Nursing Commons^™

Influence Of A Palliative Care Protocol On Nurses' Perceived Barriers To Palliative Care And Moral Distress, Christina Cavinder

Evidence-Based Practice Project Reports

The World Health Organization (2013) states palliative care for children should begin at diagnosis which may even occur prenatally. Neonatal palliative care is variable due to the high technological, curative environment in the newborn intensive care unit, and the uncertain prognoses of infants born at the edge of viability. The purpose of this EBP project was to determine the influence of establishing a neonatal palliative care protocol on nurses’ perceived barriers to palliative care and moral distress. Corley’s Moral Distress theory and Stetler’s Model were used as guides for the framework of the project. The protocol, based on guidelines supported …

The Effect Of Patient Education On Anxiety Levels In Patients Receiving Chemotherapy For The First Time, Sarah Garcia

Evidence-Based Practice Project Reports

Cancer affects approximately 1.5 million people every year throughout the United States.Comprehensive care that includes psychosocial aspects is important to help patients effectively adapt to their diagnosis and treatment plan. Improper prevention and management of anxiety can lead to poor psychosocial outcomes, dissatisfaction with care, and decreased adherence to treatment. Current evidence suggests that education is effective at helping reduce anxiety in patients receiving chemotherapy for the first time. The purpose of this evidenced based practice project was to determine if nurse-led patient education regarding chemotherapy side effects, side-effect management, and orientation to the infusion center was effective at decreasing …

Effects Of An Osteoporosis Educational Intervention: Knowledge And Self-Efficacy Of Prevention In Young Adult Collegiate Females, Valerie A. Bollenbacher

Evidence-Based Practice Project Reports

Osteoporosis is a silent and potentially debilitating chronic illness. In 2012, the CDC reported that 4.5 million women over the age of 50 were diagnosed with osteoporosis in the United States. Within the next 20 years, 41 million women worldwide are projected to have osteoporosis. The annual financial burden of osteoporosis is estimated to be 19 billion dollars. The objective of this evidence-based practice project was to answer the clinical question: In young adult collegiate females, how does an osteoporosis educational intervention compared to current education effect osteoporosis knowledge and self-efficacy of osteoporosis prevention over a one-month time period? The …

The Effect Of Patient Reminders On Osteoporosis Screenings, Billie-Ann Black

Evidence-Based Practice Project Reports

Osteoporosis is characterized by reduction of bone mass and compromised bone strength, resulting in an increased fracture risk. Since a reduction of bone mass has been shown to be predictive of future fracture risk, prevention strategies target screening those patients at risk for decreased bone mass by using bone mineral density (BMD) dual energy x-ray absorptiometry (DXA) scans. Current national guidelines recommend that all women 65 years and older undergo BMD testing using central DXA every two years. Despite these recommendations, women age 65 years and older still do not participate in this screening. Greater rates of osteoporosis screening could …

Effects Of A Parish Based Heart Healthy Education Program, Kristin A. Kilinski

Evidence-Based Practice Project Reports

Cardiovascular disease is the leading cause of mortality and morbidity in the United States. Some risk factors for cardiovascular disease can be modified which include: diet; physical activity; smoking; hypertension; diabetes; and weight. Various national programs, such as “Go Red for Women” and “Let’s Move,” have been implemented to address this growing epidemic. Community programs are needed as an adjunct to these national initiatives. Thus, a parish based cardiovascular disease educational program would provide for a unique socially and spiritually supportive environment for education at the community level. Research findings indicate that parish based educational programs are effective in increasing …

The Effects Of Education On Cardiovascular Disease Knowledge, Lauren A. Ostrowski-Winkler

Evidence-Based Practice Project Reports

Cardiovascular disease (CVD) is the leading cause of morbidity and mortality for adults in the United States. The three main risk factors for the development of CVD include hypertension, high cholesterol, and tobacco use; these factors are largely prevented or reduced through lifestyle modifications. Researchers indicate that knowledge of CVD mortality has been linked with individual action to reduce one’s CVD risk. Researchers have also indicated that segments of our underserved society, particularly those with the highest CVD mortality rates, are also the least knowledgeable about CVD and their own personal risk. These risk factors were a concern within the …

A Measure Of Perceived Fatigue Among Nurses In Western North Carolina, Karen R. Cochran

Nursing Theses and Capstone Projects

We are anticipating a heightened shortage of nurses as our aging population retires. A shortage of workers tends to lead to overtime for those still in the work force. Previous research has demonstrated a link between working long hours, fatigue, and decreased performance among nurses. Fatigue has specifically been linked to on the job injuries and poorer patient outcomes. This research study examined perceived fatigue among nurses in western North Carolina. A convenience sample of nurses from five hospitals in western North Carolina was surveyed to measure fatigue, as well as compare differences in reported fatigue across varying demographic groups. …

