Nursing Commons^™

Inspire. Explore. Embrace: A Recipe For Filling The Experience Complexity Gap, Mary Hunt Msn, Rn, Npd-Bc

Posters & Presentations

Poster presented at the Parkview Nursing Research Symposium, 2023

Purpose: The goal of the Student Nurse Program is to increase the applications to nursing schools, increase preparation of nursing students for clinicals, decrease the orientation time for new graduates, increase new graduate confidence, and first- year retention rate.

Evaluating Nursing Workflow & Satisfaction Through Patient Sleep Promotion On An Orthopedic Trauma Unit, Samantha Tiede Bsn, Rn

Posters & Presentations

Poster presented at Parkview Nursing Research Symposium, 2023.

Questioned the evidence and necessity around the nursing practice of routine, every four-hour, vital signs during bedtime hours in relation to nursing workflow, satisfaction, and staffing limitations.

Reviewed current staff opinions and personal practices regarding patient rest. Also identified miscellaneous physician orders used to direct patient sleep promotion.

Evaluated opportunities for sleep promotion resulting in the discovery of a “Sleep Bundle” pilot on the acute medical floors.

Adapted pilot to better suit the needs of the orthopedic trauma patient population.

Goal: Balancing nursing tasks and aiding in improved patient outcomes.

Reducing Hospital Utilizations For Urinary Tract Infections Through Education, Tiffany Ulmer Msn, Rn, Ccm, Danielle Adam Bsn, Rn, Amb-Bc

Posters & Presentations

Poster was presented at Parkview Nursing Research Symposium, 2023.

Population Health is a department within Parkview Health that uses care coordination services to improve patient outcomes, quality care, and patient satisfaction while reducing overall healthcare costs.

The purpose of this evidence-based project (EBP) was to identify or develop an educational tool to be used within the Population Health department to educate older adults at risk for developing UTIs. •The first goal was to increase awareness of early UTI symptoms and when to seek medical treatment. •The second goal was to increase awareness of the different evidence-based prevention strategies and other …

Skin Safety Bootcamp: Empowering Nurses To Own Hapi Prevention: A Quality Improvement Initiative, Brooke Randol Msn, Rn, Agcns-Bc, Cmsrn, Cws, Michelle Wood Msn, Rn-Bc

Posters & Presentations

Poster presented at Parkview Nursing Research Symposium, 2023

Question: For inpatient cardiovascular nurses, does implementing a skin safety bootcamp improve the use of pressure injury prevention interventions compared to preintervention, resulting in a decrease in hospital-acquired pressure injuries?

Enhancing Diabetes Care With Peer Mentorship And Support Groups, Barry Mccann Bsn, Rn

Posters & Presentations

Poster presented at the Parkview Nursing Research Symposium, 2023.

Continued increase in prevalence of type 2 diabetes indicates need for more effective interventions to support lifestyle and behavior changes (ADA 2018).

• Evidence indicates attending diabetes self management education programs can improve diabetes outcomes, unfortunately they are often under referred and underutilized (Powers et al. 2015, Boakye et al. 2018).

• Limited class times, locations, and capacities can make attendance for all patients difficult and vulnerable populations are less likely to participate (Boakye et al. 2018).

• Diabetes education programs often lack culturally and individually relevant guidance, provide no long-term …

Evaluating Effects Of Academic-Practice Partnerships A Literature Review, Katherine M. Edwards Msn, Rn, Ccrn-K

Posters & Presentations

Poster was presented at Parkview Nursing Research Symposium, 2023

Purpose of Project: ♦ Stakeholder satisfaction and benefits evaluated to understand what effects academic-practice partnership programs have on healthcare systems and nursing students ♦ Literature review was the method utilized to examine the effects of partnership programs for healthcare system and nursing student satisfaction

Medication Review Project For The Aspiring Ma Iii, Marie Millan

Articles, Abstracts, and Reports

No abstract provided.

