Digital Commons Network^™

A Digitally Enhanced Virtual Cognitive Behavior Skill Building Intervention To Reduce Parent Stress And Family Obesogenic Behaviors, Sharlene Smith

Electronic Theses and Dissertations, 2020-

Parental stress is associated with increased obesogenic family lifestyle behaviors contributing to childhood obesity. Novel interventions are needed to reduce parental stress and improve healthy lifestyle behaviors for preschool-age children and families. The primary study aim was to analyze preliminary effects of a digitally enhanced evidence-based cognitive- behavior skill-building (CBSB) intervention on parental stress and healthy lifestyle behaviors (diet and physical activity) among parents of preschool-age children. A secondary aim was to evaluate feasibility/acceptability of this school-based virtual intervention during the COVID-19 pandemic. The 12-week intervention involved text messaging and three pre-recorded CBSB educational video presentations accessed by parents of …

Post-Intensive Care Syndrome In Survivors Of Acute Respiratory Distress Syndrome (Ards) And Covid-19 Ards: A Descriptive Study, Sara Hassan

Honors Undergraduate Theses

Background: Post-intensive care syndrome (PICS) is an umbrella term for the long-term physical, cognitive, and mental health conditions survivors live with long after an ICU discharge. Mental health conditions experienced by survivors include anxiety, depression, and post-traumatic stress disorder (PTSD). Survivors of acute respiratory distress syndrome (ARDS) and COVID ARDS who were on a ventilator are particularly at risk of developing long-term mental health conditions.

Study Purpose: The purpose of this study was to investigate the severity of anxiety, depression, and PTSD in adult survivors of these two ARDS conditions (COVID ARDS; ARDS) who were admitted to intensive care units …

Nursing Interventions To Decrease Depressive And Anxious Symptoms In Hispanic-American Youth, Vanessa C. Hernandez

Honors Undergraduate Theses

Introduction: Hispanic-American youth are less likely to receive mental health services despite being at increased risk for depression and anxiety. Having depression and anxiety at a young age can have detrimental long-term effects such as sexual risk behavior, delinquency, and suicide. Various kinds of nurses interact with this age group which can be a missed opportunity to intervene for the welfare of these youth. Interventions exist for depression and anxiety; however, they are not specific to nurses who care for young Hispanic-American patients. Methods: An integrative literature review was performed to identify nursing interventions for Hispanic American youth with depression …

Time Until Subsequent Pregnancy After Intrauterine Fetal Demise And Early Infant Death Based On Grieving Strategies, Gertride Delhomme

Honors Undergraduate Theses

The purpose of this research is to evaluate the coping strategies of families and childbearing women after intrauterine fetal demise and early infant death. The secondary purpose is to examine the effect of grieving strategies after intrauterine fetal demise compared to early infant death on time until subsequent pregnancy in women of childbearing age. A literature review exploring parental grief and coping strategies to cope with loss and its effect on the subsequent pregnancy was conducted from various online databases. All reviewed articles in the analysis indicated that coping strategies consist of a diverse number of mechanisms during the bereavement …

Nursing-Related Interventions To Obstetric Violence: A Literature Review, Annaliece M. Balensiefen

Honors Undergraduate Theses

The aim of this literature search was to explore the prevalence of obstetric violence and identify nursing interventions that could potentially prevent the mistreatment of pregnant women in the United States healthcare system. Background: The topics of obstetric violence and healthcare disparities have been gaining awareness. Other countries have a larger body of research for obstetric violence compared to the U.S. Methods: CINAHL Plus with Full Text and MEDLINE databases were utilized. Global perspectives were considered in conjunction with the U.S. and specifically Florida. Healthcare disparities in obstetric care were identified, based on race, ethnicity, socioeconomic status, sexuality, disability, …

Evaluation Of The Violence And Stigmatization Against Children With Disabilities: A Literature Review, Nmesoma Ozougwu

