Nursing Commons^™

Developing A Caregiver Educational Tool For Children With Behavior Issues, Grace Healy, Elise Arkills, Joshua Anderson, Emma Vetter, David Njeri, Avery Strieby

Nursing Leadership in Community Engagement Projects

Developing a Caregiver Educational Tool for Children with Behavior Issues

The team was tasked to create a health-based solution for problems facing a non-profit agency. The agency is a branch of an organization in King County, where providing critical familial needs, strengthening familial bonds, and preventing homelessness are the primary aims. Last year, the agency was able to assist 669 families, and the numbers are continuing to grow as more resources become available.

The team included six Seattle Pacific University nursing students, who are enrolled in a Nursing Leadership in Community Engagement course. After collaborative meetings with the managers at …

A Video Based Training Review, Sarah Kessel, Rachel Cyers, Alicia Johnson, Macky Juan, Malia Lafrance, Julia Zajac

Nursing Leadership in Community Engagement Projects

A Video Based Training Review

This project addresses the issue of homeless youth in Seattle by supporting those working with this population. Our intervention intends to provide staff with training materials to better support the homeless youth in Seattle. The agency that we are partnering with provides temporary housing for homeless youth and seeks to find permanent housing solutions. The purpose of our project is to help agency employees review and assess their knowledge on selected topics relevant to their initial training. This project compiles a collection of evidence-based training videos with knowledge competency quizzes to help strengthen understanding on …

Beyond The Chart: Reflections On Transforming Data Into Patient-Centered Care, Jun Hee Bae, Lucas Batin, Melinda Borsuk-Pollard, Joel Christian, Jennifer Cook, Audrie Lainier Cruz Lainier Cruz, Edher De La Cruz, Karla Del-Moral, Natalie Edran, Nico Leonard Flores, Elizabeth Gallagher, Matthew Gamboa, Caroline Garcia, Amanda Gornet, Justin Grewal, Christopher Hansen, Tushar Jadhav, Derek Johnson, Denise Martinez, Jasmine Martinez, Elisha Morgan-Lange, Michael Neff, Sin Ng, Elaine Nguyen, Talia Ochoa, Kylee Peters, Dustin Poe, Aaron Quiamzon, Alyssa Reyes, Valentina Staleva, Ashley Stringfield, Cameron Tennies, Carol Torio, Caden Trevino, Zachary Tuvida, Tiffany Vu, Nicole Wilson

Nursing 711 Class Projects

The Data, Information, Knowledge, Wisdom (DIKW) Framework is a foundational model in nursing informatics that helps conceptualize how raw data is transformed into meaningful clinical decision-making. At its core, the framework describes four hierarchical levels: data (raw, unprocessed facts), information (organized and contextualized data), knowledge (synthesized information based on experience and evidence), and wisdom (the ability to apply knowledge in practice to achieve the best patient outcomes). In nursing, this framework is particularly valuable because it mirrors the cognitive processes nurses use to assess, interpret, and act on patient information in real-time clinical settings.

Developing critical thinking is a challenge …

Breaking Silence: Women And Men’S Experiences Of Preventing Ipv, Fatmeh Ahmad Alzoubi, Reem Ali

The Qualitative Report

Intimate partner violence (IPV) is a serious problem in all cultures. This study aimed to identify Jordanian men’s and women’s strategies of preventing IPV using focus groups and open-ended questionnaires. Participants identified many strategies to prevent IPV, which fell within three themes: (1) shields of prevention; (2) understanding the triggers of IPV; and (3) resources of prevention. Participants described their opinions on preventing IPV and discussed the role of extended family, financial dependence, triggers of IPV, and coping strategies used by women. Preventing IPV requires substantial changes in the personal characteristics of men and women, communication skills, and law enforcement.

