Theses in Nursing

This collection consists of theses for the Master of Science in Nursing at Point Loma Nazarene University.

Called to Caring: A Tool to Assess Awareness and Attitudes in Baccalaureate Nursing Students at Point Loma Nazarene University

Melissa Meehan

Given the projected increasing shortage of well-prepared nurses, particularly at the baccalaureate level, the climate of limited resources for adequate RN training, and high attrition rates among NNs, it is imperative every effort is made to effectively prepare actively enrolled BSN students to care.

Given the projected increasing shortage of well-prepared nurses, particularly at the baccalaureate level, the climate of limited resources for adequate RN training, and high attrition rates among NNs, it is imperative every effort is made to effectively prepare actively enrolled BSN students to care. To this end, nurse educators need to be armed with tools and instruments that accurately assess awareness and attitudes of caring and empathy among BSNs as a critical element of curriculum content and development.
English
Type: 
Thesis
WHDL ID: 
WHDL-00006071

Nurse to Nurse: A Prescription for Cultural Care for Elderly Russian Non-English Speaking Patients in Nursing

Tatyana Rusakova

The growing ethnically and racially diversity of the American population has a direct impact on healthcare providers. Immigration and demographic trends suggest that increasingly the U.S. elderly patient populations are linguistically and culturally diverse. A patient’s inability to communicate in the same language as a provider will compromise patient health and safety.

The growing ethnically and racially diversity of the American population has a direct impact on healthcare providers. Immigration and demographic trends suggest that increasingly the U.S. elderly patient populations are linguistically and culturally diverse. A patient’s inability to communicate in the same language as a provider will compromise patient health and safety. In addition, it will expose health care providers to the risk of legal liability for medical errors, malpractice, or deprivation of the patient’s right to participate in health decisions.
English
Type: 
Thesis
WHDL ID: 
WHDL-00006090

An Educational Program on the Treatment and Prevention of Diabetic Foot Ulcers in the Elderly for Novice Registered Nurses in the Long Term Acute Care and Skilled Nursing Facility

June Franklin

The purpose of this evidence-based project was to develop an education program on diabetic foot ulcer wound care treatment and prevention in the elderly for registered nurses in the long term acute care and skilled nursing settings.

The purpose of this evidence-based project was to develop an education program on diabetic foot ulcer wound care treatment and prevention in the elderly for registered nurses in the long term acute care and skilled nursing settings. This innovative method of education will aid the registered nurse in bridging the gap between what was taught and what should have been taught to become competent in the evaluation, treatment, and prevention of diabetic foot ulcers in the elderly population.
English
Type: 
Thesis
WHDL ID: 
WHDL-00005859

The Lived Experience of Staff Nurses Working with Undergraduate Nursing Students in the Clinical Setting

Liza Gaoay
The purpose of this thesis project is to design a qualitative, descriptive, phenomenological study, which would explore the lived experience of staff nurses who worked with nursing students in the clinical setting.
Student nurses spend valuable, yet limited amount of time in their clinical facilities to bridge the gap between theory and practical application. They work closely with staff nurses in shift-long days, providing care and participating in patients’ diagnostic and therapeutic regimen. These same staff nurses come with a myriad of experiences from having worked with students throughout their careers. These experiences, exhibited positively or negatively, greatly impact the learning potential of the students who learn from them.
English
Type: 
Thesis
WHDL ID: 
WHDL-00005865

Inquiry into the Communication Process: Nurses’ Perceptions of Nurse/Physician Communication

Sarah Schleifer

As nursing has developed as a profession, the role of nurse-physician communication and how it relates to patient outcomes has been a focus of research. While poor patient outcomes have been identified as a result of ineffective nurse-physician communication, the factors leading to ineffective communication have not been identified. This qualitative research study was designed to identify the variables involved in effective and ineffective nurse-physician communication.

