Nursing Commons^™

Metabolic Syndrome And Associated Factors Among Hispanic Americans, Shannon L. Richard

UNLV Theses, Dissertations, Professional Papers, and Capstones

Metabolic syndrome (MetS) is a cardiometabolic condition that may develop into cardiovascular disease and type 2 diabetes mellitus. Early recognition and associated treatment of MetS can help detour disease. Lifestyle factors, sleep-disordered breathing, and psychological well-being influence the development of MetS; electrocardiogram abnormalities are associated with MetS. Hispanics living in the United States are particularly vulnerable to MetS. Although MetS is well-identified in Americans of Hispanic ethnicity, the current literature evaluating protective and contributory factors among Hispanic gender-ethnic subgroups is inconsistent and incomplete. This study aimed to examine the relationships between MetS and select health and lifestyle factors among seven …

Perpetuation Of Gender Discrimination In Pakistani Society: Results From A Scoping Review And Qualitative Study Conducted In Three Provinces Of Pakistan, Tazeen Saeed Ali, Shahnaz Shahid Ali, Sanober Nadeem, Zahid Memon, Sajid Bashir Soofi, Falak Madhani, Yasmin Karim, Shah Mohammad, Zulfiqar Ahmed Bhutta

School of Nursing & Midwifery

Background: Gender discrimination is any unequal treatment of a person based on their sex. Women and girls are most likely to experience the negative impact of gender discrimination. The aim of this study is to assess the factors that influence gender discrimination in Pakistan, and its impact on women's life.
Methods: A mixed method approach was used in the study in which a systematic review was done in phase one to explore the themes on gender discrimination, and qualitative interviews were conducted in phase two to explore the perception of people regarding gender discrimination. The qualitative interviews (in-depth interviews and …

Appraising Rufaidah Al-Aslamia, First Muslim Nurse And Pioneer Of Islamic Nursing: Contributions And Legacy, Mustafa M. Bodrick, Mutlaq B. Almutairi, Fatma S. Alsolamy, Hisham M. Alfayyadh

Jurnal Keperawatan Indonesia

Global advancement in nursing is attributed mainly to western pioneers with negligible recognition of Rufaidah Al- Aslamia, who was the first Muslim nurse, and pioneer in Islamic nursing more than 1,400 years ago in Madinah (Medina, Saudi Arabia). She responded to the need for the provision of organized nursing care to injured soldiers in the Islamic battles during the time of Prophet Mohammed (Peace & Blessings Upon Him). The paucity of focus on Rufaidah Al-Aslamia triggered this scientific study to appraise her contributions and legacy as the pioneer of Islamic nursing. A qualitative, historical research inquiry was conducted using a …

Hospital-Acquired Malnutrition In The Pediatric Population: A Cross-Sectional Study, Annida Falahaini, Dessie Wanda

Jurnal Keperawatan Indonesia

Malnutrition is a global problem, from which hospitalized patients are not exempt. Hospital-acquired malnutrition (HaM) is associated with adverse outcomes in pediatric patients. Therefore, health professionals need to understand the factors related to the issue in such patients. This study aims to identify the factors associated with the prevalence of HaM in pediatric patients. It employed a cross-sectional design involving children from one month to 18 years old who had been hospitalized for at least 72 hours. HaM was determined by a weight loss of more than 2% by the fourth day of hospitalization. The final sample was 373, from …

Experiences Of Mothers And Significant Others In Accessing Comprehensive Healthcare In The First 1000 Days Of Life Post-Conception During Covid-19 In Rural Uganda, Grace Nakate, Sean Mackay, Eunice Ndirangu, Valerie Fleming

School of Nursing & Midwifery, East Africa

Background: COVID-19 presented an unprecedented global public health challenge because of its rapid and relentless spread, and many countries instituted lockdowns to prevent the spread of infection. Although this strategy mayhave been appropriate to reduce infection, it presented unintended difficulties in rural Uganda, especially in maternal and born newborn care. For example, some services were suspended, meaning the nearest health facility was at a considerable distance. This study explored the experiences of mothers and their significant others of comprehensive care in the first 1000 days of life post-conception during the COVID-19 pandemic in Bunghokho-Mutoto sub-county, Mbale District, Uganda.

