Clinical Alarm Management,
2016
West Kendall Baptist Hospital
Mary Greenwood Schaal,
2016
Thomas Jefferson University
Mary Greenwood Schaal, Mary Greenwood Schaal, Kelsey Duinkerken
Jefferson Nursing Oral Histories
Dr. Schaal graduated from Jefferson’s Nursing Diploma Program in 1963 and received her BSN from Jefferson in 1981. Though she started her career as an operating room nurse she soon discovered an interest in public health. After coming back to Jefferson for her Bachelor’s degree and then going on to the University of Pennsylvania for her Master’s degree and Rutgers for her Doctorate, she began teaching Community Health to nursing students at Rutgers in Camden. Dr. Schaal then went on to teach in MCP Hahnemann’s graduate program, which is now Drexel, before coming back to Thomas Jefferson University and ending …
Psychometric Testing Of The Teamstepps® 2.0 Team Performance Observation Tool,
2016
Kennesaw State University
Psychometric Testing Of The Teamstepps® 2.0 Team Performance Observation Tool, Mary Beth R. Maguire
Doctorate of Nursing Science Dissertations
Approximately 213,000 deaths occur in hospitals each year as a result of preventable adverse events (James, 2013). Team Strategies and Tools to Enhance Performance and Patient Safety (TeamSTEPPS®) is an evidence-based teamwork curriculum intended to minimize preventable adverse events through improved medical team performance. One way to provide evidence of team performance is through evaluation. The Team Performance Observation Tool (TPOT) is a TeamSTEPPS®curriculum instrument that can be utilized to evaluate the effectiveness of team performance. In 2014, TeamSTEPPS®2.0 was released and an updated version of the TPOT was published. Limited reports of validity …
Madeleine Leininger And The Transcultural Theory Of Nursing,
2016
Cleveland State University
Madeleine Leininger And The Transcultural Theory Of Nursing, Daniel A. Busher Betancourt
The Downtown Review: An Interdisciplinary Journal Written and Peer-Reviewed by Mandel Honors College Students at Cleveland State University
This paper explores Madeleine Leininger’s Theory of Transcultural Nursing and the importance that her theory has in the realm of modern nursing care. The United States is a nation widely acclaimed for its advances in health care, and nurses hold a vital role in delivering such quality care to their patients, who offer differences in “values, beliefs, and lifeways." In light of the globalization of health care and the stress put on professionalism in nursing, Leininger’s theories and research on comparative human care hold a prominent place in health care that provide congruency in the beliefs and cultural values of …
Flight Nurses’ Narratives Of Traumatic Patient Care Events: Why Do They Stay?,
2016
University of Lynchburg
Flight Nurses’ Narratives Of Traumatic Patient Care Events: Why Do They Stay?, Joanne Booth Newton
Graduate Dissertations and Theses
As frontline providers of care, flight nurses are continuously exposed to traumatic patient care events; they are, accordingly, highly vulnerable to the injurious effects of compassion fatigue. Flight nursing is an exclusive nursing specialty in which highly trained registered nurses provide comprehensive pre-hospital, emergency, and critical care to patients with urgent or life-threatening conditions aboard helicopter or fixed wing aircraft or, when necessary due to unfavorable weather conditions, by ground ambulance. The purpose of this study was to explore the lived experiences of five flight nurses; to better understand the factors they perceived to be contributors or barriers to compassion …
Horizontal Violence Effect On Nurse Retention,
2016
Liberty University
Horizontal Violence Effect On Nurse Retention, Victoria M. Cox
Doctoral Dissertations and Scholarly Projects
Horizontal violence is known by a variety of terms such as lateral violence, bullying, and incivility. Christie and Jones (2014) describe lateral violence as a problem in nursing where a behavior is demonstrated through harmful actions that occur between nurses. Studies have revealed how horizontal violence affects nurse retention. Horizontal violence is a relevant issue in the healthcare community, yet often goes undiscussed. Walrafen (2012) explains that an outcome of horizontal violence in nursing is directly proportional to a decrease in retention of nurses. Sherman (2012) proclaimed that nurses who are subjected to horizontal violence have low self-esteem, depression, excessive …
Implementation Of Teamstepps,
2016
Liberty University
Implementation Of Teamstepps, Trynequa S. Jones
Doctoral Dissertations and Scholarly Projects
This scholarly project focused on implementing Team Strategies and Tools to Enhance Performance and Patient Safety (TeamSTEPPS) in an emergency room (ER). The aim of TeamSTEPPS is to improve patient outcomes by educating healthcare professionals on communication and teamwork skills. TeamSTEPPS teaches healthcare professionals leadership skills, shared mental models, mutual trust, and closed loop communication. The purpose of the scholarly project was to improve teamwork and communication. The study method was descriptive analysis of 51 pre and posttest questionnaires, specifically looking for increased knowledge of TeamSTEPPS tools. The participants included: ER physicians, ER nurses, ER certified nursing assistants/health unit coordinators, …
Innovations Volume 1: Issue 2,
2016
Nova Southeastern University
Innovations Volume 1: Issue 2, Ron And Kathy Assaf College Of Nursing
Innovations Magazine
No abstract provided.
