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Occupational and Environmental Health Nursing Commons™
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Articles 31 - 60 of 102
Full-Text Articles in Occupational and Environmental Health Nursing
Improving Attitudes Toward Interdisciplinary Collaboration Between Nursing And Medical Students In Simulation, Kristy H. Williams
Improving Attitudes Toward Interdisciplinary Collaboration Between Nursing And Medical Students In Simulation, Kristy H. Williams
Nursing Theses and Capstone Projects
This capstone project assessed whether a curriculum change for senior nursing students could have an impact on improving attitudes toward physician-nurse collaboration. A convenience sample of 60 senior level nursing students and eight residents were enrolled in the study. The nursing students and residents participated in a high-fidelity simulation scenario, and were given a pretest and posttest using the Jefferson Scale of Attitudes Toward Physician-Nurse Collaboration. There was strong evidence (t= -1.971, p=.05) that the attitudes of physician-nurse collaboration improved for nursing students through a simulation based scenario with residents. The confidence interval for the difference was (-0.22, 0.002). Although …
Relationship Between Patient Safety Culture And Safety Outcome Measures Among Nurses, Jamie Kay Brown
Relationship Between Patient Safety Culture And Safety Outcome Measures Among Nurses, Jamie Kay Brown
Nursing Theses and Capstone Projects
Preventable errors in healthcare are a significant problem in today’s society, contributing to numerous adverse patient outcomes and even deaths on a daily basis. Identifying adverse outcomes is an imperative first step in creating a safer healthcare system, which can be followed by cause analyses and action plans to address systematic issues and improve process reliability. Despite the widespread use of voluntary reporting systems to identify adverse events, recent literature has found extreme limitations and severe underreporting with its use in healthcare facilities. A frequent theme in the literature implies that identifying reportable events and discouraging hesitation in reporting begins …
Exploring The Relationship Between Reporting Medication Errors And Nurse Fear Of Retribution, Emily J. Hanna
Exploring The Relationship Between Reporting Medication Errors And Nurse Fear Of Retribution, Emily J. Hanna
Nursing Theses and Capstone Projects
Studies have shown that medication administration errors are a critical issue in healthcare and more importantly preventing this type of error depends on precise reporting. Analysis of medication errors can lead to healthcare system improvement and reduced risk if the errors are detected, reported, and used to formulate improved patient care practices and systems. Nurses are the front line of defense to intercept and report errors. Through a review of the literature, it has been determined that nurses possibly fear blame and punishment when a Medication Administration Error (MAE) occurs; therefore, the purpose of this Master of Science in Nursing …
Utilization Review Software: The Impact On Productivity And Structural Empowerment In Case Management Nurses In An Acute Care Setting, Kimberly Frazier
Utilization Review Software: The Impact On Productivity And Structural Empowerment In Case Management Nurses In An Acute Care Setting, Kimberly Frazier
Nursing Theses and Capstone Projects
The Center for Medicare and Medicaid (CMS) seeks to achieve cost control by implementing aggressive cost containment mechanisms for an exploding Medicare population. One such mechanism is utilization review, which is employed to limit reimbursement of medical care that is determined to not be medically necessary. The CMS Conditions of Participation mandate that all hospitals determine whether a patient qualifies for an Inpatient or Observation stay. Utilization Review Specialist (UR) nurses were given the Conditions of Work Effectiveness Questionnaire II (CWEQ-II), Organizational Relationship Scale II (ORS-II), and the Job Activity Scale II (JAS II), six months after McKesson InterQual software …
Implementation Of A Second Victim Program: Hope Team, Sherrie Lee
Implementation Of A Second Victim Program: Hope Team, Sherrie Lee
Nursing Theses and Capstone Projects
The healthcare workforce is composed of a variety of roles and disciplines that do their best ensuring patient safety and quality care. Nurses spend more time with the patient than any other discipline. They not only are responsible for the care of their patients but their families during hospitalization. The role and responsibilities of a nurse puts them in a position for making mistakes. After a mistake is made, the patient becomes the first victim, the nurse becomes the second victim, and the organization becomes the third victim. A second victim is a healthcare worker who makes a mistake and …
Patient Navigator's Role Definition, Joann Smith
Patient Navigator's Role Definition, Joann Smith
Nursing Theses and Capstone Projects
Patient navigation as a care coordination model continues to evolve. Early programs focused on access to care for the underserved and uninsured. With no standard credentials, title, training or job descriptions, navigator programs are as varied as the people who perform these duties. The nurse navigator provides a holistic approach to care delivery and focuses on care coordination, education, and physical, social and emotional aspects of care. Workload for the navigators is increasing as a result of patient, facility, departmental, and national accreditation demands. The goal of this capstone project was to redefine the job descriptions of the Oncology Nurse …
