Nursing Commons^™

The Effects Of Adverse Childhood Experiences And Racism On The Risk For Poor Birth Outcomes In Women Of Color, Audrey Hermosura

Nursing | Senior Theses

Background: Adverse childhood experiences, or ACEs, are traumatic challenges experienced before the age of 18. These adversities have lifelong effects on physiologic and mental health. A relationship has been made between the number of ACEs and occurrences of poor birth outcomes. The toxic stress that accumulates from ACEs compounded by racism increases the risk for poor birth outcomes in women of color. Understanding the importance of screening for these events can mitigate the negative effects on women’s health during and after gestation. Purpose: This current paper, in addition to a literature review, proposes a research design to validate the feasibility …

Standardizing The Discharge Process To Reduce Copd Readmission Rates, Kristine Doligosa

Doctor of Nursing Practice Scholarly Projects

Background: Frequent acute exacerbations of chronic obstructive pulmonary disease (AECOPD) can lead to unfavorable patient outcomes and costly readmissions. Inadequate patient support during discharge and an inconsistent discharge process are factors contributing to high readmissions in this population.

Purpose: This quality improvement project aimed to reduce COPD-related hospital readmissions by standardizing the discharge process for patients admitted with AECOPD and identify patient risk factors for readmission.

Methods: Following a quantitative and quasi-experimental design, this project standardized the discharge process for patients admitted with AECOPD using the Re-Engineered Discharge Toolkit components and a discharge care bundle. The project was …

Satisfaction And Absenteeism To Lectures:Cross-Sectionnel Study Of Dental Students, Manal El Hijazi, Soundouss Soulami, Ihsane Benyahya

Health Sciences

Introduction: Lectures are still the main pedagogical tool in universities. The aim of this study was to evaluate student satisfaction with lectures and to analyze the factors behind student absenteeism.

Methods: A descriptive cross-sectional study was carried out among dental student by a voluntary, anonymous self-administered questionnaire with open and closed question. Statistical analysis was performed by SPSS version 25 and the Chi2 test was used to compare percentages, with a significance level of p

The Supervisors Are Carrying The Bag: The Nurses' Emergency Council, Settlement Houses, And The 1918 Influenza Pandemic In New York City, Eric C. Cimino

History and Political Science: Faculty Publications

This article examines the combined efforts of the Nurses’ Emergency Council (NEC), settlement houses, and the Department of Health during the 1918 Influenza Pandemic in New York City. To coordinate public health nursing, the NEC united the settlements and municipal agencies into an umbrella organization that was chaired by Lillian Wald of the Henry Street Settlement. Together, the NEC and the Health Department recruited a corps of nurses to treat influenza patients, primarily in their homes. Historical accounts of the 1918 Pandemic often emphasize the incompetence of American cities in dealing with influenza’s spread. New York’s Health Commissioner Royal Copeland, …

An Internet Mantram Repetition Program To Promote Well-Being In Breast Cancer Survivors: A Feasibility Randomized Controlled Trial, Jennifer M. Hulett, An-Lin Cheng, Jill E. Bormann, Allison B. Anbari, Jane M. Armer, Brooke M. Hartman, B. Ann Bettencourt, Leeanne B. Sherwin, Edie L. Sperling, Natsayakarn Narkthong, Carol Reinero, Hans Rindt, Kathy Schreiber, Lindsay L. Peterson, Emily L. Albright

School of Nursing and Health Science: Faculty Scholarship

Introduction: The primary objective of this study was to assess the feasibility of a 6-week internet-delivered Mantram Repetition Program (MRP) for women recently treated for breast cancer. A secondary objective explored changes in perceived stress, psycho-spiritual measures, and cytokines in the treatment group compared to a waitlist. Methods: A feasibility study (ORBIT model Phase IIa) with a randomized controlled trial pilot was conducted. Eligible women recently treated for breast cancer were randomized to the treatment group (n = 14) or a waitlist group (n = 12) and participated for 12 weeks. During weeks 1-6, the treatment group received the MRP …

Life Satisfaction Among Diverse Participants, Razel Bacuetes Milo, Maria Luisa Ramira, Nicole Martínez

School of Nursing and Health Science: Faculty Scholarship

Introduction:

Methods:

Results:

Implementation Of The Stop The Bleed Program At A Local Park District, Emily J. Minerva

Doctor of Nursing Practice Scholarly Projects

Background: Fifty percent of people who suffer from an acute bleeding event die before arriving to the hospital due to lack of receiving care in a timely manner.

Local Problem: Increased emergency response times could prove fatal to someone experiencing a large bleed, highlighting the need for increased emergency preparedness in the community.

Methodology: This implementation pilot project utilized quantitative tools (pre- and post-multiple-choice test and Likert scales) and a qualitative narrative approach (inductive content analysis).

Interventions: A certified Stop the Bleed instructor provided Stop the Bleed education with an animated presentation, hands-on skills training session, and a …

Improving Utilization Of Nonpharmacological Interventions In Adult Oncology Patients, Alison Keck

Doctor of Nursing Practice Scholarly Projects

Background: Anxiety is one of the most prevalent symptoms oncology patients experience and clinical guidelines support the use of nonpharmacological interventions (NPI) as a primary method for managing anxiety.

