Nursing Commons^™

Enhancing Communication Between Nurses And First Call Providers Using A Secure Chat Algorithm, Karen Hilt

DNP Projects

BACKGROUND: Healthcare requires quality multidisciplinary communication for patient care. Secure Chat is a feature within the Epic electronic health record to facilitate communication without violating Health Insurance Portability and Accountability Act (HIPPA). An algorithm to streamline communication utilizing this feature is needed to improve patient care.

PURPOSE: The purpose of this study was to determine, develop, implement, and evaluate a communication protocol between nurses and first call providers. The overall goal was to improve the knowledge, attitudes, efficacy, and address barriers with communication of nursing staff and providers through efficient messaging embedded within Epic, electronic health record

CONCEPTUAL MODEL: …

Electroconvulsive Therapy: Improving Psychiatric Rn Knowledge And Attitudes Using An Educational Module, Garrett Payne

DNP Projects

Abstract

Background: Electroconvulsive Therapy (ECT) is a robust, versatile treatment option for many psychiatric disorders and diseases, but systemic low levels of knowledge and negative attitudes exist towards the procedure among healthcare workers, specifically among psychiatric RNs. The negative attitudes surrounding ECT are most attributable to a misunderstanding of its uses, efficacy, procedures, and safety. Psychiatric RNs hold more negative beliefs and misconceptions about ECT than any other group of healthcare workers who directly care for patients receiving the treatment. Psychiatric RNs also demonstrate poor understanding of ECT treatment procedures and outcomes. Current evidence-based practice shows that providing psychiatric RNs …

Nurse Management Competency Training For Frontline Nurse Leaders, Travis Drake

DNP Projects

Background: Growing evidence shows that front line nurse leaders take on their role with minimal education and training. Healthcare facilities are pressed for resources and time to allow for proper development of these leaders.

Purpose: The purpose of this project was to provide novice nurse leaders with a condensed management development program utilizing key American Organization of Nurse Leaders (AONL) nurse manager competencies. This abbreviated program was developed focusing on three key competencies of finance, innovation, and human resources. The impact of the program was measured by comparing self-assessment prior to any of the education and after the entire program …

An Educational Intervention To Improve Neonatal Icu Nurses’ Breastfeeding Support Knowledge, Self-Efficacy, And Breastfeeding Rates At Discharge, Sarah Money

DNP Projects

Background: The benefits of breastfeeding for both mother and baby are known. It is recommended that all infants be exclusively breastfed until six months (Meek & Noble, 2022; North et al., 2021). Despite this, breastfeeding rates remain low, especially in medically fragile infants requiring care in the neonatal intensive care unit (NICU) (Rollins et al., 2016). Receipt of evidence-based breastfeeding support by healthcare providers has been shown to improve breastfeeding success; however, many healthcare providers report not being comfortable or knowledgeable enough to offer support consistently (Mulcahy et al., 2022; Rollins et al., 2016).

Purpose: This study aims …

ผลของโปรแกรมการใช้น้ำมันหอมระเหย ต่อภาวะซึมเศร้าในผู้ป่วยภายหลังการเกิดภาวะกล้ามเนื้อหัวใจตายเฉียบพลัน, รดา วงษ์ศรี

Chulalongkorn University Theses and Dissertations (Chula ETD)

