Nursing Commons^™

The Effect Of An American Heart Association Telephone Follow-Up Intervention On Knowledge And Self-Efficacy In Rural Heart Failure Patients, Haley Fuller

DNP Projects

Background: An increased national and local prevalence of heart failure fostered a review of the evidence to identify best practice interventions focusing on improving self-care and knowledge. Heart failure remains a leading cause of 30-day readmission in the United States and in Madisonville, Kentucky, the site of study. A review of the literature emphasized improving transitions from hospital to home with a multi-dimensional approach. Self-care and knowledge were identified as major determinants to adequately prepare a patient to manage this chronic disease. A pre- and post quasi experimental study was performed at a rural hospital in Kentucky. Objective: The goal …

The Evaluation Of The Impact Of Controlled Substance Patient Education In The After Visit Summary On Patient Knowledge Of Controlled Substance Medication, Marie Honeycutt

DNP Projects

The use of opioids is associated with risks for misuse, abuse, addiction and diversion, which are directly related to increased healthcare utilization, increased healthcare cost, and poor patient outcomes. The purpose of this study was to evaluate the impact of controlled substance (CS) patient education that was implemented into the electronic medical record. The objectives were to 1.) assess whether patients received the CS after visit summary (AVS) and 2.) assess differences in pain management knowledge between those who received the AVS and those who did not. Methods This descriptive correlational designed study examined the differences in pain management knowledge …

Self-Care Management Of African American Men With Type 2 Diabetes, Kevin Konstantinos

Walden Dissertations and Doctoral Studies

African American men are disproportionately affected by type 2 diabetes and have a 3 times higher rate of 3 serious complications of diabetes, including blindness, amputations, and end-stage renal disease, compared to other groups. The purpose of this project was to address the gap-in-practice disparity that exists in care of African American men with diabetes by providing one-on-one self-care management education in an outpatient clinic setting. The behavior change theories that supported the project intervention were Orem's self-care theory and Bandura's self-efficacy theory. Employing a quasi-experimental design, 33 participants between the ages of 40 and 65 were divided into an …

Stroke Risk Factor Knowledge, Attitude, Prevention Practices, And Stroke, Adaku Ngozika Madubuko

Walden Dissertations and Doctoral Studies

Regardless of the advances that have been made in stroke research and treatment and the overall decrease in stroke mortality, the stroke mortality rate for African Americans is still high at 45.2/100,000 and is still the leading cause of adult disability. Knowledge of the risk factors of stroke is paramount to reducing the morbidity and mortality of stroke, but knowledge of stroke risk factors has been found to be suboptimal in the African American population. The purpose of this study was to examine if there is a relationship between the knowledge, perception, and sources of stroke information of risk factors …

Chemotherapy Knowledge And Health Literacy Among Women With Breast Cancer, Pearman Detreville Parker

Theses and Dissertations

Chemotherapy education is imperative for patients to gain the knowledge to manage side effects, adhere to prescribed cycles, and recognize the severity of symptoms that require immediate provider contact. Two vital factors – the readability of teaching materials and the patient’s health literacy – must be considered during chemotherapy education. However, materials are often not assessed for readability. Further, the influence of a patient’s health literacy level and demographic factors on chemotherapy knowledge has not yet been investigated. The specific aims are to: (1) critique the readability and format of chemotherapy education materials; (2) explore how women with breast cancer …

Effects Of An Alcohol Education Program On Improving Knowledge, Attitudes And Satisfaction Of Registered Nurses Caring For Patients Undergoing Alcohol Withdrawal, Luis Medina

Seton Hall University DNP Final Projects

Managing and caring for patients who are undergoing alcohol withdrawal presents challenges for nurses in an inpatient setting. These challenges are influenced by factors such as negative attitudes, lack of knowledge and poor satisfaction. The purpose of this quality improvement initiative was to determine whether the effects of implementing an alcohol educational program would improve knowledge and satisfaction while reducing negative attitudes. This program implemented education on alcoholism, alcohol withdrawal and the Clinical Institute Withdrawal Assessment of Alcohol Scale, Revised (CIWA-Ar) monitoring tool which would be incorporated into the everyday practice of nurses caring for patients undergoing alcohol withdrawal. The …

Knowledge And Attitudes Of Orthopedic Nurses Regarding Pain Management, Matthew Neumann

