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Occupational and Environmental Health Nursing Commons

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Emergency Registered Nurses’ Perceptions Of Workplace Violence, Margarite Elsey 2018 Gardner-Webb University

Emergency Registered Nurses’ Perceptions Of Workplace Violence, Margarite Elsey

Nursing Theses and Capstone Projects

Workplace violence (WPV) is a significant issue in today’s healthcare field, especially for nurses in the emergency department. WPV is defined by action of verbal abuse, threats, disruptive behavior, harassment, intimidation and/or physical abuse, or assault (Stene, Larson, Levy, & Dohlman, 2015). Emergency Department (ED) registered nurses (RNs) are in a prime position to experience WPV due to the nature and purpose of the emergency room. To address effectively the problem of WPV against RNs in the ED, it is crucial first to understand how nurses in this setting perceive WPV from patients and/or visitors. In a Level ...


Exploring Nurse Stress, Andrea Butler 2018 Gardner-Webb University

Exploring Nurse Stress, Andrea Butler

Nursing Theses and Capstone Projects

Aims: To explore levels of stress among nurses working in medical-surgical, telemetry and medical-telemetry nursing departments. Background: Bedside nurses are continuously confronted with stressful situations. These stressors can be very unpredictable and varying in intensity. As the nurse will face many different stressors, it is important for leadership to recognize the origin of the stress in order do everything possible to promote positive outcomes. Conquering stress within nursing departments provides a benefit for the greater good. Methods: This study used a descriptive, correlational study design. The association of occupational job stress for a nurse working within medical-surgical, telemetry, and medical-telemetry ...


The Potential Role Of Weightlifting Training On The Biomechanics Of Patient Movements In The Prevention Of Back Injury, Michael Lee Callihan 2018 University of Kentucky

The Potential Role Of Weightlifting Training On The Biomechanics Of Patient Movements In The Prevention Of Back Injury, Michael Lee Callihan

Theses and Dissertations--Nursing

Back injury in nursing is a significant concern for the health of the worker, the costs to the healthcare system, and the safety of the patients. Current injury prevention measures include ergonomic adjustments to the work environment, the use of mechanical lifting equipment, policies to limit manual handling of patients, and the teaching of lifting techniques. These measures have been met with limited success in reducing injury rates. Little is known about whether changing the lifting biomechanics used in the healthcare setting can lower high injury rates across the profession.

The purposes of this dissertation were to: 1) identify the ...


Pilot Of A Randomized Trial Comparing Outcomes Of Three Types Of Peripheral Intravenous Catheters (Pivc): Utilizing The Plan, Do, Study, Act Cycle, Heather Galang 2017 James Madison University

Pilot Of A Randomized Trial Comparing Outcomes Of Three Types Of Peripheral Intravenous Catheters (Pivc): Utilizing The Plan, Do, Study, Act Cycle, Heather Galang

Doctor of Nursing Practice (DNP) Final Clinical Projects, 2016-2019

Peripheral intravenous catheters (PIVC) are used in high volume in acute and ambulatory settings. Due to high volume of use in patient care, complications from a PIVC can significantly impact patient experience. Literature indicates complications such as blood exposure, phlebitis, unplanned removal, infiltration, occlusion, dwell time, pain, and cost have serious consequences in patient care, leading to potential delays in treatment, patient discomfort, patient dissatisfaction, safety concerns, nursing interruptions, increased length of stay, and added costs. Gap analysis indicates additional research can prove beneficial for evidence-based care improvement. The authors propose using the plan, do, study, act to conduct a ...


Clostridium Difficile: An Investigation On A Medical Surgical Unit, Neftali Cabezudo 2017 The University of San Francisco

Clostridium Difficile: An Investigation On A Medical Surgical Unit, Neftali Cabezudo

Master's Projects and Capstones

The objectives for this CNL Internship Project were to: (1) identify the strongest contributors to the rising trend of Clostridium difficile cases on this medical-surgical unit, (2) review all Clostridium difficile cases for correlational factors that are of significant relevance, (3) examine current unit practices and adherence to established policies, and (4) provide recommendations for enhancing existing prevention strategies. The population examined included male adults between 56-83 years old being treated for other medical conditions. The methods used to address this clinical issue included a joint venture between nursing and housekeeping staff to ensure proper terminal cleaning and a renewed ...


