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- Title
- SEPSIS KNOWLEDGE IN UNDERGRADUATE NURSING STUDENTS.
- Creator
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Tilton, Kelsey E., Guido-Sanz, Francisco, University of Central Florida
- Abstract / Description
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Background: Sepsis is the most common cause of death in critically ill patients in settings other than cardiovascular intensive care units (ICUs). Research shows that early detection is the best way to prevent sepsis progression and improve patient outcomes. Nurses can play a critical role in the treatment of sepsis using their knowledge and resources to detect the presence of sepsis at the earliest possible point in the progression of the syndrome. Baccalaureate nursing students were...
Show moreBackground: Sepsis is the most common cause of death in critically ill patients in settings other than cardiovascular intensive care units (ICUs). Research shows that early detection is the best way to prevent sepsis progression and improve patient outcomes. Nurses can play a critical role in the treatment of sepsis using their knowledge and resources to detect the presence of sepsis at the earliest possible point in the progression of the syndrome. Baccalaureate nursing students were surveyed to assess students' beliefs and knowledge of sepsis and to examine the gaps in students' abilities to identify sepsis. Methodology: An instrument, consisting of 46 items, was developed and administered as a survey. The survey contained demographic questions, belief statements, knowledge questions on sepsis, and an unfolding case study designed to gauge students' understanding and recognition of sepsis. Data were analyzed for descriptive statistics. Participants were undergraduate nursing students recruited from baccalaureate programs across three campuses at the University of Central Florida. Results: The sample consisted of 40 participants. Over 75% (n=31) of participants were females, 42.5% (n=17) were over 27 years old, and 45% (n=18) had five to six years of previous college experience. Only 22% (n=11) of participants selected the three best measures to screen for sepsis at the bedside and 60% (n=24) identified the correct definition of sepsis. In the knowledge application section, 40% (n=16) of participants identified the correct patient in the beginning of the case study (i.e., most likely for developing sepsis or showing signs and symptoms of sepsis). Discussion: Most students reported that they were relatively comfortable with their abilities to identify sepsis in the clinical setting. However, there were some clear gaps in students' understanding of sepsis, particularly related to general knowledge about sepsis and recommended bedside screening measures. Education on sepsis is key to provide timely care to septic patients and to provide them with the best care possible. Conclusion: This study identified gaps in baccalaureate nursing students' understanding of sepsis. Addressing these knowledge deficits could provide students with the ability to identify sepsis earlier and improve patient outcomes in their future practice.
Show less - Date Issued
- 2019
- Identifier
- CFH2000574, ucf:45694
- Format
- Document (PDF)
- PURL
- http://purl.flvc.org/ucf/fd/CFH2000574
- Title
- ECONOMIC AND LEGISLATIVE EFFECTS ON PERFORMANCE BASED FUNDING AND LICENSED PRACTICAL NURSING PROGRAMS.
- Creator
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Papa, Andrew, Milon, Abby, University of Central Florida
- Abstract / Description
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The purpose of this research paper is to evaluate different elements of the State University System of Florida. Specifically, this paper will analyze how universities will respond when appropriated 20 million dollars of performance based funding and will also evaluate how efficient the 2009 changes in Florida's [statute] 464 were. This paper will use comparative statics and a duopoly model in order to explain behavior of universities when they are appropriated performance based funding....
Show moreThe purpose of this research paper is to evaluate different elements of the State University System of Florida. Specifically, this paper will analyze how universities will respond when appropriated 20 million dollars of performance based funding and will also evaluate how efficient the 2009 changes in Florida's [statute] 464 were. This paper will use comparative statics and a duopoly model in order to explain behavior of universities when they are appropriated performance based funding. Moreover, this paper will use measures of central tendencies and hypothesis testing in order to statistically analyze data of Florida's Licensed practical nursing programs provided in the 2013 OPPAGA Nursing education report. When all is said and done the findings in this paper could suggest statutory reform of Florida's [statute] 464.
Show less - Date Issued
- 2015
- Identifier
- CFH0004842, ucf:45464
- Format
- Document (PDF)
- PURL
- http://purl.flvc.org/ucf/fd/CFH0004842
- Title
- EVALUATING INTERVENTIONS TO MITIGATE COMPASSION FATIGUE AMONG AT-RISK NURSING POPULATIONS.
- Creator
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Derayunan, Emily R, Andrews, Diane, University of Central Florida
- Abstract / Description
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This thesis examined the experience of compassion fatigue in nurses through analysis of research studies conducted within the past ten years. A literature review was completed using CINAHL Plus with Full Text, MEDLINE, and PsycINFO databases. Efficacy of current management strategies and interventions was evaluated. Findings indicate that educating nurses working in high-risk units improves self-recognition and lowers compassion fatigue levels. Institutional factors such as a lack of...
Show moreThis thesis examined the experience of compassion fatigue in nurses through analysis of research studies conducted within the past ten years. A literature review was completed using CINAHL Plus with Full Text, MEDLINE, and PsycINFO databases. Efficacy of current management strategies and interventions was evaluated. Findings indicate that educating nurses working in high-risk units improves self-recognition and lowers compassion fatigue levels. Institutional factors such as a lack of managerial support and organizational commitment contribute to the experience of compassion fatigue. An organization's involvement in maximizing compassion satisfaction through meaningful recognition of nurses' contributions to care and implementation of organizational prevention programs minimizes the risk of developing compassion fatigue. Once self-recognition by nurses and organizations participation level in mitigating compassion fatigue is addressed, interventions can be implemented to attenuate the experience of compassion fatigue. Resiliency programs and mindfulness-based interventions were efficacious in mitigating compassion fatigue.
