The Impact Of Telecritical Care On Length Of Stay In A Critical Care Setting, Mallory Oberts

Student Scholarly Projects

Practice Problem: At a major metropolitan VA hospital, there was a lack of adherence by the nursing staff to the TeleCritical Care program for adult patients in the critical care setting.

PICOT: The PICOT question guiding this project was: In adult patients admitted to critical care (P), does the implementation of TeleCritical Care (I) compared to standard critical care without telemedicine (C) decrease length of stay (O) within 8 weeks (T)?

Evidence: The literature review identified improved quality of care delivery, decreased length of stay, and reduced mortality rates as key benefits of implementing TeleCritical Care in …

Actions To Improve In-Patient Communication On Medication Teaching, Tracy Wei

Student Scholarly Projects

Practice Problem: Medication education is a national and global patient safety challenge. Healthcare organizations often lack consistent and effective medication teaching policies. Studies have found that the teach-back method is an effective interactive communication practice of medication teaching to achieve optimal patient outcomes.

PICOT: In direct care nursing staff (P), How does an evidence-based medication teaching bundle (I) compared to the current medication teaching practice(C) affect staff adherence to the dissemination of medication teaching to hospitalized patients (O) in 12 weeks (T)?

Evidence: A review and appraisal of 12 research studies demonstrated that the teach-back method was …

Prevención Del Cáncer De Cuello Uterino, Mary Luz Monroy Rubiano, Claudia Viviana Jiménez Ángel, Sandra Patricia Urueña Carmona

Ciencias de la Salud

Este libro es una estrategia de promoción de la salud y prevención del cáncer de cuello uterino, desarrollada por los grupos de investigación SATTWA y TATAMASALUD. Basado en un proyecto realizado en Girardot, ofrece a las mujeres herramientas para identificar los aspectos clave del cáncer de cuello uterino, subraya la importancia del autocuidado y proporciona información básica para su prevención. Con estadísticas alarmantes sobre su prevalencia y mortalidad en Colombia, esta guía presenta información científica de manera accesible e ilustrada, permitiendo a las lectores compartir y difundir este conocimiento en sus comunidades. Unidas en una meta común, es posible reducir …

Transition Programs For New Nurses In Practice, Karissa Sandland

Nursing Masters Papers

Retention of nurses is a continuous topic focused in all levels of nursing. New graduate nurses have a higher turnover rate due to lack of support and lack of education causing them to find an alternative position. Transition programs can aid in retention of new graduate nurses. The aim of this paper is to explore best practices for transition programs for new graduate nurses in improving retention rates. An integrative literature review was used to find supportive literature of transition programs and retention of new graduate nurses. Twenty-eight articles were found. Results of the literature review showed transition programs involving …

Cannabis Use Is Associated With Higher Rates Of Pseudarthrosis Following Tlif: A Multi-Institutional Matched-Cohort Study, Xu Tao, Abhijith V. Matur, Syed Khalid, Geet Shukla, Phillip Vorster, Kelly Childress, Rebecca Garner, Justin Gibson, Daryn Cass, Juan C. Mejia Munne, Kyle Mcgrath, Natalie Ivey, Julia Garcia-Vargas, Andrew Wu, Seth Street, Jay P. Mehta, Louisa Onyewadume, Henry Ofori Duah, Benjamin Motley, Joseph S. Cheng, Owoicho Adogwa

College of Nursing Faculty Research and Publications

Study Design.  This was a retrospective cohort study. Objective.  To compare the rates of pseudarthrosis in patients undergoing 1 to 3 level transforaminal lumbar interbody fusion (TLIF) procedures between cannabis users and noncannabis users. Summary of Background Data.  Recreational use of cannabis is common, though it remains poorly studied and legally ambiguous in the United States. Patients with back pain may turn to adjunctive use of cannabis to manage their pain. However, the implications of cannabis use on the achievement of bony fusion are not well-characterized. Methods.  Patients who underwent 1 to 3 level TLIF for degenerative disc disease or …

