Other Nursing Commons^™

The Prevalence Of Smoking In Nursing Students, Jennifer Trotter

Undergraduate Honors Theses

Tobacco use is one of the most preventable sources of death and disease, and yet remains a worldwide problem. With the rising costs of healthcare, the focus of efforts to control them has honed in on lifestyle behaviors that contribute to the escalating costs. Within the scope of this scrutiny, the prevention or cessation of smoking and tobacco usage has become a global priority and a major focal point of worldwide anti-tobacco initiatives. The World Health Organization (WHO) has identified cessation interventions by health care professionals as a crucial factor in successful patient smoking cessation, and studies have shown that …

Endoscopic Pancreatic Pseudo-Cyst Drainage, Judith Dorsam Rn

Patient Care Services / Nursing

No abstract provided.

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 …

Effects Of Music Intervention On The Patient’S Perception Of Pain After Knee Replacement Surgery, Heather E. Hooks

Electronic Theses and Dissertations

The purpose of this study was to determine whether therapeutic music affects the patient’s perception of pain, postoperative day 1 after knee replacement surgery in an inpatient hospital. In addition to the patient’s pain levels, the study was an analysis of the quantity of opioids the patient was requested, the length of stay, and the physiological parameters, which included blood pressure, heart rate, respiratory rate, and oxygen saturation. Sixty knee replacement patients were randomly placed in the music group or the quiet group. The Faces Pain Scale Revised with Numeric Rating Scale was used to measure pain levels. Statistical analysis …

Portion Size Selection In Relation To Hemoglobin A1cs, Brian L. Dixon

Undergraduate Honors Theses

Obesity has been recognized as an increasing issue within our country. Obesity contributes to many health related issues, including type 2 diabetes mellitus. Portion size is a factor that has generated clinical research interest. The aim of this study was to determine if there was a relationship between management of diabetes measured by hemoglobin A1c and portion size selection for type 2 diabetics. In this study, subjects selected portion sizes of four different foods. Data were compared to recent A1c levels. Due to the small sample size, nonparametric statistical analysis was used. The relationship of grain portion weight selection and …

Perceived Barriers To Obtaining Psychiatric Treatment At Johnson City Community Health Center, Mychal Bolton

Undergraduate Honors Theses

The purpose of this study was to describe the perceived barriers to obtaining psychiatric treatment at the Johnson City Community Health Center. The context of the study was a rural area in Eastern Tennessee. Five patients with confirmed DSM-IV mental health diagnoses were recruited during treatment and interviewed at the Johnson City Community Health Center after their scheduled appointments with a Mental Health Nurse Practitioner (MHNP). The semi-structured interview focused on perceived barriers to obtaining treatment, perceptions of treatment received, and perceived availability of treatment. From those interviews, two themes were identified and each of which had two sub-themes identified: …

Cultural Competency In The Medical Workplace: A Look At Outpatient Clinic Nurses At A Children's Hospital In New England, Evelyn S. Callahan

Honors Scholar Theses

This paper analyzes the current state of progress toward cultural competency in the medical workplace, specifically in the hospital setting. It compares the current writing on the topic to research done at a large New England children’s hospital. The nurses are all individuals who work in an out patient setting so they often see the same patients regularly for longer periods of time. This differs from the in-patient or floor nurses who only spend limited time with a constantly changing population of patients. The research involved one-on-one interviews and a focus group with nurses at the hospital. The focus group …

An Examination Of Correctional Nursing Competencies For Improved Patient Care, Bing Zheng

Honors Scholar Theses

The concept of this honors project was to explore correctional nursing competency, working closely with my advisor and the research team. Key findings from the initial competency assessment evaluation phase were compiled, organized, and analyzed. A podium presentation “Advancing Correctional Nurse Competencies for Quality Care: Evaluation of Simulation Learning and Satisfaction” was given at the 2013 American Correctional Health Services Association (ACHSA) Multidisciplinary Educational Conference on Correctional Healthcare: Ring a Bell. Additionally, a poster presentation, “Correctional Nurse Competencies: Evaluation of Simulation Learning and Satisfaction,” was given at the 2013 Frontiers conference. A poster presentation was given at the University of …

Role Modeling Clinical Judgment For An Unfolding Older Adult Simulation, Kathie Lasater, Elizabeth A. Johnson, Patricia K. Ravert, Doris Rink

Faculty Publications

Nurse educators must foster development of clinical judgment in students to help them provide the best care for the increasing population of older adult patients. This article reports qualitative findings from a mixed-methods study that focused on clinical judgment in the simulated perioperative care of an older adult. The sample was composed of treatment and control groups of prelicensure students (N = 275) at five sites. The treatment group watched a video of an expert nurse role model caring for a patient similar to the simulation patient, whereas the control group did not watch the video. Four weeks after simulation, …

Practice Of Written Feedback In Nursing Degree Programmes In Karachi: The Students' Perspective, Amina Aijaz Khowaja, Raisa B. Gul, Arusa Lakhani, Nusrat Fatima Rizvi, Faiza Saleem

School of Nursing & Midwifery

Objective: To identify students' perceptions about the practices of provision and utilization of written feedback in the nursing degree programmes in Karachi.

