Nursing Commons^™

Pap Test Practice And Barriers Of Nurses In Bandung, West Java, Putu Inge Ruth Suantika, Yanti Hermayanti, Titis Kurniawan

Jurnal Keperawatan Indonesia

The lack of interest from the public and health workers, such as nurses to carry out a pap test, is one of the triggers of cervical cancer cases. The purpose of this study was to identify the implementation of pap tests and barriers of nurses in Bandung, West Java. This study used a cross-sectional descriptive study design with a sample of 286 married nurses. Data collection was conducted during two months. The analysis was conducted by the Fisher exact test or chi-square test. The results showed that the level of education and religion had a significant relationship with the pap …

Perceived Competence And Transition Experience Of New Graduate Filipino Nurses, Nicolette Anne Ubas-Sumagasyay, Ryan Michael Flores Oducado

Jurnal Keperawatan Indonesia

Recruitment and hiring of new graduate nurses are seen as a potential strategy to mitigate the problem of nurse shortage. However, previous studies disclosed that new graduate nurses are inadequately prepared to enter practice and experience transition difficulties. This study aimed to determine the perceived competence and transition experience of new graduate Filipino nurses. Seventy-nine conveniently chosen new graduate nurses were surveyed in this descriptive cross-sectional research. Self-administered instruments were used to gather data. Descriptive statistics, Mann–Whitney U test, and Kruskal–Wallis test were the statistical tools employed. Results indicated that new graduate nurses had ahigh level of self-reported fundamental nursing …

Knowledge And Attitude Of Nurses About Palliative Care, Asia Parveen, Khawar Sultana, Ali Waqas, Sidra Tasneem, Robina Jabeen, Ayesha Faiz Dr., Abu Ul Hassan Faiz Dr

Journal of Bioresource Management

Palliative care enhances the quality of life. To improve the quality of life, it is necessary for nurses to have good knowledge and attitude towards palliative care. It is imperative that nurses provide quality care to terminally ill and chronically sick patients. The present study was designed to assess the knowledge and attitude of medical staff nurses about palliative care in cancer. This cross-sectional, descriptive study was conducted in Mayo Hospital, Lahore and Jinnah Hospital, Lahore with sample size of 300 registered nurses by using the simple random sampling technique. Inclusion and exclusion criteria was used. Data was collected from …

Self-Efficacy And Feeling Of Security Associated With Risky Sexual Behavior Among Commercial Sex Workers Living With Hiv, Anki Tias Yolanda, Agung Waluyo, Lestari Sukmarini

Jurnal Keperawatan Indonesia

Commercial sex workers (CSWs) represent a key population for HIV transmission. CSWs continue to thrive because of the development of the tourism sector and the acceptance of communities. This study aimed to identify the factors associated with risky sexual behavior among CSWs living with HIV. A cross-sectional design was adopted. The sample size was set to 80 CSWs living with HIV in the Special Region of Yogyakarta and Central Java. Chi-square and multiple logistic regression were used in the data analysis. Results showed the significant relationship of self-efficacy (p < 0.001; OR = 9.365) and feeling secure (p= 0.033; OR= 2.762) with risky sexual behavior. No significant relationship was noted between income (p= 0.244), knowledge (p= 0.110), attitude (p= 0.978), drug use (p= 0.150), alcohol consumption (p= 0.642), and sexual violence (p= 0.968) and risky sexual behavior. Nursing practices are expected to focus on promotive and preventative efforts by involving communities in enhancing the feeling of security and self-efficacy of CSWs through health programs and improvement of health facilities.

