Nursing Commons^™

Nursing Education For End-Of-Life Oncology Pain Management, Anilyse Deisher, Savannah Phongsouvanh, Beau Glenn, Kaitlyn Woods

SPARK Symposium Presentations

The project addresses the lack of confidence and education among nurses in end-of-life care and pain management for cancer patients, specifically regarding ethical concerns related to hastening death. Nurses currently experience knowledge deficits in pain management and symptom control, which contributes to suboptimal care, ethical challenges, and inconsistent use of tools like RDOS and CPOT. The goal is to improve nursing confidence and their ability to efficiently manage pain and provide ethical treatment. By implementing the ELNEC training program, nurses will gain the skills necessary to assess and respond to symptoms of active death, ensuring proper care that reduces suffering. …

The Impact Of Diabetes Education & Post Discharge Interventions For African American Adults At Risk For & After Myocardial Infarction, Trinity L. Billingsley

Nursing | Student Research Posters

Cardiovascular disease or CVD refers to a multitude of conditions that affect both the heart and blood vessels. Being the leading cause of death in the United States, heart disease claims 919,032 lives; the risk of death becomes more likely when accompanied with comorbidities like diabetes (CDC, 2024). While heart disease is a leading cause of death across all populations, it accounts for a larger proportion of deaths in African American, or AA, adults at 22.6% compared to White adults at 18.0% and Hispanic adults at 11.9%, highlighting persistent racial disparities in cardiovascular outcomes (CDC, 2024). Diabetes as a comorbidity …

Educating Nurses On Culturally Competent Intimate Partner Violence Care, Nicole Lee

Nursing | Student Research Posters

No abstract provided.

A Quality Improvement Project To Enhance Chronic-Condition And Self-Care Knowledge In Adolescents With Spina Bifida, Ann Paris

DNP Scholarly Projects

Background: Spina Bifida is the most common central nervous system disorder in the United States (CDC, 2024). Even with early surgical repair, patients may have chronic, disabling, multisystem needs (Phillips et al., 2017). Adequate care of Spina Bifida requires a multidisciplinary approach. As such, patients with spina bifida require multiple specialty providers, clinic appointments, care-tasks, and interventions (CDC, 2024, Phillips, et al., 2017). Synthesizing information from multiple care providers can be daunting, especially for adolescents as they grow more autonomous in their care, and especially as they enter the age of pediatric-to-adult transition (Psihogios et al., 2015).

Purpose: …

Improving Intensive Care Unit Nurses' Knowledge And Confidence In Performing Effective Spontaneous Awakening Trials: A Quality Improvement Project, Sophia T. Merry-Carreiro

Master's Theses and Capstones

Abstract

BACKGROUND

Mechanically ventilated ICU patents often require sedation for comfort and ventilator compliance. However, oversedation is linked to negative outcomes such as delirium, prolonged ventilation, and increased duration of ICU stay. Current best practices now support the use of daily sedation interruptions such as Spontaneous Awakening Trials (SATs). Despite these recommendations, implementation of SATs remain inconsistent and suboptimal.

LOCAL PROBLEM:

Within the ICU in a northern new England hospital, there was a need to improve nurse confidence and knowledge in SATs practices through staff education.

METHODS:

Using the Plan-Do-Study-Act (PDSA) model, a quality improvement project was developed to improve …

A Quality Improvement Initiative: Enhancing Knowledge And Confidence In Effective Eclamptic Seizure Management Among Maternity Nurses, Emma C. Donigian

Master's Theses and Capstones

Background: Preeclampsia and eclampsia (PE/E) are leading contributors to maternal morbidity and mortality rates globally. Timely recognition and intervention are essential for improving maternal outcomes. However, evidence indicates that healthcare professionals often lack sufficient knowledge and confidence in managing these conditions, highlighting a critical need for ongoing education to ensure safe, effective care.

Local Problem: At a small maternity unit in Northern New England, nurses expressed concern about their preparedness to manage eclamptic seizures, a rare but high-risk obstetric emergency. Although preeclampsia is commonly encountered, eclampsia occurs infrequently, limiting staff exposure and hands-on experience. This combination of low frequency and …

The Role Of Game-Based Learning Simulation To Enhance Leadership In Pandemic Preparedness For Nursing Students, Scott James Andrews

