Nursing Commons^™

Providing Mbsr Tools To First Year Adn Nursing Students: A Dnp Project, Katherin Brandt

Doctor of Nursing Practice Projects

Abstract

As part of the educational training provided to nursing students it is important to not only provide information regarding stress management, but also to give them tools that they can use to handle stressful situations more effectively. Literature supports the use of mindfulness techniques practiced regularly to decrease stress and anxiety. This DNP project developed, implemented, and evaluated the addition of Mindfulness-Based Stress Reduction (MBSR) techniques into the curriculum of the first-year Medical Surgical nursing course in a prelicensure Associate Degree Nursing program. The project was guided by Watson’s Theory of Human Caring and the Model for Improvement (PDSA …

Cystic Fibrosis, India Hutchison

Nursing Student Class Projects (Formerly MSN)

Cystic fibrosis (CF) is a complex disease caused by an autosomal recessive gene mutation that results in the dysfunction of chloride transport proteins in epithelial tissues. The resultant highly viscous secretions can cause respiratory, gastrointestinal, endocrine, and reproductive complications. Although modern treatment has become more individually targeted and the average life expectancy has increased in recent years, no cure has been discovered. It affects over 80,000 people worldwide, with 30,000 affected individuals living in the United States alone. This poster aims to provide a brief overview of the pathophysiologic processes, treatment therapies, and nursing considerations for Cystic Fibrosis.

Chronic Obstructive Pulmonary Disease (Copd), Whitney R. Stant

Nursing Student Class Projects (Formerly MSN)

To make a safe anesthetic plan, a nurse anesthetist must evaluate a patient's medical history. Anesthesia providers will encounter patients with COPD requiring anesthesia. It is necessary that nurse anesthesia understands the pathophysiology and peri-operative considerations to provide safe care to COPD patients. The poster provided can be a tool to review the pathophysiology and nursing implementations of COPD. It provides information for the nurse anesthetist to apply to the perioperative setting to improve patients’ surgery outcomes. An anesthetist is always striving to provide quality anesthesia care to their patients. COPD patients require extra preparation to prevent complications from arising …

Implementation Of A Decision Tree To Address Moral Distress, Tijuana Milton, Flor Culpa-Bondal, Sheryl Winn, Debra Hagerty

Graduate Research Showcase

Problem: According to the American Association of Critical-Care Nurses (AACN), moral distress (MD) is a major issue in the healthcare profession (2015). Many healthcare workers (HCW) are not aware of MD. The inability to recognize MD may lead to departing the profession.

Purpose: To offer an educational workshop about MD 1) explore the frequency and level of MD (2) establish a decision tree to mitigate MD.

Background: MD occurs when a person understands what they should do but cannot, due to organizational policies. The pandemic has exacerbated MD.

Design: A mixed-method study: Measure of Moral Distress for -Healthcare Professionals (MMD-HP) …

Smoking Cessation: A Nurse-Led Approach To Address Gaps In Patient Care, Katie L. Durham

Master of Science in Nursing Theses and Projects

Currently, the rate of smoking in the US is 13.7%. While this value represents the lowest rate of smoking in documented US history, cigarette smoking remains the leading cause of preventable death, disease, and morbidity. Healthy People 2030 has set a goal to reduce the rate of smoking to 5%. Though many patients report wanting to quit smoking, nearly half report they did not receive advice from a healthcare professional to do so. Many recommended smoking cessation tools and resources remain underutilized by both clinicians and patients. To help mitigate this issue, this project sought to develop a nurse-led smoking …

Implementing Rapid Response And Medical Emergency Simulation Training For Medical-Surgical Nurses, Brandon Burnett

Master of Science in Nursing Theses and Projects

This project is based on the problem of nursing competence and confidence within medical emergency and rapid response scenarios. This problem affects all patients, but specifically the medical-surgical patient population of which rapid assessment and intervention can lead to a change in patient mortality. The goal of the project is to use simulation, a common tool in undergraduate nursing education, to improve nursing competence and confidence after participation. The nurses will be cycled through three simulated scenarios, followed by a debriefing, and then moved to the next simulation. The nurses’ performance will be evaluated using evaluator checklists for each of …

Violence Prevention Task Force: A Health System’S Journey Towards Zero, Lisa Davis, Denise Holyoak

VCU Health Nursing

VCU Health's mission is to be the safest most caring hospital with zero events of preventable harm to patients, team members, and visitors. Our goal cannot be achieved if our staff suffer from workplace violence injuries thus, our executive leaders sponsored a Violence Task Force in 2017 comprised of leaders and bedside staff from all disciplines to implement evidence-informed strategies to aid in the prevention, response or recovery to a violent event. Review of data and measures of our outcomes are based on our worker's compensation, behavioral rapid response, and safety culture surveys. Event drill-downs are achieved by our post-assault …

Finding Innovative Ways To Battle The Opioid Crisis, Nicholas Neidlinger

Student Research Poster Presentations 2022

No abstract provided.

