Respecting Our Elders: Say No To Restraints!,
2014
West Chester University of Pennsylvania
Respecting Our Elders: Say No To Restraints!, Charity G. Schenk, Stephanie J. Williams
Nursing Student Work
No abstract provided.
Effect Of Incentive Spirometry On Preventing Atelectasis: A Review Of The Literature,
2014
West Chester University of Pennsylvania
Effect Of Incentive Spirometry On Preventing Atelectasis: A Review Of The Literature, Caitlin Powers, Caine Teal
Nursing Student Work
No abstract provided.
When Should Nurses Use Restraints Versus Alternatives To Restraints?,
2014
West Chester University of Pennsylvania
When Should Nurses Use Restraints Versus Alternatives To Restraints?, Rosa Garza Moore, Motunrayo Ogunkua
Nursing Student Work
No abstract provided.
Flushing Out The Competition: Normal Saline Vs Heparin Flushes In Peripheral Iv Catheters,
2014
West Chester University of Pennsylvania
Flushing Out The Competition: Normal Saline Vs Heparin Flushes In Peripheral Iv Catheters, Sarah Albrecht, Sarah Williams
Nursing Student Work
No abstract provided.
False Ventricular Tachycardia Alarm Suppression In The Icu Based On The Discrete Wavelet Transform In The Ecg Signal,
2014
Department of Physiological Nursing, University of California, San Francisco
False Ventricular Tachycardia Alarm Suppression In The Icu Based On The Discrete Wavelet Transform In The Ecg Signal, Rebeca Salas-Boni, Yong Bai, Patricia Harris, Barbara J. Drew, Xiao Hu
Patricia Harris
Insights Into The Problem Of Alarm Fatigue With Physiologic Monitor Devices: A Comprehensive Observational Study Of Consecutive Intensive Care Unit Patients,
2014
Department of Physiological Nursing, University of California San Francisco
Insights Into The Problem Of Alarm Fatigue With Physiologic Monitor Devices: A Comprehensive Observational Study Of Consecutive Intensive Care Unit Patients, Barbara J. Drew, Patricia Harris, Jessica K. Zègre-Hemsey, Tina Mammone, Daniel Schindler, Rebeca Salas-Boni, Yong Bai, Adelita Tinoco, Quan Ding, Xiao Hu
Collected Faculty and Staff Scholarship
Purpose: Physiologic monitors are plagued with alarms that create a cacophony of sounds and visual alerts causing ‘‘alarm fatigue’’ which creates an unsafe patient environment because a life-threatening event may be missed in this milieu of sensory overload. Using a state-of-the-art technology acquisition infrastructure, all monitor data including 7 ECG leads, all pressure, SpO2, and respiration waveforms as well as user settings and alarms were stored on 461 adults treated in intensive care units. Using a well-defined alarm annotation protocol, nurse scientists with 95% inter-rater reliability annotated 12,671 arrhythmia alarms.
Results: A total of 2,558,760 unique alarms occurred in the …
Acute Respiratory Distress Syndrome,
2014
Otterbein University
Acute Respiratory Distress Syndrome, Brian Flowers
Nursing Student Class Projects (Formerly MSN)
In healthcare, there are many interesting and intriguing conditions that are vital to understand from both a clinical and a pathophysiological standpoint. Comprehending and knowing how to treat these conditions effectively, ultimately leads to the best care and patient outcomes. As a current critical care nurse and future advanced practice nurse, it was important to select a research topic of interest to explore that would benefit a high risk group of patients. Based on this precedent, acute respiratory distress syndrome (ARDS) was chosen. As a critical care nurse, exposure to respiratory conditions and mechanical ventilation management is something nurses are …
Palliative Care's Sacramental And Liturgical Foundations: Healthcare Formed By Faith, Hope, And Love,
2014
Marquette University
Palliative Care's Sacramental And Liturgical Foundations: Healthcare Formed By Faith, Hope, And Love, Darren M. Henson
Dissertations (1934 -)
Medical history identifies Dame Cicely Saunders as the founder of modern hospice and palliative care for the unique care she gave to the incurably and terminally ill. Less known is how her Christian faith, combined with her knowledge of medicine, influenced her vision. This work retrieves the Christian roots of palliative care and asserts that the practice of faith preserves the practice of medicine from succumbing to medicalized dying--a phenomenon that excessively relies on technology with the implied hope that it will ultimately conquer illnesses and even death. Efficiency and effectiveness ground modern medicine's epistemology. These concepts follow the philosophical …
Heart Rate Variability Measured Early In Patients With Evolving Acute Coronary Syndrome And 1-Year Outcomes Of Rehospitalization And Mortality,
2014
Electrocardiographic Monitoring Research Laboratory, School of Nursing, Department of Physiological Nursing, University of California
Heart Rate Variability Measured Early In Patients With Evolving Acute Coronary Syndrome And 1-Year Outcomes Of Rehospitalization And Mortality, Patricia R.E. Harris, Phyllis K. Stein, Gordon L. Fung, Barbara J. Drew
Collected Faculty and Staff Scholarship
Objective: This study sought to examine the prognostic value of heart rate variability (HRV) measurement initiated immediately after emergency department presentation for patients with acute coronary syndrome (ACS).
