Other Nursing Commons^™

Bio-Identical Hormones Utilized For Treating Menopausal Symptoms: Are They Safe?, Maria D. White

Doctoral Projects

The use of compounded bioidentical hormones in the various forms of gels, creams, and troches has increased in popularity. The population of menopausal women is at a crossroads with the cascade of symptoms and determining what are their options. The Endocrine Society, the Food and Drug Administration, and the National Menopause Society do not support the use of bioidentical hormones, despite the support for bioidentical hormone replacement therapy (BHRT) by the American Academy for Anti-Aging Medicine and other proponents for BHRT. The literature review reveals the need for studies documenting the safety of BHRT. The objective for this study was …

Pain Management At End Of Life When There Is A Co-Occurrence Of Substance Use Disorder: A Qualitative Metasynthesis, Kristina Olfson

Doctoral Projects

Pain management, end of life (EOL) care, and substance use disorder (SUD) are individually identified as National healthcare challenges and priorities. Despite 50 years of advances in the understanding of pain management, pain is still inconsistently assessed and undertreated in all populations, including those with life limiting illness. When a patient with a life limiting illness and history of SUD is encountered, pain management becomes further complicated. Effective pain management for all patients, regardless of coexisting complications, is an ethical obligation of health care providers. Given the lack of research into EOL pain management of patients with SUD, it is …

A Comparison Of Pedagogical Approaches To Error Communication Training, Marie Annette Gilbert

Doctoral Projects

Purpose: The purpose of this study was to compare the effectiveness of two different pedagogical approaches to error communication training.

Background: The literature advocates full, transparent communication following a medical error. However, many barriers to such disclosure exist. A significant barrier is healthcare providers do not feel prepared for these difficult conversations. This can be particularly challenging in a pediatric setting when the conversation with a parent may be more demanding than similar conversations in the non-pediatric settings.

Method: Individuals from three different professional groups were recruited; physicians, pharmacists, and nurses. A randomized controlled study was conducted to investigate …

Access To Care Barriers For Native American Veterans, Joanne Kristen Rhoads

Doctoral Projects

There are very few studies that examine Native American Veterans and access to care issues. Therefore, the researchers implemented an exploratory, descriptive, qualitative project to explore and identify the potential barriers that Native American Veterans have experienced with access to healthcare and participation in veteran benefit programs. A purposeful sample consisted of 14 Native veterans from the American Indian Veteran Association who were eligible for veteran services, and were willing to participate in the project. Fieldwork was performed in the natural environment of the Sierra Nevada foothills on the ancestral homeland of a California Tribe. The facilitator utilized a demographic …

Reducing "Failure To Rescue" Occurrences: A Pilot Project Incorporating High-Fidelity Simulation During Mock Codes, To Enhance Pediatric Nurses' Clinical Knowledge And Skills, Denise Dawkins

Doctoral Projects

Thanks to advances in technology, the survival rate of infants and children with critical illnesses has improved. One consequence has been an increase in the acuity levels of hospitalized pediatric patients, which may heighten the risk of in-hospital cardiopulmonary arrest. Patient safety can be compromised by nurses who do not detect subtle clinical changes in a patient's condition, do not perform accurate interventions, or do not apply critical thinking (failure to rescue). The Institute of Medicine (10M) in 1999 estimated that approximately 100,000 people died each year as the result of poor care.

Patients and families place great trust in …

Electronic Medical Record In The Simulation Hospital: Does It Improve Accuracy In Charting Vital Signs, Intake, And Output?, Carel M. Mountain

Doctoral Projects

The introduction of electronic health records has created a shift in the way nursing care is delivered (McBride, Delaney, & Tietze, 2012; Furukawa, Raghu, & Shao, 2010). A factor which heavily influences a nurse’s ability to navigate and utilize EMR is adequate education in the use of computerized documentation (McBride, et al., 2012). There is an increased risk for error at the bedside without the correct knowledge and skills regarding EMR documentation (Kelly, Brandon, & Docherty, 2011). This skill should be introduced during the pre-licensure education of the nurse.

