Nursing Commons^™

Comprehensive Pain Assessment For Veterans In Long-Term Care., Christopher Jenkins

Doctor of Nursing Practice Papers

Background Literature supports the need for comprehensive pain assessment (CPA) in long-term care facilities. CPAs provide valuable information for facility providers and health care staff to intervene appropriately regardless of cognitive ability. Without the use of such tools, pain can go undertreated or ignored for this underserved population causing undue suffering and poor quality of life. Chronic pain perpetuates an endless cycle of immobility, falls, injury, functional decline, and eventual death for this population.

Purpose: A CPA was implemented, evaluated, and integrated into the care processes in a long-term care facility for veterans

Method: The IHI improvement model with a …

Impact Of Palliative Care Screening Process Implementation Among Intensive Care Unit Registered Nurses., Logan Marie Griffith

Doctor of Nursing Practice Papers

Background: Palliative care is specialized care for individuals living with serious illness(s), focusing on providing symptom relief and improving quality of life (Center to Advance Palliative Care, 2020), but not all hospitals have a process to assess for palliative care needs.

Significance: Without a well-defined process for assessing patients’ readiness for palliative care, patients’ needs may not be consistently met. Approximately only 14% of people worldwide who need palliative care services receive this care (World Health Organization, 2020).

Purpose: The purpose of this quality improvement project was to implement a palliative care screening process to identify patients with palliative care …

Malignant Hyperthermia, Shannen Steinbrunner

Nursing Student Class Projects (Formerly MSN)

This poster aims to investigate the concept of malignant hyperthermia (MH). MH is a rare and fatal skeletal muscle reaction that can progress rapidly, especially if advanced practice nurses do not recognize the symptoms or know how to treat them (Hopkins et al., 2021). This hypermetabolic disorder has predisposing factors that should alert APRNs to avoid specific trigger agents such as volatile anesthetics and succinylcholine (Rosenbaum & Rosenburg, 2022). Genetic predispositions also play a significant role in the etiology of MH (Hopkins et al., 2021). Viewers will learn why dantrolene is the medication of choice for MH and why symptoms, …

Pathophysiology Of Pulmonary Hypertension, Kayla Thomsen

Nursing Student Class Projects (Formerly MSN)

Abstract

Understanding the pathophysiology behind various diseases is essential for nursing, especially those in advanced practice roles such as nurse anesthetists. Pulmonary hypertension (PH), characterized by vasoconstriction, vascular remodeling, and thrombosis, has a complex physiological process and a vast compilation of patient considerations (Sarkar & Desai, 2018). PH affects up to fifty million people worldwide, with 1-year survival rates of 90.4% and 5-year survival rate of 65.4%, further solidifying the importance of understanding the disease for quick diagnosis and treatment (Bandyopadhyay et al., 2021). Diagnosis of PH is often delayed, with some patients experiencing symptoms up to two years before …

Perioperative Management In Patients With Chronic Obstructive Pulmonary Disease, Jonathan Wagner

Nursing Student Class Projects (Formerly MSN)

Introduction: Chronic obstructive pulmonary disease (COPD) results in three million deaths a year globally; COPD is becoming the third leading cause of death worldwide (Shin et al., 2017). The prevalence of COPD has a significant impact on the delivery of anesthesia in surgery.

Purpose: This poster analyzes risk factors associated with COPD and the complications associated with the disease. The implications and nursing considerations are outlined to direct goals of care and ventilator management during surgery.

Methodology: The data was collected from various control trials and meta-analysis studies. Information was also derived from pathophysiology and anesthesia resources.

Results: Patients …

Acute Kidney Injury In Perioperative Patients, Matthew Hall

Nursing Student Class Projects (Formerly MSN)

In the surgical setting, caring for a patient in the operative and postoperative phases require perioperative care providers to be attentive to risk factors that can lead to potential harm. Of all the possible complications of surgical cases, acute kidney injury is more common than others. Acute kidney injury (AKI) is kidney function that abruptly declines over a few hours or days, increases serum creatinine, causes a period of oliguria, and has three levels of severity (Zarbock et al., 2018, p.1236-1237). Risk factors predispose patients to AKI, including age, diabetes, cardiac failure, previous history of AKI, sepsis, and many more. …

Congestive Heart Failure, Ostap Dvorakevych

Nursing Student Class Projects (Formerly MSN)