Methods …

Implementing Screening For Depression And Anxiety For Patients With Thyroid Disease, Sarah Maria Drake

Doctor of Nursing Practice

Background: Thyroid dysfunctions are the most common endocrine-specific disorders found in the clinic setting. Symptoms of hypothyroidism/hyperthyroidism overlap with anxiety/depression symptoms. Research shows a relationship between individuals with thyroid disorders and people with anxiety/depression. Mental health disorders are typically managed in the primary care setting. However, screening for depression and anxiety are low in primary care settings and often go unidentified. Purpose: To implement validated, evidence-based depression and anxiety screening tools in a Texas endocrine clinic to improve the management of patients with concomitant thyroid and mental health disorders. Objectives: The project objectives include initiating screening for anxiety/depression and referral …

Understanding Alcohol Use Discourse And Stigma Patterns In Perinatal Care On Twitter, Fritz Culp, Yuqi Wu, Dezhi Wu, Yang Ren, Phyllis Raynor Phd, Aprn, Pmhnp-Bc, Peiyin Hung Ph.D, Shan Qiao Ph.D., Xiaoming Li Ph.D., Kacey Eichelberger

Publications

(1) Background: perinatal alcohol use generates a variety of health risks. Social media platforms discuss fetal alcohol spectrum disorder (FASD) and other widespread outcomes, providing personalized user-generated content about the perceptions and behaviors related to alcohol use during pregnancy. Data collected from Twitter underscores various narrative structures and sentiments in tweets that reflect large-scale discourses and foster societal stigmas; (2) Methods: We extracted alcohol-related tweets from May 2019 to October 2021 using an official Twitter search API based on a set of keywords provided by our clinical team. Our exploratory study utilized thematic content analysis and inductive qualitative coding methods …

Immersive Virtual Reality As An Effective Alternative To Traditional Clinical Nursing Education: An Integrative Review, Alisha Gelder, Myrtha Labastille-Normil

Master of Science in Nursing Final Projects

Immersive Virtual Reality as an Effective Alternative to Traditional Clinical Nursing Education: An Integrative Review 

Abstract 

Aim: To assess the usefulness of immersive virtual reality as an effective alternative to traditional face-to-face clinical education for undergraduate nursing students. 

Background:  The Covid-19 pandemic impacted nursing education to a point where change is needed in traditional curricula to meet program outcomes. Virtual Reality (VR) based simulations introduce students to clinical situations in a safe environment and therefore became an effective solution during the pandemic to enhance student learning. Due to the lack of research, regulatory bodies are hesitant to accept VR clinical …

The Uncertainty And Psychological Health Of Family Caregivers Of Patients With Delirium In Intensive Care Units, Amal Shokri Haji Assa

Theses and Dissertations (ETD)

Each year, more than 5 million patients are admitted to an intensive care unit (ICU) in the United States, and up to 80 % of these patients develop delirium. Delirium is a common indicator of acute brain dysfunction in the ICU and a predictor of mortality, longer ICU/hospital stay, and long-term cognitive impairment. Family caregivers are a valuable resource in preventing, detecting, and managing delirium in the ICU. However, witnessing delirium episodes can generate adverse psychological symptoms in family caregivers that may compromise their health and well-being. Research in this area has demonstrated a gap in the literature regarding how …

Implementation Of A Virtual Nurse Residency Program For Public Health Nurses: A Pilot Study, Ashlie L. Pullen

Journal of the Georgia Public Health Association

Implementation of a Virtual Nurse Residency Program for Public Health Nurses: A Pilot Study

Background: Nursing retention is a growing concern for many healthcare organizations. One of the Georgia Department of Public Health’s goals is to improve the recruitment and retention rates of public health nurses in the state. In this cohort study of nurses with less than 18 months of experience in public health, pre and post-tests were conducted to measure stress, confidence, job satisfaction, and public health core competencies.

Methods: The participants took part in asynchronous and synchronous online content led by public health professionals. These two modules …

Counselors’ Experiences With Infant And Young Child Feeding Tele-Counseling: A Phenomenological Study, Fajar Tri Waluyanti, Yeni Rustina, Hadiyati Fudla, Nani Nurhaeni, Jen-Jiaun Liaw, Insi Farisa Desy Arya, Milawati Milawati, Firda Dewi Yani

Jurnal Keperawatan Indonesia

The global COVID-19 pandemic has influenced the intervention delivery of Indonesia’s stunting reduction program. In this context, e-counseling can be adapted as an innovative approach to deliver interventions. This study aimed to explore counselors’ experiences when conducting tele-counseling. The five participants in this phenomenological study were counselors who had received breastfeeding and infant and young child feeding (IYCF) counseling training and participated in counseling service activities. The participants were selected using a purposive sampling technique. In- depth interviews were conducted with each of the participant until data saturation was reached. Each interview was transcribed and analyzed using thematic analysis method. …

Increasing The Prescribing Of Pre-Exposure Prophylaxis (Prep) With A Pre-Exposure Prophylaxis Screening Tool, Cassey Hall

Student Scholarly Projects

Practice Problem: Human Immunodeficiency Virus (HIV) is one of the leading pandemics in the world. In 2019, 38 million people were living with HIV around the world. Of those, roughly 87% were aware of their HIV status.

