View All Items

Title: AN EXPLORATORY INQUIRY AND CREATION OF EMERGENCY ROOM DISCHARGE EDUCATION MATERIALS.
Creator: Catalano, Ivory, Heglund, Stephen, University of Central Florida
Abstract / Description: Background Each Emergency Room (ER) across the USA provides every patient with paperwork upon discharge, which commonly includes information about the patient�s diagnosis. This information will briefly describe the condition, provide information on treatment outside the ER, and possibly more, depending on the document and source. These documents are not made by hospital staff, but are generally purchased from outside providers who mass market such documents as resources for hospitals to use...
Show moreBackground Each Emergency Room (ER) across the USA provides every patient with paperwork upon discharge, which commonly includes information about the patient�s diagnosis. This information will briefly describe the condition, provide information on treatment outside the ER, and possibly more, depending on the document and source. These documents are not made by hospital staff, but are generally purchased from outside providers who mass market such documents as resources for hospitals to use to educate patients. One issue with these documents lies in their mass usage, which is not necessarily designed to target the general population�s reading and educational levels. Purpose The purpose of this research was to investigate currently used discharge education materials and evaluate them for their readability and content. From this investigation, recommendations were made and adjustments to the documents were applied in order to increase understanding for the general population. Results The documents ranged in Flesch-Kincaid grade level rankings from 7.8 to 3.6, and with Flesch Reading Ease scores of 54.7 to 85.3. The entirety of the standard documents were ranked at a minimum of 7th grade equivalents, and are, at the hardest rank, ranked at a 54.7 by the Reading Ease score. In comparison, the �easy to read� documents were ranked all below 5th grade level, and at the hardest rank, ranked at a 69.0 with the Flesch Reading Ease calculation. At a minimum, all documents included condition information and home care guidelines. The major obvious difference between the documents considered �easy to read� and the standard documents are that those considered easy to read typically had sections found on the standard document removed, and have the same overall content as the standard version remaining, only in a simpler vocabulary. Conclusions In order to provide the best educational materials to the general public, it would be in the best interest of companies manufacturing these documents to produce only one version, which would be at a level around the 6th grade or below. A document slightly below the 6th grade level would be more ideal, as the simpler the document is, the more patients it will be accessible for overall, accounting for those who are below the national standards. It is not truly necessary to separate the documents into two forms, and it helps to prevent confusion or offense by doing so.
Show less
Date Issued: 2016
Identifier: CFH2000016, ucf:45585
Format: Document (PDF)
PURL: http://purl.flvc.org/ucf/fd/CFH2000016

Title: THE EFFECTS OF AUDITORY STIMULI ON STRESS LEVELS OF ADULT PATIENTS IN THE CRITICAL CARE SETTING.
Creator: Ellermets, Jessica, Heglund, Stephen, University of Central Florida
Abstract / Description: The purpose of this review of literature is to explore the effects of interventional and environmental auditory stimuli on the adult critical care population. Current research has yet to compare and contrast the effectiveness of various interventional auditory stimuli on stress relief, an oversight this thesis aims to remedy. Modern day critical care settings demand the identification of the most therapeutic interventional auditory stimulus and the most stress-inducing environmental stimuli,...
Show moreThe purpose of this review of literature is to explore the effects of interventional and environmental auditory stimuli on the adult critical care population. Current research has yet to compare and contrast the effectiveness of various interventional auditory stimuli on stress relief, an oversight this thesis aims to remedy. Modern day critical care settings demand the identification of the most therapeutic interventional auditory stimulus and the most stress-inducing environmental stimuli, so that interventions can be made to optimize patient stress levels and improve outcomes. Suggestions will be made on how to simultaneously reduce harmful or stress inducing auditory stimuli in the critical care setting and implement the optimal stress-relieving interventional auditory stimuli.
Show less
Date Issued: 2015
Identifier: CFH0004853, ucf:45482
Format: Document (PDF)
PURL: http://purl.flvc.org/ucf/fd/CFH0004853