Local Problem: At a suburban, community hospital, a nurse perception survey revealed staff were “always” offering medications 69% of the time but NPIs were “never” used anywhere between 38-81% of the time. In a sampling of patients, only 33% recalled they had used NPIs. A Patient Reported Outcomes Measurement Information System (PROMIS) tool revealed that 69% of patients had higher than average levels of anxiety on the unit.

Methods: This quality …

Full Plate Living-Teaching Kitchen: A Sustainable Approach To Employee Health, Amy M. Daniel

Doctor of Nursing Practice Scholarly Projects

Abstract

Insufficient fiber intake is a key contributor to diet-related chronic diseases (DRCD) such as obesity, hypertension, and diabetes. This evidence-based health promotion program evaluated integrating a teaching kitchen with the Full Plate Living Plan (FPL-TK) to increase daily fiber intake. Grounded in the Social Cognitive Theory, the 8-week employee health promotion program included hands-on culinary demonstrations, a structured FPL nutrition curriculum, and fiber tracking tools to help participants engage and participate in weekly health and wellness changes. The program successfully achieved high engagement rates, with 80% of participants reporting high satisfaction with the program and 100% of participants stating …

Maternal Health Disparities: The Plight Of The Black And Brown Woman, Melantha Cash

Graduate Research Projects

No abstract provided.

Hypothyroid: New Insights On An Old Disease, Sara Ward

Graduate Research Projects

No abstract provided.

What Are The Key Factors Influencing The Successful Integration Of Ai In Healthcare?, Gabe Herman

Graduate Research Projects

No abstract provided.

Cycle Synced Fitness: The Impact Of Menstrual Cycle Phases On Women's Exercise Performance And Health, Sabrina Galindo

Graduate Research Projects

No abstract provided.

Does Intimate Partner Violence Affect A Child's Developing Brain, Betsy Calloway

Graduate Research Projects

No abstract provided.

The Magic Of Mentoring, Allessandra Vitrano

Graduate Research Projects

No abstract provided.

Impact Of A Designated Intravenous Team On Central Line Associated Blood Stream Infections, Andrew Drozd, Mason Everlith, John Brennan, Kenneth Forte, Stacy Peach, Anne M. Aquila

Posters

No abstract provided.

Resources For Reduction Of Stress And Burnout In Healthcare Workers Following A Mass Casualty Event, Emily Dunn, Tonya Ernst

Nurse Residency

Background:

Being in healthcare, employees are faced with all sorts of challenges regarding their own mental and physical health and how to prioritize it, on top of caring for patients and their families. One challenge that healthcare workers hope they never have to learn how to cope with is the stress of mass casualty events.

The Challenge: No Harm Index Relay Race, Hannah Taylor, Kate Campbell

Nursing

The Challenge: No Harm Index Relay Race is an evidence-based learning program developed to provide a group of learners the opportunity to solve a series of skill-related puzzles and complete tasks related to the National Database of Nursing Quality Indicators

Environmentally Friendly Disposal Of Pharmaceuticals In The Hospital Setting, Kate Sobanik

Nurse Residency

Background: The Environmental Protection Agency and Department of Drug Enforcement have regulations on the safe handling of narcotics as well as guidelines for environmental sustainability with the disposal of all pharmaceuticals. Federal, state and local regulations can vary but hospitals are required to dispose of pharmaceuticals in specific ways to prevent injury to the environment and living organisms.

How Will The Use Of A Black Out Hour And The Improvement In Handoff Communication Increase Patient Safety When Arriving On The Medical Surgical Units?, Mackenzie Aleva

Nurse Residency

Background: Change of shift admissions also increase nurse's frustration and workload. Most importantly change of shift admissions pose a risk for patient safety. On this unit specifically there are frequent change of shift admissions that occur.

Shared Governance And Impact On Nursing Job Satisfaction, Karl Buhr, Colleen Lagulli

Nurse Residency

Background: Emergency departments are extremely dynamic environments that require continuous quality improvement and adaptation. Implementation of change is necessary but has a great effect on the workflow of nursing staff.

Mentoring The Mentor: A Mentor Training Program, Sheri Gillis

Regis University Student Publications (comprehensive collection)

Mentorship has played an important role in nursing and nursing education for decades. However, there have yet to be any standard qualifications or training programs for those who mentor others. Poor mentorship increases faculty turnover, stress, and poor student outcomes. A quality improvement initiative was implemented in the Associate Degree Nursing Program using an evidence-based approach. Using a pre-post survey design with convenience sampling, five (N=5) nursing faculty met the qualifications to participate in the mentor training program. The Mentor Efficacy (MES) survey, which consisted of 30 questions, was administered to measure the participants' feelings of self-efficacy in the mentoring …

Uab Nursing - Fall 2024, University Of Alabama At Birmingham

UAB Nursing magazine

No abstract provided.

