Nursing Commons^™

Public Health Nursing Student Home Visit Preparation: The Role Of Simulation In Increasing Confidence., Elizabeth Richards, Vicki Simpson, Pamela Aaltonen, Loretta Krebs, Lynn Davis

School of Nursing Faculty Publications

The purpose of this study is to evaluate the role of simulation in preparing senior nursing students for their first home visit and to determine comfort and confidence levels of these students as they prepare for their first home visits. This exploratory study used a convenience sample of public health nursing students (n= 115). A pretest posttest design evaluated the effectiveness of the simulation using a 5-point Likert scale to detect changes in student confidence. Significant differences were noted on the majority of mean scores (p <.001) post-simulation. This approach could also be used to prepare newly hired home …

Ethnography Of Chronic Pain Experiences Of Enlisted Women, Linda M. Denke

Nursing Dissertations - Archive

The American Pain Foundation reported in 2006 that 32% of military men and women with chronic pain reported that military culture is a barrier to pain care and receiving pain care jeopardized their career. Pain management required a series of understandings about pain in the military that motivated enlisted women's pain perceptions, pain behaviors, and pain relief strategies. The seen and unseen factors were ever-present in military life and contributed to the chronic pain experiences of enlisted women but to what degree was largely unknown. This ethnographic approach produced brief illustrations of pain beliefs, attitudes, and behaviors that enlisted women …

Expanding The Treatment Window Raising The Bar For Patient Safety, Claranne Mathiesen Rn, Msn, Cnrn

Patient Care Services / Nursing

No abstract provided.

Identification Of Issues Faced By Cancer Survivors, Kathy Sevedge Rn, Ma, Aocn

Patient Care Services / Nursing

No abstract provided.

Leading The Way...Integrating Technology In A Neuroscience Unit, Marjorie Lavin Rn, Ms, Cnrn

Patient Care Services / Nursing

No abstract provided.

Using Scorecards To Monitor Program Performance, Donna Stevens, Carol Mcfadden Rn, Bsn, Ccrn

Patient Care Services / Nursing

No abstract provided.

Utilization Of Electronic Documentation To Assess Patient Outcomes, Robert Leshko Rrt, Diane Horoski, Kenneth Miller Med, Rrt-Nps, Angela Lutz Rrt-Nps, Matthew Mccambridge Md, Michael J. Weiss Mba

Patient Care Services / Nursing

No abstract provided.

The Development Of A Formal Preceptor Model To Improve Departmental Mentorship, Angela Lutz Bs, Rrt-Nps, Kenneth Miller Med, Rrt-Nps, Linda Cornman Bs, Rrt-Nps, Uma Bhatt Rrt, Bryn Surgeoner Rrt

Patient Care Services / Nursing

No abstract provided.

Effectiveness Of Community Health Worker/Nursing Student Teams As A Strategy For Public Health Nursing Education, Gail Landheer Zandee, Debra Bossenbroek, Meghan Friesen, Kari Blech, Ruth Engbers

University Faculty Publications and Creative Works

A unique program that partners community health workers with nursing students was developed in response to community-based participatory research data and integrated into a public health practicum at a baccalaureate nursing program in West Michigan. The goal of the program is to promote the health of 3 underserved urban neighborhoods while educating nursing students in population health and public health nursing. The purpose of this paper is to describe program conception and implementation and discuss evaluation of educational outcomes as a public health learning experience.

Grades In Prerequisite Courses As Predictors Of Success In A Nursing Program, Elaine Zeilke Foster

Dissertations

Problem: The U.S. Bureau of Labor Statistics forecast that by 2016 more than one million new and replacement nurses will be needed to fill jobs in the health care field . In order to meet the medical needs of a changing society, schools of nursing must continue to educate and graduate significant numbers of nurses. This may be done by increasing the success rates of those who are admitted in nursing programs. Success rate is thought to be related to admission criteria used to admit students which, in turn, may reduce attrition rate, which is between 20 to 40% in …

What Nurses Say: Communication Behaviors Associated With The Competent Nursing Handoff, Anne Claiborne Ray Streeter

University of Kentucky Doctoral Dissertations

Communication competence and medical communication competence served as the theoretical framework for this research that seeks to identify specific communication behaviors associated with what nurses say constitute a communicatively competent patient handoff at the nursing change of shift. Data collected from 286 nurses responding to an online modified Medical Communication Competence Scale posted at www.allnurses.com supported the hypotheses that information exchange (information giving, seeking and verifying) and socioemotional communication behaviors are rated more highly in the best patient handoffs than in the worst ones. Research questions found that the incoming nursing role rated behaviors associated with information verifying and socioemotional …

Health System Processes, Clinician Attitudes, And Referrals To Tobacco Treatment Programs, Karma Bryan Cassidy

University of Kentucky Doctoral Dissertations

Assisting smokers to quit and stay quit is the most important intervention clinicians can undertake to improve the length and quality of life of patients who use tobacco. The chronic, relapsing nature of tobacco dependence complicates tobacco treatment. Tobacco treatment counseling programs provide on-going support to help patients avoid relapse. Assistance with a referral increases the likelihood that patients will participate in counseling, but few clinicians regularly assist with referrals to tobacco treatment programs. This dissertation examined health system processes and clinician attitudes that influence the likelihood that clinicians will refer their patients for tobacco treatment counseling.

