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Reducing Hospital-Acquired Pressure Injury In An Inpatient Medical-Surgical Telemetry Adult Unit By Educating And Encouraging Basic Wound Care Prior To Wound Care Consult, See Wai (Amy) Kong

Master's Projects and Capstones

Problem: A medical center in the Diablo Service Area had one of the highest rates in hospital-acquired pressure injury (HAPI), benchmarking with other facilities, with the project unit one of the top offenders. The patients and the medical center both suffered from the harm. Barriers to HAPI prevention included lack of patient turnings, skin assessment, and early standard wound care treatment.

Context: This project focused on the primary care team standardizing early wound care treatment to avoid wound progression.

Interventions: Interventions included re-educating the primary care team on early basic wound care using a standard wound care guideline created by …

Pre-Assault Diagnoses Associated With Post-Assault Emergency Department Visits After Recent Sexual Assault, Jessica Prince

Psychology Theses

The current study evaluated the associations between pre-assault factors, assault characteristics, and multiple sexual assault medical forensic exams (SAMFEs) on emergency department visits one-year post-SAMFE. Characteristics associated with individuals who frequent the emergency department at higher rates have been well established; however, factors associated with greater emergency department visits following a recent sexual assault (SA) are largely unknown. The current study included a medical record review of 123 individuals who received a SAMFE at a hospital in the southeastern United States. Demographic variables, characteristics of the SA, pre-SA diagnoses, frequency of SAMFEs, and post-SAMFE emergency department visits were examined. Results …

Investigating The Relationship Between Foster Care And Sex Trafficking: What Factors Are Maintaining The Cycle Of Abuse, Shannon M. Budgell

Student Theses

Sex trafficking is a global crime and human rights issue that benefits abusers at the detriment of vulnerable groups, including children involved in the United States welfare system. This meta-synthesis explored the risk factors present within the United States foster care system that expose children to potential victimization. Using qualitative research, the purpose of this study was to review sex trafficking exploitation and analyze the current policies creating this vulnerability in the nation’s child welfare services. Upon completing a systematic literature search, nine studies were included by meeting the following criteria: qualitative or quantitative research studies published in English any …

The Use Of Alcohol Impregnated Port Catheters For Decreasing Central Line Infections In Acute Care, Shana M. Coons

Student Scholarly Projects

Practice Problem: Lack of proper sterile protocol for central lines was noted as a problem in the acute care units, causing CLASBI rates to be higher than the national average at the hospital in question.

PICOT: In hospitalized acute care adult patients 18 years of age and older with central lines, how does the use of alcohol impregnated port protectors (AIPPs) compared to current central line sanitation practices affect central-line associated infections (CLASBI) within 10 weeks?

Evidence: The literature evidence suggests that Alcohol Impregnated Port Protectors (AIPPs) decrease CLASBI rates and provide better outcomes for acute care patients with central …

Effectiveness Of Intervention Studies Based On Diet And/Or Physical Activity In Treatment, Prevention, And Management Of Diabetes Among South Asians: A Systematic Review, Ishaan Arora

Theses and Dissertations

The purpose of this study was to describe diet and/or physical activity-based interventions and their control in cardiometabolic risk factors of diabetes for the South Asian (SA) population. A systematic review was conducted in accordance with the PRISMA guidelines. Seventeen randomized control trials meeting the inclusion criteria were included for analysis. Interventions with type-2 diabetic SA showed significant improvements in HbA1c% (4/5 studies), fasting blood glucose (3/4 studies), and postprandial glucose (2/2 studies). Interventions with at-risk/prediabetic and non-diabetic SA showed a modest change in overall outcomes, with significant change reported for post-prandial insulin (3/4 studies), BMI and weight (2/4 studies), …

Effects Of Preoperative Chlorhexidine Gluconate (Chg) Cloths Educational Intervention For Preoperative Staff On Chg Knowledge And Surgical Site Infection Rates: A Quality Improvement Initiative., Deven Leffler

Doctor of Nursing Practice Papers

Abstract

Background: Surgical site infections (SSIs) are the most common cause of a surgical complication and account for 38% of all hospital acquired infections (HAI). The cost of caring for SSIs in the United States can range from $3.5-$10 billion annually.