Impact Of Processed Food On Heart Health, Elizabeth A. Moxley

Faculty Articles, Papers, and Other Scholarship

Impact of Processed Food on Heart Health

March 14, 2024|Elizabeth Moxley

Cardiovascular disease (CVD), particularly atherosclerotic cardiovascular disease (ASCVD), remains the leading cause of death on a global scale.^[i],[ii] CVD is also the leading cause of death in patients with type 2 diabetes (T2D), specifically in low- and middle-income countries.^[iii] In spite of the improvement in ASCVD outcomes in recent decades, pervasive levels of ASCVD morbidity and mortality continue to be unfavorable.^[iv] According to the American Heart Association,⁵ effectively promoting dietary improvements and engagement in regular physical activity help prevent the ongoing risk …

Comparison By Race/Ethnicity And Social Determinants Of Health In Early Postpartum Maternal Morbidities, Cynthia Joy Garringer

Walden Dissertations and Doctoral Studies

Maternal mortality continues to increase in the United States, despite medical advances. Patients with negative social determinants of health (SDOH) and racial/ethnic minorities are at increased risk for maternal morbidities although most mortality and morbidities found in maternal health could have been prevented. The purpose of this study, guided by the SDOH conceptual mode, was to examine the relationship between the five components of SDOH and early postpartum morbidities among minority racial and ethnic groups. Secondary data (n = 1401) were obtained from a state health department in the Midwest for women who delivered in the year 2022 from one …

Establishing The Validity And Reliability Of The Astroskin® Biometric Shirt, Alex Macquarrie, Jasmin Sidhu, Chloe Deetlefs, Steve Whitfield, Matt Stainer

Topics in Exercise Science and Kinesiology

Topics in Exercise Science and Kinesiology Volume 5: Issue 1, Article 4, 2024. Biometric garments such as the Astroskin® biometric shirt (Carre Technologies, Montreal, PQ) may be useful for non-invasively monitoring human physiology in a number of applied settings. The Astroskin® biometric shirt measures and records continuous heart rate (HR), blood oxygenation (SPO2), systolic blood pressure (SBP) and respiratory rate (RR). The aim of this study was to establish the reliability and validity of the Astroskin® biometric shirt. This was achieved through comparing the Astroskin® with a commercially available hospital-grade cardiac monitor, the corpuls3® (Stemple GmbH, Kaufering, Germany) for the …

The Positive Impact Of Reducing Polypharmacy On The Quality Of Life For Older Adults With Serious Illness, Stephanie Orlando

Student Scholarly Projects

Practice Problem

The rising prevalence of chronic health conditions, the aging of the population, and advances in healthcare technology have contributed to the rampant over-prescribing of medications and the prescribing of potentially inappropriate medicines (PIMS) in community-dwelling older adults. Additionally, reluctance by the medical community to deprescribe and resistance among patients and their caregivers due to misperceptions about withdrawing treatment has further perpetuated the problem.

PICOT

The PICOT question for this project was, in community-dwelling older adults over age 60 receiving palliative care, does the implementation of an interprofessional deprescribing intervention compared to standard care by a home-based medical care …

Implementing Hourly Rounding In Reducing The Rate Of Falls Among Older Adults In Long-Term Care Facilities, Alfred Amaechi

DNP Projects

Background

Falls are events with a resultant effect of an individual accidentally or unintentionally coming to rest on the floor, ground, or other lower level; also, injuries sustained from falls may be fatal or non-fatal depending on the severity of the fall (World Health Organization [WHO], 2021). Falls are the second leading cause of unintentional injury deaths globally; each year, an estimated 684 000 individuals die from falls globally, of which over 80% are in low- and middle-income countries; adults older than 60 years of age suffer the greatest number of fatal falls, and 37.3 million falls that are severe …

Policy Review And Recommendation: Full Practice Authority For Nurse Practitioners In The Southwestern United States, Sara J. Rowe

