Nursing Commons^™

Leadership Strategies To Support Resilience, Katee Paine

Nursing Masters Papers

Healthcare institutions have garnered national attention due to high levels of healthcare worker burnout, stress, and turnover rates. As the largest population of healthcare workers, nurses are often confronted with stressors that can lead to burnout in their practice and work environment. The global COVID-19 pandemic has highlighted and magnified these stressors over the past year, such as emotional strain of caring for dying patients, long shifts, rotating schedules, increased workload demands, and high-stress work environments. Resilience, characterized by an ability to bounce back from adverse situations, has been found to play an important role in navigating and adapting to …

Eastern European Orthodox Christian Immigrant Women: A Pilot Study And Needs Assessment, Kimberly A. Babich-Speck

Doctor of Nursing Practice Scholarly Projects

The healthcare perceptions of the Eastern European Orthodox Christian immigrant women (EEOCIW) to the United States (U.S.) are under-represented in the literature. Although they appear similar to Americans, their cultural and religious traditions are outside the mainstream American culture. This pilot study and health needs assessment examines the women’s healthcare perceptions of 14 EEOCIW and identifies similarities and differences with 25 U.S. born Orthodox Christian women (USOCW). Between September and November 2020, interviews were conducted with Orthodox Christian immigrant women from Eastern Europe and Orthodox Christian women born in the U.S. Questions covered the perceptions of women’s healthcare, factors influencing …

Provider Perceptions On The Outcome Of Postpartum Depression Screening During Well- Child Visits, Natasha Patterson

The Eleanor Mann School of Nursing DNP Capstone Projects

The US Preventative Task Force and Centers for Medicare and Medicaid Services recommend screening for perinatal and postpartum depression (PPD) during well-child visits that occur during the first year of the baby’s life. Postpartum means the time after childbirth, and postpartum depression is defined as a variant of major depressive disorder that occur during pregnancy or within 4 weeks of delivery. Current pediatric guidelines recommend that PPD screening occur at three to five days after birth and at one, two, four, six, nine and twelve month well-child evaluations during the first year of life. This DNP clinical inquiry project brought …

Implementation Of Hypertonic Saline Sliding Scale Protocol In A Neuroscience Icu, Guillermina A. Nelson

Cohort IX

Cerebral edema, a complication that can occur in acute ischemic or hemorrhagic strokes, can lead to detrimental effects. Hypertonic saline therapy is use to obtain therapeutic hypernatremia to prevent further cerebral edema. In a neuroscience intensive care unit (ICU) setting, patients admitted with acute stroke and at risk for cerebral edema, are treated with hypertonic saline solution and the rate adjustment according to plasma serum sodium results every 4-6 hours. After a 10-day Reflective Practice Log, I gained insight of this issue. After a literature review, approval The University of Texas at El Paso Institutional Review Board (IRB), I started …

Motivational Interviewing During In-Center Hemodialysis To Improve Medication Adherence, Pamela O. Ogbonna

Cohort IX

Background: Living with end-stage renal disease can be a daunting experience for the individual; it takes a toll on the caregivers and affects the family dynamics. Patients are predisposed to numerous health comorbidities, resulting in polypharmacy to treat those conditions. Adherence to phosphate binder remains highly important to prevent a high serum phosphate level in patients receiving hemodialysis. According to the American Kidney Fund survey (2018), 75% of patients with end-stage renal disease reported skipping or missing at least one pill or a dose of medicine within the past week. A collaborative conversational style such as motivational interviewing has been …

A Quality Improvement Report: Assessing The Geriatric Population For Anxiety Using The Gad-7, Lirio E. Lopez-Urias

Cohort IX

Working with geriatric patients, I have had a firsthand view of the effects of the COVID-19 pandemic on their well-being. While visiting my patients in their homes, I have become aware of several issues. These were highlighted in my practice review, during which I documented the diagnoses and interventions used in my practice with my geriatric patients in a 10-day reflective log. In particular, reports of anxiety drew my attention. In my practice, I have noticed that I assess anxiety by accepting self-reporting. Within the ten days covered in the reflective log, 15 out of 26 patients reported uncontrolled anxiety. …

A Quality Improvement Project To Enhance Self-Management Support For Patients With Type 2 Diabetes Mellitus, Tanya M. Guerrero

