Nursing Commons^™

Quality And Cost Analysis Of Nurse Staffing, Discharge Preparation, And Postdischarge Utilization, Marianne E. Weiss, Olga Yakusheva, Kathleen Bobay

College of Nursing Faculty Research and Publications

Objectives. To determine the impact of unit-level nurse staffing on quality of discharge teaching, patient perception of discharge readiness, and postdischarge readmission and emergency department (ED) visits, and cost-benefit of adjustments to unit nurse staffing.

Data Sources. Patient questionnaires, electronic medical records, and administrative data for 1,892 medical–surgical patients from 16 nursing units within four acute care hospitals between January and July 2008.

Design. Nested panel data with hospital and unit-level fixed effects and patient and unit-level control variables.

Data Collection/Extraction. Registered nurse (RN) staffing was recorded monthly in hours-per-patient-day. Patient questionnaires were completed before discharge. Thirty-day readmission and ED …

Fit Into College: A Program To Improve Physical Activity And Dietary Intake Lifestyles Among College Students, Robert V. Topp, Jean S. Edward, S. Lee Ridner, Dean E. Jacks, Karen Newton, Patricia Keiffner, Deborah Woodall, Kathleen P. Conte

College of Nursing Faculty Research and Publications

The purpose of this study was to determine whether a 10-week program could improve physical activity, physical fitness, body weight, dietary intake, and perceptions of exercise and diet among college 30 healthy college freshmen. Outcomes were measured at baseline, and following the 10-week program. The weekly sessions incorporated constructs of the Transtheoretical Model of Health Behavior Change and were administered by fitness interns who were junior or senior college students enrolled in health-related majors. The participants presented with low physical activity, physical fitness, and poor dietary intake, and 50% were overweight/obese (BMI > 25). Participants demonstrated gains in their physical fitness …

The Adverse Effects Of The Cardiopulmonary Bypass Machine, Shannon Renee Steidl

Senior Honors Theses

Throughout the United States, the use of the cardiopulmonary bypass (CPB) machine during cardiac surgery has become a widely employed practice. Although this machine has simplified cardiac surgery by allowing the heart to be stopped, the technology also causes adverse effects on a patient’s body and cognitive functions. These include complications of the inflammatory system, heart, lungs, kidneys, and brain. Using the CPB can not only cause physical harm, but it can also lead to cognitive decline that can affect the patient’s quality of life. Studying the CPB in terms of its adverse effects is imperative to making any effort …

Implementing An Msn Nursing Program At A Distance Through An Urban-Rural Partnership, Ksenia Zukowsky, Phd, Aprn, Nnp-Bc, Beth Ann Swan, Phd, Crnp, Faan, Mary Powell, Phd, Crnp, Anthony J. Frisby, Phd, Lori Lauver, Phd, Rn, Margaret Mary West, Phd, Cne, Rn, Alexis Marsella, Ba

College of Nursing Faculty Papers & Presentations

Recruiting, retaining, and educating advanced practice nurses is essential to meet the growing need for advanced practice nurses in rural and urban communities. Through the support of Health Resources and Services Administration funding, the urban school of nursing expanded its MSN program and implemented the graduate curriculum on its rural campus by utilizing emerging online and distance education technologies. The purpose of this manuscript is to provide an overview of expanding an existing MSN program offered in an urban, traditional classroom setting to rural graduate nursing students via an online synchronous format. In addition, the article will describe the rural …

Evaluating Nurses Perceptions Of Family Presence During Resuscitation Efforts And Invasive Procedures Before And After An Educational Intervention., David Cross

Nursing Masters

Background: Since the 1980’s , family presence during resuscitation and invasive procedures has been supported in the literature as being beneficial to health care workers, family and patients. Ongoing controversy related to misconceptions regarding family practice hinder its acceptance and practice in the hospital setting. determine the effects of an educational Purpose : The purpose of this project was to intervention on nurses’ attitudes, beliefs, and intent to practice family presence using the adult learning theory and theory of reasoned action. Methods: Pre and post surveys were used in this study. Nurses in a local emergency department, who volunteered for …

