Nursing Commons^™

Relationship Between Nurses’ Readiness And Institutional Readiness In Developing Nursing Career Paths In Public Health Centers, Tuti Afriani, Rr. Tutik Sri Hariyati, Dyah Fitri Wulandari

Jurnal Keperawatan Indonesia

Nursing career paths in public health centers have not been well established compared with nurses in hospitals. It is because the nursing career path has a different organizing system, which then becomes an obstacle in implementing the career path for nurses in primary health care. Therefore, this study aimed to identify the relationship between institutional and nurses’ readiness in implementing nursing career paths within public health centers. A cross-sectional study design with questionnaire as instrument was used in this research. A consecutive sampling technique was used to select 93 nurses from 13 public health centers. Furthermore, to identify the objective …

Patient Characteristics Related To Phlebitis In The East Coast Of Peninsular Malaysia Hospital, Azlina Daud, Fatimah Mohamad

Jurnal Keperawatan Indonesia

The insertion of peripheral intravenous catheters (PIVCs) is common for treatment among hospitalized patients. However, this procedure usually fails before the end of therapy because of several complications, including phlebitis. Therefore, this study aimed to determine the incidence and associated factors of phlebitis among patients with PIVC. A prospective cohort study was conducted in one of the hospitals located in East Coast Malaysia. The presence of phlebitis was assessed using the visual infusion phlebitis score checklist. The patients were followed until PIVC removal. A total of 321 data were collected among patients who received a new PIVC in the medical, …

Implementing Modern Management In Nursing, Ashley E. Hall

MSN Capstone Projects

Throughout the recent years, there has been occurrence of massive nursing shortages across the country. While there are many explanations as to why these shortages could be occurring, one very common explanation is that of poor leadership. As it now stands, the training for new leaders is a “trial by fire” style of orientation. New leaders either have a short training period consisting of minor introductions and gathering of various system access, or no training for their new position whatsoever. This style of orientation leads to poor outcomes for the leader as well as the team they are put in …

Prehabilitation Prior To Cabg, Casey Bunker, Neil Peterson

Student Works

Background and Purpose: Globally, coronary artery disease (CAD) affects 126.5 million adults. To decrease mortality, coronary artery bypass graft (CABG) surgeries are often performed. CABGs have inherent risks such as financial burden, physical complication, and emotional stress. Cardiac rehabilitation programs help decrease complications postoperatively. However, few interventions are performed preoperatively. Prehabilitation (prehab) programs have been created to address this gap in other types of surgeries. Prehab is the purposeful implementation of physical activity before a procedure to improve perioperative outcomes. Prehab prior to CABG has not been well studied previously. Furthermore, it is unknown if families should support a sedentary …

Implementation Of An Evidence-Based Practice Discharge Medication Protocol For Heart Failure Patients To Reduce 30-Day Readmissions, Dawn Onstott

Student Scholarly Projects

Practice Problem: An estimated 6.5 million American adults ≥20 years of age have heart failure (HF) and worldwide 1 to 2% of the total healthcare budget is spent on HF. To improve outcomes and streamline the treatment of HF patients, The American Heart Association (AHA) joined with the American College of Cardiology (ACC) and created the Get With The Guidelines Program (GWTG).

PICOT: The PICOT question that guided this project was in adult HF patients admitted to the cardiovascular unit under the care of the hospitalist service, does implementing an evidence-based practice (EBP) discharge medication protocol for physician use …

Benefits Of Delayed Cord Clamping, Madison Martin, Chloe Robertson

Scholars Week

Our evidence-based practice project focuses on the benefits of delaying cord clamping. To guide our research, we used Sister Castilla Roy’s Adaptation Model of Nursing. Our research we used supports that delaying cord clamping is best for not only the baby, but also for the mother as well. We believe that a policy on delayed cord clamping should be implemented in order for health and adaption goals to be met.

Therapeutic Communication In Nursing Care, Evidence Obara

Scholars Week

nursing care, therapeutic communication, implemented policy.