As nursing has developed as a profession, the role of nurse-physician communication and how it relates to patient outcomes has been a focus of research. While poor patient outcomes have been identified as a result of ineffective nurse-physician communication, the factors leading to ineffective communication have not been identified. This qualitative research study was designed to identify the variables involved in effective and ineffective nurse-physician communication. The grounded theory method was applied to nine transcribed interviews of Master of Science nursing students.
English
Type: 
Thesis
WHDL ID: 
WHDL-00006085

Program Development for Perioperative Nursing Core Competency Training

Vernell Dunkley

This thesis proposes a plan to implement a perioperative nurse training program. Due to a nationwide shortage in nurses, it is imperative to increase the retention, satisfaction and quality of healthcare provided by perioperative nurses.

This thesis proposes a plan to implement a perioperative nurse training program. Due to a nationwide shortage in nurses, it is imperative to increase the retention, satisfaction and quality of healthcare provided by perioperative nurses. The training curriculum would prepare any registered nurse with the knowledge, skills, competency, and practices necessary for the perioperative environment and would increase skills in aseptic technique, sterile consciousness, and patient safety in the operating room.
English
Type: 
Thesis
WHDL ID: 
WHDL-00005498

Development of an Educational Plan with Compassion Fatigue Preventive Strategies for Registered Nurses

Phyllis Dykes

Full Abstract: Compassion fatigue in the nursing profession can be detrimental to individual nurses as well as health care organizations.

Compassion fatigue in the nursing profession can be detrimental to individual nurses as well as health care organizations. Nurses that are victims of compassion fatigue may experience a plethora of medical and mental health conditions and nurses working with traumatized and suffering patients may start to relive the patients’ stress and anxiety. Health care organizations are affected by compassion fatigue as employees call in sick and experience conflict and lack of teamwork and nursing staff resist necessary changes.
English
Type: 
Thesis
WHDL ID: 
WHDL-00005511

Mentor Development Program for Critical Care Nurses: A Key to Staff Development and Improvement in New Graduate Orientation

Heather Greenberg

Abastract: The mean age of the nursing workforce has increased over the last 25 years and as a result a nursing shortage is developing because these nurses are now retirement age. Precepting in a clinical setting has become a necessary method for orientation of graduate nurses with preceptors not receiving necessary training or compensation. After completion of a successful orientation it is important to give new graduate nurses continued support and encouragement while providing a safe learning environment.

The mean age of the nursing workforce has increased over the last 25 years and as a result a nursing shortage is developing because these nurses are now retirement age. Precepting in a clinical setting has become a necessary method for orientation of graduate nurses with preceptors not receiving necessary training or compensation. After completion of a successful orientation it is important to give new graduate nurses continued support and encouragement while providing a safe learning environment.
English
Type: 
Thesis
WHDL ID: 
WHDL-00007553

Attitudes and Experience in Adoption of Electronic Health Record Among Nursing Personnel

Vivien Lim

A cross-sectional study was conducted among 134 nursing personnel to explore attitudes and experience in adopting electronic health record, evaluate preliminary psychometric properties of Electronic Health Record Benefits (EHR-Benefits) scale and investigate the predictors of electronic health record benefits and avoidance of computer use. Most participants used a computer in accessing patient records and clinical documentation and were confident in using them.

A cross-sectional study was conducted among 134 nursing personnel to explore attitudes and experience in adopting electronic health record, evaluate preliminary psychometric properties of Electronic Health Record Benefits (EHR-Benefits) scale and investigate the predictors of electronic health record benefits and avoidance of computer use. Most participants used a computer in accessing patient records and clinical documentation and were confident in using them. The accessibility of computers and slow connection to the network were rated as barriers to using computers.
English
Type: 
Thesis
WHDL ID: 
WHDL-00006044

