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Articles 1 - 30 of 25632

Full-Text Articles in Medicine and Health Sciences

Fall 2021 Oct 2921

Fall 2021

Scientia

A Decade of Progress and Success; Speech Language Pathology Program; COVID-19 Long-Hauler Study; Peer Mentors Initiative; Faculty Update; Expert Engagement: Three CSH initiatives further education and scholarship while supporting communities in need; Strategic Command: Business consultant and med tech expert Stephen Sichak helps others face pandemic challenges; Taking Care: A School of Nursing research team plumbs the pandemic experiences of nurses nationwide


Breastfeeding After Maternal Anesthesia: A Guideline Development, Megan Berens Apr 2023

Breastfeeding After Maternal Anesthesia: A Guideline Development, Megan Berens

Doctor of Nursing Practice Scholarly Projects

Postoperative breastfeeding recommendations for lactating mothers by anesthesia providers are inconsistent and often inaccurate. Inappropriate recommendations have led to withholding of breastmilk to the infant, unnecessary disposal of breastmilk, surgical delay, exposure of an infant to high levels of drugs in breastmilk, and early cessation of breastfeeding. The purpose of the scholarly project was to develop a set of evidenced-based practice guideline recommendations and a proposed implementation plan for anesthesia providers to use in support of breastfeeding mothers who recover from surgery. Many studies in the literature indicate that there are inconsistencies in postoperative breastfeeding recommendations by anesthesia providers. When ...


Creating A Culturally Adaptable Comprehensive Sexuality Education Teacher's Manual, Stephanie Carteciano Apr 2023

Creating A Culturally Adaptable Comprehensive Sexuality Education Teacher's Manual, Stephanie Carteciano

Student Works

Purpose: The purpose of this project was to create a culturally adaptable comprehensive sexual education teacher’s manual by (a) standardizing content using The United Nations Educational, Scientific and Cultural Organization’s (UNESCO) 2018 International Technical Guidance on Sexuality Education (CSE), (b) providing evidence-based CSE pedagogy in the form of classroom activities, and (c) including adaptable teaching methods to fit diverse cultural contexts.

Development: The manual lessons were derived from UNESCO’s 2018 International Technical Guidance on Sexuality Education, and the pedagogy followed Anderson and Krathwohl’s revision of Bloom’s Taxonomy. Health information was obtained from various medical and ...


Development And Implementation Of An Evidence-Based Practice Guideline Regarding Cricoid Pressure, William Carson Ii Jan 2023

Development And Implementation Of An Evidence-Based Practice Guideline Regarding Cricoid Pressure, William Carson Ii

Doctor of Nursing Practice Scholarly Projects

Cricoid pressure (CP) has been a standard of practice since the 1960s. The purpose is to reduce aspiration of gastric content into the lungs in high-risk patients undergoing induction of general anesthesia. Aspiration has been identified as the most common cause of airway-related mortality for patients undergoing general anesthesia. The cause of airway-related mortality can be correlated to the application of CP. Incorrect application of CP may lead to adverse clinical events and outcomes. It has been demonstrated that when administering CP in a simulation-based environment, providers are applying pressure to the incorrect anatomical location and/or applying the incorrect ...


Factors Impacting Organ Transplant Outcomes, Katelyn Grubich Dec 2022

Factors Impacting Organ Transplant Outcomes, Katelyn Grubich

Nursing | Senior Theses

Organ transplants are crucial to the survival of those on the receiving end. With medicine advancing, so has transplantation. Health care providers are becoming more aware of the strategies necessary to prolong the transplanted organ and how to obtain better outcomes. Heart, lungs, kidney, liver, pancreas, and some where more than one organ are involved, are the types of organ transplants performed.

Providing patients information will allow them to be a part of their treatment and can help to ease their anxiety knowing what is being performed and what can be expected. Health care providers must ensure that patients and ...


Our Early Years Of Life's Effects On Our Future Health And Well-Being, Claudia Gagliano Dec 2022

Our Early Years Of Life's Effects On Our Future Health And Well-Being, Claudia Gagliano

Nursing | Senior Theses

Many poor health outcomes later into adulthood have been triggered by adverse life events that have occurred during childhood. Most of the general population has experienced some sort of adverse childhood event that has negatively impacted their future health. Adverse childhood events include any traumatic event that has occurred during childhood including maltreatment (sexual abuse, mental abuse, and physical abuse), neglect, parental loss, and peer victimization.

