Medicine and Health Sciences Commons^™

The Importance Of Community Rehabilitation: Evaluating Effectiveness Of Tennessee Interventions, Sarah Grace Knight

Masters Theses

Rehabilitation for offenders has been a topic of discussion for decades. While the system expresses that rehabilitation is the best method of practice, statistics show that these individuals still struggle to reenter society successfully. This study addresses environmental factors and barriers that can make the reentry process difficult and increase chances of recidivism. Additionally, this article takes a look at the state of Tennessee in particular, considering its high crime and recidivism rates. While many states have programs in place, it is apparent that the government needs to focus on creating more stable financial budgets for both community and prison …

Designing A Novel Approach To Cadaveric Dissection And Evaluation Of The Lacrimal Gland Anatomy, Maresa Joanna Mcdowell

Doctoral Dissertations and Projects

During our study, the orbital dissections of 44 cadavers were analyzed, and the lacrimal gland's condition after dissection was evaluated. Medical students previously dissected twenty-two of the cadavers using the dissection steps outlined in Grant’s Dissector. From these, 21 student groups performed orbital dissection using the two approaches outlined in Grant’s Dissector. Post-evaluation of Grant’s anterior approach (GAA) showed that 50% of the lacrimal glands had signs of damage to the orbital lobe, and 88.89% of the palpebral lobe were damaged. When Grant’s supraorbital approach (GSA) was used, 70% of the palpebral lobes showed signs of damage compared to the …

A Holistic Approach To Music For Stress Management During Pregnancy, Danielle Emily Dixon

Doctoral Dissertations and Projects

Pregnancy is a transformative journey for women, but amidst the excitement and anticipation that most women experience, pregnancy often raises stress levels to profound heights for various reasons, which may include hormonal fluctuations, physical discomforts, concerns about the baby’s health, financial pressures, relationship changes, fear of labor and birth, life adjustments, and societal expectations. The purpose of this qualitative hermeneutic phenomenological study was to examine how music interventions impacted stress levels during pregnancy. This two-week study employed an in-person group experiment involving pregnant women. The study sample was selected via voluntary response sampling, where pregnant women volunteered to participate in …

Exploring The Correlation Between Climate Change And Influenza Activity In The Northeast United States, 2003-2023, Emily M. Posadas

Doctoral Dissertations and Projects

The influenza virus is influenced by a myriad of complex interactions with human and environmental factors, with changing climate patterns having significant effects on the health status of a population. This study investigates the correlation between climate change and influenza activity in the northeast United States from 2003 to 2023, providing insight and understanding into the interaction between the two variables. The anthropogenic factors that have contributed to climate change are recognized, and circulating seasonal and avian influenza viruses are discussed within the context of climate change. The investigation of the correlation between climate change and influenza activity across this …

A Qualitative Examination Of Food Choice Among Division Iii Student Athletes Using Grounded Theory, Paul Webster Craig

Doctoral Dissertations and Projects

The determinants of food choice among the general population have been extensively investigated, but studies of food choice in collegiate student athletes are limited. Student athletes make food choices daily, and the selection of foods is an integral part of an athlete’s training regimen. National Collegiate Athletic Association (NCAA) Division III (DIII) student athletes are a comparatively unstudied population, particularly in terms of their food choices; therefore, assessing and understanding the influences of food choices in this population can enable and support optimal eating behavior. To assess different determinants of food choice in athletes, this qualitative study developed a theoretical …

The Effects Of High-Fidelity Bereavement Simulation On Perinatal Nurse Attitude And Comfort With Providing Bereavement Care For Patients Experiencing Perinatal Loss, Victoria Jule Johnson

Doctoral Dissertations and Projects

Perinatal loss is a global phenomenon that requires holistic and individualized care of patients. Nurses are responsible for providing most bereavement care after the loss of a pregnancy or infant; however, nurses commonly experience a lack of education and exposure to ways to promote high-quality bereavement care, leading to nurse discomfort providing perinatal bereavement care. The purpose of the study is to examine if high-fidelity perinatal bereavement simulation is an effective method to increase nurse comfort and improve nurse attitudes toward providing perinatal bereavement care. Data was collected using a quantitative quasi-experimental one-group pretest-posttest research design using a sample of …

