Nursing Commons^™

Educating Pediatric Registered Nurses On The Administration Of Prolonged Intravenous Antibiotics, Kasandra Rezler

Master's Projects and Capstones

Abstract

Problem According to Children’s Hospital A's incident reporting system, 50% of problems related to prolonged intravenous antibiotics were classified as administration issues. When mistakes are made in this process, the antibiotic is then delivered at the wrong rate or the wrong time, which is problematic. Additionally, findings from a needs assessment survey highlight a critical need for targeted interventions, such as an educational video, to reduce administration errors associated with prolonged IV antibiotics. Context Within Children’s Hospital A, the microsystems targeted by this quality improvement project consist of inpatient pediatric patient care units (PCU) 300, 360, and 400. Children’s …

The Impact Of Shared Governance On Work Engagement And Job Satisfaction, Mikayla Adkins

MSN Capstone Projects

In 2023, the National Council of State Boards of Nursing revealed that 100,000 nurses left the workforce during the COVID-19 pandemic and another 900,000 plan to leave by 2027 due to stress, burnout, and retirement. Identifying and implementing practical strategies to reduce voluntary turnover as a result of stress and burnout is a top priority for nursing leaders across the country. Work engagement and job satisfaction have well been documented in the literature as antidotes to occupational stress and burnout in the nursing profession (Schaufeli & Bakker, 2004; Pressley & Garside, 2022). Evidence suggests that implementing shared governance is a …

The Contributing Factors To Student Nurse Medication Administration Errors And Near Misses In The Clinical Setting As Identified By Clinical Instructors, Kristen M. Selig

Theses and Dissertations

The report, To Err is Human, by the Institutes of Medicine (IOM, 2000) brought attention to medication safety in the United States healthcare system. While advances have been made in patient safety, including electronic medication dispensing systems, electronic medication administration records, and scanning systems, it is estimated that 7,000 to 9,000 people die each year due to medication errors (Tariq et al., 2019). The medication administration process involves steps from prescribing to administration. However, nurses administering the medications are the final check point. James Reasons’ Swiss Cheese Model of Accident Causation illustrates the role that systems play in medical errors. …

Acuity-Based Staffing: Improving Patient Outcomes And Staff Satisfaction, Natalie Long

MSN Capstone Projects

Traditionally, nurse staffing practices have been based on a nurse-patient ratio model and have not incorporated patient acuity. More recent literature has shown that acuity-based staffing can improve patient outcomes and staff satisfaction. The Emergency Department (ED) is an area that has fluctuating patient acuity and volume. To incorporate acuity in to staffing in the ED, the acuity mix over the past year can be used to calculate required nursing hours, therefore providing the number of required nurses for that facility. The calculated number of staff can then be distributed over a 24 hour period. By incorporating acuity in to …

Improving The Timing Of Antibiotic Administration In High-Risk Neonates, Jed Comuelo

Master's Projects and Capstones

Improving the Timing of Antibiotic Administration in High-Risk Neonates

Abstract

Problem: The rapid nurse turnover and improper use of the golden hour flowsheet are some of the factors that affect the timing of antibiotic administration. A review of 38 patient charts was done and only shows 20% received antibiotics within 1 hour.

Context: This microsystem is a 22-bed neonatal intensive care unit with an average of 900 admissions per year. The team is composed of doctors, nurses, respiratory therapist, and pharmacists. The budget needed for this project consists of the overtime pay needed to compensate nurses for attending additional staff …

Assessing Nurse Manager Competencies In A Military Hospital, Ruby O. Anderson

Walden Dissertations and Doctoral Studies

Military health care organizations need competent frontline managers with knowledge and skills to manage health care complexity and ensure evidence-based practice. With systematic, planned turn over of military managers, more civilian managers are needed to fill permanent positions in military hospitals. The purpose of this project was to provide a better understanding of the competencies perceived by nurse managers at a military medical center and whether they differed by military or civilian status. The American Organization of Nurse Executives competency model and framework provided the theoretical framework for the project. The design was nonexperimental, with an observational, descriptive, cross-sectional approach. …

The Art And Science Of Nursing Education / L’Art Et La Science De La Formation Infirmière, Florence Myrick, Jacinthe I. Pepin

Quality Advancement in Nursing Education - Avancées en formation infirmière

No abstract provided.

