Nursing Commons^™

Alarm Fatigue: Alarm Management/Intervention Education Vs. Current State, Keegan Dodge Dodge Rn Bsn

Nurse Residency

PICOT Question: In inpatient telemetry units, how does alarm management/intervention education in comparison to current state affect a decrease in non-actionable alarms and reduce alarm fatigue?

Diaper Destiny, Delilah Graffam Bsn Rn, Liz Yeaton Bsn Rn

Nurse Residency

PICOT Question: In the infant population, how does the use of different diapering techniques –such as textured/highly absorbent diapers and pH buffered wipes– impact skin integrity and the occurrence and/or severity of diaper dermatitis?

Becoming A Smoke Free Or: The Benefits Of Proper Smoke Evacuation., Christopher Brown, Leslie Manzanarez, Schennel Naidoo, Shaquala Thomas, Kayleigh Wheeler, Harli Wilbanks

2023

No abstract provided.

How Picu/Ticu Nurses Can Innovate Piv Act Barriers, Samrah Jankowiak, Temitayo Ahmed, Mckenzie Bentley, Johnathan Flippo, Hannah Arendt, Gianna Cervantes, Haley Cheshier

2023

No abstract provided.

Peripheral Iv Infiltration, Madison Goldman, Betty Nguyen, Jessica Davault, Ashleigh Moore, Bayland Moore

2023

No abstract provided.

Striking Your Inner Warrior Pose: How Yoga Affects Coping Skills In Hem/Onc Patients, Caroline Anderson, Megan Dale, Megan Keasler, Sofia Marquez, Vershundra Mcwilliams, Ritu Thapa, Tori Vanover

2023

No abstract provided.

Identifying Distractions During Medication Preparation And Administration Process, Hannah Artcher, Mariah Carlin, Victoria Daigle, Hannah Gentry, Courtney Hammit, Alexandria Hodges, Asia Wilson, Caroline Wilson

2023

No abstract provided.

Partnering Up To Prevent Pivies, Arzu Dhanani, Brianah Lopez, Daisy Orona, Elyse Neff, Isabella Franco, Lindsey Blevins, Nikita Adarkwah, Tame’Ya Cordova

2023

No abstract provided.

Family Engagement In Paediatric Acute Care Settings: A Realist Review, Teresa Jerofke-Owen, Natalie S. Mcandrew, Joan P. Totka, Karen S. Gralton, Kathleen J. Sawin, Alissa V. Fial, Marianne E. Weiss

College of Nursing Faculty Research and Publications

Aim

To create a programme theory of family engagement in paediatric acute care to explicate the relationships between contexts and mechanisms of family engagement that align with family, direct care providers and healthcare organization outcomes.

Design

Realist review and synthesis.

Data Sources

PubMed, CINAHL, PsycINFO and Web of Science searches for the 2.5-year period (July 2019–December 2021) following our 2021 scoping review.

Review Methods

Following methods described by Pawson and Rycroft-Malone, we defined the scope of the review, searched for and appraised the evidence, extracted and synthesized study findings and developed a supporting narrative of our results.

Results

Of 316 …

Predicting And Identifying Factors Associated With Undernutrition Among Children Under Five Years In Ghana Using Machine Learning Algorithms, Eric Komla Anku, Henry Ofori Duah

College of Nursing Faculty Research and Publications

Background Undernutrition among children under the age of five is a major public health concern, especially in developing countries. This study aimed to use machine learning (ML) algorithms to predict undernutrition and identify its associated factors. Methods Secondary data analysis of the 2017 Multiple Indicator Cluster Survey (MICS) was performed using R and Python. The main outcomes of interest were undernutrition (stunting: height-for-age (HAZ) < -2 SD; wasting: weight-for-height (WHZ) < -2 SD; and underweight: weight-for-age (WAZ) < -2 SD). Seven ML algorithms were trained and tested: linear discriminant analysis (LDA), logistic model, support vector machine (SVM), random forest (RF), least absolute shrinkage and selection operator (LASSO), ridge regression, and extreme gradient boosting (XGBoost). The ML models were evaluated using the accuracy, confusion matrix, and area under the curve (AUC) receiver operating characteristics (ROC). Results In total, 8564 children were included in the final analysis. The average age of the children was 926 days, and the majority were females. The weighted prevalence rates of stunting, wasting, and underweight were 17%, 7%, and 12%, respectively. The accuracies of all the ML models for wasting were (LDA: 84%; Logistic: 95%; SVM: 92%; RF: 94%; LASSO: 96%; Ridge: 84%, XGBoost: 98%), stunting (LDA: 86%; Logistic: 86%; SVM: 98%; RF: 88%; LASSO: 86%; Ridge: 86%, XGBoost: 98%), and for underweight were (LDA: 90%; Logistic: 92%; SVM: 98%; RF: 89%; LASSO: 92%; Ridge: 88%, XGBoost: 98%). The AUC values of the wasting models were (LDA: 99%; Logistic: 100%; SVM: 72%; RF: 94%; LASSO: 99%; Ridge: 59%, XGBoost: 100%), for stunting were (LDA: 89%; Logistic: 90%; SVM: 100%; RF: 92%; LASSO: 90%; Ridge: 89%, XGBoost: 100%), and for underweight were (LDA: 95%; Logistic: 96%; SVM: 100%; RF: 94%; LASSO: 96%; Ridge: 82%, XGBoost: 82%). Age, weight, length/height, sex, region of residence and ethnicity were important predictors of wasting, stunting and underweight. Conclusion The XGBoost model was the best model for predicting wasting, stunting, and underweight. The findings showed that different ML algorithms could be useful for predicting undernutrition and identifying important predictors for targeted interventions among children under five years in Ghana.

