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- Title
- Evaluating Moral Distress, Moral Distress Residue and Moral Courage in Oncology Nurses.
- Creator
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Melhado, Lolita, Chase, Susan, Conner, Norma, Loerzel, Victoria, Uddin, Nizam, Haley, William, University of Central Florida
- Abstract / Description
-
Purpose: To examine relationships between moral distress, moral distress residue, and moral courage and to determine which nurse characteristics are predictive of moral distress and moral courage.Methods: The study used a mixed methods cross-sectional correlation design and qualitative content analysis to investigate oncology nurses' characteristics and relationships between moral distress, moral distress residue, and moral courage. A convenience sample of 187 oncology nurses working in...
Show morePurpose: To examine relationships between moral distress, moral distress residue, and moral courage and to determine which nurse characteristics are predictive of moral distress and moral courage.Methods: The study used a mixed methods cross-sectional correlation design and qualitative content analysis to investigate oncology nurses' characteristics and relationships between moral distress, moral distress residue, and moral courage. A convenience sample of 187 oncology nurses working in inpatient and outpatient settings was recruited through the national Oncology Nursing Society in the Southeastern United States. Hamric's 21-item Moral Distress Scale-Revised (MDS-R) and Sekerka et al. 15-item Professional Moral Courage Scale (PMCS) supplemented with written examples of moral courage were used for data collection. Descriptive statistics, independent-samples t test, Pearson correlation, ANOVA, and multiple regressions analyses were used to evaluate data.Findings: MDS-R scores were not predictive of PMCS scores. No statistically significant differences were found between nurses' characteristics (age, education level, certification, ELNEC training) and MDS-R. Though nurses with BSN had higher Moral Distress scores compared with other levels of education, none were predictors of MDS-R. ANOVA results indicate a marginal but not significant difference of the MDS-R score among the nurses with different basic ethics education (p = .067). Nurses working in adult inpatient settings had significantly higher MDS-R than those in outpatient settings. Nurses who had moral distress residue by virtue of leaving a previous job (26%) and those who considered leaving (28%) reported statistically significantly higher mean Moral Distress levels than those who had not considered leaving. Nurses (17%) currently considering leaving their jobs due to the way patient care was handled at their institutions had the highest Moral Distress mean scores and the lowest Professional Moral Courage scores. Work setting and having left a previous job were weak predictors of MDS-R, accounting for 11.6% of the moral distress score variance (p = .013) compared with 4.4% when work setting was a single predictor (p = .014). Total years' oncology experience was a weak predictor of PMCS, accounting for 2.5% or an inconsequential amount of the variance (p = .043). Moral courage was displayed in major areas of supporting the patient, risk taking, advocacy, enlarging the circle for decision-making, putting aside personal beliefs, respecting patient autonomy, empowering the patient, fighting for the patient in face of consequences in a complex system, sharing information, getting to the meaning, handling tricky situations, protecting the patient and truth-telling.Discussion/Implication: Despite experiencing levels of moral distress, oncology nurses demonstrate support and respect for patients' decision-making and autonomy. Ethics education derived from clinical practice can provide an opportunity for open discussion for nurses to create and maintain morally acceptable work environments that enable them to be morally courageous. This research underscores the presence of moral distress and moral distress residue among oncology nurses and the importance of finding ways to lessen moral distress and strengthen moral courage in nurses.
Show less - Date Issued
- 2016
- Identifier
- CFE0006142, ucf:51175
- Format
- Document (PDF)
- PURL
- http://purl.flvc.org/ucf/fd/CFE0006142
- Title
- Factors Associated with Information Literacy Competencies of the Traditional Baccalaureate Nursing Student.
- Creator
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Lafferty, Patricia, Chase, Susan, Leuner, Jean, Sole, Mary, Beile, Penney, University of Central Florida
- Abstract / Description
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Nursing practice at all levels requires a nurse to use evidence-based nursing to improve the quality of patient care. Registered nurses need information literacy skills to practice evidence-based nursing, therefore, all nursing students need to be information literate upon graduation from nursing programs. There is no empirical research evidence on information literacy skills for students entering nursing programs in four-year colleges. Students seeking to attain a baccalaureate degree...
