Other Nursing Commons^™

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 …

Eastern European Orthodox Christian Immigrant Women: A Pilot Study And Needs Assessment, Kimberly A. Babich-Speck

Doctor of Nursing Practice Scholarly Projects

The healthcare perceptions of the Eastern European Orthodox Christian immigrant women (EEOCIW) to the United States (U.S.) are under-represented in the literature. Although they appear similar to Americans, their cultural and religious traditions are outside the mainstream American culture. This pilot study and health needs assessment examines the women’s healthcare perceptions of 14 EEOCIW and identifies similarities and differences with 25 U.S. born Orthodox Christian women (USOCW). Between September and November 2020, interviews were conducted with Orthodox Christian immigrant women from Eastern Europe and Orthodox Christian women born in the U.S. Questions covered the perceptions of women’s healthcare, factors influencing …

Professional Quality Of Life Indicators And Turnover Intention In Forensic Nurses, Leigh Anne Meyer

Doctor of Nursing Practice Scholarly Projects

Background/Significance: Significant barriers to forensic nurse workforce development exist, affecting patient access to care. Retention of forensic nurses is a persistent problem. Turn-over of forensic nurses can be attributed to many factors related to professional quality of life, including compassion satisfaction (CS), burnout (BO) and secondary traumatic stress (STS).

Methods: A convenience sample of forensic nurse program coordinators was used to identify the effect of an educational session on professional quality of life and strategies for reducing stressors within the role on ProQOL-5 and TIS-6 scores using a pre- post-test quasi-experimental survey design. Correlation between professional quality of life indicators …

Baccalaureate Nursing Students’ Personal Health-Promoting Attitudes And Behaviors, Margo Leavitt

The Eleanor Mann School of Nursing Undergraduate Honors Theses

Are future nurses equipped to manage the nursing environment and set an example for their patients through personal health promotion practices? Nursing education can cause significant stress that negatively impacts nursing students’ health behaviors. In addition, the college years are an important period for the development of health habits with long-ranging effects on individuals’ health outcomes. The purpose of this study is to evaluate whether Eleanor Mann School of Nursing Baccalaureate students demonstrate changes in their self health-promoting attitudes and behaviors related to the unique demands of nursing education. A cross-sectional survey format was used to evaluate health behaviors, measured …

Post-Operative Nursing Care Of The Renal Transplant Patient, Emily Smith

The Eleanor Mann School of Nursing Undergraduate Honors Theses

Abstract

Kidneys are the most commonly transplanted organ in the United States. All patients who receive a renal transplant must be on lifelong immunosuppressants to prevent rejection of the donor organ. The majority of patients do not take their immunosuppressant medications as instructed, making noncompliance a huge issue for medical professionals. The purpose of this literature review is to explore what evidence-based techniques nurses should employ to increase the long-term compliance of immunosuppressants in renal transplant patients. A literature review was performed of fifteen studies to identify interventions that nurses can employ to increase immunosuppressant compliance. CINAL and Medline were …

Understanding The Role Of Hospice Care: Reflections From A Service-Learning Project, Avery Mccutcheon

The Eleanor Mann School of Nursing Undergraduate Honors Theses

There is little known about the part end-of-life care plays in patient care. This paper examines the role of end-of-life care in the care of a dying patient and consists of findings from a service-learning project with Circle of Life hospice. To be able to effectively care for those in the end stages of life, healthcare professionals must turn away from the curative aspects of medicine, to treating symptoms and improving quality of whatever life remains for the patient. In order to normalize EOL Care and consequently make it more accessible, we must educate our healthcare practitioners regarding the benefits …

The Effects Of Chemotherapeutic Agents On Cognitive Function: A Literature Review, Corinne Menz

The Eleanor Mann School of Nursing Undergraduate Honors Theses

With increasing cancer diagnoses and an increase of chemotherapy treatment, many patients complain of cognitive decline during the duration of treatment as well as once treatment has been completed. The purpose of this review is to compile relevant research regarding chemotherapy-related cognitive impairment and its implications for the care of cancer patients. Peer-reviewed articles and studies focusing on the impact of chemotherapy on cognitive function were evaluated, resulting in a total of 12 studies utilized in this review. Overall, it has been found that a large percentage of patients undergoing chemotherapy treatment report a subjective decline in cognitive functioning, but …

