Nursing Commons^™

Improving Quality Of Documentation In Perianesthesia Care Units To Increase Nurse Satisfaction And Patient Safety: A Quality Improvement Project, Anja Novcic

Master's Theses and Capstones

Abstract

Background: Quality documentation in healthcare settings is essential to ensure nurse satisfaction and patient safety. Documentation templates for patient charting should be in a format that follows best practice nursing care and captures all necessary assessments and interventions ordered by providers for patient care. A quality improvement was conducted in a PACU to evaluate the nurse satisfaction with the use of a new and revised documentation template for pain block procedures.

Local Problem: Within the perianesthesia care unit (PACU) of a Same Day Surgery center, a problem was identified regarding the nurse dissatisfaction with the template in place for …

Reducing Mortality Among African American Mothers Related To Postpartum Hemorrhage By Implementing Early Education And Risk Assessments, Don'ya Truesdale

Theses and Dissertations

African American women are at the highest risk for hemorrhaging during childbirth (Okunlola, 2022). A hemorrhage can occur among postpartum mothers for many reasons, with the main causes being uterine atony, tissue trauma, and clotting issues. However, risks for Black mothers differ. The comorbid and social factors within the Black community greatly influence the likelihood of Black mothers experiencing postpartum hemorrhage. Additionally, the lack of assessment and attention catered towards those risk factors lead to an increased mortality among African American (AA) mothers compared to Caucasian mothers and all other ethnicities. Nonetheless, as maternal risk assessments and education increase, mortality …

Nursing Students’ Comfort In The Nursing Program, Camella Bloom, Rebecca Karr, Makenzie Menard

Williams Honors College, Honors Research Projects

This research project’s purpose is to investigate student nurses’ comfort levels within the nursing program. The project focuses on how interactions with RNs impact comfort levels of nursing students. These interactions take place within the student nurses’ clinical experiences or their experiences at their healthcare jobs. The sample was sophomore, junior, and senior-level undergraduate BSN students at The University of Akron, which is about 434 students. The number of participants that completed the survey was 57 nursing students. The independent variables were student level in the BSN program and current employment status in a patient care role. The dependent variable …

Digital Health Literacy, Vaccine Information Sources, And Vaccine Acceptance Among Parents In Ontario: Quantitative Findings From A Mixed Methods Study, Sarah Ashfield, Lorie Donelle Phd, Rn, Fcan, Panagiota Tryphonopoulos, Ève Dubé, Maxwell Smith

Publications

Parents make important vaccination decisions for their children and many variables affect parents' decisions to accept or decline vaccines. Parents are tasked with locating, understanding, and applying information to inform health decisions often using online resources; however, the digital health literacy levels of parents are unknown. The purpose of this study was to investigate parents' digital health literacy levels, their sources for vaccine information, and analyze how demographics, digital health literacy, health literacy, parental attitudes and vaccine beliefs, trust, and vaccine information sources predict vaccine acceptance. Quantitative findings of a mixed methods study that examined parental vaccine decision making across …

Exploring The Experiential Journey Of Women With Pcos Across The Lifespan: A Qualitative Inquiry, Pamela J. Wright Phd, Ms, Med, Rn, Cen, Robin Dawson Phd, Rn, Cpnp-Pc, Cynthia F. Corbett Phd, Rn, Faan

Publications

Introduction: Peri-postmenopausal women with the chronic condition polycystic ovary syndrome (PCOS) remain at cardiometabolic risk and/or subsist with established comorbidity while continuing to manage persistent PCOS signs and symptoms, such as hirsutism. Thus, PCOS transcends the reproductive years, yet there is sparse scientific literature on the peri-postmenopausal years of women with PCOS.

Purpose: To explore how peri-postmenopausal women's perceptions about PCOS have changed over the lifespan since their PCOS diagnosis.

Methods: A cross-sectional survey with one qualitative question was conducted via Research Electronic Data Capture (REDCap) among women with PCOS aged ≥43 years, who were all recruited …

The Relationship Between Work Engagement, Depression, Anxiety, And Covid-19 Anxiety In Physician Assistant Students, Sydney N. Pepper, Emily T. Farrell, Robin M. Dawson Phd, Rn, Cpnp-Pc, Michael D. Wirth Msph, Phd, Face

Publications

Introduction: Physician assistants (PAs) are subject to high levels of burnout, depressive symptoms, and anxiety, which can negatively impact quality of care and patient outcomes. Learning how to handle stress in the classroom may increase success and engagement in PA programs. The goal of this study was to characterize burnout, depressive symptoms, and anxiety in current PA students and examine the relationship between these factors and work engagement. Methods: This cross-sectional study surveyed PA students (n = 42) via convenience sampling from eighteen different PA programs across North and South Carolina in October, 2021. Questionnaires included the Utrecht Work Engagement …