Knowing The Patient As A Person: Social Media Listening And Gadamerian Analysis Of Nurses’ Expressions Shared During The Covid-19 Global Health Pandemic, Janusz A. Kaleta

Dissertations, Theses, and Capstone Projects

Background: COVID-19 has dramatically changed human-to-human interactions from in-person to the nonhuman domain of virtual space. In January 2021, every 28 seconds one person died of COVID-19 in the United States. An average of 3,100 Americans died each day during the deadliest month of the pandemic. As of January 2023, the number of COVID-19 deaths in the USA surpassed 1.000.000 people. In hospitals, human-to-human interactions were often limited to seeing one’s eyes behind the face shields, and respirator masks, and hearing a muffled voice, or sounds of the ventilators. In New York State 452 nurses died during the pandemic.

Research …

Ethnic Minorities And Family Health History: An Autoethnography Of Guyanese Americans And Kidney Disease, Dhaneesha R. Bahadur

Dissertations, Theses, and Capstone Projects

Exploring family health histories (FHHs) has emerged in recent years as an inexpensive genomic tool in public health. Families and clinicians can also use them to uncover family histories and experiences, which could inform better lifestyle choices to prevent or delay the onset of diseases. Exploring family health histories focuses on an individual’s genetic makeup and considers differences in lifestyle and environment. Despite national campaigns, it is an underutilized tool that could lead to engagement in effective strategies and better health outcomes. One important and serious condition that families should be more aware of is chronic kidney disease (CKD). One …

Reduction Of Repeat Lab Specimens: Does Venipuncture Via Piv Or Venous Straight Stick Result In More Hemolyzed Labs In The Pediatric Population?, Macie Bailey, Ayanna Brown-Gomez, Ariana Dreps, Kristina Mcclellan

2023

No abstract provided.

Baby Bathing: Utilizing Swaddle Sponge Bathing To Promote Hemodynamic Stability In Heart Center Infants, Samantha Selman, Bailey Alexander, Caroline Moock, Maryam Montazeri, Danielle Nichols, Lauren Prather, Adyssen Taylor, Kassandra Moreno

2023

No abstract provided.

Once The Antibiotic Stops, The Blood Pressure May Drop, Hannah Downey, Hayden Jacobs, Lynnsi Cole, Nicole Matzke, Rylee Freeman

2023

No abstract provided.

Num It! Improving Patient Pain And Anxiety During Needle Sticks, Diamond Brown, Cynthia Cadena, Alyssa Dam

2023

No abstract provided.

“I Can Take This!” Medication Regimen Adherence While Transitioning To Adult Care, Cameron Fautheree,, Alexa Maldonado, Tamera Luster, Leslie Mendoza, Jordan Mosley

2023

No abstract provided.

Building A Boat In The Harbor, Not In The Middle Of The Storm Standardizing Caregiver Behavioral Expectations, Caeli Page, Kate Greene, Savannah Hughes, Ester Casco, Lauren Zammit, Daisy Elliott, Shay Howard, Courtney Vincent

2023

No abstract provided.

