Nursing Commons^™

Podium Presentation: Or Nurses Psychological Well-Being And Redeployment During The Covid-19 Pandemic, Joy Lanfranchi, Trisha Saul, Ross Bindler

2022 Providence Nurse Research Conference

Background: Throughout the COVID-19 pandemic, Operating Room (OR) nurses were redeployed to patient care units during times of maximal surge capacity in hospitals caring for patients with the novel coronavirus. Hospital bed and staffing needs caused hospitals to cancel elective surgeries, allowing for conservation of bed space and nurses to accommodate the patient influx. Despite the highly specialized nature and skill set of OR nursing, OR nurses were expected to function in traditional patient care roles, where levels of self-assessed competence vary based on experience and training. There is a paucity of literature on the psychological impact of redeployment of …

Phd And Dnp Roles: Building A Culture Of Clinical Scholarship, Jamie Roney, Joann Long, Emelia C. Garcia, Sherri Mendelson

2022 Providence Nurse Research Conference

No abstract provided.

High Reliability Through Charge Nurse Huddles: Improving Communication To Decrease Absenteeism, Audra Ellis Overman

2022 Providence Nurse Research Conference

Abstract:

It is important we show staff we as leaders are listening to their concerns and frustrations. Lack of communication with immediate supervisor is a cause of absenteeism among nurses, and that absenteeism leads to decreased quality of care, disrupted work routines, and increased workload for staff that are present. Communication is a proven tool to help develop teamwork, reduce absenteeism, and manage conflicts. Staff commitment to the workplace can be increased by management working toward a democratic style of supervision with increased open communication to decrease staff absenteeism. Absence of or poor communication creates a negative work environment and …

Oral Care To Prevent Non-Ventilator Hospital Acquired Pneumonia, Rosemary Timmerman, Bonnie Barnard, Emily Anderson

2022 Providence Nurse Research Conference

No abstract provided.

Utilizing The Nurse's Voice To Improve Engagement During The Covid-19 Pandemic, Kathryn Webster, Sheila Linehan, Luzbel Diaz, Wendy Lu

2022 Providence Nurse Research Conference

No abstract provided.

Severe To Very Severe Hypertriglyceridemia Management, Lauren Johnston, Rachel K. Bennings

2022 Providence Nurse Research Conference

Background: HTG-induced acute pancreatitis (HTG-IAP) is the third most common cause of pancreatitis, accounting for approximately 14% of cases. Knowing best care practices and having protocols to care for this patient population is imperative. Nurses working on the frontline of care noticed an increase in patients with HTG-IAP being admitted to their critical care unit, thus looking for an answer to how to best care for them became crucial. Nurses sought to find an answer to what evidence-based care delivery to this patient population is available in peer-reviewed literature.

Purpose/aims: Investigators sought to answer the question, “In adults (>18 …

Effects Of Mindfulness Stress Reduction Program On Nurses: An Integrated Research Review, Gisele Nicole Bazan

2022 Providence Nurse Research Conference

Background/Purpose:

Prevalence of nurse burnout can be as high as 40% (Duarte & Pinto-Gouveia, 2016). Variations of mindfulness-based interventions (MBI) have been utilized to combat burnout among nurses. Many studies utilize an adapted version(s) of the eight week mindfulness-based stress reduction (MBSR) course develop by Dr. Kabat-Zinn, which aims to aid in the improvement of mindfulness through practice of linking one’s physical and mental state in a nonjudgmental way (Ghawadra et al., 2019). Multiple instruments to measure levels of burnout and other psychological effects job stressors may have on nurses have also been applied. Higher levels of burnout have been …

Effects Of Compassion Fatigue In Critical Care Nurses On Retention: An Integrative Research Review, Kelsey Sawyer

2022 Providence Nurse Research Conference

No abstract provided.

Differences In Nutritional Profile Of 12-Hour Registered Nurses Who Do And Do Not Take At Least 60 Minutes Of Scheduled Breaks, Rachel Faulkner, Teresa Bigand, Marian Wilson, Lois James, Ross Bindler, Charis Williams

2022 Providence Nurse Research Conference

No abstract provided.

Optimization Of Transfusion Administration Process: A Quality Improvement Project, Nannette Berg, Jennifer Togioka

2022 Providence Nurse Research Conference

BACKGROUND:

Transfusion of blood products (transfusion) occurs infrequently for most nurses yet is a high-risk procedure for patients. To ensure patient safety, Centers for Medicare and Medicaid Services (CMS) and The Joint Commission (TJC) created regulatory standards for transfusion administration and documentation. To meet regulatory standards, transfusion events require documentation of all six critical steps and nurse leaders must monitor compliance with regulatory transfusion documentation, taking action when rates are suboptimal. Yet, transfusion documentation in the electronic health record (EHR) has been described as fragmented, confusing, and devoid of built-in prompts to facilitate completion. Checklists can organize tasks with multiple …

Evolving Opioid Administration Practices Among Adults Hospitalized With Cellulitis: An Evidence-Based Practice Project, Nonna Dobyns, Teresa Bigand, Kenn Daratha, Denise Ogorek, K Colorafi

2022 Providence Nurse Research Conference

No abstract provided.

