Other Nursing Commons^™

Nursing Staff Shortage And Patient Outcomes, Amber Scogin

Epsilon Sigma at-Large Research Conference

Introduction and Background: A widespread issue that is affecting patients and nurses alike is the ongoing prevalence of registered nurse shortages in the field of healthcare. This obstacle has jeopardized exceptional patient care for many years and research suggests there is a need for interventions to combat the growing shortage.

Purpose Statement: This research aimed to investigate how the lack of acceptable nursing staff levels affected patients’ quality of care, safety, and outcomes in various healthcare settings. It also emphasizes the need for interventions that would focus on the supply and retention of nursing staff in order to combat the …

Exploring Compassion For The Community And Diversity Through Nursing Experiential Learning, Jaime Sinutko, Nadine Wodwaski, Brooklin Adams

Experiential Learning & Teaching in Higher Education

Background: The aim of Jesuit education is total growth leading to action (Jesuit Institute, 2014a), plus higher Jesuit education seeks to transform students through examining the world around them. The promotion of experiential learning is noted in Ignatian Pedagogy (2014a) by urging the whole person to enter the learning experience. Nursing education, at a Jesuit University, involves educating the whole person within a service-oriented profession. Thus, experiential learning in a nursing course at a Jesuit University is an active component of Ignatian pedagogy, promoting Jesuit values and Catholic identity. This has been challenging since the COVID-19 pandemic forced universities to …

Evidence-Based Best Practice For Discharge Planning: A Policy Review, Marissa Lewis

Student Scholarly Projects

Ineffective discharge planning produces poor patient healthcare outcomes, potential adverse events, and medical errors. A primary deterrent to successful discharge planning is communication, either within the interdisciplinary team or during handoff to the receiving transition of care facilities of home health, skilled nursing, or acute rehabilitation.

The purpose of the evaluation project was to determine if current policies, communication tools, and workflows of three healthcare organizations were based on evidence and make recommendations for policy revisions. The Johns Hopkins Evidence-Based Practice for Nurses and Healthcare Professionals Model (JHNEBP) was used with the Centers for Disease Control (CDC) Policy Process (POLARIS) …

Qualitative Research In Nursing: Bibliometric Study, Edna Johana Mondragón Sánchez, Patrícia Neyva Da Costa Pinheiro, .Paulo Henrique Alexandre De Paula, Miguel Henrique Da Silva Dos Santos, Adriana Gomes Nogueira-Ferreira, Jose Enver Ayala Zuluaga

The Qualitative Report

In this study, we explored the production of qualitative nursing research in program repositories evaluated by the Coordination for the Improvement of Higher Education Personnel in Brazil, with concepts six and seven. We utilized a bibliometric study in which we considered Brazilian theses and dissertations with qualitative methodology published in 2018 and 2019 with qualitative methodology. In the 100 papers, 79 theses, and 13 dissertations, we identified that the types of studies that stood out were phenomenology, the wording of the objectives predominantly used the verbs “understand,” and “analyze,” and the instruments and techniques used were semi-structured interviews which present …

Professional Values Among Bsc Nursing Students And Their Perception Of The Status Of Nursing As A Profession, Joselin Mariet

Manipal Journal of Nursing and Health Sciences

ABSTRACT

Professional values are the values reflected in our relationship with clients, colleagues and the significant others. The ‘Code of Ethics’ for nurses provide directions for relationship of nurses to clients, community and the profession and it delineates the fundamental values of professional nursing. Objectives: To describe and correlate the professional values of B Sc Nursing students and their perception on status of nursing as a profession; to compare the professional values and perceptions of I, II, III and IV year students; to find out the relationship of professional value and perception scores of students with their socio-economic status. …

Spiritually Influenced Health: Results Of A Health Promotion Initiative In Houses Of Worship, Crystal C. Shannon