Relationship Between Job Satisfaction And Nurse To Patient Ratio With Nurse Burnout, Kayla Teeter
Relationship Between Job Satisfaction And Nurse To Patient Ratio With Nurse Burnout, Kayla Teeter
Nursing Theses and Capstone Projects
There is evidence that the increase in patients per nurse ratio and job dissatisfaction are leading causes of nurse burnout in the United States; however, current research mostly focuses on the hospital setting which limits the generalization of the findings. Therefore, more research is needed beyond the hospital environment. The purpose of this MSN thesis was to examine the relationship between job satisfaction and nurse-patient ratio with nurse burnout among home health nurses. The hypothesis is that home health nurses who experience a higher nurse to patient ratio and greater job dissatisfaction will experience increased nurse burnout. A review of …
Staff Perception Related To Family Presence During Resuscitation, Stephanie L. Herron
Staff Perception Related To Family Presence During Resuscitation, Stephanie L. Herron
Nursing Theses and Capstone Projects
The purpose of this study was to examine the perception of health care professionals (staff nurses) regarding family presence during resuscitation. The sample consisted of 59 nurses of different ages and working in different departments. The Staff Perceptions of Family-Witnessed Resuscitation questionnaire was used to collect data. The relationships between participants' demographic data and perceived attitudes and beliefs were also analyzed. Many of the healthcare professionals felt that it was acceptable to have family members present during resuscitation if the patient makes clear decisions prior to the incident or if the physician makes the decision for the patient. Almost half …
Discharge Education In The Emergency Department: Are We Effectively Teaching Chest Pain Patients?, Emily Edwards Nishiyama
Discharge Education In The Emergency Department: Are We Effectively Teaching Chest Pain Patients?, Emily Edwards Nishiyama
Nursing Theses and Capstone Projects
Millions of individuals visit the emergency department (ED) each year with complaints of chest pain. Many chest pain patients do not have an underlying condition of Acute Coronary Syndrome (ACS) but the health and well-being of these patients is indispensable. Research has indicated soaring costs, an increased demand in medical resources, and an increasingly poor quality of life for these patients after discharge. Although research encourages quality education at discharge, very few studies have been conducted on ED discharge education for non-ACS chest pain patients. Using a cross-sectional descriptive research design, this quantitative study discovered the frequency of education provided …
Lateral Violence In The Emergency Department, Lesley Swafford
Lateral Violence In The Emergency Department, Lesley Swafford
Nursing Theses and Capstone Projects
This study examined the types, frequency, and scopes of emergency room nurses' personal experience with disruptive behavior and its impact on staff, their patients, and the organization. Seventy registered nurses completed the Johns Hopkins Disruptive Clinician Behavior survey. Descriptive statics were used to analyze results. The most significant findings included: (a) Passive aggressive behavior was the most commonly reported form of disruptive behavior occurring on a daily basis, (b) RN's were identified as the most common instigators of disruptive behavior, (c) pressure from high census, volume, and patient flow was identified as the most common trigger of disruptive behavior occurring …
A Measure Of Perceived Fatigue Among Nurses In Western North Carolina, Karen R. Cochran
A Measure Of Perceived Fatigue Among Nurses In Western North Carolina, Karen R. Cochran
Nursing Theses and Capstone Projects
We are anticipating a heightened shortage of nurses as our aging population retires. A shortage of workers tends to lead to overtime for those still in the work force. Previous research has demonstrated a link between working long hours, fatigue, and decreased performance among nurses. Fatigue has specifically been linked to on the job injuries and poorer patient outcomes. This research study examined perceived fatigue among nurses in western North Carolina. A convenience sample of nurses from five hospitals in western North Carolina was surveyed to measure fatigue, as well as compare differences in reported fatigue across varying demographic groups. …
Simulation Collaboration: Will Screen Capture Change Attitudes?, Jeffrey Carmack
Simulation Collaboration: Will Screen Capture Change Attitudes?, Jeffrey Carmack
Nursing Theses and Capstone Projects
The ongoing call for interprofessional education with healthcare providers who routinely work together has largely gone unanswered. Parallel to this call, a large number of nursing programs across the United States exist in a stand-alone setting. These programs are unattached to a school of medicine. This creates barriers including a lack of access to physicians and lack of funding to hire medical staff as embedded participants. At the same time, aging nursing faculty, increasing enrollment, and decreasing clinical facility availability create an increased need to use simulation-learning environments to continue to maintain existing capacity in nursing programs. This project used …
