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Full-Text Articles in Occupational and Environmental Health Nursing

Understanding Colorectal Cancer: Increasing Screening Rates Amongst Young- And Middle-Aged Adults By Enhancing Prevention Potential, Sarah Agudelo Dec 2021

Understanding Colorectal Cancer: Increasing Screening Rates Amongst Young- And Middle-Aged Adults By Enhancing Prevention Potential, Sarah Agudelo

Nursing | Senior Theses

As nurses, working towards the best health outcomes for our patients is critical to our care. A large aspect of this care includes being knowledgeable of risk factors and precautions to take to avoid conditions and illnesses. Colorectal cancer remains to be a highly preventable disease, yet it is one of the top five leading causes of cancer deaths in the nation. Preventing colorectal cancer requires the efficient use of screening and education, while also addressing barriers of inconvenience and affordability. This senior thesis delves deeper into colorectal cancer prevention by asking the research question: For young and middle-aged adults ...


Improving Surface Cleaning And Hand Hygiene Using Fluorescent Markers, Taryn Whitman May 2021

Improving Surface Cleaning And Hand Hygiene Using Fluorescent Markers, Taryn Whitman

Master's Projects and Capstones

Problem: Compared to inpatient units, ambulatory care clinics have differences in staffing available and frequency to perform room turnover (RTO). Pre-intervention data revealed poor Hand hygiene (HH) and high-touch surface cleaning (HTSC) knowledge and low RTO compliance reliability. Currently, there is no process for objectively monitoring RTO compliance and staff self-evaluation of HH, HTSC, and RTO performance is incongruent with observations.

Context: HH and HTSC are a crucial component of preventing healthcare-associated infections (HAIs). Estimated loss of revenue for one northern California tertiary university hospital system (HCO) campus was nearly $1.8 million dollars in Medicare penalties for 2018.

Intervention ...


Ergoophthalmological Risks Associated With Dry Eye In The Operating Room, Aslı Nemli Dr., Koray Gümüş Prof.Dr., Mürüvvet Başer Prof.Dr. May 2021

Ergoophthalmological Risks Associated With Dry Eye In The Operating Room, Aslı Nemli Dr., Koray Gümüş Prof.Dr., Mürüvvet Başer Prof.Dr.

Journal of Perioperative Nursing

Dry eye disease is one of the most common pathologies of the ocular surface. In parallel with increased screen exposure, environmental changes and modern life in recent years, the prevalence and severity of dry eye have been increasing. Ergoophthalmology is the study of visual ergonomic conditions. It is concerned with injuries to the eyes caused by occupational factors and uses a multidisciplinary approach to understand the causes of occupational vision-related and ocular diseases and to prevent and manage these conditions. Vision-related risks in the operating room are critical for patients and health care providers. There are many predisposing factors in ...


Post-Operative Nursing Care Of The Renal Transplant Patient, Emily Smith May 2021

Post-Operative Nursing Care Of The Renal Transplant Patient, Emily Smith

The Eleanor Mann School of Nursing Undergraduate Honors Theses

Abstract

Kidneys are the most commonly transplanted organ in the United States. All patients who receive a renal transplant must be on lifelong immunosuppressants to prevent rejection of the donor organ. The majority of patients do not take their immunosuppressant medications as instructed, making noncompliance a huge issue for medical professionals. The purpose of this literature review is to explore what evidence-based techniques nurses should employ to increase the long-term compliance of immunosuppressants in renal transplant patients. A literature review was performed of fifteen studies to identify interventions that nurses can employ to increase immunosuppressant compliance. CINAL and Medline were ...


Letters Against Loneliness: The Effect Of A Pen Pal Program Uniting Older Adults And College Students On Perceived Loneliness, Allyson Miriani, Caroline Crawford May 2021

Letters Against Loneliness: The Effect Of A Pen Pal Program Uniting Older Adults And College Students On Perceived Loneliness, Allyson Miriani, Caroline Crawford

The Eleanor Mann School of Nursing Undergraduate Honors Theses

Surveys within years and particularly the COVID-19 pandemic have revealed increasing rates of loneliness. More research is also emerging linking loneliness with a myriad of negative health outcomes as well as reduced quality of life. There is little research about effective interventions addressing loneliness. This paper reviews the available literature on the topic and proposes a pen pal program for college students and older adults developed based on available evidence.


