Nursing Commons^™

Nursing Leadership During Covid-19: Enhancing Patient, Family And Workforce Experience, Anne Aquilia, Karen Grimley, Barbara Jacobs, Maryellen Kosturko, Jerry Mansfield, Charlotte Mathers, Peggie Parniawski, Laura Wood, Victoria Niederhauser

Patient Experience Journal

The global COVID-19 pandemic has challenged nurse leaders in ways that one could not imagine six months ago. Along with ongoing priorities of providing high quality, cost-effective and safe care, nurse leaders are also committed to creating environments that support excellence in patient and family experience. This article will provide exemplars of how nurse leaders used decisive decision-making, adapted to novel situations and issues, ensured reliable and safe delivery of care and engaged patients, families and their workforce to create excellent experiences of care during the pandemic. Throughout this crisis, nurse leaders have learned how to grapple with quick and …

Thoughts Of A Palliative Care Nurse In Times Of Pandemic, Angela L. Simões

Patient Experience Journal

This narrative presents a series of stories (interactions) lived by a palliative care nurse during the time of COVID-19, a time when we tirelessly prepare to help the services that need us, but we have little preparation of ourselves for the changes that we will have to face in the care of our patients and families. It shares the lived experiences, difficulties, emotions lived by me but shared by so many around the world. It also tries to show that despite the scarcity of physical presence, creativity and commitment to patients and families make us go beyond ourselves and continue …

Beyond Platitudes: A Nurse’S Journey Of Self-Reflection And Vulnerability, Monica Friesen

Patient Experience Journal

The efforts taking place in healthcare organizations and communities globally should represent what is best in humanity, perhaps even more so in this unprecedented time of COVID-19. This short personal narrative is the acknowledgement that “best” needs to start with “me” and my story of self-reflection and journey of vulnerability.

Experience Framework

This article is associated with the Staff & Provider Engagement lens of The Beryl Institute Experience Framework. (http://bit.ly/ExperienceFramework)

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Is This Really Happening? Family-Centered Care During Covid-19: People Before Policy, Terri Savino, Karri Crispino

Patient Experience Journal

In the middle of a global pandemic, hospitals created policies for visitor restrictions to reduce the transmission of coronavirus to protect patients and staff and developed protocols allowing only one support person to call the critical care unit for patient updates. Late on a Tuesday afternoon, the Manager of Patient Experience received a phone call asking her to call Karri, the wife of one of our patients who was on a ventilator. Karri was struggling with updating her mother-in-law because she was very upset with the news she received, making it difficult to call her husband’s mom. Karri asked the …

Reducing Ageism: Changes In Students’ Attitudes After Participation In An Intergenerational Reverse Mentoring Program, S. N. Leedahl, M. S. Brasher, Dara Lobuono, B. M. Wood, E. L. Estus

Rita & Larry Salva School of Nursing and Health Professions Departmental Research

Ageism is a societal concern that greatly affects the social, emotional, physical, and mental health of older adults. One way to decrease ageist attitudes and improve the treatment of older adults is to address and improve age stereotypes among young adults. Using data from students participating in an intergenerational digital-learning program, the present study investigated change in students’ stereotypes of older adults and aging. We examined change from pre- and post-scores in student attitudes toward older adults and the type of adjectives used to describe older adults. We also analyzed responses to open-ended questions about changes in perception of older …

Validation Of Activity Trackers In A Daily Living Setting In Young Adults, Jodi B. Wimmer

Theses and Dissertations

Sedentary behavior (SB) contributes to many negative health-related outcomes. Motivation to reduce SB and increase physical activity (PA) are necessary to reduce co-morbidities. Tracking SB and PA provides objective data to help promote wellness. The purposes of this quasi-experimental study were to 1) determine the accuracy of three commercially available activity trackers compared to research-grade accelerometers, and 2) explore whether using these activity trackers led to a change in activity level one week after gathering baseline data. Activity trackers used in this study were Apple Watch, Fitbit Surge, and Microsoft Band 2. A convenience sample of college-age students and community …

Lung Cancer And Kidney Injury: An Updated Review, Bhargav Patel, Mohammad Ebrahimi Kalan, Maryam Khosravian, Audrey C. Tolouian, Ramin Tolouian, Mahnaz Aboufazeli, Masoumeh Asgharpour, Amirhesam Alirezaei

