Nursing Commons^™

Increasing Nurses’ Knowledge Of Cultural Preferences Influencing Diabetes Self-Management Among Sierra Leoneans, Winstina Aminata Taylor

Walden Dissertations and Doctoral Studies

The practice problem identified at the project site was the lack of nurses’ knowledge of how cultural preferences influence diabetes self-management practices among African Americans with diabetes mellitus. An educational program focused on the cultural preferences of Sierra Leoneans that influence diabetes self-management practices was provided for 48 nurses who worked in the agency. The doctoral project included concepts from nursing education and cultural competence theories to inform the approach. The project followed the ADDIE model process steps to develop and implement the educational program. The sources of evidence included pre- and posteducation surveys administered to participating nurses to assess …

Increasing Nurses’ Knowledge Of Cultural Preferences Influencing Diabetes Self-Management Among Sierra Leoneans, Winstina Aminata Taylor

Walden Dissertations and Doctoral Studies

The practice problem identified at the project site was the lack of nurses’ knowledge of how cultural preferences influence diabetes self-management practices among African Americans with diabetes mellitus. An educational program focused on the cultural preferences of Sierra Leoneans that influence diabetes self-management practices was provided for 48 nurses who worked in the agency. The doctoral project included concepts from nursing education and cultural competence theories to inform the approach. The project followed the ADDIE model process steps to develop and implement the educational program. The sources of evidence included pre- and posteducation surveys administered to participating nurses to assess …

Determining The Impact Of A Diabetes Logbook In Improving Self-Care Among African Americans With Type 2 Diabetes, Winifred Moore

Doctor of Nursing Practice Projects

Type 2 diabetes is a prevalent chronic disorder that is associated with defects in the metabolism of glucose. The management of type 2 diabetes depends on patients’ adherence to self-care activities. However, patients at the project site reported poor glycemic control, which increased their risk of diabetes complications. The purpose of this quality improvement project was to educate nursing staff on the use of diabetes logbooks to improve self-care among African Americans with type 2 diabetes and thereafter have the nursing staff educate diabetic patients. A quasi-experimental pre-post-intervention design involving 30 African American adults (mean age 43.70 years) with uncontrolled …

Determining The Effectiveness Of Deep Breathing Exercises In Alleviating Stress In Veterans With Post-Traumatic Stress Disorder (Ptsd), Lovette Okoh

Doctor of Nursing Practice Projects

Posttraumatic stress disorder (PTSD) is a common psychiatric disorder that affects veterans following deployment from combat. Medication side effects and re-exposure to trauma while undergoing psychotherapy hinder the effectiveness of recommended treatments. There is evidence supporting the effectiveness of deep breathing exercises in stress management, which is a common feature among PTSD patients. The purpose of this quality improvement (QI) project was to evaluate the effectiveness of deep breathing exercises in alleviating stress among veterans with PTSD. Nursing staff at the project site were educated about the benefits of deep breathing exercises and how to perform them and educated veterans …

From Knowledge Gap To Empowerment: Patient-Operated Insulin Pump Management For Bedside Nurses, Bernadette J. Amao

Doctor of Nursing Practice Projects

Acute care nurses often struggle with the complexities of managing patient-operated insulin pumps (PIPs) due to limitations in training. With the rising prevalence of insulin pumps, equipping nurses with the necessary skills to navigate these devices effectively is essential. This quality improvement project addressed this critical gap by enhancing bedside nurses' self-efficacy in PIP management. Drawing upon Bandura's self-efficacy theory, this project hypothesized that targeted educational interventions could significantly improve nurses' confidence in managing PIPs. A four-week educational program was implemented to cover basic knowledge, troubleshooting, and patient interaction aspects of insulin pump management. The intervention tool was designed to …

Impact Of Gamification In An Online Rn To Bsn Program, Deosha Anderson

Doctor of Nursing Practice Projects

This quality improvement project aimed to enhance student engagement in an online RN to BSN program by incorporating gamification strategies into the curriculum. Traditional teaching methods often fail to maintain student interest, leading to low engagement and reduced program completion rates. This project sought to determine the impact of gamification on student engagement compared to no gamification. The intervention involved integrating gamified elements into the online RN to BSN program to create a more interactive learning environment. The project employed a quantitative, quasi-experimental design with a pre-intervention and post-intervention assessment. Data on student engagement metrics, including login frequency, time spent …

