Nursing Commons^™

Testing The Effects Of Two Field-To-Fork Programs On The Nutritional Outcomes Of Elementary School Students From Diverse And Lower-Income Communities, Kimberly R. Hartson, Kristi M. King, Carol O'Neal, Aishia Brown, Toluwanimi Olajuyigbe, Shakeyrah Elmore, Angelique Perez

Faculty and Staff Scholarship

The purpose of this quasi-experimental study was to evaluate the effects of two farm-to-school programs, specifically the Field-to-Fork Multi-visit Program (N  =  264) and the Field-to-Fork After-school Club (N  =  56), on nutritional outcomes of elementary school students (third to fifth grade) from urban, diverse, and lower-income communities. Data were collected via self-report surveys measuring: (a) knowledge of recommendations for daily fruit and vegetable intake; (b) fruit and vegetable consumption; (c) knowledge of cooking a healthy recipe using vegetables; and (d) desire for farm fresh foods at school. Statistical analyses included McNemar’s and Wilcoxon signed rank tests. The …

The Right Premtm: Rasch Analysis Of A New Patient Reported Experience Measure For Use By Older People In Hospital, Louise Heuzenroeder, Jyoti Khadka, Alison Kitson

Patient Experience Journal

Healthcare rights exist to protect older people from harm and to empower older people to participate in their care with independence, choice and control. Multiple investigations revealing abuse provide evidence that older people’s rights are being breached. Older people must have the opportunity to report on their experience of care against their rights. The Right PREM^TM is a new instrument designed to measure older people’s experience of care against their healthcare rights. The objective of this cross-sectional validation study was to assess the psychometric properties of a new instrument to measure the experience of care consistent with the healthcare …

Integrated Onboarding: Synchronous Teaching To Prepare Learners For Successful Orientation, Nicole Wiswesser Msn, Rn, Cmsrn, Kathleen L. Chenard Msn, Rnc-Ob, Elizabeth A. Posasinski

Department of Education

No abstract provided.

A Standardized Orientation For Newly-Licensed Nurses And Preceptors In The Emergency Department, Judith Baker Bsn, Rn, Michelle Greis Bsn, Rn, Cen, Reza Armaghan Msn, Rn, Cen, Phrn

Department of Emergency Medicine

No abstract provided.

Catastrophic Antiphospholipid Syndrome (Caps) – A Case Report, Belisha Dmello, Latha T. Bhat, Barkur Ananthakrishna Shastry

Manipal Journal of Nursing and Health Sciences

Catastrophic antiphospholipid syndrome is a rare disease with positive antiphospholipid antibodies that progresses to a life-threatening condition resulting in multiple organ dysfunction and thromboses. Here is a 19-year young woman who presented to the emergency room in a haemodynamically unstable condition requiring immediate mechanical ventilator support. She had involvement of the disease in the respiratory, cardiovascular, renal, and central nervous systems. She also developed gangrene of the left toes for which amputation was done. She was successfully treated with Dexamethasone Cyclophosphamide Pulse (DCP) therapy. The collaborative care by the health team members in the intensive care unit was successful in …

Mayer Rokitansky Kuster Hauser Syndrome: A Case Of Mullerian Agenesis, Anu Baby, Simi Kurian, Rani Jose

Manipal Journal of Nursing and Health Sciences

Developmental anomalies of the Mullerian duct are one of the fascinating congenital disorders encountered in which Mayer Rokitansky Kuster Hauser syndrome (MRKH) is one of the wide variety of malformations. The most common presentation in MRKH syndrome is primary amenorrhea with normal development of secondary sexual characteristics and normal female karyotype (46, XX). The ovaries and fallopian tubes are usually functional, but the uterus and upper two-third vagina are either underdeveloped or absent. MRKH syndrome can either be an isolated utero-vaginal aplasia (Type I) or associated with extragenital anomalies (Type II). A case of Type I MRKH syndrome is reported …

Assessment And Oral Care: An Essential Nursing Activity For Patients Receiving Cancer Treatment, Radhika R. Pai, Ravikiran Ongole, Sourjya Banerjee