Paths Initiative: Identifying Potential Sex Trafficking Victims In The Emergency Department Setting, Kayla Mabery

Doctoral Dissertations and Projects

The Physical signs, Appearance, Talk and communication, History and background, and Support and resources (PATHS) education initiative has proven to be a valuable tool in enhancing the identification and support of sex trafficking victims in healthcare settings, particularly in emergency departments. The training led to significant improvements in the participants' knowledge, confidence, and practical application of skills necessary to recognize potential victims. Despite the limitations of limited participant numbers and lack of face-to-face training, the initiative's positive impact underscores the need for continued efforts in this area. By incorporating the PATHS tool into regular professional development programs and standard operating …

Diabetes Health Literacy, Diabetes Numeracy, And Cognitive Function As Predictors Of Type 2 Diabetes Mellitus Self-Management, Twinkle Gupta

Doctoral Dissertations and Projects

The present study assessed older adults (≥ 45 years old) diabetes health literacy, diabetes numeracy, cognitive function, and its association with their Type 2 Diabetes Mellitus (T2DM) self-management outcomes. These factors are of concern as diabetes is a lifelong condition affecting the body’s conversion of food into energy and may lead to complications and comorbidities if this condition is not properly self-managed. Diabetes health literacy refers to having the necessary capabilities in finding and analyzing diabetes-related information to make informed decisions regarding their health. Numeracy in diabetes has to do with being able to compute diabetes-related math such as insulin …

Determining The Effectiveness Of A Nurse-Led Heart Failure Education Program In Reducing 30-Day Hospital Heart Failure Readmissions, Amy Suzanne Cosby

Doctoral Dissertations and Projects

The purpose of this project was to determine if a nurse-led heart failure (HF) education program would reduce overall 30-day hospital readmissions related to. Affecting millions of adults in the United States, HF is a growing health epidemic as well as an economic burden to healthcare systems. The population for this project included patients admitted with a diagnosis of acute or chronic HF based on the International Statistical Classification of Diseases and Related Health Problems (ICD-10) codes. An electronic health record intervention indicated that when a healthcare provider diagnosed a patient with any HF ICD-10 code, the nurse-led HF education …

Improved Clinical Outcomes Due To Gfr-Based Clinical Interventions For The Prevention And Treatment Of Renal Disease As It Relates To The Veteran Population Managed By A Patient-Aligned Care Team, Sidneca Evangella Hazward

Doctoral Dissertations and Projects

The purpose of this study was to understand if the use of eGFR (CKD-EPI 2021) in the absence of race modification influenced early detection of renal disease for veterans managed by patient-aligned care teams. A retrospective cohort study design was used, analyzing patient data from the Department of Veterans Affairs Medical Center (VAMC). The study included veterans with available serum creatinine, albumin, eGFR, CKD-EPI 2021, etc. measurements and demographic data. The study employed a systematic data review of electronic medical records from 2019 to 2024 and utilized electronic data collection through a computerized patient record system (CPRS) data collection system. …

Nursing Faculty Exposure To Student Incivility And Interventions In Place To Address: A Case Study, Kimberly Lowe

Doctoral Dissertations and Projects

The purpose of this qualitative case study was to explore nursing faculty exposure to nursing student incivility at a nursing college in the Mid-Atlantic region. Bandura's social learning theory provided this study’s theoretical framework. The continuum of workplace aggression and conceptual model fostering incivility in nursing education also guided this study. This study answered the following central research question: How have nursing faculty been exposed to incivility by nursing students? Data were collected for this study through one-on-one interviews with nursing faculty exposed to nursing student incivility and a focus group with the same nursing faculty to discuss the current …

The Effectiveness Of An Interdisciplinary Care Team: An Integrative Review, Lindsey Marie Ellingford

Doctoral Dissertations and Projects

As health care is ever growing and changing, demands for interdisciplinary care team collaboration are crucial for collective competence and team performance across settings. In healthcare facilities across the county, interdisciplinary care teams are made up of multiple disciplines. The following is an integrative review with a purpose to determine if the existing literature supports the implementation of an interdisciplinary care team in the healthcare environment. After completion of this integrative review, the author concluded there should be a standardized tool in the healthcare system to guide the creation and implementation of an interdisciplinary care team. The Jerry Falwell Library …