Two groups of associate degree nursing students attending a small community …

Self-Reported Neurogenic Bowel And Bladder Management In Acute Hospitalized Chronic Spinal Cord Injured Patients: Its Role In Clinical Practice, Mary Lupe Jimenez

Doctoral Projects

Patients with spinal cord injuries and disorders (SCI/D) are at risk for mismanaged bowel care during acute hospitalization, which can lead to numerous medical complications ranging from loss of personal dignity and privacy to many serious medical conditions, some of which are life threatening. Additionally, mismanagement of bowel care during acute hospitalization may lead to costly extended hospital stays. The project was to describe bowel and bladder care for SCI/D patients during acute hospitalization using a self-reported questionnaire submitted by approximately 46.6% of SCI/D patients from the Veterans' Affairs Central California Health Care System. The self-report questionnaire was designed by …

Chronic Non-Cancer Pain In The Ed: Are Nurses Sbirt-Ready?, Dorothy James Moore

Doctoral Projects

Emergency department (ED) Registered Nurse (RN) understanding of chronic pain management is critically important. By some estimates, 30% of all opioid pain medications in the United States (US) are prescribed from EDs. At the same time, prescription drug abuse is America’s fastest growing drug problem. While RNs have significant contact time with chronic pain patients who may also be drug abusers, RNs often use the stigmatizing label, “drug-seeking” for certain key patient behaviors and may not feel confident intervening constructively with these patients. This project reviews literature pertaining to SBIRT use for substance abuse in the ED and surveys ED …

Perceptions Among Students In Online Health Related Courses - A Pilot Study, Kathy Sullivan

Master's Projects

Given the proliferation of online courses in university education, continuous evaluation is imperative to ensure quality. This study utilized a quantitative descriptive design using a questionnaire to explore the perceived adequacy and acceptance of distance learning in undergraduate health related courses. Questions were designed to elicit students' reactions to teaching methods, course content, and how the format influenced their learning. Overall, acceptance of online courses is high. Most of the students were willing to take another online course in the future. Respondents felt that online courses offer more flexibility, encourage both independent and critical thinking skills, and that the course …

Self Perceptions Of Clinical Performance Of Accelerated First Degree And Accelerated Second-Degree Graduates, Neelam N. Murthi

Master's Projects

Currently in the United States, motivated by nursing shortages, numerous ways have been created to recruit nurses in nursing schools. Accelerated nursing programs are increasing rapidly. Colleges and Schools of Nursing around the nation are accepting students seeking their first degree, as well as those with a second degree. This study compared perceptions of clinical performance of accelerated first-degree and accelerated second-degree bachelor of nursing graduates. The intention was to identify whether, after graduation, the two groups held different self-perceptions of performance in the clinical environment. This was to determine if one group has better self-perception of performance than the …

Perceptions Of Nursing Students Regarding Evidence-Based Practice, Sheleen Tolentino

Master's Projects

The purpose of this descriptive quantitative study was to explore the nursing students' perceptions of their attitude and knowledge regarding evidence-based practice (EBP). The Research Awareness Questionnaire (RAQ), previously used only with healthcare professionals was slightly modified and piloted with senior nursing students (N=22). Eighty-two percent (n=18) of the participants believe that EBP is part of their role. Only 41% (n=9) were confident to undertake research. On the actual knowledge measures, 96% (n=21) could define qualitative research, and 86 % (n=19) correctly defined quantitative research. Suggestions for revising the RAQ are discussed. With modifications, this instrument could be utilized by …

What Is The Perception Of Preparedness Amongst Accelerated Bsn Students Compared To Traditional Bsn Students?, Sheetal Raman-Love

Master's Projects

With today's economic uncertainty, and nursing shortages, many have decided to join the health care industry in hopes of finding financial stability and job security. The impaction of nursing schools throughout the United States has led to the proliferation of accelerated nursing programs. These programs are designed for motivated students who are able to utilize their prior educational experience enabling them to accelerate and complete their BSN degree in a short period of time (Wu, C.Y., & Connelly, C.E., 1992). This study focused on the examination of the length of time in nursing school and the potential influence it may …

