Nursing Commons^™

Interprofessional Collaboration Practice Between Nurses And Occupational Therapists, Kimberly Lamke

Occupational Therapy Doctorate Capstone Projects

Background: There is limited research on the interprofessional relationship between occupational therapists and nurses in pediatric outpatient settings, as well as the understanding nurses have of occupational therapy. Interprofessional collaboration is a key component in pediatric client care, regardless of the setting. Interprofessional collaboration is imperative to ensure that health care teams are efficient and able to provide clients with the highest quality of care (Loy et al., 2015).

Purpose: The purpose of this Capstone is to determine how nursing students perceive occupational therapy in a pediatric setting and to examine their perceptions of the interprofessional relationship. Further, it will …

The Prevalence Of Substance Abuse Within The Nursing Profession, Kaylie Paige Cox

Senior Honors Theses and Projects

No abstract provided.

Cancer Survivors' Physical Activity Advice: A Guide For Assessment And Implementation For Nurses And Healthcare Workers, Kayla Burd

Honors Undergraduate Theses

Background: Physical activity (PA) improves cancer-related symptoms (e.g., fatigue, sleep) in cancer survivors, although there is low adherence due to barriers. Cancer survivors are interested in participating in PA but healthcare providers feel they have inadequate knowledge in PA and lack guidance to provide PA support.

Purpose: Examine PA advice for cancer survivors and healthcare providers from cancer survivor interviews to understand cancer survivors’ PA and create an algorithm to help healthcare providers assess and provide PA advice to cancer survivors.

Method: Qualitative content analysis of twenty interviews with cancer survivors regarding PA.

Results: Cancer survivors advised health care providers …

Engaging Nurses In Public Policy, Carlene Ferrier

DNP Scholarly Projects

Background: Nurses have been engaged in public policy since the inception of the profession. Academicians and thought leaders recognize the importance of nurses engaging in public policy to improve health and healthcare. Nurses are also the largest healthcare group and the most trusted profession for twenty years, yet they are minimally represented in the state and federal legislature. Nurses possess a skill set that is directly transferable to the policy arena such as listening and communicating effectively, leading by inspiring a shared vision, applying evidence-based research, and collaborating and building relationships to achieve a common goal. Locally, the New Hampshire …

Development And Psychometric Testing Of An Instrument To Identify Factors That Predict Intentions Related To Post-Mortem Organ Donation Among Saudi Arabian Nurses, Salman Alreshidi

Theses and Dissertations--Nursing

Organ donation shortage is a major international concern. Global data on organ donation and transplantation activities from the World Health Organization indicate that in 2019 organs were available for less than 10% of transplantations needed. In Saudi Arabia alone, the organ donation shortage accounts for 28.8% of deaths annually. Nearly 31% of donated organs are from donors outside of the country because many eligible donors in Saudi Arabia do not donate.

While post-mortem organ donation has the potential to increase available organs for transplantation, in many countries, including Saudi Arabia, hesitancy among candidate donors and their family members can present …

Leadership Relationships And Advancement Opportunities Among African American Female Nurses, Kendra Pitts

Walden Dissertations and Doctoral Studies

A healthy work environment for nurses is critical to staff recruitment, retention, patient safety, and the financial sustainability and viability of a healthcare organization. The specific research problem under study was whether a lack of advancement opportunity or a lack of good leadership has an impact on African American female nurses leaving the nursing profession. Researchers have investigated the impact of leadership and advancement opportunity on the general population, but there is a dearth of research specific to African American female nurses and their reason for leaving the profession. Secondary quantitative data analysis was performed using survey data from the …

An Investigation Of Registered Nurses’ Knowledge And Decision-Making Processes In Relation To The Management Of Adults With Diabetic Ketoacidosis, Megan Alice Westphalen

Theses

Introduction: Diabetic ketoacidosis (DKA) is an acute complication of diabetes. Registered nurses (RNs) knowledge with regard to DKA has never been investigated in any depth, nor has their decision making ever been examined in this specific context.

Research Significance: Nursing research literature acknowledges that nurses have an important role in the management of patient with DKA. However, there is very little empirical evidence available to support this claim. The purpose of this study is to provide evidence of the level of knowledge, the decision-making processes and the factors that influence nurses’ decision making whilst managing patients with DKA.