The Changing Face In The Workplace: The Arrival Of The Millennial Generation, Sarah Clonch

The Eleanor Mann School of Nursing Undergraduate Honors Theses

The entrance of the Millennial generation into the nursing workforce signifies a bright future for the nursing profession and the nursing workforce. This study began with a current review of available research that identified the Millennial generation and their views toward job satisfaction and work engagement, as compared with Baby Boomer and Generation X nurses.

PubMed, CINAHL Complete, and Google Scholar databases were employed to find 15 peer-reviewed articles for evaluation. The research findings suggest that Millennial nurses have lower rates of job satisfaction and work engagement, compared to nurses of older generations. Overall, the extracted data results were significant …

The Value Of Family Support At The End Of Life, Hannah Butler

The Eleanor Mann School of Nursing Undergraduate Honors Theses

There is little research about the role of the family when a patient is dying. This paper examines the role of family support in end-of-life care. This paper consists of the findings from a service learning project with Circle of Life hospice. Patients with family support are more likely to have a DNR, chaplain visit, die at home, and other indicators of quality care. Patients with family support are more likely to receive higher quality care.

The Impact Of Menstrual Hygiene Management Interventions On Adolescent Female’S School Attendance In Middle- And Low- Income Countries: A Systematic Review Of The Literature, Mckenzie Canon

The Eleanor Mann School of Nursing Undergraduate Honors Theses

Background: Menstruation is an ongoing biological process that affects a large portion of the population and requires consistent health and medical care. However, menstruation does not affect women and girls equally in resource-poor communities and girl-unfriendly schools, particularly in low- and middle-income countries. Without proper menstrual hygiene management (MHM) and menstrual health and hygiene (MHH), girl’s attendance at school is reported to decline or cease altogether. Providing the proper resources to fulfill women’s and girl’s menstrual hygiene needs may impact female’s attendance rates at school, and furthering women’s education is fundamental in advancing female’s equality world-wide.

Purpose: The purpose of …

The Effects Of Telehealth On Patient Satisfaction And Information Recall For Breast Cancer Survivors During Covid-19, Stacey Teicher

Doctoral Projects

The coronavirus (COVID-19) pandemic has changed how cancer survivorship care is delivered. (Al‐Shamsi, 2020). To protect vulnerable breast cancer patients, health care providers are moving towards telecommunication such as telephone, video, and secure messaging (electronic mail) versus in-person visits to connect with their patients (Segelov et al., 2020) during this pandemic. Breast cancer survivorship visits can be safely deferred from in-person visits to telehealth visits (Dietz et al., 2020). This doctoral project examines the impact of transitioning from in-person to telehealth (telephone or video) visits on patient satisfaction and recall of information for breast cancer survivors reviewing their Survivorship …

Synesthesia: Does It Have An Effect On Memory?, Elizabeth Evans

Honors Theses

Synesthesia is a perceptual phenomenon involving an inducer (a stimulus) and a concurrent (elicited response). For many years, scientists have striven to explain synesthesia and whether or not there are benefits to the people who experience it. In this study, nineteen participants were asked to complete a questionnaire in an attempt to see if their synesthetic experiences gave them advantages in the area of memory. The seven questions were given in a multiple-choice or text entry format, and the questionnaire was approved by The University of Southern Mississippi’s IRB before being sent out in an electronic format. The majority of …

Polycystic Ovarian Syndrome And Insulin Resistance: An Evaluation Of Treatment Modalities And Complication Prevention, Sarah Mann