Show moreNursing practice at all levels requires a nurse to use evidence-based nursing to improve the quality of patient care. Registered nurses need information literacy skills to practice evidence-based nursing, therefore, all nursing students need to be information literate upon graduation from nursing programs. There is no empirical research evidence on information literacy skills for students entering nursing programs in four-year colleges. Students seeking to attain a baccalaureate degree through a traditional nursing program, enter with differing demographic and educational factors that may affect their information literacy skills. Therefore, the purpose of this research was to examine information literacy skills of the entering traditional baccalaureate nursing student and to assess the relationship of demographic and educational factors utilizing a validated assessment tool, the Information Literacy Test (Madison Assessment, 2012). The Information Literacy Test (ILT) was administered to 120 students in a traditional baccalaureate nursing program at a major metropolitan university during the first month of their academic program. The students in this sample were a homogenous aggregate of white, young females. Cronbach's alpha for the Information Literacy Test was minimally acceptable for reliability of the test. One hundred two of the 120 students in this study were identified as proficient in information literacy by achieving a 65% on the ILT with 18 students not being proficient. The ILT raw scores ranged from 31 to 55. The mean score for the ILT in this sample was 43.64. Two of the 120 students were at the Advanced Proficient level. Out of the four Association of Colleges and Research Libraries Competency Standards tested on the ILT, students had the most difficulty with Competency 2 on accessing needed information efficiently and effectively. Demographic and educational factors were examined for prediction of information literacy skills in students entering their junior year in a traditional baccalaureate nursing program using Chi Square and regression analysis. The categorical variables of English as their primary language (p (<) .001), race (p (<) .001), and years since completing science prerequisites (p = .036) demonstrated a statistically significant relationship with the ILT using Chi Square analysis. A pre-analysis test indicated that the Test of Essential Academic Skills, which is an entrance test for nursing program admission, was positively correlated with the ILT (p (<) .001). An ANOVA of the TEAS and the bivariate ILT indicated that the means were significantly different (p (<) .001) between the Proficient and the Not Proficient students. A single regression analysis was significant in predicting a positive relationship with the ILT (p (<) .001) using the one continuous variable, the TEAS score, with the ILT raw score. A logistic regression analysis was performed with two categorical variables, English as the primary language and years since completing science prerequisites, and one continuous variable, the TEAS score with the bivariate ILT raw score. All three variables were significant predictors of information literacy in the model. Student who did not have English as their primary language were 9 times as likely to be not be proficient on information literacy (p = .010). If a student who had science courses completed 3 or more years prior to entry in the nursing program, the student was 12 times as likely to not be proficient in information literacy (p = .008). For every 5 point increase in the TEAS, the ILT score increased by 4 points indicating that students with higher TEAS scores tend to be more proficient in information literacy (p = .004).
Show less - Date Issued
- 2014
- Identifier
- CFE0005193, ucf:50619
- Format
- Document (PDF)
- PURL
- http://purl.flvc.org/ucf/fd/CFE0005193
- Title
- EXPLORING BARRIERS AND CONSEQUENCES RELATED TO NURSES REPORTING CHILD ABUSE.
- Creator
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Devkota, Asmita, Loerzel, Victoria, University of Central Florida
- Abstract / Description
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Background: Child abuse is a pervasive and serious problem in the United States. Over 3 million children are the victims of some kind of physical assault by adults. Due to their prolonged contact with children and opportunity to report, nurses should be trained to accurately assess, identify, and manage cases of child abuse. The purpose of this study was to examine student's experiences with Child Protective Services, and explore their confidence and attitudes related to identifying and...
Show moreBackground: Child abuse is a pervasive and serious problem in the United States. Over 3 million children are the victims of some kind of physical assault by adults. Due to their prolonged contact with children and opportunity to report, nurses should be trained to accurately assess, identify, and manage cases of child abuse. The purpose of this study was to examine student's experiences with Child Protective Services, and explore their confidence and attitudes related to identifying and reporting child abuse. Factors associated with non-reporting were identified. Methodology: This was an exploratory, descriptive study. Students enrolled in the online Nursing Research course, NUR 3165, were asked to participate. Forty-four RN to BSN and Concurrent students completed the 27 questions survey on Qualtrics. It included demographic questions, questions regarding the participant's beliefs about child abuse, The Child Abuse Reporting, Attitude and Experience Survey, and two vignettes. Survey data was analyzed using descriptive statistics. Results: There were total of 44 (6 males and 38 females) students who completed the survey; most of them were between the age of 20-24. Fourteen were RN to BSN students who have practiced nursing for more than a year and 30 were concurrent nursing students who are still working on their ASN degree. The results showed that nursing students had positive experiences with CPS and indicated that they had confidence in identifying child abuse. However, students felt that they have not received adequate professional education in this field. Many reported never receiving training regarding child abuse and 84.1% indicated never reporting a suspected case to CPS. When presented with vignettes describing scenarios related to abuse, participants were not able to positively identify cases of abuse versus cases that were ambiguous. Discussion: Nurses are mandatory child abuse reporters in Florida. Many nursing students indicated that they have never reported suspected cases of child abuse to CPS and some of the reasons for this could be the lack of experience, and proper training and education on child abuse. Regardless of the reason, nursing students should be given adequate education to improve their confidence and attitude in identification and reporting of child abuse cases. Nursing schools could focus on including more hands on activity such as case studies and simulation to improve knowledge. Employers could try to utilize protocols to help identify child abuse.
Show less - Date Issued
- 2017
- Identifier
- CFH2000208, ucf:45966
- Format
- Document (PDF)
- PURL
- http://purl.flvc.org/ucf/fd/CFH2000208
- Title
- PRE-LICENSURE NURSING STUDENT ATTITUDES TOWARD PHYSICIAN-ASSISTED SUICIDE.
- Creator
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Cox, Stephanie K, Conner, Norma E., Loerzel, Victoria, University of Central Florida
- Abstract / Description
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Physician assisted suicide (PAS) has been a legalized presence in the United States since Oregon first passed the Death with Dignity Act in 1994. Now PAS is legalized in six states and it is realistic that nurses may encounter PAS during their career. This project explores pre-licensure nursing student attitudes toward PAS. A mixed method design incorporating descriptive correlation and thematic analysis of an open-ended question was used. Surveys were sent to 550 nursing students enrolled in...