Theses: Doctorates and Masters

During the COVID-19 pandemic, nurses around the world suffered with the impact of resource scarcity on the provision of quality nursing care to patients. Nursing staff were at higher risk of infection than all other healthcare workers, with working conditions during the pandemic resulting in significant staffing pressures. The challenges faced by staff during the pandemic inevitably influenced the quality and delivery of clinical education, highlighting the need for innovative solutions such as digital learning to address emerging training needs. Further, the impact of COVID-19 restrictions on clinical education has highlighted the benefits of digital learning environments as alternatives to …

Sickle Cell Disease Nursing Education: A Mixed Methods Program Evaluation, Lauren Brooke Clemons

Theses and Dissertations (ETD)

INTRODUCTION AND BACKGROUND: Sickle cell disease (SCD) is a common disorder of the hemoglobin and affects more than 100,000 people in the United States and millions worldwide. In response to a drastic lack of available education a group of SCD experts developed the Sickle Cell Boot Camp to Promote Nursing Excellence Train the Trainer. This initiative provided the first opportunity for nurses worldwide to gain knowledge and skills curated by the leading experts in a safe and interactive environment. By adapting the program to a train the trainer modality, education materials are provided to the attendees, and they are encouraged …

Integration Of Virtual Simulation Within A Nursing Curriculum: A Mixed Methods Study, Martina Costello, Hugh Davies, Fiona Williams, Michelle Gay, Jennifer Jennings, Joyce Muge-Sugutt, Olivia Gallagher

Research outputs 2022 to 2026

Background: Virtual simulation is a valuable learning tool for health professionals to facilitate knowledge, skills, and confidence. Simulation-based learning in Nursing has increased with advances in digital technologies, embedding diverse virtual modalities. The integration of virtual simulations requires careful consideration of pedagogical approaches and implementation strategies. The vSim® for Nursing platform was integrated into the curriculum of an undergraduate nursing program at an Australian university to enhance clinical learning experiences. Aim: To evaluate the implementation of the vSim® for Nursing learning platform within the second-year curriculum. Methods: A mixed-methods cross-sectional survey design was used, guided by Kirkpatrick's training evaluation model. …

Implementing A Gerontological Nursing Competencies Programme In Aged Care: Participant Experiences, Victoria Traynor, Nicole Britten, Diane Gibson, Stephanie Munk, Lynn Chenoweth, Jolan Stokes, Tracey Moroney, Karen Strickland, Toni Donaghy, Kasia Bail

Research outputs 2022 to 2026

Aims: To explore the experience of registered nurses and their mentors in the implementation of the Gerontological Nursing Competencies in long-term aged care and the perceived effectiveness and suitability of the programme to support nurse development. Background: The global population is ageing and needs a reliable aged-care nursing workforce. Introduction: Opportunities for education and mentorship for newly qualified and experienced aged-care nurses warrant investigation. Methods: Qualitative evaluation using semi-structured focus groups was conducted following the implementation of the programme into five not-for-profit long-term aged-care organisations and analysed by a reflexive qualitative thematic approach and reported according to COREQ criteria. Results: …

Game-Based Learning Contributions To Clinical Leadership In Times Of Resource Scarcity, Scott James Andrews, Olivia Gallagher, Alecka Miles, Carol Crevacore, Jessica Watson, Sean Cashman, Wyatt De Souza, Martin Masek, Julie Boston, Lisa Holmes, Brennen Mills

Research outputs 2022 to 2026

Background: Early progression of Registered Nurses into leadership roles is commonplace in clinical settings. Student nurses can prepare for leadership by gaining exposure through simulation-based learning. A novel and expanding modality are Game-based learning (GBL) simulation.

Aim: To understand if a GBL simulation is useful in preparing student nurses for leadership roles during times of resource scarcity, student nurses were asked to evaluate a novel GBL simulation requiring learners to manage patient triage and hospital resources during a pandemic.

Methods: The study design leveraged Kirkpatrick's Training Evaluation Model. Nursing students (n = 74) from one university in Perth, Western Australia, …

Hpv Self-Sampling Promotion Among African American (Aa) And Sub-Saharan African (Sai) Immigrant Women: Adaptation And Usability Testing, Adebola Adegboyega, Gia Mudd-Martin, Nancy Schoenberg, Mark Dignan

Nursing Faculty Publications

Background: Cervical cancer (CC) rates have declined nationally but rates remain high in Black women with most cases occurring among unscreened and under-screened women. This paper describes the adaptation, acceptability, and useability of an education intervention, “Health is Wealth: A Cervical Health Intervention”, to promote cervical screening and reduce perceived barriers to CC screening among two subgroups of Black women: African American (AA) and sub-Saharan African immigrant (SAI) women.

