Nursing Commons^™

Emergency Nurses’ Recognition Of And Perception Of Sex Differences In Acute Coronary Syndrome Symptoms, John R. Blakeman, Jessica K. Zègre-Hemsey, Sahereh Mirzaei, Myoungjin Kim, Ann L. Eckhardt, Holli A. Devon

Faculty Publications - Mennonite College of Nursing

Introduction

Methods

A Nationwide Study Of Emergency Nurses’ Triage Decisions For Potential Acute Coronary Syndrome, John R. Blakeman, Myoungjin Kim, Ann L. Eckhardt, Stephen J. Stapleton, Holli A. Devon

Faculty Publications - Mennonite College of Nursing

Introduction: Prompt recognition of acute coronary syndrome (ACS) is critical to facilitate timely treatments to preserve the myocardium. Aims of the study were to: 1) identify the symptoms used to assess angina; 2) determine how emergency nurses make triage decisions for potential ACS; and 3) determine emergency nurses’ initial actions.

Methods: This was a cross-sectional, survey-based design. Emergency nurses were recruited through a posting on the Emergency Nurses Association (ENA) website and through postcards. Measures included demographic data, assessment of angina, and the Nurses Cardiac Triage Instrument. Data were analyzed using descriptive statistics and ordinal logistic regression.

Results: A …

Evaluation Of The Performance Of A Card Game To Introduce Students To Interprofessional Collaboration: A Randomized 2-Group Comparison Study, Antony Joseph, Valerie M. Wright, Susan M. Watkins, Stacy E. Goddard, Daniel D. Mast

Faculty Publications - Mennonite College of Nursing

Background:

Gamification is an approach that can be used to introduce interprofessional collaboration in nursing and health science. Card games are an effective and convenient way to educate students about clinical professions.

Purpose:

We compared the perception of an experimental group of students who played an educational card game to a control group that played an uninstructive card game.

Methods:

College students (n = 148) from nursing and health science majors consented to play a 30-minute card game and complete a 13-item survey.

Results:

Perceptions of the card game were significantly better for students in the experimental group who played …

ปัจจัยที่สัมพันธ์กับอาการไม่พึงประสงค์ภายหลังการผ่าตัดของผู้ที่เป็นโรคเนื้องอกสมอง, บุญสิตา ทิงาเครือ

Chulalongkorn University Theses and Dissertations (Chula ETD)

การวิจัยครั้งนี้ มีวัตถุประสงค์เพื่อศึกษาอาการไม่พึงประสงค์และปัจจัยที่สัมพันธ์กับอาการไม่พึงประสงค์ภายหลังการผ่าตัดของผู้ที่เป็นโรคเนื้องอกสมอง ได้แก่ เพศ อายุ ตำแหน่งของเนื้องอกสมอง ภาวะโรคร่วม กิจกรรมทางกาย ภาวะโภชนาการ ความเข้มแข็งทางใจ และแรงสนับสนุนทางสังคม กลุ่มตัวอย่างคือ ผู้ที่เป็นโรคเนื้องอกสมองที่ได้รับการผ่าตัดไม่เกิน 6 เดือน ทั้งเพศชายและหญิง อายุ 18 ปีขึ้นไป ที่เข้ารับการรักษาแผนกผู้ป่วยนอก จากโรงพยาบาลจุฬาลงกรณ์สภากาชาดไทย โรงพยาบาลรามาธิบดี และสถาบันประสาทวิทยา จำนวน 120 คน ที่ได้มาจากการคัดเลือกตามคุณสมบัติที่กำหนด เครื่องมือที่ใช้ในการวิจัย คือ แบบบันทึกข้อมูลส่วนบุคคล แบบบันทึกข้อมูลการเจ็บป่วย แบบประเมินอาการไม่พึงประสงค์ แบบประเมินภาวะโรคร่วม แบบประเมินกิจกรรมทางกาย แบบประเมินภาวะโภชนาการ แบบประเมินความเข้มแข็งทางใจ แบบประเมินแรงสนับสนุนทางสังคม ผ่านการตรวจสอบความตรงตามเนื้อหาโดยผู้ทรงคุณวุฒิ 5 คน หาค่าความเที่ยงของแบบประเมินดังกล่าว เท่ากับ .86 - .99 การวิเคราะห์ข้อมูลโดยหาค่าความถี่ ร้อยละ ค่าเฉลี่ย ส่วนเบี่ยงเบนมาตรฐาน สถิติสัมประสิทธิ์สหสัมพันธ์ของเพียร์สัน และอีต้า ผลการวิจัยพบว่า กลุ่มตัวอย่างมีคะแนนเฉลี่ยของความรุนแรงของอาการไม่พึงประสงค์โดยรวม เท่ากับ 2.54 (S.D. = 1.47) โดยอาการที่พบมากที่สุด 3 อันดับแรก ได้แก่ อาการปวดศีรษะ อาการนอนไม่หลับ และอาการเหนื่อยล้า ตามลำดับ และพบว่า ภาวะโรคร่วม ภาวะโภชนาการ ความเข้มแข็งทางใจ และกิจกรรมทางกาย มีความสัมพันธ์กับอาการไม่พึงประสงค์อย่างมีนัยสำคัญทางสถิติที่ระดับ .05 (r = .47, r = -.44, r = -.36 และ r = -.24 ตามลำดับ) ขณะที่ เพศ อายุ ตำแหน่งเนื้องอกสมอง และแรงสนับสนุนทางสังคม ไม่มีความสัมพันธ์กับอาการไม่พึงประสงค์ภายหลังการผ่าตัดของผู้ที่เป็นโรคเนื้องอกสมอง