Improving Student Perceptions Of Collaboration By Using Interprofessional Education, Valerie L. Beshears

Doctor of Nursing Practice Projects

Educators must include interprofessional education (IPE) in the healthcare provider curriculum. Including IPE is the first step in changing the healthcare culture toward interprofessional practice. The project aims to increase nursing students' perceived ability to collaborate with patients, nurses, and other healthcare professionals by introducing IPE to first-semester nursing students. The students will participate in an IPE activity and score a pre-test/post-test survey to assess their perceived ability to collaborate before and after the IPE activity. The data collected from this activity answered the quality improvement question: Among first-semester nursing students in a BSN program, how does incorporating an IPE …

Enhancing Student Simulation Debriefing Using Video Recording, Lisa Hall

Doctor of Nursing Practice Projects

This quality improvement project aimed to show how video recording can increase vivid feedback by expanding the students' memory by reviewing the recording to recall and reflect on their roles during the simulations. This project sought to help the learner understand how well the simulation ran and what was done to improve its performance. The interventions involved video recording each simulation scenario. The recording was used during the debriefing session to help the students recall and reflect on their actions during the scenario. The project employed a quantitative, quasi-experimental design with a pre-intervention and post-intervention assessment. Data was collected using …

A Qualitative Study Cultural Components Contributing To Resilience And Its Importance To Trauma-Informed Care Of Veterans, Tineka L. Banks

College of Science and Health Theses and Dissertations

Background: Trauma-informed care (TIC) creates an environment of safety, empowerment, and healing. It provides services in a way that encourages mindfulness and promotes the feeling of well-being. Resilience, described as a protective factor to decrease the risk of suicide, is imperative to the delivery of TIC. However, research also suggests resilience is culturally affected.

Purpose: The purpose of this study was to identify cultural components that contribute to resilience in African American female (AAF) veterans, and its relevance to the delivery of TIC and suicide prevention.

Method: Individual interviews were conducted using a semi-structured questionnaire to identify supporting factors, based …

Interventions Developed To Guide Pediatric Type One Diabetes Management And Transition Of Care: A Systematic Review, Danielle Pehr-Szeliga, Aneta Rutkowski

College of Science and Health Theses and Dissertations

Background: Within the context of pediatric Type 1 Diabetes (PT1D), transition management is the process of shifting PTID responsibility from caregiver to child as they approach adulthood. With PT1D on the rise, effective transition management strategies are increasingly important to ensuring safe self-management of PT1D. The main objective of this systematic review is to summarize developmentally appropriate interventions that support youth and caregivers through the transition of PT1D.

Methods: CINAHL, PubMed, and Web of Science were used to identify studies for this review. Inclusion criteria included primary research articles in English, published from 2014-2024, and focused on children ages 1-19 …

Efficacy And Safety Of Transcutaneous Electrical Acupoint Stimulation For The Management Of Primary Dysmenorrhoea: Protocol For A Randomised Controlled Trial In China, Weiting Liu, Yanting Ding, Honggang Xie, Hansheng Liu, Changhao Liang

Research outputs 2022 to 2026

INTRODUCTION: Primary dysmenorrhoea (PD) is a common menstrual concern with significant physical and psychosocial impacts. The effectiveness and safety of transcutaneous electrical acupoint stimulation (TEAS) in alleviating PD symptoms remain uncertain due to insufficient evidence. This single-centre, parallel, randomised controlled study intends to evaluate the efficacy and safety of TEAS for PD management. METHODS AND ANALYSIS: 60 participants aged 18-40 years diagnosed with moderate to severe PD will be recruited from Tai'an Hospital of Traditional Chinese Medicine (TCM) and randomly assigned to either a TEAS group or a TEAS-sham group (1:1). The TEAS group will undergo 12 sessions of TEAS …

Ultrasound Guided Piv Insertion Implementation, Blake Hotchkiss, Beth O'Donnell, Miles Merwin, Billie Jo Senecal, Ronica Smith, Eric Alan, Bryan Tavary, Chelsea Harkins, Taylor Archard, Leslie Geissinger, Lauren Remington

Operations Transformation

Observed high number of unsuccessful peripheral IV insertion attempts. This increases waste (cost and time) and decreases patient satisfaction.

