Digital Commons Network^™

Implementation Of Home Blood Pressure Monitoring, Sarah Gutzke

Dissertations

Approximately 48.1% of adults in the United States have high blood pressure. Providers may encourage patients to monitor and log their blood pressure at home. Still, patients often fail to bring this information to appointments, leading to reliance on less comprehensive in-office measurements. This quality improvement project aimed to increase adherence to home blood pressure logs using a Blood Pressure Toolkit. A descriptive, observational design was utilized to record patient adherence of taking home blood pressure measurements and increase the number of patients who brought their blood pressure logs to their healthcare provider visits over two months. A convenience sample …

Implementing The 5a’S Of Obesity Management In Primary Care, Holly H. Rowell

Doctor of Nursing Practice Scholarly Projects

Problem Statement: The prevalence of obesity continues to increase globally, with greater prevalence in the southern United States, resulting in higher costs to the healthcare system and greater risks for the development of other chronic diseases. Purpose: Determine if implementing the 5A’s of Obesity Management among primary care providers in a rural, low-income healthcare setting will increase the diagnosis of obesity and result in a subsequent decrease in weight among patients who are obese. Methods: An educational session was held to familiarize providers with the 5A’s of Obesity Management and the importance of obtaining and documenting proper height …

Re-Member Selfhood A Drama Therapy Intervention, Option 1, Angelique Beauchêne

Expressive Therapies Capstone Theses

Re-member Selfhood is a specific trauma-informed, drama therapy, intervention designed to meet the needs of adults with exposure to trauma and traumatic stress, who have pertinent adverse childhood experience scores and/or experience persistent trauma cycles over the lifespan concurrent with somatization. The aim of this thesis was to introduce an intervention which could function as indirect exposure and assist in the integration process taking the whole being of trauma sufferers into account, including body, mind, and soul. Additionally, the hope of this intervention is to decrease perceived physical pain, assist in the integration of the rejected aspect of self, and …

Implementing Diabetic Eye Care Education For Healthcare Professionals, Misun Serena Moser

Doctor of Nursing Practice (DNP) Projects

Background: Diabetic retinopathy (DR) is the most common cause of diabetic eye complications and a leading cause of preventable vision loss in American adults. Skaggs et al. (2017) reported that DR screening prevents vision loss by 95%. The evidence reports that only 60% of people with diabetes have attended the recommended DR screenings (Flaxel et al., 2020). Emerging evidence supports patient education about diabetic eye care and its guidelines by health care professionals (HCPs) as the main facilitator to accomplish this goal (Khair et al., 2020; Moinul et al., 2020). Healthcare professionals are pivotal in encouraging or discouraging DR screening …

The Therapeutic Potential Of Found Objects In Art Therapy For Adults With Severe Mental Illness, Meara Hemler

Expressive Therapies Capstone Theses

In art therapy, adults with severe mental illness may hesitate to engage in artmaking due to low self-esteem and preconceived notions about art. Existing research suggests that found objects may be an accessible and approachable medium that allows clients to overcome barriers to authentic expression. Research also suggests that art therapy with found objects can facilitate progress in common treatment goals for this population including grounding in the present moment, fostering connections with the outside world, promoting self-reflection, enhancing emotional awareness and regulation, building a positive sense of identity, empowerment, and living a meaningful and purposeful life.

This study explored …

Mental Health And Wellness Programming For Adults With Down Syndrome, Chloe Samter

OTD Capstone Projects

This capstone project was completed in partnership with GiGi’s Playhouse located in Brentwood, TN. GiGi’s Playhouse is a non-profit organization that offers free programming for individuals with Down syndrome and their families. The focus of this project was addressing the mental health and wellness of adults with Down syndrome. The goal of this project was to provide meaningful lessons and activities for participants to learn about mental health, coping strategies, and emotional exploration. Participants had the opportunity to learn and practice meditation, mindfulness, self-advocacy, healthy relationships, creative expression, and more. Participants completed The Warwick-Edinburgh Mental Well-being Scale (WEMWBS) as a …

