Bolstering Moral Courage And Ethical Decision-Making Confidence To Moderate Nurse Leader Moral Distress, Lisa Krening

Central Division Nurse Clinical Inquiry Conference

Abstract:

Bolstering Moral Distress Knowledge, Ethical Decision-Making Confidence, and Moral Courage Among Nurse Leaders

Background

Nurse leaders report low confidence navigating ethical dilemmas. Ethical dilemmas arise when ethical values are challenged, causing uncertainty about how to proceed. Left unresolved, ethical dilemmas impact ethical decision-making and can lead to moral distress. Moral distress is the anguish that occurs when there is recognition of an ethical dilemma necessitating a professional obligation to act, yet barriers exist to taking the ethically correct course of action.

To reduce moral distress, nurse leaders not only need to be able to identify an ethical dilemma, know …

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

Central Division Nurse Clinical Inquiry Conference

No abstract provided.

Moral Injury, Moral Resilience, And The Healthy Work Environment Among Icu Nurses: A Secondary Analysis, Angie Shemwell, Sarah Sumner

Central Division Nurse Clinical Inquiry Conference

No abstract provided.

Nitrous Oxide Administration In General Anesthesia Patients, Kaley Smith, Karen Colorafi, Kenn Daratha, Braden Hemingway

Central Division Nurse Clinical Inquiry Conference

Abstract:

Background:

Nitrous oxide is an inexpensive and fast-acting gas used in a variety of inpatient and outpatient perioperative settings to hasten the onset of and emergence from general anesthesia. Problematically, nitrous oxide has been identified as a risk factor for postoperative nausea and vomiting (PONV), one of the most common adverse events after anesthesia. Unresolved PONV is linked to increased pain, wound dehiscence, aspiration, and longer stays in the recovery area and/or hospital. An Apfel Simplified Risk Score can be calculated to predict PONV based on four patient characteristics: female sex, non-smoker, history of PONV or motion sickness, and …

Rates Of Postoperative Pneumonia In Healthy Adults Receiving Neostigmine Versus Sugammadex: A Multi-Center Evidence-Based Practice Project, Kirstie Gorthy, Braden Hemingway, Karen Colorafi, Kenn Daratha

Central Division Nurse Clinical Inquiry Conference

Abstract:

Background

Residual neuromuscular blockade increases morbidity and mortality following surgery with general anesthesia and paralysis. Optimal antagonism of pharmacologic muscle relaxation is critical to avoiding residual weakness and subsequent pneumonia. The clinical question that guided the investigation of the evidence was, ‘Among healthy adults requiring neuromuscular blockade during general anesthesia for elective, noncardiac surgery, does the use of sugammadex compared to neostigmine for reversal of neuromuscular blockade influence the rate of postoperative pneumonia within seven days?’

Purpose

The primary purpose of this evidence-based practice project was to describe the rates of pneumonia among healthy adults antagonized with neostigmine or …

Factors That Influence Receiving An Instrumental Assisted Birth: An Evidence-Based Project, Douglas Nanu, Madison Schatz, Gabriel Alemayehu, Teresa Rangel

Central Division Nurse Clinical Inquiry Conference

No abstract provided.

Leveraging Technology To Improve Assessment Of Acute Care Nurses' Learning Needs, Carsen Mcguire, Maria Heinje

Central Division Nurse Clinical Inquiry Conference

Abstract:

Background: Healthcare organizations pursuing the American Nurse Credentialing Center (ANCC) Magnet® Award must assess the educational needs of Registered Nurses and develop relevant educational offerings that positively affect patient outcomes. Challenges include collecting survey response rates, report build time, and accessible of reports to those responsible for the education. Four hospitals in the Pacific Northwest used electronic workflows to disseminate the educational needs of acute care nurses by unit, specialty, and role with improved analysis of data. Incorporating a learning platform for survey distribution increased the response rate from 15% to 70% over 3 years. The valid response rate …

Converting Clinical Orientation Materials From Paper To Electronic: A Quality Improvement Project, Megan Bowles, Tobi Bryan, Abby Lust, Teresa Rangel

Central Division Nurse Clinical Inquiry Conference

Abstract:

Title:

Converting clinical orientation materials from paper to electronic: A quality improvement project

Authors:

Megan Bowles, MSN, RN, CCRN; Tobi Bryan, MSN, RN, CCRN; Abby Lust, MSN, RN, NPD-BC, CMSRN; Teresa Rangel, PhD, MSN, RN, CNL, CMSRN;