Raising awareness regarding the opportunities to intervene in a child’s life as a means to prevent behavioral, psychological, and substance abuse disorders before they would typically manifest on their own is the ultimate ...


How Has The Pandemic Exacerbated Nurse Burnout, And What Can Be Done To Improve Their Psychological And Emotional Well-Being?, Lisette Diaz Dec 2022

How Has The Pandemic Exacerbated Nurse Burnout, And What Can Be Done To Improve Their Psychological And Emotional Well-Being?, Lisette Diaz

Nursing | Senior Theses

Background: The COVID-19 pandemic has affected millions of people, both emotionally and physically. Nurses are among the people who are most affected. The nurses' quality of life and the way they provide care has been changed by the pandemic. Nurses are so focused on providing the best possible care for their patients that they neglect to look after themselves.

Objective: The purpose of this literature review is to identify and evaluate how the COVID-19 pandemic has affected nurses and their well-being. The significance of this research was to establish how the ongoing pandemic has impacted nurses’ performance and emotional well-being ...


Compassion Fatigue: The Impact On Nurses During The Covid-19 Pandemic, Adrian Huynh Dec 2022

Compassion Fatigue: The Impact On Nurses During The Covid-19 Pandemic, Adrian Huynh

Nursing | Senior Theses

Background

Compassion fatigue comes from the physical, emotional, and psychological impact of helping others through stressful and traumatic experiences. It is a form of fatigue linked to burnout and secondary traumatic stress. Many nurses are vulnerable to compassion fatigue from repeated exposure to the trauma of their patients. While compassion fatigue has been a continuing issue, the COVID-19 pandemic has increased the risk and number of nurses developing compassion fatigue. This can affect patient care, workplace and personal relationships, and lead to development of more serious mental health issues.

Objective

To investigate the effects of compassion fatigue on the registered ...


Childhood And Adolescent Obesity: Related Comorbidities And Interventions, Jasmine Wong Dec 2022

Childhood And Adolescent Obesity: Related Comorbidities And Interventions, Jasmine Wong

Nursing | Senior Theses

Background

The prevalence of childhood and adolescent obesity in the United States has steadily risen over the years and has become a public health concern. Obesity is defined as a BMI at or above the 95th percentile for children and teens of the same age and sex. Obese children and adolescents are at risk for poor health and poor quality of life. Furthermore, there are numerous comorbidities associated with childhood and adolescent obesity. While some of the associated diseases are acute, others can become chronic and result in lifelong conditions.

Objective

The purpose of the present thesis is to explore ...


Safe Practices For Preventing Covid-19 Among School-Aged Children, Meleena Reyelle Banda-Garcia Dec 2022

Safe Practices For Preventing Covid-19 Among School-Aged Children, Meleena Reyelle Banda-Garcia

Nursing | Senior Theses

Communicable diseases and infections are common health problems among children. Among the most impactful communicable diseases present today is COVID-19, a disease caused by a virus named SARS-CoV-2, which has forced many school closures due to rapid transmission. Despite children not being the main driving factor of the spread of the disease, severe complications underlying COVID-19 incidence have resulted in increased hospitalization among school-age children.The initial global response to the spread of COVID-19 included the closure of school systems; however as the disease continues to be effectively managed, communities are starting to re-open schools partially or entirely nationwide. Although ...


Rising Costs Of Insulin And Effects Of Self-Management In Type 1 Diabetes, Justine Yadao Dec 2022

Rising Costs Of Insulin And Effects Of Self-Management In Type 1 Diabetes, Justine Yadao

Nursing | Senior Theses

Background

Type 1 diabetes, also known as juvenile diabetes or insulin-dependent diabetes is a chronic condition where the pancreas may not be able to produce little to no insulin. This type of diabetes can be attributed to some factors such as age, family history, environmental factors or types of viruses. It is seen more often in children or adolescence but can develop in adults, averaging approximately 5-10% of the population.

Insulin is a type of hormone produced in the pancreas naturally or can be manufactured in the laboratory. People with Type 1 Diabetes need insulin from an exogenous source to ...