Study Design: Cross-sectional descriptive study.

Place and Duration of Study: Nine Nursing Institutions in Karachi, Pakistan were selected for the study, from February to October 2011.

Methodology: The sample consisted of 379 second year nursing students from nine institutions in Karachi. The data was collected through a modified Assessment Experience Questionnaire (AEQ) developed by Gibbs and Simpson. The data obtained through AEQ was analyzed in the SPPS.

Results: Students reported wide variations in the practices related to written …

Loma Linda Nurse - Vol. 22, No. 01, Loma Linda University School Of Nursing

Loma Linda Nurse

Contents

From the dean

2 | Marilyn Herrmann shares her thoughts

Features

4 | International off-campus MS celebration

6 | Alumni profile - Hollie Caldwell

8 | Global nursing conference

9 | How nursing student Nicole Shea lives it

News

10 | Faculty receive award

12 | New nurse anesthesia program

Alumni

14 | Note from Alumni Association president

15 | Then & now - 2014 homecoming details

16 | 2013 honored classes

18 | 2013 Alumni of the Year

In memory

20 | Remembering beloved faculty and alumni

Development

22 | Thank-you donor lunch

23 | Planning giving

23 …

Using A Case-Based Approach To Defining A Complex Stroke Patient, Erin M. Conahan Rn, Cnrn, Claranne Mathiesen Rn, Msn, Cnrn

Patient Care Services / Nursing

No abstract provided.

It's So Hard To Say Good-Bye With Dci (Discharge Instructions), Lynette M. Dondero Rn, Claranne Mathiesen Rn, Msn, Cnrn

Patient Care Services / Nursing

No abstract provided.

Reducing Falls And Fall-Related Injuries In The Acute Care Setting, Mallory Mondloch

Nursing Posters

The Minnesota Hospital Association released a safety alert indicating there has been a significant increase in the number of reported patient fall events. Each year, falls and fall-related injuries account for an astounding number of unnecessary healthcare costs. Not only are falls costly, but many sadly result in major disabilities or deaths. Here are the steps we can take to reduce falls and fall-related injuries.

Prevention Of Unplanned Extubations, Melissa Fradette, Donna Kamps

Nursing Posters

Background: The trend of unplanned extubations is rising. Unplanned extubations are a safety concern for patients. A ventilator bundle is in place to guide nurses and respiratory therapists for weaning and extubating patients who meet criteria; it is not always being used. This concern has been discussed at the ICU safety team, ICU NP, ICU ROE, and ICU leadership meetings.

Disinfection Of Shared Mobile Phones Carried By Registered Nurses: A Comparison Of Two Methods, Roberta Basol, Amy Hilleren-Listerud, Sherri Reischl, Terri Mccaffrey, Jean Beckel, Terri Mccaffrey, Pamela Rickbeil, Mary Schimnich, Kirsten Skillings, Mary A. Struffert

Nursing Posters

This study determined the efficacy of cleaning products on mobile phones. Previous research has demonstrated the risk for bacterial cross contamination between healthcare workers' hands, close contact equipment, and mobile communication devices. There is extensive literature on survival of organisms on inanimate objects. Mobile communication devices can act as a reservoir for bacteria associated with nosocomial infection. Additional studies show cross contamination between the healthcare workers hands, the mobile phones, and the patient.

Nursing Skin Integrity Guidelines: A New Approach To Skin Care, Kim Schuster, Amy Gorecki, Jennifer Burris

Nursing Posters

What is nursing skin integrity guidelines: a nursing driven order to provide evidence based skin integrity interventions; provides a streamlined process for immediate application of best practice interventions for identified skin impairments; the interventions can be implemented based on assessment findings and clinical judgment; and provides a guideline for consulting the WOC Nurse, including when wounds are not healing, all pressure ulcers, and ostomy needs.

Dsm V: Review Of Commonly Seen Diagnosis Found In The Inpatient Mental Health Setting, Joyce Salzer

Nursing Posters

Objectives: increased awareness of where to find some of the most commonly seen diagnosis within the DSM V and knowledge of some of the changes that have been made in diagnostic classification.

