Nursing Commons^™

Policy To Decrease Attrition Rates Amongst Mental Health Nurses, Ashley E. Burnett

Doctor of Nursing Practice Final Project Abstract

The high attrition rate among mental health nurses in the United States presents a critical challenge, leading to increased operational costs, workforce shortages, and compromised patient care. This policy proposal seeks to address the issue of mental health nurse turnover by offering a structured approach to enhancing job contentment and dealing with stress factors within the workplace. In line with the purpose of the study, quantitative and qualitative data from workforce surveys, peer-reviewed literature, and policy evaluations are combined to determine common retention strategies. Findings indicate that mentorship programs, competitive salaries, flexible scheduling, and workplace support systems significantly reduce burnout …

Stethoscope Hygiene And Its Relationship To Healthcare Acquired Infections: A Research Proposal, Thomas P. Baker

Aurora

Problem: Healthcare Acquired Infections (HAIs) are an increasingly prevalent issue in healthcare. While hand hygiene is the most effective method to prevent HAIs, stethoscope hygiene may be an underutilized practice that can further prevent HAIs.

Purpose: The purpose of the research proposal is to determine if patients are more at risk of acquiring a HAI from improperly sanitized stethoscopes in comparison to stethoscopes that are cleaned in accordance with best practice methods while being treated in a hospital.

Methods: This proposal is a mixed-methods study. A 30-minute educational seminar on the importance of stethoscope hygiene and evidence-based …

Design And Implementation Of A Notification System For The Purpose Of Improving Communication Between Nurses And Patients, Aindrila Bhattacharya

2025 Spring Honors Capstone Projects - Archive

Communication is an important part of how nurses administer treatment to their patients. Without proper communication, it is difficult for the nurses to connect with their patients and vice versa. This paper will be going into some previous literature about communication between patients and nurses in general, communication with respect to pediatric patients and how notification systems have been implemented in the past. It will then discuss the methodology and implementation of a notification system for a medical app. The medical app is meant to facilitate communication from the side of the patient to the nurse, while the notification system …

Provider-Nurse Rounding Checklist: A Qi Project, Danielle Ursone Rn, Bsn, Jennifer O'Neil Bsn, Rn, Ccrn, Susan Penque Ph.D, Anp-Bc, Ne-Bc, Nc-C

Posters

• Communication between healthcare providers and nurses is an essential component for a good working relationship.
• Increased collaboration has been shown to improve staff attitudes and job satisfaction.
• Interprofessional rounds with a rounding checklist provide an organized way to perform rounds to increase satisfaction with teamwork and decrease miscommunication.
• At the DNP project site, a rounding checklist is not being used, resulting in a disconnect between the nurses and healthcare providers.

Factors Affecting Nurse Retention In A Private Healthcare System In Malaysia, Zarin Ikmal Zan Mohd Zain, Annamma Kunjukunju, Govethamma Subramaniam, Nur Izzana Tajuddin

Jurnal Keperawatan Indonesia

Nurse retention has become increasingly challenging in the post-pandemic era, particularly for private hospitals. This study aimed to identify the significant predictors of nurse retention in selected private hospitals in Malaysia. A quantitative, descriptive, cross-sectional design was employed. A pre-validated, self-administered questionnaire, distributed via Google Forms, was used for data collection. The respondents included 532 registered nurses employed at three private hospitals in Malaysia. Data analysis was conducted using descriptive statistics and correlation studies, including Spearman’s rho and multiple regression analysis. Among the participants, 54% reported good job satisfaction, 27.37% expressed organizational commitment, 25.97% were satisfied with human resource practices, …

Applying Kolb's Theory Of Experiential Learning In The Development Of An Evidenced-Based Practice & Research Council At An Acute Care Hospital, Cheryl Green, Daryn Brauner Msn, Todd Allen Lane, Judy Darlucio Rn, Stacey Peace Rn

Medical Nursing

The processes of adult learning can become convoluted as adults age, developmentally progress through the life cycle, have different employment opportunities, and pursue academic studies. It is important when engaging adults in the learning of new content, that an eclectic approach to learning be implemented to ensure information is comprehended, applicable, and reproducible. Kolb’s Theory of Experiential Learning provides adult learners with four stages of learning; concrete experience, reflective observation, abstract conceptualization, and active experimentation. These four stages, applied separately and in combination of adult learning modalities, enhance the adult learning experience by introducing diverse approaches to the processing of …

