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Loma Linda Nurse - Vol. 31, Loma Linda University School Of Nursing

Loma Linda Nurse

FEATURES

4 | The Next Chapter for LLUSN

8 | 50 Years of West Hall

10 | Dr. Shawn Collins Named New Dean

12 | Dr. Gloria Huerta Named New Associate Dean

14 | Adventist Nursing Theory with Dr. Patricia Jones

LLUSN HIGHLIGHTS

16-23 | ALUMNI NEWS

24-27 | ACADEMICS

28-32 | HOMECOMING

33-35 | FACULTY UPDATES

Anesthesia Management For The Preeclampsia Or Hypertensive Parturient, Britanie Sumpter

Doctor of Nursing Practice Projects

Preeclampsia is a placental disease characterized by abnormal maternoplacental blood vessels and placental dysfunction resulting in fetoplacental hypoperfusion and maternal multi-system organ dysfunction (Wang et al., 2019). Expectant management of a hypertensive or preeclamptic parturient includes antihypertensive medications, magnesium sulfate for seizure prophylaxis, and early delivery of the fetus (ACOG, 2020). Neuraxial anesthetic-induced sympathectomy combined with circulating antihypertensives, magnesium sulfate therapy, and intravascular volume depletion in preeclampsia is thought to contribute to exaggerated hypotension.

Persistent refractory hypotension after neuraxial anesthesia in parturients with preeclampsia or hypertension has been an ongoing issue affecting obstetric providers at the host facility. This project …

Improvement In Patient Compliance For Gynecological Care, Tracee Williams

Doctor of Nursing Practice Projects

This quality improvement project implemented the patient-initiated follow-up (PIFU) pathway in a gynecology clinic setting. PIFU has potential to lead to decreased no-show appointments and increased patient autonomy in outpatient healthcare practices. Barriers that influence compliance with plans of care include lower socioeconomic status, racial and ethnic minorities, and unmet social needs such as food insecurity, healthcare travel and cost, and child/adult care needs. In addition to higher rates of no-show appointments, individuals facing these barriers have increased comorbidities. Prior to implementing the PIFU model, patients between the ages of 18 and 42 completed a patient satisfaction survey to better …

The Effect Of Virtual Standardized Patient Integrated Health Coach Training On Professional Confidence Gain In Veterans Health Administration Primary Care Nurses, David Mullins

Graduate Theses, Dissertations, and Capstones

Poor health behaviors cost the United States billions of dollars and tens of thousands of lives every year. The Veterans Affairs primary care delivery model uses health coaching as a catalyst to improve health behaviors in veterans. Health coaching is a complex skill that requires specialized training, repetitive practice, and professional confidence. Albert Bandura believed most people acquire skills and develop the confidence to use those skills through social learning. He posited that professional confidence played a critical role in skill acquisition, and people with low professional confidence were less likely to attempt to perform a skill. Bandura’s Theory of …

Pharmacological Interventions Versus Non-Pharmacological Interventions On Pain In Chronic Pain Patients, Harley Page, Olivia Mcswain

SACAD: Scholarly Activities

The study is a comparison experiment that looks at the different types of interventions to treat chronic pain. This study is set at Haysmed Rehabilitation to gather data on adult patients with chronic pain. When studying the interventions used for chronic pain, we found numerous ways of treatment. They are categorized as pharmacological and non-pharmacological interventions. During the study we found, that an understanding of what is causing the pain and the use of both interventions is the best way to go about treating/managing chronic pain.

Use Of An Electronic Health Record System In The Nursing Education Lab & Simulation Setting, Easlyn Koch

SACAD: Scholarly Activities

Simulation has become a significant component of nursing education in recent years, especially with the increasing demand for high-fidelity simulations. However, nursing education struggles to keep up with the ever-changing healthcare technology, specifically electronic health records (EHR). Integrating EHRs into nursing education in areas such as the lab or simulation settings has the potential to impact overall patient safety, familiarity with similar technology, critical thinking skills, and practice readiness of student nurses. A review of the literature was performed, and it was found that the implementation and integration of an EHR in nursing education has overwhelming effects on overall student …