PICOT: In patients with high risk for HIV, how does implementing a pre-exposure (PrEP) screening tool compared to randomly screening for pre-exposure prophylaxis (PrEP) affect the prescribing of pre-exposure prophylaxis (PrEP) within eight weeks?

Evidence: In 2015, the World Health Organization (WHO) recommended PrEP for the prevention of HIV in high-risk individuals. The patients include men who have sex with …

Evidence-Based Best Practice For Nursing Skills Competency Assessment: A Policy Development Project For Standard Work Utilizing The Donna Wright Competency Model, Iselda Gentry

Student Scholarly Projects

Practice Problem: Traditional nursing competency assessments use a process-focused approach determined by leaders. A checklist methodology for conducting nursing competencies does not empower nurses to create their own learning experiences.

PICOT: The PICOT question that guided this project was: In an acute care setting (P), how does the development of an evidence-informed policy for competency assessment utilizing the Donna Wright Competency model (I) compared to current competency assessment practices (C), improve the guidance for nurse educators in the development of standard work and communications regarding competency assessment (O)?

Evidence: Studies using the DW Competency Assessment Model have shown that this …

Improving The Perioperative Experience Of Patients And Families In A Pediatric Setting, Anjanette Pong

Student Scholarly Projects

Practice Problem: The experience of surgery for pediatric patients and their families can be dependent on multiple factors including adequate preparation, English language proficiency and realistic expectations. Anxiety can contribute to a negative experience that may result in poor outcomes and a damaging reflection of the healthcare team and organization.

PICOT: The PICOT question that guided this project was: In preoperative pediatric patients and their families, how do therapeutic communication style and the provision of information about the perioperative experience affect their healthcare experience over eight weeks?

Evidence: A multi-modal approach to providing tailored preoperative education for the child and …

Beyond The Boundaries Of Nursing Care: A Phenomenological Study, Tri Ismu Pujiyanto, Shindi Hapsari, Umi Hani

Jurnal Keperawatan Indonesia

The COVID-19 pandemic created an emergency and challenging situation, especially for nurses, who have experienced feelings including fear and questions concerning their job responsibilities and professional ethics. They needed to maintain safety on the basis of their knowledge and skills. This study aimed to explore nurses’ experiences related to the pandemic. This research was conducted by using qualitative research with a descriptive phenomenological design. The participants were 15 nurses on duty in COVID-19 units at hospitals and who were delivering or had delivered direct care to patients with COVID-19. Data were collected from in-depth interview and analyzed with Colaizzi technique. …

Cluster Analysis Of The Productivity Of Nurses’ Work, Hermansyah Hermansyah, Agung Riyadi, Rina Delfina

Jurnal Keperawatan Indonesia

Productivity is a measure of performance, including effectiveness and efficiency. The importance of work productivity for nurses includes its evaluation role in contributing to continuous improvement. The purpose of this study is to determine the classification of nurses in clusters based on work productivity in the inpatient room. It is an analytic study with a cross-sectional design. The study sample were 130 nurses in the inpatient room at the Bengkulu Provincial Hospital, selected using the proportional random sampling technique. A questionnaire was employed for the data collection. Data analysis was performed univariately, and multivariately with cluster analysis. The study results …

Evaluation Of Human Trafficking Training/Educating Of Nursing Professionals, Emily Morris

Capstone Experience: Master of Public Health

Background: Human trafficking (HT) is a serious public health issue. Victims may present to medical facilities for a variety of health concerns, and therefore, healthcare professionals can identify and provide aid to trafficking victims. However, research shows that providers do not feel adequately trained to identify and support victims. This study evaluates the outcomes of a three hour in-person HT workshop for nurses.

Methods: We administered an online survey with closed- and open-ended questions before and after the workshop to assess improvement in knowledge, health impact, strategies for identification and assessment, and response and follow up of HT.