Student Scholarly Projects

This policy analysis investigates the benefits of full practice authority (FPA) for Nurse Practitioners (NPs) in the Southwestern United States, using Arizona as an FPA model and California and Tennessee as comparison states. The PICO question that directed the project is: for NPs practicing as advanced practice nurse practitioners within the Southwestern United States region (P), does a comprehensive policy recommendation for FPA for NP-led clinics in the secondary education space (I) compared to existing variable approaches within the region (C) improve access to care and direct or indirect patient outcomes as endorsed by the literature (O)? A comprehensive literature …

Implementation Of A Parent Training Program During Community-Based Dissemination (From In-Person To Hybrid): Mixed Methods Evaluation, Heather Mcgrane Minton, Linda Murray, Marjorie J. Allan, Roslyn Perry, Amie F. Bettencourt, Deborah Gross, Lauri Strano, Susan M. Breitenstein

Nursing Faculty/Staff Publications

Background: Parent training interventions support and strengthen parenting practices and parent-child relationships and improve child behavior. Between March 2018 and February 2020, a community-based parenting program conducted 38 in-person Chicago Parent Program (CPP) groups. In response to the COVID-19 pandemic, we modified the delivery of the in-person CPP to hybrid delivery using the self-administered, web-based version of the CPP (ezParent) paired with web-based, video conferenced group sessions.

Objective: This study aims to describe the delivery transition and implementation outcomes of the hybrid delivery of the CPP (ezParent + group) during community-based dissemination.

Methods: This single-group, mixed methods retrospective evaluation examined …

Exploring Barriers To Effective Covid-19 Risk Mitigation, Recovery, And Chronic Disease Self-Management: A Qualitative Multilevel Perspective, Gayenell S. Magwood Phd, Rn, Faha, Faan, Charles Ellis Jr, Chanita Hughes Halbert, Ebony Allen Toussaint, Jewel Scott, Lynne S. Nemeth

Publications

Introduction: Many research activities have focused on SARS-CoV-2 infection and subsequent COVID-19 respiratory illness during the pandemic. However, significant racial inequities emerged months after the COVID-19 pandemic began. The similarity between racial/ ethnic disparities in COVID-19 and those for other diseases raised awareness about the context for risk exposure and healthcare access. The purpose of this study is to examine social and structural determinants of health among COVID-19 survivors, carepartners, and the perspectives of healthcare stakeholders who experienced disruption during the early pandemic.
Material and methods: A purposive sample of interviews (n=9) and focus groups (n=10) were used to collect …

Modifying Aha Stress Management And Physical Activity Modules For Senior Communities, Madai Molina Apolinar, Kristina Luu, Sarah Allen, Samantha Isabel Pio Argueta, Annalise P. Sanders, Emil Visaya

Nursing Leadership in Community Engagement Projects

Modifying AHA Stress Management and Physical Activity Modules for Senior Communities

This quarter our group was given the opportunity to partner with two organizations to conduct work surrounding blood pressure and heart health education. One of our partners was a senior living organization whose mission is to transform beliefs about affordable housing through supporting communities where seniors and families can thrive. We also collaborated with the American Heart Association (AHA), which seeks to combat cardiovascular disease and stroke for the improvement and overall health of the population.

For this project, we were tasked with simplifying the AHA “Check. Change. Control.” …

Healthy Coping Mechanisms Within The Recovery Setting, Ingrid Erickson, Izzi Hill, Ylliam Umipig, Hallie Hicks, Hanin Ghazal, Hannah Haynes

Nursing Leadership in Community Engagement Projects

Healthy Coping Mechanisms Within the Recovery Setting

Introduction

Nineteen percent of the Seattle-Tacoma Metropolitan Statistical Area (MSA) population ages 12 and older are using illicit drugs (Brief, 2012). And twenty-two percent have an excessive alcohol use disorder (Brief, 2012). Six Seattle Pacific University nursing students (the team) were assigned a leadership project at a recovery center in downtown Seattle. The recovery center is a non-profit organization that aims to provide hope, healing, and community to those within the recovery community. Members have experienced anything from homelessness to addiction, trauma, and mental health struggles and the center provides a way to …

Developing A Caregiver Educational Tool For Children With Behavior Issues, Grace Healy, Elise Arkills, Joshua Anderson, Emma Vetter, David Njeri, Avery Strieby

Nursing Leadership in Community Engagement Projects

Developing a Caregiver Educational Tool for Children with Behavior Issues

The team was tasked to create a health-based solution for problems facing a non-profit agency. The agency is a branch of an organization in King County, where providing critical familial needs, strengthening familial bonds, and preventing homelessness are the primary aims. Last year, the agency was able to assist 669 families, and the numbers are continuing to grow as more resources become available.