Osteoarthritis, Social Role Participation, And Satisfaction With Life: A Quantitative Study Informed By The Social Identity Model Of Identity Change (Simic), Stephanie E. Rosado

USF Tampa Graduate Theses and Dissertations

This cross-sectional survey study utilized an adapted version of the Social Identity Model of Identity Change (SIMIC) to investigate associations between post-diagnostic factors, role salience identity changes, and satisfaction with life for U.S. adults with osteoarthritis (OA). Data were collected from 193 adults with OA using ResearchMatch. Results suggest that role limitations significantly contributed to explaining variations in role salience identity. Furthermore, a positive relationship was observed between change in role salience identity and satisfaction with life. A moderated moderation analysis assessing the interaction effects of satisfaction with role performance and social support on the relationship between role salience identity …

Community Educational Session On Identifying The Signs Of Depression And Resources Available, Desiree Young

Doctor of Nursing Practice Projects

The DNP Project was designed to educate the community on identifying the signs of depression and the community resources available to them. The intent of the project was to improve the community’s knowledge of depression symptoms and the community resources available that offer assistance to those dealing with these symptoms. There is a great need for education on depression signs, as many in various communities suffer from untreated depression, which often leads to negative outcomes. The impact of the project implementation was measured by using pre- and post-survey data evaluating the participants' overall knowledge of the signs of depression, stigma …

Home Blood Pressure Monitoring Bundle For Hypertension Outcomes In Adult Patients Receiving Care In Public Health Clinics, Christine Jennifer Victorian

Doctor of Nursing Practice (DNP) Scholarly Projects

Abstract

Background: Hypertension (HTN) that is not adequately controlled leads to cardiovascular disease, stroke, and heart disease. It affects 116 million adults (47%) in the United States (U.S.). The HTN compliance rate in a South Texas public health clinic was 64%, below the national benchmark of 76%. Home blood pressure monitoring (HBPM) was recommended in a joint statement by the American Heart Association (AHA) and the American Medical Association (AMA). Literature evidence revealed that the HBPM bundle increased BP control (<140/90 mmHg) compliance.

Methods: A quality improvement (QI) bundle was initiated to address the low HTN compliance rate from a quality management …

Guideline For Creating A Support Group For Adults With Down Syndrome Who Suffer With Prolonged Grief, Brandon Chace Warman

Doctor of Nursing Practice (DNP) Scholarly Projects

Adults with Down syndrome process and express their grief differently from the general population. There are a multitude of support groups and organizations for individuals grieving a loss and experiencing prolonged grief but there are none that exist for people with Down syndrome. This project develops a guideline for creating support groups aimed at adults with Down syndrome who experience prolonged grief. Fifty-one pieces of literature from all over the world were reviewed to formulate recommendations that were graded by seven stakeholders. These recommendations were then used to develop a guideline for creating support groups for this population. Analysis of …

Intergenerational Christian Community: A Vision For Spiritual Formation For All Ages, Robin Pyles

Doctor of Ministry

For decades, American churches have been struggling with shrinking attendance, particularly among young people. An increasingly polarized society that elevates individualism and secularization, along with widespread escalating age segregation, has contributed to this trend. In response to these societal norms, many local churches have defaulted to a primarily age-segregated programming model. This model results in the absence of a sense of community and belonging, and a lack of Christian spiritual formation growth among both youth and adults within the church. This research revealed that creating regular opportunities for meaningful cross-generational interactions that combine shared experiences of play, creative expression, intentional …

Evaluating A Video Peer-Modeling Intervention On The Acquisition And Maintenance Of Social Skills For Adults With Autism In A Transition Setting, Adam K. Hammond

Theses and Dissertations

This study evaluated the use of a peer video modeling and prompting intervention used to teach three adults with autism to give a specified verbal and physical response when greeted. This intervention used a six-step task analysis to verify correct completion of the target behavior. At baseline, each of the three participants gave little to no response when greeted but after the video modeling and prompting intervention all three had acquired at least five out of six (83%) of the target behavior steps. Follow-up probes demonstrated that all three of the participants had maintained at least 4 out of 6 …

