Digital Commons Network^™

The Role Of Occupational Therapy In The Recognition, Assessment, And Treatment Of Presbyvestibulopathy, Jennifer Hill, Ellen Hudgins, Sharon Leonard

Articles, Abstracts, and Reports

No abstract provided.

Meet The Experts-Scholar Dissemination And Journal Selection_4-18-23_At.Pptx, Andrew Todd

EGS Content

No abstract provided.

Qualitative/Covid Journals, Judy Schmitt

Library Faculty Works

No abstract provided.

Rehabilitation/Recovery Journals, Judy Schmitt

Library Faculty Works

Comprehensive list of rehabilitation/recovery journals

Information Literacy Data Group 1 And 2, Taralyn Mcmullan, Clista Clanton, Jo Ann Otts, Wilma Powell Stuart, Angela Rand

University Research Data and Datasets

Objective: This exploratory study examined perceived self-efficacy in information literacy skills in nursing students and discusses how collaborative relationships between nursing faculty and librarians can strengthen curricular efforts to support information literacy.

Methods: Using the Information Competency Assessment Instrument, a survey research design was used to determine student perceptions of their information literacy skills. Participants included nursing Baccalaureate, Master's and Doctoral students in each of these programs.

Results: The Information Competency Assessment Instrument identified low self-efficacy in the following categories: using an index, determining information needed for assignments, use of governmental documents, media sources, producers of information and citing sources. …

Improving Vaccination Uptake In The Latinx Community Through Standardized Outreach, Vanessa M. Arteaga

Master's Projects and Capstones

Vaccine hesitancy during the COVID-19 pandemic has been an issue in the Latinx and Black community since the initial discussions of the emergency use of the experimental Moderna and Pfizer vaccines. The aim of this project is to standardize the patient outreach process to increase COVID-19 vaccine uptake. Patients at a community clinic in Oakland have expressed hesitance of the COVID-19 vaccine. They also exhibited increased frustration with the staff who are contacting them to schedule vaccine appointments and provide information. This resulted in refusal of the vaccine and less than desirable number of vaccine appointments. The objective of this …

Preeclampsia In African America Women, Breanna Shoultz, Qweita Eastman, Taylor Maynor, Konstanz Ewing

Symposium of Student Scholars

Background: Every year in the U.S., there are 700 pregnancy related deaths that occur, with ⅔ of those deaths being preventable. African American women are 3-4% more likely to die of pregnancy related complications, mainly preeclampsia, than any other population. Preeclampsia is related to cardiovascular diseases such as high blood pressure, which Black women are more at risk for. Objective: This systematic review will explore how preventative techniques such as the use of diuretics and physical activity during pregnancy will decrease the risk for preeclampsia in African American women compared to untreated preeclampsia complications that affect mortality rates upon delivery. …

Implementing Dysphagia Screenings In Stroke Patients, Meredith Buller

Scholars Week

Dysphagia screenings are important to be done for all stroke patients in order to prevent aspiration, pneumonia, and other complications. All patients should be screened regardless of severity of stroke. Many policies outline that all patients should be screened, but many floors are not implementing the policy on all patients. This article reviews research associated with dysphagia screenings and how to properly perform one. Dysphagia screenings should be performed on all stroke patients at the hospital to achieve the best outcomes post-stroke.

Keywords: Stroke, aspiration, screening, dysphagia

Ask Me Anything: Covid Questions., Jamie Hunsicker

Nursing Faculty Scholarship

No abstract provided.

Challenges In Conducting Online Survey Research Of The Relationship Between Unit-Level Perceived Team Trustworthiness And Clinical And Operational Outcomes, Nancy Ballard, Lynn Varagona, Rob Stilson, Kimberly Knotts, Joan Sacerio

Faculty Articles

When conducting online survey research, obtaining an adequate response rate in order to have meaningful, reliable data can be challenging. In our study examining hospital unit-level data, a 40% response rate was needed to adequately reflect the degree to which unit staff perceived one another as trustworthy. In addition, approximately 150 units were needed to analyze the relationship between perceived trustworthiness and selected operational and quality outcomes.