The Influence Of Minority Stress On Level Of Depression Among Thai Lgbt Adults, Priyoth Kittiteerasack, Alana Steffen, Alicia Matthews

Jurnal Keperawatan Indonesia

In the US, lesbian, gay, bisexual, and transgender (LGBT) individuals report higher rates of depression compared with heterosexual and cisgender persons. To date, little is known about the mental health of LGBT adults in Thailand. Here, we examined rates and correlates of depression among a volunteer sample of Thai LGBTs. Data were collected as part of a larger cross-sectional survey study. Standardized measures of sexual orientation and gender identity, stress, coping style, and minority stressors were completed. Of the 411 participants, 40.3% met the criteria for depression. In multivariate analyses, the combined influences of sociodemographic factors, general stress, coping strategies, …

Community Of Immunity: A Process Improvement To Increase Influenza Vaccination Uptake, Macy Ball

DNP Projects

Background & Review of Evidence: Annual flu vaccination has been recommended for everyone over the age of six months (National Foundation for Infectious Disease [NFID], 2016). A low flu vaccination rate among college students living in a residential community poses the risk for spreading a highly-contagious respiratory illness caused by the virus. Students have the ability to spread the disease to everyone around them in their dormitories, classrooms, shared restrooms and via social gatherings (NFID, 2016). College students who contract the flu virus experience approximately eight or more days of the illness (NFID, 2016).

Purpose: The purpose of …

Pulmonary Rehabilitation Initial Education, Allison Vititoe

Scholars Week

Abstract

Pulmonary rehabilitation has been proven successful among those with chronic pulmonary diseases. However, there is a low rate of involvement and a lower rate of completion for these patients.

One of the major underlying factors contributing to this problem is patients’ lack of motivation. If the patients can be given information on the benefits of this program that align with what they hold as important there will be increased level of motivation and subsequently completion of pulmonary rehabilitation.

Using Non-Pharmacological Interventions To Promote Sleep In The Intensive Care Unit, Regan Kull

Scholars Week

When patients are in critical condition in the ICU, sleep is not prioritized among all of the patients’ other issues. The lack of sleep may result in a decreased immune system and neurocognitive changes producing delirium, potentially increasing the length of stay, and increasing morbidity, especially in older adults and those who have been in the ICU for a long period of time. The purpose of this review of literature is to examine evidence which studied the effectiveness of non-pharmacological interventions on sleep quality of patients in the ICU. Among the evidence for this project, it was found that the …

Choosing A Vaginal Birth After A Cesarean Rather Than A Repeat Elective Cesarean Delivery, Sydney Carter

Scholars Week

The VBAC (Vaginal Birth After Cesarean) rate has been increasing over the recent years. However, it is still a much lower rate as compared to 1996. During this time uterine rupture instances and maternal mortality rates were found to have increased. As a result, facilities over corrected and stopped offering VBACs as an option. Current research shows they are actually safer than a cesarean but most facilities do not offer this option. The purpose of this policy change is to increase the rate of VBACs by providing good education to expectant mothers through their nurses.

Challenges In Conducting Online Survey Research Of The Relationship Between Unit-Level Perceived Team Trustworthiness And Clinical And Operational Outcomes, Nancy Ballard, Lynn Varagona, Rob Stilson, Kimberly Knotts, Joan Sacerio

Faculty Articles

When conducting online survey research, obtaining an adequate response rate in order to have meaningful, reliable data can be challenging. In our study examining hospital unit-level data, a 40% response rate was needed to adequately reflect the degree to which unit staff perceived one another as trustworthy. In addition, approximately 150 units were needed to analyze the relationship between perceived trustworthiness and selected operational and quality outcomes.

In spite of following best practices for survey research (e.g., careful communication planning, short survey length) in a multi-hospital study system, most of the units’ response rates were inadequate to include the units …

Physician Behaviors, Nursing, And Other Obstacles In End-Of-Life Care: Additional Critical Care Nurse Perceptions, Elizabeth Elouise Willmore

Theses and Dissertations

Background: Critical Care Nurses (CCNs) frequently provide end of life (EOL) care in intensive care units (ICUs). Barriers to EOL care in ICUs exist and have been previously published, but qualitative reports from CCNs themselves remain scarce. Qualitative data exploring barriers faced during ICU EOL care may increase awareness of obstacles and help remove them. Objective: Excluding family experiences, what are the major themes recounted by CCNs when asked to share common obstacles experienced in providing ICU EOL care? Methods: Members of the American Association of Critical-Care Nurses were randomly surveyed and responses to a single qualitative question were used. …