Methods: In this paper, we describe the process of adapting the Health is Wealth intervention using the Barrera and Castro adaptation framework. The iterative adaptation process included formative focus groups (n …

An Evidence-Based Preceptor Development Program For Nurse Anesthetists, Raleigh Todd

Doctoral Projects

Abstract

Problem Statement: The success of the student registered nurse anesthetists (SRNA) is heavily influenced by experiences in the clinical setting, often encompassing a variety of preceptors throughout their respective anesthesia programs. Despite the importance of the preceptor role, many preceptors feel unprepared, and it is estimated most certified registered nurse anesthetists (CRNAs) who precept students have received no formal training in the preceptor role.

Purpose: The purpose of this project is to develop and evaluate an evidence-based preceptor education program for CRNA preceptors, utilizing evidence from literature and input from practicing nurse anesthetists. This program helps provide support by …

Older Adult's Fall Prevention Program, Myles Butler, Rebecca King

Fall 2024 OTD Capstone Symposium

The decline in bodily functions with aging increases older adults' vulnerability to falls, which is a leading cause of death within this population. The poster presents an educational based fall prevention program focused on safety awareness and risk management for older adults. In conclusion, implementing a fall prevention program leads to increased awareness regarding risk factors that are detrimental to the safety and well-being of the older adult community

Improving Immunization Rates In Children Under Two Years Of Age In Linn County, Kansas Through Nursing Education, Heather L. Webber

Doctor of Nursing Practice Scholarly Project

Immunizations are one of the most beneficial preventive health measures available to children under two years of age. Failing to receive these preventative immunizations during these crucial years could result in the child developing serious diseases that may lead to long term disability or even be fatal. By increasing immunization rates, children will be more protected against common childhood diseases which will allow them to grow and thrive. The purpose of this scholarly project was to identify ways to improve vaccination rates in children under two years of age at specific clinics in Linn County, Kansas, using healthcare professional education. …

Reducing The Incidence Of Nosocomial Aspiration Pneumonia In Adult Oncology Patients Through Improved Compliance With Oral Hygiene Protocols, Rickey Maung

Master's Projects and Capstones

Objective: Oncology patients undergoing chemotherapy are at increased risk of mucosal barrier injuries and aspiration pneumonia, with current aspiration pneumonia rates exceeding target levels. Enhanced oral hygiene protocols and improved compliance have been shown to reduce these complications in this vulnerable population.

Context: The microsystem under review comprises six oncology units within Hospital A, a major medical center in California. Aspiration pneumonia, frequently linked to mucosal barrier injuries, poses a significant threat to patient safety and increases treatment costs and complications in oncology care. Recognizing the critical need to address this issue, an aspiration pneumonia task force has prioritized efforts …

Increasing Health Literacy Within The Unhoused Population, Alyse Mk Abraham, Zoe J. Foucaultt, Sean P. Sieber, Simran Gill, Andrew Kang, Fatou Goudiaby

Nursing Leadership in Community Engagement Projects

Nursing Leadership Executive Summary

The unhoused population in Washington State increased by 12% from January 2022 to January 2023, underscoring a growing regional crisis (Washington State Department of Commerce, 2024). To serve this population, we partnered with an agency in Western Washington. In collaboration with the agency’s health services administrative director, we developed a multilingual handout on healthcare and insurance options to improve health literacy.

Our project involved a windshield survey, demographic analysis, evidence-based research, and collaboration with translators to ensure accessibility. This paper outlines the project’s development, research process, creation of the handout, and its intended impact.

Background

A …

Stress Management Through Educational Coping Techniques, Margaret Nikitchuk, Maddy Politeo, Sarah Hall, Ben Pham, David Kumar, Kiana George

Nursing Leadership in Community Engagement Projects

Executive Summary

According to the United States Census Bureau, Seattle reported the highest amount of people with stress in the United States with 54.5% (reported by adults) saying they felt ‘nervous, anxious or on edge’ for at least several days during the past two weeks” (Swedish, 2024). Many residents in Seattle cope with stress in unhealthy ways. For instance, in Seattle-Tacoma-Bellevue MSA, 19% of individuals aged 12 or older used illicit drugs, compared to the national rate of 14.7% (SAMHSA, 2012). Additionally, 22.5% of this population engaged in binge alcohol use at least once in the past month (SAMHSA, 2012). …

Promoting Advance Care Planning In Primary Care: A Pilot Study On The Impact Of Clinician Education And Workflow Development, Lisa Nicole Turcotte

