Nursing Commons^™

Identifying Institutional Barriers To Addressing Health Disparities, Julia Ashley

Theses and Graduate Projects

Very little progress has been made in decreasing health disparities in communities of color or for American Indians. Government agencies have a role to play in addressing health disparities through the development of policies that support community efforts to address these disparities. Three concepts provided the framework for research exploring barriers: a) imposition of dominant cultural values, b) marginalization and c) institutional racism. The purpose was to conduct qualitative research by interviewing six individuals from organizations that serve communities of color to discover themes related to their experiences with government funding. Two themes emerged related to the purpose of the …

Sharing Neurological Expertise: Development Of A High Risk Obstetrical Course, Maureen T. Smith Msn, Rn, Cnrn

Patient Care Services / Nursing

No abstract provided.

Gis And Injury Prevention And Control: History, Challenges, And Opportunities, Nathaniel Bell, Nadine Schuurman

Faculty Publications

Intentional and unintentional injury is the leading cause of death and potential years of life lost in the first four decades of life in industrialized countries around the world. Despite surgical innovations and improved access to emergency care, research has shown that certain populations remain particularly vulnerable to the risks and consequences of injury. Recent evidence has shown that the analytical, data linkage, and mapping tools of geographic information systems (GIS) technology provide can further address these determinants and identify populations in need. This paper traces the history of injury prevention and discusses current and future challenges in furthering our …

Update - March 2010, Loma Linda University Center For Christian Bioethics

Update

In this issue:

-- Glorifying God in Our Body: A Seventh-day Adventist Theological Foundation for Nursing
-- Editorial
-- New Beginning at the Center for Christian Bioethics

Tuberculosis Awareness And Public Opinion On Expanding Health Insurance Coverage, Belal A. Saadeh Phd, Msn, Rn

Dissertations

This quantitative descriptive cross-sectional study examined the effect of TB awareness and demographic variables on the level of support for expanding health insurance coverage for all residents, including undocumented immigrants. A modified 13-item tool developed by Morisky et al. (1990) was used to measure TB awareness; a single item created by the researcher assessed personal opinion regarding expansion of health insurance coverage; and a demographic questionnaire was used to collect data from 281 registered voters in San Diego County. The majority of San Diego County voters participating in the study supported at least some expansion of health insurance coverage. ANOVA …

Quality Of Life, Religious/Spiritual Coping, Demoralization And Depression In Heart Failure Patients, Terry Larsen Phd, Rn, Cns

Dissertations

Background: Research suggests that the heart failure (HF) population is particularly vulnerable to depression. Other factors may also affect quality of life such as religious/spiritual coping, and demoralization. Purpose: The purpose of this descriptive correlational study was to examine factors that predict health-related quality of life (HRQoL) in adults with heart failure. Specific Aims: (1) to examine level of religious/spiritual coping, spiritual distress, demoralization, depression and HRQoL among adults with heart failure; (2) to examine the relationships of religious/spiritual coping, spiritual distress demoralization, depression and selected demographic variables (age, gender, race/ethnicity and length of living with HF) with HRQoL. Methods: …

Within These Walls: Thinking Outside The Box To Develop An Epilepsy Monitoring Unit, Holly Tavianini Rn, Bsn, Mshsa, Cnrn, Jill Hinnershitz Msn, Rn

Patient Care Services / Nursing

No abstract provided.

Impact Study Of A Central Lines Simulation Training Program Using Kirkpatrick’S Four-Level Evaluation Model, James P. Orlando Edd, Andrew C. Miller Do, William Bond Md, Ms, Valerie A. Rupp Rn, Bsn, Bryan G. Kane Md, Cindy Umbrell Rn, Msn, Michael Pasquale Md

Department of Emergency Medicine

No abstract provided.

Maternal And Neonatal Outcomes By Labor Onset Type And Gestational Age, Jennifer L Bailit, Kimberly D Gregory, Uma M Reddy, Victor H Gonzalez-Quintero, Judith U Hibbard, Mildred M Ramirez, D Ware Branch, Ronald Burkman, Shoshana Haberman, Christos G Hatjis, Matthew K Hoffman, Michelle Kominiarek, Helain J Landy, Lee A Learman, James Troendle, Paul Van Veldhuisen, Isabelle Wilkins, Liping Sun, Jun Zhang

Faculty, Staff and Student Publications

OBJECTIVE: We sought to determine maternal and neonatal outcomes by labor onset type and gestational age.