Evaluation of a Nurse-Initiated Sepsis Protocol in the Emergency Department

Rose Bruce
Son Chae Kim
Jeanne Maiden
The aims of this study were to evaluate the impacts of a nurse-initiated sepsis protocol on compliance with sepsis resuscitation bundle guidelines from the Surviving Sepsis Campaign and to identify predictors of patient mortality. A retrospective chart review was conducted among patients admitted with severe sepsis or septic shock to two emergency departments at a university-affiliated medical center in southern California from October 2011 to May 2012, which included 78 and 108 patients for pre- and postintervention groups, respectively.
English
Type: 
Thesis
WHDL ID: 
WHDL-00005451

An Educational Program About Horizontal Violence in Nursing: Verbal Abuse and Strategies to Eliminate the Behavior

Maria Stotts
Horizontal violence among nurses is cited as one of leading causes of the dissatisfaction among nurses and consequently creates a crippling effect on the nursing shortage and turnover. To increase retention rates of nurses in the profession and improve satisfaction, healthcare organizations need to maintain a safe environment where nurses can provide care to patients. Research on horizontal violence has been around for more than 30 years, but little information on how to handle horizontal violent situations has been done.
English
Type: 
Thesis
WHDL ID: 
WHDL-00006064

Nurses' Attitudes towards Death and Care of the Dying Patient

Jessica Sorgi

 As the population continues to age, more patients are dying in healthcare facilities than ever before (Bercovitz et al., 2008); nurses need to be prepared to provide end-of-life care to this population. This study examines the factors that affect nurse attitudes towards death and care of the dying patients. A descriptive correlation study was concluded in an acute care hospital during February 2012.

As the population continues to age, more patients are dying in healthcare facilities than ever before (Bercovitz et al., 2008); nurses need to be prepared to provide end-of-life care to this population. This study examines the factors that affect nurse attitudes towards death and care of the dying patients. A descriptive correlation study was concluded in an acute care hospital during February 2012. A total of 91 Registered Nurses completed a web-based survey, including Frommelt Attitude Toward Care of Dying Scale (FATCOD) and a demographic data form.
English
Type: 
Thesis
WHDL ID: 
WHDL-00006092

The Effect of a Shared Governance Model on Healthy Work Environment Among Perioperative Nurses

Jocelyn Atkins

To achieve safe patient care, effective communication among health care team members is needed. Lack of communication is the leading cause of sentinel events in the perioperative setting. Communication between members of the perioperative team — the surgeon, anesthesiologist, circulating nurse, and scrub nurse or technologist affects team collaboration and patient safety. Communication has been identified as one of the key elements needed to accomplish team collaboration and a healthy work environment.

To achieve safe patient care, effective communication among health care team members is needed. Lack of communication is the leading cause of sentinel events in the perioperative setting. Communication between members of the perioperative team — the surgeon, anesthesiologist, circulating nurse, and scrub nurse or technologist affects team collaboration and patient safety. Communication has been identified as one of the key elements needed to accomplish team collaboration and a healthy work environment.
English
Type: 
Thesis
WHDL ID: 
WHDL-00006100

An Integrative Literature Review on Bullying among Nurses

Gisela Ayub
An Integrative Literature Review on Bullying among Nurses

Full Abstract: Although recent studies on nursing stressors have been concentrating on the stress of patient care at the bedside, research have also shown that nursing environments are a major contributor of stress. The impact of working in a stressful environment and a perceived lack of management care for their nurses, have brought in a new problem, bullying among nurses. I conducted a literature review where I found that bullying among nurses is not a new issue, and it is not concentrated in the U.S. alone.

Although recent studies on nursing stressors have been concentrating on the stress of patient care at the bedside, research have also shown that nursing environments are a major contributor of stress. The impact of working in a stressful environment and a perceived lack of management care for their nurses, have brought in a new problem, bullying among nurses. I conducted a literature review where I found that bullying among nurses is not a new issue, and it is not concentrated in the U.S. alone.
English
Type: 
Thesis
WHDL ID: 
WHDL-00005442

Evaluation of a Unit-Based Education Process for Nurses in an Adult Trauma Care Unit

Elissa Berthiaume
Evaluation of a Unit-Based Education Process for Nurses in an Adult Trauma Care Unit

Full Abstract: Health care organizations must strive to provide easily accessible ongoing education structured and tailored to meet the specific learning needs of nurses. Although many studies have identified nurses learning needs, benefits and barriers to continuing education programs specific to patient related issues, little research has examined the development and implementation of a structured unit-based educational process and its effects on the learning needs of staff nurses.

