Nursing Commons^™

Improving Incidence Of Hospital Acquired Pressure Injuries, Dena Chapman, Melissa Combs, Heather Lewis, Amanda Spamer, Gracie Young, Hope Van Duyne, Brandon Sproul, Sarah Stripp, Bethany Surline

Nursing Research and EBP Day 2024

Pressure injuries remain a huge concern in both the acute and long term care settings worldwide. It is estimated that nearly 2.5 million people are affected each year by a pressure injury. They contribute to higher costs for care, decrease patient’s quality of life and can increase morbidity and mortality.

This project implemented the use of rounding by both skin care champions and nurse residents for high risk patients, while leadership utilized huddles to reinforce appropriate interventions. Turning and positioning every two hours was endorsed as was daily bathing for patients at high risk for developing pressure injuries.

Roadmap To Address Nursing Recruitment And Retention In Ambulatory Care, Susan Madison, Tiffany Smith

Nursing Research and EBP Day 2024

As hospital stays shorten, ambulatory care must expand to meet the increased patient acuity and need for care. Ambulatory care is the entry point for care delivery and the initiator of disease management and wellness (Ulrich, 2019). The ambulatory care system of Rochester Regional Health includes 400 registered nurses, and 600 licensed practical nurses with a nursing turnover rate of 18.75%.

By leveraging technology and innovation in program development, ambulatory-specific programs have been implemented to target nursing staff recruitment and retention, resulting in a 4% decrease in ambulatory nurse turnover rates.

Family Presence During Resuscitation Efforts, Gabrielle Gavin, Marissa Pecora, Gabrielle Narvaez, Kalpana Rai, Matthew Mendolera, Leanne Coon, Bailey Oldham, Olivia Pino

Nursing Research and EBP Day 2024

Family presence during resuscitation enables family members to be present during the resuscitation efforts of a loved one. The focus of this process is to provide support to the patient and their family, while also providing transparency and trust in the medical process and personnel.

The purpose of this project was to identify the impact on family members of witnessing life saving measures on their loved one.

Decreasing Workplace Violence In Ambulatory Care, Jeanene Case, Christine Cook, Nicole Gemme, Rebecca Hass, Taylor Mikiewicz, Lynn Paladino, Erin Parkinson, Maydelin Reve Padilla, Amanda Thongsirimonghoun, Carolyn Vojtush

Nursing Research and EBP Day 2024

Workplace violence is recognized as a significant public health issue. Staff in ambulatory settings are at high risk for experiencing violence from patients or clinic visitors. Exposure to workplace violence may put staff at risk for depression, chronic fatigue, or poor job satisfaction. Developing a safety plan that incorporates organizational policy, staff training, environmental changes and debriefing may help reduce the risk of workplace violence.

12-Hour Shifts: Heaven Or Hell?, Amy Bontrager, Mary Caprio, Lakysha Grant, Seth Kibler, Savanah Wirth, Sarah Reynolds

Nursing Research and EBP Day 2024

In many hospital settings, the 12-hour shift is the standard. While it may be better for continuity of patient care, many studies have looked at the effect it has on nurses as well as patient safety. This project identified themes in the literature and while it couldn’t see a precise path forward, flexible scheduling may be looming just over the horizon.

Nurse Navigation Supports Implementation Of Guideline Based Care, Michelle Ferguson, Uzma Iqbal, Alyssa Pino

Nursing Research and EBP Day 2024

The European Society of Cardiology has developed guidelines aimed at identifying and mitigating risk for cardio-oncology events in oncology patients. Cardiovascular risk factors, cancer type and therapeutic regimen present unique treatment considerations requiring individualized risk assessment. Use of a nurse navigator to initiate triage with pre-visit testing and to coordinate care with the provider ensures patients receive timely treatment.

State Of Science Literature Review: The Effect Nutrition Has On Wound Healing, Alicia M. Grandy

Nursing Research and EBP Day 2024

Objectives:

• State the steps necessary to conduct a comprehensive review of the literature
• Utilize available resources/tools when conducting a literature search

Flexible Work Schedules To Promote Leader Wellbeing Ambulatory Care Nursing Leadership, Elizabeth Carreira, Rebecca Hall, Rebecca Dellafave

Nursing Research and EBP Day 2024

Nursing leaders in ambulatory care may experience high levels of work-related stress and dissatisfaction with the number of hours they were working, and this dissatisfaction may result in higher turnover among nursing leadership.