Outpatient Medication Error Improvement, Savannah M. Klinginsmith

Master's Projects and Capstones

Patient Safety Initiative -Improving Medication Administration (Outpatient Care)

SPECIFIC AIM: We aim to Improve the medication administration process and involve all staff within 6 months

In the microsystem consisting of 14 family practice and urgent care clinics, there is not a standard process based on evidence based practices for medication administration. With and estimated of 400-600 medications (immunizations included) being administered per day, without a standard of care protocol, the risk for medication errors is evident.

Objectives and changes anticipated based on implementation of the project is to engage staff in support for improving medication administration standard of care based …

Impact Of An Interprofessional Central Venous Catheter Insertion Training Program, James P. Orlando Edd, Andrew Miller Do, William Bond Md, Ms, Valerie A. Rupp Rn, Bsn, Bryan G. Kane Md, Cindy Umbrell Rn, Msn, Michael Pasquale Md, Elizabeth Verheggen Phd, Elliot J. Sussman Md, Mba

Michael D Pasquale MD, FACS, FCCM

No abstract provided.

The Lived Experience Of The Novice Nursing Dean: Exploring The Meaning And Significance, Melissa Rae Bouws

UNLV Theses, Dissertations, Professional Papers, and Capstones

Deans of nursing hold a unique position for the future of the profession. Few others have the potential to bring about change within the academic setting, or hold such a strong influence on the future of nursing and on our students. Current statistics reveal multiple vacancies in nursing dean positions. Further understanding of how nursing deans begin their role, attain their identity as dean, and successfully execute this important position is needed to recruit and retain strong leaders who have the methods and skills to develop and support the advancement of the nursing profession. Understanding the process of becoming nursing …

Oral Ovulation Induction Agents Combined With Low-Dose Gonadotropin Injections And Intrauterine Insemination: Cost- And Clinical Effectiveness, Ginny Ryan, V. Moss, W. Davis, Amy Sparks, A. Dokras, Bradley Van Voorhis

Amy E.T. Sparks

OBJECTIVE: To compare the efficacy and cost-effectiveness of different induction protocols involving gonadotropins with intrauterine insemination (IUI). STUDY DESIGN: We performed a retrospective chart review of 648 IUI cycles. Some patients had gonadotropin injections alone before human chorionic gonadotropin (hCG) and IUI (human menopausal gonadotropin protocol); others were given oral medications, then gonadotropins before hCG and IUI (combination protocol). Outcomes included pregnancy rates, multiple birth rates, endometrial thickness, number of ovarian follicles, injection days, ampules of gonadotropins and cost. RESULTS: The combination protocol was more cost-effective. In first cycles, pregnancy rates, multiple birth rates, number of large follicles produced and …

Oral Ovulation Induction Agents Combined With Low-Dose Gonadotropin Injections And Intrauterine Insemination: Cost- And Clinical Effectiveness, Ginny Ryan, V. Moss, W. Davis, Amy Sparks, A. Dokras, Bradley Van Voorhis

Bradley J Van Voorhis

OBJECTIVE: To compare the efficacy and cost-effectiveness of different induction protocols involving gonadotropins with intrauterine insemination (IUI). STUDY DESIGN: We performed a retrospective chart review of 648 IUI cycles. Some patients had gonadotropin injections alone before human chorionic gonadotropin (hCG) and IUI (human menopausal gonadotropin protocol); others were given oral medications, then gonadotropins before hCG and IUI (combination protocol). Outcomes included pregnancy rates, multiple birth rates, endometrial thickness, number of ovarian follicles, injection days, ampules of gonadotropins and cost. RESULTS: The combination protocol was more cost-effective. In first cycles, pregnancy rates, multiple birth rates, number of large follicles produced and …

