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Occupational and Environmental Health Nursing Commons

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Decreasing Environmental Health Risks In The Philippines: Implementation Of A Culturally Appropriate Screening Tool, Alyssa Samson 2018 The University of San Francisco

Decreasing Environmental Health Risks In The Philippines: Implementation Of A Culturally Appropriate Screening Tool, Alyssa Samson

Doctor of Nursing Practice (DNP) Projects

Objectives: The purpose of this DNP project was to increase the knowledge of environmental health risk factors in the Philippines among nurses and doctors located within that healthcare system. The overall goal was to educate providers on local environmental health risks, provide training for the use of a screening tool (Tagalog Environmental Health and Safety Assessment Tool [TEHSAT]), and provide resources aimed at increasing screening of at risk populations and provide opportunities for education and health promotion.

Methods: This project included a two-part educational training session. The first part included a preliminary presentation on environmental health and the use of ...


The Clinical Nurse Leader As Outcomes Manager: Optimizing Screening Mammography In An Outpatient Breast Center, Yao Luo 2018 The University of San Francisco

The Clinical Nurse Leader As Outcomes Manager: Optimizing Screening Mammography In An Outpatient Breast Center, Yao Luo

Master's Projects and Capstones

The Clinical Nurse Leader as Outcomes Manager: Optimizing Screening Mammography in an Outpatient Breast Center

Abstract

This clinical nurse leader (CNL) practice improvement project was conducted in an outpatient breast center that is part of a community safety-net hospital. The patient population consists of a large proportion of disadvantaged, low income, low English literacy, and high-risk women over 445 years of age. Recent observations and baseline data from the breast center and the mobile mammography van indicated that five to eight radiologic views were taken during a routine mammogram in a subset of screening patients which exceeds the standard set ...


Hazardous Drug Administration In The Home Setting: Reducing Exposure Risks, Cynthia D. Huff MSN, RN, OCN, CRNI, CNL 2018 University of San Francisco

Hazardous Drug Administration In The Home Setting: Reducing Exposure Risks, Cynthia D. Huff Msn, Rn, Ocn, Crni, Cnl

Master's Projects and Capstones

Hazardous drug (HD) administration used to be contained in controlled-healthcare settings, however, the introduction of HDs for home administration has become a growing area of concern for home health agencies. The objectives of the Clinical Nurse Leader (CNL) project aims to improve homecare nurses' knowledge of HDs and improve competency with personal protective equipment (PPE). The microsystem provides short-term homecare services for acute and chronically-ill patients. One team leader, two home infusion coordinators, and twelve registered infusion nurses participated in learning about exposure risks and PPE use with HD administration. Kotter's 8-step change theory was used to develop behavior ...


The Effect Of Algorithm Implementation In The Family Practice Setting On The Pain And Recovery Of Acute Low Back Pain Patients, Joan Caito 2018 Valparaiso University

The Effect Of Algorithm Implementation In The Family Practice Setting On The Pain And Recovery Of Acute Low Back Pain Patients, Joan Caito

Evidence-Based Practice Project Reports

Nearly $86 billion is spent annually in healthcare costs for Americans with low back pain (Lee, McAuley, Hübscher, Allen, Kamper, Moseley, 2016). Additionally, the burden on the economy due to loss in productivity incurs approximately $114 billion dollars of lost revenue annually (Lee et. al., 2016). Patients with an acute low back injury inadequately treated may become a chronic issue. Only 50% of patients who experience back pain symptoms for 12 months will return to work (Petit, Fouquet, & Roquelaure, 2015). The purpose of this project will be to implement an evidence-based algorithm to standardize acute low back pain care for ...


The Impact Of Rhode Island's Mandatory Health Care Worker Influenza Vaccination Regulation On Influenza Incidence In Long-Term Care Facility Residents, Wendy A. Chicoine 2018 Rhode Island College

The Impact Of Rhode Island's Mandatory Health Care Worker Influenza Vaccination Regulation On Influenza Incidence In Long-Term Care Facility Residents, Wendy A. Chicoine

Master's Theses, Dissertations, Graduate Research and Major Papers Overview

Seasonal influenza is a serious public health problem that contributes to significant morbidity and mortality locally, nationally, and globally. The Centers for Disease Control and Prevention (CDC) estimates that influenza has caused between 9.2 million and 60.8 million illnesses, between 140,000 and 710,000 hospitalizations, and between 12,000 and 56,000 deaths annually since 2010, and approximately 80- 90 percent of influenza related deaths occurred in people 65 years and older. In 2012, prompted by the mounting\ evidence of the risk of nosocomial influenza infection for patients and low influenza vaccination rates of health care workers ...