Hyperlipidemia: Enhancing Patient Education And Clinical Support To Improve Self-Efficacy, Kelly L. Caniglia

Doctoral Dissertations and Projects

Hyperlipidemia is a chronic, progressive disorder routinely encountered in primary care practice. In the United States, coronary artery disease and cerebrovascular disease are the leading causes of death. Hyperlipidemia is a modifiable risk factor for the development of coronary artery disease, cerebrovascular disease, and peripheral artery disease. However, many individuals fail to recognize the severity of the health consequences associated with hyperlipidemia. Most often, hyperlipidemia is the direct result of unhealthy lifestyle behaviors. Comprehensive care falls short in primary care settings, often due to non-compliance with necessary lifestyle behavior changes. Primary care patients' lack of knowledge and awareness signals a …

Leveraging Simulation For Excellence, Alecia Kimberly Liburd

Doctoral Dissertations and Projects

This project aims to identify and address the factors hindering the effective utilization of the simulation lab at Grady Memorial Hospital. Despite the simulation lab’s potential to enhance clinical skills and decision-making abilities through realistic medical scenarios, it remains underutilized. This evaluation project was a pretest and posttest design to assess the impact of educational interventions. Educational workshops, email communications, and awareness campaigns were the primary methods used to increase the understanding and utilization of the simulation lab.

Data analysis involved descriptive and thematic analyses of lab usage metrics and pre- and posttest responses. The findings indicate that simulation-based learning …

Evaluating The Impact Of The Nurse-Patient Relationship: An Integrative Review, Kathryn H. Creasey

Doctoral Dissertations and Projects

Home care agencies are rated by patients anonymously through surveys after patients’ care episodes. The star ratings on the surveys have a direct impact on the home care agency and all of the staff working there. The star rating affects insurance companies’ reimbursement, which ultimately impacts business revenue, while the goal is to provide quality patient care. In the home care setting, nurses and patients desire continuity of care and the building of trust for competent, safe, and quality care. The literature review explored the importance of fostering the nurse-patient relationship and its impact on patient satisfaction and quality. Utilizing …

Improving Nursing Retention Through Mentorship In A Long-Term Care Facility: An Educational Toolkit, Adriane Nichole Anthony-Cupil

Doctoral Dissertations and Projects

A major nursing shortage in the healthcare industry is made worse by high turnover rates. Healthcare organizations have used mentoring programs that have been found to enhance job satisfaction, thus improving nurse retention. To address this challenge, this study examined the use of a mentorship program supplemented by an educational toolkit that is specially made to improve nurse retention in long-term care facilities. By offering an organized learning path with resources that address support, effective communication, and cultural competency, the educational toolkit has the potential to enhance mentorship. The objective of this initiative was to equip registered nurses with the …

Feedback In Emergency Medical Services: A Missing Cornerstone, Stephen E. Taylor

Doctoral Dissertations and Projects

The purpose of this mixed methods constructivist grounded theory (CGT) study is to explore how paramedics and medical directors (MD)s in the United States perceive outcomes feedback regarding its type, quality, and quantity. This type of feedback, which can influence their critical thinking skills, knowledge base, and job satisfaction, is crucial to their professional development. In this study, patient outcomes feedback refers to general patient information, including emergency department assessment, treatment, diagnosis, admission or discharge decisions, and the overall outcome of the patient's hospital experience. The conceptual framework, focusing on the perspectives of paramedics and medical directors, is based on …

The Impact Of Social Media Use On Maternal Vaccination Decisions, Natalie Raquel Flynn

Doctoral Dissertations and Projects

This quantitative study aimed to explore the impact of social networking sites (SNS) on maternal vaccination decisions. Utilizing purposive sampling, the study ensured a representative sample of mothers or expectant mothers over 18 years old, with at least one child under 18, residing in the United States. Participants completed a composite survey consisting of three individual surveys assessing social media usage, vaccination decisions, and information-seeking behaviors. Descriptive statistics were employed for comprehensive analysis, investigating the influence of accessing social media platforms on maternal COVID-19 vaccination decisions. The Shapiro-Wilk test assessed the normality of age, while frequencies, percentages, median, and interquartile …

