Nursing Commons^™

The Therapeutic Use Of Intraoperative Music To Reduce Postoperative Pain In Patients Receiving General Anesthesia, Caroline Ford

Nurse Residency

Background: The recovery from surgery can be very painful for some patients and require opioid management and longer hospital stays for unmanaged pain. Music has been a non-analgesic way of helping patients with chronic pain and recent studies have shown that music intraoperatively can greatly improve the patients' pain after surgery requiring general anesthesia.

Nurse Mentorship And Retention, Alicia St Michel

Nurse Residency

Background: Every year hospitals experience staff turnover. Implementation of a mentorship program apart from someone who is a preceptor, could help with staff retention and staff satisfaction.

2024-2025 Graduate Msn-Fnp Handbook, Morehead State University. Nursing Department.

Nursing Department Publications Archive

2024-2025 Graduate Student Handbook for the Department of Nursing at Morehead State University.

Guideline For Management Of Alcohol Withdrawal Syndrome In A Southern California Jail, Tchuisse Hermione

Doctor of Nursing Practice (DNP) Scholarly Projects - Archive

Background: In the United States, 52.8% of Americans aged 18 and older consume alcohol, with 29.5 million suffering from alcohol use disorder (AUD). In Los Angeles, 69.8% of Angelinos aged 12 and older suffer from AUD, and 33% of annual arrests are due to alcohol and other drugs. Alcohol withdrawal syndrome (AWS) develops after abrupt cessation of heavy drinking and is a common occurrence among incarcerated people when newly arrested, resulting in $1.3 billion in healthcare costs. Management of AWS using a fixed-dose therapy of benzodiazepines will improve the utilization of healthcare services in the correctional setting.

Objectives: The project …

Implementation Of A Surgical Safety Bundle For Colorectal Surgeries, Christopher Larrow

Doctor of Nursing Practice (DNP) Scholarly Projects - Archive

Objective: Implementing a safety bundle checklist to provide interventions for the modifiable risk factors identified in patients scheduled for colorectal surgery can lower the risk of surgical site infections (SSIs) and costs for both the patient and the organization.

Methods: This was a quality improvement project that utilized the implementation of the surgical patient safety system (SURPASS) bundle in conjunction with the World Health Organization (WHO) surgical safety checklist. Patients who were inpatient and scheduled for colorectal surgery (elective and non-elective) were identified; colorectal surgeons, anesthesia providers, hospitalists, and inpatient staff were provided with education on the SURPASS bundle. Pre- …

Resilience And Compassion Fatigue Among Medical Nurses In Acute Care, Angela M. Vallier

Nursing Dissertations - Archive

Compassion fatigue impacts nurses of all backgrounds and specialties. This non-experimental, descriptive, correlational study design involved three research questions that examined medical registered nurses’ association between resilience and compassion fatigue. This study examined organizational factors, work-system factors, and individual factors that are influential to compassion fatigue and resilience among nurses working in general medicine units.

The Compassion Fatigue Short Scale® and Connor-Davidson Resilience Scale® were used to measure compassion fatigue and resilience among the participants in this study. The study included 98 registered nurses who worked in general medicine units in Southeast Texas. The results indicated a negative significant correlation …

Uncontrolled Asthma In Pediatrics, Lydia M. Chapa-Wilson

Doctor of Nursing Practice (DNP) Scholarly Projects - Archive

Asthma tends to be underdiagnosed and undertreated. Several studies concluded that asthma was poorly managed among pediatric care providers. To address the patient/problem, intervention, comparison, outcome, and setting (PICOTS) question: Among the pediatric providers at a primary care clinic in an urban Texas city, what was the effect of administering asthma control tests (ACT/C-ACT) on modifying the care plan of pediatric patients diagnosed with uncontrolled asthma? The purpose of this evidence-based practice (EBP) project was to evaluate the association between the test scores and the provider’s decision whether to change the patient’s care plan, and ultimately to bring the clinic …

Improving Health Literacy Through Knowledge And Technology, Maricela Hernandez

Doctor of Nursing Practice (DNP) Scholarly Projects - Archive

Introduction: Health literacy is key in promoting positive health outcomes, particularly in older adults who often face difficulties understanding and managing complex medical conditions. Limited health literacy contributes to poor management of chronic conditions and health disparities, especially in disadvantaged populations.

Objectives: This project aimed to improve health literacy in older adults through a health literacy bundle.

Design: A pre/post single group design was used to evaluate the impact of the health literacy bundle on participants’ health literacy levels. The intervention was conducted over eight weeks.

