Nursing Commons^™

Constructing A Blueprint For A Professional Development Module On Interventions For Bullying And Self-Advocacy For Nursing Faculty, Glenn Murphy

Boise State University Theses and Dissertations

Bullying remains a persistent issue among nursing faculty. Nursing faculty often claim they do not have the communication skills or the confidence to address bullying behaviors and to advocate for themselves. Instead, they often avoid the perpetrators or accept bullying as part of the nursing education environment. One possible solution involves creating a professional development module for nursing faculty. My Delphi study led to the creation of a blueprint for a professional development module on interventions for bullying and self-advocacy for nursing faculty. Over the three rounds of online questionnaires, an expert panel of nursing faculty suggested content areas, recommended …

The Assignment Despite Objection Construct: Its Efficacy And Utility In Measuring Nurse-Perceived Unsafe Staffing Events And Associated Outcomes, Debra F. Fox

UNLV Theses, Dissertations, Professional Papers, and Capstones

Purpose: This three-manuscript approach provided a progressively built overview of Assignment Despite Objection as a construct used by nurses to document their perceptions of unsafe staffing events and as an unstudied concept in the staffing outcomes literature.

Background: All nurses have an ethical, legal, and professional responsibility to refuse or object to assignments they believe are unsafe for their well-being or their patient’s safety. Assignment Despite Objection being the only widely used construct nurses use to document these perceptual details. No studies have focused on Assignment Despite Objection as a construct or concept, leaving a complete gap in understanding its …

Exploring Staff Nurses’ Perceptions Of Nursing Student Enculturation Within Clinical Teaching: A Focused Ethnography, Larizza Limjuco Woodruff

UNLV Theses, Dissertations, Professional Papers, and Capstones

The traditional clinical education model in nursing has utilized on-site learning experiences in clinical settings with patient encounters. With the growing complexity and demands of contemporary nursing care today, it is imperative to question the principal assumptions that guide the design and use of traditional clinical teaching experiences. Staff nurses working with nursing students can illuminate the impact of sociocultural workplace factors on clinical teaching and learning when preparing students for practice. Yet there is little known about staff nurses’ perspectives of nursing culture and how enculturation prepares nursing students for the profession. By understanding the perceptions of enculturation among …

Cultivating Nursing Student Competency Through Serious Gaming Simulation-Enhanced Prebriefing, Shopha M. Tserotas

UNLV Theses, Dissertations, Professional Papers, and Capstones

Problem: Simulation is an effective teaching strategy for undergraduate nursing students, providing a safe environment for learning in a low-risk setting. However, students are not fully prepared to take full advantage of high-fidelity simulation activities. The purpose of this study was to examine the impact of serious gaming simulation-enhanced prebriefing on student competency and simulation effectiveness. Methodology: The study employed a quantitative, cross-sectional, quasi-experimental design using secondary data. Participants included undergraduate nursing students in a southern private university. The students were enrolled in the prelicensure nursing program and the obstetric or the transition to practice course. The control group received …

Comparison Of Two Learning Methodologies: Virtual Reality And Osce Simulation, Connor Blackwell, Tabor Mcgee

Doctoral Projects

Anesthesia education has evolved immensely over the past twenty years, and with the new virtual reality (VR) simulations created by SIMVANA, the exponential growth can continue. The anesthesia program at The University of Southern Mississippi (USM) currently utilizes an educational platform known as the Objective Structured Clinical Examination (OSCE) for their students’ clinical curriculum. With the development of technology and education models, the purpose of the doctoral project is to determine if VR simulation can produce more effective learning than the OSCE modules. To determine the effectiveness, pharmacologic lessons for intraoperative hypotension were administered through both platforms and then tested …

Improving Consistency Of Quality-Of-Life-Assessments In Schizophrenia Patients Through Structured Education For Healthcare Providers, Dorothy Stewart

Doctoral Projects

Schizophrenia is a chronic and debilitating mental disorder that significantly impacts patients' quality of life (QoL). Effective management of schizophrenia requires not only symptom control but also a comprehensive assessment of QoL to guide treatment plans. The Schizophrenia Quality of Life Scale Revision 4 (SQLS-R4) is a specialized tool designed to evaluate the unique challenges faced by patients with schizophrenia. However, inconsistencies in the administration and interpretation of the SQLS-R4 by healthcare providers have led to variability in patient care. This doctoral project aimed to address this gap by implementing a structured educational intervention for healthcare providers that focused on …

Optimizing Laboratory Appointment Adherence Among Patients Prescribed Psychoactive Medications, Tamara N. Blake

Doctor of Nursing Practice Final Project Abstract

PURPOSE

The purpose of this scholarly project was to implement a standardized nurse-driven phone call reminder protocol to improve adherence to scheduled laboratory appointments among patients prescribed psychoactive medications requiring bloodwork. This protocol is aimed to increase appointment adherence and reduce no-show rates within the clinic.