How Efficient Is Telemedicine At Qi In The Critical Care Setting?, Christopher Sedeski

Student Research Poster Presentations 2022

No abstract provided.

Supporting And Creating Strong Women, Danielle Chee

Student Research Poster Presentations 2022

No abstract provided.

Information Literacy Data Group 1 And 2, Taralyn Mcmullan, Clista Clanton, Jo Ann Otts, Wilma Powell Stuart, Angela Rand

University Research Data and Datasets

Objective: This exploratory study examined perceived self-efficacy in information literacy skills in nursing students and discusses how collaborative relationships between nursing faculty and librarians can strengthen curricular efforts to support information literacy.

Methods: Using the Information Competency Assessment Instrument, a survey research design was used to determine student perceptions of their information literacy skills. Participants included nursing Baccalaureate, Master's and Doctoral students in each of these programs.

Results: The Information Competency Assessment Instrument identified low self-efficacy in the following categories: using an index, determining information needed for assignments, use of governmental documents, media sources, producers of information and citing sources. …

Emily Lemoine Loveridge (1860-1941): Pioneer And Leader In Nursing, Pamela Wheeler

Faculty Publications

The life of Emily L. Loveridge reflects the context of the times in which she practiced as a nurse and assumed leadership roles as a superintendent of nurses and subsequently a hospital superintendent. Over the course of her remarkable 40-year career, she would begin the first training program for nurses in the Northwest and shepherd a foundling hospital from a wooden structure housing 50 patients to a brick structure of over 330 beds. She would also advance the professionalization of nursing while contributing significantly to a variety of professional organizations.

As an 1889 graduate of Bellevue Hospital in New York …

An Educational Program For Nurses To Incorporate Spiritual Care Into Clinical Practice, Alicia J. Thomas

Walden Dissertations and Doctoral Studies

Spiritual well-being is associated with several positive outcomes, including a greater tolerance of the emotional and physical demands of illness. Spiritual care is a basic element of holistic nursing, yet nurses generally lack spiritual care knowledge and abilities and are often unable to satisfy patients’ spiritual care needs. Therefore, nurses are in urgent need of relevant training to enhance their abilities to provide patients with spiritual care. Evidence-based education was lacking at the project site, a privately owned long-term care facility. Primary care attention was focused on the patients’ physical care; however, insufficient attention was being paid to spiritual care, …

Nurs 3301 - Professional Mobility, Dania Ochoa

Open Educational Resources - Books

This book focuses on essential concepts and skills related to professional mobility in nursing practice, supporting the curriculum of the NURS 3301 course.

Review Of Age-Related Trends Of Infection Among People Hospitalized For Infection With Concurrent Substance Use, Julia Catherine Lucia Gregorio

Honors Theses and Capstones

Abstract

Background: Opioids and related injections are the most common drug associated with infection (Capizzi et al., 2020). Overall, data overwhelmingly shows infection and overdose rates on the rise in recent years (Kaiser Family Foundation, 2019).

Methods: The aim of this study was to identify trends between age and concurrent infection rates related to substance use from 2012 to 2019. This quantitative study utilized data from the NH Hospital Discharge Summaries (Office of Health Statistics, 2021). Specifically, trends among three age groups (young adults (18-34), middle-aged (35-54), and older adults (55+)) who were admitted to an inpatient unit or the …

Enhancing Peripheral Intravenous Line Maintenance Practices Among Nurses In A Critical Care Setting: A Quality Improvement Project, Jaylene Velasquez

Honors Theses and Capstones

Abstract

Background: One of the major risks of infection lies in a patient’s intravenous (IV) access. On a cardiac intensive unit, a Levell II trauma center, preventing adverse events (i.e. infections, sepsis, etc.) is essential within this unit due to the nature of these health conditions. To ensure patient safety, nurses must abide by evidence-based practices and facility guidelines regarding intravenous line management. This quality improvement (QI) project implemented interventions to enhance nursing practices for peripheral intravenous therapy.

