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Community Health and Preventive Medicine Commons™
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Articles 1 - 8 of 8
Full-Text Articles in Community Health and Preventive Medicine
Improving Mental Health Access Through Primary Care: Implementation Of A Generalized Anxiety Disorder Screening And Specialist Referral Protocol, Sydney L. Halliday, Jeremy Mills, Ashley Vasilik
Improving Mental Health Access Through Primary Care: Implementation Of A Generalized Anxiety Disorder Screening And Specialist Referral Protocol, Sydney L. Halliday, Jeremy Mills, Ashley Vasilik
Graduate Publications and Other Selected Works - Doctor of Nursing Practice (DNP)
Abstract
Background: One in five rural residents experience anxiety. Specialty mental health services are often scarce in these communities, leading primary care providers (PCPs) to manage and treat these symptoms. This poses barriers to care, such as time constraints that delay the identification of generalized anxiety disorder (GAD) and referrals to mental health services.
Local Problem: This project aimed to address this high prevalence of anxiety among patients at a Tennessee primary care clinic without a GAD screening and referral process. The GAD Screening and Specialty Referral Toolkit was created with the aim to screen 60% of patients presenting for …
Clinical Practice Guideline For The Management Of Depression In Primary Care, Estrella Catherine Villarreal
Clinical Practice Guideline For The Management Of Depression In Primary Care, Estrella Catherine Villarreal
Doctor of Nursing Practice (DNP) Scholarly Projects
Abstract
Background: The prevalence of depression poses a significant challenge in primary care, emphasizing the urgent need to address this issue during patient visits. Primary care providers are at the forefront of managing depression, yet they encounter difficulties in screening, diagnosing, assessing, and treating this complex condition. Clinical guidelines serve as valuable tools for primary care providers and practices, offering support in identifying and addressing depression effectively. An evidence-based approach to treating depression in primary care, with a focus on collaborative interventions with behavioral health to enhance depression management for American Indian/Alaskan Native (AI/AN) communities.
Methods: The descriptive analysis was …
Hepatitis C Virus Screening Strategies To Improve Early Identification And Treatment: A Scoping Review, Megan Elizabeth Lyons, Rn, Bsn, Ccrn, Thomas Tyler Bennett, Rn, Bsn, Ccrn, Felicia Ann Gray-Hamilton, Rn, Bsn, Margaret Harvey Phd, Aprn, Acnp-Bc, Chfn
Hepatitis C Virus Screening Strategies To Improve Early Identification And Treatment: A Scoping Review, Megan Elizabeth Lyons, Rn, Bsn, Ccrn, Thomas Tyler Bennett, Rn, Bsn, Ccrn, Felicia Ann Gray-Hamilton, Rn, Bsn, Margaret Harvey Phd, Aprn, Acnp-Bc, Chfn
Doctor of Nursing Practice Projects
Purpose/Background
Hepatitis C virus (HCV) is the most common bloodborne infection in the United States (Ludden et al., 2022). Sadly, over half of the individuals living with chronic HCV are unaware of their condition (Halket et al., 2022). Due to rising numbers, HCV screening guidelines have been updated to recommend that every adult be screened at least once (Patel et al, 2021). Despite these guidelines, screening rates remain low. This scoping review aims to examine current research on HCV screening and strategies to improve early diagnosis and treatment.
Methods
This review began with a literature search using CINAHL and PubMed …
Screening For Social Determinants Of Health In The Primary Care Setting: A Quality Improvement Project, Winifred Ann Shouse
Screening For Social Determinants Of Health In The Primary Care Setting: A Quality Improvement Project, Winifred Ann Shouse
Graduate Theses, Dissertations, and Capstones
Social determinants of health are the conditions in which individuals are born, age, work, and live that affect health status and outcomes (Rivich et al., 2019). These social and environmental factors can create barriers to patients being able to access and adhere to recommendations for chronic disease management (Gold, et al., 2019). Communication gaps between patients and primary care providers make it challenging for healthcare providers to be completely aware of the financial burdens their patients encounter (Patel et al., 2016). Research supports that identifying and addressing the barriers related to social determinants of health can improve the management of …
Marijuana Vaping In Adolescents: Evaluating Provider Knowledge And Practices To Improve Screening And Referral To Treatment, Holly T. Whitcomb
Marijuana Vaping In Adolescents: Evaluating Provider Knowledge And Practices To Improve Screening And Referral To Treatment, Holly T. Whitcomb
College of Nursing and Health Sciences Doctor of Nursing Practice (DNP) Project Publications
Background: Vaping is a public health epidemic. Adolescents are using cannabis electronic vapor products at increasing rates. In teens, rising E-cigarette and vaping product use associated lung injury (EVALI), tetrahydrocannabinol (THC) intoxication and addiction are concerning. Primary care providers are in a unique position to screen and discourage adolescents from vaping, yet barriers to screening and referral to treatment exist.
