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Articles 1 - 8 of 8
Full-Text Articles in Medicine and Health Sciences
The Role Of The Nurse Practitioner In The Patient-Centered Medical Home, Patricia M. Sohn
The Role Of The Nurse Practitioner In The Patient-Centered Medical Home, Patricia M. Sohn
Dissertations
The Patient Centered Medical Home (PCMH) was established to improve patient access to high quality, cost-effective primary care. Critical to this new model of care is the optimal utilization of nurse practitioners (NPs) in performing services traditionally offered by physicians. This study compared the roles of NPs and physicians in providing primary care in two PCMHs in a local health care system. During the calendar year 2011, a total of 50,471 patient visits occurred in the two PCMHs. Each PCMH consisted of a Traditional Clinic that saw patients on a scheduled basis and a Convenient Care Clinic that accepted walk-in …
The Feasibility Of An Advanced Practice Registered Nurse-Managed Adhd Resource Center In Missouri, Kara Janelle Stackley
The Feasibility Of An Advanced Practice Registered Nurse-Managed Adhd Resource Center In Missouri, Kara Janelle Stackley
Dissertations
The primary objective of this project was to develop a survey to determine provider receptiveness to referring patients to an advanced practice registered nurse-(APRN) managed center for the diagnosis and management of Attention Deficit/Hyperactivity Disorder (ADHD). A secondary aim of this project was to develop a business plan for the center, provided feedback from the survey was determined to be supportive. Physicians were more likely to use ADHD clinical guidelines (65%) in their practice and expressed greater comfort managing ADHD. Only 50% of APRNs use the clinical practice guidelines and 50% reported they were uncomfortable diagnosing and managing ADHD. Almost …
Identification And Management Of Vertebral Column Fractures In Primary Care, Christopher Richard Hemmer
Identification And Management Of Vertebral Column Fractures In Primary Care, Christopher Richard Hemmer
Dissertations
The purpose of this project is to perform a program evaluation of current treatment patterns of primary care providers for osteoporotic vertebral compression fractures (VCF). VCF’s result in significant morbidity and long term sequelae following a VCF is not uncommon. Additionally, there is controversy regarding the diagnosis and management of this disorder, especially as these relate to the clinical practice guidelines. This practice evaluation project included a pre and post-test survey and a continuing education offering. Thirty-nine physicians and nurse practitioners completed the survey instruments and attended the continuing education sessions. The educational session resulted in improvement of the provider’s …
Temporal Characteristics Of Monoptic, Dichoptic And Half-Binocular Collinear Lateral Masking Of Contrast Detection, Wesley Tod Kinerk
Temporal Characteristics Of Monoptic, Dichoptic And Half-Binocular Collinear Lateral Masking Of Contrast Detection, Wesley Tod Kinerk
Dissertations
Purpose: The temporal characteristics of dichoptic contrast integration across space in primary visual cortex are relatively unknown. This study investigated the effect of varying interstimulus interval (ISI) and flank duration on contrast detection threshold (CDT) of a sinusoid target under monoptic, dichoptic and half-binocular viewing. Methods: Eleven subjects with normal vision participated for a mean of 25 hours each. In the main experiment, target and flanks were 3 cpd vertical sinusoids with 6 lambda (sigma = 1.5 lambda) center-to-center vertical separation. Flank contrast was normalized to 3X flank CDT. Flanks were presented at 4 durations (67-500ms) and ISIs were presented …
Assessing The Feasibility And Perceptions Of Health Services For Refugees Of Resettlement Organizations, Heidi Jean Worabo
Assessing The Feasibility And Perceptions Of Health Services For Refugees Of Resettlement Organizations, Heidi Jean Worabo
Dissertations
Background: Since 1975 the U.S. has resettled 2.6 million refugees who had to flee from their home countries. Many refugee resettlement organizations have developed different models of innovation to promote a smooth transition between previous foreign refugee camps to U.S. communities so that refugees swiftly become economically and socially self-sufficient. Providing refugees with health benefits and resources has been foremost priority upon arrival as they try to overcome health care barriers. Yet there is a lack of literature examining the impact of these health services and how they are perceived by the program recipients. Purpose: This scholarly project aimed to …
Development Of An Advanced Practice Registered Nurse Primary Care Telephone Clinic, Linda G. Kaiser
Development Of An Advanced Practice Registered Nurse Primary Care Telephone Clinic, Linda G. Kaiser
Dissertations
Abstract Development of an Advanced Practice Registered Nurse Primary Care Telephone Clinic This pilot project developed and implemented a telephone clinic based on established Veterans Affairs telephone policy and procedures and determined patient acceptability of this new visit type as an alternative to face to face visits. The review of the literature produced research that indicates telephone clinics are a viable visit option for patients. Telephone visits provide access to the primary care provider while being convenient and economical for patients. Research studies demonstrate that patients are satisfied with this visit option. The pilot project was successfully implemented in a …
Instituting An Oral Health Preventive Service Program, Including Fluoride Varnish, For Preschool Children Birth To Five Years In A Rural Health Clinic: A Clinical Scholarship Project, Carol Ann Berger
Dissertations
Abstract This project was designed to institute an oral health preventive program in a rural health clinic, in a dental provider shortage area, promoting oral health in preschool children birth to five years by: (a) instituting a program that supports the Missouri preventive service program in oral health, (b) promoting oral screenings and fluoride varnish twice yearly, (c) assessing the risk of caries, (d) referring to appropriate dental services and (e) educating parents or guardian about the importance of oral health and how to maintain oral health at home with children birth to five years. This project sought to answer …
Enzyme Therapy In Oncology Care: A Clinical Scholarship Project, Julie Penick
Enzyme Therapy In Oncology Care: A Clinical Scholarship Project, Julie Penick
Dissertations
Studies worldwide indicate that oral enzyme therapy (OET) can prevent or reduce the side effects associated with standard oncology care. Yet use of OET is not common in the United States. The ultimate aim of the proposed project is to improve the quality of life of women with breast cancer who are on standard chemotherapy protocols. Achieving this goal can be facilitated by implementation of the proposed feasibility project designed to: (a) enhance the knowledge of oncology care providers and women with breast cancer on use of OET in conjunction with standard oncology care, (b) assess the attitudes of oncology …