The team included six Seattle Pacific University nursing students, who are enrolled in a Nursing Leadership in Community Engagement course. After collaborative meetings with the managers at …

A Video Based Training Review, Sarah Kessel, Rachel Cyers, Alicia Johnson, Macky Juan, Malia Lafrance, Julia Zajac

Nursing Leadership in Community Engagement Projects

A Video Based Training Review

This project addresses the issue of homeless youth in Seattle by supporting those working with this population. Our intervention intends to provide staff with training materials to better support the homeless youth in Seattle. The agency that we are partnering with provides temporary housing for homeless youth and seeks to find permanent housing solutions. The purpose of our project is to help agency employees review and assess their knowledge on selected topics relevant to their initial training. This project compiles a collection of evidence-based training videos with knowledge competency quizzes to help strengthen understanding on …

Beyond The Chart: Reflections On Transforming Data Into Patient-Centered Care, Jun Hee Bae, Lucas Batin, Melinda Borsuk-Pollard, Joel Christian, Jennifer Cook, Audrie Lainier Cruz Lainier Cruz, Edher De La Cruz, Karla Del-Moral, Natalie Edran, Nico Leonard Flores, Elizabeth Gallagher, Matthew Gamboa, Caroline Garcia, Amanda Gornet, Justin Grewal, Christopher Hansen, Tushar Jadhav, Derek Johnson, Denise Martinez, Jasmine Martinez, Elisha Morgan-Lange, Michael Neff, Sin Ng, Elaine Nguyen, Talia Ochoa, Kylee Peters, Dustin Poe, Aaron Quiamzon, Alyssa Reyes, Valentina Staleva, Ashley Stringfield, Cameron Tennies, Carol Torio, Caden Trevino, Zachary Tuvida, Tiffany Vu, Nicole Wilson

Nursing 711 Class Projects

The Data, Information, Knowledge, Wisdom (DIKW) Framework is a foundational model in nursing informatics that helps conceptualize how raw data is transformed into meaningful clinical decision-making. At its core, the framework describes four hierarchical levels: data (raw, unprocessed facts), information (organized and contextualized data), knowledge (synthesized information based on experience and evidence), and wisdom (the ability to apply knowledge in practice to achieve the best patient outcomes). In nursing, this framework is particularly valuable because it mirrors the cognitive processes nurses use to assess, interpret, and act on patient information in real-time clinical settings.

Developing critical thinking is a challenge …

Breaking Silence: Women And Men’S Experiences Of Preventing Ipv, Fatmeh Ahmad Alzoubi, Reem Ali

The Qualitative Report

Intimate partner violence (IPV) is a serious problem in all cultures. This study aimed to identify Jordanian men’s and women’s strategies of preventing IPV using focus groups and open-ended questionnaires. Participants identified many strategies to prevent IPV, which fell within three themes: (1) shields of prevention; (2) understanding the triggers of IPV; and (3) resources of prevention. Participants described their opinions on preventing IPV and discussed the role of extended family, financial dependence, triggers of IPV, and coping strategies used by women. Preventing IPV requires substantial changes in the personal characteristics of men and women, communication skills, and law enforcement.

