Other Nursing Commons^™

The Impact Of Virtual Discharge Interventions Compared To Traditional Methods On Adult Patient Population Readmission Rates: An Integrative Review, Tiffany Providence, Carrie Brooks, Nannono Kayondo, Courteney Lovell, Alice Smith

Master's Projects

Hospital readmissions are a persistent quality and cost burden to the healthcare system, prompting evaluation of modern strategies to strengthen transitional care. This integrative review synthesized findings from thirteen studies published between 2011 and 2025 to assess the effectiveness of virtual discharge interventions in reducing readmission rates among adult patients. Virtual discharge interventions included programs utilizing technology, such as phone calls, video visits, apps, or remote monitoring, to help patients understand their care and improve positive outcomes. Many of these studies showed that virtual support can reduce hospital readmissions, especially for people with heart failure. Some programs also improved patients’ …

Impact Of Training For Nursing Staff In The Prevention Of Hapis, Onyinye E. Ohia, Colleen A. Anthony

Master's Projects

Abstract

Background: The incidence of Hospital acquired pressure injuries (HAPIs) have remained a problem in healthcare despite concerted efforts by hospitals and other governmental agencies to eliminate the problem via policy and emphasis on safety. There is support in literature for the training of healthcare professionals as an important tool in the prevention and management of HAPIs. Despite the existence of studies that link training of nurses to a reduction in rates of HAPIs, evidence in support of that is still piecemeal; with poorly defined outcomes.

Aims and objectives: The aim of this integrative review is to identify …

Effectiveness Of Mental Health Interventions For Adults With Cancer In The Us: An Integrative Review, Danielle Lee, Chelsea Ferguson

Master's Projects

The purpose of this review was to synthesize existing literature on the effects of mental health interventions for adult cancer patients following their initial diagnosis and to consolidate findings related to interventions addressing mental health conditions in this population. With the growing number of adults diagnosed with cancer, further research and the development of tailored mental health interventions are crucial to improving health outcomes.

A systematic search was conducted using PubMed, CINAHL, Medline Complete, and Health Source Nursing databases between January 2024 and February 2024. To ensure rigor, Toronto and Remington’s (2020) integrative review process was applied. The Johns Hopkins …

Effectiveness Of Interventions To Address Nursing Students' Mental Health: An Integrative Review, Aimee Dickson, Shelby Carter

Master's Projects

Background:

The rigors of the nursing school curriculum are associated with higher levels of stress, anxiety, and depression, resulting in unhealthy habits and ineffective coping strategies that lead to initial difficulties in the academic environment and burnout as professional nurses advance into their careers. This phenomenon further burdens the already taxed workforce, leading to ongoing turnover and compromising care. This integrative review aims to look at what coping strategies have proven most successful in fostering nursing students' well-being, leading to lifelong practices that promote strength while addressing the rigors of academia and, later, the workforce.

Methods:

The literature review search …

Impact Of Participation In Cardiac Rehabilitation Post Myocardial-Infarction: An Integrative Review, Zoie Maynard, Mallory Stinson

Master's Projects

As one of the most common causes of hospitalization, the prevalence of myocardial infarction is indisputable Since this condition is so ubiquitous, a treatment protocol is initiated with methods to help patients modify their lifestyle, treat their underlying disease process, educate them to prevent reoccurrence, and improve their healthcare outcomes. This protocol relies heavily on the use of cardiac rehabilitation. Despite the implementation of this treatment protocol, the concern for recurrence and rehospitalization remains. The goal of this integrative review is to determine how participation in cardiac rehabilitation post-myocardial infarction impacts healthcare outcomes including rates of rehospitalization and depression. The …

An Integrative Review: Best Practices For Educating And Engaging Care Partners Of Patients With New Ostomies, Lauren Flook Brown

Master of Science in Nursing Final Projects

PURPOSE: The purpose of this integrative review was to identify and synthesize the best practices of engagement and education for care partners of patients with new ostomies to support adaptation.

METHODS: Five-stage integrative review process: (1) problem identification, (2) systematic literature search, (3) data evaluation, (4) data analysis, and (5) presentation.