Background: Altered HRV has been associated with adverse outcomes in heart disease, but the value of HRV measured during the earliest phases of ACS related to risk of 1-year rehospitalization and death has not been established.
Methods: Twenty-four-hour Holter recordings of 279 patients with ACS were initiated within 45 minutes of emergency department arrival; recordings with �18 hours of sinus rhythm were selected for HRV analysis (number [N] �193). Time domain, frequency …
Family Presence During Resuscitation Of Adults: The Impact Of An Online Learning Module On Critical Care Nurses' Perception And Self-Confidence,
2014
University of Nevada, Las Vegas
Family Presence During Resuscitation Of Adults: The Impact Of An Online Learning Module On Critical Care Nurses' Perception And Self-Confidence, Kelly Powers
UNLV Theses, Dissertations, Professional Papers, and Capstones
Family presence during resuscitation (FPDR) involves offering family members the option to remain with their loved one who is undergoing life-saving measures. FPDR has been shown to enhance comfort and facilitate grieving, and 90% to 100% of patients and family members support it as an option. However, critical care nurses are not fully supportive of FPDR and approximately only one-third implement it in their care of patients. The perceived risks of FPDR are cited as a primary reason for lack of support and implementation. Yet, the perceived risks have not been proven, while the benefits have been established in research. …
Heart Rate Variability Measurement And Clinical Depression In Acute Coronary Syndrome Patients: Narrative Review Of Recent Literature,
2014
ECG Monitoring Research Lab
Heart Rate Variability Measurement And Clinical Depression In Acute Coronary Syndrome Patients: Narrative Review Of Recent Literature, Patricia R.E. Harris, Claire E. Sommargren, Phyllis K. Stein, Gordon L. Fung, Barbara J. Drew
Collected Faculty and Staff Scholarship
Aim: We aimed to explore links between heart rate variability (HRV) and clinical depression in patients with acute coronary syndrome (ACS), through a review of recent clinical research literature.
Background: Patients with ACS are at risk for both cardiac autonomic dysfunction and clinical depression. Both conditions can negatively impact the ability to recover from an acute physiological insult, such as unstable angina or myocardial infarction, increasing the risk for adverse cardiovascular outcomes. HRV is recognized as a reflection of autonomic function.
Methods: A narrative review was undertaken to evaluate state-of-the-art clinical research, using the PubMed database, January 2013. The search …
Lessons Learned In Caring For Patients Treated With Therapeutic Hypothermia,
2014
Lehigh Valley Health Network
Lessons Learned In Caring For Patients Treated With Therapeutic Hypothermia, Catherine H. Swedberg Rn, Kelly A. Wolfenden Rn, Bsn, Cci, Jeffrey Martin Rn, Carolyn Ordway Msn, Rn, Crnp
Patient Care Services / Nursing
No abstract provided.
Pilot Study: Avoiding Readmissions Of Heart Failure Patients Across Transitions Of Care,
2014
California State University, Northern California Consortium Doctor of Nursing Practice
Pilot Study: Avoiding Readmissions Of Heart Failure Patients Across Transitions Of Care, Analiza Baldonado
Doctoral Projects
Background: A major problem facing the U.S. healthcare system is avoidable hospital readmissions. Patients with Heart Failure (HF) face variety of barriers to health care and are at higher risk for readmissions. To address this problem, evidence-based interventions focused on safe transition from hospital to home are needed.
