Nursing Commons^™

Euthanasia: The Effects On Healthcare Professionals, Nana Bonsu

Epsilon Sigma at-Large Research Conference

Abstract

Introduction and Background: Euthanasia has expanded significantly around the world over the past years. The debate concerning euthanasia has focused on the legalization, complex issues faced by the medical team, and perspective on assisted dying. Euthanasia known as assisted suicide is a deliberate medical procedure of intentionally withholding treatment or withdrawing life-support measures to end the life of a suffering patient.

Purpose Statement: To define euthanasia and its background as well as discuss the psychological and moral effects that surround the subject.

Literature Review: Five articles were selected. Quantitative and exploratory qualitative studies were obtained from …

Pediatric Depression, Emily Farkas

Epsilon Sigma at-Large Research Conference

Abstract

Introduction and Background

Many people in the pediatric population are be brushed off and misdiagnosed when it comes to depression. I decided to research into pediatric depression and how the effects of their peers, parents, and exposure to violence correspond with depression and how it effects their daily life.

Purpose Statement

The purpose of this literature review is to systematically and critically appraise current literature to examine the associations between pediatric depression and sleep issues, exposure to violence, peer relationships, and parental criticism.

Literature Review

For this literature review I gathered a total of 5 articles which are included …

Domestic Violence And Abuse In The Healthcare Setting, Madison Garrett, Michaela Franklin, Tiffany Gragg, Nicholas Stuckwish

Epsilon Sigma at-Large Research Conference

Introduction and Background: Domestic violence and abuse (DVA) is a growing global concern that affects patients encountered by nurses. DVA is defined as anything that is used to establish and maintain control over another person. The occurrence of DVA has ongoing negative consequences for patients related to their safety, especially if nurses are not properly trained to detect and control the situation.

Purpose Statement: For all registered nurses, does ongoing training opportunities and implemented universal screening processes on DVA, as compared to inadequate training and generalized screening processes, lead to effectively detecting DVA and providing better emotional, physical, and safety …

Sexual Health History Screening Implementation For Providing Quality Clinical Services In Primary Care: A Quality Improvement Project, Grace Unbehaun

Epsilon Sigma at-Large Research Conference

Abstract

Purpose: With the US reporting 20 million newly diagnosed STI/HIV cases annually, clinical guideline compliance and EBP recommendation implementation necessitate provider practice changes for high-quality routine sexual and reproductive health services. The project's purpose was to improve sexual health history-taking (SHH) and documentation in a private primary care practice (PPCP) serving high-risk populations. The DNP project aims to determine the effect of conducting a 30-minute educational session and implementing the CDC's 5Ps on a PCP's clinical guideline adherence to SHH recommendations and documentation with patients presenting for annual wellness exams, well-woman exams, family/contraceptive counseling, or acute urogenital complaints in …

Implementing Systematic Sexual Orientation And Gender Identity (Sogi Data) Collection At An Inpatient Hospital Located In The Southern Region Of The United States, Shawn Malugin

Epsilon Sigma at-Large Research Conference

Purpose

LGBTQ patients experience marginalization and discrimination when seeking healthcare in the Southern Region of the United States. As a result, they experience negative healthcare outcomes. Collecting sexual orientation/gender identity (SOGI data) is vital in decreasing health disparities and improving hospitalized LGBTQ patients’ quality of care. Providers cannot adequately assess health risk factors or deliver culturally competent care without SOGI data knowledge.

Aims

The aim is to collect SOGI data during intake to implement a standard of care to promote LGBTQ health outcomes and decrease marginalization.

Processes

To understand how to provide high-quality care to LGBTQ patients, providers receive instruction …

Opioid Maintenance Therapy On Fetal Development, Baileigh Swearington

Epsilon Sigma at-Large Research Conference

Abstract

Introduction and Background: Methadone, Buprenorphine and other opioid management therapies are being put into effect to help pregnant women who have abused opioids in the months prior to getting pregnant and continued the abuse during pregnancy.