RESULTS: Four themes with sub-themes emerged to understand effective engagement and education of care partners: (1) care partner influences on patient outcomes; (2) care partner needs; (3) barriers to care partner adaptation; and (4) diverse engagement strategies. Each theme and sub-themes related to care partners could not be separated …

Reducing Readmission (And Mortality) For Older Patients & Survivors Of Life-Threatening Conditions: A Study Using The Staarr Protocol, Akhenaten Amun

Symposium of Student Scholars

Readmission rates for patients admitted for heart failure, pneumonia, chronic obstructive pulmonary disorder, a myocardial infarction, a hip or knee arthroplasty, or coronary artery bypass surgery tend to have high readmission and mortality rates within 30 days of their discharge from a hospital. Starting in October 2012, the Healthcare Reimbursement Reduction Program enforced penalties on Medicare reimbursements for hospitals with readmission rates, for patients with the conditions above, were higher than averages based on facilities with similar characteristics and patient populations. Teach-back and verify (Klingbeil & Gibson, 2018), interdisciplinary teams that engage in patient care and support (Reiter-Palmon et al., …

Botulism Toxin And Its Affects On Spasticity, Paige Nicholas

Symposium of Student Scholars

Abstract

Spasticity is a symptom associated with spinal cord injury patients that is caused from an influx in excitatory and inhibitory signals controlling muscles and reflexes generating a pattern of spasms in a period of time. When not treated properly adverse effects include: contractures, respiratory arrest, pain, paralysis and decrease in efficiency of nursing and therapeutic care. Interventions including medications (i.e. baclofen, dantrolene, gabapentin), physical therapy, surgery and orthotic devices are used to decrease spasticity however show minimal effect, short duration and multiple side effects. These side effects include dizziness, weakness, confusion, headaches, nausea and constipation. Recent research has shown …

Do Automated Reposition And Alert Systems Reduce The Development Of Pressure Ulcer?, Adanech Jones

Symposium of Student Scholars

Abstract

Do Automated Reposition and Alert systems reduce the development of Pressure Ulcer?

Each year more than 2.5 million people in the USA develop pressure ulcers, which are painful skin lesions that increase the risk for serious infection in patients. In some cases, pressure ulcers, if left untreated can lead to death. In the USA, hospital acquired pressure injury costs (HAPI) has a possibility to exceed $26.8 billion. About 59% of these costs are disproportionately attributable to a small rate of Stages 3 and 4 full-thickness wounds, which occupy clinician time and resources. PUs occurs when bedridden or wheelchair bound …

An Integrative Review: The Experiences Of Stress, Burnout, And Compassion Fatigue By Ambulatory Care Nurses, Rajean Adams

Master of Science in Nursing Final Projects

Abstract

Aim: One aim of this integrative review is to highlight workplace issues outpatient (ambulatory care) nurses experience, related to stress, burnout, and compassion fatigue. Another aim is to bring awareness to and discuss recently implemented tools and strategies to help alleviate these manifestations.

Background: Stressors in the outpatient setting date back to the 1970s when psychologist Herbert Freudenberger mentioned the burnout he experienced while in a Free Clinic. In modern-day, half of nurses experiencing workplace burnout, confess to feeling emotional exhaustion. Various studies discuss the challenges nurses endure in the inpatient setting, but only a few focus on ambulatory …

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 …

Shortening Wait-Times In The Emergency Department, Laura Clark

Symposium of Student Scholars

Many Americans visit the Emergency Department (ED) every day for a variety of reasons. Some are extreme emergencies while others could be handled by a primary care provider (PCP). However, the EDs throughout the United States and other countries throughout the world are consistently known for their extended wait-times. Evidence has shown the average ED wait-time is about 145 minutes, being significantly longer in other states. In a state of emergency, 145 minutes could mean life or death. Shortening wait-times in the ED is crucial to saving lives, efficiently utilizing staff members, and satisfying patient needs. In this project, various …

Pressure Injury Bundles Vs Routine Pressure Injury Care, Which Will Reduce More Pressure?, Kristina Bennett

Symposium of Student Scholars

Pressure injuries are one of the most major challenges confronted in hospitals today – which can compromise a patient’s well-being, extend a patient's hospital admission, and can potentially contribute to disability or mortality. The prevention of pressure injuries is significant in delivering high-quality healthcare to patients; however, the prevention plan for pressure injury applications has been suboptimal as it causes a delay in medication delivery for nurses. The forms of care that are often used by healthcare professionals to improve HAPIs (hospital-acquired pressure injuries) are pressure preventative bundles – which are a set of evidence-based practices that are implemented reliably …

Using Design Science Research To Create A Virtual Environment For Nursing Students, Benjamin Botha, Lizette De Wet

