Medicine and Health Sciences Commons^™

Ricketts, Hunter Christian, B. 1997 (Fa 1382), Manuscripts & Folklife Archives

FA Finding Aids

Finding aid only for Folklife Archives Project 1382. Project completed by Hunter Ricketts in fall 2019 regarding Mennonite health practices as part of a WKU folk studies class on Field Methods in Ethnography.

Modifications For An Overnight Camp For Children With Chronic Illnesses, Victoria Walker

Mahurin Honors College Capstone Experience/Thesis Projects

An overnight camp is something that almost every child looks forward to attending. Unfortunately, children with chronic illnesses are often not able to attend these types of camps. However, medical camps that institute modifications can make overnight camp stays a reality for children with chronic illnesses. The purpose of this study was to explore modifications made for children with chronic illnesses at a medical camp. The two research questions for this study were: 1) what modifications do overnight camps make for children with chronic illnesses to keep them safe and promote fun, and 2) how can these modifications be applied …

Refining Guidelines For The Care Of Paediatric Perioperative Patients In A Rural Health Care Facility, Michelle Hibberson

Journal of Perioperative Nursing

No abstract provided.

Effectiveness Of Self Instructional Module (Sim) On Knowledge Regarding Management Of Selected Poisoning In Children Among Paediatric Staff Nurses, Irene Freeda Ms, Smitha Bobby Ms, Sunita Solomon-Calvin Ms, Sophia Vinitha Ms

Manipal Journal of Nursing and Health Sciences

Background: Acute paediatric poisoning is a common medical emergency. Poisoning is one of the major causes of death among infants and toddlers in developing countries like India. Poisoning in children requires emergency intervention but, in every instance, medical evaluation is necessary to initiate appropriate action. Objectives: To assess the effectiveness of self-instructional module (SIM) on knowledge; Method: A quantitative, one group pre-test-post-test design was carried out among the purposive sample of 60 paediatric staff nurses. A structured knowledge questionnaire was used to assess the pre-test and post-test knowledge. A SIM was given on the day of the pre-test. Post-test was …

Inhibitor In Hemophilia And Its Management-A Case Report, Anjalin D'Souza Ms, Dinesh M. Nayak Dr, Annamma Kurien Dr

Manipal Journal of Nursing and Health Sciences

Hemophilia is a genetic disease with a deficiency of factor VIII or IX. People with inhibitors require special care and treatment due to complexity of the disease. Treatment is expensive due to high dose infusion and unavailability of factor in developing countries like India. This case report focuses on role of comprehensive care and follow-up of an adolescent with inhibitors.

The Effect Of High Flow Nasal Cannula Weaning Protocol On Decreasing Length Of Stay In Pediatric Intensive Care., Debbie Farrell

Doctor of Nursing Practice Papers

Background: High-flow nasal cannula (HFNC) is a type of non-invasive respiratory support that has decreased the rate of intubation in infants and children. It is utilized in the PICU and the wards. Due to the increased volume of patients on HFNC, a standard HFNC weaning protocol was created to improve the management of these patients.

Methods: Potential patients were identified through the Virtual Pediatric System (VPS) with the criteria of ages 1 month to 6 years old, admitted to the PICU during the months of January to March of 2018 and 2019, with diagnosis of bronchiolitis and requiring HFNC. Chart …

Propofol Administration For The Prevention Of Emergence Agitation In Pediatric Anesthesia, Casey L. Pesch

Nursing Capstones

No abstract provided.

Improving Acute Pain Management For Pediatric Patients: Development Of A Ketamine Infusion Protocol, Oksana Koeppen

Doctor of Nursing Practice Projects

Multimodal analgesia is a recommended approach for acute pain management for adults and children (ASA, 2012; Chou et al., 2016). This approach is becoming a prominent modality in pain control strategies in the pediatric population. An intravenous anesthetic, ketamine, may be a useful adjunct for acute pain management in children. Development of a pediatric ketamine infusion protocol and its subsequent introduction to the key stakeholders at the host facility in central Illinois were the focus of this project. Research has demonstrated the effectiveness of low-dose intravenous ketamine in acute pain management when used as an adjunct to other medications (Asadi …

Improving Acute Postoperative Pain Management For The Pediatric Patient: Guidelines On The Use Of Intravenous Dexmedetomidine, Jenna Winters

