Nursing Commons^™

Use Of An Electronic Medication Management Application To Support Pharmacists Review To Optimise Medicines In Residential Aged Care (Prompt-Rc): A Study Protocol For A Parallel Cluster Randomised Controlled Trial, Amy Theresa Page, Dee Mangin, Hend Almutairi, Esa Y.H. Chen, Kenneth Lee, Nagham Ailabouni, Jacinta Johnson, Kathleen Potter, Nahal Mavaddat, Rhonda Marise Clifford, Elton Lobo, Loretta Baldassar, Liza Seubert, Dennis Petrie, Kate Wang, Sarah Hosking, Jenny Tasker, Christopher Etherton-Beer

Research outputs 2022 to 2026

Introduction Most older adults living in residential aged care facilities (RACFs) have at least one marker of potentially suboptimal prescribing. Pharmacists play a crucial role in medication management, with their effectiveness enhanced by using computerised decision support tools. The Pharmacists Review to Optimise Medicines in Residential Aged Care (PROMPT-RC) study aims to optimise medicine use by providing pharmacists in RACFs with an electronic medicine management app with integrated decision support (AusTAPER App/Pathway) to use as part of medication reviews they undertake. Methods and analysis The PROMPT-RC study is a parallel cluster randomised controlled trial design involving Australian RACFs. It will …

Community Health Workers: Key To Decreasing Food Insecurity In Pregnant Individuals, Linda Waggener Dnp

Doctor of Nursing Practice Scholarly Projects

Objectives: Food insecurity (FI) in pregnant individuals (PI)s is a global threat to birthing individuals and fetuses with potential immediate and intergenerational impacts on family and community. Community Health Workers (CHWs) facilitate support including food resources for FIPIs. The Family Fresh Rx (FFRx) program, within Food as Medicine (FaM) model provides fresh fruits and vegetables, optimize nutrition, and mitigates threats to health. This Doctor of Nursing Practice (DNP) Quality Improvement (QI) project’s two objectives were CHWs’ FFRx program and referral process satisfaction evaluation through a pre, post, and four-week post refresher presentation (RP) modified System Usability Scale (mSUS) …

Speak Now With The Courage To Confront: An Educational Intervention To Address Bullying, Dominique Desiree Gomez

Doctor of Nursing Practice Scholarly Projects

Abstract

Background: Nurse-to-nurse bullying is a critical issue within the nursing profession, impacting close to half of all nurses. This phenomenon, articulated by the phrase "nurses eat their young," detrimentally influences employee retention, job satisfaction, morale, and ultimately, patient care. Furthermore, nurse-to-nurse bullying significantly affects the well-being of nursing professionals, particularly targeting novice nurses. This targeting raises substantial concerns regarding their retention, as many consider leaving the profession within their initial years of practice due to experiences of bullying. The educational intervention project titled “Speak Now with the Courage to Confront” is designed to mitigate bullying among novice nurses through …

Staff Education On Colorectal Cancer Screening To Improve Knowledge And Usage, Mary Tessie Thullah Bangura

Walden Dissertations and Doctoral Studies

Executive Summary: Staff Education Project Staff Education on Colorectal Cancer Screening to Improve Knowledge and Usage

Staff Education Project: Staff Education To Improve Nurses’ Knowledge, Self-Efficacy, And Motivation In Supporting Medication Adherence, Giovanna Happy

Walden Dissertations and Doctoral Studies

Medication nonadherence among individuals with psychiatric disorders remains a significant barrier to recovery, ranging from 40% to 60%. Contributing factors include fear of side effects, stigma, cognitive limitations, and complex regimens. This staff education project addressed challenges through the implementation of a structured, evidence-based intervention to improve adherence-supportive practices among 14 outpatient psychiatric nurses. A preimplementation needs assessment revealed inconsistent application of adherence strategies and low staff confidence. The project’s objective was to evaluate whether a structured education program could improve nurses’ knowledge by 15%, confidence by 15%, and willingness by 3.5 points on a Likert scale to promote medication …