The Changing Face In The Workplace: The Arrival Of The Millennial Generation, Sarah Clonch May 2021

The Changing Face In The Workplace: The Arrival Of The Millennial Generation, Sarah Clonch

The Eleanor Mann School of Nursing Undergraduate Honors Theses

The entrance of the Millennial generation into the nursing workforce signifies a bright future for the nursing profession and the nursing workforce. This study began with a current review of available research that identified the Millennial generation and their views toward job satisfaction and work engagement, as compared with Baby Boomer and Generation X nurses.

PubMed, CINAHL Complete, and Google Scholar databases were employed to find 15 peer-reviewed articles for evaluation. The research findings suggest that Millennial nurses have lower rates of job satisfaction and work engagement, compared to nurses of older generations. Overall, the extracted data results were significant ...


Promoting Wellness For College Athletes Through Mindfulness Meditation, Lisa R. Braatz Apr 2021

Promoting Wellness For College Athletes Through Mindfulness Meditation, Lisa R. Braatz

Theses and Graduate Projects

The practice of mindfulness meditation may be beneficial for college athlete’s mental health and wellness. College athletes are in a period of significant personal growth and experience high amounts of stress related to athletic performance, academics, and peer relationships. Integrating mindfulness meditation for college athletes has been linked to improving relaxation, concentration, and performance while decreasing fatigue and negative emotions related to fear or anxiety. This scholarly project explores the implementation of four mindfulness meditation sessions on perceptions of stress, mental focus, athletic performance, and presence in female college track and field athletes. The participants were attending an urban ...


Streamlining The Specialty Weight Management Clinic Referral Process, Callie Ann Talley Apr 2021

Streamlining The Specialty Weight Management Clinic Referral Process, Callie Ann Talley

The Eleanor Mann School of Nursing Student Works

Obesity affects a vast amount of the population within the state of Arkansas and has a high prevalence across the US. Weight management is notoriously difficult in the primary care setting. Currently the referral process to a specialty weight management clinic in Northeast Arkansas is incredibly lengthy and inefficient, often leading to missed or inappropriate referrals. As a result of a needs assessment within the health system, this DNP Quality Improvement Project focused on improving the referral process to a specialty weight management clinic. The aim was to create a more efficient referral process to benefit both the clinic, the ...


The Lost “Doe”: A Quality Improvement Project For Unidentified Patients, Brendi Gale Apr 2021

The Lost “Doe”: A Quality Improvement Project For Unidentified Patients, Brendi Gale

The Eleanor Mann School of Nursing Student Works

A Mass Casualty Incident (MCI) describes any natural or manmade disaster that stresses a community beyond their normal resources (CMS, 2019). Across the globe, populations have grappled with an increased frequency of natural disasters and a surge of critically ill secondary to pandemic SARs-CoV-2 (Cavallo, Donoho, & Forman, 2020; Smith, 2020; US Global Change Research Program, 2018). In addition, the incidence and severity of mass shootings has risen in the United States with a reported 277 active shooter events between the years of 2000-2018 (Federal Bureau of Investigation, 2018; Smith et al., 2019). An Emergency Department (ED) in Northwest Arkansas (NWA) posed the ...


The Efficacy Of A Communication Guide On Stress Experienced By Family Members Of Patients Admitted In The Intensive Care Unit With Covid-19, Kandace Williams Apr 2021

The Efficacy Of A Communication Guide On Stress Experienced By Family Members Of Patients Admitted In The Intensive Care Unit With Covid-19, Kandace Williams

The Eleanor Mann School of Nursing Student Works

Coronavirus disease (COVID-19), first introduced in the United States on January 20, 2020, has created worldwide panic due insufficient research and understanding of the nature of this new disease. Patients suffering from COVID-19 often require intensive care unit (ICU) admissions, resulting in stress and confusion amongst patients and their families. The high transmissibility of the disease has caused hospitals to adopt firm visitor restrictions to protect the public from exposure and spread. Families experience increased anxiety and stress due to ineffective communication with staff and restricted access to their hospitalized loved ones. A needs assessment revealed a gap in care ...