Pre-Eclampsia Training Needs Of Midwives In A Ghanaian Tertiary Hospital: A Cross-Sectional Study, Isabella Garti, Michelle Gray, Angela Bromley, Jing-Yu (Benjamin) Tan

Research outputs 2022 to 2026

Aim: This study aimed to assess the specific clinical and non-clinical training needs of midwives and determine their preferred approach to enhancing performance. Background: Pre-eclampsia remains one of the leading causes of maternal deaths in low and middle-income countries. Pre-eclampsia-related deaths may be due to reduced midwifery knowledge and inadequate management. Therefore, a training needs assessment is vital in identifying gaps in practice, especially, in poorly resourced settings for maximal use of training resources. Design: A hospital-based cross-sectional study. Setting: The largest tertiary hospital in Ghana. Methods: An online version of the validated WHO Hennessy-Hicks Training Needs Analysis questionnaire was …

Challenging The Nuances Of Pain Assessment With Co-Designed Audio-Visual Simulations In Nursing Education: A Descriptive Study, Michelle A. Kelly, Susan Slatyer, Naomi Tutticci, Joanne Ramsbotham, Sandra Johnston, Irene Ngune, Karen A. Theobald

Research outputs 2022 to 2026

Background: Appropriate management of pain remains a challenging issue. Surfacing nurses’ inherent assumptions about pain may lead to better pain management. This study developed and evaluated new audio-visual (AV) simulations for nursing students showcasing patient characteristics that may influence pain assessment. Methods: Descriptive pre/post intervention study informed by the STROBE framework. Participants were drawn from two Australian universities. Three AV simulations were codesigned by clinicians, educators, and health consumers. Data included: demographics, previous experiences of pain assessment; compassion scale, feasibility, and relevance of AV simulations. Quantile regression and content analyses were applied. Results: Full data sets of 491 participants (314 …

Failure To Progress Or Just Normal? A Constructivist Grounded Theory Of Physiological Plateaus During Childbirth, Marina Weckend, Kylie Mccullough, Christine Duffield, Sara Bayes, Clare Davison

Research outputs 2022 to 2026

Background and problem: During childbirth, one of the most common diagnoses of pathology is ‘failure to progress’, frequently resulting in labour augmentation and intervention cascades. However, failure to progress is poorly defined and evidence suggests that some instances of slowing, stalling and pausing labour patterns may represent physiological plateaus. Aim: To explore how midwives conceptualise physiological plateaus and the significance such plateaus may have for women's labour trajectory and birth outcome. Methods: Twenty midwives across Australia participated in semi-structured interviews between September 2020 and February 2022. Constructivist grounded theory methodology was applied to analyse data, including multi-phasic coding and application …

Core Competencies For Registered Nurse Preceptors: A Mapping Review Of Quantitative Studies, Colleen L. Ryan, Robyn Cant, Lynda Hughes, Darrelle Ahchay, Karen Strickland

Research outputs 2022 to 2026

Aims: To review the contemporary international literature on nurse preceptor competencies and map the components and their descriptors. Review Methods: A mapping review. Data Sources: Articles reporting evidence-based and validated Registered Nurse (RN) preceptor competencies published between 2013 and 2022 were identified. Open access databases such as PubMed and Google Scholar and the library healthcare databases Scopus and CINAHL were searched. The authors collaborated at each review stage that included screening, article selection, tabulation, mapping and preparation of findings. Results: Seven quantitative studies were included. Three were based on existing nurse preceptor competency data sets and four were purposely developed …

The Primary Care Np's Guide To Prevention And Management Of Falls In Older Adults, Janice Mark

Nursing and Health Professions Faculty Research and Publications

Falls are a growing health concern affecting older adults (defined as ages 65 years and older) that can lead to devastating consequences. NPs in primary care settings play an important role in the prevention and management of older adult falls. Methods and resources to screen for fall risk, assess risk factors, and manage falls in older adults are discussed.

Concentrations Of Lead And Arsenic In Mother's Milk And Children's Blood In Peruvian Breastfeeding Dyads., Ana Maria Linares, Amanda Thaxton-Wiggins, Jason M Unrine

Nursing Faculty Publications

BACKGROUND: Toxic trace elements could enter human milk through mothers' food consumption, drinking water, air, or incidental soil ingestion, and are of concern to the nursing infant.

RESEARCH AIM: To determine the concentration of toxic trace elements (lead and arsenic) in Peruvian mothers' milk and their association with blood concentrations in their own infants 3-20 months old.

METHOD: This exploratory, cross-sectional study, carried out in Peru, included breastfeeding mother/child dyads (N = 40). Following standardized protocols, biospecimens of human milk and child's blood were collected.