STUDY DESIGN: We used electronic medical records data from 10 US institutions in the Consortium on Safe Labor on 115,528 deliveries from 2002 through 2008. Deliveries were divided by labor onset type (spontaneous, elective induction, indicated induction, unlabored cesarean). Neonatal and maternal outcomes were calculated by labor onset type and gestational age.

RESULTS: Neonatal intensive care unit admissions and sepsis improved with each week of gestational age until 39 weeks (P < .001). After adjusting for complications, elective induction of labor was associated with a lower risk of ventilator use (odds ratio [OR], 0.38; 95% confidence interval [CI], 0.28-0.53), sepsis (OR, 0.36; 95% CI, 0.26-0.49), and neonatal intensive care unit admissions (OR, 0.52; 95% CI, 0.48-0.57) compared to spontaneous labor. The relative risk of hysterectomy at term was 3.21 (95% CI, 1.08-9.54) with elective induction, 1.16 (95% CI, 0.24-5.58) with indicated induction, and 6.57 (95% CI, 1.78-24.30) with cesarean without labor compared to spontaneous labor.

CONCLUSION: Some neonatal outcomes improved until 39 weeks. Babies born with elective induction …

Nurse To Nurse Communication: Conveying The Patient's Story, Cheryl Fisher Laine

Theses and Graduate Projects

The focus of this project is to gain a better understanding of report given from nurse to nurse at the change of shift, in an effort to make this process more efficient and satisfactory to the nursing staff. The importance of precise shift-to-shift communication is essential to safe care for the patient. Shift report can be a multi-faceted process that serves to provide nurses with vital patient information to facilitate clinical decisions and patient care planning. A shift report also provides nurses a forum for functions, such as patient problem-solving and collaboration. The author conducted a literature review which indicates …

Factors Influencing Nurse Sedation Practices With Mechanically Ventilated Patients: A U.S. National Survey, Jill L. Guttormson, Linda L. Chlan, Craig R. Weinert, Kay Savik

College of Nursing Faculty Research and Publications

Objectives

Mechanically ventilated patients commonly receive sedative medications. There is increasing evidence that sedative medications impact on patient outcomes. Nursing behaviour is a key determinant of sedation administration. The purpose of this study was to determine factors that influence nurse sedation administration to mechanically ventilated patients.

Methods

The Nurse Sedation Practices Scale was mailed to a random sample of 1250 members of the American Association of Critical Care Nurses.

Results

A response rate of 39% was obtained. Respondents were primarily staff nurses (73%) with a bachelor's degree in nursing (59%) from various intensive care unit (ICU) settings. We limited the …

The Effect Of Payer Status On The Quality Of Diabetes Care: Results From A Reach 2010 Project, Charles Hossler, Carolyn Jenkins, Marilyn Givens King

Faculty Articles

Introduction: The purpose of this study was to examine the effect of payer status on indicators of the quality of diabetes care delivered in four health care systems that participated in a REACH Coalition’s efforts to eliminate health care disparities for African Americans with diabetes.

Design and Methods: Secondary analyses of data from 899 health care records of people who received diabetes care were conducted to determine differences in quality of care by payer status. Extracted information included process information related to frequency of A1C, lipid, and kidney tests, foot examinations, and blood pressure measurements, as well as intermediate health …

What Is The Experience Of Emergency Department Nurses With Lateral Verbal Aggression?, Wendi Harper-Lonabaugh

Nursing Theses and Capstone Projects

This descriptive study investigated the incidence of lateral verbal aggression among emergency department nurses. A sample of registered emergency department nurses currently working in western North Carolina with more than one year of full time work experience was surveyed (N=68). Roy's adaptation model was used as a theoretical framework for this qualitative study. A survey was utilized to collect the frequency, source, and incidences of reporting the lateral verbal aggression that occurred. Nurses also reported personal and professional ramifications to the lateral verbal aggression. Aggregate data was examined; no specific individual data was analyzed. The most common perpetrators of lateral …

Reorientation Of The Experienced General Medical/Surgical Nurse To A Progressive Care Medical/Surgical Nurse Utilizing Benner's Novice To Expert Theory, Barbara Radford

Nursing Theses and Capstone Projects

The decisive factor for this project was the Health Care Organization's decision to combine the medical/surgical units from two campuses into one department. This process required the Registered Nurses to reapply for their positions, merge into one unit, and transition to a different physical location. The next major process to occur will be the changing of patient acuity-levels from general medical/surgical to medical/surgical progressive care.

