Nursing Commons^™

Venous Leg Ulcers: An Analysis Of Nursing Knowledge, Shelia Moore-Miller

Electronic Theses and Dissertations

This project evaluated the knowledge level of wound center nursing staff on venous leg ulcer etiology and treatments after an educational intervention. To determine the effectiveness of the educational intervention, participants completed a pretest and posttest evaluation. Venous leg ulcers (VLUs) are chronic lower extremity ulcers affecting older Americans. VLUs are painful and negatively affect activities of daily living. Inadequate VLU treatment can become an infectious process that can ultimately threaten limb existence. A quantitative, quasi-experimental study was conducted over three weeks in a hospital-based wound care center in central Florida. The theoretical framework applied to this project is Lydia …

Burnout In Medical Assistants In Primary Care: Can Mindfulness Be A Solution?, Natalee D. Calais

Electronic Theses and Dissertations

Burnout is described as feelings associated with emotional exhaustion, depersonalization of patients, and a loss of sense of personal accomplishment and it is unique to healthcare workers. Current research highlights this condition among physicians, nurses, and mid-level providers; however, insufficient research exists regarding the effects of burnout on medical assistants. Research led to mindfulness as a possible solution defined as an intentional regulation of attention and awareness of the present moment. This project sought to see if mindfulness practices could be utilized to mitigate the effects of burnout in medical assistants. It was hypothesized that mindfulness could be a solution. …

Botulinum Neurotoxin A4 Has A 1000-Fold Reduced Potency Due To Three Single Amino Acid Alterations In The Protein Receptor Binding Domain, William H. Tepp, Marite Bradshaw, Alexander P. Gardner, Rebecca L. Kaufman, Joseph T. Barbieri, Sabine Pellett

College of Nursing Faculty Research and Publications

Botulinum neurotoxin subtype A4 (BoNT/A4) is ~1000-fold less potent than BoNT/A1. This study addresses the basis for low BoNT/A4 potency. Utilizing BoNT/A1-A4 and BoNT/A4-A1 Light Chain-Heavy Chain (LC-HC) chimeras, HC-A4 was responsible for low BoNT/A4 potency. Earlier studies showed BoNT/A1-receptor binding domain (Hcc) bound a β-strand peptide (556–564) and glycan-N⁵⁵⁹ within Luminal Domain 4 (LD4) of SV2C, the BoNT/A protein receptor. Relative to BoNT/A1, the Hcc of BoNT/A4 possesses two amino acid variants (D¹¹⁴¹ and N¹¹⁴²) within the β-peptide binding interface and one amino acid variant (R¹²⁹²) located near the SV2C glycan-N⁵⁵⁹. …

Comparing Experiences Of Women Who Were Direct Breastfeeding And Women Who Used Expressed Breast Milk To Feed Their Infants, Lisa A. Anders, Karen Robinson, Jennifer M. Ohlendorf, Lisa Hanson

College of Nursing Faculty Research and Publications

Purpose:

To provide understanding about feeding experiences of women who provide breast milk through direct breastfeeding and exclusive expression and to compare these experiences.

Study Design and Methods:

A qualitative study was conducted to gather experiences from the perspectives of women who had given birth to a healthy, term infant within the past 12 months and exclusively fed breast milk for at least 2 weeks. The sample was recruited from motherhood and breastfeeding support groups on Facebook. Groups had state- or national-based memberships. Interviews were examined for themes that were compared between feeding groups using thematic analysis.

Results:

Fifteen new …

Improving Inclusion For Children With Special Health Care Needs In Childcare Settings: Results From A Statewide Survey Of Childcare Professionals, Kim Whitmore, Norah L. Johnson, Seeun Park, Salma Salama, Rachel J. Sobiesk

College of Nursing Faculty Research and Publications

Introduction: Families of children with special health care needs (CSHCN) routinely struggle to find suitable childcare. These families value childcare capable of supporting their child's needs, known as inclusive care, that requires trustworthy staff trained to safely care for CSHCN.

Method: This study aimed to understand the training, experience, confidence, and perceived barriers to providing inclusive care for CSHCN from the perspective of childcare providers and directors. Childcare providers (n = 263) and directors (n = 418) responded to a statewide survey in Wisconsin in 2019.

