Sigma Repository: Recent submissions
Now showing items 21-40 of 12850
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Social factors that exacerbate features of borderline personality disorder in young adult women
Although there are studies conducted with Hispanics and Puerto Ricans living in the United States, there are no studies with female Puerto Rican BPD patients residing in the Commonwealth of Puerto Rico available. Since ... -
Research from Around the World: HIV/AIDS in Africa and the US: SigmaCast, Episode 15
(Sigma Theta Tau International, 2020-12-08)This episode we will be discussing the body of nursing research from Jason E. Farley, PhD, MPH, ANP-BC, FAAN, FAANP, AACRN, a Sigma International Nurse Researcher Hall of Fame inductee in July of 2020 and a professor at ... -
The experience of living with hypertension: Lessons from a cohort of older men
Background: Poor adherence to treatment and poorly controlled hypertension are common in older men, especially in rural areas. Knowledge about the experience of living with hypertension among older men is important for ... -
An educational initiative to prevent unnecessary hospitalization for hospice patients
Avoidable hospitalizations of hospice patients cost Medicare $3 billion a year. When hospice nurses are able to identify early signs and symptoms of acute illness and provide appropriate interventions to prevent such ... -
Contextual factors influencing the acute care registered nurse's response to clinical alarms
Nurses are faced with a multitude of clinical alarms on a daily basis. There is an inherent expectation that upon hearing an alarm the nurse will immediately respond to assess the situation and initiate appropriate action ... -
Exploring the relationships between and among registered nurses' spiritual well-being, spiritual care perspectives, and their provision of spiritual care in acute care settings
Despite acknowledgment that spiritual care is an essential aspect of holistic nursing care, nurses often feel ill-prepared for, uncomfortable with, and uncertain about providing spiritual care. Studies have indicated that ... -
Advocacy: Strategies for staff under stress
(Sigma Theta Tau International, 2020-12-02)These are some unprecedented times, requiring new skills and ways of thinking. Some of the challenges we are experiencing included: Societal and demographic changes Political and social divisiveness and unrest Health ... -
Ambulance offload delay: A process map to improvement
Ambulance patient offload delays in the emergency department have been determined to be harmful to patients, costly to the emergency medical service companies, and stressful for the ED staff. To date, research has only ... -
Blood sample hemolysis prevention: Certified emergency nurses know the answer
Blood sample hemolysis rates in Emergency Departments exceed nationally established benchmarks resulting in patient discomfort, added costs, longer waits, and delayed clinical decision making. Best practices for blood ... -
Identification of human trafficking victims in the emergency department
Healthcare professionals have not been successful in identifying human trafficking victims. Lack of recognition is related to inadequate training and screening tools. No patients had been identified as potential human ... -
Improving screening for child physical abuse in the emergency department
Children often present to the emergency department (ED) for treatment of abuse-related injuries. ED healthcare providers (HCPs) do not consistently screen children for physical abuse, which may allow abuse to go undetected ... -
Staff nurse lead initiative that is “Loud and Clear” on ED workplace violence
Violence against healthcare workers commonly makes headlines. As noted by the ENA “No Silence on ED Violence” campaign, almost half of emergency physicians and nearly 70% of emergency nurses report having experienced ... -
Utilizing cognitive behavioral therapy, token economy technique to positively impact boarding of pediatric psychiatric patients
Recent US data estimates 5% to 7% of pediatric ED visits are related to mental health. The most common mental disorders diagnosed in childhood are Tourette syndrome, attention-deficit/hyperactivity (ADHD), behavior, mood, ... -
Emergency department pediatric self efficacy scale (PEDI-ED-SE): A psychometric study
Extant literature supports that ED health care providers lack self-efficacy for recognizing and managing pediatric emergencies, particularly in community-based hospital settings. Further, empirical evidence supports that ... -
Checking in the checked out
There has been a problem identified amongst staff on all levels regarding disconnection and lack of engagement. This affects employee satisfaction, overall engagement and teamwork. Our objective was designed as a staff ... -
When nurses lead change: Improving door to alteplase times for stroke alert patients
The American Heart Association Target: Stroke Phase II states that goals for alteplase administration should be set at 75% of cases within 60 minutes, and 50% within 45 minutes. The Stroke Champion Program was created to ... -
EKG timeliness: Going against the grain
The goal for all patients presenting to the Emergency Department with a chief complaint of chest pain is to complete an EKG and have it read by an ED Physician within 10 minutes of arrival. Prior to the process change, the ... -
Effectiveness of high fidelity simulation to bleeding control course with proper tourniquet placement amongst school personnel
50 mass shooting incidents occurred in 2016-2017 in 21 states resulting in 221 casualties and 743 injuries (FBI 2018). Bystanders are first on the scene of incidents, making training civilians necessary to decrease morbidity ... -
Human trafficking online educational training to increase emergency nurses' knowledge, self-efficacy, skills in identification, and referral of human trafficking survivors
Human trafficking inclusive of forced labor is a hidden global public health epidemic that crosses all cultures, countries, ages, genders, economic incomes and families. Worldwide human trafficking is known as modern day ... -
Implementing high-flow nasal cannula therapy in the emergency department
Patients with respiratory distress present to the Emergency Department (ED) primarily due to hypoxia, hypoxemia and hypercapnea. These critically ill patients are commonly managed using non-invasive ventilation therapy ...
