Nursing Commons^™

What Were The Information Voids? A Qualitative Analysis Of Questions Asked By Dear Pandemic Readers Between August 2020-August 2021, Rachael Piltch-Loeb, Richard James, Sandra S. Albrecht, Alison M. Buttenheim, Jennifer Beam Dowd, Aparna Kumar, Malia Jones, Lindsey J. Leininger, Amanda Simanek, Shoshana Aronowitz

College of Nursing Faculty Papers & Presentations

In the current infodemic, how individuals receive information (channel), who it is coming from (source), and how it is framed can have an important effect on COVID-19 related mitigation behaviors. In light of these challenges presented by the infodemic, Dear Pandemic (DP) was created to directly address persistent questions related to COVID-19 and other health topics in the online environment. This is a qualitative analysis of 3806 questions that were submitted by DP readers to a question box on the Dear Pandemic website between August 30, 2020 and August 29, 2021. Analyses resulted in four themes: the need for clarification …

Paramedic Training, Experience, And Confidence With Out-Of-Hospital Childbirth (Oohb) In Australia, Michella G. Hill, Belinda Flanagan, Brennen Mills, Sara Hansen, Luke Hopper

Research outputs 2022 to 2026

Background: Out-of-hospital births (OOHBs) are rare representing ∼0.05% of prehospital callouts. OOHBs are at increased risk of complications including life-threatening conditions such as postpartum haemorrhage and neonate resuscitation. This research investigated Australian paramedics perceptions of’ training, experience, and confidence with OOHBs. Methods: Semi-structured qualitative interviews were undertaken in late 2021 via online conference or face-to-face. Sessions were audio-recorded and transcribed. Data was analysed and coded into over-arching themes using thematic analysis. Results: Fourteen participants were interviewed from military, industrial, and jurisdictional ambulance services. Nine participants were female, and experience ranged from 1.5 to 20 years. Six Australian states were represented, …

The Impact Of Type 1 Diabetes On The Family And Related Factors, İsmail Çetintaş, Melahat Akgün Kostak

Internet Journal of Allied Health Sciences and Practice

Objective: This study was conducted to determine the impact of Type 1 diabetes mellitus and related factors on children and families. Methods: The descriptive study was conducted with the parents of 175 children aged 6-18 years with Type 1 diabetes mellitus. The data were collected using the "Child and Family Information Form" and the "Diabetes Family Impact Scale (DFIS)." pResults:It was determined that the parents' total median DFIS score was 21.42 (9.52-35.71) and the highest median score was 33.33 (11.11-66.66) in the "finances" sub-dimension score. There was a significant difference between the child's school success and the parents' "school" sub-dimension …

Use Of Electronic Ecological Momentary Assessment Methodologies In Physical Activity, Sedentary Behavior, And Sleep Research In Young Adults: Systematic Review, Kimberly R. Hartson, Luz Huntington-Moskos, Clara G. Sears, Gina Genova, Cara Mathis, Wessly Ford, Ryan E. Rhodes

Faculty and Staff Scholarship

Background: Recent technological advances allow for the repeated sampling of real-time data in natural settings using electronic ecological momentary assessment (eEMA). These advances are particularly meaningful for investigating physical activity, sedentary behavior, and sleep in young adults who are in a critical life stage for the development of healthy lifestyle behaviors.

Objective: This study aims to describe the use of eEMA methodologies in physical activity, sedentary behavior, and sleep research in young adults.

Methods: The PubMed, CINAHL, PsycINFO, Embase, and Web of Science electronic databases were searched through August 2022. Inclusion criteria were use of eEMA; sample of young adults …

Primary Care Provider Density And Social Ecological Factors Related To County-Level Diabetes Prevalence In The United States, Robert Alan Kemsley

Theses and Dissertations

Diabetes is a critical public health concern with considerable financial and personal costs in the United States. Research has identified several interventions available to primary care providers to prevent diabetes. These interventions may prevent diabetes by influencing personal, community, and public health policy factors. These factors are key components of the social ecological model, which examines the influence of diverse social influences on health. Therefore, the purpose of this study was to determine the univariate relationship between PCP density and diabetes prevalence, as well as the multivariate relationship between PCP density and diabetes prevalence with physical inactivity prevalence, obesity prevalence, …

Improving The Mental Health Nursing Competencies Of Nurses Caring For Patients With History Of Substance Use Disorder In Long-Term Care Settings, Nancyver Lafleur-Omeler

Doctor of Nursing Practice Projects

Background

While nurses are often on the front lines of working with patients with a history of substance use disorders (SUD), most have limited training in this area. Nurses who work in Long Term Care (LTC) settings are often challenged to resolve the practical issue of needing more competency in caring for SUD patients. Horner et al. (2019) agreed that the deficiency of mental health knowledge and skills in healthcare workers is linked to decreased quality of care, which can diminish patient outcomes. This lack of competency must be addressed (Margoliese & Vandyck, 2019).

