Nursing Commons^™

The Pause: Impacting Moral Distress In Our Caregivers, An Integrative Review, Bethany Corinne Furman

Doctoral Dissertations and Projects

Moral distress is endemic to healthcare in the emerging post-covid era. Moral distress is defined as the knowledge of the correct or ethical action but the repeated inability to act in that manner. First studied in nursing, it has been found in nearly every facet of healthcare and is strongly associated with clinician burnout, intent to leave position, and behaviors that can in turn compromise patient safety. Intensive care unit (ICU) nurses experience moral distress at higher rates than other subspecialties. Prevention of and recovery from moral distress is complex, but various forms of debriefing have long been suggested to …

Closing The Sepsis Communication Gap In The Ed: An Integrative Review, Rebecca Caldwell Hamlett

Doctoral Dissertations and Projects

Many patients experiencing sepsis seek care in the Emergency Department (ED), making the ED their first interaction with the healthcare system. Unfortunately, these individuals often face significant delays in receiving life-saving treatment interventions. In 2021, the Surviving Sepsis Campaign revised their sepsis guidelines to recommend implementing standard operating procedures for managing septic patients. The purpose of this integrative review was to examine the impact of an ED sepsis huddle on enhancing communication among all ED personnel regarding potential septic patients. Ultimately, the goal is to activate a multidisciplinary or intercollaborative team, expedite treatment, and fulfill sepsis communication gaps. This integrative …

Lean Implementation Difference Between Lean Maturity, Psychological Well-Being, And Employee Engagement Of Nurses In A Hospital Setting, Kevin E. Smith

Doctoral Dissertations and Projects

This quantitative study examined the differences of Lean implementation in three settings; (a hospital in a health system where Lean is implemented throughout the system, a hospital that has implemented Lean in a health system that has not implemented Lean, a hospital that has not implemented Lean in a health system that has not implemented Lean) between LM, PWB, and EE among nurses in a hospital setting. The theoretical construct of the job demands-resources model is used to base the study. Three survey instruments (Psychological Well-Being Scale, Utrecht Work Engagement Scale, Lean Healthcare Implementation Self-Assessment Instrument) were self-administered by registered …

Experiences Of Community Hospital Nurses In Blended Learning In Singapore: A Transcendental Phenomenological Study, Anqi Su

Doctoral Dissertations and Projects

The COVID-19 pandemic has led to many changes in the landscape of nursing care and nursing teaching and learning. One such change is the transition from traditional face-to-face learning to blended learning. While blended learning has many benefits and offers excellent opportunities for learning beyond the conventional methodologies and within the safety parameters of the COVID-19 pandemic, there is varied effectiveness from the literature review, and much is still being determined about community nurses' experiences in Singapore. Therefore, a qualitative transcendental phenomenological study on blended learning experiences among nurses in a community hospital in Singapore during the COVID-19 pandemic was …

Lived Experiences, Perceptions, And Caregiving Trajectories Of Family Caregivers Of Youth With Substance Use Disorders (Suds) In Zambia, Ireen Manase Kabembo

Lingnan Theses (MPhil & PhD)

There is unequivocal evidence that family caregivers contribute to healthcare systems worldwide by providing care for persons with chronic illnesses in the home setting. his study explores the lived experiences, perceptions, and caregiving trajectories of 30 family caregivers of youth aged 16-24 diagnosed with Substance Use Disorders (SUDs) in Zambia. Data was collected through in-depth semi-structured interviews, a caregiving timeline, and participant observation and analysed using interpretative phenomenological analysis. Guided by the integrated theoretical framework of positioning theory and the theory of caregiving dynamics, this study offers a new lens for understanding caregiver’s experiences regarding caregiver identity, self-perceptions, interpersonal relationships, …

Implementation Of A Nursing Care Bundle For Hospitalized Patients Receiving End-Of-Life Care, Klaire Thomason

