Nursing Commons^™

Experiences In Care Given During Child Birth At A Referral Hospital In Kenya, Jane Kabo, A. Karani, J. Oyieke, A. B. Wakoli, B. Cheruiyot

School of Nursing & Midwifery, East Africa

The fifth Millennium development Goal (MDG) calls for a reduction in the maternal mortality ratio (MMR) by 75% between 1990 and 2015, with a key indicator being the proportion of births attended to by skilled health personnel, (United Nations, 2007). In Kenya the MMR is 400 and has made insufficient progress towards improving maternal health, (UNICEF, WHO, World Bank, 2013). According to KDHS (2014), the proportion of skilled birth attendance is 46.5%, while in Kenya it is 62% against an MDG target of 90%. According to Zaers S., et al., (2008), prior experience in delivery care by skilled attendants affects …

Nurse Staffing And Patient Outcomes: A Longitudinal Study On Trend And Seasonality., Jianghua He, Vincent S. Staggs, Sandra Bergquist-Beringer, Nancy Dunton

Manuscripts, Articles, Book Chapters and Other Papers

BACKGROUND: Time trends and seasonal patterns have been observed in nurse staffing and nursing-sensitive patient outcomes in recent years. It is unknown whether these changes were associated.

METHODS: Quarterly unit-level nursing data in 2004-2012 were extracted from the National Database of Nursing Quality Indicators® (NDNQI®). Units were divided into groups based on patterns of missing data. All variables were aggregated across units within these groups and analyses were conducted at the group level. Patient outcomes included rates of inpatient falls and hospital-acquired pressure ulcers. Staffing variables included total nursing hours per patient days (HPPD) and percent of nursing hours provided …

An Examination Of Maternal Stress And Secondhand Smoke Exposure On Perinatal Smoking Status, Karen R. Damron

Theses and Dissertations--Nursing

The median prevalence of smoking among women of childbearing age in the United States is 22.4%. Of women who identify themselves as smokers in the three months prior to conception, 55% quit during pregnancy; however, 40% of those who quit relapse and return to smoking within six months after delivery. Smoking has been identified as an important means of stress management among smokers in general, and though limited to the perinatal period, pregnancy-specific stress adds to a woman’s typical day-to-day stress burden. Little data exists as to the effect of SHS exposure on smoking status during pregnancy and the impact …

Partnership, Maine Medical Center

Annual Reports

Biennial Report on Nursing, 2015-2016

Nurse Practitioner M.S.N. Aprn Curriculum, Nova Southeastern University

Health Professions Divisions Course Catalogs and Course Descriptions

No abstract provided.

Integrative Review Of Nurse-Delivered Community-Based Physical Activity Promotion, Elizabeth Richards, Y. Cai

School of Nursing Faculty Publications

Purpose: The purpose of this integrative review is to 1) describe intervention attributes, 2) describe the role of nurses in community PA promotion, and 3) describe the efficacy of the interventions in terms of PA behavior change. Methods: Computerized database and ancestry search strategies located distinct intervention trials between 1990 and 2015. Results: Thirteen national and international studies with 2,353 participants were reviewed. Multi-dose, face-to-face, group-based interventions with or without individual-based contacts for 6 months or less were the most common intervention delivery modes. Only 40% (n=5) of the studies integrated health behavior theory into intervention design. Less than half …

Supporting Healthy Futures For East Africa: Celebrating 15 Years Of Partnership In Nursing Education. School Of Nursing And Midwifery In East Africa, Aga Khan University, Nairobi, Kenya, Sharon Brownie, Walter Robb, Lyndal Hunter, Cliff Aliga, Isabel Kambo, Atem Machar, Joseph Mwizerwa, Judith Mutyabule, M. Namuguzi, Carolyne Namukwaya, Esther Nderitu, Leah Sande, Victor Skrzypczynski, Muneerah Vastani, Mariana Xavier

Books

This impact evaluation study was designed on the basis of quality and accountability. It focused on sourcing evidence regarding the impact and achievements of a 15-year investment in nursing education and workforce capacity building. The study was also designed to enhance alumni connection and establish sustainable models for monitoring and evaluation.