Secondary Traumatic Stress Among Emergency Department Nurses, Melissa Machado 2018 Rhode Island College

Secondary Traumatic Stress Among Emergency Department Nurses, Melissa Machado

Master's Theses, Dissertations, Graduate Research and Major Papers Overview

Individuals employed in healthcare services are exposed daily to a variety of health and safety hazards which include psychosocial risks, such as those associated with work-related stress. Nursing is the largest group of health professionals in the healthcare system. Work-related stress has been associated with substandard quality and safety of care, poor health status, decreased quality of life and compromised safety among staff members (Christodoulou-Fella, Middleton, Papathanassoglou, & Karanikola, 2017).

Secondary traumatic stress (STS) is exacerbated in health professionals who are continuously confronted and care for patients suffering traumatic injuries and are critically ill, while experiencing emotional disruption themselves, thus becoming ...


Many People Are Afraid Of White Coats. They Should Be, Kathryn D. Tente 2018 Rhode Island College

Many People Are Afraid Of White Coats. They Should Be, Kathryn D. Tente

Master's Theses, Dissertations, Graduate Research and Major Papers Overview

The concept of “do no harm” is not a figure of speech. It is a pledge to our patients to insert ourselves between them and anything that can harm them physically or emotionally. “Do lab coats harbor microbes that are detrimental to our clients’ health?” was the question that drove this systematic review. Using a search to cover articles regarding the microbial integrity of the coat, several studies were found to include culture and sensitivity reports along with participants’ surveys that increase the data to include demographics, handling habits of the coat along with laundering habits of the owners of ...


Measuring Physiological Responses To Sensation In Typical Adults, Sarah Button, Kristen Christensen, Emily Minor 2018 Dominican University of California

Measuring Physiological Responses To Sensation In Typical Adults, Sarah Button, Kristen Christensen, Emily Minor

Graduate Master's Theses, Capstones, and Culminating Projects

Objective: Sensory processing issues can have a large negative impact on the ability to participate in daily occupations such as ADLs, access to work, school and leisure environments, and social interactions (Dunn, 2001). The evidence documenting sensory processing issues in adults is sparse. Physiological information can be used as objective evidence to support the claim that those with over-responsivity to sensations are experiencing their environment differently than the typical population. Understanding more about sensory processing in adults may lead to increased recognition of the problem and more opportunities for intervention to increase occupational participation. The purpose of this quantitative study ...


Implementation Of The Banner Mobility Assessment Tool For Bariatric Patients, Nicole Benkert 2018 Murray State University

Implementation Of The Banner Mobility Assessment Tool For Bariatric Patients, Nicole Benkert

Scholars Week

Abstract

The prevalence of morbidly obese patient within the United States is on a rapid incline. Evidence correlates an increase in patient falls, comorbidities, and hospital admission among this specific patient group. As a result, there is an increase in workload and injuries to staff as they tend to these patients. Healthcare facilities need to continuously update current patient handling programs and create specific policies for safely handling obese patients. Research suggests that Safe Patient Handling and Mobility Programs, as well as the Banner Mobility Assessment Tool (BMAT), have substantially decreased nurse injuries through a wide range of nursing specialties ...


Understanding Occupational Injuries, Hanbit (Joyce) Choi 2018 California State University, Northern California Consortium Doctor of Nursing Practice

Understanding Occupational Injuries, Hanbit (Joyce) Choi

Doctoral Projects

The purpose of this project is to better understand the potential negative impact of longer commute times on work-related health complaints and its relationship with frequency of work-related injuries among general assembly workers from various factories in the Bay Area. Companies in the United States seek to reduce the cost of work-related injuries by investigating the causes of and implementing necessary programs in their workplaces. According to the U.S. Census Bureau, there are about 115,000 employees who spend more than 90 minutes commuting to their jobs in the San Francisco Bay and San Jose Silicon Valley areas (2013 ...