Hormonal Birth Control Effects On The Neurological And Cardiovascular Systems, Alondra Perez, Paige Fink, Adell Riedel

SACAD: Scholarly Activities

Abstract

The present study theoretically investigated the effects of long-term use of hormonal birth control on the female cardiovascular and neurologic systems. The setting will take place at Fort Hays State University campus. Our participants of the survey will include 200 random females ages 16 to 25. This data will be taken from those women who take hormonal birth control versus those females who do not take it on a daily basis. The long-term use of hormonal birth control is creating changes in the neurological and cardiovascular system. Evidence from previous research shows alterations to both the structure and function …

Flipping The Classroom To Improve Knowledge Retention Among Practical Nursing Students, Paige Cooper

SACAD: Scholarly Activities

Typical nursing lectures consist of a power point, and a lecturer discussion of a particular subject, such as a disorders, treatments, or pharmacology (HEW & LO, 2018). Flipping the classroom is a lecture style tailored to a variety of student learning styles, and utilizes prerecorded lectures, and participation in projects or discussions during class time. There are four main learning styles: visual, auditory, kinesthetic, and reading/writing. Each style comes with their own strategies, but all have similar advantages, including the opportunity to learn in the best way for individual students. Flipping the classroom avoids the typical lecture, and implements activities …

Coping Strategies And Stress Of The Undergraduate Nursing Student In The Clinical Setting: An Evidence Based Practice Quantitative Study, Ashley Calverley

Electronic Theses and Dissertations

The assessment of perceived stress and coping behaviors related to first-semester clinical might benefit students in nursing education. The assessment of most common coping behaviors and perceived stress related to the clinical setting is essential due to difference in personalities, learning abilities, and coping behaviors among nursing students today. Previous research has suggested the initial clinical period results in adverse outcomes, such as poor academic performance, elevated burnout levels, and diminished personal well-being. These factors are detrimental to academic success in nursing programs. Evidence supports that helping students develop positive stress/coping abilities will aid in adapting in both the academic …

A Job Satisfaction Evaluation Of Nursing In The United States And Greece Utilizing The American Nurses Association's Scope And Standards Of Practice, Audrey Narhi

Honors Projects

Nursing is a multifaceted profession that is constantly evolving with the health needs of the populations it serves. Professional organizations within the field utilize evidence-based practice to provide guidelines of what best-practice nursing is. This study aims to evaluate if the American Nurse's Association (ANA), a professional nursing organization in the United States, supports the realities of nursing in a rural US hospital. An international perspective is also considered by evaluating the same principles to a urban hospital in Athens, Greece. Categories that align with ANA Scope and Standards, including workplace environment, career development, supervisor relationships, and personal work practice, …

The Implementation Of Student Success Coaches At Augusta Technical College To Foster The Development Of Diverse And Competent Nurses, Heather R. Vincequere

SACAD: Scholarly Activities

Abstract

This project explores the implementation of Student Success Coaches at Augusta Technical College (Augusta Tech) and their potential impact on the rates of overall program completion and the rate of diverse student program completion. Framed within the GROW model and Sociocultural Learning Theory, the project aims to determine if coaching interventions address barriers to completion and foster a supportive learning environment. A mixed-methods exploratory approach was employed, combining empirical data such as retention rates and demographics with qualitative information from surveys. Anticipated results suggest an increase in overall completion rates from 55.34% to 80% and an increase in diverse …

The Etiology Of Nurse Educator Shortages: Replenishing And Flourishing The Profession, Kara R. Delafosse

The Journal of Advancing Education Practice

Nursing shortages nationwide have been exemplified since the global pandemic demanding an examination of contributing factors crippling the profession. The United States Bureau of Labor Statistics estimates that 200,000 annual vacant registered nurse positions for the next decade, are problematic due to the mass exodus of individuals serving in the occupation (Gaines, 2022). A study of approximately 900 nursing schools in the country indicates two vacancies exist per establishment illuminating the critical shortages of educators (Morris, 2023). A growing phenomenon is the challenge to maintain and replenish leaders in nurse education necessary to train and prepare students enrolled in nursing …

Fall Prevention In Behavioral Health, Kanesha Moss

All Doctor of Nursing Practice (DNP) Scholarly Projects

Problem:

Falls in hospital settings pose significant safety and financial risks, particularly in Behavioral Health Units (BHU), where fall rates often exceed national averages. Despite traditional fall prevention practices, such as risk assessments and post-fall huddles, the target BH unit continued to experience high fall rates, failing to meet the National Database of Nursing Quality Indicators (NDNQI) standards. The lack of alignment between fall prevention strategies and the unique needs of behavioral health patients contributed to these unmet targets.