Nursing Faculty Publications

Lung cancer is the leading cause of cancer deaths worldwide, accounting for an estimated 1.8 million deaths. Lung cancer is also the most common primary cancer leading to soft tissue (ST) metastasis. Renal disease may occur as a direct or indirect consequence of the cancer itself (e.g., postrenal obstruction, compression, or infiltration), its treatment (e.g., radiotherapy or chemotherapy), or its related complications (e.g., opportunistic infection). Existing evidence shows that the most frequent primary solid tumor responsible for renal metastasis is pulmonary carcinoma, followed by gastric, breast, soft tissue, and thyroid carcinomas. Chronic kidney disease is a potential risk factor in …

Nursing And Caregiver Satisfaction And The Implementation Of A Discharge Education Roadmap For Newly Diagnosed Pediatric Oncology Patients., Sable Iglesias

Doctor of Nursing Practice Papers

The initial diagnosis of a pediatric cancer is a stressful and overwhelming experience. During this time, distressed caregivers are expected to learn about the diagnosis, treatment plan, and how to care for their child at home. Simultaneously, parental reactions to a new cancer diagnosis often make learning a difficult process. The discharge education process is often a responsibility of the nursing staff. However, there are currently no evidence-based, systematic guidelines to direct the discharge education process of newly diagnosed pediatric oncology patients. Consequently, there is a lack of standardization across institutions, resulting in considerable variability in content provided in teaching …

Heart Failure With Reduced Ejection Fraction, Shawn Barkalow

Nursing Student Class Projects (Formerly MSN)

Heart failure (HF) is a complex disease the requires a high-level understanding of pathophysiology and physics. Heart failure is an umbrella term with multiple subsets beneath it. Heart failure with reduced ejection fraction relates to a failing left ventricle with an ejection fraction (EF) of less than 40%. Inability to push fluid forward causes the heart rate to increase, neurohormonal changes and creates a backup of flow into the lungs creating dyspnea. Applied physics plays a large role in understand heart failure. Frank-starling’s curve, Ohm’s, Poiseulle’s and Laplace’s laws all apply to the physiological principles behind preload, afterload, and contractility. …

Sepsis Pathophysiology, Samantha Kingsley

Nursing Student Class Projects (Formerly MSN)

Sepsis is one of the most common diagnoses in medical intensive care units (MICUs) worldwide. Sepsis is a medical emergency where prompt intervention is vital to promoting positive patient outcomes. Septic shock develops when sepsis has progressed to the point of persistent hypotension despite appropriate fluid resuscitation. It is important to recognize the early signs of sepsis and intervene to prevent further progression. As the understanding of the pathophysiology has developed further over the years, the treatments and outcomes associated with sepsis have also improved. However, prompt recognition and intervention have always been at the forefront of management and should …

Implementing A Student Information System And Creating A Data Collection System In A School Of Nursing, Hunter Krauss, Michele Siminitus Ms, Lynne Hausman Msn, Rn, Cne

Research Scholars Poster Presentation

No abstract provided.

Educational Needs Associated With The Level Of Complication And Comparative Risk Perceptions In People With Type 2 Diabetes, Youngji Hwang, Dongsuk Lee, Yeon Sook Kim

Nursing Faculty Publications

Objectives: This study aimed to identify the educational needs of people with type 2 diabetes according to risk perceptions and the level of severity of complications. Methods: There were 177 study participants who were outpatients of the internal medicine department at a university hospital located in the Republic of Korea, who consented to participate in the survey from December 10, 2016 to February 10, 2017. The data were analyzed using descriptive statistics, Pearson correlation, ANOVA with post-hoc comparison, and multiple regression analysis. Type 2 diabetes complications were classified into 3 groups: no complications, common complications, and severe complications. …

Alcohol Misuse And Abuse Among College Students: An Implementation Of A Screening Program., Tiffany Slaughter Newcomb

Doctor of Nursing Practice Papers

Excessive alcohol use in the United States creates serious economic, health, and mortality problems (CountyHealthRankings, 2018). College students experience high rates of use, binge drinking, and 20% of college students meet the criteria for alcohol use disorder [AUD] (NIH, 2014). Screening by healthcare providers (HCPs) in the student health setting is critical and a recommended strategy for reducing negative consequences of alcohol use experienced by college students (US Preventive Services Task Force, 2018).

Aims: The objective of this project was to implement an alcohol screening program among college-age undergraduate students in a university student health center.

