Nursing Commons^™

Addressing The Teen Mom Situation In Thailand: A Systematic Review On Challenges, Initiatives And Recommendations For Improvement, Junkkrit Wunggrath, Phinphot Phrommasen, Wanchalerm Ritthimon

Jurnal Keperawatan Indonesia

Teenage pregnancy in Thailand poses significant public health challenges with implications for societal welfare and economic development. This systematic review analyzed the challenges faced by teenage mothers in Thailand, evaluated existing initiatives, and proposed evidence-based recommendations. A comprehensive literature search was conducted using the Scopus and Web of Science databases and others focusing on literature from 2016 to 2023. Keywords included “teenage pregnancy,” “teen mom,” “unwanted pregnancy,” and “unintended pregnancy” resulting in the selection of 36 studies. The PRISMA framework was followed to ensure a systematic approach. Data extraction focused on societal, educational, economic, and health-related challenges as well as …

Obstructive Sleep Apnea And Obesity: How Weight Loss Improves Sleep Apnea Severity And Quality Of Life - An Integrative Review, Hannah Wilson, Neda Akbarshahi

Master's Projects

Introduction: With the growing prevalence of OSA due to the obesity epidemic, there is an urgent need to update treatment regimens. While CPAP continues to be the gold standard of OSA care, challenges with adherence and limited access to effective weight management strategies often impede care. The complex bidirectional relationship between obesity and OSA highlights the importance of addressing weight management in this patient population to help mitigate cardiometabolic risks. Personalized weight loss therapies should be integrated into standard OSA treatment regimens to reduce OSA severity, reduce comorbid conditions, and improve quality of life.

Aim: The objective of this integrative …

Student Use Of Electronic Health Records To Inform Decision-Making: A Pilot Study, Sarah Marie Calonder, Aimee A. Woda

College of Nursing Faculty Research and Publications

Background

As health care continues to evolve, the electronic medical record (EHR) has emerged as an important decision-making tool. To ensure that nursing students work toward competency with the EHR, this study sought to gather information regarding how students use the EHR.

Method

Students in a direct-entry, prelicensure program were observed using the EHR during a simulation-based experience (SBE). Focus groups gathered qualitative student perceptions of EHR use.

Results

Minimal use of the EHR during SBE was identified. Students reported using the EHR for information gathering, validating findings, and nursing tasks.

Conclusion

This study highlights the need for more robust …

Exploring Relationships And Predictors Of Job Embeddedness And Intent To Stay In Acute Care Registered Nurses, Nada Wakim, Myriam Bigaud-Ambroise, Laurie Cogar, Natalie Bermudez

Nursing & Health Sciences Research Journal

Background: Registered nurse turnover is an enduring, ubiquitous global concern exacerbated by the COVID-19 pandemic. An estimated 13 million worldwide nursing shortage is projected with increased domestic U.S. 2021 turnover and vacancy rates. Examining phenomena, such as job embeddedness (JE), may provide further insight into nurses’ multifaceted reasons for remaining in a position. Evidence shows that nurse-leader influence and nurses’ financial situations are also factors associated with JE and intent to stay (ITS). Therefore, the purpose of this study was to explore the relationships and predictors between nurse participants’ characteristics (including direct nurse leader [DNL] influence, familial financial contribution [FFC], …

Beyond “C”: A Nurse Navigator-Led Education Project To Increase Survivorship Referrals And Cancer Survivorship Attendance, Carem Irma Costa Castro, Morgan Nestingen, Tania Silva Santos, Pamela Delongchamp, Luz Morales, Barbara Quintana, Marguerite Rowell, Merly Alonso, Natalie Bermudez

Nursing & Health Sciences Research Journal

Introduction: Recent advancements in cancer care have improved the prognosis of many cancer survivors who are living longer due to early detection and improvements in treatment. These survivors remain at risk for long-term physical treatment side effects. Survivors may also experience depression and anxiety related to fear of recurrence. Studies show many benefits for patients who participate in survivorship programs; however, participation remains low due to various barriers. The purpose of this evidence-based practice project was to implement an oncology nurse navigator (ONN)-led survivorship patient education initiative and evaluate its effectiveness on survivorship program referrals and participation. Methods: Baptist Health’s …

Improving Mobility In Acute Care Patients With A Mobility Technician: A Quality Improvement Pilot Project, Oscar A. Acosta, Erin Shea, Madelyn Lliteras, Mary B. Gomes, Tiffany D. Baker, Catherina Chang Martinez