Honors Undergraduate Theses

Violence and Stigmatization against children with disabilities are critical public health issues. Children with disabilities are a vulnerable population as they are exposed to various forms of discrimination and violence globally. The forms of abuse include, but are not limited to, physical, emotional, and sexual abuse. The experiences of Children with disabilities are massively undocumented and there is also a lack of existing literature addressing the issue. The abuse and violence against children with disabilities are also underreported specifically in cultures where this abuse is socially accepted. There are gaps in the literature regarding the condition of children with disabilities …

Racial Discrimination, Social Support And Psychological Distress Among Black Pregnant Women, Camilla Carey

Electronic Theses and Dissertations, 2020-

The purpose of this dissertation research was to examine the associations among racial discrimination, social support, and psychological distress among Black pregnant women. The dissertation was guided by the Ecological Systems theory which has three domains that pertain to this research: individual, interpersonal, and community. A literature review was conducted to investigate what is known about the association between racial discrimination and psychological distress among Black pregnant women. This review found that seventeen of the nineteen studies included reported a positive association between racial discrimination and psychological distress among Black pregnant or postpartum women. Limited research focused on the potential …

The Associations Among Racial Discrimination, Perceived Stress And Birth Satisfaction Among Black Women, Amanda De La Serna

Electronic Theses and Dissertations, 2020-

The purpose of this dissertation research was to examine the associations among experiences of racial discrimination, perceived stress and birth satisfaction among Black women, and to examine the mediating effect of perceived stress on the association of experiences of racial discrimination with birth satisfaction among Black women. The first manuscript is an integrative literature review which evaluates prior research of the association of stress with birth satisfaction, with consideration to studies that included Black women in their samples. This review revealed a need for further research evaluating stress and birth satisfaction specific to Black women. The second manuscript examines the …

I-Bid Handoff Tool, Francisco Guido-Sanz

Nursing Handouts, Tools, and Other Documents

No abstract provided.

The Efficacy Of The Role Of Therapeutic Play In Alleviating Pain Or Anxiety In Pediatric Cancer Patients, Savannah B. Duke

Honors Undergraduate Theses

Aim: To evaluate the efficacy of therapeutic play in alleviating pain or anxiety in the pediatric cancer patient.

Background: Therapeutic play is an intervention often incorporated within the care of pediatric cancer patients and children with other disease processes to promote well-being. Even though play therapy is supported by research, nurses have the option to implement nursing care interventions in a play-like manner. Therapeutic play is an individualized technique that provides an intentional opportunity for children to express their emotional responses in a controlled environment.

Method: The databases used in this search included CINAHL, MEDLINE, APA PsycINFO, ERIC, and Education …

The Effects Of Delayed Initial Bathing In Newborns, Danielle Nitzachon

Honors Undergraduate Theses

Delayed bathing of the newborn infant for twenty-four hours after birth can decrease potential newborn complications such as hypoglycemia, hypothermia, and improve the infants skin integrity and breastfeeding rates. The primary purpose of this literature review was to examine the health benefits of delaying initial bathing in newborns for twenty-four hours. A comprehensive review of the literature was performed using peer-reviewed, research articles from multiple databases focusing on delayed infant bathing after birth and health benefits. 15 articles met the inclusion criteria and answered the research questions. Two studies showed the effects of vernix caseosa on improved skin integrity and …

The Lived Experience Of Simulation In Nursing Education Related To Postpartum Depression And Healthcare Disparities, Erin Tonkin

Honors Undergraduate Theses

Background: Postpartum mothers are often initially screened for postpartum depression (PPD) but lack adequate follow up visits after discharge from the hospital post-delivery, despite the variety of complications that can arise from it. Additionally, healthcare disparities (HCD) have been shown to limit access to and the quality of healthcare for minority patients. Simulation-based education offers learners an opportunity to practice screening for PPD with the goal of improving the quality of care for these patient subgroups in future practice. Purpose: The purpose of this study was to explore the lived experience of SBE with prelicensure student nurses in an effort …

Cancer Survivors' Physical Activity Advice: A Guide For Assessment And Implementation For Nurses And Healthcare Workers, Kayla Burd

Honors Undergraduate Theses

Background: Physical activity (PA) improves cancer-related symptoms (e.g., fatigue, sleep) in cancer survivors, although there is low adherence due to barriers. Cancer survivors are interested in participating in PA but healthcare providers feel they have inadequate knowledge in PA and lack guidance to provide PA support.