Methodology: A …

Countering Moral Distress In Ecmo Nurses With Case-Review Debriefings, Sherry D. Griggs

DNP Projects

Abstract

Background: Moral Distress occurs when nurses know the ethically correct action to take, but they are restrained from taking it. It is especially prevalent in nurses caring for critically ill patients, such as those on extra-corporeal membrane oxygenation (ECMO). Effectively addressing moral distress is crucial to the growth and health of the nursing profession, which is the cornerstone of quality and safety in healthcare.

Purpose: The purpose of this project was to evaluate the effectiveness of case-review debriefings on moral distress of ECMO nurses.

Conceptual Framework: Analysis of Moral Distress Process was utilized. This framework addresses moral distress …

Compassion Fatigue And Resilience In Long-Term Care Nurses, Dierdre C. De Gravina

Walden Dissertations and Doctoral Studies

The purpose of this study was to investigate the association between CF and resilience in LTC nurses. Watson’s caring theory was the theoretical foundation for the study. A survey containing demographic questions and items from the Professional Quality of Life Measure and the Connor-Davidson Resilience Scale survey was administered online to 111 LTC nurses from 10 states across the Eastern Seaboard. A simple linear regression analysis was performed to identify if there was an association between CF and resilience. The results indicated that the model was significant (p<.001). Results revealed an inverse relationship that with higher resilience scores, CF scores were lower and when CF was high, resilience was lower. The study may promote positive social change by highlighting the need for LTC facility managers to identify strategies that foster increased LTC nurse resilience such as improving work environments and developing programs that promote mental and emotional health of LTC nurses. Implementation of these strategies may reduce CF and promote nurse job retention and ultimately improve patient care. Recommendations for future research include quantitative studies to consider the effect of age, length of time in practice, and education level on resiliency and CF and qualitative studies on strategies for increasing resiliency among nurses in LTC facilities.

Beyond The Basics: Educating Nurses At The Bedside About Evidence-Based Practice, Katherine D. Simpson

Walden Dissertations and Doctoral Studies

The nursing profession is a large and dynamic part of the healthcare industry with the greatest percentage of nurses practicing at the bedside. An increase in nursing professionalism with evidence-based practice has emerged over the past several decades. However, evidence continues to support a lack of knowledge among registered nurses in implementing evidence-based patient care at the bedside and the need for education related to evidence-based practice. The analysis, design, development, implementation, and evaluation model of instructional design framed this Doctor of Nursing Practice project. The purpose of the project was to fill the practice gap through the planning, implementation, …

Supporting Premature Infants’ Oral Feeding In The Nicu—A Qualitative Study Of Nurses’ Perspectives, Evalotte Mörelius, Charlotte Sahlén Helmer, Maria Hellgren, Siw Alehagen

Research outputs 2022 to 2026

One major task in the neonatal intensive care unit (NICU) involves ensuring adequate nutrition and supporting the provision of human milk. The aim of this study was to explore nurses’ experiences of the oral feeding process in the NICU when the infant is born extremely or very preterm. We used a qualitative inductive approach. Nine nurses from three family-centered NICUs were interviewed face-to-face. The interviews were transcribed verbatim and analyzed using content analysis. Five sub-categories and two generic categories formed the main category: ‘A complex and long-lasting collaboration.’ The nurses wished to contribute to the parents’ understanding of the feeding …

The Impact Of Critical Incidents On Nurses And Midwives: A Systematic Review, Melanie Buhlmann, Beverley Ewens, Amineh Rashidi

Research outputs 2014 to 2021

Aims: To synthesise the existing literature, which focuses on the impact of critical incidents on nurses and midwives, and to explore their experiences related to the support they received in the current healthcare environment to move on from the event.

Design: Systematic review and qualitative synthesis.

Data sources: The electronic databases CINAHL, MEDLINE, PsycINFO, PubMed, Embase and Nursing and Allied Health (ProQuest) were systematically searched from 2013–2018, and core authors and journals identified in the literature were manually investigated.

Review methods: Qualitative studies of all research design types written in English were included according to the PRISMA reporting guidelines. The …

Critical Thinking In Nursing Education: An Integrative Review, Beth Maina

Master of Science in Nursing Final Projects

Aim. This integrative review aimed to review studies on critical thinking and how it is essential in nursing education. The research question that guided this integrative review was: What teaching strategies positively influence critical thinking development in new graduate nurses?

Background. Critical thinking is an essential skill in the nursing profession which helps nurses to prioritize and perform life- saving interventions for the patient. This desirable competency is an expected outcome upon graduating from nursing school. However, there is growing concern that new graduate nurses lack this essential skill.

