Nursing Commons^™

Improving Utilization Of Nonpharmacological Interventions In Adult Oncology Patients, Alison Keck

Doctor of Nursing Practice Scholarly Projects

Background: Anxiety is one of the most prevalent symptoms oncology patients experience and clinical guidelines support the use of nonpharmacological interventions (NPI) as a primary method for managing anxiety.

Local Problem: At a suburban, community hospital, a nurse perception survey revealed staff were “always” offering medications 69% of the time but NPIs were “never” used anywhere between 38-81% of the time. In a sampling of patients, only 33% recalled they had used NPIs. A Patient Reported Outcomes Measurement Information System (PROMIS) tool revealed that 69% of patients had higher than average levels of anxiety on the unit.

Methods: This quality …

Full Plate Living-Teaching Kitchen: A Sustainable Approach To Employee Health, Amy M. Daniel

Doctor of Nursing Practice Scholarly Projects

Abstract

Insufficient fiber intake is a key contributor to diet-related chronic diseases (DRCD) such as obesity, hypertension, and diabetes. This evidence-based health promotion program evaluated integrating a teaching kitchen with the Full Plate Living Plan (FPL-TK) to increase daily fiber intake. Grounded in the Social Cognitive Theory, the 8-week employee health promotion program included hands-on culinary demonstrations, a structured FPL nutrition curriculum, and fiber tracking tools to help participants engage and participate in weekly health and wellness changes. The program successfully achieved high engagement rates, with 80% of participants reporting high satisfaction with the program and 100% of participants stating …

Hypothyroid: New Insights On An Old Disease, Sara Ward

Graduate Research Projects

No abstract provided.

Does Intimate Partner Violence Affect A Child's Developing Brain, Betsy Calloway

Graduate Research Projects

No abstract provided.

The Magic Of Mentoring, Allessandra Vitrano

Graduate Research Projects

No abstract provided.

Impact Of A Designated Intravenous Team On Central Line Associated Blood Stream Infections, Andrew Drozd, Mason Everlith, John Brennan, Kenneth Forte, Stacy Peach, Anne M. Aquila

Posters

No abstract provided.

Resources For Reduction Of Stress And Burnout In Healthcare Workers Following A Mass Casualty Event, Emily Dunn, Tonya Ernst

Nurse Residency

Background:

Being in healthcare, employees are faced with all sorts of challenges regarding their own mental and physical health and how to prioritize it, on top of caring for patients and their families. One challenge that healthcare workers hope they never have to learn how to cope with is the stress of mass casualty events.

Environmentally Friendly Disposal Of Pharmaceuticals In The Hospital Setting, Kate Sobanik

Nurse Residency

Background: The Environmental Protection Agency and Department of Drug Enforcement have regulations on the safe handling of narcotics as well as guidelines for environmental sustainability with the disposal of all pharmaceuticals. Federal, state and local regulations can vary but hospitals are required to dispose of pharmaceuticals in specific ways to prevent injury to the environment and living organisms.

How Will The Use Of A Black Out Hour And The Improvement In Handoff Communication Increase Patient Safety When Arriving On The Medical Surgical Units?, Mackenzie Aleva

Nurse Residency

Background: Change of shift admissions also increase nurse's frustration and workload. Most importantly change of shift admissions pose a risk for patient safety. On this unit specifically there are frequent change of shift admissions that occur.

Shared Governance And Impact On Nursing Job Satisfaction, Karl Buhr, Colleen Lagulli

Nurse Residency

Background: Emergency departments are extremely dynamic environments that require continuous quality improvement and adaptation. Implementation of change is necessary but has a great effect on the workflow of nursing staff.

Mentoring The Mentor: A Mentor Training Program, Sheri Gillis

Regis University Student Publications (comprehensive collection)

Mentorship has played an important role in nursing and nursing education for decades. However, there have yet to be any standard qualifications or training programs for those who mentor others. Poor mentorship increases faculty turnover, stress, and poor student outcomes. A quality improvement initiative was implemented in the Associate Degree Nursing Program using an evidence-based approach. Using a pre-post survey design with convenience sampling, five (N=5) nursing faculty met the qualifications to participate in the mentor training program. The Mentor Efficacy (MES) survey, which consisted of 30 questions, was administered to measure the participants' feelings of self-efficacy in the mentoring …

Uab Nursing - Fall 2024, University Of Alabama At Birmingham

UAB Nursing magazine

No abstract provided.

Understanding The Importance Of Administrative Mental Health Support For Frontline Nurses Post Covid-19, Sarah Mah

Nursing | Senior Theses

During the peak of the COVID-19 pandemic, intensive care units and critical care units were overwhelmed with the number of patients that were on the floors. It was during this time that nurses were experiencing the most mental health decline.