This project will provide a cost effective educational plan based on Benner's novice to expert theory which will ensure efficient transition for the expert medical/surgical nurse to an expert progressive care nurse. A structured orientation …

Nursing Annual Report 2009, Children's Mercy Hospital

Nursing Annual Reports

Annual report for nursing services at Children's Mercy Kansas City

A Model For Easily Incorporating Team-Based Learning Into Nursing Education, Heidi A. Mennenga, Tish Smyer

College of Nursing Faculty Publications

A sense of urgency exists among nurse educators to determine the best possible teaching strategies to create a rich, engaging learning environment for students. With the calls for transformation, innovation, and excellence in nursing education from the American Association of Colleges of Nursing, the National Council of State Boards of Nursing, and the National League for Nursing, educators may determine that current teaching strategies fall short. Team-based learning, an innovative teaching strategy, offers educators a structured, student-centered learning environment and may be effective in teaching necessary skills to students. An overview of how this strategy fosters many of the essential …

Increased Interleukin-6 Activity Associated With Painful Chemotherapy-Induced Peripheral Neuropathy In Women After Breast Cancer Treatment, Angela R. Starkweather

School of Nursing Publications

Accumulating evidence suggests that neural-immune interactions are involved in the development of painful chemotherapy-induced peripheral neuropathy, particularly through the increased release of proinflammatory cytokines. The purpose of this study was used to evaluate levels of interleukin [IL]-6 and IL-6 receptors in women with breast cancer after the conclusion of chemotherapy who either had painful symptoms of chemotherapy-induced peripheral neuropathy (CIPN group, ) or did not experience CIPN symptoms (Comparison group, ). CIPN participants had significantly higher levels of IL-6 and soluble IL-6R (sIL-6R) compared to women without CIPN symptoms ( for both). In addition, soluble gp130, which blocks the IL-6/sIL-6R …

Copd Care Coordination Program, Glenda Mccall

Nursing Theses and Capstone Projects

COPD is the fourth leading cause of death in the United States. Several studies confirm only 50% of COPD patients receive optimal care. The disease is greatly under-recognized and generally is not diagnosed until it is clinically apparent and moderately advanced. COPD is also a major resource consuming disease. Considering these facts, Mission Hospitals realized the opportunity to improve evidence based quality care for patients diagnosed with COPD as well as the development of a Care Coordinated Program to improve outcomes for the patient as well as the organization. The goal of the program is to provide correct, comprehensive, and …

Does Medication Error Reporting Increase With Anonymity?, Kristina Mccall

Nursing Theses and Capstone Projects

Medication errors have been a long and growing problem within all health care areas. Prevention and education is the key to prevent the errors from occurring. All efforts must be made to achieve an overall goal of an error-proof health care society. The purpose of this study was to determine if the anonymity of medication error reporting would make a difference in the amount of medication errors reported. Research has shown that many nurses and health care professionals find it stressful to report an error due to fear of disciplinary action or blame; a no-blame culture must be implemented into …

Congregational Health And Wellness Ministry Using Locus Of Control To Develop Teaching Methods, Theresa Lee Trivette

Nursing Theses and Capstone Projects

Faith communities have a unique opportunity to help congregational members modify health-seeking behaviors in order to reduce modifiable health risk factors. Health researchers have increased their use of health locus of control as a preferred method for studying health promotion and sick-role behaviors. Targeted education and activities designed from the context of the subjects' health locus of control may provide an effective method to influence people to make positive healthy behavior modifications with a higher likelihood of success because locus of control beliefs have been shown to have direct relationships with healthy behavior choices. The health locus of control theory …