Advanced Practice Care Model In A Midwestern Allergy Clinic, Bernie Theobald

Theses and Graduate Projects

Health care organizations are creating innovative patient care models to deal with the rapidly changing healthcare environment. Implementation of the Affordable Care Act has led to reduced revenue for healthcare organizations and placed an impetus on quality. For healthcare providers to continue to practice, they must change their model of care. An allergy clinic in a large Midwestern healthcare organization created a care model which capitalizes on the unique skillset that nurses possess. Nurses in the care model contact the patient before their visit, assess patient needs, and follow-up with the patient in a post- consult nurse visit. The care …

Advanced Practice Care Model In A Midwestern Allergy Clinic, Bernie Theobald

Theses and Graduate Projects

Health care organizations are creating innovative patient care models to deal with the rapidly changing healthcare environment. Implementation of the Affordable Care Act has led to reduced revenue for healthcare organizations and placed an impetus on quality. For healthcare providers to continue to practice, they must change their model of care. An allergy clinic in a large Midwestern healthcare organization created acare model which capitalizes on the unique skillset that nurses possess. Nurses in the care model contact the patient before their visit, assess patient needs, and follow-up with the patient in a post-consult nurse visit. The care model has …

Trauma Informed Nursing Care For Women Who Are Marginalized: An Educational Workshop, Jenna Fadlalla

Theses and Graduate Projects

Traumatic events profoundly affect both the physical and emotional health of a woman who endures the event. Gender, socioeconomic, racial, and ethnic disparities in rates of trauma exist showing that women who are marginalized are at a higher risk for trauma. Nurses are privileged to provide care for these women in their greatest times of need, yet despite the intimate relationship between nurses and their patients, trauma is a topic that remains largely unaddressed by the field of nursing. Because trauma can have such a profound effect on health, it is essential for nurses of all specialties and at all …

Instilling Diet And Exercise Confidence: Influence Of Nurse Body Size, Erin Murdock Spaulding

Honors Theses and Capstones

This paper reports a research study focused on perspective of nurse body size and how it affects confidence in a nurses’ ability to provide education on diet and exercise. The study followed a descriptive method design guided by a cross-sectional survey with quantitative variables. Results show that there is increased confidence in a nurse’s ability to provide education and influence habits regarding diet and exercise when the nurse role models such behaviors. Other findings presented include respondents’ perception of their body mass index versus their actual body mass index, percentage of respondents with health care conditions related to obesity, and …

Selection Of An Instrument To Evaluate The Organizational Environment Of Nurses Working In Intensive Care: An Integrative Review, Brett Abbenbroek, Christine M. Duffield, Doug Elliot

Research outputs 2014 to 2021

To determine an appropriate survey instrument to evaluate the impact of organizational structures on the work environment of intensive care nurses.

Comparing The Effectiveness Of Debriefing Methods In High Fidelity Simulation In A Nursing Baccalaureate Program, Jihad Jawad Kadhim

Nursing Master Theses

The experiential learning process is a key concept in gaining and analyzing knowledge, which involves participation in those experiences. In nursing education, these experiences can occur through high-fidelity simulation. The most important component of this learning process is the post-experience critical analysis or debriefing. During the debriefing phase, students must reflect upon the experiences, identify key points, and discuss the main concern related to patient care. The debriefing phase helps students to be able to develop and refine knowledge and experiences. Methods of debriefing include verbal feedback or video-assisted verbal discussion that allows students to reflect and discuss on what …

A Measure Of Nephrology Nurse Perceptions Toward Advance Care Planning: Validation Of The Nephrn Perceptions Toward Advance Care Planning Instrument, Mary S. Haras

Theses and Dissertations

This dissertation is a report of a three-phase quantitative research study that included the development and testing of an instrument to examine the perceptions of nephrology nurses toward advance care planning for persons with chronic kidney disease. Phase 1 began with the identification of the dimensions of advance care planning and creation of an item pool for the instrument. The instrument was distributed to five content experts for evaluation and comments of inclusiveness to measure perceptions toward advance care planning. In Phase 2 the item pool was pilot tested in a convenience sample of 50 nephrology nurses. Exploratory factor analysis …

An Educational Approach: Increasing College Freshmen's Knowledge Regarding Sexually Transmitted Infections, Jennie Mcclain

Evidence-Based Practice Project Reports

According to the Centers for Disease Control (2009), young adults account for only 25% o fsexually active persons in the United States, but account for 50% of the newly diagnosed cases of sexually transmitted infections (STIs). Some young adults may not have received appropriate or credible information on sexual health by which to make knowledgeable decisions that may influence the rest of their lives. High schools are not required to offer comprehensive sex education. Therefore, some students may have received abstinence-only sex education. Risk reduction and disease prevention are important in college health. This evidenced-based practice project included the creation, …

