Other Nursing Commons^™

Organizational Learning In A College Of Nursing: A Learning History, Bret Lyman, Lisa A. Cowan, Hannah C. Hoyt

Faculty Publications

Background: College of nursing leaders can foster organizational learning as a means of achieving their desired organizational outcomes. Organizational learning has not previously been studied in colleges of nursing, leaving college administrators and faculty little guidance as they strive to improve outcomes in their own colleges.

Objectives: The purpose of this study was to discover new insights related to organizational learning in a college of nursing.

Design: The learning history method was used to document and describe organizational learning in a college of nursing.

Setting: This study was conducted with a college of nursing situated in a private, religious-based university …

Curriculum Development Of California Correctional Institution (Cci) Nursing Staff Performance During Simulation Training Related To Cardiac Emergency Response, Dina Wang

Doctoral Projects

The Cycle 4 OIG medical reports published in January 2016 for California Correctional Institution (CCI) noted emergency medical response (EMR) inadequacies. Nursing was specifically called out for EMR care deficits. Chest pain and respiratory distress were amongst the top signs and symptoms identified as having substandard nursing care issues within the report. The cycle 4 OIG medical inspection report gives specific incidences of patient care inadequacies.

As a result of the EMR portion results of the cycle 4 OIG reports, there was a need for improvement planned interventions. The Doctor in Nurse Practice (DNP) project is a quantitative quasi-experimental study …

The Perceptions Of Registered Nurse To Bachelor Of Science In Nursing Students Of Motivational Interviewing, Christie M. Smart

Doctoral Projects

Purpose: The purpose of this study was to collect information on the perceptions of motivational interviewing (MI) among Registered Nurse (RN) to Bachelor of Science in Nursing (BSN) students and whether or not the students felt it could increase holistic practice. Methodology: A qualitative descriptive study was used to collect data through semi-structured one on one interviews from six RN-BSN students post a module taught on MI. Qualitative content analysis was utilized to process the data. Findings: The students felt that MI was a useful tool for practice in improving patient communication and would contribute to holistic practice.

Coping Strategies Of Prelicensure Registered Nursing Students Experiencing Student-To-Student Incivility, Robin A. Foreman

Electronic Theses and Dissertations

Incivility is rude or discourteous behavior that demonstrates a lack of respect for others. Some nurses ignore the dictates of professionalism and exhibit a total disregard for colleagues and peers by purposefully targeting each other with uncivil behaviors. Incivility has invaded the nursing educational environment with deleterious results. Uncivil behaviors perpetrated by nursing students against other nursing students cause psychological and physiological distress for victims and witnesses. The purposes of this quantitative descriptive study were to identify the behaviors that constituted lateral student-to-student incivility, determine the frequency of experienced student-to-student incivility, and describe the coping strategies employed by prelicensure registered …

Use Of Dimensional Analysis In An Associate Degree Nursing Program, Bridget Maley, Patricia Ford Garofalo

Publications and Research

The aim of this retrospective study was to show the use of dimensional analysis increased associate degree nursing students’ mathematical computation competency and may reduce nursing medication errors in practice. A recent report compiled by Mackary and Daniel from John Hopkins, stated that medical error is the third leading cause of death in the United States [1]. The most commonly cited estimate of annual deaths from medical error in the United States is a 1999 Institute of Medicine (IOM) report which is possibly limited and now outdated [2]. Medication errors contribute to patients’ deaths, whereas nurses administer either incorrect medication, …

To Foster A Culture Of Curiosity: A Hermeneutic Study Of The Experienced Nurse Educator And Student Intellectual Curiosity In The Online Learning Environment, Bedelia H. Russell

Electronic Theses and Dissertations

Skills of inquiry are essential outcomes from a baccalaureate nursing education. Students who demonstrate intellectual curiosity can develop effective skills of inquiry. Nurse educators must place emphasis on teaching and learning strategies which engage student intellectual curiosity. However, the concept of intellectual curiosity is not well-studied across multiple contexts of teaching and learning environments within nursing education. In addition, there is little known about the experienced nurse educator and the meaning of student intellectual curiosity across multiple teaching and learning environments. With the increased emphasis on online teaching and learning in nursing education as a solution for expanding student access …

The Effect Of Simulations On Nursing Students’ Ethical Reasoning Confidence In Disasters: A Pilot Study, Sara E. Greco

Senior Honors Projects, 2010-2019

This study measured the effect of a disaster nursing simulation and debriefing session on senior BSN students’ perceived ethical reasoning confidence and their belief in the importance of ethical reasoning. Using a quasi-experimental design, this study compared participants’ responses before and after the interventional activities using the Survey of Ethical Reasoning. Post-test results demonstrated an increase in students’ perceived ethical reasoning confidence, perceived importance of ethical reasoning, and utilization of James Madison University’s Eight Key Questions Ethical Reasoning Framework.