Setting: The project was implemented in a small rural town in South Texas with …

Individualizing Patient Education To Reduce Heart Failure Readmissions, Melissa M. Andersen

Doctor of Nursing Practice (DNP) Scholarly Projects - Archive

Background: Heart failure (HF) is a chronic condition with high readmission rates, often due to inadequate patient knowledge about home care and symptom management. Individualized patient education combined with standardized approaches could improve patient outcomes.

Objective: This project’s goal was to determine if using individual patient knowledge to create a personalized education along with standard HF education would improve patient HF knowledge, improve home management and decrease HF readmission rates.

Methods: This pilot quality improvement (QI) project was conducted in an acute care hospital using a convenience sample of 29 patients admitted due to a HF exacerbation using pre-posttest design. …

Assessing Lung Cancer Screening Protocols And Outcomes: A Comparative Analysis Between Indonesia And The United States, Priscilla Sitorus

Nursing | Senior Theses

Background/Significance: Social inequity is a large problem within the healthcare system, especially in third-world countries, like Indonesia. Poor access to healthcare and screening protocols can contribute to delayed diagnoses, poorer outcomes, and increasing mortality rates. Purpose: This study aims to assess the effectiveness of lung cancer screening protocols in Indonesia compared to California and help identify potential barriers and factors in lung cancer screening in both regions. This will later help reform policy interventions and decisions to improve community access. Methods: The study will be divided into two portions using a mixed method approach. The qualitative component will include lung …

Development Of An Order Set To Improve Consistency Of Blood Glucose Monitoring For Hospitalized Patients On Enteral Feeding, Kristen Calebaugh

Graduate Theses, Dissertations, and Problem Reports (ETD)

Abstract

Development of an Order set to Improve Consistency of Blood Glucose Monitoring for Adult Hospitalized Patients on Enteral Feeding

Kristen Calebaugh, BSN, RN

Background

Hospitalized patients often require artificial nutrition through either enteral feeding, placing the patient at risk for glucose alterations related to physiological responses of nutritional metabolism. Historically, there has been no standard of care or consistency aligning tube feedings times with point of care blood glucose testing. Without a standardized order set to guide blood glucose monitoring orders, patients on artificial nutrition may experience undetected hypo or hyperglycemia or inadequate glycemic control, which can cause adverse …

A Multidisciplinary Approach To Identify Postoperative Delirium In Geriatric Patients Using A Brain Health Screening Tool, Ashlyn Mccartney

Graduate Theses, Dissertations, and Problem Reports (ETD)

Postoperative delirium (POD) is a common occurrence, effecting nearly 61% of the surgical population recovering from anesthesia. POD increases risk of morbidity and mortality leading to prolonged hospital length of stay by 0.8 to 7.3 days and increased costs by $1,551 to $23,698 (Masharaf et al., 2022; Sethi, 2021). An academic medical center in northern West Virginia (WV) lacks a structured practice/protocol to identify high risk patients and assess POD. An evidence-based solution was developed based on the PICO question: Does a multidisciplinary approach to perianesthetic care utilizing a brain health screening tool, compared to lack of a screening tool, …

Project Quiet: A Quality Improvement Initiative To Reduce Noise Pollution During Anesthesia Induction And Emergence, James Christopher Woods

Graduate Theses, Dissertations, and Problem Reports (ETD)

Problem: Excessive intraoperative noise puts anesthesia providers at risk for errors that could negatively impact patient morbidity and mortality. Distractions from excessive noise experienced during the “critical phases” of anesthesia present a risk to patient safety and need to be reduced or eliminated. Anecdotally, reports from anesthesia staff at a large academic medical center confirmed that noise pollution during induction and emergence significantly impacted the performance of critical anesthesia tasks. Objective: The goal of this quality improvement (QI) project was to implement a series of interventions designed to reduce noise pollution during induction and emergence, and to reduce …

Do Pediatric Patients That Receive Dexmedetomidine As Premedication Experience Less Emergence Delirium Than Pediatric Patients That Receive Midazolam As Premedication?, Shelby Mccloud

Theses, Dissertations and Capstones

Title: Do pediatric patients that receive dexmedetomidine as premedication experience less emergence delirium than pediatric patients that receive midazolam as premedication?

Problem Statement: Midazolam remains the current choice within the practice for premedication in the prevention of emergence delirium, however as research continues there could possibly be a gap between the research and current practice. Throughout the practice of pediatric anesthesia most providers choose to premedicate with midazolam while there may be a more beneficial option of dexmedetomidine.

