Nursing Commons^™

Guest Editorial, K Ramnarayan Dr

Manipal Journal of Nursing and Health Sciences

No abstract provided.

Dogs, Physical Activity, And Walking (Dogs Paw): Acceptability And Feasibility Of A Pilot Physical Activity Intervention, Elizabeth Richards

School of Nursing Faculty Publications

Background. The aims of this study were to describe the development of and investigate the feasibility and acceptability of a pilot randomized controlled physical activity intervention based on social cognitive theory which used a dog walking strategy.

Methods. Participants (n=49) were randomized into an intervention or control group. Overall, participants were middle-aged (mean=45.7±13.4 years), Caucasian, and on average considered obese with an average BMI of 30.0±5.5. Descriptive statistics were used to summarize participant characteristics and analyze the feasibility and acceptability data. Regression models were used to: 1) examine significant differences between intervention and control groups across time (baseline to post-intervention) …

A Survey On Practices Of Koraga Tribes During Diarrhoea In Children, Shrisha, Binu E. Margaret Mrs, Sheela Shetty Mrs

Manipal Journal of Nursing and Health Sciences

Introduction: Every society follows different practices to treat various childhood illnesses. Tribal populations are isolated from the general population by their own lifestyle and practices. The objective of the study was to assess the treatment practices of the Koraga tribes during diarrhoea in children. Materials and Methods: A descriptive survey using face-to-face interview technique was undertaken among 200 caretakers of Koraga tribe using a semi-structured questionnaire. Data analysis was done using SPSS v16.0. Results: 110 (55%) respondents were using arrowroot mixture; curd and salt were used by 34 (17%) to treat diarrhoea. Other practices include use of wheat sooji porridge …

Pre And Post Implementation Evaluation Of An Emergency Department Severe Sepsis Alert And Practice Protocol, Darleen Williams

Electronic Theses and Dissertations

Severe sepsis kills an estimated 1,400 people worldwide every day. This often fatal infectious process accounts for an estimated 215,000 deaths in the United States (US) annually. The main goal of this project was to evaluate the impact of the Emergency Department Severe Sepsis Alert and Practice Protocol (EDSSAPP) post implementation, on time to first antibiotic administration, length of stay, and mortality in patients admitted via the ORMC ED with severe sepsis. This study evaluated the time to first antibiotic administration, total ED and hospital length of stay (LOS) and mortality of severe sepsis patients either with a severe sepsis …

The Impact Of Scheduled Meal Breaks On Icu Nurses, Ericka L. Privitt

Doctor of Nursing Practice (DNP) Practice Innovation Projects

The goal of this practice improvement project was to evaluate the impact of scheduling meal breaks for intensive care unit nurses at a Midwestern hospital. A literature review identified stress a main source for burnout and the nursing shortage. Recommendations for the creation of a healthy work environment were found and a program to schedule meal breaks was implemented over a nine week period. The Meal Break Impact Survey was utilized to gather pre and post-survey data. The following data was collected on the Meal Break Impact Survey: (a) demographics; (b) questions in Likert scale response on availability, access, beliefs, …

The Male Army Nurse Corps Officer Experience In The Vietnam Conflict, John P. Pelletier

MUSC Theses and Dissertations

Background: A considerable amount of research has been conducted on the wartime experiences of female nurses who served in the Vietnam conflict and as a result, much is known about their experiences and the impact that their service had on their personal and professional lives. The same, however, is not true for male nurses. Anecdotal evidence suggests that the experiences of male Army Nurse Corps (ANC) Officers may have been substantially different from that of their female colleagues, thus making the impact of the experience on them potentially different. Overall Objective: This study explores and interprets the lived experiences of …

Interaction And Cognitive Engagement In Online Discussions In Professional Development Leadership And Management Course At A Private Nursing Institution, Nimira Asif, Samina Vertejee, Sharifa Bashir Lalani