African Conference on Information Systems and Technology

This paper aims to provide insight into the design science research approach followed during a transdisciplinary research study between computer scientists and professional nurses. The researchers used a design science research approach to create a virtual environment where nursing students could practice managing a patient with a foreign object in the right lung. The virtual environment underwent multiple changes as it progressed through the different cycles of design science research. Within these cycles, namely the relevance, design, and rigor cycle, various iterations of each of the cycles took place. Presented in this paper the design science approach followed will be …

Successful Components For Developing An Oncology Nurse Residency Program: An Integrative Review, Andi Johnson

Master of Science in Nursing Final Projects

Problem Identification

Residency programs for newly licensed registered nurses (NLRNs) have become an integral part of the new nurse’s transition to professional practice, improving resilience and retention of the NLRN. The goal of this integrative review is to highlight concepts and components that have been successfully incorporated into NLRN residencies and provide nursing leaders with actionable guidance to incorporate into facility-based oncology nurse residencies.

Literature Search

An integrative review using Whittemore and Knafl’s approach was conducted in accordance with principles of thematic analysis established by Toronto and Remington.

Data Evaluation

Eighteen records were included. As few research articles were found …

Nursing Management To Reduce Hospital Readmissions After Percutaneous Coronary Interventions- Integrative Review, Jeena S. Daniel, Doreen Wagner

Master of Science in Nursing Final Projects

Abstract

Percutaneous coronary interventions (PCIs) are considered life-saving techniques in the event of myocardial infarction and remain the standard of care for managing acute heart attack. Given the success of the procedures, decreased complications, and the economic advantage over open-heart surgery, coronary interventions continue to be the preferred treatment choice. However, amidst the growth and success of these procedures, readmissions after percutaneous coronary interventions have been identified and still prevail among hospitals. Hence, the goal was to conduct an integrative review to identify and synthesize literature on the interventions that help reduce readmissions after percutaneous coronary interventions and illuminate nurses' …

The Impact Of A 12-Hour Shift Compared To An 8-Hour Shift On Nurse Health And Safety, Matthew Kramer, Andrea Howell, Kayla Kloes, Emmy Lam, Brittney Levy

Symposium of Student Scholars

Abstract

Background: An international healthcare concern is extensive shift length among registered nurses and the negative factors associated with nurse burnout. Cognitive impairment, medical errors, sleep deprivation, job dissatisfaction, and overall declined health and safety of nurses have been associated to long shift work hours among registered nurses globally. However, there is limited published evidence about the difference between 8-hour and 12-hour shift work.

Objective: This systematic review summarized evidence on the impact that 12-hour shifts compared to 8-hour shifts has on the health and safety of registered nurses.

Methods: PubMed, SCOPUS, EBSCOHost, NCBI, Google Scholar, and …

Evidence-Based Practice: Nurse-To-Patient Ratios And Length Of Stay In The Emergency Department, Gina Hicks, Christine Landers, Rachel Abukhdeir, Quanta Bailey, Alem Assefa, Modupe Adewuyi

Symposium of Student Scholars

Background: The emergency department plays an essential role in delivering quality patient care. Factors that have contributed to fewer ED registered nurses are aging out of the field, lack of educators to teach nursing students which leads to fewer graduates entering the field, and burnout and exhausting of current registered nurses.

Purpose: The objective of our study was to determine the impact of the ratio of registered nurses to patients on length of stay in the emergency department.

Methods: We performed a systematic review identifying varying staffing levels and how they play a role in patient care. The PRISMA 2020 …

Relationship Between Diabetic Self-Management Education And Microvascular Complications In Adults With Type Ii Diabetes: An Integrative Review, Emily Hallberg

Master of Science in Nursing Final Projects

Aims. The aim of this integrative review is to explore the impact of diabetic self-management education on reduction or delay in progression of microvascular complications in adults age 18 and older.

Background. According to the Center of Disease Control, more than 34 million Americans have diabetes. Between 90 and 95% of them have type II diabetes making it the most prevalent type of diabetes. Microvascular complications are a sad reality for people diagnosed with diabetes with poor glycemic control. Microvascular complications of diabetes are long term complications that affect small blood vessels including neuropathy, nephropathy and retinopathy. These microvascular complications …

The Relationship Between Emotional Intelligence, Perceived Stress And Coping Mechanisms In The Undergraduate Nursing Student, Marissa Rebello

Master of Science in Nursing Final Projects

Purpose:The aim of this study was to evaluate the relationship between emotional intelligence (EI), coping mechanisms and perceived stress in undergraduate nursing students.

Design:A quantitative non-experimental descriptive design was followed.

