2015 TN YB

Nursing Ethics: Commitment, compassion, quality care
Purpose: The purpose of this study is to determine if the accessibility and use of AEDS in non-clinical settings within a hospital
improve non-patient outcomes during sudden cardiac arrest.
Method: The study includes review of hospital policies for providing life-saving interventions in non-patient care settings. A
mock code is performed in a non-patient care setting to evaluate staff responsiveness. Also, employee surveys are completed to
evaluate their knowledge of responsibilities during an emergency situation in a non-patient setting.
Findings: Several findings are identified based on the study results. First, the policy is unclear regarding response steps for nonpatient
emergencies. Second, staff is unsure of how to properly use emergency equipment.
Recommendations: Based on the findings of this study, several recommendations have been made. Nursing staff need
additional training on proper use of the AED. Also, non-clinical staff needs to take a basic Heart Savers Course. Finally, it is
recommended that AEDS be installed in non-patient care areas.
APRN Transformational Leadership: Implementation of Advanced Practice Nursing Leadership
Structure within an Academic Medical Center
April Kapu, DNP, APRN, ACNP-BC
Pam Jones, DNP, RN, NEA-BC
To meet the health care drivers of cost-effective, high quality and safe patient care, there has been a rapid growth in the number
of APRNS across multiple clinical settings. More and more APRNs are rising to executive leadership levels, leading APRNs in both
professional and operational practice. Bridging from clinical expert to expert organizational leader can be challenging without role
development, mentorship and structural empowerment.
In 2008, nursing executive leadership of an academic healthcare system recognized the need for specific leadership for APRNs
deployed across multiple settings. Over a 6 year period, APRN clinical experts were placed in leadership roles across the
organization. The leaders were provided education, training and in some cases supportive funding for higher education, beyond
the masters level. The organizational structure that evolved included direct linkage for the APRN leader to the responsible senior
nursing leader and to a centralized office of advance practice for professional practice support. The APRN leadership structure
mirrored the nursing leadership structure and emphasized a collaborative model of APRN, nursing and physician leaders. In 2015,
a detailed analysis was conducted of APRN specific processes, leadership skill, evolvement of the leadership structure, growth of
the APRN programs, APRN perceptions of structural empowerment and APRN associated clinical outcomes.
Breastfeeding as a Protective Factor Against Childhood Obesity
Dereldia Clendening
Ally Johnson
Problem: The prevalence of childhood obesity is increasing in the U.S. and globally. Childhood obesity causes numerous lifethreatening
co-morbid conditions, which is why it is a major area of concern.
Objective: We sought to evaluate original data in order to determine if breastfeeding was protective against childhood obesity.
Methods: The research database CINAHL Complete assisted in determining accurate articles for this specific review of literature.
CINAHL Complete was chosen due to specific correlations with nursing and health journals, as well as its distinguished efforts of
yielding complete full texts from academic journals. Chosen keywords deemed necessary to enter into CINAHL Complete were
“obesity and breastfeeding”, “infant feeding and obesity”, and “exclusive breastfeeding and obesity”. Limitations included in
the results category were only full texts from the years of 2007 to 2015. Only current research articles were used in the literature
review.
Findings: After synthesizing articles on the topic of breastfeeding and a child’s risk for obesity we know that obesity is a
multifaceted disease. Therefore, breastfeeding in infancy cannot be solely linked to protection against obesity. However, there is
evidence that breast-feeding has protective agents against many of the causative factors of obesity.
Recommendations: It is recommended that more research is conducted to study the breakdown of nutritional elements in
formula and breast milk. There is a correlation between early nutrition and obesity but more insight as to which types of foods
parents should feed their infants in order to protect against future obesity is needed.
38