Nursing Commons^™

Empowering Caregivers In The Prevention Of Clinical Delirium For At Risk Older Adults Boarding In The Emergency Department Setting, Danielle Brewer

DNP Projects

Background: Emergency Department (ED) overcrowding is a global healthcare crisis documented in the literature for more than a decade, impacting patient outcomes and resource availability. While awaiting delayed transfer to an inpatient room, older adults in the ED remain vulnerable to developing acute delirium. Boarding potentiates the risk for worsening health outcomes, which are further compounded by delirium. Scarcity of resources and time constraints delay delirium detection and increase risk for down-stream hospital-acquired complications, higher cost, and prolonged length of stay. Current ED models do not prioritize caregiver partnership or involvement in delirium-conscious care, which is a holistic approach to …

Increasing Awareness Of Implicit Bias And Systemic Racism Among Clinical Staff Caring For Non-Hispanic Black Maternal Patients, Melissa Courtney

DNP Projects

Background: Kentucky is ranked 17^th in the nation for the highest maternal mortality rate in the U.S. with a rate of 22.9 per 100,000, and 78 percent of those maternal deaths were considered preventable. The Non-Hispanic Black maternal death rate in the U.S. and Kentucky is 2.9 times higher than that of the Non-Hispanic White maternal counterparts (Kentucky Department of Public Health Division of Maternal and Child Health (KDPHDMCH), 2022). The fundamental cause of maternal health inequities is structural racism, which leads to poor treatment and experiences in the healthcare system (Chinn et al., 2020). Structural racism and implicit …

Veterans Direct Admission Reassessment Tool Validation For The Reduction Of Rapid Response Code Blue, And Code Stroke Team Activations In Newly Arrived Direct Admission Veterans, Joshua Monroe Wells

DNP Projects

Abstract

Purpose: Rapid clinical assessment of newly arriving direct admission veteran patients to the Department of Veterans Affairs Health Care System (VAHCS) Lexington is of the utmost importance to determine current patient condition, alteration from previously known condition at time of provider acceptance or time of report, and appropriate level of care for these veterans. The facility has seen an increase in the number of unexpected patient declines by direct admission patients presenting to medical surgical units at the VA Health Care System Lexington KY. This recurrent decline resulted in the facility performing a Root Cause Analysis (RCA), which identified …

Increasing Education And Staff Knowledge Of Delirium Care: An Evidence-Based Quality Improvement Project, Serena Martinath

Master's Theses and Capstones

Introduction At a small, community hospital in Massachusetts a gap analysis was conducted leading to a quality improvement project to increase staff education and knowledge regarding delirium and evidence-based best practices for delirium care. Delirium is a growing, often under recognized medical condition that occurs in hospitalized patients (Loftus & Wiesenfeld, 2017). Delirium is characterized by acute changes in congnition, level of consciousness, and attention (Loftus & Wiesenfeld, 2017). A better understanding of this condition is expected to result in improved patient care.

Methods The clinical microsystem studied in this gap analysis project was assessed by using the AHRQ Gap …

Enhancing Inpatient Sleep Quality In Patients On An Intermediate Care Unit Through Healthcare Staff Education: A Quality Improvement Project, Avery B. Drouin

Master's Theses and Capstones

Background

In the Intermediate Care Unit (IMCU), patients often suffer from poor sleep quality due to continuous overnight care and inherent hospital environment noise. Poor sleep can adversely affect recovery, especially for cardiac patients, who constitute a significant portion of the IMCU population. Improving sleep quality in these patients is essential for their recovery and overall well-being.

Local Problem

Despite the importance of adequate sleep, only 47% of patients in the hospital that houses the microsystem reported a quiet environment at night using the Hospital Compare online survey platform. Disruptions from alarms, phones, and care activities significantly impact sleep quality, …

Improving Discharge Education Quality In Urgent Care Settings: A Quality Improvement Project, Brielle N. Patscheider

Master's Theses and Capstones

BACKGROUND:

Effective discharge education is vital for improving patient care by enhancing health outcomes and reducing hospital readmission. When patients receive thorough and personalized discharge instructions, they are better able to manage their health, follow treatment plans, and identify symptoms needing further attention. This not only boosts patient satisfaction and safety but also reduces the strain on healthcare systems by decreasing preventable readmissions.