Social Activity Restriction And Psychological Health Among Caregivers Of Older Adults With And Without Dementia, Elliane Irani, Kylie Meyer, Scott Emory Moore, Kedong Ding

Faculty Scholarship

Objectives: We examined associations between social activity restriction and psychological distress and well-being for caregivers of older adults with and without dementia, and if the identified associations are different for the two groups. Methods: Using data from the 2017 National Study of Caregiving, we identified caregivers of older adults with (N = 541) and without (N = 1701) dementia. Linear regression models were estimated, adjusting for caregivers’ age, gender, race, education, relationship to care recipient, and self-rated health. Results: Restriction in visiting friends and family and attending religious services were associated with higher distress in dementia caregivers. Restriction in visiting …

Interdisciplinary Involvement In Htn Management, Kirsten Curcio, Maurice N. Tran, Estera Ianciuc

Articles, Abstracts, and Reports

No abstract provided.

Implementing Health Information Stations At Addiction Recovery Center, Esther Yi, Daryn Hernandez, Maryam Umer, Jasmine Alvarez, Kaitlyn Ward, Riciajoy Padilla

Nursing Leadership in Community Engagement Projects

Implementing Health Information Stations at the Addiction Recovery Center

Six Seattle Pacific University nursing students partnered with an addiction recovery center to address aging healthcare concerns. The recovery center is a non-profit organization that provides a refuge for healing for community members recovering from trauma, homelessness, addiction, and other mental health challenges. Through our weekly meetings with the community, we wanted to address specific barriers such as aging healthcare concerns. We focused on how the low-income aging population posed barriers to aging well.

Background

There has also been a rise in poverty in aging populations (Saldanha, 2023). Though aging influences …

Risk And Protective Factors To Well-Being In Foster Care Youth Prescribed Psychotropic Medication In A Wraparound Program Of Care, Ann Reali Stratton

Dissertations

Background: Youth in foster care are prescribed psychotropic medications at higher rates and are more likely to experience disruptions to their medical care. Wraparound models of care have been shown to improve outcomes for youths on psychotropic medications, however, these methods have proved difficult to replicate in the foster care population. Government policies have called for better oversight in the foster care population and in response programs have been implemented, however, there remains little research for these programs. Objective: This research will evaluate the characteristics of foster care youth as they enter a Wraparound model of care and the predictive …

Lost In Interpretation: The Lived Experience Of Nurse Interpreters In The Clinical Setting, Byron Batz

Dissertations

The use of language interpreters in the health care setting constitutes a vital part of provider-patient communication but remains a relatively unexplored phenomenon. Registered nurses (RNs) are often called upon to serve as interpreters when linguistically diverse patients constitute a large segment of the patient population. That RNs serve simultaneously in an interpreter role – in addition to clinical and advocacy roles – is a complex facet of contemporary nursing practice in a diverse U.S. culture. The purpose of this qualitative descriptive study was to examine the lived experience of RNs serving as interpreters in health care institutions in Southern …

Patient-Defined Plan Of Care Goals To Increase Patient Satisfaction And Communication: A Benchmark Study, Kyle D. Groce

MSN Capstone Projects

Over the last two decades, patient-centered care has been identified as a core principle for healthcare (McKeown et al., 2023). Patient-centered care has been shown to reduce overall healthcare costs, improve patient outcomes, and increase patient satisfaction (Figueroa et al., 2016; Köberich et al., 2016; McKeown et al., 2023; Araki, 2019; Morgan & Yoder, 2012). Although patient-centered care is universally recognized as an essential aspect of healthcare, there is no universally defined definition of it or how to implement it (Rassouli, et al., 2020).