Aim of the Project:

This project aimed to reduce the number of falls in a 41-bed BH unit by 20% over …

Strategic Use Of Storytelling As An Advocacy Skill For Social Justice In Nursing Practice, Theresa Reichert

Nursing Posters

The purpose of this practice project is to cultivate storytelling as a nursing skillset, preparing nurses as social justice advocates within nursing practice.

You've Got To Move It, Move It!, Jennifer Burris, Elizabeth Plante

Nursing Posters

An increase in reportable hospital acquired pressure injuries (stage 3, 4, or unstageable) was found to be associated with patients refusing to participate in the prevention plan of care.

Barriers To Implementation Of Practice Guidelines Against Fluid Restriction In Heart Failure, Mary Geisenhof

Nursing Posters

The overall goal was to support best practice around fluid restriction in care of the patient with heart failure.

Top Of Scope Work And Bringing Joy To The Workplace For Clinical Rns, Julie Karls, Gini Pilles, Renee Doetkott

Nursing Posters

Purpose Statement:

Support primary care transformation and team-based care goals through the utilization of RNs

Objectives:

• Encouraging all care team members to work to the top of their scope of practice, increasing joy, and pride in work while strengthening team relationships.
• Creating access for providers through co-management of chronic disease (Diabetes, Asthma and Hypertension).
• Improving patient outcomes related to chronic disease through close monotiling, relationships, and accountability

Creating A Centralized Immunization Resource Center, Teresa Nathan

Nursing Posters

To support clinic nurses in their knowledge & comfortability around immunizations, an Immunization Resource Center was created on SharePoint. Having resources and educational materials located in a single location can help ensure consistency across the clinic system in our work with immunizations.

Professional Development In Practice: Enhancing The Npd Role, Amy Stang

Nursing Posters

Inquiry:

The problem this project is addressing is a lack of knowledge related to NPD scope and standards in the organization. The education department is largely decentralized, with staff reporting to various leaders outside of NPD department. Some areas within the organization lack support and continuing education specific to NPD.

Standardized Orientation In A Multi-Site Clinic System, Cathrine Robak

Nursing Posters

There are over 50 clinics serving more than 8 counties in CentraCare. Managers and supervisors at each clinic lead orientation of new nursing employees. The ambulatory educator recognized a need for standard orientation tools and resources as clinic managers and supervisors shared that they were each completing orientation of new nursing employees in a different way.

Enhancing Patient Care: The Power Of The Endoscopy Checklist, Emily Obermiller

Nursing Posters

Endoscopy procedures start at 8:00 a.m., but inpatients are often unprepared when report is required at 7:00 a.m. This lack of patient readiness causes delays in endoscopy start times, creates safety concerns, and delays in care. Nurses who are well-informed about procedural preparation are more likely to have patients properly prepared, improve safety, and increase effective communication.

Healthy Eating & Shift Work, Lisa Kilgard

Nursing Posters

To provide knowledge and education to individuals who engage in shift work. Which may assist them in maintaining a healthier eating and lifestyle.

Implementation Of A Two-Person Urinary Catheter Insertion Practice Change, Brandy Berends, Elizabeth Kiffmeyer, Jenelle Overgaard, Amy Railson, Morgan Thiry

Nursing Posters

Decrease incidence of Catheter Associated Urinary Tract Infections (CAUTIs) for inpatients by implementing a two-person urinary catheter insertion practice change using a checklist.

