Nursing Commons^™

Efficacy Of Utilizing A Discharge Checklist At A Northern California Hospital, Becky Le

Master's Projects

Standardization of patient discharges by utilizing a discharge checklist would address discharge barriers, improve discharge times, enhance communication among the multidisciplinary team, and improve efficiency of care. A 5-week pilot, which was a quality improvement study, explored whether the utilization of a discharge checklist would improve discharge times and communication among the multidisciplinary team. This study was conducted in a northern California county hospital, on 2 medical- surgical units, with a participating physician team, case managers, and approximately 150 medical- surgical registered nurses. The study yielded results of improved discharge times by 1 hour, and improved efficiency of care by …

Cultural Perspectives In Pain And Palliative Care, Loan Lagué

Master's Projects

Culturally and linguistically diverse (CALD) patients are constantly challenged by the different levels on which lack of cultural competency or bias occurs in healthcare. This literature review focuses on the healthcare providers’ experiences when providing pain and palliative care to CALD populations and explores the challenges that may result in health inequalities. A review of current literature was conducted using PubMed, CINHAL, Sage Journals, Ovid, and Science Direct electronic databases. Sixteen published articles between 2015-2023 were reviewed. Findings from this review identified factors that induce poor quality palliative, pain, and end-of-life (EOL) care among culturally diverse groups. Improving quality of …

The Effects Of Nursing Bedside Shift Report On Patient Safety And Satisfaction: A Systematic Review Of The Literature, Alyssa Wong

Master's Projects

Introduction: Nursing bedside shift report is a recommended strategy to promote the effective exchange of accurate patient information during the handoff process with the goal of decreasing communication errors and adverse patient events. However, adopting this handoff method into nursing practice has been challenging in the clinical setting. This systematic review aims to understand the rationale behind nursing bedside handoff by identifying the advantages and barriers to implementation and exploring how this affects patient safety and experience.
Methods: A systematic review was conducted by searching through electronic databases and Google Scholar to identify English-language peer-reviewed journal articles published between 2012 …

The Effect Of Providing End Of Life Care On The Mental Health Of Critical Care Nurses, Christy Nelson

Master's Projects

Critical care nurses are providing care to acutely ill patients now more than ever and may experience moral or emotional distress due to providing end of life care to their patients. The purpose of this literature review is to determine the mental health effects of a critical care nurse providing palliative end of life care. A literature search using PubMed and CINHAL was conducted and fourteen published articles between 2012-2023 were included in this review. Several interventions were identified which may be useful in decreasing burnout and moral distress in critical care nurses. Overall, nurses experienced the most negative mental …

Effectiveness Of Speech Intervention Methods In Children With Speech Delays, Andrea Noel, Rachel Windemuth, Brett Porter

Williams Honors College, Honors Research Projects

Speech delays in children is a common issue that can be treated by a wide variety of interventions. Our PICOT question is, in children, ages six months to thirteen years, with speech/language delays, how does the addition of innovative and supplemental interventions, compared with standard interventions alone, effect improvements in the delays. All three group members have known someone who has suffered from a speech delay, and we want to research the best possible methods to overcome that obstacle to answer our questions, we will begin to take on the task of creating and writing a systematic review. This review …

An Investigation Of Mhealth And Digital Health Literacy Among New Parents During Covid-19, Lorie Donelle Phd, Rn, Fcan, Brad Hiebert, Jodi Hall

Publications

INTRODUCTION: Especially during the COVID-19 pandemic, parents were expected to understand increasingly sophisticated information about health issues and healthcare systems and access online resources as a part of their caregiving role. Yet little is known about parents' online digital technology use and digital health literacy skill. This study aimed to investigate parents' digital technology use, their self-reported digital health literacy skill, and demographic information as potential factors influencing their use of digital technologies. METHODS: An online survey utilizing convenience sampling was administered to new parents during the COVID-19 pandemic that inquired about their demographic information, digital technology use, and digital …

Nurse Educators' Experiences Of Student Remediation, Holly A Dever

Walden Dissertations and Doctoral Studies

Little is known about the nurse educator's experiences in remediating novice undergraduate nursing students who failed an exam early in the program of study. While numerous strategies have been used by faculty for remediation, no evidence-based methodology for student remediation has been identified in published literature. The aim of this study was to build a foundation of qualitative research on nurse educators' experiences in the remediation of a student who failed an exam. This basic qualitative study, guided by Smith and Liehr's story theory, explored the nurse educator's experiences with remediation using interview data collected from six nurse educators. Interviews …