Problems, Awareness And Practices Of Caregivers Of Epileptic Patients Regarding Home Management Of Epilepsy, Deepika Chauhan Ms, Manisha Kumari Ms, Priya Portion Ms, Vanita Kumari Ms

Manipal Journal of Nursing and Health Sciences

Background: Epilepsy is the fourth most common neurological disorder which affects people of all ages. Inappropriate management during seizure episodes among the epileptic patients can lead to complications. That is why, it is important for caregivers of epileptic patients to know about the disease and its management. Objective: To assess the problems, awareness and practices of caregivers of epileptic patients regarding home management of epilepsy. Material and Methods: A descriptive approach was employed. A total of 60 subjects (caregivers) visiting neurology OPD of tertiary care hospital in the month of April 2014 were enrolled. Information profile, details and information regarding …

Comparison Of Body Temperature Of Elderly With Adult In South India, Anu Baby Ms, Sulochana B Ms, Latha T Ms

Manipal Journal of Nursing and Health Sciences

Background: Ageing is a gradual process, characterized by continued development and maturation. Every year there is an increase in the elderly population. Body temperature is an indicator of health status. However, thermoregulatory function is thought to decline with ageing. Therefore, it is significant to know the normal body temperature in elderly. Objective: Compare the normal body temperature among adults and elderly using Omron MC-510 tympanic thermometer. Methods: A cross sectional descriptive survey design was adopted for the study. Elderly (n=360) and adults (n=360) were screened for the presence of factors affecting core body temperature. Readings were recorded using Omron MC-510 …

Impact Of Multimodal Pre-Operative Preparation Program On Children Undergoing Surgery – A Pilot Project, Priya Reshma Aranha Ms, Larissa Martha Sams Dr, Prakash Saldanha Mr

Manipal Journal of Nursing and Health Sciences

Introduction: It has been observed that children undergo a considerable amount of fear and anxiety when waiting for an upcoming surgery. Many non-pharmacological strategies are being used to manage the pre-operative fear and anxiety in children. This study evaluates the effectiveness of multimodal pre-operative preparation program on fear and anxiety of children undergoing surgery. Methods: It was a quasi-experimental study conducted in selected paediatric surgical units. Using purposive sampling technique, 12 children aged 8-12 years undergoing surgery were selected as study participants. They were divided into experimental and control groups — with six participants in each group. The experimental group …

A Review Of The Effect Of Occupational Experience Of Patient Death And Death Situations On Nurses, Rhoda Suubi Muliira, Joshua Kanaabi Muliira

Manipal Journal of Nursing and Health Sciences

Background: Impacts of regular occupational exposure and experience of patient death on nurses’ professional quality of life and well-being. Despite the impacts, it has not yet been adequately addressed by professional training, research and by employers of nurses. Purpose: To analyze the impacts of occupational exposure, experience of patient death and death situations on nurses’ professional quality of life and recommend strategies to curtail them. Methods: Studies were retrieved from three databases CINAHL, SCOPUS, MEDLINE and reference lists of relevant journal publications. Results: The findings show that the impact of experience of patient death on nurses positively or negatively depending …

How To Tackle Non-Compliance Among Patients Undergoing Maintenance Haemodialysis: Role Of Educational Interventions, A Review Of Literature, Asha P. Nair Ms

Manipal Journal of Nursing and Health Sciences

End stage renal disease is a major, chronic, non-communicable, and irreversible health problem that affects people all over world including India. Being one of the worst inevitable complications of diabetes mellitus, diabetic nephropathy ranks first among the causes of end stage renal disease. There are only limited options for the patients with end stage renal disease; either to wait for a donor kidney or to undergo renal replacement therapies. Even though the definite treatment is renal transplantation, patients have to wait years for a matching donor kidney. Hence, they are forced to undergo dialysis to sustain their lives. Compliance towards …

Amniotic Band Sequence With Clubfoot In A Neonate: A Case Report, Maria Pais Ms, Leslie E. Lewis Dr, Ramesh Bhat Y Dr, Jayashree P Dr

Manipal Journal of Nursing and Health Sciences

Amniotic band sequence (ABS) refers to a variable spectrum of congenital anomalies that occur in association with fibrous amniotic bands. The abnormalities are typically limited to external structures, most frequently to limbs and digits resulting in digital amputation and constriction rings. Sometimes ABS may be associated with visceral abnormalities and clubfoot. We report a case of ABS with clubfoot in a neonate

Low Self-Esteem Leads To Depression Among Elderly: Case Study Of Nursing Home, Savera Aziz Ali, Nadir Suhail, Sumera Aziz Ali