Health care organizations must strive to provide easily accessible ongoing education structured and tailored to meet the specific learning needs of nurses. Although many studies have identified nurses learning needs, benefits and barriers to continuing education programs specific to patient related issues, little research has examined the development and implementation of a structured unit-based educational process and its effects on the learning needs of staff nurses.
English
Type: 
Thesis
WHDL ID: 
WHDL-00005446

Skin Care Guidelines for the Neonate Aged 23-30 Weeks

Wendy Silva

Skin, the largest organ of the human body, has many important functions; among them are thermoregulation, acting as a barrier against toxins, and secreting water and electrolytes. Traditionally, skin care in the neonatal intensive care unit has been handed down from more experienced nurses to new nurses. Today’s neonatal nurses realize the importance of utilizing evidence based guidelines to guide their care, which includes the area of skin care.

Skin, the largest organ of the human body, has many important functions; among them are thermoregulation, acting as a barrier against toxins, and secreting water and electrolytes. Traditionally, skin care in the neonatal intensive care unit has been handed down from more experienced nurses to new nurses. Today’s neonatal nurses realize the importance of utilizing evidence based guidelines to guide their care, which includes the area of skin care. The purpose of this education project is to provide scientific based education to the neonatal nurses working at a university based hospital.
English
Type: 
Thesis
WHDL ID: 
WHDL-00006098

Using the Recovery Model in the Development of a Sleep Hygiene Program for Individuals in a Psychiatric Inpatient Setting

Lisa Hill

The objective of this study was to evaluate sleep disturbances, review treatment methods, and develop a plan of treatment options utilizing sleep hygiene methods. A review of literature included sleep disturbances and interventions to alleviate such problems.

The objective of this study was to evaluate sleep disturbances, review treatment methods, and develop a plan of treatment options utilizing sleep hygiene methods. A review of literature included sleep disturbances and interventions to alleviate such problems. Hospital staff was queried regarding sleep disturbance and solutions to patients’ difficulty with sleep.
English
Type: 
Thesis
WHDL ID: 
WHDL-00006051

Adherence to Colorectal Cancer and Polyps Screening Recommendations Among Filipino-Americans

Dorilyn Francisco
This cross-sectional study explored the perceptions and behaviors toward colorectal cancer screening and the predictors of adherence to colorectal cancer and polyps screening recommendations among Filipino-Americans.
This cross-sectional study explored the perceptions and behaviors toward colorectal cancer screening and the predictors of adherence to colorectal cancer and polyps screening recommendations among Filipino-Americans. A total of 188 participants were recruited from community churches in southern California from September to November 2011. About half of the participants were found to be adherent to the screening recommendations.
English
Type: 
Thesis
WHDL ID: 
WHDL-00005857

Integrative Literature Review for the Development of an Intimacy and Faith Course to be Implemented in Women’s Health Courses at Seventh-Day Adventist Secondary Schools

Sydney Tonack
Integrative Literature Review for the Development of an Intimacy and Faith Course to be Implemented in Women’s Health Courses at

Honors Project Abstract: There is a lacking in sufficient, comprehensive sexual health education across the United States. The United States is behind the rest of the developed world in educating adolescents about the normalcies and risks of sex. Sex and intimacy is a delicate subject in which educators, parents, and pastors often feel uncomfortable teaching; they often try and place the responsibility of sexual health education elsewhere.