Exploring The Phenomenological Experience Of Precepting, Erica Fowler Mar 2021

Exploring The Phenomenological Experience Of Precepting, Erica Fowler

The Eleanor Mann School of Nursing Student Works

Nurse practitioners and physicians are increasingly sought to volunteer as preceptors for nurse practitioner students. Preceptors serve a crucial role in student education in providing mentorship, instruction, and supervision in the clinical setting. However, preceptors are often difficult to come by, leaving a shortage of available clinicians willing to participate in preceptorships. There is a paucity of information related to exploring the experiences of precepting among clinicians who have served as preceptors. Insight into these experiences are imperative in identifying the impetuses that drive or dissuade clinicians to commit to the preceptor role. This DNP project implemented a survey designed ...


The Effects Of Administrative Support On Registered Nurse Well-Being During The Covid-19 Pandemic, Cassandra Fox Mar 2021

The Effects Of Administrative Support On Registered Nurse Well-Being During The Covid-19 Pandemic, Cassandra Fox

The Eleanor Mann School of Nursing Student Works

Attention to the well-being of nurses is necessary to ensure the healthcare system can operate effectively, particularly during the COVID-19 pandemic. The workplace environment and support from nursing leadership strongly contribute to nurses’ well-being. Currently, there is little evidence on the effect nursing leadership has on nurses’ well-being during the COVID-19 pandemic. This DNP clinical inquiry project sought to learn more about the effects of caring leadership behaviors on nurses’ well-being during the COVID-19 pandemic. A survey composed of questions from previously validated and reliable surveys used in the field of nursing was used to collect data. Neuman’s systems ...


Risk Factors For Workplace Sexual Harassment In Female Truck Drivers, Kimberly Marie Riddle Jan 2021

Risk Factors For Workplace Sexual Harassment In Female Truck Drivers, Kimberly Marie Riddle

Theses and Dissertations--Nursing

Sexual harassment is one of the most common forms of workplace violence in the United States. Sexual harassment is defined as unwanted verbal and physical behaviors of a sexual nature (e.g., physical advances, requests for sexual favors, inappropriate sexist or sexual comments or jokes, pornography, or other unwanted conduct) that creates an uncomfortable working environment or interferes with the employee’s job responsibilities. In general, it is estimated that nearly one in every two women have experienced sexual harassment at the workplace over their lifetime. In male-dominated occupations, such as truck driving, law enforcement, firefighting, and construction, females may ...


Association Between Dietary Macronutrient Intake And High-Sensitivity C-Reactive Protein Levels Among Obese Women In Kuantan, Malaysia, Siti Zuhaidah Shahadan, Azlina Daud, Muhammad Ibrahim, Muhammad Lokman Md. Isa, Samsul Draman Dec 2020

Association Between Dietary Macronutrient Intake And High-Sensitivity C-Reactive Protein Levels Among Obese Women In Kuantan, Malaysia, Siti Zuhaidah Shahadan, Azlina Daud, Muhammad Ibrahim, Muhammad Lokman Md. Isa, Samsul Draman

Makara Journal of Science

Elevated high-sensitivity C-reactive protein (hs-CRP) levels may be associated with an increased risk of cardiovascular disease (CVD). In general, an individual’s dietary intake may influence the hs-CRP level. However, evidence on the influence of dietary macronutrient intake on hs-CRP levels among obese Malaysian women remains fragmented. Therefore, this study aims to investigate the association between the hs-CRP level and dietary macronutrient intake of obese adults living in Kuantan. The assessment of 24-hour dietary recall and venous hs-CRP levels were investigated in 67 women with a body mass index of 27.5 to 39.9 kg/m². The findings revealed ...