Staff Education Project An Educational Project To Educating Mental Health Staffs On Stress Management To Improve Knowledge And Staff Retention, Lilian Eneude

Walden Dissertations and Doctoral Studies

This evidence-based educational project addressed the knowledge gap in stress management techniques among mental health nursing staff at an acute psychiatric facility. Mental health professionals experience substantially higher rates of workplace stress and burnout compared to other healthcare workers, affecting staff wellbeing, patient care quality, and organizational outcomes. The practice-focused question was: Does educating mental health nurses on stress management improve knowledge as evidenced by pre- and post-intervention? A comprehensive literature search was done at the Walden University Library using CINAHL, PubMed, and PsycINFO databases that yielded 200 potential articles, with 45 full-text articles reviewed and 20 high-quality studies included …

A Student-Centered Coaching Program In Jesuit & Mercy Traditions, Sara Gifford, Karen Mihelich, Arthur Ko

Jesuit Higher Education: A Journal

A student-centered coaching program grounded in Jesuit and Mercy traditions, called “Coaching for Care,” was implemented at a midwestern Jesuit and Mercy institution. The purpose of the project was to evaluate the development of future nurse educators’ pedagogy, foster holistic licensure examination preparation among pre-licensure nursing students, and examine students’ perceptions towards the program’s guiding Jesuit and Mercy values. Pre-licensure students who received coaching felt that their uniqueness/holism, accountability, and reflection were important for their licensure exam preparation at significantly higher rates than pre-licensure students who did not receive coaching. Themes identified from the doctoral student coaches included instilling confidence …

Pilot Survey Of Attitudes Toward Xenotransplantation Among Nursing Students In London, Uk., Daniel Rodger, Luz A. Padilla, Daniel J. Hurst, David K C Cooper, Gilberto Buzzi, Antonio Ríos

Rowan-Virtua School of Osteopathic Medicine Departmental Research

BACKGROUND: Solid organ xenotransplantation has been approved for clinical trials in the United States. Because of the role of nurses in patient decision-making, it is important to understand the attitudes of the future nursing workforce toward xenotransplantation. This pilot study aimed to investigate the attitudes of adult nursing students toward xenotransplantation.

METHODS: A cross-sectional survey design was used. The online pilot survey was completed by 33 undergraduate adult nursing students at one university in London, England. A minority of the hospitals that students may have had a clinical placement in had a transplant unit. The protocol for this study was …

Improving Compliance With Safe Sleep Bundles In The Neonatal Intensive Care Unit., Lindsey Davenport Shepherd

Doctor of Nursing Practice Papers

Abstract

Sudden Unexpected Infant Death Syndrome (SUIDS) is the leading cause of infant death. There is literature stating nursing compliance with safe sleep modeling in the hospital is a concern. In 2022, the American Academy of Pediatrics (AAP) updated their safe sleep guidelines which include the Neonatal Intensive Care Unit (NICU). The national average rate of SUIDS is 94.8 deaths per 100,000 live births (CDC, 2024). In Kentucky the rate is higher than that at a rate of 128.4 deaths due to SUID per 100,000 live births (CDC, 2024). The purpose of this project was to educate nursing staff, with …

Implementation Of A Cpr And Aed Training Program At A Local Martial Arts School: A Quality Improvement Project., Kaymie Johnston

Doctor of Nursing Practice Papers

Abstract

Background: Sudden cardiac arrest (SCA) is a leading cause of death in the United States with 356,000 out of hospital cases annually. SCA in athletes is a rare but serious event; affecting 15.4% of those engaged in martial arts. Community-based training programs which promote prompt intervention with cardiopulmonary resuscitation (CPR) and Automated External Defibrillation (AED) significantly improve survival outcomes.

Purpose: This project aimed to implement a CPR and AED training program at a local martial arts school to improve the knowledge, self-efficacy, and emergency response capabilities of staff, instructors, and adult learners.