Abstract

Ostap Dvorakevych

Department of Nursing, Otterbein University

NURS 6810 – Advanced Pathophysiology

Dr. Batross & Dr. Bhatnagar

July 29, 2022

Abstract

To provide the highest quality care, multidisciplinary clinical teams in critical care settings must understand the pathophysiology of the patient conditions they encounter. Congestive heart failure (CHF) is an example of such a condition. CHF is “an abnormality of the myocardial function responsible for failure of the heart to pump blood at a rate commensurate with the requirements of the metabolizing tissue...a condition in which the heart fails to maintain an output sufficient for the needs of the …

Osteoarthritis (Oa), Ashley Smith

Nursing Student Class Projects (Formerly MSN)

Osteoarthritis (OA) is the most common type of arthritis that millions of people struggle with in their day to day lives. OA is often observed in an outpatient pain management setting as it is considered an unavoidable disease process expected in aging individuals. OA is a costly, painful, and debilitating disease. OA goes further than physically limiting patients, it can even affect mental and emotional stability. Although there is not an available cure for OA, there are many preventative manageable treatment options available. Education, evaluation and management of OA is important to be knowledgeable about in order to help patients …

Hypertension-A Global Epidemic, Marie Tanyi

Nursing Student Class Projects (Formerly MSN)

Hypertension is a major cause of premature death and a leading cause of cardiovascular diseases globally. Heart diseases, renal failure, stroke, premature deaths, and disability mostly if not all contribute to the cardiovascular burden and thus pose a public health issue worldwide. The trends in hypertension are similar globally with a high prevalence noted in low and medium-income countries. Studies have identified smoking, unhealthy diet, physical inactivity, alcohol consumption, overweight or obesity, and sedentary lifestyle as modifiable risk factors in these populations. However, hypertension remains a substantial public health concern despite providers’ engagement in multi-component hypertension treatment and patient involvement …

Electronic - Cigarettes And Anesthesia Implications, Duane Robinson

Nursing Student Class Projects (Formerly MSN)

Electronic cigarettes (ECs) became available in the United States in 2007. They were originally marketed as a safer alternative to smoking (Arndt et al., 2020). The number of users has exceeded 14M people in the U.S. (Bulat et al., 2022). ECs are not as regulated as tobacco cigarettes. The levels of nicotine in the e-liquid vary significantly and the Federal Drug Administration (FDA) does not regulate the non-nicotine ingredients in e-liquid (Krishna et al., 2020). The vapor from ECs contains heavy metals, volatile hydrocarbons, and over 70 carcinogenic substances. Lung damage from EC use has created a new respiratory ailment, …

Self-Compassion And Perceived Readiness For Practice Among Baccalaureate Nursing Students: A Mixed-Methods Study, Laurie A. Walter

Dissertations

There is increasing concern about how nursing students’ psychological health will impact their future nursing practice. The COVID-19 pandemic has enhanced these concerns. Nurse educators are being challenged with preparing nursing students to provide compassionate, patient-centered care despite the stress and psychological challenges of today’s healthcare environment. Self-compassion is a practice of mindfulness, self-kindness, and common humanity which positively influences and predicts psychological health. The purpose of this study was to explore the relationship between self-compassion and perceived readiness for professional practice among undergraduate nursing students.

A convergent mixed-method design utilizing correlational and directed content analyses explored this relationship. The …

Predictors Of Engagement In Nursing Professional Practice: Transforming Organizational Culture In The Post-Covid Healthcare Environment, Jennifer Garnand

Dissertations

Cultivating the shared belief that individuals matter within an organization enhances the empowerment of staff and supports enthusiastic engagement in organizational efforts aimed toward a common mission, vision, and goals (McShane & Von Glinow, 2019). The nursing profession has been plagued by an unprecedented decrease in engagement and diminished job satisfaction, particularly following the prolonged tenure of the COVID-19 pandemic, leading to subsequent attrition amidst a staffing crisis. This quantitative predictive correlational study seeks to determine whether proactive and persevering characteristics, professional identity, and passion of nurses are predictors of engagement in a post-COVID healthcare environment. The research was based …

An Investigation Of Anti-Intellectualism Among Nurses, Jamie Davis-Tubbs

Dissertations

Anti-intellectualism is often offered as an explanation for irrational actions, especially in the grips of uncertainty. The effects of the COVID-19 pandemic have uncovered the consequences of anti-intellectualism within the healthcare system. Nurses, the most identifiability trusted healthcare professionals, have been used to illustrate a healthcare paradox regarding COVID-19. The healthcare paradox presents nurses as highly trained healthcare professionals who do not believe in their own science and reject scientific expertise. Furthermore, nursing anti-intellectualism has been used to spread misinformation during a major health crisis. Yet, we do not know the depth in which anti-intellectualism exists within the nursing profession. …

Improving Confidence And Job Satisfaction In Emergency Nurses Through Teamstepps., Anna Moore

Doctor of Nursing Practice Papers

Problem Statement: New-graduate nurses (NGNs) are experiencing job dissatisfaction related to low communication confidence leading to high turnover rates and avoidance behaviors.

