Nursing Commons^™

Implicit Bias Training In Maternal Health, Joanne Ruggiero

Doctoral Dissertations and Projects

The health care system strives to provide equitable and high-quality care to all patients. However, persistent disparities in health care outcomes based on race, ethnicity, and other social determinants of health highlight the need for targeted interventions. This evidence-based practice project explored the impact of implicit bias training on health care providers’ awareness and behavior, with the goal of mitigating disparities of care. The project involved a comprehensive review of the literature on implicit bias, health care disparities, and the effectiveness of training interventions. The training program was designed to raise awareness of implicit bias among health care providers, equip …

Interprofessional Education Among Health Care Professionals In The Care Of Autistic Children During The Last Two Decades (2001 To 2020): A Systematic Review Protocol, Sunitha Solomon Nagelli Ms., Sushmitha Karkada Dr., Ravishankar N Dr.

Manipal Journal of Nursing and Health Sciences

Introduction: Autism Spectrum Disorder requires management from multiple health professionals at various settings during the course of treatment. Interprofessional collaborative practice has been identified as one of the promising methods of care for an all-round healthcare management.

Objective: Collate empirical evidence on interprofessional education among healthcare professionals in providing care for children with autism

Method: Search will be conducted from five databases against the selected criteria. Review will be restricted to studies in English between 2001 to 2020 only. Two independent reviewers will scrutinize the abstract and title, and every study document retrieved will be investigated as …

Musculoskeletal Disorders And The Contributing Factors Among Student Nurses, Lola Naresh, Leena Sequira, Janet Prameela Dsouza

Manipal Journal of Nursing and Health Sciences

Introduction: Musculoskeletal disorders (MSDs) are the injuries that have an effect on the movement of the body or its system like muscles, tendons, nerves, discs, ligaments etc.

Materials and methods: The study aimed to assess the musculoskeletal disorders, identify the contributing factors and association between musculoskeletal disorders and the selected variables among student nurses. Tools used were, demographic profile, contributing factors and musculoskeletal disorders assessment tool. The questionnaire was shared via email to reach the targeted population. Data were analyzed using frequency, percentage and chi- square.

Results: Area of pain and discomfort during last 12 months, about …

Perception Regarding Respectful Maternity Care Among Postnatal Mothers, Rithughosh K P, Sreeja G. Pillai

Manipal Journal of Nursing and Health Sciences

Introduction: Every woman has the right to receive Respectful Maternity Care(RMC). Evidence of disrespect and abuse is reported globally. In India, almost every woman goes through some level of disrespect and abuse during childbirth, even though studies on RMC among postnatal mothers of Indian and Kerala origin are scarce. So, exploring this would be of great use in evidence-based fine-tuning of RMC services to promote quality maternal and newborn care. Objective: Assess the perceptions regarding RMC among postnatal mothers. Methodology: Quantitative approach with descriptive cross-sectional design was used to collect data from 250 postnatal mothers based on consecutive sampling …

Stress And Coping Strategies Adopted By Mothers Of Children Admitted In Pediatric Intensive Care Unit., Anisha P. R, Remya U R

Manipal Journal of Nursing and Health Sciences

Introduction: Planned or unplanned hospitalization increases the family’s stress and anxiety level. Hospitalization creates stress as they interrupt normal routines and place increased demands on parents who must further divide their time between the normal responsibilities and their hospitalized child. Many parents feel a lack of control and sense of powerlessness when their child is hospitalized. Objectives: The objectives of the study were to identify the stressors and coping strategies adopted by mothers of children admitted in pediatric intensive care unit and to determine the co-relation between stressors and coping strategies adopted by mothers of children admitted in PICU. Methods: …

Psychosocial Impacts On Parents Of Mentally Challenged Children At Mangaluru, Sooraj Kookal Mr

