Nursing Commons^™

From The First Encounter: A Communication Program For High Volume, High Acuity Patient Care Locations, Shazam Bacchus

Student Scholarly Projects

Effective communication is a true value to healthcare organizations. Far too many communication sessions are detrimental to patient health outcomes. National data and hospital records are proven information to suggest communication is a major barrier to overall patient satisfaction. Organizations struggle to increase market share and patient satisfaction with a likelihood to recommend because of poor communication by physician and nurses. The use of a strategic communication tool like AIDET plus the Promise can influence the improvement of an organization’s quality of care.

This paper examines the use of AIDET plus the Promise as a strategic communication tool. High volume, …

Interactive Sepsis Education Program Improves Nurses' Knowledge And Impact On Patient Outcomes., Jennifer Rechter Msn, Rn-Bc, Agcns-Bc, John P. Klein, Rachel Buckholz, Jan Powers Phd, Rn, Ccrn, Emily R. Plant

Nursing Publications, Posters, & Presentations

Sepsis is a life-threatening organ dysfunction triggered by a dysregulated host response to infection. Sepsis education is a key initiative to assist nurses and patient care technicians to improve their skills in recognizing a patient in decline with escalating care concerns. This study demonstrated increased knowledge of sepsis through completion of an evidence-based computer learning program.

Atrial Fibrillation With Controlled Ventricular Rate And New-Onset Heart Failure: Atypical Presentation, Worse Prognosis, Vinay Mehta, Alexander Albers, Maharaj Singh, Timothy E. Paterick

College of Nursing Faculty Research and Publications

Background: There is deficient literature comparing patients with atrial fibrillation (AF) who present with rapid ventricular rate (RVR) versus controlled ventricular rate (CVR) associated with new-onset heart failure.

Purpose: This study aimed to evaluate patients with new-onset cardiomyopathy (CM) and a concomitant or preceding history of AF and compare patients with CVR (≤100 bpm) to those with RVR (>100 bpm).

Methods: Patients with newly diagnosed CM, defined as a left ventricular ejection fraction ≤40%, were identified from our healthcare database and divided into two groups: those with a ventricular rate ≤100 bpm (CVR-CM, n=79) and those with a ventricular …

The Use Of Swaddle Bathing In The Neonate, Michele Mancini

Master of Science in Nursing Family Nurse Practitioner

No abstract provided.

Speech-Language Disorder Severity, Academic Success, And Socioemotional Functioning Among Multilingual And English Children In The United States: The National Survey Of Children’S Health, Martin L Blakely, Matthew A Rysavy, Kevin P Lally, Barry Eggleston, Claudia Pedroza, Jon E Tyson

Faculty, Staff and Student Publications

Randomized controlled trials (RCTs) are challenging, but are the studies most likely to change practice and benefit patients. RCTs investigating neonatal surgical therapies are rare. The Necrotizing Enterocolitis Surgery Trial (NEST) was the first surgical RCT conducted by the Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD) Neonatal Research Network (NRN), and multiple lessons were learned. NEST was conducted over a 7.25-year enrollment period and the primary outcome was death or neurodevelopmental impairment (NDI) at 18-22 months corrected age. Surgical investigators designing clinical trials involving neonatal surgical treatments have many considerations to include, including how to …

Dexterity Of The Less Affected Hand In Children With Hemiplegic Cerebral Palsy, Matthew B Burn, Gloria R Gogola

Faculty, Staff and Student Publications

BACKGROUND: To determine if the "unaffected" hand in children with hemiplegic cerebral palsy (CP) is truly unaffected.

METHODS: We performed a retrospective review of manual dexterity as measured by the Functional Dexterity Test (FDT) in 66 children (39 boys, 27 girls, mean age: 11 years 4 months) with hemiplegic CP. Data were stratified by Manual Ability Classification System (MACS) level, birth weight, and gestational age at birth, and compared with previously published normative values.