In spite of following best practices for survey research (e.g., careful communication planning, short survey length) in a multi-hospital study system, most of the units’ response rates were inadequate to include the units …

Evaluation Of The Kenton Hardin County Family Bike Program, Jamie Hunsicker

Nursing Faculty Scholarship

Problem: With growing evidence of the benefits of physical activity and risks associated with physical inactivity, there has been increased focus on implementation of policy, standards, and evidence-based interventions to promote physical activity of Americans. In response to Hardin County physical activity statistics, national health goals, and as part of the Ohio Maternal Child Health (MCH) activity/nutrition grant, an innovative family bike program was developed and implemented in Summer 2018. Providing education and practice on safe biking, bike maintenance, and nutrition as well as providing safe bike equipment may decrease barriers to biking and increase rates of bicycling and, subsequently, …

Pain Management In Nursing Homes, Sachin Shrestha

Doctor of Nursing Practice (DNP) Scholarly Projects

Background: Pain is a leading cause of disability and a major contributor to health care costs. Over 85% of patients in nursing homes report pain on a daily basis (CDC, 2016). The rescheduling of hydrocodone to schedule II created an unprecedented challenge for physicians to write a triplicate prescription for patients in the nursing homes who required hydrocodone to manage pain. To circumvent the problem, one nursing home used Buprenorphine Transdermal System (BTDS) for pain management, which is a schedule III opioid analgesic that does not require the triplicate. Design and Method: A pre- and post- intervention design was utilized …

Sms-Text To Improve Medication Compliance Among Hypertensive African-Americans, Daytral Brown

Doctor of Nursing Practice (DNP) Scholarly Projects

Background: Hypertension, the second leading cause of end-stage renal disease (ESRD), affects approximately 40% of African-Americans (Mansyur, Pavlik, Hyman, Taylor, & Goodrick, 2009). One well-known barrier to hypertension management among African-Americans is poor medication compliance (Ephraim et al., 2014; Solomon et al., 2015). The purpose of this project was to evaluate the effect of SMS-text messages on antihypertensive medication compliance and hypertension knowledge among hypertensive African-Americans with a known history of antihypertensive medication noncompliance. Methods: African-Americans (n=25), with a known history of hypertension and medication noncompliance, received 12 twice weekly SMS-text messages relating to hypertension knowledge and medication compliance. A …

Hierarchy Of Evidence [Eps File], Judy Schmitt

Library Faculty Works

Hierarchy of Evidence showing primary and secondary sources

Development And Psychometric Properties Of A Prostate Cancer Knowledge Scale For African American Men, Otis L. Owens, Abbas S. Tavakoli, Theda Rose, Nikki R. Wooten

Faculty Publications

African American men have the highest prostate cancer-related mortality nationally. In response to this disparity, targeted interventions are emerging to enhance African American men's prostate cancer (PrCA) knowledge to ensure they are equipped to make informed decisions about PrCA screening with health-care providers. African American men's PrCA knowledge has been measured inconsistently over time with limited psychometric evidence. The factor structure of this construct in African American men is relatively unknown. This study describes the development and psychometric evaluation of an 18-item Prostate Cancer Knowledge Scale among 352 African American men. Exploratory factor analysis (EFA) was conducted using weighted least …

Cultural Factors Affecting Resilience Of Filipino Immigrant Women, Andrew Reyes

Nursing Faculty Publications

This presentation describes the results of a descriptive study exploring the relationship between resilience, acculturative stress, and cultural family beliefs about disclosing mental health problems among Filipino immigrant women living in the United States.

Nursing Clinical Calculations Adoption, Michelle Boyce, Sue West, Rebecca Maddox, Katie Bridges

Nursing and Health Sciences Grants Collections

This grant reports collection for Clinical Calculations is the result of a Round 12 ALG Transformation Grant.

Reexamining Overuse Of Frequent Observation For New Admissions On Psychiatric Units To Increase Nurse/Patient Engagement, Samuel Novela

Master's Theses

People in California who suffer from mental health conditions are often admitted involuntarily to hospitals on 72 hour psychiatric evaluation holds if they are deemed imminently dangerous to themselves, or others, or are gravely disabled. Observational patient safety checks are performed and based on patient acuity and hospital standards. Variations exist among different clinical settings with regard to best practices and the patient subpopulations that may warrant less frequent safety checks. Nurses experience different levels of satisfaction with regard to frequency of safety checks because there is no national consensus on which subsets of patients may require them. A senior …