Impact Of Tranexamic Acid (Txa) On Hemoglobin Levels In Elective Total Knee Arthroplasty Patients, Gina Anderson-Malum

Nursing Posters

Over the last 2 years, the Bone and Joint Center has focused on blood utilization for total knee and total hip arthroplasty. With the use of a blood transfusion protocol, we significantly reduced blood transfusion rates and standardized the approach to care. As an expansion of this work, other ideas to further decrease blood utilization were considered. The purpose of the data collection of preoperative and postoperative Hemoglobin (HGB) levels was to evaluate the effect of Tranexamic Acid (TXA) on the average change in Hgb levels compared to Hgb levels of patients that did not receive the medication. In addition, …

Successful Mentoring Relationships, Mary Leyk, Colleen Porwoll

Nursing Posters

A poster presentation on the structure, process, and outcomes of a successful mentoring program.

Timing Of Surgical Antibiotic Prophylaxis Vs. Therapeutic Antibiotics And The Risk Of Surgical Site Infection, Sandy Gilk, Joan Hemker, Jeni Hansen

Nursing Posters

Introduction: The CDC has developed criteria that define surgical site infection (SSI) as infection related to an operative procedure that occurs at or near the surgical incision within 30 days of the procedure or within 90 days if prosthetic material is implanted. Objectives: Differentiate between Prophylactic Antibiotics and Therapeutic antibiotic. Understanding SCIP guidelines with use of prophylactic antibiotics. Understanding the use of Therapeutic antibiotics by physician's order, prior to surgery.

An Assessment Of Nurses' Knowledge And Attitudes Toward End Of Life Care Pain Management, Amy Davis

Nursing Theses and Capstone Projects

This study was completed to help determine if nurses had a true understanding of how to provide pain management to patients in their care who were at the end of their life. A review of literature was completed and it revealed that nurses have a fear of opioid overdose and respiratory depression in their patients when providing proper pain management. It also revealed that patients have a fear of dying in pain at the end of their life especially if they have been diagnosed with a terminal illness. The study also revealed that when patients die in pain it actually …

Project Title Improving Pci Door-To-Balloon Times Through Team Collaboration, Diane Rydzy Rn, Kenneth Forte Dnp, Rockman Ferrigno, Stuart Zarich

Posters

Objective: To utilize a team approach in identifying areas of improvement to reduce median door-to-balloon times (D2B) for heart attack patients

Assessment Of Mild Traumatic Brain Injury By Advanced Practice Registered Nurses, Mary Lou Garey

Doctor of Nursing Practice Scholarly Projects

The purpose of this project was to evaluate the knowledge about assessing mild traumatic brain injured patient by the advanced practice registered nurse (APRN) as reflected in the Centers for Disease Control (CDC) Acute Concussion Evaluation (ACE) Tool Kit. A descriptive cross-sectional survey research design was used to assess knowledge about the evidenced based assessment of APRNs practicing in an urgent care setting as established by the CDC for the evaluation of acute concussion. Specifically the history and physical assessment practices of the APRNs for the mild traumatic brain injured patient (MTBI) were evaluated in relationship to the CDC / …

Attitudes And Beliefs Of Registered Nurses About The Process Of Changing To An Electronic Medical Record In A Community Hospital: A Mixed Method Investigation, Roberta Jo Myers

Doctor of Nursing Practice Scholarly Projects

The change from paper charting systems to electronic medical records (EMR) is a daunting task. Many hospitals today are undergoing this process. Kotter’s Change Model informs us that the process must be guided by sound principles and lead by an engaged, focused team of dedicated employees. The studied hospital is a small hospital in rural Ohio that initiated this change in late 2012. Their computer charting initiative launched the EPIC program for EMR use throughout the facility. Nursing staff was challenged to learn and eventually become proficient in its use. Because nurses are the largest care provider group in any …

Advanced Practice Care Model In A Midwestern Allergy Clinic, Bernie Theobald

Theses and Graduate Projects

Health care organizations are creating innovative patient care models to deal with the rapidly changing healthcare environment. Implementation of the Affordable Care Act has led to reduced revenue for healthcare organizations and placed an impetus on quality. For healthcare providers to continue to practice, they must change their model of care. An allergy clinic in a large Midwestern healthcare organization created a care model which capitalizes on the unique skillset that nurses possess. Nurses in the care model contact the patient before their visit, assess patient needs, and follow-up with the patient in a post- consult nurse visit. The care …

Heart Nursing Care Model, Jennifer M. Harden

Theses and Graduate Projects

The role of the hematology ambulatory registered nurse (HARN) is currently disorganized at a large Midwestern clinic. Cumently the HARN is responsible for telephone care, lab results, prescription refills, patient education, submitting forms, and helping patients with miscellaneous items. The HARN is pulled in several directions throughout the day. With healthcare reimbursement changing, there is a growing need for HARNs to be utilized to one's fullest potential and licensure. The purpose of this project is to create a new model of nursing care, which will further enhance the HARN role. Jean Watson's Philosophy and Science of Caring provides a framework …