Purpose: Examine PA advice for cancer survivors and healthcare providers from cancer survivor interviews to understand cancer survivors’ PA and create an algorithm to help healthcare providers assess and provide PA advice to cancer survivors.

Method: Qualitative content analysis of twenty interviews with cancer survivors regarding PA.

Results: Cancer survivors advised health care providers …

A Mixed Methods Study On Levels Of Physical Activity And Degree Of Fear Of Falling In Older Adults, Oscar L. Garcia

Honors Undergraduate Theses

Maintaining a physically active lifestyle has shown to decrease the risks of falling by slowing down the degenerative changes that occur with aging adults. But despite these physical changes, research has recognized the development of the fear of falling (FOF) as also attributing to the aging adults’ risk of falling. Furthermore, increases the risk of falling and subsequently increases the loss of independency. This study aimed to: 1) examine the relationships between the levels of physical activity, degree of FOF, and fall risk using quantitative approach; and 2) explore the changes of FOF and understand its cause using qualitative approach. …

Risk Factors Contributing To Urinary Tract Infections (Uti) In Neonates, Jennifer V. Harshman

Honors Undergraduate Theses

Urinary tract infections (UTI) in neonates are caused by many types of risk factors such as increased length of maternal labor, physiologic maternal conditions, prematurity, and decreased birth weight. Identification of potential risk factors for UTI in neonates can lead to rapid assessment and early interventions to treat urinary infection in the neonate before it transitions to a severe or life-threatening condition, such as a kidney infection or septicemia.

The primary purpose of this literature review was to examine risk factors predisposing neonates to UTI. The secondary purpose was to identify if length of time to drug therapy used to …

Survivors Of Human Trafficking: Reintegration Into The Community And Society, Charrita Ernewein

Electronic Theses and Dissertations, 2020-

Human trafficking is a highly profitable human rights violation and is labeled as one of the fastest growing industries worldwide. Few studies provided a detailed analysis of the survivors' accounts of their experiences and how these experiences influenced their reintegration into society. The purpose of this study was to explore and describe the experience of female survivors of sex trafficking as they reintegrated into the community and society using the survivors' voice. This study also aimed to describe the survivors experience with healthcare providers. This study obtained data from hard to detect populations (female survivors aged 18 and older) through …

Cognitive Rehearsal, Self-Efficacy, And Workplace Incivility Among Baccalaureate Nursing Students, Alina Diaz-Cruz

Electronic Theses and Dissertations, 2020-

Workplace incivility is a widespread problem in the clinical work environment that affects present and future generations of nurses. The purpose of this study was to determine if a cognitive rehearsal intervention (i.e., TeamSTEPPS® DESC script) would increase senior nursing students' self-efficacy, decrease workplace incivility experienced in the clinical work environment, and if nursing students' pre-intervention self-efficacy level would be indirectly associated with post-intervention workplace incivility. A quasi-experimental, one-group pretest-posttest study was used to measure the effect of a cognitive rehearsal intervention on nursing students' self-efficacy levels and workplace incivility experienced in their clinical rotation at an acute care center. …

Pineal Gland Abnormalities And The Relationship Of Melatonin To The Development And Symptom Severity Of Schizophrenia: An Integrative Review Of The Literature, Kathryn Margretta

Honors Undergraduate Theses

The purpose of this thesis is to critique the literature focusing on the role of pineal gland volume and function and the development of schizophrenia by asking the question, "What is the relationship between pineal gland physiologic function and development and symptom severity of schizophrenia? It is crucial that health care providers continue advocate for better understanding of schizophrenia in order to develop a more appropriate treatment and relive the suffering of those with schizophrenia. A review of published literature focusing on the pineal glands association with schizophrenia was performed using several databases including: ScienceDirect, PubMED, Google Scholar, Cumulated Index …

Facilitation Of Enviromental Factors To Reduce Sound Decibels In The Neonatal Intensive Care Unit: A Literature Review, Cassandra Hanlon