Nursing Care During Natural Disasters, War Zones, And Mass Casualty Incidents: Implications For An Educational And Professional Overhaul, Erin N. White

Undergraduate Honors Theses

Emergency situations around the world are inevitable. Any nurse who practices for any period of time is sure to encounter situations like these. Their hospital may be flooded with traumatic and severely life-threatening patient cases where supplies can become scarce. In these situations, a nurse and all other healthcare personnel are expected to act effectively, efficiently and in a highly organized way. Despite this need, many hospitals fail to implement effective disaster preparedness programs and plans. This leaves healthcare workers at a loss for how to treat patients, communicate within and outside of the hospital, coordinate transport, and all the …

Western Australian Mothers' Experiences Of Breastfeeding Support In Hospital After Birth: A Mixed Methods Study, Justine Van Der Watt

Theses: Doctorates and Masters

Background: The benefits of breastfeeding are well established for infants, mothers and the community, with the World Health Organisation recommending that infants be exclusively breastfed up to six months of age with an achievable goal of 70% globally. Yet in Australia only 15-37% may be reaching that goal. There have also been reported benefits and desires for mothers to be supported with their breastfeeding in order to increase and prolong breastfeeding duration and exclusivity, especially early after birth. However, there is limited research or literature exploring what experiences mothers are having with breastfeeding support, especially during their hospital admissions in …

Preparing For End Of Life In A New Country: A Grounded Theory Study On African Migrants Living In Australia, Gertrude Gondwe Phiri

Theses: Doctorates and Masters

African migration to Australia has grown in the past 20 to 25 years with many migrants staying permanently. This has led to migrants dying away from their birthplaces where family is responsible for end-of-life care planning for the individual. Although migrating to Australia is considered a great achievement, many migrants also experienced challenges. Previous studies have explored the barriers faced by migrants in relation to end-of-life care but have not addressed the cause of those challenges. This constructivist grounded theory study examines how migrants from three African countries, Malawi, Zambia, and Zimbabwe (MZZ) prepare for end-of-life in Australia. The study …

The Impact Of Reported Antibiotic Allergy In Paediatric Care And Antimicrobial Stewardship, Annabelle Arnold

Theses: Doctorates and Masters

Antimicrobial resistance is rising while new drug development declines, making antimicrobial stewardship crucial for optimizing use, preventing resistance, and improving patient outcomes. Antibiotics are vital for bacterial infections, but overuse and inappropriate prescribing have contributed to resistance. Although 5-35% of the global population reports β-lactam allergies, over 90% of reports are inaccurate. Adults have the highest prevalence; however, these labels are often acquired in childhood, with a notable increase among children recently. Unverified allergy labels hinder antimicrobial stewardship, leading to longer hospital stays, alternative prescribing, and a higher risk of adverse events.