Cohort IX

Type 2 diabetes mellitus poses a significant global healthcare threat due to multiple and often life-threatening complications. More than 10.5% of the population in the United States has type 2 diabetes mellitus, with the rate in El Paso, Texas, markedly higher at 15.3%. A 10-day reflective practice showed that patients with type 2 diabetes mellitus often experience uncontrolled hemoglobin A1c levels and high serum blood glucose levels. A review of the literature, in addition to information from the American Diabetes Association, the American Heart Association, and the Centers for Disease Control and Prevention, demonstrated that the use of self-management support …

Using Motivational Enhancement Therapy To Achieve Cpap Compliance, Monicke Magnon

Cohort IX

Obstructive sleep apnea (OSA) is a sleep disorder in which an individual’s airway closes or partially closes several times in a night. OSA impacts an individual’s sleep quality if left untreated, which commonly leads to daytime sleepiness, headaches, cognitive impairments, and depressive or irritable mood. Most noteworthy are several health conditions, such as cardiovascular disease, linked to untreated sleep apnea. Currently, the first-line treatment for moderate-to-severe OSA is continuous positive airway pressure (CPAP), which acts as a pneumatic splint to prevent the airway closures associated with the condition. Although it is an efficacious treatment, a significant problem is lack of …

An Examination Of The Impact Of Health Literacy Assessment On Incarcerated Individuals With A Diagnosis Of Type 2 Diabetes, Josi Rotunno

Doctor of Nursing Practice Scholarly Projects

Low health literacy levels limit healthcare outcomes in a variety of diagnoses. Having a low health literacy level can significantly impact an individual’s ability to manage their condition. Among these individuals are incarcerated individuals, who are especially vulnerable to low health literacy levels. Due to regulations of the correctional facility, along with the vulnerability of the population, it is often difficult to get approval for studies and to make changes within this setting[TMD1] . The stigma of incarceration, along with the difficulty in navigating the correctional setting regulations, often create barriers to making changes that could improve the health …

Nitroglycerin Safety In Inferior St Elevation Myocardial Infarction (Stemi) Patients: A Retrospective Review, Olivia Montgomery

Doctor of Nursing Practice Scholarly Projects

Nitroglycerin (NTG) is medication used to reduce chest pain (Boden et al., 2015) and is the suggested analgesic for angina associated with ST elevation myocardial infarction (STEMI) (de Alencar Neto, 2018). Due to the potential for right ventricular (RV) infarct and hemodynamic collapse in inferior STEMI patients (Nagam, Vinson, & Levis, 2017), the American Heart Association (AHA) recommends avoidance of NTG in patients with suspected RV infarct (Antman et al., 2004). The purpose of this DNP project was to explore the safety of NTG use in the treatment of patients diagnosed with STEMI by evaluating the effects of NTG on …

Improving Rural Emergency Nurses Comfort During Palliative And End-Of-Life Communication, Abbie A. Styes, Mary J. Isaacson

College of Nursing Faculty Publications

Background: Emergency nurses (ENs) often care for patients nearing the end of their lives or with life-limiting illnesses. However, ENs are hesitant to initiate palliative or end-of-life (PEOL) discussions because of a lack of comfort with these topics. Many ENs have no formal PEOL communication training which contributes to the lack of comfort with PEOL discussions in the emergency department (ED). Thus, the purpose of this quality improvement project was to determine how PEOL communication training affected rural ENs perceived comfort level during PEOL conversations.
Sample/Setting: A convenience sample of 14 registered nurses working in a rural Northern Plains ED. …

The Effects Of Losing A Parent On Teenagers Mental Health, Emily O'Keefe

Nursing | Senior Theses

Losing a parent is one of the hardest losses we experience. For many, the loss of a parent comes too early. Losing a parent as a teenager has lasting effects. This thesis examines the research literature review and proposes a study for further investigation about this important healthcare matter.

The mental health of teenagers who lose a parent experience worsened mental health than those who have two living parents. Bereaved teenagers experience worsened mental health, increased aggression, and an increased risk for self-harm. The research in this literature reviews, supports this, and further emphasizes the negative impact of losing a …

Effects Of Heavy Screen Time On The Adolescent, Taylor Lim

Nursing | Senior Theses

In today’s modern age, the great majority of society utilizes many readily available technological inventions. Adults have incorporated these creations not only into their daily lives, but also into the lives of their children. The current Covid-19 pandemic has taken away a key component of pediatric development, which is in-person schooling. Most children are attending school via online classes and a laptop, which adds more time on top of their usual daily screen time exposure. The current literature has studied the effects of high screen time consumption on the pediatric patient pertaining to body mass index, sleeping patterns, lifestyle habits …