LOCAL PROBLEM:

Urgent care facilities serve diverse populations with a range of common, non-emergency ailments. The rapid service and walk-in availability often lead to a high volume of patients with diverse and complex medical needs. To eliminate …

Improving The Postpartum Depression Discharge Education To Increase Quality And Safety Of Care: A Quality Improvement Initiative, Amanda Lucia

Master's Theses and Capstones

Background: Postpartum depression (PPD) is the most prevalent psychological condition to affect mothers following childbirth which can have detrimental consequences on the physical and mental health of the mother, child, and spouse (Wang et al., 2021). Globally, postpartum depression affects 17.2% of the world population, and in the United States 1 in 8 women who recently gave birth reported symptoms of PPD, and 1 in 10 women reported experiencing a major depressive episode within a year following delivery (CDC, 2023). Patients’ spouses and family members are in a unique position to identify early manifestations of PPD which can lead to …

Improving Quality Of Documentation In Perianesthesia Care Units To Increase Nurse Satisfaction And Patient Safety: A Quality Improvement Project, Anja Novcic

Master's Theses and Capstones

Abstract

Background: Quality documentation in healthcare settings is essential to ensure nurse satisfaction and patient safety. Documentation templates for patient charting should be in a format that follows best practice nursing care and captures all necessary assessments and interventions ordered by providers for patient care. A quality improvement was conducted in a PACU to evaluate the nurse satisfaction with the use of a new and revised documentation template for pain block procedures.

Local Problem: Within the perianesthesia care unit (PACU) of a Same Day Surgery center, a problem was identified regarding the nurse dissatisfaction with the template in place for …

Increasing Annual Depression Screening For Adults In A Primary Care Setting, Sandy Zachery, Sheryl Winn, Flor Culpa-Bondal

Graduate Research Showcase

Increasing Annual Depression Screening for Adults in a Primary Care Setting

Background:

Depression is a mental illness that's common worldwide, which can cause an individual to function poorly in society and can progress to suicide. Because of several barriers, patients in a primary care environment are not being seen or treated for depression. Even though the U.S. Preventive Services Task Force (USPSTF) recommends that all adults in primary care receive annual depression screening that delivers effective treatment with the correct diagnosis and accurate follow-up, patients are still not being screened for depression.

Purpose:.

This project aims to improve …

การศึกษาบทบาทพยาบาลเวชศาสตร์การบิน, ศุภธิดา ผลแย้ม

Chulalongkorn University Theses and Dissertations (Chula ETD)