Purpose Statement: The purpose of this research was to determine if opioid maintenance therapies would have lasting effects on infants in their growth development. The population in the studies were derived from women who had or were currently abusing opioids during their pregnancy. The interventions taken were to prescribe women with a specific opioid maintenance treatment and measure the outcome on the infant …

The Effects On Pregnancy In Homeless Women, Kristin F. Rucker, Carlie R. Lyons

Epsilon Sigma at-Large Research Conference

Abstract

BACKGROUND: The number of homeless pregnant women is continuing to increase around the world. Homeless women are experiencing difficulties with their pregnancy that others may not face, including birth abnormalities and not seeking appropriate care due to cost and stigmatization. Nurses need to educate homeless pregnant women on what is needed for a healthy pregnancy and childbirth. OBJECTIVE: This exploratory research describes the needs for advocacy in women who are experiencing homelessness while pregnant and how homelessness affects pregnancy, childbirth, and postpartum care. LITERATURE REVIEW: The search methods used was CINAHL and ETSU Library. Keywords: homelessness, …

Lgbt Community And Mental Health, Danielle Schleeter

Epsilon Sigma at-Large Research Conference

Introduction and Background: Today, in 2022, there is a community that receives discrimination, lack of acceptance, and lack of equality. This is the LGBTQ community. They suffer from the indifferences of the way they express themselves resulting in a rise of mental health issues and overall health disparities.

Purpose Statement: The purpose of this review is to explore the disparities in mental health for the LGBT community including young adolescents and older adults. The question that drives this review is how does being a member of the LGBT community effect mental health.

Literature Review: This literature review utilized search engines …

The Impact Of Dietary Fiber On Breast Cancer Incidence, Peyton North

Epsilon Sigma at-Large Research Conference

Abstract

Introduction & Background

The role of dietary fiber in breast cancer etiology remains unclear. A negative correlation may be due to fiber’s ability to stave off obesity and aid in the extraction of serum estrogen, two known risk factors for the disease. Effects may differ by source, and type, of fiber. Most of the data available is from research with non-Hispanic white women. However, fiber intake may vary significantly across cultures.

Purpose Statement & Question

The research sought to investigate whether an increased intake of dietary fiber was associated with a corresponding decrease in the incidence of breast cancer. …

Pediatric Acute Lymphoblastic Leukemia Treatment Effects On Neurocognitive Development, Peyton Lee Crowder

Epsilon Sigma at-Large Research Conference

Introduction

The problem at hand is understanding if pediatric acute lymphoblastic leukemia (ALL) treatment affects neurocognitive function or development. As the children battle ALL and are given treatments such as cranial radiation therapy and chemotherapy, they are having issues later on in life because the treatment regimens are very strong and are given during a crucial period of development.

Purpose Statement and Question

Does one pediatric treatment option affect neurocognitive development more than another later in life?

Literature Review

Research was conducted online via Google Scholar and East Tennessee State University Library database. Key terms used were pediatric ALL and …

Nursing Staff Shortage And Patient Outcomes, Amber Scogin

Epsilon Sigma at-Large Research Conference

Introduction and Background: A widespread issue that is affecting patients and nurses alike is the ongoing prevalence of registered nurse shortages in the field of healthcare. This obstacle has jeopardized exceptional patient care for many years and research suggests there is a need for interventions to combat the growing shortage.

Purpose Statement: This research aimed to investigate how the lack of acceptable nursing staff levels affected patients’ quality of care, safety, and outcomes in various healthcare settings. It also emphasizes the need for interventions that would focus on the supply and retention of nursing staff in order to combat the …

The Treatment Of Post-Pandemic Mental Health In Pediatric Patients, Morgan Holland

Epsilon Sigma at-Large Research Conference

Introduction

The onset of the COVID-19 pandemic including stay at home restrictions, school closures, economic decline, and societal distress has affected pediatric mental health in ways studies have yet to discover. There are more children presenting with mental health issues compared to pre-pandemic times. Multiple factors have shown to contribute to the lack of quality care for children experiencing mental health crises in this ongoing pandemic.