Nursing Retention In Critical Care, Jeannine A. Eckman
Nursing Retention In Critical Care, Jeannine A. Eckman
Nursing Theses and Capstone Projects
The purpose of the study was to examine anticipated turnover in critical care nurses and if having previous nursing experience prior to working in critical care affects that turnover. Using the Anticipated Turnover Scale (ATS) by Hinson and Atwood, nurses that had been employed in the critical care areas five years or less were asked to participate. They were asked to complete the ATS and answer the question relating to previous nursing experience. Findings of the study indicated that the nurses with previous nursing experience before working in critical care had a higher ATS score than the nurses with no …
Knowledge Of The Risks Of Heart Disease In Uninsured And Insured Persons With Diabetes In A Rural Community In Southeastern United States, Lisa S. Howard
Knowledge Of The Risks Of Heart Disease In Uninsured And Insured Persons With Diabetes In A Rural Community In Southeastern United States, Lisa S. Howard
Nursing Theses and Capstone Projects
Diabetes and heart disease are chronic illnesses affecting many lives in the United States. Both diseases have complications, and when coupled together, the mortality rate and risk of complications increase. Heart disease is the leading cause of death in most countries across the world, and the majority of individuals diagnosed with diabetes die of a heart disease complication. Literature review reveals a plethora of research regarding the relationship between diabetes and heart disease, but limited research was found regarding health disparities with diabetes and heart disease awareness. No research was found assessing the knowledge base regarding diabetes and heart disease …
Interprofessional Simulations: Student Attitudes And Effects On Sbar Performance, Michele A. Pfaff
Interprofessional Simulations: Student Attitudes And Effects On Sbar Performance, Michele A. Pfaff
Nursing Theses and Capstone Projects
National healthcare organizations recommend innovative educational initiatives and fundamental changes in the way healthcare providers are educated. Educational strategies that incorporate collaboration have been shown to impact professional behaviors and competency. Improved student attitudes toward collaboration and increased understanding of professional roles are impacted by exposure to simulation and interprofessional education. The purpose of the Interprofessional Simulation Project was to determine whether the type of clinical simulation experience (traditional versus interprofessional) influences nursing students' knowledge and performance of skilled communication. Additionally, the project investigated attitudes toward collaboration in an educational setting. A quantitative pretest and posttest design was utilized to …
Evaluating The Relationship Between Preadmission Assessment Examination Scores And First-Time Nclex-Rn Success, Elizabeth Pyatte Payne
Evaluating The Relationship Between Preadmission Assessment Examination Scores And First-Time Nclex-Rn Success, Elizabeth Pyatte Payne
Nursing Theses and Capstone Projects
The relationship between preadmission assessment composite and reading scores and first-time National Council Licensure Examination for Registered Nurses (NCLEX-RN) success was evaluated in this study. Following an extensive literature review, the researcher hypothesized that students who score at or above the national average on the Test of Essential Academic Skills (TEAS) composite score and/or reading score are more likely to be successful on the first attempt of the NCLEX-RN examination. Utilizing archived student records from a rural community college in western North Carolina, a convenience sample of 59 graduates from May 2012 and 2013 was used. Findings of this study …
Job Satisfaction And Retention Of Registered Nurses At A Small Rural Hospital In Southeastern United States, Rachael M. Drake
Job Satisfaction And Retention Of Registered Nurses At A Small Rural Hospital In Southeastern United States, Rachael M. Drake
Nursing Theses and Capstone Projects
This research project embarked upon an investigation related to the retention of nurses at a small hospital in the Southeastern United States. The research question that guided this study asked, `what were the factors affecting nurse satisfaction at this health care facility? Many variables were explored as answers sought through surveys and documented reviews emerged. From a sample of 65 (n=65) respondents to a survey it was discovered that salary, vacation, opportunities to work straight days, compensation for working weekends, weekends off, nursing peers, physician the nurse works with, opportunities to interact professionally with other disciplines, recognition of work from …
Non-Pharmacological Interventions Project: Treatment For Dementia, Mandy Richards
Non-Pharmacological Interventions Project: Treatment For Dementia, Mandy Richards
Nursing Theses and Capstone Projects
