Nursing Commons^™

Low Vs. High Patient Ratio Effects On Medical Errors, Katelynn Watkins Rn, Chris Strong Rn, Najmo Ali Rn

Nurse Residency

PICOT Question: This evidence-based practice project aimed to analyze; in acute-care settings how do variations in nurse-to-patient ratios when comparing low and high ratios, influence medical errors, patient outcomes and nurse outcomes?

Complementary Therapies For Chemotherapy Induced Side Effects In Oncology Patients, Alyssa Gravel Rn, Tori Welch Rn

Nurse Residency

PICOT Question: In oncological patients undergoing conventional treatment, what is the effectiveness of non-pharmacological interventions in treating side effects of chemotherapy and radiation?

Impacts Of Fluid Restriction In Heart Failure Patients, Monica Lopez Rn, Jacob Maxwell-Couch Rn, Jennifer Perry Rn, Barbara Shea Rn

Nurse Residency

PICOT Question: In hospitalized patients with heart failure does a fluid restriction versus liberalized fluid intake lead to improvement of heart failure symptoms?

Delirium Prevention Strategies In Hospitalized Patients, Julia Couture

Nurse Residency

In hospitalized patients do pharmacological interventions targeted to prevent or treat delirium reduce the incidence, severity or duration of delirium compared to non-pharmacological interventions during hospitalization?

Intermittent Auscultation Vs Electronic Fetal Monitoring In Laboring Patients, Nichole Plummer, Jennifer Kellerman

Nurse Residency

In healthy laboring women, how does the use of Intermittent auscultation, compared to continuous monitoring, affect fetal and maternal outcomes?

Enhancing Nurse Confidence And Efficiency In Chest Tube Management: Implementation Of A Structured Troubleshooting Checklist, Ashley Kever Bsn, Rn, Cmsrn

Nursing Publications, Posters, & Presentations

Presented at the 2024 Nursing Research Symposium

Background: Chest tube management is critical in pulmonary care, yet challenges arise with unexpected events such as air leaks, dislodgement, failed clamping trials, and tubing disconnections. Concerns raised by the Pulmonology team highlighted nurses' uncertainties and the frequent need for guidance during these events. This prompted the development of a troubleshooting checklist aimed at providing clear, step-by-step instructions for managing these scenarios. By following structured checklists, nurses can reduce the risk of errors, ensure adherence to best practices, and enhance patient safety. Objectives/Purpose: The primary aim of this quality improvement project was to …

Preventing Hospital-Acquired Pressure Injuries On Medical-Surgical Unit, Kayce Hamilton

MSN Student Capstones

No abstract provided.

Implementation Of The Ahrq Nurse Bedside Shift Report On A Progressive Care Unit (Pcu), Dawn Doud, Angie Shemwell, Sherri Butcher, Crystal Maxey, Tanner Doyle

Articles, Abstracts, and Reports

Implementation of the AHRQ Nurse Bedside Shift Report on a Progressive Care Unit

Objectives:

1. After reviewing this presentation participants will be able to understand how purposeful bedside report was implemented on a progressive care unit (PCU).

2. After reviewing this content participants will understand how bedside report impacted safety events and falls on the PCU.

Purpose/Aims:

Background: Advancing evidence-based practice at our hospital is one of the top priorities of our nursing strategic plan to achieve excellent patient outcomes. The PCU wanted to understand if implementing a nurse bedside shift report would impact safety events and fall rates on …

The Effects Of Care Handoffs And Hospital-Wide Flow, Abbey Siulinski Bsn, Kaitlyn Leavitt Rn, Ryan Pullen Bsn, Katie Schmid Bsn

Nurse Residency

PICOT Question: In admitted patients, do timely nurse to nurse reports vs delays in care handoff negatively affect patient care and outcomes?

