Nursing Commons^™

Determinants Of Delayed Emergency Caesarian Sections In Machakos County Referral Hospital, Kenya: A Retrospective Study, Anne Loko Mutiso

MSc in Advanced Practice Midwifery

Background: Labour to delivery is a natural process which begins and ends spontaneously. However, the need for an emergency caesarean section arises if the life of the mother or the foetus or both are in danger. Time is of essence and therefore a Decision to Delivery Interval of 30 minutes is considered the gold standard (NICE 2021).

Purpose: The purpose of this study was to establish hospital and client related factors that cause delay in emergency caesarean sections in Machakos County Referral Hospital.

Methodology: A Retrospective Descriptive study design was adopted whereby sample of 368 files of …

Determinants Of Poor Perinatal Outcomes Among Babies Born Of Mothers With Preeclampsia At Mama Lucky Kibaki Hospital, Nairobi County, Sarah Wambui Chege

MSc in Advanced Practice Midwifery

Background: Preeclampsia is a life-threatening pregnancy illness characterised by the onset of hypertension in a non-hypertensive woman after 20 weeks of pregnancy. Studies have connected preeclampsia to significant adverse effects on the mother and the newborn, a common obstetric emergency in Kenya. Determinants of poor perinatal outcomes in babies born to preeclamptic mothers have not been intensively investigated.

Objective: The study evaluated the determinants of perinatal outcomes among neonates born to mothers diagnosed with preeclampsia at Mama Lucy Kibaki Hospital between July 2021 and June 2022.

Methodology: A quantitative retrospective cross-sectional inquiry was conducted. Data reviewed comprised …

A Quality Improvement Project To Improve The Management Of Group A Streptococcalpharyngitis Among Children, Tara Denise Gutierrez

Doctor of Nursing Practice

Group A Streptococcal (GAS) pharyngitis is one of the most common pediatric illnesses and accounts for more than ten million yearly medical visits. GAS is commonly misdiagnosed due to overlapping symptoms. The health care provider needs to distinguish which criteria warrant testing for GAS and the recommendations for management and treatment.

The purpose and objectives of this quality improvement project were to improve adherence to the 2021 Canadian guidelines for the management and treatment of GAS pharyngitis in a small community urgent care clinic. Anticipated outcomes for this project included a decrease in unnecessary testing for GAS pharyngitis, a decrease …

Program Development And Expansion Of A Clinician-Driven Wound Care Program At An Outpatient Wound Care Center, Zhenhai Niu

Doctor of Nursing Practice

Problem. Patients with chronic wounds often present with additional physical and emotional problems because healing of chronic wounds may require months to resolve. Practitioners develop treatment plans based on their own training and clinical expertise, but unfortunately, there are no universal guidelines to inform the management of chronic wounds. Expanding multi-factorial assessments and interventions could improve patient outcomes. The purpose of this project was to implement a wound care protocol for outpatient wound care clients based on a nutritional and psychological self-assessment. Methods. A patient-completed checklist, done on arrival to the clinic, triggered clinician-driven protocol interventions addressing mental health and …

Setting Goals For Patients With Type 2 Diabetes In Primary Care, Courtney Renee Padilla

Doctor of Nursing Practice

Background. Type 2 diabetes is prevalent amongst the Hispanic population and increases the risk of developing chronic serious health issues (CDC, 2022, April 4). Setting attainable and realistic goals for patients with type 2 diabetes is foundational in achieving glycemic control and improving quality of life (ElSayed et al., 2023a). Purpose. To increase goal setting in patients with type 2 diabetes in the primary care setting. Goal. To promote self-management in patients with type 2 diabetes. Objectives. 100% of staff and providers will attend an in-service on goal setting using a self-management goal tool; 75% of patients will choose to …

Preserving The Force: A Quality Improvement Project To Reduce The Risk Of Opioid Use Disorder In The Military, Lecreshia S. Shields