Oral Chemotherapy: Safe Handling In The Home, Cynthia Huff Dec 2020

Oral Chemotherapy: Safe Handling In The Home, Cynthia Huff

DNP Qualifying Manuscripts

Background: According to the National Institute for Occupational Safety and Health (2016), oral anticancer agents (OAC) are hazardous drugs (HD) and require the same safe handling interventions in the home setting as in controlled health care environments. The use of a safe handling checklist for OAC administration is a way nurses can provide safe handling education to patients and caregivers and assess for understanding and competency for critical tasks. Effective home management strategies outlining caregiver protections, proper storage, administration of OACs, spill clean-up, and waste disposal could reduce exposure risks to toxic agents.

Objective: To present a safe-handling checklist and ...


Usp <800> Compliance: A Hazardous Drug Safe Handling Ppe Toolkit For Infusion Nurses, Cynthia Huff Dec 2020

Usp Compliance: A Hazardous Drug Safe Handling Ppe Toolkit For Infusion Nurses, Cynthia Huff

Doctor of Nursing Practice (DNP) Projects

Problem: Safety concerns have existed for more than 40 years about how hazardous drug (HD) exposure contributes to long- and short-term adverse health outcomes for healthcare workers (HCWs). Careless handling may cause toxic residues to infiltrate hospital environments and patient care areas, and can even be traced to patients’ homes. New government regulations will require healthcare organizations to minimize exposure risks to HCWs by fully implementing the U.S. Pharmacopeia (USP) Convention Chapter 800: Hazardous Drugs: Handling in Healthcare Settings (USP, 2016) on December 1, 2019. According to Polovich and Olsen (2017), “The implementation of the USP <800> Standards will represent ...


Huddle And Safety, Jaelynn Hall Bsn, Rn Dec 2020

Huddle And Safety, Jaelynn Hall Bsn, Rn

MSN Capstone Projects

The purposed evidence-based practice (EBP) project focuses on a nursing intervention (team huddles) to increase safety and reduce inpatient fall rates. Negative outcomes to consider from an inpatient fall are harm and injury to the patient along with increased health care cost for the patient as well as hospital facility. Accrued cost associated with an in-patient injury resulting from a fall is not reimbursed according to the Centers for Medicare and Medicaid Services. The additional cost for hospital-acquired falls is estimated to be $6,694 (95% CI: -$1,277 to $14,665) (Agency for Healthcare Research and Quality, 2017). This ...


Usp<800> Compliance: A Hazardous Drug Safe-Handling Quality Improvement Project For Ambulatory Care Infusion Nurses, Cynthia Huff Dec 2020

Usp Compliance: A Hazardous Drug Safe-Handling Quality Improvement Project For Ambulatory Care Infusion Nurses, Cynthia Huff

Doctor of Nursing Practice (DNP) Projects

Problem: The U.S. Pharmacopeia (USP, 2016) Convention Chapter 800: Hazardous Drugs: Handling in Healthcare Settings took effect on December 1, 2019. According to Polovich and Olsen (2017), " The implementation of the USP <800> Standards. will represent an important step forward to protect nurses and other potentially exposed healthcare workers (HCWs): (p.1).

Context: The Doctor of Nursing Practice (DNP) project implemented a hazardous drug (HD) safe-handling personal protective equipment (PPE) toolkit in accordance to USP <800>standards and hospital policies at an ambulatory cancer infusion center to improve nurses' adherence with PPE use.

Interventions: The project consisted of (a) a safe-handling ...


Occupational Health Nursing - Musculoskeletal Disorders & Stretching, Katherine Hale Dec 2020

Occupational Health Nursing - Musculoskeletal Disorders & Stretching, Katherine Hale

The Eleanor Mann School of Nursing Undergraduate Honors Theses

For employees who work in food processing plants, work related injuries can take a serious physical toll because of the continuous repetition of the tasks that they perform. Occupational health nurses work hard to encourage correct body mechanics in the workplace and are often the ones to treat those injuries. An internship at a food manufacturing plant allowed me to step into the shoes of an occupational health nurse and witness the difficulties that come with the position. The purpose of my position was to educate the food processing plant employees on proper ergonomics as well as create a stretching ...