การศึกษาในครั้งนี้เป็นการวิจัยแบบกึ่งทดลอง มีวัตถุประสงค์เพื่อศึกษาผลของโปรแกรมการใช้น้ำมันหอมระเหย ต่อภาวะซึมเศร้าในผู้ป่วยภายหลังการเกิดภาวะกล้ามเนื้อหัวใจตายเฉียบพลัน กลุ่มตัวอย่าง คือ ผู้ป่วยที่มีภาวะกล้ามเนื้อหัวใจตายเฉียบพลัน อายุตั้งแต่ 20 ปีขึ้นไป ขณะเข้ารับการรักษาในหอผู้ป่วยวิกฤตโรคหัวใจและหลอดเลือด โรงพยาบาลพระมงกุฎเกล้า คัดเลือกกลุ่มตัวอย่างตามเกณฑ์คุณสมบัติ แบ่งเป็นกลุ่มควบคุมและกลุ่มทดลองกลุ่มละ 22 คน จับคู่ให้มีความใกล้เคียงกันในเรื่องเพศและอายุ กลุ่มควบคุมได้รับการพยาบาลปกติ ในขณะที่กลุ่มทดลองได้รับ โปรแกรมการใช้น้ำมันหอมระเหยต่อภาวะซึมเศร้าในผู้ป่วยภายหลังการเกิดภาวะกล้ามเนื้อหัวใจตายเฉียบพลัน ระยะเวลา 4 สัปดาห์ เครื่องมือที่ใช้เก็บรวบรวมข้อมูล คือ แบบสอบถามข้อมูลส่วนบุคคล แบบประเมินแบบสอบถามภาวะซึมเศร้า และ เครื่องมือกำกับการทดลอง คือ แบบบันทึกการใช้น้ำมันหอมระเหย มีค่าสัมประสิทธิ์ของครอนบาค 0.82 วิเคราะห์ข้อมูลโดยใช้สถิติบรรยายและสถิติt – test โดยกำหนดนัยสำคัญทางสถิติที่ระดับ .05 ผลการวิจัยพบว่า 1. ค่าเฉลี่ยคะแนนภาวะซึมเศร้าในผู้ป่วยภายหลังการเกิดภาวะกล้ามเนื้อหัวใจตายเฉียบพลันกลุ่มทดลองหลังได้รับโปรแกรมการใช้น้ำมันหอมระเหยต่ำกว่าก่อนได้รับโปรแกรมการใช้น้ำมันหอมระเหยอย่างมีนัยสำคัญทางสถิติที่ระดับ .05 (t = 7.35 ,df = 21 ,p = .000 ) 2. ค่าเฉลี่ยคะแนนภาวะซึมเศร้าในผู้ป่วยภายหลังการเกิดภาวะกล้ามเนื้อหัวใจตายเฉียบพลันกลุ่มทดลองต่ำกว่ากลุ่มควบคุมอย่างมีนัยสำคัญที่ระดับ .05 (t = 1.75 ,df = 42 ,p = .04 )

Contributing Factors And Interventions For Increased Central Line-Associated Bloodstream Infection (Clabsi) Rates During The Covid-19 Pandemic: A Literature Review, Brittney Perry

Honors Undergraduate Theses

The purpose of this literature review is to determine the contributing factors of CLABSI rate increases during the COVID-19 pandemic and identify interventions which restored CLABSI rates to pre-pandemic levels to guide healthcare professionals’ actions during the next pandemic. Background: In the first two decades of the 21^st century, CLABSI rates were reduced in United States hospitals by innovating safer patient care practices. However, there was a significant increase in the annual CLABSI rate in 2020 and 2021, increasing the average length of stay, mortality rate, and cost to the U.S. healthcare system. Methods: An extensive search of CINAHL …

Recognizing Risk Factors Of Bronchopulmonary Dysplasia In Neonates ≥ 24 And ≤ 32 Weeks Of Gestational Age, Hannah Tatro

Honors Undergraduate Theses

Background: Bronchopulmonary dysplasia (BPD) is a chronic lung condition that is diagnosed among neonates who are on oxygen therapy for longer than 28 days. BPD causes insufficient gas exchange due to prematurely developed lungs and is the most common condition that causes morbidity of prematurity. Many risk factors contribute to the development of this condition and relate to care from the delivery room to the first few days of life.

Purpose: The purpose of this literature review is to examine risk factors related to the development of BPD in neonates from the gestational ages of 24 to 32 weeks.