Breastfeeding Effects With Early Intervention For Ankyloglossia (Tongue-Tie),
2016
Bethel University
Breastfeeding Effects With Early Intervention For Ankyloglossia (Tongue-Tie), Hope L. Adams
All Electronic Theses and Dissertations
Background: Anklyoglossia or tongue-tie in infants often goes undiagnosed primarily due to the lack of knowledge for assessing tongue-tie thus disrupting a successful breastfeeding experience. Education, diagnosis, and treatment of ankyloglossia are vital in order to create a successful breastfeeding outcome. Purpose: To determine the effects of breastfeeding with early intervention for ankyloglossia (tongue-tie). Theoretical/Conceptual Framework: Benner’s concept of Novice to Expert allows nurses to develop skills over time through education and personal experiences. Weidenbach’s concept of The Helping Art of Clinical Nursing applies to direct patient care, teaching, and advice. Methods: Cumulative Index to Nursing and Allied Health Literature …
Patient Normothermia As It Relates To Surgical Site Infections In General Surgical Cases,
2016
Bethel University
Patient Normothermia As It Relates To Surgical Site Infections In General Surgical Cases, Helen M. Claudon
All Electronic Theses and Dissertations
Background: Approximately 54.4 million inpatient surgical procedures are performed annually in the United States (CDC, 2016). Unfortunately, 500,000-750,000 surgical site infections (SSI) are reported annually (Roesler et al., 2010). A legacy study completed by Kurz et al. (1996) suggested maintaining normothermia during surgery may help decrease SSI. However, few recent studies have been conducted confirming these findings. Purpose: To review current literature for association between normothermia and SSI in adult patients undergoing general surgery. Results: Studies were identified (n = 21) examining association between body temperature normothermia control and SSI in general surgical cases. These studies were analyzed using Betty …
Birth Centers And Underserved Populations,
2016
Bethel University
Birth Centers And Underserved Populations, Michelle M. Dabrowski
All Electronic Theses and Dissertations
Background: Disadvantaged women in the United States experience disparities in prenatal and birth related health outcomes. Purpose: The purpose of this literature review is to answer the question, “Can freestanding birth centers (FBC) improve outcomes for disadvantaged populations?” Results: FBCs do improve outcomes for disadvantaged populations in mode of delivery, low birth weight, prematurity, breastfeeding continuance, enhanced social support, and decreased familial stress, without additional risk for adverse outcomes. FBCs showed a demonstrable financial benefit through decreased facility fees, delivery charges, and fewer costs associated with the adverse health outcomes of cesarean sections, low birth weight, and premature infants. Conclusion: …
Centering Pregnancy: The Maternal And Neonatal Benefits Of Group Prenatal Care,
2016
Bethel University
Centering Pregnancy: The Maternal And Neonatal Benefits Of Group Prenatal Care, Trisha Lynn Nelson
All Electronic Theses and Dissertations
Background/Purpose: Centering Pregnancy is a type of group prenatal care that allows women to meet and receive their prenatal care together. The groups meet ten times during the pregnancy and focuses on different aspects of prenatal care. This critical review of the literature focuses on maternal and neonatal benefits of group prenatal care over traditional one-on-one care. A secondary analysis looks at how group prenatal care affects adolescents, women of low socioeconomic status, and minority ethnicities. The Social Learning Theory by Albert Bandura was utilized to look at Centering Pregnancy. The Social Learning Theory states that learning in a group …
Non-Pharmacologic Antenatal Interventions To Reduce Or Prevent Postpartum Depression,
2016
Bethel University
Non-Pharmacologic Antenatal Interventions To Reduce Or Prevent Postpartum Depression, Jenny Rebecca Olson
All Electronic Theses and Dissertations
Background/Purpose: The purpose of this paper is to critically examine the literature in order to identify whether there are non-pharmacologic antenatal interventions that are effective in reducing or preventing postpartum depression. Theoretical Framework: Cheryl Beck’s theory, Teetering on the Edge: A Substantive Theory of Postpartum Depression, was the theoretical framework used in this paper. Beck’s theory was based on 18 months of studying women with postpartum depression from symptom onset thru the recovery process. During her research, Beck identified four stages to describe the progression of postpartum depression: Encountering terror, dying of self, struggling to survive, and regaining control. Methods: …
Delayed Cord Clamping Impact On Transitional Outcomes Of The Newborn,
2016
Bethel University
Delayed Cord Clamping Impact On Transitional Outcomes Of The Newborn, Ann E. Rice
All Electronic Theses and Dissertations
Background: Currently in the United States, after a baby is born, the umbilical cord is immediately clamped; this is a routine obstetric procedure despite lack of evidence supporting this practice (Elchenbaum-Pikser, 2009). The practice of cord clamping varies with each provider from immediate cord clamping, to delayed cord clamping (which can vary from 1 to 5 minutes) to cord clamping after pulsation of the cord ceases. The procedure of cord clamping is a practice choice made by each medical provider and is based largely on personal preference, not evidence. Purpose: The purpose of this review and synthesis of literature is …