Compassion Satisfaction, Compassion Fatigue, Managerial Support, And Intent To Leave Among Mental Health Nurses, Victoria N. Duncan

Walden Dissertations and Doctoral Studies

The turnover rate among mental health nurses is consistently higher than other areas of nursing practice creating a shortage. Factors that contribute to nursing turnover, leaving the profession, and a subsequent shortage of mental health nurses include compassion satisfaction (CS), compassion fatigue (CF), managerial support, and intent to leave. The purpose of this study, guided by Stamm’s theory, was to determine if there was a relationship among CS, CF, managerial support, and intent to leave in mental health nurses. The Professional Quality of Life Scale was used to measure CS and CF, the Practice Environment Scale of the Nursing Work …

Compassion Satisfaction, Compassion Fatigue, Managerial Support, And Intent To Leave Among Mental Health Nurses, Victoria N. Duncan

Walden Dissertations and Doctoral Studies

The turnover rate among mental health nurses is consistently higher than other areas of nursing practice creating a shortage. Factors that contribute to nursing turnover, leaving the profession, and a subsequent shortage of mental health nurses include compassion satisfaction (CS), compassion fatigue (CF), managerial support, and intent to leave. The purpose of this study, guided by Stamm’s theory, was to determine if there was a relationship among CS, CF, managerial support, and intent to leave in mental health nurses. The Professional Quality of Life Scale was used to measure CS and CF, the Practice Environment Scale of the Nursing Work …

Hemoglobin A1c Values In Patients With Two Types Of Insurance, Patricia Ann White

Walden Dissertations and Doctoral Studies

Diabetes is the seventh leading cause of death for adults in the United States. Evidence suggests that not all patients receive the same level of care and discrepancies may be based on the type of health care coverage they have. Providers use Hemoglobin A1C (A1C) as the primary test to indicate treatment success for persons with diabetes. Providers may be ordering this critical lab value differently based on the patient’s insurance plan. In this project, A1C levels in diabetic patients receiving managed care versus traditional Medicare were evaluated. It is important to understand if potential disparities in care exist. The …

Hemoglobin A1c Values In Patients With Two Types Of Insurance, Patricia Ann White

Walden Dissertations and Doctoral Studies

Diabetes is the seventh leading cause of death for adults in the United States. Evidence suggests that not all patients receive the same level of care and discrepancies may be based on the type of health care coverage they have. Providers use Hemoglobin A1C (A1C) as the primary test to indicate treatment success for persons with diabetes. Providers may be ordering this critical lab value differently based on the patient’s insurance plan. In this project, A1C levels in diabetic patients receiving managed care versus traditional Medicare were evaluated. It is important to understand if potential disparities in care exist. The …

The Cost Of Long-Term Care In The Mountain West, 2023, Madison Dwyer, Freddy Nie, Annie Vong, Caitlin J. Saladino, William E. Brown Jr.

Health

This fact sheet examines data on the cost of long-term care for the Mountain West states of Arizona, Colorado, Nevada, New Mexico, and Utah from the Genworth “Cost of Care Survey.” Data on long-term care includes home health care, adult day health care facilities, licensed assisted living facilities, and certified and licensed nursing homes.

Thoughts From The Frontline - June 2024, Tennessee Center For Nursing Advancement, East Tennessee State University

Thoughts from the Frontline Newsletter

No abstract provided.

Uninterrupted Bedside Handoff Impact On Patient Care, Amina Nur Rn, Bsn, Kalli Grover Rn, Bsn, Kaela Godwin Rn, Bsn, Sue Aubuchon Rn

Nurse Residency

When addressing the needs of hospital inpatients(P), what is the effect of having an uninterrupted hand-off report(I) on patient care(C), compared to one that is delayed or interrupted by addressing emergent patient needs(O) during the shift change hand-off reporting(T)?

