Nursing Commons^™

Implementation Of The Ahrq Nurse Bedside Shift Report On A Progressive Care Unit (Pcu), Dawn Doud, Angie Shemwell, Sherri Butcher, Crystal Maxey, Tanner Doyle

Articles, Abstracts, and Reports

Implementation of the AHRQ Nurse Bedside Shift Report on a Progressive Care Unit

Objectives:

1. After reviewing this presentation participants will be able to understand how purposeful bedside report was implemented on a progressive care unit (PCU).

2. After reviewing this content participants will understand how bedside report impacted safety events and falls on the PCU.

Purpose/Aims:

Background: Advancing evidence-based practice at our hospital is one of the top priorities of our nursing strategic plan to achieve excellent patient outcomes. The PCU wanted to understand if implementing a nurse bedside shift report would impact safety events and fall rates on …

Should I Stay Or Should I Go? Nursing And Midwifery Academics Intention To Stay In Or Leave Academia: A Scoping Review, Marion Tower, Rachel Muir, Peta Anne Zimmerman, Amanda G. Carter, Robyn Maude, Kathy Hollaway, Lynore Geia, Debbie Massey, Elizabeth Elder

Research outputs 2022 to 2026

Background: There is a chronic lack of appropriately qualified nurses and midwives being attracted into and remaining in the academic workforce. Reasons for this are not well understood but have been linked to stressful work environments related to balancing multiple roles in sometimes unsupportive environments, resulting in overload and demoralisation. Aim: To illuminate factors associated with nursing and midwifery academics' intention to remain in academia and factors associated with intention to leave. Design: A scoping review was undertaken to provide a comprehensive and broad analysis of the related literature. This was guided by Arksey and O'Malley. A search strategy was …

Where's My Baby? A Feminist Phenomenological Study Of Women Experiencing Preventable Separation From Their Baby At Caesarean Birth, Linda J. Deys, Valerie Wilson, Sara Bayes, Shahla Meedya

Research outputs 2022 to 2026

Problem: Separating women and babies immediately after birth contributes to poor birth experience and reduced satisfaction. Background: A negative birth experience can impact a woman's transition to motherhood and emotional well-being beyond the newborn period. Separating women from their baby at birth is known to reduce birth satisfaction and is more likely to happen at caesarean section births. Question: What is the experience of women who are separated from their baby after caesarean section birth without medical necessity? Methods: Unstructured, in-depth phenomenological interviews were conducted with fifteen women who had been separated from their well-baby at caesarean section birth. Data …

Nursing Students’ Evaluation Of Clinical Placement Education Quality: A National Database Analysis, Colleen Ryan, Areum Hyun, Lynda Hughes, Fiona Bogossian, Simon Cooper

Research outputs 2022 to 2026

Aim: To report nursing student ratings of clinical placement education quality. Background: Australian nursing students must complete specified clinical placement hours which must be monitored and evaluated. Design: A quality improvement evaluation design, incorporating survey. Methods: Participating universities used QR codes and weblinks to distribute a survey between January and December 2023. The validated Placement Evaluation Tool (PET – Nursing) incorporates 20 items; Clinical Environment (11 items), Cronbach's alpha =.94 and Learning Support (8 items), Cronbach's alpha =.96 and one item rating satisfaction. Results: Nursing students from 36 universities submitted 17,705 evaluations. The PET – Nursing mean quality rating was …

The Effects Of Care Handoffs And Hospital-Wide Flow, Abbey Siulinski Bsn, Kaitlyn Leavitt Rn, Ryan Pullen Bsn, Katie Schmid Bsn

Nurse Residency

PICOT Question: In admitted patients, do timely nurse to nurse reports vs delays in care handoff negatively affect patient care and outcomes?

Interventions To Improve Mental Health In New Graduate Nurses, Katherine Lewis Rn Bsn, Cordelia Inman Rn Bsn, Hannah Leclair, Caroline Spencer Rn Bsn

Nurse Residency

PICOT Question: In new graduate nurses (CN1), how does mental health support groups compared to no specific mental health support affect new nurses within the first year of hire?