Show less - Date Issued
- 2019
- Identifier
- CFH2000469, ucf:45723
- Format
- Document (PDF)
- PURL
- http://purl.flvc.org/ucf/fd/CFH2000469
- Title
- EXPLORING THE RELATIONSHIP BETWEEN SYMPTOM MANAGEMENT AND DISTRESS IN PEDIATRIC ONCOLOGY NURSES.
- Creator
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Schultz, Amanda M, Loerzel, Victoria, University of Central Florida
- Abstract / Description
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Pediatric oncology is known to be a stressful work environment due to the difficult aspects regarding patient care. This known stress related to work and caring for pediatric oncology patients can negatively impact nurses, patients, and families. The purpose of this study is to examine: relationships between patient symptom management and nurse distress; strategies used by nurses to manage symptoms in pediatric patients with cancer; nurse perceptions of the effectiveness of non-pharmacologic...
Show morePediatric oncology is known to be a stressful work environment due to the difficult aspects regarding patient care. This known stress related to work and caring for pediatric oncology patients can negatively impact nurses, patients, and families. The purpose of this study is to examine: relationships between patient symptom management and nurse distress; strategies used by nurses to manage symptoms in pediatric patients with cancer; nurse perceptions of the effectiveness of non-pharmacologic or nursing interventions; and nurse distress related to managing symptoms in pediatric patients with cancer. Registered nurses (N=13) at a local children's hospital participated in an online survey. The survey included the Nurses' Distress and Interventions for Symptoms Survey (NDISS) and the Stressor Scale for Pediatric Oncology Nurses (SSPON). Descriptive and correlation statistics were used to analyze data. Results showed that the most commonly managed symptoms were pain (100%), nausea/vomiting (100%), hair loss (100%), fatigue (92.3%), worry (92.3%), mouth sores (84.6%), and trouble sleeping (69.2%). On average, participants reported using at least 10 strategies to manage these symptoms. The most common strategies included: active listening, encouraging family involvement, family support, and reducing sleep interruptions. Most participants felt like they managed the symptoms effectively. Overall, the most common stressors for pediatric oncology nurses were related to co-workers (71.8%) and system demands (68.9%). There was no statistically significant relationship between symptom management and nurse distress. Further research should be conducted on the relationship between nurses and significant stressors other than symptom management. Identifying these significant stressors, especially related to co-workers and system demands, would be the first step in the development of appropriate interventions, such as supportive programs, for decreasing nurses' stress response.
Show less - Date Issued
- 2017
- Identifier
- CFH2000154, ucf:45987
- Format
- Document (PDF)
- PURL
- http://purl.flvc.org/ucf/fd/CFH2000154
- Title
- USE OF COMPLEMENTARY AND ALTERNATIVE THERAPIES: A PILOT SURVEY.
- Creator
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Ortiz Cintron, Hector, Allred, Kelly, University of Central Florida
- Abstract / Description
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Meeting patient expectations in relation to pain management is an essential component of palliative and end-of-life care. However, previous research has demonstrated that pain is highly prevalent, especially during the four months prior to death. Poorly controlled pain contributes to cognitive failure, depression and an inability to complete daily activities. Unfortunately, pain and symptom management are often inadequate for patients placed in hospice care. The purpose of this study is to...
Show moreMeeting patient expectations in relation to pain management is an essential component of palliative and end-of-life care. However, previous research has demonstrated that pain is highly prevalent, especially during the four months prior to death. Poorly controlled pain contributes to cognitive failure, depression and an inability to complete daily activities. Unfortunately, pain and symptom management are often inadequate for patients placed in hospice care. The purpose of this study is to evaluate the perspectives of hospice nurses on complementary and alternative therapies to determine if there is an educational need in order to aide in the management of chronic pain in older adults. A survey was developed in order to determine the nursing perceptions of complementary and alternative therapies. A total of 24 participants were recruited. The survey targeted 28 complementary and alternative therapies most commonly used as defined by National Institute for Complementary and Alternative Medicines (NCCAM). Each therapy was ranked on several aspects including perceptions, personal experience, and present knowledge and training. After completing the survey it was found that all participants were either eager or open to use some complementary and alternative therapies in their workplace, in spite of having an educational barrier on how to implement them, and wanted these therapies to become available to patients, families, and staff.
Show less - Date Issued
- 2014
- Identifier
- CFH0004567, ucf:45167
- Format
- Document (PDF)
- PURL
- http://purl.flvc.org/ucf/fd/CFH0004567
- Title
- THE POSSIBLE ROLE OF BURNOUT IN NURSING ERRORS.
- Creator
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Hoskins, Kelley, Heglund, Stephen, University of Central Florida
- Abstract / Description
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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
- The Creation and Validation of a Compromising Scale for Nurses.