International Journal of Faith Community Nursing

Promoting health within communities is a primary responsibility for nurses and other healthcare professionals. This involves the active incorporation of spiritual and faith-based approaches to health. Challenges remain in the delivery of effective health delivery that incorporates faith for at-risk communities. This is a retrospective descriptive study designed to explore the effects of faith-based health promotion sessions on existing health habits within local faith organizations from 2015-2018. The protocol utilized nursing students as project developers in collaboration with faith leaders and subject matter experts in the delivery of health education on nutrition, cardiac health, and physical activity. Findings suggest positive …

Promotion Of Heart Failure Self-Care In The Outpatient Setting, Meredith C. Lubas

Seton Hall University Dissertations and Theses (ETDs)

Medical management of chronic heart failure consists of a closely managed medication regimen, cardiovascular testing, interventions, and lifestyle modification, including self-care practices. While medication management, testing, and interventions have concrete guidelines, heart failure self-care education lacks solid guidelines and thus is often poorly defined and variable in practice. Outpatient heart failure treatment typically focuses on medication management more than self-care practices. This project addresses the current lack of heart failure self-care education in the outpatient setting.

For this project, a total of seven patients with heart failure with a reduced ejection fraction received a patient survey in order to assess …

Burnout In The Nursing Profession: Extant Knowledge And Future Directions For Research And Practice, Sara Labelle

Communication Faculty Articles and Research

Burnout is a psychological state resulting from prolonged psychological or emotional job stress, and is a culmination of three factors: emotional exhaustion, depersonalization, and reduced personal accomplishment. Due to the nature of the “people-work” they must constantly perform, along with a highly stressful and unpredictable work environment, nurses have alarmingly high rates of burnout among members of their profession. Given the importance of research on burnout to understanding the context-specific stressors and challenges of nursing, this review offers a synthesis of research published in the last decade in both nursing and communication journals, with an emphasis on discussing opportunities for …

A Mixed-Methods Approach To Investigating The Influence Of Education On Nurses’ Attitudes Toward Sex Trafficking Victims, Tabitha Mcdaniel

Nursing Theses and Dissertations

Significance of problem: Sex trafficking (ST) impacts victims of all ages, genders, races, and ethnicities. It is a significant public health issue which is shrouded in secrecy. Although victims are typically isolated by their trafficker, they will still seek out health care services. Nurses are frontline staff with rare access to victims in a setting where help can be given.

Purpose: The primary purpose of this mixed-methods study is to explore targeted education about sex trafficking and its influence on nursing attitudes and knowledge about sex trafficking and its victims. This study also analyzes demographic information and how those variables …

Leadership Strategies To Support Resilience, Katee Paine

Nursing Masters Papers

Healthcare institutions have garnered national attention due to high levels of healthcare worker burnout, stress, and turnover rates. As the largest population of healthcare workers, nurses are often confronted with stressors that can lead to burnout in their practice and work environment. The global COVID-19 pandemic has highlighted and magnified these stressors over the past year, such as emotional strain of caring for dying patients, long shifts, rotating schedules, increased workload demands, and high-stress work environments. Resilience, characterized by an ability to bounce back from adverse situations, has been found to play an important role in navigating and adapting to …

The Presence Of Spirituality And Its Effect On Attitudes Towards Death, Isabel F. Cortez

Honors College Theses

ABSTRACT

Rationale Implementing spirituality practices in healthcare is not heavily emphasized yet has the potential to increase positive patient outcomes.

Hypothesis If an individual identifies with having a strong sense of spirituality, then they will have decreased negative reactions towards dying.

Methods Data was collected via distribution and processing of surveys on the Statesboro campus of Georgia Southern University. The survey included a series of questions regarding general demographics, strength of spirituality, feelings associated with death, and coping ability. The information collected was processed through SPSS in order to evaluate correlations present.

Results It was found that individuals who indicated …

Does A “Just Culture” Improve Patient Safety?, Wanda Lucille Parks

Student Research Poster Presentations 2021

No abstract provided.