Painting A Landscape Of Acute Care Nurse Scientist Work, Teresa Rangel

Providence Nursing Research Conference 2023 – Present

Background: Hospitals are increasingly hiring nurse scientists, motivated in part by nursing excellence designations such as Magnet. Magnet designation requires at least three, nurse-led, Institutional Review Board-approved research studies to be conducted in the hospital every four years and for nurses to be actively implementing evidence-based practice (EBP) projects using research evidence. However, clinical nurses often lack the specialized knowledge and training necessary to engage in well-designed research or EBP. Nurse scientists are PhD-prepared individuals with expertise to mentor clinical nurses to navigate the rigor and complexity of creating, implementing, analyzing, and disseminating research and EBP projects. Yet, due …

Nurse Engagement In Clinical Scholarship Linked To A Hospital-Based, Virtual Nursing Research Course, Trisha Saul, Frances Chu, Rose Timmerman, Teresa Rangel

Providence Nursing Research Conference 2023 – Present

Background:

Clinical scholarship is a multifaceted concept in nursing that embodies building and disseminating knowledge within the professional environment. This requires conducting practice-based research, discovering the best available evidence for clinical practice, and translating findings into nurse-led interventions. An environment of clinical scholarship involves creating opportunities for nurse engagement in research, evidence-based practice (EBP) projects, and quality improvement initiatives. This must be supported by education and training centered on the principles of clinical scholarship. A course was developed with the curriculum design focusing on its attributes and application in the clinical setting and cultural milieu.

Purpose:

To examine hospital-based nurses’ …

Acute Care Staff Interactions With Chaplains To Discuss Team Or Personal, Non-Work-Related Stressors, Gary Weisbrich, Sarah Sumner, Teresa Rangel

Providence Nursing Research Conference 2023 – Present

Background: Healthcare staff experience stress from the workplace when providing complex patient care and often may lean on specially trained spiritual support caregivers, or chaplains, for support navigating patient-related stressors. Yet, healthcare staff can also suffer from team-related or personal stressors that, if unresolved, could negatively impact care delivery. Little is known about whether, how often, and which staff may interact with chaplains for emotional support when experiencing non-patient-related stressors originating from work or personal lives.

Purpose: To describe the proportion of individuals who report discussing team-related or personal stressors with chaplains in the past 12 months, and to …

Alleviating Health Professionals' Moral Distress Through Hospital-Based Chaplain Care, Karen Colorafi, Sarah Sumner, Teresa Rangel

Providence Nursing Research Conference 2023 – Present

Background: Healthcare workers frequently experience occupational stressors that negatively impact their emotional well-being. Recent evidence suggests that healthcare workers’ occupational stressors may translate to moral distress, defined as emotional turmoil occurring over an ethical dilemma secondary to a patient care or team-related issue. Following the COVID-19 pandemic, moral distress and a wide range of psychological and physical issues have been linked to high rates of healthcare worker burnout. Increased occupational stressors significantly augment turnover intentions and behaviors and negatively impact well-being. The resultant turnover rates have reached an all-time high among professional registered nurses. Some evidence suggests that the …

Perceived Moral Distress Among Patient-Facing Healthcare Professionals During The Covid-19 Pandemic, Sarah Sumner, Karen Colorafi, Teresa Rangel

Providence Nursing Research Conference 2023 – Present

Background:

The most common framework for ethical decision-making in healthcare is principalism which is founded on three ethical traditions: utilitarianism, achieving the most good for the most people; deontology, upholding moral obligations to individuals; and virtue ethics, doing what is virtuous regardless of the consequences. Principalism is further guided by four principles: 1) respect for autonomy; 2) beneficence, the duty to do good; 3) nonmaleficence, the duty to do no harm; and 3) justice, the duty to treat similar cases similarly. Patient-facing healthcare professionals (HCPs) commonly expect all moral values will be considered when decisions are made that impact patients …

Dietary Intake And Continuous Blood Glucose Measurement In Nurses Working Either 12-Hour Day Shifts Or Night Shifts, Rachel Carlson, Teresa Rangel, Lindsey Miller, Sushana Sudhi

Providence Nursing Research Conference 2023 – Present

Background:

Night shift work is essential in the hospital yet shift work among nurses is linked to negative outcomes such as chronic fatigue and cardiometabolic illnesses. Furthermore, nurses working night shift are more likely to have aberrant glucose levels, defined as greater than 140 mg/dl. Currently, it is unclear whether nurses working night shift eat differently than those working day shift which may explain aberrant glucose levels.