Purpose

The goal of this project …

Perceptions Of Pregnant Women Surrounding Covid-19 Vaccine Decision-Making, Mckinsey Owen

Theses and Dissertations

Background/Significance: Vaccines are essential to decrease the harmful effects of illness. The COVID-19 vaccination reduces mortality and hospitalizations from the COVID-19 virus. On August 11, 2021, the Centers for Disease Control and Prevention (CDC) strengthened its recommendation for all people ages 12 years and older who are pregnant, lactating, or trying to get pregnant to receive the COVID-19 vaccination. Despite the recommendation, pregnant women appeared to be vaccine hesitant. This qualitative descriptive study explored this hesitancy. Purpose: The purpose of this study was to explore pregnant women’s perceptions regarding COVID-19 vaccination during pregnancy and to identify information sources pregnant women …

Prevalence Of Overweight And Obesity Among Secondary School Students In Gaza Strip- Palestine, Abd Elkareem Abd Raboh El-Majdalawi, Yousef Aljeesh, Bothina Bassyonie Etewa

Journal of the Arab American University مجلة الجامعة العربية الامريكية للبحوث

Background

Childhood obesity is one of the most serious public health challenges of the 21st century. The effects of childhood overweight and obesity are devastating to the health and well-being of children now and throughout adulthood. The overweight and obese children are likely to stay obese into adulthood and more likely to develop non-communicable diseases (NCDs) like diabetes, cardiovascular diseases and cancer at a younger age.

Study Aim: The aim of the study is investigating the problem of overweight/obesity among secondary school students in Gaza Strip, Palestine.

Study design: The design of this study was cross-sectional, descriptive, analytical, …

From Crisis Management To Multi-Level Interinstitutional Partnerships: Development Of The Southeastern Conference Deans Nursing Coalition, Jeannette O. Andrews, Victoria Niederhauser, Julie Sanford, Suzanne Prevost, Demetrius Porche, Janie Heath, Pamela Jeffries, Nancy Fahrenwald

School of Nursing Faculty Publications

The Southeastern Conference (SEC) Nursing Dean's Coalition is a purposeful alliance organized to collaboratively address several challenges that arose during the COVID-19 pandemic. Over the last three years, this strategic team of academic leaders has evolved from a crisis response team to a multidimensional support team, leveraging both individual and collective strengths, to provide several benefits to the dean members, as well as other SEC nursing faculty members, students, and institutions. Participation has grown from the original 12 deans to engage a broader team of associate deans and nurse leaders in faculty development, research, service, and diversity, equity, and inclusion. …

Mental Health Literacy In Polynesian Native Hawaiians And Other Pacific Islanders: A Pilot Cross-Sectional Study, Kealoha Sarah Reiko Snow

Theses and Dissertations

Background: High prevalence of mental health problems and underutilization of mental health treatment are more severe among the Native Hawaiian and Other Pacific Islander (NHPI) population and remain misunderstood and understudied. Examining mental health literacy (MHL)–the knowledge and beliefs about mental disorders which aid their recognition, management, or prevention–has been shown to identify barriers to seeking and receiving care. Objectives: This study aimed to assess the level of MHL in Polynesian NHPIs and identify associated demographic variables. Methods: Data for this pilot cross-sectional study were collected from 298 US Polynesians via an online questionnaire of the Mental Health Literacy Scale …

Using Physical Therapy As First Line Treatment For Sciatica Vs. Invasive Intervention, Christina Mohammed

Master of Science in Nursing Family Nurse Practitioner

Sciatica nerve pain affects a large part of the human population. Evaluation by a primary care provider and a referral to physical therapy as first line treatment, may help reduce sciatic nerve pain and result in reduced need for invasive surgical intervention.

Interprofessional Teamwork Through Remote Collaboration: A Mixed-Methods Approach, Sabina Kupershmidt, Tracy Cleveland, Mandy J. Williams, Whitney Lucas Molitor

Aesculapius Journal (Health Sciences & Medicine)

Introduction: Quality health care relies on effective, patient-centered teamwork. Interprofessional education and learning is one of the foundations of health education. These principles were challenged during the COVID-19 pandemic. We sought to determine whether a collaborative, online learning activity would be experienced as interprofessional by learners from eight health professions.