The Development Of A Wayfinding Smart Phone Application As A Large Healthcare Facility Investment Opportunity, Jessie Fortson Marshall 2017 University of Southern Mississippi

The Development Of A Wayfinding Smart Phone Application As A Large Healthcare Facility Investment Opportunity, Jessie Fortson Marshall

Doctoral Projects

Health care is a continually growing field. New hospitals are constantly being built, while older facilities are experiencing renovation and expansion. With this growth comes a set of difficulties for patients as they try to navigate through large, multi-building facilities. Most large facilities have multiple parking garages, numerous buildings, and medical towers with an unending number of floors. Patients are forced to rely on directional signage to find their destination that is often insufficient. Attempting to navigate through large facilities is often overwhelming for visitors leading to frustration and stress.

New technology has allowed a convenient solution to this problem ...


Rates Of Autoimmune Disease Increasing In Women, Rosa de la Cotera 2017 DePaul University

Rates Of Autoimmune Disease Increasing In Women, Rosa De La Cotera

Grace Peterson Nursing Research Colloquium

Abstract

Autoimmune disorders (AD) are a group of highly disabling pathological conditions that are growing at an alarming rate affecting approximately 8% of the population. These disorders occur more frequently in women, as 78% of those diagnosed are women. Little conclusive research has been conducted as to determine why there is a tremendous sex disparity when looking at the rates. Due to the overall poor health that results from these disorders, there is an increase in the societal burden in terms of health care costs, loss of work productivity and reduced quality of life. The aim of this integrative literature ...


Clearing The Pathway To Chemotherapy Certification For Inpatient Nurses, Shari Lee Kellen RN, OCN, ONN 2017 The University of San Francisco

Clearing The Pathway To Chemotherapy Certification For Inpatient Nurses, Shari Lee Kellen Rn, Ocn, Onn

Master's Projects and Capstones

Abstract

A clinical nurse leader (CNL) project was conducted, in a medical-surgical oncology unit in a community-based hospital, to evaluate and improve upon the decreasing number of chemotherapy certified nurses. A Likert survey of the nurses provided a self-assessment of competency in handling chemotherapy patients, and perceived barriers to achieving chemotherapy certification. The surveys revealed that nurses felt fearful of exposure to hazardous medications, that chemotherapy assignments were too stressful, and that there was minimal chemotherapy competency amongst leadership. An education program was implemented, covering proper use of personal protective equipment (PPE) and safe handling, practicing resilience to mitigate stress ...


Implementation Of The National Asthma Guidelines In A Residential Pediatric Clinic, Patricia A. Foster-Staples 2017 University of Missouri-St. Louis

Implementation Of The National Asthma Guidelines In A Residential Pediatric Clinic, Patricia A. Foster-Staples

Dissertations

Abstract

Purpose: Foster care children admitted to residential facilities are a unique and vulnerable group, many presenting with undiagnosed or poorly managed asthma. The alarming rate of residents admitted to a particular residential primary care clinic with a diagnosis of asthma led to the project question: “Based on record reviews, does staff education about the importance of utilizing the national guidelines for asthma education influence the implementation of such guidelines in a residential pediatric clinic?” The purpose of this quality improvement project was to implement a systematic process to influence practice change. The project was conducted over a period of ...


Evaluating An Employee Health Tobacco Cessation Program For Enhanced Success, Leah Griffiths, Kathy S. James 2017 University of San Diego

Evaluating An Employee Health Tobacco Cessation Program For Enhanced Success, Leah Griffiths, Kathy S. James

Doctor of Nursing Practice Final Manuscripts

Tobacco smoking is the number one cause of preventable death in the US. It increases risk for cardiovascular and respiratory disease, diabetes, and many types of cancer. When contrasted with nonsmoking employees, smokers have a greater amount of lost productivity, as well as cost of health and life insurance claims due to illness. The purpose of this evidence-based project was to identify current smokers and monitor the consistency of their progression through the 5 A’s framework within an employee health clinic. Data was collected over two years and 600 charts were reviewed. After the data was analyzed, it was ...