School of Nursing & Midwifery

In the Post RN BScN curriculum, one of the courses “Professional Development and Leadership (PDLM)” was offered as blended mode for the first time. In order to explore the students’ interactions and Cognitive Engagement (CE) in Online Discussion Forums (ODFs), the research team conducted a retrospective study for the first time at a private nursing institution of Karachi-Pakistan. The study was conducted by utilizing the retrospective qualitative paradigm of discourse analysis to understand student’s CE in ODFs. The study has addressed the following one main and three subsidiary research questions: How do threaded discussions (in the part of online forums) …

A Faith-Based Primary Diabetes Prevention Intervention For At-Risk Puerto Rican Adults: A Feasibility Study, Sylvia Torres-Thomas

Electronic Theses and Dissertations

Diabetes is a serious health threat that disproportionately affects Hispanics of Puerto Rican heritage. Current evidence supports diabetes prevention programs to change health behaviors in people who are at risk and thus prevent the development of type 2 diabetes. However, few interventions exist for Hispanics, and even fewer have been designed for Puerto Rican adults. A literature review of community-based diabetes prevention programs involving at-risk Hispanics was conducted using a cultural sensitivity framework to determine the state of the science and identify gaps in knowledge regarding diabetes prevention for Puerto Ricans. An integrated theoretical framework was developed using constructs from …

Influence Of Maternal Prior Life Adversity On The Psycho-Neuroendocrine-Immune Profile During Pregnancy, Karen J. Kotz

Dissertations

Pregnancy is accompanied by a multitude of physical and psychological changes. Adaptation to these changes through reduced anxiety and attenuated stress responsiveness is necessary across gestation and into the postpartum period for optimal maternal-infant health. In contrast, exposure to higher amounts of stressors during pregnancy can disrupt neuroendocrine-immune processes required for successful pregnancy outcomes. Evolving evidence demonstrates that exposure to adversity early in life has long-lasting effects on stress response systems that alter stress reactivity during adulthood. Given this evidence, it is posited that women who experience greater pre-pregnancy adversity during their childhood are at greater risk for negative maternal-infant …

Incontinence And Skin Integrity In Immobile Populations, Frederick Green, Alyssa Starr

Nursing Student Work

No abstract provided.

Vcuhs Inquiry Process Diagram, Roy E. Brown, Dale Wright, Vcuhs Ebp Translation Committee

VCU Libraries Faculty and Staff Publications

This diagram outlines the nursing inquiry process when it comes to answering questions that arise in the clinical setting. The diagram shows how a nurse proceeds through the process and when the question is answered though either a evidence based practice project (EBP), a performance improvement (PI) project or when it becomes a research project.

Depressive Symptoms And Violence Exposure: Contributors To Repeat Pregnancies Among Adolescents, Cheryl Ann Anderson

Nursing Faculty Publications & Presentations - Archive

Depressive symptoms and violence exposure (VE) often cooccur and have been recognized to influence childbearing; contribution to repeat pregnancy is unclear and examined in this article. This cross-sectional, descriptive, study screened for depressive symptoms and VE among 193 adolescent mothers at a large county hospital in Southwestern United States. Repeat pregnancy and depressive symptoms characterized one-third and one-quarter of adolescents, respectively. Despite minimal disclosure of VE, repeat pregnancy was significantly influenced by child abuse and past traumatic life experiences. Assessments and interventions with adolescents should focus on frequency of repeat pregnancies and symptoms of depression and VE. Nurses and childbirth …

A Narrative Analysis Of Women's Adaptation Following Sexual Assault, Debra Hurd

Nursing Dissertations - Archive

Sexual assault against women violates every area of their lives: safety, security, physical health, and social status. Available evidence is inadequate to guide interventions to promote effective adaptation following assault. No studies have been found specifically on sexual assault of women from the perspective of the affected woman. The purpose of this study was to describe the narratives and coping strategies of women who have been sexually assaulted. The study questions and analysis were framed using Roy's Adaptation model. Narrative analysis was the research design used to examine stories of the women's experiences after sexual assault and how the women's …

Measuring The Direct Nurses' And Nurse Leaders' Perceptions Of A Healthy Work Environment Within Acute Care Settings, Penny Susette Huddleston