Transition Experiences For Individuals Who Are Culturally Deaf, Deaf, Or Hard Of Hearing In The United States And Canada: A Scoping Review, Anna Kell Phd, Rn, Cne, Cindy Corbett Phd, Rn, Faan, Donna M. Kazemi Phd, Rn, Cne, Fiaan, Stephen Fitzmaurice, Robin M. Dawson Phd, Rn, Cpnp-Pc

Publications

Introduction: Adolescence is a crucial time of transition in all aspects of life. Transition experiences for culturally Deaf individuals and individuals who are deaf or hard of hearing often differ from the mainstream population. The purpose of this scoping review was to examine and synthesize the existing literature surrounding transition experiences for culturally Deaf and deaf and hard of hearing populations through the lens of Meleis’ Transitions Theory. Method: Using PRISMA-ScR guidelines, a scoping review of literature related to transition experiences for culturally Deaf individuals and individuals who are deaf or hard of hearing was conducted. The scope of the …

Chronic Disease Management In A Nurse Practitioner-Led Clinic: An Interpretive Description Study, Natalie Floriancic, Anna Garnett, Lorie Donelle Phd, Rn, Fcan

Publications

Introduction: Nurse practitioner-led clinics (NPLC) represent a model of care that has the potential to enhance primary healthcare delivery to community-dwelling adults who are living with chronic disease by providing greater access and continuity of care and reducing the burden on acute care settings. However, there is limited understanding of nurse practitioners’ experiences and perspectives on supporting adults in chronic disease management within an NPLC model of care. Increased understanding would contribute to our ability to evaluate the effectiveness of the NPLC model of care for chronic disease management. Objective: This study explored current chronic disease management practices implemented by …

Family And Friend Caregiver Satisfaction And Utility Of Passive Remote Monitoring Technology Utilized By Frail Home Care Clients, Lori E. Weeks, Grace Warner, Yu Ting Chen, Bradley Hiebert, Emily Richard, Kathleen Ledoux, Lorie Donelle Phd, Rn, Fcan

Publications

Background: Passive remote monitoring technologies (RMT) utilize information gathered from sensors that is transmitted to a caregiver to alert them to a possible incident. There are gaps in our knowledge about the level of satisfaction with passive RMT from the perspective of those who have actual experience using this technology, including family and friend caregivers. This knowledge is important as caregivers are instrumental in determining whether passive RMT will be adopted and utilized over time. In addition, technologies designed for older adults and their caregivers are both helpful and user-friendly. Objective: The aim of this research was to identify the …

Ranking Of Health Problems And Prioritization Of Cancer Education Topics By African American Communities In South Carolina, E. Sylvia Melikam, Gayenell S. Magwood Phd, Rn, Faha, Faan, Marvella Ford, Judith Salley, Latecia Abraham-Hilaire, Joni Nelson, Audrey Mccrary-Quarles, Cammie Berry, Delaram Sirizi, Kathleen B. Cartmell

Publications

Despite landmark breakthroughs in cancer research, African American adults (AA) bear the highest cancer burden compared to other racial groups in the United States (US). AA adults have twice the likelihood of dying from prostate and uterine cancers compared to White adults, suggesting that there are fundamental issues yet to be addressed when developing and implementing cancer-preventative programs for AA communities. Community-based participatory research (CBPR) empowers community members to identify and prioritize their health problems and preferred strategies to tackle these issues. In alignment with the CBPR approach, the South Carolina Cancer Disparities Research Center (SC CADRE) undertook a study …

Harnessing The Power Of Complementarity Between Smart Tracking Technology And Associated Health Information Technologies: Longitudinal Study, Youyou Tao, Ruilin Zhu, Dezhi Wu

Publications

Background: Smart tracking technology (STT) that was applied for clinical use has the potential to reduce 30-day all-cause readmission risk through streamlining clinical workflows with improved accuracy, mobility, and efficiency. However, previously published literature has inadequately addressed the joint effects of STT for clinical use and its complementary health ITs (HITs) in this context. Furthermore, while previous studies have discussed the symbiotic and pooled complementarity effects among different HITs, there is a lack of evidence-based research specifically examining the complementarity effects between STT for clinical use and other relevant HITs. Objective: Through a complementarity theory lens, this study aims to …

Impact Of Telehealth On Health Disparities Associated With Travel Time To Hospital For Patients With Recurrent Admissions: 4-Year Panel Data Analysis, Youyou Tao, Ace Vo, Dezhi Wu, Junyuan Lin, Kala Seal, Abhay Mishra, Arindam Brahma

