Nursing Commons^™

Clinician's Perspectives On The Feasibility Of Patient Controlled Analgesia In Emergency Departments: A Qualitative Descriptive Study, Natasya Raja Azlan, Caroline Bulsara, Leanne Monterosso, Max Bulsara, Gail Ross-Adjie

Research outputs 2022 to 2026

Background: Despite pain being the most common reason for patients to visit the emergency department (ED), conventional pain management methods are often inadequate. Patient controlled analgesia (PCA), which allows patients to self-administer intravenous analgesia, is widely used across many hospital wards, however, is not routinely used in ED. We aimed to identify clinicians’ perceptions of PCA use in the ED setting. Methods: A qualitative descriptive approach was employed using semi-structured individual interviews conducted with ED clinicians from two hospitals in Western Australia. Interviews were recorded and transcribed. Data was analysed using qualitative content analysis. Results: Data saturation was achieved after …

Lessons Learned From Ventilated And Proned Patients With Covid-19: A Multisite Retrospective Study To Identify Predictive Factors For Facial Pressure Injuries, Jeanne Hlebichuk, Elissa Buck, Angeline L. Brooker, Julie K. Mackenzie, Maharaj Singh

College of Nursing Faculty Research and Publications

Background

Many patients critically ill with COVID-19 develop acute respiratory distress syndrome (ARDS) necessitating mechanical ventilation and proning. Although proning is lifesaving, it has been linked to the occurrence of facial pressure injuries (PIs).

Objectives

To evaluate the incidence and use of prevention strategies and identify predictors of facial PIs in patients who received ventilator and proning treatments in COVID-designated intensive care units at 2 large quaternary medical centers in the Midwest.

Method

This was a retrospective cohort study using data extracted from an electronic health record between October 2020 and February 2022. Demographics, clinical and care variables, and PI …

Change In Expectations: A Policy Recommendation For Future And Current Nurse Educators, Kylateia Farrar-Stern, Amber Young-Brice

College of Nursing Faculty Research and Publications

Currently, there are no standardized requirements for pedagogical preparation for nurse educators at the state and national level. Various stakeholders have identified an issue in the preparation of nurse educators in academia. Current recommendations are that faculty have a master's or doctoral degree in nursing (American Association of Colleges of Nursing, 2017); however, requirements do not include educational preparation prior to or concurrent with starting a faculty position. This policy paper highlights a recommendation to require one of the following: the Certified Nurse Educator credential or certificate in teaching for educators without prior formal education in pedagogy. Outcomes of such …

Nursing Students’ Epistemological Beliefs And Critical Thinking Skills, Asuman Çobanoğlu, Şebnem Bilgiç

Makara Journal of Health Research

Background: Epistemological beliefs and critical thinking affect the approach to knowledge and decision-making processes in nursing practice. These characteristics positively contribute to the personal development and quality of patient care of nurses. This study investigated the relationship between nursing students’ epistemological beliefs and critical thinking skills.

Methods: This descriptive and correlational study included 752 students studying nursing. The study was conducted with students enrolled in nursing programs at two state universities located in the northeast and west of Turkey. Data were collected using a Student Information Form, the Epistemological Beliefs Questionnaire (EBQ), and the Critical Thinking Disposition Scale …

Caregiver Support For Patients Diagnosed With Dementia, Michelle N. Kabakibi

Dissertations

Background: Current research indicates that caregivers of dementia patients often experience a great deal of stress related to caregiving. Most of these caregivers are informal caregivers without prior knowledge or training in dementia care. Previous studies indicate that informal caregivers often experience stress during this postdiagnosis period due to a lack of high-quality and available information, education, and support services tailored to meet the unique needs of families caring for a dementia patient. Currently published approaches to providing caregivers with information are largely centered on a one-size-fits-all approach.