Show morePhysician assisted suicide (PAS) has been a legalized presence in the United States since Oregon first passed the Death with Dignity Act in 1994. Now PAS is legalized in six states and it is realistic that nurses may encounter PAS during their career. This project explores pre-licensure nursing student attitudes toward PAS. A mixed method design incorporating descriptive correlation and thematic analysis of an open-ended question was used. Surveys were sent to 550 nursing students enrolled in the UCF nursing program asking participants to complete the 34-question survey. This survey included a 12 item "Domino scale" on student nursing opinions toward physician-assisted suicide, and a 23-item demographic scale. Complete, usable results were obtained from 231 participants. Demographic data revealed that the typical participant was between 18 and 25 years of age (80%), female (82%), single (87%), white (69%), in their first two semesters of the nursing program (60%), and unemployed (56%). The total scores for the Domino scale indicated a mean of 40. Regression analyses found that participant experience of someone having asked for help with PAS, and participant religiosity were significant predictors (F = 9.82, p = .0019; and F= 160.36, p < .0001) respectively of nursing student opinions on PAS as measured by the Domino scale. Qualitative analysis produced the following themes related to participant opinion on the nurse's role in PAS: ways nurses can help with PAS, nurses should not be involved with PAS, clarification and delineation of the PAS process, the preservation of autonomy, the need for more education and inaccurate assumptions of PAS. This study showed that nursing students are moderately in support of PAS and willing to provide care to patients who are terminally ill regardless of a his or her personal decisions regarding PAS. Participants also comment that they desire additional education. Suggestions for further education, practice enhancements, research and policy development are discussed.
Show less - Date Issued
- 2018
- Identifier
- CFH2000387, ucf:45921
- Format
- Document (PDF)
- PURL
- http://purl.flvc.org/ucf/fd/CFH2000387
- Title
- AN EXPLORATORY INQUIRY AND CREATION OF EMERGENCY ROOM DISCHARGE EDUCATION MATERIALS.
- Creator
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Catalano, Ivory, Heglund, Stephen, University of Central Florida
- Abstract / Description
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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
- FACTORS CONTRIBUTING TO THE NEGATIVE AND UNHEALTHY PSYCHOLOGICAL CONDITIONS IN THE ED RN.
- Creator
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Nieves, Ariana M, Heglund, Stephen, Dever, Kimberly, University of Central Florida
- Abstract / Description
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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
- RECOGNIZING PAIN USING NOVEL SIMULATION TECHNOLOGY.
- Creator
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Grace, Justin C, Allred, Kelly, University of Central Florida
- Abstract / Description
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Effective pain management and time to treatment is essential in patient care. Despite scientific evidence supporting the need to treat pain and an emphasis on addressing pain as a priority, pain management continues to be an unresolved issue. As a member of the health care team, nurses are integral to optimal pain management. Currently, nursing schools have limited innovative or alternative methods for teaching pain assessment and management. Simulation in nursing education provides a unique...
Show moreEffective pain management and time to treatment is essential in patient care. Despite scientific evidence supporting the need to treat pain and an emphasis on addressing pain as a priority, pain management continues to be an unresolved issue. As a member of the health care team, nurses are integral to optimal pain management. Currently, nursing schools have limited innovative or alternative methods for teaching pain assessment and management. Simulation in nursing education provides a unique opportunity to expose students to realistic patient situations and allow them to learn and make mistakes without causing harm. However, modern low- and high-fidelity simulation technology is unable to display emotion, pain, or any facial expression. This limits training and education of conditions that may partially rely on the identification of symptoms based on the alteration of facial appearance, such as pain or stroke. This research explored student nurses� perception of new technology that displayed computer-generated faces, each expressing varying degrees of physical expressions of pain. A total of 15 nursing students participated in the study. Students were asked to interpret the level of pain in four sequential faces using a numeric rating scale of 0-10, with 0 indicating no pain, and 10 the most severe pain possible. After scoring the faces, students were asked to answer four open-ended questions addressing the technology. Results of the study indicate a majority of nursing students believe the technology should be implemented into nursing curriculum and interacting with the projected faces was more beneficial than traditional teaching methods. Eventually, the potential for increased identification of conditions requiring observation of subtle facial changes will be explored.
Show less - Date Issued
- 2016
- Identifier
- CFH2000002, ucf:45569
- Format
- Document (PDF)
- PURL
- http://purl.flvc.org/ucf/fd/CFH2000002
- Title
- EXPLORING THE ART OF NURSING AND ITS INFLUENCE ON PATIENT SATISFACTION IN ACUTE CARE SETTINGS.
- Creator
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Tirado, Enid, Andrews, Diane, University of Central Florida
- Abstract / Description
-
?Nursing is a trusted profession aimed at delivering quality, patient-centered care perceived by patients as caring and satisfactory. While empiric care components are measurable as associated with clinical outcomes, patients' perceptions of care are increasingly important in determining satisfaction with the patient care experience. Not clearly defined, nor empirically measurable, the "art" of nursing is taking on increasing importance as a component of satisfaction with the patient...