Doctoral Dissertations and Projects

A significant number of patients die in the hospital. Family-centered nursing care interventions are critically important to help ease the physical, social, spiritual, and emotional symptoms that patients may experience at the end of life. Despite the importance of the nurse’s role in delivering comprehensive end-of-life care, many nurses lack the knowledge and confidence necessary to implement evidence-based interventions. The purpose of this project was to evaluate the effectiveness of a nursing care bundle on increasing nurses’ self-perceived ability to deliver high-quality end-of-life care to patients in the inpatient setting. For this pilot study, an evidence-based Comfort Care Nursing Bundle …

The Future Of Nursing Leadership: Incorporating E-Learned Artificial Intelligence (Ai) Pathways With A Precautionary Focus On Patient-Centered-Care, Jamie Anne Marcus Dr., Bonnette Villalba Webb

FDLA Journal

Artificial Intelligence (AI) is a data-driven mathematical process that incorporates machine-based-logic, usually in the form of algorithms. Education, training, and competencies are now conducted through virtual reality, robotics, simulation, and technology learning-based-platforms by healthcare organizations. This represents a significant change in the future of nursing practice. The adaptability of technology-based-learning platforms can impact the quality and efficiency of learning for some of the workforce population. Nurses' perception of technology and AI-driven nursing practice may vary based on generational orientation and can be a potential barrier to learning, practicing, and adaptability of this framework. The forging of well-trained resilient nurse leaders …

Decreasing Anxiety During Nursing Skills Evaluation In First-Semester Nursing Students, Terri Davis

Doctor of Nursing Practice Projects

Nursing students experience moderate to severe anxiety related to the rigor of nursing programs. Anxiety often leads to poor performance on exams and skills evaluations. When anxiety is not limited, it can contribute to nursing students being unable to progress in the nursing program and high attrition rates. The National League of Nursing (2021) estimates the attrition rate for nursing students in the United States at 20%. Attrition rates for associate degree programs are even greater and estimated to be around 50% (Kubec, 2017, as cited in Priode et al., 2020). This DNP quality improvement project looks to examine the …

Transition To Success: Development Of A Nursing Faculty Orientation Program, Christine Kaiser

Doctor of Nursing Practice Projects

Nursing faculty transitioning from clinical expert into the novice educator role face the dilemma of learning a new professional role while simultaneously meeting the demands of developing students to become competent nurses. A literature review suggested informal orientation programs lack the guidance necessary to assist novice nursing faculty in the transition to academia. This quality improvement project aims to develop and implement a formal, guided orientation program for nursing faculty with less than three years of experience. The project was implemented using a qualitative pre-post intervention design. Nursing faculty with less than three years of experience completed a Likert scale …

The Effectiveness Of Pressure Injury Prevention Through Educational Intervention Within The Long-Term Care Setting, Ashley Nunley

Doctor of Nursing Practice Projects

The prevalence of pressure injuries, particularly in older adults, continues to be disturbingly high, especially in those suffering from chronic diseases and frailty, bringing a higher awareness of applied preventive and therapeutic measures (Jaul et al., 2019). In long-term care nurses, will an educational, evidenced-based pressure ulcer prevention program impact health outcomes by increasing nurses’ knowledge, compared to no intervention over four weeks? The Pieper-Zulkowski Pressure Ulcer/Injuries Knowledge Test was used to evaluate the nurse's pressure injury knowledge pre- and post-educational intervention. The paired t-test was used to analyze the pre-and post-test data from the educational intervention. This DNP project …

Increasing Nurses’ Knowledge Of Cultural Preferences Influencing Diabetes Self-Management Among Sierra Leoneans, Winstina Aminata Taylor

Walden Dissertations and Doctoral Studies

The practice problem identified at the project site was the lack of nurses’ knowledge of how cultural preferences influence diabetes self-management practices among African Americans with diabetes mellitus. An educational program focused on the cultural preferences of Sierra Leoneans that influence diabetes self-management practices was provided for 48 nurses who worked in the agency. The doctoral project included concepts from nursing education and cultural competence theories to inform the approach. The project followed the ADDIE model process steps to develop and implement the educational program. The sources of evidence included pre- and posteducation surveys administered to participating nurses to assess …

Relationship Between Health Education Systems Incorporated Admission Assessment Scores And Student Completion Of A Baccalaureate Nursing Program, Colleen Peace