Nursing & Health Sciences Research Journal

Background: Early mobilization during hospitalization remains an important element in the patient’s recovery and is associated with good clinical outcomes. Despite these benefits, nurses and physical therapists experience challenges from time constraints and competing responsibilities. Mobility technicians present an alternative for safe and early patient mobilization during hospitalization. Methods: The purpose of this quality improvement project was to implement a mobility technician program to improve patients’ mobility during their hospital stay. The setting was a medical-surgical nursing unit of a hospital in South Florida. A protocol was implemented in December 2023. Patients who met the criteria for ambulation using the …

Effectiveness Of Massive Open Online Course On Risk Communication Knowledge In Global Health Emergencies Among Nurses, Khin Thandar Aung, Rafiza Abdul Razak, Muhammad Fadli Zulkafely

Jurnal Keperawatan Indonesia

Massive Open Online Courses (MOOCs) have transformed education. The minimal usage of MOOCs in nursing education reveals a lack of continuous healthcare professional development. Although MOOCs are recognized as a viable means of continuing education for healthcare professionals, their application and content specifically tailored to healthcare have remained unexplored. This study aimed to determine the effectiveness of a dedicated Massive Open Online Course (MOOC) designed to enhance nurses' risk communication knowledge in global health emergencies through testing with a small nurse sample in a pilot trial. This preliminary examination seeks participant feedback and insights. A quasi- experimental research design was …

Optimization Of Long-Acting Erythropoietin Stimulating Agents In Dialysis Patients During Transitions Of Care To A Community Hospital, Ryan Falcon, Erika Dittmar, Radhan Gopalani, Stephanie Palma, Heidi Clarke, Jessica Wine, Leyner Martinez

Nursing & Health Sciences Research Journal

Introduction: Many outpatient dialysis centers have transitioned to long-acting erythropoietin-stimulating agents (ESAs). However, upon admission to a hospital, long-acting ESAs are often overlooked during the medication reconciliation process, leading to therapeutic duplications and increased hospital expenditures. The purpose of this quality improvement project was to evaluate the financial impact of pharmacist prospective review and assessment of outpatient ESAs and appropriate scheduling during a hospital stay. Methods: This was a single-centered, prospective chart review of dialysis patients with initial ESA orders that took place in a non-profit community hospital in South Florida from January to March 2024. The pharmacist reviewed inpatient …

Co-Designing A Digital Family-Led Intervention For Delirium Prevention And Management In Adult Critically Ill Patients: An Application Of The Double Diamond Design Process, Gideon U. Johnson, Amanda Towell-Barnard, Christopher Mclean, Glenn Robert, Beverley Ewens

Research outputs 2022 to 2026

Background: Co-designing healthcare interventions is gaining recognition as a novel and collaborative method. Co-design involves end-users from the start, ensuring that an intervention best meets their needs. Despite its potential benefits, this approach is not yet widely used in developing clinical interventions within intensive care units where the perspectives of patients, family members, and clinicians are crucial. Objective: To describe the application, benefits and challenges of the Double Diamond model to co-design a digital family-led voice reorientation intervention for delirium prevention and management in critically ill adult patients. Methods: The co-design process was guided by the Double Diamond model over …

Nursing And Medical Students’ Views Before And After Participation In A Simulated Ward-Based Interprofessional Learning Activity: An Exploratory Study, Hugh Davies, Olivia Gallagher, Amanda Cole, Carol Crevacore, Evelyn Kang, Kate Jutsum

Research outputs 2022 to 2026

Background: The complex nature of delivering healthcare requires teamwork within and between disciplines. None as important is teamwork between registered nurses and junior doctors. Understanding each other perspectives, practices and purpose offers the prospect of improved patient care. Opportunities for undergraduate interprofessional education allows the exchange of discipline specific knowledge to inform practice. Aim: To explore the views and attitudes of nursing and medical students before and after participation in a simulated ward-based interprofessional activity. Method: Final semester nursing and medical students from different universities were invited to record their views and attitudes before and after participation in an interprofessional …

Immersive Virtual Reality Aggression And Violence Management Education For Nursing Students: A Pre-Test, Post-Test, Follow-Up Evaluation, Joshua Johnson, Sara Hansen, Luke Hopper, Jessica Watson, Sean Cashman, Wyatt De Souza, Brennen Mills