Methods: A Plan Do Study Act (PDSA) …

From Diagnosis To Conception: Managing Polycystic Ovary Syndrome-Related Subfertility With A Multimodal Strategy: A Case Study, Uzma Akhtar, Shafiq Ur Rahman, Rafat Jan, Sumaira Naz

Journal of Asian Midwives (JAM)

Polycystic Ovary Syndrome (PCOS) is a leading cause of infertility, primarily due to anovulation caused by hormonal imbalances, insulin resistance, and disrupted ovarian function. This paper describes a 28-year-old woman with PCOS who presented with subfertility after failing to conceive for 10 months. Initial treatment involved Metformin for insulin resistance, vitamin D, folic acid, and Dydrogesterone for cycle regulation. Ovulation induction with Letrozole was initiated but showed a suboptimal response in three cycles. Success was achieved in the fourth cycle by combining Letrozole with injectable Menotropins (HMG), leading to improved follicular growth, endometrial thickness, and successful conception. This case highlights …

Post-Natal Mother’S Perception Of Health Care Workers’ Attitude In Calabar Municipality, Nigeria: A Study In Maternity Care, Inyang E. Eko, Ngozi P. Ogbonnaya, Peace C. Alichie, Stehanie C. Osuorah, Ezioma Lordson

Journal of Asian Midwives (JAM)

This study explores post-natal mothers’ perceptions of health care workers’ attitudes in Calabar Municipality, Cross Rivers State, Nigeria.
Methods: A cross-sectional design was adopted in which the target population of the study involves all post-natal mothers in Calabar Municipality, which amounts to 57229 women and 440 mothers. These women and mothers were selected from the accessible population which included women carefully chosen from three public health facilities - the University of Calabar Teaching Hospital (UCTH), the General Hospital of Calabar (GHC), and a primary health center in Big Qua using multistage stage sampling techniques. Data were collected using a …

What Is Midwifery Work In Low And Middle-Income Countries? A Systematic Review To Enhance Midwifery Practices In Resource-Constrained Contexts, Qorinah Estiningtyas Sakilah Adnani, Ela Nurfitriyani, S. Tr. Keb, Niken Bayu Argaheni, Rufidah Maulina, Victor Abiola Adepoju, Maeve O’Connell

Journal of Asian Midwives (JAM)

Background: Midwifery plays a crucial role in enhancing maternal and newborn health outcomes in low- and middle-income countries (LMIC). This systematic review aims to provide a comprehensive and evidence-based evaluation of midwifery practice in LMIC, beyond specific outcomes and interventions.
Methods: A systematic literature search was conducted using electronic databases including PubMed, Embassy, Scopus, Web of Science, and CINAHL, covering the period from 2019 to 2023. The search strategy employed predefined keywords and Medical Subject Headings (MeSH) terms related to midwives, maternal health, newborn health, and LMIC. The findings were analyzed using a narrative synthesis approach to identify key …

Uses Of Digital Technologies For Maxillofacial Prosthesis Manufacturing, Reem Abdulrahim Alobaidy

Al-Esraa University College Journal for Medical Sciences

Digital technologies play a great role in prosthodontics generally and specifically in maxillofacial prosthetics, this revolutionary approach has become an important way for rehabilitation of different modalities in maxillofacial prosthetic field. In this article we will summarize many contents of dental researches, web researches, on-line data bases, discussions of experts and clinicians with the most recent publications and new products releases and evaluate them. Describing the techniques in designing and fabrication for facial prosthesis applying computer aided method and manufacturing (CADCAM). As the development of digital dentistry took apart to overcome complexity of prosthesis construction and the limited expertise in …

Distribution Of Secretor Status In A Sample Of Iraqi Population Based On Their Gender, Blood Groups And Body Mass Index, Ola Amer Jasim