There is a lacking in sufficient, comprehensive sexual health education across the United States. The United States is behind the rest of the developed world in educating adolescents about the normalcies and risks of sex. Sex and intimacy is a delicate subject in which educators, parents, and pastors often feel uncomfortable teaching; they often try and place the responsibility of sexual health education elsewhere.
English
Type: 
Research paper
WHDL ID: 
WHDL-00007566

Development of a Tracheostomy Care Education Program

Claiborne Vanessa

This thesis outlines a project to implement and assess a tracheostomy care education program.  This project will develop a tracheostomy care education program for patients with a tracheostomy and their families to help them acquire knowledge and skills in providing tracheostomy care, reduce anxiety, and increase confidence in self-care.

This thesis outlines a project to implement and assess a tracheostomy care education program. This project will develop a tracheostomy care education program for patients with a tracheostomy and their families to help them acquire knowledge and skills in providing tracheostomy care, reduce anxiety, and increase confidence in self-care. The purpose of this thesis project is to develop a tracheostomy care education program for patients with a tracheostomy prior to being discharged from the hospital to the home environment.
English
Type: 
Thesis
WHDL ID: 
WHDL-00005483

Healthcare Experiences of Parents of children with Autism Spectrum Disorder: A Phenomenological Study

Victoria Yutko

Today, more children in the United States are diagnosed with Autism Spectrum Disorder than childhood cancer, juvenile diabetes, and pediatric AIDS combined. Research is currently being conducted regarding the causes, prevalence and treatment for Autism, however little is known regarding care for this population in healthcare settings. The purpose of this Interpretative Phenomenological study is to explore the lived healthcare experiences of mothers of children with Autism Spectrum Disorders.

Today, more children in the United States are diagnosed with Autism Spectrum Disorder than childhood cancer, juvenile diabetes, and pediatric AIDS combined. Research is currently being conducted regarding the causes, prevalence and treatment for Autism, however little is known regarding care for this population in healthcare settings. The purpose of this Interpretative Phenomenological study is to explore the lived healthcare experiences of mothers of children with Autism Spectrum Disorders.
English
Type: 
Thesis
WHDL ID: 
WHDL-00006078

The Development of an Education Plan to Maintain Staff Readiness in the Face of Evacuation in a Long-Term Care Setting

Tracee Gamboa

The primary aim of this paper is to provide long term care facilities effective teaching tools and methods to use with their initial and ongoing staff, to maintain staff readiness when faced with evacuation of their facility during a disaster. The secondary aim is to increase staff knowledge and comfort during and actual evacuation to maintain the safety and well being of their long term care residents.

The primary aim of this paper is to provide long term care facilities effective teaching tools and methods to use with their initial and ongoing staff, to maintain staff readiness when faced with evacuation of their facility during a disaster. The secondary aim is to increase staff knowledge and comfort during and actual evacuation to maintain the safety and well being of their long term care residents.
English
Type: 
Thesis
WHDL ID: 
WHDL-00005863

An Educational Program on Intravascular Catheter Maintenance to Reduce and Prevent Intravascular Catheter-related Infections

Kristine Velasco

Central line-associated bloodstream infections are one of the leading causes of health care associated infections. To decrease and prevent morbidity, mortality, and costs of care, it is the objective of every health care facility to achieve and maintain a zero central line-associated bloodstream infection rate.

Central line-associated bloodstream infections are one of the leading causes of health care associated infections. To decrease and prevent morbidity, mortality, and costs of care, it is the objective of every health care facility to achieve and maintain a zero central line-associated bloodstream infection rate. The purpose of this project is to develop an evidence-based educational program on intravascular catheter maintenance for the prevention of intravascular catheter-related infections in medical-surgical units. This information will be delivered in an educational program format.
English
Type: 
Thesis
WHDL ID: 
WHDL-00006066

An Evaluation of a Clinical Documentation Improvement Program’s Impact on Sepsis Documentation, Coding, Quality Reporting, and Hospital Reimbursement

Emily Emmons

The purpose of this study is to evaluate the impact of a new clinical documentation improvement program on sepsis documentation, quality reporting, and hospital reimbursement in three hospitals.