Publications

Background: Geographic, demographic, and socioeconomic differences in health outcomes persist despite the global focus on these issues by health organizations. Barriers to accessing care contribute significantly to these health disparities. Among these barriers, those related to travel time—the time required for patients to travel from their residences to health facilities—remain understudied compared with others. Objective: This study aimed to explore the impact of telehealth in addressing health disparities associated with travel time to hospitals for patients with recurrent hospital admissions. It specifically examined the role of telehealth in reducing in-hospital length of stay (LOS) for patients living farther from the …

Pursuing Success In A Hybrid Phd Nursing Program, Chloé Littzen, Jennifer T. May Phd, Rn, Anp-Bc, Jessica Rainbow, Helena Morrison, Lois Loescher

Publications

Background:

Little is known about hybrid PhD nursing students' experiences.

Method:

The purpose of this study was to describe and analyze the experiences of PhD nursing students in a hybrid program using a convergent mixed methods design. Recent nursing PhD alumni (n = 18), and current PhD students (n = 4) were recruited at a research-intensive university in the southwestern United States.

Results:

Four metainferences were identified: (1) the facilitator of faculty as both advisors and mentors; (2) the facilitator of peers as support, motivation, and a source of advice that preceded advisors; (3) the barrier of receiving …

Relationship Of Serum Copeptin Level With Traditional Risk Factors For Acute Coronary Syndrome In Early Diagnosis Of This Syndrome In Iraqi Patients, Ali Abdul Rasool Hussein, Abdulkareem H. Issa, Abbas Naji Muslem Al Shareeifi

Al-Esraa University College Journal for Medical Sciences

Background: Acute coronary syndrome (ACS) is still one of the main causes of morbidity and mortality worldwide and an early diagnosis of myocardial infarction (MI) aims to decrease mortality in MI patients. The ACS is manifested as one of three subtypes. These subtypes include MI with the electrocardiogram (ECG) is showing ST-segment elevation (STEMI), the other is MI with the ECG is showing no ST-segment elevation (NSTEMI) and the third type is unstable angina (UA). Objectives: To explore the Relationship of serum copeptin level with traditional risk factors for acute coronary syndrome in early diagnosis of this syndrome in Iraqi …

Immunological And Molecular Investigation Of Non-Helicobacter Pylori Gastritis Within Type 2 Diabetes Mellitus, Zahraa Maad Abdul-Sahib, Najah Ali Mohammad, Abdul Razzaq Nema

Al-Esraa University College Journal for Medical Sciences

Gastritis is one of the most common diseases in the digestive system, especially in patients with low immunity, including diabetic mellitus. Diabetic Mellitus considered one of an endocrine gland disease characterized by elevated blood sugar because of a defect in the regulation of sugar in the body. The purpose of this study was to assess the association between Non-Helicobacter pylori gastritis with type 2 diabetic mellitus (N-Hp G.T2DM), by interleukin IL-10 and IL-18. This study included 37(41.1%) N-Hp G.T2DM, 23 (25.6%) gastritis (G) only and 30 (33.3%) healthy participants. Biomarkers for T2DM and G (FBS, …

Postpartum Depression Among Latina Women: A Literature Review, Juan M. Martinez Jr.

Honors Undergraduate Theses

The Hispanic population in the United States has increased to 62.1 million, significantly shaping the country's demographic landscape, with Hispanic women exhibiting the highest fertility rates. Concurrent with the population's growing trend is an increased prevalence rate of postpartum depression, with Latinas facing heightened risk factors. The inadequate representation of Latinas in postpartum depression research and healthcare guidelines exacerbates their vulnerability. The prevalence of postpartum depression among Latina women makes this condition a serious public health concern. Due to insufficient research on marginalized groups, emphasis is needed on culturally competent healthcare. This literature review aims to explore the underlying factors …

At The Heart Of Nursing: A Literature Review On Health Literacy Education In Nursing Curricula And Preparation For Patient Teaching Encounters, Samantha Garcia

Honors Undergraduate Theses

Background: Health literacy is defined as one’s ability to find, comprehend, and utilize information to make health decisions (Office of Disease Prevention and Health Promotion, n.d.). Globally, nursing students are exposed to the concept of health literacy during their degree-seeking years, yet no formal health literacy education exists across nursing curricula in pre-licensure programs at the associate and bachelor levels. This lack of standardization and non-emphasis of health literacy as a formal topic within education has contributed to poor provider performance and, in turn, low health literacy rates that may lead to suboptimal patient outcomes.

