Nursing Commons^™

Education And Bingo Exercise: Pressure Injury Reduction In An Assisted Living Facility, Emmalee Holmes, Ashley Jaynes, Annah Khan, Caitlin Thornton, Brooke Waller

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

No abstract provided.

Healthy Heart And Soul: A Qualitative Report On How Faith-Based Programs Can Provide Effective Education On Cardiovascular Health, Damaris Carlson, Haley Grieger, Claire Madrona, Ingrid Scott

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

No abstract provided.

Nutrition Education For Older Adults, Dan Le, Eddie Hoang, Hillary Tran, Hemza Salem, Carlos Amaya

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

No abstract provided.

Breathe Easy Project: A Quality Improvement Project On Management Of Asthma At Hoover Elementary School, Alex Butts, Jessica Leung, Jaynah Palma

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

No abstract provided.

Use Of A Mindfulness-Based Mobile App To Decrease Nurse Burnout, Vivian Ugwu

Doctor of Nursing Practice Final Project Abstract

PURPOSE The aim of this quality improvement project was to decrease Oldenburg Burnout Inventory (OLBI) scores by 5% among nurses working in a joint and rehab unit after using the mindfulness-based mobile application Headspace for 2 months.

BACKGROUND Indicators of rising burnout were noted on a 27-bed joint and rehab unit at a general medical and surgical facility in Houston, Texas.

METHODOLOGY The OLBI survey was used to measure burnout risk. The Plan-Do-Study-Act cycle was used to plan and identify necessary changes. Champions on each shift led selected brief Headspace app mindfulness-based activities once a shift daily for two months. …

Going, Going, Gone: The Influence Of Job And Home Demands And Resources On Emergency Department Nurse Turnover, Jordan Gail Smith

All Dissertations

Nurse turnover, which challenged healthcare organizations even before the pandemic, reached alarming rates across hospitals worldwide during COVID-19. Due to the unprecedented and stressful nature of the pandemic, recent investigations have focused primarily on exploring job demands and nurse turnover intentions. While job demands are critical to understanding turnover, this narrow scope ignores the possible influence of other factors such as job resources and demands and resources external to the work domain. This study utilized archival qualitative data from a longitudinal survey of Emergency Department clinicians to analyze research questions and hypotheses. The first aim of this study was to …

Effects Of Group Visits On Self-Care Management For Veterans With Type 2 Diabetes Mellitus, James Nwaizugbu

Doctoral Projects

Individuals diagnosed with type two diabetes mellitus (DM2) can be overwhelmed by daily choices, leading to self-care neglect. Self-care is vital to DM2 management to avoid chronic complications. This project utilized group visits to increase self-care management and improve outcomes among veterans with poorly controlled DM2.

This evidence-based practice (EBP) project used a single-group quasi-experimental pretest-posttest design to evaluate a self-care management program for US veterans with poorly controlled DM2 who were enrolled a clinic within the Department of Veterans Affairs (VA), Northern California Healthcare System (NCHCS). The study facilitator provided education on DM2, medication, diet, and exercise. Participants (N …

Primary Care Access In San Luis Obispo County- Primary Care Practitioner’S Perspectives, Jessica Peckham

Doctoral Projects

This study investigates healthcare access and utilization among Primary Care Providers (PCPs) in SLO County, utilizing a mixed-methods approach. Survey responses from PCPs when applied to Levesque’s Theoretical Framework reveal variations in provider approachability and acceptability, alongside significant wait times for both new and established patients, indicating barriers in healthcare reaching. Qualitative interviews further illuminated dimensions of healthcare access, including socioeconomic disparities and provider burnout. These underscore the complexities of ensuring equitable access to primary care services. The relationship between provider and consumer dimensions, such as work-life balance, workload, and the role of advanced practice providers, highlight the intricate dynamics …

Needs Assessment For Implementation Of A Dedicated Admission And Discharge Nurse Position, Connie Ngo