- Creator
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Ng, Matthew, Horan, Kristin, Jex, Steve, Pace, Victoria, Min, Hanyi, University of Central Florida
- Abstract / Description
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For reasons such as job context and different interactions, compromising as performed by nurses is likely fundamentally different than compromising performed by other occupations. The following study proposes the creation and validation of a compromising scale for nurses. The first study aims to create the compromising scale for nurses through contemporary methods then test the reliability as well as the factor structure using an exploratory factor analysis on currently employed nurses...
Show moreFor reasons such as job context and different interactions, compromising as performed by nurses is likely fundamentally different than compromising performed by other occupations. The following study proposes the creation and validation of a compromising scale for nurses. The first study aims to create the compromising scale for nurses through contemporary methods then test the reliability as well as the factor structure using an exploratory factor analysis on currently employed nurses recruited through a Qualtrics panel study. The second study then takes the final compromising scale for nurses and conducts a confirmatory factor analysis among a sample of employed nurses participating in a mindfulness intervention to verify the previously discovered factor structure. This study provides a unique approach to conflict resolution instruments and discusses the implications this may have.
Show less - Date Issued
- 2019
- Identifier
- CFE0007692, ucf:52418
- Format
- Document (PDF)
- PURL
- http://purl.flvc.org/ucf/fd/CFE0007692
- Title
- COMPARISON OF ARNP AND PHYSICIAN MALPRACTICE IN STATES WITH AND WITHOUT CONTROLLED SUBSTANCE PRESCRIBING AUTHORITY.
- Creator
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Chandler, Deborah, Rash, Elizabeth, University of Central Florida
- Abstract / Description
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Florida is one of two states that do not allow ARNPs to prescribe controlled substances. The Florida Legislature has expressed concern regarding the safety of ARNPs prescribing controlled substances. The purpose of this study was to compare malpractice rates of ARNPs and physicians in states with and without controlled substance prescribing. The design was a direct comparison of malpractice rates in states with and without ARNP controlled substance prescriptive authority. Comparison of...
Show moreFlorida is one of two states that do not allow ARNPs to prescribe controlled substances. The Florida Legislature has expressed concern regarding the safety of ARNPs prescribing controlled substances. The purpose of this study was to compare malpractice rates of ARNPs and physicians in states with and without controlled substance prescribing. The design was a direct comparison of malpractice rates in states with and without ARNP controlled substance prescriptive authority. Comparison of malpractice claims was made between physicians (MDs and DOs collectively) and ARNPs in the United States and by state ARNP prescribing authority. Comparison of malpractice claims was also made between Florida and states that were demographically similar. The results showed that ARNPs have significantly less malpractice than physicians in the United States. In addition, there were no significant differences in malpractice, whether or not the ARNP was allowed to prescribe controlled substances. Finally, ARNPs working in states that are demographically similar to Florida, but allowed to prescribe controlled substances had no significant increase in malpractice. This study showed that there is no increase in malpractice rates in states where ARNPs prescribe controlled substances, either fully or partially, supporting the hypothesis.
Show less - Date Issued
- 2010
- Identifier
- CFE0003212, ucf:48588
- Format
- Document (PDF)
- PURL
- http://purl.flvc.org/ucf/fd/CFE0003212
- Title
- AN EXAMINATION OF BEST PRACTICES IN RETENTION IN THE ASSOCIATE DEGREE NURSING PROGRAMIN THE FLORIDA COMMUNITY COLLEGE SYSTEM.
- Creator
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Lewis, Mary, Evans, Ruby, University of Central Florida
- Abstract / Description
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ABSTRACT This mixed-methods research examined student nurse retention methods perceived as best practice by directors and coordinators in selected Associate Degree Nursing (AND) programs within the Florida Community College System (FCCS). A critical nursing shortage is expected to worsen over the next twenty years due to the aging workforce and the inadequate supply of qualified nurse graduates. The Associate degree nursing programs supply the majority of nursing graduates to the workforce....
Show moreABSTRACT This mixed-methods research examined student nurse retention methods perceived as best practice by directors and coordinators in selected Associate Degree Nursing (AND) programs within the Florida Community College System (FCCS). A critical nursing shortage is expected to worsen over the next twenty years due to the aging workforce and the inadequate supply of qualified nurse graduates. The Associate degree nursing programs supply the majority of nursing graduates to the workforce. Thus, the associate degree nursing programs and student retention measures were studied. The research was conducted using a Delphi survey of directors of nursing in ADN programs within the FCCS. This survey served as the template for faculty surveys, which were distributed to faculty members under the selected ADN program directors. Students were surveyed with a similar Likert type scale with focus groups to allow for open-ended interviewing. Following analysis of the data, directors of nursing, faculty, and students in the ADN programs identified eleven best practices. Extensiveness strengthened the research. Resulting information will be helpful for nursing program curriculum and program planning. Future research can examine best practices quantitatively. This study can also be replicated at other venues.
Show less - Date Issued
- 2005
- Identifier
- CFE0000893, ucf:46631
- Format
- Document (PDF)
- PURL
- http://purl.flvc.org/ucf/fd/CFE0000893
- Title
- EFFECTS OF ENERGY-BASED THERAPIES ON POSTOPERATIVE RECOVERY: AN INTEGRATIVE REVIEW OF THE LITERATURE.