Objective: This project provided education on vaping trends, Screening, Brief Intervention, and Referral to Treatment (SBIRT), and Screening to Brief Intervention (S2BI) with the goal of improving screening and brief intervention of at-risk adolescents among primary care providers.
Methods: The …
Mental Health Screening For Low Income Adolescents: An Evidence-Based Project, Allison Bryden
Mental Health Screening For Low Income Adolescents: An Evidence-Based Project, Allison Bryden
Doctor of Nursing Practice Final Manuscripts
Abstract
TITLE: Mental Health Screening For Low-Income Adolescents
BACKGROUND: Nearly 80% of adolescents in the United States will suffer from a mental illness and not receive evaluation or services. Children from low socio-economic backgrounds have an increased risk of mental health disorders which permeate into adulthood, leading to additional negative sequel and lower quality of life. Among adolescent mental health conditions, depression and anxiety are the most common. Literature has suggested provider intuition alone has low sensitivity and specificity for detecting mental illness and that screening tools are indicated.
PURPOSE: The aim of this project is to implement standardized routine …
Vietnamese American Women’S Beliefs And Perceptions On Cervical Cancer, Cervical Cancer Screening, And Cancer Prevention Vaccines: A Community-Based Participatory Study, Connie Kim Yen Nguyen-Truong, Kim Quy Vo Nguyen, Thai Hien Nguyen, Tuong Vy Le, Anthony My Truong, Keara Rodela, Rachael Allan
Vietnamese American Women’S Beliefs And Perceptions On Cervical Cancer, Cervical Cancer Screening, And Cancer Prevention Vaccines: A Community-Based Participatory Study, Connie Kim Yen Nguyen-Truong, Kim Quy Vo Nguyen, Thai Hien Nguyen, Tuong Vy Le, Anthony My Truong, Keara Rodela, Rachael Allan
Asian/Pacific Island Nursing Journal
Cervical cancer remains commonly diagnosed in Vietnamese American women. Despite efforts to increase cervical cancer screening among Vietnamese American women, participation rates are persistently lower than the national goal. The objective of this study is to explore beliefs of Vietnamese American women about cervical cancer, cervical cancer screening, and cancer prevention vaccines. A qualitative descriptive investigation captured group perceptions about meaning and beliefs of cervical cancer, screening, and cancer prevention vaccines, and participants’ stories using a community-based participatory research approach.
Forty Vietnamese American women were recruited from the Portland, Oregon metropolitan area into four focus groups. Using a process of …
Documentation Of Smoking History And Adherence To The Uspstf Recommendation For Lung Cancer Screening: A Retrospective Chart Review, Laura A. Golden
Documentation Of Smoking History And Adherence To The Uspstf Recommendation For Lung Cancer Screening: A Retrospective Chart Review, Laura A. Golden
DNP Projects
Purpose: The purpose of this project was to evaluate provider compliance with documentation of smoking history and, if criteria met, referral for lung cancer screening as recommended by the United States Preventive Services Task Force in 2013.
Methods: A retrospective chart review was conducted using an electronic medical record (EMR) at a large, rural community family practice clinic. Patients meeting inclusion criteria of having a smoking history (current or past) of 30 pack years, aged 55 to 80 years, and no history of lung cancer diagnosis were included for randomization. One hundred patients were selected from 300 randomized charts; five …