Mental Fatigue And Self-Care In Informal Oncology Caregivers: A Descriptive Mixed Methods Study, Megan Wayne

MUSC Theses and Dissertations

Purpose:

This dissertation study aimed to enhance understanding of informal caregiver wellbeing by exploring the presence of mental fatigue, the relationships among mental fatigue, self-care, and informal oncology caregiver quality of life (QOL), and determining whether differences exist in self-care engagement and QOL between caregivers who report high and low levels mental fatigue.

Problem:

Healthcare is becoming increasingly reliant on informal caregivers for the management and care of individuals with serious illnesses such as cancer. Previous research has shown that informal caregivers routinely experience many negative effects as a result of providing care including decreased mental health and …

Early Mobilization In Mechanically Ventilated Icu Patients, Garrett Lafrance Bsn Rn, Jasmine Olshin Bsn Rn, Olivia Powers Bsn Rn, Lauren Baecher Bsn Rn

Nurse Residency

PICOT Question: In mechanically ventilated ICU patients, does early mobilization decrease length of ICU stay in comparison with patients on strict bedrest?

World Delirium Wareness And Quality Survey In 2023- A Worldwide Point Prevalence Study, Heidi Lindroth, Keibun Liu, Laura Szalacha, Giuseppe Bellelli, Mark Von Den Boogaard, Gideon Caplan, Chi Ryang Chung, Muhammed Elhadi, Mohan Gurjar, Gabriel Heras-La-Calle, Magdalena Hoffman, Marie-Madlen Jeitziner, Karla Krewulak, Tanja Mailhot, Alessandro Morandi, Ricardo Kenji Nawa, Esther S. Oh, Marie Oxenboell Collet, Rebecca Von Haken, Peter Nydahl, For The Wdad Study Team

Publications

Background

Delirium, an acute brain dysfunction, is proposed to be highly prevalent in clinical care and shown to significantly increase the risk of mortality and dementia.

Objectives

To report on the global prevalence of clinically documented delirium and delirium-related clinical practices in wards caring for paediatric and adult patients in healthcare facilities.

Design

A prospective, cross-sectional, 39-question survey completed on World Delirium Awareness Day, 15 March 2023.

Participants

Clinicians or researchers with access to clinical data.

Main Outcome and Measure

The primary outcome was the prevalence of clinically documented delirium at 8:00 a.m. (4 h) and 8:00 p.m. (±4 h). …

Reframing Burnout: Measuring “Altruistic Execution” To Understand Nurse Burnout, Jacqueline Christianson, Abir K. Bekhet, Jill L. Guttormson, Maharaj Singh, Norah L. Johnson

College of Nursing Faculty Research and Publications

Background:

Many nurses join the profession because they have altruistic intentions, but some nurses experience barriers to acting on altruistic intentions which may be a source of job dissatisfaction or burnout.

Objective:

The purpose of this study was to evaluate construct validity, internal consistency, and convergence reliability of the Nursing Altruistic Execution Scale (NAES), a novel instrument assessing the perceived ability to help others through work.

Methods:

The NAES was developed based upon a literature review examining altruistic behavior as a motivator for nursing work, with expert feedback for instrument refinement. Participants completed the NAES, Copenhagen Burnout Inventory Work-Related Burnout …

Essentials Of Genomics In Nursing Undergraduate Education: A Discussion Paper, Sarah L. Dewell, Kathleen A. Muglia, Letitia Y. Graves, Rachel Joseph, Kara L. Mangold, Laura Grayson Roselli, Anne L. Ersig, Trina K. Walker

College of Nursing Faculty Research and Publications

Aim

To map the 2021 American Association of Colleges of Nursing Essentials to the American Nurses Association Essentials of Genomic Nursing for all nurses and provide resources for nursing faculty to support the seamless integration of genomics into existing undergraduate curricula.