Proper Indwelling And External Catheter Use To Reduce Cauti's, Taylor Stephens

Scholars Week

Evidence based practice and research shows that the risk for CAUTI’s increases each day of catheterization. Research also showed that the rate of inappropriate catheterizations was very high. The conclusion made from the research recommended that catheters be removed as soon as possible in order to decrease the risk of CAUTI’s. Interventions to decrease CAUTI and inappropriate catheterization rates includes requiring a new doctors order for the continuation of an indwelling catheter every day and requiring more frequent assessment of the need for a PureWick. This method forces both the doctor and the nurse to assess the patient for the …

Utilization Of Music Therapy In The Icu Setting, Danielle York

Scholars Week

This topic was selected in the hopes of bringing awareness to music therapy and the positive benefits it can have on patients and their pain in a high stress environment. The evidence shows that music therapy can have a positive effect on patient outcomes and is a cost-effective measure that hospitals can easily implement. The education needed to implement this intervention would be geared toward patients that nurses could present to them upon pain report. The evidence proves that this is an efficient way to control patient pain and allow for a more relaxing environment.

KEYWORDS: Music, therapy, pain, education, …

Chlorhexidine: The Fight To End Ventilator-Associated Pneumonia, Jeremy Gaspari

Scholars Week

There is a major problem that affects patient outcomes in the hospital setting. This problem is ventilator-associated pneumonia. Ventilator-associated pneumonia is the second most nosocomial infection in critical care patients. A new policy is needed to ensure that interventions are being done to decrease the risk of patients getting ventilator-associated pneumonia. Ventilator-associated pneumonia also has a high risk of mortality. If interventions are being done, the risk of ventilator-associated pneumonia and mortality will decrease. Prophylactic oral care with chlorhexidine solution is show through evidence to decrease the risk of both ventilator-associated pneumonia and mortality rates. The use of ventilator bundles …

Delayed Newborn Bathing, Trisha Freudenberg

Scholars Week

Abstract:

The title of this paper is Delayed Newborn Bathing. The purpose of this project was to research the evidence and literature that supports the need for a delayed newborn bath. The project discusses the benefits of a delayed bath and what affect it has on the infant’s temperature, blood sugar/blood glucose, and exclusive breast feeding rates. Three evidence-based research studies have been presented within this project (“Impact on delayed newborn bathing one exclusive breastfeeding rates, glucose, and temperature stability, and weight loss”, “Initiative to improve exclusive breastfeeding by delaying the newborn bath”, and “Effects of delayed newborn bathing on …

An Examination Of Certified Nurse-Midwives’ Attitudes And Beliefs Surrounding Breastsleeping: Implications For Advanced Nursing Practice And Education, Lucy Wiesemann

College of Science and Health Theses and Dissertations

Introduction: Breastsleeping, defined as co-sleeping while breastfeeding, is a practice commonly employed in breastfeeding families. However, literature examining this concept, its prevalence, and related education for safe breastsleeping is scant. Providers' attitudes surrounding breastsleeping play an essential role in practice and outcomes when caring for breastfeeding patients and families. The purpose of the study was to examine and describe Certified Nurse-Midwives' attitudes and beliefs surrounding breastsleeping.

Methods: An adapted 18-item Nurse Attitudes and Beliefs Questionnaire-Revised (NABQ-R) online-survey that measured breastsleeping attitudes and beliefs of Certified Nurse-Midwives was administered via an online survey platform (Qualtrics). The quantitative analysis utilized SPSS 25 …

Communication, Leadership And Organizational Support Facilitates Successful Transition Into Practice For Nurse Practitioners In The Emergency Department, Cheryl Soco

College of Science and Health Theses and Dissertations

Background and purpose: Post-graduate programs, specialized academic programs, and national health organizations like the Institute of Medicine (IOM) have identified and begun addressing the gap in knowledge, skills and factors for successful transition into practice. The purpose of this study is to examine the relationships and differences among the personal and community resources which promote successful transition for Nurse Practitioners (NP) that practice in the Emergency Department (ED) and the skills or procedures they find difficult to perform independently.

