Nursing Commons^™

Staff Education To Improve Antipsychotic Medication Adherence, Muhammad J. Matlub

Walden Dissertations and Doctoral Studies

This staff educational project addressed a gap in practice involving minimal nursing intervention to support antipsychotic medication adherence. Antipsychotic medication nonadherence results in undermanaged schizophrenia, which is associated with relapse psychotic episodes, suicidality, and violence. Therefore, the project’s purpose was to educate the providers on long-acting injectable (LAI) antipsychotic medication to facilitate the use of the medications to address antipsychotic medication nonadherence. Eight providers were involved in the educational intervention and were educated on the LAI antipsychotic treatment intervention through an interactive educational session. Knowledge surveys were administered before and after the educational intervention. The collected data were analyzed using …

Educating Providers On Effective Prescribing Of Benzodiazepine, Juliana Nwakamma

Walden Dissertations and Doctoral Studies

The goal of this initiative is to increase provider confidence, improve patient outcomes, and foster constructive societal change by teaching healthcare professionals how to prescribe benzodiazepines safely and effectively. Many doctors prescribe benzodiazepines to treat anxiety, sleeplessness, and seizures, but using them comes with serious hazards, such as dependence, withdrawal, and overdosing, particularly when taken with other drugs like opioids. Taking these concerns into consideration, my study intends to close gaps in prescribing practices by creating an evidence-based education program specifically designed for healthcare professionals. The course emphasizes effective prescribing techniques, methods for weaning chronic users, and benzodiazepine substitutes such …

Effectiveness Of Eucalyptus For Pain Management: An Integrative Review, Taylor Stone, Jennifer Tran

Master's Projects

This integrative review examines eucalyptus essential oil effectiveness for pain, particularly as an alternative to opioids. An extensive literature search was conducted across multiple databases, including Joanna Briggs Institue, Cochrane, CINAHL, PubMed, and Scopus, focusing on studies examining eucalyptus oil’s analgesic properties, along with its effectiveness when used alone or in conjunction with complementary therapies like massage and acupuncture. Analysis identified three key themes: (1) the effectiveness of eucalyptus oil in pain reduction across various acute and chronic pain conditions, (2) its role in potentially reducing reliance on pharmaceutical pain relief, and (3) its capacity to enhance the effectiveness of …

Increasing Nursing Staff Knowledge On Medication Nonadherence Among Mental Health Patients, Princess Ndidi Amadi

Walden Dissertations and Doctoral Studies

Medication nonadherence is a challenge among patients with severe mental health disorders, increasing the patients’ risk for exacerbations of psychosis and relapse, which may result in hospital emergency room visits and hospital admissions. In patients with schizophrenia, major depressive disorders, and bipolar disorders, the mean medication nonadherence is 49%. While no single strategy works, a combination of behavioral and educational strategies has been shown to improve patient adherence to their medication regimen. The purpose of the Doctor of Nursing Practice project was to increase healthcare professionals’ knowledge of behavioral and educational strategies to improve medication adherence among patients with severe …

The Nurse Faculty Compassion Instrument: A Methodological Study, Nancy Pritchard

Dissertations

As nursing shortages rise, nursing faculty have the important responsibility of increasing the number of nursing school graduates that enter the nursing profession. Unfortunately, attrition and retention continue to prevent nursing students from graduating on time or at all. Nursing faculty compassion has been identified as one important factor that could decrease nursing student attrition and increase nursing student retention and program completion. Compassion is a concept built upon the constructs of forming connections, empathetic behaviors, student suffering and faculty recognition of needs, and alleviation of suffering. No existing instruments measure all of these constructs. Some existing tools that measure …

Thoughts From The Frontline - December 2024, Tennessee Center For Nursing Advancement, East Tennessee State University

Thoughts from the Frontline Newsletter

No abstract provided.

Relationship Of Stress, Family, And Social Support, And Job Satisfaction To Burnout Among Family Nurse Practitioners Employed In Primary Care Clinics In Mississippi, Laura-Jean Scott Brooks

Dissertations

In the realm of healthcare, burnout is the invisible monster that has infiltrated every facet of the industry with grossly visible results. From provider turnover to patient errors, burnout has lifelong effects on the healthcare provider and patient care. This researcher seeks to study variables and the relationship to burnout among Family Nurse Practitioners who practice in primary care in Mississippi. The Review of the Literature demonstrated a lack of findings in burnout among family nurse practitioners. Most of the literature reviewed focused on burnout among registered nurses. The guiding hypothesis of the research study was that social and family …

Academic Nurse Leaders’ Application Of Bolman And Deal’S Leadership Orientation Framework, Jasmine Bratton

