Scholarly Projects (MSN)

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https://cdr.creighton.edu/handle/10504/21307

This collection contains the scholarly projects students produced toward completion of their MSN degree.

All content in these collections is open to the public under the agreement stipulated in the non-exclusive distribution license signed by the student upon entering the program.

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Now showing 1 - 5 of 73
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    Nurse Navigation: Tackling Rural Oncologic Health
    (2024-05-11) Hunsaker, Brittany
    Cancer diagnoses are a difficult time regardless of the disease site or the stage in a patient’s life. There are many aspects of care to navigate, and oftentimes specialties that are needed and additional care to be sought out that patients aren’t planning for when they have a life altering challenge to face. Rural health’s poor access can be a recipe for disaster. Financial toxicity can be a burden, lack of knowledge a hindrance, and difficult access to additional resources can propose many obstacles. Nurse navigation can be used within facilities to add additional support for patients and to see them through a trying time with the best resources, a personal touch, and access to the best medical care available. This paper discusses the background, significance, purpose, literature review, and theoretical framework utilized to explore a challenging issue and make evidence-based practice recommendations for change.
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    Nurse Resiliency: Status and Recommendations for Change
    (2024-05-01) Coffelt, Danielle
    Nurse resiliency has been an issue for years but has significantly declined in recent years. Recent challenges faced by the nursing profession include the COVID-19 pandemic which impacted physical and psychological well-being (Alameddine et al., 2021). Challenges such as these have only served to exacerbate constraints already faced by the healthcare field (Galanis, n.d.). Resiliency goes deeper than just nursing. It is a direct result of moral distress. The American Nurses Association defines moral distress as “the condition of knowing the morally right thing to do but institutional, procedural, or social constraints make doing the right thing nearly impossible” (Rushton et al., 2017). In other words, nurse leaders can know that they are understaffed but senior leadership teams may disagree to what extent, creating institutional constraints on the moral urge to gain adequate staffing. Finding balance within these constraints and renewing leadership education, drive, and focus on building nurse resiliency will lead to more well-rounded, healthy nursing teams. This in turn will lead to higher engagement and job satisfaction, higher patient satisfaction, and better patient outcomes. Keywords: nurse, resilience, moral distress, stress, nurse leadership
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    Incivility in Nursing: Contributing and Mitigating Factors and Its Impact on the Confidence and Mental Health of New Nurses
    (2024-05-09) Hutten, Armani E.
    Purpose: The purpose of this paper is to identify the impacts of incivility on new nurses’ confidence and mental health. Additionally, this paper will review and synthesize the literature to identify the contributing and mitigating factors of incivility against new nurses to make evidence-based practice recommendations. Background: New nurses experience higher rates of incivility compared to more experienced nurses. This erodes their confidence and leads to poor mental well-being, causing them to leave the profession. Given the current nursing shortage, we must discover the contributing and mitigating factors so informed decisions can be made to combat the effects of incivility. Sample/Setting: This literature review utilized a diverse range of studies that focused on understanding the contributing and mitigating factors of incivility and their effects on new nurses. Methods: Searches were completed in Cumulative Index of Nursing and Allied Health Literature (CINAHL), PubMed, ScienceDirect, and Google Scholar, utilizing search terms such as incivility, workplace bullying, triggers of incivility, preventing incivility, and new graduate nurses. Articles from 2005 to 2023 were included in the search. After the articles were selected, the recurrent themes were synthesized and evaluated. Results: This literature review synthesizes information from 19 articles from 2008 to 2023. Given the research’s objective to comprehend new nurses’ lived experiences, most of the evidence was qualitative. Conclusion: The contributing factors found in the literature that fuel incivility include workplace culture, increased workload, and stress. The identified mitigating factors that protect new nurses from incivility include personal resiliency, organizational support, empowerment, and clinical education and curriculum.
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    Leadership Rounding
    (2024-05-01) Rath, Ginny
    Abstract Purpose: The purpose of this paper is to advocate for the implementation of leadership rounding as a proactive strategy to address the pressing need for enhancing staff satisfaction and nurse retention within healthcare organizations. Background: The nursing profession faces the challenge of burnout and turnover, exacerbated by factors such as the global pandemic, inadequate staffing levels, and increasing work demands. Recent data from the American Hospital Association and the American Organization for Nursing Leadership highlights a concerning trend, with a significant number of nurses leaving the workforce or intending to do so in the coming years. This issue not only jeopardizes the well-being of healthcare professionals but also compromises patient care quality and organizational stability, necessitating urgent interventions to mitigate nurse burnout and turnover. Sample/Setting: The sample/setting encompasses a diverse range of healthcare organizations, including hospitals, clinics, and other healthcare facilities, where nurse burnout and turnover are prevalent issues. Furthermore, facilities which utilize leadership rounding are included. Methods: A comprehensive literature search was completed using Jay Search. Keywords such as: leadership, rounding, nurse burnout, staff satisfaction and authentic leadership were utilized to perform the search. Results: Structured rounding emerges as a highly recommended practice, supported by evidence of its positive impact on staff satisfaction, workplace culture, and ultimately nurse retention.
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    Pediatric Concurrent Care Implementation: A Literature Review
    (2024-05-09) Hawthorne, Sarah P.
    Purpose: The purpose of this paper is to address the clinical problem of the shortage of pediatric hospice providers that feel comfortable with taking on a pediatric patient, therefore impacting the implementation of pediatric concurrent care. Background: An estimated 500,000 children each year have a serious disease which could lead to a hospice enrollment within a year, and this population is reportedly underserved due to the clinical problem (Vossel, 2022). Methods: A review of literature was conducted to showcase the challenges, benefits, and implementation of pediatric concurrent care. Articles were taken from 2018-2023, and the searches were conducted on the Creighton University Health Science Library search engine, Google scholar, and CINAHL Keywords utilized were “pediatric concurrent care,” “pediatric hospice” and “pediatric palliative care.” Results: Most of the literature was taken from level VI articles, with many level V and level VII articles alongside two level I and level II pieces. Conclusion: Pediatric concurrent care has been proven to be beneficial to children and their families with life-limiting diagnoses, and adult-based hospice employees and parents need to be better supported to provide home hospice care. Curriculum development on pediatric concurrent care and home hospice can increase caretaker competence (Weaver et al., 2019).