Nursing Commons^™

Intraprofessional Nursing Communication And Collaboration: Apn-Rn-Patient Bedside Rounding, Rita M. Herm-Barabasz

UNLV Theses, Dissertations, Professional Papers, and Capstones

Executive Summary

Leading advisory agencies have long advocated that health care must be safe and effective (Institute of Medicine [IOM], 2001). In order for health care to be safe and effective, good communication and collaboration are essential. Research has found that in health care, poor communication and teamwork failures are the major contributors to adverse events (Cornell, Townsend-Gervis, Vardaman, & Yates, 2014; The Joint Commission, 2011; O’Leary, 2012). Such communication-related adverse events can cause avoidable injury, loss of life, and financial devastation. In light of advanced practice nurses’ (APN) increasing contribution in care management, and in order to ensure delivery …

Get Some Skin In The Game: Best Practices For Pediatric Skin Care, Elizabeth Kiss, Christine Cahill

Nursing Faculty/Staff Publications

Care of patients’ skin is a nurse-sensitive outcome measure established by the American Nurses Association (Young & Clark, 2009). Maintaining skin integrity in the critical-care environment is difficult because of patient acuity and the highly invasive interventions and therapies they receive (Galvin & Curley, 2012). The prevalence, prevention, and treatment of skin breakdown have been studied in adults, but research is lacking for children (Groeneveld et al., 2003). Pediatric patients have different anatomic, physiologic and developmental factors that alter their risk of obtaining and presentation of hospital acquired pressure ulcers (HAPUs), (Noonan, Quigley & Curley, 2013). Medical devices monitoring has …

The Experience Of Siblings Of Youth With Type 1 Diabetes, Stephanie Miller

Theses and Dissertations

Background. Type 1 diabetes requires intensive management, including blood glucose monitoring, carbohydrate counting and dietary modification, and administering insulin. When a child is diagnosed with type 1 diabetes, family dynamics are often altered as family schedules revolve around care for the child with diabetes. In addition, siblings face unique challenges as they become involved in the care of the child with type 1 diabetes. Therefore, it is important to understand experiences of siblings of youth with type 1 diabetes. Aims and Objectives. To identify experiences of siblings of children with type 1 diabetes from their own perspectives. Sample. As part …

Patients' Perception Of Feeling Known By Their Nurses And The Nurse Practice Environment, Deene' L. Mollon

Dissertations

Healthcare leaders have a responsibility to understand the connection between healthy practice environments and patients’ perceptions of care. The purpose of this research was to explore the relationship between the nurses’ perception of the practice environment and the patients’ perception of feeling known by their nurses.

This descriptive, correlational study used quantitative and qualitative methodology. A convenience sample of 123 patients, on six patient care units, completed the Patients’ Perception of Feeling Known by their Nurses Scale and a supplemental survey designed to determine the content validity of the Patients’ Perception of Feeling Known by their Nurses Scale. To …

Getting Started With Debriefing For Meaningful Learning, Kristina Dreifuerst

College of Nursing Faculty Research and Publications

Debriefing for Meaningful Learning© (DML) is a method of debriefing that can be used in simulation environments and other clinical settings to foster student's reflective thinking and learning. It has been used successfully with prelicensure nursing students, graduate nursing students, and interdisciplinary health care students throughout the nursing curriculum with positive learning outcomes. This method can be challenging to learn because it uses Socratic questioning and principles of active learning to uncover thinking associated with actions, but once learned, DML can be a model for reflective thinking that students can use to develop clinical reasoning and become reflective practitioners. Moreover, …

Trauma Nurses: Making A Difference, Kathryn Schroeter

College of Nursing Faculty Research and Publications

No abstract provided.

Integrating Institute Of Medicine (Iom) Core Competency Of Evidence-Based Management Practice With Senior Leadership Nursing Students, Rose Powell, Karen Migl

Bright Ideas Conference

The purpose of this project is to provide an environment for the senior leadership nursing student to analyze a current leadership/management research article and apply the findings to nursing management practice.

When Stress Causes A Heart To Break, Jared M. Madeo, Blaine Winters

Student Works

Tako-tsubo cardiomyopathy is a rare but serious form of heart disease. It present like acute coronary syndrome but, unlike acute coronary syndrome, tako-tsubo is not caused by narrowing in the coronary arteries. This syndrome predominately affects post-menopausal females and is typically associated with a stressful event. The stressful event can be either emotional or physical. The left ventricle is left temporarily stunned from large amounts of catecholamines that are theorized to be present because of the stressful event. The Left Ventricles will typically take on the appearance of an octopus trap or the “tako-tsubo” in Japanese.