Show more?Nursing is a trusted profession aimed at delivering quality, patient-centered care perceived by patients as caring and satisfactory. While empiric care components are measurable as associated with clinical outcomes, patients' perceptions of care are increasingly important in determining satisfaction with the patient care experience. Not clearly defined, nor empirically measurable, the "art" of nursing is taking on increasing importance as a component of satisfaction with the patient experience. The purpose of this integrative literature review was to review the literature in order to find common themes influencing determination of the art of nursing on patient satisfaction in acute care settings. Fourteen studies were selected and reviewed after a search of CINAHL Plus with Full Text, Cochrane Central Register of Controlled Trials, Cochrane Database of Systematic Reviews, ERIC, MEDLINE, PsycARTICLES, and PsycINFOCINAHL databases. Four themes that emerged: building a relationship with the patient; conducting a thorough assessment of the patient; meaningful communication with the patient, and availability of nurses for their patients. The findings suggest that the art of nursing, as grounded in the demonstration of nursing care behaviors, is a component of patients' satisfaction with the provision of care. This evidence-based knowledge is transferable to efforts in modifying nursing practices that exemplify patient-centered care.
Show less - Date Issued
- 2016
- Identifier
- CFH2000092, ucf:45539
- Format
- Document (PDF)
- PURL
- http://purl.flvc.org/ucf/fd/CFH2000092
- Title
- EDUCATION FOR PEDIATRIC ONCOLOGY NURSES ON FERTILITY PRESERVATION OF PEDIATRIC ONCOLOGY PATIENTS.
- Creator
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Breit, Elyse, Loerzel, Victoria, University of Central Florida
- Abstract / Description
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Although the survival rate of childhood cancer is high, nearly two thirds of these survivors experience negative long-term secondary side effects from cancer treatments. Infertility is one such side effect that can have a prominent impact on quality of life as the patient ages. It is important for nurses working with pediatric oncology patients to provide the patient and family with education about risk for infertility and fertility preservation (FP) in order to allow families to make...
Show moreAlthough the survival rate of childhood cancer is high, nearly two thirds of these survivors experience negative long-term secondary side effects from cancer treatments. Infertility is one such side effect that can have a prominent impact on quality of life as the patient ages. It is important for nurses working with pediatric oncology patients to provide the patient and family with education about risk for infertility and fertility preservation (FP) in order to allow families to make decisions about FP before cancer treatment starts. However, pediatric oncology nurses report being uneducated about FP guidelines and are hesitant to broach this subject with families. The purpose of this HIM thesis is to review nurse perceived barriers related to educating patients and their families about the risk for infertility following cancer treatments and FP and to make recommendations for improving communication between nurses and families about FP. A search was performed using CINAHL, PreCINAHL, PsychINFO, PsychARTICLES, and Medline databases and examined peer-reviewed quantitative and qualitative research studies. Key terms used in the database searches were ped* OR child*, onco* OR cancer*, fert*, and nurs*. Findings indicated that there were many barriers for pediatric oncology nurses, which inhibited the discussion of FP with patients and families such as lack of knowledge and resources, provider attitudes toward FP, and patient factors. Based on the findings, the researcher identified several interventions to aid pediatric oncology nurses in overcoming these barriers to FP discussion.
Show less - Date Issued
- 2014
- Identifier
- CFH0004620, ucf:45295
- Format
- Document (PDF)
- PURL
- http://purl.flvc.org/ucf/fd/CFH0004620
- Title
- Infection Control and Health Care Associated Infection (HCAI) in the Nursing Home: A Study to Determine the Impact of an Educational Video and Pamphlet About Infection Control on Knowledge and Perception of Hand Hygiene in Certified Nurse Assistants.
- Creator
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Hypes, Kathe, Blackwell, Christopher, Covelli, Maureen, Winton, Mark, University of Central Florida
- Abstract / Description
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The impact of an education program on perception, knowledge, and infection rate was evaluated in this study. The educational intervention consisted of a video on infection control and a World Health Organization (WHO) pamphlet for hand hygiene. The study was conducted in one nursing home in the Southeastern United States. The survey sample consisted of 66 certified nurse assistants (CNAs). A pre- and post-intervention design was employed using the WHO's Hand Hygiene Knowledge Questionnaire...
Show moreThe impact of an education program on perception, knowledge, and infection rate was evaluated in this study. The educational intervention consisted of a video on infection control and a World Health Organization (WHO) pamphlet for hand hygiene. The study was conducted in one nursing home in the Southeastern United States. The survey sample consisted of 66 certified nurse assistants (CNAs). A pre- and post-intervention design was employed using the WHO's Hand Hygiene Knowledge Questionnaire and the WHO Perception Survey. Friedman's test and central tendencies showed no statistical relationship between the educational intervention and the overall knowledge scores of the sample. There also were no statistical differences in perception of hand hygiene in the CNA sample. Infection frequency was reduced with a percent change of -42%. While results of knowledge and perception surveys were not statistically significant, multiple conclusions were derived to suggest that educational opportunities may impact hand hygiene practice in CNAs and lead to a decrease in infection.
Show less - Date Issued
- 2012
- Identifier
- CFE0004551, ucf:49239
- Format
- Document (PDF)
- PURL
- http://purl.flvc.org/ucf/fd/CFE0004551
- Title
- THE EXPERIENCES OF HEALTH CARE PROVIDERS PROVIDING COMFORT FOR NURSING HOME PATIENTS AT THE END OF LIFE.