Objectives:

At the conclusion of this session, participants will be able to:

1. Describe the benefits of implementing an electronic orientation notebook
2. Understand the amount of personalization and capacity for just-in-time education that electronic orientation notebooks can provide for an orientee
3. Demonstrate the ease of use and accessibility of the electronic notebook for orientees, preceptors and educators

Type of Project:

Quality Improvement Project …

Differences Between Nurses Who Provide A Gut Microbiome Sample For Research And Those Who Do Not, Teresa Rangel, Ellen Romesburg

Central Division Nurse Clinical Inquiry Conference

Abstract:

Title: Demographic differences between nurses who provide a gut microbiome sample for research and those who do not

Background: In the United States (U.S.), there are over 4.1 million registered nurses and 60% work in acute care to treat hospitalized patients. On average, the nursing workforce is female, Caucasian, and approximately 49 years old. Only 60% of U.S. nurses report a bachelor’s degree education or higher. Compared to other licensed care professionals, nurses suffer higher prevalence of obesity and are high risk for metabolic diseases which may negatively impact their occupational and physical wellbeing. The gut microbiome …

Relationships Between Dietary Intake And Alertness Among 12-Hour Shift Nurses, Charis Williams, Ross Bindler, Marian Wilson, Teresa Rangel

Central Division Nurse Clinical Inquiry Conference

No abstract provided.

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

Central Division Nurse Clinical Inquiry Conference

Abstract:

Title: Dietary intake and continuous blood glucose measurement in nurses working either 12-hour day shifts or night shifts

Sushana Sudhi, Andrew Browning, Megan Kevil, Teresa Rangel, Rachel Carlson, Lindsey Miller

Background:

Nursing night shift work is essential in the hospital yet is linked to negative outcomes such as cardiometabolic illnesses including type 2 diabetes. Short-term studies (lasting a few days) of simulated night shift work have identified night-time decreases in insulin sensitivity and glucose tolerance as potential causes of negative cardiometabolic health outcomes. However, the long-term effect of regular night shift work on glucose regulation among nurses remains unknown. …

Nurse Perceptions Of Providing Continuous Blood Glucose Data For A Research Study, Teresa Rangel, Lindsey Miller, Rachel Carlson

Central Division Nurse Clinical Inquiry Conference

Abstract:

Title: Nurse Perceptions of Providing Continuous Blood Glucose Data for a Research Study

Background: Acute care nurses are essential to preserve quality and quantity of life of hospitalized patients. However, nurses present with a higher risk of type II diabetes compared to other licensed healthcare providers, especially if assigned to night shifts, despite controlling for modifiable lifestyle factors such as diet and exercise. Laboratory studies suggest that eating during the night hours may cause an aberrant glucose response. It is hypothesized that consistently eating a meal during night hours may provide one mechanism for increased risk of …

A Team Mentor Project To Reduce Turnover On A Cicu, Sarah Evans

Central Division Nurse Clinical Inquiry Conference

Abstract:

Background

From 2022-2023, a 28-bed cardiac care intensive unit (CICU) employing 120 Registered Nurses (RNs) hired 63 RNs, including 3 new graduates and 32 new-to-specialty, following significant turnover. Nurses in the CICU frequently face complex situations, leading to emotional distress and potential turnover if coping resources are not provided. Research suggests that pairing a new CICU nurse with an experienced mentor to help cope with complex situations can significantly increase confidence and resiliency and reduce emotional distress and turnover. On our CICU, nurses are assigned a preceptor for 12-20 weeks to orient to CICU-specific competencies without an emphasis on …

Implementing A Mentorship Program On A Medical/Oncology Unit, Nicole Frye, Stephanie Perreiah, Jenna Vansanford

Central Division Nurse Clinical Inquiry Conference

Abstract:

Title: Implementing a Mentorship Program on a Medical/Oncology Unit Background: New-to-specialty acute care nurses are generally assigned a preceptor to demonstrate complex competencies within 90 days of hire. However, providing inpatient nursing care presents psychosocial stressors not well-addressed by preceptors which can contribute to burnout and turnover. Participating in a mentorship program addressing psychosocial nursing stressors following competency-focused preceptorship may reduce burnout and turnover. A medical-oncology unit of a 200-bed urban hospital lacked a mentorship program and Unit-Based Council (UBC) members worked to implement and evaluate this resource. Purpose: To evaluate barriers and facilitators of participation in a new …