Best Practice For Core Charge Nurse Orientation And Leadership Development, Melissa Fradette

Nursing Posters

Purpose Statement: Develop and implement evidence based, standardized orientation and leadership development for core charge nurses (CCN) compared to current unit-based orientation which has inconsistent content and structure.

Improving Bedside Ecg Monitoring In Telemetry, Teresa Jahn, Jennifer Lang, Jaclyn Hoppe

Nursing Posters

To improve accuracy of bedside ECG (EASI lead) monitoring through accurate placement of electrodes and proper skin preparation.

Sep-1: Early Management Bundle, Severe Sepsis/Septic Shock, Roberta Basol, Jennifer Burris

Nursing Posters

To educate, monitor, and improve the sepsis core measure SEP-1 results required by CMS.

The Impact Of Technology-Enhanced Learning Activities On Nursing Student Engagement In The Classroom, Alicia A. Stone

Theses & Dissertations

Educating student nurses in the present environment requires professors to stay current with new methodologies as well as innovations in technology. The question is how to address both the impact of technology and the skills of clinical reasoning, and keep the students involved in the material. If there can be integration of each aspect through the use of technology-enhanced learning activities on the internet and preparation to approach the issue, then perhaps this can increase success. This is a quasi-experimental intervention study that explored the impact of a case study blogging assignment on the engagement of students enrolled in a …

Survival Of The Fittest: The Role Of Linguistic Modification In Nursing Education, Brenda Strauch Moore

UNLV Theses, Dissertations, Professional Papers, and Capstones

This project’s long term goal was to improve English-as-a-Second-Language (ESL) nursing student retention. Improving the quality of multiple choice exams is a first crucial step. ESL students find multiple-choice exams to be one of the most challenging aspects of nursing school. One reason for this is the presence of linguistic errors in exam questions. Linguistic errors include: irrelevant question content, poor sentence structure, and culturally biased words or phrases. Non-ESL students are less affected because exams are written in their native language. Linguistic modification, as part of best practices in item writing, removes these types of errors. The U.S. Department …

Nursing Students’ Experiences With High-Fidelity Simulation, Rana Halabi Najjar, Bret Lyman, Nick Miehl

Faculty Publications

Research has revealed the effectiveness of simulation for facilitating student development of self-efficacy, knowledge, clinical judgment, and proficiency in technical skills. This grounded theory study was conducted to describe the experience of nursing students in high-fidelity simulation and develop a model which explicates the experience of nursing students in simulation. Focus group interviews were conducted with three cohorts of students enrolled in a baccalaureate nursing program who experienced simulation four to twelve times per academic year. Five prominent themes emerged during analysis Emotional Processing; Anxiety; Making Connections; Fidelity; and Learning. The Simulation Learning Model – Student Experience (SLM-SE) was developed …

Using Core Competencies To Help Staff Remain Proficient, Mary Leyk

Nursing Posters

Problem: Implement a competency program that engages staff compared to usual computer-based training modules. Objective: Design a multi-modal competency program for bedside nursing staff.

Shifting The Paradigm Of Classroom Nursing Orientation, Mary Leyk

Nursing Posters

Purpose Statement: The purpose of the Evidence-Based Practice Nursing Orientation Project is to find evidence to support a change in teaching strategy for newly hired RNs (both New Grads as well as experienced nurses), from the current process in order to improve outcomes of clinical competence, independence and nurse confidence, and retention.

High-Stakes Evaluation: Five Years Later, Tonya Rutherford-Hemming, Suzan Kardong-Edgren, Teresa Gore, Patricia K. Ravert, Mary Anne Rizzolo

Faculty Publications

This article compares the International Nursing Association of Clinical Simulation and Learning (INACSL) memberships' thoughts and discussions about the use of simulation for high- stakes evaluation in nursing education to a similar town hall discussion, five years ago. Data on the topic of high-stakes testing were collected through a survey before the INACSL conference in June 2014. During a town hall meeting at the conference, the survey data was presented, attendees shared their thoughts and reacted to prepared comments by selected simulation leaders. Half of the town hall attendees favored high stakes testing before the survey findings and discussion. This …

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 …

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.

It's Just An Insulin Pump! The Top 10 Questions Asked By Staff Nurses, Sue Kruse, Chelsea Kilanowski

Nursing Posters

To educate staff nurses on the use of insulin pumps.

History And Development Of The Simulation Effectiveness Tool (Set), Victoria L. Elfrink Corgi, Kim Leighton, Nancy Ryan-Wenger, Thomas J. Doyle, Patricia K. Ravert

Faculty Publications

Background: There has been a lack of reliable and valid instruments measuring human patient simulation effectiveness reported in the literature. Two related studies addressing this concern are described.

Methods: A multi-phased pilot investigation at a single nursing program (N=161) and a follow-up multi-site national study (N=645) evaluated the reliability of the Simulation Effectiveness Tool (SET) as a measure of the effectiveness of a simulated clinical experience (SCE).

