Nursing Commons^™

Relationship Between Nursing Care Provided For Children Postextubated From Mechanical Ventilation And Their Reventilation., Marwa G. Abouheiba, Magda E. Youssef

Nursing

Background: Respiratory failure requires mechanical ventilation to maintain gas exchange. Extubation means endotracheal tube removal, where ventilated children maintain an efficient gas exchange without ventilatory support. If extubation fails, the children will need reventilation. Therefore, after extubation, children must receive proper nursing care to prevent reventilation. Aim: This study aims to identify the relationship between nursing care provided for children post-extubated from mechanical ventilation and their reventilation. Settings: The study was conducted at the Pediatric Intensive Care Unit of Alexandria University Children’s Hospital at El-Shatby. Subjects: A convenient sample of 50 extubated children and all nurses provided care to these …

The Fields Of Care Project: Diabetes Education For Agricultural Laborers Of Stockton, California, Matthew Medel, Juan Fernando Rosero, Valerie Visochin, Antonella Winer

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

No abstract provided.

Promoting Mental Health For Graduate Students: The Mind Matters Initiative, Kelly Donahoe, Marissa Marchman, Anna Ramos, Silvia Reyes

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

No abstract provided.

Empowering Community Health Promoters For Healthy Births In Sega, Kenya, Melissa Castro, Trang Ha, Dominique Tagupa, Kaliah Vang

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

No abstract provided.

Enhancing Wellbeing In The Assisted Living Setting: Musical Memories And Pill Prep, Kinsey Hopkins, Audrey Maskiewicz, Ashley Nguyen, Kailynne Van Winkle

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

No abstract provided.

Eat To ‘Beet’ Disease Through Improving Nutrition Literacy To Empower Citizens Of Oak Park, Ca, Lillian Messer, Erin Skowron, Isabelle Tankka, Geth Wu

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

No abstract provided.

Care Beyond Incarceration: Grassroots Support For Community Reentry Success, Chelsea Bigelow, Rachel Bovenizer, Jessica Lebedeff

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

No abstract provided.

The Nursing Human Capital Value Model, Olga Yakusheva, Kathryn A. Lee, Marianne Weiss

College of Nursing Faculty Research and Publications

Nursing's economic value is presently framed within the dominant “outcomes-over-cost” value framework. Within this context, organizations employing nurses often use nursing budget reductions as a cost-minimization strategy, with the intent of retaining high quality outcomes. However, persistent issues such as nurse understaffing, burnout, and turnover threaten healthcare systems' capacity to deliver the quality, equitable, affordable patient care that the public requires. In this paper, we propose a new conceptual model and definition of nursing's economic value. The model development is guided by the convergence of three classic economic frameworks: human capital theory, production theory, and value theory. Grounded in these …

Management Of Possible Serious Bacterial Infections In Young Infants Where Referral Is Not Possible In The Context Of Existing Health System Structure In Mbeya, Tanzania: Experience And Lessons From The End Line Assessment, Esther Ngadaya, Alexander Manu, Mary Mmweteni, Dorica Burengelo, Doreen Philbert, Gibson Kagaruki, Kahabi Isangula, Mbazi Senkoro, Godfather Kimaro, Amos Kahwa

School of Nursing & Midwifery, East Africa

Severe bacterial infections (SBIs) are a leading cause of neonatal deaths in low- and middle-income countries. World Health Organization’s (WHO’s) guideline for outpatient management of danger signs indicating possible serious bacterial infections (PSBI) when referral is not possible was adopted by three pilot district councils in Mbeya Region, in Tanzania (Busekelo, Kyela and Mbarali Districts) in 2018 (the PSBI project). This study documented changes in practice during the PSBI project, and lessons learned. A cross-sectional study was conducted using both qualitative and quantitative data collection methods between July 2021 and January 2022, post-implementation. The study participants comprised stakeholders, health workers, …

An Evaluation Of The Effectiveness Of An Updated Pre-Service Midwifery Curriculum Integrated With Emergency Obstetric And Newborn Care In Kenya: A Cluster Randomised Controlled Trial, Duncan N. Shikuku, Catherine Mwaura, Peter Nandikove, Alphonce Uyara, Helen Allott, Lucy Waweru, Lucy Nyaga, Edna Tallam, Issak Bashir, Eunice Ndirangu

School of Nursing & Midwifery, East Africa

Introduction Quality midwifery education is central to improving midwifery service delivery and maternal and newborn health outcomes. In many settings, midwifery educators insufciently prepared for their teaching role and defcient curriculum compared to international standards afect the quality of healthcare provided by the midwifery graduates. This study assessed the efectiveness of an EmONC enhanced midwifery curriculum delivered by trained and mentored midwifery educators on the quality of education and student performance in Kenya.

