Nursing Commons^™

The Effects Of Bipap Masks While In Acute Care Settings, Drawbacks And Alternate Mask Options, Leanne Rider

NURS 502: Critical Inquiry and Scholarship in Nursing Practice

There are a variety of clinical masks used in hospital environments for respiratory treatments. One treatment used for acute care patients experiencing symptoms, due to chronic respiratory health issues such as COPD or sleep apnea, is referred to as a Bilevel Positive Airway Pressure (BiPAP) machine. The Cleveland Clinic defines this machine in simple terms as “…a type of noninvasive ventilation that helps you breathe. Providers can use it to treat you if you’re not getting enough oxygen or can’t get rid of carbon dioxide “(The Cleveland Clinic, 2023, BiPAP). To break it down further, bilevel in this case means …

Influence Of The Teach-Back Method On Patient Understanding And Satisfaction, Claire Woods

NURS 502: Critical Inquiry and Scholarship in Nursing Practice

The teach-back method is an education technique in which the patient is asked to repeat back the information given to them in order to verify comprehension. If knowledge gaps are identified, reteaching is then done. According to Linn et al. (2013), patients are unable to recall almost half of the medication information presented to them and recall is correlated to medication adherence. The teach-back method is optimized for improving patient understanding from their current level (Tamura-Lis, 2013). One of the most crucial times to provide patients with information is at discharge, before they take on new care procedures or medications. …

A Unified Response: Strengthening Civilian-Military Medical Disaster Response, Julio Orozco Jr.

NURS 502: Critical Inquiry and Scholarship in Nursing Practice

In times of catastrophic events, the ability of civilian first responders to collaborate effectively with Military Medical Units (MMUs) is crucial for delivering quality healthcare and saving lives. While the military is traditionally tasked with security and defense operations, their expertise in battlefield and emergency medicine in austere environments with limited resources makes them a vital asset during disaster response efforts. Military medics, specifically, are trained to provide care under extreme stress, often in some of the most challenging conditions (Raeeszadeh et al., 2022). Effective disaster response training for both civilian and military personnel must prioritize key elements like the …

Music Therapy: To Decrease Pain And Anxiety In Active Labor Compared To Pharmacological Interventions, Rattana Soubandith

NURS 502: Critical Inquiry and Scholarship in Nursing Practice

Pain management during active labor is crucial for a safe and positive outcome, when delivering a baby and stabilizing the mother during postpartum care. A study in Italy of 30 random women who were pregnant and labored between 37 weeks and 42 weeks gestation participated in a control group and intervention group while in active labor, found out that music plays a big part in lowering a women’s labor pain during labor and postpartum (Buglione et al., 2020, p. 694). Music can shift a person’s perception of pain and distract them from the current physical pain (Levy, 2017, p. 23). …

Oregon Medicaid: Lowering The Barriers To Access, Maya Krueger

NURS 502: Critical Inquiry and Scholarship in Nursing Practice

Oregon’s Medicaid program for health insurance has updated the criteria and more people are qualifying for coverage than ever before. With the Oregon Health Plan (OHP) Bridge program that took effect July 1, 2024, an estimated 100,000 Oregon individuals are projected to eventually qualify (OHA, 2024). While these updates grant more access to services and covered benefits, many Medicaid beneficiaries still claim they are unable to utilize their benefits due to difficulty finding a participating provider. With support and reform for mental healthcare on the rise and the future of Medicaid a concern, researchers have been investigating the effectiveness of …

Access To Healthcare: Addressing Barriers For Autistic Patients, Jess Mcgough

NURS 502: Critical Inquiry and Scholarship in Nursing Practice

As the collective awareness of neurodiversity continues to grow in the world of western medicine, there has been an increase in recognition of the autistic population. Estimates suggest that around 1% of individuals identify as autistic (Dückert et al., 2023). Despite this noteworthy portion of the population belonging to this category, there continues to be a lack of consistent awareness and equitable access to health services regarding the needs of autistic individuals. One common challenge in healthcare is communication barriers with autistic patients, which may arise from difficulties in expressing emotions or conveying information effectively (Greenwood et al., 2023). This …

Improving Effective Communication: A Practice Centered Approach To Language Barriers In Mental Health Care, Cassandra Zhou

NURS 502: Critical Inquiry and Scholarship in Nursing Practice

To move towards equitable mental healthcare practices for non-English speakers, this paper aims to provide a comprehensive review on the current procedures regarding diagnosing and treating non-English speakers to better explore possible recommendations.