Several factors can be associated with the rapid decline of nurses’ mental health. However, these issues could ultimately stem from the lack of action taken by healthcare administration. This includes increased workload and the lack of PPE, resources institutional support. Because these units played such a vital role during the pandemic, it is imperative that healthcare administrators do what they …

Reimagining Equitable Care: Simulation-Based Education And The Dismantling Of Implicit Bias And Stigma Of Vulnerable Populations In Hospitals, Vanessa Smith

Nursing | Senior Theses

Background: Simulation-based education consists of using high-fidelity mannequins and equipment to provide a safe space for healthcare professionals to practice crucial skills within healthcare. Used within hospitals and schools, simulation most commonly surrounds practicing hands-on skills such as central line insertion, IV insertion, Ultrasound-guided procedures, code blue response, etc. However, a large portion of healthcare that is overlooked is tackling issues within patient-provider relationships. Simulation can help dismantle the negative behaviors and feelings providers push onto patients through the use of standardized patients and role-playing. By using these methods, simulation can reduce providers’ personal implicit biases and the stigma associated …

Healthcare Professionals' Perspectives Of Barriers To Cancer Care Delivery For American Indian, Rural, And Frontier Populations, Brandon M. Varilek, Sarah Mollman

Journal Articles: College of Nursing

OBJECTIVE: This descriptive qualitative study sought to understand the barriers affecting cancer care delivery from the perspective of healthcare professionals (HCPs) serving American Indian (AI), rural, and frontier populations.

METHODS: One-on-one, semi-structured interviews with multidisciplinary HCPs (

RESULTS: Thematic content analysis revealed three major themes: (a) Access, (b) Time, and (c) Isolation. The themes represent the HCP perspectives of the needs and barriers of persons with cancer to whom they provide cancer care. Furthermore, these themes also reflect the barriers HCPs experience while providing cancer care to AI, rural and frontier populations.

CONCLUSIONS: This study provides preliminary evidence for the …

Ultrasound-Guided Erector Spinae Plane Block: An Objective Structured Clinical Examination For First-Year Anesthesia Providers, Andrew Edwards, Jonathan Mardis

Doctoral Projects

The use of ultrasound-guided regional anesthesia (UGRA) in anesthetic practice is an invaluable tool for anesthesia providers to implement into their daily practice. One of these regional techniques is the erector spinae plane block (ESPB) which has anesthetic implications in numerous surgical procedures including cervical spine, thoracolumbar spine, thoracic wall, and chest wall procedures. Because of the novelty of this regional anesthetic technique, it is important to educate first-year anesthesia providers about the implications, skillset, and complications of the ESPB.

To bridge the gap between didactic knowledge and clinical practice in first-year anesthesia providers, an objective structured clinical examination (OSCE) …

Fishing For A “Good Catch”: System-Wide Initiative To Increase Near-Miss Event Reporting, Nicole Ingram, Lisa Bebko

VCU Health Nursing

Purpose: High reliability principles and patient safety tenets emphasize the importance of preventative measures and mitigation in near-miss safety events to prevent patient harm. Near-Miss Event (NME) reporting at VCU Health was recognized as waning in the face of higher-level harm events. Misnomers in the environment led front line team members to believe that their Good Catches, acts of preventing harm from reaching the patient, did not warrant safety event reporting as they were “just doing their job.”

Action: Fishing for a "Good Catch” was developed to encourage team members to recognize, speak up, and aid in the prevention …

การศึกษาสมรรถนะตามบันไดวิชาชีพของพยาบาลหอผู้ป่วยวิกฤตโรคหลอดเลือดสมอง โรงพยาบาลตติยภูมิขั้นสูง, อาภาภรณ์ ธนากรพรสวัสดิ์

Chulalongkorn University Theses and Dissertations (Chula ETD)