In response to the Office of Inspector General's research report on atypical antipsychotic off label treatment of elderly dementia residents in long-term care, the Centers for Medicare and Medicaid Services developed a non-pharmacological intervention known as the Hand In Hand training tool. This projects focus was on training the direct care nursing staff with the Hand In Hand tool and evaluating for decrease in behavior and psychological symptoms in their patients. A retrospective chart review was utilized for the Minimum Data Sets tool Brief Interview of Mental Status (BIMS) and Mood interview. Pre training and post training scores were analyzed …
Utilizing Early Simulation To Increase Clinical Confidence In Novice Nursing Students, Dana R. Martin
Utilizing Early Simulation To Increase Clinical Confidence In Novice Nursing Students, Dana R. Martin
Nursing Theses and Capstone Projects
The purpose of this project was to determine if early simulation would increase the clinical confidence of novice nursing students. A convenience sample of 20 junior nursing students in their first semester of a baccalaureate nursing program within a small, rural university participated in the project prior to their first clinical experience. The students were administered the Confidence Scale as a pre-test prior to the early simulation experience which consisted of a scenario comparable to what the students would experience in the clinical setting. After the simulation, the primary investigator facilitated a debriefing exercise and then administered the Confidence Scale …
The Effect Of Virtual-Learning On The Cultural Awareness Of Nursing Students, Nicole Waters
The Effect Of Virtual-Learning On The Cultural Awareness Of Nursing Students, Nicole Waters
Nursing Theses and Capstone Projects
This Capstone Project examined the effect of virtual-learning on the cultural awareness of nursing students. A convenience sample of 125 students enrolled in the advanced health assessment course in the Registered Nurse to Bachelor in Science in Nursing (RN to BSN) Program were included in the sample for this project. Of the 125 students, 53 completed pre-test surveys were submitted, resulting in a response rate of 42%, and 43 completed post-test surveys were submitted, resulting in a response rate of 34%. Descriptive statistics and measures of central tendencies were used to compare the overall mean score for the responses of …
Nurse Manager Role Perception In An Acute Care Facility, H. Gale Waters
Nurse Manager Role Perception In An Acute Care Facility, H. Gale Waters
Nursing Theses and Capstone Projects
The Nurse Manager role is a crucial part of the healthcare delivery system in an acute care facility, particularly in the current wave of healthcare reform. These are unprecedented times for nursing leadership as they develop and move in a new direction. The role of Nurse Manager is complex with numerous studies including: past roles, characteristics, innovation, outcome, education, and advancement. This study observed the role through the point of view of the Nurse Manager. The Nurse Managers participated in a survey in which they ranked themselves on a one to five scale, with one being a novice in the …
Adaptation Of Kenyan-Born Registered Nurses Into The American Healthcare System, Emily Tangwar
Adaptation Of Kenyan-Born Registered Nurses Into The American Healthcare System, Emily Tangwar
Nursing Theses and Capstone Projects
Kenyan-born nurses (KBNs) continue to be an important part of the nursing workforce in the United States of America (USA). They bring their skills, knowledge, and experience to their new areas of nursing practice. Even though it may be challenging to adapt, Kenyan Nurse's skills, knowledge, and experiences may be enhanced by successfully integrating them in the American healthcare system. Some of these challenges include socio-cultural difference; structure of healthcare systems; technology; language such as abbreviations, expressions, and phrases; and new environment. This study will be conducted using a quantitative research method and purposeful survey of 20 KBNs using Cross …
The Effects Of Oral Pain Medication Being Administered In Phase I As Compared To Oral Pain Medications Administered In Phase Ii, Dana Jones
Nursing Theses and Capstone Projects
Healthcare and the provision of care are ever-changing as governing bodies over-see and regulate the way institutions provide care for patients. Pain assessment, reassessment, and pain management are a focus nationally and healthcare providers are held accountable for how pain is managed for patients. One piece to this broad topic is the use of oral pain medications, more specifically in the ambulatory surgical patient. The purpose of this project was to compare the length of stay, reported pain scores, and total amount of IV medications administered between patients who receive the first dose of oral pain medications in Phase I …
Impact Of Nurse Managers' Leadership Styles On Staff Nurses' Intent To Turnover, Joseph Warren L. Perez
Impact Of Nurse Managers' Leadership Styles On Staff Nurses' Intent To Turnover, Joseph Warren L. Perez
Nursing Theses and Capstone Projects
Nurse Managers have the unenviable responsibility of ensuring that nursing staff are engaged and perform their duties to the best of their abilities. Maintaining an environment conducive to maximizing nurses' potentials resulting in retention may be a by-product of an effective leadership style. The purpose of this study was to determine whether nurse managers' leadership styles have an impact on nurses' intent to turnover. Nurse Managers with more than one year of management experience were asked to complete the Multifactor Leadership Questionnaire (MLQ-5X). The 45-item questionnaire rates the participant's leadership style based on the answers provided. Results were then compared …