The Effect Of Heart Failure Education On Reducing Readmissions, Mayola Lara Villarruel

Evidence-Based Practice Project Reports

Management of heart failure is a significant financial challenge for the health care industry, costing approximately $33.2 billion annually. Common reasons for preventable heart failure readmissions include inadequate discharge education and lack of self-care and health management activities. Education at discharge is a vital component of improving heart failure outcomes. Following a review of the literature, high quality evidence supports that heart failure education should focus on medication adherence, sodium and fluid restriction, daily weights, activity tolerance, identification of deteriorating signs and symptoms of heart failure, and smoking cessation. The purpose of this EBP project was to reduce heart failure …

The Effects Of A Violence Assessment Checklist On The Incidence Of Violence For Emergency Department Nurses, Sarah Knapp

Evidence-Based Practice Project Reports

Workplace violence (WV) is commonplace in American culture, and nurses working in emergency departments (ED) are not immune to its effects. Violence against emergency department nurses is prominent in current nursing literature, and a cause for major concern. Regrettably there is no consistent tool being used to assess for potential patient violence specific to the emergency department. Current assessment tools have been developed and are commonly used in the mental health arena. This evidence-based practice project concentrated on answering the clinical question of whether or not a violence risk assessment checklist reduced the incidence of violence and increased perception of …

Healthy Skin Is In: Effects Of A Multifaceted Sun Safety Program For Adolescents, Lindsay A. Munden

Evidence-Based Practice Project Reports

Skin cancer is a common, potentially life threatening disease notably on the rise among young Americans. A substantial portion of lifetime exposure to ultraviolet (UV) radiation, the greatest modifiable risk factor for skin cancer development, occurs during childhood and adolescence. Schools infrequently integrate sun safety education into the classroom and many lack essential sun safety policies. The purpose of this EBP project was to implement a multifaceted educational intervention providing middle school students with the knowledge behavioral skills needed to minimize the risk of developing skin cancer. The Health Belief Model and ACE Star Model of evidence-based practice guided this …

"Being Certain": Moral Distress In Critical Care Nurses, Marian Baxter

Theses and Dissertations

Published literature has focused on understanding moral distress from a descriptive standpoint. Missing from the literature is an exploration of the role a nurse can play in his/her/own moral distress.A qualitative study with an interpretive design incorporated Clandinin and Connelly' narrative methodology. Results highlighted assumptions were made by participants in the absence of resources, which led them to" know the right action to take" from their own perspective.

Patient Safety Competencies In Rural Asn Students: An Evidence-Based Curricular Innovation, Janeen Berndt

Evidence-Based Practice Project Reports

Hospital clinical experiences are important events in prelicensure nursing education. Benefits include the opportunity for students to experience actual nursing responsibilities, immersion into environment, and professional socialization. However, challenges in finding appropriate clinical experiences include competition over clinical sites, decreasing patient acuity, and high student-faculty ratios. Rural schools of nursing have these challenges and those inherent in rural environments such as limited health care access, restricted critical access hospitals, and limited resources. The purpose of this evidence-based practice project was to plan, implement, and evaluate the use of a series of patient care simulations as an educational intervention to improve …

Increasing Labor And Delivery Nurse Knowledge Of Triaging Non-Obstetrical Medical Emergencies In Pregnant Women Through The Use Of Simulation, Julie Hoffman

UNLV Theses, Dissertations, Professional Papers, and Capstones

The purpose of this study was to evaluate the effect simulation training has on an OB nurse's ability to correctly triage pregnant patients. Registered Nurses (RNs) working in OB triage must be able to correctly and expediently identify the care a pregnant patient needs. OB triage nurses are trained to recognize pregnancy related issues that commonly present during the months leading up to delivery. It is as important for these nurses to have the skills to realize when a pregnant patient is having a non-obstetrical health crisis. A group of OB triage RNs participated in simulation-training scenarios based on non- …

Stressors Experienced By Emergency Department Registered Nurses At The Bedside: A Phenomenological Study, Stephen D. Heglund

Electronic Theses and Dissertations

The Emergency Department (ED) as a workplace for the Registered Nurse (RN) is a stressful environment. Reasons are thought to include interactions with other members of the interdisciplinary team as well as the situations associated with the environment of the ED such as trauma, death, sadness, joy and the general unpredictability of each moment. Studies have documented general health care workplace stress and its influence on staff, but a very limited number of studies have concentrated on the ED. No widely published studies have identified stressors from the perspective of the ED RN. This dissertation is an interpretive phenomenological study …

Directive Versus Supportive Approaches Used By Midwives When Providing Care During The Second Stage Of Labor, Kathryn Osborne