Honors Undergraduate Theses

This literature review investigates nursing interventions to reduce decibel levels in the neonatal intensive care unit (NICU). The secondary purpose of this review was to evaluate if the interventions to reduce noise in the NICU had different outcomes for normal weight premature infants and infants afflicted with neonatal abstinence syndrome. The data bases for completing this review were Google Scholar, the Cumulative Index to Nursing and Allied Health Literature (CINAHL Plus), PubMed, and Elton B. Stephens Co. (EBSCO). The key search words included ‘NICU and decibels', ‘reducing decibels', ‘neonatal abstinence syndrome' ‘decibels', ‘preterm infants' and 'normal weight preterm infant*'. The …

Factors Associated With Resilience And Sense Of Coherence In Adult Transgender Persons: Identifying Predictors To Reduce Health Disparities In A Vulnerable Population, Jake Bush

Electronic Theses and Dissertations, 2020-

National studies revealed the transgender population has barriers to positive health outcomes, but also showed evidence of resilience. A focus on health strengths such as resilience may help mitigate health barriers. This work focused on the sociodemographic predictors of and interrelationships between resilience, sense of coherence (SOC), and health perception. There were three aims of this work. The first aim was to review the literature surrounding resilience and SOC in the adult transgender population. Results from an integrative literature review revealed three themes of resilience in the adult transgender population: social support, individual factors, and resources. Prior to the current …

Using Physical Exercise Interventions To Reduce Depression And Anxiety In People With Lung Cancer, Jordan E. Dubocq

Honors Undergraduate Theses

People with lung cancer are at a high risk of developing anxiety and depression during cancer treatments. Previous research has shown physical activity to be effective in improving psychological symptoms in people with cancer, however, the majority of studies have focused on female breast cancer survivors. The purpose of this literature review was to determine if physical activity interventions can effectively and feasibly reduce anxiety and depression in people with lung cancer who are undergoing treatment. A database search was conducted in CINAHL Plus, MEDLINE, APA PsycInfo, and SPORTDiscus. The search resulted in 265 articles and 9 were selected for …

Home Healthcare Embodied Agents: Priorities And Opportunities, Faith Sauber

Honors Undergraduate Theses

Prevention is a central tenet of modern healthcare. New ways of informing, educating, and allowing patients to keep track of their health are continually developing. Integrating technology that bridges the gap between healthcare providers and their patients is essential in today's digital age. One emerging idea is the use of home healthcare embodied agents. Embodied agents are conservational interfaces that can interact and look like human beings. They can exhibit both verbal and non-verbal language cues and be capable of having a natural conversation. This kind of technology could help both patients and healthcare providers by giving patients a helpful …

Nursing Education For Lgbtq Patients: A Literature Review, Shelley A. Jones

Honors Undergraduate Theses

In the United States (US), lesbian, gay, bisexual, transgender, and queer (LGBTQ) individuals are at an increased risk for contracting sexually transmitted infections, are less likely to receive recommended health screenings, are more likely to abuse alcohol and other substances, are at a higher risk for attempting suicide, and experience greater health disparities compared to their heterosexual counterparts. Compounding these health-related problems is a significant discrepancy whereby LGBTQ people have poor or no access to health care. One approach to correct the health disparities the LGBTQ community faces is through LGBTQ-specific health education for nursing students. A review of the …

Race-Based Adjustment In Egfr Algorithms: An Integrative Literature Review, Leah E. Utt

Honors Undergraduate Theses

Background: There is a 3-fold risk of developing end stage kidney disease in Non-Hispanic African Americans compared to Non-Hispanic White Americans (Centers for Disease Control and Prevention, 2017). Estimated glomerular filtration rate (eGFR), one of the fundamental algorithms for coordinating treatment for kidney disease which factors in age, race, gender, and levels of creatinine, may pose an issue in this vulnerable population. Currently African Americans receive a correction factor between 1.21 and 1.16 to their eGFR to adjusting the value higher, potentially impacting appropriate kidney disease classification, and delaying beneficial interventions (National Kidney Foundation, 2020).