การวิจัยเชิงพรรณนานี้ ศึกษาสมรรถนะตามบันไดวิชาชีพของพยาบาลหอผู้ป่วยวิกฤตโรคหลอดเลือดสมอง โรงพยาบาลตติยภูมิขั้นสูง ด้วยเทคนิคการวิจัยแบบเดลฟาย ผู้ให้ข้อมูลคือ กลุ่มผู้เชี่ยวชาญจำนวน 18 คน แบ่งเป็น 5 กลุ่ม ได้แก่ 1) พยาบาลผู้เชี่ยวชาญการดูแลผู้ป่วยวิกฤตโรคหลอดเลือดสมองจำนวน 6 คน 2) หัวหน้าหอผู้ป่วยวิกฤตโรคหลอดเลือดสมองจำนวน 4 คน 3) แพทย์ผู้เชี่ยวชาญการรักษาผู้ป่วยวิกฤตโรคหลอดเลือดสมอง จำนวน 3 คน 4) พยาบาลผู้ปฏิบัติการขั้นสูงด้านอายุรศาสตร์และศัลยศาสตร์จำนวน 3 คน และ 5) อาจารย์พยาบาลผู้เชี่ยวชาญการพยาบาลผู้ป่วยวิกฤตโรคหลอดเลือดสมองจำนวน 2 คน ดำเนินการวิจัย 3 ขั้นตอน ได้แก่ 1) สัมภาษณ์เกี่ยวกับสมรรถนะพยาบาลตามบันไดวิชาชีพ ซึ่งประกอบด้วย พยาบาลระดับปฏิบัติการ ชำนาญการ ชำนาญการพิเศษ และเชี่ยวชาญ 2) วิเคราะห์ข้อมูล และสร้างแบบสอบถามเพื่อให้ผู้เชี่ยวชาญประเมินระดับความสำคัญ และ 3) คำนวณค่ามัธยฐานและค่าพิสัยระหว่างควอไทล์เพื่อสรุปผล ผลการศึกษาพบว่า สมรรถนะตามบันไดวิชาชีพของพยาบาลหอผู้ป่วยวิกฤตโรคหลอดเลือดสมอง โรงพยาบาลตติยภูมิขั้นสูง ประกอบด้วย 8 ด้าน ดังนี้ 1) การปฏิบัติการพยาบาลในระยะวิกฤต 2) การบริหารยาความเสี่ยงสูงที่ใช้ในผู้ป่วยวิกฤต 3) การป้องกันภาวะแทรกซ้อน 4) การฟื้นฟูสภาพหลังพ้นวิกฤต 5) การสื่อสารและประสานงานเพื่อการรักษาพยาบาล 6) การพยาบาลระยะท้าย 7) การใช้เทคโนโลยีและเครื่องมือดิจิทัลทางการแพทย์ และ 8) การจัดการและพัฒนาคุณภาพการดูแลผู้ป่วย ซึ่งพยาบาลที่ปฏิบัติงานในหอผู้ป่วยประกอบด้วยพยาบาลระดับปฏิบัติการ ชำนาญการ ชำนาญการพิเศษ และเชี่ยวชาญที่มีสมรรถนะทั้ง 8 ด้าน แต่สมรรถนะย่อยมีความแตกต่างกัน ดังนี้ 1) ระดับปฏิบัติการ เน้นงานพื้นฐานภายใต้การดูแล 2) ระดับชำนาญการ สามารถดูแลผู้ป่วยซับซ้อนและทำงานเป็นทีมได้ 3) ระดับชำนาญการพิเศษ สามารถแก้ปัญหาเฉพาะหน้าและใช้หลักฐานเชิงประจักษ์ และ 4) ระดับเชี่ยวชาญ สามารถพัฒนาองค์ความรู้ใหม่ทำให้คุณภาพการดูแลผู้ป่วยดีขึ้น การศึกษานี้สามารถใช้เป็นแนวทางในการประเมินสมรรถนะและมอบหมายงานตามความสามารถของพยาบาลแต่ละระดับ

Nursing Research In Arab Countries: Current Status, Trends, Challenges, And Opportunities, Hiba Wehbe-Alamah, Myrna A.A. Doumit, Joshua Bernstein, Basil H. Aboul-Enein

Health Professions Education Faculty Publications

Introduction: Twenty-two Arab countries comprise the League of Arab States. While united in Arab identity, diversities among these countries exist at many levels. Conducting and publishing research in the Arabic speaking countries is an essential pillar for improving the status of the nursing profession. Purpose: The purpose of this study is to assess the current status, trends, challenges, and opportunities of nursing research in Arab countries. Methodology: An integrative review was conducted using (1) Index Medicus for the Eastern Mediterranean Regional Office Database Journals Directory (IMEMR), (2) the Iraqi Academic Scientific Journals Database (IASJD), (3) Ulrichsweb (UW), (4) The Geneva …

Neuroprognostication In Patients With A Subarachnoid Hemorrhage: A Quasi-Review Of Anti-Inflammatory Agent Administration Versus Blood Pressure Management, Julia Gabalski, Marcie Mcmahon

Soaring: A Journal of Undergraduate Research

A subarachnoid hemorrhage (SAH) is a type of stoke where a blood vessel bursts and causes the subarachnoid space to become filled with blood. Traditional nursing management of SAH includes close monitoring of blood pressure goals in order to prevent complications such as vasospasm. Vasospasm causes delayed cerebral ischemia and neurological deficits secondary to the initial injury. Recent research has expanded understanding of the underlying mechanisms behind the neuroinflammatory cascade that occurs after a SAH. In this study, a methodical search was conducted through the CINAHL and PubMed databases to form a quasi-review of current research. The comparison of traditional …