Assessment Of Interprofessional Team Collaboration Scale (Aitcs): Further Testing And Instrument Revision., Carole Orchard, Linda L Pederson, Emily Read, Cornelia Mahler, Heather Laschinger

Nursing Publications

INTRODUCTION: The need to be able to assess collaborative practice in health care teams has been recognized in response to the direction for team-based care in a number of policy documents. The purpose of this study is to report on further refinement of such a measurement instrument, the Assessment of Interprofessional Team Collaboration Scale (AITCS) first published in 2012. To support this refinement, two objectives were set: Objective 1: to determine whether the items from the data collected in 2016 load on the same factors as found for the 2012 version of the 37-item AITCS. Objective 2: to determine whether …

Predicting Posttraumatic Stress And Depression Symptoms Among Adolescents In The Extended Postpartum Period, John P. Connolly, Cheryl A. Anderson

Nursing Faculty Publications & Presentations

Background: Adolescent childbirth continues as a public health concern, and investigation of postpartum posttraumatic stress symptoms (PTSS) and depression is important to inform future research and practice. Longitudinal studies exploring PTSS alone or in combination with depression are non-existent for postpartum adolescent populations. This study aimed to identify stress/PTSS and depression symptoms at 72 hours and three, six, and nine months postpartum, and determine if symptoms at each time point predicted later symptoms. Methods: A convenience sample of 303 adolescents 13e19 years of age were recruited from two postpartum units of one, large, public hospital. The Impact of Event Scale …

Maternal Mortality In Non-Hispanic Black Women, Amelia Major

Grace Peterson Nursing Research Colloquium

Background: The United States has the highest maternal mortality among all developed countries, among these mothers, non-Hispanic black women are three times more likely than women of any other racial group to die from pregnancy-related causes.

Purpose: To investigate racial disparities among pregnant women who die from pregnancy related causes (maternal mortality) and determine possible interventions to improve outcomes.

Methods: An integrative literature review was conducted to analyze peer-reviewed articles published from 2007 to 2018; a computerized search of literature was performed using Cumulative Index to Nursing and Health Literature (CINAHL), Proquest Nursing and Allied Health Sources, …

Yo Puedo Hacerlo! Diabetes Self-Management Education For Older Hispanic Women, Elizbeth Babalola

Doctor of Nursing Practice (DNP) Scholarly Projects

Diabetes is a chronic disease with considerable demographic disparities. The prevalence of type II diabetes (DMII) is considerably higher for Hispanics at 12.8% compared to 9.3% for the general population. Additionally, Hispanic women are significantly more likely than nonHispanic white women to experience co-morbidities including end-stage renal disease, cardiovascular disease, and death due to diabetes related complications. The purpose of this Doctor of Nursing Practice (DNP) scholarly project is to evaluate the outcomes of a culturallytailored diabetes education program in a group of Hispanic female patients 50 years and older that have been diagnosed with DMII. Guided by the Health …

A New Screening Procedure To Identify Co-Occurring Psychiatric And Substance Use Disorders, Carrie Deer

Doctor of Nursing Practice (DNP) Scholarly Projects

It is estimated that 24% of persons served by community mental health agencies have a co-occurring psychiatric and substance use disorder (COPSD). Up to 50% of persons with substance abuse have co-occurring post-traumatic stress disorder (co/PTSD). A failure remains in objectively identifying this population in everyday practice. At a community mental health agency serving rural East Texas, a new Screening-Into-Intake Procedure (SIIP) for adults initiating services was implemented using the Iowa Model for Evidence-Based Practice. Implemented in four stages, this SIIP incorporated both self- and observer-rated screening instruments to assist in identifying and provisionally diagnosing post-traumatic stress disorder (PTSD), COPSDs, …

Heart Failure Education Bundle To Improve Self-Care And Reduce Hospital Readmission, Vicki D. Myers-Griffin

Doctor of Nursing Practice (DNP) Scholarly Projects

Background: The Center for Disease Control and Prevention has identified heart failure has a major health concern in the United States. There are 5.7 million Americans currently diagnosed with HF, with 550,000 cases annually. The total cost to manage HF is predicted to reach $69.5 billion, with 30-day hospital readmission as the greatest financial expenditure. The lack of patient education was noted as weakness for many healthcare organizations leading to an increase in hospital readmission. The urgency to manage HF more effectively has resulted in regulatory policies requiring healthcare providers and organizations to improve self-care HF management. Methods: An education …