Results: Findings from the pilot study resulted in a revision of the original 20-item evaluation tool to a 13-item 3-point ordinal scale instrument. Two subscales, “confidence” and “learning” were noted with Chronbach's alpha …

Debriefing Experience Scale: Development Of A Tool To Evaluate The Student Learning Experience In Debriefing, Shelly Jensen Reed

Faculty Publications

Background: Debriefing represents the reflection phase of the simulation process, in which feelings are resolved and learning is solidified, but the nursing student experience during debriefing is largely unknown.

Method: The Debriefing Experience Scale was developed from debriefing literature and expert opinion. This scale was used in 2 research studies and refined through the use of factor analysis.

Results: The resulting scale, divided into 4 subscales, consists of 20 items defining the nursing student debriefing experience.

Conclusions: The Debriefing Experience Scale has the potential to assist in providing further insight.

Practical Considerations In Establishing Sustainable International Nursing Experiences, Rae Jeanne Memmott, Catherine R. Coverston, Barbara A. Heise, Mary Williams, Erin D. Maughan, James Kohl, Sheri P. Palmer

Faculty Publications

An understanding of global health and the development of cultural competence are important outcomes of today's baccalaureate nursing programs. Thoughtfully designed International experiences can provide excellent opportunities to achieve those outcomes. Based Ono 16 years of providing International experiences within a baccalaureate curriculum, components are identified that contribute to the development of a sustainable international program. Areas addressed in the article are evaluating the fit with university and college mission, establishing the program within the university operational structure, selecting faculty and students, developing sites, designing a course, and program evaluation.

Student Satisfaction With Simulation Experiences, Angeline Abdo, Patricia K. Ravert

Faculty Publications

Background: Some nursing schools use patient simulators to simulate patient scenarios.

Methods: Nursing students participated in five sessions using a patient simulator and then completed a questionnaire related to their experiences.

Results: Participants felt the experiences recreated real-life situations, tested their clinical decision-making, prepared them for the “real-life” clinical setting, and increased their confidence when in the clinical setting.

Conclusions: Patient simulator experiences enhance learning. Further research regarding student perceptions and instrument validation would contribute to an increased understanding of the use of patient simulators in nursing education.

Developing And Implementing A Simulation Program: Baccalaureate Nursing Education, Patricia K. Ravert

Faculty Publications

Brigham Young University (BYU) is a private university (owned by the Church of Jesus Christ of Latter-day Saints), established in 1875. The main campus is located in Provo, Utah, 45 miles south of Salt Lake City at the base of the Wasatch Mountains and serves approximately 33,000 students. The College of Nursing (CON) was founded in 1952. The CON offers two programs, the undergraduate Bachelor of Science and the Master of Science; the latter program prepares family nurse practitioners. The CON programs are approved by the Utah State Board of Nursing and are accredited by the National League for Nursing …

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 …

Nps' Perceptions Of Disaster Preparedness Education: Quantitative Survey Research, Milada Tichy, A. Elaine Bond, Renea L. Beckstrand, Barbara Heise

Faculty Publications

Nurse practitioners need to be effective in responding to large-scale natural and man-made disasters. However, disaster core competencies for NPs are largely nonexistent. The purpose of this study was to assess NPs' level of disaster preparedness and determine how NPs acquired knowledge about disaster preparation. Findings suggest that a consistent national NP curriculum for disaster preparedness, including communication with other disaster agencies, is needed. With proper education, NPs can play a major role in disaster management.

Patient Simulator Sessions And Critical Thinking, Patricia K. Ravert

Faculty Publications

The project purpose was too determine whether measures of critical thinking show differences between three groups (simulator, non-simulator, control) of baccalaureate nursing students. The second purpose was to determine the moderating effect of students' preferred learning style. All groups experienced a moderate to large effect size in critical thinking scores. The corrected model for the total scale gain score was statistically significant but not significant for learning style or group.

Addressing Student Nurses' Concerns In End Of Life Care, Tami Boroughf

Master's Projects

Recently, there has been a great deal of attention to the fact that there are few learning opportunities regarding end-of-life (EOL) care in nursing undergraduate education. One purpose of this research study was to provide an educational seminar for nursing students with information necessary to communicate with patients at the end of life and their families. The educational intervention consisted of an interdisciplinary panel discussion, a brief segment of a video, a case study with small group discussion, and an optional reflective activity. A quasi- ~; experimental, pretest and posttest design was used in a baccalaureate-nursing program in Northern California. …

Nursing Education And Service Collaboration: Making A Difference In The Clinical Learning Environment, Sheri P. Palmer, Amy Harmer Cox, Lynn Clark Callister, Vickie Johnsen, Geraldine Matsumura

Faculty Publications

This article focuses on innovative collaborative steps that were identified in recent research conducted by these authors on the relationship between academia and service. These steps are currently being implemented in the hope of improving the important role that the critical environment plays in student nurses' education. Few factors in nursing education are as important as the clinical environment in which students do their training. This article elaborates on these steps and offers practical suggestions for improving the relationship between academia and service.