Purpose: The purpose of this DNP Quality Improvement (QI) initiative was to improve preoperative staff’s knowledge and application of the Food and Drug Administration (FDA) approved 3-minute application scrub time for the 2% CHG cloths and reduce SSIs for an acute care hospital located in Louisville, Kentucky.

Methods: Quality improvement was initiated using the Plan, Do, Study, Act (PDSA) …

Initiating A Childhood Obesity Screening Process In An Urban Pediatric Office, Kesha Thomas

Doctor of Nursing Practice Projects

Background: The benefit of identifying a pediatric patient with obesity is to prevent many chronic health conditions that can occur from diabetes. Pediatric patients can be at risk for prediabetes, low self-esteem, and musculoskeletal issues. The patients that are at higher risk for childhood obesity are African American and Hispanics.

Purpose: The Doctor of Nursing Practice project aims to identify a pediatric patient that is obese to make sure that the patient is assessed appropriately and to discuss an appropriate intervention for the patient. To make sure all pediatrics have an accurate height, weight, and A1C during their well-child visit. …

The Implementation Of The Pressure Injury Prevention Protocol To Reduce The Incidence Of Hospital-Acquired Pressure Injuries In A Va Medical Surgical Unit, Nekia Whitlow

Doctor of Nursing Practice Projects

Background: The clinical gap in service addressed in the DNP project was hospital-acquired pressure injuries. A hospital-acquired pressure injury (HAPI) is a local injury to the skin and underlying tissue during an inpatient hospital stay. The injury is caused by pressure, shear, or both (The Joint Commission (TJC), 2022). The development of a HAPI can result from other factors, such as advanced age, immobility, perfusion issues, nutritional status, illness severity, and chronic conditions (Rondinelli, Zuniga, Kipnis, et al., 2018). Immobile or sedated patients in the intensive care units are the most at risk because they have medical conditions that prevent …

Traditional Culture And Knowledge As Suicide Prevention Among Indigenous People, Nigel Lawrence

M.Ed. Literature Reviews

American Indians and Alaska Native (AIAN) people possess the resilience and fortitude to survive attempted genocide, colonization, and assimilation. Still, the resulting intergenerational trauma has left AIANs with suicide rates disproportionately higher than any other race. This study reviews the research on the effectiveness of teaching traditional cultural knowledge and practices as suicide prevention measures. Alcohol and drug abuse have been shown to increase the likelihood of death by suicide; therefore, drug and alcohol use prevention measures will be included. As part of colonization and assimilation, much of the traditional cultural knowledge and practices were suppressed. If drug and alcohol …

Welcoming Wellness: A Health Promotion And Chronic Condition Prevention Program Rooted In The Foundations Of Occupational Therapy, Karlee G. Duncan

Occupational Therapy Capstone Presentations

Background: Despite the national $3.8 billion spent annually on chronic condition management, they are still the leading cause of death and disability in the United States. Chronic conditions have a variety of global implications. The development of chronic conditions can be managed through education and lifestyle behavior modifications, which lies within the scope of occupational therapy. Method: Simultaneous experiences at Logan Health and Logan Health Medical Fitness Center informed the development and implementation of a health promotion and prevention program, Welcoming Wellness. Results: Treating clients in acute care improved my understanding of chronic condition presentation and population needs, and connecting …

Opioid Use:True Colors, Maira A. Rodriguez

Capstone Projects and Master's Theses

Sun Street Centers mission is to prevent alcohol and drug addiction, and they do this by providing education, prevention, treatment options, and recovery to individuals and their family members in the Monterey County community, regardless of their income level. Sun Street Centers has been providing effective services and programs for those recovering from alcohol and drug addiction since 1968. Some of these programs and services that are offered to youth and parents include gateway drug presentations, cannabis education and substance abuse, and bullying presentations. They also offer the Safe Teens Empowerment Project (STEPS) where students are not only encouraged to …

Valuable Resources For Spanish-Speakers & Non-Residents Of Monterey County In Addiction Recovery, Analaura Perez