Oral Ovulation Induction Agents Combined With Low-Dose Gonadotropin Injections And Intrauterine Insemination: Cost- And Clinical Effectiveness, Ginny Ryan, V. Moss, W. Davis, Amy Sparks, A. Dokras, Bradley Van Voorhis

Ginny L. Ryan

OBJECTIVE: To compare the efficacy and cost-effectiveness of different induction protocols involving gonadotropins with intrauterine insemination (IUI). STUDY DESIGN: We performed a retrospective chart review of 648 IUI cycles. Some patients had gonadotropin injections alone before human chorionic gonadotropin (hCG) and IUI (human menopausal gonadotropin protocol); others were given oral medications, then gonadotropins before hCG and IUI (combination protocol). Outcomes included pregnancy rates, multiple birth rates, endometrial thickness, number of ovarian follicles, injection days, ampules of gonadotropins and cost. RESULTS: The combination protocol was more cost-effective. In first cycles, pregnancy rates, multiple birth rates, number of large follicles produced and …

A Placebo-Controlled Randomized Trial Of The Terbutaline Pump For Prevention Of Preterm Delivery, K. Wenstrom, C. Weiner, D. Merrill, Jennifer Niebyl

Jennifer R Niebyl

To determine the efficacy of the terbutaline pump for the prevention of preterm delivery, patients in preterm labor defined by progressive cervical change underwent intravenous magnesium sulfate tocolysis (with or without oral indomethacin, as necessary), and once labor was arrested, were randomized to one of three treatment arms: terbutaline by pump, saline by pump (blinded), or oral terbutaline. If recurrent preterm labor occurred despite maximization of therapy, the treatment arm was determined and therapy was changed; saline pump and oral terbutaline were switched to terbutaline pump, terbutaline pump was switched to oral terbutaline. Patients who continued to labor were readmitted …

Inhibition Of Arachidonic Acid Metabolism In The Perinatal Period: Pharmacology, Clinical Application, And Potential Adverse Effects, F. Witter, Jennifer Niebyl

Jennifer R Niebyl

No abstract provided.

Predictors Of Topical Anesthetic Effectiveness In Children, Charmaine Kleiber, D. Schutte, Ann Mccarthy, M. Floria-Santos, J. Murray, Kirsten Hanrahan

Kirsten M. Hanrahan

Some children report significant pain with peripheral intravenous catheter (IV) insertion, despite the appropriate use of topical lidocaine anesthetics. This analysis of data from an existing study identified factors related to variation in topical anesthetic effectiveness used for IV insertion. The children (n = 218) in this investigation were 4 to 10 years old and undergoing a scheduled IV insertion. Inclusion criteria were (1) topical anesthetic was used according to manufacturer's recommendations, (2) DNA material was available, and (3) child completed a self-report measure of pain intensity (Oucher scale). Low pain phenotype was defined as a pain intensity score of …

Ambulatory Surgery. The Selection And Administration Of Perioperative Intravenous Fluids For The Pediatric Patient, J. Aker, Cormac O'Sullivan

Cormac T. O'Sullivan

No abstract provided.

Case Report Of Latex Aerosolization From A Transesophageal Echocardiogram Machine, B. Muller, Victoria Steelman

Victoria J. Steelman

Aerosolized natural rubber latex proteins produce latex sensitization and can cause acute allergic reactions in susceptible individuals. The objective of this study is to describe measures that should be taken to ensure a latex-safe hospital environment. A case of latex-induced anaphylaxis prompted a survey of air quality in acute care areas of a major tertiary health care center that had eliminated the use of powder-free latex gloves years earlier. Six air samples were collected using pre- and postcalibrated sampling pumps operating at 2.7 L/minute. Samples were collected in duplicate on three-piece 37-mm Teflon filters in open-faced cassettes and tested for …

Assessment And Treatment Of Postoperative Pain In Older Adults, Barbara Rakel, Keela Herr

Barbara A. Rakel

No abstract provided.