Significance: Studies have found that …

Palliative Care Integration Into Critical Care In People With Terminal Conditions, Arielle Westfall

Honors Undergraduate Theses

Palliative care is of value to the quality of life in people with terminal conditions when initiated early. The purpose of this literature review was to identify barriers to early initiation of palliative care consultation. The secondary purpose was to examine characteristics that prompt palliative care consultation. The TLC model of palliative care was used to explore palliative care in the critical care setting in people with terminal conditions. The concepts of the model support optimal palliative care as collaborative and comprehensive, with shared decisions made by the patient, practitioners, and loved ones. A literature review was conducted to identify …

Identifying Contributing Factors For Legal Placement Status In Involuntary Commitment And Voluntary Commitment In Child And Adolescent Psychiatry, Brianna R. Perry

Honors Undergraduate Theses

Background: Psychiatric hospitalization of children and adolescents can be carried out either voluntarily or involuntarily. The aim of this form of inpatient hospitalization is to provide treatment for those who cannot manage the symptoms of their mental illnesses on their own. However, psychiatric hospitalizations of children and adolescents are costly and could lead to outcomes such as worsened mental state in former patients and distrust of the system in caregivers. It is crucial to have a solid understanding of specific components that lead to the hospitalization.

Purpose: To identify potential trends in patient admission data through the analysis …

Exploring Nurses' Perspectives Of The Use Of Hospital Interpretation Technologies Versus Other Methods For Communicating With Non-English Language Preference (Nelp) Patients: A Literature Review, Natalie Moreira-Rivera

Honors Undergraduate Theses

Nurses' perspectives on the use of interpretation technologies compared to other methods for communicating with NELP patients when providing treatment in a hospital setting was explored utilizing a literature review. The literature search was conducted using CINHAL, APA PsychInfo, Medline, and Applied Science & Technology Source databases. The search resulted in 84 articles, of which 6 were eligible to be included in the narrative review. Three themes emerged that helped explain nurses’ perspectives: preferred technology, facilitators/benefits, and barriers/concerns. Interpretation technologies were preferred over in-person translators in most cases. Nurses and other healthcare providers perceived technologies as convenient, flexible, versatile, and …

Dance Movement Therapy For Pediatric Oncology Patients And Its Effect On Cancer Therapy-Related Symptoms, Victoria M. Trautwein

Honors Undergraduate Theses

Background: Pediatric cancer patients are susceptible to emotional distress, depression, anxiety, and physical symptoms impacting their quality of life. Dance movement therapy is a non-pharmacological method that has been shown to improve feelings of depression, anxiety, emotional, somatic symptoms, and overall quality of life. While much of cancer research is dedicated to finding cures, it is also important to focus on identifying methods for improving the symptoms and quality of life for pediatric cancer patients.

Aim: The purpose of the literature review is to examine studies that show the effects of dance movement therapy on pediatric oncology patients’ cancer-treatment related …

2024-2025 Newsletter, Morehead State University. Nursing Department.

Nursing Department Publications Archive

2024-2025 Newsletter of the Department of Nursing at Morehead State University.

Relationship Between Internet Social Media Addiction And Communication Patterns Among Adolescents, Mona Hassan Abdelaal

Nursing

Abstract: Background: Internet social media and availability of mobile devices have an impact on the way people communicate. Adolescents have a wide range of positive and negative impacts come from the use of social media. Aim: Assess the relationship between internet social media addiction and communication patterns among adolescents. Design: A descriptive correlational design was utilized. Setting: The study was carried out at Technical Nursing Institutes in Benha city which consists of 2 Institutes and contain total (320) students from Benha Technical Nursing Institute for girls with total (170) students and from Benha Technical Nursing Institute of Health Insurance for …

Effect Of An Intervention Bundle On Thirst Intensity Among Intensive Care Unit Patients, Marwa Abdo, Manal Sayed Ismail, Nayera Mohamed Tantaewy

Nursing

Background: Dry mouth and thirst are commonly associated with a strong desire to drink fluid. Despite this, thirst is often overlooked in the intensive care unit (ICU). Patients in the intensive care unit (ICU) experience various causes of distress. Aim: This study aimed to assess the effect of an intervention bundle on thirst intensity among ICU patients. Methods: A quasi-experimental research design was used with a purposive sample of 100 ICU patients were selected and randomly divided into two groups: the thirst bundle group comprised of 50 ICU patients who received thirst bundle intervention with lip moisturizer, peppermint water mouthwash, …

Effect Of Incentive Spirometry On Respiratory Parameters Among Critically Ill Patients With Chest Tube Drainage, Marwa Abdo, Nayera Mohamed Tantaewy, Asmaa Ibrahim Aboseda