Doctoral Dissertations and Scholarly Projects

Nurses are at the forefront in the care of patient pain management; however, many nurses do not possess the knowledge, skills, and attitudes required for best pain management outcomes. Adequate pain management education is often infrequent in academic settings and in post-graduate health care environments. That shortcoming suggests a need to improve pain management education as advocated by The Joint Commission and U.S. Department of Health and Human Services. The purpose of this study is to measure 20 nurses’ knowledge and attitudes regarding pain and pain management while working in an orthopedic setting. It was an evidence-based practice project utilizing …

Crna’S Knowledge And Attitudes Regarding Acupressure As An Adjunct To Postoperative Nausea And Vomiting Prevention, Kimberly A. Homa, Jacqueline Kuhn

College of Science and Health Theses and Dissertations

Background: Postoperative nausea and vomiting (PONV) continues to be a problem for patients despite multimodal pharmacologic treatments available. Although acupressure has demonstrated clinical usefulness, it is still not widely used in mainstream anesthesia practice. Objectives: The purpose of this descriptive survey design was to assess current knowledge and attitudes among CRNAs and SRNAs regarding acupressure for PONV treatment. A secondary objective was to develop an educational handout designed to increase the use of acupressure as an adjunct to postoperative nausea and vomiting prevention using the findings from this current study. Methods: A descriptive, cross sectional survey design was utilized to …

Tobacco Prevention: Knowledge And Attitude Of Oncology Nurses In A Tertiary Care Hospital Of The National Capital Of India, Jithin Thomas Parel Mr, Deepika C. Khaka Ms, Y Ps Balhara

Manipal Journal of Nursing and Health Sciences

Introduction: Tobacco use has alarmingly increased over the years across the world. Nurses have a pivotal role in facilitating comprehensive care in tobacco prevention. It ensures to curb the mortality and morbidity of tobacco related diseases including cancer. Therefore, the knowledge and attitude of nurses is an indispensable ingredient in delivering effective health education especially in oncology settings. Methods: A descriptive survey was undertaken on a sample of 45 nurses working in the Department of Medical Oncology of All India Institutes of Medical Sciences (AIIMS), New Delhi after obtaining institutional ethical clearance. The subjects were assessed using self-developed knowledge questionnaire …

A Study To Determine The Effectiveness Of Mental Health Promotion Program (Mhpp) Among Students Of Selected Pre-University Colleges Of Udupi District, Bhavyashri, Tessy Treesa Jose Dr, Shalini Devendra Nayak Ms

Manipal Journal of Nursing and Health Sciences

Adolescence is the phase of transition between the childhood and adulthood, which leads to changes in physiological and psychological aspects. The present study pointed out the effectiveness of mental health promotion program on pre-university students. It brings positive outlook in their future life in various aspects. Objectives: Determine the knowledge of Pre-university students on mental health promotion and evaluate the effectiveness of Mental Health Promotion Program (MHPP) among pre-university students. Materials and Methods: Research design adopted in this study was quasi experimental pre-test and post-test control group design with an intervention to assess the effectiveness of program. Data was collected …

Study To Assess The Knowledge Of Registered Nurses Regarding Bioethics In Selected Setting, Mangaluru, Vaiana Khongshei Ms, Marita Sharal Pinto Ms, Sharilang Khriam Ms, Sr Deepa Peter Sr

Manipal Journal of Nursing and Health Sciences

Introduction: Ethics is the application of values and moral rules to human activities. The term can also be used to deal with the life-related ethical issues, especially when there is an unavailability of medical resources. Objective: The study was conducted to assess the level of knowledge on bioethics among registered nurses and to find the association between the knowledge score and selected baseline variables. Materials and Methods: A descriptive survey design was adopted for this study, using a convenient sampling of 150 registered nurses. A validated structured knowledge questionnaire was used to assess the knowledge of the registered nurses regarding …

Knowledge, Attitude, And Practices Of Mid-Level Providers Regarding Post Abortion Care In Sindh, Pakistan, Marina Baig, Rafat Jan, Arusa Lakhani, Sadia Abbas Ali, Kiran Mubeen, Shahnaz Shahid Ali, Farzana Adnan

Journal of Asian Midwives (JAM)

Background: In Pakistan, half of all pregnancies are unintended (4.2 million per year); out of which 2.2 million end in induced abortions. Almost 700,000 women seek medical treatment for post abortion complications every year. This necessitates access to quality Post-Abortion Care (PAC) services from skilled providers in Pakistan.
Purpose: This study aimed to assess the knowledge, attitude and practices of Mid-Level Providers (MLPs) regarding PAC services in Sindh, Pakistan.
Method: The study utilized a cross-sectional design. Convenience sampling was used to recruit 116 MLPs, including Nurse Midwives (NM), Lady Health Visitors (LHVs), and Community Midwives (CMWs) from different parts …