Studies have shown that most patients, if given the opportunity, overwhelmingly want to be involved in …

Mentoring Minority Nursing Students, Justin Morris

Graduate Theses, Dissertations, and Capstones

Throughout the pandemic, there was a spotlight on the problems with nursing satisfaction and retention. However, minority nurses, a sub-population of nurses, were hidden in the shadows. To create change to this disparity we need to start in the academic world, as these students feel more pressure to succeed due to outside stressors (Osakwe, et al., 2022). The mentorship intervention has been long studied and has shown great promise to improve academic status, nurse retention, and nurse satisfaction. This evidence-based practice (EBP) project aimed to 1) combat the disparity in minority nursing students’ professional support needs through quality mentorship and …

Medication-Assisted Therapy And First Episode Psychosis: Evaluating Treatment And Readmission Rates: A Scoping Review, Whitney Nichole Trotter Ms, Bsn, Rdn/Ldn, Rn, Margaret Carrie Harvey Phd, Aprn, Acnp-Bc, Chfn

Doctor of Nursing Practice Projects

Purpose/Background:

There is limited research aimed at addressing the reoccurrence of admission rates for first-episode psychosis. Research shows that early interventions for first-episode psychosis lead to remissions and prevention of relapses. Research also estimates that approximately one-half of first-episode clients have a history of cannabis abuse or dependence and one-third have a current cannabis use disorder (Wisdom et al., 2011). This study looks to determine whether Medication-assisted therapy (MAT) impacts readmission rates for patients who have substance use disorder and first-episode psychosis within six months of discharge.

Methods:

A comprehensive literature search was conducted using several electronic databases, including PubMed, …

The Effect Of Obesity On Comorbidities: A Benchmark Study, Kaley Nolen

MSN Capstone Projects

Obesity is distinguished by a body mass index (BMI) greater than 30. Tremmel et al. (2017) reports obese individuals are at a greater risk for developing cardiovascular disease, diabetes, and cancer. In 2014, approximately 641 million adults were classified as obese (Zhang et al., 2018). This epidemic has drastically worsened over the last two decades resulting in obesity ranking as the fifth most common cause of death globally (Safaei et al., 2021). Okunogbe et al. (2021) states, slowing the incidence rate of obesity by 5% will save approximately $3.3 billion annually between 2020-2060. The pathophysiology and cause of obesity is …

Integrative Review: Job Satisfaction Among Nurse Leaders, Meghan Wheeler, Sharrissa Beckford, Chelsey Smith

Master of Science in Nursing Final Projects

The intention behind this research was to identify trends and factors that impact the job satisfaction of nurse leaders in the healthcare setting in America today. The organizational support provided to nursing leaders was consistently found to be a key part of job satisfaction. Mental health and well-being were also identified as integral pieces to ensure nurse leaders were confident in their role and decrease intent to leave. Work/life balance was also found to be an important factor in ensuring nurse leaders experienced high levels of job satisfaction. The burnout of nurse leaders can happen for a variety of reasons …

How To Cru: Submitting A Clinical Research Utilization Form, Susan Stell, Gwendolyn Williams

Nursing Research and EBP Day 2023

To increase nurses’ comfort level with applying research to nursing practice, the Clinical Research Utilization (CRU) Form was created. Most nurses in the Rochester Regional Health system are required to complete one CRU Form every year, and nurses who complete 2 are able to use their second CRU for the clinical ladder. This poster helps provides guidance for nurses who are submitting a CRU Form.

Standardization Tools In Rrh Triage: A Nursing Based Review, Makayla Boff, Julie Voelkl, Cynthia Garofono, Colin Dewyea, Heather Farren

Nursing Research and EBP Day 2023

Long wait times to be seen in outpatient clinics has led to an increase of triage messages for nurses within RRH. Could standardizing nursing triage protocol improve efficiency of patients care while building confidence and satisfaction among nurses? If protocols and standardizations tools are implemented to nursing staff then collectively we should see triage messages being answered in a more timely fashion, providing quicker care to patients as nurses will become more confident in the care they provide due to more precise guidelines being set out for them to follow.

Within RRH ambulatory offices surveys were created and distributed among …

Retention Among New Graduate Rns With And Without Transition To Practice Nurse Residency Programs, Grace Newman, Calie Ferraina, Amanda Burling

Nursing Research and EBP Day 2023

Question: Does a structured nurse residency program affect the rate of retention among newly graduated RNs?