Data Sources. Articles were located by searching electronic data bases …

The Art Of Nurse Mentoring: A Framework Of Support, Diane S. Kramer, Victoria Y. Mccue, Eve Butler, Andrea S. Prentiss, Maria M. Ojeda, Kayce K. Tugg, Vivian Fuentes, Sally Bonet

Nursing & Health Sciences Research Journal

Introduction: Nursing mentoring relationships are vital to the advancement of personal and professional growth in nursing. Mentoring has been identified as an effective method to decrease turnover resulting in retention of experienced nurses. Despite the benefits of a mentoring relationship, barriers exist in creating and cultivating a formal mentoring program in the hospital setting.

Methods: A qualitative descriptive study approach that explored nurses’ perceptions of a mentoring culture within a hospital environment. Open-ended, conversational-style interviewing techniques with a semi-structured interview guide were utilized to gain a full description of nurses’ perceptions of a mentoring culture within a hospital environment.

Results: …

Healthy Eating And Physical Activity Among New Graduate Nurses: A Qualitative Study Of Barriers And Enablers During Their First Year Of Clinical Practice, Elizabeth Brogan, Chris Rossiter, Christine Duffield, Elizabeth Denney-Wilson

Research outputs 2014 to 2021

Background: New graduate nurses entering the workforce experience numerous barriers to maintaining a healthy lifestyle including shift work, the high cost of healthy foods at the workplace and high levels of exhaustion which reduce motivation to participate in regular physical activity. Research has documented unhealthy lifestyles among nurses across the profession. However, few studies focus on graduates' experiences during their transition into their careers. Aim: To investigate the barriers and enablers to healthy eating and participation in physical activity for new graduate nurses during their first year of clinical practice, and to explore attitudes to participation in workplace health promotion …

The Best Care Begins With Self-Care: An Educational Initiative For Nurses, Betty Sanisidro

Seton Hall University Dissertations and Theses (ETDs)

An educational initiative was developed and implemented to aid in ascertaining if self-care modalities implemented by nurses lead to decreased symptoms of compassion fatigue and burnout, to support current research that self-care practices do prevent compassion fatigue and burnout, and to enhance the growing body of evidence to support nursing and self-care practices. This educational initiative and preventive program included the creation and implementation of a one-hour training session for early identification of burnout among occupational health nurses with a follow up self-enrollment in a four-week initiative focusing on self-compassion interventions and Mindful Self Compassion (MSC) for participating nurses. This …

Preliminary Findings Of A Study On The Practice Of Self-Medication Of Antibiotics Among The Practicing Nurses Of A Tertiary Care Hospital, Akbar Shoukat Ali, Rahim Jandani, Arwa A. Al-Qahtani, Abdulkarem A S. Alenzi

Department of Medicine

Objectives: Antibiotic resistance is indeed a global concern. It is of significant concern especially in the low-middle income countries because of the ease of accessibility, affordability, and absence of regulations pertaining to the dispensing of non-prescription antibiotics. This study aims to estimate the frequency and factors associated with the self-medication of antibiotics found among the practicing nurses.
Methods: We conducted a descriptive cross-sectional study at a tertiary care hospital in Karachi, Pakistan from July 2016 to August 2016.
Results: Of the 48 recruited nurses, 60.4% (29/48) were practicing self-medication of antibiotics. There were slightly more male nurses (17/29) than their …

Shifting Taxonomies In Home Care Nursing Information Behavior: Patients, Pandemic, Community, Richard P. Smiraglia, Edmund Pajarillo, Elizabeth Milonas, Sergey Zherebchevsky

Publications and Research

IKOS has continued to monitor the nursing information behavior (NIB) of home care nurses. In earlier reports we described how we developed an online taxonomy of NIB. We then took on a qualitative analysis of video representations of home care nursing in the pandemic. Merging the codes from two rounds of open coding yielded a set of categories (or axes) that could be used to construct a narrative analysis. Contextual quotations from the video transcripts further reveal the intensity of the potential taxonomic extension. The importance of this research for knowledge organization is the understanding we develop concerning shifting taxonomies …

A Novel Framework To Guide Antibiotic Stewardship Nursing Practice., Mary Lou Manning, Monika Pogorzelska-Maziarz, Cindy Hou, Nikunj Vyas, Marianne Kraemer, Eileen Carter, Elizabeth Monsees

College of Nursing Faculty Papers & Presentations

BACKGROUND: There is a pervasive view among some nurses and health care disciplines that antibiotic stewardship (AS) is solely a physician or pharmacist responsibility. There is an urgent need to alter this view so that nurses can seize every opportunity to prevent patient harm from antibiotics and optimize antibiotic use. One challenge to achieving full nurse engagement as equal members of the AS team is lack of an organizing framework to illustrate relationships of phenomena and concepts inherent to adoption of AS nursing practices.