Manipal Journal of Nursing and Health Sciences

Abstract

Introduction: Intellectually disabled children upset the mental, physical, social, and financial outlooks of the family in terms of their rearing and future. The support systems surrounding the parents of mentally retarded children play a vital role to lessen the burden associated with their special child. This study brings up some light on the psycho-social impacts on parents of Mentally challenged children who were attending special schools at Mangaluru. Objective: The main objective of the study was to assess the psychosocial impacts on parents of mentally challenged children. Further, to find the association between the psychosocial impact on …

Palliative Care Quality Of Life Outcomes In Adults With Chronic Illness, Jackie Steigerwald

Master of Science in Nursing Family Nurse Practitioner

In adult populations with chronic illnesses, implementation of palliative care may provide the opportunity to slow the disease process, manage symptoms, and improve patients' overall quality of life. Without palliative care implementation, the aspects of psychosocial needs may go clinically unaddressed with disease progression. Palliative care provides an opportunity for multidisciplinary providers to make interventions to improve all aspects of quality of life. The aim of this project is to evaluate the implementation of palliative care services in patients with chronic illnesses, the World Health Organization Quality of Life Abbreviated (WHOQOL BREF) quality of life scale and compare them with …

Oral Sucrose And The Relation To Neonatal Pain Perception, Meagan L. Burns

MSN Capstone Projects

Pain is “an unpleasant sensory and emotional experience associated with actual or potential tissue damage” (Treede, 2018). The phenomenon of pain is a personal and unique experience that many of the world’s population has experienced in some form or fashion throughout their lifetime. Neonates are exposed to many painful procedures and/or situations due to various medical ailments that may require a neonatal intensive care unit (NICU) admission. Infants have a special place in the hearts of adults all over the world, and any interventions that would increase the likelihood of diminishing or removing perceived pain in this population are likely …

Concussion Exposure And Suicidal Ideation, Planning, And Attempts Among Us High School Students, Jacob J. Kay, Colt A. Coffman, Adam Harrison, Abbas S. Tavakoli Drph, Mph, Me, Toni Torres-Mcgehee Phd, Lat, Atc, Steven P. Broglio, Robert Davis Moore Ms, Ph.D.

Publications

CONTEXT: Interest is growing in the association between repetitive concussions and mental health. However, studies on the relationship between concussion frequency and adverse mental health outcomes among female and male youth are lacking. OBJECTIVES: To examine the association between self-reported concussion frequency and nonfatal suicidal behaviors among youth and to explore the possible interaction of biological sex. DESIGN: Retrospective cross-sectional survey. SETTING: National Youth Risk Behavior Surveillance System. PATIENTS OR OTHER PARTICIPANTS: United States secondary school students (N = 28 442). MAIN OUTCOME MEASURE(S): Exposure variables were the frequency of self-reported sport- or recreation-related concussion in the previous 12 months …

The Lived Experience Of Second-Degree Nursing Students’ Anxiety Before And During Their Initial Clinical Rotation, Shelly Wheatley

Graduate Theses, Dissertations, and Capstones

Anxiety in nursing students can impact learning. Literature has shown that nursing students, especially those in second-degree nursing programs, report higher stress levels compared to other undergraduate students (Penprase & Koczara, 2009). Nursing clinicals can be jarring for students and present many stressors that can impeded learning and cause poor clinical performance. Much research has been done about traditional undergraduate students’ feelings of anxiety. There is a noted gap in research of second-degree, accelerated nursing students and their feelings about their initial clinical placement. Comparisons have often been made between traditional and nontraditional students, but the lived experiences of second-degree …

Nurses’ Compliance With Handover Practices In Adult Medical Surgical Units At A Tertiary Care Hospital In Karachi, Pakistan, Amber Qasim Ali

MSCN 2023

Background: The exchange of the shift changeover report of patient, from nurse to nurse at the patient's bedside is known as "bedside handover." Although this method is becoming more and more popular in the nursing sector, not many people genuinely practice it.
Purpose: To determine the different factors impacting nurses' compliance and to evaluate the compliance rate of nurses to comply with bedside handover guidelines. Methods: A cross-sectional observational study was conducted in the medical surgical ward at the Aga Khan University Hospital, Karachi. During the study, the structured bedside handover technique known as "kardex," which adheres to SBAR (Situation, …