Interventions To Improve Mental Health In New Graduate Nurses, Katherine Lewis Rn Bsn, Cordelia Inman Rn Bsn, Hannah Leclair, Caroline Spencer Rn Bsn

Nurse Residency

PICOT Question: In new graduate nurses (CN1), how does mental health support groups compared to no specific mental health support affect new nurses within the first year of hire?

Mental Fatigue And Self-Care In Informal Oncology Caregivers: A Descriptive Mixed Methods Study, Megan Wayne

MUSC Theses and Dissertations

Purpose:

This dissertation study aimed to enhance understanding of informal caregiver wellbeing by exploring the presence of mental fatigue, the relationships among mental fatigue, self-care, and informal oncology caregiver quality of life (QOL), and determining whether differences exist in self-care engagement and QOL between caregivers who report high and low levels mental fatigue.

Problem:

Healthcare is becoming increasingly reliant on informal caregivers for the management and care of individuals with serious illnesses such as cancer. Previous research has shown that informal caregivers routinely experience many negative effects as a result of providing care including decreased mental health and …

Early Mobilization In Mechanically Ventilated Icu Patients, Garrett Lafrance Bsn Rn, Jasmine Olshin Bsn Rn, Olivia Powers Bsn Rn, Lauren Baecher Bsn Rn

Nurse Residency

PICOT Question: In mechanically ventilated ICU patients, does early mobilization decrease length of ICU stay in comparison with patients on strict bedrest?

World Delirium Wareness And Quality Survey In 2023- A Worldwide Point Prevalence Study, Heidi Lindroth, Keibun Liu, Laura Szalacha, Giuseppe Bellelli, Mark Von Den Boogaard, Gideon Caplan, Chi Ryang Chung, Muhammed Elhadi, Mohan Gurjar, Gabriel Heras-La-Calle, Magdalena Hoffman, Marie-Madlen Jeitziner, Karla Krewulak, Tanja Mailhot, Alessandro Morandi, Ricardo Kenji Nawa, Esther S. Oh, Marie Oxenboell Collet, Rebecca Von Haken, Peter Nydahl, For The Wdad Study Team

Publications

Background

Delirium, an acute brain dysfunction, is proposed to be highly prevalent in clinical care and shown to significantly increase the risk of mortality and dementia.

Objectives

To report on the global prevalence of clinically documented delirium and delirium-related clinical practices in wards caring for paediatric and adult patients in healthcare facilities.

Design

A prospective, cross-sectional, 39-question survey completed on World Delirium Awareness Day, 15 March 2023.

Participants

Clinicians or researchers with access to clinical data.

Main Outcome and Measure

The primary outcome was the prevalence of clinically documented delirium at 8:00 a.m. (4 h) and 8:00 p.m. (±4 h). …

Essentials Of Genomics In Nursing Undergraduate Education: A Discussion Paper, Sarah L. Dewell, Kathleen A. Muglia, Letitia Y. Graves, Rachel Joseph, Kara L. Mangold, Laura Grayson Roselli, Anne L. Ersig, Trina K. Walker

College of Nursing Faculty Research and Publications

Aim

To map the 2021 American Association of Colleges of Nursing Essentials to the American Nurses Association Essentials of Genomic Nursing for all nurses and provide resources for nursing faculty to support the seamless integration of genomics into existing undergraduate curricula.

Background

Since the completion of the Human Genome Project in 2003, rapid advancements in genomic science leading to practical applications of genomics have revolutionized all areas of healthcare. Nursing is built on foundational life sciences, including genomics. As the largest segment of the healthcare workforce, who spend the most time with patients and families, nurses play a critical role …

Health Outcomes In Children With Prenatal Opioid Exposure With And Without Neonatal Abstinence Syndrome In The First Seven Years Of Life: An Observational Cohort Study, Joshua Lambert, Sara Arter, Henry Ofori Duah, Teenu Xavier, Jon E. Sprague

