Nursing Commons^™

Effects Of Peer Mentoring On Success And Satisfaction In Undergraduate Nursing Students: A Pilot Study, Rebecca Fraley

Honors Theses

Studying the impact of a mentorship program involving undergraduate nursing students can inform educators of methods to increase student success and decrease attrition in baccalaureate nursing programs. This study aimed to determine if a mentoring session every three weeks between a first semester Bronson School of Nursing (BSON) student and a senior year nursing student increased the confidence and satisfaction of the first semester BSON student. A Student Success Survey (see Appendix A) was filled out at the beginning, middle and conclusion of the mentee students fall semester. The Student Success Survey was also administered to a control group made …

Utilizing Aromatherapy To Decrease Anxiety In Adults Experiencing Homelessness, Thomas A. Clawson

Theses and Graduate Projects

This scholarly project analyzes health disparities faced by people experiencing homelessness, specifically in regard to their mental health and how they experience heightened levels of anxiety when compared to individuals who have stable housing. Through a literature review, the use of Lavender (Lavandula angustifolia) was analyzed and has shown to be an effective non-pharmacologic treatment for anxiety in a multitude of settings. Utilizing a theoretical framework distilled from Margret Newman’s theory Health as Expanding Consciousness, and Martha Rogers’ The Science of Unitary Human Beings. The quality improvement project was implemented at an inner city resource center for people experiencing homelessness. …

Implementation Of Vinyasa Yoga For Adults Experiencing Anxiety, Megan K. Malyuk

Theses and Graduate Projects

Anxiety disorders are the most prevalent mental illness in the United States (US) and holistic treatment approaches, such as vinyasa yoga, are often practiced to alleviate the severity of symptoms (The Anxiety and Depression Association of America, 2020). A comprehensive literature review including evidence-based research, Metis-based knowledge, and personal accounts are used to support this scholarly project. Jean Watson’s Theory of Human Caring is explicated and synthesized as a theoretical framework. Methodology and evaluation of the scholarly project are described, analyzed, and reflected that vinyasa yoga has a positive impact on individuals who experience anxiety. This scholarly project was implemented …

Understanding Nurses' Experience Of The Covid-19 Pandemic Through The Lens Of Trauma, Grace Simmons

Walden Dissertations and Doctoral Studies

The destructive effects of the trauma experienced by nurses during the COVID-19 pandemic left nurses with long-term psychological and physical effects that impaired their ability to effectively care for their patients, their families, and themselves. Although researchers have described the nurses’ experiences using generalized psychological and physiological trauma-related symptomatology, none have grounded their studies within the context of trauma theory. The purpose of this qualitative descriptive study was to explore the lived experience of nurses caring for critically ill COVID-19 patients during the pandemic through the lens of trauma theory. The constructivist self-development theory (CSDT) provided the framework for understanding …

Implementing Continuous Glucose Monitoring: A Quality Improvement Project, Molly Suydam

DNP Projects

Significance and Background: Continuous glucose monitoring (CGM) devices are beneficial for assessing blood glucose measurements throughout the day by simply waving a smartphone over the sensor that’s attached to the back of a patient’s arm. Patients with T2DM who check blood glucose measurements via finger-sticks, have to undergo numerous daily finger-sticks. Over time, this action can grow very cumbersome while CGM offers real-time blood glucose measurements without having to pierce the skin repeatedly. CGM use in patients with T2DM may help to improve overall blood glucose measurements.

Purpose: To trial CGM in patients with T2DM and monitor blood glucose measurements …

Naloxone Prescribing For High-Risk Opioid Patients In Primary Care, Theresa Turk

SACAD: Scholarly Activities

Objective: Primary care providers have an integral role in combating the opioid epidemic and preventing opioid-related deaths. One method of prevention is prescribing naloxone to patients at high risk for overdose. Naloxone is a medication that bystanders may administer during an overdose situation that can reverse the life-threatening side effects of opioids. The purpose of this quality improvement project was to increase the number of naloxone prescriptions written by primary care providers to patients on opioids considered at high risk for overdose. High-risk patients were considered those prescribed opioids over 50 morphine equivalents (MME) and those who had co-prescribed benzodiazepines. …

Nursing The Wright Way: A History Of Nursing At Wright State University, 1973-2023, Donna Miles Curry

Books Authored by Wright State Faculty/Staff

This book explores the history of an innovative nursing education program in Dayton, Ohio from its creation in the 1970s until 2023. On the cutting edge with a theory driven curriculum this program went from BSN, adding the master's degree with advanced practice options and also a DNP.