Hypothesis: A structured nurse residency program will impact the retention of new graduate RNs.

Methods: Articles reviewed for RN retention rates for nurses with and without nurse residency programs.

Results: Research supports that transition to practice (TTP) programs have been successful in new graduate RN retention rates. TTP programs help the new graduate develop skills to cope more effectively with their transition and lead to healthier, more balanced careers. Typical TTP programs were generally 12 months in length, had a dedicated program coordinator and …

Nurse Residency Program: Is This Worth My Time?, Gracie Puls, Sydney Wellspeak, Ashley Ernle, Cheryl Mcgee, Sarah Glor

Nursing Research and EBP Day 2023

Question: The purpose of this evidence-based practice project was to determine in new graduate nurses, how does Nurse Residency Program versus traditional orientation effect confidence and competence in high risk/low volume procedures.

Hypothesis: It was hypothesized that Nurse Residency Program was superior to traditional orientation for improving confidence and competence in high risk/low volume procedures.

Methods: A literature review was conducted using CINAHL with key words “orientation”, “Nurse Residency Program”, “confidence”, “competence”, and “transition”.

Results: The results of the literature search identified two studies that utilized quantitative strategies and found statistically significant results favoring Nurse Residency Programs over orientation alone. …

Are Non-Slip Socks The Best Way To Prevent Falls?, Grace Buonaugurio, Gabriella Coraggioso, Yana Gerasimovich, Alysia Negron, Zara Reilly

Nursing Research and EBP Day 2023

The purpose of this Evidence Based Research Project was to examine if the common fall prevention intervention of patients wearing non-slip socks while in the hospital the most beneficial way to prevent inpatient falls? It was hypothesized that in hospitalized adults over the age of 65 the use of non-slip socks compared to other footwear would not decrease the risk of falls. To test this hypothesis, a literature review was conducted, and articles related to the specific intervention of non-slip socks on the hospitalized older adult and its effect on falls were reviewed.

Previous studies have associated mobilization in foot …

Restraint Free In 2023, Lindsey Alfred, Kalani Dancoe, Tawo Ewa, Xiomara Figueroa, Willow Finch, Yusnavys Alfonso Flores, Jessica Jones, Kerry Lefebvre, Beka Naylor, Alyssa Umbrino, Jarvis Mcgrath, Elizabeth Duxbury

Nursing Research and EBP Day 2023

This EBP project evaluated if in hospitalized adult patients on Sands 800 does the use of a restraint management bundle decrease the use of restraints during the inpatient admission compared to current restraint practices. In the SICU, restraint usage is an initial response instead of last intervention. This culture of care concerns nurses and providers. It was hypothesized that decrease restraint usage and time in restraints will allow the patient to remain safer by evaluating usage of restraint alternatives, cost savings, patient mobility, and clinical staff understanding of appropriate restraint usage.

The SICU was educated on the least restrictive device, …

Evidence-Based Practice Liaisons: Supporting Ebp Across The Health System, Tami Hartzell, Susan Stell

Nursing Research and EBP Day 2023

The Evidence-Based Liaison Council was formed to sustain evidence-based practice (EBP) at Rochester Regional Health and to support an EBP culture using the Advancing Research and Clinical Practice through Close Collaboration Model (ARCC) (Melnyk & Fineout-Overholt, 2005). Committee members include nursing representatives from a variety of clinical settings and hospitals as well as interdisciplinary team members committed to using and bringing evidence-based practice to the bedside.

This poster highlights how EBP facilitates value-added care, improves clinician satisfaction, and enhances the patient experience. Sharing our accomplishments demonstrates the ways in which the Council has contributed to increasing nurses’ knowledge and use …

Virtual Distractions From Reality, Mary Grace Nichols, Meghan Guzda, Meghan Dougherty, Louise Toepper, Bailey Hernandez

Nursing Research and EBP Day 2023

Patients in the pediatric emergency room are subject to many painful, stressful, and scary procedures which can lead to a frightened, nervous and uncooperative child. These same procedures can contribute to parental stress and lead to staff dissatisfaction as well. While the literature revealed a plethora of distraction techniques that are implemented in pediatric patients, our project explored studies that implemented virtual reality as a distraction technique across different ages and procedures.