Results: Results show that both childcare providers and directors perceive that the …

Best Practices For Improving Blended Learning In Nigeria: Critical Reflections On The Breast Cancer Clinical Pathway Development Course, Peace I. Egharevba, Kelechi Eguzo, Enyichukwu M. Anya, Nuhu Tumba, Kingsley Nnah, Chukwuemeka Oluoha, Precious Mbaraonye

Journal of Graduate Education Research

Although cancer clinical pathways (CPs) are standardized care plans for the treatment of specific cancers, they are not commonly used in Nigerian hospitals. Many Nigerian clinicians do not have the requisite skill for developing and implementing the use of CPs. Critical reflections provide an important perspective in the philosophy, design, implementation, and outcome of interventions. This paper critically reflects on the design and implementation of a multidisciplinary, blended learning (i.e. online and in-person) course which sought to improve the competence of local doctors, nurses, and allied students in developing clinical pathways. Reflective feedback was obtained from a mix of project …

4 Eyes On Skin: A Standardized Electronic Documentation Of 2 Rn Skin Assessment To Reduce Hospital-Acquired Pressure Injuries On A Progressive Care Unit, Jerome Codilla, Jamie Mae Yema

Providence Nursing Research Conference 2023 – Present

No abstract provided.

Development Of A Rn Clinical Coach Program To Improve Retention Of Icu Residents And Fellows, Megan Jones, Sarah Sumner, Kristen Mayberry

Providence Nursing Research Conference 2023 – Present

Development of a RN Clinical Coach program to improve retention of ICU residents and fellows

Background:
The COVID-19 pandemic caused contributed to significant increases in ICU nurse turnover. To restore the ICU nursing workforce and rebuild a healthy work environment, evidence-based strategies are needed to provide social support and ongoing clinical skills development for large cohorts of ICU residents and fellows.

Purpose:
The purpose of the Clinical Coach program was to increase retention of ICU residents and fellows and foster a healthy work environment at a ministry in Southern California.

Methods:
In September 2021 the ICU manager at Providence Saint …

Stand By Me: Using An Enhanced Recovery After Surgery (Eras) Checklist To Guide Early Mobility Of Postoperative Craniotomy Patients On A Progressive Care Unit, Jerome Codilla, Alyssa Mooney, Joanna Arraiza, Sohl Chapman, Nkiru Chukwudi, Ronald Rosales

Providence Nursing Research Conference 2023 – Present

No abstract provided.

Using The Escape Room Theme For Education, Suzanne Bañuelos

Providence Nursing Research Conference 2023 – Present

No abstract provided.

Interprofessional Collaboration Optimizes Oncology Navigation Efficiency And Value​, Lauri Ledbeter, Whitney Daws, Rebekah Hart, Lindsay Shimizu

Providence Nursing Research Conference 2023 – Present

Background: Oncology navigation programs have evolved to include services for addressing cancer care barriers, focusing on care coordination, patient experience, and care value, and may include nurses, social workers, and non-licensed trained workers as care navigators. The 2023 Enhancing Oncology Payment Model (EOPM) requires navigation services and emphasizes improving care value and outcomes. Effective healthcare navigation and collaboration can improve value by reducing care duplication, missed appointments, and emergency admissions; identifying and addressing health-related social needs; addressing health inequities; and improving time-to-treatment initiation and patient retention. The Institute of Medicine also advocates for healthcare professionals to work interprofessionally, implement quality …

Factors Influencing Instrumental Birth Rates: An Evidence Based Project, Douglas Nanu, Gabriel Alemayehu, Chase Eby, Teresa Rangel

Providence Nursing Research Conference 2023 – Present

No abstract provided.

Creation And Implementation Of A Trauma Informed Care Safety Tool In An Inpatient Mental Health Unit, Katie Rhea, Jeremy Williams, Teresa Rangel

Providence Nursing Research Conference 2023 – Present

No abstract provided.

Chaplains And Hospital Staff Stressors: A Qualitative Framework, Teresa Rangel, Alexa Powell, Sarah Sumner, Kavya Vaitla, Karen Colorafi

Providence Nursing Research Conference 2023 – Present

No abstract provided.