Dissertations

While Academic Nurse Leaders (ANLs) are vital to the functioning and quality of nursing programs in academic settings, many enter their roles with limited or no prior academic leadership and management experience. The inadequate preparation and development of ANLs remains a critical concern. For this reason, ANLs positions can be challenging and hard to fill. Although ANLs can hold various titles and positions across different academic institutions, this study specifically focuses on Deans, Directors, and Department Chairs working in the New York State area. Bolman and Deal’s (2021) four-frame model of leadership offers a framework that can be used to …

Early Referral For Eye Movement Desensitization And Reprocessing Therapy For Treatment Of Trauma-Induced Anxiety And Emotional Distress, Christa Jones

Doctoral Projects

Trauma, anxiety, and emotional distress are significant health concerns affecting millions globally and resulting in significant healthcare burdens. Despite the considerable efforts in addressing problems, most high-risk cases often go unidentified or unaddressed promptly. Besides standard trauma diagnosis, treatment, and management protocols, some patients often require specialized support. Recently, Eye Movement Desensitization and Reprocessing (EMDR) has emerged as a promising alternative for treating anxiety, trauma, and emotional distress conditions, yet many patients who are at high risk are often not identified early for referral. Additionally, many healthcare facilities, especially those in rural settings, fail to include appropriate screening tools.

This …

Reducing Congestive Heart Failure Readmissions Through Discharge Planning And Education, Coewonda Burse

Doctoral Projects

Chronic heart failure (CHF) is a widespread problem among individuals, which, at the same time, consumes a considerable share of global healthcare demand. CHF management poses a persistent issue mainly due to the short interval of hospital readmissions four weeks after discharge, which indicates deficiencies in care transitions and patient education. This doctoral project addresses this topic and evaluates whether implementing patient-specific education and discharge planning programs can decrease CHF-associated hospital readmissions. To investigate the phenomenon, the DNP student completed a retrospective chart review, found an intervention, implemented said intervention, and then evaluated the intervention's effectiveness versus interventions already in …

Prescription For Change: Tackling Inappropriate Antibiotic Use In Urgent Care Settings, Lachundra Mosley

Doctoral Projects

A pressing global health issue that significantly contributes to antibiotic resistance is the inappropriate antibiotic prescribing for Upper Respiratory Infections (URI’s) in urgent care settings (World Health Organization [WHO], 2022). The purpose of this doctoral project was to reduce inappropriate antibiotic prescriptions for URI at an urgent care in D’Iberville, Mississippi through the implementation of an educational pamphlet.

A pre-post intervention project was conducted, collecting data on antibiotic prescribing practices via retrospective chart reviews before and after the educational intervention. Data was collected using a researcher developed screening tool based on Evidence based guidelines to distinguish viral vs bacterial infections. …

Investigating The Effects Of Workload Management Strategies On Nurse Practitioner Burnout And Job Satisfaction, Erica G. Smith

Doctoral Projects

Burnout is a critical issue among psychiatric mental health nurse practitioners (PMHNPs), worsened by excessive workloads, productivity demands, and the emotional intensity of patient care (Chi et al., 2024). The negative effects of burnout included diminished job satisfaction, reduced quality of care, and increased turnover (Chi et al., 2024). As the demand for Psychiatric Mental Health Nurse Practitioners (PMHNPs) grew, addressing these challenges was essential for maintaining a sustainable workforce and ensuring quality patient care.

This doctoral project aimed to assess the impact of a workload management strategy on reducing burnout and improving job satisfaction among PMHNPs in a hospital …

The Impact Of Physical Exercise On Stress Reduction Among College Students, Natalie Luna

Honors College Theses

Stress is a prevalent issue among college students, often contributing to mental healthchallenges such as anxiety and depression. While physical exercise is recognized as a beneficial strategyfor stress reduction, there is limited understanding of the specific exercise factors that influence stresslevels, including type, duration, and intensity. This study aimed to explore these factors, identify barriersand facilitators to regular exercise, and evaluate students' perceptions of physical exercise as a stressmanagement tool. Insights from this research aim to inform strategies for promoting physical activity toenhance student well-being.

A non-experimental, cross-sectional survey design was used to investigate the relationshipbetween exercise habits and stress …

Improving Outcomes Of Patients Being Seen In The Emergency Room For Mental Health Crisis, Kimberly Hudson

Doctoral Projects

Mental health is a significant problem, especially in males aged 20 to 50 years old (Omary, 2019). Lack of a primary mental health care provider, lack of proper treatment and follow up appointments for this population, and bottlenecking patients in the emergency room are all factors that contribute to the problem. As a result, these patients experience negative outcomes such as not receiving proper care and/or causing harm to themselves or others. In this doctoral project we will explore the option of patients having better outcomes if seen immediately by a psychiatric health care provider.

