Diabetic Assessment In A Wound Care Clinic,
2014
Augsburg College
Diabetic Assessment In A Wound Care Clinic, Laura Dooley
Theses and Graduate Projects
The number of people with diabetes in the United States is continuing to grow at an alarming rate. Over 23 million people in the United States are affected with the disease and it is estimated that the number of people diagnosed with diabetes in the United States is increasing by 1 million people annually. It is essential that nurses working in all capacities help with the prevention and management of this disease. lssues surrounding adequate patient self-management of the disease are identified as smoking, glycemic control, diabetes education, footcare, and financial concerns. An algorithm for diabetes assessment was developed to …
Maendeleo Ya Wanawake Project: Developing A Nursing Based Support Group For Kenyan Women In Minneapolis,
2014
Augsburg College
Maendeleo Ya Wanawake Project: Developing A Nursing Based Support Group For Kenyan Women In Minneapolis, Jackline Ikobe
Theses and Graduate Projects
In recent years, the Kenyan community living in Minneapolis, Minnesota, has had many cases of violence that have resulted in death or injury to the women and their children. Domestic violence is especially difficult because it disrupts every aspect of the victim's well-being. Many women experience repeated victimization because of the difficulty in leaving their abusive relationships. A woman's ability to disclose abuse and receive emotional support is critical to her survival. Implementing a nursing based support group for Kenyan women living in Minneapolis, who are victims of domestic violence, will empower them to understand the effects of living in …
Holistic Understanding,
2014
Augsburg College
Holistic Understanding, Bridget Burness
Theses and Graduate Projects
In 2007, the Association of American Retired People (AARP) published its Funeral and Burial Planners survey key findings that revealed 12 percent were interested in green burial and that practitioners should provide education on environmentally friendly options to this audience. Nurses are currently knowledgeable about Advance Care Directives (ACD) for cessation of care. To gain a better understanding of nurses' attitudes toward green burial, a plan to create a holistic nurse-learning circle was developed to discuss the Funeral Rule, pre-burial planning for green funerals and flameless cremation, and the importance of collaborating with funeral directors. To facilitate this group, a …
Trauma Resource Nurse: A Leadership Role In A Pediatric Level 1 Trauma Center,
2014
Augsburg College
Trauma Resource Nurse: A Leadership Role In A Pediatric Level 1 Trauma Center, Claudia Hines
Theses and Graduate Projects
Nurses in a pediatric emergency department are accustomed to caring for critically ill and injured children. Pediatric trauma requires nurses to have a high level of expertise. However, along with this expertise, nurses need to demonstrate strong leadership skills to be an effective partner in the trauma team. Attaining a pediatric level I trauma designation by the American College of Surgeons generated uncertainty in emergency nurses' perceptions of their ability to care for trauma patients. Emergency departments within trauma centers have recognized the need for specialized nursing programs or nursing roles in the care of trauma. Nursing leadership competencies, interprofessional …
Preparing Nurses For Medical Emergencies: Developing A Collaborative Mock Code Training Program,
2014
Augsburg College
Preparing Nurses For Medical Emergencies: Developing A Collaborative Mock Code Training Program, Joseph Heaser
Theses and Graduate Projects
Medical emergencies are stresstul and anxiety producing situations that require quick and precise action. As first responders in the hospital setting, nurses are often responsible for initiating resuscitative efforts until additional help arrives. Positive patient outcomes are dependent on the nurses' ability to quickly and accurately utilize basic life support (BLS) and advanced cardiac life support (ACLS) to deliver the care needed during the critical first few minutes following cardiac arrest. It is very difficult for nursing staff to maintain emergency medical response skills and knowledge when they are only required to practice them once a year for their annual …
Transforming The Preoperative Patient Education Experience,
2014
Augsburg College
Transforming The Preoperative Patient Education Experience, Hilary Joachim
Theses and Graduate Projects
In 2009 a large Midwestern healthcare institution introduced preoperative education classes for orthopedic patients undergoing joint replacement surgery to better prepare them for surgery and promote a timely discharge from the hospital. According to literature findings, preoperative patient education decreases patient anxiety, improves pain control, and decreases length of stay in the hospital. While length of stay for joint replacement patients within this healthcare instifution decreased, it was difficult to pinpoint the effect of the educational classes due to other simultaneous changes in postoperative orthopedic care, such as earlier mobilization of patients. Through an analysis of class attendance, it was …
Reiki For Pain Control,
2014
Augsburg College
Reiki For Pain Control, Jeffrey L. Burt
Theses and Graduate Projects
Hemodialysis is a procedure used to remove waste products and electrolytes from the bloodstream when the kidneys are no longer working. In addition to removing waste products and unwanted electrolytes, the process also removes some medications as well; 60% of the most commonly used analgesics are removed during dialysis. For renal patients who experience chronic pain as a result of their illness, this is a serious problem. Dialysis patient are held to the same medication regulations regarding frequency and dosing as the general hospital population, leaving them without pain coverage for longer periods of time. The introduction of a complimentary …
