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Articles 1 - 30 of 31
Full-Text Articles in Medicine and Health Sciences
Contraceptive Accessibility And Reproductive Outcomes In Adolescents Seeking Care At School-Based Health Centers: A Systematic Review, Jamie Jenkins
Contraceptive Accessibility And Reproductive Outcomes In Adolescents Seeking Care At School-Based Health Centers: A Systematic Review, Jamie Jenkins
All Graduate Theses, Dissertations, and Other Capstone Projects
Context: Adolescent pregnancy continues to be a public health concern in the United States. School-based health centers are an ideal setting for providing affordable, accessible, and confidential reproductive services for adolescents that can help prevent unintended pregnancies. However, there are great variations in the reproductive services offered at school-based health centers across the United States. Objective: This study aims to explore the question: Do school-based health centers that provide on-site contraception access have lower adolescent pregnancy rates and higher reported contraception use when compared to school-based health centers that do not provide on-site contraception? Methods: A literature …
Providing Hispanic Immigrant And Migrant Health Care In America: Could Nps Be The Answer?, Hamabwe Kabwe
Providing Hispanic Immigrant And Migrant Health Care In America: Could Nps Be The Answer?, Hamabwe Kabwe
All Graduate Theses, Dissertations, and Other Capstone Projects
In recent years, the United States (U.S.) has seen an influx of Hispanic/Latino migrants/ immigrants fleeing their homes in South America, seeking opportunities for a better life in the U.S. Immigrants and their families often present to the U.S. with unique, unmet health care needs that ultimately impact the U.S. healthcare system and migrant health outcomes. Migration is a significant burden for the U.S. health care delivery system today and further magnifies known problems including inability to provide care to all because of lack of insurance for all, racial disparities in care outcomes, and unequal distribution of providers. There is …
Patient Satisfaction With Telehealth Services Compared To In-Office Visits: A Systematic Literature Review, Crystal L. Fleischhacker
Patient Satisfaction With Telehealth Services Compared To In-Office Visits: A Systematic Literature Review, Crystal L. Fleischhacker
All Graduate Theses, Dissertations, and Other Capstone Projects
Telehealth is changing the current paradigm of healthcare. As an emerging mode of healthcare delivery, telehealth stands to help alleviate the shortage of primary care and specialty care providers especially patients in rural areas. In addition to increasing access of healthcare, this service allows for flexibility, convenience and has the potential to decrease healthcare costs while improving patient outcomes. The objective of this literature review was to examine patient satisfaction with telehealth compared to in-office visits. A systematic search was conducted and a total of 17 articles that met inclusion criteria were examined. Data and factors evolving around patient satisfaction …
Metformin’S Role In The Prevention Of Type 2 Diabetes In Individuals Diagnosed With Prediabetes: A Systematic Literature Review, Jillian Williamson
Metformin’S Role In The Prevention Of Type 2 Diabetes In Individuals Diagnosed With Prediabetes: A Systematic Literature Review, Jillian Williamson
All Graduate Theses, Dissertations, and Other Capstone Projects
The United States is facing a growing epidemic of unchecked and untreated individuals with prediabetes. While lifestyle interventions have remained the gold standard of treatment, has this been enough? A literature review was carried out to identify metformin’s role in treatment and management of prediabetes as well as perceived barriers to its prescribing. A total of 24 articles met inclusion criteria. Main findings include (a) metformin is effective in reducing the incidence of diabetes, though not as effective as lifestyle interventions; (b) certain populations did benefit more from metformin usage then other populations; (c) there was more treatment compliance with …
Benefits Of Exercise On Mental Health: Literature Review, Angela Ristau
Benefits Of Exercise On Mental Health: Literature Review, Angela Ristau
All Graduate Theses, Dissertations, and Other Capstone Projects
Providers diligently educate patients on exercise to reduce the risk of cardiovascular disease, hypertension, diabetes, and stroke. However, in recent years, providers judiciously educate patients on exercise and its correlation to improving or impacting mental health disorders. Physical activity has been steadily shown to relate to improved physical health, life satisfaction, cognitive functioning, and psychological well-being. A large body of literature examines the impact of physical activity and exercise on mental health. There is a growing interest in the use of exercise in the treatment of depression and anxiety, as a primary option or as an adjunct to pharmacological treatment. …