Exploring Prelicensure Bsn Students' Knowledge Of Mindfulness Meditation Using A Smartphone App To Manage Stress And Promote Resilience: A Qualitative Single Case Study, Beth A. Kelley

Doctoral Dissertations and Projects

The purpose of this qualitative single case study was to explore pre-licensure Bachelor of Science in Nursing (BSN) students' knowledge of mindfulness meditation (MM) using a smartphone app (SMA) to manage stress and promote resilience. Guiding this study was the transactional model of stress, adaptation, and coping by Lazarus and Folkman (1984) and the zone of proximal development (ZPD) educational theory by Vygotsky. The study asked the following questions: What was pre-licensure Bachelor of Science of Nursing (BSN) students’ knowledge of mindfulness meditation (MM) using a smartphone app (SMA) to manage stress and promote resilience? What had the prelicensure BSN …

Exploring Student Perceptions Of Problem-Based Learning And Clinical Field Experiences: A Phenomenological Study, Ashley Michelle Boles

Doctoral Dissertations and Projects

The purpose of this phenomenological study is to understand the experiences of participating in a physical therapy course primarily taught using problem-based learning teaching methods for Doctor of Physical Therapy students at a university in the mid-western United States. This study aimed to understand student perception of PBL and its effects on clinical field experiences (CFEs), specifically related to higher-order processing skills. The theory guiding this study was the social constructivism theory as it explains how knowledge acquisition and learning occurs through social interactions during problem-based learning activities. The central research question this study attempted to answer was: What were …

Standardizing Critical Skills And Competency Validation To Promote Self-Efficacy Among Rapid Response Nurses, Kelli Dail Baker

Doctoral Dissertations and Projects

Competency validation is a key component of supporting nurses with necessary skills to provide care for their patients. However, many healthcare organizations do not have a standardized process for determining which skills are evaluated and the method by which evaluation occurs. To address competency validation among rapid response nurses (RRNs), this evidence-based practice project was proposed to increase self-efficacy. This project involved a thorough data review of all rapid response skills, categorizing all interventions based on quantity and acuity, and holding a hands-on educational fair for a set of standardized skills. A quasi-experimental design was used to collect data pre- …

An Integrative Review: Improving Copd Patient Outcomes Using The Teach-Back Method, Bichundo Lambert

Doctoral Dissertations and Projects

Chronic obstructive pulmonary disease (COPD) is a common clinical health concern that causes airflow resistance to the lungs and persistent respiratory symptoms, which can impact quality of life for the COPD patient. The condition is common to adults over 40 years of age. It is estimated that 210 million people worldwide suffer from the disease, and its incidence is on the rise. In United States, COPD affects 16 million people and costs the government $24 billion annually. The researchers predicts that COPD will be the third-leading course of mortality by 2030 worldwide. The objective of this integrative review was to …

The Mental Effect Of Obesity On Active-Duty Service Members In The United States: A Phenomenological Approach, Tegan M. Quigley

Doctoral Dissertations and Projects

This phenomenological research was intended to explore the impact that obesity has on the mental health of soldiers in the U.S. military. The U.S. military has stringent physical fitness standards that must be met by each soldier regardless of sex. These standards can be challenging to maintain. Obesity is an increasing issue in the United States, and soldiers are not immune. Research regarding the physical issues that occur from obesity has been performed, but this study aimed to explore the behavioral or mental health effects that obesity can have within the military community. This study explored the following questions: In …

Effects Of Cafestol And Enterolactone On Glucose Uptake In 3t3-L1 Differentiated Adipocytes, Sierra Hall

Senior Honors Theses

A review of current literature has revealed that moderate habitual coffee consumption is inversely associated with the risk of T2D development. Cafestol (CF) and enterolactone (ENL), two bioactive compounds found naturally in coffee, have been shown to promote glucose disposal in skeletal muscle and basal glucose uptake in L6 myotubes, respectively. However, the anti-diabetic effects of these compounds on adipose tissue and the mechanisms they utilize have not yet been characterized. Thus, in this study, the effects of CF and ENL on adipose tissue were determined by differentiating 3T3-L1 fibroblasts into adipocytes and treating them with either compound in a …