Title: NURSING INTERVENTIONS TO PREVENT NECROTIZING ENTEROCOLITIS: A STATE OF THE SCIENCE LITERATURE REVIEW.
Creator: Casto, Katherine, Heglund, Stephen, University of Central Florida
Abstract / Description: The purpose of this review of literature is to understand the current state of the science and to make recommendations for practice and research in regards to the gastrointestinal condition affecting premature infants, necrotizing enterocolitis (NEC). Emphasis is placed on reviewing the literature to identify prevention strategies nurses can use to reduce the incidence, morbidity and mortality of NEC. The introduction will focus on discussing the problem of NEC including its risk factors,...
Show moreThe purpose of this review of literature is to understand the current state of the science and to make recommendations for practice and research in regards to the gastrointestinal condition affecting premature infants, necrotizing enterocolitis (NEC). Emphasis is placed on reviewing the literature to identify prevention strategies nurses can use to reduce the incidence, morbidity and mortality of NEC. The introduction will focus on discussing the problem of NEC including its risk factors, pathophysiology, and disease presentation. The findings sections will focus on the most promising and researched areas of intervention. The discussion section will focus on how this knowledge can be translated into practice and what nurses can do about it. The research will be conducted through nursing databases with conceptual primary sources that will further expand upon the selected studies on this topic.
Show less
Date Issued: 2015
Identifier: CFH0004854, ucf:45461
Format: Document (PDF)
PURL: http://purl.flvc.org/ucf/fd/CFH0004854

Title: EXPLORING ENVIRONMENTAL HEAT INJURIES IN THE PEDIATRIC POPULATION.
Creator: Bowman, Jennifer, Heglund, Stephen, University of Central Florida
Abstract / Description: Children are considered a vulnerable population in society. While thermoregulation in children is similar to that of an adult, children are vulnerable to heat-related illness. Student athletes have been found to be particularly vulnerable to heat-related illness for numerous reasons, including intense outdoor play. Football players are perhaps the most at-risk population of student athletes due to the intense physical requirements, outdoor practice during the hottest months of the year, and...
Show moreChildren are considered a vulnerable population in society. While thermoregulation in children is similar to that of an adult, children are vulnerable to heat-related illness. Student athletes have been found to be particularly vulnerable to heat-related illness for numerous reasons, including intense outdoor play. Football players are perhaps the most at-risk population of student athletes due to the intense physical requirements, outdoor practice during the hottest months of the year, and the extensive protective equipment required. By conducting a literature review on the subject of pediatric heat illness, the purpose of this thesis is to explore evidenced based research and guidelines regarding heat-related illness prevention. This review of literature was conducted through the utilization of the University of Central Florida's online databases using the EBSCOhost platform of: CINAHL Plus with Full Text, Cochrane Database of Systematic Reviews, ERIC, Health Source: Nursing/Academic Edition, MEDLINE, PsycINFO and SPORTDiscus. This thesis is unique because it does not focus on an individual sport; rather, it focuses on pediatric athletes from various disciplines. The prevalence, pathophysiology, prevention, and treatment of heat-related injuries are complex phenomena requiring the attention of law makers, athletic associations, school officials, coaches, athletic trainers, parents, and students.
Show less
Date Issued: 2019
Identifier: CFH2000568, ucf:45667
Format: Document (PDF)
PURL: http://purl.flvc.org/ucf/fd/CFH2000568