The purpose of this evidence-based practice project was to develop a flexible scheduling option for nursing leaders practicing in ambulatory care at Rochester Regional Health to promote leader wellbeing and role satisfaction.

Results indicated that leadership satisfaction with their role and the amount of time spent working with nursing staff increased. Perceptions of work-life balance improved as did their interprofessional relationships. A decrease in the average number …

Morale Wednesday, Sadie Bonetti, Christen Ballard, Desiree Dixon, Casey Legros, Danielle Pickney, Meghan Camp, Alyson Harp, Jonathan Ferrer, Catie Wood, Melissa Combs, Heather Lewis, Dena Chapman

Nursing Research and EBP Day 2024

Many factors lead to low nurse satisfaction and poor morale. Some of the factors identified in the literature include organizational culture, burnout, staff shortages, and lack of leadership support. Nurses who are not satisfied at work may become less engaged and may be more likely to leave the organization

This project implemented manager rounding, break buddies, staff snack sharing and encouraged intentional recognition of peers.

Patient Engagement And Co-Creation In Healthcare Services: A Scoping Review, Thiruppavai Sundaramurthi, Smita Mathews, Ella Bermudez, Satish M. Mahajan

Patient Experience Journal

Objective: The objective of this review was to find literature related to the concepts of patient engagement and co-creation in healthcare services and identify models and/or frameworks that combined these concepts. Methods: We developed the eligibility criteria using the Population-Concept-Context framework applicable to studies with population of patients exploring the concepts of engagement and co-creation in the context of healthcare services. The search was conducted in PubMed, CINAHL, Cochrane, APA PsycINFO, and Ovid MEDLINE. We searched for articles in English with no search limitations on publication dates. Reviewers screened abstracts and full texts to identify articles for data …

An Exploratory Qualitative Study Of Perinatal Experiences In An Acute Setting During Early Phases Of The Covid-19 Pandemic, Sharon Hoosein, Pamela Winchester, Stephanie Babinski, Naomi Smith, Payalben Bhavsar, Susan Law

Patient Experience Journal

The COVID-19 pandemic was highly disruptive for people delivering babies in-hospital and for obstetrical healthcare professionals. The purpose of this study was to explore the experiences of people with or without COVID-19 giving birth in a community-based hospital to provide patient insight to obstetrical care providers regarding the services/policies used during the pandemic. Nine interviews were conducted with participants within six months of giving birth in-hospital – four who tested positive for COVID-19 and five who tested negative. Seven themes were identified in the analysis: conflicting emotions; experiences of COVID-related protocols; altered experiences of pregnancy and birth; other aspects of …

Executive Summary: Staff Education Project Staff Education On Early Screening For Diabetes Among Young Black Adults, Frantz Jacob

Walden Dissertations and Doctoral Studies

There are healthcare disparities associated with Type 2 diabetes management in youths, and the condition disproportionately affects racial/ethnic minorities. The gap in practice at the practice site was inconsistent integration of diabetes screening and prevention strategies. The purpose of this project was to develop, implement, and evaluate a staff education program on early screening and prevention of Type 2 diabetes in the young Black community. The practice-focused question centered on whether healthcare staff demonstrated increased knowledge about early screening and prevention for Type 2 diabetes in the young black community. The project occurred at a large family practice clinic in …

Interactive Educational Program For Purposeful Leader Rounding, Gina Lupi

Walden Dissertations and Doctoral Studies

This education project was to introduce nurse managers to the evidence-based practice of daily purposeful leader rounding on all staff in this acute care facility. The need for practice change was evidenced by low all employee survey and the Survey of Healthcare Experience of Patients (SHEP) results; low retention rates throughout the inpatients units; and an increase of patient safety events in fiscal year 2023. Leadership rounding is an evidence-based practice that increases staff retention by supporting and engaging staff. The purpose of the interactive education was to increase the knowledge and self-confidence of the participants to assist in hardwiring …

Their Stories, Our Testimony: A Narrative Inquiry Into The Remote Teaching Experiences Of Community College Clinical Nurse Educators During The Covid-19 Pandemic, Catherine E. Fenner

Doctor of Education Program Dissertations

This narrative inquiry explored the lived experiences of clinical nurse educators who taught at community colleges during the COVID-19 global pandemic, contributing to the growing body of literature about what nurses endured during the pandemic. The pandemic and the ensuing havoc it caused occurred when the profession faced significant staffing shortages. In the early months of 2020, when the virus was spreading rapidly, many states issued stay-at-home orders requiring nursing programs to pivot to remote learning platforms. Teaching hands-on skills, communication techniques, and time management strategies through virtual and remote pedagogy was a time of confusion for nurse educators, who …