Doctor of Nursing Practice

Military service members incur combat and noncombat related injuries which may lead to acute or chronic pain. Treatment of these conditions with opioids may place them at risk for opioid use disorder (OUD). Opioid related overdoses among the military community increased by 50% from 2010 to 2019. The Sole Provider Program (SPP) is recommended to address the risks of OUD among Veterans receiving care at military installations. The goal of this evidence-based project was to ensure that all persons who receive opioid prescriptions at a military facility were evaluated for inclusion into a SPP and prescribed naloxone. Objectives included: 1) …

Improving Post-Discharge Engagement Of Mental Health Patients In The Veterans Affairs South Texas Healthcare System, Nneoma Lewis

Doctor of Nursing Practice

Discharge from a hospital is a high-risk period for mental health patients, as 20% experience an adverse event within 30 days of discharge. Poor discharge engagement can lead to complications for recovery, which include an increased risk for readmissions, longer length of stay, increased risk for suicide, and death. Hospital stays cost the United States $377.5 billion dollars per year; there is pressure for hospitals, health plans, and providers to examine the admission and discharge processes to improve healthcare delivery, transition of care, and patient health outcomes. At a South Texas VA, 67.66% of mental health patients attended all their …

Block Charting For Hemodynamic Unstable Patients, Tasha Walker

Student Scholarly Projects

Practice Problem: The intensive care unit poses many challenges for nurses. Nurses are placed in a position to decide on dosing and administration, which could conflict with their scope of practice, and documentation needs to coincide with orders. The accuracy of nursing documentation plays a vital role in measuring the outcomes, and failure to document accurately could result in noncompliance with scope of practice or a medication error.

PICOT: For intensive care nurses (P), how does block charting of vasoactive medications (I) compared to current documentation practices (C) affect the accuracy of nurses' documentation (O) within 4 weeks?

Evidence: Nursing …

Implementing Low-Dose Ct Scans To Screen For Lung Cancer In The Primary Care Setting, Monifa Ri'ana Beal

Doctoral Projects

Lung cancer is the leading cause of cancer-related death in both men and women in the United States. By the end of 2023, lung cancer will have been diagnosed in approximately 238,000 Americans and claimed the lives of about 127,000 of those that are diagnosed.(American Cancer Society, 2023) Currently lung cancer accounts for more deaths among Americans than breast, prostate, and colon cancers combined (Centers for Disease Control and Prevention [CDC], 2019). Despite being one of the most preventable cancers in the world, lung cancer continues to be the leading cause of cancer-related death among Americans and more so in …

The Cancer Nursing Workforce In Australia: A National Survey Exploring Determinants Of Job Satisfaction, Natalie Bradford, Elizabeth Moore, Karen Taylor, Olivia Cook, Lucy Gent, Theresa Beane, Natalie Williams, Kimberly Alexander, Erin Pitt, Jemma Still, Cameron Wellard, Gemma Mcerlean, Deborah Kirk, Leanne Monterosso, Alexandra Mccarthy, Zerina Lokmic-Tomkins, Jessica Balson, Priscilla Gates

Research outputs 2022 to 2026

Background: To maintain and improve the quality of the cancer nursing workforce, it is crucial to understand the factors that influence retention and job satisfaction. We aimed to investigate the characteristics of cancer nurses in Australia and identify predictors of job satisfaction. Methods: We analysed data from an anonymous cross-sectional survey distributed through the Cancer Nurses Society Australia membership and social media platforms from October 2021 to February 2022. The survey was compared to national nursing registration data. Data were analysed with non-parametric tests, and a stepwise, linear regression model was developed to best predict job satisfaction. Results: Responses were …

Decision-Making In Nursing Research And Practice—Application Of The Cognitive Continuum Theory: A Meta-Aggregative Systematic Review, Tricia O'Connor, Jo Gibson, Joanne Lewis, Karen Strickland, Catherine Paterson

Research outputs 2022 to 2026

Aim: To explore how the Cognitive Continuum Theory has been used in qualitative nursing research and to what extent it has been integrated in the research process using the Qualitative Network for Theory Use and Methodology (QUANTUM). Background: Theory, research and nursing are intrinsically linked, as are decision-making and nursing practice. With increasing pressure on nurses to improve patient outcomes, systematic knowledge regarding decision-making is critical and urgent. Design: A meta-aggregative systematic review. Methods: Databases: CINAHL, Medline, PsycINFO, Embase and PubMed were searched from inception until May 2022 for peer-reviewed research published in English. Seven studies were included and assessed …

