Nursing Commons^™

Reducing Delirium In Older Adults: The Role Of Quiet Hours During Hospitalization, Kelly Hermawan Bsn, Rn

Nurse Residency

In older adults how does the implementation of quiet hours compared to no quiet hours affect the incidence of delirium as measured by positive cam score during hospitalization?

Pedi Psych Boarding In The Emergency Department, Cryspin Russo

Nurse Residency

Will implementation of structured intervention(s) during ED boarding improve the boarding experience for our pediatric psych patients?

Neonatal Unit Human Resources: Coverage For Six Cadres And Trends For Staff-To-Baby Ratios In 65 Neonatal Units Implementing With Nest360 In Kenya, Malawi, Nigeria, And Tanzania, Rebecca Penzias, Eric Ohuma, Opeyemi Odedere, Olabisi Dosunmu, George Okello, Hannah Mwaniki, Robert Tillya, Josephine Shabani, Vincent Ochieng, Ekran Rashid, William Macharia

Paediatrics and Child Health, East Africa

Background: Implementing small and sick newborn care (SSNC) requires skilled health workers; however, there is a shortage, adversely impacting patient outcomes and health worker wellbeing. There are limited data and no cur‑ rent World Health Organization (WHO) standards for staftobaby ratios in neonatal units in low and middleincome countries (LMICs) to inform policy, planning, and investment.

Methods: In 65 neonatal units (36 in Malawi, 13 in Kenya, 7 in Tanzania, and 9 in Nigeria), a health facility assessment (HFA) for SSNC and governmentled quality improvement (QI) processes were implemented. Stafng data were col‑ lated from baseline HFA (Sept 2019–March 2021) …

Bridging The Gap: An Educational Intervention For The Early Introduction Of Peanut Protein In Pediatric Care, Rachel Gilson Dnp, Rnc-Ob, C-Onqs, Fnp-C, Parkview Health

Nursing Publications, Posters, & Presentations

Presented at the 6th Annual Parkview Nursing Research and Evidence-Based Practice Symposium. Theme: “From Paper to Practice: The Art of Implementation Science,” at the Parkview Mirro Center for Research and Innovation.

The primary aim of this Doctor of Nursing Practice (DNP) project was to improve provider adherence to the NIAID guidelines for the early introduction of peanut protein in infants under one year of age. The project intended to address identified knowledge and practice gaps through a targeted educational intervention at Fort Wayne Pediatrics (FWP).

Empowering Nursing Teams To Prevent Delirium, Caroline "Candy" Smead Dnp, Rn, Scrn

Nursing Publications, Posters, & Presentations

Project Aim: To empower nursing teams to reduce delirium by using an embedded evidence-based delirium prevention bundle.

Presented at the 6th Annual Parkview Nursing Research and Evidence-Based Practice Symposium. Theme: “From Paper to Practice: The Art of Implementation Science,” at the Parkview Mirro Center for Research and Innovation.

Women’S Experiences Of Declining Recommended Or Routine Maternity Care: A Systematic Review, Ilyana Mohamed Hussain, Kate Buchanan, Linda Sweet, Sara Bayes

Research outputs 2022 to 2026

Background Women have the right to decline recommended or routine maternity care. While informed choice is increasingly emphasised in maternity care, the experiences of women who decline recommended or routine care remain underexplored. Aims To synthesise evidence on women’s experiences of declining recommended or routine aspects of maternity care. Methods A systematic review was conducted using a structured approach informed by Joanna Briggs Institute (JBI) principles for qualitative synthesis. Eight studies were appraised using the Critical Appraisal Skills Programme (CASP) checklist. Data were analysed through a narrative synthesis process, developing categories and dimensions that were synthesised into overarching themes. Results …

State Of Menstrual Health Education In 2024: Content Analysis Of Us K-12 Public School Education Standards, Emily Richardson, Sarah Bemis, Page Dobbs, Hope Ballentine, Shristi Bhochhibhoya, Victor Kwaku Akakpo, Kylie Lovett