Based on the evidence that was identified, a grant was recently obtained to implement virtual reality into our pediatric emergency department at Rochester General Hospital and we are …

Pre-Visit Planning In Primary Care, Suzanne Allman, Melissa Tillman, Breanne Thielges, Melissa Diaz, John Frewing, Susan Bopp, Ozlem Kadar

Nursing Research and EBP Day 2023

Pre-visit planning is the process of collecting and organizing data prior to a patient appointment. The pre-visit planning process requires a team member to call the patient a week before the appointment through the use of a questionnaire form. This helps identify incomplete tests, screenings, immunizations and referrals that are currently outstanding. The pre-visit process results in scheduling needed appointments and lab work as well as gathering necessary information from the patient to streamline their upcoming visit. The use of pre-visit planning may result in improved patient satisfaction and decreased physician time with each patient visit.

Re-Evaluating Mobilization Practices And Their Impact On Hapis, Erin Christopher, Mary Prochaska, Luna Pierre, Lindsay Santucci, Kenny Van Ryn, Francheska Santiago

Nursing Research and EBP Day 2023

Hospital acquired pressure injuries (HAPIs) contribute to longer length of stay, poor clinical outcomes and increased healthcare costs.

A literature review showed that the implementation of visual cues to identify patients who require assistance with mobility and positioning in addition to the implementation of scheduled turn teams could have a positive health impact for the patients at RGH and reduce HAPIs incidence. Research suggests that educating unlicensed staff to recognize patient Braden Scale scores and to provide daily care based on risk factors for skin breakdown may lead to improved clinical outcomes.

The Big Picture: Use Of Photography As Standard Documentation, Megan Tebo, Rhianon Lester

Nursing Research and EBP Day 2023

Photos of surgical wounds when included in documentation can assist the clinician in providing appropriate care and help engage the patient in their care. Incorporating photos into documentation provides a consistent timeline of wound changes and can help the clinician identify issues in a timely manner and may provide a method to involve the patient in their care. An additional benefit of wound photos is the prevention of potential legal issues as it demonstrates that the quality of care received is appropriate. If medical malpractice were to result, photos add to proper documentation.

When the decision is made to include …

Nurse Led Mobility/Exercise Program, Elizabeth Schneider, Sarah Koopman, Marissa Sharp, Victoria Dempsey, Elizabeth Rudy, Melissa Combs, Dena Chapman

Nursing Research and EBP Day 2023

Question: Can an individualized nurse led exercise/mobility program in hospitalized elderly, age 75 and older prevent functional decline, decrease LOS and prevent institutionalization to SNF?

Hypothesis: Current practice is one mobility champion for 3 or 4 inpatient medical surgical units to ambulate or mobilize patients in a 262/300 bed hospital (NWH/CSH). No formal exercise program is in place unless there is an order for PT. This current practice leaves elderly age 75 and older at risk for functional decline and adverse outcomes. It was hypothesized that a nurse driven mobility program in the patients care plan for mobile, non- mobile …

Postoperative Deep Vein Thrombosis Prevention, Jaidin Degraw, Carrie Elliott, Cailey Jeffery, Melina Leone, Amber Mallory

Nursing Research and EBP Day 2023

The prevention of deep vein thrombosis (DVT) remains a primary concern for providers. While prophylactic heparin has been routinely prescribed, other forms of prevention such as early ambulation and pneumatic compression are now being used. This project sought to identify which method of DVT prophylaxis is more effective in providing safe patient care and reducing hospital stay. Based on the literature that was reviewed, the use of dual prophylactic measures may be more beneficial than a single preventative measure. As always, more research is warranted.