Faculty Perceptions Of Interactions Between Students And Registered Nurses In The Clinical Learning Envirorunent, Laurie M. Rosa

Master's Projects

Perceptions of the relationships between nurses and staff were evaluated from a faculty perspective to uncover the ways that the faculty react, respond, and help to support students. During interviews with faculty, access to practice and clinical unit atmosphere emerged as themes. Faculty described nurses granting access to practice by mentoring students and involving them in the entire care of the patient, or nurses who limited students' access to practice through unprofessional behavior, or "cutting corners." Unit atmosphere influenced learning both positively and negatively depending on inclusion of students, morale, and welcoming behaviors of staff. Faculty acted as guides and …

Student Nurses' Perceptions About Caring In Early Nursing Courses, Rosa Roman

Master's Projects

This descriptive study explored students' perceptions of caring at the end of their first nursing courses by identifying the caring behaviors they agreed were most important. The 35 item Care Dimensions Inventory (CDI-35) developed by Watson, Deary, and Hoogbruin (2001) was used to explore perceptions of caring of a convenience sample of 71 students enrolled in their first nursing courses in a baccalaureate program. The inventory asked participants to agree or disagree using a Likert scale whether the nursing actions were considered as caring. Most of the nursing actions considered important by the students were in the supporting/intimacy aspects of …

Evaluation Of Strategies To Enhance Nclex-Rn Success, Joyce Barnby

Master's Projects

Successful performance on the National Council Licensure Examination for Registered Nurses (NCLEX-RN) is a measure of competence indicating that newly licensed nurses have attained standards to ensure safe nursing practice. Concerned about a declining pass rate, one urban state university implemented multiple strategies over a period of time in order to enhance the success rate of frrst-time test-takers. The purpose of this research project was to focus on the state university's NCLEX-RN pass rates for frrst-time candidates, examined and evaluated new implemented strategies, and determined how the interventions influenced these pass rates. Data were collected using retrospective existing records on …

Self-Directed Learning Readiness Of Baccalaureate Of Science In Nursing (Bsn) Students, Saba Bayanzai

Master's Projects

One of the goals of nursing programs is to prepare students to be self-directed learners and assist them to meet the challenges in today's healthcare environment. Self direction is critical for lifelong learning, and it is imperative that nurses continue their education in order to provide high quality and competent care to patients. Students enter nursing programs with learning styles already established. Nursing faculty presuppose that the learning environment will be mutually respected, collaborative, and supportive. A clash between student learning styles and faculty teaching styles can have a great impact on the ultimate success of the student. This study …

Views About Health Of Russian-Americans Living In Central California, Mark Fiterman

Master's Projects

This quantitative research explored the health views of Russian-Americans to discover information about the health needs of this population. Data were collected via a demographic form and a tool, SF-36 Health Survey. 46 respondents participated and returned completed packets. Results were scored in eight scales representing two different groups of health measurement, physical health and mental health. The scores for each scale and group were compared to the nonn-based scoring for general U.S. population. The mean for the physical component summary (PCS) was 33.31, and the mean for the mental health summary (MCS) was 48.53 indicating that the physical health …

English Language Acculturation And Academic Achievement Among Junior Year Nursing Students, Leah Lukrich

Master's Projects

Efforts to alleviate the current nursing shortage have focused on recruitment and retention of diverse nursing students. Language acculturation has been identified in the literature as one predictor of academic achievement (Salamonson et al, 2008) PURPOSE: This study examined the relationship between pathophysiology and pharmacology grades and scores on the English Language Acculturation Scale (ELAS) survey for junior-level nursing students (N = 65). The relationship between years living in the United States (U.S.) and pathophysiology and pharmacology grades was examined also. RESULTS: ELAS scores ranged from 7-25, with a mean of22 (SD = 4.27). No statistically significant correlation was found …