Methods: A descriptive, correlational-comparative study design was conducted using an online survey administered to a convenience sample of NPs with …

Increasing The Knowledge Of The Importance Of Hand Hygiene Practice In Rural India, Ashley Whaley

Research Horizons Day Posters

No abstract provided.

Hourly Round Before They Hit The Ground, Brittney Barker, Christa Duckett, Chrissi Edens, Kaylee Mcmillen, Neoasha Weeks

Research Horizons Day Posters

No abstract provided.

Don’T Give The Family The Boot: Reducing The Incidence Of Delirium In The Icu By Having Open Visitation Hours, Mitchell Beyer, Jacob Durant, Dylan Hudgens, Juan Rivera, Candice Rucker-Tibbs

Research Horizons Day Posters

No abstract provided.

Keeping The Older Adult Steady With Steadi; A Fall Reduction Program, Payton Lawrence, Emily Hargrove, Rachel Collins, Aliya Leslie, Brittany Stricklin

Research Horizons Day Posters

No abstract provided.

Communication, Leadership And Organizational Support Facilitates Successful Transition Into Practice For Nurse Practitioners In The Emergency Department, Cheryl Anne Soco

College of Science and Health Theses and Dissertations

Background and purpose: Post-graduate programs, specialized academic programs, and national health organizations like the Institute of Medicine (IOM) have identified and begun addressing the gap in knowledge, skills and factors for successful transition into practice. The purpose of this study is to examine the relationships and differences among the personal and community resources which promote successful transition for Nurse Practitioners (NP) that practice in the Emergency Department (ED) and the skills or procedures they find difficult to perform independently.

Methods: A descriptive, correlational-comparative study design was conducted using an online survey administered to a convenience sample of NPs with …

Improving Care For Homeless Young Adults: A Shelter Client And Health Service Provider Perspective, Kenya K. Hemingway

College of Science and Health Theses and Dissertations

The purpose of this study was to determine if the healthcare needs of homeless young adults from the client, shelter staff, and shelter healthcare provider’s perspectives. Data was collected via focus group with homeless unaccompanied young adults (n=4), and an online survey with shelter staff and healthcare staff (n=8) of The Night Ministry (TNM) and Ignite Promise. The focus group was recorded, transcribed, and coded for themes. Inductive analysis revealed themes focused on improving the quality of services provided. Based on the findings, recommendations include assessing the needs of homeless unaccompanied young adults from their perspective utilizing larger sample sizes, …

Pilot Study: Educational Tool Reduces Parental Stress At Home Post Pediatric Cardiac Surgery, Rachel Barsella

College of Science and Health Theses and Dissertations

Congenital heart disease is a prevalent health issue in patients around the world. Approximately 8 in 1,000 live births are complicated by congenital heart disease (Ndile & Kohi, 2011). Increased levels of stress and anxiety have been reported by parents of children with congenital heart disease throughout the process of cardiac surgery, hospitalization, and especially discharge home (Brown & Smith, 2018). This pilot research study utilized pre-intervention and post-intervention survey methodology to examine the impact of an educational tool on parental stress while caring for their child at home post cardiac surgery. The educational tool created by the researcher was …

Improving Care For Homeless Young Adults: A Shelter Client And Health Service Provider Perspective, Kenya K. Hemingway

College of Science and Health Theses and Dissertations

The purpose of this study was to determine if the healthcare needs of homeless young adults from the client, shelter staff, and shelter healthcare provider’s perspectives. Data was collected via focus group with homeless unaccompanied young adults (n=4), and an online survey with shelter staff and healthcare staff (n=8) of The Night Ministry (TNM) and Ignite Promise. The focus group was recorded, transcribed, and coded for themes. Inductive analysis revealed themes focused on improving the quality of services provided. Based on the findings, recommendations include assessing the needs of homeless unaccompanied young adults from their perspective utilizing larger sample sizes, …