Purpose Statement

The COVID-19 pandemic significantly affected the frequency of mental health related presentations to the pediatric emergency department, subsequently resulting in increased delay in transition to inpatient psychiatric treatment

Literature Review

The data …

Covid-19 Educational Disruption And Delivery Redesign On Traditional Bsn Student Nclex Performance, Kendrea Todt, Greta Marek

Epsilon Sigma at-Large Research Conference

Title: Covid-19 Educational Disruption and Delivery Redesign on Traditional BSN Student NCLEX Performance

Purpose: The purpose of the study was to understand the educational disruption and delivery redesign (EDDR) caused by the Covid-19 pandemic on ETSU Baccalaureate of Science in Nursing (BSN) students and the impact on the nursing workforce. Student progress was evaluated by exploring student grade point average (GPA), socio economic determinants of health, Assessment Technologies Institute (ATI) Test of Essential Academic Skills (TEAS) scores and ATI comprehensive predictor scores on student first-time National Council Licensure Exam for Registered Nurses (NCLEX-RN) pass rates to evaluate the supply of …

Implementation Of A Protocol To Improve Quality And Use Of Existing Crisis Safety Plan, Kaitlynn Earls

Epsilon Sigma at-Large Research Conference

Implementation of a Protocol to Improve Quality and Use of Existing Crisis Safety Plan

Kaitlynn Earls, Dr. Jo-Ann Marrs, Dr. Judy Rice, Dr. Beth Schreiner. College of Nursing, East Tennessee State University.

Crisis safety plans are an important tool for decreasing suicide attempts if a crisis situation arises. Pre-implementation data found that only approximately 20% of clients with schizophrenia/schizoaffective disorder in medication services only had a up to date crisis safety plan in place.

The purpose of this quality improvement project is to implement and evaluate a protocol to increase the use of an already established crisis safety plan in …

I'Ll Just Weight On The Lord: Spirituality And Health Behaviors In Obese African American Women, Andrea S. Poynter, Florence M. Weierbach, Deborah L. Slawson, Jean Hemphill, Georgita T. Washington

Epsilon Sigma at-Large Research Conference

Obesity is one of the fastest growing health concerns impacting all racial, ethnic, gender, and socioeconomic groups in the United States of America. More than one-third of the U.S. adult population is classified as being obese (Obesity Society, 2021). Obesity has reached epidemic proportions in all races and genders within the US with African American women comprising a majority of those impacted by this chronic health condition. Obesity rates are well documented within the literature but what is lacking is the role spirituality may play in obese African American women and their health behaviors. The purpose of this qualitative, phenomenological …

I'Ll Just Weight On The Lord: Spirituality And Health Behaviors In Obese African American Women, Andrea S. Poynter, Florence Weierbach, Deborah Slawson, Jean Hemphill, Georgita T. Washington

Epsilon Sigma at-Large Research Conference

Obesity is one of the fastest growing health concerns impacting all racial, ethnic, gender, and socioeconomic groups in the United States of America. More than one-third of the U.S. adult population is classified as being obese (Obesity Society, 2021). Obesity has reached epidemic proportions in all races and genders within the US with African American women comprising a majority of those impacted by this chronic health condition. Obesity rates are well documented within the literature but what is lacking is the role spirituality may play in obese African American women and their health behaviors. The purpose of this qualitative, phenomenological …

Improving Mental Health Among Undergraduate Nursing Students: Increasing Resilience In Nursing School, Hannah Hilliard

Liberty University Research Week

Undergraduate

Applied

A Nurse Leader Residency Program: Improving Leadership Competencies, Melanie Stanton