การศึกษานี้เป็นการวิจัยเชิงบรรยาย มีวัตถุประสงค์เพื่อศึกษาบทบาทพยาบาลเวชศาสตร์การบิน โดยใช้เทคนิคเดลฟาย ผู้ให้ข้อมูลคือ ผู้เชี่ยวชาญด้านเวชศาสตร์การบิน จำนวน 19 คน ประกอบด้วย ผู้อำนวยการหรือผู้บริหารด้านเวชศาสตร์การบิน จำนวน 3 คน แพทย์เวชศาสตร์การบิน จำนวน 3 คน คณะกรรมการหลักสูตรหรืออาจารย์ผู้สอนในหลักสูตรที่เกี่ยวข้องกับงานด้านเวชศาสตร์การบิน จำนวน 3 คน หัวหน้าพยาบาลเวชศาสตร์การบินหรือลำเลียงผู้ป่วยทางอากาศ จำนวน 4 คน และพยาบาลเวชศาสตร์การบินหรือลำเลียงผู้ป่วยทางอากาศ จำนวน 6 คน เครื่องมือที่ใช้ในการวิจัย ประกอบด้วยแบบสอบถามแบบปลายเปิด และแบบสอบถามมาตราส่วนประมาณค่า 5 ระดับ การดำเนินการวิจัยประกอบด้วย 3 ขั้นตอน คือ 1) สัมภาษณ์ผู้เชี่ยวชาญเพื่อรวบรวมความคิดเห็นเกี่ยวกับบทบาทพยาบาลเวชศาสตร์การบิน 2) นำข้อมูลที่ได้จากการสัมภาษณ์มาวิเคราะห์เนื้อหาและนำมาสร้างแบบสอบถามเพื่อให้ผู้เชี่ยวชาญประมาณค่าระดับความสำคัญ 3) นำข้อมูลที่ได้จากการตอบแบบสอบถามประมาณค่าความสำคัญมาคำนวณค่ามัธยฐานและค่าพิสัยระหว่างควอไทล์ และส่งแบบสอบถามให้ผู้เชี่ยวชาญกลุ่มเดิมยืนยันความคิดเห็นอีกครั้ง ผลการวิจัย พบว่า บทบาทพยาบาลเวชศาสตร์การบิน ประกอบด้วย 6 บทบาท ดังนี้ 1) ด้านผู้ปฏิบัติการพยาบาลเวชศาสตร์การบินจำนวน 16 ข้อ 2) ด้านผู้จัดการนิรภัยการบินและนิรภัยภาคพื้น จำนวน 8 ข้อ 3) ด้านผู้จัดการความปลอดภัยและจัดการความเสี่ยง จำนวน 16 ข้อ 4) ด้านผู้ประสานงานและสื่อสาร จำนวน 11 ข้อ 5) ด้านผู้นำการทำงานเป็นทีม การจัดการ และการให้คำปรึกษา จำนวน 18 ข้อ และ 6) ด้านผู้พัฒนาคุณภาพและมาตรฐานการบริการ จำนวน 11 ข้อ

Midwifery Students' Experiences Of Learning To Be 'With Woman': A Scoping Review, Ashlee Guerin, Sadie Geraghty, Sheena Mcchlery, Mary Byrne

Nursing Papers and Journal Articles

Background: Being ‘with woman’ is a fundamental concept deeply embedded within the midwifery profession and profoundly impacts maternal and infant wellbeing and outcomes. The clinical experiences of midwifery students shape their learning outcomes, future practice, and career aspirations. Understanding midwifery students' experiences of learning to be ‘with woman’ is vital in shaping and optimising learning strategies for providing midwifery students with positive and effective student-centred learning outcomes.

Objective: This scoping review aims to gain meaningful insight and understanding into the existing literature on midwifery students’ experiences of learning to be ‘with woman’.

Design: The scoping review was conducted according to …

Sleep Quantity And Quality: Impact On Nursing Students' Gpa At Georgia Southern University, Jennifer K. Arlow

Honors College Theses

Introduction: Nursing school is a physically and mentally challenging commitment that can result in students sacrificing sleep and compromised sleep quality.

Methodology: A cross-sectional mixed methodology research study of Georgia Southern University’s nursing students was conducted to gauge students' self-perceived sleep habits and current and past academic performance quantified by GPA. Five respondents (whose results were excluded from the data analysis) confirmed the questions were clear and relevant.

Results and Discussion: Thirty-two (n=32) questionnaires were received, of which four were excluded from the final analysis as some questions were not answered. More than 50% of respondents said their GPA decreased …

Exploring Racial Disparities In Sex Trafficking Special Docket Court Programs, Aaron Murnan, Gwen England, Samantha J. Boch, Caneacha Matthews, Henry Ofori Duah, Islam Qasem, Sarah Manchak

College of Nursing Faculty Research and Publications

Purpose: The United States criminal legal system has a long-standing and well-documented history of perpetuating racial disparities in health and well-being through inequitable policing, sentencing, and incarceration practices. In the last decade, the criminal legal system has re-considered their response to women arrested for solicitation via sex trafficking specialty courts. Methods: The current study leverages publicly available data from one large Midwestern county to explore the presence of racial disparities within women’s referral to, election to participate in, and success within one specialty court program for women in the sex trade. Results: Between 1990 and 2022, approximately 27,790 women were …

Childhood Obesity Interventions Need To Address Groups Experiencing Inequities, Marilyn Frenn

College of Nursing Faculty Research and Publications

No abstract provided.

