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Spiritual Perspective, Mindfulness, And Spiritual Care Practices Of Hospice And Palliative Care Nurses, Patricia Ricci-Allegra 2015 Seton Hall University

Spiritual Perspective, Mindfulness, And Spiritual Care Practices Of Hospice And Palliative Care Nurses, Patricia Ricci-Allegra

Seton Hall University Dissertations and Theses (ETDs)

Spiritual care is an ethical obligation of the nursing profession and an essential component of palliative care, but is often misunderstood. Lack of conceptual clarity is problematic, for each nurse will provide spiritual care based on his or her understanding of what this care should include.

Regardless of how a nurse defines spiritual care, an important element of spiritual care is what nurses bring of themselves to the patient encounter. Findings from several studies have shown a positive relationship between a nurse’s spiritual perspective and spiritual care practices. Spiritual perspective has increased as a result of participating in programs ...


The Relationships Between Patients’ Perceptions Of Nurse Caring Behaviors, Nurses’ Perceptions Of Nurse Caring Behaviors And Patient Satisfaction In The Emergency Department, Theresa Bucco 2015 Seton Hall University

The Relationships Between Patients’ Perceptions Of Nurse Caring Behaviors, Nurses’ Perceptions Of Nurse Caring Behaviors And Patient Satisfaction In The Emergency Department, Theresa Bucco

Seton Hall University Dissertations and Theses (ETDs)

Background: Approximately 100 million people seek care in Emergency Departments yearly, which can be overwhelming for many Emergency Department (ED) nurses. Thus, caring for these patients and meeting their needs is challenging for ED nurses. It is the patients’ perceptions of the first caring encounters in the ED that can have a significant impact on patient satisfaction.

Objective: The purpose of the study was to examine the relationships between patients’ perceptions of nurse caring behaviors, nurses’ perceptions of nurse caring behaviors, and patient satisfaction in the ED.

Methods: This was a descriptive cross-sectional study that examined the relationships between patients ...


Advanced Practice Nurses Knowledge And Use Of Fall Prevention Guidelines, Katherine Hays 2015 Otterbein University

Advanced Practice Nurses Knowledge And Use Of Fall Prevention Guidelines, Katherine Hays

Doctoral Theses

Falls are a significant public health issue resulting in a significant economic and social burden on society. Specific strategies are available that can reduce the risk of falling for older adults age 65 and older; however, providers have failed to integrate these guidelines into clinical practice (Rubenstein, Solomon & Roth, 2004; Chou, Tinetti, King, Irwin, & Fortinsky, 2006; Jones, Ghosh, Horn, Smith, & Vogt, 2011). The CDC has published the STEADI toolkit, a healthcare resource for integrating fall prevention guidelines into clinical practice; but little information is available on the knowledge and use of the STEADI toolkit by Advance Practice Nurses (APNs) or other providers.

The purpose of this quasi=experimental study was to examine APNs knowledge and use of fall prevention guidelines. A total of 28 ...


Transplantation Of Kidneys From Donors With Acute Renal Failure Five-Year Results From Double Center Experience, Ahmad Safra, MD, Ashesh P. Shah, MD, Cataldo Doria, MD, PhD, Warren R Maley, MD, Adam M. Frank, MD, Chad Gorn, Laurel Lerner, RN, Marie Manley, Carlo B Ramirez, MD 2015 Thomas Jefferson University

Transplantation Of Kidneys From Donors With Acute Renal Failure Five-Year Results From Double Center Experience, Ahmad Safra, Md, Ashesh P. Shah, Md, Cataldo Doria, Md, Phd, Warren R Maley, Md, Adam M. Frank, Md, Chad Gorn, Laurel Lerner, Rn, Marie Manley, Carlo B Ramirez, Md

Department of Surgery Faculty Papers

Background:

Transplantation of kidneys from deceased donors with acute renal failure (ARF) has been described and represents an underutilized source of renal grafts. We reviewed retrospectively our double center experience with transplantation of ARF donor kidneys.