School of Nursing & Midwifery

Background: Self-esteem is defined as “how we value our self”; it affects our trust and relationships in every part of life. Person with low self-esteem may feel powerless and incompetent about himself/herself. Moreover, low self-esteem operates as a risk factor for depression, which is most common disorder among elderly people both in developed and developing countries, causing multiple behavioral changes as well as may increase the chances of depression and suicide among the elderly people. Objective: The objective of this case study was to understand the problems faced by elderly people in the nursing home and to relate the self-esteem …

Implementation Of A Nurse Practitioner Residency Program In Critical Access Hospitals, Anna Ngwisah Bolima

Walden Dissertations and Doctoral Studies

Access to health care in rural communities is challenged by workforce shortages. Nurse practitioners (NPs) have been filling the gap created by physician migration into specialty areas. Flex hospital legislation allows critical access hospitals (CAHs) to staff the emergency department with NPs without on-site physicians. NP education often lacks emergency and trauma curriculum, resulting in gaps in practice expectations and significant role transition stress and turnover. The purpose of this project was to construct from the scholarly literature a transition-to-practice residency program to support NP's in providing emergency department care in the CAH. The limbo to legitimacy theory guided the …

Diabetes Mellitus Type 2: A Quality Improvement And Patient Safety Initiative, Remeliza Navarrete Tukay

Walden Dissertations and Doctoral Studies

The purpose of the quality improvement (QI) project was to examine the relationship between amended nursing education concerning diabetes mellitus (DM) Type 2 self-care management incorporating Tune in, Explore, Assist, Communicate, and Honor (TEACH) and Motivational Interviewing (MI) strategies and techniques and the Glycosylated hemoglobin (HgbA1C) of veteran patients with uncontrolled diabetes. The target sample included the 2 licensed practical nurses and 2 registered nurses assigned to 2 primary care teams, and the 10 purposively sampled patients with uncontrolled DM Type 2 from each team. The nurses' competencies were measured through descriptive comparison before and after nursing education implementation using …

Improving Quality Of Care For Mechanically Ventilated Patients In Long Term Care Through Full Compliance With The Ventilator Bundle Protocol, Tedgardo Pacal Mercene

Walden Dissertations and Doctoral Studies

One of the most common methods used by healthcare professionals in the ventilator unit to reduce morbidity and mortality due to ventilator-associated pneumonia (VAP) is a group of best practices known as the ventilator bundle. However, evidence from the literature shows that all its components must be in compliance if the bundle is to be effective. The purpose of this quality improvement project was to investigate the level of compliance with the different components of the ventilator bundle protocol at the study site's nursing home and rehabilitation center, as well as to improve compliance with the bundle protocol at the …

Developing A Guideline For Care Of Students With Diabetes, Rita Ozioma Onwenna-Aninyei

Walden Dissertations and Doctoral Studies

Diabetes mellitus (DM) is one of the most common chronic diseases affecting children under the age of 20, and it often leads to serious complications. In recent decades, there has been an increase in incidence of both types of DM among U.S. children. Having this chronic condition not only negatively impacts the health of these children but also their academic achievements. School health nurses struggle to manage these children appropriately and safely. The purpose of this project was to develop an evidence- based guideline for a standardized process in which school nurses coordinate the school and student health care teams …

Developmental Evaluation Of A Centralized Denials Management Program, Lisa Schiener

Walden Dissertations and Doctoral Studies

Health care reimbursement is changing, and hospitals are finding it difficult to receive payment due to insurers' denial of services already rendered to patients. A denial can be considered an underpayment by the insurer to the hospital. Using a Six Sigma approach, a large hospital system in the southeast United States found that individual hospitals were not focused strictly on denials, but other tasks as well. Hospital administrators conducted a literature review and found that centralizing denials management team has improved reimbursement outcomes elsewhere. Therefore, the hospital system implemented a centralized denials unit to focus on overturning insurer denials while …

An Exploration Of Bullied Nurses, Witnesses, And A Hospital's Bottom Lline, Brenda Kay Williams

Walden Dissertations and Doctoral Studies

Nurses experiencing bullying or witnessing other nurses bullied may choose to vacate their hospital positions. Nurse attrition negatively impacts a hospital's bottom line, which can lead to insolvency and a lack of access to healthcare by patients. The purpose of this phenomenological study was to understand the choices nurses made regarding their careers after experiencing or witnessing bullying and to calculate a hospital's cost of loss. Freire's oppressed group theory provided the conceptual framework for the study. The basis of the research questions was to understand how the nurse felt when bullied or observing a coworker bullied, the actions taken, …