Mental Health Of Children And Adolescents Amidst Covid-19 And Past Pandemics: A Rapid Systematic Review, Salima Meherali, Neelam Punjani, Samantha Louie-Poon, Komal Abdul Rahim, Jai K. Das, Rehana A. Salam, Zohra S. Lassi

School of Nursing & Midwifery

Background: The COVID‑19 pandemic and associated public health measures have disrupted the lives of people around the world. It is already evident that the direct and indirect psychological and social effects of the COVID‑19 pandemic are insidious and affect the mental health of young children and adolescents now and will in the future. The aim and objectives of this knowledge-synthesis study were to identify the impact of the pandemic on children's and adolescent's mental health and to evaluate the effectiveness of different interventions employed during previous and the current pandemic to promote children's and adolescents' mental health.
Methodology: We conducted …

Association Of Erectile Dysfunction With Tinnitus: A Nationwide Population-Based Study, Yen-Fu Cheng, Sudha Xirasagar Mbbs., Ph.D., Nai-Wen Kuo, Shiu-Dong Chung, Herng-Ching Lin

Publications

With many previous studies indicating a higher prevalence of sexual problems in patients with tinnitus, the association between tinnitus and erectile dysfunction (ED) has become an interesting topic that warrants further research. In our study, we hypothesized that tinnitus may be associated with ED and aimed to further explore the relationship between these two medical conditions using a nationwide population-based database. After retrieving data of 19,329 patients with ED and 19,329 propensity score-matched patients without ED (controls) from Taiwan's National Health Insurance Dataset, we defined the diagnosis date (the date of the first ED claim) for patients with ED as …

Negative Marital Interaction, Purpose In Life, And Depressive Symptoms Among Middle-Aged And Older Couples: Evidence From The Health And Retirement Study, Elliane Irani, Sumin Park, Ronald L. Hickman Jr.

Faculty Scholarship

Objective: Negative marital interaction and purpose in life have been associated with depressive symptoms. Yet, these associations have not been fully explored in a dyadic context. This study examines the actor (intra-individual) and partner (cross-spousal) effects of negative marital interaction on depressive symptoms in couples and the potential mediating role of purpose in life. Methods: Data came from 1186 heterosexual married couples who participated in the 2016 (T1) and 2018 (T2) waves of the Health and Retirement Study and completed the psychosocial questionnaire in 2016. Structural equation modeling was used to estimate the direct and indirect associations among T1 negative …

Effectiveness Of An Educational Intervention On Lgbtq Clinical Competence Among Undergraduate Nursing Students, Taylor Hall

Doctor of Nursing Practice (DNP) Translational and Clinical Research Projects

Persons who identify as lesbian, gay, bisexual, transgender, and queer (LGTBQ) are at increased risk for poor health outcomes. LGBTQ patients have higher incidences of poor health outcomes due to fear of mistreatment, bias, and stigmas. More education and training for healthcare professionals are needed regarding LGBTQ patients' care to change this patient population's current trend. The project implemented an educational intervention consisting of a learning module and panel discussion. The sample included 63 undergraduate nursing students at a rural central Georgia university. The project was a quantitative research design with pretest and posttest quantitative data. Written reflections from students …

Levels And Predictors Of Self-Care Among Patients With Hypertension In Pakistan, Khairulnissa Ajani, Ambreen Gowani, Raisa B. Gul, Pammla Petrucka

School of Nursing & Midwifery

Background: Globally, hypertension is the leading non-communicable disease and strongest predictor of cardiovascular diseases. To mitigate and prevent hypertension-related complications, self-care behavior adaptation has proven to be vital. In this study, we examined the six clinically prescribed levels of self-care as prescribed by the Seventh Report of the Joint National Committee on Prevention, Detection, Evaluation and Treatment of High Blood Pressure and its predictors among a select sample of hypertensive individuals in Karachi, Pakistan.
Methods: This study reports the cross-sectional survey of a sequential mixed method study which assessed the levels of self-care of hypertensive individuals residing in an urban …

The Presence Of Spirituality And Its Effect On Attitudes Towards Death, Isabel F. Cortez

Honors College Theses

ABSTRACT

Rationale Implementing spirituality practices in healthcare is not heavily emphasized yet has the potential to increase positive patient outcomes.

Hypothesis If an individual identifies with having a strong sense of spirituality, then they will have decreased negative reactions towards dying.

Methods Data was collected via distribution and processing of surveys on the Statesboro campus of Georgia Southern University. The survey included a series of questions regarding general demographics, strength of spirituality, feelings associated with death, and coping ability. The information collected was processed through SPSS in order to evaluate correlations present.

Results It was found that individuals who indicated …

Does Religious Belief Affect Attitudes Towards Mental Illness?, Robert B. Conway

Honors College Theses

There has been an increase in recent years in the effort to raise awareness of mental health issues, particularly suicide. However, awareness does not equate to understanding and there has been little in the way of public education. One of the biggest obstacles faced by those suffering from a mental illness is the public stigma associated with it. Given the high percentage of the population in the South who identify as being religious, this study looked at the relationship between religiosity and public stigma towards mental illness. Two hundred forty-two university students drawn from undergraduate biology and nursing classes completed …

Using Quality Improvement (Qi)-Focused Evaluation To Redesign Direct Home- And Community-Based Services During The Covid-19 Public Health Emergency:, Marcia Moriarta, Anthony Cahill, Heidi Fredine

