Nursing Commons^™

Interprofessional Roles Shoulder Dystocia: Maximizing Safety In Community Hospitals, Elizabeth Yznaga

Doctor of Nursing Practice (DNP) Projects

Prompted by evidence that clinical simulations improve patient safety, team simulations are emerging in hospital settings. Accrediting organizations such as the U.S. Joint Commission on Accreditation of Healthcare Organizations and the American College of Obstetricians and Gynecologists (Joint Commission, 2004, American College of Obstetricians and Gynecologists, 2002) have recommend simulation of obstetrical emergencies, including shoulder dystocia for hospital teams. National patient safety mandates for simulation training of critical events have not been available to small, rural hospitals because of lack of talent and equipment, creating a gap in resources. Other than demonstrations by manikin companies, this author has currently been …

Debriefing Simulations: Comparison Of Debriefing With Video And Debriefing Alone, Shelly J. Reed, Claire M. Andrews, Patricia K. Ravert

Faculty Publications

Background: Debriefing as part of the simulation experience is regarded as essential for learning. Evidence concerning best debriefing practices from the standpoint of a student nurse participant is minimal, particularly when comparing debriefing types. This study evaluated the differences in the student experience between two debriefing types: debriefing with video and debriefing without video (debriefing alone). Method: Nursing students participating in an intensive care simulation were randomized into one of the two debriefing types: debriefing with video (n = 32) and debriefing alone (n = 32) following simulation completion. After debriefing was completed, studentswere asked to complete a debriefing experience …

Evaluation Of An Innovative Program To Improve Outcomes Among Military Beneficiaries With Diabetes, Carol A.B. Andrews

Nursing Theses and Dissertations

Patient Centered Medical Home (PCMH) is a health care model implemented in all United States Air Force (USAF) medical facilities which uses a team-based approach to promote accessibility, quality care, and appropriate service utilization, while decreasing costs. To measure the effectiveness of this model, the National Committee for Quality Assurance (NCQA) has developed a tool to document and recognize facilities that incorporate all model elements. However, the effects of the full model implementation on patient outcomes in military settings have not been studied. This research fills an important gap in the literature because it studies the effect of PCMH implementation …

Challenges Of Smoking Cessation Research In Mongolia, Carol M. Rowley

Nursing Theses and Dissertations

The deleterious impact of tobacco use on health has been well-known for years. Nevertheless, cigarette smoking is a behavior which generally is not easily abandoned due to its addictive propensities. Thus, it is important for nurses to be competent in the delivery of evidence-based smoking cessation interventions which can help their clients achieve tobacco-free status. This need is particularly urgent in nations with high smoking prevalence rates, including many developing nations. The purpose of this study was two-fold. First, an investigation was undertaken to determine the smoking habits and influences among Eastern European nations, the former Soviet Union, and Mongolia. …

Fit To Care: An Action Research Study Exploring The Use Of Communication Theory To Strengthen Caring Relationships Between Teachers And Students, Pamela K. Lake

Nursing Theses and Dissertations

Watson's Theory of Human Caring lends theoretical structure to nursing curricula grounded in Caring Science. A key principle within the theory is the caring trusting teacher-student relationship. This relationship can be threatened by the need to relay instructional feedback to students when performance has fallen below standards. The tension resulting from this exchange is uncomfortable to all concerned and can damage the relationship and lead to even worse student performance. Nursing literature has not reported studies addressing this problem. Communication studies have extensive reports of such research. Feedback Intervention Theory (FIT) is based on skilled facework to improve student outcomes …

Breastfeeding Influencing Factors In Thai Adolescent Mothers, Supannee Kanhadilok

Theses and Dissertations

Background: Breastfeeding is well established as the optimal method for ensuring healthy infant nutrition. However, many adolescents remain unaware of the role of breastfeeding. Adolescent mothers continue to have the lowest rate of breastfeeding in many countries including Thailand, with only 17% of Thai adolescent mothers continuing to breastfed at 6 months postpartum. Objective: Examine factors influencing breastfeeding behaviors in adolescent mothers, particularly those in Thailand. Methods: This dissertation project involved two research studies focusing on breastfeeding influencing factors in adolescent mothers. The first study was an integrative review of 22 articles published in 2000-2012. The findings revealed that personal …

Predictors Of Agitation In The Critically Ill, Ruth Burk

Theses and Dissertations

BACKGROUND: Agitation is a common complication in the intensive care unit (ICU) manifested in behavior and actions that range from simple apprehension or anxiety to frankly combative behavior.5 Agitation is associated with significant adverse outcomes.1-3 Studies report up to 71% of ICU patients have some degree of agitation during their ICU stay and that agitation is observed 32% of the time.3;4 Potential causes of agitation in critically ill patients are numerous; however, data about factors that predict agitation are limited. OBJECTIVE: The specific aim of this study was to identify predictors of agitation on admission to the ICU as well …

Perception, Expression And Management Of The Pain Of Childbirth, Mary H. Christenson

Senior Honors Theses

In order to be a competent nurse on an American labor and delivery unit it is important to have an understanding of the pain of childbirth. This includes a thorough understanding of pain as a sensation and its manifestation during the birthing experience. An understanding of pain is useless, however, unless standardized pain assessment practices are used. The most accurate pain assessment is associated with a general understanding of cultural trends in pain perception and expression. Along with culture, other factors also influence how a woman senses and copes with the pain of labor. Anxiety is one of these influential …

Literature Review Of Early And Precocious Puberty In Girls, Denise R. Tate

Graduate Research Projects

No abstract provided.

Chhs May/June 2013 E-Newsletter, Dr. John Bonaguro, Dean, Vashon S. Wells, Editor, Wku College Of Health & Human Services

College of Health & Human Services Publications

No abstract provided.