Nursing

Background: Chest tube drainage is a common procedure following cardiac or thoracic surgery, which can lead to respiratory disorders. Incentive spirometry (IS) is used to enhance respiratory outcomes by promoting deep breathing and lung expansion. Aim: evaluate the effect of incentive spirometry on respiratory parameters among critically ill patients with chest tube drainage. Research Design: A quasi-experimental design was used in this study. Setting: Cardiothoracic intensive care unit at the Cardiothoracic and Vascular Surgery Center of Mansoura University. Subjects: A convenience sample of 120 patients who underwent chest tube drainage was randomly assigned to either the IS group (n = …

Examination Of Nursing Staffs’ Perceptions Of The Covid-19 Vaccine Using The Health Belief Model, Aidan Cossio, Wilson Cobb, Addison Fugitt, Sandra Nielsen, Matthew Hesson-Mcinnis, Marilyn Prasun

Faculty Publications - Mennonite College of Nursing

Background:

The coronavirus (COVID-19) pandemic profoundly impacted patient care across the United States.

Objective:

To examine nursing staffs’ perceptions of the COVID-19 vaccine using the Health Belief Model (HBM) as a theoretical framework.

Methods:

A cross-sectional, anonymous, web-based survey was completed by practicing nursing staffs throughout the United States. Analyses involved descriptive and comparative statistics.

Results:

Of the 294 nursing staff who completed surveys, 50% were between 18 and 37 years of age, and 73.1% were registered nurses, with 49.3% employed in a hospital setting. Nursing staff reported their primary reason for vaccination was concern for others (mean: 84.44; SD: …

Emergency Nurses’ Recognition Of And Perception Of Sex Differences In Acute Coronary Syndrome Symptoms, John R. Blakeman, Jessica K. Zègre-Hemsey, Sahereh Mirzaei, Myoungjin Kim, Ann L. Eckhardt, Holli A. Devon

Faculty Publications - Mennonite College of Nursing

Introduction

Methods

A Nationwide Study Of Emergency Nurses’ Triage Decisions For Potential Acute Coronary Syndrome, John R. Blakeman, Myoungjin Kim, Ann L. Eckhardt, Stephen J. Stapleton, Holli A. Devon

Faculty Publications - Mennonite College of Nursing

Introduction: Prompt recognition of acute coronary syndrome (ACS) is critical to facilitate timely treatments to preserve the myocardium. Aims of the study were to: 1) identify the symptoms used to assess angina; 2) determine how emergency nurses make triage decisions for potential ACS; and 3) determine emergency nurses’ initial actions.

Methods: This was a cross-sectional, survey-based design. Emergency nurses were recruited through a posting on the Emergency Nurses Association (ENA) website and through postcards. Measures included demographic data, assessment of angina, and the Nurses Cardiac Triage Instrument. Data were analyzed using descriptive statistics and ordinal logistic regression.

Results: A …

Evaluation Of The Performance Of A Card Game To Introduce Students To Interprofessional Collaboration: A Randomized 2-Group Comparison Study, Antony Joseph, Valerie M. Wright, Susan M. Watkins, Stacy E. Goddard, Daniel D. Mast

Faculty Publications - Mennonite College of Nursing

Background:

Gamification is an approach that can be used to introduce interprofessional collaboration in nursing and health science. Card games are an effective and convenient way to educate students about clinical professions.

Purpose:

We compared the perception of an experimental group of students who played an educational card game to a control group that played an uninstructive card game.

Methods:

College students (n = 148) from nursing and health science majors consented to play a 30-minute card game and complete a 13-item survey.

Results:

Perceptions of the card game were significantly better for students in the experimental group who played …

Strategies And Emerging Mechanisms In Managing Pseudomonas Aeruginosa Biofilm-Associated Antibiotic Resistance In Renal Catheters, Ahmed Fadhil Kadhim

Al-Esraa University College Journal for Medical Sciences

Strategies and mechanisms in controlling Pseudomonas aeruginosa resistance to biofilm-associated with renal catheters are a serious concern. Renal catheters are widely used in hospitals for numerous urological disorders. However, they are the main cause of bacterial infections, especially P. aeruginosa, when used for a long time. The mechanism of biofilm-associated antibiotic resistance of P. aeruginosa in renal catheters is complex and has not been efficiently managed. This review debates certain strategies and mechanisms associated with P. aeruginosa biofilm antibiotic resistance in cases with renal catheters, including the prevention of biofilm formation, eradication of biofilm, and reducing biofilm-associated antibiotic resistance and …