Methods:

Between January 2009 and June 2014, we performed a total of 397 kidney transplants at the two hospitals. Of which, 65 came from donors with ARF. The outcome was compared with 62 expanded criteria donor kidneys and 270 standard criteria donor kidneys. ARF was defined as donor terminal creatinine higher than 2. All kidneys from ARF donors had acceptable biopsies and were pumped ...


Declaring A Patient Brain Dead On Extracorporeal Membrane Oxygenation (Ecmo): Are There Guidelines Or Misconceptions, Kristin J. Kreitler, Nicholas C. Cavarocchi, Hitoshi Hirose, Sharon West, Richard Hasz, Michelle Ghobrial, Rodney D. Bell 2015 Thomas Jefferson University Hospital

Declaring A Patient Brain Dead On Extracorporeal Membrane Oxygenation (Ecmo): Are There Guidelines Or Misconceptions, Kristin J. Kreitler, Nicholas C. Cavarocchi, Hitoshi Hirose, Sharon West, Richard Hasz, Michelle Ghobrial, Rodney D. Bell

Department of Surgery Faculty Papers

Objectives:

  • To review the clinical practice variations and trends with declaring patients brain dead on ECMO
  • To highlight the need for the development of consensus guidelines to assist clinicians in the accurate diagnosis of brain death in this specific patient population


Characterization And Investigation Of Fungi Inhabiting The Gastrointestinal Tract Of Healthy And Diseased Humans, Mallory J. Suhr 2015 University of Nebraska-Lincoln

Characterization And Investigation Of Fungi Inhabiting The Gastrointestinal Tract Of Healthy And Diseased Humans, Mallory J. Suhr

Dissertations & Theses in Food Science and Technology

Gastrointestinal microbiome studies have failed to include fungi in total community analyses. As a result, their diversity and function in the gut is poorly understood. Recent work has begun to uncover the role intestinal fungi play in diet, immune system development, interactions with other microorganisms in the gut, and pathogenesis of diseases. Advances in sequencing technologies allow for the ability to profile the fungal gut microbiome (“mycobiome”) in healthy and diseased states. This thesis explores the mycobiome in 1) healthy humans with a vegetarian diet and 2) pediatric small bowel transplant recipients that develop fungal bloodstream infections.

The gut mycobiome ...


Use Of Dietary And Herbal Supplements In Older Adults With Osteoarthritis, Sharon D. McDonald 2015 University of Southern Mississippi

Use Of Dietary And Herbal Supplements In Older Adults With Osteoarthritis, Sharon D. Mcdonald

Dissertations

Over the past several decades, older adults with Osteoarthritis (OA) have increasingly used more natural products in an effort to manage chronic pain. The theoretical framework for this study was the Lazarus and Folkman transactional theory of stress and coping. This framework was chosen based on the belief that older adults with OA are taking natural products as an active problem solving coping strategy to manage the pain, disability, and alterations they experience in their health related quality life including functional status, physical symptoms, emotional health, and social functioning. Older adults also take prescription medications for Osteoarthritis and a variety ...


Albumin Administration In Patients With Spontaneous Bacterial Peritonitis At A Tertiary Hospital: A Retrospective Clinical Analysis, Padmavathi Mali, Rajan Kanth, Sudheer Muduganti 2015 Marshfield Clinic

Albumin Administration In Patients With Spontaneous Bacterial Peritonitis At A Tertiary Hospital: A Retrospective Clinical Analysis, Padmavathi Mali, Rajan Kanth, Sudheer Muduganti

Journal of Patient-Centered Research and Reviews

Purpose

Albumin is recommended for the treatment of spontaneous bacterial peritonitis (SBP) in patients at high risk for mortality. We assessed adherence to guidelines for administration of albumin for SBP in clinical practice at a private tertiary care hospital.