Title: INFLUENCE OF PEER MENTORSHIP ON NURSING EDUCATION AND STUDENT ATTRITION.
Creator: Gisi, Brittany, Heglund, Stephen, University of Central Florida
Abstract / Description: Peer mentoring is the exchange of skills or knowledge from a more experienced individual to a novice in the same field. Due to the constraints placed on nursing education, many students struggle to complete the nursing curriculum. This leads to high attrition rates within colleges of nursing. Without maximizing graduate rates, the current nursing shortage is exacerbated. This integrated literature review examines the impact of more experienced nursing students mentoring their junior peers....
Show morePeer mentoring is the exchange of skills or knowledge from a more experienced individual to a novice in the same field. Due to the constraints placed on nursing education, many students struggle to complete the nursing curriculum. This leads to high attrition rates within colleges of nursing. Without maximizing graduate rates, the current nursing shortage is exacerbated. This integrated literature review examines the impact of more experienced nursing students mentoring their junior peers. With implementation of peer mentoring attrition rates were reduced. Additionally, the research showed that mentees experienced an enhanced feeling of support and were able to learn more efficiently. Mentors benefited from the arrangement with enhanced leadership and teaching abilities. Instructors of nursing programs also benefited from the arrangement by having decreased demand for review sessions, which could be taken over by the mentors, and could focus on enhancing their lessons or other educational obligations.
Show less
Date Issued: 2011
Identifier: CFH0003778, ucf:44752
Format: Document (PDF)
PURL: http://purl.flvc.org/ucf/fd/CFH0003778

Title: AN INVESTIGATION OF THE ECONOMIC VIABILITY AND ETHICAL RAMIFICATIONS OF VIDEO SURVEILLANCE IN THE ICU.
Creator: Bagge, Laura, Heglund, Stephen, University of Central Florida
Abstract / Description: The purpose of this review of literature is to investigate the various roles of video surveillance (VS) in the hospital's intensive care unit (ICU) as well as its legal and ethical implications. Today, hospitals spend more money on the ICU than on any other unit. By 2030, the population of those 65 and over is expected to double. 80% of older adults have at least one chronic diseases (Centers for Disease Control and Prevention, 2013). As a consequence, the demand for ICU services will likely...
Show moreThe purpose of this review of literature is to investigate the various roles of video surveillance (VS) in the hospital's intensive care unit (ICU) as well as its legal and ethical implications. Today, hospitals spend more money on the ICU than on any other unit. By 2030, the population of those 65 and over is expected to double. 80% of older adults have at least one chronic diseases (Centers for Disease Control and Prevention, 2013). As a consequence, the demand for ICU services will likely increase, which may burden hospital with additional costs.. Because of increasing economic pressures, more hospitals are using video surveillance to enhance quality care and reduce ICU costs (Goran, 2012). Research shows that VS enhances positive outcomes among patients and best practice compliance among hospital staff. The results are fewer reports of patient complications and days spent in the ICU, and an increase in reported hospital savings. In addition, VS is becoming an important tool for the families of newborns in the neonatal ICU (NICU). The belief is that the VS can facilitate parent-baby bonding. In the United States of America, privacy rights impose legal restrictions on VS. These rights come from the U.S. Constitution, Statutory law, Regulatory law, and State law. HIPPA authorizes the patient to control the use and disclosure of his or her health information. Accordingly, hospitals are under obligation to inform patients on their right to protected health information. It is appropriate that hospitals use VS for diagnostic purposes as long as they have obtained patient consent. According to modern day privacy experts Charles Fried and Alan Westin, a violation of a person's privacy equates a violation on their liberty and morality. However, if a physician suspects that a third party person is causing harm to the patient, than the use of covert VS is justifiable.
Show less
Date Issued: 2013
Identifier: CFH0004475, ucf:45138
Format: Document (PDF)
PURL: http://purl.flvc.org/ucf/fd/CFH0004475