South Carolina School Nurses' Knowledge, Opinions, Perceptions, And Practice Measures Regarding Childhood Obesity, Logan Camp
Nursing Theses and Capstone Projects
Childhood obesity has become a significant national health issue due to rising incidences and associated chronic medical conditions. School nurses across the United States of America are in prime positions to address childhood obesity as they have access to large numbers of children and adolescents in school settings. A review of current literature demonstrated that school nurses were overall knowledgeable concerning childhood obesity, but encountered numerous barriers in enacting weight-related assessments and treatment programs. The purpose of this research study was to determine the knowledge, opinions, perceptions, and practice measures of South Carolina school nurses regarding childhood obesity. The "School …
Nursing Knowledge And Attitudes Toward Pain Management, Joycelyn A. Craig
Nursing Knowledge And Attitudes Toward Pain Management, Joycelyn A. Craig
Nursing Theses and Capstone Projects
In many clinical settings, nurses have a vital role in pain assessment and titration of opioid doses. Surveys of nurses have revealed knowledge deficits in these areas that are thought to contribute to under-treatment of pain. The present study surveys nurses' knowledge and attitudes about assessment and treatment of pain and confirms that nurses continue to undertreat pain. As shown in previous studies, nurses may be more influenced by the patient's behavior than the patient's self-report of pain, especially in relation to decisions about opioid administration. Nurses are less likely to manage a previously safe but ineffective dose of opioid …
Patient Education And Coumadin (Warfarin) Therapy: Readmission Rates Pre/Post Coumadin Team Initiation, Rebecca L. Barber
Patient Education And Coumadin (Warfarin) Therapy: Readmission Rates Pre/Post Coumadin Team Initiation, Rebecca L. Barber
Nursing Theses and Capstone Projects
As a response to the 2011 National Patient Safety Goals (NPSG), a Coumadin Team, consisting of a Physician Chair, Pharmacists, and Registered Nurses, was formed at Mission Health System to focus on International Normalized Ratio (INR) testing, Coumadin dosing, and patient education. The goal of this team has been to identify and eliminate barriers that prevent the stabilization of INRs within the prescribed goal range, and to ensure that all patients receive education about Coumadin therapy in order to prevent harm and reduce readmission rates related to Coumadin therapy. The purpose of this study is to compare readmission rates within …
Relationship Between Psychotropic Drugs And Falls In The Geriatric Population, Lauren E. Fletcher Crotts
Relationship Between Psychotropic Drugs And Falls In The Geriatric Population, Lauren E. Fletcher Crotts
Nursing Theses and Capstone Projects
Falls in the geriatric population are extremely common and the risk for falls continues to increase with age. Falls are a leading cause of mortality in the geriatric population, and it is the number one reason for institutionalization in the United States. The purpose of this study was to explore the relationship of the prescribing effects of psychotropic medications such as antidepressants, benzodiazepines, and antipsychotics on falls in the geriatric population who live in a long term care community with a diagnosis of depression, dementia, anxiety, delirium, and Alzheimer's disease. The literature provided mixed conclusions on the effects of psychotropic …
Academic Incivility In Nursing Education, Sherrie Marlow
Academic Incivility In Nursing Education, Sherrie Marlow
Nursing Theses and Capstone Projects
A well-documented and growing problem impacting the nursing shortage in the United States is the increasing shortage of qualified nursing faculty. Many factors contribute to the nursing faculty shortage such as retirement, dissatisfaction with the nursing faculty role and low salary compensation (American Association of Colleges of Nursing (AACN), 2005; Allen, 2008; National League of Nursing (NLN), 2010; American Association of Colleges of Nursing (AACN), 2011). Academic incivility has been identified as contributing to nursing faculty role dissatisfaction (Clark & Springer 2010). Academic incivility diminishes the presence of a caring environment, lowers an individual's self-esteem, and negatively impacts the formation …
Cultural Bias Education Of Nursing Faculty, Frank Castelblanco
Cultural Bias Education Of Nursing Faculty, Frank Castelblanco
Nursing Theses and Capstone Projects
A cultural bias education seminar was presented to nursing faculty at a private university in Western North Carolina in an attempt to increase the level of cultural competence. Leininger's "Culture Care and Universality"; a nursing theory was used as the theoretical framework for the project and Campinha-Bacote's Inventory for Assessing the Process of Cultural Competency Among Healthcare Professionals, Revised (IAPCC-R) was employed to measure the pre- and post-cultural competence levels of the nursing faculty. The faculty voluntarily completed the pre-assessment, the seminar was completed and 17 participants completed the post assessment. The statistical findings illustrated an increase in total cultural …