RESULTS: The FDT speed of the less affected hand is significantly lower than typically developing (TD) children (

CONCLUSIONS: Both dexterity and rate of fine motor …

Everyday Life With Childhood Functional Constipation: A Qualitative Phenomenological Study Of Parents' Experiences, Gunilla Flankegård, Evalotte Mörelius, Patrik Rytterström

Research outputs 2022 to 2026

Childhood functional constipation (FC) is a worldwide problem with treatment regiments affecting everyday life. Aim: To explore parents´ experiences of living with a child with FC and its impact on everyday family life. Method: A qualitative phenomenological interview study using a reflective lifeworld research approach. Interviews with 15 parents of otherwise healthy children aged 1–14 years affected by FC. Findings: Shame is the driving force making parents put everyday life on hold. The quest for control, self-imposed loneliness, guilt, inadequacy, and frustrating battles become essential parts of everyday life to protect it from FC-related shame. Conclusion: FC has as great …

Analyzing Concept Mapping Integration Into A Bsn Curriculum Using The H-Pepss Survey, Tina Michelle Mathers

Electronic Theses and Dissertations

Background: This project’s foundational focus was on improving nursing students’ preparedness for their profession and patient care. Data supports that nursing graduates face challenges at the patient bedside, which often cause injury or harm. These deficits are known as preparation-to-practice, failure-to-rescue, and transition-to-practice gaps that occur despite the integration of preceptorship and residency programs. Through the integration of concept mapping into an established curriculum, an analysis of student patient safety perceptions in a pre- and postsurvey was completed. Method: This quality improvement project received approval from the institutional review board. The project was a quasi-experimental, nonrandomized, single-blinded design measuring first-semester …

Chronic Kidney Disease Patients' Experiences In The Decision Making Process: The Relationship Between Personal Characteristics And Decisional Self-Efficacy On Decisional Conflict And The Dialysis Decision In Patients Who Participated In Shared Decision Making, Lincy Jojan

Theses & Dissertations

Patients with End Stage Renal Disease (ESRD) experience a complex and stressful decision making when comes to dialysis modality selection. There are pros and cons to both hemodialysis (HD) and peritoneal dialysis (PD). Patients are often uncertain as to which one is the best modality for them. This decisional conflict increases the likelihood of making a decision that is not based on the patient’s values or preferences and may result in undesirable post-decisional consequences. Purpose The purpose of this study was to explore Chronic Kidney Diseases (CKD) patients' experiences regarding their decision making process in selecting a dialysis modality. The …

Neurodevelopment And Recovery From Wasting, Harriet M. Babikako, Celine Bourdon, Emmie Mbale, Peace Aber, Annet Birabwa, Josephine Chimoyo, Wieger Voskuijl, Zaubina Kazi, John Mukisa, Ali Faisal Saleem

Department of Paediatrics and Child Health

Background and objectives: Acute illness with malnutrition is a common indication for hospitalization among children in low- and middle-income countries. We investigated the association between wasting recovery trajectories and neurodevelopmental outcomes in young children 6 months after hospitalization for an acute illness.
Methods: Children aged 2 to 23 months were enrolled in a prospective observational cohort of the Childhood Acute Illness & Nutrition Network, in Uganda, Malawi, and Pakistan between January 2017 and January 2019. We grouped children on the basis of their wasting recovery trajectories using change in mid-upper arm circumference for age z-score. Neurodevelopment was assessed with the …

Joyce Roberts: Midwifery Scholar, Educator, Legend, And Friend, Mary Ellen Stanton, Lisa Hanson, Carrie Klima, Lisa Kane Low

College of Nursing Faculty Research and Publications

No abstract provided.

Running As A Way Fat Women Re-Story Their Bodies And Construct A Runner Identity In A North American Sociocultural Context, Jennifer M. Ohlendorf, Lisa Anders

College of Nursing Faculty Research and Publications

Aim

This research sought to identify the process by which women who identify as fat or as not having a typical athletic body construct an athletic identity and persist in their running and other athletic endeavors despite body size-related barriers.