Exploring The Impact Of Covid-19 On Pediatric Type 1 Diabetes: Increased Incidence, Severity, And Contributing Factors, Alex Martin

NURS 502: Critical Inquiry and Scholarship in Nursing Practice

The COVID-19 pandemic has had dramatic, wide sweeping effects on global healthcare. In addition to the challenge of adapting care to an unfamiliar, rapidly spreading respiratory infection with unknown impacts on human health, healthcare officials and researchers noticed a worrisome uptick in both the incidence and severity of pediatric diabetes (Prosperi & Chiarelli, 2022). This review explores the relationship between COVID-19 and the significant increase in the rate and severity of pediatric type 1 diabetes during the pandemic, focusing on the impact of delayed treatment and the potential direct effects of the COVID-19 virus on pancreatic function and glucose homeostasis.

Transgender Men And Cervical Cancer Screening: Barriers And Solutions, Rourke Shipman

NURS 502: Critical Inquiry and Scholarship in Nursing Practice

This paper explores systemic barriers and their influence on personal barriers to cervical cancer screening among transgender men and outlines practical solutions to improve access to care by implementing changes within institutional and educational practices.

Providing Exceptional Nursing Care To Children With Down Syndrome, Brooke Glendenning

NURS 502: Critical Inquiry and Scholarship in Nursing Practice

Comprehending the needs of children with Down syndrome leads to a better and safer quality of care, and there is a need for reform within our healthcare system to give workers the tools that are required to provide the best care possible. The purpose of this paper is to highlight the unique challenges that children with Down syndrome face in healthcare settings and emphasize the importance of nurses understanding how to care for this population effectively.

Overcoming Language Barriers: Improving Healthcare Equity For Limited English Proficiency Patients, Carolina Suarez-Amador

NURS 502: Critical Inquiry and Scholarship in Nursing Practice

The effective delivery of patient care depends on two main factors: improved cultural competency training and an understanding of language barriers as vital health components. The requirement for language service at hospitals exists by federal law but numerous healthcare facilities are lacking in support, due to hiring unqualified interpreters and missing vital documents in multiple languages, leading to growing disparities in patient care (Diamond et al., 2010). Global trends, combined with growing population migrations have increased the probability for nurses and patients to face dilemmas from language barriers. Nurses shouldn’t have to master every language, but a comprehensive understanding of …

Guided Imagery: The Effects On Perioperative Anxiety And Postoperative Pain And Sleep Quality, Emma Webb

NURS 502: Critical Inquiry and Scholarship in Nursing Practice

Anxiety is the emotional and physiological response to stimuli perceived as threatening and is a common feeling experienced by many individuals in the time surrounding surgical operations (Gonzales et al., 2010). Perioperative anxiety has the potential to elevate pain levels, increase the prevalence of postoperative complications, and increase the duration of stay in the recovery period (Celik & Edipoglu, 2018). Guided imagery is a nonpharmacological intervention that utilizes visualization tactics to achieve a state of relaxation, and is an effective method for improving mind-body healing processes (Topan et al., 2024). While guided imagery has been found to impact pain, stress, …

Thoughts From The Frontline - March 2025, Tennessee Center For Nursing Advancement, East Tennessee State University

Thoughts from the Frontline Newsletter

No abstract provided.

Nurses’ Perceptions And Expectations Of Patient Violence: Language Matters, Darcy Copeland, Mary Potter, Susan Tipton, Debra Culter

Nursing Faculty Publications

Background: Patient violence is a serious occupational risk for nurses. Some professional rhetoric presents this risk as not part of nursing work, discounting widespread exposure. There is a disjunction between nurses’ experiences and the discourse they are exposed to. There is little to no evidence indicating whether nurses think it is possible to eliminate patient violence or whether their expectations of exposure to patient violence align with the significant risk they face. Purpose: The purpose of this analysis was to examine nurses’ perceptions related to the elimination of, expectations of, and desired state regarding exposure to patient violence. Methods: This …

Assessing Healthcare Insurance Policies In Mississippi: An Evaluation Of Public And Private Options, Latarsha H. Michael, Brieah D. Hudson