Doctoral Dissertations and Projects

Although evidence supports the efficacy of advance care planning (ACP) in improving quality of care and the overall well-being of patients and families, there are many barriers to engagement in this process. Fortunately, clinician and patient education and workflow development in primary care settings have shown promise in their ability to overcome these obstacles to improve awareness of and engagement with the ACP process as part of preventative care. The purpose of this project was to apply current research on this topic to improve patient engagement with ACP in the primary care setting using the Iowa Model of evidence-based practice. …

Psychotropics And Fall Reduction Through Nursing Education, Jenny L. Stillman

Doctoral Dissertations and Projects

Falls in long-term care centers (LTC) remain a significant problem due to their association with increased mortality, healthcare costs, and decreased patient outcomes. A major contributing factor to falls is the use of psychotropic medications commonly prescribed in LTC facilities despite evidence against their use. This paper discusses a quasi-experimental study aimed at reducing falls through nursing education on how psychotropics contribute to falls. The study also highlights the regulatory requirements for LTC facilities to monitor and reduce fall occurrences and the efforts made by a State Veterans Home to address the number of falls. The results demonstrate a reduction …

Educational Program On Depression And Anxiety For Low Socioeconomic Postpartum Latina Mothers, Lizbeth Valdez Duran

Nursing | Student Research Posters

Postpartum depression (PPD) and postpartum anxiety are common mental health conditions that women experience after childbirth. PPD involves intense feelings of extreme sadness, and diminished interests in activities that once brought them happiness. Postpartum anxiety involves constant worry and fear, often centered on the well-being of the baby. Symptoms may include restlessness or irritability, panic attacks, and trouble concentrating or sleeping. Barriers to treating depression and anxiety among Latinas include a lack of awareness or understanding of mental health issues. (Lopez et al., 2018).

Health Literacy refers to the individual's ability to understand and process health-related information. By assessing a …

Medical Aid In Dying Education For Hospice Nurses, Ian K. Woo

Nursing | Student Research Posters

Background: Medical aid in dying (MAID) is an option surrounding end-of-life care for hospice patients. This process gives patients the autonomy to end their life during the time and location of their choosing. MAID is growing in legalization and practice across the US. However, many nurses feel uncomfortable or unprepared when providing care for patients contemplating it. Hospice nurses should have confidence in their ability to care for patients through the process of MAID. Objective: To evaluate the effectiveness of education in strengthening new hospice nurses’ ability to care for patients through the process of MAID. Method: The research will …

An Evaluation Of The Effectiveness Of An Updated Pre-Service Midwifery Curriculum Integrated With Emergency Obstetric And Newborn Care In Kenya: A Cluster Randomised Controlled Trial, Duncan N. Shikuku, Catherine Mwaura, Peter Nandikove, Alphonce Uyara, Helen Allott, Lucy Waweru, Lucy Nyaga, Edna Tallam, Issak Bashir, Eunice Ndirangu

School of Nursing & Midwifery, East Africa

Introduction Quality midwifery education is central to improving midwifery service delivery and maternal and newborn health outcomes. In many settings, midwifery educators insufciently prepared for their teaching role and defcient curriculum compared to international standards afect the quality of healthcare provided by the midwifery graduates. This study assessed the efectiveness of an EmONC enhanced midwifery curriculum delivered by trained and mentored midwifery educators on the quality of education and student performance in Kenya.

Methods A cluster randomised controlled trial in 20 midwifery colleges (12 intervention, 8 control colleges). Educators in both arms received training in teaching/EmONC skills to deliver the …

Immersive Virtual Reality Aggression And Violence Management Education For Nursing Students: A Pre-Test, Post-Test, Follow-Up Evaluation, Joshua Johnson, Sara Hansen, Luke Hopper, Jessica Watson, Sean Cashman, Wyatt De Souza, Brennen Mills

Research outputs 2022 to 2026

Background: Nursing students attending clinical placement encounter similar exposure to aggression and violence as qualified clinicians. Universities encounter barriers in aggression and violence management education delivery due to resourcing and time requirements. Immersive Virtual Reality (IVR) education may reduce barriers while maintaining comparable learning outcomes to face-to-face simulation-based education. Method: Nursing students (n = 72), recruited from one public university in Perth, Western Australia, completed a 15-20 minute IVR education program. Pre-, post-, and 4-month post-intervention questionnaires investigated self-reported confidence. Cross-sectional data were collected for system usability and motion sickness. Results: Significant differences in self-reported confidence were observed (p < .001, partial η2 = 0.53), with large improvements from pre- to post-intervention (p < .001, d = 1.21) and follow-up (p < .001, d = 1.25). Cross-sectional data indicated the program is easy to use and incurs negligible motion sickness. Conclusion: IVR can deliver effective aggression and violence education for nursing students. The short duration, high usability, and persistence of confidence improvements over time indicate potential for IVR to support current nursing education practices.