UNLV Theses, Dissertations, Professional Papers, and Capstones

Background: Patient turnover refers to when patients are admitted, discharged, or transferred to or from a clinical unit or another facility. Rapid patient turnover compels nurses to provide care in an environment where clinical demands exceed nursing care capacity. The excess of clinical demands can lead to rationing of nursing care and culminate in nursing stress and dissatisfaction. These negative effects on the nursing workforce subsequently have undesirable implications for patient and hospital outcomes. Implementation of a dedicated admission and discharge nurse (ADN) position can optimize patient flow, improve nursing satisfaction, and ultimately promote positive patient outcomes. Purpose: The purpose …

Abnormal Cleavage Up To Day 3 Does Not Compromise Live Birth And Neonatal Outcomes Of Embryos That Have Achieved Full Blastulation: A Retrospective Cohort Study, Tammy Lee, Kelli Peirce, Jay Natalwala, Vincent Chapple, Peter J. Mark, Katherine Sanders, Yanhe Liu

Research outputs 2022 to 2026

STUDY QUESTION: Do embryos displaying abnormal cleavage (ABNCL) up to Day 3 have compromised live birth rates and neonatal outcomes if full blastulation has been achieved prior to transfer? SUMMARY ANSWER: ABNCL is associated with reduced full blastulation rates but does not impact live birth rates and neonatal outcomes once full blastulation has been achieved. WHAT IS KNOWN ALREADY?: It is widely accepted that ABNCL is associated with reduced implantation rates of embryos when transferred at the cleavage stage. However, evidence is scarce in the literature reporting birth outcomes from blastocysts arising from ABNCL embryos, likely because they are ranked …

Diabetic And Hypertensive Disorders Following Early Pregnancy Loss: A Systematic Review And Meta-Analysis, Jennifer Dunne, Damien Foo, Berihun A. Dachew, Bereket Duko, Amanuel T. Gebremedhin, Sylvester D. Nyadanu, Gavin Pereira, Gizachew A. Tessema

Research outputs 2022 to 2026

Background: Spontaneous and induced abortions are common outcomes of pregnancy. There is inconsistent evidence of an association between early pregnancy loss and subsequent diabetic and hypertensive disorders in women. This systematic review and meta-analysis evaluated evidence on the risk of the subsequent development of pregnancy and non-pregnancy related diabetic and hypertensive disorders in women who experienced an early pregnancy loss.

Methods: Systematic searches were conducted in seven electronic databases (CINAHL Plus, Ovid/EMBASE, Ovid/MEDLINE, ProQuest, PubMed, Scopus, and Web of Science) from inception to 22nd December 2023. Studies were included if they reported an exposure of spontaneous abortion (SAB), induced abortion …

The Association Between Nurse Staffing And Quality Of Care In Emergency Departments: A Systematic Review, Jonathan Drennan, Ashling Murphy, Vera J. C. Mccarthy, Jane Ball, Christine Duffield, Robert Crouch, Gearoid Kelly, Croia Loughnane, Aileen Murphy, Josephine Hegarty, Noeleen Brady, Anne Scott, Peter Griffiths

Research outputs 2022 to 2026

Background: The relationship between nurse staffing, skill-mix and quality of care has been well-established in medical and surgical settings, however, there is relatively limited evidence of this relationship in emergency departments. Those that have been published identified that lower nurse staffing levels in emergency departments are generally associated with worse outcomes with the conclusion that the evidence in emergency settings was, at best, weak. Methods: We searched thirteen electronic databases for potentially eligible papers published in English up to December 2023. Studies were included if they reported on patient outcomes associated with nurse staffing within emergency departments. Observational, cross-sectional, prospective, …

Improving Patient Safety By Reducing The Use Of Restraint And Seclusion Through De-Escalation In An Inpatient Psychiatric Unit, Ndidiamaka Okafor

Doctor of Nursing Practice Final Project Abstract

Improving Patient Safety by Reducing the Use of Restraint and Seclusion through De-escalation in an Inpatient Psychiatric Unit

PURPOSE:

The purpose of this quality improvement project is to improve safety among adolescent patients ages 13 – 17 on an inpatient psychiatric unit through improved staff de-escalation techniques as evidenced by a decrease in the use of restraint and seclusion combined by 23% from 65% to 50% within 3 months. A secondary aim is that staff will provide self-reported improvement in confidence.