Epsilon Sigma at-Large Research Conference

Ballad Health nurse leaders received little nursing leadership education or competency development before beginning their leadership roles; yet they are crucial to improve quality, safety, cost, patient experience, and team member engagement. Competency development is linked to improved nurse leader confidence, job satisfaction, and retention. Additionally, the organization is experiencing a shortage of prepared internal candidates to fill vacant nurse manager positions. The organization’s Chief Nursing Council (CNC) questioned if a leadership development program could improve new and aspiring nurse managers' leadership competency. The CNC aimed to improve nurse leader competency by implementing and measuring the effectiveness of an evidence-based …

The Role And Strategies Of Food Manufacturers Towards Obesity And Health Policies, Emem Okpokowuruk

Epsilon Sigma at-Large Research Conference

Introduction & Background: Unhealthy diets and non-communicable diseases such as obesity are on the rise on a national and global scale, and there is an urgent need to initiate interventions. However, research suggests there is a lack of effective initiatives from major processed food manufacturers, which are a major contributor to the cause of these health issues. Thus, this study seeks to examine the role that food manufacturers have in contributing to the obesity epidemic and the strategies that they use to navigate around health policies.

Purpose Statement Question: Is there evidence of a primary role that processed food manufacturers …

Boarding Barriers For Psychiatric Patients In Emergency Departments, Emmeline B. Martin Bsn, Rn, Alison Rossano Bsn, Rn, Diana Dedmon Dnp, Aprn, Fnp-Bc

Doctor of Nursing Practice Projects

Objective To identify past or current literature about emergency department holds and psychiatric patients consisting of the evaluation of patient outcomes, satisfaction and equity of care. It is already known that shorter boarding times from the emergency department to a psychiatric unit have positive patient outcomes such as a decrease in readmissions, increase in patient satisfaction and efficiency in appropriate treatment.

Method A scoping review to analyze data by grouping articles into themes which included authors, date of publication, aims/purpose, methodology, sample, interventional details, and the key findings in each article. Excluded articles included those discussing COVID-19 and case management. …

The Effect Of The Sleep Promotion Interventions On Incidence Of Delirium In Intensive Care Patients: An Integrative Literature Review, Sarah Lee

Nursing Masters Papers

Sleep is vital to our health, and prolonged sleep deprivation can result in serious health problems. Yet, patients in the intensive care unit (ICU) commonly experience sleep deprivation due to the environment and necessary treatments. High noise levels, bright lights, frequent patient care activities, mechanical ventilator desynchrony, pain, anxiety, and medications are the main factors that disrupt patients’ sleep architecture and affect sleep quality. Sleep deprivation is a significant contributor to the development of delirium, which is associated with poor patient outcomes and added financial burden. Implementation of sleep promotion interventions may decrease the incidence of this detrimental illness. The …

Limiting Potentially Inappropriate Medications In Long-Term Care, Clare M. Ironside

Doctor of Nursing Practice Scholarly Projects

Aim: This project aimed to assess the effectiveness of the STOPP/START tool in identifying and reducing potentially inappropriate medications among multi-morbid, older, long-term care residents in a metropolitan area of a Southwestern state.

Design: In this quality improvement project, seven prescribers working within four long-term care facilities were trained to assess for potentially inappropriate medications using the STOPP/START tool. The medication lists for long-term care residents (n =45) over age 65 were collected at baseline and again at three months post-intervention and assessed for overall medication use, psychotropics, and proton pump inhibitors. The project also assessed prescribers’ comfort and …

Impact Of Ante- And Postnatal Depression Screening In Women With Hiv: A Scoping Review, Kimberly M. Grider Bsn, Rn, Pmh-Bc, Bao Chau Le Bsn, Rn, Blessing Okon Bsn, Rn, Diana Dedmon Dnp, Aprn, Fnp-Bc

Doctor of Nursing Practice Projects

Purpose/Background Maternal depression has been identified as a strong predictor of poor prenatal care. Among pregnant women living with Human Immunodeficiency Virus (HIV), mental health-related factors such as depression could potentially undermine effective antiretroviral therapy (ART) adherence, increase mortality, and cause poor HIV viral suppression consequently impacting vertical transmission of HIV. This scoping review aims to identify existing knowledge regarding the impact of ante- and postnatal depression screening in women with HIV and to adduce the necessity for effective screening.