METHODS: We sought to create a framework derived from the peer-reviewed literature, systematic and scoping reviews, …

Organizational Learning During Covid-19: A Qualitative Study Of Nurses' Experiences, Bret Lyman, Morgan K. Horton, Alyssa Oman

Faculty Publications

Aim: The aim of this study is to test the validity of the Organizational Learning in Hospitals model in the context of the COVID-19 pandemic.

Background: Organizational learning is especially crucial in circumstances of intense, complex, enduring change, as with the COVID-19 pandemic. Nurse managers need additional guidance for fostering organizational learning under such circumstances. The Organizational Learning in Hospitals model may be a helpful resource but requires additional validation.

Methods: Semi-structured interviews were conducted to gather 19 nurses' first-hand experiences of organizational learning during the COVID-19 pandemic. Data were analysed using deductive thematic analysis.

Results: Nurses' experiences of organizational …

Promoting Patient Engagement: A Scoping Review Of Actions That Align With The Interactive Care Model, Georgia Tobiano, Teresa Jerofke-Owen, Andrea P. Marshall

College of Nursing Faculty Research and Publications

Background

Conceptual clarity for the term patient engagement is growing. However, there is variability in patient engagement in healthcare, which could be due to the absence of models to guide practice or a myriad of organisational, nurse and patient factors. The recently developed ‘Interactive Care Model’ provides guidance on how to genuinely promote individualised patient engagement. An understanding of how to action this model in nursing is required.

Aims

The aim of this scoping review was to examine actions in the published scientific literature that align with the Interactive Care Model, in the context of nursing care of hospitalised patients. …

Improving Progressive Care Nurses’ Confidence And Performance During In-Hospital Cardiac Arrest (Ihca): A Continuous Quality Improvement Initiative, Katelyn Barley

Doctor of Nursing Practice (DNP) Manuscripts

The literature is clear regarding the benefits of high-quality cardiopulmonary resuscitation (CPR) in relation to patient outcomes. The American Heart Association (AHA) guidelines recommend immediate initiation of chest compressions and defibrillation as soon as possible to increase the chance of survival from cardiac arrest. The development of automatic external defibrillators (AEDs) have increased the survival rates of out-of-hospital cardiac arrest, however rates of survival from in-hospital cardiac arrest (IHCA) have not improved over the past several decades despite an increase in resuscitation research.

This project was to develop a system of quality improvement related to patient outcomes from IHCA. The …

Nurses' Pandemic Lives: A Mixed-Methods Study Of Experiences During Covid-19., Kathleen Gray, Paulette Dorney, Lori Hoffman, Albert Crawford

College of Nursing Faculty Papers & Presentations

BACKGROUND: The US healthcare settings and staff have been stretched to capacity by the COVID-19 pandemic. While COVID-19 continues to threaten global healthcare delivery systems and populations, its impact on nursing has been profound.

OBJECTIVES: This study aimed to document nurses' immediate reactions, major stressors, effective measures to reduce stress, coping strategies, and motivators as they provided care during COVID-19.

DESIGN: Mixed-methods, cross sectional design. Participants responded to objective and open-ended questions on the COVID-19 Nurses' Survey.

PARTICIPANTS: The survey, was sent to nurses employed in health care settings during the pandemic; 110 nurses participated.

RESULTS: Immediate reactions of respondents …

Reducing The Incidence Of Compassion Fatigue In Obstetrical Nurses, Naveen Samuel

Student Scholarly Projects

Practice Problem: Compassion fatigue is a growing problem that can affect 21% to 39% of nurses who work in hospital settings (Berger et al., 2015). Compassion fatigue has been further exacerbated due to the COVID-19 pandemic. Compassion fatigue negatively impacts the nurses in profound physical and emotional ways.

PICOT: The PICOT question that guided this project was: For obstetrical nurses working in a nonprofit organization, what is the effect of a compassion fatigue program, compared with no program, on nurses in reducing compassion fatigue after two months?