Complementary And Alternative Medicine: The Effects Of Aromatherapy On New And Expectant Mothers, Heather Tran

Nursing | Senior Theses

Complementary and alternative medicine (CAM) is vastly expanding and is now being used in the clinical setting as an effective management of various symptoms. Pregnancy, labor, and the postpartum period can be beautiful yet overwhelming moments in a woman’s life. The symptoms that are usually accompanied along this journey include nausea, vomiting, anxiety, pain, fatigue, stress and more. Aromatherapy has been proven to be a safe and natural, non-pharmacological method in reducing these symptoms that may make it harder for the mother to enjoy her pregnancy. This holistic approach to treatment is inexpensive, noninvasive, does not require a prescription from …

The Effects Of Virtual Reality Therapy On Acrophobia: A Literature Review, Emma Zobal

The Eleanor Mann School of Nursing Undergraduate Honors Theses

This paper examines the effects of virtual reality therapy on acrophobia. Virtual reality therapy is a valuable tool that can be utilized to expose individuals to their phobias in a controlled, virtual setting with the use of technology. Acrophobia is described as an extreme fear of heights and can interfere with the daily lives of individuals. In this review, four studies were examined that focused on the use of virtual reality therapy in individuals with acrophobia. The overall findings indicated that virtual reality therapy was effective in reducing symptoms of acrophobia. Furthermore, this literature review examines the benefits and successful …

Evaluating Va Nurse Acceptance Of Virtual Healthcare Technology During The Coronavirus Outbreak, Francesca Bryan-Couch

Doctor of Nursing Practice Scholarly Projects

At a regional Veterans Administration (VA) hospital, nurses performing case management were unable to perform face-to-face visits with patients due to coronavirus. Care coordination and discharge planning efforts occurred through telephonic case management to preserve personal protective equipment and reduce transmission rates through social distancing. Trust and rapport between patients and nurses were reduced without personal contact. Peplau’s theory of interpersonal relations described six nurse roles and three phases of relationship development required to create therapeutic nurse-patient relationships. Connectedness was a key concept considered to be the path to a successful meaningful therapeutic nurse-patient relationship (Hrabe, 2005).

To evaluate current …

Professional Quality Of Life Indicators And Turnover Intention In Forensic Nurses, Leigh Anne Meyer

Doctor of Nursing Practice Scholarly Projects

Background/Significance: Significant barriers to forensic nurse workforce development exist, affecting patient access to care. Retention of forensic nurses is a persistent problem. Turn-over of forensic nurses can be attributed to many factors related to professional quality of life, including compassion satisfaction (CS), burnout (BO) and secondary traumatic stress (STS).

Methods: A convenience sample of forensic nurse program coordinators was used to identify the effect of an educational session on professional quality of life and strategies for reducing stressors within the role on ProQOL-5 and TIS-6 scores using a pre- post-test quasi-experimental survey design. Correlation between professional quality of life indicators …

Exploring Canadian Children's Social Media Use, Digital Literacy, And Quality Of Life: Pilot Cross-Sectional Survey Study, Lorie Donelle, Danica Facca, Shauna Burke, Bradley Hiebert, Emma Bender, Stephen Ling

Nursing Publications

Background: Understanding social media use and digital literacy among young Canadian children is an increasing area of concern, given the importance of digital inclusion for full and informed participation in evolving educational, civic, corporate, social, and economic spaces. Objective: The aim of this study was to explore internet and social media knowledge as well as social media use among Canadian children aged between 6 and 10 years. Methods: We conducted interview surveys with 42 children aged between 6 and 10 years who participated in an after-school health promotion program in an urban community in Southwestern Ontario to understand their digital …

Nursing Student Perceptions Of Health Care Worker Appearance And Compassion, Skill, Knowledge, And Trustworthiness, Sophia Quick

Undergraduate Honors Theses

Background: Many health care facilities enforce strict dress code policies prohibiting visible body modifications, including tattoos, piercings, and vibrant hair colors. As popularity of body modifications among young adults surges, facilities may be forced to adapt policies as these workers enter the workforce. While some evidence exists related to patient perceptions of health care workers with body modifications, there is little about how nursing students perceive them. This study aimed to describe undergraduate, pre-licensure nursing students’ perceptions of health care worker appearance on compassion, skill, knowledge, and trustworthiness.