Painting A Landscape Of Acute Care Nurse Scientist Work, Teresa Rangel

Providence Nursing Research Conference 2023 – Present

Background: Hospitals are increasingly hiring nurse scientists, motivated in part by nursing excellence designations such as Magnet. Magnet designation requires at least three, nurse-led, Institutional Review Board-approved research studies to be conducted in the hospital every four years and for nurses to be actively implementing evidence-based practice (EBP) projects using research evidence. However, clinical nurses often lack the specialized knowledge and training necessary to engage in well-designed research or EBP. Nurse scientists are PhD-prepared individuals with expertise to mentor clinical nurses to navigate the rigor and complexity of creating, implementing, analyzing, and disseminating research and EBP projects. Yet, due …

Nurse Engagement In Clinical Scholarship Linked To A Hospital-Based, Virtual Nursing Research Course, Trisha Saul, Frances Chu, Rose Timmerman, Teresa Rangel

Providence Nursing Research Conference 2023 – Present

Background:

Clinical scholarship is a multifaceted concept in nursing that embodies building and disseminating knowledge within the professional environment. This requires conducting practice-based research, discovering the best available evidence for clinical practice, and translating findings into nurse-led interventions. An environment of clinical scholarship involves creating opportunities for nurse engagement in research, evidence-based practice (EBP) projects, and quality improvement initiatives. This must be supported by education and training centered on the principles of clinical scholarship. A course was developed with the curriculum design focusing on its attributes and application in the clinical setting and cultural milieu.

Purpose:

To examine hospital-based nurses’ …

Acute Care Staff Interactions With Chaplains To Discuss Team Or Personal, Non-Work-Related Stressors, Gary Weisbrich, Sarah Sumner, Teresa Rangel

Providence Nursing Research Conference 2023 – Present

Background: Healthcare staff experience stress from the workplace when providing complex patient care and often may lean on specially trained spiritual support caregivers, or chaplains, for support navigating patient-related stressors. Yet, healthcare staff can also suffer from team-related or personal stressors that, if unresolved, could negatively impact care delivery. Little is known about whether, how often, and which staff may interact with chaplains for emotional support when experiencing non-patient-related stressors originating from work or personal lives.

Purpose: To describe the proportion of individuals who report discussing team-related or personal stressors with chaplains in the past 12 months, and to …

Alleviating Health Professionals' Moral Distress Through Hospital-Based Chaplain Care, Karen Colorafi, Sarah Sumner, Teresa Rangel

Providence Nursing Research Conference 2023 – Present

Background: Healthcare workers frequently experience occupational stressors that negatively impact their emotional well-being. Recent evidence suggests that healthcare workers’ occupational stressors may translate to moral distress, defined as emotional turmoil occurring over an ethical dilemma secondary to a patient care or team-related issue. Following the COVID-19 pandemic, moral distress and a wide range of psychological and physical issues have been linked to high rates of healthcare worker burnout. Increased occupational stressors significantly augment turnover intentions and behaviors and negatively impact well-being. The resultant turnover rates have reached an all-time high among professional registered nurses. Some evidence suggests that the …

Perceived Moral Distress Among Patient-Facing Healthcare Professionals During The Covid-19 Pandemic, Sarah Sumner, Karen Colorafi, Teresa Rangel

Providence Nursing Research Conference 2023 – Present

Background:

The most common framework for ethical decision-making in healthcare is principalism which is founded on three ethical traditions: utilitarianism, achieving the most good for the most people; deontology, upholding moral obligations to individuals; and virtue ethics, doing what is virtuous regardless of the consequences. Principalism is further guided by four principles: 1) respect for autonomy; 2) beneficence, the duty to do good; 3) nonmaleficence, the duty to do no harm; and 3) justice, the duty to treat similar cases similarly. Patient-facing healthcare professionals (HCPs) commonly expect all moral values will be considered when decisions are made that impact patients …

Dietary Intake And Continuous Blood Glucose Measurement In Nurses Working Either 12-Hour Day Shifts Or Night Shifts, Rachel Carlson, Teresa Rangel, Lindsey Miller, Sushana Sudhi

Providence Nursing Research Conference 2023 – Present

Background:

Night shift work is essential in the hospital yet shift work among nurses is linked to negative outcomes such as chronic fatigue and cardiometabolic illnesses. Furthermore, nurses working night shift are more likely to have aberrant glucose levels, defined as greater than 140 mg/dl. Currently, it is unclear whether nurses working night shift eat differently than those working day shift which may explain aberrant glucose levels.