Effects And Outcomes Of Different Laboring Positions And The Influence From Societal Norms, Amberlyn Heskett Dec 2022

Effects And Outcomes Of Different Laboring Positions And The Influence From Societal Norms, Amberlyn Heskett

Nursing | Senior Theses

Background

Within labor and delivery, every birth is different. Alarmingly, the U.S. has the highest maternal mortality rate, including death during labor, among developed countries (World Health Organization, 2022). Many maternal deaths may be preventable.

In the U.S., the use of forceps, vacuum-assisted birth, episiotomies, and emergency C-sections are common for women during childbirth. Even though some laboring positions may assist birthing more than others, there often is resistance to allowing various positions due to outside influences, including societal norms, hospital management, and healthcare professional training. Women in labor are vulnerable and look to their nurses for support ...


How Is Health Seeking Behavior And Patient Outcomes For Latin Immigrants Affected By Language Barriers, Socioeconomic Status And Health Literacy?, Cassandra Sanchez Dec 2022

How Is Health Seeking Behavior And Patient Outcomes For Latin Immigrants Affected By Language Barriers, Socioeconomic Status And Health Literacy?, Cassandra Sanchez

Nursing | Senior Theses

Background

Language barriers cause a disconnect between patients and health care workers. What further causes a disconnect is when patients have a lower level of education in addition to having a language barrier. I will be focusing on Latin immigrant individuals in the United States for my research. Many Latin immigrant patients may not have gone to school in their native countries, so their education level is lower making it harder to understand discharge information or patient teaching. When patients are unable to have that health literacy it may lead to negative patient outcomes due to not adhering to medication ...


The Emerging Epidemic Of Type 2 Diabetes And Obesity Amongst Young Children, Juliana Morales Dec 2022

The Emerging Epidemic Of Type 2 Diabetes And Obesity Amongst Young Children, Juliana Morales

Nursing | Senior Theses

Background:

In the past years childhood obesity has increased tremendously and currently ⅓ of children in the United States are obese today. Obesity and Type 2 Diabetes are illnesses that can later on lead to more severe health complications when as a child enters adulthood. Children who are obese have a greater risk of developing Type 2 diabetes, and currently more than 80% of children who already are diagnosed with Type 2 diabetes are obese. In school and often by health care providers we are told daily physical activity and healthy diet are the best ways to maintain optimal health ...


The Components Of Vaccine Hesitancy And The Role Of Patient Education In Promotion Of Vaccinations In Newborns, Camille Joy Rayo Dec 2022

The Components Of Vaccine Hesitancy And The Role Of Patient Education In Promotion Of Vaccinations In Newborns, Camille Joy Rayo

Nursing | Senior Theses

Background

Due to an array of reasons relating to vaccine hesitancy, many newborns are without their standardized and recommended vaccinations as a result of their parent’s beliefs. Parents hold the power to vaccinate their children. Nurses must provide reliable information, debunk myths, and pursue pro-vaccination ideas when educating a parent about newborn vaccinations. By doing so, vaccine hesitancy should decrease and vaccination rates should increase. Unvaccinated newborns are put at a greater risk of contracting serious illnesses that may spread to others or even lead to one’s own death.

Objective

To identify common factors regarding vaccine-hesitant parents of ...


Impact Of Self-Care Techniques On Nurse Burnout, Macie Mayrell Aug 2022

Impact Of Self-Care Techniques On Nurse Burnout, Macie Mayrell

MSN Capstone Projects

Nurse burnout is a serious, widespread problem in the healthcare arena. Registered nurses need to understand the importance of self-care to prevent or alleviate nurse burnout. An Evidence-Based Practice Benchmark Study implements a relaxation room on a nursing unit to encourage and promote self-care among acute care nurses.


Understanding The Effectiveness Of Diabetes Self-Management Education On Psychological Distress And Self-Care Activity Measures: A Focus On Latinx Community, Anita Khadka Aug 2022

Understanding The Effectiveness Of Diabetes Self-Management Education On Psychological Distress And Self-Care Activity Measures: A Focus On Latinx Community, Anita Khadka

Doctoral Projects

The psychological distress that people with diabetes experience makes them twice likely to have clinical depression. Diabetes self-management education and support is an effective strategy to improve psychological distress and increase self-care activity measures. However, there has been limited knowledge on the impact of formal diabetes self-management education and support DSME/S on psychological distress among minority populations such as Latinx. The primary objective of this study is to explore the impact of diabetes self-management education on psychological distress and self-care activity measures. This study also explores the impact of demographic variables of the Latinx respondents on psychological distress and ...