The Impact Of Having A Native Spanish-Speaking Nurse In Labor And Delivery For Latina Mothers, Lesvia Muñoz Mazariegos

Nursing | Senior Theses

Labor and Delivery is the physiological process in which a pregnant woman gives birth to a baby. With an increase of the Hispanic/Latinx population, the need for Spanish-speaking nurses also increases. Specifically in labor and delivery, language barriers play a critical role for a Latina mother’s laboring experience. However, according to the research, there is limited data on the effects of language concordance/discordance for laboring Latina mothers. To investigate, primary research articles were reviewed focusing on patient experiences with language concordance and discordance, childbirth experiences across different races, and nurses' perceptions of patient experiences related to language barriers. This proposed …

Burnout Among Nurses In The United States, Faheem Ohri

Social Work Dissertations - Archive

Burnout is an exhausted state of the body, mind, and emotions, characterized by feelings of “depersonalization and reduced personal accomplishment” resulting from prolonged and continuous occupational stress. Burnout among nurses in the United States (U.S.) is a growing concern with significant implications for healthcare professionals and patient outcomes. Nurse burnout compromises patient safety and workforce stability, but pre-pandemic national correlates remain understudied. This dissertation examined employment settings and demographic correlates of burnout among U.S. nurses using the National Sample Survey of Registered Nurses (NSSRN) secondary datasets. Compared inpatient burnout odds pre-/post-pandemic using national twin surveys. Jackknife complex survey logistic regression …

Exploring Factors Influencing Posttraumatic Growth Among Nurses: A Path Analysis, Shinhi Han, Hee Sun Kang, Koun Eum, Kathleen Karsten, Faith Armstrong

Publications and Research

Introduction: Persistent exposure to the COVID-19 pandemic has subjected frontline nurses to heightened levels of collective traumatic syndromes, including stress, burnout, and emotional distress. Resilience and self-compassion may serve as protective factors in mitigating stress and burnout stemming from the pandemic. Moreover, these factors may contribute to posttraumatic growth (PTG), which has been recognized as a potential outcome for nurses caring for patients. This study aimed to investigate the factors contributing to PTG among registered nurses, with perceived stress, burnout, resilience, and self-compassion.

Methods: This cross-sectional observational survey used convenience sampling with 228 registered nurses from New York. Data were …

Recognizing Opioid Withdrawal: An Educational Intervention To Increase Nurses' Knowledge And Improve Quality Of Patient Care, Keyannah L. Glover

Doctor of Nursing Practice Projects

Opioid abuse, prescription and illicit use, remain a problem in the United States. Recognizing signs and symptoms is important because lack of recognition can lead to misdiagnosis and mismanagement. The target population for this study was nurses in the emergency department. This quality improvement project was developed to provide education to the nurses in the emergency department to recognize opioid withdrawal signs and symptoms. This project evaluated the baseline knowledge of nurses working in the emergency department. The project was implemented over a 3-week time frame. The pre-test was sent out to participants via email to test their baseline knowledge. …

Reducing Levels Of Compassion Fatigue Among Generation Z Hospital Nurses, Kailani Yee

Nursing | Senior Theses

Background: Compassion fatigue is a critical issue and one of the many difficulties encompassed within the nursing profession. It affects a large number of registered nurses who work in hospital settings and who are constantly exposed to the suffering of others. With more young nurses entering the workforce, it's imperative that there is a better understanding of how to properly address this issue among the youngest generation of nurses: Generation Z, or those born between 1997-2012.

Objective: This research proposal aims to explore the most effective strategies to decrease levels of compassion fatigue in Generation Z nurses working in hospital …

Nurse Perspectives On Labor Union Participation Prior To Implementation Of A Collective Bargaining Agreement: A Qualitative Study, Jacqueline Christianson, Bonnie Sommers-Olson, Cathleen Fox, Norah L. Johnson

College of Nursing Faculty Research and Publications

Background: Patient advocacy is a duty for professional nurses; however, not all nurses are empowered to advocate for meeting patients’ needs. Participation in labor unions may serve as a venue for nurses with limited institutional decision-making authority to advocate for patient needs; however, unionization can be a time-intensive and fraught process.

Purpose: This study examined how nurses participating in a new union in an urban United States hospital described their reasons for participating in a labor union during collective bargaining.