The Eleanor Mann School of Nursing Faculty Publications and Presentations

Background: Exploratory study aiming to assess the prevalence and time of initiation of menstrual health curriculum in US public school education standards by state. Methods: US public school Kindergarten-12th grade education standards from each state's Department of Education website, including D.C. (n = 51), were searched for menstruation, menstrual, menses, menopause, period, menarche, reproduction, puberty, and growth and development. Results25.5% (n = 13) of US education standards include menstruation. Of these, constructs of comprehensive menstrual health were recorded including abnormal menstruation (n = 6), menstrual hygiene (n = 6), menopause (n = 1), and stigma (n = 7). Education is …

Physical And Mental Outcomes Associated With Patient With Cognitive Impairments Compared To Those Without, Jessica Forcier Rn

Nurse Residency

In hospitalized older adult patients with cognitive impairment and physical decline, how does an extended length of hospital stay, compared to a shorter or average length of stay, affect their physical and mental health outcomes?

Predictors Of Caregiver Satisfaction With A Hybrid Care Model For Autism Diagnostic Evaluations, Michele Kilmer, Emily Shah, Danielle Randolph, Lauren Quetsch

The Eleanor Mann School of Nursing Faculty Publications and Presentations

Background: Decreased access to diagnostic services is a known barrier in autism care management. Utilizing a hybrid care model incorporating telehealth and face-to-face appointments may be one option to increase access to care. The current study examined caregivers' satisfaction with a hybrid model used to administer pediatric autism diagnostic evaluations. Methods: We used a quantitative research design with convenience sampling to administer a telehealth satisfaction survey to caregivers of children living in medically underserved areas who were referred for an autism diagnostic evaluation. Timeliness and accuracy of diagnostic evaluations via the hybrid model were also assessed. Findings: Most caregivers did …

Cultural Humility In Patient Education: Development Of A Nutrition-Related Simulation For Nursing Students, Theresa G. Schnable, Sylvia Peña, Juanita T. Garcia, Marilyn Frenn

College of Nursing Faculty Research and Publications

Introduction:

The Latinx community is disproportionately impacted by social and structural inequities such as food insecurity and culturally and linguistically appropriate resources. To address a gap in culturally appropriate nutrition education with Latinx individuals among baccalaureate nursing students, a simulation learning experience (SLE) was developed.

Methodology:

The SLE was designed using best practice standards by faculty experts and reviewed by consultants. After the SLE, students and faculty provided feedback regarding simulation design and implementation.

Results:

Participants reported improved knowledge and confidence when providing culturally appropriate nutrition education and valued working with an interpreter.

Discussion:

This innovative strategy using simulation offers …

Stakeholders’ Perceptions Of The Roles And Regulations Of Advanced Practice Nursing And Advanced Practice Midwifery, Constance Shumba, Benard Mutwiri, Denis Munene, Rachel Kimani, Beatrice May, Isabel Kambo, Colette Henderson, Irene Mageto, Daniela Lehwaldt, Eunice Ndirangu

School of Nursing & Midwifery, East Africa

Background Advanced practice nursing (APN) and advanced practice midwifery (APM) in Kenya are critical in healthcare system strengthening by expanding access to quality care, particularly in underserved regions. Globally, the International Council of Nurses (ICN) defines APN as a level of nursing practice that requires a minimum of a master’s degree, along with advanced clinical training and competency. Similarly, APM involves midwives with advanced training to provide specialized maternal and neonatal care. In Kenya, the APN and APM concepts were launched in 2020 and are still nascent, and their practice is determined by the context as provided by the country …

Effects Of Aromatherapy On Promoting Sleep In Patients With Neurological Deficits, Cherylle Reed

Electronic Theses and Dissertations

Reliance on sleep aids in neurological patient population can lead to negative side effects and compromise patient safety. The purpose of this doctoral nursing project was to determine if the implementation of McDonnell and Newcomb’s aromatherapy process will reduce the incidence of sleep-promoting medication administration as compared to the current practice in neurological deficit patients over 4 weeks. A quantitative, quasi-experimental design evaluated effects on sleep quality and pharmacological sleep aids by using McDonnell and Newcomb’s aromatherapy combination of lavender, bergamot, and ylang ylang essential oils placed on a cotton ball at the patient’s bedside each night. The sample included …

Hypertension Prevention Program And Its Effects On Blood Pressure Levels Among Young Adults In A Christian Community In Southwest Michigan, Cindel Hollancid