Senior Honors Theses

Polycystic ovarian syndrome (PCOS) is a reproductive and endocrine disorder in women of childbearing age. This disorder includes multiple clinical manifestations, namely insulin resistance (IR) and infertility related to hormonal imbalances and anovulation. Despite being a common condition, its etiology and treatment modalities remain poorly defined. Without proper understanding and management of the condition, women may suffer numerous complications besides infertility such as diabetes mellitus type II (DMII), endometrial cancer, and cardiovascular disease. Therefore, further research is critical. This integrative review will create a comprehensive understanding of PCOS' pathophysiology, potential complications, treatment methods, and nursing considerations to promote the health …

Nursing Student Perceptions Of Health Care Worker Appearance And Compassion, Skill, Knowledge, And Trustworthiness, Sophia Quick

Undergraduate Honors Theses

Background: Many health care facilities enforce strict dress code policies prohibiting visible body modifications, including tattoos, piercings, and vibrant hair colors. As popularity of body modifications among young adults surges, facilities may be forced to adapt policies as these workers enter the workforce. While some evidence exists related to patient perceptions of health care workers with body modifications, there is little about how nursing students perceive them. This study aimed to describe undergraduate, pre-licensure nursing students’ perceptions of health care worker appearance on compassion, skill, knowledge, and trustworthiness.

Methods: Using cross-sectional design, an on-line Likert-type survey was used to collect …

Advance Care Planning Protocols And Hospitalization, Rehospitalization, And Emergency Department Use In Home Health, Sharon Bigger

Electronic Theses and Dissertations

Aim. The aim of this study was to examine the relationship of advance care planning protocols with hospitalization, rehospitalization, and emergency department use rates in U. S. home health agencies (HHA).

Background. Since 2003, CMS has required HHAs to report on quality outcomes such as hospitalization, rehospitalization, and emergency department use rates, made publicly available online. Advance care planning (ACP) is a conversation about beliefs, goals, values, future treatment choices, and designation of a surrogate decision-maker, that someone has in advance of a health crisis. Most existing studies on ACP have taken place outside of HHAs among populations with serious …

Assessing The Perceptions And Attitudes Of Burnout Syndrome In Nurse Practitioners In Primary Care Settings, Keisha D. Mckinsey

Electronic Theses and Dissertations

The implications of workload and personal and patient-related burnout have been identified in numerous physicians’ studies. While burnout syndrome has become a subject of great interest for examining provider burnout to assess successful solutions, there is minimal research unique to nurse practitioners in primary care settings. This project was intended to determine the prevalence and effect of nurse practitioners’ burnout in primary care settings and make recommendations for improving nurse practitioners’ overall health and well-being. The key outcomes of concern for this project were, first, improvement in burnout scores on the Copenhagen Burnout Inventory tool pre- and posteducational intervention, and …

Identifying Factors That Influence Conflict Management Styles Of Lebanese Nursing Students’ With Their Clinical Educators, Maha Jalal Dankar, Wafaa Bousily

BAU Journal - Health and Wellbeing

Conflicts in nursing career between students’ and clinical educators result certainly in negative outcomes for the students’ as stress and low assertiveness level, but can be successfully managed. The conflict management styles of the students’ should be well known in detail in order to attain positive outcomes. The present study aims to identify factors that influence conflict management styles of Lebanese nursing students’ with their clinical educators. This study was conducted at different universities and institutions, using a descriptive correlational design. A random sample of 360 nursing students’ was used. Data was collected using one tool consisting of two parts: …

Promises Endure: Historical Views Of Nursing Faculty, Laura R. Muñoz

Verbum Incarnatum: An Academic Journal of Social Justice

Lessons learned from the history of an organization are valuable. This is especially true for an organization with the legacy held by the Ila Faye Miller School of Nursing and Health Professions at the University of the Incarnate Word. Memories recounted by nursing faculty were collected to enhance information provided in the two-volume chronicle written by Sister Patrice Slattery in 1995 entitled, “Promises to Keep” and the last history of the school, “The Story of One School of Nursing” written by Sister Charles Marie Frank in 1976.