Manipal Journal of Nursing and Health Sciences

Head and neck radiation therapy and chemoradiation are inherently associated with severe oral complications such as oral mucositis, infection, and functional issues of the oral cavity, significantly affecting the quality of oral cavity health in cancer patients. Oral care in cancer patients is a vital part of nursing care but can be seen as a most neglected job, along with other duties or a tedious task to undertake. Recognizing the effect of cancer treatment and delivery of oral care as per the specific guidelines to cancer patients is not well known, and it is not clear. Literature review reports that …

Effect Of Empowered Female Labour Companion On Anxiety, Birth Outcome, And Maternal Satisfaction Among Primiparturients, Jisha C, Sreeja G. Pillai

Manipal Journal of Nursing and Health Sciences

Labour companionship is a core element of care for improving maternal and infant health outcomes and providing respectful maternity care for a positive childbirth experience.Objective: Evaluate the effect of empowered female labour companion on anxiety, birth outcome and maternal satisfaction among primiparturients. Methods: Quantitative approach with Quasi-experimental non-equivalent control group post-test only design was used to collect data from 34 (Experimental group-17, Control group-17) primiparturients selected by consecutive sampling technique from the labour room of Govt. Medical College Hospital, Kannur. Data was collected using an interview schedule, labour specific anxiety scale, maternal satisfaction scale and birth outcome observation record, and …

Indian Healthcare System: Reflections Of Swedish Nursing Students, Elisabeth Mangrio

Manipal Journal of Nursing and Health Sciences

Internationalization within nursing programs is essential to provide nurses with cultural competence and for nursing students to gain an international perspective. It has also been shown to be effective to gain a cultural understanding. This paper aims to illuminate and explain the experiences that Swedish nursing students had while they engaged in clinical training during an exchange program in India and to provide a comparison between the health service in both countries. Nursing students from Sweden did a four-week clinical placement within the primary healthcare in India in 2020. During the clinical placement, which consisted of a variety of healthcare …

Menstrual Pattern, Practices, Problems And Its Impact On Activities During Menstruation Among Adolescent Girls At Chennai, India, Prema Janardan, R Sudha

Manipal Journal of Nursing and Health Sciences

A descriptive correlational study was undertaken to assess the menstrual pattern, practices, problems, and its impact on activities during menstruation among adolescent girls. Total of 123 adolescent girls were selected by using the non-probability convenience sampling technique. Demographic proforma and self report checklist was used to collect the data.The results revealed that the majority of the adolescent girls had a partially abnormal menstrual pattern and all used sanitary napkins as absorbent. The majority had reported some problems during menstruation with dysmenorrhea being the predominant one and had reported some impact on the activities during menstruation with special reference to absenteeism …

Effectiveness Of Mirror Therapy On Upper And Lower Limb Function Among Stroke Patients With Hemiparesis, Silpa C

Manipal Journal of Nursing and Health Sciences

Introduction: The upper and lower limb function impairment remains an undesirable consequence followed by a stroke that increases activity limitation. Objective: To find the effectiveness of mirror therapy on upper and lower limb function among stroke patients with hemiparesis admitted at Govt Medical College, Kannur. Methods: Quasi experimental, non-equivalent control group pre-test post-test research design was used among 24 stroke patients with hemiparesis who met inclusion criteria by using consecutive sampling technique and allotted to both experimental (n=12) and control group (n=12). Mirror therapy was administered to the experimental group daily for two weeks. A semi-structured interview schedule and Fugl-Meyer …

Effectiveness Of Video-Assisted Teaching On Awareness (Knowledge And Attitude) Towards Mental Illness Among Public, Vinisha Almeida, Nanda Kumar Paniyadi, Asha K. Nayak

Manipal Journal of Nursing and Health Sciences

Introduction: Knowledge and attitude of mental illness affect behaviour tremendously. The attitude of people towards mental health problems are negative, condemned, ignorant, and apprehensive. Objectives: To assess the effectiveness of video-assisted teaching (VAT) on knowledge and attitude of the public towards mental illness. Methods: A quantitative, pre-experimental one-group pre-test post-test design was used among 80 people using a judgmental sampling technique. For data collection, a knowledge questionnaire and an attitude scale were developed. An appropriate VAT was developed that was administered as an intervention. The intervention was done after four weeks and the effectiveness of the program was assessed by …