Results: At …

Uncertainty And Perinatal Post-Traumatic Stress Disorder In The Neonatal Intensive Care Unit, Kathryn J. Malin, Teresa S. Johnson, Roger L. Brown, Jonathan Leuthner, Margaret Malnory, Rosemary White-Traut, Erin Rholl, Joanne Lagatta

College of Nursing Faculty Research and Publications

Parents of infants in the neonatal intensive care unit (NICU) are at increased risk of developing perinatal post-traumatic stress disorder (PPTSD), a mental health condition known to interfere with healthy parental and infant attachment. Feelings of uncertainty about illness have been theorized as an antecedent to post-traumatic stress, however the relationship has not been explored in parents of infants requiring care in the NICU. The purpose of this prospective study was to explore parental uncertainty during and after NICU discharge and the relationship between uncertainty and PPTSD. The sample consisted of 319 parents during NICU hospitalization and 245 parents at …

The Use Of Virtual Reality As A Standard Of Care In Verified Burn Centers, Emily Werner

Nursing Masters

This study explored whether the use of virtual reality (VR) was a standard of care during burn care at burn verified facilities in the United States. Surveys were sent to American Burn Association verified burn centers to investigate if VR was being used as a standard of care, if protocols for using VR are in place and how they were developed, and what barriers these facilities are facing and several other topics investigated. Out of the 64 facilities surveyed, 21 responses were collected. Burn facilities reported 63.2% do not use and 36.8% do use VR while performing burn dressing changes …

Critical Thinking Development In Undergraduate Midwifery Students: An Australian Validation Study Using Rasch Analysis, Amanda G. Carter, Amanda Müller, Michelle Gray, Dianne Bloxsome, Kristen Graham, Dolores Dooley, Linda Sweet

Research outputs 2022 to 2026

Background: Well-developed critical thinking skills are required to provide midwifery care that is safe, evidence-based, and woman-centred. A valid, reliable tool to measure is required the application of critical thinking in midwifery practice. The Carter Assessment of Critical Thinking in Midwifery (CACTiM) has previously been psychometrically assessed using classical methods at a single site. This study aims to further evaluate the properties of CACTiM tools using Rasch analysis in a diverse group of midwifery students and preceptors. Methods: The CACTiM tools were completed by undergraduate midwifery students studying at three Australian universities and their preceptors. Midwifery students’ critical thinking was …

Analgesic Effect Of Auricular Point Acupressure For Acute Pain In Patients With Dementia: Study Protocol For A Randomized Controlled Trial, Xiao Min Chai, Hong Yan Shi, Jun Jun Zhang, Lei Wang, Hai Xiang Gao, Ya Liang Dai, Lu Lu Gao, Jian Qiang Yu, Yu Xiang Li, Carol Chunfeng Wang

Research outputs 2022 to 2026

Background: Common and frequent as acute pain is, it is often underestimated and undertreated in older people with dementia in nursing homes and inadequate pain management remains an issue. Methods: The study is designed to be a randomized, sham-controlled trial and is underway in nursing homes located in China. A total of 206 dementia patients are being recruited from nursing homes in Yinchuan, China. They are randomly allocated to an intervention or a controlled group in a 1:1 ratio. The intervention group will be treated with true APP therapy, while the other group will receive APP at sham point stimulation …

Assessment Of Veteran Satisfaction With Telehealth Services During The Covid-19 Pandemic, Rhonda Kay Howard

Electronic Theses and Dissertations

Abstract

With the advent of the COVID-19 public health emergency in the United States, many U.S. veterans were unable to maintain their usual office visits due to safe access concerns. Patients were strongly encouraged to maintain their healthcare needs at home by utilizing online technology resources like telehealth services with their healthcare providers. Providing excellent healthcare services for veterans during COVID-19 became a challenge for primary care providers at many veteran healthcare organizations. Since little was known about the satisfaction of veteran clients with healthcare management using virtual care during the pandemic, this formative program evaluation was designed to survey …

Comparative Evaluation Of Artifacts Originated By Four Different Post Materials Using Different Cbct Settings, Dilek Helvacioglu-Yigit, Umut Seki, Sebnem Kursun-Cakmak, Husniye Demirturk Kocasarac, Maharaj Singh

College of Nursing Faculty Research and Publications

The aim of this study was to evaluate whether cone beam computed tomography (CBCT) images in the presence of four different post materials, obtained from different kVps with varying resolutions and varying metal artifact reduction (MAR) algorithms, differed in artifact estimation, and to compare tooth regions in terms of artifact value. Materials and Methods: Forty premolar teeth were used in this study. Root canals were treated, and teeth were randomly distributed into four subgroups (n = 10) for the preparation of post materials: titanium, gold (Nordin), quartz fiber (Bisco DT Light), and glass fiber (Rely X). The CBCT images were …

Nurses' Experiences Implementing Eped: An Ipad Application To Guide Quality Discharge Teaching, Carol Klingbeil, Cori A. Gibson, Norah L. Johnson, Michele Polfuss, Karen Gralton, Stacee M. Lerret