Implementing Ppe And Precaution Use Among Patient Families And Visitors, Ashley Dunn Nov 2020

Implementing Ppe And Precaution Use Among Patient Families And Visitors, Ashley Dunn

Scholars Week

The purpose of this paper is to discuss the current nursing policy regarding education, knowledge, and compliance of PPE (personal protective equipment) among patient families and visitors, and to further assess whether or not the policy in place needs to be strengthened and improved, or changed altogether. Upon investigation, it was found that PPE compliance and knowledge as well as hand hygiene compliance are lacking and are current issues seen among not only families and visitors of families, but nurses as well. There are few studies about this topic due to the fact that it is an issue that is ...


Empowering Nurses Of Minority In The Face Of Incivility And Bullying: Through The Lens Of Phenomenology, Corrine Floyd Oct 2020

Empowering Nurses Of Minority In The Face Of Incivility And Bullying: Through The Lens Of Phenomenology, Corrine Floyd

Dissertations

Abstract

Up to 85% of nurses have reported exposure to incivility in the workplace (Hunt & Marini, 2012). The often-subtle nature of incivility toward nurses in a minority population may partially explain why it remains a problem. Healthcare organizations realize the need for civility to counter the high turnover rate, staff shortages, and low job satisfaction reported by nurses, but lack understanding of how nurses of a minority population perceive incivility and bullying. This study aimed to answer the research question how do nurses with minority representation experience incivility and bullying versus empowerment in the workplace? A descriptive phenomenological design used ...


Nurses’ Attitudes Towards Lifelong Learning Via New Technologies, Maria Lera, Kiriaki Taxtsoglou, Christos Iliadis, Aikaterini Frantzana, Lambrini Kourkouta Sep 2020

Nurses’ Attitudes Towards Lifelong Learning Via New Technologies, Maria Lera, Kiriaki Taxtsoglou, Christos Iliadis, Aikaterini Frantzana, Lambrini Kourkouta

Asian / Pacific Island Nursing Journal

ABSTRACT

Introduction: Lifelong professional education is considered as a qualitative indicator in the health discipline, as it can improve health professionals’ knowledge and skills, as well as nursing care.

Purpose: The purpose of this original research was to delve into the attitudes and behavior of nurses working in state-run hospitals in the Municipality of Thessaloniki towards lifelong education through new technologies. The specific objectives are Finding and delving into nurses' motivations for lifelong distance education, Delving into nurses’ perception of the need for continuing nursing education and Discovering the act of nurses’ pursuing towards lifelong learning.

Methodology: The study was ...


The Use Of Tailored Interventions To Prevent Falls: A Quality Improvement Project In The Telemetry Unit, Roda Galang Aug 2020

The Use Of Tailored Interventions To Prevent Falls: A Quality Improvement Project In The Telemetry Unit, Roda Galang

Student Scholarly Projects

Background: Every year in the United States, hundreds of thousands of patients fall in hospitals with 30 to 50 percent resulting in injury. In Texas, the fall rate in adult patients is 33.9 percent, and in one teaching hospital in South Texas, patient fall rates have been above the national benchmark for two years (2017-2019), despite increased use of sitters for patient safety and multiple fall prevention strategies. The annual direct care cost of all fall events in the United States for individuals more than 65 years old is about $34 billion.

Practice problem: The objectives of the fall ...


Factors Predicting Sustainability: A Correlational Study Of One Multi-Site Program, Meredith L. King Jensen Jun 2020

Factors Predicting Sustainability: A Correlational Study Of One Multi-Site Program, Meredith L. King Jensen

Dissertations, Theses, and Capstone Projects

Healthcare organizations invest significant economic, physical, and human resources to implement changes and expect sustained benefits for their investments in the long term. Yet, few studies have examined long-term sustainability and factors contributingto sustainability. The primary aim of the study was to gain a better understanding of sustainability and five factors (champions, leadership support, policy, resources, and training and education) that might predict long-term sustainability within the context of one Safe Patient Handling and Mobility (SPHM) program implemented in a large, nationwide system more than 7 years ago. The secondary aim was to examine the number of nursing staff injuries ...