Walden Dissertations and Doctoral Studies

Math, reading, and vocabulary comprehension are important skills needed to ensure nursing students have a solid foundation on which to develop critical thinking skills to complete a nursing program. One of the common preadmission standardized tests is the Health Education Systems Incorporated Admission Assessment (HESI A2), but little research had been conducted to determine whether there is a correlation between the score on the HESI A2 and readiness to master nursing courses at the bachelor of science in nursing (BSN) level and completion of the BSN program. The purposes of this quantitative retrospective study, guided by Jeffreys’s nursing undergraduate retention …

Increasing Nurses’ Knowledge Of Cultural Preferences Influencing Diabetes Self-Management Among Sierra Leoneans, Winstina Aminata Taylor

Walden Dissertations and Doctoral Studies

The practice problem identified at the project site was the lack of nurses’ knowledge of how cultural preferences influence diabetes self-management practices among African Americans with diabetes mellitus. An educational program focused on the cultural preferences of Sierra Leoneans that influence diabetes self-management practices was provided for 48 nurses who worked in the agency. The doctoral project included concepts from nursing education and cultural competence theories to inform the approach. The project followed the ADDIE model process steps to develop and implement the educational program. The sources of evidence included pre- and posteducation surveys administered to participating nurses to assess …

Relationship Between Health Education Systems Incorporated Admission Assessment Scores And Student Completion Of A Baccalaureate Nursing Program, Colleen Peace

Walden Dissertations and Doctoral Studies

Math, reading, and vocabulary comprehension are important skills needed to ensure nursing students have a solid foundation on which to develop critical thinking skills to complete a nursing program. One of the common preadmission standardized tests is the Health Education Systems Incorporated Admission Assessment (HESI A2), but little research had been conducted to determine whether there is a correlation between the score on the HESI A2 and readiness to master nursing courses at the bachelor of science in nursing (BSN) level and completion of the BSN program. The purposes of this quantitative retrospective study, guided by Jeffreys’s nursing undergraduate retention …

Determining The Impact Of A Diabetes Logbook In Improving Self-Care Among African Americans With Type 2 Diabetes, Winifred Moore

Doctor of Nursing Practice Projects

Type 2 diabetes is a prevalent chronic disorder that is associated with defects in the metabolism of glucose. The management of type 2 diabetes depends on patients’ adherence to self-care activities. However, patients at the project site reported poor glycemic control, which increased their risk of diabetes complications. The purpose of this quality improvement project was to educate nursing staff on the use of diabetes logbooks to improve self-care among African Americans with type 2 diabetes and thereafter have the nursing staff educate diabetic patients. A quasi-experimental pre-post-intervention design involving 30 African American adults (mean age 43.70 years) with uncontrolled …

Determining The Effectiveness Of Deep Breathing Exercises In Alleviating Stress In Veterans With Post-Traumatic Stress Disorder (Ptsd), Lovette Okoh

Doctor of Nursing Practice Projects

Posttraumatic stress disorder (PTSD) is a common psychiatric disorder that affects veterans following deployment from combat. Medication side effects and re-exposure to trauma while undergoing psychotherapy hinder the effectiveness of recommended treatments. There is evidence supporting the effectiveness of deep breathing exercises in stress management, which is a common feature among PTSD patients. The purpose of this quality improvement (QI) project was to evaluate the effectiveness of deep breathing exercises in alleviating stress among veterans with PTSD. Nursing staff at the project site were educated about the benefits of deep breathing exercises and how to perform them and educated veterans …

From Knowledge Gap To Empowerment: Patient-Operated Insulin Pump Management For Bedside Nurses, Bernadette J. Amao

Doctor of Nursing Practice Projects

Acute care nurses often struggle with the complexities of managing patient-operated insulin pumps (PIPs) due to limitations in training. With the rising prevalence of insulin pumps, equipping nurses with the necessary skills to navigate these devices effectively is essential. This quality improvement project addressed this critical gap by enhancing bedside nurses' self-efficacy in PIP management. Drawing upon Bandura's self-efficacy theory, this project hypothesized that targeted educational interventions could significantly improve nurses' confidence in managing PIPs. A four-week educational program was implemented to cover basic knowledge, troubleshooting, and patient interaction aspects of insulin pump management. The intervention tool was designed to …