Methods: A quality improvement pilot project was implemented to evaluate the feasibility of evidence based interventions in preventing avoidable readmissions. The project setting was in a 900 bed health care system. The descriptive statistical methods were means and frequencies. The Transition Coordinator (TC) enrolled a convenience sample of 30 participants. The evidence …
Humor As A Buffer For Stress In Nurse Anesthesia Students,
2014
University of Southern Mississippi
Humor As A Buffer For Stress In Nurse Anesthesia Students, Kayla C. Forbis
Honors Theses
This simple, quantitative study was carried out on 18, first-year, CRNA students to determine if humor could act as a buffer for some of his or her perceived stress. Before an impending final exam, when stress levels would most likely be at their highest, the students were broken into three groups: a control group, a non-humorous group, and a humorous group. The students in the control group ranked their level of stress on a 0-10 scale without any other intervention. The other two groups watched a video clip, either humorous or non-humorous, while ranking their perceived stress on a scale …
The Effect Of Breathable Under Pads To Decrease Hospital Acquired Pressure Ulcers: A Nurse Resident Project,
2014
Thomas Jefferson University Hospital
The Effect Of Breathable Under Pads To Decrease Hospital Acquired Pressure Ulcers: A Nurse Resident Project, Sara Meshino, Bsn, Rn, Bridget Trefz, Bsn, Rn
Department of Nursing papers and presentations
PURPOSE
To reduce the rate of hospital acquired pressure ulcers (HAPU), in June 2013, a large urban academic medical center switched from non-breathable to breathable under pads for incontinent patients lying on either a standard bed (low risk patients) or low-air-loss mattress (high risk patients). Standard pressure ulcer prevention measures were maintained. Staff on two oncology units sought to determine the effectiveness of breathable vs. non-breathable under pads in reducing the rate of HAPU and UAPU.
Analysis Of Patient Alarms In Adult Intensive Care Units,
2014
University of California, San Francisco
Analysis Of Patient Alarms In Adult Intensive Care Units, Patricia Harris
Patricia Harris
Mobilizing Mechanically Ventilated Neuroscience Patients - A Clinical Practice Guideline To ‘Get Up And Go’,
2014
Lehigh Valley Health Network
Mobilizing Mechanically Ventilated Neuroscience Patients - A Clinical Practice Guideline To ‘Get Up And Go’, Bonnie Wasilowsky Bspa-Hca, Rn, Cnrn
Patient Care Services / Nursing
No abstract provided.
Ready-Set-Go! A Clinical Practice Guideline That Promotes Safe Care Of The Sedated Patient Before, During And After Transport,
2014
Lehigh Valley Health Network
Ready-Set-Go! A Clinical Practice Guideline That Promotes Safe Care Of The Sedated Patient Before, During And After Transport, Kimberly A. Martin Rn, Cnrn, Jennifer Houp Rn, Cnrn
Patient Care Services / Nursing
No abstract provided.
The Effects Of Oral Pain Medication Being Administered In Phase I As Compared To Oral Pain Medications Administered In Phase Ii,
2014
Gardner-Webb University
The Effects Of Oral Pain Medication Being Administered In Phase I As Compared To Oral Pain Medications Administered In Phase Ii, Dana Jones
Nursing Theses and Capstone Projects
Healthcare and the provision of care are ever-changing as governing bodies over-see and regulate the way institutions provide care for patients. Pain assessment, reassessment, and pain management are a focus nationally and healthcare providers are held accountable for how pain is managed for patients. One piece to this broad topic is the use of oral pain medications, more specifically in the ambulatory surgical patient. The purpose of this project was to compare the length of stay, reported pain scores, and total amount of IV medications administered between patients who receive the first dose of oral pain medications in Phase I …
Nursing Retention In Critical Care,
2014
Gardner-Webb University
Nursing Retention In Critical Care, Jeannine A. Eckman
Nursing Theses and Capstone Projects
The purpose of the study was to examine anticipated turnover in critical care nurses and if having previous nursing experience prior to working in critical care affects that turnover. Using the Anticipated Turnover Scale (ATS) by Hinson and Atwood, nurses that had been employed in the critical care areas five years or less were asked to participate. They were asked to complete the ATS and answer the question relating to previous nursing experience. Findings of the study indicated that the nurses with previous nursing experience before working in critical care had a higher ATS score than the nurses with no …
