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Articles 31 - 41 of 41
Full-Text Articles in Medicine and Health Sciences
Pharmacogenomics In Primary Care: Barriers To Implementation, Joshua Michael Fleming
Pharmacogenomics In Primary Care: Barriers To Implementation, Joshua Michael Fleming
Doctoral Dissertations and Projects
As technology and research evolve it is essential that practitioners in healthcare remain aware and cognizant of the changes that are going on around them and how these advancements may aid them in providing the best care to the patients that seek care from them. The largest breakthrough in the field of genetics has been the complete sequencing of the human genome. This landmark has paved the way for innumerable insights into every part of how care is delivered and stands to change the landscape of medicine entirely. Pharmacogenomics testing exists as a subset of genetic testing, and pertains to …
Improving Central Venous Catheter Infection Rates Through The Use Of A Bundle: An Integrative Review, Janice Laverne Harris-Hall
Improving Central Venous Catheter Infection Rates Through The Use Of A Bundle: An Integrative Review, Janice Laverne Harris-Hall
Doctoral Dissertations and Projects
The role of Central Venous Catheters (CVC) is significant for the End-Stage Renal Disease (ESRD) population. The placement of the CVC for a HD (HD) patient is not only necessary, but life-sustaining. CVCs are usually placed for an emergent HD treatment, while awaiting a permanently placed arteriovenous fistula or graft (AVF/AVG), or when the permanent access becomes non-functioning. There are multiple risk factors related to having a CVC placed, the most predominant complication being catheter line-associated bloodstream infections (CLABSIs). Studies have shown that implementing a CVC prevention bundle was associated with a significant reduction in the CLABSI rates within the …
Using Patient Safety Principles To Prevent Patient Harm, Octavia Reed Wynn
Using Patient Safety Principles To Prevent Patient Harm, Octavia Reed Wynn
Doctoral Dissertations and Projects
While healthcare is intended to promote and restore optimal health and quality of life, it has been realized that patients often experience unintended harm while consuming healthcare services. In a project conducted in a 12-bed intensive care unit, nurses completed a pre-survey to identify a baseline understanding of patient safety principles. They then completed online educational modules designed to teach patient safety principles including patient and family centered healthcare, systems safety, and culture of safety. Following the educational intervention, a postsurvey to assess for increased understanding was administered. Forty-seven nurses completed the presurvey and education showing improved understanding of patient …
Using Screening, Brief Intervention, Referral To Treatment To Address Problematic Alcohol Use At A University Student Health Center, Tajuane H. Dockery
Using Screening, Brief Intervention, Referral To Treatment To Address Problematic Alcohol Use At A University Student Health Center, Tajuane H. Dockery
Doctoral Dissertations and Projects
Problematic drinking is a public health concern on college campuses. College students who do not have their risky drinking behaviors addressed are at greater risk for developing Alcohol Use Disorder (AUD). Despite known risks associated with drinking on college campuses, many college health centers miss an opportunity to address these behaviors because they lack a systematic process for identifying students at risk and referring them for treatment. This evidence-based project evaluated the effectiveness of using Screening, Brief Intervention, Referral to Treatment (SBIRT) to identify students with risky drinking behaviors and the impact the screening process had on facilitating a referral …
Improving Perioperative Communication Through The Use Of A Nurse Navigator: An Integrative Review, Elizabeth Irene Christman
Improving Perioperative Communication Through The Use Of A Nurse Navigator: An Integrative Review, Elizabeth Irene Christman
Doctoral Dissertations and Projects
Patient-centered communication practices are critical for ensuring that patients have optimal care experiences and clinical outcomes. Unfortunately, today’s health care environment often presents numerous barriers to consistent and clear information exchange. These barriers are magnified in dynamic and fast-paced care environments such as the perioperative setting, where numerous interactions and communication exchanges must occur. The purpose of this integrative review is to examine the value of the nurse navigator role within the perioperative setting and evaluate whether it can improve patient and family satisfaction with communication and the care experience. The review includes the identification and appraisal of relevant literature …
The Impact Of Intermittent Auscultation And Physiologic Labor Support Education For Nurses On Patient Satisfaction And Nurse Self-Efficacy, Heather N. Soper
The Impact Of Intermittent Auscultation And Physiologic Labor Support Education For Nurses On Patient Satisfaction And Nurse Self-Efficacy, Heather N. Soper
Doctoral Dissertations and Projects