Methods A literature search was performed for studies with primary outcomes of depression screening within the context of ante- or …

Music For The Relief Of Preoperative Anxiety, Tyler G. Roberts

MSN Capstone Projects

Anxiety is a phenomenon commonly experienced by patients awaiting surgery (Jlala et al., 2010). Anxiety has been linked to negative impacts “on the induction of anesthesia, wound healing, risk of infection, and postoperative recovery” (Stern, 2013). The alleviation of preoperative anxiety is a positive and desired outcome for perioperative patients. An interview with a patient at University Medical Center yielded some insight into the need for the implementation of additional anxiety alleviating intervention. In the interview, the patient reported feeling distress from being able to hear everything that was happening outside of the patient’s preoperative room and feeling a large …

Cardiopulmonary Resuscitation Using High-Fidelity Simulators, Rebecca Walker

MSN Capstone Projects

Simulation and high-fidelity simulators (HFS) have become an important part of nursing education and its implementation into the curricula. It has become important in enhancing their knowledge and the development of competent nurses by reinforcement of skills that have been previously learned. HFS also increases students' confidence and reinforces their skills and knowledge while introducing cardiopulmonary resuscitation (CPR). The literature suggests that overall the students have greater retention of CPR skills if HFS is used instead of classical CPR training with low-fidelity simulators (LFS). However, some studies suggest that using HFS does not lead to retention of CPR skills or …

The Impact Of Cognitive Rehabilitation Therapy On Alzheimer's Disease, Kelsey Hall

MSN Capstone Projects

The number of people suffering from Alzheimer’s disease (AD) rises daily. This is a devastating disease for the patients, significant others, and families to have to experience. “Epidemiological data confirm what retirees have observed: about 30-50% of those living to their mid-80’s will have suffered a marked loss of cognitive ability, a harbinger of advanced AD, or will have suffered advanced AD. Further, the tragedy of AD affecting loved partners takes an enormous toll on their healthier partners” (Reid et al., 2017).

The current treatment regimen for Alzheimer’s disease includes medication therapy. Evidence has shown that there are only small …

Mucormycosis: Covid-19 And Corticosteroids, Mittal Savaliya, Nivedita Jha, Steven B Lippmann

The University of Louisville Journal of Respiratory Infections

No abstract provided.

Relationship Between Perceived Coping Capability And Levels Of Academic Self-Efficacy In First Year Prelicensure Nursing Students, Amy Charlton

DNP Projects

Academic self-efficacy and coping capability impact student persistence. Nursing education programs can identify students' experiences to encourage students to persist and potentially impact the national nursing pipeline. More research was needed to examine the relationships between entering nursing student demographics, academic self-efficacy, and student coping capability. First-semester prelicensure nursing students (N = 240) were surveyed to determine any significant relationship between perceived academic self-efficacy and perceived coping capability using a quasiexperimental, descriptive, correlational design. Based on the Nursing Universal Retention and Success (NURS) model, the project investigated the relationships between student profile characteristics, student affective factors, academic outcomes, and professional …

Sexual Assault: Disclosure, Healthcare Barriers And Facilitators, And Interventions, Meghan Stepnitz

Honors Theses

Sexual assault is apparent across the globe. Sexual assault victims and survivors face many barriers that decrease disclosure to healthcare providers leading to it becoming underreported. These barriers can be alleviated with interventions implemented by healthcare providers to ease the process of disclosure. Victims and survivors also face barriers seeking post-assault, follow-up, and mental healthcare. Researchers have described the barriers that sexual assault victims and survivors face accessing healthcare in the immediate period after assault, but less research has focused on healthcare beyond this period. Recognizing these barriers gives the opportunity for healthcare providers to remove them and make healthcare …

Clinical Placement Sites Influence Student Learning And Future Employment An Integrative Literature Review, Jennifer Olmstead

Liberty University Research Week

Graduate

Theoretical Proposal