Access To Healthcare: Understanding Disparities Among Lgbt & Black Communities, Taylor Jones

Honors Theses

This paper aims to explain and improve the disparities that intersect the Black and LGBT communities of Berrien County as it relates to access to healthcare, specifically those at risk for HIV. This paper identifies the various resources used to highlight these including the Kalamazoo Community AIDS Resource Education Services (CARES). There are many factors that put these populations at risk. The LGBT and Black communities are at risk due to factors such as STIs, multiple sex partners, unprotected sex, use of drugs during sex, low socioeconomic status, inadequate data on race, ethnicity, and language lowers the likelihood of effective …

A Post Discharge Support Program For Patients Experiencing Psychological Non-Epileptic Seizures: A Pilot Project, Lahoma Prather

Graduate Theses, Dissertations, and Capstones

Abstract

Rationale: There are no accepted standards of care for patients with psychological non-epileptic seizure (PNES) disorder. However the literature regarding PNES identified three common themes including acceptance of the diagnosis; consistent support and follow up; and development of appropriate outcome indicators. This pilot project was designed to address these themes rather than focus on a specific treatment modality.

Methods: The pilot project was initiated at the University of Louisville Comprehensive Epilepsy Center (CEC) to evaluate the feasibility of a post-discharge support program for the PNES population. Outcomes identified for measurement included seizure frequency, health care utilization, anti-epileptic medication use …

Preparing Nurse Practitioners To Diagnose, Treat, And Educate About Sports Related Concussion: Textbooks Are Not Enough, Pamela Mapstone

Nursing Faculty/Staff Publications

Sports related concussions are a major public health concern for children, parents, coaches, and health care providers. In 2006, the CDC estimated that 1.6-3.8 million sports and recreational concussions occur each year (Langlois, Rutland-Brown, & Wald, 2006). Emergency department visits for kids with sports related concussion increased 92% from 2002-2011 according to a study conducted at Cincinnati Children’s Hospital (Hanson, Pomerantz, & Gittleman, 2013). In the past 10 years, medical evaluations for sports related head injuries increased by 62% (Hanson, Pomerantz, & Gittleman, 2013). Effective management of sports related concussions in the pediatric population requires timely and accurate diagnosis and …

Nurse’S Perceptions Of Best Practices To Assess Pediatric Patients And Educate Their Families Experiencing Delayed Effects Of Cancer Therapy: “Chemo Brain:” A Pilot Study, Jennifer A. Tapping

Scholarly and Creative Works Conference (2015 - 2021)

With more advanced and more aggressive chemotherapy cancer treatment leading to higher survival rates, complications with quality of life are becoming more prominent. Of these complications, delayed cognitive processing, commonly known as “chemo brain,” is becoming a topic of interest. Cognitive changes are some of the most common as well as most challenging complications associated with central nervous system (CNS) directed treatment, such as intrathecal chemotherapy, for acute lymphoblastic leukemia (ALL) and brain tumors. The term “chemo brain” is often used to describe self-reported or observed cognitive processing delays in patients who receive chemotherapy as a form of cancer treatment …

Literature Review Of Nosocomial Infections Passed Through Nurses' Personal Items, Corina Hickman

Scholarly and Creative Works Conference (2015 - 2021)

As defined by the encyclopedia, nosocomial infections are infections whose development is favored by a hospital environment, such as one acquired by a patient during a hospital visit or one developing among hospital staff. There has been more of a prevalence of hospital-acquired infections that are linked directly to medical personnel – especially nurses. Nurses have the most contact with patients and are potentially putting patients at highest risk for nosocomial infections. Even though nurses are following isolation precautions and standard hand washing in between patients; there are still a few things on nurses that could be harmful to their …

A Literature Review Of Vertical Violence Between Staff Medical Surgical Nurses And Nursing Students During Clinical Rotations, Lisa N. Cunningham

Scholarly and Creative Works Conference (2015 - 2021)