Methods: A mixed-methods, cross-sectional cohort study with retrospective analysis of survey data was utilized. Two custom-designed exit surveys to assess team behaviors: one from the learners’, the second from the faculty observers’ perspective. A thematic analysis of two open-ended questions was completed.

Results: Nursing was the largest discipline (45 %) …

The Association Between Pelvic Floor Dysfunction And Mental Health In Natal Females With A Focus On Native American Populations, Lexxie Gramke

Dissertations

Purpose

Over half of natal females in the United States suffer from pelvic floor dysfunction (PFD). PFD can increase risk of mental health sequelae; however, no studies have been conducted examining the association between mental health and PFD in the Native American (NA) population. This dissertation aims to evaluate the association between PFD, with a focus on overactive bladder (OAB), and mental health in females with specific attention to NAs.

Methodology

A current state of the science review examined the literature for associations between OAB with depression and anxiety in females. Utilizing this literature review, a theoretical model was constructed …

A Study On The Correlation Between The Study Habits Of Nursing Students And Perceived Exam Anxiety, Rebecca A. Bracken

Honors College Theses

Anxiety is a concept very familiar to many university students. This especially applies to students who have decided to major in nursing. With the knowledge and experiences that accompany attending nursing school, come a series of rigorous, high-stakes exams. Nationwide, many students share a common struggle to be successful on these exams, which often leads to a sense of anxiety that becomes associated with one's experience during testing, known as test anxiety. A study across multiple baccalaureate nursing school cohorts was completed to determine a correlation between the various methods used by nursing students to prepare for an exam and …

First Line Acne Treatment: Comparison Of Cost And Efficacy, Michael P. Mcneil, Karlen E. Luthy, Christine R. Platt, Michael S. Robinson, Janelle L.B. Macintosh

Student Works

Acne vulgaris is a common skin concern that may cause permanent disfiguration and encumbering effects on self-esteem and mental health. Additionally, it is often associated with expensive treatment costs for patients. When selecting the most appropriate therapeutic approach, nurse practitioners must also consider the price of the medication. For the majority of mild to moderate cases of acne (both comedonal and inflammatory), effective first-line treatment recommendations include a combination of a topical retinoid, benzoyl peroxide, and a topical antibiotic such as clindamycin. Generic and compounded medications are typically more cost-effective for patients than brand name formulations.

Medicare Modernization—The Urgent Need For Fiscal Solvency, Brian J. Miller, Lisa M. Grabert, Eric D. Hargan

College of Nursing Faculty Research and Publications

Launched in 1965 based on the design prevalent in employer-sponsored insurance markets, Medicare began as a fee-for-service (FFS) benefit for the “very elderly,” with eligibility at age 65 years when the average life expectancy in the US was approximately 70 years. Fast forward to 2023, more than 60 million Americans depend on Medicare for financing their health benefits. Today, the program faces questions of fiscal sustainability, with hospital insurance (Part A) trust fund insolvency projected for 2028. Leaders across administrations, including former US Department of Health and Human Services Secretaries Burwell and Leavitt and former Center for Medicare & Medicaid …

Laminectomy With Fusion Is Associated With Greater Functional Improvement Compared With Laminectomy Alone For The Treatment Of Degenerative Lumbar Spondylolisthesis: A Systematic Review And Meta-Analysis, Geet Shukla, Sai S. Chilakapati, Abhijith V. Matur, Paolo Palmisciano, Fatu Conteh, Louisa Onyewadume, Henry Ofori Duah, Azante Griffith, Xu Tao, Phillip Vorster, Sahil Gupta, Joseph Cheng, Benjamin Motley, Owoicho Adogwa

College of Nursing Faculty Research and Publications

Study Design.  Systematic review and Meta-analysis. Objective.  To compare outcomes and complications profile of laminectomy alone versus laminectomy and fusion for the treatment of degenerative lumbar spondylolisthesis (DLS). Summary of Background Data.  Degenerative lumbar spondylolisthesis is a common cause of back pain and functional impairment. DLS is associated with high monetary (up to $100 billion annually in the US) and nonmonetary societal and personal costs. While nonoperative management remains the first-line treatment for DLS, decompressive laminectomy with or without fusion is indicated for the treatment-resistant disease. Methods.  We systematically searched PubMed and EMBASE for RCTs and cohort studies from inception …

Factors Influencing High Nurse Turnover In A Midwestern U.S.A. Community Hospital And A Proposal For Change, Deborah Mokeira Omagwa

Doctor of Nursing Practice Projects

Nurse turnover has become a universal problem in recent years, causing nurses to bear the burden of higher patient loads, working overtime hours, and dealing with unfavorable working conditions. Nurses sometimes feel they have no voice to fight for them while they struggle at the bedside to improve patient outcomes. The purpose of this project was to be a voice for the nurses to inform the hospital administration on data driven results on how nurse turnover can be reduced, with the goal that the proposed nurse retention strategies will be implemented in this community hospital.