Al-Esraa University College Journal for Medical Sciences

The ABO blood group system was divided into four phenotypes i.e., A, B, AB, and O following its discovery by Karl Landsteiner in 1990. Antigens of the ABO blood group can be found in bodily fluids such as the salivary and digestive fluids. Furthermore, People are classified as ``secretors'' or ``non-secretors'' based on their ability to secrete (ABO blood group) antigens in body fluids. The control-based study was conducted on 342 Iraqi adults who were presented at educational institutions. The study lasted from October 2022 to February 2023 and aimed to determine the relationship between secretor status with (gender, blood …

Synthesis Of A New Composite Nanomaterial Consisting Of Bentonite-Polyethylene Glycolphthalate, Tariq Yassin Mahmoud

Al-Esraa University College Journal for Medical Sciences

In this study, a new composite material was characterized and prepared by polymerizing ethylene glycol located among bentonite layers with phthalic anhydride. The results showed that the polymer bonds with the clay structure through hydrogen bonding. The polymerization process led to the destruction of the three-dimensional crystal structure of the clay and the isolation of its layers in the form of two-dimensional nanoscale shells. The growth of the polymer around the isolated clay layers increased the total particle size at the microscopic scale.

Comparative Study Between Attendance Patients To Babylon Teaching Hospital In Babylon And Al-Alawiyah Teaching Hospital In Baghdad Infected With Intestinal Parasites, I. M. Al-Saqur, E. M. Abdul Ameer, A. N. Al-Thwani, S. S. Hassan, Z. J. Mazher, A. A. Abd Al-Hussein, R. A. Aziz, N. M. Butrus

Al-Esraa University College Journal for Medical Sciences

This study included detecting the rate of human infection with intestinal parasites on patients arriving the laboratories of Babylon Teaching Hospital and Al-Alawiya Children's Hospital In Baghdad for the period from beginning of January 2023 to the end of December 2023. The total number of examined people in the former hospital was 796, infected patients were (384 with 48.49%), The highest percentage of parasites recorded were Endameba coli (85.47%) followed by E. histolytica (63.44%) then Trichuris trichura (45.9%) the others parasites were Giardia lambelia (39.09%) Enterobius vermicularis (34.71%), Chilomastix mesnili (31.5%), Ancylostoma duodenale (19.04%), Hymenolpis nana (18.48%), Ascaris lunmbricoides …

Study Of Urinary Tract Infection Among Pregnant Women Attending Al Elywiah Maternity Hospital In Baghdad/Iraq, Abass T. Al-Joudi, Randa Abdal Jaleel Habeeb, Ali Dawoud Ramadan, Hussein Ibrahim Aliwi

Al-Esraa University College Journal for Medical Sciences

Urinary tract infection is a vary series symptom that pregnant women must be looking for treat as it effects in pregnant woman health baby for a long of 9 months of pregnant, this symptoms effect in different way on baby and mother health. The study on pregnant women carried out by examination of fresh samples taken from registered mothers in Maternity hospital and then carried varies analysis, physical, chemical and microscopic tests with bacterial and antibiotic sensitivity tests About 70 Urine sample taken from pregnant women that follow up their health in Al Elywiah maternity Hospital, the rested women …

Evaluation Of Phytotoxicity Of Greenly Treated Domestic Wastewater By Spent Plant Leaf Powders, Adnan Ahmad Ali-Nizam, Magdi Amin, Isam Shaker Hemza

Al-Esraa University College Journal for Medical Sciences

Health and ecosystems face widespread, impactful problems. Untreated wastewater is discharged into waterways and lands in most developing countries, containing harmful substances and pathogens. WHO estimates that nearly 1.7 billion people drink contaminated water in developing countries, and that contamination leads to nearly 500,000 diarrheal deaths each year. However, existing treatment methods are insufficient to remove dissolved substances and specific pollutants; they are very expensive, energy-intensive, require advanced technologies, and high operational skills. The process of removing pollutants from wastewater using plant waste powders involves a combination of mechanisms, including adsorption, complexation, and ion exchange. These processes are characterized by …