Nurses' Compliance With Central Line Maintenance (Handling) Guidelines At A Tertiary Care Setting In Karachi, Pakistan- A Descriptive Cross-Sectional Study, Alina Amir Ali

MSCN 2023

Background: Central venous catheters (CVCs) are integral to modern healthcare, facilitating critical treatments. However, the risk of complications, particularly infections, necessitates strict adherence to central line maintenance protocols. This study explores the compliance of nurses in executing these protocols.
Purpose: In a tertiary care facility in Karachi, Pakistan, this study sought to evaluate nurses' adherence to each item on the central line management checklist as well as the checklist's total adherence in the Special Care Units.
Method: A total of 119 registered nurses were assessed, using a quantitative structured observational design for central line handling in adult medical surgical special …

Parents’ Emotional And Psychological Perspective Of Caring Children With Oncological Disorders: A Descriptive Qualitative Study, Ambreen Navroz Ali Salyani

MSCN 2023

Background: Childhood cancer has a profound effect on the emotional and psychological well-being of parents, yet often their own psychological health is overlooked as the primary focus while treating the child. These parents silently suffer from psychological distress while caring for their children. They use their own coping strategies to overcome the situation. However, limited studies have been carried out in low- and middle-income countries (LMIC) regarding parents’ emotional and psychological perspectives of caring their children with oncological disorder.
Purpose: The objective of this study was to explore the psychological perspectives that parents of children with cancer diagnosis, treatment, social …

Youth Shelter Bed Bugs & Lice Education, Madeline Mary Rettenmier, Elvina S. Kuzubov, Quoc H. Phan, Megan Myra Joseph, Allie Mechtel

Nursing Leadership in Community Engagement Projects

Youth Shelter Bed Bugs & Lice Education
Allie Mechtel, Maddy Rettenmier, Elvina Kuzubov, Megan Joseph, Kevin Phan
School of Health Sciences, Seattle Pacific University
NUR 4153: Nursing Leadership in Community Engagement
Leah Ngoche DNP, MPH, ARNP-BC
8 November 2023

Youth Shelter Bed Bugs & Lice Education

Introduction

Seattle Pacific University Nursing students were assigned a fifth quarter leadership project in the greater Seattle area. Our group was assigned to a youth shelter located in Belltown, Seattle Washington. It is a thirty-bed, animal friendly shelter for young individuals looking for a safe place to stay. They offer long-term housing for those …

Coping Strategies To Promote Mental Wellness, Luma Aziz, Domonique Jackson, Jessica Herzog, Molly Mcdonough, Ashley Kim, Arianne Faye Villaflor

Nursing Leadership in Community Engagement Projects

Coping Strategies to Promote Mental Wellness

Over eight weeks, our nursing school leadership team collaborated with a Seattle non- profit agency whose mission is to provide resources, planning, and housing to families with children experiencing homelessness. Our team’s overarching goal by the end of this project, based on the needs expressed by the agency, was to create a tool that provides resources and coping skills to families experiencing homelessness to improve mental health and promote wellness.

Background

The population that is served by the agency includes families with at least one child under the age of eighteen, children with medical …

Addressing Oral Health Within A Women's Homeless Community, Annika Hogan, Hannah Cadelina, Simran Kaur, Vannessa Decastro, Yoshiko Sano Sano, Fatou Sonko, Machaela Urbick

Nursing Leadership in Community Engagement Projects

Addressing Oral Health Within a Women’s Homeless Community

Introduction

Seven nursing students attending Seattle Pacific University (SPU) partnered with a women’s day center to serve population healthcare needs for a leadership project. In the first few weeks, we visited the agency site to get familiar with the population and have a deeper understanding of what our group should address. Our goal for this project is to identify an issue of concern and address the issue using the nursing process. The women’s day center is for women who are experiencing homelessness. Homelessness is unfortunately a big problem in the city of …