Purpose: To improve communication confidence and job satisfaction in NGNs through a nurse-led education session on emergency department (ED) communication techniques.

Methods: One online class lasting ~60 minutes was provided to educate NGNs on standardized emergency communication techniques. A pre-test post-test design was used with evaluations occurring before the education, immediately after, and 30 days later.

Results: Descriptive statistics were used to analyze the sample makeup. The Wilcoxon signed-rank test was used to calculate significant changes in communication …

It Takes Heart: Cardiovascular Disease Risk Reduction In The Underserved And Underinsured Population Of Louisville, Kentucky., Emily Storms Shutt

Doctor of Nursing Practice Papers

Abstract

Background: Cardiovascular disease is responsible for half a million deaths per year in the United States. Both the state of Kentucky and city of Louisville have statistics of the presence of cardiovascular disease that are higher than the national average.

Setting: This project took place at Have a Heart Clinic in downtown Louisville, Kentucky.

Purpose: The purpose of this project was to decrease CVD risk factors in Louisville’s underserved neighborhoods.

Procedures: A random sampling of patients attended the free CVD health screening. Cardiometrics were obtained and the information was inputted to the American College of Cardiology’s free atherosclerotic CVD …

Evaluating The Effects Of Mindstrong™ In Graduate Nursing Students, Syeda Shah

Dissertations

Abstract

Problem

A high rate of burnout and lack of resiliency is a major problem in nursing graduate students resulting in dropout and mental health issues. MINDSTRONG™ is an evidence-based cognitive behavioral skills-building program with the goal of building resiliency and decreasing burnout through coping skills to improve overall adult health and well-being.

Methods

A descriptive design using quantitative data analysis through pre, and post surveys was used. The surveys evaluated graduate nursing students’ burnout and resiliency after participating in MINDSTRONG™, a cognitive behavioral theory program, implemented by trained facilitators for seven sessions. The sample consisted of all six self-enrolled …

Effects Of Education On Correcting Misconceptions And Acceptance Of The Influenza Vaccination Among A College Campus, Travis E. Fairbanks

Doctor of Nursing Practice Scholarly Projects

Educating patients on the influenza vaccination is an important goal for health care providers. It fosters a working relationship between provider and patient and allows patients to make an informed decision on their health care needs. The percentage of individuals who receive the influenza vaccine in the United States has been consistently below goals set by the committee for Healthy People 2020. This DNP scholarly project aimed to determine whether the introduction of education was effective at increasing individuals’ choice to vaccinate against the influenza virus among college campus students. The study was a non-experimental, non-randomized control trial that utilized …

Implementing Faculty Development Modules To Increase Readiness For Addressing Social Determinants Of Health, Implicit Bias And Equity In Course Content, Claudia Ngafeeson

Doctor of Nursing Practice Scholarly Projects

Implicit bias is viewed as an unconscious and involuntary attitude that lies below the surface of consciousness but can influence behavior, and cognitive processes (Maina et al., 2018). Social determinants of health are considered to be the conditions in which people are born, grow, live, work, and age; these circumstances are usually shaped by the distribution of money, power, and resources at global, national, and local levels, which in turns determines the distribution of the value of medical care. Existing literature on implicit bias has been fragmented in different fields such as; cognitive psychology, business ethics, and higher education, but …

Reducing Rates Of Contrast-Induced Nephropathy In The Cardiac Catheterization Laboratory: A Program Evaluation., Sarah Schaefer

Doctor of Nursing Practice Papers

Background: Cardiac catheterizations use intra-arterial contrast media to view the coronary arteries. The use of contrast media can cause contrast-induced nephropathy (CIN). CIN is an abrupt deterioration in renal function that can occur up to 72 hours post-procedure. This diagnosis is associated with increased morbidity and mortality, increased hospital costs, and increased length of stay.

Setting: The project took place in a 432-bed urban facility located in the Midwest region of the United States.