Methods: Content analysis of participant's interviews that took place between January and March 2023, after the nurses voted to unionize …

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: …

The Impact Of The Covid-19 Pandemic On Nurses' And Junior Doctors' Workloads, Gemma Doleman, Annemarie De Leo, Dianne Bloxsome

Research outputs 2022 to 2026

Aims: To explore the impact of the COVID-19 pandemic on nurses' and junior doctors' workload, changes to direct care and the impact of workload on resource allocation. Design: Mixed-method design was used. Methods: Data were collected from direct observation, hospital administrative database and a survey. Nurses and junior doctors were observed on two COVID-19 wards and one non-COVID-19 ward using a semi-structured observation schedule. Survey data were collected from nurses and junior doctors that had worked on the COVID-19 ward during the pandemic. Patient data were collected from Web Patient Administration System during the period of March–August 2021 and compared …

Assessing The Effect Of Awareness Of International Oxygen Therapy Guidelines On Oxygen Administration Practices Among Nurses During The Covid-19 Pandemic: A Survey Of Nurses Working In The Pediatric And Medical Departments Of A National Teaching And Referral Hospital In Low-Resource Settings, Joseph Odhiambo, Lucy W Kivuti-Bitok, Solomon Omare, Irene Ngune

Research outputs 2022 to 2026

Awareness of International Oxygen Therapy Guidelines (IOTG) may have impacted oxygen therapy experience during the coronavirus (COVID-19) pandemic. This study explored if nurses at Kenyatta National Hospital (KNH) were aware of IOTG and if this awareness influenced their practice of oxygen administration during Covid-19 era. A survey of 80 nurses, from both pediatric and medical departments was carried out. Data collection was done through a self-administered questionnaire. Data were analyzed using descriptive statistics and the association between variables with Chi-square and t-test at p < 0.05. The mean age of the respondents was 39.82 ± 9.32, and 66.3 % were females. Respondents had an average of 2.47 years (±2.35) since the last oxygen therapy refresher training. Over 60 % of participants had been administered oxygen less than a month preceding the survey. Lack of awareness of IOTG (X2 = 7.113 (df = 1, n = 80), p = 0.008) and experience administering oxygen to a covid-19 patient (X2 = 6.851 (df = 1, n = 80), p = 0.018), were associated with low awareness of Covid-19 ventilation and oxygenation guidelines. Experience of having administered Oxygen to a Covid-19 patient (X2 = 6.851 (df = 1, n = 80), p = 0.018) and having reviewed or used any guidelines on oxygen therapy (X2 = 7.113 (df = 1, n = 80), p = 0.008) were significantly associated with awareness of covid 19 ventilation and oxygenation guidelines. Further regular training in oxygen therapy is needed to ensure good clinical practice.

Weight Stigma Amongst Nurses And Nursing Students: A Scoping Review Of Direct And Comparative Evidence, Mahshid Fonoudi, Beverley Ewens, Amanda Towell-Barnard

Research outputs 2022 to 2026

Aim: To map both direct and comparative research on weight stigma amongst nurses and nursing students by identifying the extent, range and nature of studies and identify the gaps in this area. Design: Scoping review, following the Joanna Briggs Institute (JBI) guidelines. Data Sources: Seven databases including MEDLINE, Web of Science, CINAHL, Embase, Scopus, PsycINFO and Cochrane Library, in addition to Google Scholar and Open Access Theses and Dissertations were systematically searched in August 2023. Methods: Inclusion criteria comprised nurses or nursing students as participants, weight stigma as the concept and any context. After uploading all search results into EndNote …

The Association Between Sleep Quality, Depression, Anxiety, And Job-Related Stress Among Nurses In Saudi Arabia, Romeo Jr Patague Mostoles

Makara Journal of Health Research

Background: This study examined the mediating role of sleep quality in the relationship between depression, anxiety, and job-related stress among nurses in Saudi Arabia.

Methods: Sociodemographic information, Pittsburgh Sleep Quality Index, depression, anxiety, and work-related stress were evaluated in 851 nurses. Structural equation modeling was used to investigate the mediation effect of sleep quality on mental health and job stress in nurses.