Best Youth Education Methods For Sexually Transmitted Infection Prevention, Caitlin F. Walchonski
Best Youth Education Methods For Sexually Transmitted Infection Prevention, Caitlin F. Walchonski
All Graduate Theses, Dissertations, and Other Capstone Projects
Sexual health education in the United States is inconsistent; information and methods vary from one location to another. Education plays a large role in developing safe sex practices, and despite the sexual education efforts, rates of sexually transmitted infections have risen for five consecutive years in the United States. A systematic literature review was conducted to determine the best methods for educating adolescents to promote behaviors to enhance sexual health. Multiple types of interventions have been studied including cognitive behavioral interventions, comprehensive sexual education, parent and teen dyad education, and abstinence only education. Sexual behavior is influenced by a variety …
Homeless Tailored Primary Care And Access To Ongoing Primary Care Services, Jessica J. Stoefen
Homeless Tailored Primary Care And Access To Ongoing Primary Care Services, Jessica J. Stoefen
All Graduate Theses, Dissertations, and Other Capstone Projects
Homelessness is an increasing problem worldwide. The system for providing medical care to individuals experiencing homelessness is currently a patchwork of multiple different agencies. Many individuals do not utilize routine primary care (PC) services, instead present to emergency departments for nonemergent care. A systematic literature review was conducted using Cochrane Database of Systematic Reviews, CINAHL Plus with Full Text, Consumer Health Complete – EBSCOhost, and PsycINFO from 2014-2019 with the exception of Cochrane which was searched from 2009-2019, to evaluate if tailored PC clinics focused on providing PC services with additional supports to homeless individuals were more effective at engaging …
Home-Based Primary Care: Impact On Cost And Patient Satisfaction, Sarah R. Tupper
Home-Based Primary Care: Impact On Cost And Patient Satisfaction, Sarah R. Tupper
All Graduate Theses, Dissertations, and Other Capstone Projects
The aging American population means more people will need healthcare than ever before. Many of these people are or will be Medicare beneficiaries who are predicted to be completely or mostly homebound at some point in time. This literature review was conducted to investigate Home-based Primary Care (HBPC) and whether or not this care delivery model has impacts on cost and patient satisfaction when compared to traditional outpatient encounters. A comprehensive and robust search of the literature was conducted using four different healthcare literature databases. Relevant articles were included if the site of care was ambulatory or office-based and if …
"A Compromise To Help The Community": Rural Sexual Assault Nurse Examiner Experiences, Rebecca R. Gonnering
"A Compromise To Help The Community": Rural Sexual Assault Nurse Examiner Experiences, Rebecca R. Gonnering
All Graduate Theses, Dissertations, and Other Capstone Projects
Victims of sexual assault require specialized medical care when they report to hospital emergency departments including physical examination, evidence collection, and emotional support. Sexual Assault Nurse Examiners (SANEs) are medical professionals trained to complete the examination and evidence collection in a prompt and sensitive manner. In fact, where SANE programs exist, emergency room waiting times are shorter, evidence collection improves, and revictimization from untrained staff is reduced. Unfortunately, SANEs are not widely available, particularly in rural areas. This lack of trained examiners employed at local hospitals creates a gap in access to proper care, often resulting in long waits as …
Relationship Between Nurses' Job Satisfaction And Quality Of Healthcare They Deliver, Samuel Aron
Relationship Between Nurses' Job Satisfaction And Quality Of Healthcare They Deliver, Samuel Aron
All Graduate Theses, Dissertations, and Other Capstone Projects
The purpose of this study was to examine nurses’ perception of the relationship between job satisfaction and quality of care they deliver, and barriers to a quality care. Data for this cross-sectional study was collected using a paper survey developed by the researcher. This 28-item questionnaire assessed nurses’ perception of the relationship between job satisfaction and the quality of care they deliver, and factors that affect the delivery of a quality care and job satisfaction. The questionnaire was distributed to 80 nurses (RNs, LPNs, and nursing assistants) who work in direct patient care at a small Minnesota hospital. Analysis included …