Perspectives On The Implementation Of Health Informatics Curricula Frameworks, Zerina Lokmic-Tomkins, Kalpana Raghunathan, Helen Almond, Richard G. Booth, Susan Mcbride, Mari Tietze, Michelle Honey, Paula Procter, Monica Peddle, Lisa Mckenna

Nursing Faculty Publications and Presentations

Background: The COVID-19 pandemic highlighted the necessity of equipping health professionals with knowledge and skills to effectively use digital technology for healthcare delivery. However, questions persist about the best approach to effectively educate future health professionals for this. A workshop at the 15th Nursing Informatics International Congress explored this issue.

Objective: To report findings from an international participatory workshop exploring pre-registration informatics implementation experiences. Methods: A virtual workshop was held using whole and small group interactive methods aiming to 1) showcase international examples of incorporating health informatics into pre-registration education; 2) highlight essential elements and considerations for integrating health informatics …

The Investigation Of Collaboration Among First-Year Bachelor Of Science Nursing Students, Christie Marie Cavallo

Walden Dissertations and Doctoral Studies

Despite the benefits of collaboration, first-year nursing students prefer not to work together. It was important to find out why nursing students do not want to collaborate. The purpose of this study was to discover first-year nursing students’ and faculty’s perceptions of how instructor-created opportunities for collaboration contributed to first-year nursing students’ collaboration. Using Wenger’s communities of practice (CoPs) model as a lens, the data were explored using a qualitative explanatory case study approach. This study consisted of individual interviews of 12 first-year nursing students and nursing faculty. Inclusion criteria included students enrolled in or faculty teaching first year of …

The Effect Of Skin Tone Inclusive Dermatology Education On Diagnostic Accuracy And Self-Confidence In Graduate Nursing Students, Kaylyn Bourne, Laura Gray

DNP Projects

Abstract

BACKGROUND: People with skin of color face worse health outcomes than their light-skinned peers. According to the literature, graduate nursing programs lack skin tone inclusive curricular content (Shue-McGuffin & Powers, 2022). This contributes to disproportionate racial and ethnic health disparities. Skin tone inclusive online dermatology modules have been shown to improve diagnostic accuracy and self-confidence among medical students and residents in primary care specialties (Trinh et al., 2021; Salava & Salmela, 2022; Wang et al., 2020). Similar models may be an effective approach for graduate nursing students as they prepare to evaluate skin disease across the skin tone …

Adherence To Standard Precautions In A Clinical Setting, Nwamaka Okoye

SACAD: Scholarly Activities

Abstract

Influenza is typically caused by viruses that circulate during the winter months. According to the Center of Disease Control and Prevention (CDC, 2022), in the United States, flu season occurs in the Fall and Winter, and peaks between December and February. The influenza season is often accompanied by highly transmissible upper respiratory viral infections, which prompts infected people to seek medical treatment at doctor's offices. Annual seasonal influenza epidemics result in 290,000–650,000 deaths worldwide, while influenza pandemics have resulted in many more, the A(H1N1) pandemic of 1918–1919 caused 20–50 million deaths (Tyrrell, 2021). Healthcare organizations need to adopt strict …

Pharmacologic Management Of Postpartum Hemorrhage In An Urban Hospital, Jessica Summer Martin Bsn, Rn, Alison Brubaker Doyle Bsn, Rn, Lacey Camille Ballard Bsn, Rn, Stephanie Marie Maupin Bsn, Rn, Kate Fouquier Phd, Aprn, Cnm, Facnm

Doctor of Nursing Practice Projects

This retrospective chart review examined female patients (N=25) who had a postpartum hemorrhage. Electronic medical records from Regional One Health were queried for ICD-10 072 related codes from January 1, 2021-October 31, 2023. Of those, a maximum of 25 charts were identified and the information was deidentified. All data was de-identified, coded, encrypted, housed, and locked securely. Selected records that met the above criteria were then queried for the following: Baseline demographics, gravida, para, amount of blood loss, pharmacological and non-pharmacological interventions, and timing of tranexamic acid (TXA) administration. Data was imported into MS Excel and statistical analysis was conducted …