- Creator
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Wooten, Emily M, Bushy, Angeline, D'Amato-Kubiet, Leslee, University of Central Florida
- Abstract / Description
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Associated with health care reform, there has been a growing interest among healthcare professionals regarding use of energy-based therapies as a complementary therapeutic intervention. The purpose of this integrative literature review was to examine the impact of energy-based therapies (i.e. healing touch, reiki, therapeutic touch) on patients� postoperative recovery. The methodology included identifying appropriate peer-reviewed, English-language research articles on the topic area that...
Show moreAssociated with health care reform, there has been a growing interest among healthcare professionals regarding use of energy-based therapies as a complementary therapeutic intervention. The purpose of this integrative literature review was to examine the impact of energy-based therapies (i.e. healing touch, reiki, therapeutic touch) on patients� postoperative recovery. The methodology included identifying appropriate peer-reviewed, English-language research articles on the topic area that were published between 2006 to 2018. Following a search in select data bases, articles focusing on the topic were critiqued, analyzed and synthesized by the researcher. Consistent and inconsistent findings along with gaps in the literature are noted. In general, the research supported positive postoperative recovery outcomes when energy-based therapies were included along with standard postoperative nursing care. This theses highlights implication for nursing practice, education, and policy and identifies study limitations. Given that research is limited on this topic area, additional studies are needed to establish supporting evidence to ascertain the effects of energy-based therapies when used as a complementary postoperative intervention.
Show less - Date Issued
- 2018
- Identifier
- CFH2000456, ucf:45865
- Format
- Document (PDF)
- PURL
- http://purl.flvc.org/ucf/fd/CFH2000456
- Title
- VARIABLES THAT PREDICT SUCCESS WITH ASSOCIATE DEGREE NURSING STUDENTS AT A COMMUNITY COLLEGE IN FLORIDA.
- Creator
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Miles, Linda, Taylor, Rosemarye, University of Central Florida
- Abstract / Description
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The purpose of this exploratory, retrospective study was to determine if student demographics and academic variables predicted student persistence and success in an associate degree nursing program in Florida and to investigate the variables in Tinto's Longitudinal Model of Dropout (1975).The sample population (N=304) for this study was students enrolled in one of the initial courses of the associate degree nursing program at Daytona Beach Community College (DBCC) in Daytona Beach, FL...
Show moreThe purpose of this exploratory, retrospective study was to determine if student demographics and academic variables predicted student persistence and success in an associate degree nursing program in Florida and to investigate the variables in Tinto's Longitudinal Model of Dropout (1975).The sample population (N=304) for this study was students enrolled in one of the initial courses of the associate degree nursing program at Daytona Beach Community College (DBCC) in Daytona Beach, FL from August 2002 through August 2003. Students were assigned to one of three groups (a) passing group, (b) failing group, or (c) withdrawing group. The convenience sample of (N=304) included: 242 students who successfully completed the nursing program, 32 students who failed a nursing course, and 38 students who withdrew from a course prior to successful completion. Demographic variables, admission and college science course grade point averages, and Nurse Entrance Test (NET) scores were collected on the sample population. Descriptive statistics were used to identify any unique differences that may have existed between the three groups, and multinomial logistic regression was used to determine the variables that best predicted success in the associate degree nursing program. Students in the passing group were found to be slightly older than students in the failing and withdrawing groups. The passing group had a higher percentage of females; the failing and withdrawing groups had higher percentages of males. The failing and withdrawing groups also contained higher percentages of minority students and students with English as a second language. Ethnicity was considered a significant predictor for student success in this study. Grade point average (GPA) score at the time of admission to the nursing program and college mean science course GPA scores were significant predictors. Students in the passing group had higher mean admission grade point averages than the failing and withdrawing groups. Students in the passing group also had noticeably higher mean grade point averages in all college science courses. NET scores were not considered significant predictors, at least for students who met the requirements for admission, and minimal differences were noted between the three groups in the study. The results of the study supported the use of variables identified in Tinto's Longitudinal Model of Dropout (1975) for predicting program success with nursing students. Individual attributes and pre-college experiences were predictors of student success for this sample, and demographic differences were identified between successful and unsuccessful students. Based on the results, the nursing department should consider placing more emphasis on admission and college science course grade point averages during the application process. A future conceptual model should include college science course GPAs, specifically anatomy and physiology and microbiology, and admission grade point average. Remedial or support services should be emphasized for minority students and students with English as a second language. Strategies should be implemented to retain men in the nursing program.
Show less - Date Issued
- 2006
- Identifier
- CFE0001344, ucf:46978
- Format
- Document (PDF)
- PURL
- http://purl.flvc.org/ucf/fd/CFE0001344
- Title
- WOMEN'S PERCEPTIONS OF NURSING CARE AND MANAGEMENT AFTER FIRST TRIMESTER MISCARRIAGE.
- Creator
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McGee, Jennifer, D'Amato-Kubiet, Leslee, University of Central Florida
- Abstract / Description
-
Spontaneous abortion, or miscarriage, is an event that affects approximately one in four women during their reproductive years. Despite the psychological and physiological trauma associated with the loss of pregnancy, few evidence-based practice recommendations exist to guide nursing care of women experiencing first trimester miscarriage. The purpose of this integrative review of literature was to examine research related to women's health care experiences of first trimester miscarriage and...