Methods

A retrospective clinical analysis of all cases of SBP diagnosed at a tertiary referral center from January 1, 2006, to December 31, 2012, was performed. Patients were identified electronically and manually validated. The appropriateness of albumin administration for treatment of SBP was assessed in all patients in whom mortality risk could be established and separately for patients who did or ...


One Final Goodbye, Dennis Baumgardner 2015 bepress (DC Admins)

One Final Goodbye, Dennis Baumgardner

Journal of Patient-Centered Research and Reviews

N/A


Impact Of The Heart Watch Program On Patients At Risk Of Developing Metabolic Syndrome, Prediabetes Or Cardiovascular Disease, Jennifer T. Fink, Kathryn K. Havens, Julia A. Schumacher, Renee E. Walker, George L. Morris III, David A. Nelson, Maharaj Singh, Ron A. Cisler 2015 University of Wisconsin-Milwaukee

Impact Of The Heart Watch Program On Patients At Risk Of Developing Metabolic Syndrome, Prediabetes Or Cardiovascular Disease, Jennifer T. Fink, Kathryn K. Havens, Julia A. Schumacher, Renee E. Walker, George L. Morris Iii, David A. Nelson, Maharaj Singh, Ron A. Cisler

Journal of Patient-Centered Research and Reviews

Purpose

Metabolic syndrome is a set of metabolic risk factors associated with increased risk of developing cardiovascular disease and type 2 diabetes mellitus. We retrospectively evaluated the effectiveness of a lifestyle modification program (Heart WATCH) geared toward reducing development of chronic disease in women deemed at risk for metabolic syndrome, prediabetes and/or cardiovascular disease.

Methods

Our institution’s Heart WATCH program consists of screening sessions with a multidisciplinary team (physician/nurse, nutritionist and psychologist), a minimum of three visits with a nurse practitioner and weekly follow-up phone calls for a 14-week period. Sociodemographic variables were obtained at initial visit ...


Mindfulness-Based Stress Reduction And Transcendental Meditation: Current State Of Research, Adam Holt 2015 Aurora Health Care

Mindfulness-Based Stress Reduction And Transcendental Meditation: Current State Of Research, Adam Holt

Journal of Patient-Centered Research and Reviews

This article summarizes the current state of meditation research, specifically focusing on mindfulness-based stress reduction and transcendental meditation. Despite significant methodological problems with the studies reported to date on the subject, there is consistent evidence that meditation can produce changes in the nervous system and physiology of the meditator, and can help with various psychological markers of well-being. Regarding improvement in specific clinical diseases, research is generally mixed and preliminary. Strong recommendations cannot be made based on current evidence, and further studies are needed. In general, there is a stronger body of evidence supporting mindfulness-based stress reduction than for transcendental ...


Patient Centered Infertility Care: The Health Care Provider’S Perspective, Alana Streisfield, Nurun Chowdhury, Rebecca Cherniak, Heather Shapiro 2015 Mount Sinai Centre for Fertility and Reproductive Health

Patient Centered Infertility Care: The Health Care Provider’S Perspective, Alana Streisfield, Nurun Chowdhury, Rebecca Cherniak, Heather Shapiro

Patient Experience Journal

This study describes what health care providers (HCPs) of fertility services perceive their patients to value most, as well as HCPs’ self-evaluation in provision of patient centered infertility care (PCIC). The Patient Centeredness Questionnaire Infertility (PCQ-I) was administered to all clinic staff and completed by approximately 60%. Mean scores and standard deviations were calculated for each dimension as well as for the global score. HCPs ranked staff communication as the highest of the dimensions and accessibility of care as the lowest, respectively indicating areas of strength and weakness. Degree of variance within scoring was used as a marker of consistency ...