Adapting The Aha’S Blood Pressure And Nutrition Management Program Into Digestible Teaching Plans For Low-Income Communities, Truc Huynh, Jemina Lynn B. Estepa, Fritz Reanne A. Obungen, Katelyn Marie Clasey, Kirsty Keitges, Serah M. Kimani, Hailey Rae Tauscheck, Andrew David Rhoades

Nursing Leadership in Community Engagement Projects

Executive Summary: Adapting the AHA’s blood pressure and nutrition management program into digestible teaching plans for low-income communities

According to the American Heart Association (AHA), 46% of American adults have high blood pressure (Whelton et al., 2017). High blood pressure, especially for those above the age of 50, is associated with a higher prevalence of heart disease and a shorter life expectancy. The AHA’s Check Change Control program (CCC), is an evidence based, self-directed blood pressure management guide (American Heart Association, 2021). The CCC program incorporates four lesson topics related to lifestyle changes to manage hypertension. The four topics are: …

Targeting Loneliness In Older Adults With Weekly Socialization, Tanja Johnson

Dissertations

Problem: Loneliness related to social isolation among the older adult population has become an increasing health concern with few interventions available for the general population. Loneliness has been directly associated with depression, poorer physical health outcomes, and overall quality of life.

Methods: The purpose of this study is to evaluate loneliness in the older adult population residing in a senior living community in an urban area in Missouri. Weekly one-on-one socialization, ranging from 45-60 minutes, will be implemented over 6 weeks, with pre and post-intervention screening for loneliness with the 28-item Visit-A-Bit (VAB) screening tool. Approval was received by both …

Garden-Based Nutrition Education For Low Income Hispanic School Children, Larry Bui

Nursing | Student Research Posters

Background: Childhood obesity is a pressing public health concern in the United States, with rates continuing to increase in recent years. This problem disproportionately affects Latino children as well as those from low socioeconomic status. It's well established that nutrition knowledge deficiencies and resulting poor dietary habits are some of the most common contributing factors to childhood obesity. Garden-based nutrition education programs have been introduced as a way to remedy this knowledge deficit, however a gap remains as to whether or not this model can be viable for low-income, culturally diverse populations. Aim: The purpose of this literature review is …

Primary Care Intervention: Medication Reconciliation Reduces Rehospitalizations, Dianna Twombly

Student Scholarly Projects

Practice Problem: Patients are put at risk for adverse medications events when diligent care is not taken by healthcare staff. Medication discrepancies and oversights from medical personal can lead to severe illness or even death of a patient.

PICOT: The PICOT question for this project is: For patients 65 years and older (P) does a review of a hard copy of discharge instructions (I)compared to current practice during a visit, (C) impact the number of hospital readmission (O)in eight weeks (T)?

Evidence: Medication reconciliation at each point of care, patient education on medication management, and involving patients in their own …

Patient Navigational Tool Increase Resource Use In A Latino Population, Kimberly Burrus

Student Scholarly Projects

Practice Problem: The practice problem is a patient navigation tool in a mobile health clinic for the Latino population to help improve utilization of resources within Daviess County, Indiana, and improve overall health literacy and health of those populations?

PICOT: The PICOT question that guided this project was: In a mobile health clinic serving Latino populations (P), does a navigation tool (I) compared to current practices (C) improve utilization of services (O) within a 12-week timeframe (T)?

Evidence: The evidence that guided this project showed patients with limited English proficiency, immigrant families have a disparity of health literacy, and an …

Innovative Solutions To The Nursing Shortage, Adam Odolil, Rahul Nadendla

URGENT Matters

No abstract provided.

The Effects Of An Influenza Vaccine Education Bundle On Environmental Management Services Workers, Michelle Keister

Student Scholarly Projects

Practice Problem: Environmental Management Service Workers have low vaccination rates. They work around a vulnerable patient population.

PICOT: For Environmental Management Services (EMS) workers (P), does the use of an Influenza Vaccine Education Bundle (I) compared to the current practice (C) impact EMS worker influenza vaccine compliance (O) within a 10-week period (T)?

Evidence: Using an educational vaccine bundle that increases access to the vaccine, provides education regarding the vaccine, and comes from a trusted source will increase flu vaccination rates among Environmental Management Services workers.