Results: The study found a significant variance in the incidence of emergence delirium among pediatric patients, ranging from 18.1% to 89%, depending …

Molecular Study Of The Agr Gene In Multidrug-Resistant (Mdr) And Extensively Drug-Resistant (Xdr) In The S. Aureus, Mays Ali Salim, Estabraq Ali Maklef, Montaha Abdul-Karim Al-Saffar

Al-Esraa University College Journal for Medical Sciences

Staphylococcus aureus a gram-positive coccus and one of the most important opportunistic bacteria that can lead to nosocomial infections. The purpose of this study is to explore the distribution and prevalence of the Agr gene in multidrug-resistance (MDR) and extensively drug-resistant (XDR) S. aureus. 62 isolates performed antibiotic sensitivity test. The isolates showed 66.12% resistance to clindamycin with MIC at range≥4, erythromycin 77.41% with MIC at range≥8, ciprofloxacin 19.35% with MIC at range≥4, oxacillin 75.80% with MIC at range≥4, cefoxitin 45.16% with MIC at range≥8, gentamycin 29.03% with MIC at range≥16, nitrofurantoin 14.51% and MIC at range≥128, and tetracycline …

Distribution Of Epidemiological Characteristics Of Low Back Pain Patients Attending To Baghdad Teaching Hospital, Khadija Kamil Salman, Ali Hussein. Al-Hafid, Shatha Ahmed Mohammed Ali

Al-Esraa University College Journal for Medical Sciences

Background: Low back pain (LBP) is a very common health problem worldwide especially in the low and middle-income countries. The LBP may be acute or chronic in nature caused by several medical conditions. The majority of acute low back pain is mechanical in nature due to sprains and strains. Chronic LBP, on the other hand, is most commonly attributed to sciatica, which a radiculopathy condition caused by compression, inflammation and/or injury to the spinal nerve roots. Aims of study: To study epidemiological features of low back pain. Patients and Methods: A cross-sectional study of 440 individuals diagnosed with …

Comparison Between Crp Level And Some Biochemical Parameters In Hashimoto And Hypothyroidism Iraqi Patients, Shahad Muthanna Abdulsattar, Ahmed Salem Mohammed, Susan Ahmed Zwyea

Al-Esraa University College Journal for Medical Sciences

Background: Hypothyroidism is a common medical condition that occurs due to a lack of the hormone thyroxine. Hashimoto's thyroiditis (HT) is the most prevalent thyroid disorder, also known as autoimmune thyroid disease (AITD). Approximately 20-30% of people develop hypothyroidism due to ongoing inflammation of the thyroid tissue it triggers. Aims: To investigate the difference between inflammatory and biochemical test in Hashimoto autoimmune thyroiditis (AITD) and hypothyroidism patients (non-autoimmune) Methods: The study was done on 50 Hashimotos patients, 50 Hypothyroidism patients from the Endocrinology Unit at Baghdad Teaching Hospital and Educational Laboratories / Baghdad City, Iraq, and 50 control healthy …

Improvement Of Hypertension Self-Care Management In African American Older Adults With Uncontrolled Hypertension Through Shared Decision-Making, Sigga Jobe

Doctor of Nursing Practice (DNP) Scholarly Projects - Archive

Background: Hypertension affects nearly half of the population in the U.S., with the prevalence disproportionately higher in African Americans (Centers for Disease Control and Prevention [CDC], 2023). Complications of uncontrolled hypertension, such as cardiovascular disorders and stroke, increase with age, prompting the importance of controlling high blood pressure in older adults. African American older adults are at higher risk of developing uncontrolled hypertension and related complications due to the lack of healthcare access, financial constraints leading to the inability to access healthier food choices, exercise capabilities, weight control, adherence to recommended medications, and knowledge deficit.

Methods: This project focused on …

Development Of A Positive Urinalysis Criteria Using A Machine Learning Approach, Kari Flicker, Jessica Parrott, Tammy Speerhas, Turaj Vazifedan, Theresa Guins, Jeffrey Bobrowtiz, Anne Mcevoy, Jade Eves, Debra Conrad, Benjamin Klick

Ellmer School of Nursing Faculty Publications

Background: Urinary tract infections (UTIs) are a commonly encountered diagnosis at pediatric urgent care (UC) centers. The urinalysis (UA) is usually the initial study in UC settings used to guide decisions regarding initiating empiric antibiotics and/or pursuing urine culture. However, studies in pediatric UC settings examining the ideal threshold for a positive result are lacking.

Methods: UA result data were extracted from the records of 6,327 pediatric patients, which were collected as part of a previous QI project. Logistic regression was used to determine the predictors of positive urine cultures. Decision trees for a positive UA result for both clean …

Enhancing Interprofessional Communication: Strategies For Nurses And Residents At Hca Florida Osceola Hospital, Juan Thomas Del Calvo, Mehuliben Upadhyaya, Sathvik Saineni, Minh Anh Le, Awss Shalhoub, Nima Hosseinian, Ashwini Komarla, Olga Karasik

North Florida Division GME Research Day 2024

No abstract provided.