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Full-Text Articles in Medicine and Health Sciences

Comparative Look At The Depression Treatment Modalities Of Cognitive, Teresa M. Page Jul 2016

Comparative Look At The Depression Treatment Modalities Of Cognitive, Teresa M. Page

Doctoral Dissertations and Scholarly Projects

This integrative review provides a comparative view of cognitive behavioral therapy (CBT) and pharmacotherapy (PCT) as treatment modalities for adult depression. The foci of this integrative review are to examine research articles on CBT and PCT to determine which therapy, monotherapy or combination therapy, provide a higher level of therapy for depression. The metrics utilized are depression symptom remission, response to therapy, recovery from depression, and quality of life. Individual preference and response to treatment vary. This makes the reader more aware that specific populations may be more receptive to one therapy instead of the other.


Patient Perceptions Of The Caring Environment, Kathryn M. Miller Jul 2016

Patient Perceptions Of The Caring Environment, Kathryn M. Miller

Doctoral Dissertations and Scholarly Projects

As health management information system technology at the point of care increases to ensure greater efficiency, effectiveness and patient safety, the impact of such technology needed to be explored for impact on the nurse-patient dyad, and patient perception of the caring environment. This evidence-based practice pilot project based on the Iowa Model of Evidence- Based Practice to Promote Quality Care utilized quasi-experimental methodology to measure implication of mobile computer workstations at the point of care and sought to answer if an evidence-based practice change of ergonomic use surrounding technology improved patient perceptions of the caring environment. Significance of the pilot …


Health Literacy Assessment And Chronic Disease: An Integrative Review, Dana S. Woody Jul 2016

Health Literacy Assessment And Chronic Disease: An Integrative Review, Dana S. Woody

Doctoral Dissertations and Scholarly Projects

Health literacy is a matter of grave concern in health care today. Defined as more than the ability to read and write, it involves obtaining, processing, and understanding health information. Yet it is a concept often misunderstood and overlooked in the environment of professional care. Specifically, low health literacy in the setting of chronic disease has proven to be a challenging and costly phenomena. Given the high prevalence of chronic disease, there is a pressing need for health care providers to acknowledge this subject matter in care delivery. This integrative review provides a synthesis of published evidence identifying and clarifying …


Reducing Medication Errors In The Acute Care In-Patient Setting: An Integrative Review, Ronni T. Rothwell Jul 2016

Reducing Medication Errors In The Acute Care In-Patient Setting: An Integrative Review, Ronni T. Rothwell

Doctoral Dissertations and Scholarly Projects

Promoting a culture of safety in healthcare organizations has become a necessary goal to ensure that patients are safe, well cared for, and satisfied with the services they receive. One of the areas recognized as a major safety concern across hospitals in the United States and abroad are medication errors, which continue to occur at a staggering rate. This integrative review seeks to serve two purposes to combat this pandemic problem. First, the project will attempt to determine if an appropriate intervention or strategic initiative exists that can reduce medications errors for adult patients on an acute care patient unit …


Horizontal Violence Effect On Nurse Retention, Victoria M. Cox Jan 2016

Horizontal Violence Effect On Nurse Retention, Victoria M. Cox

Doctoral Dissertations and Scholarly Projects

Horizontal violence is known by a variety of terms such as lateral violence, bullying, and incivility. Christie and Jones (2014) describe lateral violence as a problem in nursing where a behavior is demonstrated through harmful actions that occur between nurses. Studies have revealed how horizontal violence affects nurse retention. Horizontal violence is a relevant issue in the healthcare community, yet often goes undiscussed. Walrafen (2012) explains that an outcome of horizontal violence in nursing is directly proportional to a decrease in retention of nurses. Sherman (2012) proclaimed that nurses who are subjected to horizontal violence have low self-esteem, depression, excessive …


Implementation Of Teamstepps, Trynequa S. Jones Jan 2016

Implementation Of Teamstepps, Trynequa S. Jones

Doctoral Dissertations and Scholarly Projects

This scholarly project focused on implementing Team Strategies and Tools to Enhance Performance and Patient Safety (TeamSTEPPS) in an emergency room (ER). The aim of TeamSTEPPS is to improve patient outcomes by educating healthcare professionals on communication and teamwork skills. TeamSTEPPS teaches healthcare professionals leadership skills, shared mental models, mutual trust, and closed loop communication. The purpose of the scholarly project was to improve teamwork and communication. The study method was descriptive analysis of 51 pre and posttest questionnaires, specifically looking for increased knowledge of TeamSTEPPS tools. The participants included: ER physicians, ER nurses, ER certified nursing assistants/health unit coordinators, …