Lactation Benefits, Experiences, And Education In Bereaved Mothers: A Literature Review, Grace Davis

The Eleanor Mann School of Nursing Undergraduate Honors Theses

Abstract

Background: Parents who lose an infant through miscarriage, elective termination, or stillbirth experience perinatal bereavement (Centers for Disease Control and Prevention, 2022). A bereaved mother’s grief could be influenced by lactation as most will still experience lactation regardless of their loss. Generally, these women are solely taught to suppress their milk production, oftentimes resulting in discomfort, leakage, clogged ducts, and even mastitis (Carroll et al., 2020). To prevent adverse effects, bereaved mothers need a comprehensive list of options and education regarding lactation including donation, expression, and suppression. Bereaved mothers' lactation experiences, education, and benefits are vital areas to be …

Implementing Community Health Workers To Improve The Management Of Chronic Non-Communicable Diseases In Children, Julia L. Newell

Doctor of Nursing Practice (DNP) Projects

Background: Childhood obesity, asthma, and untreated mental health conditions are three examples of chronic non-communicable diseases (CNDs) that pose a host of negative consequences later in life. Minority children from low-income families, especially those with environmental disadvantages, face additional risk factors for the development of these diseases. Community health workers (CHWs) are in a unique position to help address these negative health externalities by being attuned with the linguistic, cultural, and socioemotional needs of members of their communities. Research has demonstrated success in CHW-led interventions curtailing the negative impacts associated with these diseases in low-income, minority communities.

Methods: A literature …

Implementation Of A Protocol To Improve The Intake Assessment And Treatment With Suboxone Among Patients’ Dependent On Opioids On Two Mental Health Crisis Units, Maeghan Dillon

Doctor of Nursing Practice Scholarly Projects

Abstract

Background: In 2021,106,699 people died from a drug overdose and of these deaths, over 75% were related to illicit or prescription opioids (Centers for Disease Control, 2023). At two in-patient community crisis stabilization units for psychiatric care, many patients have a comorbid diagnosis of a substance use disorder and another mental illness. Treatment with Buprenorphine/naloxone (Suboxone) is associated with decreased opioid overdoses and related deaths; however, Suboxone inductions have not been a part of admission treatment.

Methods: This quality improvement (QI) project initiated a Suboxone protocol for eligible patients on two crisis in-patient stabilization units. The outcomes …

Postpartum Visitation Policies, Jenna B. Holderman, Morgan E. Matthews

The Eleanor Mann School of Nursing Undergraduate Honors Theses

Background: Continual support for the birthing person during labor improves delivery outcomes and overall childbirth experiences. How many support people are present and their relation to the birthing person varies based on individual preference, family dynamics, and sociocultural expectations. During the Covid-19 pandemic, many hospitals implemented a one-visitor policy for deliveries. With these new guidelines in place, the length of hospital stays significantly decreased, and there were a variety of opinions towards these restrictions.

Purpose: The purpose of this study was to explore birthing persons’ overall sentiment towards visitors in the immediate postpartum period.

Methods: The current study analyzed …

Moral Distress In Critical Care Nursing: A Literature Review, Anna Tindell

The Eleanor Mann School of Nursing Undergraduate Honors Theses

Moral distress is a pressing concern in the healthcare field with significant implications for all areas of nursing and patient outcomes. However, those within the specialty of critical care nursing experience moral distress more frequently than those in other specialties. It arises from the complex ethical dilemmas nurses in critical intensive care units face as they work in these high-pressure environments. The purpose of this literature review is to discuss moral distress in critical care nursing and how it affects a nurse’s ability to provide quality care. Furthermore, this review will determine factors contributing to moral distress and potential interventions …

Breastfeeding In Public: A Review Of Literature And Service Learning Experience, Taylor Jehlik, Makenzie Carney

The Eleanor Mann School of Nursing Undergraduate Honors Theses

This article explores the perceptions and beliefs of first-time expectant mothers, their family members, and their social network about breastfeeding in public places. We used experience through Tiny Tusks and reviewed literature to get a better understanding of what social factors play a role in mothers' decisions to breastfeed in public.