Title: THE POSSIBLE ROLE OF BURNOUT IN NURSING ERRORS.
Creator: Hoskins, Kelley, Heglund, Stephen, University of Central Florida
Abstract / Description: Nurse burnout and the commission of errors are two seemingly unrelated phenomena in the health care arena. Burnout was first described by Herbert J. Freudenberger in 1974 and has since been studied in many industries, including nursing. The issue of errors in health care has been a growing concern since the Institute of Medicine published the report, To Err is Human in 1999. Little research has been done to link burnout and the commission of errors. A literature review was performed to...
Show moreNurse burnout and the commission of errors are two seemingly unrelated phenomena in the health care arena. Burnout was first described by Herbert J. Freudenberger in 1974 and has since been studied in many industries, including nursing. The issue of errors in health care has been a growing concern since the Institute of Medicine published the report, To Err is Human in 1999. Little research has been done to link burnout and the commission of errors. A literature review was performed to investigate these two issues. Peer-reviewed research articles were analyzed for contributing factors and effects on patient outcomes. The findings of the literature suggest that burnout and the commission of errors have many similar contributing factors, particularly in regards to work environment conditions. The conclusion from this literature review is that more research should be done to correlate burnout and error commission and that efforts should be made to improve the work environment of nurses.
Show less
Date Issued: 2013
Identifier: CFH0004367, ucf:45017
Format: Document (PDF)
PURL: http://purl.flvc.org/ucf/fd/CFH0004367

Title: AN INVESTIGATION OF SELF-CARE MODALITIES FOR THE EFFECTIVE TREATMENT OF LYMPHEDEMA.
Creator: Major, Amber, Heglund, Stephen, University of Central Florida
Abstract / Description: The purpose of this literature review is to investigate the most effective forms of self-care that patients can perform to reduce swelling caused by lymphedema. Lymphedema may occur secondary to lymph node trauma, which makes it difficult for lymph fluid to leave an extremity. Even though lymphedema is more recognized as a side effect of breast cancer treatment, it can also be the result of many other ailments or treatments and can be present in any part of the body. By knowing which...
Show moreThe purpose of this literature review is to investigate the most effective forms of self-care that patients can perform to reduce swelling caused by lymphedema. Lymphedema may occur secondary to lymph node trauma, which makes it difficult for lymph fluid to leave an extremity. Even though lymphedema is more recognized as a side effect of breast cancer treatment, it can also be the result of many other ailments or treatments and can be present in any part of the body. By knowing which therapies are most effective, nurses and other health care professionals can educate patients to help ease the burden caused by this debilitating condition. This thesis discusses the results of clinical trials that studied different methods of self-care including exercises, bandaging, compression garments, sequential compression devices, and performing manual lymphatic drainage. The conclusion derived from the review of multiple studies is that participating in a combination of multiple therapies is the most effective means of lymphedema management and should be considered the ideal standard of care.
Show less
Date Issued: 2011
Identifier: CFH0004065, ucf:44812
Format: Document (PDF)
PURL: http://purl.flvc.org/ucf/fd/CFH0004065

Title: ETHANOL LOCK THERAPY IN THE TREATMENT AND PREVENTION OF CATHETER-RELATED BLOODSTREAM INFECTIONS.
Creator: Anderson, Breanna, Heglund, Stephen, University of Central Florida
Abstract / Description: Ethanol lock therapy is a novel technique that is being studied for its efficacy in eradicating catheter related bloodstream infections. A systematic review of interdisciplinary studies from CINAHL, Medline, Academic Search Premier, Biological Abstracts, and Web of Knowledge databases was performed. This meta-analysis examined the findings of thirty-five studies on ethanol lock therapy. Twenty-six of these studies compared ethanol to a placebo and nine studies performed a direct comparison of...
Show moreEthanol lock therapy is a novel technique that is being studied for its efficacy in eradicating catheter related bloodstream infections. A systematic review of interdisciplinary studies from CINAHL, Medline, Academic Search Premier, Biological Abstracts, and Web of Knowledge databases was performed. This meta-analysis examined the findings of thirty-five studies on ethanol lock therapy. Twenty-six of these studies compared ethanol to a placebo and nine studies performed a direct comparison of ethanol to other agents frequently used in antimicrobial lock technique. Ethanol lock therapy was shown to be effective as both a prophylactic therapy and as an active treatment in eradicating biofilms of organisms that frequently cause catheter-related blood stream infections, including Staphylococcus epidermis, Staphylococcus aureus, Klebsiella pneumonia, Pseudomonas aeruginosa, E. coli, and Candida albicans. Ethanol has been shown to have a synergistic effect with several other antimicrobial agents. The majority of studies examined in this thesis have found that ethanol has equal or greater efficacy to several antibiotic and antimicrobial agents used in practice and should therefore be considered for the treatment of catheter-related blood stream infections.
Show less
Date Issued: 2012
Identifier: CFH0004183, ucf:44845
Format: Document (PDF)
PURL: http://purl.flvc.org/ucf/fd/CFH0004183