Immunotherapy Serum Mixing: 2023 Best Practice Changes, Eyas Abla Md, Paul Faybusovich Do, Matthew Lies, Mallory Mondloch

Nursing Posters

Background Story:

CentraCare - Plaza Allergy & Asthma Clinic compounds immunotherapy serum with advanced training of licensed nurses. Effective November 1, 2023, USP (797) Pharmaceutical Compounding guidelines were updated and endorsed by the American Academy of Allergy, Asthma & Immunology (AAAI). The Allergy Clinic completed a gap analysis to determine what process needed to change to comply with these latest guidelines.

Sticks And Stones May Break My Bones, But Words Can Hurt Me Too: Psychological Safety And Microaggressions, Theresa Reichert, Janelle Maciej, Julia Vang

Nursing Posters

To foster a healthy work environment, address reports of microaggressions, and improve psychosocial safety within the SCH Telemetry team

Technology Decreases Treatment Decision Times, Angela Moscho

Nursing Posters

Patients who experience a stroke while hospitalized have a higher mortality rate than those who present to the emergency department. Our plan is to utilize technology to allow the stroke provider to evaluate the patient while in their hospital room, instead of waiting until the patient is in the CT scanner. Utilizing technology of an iPad for inpatient code strokes will allow for quicker assessment of the patient, resulting in faster treatment decision for this population.

Reducing Blood Culture Contamination In The Emergency Department: A Multi-Method Quality Improvement Projec, Daryn Brauner, Marlene Schmidt, Nikki Campbell, Keri Bill, April Alfano

Abstracts

Blood cultures are a diagnostic tool used to determine the presence of bacteremia. Blood culture contamination (BCC) can lead to inappropriate use of antibiotics, increased length of stay, and increased healthcare costs. Many hospitals should have benchmarked BCC rates of <3%. However, BCC rates or false positives are known to be highest in emergency departments and there has been limited research on integrating multi-method approaches to reduce BCC rates. Purpose: The aim of this quality improvement project was to reduce the monthly percentage of BCC in an academic emergency department through implementation of a robust multi-method intervention targeting nurses and patient care technicians who perform phlebotomy for blood cultures.

The intervention was implemented in four approaches beginning in June 2022: Focused Education, Dashboard Utilization, Campaign Initiatives, and Improvement to RN Workflow. Focused education consisted of numerous electronic and in-person trainings. Dashboard utilization involved consistently updating staff of real time metrics of BCC. Campaign Initiatives involved increased hand hygiene prior to BCC draws. Finally, workflow for RNs were improved by …

Research Makes A Difference: Changing Post Surgical Vital Signs, Elizabeth Plante, Sadie Seezs, Jennifer Burris, Tiffany Omann-Bidinger

Nursing Posters

Research Question:

Are reduced frequency of vital signs as effective in identifying patient deterioration in postoperative adult orthopedic and spine patients after a post anesthesia care unit stay with transfer to orthopedic and neuroscience spine units when compared to current practice?

Conclusions/Implications:

• Changing the frequency of post operative vital signs provides the same quality, not directly affecting an increased risk of death.
• Reduction in number of times vital signs needed completion, saving time for nurses to complete other duties.
• System wide change to routine post operative vital signs for floor level patients was implemented.
• Recommend future research for obstetric and …

Eye Code Protocol, Christina Anderson Md, Maiya Dietz, Kelsey Bade, Mallory Mondloch

Nursing Posters

Purpose of EYE CODE:

• Retinal artery occlusion (RAO) is a rare but detrimental adverse effect of cosmetic facial filler injections.
• Requires prompt treatment and reversal to avoid patient blindness.
• EYE CODE is a new protocol in place to avoid this complication.
• Assist staff during a high stress event. •Improve patient safety & staff confidence. Way to receive continuing education credits through the clinic.

Code Blue Debriefing, Micaela Herbst-Bialke

Nursing Posters

Situation and Assessment:

Opportunities to improve code blue events have been identified by comments received on code blue critiques and results from a survey completed by 120 code blue team members.

Background:

As referenced by the American Heart Association along with Get with the Guidelines, post code debriefing is a key element to promote continuous quality improvement in patient care. Post-event debriefings are a foundational behavior of high performing teams in improving individual and team performance.