Purpose: This descriptive qualitative study was conducted to examine the lived experience …

Evaluation Of The Relationship Between Self-Care And Treatment Compliance In Patients With Type 2 Diabetes: A Cross-Sectional Study From Northeast Türkiye, Enver Caner, Esin Kavuran

Makara Journal of Health Research

Background: The study aimed to investigate the connection between self-care behaviors and treatment adherence among individuals with type 2 diabetes.

Methods: This cross-sectional correlational study was conducted between January and May 2022 in a public hospital involving 191 patients diagnosed with type 2 diabetes. Data were collected using the patient information form, the diabetes self-care scale, and the assessment scale for treatment compliance in type 2 diabetes.

Results: The mean self-care score was 84.57 ± 14.46 years, and the mean treatment compliance score was 79.50 ± 11.13 years, with a significant negative correlation between them (r …

Nursing Students’ Attitudes To The Recording And Protection Of Patients’ Health Data: A Cross-Sectional Study, Dilek Yılmaz, Oktay Uysal

Makara Journal of Health Research

Background: Understanding nursing students’ attitudes toward patient data protection is crucial, as it can affect their future practice and adherence to legal and ethical standards. The primary aim of this study was to assess nursing students’ attitudes toward the recording and protection of patients’ health data.

Methods: In this descriptive and cross-sectional study, 460 students were selected using the convenience sampling method. The intention was to contact the whole research population; however, data were collected from those who agreed to participate in the study and who completed the data collection form, which accounted for 70% of the population. …

A Descriptive Study On Holistic Nursing Education: Student Perspectives On Integrating Mindfulness, Spirituality, And Professionalism, Sara P. Prescott Student Nurse, Adrianna L. Watson Phd, Rn, Ccrn, Tcrn, Chelsey D. Young Msn, Rn, Carly Peterson Msn, Aprn, Nnp-Bc, Doctoral Candidate, Daphne Thomas Dnp, Rn, Chse, Cne, Cnml, Cen, Matthew Anderson Dnp, Aprn, Fnp-C, Samuel B. Watson M.A., Doctoral Candidate

Student Works

Background: Mindfulness has gained prominence in education as a method for enhancing student well-being and learning, yet its integration into nursing curricula remains underexplored. Student lived experiences are essential to understanding the potential benefits and challenges of mindful nursing practice.

Aim: To explore the lived experiences of undergraduate nursing students who practice mindfulness as it relates to nursing education.

Methods: This was a qualitative descriptive phenomenological study. Data was collected using semi-structured Zoom interviews. Recruitment used word of mouth and snowball sampling. Out of 80 applicants, 17 undergraduate nursing students were interviewed until data saturation was achieved. Data were analyzed …

Postpartum Depression Screening In The Neonatal Intensive Care Unit At A Tertiary Pediatric Hospital, Abbie Bates

Doctor of Nursing Practice Final Manuscripts

POSTPARTUM DEPRESSION SCREENING IN THE NEONATAL INTENSIVE CARE UNIT AT A TERTIARY PEDICTRIC HOSPITAL

By

Abbie Kim Bates

Razel Bacuetes Milo, PH.D. DNP., FNP-C

Background: Postpartum depression (PPD) is a treatable mood disorder with an onset at 1-3 months after childbirth. In the United States, PPD occurs at a rate of 1 in 8 women and as high as 1 in 5 women in parts of the country. In unique populations such as the neonatal intensive care unit (NICU), PPD rates can be as high as 40%. The treatment rate for PPD is 50% with a sizable percentage of …

Inevitable Or Preventable? A Pilot Intervention To Reduce Burnout Risk In Acute Care Nurses, Emily R. Kelly

Clinical Psychology Dissertations

Purpose: Burnout among healthcare workers is widespread and costly, resulting in calls for action to reduce the experience and impact of this work-related phenomenon. Burnout among nurses has been associated with impaired patient safety, decreased quality of care, lower levels of patient satisfaction, decreased productivity, and higher levels of intent-to-leave the profession. Aim: The aims of this study are to assess whether sleep problems mediate the relationship between recovery and burnout and to examine the feasibility of a pilot intervention to enhance recovery, improve sleep quality, and reduce burnout among inpatient nurses. Method: Eligible participants included registered nurses who worked …