Results: High rates of anxiety (65.9% severe, 34.1% moderate), depression (37.2% moderate to severe), and poor sleep (51.4%) were found. Sex, marital status, education, nationality, and smoking status significantly influenced mental health outcomes. For example, …

The Experiences Of Nurses Caring For Patients During The Initial Outbreak Of The Covid-19 Pandemic In The Maldives: A Phenomenological Study, Khadiyya Simany, Asiya Ibrahim

Manipal Journal of Nursing and Health Sciences

The experience of nurses caring for patients with COVID-19 in the Maldives may have been unique and at the same time similar to the global nursing situation during the initial outbreak of the COVID-19 pandemic. This research aimed to explore nurses’ experiences in providing nursing care for COVID-19 patients in one of the facilities in the Maldives. A descriptive phenomenological approach of inquiry was employed to explore the new phenomenon of the nursing experience during the early COVID-19 pandemic. Using purposive convenience sampling, six nurses were interviewed in depth via semi-structured face‒to-face interviews. The interviews were analysed through modified principles …

Perception Of Nursing Care Among Patients And Nurses In Neuro Units Of Selected Settings In Chennai., Kanwaljeet Kaur, Deepa M, Dr. Sudha R

Manipal Journal of Nursing and Health Sciences

Introduction: Nurses are the health experts because they are caregivers, advocates, and educators. Patient is the Centre of nursing practice. Nurses provide care to patients from admission till discharge and gives more time to patients and their families as compared to other health care workers. This is the reason that nurses influence the patient perception about hospital care at most. Objective: The aim of this study was to Assessment of perception on nursing care provided among patients and nurses in neuro units of selected settings, Chennai. Methods: A quantitative research approach with a descriptive cross-sectional design was adopted for the …

The Implementation Of Ketamine-Assisted-Psychotherapy On Healthcare Workers Suffering From Workplace-Related Ptsd Due To Covid-19, Ziluolan Zou

Nursing | Student Research Posters

During the coronavirus disease 2019 (COVID-19) pandemic, healthcare workers were exposed to a deadly disease with limited knowledge and personal protective equipment, subjected to long hours, forced to ration care due to limited critical care resources and ventilators, and isolated from their families due to fear of spreading the virus. These factors further compounded the occupational stress associated with being a healthcare worker. The literature shows that the physical, mental, and emotional challenges frontline healthcare workers faced during the COVID-19 pandemic had lasting impacts on their mental health. The prevalence of mental health illnesses, such as post-traumatic stress disorder, among …

The Role Of Nurses In Environmental Sustainability, Olivia Monroe

Honors Projects

This project explores the current literature on pollution originating from the United States healthcare sector, with emphasis on greenhouse gas emissions and waste production. Strategies healthcare organizations are implementing to reduce their pollution and actions nurses can take to support these initiatives are discussed.

The Nursing Human Capital Value Model, Olga Yakusheva, Kathryn A. Lee, Marianne Weiss

College of Nursing Faculty Research and Publications

Nursing's economic value is presently framed within the dominant “outcomes-over-cost” value framework. Within this context, organizations employing nurses often use nursing budget reductions as a cost-minimization strategy, with the intent of retaining high quality outcomes. However, persistent issues such as nurse understaffing, burnout, and turnover threaten healthcare systems' capacity to deliver the quality, equitable, affordable patient care that the public requires. In this paper, we propose a new conceptual model and definition of nursing's economic value. The model development is guided by the convergence of three classic economic frameworks: human capital theory, production theory, and value theory. Grounded in these …

A Multi-Pronged Collaborative Approach To Harness The Implementation And Sustainability Of Bedside Shift Report, Diane S. Kramer, Lourdes C. Castaneda, Catherina Chang Martinez, Shelli A. Chernesky, Lisette Hurtado, Harold Girado, Yessenia Muniz

Nursing & Health Sciences Research Journal

Background: Implementing nurse bedside shift report (BSR) remains a critical practice during shift changes that improves the delivery of safe patient care. The practice of BSR remains susceptible to variability and sustainability in the acute care setting. The purpose of this quality improvement project was to harness the implementation and sustainability of BSR using a multi-pronged approach. We aimed to improve nurse-sensitive indicators discussed during the BSR process and include patients in the BSR process. Methods: Implementing Lorenzi and Riley's change cycle methodology, executives, leaders, and educators collaborated to create a multi-pronged approach to standardize the BSR process for nurses …

Improving Mobility In Acute Care Patients With A Mobility Technician: A Quality Improvement Pilot Project, Oscar A. Acosta, Erin Shea, Madelyn Lliteras, Mary B. Gomes, Tiffany D. Baker, Catherina Chang Martinez