Education Program To Increase Nurses' Knowledge Of Faith Community Nursing, Lovell Thurmon Sweeten Cartwright

Walden Dissertations and Doctoral Studies

AbstractThe practice problem was a group of nurses practicing as faith community nurses (FCNs) who had no training in FCN practice, a specialty recognized by the American Nurses Association. This problem was important to address within the context of nursing practice because the nurses could have acted outside of their scope of practice and caused harm. The practice-focused question addressed whether a staff education program for FCNs would increase their knowledge of their role in a church setting with the goal of developing independent FCNs. The model guiding the project was the health promotion model. Eleven registered nurses were recruited …

Lived Experiences Of Copd Patients With Exertional Hypoxemia Prescribed Supplemental Oxygen, Sarah Ann Evans

Walden Dissertations and Doctoral Studies

Patients with exertional hypoxemia are often prescribed supplemental oxygen therapy to alleviate their symptoms and maintain adequate arterial oxygen saturation; however, little is known about how chronic obstructive pulmonary disease (COPD) patients with exertional hypoxemia experience the addition of supplemental oxygen on their lives. The purpose of this descriptive phenomenological study guided by Roger’s science of unitary human beings was to explore the lived experiences of COPD patients with exertional hypoxemia and who require supplemental oxygen. Purposive sampling was used to recruit participants using a query from the electronic medical records to identify patients prescribed supplemental oxygen for exertional, not …

Managing Nurse Leader Stress To Promote Leader Retention, Rebecca Sue Hawkins

Walden Dissertations and Doctoral Studies

Nurse leaders are a health care group that has been provided limited support to managestress and burnout symptoms, yet the impact of leader stress burden on staff satisfaction, patient outcomes, and their own health is vital to the provision of safe, high-quality health care. The problem of leader fatigue and burnout is the ability to retain current leaders and recruit the next generation. The purpose of this staff education project was to address leadership burnout due to stress and the lack of knowledge of how to manage stress in the moment. A combination of Watson’s theory of caring and Ray’s …

Nurse Educators' Experiences Of Student Remediation, Holly A Dever

Walden Dissertations and Doctoral Studies

Little is known about the nurse educator's experiences in remediating novice undergraduate nursing students who failed an exam early in the program of study. While numerous strategies have been used by faculty for remediation, no evidence-based methodology for student remediation has been identified in published literature. The aim of this study was to build a foundation of qualitative research on nurse educators' experiences in the remediation of a student who failed an exam. This basic qualitative study, guided by Smith and Liehr's story theory, explored the nurse educator's experiences with remediation using interview data collected from six nurse educators. Interviews …

Differences Between Nurse-Led Intervention Topics, Longevity, Changed Practices, And Sustainability Planning, Robin Anselm

Walden Dissertations and Doctoral Studies

Though health care providers use evidence-based interventions (EBIs), a knowledge gap exists regarding lasting change associated with doctorate-prepared nurse interventions and sustainability planning. This quantitative cross-sectional descriptive design guided by the five pillars of the United Nations sustainable development goals (SDGs) was used to examine the differences between doctorate-prepared nurses’ sustainable EBI topics, intervention longevity, changed clinical practices, and sustainability planning. The dynamic sustainability framework, the adult learning theory, and the social learning theory framed this study. The design included a survey of 1,365 nurse anesthesiologists using a questionnaire composed of the Program Sustainability Assessment Tool (PSAT) version 2 and …

Nurses’ Perception Of Pain Assessment In Cognitively Impaired Older Residents In Long-Term Care, Abigail Owolabi

Walden Dissertations and Doctoral Studies

AbstractPain has been a significant problem in old age and is more problematic in cognitively impaired older residents (CIOR) because of their inability to express themselves. The goal of pain assessment in CIOR is to treat pain before it escalates to behavioral problems. This descriptive qualitative study aimed to explore nurses’ perceptions of pain assessment in CIOR in long-term care facilities. Watson’s theory of human caring was used to frame the study. A purposive sample of eight nurses was recruited from two long-term care facilities for interviews conducted using the telephone and continued until saturation was reached. Data was manually …