Methods A cluster randomised controlled trial in 20 midwifery colleges (12 intervention, 8 control colleges). Educators in both arms received training in teaching/EmONC skills to deliver the …

Effectiveness Of Clinical Training In Influencing The Outcome Of Visual Inspection With Acetic Acid In Selected Facilities At A County In Kenya, Evah Maina, Abednego Ongeso, Nancy Maingi

School of Nursing & Midwifery, East Africa

Background: Cervical cancer remains a major health concern in developing countries, primarily due to the presence of human papillomavirus (HPV) types 16 and 18. Visual Inspection with Acetic Acid (VIA) is a common and affordable screening method, yet its effectiveness is closely tied to the skills and competency of healthcare providers. This study aimed to assess the impact of clinical training on improving VIA screening outcomes for cervical cancer in a county in Kenya.

Methods: Seven government health facilities equipped with cryotherapy machines were selected, with two healthcare providers sampled from each. A six-day VIA training intervention was conducted, combining …

The Relationship Between Early Dysphagia Screening And Incidence Of Pneumonia Among Acute Stroke Patients, Sabreen Elsedeek Ahmed Assistant Lecturer

Nursing

Background: Post-stroke dysphagia is a common complication of acute stroke, which could increase the risk of mortality and aspiration pneumonia. Aim: This study aimed to assess the relationship between early dysphagia screening and the incidence of pneumonia among acute stroke patients. Research design: A correlational descriptive design was utilized in this study. Setting: The study was conducted at the stroke and neurology intensive care units at As-Salam International Hospital. Subject: a purposive sample of (87) adult patients newly admitted with a diagnosis of acute stroke was included in the study. Tools: Three tools were used in this …

Impact Of Educational Sessions On Compassion Fatigue Among Home Healthcare Nurses: An Evidence-Based Practice Project, Adebimpe Blessing Ogunsefunmi

Doctor of Nursing Practice Projects

Background: Nurses are compassionate professionals who provide critical care, often at the expense of their own well-being. As the healthcare system faces rapid changes due to an aging population, nursing shortages, and the impact of COVID-19, compassion fatigue has become increasingly common. Despite its prevalence, few healthcare institutions address this issue. Objective: The objective of this DNP project was to evaluate whether weekly educational sessions enhanced perceptions of a positive quality of life, which typically declines with increased compassion fatigue, as measured by the Professional Quality of Life (ProQOL) scale. PICOT Question: Do weekly educational sessions on compassion fatigue …

Exploring Intensive Care Registered Nurses’ Perceptions Of The Family Support Person During Family-Witnessed Resuscitation, Carmen Petersen, Martha O. Morales, Natalie Bermudez

Nursing & Health Sciences Research Journal

Background: In-hospital cardiac arrests are common occurrences that family members may be present for. Family-witnessed resuscitation (FWR) is a well-studied, evidence-based practice with positive outcomes for family members. However, some nurses disagree with FWR because of the potential for family member disruptions. The presence of a hospital-employed family support person (FSP) dedicated to providing care to family members during FWR may be beneficial in improving nurses’ perspectives on FWR. While evidence shows the benefits of the FSP for family members during FWR, there is little evidence related to nurses’ perceptions of the FSP. Therefore, the purpose of this qualitative descriptive …

Addressing End-Of-Life Care Education Gaps For Registered Nurses: A Quality Improvement Project, Mayra Villalba, Alejandra Angel, Arvinder Singh

Nursing & Health Sciences Research Journal

Background: As the global elderly population grows rapidly, end-of-life care (EOLC) needs have expanded, warranting comprehensive nursing education. There is a significant gap in exposure to EOLC during nursing undergraduate education, clinical experiences, and training opportunities in the professional setting. The purpose of this quality improvement project was to educate nurses about end-of-life care. Methods: In an established medical-surgical unit, hospice patients with comfort-only measures were placed into a cohort labeled Transitional Care Unit (TCU). Between October 2023 and May 2024, nurses working in the TCU were surveyed on their knowledge regarding EOLC. Staff attended mandatory education sessions after the …