Effectiveness Of Ehr-Depression Screening Among Adult Diabetics In An Urban Primary Care Clinic, Filipina C. Schnabel Md, Mph, Msn, Fnp-Bc, Danielle Aldridge Msn, Fnp-C, Laura Reed Dnp, Fnp-Bc

Doctor of Nursing Practice Projects

Background Diabetes mellitus (DM) and depression are important comorbid conditions that can lead to more serious health outcomes. The American Diabetes Association (ADA) supports routine screening for depression as part of standard diabetes management. The PHQ2 and PHQ9 questionnaires are good diagnostic screening tools used for major depressive disorders in Type 2 diabetes mellitus (DM2). This quality improvement study aims to compare the rate of depression screening, treatment, and referral to behavioral health in adult patients with DM2 pre and post-integration of depression screening tools into the electronic health record (EHR).

Methods We conducted a retrospective chart review on patients …

Relationship Of Undergraduate Nursing Students' Emotional Intelligence And Other Factors To Ati-Nclex-Rn Comprehensive Predictor Examination Performance, Sarah Y. Jimenez

Nursing Theses and Dissertations

Background/Problem: Nursing schools prepare nursing students to provide competent and safe nursing care and to pass NCLEX-RN for professional licensure. The ATI-NCLEX-RN Comprehensive Predictor Examination from Assessment Technologies Institute (ATI) has been used to predict the likelihood of passing NCLEX-RN on the first attempt. Emotional intelligence (EI), critical thinking (CT), and resilience contribute to academic performance and may influence test performance.

Purpose: The purpose of this study was to determine significant predictors of ATI-NCLEX-RN Comprehensive Predictor Examination test performance among the variables of EI, CT, and resilience among undergraduate senior nursing students.

Hypothesis: There will be an association between …

Dnp Final Report: Cultivating A Culture Of Civility In A Baccalaureate Nursing Program: A Doctor Of Nursing Practice Evidencebased Practice Project, Monica Sowell

DNP Final Reports

Incivility is a well-known issue in nursing, negatively impacting every aspect of the profession. In response to high incivility levels within a baccalaureate nursing program in central Texas, an incivility education module was created for use in adult medical-surgical courses. The module incorporated online preparatory learning followed by active classroom learning, roleplay practice, and faculty modeling to teach students to define, identify, and respond to incivility using evidence-based cognitive-behavioral strategies. Data was collected pre-education implementation and at three post-education time points to evaluate student self-efficacy changes in recognizing and responding to incivility. The COVID-19 pandemic necessitated changing the education delivery …

Increasing Adherence Of Pump Integration With Electronic Medical Record Through Simulation, Judi Reeves

Dissertations

Problem: Intravenous (IV) medication errors account for one-third of the medication errors made by nurses in the United States. A measure to combat medication errors is the development of IV pump integration where the IV pump is electronically connected to the electronic medical record (EMR). With IV pump integration, the nurse is responsible for turning on the pump, scanning the medication and the IV pump, and confirming in the EMR. Human error is removed when the IV pump integration system automatically programs and starts the IV pump. This is a technical system which requires the nurse to have expertise in …

Dnp Final Report: The Impact Of Mindfulness Training On Stress, Burnout, And Mindfulness, Denise Mcnulty

DNP Final Reports

Stress and burnout are endemic in the health care profession, and the transition to practice is associated with even more stress and anxiety for new graduate nurses (Boehm & Tse, 2013). Researchers have demonstrated that mindfulness-based interventions mitigate stress and burnout and improve the workplace environment and patient outcomes (Perla et al., 2017; van den Riet et al., 2018). This scholarly evidence-based practice project assessed the impact of integrating mindfulness training into an existing nurse residency program. The team measured burnout, stress, and mindfulness via an online survey at the beginning of the February 2020 residency cohort with repeat measures …

Emergency Department Staffing And Overcrowding, Royce Hudgins

MSN Capstone Projects

Overcrowding in the emergency room (ER) is a decades old problem that can be caused by factors both internal and external to the (ER). The ripple effects from this problem can be seen throughout the hospital.

This change project seeks to identify and find solutions to patient flow problems that occur in the emergency room (ER) in order to: decrease patient wait times, reduce ER overcrowding, reduce costs, and to increase patient satisfaction and overall outcomes.