Evidence-Based Verbal De-Escalation Techniques For The Family Nurse Practitioner: Education And Simulation, Rachael K. Misitano 2017 University of San Francisco

Evidence-Based Verbal De-Escalation Techniques For The Family Nurse Practitioner: Education And Simulation, Rachael K. Misitano

Doctor of Nursing Practice (DNP) Projects

Background: Healthcare workers are 4 times more likely to be exposed to workplace violence than workers employed in private industry, with assault rates as high as 7.8 per 10,000 workers. The National Institute for Occupational Safety and Health defines workplace violence as “violent acts, including physical assaults, and or threats of assault, directed toward persons at work or on duty” (OSHA, 2015, p. 2). Verbal de-escalation techniques that assist with care of the agitated patient are not routinely taught to Family Nurse Practitioners (FNPs) throughout their years of advanced coursework, yet it is something they are likely to ...


I’M A Big Kid Now: Enhancing Transition Rn Residents’ Confidence During Pediatric Patient Care, Emily W. Lam 2017 University of San Francisco

I’M A Big Kid Now: Enhancing Transition Rn Residents’ Confidence During Pediatric Patient Care, Emily W. Lam

Master's Projects and Capstones

The title of the clinical nurse leader project is “I’m a Big Kid Now: Enhancing Transition RN Residents’ Confidence During Pediatric Patient Care”. The project aims to improve the support components for Transition RN residents during their Transition RN Residency at Children’s Hospital Los Angeles. The clinical leadership theme that correlates to this project is communication. The clinical nurse leader’s role is to act as an educator and a facilitator throughout this project. In examining the clinical nurse leader competencies, competencies “use performance measures to assess and improve the delivery of evidence-based practices and promote outcomes that ...


The Influence Of Transformational Leadership On Nurse-Reported Patient Safety Outcomes, Sheila A. Boamah 2017 The University of Western Ontario

The Influence Of Transformational Leadership On Nurse-Reported Patient Safety Outcomes, Sheila A. Boamah

Electronic Thesis and Dissertation Repository

Leadership is widely believed to be pivotal to providing high quality patient care and ensuring favourable organizational outcomes. To understand how nursing leadership affects patient outcomes, it is important to explore the mechanisms/ processes through which leaders produce desired patient outcomes. The purpose of this study was to examine how nurse manager use of transformational leadership behaviours creates empowering work environments that foster clinical leadership practices at the bedside, and ultimately, improve nurse and patient safety outcomes.

Bass’s (1985) transformational leadership theory provided the theoretical framework for the research. Transformational leadership behaviour was hypothesized to have positive effects on ...


Assessment Of Horizontal Violence And Healthy Work Environments Of Two Nursing Units, Rebekah Dailey 2017 University of Kentucky

Assessment Of Horizontal Violence And Healthy Work Environments Of Two Nursing Units, Rebekah Dailey

DNP Projects

PURPOSE: Horizontal Violence plagues the health of nursing work environments. In order to diminish this phenomenon and establish healthy work environments as established by the AACN, assessments must be completed to identify strengths and weaknesses and determine the proper interventions to employ. However, there is a lack of evidence in actionable interventions. The purpose of this project was to assess healthy work environments of two nursing units by examining horizontal violence, civility, teamwork, and satisfaction, and identify interventions to strengthen the health of the work environment.

METHODS: This study was a descriptive study using an electronic survey of two nursing ...


Depression And Personal Depression Stigma Among Hospital Employed Nurses, Christy Herman Moose 2017 Gardner-Webb University

Depression And Personal Depression Stigma Among Hospital Employed Nurses, Christy Herman Moose

Nursing Theses and Capstone Projects

Background. Nurses experience depression at twice the rate of the general public. Personal depression stigma may complicate the issue by creating a barrier to help-seeking behaviors. This study sought to determine if depressed nurses have a higher rate of personal depression stigma than non-depressed nurses. Method. This study used a quantitative study design and a convenience sampling method of nurses at a community hospital. Data was obtained using a web-based survey that included the Patient Health Questionnaire 9 item depression scale (PHQ-9) and the Depression Stigma Scale – personal (DSS – personal). The total depression score (TDS) was used to divide participants ...