Evaluation Of Caring Behaviors In High-Fidelity Simulation Following A Caring Concept Educational Intervention, Debra Ann Mcwilliams

Theses & Dissertations

Background.

Simulation has created a new paradigm in nursing education. Behaviors that demonstrate caring are important aspects of quality nursing practice. Nursing education needs to integrate opportunities to teach caring, and simulation is an ideal environment to do this. Faculty must assist nursing students to establish competence in psychomotor, cognitive, and the affective domains of learning. Many of the widely used, standardized scenarios in simulation predominantly focus on critical-thinking skills while marginalizing the demonstration of caring behaviors.

Purpose.

The purpose of this quantitative study was to examine the effect of a caring concept educational intervention (CCEI) in students’ self-reported confidence …

Factors Influencing The Delivery Of Preconception Care Services Among Nursing And Midwifery Students At Aga Khan University, Kenya, Levy Mukolwe

MSc in Advanced Practice Midwifery

Preconception care (PCC) encompasses a range of biomedical, behavioural, and social interventions to improve pregnancy outcomes. However, the effective implementation of PCC services, particularly in developing countries, faces multifaceted challenges. This cross-sectional quantitative descriptive study was conducted among 104 nursing and midwifery students at Aga Khan University and selected through simple random sampling. Data was collected using semi-structured self-administered questionnaires and analyzed using SPSS version 25.0. 69.9% of the respondents were nurses, while 30.1% were midwives. 28.8% of participants knew the definition of PCC. The importance of various PCC components, such as nutritional deficiency screening, genetic risk assessment, environmental hazard …

Editorial Board

Nursing & Health Sciences Research Journal

No abstract provided.

Prevalence Of Substance Use Among Lesbian, Gay, And Bisexual High School Students In 2019 Vs. 2021, Jordyn Lee, Elisabeth Hayes, Adam Wyatt

Nursing & Health Sciences Research Journal

Background: Studies suggest that LGBTQ+ (lesbian, gay, bisexual, transgender, queer/questioning, plus) youth are at increased risk of engaging in alcohol and substance use. The COVID-19 pandemic forced many students to isolate in 2020 and 2021, and the impacts of this have been purported to be detrimental. This study examines the prevalence of alcohol and substance use among lesbian, gay, and bisexual (LGB) U.S. high school students before the pandemic in 2019 versus 2021. Methods: This cross-sectional descriptive study used results from the 2019 Youth Risk Behavior Survey (YRBS) and the 2021 Adolescent Behavior and Experiences Survey (ABES). The 2019 YRBS …

Comparing And Contrasting Nursing In World War I And World War Ii, Adrianna Staniszewski

University Libraries Award for Undergraduate Research

No abstract provided.

Hospital Adhering To The Ten Steps To Successful Breastfeeding Predicts Exclusive Breastfeeding In Latinx Mothers., Ana Linares, Diana Cartagena, Marialda Moreira Christoffel

Nursing Faculty Publications

Introduction: Assessing how well a hospital adheres to the Ten Steps to Successful Breastfeeding is the key to outlining necessary modifications in mother breastfeeding support. This study aimed to assess Latinx mothers’ perception of how well a hospital adheres to the Ten Steps to Successful Breastfeeding and its influence on exclusive breastfeeding (EBF) rates at hospital discharge.

Methods: Secondary analysis of two longitudinal studies. The combined sample (N = 74) of Latinx pregnant women residing in the US. We modified, translated, and evaluated reliability of the Questionnaire for the Breastfeeding Mother (QBFM), which was applied to evaluate mothers’ …

Designing And Validating Novel Communication Measures For Pediatric, Adolescent, And Young Adult Oncology Care And Research: The Pedcom Measures, Bryan A. Sisk, Amy R. Newman, Dandan Chen, Jennifer W. Mack, Bryce B. Reeve

College of Nursing Faculty Research and Publications

Background

High-quality communication in pediatric and adolescent cancer is the standard of care. Yet, we lack pediatric-specific communication measures. We designed self-report and caregiver-report communication measures for use in pediatric oncology settings.