College of Nursing Faculty Research and Publications

Quality discharge teaching prepares patients and families to transition safely from hospital to home. Technology can enhance and support quality discharge teaching by promoting patient family engagement during the transition. The purpose of this mixed methods study was to explore clinical nurses' experience with using Engaging Parents in Education for Discharge, an iPad application to guide quality discharge teaching. Twelve nurses at a large Midwestern Children's Hospital participated in small focus groups after use of the Engaging Parents in Education for Discharge application and completed a questionnaire on their perception of the acceptability and feasibility of the app. Findings revealed …

Who Leads The Emergency Department Debrief?, Allison D. Lane, Ethan Bryce, Marcy R. Milbrandt, Lisa R. Stoneking

Journal of Wellness

No abstract provided.

Influence Of Job Stress, Fatigue, Happiness On Sleep Quality Of Shift Work Nurses, Minjeong Kang, Yeon Sook Kim, Insun Jang

Nursing Faculty Publications

Purpose: This descriptive study aimed to identify relationships among shift work nurses’ job stress, fatigue, happiness, and sleep quality and the factors causing decrease in sleep quality to establish fundamental data for effective intervention strategies. Methods: The data were collected using a structured questionnaire from June 11 to 19, 2018, and study participants were 198 nurses working rotating shifts in a university hospital. Results: The quality of sleep showed a mean of 15.77±5.30 and was varied depending on the number of night shifts (p=.001), health status (p=.008), and the number of discomforts at work (p<.001). Sleep quality also showed a significant relationship with job stress (r=.15, p=.040), fatigue (r=.35, p<.001), and happiness (r=-.24, p=.001). Multiple regression analysis (Adj R2=.275) indicated that factors affecting the quality of sleep included the number of discomforts (β=.31, p<.001), fatigue (β=.22, p=.002), and the number of night shifts (β=.19, p=.002). Conclusion: This study suggests that individuals, hospitals, and social systems need to coordinate the number of night shifts and improve discomfort and fatigue by considering factors influencing rotating shift work nurses’ sleep quality.

Protocol Implementation For Standardized Handoff From Emergency Department, Marina Conaway

Symposium of Student Scholars

In the healthcare field, report given between nurses during handoff when transferring and admitting patients is considered one of the most important components to quality patient care as well as ensuring patient safety. When report is not given effectively or at all during handoff, there are many problems that can occur during the nursing care process. According to research, lack of including necessary patient information or having incomplete medical records are some of the main problems that can lead to things directly affecting patient safety and quality of care, such as medication errors. Research supports that continuity of care is …

Human Trafficking Victims And The Ed, Sami Johnson

Symposium of Student Scholars

Background: Human trafficking victims have restricted contact with others, leaving emergency department healthcare workers as their only links to the outside world. These healthcare workers must be educated, and screenings need to be utilized to identify and care for these victims. Objective: This study was created to discover what the best training and actions are for emergency department healthcare workers when identifying and treating human trafficking victims. Method: Research was conducted through PubMed, CINAHL, and MEDLINE. The frequently used phrases to find journals include "human trafficking" and "emergency department". Articles were excluded if they were not written in the English …

Comparison Of Vaginal Misoprostol And Oral Misoprostol For Promoting Cervical Ripening And Inducing Labor, Aurelle Ndongo, Julie Vu, Abby Smith, Alice Han, Callie Greathouse

Symposium of Student Scholars

Background: Labor induction is the stimulation of the uterus to contract before labor begins to have a vaginal birth through the use of medications. Labor induction in the later stages of pregnancy is used to prevent complications when the mother or baby is at risk. Medications such as misoprostol (Cytotec) are used in inductions for cervical ripening to allow smoother dilation. Ripening the cervix is a method used to help soften and thin out the cervix to facilitate childbirth. The benefit of using misoprostol is that it can be administered several routes including oral, vaginal, sublingual and buccal. Induction of …

Lowering Utis In Sci, Jennifer Walter

Symposium of Student Scholars

Lowering UTI Rates In SCI

Addressing UTI in spinal cord injury patients is significant because the high occurrence of UTIs adversely affects both the patient and health care organizations. Studies show that neurogenic bladder is common in SCI patients which results in increased retention of urine and rates of bacteria. This calls for continuous intermittent catheterizations, increasing risk of infection and compromising health of the patient. Studies found UTIs lead to greater hospitalization lengths, costs, and waste. The purpose of this project is to lower UTI rates by identifying bacteria in urine daily, thus treating UTI sooner. Urine cultures are …