- Creator
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Baker, Herma, Rash, Elizabeth, University of Central Florida
- Abstract / Description
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Research shows that healthcare providers (HCPs) are not adequately prepared to provide comfort care for patients who are at the end of life. Since the 1990s, numerous legislative, research, and clinical initiatives have addressed concerns about improving care at the end of life. The purpose of this study was to describe the experiences of HCPs providing comfort for patients in the nursing home who are at the end of life. This study focused on physicians, nurse practitioners, nurses and nurses...
Show moreResearch shows that healthcare providers (HCPs) are not adequately prepared to provide comfort care for patients who are at the end of life. Since the 1990s, numerous legislative, research, and clinical initiatives have addressed concerns about improving care at the end of life. The purpose of this study was to describe the experiences of HCPs providing comfort for patients in the nursing home who are at the end of life. This study focused on physicians, nurse practitioners, nurses and nursesÂÂÂÂ' aides at a central Florida nursing home. A descriptive qualitative design was done utilizing a focus group discussion, individual interviews, and a self-administered questionnaire. The findings indicated that a lack of facility support, inadequate staffing, inadequate end of life care education, family and patient denial of prognosis, as well as decreased primary care physician involvement affect the delivery of comfort care for patients at the end of life in the nursing home. This study supports the need for end of life education to HCPs and the need for adjustments in staffing to meet the complex needs of patients in the nursing home who are at the end of life. A new finding of this study reflects the use of an angel cart to aid in the provision of comfort care for patients at the end of life. Recommendations for future research were made based on study results
Show less - Date Issued
- 2010
- Identifier
- CFE0003305, ucf:48505
- Format
- Document (PDF)
- PURL
- http://purl.flvc.org/ucf/fd/CFE0003305
- Title
- Evaluation of a secure laptop based testing program in an undergraduate nursing program.
- Creator
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Tao, Jinyuan, Gunter, Glenda, Robinson, Edward, Vitale, Thomas, Hayes, Grant, University of Central Florida
- Abstract / Description
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This applied dissertation paper introduced a program evaluation of a secure laptop-based testing (SLBT) program, which was implemented from 2009 to 2014 in an undergraduate nursing program at a private institution in the southeastern region of the United States (US). Computerized testing is an old topic in the educational research field, but the instructor-made, laptop-based secure testing that utilizes learning management systems (LMS) for undergraduate nursing programs is a fairly new topic...
Show moreThis applied dissertation paper introduced a program evaluation of a secure laptop-based testing (SLBT) program, which was implemented from 2009 to 2014 in an undergraduate nursing program at a private institution in the southeastern region of the United States (US). Computerized testing is an old topic in the educational research field, but the instructor-made, laptop-based secure testing that utilizes learning management systems (LMS) for undergraduate nursing programs is a fairly new topic in the US. Traditionally, testing has been administered with paper and pencil in the undergraduate nursing programs in the US for security reasons. Recently, with different robust LMSs, together with availability of affordable laptops, SLBT has become a reality on many campuses. The undergraduate nursing program at the Adventist University of Health Sciences (ADU) began to implement the SLBT program in 2009, which allowed students to use their newly purchased laptops to take secure quizzes and tests in their classrooms. After nearly five years' SLBT program implementation, a formative evaluation was conducted to seek constructive feedback from students, faculty, and technology support personnel to improve the program. Evaluation data show that, overall, students believed the SLBT program help them get hands-on experience of taking exams on the computer and get them prepared for their National Council Licensure Examination for Registered Nurses (NCLEX-RN) which is also computerized. Students, however, had a lot of concerns on laptop glitches and campus wireless network glitches they experienced during testing. Faculty and technology support personnel, on the other hand, were very satisfied with the SLBT program. Another goal of this evaluation study was to determine if students' first-time passing rate of NCLEX-RN has been improved significantly after the implementation of the SLBT program. NCLEX-RN first-time passing rate data were analyzed using the Chi-Square test and it revealed that there was no significant association between the two types of testing method (paper-and-pencil testing and the secure laptop-based testing) and whether or not students would pass NCLEX-RN the first time X2(1) = 3.53, p (>) .05. Based on the odds ratio, however, the odds of students passed NCLEX-RN the first time were 1.37 times higher if they were taught with the SLBT testing method than if taught with the traditional paper-and-pencil testing method in nursing school.
Show less - Date Issued
- 2014
- Identifier
- CFE0005424, ucf:50421
- Format
- Document (PDF)
- PURL
- http://purl.flvc.org/ucf/fd/CFE0005424
- Title
- ADDRESSING NEED FOR RESEARCH-FOCUSED NURSES BY INCREASING INTEREST AND SOCIALIZATION AT THE UNDERGRADUATE LEVEL.
- Creator
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Thomas, Sarah, Norris, Anne, University of Central Florida
- Abstract / Description
-
The U.S. shortage of qualified nursing teachers and researchers is affecting national health care outcomes. Methods such as fast-tracking Baccalaureate nurses into graduate programs and embedding leadership development early into nursing curricula have been proposed to address faculty and research shortages. Early interest in nursing research careers increases likelihood of enrollment in graduate education. One way undergraduate nursing students may develop an interest in research careers is...