Show moreSpontaneous abortion, or miscarriage, is an event that affects approximately one in four women during their reproductive years. Despite the psychological and physiological trauma associated with the loss of pregnancy, few evidence-based practice recommendations exist to guide nursing care of women experiencing first trimester miscarriage. The purpose of this integrative review of literature was to examine research related to women's health care experiences of first trimester miscarriage and discuss common themes relating to nursing care. Inclusion criteria consisted of peer review research articles published after 2001 and available in the English language and women that experienced miscarriage during the first 12 weeks of pregnancy. Current literature was collected from Cumulative Index of Nursing and Allied Health Literature (CINAHL), MEDLINE- EBSCOhost and PsycINFO databases using combinations of various key words. Six qualitative studies and one quasi-experimental study met the inclusion criteria and were reviewed. The results indicated that nursing care of women experiencing miscarriage should include therapeutic communication, psychological support, and provision of information and follow-up care. While there is little research reviewing nursing interventions related to first trimester miscarriage, these themes may help guide the development of further research reviewing the efficacy and effectiveness of specific nursing interventions.
Show less - Date Issued
- 2013
- Identifier
- CFH0004414, ucf:45134
- Format
- Document (PDF)
- PURL
- http://purl.flvc.org/ucf/fd/CFH0004414
- Title
- THE ACQUISITION OF STUDENT NURSES' KNOWLEDGE OF GENETICS AND GENOMICS AND ATTITUDES TOWARD THE APPLICATION OF THEIR KNOWLEDGE IN CLINICAL PRACTICE.
- Creator
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Munroe, Theresa, Loerzel, Victoria, University of Central Florida
- Abstract / Description
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BACKGROUND: Nurses have the opportunity to bring a unique perspective to genetic and genomic healthcare through their emphasis of health promotion, prevention, screening, caring, and patient, family, and community relationships. Nurses are expected to have genetic and genomic knowledge that can be integrated into clinical practice. However, researchers today are finding nursing students are not competent or comfortable in the clinical applications of genetics and genomics, even though these...
Show moreBACKGROUND: Nurses have the opportunity to bring a unique perspective to genetic and genomic healthcare through their emphasis of health promotion, prevention, screening, caring, and patient, family, and community relationships. Nurses are expected to have genetic and genomic knowledge that can be integrated into clinical practice. However, researchers today are finding nursing students are not competent or comfortable in the clinical applications of genetics and genomics, even though these students will soon be working in healthcare as it advances in these fields. The purpose of this research was to evaluate the genetic and genomic knowledge of nursing undergraduate students and explore their attitudes about using this knowledge in practice. METHOD: A pre- and posttest design was used. Student knowledge was measured online using the Genomic Nursing Concept Inventory (GNCI) in both tests. Demographic questions were included in the pretest and questions regarding attitudes toward comfort and readiness to apply that knowledge were included in the posttest. The pretest was administered at the beginning of the Spring 2014 semester. The posttest was administered at the end of the same semester, after the nursing students received the majority of genetic and genomic instruction from their program's curriculum. Descriptive statistics were used to examine all data. Total and subscale knowledge scores on the GNCI were computed for each test. A paired t-test was used to compare pre- and post-GNCI total and subscale scores. Correlations were calculated at both time points. A Spearman correlation was used to examine the relationship between prior experience with genetic education or exposure to people with a genetic condition and total pre-score knowledge on the pretest. For the posttest, a total attitude score was calculated to examine the relationship between attitude and post total knowledge scores using a Pearson's r correlation. FINDINGS: 109 undergraduate junior nursing students participated. Gains in total and subscale knowledge between the pre- and posttest were statistically significant (p [less than] 0.05), except for the Mutations subscale. For the pretest GNCI, the average mean score was 45%, which improved to 50% at the time of the posttest. Lowest scoring items were in the Genome Basics subscale, whereas highest scoring items were found within the Inheritance subscale for the posttest. Mean total attitude scores were 28.33 (SD = 5.17) indicating students had a relatively positive attitude towards using their knowledge base in practice. The majority of students (87.1%) agreed that it is important for the nurse to incorporate genetic and genomic knowledge into clinical practice although only 34.9% felt ready to do so. DISCUSSION: Genetics and genomic knowledge and preparedness were low among nursing students. This demonstrates a need for more integration of genetic and genomic content within nursing curriculum, including a review of basic concepts. Nurses are expected to perform comprehensive health assessments by incorporating knowledge of genetic, environmental, and genomic influences and risk factors. Lack of a basic understanding could lead to patient consequences related to inadequate risk assessment, referrals for genetic counseling, and patient education.
Show less - Date Issued
- 2014
- Identifier
- CFH0004648, ucf:45290
- Format
- Document (PDF)
- PURL
- http://purl.flvc.org/ucf/fd/CFH0004648
- Title
- Work and Family Conflict: A Comparative Analysis Among Staff Nurses, Nurse Managers, and Nurse Executives.