Methods: HCPs …

Implementing A Standardized Pediatric Bone Marrow Transplant Orientation., Erika L. Shell

Doctor of Nursing Practice Papers

Nurse orientation programs focus on establishing a nurse’s ability to perform skills necessary in the organization’s setting. The purpose of this project was to develop a unit-specific orientation program for the experienced registered nurse transitioning into providing care for pediatric bone marrow transplant (BMT) patients at a local children’s hospital to enhance nurse knowledge and satisfaction. Melnyk and Fineout-Overholt’s rating system for the hierarchy of evidence was used in the selection of articles with high levels of evidence for the critical appraisal of the supporting literature for the program development. The best practices for orientation content provide constructive effects on …

Evaluating Family Satisfaction On An Advanced Certification Palliative Care Unit., Ruby Aebersold

Doctor of Nursing Practice Papers

Inpatient palliative care programs with The Joint Commission (TJC) Advanced Certification for Palliative Care are accountable for evaluating multiple health outcomes, including family satisfaction. A midwestern urban hospital’s palliative care unit received certification in January 2019. To comply with TJC standards, a clear data management and evaluation plan for family satisfaction data was needed. Investigation of the previous family satisfaction measure processes revealed areas in need of improvement in the satisfaction survey distribution, data collection, and evaluation processes. Satisfaction surveys were often unable to be distributed to families of deceased patients because the documented mailing address was a nursing facility. …

College Students' Knowledge Of Human Immunodeficiency Virus And Willingness To Participate In Screening, Alison Campbell, Aar'rin Mcdougal, Eritiki Morris, Nekesha Johnson, Laura K. Nipper

MSN Research Projects

An estimated 1.2 million adults and adolescents are living with human immunodeficiency virus (HIV) in the United States and approximately 50,000 are newly infected each year. The Centers for Disease Control and Prevention (CDC) estimates that 44% of HIV- infected youth ages 18-24 are unaware of their HIV status. HIV destroys CD4 cells and leads to a severely weakened immune system, which increases the risk for infection and other infection-related cancers. If HIV is left untreated, the disease will eventually progress to acquired immunodeficiency syndrome (AIDS). HIV continues to be a concern in public health, yet the public perception about …

An Assessment Of The Utilization Of Geriatric Depression Screenings In Primary Care Providers, Ashleigh Flora, Devi Moon, Tiffine Prisock, Shelby Reeves, Rachel Romero

MSN Research Projects

The purpose of this study was to determine the practices of primary care providers in relation to screening and treating geriatric depression. According to the Geriatric Mental Health Foundation (GMHF), depression and suicide are significant public health issues for older adults, noting that depression is one of the most common mental disorders experienced by elders. Research indicates the issue of geriatric depression is poorly approached by providers and patients do not receive appropriate care. Depression cannot be measured with lab or diagnostic tests; the only way to assess depression is to screen patients by asking questions. When screening for depression, …

Utilization Of Genetic Screening Practices By Primary Care Providers For Individuals With Increased Risks For Alzheimer’S Disease, Cindy R. Quinn, Mallory Stockstill, Lucy Barnes, Jalisha Brown, Angela Reeves

MSN Research Projects

The purpose of this study was to determine if health care providers in the primary care setting were identifying individuals with increased risks for Alzheimer’s disease and if the utilization of genetic screening related to the disease was being offered to those individuals. Extensive research into the genetic etiology of Alzheimer's disease has proven that some genetic factors are causative and increase a person's risk of developing the disease. The need for further comprehensive assessments for those with increased risk of developing Alzheimer’s disease, such as genetic testing, is imperative in identifying the disease-causing gene mutations associated with the disease. …

Patient Knowledge And Perception Regarding Antibiotic Misuse In Primary Care, Aimee Cockerham, Megan Mcdaniel, Hannah Mcmillin, Kelly Nash, April Robinson

MSN Research Projects

The Centers for Disease Control (CDC) and Prevention’s 2019 Antibiotic Resistant Threats Report shows that antibiotic-resistant bacteria and fungi cause more than 2.8 million infections and 35,000 deaths in the United States each year. This equates to at least one infection every 11 seconds and one death resulting from antibiotic resistance every 15 minutes. The CDC states that there were almost twice as many deaths each year from antibiotic resistance compared to statistics reported in 2013 (CDC, 2019a). Proper antibiotic use is the responsibility of the provider and the patient. Patient knowledge should consist of how to prevent antibiotic misuse, …

A Systematic Review Of Interventions For Family Caregivers Who Care For Patients With Advanced Cancer At Home., Soojung Ahn, Rafael D. Romo, Cathy L. Campbell

Nursing | Faculty Scholarship

OBJECTIVE: To examine the characteristics of interventions to support family caregivers of patients with advanced cancer.