School Nurses' Awareness And Attitudes Towards Commercial Sexual Exploitation Of Children: A Mixed Methods Study, Hannah E. Fraley

Graduate Doctoral Dissertations

Human trafficking is a global problem and a multi-billion dollar industry. Most victims are women and girls and more than half are children. In the United States, many at risk youth continue to attend school with school nurses on the frontlines. Using the Peace and Power Conceptual Model, a mixed methods study was conducted to explore their awareness, attitudes, and role perceptions in prevention of commercial sexual exploitation of children (CSEC). Two factors related to increased awareness, and positive attitudes and role perceptions to prevent of CSEC included prior exposure to working with vulnerable students, and prior education about CSEC. …

A Quality Improvement Project To Improve Blood Specimen Acceptance Rates In An Emergency Department, Christian Hankins

DNP Projects

Purpose: The purpose of this project was to implement a quality improvement project to improve blood specimen acceptance rates at a specific Emergency Department (ED) using strategies to enhance knowledge, improve motivation, and reinforce skill. Background: Specimen acceptance rates continue to fall outside of the recommended target rate of 98% or higher at a specific ED. In this particular ED, the responsibility for specimen collection has shifted away from phlebotomists and towards nurses, many of whom have received little to no phlebotomy training. Without proper blood collection techniques, specimens are more likely to be rejected, and re-collection of rejected blood …

The Influence A Multiple Teaching Modalities Course On Knowledge And Self-Confidence Of Newly Trained Emergency Nurses, Anna C. Montejano

Doctoral Projects

Many new graduate residency programs exist supporting new registered nurses (RN) transition from theory to practice, but what is not reported in the literature are programs for RNs transitioning in practice to specialty care units, such as the emergency department. Furthermore, literature addressing the use of multiple teaching modalities as a method in course work is limited. A quasi-experimental design study explored the influence a multiple teaching modalities course on the knowledge and self-confidence of newly trained emergency department nurses. Results indicated using multiple teaching modalities provided a benefit to newly trained ED nurses with an increase in knowledge and …

Effectiveness Of Pre-Operative Instruction On Knowledge, Pain, And Selected Post-Operative Behaviours Among Women Undergoing Abdominal Hysterectomy In Selected Hospital, Bangalore, Karnataka, Padma Priya S Ms, Erna Judith Roach Dr, Daisy Josphine Lobo Ms

Manipal Journal of Nursing and Health Sciences

Introduction: Women who have an abdominal hysterectomy, typically experience significant physical and psychological problems, like fear and anxiety of the surgical outcomes, post-operative pain, effect on their daily activities, and sexual relationships. Providing pre-operative information on surgery is an effective measure to promote positive post-operative outcomes. Objectives: The objectives of the study were to evaluate the effectiveness of pre-operative instruction in terms of gain in knowledge, reduction of postoperative pain and improvement in selected post-operative behaviors and to find the association between knowledge score and pain score with selected baseline variables. Methods: A quasi-experimental pre-test and post-test control group designed …

Assessing For Awareness And Knowledge Regarding Diabetes In Pre-Diabetes Obese Patients, Remona Lysa Brown

Walden Dissertations and Doctoral Studies

Over the past few decades, there has been an increase in prevalence of diabetes in the United States. Prevention of diabetes and improving patients' knowledge and awareness of diabetes are crucial for healthcare providers. Using the Health Belief Model (HBM) as a theoretical foundation, the student used the National Diabetes Prevention Program (NDPP) from the Centers for Disease Control and Prevention (CDC), to improve awareness and knowledge of diabetes among obese individuals with prediabetes. The key research question of this project was to determine whether the patients' diabetes knowledge and awareness improved after the NDPP program. A convenience sample of …

Enhancing Nurses' Assessment Of Pain Management In Dementia Patients, Norma Jean Boone

Walden Dissertations and Doctoral Studies

Chronic pain contributes to morbidity, mortality, and disability in millions of people. Prevalence rates for pain are as high as 83% among the 5.2 million older adults living with a diagnosis of dementia. The purpose of the quality improvement project was to assess nurses' knowledge of pain assessment and management in a 45-bed Veterans Health Administration long-term care facility serving older adults with dementia. Knowles' adult learning theory served as the theoretical framework and the knowledge to action model supported the translation of evidence into practice. A convenience sample of 27 licensed and unlicensed nursing staff answered the 16-question, 5-point …