Capstone Projects and Master's Theses

Sun Street Centers in King City is a non-profit organization that offers a residential treatment program for men and women experiencing addiction. Their mission is to prevent alcohol and drug addiction by providing resources to individuals and families despite their income level. The main issue was that Spanish-speaking clients and clients that are non-residents of Monterey County were in need of resources to guide them during their recovery process. The idea for this project is to provide resources to all residential clients in both English and Spanish and also offer them to clients who are non-residents of Monterey County. The …

School-Based Suicide Prevention Program For Lgbtq Students, Ching Lok Tse

Electronic Theses, Projects, and Dissertations

Purpose: The study focused on the school-based suicide prevention program for LGBTQ students. It aimed to identify risk factors facing LGBTQ students and examine the areas for improvements on the current suicide prevention program to better support LGBTQ students.

Methods: The study was conducted with the support of mental health professionals serving high school students. The study adopted post-positivism and utilized ecological systems theory as the theoretical orientation. Qualitative research instruments including one-on-one interviews were employed for data collection.

Results: Seven themes emerged from this study, including the lack of social support and acceptance, internal struggles with identity in heteronormative …

Increasing Teacher Awareness Of Mental Health In Children, Sarah Alexis Cortes

Electronic Theses, Projects, and Dissertations

Mental health issues in school-aged children have become a larger issue especially after the COVID-19 pandemic. Because children spend a large amount of time in a school setting, it is important to utilize teachers to assist in preventing, recognizing, and supporting mental health issues in their students. This can be difficult however, when many states throughout the United States of America, have little to no requirements for mental health training in both their credential programs and their school districts. This can leave teachers feeling less comfortable and lack an understanding of how to prevent, recognize, and support, student mental health …

Prevention Of Obesity-Related Morbidity & Mortality In Adults, Rachelle Virgin

Masters Theses/Capstone Projects

Poster presentation on the prevention of obesity related morbidity and mortality in adults.

Reducing Delirium And Functional Decline In Hospitalized Older Adults: Implementation Of Cocare Help, An Evidence-Based Intervention, Kara M. Roman, Aaron Mestemaker

Culminating Experience Projects

Background: Delirium is a common disturbance in cognition among older adults in the hospital setting. It is associated with negative outcomes and high costs for patients, families, and hospital systems. Use of a reliable screening tool and evidence-based strategies such as CoCare: HELP demonstrates delirium prevention and functional decline in many geriatric hospitalized patients.

Objectives: This study examines the impact of implementing aspects of CoCare: HELP on two pilot units in an urban Midwestern hospital. Pre- and post-implementation measures of delirium rate, 30-day admission rate, length of stay, falls with injuries, safety attendant orders, restraint numbers, use of antipsychotics, and …

Reducing Delirium And Functional Decline In Hospitalized Older Adults: Implementation Of Cocare Help, Kara Marie Roman, Aaron Mestemaker

Culminating Experience Projects

Background: Delirium is a common disturbance in cognition among older adults in the hospital setting. It is associated with negative outcomes and high costs for patients, families, and hospital systems. Use of a reliable screening tool and evidence-based strategies such as CoCare: HELP demonstrates delirium prevention and functional decline in many geriatric hospitalized patients.

Objectives: This study examines the impact of implementing aspects of CoCare: HELP on two pilot units in an urban Midwestern hospital. Pre- and post-implementation measures of delirium rate, 30-day admission rate, length of stay, falls with injuries, safety attendant orders, restraint numbers, use of antipsychotics, and …

College Students’ Knowledge Of Trafficking And Pornography, Mariah C. Doyle

Selected Honors Theses

Sex trafficking is an epidemic plaguing the world and is being fueled by the increasing demand for pornographic material. Awareness of trafficking is rising in America, however there is still a lack of information on the topic. This quantitative study seeks to gauge an understanding of college students’ knowledge of trafficking, pornography, and their interconnectedness. The research was conducted via an online survey sent out to students at Southeastern University. With 113 respondents, the findings of the study reveal that students feel a level of uncertainty surrounding the topic of trafficking and pornography. The students have not so much been …

Girls Just Want To Be Safe: An Analysis Of Drugged Drinking And Prevention Amongst Students At The University Of South Carolina, C. Gray Forsberg