Transitional Care For The End Stage Renal Disease Patient, Elaine Vitto

Walden Dissertations and Doctoral Studies

AbstractThe prevalence rates for end stage renal disease (ESRD) have continued to rise by approximately 20,000 cases per year, and the number of patients with kidney failure requiring dialysis in the United States had reached 554,038 at the end of 2018. Transition of care for patients between acute care facilities and other care facilities such as dialysis centers remains challenging for providers. Lack of clear communication between providers, poor patient understanding of post-hospital self-care, and gaps in healthcare scheduling contribute to a high rate of adverse events. This facility did not have a detailed clinical guideline for ESRD communication between …

Development Of A Standardized Novice Neonatal Nurse Orientation Program, Joanne Rau Pasinski

Walden Dissertations and Doctoral Studies

Abstract Neonatal intensive care units (NICUs) are fast-paced units requiring skilled nurses to care for a unique patient population. Orientation of new nurses to the NICU can be challenging for both the orientee and the preceptor. Offering an evidence-based practice orientation program by an accredited organization that is specific to NICU can be a valuable tool for both the preceptor and the orientee as well as enhance nurse, patient, and organizational outcomes. The project question explored if use of the Association of Women’s Health, Obstetric and Neonatal Nurses (AWHONN) 15-module nursing orientation program for RNs in a NICU increased their …

A Staff Education Project On The Administration Of Clinical Practice Guidelines For The Treatment Of Obesity And Overweight Children And Adolescents, Emilia Ochiabuto Okoye

Walden Dissertations and Doctoral Studies

AbstractObesity among children and adolescents has reached epidemic proportions in the United States (U.S). Nurses in pediatric settings have a critical role to play in assessing and managing childhood obesity. The partner site for this project has a childhood obesity rate of 35% compared to the national average of 19%. However, the nursing staff lacked adequate knowledge, competence, and confidence in assessing and managing childhood obesity in line with the recommended guidelines. The problem was addressed by implementing the Clinical Practice Guideline for the Treatment of Obesity and Overweight Children and Adolescents via an education program. The program’s content was …

Cardiomems Staff Education To Improve Use Of Pulmonary Artery Sensor Data In An Emergency Department, Betty Sue Reynolds

Walden Dissertations and Doctoral Studies

Assessing volume status in patients with congestive heart failure (CHF) remains a difficult task. Newer technology, such as CardioMEMS, allows providers to download pulmonary artery pressure measurements from an implanted sensor. In a large rural emergency department (ED), lack of staff education on CardioMEMS made the device useless when a patient presented to the ED. The purpose of this project was to develop a staff education in-service to address the gap in practice. The theory used to guide development of an effective curricular program and instruction method was Knowles’ theory of andragogy. Application of the analysis, design, development, implementation, and …

Comparison Of Cultural Self-Efficacy Between Urban And Rural Nurse Educators, Denise Rene Morris

Walden Dissertations and Doctoral Studies

Integration of an inclusive educational environment requires nursing faculty to embrace a transformational change in academics. The cultural interactions of an educator teaching in an urban district may differ from the relations experienced by a rural nurse educator. The purpose of this quantitative study, guided by Bandura’s social cognitive theory, was to determine whether there is a difference between the cultural self-efficacy scores of nurse faculty teaching in a rural location compared to those in an urban location as well as whether the demographics of age, ethnic background, and years in the nursing profession predict cultural self-efficacy scores. Nursing faculty …

Community Organization Perspectives On Covid-19 Vaccine Hesitancy And How They Increased Covid-19 Vaccine Confidence: A Canadian Immunization Research Network, Social Sciences And Humanities Network Study, Sarah Ashfield, Lorie Donelle Phd, Rn, Fcan, Gina Uppal, Michael A. Bauer

Publications

BACKGROUND: COVID-19 vaccines play a critical role in reducing the morbidity and mortality associated with SARS-CoV-2 infection and despite vaccine availability, disparities in COVID-19 vaccine uptake among Canadian subgroups exist. Community organizations are uniquely situated to relay important vaccine messaging around all vaccines, understand components of vaccine hesitancy, and facilitate vaccine uptake within the communities they serve. The objective of this research was to solicit community organizations perspectives specific to COVID-19 vaccines and explore strategies of increasing vaccine uptake within their communities. METHODS: A qualitative focus group study was held in the spring of 2021 with 40 community organizations from …