Purpose: The purpose of this QI project was to evaluate if the implementation of an intravenous hydration protocol pre-, intra-, and post-cardiac catheterization decreases the occurrence …

The Haunted House Experience: Developing A Home Health Assessment Training Utilizing An Interprofessional, Interinstitutional Virtual Simulation, Angel Holland Dpt, Edd, Pamela Degravelles Phd, Rn, Debbie Knight Pharmd, Karen Dickinson Md, Kathryn Neill Pharmd, Duston Morris Phd, Wendy Ward Phd

Faculty Research ​and Publications

To meet the interprofessional education needs of students during the COVID-19 pandemic, universities transitioned to virtual options. For many universities, this transition was challenging and time-consuming. The Arkansas Interprofessional Education Consortium (ARIPEC) combined resources to create a novel learning experience for students with a focus on the skill of home assessment. An interinstitutional, interprofessional faculty project team was developed to create a learning experience, with each institution responsible for a portion of the virtual simulation development. This paper describes the process for creation and implementation of an interprofessional, interinstitutional virtual learning experience to support the growth of healthcare students across …

Assessment Of The Cleaning And Disinfection Practices Among Healthcare Workers In Intensive Care Units (Icus) Post-Patient Discharge, Tincy Varghese Ms, Radhika R. R Pai, Roseminu Varghese Mrs

Manipal Journal of Nursing and Health Sciences

Introduction: Patients being admitted to the intensive care unit (ICU) pose a risk of developing common healthcare acquired infections. Healthcare workers (HCWs) must be well-equipped and knowledgeable to deliver effective cleaning and disinfection protocols to reduce the chances of hospital-acquired infections. Objective: This study aimed to assess the knowledge and practice of cleaning and disinfection after the discharge/death of patients among the HCWs in selected ICUs. Methods: A cross-sectional descriptive survey was conducted in selected ICUs of a tertiary care hospital. A purposive sampling technique was used to select the participants which included 106 staff nurses and 47 housekeeping staff …

Education Regarding Advance Directives Improves The End-Of-Life Choices Documentation In Heart Failure Patients, Phebe Hagins Wright

Doctor of Nursing Practice Projects

Background: Heart failure affects the lives of more than 6 million people in the United States and outpatient heart failure clinics offer an opportunity to educate patients while providing evidence-based care. A needs analysis revealed that many heart failure patients do not have an advance directive (AD) on file.

Purpose: The DNP project aims to implement an educational program that provides the tools and knowledge to heart failure patients to assist patients in determining their end-of-life care goals and allow them to document these goals in the Five Wishes document.

Methods: This quality improvement project consisted of a didactic educational …

Implementing A Type 2 Diabetic Comprehensive Educational Website For Health Care Providers In A Rural Health Clinic, Jeanette Caddell

Doctor of Nursing Practice Projects

Background: Type 2 diabetes mellitus (T2DM) can lead to multiple health problems if not treated properly. Research has shown that if T2DM patients have proper education and continued follow-up care from their health care provider, their prognoses are better. The problem is many health care providers (HCP) lack knowledge in educating patients about T2DM.

Purpose: This study aimed to assess HCPs’ knowledge of evidence-based practice measures to educate patients diagnosed with T2DM and provide education via an educational website.

Methods: This quality improvement project consisted of a comprehensive educational website offered to HCPs to increase their knowledge base on educating …

Reflection Of Mentors And Mentees At Initiation Of Faculty Mentorship Program At Aga Khan University: A Perspective, Rehana Rehman, Fauzia Khan, Naila Kayani, Tazeen Saeed Ali

Department of Biological & Biomedical Sciences

Objectives: To explore perception of mentors and mentees about 'Mentorship Program at Aga Khan University Medical College (AKU-MC) from a structured feedback form.
Methods: A retrospective study was conducted for evaluation of mentorship program at AKU-MC during the period from Jan 2019 to March, 2021. Responses on validated "Pre-intervention Probe Forms", from forty-seven mentors and fourteen mentees inducted in the program were reviewed. Confidentiality and anonymity of data were deliberated. All replies to each question were entered in a separate worksheet to determine the frequency and percentage of answers. Responses conveying same message, but worded differently were then grouped.
Results: …

Views Of Nurses And Other Healthcare Workers On Interventions To Reduce Disrespectful Maternity Care In Rural Health Facilities In Kilifi And Kisii Counties, Kenya: Analysis Of A Qualitative Interview Study, Adelaide Lusambili, Jerim Obure, Stefania Wisofschi, Lucy Nyaga, Kennedy Mulama, Marleen Temmerman

Institute for Human Development, East Africa

Objective There is an abundance of evidence illuminating the factors that contribute to disrespectful maternity care in sub-Saharan Africa. However, there is limited documented evidence on how some of the key influences on the mistreatment of women could be addressed. We aimed to document the perspectives of nurses and other healthcare workers on existing and potential strategies embedded at the health facility level to promote respectful delivery of healthcare for women during delivery and on what interventions are needed to promote respectful and equitable treatment of women receiving maternity care in rural Kenya.