Background

Since the completion of the Human Genome Project in 2003, rapid advancements in genomic science leading to practical applications of genomics have revolutionized all areas of healthcare. Nursing is built on foundational life sciences, including genomics. As the largest segment of the healthcare workforce, who spend the most time with patients and families, nurses play a critical role …

Health Outcomes In Children With Prenatal Opioid Exposure With And Without Neonatal Abstinence Syndrome In The First Seven Years Of Life: An Observational Cohort Study, Joshua Lambert, Sara Arter, Henry Ofori Duah, Teenu Xavier, Jon E. Sprague

College of Nursing Faculty Research and Publications

Introduction Prenatal opioid exposure (POE) is a major public health consequence of the opioid epidemic. Long-term health outcomes associated with POE remain unclear, especially for children with POE without a diagnosis of neonatal abstinence syndrome (NAS). Here, we aimed to describe the health outcomes of children with POE and with POE and NAS compared to unexposed children during the first 7 years of life. Design In this retrospective observational cohort study, children born between 2015 and 2022 were identified from the Maternal and Infant Data Hub (MIDH), a data repository that continuously integrates maternal, neonatal, and pediatric records from two …

Impact Of Participation In Cardiac Rehabilitation Post Myocardial-Infarction: An Integrative Review, Zoie Maynard, Mallory Stinson

Master's Projects

As one of the most common causes of hospitalization, the prevalence of myocardial infarction is indisputable Since this condition is so ubiquitous, a treatment protocol is initiated with methods to help patients modify their lifestyle, treat their underlying disease process, educate them to prevent reoccurrence, and improve their healthcare outcomes. This protocol relies heavily on the use of cardiac rehabilitation. Despite the implementation of this treatment protocol, the concern for recurrence and rehospitalization remains. The goal of this integrative review is to determine how participation in cardiac rehabilitation post-myocardial infarction impacts healthcare outcomes including rates of rehospitalization and depression. The …

Patient Reported Outcomes Amidst Isolated And Concomitant Chronic Cardiopulmonary Illnesses, Walter B. Wills

USF Tampa Graduate Theses and Dissertations

As the prevalence of many chronic cardiopulmonary illnesses are expected to rise within the United States through 2030, there is a growing emphasis on investigating the patient-reported outcomes relevant to the morbidity and social burden of these diseases. Thus, the overall aim of this dissertation is to examine these outcomes among those that live with chronic obstructive pulmonary disease and cardiovascular diseases (namely, heart failure). Specifically, the works in this dissertation aimed to compare how individuals report their health-related quality of life when living with and without cardiovascular disease across the spectrum of airflow limitation demonstrated within chronic obstructive pulmonary …

Implementing Bedside Shift Report In The Home Health Care Pediatric Setting, Ruth Elena Ramos-Ardila

Electronic Theses and Dissertations

Developing and maintaining good communication is central in nursing because the goal is to achieve the best outcomes for the patient. In the past, written handover reports have been the standard way nurses communicate with each other, especially in the hospital and in home-based practice. Despite this rationale, this approach has considerable weaknesses: its high risk of mistakes and misunderstanding could negatively influence patient outcomes. In light of these concerns, this project examines the role of bedside shift reports in pediatric home care and the patient readmission rate. This project employed a quantitative, cross-sectional research approach involving 32 pediatric home …

Transgender Education In School Nursing To Decrease Stigma And Promote Self-Efficacy, Brandy Shannon-Loyola

Electronic Theses and Dissertations

This Doctor of Nursing Practice project evaluated whether transgender education provided to school nurses and healthcare technicians decreased stigma and promoted self-efficacy. Concerns that transgender individuals have voiced were that they felt healthcare professionals could not effectively care for transgender patients, which may be due to personal or religious beliefs or lack of knowledge concerning the lesbian, gay, bisexual, transgender, and queer community. Participants included credentialed school nurses and healthcare technicians in secondary education settings. The method consisted of a presurvey, education in the form of a handout, followed by a postsurvey to determine if education was successful. The Wilcoxon …