Implementing In-Room Recycling On A Family Medical Center, Sarah Johnson

Central Division Nurse Clinical Inquiry Conference

Abstract:

Title: Implementing In-Room Recycling on a Family Medical Center

Background:

Healthcare operations are estimated to generate up to 29lbs of waste per patient per day (Practice Greenhealth, 2022). Waste contributes significantly to healthcare’s carbon emissions, which in turn contributes to the growing climate crisis (Karliner et al., 2019, Healthcare Without Harm, 2019; World Health Organization, 2018). Diverting recyclable waste from healthcare operations will reduce healthcare’s total waste to landfill and waste related carbon emissions.

Recycling bin placement and contamination rates (the amount of items in recycling that should go to another waste stream) can impact recycling levels. Staff at …

Use Of Best Practices In Exam Item Creation, Analysis, And Revision: Nursing Faculty’S Knowledge, Use, And Implementation Barriers And Facilitators, Julie Anne De Haan

Day of Scholarship

The ultimate goal of nursing education is to prepare graduates to provide excellent, safe patient care. The implementation of exam item best practices can significantly contribute to this process. This study examined nursing faculty’s use of best practices for exam item creation, analysis, and revision and best practice barriers and facilitators. Through a quantitative, cross-sectional, descriptive correlational research study, the research demonstrated that faculty inconsistently use exam item best practices. Faculty research participants identified ways to enhance the use of best practices and suggestions to nursing leadership were developed based on the data. With faculty development and an outlined support …

Telemedicine For Prenatal Care During The Covid-19 Pandemic, Katrina Wu

Day of Scholarship

In the United States, 24.4% or approximately 1 million pregnant individuals, do not receive early or sufficient prenatal care each year. Due to its widespread adoption during the pandemic, understanding how it was implemented and insights from user experiences can inform the utilization of telemedicine as a potential long-term strategy to improve access to prenatal care. For this national, convergent mixed methods study, researchers surveyed 196 perinatal providers and 749 pregnant patients during the COVID-19 pandemic. Findings indicated mild to moderate satisfaction across six telehealth usability domains. While the majority of participants reported they did not use blood pressure cuffs …

Holistic Review: Application To Post-Baccalaureate Nursing Education, Kristi Gustafson

Day of Scholarship

Literature review/survey of best practices; tools and measures to consider experiences, attributes, and metrics of applicants; considerations for the student and cohort experience; addressing healthcare workforce needs and needs of the nursing profession; application to post-baccalaureate (second-degree) nursing admission processes

Patient Centered Care Coordination: The Impact Of A Non-Acute Care Clinical Curricular Module On Nursing Student Learning Outcomes, Ann Holland

Day of Scholarship

This poster reports on the results of a study that investigated the impact of a clinical curricular module for teaching patient-centered care coordination on BSN student learning outcomes. Prior to the development of the clinical curricular module, the junior-level curriculum in the Bethel nursing program contained disparate student learning experiences in non-acute care settings. The module brought these existing and new learning experiences together into a cohesive curriculum using the Chronic Care Model as a conceptual framework. The quasi-experimental study was one of the first nursing education research studies conducted about the important and emerging professional nursing role of care …

Evaluation Of A Unique Care Coordination And Transition Management Clinical Module, Debbie Solomon, Beth Anderson, Ann Holland

Day of Scholarship

A two-year curriculum evaluation was undertaken to guide development of a unique clinical curricular module focused on care coordination and transition management. The module, in place in the junior curriculum since 2015, had been modified through the years in response to changes in faculty, clinical partners, and department resources. The COVID-19 pandemic significantly limited student field experiences, requiring development of existing and new on-campus simulated learning experiences. Three analytic processes were used to evaluate how teaching methods and resource utilization contributed to student achievement of learning outcomes. The results led faculty to reinitiate field experiences in home care and hospice …

Exploring The Unmet Care Needs Of Women With Chronic Obstructive Pulmonary Disease (Copd), Jessica Madiraca

MUSC Theses and Dissertations

The primary objective of this study was to examine the feasibility of study procedures to and explore the unmet needs and potential barriers of women with advanced COPD who may need palliative care (PC). This multi-method study was guided by the adapted Hierarchy of Needs Model and explored unmet care needs, assessed knowledge of PC services, and identified barriers that women experience when receiving or during the implementation of PC. Further exploration of PC needs by sex provided information on unmet care needs of women with advanced COPD. Participants were recruited through convenience sampling by using COPD Patient-Powered Research Network …