Show moreThe U.S. shortage of qualified nursing teachers and researchers is affecting national health care outcomes. Methods such as fast-tracking Baccalaureate nurses into graduate programs and embedding leadership development early into nursing curricula have been proposed to address faculty and research shortages. Early interest in nursing research careers increases likelihood of enrollment in graduate education. One way undergraduate nursing students may develop an interest in research careers is through a mentored apprenticeship with research-active faculty. In this thesis, the author uses an autoethnography methodology to examine the benefits that a mentored research apprenticeship model brought to her undergraduate experience. Her experience incorporated a variety of roles in an adolescent intervention program with Dr. Anne Norris (PI) at the University of Central Florida College of Nursing. Several themes about the experience were defined in the results. Early research exposure that socializes a student to the nursing research world may provide a means for addressing the nursing faculty shortage. This socialization can generate interest in a research career and promote undergraduate students with the essential tools and insights needed to pursue this career pathway. However, findings from this study suggest a student-mentor relationship early in the undergraduate education experience is essential.
Show less - Date Issued
- 2014
- Identifier
- CFH0004594, ucf:45232
- Format
- Document (PDF)
- PURL
- http://purl.flvc.org/ucf/fd/CFH0004594
- Title
- Use of Video-Enhanced Debriefing in Clinical Nursing Skill Acquisition: Indwelling Urinary Catheterization as an Exemplar.
- Creator
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Hoyt, Erica, Gill, Michele, Clark, M. H., Chase, Susan, Gonzalez, Laura, University of Central Florida
- Abstract / Description
-
Nursing students struggle to acquire and maintain clinical psychomotor skills. Hiring agencies bear the cost of retraining graduate nurses inept with skills learned early in their nursing curriculum. Improperly performed clinical skills pose a risk to patient safety, resulting in pain and suffering for the patient. This empirical study aimed to determine if video-enhanced debriefing (VED) improved initial skill validation scores, skill feedback, satisfaction with learning, and reduced skill...
Show moreNursing students struggle to acquire and maintain clinical psychomotor skills. Hiring agencies bear the cost of retraining graduate nurses inept with skills learned early in their nursing curriculum. Improperly performed clinical skills pose a risk to patient safety, resulting in pain and suffering for the patient. This empirical study aimed to determine if video-enhanced debriefing (VED) improved initial skill validation scores, skill feedback, satisfaction with learning, and reduced skill decay among first-semester, pre-licensure BSN students performing female indwelling urinary catheterization (IUC) in a simulated clinical setting compared to no debriefing. Participants received standard instruction, then video-recorded their IUC skill. Participants randomized into the VED group individually participated in an advocacy/inquiry debriefing with the principal investigator while viewing their performance video. Both groups completed a summative IUC skill validation per standard course instruction and submitted their skill performance ratings. All participants completed a survey including their perceived IUC knowledge, amount of skill practice, learning satisfaction with VED, and an evaluation of their skill performance feedback. All participants re-recorded their IUC skill and received performances ratings with the same instruments again ten weeks after the initial skill validation. The analysis revealed that VED did not improve nursing skills, knowledge, practice, or perceptions of the learning experience compared to the video-only group. Nursing students in the VED condition did rate their skill performance feedback higher than those in the video-only group. Students improved performance in both conditions, showing that learning via video is an effective teaching strategy to enhance student's satisfaction with learning, to engage in repetitive practice with feedback, and to improve learning.
Show less - Date Issued
- 2019
- Identifier
- CFE0007656, ucf:52504
- Format
- Document (PDF)
- PURL
- http://purl.flvc.org/ucf/fd/CFE0007656
- Title
- A LITERATURE REVIEW: GAP THEORY, THE NURSE-PATIENT RELATIONSHIP, AND THE HOSPITALITY AMBASSADOR.
- Creator
-
Tanner, Michelle, Iskat, Wilfried, University of Central Florida
- Abstract / Description
-
Historically, hospital institutions came out of the Middle Ages. The unfortunates who found themselves in these places included the poor, pilgrims, travelers, old and the orphaned. Started by Christians to take care of their own monks, hospitals were the epitome of charity and hospitality to its consumers. The purpose of this paper is to use the Gap Theory to explore the nurse-patient relationship within a hospitality setting. This information will be used to clarify points within patients'...
Show moreHistorically, hospital institutions came out of the Middle Ages. The unfortunates who found themselves in these places included the poor, pilgrims, travelers, old and the orphaned. Started by Christians to take care of their own monks, hospitals were the epitome of charity and hospitality to its consumers. The purpose of this paper is to use the Gap Theory to explore the nurse-patient relationship within a hospitality setting. This information will be used to clarify points within patients' hospital stays that could have an effect on the patients' intent to return or recommend the institution. Four key attributes were discovered through the review of literature that can help nurses and patients enhance the therapeutic relationship. Trust, hospitableness, flexibility and activation are all attributes that must be present in this relationship for it to reach the full potential. Comprehensive trainings done often can help hospitals keep their nurses and other medical staff updated and educated on these attributes. Literature supports the possibility that hospitals would benefit from an added position: the Hospitality Ambassador. This person would be able to take on non-clinical roles to help relieve the burden of the nursing staff while providing the personalized service that patients have come to expect.
