Nursing Commons^™

Perceptions Of Health Practices And Interactions With The Us Healthcare System Among Bhutanese Refugees: A Qualitative Approach, Amy E. Szajna

Journal of Refugee & Global Health

Purpose

The aim of this pilot study was to explore health practices of Bhutanese refugees and their interactions with the US healthcare system and providers.

Methodology

Researchers conducted 12 in-depth interviews and 7 patient-provider observation units as part of this descriptive qualitative study.

Results

Participants identified individual definitions of health and behaviors they value to maintain health. They identified significant trust and faith in their healthcare provider and valued provider-directed suggestions. Participants cited concerns with patient-provider communication resulting from limited English proficiency and frequent changes in primary care providers.

Discussion

This study is useful to inform further research and potential …

Empathy For Provider And Patient, Virginia Jefferies, Jane Lassetter Phd, Rn

Student Works

Nurse Practitioners (NPs) increasingly feel pressure to diagnose and treat patients in shorter timeframes. Simultaneously patients’ satisfaction with care impacts reimbursement from Medicare and Medicaid. Improving empathetic skills can encourage patients to openly communicate leading to more accurate and timely diagnosis and treatment, which improve patient outcomes and satisfaction. Empathetic providers find work more satisfying and experience less depression and increased quality of life. This article presents the benefits of empathy to patients and NPs and offers guidance for incorporating empathy into practice. By implementing the behaviors discussed herein, NPs can develop practical skills that benefit both patient and provider.

Standardized Education For Parents Requesting An Immunization Exemption For School Entry In Utah: A Mentored Experience, Lacey Eden

Journal of Undergraduate Research

As a pedagogical strategy, the purposes of this service-learning activity were two-fold: 1) to provide students with an organized service activity that also met identified community needs; and 2) to help augment the students’ learning, giving them a broader appreciation of any given discipline, and enhance their sense of civic responsibility. Nursing students were mentored through the process of creating an online education module for parents choosing to exempt their children from immunizations and to assist county health departments to fulfill exemption requirements. The students collaborated with the state Immunization Exemption Workgroup, the Utah Association of Local Boards of Health …

Standardized Education For Parents Requesting An Immunization Exemption For School Entry In Utah: A Mentored Experience, Lacey Eden

Journal of Undergraduate Research

As a pedagogical strategy, the purposes of this service-learning activity were two-fold: 1) to provide students with an organized service activity that also met identified community needs; and 2) to help augment the students’ learning, giving them a broader appreciation of any given discipline, and enhance their sense of civic responsibility. Nursing students were mentored through the process of creating an online education module for parents choosing to exempt their children from immunizations and to assist county health departments to fulfill exemption requirements. The students collaborated with the state Immunization Exemption Workgroup, the Utah Association of Local Boards of Health …

Improving Healthcare Through Interdisciplinary Education, Jonathan Jacobs, Katreena Collette-Merrill, Rn, Phd

Journal of Undergraduate Research

The culture of education prepares healthcare professionals in silos, then expects them to work collaboratively upon graduation. Medical errors, resulting from communication issues, are considered a leading cause of patient death. Interdisciplinary education of future professionals may prevent communication issues and reduce patient deaths. Interprofessional education (IPE) of undergraduates may improve communication of future professionals educated in universities without medical schools. The purpose of this project is to evaluate the effect of interprofessional education (IPE) on undergraduate students’ attitudes of interprofessional work, perceptions of working together, and ratings of teamwork.

Transforming Health Through Precision Medicine: Content Analysis Of U.S. Guidelines Related To Genetic Counseling And Testing, Nicole Jackson, Deborah Himes

Journal of Undergraduate Research

My mentor and I conducted a descriptive, mixed-methods study involved content analysis of U.S. Guidelines as they relate to Precision Medicine. We were able to identify the prevalence of Precision Medicine healthcare guidelines through the completion of this project. In working with my mentor, I was able to learn about the research process, gain experience in the field of research and develop research skills. I was also able to develop my presentation skills and attend a national conference to learn how scholarly works are shared in the nursing profession.