Implementation And Evaluation Of Iron Deficiency Anemia Content In Prenatal Education Classes, Jasmine N. Walker Bsn, Erin M. Morris Bsn, Carrie Harvey Phd, Aprn, Acnp-Bc, Chfn, Mary K. Fouquier Phd, Aprn, Cnm, Facnm

Doctor of Nursing Practice Projects

Purpose/Background

The purpose of this quality improvement project is to provide and increase educational awareness and knowledge regarding iron deficiency anemia (IDA) in pregnant patients at an urban primary care clinic in Memphis, TN. This project is intended to decrease the number of individuals with IDA in pregnancy while decreasing the occurrence of IDA-related complications in pregnancy. The study aimed to introduce a cost-effective approach to help decrease or eradicate complications related to IDA during pregnancy.

The World Health Organization (WHO) estimates the prevalence of anemia-complicating pregnancies to be more than 40 percent. Pregnant women with IDA residing in low …

The Effectiveness Of Dexmedetomidine In The Reduction Of Postoperative Delirium In Patients Over 65: A Scoping Review, Jacqueline Renee Breuer, Michael G. Callonas, Kathleen Chmelicek, Laura Elizabeth Denman, Dwayne Accardo Dnp, Crna, Faana

Doctor of Nursing Practice Projects

Purpose/Background

Postoperative delirium impacts as many as 51% of surgical patients, resulting in increased mortality and morbidity, longer hospital stays, and increased healthcare costs. Adults ≥ 65 have a high risk for developing delirium. This scoping review examines the use of dexmedetomidine in the perioperative period in adults ≥ 65 years old to prevent and treat postoperative delirium.

Methods

Using relevant inclusion criteria, an extensive review of the literature was performed from September through November 2022, utilizing the Cochrane, CINAHL, ClinicalKey, PubMed, and Embase databases. Search phrases included: dexmedetomidine infusion, dexmedetomidine, intraoperative dexmedetomidine, postoperative delirium, older adults, and elderly delirium. …

Implementation Of A Risk Stratification Foot Screening Tool At A Free Outpatient Clinic: A Quality Improvement Project, Joni-Kay Johnson

DNP Projects

Background: Foot conditions and disorders are prevalent concerns for the medically underserved population, that can manifest through chronic illnesses like diabetes, peripheral vascular disease, and hypertension, especially if these conditions go undetected or unmanaged for periods of time. This population is faced with complex challenges and are at risk of illness due to inequities and disparities in access to health care services. They are known to suffer from poor health and can be reluctant to seek healthcare except in crisis. Walking is a common mode of transportation among underserved individuals and increased risks of physical injury, poor hygiene, and inadequate …

Policy Review And Recommendation: Full Practice Authority For Psychiatric Mental Health Nurse Practitioners In Georgia, Shantelle Coe

Student Scholarly Projects

Citizens of the state of Georgia, particularly those in rural or underserved communities, experience a lack of mental health resources. Extensive research evidence underscores the urgent need for enhanced access to mental health services, especially in rural areas where individuals face significant barriers such as limited provider availability and long travel distances. Through a thorough review of existing policy related to scope of practice, this scholarly work advocates for policy changes related to the practice authority of Psychiatric Mental Health Nurse Practitioners (PMHNPs). Advancement of legislative priorities to promote full practice authority for PMHNPs in the state of Georgia empowers …

Decreasing Influenza Vaccination Disparity Rates By Utilization Of Hotspot Deployments Of A Mobile Health Vehicle, Geneveve Deasis Tejada

Student Scholarly Projects

Practice Problem: Influenza vaccination for Black/African American patients is historically lower than White patients across all healthcare organizations (Quinn, 2018). In the organization’s 2022 performance, only 13.98% of Black/African American patients ages 19 and older were vaccinated compared to 27.81% of White/Caucasian patients.