Recruitment And Retention Of Intensive Care Unit Survivors In Follow-Up Studies: A Systematic Review, Beverley Ewens, Vivien Kemp, Yvonne Middlewick, Amanda Towell-Barnard, Lisa Whitehead

Research outputs 2022 to 2026

Background: Engaging intensive care unit survivors in research is challenging. Studies have reported recruitment and attrition rates; details are lacking on retention strategies and attrition. Objective: The aim of this study was to explore barriers and enablers to recruitment and retention in research of people post intensive care discharge. Methods: A convergent mixed-method review using the Joanna Briggs Institute (JBI) methodology considered studies that reported on recruitment, retention, and attrition rates of adult post–intensive care survivors in longitudinal studies. CINAHL Ultimate (CINAHL+), PubMed, Excerpta Medica Database (EMBASE), PsycINFO, Scopus, Proquest Health, and Medical Collection were searched in March 2024 using …

A Tailored Approach To Prep Screening For Awareness And Readiness, Keionda Crumblin Caldwell

Doctor of Nursing Practice Scholarly Projects

Problem Statement: Human immunodeficiency virus (HIV) is a serious health concern in the United States (U.S). Pre-Exposure Prophylaxis (PrEP) is a vital intervention in the prevention of HIV, yet its uptake and adherence are suboptimal due to barriers in identifying individuals who are most at risk and would benefit most from this preventive measure.

Purpose: This evidence-based project aimed to evaluate whether implementing a PrEP readiness tool at a walk-in clinic would identify at-risk adults and adolescents and lead to an increase in referrals for PrEP initiation.

Method: A PrEP Questionnaire from the Department of Wisconsin Public Health was given …

Improving Depression Screening Of Correctional Institution Inmates, Thelma Chidimma Ozigbu

Doctor of Nursing Practice Scholarly Projects

Problem: Depression significantly impacted on the quality of life of incarcerated individuals within correctional facilities, where rates of the disorder far exceed those in the broader community, increasing self-harm and suicide risks.

Purpose: This quality improvement project aimed to improve early identification of depressive symptoms and facilitate timely mental health referrals by implementing the Patient Health Questionnaire (PHQ-9) as a screening tool upon admission.

Method: Using the Iowa Model of Evidence-Based Practice (Iowa Model) as a guiding framework, this project involved training nursing staff to administer the PHQ-9 during initial health assessments. PHQ-9 is a nine-item questionnaire that assesses depression …

Improving Completion Of Diabetes Management Measures In Primary Care, Ashley Tyner Divers

Doctor of Nursing Practice Scholarly Projects

Problem Statement: Adults with type 2 diabetes are at a risk of multiple comorbidities that can be prevented with proper screenings performed as recommended by the American Diabetes Association.

Purpose: Determine if using a checklist on the patient router will improve completion of urine microalbumin, diabetic eye exam, and diabetic foot exam.

Methods: The MA/LPN asked the patient about the last eye exam performed and requested a record from the previous provider if performed within the last year. If the microalbumin was not current, the MA/LPN obtained a urine specimen and placed the order into EPIC. If a diabetic foot …

Enhancing Glycemic Control, Patient Knowledge, And Self-Care Through Structured Diabetes Education, Amanda Suzanne Clark

Doctor of Nursing Practice Scholarly Projects

The rising prevalence of diabetes, particularly in South Carolina, revealed a significant gap in structured diabetes education programs, contributing to poor glycemic control and elevated A1C levels. In response, this project aimed to assess the integration of a comprehensive diabetes education program into standard care, potentially reducing A1C levels while improving patient knowledge and self-care behaviors in adults with diabetes over four months. The study used a pretest-posttest design to evaluate the effectiveness of this innovative intervention by comparing participants' outcomes before and after the program. Purpose: To determine if a comprehensive diabetes education program could reduce Hemoglobin A1C levels …

Editorial – July 2025, Edwin Van Teijlingen, Abeer Musaddique, Rafat Jan

Journal of Asian Midwives (JAM)

No abstract provided.