Defining Young Adulthood, Elena Higley

DNP Qualifying Manuscripts

Young adulthood is a unique developmental period that occurs between the ages of 18 and 25 years, during which there are key developmental tasks that allow the young adult to participate in self-exploration and identity formation. Currently, among various organizations there are differing definitions and age range inclusions for young adulthood, which cause confusion during program development, healthcare service delivery, and research. Young adulthood should be categorized separately from adolescence and adulthood, because young adults have lower rates of healthcare utilization and worse health outcomes related to preventable causes of morbidity and mortality than the surrounding age groups. Young adults …

Literature Survey To Understand Why Parents Don’T Receive Tdap Vaccine, Analisa Dawson, Janelle Macintosh

Journal of Undergraduate Research

The purpose of this project was to understand the reasons expectant and new parents don’t receive the pertussis vaccine and then to provide educational materials for parents on the importance of receiving vaccinations, specifically to protect infants from contracting pertussis.

Studies conducted over the past several years have shown a decline in vaccination rates. In fact, one study was done just a few years ago, with the purpose of educating parents and grandparents of newborns about the importance of receiving a vaccination against pertussis. During the follow up a month later, only 8% had been vaccinated (Tam, 2009). Because information …

Can Stress Management And Personal Wellness Courses Improve Student Resiliency? A Pilot Study, Aimee Schouten, Michael Thomas

Journal of Undergraduate Research

The nursing profession is emotionally and physically demanding. Long shifts, complex and often difficult patients, as well as working in an emotionally challenging environment all contribute major stress for nurses.[1,2] Over time this stress often turns into compassion fatigue. Compassion fatigue and burnout become overwhelming to nurses, leading to physical, mental, and emotional health problems. Compassion fatigue not only negatively affects the nurse but patients as well. Many nurses experience burnout and leave the profession. Resiliency has been shown to be an important factor in retention of nurses as well as positively associated with empowerment among nursing students.[3,4,5] The purpose …

Whole-Genome Sequencing In The Neonatal Intensive Care Unit (Nicu): Nurses’ Roles In Communicating Test Results To Families, Laura Grenfell, Deborah Himes

Journal of Undergraduate Research

The grant I received through the Office of Research and Creative Activities was helpful in supporting this research project. My mentor and I started work on the project early in the year by analyzing the data we had gathered. In 2017, I attended a nursing conference hosted by the National Association of Neonatal Nurses, which is where we surveyed nearly 200 NICU nurses about their understanding of whole-genome sequencing. This survey included both qualitative and quantitative questions. My mentor guided me through the process of interpreting and organizing the qualitative data, which we divided into several subsets within each question.

A Comparative Study On The Developing Impact Of Sexual Assault Nurse Examiners In Utah, Lauren Bretzing, Julie Valentine

Journal of Undergraduate Research

In 2016, a case report was published revealing that the prosecution rate of adult sex crimes in Salt Lake County from 2003-2011 was a shockingly low 6% (Valentine, Shaw, Lark & Campbell, 2016). This research quickly became a front news story, with one local news station launching their own investigation and arriving at the same disturbing statistic (Headrick & Mashburn, 2014). The research findings and subsequent news coverage sparked a state-wide conversation concerning the far-reaching implications of sexual assault and the responsibility of each branch of government in stopping sex-crimes. In the years that followed, multiple new trainings and procedures …

Identifying Maternal Healthcare Needs Of Pregnant Refugee Women In Utah, Amanda Brower, Dr. Sheri Palmer, Rn, Dnp, Cne, Ctn-A,

Journal of Undergraduate Research

The refugee crisis has impacted nations and global health worldwide. The UN Refugee Agency (UNHCR) estimates there are currently 22.5 million refugees throughout the world (UN Refugee Agency, 2018). Since Fiscal Year 2016, over 300 refugees have resettled in the state of Utah (Refugee Processing Center, 2018); these individuals represent various cultures and health needs. Data from other regions of the world indicates there are great discrepancies and complications in maternal healthcare of refugees, including increasing risks of C-section births, preterm birth, low birth weight (LBW) infants, perinatal mortality, postpartum depression, and stillbirth (Lancaster 2017). Aim: The purpose of this …

Social And Economic Factors Leading To Health Disparities In The Latino Population Living In The United States, Omar Espinoza

Grace Peterson Nursing Research Colloquium

Abstract

Background: Several studies suggest that the Latino population in the United States receive poorer access to health care compared to other ethnics group.