Developmental Disabilities Network Journal

Like many UCEDDs in the Developmental Disabilities (DD) network, the Center for Development and Disability at the University of New Mexico offers direct service programs in home and community settings. Before the start of the COVID-19 pandemic, services were delivered in-person to about 1,000 families across the state including clients with intellectual or developmental disabilities and/or from at-risk communities. In March 2020, due to the spread of COVID-19, a public health emergency was declared in New Mexico and home and community services were stopped throughout the state. This meant direct service programs at the Center had to turn to telehealth …

Wound Care Nurses Becoming Quitline Providers And Teaching Patients About Smoking Cessation And Nicotine Replacement Therapy, Hannah Gilbert, Lakyn Rye

Scholars Week

Our evidence-based practice project focuses on wound care nurses becoming Quitline providers and teaching patients about smoking cessation and nicotine replacement therapy. To guide our research, we used Florence Nightingale’s Environmental Theory. Smoking is a modifiable risk factor that is a part of the patient’s environment. Our research we used supports that smoking can affect wound healing. We believe that wound care nurses should be trained in smoking cessation and nicotine replacement therapy prescribing to be an advocate to patients and their journey to wound healing.

Tracheostomy Education For Pediatric Patients And Parents, Jonathon Batts, Kendall Baker

Scholars Week

To begin this project, we found that this specific facility did not have proper education given to parents about pediatric tracheostomies. Pediatric patients with tracheostomies are a very delicate population that requires extensive, round the clock care. We were able to establish a theoretical framework with Orem’s Self-Care theory that matched very well with our topic, and finally we were able to find research articles that looked at this patient population specifically. The need for a tracheostomy in pediatric patients can lead to extreme anxiety in patients and parents. Our recommendations for this facility would be to implement the “Trach …

James's Choice: Treating An Infant With Craniosacral Therapy (Cst), Veronica Quarry

Journal of Transformative Touch

No abstract provided.

Implementing Interdisciplinary Team Rounding To Reduce External Ventricular Drain-Associated Infections, Laura Reiter

Student Scholarly Projects

External ventricular drains (EVD) are a common intervention in critical care areas for the management of hydrocephalus. The most common complication of this life-saving intervention is infection, which negatively impacts patient outcomes and overall healthcare costs. Current evidence shows that interdisciplinary team rounding improves compliance with evidence-based practice and reduces hospital-associated infection rates. The PICOT question that guided this project is: For patients with an external ventricular drain (EVD), what is the effect of interdisciplinary team rounding compared with the current practice of informal rounding, on compliance with an EVD care bundle and EVD-associated cerebrospinal fluid infections over two months? …

Mentoring Program For New Graduate Nurses, Kathryn Palermo

Student Scholarly Projects

Practice Problem: The high turnover rate among newly licensed nurses has a negative impact on organizational costs, healthcare spending and patient outcomes. The turnover rate among newly licensed nurses, within their first year of practice, at the designated facility was 50%.

PICOT: The PICOT question that guided this project was “In new graduate nurses, how does a formal mentorship program, compared to no formal mentorship, affect the intent to leave within six weeks?”

Evidence: The scientific evidence supported both one-on-one and group mentoring. Retention and/or turnover was shown to be a positive outcome of formal mentor programs.

Intervention: The …

Nursing Instructors’ Experiences During Covid-19, Vonda Hammons Boone

Journal of Interprofessional Practice and Collaboration

Abstract

COVID-19 came with a vengeance to the southern U.S. and had a significant impact on higher education. Both students and faculty were greatly affected. There was a rush to transform on-campus classes to online formats. Many faculty and students who lived in rural areas or where internet speeds were slow or without internet, scrambled to obtain service. This made engaging in online classes difficult and in some cases impossible. Additionally, issues arose with the use of different programs and with trying to put classrooms into an electronic format such as moving classroom lectures to Kaltura™, learning how to load …

Joining Forces: A Response To Limited Clinical Sites During The Covid-19 Pandemic, Katherine Dixon, Leah Hawsey, Jan Shows, Candace Gandy

Journal of Interprofessional Practice and Collaboration

Students who are unable to attend Pediatric clinical during the COVID-19 Pandemic needed an alternative method to meet the clinical objectives of the nursing curriculum. Utilizing semester-five management students to implement a simulation activity with the semester three pediatric students allowed the opportunity to simulate clinical experiences and develop interpersonal, clinical, and professional skills. Allowing the semester five students to pre-brief, implement, debrief, educate and mentor the semester-three pediatric students allowed the students to meet their course objectives and develop skills in patient-centered care, safety, informatics, documentation, delegation, education, and mentoring.