Purpose:

To determine whether night shift nurses have altered glucose levels and dietary intake compared to day shift nurses.

Methods/Approach:

Nurses regularly working full time 12-hour night shifts (n=12) or full time …

Healthcare Staff Awareness Of Climate Health And An Environmental Stewardship Framework, Patricia Joubert, Angie Shemwell, Barbara Nguyen, Rose Timmerman, Teresa Rangel (Pi)

Providence Nursing Research Conference 2023 – Present

Background: Climate change negatively impacts human health and is largely driven by human activities which generate pollutants. In the United States (U.S.), healthcare operations lead to significant pollutants. The workforce supporting healthcare in the U.S. is massive; thus, healthcare HCP can help significantly reduce harmful healthcare emissions. A nurse-authored framework helps contextualize causes of healthcare pollutants as Waste, Energy/water, Agriculture/food, Chemicals, and Transportation (WE ACT). A large health system adopted and disseminated this framework to healthcare professionals (HCP) in 2020 to help achieve a critical objective of becoming carbon-negative by 2030. To date, HCP awareness of climate health and …

Nurse Awareness Of An Environmental Stewardship Framework For Climate Health, Sarah Johnson, Elizabeth Schenk, Teresa Rangel

Providence Nursing Research Conference 2023 – Present

Background: The World Health Organization has recently stated that climate change is the single biggest threat to the health of humanity. Climate change is largely driven by human activity generating pollutants that negatively impact the environment. The healthcare sector’s operations alone account for nearly 8.5% of annual United States (U.S.) greenhouse emissions. Nurses are well-positioned within the healthcare space to take actions to reduce healthcare emissions and promote environmental health. For instance, a nurse-authored framework helps contextualize causes of healthcare pollutants as: Waste, Energy/water, Agriculture/food, Chemicals, and Transportation (WE ACT). A large, 52-hospital health system in the United States …

Health Professional Concern For Environment And Behaviors To Protect Climate Health, Sarah Johnson, Mary Jo Kelly, Gale Springer, Teresa Rangel

Providence Nursing Research Conference 2023 – Present

Background: Air pollution, medical waste, and climate change are a threat to our health and environmental sustainability. The World Health Organization (WHO) estimates that annually, 7 million premature deaths are associated with climate change, making climate change this century’s greatest threat to health. The healthcare industry negatively impacts climate change through the production of approximately 5% of all global carbon emissions. However, little is understood about relationships between healthcare professionals' concern for the environment and behaviors at home or work to protect climate health.

Purpose: To test relationships between healthcare professionals' concern for the environment and behaviors at …

Improving Emergency Department Belongings Inventory Electronic Medical Record Documentation Rates, Stefanie Lai

Providence Nursing Research Conference 2023 – Present

Background: Electronic Medical Record (EMR) education and training for RNs should be multifaceted and targeted to the RN clinical workflow. Input from direct care RNs is essential to ensure EMR education is relevant and effective. Shared Governance at a community hospital identified quality and safety concerns among inpatient RNs. RNs reported that belongings inventories were not consistently documented in the EMR for Emergency Department (ED) admissions. Hospital policy requires belongings inventory EMR documentation for all admitted patients. An audit of charts for ED admissions over three months revealed only 5% compliance with this policy.

Purpose: The purpose of this project …

Preventing And Responding To Workplace Violence In The Emergency Department, Stefanie Lai, Alicia Rodriguez

Providence Nursing Research Conference 2023 – Present

Background: Workplace violence (WPV) is defined as physical violence or verbal threats of physical violence, regardless of whether an employee sustains an injury. Emergency department (ED) staff are at high risk of exposure to WPV, which can lead to burnout, job dissatisfaction, and secondary stress. Effective preparation for and response to WPV incidents can help mitigate these negative effects. Multicomponent interventions, including education, safety huddles, behavioral health rapid response teams, and environmental modifications, have been shown to reduce WPV incidents and increase staff perceptions of safety.