Religious Beliefs, Social Pressure, And Stigma: Rural Women’S Perceptions And Beliefs About Vasectomy In Pwani, Tanzania, Eunice Pallangyo, Agnes Msoka, Sharon Brownie, Eleanor Holroyd

School of Nursing & Midwifery, East Africa

Despite being a reliable and cost effective family planning method, vasectomy remains underutilized in many low resource settings such as East Africa. We explored rural women’s perceptions and beliefs regarding barriers to vasectomy use in the low resource setting of Pwani, Tanzania. The qualitative study used in-depth semi-structured interviews to obtain data. Purposive sampling was used to recruit 20 married/cohabiting women with two or more children. Thematic analysis guided the data analysis, with qualitative data reporting informed by COREQ guidelines. Most participants were Muslim and had between two and six children. Most had completed primary-level education and were engaged in …

Managing Uncertainty In Chronic Illness From Patient Perspectives, Amanda Brown, Susan Hayden, Karen Klingman, Leslie C. Hussey

Journal of Excellence in Nursing and Healthcare Practice

Chronic illness is an increasing concern in the United States as the Centers for Disease Control and Prevention reports that 50% of adults have at least one chronic illness. When individuals must adjust to chronic illness, they may experience uncertainty regarding the illness, prognosis, and symptoms. The purpose of this qualitative, phenomenological study was to explore the management strategies of uncertainty in chronic illness from patients’ perspectives. Merle Mishel’s uncertainty in illness theory was the framework used to explore the lives of individuals diagnosed and living with chronic illness. In-depth interviews were conducted with eight individuals who have chronic disease. …

Librarian At The Colloquium: Delivering Unique Library Content For Phd Students, Susan Franzen

Transforming Libraries for Graduate Students

PhD students have unique needs and require different resources and services from the library than undergraduates, which is especially true of professionals in a nursing program. As clinicians, many do not have experience with the research and writing intensive requirements of a doctoral degree. The majority have not taken classes for years, and their master’s degrees were more hands-on, clinically-based. They often do not feel confident in their ability to search the literature, read closely, or write expansively. A unique avenue through which to meet their needs and share library resources is a PhD colloquium course.

Students take the colloquium …

An Actigraphy-Based Validation Study Of The Sleep Disorder Inventory In The Nursing Home, Gunnhild J. Hjetland, Inger Hilde Nordhus, Ståle Pallesen, Jeffrey Cummings, Rochelle E. Tractenberg, Eirunn Thun, Eirin Kolberg, Elisabeth Flo

School of Medicine Faculty Research

Background: Disrupted sleep is common among nursing home patients with dementia and is associated with increased agitation, depression, and cognitive impairment. Detecting and treating sleep problems in this population are therefore of great importance, albeit challenging. Systematic observation and objective recordings of sleep are time-consuming and resource intensive and self-report is often unreliable. Commonly used proxy-rated scales contain few sleep items, which affects the reliability of the raters' reports. The present study aimed to adapt the proxy-rated Sleep Disorder Inventory (SDI) to a nursing home context and validate it against actigraphy. Methods: Cross-sectional study of 69 nursing home patients, 68% …

School Nurses' Role During Disease Outbreak, Christina Rickenbach

Theses and Dissertations

Background and Purpose: School nurses have the critical task of overseeing the health and wellness of school-aged students. Utah is 1 of 17 states which allow parents to exempt their children from vaccines. The most common parental reason for exempting children from vaccines is personal choice. With the number of students without vaccinations on the rise, school nurses are tasked with responsibilities related to the spread of vaccine-preventable diseases. However, few studies have explored the role of school nurses in managing a disease outbreak. Therefore, the purpose of this study was to 1) explore the responsibilities of Utah school nurses …