Healthcare And Substance Use Service Accessibility And Barriers For Syringe Service Program (Ssp) Participants In Manchester, Nh, Faith Mackenzie Farnham

Honors Theses and Capstones

No abstract provided.

Social Media And Mental Health In Adolescents And Young Adults: A Systematic Review, Dawn Ritter, Kimberly Ray, Celia Keefe

Williams Honors College, Honors Research Projects

The goal of our project is to increase understanding of the link between social media use and mental illness in teens and young adults. Our objective is to write a systematic review of the literature to answer the PICOT questions: (1) In teens and adults, younger than 25 years, what is the relationship between social media use and mental illness? (2) In teens and adults, younger than 25 years, what is the effect of interventions, such as social media as a resource, on mental health promotion and well-being? The motivation for our project comes from the increased use of social …

Exploring Therapeutic Nurse-Patient Communication: Techniques And Barriers, Pierina Rossini

Senior Honors Theses

Effective nurse-patient communication, also described as therapeutic communication, is essential for providing high quality nursing care. It increases patient satisfaction and health, decreases patient anxiety and disease symptoms, and increases patient cooperation and compliance to treatment. Some therapeutic communication techniques include attentive listening, empathy, silence, focusing, open-ended questions, clarification, exploring, clarifying, and summarizing. Unfortunately, there are barriers to therapeutic communication that have been identified. Research regarding nurse-patient therapeutic communication, consisting of secondary, qualitative, descriptive data, points to several barriers to therapeutic communication. Some of the barriers to therapeutic communication include nurse-patient gender difference; patient physical discomfort; nurse-patient language, culture, and …

Creating A Thriving Informatics Culture, Nicholas Webb

Doctor of Nursing Practice (DNP) Projects

Nurses thrive best when they are empowered to make decisions that can positively impact healthcare delivery. Knowledge and application of nursing informatics principles can influence clinical, quality, operational, and financial outcomes in ways that were not available in previous professional nursing generations.

If nursing informatics is the solution, what is the problem? A survey regarding use and attitudes about nursing informatics was taken of chief nurse executives (CNEs) at an integrated, not for profit healthcare system in the Northern California region, where the author oversees the electronic health record (EHR). The results were surprising. Half said they did not know …

Workplace Violence: An Urgent Call For Integrated Staff Education In Acute Care Hospitals, Nicole Bellisario

Doctor of Nursing Practice (DNP) Projects

Problem: Type II workplace violence (WPV) in acute care hospital settings has become an epidemic of costly proportions in the United States. Regulatory mandates and healthcare accreditation standards increasingly require healthcare employers to provide a safe and healthy healing environment for patients and a safe work environment for staff. Implementation of a comprehensive WPV prevention program depends largely on organizational culture, participation and commitment from key stakeholders, and readiness for change.

Context: The patient-clinician relationship has drawn urgent attention, as healthcare organizations around the world implement key components of WPV prevention programs. The clinical management of patient aggression …

In-Basket Teamwork: Divide The Work And Multiply The Success The Registered Nurse Role In Ambulatory Clinic Ehr In-Basket Management, James Smoot

Master's Projects and Capstones

Electronic Health Record (EHR) in-basket results (e.g., lab results, pathology reports, etc.) must be reviewed and acted upon in a timely manner by clinical staff in order to provide safe and effective care to ambulatory patients. Delays in reading results are significant contributors to medical errors. A large backlog of in-basket results that have never been appropriately filed is both a safety concern and a symptom of other clinical workflow issues. EHRs have shifted a greater proportion of administrative and triage roles onto providers, contributing to provider burnout. This paper synthesizes some of the best evidenced-based practices available for the …