Nursing & Health Sciences Research Journal

Background: Early mobilization during hospitalization remains an important element in the patient’s recovery and is associated with good clinical outcomes. Despite these benefits, nurses and physical therapists experience challenges from time constraints and competing responsibilities. Mobility technicians present an alternative for safe and early patient mobilization during hospitalization. Methods: The purpose of this quality improvement project was to implement a mobility technician program to improve patients’ mobility during their hospital stay. The setting was a medical-surgical nursing unit of a hospital in South Florida. A protocol was implemented in December 2023. Patients who met the criteria for ambulation using the …

Mindful Self Care Interventions In Travel Nurses Who Have Worked During And After The Covid-19 Pandemic, Danika Desgazon

Doctor of Nursing Practice Projects

Background

The COVID-19 pandemic placed significant mental strain on frontline healthcare workers, particularly travel nurses deployed to high-risk areas. This group experienced heightened anxiety, fear, and post-traumatic stress, which often limited their engagement in essential self-care practices. Previous research indicates that structured self-care interventions, particularly those incorporating mindfulness, can help mitigate stress and improve mental health. However, the specific impact of such interventions on travel nurses has not been widely studied.

Purpose

This study aimed to evaluate the effectiveness of an 8-week mindful self-care intervention in reducing stress and improving self-care behaviors among travel nurses who worked during and after …

Preparedness For Practice Of Health Professionals In Papua New Guinea: A Cross-Sectional Survey Of Nurses And Community Health Workers., Mary Kililo, Julie Dopsie, Sulpain Passingan, Julie Kep, Nina Joseph, Russel Kitau, Mary Roroi, Chris Rossiter, Jenny Sim, Di Brown, Caroline Havery, Ali Moloney, Michele Rumsey

Pacific Journal of Health

Introduction

Papua New Guinea (PNG) experiences widespread health inequity and shortage of health professionals, exacerbated by poverty, isolation, gender-based violence and limited infrastructure, transport and accessible services. Nurses and community health workers (CHW) represent 72% of health workforce. However, health professional education programs are outdated and not aligned with national health priorities. We aimed to explore the adequacy of current curricula for nurses and CHWs by examining graduate competencies and preparedness for practice.

Methods

Cross-sectional study with four cohorts: 1) 130 new nurse graduates, 2) 75 nurses who supervised them, 3) 105 new CHW graduates and 4) 65 CHW supervisors. …

Evaluation Of A Workshop To Improve Professional Transitions Among Nursing Students And Nurses, Andrew Richards

Achieve

New nurses and nurses experiencing a professional transition often regress through Benner's novice to expert stages and are at risk for transition shock and crisis (Murray et al., 2019). New graduate nurses experience challenges adjusting to their new roles, but educational and organizational factors can help provide support during this time of transition (Baharum et al., 2023). Simulation experiences can enhance students' confidence and help prepare them for practice (Woods et al., 2015). Situational and personal factors influence the professional development and retention of new nurses (Laschinger et al., 2016). Many new nurses struggle with adjusting to the profession and …

Inevitable Or Preventable? A Pilot Intervention To Reduce Burnout Risk In Acute Care Nurses, Emily R. Kelly

Clinical Psychology Dissertations

Purpose: Burnout among healthcare workers is widespread and costly, resulting in calls for action to reduce the experience and impact of this work-related phenomenon. Burnout among nurses has been associated with impaired patient safety, decreased quality of care, lower levels of patient satisfaction, decreased productivity, and higher levels of intent-to-leave the profession. Aim: The aims of this study are to assess whether sleep problems mediate the relationship between recovery and burnout and to examine the feasibility of a pilot intervention to enhance recovery, improve sleep quality, and reduce burnout among inpatient nurses. Method: Eligible participants included registered nurses who worked …

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 …

Standardizing Critical Skills And Competency Validation To Promote Self-Efficacy Among Rapid Response Nurses, Kelli Dail Baker

Doctoral Dissertations and Projects

Competency validation is a key component of supporting nurses with necessary skills to provide care for their patients. However, many healthcare organizations do not have a standardized process for determining which skills are evaluated and the method by which evaluation occurs. To address competency validation among rapid response nurses (RRNs), this evidence-based practice project was proposed to increase self-efficacy. This project involved a thorough data review of all rapid response skills, categorizing all interventions based on quantity and acuity, and holding a hands-on educational fair for a set of standardized skills. A quasi-experimental design was used to collect data pre- …