RESULTS: Lead and arsenic concentrations in milk were above the method detection limits in …

A Dyadic Analysis Of Financial Toxicity And Health-Related Quality Of Life Among Bone Marrow Transplant Patients And Their Caregivers., Jean S Edward, Mary Kay Rayens, Laurie E. Mclouth, Lori P Eisele, Joan Scales, Lovoria B. Williams, Gerhard C. Hildebrandt

Nursing Faculty Publications

OBJECTIVE: Relatively few dyad-based studies have evaluated the shared psychosocial and financial toxicity (FT) experiences of hematologic patients and their caregivers, especially those undergoing bone marrow transplantations (BMTs). This study evaluated the association of FT with health-related quality of life (QOL) among BMT patient-caregiver dyads.

METHODS: Survey and electronic health record data were collected between April 2021 and January 2022 from BMT patients and their caregivers pre- (T1) and post-intervention (T2). Thirty-four patient-caregiver dyads completed surveys; all dyads included a patient experiencing elevated T1 FT. The effect of the total FT score (i.e., the combination of psychological response, coping behaviors, …

Text-Based Reminders: Pathways To Improve Hemoglobin A1c And Fasting Blood Glucose Levels Of People With T2 Diabetes Mellitus, David Bamidele Alao

Doctor of Nursing Practice Projects

Background

Research studies have shown that self-monitoring blood glucose levels is a cornerstone in DM management. Various studies have shown that a text message intervention effectively reminds people with T2 Diabetes Mellitus (T2DM) to check their blood glucose levels at home. Text message reminders successfully encourage medication adherence, blood glucose self-monitoring, and lifestyle changes (Xiqian et al., 2019). Through the beneficial effects on HgbA1c and blood glucose, text-based reminders have been demonstrated to improve blood glucose self-monitoring, essential to managing diabetes.

Purpose

This project aims to evaluate the effects of the 12-week text-based reminder intervention on the patient's blood sugar …

Effectiveness Of Antibiotic Stewardship For Healthcare Providers At Urgent Care Clinics, Helen T. Adewole

Electronic Theses and Dissertations

Antibiotics have revolutionized modern medicine; however, the overuse in urgent care and primary care significantly contributes to the global burden of infections resistant to available antimicrobial medicines. Approximately 30% of the antimicrobials prescribed in acute care settings are unnecessary. Patient demand for antibiotics has seemingly skyrocketed following the recent COVID-19 pandemic. Practitioners must be knowledgeable about antibiotic stewardship initiatives, such as the wait-and-see approach, to reduce antibiotic overuse and improve the trajectory of antibiotic resistance and patient health outcomes. The gap in practice was the limited awareness of scientific evidence-based tools to partner with patients and improve antibiotic prescription patterns. …

Improving Cardiopulmonary Resuscitation Education In Undergraduate Nursing Programs, Robin E. Roberts

Electronic Theses and Dissertations

Ongoing competency validation of cardiopulmonary resuscitation (CPR) skills is not a routine practice in nursing school. Basic Life Support training and certification is obtained before or during nursing school with little opportunity for practice. Poor quality cardiopulmonary resuscitation skills can affect the confidence level of the performer and the patient outcome. The aim of this study was to explore the effect of training nursing faculty on the adoption of cardiopulmonary resuscitation technology into nursing school curriculum to provide improved cardiopulmonary resuscitation skills to nursing students. Using a pretest-posttest, this study followed the Kirkpatrick model of evaluation of continuing education, which …

Effects Of Compassion Fatigue On Surgical Staff Productivity, Marcy I. Harris

Electronic Theses and Dissertations

Compassion fatigue is a psychological phenomenon affecting many healthcare professionals; however, many professionals are unaware of compassion fatigue or its signs and symptoms. Individuals suffering from compassion fatigue may experience mental and physical side effects and a decline in their work productivity. This quality improvement project was aimed at determining if implementing Vintapatr’s compassion fatigue education and management program would improve perceived levels of compassion fatigue and reduce operating room turnover time. The researcher utilized a descriptive correlational design to identify the relationship between compassion fatigue levels and operating room turnover times. This quality improvement project was implemented at a …

Life After The Pandemic: Use Of An Educational Coping Strategy Tool Kit For Healthcare Professionals, Christine Thorpe-Gilpin

Electronic Theses and Dissertations

Research has proven that acute care healthcare professionals (i.e., nurses, certified nursing assistants, and respiratory therapists have been experiencing ongoing challenges and ineffective coping mechanisms. The Toolkit for Emotional Coping for Healthcare Staff (TECHS) educational toolkit has introduced practical coping skills that could benefit healthcare workers. Using the TECHS has effectively inspired the development and usage of practical coping skills among healthcare workers. There were three tools included in the TECHS educational material to understand and manage adversity, which can be repeated for new or recurring stressful situations in a personal or team-based approach. These tools were based on cognitive-behavioral …