The Challenges And Successes Of Teaching In A Pandemic - A Nursing Faculty Commentary, Katie Daigle

Journal of Interprofessional Practice and Collaboration

The purpose of this paper is to discuss alternative teaching methods, specifically those used for nursing clinical instruction during the abrupt transition to the online environment during the COVID-19 pandemic.

Belongingness In The Clinical Setting In Baccalaureate Nursing Students: A Comparative, Descriptive Study, Denise T. Leblanc

Journal of Interprofessional Practice and Collaboration

Belonging, or the need to feel wanted and connected, is vital to student learning (Levett-Jones, Lathlean, Higgins, & McMillan, 2009a). The presence or absence of a sense of belongingness within clinical placements of students enrolled in a Bachelor of Science in Nursing (BSN) program was examined. Gender, age, and level of program were examined for relationships with belongingness. A comparative, descriptive study was performed utilizing the Belongingness Scale Clinical Placement Experience (BES-CPE), a 34-item Likert scale questionnaire. The BES-CPE was disseminated via Qualtrics survey software to Level I, Level II, and Level III BSN students. There was no statistically significant …

Preventing Insulin Storage And Administration Errors, Makena Reddick

Scholars Week

■The research problem was discovered when nurses were observed storing and administering insulin improperly. The objectives of this project were to find the correct policies for these procedures, obtain research that backed these policies, and present this information to nurses to create a safer habit. In researching, it was found that reducing the physical distance between a person completing work and the materials required to do so increased compliance (Gibbs & McLernon, 2017). In a second study, the delivery of safe, effective and high-quality care for patients with diabetes in the community is dependent upon (district) nurses having appropriate knowledge …

Prevention Of Pressure Ulcers, Lauren Venegoni, Jordan Daugherty

Scholars Week

Pressure ulcers are one of the most common challenges all healthcare settings face. Since this is such a prevalent issue in all of nursing, proper interventions need to be put in place to prevent an occurrence. Utilizing risk assessment tools, early mobilization, repositioning, preventive skin care measures, good nutrition, and prophylactic dressings are just a few ways in which nurses can prevent PUs. There is emerging research on the use of silicone dressings in conjunction with other preventive measures that need to be taken in order to improve patient outcomes.

Improving The Care Of Children With Diabetes In School Through Staff Education, Taylor Mckendree, Gina Piscatelle

Scholars Week

Background: Diabetes is a growing problem in the United States. The number of school-aged children with diabetes is increasing annually. Diabetes is a disease that requires ongoing management throughout the day. Since children spend a large portion of the day at school, it is imperative that all school staff are educated about the care and management of diabetes.

Results: Research has indicated that non-medical school staff lack knowledge and are not confident in the management of diabetes. There has also been research conducted on ways to improve school staff education through policies, presentations, and eLearning materials. The material presented to …

Naloxone In Schools, Aleece M. Passman, Emily Weber

Scholars Week

All across the world there is an opioid epidemic taking place that can affect any one person. It does not discriminate by age, gender, or ethnicity. Knowing this information, one group is greatly at risk and that is the school aged population. Teenagers are focused on wanting to fit in with peers, and are easily affected by peer pressure. This puts them at an increased risk for experimenting with drugs. This information pushed us to research about policies in place in school systems to help fight the epidemic. In 2017 2.2 million people of ages 12-17 were illicit drug users …

Mask Etiquette For Nurses During A Pandemic: N95 Respirators Vs. Surgical Masks, Haylee Shevlin, Carlin Jones

Scholars Week

Healthcare personnel are blatantly exposed to COVID-19 while at work. Incorrect PPE, inaccurate donning and doffing of PPE, and improper disinfection of masks for reuse is contributing to exposure of not only COVID-19, but other respiratory illnesses too. Throughout this presentation there is information as to when surgical masks and N95 respirators should be used as well as the correct procedure for donning and doffing of both masks. Proper disinfection for the reuse of both masks during a PPE shortage is also included.

Key words: N95 respirator, surgical mask, COVID-19, PPE

Evidence-Based Practice: Delaying Infant Bathing, Gabrielle Wadle, Grace Frankland

Scholars Week

A hospital's policy regarding infant bathing is currently not congruent with best nursing practice. The hospital’s current policy is to bathe an infant once they are stable and their rectal temperature is at or above 98.6 °F. Although the infant may become stable within the first 24-hours of birth, the World Health Organization recommends that, “Bathing should be delayed until 24 hours after birth.” (2013, p. 4). Research has been completed to support delaying infant bathing until 24 hours post-delivery, suggesting potential modifications to current policy.