Impact Of Gamification In An Online Rn To Bsn Program, Deosha Anderson

Doctor of Nursing Practice Projects

This quality improvement project aimed to enhance student engagement in an online RN to BSN program by incorporating gamification strategies into the curriculum. Traditional teaching methods often fail to maintain student interest, leading to low engagement and reduced program completion rates. This project sought to determine the impact of gamification on student engagement compared to no gamification. The intervention involved integrating gamified elements into the online RN to BSN program to create a more interactive learning environment. The project employed a quantitative, quasi-experimental design with a pre-intervention and post-intervention assessment. Data on student engagement metrics, including login frequency, time spent …

Improving Student Perceptions Of Collaboration By Using Interprofessional Education, Valerie L. Beshears

Doctor of Nursing Practice Projects

Educators must include interprofessional education (IPE) in the healthcare provider curriculum. Including IPE is the first step in changing the healthcare culture toward interprofessional practice. The project aims to increase nursing students' perceived ability to collaborate with patients, nurses, and other healthcare professionals by introducing IPE to first-semester nursing students. The students will participate in an IPE activity and score a pre-test/post-test survey to assess their perceived ability to collaborate before and after the IPE activity. The data collected from this activity answered the quality improvement question: Among first-semester nursing students in a BSN program, how does incorporating an IPE …

Enhancing Student Simulation Debriefing Using Video Recording, Lisa Hall

Doctor of Nursing Practice Projects

This quality improvement project aimed to show how video recording can increase vivid feedback by expanding the students' memory by reviewing the recording to recall and reflect on their roles during the simulations. This project sought to help the learner understand how well the simulation ran and what was done to improve its performance. The interventions involved video recording each simulation scenario. The recording was used during the debriefing session to help the students recall and reflect on their actions during the scenario. The project employed a quantitative, quasi-experimental design with a pre-intervention and post-intervention assessment. Data was collected using …

A Qualitative Study Cultural Components Contributing To Resilience And Its Importance To Trauma-Informed Care Of Veterans, Tineka L. Banks

College of Science and Health Theses and Dissertations

Background: Trauma-informed care (TIC) creates an environment of safety, empowerment, and healing. It provides services in a way that encourages mindfulness and promotes the feeling of well-being. Resilience, described as a protective factor to decrease the risk of suicide, is imperative to the delivery of TIC. However, research also suggests resilience is culturally affected.

Purpose: The purpose of this study was to identify cultural components that contribute to resilience in African American female (AAF) veterans, and its relevance to the delivery of TIC and suicide prevention.

Method: Individual interviews were conducted using a semi-structured questionnaire to identify supporting factors, based …

Interventions Developed To Guide Pediatric Type One Diabetes Management And Transition Of Care: A Systematic Review, Danielle Pehr-Szeliga, Aneta Rutkowski

College of Science and Health Theses and Dissertations

Background: Within the context of pediatric Type 1 Diabetes (PT1D), transition management is the process of shifting PTID responsibility from caregiver to child as they approach adulthood. With PT1D on the rise, effective transition management strategies are increasingly important to ensuring safe self-management of PT1D. The main objective of this systematic review is to summarize developmentally appropriate interventions that support youth and caregivers through the transition of PT1D.

Methods: CINAHL, PubMed, and Web of Science were used to identify studies for this review. Inclusion criteria included primary research articles in English, published from 2014-2024, and focused on children ages 1-19 …

Efficacy And Safety Of Transcutaneous Electrical Acupoint Stimulation For The Management Of Primary Dysmenorrhoea: Protocol For A Randomised Controlled Trial In China, Weiting Liu, Yanting Ding, Honggang Xie, Hansheng Liu, Changhao Liang

Research outputs 2022 to 2026

INTRODUCTION: Primary dysmenorrhoea (PD) is a common menstrual concern with significant physical and psychosocial impacts. The effectiveness and safety of transcutaneous electrical acupoint stimulation (TEAS) in alleviating PD symptoms remain uncertain due to insufficient evidence. This single-centre, parallel, randomised controlled study intends to evaluate the efficacy and safety of TEAS for PD management. METHODS AND ANALYSIS: 60 participants aged 18-40 years diagnosed with moderate to severe PD will be recruited from Tai'an Hospital of Traditional Chinese Medicine (TCM) and randomly assigned to either a TEAS group or a TEAS-sham group (1:1). The TEAS group will undergo 12 sessions of TEAS …