Demystifying Music Therapy: Applications Over The Lifespan, Barry C. Nelson

Counselor Education Capstones

This study seeks to evaluate the curative factors of music therapy and discuss the benefits of the practice over the course of the human lifespan. Additionally, a case will be made for prospective and current counselors to add music therapy techniques to their repertoire in order to provide more diverse methods of care. To accomplish this aim, research will be presented conveying how music therapy has been evaluated for effectiveness in treating various mental health concerns during childhood, adulthood, and older adulthood. The results of this evaluation suggest that music therapy is effective at treating a diverse range of disorders …

Does What Doesn’T Kill You Make You Stronger? Examining The Effects Of Resilience And Functional Outcomes On Post-Traumatic Growth In Adults With Acquired Disability, Dominique Renee Ghirardi M.S.

Theses and Dissertations

Disabilities acquired in adulthood are often unexpected and disruptive because a loss of functioning can affect one’s ability to maintain employment, pursue their interests, and participate in social activity without assistance or accommodation. This is especially true for those who experience a life-altering injury or develop a chronic health condition between the ages of 18 and 64, as they likely have not planned for the financial and social adjustments that life with a disability involves. However, factors such as post-traumatic growth can reveal the extent to which someone experiences personal growth and improvement in the wake of a traumatic and …

Scaffolding Strategies That Benefit And Support Adult English As A Foreign Language Reading Comprehension: A Literature Review, Walkiris Mejia Ortega

Graduate Theses and Dissertations

The poor reading proficiency and the lack of reading comprehension strategies have been a major flaw for adult university learners in English as a Foreign Language (EFL) contexts, particularly in the case of English majors at the School of Foreign Languages in the Autonomous University of Santo Domingo, Dominican Republic. Research has shown this reading gap can be improved through suitable instructional strategies and assistance referred to as scaffolding. The purpose of this literature review was to investigate how beneficial scaffolding is for EFL adults´ reading comprehension, which scaffolding strategies prove effective in supporting EFL reading comprehension, and how those …

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 …

Mental Health Education For Nurses Caring For Adults With Severe Mental Illness, Juliet O. Onyia

Electronic Theses and Dissertations

The focus of this study was on mental health education for nurses who care for adults with severe mental illness. Severe mental illness is rising, and nurses cannot adequately provide quality patient-centered care to the population due to poor knowledge. In this study, the knowledge and perceptions of mental illness and care among registered nurses in the community were assessed before and immediately after a mental illness educational session. A non-experimental quantitative descriptive study was conducted using convenience sampling in a home health setting. Dorothea Orem's self-care theory was the theoretical framework that guided the project. Instruments included the Mental …

Ontario Adults' Mental Health, Wellbeing, And Prosocial Behaviour During The First 16 Months Of The Covid-19 Pandemic: A Longitudinal Study, Katie J. Shillington

Electronic Thesis and Dissertation Repository

The overall purpose of this dissertation was to provide a detailed assessment of the mental health, wellbeing, and prosocial behaviour of Ontario adults aged 30–59 (those at highest risk for losing years of healthy life due to chronic disease) during the first 16 months of the COVID-19 pandemic (April 2020–August 2021). To address this dissertation’s purpose specifically, four distinct yet thematically connected articles were written. Article 1 provides the starting point of this program of research via an overview of Ontario adults’ inter-related health behaviours (i.e., physical activity, sedentary behaviours, and dietary intake) and outcomes including, mental health, and wellbeing …

The Quality Improvement Program For Sepsis Fallouts: Utilizing Education And An Order Set To Improve Compliance With Sep-1, Ryleigh Tibbitt

Doctor of Nursing Practice Projects

Background: Sepsis is a multisystem disease that occurs when the human body reacts to a severe infection in the body. Sepsis is a life-threatening response that can lead to multisystem organ failure and even death. Sepsis is the number one cost of hospitalization and is estimated to be $62 billion annually (Sepsis Alliance, 2022). This disease affects at least 1.7 million adults yearly in the United States, and nearly 270,000 die from it (National Institute of General Medical Statistics [NIGMS], 2021).