Methods

From an online recruitment effort, 19 North American women runners in larger bodies completed interviews in which they told the story of how they had become runners. A narrative analysis with a feminist, constructivist approach was conducted to identify story types.

Results

Four narrative types were identified: reclaiming the body, reclaiming health, space-making, and future-imagining. Through finding a size- …

Monkeypox Prevention And Protecting Sex Workers: A Call To Action, Randi Beth Singer, Amy K. Johnson, Jessica L. Zemlak, Ariel Shensa, Rebecca M. Singer, Cocoa Costales, Kathleen Chiu, Jahari Stamps

College of Nursing Faculty Research and Publications

No abstract provided.

Inclusive Leadership To Guide Nursing’S Response To Improving Health Equity, Jacqueline Nikpour, Ronald L. Hickman, Dora L. Clayton-Jones, Rosa M. Gonzalez-Guarda, Marion E. Broome

College of Nursing Faculty Research and Publications

The purpose of this manuscript is to examine traditional models of leadership in nursing, and to provide a roadmap and specific recommendations for nurses at all levels to lead our profession through the next decade in achieving health equity. We examine current leadership frameworks in nursing and discuss ways to contemporize these frameworks to more explicitly center the expertise of clinicians and communities from historically marginalized backgrounds. Next, we examine the racial, gender, and able-bodied biases that impact nurses, and call upon nurses to examine and dismantle these biases. We discuss the roles of health systems and academic organizations in …

Integration Of A Simulation Curriculum Across Semesters In An Acute Care Pediatric Nurse Practitioner Program, Katie L. Mcdermott, Jennifer K. Pfister, Jill C. Kuester, Leslie A. Talbert, Christine A. Schindler

College of Nursing Faculty Research and Publications

Introduction

Simulation is a common strategy for health care education. Research regarding simulation for nurse practitioner education is sparse. This paper describes the integration of a nine simulation session curriculum into a nurse practitioner program, including motivating factors, process description, and lessons learned.

Results

Students report high satisfaction and improved perception of confidence and competence of knowledge, skills, and performance.

Discussion

Integrated learning experiences and outcomes that span an educational program are needed in the transition to competency-based education. This description serves as a guide for other programs seeking to incorporate simulation-based education.

A Qualitative Document Analysis Of Policies Influencing Preeclampsia Management By Midwives In Ghana, Isabella Garti, Michelle Gray, Angela Bromley, Jing-Yu (Benjamin) Tan

Research outputs 2022 to 2026

Background: Preeclampsia is a global issue that causes significant morbidity and mortality in low- and middle-income countries (LMICs). The care women with preeclampsia receive in LMICs is below the standard experienced by women in westernised countries due to multiple interacting factors. A review of policy factors influencing the management of preeclampsia in Ghana is needed. Aim: This study focuses on the midwife's role and scope of practice concerning preeclampsia management. The study aimed to explore the congruence between Ghanaian preeclampsia guidelines and international best practice recommendations for midwifery practice. The study also aimed to describe how recommendations are incorporated into …

Breast Surgery Super-Specialization: Impact On Advanced Surgical Training And Research, Danish Ali, Sana Zeeshan, Nifasat Farooqi, Lubna Vohra

Medical College Documents

The earliest records of breast cancer (BC) date back to 3,000 - 2,500 B.C., ever since multiple curative options have been explored. First known wide margin excision was performed around 1st Century AD and a prototype of the modern-day BC surgery, Halsted radical mastectomy, was performed in the 20th Century. BC is the most common cancer in Pakistan accounting for up to 14.5% of the total cancer incidences. Accredited breast surgery fellowships were established in the UK and USA in 2002 and 2003, respectively. In Pakistan, the movement was delayed and the two-year College of Physicians and Surgeons Pakistan (CPSP) …

Mental Health Screening After Trauma: A Concise Review, Christine Mcgahey

DNP Qualifying Manuscripts

OBJECTIVE: To gain a better understanding of the value of mental health screening for PTSD risk in hospitalized trauma survivors.