Senior Theses

Drink-spiking has become a well-known phenomenon since the turn of the century, especially on college campuses in the United States. Drink-spiking or drugging can be defined as “adding alcohol or drugs into someone’s drink without their knowledge or permission” (Alcohol and Drug Foundation, 2006). Drink-spiking is not just relevant to the concern of an illicit substance being placed into an alcoholic drink, but adding additional alcohol to drinks or adding alcohol or drugs to non-alcoholic drinks is considered drugging as well. This study collected data through a survey sent to 250 current students at the University of South Carolina regarding …

Targeting Of Mediator Kinases For Cancer Therapy And Resistance Prevention, Zachary Thomas Mack

Theses and Dissertations

Estrogen receptor (ER)-positive breast cancers make up 70% of all breast cancer incidences in the US. Cell cycle progression of ER-positive breast cancer is highly dependent on cyclin-dependent kinases (CDK) 4 and 6, the G1/S checkpoint kinases. Inhibitors of CDK4/6 have become a major addition to the clinical arsenal against ER-positive breast cancers. CDK4/6 inhibitor palbociclib (IBRANCETM) has been approved for the treatment of ER-positive breast cancers. However, palbociclib treatment eventually fails due to the development of resistance. Laboratory studies revealed several diverse mechanisms of palbociclib resistance, making universal re-sensitization difficult to achieve. However, prevention of the adaptive process that …

Adult Post-Cardiac Surgery Deep Sternal Wound Infections, Samantha Porcher, Cole Gatzke

Nursing DNP Projects

ABSTRACT

Purpose and rationale: Deep Sternal Wound Infections (DSWI) are associated with morbidity rates and mortality rates as high as 10% -15% as well as significantly increased hospital costs. The purpose of this project is to decrease current rates of DSWIs in adults undergoing cardiac surgery at a large medical institution.

Synthesis of evidence: The literature shows a strong relationship between elevated HbA1C and DSWI. All articles reviewed for this proposal which implement a sternal vest intervention support its use to prevent DSWI.

Practice change and implementation strategies: The strategy used to implement these evidence-based practice interventions includes …

Development And Evaluation Of Interactive Computerized Training To Teach Practitioners To Implement Safety Skills Training, Rasha R. Baruni

USF Tampa Graduate Theses and Dissertations

Children can experience unintentional injuries due to safety threats found in their environments (Centers for Disease Control and Prevention, 2008). Researchers have shown that children can be taught safety responses using behavioral skills training (BST) and in situ training (IST). Within the safety skills literature, there is evidence that manualized interventions are effective for teaching parents and teachers to deliver BST (Gross et al., 2007; Novotny et al., 2020). An approach that has not been evaluated for teaching safety skills is interactive computerized training (ICT). The ICT approach employs technology to deliver trainings in the absence of a trainer (Gerencser …

Pediatric Obesity In Primary Care, Lynne C. Liggins

Electronic Theses and Dissertations

The purpose of this evidence-based quantitative quasi-experimental research was to compare if providing the parents with information on the health risk associated with childhood obesity would cause the parents to make healthier food choices and encourage their children to be involved in a full hour of physical activity a day. Participants included parents and pediatric and adolescent children 5 to 18 years of age at a solo practice primary care office in a large city in Southern, California, which specializes in treating pediatric and adolescent patients. A pre- and postquantitative intervention design were used and analyzed using the paired t …

Sexual Violence And University Campus Response To Sexual Violence, Jennifer Bivins

Walden Dissertations and Doctoral Studies

While anyone can be a victim of sexual violence, college-aged females between the ages of 18 and 21 are more likely to be victimized than any other group. Sexual violence continues to be a barrier to education, and colleges/universities make it challenging for students to report on campus. The purpose of this study is to explore the factors, intervention/prevention strategies, and policies/procedures used to address sexual violence on a university campus. The framework used was the ecological model, which focuses on factors and influences within the environment that affected individual behavior. The research questions focused on participants describing their experiences …

Sexual Violence And University Campus Response To Sexual Violence, Jennifer Bivins