Purpose: This Doctor of Nursing Practice (DNP) project aimed to improve the compliance rate of the sepsis bundle with …

The Dance/Movement Embodied Experience Of Grief And Loss Using The Five Senses: Development Of A Clinical Method, Yarmisha Cofield

Expressive Therapies Capstone Theses

According to recent grief and loss research, creative arts therapy can help people heal after losing something or someone. However, there is little research to support the use of dance/movement therapy (DMT) in the adult population. This literature review investigated grief and loss, with a particular emphasis on embodied grief and how and where grief is carried in the physical body. Furthermore, this study of the literature extended on the implementation of DMT and the five senses with adults experiencing embodied grief, as well as body-based techniques to assist these individuals in understanding their loss. This was an essential subject …

The Relationship Between Social Cognition And Social Behavior Of Young Adults With Autism Spectrum Disorder Using The Ucla Peers® For Young Adults Social Skill Program, Meaghan Balsdon

Electronic Theses and Dissertations

Research indicates that social communication impairments are a defining and persistent feature of Autism Spectrum Disorder (ASD; Centers for Disease Control and Prevention, 2022). Social communication consists of what an individual knows about social skills (i.e., social cognition) and how they observably respond in social situations (i.e., social behavior). It is difficult to gain a comprehensive assessment of social communication because social cognition assessments are prone to inaccuracies due to poor metacognitive skills in individuals with ASD (DeBrabander et al., 2021; Cederlund et al., 2010; Vickerstaff et al., 2006). Inaccurate reporting of social cognition leads to potential discrepancies in observable …

A Scoping Review Of The Impact Of Solitary Confinement On Self-Harm And Suicide Among Adults In U.S. Prisons, Jessica Diana Puebla

Social Work Theses

Solitary confinement is a widespread issue that impacts the most vulnerable individuals in our country. The U.S. uses solitary confinement more frequently and for longer periods of time compared to other countries though its use has not proven to be an effective intervention in prisons. Solitary confinement limits the individual’s ability to connect with peers, friends, and family as visits are restricted, thus impacting their mental health. This thesis aimed to understand the impact of solitary confinement of self-harm and suicide among adults in U.S. prisons; This thesis also attempted to shed light on the theoretical lenses that were stated …

Coded Daily Communication Log Providing Client’S Health Updates, Joy Hodson

Capstone Projects and Master's Theses

Direct care staff of adults with developmental disabilities are not provided with information about changes to clients' physical and mental health. The Gateway Center of Monterey is a non-profit organization that provides a day program for adults with developmental disabilities to assist clients to live as independently as possible. Factors Contributing to this issue include time constraints, inadequate information provided to staff to adjust individual care, and staff resources being taxed to accommodate clients' changing needs. The communication deficiency led to clients’ changing needs not being met, staff needing to be equipped to accommodate changing needs, and communication breakdown between …

Informing Low-Income Parents About Financial Aid, Jennifer Lopez-Rubio

Capstone Projects and Master's Theses

Many parents of low-income families have little or no access to information about how to pay for college for their children. When parents are unaware of how to pay for college, their children may be less encouraged to attend college and may see college as an unnecessary luxury. Informed parents may provide better support for getting monetary aid and, in turn, encourage them to attend college. To address the lack of access to financial resource information, I have created a one-day workshop for low-income parents and adults of the San Andreas housing community in Watsonville, California.