Employing Strategies To Increase Ebp Competency In Frontline Nurses While Aligning Nursing Skills With Current Evidence: A Quality Improvement Project, Stacey Spradling, Jamie Roney

2022 Providence Nurse Research Conference

Background: Clinical nurses are required to demonstrate expertise for diverse patient conditions while balancing efforts to improve both staff satisfaction and clinical outcomes. Nurse leaders must implement and measure the effectiveness of strategies to empower nurses to maintain clinical competence for themselves and their peers to ensure the highest quality of evidence-based care is delivered at the earliest patient touchpoints reliably and consistently.

Purpose: The purpose of this quality improvement project was to engage direct care nurses as skills “champions” to improve the clinical skills of nurses working in a resource pool in a large urban hospital.

Methods/Approach: Clinical …

Converting Clinical Orientation Materials From Paper To Electronic: A Quality Improvement Project, Megan Bowles, Abby Lust, Teresa Bigand

2022 Providence Nurse Research Conference

Background:

In one region including 4 hospitals, acute care nurses historically met with professional development practitioners (PDP) and received binders containing printed, specialty-specific policies and a competency checklist (required to be signed and returned to the nurse leader) upon new hire or transfer. Creating physical orientation packets is costly, time-consuming, and restricts the ability to share appropriate orientation materials in the event of a PDP sick call. Real-time communication between the orientee, preceptor, PDP, and nurse leader regarding status of the competency checklist cannot occur with a physical binder. Providing electronic onboarding materials is a potential solution.

Purpose:

To …

The Development Of Maternal Medication Assisted Treatment Learning Modules, Katie Nadalsky, Rebecca Penders

2022 Providence Nurse Research Conference

No abstract provided.

High Dose Opioid Administration For Adults Hospitalized With Acute Pancreatitis, Sharaya Hundeby, Brenda Senger, Teresa Bigand

2022 Providence Nurse Research Conference

No abstract provided.

Improving Icu Liberation Bundle Documentation, Arianna Barnes

2022 Providence Nurse Research Conference

No abstract provided.

Nurse-Led Screening, Brief Intervention, And Referral To Treatment (Sbirt) For Patients With Alcohol Use Disorder (Aud) In An Inpatient Setting, Angela Winter, Sandra Benavides-Vaello

2022 Providence Nurse Research Conference

No abstract provided.

Medication Administration Error Reporting And Just Culture: Ana And Nln Perspectives, Venisa Morgan, Janice Miles

2022 Providence Nurse Research Conference

Background: Former Vanderbilt University Medical Center nurse, RaDonda Vought, was charged with criminally negligent homicide in March 2022 for a fatal drug error. Ms. Vought’s license was revoked and she was sentenced to three years of probation.

Purpose/aim: This poster presentation aims to inform attendants of the ethical principles involved in medication administration error reporting and the concepts of a Just Culture. This poster also aims to inform attendants of the American Nurses Association’s (ANA’s) and National League for Nursing’s (NLN’s) perspectives on the RaDonda Vought case, outcomes, error reporting, and Just Culture.

Methods/Approach: A search was completed for the …

Identifying Skin Integrity Issues In The Post Anesthesia Care Unit: A Qualitative Improvement Project, Lori Patten

2022 Providence Nurse Research Conference

No abstract provided.

Will Apfel Score Awareness Among Caregivers Improve Postoperative Nausea And Vomiting (Ponv) Incidence And Management In Day Surgery?, Leni Alejo, Cherry De Guia, Cassandra Luck-Bird, Cynthia Rodriguez, Lilibeth Paloso, Gillian Ramirez, Deborah Graham

2022 Providence Nurse Research Conference

Background: Evidence supports Apfel Simplified Risk Score (SRS) as being effective in predicting postoperative nausea and vomiting (PONV) in patients following general anesthesia. Raising awareness of a person’s risk for PONV allows for prescription of antiemetics based on the Apfel SRS. Clinical Practice Guidelines (CPGs) for the management of PONV highlight first identifying patients’ risk to better manage anesthesia side effects. A team of nurses working in a tertiary hospital in Texas led a project using the Apfel SRS to improve PONV management.