Telemetry Nurses Knowledge Of Alarm Fatigue And Interventions For Change: An Education Program Development, Samantha Cruz 2018 Rhode Island College

Telemetry Nurses Knowledge Of Alarm Fatigue And Interventions For Change: An Education Program Development, Samantha Cruz

Master's Theses, Dissertations, Graduate Research and Major Papers Overview

Alarm fatigue is known to be one of the top safety concerns in the healthcare setting. The Joint Commission recognized Alarm safety as one of the 2017 National Patient Safety Goals. Alarm fatigue occurs when a healthcare worker becomes overwhelmed and often desensitized to patient monitor alarms. It has been established that interventions including ECG daily electrode and battery changes, skin prep for electrode placement, and adjusting alarm parameters to fit patient needs can lead to a reduction in false or nuisance alarms. In order for these interventions to be carried out successfully, education of nurses regarding alarm fatigue and ...


Impressions Of Participants In A Chemical Mass Casualty Exercise, Ethan J. Start, Joan M. Culley, Abbas Tavakoli 2018 University of South Carolina - Columbia

Impressions Of Participants In A Chemical Mass Casualty Exercise, Ethan J. Start, Joan M. Culley, Abbas Tavakoli

Senior Theses

A mass casualty exercise was performed to investigate triage and decontamination of patients exposed to an irritant gas. Nursing students participated in two groups: emergency department triage (ED) and decontamination (DECON). While participants felt overall that the experience was valuable, DECON participants had a greater interest in emergency response and were more likely to volunteer again.


Differences In Preventable Cardiovascular-Related Versus Unavoidable Occupational Causes Of Firefighter Fatalities On Duty, Amy Goad, DNP, MS, NP-C 2018 George Washington University

Differences In Preventable Cardiovascular-Related Versus Unavoidable Occupational Causes Of Firefighter Fatalities On Duty, Amy Goad, Dnp, Ms, Np-C

Doctor of Nursing Practice Projects

Background: Firefighters across the United States face high fatality rates in the line of duty of which many are likely related to preventable cardiovascular risk factors.

Objectives: To assess differences in firefighter cardiovascular-related versus unavoidable occupational-related fatalities by career status, age, smoking, obesity, and hypertension.

Methods: We used an exploratory, comparative secondary data analysis design. We extracted data from a national database of deceased firefighters over 14 years. Variables extracted were career status, age, smoking, obesity, and hypertension as well as the reason for death while on duty (i.e., cardiovascular-related or unavoidable occupational-related death). Data were analyzed using Chi-Square ...


The Effectiveness Of Yoga In Preventing And Managing Back Pain, Sonja M. Brockman 2018 Augsburg University

The Effectiveness Of Yoga In Preventing And Managing Back Pain, Sonja M. Brockman

Theses and Graduate Projects

In this Doctorate of Nursing Practice-Family Nurse Practitioner (DNP-FNP) scholarly

project, a yoga program was developed and implemented to educate how the practice of yoga can be utilized to manage or prevent back pain in nurses. Back pain in nurses is a common condition that can cause nurses to become unable to work and ultimately affect the nursing work unit. The practice of yoga has gained popularity in Western culture for improving health and back pain. A review of the recent research literature from 2000- 2015 that investigated back pain in nurses, back pain management, treatment, and yoga, is provided ...


Academic Incivility In Modern Generation Of Nursing Students, Laila Akber Cassum 2018 Aga Khan University

Academic Incivility In Modern Generation Of Nursing Students, Laila Akber Cassum

School of Nursing & Midwifery

Incivility in nursing academia and workplace is one of the emerging and complex issues in recent years, and can have substantial consequences on the organizational benchmark as well as on the teaching and learning milieu of the institution. Growth of academic incivility among the modern and diversified generation of students can have a profound destructive impact on their academic life and professional career. Impolite and discourteous attitude and behavior in a classroom atmosphere can originate from the learners as well the teachers, which can significantly impact the critical thinking and learning outcomes of the learner. This matter needs to be ...


