General Submissions: Clinical Settings Materials
This collection houses materials created by nurses in a clinical setting.It may include quality improvement projects, patient outcomes, best practices, and patient education materials.
Materials do not undergo peer review upon submission, acceptance, and posting to this repository. Refer to the Review Type and Acquisition Type listed in each item record to determine the vetting standard that has been applied.
Copyright retained by original copyright holder. The posting of materials does not mean that Sigma endorses the view/opinions expressed in individual items.
Recent Submissions
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The role of the national certification as a mark of professionalism in critical care
Professional certifications in health care represent a mark of professionalism, accountability, knowledge, and expertise. Lifelong learning is vital to ensure positive outcomes. This concept is especially true in critical ... -
Reducing food insecurity in pediatric patients and families
This pilot was designed to evaluate the feasibility of implementing food insecurity interventions on our pediatric general surgery and orthopedic inpatient unit. -
Utilizing an individualized music playlist and a receptive music approach to reduce agitation in hospitalized patients with dementia as evidenced by the Agitated Behavior Scale (ABS)
The number of patients with Dementia (PwD) admitted to acute care hospitals is increasing worldwide. Prolonged hospital stays are associated with a deterioration in cognitive, functional, and physiological status (Mathews, ... -
The effects of forest bathing on anxiety in adults: An integrative review
The aim of this study is to explore the effects of forest bathing on anxiety levels in adults. An abundance of forest bathing research evidence is present in the literature. There are documented physiological and psychological ... -
Forest bathing as a self-care modality for nurses
The self-care practice of forest bathing for nurses is the focus of this article. Self-care is the use of actions to promote one's well-being and is an essential aspect of being a nurse. The Japanese form of shinrin yoku ... -
ELNEC final hours of life supplemental materials
(End-of-Life Nursing Education Consortium (ELNEC), 2020)Nurses new to caring for patients who are actively dying during the COVID-19 pandemic may need educational support to be aware of the signs and symptoms during final hours of life. Physical, psychological, social and ... -
The Jacki Jacket after mastectomy with reconstruction: A randomized pilot study
(Springer, 2019-10-14)Background. Breast cancer patients undergoing mastectomy with reconstruction (TM+R) often experience post-operative discomfort from surgical drains. Despite a variety of garment options for use in the post-operative period, ... -
Ideal nursing workflows to support the development of information technology solutions
An understanding of workflows is fundamental to designing information technology solutions to advance patient care, as these solutions must integrate into the workflow. As a precursor to developing a clinical documentation ... -
A study to analysis barrier to compliance of self care practice among patient with diabetes in selected area of Mumbai
(7/3/2018)INTRODUCTION. Diabetes mellitus is now recognized as a “Disease Epidemic” of the 21st century, affecting millions of people worldwide(1). According to World Health Organization (WHO) and International Diabetes ... -
Preoperative instructions, health literacy, and medication adherence
(2018-06-11)Health literacy is defined as the “degree to which individuals have the capacity to obtain, process, and understand basic health information and services needed to make appropriate health decisions” (Ammerman ... -
Decreasing primary care providers’ stigma of mental illness
(5/8/2018)A recent study has indicated that primary care providers hold comparable and possibly more negative attitudes towards persons with mental illness than the general public (Mittal et al., 2016b). Because of their regular ... -
Ventilator associated pneumonia (VAP): Bundle prevention strategies in the pediatric intensive care unit
(2017-11-27)Evidence-based protocols in the prevention of ventilator-associated pneumonia (VAP) in the intensive care setting have been well established in the adult population. Research studies using adult samples in intensive care ... -
Efficacy of aloe vera gel topical application on radiation induced mucositis in head and neck malignancy
(8/8/2017)INTRODUCTION: One word that is even more daunting than the death itself and eats up a person from the inside is cancer. Head and neck malignancy (HNM) is a heterogeneous disease characterized by complex clinical and ... -
The role of fast tracks on length of stay in emergency departments
(5/18/2017)Overcrowding in emergency departments (EDs) is a national crisis affecting hospitals. It has led to an association with poor patient outcomes and is a threat to public safety. Fast tracks (FTs) in the ED are one strategy ... -
Barriers and facilitators for successful integration of nurse practitioners into interdisciplinary care teams
(4/17/2017)Introduction. As the Affordable Care Act provides an opportunity for the previously uninsured to gain coverage, the disparity between those needing care and those providing care grows.It's well established nurse practitioners ... -
An exercise in the provision of care for an adult patient under investigation (PUI) for Ebola: A patient care drill
(MESH Coalition, 2016-02)In October of 2014 Indianapolis found itself, like many communities, preparing for the unknown realities of providing care to a Patient under Investigation (PUI) for Ebola Virus Disease (EVD). A group of clinical experts ... -
70% ethanol for decontamination of central venous lines exposed to calcineurin inhibitors
(2017-02-23)Introduction: Tacrolimus, commonly used for GvHD prophylaxis is usually administered via a dedicated CVL and trough levels drawn from the unexposed lumen. Being an oil-based medication, it may be adsorbed to the ... -
Safe sleep/reading patient education handout
(2017-02-17)During the Fall of 2016, student leadership interns of Delta Xi chapter of Sigma Theta Tau International (STTI) implemented a project to address STTI goals of advancing world health, and celebrating nursing excellence ... -
Process improvement: Increasing skin-to-skin contact during a cesarean birth
(2016-02-03)There are many documented benefits to breastfeeding not only for infants, but for mothers as well. The hospital where I’m employed, which had over 6,600 births last year, wanted to improve maternal/infant ... -
Assessment of risk for osteoporosis
(9/17/2015)Osteoporosis is a major global public health problem associated with significant morbidity, mortality, and socioeconomic burden. Osteoporosis is a silent disease, reflected only in a low bone density, till a fracture occurs. ...