Health Literacy And Perceived Control: Intermediary Factors In The Relationship Between Race And Cardiovascular Disease Risk In Incarcerated Men In The United States, Jennifer L. Miller, Misook L. Chung, Lovoria B. Williams, Alison R. Connell, Zyad T. Saleh, Abdullah S. Alhurani, Alison L. Bailey, Mary Kay Rayens, Debra K. Moser

UK CARES Faculty Publications

Background: Black race, inadequate health literacy, and poor perceived control are predictors of increased cardiovascular disease (CVD) risk. The purpose of this study was to explore the relationships among race, health literacy, perceived control, and CVD risk while controlling for known risk factors in incarcerated men. Methods: We included data from 349 incarcerated men to examine race and CVD risk (Framingham Risk Score) using a serial mediation model with health literacy and perceived control using 95% confidence intervals (CIs) from 5000 bootstrap samples. Results: Of the participants (age, 36 ± 10; education, 12 ± 2; body mass index, 28.3 ± …

Mindful Self Care Interventions In Travel Nurses Who Have Worked During And After The Covid-19 Pandemic, Danika Desgazon

Doctor of Nursing Practice Projects

Background

The COVID-19 pandemic placed significant mental strain on frontline healthcare workers, particularly travel nurses deployed to high-risk areas. This group experienced heightened anxiety, fear, and post-traumatic stress, which often limited their engagement in essential self-care practices. Previous research indicates that structured self-care interventions, particularly those incorporating mindfulness, can help mitigate stress and improve mental health. However, the specific impact of such interventions on travel nurses has not been widely studied.

Purpose

This study aimed to evaluate the effectiveness of an 8-week mindful self-care intervention in reducing stress and improving self-care behaviors among travel nurses who worked during and after …

Enhancing Clinical Staff Knowledge And Skills In Ankle-Brachial Index (Abi) Measurements: A Training Intervention Study In A Small Family Medicine Clinic, Christopher Avellanet Manzano

Doctor of Nursing Practice Projects

Background

Peripheral arterial disease (PAD) is a common yet often underdiagnosed condition that can lead to serious complications. This study aimed to evaluate the impact of an Ankle-Brachial Index (ABI) education training program on clinical staff's referral rates, accuracy in performing ABI measurements, knowledge regarding PAD, and confidence levels in a small family medicine clinic in Dallas.

Method

The study utilized a pre- and post-intervention design. Clinical staff participated in a structured ABI training program, after which referral rates to vascular specialists were measured alongside evaluations of accuracy, knowledge, and confidence levels. The paired t-test was employed to analyze the …

Prepping As An Inclusive Team For A Successful Tjc Site Visit, Erika Whetstone Msn, Rn, Cphq

Nursing Publications, Posters, & Presentations

Presented at the 2024 Parkview Nursing Research Symposium.

Background: Department rounds and leadership virtual meetings were being used to prep for an anticipated Joint Commission Re-accreditation survey. Preparation did not provide a robust frontline multifaceted approach for both non-clinical and clinical co-workers which posed communication and preparedness gaps. Purpose: To develop a multifaceted approach in coworker preparation for an upcoming Joint Commission Onsite Survey by increasing staff awareness, knowledge, and understanding of the survey process. Ultimately striving for decreased survey anxiety and citations received. Methods: Preparation was developed and implemented from a multifaceted approach to include both non-clinical and clinical …

Inquire, Act, Empower: Resilience Strategies For Adolescent Mental Wellness, Brandy Carlisle Bsn, Rn

Nursing Publications, Posters, & Presentations

Presented at the 2024 Parkview Nursing Research Symposium.

Background/Problem: Adolescence is a pivotal period for mental health development, with many experiencing stressors that may contribute to the onset of mental health disorders. Research has identified key resilience factors that enhance mental well-being and mitigate the risk of these disorders. Translating this research into practical nursing interventions promotes mental wellness among adolescents.