College of Nursing Faculty Research and Publications

Introduction Prenatal opioid exposure (POE) is a major public health consequence of the opioid epidemic. Long-term health outcomes associated with POE remain unclear, especially for children with POE without a diagnosis of neonatal abstinence syndrome (NAS). Here, we aimed to describe the health outcomes of children with POE and with POE and NAS compared to unexposed children during the first 7 years of life. Design In this retrospective observational cohort study, children born between 2015 and 2022 were identified from the Maternal and Infant Data Hub (MIDH), a data repository that continuously integrates maternal, neonatal, and pediatric records from two …

Inquire, Act, Empower: Resilience Strategies For Adolescent Mental Wellness, Brandy Carlisle Bsn, Rn

Nursing Publications, Posters, & Presentations

Presented at the 2024 Parkview Nursing Research Symposium.

Background/Problem: Adolescence is a pivotal period for mental health development, with many experiencing stressors that may contribute to the onset of mental health disorders. Research has identified key resilience factors that enhance mental well-being and mitigate the risk of these disorders. Translating this research into practical nursing interventions promotes mental wellness among adolescents.

Objectives/Aim/Purpose: This poster aims to explore evidence-based resilience factors in adolescents and present action-oriented nursing interventions that can be integrated into clinical practice to empower young individuals in maintaining mental wellness and preventing mental health disorders.

Methods: A systematic …

Prepping As An Inclusive Team For A Successful Tjc Site Visit, Erika Whetstone Msn, Rn, Cphq

Nursing Publications, Posters, & Presentations

Presented at the 2024 Parkview Nursing Research Symposium.

Background: Department rounds and leadership virtual meetings were being used to prep for an anticipated Joint Commission Re-accreditation survey. Preparation did not provide a robust frontline multifaceted approach for both non-clinical and clinical co-workers which posed communication and preparedness gaps. Purpose: To develop a multifaceted approach in coworker preparation for an upcoming Joint Commission Onsite Survey by increasing staff awareness, knowledge, and understanding of the survey process. Ultimately striving for decreased survey anxiety and citations received. Methods: Preparation was developed and implemented from a multifaceted approach to include both non-clinical and clinical …

When The Lights Go Out: Drill Your Way To Downtime Success, Krista Dreyer Msn, Rn, Cmsrn

Nursing Publications, Posters, & Presentations

Presented at the 2024 Parkview Nursing Research Symposium

Problem: The adoption of the electronic medical record (EMR) in healthcare facilities has significantly surged since the implementation of the Health Information Technology for Economic and Clinical Health Act in 2009. Despite advancements in electronic documentation, both planned and unplanned EMR downtimes pose substantial challenges. Such downtimes can disrupt clinical workflows, lead to delays in patient care and compromise the overall quality of services provided. Purpose: The aim of this project is to evaluate solutions for EMR downtime preparation that enhance staff confidence and minimize disruption of workflow during downtime events. Methods: …

Evaluation Of Shared Governance Perceptions At Parkview Health, Erin Lacross Dnp, Rn, Nea-Bc, Cenp, Jan Powers Phd, Rn, Ccns, Ccrn, Ne-Bc, Ebp-C, Fccm, Fcns, Faan, Mindy Flanagan Phd

Nursing Publications, Posters, & Presentations

Presented at the 2024 Parkview Nursing Research Symposium.

Background: Shared governance is a structure for clinical nurses to have a voice in decisions regarding practice and the practice environment. It is imperative to have a model that is inclusive of all nurses and allows for decision-making and accountability related to nursing practice. It is essential that nurses are empowered to make decisions at the point of care related to patient care decisions. Objective: The purpose of this study was to assess current state of shared governance councils at Parkview Health. Method: Data was collected using the Index of Professional Nursing …

Slay The Antibiotic Delay, Angela Shuch Asn, Rn, Lauren Meyer Bsn, Rn, Kristina Pavey Bsn, Rn, Gero-Bc

Nursing Publications, Posters, & Presentations

Presented at the 2024 Parkview Nursing Research Symposium.

