Medicine and Health Sciences Commons^™

Psychometric Testing Of The Healthy Eating And Physical Activity Self-Efficacy Questionnaire And The Healthy Eating And Physical Activity Behavior Recall Questionnaire For Children, Jane Lassetter Phd, Rn, Christopher I. Macintosh, Mary Williams, Martha Driessnack, Gaye Ray, Jonathan Wisco

Faculty Publications

Purpose: The purpose of this study was to develop and assess the psychometric properties for two related questionnaires: the Healthy Eating and Physical Activity Self-Efficacy Questionnaire for Children (HEPASEQ-C) and theHealthy Eating and PhysicalActivity Behavior RecallQuestionnaire for Children (HEPABRQ-C). Design andMethods: HEPASEQ-C and HEPABRQ-C were administered to 517 participating children with 492 completing. Data were analyzed to evaluate for reliability and validity of the questionnaires. Results: Content validity was established through a 10-person expert panel. For the HEPASEQC, item content validity index (CVI) ranged from 0.80 to 1.00. The CVI for the total questionnaire was 1.0. AllHEPASEQ-C items loaded on …

Organizational Learning In A College Of Nursing: A Learning History, Bret Lyman, Lisa A. Cowan, Hannah C. Hoyt

Faculty Publications

Background: College of nursing leaders can foster organizational learning as a means of achieving their desired organizational outcomes. Organizational learning has not previously been studied in colleges of nursing, leaving college administrators and faculty little guidance as they strive to improve outcomes in their own colleges.

Objectives: The purpose of this study was to discover new insights related to organizational learning in a college of nursing.

Design: The learning history method was used to document and describe organizational learning in a college of nursing.

Setting: This study was conducted with a college of nursing situated in a private, religious-based university …

Antibiotic Stewardship: The Role Of Clinical Nurses And Nurse Educators, Sharon Sumner, Sandra Forsyth, Katreena Collette Merrill, Caroline Taylor, Todd Vento, John Veillette, Brandon Webb

Faculty Publications

Within 10 years of the breakthrough development of Penicillin, antibiotic resistance was reported. According to the Centers for Disease Control (CDC) and Prevention (CDC, 2017), each year 2 million cases of antibiotic resistant bacteria occur resulting in approximately 23,000 deaths in the United States. The World Health Organization (WHO) also reports that approximately 25,000 people die from antibiotic resistant organisms annually in the European Union (WHO, 2014). To combat these alarming trends, antibiotic stewardship (AS) programs have been strongly recommended by the WHO, the National Institute for Health and Care Excellence (NICE) Centers for Disease Control and Prevention (CDC), the …

Parental Attitudes Of Immunization In Children With Special Healthcare Needs: A Qualitative Study, Maren Topham

Theses and Dissertations

Background and Purpose: Just over 15% of children under 18 years of age in the UnitedStates, or approximately 11.2 million children, are estimated to have special healthcare needs.Although children with special healthcare needs (CSHCN) make up a small percentage of thepediatric population, they account for over one third of pediatric medical care. Parental attitudesregarding immunization play a significant role in vaccination rates among children. The purposeof this research is to explore parental attitudes regarding immunization of CSHCN.Methods: This qualitative study focused on parental perceptions and beliefs aboutimmunizations for CSHCN. Sixteen participants, who were parents of CSHCN from onepediatric specialty care …

Organizational Learning In An Orthopaedic Unit: A Learning History, Bret Lyman, Lindsey Shaw, Carly Moore

Faculty Publications

The purpose of this study was to explore organizational learning in an orthopaedic hospital unit. Skill in organizational learning is necessary to achieve high reliability in a dynamic healthcare environment, yet organizational learning in hospital units is not well understood. A learning history was conducted with a high-performing orthopaedic unit. Findings were interpreted in the context of a previous learning history conducted with a critical care unit. Despite contextual differences, each unit progressed through the same four developmental stages to achieve its current state of high reliability. On both units, psychological safety and a healthy work environment proved essential for …

A Whooping Cough Education Module For Wic Clients In Utah, Karlen E. Luthy, Alicia Anderson, Janelle L. B. Macintosh, Renea L. Beckstrand, Lacey M. Eden, Ryan Amy, Christopher I. Macintosh

Faculty Publications

Background: Clients in the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) are required to complete education modules quarterly to maintain eligibility. The purposes of this project were to: (1) create a whooping cough vaccination education module for WIC clients; (2) evaluate baseline perceptions of WIC clients on the whooping cough vaccine and disease; and (3) evaluate whooping cough knowledge following completion of the module. Problem: A decline in vaccination rates among infants and children using WIC services was reported by a local WIC program director who requested whooping cough vaccination education materials. This quality improvement project included …

Should Nurse Practitioners Be Required To Record Immunizations In Immunization Information Systems?, Donald Gardenier, Lacey Eden, Karlen E. (Beth) Luthy