The Journal of the Research Association of Minority Professors

Medicaid is the main payer for maternity care in the U.S., covering nearly half of all births. Federal law provides postpartum coverage for 60 days, but gaps exist, especially in non-expansion states. The American Rescue Plan Act of 2021 allows states to extend Medicaid postpartum coverage to 12 months. Mississippi, where Medicaid covers 65% of births, faces severe maternal and infant health challenges. Despite its surplus, extending postpartum care to 12 months could cost $7 million annually. This study examines private and public health insurance coverage for perinatal care in Mississippi. This involves analyzing how different insurance policies address the …

Impact Of Proviq Process Confirmations And Daily Management Systems On Catheter Associated Urinary Tract Infection Rates, Missy Thingelstad, Caitie Van Eerden, Travis Scott, Tiara L. Benson, Allison Engle, Shih-Ting Chiu, Ma Fe Chase, Melissa Scheck, Cecilia Malama, Brooke Higgins

Articles, Abstracts, and Reports

Problem Statement: Our 539-bed tertiary care center observed an increase in the Catheter Associated Urinary Tract Infection (CAUTI) Standardized Infection Ratio (SIR) from 0.88 to 1.28 when comparing October to December of 2023 to 2024. CAUTIs are associated with increased patient discomfort, mortality, morbidity, length of stay, and cost. Methods: Using ProvIQ methodology, process confirmation cards were introduced in eight pilot units, including critical care, medical-surgical, and maternal-child specialties, from October to December 2024. ProvIQ is an evidence-based quality improvement methodology including a basket of measures from Lean, Six Sigma, and change management. This program was developed by Quality Management …

Acknowledging: A Classic Grounded Theory Explaining How Nurses' Employ Clinical Judgement When Complying With Early Warning System Protocols, Justine Connor, Tracy Flenady, Trudy Dwyer, Deb Massey

Research outputs 2022 to 2026

Background: Recognition and response to clinical deterioration of hospitalised patients is a worldwide health priority area. In response to this concern, international bodies have implemented early warning systems to help clinicians keep people safe and prevent patient deterioration. Registered nurses hold a significant role in managing care provision and utilise early warning system tools to support their clinical judgement when making decisions about patient care. Objective: To generate a theory explaining how registered nurses employ their clinical judgement when complying with an early warning system protocol. Design: Classic grounded theory. Participants: Participants included twenty registered nurses working with early warning …

Midwives Experience Of Working With Maternity Assistants: A Qualitative Study, Carol Crevacore, Annie De Leo, Peta Fisher, Sara Bayes

Research outputs 2022 to 2026

Introduction: The midwifery workforce is essential for delivering safe, high-quality maternity care, however, global staffing shortages pose significant challenges. To address these issues, incorporating midwifery assistants, including undergraduate midwifery students into the model of care has been proposed as a strategy to support midwives and maintain effective service delivery. Aim: This study explores the Registered Midwives' experiences working with Midwifery Assistants (MAs) in an Australian tertiary maternity service. Methods: This study employed a qualitative exploratory design and was conducted using semi-structured interviews with 9 midwives who had experienced working with MAs in the tertiary maternity care setting. Results: The discussion …

The Evolving Role Of Nursing Informatics In The Era Of Artificial Intelligence, Abdulqadir J. Nashwan, J. C.A. Cabrega, Mutaz I. Othman, Mahmoud Abdelwahab Khedr, Yasmine M. Osman, Ayman Mohamed El-Ashry, Rami Naif, Ahmad A. Mousa

Research outputs 2022 to 2026

Aim: This narrative review explores the integration of artificial intelligence (AI) into nursing informatics and examines its impact on nursing practice, healthcare delivery, education, and policy. Background: Nursing informatics, which merges nursing science with information management and communication technologies, is crucial in modern healthcare. The emergence of AI presents opportunities to improve diagnostics, treatment, and healthcare resource management. However, integrating AI into nursing practice also brings challenges, including ethical concerns and the need for specialized training. Sources of evidence: A comprehensive literature search was conducted from January 2013 to December 2023 using databases like PubMed, Google Scholar, and Scopus. Articles …

Expediting Toxicological Evidence Collection In Patients Presenting To The Emergency Department With Report Of Drug Facilitated Sexual Assault (Dfsa): A Quality Improvement Project, Adelene Egan

DNP Projects

Title: Expediting Toxicological Evidence Collection in Drug-Facilitated Sexual Assault: A Quality Improvement Project

Background/Significance: Drug-facilitated sexual assault (DFSA) involves substance use to incapacitate victims, with rapid drug metabolism necessitating prompt evidence collection. Delays in blood collection reduce toxicology detection rates, compromising legal outcomes. In one New York ED, DFSA kits (Part B) were routinely collected after biological evidence (Part A), creating a critical gap.