Emphasizing Self-Regulation In Teaching: Reducing Disruption To Students’ Learning During Unplanned Instructional Mode Transition, Somesh Roy, Amber Young-Brice, Jenna Lassila, Brandon Kyle Johnson

College of Nursing Faculty Research and Publications

In Spring 2020, engineering faculty transitioned to emergency remote instruction due to COVID-19. This mixed-methods study was done to understand the correlation between self-regulated learning and how students experienced the emergency transition to remote learning. The participants were from an upper-level engineering course, with 33 students surveyed four times during the semester. Seven students were interviewed after the semester. Findings revealed that during the transition to remote learning, students perceived less change if they had higher degrees of self-regulation. The qualitative analysis also revealed that transparency in learning and teaching also played an important role in students’ perceptions.

Vaginal And Rectal Microbiome Changes Following Administration Of A Multi-Species Antenatal Probiotic: A Randomized Control Trial, Emily Malloy, Ashley Kates, Jonah Dixon, Colleen Riley, Nasia Safdar, Lisa Hanson

College of Nursing Faculty Research and Publications

The gut and vaginal microbiome undergo changes during pregnancy which may be protective or harmful to the birthing person. Probiotics have been found to cause protective changes to the gut and vaginal microbiomes, with the potential to improve perinatal outcomes. This randomized control trial compares the vaginal and rectal microbiomes before and after an antenatal probiotic or placebo intervention, with a diverse group of pregnant people and a special focus on racial disparities. The vaginal and rectal microbiomes reveal non-significant increased Lactobacillus in the probiotics group, with a greater increase in participants who identified as Black. Potential implications and future …

Feasibility And Acceptability Of Studying Full-Time Nurse Faculty Salaries, Kathryn J. Malin, Jessica L. Zemlak, Jacqueline Christianson, Jessica Leiberg, Lisa M. Grabert

College of Nursing Faculty Research and Publications

Background

The nursing shortage is driven, in part, by the critical shortage of nursing faculty. Consequently, qualified potential nursing students are being turned away from nursing schools each year. The preeminent issue influencing the United States nurse faculty workforce shortage is salary; financial compensation is higher in clinical and private-sector settings than educational settings. The purpose of this study is to describe current full-time nurse faculty salary, sources of income, and perceived need for more income, as well as the feasibility and acceptability of research focused on full-time nurse faculty salaries, so to guide future nursing faculty workforce research.

Methods …

Grounded Theory Approach To Understand Self-Management Of Opioid Recovery Through Pregnancy And Early Parenting, Nicole M. Mattson, Jennifer M. Ohlendorf, Kristin Haglund

College of Nursing Faculty Research and Publications

Objective

To develop a theory to explain the processes women use to self-manage recovery from opioid use disorder during pregnancy, the postpartum period, and early parenting.

Design

Constructivist grounded theory approach.

Participants

Women (N = 16) who gave birth during the past 12 months and used medication for opioid use disorder for recovery through pregnancy and the postpartum period.

Methods

We recruited participants through seven medication-assisted treatment clinics in a mid-size Midwestern city and the surrounding suburbs and through online parenting and recovery community groups with national-based memberships. We conducted semistructured, individual audio interviews from November 2020 to July …

2024-2025 Family Nurse Practitioner Practicum Handbook, Morehead State University. Nursing Department.

Nursing Department Publications Archive

2024-2025 Family Nurse Practitioner Practicum Handbook of the Department of Nursing at Morehead State University.

2024-2025 Nursing Undergraduate Student Handbook, Morehead State University. Nursing Department.

Nursing Department Publications Archive

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