Methods: A systematic literature search …

First Impressions Of The Bedside Nurse From The Patient Perspective, Sharon Imes

Electronic Theses and Dissertations, 2020-

Relationships begin with first impressions. Since nurses are the cornerstone to hospital experiences, the nurse-patient relationship is of vital importance, beginning with the first impression. The nurse-patient relationship has the potential to impact the patient's trust, comfort, fear, and ultimately satisfaction with the entire hospital experience. Evidence is found in other disciplines emphasizing the importance of the first impression, however there is minimal research in nursing about first impressions of the bedside nurse. The purpose of this dissertation is to explore the first step in understanding the first impression of the bedside nurse from the patient perspective. Additionally, this research …

Hospital Readmission After Major Abdominal/Colorectal Surgeries: A Mixed-Methods Study, Ansu Sebastian

Electronic Theses and Dissertations, 2020-

Hospital readmission after major abdominal and colorectal surgeries is a complex phenomenon that impacts the quality and affordability of healthcare. A comprehensive review of the literature after implementation of the Hospital Readmission Reduction Program in 2012 revealed a paucity in studies that analyzed patients' perceptions regarding the phenomenon of readmission. In addition, there is a need for randomized trials that assess the impact of interventions on the rate of readmission among complex surgical patients. A mixed-methods study was conducted to combine descriptive factors impacting hospital readmission with patients' perceptions to produce meaningful data. The results indicated that although discharge education …

The Effects Of A Plant-Based Diet On Inflammation Of Patients With Cardiac Disease, Rachel L. Butcher

Honors Undergraduate Theses

Cardiac disease is the primary cause of death in the United States of America (CDC, 2017). Despite ongoing efforts and investments to improve cardiac health in the United States, most of the population will suffer from cardiovascular diseases. There is a multitude of research supporting that diet can contribute to cardiac disease, but it is less known that diet can greatly contribute to regulation and reversal of cardiovascular disease processes (Huang et al., 2012; Satija et al., 2017; Kim et al., 2019). Existing research supports the efficacy of plant-based diets to manage and reverse certain cardiac diseases (Tuso et al., …

Exploring The Impact Of Pre-Exposure Prophylaxis Related To Sexual Behavior In College Men, Dalton J. Poe

Honors Undergraduate Theses

Pre-exposure prophylaxis (PrEP) is an effective tool for preventing human immunodeficiency virus (HIV) acquisition in sexually active at-risk individuals such as men who have sex with men (MSM). The purpose of this study is to examine factors associated with intent to engage in risky sexual behavior among HIV-negative college aged (18-24) MSM who are currently adherent to PrEP or who have expressed interest in the future adoption of PrEP. A multiracial/ethnic sample of 31 men expressing interest in the adoption of PrEP and 6 men currently taking PrEP completed a quantitative survey identifying key themes regarding attitudes towards PrEP and …

Millennial Attitudes Toward Telehealth: An Integrative Literature Review, Hannah Gwyneth Y. Tabora

Honors Undergraduate Theses

Purpose: The primary purpose of this research was to explore individuals born in the millennial generation’s likelihood of using telehealth and virtual office visits as a replacement for face to face provider interactions. The secondary purpose was to examine the feasibility and access of treatable conditions and ailments in a virtual environment.

Methods: A literature review exploring millennials and telehealth was performed using various databases with search terms combined to include: ‘millennials*’, ‘telehealth*’, ‘telemed*’, ‘finance*’, ‘primary care*’, ‘healthcare*’, ‘health knowledge*’, ‘literacy*’, ‘education*’, ‘misinformation*’. The data was conformed into tables that synthesized the relationship between the millennial generation and their access …

The Effect Of Acuity-Based Nurse Staffing On Nursing Medication Errors, Egidius Maria Eugene Waterval

Electronic Theses and Dissertations, 2020-

Nurses spend on average one third of their time on direct patient care, and most on indirect care in hospital settings. However, nursing workload is challenging to measure in a systemized, accurate, and timely way. Patient classification systems are designed to capture information about nursing workload based on the illness severity of the patient (acuity) to determine staffing resources and balance nursing workload. These systems are instruments that group nursing care activities in different categories to determine patient acuity. Electronic health records provide opportunities to use available data sets to accurately, and in real-time, document many direct and indirect patient …