College of Nursing Faculty Research and Publications

Introduction: Although the risks associated with using sustained and forceful maternal bearing‐down efforts during the second stage of labor have been well documented, most women who give birth in the United States bear down in response to direction from care providers about when and how to push rather than in response to their own physiologic urges. The purpose of this study was to describe the practices used by certified nurse‐midwives/certified midwives (CNMs/CMs) in response to maternal bearing‐down efforts when caring for women in second‐stage labor and to identify factors associated with the use of supportive approaches to second‐stage labor care. …

Understanding Stress In The Operating Room: A Step Toward Improving The Work Environment, Robert V. Topp, Jill Berger, Anthony Vowels

College of Nursing Faculty Research and Publications

Job-related stress is an important factor predicting staff satisfaction and position turnover among nursing staff, particularly in the operating room. The purpose of this study was to examine the perceived amount of stress elicited by events in the perioperative environment, the frequency of those events, and the impact of those events on the perceived stress of operating room nurses (ORNs) and operating room technologists (ORTs). The Survey on Stress in the OR instrument, which was used to query the subjects, exhibited high internal consistency of all items. The findings indicated that the ORNs and the ORTs exhibited remarkable similarities between …

The Impact Of Gi Inpatient Nursing Rounds On Patient Procedure Cancellations, Barbara Alpini, Rn, Cgrn, Elise Dorr-Dorynek, Rn, Bsn, Crrn, Cgrn

Department of Nursing papers and presentations

Abstract:

Research on rounding among hospital providers demonstrated the fundamental value in the practice.  If rounding is of value in surgical, medical, and other areas, it is logical to hypothesize that structured rounds would be useful for other nursing units, such those performing special procedures.  Structured rounding between GI nurses and colleagues on inpatient units could enhance preparation and efficient care of patients, decrease same day cancellations, and increase RN satisfaction with communication.  Analysis using a Z-test demonstrated some support for a reduction in canceled procedures.  Nurses also reported satisfaction with this new rounding procedure.

Empathy Of Nurses And Family Needs In The Intensive Care Unit, Jolene Marie Tietz

All Graduate Theses, Dissertations, and Other Capstone Projects

Introduction: Patients and patients' families are in crisis when the patient is in the Intensive Care Unit. There have been studies demonstrating the importance of recognizing patient and family needs, and meeting those needs. This study explored what needs families rank as important and if the nurse met their needs, and what effect nurse empathy had on meeting family needs. Methods: Families in the Intensive Care Unit were given questionnaires to complete that addressed which needs they felt were important, if their needs were met, and the level of empathy they gauged their nurse to have. The tools utilized in …

How To Organizationally Embed The Magnet Culture, Rachel Behrendt, Dnp, Rn, Acons, Donna Molyneaux Phd, Rn

College of Nursing Faculty Papers & Presentations

PowerPoint presentation given at 2010 National Magnet Conference in Phoenix Arizona.

Comparison Of Arnp And Physician Malpractice In States With And Without Controlled Substance Prescribing Authority, Deborah Chandler

Electronic Theses and Dissertations

Florida is one of two states that do not allow ARNPs to prescribe controlled substances. The Florida Legislature has expressed concern regarding the safety of ARNPs prescribing controlled substances. The purpose of this study was to compare malpractice rates of ARNPs and physicians in states with and without controlled substance prescribing. The design was a direct comparison of malpractice rates in states with and without ARNP controlled substance prescriptive authority. Comparison of malpractice claims was made between physicians (MDs and DOs collectively) and ARNPs in the United States and by state ARNP prescribing authority. Comparison of malpractice claims was also …

Occupational Stress, Job Satisfaction And Job Performance Among Hospital Nurses In Kampala Uganda, Rose Chalo Nabirye

All ETDs from UAB

ABSTRACT Occupational stress, a common occurrence among various professions worldwide, is regarded as a major occupational health problem for healthcare professionals especially nurses. Occupational stress has been reported to affect job satisfaction and job performance among nurses, thus compromising nursing care and placing patients' lives at risk. Stress is a complex phenomenon resulting from the interaction between individuals and the environment. Therefore, significant differences in occupational stress, job satisfaction and job performance among nurses may exist due to different work settings. The aims of the study were to: 1) examine the relationships between occupational stress, job satisfaction and job performance …

Exploring The Stress Response In New Army Nurses, Laureen Otto

Theses and Dissertations

The study of stress is limited in professional nursing, but it is nearly non-existent in professional military nursing. The purpose of this study was to explore the relationships among psychological, environmental, biological and demographic factors of stress in new Army nurses during the Army Medical Department’s 8-week Officer Basic Leadership Course (OBLC). Using a descriptive prospective, correlational repeated measures design, 33 study participants completed two psychological stress measures (Perceived Stress Scale [PSS] and the Impact of Event Scale – Revised[IES-R]), an environmental measure (Life Experiences Survey [LES]), a biologic measure (salivary cortisol) and a demographic questionnaire at three different time …