- Creator
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Raffenaud, Amanda, Unruh, Lynn, Liu, Albert Xinliang, Fottler, Myron, Andrews, Diane, University of Central Florida
- Abstract / Description
-
The nursing workforce increasingly faces issues that affect clinical and managerial practice. One such issue is work-family conflict (WFC) and family-work conflict (FWC). Nurses face role strain as they confront the pressures from often competing work-and-family roles. This study assessed WFC/FWC among varying nurse roles: staff nurses, managerial nurses, and nurse executives. A random sample of 5,000 nurses, generated from registered nurses practicing in the state of Florida, was surveyed...
Show moreThe nursing workforce increasingly faces issues that affect clinical and managerial practice. One such issue is work-family conflict (WFC) and family-work conflict (FWC). Nurses face role strain as they confront the pressures from often competing work-and-family roles. This study assessed WFC/FWC among varying nurse roles: staff nurses, managerial nurses, and nurse executives. A random sample of 5,000 nurses, generated from registered nurses practicing in the state of Florida, was surveyed for this research study. Nurses were surveyed on demographics, perceptions regarding the work environment, and perceptions of WFC/FWC. Descriptively, nurses experienced more work-family conflict than family-work conflict. Regression analyses and ANOVAs indicated that staff nurses experienced less work-family conflict than nursing managers (second most) and nursing executives (highest). None of the nurse roles experienced significant levels of FWC. White nurses, compared to non-white nurses, experienced less WFC and FWC. WFC increased with shift length but FWC was not significantly affected by it. Paid leave for childbirth was associated with lower FWC. This study holds significant implication for the nursing workforce. Nurse managers and executives showed significantly higher WFC than staff nurses. This may discourage a nurse from taking on leadership roles or lead to leaving them. In an era where nurse managers and leaders are needed, efforts must be taken to decrease WFC/FWC factors. Nonwhite nurses reported higher levels of both WFC and FWC. This may contribute to tension at the workplace and a difficult family life. Leaders must continue to create platforms for nurses of all races and ethnicities to voice their work and family needs, and to be supported when doing so. Nurses working shifts over 8 hours had higher WFC levels. Although 12-hour shifts have been popular among staff and management, their use should be reevaluated. Finally, paid leave for childbirth is a program worth supporting, as it was a factor in lower FWC.
Show less - Date Issued
- 2018
- Identifier
- CFE0007081, ucf:51997
- Format
- Document (PDF)
- PURL
- http://purl.flvc.org/ucf/fd/CFE0007081
- Title
- Front-Line Registered Nurse Job Satisfaction and Predictors: A Meta-Analysis from 1980 - 2009.
- Creator
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Saber, Deborah Anne, Norris, Anne, Andrews, Diane, Byers, Jacqueline, Bowers, Clint, University of Central Florida
- Abstract / Description
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Front-line registered nurses (RNs) make up the workforce that directly affect the care of patients in a variety of different healthcare settings. RN job satisfaction is important because it is tied to retention, organizational commitment, workforce safety, patient safety, and cost savings. The strongest predictors have been difficult to determine because workplaces differ, numerous tools to measure satisfaction exist, the workforce is diversified by generations and work positions, and ongoing...
Show moreFront-line registered nurses (RNs) make up the workforce that directly affect the care of patients in a variety of different healthcare settings. RN job satisfaction is important because it is tied to retention, organizational commitment, workforce safety, patient safety, and cost savings. The strongest predictors have been difficult to determine because workplaces differ, numerous tools to measure satisfaction exist, the workforce is diversified by generations and work positions, and ongoing policy changes directly impact the work of the front-line RN. The strength and stability of the workforce depends on an accurate understanding of the predictors of job satisfaction for the front-line RN. The purpose of this study was to comprehensively, quantitatively examine predictors of front-line RN job satisfaction from 1980-2009 to provide overarching conclusions based on empirical evidence. Of interest was: the (1) estimation of large, moderate, and small predictor summary effect sizes; (2) assessment of predictor differences among decades (i.e., 1980s, 1990s, and 2000s); (3) identification of causes for predictor differences among studies (i.e., moderators); and (4) investigation of predictor differences between generations (i.e., Baby Boomers, Generation X, and Millennials).A non-a priori meta-analysis approach was guided by inclusion and exclusion criteria to review published and unpublished studies from 1980(-)2009. The search process identified 48 published and 14 unpublished studies used for analysis. Within the studies that met inclusion criteria, 27 job satisfaction predictors met inclusion for analysis. Studies were coded for Study Characteristics (e.g., Year of Publication, Country of Study) that were needed for moderator analysis. Predictors were coded for data that were necessary to calculate predictor summary effect sizes (i.e., r, n). Coding quality was maximized with a coding reliability scheme that included the primary investigator (PI) and secondary coder. A random-effects model was used to guide the calculation of summary effect sizes for each job satisfaction predictor. Publication bias was examined using funnel plots and Rosenthal's Fail-safe N. An analysis of variance (ANOVA) was used to evaluate predictor differences among decades (i.e., 1980s, 1990s, and 2000s). Heterogeneity among studies was calculated (i.e., Q-statistic, I-squared, and Tau-squared) to guide the need for moderator analysis. Moderator analyses were conducted to evaluate Study Characteristics as sources of predictor differences among studies, and to investigate the influence of Age (i.e., generation) on predictor effect sizes.The largest effect sizes were found for three predictors: Task Significance (r=.61), Empowerment (r=.55), and Control (r=.52). Moderate effect sizes were found for 10 predictors (e.g., Autonomy: r=.44; Stress: r=-.43), and small effect sizes were found for nine predictors (e.g., Wages: r=.23; Staffing Adequacy: r=.19). Significant heterogeneity between studies was present in all of the 27 predictor analyses. Effect size differences were not found between decades or generations. Moderator analysis found that the sources of the difference between studies remain unexplained indicating that unknown moderators are present.Findings from this study indicate that the largest predictors of job satisfaction for the front-line RN may be different than previously thought. Heterogeneity between studies and unidentified moderators indicate that there are significant differences among studies and more research is needed to identify the source(s) of these differences. The findings from this study can be used at the organizational, state, and national level to guide leaders to focus efforts of workplace improvements that are based on predictors that are most meaningful to front-line RNs (i.e., Task Requirements, Empowerment, and Control). Future research is needed to determine contemporary predictors of job satisfaction for the front-line RN, and the causes of heterogeneity between studies. The findings from the current study provide the critical synthesis needed to guide educational and practice recommendations aimed at supporting job satisfaction of front-line RNs, thereby, maintaining this integral component of the healthcare workforce.