Purpose:

To determine whether night shift nurses have altered glucose levels and dietary intake compared to day shift nurses.

Methods/Approach:

Nurses regularly working full time 12-hour night shifts (n=12) or full time …

Healthcare Staff Awareness Of Climate Health And An Environmental Stewardship Framework, Patricia Joubert, Angie Shemwell, Barbara Nguyen, Rose Timmerman, Teresa Rangel (Pi)

Providence Nursing Research Conference 2023 – Present

Background: Climate change negatively impacts human health and is largely driven by human activities which generate pollutants. In the United States (U.S.), healthcare operations lead to significant pollutants. The workforce supporting healthcare in the U.S. is massive; thus, healthcare HCP can help significantly reduce harmful healthcare emissions. A nurse-authored framework helps contextualize causes of healthcare pollutants as Waste, Energy/water, Agriculture/food, Chemicals, and Transportation (WE ACT). A large health system adopted and disseminated this framework to healthcare professionals (HCP) in 2020 to help achieve a critical objective of becoming carbon-negative by 2030. To date, HCP awareness of climate health and …

Nurse Awareness Of An Environmental Stewardship Framework For Climate Health, Sarah Johnson, Elizabeth Schenk, Teresa Rangel

Providence Nursing Research Conference 2023 – Present

Background: The World Health Organization has recently stated that climate change is the single biggest threat to the health of humanity. Climate change is largely driven by human activity generating pollutants that negatively impact the environment. The healthcare sector’s operations alone account for nearly 8.5% of annual United States (U.S.) greenhouse emissions. Nurses are well-positioned within the healthcare space to take actions to reduce healthcare emissions and promote environmental health. For instance, a nurse-authored framework helps contextualize causes of healthcare pollutants as: Waste, Energy/water, Agriculture/food, Chemicals, and Transportation (WE ACT). A large, 52-hospital health system in the United States …

Health Professional Concern For Environment And Behaviors To Protect Climate Health, Sarah Johnson, Mary Jo Kelly, Gale Springer, Teresa Rangel

Providence Nursing Research Conference 2023 – Present

Background: Air pollution, medical waste, and climate change are a threat to our health and environmental sustainability. The World Health Organization (WHO) estimates that annually, 7 million premature deaths are associated with climate change, making climate change this century’s greatest threat to health. The healthcare industry negatively impacts climate change through the production of approximately 5% of all global carbon emissions. However, little is understood about relationships between healthcare professionals' concern for the environment and behaviors at home or work to protect climate health.

Purpose: To test relationships between healthcare professionals' concern for the environment and behaviors at …

Improving Emergency Department Belongings Inventory Electronic Medical Record Documentation Rates, Stefanie Lai

Providence Nursing Research Conference 2023 – Present

Background: Electronic Medical Record (EMR) education and training for RNs should be multifaceted and targeted to the RN clinical workflow. Input from direct care RNs is essential to ensure EMR education is relevant and effective. Shared Governance at a community hospital identified quality and safety concerns among inpatient RNs. RNs reported that belongings inventories were not consistently documented in the EMR for Emergency Department (ED) admissions. Hospital policy requires belongings inventory EMR documentation for all admitted patients. An audit of charts for ED admissions over three months revealed only 5% compliance with this policy.

Purpose: The purpose of this project …

Preventing And Responding To Workplace Violence In The Emergency Department, Stefanie Lai, Alicia Rodriguez

Providence Nursing Research Conference 2023 – Present

Background: Workplace violence (WPV) is defined as physical violence or verbal threats of physical violence, regardless of whether an employee sustains an injury. Emergency department (ED) staff are at high risk of exposure to WPV, which can lead to burnout, job dissatisfaction, and secondary stress. Effective preparation for and response to WPV incidents can help mitigate these negative effects. Multicomponent interventions, including education, safety huddles, behavioral health rapid response teams, and environmental modifications, have been shown to reduce WPV incidents and increase staff perceptions of safety.

Purpose: The purpose of this evidence informed-quality improvement project was to increase knowledge of …