BACKGROUND:

Aggression from adolescents admitted to the inpatient psychiatric unit is one challenge nursing staff face when providing care. …

Bean 5 Turn Team: Improves Turing Interventions & Reduces Hapi Rates, Paige Thompson Rn, Johnna Grant Rn

Nurse Residency

Does implementing a turn team on hospital units aid in preventing pressure-related injuries as compared to standard of care, without a turning team?

Staff Assist Process In The Emergency Department Setting, Caroline Goodnight Rn, Rasha Burkeba Rn, William Covert Rn

Nurse Residency

In the Emergency Department, how do zone-based response systems compare to department-wide response systems in a staff assist affect overall patient outcomes within a one-year period of time?

Synthetic Interbody Devices And Traditional Bone Graft Are Associated With A Similar Rate Of Surgical Complications After 1-2 Level Anterior Cervical Discectomy And Fusions, Geet Shukla, Abhijith V. Matur, Xu Tao, Syed Khalid, Rebecca Garner, Justin Gibson, Daryn Cass, Andrew Wu, Seth Street, Julia Garcia-Vargas, Jay P. Mehta, Kelly Childress, Henry Ofori Duah, Benjamin Motley, Joseph Cheng, Owoicho Adogwa

College of Nursing Faculty Research and Publications

Study Design:  Retrospective cohort. Objective:  To compare the rates of all-cause surgical complications of synthetic interbody devices versus allograft or autograft in patients undergoing 1-2 levels anterior cervical discectomy and fusion (ACDF) procedures. Summary of Background Data:  Cervical degenerative disorders affect up to 60% of older adults in the United States. Both traditional allograft or autograft and synthetic interbody devices (polyetheretherketone or titanium) are used for decompression and arthrodesis, with increasing utilization of the latter. However, the differences in their postsurgical complication profiles are not well-characterized. Patients and Methods:  Patients who underwent 1-2 level ACDFs for cervical radiculopathy or myelopathy …

Understanding The ‘Dancing Nurses Of Tiktok’, Jacqueline Christianson, Sarah Marie Calonder, Jessica Leiberg, Virginia F. Riggs

College of Nursing Faculty Research and Publications

Judgment by nursing leaders is the wrong response.

Reducing Heart Failure Readmissions, Jenny Dutra Bsn, Rn, Taylah Kilby Bsn, Rn, Carolyn Palmer Bsn, Rn

Nurse Residency

How Does Structured Nursing Led Heart Failure Education Compare to Basic Patient Education and Resources, and How Does it Influence Reducing Heart Failure Readmissions Within 30 Days of Discharge?

Psychosocial Health Of Patients With A Left Ventricular Assist Device, Sarah Christensen, Trang Le, Natalie Pagenstecher

Nurse Residency

Among adult patients diagnosed with advanced heart failure, what is the effect of left ventricular assist device (LVAD) implantation on self-reported measures of psychosocial health during the post implantation period?

Drivers Of Being Unhoused And The Prevalence Of Health Conditions Among Unhoused Individuals In Asheville, Nc, Andrea K. Yontz, Amber Beane, Tessa Frank, Amy Upham, Dustin V. Patil, Dan Pizzo, Steve Buie, Jacqueline R. Halladay

HCA Healthcare Journal of Medicine

Background

During the COVID-19 pandemic, there was an increase in the number of unhoused individuals in Asheville, North Carolina resulting in more tent encampments.

Understanding the physical, mental, and socially determined health characteristics associated with being unhoused can help guide stakeholders with policy development, healthcare program planning, and funding decisions to support unhoused individuals.

Methods

In this study, we used an observational cross-section methodology. Using a convenience sample approach, we interviewed 101 participants who were receiving services from 2 emergency hotel shelters, a day center, and a resource center. Data were analyzed using descriptive statistics, and open-ended responses were collected …