Faculty Publications

The United States Centers for Disease Control and Prevention (CDC)’s Vaccines for Children (VFC) Program, which provides the majority of childhood immunizations, has been in existence for over 20 years. The CDC also created the Immunization Information Systems (IIS) program in which states were allocated funding to create statewide immunization databases. The goal was to maintain a reliable immunization tracking system to keep children on schedule and avoid unnecessary immunizations. In most states, however, only health care providers who are enrolled in the VFC Program are required to enter data into the IIS. Should all providers be required to enter …

Critical Care Nurses’ Suggestions To Improve End-Of-Life Care Obstacles: Minimal Change Over 17 Years, Renea L. Beckstrand, Kacie Hart Hadley, Karlen E. Luthy, Janelle L. B. Macintosh

Faculty Publications

Background: Critical-care nurses (CCNs) provide end-of-life (EOL) care on a daily basis as 1 in 5 patients dies while in intensive care units. Critical-care nurses overcome many obstacles to perform quality EOL care for dying patients.

Objectives: The purposes of this study were to collect CCNs’ current suggestions for improving EOL care and determine if EOL care obstacles have changed by comparing results to data gathered in 1998.

Methods: A 72-item questionnaire regarding EOL care perceptions was mailed to a national, geographically dispersed, random sample of 2000 members of the American Association of Critical-Care Nurses. One of 3 qualitative questions …

State Requirements For Childhood Vaccination Exemption Forms In The United States, Katherine Elizabeth Hill

Theses and Dissertations

In the United States, children must be vaccinated in order to attend school, although parents also have the right to request a vaccine exemption. The type of vaccine exemption varies by state but can include exemption for religious, philosophical, medical, and temporary medical reasons. The purpose of this research was to identify the use of provider signature requirements and fees in states during the vaccine exemption process. A questionnaire was sent to immunization managers in the 50 United States, District of Columbia, the United States Indian Health Service, and eight United States territories. The managers were asked if their states …

Nursing Student Experiences Regarding Safe Use Of Electronic Health Records: A Pilot Study Of The Safer Guides, Karen Whitt, Katreena Merrill, Lacey Eden

Journal of Undergraduate Research

The purpose of this project was to mentor undergraduate nursing students through the entire research process while they worked on a study to evaluate undergraduate and graduate nursing students’ and practicing nurse practitioners’ clinical experience and awareness of safe electronic health record (EHR) practices utilizing the SAFER guide checklists. This project provided multiple mentoring and learning opportunities for the undergraduate students who worked on this project. We exceeded the original objectives of the study and included more opportunities for student research mentoring than were listed in the original proposal. The students had the opportunity for hands-on experience with all aspects …

Mentoring Nursing Students In A Refugee And Immigrant Public And Global Health Course, Debra Edmunds

Journal of Undergraduate Research

The following excerpt from a student’s reflective journal illustrates that academic objectives were met (used with permission): “I have learned a lot from this population and this knowledge has allowed my attitudes to develop and mature in understanding of this high-risk population. Refugees are a misunderstood and, many times, forgotten population that have experienced extensive trauma. I worked with many people on my mission that came from these backgrounds but I never had the opportunity to help them in this type of a setting. I have come to realize that for many people, their story will never be truly known …

Improving Immunization Rates Among Pregnant Women: A Mentored Experience, Lacey M. Eden

Journal of Undergraduate Research

The purpose of this MEG to mentor nursing students through the process of implementing an education program for pregnant women regarding the importance of Tdap immunization during pregnancy, and to assist Utah County obstetric offices in improving Tdap immunization rates among their patients. Additionally, this project provided an opportunity for undergraduate students to educate the public and utilize health information-technology to empower the patient to be proactive about their care and the protection of their unborn child.

Validation Of Four Activity Trackers And Their Influence On Activity Level In Adolescents And Young Adults, Neil Peterson

Journal of Undergraduate Research

Objectives:

1. Validate activity trackers including FitBit Surge, Basis Peak, and Apple Watch, against the validated ActiGraph GT3X+.
2. Use quantitative and qualitative means to determine the influence on these commercial exercise trackers on changing sedentary behavior (SB) and physical activity (PA) behavior.

Improving Immunization Rates Among Pregnant Women: A Mentored Experience, Lacey M. Eden

Journal of Undergraduate Research

The purpose of this MEG to mentor nursing students through the process of implementing an education program for pregnant women regarding the importance of Tdap immunization during pregnancy, and to assist Utah County obstetric offices in improving Tdap immunization rates among their patients. Additionally, this project provided an opportunity for undergraduate students to educate the public and utilize health information-technology to empower the patient to be proactive about their care and the protection of their unborn child.