Psychological Profile Of Brazilian Jiu-Jitsu Athletes, Leandro De Lorenco-Lima

Doctoral Dissertations and Projects

Martial arts and combat sports have been shown to influence several desirable psychological factors positively. This quantitative study aimed to explore the differences in mental strength, resilience, grit, self-efficacy, self-control, aggression, life satisfaction, and mental health between belt ranks in Brazilian Jiu-Jitsu (BJJ) athletes. A sample of 410 BJJ participants (323 males and 87 females) from 18 to 60 years of age was included in this study. Data was collected anonymously via Google Form and included the Mental Strength Scale, Brief Resilience Scale, Grit Scale, General Self-Efficacy Scale, Brief Self-Control Scale, Brief Aggression Questionnaire, Satisfaction with Life Scale, Mental Health …

The Effects Of An Emotional Intelligence And Empathy Interactive Education Program With Prelicensure Nursing Students, Karen Browne

Doctoral Dissertations and Projects

A dissertation is presented on a teaching program for emotional intelligence (EI) and empathy with a cohort of nursing students enrolled in a traditional, undergraduate nursing college in the Northeast region of the United States (US). An interactive teaching program was used with various media to present new material and learning activities during the spring semester. The importance of teaching nursing students the aspects of EI was to prepare them for the rigors of the profession by allowing them to delve into their own self-awareness and emotional regulation, which in turn helps to connect with patients in a more robust …

Effect Of Incarceration On Prisoners Diagnosed With Mental Health Conditions: Trauma, Treatment, And Transitioning, Ingria S. Haywood

Doctoral Dissertations and Projects

A mental illness is a medical disorder that affects a person’s behavior, thoughts, and emotions. It also has an impact on social and cognitive functions. Misuse of substances, biological factors, or abuse, whether as a victim or a bystander to repeated abuse, are all variables that contribute to mental illness. The prevalence of mental illness among incarcerated prisoners is alarming, and it is nondiscriminatory in that it affects both men and women. Several variables contribute to inmates’ susceptibility to mental health problems. Anxiety disorders, depression as a mood disorder, dementia, and schizophrenia are examples of these. A diagnosis of mental …

Lean Implementation Difference Between Lean Maturity, Psychological Well-Being, And Employee Engagement Of Nurses In A Hospital Setting, Kevin E. Smith

Doctoral Dissertations and Projects

This quantitative study examined the differences of Lean implementation in three settings; (a hospital in a health system where Lean is implemented throughout the system, a hospital that has implemented Lean in a health system that has not implemented Lean, a hospital that has not implemented Lean in a health system that has not implemented Lean) between LM, PWB, and EE among nurses in a hospital setting. The theoretical construct of the job demands-resources model is used to base the study. Three survey instruments (Psychological Well-Being Scale, Utrecht Work Engagement Scale, Lean Healthcare Implementation Self-Assessment Instrument) were self-administered by registered …

Impact Of Preceptorship And Mentoring On New Nurse Resilience, Dianna Marie Lundrigan Garza

Doctoral Dissertations and Projects

Healthcare organizations continue to have difficulties retaining healthcare staff. Administrations spend significant amounts of time and money to incentivize new nurses to join their organizations with mixed results for both acute and long-term care units. Preceptorship or mentorship has been identified as having an impact on increasing positivity and resilience in new nurses. This paper examined prior research to identify trends and patterns in findings regarding this topic. Research of databases was conducted to identify common topics regarding resilience and retention of new nurses. Data supported having preceptors who receive training in teaching methods, communication, and support of new nurses. …

Implementation Of A Nursing Care Bundle For Hospitalized Patients Receiving End-Of-Life Care, Klaire Thomason

Doctoral Dissertations and Projects

A significant number of patients die in the hospital. Family-centered nursing care interventions are critically important to help ease the physical, social, spiritual, and emotional symptoms that patients may experience at the end of life. Despite the importance of the nurse’s role in delivering comprehensive end-of-life care, many nurses lack the knowledge and confidence necessary to implement evidence-based interventions. The purpose of this project was to evaluate the effectiveness of a nursing care bundle on increasing nurses’ self-perceived ability to deliver high-quality end-of-life care to patients in the inpatient setting. For this pilot study, an evidence-based Comfort Care Nursing Bundle …