Research outputs 2022 to 2026

Background: Nursing students attending clinical placement encounter similar exposure to aggression and violence as qualified clinicians. Universities encounter barriers in aggression and violence management education delivery due to resourcing and time requirements. Immersive Virtual Reality (IVR) education may reduce barriers while maintaining comparable learning outcomes to face-to-face simulation-based education. Method: Nursing students (n = 72), recruited from one public university in Perth, Western Australia, completed a 15-20 minute IVR education program. Pre-, post-, and 4-month post-intervention questionnaires investigated self-reported confidence. Cross-sectional data were collected for system usability and motion sickness. Results: Significant differences in self-reported confidence were observed (p < .001, partial η2 = 0.53), with large improvements from pre- to post-intervention (p < .001, d = 1.21) and follow-up (p < .001, d = 1.25). Cross-sectional data indicated the program is easy to use and incurs negligible motion sickness. Conclusion: IVR can deliver effective aggression and violence education for nursing students. The short duration, high usability, and persistence of confidence improvements over time indicate potential for IVR to support current nursing education practices.

Impact Of Healthy Pregnancy And Lifestyle In Mothers On Developmental Delay In Their Offspring: A Strength-Based Analysis Of A Longitudinal Study Among Indigenous Children In Australia, Md Irteja Islam, Thomas Stubbs, Tuguy Esgin, Alexandra Martiniuk

Research outputs 2022 to 2026

Introduction: Extensive literature has investigated the prenatal risk factors of developmental delay in children, with evidence highlighting the impact of prenatal health, mental health, and behavioural factors. While a deficit discourse has underscored Indigenous health research and policies, strengths-based approaches provide an opportunity to reframe this discourse, to illustrate and celebrate the strength and resilience of Australian Indigenous families. As such, this study aimed to identify the protective impact of healthy pregnancy and lifestyle in mothers on developmental delay in Indigenous Australian children; and whether it varies by child birthweight adjusted for gestational age. Further, we also tested whether child …

Associations Between Maternal Preconception And Pregnancy Adiposity And Neuropsychiatric And Behavioral Outcomes In The Offspring: A Systematic Review And Meta-Analysis, Bereket Duko, Tesfaye S. Mengistu, David Stacey, Lisa J. Moran, Gizachew Tessema, Gavin Pereira, Asres Bedaso, Amanuel Tesfay Gebremedhin, Rosa Alati, Oyekoya T. Ayonrinde, Beben Benyamin, S. Hong Lee, Elina Hyppönen

Research outputs 2022 to 2026

Maternal adiposity (overweight or obesity) has been associated with adverse perinatal outcomes, although the potential risks of long-term neuropsychiatric and behavioral outcomes in the offspring remain unclear. Using the PRISMA guidelines, we searched PubMed, EMBASE, Scopus, and Web of Science to identify studies on maternal adiposity and offspring neuropsychiatric outcomes. Inverse variance-weighted random-effects meta-analyses were used to pool effect estimates with 95 % confidence intervals (95 % CIs) from adjusted odds ratios (OR) and hazard ratios (HR). Estimates were computed separately for preconception and pregnancy maternal overweight and obesity, with outcomes stratified by the type of neuropsychiatric outcome. In our …

Caesarean Section And Associated Factors In Nigeria: Assessing Inequalities Between Rural And Urban Areas—Insights From The Nigeria Demographic And Health Survey 2018, Emmanuel O. Adewuyi, Wole Akosile, Victory Olutuase, Aaron Akpu Philip, Rhoda Olaleru, Mary I. Adewuyi, Asa Auta, Vishnu Khanal

Research outputs 2022 to 2026

Introduction: When medically indicated, caesarean section (CS) can be a life-saving intervention for mothers and their newborns. This study assesses the prevalence of CS and its associated factors, focussing on inequalities between rural and urban areas in Nigeria. Methods: We disaggregated the Nigeria Demographic and Health Survey 2018 and performed analyses separately for Nigeria’s overall, rural, and urban residences. We summarised data using frequency tabulations and identified factors associated with CS through multivariable logistic regression analysis. Results: CS prevalence was 2.7% in Nigeria (overall), 5.2% in urban and 1.2% in rural areas. The North-West region had the lowest prevalence of …

Implementation Of A Transition-Of-Care Model For Adult Ischemic Stroke Survivors, Megan Akacsos