Clinical Workload Policy In Nursing Programs: Striving To Be Equitable And Transparent, Melinda West 2017 Gardner-Webb University

Clinical Workload Policy In Nursing Programs: Striving To Be Equitable And Transparent, Melinda West

Nursing Theses and Capstone Projects

Nursing schools throughout the country are facing a dilemma over how to concisely and fairly count faculty's clinical workload hours. Faculty members report dissatisfaction with their workload as one of the reasons for leaving the education field and contributing to the shortage of qualified nursing educators. There is no standardized method or policy for counting clinical teaching hours, so schools are left to create their own policies or simply not have one. The purpose of this study was to determine the perceptions of the faculty members at a community college of the current clinical teaching workload policy and to ...


Assessing For Barriers To Shared Governance To Increase Employee Engagement, Cheryl Allison Motte 2017 Gardner-Webb University

Assessing For Barriers To Shared Governance To Increase Employee Engagement, Cheryl Allison Motte

Nursing Theses and Capstone Projects

Empirical evidence supports the numerous benefits to an organization with engaged employees as well as benefits to those engaged employees. Never-the-less, over half of American workers are not engaged in their work. In healthcare, nurses score the lowest of all professional healthcare disciplines with engagement. Participation in shared governance has been shown to increase work engagement. The purpose of this MSN descriptive research is to assess for barriers to participation in shared governance and increase work engagement on a geriatric behavioral health unit. The study began with an online shared governance needs assessment questionnaire followed by the Utrecht Work Engagement ...


The Presence Of Compassion Fatigue In The Private Practice Setting, Santisha Lynette Walker 2017 Gardner-Webb University

The Presence Of Compassion Fatigue In The Private Practice Setting, Santisha Lynette Walker

Nursing Theses and Capstone Projects

Nurses play an intricate role in healthcare and may carry a burden while providing patient care. Bearing this burden could lead to a significant level of stress, which in turn could cause compassion fatigue. Many nurses face issues of stress and fatigue during their daily nursing practice, lending to unsafe conditions for patients and a decrease in quality of life. The purpose of this study was to assess nurses’ perception of the presence of compassion fatigue for nurses working in the private practice setting. This quantitative study, guided by the Neuman Systems Model, consisted of a non-randomized convenience sample of ...


Nurse Workloads: The Relationship Between Nurse Compassion Satisfaction And Burnout, Lisa M. Greene 2017 Gardner-Webb University

Nurse Workloads: The Relationship Between Nurse Compassion Satisfaction And Burnout, Lisa M. Greene

Nursing Theses and Capstone Projects

Nurses face a wide variety of challenges and demands while caring for their patients and families. While nurses are an important part of healthcare, both for their compassion and care and for their skills at the bedside, they can become stressed and burned out. Compassion satisfaction is essential for nurses in today’s society. Compassion satisfaction has been defined as the pleasure an individual derives from being able to help others and do their work to the best of their ability. The lack of compassion satisfaction can lead to compassion fatigue. Compassion fatigue affects the care provided to patients. Compassion ...


Hospice Nurses’ Perception Of Factors Influencing Nurse Retention, Vanessa Kelly Boris 2017 Gardner-Webb University

Hospice Nurses’ Perception Of Factors Influencing Nurse Retention, Vanessa Kelly Boris

Nursing Theses and Capstone Projects

Aim. To identify factors that affect hospice nurses’ intent to remain employed. Background. Recent literature indicates that turnover is a major problem for health care organizations, since it is costly and negatively affects patient care. Several strategies have been highlighted to help improve retention rates, however hospice nurses have special needs. Methods. To assess hospice nurse perspectives, a survey was conducted using registered nurses working in a multi-county Hospice and Palliative Care facility in the southeastern U.S. Survey items were based on information gathered from previous focus groups exploring determinants of nurse retention. Results. Eighty-eight percent (n=7) of ...


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