Intervention: Implement a vaccine education bundle.

Outcome: After implementation in 2023, vaccination rates …

Improving Cervical Cancer Screening Rates In The Primary Care Setting, Esmeralda Young

Student Scholarly Projects

Practice Problem: Cervical cancer screening with Pap is the recommended standard practice for women aged 21 to 65. The project aimed to increase low cervical cancer screening rates at a primary care clinic.

PICOT: The PICOT question that guided this project was: (P) In women 21 to 65 years old in the primary care setting (I), does proactive pre-scheduling of cervical cancer screenings (C) compared to current standard practice (O) affect cervical cancer screening rates (T) over eight weeks?

Evidence: The evidence strongly supported improving cervical cancer screening among the targeted population. Studies showed that Pap smear screening reduced the …

Psychological Distress, Resilience, And The Impact On Quality Of Life In Breast Cancer Survivors With Taxane-Induced Peripheral Neuropathy, Lauren Schwab

USF Tampa Graduate Theses and Dissertations

The purpose of this dissertation study was to longitudinally examine psychological distress (depressive symptoms and anxiety symptoms), resilience, and the impact on quality of life (QOL) in breast cancer survivors (BCS) with taxane-induced peripheral neuropathy (TIPN). The specific aims were 1) to describe psychological distress (depressive and anxiety symptoms) in BCS with TIPN and the impact on QOL using a scoping review; 2) to determine the relationship between psychological distress, QOL, and resilience in BCS with TIPN over time in a 16-week randomized controlled trial (RCT); and 3) to determine if resilience moderates psychological distress and QOL in BCS with …

Decrease Copd Readmissions With Aprn Interventions Using Agile Implementation, Andrea D. Conley Msn, Rn, Agcns-Bc, Mscrn

Nursing Publications, Posters, & Presentations

Abstract presented at the 2023 Nursing Research Symposium.

Objectives/Aim/Purpose

In September 2022 a team was established and tasked with decreasing COPD readmissions.

Bair Gown Evaluation Of Implementation: Patient Comfort, Surgical Site Infection, And Cost Analysis, Elizabeth Ringer Msn, Rn

Posters & Presentations

Poster presented at the Parkview Nursing Research Symposium, 2023.

It is a Perioperative (Periop) Standard of Care to maintain normothermia or a temperature above 36.0°C (96.9°F) for all patients receiving general anesthesia. The Parkview Randallia periop area has implemented a Bair Gown Active Warming System; this paper evaluates patient comfort, staff perception, surgical site infection (SSI) rate, and cost of said system. Previously, all patients would receive passive warming via warm blankets in preop and postop and active warming in the Operating Room (OR) via a Bair Hugger Blanket. The average preop temperatures were the same before and after implementation …

Adipose Tissue Dysregulation Leads To Chronic Systemic Inflammation, Jamie Rausch Phd, Rn

Posters & Presentations

IU School of Nursing Poster presented at Parkview Nursing Research Symposium 2023.

“Picture This!“: Innovative Approach To Hapi Reduction In A Surgical Trauma Neuro Icu​, Morgan Minnich Minnich Bsn, Rn, Cbis Sticu, Michelle Moss Asn, Rn, Ccrn Sticu, Janette Richardson

Posters & Presentations

Presented at the Nursing Research Symposium 2023

The primary purpose of this qualitative improvement project was to increase frequency of photos by bedside staff leading to a picture-perfect view and a story of the patient’s skin. Additionally, the purpose included:

• Decrease HAPI rate in STICU
• Develop Higher Standard of Care r/t Skin
• Educate patients and families on importance of skin r/t illness while hospitalized

Hapi: Reduction Steering Committee & Charter, Juli Johnson, Linda Francis, Cathy Warner, Cori Ames, Lorenzo Manquero, Brooke Randol Msn, Rn, Agcns-Bc, Cmsrn, Cws

Posters & Presentations

Poster presented at the Parkview Nursing Research Symposium 2023.

Stand up a multi-year project & charter aimed at decreasing the HAPI rate by 20%