Nurse And Cna Communication/Delegation, Maddi Michaud Bsn, Rn, Alexis Witham Bsn, Rn, Katie O'Donnell Bsn, Rn

Nurse Residency

Does having RN and CNA quality communication/delegation opposed to lack of/poor communication improve staff performance, satisfaction and patient outcomes?

Comparing The Efficacy Of Different Wound Care Modalities (Topical Solution) In The Prevention Of Pseudomonas Aeruginosa Growth In Burn Soft Tissue Populations, Suzy Bryan Bsn Rn, Hajra Chand Bsn Rn, Brooke Sorbello Bsn Rn, Kiah Newton Bsn Rn, Grace Boisvert Bsn Rn

Nurse Residency

The purpose of this project is to gain a deeper understanding of the treatment modalities used on R3, and why certain treatment soaks are more effective methods at promoting wound healing and prevention of Pseudomonas colonization in BST patients.

Preventing Delirium In Hospitalized Patients With Art And Diversional Activity, Natasha Fitzgerald Rn, Bsn, James Ozog Rn, Bsn

Nurse Residency

For patients in the inpatient hospital setting, does participating in diversional activities (e.g. arts and crafts, music, games) reduce the risk of onset of delirium, compared with patients without such activities?

Mental Health In Emergency Nursing, Devyn Taylor Rn, Bsn

Nurse Residency

In emergency nursing, how does the early provision of mental health care and interventions compared to lack of such care impact the occurrence of early burnout?

The Benefits Of Psychosocial Interventions On The Inpatient Pediatric Population Diagnosed With Eating Disorders, Melissa Guzzi, Samantha Pelkey, Rebekah Reny, Molly Mccluskey

Nurse Residency

What is the effect of consistent, scheduled psychosocial interventions versus the absence of scheduled psychosocial interventions on the pediatric inpatient population diagnosed with eating disorders and requiring medical stabilization?

An Evaluation Of Peripheral Nerve Stimulation When Monitoring Icu Patients Requiring Chemical Paralysis, Justin Moscone, Tomas Gibbons, Anna Walker

Nurse Residency

In ICU patients receiving infusions of vecuronium or cisatracurium, is a clinical assessment-based titration model compared to a train-of-four titration model more effective when monitoring paralysis?

Improving Outcomes: Preoperative Education In Cardiac Surgery, Carson Dyer Rn, Bsn, Odette Zouri Rn, Bsn

Nurse Residency

In patients undergoing cardiac surgery, does preoperative teaching vs. no preoperative teaching decrease anxiety and increase adherence to changes in lifestyle during the postoperative period?

Effects Of Providing Discharge Instructions In Native Language, Samantha Hogan Rn, Julia Latham Rn, Bsn, Kimberly Phelps Rn, Eli Seeman Rn, Bsn

Nurse Residency

How effective is providing discharge instructions in native language for patients with limited English proficiency on decreasing adverse events when compared to those instructions provided in written English?

Postoperative Pain: Numerical Scale Vs. Subjective, Megan Lenihan Bsn, Rn, Amanda Moffo Bsn, Rn, Emily Young Bsn, Rn

Nurse Residency

In a post-op patient, what is the effectiveness of a numerical pain scale, compared to a subjective pain scale, when it comes to proper pain management?

Constipation In Postoperative Cardiovascular Patients, Jessica Diaz Bsn, Samuel Mulunda Rn, Jacob Rudolph Rn, Emily Lovejoy Rn

Nurse Residency

Would postoperative cardiovascular patients that receive a preoperative bowel preparation as opposed to those who receive no bowel prep have a shorter ICU stay and less complications postoperatively?

Tavr Closure Devices And Their Effect On Bedrest Time, Emily Curtis Rn, Allie Gilbert Rn, Morgan Jackson Rn, Jaden Morin Rn, Shauna Riordan Rn

Nurse Residency

In transfemoral transcatheter aortic valve replacement patients, how do different bed rest times as well as different closure devices affect the patient outcomes postoperatively?