Standardized Care Of The Late Preterm Infant In Upper Midwest Hospitals, Michelle Susanne Foy
Standardized Care Of The Late Preterm Infant In Upper Midwest Hospitals, Michelle Susanne Foy
All Graduate Theses, Dissertations, and Other Capstone Projects
Standardizing care or critical pathways have delivered evidence-based care in adult medicine and have positive patient outcomes. Some aspects of standardized care have been used in neonatology, but less often in caring for the late preterm infant (gestational week 34-37 weeks). With each level of care nursery, Level-I, level-II or level-III, there can be a wide range of how to care for the late preterm infant. The purpose of this study was to determine if nurseries or various levels of care had established standards of care specific to the late preterm infant and what barriers existed that prohibited standards of …
College Age Female Smokers And The Efficacy Of Smoking Cessation On College Campuses, Gretchen Suzanne Strobel
College Age Female Smokers And The Efficacy Of Smoking Cessation On College Campuses, Gretchen Suzanne Strobel
All Graduate Theses, Dissertations, and Other Capstone Projects
Young females are smoking on campuses in increasing rates in the last two decades. This thesis is secondary data analysis of a primary study with data from 472 female respondents, ages 18 to 24, enrolled or registered for classes at Minnesota State University, Mankato in the Spring, Summer and Fall semester of 2011. This sample included current smokers, former smokers, and nonsmokers. This research study will discuss the relationship between the age one starts smoking and any association with participation in unprotected intercourse and the concomitant use of estrogen containing oral contraceptives. Among the respondents a majority started smoking between …
Adult Children's Perceptions Of Critical Caregiving Conversations With Their Aging Parents: A Pilot Study, Wendy S. Cregg
Adult Children's Perceptions Of Critical Caregiving Conversations With Their Aging Parents: A Pilot Study, Wendy S. Cregg
All Graduate Theses, Dissertations, and Other Capstone Projects
The purpose of this qualitative pilot study was to describe adult children's perceptions of critical caregiving conversations between themselves and their aging parents; barriers to these conversations; factors that facilitate these conversations; and the support from health care providers that adult children believe would help facilitate critical caregiving conversations between themselves and their aging parents. The overall purpose was to increase understanding of family communication processes that promote health as families age. Focus group interviews using a semi-structured interview guide were conducted with 16 adult children with caregiving experience of their aging parents. Data analysis was conducted utilizing Leininger's phases …
Identifying Patient's Reasons Or Rationales For Choosing To Skip Or Shorten Hemodialysis, Linda Marie Lindberg
Identifying Patient's Reasons Or Rationales For Choosing To Skip Or Shorten Hemodialysis, Linda Marie Lindberg
All Graduate Theses, Dissertations, and Other Capstone Projects
Missed dialysis treatment time has potential to increase morbidity and mortality and reduce life expectancy for people with End Stage Renal Disease (ESRD) who are dependent on hemodialysis (HD) to live. The purpose of this study was to identify some of the reasons that hemodialysis patients provide when explaining their decision to skip or shorten their prescribed HD treatment time by providing ESRD patients with the opportunity to give voice to their perspectives. A secondary purpose of this project was to increase the health care provider's understanding of the HD patient's perspectives and reasons for choosing to skip or shorten …
Struggling While Managing Chronic Illness, Amy M. Perkins
Struggling While Managing Chronic Illness, Amy M. Perkins
All Graduate Theses, Dissertations, and Other Capstone Projects
Although research documenting the struggling response to chronic illness would assist nurses in understanding their patients and potentially in the assessment and support of struggling patients, such research is only in the infancy stage. The purpose of this research study was to address the rarity of literature describing and defining the concept of families struggling while managing chronic illness. Using Strauss and Corbin's paradigm model and grounded theory methodology, the researcher analyzed interviews with nine rural families managing chronic illness. The analysis revealed that families managing chronic illness struggled with everyday living, to obtain a diagnosis, with spiritual beliefs, and …