Hepatitis B Serology Testing: An Educational Module For Nurses In Outpatient Dialysis,
2014
Augsburg College
Hepatitis B Serology Testing: An Educational Module For Nurses In Outpatient Dialysis, Kristi Hanson
Theses and Graduate Projects
For nurses in outpatient dialysis, an accidental needle stick could result in contracting the Hepatitis B virus. It is recommended that all individuals receive the series of three Hepatitis B vaccinations. To determine if immunity is developed as a result of the vaccinations, Hepatitis B serology testing is performed and a positive antibody and titer level above 10 mIU/mL is indicative of immunity. Without awareness of their personal Hepatitis B serology, nurses working with Hepatitis B positive patients in the outpatient dialysis setting lack knowledge to protect their health. The implementation of an educational module, influenced by Knowles' principles of …
Trauma Informed Nursing Care For Women Who Are Marginalized: An Educational Workshop,
2014
Augsburg College
Trauma Informed Nursing Care For Women Who Are Marginalized: An Educational Workshop, Jenna Fadlalla
Theses and Graduate Projects
Traumatic events profoundly affect both the physical and emotional health of a woman who endures the event. Gender, socioeconomic, racial, and ethnic disparities in rates of trauma exist showing that women who are marginalized are at a higher risk for trauma. Nurses are privileged to provide care for these women in their greatest times of need, yet despite the intimate relationship between nurses and their patients, trauma is a topic that remains largely unaddressed by the field of nursing. Because trauma can have such a profound effect on health, it is essential for nurses of all specialties and at all …
Reducing Anxiety In Pediatric Bone Marrow Transplant Patients Using Reiki,
2014
Augsburg College
Reducing Anxiety In Pediatric Bone Marrow Transplant Patients Using Reiki, Robyn Ait Ali
Theses and Graduate Projects
Reiki, meaning universal life force energy, facilitates the flow of energy that travels naturally in and around the body. Blockages in energy flow create disease and or pain in the body; the Reiki practitioner facilitates the removal of blockages which allows for healing and restoration of balance. Anxiety in children undergoing Bone Marrow Transplant (BMT) manifests itself across all body systems and effects the care they receive during hospitalization. Children are open to the concept of energetic healing therefore, the use of Reiki for children undergoing BMT to reduce anxiety, facilitate relaxation, and ease pain makes sense. The introduction of …
Vaccinating Vulnerable Populations,
2014
Augsburg College
Vaccinating Vulnerable Populations, Paula B. Mcnabb
Theses and Graduate Projects
Influenza vaccination rates for all minority groups in Minnesota are lower than rates for Caucasians of all age groups. Since 2006, a collaborative partnership called Minnesota Immunization Networking Initiative (MINI) has provided free influenza vaccinations in convenient and trusted community settings throughout the Twin Cities metropolitan area of Minnesota in an attempt to address this health disparity. The literature highlights a number of barriers that negatively influence individuals' choices regarding acceptance of influenza vaccination but also highlights motivators, facilitators and processes that positively impact these decisions. Thirteen focus group interviews were conducted with individuals from the Ethiopian, Latino, Native American …
Nursing Bedside Shift Report: A Best Care Practice,
2014
Augsburg College
Nursing Bedside Shift Report: A Best Care Practice, Heather Gleason
Theses and Graduate Projects
For healthcare organizations, patient safety and satisfaction are major priorities and are impacted by many different professional disciplines. Nurses can influence this greatly through the relationships built with patients and the information provided to them regarding care while in the hospital. Communication errors are the leading cause of sentinel events for patients, reiterating the importance of having a safe transfer of care between nurses at shift change. Bedside shift report not only creates transparency of patient information but results in improved patient safety and hospital satisfaction scores. Completing nursing shift report at the bedside promotes patients' and families' contribution to …
Defining Professional Nursing Accountability: A Literature Review,
2014
George Fox University
Defining Professional Nursing Accountability: A Literature Review, Lorretta Krautscheid
Faculty Publications - College of Nursing
Professional nursing accountability is described by both professional nursing organizations and nursing education credentialing agencies as a core aspect that underpins professional nursing practice. Although accountability is foundational to professional practice, a review of the literature revealed no consistent language or definition regarding professional nursing accountability. Instead, the literature itself reveals that professional nursing accountability is challenging to both describe and define. The ambiguity surrounding how to define professional nursing accountability contributes to challenges associated with both teaching and evaluating student nurse accountability within nursing education curricula. This article provides a reliable and comprehensive definition of professional nursing accountability derived …
The Effects Of Holistic Coping Strategies On Perceived Stress And Absenteeism In Hospital Nurses,
2014
Walden University
The Effects Of Holistic Coping Strategies On Perceived Stress And Absenteeism In Hospital Nurses, Mary Alice Ayon
Walden Dissertations and Doctoral Studies