Design, setting and participants We analysed relevant …

Perioperative Risks Of The Patient With Heart Failure, Gabrielle Metoyer

Nursing Student Class Projects (Formerly MSN)

Perioperative Risks of the Patient with Heart Failure

Gabrielle Metoyer

Department of Nursing, Otterbein University

NURS 6810 – Advanced Pathophysiology

Dr. Deanna Batross and Dr. Shivani Bhatnagar

August 5, 2022

Abstract

According to the CDC (2020), heart failure occurs when the heart cannot pump enough blood and oxygen to support other organs in your body. Heart failure is an epidemic disease affecting 1-2% of the population worldwide (Schwinger, 2020). It is one of the leading causes of morbidity and mortality worldwide with an estimated 6.5 million adults with heart failure in the United States (Lo et al., 2021). Medical advances …

A Cross-Sectional Study Of Self-Perceived Educational Needs Of Emergency Nurses In Two Tertiary Hospitals In Nairobi, Kenya, Anthony Ndung’U, Eunice Ndirangu, Ahmed Sarki, Lilian Isiaho

School of Nursing & Midwifery, East Africa

Background: Many low- and middle-income countries lack resources for well-functioning emergency care systems. Emer- gency nurses interact with injured and critically ill patients as the first contact in many health care settings. However, insuffi- cient training limits nurses from providing ideal emergency care. The purpose of this research was to highlight educational needs specific to nurses working in 2 emergency departments in Nairobi, Kenya.

Methods: A descriptive cross-sectional study involving emer- gency units of 2 of the largest referral and teaching hospitals (Aga Khan University Hospital, Nairobi, and Kenyatta National Hospital) in Nairobi, Kenya, was conducted. Data were …

Assessment Of Exam Anxiety Level Among Students From Selected Educational Institutions With A View To Prepare A Self-Help Guide, Dr. Sunil Moothedath, Chithritha P J, Crislin Leen Mathew

Manipal Journal of Nursing and Health Sciences

Introduction: The determination and aim of education are to make all-round development of the human child. On the contrary to it, the real fact is that education alone is not capable of fulfilling all the aims of man in the modern age. The curriculum, teaching methodology, pattern of education, methods of discipline, teachers and teaching behaviour and methods of doing valuation, etc. also play a major role. There exists competition between the children as well as pressure from parents as well as from peers. In the present world, children do have different levels of anxiety before exams which may vary …

Establishing A New Graduate Nurse Peer Mentoring Program, Teresa Biediger Bowers

Doctor of Nursing Practice Scholarly Projects

Problem Statement: New Graduate Nurses (NGN) report increased stress, likely due to decreased confidence and social support (Frogeli et al., 2019). The most current NGNs are disadvantaged as much of their undergraduate clinical experience has been affected by the COVID-19 pandemic (Smith et al., 2021). At the end of their residency, information gathered from former NGNs suggested they feel they need "more support" during the residency. Purpose: The purpose of this quality improvement project was to determine if the addition of a peer mentor to the already existing nurse residency program would improve nurse confidence, job satisfaction, and intent to …

A Nursing-Driven Delirium Protocol, Alexandria Gray Bridges

Doctor of Nursing Practice Scholarly Projects

Problem Statement: Delirium is a common, often preventable, condition in hospitalized patients and is associated with increased complications, worse outcomes, increased risk of death, and increased health care costs. Purpose: The purpose of this project was to determine if, utilizing a nursing-driven, non-pharmacological intervention, based on the NICE Guidelines, can decrease the incidence of delirium. Methods: Using the Iowa Model of Evidenced Based Practice to Promote Quality Care (Iowa Model), an EBP project was implemented. Patients were identified as being at risk of delirium using The Confusion Assessment Method (CAM) and these patients received the non-pharmacologic intervention as part of …