Doctor of Nursing Practice Projects

Inadequately treated surgical pain in children leads to risky complications, such as longer recovery times, infection, prolonged hospitalizations, readmissions, altered pain sensitivity, neurophysiological changes, and cognitive-behavioral abnormalities (Campbell, 2013; Ibrahim, Jones, Lai, & Tan, 2016). Review of the literature indicated intravenous dexmedetomidine, as an adjunct, may lead to improved outcomes and a reduction in postoperative pain in children undergoing surgical intervention. An evidenced-based educational presentation introduced intravenous dexmedetomidine in children to anesthesia professionals, pharmacy staff, and the pediatric care team at a tertiary care center. Concluding the educational presentation, participants completed a voluntary survey evaluating the effectiveness of the presentation. …

Resilience And Coping In Mothers Of Children With Sickle Cell Disease, Holly Carter

Dissertations

Sickle cell disease (SCD) is a prominent chronic illness in the United States. The Centers for Disease Control and Prevention (2016) estimated that one child out of every 365 African-American births will have SCD, affecting approximately 100,000 Americans. Supporting and promoting the integrity of the family and its’ members when a child has SCD is important for each family member’s well-being. Specific family characteristics, such as resilience and coping are important to understand because they can mitigate stress and create positive family outcomes (Brown et al., 1993; Cousino & Hazen, 2013; Hildenbrand, Barakat, Alderfer, & Marsac, 2015; O’Hanlon, Camic, & …

Toward Expert Consensus On Guidelines For The Use Of Yoga In The Treatment Of Anxiety In Children And Adolescents., Laura J. Abels

Doctor of Nursing Practice Scholarly Projects

Problem Statement: Despite clinical evidence to support the use of yoga as a treatment option for children and adolescents with anxiety, clinical practice guidelines do not exist. Purpose: This project used the modified Delphi technique to determine if consensus exists on the need for clinical practice guidelines among experts in the fields of child and adolescent psychiatry, psychology, and yoga. Additionally, this project aimed to determine if consensus exists on what should be included in clinical practice guidelines for the use of yoga as a therapeutic intervention for anxiety in children and adolescents. Methods: Three rounds of questionnaires were used …

Implementation Of The Vaccines For Children Program In A Midwest, Urban Clinic Dedicated To The Underserved Population, Akmal Saydazamov

Doctoral Projects

Background: Low immunization rates weaken herd immunity and endanger children. The Safety Net Health Clinic (SNHC) study site serves an underprivileged and refugee population with significantly lower than ideal coverage. Series completion disparities persisted after control for demographic, access-to-care, poverty and language effects (Varan et al, 2016).

Objectives: SNHC implemented the Vaccines for Children (VFC) program in order to increase the vaccination rates among the underserved population.

Methods: As an efficacy study, the project focused on three major areas in the VFC implementation – cost, staff preparedness and patient need. Cost was determined by utilizing electronic medical records (EMR) and …

Measuring Polyvictimization Among Vulnerable Children: A Confirmatory Factor Analysis, Kelli J. Jones

Dissertations (1934 -)

The purpose of this study was to test the pathways to polyvictimization model, a conceptual model developed by Dr. David Finkelhor, as an accurate measure of victimization among children in fragile families. Polyvictimization is the simultaneous, accumulative exposure to multiple forms of victimization. Finkelhor’s pathways to polyvictimization model consisted of four hypothesized pathways to becoming polyvictimized. The four pathways include a) residing in a dangerous community, b) living in a dangerous family, c) having a chaotic, multi-problem family environment, and d) the child has emotional or behavioral problems that increase risk behavior, engender antagonism, and compromise the capacity to protect …

Actualizing Best Care Practices At A Psychiatric Treatment Center To Validate The Asset Of An On-Site Electrocardiogram, Pamela Metts

Doctoral Projects

Considerations to be contemplated in daily health delivery systems are complex and require varied approaches to deliver best-care processes that produce optimal patient outcomes. Specialty practice sites not only require the capability but also necessitate proficiency and dedication in meeting and exceeding essential healthcare competencies. A psychiatric treatment center specialty practice was the setting for this DNP project. The focus of this project included: (1) care resourcefulness, (2) safety initiatives, (3) increased privacy and confidentiality compliance, and (4) cost-efficiency measures.

Technology use beyond the security of the safety available within the treatment complex is a current policy at the psychiatric …

The Journey Of Implementing A Pediatric Essential Oil Program, Elizabeth Edmundson, Tiffany Kim

Nurse Presentations

Describes use of essential oil patches for specific indications with pediatric patients greater than 3 years old or greater than 20 kilograms. Lavender, peppermint, mandarin, or spearmint inhalation patches are used.