Evidence: Current evidence shows that mindfulness decreases compassion fatigue and increases compassion …

Critical Access Hospital Nurses' Perceptions Of Obstacles And Helpful Behaviors In End-Of-Life Care, Trissa Michelle Lyman

Theses and Dissertations

Background: The Critical Access Hospitals (CAHs) system was developed to bring health care to rural populations. Although CAHs lack equipment and resources, CAH nurses still provide end-of-life (EOL) care to critically-ill and dying patients. Objectives: To determine the largest and smallest ranked obstacles and helpful behaviors to providing EOL care to rural patients as perceived by CAH nurses. Also, to determine how CAH nurses' perceptions of obstacles and helpful behaviors to providing EOL care compare to that of their urban counterparts. Methods: A cross-sectional, nationally representative sample of nurses working in 39 CAHs were sent a questionnaire. Nurse participants were …

Exploring The Effect Of Language Concordance Between Nurses And Limited English Proficient Patients On Their Health Outcomes., Elizabeth K. Moon, Sarah Miner

The Review: A Journal of Undergraduate Student Research

Communication is essential to the medical field. Approximately 350 different languages are spoken in the USA. The commonality of language discordance between patients and health care providers causes poor communication, limited understanding of their condition, and a decrease in the patient’s satisfaction with their care. This literature review explored the effect that a language concurrent healthcare provider has on the health outcomes of LEP patients. LEP is defined as limited English proficiency. METHODS: CINHAL and Pubmed were used. The key terms used were communication barriers, language barriers, nurse, nurses, nursing, and health outcomes. The search revealed 719 articles. Seven articles …

Everyone Is Watching: Mastering The Challenge Of Caring For Infants At The End Of Life While Being Constantly Observed, Deborah A. Lawrence

Dissertations, Theses, and Capstone Projects

Nurses with specialized training care for the approximately 7% of newly born infants who are admitted annually to neonatal intensive care units in the United States. Although they receive care at advanced levels, some infants will not survive. Nurses maintain a constant presence at the bedsides of these neonates to provide end of life care in units and institutions where the gold standard is cure and rescue. The purpose of this grounded theory research study was to understand how nurses managed the challenges and demands of caring for dying infants in the context of Level III neonatal intensive care units. …

Clinical Nurses Research Priorities In Hospital Settings: A Delphi Survey., Mariann Fossum, Marlene Z. Cohen, Vivi Haavik Tønnessen, Mette Dobler Hamre, Agno Lisbeth Vabo Ødegaard, Ingjerd Lind, Kari Olsen Håheim, Anne Opsal

Journal Articles: College of Nursing

This study aimed to identify the research priorities of clinical nurses to develop a research program at a health care services system that includes three hospitals. A Delphi survey was emailed to all clinical nurses in two rounds. The Delphi method was used to collect data from the nurses in regards to their priority research themes, and the data were analyzed using descriptive and comparative statistics. A total of 933 clinical nurses returned the first round of the Delphi survey and 543 nurses answered the second round. Clinical nurses identified 89 potential research themes. Patient safety and ethical challenges were …

Utilizing A Stress And Coping Model Into A Preventive Abusive Head Trauma Parent/Caregiver Educational Program, Camile Williams

Doctor of Nursing Practice (DNP) Projects

Abusive head trauma (AHT) is a serious form of child maltreatment that is the primary cause of fatal head injuries in children younger than 24 months and is the cause for over 50% of severe or fatal traumatic brain injury incidences. These injuries can be caused by impact, shaking, or the combination of shaking and impact. These multi-factorial injuries can cause intracranial and spinal damage, retinal hemorrhages, and fractures of ribs and other bones. The age and severity of injuries will be used to assess the diagnosis of AHT. When AHT occurs, it is often tied to the behavior from …

Undergraduate Nursing Students’ Knowledge Of Endometriosis: A Pilot Study, Stephanie Schlorke

Honors Theses

This descriptive post-test design study was conducted to assess knowledge level of undergraduate nursing students regarding risk factors, clinical manifestations, age of diagnosis, common psychiatric co-morbidities, treatment methods, and pathophysiology of endometriosis. An author-created 8 question multichoice and select all that apply questionnaire was used to collect the data. Twenty-eight students responded to the questionnaire. The results were divided to compare knowledge differences between second-semester and fifth-semester students.

It was determined that the undergraduate nursing students have a working knowledge of endometriosis, but there are knowledge gaps that need to be addressed. Fifth-semester participants scored higher than the second-semester participants …