METHODS: Five databases (CINAHL, Medline, PsycINFO, Web of Science, and the Cochrane Library) were searched for English language articles of intervention studies utilizing randomized controlled trials or quasi-experimental designs, reporting caregiver-related outcomes of interventions for family caregivers caring for patients with advanced cancer at home.

RESULTS: A total of 11 studies met the inclusion criteria. Based on these studies, the types of interventions were categorized into psychosocial, educational, or both. The characteristics of interventions varied. Most interventions demonstrated statistically significant results of reducing psychological …

Sëmundja Pulmonare Obstruktive Kronike Dhe Rëndësia E Trajtimit Kirurgjik - Roli I Infermieres/It, Besarta Rexhaj

Theses and Dissertations

Hyrje – në këtë punim janë trajtuar çështjet, që kanë të bëjnë me të kuptuarit ose konceptet e shkaktarëve të Sëmundjeve Pulmonare Obstruktive Kronike (SPOK), klasifikimi i shkaktarëve të Sëmundjeve Pulmonare Obstruktive Kronike (SPOK), menaxhimi i rasteve klinike tek pacientët me Sëmundje Pulmonare Obstruktive Kronike (SPOK) si dhe roli i infermieres/it në trajtimin e pacientëve me Sëmundje Pulmonare Obstruktive Kronike (SPOK).

Ky punim synon, që duke u mbështetur në rezultatet e hulumtimit duke marrë në konsideratë situatën ekzistuese dhe perspektivën e sistemit shëndetësor në Kosovë, të prezantojë menaxhimin dhe kujdesin infermieror për pjesëmarrje aktive në parandalimin, diagnostifikimin dhe trajtimin adekuat …

Rrjetet Sociale Dhe Depresioni, Xhemile Dashi

Theses and Dissertations

Qëllimi i këtij hulumtimi është të zbuloni nëse kërkimi shoqëror shoqëror ka ndikim në shfaqjen e simptomave të depresionit. Në këtë hulumtim kanë marrë pjesë 47 nxënës të shkollës së mesme "Gjimanzi Gjon Buzuku" në Prizren. Pyetësori Beck u përdor për të arritur qëllimin e këtij studimi dhe 2 pyetje që lidhen me mediat sociale u pyetën nga ne. Një procedurë ka filluar me takimin tonë me drejtorin e shkollës dhe ka përfunduar me plotësimin e pyetësorëve nga nxënësit. Mostra u zgjodh rastësisht. Hipoteza ka rezultuar në jetë jo domethënëse ndërsa korrelacioni ka qenë pozitiv [r (1,56) = 0.03, p …

What's My Age Again? Dementia And The Impact On An Aging Population, Joanna Vest

Nursing Student Class Projects (Formerly MSN)

A literature review of the Cumulative Index of Nursing and Allied Health Literature (CINAHL) database was performed to investigate the risk factors and pathophysiology of dementia in adults. Results were screened for English language and date of publication, with inclusion criteria of years 2015-2020. The search revealed several sub-types of dementia, as well as research into modifiable risk factors. Dementia arises mainly from accumulation of proteins in neurons, dysfunction of the blood brain barrier, vascular degeneration and hypoperfusion of tissues in the brain, and atrophy of brain tissue. Risk factors associated with cognitive decline include hypertension, obesity, insulin resistance, high …

When Mistakes Happen: Using Aone Principles Of A Healthful Practice Environment, Karen Fowler

Nursing Faculty Publications

Whether medical errors will occur is not the question. When and to what degree of harm will the patient, nursing staff, and organization experience is a more valid question. The nurse leader’s ability to navigate staff through the aftermath of a negative patient event has far-reaching consequences. Errors impact the organization financially and reputationally, and can have devastating results for the nursing staff. This paper explores the use of AONL’s 9 elements of a healthful practice environment. These elements offer structure and guidance for the nurse leader to mindfully lead the nursing staff through a difficult situation while enhancing staff …

Development And Preliminary Psychometric Testing Of The Drake Atrial Electrogram Assessment Survey: Daegas©, Jeanette Drake

Dissertations and Theses (Open Access)

Background: Critical care nurses (CCNs) who care for postoperative cardiac surgery patients need specialty knowledge, for example, knowledge of atrial electrograms (AEGs). An inadequate audit trail exists for psychometric performance of instruments to measure CCN knowledge of AEGs. A 29-item survey previously pilot tested with a convenience sample of CCNs in the Pacific Northwest had a Kuder-Richardson-20 estimate of internal consistency of .75. The survey was revised to 20 items (14 knowledge and 6 AEG interpretation) and named the Drake Atrial Electrogram Assessment Survey (DAEGAS).