Knowledge And Attitude On Child Abuse Among School Teachers, In Selected Urban English Medium Schools Of Udupi District, Banbetlin Hynniewta Ms, Tessy Treesa Jose Dr, Anjali K. G Ms

Manipal Journal of Nursing and Health Sciences

Introduction: Child abuse continues to be one of the primary threats to the child’s emotional and social well-being globally. As students spend maximum time in school, teachers need to be trained to recognize physical and behavioural changes associated with abuse in order to confidently determine the cause and plan interventions appropriately. The inadequate knowledge and information lead to gap in the crucial role of teachers in identification and early assistance of an abused child. Objectives: The objectives of the study were to assess the knowledge of the school teachers on child abuse, to determine the attitude of school teachers on …

Improving Preadmission Testing Nurses' Knowledge Of Aortic Stenosis And Transcatheter Aortic Valve Replacement, Alberta Lynn Canale

Master's Projects and Capstones

Abstract

The purpose of this Clinical Nurse Leader (CNL) project was to reduce gaps in nursing knowledge through staff education. Guided by the CNL theme of educator and information manager, the goals were to increase PreAdmission Testing (PAT) nurses’ knowledge of severe/critical aortic stenosis (AS), transcatheter aortic valve replacement (TAVR) procedure and patient selection, and satisfaction with knowledge by 10%. Rapid growth of the TAVR program has contributed to a gap in nursing knowledge leading to inconsistent patient care and education. An educational program was developed and spread through a series of Plan-Do-Study-Act cycles. Pre- and post- implementation surveys were …

Effectiveness Of Video-Assisted Teaching On No-Scalpel Vasectomy On Knowledge And Attitude Of Married Men In Rural Nagaland, India, Arhoni Tungoe

Journal of Asian Midwives (JAM)

This study assessed whether video-assisted teaching increased the knowledge of,and resulted in a more favourable attitude among married men regarding No-Scalpel Vasectomy (NSV) in a selected village of 17,000 people,bordering Assam, in Nagaland, India. The study used a one group,before-and-after design. The participants were 30 married men who were selected through purposive sampling. Pre-tested and validated tools to assess knowledge and attitudes were used for data collection. The mean post-test scores, on both the knowledge and attitude scales,showed a significant increase from pretest scores (knowledge pre-test mean 11.53±3.41; post-test 21.23±2.18;attitude pre-test mean 20.87±2.64, post-test35.2±1.66).Thus we conclude that the video-assisted teaching …

The Development And Psychometric Testing Of The Health Literacy Knowledge, Application, And Confidence Scale (Hlkacs), Marguerite Catherine Debello

Master's Theses and Doctoral Dissertations

Health literacy continues to be a pervasive issue faced by adults today within the healthcare environment. One in four adults cannot make informed decisions regarding their own care and do not understand basic healthcare information. Nursing provides the majority of healthcare teaching, yet little is known about the current knowledge level of such providers about health literacy knowledge and strategies. The purpose of this study was to determine the reliability and validity of the Health Literacy Knowledge, Application, and Confidence scale (HLKACS) with nursing students enrolled in baccalaureate and associate degree nursing programs in the state of Michigan. The study …

Dnp Project: Knowledge And Attitudes Regarding Current Technology To Prevent Drug Diversion, Cheryl Botsford

College of Science and Health Theses and Dissertations

The purpose of this project was to assess Student Registered Nurse Anesthetists (SRNA) and Certified Registered Nurse Anesthetists (CRNA) knowledge and attitudes about current interventions using technology to prevent drug diversion. A descriptive survey was sent to current Illinois Association of Nurse Anesthetists members that included SRNAs and CRNAs. The survey was a modified version of the Evidence-based nursing tool originally developed by Upton and Upton (2006) and was coded utilizing a Likert scale. Data were collected from a sample of 145 SRNAs and CRNAs. Knowledge regarding drug diversion was in the neutral range with a mean = 2.64 - …

Dnp Project: Knowledge And Attitudes Regarding Current Technology To Prevent Drug Diversion, Grant T. Balbarin

College of Science and Health Theses and Dissertations

The purpose of this project was to assess Student Registered Nurse Anesthetists (SRNA) and Certified Registered Nurse Anesthetists (CRNA) knowledge and attitudes about current interventions using technology to prevent drug diversion. A descriptive survey was sent to current Illinois Association of Nurse Anesthetists members that included SRNAs and CRNAs. The survey was a modified version of the Evidence-based nursing tool originally developed by Upton and Upton (2006) and was coded utilizing a Likert scale. Data were collected from a sample of 145 SRNAs and CRNAs. Knowledge regarding drug diversion was in the neutral range with a mean = 2.64 - …