Purpose: To improve compliance with evidence-based prioritization of blood collection (Part B before Part A) for DFSA cases through a structured QI initiative.

Methods: The project synthesized evidence from a systematic review of …

The Swahili Version Of The Cd-Risc 10 Resilience Scale: Psychometric Properties And Factors Associated With Resilience Among Healthcare Workers In Tanzania, Kevinson Mwangi, Sabina Odero, Gideon Mbithi, Rachel Odhiambo, Rosemary Stephen, Tumbwene Mwansisya, Eunice Pallangyo, Eunice Ndirangu, Amina Abubakar

Institute for Human Development, East Africa

Background: Despite the central role of resilience in promoting mental well-being, little is known about the resilience process among healthcare workers in East Africa, partly due to the lack of adequately standardised and psychometrically sound assessment tools for our context. This study provides the first psychometric evaluation of the Swahili version of the Connor-Davidson Resilience Scale 10 (CD-RISC 10) among nurses/midwives and community health volunteers (CHVs) in Tanzania, potentially informing the accuracy of measuring resilience in this setting. Additionally, we examine factors associated with self-reported resilience as measured by the CD-RISC 10 scale.

Methods We used cross-sectional data on nurses/midwives …

Mental Health Screening And Its Effects On Obese And Overweight Patients: Quality Improvement Project, Amanda Ivos

DNP Projects

Obesity is a growing, multifactorial epidemic. The CDC recommends a 5% weight reduction in order to prevent potential complications associated with overweight or obese status. Mental health, particularly depression, contributes to weight issues with obese individuals having an 18% greater risk of depression, and those with depression having a 37% greater risk of obesity. Both conditions may increase the risk of cardiovascular disease and mortality. Evidence suggests screening and managing depression in overweight/obese patient may lead weight loss and better health outcomes in this patient population.

Project Goals

1. To improve weight loss outcomes in obese or overweight patients with a …

Effects Of The Vitality Acupunch Exercise Program On Older Adults With Probable Sarcopenia: A Mixed Methods Pilot Study, Brittany Murley, Kuei-Min Chen, Christine S. Gipson, Kevin Gosselin, Jenna Thornhill, Allison Ross, Kennedy Gladding, Beth Mastel-Smith

Nursing Faculty Publications and Presentations

Purpose: Age-related loss of muscle mass and strength is a highly prevalent condition in older adults in long-term care (LTC) facilities. This pilot study aimed to test the effects of a vitality acupunch (VA) exercise program on muscle mass, muscle strength, muscle endurance, functional fitness, activities of daily living, quality of life, and sleep quality of older adults in LTC facilities with probable sarcopenia in the United States and understand the experiences of residents who participated in the VA program. Design: A mixed-methods experimental design was used for this study. Methods: The quantitative phase included a sample of 27 participants …

A Hot Topic: Standardization Of Fire Safety Training In Perioperative Areas, Megan Benner Msn-Ed, Rn, Cpan, Npd-Bc

MaineHealth Maine Medical Center

Introduction: Fires in perioperative areas, while rare, are considered high-risk events. Up to 650 fires occur in the operating room annually in the United States with head and neck procedures having the highest rate of injury and mortality.

Outpatient Physical Therapy Attendance By Older Adults After Emergency Department Discharge Was A Predictor For Lower 30-Day Revisits—But Demographic Factors Affected Attendance, Suzanne Ryer, Michelle Simpson, Maharaj Singh

College of Nursing Faculty Research and Publications

Objective

Given the high risk of functional loss and revisits among older adults presenting to the emergency department (ED), there is a need to understand how post-ED discharge outpatient physical therapy affects outcomes. This study sought to examine patient demographics and their association with outpatient physical therapy utilization after ED discharge and physical therapy attendance with 30-day ED revisits among older adults discharged to home.

