Nursing Commons^™

Evaluation Of Continuing Interprofessional Client-Centered Collaborative Practice Programs, Carole A. Orchard

Nursing Publications

This chapter highlights the value of developing program evaluation approaches that focus on the merit or worth of the learning in relation to the program’s perceived accuracy, utility, feasibility, and propriety. A number of approaches to creating a program evaluation plan are provided. A case is made for the application of program logic models (PLMs) to continuing interprofessional education (CIPE) program evaluation. The argument is raised about the comprehensive nature in its application of an open systems approach that allows the linking back to the reason for the program.A case study is then provided to demonstrate how a manager can …

Assessment Of Learning Within Interprofessional Client-Centered Collaborative Practice -- Challenges And Solutions, Carole A. Orchard

Nursing Publications

The focus in this chapter is on the assessment of learning associated with continuing interprofessional education (CIPE) programs. It presents a case for using a formative approach to learning that is then assessed beyond just the CIPE program. How a participant converts learning gained and how it can be shared with fellow members in an interprofessional team are discussed. Factors that influence and impede knowledge uptake are presented. The chapter then shifts to discussion of assessment of team performance addressing team dynamics, knowledge contributions of members, and the organizational environment within which the team practices. Finally, the author provides examples …

Vcu Health: Adult & Pediatric Inpatient Pain Communication Guide (Algorithm), Veronica Nolden, Jessica Keiser

VCU Health Nursing

Abstract Related to Algorithm:

Description/Background

Improving pain management is a priority for all healthcare providers, yet the process for how pain is assessed, reported and resolved often lacks a defined process. This lack of structure can lead to delays in pain control for patients and frustrations within healthcare teams. In an effort to facilitate patient-centered care, an interdisciplinary workgroup was constructed to address this process.

Action

In order to eliminate delays and define a process for pain management, an interdisciplinary workgroup utilized performance improvement processes to develop a communication algorithm. The group membership included nurses, physicians, advanced practice providers, nursing …

What Are The Relationships Among Cumulative Trauma, Posttraumatic Stress Disorder, Sleep Quality, And Perinatal Outcomes In African American Women?, Nancy J. Hauff

Wayne State University Dissertations

WHAT ARE THE RELATIONSHIPS AMONG CUMULATIVE TRAUMA, POSTTRAUMATIC STRESS DISORDER, SLEEP QUALITY, AND PERINATAL OUTCOMES IN AFRICAN-AMERICAN WOMEN?

NANCY J. HAUFF, MSN, RN

May 2015

Advisor: Judith Fry-McComish, PhD, RN, FAAN, IMH-IV, E

Major: Nursing

Degree: Doctor of Philosophy

Trauma, primarily in the form of intimate partner violence and automobile accidents, accounts for 6-8% of all pregnancy complications. Much less is known about cumulative trauma (CT) exposure especially in African-American women. Women exposed to several types of trauma including childhood abuse, discrimination, or witnessed family violence may develop symptoms of posttraumatic stress or have difficulty sleeping.

The purpose of this …

The Experiences Of Black American Older Adults Managing Pain: A Nursing Ethnography, Sheria Grice Robinson

Wayne State University Dissertations

Introduction: Pain can negatively affect quality of life for Black elders. They are less likely to report pain concerns and have voiced pain needs adequately met. To better understand the pain management experiences and concerns of Black elders, an ethnographic study was completed within an urban, low-income, elder housing facility. Methods: 106 participants completed a questionnaire comprised of a demographic tool, the PROMIS Global Health Scale (PROMIS), the Brief Pain Inventory (BPI), and the Psychological Stress Measure (PSM-9). Additionally, participant observation, informal interviews, and 20 formal recorded interviews with individuals identified as having pain were completed. Qualitative and frequency analysis …

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

Student Research Posters

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 …

Alcohol, Tobacco And Illicit Drug Screening In Pregnancy, Lisa R. Jasin

Doctor of Nursing Practice Program Projects

Intrauterine substance exposure is a nationally growing problem. A steady increase in neonates with neonatal abstinence syndrome in the state of Ohio was noted. Prenatal substance use presents a significant burden to society. Of infants exposed to intrauterine opiates, 55-94 percent develop signs of withdrawal. For example, the estimated lifetime cost for a neonate with fetal alcohol spectrum disorder is $2 million. The purpose of this evidence based practice improvement project was to evaluate the utility of the 5Ps screening tool and brief intervention by community health workers during the first prenatal home visit. The Evidence-Based Practice Improvement (EBPI) model …