The purpose of this study is to evaluate the impact of a new clinical documentation improvement program on sepsis documentation, quality reporting, and hospital reimbursement in three hospitals. A retrospective chart review was conducted of patients admitted through the emergency department with a urinary tract infection as the principal diagnosis, but without documentation of sepsis at three medical centers in San Diego from 2009 to 2014, in order to evaluate potential missed query opportunities to clarify the diagnosis of sepsis for coding purposes.
English
Type: 
Thesis
WHDL ID: 
WHDL-00005500

An Integrative Literature Review on the Implementation of Chair Yoga Versus Standard of Care to Improve Mobility in Older Adult Dementia Hospitalized Patients at Risk for Falls

Melvin Lumagui

Older adults with dementia present a higher risk for falls than their healthy counterparts due to disease-related cognitive and physical changes and deconditioning from low mobility during hospitalization.

Older adults with dementia present a higher risk for falls than their healthy counterparts due to disease-related cognitive and physical changes and deconditioning from low mobility during hospitalization. Deconditioning can compromise the ability to perform activities of daily living (ADL) after hospitalization leading to poor recovery outcomes, loss of independence, and decreased quality of life from increased dependence on caregivers.
English
Type: 
Thesis
WHDL ID: 
WHDL-00006039

Assessing Health Literacy and Self Management in Patients with Heart Failure

Shannon Clenney

Full Abstract: Heart failure continues to be an increasing health-related problem that profoundly affects the elderly population of the United States. Due to the increasing comorbidities of the elderly, lack of social support and educational needs, healthcare organizations and providers experience increased financial burdens. The complexity of heart failure and exacerbation of symptoms continues with frequent hospital readmissions.

Heart failure continues to be an increasing health-related problem that profoundly affects the elderly population of the United States. Due to the increasing comorbidities of the elderly, lack of social support and educational needs, healthcare organizations and providers experience increased financial burdens. The complexity of heart failure and exacerbation of symptoms continues with frequent hospital readmissions. The purpose of this study is to assess health literacy and self-management of heart failure patients.
English
Type: 
Thesis
WHDL ID: 
WHDL-00005481

Validity and Reliability of the Modified John Hopkins Fall Risk Assessment Tool for Elderly Patients in Home Health Care

Sandra Hnizdo
Raquel Archuleta

Note: The co-author of this thesis is Raquel Archuleta. See the attached thesis cover page.

This prospective cohort study was conducted to evaluate the validity and reliability of the modified Johns Hopkins Fall Risk Assessment Tool (mJH-FRAT) among elderly patients receiving home health care visits. Out of 107 patients, 33 (30.8%) had one or more falls and seven (6.5%) experienced falls with injury. Receiver Operating Characteristics of the tool in predicting falls showed an AUC (Area Under Curve) of 0.66 (p =0.011) with sensitivity and specificity of 72.5% and 52.2% at the cutoff score of 14.
English
Type: 
Thesis
WHDL ID: 
WHDL-00006119

Aggregating Non-Critical Trauma Patients on a Single Acute Care Unit

Brian McCord

Care of the trauma patient historically has had a strong focus on clinical management during the resuscitative and critical phases of care. This is a review of a Level I center creating a Trauma Care Unit (TCU), an inpatient unit dedicated to the care of the step-down and medical-surgical acuity trauma patient. This article will review some of the historical events leading to the creation of trauma systems.

Care of the trauma patient historically has had a strong focus on clinical management during the resuscitative and critical phases of care. This is a review of a Level I center creating a Trauma Care Unit (TCU), an inpatient unit dedicated to the care of the step-down and medical-surgical acuity trauma patient. This article will review some of the historical events leading to the creation of trauma systems. The primary discussion will be in relation to the creation of a trauma care unit along with some unique features of the unit compared to other medical-surgical units.
English
Type: 
Thesis
WHDL ID: 
WHDL-00006061

The Effect of an Early Mobility Protocol among Critically Ill Patients

Kira Wong

Healthcare organizations are under increasing pressure to provide the best care for their patients. They are not only starting to be held accountable for preventable problems, but are being scrutinized based on patient outcomes. Many patients in the hospital will require a stay in the intensive care unit (ICU). While many patients do survive their ICU stay, a large number of them are left with physical disabilities related to that stay. Some of those disabilities are long term or even permanent.