Community Building Through A Recovery Oriented Sytems Of Care Model For Tobacco Cessation In The Elderly, Ginny L. Hamolsky

Senior Honors Projects

Abstract

Community building is an important concept for all healthcare providers to understand in order to implement effective health promotion and empower members of a community. The World Health Organization (WHO) states that community building involves action at three levels to improve health. These actions include the advancement of skills among practitioners, expansion of support and infrastructure for health promotion, and the development of cohesiveness and partnerships within communities. If implemented effectively, the benefits of community building include enhancing quality of life, promoting health and well being, empowering individuals, and creating sustainable health care organizations that conduct and maintain successful …

Depression Screening Of Young Adult Freshmen Students, Marlee R. Steele

Evidence-Based Practice Project Reports

Depression is a mental health issue that requires prompt identification and treatment. According to the CDC, it is estimated that in the U.S .one in 10 adults suffer from depression (CDC, 2011) with 4.7% of young adults, 18-39 years, suffer from depression (CDC, 2006). Many young adults report that college life is often more stressful than anticipated and the demands placed not only academically, but also socially, adversely affect their psychological and physical health (Dyson & Renk, 2006). The purpose of this EBP project was to answer the PICOT question: How does a depression screening tool in combination with a …

First Year Baccalaureate Nursing Program Outcomes: Effects Of Prerequisite Courses And Preadmission Testing, Sonya House

Dissertations

Schools of Nursing are faced with the difficult task of selecting students for admission into nursing programs. This responsibility is challenging as the number of students applying to programs typically outweighs the number of students who can be admitted. As a result, faculty must identify methods for selecting students who have the greatest likelihood of being successful. As noted in the literature, attrition that occurs as the result of being academically underprepared is found in the beginning of nursing programs (Murray, Merriman, & Adamson, 2008). The central research question represents the purpose of the study: To what extent do prerequisite …

Nursing Interventions That Facilitate End-Of-Life Decision-Making In Pediatric Oncology, Lauren Baeringer

HIM 1990-2015

Nearly one-third of all pediatric oncology patients die from their disease, so nurses need to have an evidence-based standard of practice to guide their role in end-of-life decision-making. The purpose of this integrative review is to analyze current research on end-of-life decision-making within pediatric oncology to create a practice guideline for nurses working with this patient population. Eleven studies were examined to identify nursing interventions regarding the role of the nurse in end-of-life care, the role of the nurse in end-of-life decision-making, parent involvement in end-of-life decision-making, and child involvement in end-of-life decision-making, including the child's ability to participate in …

Reducing Medication Administration Errors With Drug Dosage Simulation, Carla Mckensie

Graduate Research Projects

No abstract provided.

Stress Relief Habits And Perceived Stress Among College Nursing Students., Geneva Record

Undergraduate Honors Theses

With healthcare reform on the rise and the population of Baby Boomers increasing exponentially, nurses are in higher demand than ever before. Students in nursing school are under a great deal of stress as they balance a heavy academic load with outside responsibilities to jobs and families. These stressors often carry into professional practice, resulting in nurses that are constantly stressed. This study asks nursing students about their perceived stress and about the specific ways they cope with their stress.

The study’s results show that most students wish they had more time to engage in stress relieving activities. When students …

Interventions For Treatment Related Side Effects In Older Women With Breast Cancer, Stephanie Suarez

HIM 1990-2015

Over half (57%) of the women diagnosed with breast cancer are age 65 and older. Treatment for breast cancer may exacerbate current chronic illnesses and/or cause multiple treatment related side effects such as insomnia, fatigue, decreased physical functioning, alterations in body image, poorer quality of life, and changes in psychosocial health. While many women with breast cancer experience these changes, research suggests that older women have different needs than younger women and may not always benefit from interventions. The purpose of this integrative review of literature was to evaluate interventions designed to improve treatment related side effects in female breast …

Barriers Affecting Compliance With The Implementation Of Early Goal Directed Therapy In The Emergency Department, Ivan Castro

HIM 1990-2015

Early Goal Directed Therapy (EGDT) has been thoroughly researched and clinically supported to be effective at lowering morbidity and mortality associated with severe sepsis and septic shock. Due to the strengths of its efficacy, it has been integrated as an essential component of the Surviving Sepsis Campaign. However, very few studies have explored the barriers that affect compliance of the protocol in actual practice. The purpose of this study was to synthesize current research findings regarding nursing barriers associated with EGDT. This research was limited to studies performed in the United States between 2003-2012, with patients at least 18 years …

Women's Perceptions Of Nursing Care And Management After First Trimester Miscarriage, Jennifer Mcgee

HIM 1990-2015

Spontaneous abortion, or miscarriage, is an event that affects approximately one in four women during their reproductive years. Despite the psychological and physiological trauma associated with the loss of pregnancy, few evidence-based practice recommendations exist to guide nursing care of women experiencing first trimester miscarriage. The purpose of this integrative review of literature was to examine research related to women's health care experiences of first trimester miscarriage and discuss common themes relating to nursing care. Inclusion criteria consisted of peer review research articles published after 2001 and available in the English language and women that experienced miscarriage during the first …

Evaluation Of Computer-Based Simulation For Pain Management Education, Nicole Gerardi

HIM 1990-2015

Effective pain management is an elusive concept in the acute care setting. Improving nurses' knowledge about optimal pain management is one way to improve the patient's pain experience. A computer-simulation game was developed as an alternative method of teaching the subject of pain management to nursing students. In the game, two patient scenarios are presented, one male and one female. Both patients present with acute pain and request help from the nurse. The player progresses through a series of nine questions as the scenarios unfold, each with one best or correct answer. The purpose of this study was to evaluate …