Productivity Environmental Preference Survey (Peps) Of Undergraduate Nursing Students - A Generational Perspective, Susana Machado

Master's Projects

A change in the generational demographics of college students is occurring throughout the United States. By 2012, the number of Millennial students, those born from 1982 to 2003, will jump from 44 percent to 75 percent of the total college enrollment. It has been suggested that their methods of learning are different from those of previous generations. The purpose of this study was to identify and compare individual productivity and learning style preferences of undergraduate nursing students that fall into the Generation X and Millennial age cohort. Using the Dunn & Dunn Learning Style Model and the Productivity Environmental Preferences …

Role Strain Of Nursing Students In Obstetrical Clinical Rotations: Is Role Strain Greater For Male Students?, Teri A. Lind

Master's Projects

As increasing numbers of men enter the career of nursing, it is important that nursing educators identify areas of role strain and learning needs that may be different from their female counterparts This research project examined the role strain factors of nursing students who have completed the maternaVnewbom (obstetrical) clinical experience in a baccalaureate nursing program. The research question addressed in this research project was: Do male nursing students experience greater role strain than female nursing students in the matemaVnewbom setting? A convenience sample of male students (N=23) and a random sampling of female students (N=23) participated in this study. …

Student Perceptions Of Their Learning Experience In The Clinical Setting: A Pilot Study, Peggy Gnehm

Master's Projects

Clinical experience during nursing education is a valuable learning opportunity, supporting the integration of theory and practice. Positive or negative perceptions of the learning environment potentially affect student retention and recruitment as well as motivation and by extension, possibly learning. The purpose of this pilot study was to explore possible strategies of assessing student perceptions of their overall clinical learning experiences and provide insight into student feelings about specific portions of their experience with goals of nurturing the positive as well as identifying potential areas for improvement within the program. Though students were satisfied overall with their clinical experiences, they …

Class Size And Nursing Students' Perception Of Empowerment, Cynthia T. Keane

Master's Projects

Due to increases in enrollment and budget cuts in many states, college class sizes are reaching unprecedented sizes (Carpenter, 2006). Nursing schools are facing the same challenges. Only limited research has been conducted on the effects of class size on nursing students' perception of empowerment Conger (1989) defines empowerment as the act of reinforcing one's belief in his or her perception of competence. Empowerment is important for nursing students' education (Chally, 1992). To achieve the optimal learning experience in face of increasing class size, it is important to explore how nursing students experience learning in both small and large class …

Evaluation Of Student Perceived Self-Efficacy With The Implementation Of A Problem-Based Learning Module, Joel David Romero

Master's Projects

To facilitate the graduation of competent registered nurses, healthcare educators must create learning environments that foster content expertise, problem solving, collaboration, and refined learning skills. Although countless teaching strategies are in existence today, problem-based learning (PBL) has revealed noteworthy potential in healthcare education. In PBL, complex, reality-based problems are used as motivation for students to identify salient concepts, gather data, and ultimately work through posed problems. Considerable evidence supports the use of PBL as a method to promote learning, though examining knowledge alone cannot always assess actual behavioral performance. To ascertain the likelihood learned concepts would be utilized in practice, …

Barriers To Mammograms Among Women Who Are Homeless, Lucinda M. Ramirez

Master's Projects

Purpose: The purpose of the study was to identify barriers to mammogram screening among women who are homeless. Knowing the barriers to mammogram screening will be useful to advanced practice nurses for it provides insight to understanding the perceived susceptibility, benefits, and barriers of women potentially amendable to intervention. Data sources: A descriptive survey was used with a convenience sample of 41 women who were homeless, between the ages of 20-70 years, and agreed to participate in this study. The research was conducted at two homeless shelters in an urban county in Northern California. Findings: Findings reflected positive perceptions recognizing …

Cultural Self-Efficacy Of Graduating Baccalaureate Nursing Students In A State Funded University In The Silicon Valley, Lihua Liu