Background: Rapid Response nurses are educated to respond to emergent situations and provides support to the patient care team, often intervening to prevent patient complications. These specialty nurses are repeatedly called to place an intravenous (IV) for scheduled medications when the bedside nurses is unsuccessful or hesitant to place one. Prioritizing IV starts compete with emergent patient situations which frequently cause retiming of IV antibiotics. Objectives/Aim/Purpose: The purpose of this quality improvement project was to prevent IV medication delays including re-timing. Methods: Nurses were surveyed and identified reasons for delays and re-timing …

Reframing Burnout: Measuring “Altruistic Execution” To Understand Nurse Burnout, Jacqueline Christianson, Abir K. Bekhet, Jill L. Guttormson, Maharaj Singh, Norah L. Johnson

College of Nursing Faculty Research and Publications

Background:

Many nurses join the profession because they have altruistic intentions, but some nurses experience barriers to acting on altruistic intentions which may be a source of job dissatisfaction or burnout.

Objective:

The purpose of this study was to evaluate construct validity, internal consistency, and convergence reliability of the Nursing Altruistic Execution Scale (NAES), a novel instrument assessing the perceived ability to help others through work.

Methods:

The NAES was developed based upon a literature review examining altruistic behavior as a motivator for nursing work, with expert feedback for instrument refinement. Participants completed the NAES, Copenhagen Burnout Inventory Work-Related Burnout …

Impact Of Participation In Cardiac Rehabilitation Post Myocardial-Infarction: An Integrative Review, Zoie Maynard, Mallory Stinson

Master's Projects

As one of the most common causes of hospitalization, the prevalence of myocardial infarction is indisputable Since this condition is so ubiquitous, a treatment protocol is initiated with methods to help patients modify their lifestyle, treat their underlying disease process, educate them to prevent reoccurrence, and improve their healthcare outcomes. This protocol relies heavily on the use of cardiac rehabilitation. Despite the implementation of this treatment protocol, the concern for recurrence and rehospitalization remains. The goal of this integrative review is to determine how participation in cardiac rehabilitation post-myocardial infarction impacts healthcare outcomes including rates of rehospitalization and depression. The …

Patient Reported Outcomes Amidst Isolated And Concomitant Chronic Cardiopulmonary Illnesses, Walter B. Wills

USF Tampa Graduate Theses and Dissertations

As the prevalence of many chronic cardiopulmonary illnesses are expected to rise within the United States through 2030, there is a growing emphasis on investigating the patient-reported outcomes relevant to the morbidity and social burden of these diseases. Thus, the overall aim of this dissertation is to examine these outcomes among those that live with chronic obstructive pulmonary disease and cardiovascular diseases (namely, heart failure). Specifically, the works in this dissertation aimed to compare how individuals report their health-related quality of life when living with and without cardiovascular disease across the spectrum of airflow limitation demonstrated within chronic obstructive pulmonary …

Transgender Education In School Nursing To Decrease Stigma And Promote Self-Efficacy, Brandy Shannon-Loyola

Electronic Theses and Dissertations

This Doctor of Nursing Practice project evaluated whether transgender education provided to school nurses and healthcare technicians decreased stigma and promoted self-efficacy. Concerns that transgender individuals have voiced were that they felt healthcare professionals could not effectively care for transgender patients, which may be due to personal or religious beliefs or lack of knowledge concerning the lesbian, gay, bisexual, transgender, and queer community. Participants included credentialed school nurses and healthcare technicians in secondary education settings. The method consisted of a presurvey, education in the form of a handout, followed by a postsurvey to determine if education was successful. The Wilcoxon …

Health Literacy And Perceived Control: Intermediary Factors In The Relationship Between Race And Cardiovascular Disease Risk In Incarcerated Men In The United States, Jennifer L. Miller, Misook L. Chung, Lovoria B. Williams, Alison R. Connell, Zyad T. Saleh, Abdullah S. Alhurani, Alison L. Bailey, Mary Kay Rayens, Debra K. Moser