An Investigation Of Media Reports Of Digital Surveillance Within The First Year Of The Covid-19 Pandemic, Leigha Comer, Lorie Donelle Phd, Rn, Fcan, Marionette Ngole, Jacob J. Shelley, Anita Kothari, Maxwell Smith, James M. Shelley, Saverio Stranges, Brad Hiebert, Jason Gilliland, Tommy Cooke, Jodi Hall, Jed Long

Publications

INTRODUCTION: The COVID-19 pandemic prompted a surge in digital public health surveillance worldwide, with limited opportunities to consider the effectiveness or impact of digital surveillance. The news media shape public understanding of topics of importance, contributing to our perception of priority issues. This study investigated news media reports published during the first year of the pandemic to understand how the use and consequences of digital surveillance technologies were reported on. METHODS: A media content analysis of 34 high- to low-income countries was completed. The terms "COVID-19," "surveillance," "technologies," and "public health" were used to retrieve and inductively code media reports. …

Leveraging Digital Technology For Social Connectedness Among Adults With Chronic Conditions: A Systematic Review, Pamela J. Wright Phd, Ms, Med, Rn, Cen, Phyllis A. Raynor, Dana Bowers, Elizabeth M. Combs, Cynthia F. Corbett Phd, Rn, Faan, Hannah Hardy, Khushi S. Patel

Publications

PURPOSE: To review the evidence about the impact of digital technology on social connectedness among adults with one or more chronic health conditions.

METHODS: PubMed, Embase, Social Sciences, CINAHL, and Compendex were systematically searched for full-text, peer-reviewed empirical evidence published between 2012 and 2023 and reported using the PRISMA flow diagram. Articles were critically appraised applying the Joanna Briggs Institute checklists. Specific data were extracted based on the framework for social identity and technology approaches for health outcomes and then analyzed and synthesized.

RESULTS: Thirty-four studies met study criteria. Evidence showed heterogeneity among research methodology, chronic health conditions, digital technology, …

Use Of Digital Technologies For Public Health Surveillance During The Covid-19 Pandemic: A Scoping Review, Lorie Donelle Phd, Rn, Fcan, Leigha Comer, Brad Hiebert, Jodi Hall, Jacob J. Shelley, Maxwell J. Smith, Anita Kothari, Jacquelyn Burkell, Saverio Stranges, Tommy Cooke, James M. Shelley, Jason Gilliland, Marionette Ngole, Danica Facca

Publications

Throughout the COVID-19 pandemic, a variety of digital technologies have been leveraged for public health surveillance worldwide. However, concerns remain around the rapid development and deployment of digital technologies, how these technologies have been used, and their efficacy in supporting public health goals. Following the five-stage scoping review framework, we conducted a scoping review of the peer-reviewed and grey literature to identify the types and nature of digital technologies used for surveillance during the COVID-19 pandemic and the success of these measures. We conducted a search of the peer-reviewed and grey literature published between 1 December 2019 and 31 December …

Key Informant Perceptions Of Challenges And Facilitators To Implementing Passive Remote Monitoring Technology For Home Care Clients, Grace Warner, Lori E. Weeks, Yu Ting Chen, Bradley Hiebert, Kathleen Ledoux, Lorie Donelle Phd, Rn, Fcan

Publications

Background: Passive remote monitoring technologies (RMT) are an option that could keep frail older adults home longer while reducing care burdens on family/friend caregivers. In contrast to active RMT which requires an individual to engage with the technology (i.e., push a button), passive RMT does not require any action to function (i.e., sensors or cameras). Objective: This qualitative study explored the challenges and facilitators of implementing passive RMT in home care settings by applying an implementation science lens. Method: Twenty semi-structured interviews were conducted with key informant stakeholders. Data were coded using a Framework Analysis approach that inductively and deductively …

Hepatitis B Immunity Among Undergraduate Nursing Students: A Brief Report, Robin M. Dawson Phd, Rn, Cpnp-Pc, Courtney Catledge, Ann Scott Dnp, Rn, Ccrn-K, Cne, Leigh Blackmon Pate Dnp, Msn, Aprn, Fnp-Bc, Gail Vereen