Using Community-Based Participatory Research To Tailor A Diabetes Education Program To An At-Risk Black Church Congregation In The Mid-Atlantic, Samantha A. Mielke Jul 2022

Using Community-Based Participatory Research To Tailor A Diabetes Education Program To An At-Risk Black Church Congregation In The Mid-Atlantic, Samantha A. Mielke

Doctor of Nursing Practice Projects

Background: Prediabetes and diabetes continue to have a high disease burden in the United States (Lin et al., 2018). Many individuals are unaware of their glucose state or the impact impaired glucose can have on their quality adjusted life years and cost of living. The Centers for Disease Control and Prevention (CDC) has underscored the importance of decreasing the incidence of diabetes and has resources available. Still, many communities, particularly minority populations, can benefit from tailoring programs to their specific populations, where typical approaches may not be as beneficial (Joo & Liu, 2020). Additionally, Black American (BA) congregations often have a unique community-level soft infrastructure and psychological and sociological resources making them ideal sites for implementing education-based interventions (Kavanaugh et al., 2022; McNeill et al., 2018).).

Aim: This study aimed to initiate ...


Podium Presentation: Integrating Resiliency And Diversity, Equity, And Inclusion Training Into Orientation For New Healthcare Workers: A Quality Improvement Project, Debra Sawyers, Carmen Sincerbeaux Jun 2022

Podium Presentation: Integrating Resiliency And Diversity, Equity, And Inclusion Training Into Orientation For New Healthcare Workers: A Quality Improvement Project, Debra Sawyers, Carmen Sincerbeaux

Providence Nurse Research Conference (2022 - present)

No abstract provided.


Podium Persentation: Trauma-Informed Care In Palliative Care, Amber Piranio Jun 2022

Podium Persentation: Trauma-Informed Care In Palliative Care, Amber Piranio

Providence Nurse Research Conference (2022 - present)

No abstract provided.


Podium Presentation: Racial Inequities And Breastfeeding In A Nicu: A Quality Improvement Project, Emilia C. Garcia Jun 2022

Podium Presentation: Racial Inequities And Breastfeeding In A Nicu: A Quality Improvement Project, Emilia C. Garcia

Providence Nurse Research Conference (2022 - present)

No abstract provided.


Podium Presentation: Impact Of A Research Basics Course On Hospital-Based Nursing Research Confidence Levels: A Program Evaluation, Trisha Saul, Teresa Bigand Jun 2022

Podium Presentation: Impact Of A Research Basics Course On Hospital-Based Nursing Research Confidence Levels: A Program Evaluation, Trisha Saul, Teresa Bigand

Providence Nurse Research Conference (2022 - present)

Background:

The American Nurse Credentialing Center’s (ANCC) Magnet® recognition promotes best patient outcomes and nurse practice environments within a healthcare organization and requires nurses to conduct research and disseminate findings. However, while undergraduate nursing programs recognize the need to provide research knowledge, current pre-licensure curriculum is not designed to engage students in research activities to foster competency in this skill. Despite research competencies endorsed by select national nursing organizations and the Magnet® designation requirements, RN competency levels for participating in research activities are reported to be suboptimal. Thus, best practice recommends a formal program to train and guide nurses ...


Podium Presentation: The Positive Impact Of Attending A Regional Nursing Conference On Master Of Science Students Employed At A Magnet Designated Hospital, Elena M. Ybarra, Crystal Kahlich, Joann Long Jun 2022

Podium Presentation: The Positive Impact Of Attending A Regional Nursing Conference On Master Of Science Students Employed At A Magnet Designated Hospital, Elena M. Ybarra, Crystal Kahlich, Joann Long

Providence Nurse Research Conference (2022 - present)

No abstract provided.


Podium Presentation: Impact Of An Interprofessional Culture Of Mobility Training On Documentation Of Patient Mobility Activities, Dawn Doud, Micah Kaluzny, Ryan Houser, Teresa Bigand Jun 2022

Podium Presentation: Impact Of An Interprofessional Culture Of Mobility Training On Documentation Of Patient Mobility Activities, Dawn Doud, Micah Kaluzny, Ryan Houser, Teresa Bigand

Providence Nurse Research Conference (2022 - present)

Background:

Adults, and particularly elder adults, suffer many adverse consequences when restricted to the bed with no mobility activities for extended periods of time. During a hospital visit, adults are often subjected to bedrest inappropriately, contributing to outcomes such as hospital-acquired infections or injury, muscle wasting, or falls with injury. All outcomes may cause an increased length of stay and risk likelihood of discharge to an extended care facility versus home. At one community-based hospital, a needs assessment revealed several staff self-reported barriers to mobilizing patients. Simultaneously, no evidence-based practice mobility program existed within the hospital.