Suicide Mortality Of Emergency Department Patients, Briony Marie Dubose Mhi, Rn, Lss, Bb

Dissertations

Purpose The purpose of this retrospective comparative study is to describe relationships among biological, psychological, sociocultural factors and emergency department (ED) care among discharged ED patients and describe the association of these variables with subsequent suicide mortality.

Rationale Identifying patients who are most at risk of suicide mortality post ED discharge can focus resources, refine interventions, and prevent suicide. Additionally, recognizing patterns of ED care including ordering of a psychiatric evaluation and disposition status can provide data for potential practice changes.

Background Suicide is the 10th leading cause of death in the United States and has been since 2008. Suicide …

Exploring The Lived Experience Of Adolescent Caregivers, Abbigale Laurentius

Honors Theses

In today’s society, the population is aging, and any member of the family could find themselves in the role as an informal caregiver. Adolescents between the ages of 12 and 18 years old may have these caregiving responsibilities, and it is imperative that healthcare professionals recognize and support this change of roles. A literature review revealed a general lack of research from within the last five years regarding adolescent caregivers. Those studies that were analyzed in the review presented themes of depression, anxiety, lack of education, and insufficient social supports for the adolescent. An unfolding case study was then designed …

Indwelling Urinary Catheter Removal Houdini Protocol, Fatima Villacruz

Student Scholarly Projects

Practice Problem: Catheter-associated urinary tract infections (CAUTIs) in spinal cord injury (SCI) patients have many negative health consequences, including increased cost, increased length of hospital stays, delay in bladder training, increased associated infections, and mortality.

PICOT: The PICOT question that guided this project was: In adult SCI patients (P), does the implementation of a nurse-driven indwelling urinary catheter removal protocol (I), compared to without a nurse-driven protocol (C), decrease the indwelling urinary catheter days and the occurrence of CAUTIs (O) within six weeks (T)? Evidence: Nurse-driven discontinuation protocols are an effective method of decreasing indwelling urinary catheter (IUC) days and …

Evidence-Based End-Of-Life Comfort Care Guidelines, Myla Maranan

Student Scholarly Projects

Practice Problem: In the absence of end-of-life (EOL) comfort care guidelines, the nurses in a medical-surgical unit are apprehensive about caring for patients in their active stage of dying, which leads to abandoning the values of holistic and patient-centered care.

PICOT: The PICOT question that guided this project was: "How do acute care bedside nurses (P) who utilize the evidence-based comfort care guidelines (I) compare to not using the evidence-based guidelines (C) perceive their confidence in their capability to provide holistic and patient-centered care (O) during the active onset of the patient's end-of-life stage (T)?"

Evidence: The literature indicated …

Improving The Nurse Patient Assignment Process On A Medical Surgical Unit, Kevin K. Mcewan

Doctor of Nursing Practice Projects

Background: Nurse patient assignments on an adult medical surgical unit at a community hospital are often accomplished with inconsistent processes and rationales. Each charge nurse utilizes individualized processes to determine which patients will be best teamed-up and assigned to the available nurses. There are frequently no acuity measurements system or set criteria by which the number or types of patients can or should be assigned to any given nurse, nor are staff skill or competency considered in the assignment process.

Project Design: A pilot project was conducted on a medical/surgical unit. The project utilized the American Association of Critical Care …

Neuropathic Pain Management Of Adult Males A Quality Improvement Project In A Correctional Facility, George Egesi

Cohort IX

Disease or a lesion of the somatosensory system can cause neuropathic pain, a common condition seen in most primary care settings, including my adult correctional setting. I became aware of this fact after completing a 10-day Reflective Practice Log (RPL). After a literature review, the recommended intervention, Duloxetine 30 mg daily for seven days with follow-up in seven days. In my practice, I prescribed Cymbalta 30 mg daily for 30 days. I used self-reporting as the neuropathic signs and symptoms along with pain severity. The literature recommended the use of a numeric rating scale of 0-10 for pain assessment and …