Joining Forces: Enriching Rn To Bsn Education With Veteran-Centered Learning, Melissa Jones, Henny Breen

Faculty Publications

This article highlights the commitment of the American Association of Colleges of Nursing to engage nursing schools to support the Joining Forces initiative by enhancing the education and preparation of the nation’s nurses to care for veterans, service members, and their families. The progress toward meeting the Joining Forces pledge and integrating veteran-centered learning in an online RN to BSN program is described.

Experiential Learning: Using Virtual Simulation In An Online Rn-Bsn Program, Henny Breen, Melissa Jones

Faculty Publications

This article highlights the innovative experiential learning used by an online RN-BSN program through the use of simulation that takes place in an online classroom. Three experiential learning activities using a virtual community are described. These learning activities engage the students in thinking about social justice and health policy as well as teaching concepts that include community, leadership, influence, advocacy, networking, collaboration, and vulnerable populations. These concepts are critical to the learning needs of diploma and associate degree-prepared nurses who wish to continue their education to be better prepared to meet the complex needs of today’s health care environment.

Journey To The Dnp, Jake Creviston

Faculty Publications

In this article, Dr. Jake Creviston shares details about his personal journey to earning the DNP (Doctor of Nursing Practice) degree. Creviston clarifies what the degree is and suggests opportunities and responsibilities for future DNPs.

Assessing Online Collaborative Discourse, Henny Breen

Faculty Publications

This qualitative study using transcript analysis was undertaken to clarify the value of Harasim’s Online Collaborative Learning Theory as a way to assess the collaborative process within nursing education. The theory incorporated three phases: (1) idea generating; (2) idea organizing; and (3) intellectual convergence. The transcripts of asynchronous discussions from a two-week module about disaster nursing using a virtual community were analyzed and formed the data for this study.

This study supports the use of Online Collaborative Learning Theory as a framework for assessing online collaborative discourse. Individual or group outcomes were required for the students to move through all …

Ob-Pdcds Spanish, Marianne E. Weiss, Gabriella Malagon-Maldonado

Quality of Discharge Teaching Scale

The Readiness for Hospital Discharge Scale, Quality of Discharge Teaching Scale, and Post-Discharge Coping Difficulty Scale were developed by Dr. Marianne Weiss to measure nurse-sensitive discharge care processes and patient outcomes. Three versions of the scales were developed concurrently for different patient populations – Adult medical-surgical patients, Parents of hospitalized children, and Postpartum Patient mothers (see Weiss & Piacentine, 2006, Weiss et al., 2007, and Bobay et al., 2018 for description of the development and initial testing). Additional scales and information about translation rights are located at Marquette Nursing.

PERMISSION TO USE

The Readiness for Discharge Scale, Quality of Discharge …

Ob Qdts, Spanish, Marianne E. Weiss, Gabriella Malagon-Maldonado

Quality of Discharge Teaching Scale

The Readiness for Hospital Discharge Scale, Quality of Discharge Teaching Scale, and Post-Discharge Coping Difficulty Scale were developed by Dr. Marianne Weiss to measure nurse-sensitive discharge care processes and patient outcomes. Three versions of the scales were developed concurrently for different patient populations – Adult medical-surgical patients, Parents of hospitalized children, and Postpartum Patient mothers (see Weiss & Piacentine, 2006, Weiss et al., 2007, and Bobay et al., 2018 for description of the development and initial testing). Additional scales and information about translation rights are located at Marquette Nursing.