Objectives/Aim/Purpose: This poster aims to explore evidence-based resilience factors in adolescents and present action-oriented nursing interventions that can be integrated into clinical practice to empower young individuals in maintaining mental wellness and preventing mental health disorders.

Methods: A systematic …

Socio-Economic Disparities In Prenatal Prognosis And Intervention Accessibility, Simona Raluca Iacoban, Madalina Piron Dumitrascu, Camil Laurentiu Bohiltea, Ioan Dumitru Suciu, Silviu Cristian Voinea, Nicolae Suciu

Journal of Mind and Medical Sciences

Objectives. This study aimed to assess the impact of socio-economic factors on prenatal care accessibility and outcomes and to evaluate the effectiveness of specialized integrative prenatal care in mitigating these disparities. Materials and Methods. A prospective cohort study was conducted between 2020 and 2023 in Bucharest, Romania, involving 100 pregnant women. Participants were equally divided into two groups that received standard and specialized prenatal care. Data were collected through structured interviews, medical record reviews, and standardized questionnaires at multiple time points during pregnancy and postpartum. Results. Women receiving integrative care had longer gestation periods (37.8 vs. 37.6 weeks), higher average …

Minding The Details: The Importance Of Assessment Accuracy And Consistency In Managing Nursing-Sensitive Indicator Interventions, Elizabeth Card, Noah Zanville

HCA Healthcare Journal of Medicine

Evidence-based practice holds the potential to streamline health care, reduce costs, and improve patient outcomes. A good share of the data collected to create the evidence comes from electronic health records and other digital sources. Nurse-sensitive indicators, such as patient falls, pressure injuries, and hospital-acquired infections, are examples of data used to reflect the quality of nursing care. Other data may come from routine assessments nurses perform. It is crucial that nurses use valid and reliable instruments to create this data and that the use of the instruments is consistent across nurses in units, different shifts, and even different facilities. …

Measures Of Success: Making The Case For Advanced Practice-Sensitive Quality Indicators, Ruth Kleinpell, April Kapu, Cynthia Borum

HCA Healthcare Journal of Medicine

Advanced practice registered nurses (APRNs) are key health care providers in a variety of settings. Often APRNs are grouped in a collective category, along with physician assistants, and referred to collectively as advanced practice providers. As APRNs assume an increasing role in patient care management in hospital, outpatient, and community settings, such as clinics and rural practices, measuring the impact of their care on patient outcomes and quality of care becomes a necessary component of performance evaluation. APRN-sensitive outcome indicators are an important way to identify the impact of the role. While a number of studies have been conducted that …

Development Of A Facility-Level Second Victim Syndrome Peer-Mentor Program: Program Design And Future Directions, Jacqueline Trammell, Noah Zanville, Caryn Alper

HCA Healthcare Journal of Medicine

Background

Despite efforts to prevent errors, studies show that iatrogenic, or health care-related, errors continue to occur. Understandably, these errors, which can range in severity from near-misses to serious harm, can be devastating for the health care professionals involved, creating a potential second set of victims, in addition to the patient(s) that were harmed directly. Studies show that individuals struggling with second-victim syndrome (SVS) can be at increased risk for depression, burnout, and poor work performance. However, programs designed to develop peer mentors to support individuals struggling with SVS are poorly described.

Methods

Following a review of the literature, our …

Nursing And Supply Chain As Critical Partners In Enterprise-Level Efforts To Prevent Hemodialysis Associated Central Line-Associated Blood Stream Infections: A Case Study, Dana L. Blayney, Julia Moody, James Pittman, Noah Zanville, Missy Pennington, Sarah A. Fraker, E. Jackie Blanchard

HCA Healthcare Journal of Medicine

Background

Preventing central line-associated bloodstream infections (CLABSIs) remains a critical national focus for health care facilities. This notion is particularly true for patients undergoing hemodialysis (HD), where the associated mortality rates for HD-CLABSI range from 12% to 25%. Studies show that the use of central venous catheter (CVC) end caps coated with antiseptic agents, such as chlorhexidine gluconate (CHG) on HD-CVCs, can reduce the incidence of CLABSIs. However, issues ranging from difficulty finding and maintaining an adequate (and fully standardized) supply of CHG-impregnated HD end caps and ensuring consistent practice by clinicians can prevent the use of this valuable tool. …