A Program Evaluation Of A Rural Nursing Academic Partnership, Meagan A. Spencer

Electronic Theses and Dissertations

As the American Association of Colleges of Nursing and Commission on Collegiate Nursing Education continue to promote the implementation and creation of literature on academic partnerships, a Christian university, sought to evaluate its academic partnership with a for-profit hospital for the first time in regard to student perspectives. The purpose of this mixed-methods program evaluation was to describe the student perceptions of the academic partnership in trusting, collaborating, and engaging nursing students and recruiting and retaining nursing graduates to rural hospitals and health care facilities. Measurable impacts included both qualitative and quantitative coding of the levels of trust, collaboration, and …

Simulation: An Effective Tool For Mentoring The Novice Nursing Faculty, Charlene B. Smith, Jeanne Hamner, Carol Hession, Cari Granier, Travis "Pete" Lewis, Ashley Thibodeaux

Journal of Interprofessional Practice and Collaboration

Abstract

The American Association of Colleges of Nursing (AACN) (2019) reported in 2018-2019, U.S. nursing schools turned away more than 75,000 qualified applicants from baccalaureate and graduate nursing programs due to insufficient numbers of faculty and clinical sites. Two-thirds of the nursing schools related a shortage of nursing faculty and/or clinical preceptors as a reason for not admitting qualified applicants (AACN, 2019).

There is a triad of challenges facing nursing today. The evolving triad is a nursing shortage, a lack of clinical facilities and nursing faculty. Nursing education must increase enrollment to fulfill the upcoming nursing shortage. Nursing schools are …

Home Health Care Nursing In The Pandemic: Preliminary Analysis Of Video Interviews, Richard P. Smiraglia, Edmund Pajarillo, Elizabeth Milonas, Sergey Zherebchevsky

Publications and Research

No abstract provided.

Pressure Injury Documentation And Reporting: A Quality Gap, Mary Ann Laslo

Master's Projects and Capstones

Abstract

Problem: Inaccurate and incomplete pressure injury (PrI) assessment and documentation leads to inaccurate reporting of PrI quality reporting measures to the Centers for Medicare and Medicaid Services. Inaccurate, incomplete documentation of pressure injuries and wounds adversely affects the quality of care, financial reimbursement, and hospital reputation as well as increasing the risk of litigation to medical providers. Barriers to accurate and complete documentation by the nurses were inaccuracy in identification of PrIs Stage 1 or greater and knowing what and where to document the information in the electronic medical record.

Context: This quality improvement project attempted to improve nurse …

Ct-Nib Taxonomy For Nursing Information Behavior: Ko In The Pandemic, Elizabeth Milonas, Sergey Zherebchevsky, Richard P. Smiraglia

Publications and Research

As COVID-19 emerged on the world stage a challenge arose to help inform the knowledge base in home health-care nursing. Connecting current experience with the Pajarillo theory "The Nub of Nursing Information Behavior (NIB" was a first step. To provide a taxonomy of NIB, standard domain analytical tools for ontology extraction were employed using Pajarillo's text. Analysis generated frequency distributions of terms and phrases which were then sorted and disambiguated to generate a list of phenomena. Co-word analysis generated visualizations to suggest regions that might constitute facets and sub-facets. Facet analysis yielded six major facets and 17 sub-facets. The NANDA …

Poster: Impact Of Educational Modules On Knowledge Among Neuroscience Nurses Working In The Epilepsy Monitoring Unit (Emu), Shivani Bhatnagar, Joy Shoemaker

Doctor of Nursing Practice Scholarly Projects

Background: Little data exists about nursing care and knowledge on an epilepsy monitoring unit (EMU). This study evaluated the impact of an educational series (three modules) on nursing knowledge and confidence in providing care, using a pre-test/post-test design. Objectives: There were three objectives for this study. The first objective was to improve nursing knowledge and competence in educating patients and families. The second, to increase nursing confidence in providing care and decision-making for the specialized patient population on the EMU. The third, to evaluate the effectiveness of educational modules. Subjects: Thirty-eight nurses working in the neuroscience unit participated in the …