Title: APPRECIATING THE GOLDEN HOUR: A COMPARATIVE INTERDISCIPLINARY STUDY.
Creator: Tachon, Taylor, Heglund, Stephen, Covelli, Maureen, University of Central Florida
Abstract / Description: Within the health care, many medical professionals know about the critical time restraints for provisions of care within their discipline, but do not know the term "The Golden Hour". The Golden Hour is a term indicating the universal time restraint found within every area of health care and more specifically, every area of nursing. The term and concept represented by it should be recognized to better the outcomes of our patients. Although the Golden Hour typically indicates a 60-minute period...
Show moreWithin the health care, many medical professionals know about the critical time restraints for provisions of care within their discipline, but do not know the term "The Golden Hour". The Golden Hour is a term indicating the universal time restraint found within every area of health care and more specifically, every area of nursing. The term and concept represented by it should be recognized to better the outcomes of our patients. Although the Golden Hour typically indicates a 60-minute period of time, various settings recognize shorter and longer periods during which specific actions must be taken to assure positive patient outcomes. To meet this aim, this thesis will review studies related to outcomes as associated with time critical interventions that could be categorized by "The Golden Hour". To meet the goal, a search of CINAHL, MEDLINE, PsychINFO, and ScienceDirect databases was conducted. Findings of the search revealed that while the term is not widely used, the concept of time sensitive care is found in many areas of Health Care and, specifically, within multiple sub-disciplines of nursing.
Show less
Date Issued: 2018
Identifier: CFH2000314, ucf:45846
Format: Document (PDF)
PURL: http://purl.flvc.org/ucf/fd/CFH2000314

Title: FACTORS CONTRIBUTING TO THE NEGATIVE AND UNHEALTHY PSYCHOLOGICAL CONDITIONS IN THE ED RN.
Creator: Nieves, Ariana M, Heglund, Stephen, Dever, Kimberly, University of Central Florida
Abstract / Description: The emergency department is a stressful environment. Emergency department registered nurses (ED RNs) are at an increased risk of development of negative and unhealthy psychological conditions due to their frequent exposure to stress and traumatic events. These conditions include post-traumatic stress disorder, compassion fatigue, and burnout syndrome, which are already known to be common in the emergency department registered nurse population. It is important to understand the factors that...
Show moreThe emergency department is a stressful environment. Emergency department registered nurses (ED RNs) are at an increased risk of development of negative and unhealthy psychological conditions due to their frequent exposure to stress and traumatic events. These conditions include post-traumatic stress disorder, compassion fatigue, and burnout syndrome, which are already known to be common in the emergency department registered nurse population. It is important to understand the factors that influence the development of these psychological conditions in order to provide better education to nurses regarding prevention of the development of these psychological conditions. This literature review aimed to identify articles that examined the factors associated with post-traumatic stress disorder, compassion fatigue, and burnout syndrome. Databases searched included but were not limited to CINAHL, MEDLINE, and PsycINFO. The determinants discussed in this paper include personality traits, social support, coping style, workplace violence, work environment, internal perceptions held by the nurse, and external perceptions held by the patient. Limited research exists regarding the factors influencing the development of compassion fatigue in the ED RN.
Show less
Date Issued: 2019
Identifier: CFH2000462, ucf:45745
Format: Document (PDF)
PURL: http://purl.flvc.org/ucf/fd/CFH2000462