Adipose Tissue Therapeutics For Scar Rehabilitation After Thermal Injury, Dylan Perry, Jorge R. Lujan-Hernandez, Ava Chappell, So Yun Min, Raghu Appasani, Raziel Rojas-Rodriguez, Michael S. Chin, Silvia Corvera, Janice F. Lalikos 2015 University of Massachusetts Medical School

Adipose Tissue Therapeutics For Scar Rehabilitation After Thermal Injury, Dylan Perry, Jorge R. Lujan-Hernandez, Ava Chappell, So Yun Min, Raghu Appasani, Raziel Rojas-Rodriguez, Michael S. Chin, Silvia Corvera, Janice F. Lalikos

Senior Scholars Program

Background: Burn injuries are common and in the long term can lead to hypertrophic or keloid scars, pain and pruritus, limited mobility across joints, and disfigurement. Numerous reports suggest adipose derived tissues, including adipose derived stem cells (ADSCs) and processed lipoaspirate, can improve acutely healing wounds from a variety of etiologies including excisional, thermal, and radiation injuries by both secretion of growth factors and direct differentiation. There are many options for scar treatment, including laser therapy, silicone sheets, steroid injection, and even skin grafting however these techniques either lack optimal efficacy or involve significant cost and morbidity. Clinical case series ...


Does Every Patient Need Colonoscopy Follow-Up For Diverticulitis?, Rachel Ackerman, Justin Yamin, Anne Foley, Louise Maranda, Benjamin Hyatt 2015 University of Massachusetts Medical School

Does Every Patient Need Colonoscopy Follow-Up For Diverticulitis?, Rachel Ackerman, Justin Yamin, Anne Foley, Louise Maranda, Benjamin Hyatt

Senior Scholars Program

Background: American College of Gastroenterology guidelines recommend colonoscopy as follow-up after an episode of diverticulitis, as there has been some association between diverticulitis and the diagnosis of colon cancer. There is limited data on the yield of this procedure in this setting. Recent studies have suggested that colonoscopy may only be warranted after episodes of complicated diverticulitis involving CT-proven abscess or reactive lymph nodes, which are associated with a higher likelihood of the presence of occult colon cancer.

Objective: The primary objective is to retrospectively examine the results of colonoscopy done for follow-up of diverticulitis at our center, specifically looking ...


Detection Of Igg4-Specific Autoantibodies In Rheumatoid Arthritis Serum Samples, Azra Borogovac, Youmna Lahoud, Janice Weaver, Sheldon M. Cooper, Mercedes Rincon, Jonathan Kay, Ellen M. Gravallese 2015 University of Massachusetts Medical School

Detection Of Igg4-Specific Autoantibodies In Rheumatoid Arthritis Serum Samples, Azra Borogovac, Youmna Lahoud, Janice Weaver, Sheldon M. Cooper, Mercedes Rincon, Jonathan Kay, Ellen M. Gravallese

Senior Scholars Program

Background: Rheumatoid arthritis (RA) is a chronic multi-system autoimmune disease characterized by inflammatory synovitis. Autoantibodies such as rheumatoid factor (RF) and anti-citrullinated protein antibodies (ACPA) have been implicated in the pathogenesis of RA, and are currently important criteria for diagnosis within the 2010 American College of Rheumatology (ACR)/European League Against Rheumatism (EULAR) classification criteria.1 Yet, many patients diagnosed with RA do not have measurable circulating ACPA or RF which may result in delayed diagnosis and treatment. After IgG1, IgG4 is the second most predominant isotype among ACPA and RF; however it is not detected in currently available diagnostic ...


Location Of All-Cause 30-Day Readmission Following Total Joint Replacement: Surgical Hospital Versus Outside Hospital, Leslie R. Harrold, David C. Ayers, Philip Noble, Regis O'Keefe, Tom Bowen, Matthew Sloan, Patricia D. Franklin 2015 University of Massachusetts Medical School

Location Of All-Cause 30-Day Readmission Following Total Joint Replacement: Surgical Hospital Versus Outside Hospital, Leslie R. Harrold, David C. Ayers, Philip Noble, Regis O'Keefe, Tom Bowen, Matthew Sloan, Patricia D. Franklin

Senior Scholars Program

Background: Evaluating posthospital complications and hospital readmissions in the United States is limited under the current system. This is due to an inability to quantify posthospital care delivered to patients at locations other than the surgical hospital. In order to circumvent this issue, information can be sought directly from patients about posthospital health care utilization. This approach provides a more complete record in comparison with methods that evaluate complications treated only at the surgical hospital.