Vertical violence is defined as any act of violence including yelling, snide comments, withholding information, ignoring, and humiliating behaviors occurring between two or more persons on different levels of a hierarchical system that prohibits professional performance and satisfaction within the workplace (Cantey, 2013). Vertical violence can occur in any unit of the hospital but is mainly felt and witnessed by student nurses and their clinical instructors in the medical surgical units. According to research done by Fenush and Hupcey (2008), the nursing shortage is most severe in the medical surgical units. Their research found that the two greatest factors in …

The Triage Experience, Susan F. Sanders Phd, Rn

GS4 Student Scholars Symposium

ABSTRACT

Introduction: The interaction between nurse and patient in Emergency Department triage is a pivotal point in emergency care. The goal in triage is to rapidly assess a patient’s status and urgency of need. Determining urgency of need is absolutely crucial. The purpose of this study was to elicit the perspective of the triage emergency nurse to uncover possible components necessary for successful triage.

Methods: Using an interpretive phenomenological method, the experience of triage was explored by conducting semi-structured interviews. Seven emergency nurses in the coastal Georgia area, with a mean age of 40, were interviewed after accepting an open …

Reduction Of Poor Birth Outcomes Among Low-Income First-Time Mothers: Gis-Assisted Analysis Of The Nurse-Family Partnership, Elizabeth Macquillan

Research and Creative Activities Poster Day

Poor births occur disproportionately among women in poverty, teens and African-Americans. The Nurse-Family Partnership (NFP) aims to reduce poor births in Calhoun County among low-income first-time mothers; however, it was unknown if the program recruited effectively across the commuinity and whether outcomes were favorable. Geographic information systems (GIS) mapping using ArcGIS, statistical analysis of county birth records (2012), and 2013-14 NFP data were used to evaluate program recruitment and outcomes. NFP experienced no poor births to blacks or teens despite over-enrolling from these high-risk groups. GIS enables evaluators to examine NFP coverage of the at-risk community to improve program effectiveness.

Exploring The Complexities Of Daily Life And Healthcare For The Old Order Amish Of Central Wisconsin, Denise E. Barten

Theses and Graduate Projects

My heritage includes a long line of farmers dating back to the 1800's. This connection to farming, the land and my community in Clark County, Wisconsin was the impetus for me to create a cultural immersion experience for the students of Augsburg's nursing program. My projection is an exploration into the old order Amish community of central Wisconsin, a glimpse into farming both past and present and a celebration of the land. As a requirement for the completion of the DNP program I completed practicum hours at a small self-pay clinic owned and operated by a Mennonite physician in the …

Circle Of Care And Hope: An Adaptation And Empowerment Mental Health Healing Model For Blacks, Judy Edvaline Vansiea

Theses and Graduate Projects

PURPOSE- To engage and empower Black people with a "Circle of Care and Hope" that helps them to overcome their unequal access to effective mental health treatment. PROJECT DESCRIPTION- Black people in the United States have experienced unequal access to effective mental health care treatment due to centuries of oppression by the dominant Caucasian culture in the United States. This history has caused many Black people to distrust the purely Western and Caucasian-dominated model of mental health treatment. In response to this problem the author has adapted and integrated three healing modalities: multiple Western, theoretically-based therapies; culturally appropriate practices for …

Cervical Cancer Screening In Rural Tanzania, Shangwe Kiliaki

Theses and Graduate Projects

Healthcare is complex, ever-changing, and unpredictable, and the healthcare system in Tanzania is susceptible to such complexities. As one of the poorest countries in the world, with approximately 75 percent of the 50,000,000 people residing in rural areas, increasing access to health services in remote regions is crucial. The leading cause of death among women is cervical cancer in Tanzania. This is due to limited preventive health services such as cancer screening programs, shortage of healthcare facilities in rural areas, vaccination programs for HPV, and simple lack of cervical cancer awareness in rural communities. As a starting point, a cervical …

Retreat As A Learning Medium For Health, Empowerment And Transformation Of Tanzanian Girls, Rebecca S. Hartwig

Theses and Graduate Projects

Social determinants of health in Tanzania include poverty, low educational standards, and pandemic diseases such as malaria and HIV/AIDS. Girls in Tanzania are at an increased disadvantage in educational and vocational opportunities relative to boys. They are also an identifiable 'at risk' population regarding access to health care and health education. To address vulnerability of girls, a 5 day retreat for 12 year old girls was held in July, 2014 in Ruaha Mbuyuni, a small village in Iringa region of Tanzania. Using cirlce process, focused group discussions, and creative arts, participants were given the opportunity to express their hopes, dreams, …