Methods: …

Improving Health Outcomes In Children And Adolescents With Asthma, Elizabeth Kate Coffey Moore

Theses and Dissertations (ETD)

Asthma is among the most prevalent chronic illnesses found in the United States, affecting millions of people under the age of 18 each year. The disease burden for affected children, adolescents, their families, and the healthcare system is immense. Finding ways to mitigate its impact is critical to improving the lives of affected children, adolescents, and their families. The three chapters included in this dissertation aimed to document the asthma triggers that children and adolescents are exposed to and strategies for reducing them and to demonstrate using Imogene King’s conceptual framework to guide nursing practice to care for and nursing …

Impact Of Traditional Education And Learner-Centered Education On Standardized Tests, Courtney Marie Winslow

Walden Dissertations and Doctoral Studies

There is a current shortage of approximately 45,000 nurses and nursing faculty to train student nurses, a number that is projected to grow. One proposed method to combat the shortage is to transition from traditional lecture-based classrooms to a learner-centered approach. Asking or requiring faculty to transition an entire nursing program from one teaching method to another without supporting data could be a waste of valuable time and resources. It could also prove detrimental to a program if students were unable to pass the NCLEX-RN exam, and a program was forced to close. The current study examined whether there was …

A Multidisciplinary Approach To Managing Financial Toxicity In Oncology Patients, Katelin Muse

Walden Dissertations and Doctoral Studies

Patients with a cancer diagnosis are counseled at length about the standard of care treatment options, which may include surgery, radiation, anticancer medications, and chemo/immunotherapy through an informed consent process. Unfortunately, the potential economic burden and the accompanying psychological burden is seldom discussed up front. There is a significant need for routine screening and a multidisciplinary approach to the prevention of financial toxicity for the oncology patient. The purpose of this doctoral project was to lead an interprofessional team in the development of a clinical practice guideline for routine financial screening using the Comprehensive Score for Financial Toxicity (COST) tool …

Initial Refugee Health Assessment Educational Session, Yolondra Cochnan

Doctor of Nursing Practice Projects

The initial refugee health assessment presents an excellent opportunity to identify communicable diseases in newly arriving refugees. As the number of refugee arrivals increases, so will the need for nurses who possess the skills necessary to conduct the initial refugee health assessment. Prior to the pandemic, the United States was facing a nursing shortage. The impact of the pandemic devastated the nursing community, leaving them exhausted and burnt out, which led many nurses to retire and leave the field of nursing (National Council of State Boards of Nursing [NCSBN], 2023). Skilled nurses are needed to prevent the spread of communicable …

Implementing A Nurse-Driven Protocol To Reduce Routine Gastric Residual Monitoring: A Quality Improvement Project, Alondra N. Abreu Carlo

Master's Theses and Capstones

The American Society for Enteral and Parenteral Nutrition (ASPEN) and the Society for Critical Care Medicine (SCCM) updated the Adult Patient Enteral Nutrition Guidelines in 2016. These updates included discontinuing routine gastric residual monitoring due to its contribution to poor patient outcomes and mentioning the lack of evidence proving its relevance to gastric motility. Per ASPEN and SCCM, best practice suggests monitoring patients for intolerance symptoms and then checking gastric residual volume (GRV) if symptoms are present. If the GRV is greater than 500ml and intolerance symptoms are present, the recommendation is to perform further assessment, potentially leading to stopping …

Generational Differences In Moral Injury, Resilience, And Well-Being Among Nurses: Predictors Of Intention To Leave Position And Profession, Minjin Kim, Jin Jun, Joshua Lambert, Henry Ofori Duah, Sharon J. Tucker, Dónal P. O’Mathúna, Grant Pignatiello, Joyce J. Fitzpatrick

College of Nursing Faculty Research and Publications

Background:

The COVID-19 pandemic highlighted the negative impact of moral injury on nurses’ well-being. However, there is a lack of research about generational differences among nurses, particularly on newer nurses who have been identified as having a higher rate of intention to leave.

Objective:

This study examines generational differences among nurses on moral injury, well-being, resilience, and intention to leave their nursing position and profession.

Methods:

This is a secondary analysis of cross-sectional data from registered nurses in clinical practice in Ohio between July and August 2021. Data on demographics, moral injury, resilience, and well-being were collected using an online …

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.