Knowledge and implementation of intermittent fetal auscultation (IA)and labor support mechanisms in the hospital setting are becoming a lost art. Nurses are well-trained on how to utilize technology and perform medical interventions for laboring patients, but are losing the confidence and skills necessary to promote normal, physiologic births for low-risk women. In order to address these concerns, an evidence-based practice project was piloted in a hospital in Virginia. Nurses were trained on the science, clinical application, and outcomes of both intermittent auscultation and continuous electronic fetal monitoring for low-risk women; education was also focused on labor support mechanisms and the …
A Mixed-Methods Case Study Of Spiritual Formation And School Induced Stress In Student Registered Nurse Anesthetists During Hospital Residency, R. Dawn Whybrew
A Mixed-Methods Case Study Of Spiritual Formation And School Induced Stress In Student Registered Nurse Anesthetists During Hospital Residency, R. Dawn Whybrew
Doctoral Dissertations and Projects
Student registered nurse anesthetists in hospital residency undergo a rigorous schedule. For Christian nurse anesthesia students, spiritual formation may suffer due to the stressors of anesthesia residency. The purpose of this mixed-methods case study sought to understand and describe the perceived influence of participation in spiritual formation opportunities during nurse anesthesia hospital residency on students’ spiritual formation level as well as their ability to handle stressors of hospital residency. In phase one of the study, the researcher conducted a purposeful convenience sampling of 54 Junior and Senior students in a quantitative quasi-experimental design. In phase one, the participant's spiritual formation …
An Evidence-Based Intervention To Enhance Provider Awareness And Confidence In Addressing Polypharmacy, Catherine Marie Steiner
An Evidence-Based Intervention To Enhance Provider Awareness And Confidence In Addressing Polypharmacy, Catherine Marie Steiner
Doctoral Dissertations and Projects
Polypharmacy is a healthcare problem of epidemic proportions in the United States. It is frequently associated with negative health outcomes in the lives of both elderly and chronically ill persons at excessive costs to the United States healthcare system. Appropriate medication management incorporating evidence-based guidelines is essential to addressing polypharmacy. Prescribing clinicians in all disciplines have expressed a lack of confidence and perceived gaps in knowledge to address polypharmacy through deprescribing. This scholarly project aimed to determine if a polypharmacy protocol intervention, based on the most current evidence-based guidelines in prescribing and deprescribing, would improve clinician confidence in the decision …
Improving Patient Satisfaction With The Virtual Handoff Process Through The Utilization Of Educational Pamphlets In The Emergency Department, Lynda Michelle Heintz
Improving Patient Satisfaction With The Virtual Handoff Process Through The Utilization Of Educational Pamphlets In The Emergency Department, Lynda Michelle Heintz
Doctoral Dissertations and Projects
Boarding patients in the emergency room while waiting to transfer the patient to the proper unit can be harmful to clinical care and have significant financial opportunity costs. At one local hospital it was found that on average patients were being boarded in the emergency room (ED) for approximately 85 minutes waiting to be transferred. Several barriers that caused this delay were found including, delay in room cleaning, nurse staff shortage, and inability to give report to the nurse receiving the patient. In an attempt to combat this delay which may be caused by a difficulty in giving patient report, …
A Transcendental Phenomenological Study Of Student Nurses With Learning Disabilities In The Clinical Learning Environment, Lorna Jean Woodhall
A Transcendental Phenomenological Study Of Student Nurses With Learning Disabilities In The Clinical Learning Environment, Lorna Jean Woodhall
Doctoral Dissertations and Projects
The purpose of this transcendental phenomenological study was to record the lived experiences of nursing students with learning disabilities while in the clinical learning environment. Dewey’s theory of education and Knowles’ theory of adult learning were used to ground this study. Their theories provided a foundation to understand how the learning process is affected in nursing students with learning disabilities in the clinical learning environment. The study answered the following research questions: (a) What are the lived experiences of student nurses with learning disabilities in the clinical learning setting? (b) How are nursing students impacted by their learning disability during …
Shift Work: Gut Health And Metabolic Disease, Hailey Lane
Shift Work: Gut Health And Metabolic Disease, Hailey Lane
Senior Honors Theses
The number of people engaged in shift work continues to rise, and with it the research linking shift work to various diseases and conditions. Shift work changes the body’s sleeping patterns and circadian rhythms which has an effect on all parts of the body including the heart, immunity, cancer development, and inflammatory processes. Altered sleeping patterns and circadian rhythms change the composition and anatomy of the gut and microbiome, which in turn affects the development of metabolic diseases. Shift work also changes one’s eating patterns and habits. Altered eating habits similarly changes the composition and anatomy of the gut and …