A Quality Improvement Project: An Educational Program For Nurses To Improve The Care For Patients Diagnosed With Alcohol Withdrawal Syndrome, Daniel Davidson, Teresa Rangel, Kallie Anderson, Tobi Bryan, Cassie Baune

Providence Nursing Research Conference 2023 – Present

No abstract provided.

Certification Champion Pilot Project To Increase Rn Specialty Certification Rates, Ari Meyers, Trisha Saul

Providence Nursing Research Conference 2023 – Present

No abstract provided.

Improve Exclusive Breastfeeding Rates Through Early Breastfeeding Initiation, Camille Chua, Beverly Holland

Providence Nursing Research Conference 2023 – Present

No abstract provided.

Enhancing Critical Appraisal Of Literature Through A Virtual Nursing Journal Club, Sherri Mendelson, Kevin Brandini

Providence Nursing Research Conference 2023 – Present

No abstract provided.

Innovative Approach To Evaluate And Address Acute Care Nurse Educational Needs, Carsen Mcguire, Teresa Rangel

Providence Nursing Research Conference 2023 – Present

No abstract provided.

Professional Identity Perceptions Among Acute Care, Patient Facing Nurses, Rosemary Timmerman, Teresa Rangel, Crystal Billings, Tullamora T. Landis

Providence Nursing Research Conference 2023 – Present

No abstract provided.

Does Aromatherapy Improve Nighttime Comfort For Hospitalized Oncology Patients: A Pilot Study, Leah Phillips, Sherri Mendelson, Marwa Kilani, Ross Bindler

Providence Nursing Research Conference 2023 – Present

No abstract provided.

Fast 5: A Frontline Nurse Designed Tool To Predict Inpatient Fall Risk, Dawn Gadwa, Crystal Billings, Shih-Ting Chiu

Providence Nursing Research Conference 2023 – Present

No abstract provided.

Evaluation Of A Virtual Abstract Writing Workshop For Registered Nurses, Rosemary Timmerman, Teresa Rangel, Dawn Bock, Trisha Saul

Providence Nursing Research Conference 2023 – Present

No abstract provided.

Emergency Department Throughput: The Impact Of Vertical Care, Marc Wirtz

Providence Nursing Research Conference 2023 – Present

References

Garrett JS, Berry C, Wong H, Qin H, Kline JA. The effect of vertical split-flow patient management on emergency department throughput and efficiency. Am J Emerg Med. 2018 Sep;36(9):1581-1584. doi: 10.1016/j.ajem.2018.01.035. Epub 2018 Jan 11. PMID: 29352674.

Hsieh A, Arena A, Oraha A, Cotarelo A, McLean M, Hsieh A, Hsieh A, Chen I, Mok N, Milizia R. Implementation of Vertical Split Flow Model for Patient Throughput at a Community Hospital Emergency Department. J Emerg Med. 2023 Jan 12:S0736-4679(22)00570-4. doi: 10.1016/j.jemermed.2022.10.007. Epub ahead of print. PMID: 36641257.

Effect Of Mindfulness Training On Nicu Nurses’ Professional Quality Of Life, Susan Egami, Martha Highfield, Sherri Mendelson

Providence Nursing Research Conference 2023 – Present

No abstract provided.

Increase The Quietness Of Hospital Environment Top Box Score To 59% With The Stretch Goal Of 67% By 01/2023, Rosemarie B. Navarro, Damira Arya

Providence Nursing Research Conference 2023 – Present

No abstract provided.

Preserving The Patients’ Lifeline: Reducing Complications By Adopting A Vascular Access Assessment Improvement Process, Ana Lopez Franco

Providence Nursing Research Conference 2023 – Present

No abstract provided.

Preserving The Patients' Lifeline: Reducing Complications By Adopting A Vascular Access Assessment Improvement Process, Ana Lopez

Providence Nursing Research Conference 2023 – Present

No abstract provided.

Empiric Antibiotic Management Pathway (Eamp), Michelle Brunelle

Providence Nursing Research Conference 2023 – Present

No abstract provided.

Outcomes Linked To A Hospital-Based, Virtual Nursing Research Basics Course, Trisha Saul

Providence Nursing Research Conference 2023 – Present

No abstract provided.