Effectiveness Of Multifaceted Intervention On Adherence, Knowledge Regarding Side Effects Of Drug, And Prevention Of Complications Among Epilepsy Patients In A Selected Hospital, Manita Upadhyay Ms, B Venkatesan Mr

Manipal Journal of Nursing and Health Sciences

Introduction: Adherence to treatment, side effects of epileptic drug, and complications of epilepsy are the major health problems faced by epileptic persons throughout the world. Objective: The study was undertaken with the objective of assessing the effectiveness of multifaceted intervention on adherence to treatment and knowledge regarding side effects to epileptic drug and prevention of complications of epilepsy among the patients with epilepsy. Methods and Materials: Pre experimental one group pretest and posttest design were adopted. Morisky medication taking adherence scale and a structured knowledge questionnaire was used to collect the data. A sample of 60 epileptic patients was selected …

Knowledge, Attitude, And Practice (Kap) Survey On Dietary Practices In Prevention Of Malnutrition Among Mothers Of Under-Five Children, M Edith Ms, Lakshmi Priya Ms

Manipal Journal of Nursing and Health Sciences

Introduction: Protein Energy Malnutrition is a leading nutritional problem in India. This causes mortality and morbidity among children and can impair physical and cognitive development of the children. The study aimed at assessing the Knowledge, Attitude, and Practice (KAP) regarding dietary practices in prevention of malnutrition among mothers of under - five children. Materials and Methods: A descriptive survey using interview method was carried out to collect data among 200 mothers of under-five children. Information regarding demographic data, knowledge, attitude, and practice on dietary practices in prevention of malnutrition was collected using a structured interview schedule. Results: Majority 112(56%) of …

Staff Nurses’ Knowledge Regarding Holistic Nursing Care, Reeba Baby Thomas Ms, Jyothi Chakrabarty Dr, Janet Prameela D;Souza Ms

Manipal Journal of Nursing and Health Sciences

Background: Holistic nursing care concepts are included in the nursing curriculum but still it appears to be a vague concept which makes it difficult for the staff nurses to put it into practice. Knowledge regarding holistic nursing care is essential in providing high quality care and increased patient satisfaction. Aims and Objectives: To assess the knowledge of staff nurses regarding holistic nursing care. Materials and Methods: Study was conducted in a selected hospital of Udupi District using a comparative survey design. The study involved convenient samples of 150 staff nurses with at least one year of experience as registered nurses. …

Mother’S Knowledge On Immunization Schedule Of Her Child: A Descriptive Survey, Vinish V Mr

Manipal Journal of Nursing and Health Sciences

Introduction: Government of India had initiated the Universal Immunization Program (UIP) in 1985 with the objective of eradicating vaccine preventable diseases from India. In order to boost up the vaccination coverage the Government initiated various proactive programs to engage the public. Objective: The present study is aimed at determining the mothers’ knowledge on the importance of immunization programme and finds the association of the knowledge scores with selected demographic variables. Methods and Materials: Descriptive method with survey approach was used in this study. Mothers who brought their children for immunization were the samples. Structured knowledge questionnaire was used for collecting …

Correlation Between Knowledge And Practice On Sleep Hygiene And Sleep Quality Among Nursing Students, R Revathi Ms, A Manjula Ms, E Sujitha Ms

Manipal Journal of Nursing and Health Sciences

Introduction: Sleep is one of the basic needs of every individual. The need for sleep is not realized and is neglected by most of the people due to various reasons and lack of knowledge about it. Sleep is essential for human well-being. During sleep, the rejuvenation of tissues that underwent wear and tear takes place. Sleep also gives rest to the organs. The most essential purpose of sleep is to conserve energy. Objectives: 1.To assess the quality of sleep and knowledge on sleep hygiene among nursing students. 2. To correlate the knowledge with sleep quality and practice. Methods: Participants of …

Developing Registered Nurse Competency In Diabetes Care, Elizabeth Ortiz

UNLV Theses, Dissertations, Professional Papers, and Capstones

Background and purpose: As the cost of health care continues to climb in the United States, hospitals are seeing longer lengths of stay and associated costs resulting from the complications of diabetes mellitus (DM). Registered nurses (RNs) play a critical role in caring for patients with DM. Rapid changes in the care of DM require continuing education on the current trends and the use of evidence-based practices to prevent hypoglycemia as a serious complication of lowering blood glucose levels. This doctoral project assessed the knowledge levels of RNs caring for patients with DM in the hospital setting.

Methods: Eighty-five RNs …