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Evaluating the Effectiveness of Resilience Education in Transition to Practice Program
No full textPurpose: This study evaluates the effectiveness of the resilience education built into the Transition to Practice Program (TTP).
Research Question: Does prioritizing wellness in a TTP build a resilient New Graduate Nurse (NGN)?
Background: Fontanie et. al., (2021) define resilience as an individual’s ability to overcome and rebound from adversity. NGN are rapidly entering the workforce ill prepared for the stressful environments (Ulupinar & Aydogan, 2021). Within the first year, approximately 23.8% of these NGN will leave the profession (National Healthcare Retention & RN Staffing Report, 2024). TTP aid NGN in their transition from student to professional (Miller et. al., 2023). A desired outcome of TTP is an increase in NGN resiliency. When met with transition challenges, it’s key for NGN to develop resiliency to healthily continue in nursing practice. TTP aids in fostering resiliency through support, cohort interactions, and wellness initiatives. As the NGN becomes more resilient, it is anticipated retention rates will improve and staffing within facilities will stabilize.
Methodology: The study design is a retrospective mixed method in a multi-site hospital setting in a Southern US state. A total of 1438 nurses were surveyed from a larger sample size of 1939 NGN onboarded from July 2022 through April 2024 with a 54% return rate. All NGN were polled at 6 and 12 months of employment using a revised Casey Fink graduate nurse experience survey. In addition, all 1939 were polled monthly about their wellness using an internal, self-evaluation tool. Results: The results demonstrated a mix of effectiveness. The data shows 51.48% of returned surveys were answered showing signs of not coping with stress. This stress often leads to NGN leaving the system or nursing altogether (Jarden et al., 2021). Shifting the focus of wellness initiatives is imperative to build resiliency.
Practice Implications: Operationalization of wellness strategies is necessary to build a foundation of resilience among NGN. As hospitals increasingly need to hire NGN to fill their vacancies, dedication must be paid to improving their mental well-being to prevent burnout and improve job satisfaction alongside retention. Ultimately, NGN individual ownership of professional growth and wellness is key to the development of resiliency
Sustainable Classrooms: Leadership in Supporting Well-Being and Education in a ‘Last Mile’ School
No full textThis is a nurse-led intervention project in a ‘Last Mile’ elementary school in a geographically isolated and impoverished area in the foothills of a 6th class municipality in the Philippines. Majority of learners are indigenous children whose need for comfortable and heat-resilient classrooms in resource-deficient community is critical to reduce chronic health and educational disparities.The Philippines’ nationwide classroom shortage is compounded by poorly built facilities that inadequately shelter learners from extreme heat and its associated health risks, and frequent storms. The high heat indexes ranging from 100-110 degrees F made teachers and learners vulnerable to severe discomfort, dehydration, and heat stroke. This problem disrupted in-person classroom delivery nationwide and further widened the educational gap for students lacking access to home computers or parents who are digitally compromised. Three classrooms were built using disaster-resilient structures that supported continuous in-person class delivery amid the nationwide suspension of classes due to extreme heat.A needs assessment was conducted between the school head teacher and a nurse-led public foundation that supports social determinants of health. Partnerships included school and community leaders and two public foundations. A Memo of Understanding detailing the responsibilities of stakeholders was approved prior to construction.Post assessment of the consistency of in-class delivery, classroom engagement, and well-being of children was done. Whereas students nation-wide were mandated to stay home due to severe heat in classrooms, learners were engaged and comfortable in these innovative classrooms as they continuously attended classes The three classrooms complemented the four original classrooms with aluminum roofing and indigenous materials.This project cultivated sustainable community partnerships through collaboration among school officials, parents, and the foundations.The Philippines’ climate constraints of extreme heat interspersed with typhoons severely impact the health, well-being, and classroom delivery among children in underserved communities. This project reinforces the role of nursing leadership in addressing SDG goals (#3) good health and wellbeing, and (#4) quality education, by driving global health initiatives and enhancing health outcomes to reduce disparities in health and education in a vulnerable population
Rural Maternal Health and Information Exchange Challenges in Western New York
No full textBackground/Purpose: Our pregnancy healthcare work in Western New York (WNY) has revealed a pressing issue: high-risk patients are often forced to seek care outside their communities, leading to significant delays in addressing their medical and social needs. Our research, focusing on poor pregnancy outcomes in WNY rural areas, underscores the urgency. The challenges of limited resources and distance from healthcare facilities make it difficult for these individuals to receive adequate pregnancy care, resulting in gaps in health information due to fragmented care and disparate health information exchange databases.
Methods: To address this, we used the AHRQ CCSR to manually review ICD-10 codes that relate to pregnancy and its complications. We then applied these codes to data from HEALTHeLINK for 2022 and 2023 to test and refine our approach. After finalizing the definitions, we added data like county of residence and the National Area of Deprivation Index (ADI) to understand how access to care and health information exchange varies between urban and rural areas. We focused on four counties: Erie (urban), Genesee, Orleans, and Wyoming (rural).