Having psychiatric healthcare providers in …

Know Your Birth: Improving Knowledge And Confidence Through Education On Childbirth In Rural Kenya, Stephanie Cortez, Jasmine Ochoa, Manvi Pal, Carol Xiong

ELMSN E-Portfolio. A collection of Scholarly and Creative Works

No abstract provided.

Efficacy Of M-Health Solution On The Paternal Postpartum Depression Affecting The Relationship Of The Couple: A Pilot Study In Four Hospitals Of Karachi, Pakistan, Syeda Sakina Mehdi, Naghma Rizvi, Saleema A. Gulzar, Nuruddin Badruddin Mohammed, Vardah Bharuchi, Syeda Aleena Abbas, Mehak Barolia

Journal of Asian Midwives (JAM)

Background: Postpartum depression (PPD) significantly impacts mothers and fathers, with paternal PPD (PPPD) affecting 28.3% of fathers in Pakistan. PPPD exacerbates maternal symptoms and disrupts family dynamics but remains underdiagnosed due to cultural stigmas and gender-specific presentations, such as aggression and stress. Socio-economic challenges, marital dissatisfaction, and limited support further heighten PPPD risks. Mobile health (mHealth) technologies offer accessible, stigma-free solutions for mental health support. This study explores PPPD health needs and evaluates an mHealth intervention for improving detection, support, and relationship outcomes among postpartum couples in Pakistan.
Methods: This exploratory sequential mixed-methods study will be conducted in two phases. …

Beyond Tradition: Exploring The Underlying Factors Of Delayed Cord Clamping, Sehar Aslam

Journal of Asian Midwives (JAM)

Delayed cord clamping (DCC) benefits mothers and infants by improving iron levels and neurodevelopmental outcomes while reducing neonatal complications. It is a crucial intervention, especially where iron-rich foods are scarce. Despite its advantages, DCC is often neglected due to medical complications, inconsistent policies, and clinical time constraints. Promoting DCC requires comprehensive education, clear protocols, interdisciplinary collaboration, and adequate skilled staffing. This paper emphasizes the importance of consistent DCC practices to enhance maternal and infant health and urges healthcare providers and parents to prioritize DCC in birth plans.

Knowledge And Attitudes Regarding Pubertal Changes Among Adolescent Males In Karachi: A Study Protocol, Sabah Muhammad Nazim, Saleema A. Gulzar, Hussain Maqbool Ahmed Khuwaja, Zohra Lassi

Journal of Asian Midwives (JAM)

Background: Adolescence (the period between childhood and adulthood) is characterized by significant changes in bodily functions, along with psychological and cognitive growth, which lays the foundation for future health. The unanticipated changes in that phase (especially related to sexuality) can cause adolescents embarrassment and distress, thus impacting their well-being and development. Despite the critical role of puberty in adolescents’ physical, psychological, and social development, research focusing on the knowledge and experiences of male adolescents going through puberty is limited, especially in urban Karachi, Pakistan. Several Pakistani studies have mainly focused on female adolescents and their experiences with puberty, leaving a …

“Time To Rebuild The Healthcare Workforce”: Addressing Socio-Cultural And Psychological Perspectives Of Men’S Presence In Nursing And Midwifery, Sarmad Muhammad Soomar, Salima Farooq, Sarosh Tahar Khymani, Nargis Asad

Journal of Asian Midwives (JAM)

Background: There is a global scarcity of healthcare workers, particularly nurses and midwives, who make up more than half of the current workforce associated with “care”, which is the essence of nursing and midwifery in patient and family care. This is always considered as a profession for women in most of the global workforce. In a patriarchal society, nursing and midwifery limits the choice to be adopted by men. Based on male nurses and midwives’ experiences and stories, it was aimed to explore the present literature to see the citations related to this area, which have been cited to address …

Indications And Outcomes Of Emergency And Elective Cesarean Section Deliveries In A Tertiary Care Hospital In Karachi, Pakistan: A Retrospective Study, Bakhtawar Muhammad Hanif Khowaja Bk, Sabahat Naz, Komal Valliani, Aqsa Nizar Maknojia, Asfa Anwer Ali, Mahek Zaheer Maknojia, Tabish Ali Shalwani, Sheikh Irfan Ahmed, Farida Mughal

Journal of Asian Midwives (JAM)

Background: This study identified major determinants of Cesarean-sections and the outcomes in one referral center.
Methods: A retrospective study was conducted at a tertiary healthcare facility and all women who had cesarean section between January 2020 to July 2021 were enrolled. A chi-square or independent t-test was used to compare maternal and pregnancy characteristics, and neonatal outcomes between emergency c-sections (EmCS) and elective c-sections (ElCS) groups. A multivariable logistic regression analysis compared indications and outcomes between the two groups.
Results: Among 767 women, there were 417 (54.4%) emergency and 350 (45.6%) elective cesarean sections. A multivariable logistic regression revealed that …