Ultrasound Guided Piv Insertion Implementation, Blake Hotchkiss, Beth O'Donnell, Miles Merwin, Billie Jo Senecal, Ronica Smith, Eric Alan, Bryan Tavary, Chelsea Harkins, Taylor Archard, Leslie Geissinger, Lauren Remington

Operations Transformation

Observed high number of unsuccessful peripheral IV insertion attempts. This increases waste (cost and time) and decreases patient satisfaction.

Compassion Satisfaction, Compassion Fatigue, Managerial Support, And Intent To Leave Among Mental Health Nurses, Victoria N. Duncan

Walden Dissertations and Doctoral Studies

The turnover rate among mental health nurses is consistently higher than other areas of nursing practice creating a shortage. Factors that contribute to nursing turnover, leaving the profession, and a subsequent shortage of mental health nurses include compassion satisfaction (CS), compassion fatigue (CF), managerial support, and intent to leave. The purpose of this study, guided by Stamm’s theory, was to determine if there was a relationship among CS, CF, managerial support, and intent to leave in mental health nurses. The Professional Quality of Life Scale was used to measure CS and CF, the Practice Environment Scale of the Nursing Work …

Compassion Satisfaction, Compassion Fatigue, Managerial Support, And Intent To Leave Among Mental Health Nurses, Victoria N. Duncan

Walden Dissertations and Doctoral Studies

The turnover rate among mental health nurses is consistently higher than other areas of nursing practice creating a shortage. Factors that contribute to nursing turnover, leaving the profession, and a subsequent shortage of mental health nurses include compassion satisfaction (CS), compassion fatigue (CF), managerial support, and intent to leave. The purpose of this study, guided by Stamm’s theory, was to determine if there was a relationship among CS, CF, managerial support, and intent to leave in mental health nurses. The Professional Quality of Life Scale was used to measure CS and CF, the Practice Environment Scale of the Nursing Work …

Hemoglobin A1c Values In Patients With Two Types Of Insurance, Patricia Ann White

Walden Dissertations and Doctoral Studies

Diabetes is the seventh leading cause of death for adults in the United States. Evidence suggests that not all patients receive the same level of care and discrepancies may be based on the type of health care coverage they have. Providers use Hemoglobin A1C (A1C) as the primary test to indicate treatment success for persons with diabetes. Providers may be ordering this critical lab value differently based on the patient’s insurance plan. In this project, A1C levels in diabetic patients receiving managed care versus traditional Medicare were evaluated. It is important to understand if potential disparities in care exist. The …

Hemoglobin A1c Values In Patients With Two Types Of Insurance, Patricia Ann White

Walden Dissertations and Doctoral Studies

Diabetes is the seventh leading cause of death for adults in the United States. Evidence suggests that not all patients receive the same level of care and discrepancies may be based on the type of health care coverage they have. Providers use Hemoglobin A1C (A1C) as the primary test to indicate treatment success for persons with diabetes. Providers may be ordering this critical lab value differently based on the patient’s insurance plan. In this project, A1C levels in diabetic patients receiving managed care versus traditional Medicare were evaluated. It is important to understand if potential disparities in care exist. The …

The Cost Of Long-Term Care In The Mountain West, 2023, Madison Dwyer, Freddy Nie, Annie Vong, Caitlin J. Saladino, William E. Brown Jr.

Health

This fact sheet examines data on the cost of long-term care for the Mountain West states of Arizona, Colorado, Nevada, New Mexico, and Utah from the Genworth “Cost of Care Survey.” Data on long-term care includes home health care, adult day health care facilities, licensed assisted living facilities, and certified and licensed nursing homes.

Thoughts From The Frontline - June 2024, Tennessee Center For Nursing Advancement, East Tennessee State University

Thoughts from the Frontline Newsletter

No abstract provided.