Doctor of Nursing Practice Projects

Background

Although the majority of patients who present are adults over the age of 40 years old; with blood pressures ranging from 140/88 – 190/110 and many times higher readings, it was intriguing and important to assess whether a direct intervention, teaching young adults ages 18 – 39 years the benefits of lifestyle choices would be beneficial as a preventative measure to implement for hypertension reduction patterns as one ages. According to Hinton et al. (2019), hypertension affects 1 in 8 adults between the ages of 20 and 40 years old and is thus common among young people; with the …

Developing Clinical Judgment In Nursing Students Using Discourse With Meaningful Feedback, Explanatory Mixed Methods Design, Annissa C. Jackson

Nursing Theses and Dissertations

The competency of clinical judgment in new nurses leading to safe practice has declined. The integrated clinical education theory posits discourse with meaningful feedback between nurse educators and pre-licensure students during clinical experiences enhances the development of clinical judgment. Quantitative evidence is needed for efficacy of clinical teaching using discourse with meaningful feedback. The hypothesis for this study was implementation of discourse with meaningful feedback between the academic nurse educator and the pre-licensure student nurse in direct patient care will improve the development of clinical judgment in students compared to the development of clinical judgment in students exposed to other …

Cultivating Excellence: Academic Support For Diverse Nursing Students, Tara Flood, Dnp, Rn, Cbc

College of Nursing Posters

Introduction

Cultural experiences and the development of acumen in nursing school are deeply interconnected. Meaningful engagement with diverse cultures fosters empathy, self awareness, and nuanced communication that is essential for providing competent patientcentered care. The inclusion of an Academic Support team in nursing education is essential for nursing student success and for creating inclusive learning environments, particularly for students from diverse backgrounds.

Correlates Of Sexual Health Service Use Amongst Unmarried Young Adults In Kathmandu, Nepal, Joshua Jayasinghe, Connie M. Ulrich, Anju Shrestha, Mamata Sherpa Awasthi, Jesse Chittams, Bridgette M. Rice, Prakash Shrestha, Anne M. Teitelman

College of Nursing Faculty Papers & Presentations

BACKGROUND: In Nepal, sexual relationships outside of the traditional arranged marital system are increasingly common. Despite the availability of modern sexual health care, research on how to effectively deliver sexual health services to unmarried young adults in Nepal is limited.

OBJECTIVE: This study examined key theoretical correlates between Andersen's Behavioral Model of Health Service Use and actual sexual health service use among unmarried young adults (aged 18 to 25) in Kathmandu, Nepal.

METHODS: Unmarried young adults between 18 and 25 were recruited from colleges and universities in the Kathmandu area. A total of 110 women and 93 men completed the …

Guided By Culture, Fueled By Goals: Evaluating The Patnubay Sa Pagtatagumpay Mentorship Journey, Priscilla L. Sagar, Mary Dioise Ramos, Mizpah Amados, Gloria Lamela Beriones, Warly Remegio, Marlon Garzo Saria, Lorraine Evangelista

School of Nursing Faculty Publications

Effective mentorship is fundamental to professional development in nursing; however, there are limited initiatives that cater to the unique cultural and contextual needs of Filipino American nurses. To bridge this gap, the Philippine Nurses Association of America launched its Patnubay sa Pagtatagumpay Program (P3). This innovative initiative offers a culturally tailored approach to mentorship, incorporating features such as mentor-mentee pairings, structured goal setting, and year-long cohort support. This paper evaluates the effectiveness of the P3 program, with initial outcomes indicating high overall satisfaction from both participants. By demonstrating that culturally focused mentorship can effectively meet the specific needs of a …

Assessing The Efficacy Of The Cam-Icu Scale In Reducing Length Of Stay In The Icu: A Scoping Review, James Ray Davis Mph, Bsn, Rn, Donna Lynch-Smith Dnp, Aprn, Acnp-Bc, Ne-Bc, Cnl

Doctor of Nursing Practice Projects

No abstract provided.