Introducing Therapeutic Music As An Alternative Therapy To Reduce Anxiety In The Emergency Department, Azuka Debbie Onyekwe

Doctor of Nursing Practice Final Project Abstract

Purpose: This quality improvement project evaluated the feasibility of implementing therapeutic music in the emergency department (ED) to decrease anxiety levels by 10% over three months at a hospital in West Houston.

Background: Anxiety in the ED can exacerbate patient conditions and lead to increased use of anxiolytic drugs. Prior studies suggest that therapeutic music is effective in lowering anxiety across clinical settings. Anxiety in emergency department settings can negatively impact patient outcomes and increase reliance on pharmacological treatments. Evidence from previous research has demonstrated that therapeutic music interventions can significantly reduce anxiety, making it a promising non-pharmacological approach. However, …

Improving Nursing Communication Through Handoff Tool Education: A Staff Education Project, Linda Holt Anderson

Walden Dissertations and Doctoral Studies

The common practice of handoff of care communication is an integral part of patient care. However, ineffective handoff communication is associated with significant risks to patient outcomes. The issue of ineffective handoff of care is a local practice problem as well as a national issue. Strategies including standardized verbal, written, and electronic clinical handoff tools are emerging. However, many nurses are not knowledgeable regarding use of these standardized handoff of care tools. Therefore, the practice-focused question for this doctoral project asked whether an educational program on use of a standardized handoff tool could increase nursing knowledge as compared pre- and …

The Effectiveness Of An Interdisciplinary Care Team: An Integrative Review, Lindsey Marie Ellingford

Doctoral Dissertations and Projects

As health care is ever growing and changing, demands for interdisciplinary care team collaboration are crucial for collective competence and team performance across settings. In healthcare facilities across the county, interdisciplinary care teams are made up of multiple disciplines. The following is an integrative review with a purpose to determine if the existing literature supports the implementation of an interdisciplinary care team in the healthcare environment. After completion of this integrative review, the author concluded there should be a standardized tool in the healthcare system to guide the creation and implementation of an interdisciplinary care team. The Jerry Falwell Library …

Determining The Effectiveness Of A Nurse-Led Heart Failure Education Program In Reducing 30-Day Hospital Heart Failure Readmissions, Amy Suzanne Cosby

Doctoral Dissertations and Projects

The purpose of this project was to determine if a nurse-led heart failure (HF) education program would reduce overall 30-day hospital readmissions related to. Affecting millions of adults in the United States, HF is a growing health epidemic as well as an economic burden to healthcare systems. The population for this project included patients admitted with a diagnosis of acute or chronic HF based on the International Statistical Classification of Diseases and Related Health Problems (ICD-10) codes. An electronic health record intervention indicated that when a healthcare provider diagnosed a patient with any HF ICD-10 code, the nurse-led HF education …

Hyperlipidemia: Enhancing Patient Education And Clinical Support To Improve Self-Efficacy, Kelly L. Caniglia

Doctoral Dissertations and Projects

Hyperlipidemia is a chronic, progressive disorder routinely encountered in primary care practice. In the United States, coronary artery disease and cerebrovascular disease are the leading causes of death. Hyperlipidemia is a modifiable risk factor for the development of coronary artery disease, cerebrovascular disease, and peripheral artery disease. However, many individuals fail to recognize the severity of the health consequences associated with hyperlipidemia. Most often, hyperlipidemia is the direct result of unhealthy lifestyle behaviors. Comprehensive care falls short in primary care settings, often due to non-compliance with necessary lifestyle behavior changes. Primary care patients' lack of knowledge and awareness signals a …