Triage In The Emergency Department: Role Challenges, Satisfaction, And Perceptions Of Staff, Jaclyn Gardner

Undergraduate Theses and Capstone Projects

The goal of this study is to describe staff satisfaction and role challenges among Registered Nurses (RN’s) and Emergency Department technicians in a 43 bed Emergency Department (ED) at a community hospital. This is an exploratory study to determine the factors that create an efficient ED, from staffs perspective, to facilitate improvement for other Emergency Departments. Four RN’s were interviewed, including at least one manager, and ED staff completed a survey to determine role challenges involved in the triage process, perceptions of qualifications needed for triage, and overall satisfaction with the comprehensive triage method used in this setting. Surveys were …

The Lived Experience Of Ovarian Cancer, Jennifer Tyll

Nursing Masters

It was estimated that in 2009,21,550 women would be diagnosed with ovarian cancer and 14.600 women would die from it. There are approximately 176,007 women living with ovarian cancer in the US. While there is extant quantitative - literature surrounding quality of life of women with ovarian cancer, there are significantly less qualitative studies. The purpose of this study was to explore the lived experience of how women with ovarian cancer perceived their quality of life. I Five women were interviewed. Interviews were tape recorded and transcribed, then I read for overall impression and general themes. Three major themes were …

The Relationship Of Physical Activity, Eating Behaviors, And Hunger Control To Weight Loss And Quality Of Life In Gastric Banding Patients, Nancy Baugh

Theses and Dissertations

Gastric banding as a weight loss surgery has increased in popularity in the United States since its approval by the Food and Drug Administration in 2001. Successful weight loss after weight loss surgery is most frequently defined as greater than 50 percent of excess weight loss (EWL). Systematic reviews show that the band is widely effective in achieving successful weight loss in most patients, however individual studies show more inconsistent outcomes. Although previous research supports gastric bypass surgery as having a positive effect on quality of life after gastric bypass, there is very little data to support this relationship in …

Healing At The End Of Life: A Journey Of Hope Of The Christian Community, Bro. Ignatius Perkins, O.P.

Faculty Conference Presentations

Presented at the Catholic and Dominican Institute, Mount Saint Mary College, Newburg, New York, March 16, 2011.

2011-03 Library Impact Statement For Nur 509 Advanced Assessment For Acute Care Np Practice

Library Impact Statements

Library Impact Statementsubmitted in response to new course proposal for NUR 509 Advances Assessment for Acute Care NP Practice. New course was supported with no need for additional resources.

Chhs March 2011 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.

Adolescents’ Lived Experiences During Treatment Of Cancer And Impact On Social Participation, Gary Grimaldi

Occupational Therapy Program Student Theses, Dissertations and Capstones

This phenomenological study was designed to understand the lived experience of adolescents being treating for cancer and the impact of their lived experience on engagement in occupations and social participation. Participants in this study included four young adolescents 17-19 years of ages attending school on a part-time basis. They were on active treatment protocols for cancer and enjoyed participating in sports or other activities with friends. In-depth structured interviews with questions to illuminate the impact of cancer treatment on social participation were completed and audio recorded. Data analysis was completed utilizing a phenomenological reduction method to determine emerging themes and …

Adiposity, Biological Markers Of Disease, And Insulin Resistance In Mexican American Adolescents, 2004-2005, Anne R. Rentfro, Jeanette C. Nino, Rosa M. Pones, Wendy Innis-Whitehouse, Cristina S. Barroso, M Hossein Rahbar, Joseph B. Mccormick, Susan P. Fisher-Hoch

School of Nursing Faculty Publications

Introduction Rates of obesity and overweight, which frequently lead to type 2 diabetes, have increased dramatically among US children during the past 30 years. We analyzed associations between insulin resistance and other markers of disease in a sample of Mexican American adolescents from a severely disadvantaged community on the Texas-Mexico border.