Master's Projects

The purpose of the study was to examine the level of cultural self-efficacy of graduating baccalaureate nursing students, who care for diverse populations, in a state funded university in the Silicon Valley, California. The level of cultural self-efficacy was measured using Bernal and Froman's Cultural Self-Efficacy Scale (CSES). A convenience sample of 48 nursing students completed an 8-item demographic questionnaire and a 26-item CSES. The subjects of this study were found to have an increased level of cultural confidence in comparison with previous studies. This study suggests nurse educators continue to incorporate cultural concepts and skills in the nursing curriculum.

Evaluation Of The Effectiveness Of A Humor Workshop On The Perceived Stress Of Nurse Practitioner Students, Stephanie A. Emerson

Master's Projects

A quasi-experimental one-group pretest posttest design was used to evaluate the effectiveness of a humor workshop on the perceived stress of a sample of nurse practitioner students (n = 9) at a major university. Testing aimed at measuring perceived stress, was completed before and after participation in a" orkshop focusing on the application of humor skills in the healthcare environment. For the total sample, the mean pretest score was 15.22, SD = 5.42 and the mean posttest score was 1 0.33, SD = 3.90. A dependent samples !-test revealed a statistically significant difference (t = 4.55, p < .002). Results indicate that participation in a humor workshop of this type may be associated with lower levels of perceived stress.

An Added Dimension To The Faculty Role: The Accelerated Student, Lisa Rauch, Deborah Nelson

Master's Projects

Nursing faculty work hard at helping students achieve academic success by utilizing a variety of support services. The question guiding this study is: Do accelerated and traditional BSN students have different characteristics or different valued support services? The characteristics of accelerated and traditional BSN students were obtained from a larger longitudinal study (N=93). The Support Services Questionnaire collected data from a convenient sample of two groups of BSN students: accelerated (n=26), traditional (n=49). The results presented accelerated students as primarily female, financially supported, and holding a variety of college degrees. Traditional students were represented as female, younger, working and not …

Self-Efficacy And Grade Point Average In Relationship To Academic Success In Baccalaureate Nursing Students, Cynthia Miller

Master's Projects

Academic success, defined as the completion of a nursing program and passing the National Council for Licensure Examination for Registered Nurses (NCLEX-RN), is the goal of all nursing programs. The identification of specific variables related to academic success could identify students at risk of failing early. The purpose of this research study was to explore the relationship of two variables related to academic success, self-efficacy and grade point averages (GPA), in accelerated and regular BSN students. The results of this study suggest that a statistically significant, positive relationship exists between prerequisite GP A and self-efficacy of BSN students. In addition, …

Student Demographics With Changing Admission Criteria: Is Nursing Diversity At Risk?, Jung Yoon, Kimlin Mcdaniel Keith

Master's Projects

Schools of nursing are challenged with choosing from an increasing number of applicants and the need to prepare as many successful nurses as possible to meet the nursing shortage. Strategies have included increasing student enrollment, utilizing accelerated programs, and changing admission criteria. This study describes the demographic characteristics of three classes of nursing students admitted under different criteria to the same nursing school. The value of maintaining a high level of ethnic diversity is guided by Leininger's theory of cultural care diversity and universality. Although changes occurred in the demographic constitution of each nursing class, ethnic diversity was maintained as …

The Relationship Between Parental Physical Activity Levels And Their Child's Body Mass Index, Juracia Carbajal

Master's Projects

This study compared the relationships between parental physical activity levels and their child's body mass index (BMI) using a convenience sample of volunteer parents at a school-based health clinic. Anonymously, parents completed a seven-question survey utilizing the International Physical Activity Questionnaire (IPAQ). The data analysis indicated that parental physical activity did not have a significant influence on a child's BMI. Forty-two percent of the children were overweight or at risk for overweight, demonstrating the need for increased physical activity and improved nutritional guidance. The school nurse has a significant role in providing education about health, nutrition, and obesity prevention strategies …