Methods: This project included statistical analysis and audits to measure the impact of the interventions. The variables being observed in this project …

Nurses’ Perceptions Of Culturally Competent Care At The Bedside, Judith Cox

Walden Dissertations and Doctoral Studies

The population served by health care systems in the United States is widely diversified, which requires nurses to be culturally competent in their care practices. However, studies have shown that nurses do not consistently deliver culturally competent care. This basic qualitative study was designed to explore nurses’ perceptions of cultural competence at the bedside to understand what is needed to improve cultural competency practices. Campinha-Bacote’s conceptual framework for cultural competency was used to guide this study that included face-to-face, videoconference interviews using semi structured and open-ended questions from 13 voluntary, acute care bedside nurses. Interviews were audio recorded and uploaded …

Retention Strategies For The Current Nursing Workforce, Jennifer Higgins

Walden Dissertations and Doctoral Studies

Retaining a robust nursing workforce is essential to care delivery. As the generation gap in the nursing field widens, retention strategies that align with the current nursing workforce must be considered. Rapid turnover is a looming concern as baby boomers retire and millennials become the leading generation in the nursing workforce. Nurse leaders must identify and deploy strategies that will provide a meaningful work environment to retain nurses in this majority group. The purpose of this project was to address the gap in practice of rising turnover, low nurse engagement, and reliance on premium labor to deliver care. The sources …

Healthcare Education Leaves The Hills: Frontier Nursing University’S Move From Appalachia, Hannah Haksgaard

Faculty Publications

Rural communities lack maternity and childbirth services, and access is getting worse. Despite the serious need for more rural-focused childbirth services, Frontier Nursing—the most famous rural-focused childbirth healthcare provider and educator—recently left the historic rural location it had called home since its inception nearly a century ago. Frontier Nursing, established in the Appalachian Mountains in 1925, initially provided nursing and midwifery care focused on the residents of Leslie County, Kentucky, and in 1939 established a school in Leslie County to train future rural nurse-midwives. Despite success over nearly 100 years deep in the remote and rural Appalachian foothills, Frontier Nursing …

Increasing Nurses’ Knowledge Of Richmond-Agitation Sedation Score Assessment And Documentation Through Education, Kara Jeanne Beaulieu

Walden Dissertations and Doctoral Studies

Patients in the intensive care unit (ICU) are critically ill and faced with numerous physical and psychological stressors that often require a multidisciplinary approach to improve outcomes and relieve suffering. Patients are given sedation to tolerate invasive treatments and procedures. Using the Richmond-Agitation Sedation Score (RASS), nurses assess objective findings and the level of sedation a patient is experiencing, and titrate sedation according to an ordered RASS score. Ineffective and inaccurate use of the RASS score leads to patients being oversedated and demonstrates a lack of understanding of how to appropriately use the RASS score assessment tool. The purpose of …

Promoting A Culture Of Self-Care: Application Of A Caring Science Framework To Prevent Nursing Faculty Burnout, Angela M. Braswell

DNP Scholarly Projects

BACKGROUND: Threats to nurses’ well-being from chronic workplace stress often leads to burnout. Lack of self-care contributes to nursing faculty burnout due to the inability to maintain well-being. Emerging evidence points to theory guided self-caring practices as effective coping strategies to manage the negative effects of workplace environments on well-being.

METHODS: This quality improvement project aimed to provide nursing faculty and staff in the academic workplace with opportunities to cultivate and enhance self-care practices to promote overall health and well-being following principles of Caring Science and Jean Watson’s 10 Caritas Processes^®. A multifaceted set of interventions were provided: …

Examining The Impact Of A Protein Intervention To Improve Outcomes In Frail Perioperative Candidates: A Feasibility Study, Anna M. Rose

DNP Projects

Background: Frailty is a syndrome or grouping of clinical characteristics that collectively increases one’s vulnerability to acute and external health stressors. Higher rates of frailty are present in oncology surgical patients and is a predictor of postoperative complications, as well as increased morbidity and mortality. Long- and short-term survival of surgical oncology patients is worse in frail patients than robust patients. Prehabilitation interventions during the planning phase of surgical intervention may serve to mitigate already known health concerns prior to inflicting the stressor that is surgical intervention.