Prevalence And Determinants Of Diarrhoea And Acute Respiratory Infections Among Children Aged Under Five Years In West Africa: Evidence From Demographic And Health Surveys, Derrick Nyantakyi Owusu, Henry Ofori Duah, Duah Dwomoh, Yakubu Alhassan

College of Nursing Faculty Research and Publications

Background Diarrhoea and pneumonia are the leading causes of morbidity and mortality in children aged < 5 y (under five) globally. This study sought to investigate the prevalence and determinants of diarrhoea and acute respiratory infections (ARIs) among children under five in West Africa. Methods The most recent demographic and health survey (DHS) standard for 13 West African countries was used in the study. We calculated the prevalence of diarrhoea and ARIs (2 wk prior to the survey) and performed multivariable complex logistic regression analysis to identify possible predictors of diarrhoea and ARIs. Results The weighted prevalence of diarrhoea and ARI was 13.7% and 15.9%, respectively. The prevalence of comorbid diarrhoea and ARI was 4.4%. Children aged < 2 y (p< 0.001), mothers aged < 30 y (p< 0.003), mothers without formal education (p< 0.001), poor households (p< 0.001) and poor nutritional status, wasting (p=0.005) and underweight (p< 0.001), were the independent predictors of diarrhoea. The independent predictors of ARIs were children with no childhood vaccinations (p=0.002), use of solid fuel in the household (p=0.007), being underweight (p=0.05) and diarrhoea (p< 0.001). Conclusions The findings imply the need for holistic public health interventions such as increased vaccination coverage, population-based nutritional programmes and campaigns on the use of cleaner cooking fuel targeted at high-risk subgroups in the population to reduce the burden and adverse effects of diarrhoea and ARIs in the West African region.

Process Of Maintaining Self In Individuals Living With Systemic Sclerosis: A Grounded Theory Study Of American Women, Donald D. Miller, Jennifer J. Doering

College of Nursing Faculty Research and Publications

Background: People with chronic illnesses may struggle to adapt psychologically to the illness experience and have feelings of identity loss, self-diminishment, and biographical disruption. This may limit people’s ability to engage in optimal selfmanagement. Systemic sclerosis is a debilitating, stigmatizing, and life-limiting progressive chronic illness with significant disfiguring effects. Little is known about the identity management process in people with disfiguring and debilitating conditions such as systemic sclerosis.

Purpose: The purpose of this study was to generate a grounded theory explicating the process of maintaining a sense of self in people living with systemic sclerosis.

Methods: Fifteen women with systemic …

Centering Prep: Utilizing Adapt-Itt To Inform Group Prep Care For Sex Workers In Chicago, Randi Beth Singer, Janelli Barrow, Amy K. Johnson, Jessica L. Zemlak, Natasha Crooks, Sarah Abboud, Douglas Bruce, Noel Green, Jahari Stamps, Jennifer Neely, Susan G. Sherman, Crystal L. Patil, Alicia K. Matthews

College of Nursing Faculty Research and Publications

Background

Sex workers, those who trade sex for monetary or nonmonetary items, experience high rates of HIV transmission but have not been adequately included in HIV prevention and Pre-Exposure Prophylaxis (PrEP) adherence program development research. Community-empowered (C.E.) approaches have been the most successful at reducing HIV transmission among sex workers. Centering Healthcare (Centering) is a C.E. model proven to improve health outcomes and reduce health disparities in other populations, such as pregnant women, people with diabetes, and sickle cell disease. However, no research exists to determine if Centering can be adapted to meet the unique HIV prevention needs of sex …

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 …

Why We Quit: Relationships Between Work-Related Burnout, Work Rewards, And Intention To Leave In Nursing, Jacqueline Christianson, Abir K. Bekhet, Jill L. Guttormson, Maharaj Singh, Norah L. Johnson

College of Nursing Faculty Research and Publications

Burnout and pay satisfaction were associated with intention to leave the profession; however, overall compensation dollar amount was not correlated with intention to leave. Approaches to nurse retention should employ a multifaceted approach to effectively enhance retention rates.