Purpose: The purpose of this evidence informed-quality improvement project was to increase knowledge of …

An Educational Intervention Differentiating Pressure Injuries From End-Of-Life Wounds, Alicia Perez Varela, Annette Callis

Providence Nursing Research Conference 2023 – Present

Background

End-of-life (EOL) wounds are identified in the literature as Kennedy Terminal Ulcers (KTU), Skin Failure (SF), Trombley-Brennan Terminal Tissue Injury (TB-TTI), and SCALE (Skin Changes at Life’s End). EOL wounds have a similar appearance to pressure injuries (PIs) with a fundamentally different etiology. The misclassification of EOL wounds as PIs results in increased Hospital Acquired Pressure Injuries (HAPI), hospital fines, and less-than-optimal EOL wound management.

Purpose

To examine the effectiveness of an educational intervention on EOL wounds in increasing nurse confidence in providing End-of-Life Care (EOLC) and differentiating PIs from EOL wounds.

Methods

This quasi-experimental study used the 28-item …

Management Of Sepsis With The Quick Sequential Organ Failure Assessment, Jeanna Adams

Providence Nursing Research Conference 2023 – Present

Abstract

Background:

Sepsis can be a source of morbidity and mortality particularly when there are delays in treatment. Early identification may improve time to antimicrobial administration. The quick Sequential Organ Failure Assessment (qSOFA) is an evidence-based practice screening tool that, when in used in conjunction with the Systemic Inflammatory Response Syndrome (SIRS) criteria can enhance recognition and treatment of sepsis. On a suburban Southern California hospital Neurological/Telemetry Unit the qSOFA is automatically calculated in the electronic medical record (EMR) but the bedside nurses were unaware of its availability and value. In addition, sepsis was not being identified in a timely …

Fall Prevention Quality Initiative: Implementation Of Fall Ambassador Safety Team (Fast), Jerome Codilla, Joanna Arraiza

Providence Nursing Research Conference 2023 – Present

Background

Patient falls are the most common adverse events reported in hospitals and represent a persistent patient safety issue. Annually, roughly 700,000 to 1 million patient falls occur in United States hospitals, resulting in around 250,000 injuries and up to 11,000 deaths (LeLaurin et al., 2019). Nurses are responsible for the identification of high fall risk patients and development of a plan of care to minimize risk. Multifactorial strategies have been shown to reduce falls, but evidence of a sustainability team (fall champions) is lacking. Review of the National Database of Nursing Quality Indicators (NDNQI) data on a 33-bed progressive …

A Quality Improvement Project To Decrease New Or Worsening Pressure Ulcers In A Skilled Nursing Facility (D-Pus Snf), Shaune Mattsson

Providence Nursing Research Conference 2023 – Present

Background:

Pressure ulcers (PU) are a "localized injury to the skin and/or underlying tissue usually over a bony prominence, as a result of pressure, or shear/friction". PU are an urgent problem in the United States (U.S.). Residents in skilled nursing facilities (SNF) are disproportionately affected, with 9.2% of residents estimated to suffer a PU nationally. The Braden Scale is gold standard for identifying individuals at risk for PU in healthcare settings across the continuum and grades PU risk in 6 categories: sensory perception, moisture, activity, mobility, nutrition, and friction/shear. To protect against PU, a Braden Scale must be documented on …

A Quality Improvement Project To Reduce Hospital Acquired Pressure Injuries In Patients With Darker Pigmented Skin, Ma Fe Chase, Travis Scott, Renee Hoeskel, Yolanda Rodriquez

Providence Nursing Research Conference 2023 – Present

Purpose: This quality improvement (QI) project aims to improve the accuracy and effectiveness of skin assessments for patients with darker skin tones in preventing hospital-acquired pressure injuries (HAPIs) by implementing an evidence-based, standardized skin assessment protocol and training program.

Background: Nursing staff play a vital role in preventing HAPIs. Nearly 2.5 million patients develop HAPIs annually in the United States increasing their risk of prolonged hospitalization, increased readmission, infections, and severe pain. Preventing HAPIs continues to be top priority in acute care facilities. Recent audits at a large urban Pacific Northwest hospital revealed high HAPI rates with a staff …