The demanding work environments of professional nurses often contribute to high levels of stress that impact their professional practice and well-being. Although there is a significant amount of research regarding stress and absenteeism, a gap in the literature exists about the effects of holistic coping strategies on nurses' perceived stress and absenteeism. Based on the biopsychosocial model, the purpose of this quantitative study was to investigate effects of holistic coping strategies on perceived stress and absenteeism in 128 hospital nurses. An online cross-sectional survey design used the Perceived Stress Scale-10 to measure nurses' perceptions of stress. The independent grouping variable …
The Innovation Of Simulation Laboratories And The Novice Nurses In The Clinical Setting,
2014
Walden University
The Innovation Of Simulation Laboratories And The Novice Nurses In The Clinical Setting, Brenda Washington Moore
Walden Dissertations and Doctoral Studies
The push to generate professional nurses has raised questions about the competency level of the novice nurses that are entering the workforce. Utilization of simulation laboratories is being viewed as an option for bridging the gap for the shortage of nurses, nurse educators, and clinical sites. The theory of goal attainment was used to guide this project, which aimed to develop and validate an ER simulation scenario that mimics a clinical setting as a tool for measuring nursing skills. An additional purpose, to be accomplished after graduation, will be to implement a pilot project to determine the impact of the …
Decreasing Central Line Complications With A Dedicated Team Approach,
2014
Walden University
Decreasing Central Line Complications With A Dedicated Team Approach, Donna Degennaro
Walden Dissertations and Doctoral Studies
Central-line catheters save lives, but they can also bring about complications, such as hospital-acquired infections. The Institute of Healthcare Improvement has collected data indicating that using proper insertion techniques and maintenance care, known as "the bundle," can prevent bloodstream infections associated with central lines. Progress has been made toward that end: The bundle has been used in intensive care units in a variety of hospitals and reportable central-line infections have decreased by 38%. However, because infections continue to occur inside and outside intensive care units, more needs to be done to protect all patients from these deadly infections. The purpose …
Healthy Work Environment Orientation Training And Psychiatric Nurse Retention,
2014
Walden University
Healthy Work Environment Orientation Training And Psychiatric Nurse Retention, Lawanda Rollins
Walden Dissertations and Doctoral Studies
According to recent research, more than 75% of newly employed nurses leave employment within 6 months. Changes in organizational training programs are needed in order to improve psychiatric nurse retention, nationally and globally. A healthy work environment (HWE) has been described as an environment that includes mentoring for good communication skills; it is also one that explores collaborative strategies for safe practice; professional advancement; and empowerment through research, education, and skill development. Examination of the impact of this HWE psychiatric nurse orientation training program on nurse retention was done using Rogers' theory of diffusion. Study variables included the length of …
Understanding Causes Of Attrition Of 1st- And 2nd-Year Nursing Students,
2014
Walden University
Understanding Causes Of Attrition Of 1st- And 2nd-Year Nursing Students, Catherine Mary Griswold
Walden Dissertations and Doctoral Studies
Attrition of nursing students has a negative impact on students, university nursing programs, and the heath care community. At a local university, the nursing program and its stakeholders aspire to increase retention of nursing students in order to mitigate the nursing shortage projected over the next decade. The purpose of this study was to examine issues related to high attrition of 1st- and 2nd-year nursing students at a university located in the mid-Atlantic area of the United States. Tinto's model of retention was used as the foundation to explore variables affecting 1st- and 2nd-year nursing students who remained in (n …
Advanced Nurses' Perspectives On The Drug Addiction Treatment Act, 13 Years Later,
2014
Walden University
Advanced Nurses' Perspectives On The Drug Addiction Treatment Act, 13 Years Later, Dorothy L. Were
Walden Dissertations and Doctoral Studies
The United States experiences opioid addiction at epidemic levels. In 2012, the National Institute of Drug Abuse reported that 23.1 million Americans were in need of addiction treatment services, although only 2.5 million were enrolled in treatment. Following an amendment to the Drug Addiction Treatment Act of 2000 (Public Law 106-310), advanced practice nurses were qualified as providers who could bridge the healthcare gap in treatment access. The purpose of this project was to determine the interest of advanced practice nurses in (a) prescribing buprenorphine and (b) establishing guidelines that would allow them to do so. This quantitative project used …
Academic Factors That Contribute To Pre-Licensure Nursing Student Persistence,
2014
University of Texas at Arlington
Academic Factors That Contribute To Pre-Licensure Nursing Student Persistence, Cecilia Flores
Nursing Dissertations - Archive
The need for registered nurses is expected to grow exponentially in the next decade. As nurses retire and more Americans access the healthcare system, more than 400,000 nurses will be needed nationally (Auerbach, Buerhaus, &Staiger, 2011). Based on projections, by 2020, approximately 25,000 nursing students will need to graduate to the meet the state's need for nurses; in 2013, slightly more than 11, 000 candidates took NCLEX after successfully completing their nursing program (Texas Board of Nursing, 2014). Currently 70% of students admitted to a nursing program in Texas do not persist and graduate (Texas Higher Education Coordinating Board [THECB], …