Environmental Links To Ectopic Kidney Diseases, Firas Alhasson 2018 University of South Carolina

Environmental Links To Ectopic Kidney Diseases, Firas Alhasson

Theses and Dissertations

Nonalcoholic fatty liver disease (NAFLD) is the most common liver disease in the western culture and worldwide. Its morbidity has been raising and it has become a burden on the public health. NAFLD is associated with other metabolic diseases such as Diabetic Mellitus and hypertension. NAFLD is a wide spectrum of symptoms, from an accumulation of fat in the liver (cirrhosis) to production of scar tissue (Fibrosis). The liver along with other distal organs such as the kidney and cardiovascular system can be damaged as ectopic manifestations of NAFLD. Contamination of drinking water with Cyanobacterium toxin (Microcystin) and water disinfection ...


Increasing Annual Influenza Vaccination Rates Through Primary Prevention Strategies Among Health Care Workers In A Psychiatric Long-Term Care Facility: An Evidence-Based Approach, Kathleen Miller 2018 University of Massachusetts Amherst

Increasing Annual Influenza Vaccination Rates Through Primary Prevention Strategies Among Health Care Workers In A Psychiatric Long-Term Care Facility: An Evidence-Based Approach, Kathleen Miller

Doctor of Nursing Practice (DNP) Projects

Abstract

Background: Influenza is a highly infectious, serious respiratory virus that causes almost 226,000 hospitalizations and averages 36,000 deaths annually in the United States (U.S.). Those at the highest risk for influenza-related complications and death include the elderly, the very young, those with chronic disease, and people with weakened immune systems. Since 1981, the Centers for Disease Control and Prevention’s (CDC) Advisory Committee for Immunization Practices (ACIP) have recommended that all medically eligible healthcare workers (HCWs) receive an influenza vaccination annually. Despite recommendations, many HCWs decline the seasonal influenza vaccination putting themselves and their patients at ...


Adolescent Depression Prevention Toolkit, Avesta M. Khursand 2018 University of Massachusetts Amherst

Adolescent Depression Prevention Toolkit, Avesta M. Khursand

Doctor of Nursing Practice (DNP) Projects

Abstract

Background: The prevalence of depression in the adolescent population is on the rise. Currently, treatment for depression is provided mostly in clinical settings, when patients are in the acute phase of the mental illness. This type of treatment does not have preventative value to address this pandemic of depression. Prevention methods in the school settings have proven to be effective if done using evidence based guidelines.

Methods: This educational intervention used the Adolescent Depression Prevention Toolkit, which included screening tools and preventative methods of therapies such as cognitive behavioral therapy (CBT). A questionnaire of knowledge surrounding these methods was ...


Evaluating Outcomes Of Education On Waste Management In The Hospital Setting, Taryn N. Schlather 2018 university of central florida

Evaluating Outcomes Of Education On Waste Management In The Hospital Setting, Taryn N. Schlather

Honors Undergraduate Theses

With advancements in healthcare, we continue to find new needs that must be addressed. Hospitals generate a substantial amount of medical waste, and proper disposal is important for patient and staff safety, environmental protection, and cost efficiency. A series of studies show there is a need for further education on hospital waste management policies. This thesis aims to evaluate education interventions to improve knowledge and healthcare waste disposal practices. This literature review was conducted using multiple databases, including MedLINE, CINAHL, GreenFILE, Google Scholar, EBSCOhost, and NCBI, to find qualifying research articles in the English language from 2005-2018. Key terms for ...


The Effect Of Training And Recognition On Nursing Assistant Retention In Acute Care Settings, Rachael Austin Swann 2018 Gardner-Webb University

The Effect Of Training And Recognition On Nursing Assistant Retention In Acute Care Settings, Rachael Austin Swann

Nursing Theses and Capstone Projects

Nursing assistants are being hired in acute care settings to alleviate staffing issues associated with the nursing shortage. This has been a great economical solution to ensure adequate staff because of the large number of trained individuals in this vocation. Turnover and retention with nursing assistants in all settings including acute care is an expensive and reoccurring problem. Although several strategies have been implemented to prevent this, few provide a sustainable positive outcome. This situation requires an approach to look at the causes of turnover and provide interventions to reverse the negative impact. The intent of this research looked at ...


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