Objective: The purpose of this integrative literature review was to identify social and economic factors that lead to health disparities among Latinos in the United States and to provide research-based recommendations on addressing the factors that lead to health inequalities.

Methods: This integrative literature review utilized the Self-Care Theory by Orem (2016) as framework to organize and conceptualize the research information. The keywords “Latinos AND healthcare AND disparities” were used to search the literature between …

Beneficial Effects Of Mindfulness Based Interventions Used With Spinal Cord Injury Patients; Integrative Literature Review, Sharif Ahmed Rahim

Grace Peterson Nursing Research Colloquium

Beneficial Effects of Mindfulness Based Interventions Used with Spinal Cord Injury Patients An Integrated Review of Literature

Sharif Rahim

Background and Significance: The major psychiatric complication of 20 to 45% after the injury is related to depression (North, 1999). This population has 4 to 5 times of higher rates of suicide which is the leading cause of death. Seventy-five percent of suicides occur within the first 5 years of the injury. High levels of pain and lack of support further increases their status of being at high risk. This population faces a difficult transition filled with stress from the trauma …

Gender Competence And Quality Of Care, Mary E. Losacco

Grace Peterson Nursing Research Colloquium

Gender Competence and Quality of Care:

What is the Role of Healthcare Providers in Transgender Healthcare Disparities?

An Integrative Literature Review

Mary Losacco

Faculty Sponsor: Elizabeth P. Anderson RN, PhD

Background: Unlike cisgender individuals, whose gender identities match the sexes they were given at birth, transgender individuals exhibit gender incongruence, because their gender identities differ from the sexes they were assigned at birth. Transgender individuals are still underrepresented in research and reporting, leading to obstacles in understanding possible health disparities within the community due to lack of recognition and knowledge of these issues. Early recognition by health care providers …

The Efficacy Of Incentive Spirometry In Postoperative Pulmonary Complication Prevention: An Integrative Review, Ziyad Zuhair Thalji

Grace Peterson Nursing Research Colloquium

The Efficacy of Incentive Spirometry in Postoperative Pulmonary Complication Prevention:

An Integrative Review

Ziyad Thalji

Background: Both the postoperative pulmonary complications (PPC) of atelectasis and pneumonia increase risk of fatality among postoperative patients. Pulmonary stasis, as the result of surgery, promotes along with the inability to expel secretions and ventilate the parenchyma the potential for multi-drug resistant pathogens for compromised host entry. Post-operative atelectasis risk occurs when there is reduced respiratory muscle activity and strength for inspiration and expiration. The resultant pooling of secretions can promote the growth of pathogens to a common form known as pneumonia. The incentive spirometer …

Examination Of The Impact Of Team Sport Participation On Adolescent Male Mental Health: An Integrative Literature Review Proposal, Alicia Ann Foster

Grace Peterson Nursing Research Colloquium

Examination of the Impact of Team Sport Participation on Adolescent Male Mental Health: An Integrative Literature Review Proposal

Alicia Foster

Background: In 2018, the U.S. Department of Health and Human Services (HHS) found that depression impacts almost one in eight adolescents and young adults yearly. They further sited that the number of adolescents who experienced major depressive episodes increased nearly a third from 2005-2014. Also in 2018, the World Health Organization cited that suicide is the third largest cause of death in older adolescents, ages 15-19 years old.