Objectives: The study objectives were to assess evidence for content validity (content validity …

The Impact Of Bullying Victimization And Sexual Orientation On The Severity Of Suicidal Behavior, Annalyn Demello

Dissertations and Theses (Open Access)

Background: Lesbian, gay, and bisexual (LGB) youth face a disproportionate risk of suicidal ideation and attempt compared to their heterosexual counterparts. The Minority Stress Theory and Interpersonal Theory of Suicide posit that chronic stress, which can occur as a result of bullying victimization, can lead to loneliness, self-hate, and suicidal ideation. The escalation from ideation to attempt can occur quickly, and most youth who survive suicide attempts pursue subsequent, riskier attempts. It is crucial to intervene when behaviors are less severe. The primary aim of this study was to compare the magnitudes of association between independent variables (bullying and sexual …

Molecular Diagnosis Of Intestinal Parasites: Impact On Growth Among Preschool-Age Children In Rural Ecuador, Patricia Bryan

Dissertations and Theses (Open Access)

Background: Gastrointestinal (GI) parasites may have important influences on growth outcomes during early childhood. Previous studies investigating the effects of GI parasites on growth have predominantly used microscopy-based diagnostic methods with low sensitivity. Few accurate epidemiologic data are available on GI parasitic infections among rural Ecuadorian children. To investigate the impact of single and multiple GI parasite infections on growth during early childhood data from a longitudinal birth cohort in Ecuador were analyzed.

Purpose: The aims of this study were to determine the prevalence of GI parasites (soil-transmitted helminths and intestinal protozoa) and to describe associations between GI parasitic infections …

Rate Of Unscheduled Administration Of An Epidural Bolus Among Pregnant Women Receiving Labor Epidurals, Aleksandr A. Lyakhov, Emily L. Mcquaid-Hanson, Amanda Affleck, Kenn B Daratha

Books, Presentations, Posters, Etc.

Background The labor and delivery process is a painful experience that pregnant women undergo and while various medical options are available for managing labor pain, labor epidurals are the most common.1,3 Breakthrough pain, or inadequate analgesia, is a significant complication of labor epidurals that is typically managed with the administration of an unscheduled epidural bolus. The purpose of this evidence-based practice (EBP) project is to describe the rate of unscheduled epidural bolus administration in pregnant women receiving continuous labor epidurals (CLE) at Providence Sacred Heart Medical Center (PSHMC) and Providence Holy Family Hospital (PHFH).

Methods • Design: Retrospective, observational, EBP …

Awareness Of Dying And Conflict Resolution: Texas Asian Perspectives, Gloria Duke, Charlotte Wood, Lobsang Tenzing

Nursing Faculty Publications and Presentations

Individuals in the end-of-life (EOL) period may not be fully aware of their prognosis or know they are facing a terminal illness. As Asian beliefs and cultural tendencies intersect with Western values, health care practitioners may find their assumptions about disclosing an EOL prognosis differs from patients and their family members. Disagreements among family members regarding the disclosure of EOL to their terminally ill loved one can result in conflict--making difficult and sensitive times more burdensome. Little scientific evidence is known about first generation Asians who live in the United States (US) regarding their practices with disclosing EOL and how …

Postoperative Length Of Stay Following Enhanced Recovery After Surgery Protocol Implementation For Scheduled Cesarean Deliveries, Hannah Zimmerman, Emily L. Mcquaid-Hanson, Amanda Affleck, Kenn B Daratha

Books, Presentations, Posters, Etc.

Background Cesarean delivery is the most common major surgery worldwide. 1 In 2018, 1.2 million cesarean deliveries occurred in the United States, accounting for nearly 32% of all deliveries.2 Research has shown ERAS benefits include decreased length of stay, improved pain control, and improved patient satisfaction.2,3 Despite its use in numerous surgical specialties, ERAS implementation within obstetrics has been slow.2 The ERAS Society released a three-part guideline specific to cesarean deliveries in 2018 and 2019,4,5,6 yet few studies have assessed the impact of ERAS on cesarean postoperative outcomes.2 An improved perioperative course would be particularly beneficial for mothers undergoing cesarean …