Clinical Practice Guideline For Evidence-Based Patient Appointment Reminders, Rohan Matthews

Walden Dissertations and Doctoral Studies

Clinical practice guidelines (CPGs) are health care interventions used for best care outcomes. With this CPG project, I addressed a practice gap regarding the lack of a systematic approach to patient appointment reminders that resulted in disruption to patient health maintenance in an outpatient community clinic setting. Community and population health are improved with preventative care, wellness, and appropriate health maintenance measures. The practice-focused question central to this CPG was: Will a guideline on patient reminders designed to reduce the frequency of missed appointments in a clinic setting, be approved by a panel of clinical experts for future implementation? The …

Decreasing The No-Show Rate In A Mental Health Clinic., Aina Oyibo

Walden Dissertations and Doctoral Studies

The identified practice problem of high no-show rates within a mental health clinic setting creates immense challenges to patient care continuity and clinic efficiency. This issue, in the context of nursing practice, needs resolution for improved patient outcomes and the best possible utilization of clinic resources. The practice-focused question to guide this doctoral project is: Will staff education on the importance of consistent appointment reminders improve knowledge? This project's intervention in staff education concerning the importance of consistent appointment reminders focuses on telephone reminders. A literature search used CINAHL, MEDLINE, PubMed, Google Scholar, and textbooks. All the articles were peer-reviewed …

Quality Of Newborn Care And Associated Factors: An Analysis Of The 2022 Kenya Demographic And Health Survey, John Baptist Asiimwe, Earnest Amwiine, Angella Namulema, Quraish Sserwanja, Joseph Kawuki, Mathius Amperiize, Shamim Nabidda, Imelda Namagembe, Lilian Nuwabaine

School of Nursing & Midwifery, East Africa

Kenya one of the African countries has pledged to reduce neonatal death as per the 2030 World Health Organization target. Providing high-quality newborn care is critical in minimizing neonatal mortality. This study aimed to determine the factors that influence the quality of newborn care in Kenya. Secondary data from 11,863 participants of the 2022 Kenya Demographic and Health Survey (KDHS) were analyzed. The participants were chosen using two-stage stratified sampling. The quality of newborn care was operationalized as receiving all components of newborn care after childbirth, as reported by the mother. Using SPSS (version 29), univariate and multivariable logistic regression …

Staff Education On Service Recovery For New Nurse Leaders, Cara Conley

Walden Dissertations and Doctoral Studies

The goal of this staff education project is to improve nurse leaders’ ability to execute service recovery strategies in a hospital setting. The identified practice problem was the lack of structured education for nurse leaders on service recovery, which impacts their effectiveness in managing patient dissatisfaction, potentially leading to compromised patient safety and organizational performance. The practice-focused question was: In nurse leaders, does the implementation of a service recovery education course significantly improve their knowledge on how to perform service recovery? The purpose of the project was to create and implement a structured education course for nurse leaders with 0–5 …

Evidence-Based Project To Improve Staff’S Knowledge And Attitude Toward Electroconvulsive Therapy, Nicole A. Marshall

Doctoral Dissertations and Projects

Electroconvulsive therapy (ECT) is a safe and effective treatment for depression, bipolar disorder, schizophrenia, catatonia, schizoaffective disorder, and neuroleptic malignant syndrome. Barriers to the use of ECT are misinformation and stigma among healthcare workers and limited access to the treatment. The clinical question for this scholarly project was, “In adult psychiatry and operating room staff at a multisystem hospital located in the mid-Atlantic region of the United States, improve knowledge and attitudes toward ECT?” After a brief educational PowerPoint presentation on ECT with the adult psychiatry and operating room staff, staff knowledge rose from 66% to 72% within the QuAKE …

Improving Student's Hands-On Clinical Experience Through Staff Development, Courtney Eileen Bailey

Doctoral Dissertations and Projects

Precepting students in clinical practice is a widely accepted practice for nursing education. Preceptors are nursing staff on the units working on the days the students come to practice clinical skills. These preceptors typically have minimal to no training in precepting, making them expert clinicians but novice educators. This situation can lead to a lack of knowledge of how to guide students in hands-on clinical skills during the student’s time at clinical. This lack of hands-on skills creates a poor clinical perception for the student and reduces their preparedness for practice. The purpose of this quantitative, quasi-experimental, pretest-posttest, within-subjects design …