Report:Impact Of Educational Modules On Knowledge Among Neuroscience Nurses Working In The Epilepsy Monitoring Unit (Emu), Shivani Bhatnagar, Joy Shoemaker

Doctor of Nursing Practice Scholarly Projects

Background: Little data exists about nursing care and knowledge on an epilepsy monitoring unit (EMU). This study evaluated the impact of an educational series (three modules) on nursing knowledge and confidence in providing care, using a pre-test/post-test design. Objectives: There were three objectives for this study. The first objective was to improve nursing knowledge and competence in educating patients and families. The second, to increase nursing confidence in providing care and decision-making for the specialized patient population on the EMU. The third, to evaluate the effectiveness of educational modules. Subjects: Thirty-eight nurses working in the neuroscience unit participated in the …

Honors Internship Evaluation, Lauren Nolan

The Eleanor Mann School of Nursing Undergraduate Honors Theses

This paper addresses the experience of an undergraduate nursing student in a Student Nurse Intern Position. The student addresses how her position differed from a certified nursing assistant (CNA), how the position helped her to imrpove organization and time management skills, and addresses patient scenarios that were encountered during her internship. These scenarios were used to address how this student will carry her experience into her nursing practice. This paper also addresses changes that could be beneficial for future honors students participating in nursing internships.

The Relationship Of Self-Efficacy And Clinical Reasoning Of Undergraduate Nursing Students, Amy G. Holder

Electronic Theses and Dissertations

Aim. This investigation aimed to discover if a there is a correlation between a student’s clinical reasoning self-efficacy and a student’s actual clinical reasoning ability. Also, this research sought to discover the connection between an undergraduate nurse’s self-efficacy of clinical reasoning and the locus of control of that student. Finally, this investigation sought to discover if perceived self-efficacy of clinical reasoning changed over time.

Background. The ability to successfully navigate the process of clinical reasoning is critical to providing safe, effective care for patients. For nurses, this process begins to develop in nursing school. Unfortunately, evidence suggests that newly graduated …

Official Mentor Program Benchmark Project, Gabriela O'Hara

MSN Capstone Projects

Nursing shortage, turnover, and low job satisfaction are constant issues that often trouble healthcare organizations. These issues have led organizations to implement programs, such as externship, internship, and preceptor programs to strengthen new nurses’ professional practice and skills. However, these issues continue to be organizational challenges. Considering the need for new nurses to have a supportive foundation for their career and to further encourage workplace satisfaction and retention, the following PICOT question was developed: In a healthcare organization, how does an official mentor program, compared with not having a mentor program, influence nursing retention and nursing job satisfaction over 2 …

Dnp Final Report: Changing Admission Criteria In A Vocational Nursing Program To Decrease Attrition, Gabrielle O. Davis

DNP Final Reports

By the year 2030 Texas will have a shortage of 33,500 Licensed Vocational Nurses (LVN). The LVN is responsible for providing safe, compassionate and focused nursing care to assigned patients with predictable health care needs. Most LVNS work in settings caring for our ever increasing and aged population. To combat the coming shortage VN programs need to graduate safe, competent, and compassionate nurses, but programs across the state are experiencing high student attrition rates. Admission criteria is a common method to determine student success in nursing programs. This evidence-based practice improvement project synthesized evidence and integrated best practices along with …

Patient With Questions About Cancer Risk, Deborah O. Himes, Jennie Vagher

Faculty Publications

Primary care nurse practitioners routinely care for patients with personal or family histories of cancer. Approximately 5% to 10% of all cancers are related to hereditary cancer syndromes (HCSs), which cause an increased risk for developing more cancers and cancers at earlier ages than the general population. Nurse practitioners in primary care must become comfortable with identifying patients at risk for HCSs. Ordering genetic tests can be a challenge because the number of genetic tests available is growing at a rapid pace. This case highlights a woman who survived breast cancer at age 25 and basal cell carcinoma at age …