Self-Reported Smoking Behaviors Among Ethnically And Racially Diverse College Students, Linda Mays, Beatriz Valdes, Ashley Falcon

SOHNS supplementary Data and Tools

This dataset contains the results of University of Miami Wellness Assessments collected in 2014-2016 to determine the behaviors, attitudes and beliefs of undergraduate students. In 2014, a 47 question online survey was administered to 1364 undergraduate students at the University of Miami between September 2014 and January 2015. In 2016, a 40 question online survey was administered to 801 undergraduate students at the University of Miami between August and September 2016. The survey is comprised of multiple choice, Likert scale and open-ended questions. The excel spreadsheet is organized with one question per sheet; each sheet includes the response rate, the …

Compliance With Post-Intervention Follow-Up In The Depressive Pre, Peri And Postmenopausal Client: A Qi Initiative, Terry Deneui

Doctor of Nursing Practice (DNP) Scholarly Projects

It is estimated that 24% of persons served by community mental health agencies have a co-occurring psychiatric and substance use disorder (COPSD). Up to 50% of persons with substance abuse have co-occurring post-traumatic stress disorder (co/PTSD). A failure remains in objectively identifying this population in everyday practice. At a community mental health agency serving rural East Texas, a new Screening-Into-Intake Procedure (SIIP) for adults initiating services was implemented using the Iowa Model for Evidence-Based Practice. Implemented in four stages, this SIIP incorporated both self- and observer-rated screening instruments to assist in identifying and provisionally diagnosing post-traumatic stress disorder (PTSD), COPSDs, …

Reduction Of Antipsychotic Use In Patients With Dementia Residing In Nursing Homes, Marysarah Frank

DNP Scholarly Projects

Abstract

Residents of nursing homes diagnosed with dementia have long been treated with psychotropic drugs for the symptoms of behavioral disturbances that are frequently associated with major neurocognitive disease. Specifically, the antipsychotic drugs have been widely used in this population. Despite a lack of evidence, antipsychotic rates have shown up to 25% of dementia patients in nursing homes (NH) are prescribed these drugs. This off-label use is not FDA approved for behavioral symptoms of dementia and the drugs have been given a black box warning related to the risk of serious and potentially irreversible side effects and even an increased …

Pain Management In Nursing Homes, Sachin Shrestha

Doctor of Nursing Practice (DNP) Scholarly Projects

Background: Pain is a leading cause of disability and a major contributor to health care costs. Over 85% of patients in nursing homes report pain on a daily basis (CDC, 2016). The rescheduling of hydrocodone to schedule II created an unprecedented challenge for physicians to write a triplicate prescription for patients in the nursing homes who required hydrocodone to manage pain. To circumvent the problem, one nursing home used Buprenorphine Transdermal System (BTDS) for pain management, which is a schedule III opioid analgesic that does not require the triplicate. Design and Method: A pre- and post- intervention design was utilized …

Provider Recommendation: Influence On Colorectal Cancer Screening, Trudy Istre

Doctor of Nursing Practice (DNP) Scholarly Projects

Colorectal cancer is the third leading cause of cancer related death yet is one of the most preventable. The goal of the National Colorectal Cancer Roundtable and the United States Preventive Services Task Force is that 80% of eligible patients will be screened by the year 2018. Provider recommendation has a positive impact on colorectal cancer screening rates. Methods: Completion of colorectal cancer screening rates after use of a provider standard scripted recommendation versus usual care was compared. Post intervention retrospective chart review was conducted to evaluate the percentage of patients who completed colorectal cancer screenings. Design: A pre- and …

E-Mail Instructions To Decrease Same Day Surgery Cancellations, Suji Ann John

Doctor of Nursing Practice (DNP) Scholarly Projects

Same day cancellations on the day of the procedure are associated with poor quality of care, lower patient satisfaction, and higher healthcare costs. Cancellations are often the result of NPO (nil per os or nothing by mouth) violations, missed preoperative instructions, and patient illness. This quality improvement project explored email preoperative instructions as a means to decrease surgical cancellations on the day of the procedure. Methods Design and Setting This quality improvement project was implemented in a large pediatric facility using convenience sampling to evaluate the effectiveness of emailed preoperative instructions along with preoperative phone calls to decrease same day …