Method:The data was collected through a convenience sample. The sample was collected during an undergraduate nursing class where the students in the classroom were asked to participate in the study. The students that chose to participate took a survey that included data collection on demographics, EI scores, perceived stress and coping mechanisms. The Perceived Stress Scale (PSS) (Cohen et al., 1983), the Brief COPE (Carver, 1997), and …

Relationship Between Stress And Performance In Skills Competencies In An Undergraduate Nursing Program, Erin Ababiy

Master of Science in Nursing Final Projects

This research study describes the potential relationship between perceived high stress levels and failure in high-stakes performance testing in a baccalaureate undergraduate nursing environment. In addition, it determines if there is a marked difference between perceived stress levels in accelerated and traditional students. To answer these questions, the researcher administered the Cohen’s self-report Perceived Stress Scale (PSS) to baccalaureate nursing students fifteen minutes before high-stakes performance skills competency testing. Of 102 voluntary participants, 33 were of the accelerated nursing track and 69 were of the traditional track. Encompassing both groups, nine students failed the skills competency test.

The results showed …

Millennial Perceptions Of Leadership As An Influential Factor In Nursing Retention: A Phenomenological Study, M'Lyn Spinks

Doctorate of Nursing Science Dissertations

For years, stakeholders in nursing have anticipated the retirement of the baby-boomer nursing workforce while heralding it as a major factor in a persistent global nursing shortage (American Association of Colleges of Nursing [AACN], 2017). Nursing shortages, known to have a negative impact on patient safety and outcomes, call for strategies to alleviate, if not resolve, issues of retention (Aiken et al., 2017). Authentic leadership, an identified retention factor among professional nurses and associated with improved patient outcomes, has the potential to provide the theoretical support needed to better inform millennial nursing leadership training and development. This phenomenological study explored …

I Was Clear With My Goals, Where I’M Heading, And What I Wanted With My Life: Life History Of An Omani Woman And Nurse Leader, Christie Emerson

Doctorate of Nursing Science Dissertations

This study uses life history methodology to examine the personal experience of being an Omani woman during the Omani Renaissance, choosing a career in nursing, and evolving into a nurse leader. There is a lack of research on why Omani women choose to enter the workforce, choose nursing career paths, and what sustains them in the nursing workforce. There is also a lack of research on the path to Omani nurse leadership. The research question is: What is the personal experience of being an Omani woman during the Omani Renaissance, choosing a career in nursing, and becoming a nurse leader? …

Exploring Men Who Have Sex With Men’S Hiv Pre-Exposure Prophylaxis Initiation Decision-Making Processes In The Southern United States, Portia Thomas

Doctorate of Nursing Science Dissertations

In 2012, the first pharmacological HIV preventative agent, pre-exposure prophylaxis (PrEP) was approved in the U.S. for individuals at high-risk of contracting HIV. Men who have sex with men (MSM) are at increased HIV risk, due to their engagement in anal intercourse (AI), which is the most common mode of HIV transmission and the riskiest type of sex. Although evidence indicates that most PrEP paients are MSM, a paucity of evidence exists on MSM’s PrEP initation decision-making process. The purpose of this study was to explore how HIV-negative MSM engaging in protected or unprotected AI decide to initiate PrEP based …

Nurse Faculty Job Satisfaction: Development And Evaluation Of The Nurse Educator Satisfaction Index, Annette J. Jackson

Doctorate of Nursing Science Dissertations

ABSTRACT

NURSE FACULTY JOB SATISFACTION: DEVELOPMENT AND EVALUATION

OF THE

NURSE EDUCATOR SATISFACTION INDEX

The nursing faculty shortage in American is predicted to worsen in the near future. This faculty shortage negatively impacts nursing practice by limiting the numbers of students admitted to nursing programs, and hindering efforts to build a nursing workforce sufficient in number to care for an aging patient population. Guided by Hagedorn’s Framework of Faculty Job Satisfaction, this descriptive, correlational study sought to validate a researcher-developed instrument to measure job satisfaction in a sample of Georgia nurse educators. A web-based survey was distributed to full-time nursing …

Cinemeducation: Teaching Family Assessment Skills Using Full-Length Movies, Astrid H. Wilson, Barbara J. Blake, Gloria A. Taylor, Glenda Hannings

Faculty Articles

A thorough family assessment provides a foundation for the nursing process when working with families. Therefore, nurses, along with other health care providers must develop expertise in conducting family assessments to provide the best possible care within the community. This article describes an innovative educational strategy using movies to teach family assessment skills and puts forth recommendations for future research to provide evidence to support this teaching modality.