The MEG funding was successfully utilized for its intended purpose (production of a mobile application to educate and remind pregnant women about needed …

Mentoring Nursing Students In A Refugee And Immigrant Public And Global Health Course, Debra Edmunds

Journal of Undergraduate Research

The following excerpt from a student’s reflective journal illustrates that academic objectives were met (used with permission): “I have learned a lot from this population and this knowledge has allowed my attitudes to develop and mature in understanding of this high-risk population. Refugees are a misunderstood and, many times, forgotten population that have experienced extensive trauma. I worked with many people on my mission that came from these backgrounds but I never had the opportunity to help them in this type of a setting. I have come to realize that for many people, their story will never be truly known …

Nursing Student Experiences Regarding Safe Use Of Electronic Health Records: A Pilot Study Of The Safer Guides, Karen Whitt, Katreena Merrill, Lacey Eden

Journal of Undergraduate Research

The purpose of this project was to mentor undergraduate nursing students through the entire research process while they worked on a study to evaluate undergraduate and graduate nursing students’ and practicing nurse practitioners’ clinical experience and awareness of safe electronic health record (EHR) practices utilizing the SAFER guide checklists. This project provided multiple mentoring and learning opportunities for the undergraduate students who worked on this project. We exceeded the original objectives of the study and included more opportunities for student research mentoring than were listed in the original proposal. The students had the opportunity for hands-on experience with all aspects …

Getting To Know Veterans Through The Utah Honor Flight, Kent Blad, Ron Ulberg

Journal of Undergraduate Research

The academic objectives of the MEG proposal were met and exceeded. Specifically, students were able to serve as individual guardians for a WWII or Korea War Veteran on an Honor Flight to Washington DC to allow those Veterans to visit those sites that are in place to honor their service to our country. For most of the 25 Veterans that were sponsored by BYU College of Nursing, this was their last visit to these sites before they pass on. Examples of these sites were WWII Memorial, Korea War Memorial, Vietnam War Memorial, Navy Memorial, Air Force Memorial, Marine / Iwo …

Wic Clients And Immunizations: A Community-Wide Educational Project, Karlen E. Luthy

Journal of Undergraduate Research

Although most well-known for formula and food vouchers, the WIC Program also excels with their education programs. In fact, every three months WIC parents are required to complete authorized on-line educational modules or attend approved educational classes prior to obtaining their food vouchers for the subsequent quarter.

Getting To Know Veterans Through The Utah Honor Flight, Kent Blad, Ron Ulberg

Journal of Undergraduate Research

The academic objectives of the MEG proposal were met and exceeded. Specifically, students were able to serve as individual guardians for a WWII or Korea War Veteran on an Honor Flight to Washington DC to allow those Veterans to visit those sites that are in place to honor their service to our country. For most of the 25 Veterans that were sponsored by BYU College of Nursing, this was their last visit to these sites before they pass on. Examples of these sites were WWII Memorial, Korea War Memorial, Vietnam War Memorial, Navy Memorial, Air Force Memorial, Marine / Iwo …

Wic Clients And Immunizations: A Community-Wide Educational Project, Karlen E. Luthy

Journal of Undergraduate Research

Although most well-known for formula and food vouchers, the WIC Program also excels with their education programs. In fact, every three months WIC parents are required to complete authorized on-line educational modules or attend approved educational classes prior to obtaining their food vouchers for the subsequent quarter.

In Utah, WIC clients establish their eligibility for program services at the WIC location within their county of residence. The WIC Program in Utah County is one of the largest in the state, providing services for approximately 8,000 women. During 2013-2014, a troublesome trend emerged among WIC clients in Utah County – a …

Validation Of Four Activity Trackers And Their Influence On Activity Level In Adolescents And Young Adults, Neil Peterson

Journal of Undergraduate Research

Objectives:

1. Validate activity trackers including FitBit Surge, Basis Peak, and Apple Watch, against the validated ActiGraph GT3X+.
2. Use quantitative and qualitative means to determine the influence on these commercial exercise trackers on changing sedentary behavior (SB) and physical activity (PA) behavior.

Unsubmitted Sexual Assault Kit Intiative, Holden Brimhall, Dr. Julie Valentine

Journal of Undergraduate Research

Sexual assault is a serious public health concern that has extremely long-term mental and physical health implications for victims. The Centers for Disease Control and Prevention (2012) estimates that 1 in 71 men and 1 in 5 women will be sexually assaulted during their lifetime. The key for getting these men and women the justice and closure they need is often found in their Sexual Assault Kits (SAKs), which collect physical evidence from the sexual assault survivor for the state crime laboratory to analyze. Unfortunately, only 20% of SAKs are ever submitted to the Utah Bureau of Forensic Services state …

Best Practice For Prevention Of Vaccination Common Problems With Antipyretic/Analgesic Medications, Lacey M. Eden, Meridith G. Lind, Karlen E. Luthy, Janelle L. B. Macintosh