Teaching In Ghana: Respiratory Illnesses, Rachel Pruitt May 2020

Teaching In Ghana: Respiratory Illnesses, Rachel Pruitt

The Eleanor Mann School of Nursing Undergraduate Honors Theses

For participants of this teaching project about respiratory illnesses related to smoke, four goals were created. Our first goal was that participants would be able to recognize the health hazards associated with the populations’ current cooking situation using wood stoves. Secondly, participants would be able to verbalize the benefits of utilizing ceramic coal pots for cooking. Another goal was that participants would be able to explain a simple way to protect their family members from smoke exposure and developing respiratory illnesses. Our final goal was that participants would be able to verbalize and/or demonstrate how to use the new ...


Supporting Older Adults Through Aging In Place And Capable Programs, Laura Compton Apr 2020

Supporting Older Adults Through Aging In Place And Capable Programs, Laura Compton

OTD Capstone Projects

This experiential component or doctoral capstone project involved a partnership with Habitat for Humanity of Greater Memphis. Through this agency, projects were completed based on identified needs of the Aging in Place and CAPABLE programs. The Aging in Place (AIP) program provides critical home repairs to low-income adults aged 60 years and older. The CAPABLE program provides the same critical home repairs along with a select number of visits from a registered nurse and an occupational therapist to help the older adults age in place safely.


Lifting Teams In The Acute Care Settings, Mary Makalyn Smith Apr 2020

Lifting Teams In The Acute Care Settings, Mary Makalyn Smith

Scholars Week

Research studies have analyzed the importance of lifting teams in the acute care settings of the hospital. Lifting teams provide nurses with the trained assistance they need to refrain from reoccurring musculoskeletal injuries. These lift team members are scheduled and trained staff members who are able to focus on patients’ needs and modes of transportation. The focus of these lift teams would be to add efficiency to the healthcare system and increase patient skin integrity and satisfaction rates. In my first study it examined the effectiveness of a multifaceted minimal-lifting environment on nursing areas. The study was focused on musculoskeletal ...


Hidden Heroes: Tales From Caregivers, Part 4, Singapore Management University Mar 2020

Hidden Heroes: Tales From Caregivers, Part 4, Singapore Management University

Social Space

As the COVID-19 pandemic continues to unleash its effects on a global scale, most of us are glued to the news and social media for updates, and bracing ourselves for the impact of the coronavirus on our countries, communities and families. In the face of such uncertainty, it's only normal to feel anxious and afraid. However, if you're holed up at home letting your worries and fears get the better of you, it may be time to slow down and steer yourself into a calmer headspace.


Increasing Healthy Lifestyle Behaviors In Cargo Drivers, Ronda L. Bell Mar 2020

Increasing Healthy Lifestyle Behaviors In Cargo Drivers, Ronda L. Bell

Electronic Theses and Dissertations

The purpose of this project was to examine the extent to which lifestyle behaviors of transportation drivers in North Texas can be improved with health education. This research study was conducted to examine the health behaviors of transportation drivers as a result of an educational partnership between nursing and the transportation industry. The goal was to improve healthy lifestyles through education to decrease chronic illness and comorbid conditions of a significantly at-risk occupational population. The impact of this education was immediate and verified with quantitative measurement and statistical analysis. Results demonstrated that after nurse-led health education, transportation drivers reported significant ...


Development Of Evidence Based Medical Surveillance Program Recommendations For At-Risk Employees, Jessica C. Okrant Jan 2020

Development Of Evidence Based Medical Surveillance Program Recommendations For At-Risk Employees, Jessica C. Okrant

College of Nursing and Health Sciences Doctor of Nursing Practice (DNP) Project Publications

Background: Nearly eight million United States healthcare workers are potentially exposed to hazardous drugs (HDs) in their workplace. This exposure puts staff at increased risk of acute myeloid leukemia, breast cancer, rectal cancer, and fetal anomalies. Despite evidence-based guidelines for handling HDs, preventative measures are inadequate surveillance.

Purpose: This project sought to evaluate current policies and procedures regarding HD exposure workplace practices at large academic medical centers in the Northeast, improve education of HD exposure, and develop a standardized medical surveillance program (MSP) at one large academic health network.

Methods: Large academic medical centers in the Northeast were contacted to ...