Predictors Of Topical Anesthetic Effectiveness In Children, Charmaine Kleiber, D. Schutte, Ann Mccarthy, M. Floria-Santos, J. Murray, Kirsten Hanrahan

Ann Marie McCarthy

Some children report significant pain with peripheral intravenous catheter (IV) insertion, despite the appropriate use of topical lidocaine anesthetics. This analysis of data from an existing study identified factors related to variation in topical anesthetic effectiveness used for IV insertion. The children (n = 218) in this investigation were 4 to 10 years old and undergoing a scheduled IV insertion. Inclusion criteria were (1) topical anesthetic was used according to manufacturer's recommendations, (2) DNA material was available, and (3) child completed a self-report measure of pain intensity (Oucher scale). Low pain phenotype was defined as a pain intensity score of …

Impact Of An Interprofessional Central Venous Catheter Insertion Training Program, James P. Orlando Edd, Andrew Miller Do, William Bond Md, Ms, Valerie A. Rupp Rn, Bsn, Bryan G. Kane Md, Cindy Umbrell Rn, Msn, Michael Pasquale Md, Elizabeth Verheggen Phd, Elliot J. Sussman Md, Mba

Department of Emergency Medicine

No abstract provided.

The Effects Of Two Teaching Methodologies On Knowledge Of Insulin Administration Practices In An Older Adult Group, Clara D.J. Pieh

MSN Research Projects

Approximately 11 million people are affected with acute and chronic complications of diabetes. An estimated $20 billion is spent annually on the diagnosis and management of diabetes. Client adherence to self-care practice is essential to the control of diabetes. The self-care practice of injecting insulin is imperative for the management of both patients with type 1 and type 2 diabetes. Teaching modalities which effectively increase patient knowledge about insulin administration need to be developed and implemented. Therefore, the purpose of this study was to determine whether individualized instructions or audiovisual instructions increased the knowledge of insulin administration practices in older …

Bulletin Of The College Of Nursing, 1995-1996, University Of Nebraska Medical Center

Bulletin of the College of Nursing

•Academic Calendar 1995-1996

•Message from the Dean

•The University of Nebraska Medical Center

•The College of Nursing

•BSN Purpose/Goals/Outcomes

•Admission to the BSN Program

•Academic Policies and Procedures

•Undergraduate Baccalaureate Program Course Descriptions

•Learning Resources

•Scholarship and Financial Aid Information

•Student Rights and Responsibilities

•Student Services and Information

•The Graduate Program in Nursing

•Master's Program Purpose, Outcomes and Competencies

•Admission Requirements

•Doctoral Program

•Financial Assistance: General Information

•Programs of Study

•Graduate Program Faculty

•Graduate Program Course Descriptions

•Goverance

•College of Nursing Faculty and Educational Support Staff

•Index

Bulletin Of The College Of Nursing, 1993-1994, University Of Nebraska Medical Center

Bulletin of the College of Nursing

•Academic Calendar

•The University of Nebraska Medical Center

•The College of Nursing

•Admission to the BSN Program

•Testing Information

•Tuition and Fess 1993-94

•Course of Study Information

•Academic Policies and Procedures

•Undergraduate Baccalaureate Program Course Descriptions

•Learning Resources

•Scholarship and Financial Aid Information

•Student Rights and Responsibilities

•Student Services and Information

•The Graduate Program in Nursing

•Doctoral Program

•Financial Assistance: General Information

•Programs of Study

•Graduate Program Course Descriptions

•Governance

•College of Nursing Faculty and Educational Support Staff

•Index

Administration Of Post-Operative Analgesia, Liora J. Valinsky

Theses : Honours

Pain is one of the major problems encountered by patients who have undergone surgery. The relief of pain is an important part of their treatment, and is both a nursing and a medical responsibility. Analgesics, both narcotic and non-narcotic, are usually prescribed by doctors on a pro re nata, or ‘as needed' basis. The responsibility for administration lies with the nurses, and they choose the type and quantity of drug to be given. Research into the area of pain relief has shown that both nurses and doctors need further education in the judicious use of analgesics, particularly narcotics. This study …