BACKGROUND

The project was implemented within a small outpatient community-based clinic in Round Rock, Texas which provides mental health services. The clinic experienced high no-show rates for scheduled laboratory appointments among patients prescribed psychoactive medications. Monitoring these patients is essential to ensure medication safety and prevent potential adverse effects.

METHODOLOGY

The six-week quality improvement …

A Proposed Instrument To Determine Mobility Eligibility Criteria And Levels For Mechanically Ventilated Patients In The Intensive Care Unit, Keira Gabrielle Miller

Doctoral Scholarly Projects & Capstones

Immobility is a problem among mechanically ventilated patients in the intensive care unit. Early mobility has been shown to benefit mechanically ventilated patient outcomes by minimizing hospital stays and costs, decreasing the risk of infection, and improving muscle strength to lead to a better quality of life. No inclusive checklists exist to evaluate patients progressing to varying levels of mobility based on specific criteria such as hemodynamics, neurological function, and disease acuity. This gap was identified after a current and comprehensive literature review on early mobilization among mechanically ventilated patients. The purpose of this project was to combine a comprehensive …

Incorporating The Pcl-5 Self Assessment Tool In The Treatment Of Post Traumatic Stress Disorder Using Virtual Reality Therapy, Janette Sanchez

Doctor of Nursing Practice

Background. Post-traumatic stress disorder occurs when individuals experience a traumatic event causing symptoms of depression, anxiety, and cognitive difficulties (Sadock et al., 2017). Failure to assess changes in post-traumatic stress disorder symptoms can result in ineffective treatments (Department of Veterans Affairs & Department of Defense, 2023). Purpose. Implement the Post Traumatic Stress Disorder Checklist for DSM-5 screening tool as part of an outpatient clinic’s virtual reality exposure therapy protocol evaluating patients’ perceived effectiveness of virtual reality exposure therapy in post-traumatic stress disorder management. Methods. All staff and providers were educated on the use of the PCL-5 screening tool. Patients were …

Young Adults’ Perceptions Of Adverse Childhood Experiences As Context And Causes Of Mental Health Conditions: Observations From The United States, Kathryn Sabella, Ian A. Lane, Murron O'Neill, Natalie Tincknell

Faculty Publications (Peer-Reviewed)

Background

Objective

Participants and setting

Methods …

Editorial Board

Nursing & Health Sciences Research Journal

No abstract provided.

Pregnancy Outcomes After Covid-19 Infection, Angela M. Blanco Guertin, Arvinder Singh, Arianna Tapia, Emily Dickinson

Nursing & Health Sciences Research Journal

Background: Since the onset of the Coronavirus 19 (COVID-19) pandemic in 2020, the medical community has raced to keep up with the continued healthcare sequelae of the virus. During this time, pregnant women and newborns have been of particular concern. A higher incidence of pregnancy-related complications was seen among women during the pandemic. This study aimed to assess the relationship between COVID-19 and pregnancy complications among women. Methods: This retrospective study analyzed records of pregnant women with active COVID-19 or a history of COVID-19 during pregnancy, admitted to a South Florida hospital between March 2020 and December 2021. Patients’ charts …

Letter From The Editor: Nurse Scientists At Baptist Health, Nohemi Sadule Rios

Nursing & Health Sciences Research Journal

No abstract provided.

Effects Of The Low-Dose, High-Frequency Cardiopulmonary Resuscitation Education On Nurses’ Competency And Confidence, Claudia C. Sabogal-Rodriguez

Nursing & Health Sciences Research Journal

Background: Despite advances in resuscitation science, sudden cardiac arrest remains a leading cause of death in the United States, with substandard intra-hospital survival-to-discharge rates. High-quality resuscitation skills for nurses are needed, including effective cardiopulmonary resuscitation (CPR) education. Methods: This study followed a quantitative, four-group, cross-sectional correlational approach and aimed to measure the relationship between competency and confidence when using the low-dose, high-frequency CPR educational method over time. The Modified Basic Resuscitation Skills Self-Efficacy Scale was used to measure confidence, and the Resuscitation Quality Improvement (RQI) program measured competency. Results: The results came from a sample size of 100 participants, with …

Building A Meditation Room To Improve Critical Care Nurse’S Work Environment: An Evidence-Based Practice Project, Jennifer Alonso, Daphne Pierre, Stephanie Wald, Stephen Breazeale