Show less - Date Issued
- 2011
- Identifier
- CFH0003795, ucf:44774
- Format
- Document (PDF)
- PURL
- http://purl.flvc.org/ucf/fd/CFH0003795
- Title
- FACTORS RELATED TO STRESS IN NURSING STUDENTS.
- Creator
-
Shultz, Marie, Covelli, Maureen, University of Central Florida
- Abstract / Description
-
The purpose of this review of literature was to explore and critically analyze relevant literature regarding stress factors and the consequences of stress in nursing students. Findings from this review of literature aimed to provide a better understanding of stress factors and the physical and psychological impact of stress on nursing students. Information was collected from the Cumulative Index to Nursing and Allied Health Literature, PsycINFO, and MEDLINE- EBSCOhost databases to explore...
Show moreThe purpose of this review of literature was to explore and critically analyze relevant literature regarding stress factors and the consequences of stress in nursing students. Findings from this review of literature aimed to provide a better understanding of stress factors and the physical and psychological impact of stress on nursing students. Information was collected from the Cumulative Index to Nursing and Allied Health Literature, PsycINFO, and MEDLINE- EBSCOhost databases to explore what research has been conducted and to assess the current knowledge base. Analysis of the literature indicated that nursing students reported experiencing increased levels of stress during the academic year. Nursing students reported higher levels of stress in conjunction with elevated external stressors, including increased responsibilities and course requirements. Analysis of the findings suggested that factors related to stress in nursing students arose from clinical sources, academic sources, and personal sources. Further analysis indicated that experiencing elevated levels of stress had a negative impact on the student. Increased levels of stress, combined with poor coping mechanisms, may lead to poor academic performance and burn-out among nursing students. Future research may evaluate means to reduce stress levels and mitigate stress in nursing students through targeting specific causative factors. Findings from this review of literature aim to influence student management of stress.
Show less - Date Issued
- 2011
- Identifier
- CFH0003825, ucf:44778
- Format
- Document (PDF)
- PURL
- http://purl.flvc.org/ucf/fd/CFH0003825
- Title
- FAMILY SUPPORT AND MENTAL HEALTH CARE QUALITY IN NURSING HOMES SERVING RESIDENTS WITH A MENTAL HEALTH HISTORY.
- Creator
-
Frahm, Kathryn, Gammonley, Denise, University of Central Florida
- Abstract / Description
-
The prevalence of mental health disorders among the nursing home population is well recognized. However, providing adequate mental health services for nursing home residents who need them remains a challenging endeavor. The social support of family has long been recognized as a key resource for older adults with a mental health history and older adults residing in nursing homes. The purpose of this study is to examine the quality of mental health care provided for nursing home residents with...
Show moreThe prevalence of mental health disorders among the nursing home population is well recognized. However, providing adequate mental health services for nursing home residents who need them remains a challenging endeavor. The social support of family has long been recognized as a key resource for older adults with a mental health history and older adults residing in nursing homes. The purpose of this study is to examine the quality of mental health care provided for nursing home residents with a mental health history and to determine if family support influences the quality of their mental health care accounting for other facility resident and facility organizational characteristics. The study utilized a retrospective, cross-sectional design with 2003 national Online Survey Certification and Reporting (OSCAR) facility data merged with the resident-level Minimum Data Set (MDS) resulting in N=2,499 nursing homes. Guided by the convoy model of social support and socioemotional selectivity theory, descriptive statistics and exploratory factor analysis were used to create a profile of facility level data of nursing home residents with a mental health history, explore the role of family support, and determine if items within the OSCAR and MDS databases could respectively be used to measure mental health care quality and family support. Overall, it was found that families have a positive relationship with their relatives and are involved in their lives. Additionally, items within the OSCAR and MDS databases could be used to measure mental health care quality and family support. Finally, facility organizational characteristics explained more variation in the quality of mental health care than did facility resident, family support, or market characteristics. In sum, to enhance the quality of mental health care in nursing homes, partnering with families may be an important tool to meet resident needs.
Show less - Date Issued
- 2009
- Identifier
- CFE0002529, ucf:47670
- Format
- Document (PDF)
- PURL
- http://purl.flvc.org/ucf/fd/CFE0002529
- Title
- THE EFFECTS OF MEDICAL CANNABIS USE AMONG ADULTS WITH CHRONIC PAIN: AN INTEGRATIVE REVIEW OF THE LITERATURE.
- Creator
-
Asevedo, Bridget A, Bushy, Angeline, University of Central Florida
- Abstract / Description
-
The purpose of this integrative literature review was to understand the effects of medical cannabis for chronic pain management in adults. Anecdotal reports suggest the use of medical marijuana as a pain management therapy could be an alternative to opioids and other medications which have long term consequences. Potential uses span the health care continuum, from prescribed outpatient symptom management, to acute care, extended care, home care, and hospice treatment settings. The methodology...