Nurses' Knowledge Of Heart Failure Education Topics At A Regional Midwestern Hospital, Catherine Joy Standfuss
Nurses' Knowledge Of Heart Failure Education Topics At A Regional Midwestern Hospital, Catherine Joy Standfuss
All Graduate Theses, Dissertations, and Other Capstone Projects
The purpose of this capstone project was to better understand Registered Nurses' knowledge level of commonly taught heart failure education topics. Heart failure is a large reason for hospital readmissions, and subsequently, a major contributor to rising health care costs. Research for this project was completed at a Regional Midwestern hospital using a questionnaire consisting of 20 knowledge questions. Registered nurses working on three separate units with high volumes of heart failure patients were invited to participate. Sixty-nine nurses responded to the survey and obtained an average score of 16.67 out of a possible 20, or 83%. Nurses work in …
Exploration Of Weight Gain In Female Breast Cancer Survivors, Mary Kay Johnson
Exploration Of Weight Gain In Female Breast Cancer Survivors, Mary Kay Johnson
All Graduate Theses, Dissertations, and Other Capstone Projects
Breast cancer is no longer a guaranteed death sentence. Many women today can look forward to a long and healthy life after treatment for breast cancer. However, weight gain is an ongoing, distressing and common problem for women treated for breast cancer. The primary purpose of this study was to gain knowledge about the phenomena of weight gain in females treated for breast cancer. A descriptive cross-sectional study was conducted in a natural setting. Sample: Electronic medical records for 100 female breast cancer survivors who visited a private suburban medical oncology clinic for treatment and/or on-going follow-up for a breast …
The Family Experience Of Participating In An Icu Support Group: A Pilot Study, Rebecca Marie Scharpe
The Family Experience Of Participating In An Icu Support Group: A Pilot Study, Rebecca Marie Scharpe
All Graduate Theses, Dissertations, and Other Capstone Projects
The purpose of this study was to describe the experience of family members participating in an intensive care unit support group. The family experience of an adult family member's critical illness is filled with emotional distress, suffering, and difficulty coping. Few family nursing interventions to care for family members of ICU patients have been researched. Research is inconsistent regarding the value of a support group in the ICU setting of a hospital. A qualitative design, using hermeneutic phenomenology was chosen. Five interviews were conducted with seven family members. The experience of participating in an ICU support groups was analyzed within …
Access And Barriers To Diabetic Self Care Education And Support Groups In A Rural Southern Minnesota Community, Elizabeth Waters
Access And Barriers To Diabetic Self Care Education And Support Groups In A Rural Southern Minnesota Community, Elizabeth Waters
All Graduate Theses, Dissertations, and Other Capstone Projects
Diabetic education and support groups promote self care, improve health outcomes, and decrease health care costs. Self care, an important aspect of diabetes care, can be promoted through diabetes education and support groups. Few studies have been done to explore rural population's access to and attendance of diabetes self care education and support groups. The purpose of this qualitative study was to determine if residents of a rural southern Minnesota community have access to diabetes education and support groups and what barriers they face to attending the groups. The understanding gained through this study will help to develop nursing interventions …
The Effectiveness Of An Incentivized Program To Increase Daily Fruit And Vegetable Dietary Intake By Low Income, Middle-Aged Women, Rebecca White
The Effectiveness Of An Incentivized Program To Increase Daily Fruit And Vegetable Dietary Intake By Low Income, Middle-Aged Women, Rebecca White
All Graduate Theses, Dissertations, and Other Capstone Projects
Little is known about the effectiveness of the SagePlus' Smart Choices Fruits and Vegetables Program's influence on behavior change and the effects of that behavior change on the cardiovascular health of the participants. The purpose of this study was to evaluate the effectiveness of the SagePlus Smart Choices Fruits and Vegetables Program at increasing the number of fruits and vegetables in participants' diets and decreasing their cardiovascular disease risk factors. A nonexperimental, descriptive correlational design was used in this study. The Minnesota Department of Health provided data from 327 SagePlus participants that had re-enrolled in the SagePlus Smart Choices Fruits …