Understanding The Importance Of Administrative Mental Health Support For Frontline Nurses Post Covid-19, Sarah Mah

Nursing | Senior Theses

During the peak of the COVID-19 pandemic, intensive care units and critical care units were overwhelmed with the number of patients that were on the floors. It was during this time that nurses were experiencing the most mental health decline.

Several factors can be associated with the rapid decline of nurses’ mental health. However, these issues could ultimately stem from the lack of action taken by healthcare administration. This includes increased workload and the lack of PPE, resources institutional support. Because these units played such a vital role during the pandemic, it is imperative that healthcare administrators do what they …

Reimagining Equitable Care: Simulation-Based Education And The Dismantling Of Implicit Bias And Stigma Of Vulnerable Populations In Hospitals, Vanessa Smith

Nursing | Senior Theses

Background: Simulation-based education consists of using high-fidelity mannequins and equipment to provide a safe space for healthcare professionals to practice crucial skills within healthcare. Used within hospitals and schools, simulation most commonly surrounds practicing hands-on skills such as central line insertion, IV insertion, Ultrasound-guided procedures, code blue response, etc. However, a large portion of healthcare that is overlooked is tackling issues within patient-provider relationships. Simulation can help dismantle the negative behaviors and feelings providers push onto patients through the use of standardized patients and role-playing. By using these methods, simulation can reduce providers’ personal implicit biases and the stigma associated …

Healthcare Professionals' Perspectives Of Barriers To Cancer Care Delivery For American Indian, Rural, And Frontier Populations, Brandon M. Varilek, Sarah Mollman

Journal Articles: College of Nursing

OBJECTIVE: This descriptive qualitative study sought to understand the barriers affecting cancer care delivery from the perspective of healthcare professionals (HCPs) serving American Indian (AI), rural, and frontier populations.

METHODS: One-on-one, semi-structured interviews with multidisciplinary HCPs (

RESULTS: Thematic content analysis revealed three major themes: (a) Access, (b) Time, and (c) Isolation. The themes represent the HCP perspectives of the needs and barriers of persons with cancer to whom they provide cancer care. Furthermore, these themes also reflect the barriers HCPs experience while providing cancer care to AI, rural and frontier populations.

CONCLUSIONS: This study provides preliminary evidence for the …

Determining The Need For 23-Hour Observation Following Transforaminal Lumbar Interbody Fusions: A Patient Perspective On Recovery At Home, Lacey Irias

Doctor of Nursing Practice Projects

Minimally invasive surgery (MIS) for transforaminal lumbar interbody fusion (TLIF) is becoming more frequently performed in ambulatory surgery centers (ASCs). Subsequently, patients are scheduled for an option to undergo a 23-hour observation which requires staff preparation. The preparation increases costs and creates a shortage during a standard daytime shift which can reflect negatively on patient care. Most patients elect to be discharged the same day, on account of experiencing minimal pain and seeking the comfort of their own home. The goal of this DNP project was to assess the necessity of scheduling a patient 23 hours for observation following a …

Mental Health And The Black Church: Decreasing The Division In Divinity, Latonya Gray

Doctor of Nursing Practice Projects

Racial disparities in mental health care persist for Black Americans, with only one in three who need treatment receiving it. The care they do receive is often of a poorer quality than that of other groups. Faith communities serving Black members could help address this gap by partnering with mental health professionals to meet congregants' needs. With mental health now at the forefront of public discourse, considering the specific needs of the Black community is critical. Black Americans face disproportionate mental health burdens but are more likely to seek counsel from clergy due to cultural stigma. Educating clergy on mental …

Bridging The Gap: Strategies To Improve Hpv Vaccination Uptake, Stephanie Ramsey

Doctor of Nursing Practice Projects

The human papillomavirus (HPV) vaccination is approved by the United States (US) Food and Drug Administration (FDA) for individuals beginning at age 9. Evidence shows that HPV vaccination uptake is lower than other vaccinations offered in the early adolescent/adolescent age group. Healthy People 2030 set forth a goal that 80% of adolescents ages 13-15 will have HPV vaccine series completion by 2030. Research has shown that provider recommendation for the HPV vaccine is one of the reasons adolescents, or parents of adolescents, have chosen to initiate and complete the HPV vaccination. Studies have shown that providers who have been educated …

Ultrasound-Guided Erector Spinae Plane Block: An Objective Structured Clinical Examination For First-Year Anesthesia Providers, Andrew Edwards, Jonathan Mardis

Doctoral Projects

The use of ultrasound-guided regional anesthesia (UGRA) in anesthetic practice is an invaluable tool for anesthesia providers to implement into their daily practice. One of these regional techniques is the erector spinae plane block (ESPB) which has anesthetic implications in numerous surgical procedures including cervical spine, thoracolumbar spine, thoracic wall, and chest wall procedures. Because of the novelty of this regional anesthetic technique, it is important to educate first-year anesthesia providers about the implications, skillset, and complications of the ESPB.

To bridge the gap between didactic knowledge and clinical practice in first-year anesthesia providers, an objective structured clinical examination (OSCE) …