Objectives: The purpose of this integrative literature review is to evaluate the …

The Influence Of Significant Screen Time On Mental Health Among Adolescents An Integrative Literature Review, Stephanie Marie Patrick, Caryn Lynn Connors

Grace Peterson Nursing Research Colloquium

The Influence of Significant Screen Time on Mental Health Among Adolescents

Caryn Connors and Stephanie Patrick

Faculty Sponsor: Elizabeth P. Anderson RN, PhD

Background: The adolescent brain is impressionable and not fully developed, in a time when habits and possibly irreversible lifestyles has its origins. This is a crucial period in the adolescent life when educational performance and behavior can influence future promise for success and mental well-being. Anxiety and depression that is ever-present can lead to mortality and morbidity for this age group (Centers for Disease Control and Prevention [CDC], 2012). Increased screen time >2 hours a day (tablet, …

Diabetes Distress Differentiation From Depression An Integrated Review Of Literature, Anthony Joseph Warpecha

Grace Peterson Nursing Research Colloquium

Diabetes Distress Differentiation from Depression

An Integrated Review of Literature

Anthony Warpecha

Background and Significance: According to Bennetter, Clench-Aas, and Raanaas (2016), people with diabetes have a higher probability of developing depression. These rates were found to be about 2-3 times as likely for individuals with diabetes to have depression compared to individuals who do not have diabetes (Bennetter et al., 2016). This has profound effects on an individual such as decreased quality of life, complications increase, and a lowered life expectancy (Dieter & Lauerer, 2017). There is also the increase in hospital stays, admissions, and health expenditure. However, more …

Coping Mechanisms Commonly Used In Asian-American Patients Diagnosed With Breast Cancer: An Integrative Review Of The Literature, Kathy Hoi-Yan Leung

Grace Peterson Nursing Research Colloquium

Coping Mechanisms Commonly Used in Asian-American

Patients Diagnosed with Breast Cancer:

An Integrative Review of the Literature

Kathy Leung

Background: Having breast cancer can be a difficult experience to navigate through. Ethnic minorities can encounter many challenges physically and psychologically.

Objective: To explore the different coping mechanisms of Asian Americans with breast cancer or are breast cancer survivors.

Method: An integrative literature review design was conducted using the framework constructed by Whittemore and Knafl (2005), was conducted. A computerized search was used using Cumulative Index to Nursing and Health Literature (CINAHL), Nursing & Allied Health Database, Health Source: Nursing/Academic Edition, …

Multiracial Health Behaviors And Disparities: An Integrated Literature Review, Elsa Chiyo Alexandra Iwai

Grace Peterson Nursing Research Colloquium

Multiracial Health Behaviors and Disparities:

An Integrated Literature Review

Elsa Chiyo Iwai

Faculty Sponsor: Elizabeth P. Anderson RN, PhD

Background: The year 2000 was a pivotal year for multiracial individuals. Changes to the U.S. Census Bureau included acknowledging multiracial individuals. However, where multiracial individuals and healthcare intersect, the research is relatively new and limited. Multiracial individuals confound many assumptions about race. Uncertainty exists between socially constructed racial categories and populations that have evolved genetic patterns independently over time but fail to fit perfectly within categorical lines. Although social changes has raised awareness on mixed race and multiracial individuals, a deeper …

Cardiovascular Disease And Rotating Shift Nurses, Rachel Elizabeth Wilschke

Grace Peterson Nursing Research Colloquium

CARDIOVASCULAR DISEASE AND ROTATING SHIFT NURSES

Rachel Wilschke

Faculty Sponsor: Elizabeth Aquino, PhD, RN

Background: Cardiovascular disease is the leading cause of death in the United States. The implications for cardiovascular disease from working rotating shifts requires further review.

Objectives: To determine how working rotating shifts impacts nurses’ cardiovascular health.

Method: An integrative literature review was conducted, searching for peer-reviewed articles published between 2008 and 2018 in the following databases: CINAHL, PubMed and ProQuest. Using the outline from Gray, Grove and Sutherland (2017), data was categorized, analyzed and synthesized in a data matrix table to organize the review.

Results: A …

Comparing Evidence-Based Emergency Interventions For Seizure Management In The Pediatric Populatin, Samantha Lieven

Grace Peterson Nursing Research Colloquium

Epilepsy affects approximately 470,000 children nation wide. Some of the emergency treatments of an epileptic episode include: rectal diazepam, intranasal midazolam, and vagus nerve stimulation. It is essential to evaluate and research the most effective, cost effective, and accessible treatments in order to provide pediatric patients with optimum quality of life and caregivers with ease of treatment interventions. The purpose of this literature review was to compare evidence-based emergency seizure interventions in children with epilepsy. Evidence reviewed assessed the efficacy, accessibility, and user friendliness of rectal diazepam, intranasal midazolam, and vagus nerve stimulation as emergency seizure interventions. This literature …

The Benefits Of Using Morbidity And Mortality Conferences In Nursing: An Integrative Literature Review, Kelly Chen

Grace Peterson Nursing Research Colloquium

Abstract

Background: Although morbidity and mortality conferences (MMCs) are well-documented in the physician arena, little has been published on the use of MMCs in nursing.