Three papers examined …

Cardiac Rhythm During Mechanical Ventilation And Weaning From Ventilation, Muna Hassan Hammash

University of Kentucky Doctoral Dissertations

The transition from mechanical ventilation (MV) to spontaneous ventilation during weaning is associated with hemodynamic alterations and autonomic nervous system (ANS) alterations (reflected by heart rate variability [HRV]). Although cardiac dysrhythmias are an important manifestation of hemodynamic alterations, development of dysrhythmias during MV and weaning and subsequent impact on length of MV has received little attention.

The purposes of this dissertation were to 1) evaluate the relationship of heart rate variability (HRV) during weaning to the development of cardiac dysrhythmias and 2) determine the relationship of cardiac dysrhythmias to length of MV.

A convenience sample of 35 patients (66.7% men; …

The Impact Of Pre-Operative Mupirocin Prophylaxis On Surgical Site Infections In Same-Day Admission Open Heart Patients, Joanna Gerry

Electronic Theses and Dissertations

The CDC estimates that one in 20 patients admitted to the hospital is a carrier of methicillin-resistant Staphylococcus aureus (MRSA). Staphylococci are commonly found on the skin and mucous membranes within the anterior nares, which provides the principle reservoir for this organism. These organisms can go on to cause surgical site infections in hospitalized patients. Mupirocin is an effective topical medication used to eliminate nasal carriage of Staphylococcus aureus (S. aureus). Based on Level A evidence, the 2007 Society of Thoracic Surgeons has made a Class I recommendation for the use of mupirocin for all patients undergoing cardiac surgery in …

Prevalence Of And Risk Factors For Intraoperative Non-Euglycemia Events In Premature Neonates >2500 Grams, Zulay Ritrosky

Electronic Theses and Dissertations

This study examined the rates and risks of premature neonates >2500grams developing intraoperative non-euglycemia events (IONEE). A retrospective chart review of 26 premature neonates >2500 grams who underwent surgical procedures between January 1 and December 31, 2009 was conducted. Statistical analysis was done using Chi square and t-tests. Ten of the 26 subjects (38%) experienced an IONEE. Hyperglycemia was the primary IONEE that was noted in the neonates. (Mean: 143.19; sd: 56.041) Length of surgery was significantly longer in those premature neonates with IONEE than those with euglycemia (71.7 0± 27.03 vs. 45.62 ± 17.98 minutes). All IONEE subjects received …

The Effect Of Culture On Urinary Incontinence: Do We Really Understand?, Karen A. Karlowicz

Ellmer School of Nursing Faculty Publications

No abstract provided.

Factors Related To The Recruitment And Retention Of Nurse Practitioners In Rural Areas, Dayle Boynton Sharp

Open Access Theses & Dissertations

For the past several decades, rural America has experienced significant health disparities. Changes in the demographics of rural locations in the U.S. have led to a) an increase in an aging population, b) an increase in minority populations, and c) a large number of unemployed individuals due to the shifting of jobs. In some locations, a large number of these unemployed or underemployed are uninsured or underinsured. Parallel to the changes in demographics, there has been a decrease in primary care providers in rural areas. Consequently, rural America is facing reduced and unequal access to healthcare. One solution to limited …

The Co-Existence Of Diabetes Mellitus Type 2 And Depression Symptoms In Mexican American Adults: Its Relation To Glucose Control, Perceived Stress And Physical Health, Guillermina Rincon Solis

Open Access Theses & Dissertations

Type 2 diabetes is a common chronic metabolic disease affecting 23.6 million people (7.8%) in the U.S. and is the 6th leading cause of death among adults (CDC, 2007). Mexican-Americans, the largest group within the Hispanic U.S population, have double the rate of type 2 diabetes. Long-term glucose control (HbA1C) is essential to lessen the risk of diabetes complications; self-care demands for diabetes management may be overwhelming and creates stress that predisposes individuals to depression and affects long-term glucose control (Anderson et al., 2000; Black, 1999; Black, Markides, & Ray, 2003). The purpose of this study was to evaluate the …

Evaluation Of Testing And Implementation Of Evidence-Based Rn Bedside Swallow Screen For Dysphagia: A Clinical Practice Change, Edith Matesic

DNP Projects

Stroke patients initially experience dysphagia approximately 42 - 67% of the time with noted improvement reducing rates to approximately 43% at seven days post-acute event (Perry & Love, 2001). The dysphagia experienced by these patients makes them at high risk to develop aspiration pneumonia. Overall, the financial impact of reducing aspiration pneumonia reduces the national cost of morbidity, mortality, and disability burden in this population. There is no generally recognized swallow screen. Program evaluation objectives were to establish a valid, reliable, cost effective, and easy to administer evidence RN bedside swallow screen for dysphagia to keep acute stroke patients safe …

The Effect Of Acupressure On Constipation, Quality Of Life, And Depressive Symptoms In Cancer Patients With Constipation, Eun Jin Lee

University of Kentucky Doctoral Dissertations

Constipation is the most common gastrointestinal complaint in the United States, resulting in about 2 million annual visits to the doctor.

The purposes of this dissertation were to: 1) describe four theories of traditional Korean medicine; 2) review mechanisms of acupuncture and moxibustion and develop a conceptual model; 3) review findings from randomized controlled trials that tested the effects of acupressure used for the management of symptoms such nausea, pain, and dyspnea; 4) examine the reliability and validity of the Patient Health Questionnaire-9 (PHQ-9) in heart failure patients with constipation compared to those with gastrointestinal disease; 5) describe how Korean …