Methods: Using cross-sectional design, an on-line Likert-type survey was used to collect …

Community Health Nursing In Ghana: Dental Hygiene, Alexis Llewellyn

The Eleanor Mann School of Nursing Undergraduate Honors Theses

Dental hygiene is an important contributor to our overall health. Poor dental hygiene practices can lead to plaque buildup, cavities formation, tooth decay, and infection. Infection that began as a result of poor oral hygiene can spread to other parts of the body and cause more serious conditions to develop. Dental health is not a priority among Ghanaian residents and there is a need for updated, evidence based research about this topic. This literature review focuses on community health nursing in Ghana, Africa regarding dental hygiene of the pediatric population in this country. The primary focus is to compare the …

Methods Of Malaria Prevention In Ghana, Africa: An Exhaustive Literature Review, Ally R. Marotti

The Eleanor Mann School of Nursing Undergraduate Honors Theses

Ghana, Africa is currently listed among the top fifteen malaria burdened countries across the globe (WHO, 2019). While developed nations around the world have deemed malaria of no concern, third world countries continue to battle rising case and mortality rates each year. The purpose of this literature review is to determine which method of prevention proves most effective against malaria transmission and why recognized prevention methods are lacking in accessibility to the residents of Ghana. Peer-reviewed primary sources published between the years of 2015 and 2021 were utilized in this study. In order to be considered for review, sources located …

Baccalaureate Nursing Students’ Personal Health-Promoting Attitudes And Behaviors, Margo Leavitt

The Eleanor Mann School of Nursing Undergraduate Honors Theses

Are future nurses equipped to manage the nursing environment and set an example for their patients through personal health promotion practices? Nursing education can cause significant stress that negatively impacts nursing students’ health behaviors. In addition, the college years are an important period for the development of health habits with long-ranging effects on individuals’ health outcomes. The purpose of this study is to evaluate whether Eleanor Mann School of Nursing Baccalaureate students demonstrate changes in their self health-promoting attitudes and behaviors related to the unique demands of nursing education. A cross-sectional survey format was used to evaluate health behaviors, measured …

Tiny Tusks Internship And Electronic Application Use Among Breastfeeding Mothers, Amanda Herman

The Eleanor Mann School of Nursing Undergraduate Honors Theses

The United States (U.S.) lags behind most of the world in terms of breastfeeding rates despite all the research supporting the numerous benefits for both mother and baby. That said, the majority of the U.S. population also utilizes mobile health and internet for information on health illnesses and promotion. This paper synthesizes available statistics concerning mobile application usage and breastfeeding mothers. The objective was to determine why apps are utilized, general opinions of the apps, and the benefits and drawbacks of using such technology.

Antibiotic Durations For Skin And Soft Tissue Infections In Pediatric Urgent Care Clinics, Megan Hamner, Amanda Nedved, Holly Austin, Donna Wyly, Alaina N. Burns, Diana King, Brian R. Lee, Rana El Feghaly

Posters

Background: Skin and soft tissue infections (SSTIs) are the second most common diagnosis leading to pediatric antibiotic prescriptions in the outpatient setting after respiratory diagnoses. However, most antibiotic stewardship programs have mainly focused on the latter. Children seen in the ambulatory setting for SSTIs often receive >7 days of antibiotics, although current society guidelines recommend 5-7 days for most diagnoses.


Objective: To determine the baseline percentage of patients receiving antibiotic prescriptions for >7 days for SSTIs in urgent care clinics (UCC)s of a pediatric health system and to evaluate factors that influence providers towards longer durations.


Design/Methods: We built a …

The Effects Of A Novel Quarterly Cpr Training Program On Hospital Basic Life Support Providers' Adult And Infant Cpr Skills, Alex Klacman

Nursing Dissertations - Archive

This article-based dissertation consists of two manuscripts related to the effects of a novel quarterly cardiopulmonary resuscitation (CPR) training program on hospital basic life support (BLS) providers’ adult and infant CPR skills over time at one hospital in Texas. The first manuscript was a retrospective cohort study of 109 BLS providers enrolled in the training program at the study hospital who completed four quarters of adult CPR skills with audiovisual feedback between January 1, 2017, and December 31, 2018. The primary purpose of the study was to examine the effect of the training program on BLS providers’ ability to obtain …

Trajtimi I Rasteve Abuzuese Me Substanca Psikoaktive Ne Ipfk Nga Viti 2015-2018, Editë Selmanoviq

Theses and Dissertations

Hyrja

Kapitulli i hyrjes ka për qellim që të sqaroj termin substance psikoaktive si dhe sqarimin dhe kuptimin e këtij termi. Në pjesën tjetër janë të paraqitura llojet e e substancave psikoaktive në mënyrë që të bëhet sa më e qartë sqarimi i termit substance psikoaktive si dhe kuptimin e thelbit të tyre dhe se çka janë ato.