Systematic Review Protocol Examining The Effect Of Prefeeding Oromotor Stimulation On Preterm Neonate’S Feeding Outcomes, Suvarshi Sasmal, Asha P. Shetty

Manipal Journal of Nursing and Health Sciences

Introduction: Feeding difficulty is a common problem among preterm babies as sucking-swallowing and breathing coordination matures by 32-34 weeks of postmenstrual age. There is a growing consensus among healthcare providers worldwide that oromotor stimulation influences feeding outcomes of preterm babies, but limited evidence influences its clinical applicability. Objectives: To critically appraise the available evidence on the effect of prefeeding oromotor stimulation (OMS) on preterm neonate’s feeding outcomes. Methods and analysis: This review will include only randomized controlled trials (RCTs). Electronic databases will be searched from January 2000 to December 2019. Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines (PRISMA) …

Patient Satisfaction Towards Nursing Care In General Wards Of Tertiary Care Hospital Of Eastern India, Nanda Kumar Paniyadi, Asha P. Shetty

Manipal Journal of Nursing and Health Sciences

Patient satisfaction is one of the elements of determining the care provided as a desirable outcome of clinical care in the hospital. A patient’s expression of the care received is considered an important indicator regarding the quality of hospital care in all of its aspects. Indian nurses need to be aware of the importance of patient satisfaction and their role in providing need-based care. Objective: To identify patient satisfaction towards nursing care. Methods: A descriptive study design with a stratified sampling technique was used. The data was collected from 350 patients aged between 18-65 years at general wards of tertiary …

The Satisfaction Of Nursing Care Among Traumatic Brain Injury Patients: Cross-Sectional Study, Sivakami S, Kanitha D

Manipal Journal of Nursing and Health Sciences

Nursing services are considered as one of the most important components of hospital services. Quality nursing care adds to the overall satisfaction of patient hospitalization experience. Patient satisfaction is one of the indicators in determining the quality of care in healthcare settings. Objectives: To assess the level of satisfaction on nursing care among traumatic brain injury patients and associate the level of satisfaction on nursing care with their sociodemographic variable. Method: A descriptive research design was adopted to study the satisfaction of nursing care among traumatic brain injury patients in a selected setting. A non-probability convenience sampling technique was used …

Implementation Of The National Early Warning Score Tool In The Acute Care Setting, Amanda Reyes

Student Scholarly Projects

Practice Problem: The organization arbitrarily called a rapid response or code blue call based on abnormal vital signs or intuition and needed a new process to identify early recognition of patient deterioration.

PICOT: For adult inpatients in an acute care setting in a large healthcare system (P), will implementation of the National Early Warning Score (NEWS) across the organization (I) compared to data from the last fiscal year where NEWS was not used (C) decrease code blue calls (O) within 8-weeks (T)?

Evidence: Eleven high quality studies met the inclusion criteria and found that the NEWS is a validated …

Evaluation And Implementation Of A Video Intervention To Increase Adherence In A Rural Phase Ii Cardiac Rehabilitation Program., Holly Yahyawi

Doctor of Nursing Practice Papers

Background: In the U.S., heart disease affects over 30 million adults and is the leading cause of death. Cardiac rehabilitation (CR) decreases cardiac hospital readmissions, decreases the risk of additional cardiac events, and increases life expectancy. Environment: This project was implemented at a CR program which serves rural Indiana and Kentucky counties. Purpose: This QI project uses a Plan-Study-Do-Act framework to evaluate patient adherence to a rural CR program, implement a video intervention for patients, and measure patient’s perceptions. Procedures: CR patients watched four videos describing what CR is, what to expect at CR, CR benefits, and a patient CR …

Evaluating Quality Of Life And Participant Satisfaction In A Cancer Support Community Yoga Program., Lauren Topp

Doctor of Nursing Practice Papers

Purpose: The purpose of this EBP project was to evaluate program processes and outcomes of an established cancer support community yoga program for persons impacted by cancer and explore the impact of the program on quality of life (QoL) in persons with cancer.

Design: This project was a quality improvement project with a pre-test/post-test design. QoL was explored through the EROTC QLQ C30 questionnaire. Descriptive and explorative methods were conducted through a survey of participants’ satisfaction with the yoga program. Feedback for future improvements around QoL services were provided.