Purpose: To raise awareness of patients' PONV risk perioperatively to improve patient outcomes of PONV events, prophylactic …

Assessment Of Trauma-Informed Care Knowledge Among Caregivers In An Inpatient Mental Health Unit, Katie Rhea, Loni Conley, Jeremy Williams, Kathryn Wiltfong, Teresa Bigand

2022 Providence Nurse Research Conference

Background: Research suggests exposure to traumatic events is extremely common. Furthermore, risk of developing chronic health conditions or engaging harmful behaviors such as substance use later in life increases with more frequent exposure to traumatic events, especially during childhood. Best evidence recommends delivery of health care using a Trauma Informed Care (TIC) approach to improve outcomes such as anxiety or depression. This care approach guides healthcare providers on interactions with patients centered on the tenets of (1) safety, (2) trustworthiness, (3) peer support, (4) collaboration, (5) empowerment and choice, and (6) cultural, historical, and sex issues. On one inpatient …

From Imaging To Treatment: Collaboration Optimizes Thoracic Oncology Care, Lauri Ledbeter, Kim Ward, Jana Jensen, Rebekah Hart

2022 Providence Nurse Research Conference

References

Cone, EB., Marchese, M., & Paciotti, M., Nguyen, D., Nabi, J., Cole, A., Molina, G., Molina, R., Minami, C., Mucci, L., Kibel, A. Trinha, Q. (2020). Assessment of time-to-treatment initiation and survival in a cohort of patients with common cancers. JAMA Network Open, 3(12), e2030072. https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2774101

Global Cancer Observatory. (2020, December). Cancer Today: Lung. World Health Organization: International Agency for Research on Cancer. https://gco.iarc.fr/today/data/factsheets/cancers/15-Lung-fact-sheet.pdf

Hall, H., Tocock, A., Burdett, S., Fisher, D., Ricketts, W., Robson, J., Round, T., Gorolay, S., MacArthur, E., Chung, D., Janes, S., Peake, M., & Navani, N.(2021). Association between time-to-treatment and outcomes …

Podium Presentation: Differences In Exercise Patterns Among Day And Night Shift Nurses During Covid-19 Surges, Randy Sanoff, Teresa Bigand, Elena Crooks, Katie Carroll, Mary Halabi

2022 Providence Nurse Research Conference

Background: Registered nurses (RN) working in acute-care hospitals during the Covid-19 pandemic reported unprecedented stress. Walking between 7000-10,000 steps each day offers positive benefits such as improved mood, reduced stress, and reduction in overall mortality risk. Additionally, the American College of Sports Medicine’s (ACSM) Physical Activity Guidelines recommends adults should engage in 75 -150 minutes per week of moderate to intense activity for health benefits. Yet, some research suggests that number of steps taken per week decreased and time spent sedentary increased during the first year of the onset of COVID-19 compared to the year prior. Among nurses working full-time …

Podium Presentation: Improving Healthcare Provider Documentation Of Patient Gender Identity & Sexual Orientation: A Quality Improvement Project, Meghan Fitzpatrick

2022 Providence Nurse Research Conference

No abstract provided.

Podium Presentation: Using An Existing Clinical Practice Guideline To Develop And Implement An Adult Ecmo Program During A Global Pandemic, Brandy Pitts, Midge Vaughan, Jamie Roney

2022 Providence Nurse Research Conference

No abstract provided.

Podium Presentation: Reignite: Fighting Burnout With A Virtual Resiliency Program For Nurse Leaders, Michelle C. Stemley

2022 Providence Nurse Research Conference

No abstract provided.

Podium Presentation: Influence Of A Formal Mentor On Hospital-Based Nurse Research Resources And Outcomes Across Providence Health System, Trisha Saul, Teresa Bigand, Marietta Sperry, Carrie Doyle, Jamie Roney, Sherri Mendelson

2022 Providence Nurse Research Conference

Background: Magnet® status is a highly sought-after award validating a healthcare organization’s commitment to a sustainable nursing culture of excellence. One requirement includes having nurses conduct a minimum of three research studies as principal investigators within each 48-month review period. Additionally, research dissemination activities such as publication of study findings are required. Because research skills are not taught in traditional prelicensure nursing programs, Magnet® research requirements have incentivized healthcare organizations in pursuit of designation to strengthen research infrastructure.

Purpose: To characterize relationships between a nurse research mentor, Magnet® designation, and nursing research-related resources in a 53-hospital health system.

Approach: Infrastructure …

Podium Presentation: Nursing And Environmental Stewardship: Exploring Nurse-Sensitive Environmental Indicators, Elizabeth Schenk, Sarah Johnson

2022 Providence Nurse Research Conference

No abstract provided.

Podium Presentation: Millennial Hospital Nurses Experiencing High Burnout And Turnover Risk During A Pandemic, Dana N Rutledge, Elizabeth Winokur, Sarah Douville

2022 Providence Nurse Research Conference

No abstract provided.

Podium Presentation: Broadening The Lens: How Using A Multidisciplinary Approach To Increase Cultural Competency In Nurses, Joann Long

2022 Providence Nurse Research Conference

Background: Cultural competence is central to the development of healthy nurse-patient relationships. Considered an essential standard of professional practice for nursing and multiple disciplines world-wide, the use interdisciplinary materials from anthropology, philosophy and theology broaden the lens through which students can critically think about human diversity. The online course in Cultural Diversity was revised to enhance the cultural competence of nurses enrolled in an RN-BSN program of study. Drawing on global research conducted by cultural anthropologists provides students with a global look at key cultural concepts through which national cultures may be better understood. Video interviews with nursing theorist and …