Sigma Repository: Recent submissions
Now showing items 21-40 of 14390
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Improving recognition of depression among the older adult population
Depression is a common mental health disorder faced by older adults that can go undetected and untreated. It was determined that the project site was not using a screening tool for depression among their patient population ... -
Mentorship of novice pediatric critical care nurse practitioners to improve role transition
The transition from registered nurse (RN) to nurse practitioner (NP) is difficult for many new graduates, leading to low job satisfaction and poor retention with high cost to the employer (Fitzpatrick & Gripshover, ... -
Use of the bedside mobility assessment tool to improve emergency department safety
Falls are a common occurrence in the emergency department and can lead to unintended patient harm and work-related injury. Fall rates at the site remained a concern, so an evidence-based approach was sought. The purpose ... -
Negotiating emotional order: A grounded theory of the survivorship process in women who have completed treatment for breast cancer
Rationale: Decades of research focusing on treatment and detection of breast cancer has promoted better outcomes in treating the disease and longer survival rates. Despite this there is a significant gap in the literatures ... -
Exploring prelicensure undergraduate nursing students' lived experience of engagement in synchronous online learning
The continued uncertainty of nursing education pedagogy during a worldwide pandemic has brought heightened awareness and preparation to synchronous online teaching strategies that bolster student success and engagement. ... -
Medical floor confusion assessment method: Implementation and assessment of risk factors
An estimated 50% of older hospitalized patients experience delirium. This has created significant complications costing an estimated $164 billion or more per year worldwide. The ability to identify patients developing ... -
Video-assisted double lumen tubes: The new gold standard?
Achieving one-lung isolation in thoracic surgery is traditionally done using a conventional double-lumen endobronchial tube (cDLT). The cDLT must be placed into the mainstem bronchus of the nonoperative lung without ... -
Nursing students strengthening resiliency through educator relationships: A basic qualitative study
Nursing school attrition rates are steadily on the rise. Attrition rates are related to high course failure, program drop-out, and burnout. Resiliency is a critical quality that baccalaureate nursing students must attain ... -
A quality improvement project on evaluating the effectiveness of implementing a fall intervention checklist during end of shift report on a post–operative unit
Introduction: Falls are a current issue affecting our senior citizens within the hospital setting. A fall may result in patient injuries, increased length of stay, and hospital costs. To prevent patient falls and fall-related ... -
Action-logics of veterans health administration magnet nurse executives and their practice of supporting nurses to speak up
Health care organizations typically have a hierarchical structure, with physicians dominant and nurses subordinate. The challenge to open and honest communication between doctors and nurses is real, and communication errors ... -
Nurses' experiences of the traditional clinical learning environment for nursing students
Nursing education is unique in its integration of theoretical and experiential learning and yet this integrated approach presents a number of challenges. One nuanced challenge in nursing education is the overlap of the ... -
Improving interventions on cardiovascular disease and diet: A policy incentive analysis
Introduction: Various cardiovascular diseases (CVD) can be catastrophic and can lead to irreversible outcomes. There are limited, improved regulations on awareness of primordial and primary preventions that may decrease ... -
Interdependence of spirituality and well-being among Korean elders and family caregivers
The purpose of this study was to explore the relationship of family spiritual interdependence to the well-being of elders and their family caregivers within Korean family caregiving situations. The correlation of spirituality ... -
Tranexamic acid administration routes for total knee arthroplasty
Patients undergoing total knee arthroplasty (TKA) present unique challenges for healthcare providers. With these procedures, blood loss is a major complication that can lead to anemia, delayed wound healing, joint contractures, ... -
Nurse educators' consensus opinion on using an academic electronic health record: A Delphi study
The purpose of this study was to determine the opinions of nurse educators in the state of North Dakota (ND) who were using the academic Electronic Health Record (EHR) known as SimChart. In this dissertation research study, ... -
Evidence-based practice sustainability and nursing professional governance
Patient care that is not based on evidence-based practice (EBP) could be considered malpractice, and it threatens patient safety, quality, and fiscal performance. EBP implementation is complex, and sustainment of these ... -
Digital notebooks to create faculty continuity and consistent student experiences
Consistency of information across courses and programs is vitally important in online education. An ever-present challenge exists to keep faculty and students abreast of essential modifications to course content which ... -
Clinical reasoning in experienced nurses
This qualitative descriptive study was designed to explore the cognitive strategies used by experienced nurses as they think about assessment findings on their assigned patients. As an essential component of nursing practice, ... -
Level 2 and level 3 patients in a 5-level triage system: Factors related to acuity assignment and trajectory of the emergency department experience
Clinical decision making in the emergency department (ED) can have a significant impact on patient safety and health care outcomes. One type of clinical decision making is the process of emergency department triage. Within ... -
A composite cognition instrument for nursing care of combat casualties
In the course of caring for military and civilian combat casualties, military nurses must make rapid, accurate decisions. When developing methods to teach nurses essential content for combat casualty care, it is important ...