Show less - Date Issued
- 2012
- Identifier
- CFE0004592, ucf:49220
- Format
- Document (PDF)
- PURL
- http://purl.flvc.org/ucf/fd/CFE0004592
- Title
- EVALUATION OF A SIMULATION-ENHANCED OBSTETRIC CLINICAL EXPERIENCE ON LEARNING OUTCOMES FOR KNOWLEDGE, SELF-EFFICACY, AND TRANSFER.
- Creator
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Guimond, Mary, Sole, Mary Lou, University of Central Florida
- Abstract / Description
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Simulation using computerized patient mannequins may be a useful mechanism to teach safe and effective nursing care, thus improving the quality of education for nurses. As nursing program enrollments grow, clinical placement is becoming more difficult and may not offer consistent learning opportunities that reinforce safe and effective nursing practice. This study applied Ford, Smith, Weissbein, Gully, and SalasÃÂÃÂÃÂÃÂ' (1998) model of learning transfer as the theoretical framework to...
Show moreSimulation using computerized patient mannequins may be a useful mechanism to teach safe and effective nursing care, thus improving the quality of education for nurses. As nursing program enrollments grow, clinical placement is becoming more difficult and may not offer consistent learning opportunities that reinforce safe and effective nursing practice. This study applied Ford, Smith, Weissbein, Gully, and SalasÂÂÂÂ' (1998) model of learning transfer as the theoretical framework to design a simulated obstetric clinical learning experience to augment the current clinical practice model, an approach that may lead to an improved educational experience. The purpose of this study was to compare learning outcomes of two clinical teaching strategies for obstetric clinical content for undergraduate nursing students: standard clinical instruction and a simulation-enhanced clinical experience. A mixed-method approach was used. A randomized cluster design was chosen to compare the learning outcomes for students participating in a simulation-enhanced clinical experience versus students participating in a traditional clinical rotation. From the study population of 124 students, 40 participated in the simulation-enhanced clinical group, with the remainder of students serving as controls. Four instruments (Obstetric Nursing Self-Efficacy instrument, Goal Orientation Scale, Proxy Measure, and examination knowledge items) were used to measure student characteristics or achievement of outcomes. Learning outcomes for self-efficacy, knowledge, skills, and transfer were compared between the groups using ANCOVA, independent sample t-test, and chi-square analyses. A qualitative descriptive analysis of clinical evaluations for all students was also conducted. Demographic characteristics between the groups were not statistically different. The analysis of covariance (ANCOVA) revealed no difference in ONSE posttest scores between the groups after adjusting for goal orientation and ONSE pretest scores. An alternative ANCOVA for sequence (time in semester when the simulation occurred) and group was not significant. However, after adjustment for the covariate of ONSE pretest scores, ONSE posttest scores varied with sequencing (p <.05); students who had the simulated experience during the first half of the semester (M=67.27) scored higher than those in the second half (M=60.89) when pretest scores were used as a covariate. No differences were found between the experimental and control groups for knowledge or skills. The narrative analysis revealed broad variation in comments on the clinical evaluation form among clinical instructors. Attitude, knowledge attainment, skill acquisition, helpfulness, and professional role attributes were common themes related to student clinical performance. The findings from the study contribute to a growing body of literature evaluating the efficacy of simulation to augment clinical nursing practice experience. Data suggest there is little difference in learning outcomes for students participating in a simulation-enhanced clinical group versus the traditional clinical rotation. This finding supports that at least 15% of clinical hours could occur in a simulated clinical environment. A model driven method of simulation design and delivery could support learning in a way that will allow for efficient and effective use of simulation to support safe and effective obstetric nursing care.
Show less - Date Issued
- 2010
- Identifier
- CFE0003414, ucf:48374
- Format
- Document (PDF)
- PURL
- http://purl.flvc.org/ucf/fd/CFE0003414
- Title
- EVALUATING OUTCOMES OF EDUCATION ON WASTE MANAGEMENT IN THE HOSPITAL SETTING.