Understanding The Tensions Of "Good Motherhood" Through Women's Digital Technology Use: Descriptive Qualitative Study, Danica Facca, Jodi Hall, Bradley Hiebert, Lorie Donelle Phd, Rn, Fcan

Publications

BACKGROUND: Research suggests that expectant and new mothers consult and value information gathered from digital technologies, such as pregnancy-specific mobile apps and social media platforms, to support their transition to parenting. Notably, this transitional context can be rich with profound physiological, psychological, and emotional fluctuation for women as they cope with the demands of new parenting and navigate the cultural expectations of "good motherhood." Given the ways in which digital technologies can both support and hinder women's perceptions of their parenting abilities, understanding expectant and new mothers' experiences using digital technologies and the tensions that may arise from such use …

Community Health Worker Program: Chronic Non-Communicable Diseases In Children, Julia L. Newell

DNP Qualifying Manuscripts

Abstract

Background: Childhood obesity, asthma, and untreated mental health conditions, are three examples of chronic non-communicable diseases (CNDs) that pose a host of negative consequences later in life. Community health workers (CHWs) are in a unique position to address these negative health externalities by leveraging linguistic, cultural, and socioemotional connectedness within their communities.

Local Problem: Minority children in the Central Valley of California, face additional risk factors for the development of CNDs. CHWs working in this area require enhanced training on CNDs to improve their practice.

Methods: In partnership with Save the Children (STC), the University of San Francisco (USF) …

Preventing Pressure Injuries In Critical Care Settings, Chassidy Eddlemon, Cassady Coomes

Scholars Week

2.5 million people develop a hospital-acquired pressure injury each year, and 60,000 of these result in death as an outcome. Nationwide, hospitals have policies in place to prevent HAPIs, but that does not always stop them from occurring. For this project, we looked at one hospitals policy regarding prevention of pressure injuries. In this powerpoint, we outlined the products we found throughout our research to aide in prevention, as well as our recommendations for practice.

The Addition Of Nature To The Patient's Healing Regimen, Katelyn Lewis, Audrey Henry

Scholars Week

Through our scholarly research, we have found many benefits to the use of nature to help facilitate healing within patients. Our project aims to spread awareness of the positive aspects of nature during the healing process. Specifically, our research focuses on healing gardens and outside therapy for patients. Our presentation is based upon Nightingales' theory of the environment. Our hope is that facilities will implement the addition of nature to the patient's plan of care.

Effects Of Clinical Competency In Nursing Students Following The Implementation Of Student-Led Learning, Cori E. Hack, Jacob N. Hicks

Scholars Week

Research and supporting evidence represent a gap identified in didactic learning between students and faculty. This gap shows emotional factors of the nursing curriculum that may suggest negative impacts on nursing students, but also improvements that can be made to increase students’ clinical competency levels. By adhering to strict definitions of student-led learning theory and clinical competency, we were able to create concrete evidence with measurable data that can contribute to the elimination of this gap in learning. Upon inspection of past text, we identified a need for further research on this topic to bring awareness and encourage this method …

Risks Vs. Benefits Of Animal-Assisted Interventions For Icu Induced Psychosis, Cecily Christie, Hadley Mayes

Scholars Week

For our senior Nursing Evidence-based practice project, we conducted our own research to evaluate the risks and benefits of animal-assisted intervention (AAI's) being used in intensive care units, in the hopes to encourage nurses and healthcare staff to implement these in patient care facilities.

Safer Staffing Ratios For High-Quality Patient Care, Elizabeth Boyles, Jacob Mills

Scholars Week

Every hospital has their own staffing policy which varies based on the department. Research suggests that higher nurse-to-patient staffing ratios are directly related to staff burnout and negative patient outcomes. On medical surgical floors, there is an abundance of different diagnoses that require a vast number of nursing skills. Therefore, when nurses have more than four patients, this can be a safety risk for the nurses and patients. By adding these into a stricter policy, rather than keeping it as a simple recommendation, better patient outcomes would increase and nurse burnout would decrease as proven by research.

Reducing Burnout Among Pediatric Oncology Nurses, Karlie Devore, Madison Jarvis

Scholars Week

No abstract provided.

Benefits Of Bedside Report, Konner Spalding, Hannah Mattingly

Scholars Week

No abstract provided.