PICOT: The PICOT question that guided this project was for Black/African American patients ages 19 and older receiving care from primary care clinics in Southeast San Diego (P), what is the impact of adding access to influenza vaccinations through hotspot-driven MHV deployments (I) compared to usual vaccination delivery in the medical office building (MOB) (C) on influenza …

Implementation Of A Healthy Skin Committee And Education On The Number Of Hospital Acquired Pressure Injuries, Laura Viana

SACAD: Scholarly Activities

Abstract

Over the years, hospital-acquired pressure injuries (HAPI) have emerged as a significant challenge in the healthcare industry. Despite significant advancements in healthcare, pressure injuries continue to be a persistent global healthcare issue, closely linked to the safety of patients, affecting patient outcomes, and increasing healthcare costs (Gaspar et al., 2019). HAPIs are associated with increased morbidity and mortality rates. HAPIs are likely to experience longer hospital stays, increased risk of infections, higher treatment costs, and potentially more significant health complications. HAPIs commonly occur in the hospitalized patient and are costly and preventable. Given the implications of HAPIs, there is …

The Effect Of Simulation On Self-Confidence And Anxiety Related To Clinical Decision-Making In Undergraduate Bsn Students, Vivian Bowman

SACAD: Scholarly Activities

Objective: Nursing students face challenges as they transition to the workplace and juggle the tasks of effective communication, delegation, prioritization, and clinical judgment during stressful situations. Research has shown that simulation is one method to improve clinical decision-making skills, increase confidence, and decrease anxiety. The purpose of this quality improvement project is to measure participants’ perceptions of their levels of self-confidence and anxiety related to clinical decision-making before and after a simulation session at George Washington University (GWU). Method: 21 third-semester Accelerated BSN students enrolled in the Adult-Geriatric Nursing 2 course were recruited for this study. Participants completed the Nursing …

Implementing Teach Back Heart Failure Education To Improve Self-Care And Reduce Re-Hospitalization: A Quality Improvement Project, Sweata Patel

DNP Projects

Heart failure (HF) is a major health concern. External evidence supports the use of the teach-back method for patient education to promote self-care behaviors in patients with HF which may also reduce rehospitalizations. Patients with HF at one home health agency in New England participated in the quality improvement project which consisted of delivering 20 minute weekly standardized teach-back educational sessions covering topics of HF self-care over six weeks. The existing patient education materials and two new resources, Medication Tracker and Self-Check Plan for HF management, were reviewed. Three questions from the Self-Care of Heart Failure Index were asked during …

Evidence Based Practice Change To Incorporate A Standardized Process Checklist For Fecal Microbiota Therapy (Fmt) To Increase Staff Adherence, Alicia Gomez

Student Scholarly Projects

Practice Problem: Staff adherence to new procedures is crucial for ensuring patient safety, maintaining quality care, reducing risks and liabilities, and fostering a positive organizational culture that supports continuous improvement. Having a procedure done safely for patients infected with C.diff provides an overall benefit to the healthcare system.

PICOT: In an endoscopy lab staffed with nurses and surgical technicians (P), does the implementation of a new standardized process of administering FDA approved Fecal Microbiota Transplant Therapy (I) compared to the current process (C), increase staff adherence to the process (O) over 12 weeks(T)?

Evidence: Leadership, supervision, and organizational culture are …

Beyond The Classroom Walls: Stakeholder Experiences With Remote Instruction In Post Rn Baccalaureate Nursing Program During The Covid-19 Pandemic: A Qualitative Inquiry, Laila Akber Cassum, Arusa Mansoor, Saima Sachwani, Zeenar Salim, Ridah Feroz, Shanaz Cassum

School of Nursing & Midwifery

The COVID-19 pandemic led to the closure of educational campuses and the suspension of conventional classroom teaching globally and locally, and many switched overnight to an online modality. The change was experienced differently by varied audiences, given the availability of resources. The study aimed to examine stakeholders' experiences of emergency remote instructions in the Post-RN Baccalaureate Nursing Program during the COVID-19 pandemic. A qualitative descriptive exploratory design with a purposive sampling technique was used at a private nursing university in Karachi, Pakistan. Focus group discussions with students and faculty were conducted separately, while in-depth interviews with key informants were held …

Clinical Competence In Evaluating The Consistent Use Of The Criteria For Post-Acute Levels Of Care Guideline, Oluwademilade O. Evbuomwan

Walden Dissertations and Doctoral Studies

No abstract provided.