Purpose:

The purpose of ...


Podium Presentation: Identifying Barriers To Quality Mother-Infant Interactions In The Nicu Through Naturalistic Systematic Observations, Christine Neugebauer, Miranda Cox, Melissa Deckert, Ann M. Mastergeorge Jun 2022

Podium Presentation: Identifying Barriers To Quality Mother-Infant Interactions In The Nicu Through Naturalistic Systematic Observations, Christine Neugebauer, Miranda Cox, Melissa Deckert, Ann M. Mastergeorge

Providence Nurse Research Conference (2022 - present)

No abstract provided.


Podium Presentation: Continuous Labor Epidural Placement Trends Among Parturients: An Evidence-Based Practice Project, Aleksandr A. Lyakhov, Teresa Bigand, Amanda Affleck, Kenn Daratha, Kris Daratha Jun 2022

Podium Presentation: Continuous Labor Epidural Placement Trends Among Parturients: An Evidence-Based Practice Project, Aleksandr A. Lyakhov, Teresa Bigand, Amanda Affleck, Kenn Daratha, Kris Daratha

Providence Nurse Research Conference (2022 - present)

Background:

Childbirth is very painful, and unmanaged pain may reduce patient satisfaction or lead to other complications. Evidence indicates that pain severity is lower among parturient women administered analgesia via a continuous labor epidural (CLE) and that maternal request is sufficient indication for CLE placement to manage labor pain. In some cases, a medical induction of labor may be scheduled, offering an opportunity for proactive pain management from hospital staff. Yet, trends on timing of CLE placement among parturient women with scheduled labor induction versus spontaneous labor in hospitals in Eastern Washington at one health system are unclear.

Purpose:

The ...


Podium Presentation: Spontaneous Intraventricular Empyema In A Patient With Bacterial Sinusitis, Rachel Freedberg, Brian J. Carlson, Cynthia Murphy, Teresa Bigand Jun 2022

Podium Presentation: Spontaneous Intraventricular Empyema In A Patient With Bacterial Sinusitis, Rachel Freedberg, Brian J. Carlson, Cynthia Murphy, Teresa Bigand

Providence Nurse Research Conference (2022 - present)

No abstract provided.


Podium Presentation: Sleep-Associated Impairment In Hospital Nurses Working 12-Hour Day Or Night Shifts During The Covid-19 Pandemic: A Large Health System Multisite Pilot Study, Jamie Roney, Teresa Bigand, Ross Bindler, Trisha Saul, Rebecca Penders, Douglas L Weeks, Lois James, Marian Wilson Jun 2022

Podium Presentation: Sleep-Associated Impairment In Hospital Nurses Working 12-Hour Day Or Night Shifts During The Covid-19 Pandemic: A Large Health System Multisite Pilot Study, Jamie Roney, Teresa Bigand, Ross Bindler, Trisha Saul, Rebecca Penders, Douglas L Weeks, Lois James, Marian Wilson

Providence Nurse Research Conference (2022 - present)

No abstract provided.


Podium Presentation: Pediatric Immunizations: Improving Hedis Measures And Vaccination Rates, Brianna Baublitz, Brenda Senger, Denise Ogorek, Teresa Bigand, Devorah Overbay Jun 2022

Podium Presentation: Pediatric Immunizations: Improving Hedis Measures And Vaccination Rates, Brianna Baublitz, Brenda Senger, Denise Ogorek, Teresa Bigand, Devorah Overbay

Providence Nurse Research Conference (2022 - present)

No abstract provided.


Podium Presentation: Opioid Use Among Total Knee Arthroplasty Patients, Kelsie Welle, Karen Colorafi, Kenn Daratha Jun 2022

Podium Presentation: Opioid Use Among Total Knee Arthroplasty Patients, Kelsie Welle, Karen Colorafi, Kenn Daratha

Providence Nurse Research Conference (2022 - present)

No abstract provided.