DATA SOURCES: Studies were pooled from a literature search performed on the Cumulative Index to Nursing and Allied Health Literature (CINAHL), PubMed, and the Cochrane Database of Systematic Reviews.

STUDY SELECTION: Relevant studies published between 2015 and 2022 in English, excluding traumatic injuries incurred during combat.

DATA EXTRACTION: Ten articles were selected for inclusion in this review.

DATA SYNTHESIS: There is a significant and widespread mental health burden following traumatic injury. Early screening to quantify the risk for PTSD can …

Dating App Facilitated Sexual Assault: A Retrospective Review Of Sexual Assault Medical Forensic Examination Charts, Julie L. Valentine, Leslie W. Miles, Kristen Mella Hamblin, Aubrey Worthen Gibbons

Faculty Publications

Dating app facilitated sexual assault (DAppSA) is a concerning phenomenon with minimal published research. This retrospective study explored if DAppSAs were different than other sexual assaults (SAs) committed by acquaintances through a review of 3,413 sexual assault medical forensic examination (SAMFE) charts from 2017 to 2020 in a Mountain West state in the United States. Routine Activities Theory and Confluence Model of sexual aggression provided the theoretical framework for the study. Inclusion criteria for DAppSA cases included (1) victim was 14 years of age or older; (2) victim indicated meeting the perpetrator on a dating app; (3) SA occurred at …

Discharge Process In Cvssu For Post-Pci Patients, Kristyn Gonzaga

St. Joseph Hospital, Orange, CA. Evidence Based Practice Conference

No abstract provided.

Improving Patient Communication Using Technology, Kim Duke

St. Joseph Hospital, Orange, CA. Evidence Based Practice Conference

No abstract provided.

Patient Satisfaction & Usgpiv, Joey Nguyen

St. Joseph Hospital, Orange, CA. Evidence Based Practice Conference

No abstract provided.

An Evidence-Based Skin Management Project, Jacqueline Kimani

St. Joseph Hospital, Orange, CA. Evidence Based Practice Conference

No abstract provided.

Oncology Referral To Chemotherapy Initiation: Improving Timely Access To Care In Infusion Clinic, Kathy A. Keener

St. Joseph Hospital, Orange, CA. Evidence Based Practice Conference

No abstract provided.

Improving Peripherally Inserted Central Catheter (Picc) Line Dressing Adherence, Joey Guinto

St. Joseph Hospital, Orange, CA. Evidence Based Practice Conference

No abstract provided.

Continuous Capnography Monitoring Policy And Implementation For Patients On Continuous Narcotics, Leslie Farrington, Cecille Lamorena, Sheta Chan, Richard Urgel, Elizabeth Winokur

St. Joseph Hospital, Orange, CA. Evidence Based Practice Conference

No abstract provided.

Quality Outcomes Of Alternative Therapies For Treating Depression, Makenna Tsao

St. Joseph Hospital, Orange, CA. Evidence Based Practice Conference

No abstract provided.

Prevent Vascular Access Complications By Adopting A Vascular Access Assessment Improvement Process In The Adultdialysis Unit, Ana Lopez Franco

St. Joseph Hospital, Orange, CA. Evidence Based Practice Conference

No abstract provided.

An Evidence-Based Skin Management Improvement Project In The Intensive Care Unit, Chelsea Lannoo

St. Joseph Hospital, Orange, CA. Evidence Based Practice Conference

No abstract provided.

Use Of Agitation Scale Decision Scoring Grid To Improve Care Of Agitated/Anxious Patients In Dsu, Angelica Taneca, Carmyle Seville

St. Joseph Hospital, Orange, CA. Evidence Based Practice Conference

No abstract provided.