This was a qualitative project …

Experiences Of Latinx Nurses During Covid-19, Jennifer Sandoval

College of Science and Health Theses and Dissertations

Purpose: This study aimed to examine the experiences of Latinx nurses during the first wave of the COVID-19 pandemic.

Design: A primary analysis of qualitative interview data was used for this study.

Methods: Data analysis included thematic network analysis to identify main themes experienced by 20 Latinx nurses. The previously collected interview data were interviews conducted during May to September 2020. Formal coding of the interview data was conducted utilizing Dedoose cloud-based software. Study participant characteristics were tabulated using SPSS 27.

Findings: Study participants shared descriptions of their experiences during the first wave of the COVID-19 pandemic. Five main themes …

Early Activity And Mobility Of Intensive Care Unit Patients To Reduce Hospital Length Of Stay And Improve Patient Outcomes: An Integrative Review, Scott D. Crofts

Doctoral Dissertations and Projects

Patient physical inactivity during hospital admission is a key contributor to increased length of stay and poor outcomes. Patient inactivity and immobility in the intensive care unit (ICU) setting promote the loss of physical function and increase the risk of complications such as pressure injuries, bone demineralization, lung infections, and ICU delirium. The cumulative effects of immobility are persistent through discharge, as patients are at risk for the long-term effects of posthospitalization muscle atrophy and weakness. The purpose of this integrative review was to examine current evidence to determine if early activity and mobility in the ICU setting reduce length …

The Impact Of Role Perception Gaps Among Nurses: An Integrative Review, Anita Fennessey, Drnp, Rn, Cne

College of Nursing Posters

Background & Significance

• Inadequate communication has consistently been indicated as a contributor to adverse events in all areas of healthcare (Paltved et al, 2017).
• Factors related to individual, team, work environment, organizational and institutional aspects have also been shown to influence patient safety, with increased chances of causing patient harm (Rezende da Silva dos Santos, Campos & Celestino da Silva, 2018).
• Efficient communication among healthcare members is considered a contributing element in promoting a culture of safety (Rezende da Silva dos Santos, Campos & Celestino da Silva, 2018).
• Errors in communication can compromise continuity of care and place patient safety …

The Lived Experiences Of Faculty Conducting Post-Simulation Debriefing In Nurse Practitioner Programs, Jodi Borden Duncan

Doctoral Dissertations and Projects

Simulation-based education is a teaching–learning pedagogy widely used in nursing programs today. While much research has been done on student perceptions of simulation and the fact most learning occurs in the post-simulation debriefing session, little research has been done on how learning takes place in debriefing. Nurse practitioner faculty also use simulation as a teaching methodology, but the implementation of debriefing methods and faculty experiences with debriefing sessions are not known. As simulation may not be counted as direct clinical hours in nurse practitioner programs, more research must be done before the substitution of hours can be considered. The substitution …

The Effects Of Dietary And Lifestyle Management On Diabetic Neuropathy, Courtney Renee Wyatt

Doctoral Dissertations and Projects

Numerous patients who have uncontrolled diabetes have developed complications associated with diabetic neuropathy. The apparent knowledge deficit and noncompliance have led to the development of clinical concerns related to improving patient outcomes. This scholarly project assesses the effects of dietary, weight, and exercise management on improving diabetic neuropathy symptoms. The debilitating effects of diabetes continue to affect numerous people each day. Uncontrolled diabetes can create innumerable complications, including diabetic neuropathy. Appropriate nutrition associated with accountability, monitoring, and proper education can alleviate the progression of uncontrolled diabetes. Assessment of the improvement of diabetic neuropathy with dietary and exercise management is examined …

Enhancing The Patient Experience By Providing A Visual Cue To Reference/Reinforce Medication Communication, Janet Radzykewycz

Doctoral Dissertations and Projects

Purpose: The purpose of this project was to examine how placing a visual cue (sticker) for patients and nurses to reference during the patient’s acute care admission on the Telemetry unit will affect the patient’s perception of medication communication (purpose and side effects of medications). Background: Approximately 1.3 million people annually in the United States experience an injury due to medication-related errors. Hospitalized patients are at greatest risk for medication errors at the time of discharge due to medication changes in the acute care environment and these changes being implemented in the patient’s plan of care in the home environment. …

Chronic Diseases And Inpatient Care Among The Middle-Aged And Elderly People In Indonesia, Ema Madyaningrum

Journal of Health Research

Background: The prevalence of chronic diseases contributes to an increase in healthcare utilization that results in increased vulnerability in middle and old age. This study aims to determine the factors that influence in-patient care among the middle-aged and elderly.