Lived Experiences Of Nurses Caring For Persons With Mental Illnesses And Chronic Health Conditions, Luwieth Bolt

Walden Dissertations and Doctoral Studies

No abstract provided.

Strategies Over Knowledge: Training Gaps Present In Caring For Patients With Autism Spectrum Disorder For Pediatric And Student Nurses, Jasmine E. Johnson

Honors Thesis

With Autism Spectrum Disorder (ASD) prevalence ever increasing among the pediatric population, nurses can expect to see an increase in the number of autistic patients within their clinical practice settings. Previous researchers have shown that pediatric nurses are required to overcome many barriers when working with autistic patients, and adequate training is necessary to achieve genuine patient-centered care. However, parents have reported less than optimal care received by their children with ASD within the healthcare system. Therefore, research is needed to determine where training could be improved for this patient population. This study aimed to identify where training deficits are …

Measuring The Impact Of Primary Care Team Composition On Patient Activation Utilizing Electronic Health Record Big Data Analytics, Kristen K. Will, Yue Liang, Chih-Lin Chi, Gerri Lamb, Michael Todd, Connie Delaney

Journal of Patient-Centered Research and Reviews

Purpose

Team-based care has been linked to key outcomes associated with the Quadruple Aim and a key driver of high-value patient-centered care. Use of the electronic health record (EHR) and machine learning have significant potential to overcome previous barriers to studying the impact of teams, including delays in accessing data to improve teamwork and optimize patient outcomes.

Methods

This study utilized a large EHR dataset (n = 316,542) from an urban health system to explore the relationship between team composition and patient activation, a key driver of patient engagement. Teams were operationalized using consensus definitions of teamwork from the literature. …

Neonatal Outcomes In The Surgical Management Of Placenta Accreta Spectrum Disorders: A Retrospective Single-Center Observational Study From 468 Vietnamese Pregnancies Beyond 28 Weeks Of Gestation, Phuc Nhon Nguyen, Anh Dinh Bao Vuong, Xuan Trang Thi Pham

Faculty, Staff and Student Publications

BACKGROUND: Placenta accreta spectrum disorders (PASDs) increase the mortality rate for mothers and newborns over a decade. Thus, the purpose of the study is to evaluate the neonatal outcomes in emergency cesarean section (CS) and planned surgery as well as in Cesarean hysterectomy and the modified one-step conservative uterine surgery (MOSCUS). The secondary aim is to reveal the factors relating to poor neonatal outcomes.

METHODS: This was a single-center retrospective study conducted between 2019 and 2020 at Tu Du Hospital, in the southern region of Vietnam. A total of 497 pregnant women involved in PASDs beyond 28 weeks of gestation …

A Systematic Review: Mirror Neurons & Schizophrenia, Yashesvi Sharma, Surajit Dey

Annual Research Symposium

This research project establishes a link between Mirror Neuron System (MNS) activity and this information's implications in treating and understanding schizophrenia, specifically, schizophrenic patients with negative symptoms.

Benefits Of The Use Of Probiotics In Preventing Secondary Infections, Sarah Cutcher

Scholars Week

Through evidence based research, the use of supplemental probiotics has been shown to have a positive effect in preventing secondary infections in hospital patients. Although there are other techniques that have decreased the incidence of infections, such as reducing invasive procedures and aseptic techniques, these are external procedures designed to prevent infection. Probiotics are an effective method of internally preventing infection. By studying certain infections and the effect that probiotics have on their prevention, researchers can safely conclude which bacteria strain could help to prevent each infection. Some different types of issues that will be looked at are healthcare acquired …

The Impact Of Spirituality On Patient Outcomes And How Nurses Can Implement Spirituality In Patient Care, Audrey Pittman

Scholars Week

This article studied the impact of spirituality on patient outcomes and how nurses can implement spirituality into patient care. This study looked at peer reviewed articles over the impact of spirituality on patient care. They found a positive impact of spiritual wellness and patient outcomes. Next it looked at how nurses could implement spiritual care into practice. This study found that the implementation of the FICA assessment tool would be a great first step in the right direction on no longer neglecting spiritual wellness.