Utilization And Maintaining The Spirit Of Motivational Interviewing In Sageplus Lifestyle Interventions, Joan Y. Grotewold
Utilization And Maintaining The Spirit Of Motivational Interviewing In Sageplus Lifestyle Interventions, Joan Y. Grotewold
All Graduate Theses, Dissertations, and Other Capstone Projects
Utilizing a descriptive quantitative design to guide data collection and analysis, 11 of the 14 clinics in the State of Minnesota that participate in the SagePlus program were selected by the Minnesota Department of Health (MDH) to participate in this study. The population for this study was the 22 healthcare professionals who were providing the lifestyle interventions in those clinics. The purpose of this study was to determine if the SagePlus healthcare professionals who are providing lifestyle counseling interventions were using Motivational Interviewing (MI) with SagePlus clients and if the healthcare professionals were maintaining the spirit of MI throughout these …
Addicted Youth: The Understanding Of Smoking-Related Health Risks In Female College Students, Rebekah Agnes Ann Morris
Addicted Youth: The Understanding Of Smoking-Related Health Risks In Female College Students, Rebekah Agnes Ann Morris
All Graduate Theses, Dissertations, and Other Capstone Projects
Young adults are at the greatest risk for initiation of smoking or becoming daily smokers. Smoking has a unique history in the United States and is associated with health risks beyond heart disease and lung cancer, many specifically affecting women. Although the majority of people are aware of the risks for heart disease and lung cancer, many other risks are not recognized. By evaluating the known knowledge of smoking-related health risks beyond and including heart disease and lung cancer in the high risk population of female college students, education programs and cessation teaching can be altered, potentially resulting in lower …
Evaluation Of The Sageplus Steps Program To Promote Physical Activity And Decrease Cardiovascular Risk In Low-Income Women, Callie Anne Avis
Evaluation Of The Sageplus Steps Program To Promote Physical Activity And Decrease Cardiovascular Risk In Low-Income Women, Callie Anne Avis
All Graduate Theses, Dissertations, and Other Capstone Projects
There is little known about the effectiveness of the Steps Program specifically used in the SagePlus program in Minnesota to promote physical activity and reduce cardiovascular risk. The purpose of this study was to evaluate the effectiveness of the SagePlus Steps Program for low-income middle-aged women ages 40 to 64 to meet a daily physical activity goal of 10,000 steps and reduce their cardiovascular disease risk, measured by their Framingham Risk Score. A nonexperimental, descriptive correlational design was used to guide data collection for this study. Demographic data, step counts after weeks 1, 4, 12, and 24, activity level at …
Evaluation Of Health Newsletters As A Motivational Tool To Promote Exercise, Jolene Schlegel
Evaluation Of Health Newsletters As A Motivational Tool To Promote Exercise, Jolene Schlegel
All Graduate Theses, Dissertations, and Other Capstone Projects
Little is known about the relationship between SagePlus newsletters and its effectiveness to motivate physical activity. The purpose of this study is to evaluate the impact of the SagePlus newsletter and its ability to motivate participants to achieve their goals to increase physical activity. A nonexperimental, descriptive correlational design was used in this study. Calls were made until the list of potential participants was exhausted. Forty English speaking participants were contacted and agreed to participate in the telephone survey from a potential list of 190 women enrolled in the SagePlus program. A modified questionnaire containing 19 multiple-choice and one open-ended …
Empathy Of Nurses And Family Needs In The Intensive Care Unit, Jolene Marie Tietz
Empathy Of Nurses And Family Needs In The Intensive Care Unit, Jolene Marie Tietz
All Graduate Theses, Dissertations, and Other Capstone Projects
Introduction: Patients and patients' families are in crisis when the patient is in the Intensive Care Unit. There have been studies demonstrating the importance of recognizing patient and family needs, and meeting those needs. This study explored what needs families rank as important and if the nurse met their needs, and what effect nurse empathy had on meeting family needs. Methods: Families in the Intensive Care Unit were given questionnaires to complete that addressed which needs they felt were important, if their needs were met, and the level of empathy they gauged their nurse to have. The tools utilized in …