Shqyrtimi i Literaturës

Në këtë kapitull janë të renditura në mënyrë sistematike dhe të detajuar e gjith literatura e cila është përdorur në këtë punim seminarik.

Deklarimi i Problemit

Ky kapitull përmban në vetë të gjitha pasojat që sjellin abuzimet me substance …

Kujdesi Infermieror Tek Pacientet Me Depresion Postpartal Dhe Mbeshtetja Për Nënat E Reja, Qendresa Blakaj

Theses and Dissertations

Depresioni pas lindjes zakonisht shfaqet në muajt e parë pas lindjes. Shkaku i saktë që e shkakton atë nuk dihet por duket se pamja e tij lidhet me ndryshimet hormonale gjatë dhe pas lindjes. Rrethana të tjera të tilla si shtatzënia e padëshiruar, mungesa e mbështetjes familjare ose probleme financiare, ndër të tjera, mund të rrisin rrezikun e vuajtjes nga depresioni.

Qëllimi kryesor i këtij hulumtimi është evidentimi i rëndësisë së diagnoztikimit, ndërhyrjes dhe trajtimit në kohë të depresionit postpartum, duke evidentuar maksimalisht stigmat dhe nxitur nënat e reja që të drejtohen tek profesionisti nëse ata mendojnë se po përjetojnë …

Roli I Infermieres Në Kujdesin E Fëmijëve Me Herni Inguinale, Rajmonda Balaj

Theses and Dissertations

Hyrje:Hernia është një gjendje në të cilën një organ ose një pjesë e organit depërton në një hapësirë tjetër të trupit përmes një pike të dobët ose përmes një defekti. Hernia inguinale shfaqet në regjionin inguinal. Te femijet hernia inguinale është e tipit indirekt që nënkupton se organet abdominale (më së shpeshti zorrët) lëshojnë hapësirën abdominale përmes kanalit inguinal dhe dalin nën lëkurën e regjionit inguinal ose ne skrotum.

Qëllimi i studimit: Ky studim ka pasur për qëllim evidentimin e rolit dhe rëndësisë së kujdesit infermieror tek fëmijët me hernie inguinale. Perkujdesja, këshillat prindërve, përgatitja preopratore, menaxhimi i …

Menaxhimi Dhe Kujdesi Infermieror Tek Pacientët Me Stres Dhe Depresion, Fatlinda Qetaj

Theses and Dissertations

Shëndeti mendor është një nga treguesit më të rëndësishëm shëndetësor që shkakton sëmundshmëri të konsiderueshme. Sipas raportit të Organizatës Botërore të Shëndetësisë (OBSH) në vitin 2008, një në pesë të rritur përjetuan çrregullime mendore një vit më parë dhe 29.2% kishin një histori të sëmundjeve mendore gjatë jetës së tyre. Barra e çrregullimeve mendore vazhdon të rritet me ndikime të rëndësishme në shëndetin jo vetëm mendor të njeriut por edhe atë fizik.

Ky studim, ka patur për qëllim hulumtimin e menaxhimit dhe kujdesit infermieror të nevojshëm tek pacientët me stres dhe depresion.

Metodologjia e përdorur për realizimin e këtij studimi …

Lëvizjet E Artit-Minimalizmi, Blerina Kameri

Theses and Dissertations

Ky studim ka për qëllim fitimin e njohurive të reja rreth temës së përzgjedhur, si shkak që koleksioni i përzgjedhur të përcjelli mesazhin e duhur. Njohja e historikut të lëvizjeve të artit përkatësisht’’ Minimalizmi’’, mënyra se si kanë evoluar që nga koha e kaluar e deri më sot, përshkrimi i minimalizmit na jep mundësinë që të përjetojmë atë kohë dhe pse vetëm në mendjet tona. Sot, minimalizmi zë vend të rëndësishëm në kulturën dhe artin e një vendi. Në mënyrë që të kuptojmë se si ndodhi ky fenomen i rëndësishum kulturor, është e rëndësishme të kuptojmë origjinën, të hulumntojmë evolucionin …