The Effect Of Nursing Interventions And Health Promotion On Childhood Obesity: A Literature Review, Grace N. Mageloff

Honors Undergraduate Theses

Childhood obesity is a growing epidemic in the United States that has short-term and long-term health consequences for the children affected. Nurses are patient advocates and are responsible for speaking up for the patient; in the pediatric population, a nurse must act as an advocate on behalf of the child. The purpose of this literature review is to look at different barriers to nursing interventions in regard to childhood obesity. A literature review was done by using different databases, with 11 articles having similar themes and interventions used. The main themes from the literature review were parental willingness and involvement …

Hiv Education And Empowerment A Program For The Women Of Kiryabicooli, Uganda, Emily Rymland

Doctor of Nursing Practice (DNP) Projects

Abstract

Background: HIV continues to be a serious health, social and economic burden in Uganda. Early in the epidemic, the government’s rapid response brought the HIV infection rates from 30% in the 1990s to 4% by 2000, however rates are rising with some district’s reporting the HIV rate rising up to 7.8%. Myths surrounding transmission, disease progression and treatment compound the country’s vulnerability. The goal of this Quality Improvement project is to educate women with children under 13 years old about the facts of HIV, in the hopes that with that knowledge they can take action to decrease their own …

Health Related Quality Of Life And Coping Strategies Of Children With Type 1 Diabetes Mellitus Attending A Tertiary Care Setting, Vineetha Vijaykumar Ms, Sreeja S. A Ms

Manipal Journal of Nursing and Health Sciences

Introduction: Diabetes mellitus (DM) is a syndrome that results in abnormally high blood sugar levels and is due to the combined effect of hereditary and environment. There is a global increase of type 1diabetes at a proportion of 3% annually in children and adolescents and frightening 5% increase annually among pre-school children. The highest incidences were found in the 10 to 14 years (Swift, 2007). Objectives: The objectives were to determine the health related quality of life (HRQOL) and coping strategies of children with type 1 DM, to find the association between HRQOL with selected demographic variables and to identify …

Interventions To Reduce Urinary Tract Infections Among Hospitalized Children: A Systematic Review, Edlin Glane Mathias Ms, Judith A. Noronha Dr

Manipal Journal of Nursing and Health Sciences

Background: Among the bacterial infections, urinary tract infection (UTI) is commonly diagnosed among the children. Although there is a variety of research on diagnosis and treatment of UTI, still the clinician faces many challenges in day-to-day care of the children. Studies have reported that the incidence of UTI is highest among the first year of life and decreases in the later life. The appropriate interventions to diagnose and manage the UTIs are important to reduce them among children. Purpose: The purpose of this systematic review is to identify the interventions to reduce UTIs among hospitalized children. Data sources: The electronic …

A Qualitative Evaluation Of A Young Parents Program (Ypp) - Parent And Facilitator Perspectives, Cecily Strange, Elaine Bennett, Maggie Tait, Yvonne Hauck

Nursing Papers and Journal Articles

Issue addressed: Young parents (<25 years) have lower engagement with health and community services and are more likely to experience negative outcomes in the perinatal period compared to older parents. The aim of this study was to evaluate the short to medium‐term outcomes of the Young Parents Program (YPP), specifically designed to engage and support young parents, using responsive and codesign strategies in a community setting.

Methods: A qualitative case study used data from interviews with participating parents (n = 20) and a focus group with YPP facilitators (n = 5).

Results: The findings report on the following short to medium‐term YPP outcomes for parents and children. Young parents: are engaged in early parenting services that are welcoming, non-judgemental and holistic; build parenting skills, knowledge, confidence and are tuned into their infants’ needs; are empowered to codesign program activities to meet their parenting and non-parenting needs; have developed friendships and a social support network in their local community; and, are linked …

Parental Knowledge Of Car Seat Safety, Breanne P. Webb

DNP Projects

Background: Injuries sustained from motor vehicle accidents are one of the leading causes of death in children every year. In one year, more than 618,000 children 0-12 years of age rode in vehicles without the use of a proper restraint device at least some of the time. Of the children ages 12 years and younger who died in a motor vehicle accident in 2016 (for which safety restraint use was known), 35% were not buckled up (Centers for Disease Control and Prevention, 2017).

Purpose: The purpose of this project is to evaluate parental knowledge and understanding of car seat and …