Methods

In this retrospective cohort study, we analyzed data from 1395 older adults (65 years old and older) who had a referral to outpatient physical therapy upon discharge from 15 EDs between January 2021 and …

Integrated Mental Health Care In Specialty Clinics For Children With A Diagnosis Of Asthma Or Diabetes: A Mixed Methods Study, Joan P. Totka, Maria Peña, Joshua A. Steinberg, Peter M. Wolfgram

College of Nursing Faculty Research and Publications

Introduction

Using patient-reported outcome measures (PROM) in a shared-space mental health-integrated specialty clinic, we explored the feasibility, acceptance, and experience of youth with asthma and diabetes, their families, and the healthcare team.

Method

Using mixed methods, we examined feasibility, acceptability, and experience of PROM inclusion in caring for youth with asthma (n = 7) and diabetes (n = 11), their families (n = 18), and healthcare providers (n= 13). Completion and receipt of PROM (feasibility), postvisit surveys (acceptance), and structured interviews (experience) between June 2019 and February 2020.

Results

Targeted PROM met feasibility goals (80%) …

To Address The Nursing Faculty Shortage, Start With The Salary Gap, Jacqueline Christianson, Christine A. Schindler, Lisa M. Grabert

College of Nursing Faculty Research and Publications

Nurses must advocate with policymakers for meaningful change.

There is a national shortage of nursing faculty to educate the future nurse workforce. The biggest barrier to recruiting and retaining nursing faculty is the salary gap between the faculty and clinical nursing roles. Many full-time nursing faculty earn a lower salary than the new graduate nurses they educate. According to our recent research (American Nurse, July 2024), NPs who have a comparable education level to nursing faculty take an average $43,000 pay cut if they leave clinical practice to teach full-time. Even the salaries of PhD-prepared faculty often lag …

Decolonizing Global Health Research: Experiences From The Women In Health And Their Economic, Equity And Livelihood Statuses During Emergency Preparedness And Response (Wheeler) Study, Ahmed Adam, Lisa Lazarus, Bernadette Kina, Robert Lorway, Bilali Mazoya, Michaela Mantel, Marleen Temmerman, Lisa Avery, Evaline Chepchirchir Langat

Centre of Excellence in Women and Child Health

Decolonizing global health research involves rethinking power structures and research collaboration to prioritize the voices and experiences of communities that have been historically marginalized. Cross-sectoral and cross-regional partnerships based on reciprocity, trust, and transparency can be facilitated by decolonized research frameworks. To address global health issues in a way that is inclusive, context-specific, and genuinely advantageous to all parties involved, especially communities most impacted by health disparities, the ethics behind this change is imperative. We applied a decolonizing health research approach to the Women in Health and their Economic, Equity, and Livelihood Statuses During Emergency Preparedness and Response (WHEELER) study …

A Qualitative Analysis Of Australian Midwifery Students’ Perspectives Of Midwifery Practice Experience: Characteristics That Enhance Or Diminish Clinical Education Placements, L. Kearney, Dianne Bloxsome, S. Hunter, A. Brown, Simon Cooper, F. Bogossian

Research outputs 2022 to 2026

Background: Midwifery education in Australia faces challenges in combining theoretical and practical experiences, with reports of inconsistent support and supervision during Midwifery Practice Experience (MPE), alongside significant financial and personal costs to students. National evaluation and improvement initiatives are essential to ensure that midwifery students receive effective and high-quality clinical learning opportunities. Aim: This study aimed to answer two research questions: 1) How do midwifery students describe their Midwifery Practice Experiences? 2) What are the characteristics of Midwifery Practice Experiences that enhance or diminish midwifery student learning? Methods: National midwifery student survey data, collected through the National Placement Evaluation Centre. …

Management If Aggressive And Disruptive Behavior In The Emergency Department Using De-Escalation Techniques And Simulation: A Quality Improvement Project To Improve The Knowledge And Confidence Of Emergency Department Nurses And Clinical Staff, Ernestine Darby-Littlejohn

Electronic Theses and Dissertations

Abstract

Approximately 40% of all healthcare workers have reported episodes of violence by patients over the last 2 years. This Veteran’s Health Agency reported 824 disruptive events reported in the last 5 years, of which 56 occurred in the emergency department. Research shows that interventions are not always timely, resulting in the clinical staff requesting the Veteran’s Health Agency Police to intervene when a veteran’s level of stress is escalating. The gap in practice is shown to be related to a lack of knowledge in the clinical staff in managing high stress levels exhibited by some veterans, limited knowledge of …