Objectives: The purpose of this integrative literature review is to determine the perceived benefits of using MMCs in nursing.

Method: An integrative literature review was conducted using the CINAHL Complete, PubMed, and ProQuest Nursing & Allied Health databases. The search terms included: morbidity mortality conferences, M&M conferences, M&M rounds, morbidity mortality rounds, case review conferences, case review meetings, nursing, nurses, safety, quality, errors, improvement, performance, and competence.

Results: Ten studies met the inclusion and exclusion …

Risk Factors For Central Line-Associated Bloodstream Infections (Clabsi) In Home Parenteral Nutrition (Hpn) Patients, Megan Ong

Grace Peterson Nursing Research Colloquium

CLABSI, home parenteral nutrition

Healthcare Providers' Attitudes And Biases Regarding Chronic Pain And The Patient-Provider Relationship, Casey Clifford

Grace Peterson Nursing Research Colloquium

Background: Chronic pain affects millions of Americans, and is often underreported, underdiagnosed, and undertreated. The Institute of Medicine has called for a “cultural transformation” in how chronic pain is addressed.

Objectives: The purpose of this literature review was to explore the current research to identify some of the common attitudes and biases that healthcare providers possess toward patients presenting with chronic pain and to determine ways in which the patient-provider relationship can be strengthened in dealing with chronic pain.

Method: An integrative literature review was conducted. Data analysis was performed, and common themes throughout the literature were …

Barriers That Restrict Health Care Access For The Deaf Community And Interventions For Improved Patient Quality Care, Jacqueline Meraz

Grace Peterson Nursing Research Colloquium

Background: Deaf patients have lower levels of health literacy, given less health prevention, more likely to engage in harmful behaviors, and had higher rates of health disparities compared to the hearing population. Deaf people avoid healthcare because of their distrust of healthcare providers, and their previous negative experiences regarding communication issues. Barriers that restrict health care and proposed interventions were studied regarding the deaf patient population to account for these disparities.

Objectives: The purpose of this literature review is to identify barriers that deaf patients face when seeking healthcare and was framed using the Cultural Care Theory.

Method: An integrative …

Effects Of Prenatal Yoga On Labor Pain, Maternal And Newborn Outcomes: An Integrative Literature Review, Gaia Bagordo

Grace Peterson Nursing Research Colloquium

Background: Labor pain management in the U.S. is commonly accomplished with the use of pharmacological pain management. However, pharmacological pain management of labor pain is associated with several adverse effects. New studies suggest that labor pain can be managed using a nonpharmacologic approach. Complementary and Alternative Medicine (CAM) is an alternative method used during pregnancy and childbirth associated with innumerable benefits for mothers and the newborn, including the management of pain during labor.

Objectives: The purpose of this integrative literature review is to analyze the effects and benefits that prenatal yoga, a form of Complementary and Alternative Medicine, …

Formula And Milk Food Insecurity Amongst Infants And Children In Wic Families, Kristen Hench

Grace Peterson Nursing Research Colloquium

No abstract provided.

Compassion Fatigue And Coping Icu Nursing: An Integrative Review Of Literature, Kamila Barnak

Grace Peterson Nursing Research Colloquium

Abstract

Background: Compassion fatigue and burnout are significant issues among intensive care unit nurses. Many nurses leave their job in the ICU after a few years due to their negative experiences. This is an issue, as many baby boomers are aging and need to be cared for; at the same time many ICU nurses are retiring and need to be replaced. However, there are not a lot of young nurses willing to take their place and the ones who do, leave after a short period of working.

Objective: The purpose of this study is to identify the factors that contribute …