Healthcare organizations are under increasing pressure to provide the best care for their patients. They are not only starting to be held accountable for preventable problems, but are being scrutinized based on patient outcomes. Many patients in the hospital will require a stay in the intensive care unit (ICU). While many patients do survive their ICU stay, a large number of them are left with physical disabilities related to that stay. Some of those disabilities are long term or even permanent.
English
Type: 
Thesis
WHDL ID: 
WHDL-00006105

Randomized Controlled Trial: Evaluation of Multifaceted Preoperative Patient Education on Anxiety, Delirium, Knowledge and Patient Satisfaction among Post-Pulmonary Thromboendarterectomy Patients

Mary Hellyar
Cassia Chevillon

Note: The co-author of this thesis is Cassia Chevillon. See the attached thesis cover page.

This prospective, randomized controlled trial was conducted to evaluate the impact of multifaceted preoperative patient education on anxiety, knowledge, satisfaction, and postoperative delirium, and to explore the predictors of delirium, mechanical ventilation, and intensive care unit (ICU) length of stay. Consented patients undergoing pulmonary thromboendarterectomy from October 2011 to April 2013 were randomized in 1:1 ratio to receive either an individualized 45-minutes multifaceted preoperative education (experimental group, n=63) or standard education (control group, n=66).
English
Type: 
Thesis
WHDL ID: 
WHDL-00006053

The Effects of Preoperative Education on Parental Anxiety and Knowledge with Children Undergoing a Posterior Spinal Fusion

Heather Garcia

Anxiety is high in parents with children undergoing a posterior spinal fusion. The research found demonstrates that it is important to have the proper educational materials, and to address the emotional and psychological aspect of a parent whose child is having surgery. It is important for the parents to increase their knowledge of their child’s upcoming surgery, which will result in decreased anxiety.

Anxiety is high in parents with children undergoing a posterior spinal fusion. The research found demonstrates that it is important to have the proper educational materials, and to address the emotional and psychological aspect of a parent whose child is having surgery. It is important for the parents to increase their knowledge of their child’s upcoming surgery, which will result in decreased anxiety. The purpose of this proposed project is to investigate the effects of preoperative education on parents’ anxiety and knowledge with children undergoing a posterior spinal fusion.
English
Type: 
Thesis
WHDL ID: 
WHDL-00006059

The Impact of an Electronic Medication Administration Record On Medication Administration Efficiency and Medication Errors

Jeffery McComas

A prospective, observational study utilizing time-and-motion technique and a retrospective review of hospital Midas+ database were conducted to compare the medication administration efficiency and monthly rate of medication errors before and after the implementation of electronic medication administration records (eMAR).

A prospective, observational study utilizing time-and-motion technique and a retrospective review of hospital Midas+ database were conducted to compare the medication administration efficiency and monthly rate of medication errors before and after the implementation of electronic medication administration records (eMAR). The pre- and post-eMAR medication administration process time intervals were measured over approximately two-week periods before and after implementation of eMAR, with a 2-month break in-between (N=156).
English
Type: 
Thesis
WHDL ID: 
WHDL-00006107

Validity and Reliability of the Modified John Hopkins Fall Risk Assessment Tool for Elderly Patients in Home Health Care

Sandra Hnizdo
Raquel Archuleta

Note: The co-author of this thesis is Raquel Archuleta. See the attached thesis cover page.