Title: Stressors Experienced by Emergency Department Registered Nurses at the Bedside: A Phenomenological Study.
Creator: Heglund, Stephen, Wink, Diane, Andrews, Diane, Leuner, Jean, Malvey, Donna, Chase, Susan, University of Central Florida
Abstract / Description: The Emergency Department (ED) as a workplace for the Registered Nurse (RN) is a stressful environment. Reasons are thought to include interactions with other members of the interdisciplinary team as well as the situations associated with the environment of the ED such as trauma, death, sadness, joy and the general unpredictability of each moment. Studies have documented general health care workplace stress and its influence on staff, but a very limited number of studies have concentrated on...
Show moreThe Emergency Department (ED) as a workplace for the Registered Nurse (RN) is a stressful environment. Reasons are thought to include interactions with other members of the interdisciplinary team as well as the situations associated with the environment of the ED such as trauma, death, sadness, joy and the general unpredictability of each moment. Studies have documented general health care workplace stress and its influence on staff, but a very limited number of studies have concentrated on the ED. No widely published studies have identified stressors from the perspective of the ED RN.This dissertation is an interpretive phenomenological study that seeks to understand the experience of being an ED RN through the exploration of the perceptions of stress as lived by individuals who practice their art and science in this unique setting. Materials for evaluation and thematic identification were obtained through personal interviews of practicing nurses. The stories told by the participants communicated what each individual found to be negatively stressful as well as what each found to be positively stressful.Conclusions based on the findings of this work suggest a need for the ED RN to be able to depend on the presence of several factors in order to be able to function with as little distress as possible. The optimal ED environment for the RN is posited to be supportive of the individual goals of the RN, provide adequate resources and foster a communicative interdisciplinary environment. Recommendations are made to improve resource management and interdisciplinary relations.
Show less
Date Issued: 2012
Identifier: CFE0004384, ucf:49408
Format: Document (PDF)
PURL: http://purl.flvc.org/ucf/fd/CFE0004384

Emergency Department (3)	+ -
Nurse (2)	+ -
Nursing (2)	+ -
intensive care unit (2)	+ -
nursing (2)	+ -

60 minutes (1)	+ -
Burnout Syndrome (1)	+ -
CCU (1)	+ -
Compassion Fatigue (1)	+ -
Distress (1)	+ -
ED (1)	+ -
Emergency (1)	+ -
Emergency Nursing (1)	+ -
Emergency Room (1)	+ -
Eustress (1)	+ -
Golden Hour (1)	+ -
Health Literacy (1)	+ -
ICU (1)	+ -
NEC (1)	+ -
NICU (1)	+ -
Patient Education (1)	+ -
Pediatric heat injury/illness (1)	+ -
Post-Traumatic Stress Disorder (1)	+ -
RN (1)	+ -
Stress (1)	+ -
Stressor (1)	+ -
Time limitation (1)	+ -
agitation (1)	+ -
anxiety (1)	+ -
athletes (1)	+ -

Honors Collection (11)	+ -
ETD Collection (1)	+ -

Heglund, Stephen (12)	+ -
University of Central Florida (12)	+ -
Anderson, Breanna (1)	+ -
Andrews, Diane (1)	+ -
Bagge, Laura (1)	+ -

Bowman, Jennifer (1)	+ -
Casto, Katherine (1)	+ -
Catalano, Ivory (1)	+ -
Chase, Susan (1)	+ -
Covelli, Maureen (1)	+ -
Dever, Kimberly (1)	+ -
Ellermets, Jessica (1)	+ -
Gisi, Brittany (1)	+ -
Hoskins, Kelley (1)	+ -
Leuner, Jean (1)	+ -
Major, Amber (1)	+ -
Malvey, Donna (1)	+ -
Nieves, Ariana M (1)	+ -
Tachon, Taylor (1)	+ -
Wink, Diane (1)	+ -

Search In

Sort Results By:

Narrow results by:

Topical Subject

Collection

Type of Resource

Language

Creator

Format

Owner