focuses on role of comprehensive care and follow-up of an adolescent with inhibitors.

New Graduate Nurses' Understanding And Attitudes About Patient Safety Upon Transition To Practice, Melanie Murray, Deborah Sundin, Vicki Cope

Research outputs 2014 to 2021

AIMS: To explore the transition experiences of newly graduated registered nurses with particular attention to patient safety.

BACKGROUND: New graduate registered nurses' transition is accompanied by a degree of shock which may be in tune with the described theory-practice gap. The limited exposure to clinical settings and experiences leaves these nurses at risk of making errors and not recognising deterioration, prioritising time management and task completion over patient safety and care.

DESIGN: Qualitative descriptive approach using semi-structured interviews.

METHODS: Data were collected during 2017-18 from 11 participants consenting to face-to-face or telephone semi-structured interviews. Interviews were transcribed verbatim, and data …

Bringing Upstairs Care Downstairs; Integration Of Rehabilitation Medicine, Care Management, And The Hospital Elder Life Program (Help) Into An Emergency Department., Robert Anderson, Molly Anderson, Rhonda Babine, Farid Feghali, Elizabeth Dunstan, Matthew Glazer, Susan Horton, Stephanie O'Brien, Elizabeth Pontius, David Smith, Megan Viens, Heather Williams

Journal of Maine Medical Center

Introduction: Services such as physical therapy (PT), occupational therapy (OT), speech-language pathology (SLP), social work (SW), care management, and elder life specialists have long been an established part of care for patients admitted to Maine Medical Center (MMC) but not for patients in the Emergency Department (ED). Methods and Results: Driven in part by changes in Medicare reimbursement models, care management established a presence in the Emergency Department (ED) in 2003 with a focus on care planning and cost avoidance. In recent years PT, OT, SLP, SW, and the Hospital Elder Life Program (HELP) have increased their ED involvement substantially. …

Quality Of Life Of Road Traffic Injury Survivors Aged 15-44 Years Suffered From Moderate And Severe Head Injuries In Karachi, Pakistan, S A. Abbasi, Tazeen Saeed Ali, Shafquat Rozi, Uzma Rahim Khan, Rashid Jooma

Community Health Sciences

Background: Most of Road traffic injuries are predicted to be the third leading contributor to the global burden of disease by 2020 and patients end up into head injuries which leave devastating impacts on individual and society. Quality of Life After Brain Injury (QOLIBRI) is a specific tool that measures quality of life in head injury patients.
Methods: This was a cross sectional study among 300 patients aged 15-45 years, attended emergency department of the Aga khan University Hospital. Structured questionnaire included demography, injury details, QOLIBRI, GOSE and WHO Disability Assessment Scale (WHODAS 12 items). Severity of injury was determined …