Results: Our preliminary results showed differences in healthcare access and health outcomes between urban and rural pregnant people. Rural areas had higher deprivation indices, with ADI scores between 73.92 and 81.53, compared to 68.52 in Erie County. Pregnant people in rural areas had higher rates of diabetes and similar rates of hypertension, obesity, and mental health issues compared to those in urban areas. Most importantly, nearly half (49.4%) of pregnant people in rural areas had no outpatient visits over one year, compared to only 3.9% in urban areas. This is concerning since pregnant patients are recommended to have about 13 outpatient visits during an uncomplicated pregnancy. It is unclear whether these patients have had any prenatal care or there is a lack of communication between health information exchange databases.
Conclusions and Implications: This research supports past studies that show rural areas often have higher rates of chronic disease and fewer resources. The results highlight the struggles rural communities face, particularly with preexisting health conditions and access to outpatient care. With this information, healthcare providers can improve their care strategies and help improve communication between health systems
Evaluating the Impact of Educational Materials on Mental Health Using Smartphones
No full textThe purpose of this quality improvement project is to explore the impact of smartphone use on mental health issues and evaluate the effectiveness of educational emails with infographics designed to manage smartphone-related issues.
Specifically, the study aims to determine how different levels of smartphone engagement influence the mental health outcomes of sleep disturbances, anxiety, headaches, depression and overall well-being in adult women.
The background for this study is rooted in existing research that links excessive smartphone use to negative mental health outcomes, such as increased anxiety and depression (Twenge & Campbell, 2018). Despite growing concerns about these impacts, there is a notable lack of targeted, evidence-based interventions specifically designed for different populations, such as adult women. Previous studies have highlighted the potential benefits of managing smartphone use through various interventions (Oberle et al., 2020), but many have not tailored these strategies to specific groups or focused on practical educational tools. This research aims to fill this gap by focusing on adult women and using educational emails with infographics to provide actionable advice on reducing smartphone use and improving mental health symptoms.
Methods: All willing participants from select academic and practice sites will receive 8 “Sunday Self Care” emails via their Smartphones. These messages will be sent once every other Sunday from December 2024 through March 2025 with educational materials and infographics related to the symptoms being addressed. Data analysis is pending but anticipated to include ANOVA results.
Anticipated outcomes: This planned project is anticipated to establish foundational practices by showing how smartphone use affects mental health and finding ways to manage it better. This can lead to better health advice and help people improve their well-being
Race, Fear of Falls, Built Environment and Physical Activity in Older Adults with Cancer
No full textMotivation for older adults with cancer (OAC) to engage in physical activity (PA) during and after cancer treatment may be limited by many factors. OAC may be affected by persistent symptoms limiting PA capability such as fatigue, pain and dyspnea, or lack safe home or neighborhood spaces to engage in activity. Fear of falling (FOF) is a major concern among OAC and may decrease PA and life-space mobility. To understand how OAC perceptions of cancer treatment, FOF and their local built environment (BE) influence PA behaviors, we partnered with ResearchMatch.org to recruit a sample of 19 people with a history of cancer aged 65+ who were diverse in self-identified race, ethnicity, gender and sexual orientation. We developed an interview guide using Michie’s COM-B model (Capability, Opportunity, Motivation – Behavior) and conducted semi-structured interviews ranging from 24 to 60 minutes. Thematic Content Analysis was conducted by two investigators in NVivo v14. Critical themes included 1) regaining past PA levels vs. adjusting to new limitations; 2) high FOF levels alter PA choices, regardless of fall history; 3) avoiding socialization and PA in public due to post-surgical changes in appearance; 4) home and local neighborhood layout impact opportunity to access safe spaces for PA and 5) desire to receive customized PA and health promotion education near end of treatment instead of while overwhelmed near diagnosis. Factors influencing motivation for PA in OAC are complex; clinicians should assess FOF and local BE to better customize PA recommendations that address these concerns and limitations
Identifying Burnout in Newly Licensed Registered Nurses
No full textUpon recognition of the high level of burnout in newly licensed registered nurses at this institution, the Evidence-Based Practice council determined to implement a peer support program.
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Developing Nurses and Interprofessional Teams in Caring Science to Support Healthier Practice Environments
No full textOrganizations must find ways to sustain nurses and healthcare workers beyond traditional human resource programs and focus on unhealthy practice environments. A program evaluation was conducted to determine whether developing Caritas behaviors through a Caring Science program improves compassion satisfaction in nurses and interdisciplinary teams professional quality of life.
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Moral Distress: A More Revised, Comprehensive and Evidence-Based Theory and Its Mechanism Are Required
No full textMoral distress (MD) is a widely researched phenomenon, especially in nursing. However, there is conceptual confusion, lack of clarity and little cohesion about the actual meaning, and what it means to experience it. A conceptual clarity of MD and its practical measurement, management and understanding are, thus, highly needed.
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Should I Stay or Should I Go? Moral/Ethical Dilemmas in Interprofessional Active Shooter Simulation
No full textThe incidence of active shooter events increased 52% from 2020 to 2021 (U.S. Department of Justice, 2022). Mass shootings have occurred in multiple settings including hospitals. This presentation will highlight an interprofessional active shooter simulation to encourage healthcare students to be mentally prepared while considering the moral/ethical obligations to patients.
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Promoting the Eight Components of Collegiality for a Healthy Work Environment
No full textThis presentation describes the nursing perspective on the concepts of collegiality and civility in nursing practice environments today. Encouraging a stronger understanding of the eight components of collegiality may impact and promote a healthy workplace environment.
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