Methods: Members of Gilda’s Club (440 persons) received an …

The Black Church, Social Media, And Vaccine Hesitancy: A Program Evaluation Of A Virtual Town Hall Meeting Intended To Educate, Empower And Expedite Covid-19 Vaccine Uptake Intent Among Black Americans., Nina Johnson

Doctor of Nursing Practice Papers

Background: Vaccines are among the most important public health interventions of the 20th century saving millions of lives each year. Notwithstanding, the United States has seen a growing resistance to vaccinations since the late 1990s. Vaccine hesitancy (VH) is a delay or decline to accept vaccines, despite the available of safe and effective vaccines (WHO, 2019). Combatting VH in Black communities is especially challenging, complex, and multifaceted due to an elevated sense of medical mistrust from persistent racial discrimination, injustices and medical malfeasance. The current coronavirus-19 disease (COVID-19) pandemic has further magnified the intersection of this structural racism, the associated …

Implementation And Evaluation Of A Quality Improvement Project To Increase Tdap Vaccination Rates For Primary Caregivers In The Neonatal Intensive Care Unit., Vickie Winner

Doctor of Nursing Practice Papers

Pertussis (whooping cough) is a highly contagious deadly disease for neonates. The Centers for Disease Control and Prevention (CDC) identifies primary caregivers (anyone caring for the infant in the home environment) as the most common source of neonatal pertussis. The CDC therefore recommends primary caregivers receive a booster tetanus, diphtheria, acellular pertussis (Tdap) vaccine to reduce the transmission of pertussis to neonates. The purpose of this quality improvement (QI) project is to implement and evaluate an intervention to increase Tdap vaccination rates among primary caregivers of NICU patients. The specific aims of this quality improvement project are to 1) implement …

Improving Patient Safety During The Emergency Department Discharge Process With The Use Of Two Patient Identifiers., Hannah English

Doctor of Nursing Practice Papers

Nurses are not always confirming two patient identifiers while conducting a patient discharge, resulting in patient identification errors. This problem has been shown to significantly affect patient safety and satisfaction, decreasing both when errors are made. These errors also have heavy financial and legal consequences on the affected facility and on the discharging nurses, warranting a need for improvement. The purpose of this quality improvement project was to decrease patient-identification errors at discharge by increasing nurse use of two patient-identifiers through the implementation of an education program. This ten-week program involved education sessions that presented evidence-based material specifically focused on …

Perioperative Management Of The Patient With Diabetes Mellitus, Alexa High

Nursing Student Class Projects (Formerly MSN)

Diabetes Mellitus is one of the most prevalent co-morbidities seen in hospitals today. As such, it is extremely important for healthcare providers to be well informed in order to care for their patients properly. This poster will adequately inform healthcare providers on key signs and symptoms, pathophysiology, diagnosis, and treatment for diabetes mellitus. This poster will also include significant information on how to care for the patient with diabetes mellitus during the perioperative period.

Hair Toxicology Testing Among Children Evaluated For Physical Abuse: Evaluation Of A Practice Change., Ashley Dejarnette

Doctor of Nursing Practice Papers

Background: Despite a complete medical evaluation for child physical abuse, many suspected victims have indeterminant findings. The lack of a definitive diagnosis can impede child protection agencies’ ability to protect those children at high risk for abuse, leaving them vulnerable to subsequent injuries and potentially escalating violence by caregivers. Oftentimes, allegations of child physical abuse are accompanied by concerns for substance abuse by the caregiver as well. While we know that children living in homes where caregivers use illicit substances are at substantially higher risk for physical abuse, drug testing children for environmental exposure to illicit substances is not yet …

Mobbing And Job Satisfaction Among Registered Nurses In Mississippi, Brenda Collins

Dissertations

The incidences of mobbing or workplace bullying are a common occurrence among nurses. The practice has been associated with overwhelming and long-standing comprising emotional, psychosomatic, and psychosocial distress. Mobbing (workplace bullying) impacts the target, those close to them, and the organization in which they work. The experience of mobbing produces affective reactions in the target. Affective experiences on the job can impact job satisfaction within organizations. Job satisfaction plays an essential role in sustaining an adequate nursing workforce. Subsequently, some nurses become frustrated and opt for resigning or early retirement when they are no longer satisfied with the culture or …