Purpose: To measure the feasibility of an educational prehabilitative nutritional intervention aimed at …

Exploring Moral Distress, Ethical Climate, And Psychological Empowerment Among New Registered Nurses, Luz Bruel Mauro

Walden Dissertations and Doctoral Studies

Moral distress in nursing has been an issue for decades and has consequences on nurses’ physical, emotional, and psychological well-being. Nurses in different settings experience a high intensity and frequency of moral distress particularly in intensive care units (ICU), but few studies have examined the moral distress of non-ICU nurses. The purpose of this 3-manuscript dissertation was to assess the frequency and level of moral distress, ethical climate, and psychological empowerment among new registered nurses (NRNs) who work in non-ICU settings. The conceptual framework of Jameson's moral distress guided this study. Twenty-three NRNs with fewer than 3 years of experience …

Nurses’ Perceptions Of Their Role Utilizing Eat, Sleep, Console, In The Management Of Neonatal Abstinence Syndrome, Cerys Eldred

Honors Theses and Capstones

Background: There is a rising prominence of infants being born and diagnosed with Neonatal Abstinence Syndrome (NAS) in the United States. In recent years, a new non-pharmacological method of managing these infants called Eat, Sleep, Console (ESC) has emerged. While there is mounting evidence demonstrating the positive outcomes for infants treated with this method, there is limited research regarding nurses’ perceptions of this new intervention. This study seeks to understand the nurse’s experience and role during caring for infants with NAS utilizing the ESC method in comparison to the past practices.

Methods: This study used a qualitative descriptive design to …

Professional Values Among Bsc Nursing Students And Their Perception Of The Status Of Nursing As A Profession, Joselin Mariet

Manipal Journal of Nursing and Health Sciences

ABSTRACT

Professional values are the values reflected in our relationship with clients, colleagues and the significant others. The ‘Code of Ethics’ for nurses provide directions for relationship of nurses to clients, community and the profession and it delineates the fundamental values of professional nursing. Objectives: To describe and correlate the professional values of B Sc Nursing students and their perception on status of nursing as a profession; to compare the professional values and perceptions of I, II, III and IV year students; to find out the relationship of professional value and perception scores of students with their socio-economic status. …

An Educational Program To Enhance Knowledge And Communication For Nursing Staff Who Care For Dementia Patients, Behnaz Mohammadi

Walden Dissertations and Doctoral Studies

AbstractDementia is a progressive chronic disease that requires skilled nursing care. Staff at a skilled nursing facility were not using best practices to prevent and manage the psychological and behavioral symptoms of dementia. The purpose of this DNP project was to implement a dementia care education to address this gap in knowledge. The question for the evidence-based educational project was whether the program increased knowledge, promoted positive attitudes, and increased confidence in dementia care staff. A 5-hour workshop was presented in person, twice in two weeks. The person-centered care model served as a framework for the project. Nursing staff (N …

Themes And Associations Concerning The Covid-19 Pandemic: Autoethnography, Amber Mcgannon, Ebunoluwa O. Adedeji

Williams Honors College, Honors Research Projects

Per the college of nursing, my proposed project will discuss living during uncertain times and unusual times of change. This APA formatted paper will be an autoethnography, meaning that we will review the perspectives of COVID through the lens of culture, research, and our own perspectives and experiences. Everyone has experienced changes during the COVID-19 pandemic due to self-isolation. Examples of change include changes in learning, working, thinking, teaching, and behaving. Using acquired nursing skills such as critical thinking, reflection, inquiry, and evidenced-based practice; my partner and I will dissect and discuss these changes and how they have affected ourselves, …

Generational Differences In Nursing Turnover, Adam Bennett

Walden Dissertations and Doctoral Studies

Nursing is currently the largest job category in U.S. health care requiring proper recruitment and retention of nurses. As the current generation of nurses ages out of the workforce due to retirement, new nurses will need to cover the gaps in the workforce. The purpose of this quantitative correlational study was to examine the relationship between voluntary turnover, involuntary turnover, and career change among nurses who were born between 1980 and 1995 (Millennials) and those born between 1965 and 1979 (Generation X). The theoretical framework was Mannheim’s theory of generations. Secondary data were collected from exit interviews with 811 respondents …

Mennonite College Of Nursing Annual Report, Fiscal Year 2022, Judy Neubrander

Annual Reports - Mennonite College of Nursing

Annual report of the Mennonite College of Nursing at Illinois State University

Implementation Of An Advanced Training Program To Increase Nurses’ Knowledge Of Continuous Renal Replacement Therapy Management, Shane M. Brost

Graduate Theses, Dissertations, and Problem Reports (ETD)

Background: Continuous renal replacement therapy (CRRT) is a complex, life-preserving treatment for unstable patients who require hemodialysis in the intensive care unit (ICU). Nurses responsible for managing the CRRT machine in this large academic medical center’s cardiovascular ICU (CVICU) complete a one-hour basic training course focused on setting up the machine, responding to basic alarms, and changing out the CRRT circuit when necessary. Staff nurses, advanced practice providers (APPs), and nursing administrators agree that training is insufficient. Research evidence supports rigorous staff training as essential to improving the quality of CRRT delivery. Purpose: This Doctor of Nursing Practice (DNP) project …