Show moreThe purpose of this integrative literature review was to understand the effects of medical cannabis for chronic pain management in adults. Anecdotal reports suggest the use of medical marijuana as a pain management therapy could be an alternative to opioids and other medications which have long term consequences. Potential uses span the health care continuum, from prescribed outpatient symptom management, to acute care, extended care, home care, and hospice treatment settings. The methodology included a review and synthesis of relevant research articles from 2012 to 2018, written in the English language. The findings suggest medical cannabis has the potential of effectively managing chronic pain in older adults. Adverse effects, if present, are mild and resolve without intervention. Lower doses of medical cannabis were reported to be more effective in treating chronic pain compared to higher doses. Inconsistencies in the efficacy of THC were noted compared to CBD for managing neuropathic pain. Implication for nursing practice, policy, education, and recommendation for future research were discussed along with study limitations.
Show less - Date Issued
- 2019
- Identifier
- CFH2000575, ucf:45620
- Format
- Document (PDF)
- PURL
- http://purl.flvc.org/ucf/fd/CFH2000575
- Title
- BSN STUDENTS' OPINIONS OF MENTALLY ILL PATIENTS.
- Creator
-
Chugh, Kavika, Dever, Kimberly, Loerzel, Victoria, University of Central Florida
- Abstract / Description
-
Compassionate care, or humanism, should be available to all patients, but the stigma associated with mental illness is a barrier to many people receiving the appropriate care. Views held by Bachelor of Science in Nursing (BSN) students can vary from custodial, or the belief in a traditional medical model which involved a highly controlled setting for all mentally ill patients, to humanistic, or viewing the hospital as a therapeutic community for the human needs of a patient. This study...
Show moreCompassionate care, or humanism, should be available to all patients, but the stigma associated with mental illness is a barrier to many people receiving the appropriate care. Views held by Bachelor of Science in Nursing (BSN) students can vary from custodial, or the belief in a traditional medical model which involved a highly controlled setting for all mentally ill patients, to humanistic, or viewing the hospital as a therapeutic community for the human needs of a patient. This study examines the views of BSN students before their psychiatric clinical experience through a pretest and post-test survey and analyzes for a shift in opinion following the psychiatric clinical experience. This study's aim is to identify the effect of exposure to mentally ill patients on BSN students' opinions of mental illness. A convenience sample of 56 BSN students from the University of Central Florida College of Nursing was used; recruitment happened through an announcement made during the psychiatric mental health lecture. An online survey was distributed before the psychiatric mental health clinical experience, and a post-test survey was done following the conclusion of this clinical experience. Results showed an overall shift toward humanistic views following exposure to mental illness. These results demonstrate the value of the psychiatric mental health clinical experience in developing humanistic views among BSN students. The results of this study complement past research, which has shown that people who have not had experience with mentally ill persons tend to show more negative, custodial views. However, knowledge and experience can shape one�s view in a more humanistic way, opening up nurses to provide compassionate care.
Show less - Date Issued
- 2018
- Identifier
- CFH2000287, ucf:45759
- Format
- Document (PDF)
- PURL
- http://purl.flvc.org/ucf/fd/CFH2000287
- Title
- OUTCOMES OF FAMILY PRESENCE DURING RESUSCITATION (FPDR) IN THE ACUTE CARE SETTING: A REVIEW OF THE LITERATURE.
- Creator
-
Corn, Audra M, D'Amato-Kubiet, Leslee, Moore, Sarah, University of Central Florida
- Abstract / Description
-
Family Presence During Resuscitation (FPDR) remains controversial and is not consistently implemented during resuscitation events or invasive procedures. Evidence has demonstrated positive outcomes produced by implementation of FPDR; such as, decreased rates of post-traumatic stress symptoms, decreased symptoms of anxiety, and depressive symptoms were not significantly different. Unfortunately, use of FPDR in the acute care setting is not widely accepted or readily implemented. The primary...
Show moreFamily Presence During Resuscitation (FPDR) remains controversial and is not consistently implemented during resuscitation events or invasive procedures. Evidence has demonstrated positive outcomes produced by implementation of FPDR; such as, decreased rates of post-traumatic stress symptoms, decreased symptoms of anxiety, and depressive symptoms were not significantly different. Unfortunately, use of FPDR in the acute care setting is not widely accepted or readily implemented. The primary purpose of this integrative literature review is to evaluate the use of FPDR in the acute care setting. The secondary purpose is to evaluate the health care professional's level of perceived value associated with the outcome of having family present during resuscitation. A systematic literature search was conducted using multiple databases for relevant articles in the English language between 2006 to 2017, including Cumulative Index to Nursing and Allied Health Literature (CINAHL), Educational Resources Information Center (ERIC), Elton B. Stephens Co. Host (Ebsco Host), Medical Literature On-line (Medline), Psychological Information Database (PsychINFO), and PubMed. Search terms included 'family presence during resuscitation', 'family presence', 'pediatrics', 'nurse perceptions', and 'perceptions'. Ten of the nineteen articles suggest the use of FPDR leads to positive outcomes such as decreased post-traumatic symptoms, and decreased anxiety for family members. The use of FPDR can enhance family members' understanding of resuscitation efforts and involves them in their loved one's care. This integrative review indicates the implementation of FPDR can provide benefits for family members of those undergoing CPR and invasive procedures; although the perceptions of the healthcare team remain the barrier to its use.
Show less - Date Issued
- 2018
- Identifier
- CFH2000450, ucf:45858
- Format
- Document (PDF)
- PURL
- http://purl.flvc.org/ucf/fd/CFH2000450