This prospective cohort study was conducted to evaluate the validity and reliability of the modified Johns Hopkins Fall Risk Assessment Tool (mJH-FRAT) among elderly patients receiving home health care visits. Out of 107 patients, 33 (30.8%) had one or more falls and seven (6.5%) experienced falls with injury. Receiver Operating Characteristics of the tool in predicting falls showed an AUC (Area Under Curve) of 0.66 (p =0.011) with sensitivity and specificity of 72.5% and 52.2% at the cutoff score of 14.
English
Type: 
Thesis
WHDL ID: 
WHDL-00006119

Improving outcomes in out-of-hospital cardiac arrest in the Emergency Department

Heather Wyma

Challenges exist among hospital staff in performing high quality cardio pulmonary resuscitation (CPR) according to the 2010 international guidelines. Effective and uninterrupted chest compressions have demonstrated improved patient outcomes. The literature recommends that education and training specific to teamwork and leadership be provided to healthcare providers caring for patients requiring resuscitation.

Challenges exist among hospital staff in performing high quality cardio pulmonary resuscitation (CPR) according to the 2010 international guidelines. Effective and uninterrupted chest compressions have demonstrated improved patient outcomes. The literature recommends that education and training specific to teamwork and leadership be provided to healthcare providers caring for patients requiring resuscitation.
English
Type: 
Thesis
WHDL ID: 
WHDL-00006083

Exploring Extubation Within the Home Environment

Laura Spriggs
With the baby boomer generation getting older and having to care for their parents, it has become apparent that end of life discussions are becoming more frequent. Many elderly persons have identified that they would prefer to die in their own home. For those who are on a ventilator in the ICU, however, the option to be brought home, and subsequently extubated at home, ensuring that they will die at home has become a new phenomenon.
 
With the baby boomer generation getting older and having to care for their parents, it has become apparent that end of life discussions are becoming more frequent. Many elderly persons have identified that they would prefer to die in their own home.
English
Type: 
Thesis
WHDL ID: 
WHDL-00006077

Bispectral Index Monitoring to Assess the Effect of a Healing Touch Treatment

Mario Chavez
Bispectral Index Monitoring to Assess the Effect of a Healing Touch Treatment

Full Abstract: The objective of this study is to investigate the effects of Healing Touch (HT) therapies, a form of subtle energy (biofield) therapy, on Bispectral Index (BIS) measurements, State Trait Anxiety Index (STAI) scores, and physiological measures of heart rate, blood pressure, and respiratory rate in healthy adults. Design: A single blind randomized crossover design will compare measurements during a HT therapy and placebo session. Interventions: One HT session and one placebo session will be perf

Objectives: The objective of this study is to investigate the effects of Healing Touch (HT) therapies, a form of subtle energy (biofield) therapy, on Bispectral Index (BIS) measurements, State Trait Anxiety Index (STAI) scores, and physiological measures of heart rate, blood pressure, and respiratory rate in healthy adults. Design: A single blind randomized crossover design will compare measurements during a HT therapy and placebo session. Interventions: One HT session and one placebo session will be performed per participant on separate days.
English
Type: 
Thesis
WHDL ID: 
WHDL-00005453

The Effect of Pre-Transplant Creatinine on the Percent Improvement in Kidney Function after Kidney Transplantation

Sandra Leydens

With 108,335 people on kidney replacement therapy in the United States, the need for kidney transplantation has increased. In 1998 there were 40,825 on the national waiting list for a kidney transplant in comparison to 71,862 in 2007 with a median wait time of over three years. At the same time the number of kidneys transplanted went from 9,761 to 13,156.

With 108,335 people on kidney replacement therapy in the United States, the need for kidney transplantation has increased. In 1998 there were 40,825 on the national waiting list for a kidney transplant in comparison to 71,862 in 2007 with a median wait time of over three years. At the same time the number of kidneys transplanted went from 9,761 to 13,156. One of the ways that people in need of a kidney transplant have found to fill the need is to look to living donors for a preemptive transplant as a way to stay off dialysis.
English
Type: 
Thesis
WHDL ID: 
WHDL-00006047

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