Evaluation Of A Health Newsletter Intended For Sageplus Participants, Karen Lynn Anderson
Evaluation Of A Health Newsletter Intended For Sageplus Participants, Karen Lynn Anderson
All Graduate Theses, Dissertations, and Other Capstone Projects
Little is known about the effectiveness of the SagePlus newsletter as a motivational tool for influencing behavior change. The purpose of this study was to determine the reading level of the SagePlus newsletter and to evaluate the effectiveness of the SagePlus newsletter as a communication and motivational tool for SagePlus participants. A nonexperimental, descriptive correlational design was used in this study. Forty English speaking participants were contacted and agreed to participate in the telephone survey from a potential list of 190 participants. A modified questionnaire containing 20 multiple choice and open-ended questions was used in a telephone survey. Data was …
Evaluation Of Health Newsletter Effectiveness On Dietary Habits In Low-Income Middle-Aged Women, Nichole Jennifer Hassebroek
Evaluation Of Health Newsletter Effectiveness On Dietary Habits In Low-Income Middle-Aged Women, Nichole Jennifer Hassebroek
All Graduate Theses, Dissertations, and Other Capstone Projects
There is little known about the effectiveness of the SagePlus newsletters at motivating dietary habit changes. The purpose of this study was to determine the effectiveness of the SagePlus newsletter in motivating low-income, middle-aged women who are participating in the SagePlus program to adopt healthier eating habits, specifically to eat more fruits and vegetables. A nonexperimental, descriptive correlational design was used in this study. Phone calls were placed to current SagePlus participants who had been enrolled in the program between six and 12 months. Forty English-speaking participants were contacted and agreed to participate in the telephone survey from a potential …
Gender Perceptions In Rheumatic Disease: A Secondary Analysis, Jean Heise
Gender Perceptions In Rheumatic Disease: A Secondary Analysis, Jean Heise
All Graduate Theses, Dissertations, and Other Capstone Projects
Problem: Rheumatoid arthritis affects approximately 1.3 million people in the United States. A chronic disease with a variable course leaves affected individuals in a state of uncertainty. Many individuals experience joint and muscle pain, a major symptom of the disease. Current literature provides varying information of gender perceptions and management of joint and muscle pain in rheumatic diseases. Purpose: The purpose of this secondary analysis was to explore (1) gender perception of seriousness of joint and muscle pain in rheumatoid arthritis, (2) gender perception of joint and muscle pain interference with daily life, (3) gender perception of controllability of joint …
Barriers To Using Motivational Interviewing For Lifestyle Counseling, Heidi June Sannes
Barriers To Using Motivational Interviewing For Lifestyle Counseling, Heidi June Sannes
All Graduate Theses, Dissertations, and Other Capstone Projects
The Minnesota Department of Health has sponsored Motivational Interviewing Continuing Education sessions for SagePlus providers to increase their knowledge and skill in the utilization of MI in their clinical practice. The impact of these educational sessions on skill development as well as utilization of MI by these providers is unknown. The purpose of this study was to determine if healthcare providers perceive any barriers in utilizing MI techniques to do lifestyle counseling with SagePlus program particiants. A descriptive quantitative design was used for this study. Of the 22 healthcare providers that were doing lifestyle counseling 16 completed the questionnaires. The …
Rapid Response Team Utilization Of Modified Early Warning Scores To Improve Patient Outcomes, Nikki L. Stoffel-Lowis
Rapid Response Team Utilization Of Modified Early Warning Scores To Improve Patient Outcomes, Nikki L. Stoffel-Lowis
All Graduate Theses, Dissertations, and Other Capstone Projects
This retrospective, descriptive study was designed to (a) determine if the Modified Early Warning Score risk assessment tool identified moderate to high risk patients prior to the activation of the Rapid Response Team (b) determine how much time occurred from the onset of clinical deterioration until activation of the Rapid Response Team. A Modified Early Warning Score (MEWS) was applied to the documented vital signs in the medical records of a convenience sample of 108 adult patients between the ages of 19 and 99 years of age who had experienced an activation of the Rapid Response Team (RRT). A risk …