Paths Initiative: Identifying Potential Sex Trafficking Victims In The Emergency Department Setting, Kayla Mabery

Doctoral Dissertations and Projects

The Physical signs, Appearance, Talk and communication, History and background, and Support and resources (PATHS) education initiative has proven to be a valuable tool in enhancing the identification and support of sex trafficking victims in healthcare settings, particularly in emergency departments. The training led to significant improvements in the participants' knowledge, confidence, and practical application of skills necessary to recognize potential victims. Despite the limitations of limited participant numbers and lack of face-to-face training, the initiative's positive impact underscores the need for continued efforts in this area. By incorporating the PATHS tool into regular professional development programs and standard operating …

Increasing Self-Efficacy Of Nurse Practitioner Preceptors In Primary Care By Using The One-Minute Preceptor Model, Amy J. Lancaster

Doctoral Dissertations and Projects

Nurse practitioners represent the fastest growing profession in the United States, with 385,000 practitioners currently licensed. Over 70% of these licensed practitioners are serving in primary care settings. As the growth of this workforce continues, so does the need for nurse practitioner preceptors. The preceptor plays an essential role in championing clinical competencies for nurse practitioner students. This project was implemented in a primary care setting with an aim to improve the self-efficacy of nurse practitioner preceptors by using the One-Minute Preceptor teaching method to improve the practicum experience for both the preceptor and the nurse practitioner student. The One-Minute …

Theory Informed Audit And Feedback To Decrease Medication Administration Errors, Victoria Martin

Doctoral Dissertations and Projects

Medication administration errors remain a serious and preventable cause of morbidity and mortality in health care. Technology at the point of care is often bypassed in the medication administration process despite the intention to prevent adverse drug events through the addition of a layer of cross-checks and alerts. The purpose of this project was to understand if human behavior could be influenced using effective audit and feedback, data transparency, and communication tactics to decrease administration-related errors, such as wrong patient, wrong medication, wrong dose, and adverse drug events, with the use of barcode medication administration (BCMA) in the emergency department. …

Linkage Facilitation For Opioid Use Disorder In Criminal Legal System Contexts: A Primer For Researchers, Clinicians, And Legal Practitioners, Milan F. Satcher, Steven Belenko, Anthony Coetzer-Liversage, Khirsten J. Wilson, Michael R. Mccart, Tess K. Drazdowski, Amanda Fallin-Bennett, Nickolas Zaller, Alysse M. Schultheis, Aaron Hogue, Noel Vest, Ashli J. Sheidow, Brandon Del Pozo, Dennis P. Watson, Patrick F. Hibbard, Randy Stevens, L. A. R. Stein

Nursing Faculty Publications

At the intersection of drug policy, the opioid crisis, and fragmented care systems, persons with opioid use disorder (OUD) in the United States are significantly vulnerable to contact with the criminal legal system (CLS). In CLS settings, provision of evidence-based treatment for OUD is variable and often secondary to punitive approaches. Linkage facilitation at every touch point along the CLS Sequential Intercept Model has potential to redirect persons with OUD into recovery-oriented systems of care, increase evidence-based OUD treatment connections, and therefore reduce CLS re-exposure risk. Research in this area is still nascent. Thus, this narrative review explores the state …

Improving Nursing Retention Through Mentorship In A Long-Term Care Facility: An Educational Toolkit, Adriane Nichole Anthony-Cupil

Doctoral Dissertations and Projects

A major nursing shortage in the healthcare industry is made worse by high turnover rates. Healthcare organizations have used mentoring programs that have been found to enhance job satisfaction, thus improving nurse retention. To address this challenge, this study examined the use of a mentorship program supplemented by an educational toolkit that is specially made to improve nurse retention in long-term care facilities. By offering an organized learning path with resources that address support, effective communication, and cultural competency, the educational toolkit has the potential to enhance mentorship. The objective of this initiative was to equip registered nurses with the …