Nurse-Led Advocacy In Reducing 30-Day Readmission Rates For Heart Failure Patients With Reduced Ejection Fraction, Lourdes M. Talavera, Madeleine Turco, Hector Gonzalez, Catherina Chang Martinez, Daniela Wintersteen, Stephanie Villadamigo, Alexandra Palau, Maria L. Perez, Cindy Delgado, Stephani Cardona, Christina Davis, Gustavo Ramirez, Marta Larranaga, Betty Muniz, Jessica G. Bundy

Nursing & Health Sciences Research Journal

Background: Heart failure with reduced ejection fraction (HFrEF) is associated with increased mortality, morbidity, and readmission rates. Evidence-based practice outlines that HFrEF patients should be on guideline-directed medical therapy (GDMT), including medication from four categories: renin-angiotensin system inhibitors, β-blockers approved for the treatment of heart failure, aldosterone antagonists, and sodium-glucose cotransporter 2 inhibitors. Nurse-led patient advocacy for patients to be discharged on GDMT can help reduce 30-day readmission rates in patients with HFrEF in an inpatient heart failure unit. The purpose of this project was to implement a new practice involving the utilization of a discharge form and empowering nurses …

Challenging A Sacred Cow: Implementing Clear Liquids During Labor, Paloma Casemeiro, Carey B. Acosta, Judith E. Bowling

Nursing & Health Sciences Research Journal

Background: Traditionally, patients in labor could not have anything to eat or drink (nothing by mouth [NPO]) due to long-standing beliefs, often labeled "sacred cows." However, recent research indicated that clear liquids during labor can be safe and beneficial. Methods: Prior to implementing this project, the team collected information from 20 low-risk laboring mothers regarding their satisfaction level and their perception of the overall childbirth experience. Clear liquids were permitted for low-risk mothers and data were collected from the same population to evaluate the impact on their labor experience. The primary goal of this project was to challenge the “sacred …

A Multi-Pronged Collaborative Approach To Harness The Implementation And Sustainability Of Bedside Shift Report, Diane S. Kramer, Lourdes C. Castaneda, Catherina Chang Martinez, Shelli A. Chernesky, Lisette Hurtado, Harold Girado, Yessenia Muniz

Nursing & Health Sciences Research Journal

Background: Implementing nurse bedside shift report (BSR) remains a critical practice during shift changes that improves the delivery of safe patient care. The practice of BSR remains susceptible to variability and sustainability in the acute care setting. The purpose of this quality improvement project was to harness the implementation and sustainability of BSR using a multi-pronged approach. We aimed to improve nurse-sensitive indicators discussed during the BSR process and include patients in the BSR process. Methods: Implementing Lorenzi and Riley's change cycle methodology, executives, leaders, and educators collaborated to create a multi-pronged approach to standardize the BSR process for nurses …

Retrospectively Exploring Differences, Relationships, And Predictors Associated With The Bedside Mobility Assessment Tool And Patient Outcomes​, Sandra Torres, Angela Ramirez, Nicole Boswell, Sigrid Somarriba, Simone Cheong, Natalie Bermudez

Nursing & Health Sciences Research Journal

Background: Prolonged immobility in hospitalized patients is prevalent and associated with hospital-acquired functional decline and other adverse hospital outcomes. Early mobilization (EM) of hospitalized patients reduces the incidence of hospital-acquired conditions. Therefore, early identification of patients’ mobility status and EM are essential. Evidence shows that using the Bedside Mobility Assessment Tool (BMAT) promotes early mobility and improved patient outcomes. The purpose of this study was to explore the impact of the BMAT assessment on patient outcomes (falls, hospital-acquired pressure injuries [HAPIs], and length of stay [LOS]). Methods: This was an IRB-approved retrospective research study. Data were collected from patient records …

Implementation Of A New Graduate Registered Nurse Mentorship Program: A Quality Improvement Project, Cindy N. Ruisi

Nursing Doctoral

Transitioning from student to a registered nurse is a critical period for new graduates, often marked by challenges affecting confidence and job satisfaction. Mentorship programs have been identified as an effective intervention to support new nurses during this transition. The Academy of Medical-Surgical Nurses (AMSN) offers a structured mentoring program that can be leveraged to enhance the confidence level and job satisfaction of new graduate registered nurses.

This quality improvement project aims to implement a new graduate registered nurse mentorship program at a > 400-bed community hospital. This program will incorporate components of the established Academy of Medical-Surgical Nurses mentoring program, …