Walden Dissertations and Doctoral Studies

While anyone can be a victim of sexual violence, college-aged females between the ages of 18 and 21 are more likely to be victimized than any other group. Sexual violence continues to be a barrier to education, and colleges/universities make it challenging for students to report on campus. The purpose of this study is to explore the factors, intervention/prevention strategies, and policies/procedures used to address sexual violence on a university campus. The framework used was the ecological model, which focuses on factors and influences within the environment that affected individual behavior. The research questions focused on participants describing their experiences …

Exploring The Effectiveness Of The Interpersonal Theory Of Suicide In Youth Suicide Prevention, Atanas Janackovski

University of Wollongong Thesis Collection 2017+

Suicide is the primary cause of death among adolescents in Australia, and it continues to be a significant cause of mortality globally, with rates on the rise. The Interpersonal Theory of Suicide (ITS) posits that thwarted belongingness (low-belongingness) and perceived burdensomeness (burdensomeness) lead to suicide desire, and hopelessness moderates the intensity of the wish to die. Acquired capability (capability) is theorised to moderate the relationship between these factors and suicide desire, and is positively associated with resoluteness to enact a lethal suicide attempt. While the ITS posits that capability heightens the risk of lethal suicidal behaviour, the theory suggests that …

Gang Diversion Programs In The Success Of Reducing Youth Gang Membership, Francis Songtiib Laari

Walden Dissertations and Doctoral Studies

The rate of youth involvement in gang membership and crime has become a problem in Fairfax County, Virginia. It has increased violent crimes, drug trade, and incarceration rates for youths and decreased child school graduation rates. Youth gang membership is a significant public issue with broad mental and psychological implications for the child, family, and community because of the potential to commit a crime. Early exposure to gangs and violent neighborhoods can profoundly and negatively impact the residents. Researchers have explored why many children join gangs, but none have examined gang diversion programs' success in reducing youth gang membership. In …

Gang Diversion Programs In The Success Of Reducing Youth Gang Membership, Francis Songtiib Laari

Walden Dissertations and Doctoral Studies

AbstractThe rate of youth involvement in gang membership and crime has become a problem in Fairfax County, Virginia. It has increased violent crimes, drug trade, and incarceration rates for youths and decreased child school graduation rates. Youth gang membership is a significant public issue with broad mental and psychological implications for the child, family, and community because of the potential to commit a crime. Early exposure to gangs and violent neighborhoods can profoundly and negatively impact the residents. Researchers have explored why many children join gangs, but none have examined gang diversion programs' success in reducing youth gang membership. In …

When Age Matters: Child Age As A Moderator Of Outcome In A Caregiver Prevention Program For Abuse And Bullying, Jenni R. Marques

Theses and Dissertations

Childhood physical abuse (CPA), childhood sexual abuse (CSA), and bullying continue to impact children across the United States at an alarming rate, with immense psychological, physiological, and social cost (Child Maltreatment, 2020; U.S. Department of Justice, Bureau of Justice Statistics, 2017; Carr, Duff, & Craddock, 2018; Ferrara et al., 2019). While majority of prevention programs target elementary age children (6-10), there is some disagreement amongst researchers as to the appropriateness of introducing these programs to children of the pre-school age (3-5 years). Keeping Every Child Safe (Child Safe; Brown & Beekman, 2014) is an evidence-based primary prevention program for caregivers …

Adverse Childhood Experiences And Intimate Partner Violence In Gender Minority Populations, Claire Mason Mccown

Graduate Theses, Dissertations, and Problem Reports

Childhood adversity has been linked to numerous health and mental health concerns in adulthood (Felitti et al., 1998). Among the many outcomes associated with adverse childhood experiences (ACEs), victimization and perpetration of intimate partner violence (IPV) remains a public health crisis. Research has found that those identifying as gender minority individuals are disproportionately impacted by IPV (Messinger, 2017; Peitzmeier et al., 2020). Further, gender minority individuals experience equivalent, if not higher, rates of ACEs when compared to their cisgender counterparts (Baams, 2018; Juárez-Chávez et al., 2018; Schnarrs et al., 2019; Tobin & Delaney, 2019). While many factors contribute to the …