This thesis sought to evaluate current evidence regarding …

The Development, Implementation And Evaluation Of A Novel Intervention For Delirium Prevention And Management In An Adult Intensive Care Unit: A Mixed Methods Study, Gideon Ugochukwu Johnson

Theses: Doctorates and Masters

Background: Delirium is a prevalent acute brain dysfunction in patients within intensive care units. Delirium is marked by a fluctuating mental state, inattention, and altered consciousness. This condition affects a substantial proportion of patients in intensive care units, and which leads to increased mortality, severe physiological and psychological consequences, and a significant economic burden on healthcare systems. Despite the evidence that supports the use of non-pharmacological interventions to prevent or minimise the impact of delirium such as orientation, sensory stimulation, early mobilisation, and family involvement, their implementation in intensive care units remains inconsistent. The involvement of family members in the …

How Do Professional Connections And Relationships Impact Midwives’ Well-Being And Career Sustainability? A Grounded Theory Study Protocol, Lynnelle Moran, Sara Bayes, Kim Foster

Research outputs 2022 to 2026

Significant attrition and projected workforce shortages within the midwifery profession are global issues. Extensive research has identified that high levels of workplace adversity, chronic stress, and increasing rates of vicarious trauma and moral injury experienced by midwives, underpin this situation. Researchers have explored midwives’ intention to stay in the midwifery workforce and identified ways to support students’ transition to professional practice. Supportive collegial relationships have been reported to be protective for new and early career midwives’ well-being and resilience. However, there is a gap in knowledge and understanding of the impact and significance of professional connections and relationships for midwives …

Maternal Health Considerations: Highlighting And Advancing Opportunities For Improved Maternal Health, Caitlin Fox-Harding

Research outputs 2022 to 2026

The special collection on Maternal Health Considerations offers a comprehensive exploration of critical issues surrounding maternal well-being across diverse contexts and disciplines. Recognising that maternal health extends beyond the physiological realm, this collection delves into the multifaceted dimensions of maternal well-being, including physical, mental, and socio-ecological factors. The collection comprises a series of interdisciplinary studies that investigate various facets of maternal health, from conception to postpartum stages. It addresses the complex interplay between biological, psychological, and socio-cultural determinants that influence maternal health outcomes. By adopting a holistic approach, the contributors shed light on the interconnectedness of maternal well-being. Key themes …

Pediatric Vaccination Adherence: Enhancing Compliance Among First-Generation Asian American Parents, Katelyn Leong

Nursing | Student Research Posters

Background: Vaccine adherence in the pediatric population refers to receiving vaccines as per the recommended schedule, which significantly reduces vaccine-preventable diseases and enhances community immunity. Vaccine hesitancy, driven by concerns such as safety, misinformation, or cultural beliefs can affect adherence. National coverage of state-mandated vaccines among kindergarteners declined from 95% to around 93% between 2019 and 2022, varying across different vaccines. Objective: This research proposal’s focus is to determine if an educational intervention targeting first-generation Asian Americans, who have adopted their immigrant parents' misinformation about vaccines, will effectively increase vaccination rates among their children. The study aims to assess the …

Optimizing Ventilator-Associated Pneumonia Prevention And Education: In Adult Icu Settings, Danielle Gonzalez

Nursing | Student Research Posters

Background: Ventilator associated pneumonia (VAP) in adult intensive care patient units (ICU) is one of the most common and deadly nosocomial infections today. Studies have identified a gap in intensive care nurse ventilator education and compliance with hospital protocols. Overall increasing the rates of VAP and morbidity. Hospitals worldwide have shown a decrease in VAP rates after inheriting "VAP-bundles''. This includes nurse specific interventions and assessments as a preventative measure. However, studies failed to demonstrate which bundle interventions directly correspond to the prevention of VAP. Purpose: Address all components of education, a nurse’s ability to properly identify and understand the …

Developmental Effects Of Child Abuse: The Relevance Of Timing, Laura Luz Alvarez Pineda, Karla Susana Saldaña

Nursing | Student Research Posters

Background: Early physical, sexual, and emotional child abuse has been associated with long-life cognitive, emotional, and physical health repercussions. Purpose: The current paper, in addition to a literature review, proposes a research design to examine the emotional outcomes of physical, emotional, and sexual child abuse on Hispanics when a psychosocial therapy program is implemented. Methods: Participants will be recruited from children’s hospitals, daycares, and preschools around the Bay Area. Parental-informed consent will be obtained prior to participation. This longitudinal quantitative quasi-experimental study will be comprised of three phases to measure posttraumatic stress and depression symptoms, and suicidal …