Safety For Women Opting For Tolac Versus An Elective Repeat Cesarean Section,
2016
Bethel University
Safety For Women Opting For Tolac Versus An Elective Repeat Cesarean Section, Nicole Marguerite Rothgarn
All Electronic Theses and Dissertations
Background/Purpose: TOLAC is the trial of labor after cesarean. VBAC is the successful birth after cesarean. The aim of this paper is to establish safety for women opting for the trial of labor after a primary cesarean. The purpose is to be able to determine how we can better counsel our women opting for TOLAC to improve the worldwide cesarean rate. Theoretical/Conceptual Framework: Imogene King’s theory of goal attainment is used to show the correlation between the patient and the midwife thorough the journey of pregnancy. The ultimate goal is to use the four paradigm’s Imogene describes to achieve a …
The Potential Benefits And Risks Of Antidepressant, Antipsychotic And/Or Mood Stabilizing Medications Use In Pregnancy: A Critical Review Of The Literature,
2016
Bethel University
The Potential Benefits And Risks Of Antidepressant, Antipsychotic And/Or Mood Stabilizing Medications Use In Pregnancy: A Critical Review Of The Literature, Brittany Kaye Schultz
All Electronic Theses and Dissertations
Background: Medication use in pregnancy walks a fine line between safety of the mother and adverse effects in the developing fetus. Medications are prescribed to either help the mother maintain mental stability or they are discontinued out of fear of fetal harm. Many providers hope that the shift in hormones during pregnancy will fulfill the medications requirement in the non-pregnant state but this is not always the case. Is a discontinuation in medications upon a positive pregnancy test warranted? Purpose: To determine if antipsychotics, mood stabilizers, and antidepressants should be continued or discontinued during pregnancy or if they negatively impact …
The Use Of Supplemental Progesterone In Preventing Preterm Birth In High-Risk Women: A Critical Review Of The Literature,
2016
Bethel University
The Use Of Supplemental Progesterone In Preventing Preterm Birth In High-Risk Women: A Critical Review Of The Literature, Leah Marie Schroeder
All Electronic Theses and Dissertations
Background: Twelve percent of births in the United States occur before 37 weeks of gestation and therefore are considered preterm births (Norwitz, 2015). While the ability to identify women at risk for preterm birth has improved dramatically over the past three decades, the application of primary and secondary interventions has failed to reduce the incidence of preterm delivery, which has actually been on the rise (Norwitz, 2015). Preterm birth is a phenomenon that needs to be reduced not only in the United States, but also across the world. Purpose: To determine to what extent the use of supplemental progesterone in …
The Benefits Of Hydrotherapy During Labor,
2016
Bethel University
The Benefits Of Hydrotherapy During Labor, Karen M. Sonnenburg
All Electronic Theses and Dissertations
Background: There are many holistic options available to help women cope with the discomforts of labor including pain and anxiety. The use of hydrotherapy during labor is supported by The American College of Nurse-Midwives (2014) due to its many benefits including providing alternative pain relief measures to women during their labor and actual birth (Harper, 2014). Purpose: The purpose of this critical review of the literature is to identify and analyze the benefits of the use of hydrotherapy during labor including the use of showers, water immersion (immersion to the nipple line) and regular bathtubs. Results: Nineteen articles were selected …
Non-Antibiotic Alternatives For Reducing Antepartum Group B Streptococcus Colonization,
2016
Bethel University
Non-Antibiotic Alternatives For Reducing Antepartum Group B Streptococcus Colonization, Rebecca M. Smith
All Electronic Theses and Dissertations
Background: Streptococcus agalactiae (known as Group B strep, or GBS) is a bacterium that resides in the gastrointestinal tract and/or vaginal canal and is typically benign, but during pregnancy and birth it can potentially colonize the neonate, causing early-onset group B streptococcal disease (EOGBSD) of the neonate. The use of antibiotics has reduced the morbidity and mortality associated with neonatal infections, but it is not an entirely effective means of preventing the infections and the development of antibiotic resistance may render antibiotics ineffective for this purpose. Alternative methods of preventing GBS colonization are in use by consumers and out-of-hospital birth …
Beacon Journey: Improving Patient Outcomes: Reducing Adverse Drug Events Using An Inter-Professional Team Approach,
2016
CentraCare Health
Beacon Journey: Improving Patient Outcomes: Reducing Adverse Drug Events Using An Inter-Professional Team Approach, Laurie Annett, Nicole Higel-Backes, Jaclyn Hoppe, Michelle Huffman, Teresa Jahn, Bridget Klein, Jessica Mackedanz-Johnson, Kirsten Skillings, Jayna Theis, Jessica Thoma
Nursing Posters
Literature states that the use of sedation regimens that include routine reversal of benzodiazepines or narcotic agents are not recommded. An inter-professional team concurred that planned reversals would no longer be the standard of practice for patients post post-procedural sedation. An inter-professional team analyzed the use of reversal agents, reviewed literature related to sedation and analgesia by non-anesthesiologists, and proposed recommendations for practice changes.
