Medicine and Health Sciences Commons^™

A Qualitative Examination Of Prostate Cancer Treatment Decision-Making Among Black Men, Linda Ottley

Nursing ETDs

This ethnographic study explored the experience of treatment decision-making among urban Black men who were diagnosed with prostate cancer in San Diego, California. Specifically, this research was conducted to further understand the decision-making process among Black men and the barriers they face when making treatment decisions about prostate cancer. The study is important because prostate cancer disproportionately affects Black men in the United States, and yet they are underrepresented in research studies (Randolph, Coakley, & Shears, 2018). These inequities are poorly understood and need considerable analysis and exploration. Still unclear is the possible effect of historical trauma or negative healthcare …

Exploring Individual Experiences Obtaining Medication-Assisted Treatment For Opioid Use Disorder In Rural New Mexico, Krista L. Scorsone

Nursing ETDs

In the United States, more than 2.5 million people struggle with opioid use disorder. Compared to people living in urban areas, rural residents are twice as likely to overdose from opioid misuse. Reasons for this increase include excessive opioid prescribing and illegal diversion of opioids. This holds true in the rural counties of northern New Mexico, where drug overdose deaths are among the highest in the nation. Although medication-assisted treatment (MAT) with buprenorphine, methadone, or naltrexone is globally accepted as the most effective treatment, it is still accessed half as often rurally. The reasons for this imbalance are unknown, and …

Transitioning From Experienced Nurse To Resident In Blended Cohort Transition-To-Specialty Nurse Residency Programs, Rachael Frija

Doctor of Nursing Practice Scholarly Projects

Recommendations from the Institute of Medicine promote nurse residency programs for experienced nurses (EN) transitioning to new areas of specialty. A large non-profit healthcare system in the Southwest implemented three Transition-to-Specialty (TtS) residency programs using a blended cohort approach consisting of graduate nurses (GNs) and ENs. Upon review of program outcomes, ENs reported to have higher attrition rates than their GN counterparts. Given the substantial pecuniary loss related to EN turnover, understanding the ENs’ perspectives to achieve successful role transition to a new area of specialty is critical to a successful program. This qualitative descriptive study sought to describe the …

Gastrostomy Tube Complications And Management, Deborah J. Garcia

Doctor of Nursing Practice Scholarly Projects

The avoidable complications of clogging and dislodgement of gastrostomy tubes (g-tubes) place a tremendous burden on patients, caregivers, healthcare providers, and the entire medical system. These complications are associated with $130 million in healthcare utilization each year. Insufficient education of patients and personal caregivers regarding the prevention of complications of clogging and dislodgement of g-tubes is identified as a major barrier. Preintervention and postintervention education program models were established, which include a preprocedure clinic visit with education as well as scheduled follow-up phone calls. A chart review and follow-up phone call was used to evaluate the effect of providing consistent …

Perspectives Of Behavioral Health Providers In School Based Health Clinics (Sbhc) About Behavioral Health Services And Low-Income Adolescent Males’ Academic Achievement, Suzanne Gagnon

Nursing ETDs

ABSTRACT

Low-income adolescent males are subject to both health and educational inequities. Male adolescents are the least likely of all pediatric age and gender groups to access either primary care or behavioral health services. This same population is most likely to not complete high school or college. Health and educational outcomes are both affected by social determinants. School-based Health Centers (SBHCs) are known for providing access to primary care and behavioral health services for low-income and vulnerable populations. The purpose of this qualitative descriptive study was to identify themes from one-on-one semi-structured qualitative interviews with behavioral health providers, who provide …