Highlighted Research Internship Abstracts

Lainie N. Conrow, MS, RN, Reiki Master (WCC7): Introducing Reiki Therapy Into Inpatient Oncology Care through Education and Experience of the Nurse

Background: It has become increasingly prevalent that oncology patient populations have been incorporating Complementary and Alternative Medicine (CAM) into their care. Healthcare is presenting innovative research supporting the integration of CAM modalities such as Reiki therapy, with conventional medicine. Reiki meaning “universal life energy” is an ancient Japanese method used to promote healing and relaxation while reducing stress and pain. The energy is directed in a non-invasive way into the receiver from the practitioner by gently laying hands on the body. Reiki releases and clears the energy pathways, allowing it to flow in a healthy and natural way to aide in the body’s ability to heal.  Purpose: The purpose of the study is to measure the perception and knowledge of oncology nurses regarding Reiki therapy, before and after an educational experience, which will be important for supporting the patient when choosing to integrate Reiki therapy into their care. Methods: (N=15) Oncology registered nurses at a magnet designated hospital will be recruited to complete pre and post paper surveys on the perception and knowledge of Reiki therapy. An individual session with a Reiki Master will take place to educate the nurse followed by a 20 minute hands on Reiki session with a short three questionnaire paper survey. Qualitative, quantitative and a paired T-test will be applied. Statistical significance will be set at p<0.05. Anticipated Results: The majority of the oncology nurses prior to receiving education and experience, will have various perceptions and knowledge of Reiki therapy.  Implications: The oncology nurse will have a respected perception and growth in knowledge of Reiki therapy through experiential education. Increased integration of Reiki therapy into patient care, along with the support of enlightened oncology nurses, is a future goal.

Nicole L. Leach, RN, BSN (8-1400): Save Face! Making Nasogastric Tube Related Pressure Ulcers a Never Event

Background: Device related pressure ulcers represent a new and growing problem in hospitals.  Nasogastric (NG) tubes are known to cause nasal pressure ulcers if taped incorrectly or poorly positioned. Nosocomial nasal ulcers are painful and can result in permanent deformity. Ulceration may require repair of the damage with cosmetic surgery, resulting in increased non-reimbursable costs to hospitals.  The purpose of the study is to demonstrate the impact of a standard taping technique of NG tubes on pressure ulcer incidence.  Methods: Examine the incidence of NG tube related pressure ulcers in seven adult intensive care units (ICU).  Data from a Magnet designated medical center will be compiled from hospital performance improvement and chart review. A standard technique for securing tubes is demonstrated in a 5 minute slide show presentation and will be distributed to all adult ICU nurses (n=420) via the hospital’s shared intranet.  A quiz testing understanding of standardized taping technique will be required following the slide show.  All nurses must earn 100% on the quiz to demonstrate mastery of the NG tube taping technique. Nurses will be required to demonstrate the skill and be signed off by an RN trainer, verification of sign off will be verified on the hospital’s shared intranet.  NG tube related pressure ulcer incidence will be compared pre and post instruction. The analysis plan includes demographic comparisons, chi square will be used to compare the frequency of ulcers before versus after the intervention; statistical significance will be set at p< 0.05. Anticipated Results: Through standardization of NG tube taping, NG tube related pressure ulcers will be eliminated. Implications: NG tube related pressure ulcers will become a never event.

Mark J. Ott, RN, MS (Adult Critical Care Services): I'll Do It, But I Don't Want To: Understanding Nurse Satisfaction with Bar Code Medication Administration in a Mandated System

Background:  Barcode Medication Administration (BCMA) has been demonstrated to improve patient safety and reduce medication errors.  Nursing perceptions of the BCMA system play an integral role in technology acceptance, successful implementation and sustained compliance, even when use is mandated by the hospital. Purpose:  Determine the relationships between sustained compliance and nurses’ satisfaction with BCMA.  Perceived value of compliance reporting will be correlated to compliance of BCMA scanning.  Describe managerial strategies which were implemented to achieve and sustain unit compliance rates >95%.  Methods: Scanning compliance data at a Magnet designated academic medical center will be collected at 1month after BCMA go-live, 4 months after a compliance improvement initiative and again 6 months later.  With the final measurement, nurses (n= 1812) will be surveyed using an electronic questionnaire based on the Technology Acceptance Model (TAM). The analysis plan includes demographic descriptions and comparisons.  Using paired t-tests, Scanning compliance will be compared and correlated (r, correlation coefficient) with satisfaction scores and perceived value of compliance; statistical significance will be set at p<0.05.  Results:  At a 20% response rate (n= 360), it is anticipated that higher rates of scanning compliance are correlated with higher nurses’ satisfaction with BCMA and higher perceived value of compliance.  It is also anticipated that managerial strategies can improve unit compliance rates to above 95%.Implications: Nurses with higher system satisfaction and perceived value of compliance monitoring are more likely to use BCMA, reduce medication errors and improve patient safety. Monitoring of compliance and managerial interventions improve BCMA scanning rates.

Marcy J. Owens, RN, CCRN (8-1600): Reversing Living Wills: Who's Decision Is It?

Background. Living will provide the opportunity for individuals to make a formal declaration about what care they want at the end of their life.  A legal document can be drawn up with specific instruction specify the type of desired and undesired care (e.g., feeding tube, permanent breathing tube, nursing home care, etc).  However, when the individual becomes incapacitated, either mentally or physically, family members may override the living will and have the person get the very care that is not desirable. Methods.  Conducting a literature search will determine the prevalence of the occurrence of this phenomenon.  If it does happen frequently, further research is needed to understand the impact to the health care industry, both financially and to the care givers themselves, who must now go against the wishes of the person for whom they are caring.  Results.  The anticipated results from this study are that living wills are often ignored or reversed.  Conclusions.  This information may lead to finding a way to strengthen the living will documents, to support the patient, and allow the medical community a legal way to honor the wishes of the patient. 

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