Faculty Publications

Nurse practitioners are on the front lines providing parental education regarding vaccines. Some reasons for vaccine hesitancy include the potential common mild problems of vaccine administration, such as pain and/or elevated temperature. According to research, prophylactic administration of an antipyretic/analgesic medication, such as acetaminophen, reduces common mild problems related to vaccines when administered before or at the time of vaccination. Additionally, the evidence that prophylactic administration of antipyretic/analgesic medication decreases antibody response to vaccinations is insufficient at this time. However, this research has led to some confusion on best practice guidelines. This review of the literature resulted in recommendations that …

Identifying United States And Territory Education Requirements For Childhood Vaccination Exemptions, Lacey M. Eden, Emily G. Dunn, Karlen E. Luthy, Katelyn Wells, Janelle L. B. Macintosh, Renea Beckstrand

Faculty Publications

Background: : Children are required by law to receive vaccinations to enter school. States and territories offer exemptions for parents who refuse to vaccinate their children. Types of exemptions vary by state or territory, as does the exemption filing process. The purpose of this research was to identify the various education-related processes implemented by states and territories which allow parents to exempt children from vaccinations.

Methods: A questionnaire was distributed to immunization program managers in the 50 United States, District of Columbia, the United States Indian Health Service, and eight United States territories. Managers reported vaccination requirements for their jurisdiction …

Role Of The Endocannabinoid System And Medical Cannabis, Sabrina Jarvis, Sean Rassmussen, Blaine A. Winters

Faculty Publications

Our bodies produce complex substrates called endocannabinoids, which attach to the endocannabinoid system (ECS) receptors and impact many physiologic processes. Current research on the ECS and cannabis-based medications is accelerating in the presence of continued conflict between federal and state laws. In this article we present a summary of the latest information on the ECS, its receptors, and current research on the cannabis-based medicines and their potential to treat various disease pathologies and medical conditions. Our study includes the latest information on the continued legal ramifications nurse practitioners face in treating patients with these medications.

The Peanut Allergic Patient: Diagnosis, Treatment, And Prevention, Daniel W. Hill, Jane H. Lassetter, Craig Nuttall

Faculty Publications

The prevalence of peanut allergies (PAs) continues to rise through recent decades, despite the best attempts to reverse that trend. PAs are unpredictable and can be life-threatening. Therefore, it is imperative that nurse practitioners (NPs) are fully aware of the most recent guidelines and evidence regarding diagnosis, treatment, and prevention of PAs. This article presents information on the current research in the diagnosis and treatment of PAs as well as the latest guidelines established to prevent PA development. NPs should understand this information, allowing them to provide the best care possible for their patients.

Validating Basis Peak Activity Tracker And Its Influence On Activity Level In Adolescent And Young Adults, Austen Tullis, Neil Peterson

Journal of Undergraduate Research

As the population of obesity is increasing, there is greater need to address this health issue (CDC, 2012). Many companies have been developing activity tracking devices to motivate people to be active and live healthy balanced lives. This research project is focused on the product Basis Peak and its influence on activity levels of young adults and adolescents.

Meaning Of Childbirth For Hmong Women In Vietnam, Jamie Gettys, Cheryl Corbett

Journal of Undergraduate Research

The basis of this research project comes from data collected on a BYU Anthropology field school in Vietnam during the summer of 2015. The data consisted of eight in-depth interviews with Hmong women who had given birth within the last eighteen months. The focus of the interviews was on their experience giving birth and what that experience meant to them. The purpose of this research is to educate healthcare providers on the perceptions of the Hmong women interviewed so as to better accommodate to their preferences.

Get Moving: Motivating Sedentary Young Adults, Rebecca Edmunds, Neil Peterson

Journal of Undergraduate Research

Obesity and sedentary behavior are increasing in the United States and the world. On the Centers for Disease Control and Prevention (CDC) website recent statistics put over one third of the American adult population as obese and over half as overweight (2015). This epidemic has contributed to a drastic increase in disease and cost. Obesity and the accompanying diseases are not only expensive to treat but also decrease quality of life. Prevention is essential. Many companies are working to find devices that help motivate people and encourage physical activity and a healthy lifestyle. This research project focused specifically on the …

Immunization Rates Of Nicu Infants, Emily Gardner, Janelle Macintosh

Journal of Undergraduate Research

The goal of this project was to determine the vaccination rates of infants in the Neonatal Intensive Care Unit (NICU) of various hospitals throughout the Wasatch Front in Utah. We collected data related to possible reasons why infants may not receive their immunizations during their stay at the facility. Many are uninformed of the recommendation from the American Academy of Pediatrics (AAP) which states that that preterm and low birth weight babies should receive all immunizations at the same chronological age as full term infants. Yet, many pre term infants fail to be immunized. Preterm infants are at an increased …