Effectively Addressing Hospital-Acquired Pressure Injuries With A Multidisciplinary Approach, Nicki Roderman, Shandlie Wilcox, Andrew Beal

HCA Healthcare Journal of Medicine

Background

Hospital-acquired pressure injuries (HAPIs) result in patient harm, discomfort, and even death, with an estimated 2.5 million HAPIs occurring annually in the United States. These pressure injuries from prolonged pressure on the skin and deeper tissues cause reduced blood flow and the breakdown of skin and tissues, resulting in wounds. Additionally, these injuries contribute to longer hospital stays and increased health care costs. Hospitals have programs aimed at reducing HAPIs as well as ongoing surveillance to identify new trends early on. This ongoing monitoring revealed a trend early at our institution that HAPIs were 66% higher than the national …

Improving Maintenance Of Central Line Dressing To Reduce Risk Of Central Line-Associated Bloodstream Infections In An Acute-Care Setting, Kristi Gaskill, Kerry Wilder, Emily Sneed, Astrid J. Pujals, Kim Newman

HCA Healthcare Journal of Medicine

Background

Central line-associated bloodstream infections (CLABSI) increase morbidity, mortality, and healthcare costs. Central venous access device (CVAD) dressing integrity is critical to prevent CLABSI. From the First Quarter to the Third Quarter of 2023, CLABSI rates related to disruption in CVAD dressing integrity increased significantly at our facility. Despite the delivery of education, competency validation, and checklist implementation, CLABSI rates remained high, making this our top strategic priority.

The purpose of this quality improvement initiative was to determine if gum mastic adhesive and hemostatic powder would improve dressing integrity and decrease CLABSI rates related to disruption of central line dressings. …

Central Line-Associated Bloodstream Infection Reduction In Hemodialysis Patients Across 9 Hospitals And 3 States, Nicki Roderman, Kasadi Moore, Shandlie Wilcox, Jennifer Jellerson, Zoey Bridges

HCA Healthcare Journal of Medicine

Background

This quality improvement project was initiated to reduce hospital-acquired catheter-associated bloodstream infections (CLABSI) in hospitalized patients receiving dialysis. A team dedicated to reducing hospital-acquired infections led the implementation of evidence-based interventions across all the included hospitals. This innovative approach demonstrated substantial enhancements in outcomes for patients on hemodialysis.

Methods

To enhance patient safety in patients receiving hemodialysis, new strategies were implemented, including (1) transitioning from a vendor model to an internal model, enabling dialysis program standardization, (2) empowering intensive care nurses with increased autonomy and ownership, (3) transitioning to a standardized dialysis machine, and (4) introducing chlorhexidine gluconate (CHG) …

A Randomized Controlled Trial Of 2% Chlorhexidine Gluconate Skin Preparation Cloths For The Prevention Of Surgical Site Infections In Adults Undergoing Spine Surgeries: Residual Reduction In Skin Bacterial Load For 4 Days, Elizabeth Card, Yaping Shi, Wuraola Adesinasi, Matt Shotwell, Nancy Wells, Elizabeth Hall, Joseph Cheng, Edward Sherwood

HCA Healthcare Journal of Medicine

Background

Surgical site infections (SSI) result in increased morbidity and mortality, prolonged recovery, longer hospital length of stay for medication or possible additional surgeries, and escalated health care costs. The purpose of this randomized controlled trial was to compare SSI rates and overall skin flora burden between those using chlorhexidine (CHG) cloths versus soap and water preoperatively in the adult spine surgery population.

Methods

Subjects were randomized preoperatively to use 2% CHG cloths versus soap and water the night before and morning of surgery prior to the operation. A skin culture was obtained at enrollment prior to any cleansing, again …