Bulletin Of The College Of Nursing, 1989-1991, University Of Nebraska Medical Center

Bulletin of the College of Nursing

•Academic Calendar

•Message From the Dean

•The University of Nebraska

•The College of Nursing

•Admission to the B.S.N. Program

•Testing Information

•Tuition and Fees

•Course of Study

•Academic Policies and Procedures

•Undergraduate Baccalaureate Program Course Descriptions

•Learning Resources

•Scholarship and Financial Aid Information

•Student Rights and Responsibilities

•Student Services and Information

•The Graduate Program in Nursing

•Admission Requirements

•Financial Assistance

•Programs of Study

•Graduate Program Course Descriptions

•Governance and Faculty

Bulletin Of The College Of Nursing, 1987-1989, University Of Nebraska Medical Center

Bulletin of the College of Nursing

•Message From the Dean

•The University of Nebraska

•The College of Nursing

•Admission

•Testing Information

•Tuition and Fees

•Course of Study

•Academic Policies and Procedures

•Undergraduate Baccalaureate Program Course Descriptions

•Learning Resources

•Scholarship and Financial Aid Information

•Student Rights and Responsibilities

•Student Services and Information

•Graduate Program in Nursing

•Admission Requirements

•Financial Assistance

•Programs of Study

•Graduate Program Course Descriptions

•Governance and Faculty

Bulletin Of The College Of Nursing, 1985-1986, University Of Nebraska Medical Center

Bulletin of the College of Nursing

•The University of Nebraska

•The College of Nursing

•Admission Requirements Bachelor of Science in Nursing

•Tuition and Fees

•Financial Aid

•Facilities for Instruction

•College of Nursing Organization

•Residency Requirements

•Technical Standards for the Undergraduate Program

•Student Rights and Responsibilities

•Transfer Credits

•Associate of Science Degree in Nursing

•Articulated Program: Bachelor of Science Degree in Nursing

•The Masters Program in Nursing

•Governance of the University

•College of Nursing Faculty

•Index

Bulletin Of The College Of Nursing, 1984-1985, University Of Nebraska Medical Center

Bulletin of the College of Nursing

•The University of Nebraska

•The College of Nursing

•Admission Requirements Bachelor of Science in Nursing

•Tuition and Fees

•Financial Aid

•Facilities for Instruction

•College of Nursing Organizations

•Residency Requirements

•Technical Standards for the Undergraduate Program

•Student Rights and Responsibilities

•Transfer of Credits

•Articulated Program: Associate of Science Degree in Nursing

•Articulated Program: Bachelor of Science Degree in Nursing

•The Masters Program in Nursing

•Governance of the University

•College of Nursing Faculty

•Index

Bulletin Of The College Of Nursing, 1982-1984, University Of Nebraska Medical Center

Bulletin of the College of Nursing

•The University of Nebraska

•The College of Nursing

•Articulated Programs

•Technical Standards for Admission to Undergraduate Programs in Nursing

•Articulated Programs

•Associate of Science Degree

•Bachelor of Science Degree

•Academic Regulations and General Policies

•Financial Aid

•Student Rights and Responsibilities

•College of Nursing Organizations

•Calendar

•Facilities For Instruction

•Estimated Expenses, Tuition, Fees

•Associate Program

•Baccalaureate Program

•Masters Program in Nursing

•Governance of the University

•College of Nursing Faculty

•Index