Methods We analyzed results from 325 students from 1 high school in this descriptive study. We measured height, weight, waist circumference, blood pressure, blood glucose, and lipids; calculated body mass index; and estimated insulin resistance.

Results Approximately 50% of our sample (mean age, 16 y) were overweight or obese, …

Family Presence During Resuscitation And/Or Invasive Procedures In The Emergency Department: One Size Does Not Fit All, Renae L. Dougal, Jill H. Anderson, Kathy Reavy, Christine C. Shirazi

Nursing Faculty Publications and Presentations

Family presence during resuscitation and/or invasive procedures is receiving more attention today as it speaks to the heart of patient and family-centered care. Family members are the most important support for their loved ones during vulnerable times such as a life-threatening event. Although family presence during resuscitation and/or invasive procedures is becoming a more accepted practice in hospital settings, only 5% of hospitals in the United States have unit policies guiding the practice of family presence in specialty settings.^1-5 There is a need for family presence to be studied in non-academic hospitals and in other specialty settings such as …

Posterior Reversible Encephalopathic Syndrome: Treating The Puzzling Syndrome Of Pres, Lorraine Valeriano Bsn, Rn, Cnrn

Patient Care Services / Nursing

No abstract provided.

Improving Diabetic Outcomes With Caring Communication: Identifying Communication Patterning For The Human Diabetic, James R. Kennett Phd

Dissertations

Introduction. The purpose of this study was to identify the influence of caring communication for people living with diabetes (PLD) and the relationship to diabetic outcomes. Caring communication has not been studied for improving diabetic outcomes. Randomized control trials (RCTs) direct care, however people do not do what they told, they need to be included in their care. PLD need a voice to establish what is important to them. Incorporating medical, communication, and nursing science as multidisciplinary approach within a theoretical framework can be predictive diabetic outcomes. Methods. A correlational cross sectional survey design study was done. A sample of …

Report On The Chelsea School Nursing Program, Edward J. Collins, Jr. Center For Public Management, University Of Massachusetts Boston

Edward J. Collins Center for Public Management Publications

At the request of the Chelsea Public Schools, the Collins Center conducted an analysis of the school health services delivery system. The research included: (1) Review of City and School documents, (2) Interviews and on‐site visits, (3) Review of related research, and (4) Conversations with other experts. Like most urban school systems, Chelsea is facing the challenges of increased educational, social, and health care needs of its students and dwindling financial resources. Despite this, it was clear that the nurses and staff care deeply about their work and the children they serve. An innovative and cooperative network within each school …

Relationship Between Self-Stigma And Personal Empowerment Among People Who Have Severe Mental Illness, Diane Fischer Hickman Phd

Dissertations

The purpose of this study was to examine the relationship between self-stigma of mental illness and personal empowerment among people who have a severe mental illness. It had been hypothesized that self-stigma of mental illness and personal empowerment are at opposite end of a continuum. As such, individuals who perceive themselves in a stigmatized manner tend to reciprocally perceive themselves as being relatively powerless, rather than having a strong sense of personal empowerment. Likewise, individuals who perceive themselves as having a relatively strong sense of personal empowerment tend to experience a low degree of self-stigma. To test this hypothesis, a …

A Warm Welcome Goes A Long Way., Jody Shigo Rn, Cmsrn, Eileen Fruchtl Msn, Rn, Ccrn, Cmsrn, Kai Bortz Bsn, Rn, Cmsrn

Patient Care Services / Nursing

No abstract provided.

Driving For Results: Building A Strong Local Aann Chapter To Assure Relevance In Neuroscience Nursing, Holly Tavianini Rn, Bsn, Mshsa, Cnrn, Jill Hinnershitz Msn, Rn

Patient Care Services / Nursing

No abstract provided.