Nursing & Health Sciences Research Journal

Background: Burnout, stress, and compassion fatigue are common among nurses, especially for those working in intensive care and during night shifts, and may contribute to the global nursing shortage. Thus, nursing organizations have issued recommendations to improve workplace health. Aligned with these initiatives, we sought to improve nurses' stress by creating a meditation room in the intensive care unit at a hospital in Miami. Methods: This evidence-based practice project took place from March to August 2023. The meditation room opened in May 2023 with a variety of therapeutic modalities, including meditation, music, and aromatherapy. We conducted two custom-designed surveys to …

Assessing Prescribing Trends And Pharmacist Role In Optimization Of Iv Iron Sucrose, Katherine Fernandez, Erika Dittmar, Heidi Clarke, Stephanie Palma, Jonathan Kline

Nursing & Health Sciences Research Journal

Background: Iron deficiency can occur in the presence or absence of anemia and is defined as ferritin less than 15–30 μg/L or transferrin saturation less than 20% per the American Society of Hematology guidelines. Intravenous (IV) iron is used to treat iron deficiency when oral iron supplements are ineffective or not tolerated due to gastrointestinal issues or inability to take medications orally. Intravenous iron allows for more rapid replenishment of iron stores, especially in cases where absorption is compromised. There is no significant difference in efficacy between IV iron formulations, making cost-effectiveness a crucial consideration in product selection. Our health …

The Effects Of A Healthcare Simulation Escape Room On Clinical Judgment: A Randomized Controlled Trial, Jennifer Peltier

UNLV Theses, Dissertations, Professional Papers, and Capstones

Background: The predominant pedagogy of traditional lecture-based learning should include meaningful active content to foster clinical judgment, engagement, and knowledge retention. Innovative active learning strategies must be tested to understand if they can better facilitate nursing learners’ readiness for practice.

Aims: This research study investigated the impact of a healthcare simulation escape room as an innovative platform on individual and team clinical judgment to determine whether this active learning strategy can benefit nursing learners’ preparedness and increase clinical judgment.

Method: A randomized, double-blinded, waitlist control design was used to examine the effect of a healthcare simulation escape room on clinical …

A Theory-Guided Qualitative Exploration Of Occupational Influences On Firefighters’ Dietary Behaviors, Cynthia Horton Dias, Courtney Catledge Dnp, Msn, Aprn, Fnp-Bc, Robin M. Dawson Phd, Rn, Cpnp-Pc

Publications

Background: Firefighters face many inherent occupational health hazards and increased risk for several cancers, making peak health essential. However, cardiac events and stroke continue as leading causes of on-duty deaths. Healthy diets promote prevention of cardiovascular disease and cancers. While some dietary interventions have been undertaken, sustained improvements have not been observed. Understanding firefighters’ occupational influences on dietary behavior is vital for implementation of effective interventions to improve nutrition. Methods: The Theoretical Domains Framework (TDF) guided this qualitative study. Nine focus groups of firefighters who work 24-hour shifts and one interview with a fire administrator (N = 34) were conducted …

Enhancing Warning Signs Of Mental Health Literacy: Evaluating A Digital Base Intervention For Health Profession Students, Nashwa Ibrahim

Nursing

Background: Despite its importance, Mental health literacy (MHL) among nursing and other health profession students often remains inadequate, potentially impacting their future roles as healthcare providers. This inadequacy can lead to delayed or inappropriate care for individuals with mental health concerns, perpetuating adverse outcomes and increasing the burden on healthcare systems. Aim: To evaluate a digital-based intervention designed to enhance the warning signs of mental health literacy among health profession students. Design: A quasi-experimental, one-group pretest-posttest study design was used to conduct the current study. Methods: A non-randomized trial was conducted using digital mental health literacy intervention about the warning …

Relationship Between Nursing Care Provided For Children On Mechanical Ventilation And Their Clinical Outcomes, Marwa G. Abouheiba, Nehad S. Basiouny

Nursing

Background: Indication of mechanical ventilation are variable and diverse. It is required whenever the child is unable to maintain adequate alveolar oxygenation or ventilation. Objective: To assess the relationship between provided nursing care for children on mechanical ventilation and their clinical outcomes. Setting: The Pediatric Intensive Care Unit (PICU) of Alexandria University Children’s Hospital (AUCH)at El-Shatby. Subjects: Study subjects were included both nurses and children. The first part of the study are all nurses (30) worked at the previously mentioned setting were included this inclusion was regardless of their level of education and years of experience. The second part is …