Exploring Veteran And Non-Veteran Nursing Student Satisfaction Utilizing Marginality And Financial Stress, Juanita Nickols

Nursing Theses and Dissertations

It is widely recognized that there is a nursing shortage in the U.S. due to a growing aging population, nurses retiring, and a low nursing school capacity. Nursing schools can ameliorate part of this shortage by devising ways to increase nursing student success and graduation rates. This three-manuscript paper aims to present various ideas to help nursing schools in this endeavor. A relatively unstudied population is the veteran nursing student (VNS), the focus of this paper. The first chapter, Chapter 2: A Concept Analysis of Overload: Implications for Undergraduate Nursing Students Success, discusses the concept of overload so the …

An Exploration Of The Effect Of Covid Restrictions On Maternity Care In Uganda, Hellen Kyakuwaire, Grace Edwards, Ahmed Mohammed Sarki

Journal of Asian Midwives (JAM)

Background: Uganda responded aggressively to the worldwide spread of COVID-19 by imposing a total lockdown, which forbade movement of the whole population, including pregnant women and other vulnerable groups. This phenomenological study explored pregnant women’s experiences during the total lockdown in Uganda and identified factors that influenced the quality of healthcare for pregnant women during the lockdown.
Methods: Thirty-two newly delivered women were selected across a wide geographical area to represent rural and urban areas. The sample was selected from women who had given birth at the selected health facilities from March 18, 2020, to April 30, 2020. …

The Effects Of Midwifery Students’ Simulation Training In Perineal Repair: A Quasi-Experimental Study, Zahra Sadat Pajohideh, Solmaz Mohammadi, Fatemeh Keshmiri, Azam Honarmandpour, Azam Jahangirimehr

Journal of Asian Midwives (JAM)

Background: The decrease in normal deliveries and episiotomies in midwifery practice has reduced the experience of midwifery students in perineum repair. This study examined the effect of perineal repair simulation training on the clinical skills of midwifery students by designing, implementing and evaluating simulation models in procedural education.
Methods and materials: This quasi-experimental study was conducted on 60 midwifery students in intervention and control groups at Shoushtar, Iran, from September 2018 to August 2021. The intervention group received simulation training before entering the formal clinical education courses, while the control group took part in workplace-based training. The clinical repair skills …

The Impact Of The Covid-19 Pandemic On Maternity Care Services: Lived Experiences Of Midwives In Indonesia, Mergy Gayatri, Oluwadamilare Akingbade, Indhar Wahyu Wira Harjo, Adepegba Folasade Rebecca, Salako Faith Adebola

Journal of Asian Midwives (JAM)

Background: There have been fundamental changes in global maternity care in response to the COVID-19 pandemic across the globe. However, there are limited studies in Indonesia that have explored the changes experienced by midwives in various health facilities during the COVID-19 pandemic.
Method: A qualitative phenomenological study was conducted among midwives with at least three years of clinical experience in midwifery practice and practicing at different levels of healthcare. Semi-structured interviews were conducted through WhatsApp or Phone calls, as face-to-face interviews were impossible during the pandemic. Data were analyzed using thematic analysis.
Results: In total, 24 midwives …

The Relationship Between Sleep Quality And Physical Fitness Toward The Menstrual Cycle In High School Students, Surya Adi Saputra, Raja Mohammed Firhan Bin Raja Azidin, Alifia Candra Puriastuti, Dessy Amelia, Zumroh Hasanah, Anggi Renawati

Journal of Asian Midwives (JAM)

Background: Sleep is essential for maintaining physical fitness and overall health, as it helps the body recover from intense physical activity and maintains endurance. Physical fitness is determined by heredity, gender, age, body composition, activity, and exercise. Adequate sleep positively impacts overall health, while poorer sleep can negatively affect the body. Teenagers often prefer excessive screen time and oversleep, which can affect their sleep quality. Physical fitness is related to physical activity, and the more often an individual engages in physical activities, the better their fitness. This condition can also impact reproductive health, as hormonal disorders can affect the menstrual …