Enhancing Medication Adherence In Primary Care Settings Through Staff Education, Sabita Bhusal

Walden Dissertations and Doctoral Studies

This Doctor of Nursing Practice project was an evidence-based staff education initiative addressing medication nonadherence in hypertension, a critical issue that contributes to poor health outcomes, uncontrolled blood pressure, preventable hospitalizations, and increased healthcare costs. The identified gap in practice was defined by limited staff knowledge, lack of structured training, and inconsistent application of evidence-based adherence counseling strategies. The practice-focused question was: In a primary care clinic, will an evidence-based staff education program on medication adherence increase staff knowledge? A structured training intervention was implemented and then evaluated for its effectiveness. Descriptive statistics and a paired t test comparing pre- …

A Clinical Practice Guideline For Managing Gastrointestinal Toxicities Related To Glp-1ra And Gip/Glp-1ra Medications, Lindsay Williamson

Walden Dissertations and Doctoral Studies

The project is a Clinical Practice Guideline (CPG) for managing Gastrointestinal (GI) toxicities related to Glucagon-like Peptide-Receptor Agonist 1 (GLP-1RA) and Glucose-dependent insulinotropic polypeptide/Glucagon-like peptide-1Receptor Agonist (GIP/GLP-1RA) medications. Many patients are seeking weight loss with these agents, which cause GI toxicities that lead prescribers to have patients remain at lower doses that are sub-therapeutic or discontinue therapy. Advanced Practice Registered Nurses (APRNs) are prescribing these therapies for patients and lack an evidence-based CPG for properly managing the most common GI toxicities. APRNs can successfully monitor and manage GI symptoms to promote tolerability and treatment adherence. The project question focuses on …

Central Line-Associated Bloodstream Infection Prevention Staff Education For Medical- Surgical Nurses, Grace Ann Abustan Porciuncula

Walden Dissertations and Doctoral Studies

Background: CLABSIs remain a significant cause of morbidity, mortality, and increased healthcare costs, particularly in hospitalized patients requiring long-term vascular access. Despite established guidelines, inconsistent adherence to central line dressing change protocols persists within the DNP project organization, often due to insufficient staff knowledge and variability in practice. This practice gap increases the risk of catheter site contamination and leads to preventable CLABSI events, creating a clear need for intervention. Method: A designed educational program that integrated interactive lectures, case studies, and simulation-based activities. A pre- and post-intervention assessment to measure changes in participants’ knowledge and self-reported confidence in applying …

Psychoeducation For Community Support Workers To Decrease No Call And No-Show Rates In An Outpatient Mental Health Facility, Promise Lum Ngongwashi

Walden Dissertations and Doctoral Studies

Missed appointments remain a critical issue in health care, as they contribute to poorer patient health outcomes, treatment discontinuity, and increased system costs. Improving staff knowledge in this area is essential for ensuring timely, equitable, and effective patient care. This doctoral project was a staff education initiative designed to enhance community support workers (CSWs’) knowledge of methods for encouraging patient adherence to clinic appointments through psychoeducational training. The practice problem addressed was the inconsistency in staff use of evidence-based strategies to motivate and support patients in maintaining clinic attendance. The practice-focused question guiding the project was: Does psychoeducation improve CSWs’ …

Nurse Residency Program: Improving Staff Awareness Through Education, Cynthia Kay Butterman

Walden Dissertations and Doctoral Studies

Across the health care continuum, organizations face persistent nursing shortages and the challenge of integrating novice nurses into clinical practice, often with limited skills and underdeveloped critical thinking abilities. Nurse residency programs have been integrated by many facilities to provide support for new novice nurses in transitioning from academia to the professional nursing role. This quantitative, quasi-experimental research project was conducted at a community-based hospital with an existing 8- to 10-week nurse residency program that had very limited stakeholder involvement. The purpose of the project was to create an educational training module for key stakeholders to strengthen awareness of why …

Perspectives Of Nursing Faculty On The Barriers, Opportunities, And Teaching Strategies For Developing Peer Feedback Skills Among Entry-Level Nursing Students, Anna Kornienko