Transgender Education In School Nursing To Decrease Stigma And Promote Self-Efficacy, Brandy Shannon-Loyola

Electronic Theses and Dissertations

This Doctor of Nursing Practice project evaluated whether transgender education provided to school nurses and healthcare technicians decreased stigma and promoted self-efficacy. Concerns that transgender individuals have voiced were that they felt healthcare professionals could not effectively care for transgender patients, which may be due to personal or religious beliefs or lack of knowledge concerning the lesbian, gay, bisexual, transgender, and queer community. Participants included credentialed school nurses and healthcare technicians in secondary education settings. The method consisted of a presurvey, education in the form of a handout, followed by a postsurvey to determine if education was successful. The Wilcoxon …

Implementing Online Educational Modules To Introduce Specialty Disability Care To Students In Undergraduate Nursing Programs, Keegan Brunner, Molly Helton

James Madison Undergraduate Research Journal (JMURJ)

In 2016, 1 in 4 adults reported living with a disability in the United States; however, few nursing schools include education about how to best care for these individuals in their curricula. Studies have found that when nurses and other healthcare workers have better attitudes toward patients with disabilities, it leads to better health outcomes. The literature suggests that education and exposure are the most effective ways to increase positive attitudes toward disabled communities. This study offered Equity Access modules titled “Disability and Healthcare” and “Accessibility” developed by Duquesne University to pre-professional health students planning on pursuing Nursing degrees at …

Raising Awareness About Type 2 Diabetes In Adolescents Through Theatre: A Quasi-Experimental Pretest-Posttest Study, Margaret Curry

Wisdom & Compassion: The LUSON Journal

Education for preventing type 2 diabetes in adolescents should be a high priority among school officials and healthcare providers. The purpose of this research study was to educate adolescents on type 2 diabetes and to increase awareness about this disease. The Health Promotion Model developed by Nola Pender was used as the theoretical framework for this study. A quasi-experimental before-after design was used. The seventh and eighth-grade students enrolled in physical education classes at a local school were recruited. Of the 57 students recruited, 47 completed the study. A diabetes education program geared towards kindergarten through eighth grade was used. …

Nurse Graduates’ Experiences With Pain Science – A Qualitative Study, Rachel Bee, Cynthia Goodrich

Wisdom & Compassion: The LUSON Journal

Background: While the nursing profession has made great strides in pain management over the last 20 years, patients often report being under-assessed and undertreated for pain.

Purpose: The study purpose was to understand the lived experiences of practicing nurses who had completed a baccalaureate-level pain management course during their undergraduate training. The study aims included understanding how pain management skills were implemented in the clinical arena, determining barriers to implementing pain management skills, and identifying opportunities to improve the patient experience regarding pain management.

Design: The researchers implemented a qualitative methodology with a phenomenological design. Data collection consisted of semi-structured …

Nurses’ Ability To Provide Diabetes Education In A Hospital Setting, Nicole Ancrum

Doctoral Dissertations and Projects

Diabetes is a destructive health problem that affects millions of people throughout the United States. Diabetes rates are drastically increasing, and diabetic adults have a higher risk of excessive hospitalization and readmission. One in every four or five hospitalized adult patients has diabetes. Hospitals nationwide are saddled with the responsibility of assessing the need for and supplying diabetic education. Registered nurses’ perception, awareness, and utilization of diabetes education are essential to patients’ ability and willingness to perform diabetes self-management interventions effectively. Meeting inpatient diabetes educational needs requires persistent, innovative strategies appropriate for available resources and staffing models. Nurses play a …

Thinking Long-Term: Nursing Education On Long-Acting Injectable Antipsychotics, Arslan Rashid

DNP Qualifying Manuscripts

Schizophrenia cases and their associated healthcare costs have drastically increased over time in the U.S. Antipsychotic non-adherence is a primary contributor to the high rates of relapse and rehospitalization among the schizophrenic adult population. The development of long-acting injectable antipsychotics (LAIs) has positively impacted medication adherence, however, this treatment modality is still underemployed in practice due to barriers, such as physician and patient negative attitudes toward LAIs and lack of education. Nurses are in a great position to address these barriers as they serve as mediators between providers and patients. This literature review aims to discover evidence that LAI education …