The Effects Of Exercise On Adults With Intellectual And Developmental Disabilities, Addison Bates

Honors Theses

Exercise is essential for a healthy life and many people are unable to participate due to barriers. One population that seems to be extremely impacted by these barriers are persons with disabilities. People with disabilities are more likely to become obese and suffer from serious, chronic illnesses. There is a need for exercise programs catered to this population. There is a lack of exercise programs focused on people with disabilities, so through this research we are interested to see the impact of a 12-week exercise program and what results might occur from this lifestyle change. With the 12-week virtual program …

Preferences Of Adults With Turner Syndrome Regarding Disclosure Of Potential Neurodevelopmental And Psychiatric Features, Elizabeth Pancake

Theses and Dissertations

This study aimed to assess preferences of adults with Turner Syndrome (TS) regarding provider disclosure and discussion of potential neurodevelopmental or psychiatric features.

Fifty-six individuals with TS completed an online survey. Questions were asked about their TS diagnosis and provider involvement, neurodevelopmental and psychiatric diagnoses, and preferences concerning providers’ disclosure regarding these possible non-physical features.

Sixteen individuals reported a formal neurodevelopmental diagnosis. Furthermore, 46 respondents reported personal suspicion of ADHD, math difficulties, weaker non-verbal or visual-spatial skills, intellectual disability, or autism spectrum disorder. Thirty-five individuals had a formal diagnosis of at least one psychiatric condition. The preferred providers to initiate …

Food Insecurity In Youth And Young Adults With Diabetes: Prevalence And Association With Health Behaviors, Lauren Helene Martini

Theses and Dissertations

Given the life-long impact of diabetes(1-5), it is important to engage in behaviors that promote health and wellness to delay or prevent negative health outcomes(3, 6-10). Despite this, youth and young adults with diabetes generally do not adhere to nutritional(11-17) or physical activity(18, 19) recommendations. In households experiencing financial difficulties, especially those who are having difficulty providing sufficient food to all of its members, adhering to recommendations may be even more difficult.

The purpose of this dissertation is to better understand and contextualize food insecurity among youth and young adults (YYA) with youth-onset T1DM and T2DM. The first aim addresses …

Improving Self-Management Of Diabetes With Culturally Sensitive Interventions, Janet O. Makori

Doctor of Nursing Practice Projects

Abstract

Adult Latino patients with diabetes may require education and skills that are culturally appropriate to achieve optimum results. The purpose of this DNP project was to improve diabetes self-management among Latino and other at-risk adults. The project used an intervention bundle to streamline screening, education, and improve patients’ self- confidence. Adult patients were screened during triage to obtain vital signs and blood glucose levels per the routine at the clinic and via phone to discuss management of diabetes. Implementation of the project included provision of culturally sensitive diabetes education material, culturally sensitive “traffic light” food guide in English and …

Improving Self-Management Of Diabetes With Culturally Sensitive Interventions, Janet O. Makori

Doctor of Nursing Practice Projects

Abstract

Adult Latino patients with diabetes may require education and skills that are culturally appropriate to achieve optimum results. The purpose of this DNP project was to improve diabetes self-management among Latino and other at-risk adults. The project used an intervention bundle to streamline screening, education, and improve patients’ self- confidence. Adult patients were screened during triage to obtain vital signs and blood glucose levels per the routine at the clinic and via phone to discuss management of diabetes. Implementation of the project included provision of culturally sensitive diabetes education material, culturally sensitive “traffic light” food guide in English and …

Factors Influencing Transitional Care Seeking Behaviors Of African Americans Living With Sickle Cell, Evelyn Carol Ellis Washington

Walden Dissertations and Doctoral Studies

Sickle cell (SC) is an inherited blood disorder that affects millions globally and approximately 100,000 people in the United States. SC causes excruciating pain and organ damage. This qualitative study was conducted to examine the factors influencing the decision-making process of African American diagnosed with SC regarding maintaining continuity of care. This qualitative study was conducted to understand how perceived susceptibility and severity, perceived benefits versus barriers, sense of threats, cues of action, and self-efficacy influence the transitional care-seeking behaviors of African Americans diagnosed with SC in the rural Mississippi Delta. The health belief model was the theoretical framework used …