- Creator
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Schlather, Taryn N, Decker, Jonathan, Loerzel, Victoria, University of Central Florida
- Abstract / Description
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With advancements in healthcare, we continue to find new needs that must be addressed. Hospitals generate a substantial amount of medical waste, and proper disposal is important for patient and staff safety, environmental protection, and cost efficiency. A series of studies show there is a need for further education on hospital waste management policies. This thesis aims to evaluate education interventions to improve knowledge and healthcare waste disposal practices. This literature review...
Show moreWith advancements in healthcare, we continue to find new needs that must be addressed. Hospitals generate a substantial amount of medical waste, and proper disposal is important for patient and staff safety, environmental protection, and cost efficiency. A series of studies show there is a need for further education on hospital waste management policies. This thesis aims to evaluate education interventions to improve knowledge and healthcare waste disposal practices. This literature review was conducted using multiple databases, including MedLINE, CINAHL, GreenFILE, Google Scholar, EBSCOhost, and NCBI, to find qualifying research articles in the English language from 2005-2018. Key terms for the searches were: education, training, waste, disposal, healthcare, medical, reduction, hospital, pound, and kilogram. Results demonstrate that further education on hospital waste management has the potential to reduce waste, improve disposal and segregation, and reduce costs. However, the lack of consistency in the research, literature, and educational interventions all pose as limitations. Hospitals have the potential to benefit from improved waste management practices by enhancing patient care, reducing waste, saving costs on waste disposal, and protecting the environment.
Show less - Date Issued
- 2018
- Identifier
- CFH2000377, ucf:45822
- Format
- Document (PDF)
- PURL
- http://purl.flvc.org/ucf/fd/CFH2000377
- Title
- THE EFFECT OF NURSING INTERVENTIONS AND HEALTH PROMOTION ON CHILDHOOD OBESITY: A LITERATURE REVIEW.
- Creator
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Mageloff, Grace N, Decker, Jonathan, University of Central Florida
- Abstract / Description
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Childhood obesity is a growing epidemic in the United States that has short-term and long-term health consequences for the children affected. Nurses are patient advocates and are responsible for speaking up for the patient; in the pediatric population, a nurse must act as an advocate on behalf of the child. The purpose of this literature review is to look at different barriers to nursing interventions in regard to childhood obesity. A literature review was done by using different databases,...
Show moreChildhood obesity is a growing epidemic in the United States that has short-term and long-term health consequences for the children affected. Nurses are patient advocates and are responsible for speaking up for the patient; in the pediatric population, a nurse must act as an advocate on behalf of the child. The purpose of this literature review is to look at different barriers to nursing interventions in regard to childhood obesity. A literature review was done by using different databases, with 11 articles having similar themes and interventions used. The main themes from the literature review were parental willingness and involvement in weight loss strategies with their child, a lack of training for nurses in the area of childhood obesity, and a lack of standardized assessment methods for charting and tracking children's weight status. The research suggests that the more involved a parent is, the more successful the child's weight loss will be. Additionally, an overall lack of training in health promotion was noted among nurses alone with a feeling of discomfort when speaking to parents and children about the child's weight, indicating a need for further education in health promotion techniques. Finally, articles did not commonly use a standardized assessment method to track weight status in the pediatric population, making cross-examination of different result difficult and points to a need for a standardized measure that is as objective as possible, such as a body fat percentage measure.
Show less - Date Issued
- 2019
- Identifier
- CFH2000466, ucf:45818
- Format
- Document (PDF)
- PURL
- http://purl.flvc.org/ucf/fd/CFH2000466
- Title
- INFLUENCE OF PEER MENTORSHIP ON NURSING EDUCATION AND STUDENT ATTRITION.
- Creator
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Gisi, Brittany, Heglund, Stephen, University of Central Florida
- Abstract / Description
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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
- CONSIDERING STRESS IN A NURSING STUDENT CONTEXT: PRE-ADMISSION TO PRE-GRADUATION.
- Creator
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Regner, Daniel M, Andrews, Diane, University of Central Florida
- Abstract / Description
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In moderation, stress is a normal response to a perceived challenge which can motivate an individual to perform at their best. Nursing students consistently report a significant amount of stress which has been found to be greater than their non-nursing peers. The purpose of this study is to assess the level of stress reported by second-semester freshman and sophomore students who have declared nursing as a major, compared with the level of stress experienced by junior and senior students who...
Show moreIn moderation, stress is a normal response to a perceived challenge which can motivate an individual to perform at their best. Nursing students consistently report a significant amount of stress which has been found to be greater than their non-nursing peers. The purpose of this study is to assess the level of stress reported by second-semester freshman and sophomore students who have declared nursing as a major, compared with the level of stress experienced by junior and senior students who are enrolled in the university's nursing program. Through this comparison, a conclusion can be drawn as to the level of stress experienced while enrolled in a nursing program, with the level of stress prior to being exposed to the challenges presented by the program. It is intended that the outcomes from this study can be utilized to address stress as it relates to a nursing student from pre-admission through graduation.
Show less - Date Issued
- 2018
- Identifier
- CFH2000300, ucf:45876
- Format
- Document (PDF)
- PURL
- http://purl.flvc.org/ucf/fd/CFH2000300