Methods

We recruited adolescent and young adults (AYAs; 12–24 years) with cancer and parents of children and AYAs between 1 month post-diagnosis and 2 months after completing treatment. Participants completed measures including 58 questions addressing eight previously characterized communication functions. For each function, we conducted factor analysis, and assessed reliability and construct validity. Based on psychometric properties, we created final long-form (31 items) and short-form (eight items) communication …

Over 200 Dalarna University Alumni Help Advance Education And Care In Africa And Asia: A Short Communication, Kerstin Erlandsson, Marie Klingberg Allvin

Journal of Asian Midwives (JAM)

No abstract provided.

Exploring Midwives' Challenges And Strategies To Provide Care In Maternity Settings During Harsh Winter Weather In Northern Areas, Pakistan: A Qualitative Study Protocol, Sana Sultan, Rafat Jan, Marina Baig

Journal of Asian Midwives (JAM)

Background: Midwives play a vital role in enhancing the quality of care and achieving substantial reductions in maternal and newborn mortality rates. However, in the context of Gilgit Baltistan, the harsh winter weather, and frequent heavy snowfall present distinct challenges for midwives providing essential maternal care. These challenges can lead to an increased risk of maternal infections and newborn hypothermia. Consequently, the limited accessibility to healthcare facilities due to frequent harsh winter weather, and resulting scarcity of resources like heating, electricity, and water further exacerbates the situation.
Objective: The objective of the study is to explore the challenges and barriers …

Nurse-Led Newborn Parent Education Program – A Qualitative Study To Explore Nurses' Experiences As Newborn Parent Educators, Shelina Bhamani, Zaibunissa Karim, Ceemal Khan, Amina Lakhani, Khairunnissa Hooda, Lumaan Sheikh

Journal of Asian Midwives (JAM)

Background: Parents require support while caring for their newborns. Nurses can be supportive in helping parents learn how to care for their newborns and their well-being and supporting their spouses and families based on the cultural and social norms of the local context of Pakistan. Newborn parent education programs play a crucial role in advancing the knowledge and skills of the nurses required for parent education. This research study aims to explore nurses' experiences as newborn parent educators after enrolling and implementing a pilot project of a newborn parent education program at a tertiary care university hospital.
Methods: The exploratory …

Swaddling A Newborn Promotes Sleep And Keeps The Baby Calm: A Truth Or A Myth?, Ateefa Al-Noor, Anshara Merchant

Journal of Asian Midwives (JAM)

Swaddling is a traditional way of wrapping the baby in a cloth that helps them to remain calm and eliminate anxiety. It promotes sleep but at the same time can also be associated with certain risks such as Sudden Infant Death Syndrome (SIDS). Swaddling can be beneficial but measures are required to minimize known risks. Swaddling can be favorable in the initial few weeks but it should be discontinued once the baby starts to roll from its back. The aim of this paper is to educate families regarding the proper technique of swaddling; its pros and cons. Further research is …

Hip Healthy Swaddling: A Commentary, Mehreen Aslam

Journal of Asian Midwives (JAM)

Swaddling, the practice of covering babies to align the legs, prevent hip movement, carries a risk of Developmental Dysplasia of the Hip (DDH).Correct swaddling techniques, emphasizing hip flexibility, mitigate risks and are promoted globally. Cultural shifts, as seen in Turkey and Japan, reflect awareness of swaddling's impact on hip health. In certain cultures, 90% of mothers swaddle infants for comfort, predominantly to keep legs straight, but traditional swaddling contributes to hip dysplasia risk, contrasting with the recommended technique allowing free limb movement. Proper education on swaddling is crucial, aligning with health benefits and reducing DDH occurrences. Recommendations include routine hip …

Because Breastfeeding Is Never Done Alone, Mehtab Lalwani, Kiran Nawaz Ali

Journal of Asian Midwives (JAM)

No abstract provided.