Respite For Acute Care Nurses With The Use Of A Resilience Room, Marisella Perales

Doctor of Nursing Practice

Background and Significance of the Problem. Nurses are exposed to higher levels of occupational stress in acute care units when compared to other departments within the hospital (Faraji et al., 2019). A qualitative assessment identified a need for resources to be provided for acute care nurses experiencing occupational stress. Purpose. To establish an area for respite and increase nurses’ knowledge about a Resilience Room and a support system to manage occupational stress. Objectives. To educate 75% of acute care nurse on respite care, have 50% of the nurses report utilization of Resilience Room, and increase the nurses use of a …

Improving Pediatric Delirium Prevention To Decrease Pediatric Delirium Prevalence In The Pediatric Intensive Care Units., Kelsie Houchens

Doctor of Nursing Practice Papers

Background: Pediatric delirium has emerged as a common complication of childhood illness in the intensive care setting, with estimated delirium prevalence ranging from 15.9% to 65.6%. Critically ill pediatric patients in the ICU are at risk for pediatric delirium due to modifiable risk factors including mechanical ventilation, sedating medications, physical restraints, and nutrition. In 2019, the pediatric intensive care unit (PICU) in a Kentucky children’s hospital reported only 18 % of chart audits revealed that physicians activated the physician-directed pediatric ICUs Delirium Prevention and Treatment Order Set (DPTOS) on pediatric patients. A quality improvement (QI) project was developed to identify …

Why Targeted Testing Matters: Evaluation Of A Practice Change In Pediatric Ingestion Screening., Emily Neal

Doctor of Nursing Practice Papers

Background: The drug epidemic is plaguing the United States and more Americans than ever have been identified to use illicit substances regularly, including while caring for children. The practice of obtaining a standard urine or serum drug screen is outdated and ineffective in determining if children have been exposed to illicit substances. Often these immunoassay drug screens are negative despite pediatric patients having symptomatic responses to illicit drug exposures. Immunoassay drug screens are not designed for testing in children who are often passively and directly exposed as bystanders to adult drug use in their environment. This means that a “negative” …

4ms Framework For Aging Healthcare, Christine Zaki

Nursing Capstones

Background: At the beginning of the pandemic, primary care clinics in North Dakota (ND) had just a trickle of daily telehealth encounters. Over time, these encounters increased, primarily for the youngest seniors (55 – 70 years old). Due to increased COVID-19 cases among the elderly population in ND, the Geriatric Workforce Enhancement Program (GWEP) allocated a grant to the University of North Dakota (UND) to promote telehealth use in the elderly residing in rural ND and receiving home care through the desired home care agency. This project aims to promote telehealth to reduce exposure to COVID-19 among the geriatric populations …

Using Simulation To Prepare Nursing Students To Care For Covid-19 Patients., Erika Keithley

Doctor of Nursing Practice Papers

Background: The COVID-19 pandemic has impacted the state, nation, and globe resulting in significant death and healthcare strain. To minimize risks associated with potential illness and educational interruptions, nursing students have often been prohibited from caring for COVID-19 patients during clinical experiences. Simulation-based education immerses students in a realistic clinical environment providing a safe learning environment for novice practitioners.

Purpose: The purpose of this project was to implement simulation-based education related to acute care of COVID-19 patients for pre-licensure nursing students. Project objectives included: (a) to educate nursing students on the care of COVID-19 patients; (b) to assess competency through …

Experiences And Perceptions Of People Living With Narcolepsy, Teresa Sellstrom

Nursing ETDs

The purpose of this study was to investigate the experiences and perceptions of persons living with narcolepsy from their perspective. An anonymous, online survey that included both open-ended and structured questions was administered to adults with narcolepsy with or without cataplexy (N = 72; 65 F) recruited through the auspices of the Narcolepsy Network (NN). A total of 69 participants responded to at least one open-ended question about experiences of diagnosis, treatment, and living with the condition. An Interpretive Description approach was used to analyze open ended responses. The major themes included serious medical issues (e.g., misdiagnosis and difficulties with …