Walden Dissertations and Doctoral Studies

Peer feedback benefits nursing education and practice by fostering collegial relationships and promoting the quality of care, yet students often lack training to engage effectively. While existing research has examined student perspectives, the experiences and strategies employed by nursing faculty remain underexplored. The purpose of this qualitative study, guided by the student feedback literacy framework, was to explore the perspectives of nursing faculty on the barriers, opportunities, and strategies for developing peer feedback skills among undergraduate nursing students. Seventeen Canadian nursing faculty participated in semi-structured virtual interviews. Analysis revealed five themes that aligned with the study’s three foci: strategies (a) …

Staff Education To Enhance Therapeutic Communication In Community Clinic Settings, Marian Allen

Walden Dissertations and Doctoral Studies

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Artificial Intelligence (Ai) Additions To Nursing Education: Accommodating The Complexity Of Today’S Populations And Assuring Evidence-Based Pathways Of Patient-Centered Care, Jamie Anne Marcus, Bonnette Villalba Webb, Abigail Pauline Batin Villarroya

FDLA Journal

Predicted demographic changes in the rising older than 65 populations with possible declining mental and physical health mandate adaptations to new professional nursing roles that will incorporate technology, and changing policy environments. Nursing experience, knowledge, and skills will transition to new cognitive pathways to think and process information. Nurses will be supported by artificial intelligence (AI) technologies and become information integrators, health coaches, and continue to be deliverers of human caring. New transition pathways in nursing education to meet the needs of these diverse populations, and patient complex presentations will transcend to synergizing and optimize digital-age healthcare environments and assure …

Staff Education On Antibiotic Stewardship For Urgent Care, Darla Michelle Taylor

Walden Dissertations and Doctoral Studies

This doctoral project focused on a staff education initiative designed to improve antibiotic stewardship among urgent care providers. It evaluated changes in provider knowledge and prescribing intent following an evidence-based educational intervention by asking, “Does staff education on antibiotic stewardship in an urgent care setting enhance knowledge when compared to pre- and post-education assessments?” The purpose was to increase provider knowledge, confidence, and adherence to stewardship principles while influencing prescribing intent. The project consisted of an educational presentation with pre- and post-education surveys. Data was collected using pre- and post-education surveys featuring Likert-scale items that measured provider confidence, knowledge, and …

Staff Education On Oral Health To Night Shift Staff, Uzoamaka Mbionwu

Walden Dissertations and Doctoral Studies

Hospital-acquired pneumonia (HAP) remains the most common hospital-acquired infection in the United States, with nonventilated adult patients particularly at risk. This doctoral project focused on improving oral care practices among night shift nursing staff on a medical-surgical unit to reduce the risk of HAP. The practice gap identified was the inconsistent and inadequate delivery of oral hygiene during night shifts, primarily due to staff knowledge deficits, time constraints, and a lack of standardized procedures. The project was guided by the Johns Hopkins Evidence-Based Practice model and addressed the following question: In adult patients on a medical-surgical unit, will staff education …

Sociocultural Factors Influencing Excess Gestational Weight Gain In Pregnant Puerto Rican Women, Sonia O. Roselló Aponte

Walden Dissertations and Doctoral Studies

More than 50% of women experience excessive weight gain during pregnancy or are overweight at the start of pregnancy, increasing their risk of short and long-term maternal and fetal complications. The literature highlights the relationship between sociocultural factors and excessive gestational weight gain (EGWG) and the need to explore these factors in ethnic subgroups. The purpose of this descriptive qualitative study, guided by Nola Pender’s health promotion model, was to explore the sociocultural factors that influence EGWG for pregnant women living in Puerto Rico. Semi-structured interviews were conducted with seven participants recruited from public and private prenatal clinics in Puerto …

Self-Management Experiences Of Heart Failure Patients Who Received Telehealth Services During The Covid-19 Pandemic, Christie Devine

Walden Dissertations and Doctoral Studies

The COVID-19 pandemic increased the utilization of telehealth in managing chronic conditions such as heart failure. Existing research has primarily focused on patient experiences with specific telehealth platforms or settings, limiting generalizability within the diverse United States healthcare system. The purpose of this qualitative study, guided by the health promotion model, was to describe patient experiences with self-management of heart failure while receiving medical care through any type of telehealth service (e.g., telephone, video calls, remote monitoring) in the United States. Twenty-two participants were interviewed who met the criteria of having a diagnosis of heart failure and using telehealth since …