Publications

Background: Health sciences students who report low/equivocal hepatitis B titers may be required to repeat the immunization series, even though the result may not indicate non-immunity. Method: To describe hepatitis B immunity patterns, this retrospective, descriptive study utilized de-identified vaccination records and anti-HBs titers of three cohorts of sophomore nursing students entering clinical rotations in 2018–2019. Results: Only 33% of students had initial anti-HBs quantitative serum titer ≥10 mIU/ml, demonstrating immunity. After students with low/equivocal titers (n = 191, 64%) were re-immunized per institution protocol, only 2% (n = 7) were identified as non-responders. Cumulative costs incurred by students for …

Successes And Barriers Of Health Information Exchange Participation Across Hospitals In South Carolina From 2014 To 2020: Longitudinal Observational Study, Kausik Lakkaraju, Aniket Gupta, Biplav Srivastava, Marco Valtorta, Dezhi Wu

Publications

Sentiment Analysis Systems (SASs) are data-driven Artificial Intelligence (AI) systems that output polarity and emotional intensity when given a piece of text as input. Like other AIs, SASs are also known to have unstable behavior when subjected to changes in data which can make them problematic to trust out of concerns like bias when AI works with humans and data has protected attributes like gender, race, and age. Recently, an approach was introduced to assess SASs in a blackbox setting without training data or code, and rating them for bias using synthetic English data. We augment it by introducing two …

National Emissaries For Preventive Healthcare. Visiting Nurses In Interwar Bulgaria And Yugoslavia, Evguenia Davidova

History Faculty Publications and Presentations

In the interwar period, as part of a wholesale reorganization of public healthcare, Bulgaria and Yugoslavia saw the emergence of a new healthcare protagonist: the visiting nurse. Grounded in archival materials, by means of an analysis that intertwines gender and class, this article argues that the visiting nurse became a crucial (and cheaper) link between the hospital and the home in the fight against social diseases and reducing child mortality. These social interactions were often mediated by international humanitarian organizations. In this context, the visiting nurse serves as another bridge—this time between national and international public health policies. Visiting nurses …

Health Misinformation During Epidemiological Crises, Bethany Stefan, Alexis L. Emich, Katrina R. Lamp

Williams Honors College, Honors Research Projects

Health misinformation is more prevalent than ever in the modern age and poses serious risks for those who believe it. Medical fallacies can become especially harmful during periods of widespread disease when the misinformed respond in ways that increase threats to public health. The purpose of this systematic review is to describe and critically appraise the evidence about how health misinformation during endemics and pandemics can influence behaviors and responses, as well as the implications of interventions affecting these behaviors. A systematic search of the literature with inclusion/exclusion criteria using CINAHL Plus with Full Text, MEDLINE, and PsychINFO resulted in …

Access To Prenatal Care And Mental Health In Pregnant Women During Covid-19: A Systematic Review, Chloe Feezel, Marin Kahoun, Kaija Kunttu

Williams Honors College, Honors Research Projects

COVID-19 affected the world in many ways. Pregnant women were greatly impacted by a change in their access to prenatal care, from in-person care to telehealth methods, and social support being limited by social isolation. Compared with prevalence of anxiety and depression in pregnant women pre-COVID-19, pregnant women during COVID-19 reported higher levels of anxiety and depression symptoms due to the stress of circumstantial changes. The purpose of this systematic review is to review and critically appraise the evidence about access to prenatal care and mental health in pregnant women during the COVID-19 pandemic. The following PICOT formatted question will …

Dnp Final Report: Vascular Access In Burn Patients: An Evidence-Based Practice Project, Amanda Venable

DNP Final Reports

Vascular access in burn patients is a challenging aspect of care that affects the healthcare team and patients daily. The goal in this evidence-based practice project at a southern United States burn center was to improve the quality of the vascular access process by reducing the use of Central Venous Lines (CVL) and unsuccessful venipuncture attempts. The following practice question was formed: In hospitalized burn patients (P), how does a vascular access team with ultrasound-guided peripheral IV capability (I) compared with no vascular access team and standard IV insertion (C) affect central line days (O1) or patient experience (O2) during …

2023-2024 Nursing Undergraduate Student Handbook, Morehead State University. Nursing Department.

Nursing Department Publications Archive

2023-2024 Undergraduate Student Handbook of the Department of Nursing at Morehead State University.