Nursing Masters Papers
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Item Transitions of Care in the Veteran Population and the Effects of Patient Education on Patient Outcomes: A Systematic Literature Review(North Dakota State University, 2017) Kallioniemi, Tuula ElinaThe main focus of this systematic literature review was to assess research on care transitions in the veteran population as well as the effects of patient education interventions. A variety of care transition interventions were discovered in the literature. The majority of the interventions described in the research were based upon earlier research by Coleman, Parry, Chalmers and Min - The Care Transitions Intervention (2006), and Naylor and Keating - Transitional Care Model (2008). The large variety in patient populations, heterogeneity of interventions, and lack of protocols hinders direct comparisons between the care transition interventions. Apparent assessment methods for patient education success were largely absent in the literature reviewed. Improved communication, standardization of interventions, and predictions models are likely to be beneficial in developing successful care transition programs in the future for veterans as well as other patient populations.Item Nurses’ Knowledge, Attitudes and Practice of Sudden Unexpected Infant Death Recommendations and Safe Sleep Education: A Systematic Review(North Dakota State University, 2016) Linneman, Jessica BethThis paper conducts a systematic literature review on nurses’ knowledge, attitudes and practice regarding safe infant sleep practices. The Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) framework was used to guide the review of literature. Eighteen articles were evaluated for inclusion criteria and results indicated that nurses’ lack sufficient knowledge and have conflicting attitudes towards infant sleep recommendations, as well as practice safe sleep recommendations inconsistently. In addition, it was found that nurses value policy when it comes to implementing safe sleep practices. A detailed discussion of how knowledge deficits, attitudinal barriers, and education and policy effect nursing practice and patient care provides supporting evidence for proposed interventions to change nursing behavior and practice. Proposed interventions include developing nurse education supported by research findings and rational, a new wide reaching public education campaign and policy development within organizations to support the use to current safe sleep recommendations.Item Initiation and Maintenance of Breastfeeding—Issues Among High-Risk Populations of Mothers of African American Descent and Underage Mothers: A Critical Literature Review(North Dakota State University, 2016) Fear, Trina MarieThis paper is a critical literature review on issues and concerns of initiation and maintenance of breastfeeding amongst high-risk populations including mothers of African American descent and underage mothers. To guide the critical literature review, the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) framework was used. A PRISMA flow diagram outlining the process of the critical literature review is included. The review identified 28 articles which matched the inclusion criteria. Eight common themes emerged, specifically: healthcare or hospital services, knowledge/education, support, social norms and cultural beliefs, return to work or school, policy and legislation, programs and initiatives, and self-efficacy. A detailed discussion of the eight themes along with nursing implications and thoughts on future research is presented.Item New Graduate Nurse Residency Program Development(North Dakota State University, 2015) Danzl, Allison KathleenThis Project reports perceptions of how a new nurse residency addresses essential nursing competencies and transition stress. This Project involved development of content for a new graduate nurse residency program. Part of the Project evaluation was answering the questions: Does knowledge level of the Quality, Safety and Education for Nurses’ competencies at a Midwest critical access hospital increase for program evaluators after review of the content in the developed new graduate residency program? Is the content presented in the five modules relevant to new graduate nurse needs at the Midwest critical access hospital in order to decrease transition stress in the acute care setting? The Project involved program coordination and development. Content of the new graduate residency program was evaluated through surveys completed by 11 Program evaluators. The findings conclude the developed program may assist in reducing new nurse transition stress, and assist in the development of new nurse competency.Item Implementing Simulation into Oncology Education(North Dakota State University, 2015) Hills, Megan RuthNurses, who choose oncology, face complex challenges on a daily basis due to the disease itself and the effects of its treatment. The purpose of the project was to examine the effect implementing simulation into the education of oncology nurses, would have on participant confidence and perceived competence in caring for such complex patients. Two simulation scenarios based on oncologic emergencies were developed and incorporated into the education of oncology nurses at a Midwest hospital. Written pre- and post-evaluations were completed by simulation participants. The results revealed a positive increase in mean rating from pre- to postevaluation, ultimately indicating achievement of the objectives. Simulation continues to provide a safe environment for nurses to build confidence and competence in practice.Item Compassion Fatigue in Critical Care Nursing and Development of an Educational Module(North Dakota State University, 2015) Kotula, Keshia RyanCompassion fatigue is a troubling phenomenon which affects those in care giving roles, and nurses are especially susceptible. The first purpose of this study was to determine the prevalence of compassion fatigue among critical care nurses. The study also examined which demographic characteristics would be associated with a higher level of compassion fatigue. Registered nurses (N=58) from two intensive care units completed the Professional Quality of Life Scale, Version 5 (ProQOL5) and a demographic questionnaire. Overall, the level of compassion fatigue was low as measured by the burnout and secondary traumatic stress subscales. The overall compassion satisfaction was low as well. Young (18-35 years old), less experienced nurses reported significantly higher compassion fatigue than older (36 years old and up), more experienced nurses. The second purpose was to design, implement, and evaluate an educational module on compassion fatigue. Participants found the module to be beneficial and an effective learning tool.Item Perceptions of the Infertile Patient Educated and Cared for Via Telemedicine(North Dakota State University, 2014) Lacher, SharriApproximately 20- 25% of women require infertility treatment using Assisted Reproductive Technologies (ART). These specialized services require highly educated personnel. The availability of these services is compounded by the limited access of specialty care available in the rural areas. An advance in communicative technology called “Telehealth” has increased the accessibility of how education is delivered to patients in rural areas. Nurse and patient, located miles apart, are able to communicate through visual and audio means with the nurse providing education and support to the rural infertile patient. The focus of this Practice Improvement Project was to determine the patient perspective and satisfaction with the use of telemedicine during their treatment. Patients were surveyed to ascertain their perspectives and satisfaction with telemedicine. The data received confirmed women were satisfied with the education they received during their telemedicine visit. Sanford Health Systems (SHS) has expanded their telemedicine program due to the demand.Item Maternal Breastfeeding Satisfaction: Attendance or Non-Attendance at a Nurse-Led Breastfeeding Support Group(North Dakota State University, 2014) Christoffers, ColletteThe benefits of breastfeeding for mothers and infants are well documented in the literature. This study compared maternal breastfeeding satisfaction between mothers who attended a nurse-led breastfeeding support group (n=27) and mothers who did not attend the group (n=26). No statistical difference in maternal satisfaction was identified between the groups of mothers. While the sample size was small, qualitative data collection indicated mothers who attended the group may not have had as high of breastfeeding satisfaction scores if the support group was not available for them to attend. Breastfeeding mothers indicated their husband/significant other was their primary source of support (36 surveys or 68%) and lactation nurses (32 surveys or 60%) were their primary source of education. Individualized support based on a mother’s personal circumstances is ideal. More research is needed to identify the best ways to support mothers who are breastfeeding and what is most helpful from their perspective.Item Reinforcing the Teach-Back Method for Nurses Providing Stroke Patient Education(North Dakota State University, 2014) Dosch, Ahren EvangelineLiterature indicates an opportunity to improve the stroke patient education experience. Enhancing stroke education for nurses is a method by which the patient education experience may be improved. The purpose of the problem-solving project is to provide educational sessions for nurses who have experience in caring for stroke patients and who have received prior education on utilization of the teach-back method. Analysis of the problem solving project helps gain understanding of what demographic factors play a role in nurses’ perceived usefulness of the teaching session. Identifying common demographic factors of nurses’ perceived usefulness will allow nurse educators to direct education efforts toward those groups which demonstrate a lack of understanding regarding the topic presented. The problem solving project was guided by the conceptual framework of Orem’s Self-Care Deficit Nursing Theory.Item End-of-Life Issues for Native American and Alaska Natives: A Critical Literature Review(North Dakota State University, 2013) Terpestra, Jodi LynnThis paper conducts a critical literature review on end of life issues relating to Native Americans and Alaska Natives. The Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) framework was used to guide this literature review. In particular, a PRISMA flow diagram which outlines the various steps of the critical literature review is given. The review identified 18 papers. Although all of these papers fit the inclusion criteria, there was very little uniformity among them. Six common themes emerged; namely, communications, program development, spirituality, rituals, advance planning, and guidelines. A detailed discussion of these six themes along with nursing implications is presented. While work is being done to develop cultural competence, it is apparent nurses must continue to develop their skills related to these six areas of concentration in order to improve end of life car in Native American and Alaska Native populations.Item Development of the Jagim Lean Real Time Location Systems Model for Healthcare(North Dakota State University, 2013) Jagim, Mary KellyThe critical challenge for healthcare today is to be a high quality/low cost provider. However, healthcare is struggling to meet the challenge in terms of quality, outcomes and cost. Healthcare is in need of a blueprint for transformation, leveraging new knowledge and innovation, while consistently and reliably delivering quality and controlling cost. Integrating the process change methodology of Lean with the enterprise visibility afforded by RTLS offers a wealth of exciting options for transformation, yet there is no existing model or defined body of research regarding the application of RTLS within a Lean methodology. The purpose of this project was to design a new model to be known as the Jagim Lean RTLS Model for Healthcare, that integrates the methodology of Lean with the capabilities of RTLS with nursing as a central figure in the healthcare delivery transformation process.