PERMISSION TO USE

The Readiness for Discharge Scale, Quality of Discharge …

Fear Of Fatherhood, Deborah Weatherspoon, Wendy Sponsler, Christopher Weatherspoon, Dorothy Campbell

Walden Faculty and Staff Publications

The fatherhood role is influenced by culture, religion, social factors, and economic norms. In Jamaica pregnancy is often treated as a female only event. Women are left to visit their clinics alone and have support from female family members. The man’s focus is providing financial support. In the past fathers were subjected to migrant labor and left their families for long periods. This tradition remained even when they were not working. Today, men are taking on more of the role of fatherhood, becoming involved and supportive and experiencing the privilege of pregnancy though of a secondary nature through their partner’s …

Challenges To Breastfeeding Infants With Phenylketonuria, Sandra Banta-Wright

Faculty Publications - College of Nursing

Breastfeeding duration for infants with phenylketonuria (PKU) is less than other full-term infants. However, no study has examined the challenges encountered by mothers' breastfeeding infants with PKU. In 75 mothers of a child with PKU, three categories of breastfeeding challenges were identified: common breastfeeding issues, breastfeeding and PKU, and no challenges. The common breastfeeding issues can be identified in the literature but for these mothers, the issues are heightened due to frequent phenylalanine (Phe) monitoring. Even so, many mothers adapt breastfeeding to maintain desired Phe levels. A few mothers had no issues and were the exception, not the norm.

Patient Centered Medical Home: Creating A Blueprint For Quality Healthcare Through Illustrative Simulation, Brenda Helen Sheingold, Deborah W. Chapa, Esther Emard

Nursing Faculty Publications

The advent of healthcare reform in the U.S. presents an unprecedented challenge to academic institutions that are striving to prepare a workforce to interact with individuals needing care in a variety of new practice settings. Patient-centered care is a core objective of these evolving settings which enhance access to a variety professionals and services in one location. This study was conducted over a period of three years and describes how illustrative simulation can be employed as a learning intervention to prepare graduate students for the expanded scope of practice necessary to function in the Patient Centered Medical Home healthcare delivery …

Leadership In Learning And Teaching In Higher Education: Perspectives Of Academics In Non-Formal Leadership Roles, Anne Hofmeyer, Brenda Helen Sheingold, Hester C. Klopper, Jane Warland

Nursing Faculty Publications

Developing leaders and leadership are key factors to improve learning and teaching in higher education. Despite the abundance of literature concerning developing formal leadership, fewer studies have been conducted with academics in non-formal leadership roles that focus on how they develop their leadership in learning and teaching. Publication and funding metrics are evidence of leadership and success in research. Metrics in learning and teaching exist, but are less well accepted and valued. We undertook a qualitative descriptive study to examine how academics in non-formal leadership roles at an Australian university understood leadership and described their leadership in teaching. Following ethical …

A Collaborative Approach To An Advanced Nursing Practice, Elizabeth R. Janeczko

Theses and Graduate Projects

Collaboration within multiple disciplines is fundamental to the success of any health care practitioner. For the Advanced Practice Registered Nurse (APRN), collaboration as well as the use of a mentor during a detailed, organized orientation leads to success in the chosen field of the APRN. A good orientation requires the current staff to work together in a harmonious way to mentor the new orientee and ultimately produces a confident staff member. An unorganized orientation lacking in collaboration may force the orientee to struggle, never knowing if they are on the right path, can lead to disruption of the unit, dissatisfaction, …

Developing A Healthy Work Environment For Radiology Nurses Through Metaphor, Anne Cords

Theses and Graduate Projects

A healthy work environment is an essential part of a nurse's professional practice. Providing nurses access to resources to understand the importance of a healthy work environment should be present in healthcare organizations. After evaluating a Radiology Department at a large hospital in the Midwest, the themes of communication, collaboration, and authentic leadership were revealed as areas to be improved upon for this work environment. Not only will these themes contribute to the workplace as well as providing effective patient care. The American Association of Critical-Care Nurses (AACN) Standards for Establishing and Sustaining Healthy Work Environments (Barden, 2005:2016) and Martha …

Improving Patient Safety In The Operating Room: Utilizing A Safety Checklist And Briefings, Lori R. Schacht

Theses and Graduate Projects

The perioperative care setting can be a hazardous environment for patients undergoing surgery. Surgical teams caring for patients undergoing complex surgical procedures may create an opportunity for surgical errors impacting patient safety. The purpose of this project is to improve consistent standardized Surgical Safety Checklist (SSC) use and briefings in the orthopedic perioperative care setting in a large Midwestern hospital, thereby supporting a culture of safety through staff engagement and a team-based communication approach. Watson’s Theory of Human Caring guided this project through the theoretical concepts of presence and faith. An initial implementation of the SSC and briefings revealed a …