Impact Of Nursing Education On Kangaroo Mother Care: Neurodevelopment Outcomes In Preterm Infants, Giana Usac

Nursing | Student Research Posters

Preterm birth poses a significant risk to the normal trajectory of brain development, particularly in the cortex, which is responsible for higher cognitive functions, motor control, and socio-emotional processing. However, Kangaroo Mother Care (KMC) has emerged as an important early intervention capable of improving neurodevelopmental outcomes in preterm newborns. This quantitative research proposal aims to assess the influence of nurse education on KMC practices, identifying pivotal periods in infancy when KMC has the most significant impact on neurodevelopment outcomes in preterm infants. The literature critique focuses on the efficacy of nursing education, the optimization of KMC regarding duration and frequency, …

Male Caregiver Strain: The Mental Effects Of Being An Informal Caregiver For A Family Member With Dementia And Alzheimer's Disease, Alessandra M. Barillas, Elijah Rammel B. Borja

Nursing | Student Research Posters

Background: Caregivers are vital in fulfilling patients' primary care needs, and families prefer them over sending their loved ones to skilled nursing facilities (SNFs). Alzheimer's Disease and Dementia are prevalent conditions necessitating continuous assistance due to memory and cognition impairments. As a result, support is essential for tasks like mobility, feeding, bathing, and perineal care, as well as emotional and physical challenges inherent in caregiving. Purpose: Upon diving into the mental health impacts of serving as an informal caregiver for individuals with Alzheimer's Disease and Dementia, a notable research gap becomes evident, especially concerning male caregivers. This lack of information …

Unleashing Wellness: Exploring The Impact Of Pet Therapy On Anxiety Reduction, Quality Of Life, And Treatment Adherence In Pediatric Oncology Patients, Karina Brouwer

Nursing | Student Research Posters

Pet therapy is a complementary type of therapeutics in which a person and animal have a guided interaction with the purpose of helping someone cope with physical and/or mental illness. Animal-assisted therapy is used in numerous settings and has been shown to reduce stress, lower blood pressure and heart rate, and decrease anxiety and depression (Husson University, 2022). In particular, pediatric oncology patients have enormous amounts of stress in their lives, which leads to increased anxiety and decreased quality of life (Children's Cancer Cause, 2023). While evidence shows that integrating pet therapy in pediatric oncology patients produces significant benefits on …

Reducing Emergency Department Visits Among Children With Autism Spectrum Disorder, Teri Nguyen

Nursing | Student Research Posters

In the realm of pediatric healthcare, children diagnosed with Autism Spectrum Disorder (ASD) face unique challenges alongside their caregivers. Caregivers face challenges in accessing appropriate support and resources to effectively address the needs of children with ASD. Children with ASD struggle with sensory sensitivities, impaired safety awareness, and difficulties perceiving potential dangers which put them at greater risk for injuries. As a result, children with autism have higher rates of emergency department visits compared to their neurotypical peers. This research aims to assess the effectiveness of nurse-led home injury prevention and education in reducing emergency department visits for children with …

Postpartum Depression: The Effects On Infant Development During The First Year Of Life, Sophie John

Nursing | Student Research Posters

Childbirth is considered one of the most pivotal events in a woman’s life, bringing along profound changes. While often seen as joyful, the experience can be extremely challenging or stressful. This might trigger a wide range of emotions that can hinder a mother’s ability to care for herself as well as her newborn. Unlike temporary “baby blues,” postpartum depression (PPD) is similar to major depressive disorder, with symptoms like guilt, anxiety, hopelessness, and even suicidal thoughts. Though typically diagnosed within 4-6 weeks after birth, it often goes untreated or underdiagnosed due to inadequate screening. Untreated PPD can pose a risk …

Parental Presence Following Pediatric Invasive Procedures And Surgery, Jaymie Riza Torres, Franchesca Isabelle Andaya Lazaro

Nursing | Student Research Posters

Background: Pediatric patients are severely affected by preoperative anxiety which can lead to postoperative complications and delayed recovery. This could be attributed to their developmental stage which determines their response to stress and fear. Purpose: The purpose of this paper is to evaluate postoperative recovery outcomes in pediatric patients following the implementation of parental presence at the induction of anesthesia and upon first waking up. Method: This proposed research utilizes a mixed-method approach, combining qualitative and quantitative methods through a quasi-experimental study. The target population consists of pediatric patients between the ages of three and eight years …