UK CARES Faculty Publications

Background: Black race, inadequate health literacy, and poor perceived control are predictors of increased cardiovascular disease (CVD) risk. The purpose of this study was to explore the relationships among race, health literacy, perceived control, and CVD risk while controlling for known risk factors in incarcerated men. Methods: We included data from 349 incarcerated men to examine race and CVD risk (Framingham Risk Score) using a serial mediation model with health literacy and perceived control using 95% confidence intervals (CIs) from 5000 bootstrap samples. Results: Of the participants (age, 36 ± 10; education, 12 ± 2; body mass index, 28.3 ± …

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 …

Enhancing Clinical Staff Knowledge And Skills In Ankle-Brachial Index (Abi) Measurements: A Training Intervention Study In A Small Family Medicine Clinic, Christopher Avellanet Manzano

Doctor of Nursing Practice Projects

Background

Peripheral arterial disease (PAD) is a common yet often underdiagnosed condition that can lead to serious complications. This study aimed to evaluate the impact of an Ankle-Brachial Index (ABI) education training program on clinical staff's referral rates, accuracy in performing ABI measurements, knowledge regarding PAD, and confidence levels in a small family medicine clinic in Dallas.

Method

The study utilized a pre- and post-intervention design. Clinical staff participated in a structured ABI training program, after which referral rates to vascular specialists were measured alongside evaluations of accuracy, knowledge, and confidence levels. The paired t-test was employed to analyze the …

Implementing Bedside Shift Report In The Home Health Care Pediatric Setting, Ruth Elena Ramos-Ardila

Electronic Theses and Dissertations

Developing and maintaining good communication is central in nursing because the goal is to achieve the best outcomes for the patient. In the past, written handover reports have been the standard way nurses communicate with each other, especially in the hospital and in home-based practice. Despite this rationale, this approach has considerable weaknesses: its high risk of mistakes and misunderstanding could negatively influence patient outcomes. In light of these concerns, this project examines the role of bedside shift reports in pediatric home care and the patient readmission rate. This project employed a quantitative, cross-sectional research approach involving 32 pediatric home …

Where's My Baby? A Feminist Phenomenological Study Of Women Experiencing Preventable Separation From Their Baby At Caesarean Birth, Linda J. Deys, Valerie Wilson, Sara Bayes, Shahla Meedya

Research outputs 2022 to 2026

Problem: Separating women and babies immediately after birth contributes to poor birth experience and reduced satisfaction. Background: A negative birth experience can impact a woman's transition to motherhood and emotional well-being beyond the newborn period. Separating women from their baby at birth is known to reduce birth satisfaction and is more likely to happen at caesarean section births. Question: What is the experience of women who are separated from their baby after caesarean section birth without medical necessity? Methods: Unstructured, in-depth phenomenological interviews were conducted with fifteen women who had been separated from their well-baby at caesarean section birth. Data …

Nursing Students’ Evaluation Of Clinical Placement Education Quality: A National Database Analysis, Colleen Ryan, Areum Hyun, Lynda Hughes, Fiona Bogossian, Simon Cooper

Research outputs 2022 to 2026

Aim: To report nursing student ratings of clinical placement education quality. Background: Australian nursing students must complete specified clinical placement hours which must be monitored and evaluated. Design: A quality improvement evaluation design, incorporating survey. Methods: Participating universities used QR codes and weblinks to distribute a survey between January and December 2023. The validated Placement Evaluation Tool (PET – Nursing) incorporates 20 items; Clinical Environment (11 items), Cronbach's alpha =.94 and Learning Support (8 items), Cronbach's alpha =.96 and one item rating satisfaction. Results: Nursing students from 36 universities submitted 17,705 evaluations. The PET – Nursing mean quality rating was …