Electronic Theses and Dissertations

The lasting physical and cognitive deficits associated with the complexities of newly acquired

disabilities resulting from an acute ischemic stroke (AIS) may lead to hospital readmissions. The

participating healthcare facility on the U.S. West Coast reported a hospital readmission rate for

AIS survivors of 24.29% within 30 days of discharge. This doctoral nursing project aimed to

determine if implementing the Comprehensive Post-Acute Stroke Services (COMPASS) model

would reduce 30-day readmission rates compared to no standardized transition-of-care model in

adult AIS survivors over 30 days. Implementing the COMPASS model in this patient population

was expected to better educate and support stroke …

The Lived Experience Of Nurses Caring For People Experiencing Homelessness: A Descriptive Phenomenological Study, Debra Guerrini

Theses & Dissertations

Background:

Marginalized patient populations, such as people experiencing homelessness, receive a lower quality of care linked to stereotyping and biases (Alspach, 2018). Populations receiving substandard healthcare are often subconsciously identified by attributes such as age, race, mental health, housing, and social status (Padilla-Moledo et al., 2016). These stigmatized attributes can be the underpinning of bias. The health status of people experiencing homelessness is generally poorer than housed populations, with evidence demonstrating the difficulties they encounter when attempting access to healthcare (Klop et al., 2018).

Purpose:

The purpose of this phenomenological study was to explore and gain a more in-depth understanding …

The Lived Experience Of Older Adults Using Telemedicine Services, Cathy Anne Cahill

Theses & Dissertations

The coronavirus 2 (SARS-CoV-2) and the subsequent pandemic transformed the healthcare delivery system in the U.S. Telemedicine became an essential mode of healthcare, and its usage increased significantly during the public health emergency. Telemedicine improved access to care, especially for vulnerable patient populations and those with chronic medical conditions. There were many other benefits, including convenience, cost savings, and reduced coronavirus transmission. It also reduced the strain on healthcare facilities and overburdened healthcare providers. A qualitative, Heideggerian phenomenological method of inquiry was conducted to understand the experience of the older adult population utilizing telemedicine services. These methods included a description …

Metacognition Across The Curriculum, Amber Young-Brice

College of Nursing Faculty Research and Publications

For nursing students to succeed, they must reflect on their learning, think critically, and develop skills to adequately retrieve pertinent information relevant to patient care (Waryold et al., 2021). We often hear, “Just tell me what I need to know,” and witness students struggling to think deeply, reflect on if they are making the right decisions for the right reasons, and gain self-awareness of what they know and what they do not know. What can we do about this?

Reflecting On Diagnosis: The Metacognitive Diagnostic Reasoning Model©, Sarah L. Beebe, Angela M. Mcnelis, Majeda El-Banna, Kristina Thomas Dreifuerst

College of Nursing Faculty Research and Publications

Background:

Diagnostic reasoning is a complex cognitive process that requires intuitive, heuristic processing from knowledge and experience, as well as deliberate and reflective thinking. Evidence on interventions to improve diagnostic reasoning is inconsistent, in part because different terms and models are used to guide research.

Purpose:

To present a model of the factors of diagnostic reasoning in Advanced Practice Registered Nurses (APRNs), based on a review of the literature supporting the Metacognitive Diagnostic Reasoning (MDR) Model^©.

Methodology:

A review of the literature through systematic database search, historical articles, texts, and documents was conducted from inception through August 2023 …

Intensive Postpartum Antihypertensive Treatment (Ipat) And Healthy Lifestyle Education: Study Protocol For A Pilot Randomized Controlled Trial For Patients With Hypertensive Disorders Of Pregnancy, Anna Palatnik, Nadine Sunji, Zaira Peterson, Jennifer M. Ohlendorf, Amy Y. Pan, Jacquelyn Kulinski

College of Nursing Faculty Research and Publications

Background

Hypertensive disorders of pregnancy (HDP) complicate about 10% of pregnancies and lead to postpartum hospital readmissions and cardiovascular complications. Following HDP, vascular dysfunction could persist and accelerate the trajectory of cardiovascular disease risk. The benefits of intensive blood pressure (BP) control following HDP have not been adequately investigated. Therefore, no standard guidelines exist to guide the management of mild-to-moderate hypertension in the postpartum period, leading to a wide variation in clinical practice. The present study will investigate the effect of intensive BP control and healthy lifestyle education on maternal cardiovascular health (CVH) and vascular function following HDP.

Methods

The …