Methods: We conducted a repeated cross-sectional study using the Indonesia Family Life Survey 4 (IFLS 4) in 2007 (10,754 participants) and IFLS 5 in 2014 (12,058 participants). Chronic diseases include hypertension, diabetes mellitus, tuberculosis, asthma, coronary heart diseases, liver diseases, cancer, arthritis, gout, high cholesterol, prostate illness, kidney diseases, and digestive diseases. We used the frequency distribution, and logistic regression to …

A Nurse-Led Telehealth Program For Diabetes Foot Care: Feasibility And Usability Study, Hsiao-Hui Ju, Rashmi Momin, Stanley Cron, Jed Jularbal, Jeffery Alford, Constance Johnson

Faculty, Staff and Student Publications

BACKGROUND: Diabetes mellitus can lead to severe and debilitating foot complications, such as infections, ulcerations, and amputations. Despite substantial progress in diabetes care, foot disease remains a major challenge in managing this chronic condition that causes serious health complications worldwide.

OBJECTIVE: The primary aim of this study was to examine the feasibility and usability of a telehealth program focused on preventive diabetes foot care. A secondary aim was to descriptively measure self-reported changes in diabetes knowledge, self-care, and foot care behaviors before and after participating in the program.

METHODS: The study used a single-arm, pre-post design in 2 large family …

Engaging Sleeplessness In Seattle At Clinical Site 1, Benjamin D. Masters, Luis Moreno Nunez, Ally Jo Veenhuizen, Kiana Rendorio

Nursing Leadership in Community Engagement Projects

Introduction

The National Library of Medicine notes an emerging area of research interest is the relationship between substance abuse and sleep (Mahfoud et al., 2009). According to the same 2007 National Survey on Drug Use and Health, “7.6 percent of Americans older than 12 years met the criteria for alcohol abuse or dependence” and goes on to highlight the mundanity of sleep disorder. Additionally, the 2008 National Sleep Foundation’s “Sleep in American” poll demonstrated “addicts in recovery are 5 to 10 times more likely to experience sleep disorders.” (Moufoud et al., 2009). Clinical Site 1 is an agency in Downtown …

Addressing Grade Inflation In Advanced Practice Provider Jesuit Education, Mitzi Marie Saunders

Jesuit Higher Education: A Journal

Grade inflation is defined as a high percentage of high grades in contrast to students’ academic achievements and/or an upward trend in the average grades awarded students. Globally, the A grade is the most common grade issued. Grade inflation is the norm and a topic largely understudied and inadequately addressed. Jesuit faculty can change this trajectory. For some, the matter is more urgent. In advanced practice provider (APP) education, patient safety could be at risk. This paper explores academic grading in the context of Ignatian pedagogy and identifies strategies to reduce grade inflation. It includes a study at a midwestern …

Pressures To Comply Or Defy: How Social Values Influence Perceptions Of Healthcare Workers As Villains, James K. Beggan, Scott T. Allison

Heroism Science

During the Covid-19 pandemic, politicians, the media, and the public labeled frontline workers as heroes. The goal of this article is to examine how certain aspects of the Covid-19 pandemic—such as the nature of the Covid-19 virus, coupled with insufficient governmental and institutional responses—created a situation where it became possible for people to characterize healthcare workers as villains. This approach to medical professionals is rather novel in heroism studies and social sciences. A qualitative review of available data sources provided evidence that frontline healthcare workers were perceived negatively. Experiencing a lack of cooperation from patients and their families, healthcare personnel …

Reducing Postpartum Hemorrhage Rates At Maine Medical Center, Meaghan Smith, Colette Dumais, Tracey E. Mcmillan, Carrie Comeau, Mandy Wallace, Jenelle Boulanger, Jodi-Lynne Vaughn, Kelly Ouellette, Natalia Johnson, Suneela Nayak, Rebecca Brookes

Operations Transformation

In the United States, approximately 700 women die each year from pregnancy related deaths and the most frequent cause of preventable maternal mortality is obstetric hemorrhage. The postpartum hemorrhage (PPH) rate at Maine Medical Center (MMC) is three times the national average. At our facility we care for the most complex patients in the State and we must decrease our rate to accurately reflect our expertise, knowledge and skills.