Nursing Dissertations - Archive

Healthy work environments (HWEs) have been described as policies, procedures, and processes designed to empower nurses to meet the organizational objectives and achieve personal satisfaction in the work environment (American Association of Critical-Care Nurses, 2005; Lake, 2007; Schmalenberg & Kramer, 2008; Shirey, 2006). Unhealthy work environments (UWEs) throughout healthcare organizations have been linked to absenteeism, ineffective delivery of healthcare to patients and families, higher stress levels, poor communication, and ineffective collaboration and teamwork among healthcare professionals (Heath, Johanson, & Blake, 2004). The American Association of Critical-Care Nurses (AACN) developed a Healthy Work Environment Assessment Tool (HWEAT) for nurses to use …

Increasing Drug Screens And Prescription Drug Monitoring Program Assessments For Patients Enrolled In Opioid Replacement Therapy, Kimberly Thompson

Doctor of Nursing Practice (DNP) Scholarly Projects - Archive

Opioid use disorder is an epidemic that has a devastating impact on public health, morbidity and mortality, and the escalating economic burden of healthcare (U.S. Department of Health & Human Services, 2013). The rates of prescriptive and nonprescriptive opioid misuse are on the rise (Compton, Boyle, & Wargo, 2015). One approach in managing opioid use disorder is opioid replacement therapy (ORT). In response to increasing rates of opioid use disorder, the Drug Addiction Treatment Act of 2000 permitted "qualifying physicians" to treat opioid use disorder in an office-based setting. The FDA approved medication buprenorphine, a partial opioid agonist, is used …

The Relationship Between Faith-Based Support And Physical Activity Levels Among African American Women In Faith Communities, Sharon Taylor Johnson

Nursing Dissertations - Archive

Physical inactivity is the fourth leading risk factor for death worldwide, and is a major contributor for a number of chronic diseases such as obesity, type 2 diabetes, hypertension, and cancer in the United States (CDC, 2014; World Health Organization, 2010). This public health problem is more prevalent among African American women who have been diagnosed with chronic health conditions and live sedentary lifestyles. Therefore, identifying strategies that contribute to improving physical activity levels are warranted for this population. The purpose of this study was to examine the relationship between participation in faith-based groups and physical activity levels among African …

Promotion Of Advanced Practice Provider Compliance With The 2012 Surviving Sepsis Campaign Three-Hour Bundle Guidelines In The Emergency Department: A Multi-Component Intervention, Michael Watson

Doctor of Nursing Practice (DNP) Scholarly Projects - Archive

Refer to the document.

Caring Minds, University Of Texas Health Science Center At Houston School Of Nursing

Caring Minds

No abstract provided.

An Evaluation Of The Adherence To An Indwelling Urinary Catheter Maintenance Bundle, Jessica Lynn Johnston

DNP Projects

Background: There are more than 1 million Catheter Associated Urinary Tract Infection (CAUTI) occurrences per year in the United States, with an estimated cost to treat of $400 million dollars annually (Clarke et al., 2013). Urinary Tract Infections are the most common hospital acquired infection, comprising roughly 30 - 40% of all infections occurring in acute care hospitals (Gould et al., 2009). In February of 2013, the University of Kentucky (UK) Hospital made drastic changes to the current Catheter Associated Urinary Tract Infection (CAUTI) prevention standards by instituting a CAUTI Maintenance Bundle to prevent the incidence of CAUTIs.

Purpose …

Assessment Of Migraine Management In Adolescents, Kara L. Scott

DNP Projects

Objective: The purpose of this study is to assess how providers are managing adolescent patients with migraines in Kentucky.

Methods: A cross-sectional descriptive study via a 28-item survey instrument, which is distributed electronically via member listserve to members of the Kentucky Coalition of Nurse Practitioners and Nurse Midwives (KCNPNM).

Results: Of the 35 survey respondents, there were 29 respondents who met criteria for participation in the survey. Respondents reported the most common presenting symptom for adolescent migraine was headache. Over half of the respondents (58.6%) initiated treatment with over-the-counter medications, with ibuprofen (65.5%) being the most commonly used. 62.1% of …