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Now showing 1 - 5 of 17

Recent Submissions

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    Nursing Faculty Professional Identity: A Quality Improvement Project
    (2024-05-09) Davenport, Sally
    The purpose of this quality improvement project was to implement an intervention to improve nurse educators’ nursing professional identity. Inadequate nurse educator professional identity is associated with dissatisfaction and subsequent intent to leave employment, leading to an inadequate faculty workforce to educate future nurses. Nursing leaders have been called to action to develop, reinforce, and sustain nurses’ professional identity. The setting was a school of nursing at a liberal arts university in the south Midwest. A convenience sample of 58.3% of 12 full-time faculty nurse educators participated in the project. One participant was doctoral prepared and the remainder masters. The doctoral educator had 18 years of educator experience; masters educators ranged from two to 14 years (average 7.6 years). The plan, study, do, act (PDSA) quality improvement process was utilized in the project. Participants completed the Professional Identity in Nursing Scale (PINS) then viewed an in-service about professional nursing identity and completed a faculty meeting reflective activity. Post intervention, participants again completed the PINS. Weighted means of self and environment domains and subconstruct items were calculated and percent change in domains identified. Pre-intervention domain ratings were 3.22 to 3.86 with self-ratings higher in all domains than nurse colleague environment ratings. Post intervention, all domains improved and the “values and ethics” self-rating and “knowledge” self and environment ratings increased to above 4.0. Percent change in self-ratings ranged from 4.15 to 12.46% and environment from 13.98 to 17.50%. The lowest sub-construct items were “takes care of one’s self” (self) and “effective communication,” “self-awareness” and “self-regulation” (environment). The intervention resulted in an improvement in all domains and provided focus areas for future development.
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    Intensive Care Unit Liberation: A Quality Improvement Project on the Role of Early Mobilization in Mechanically Ventilated Patients
    (2024-03-06) Stanton, Amanda
    Background: This project addressed the issues surrounding the lack of early mobilization in mechanically ventilated patients in an adult, medical intensive care unit (ICU). The aim was to improve patient outcomes, reduce ventilator time, and minimize ICU length of stay (LOS) through an early mobilization protocol. The objectives included development, implementation, and evaluation of an evidence-based early mobilization protocol. A literature review indicated that early mobilization mitigates muscle atrophy, reduces ventilator time, and ICU LOS. Based on findings, a protocol for early mobilization was developed. Kurt Lewin's Change Theory helped guide this project, offering a systematic approach to change and transitioning to new, evidence-based interventions. Methods: Over 10 weeks in a 24-bed ICU with mechanically ventilated patients, seventy staff members completed a 2-week education period on early mobility. Eligible patients underwent early mobility with daily data collection on demographics, ventilator time, and ICU LOS. Evaluation was based on the ability to participate, time on the ventilator, and ICU LOS compared to current practice. Feedback from providers was also collected to assess feasibility of the protocol. Outcomes: Seventy-one patients (N=71) were included, with 55 receiving early mobility. The average days on ventilator decreased from 6 +/- 1 days to 4.85 days (p = .007), with the ICU LOS decreasing from 12 +/- 5 days to 9 days (p = .099). Recommendations: This project recommends integrating early mobility interventions into critical care by adopting tailored protocols, fostering multidisciplinary collaboration, and implementing ongoing education initiatives.
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    Kline v. Minard
    (2007)
    277 Neb. 874
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    andrea's test
    (2024)
    none
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    Commencement Ceremony
    (1965) Creighton University
    Commencement