Methods: Participants undergoing total joint replacement (TJR) between 5/10/11 and 5/17/11 were identified from the Function and Outcomes Research in Comparative ...


Interview Of Jennifer Sipe, M.S.N., R.N., Jennifer Sipe, Anthony Palazzolo 2015 La Salle University

Interview Of Jennifer Sipe, M.S.N., R.N., Jennifer Sipe, Anthony Palazzolo

All Oral Histories

Jennifer Sipe was born in 1969 at Chestnut Hill Hospital. Jennifer had an unstructured childhood which allowed her time to follow her interests and explore local woods and creeks in Bucks County growing up. Jennifer went to Willow Dale Elementary and also was a graduate of William Tennent High School class of 1987. During high school Jennifer was involved in many activities and took a wide range of classes. At an early age as an aggressive learner after completing high school, Jennifer decided to be the first one in her family to attend college. She started college at Temple University ...


Anti-Inflammatory Diet For Inflammatory Bowel Disease (Ibd-Aid), Anne Barnard, Barbara C. Olendzki, Kathryn Post, Rachel Erdil, Gin-Fei Olendzki, Anne Foley, David R. Cave 2015 University of Massachusetts Medical School

Anti-Inflammatory Diet For Inflammatory Bowel Disease (Ibd-Aid), Anne Barnard, Barbara C. Olendzki, Kathryn Post, Rachel Erdil, Gin-Fei Olendzki, Anne Foley, David R. Cave

Senior Scholars Program

Background: Inflammatory Bowel Disease (IBD), including Crohn’s disease (CD) and ulcerative colitis (UC), are chronic, immune-mediated inflammatory conditions of the gastrointestinal tract, which have increasingly been linked to dysbiosis, or an imbalance in the gut microbiome. Standard of care for IBD involves an often-evolving combination of anti-inflammatory, antibiotic, and immunomodulatory medications; however, the pharmacological approach is never curative, and medications routinely become ineffective for individual patients. Partially fueled by the increasing inadequacy of pharmacologic treatment regimens, there is emerging interest from patients regarding diet and its role in the pathogenesis and treatment of inflammatory diseases, demanding more in-depth and ...


Nested Partially-Latent Class Models For Dependent Binary Data; Estimating Disease Etiology, Zhenke Wu, Maria Deloria-Knoll, Scott L. Zeger 2015 Department of Biostatistics, Johns Hopkins Bloomberg School of Public Health

Nested Partially-Latent Class Models For Dependent Binary Data; Estimating Disease Etiology, Zhenke Wu, Maria Deloria-Knoll, Scott L. Zeger

Johns Hopkins University, Dept. of Biostatistics Working Papers

The Pneumonia Etiology Research for Child Health (PERCH) study seeks to use modern measurement technology to infer the causes of pneumonia. The paper describes a latent variable model designed to infer from case-control data the etiology distribution for the population of cases and for an individual case given his or her measurements taking account of dependence among pathogen measurements due to sources other than class membership. We assume each observation is drawn from a mixture model for which each component represents one pathogen. Conditional dependence among multivariate binary measurements on a single subject is induced by nesting latent subclasses within ...


Improving Patient Satisfaction After Primary Total Knee Arthroplasty Using Nurse Practitioner-Driven Preoperative Education, Jennifer A. White 2015 Otterbein University

Improving Patient Satisfaction After Primary Total Knee Arthroplasty Using Nurse Practitioner-Driven Preoperative Education, Jennifer A. White

Doctoral Theses

Total joint arthroplasty is an undisputed option for relieving pain and improving the function of an arthritic joint. The number of patients undergoing total knee arthroplasty (TKA) annually is expected to increase by 600% in the next two decades (Lau, Gandhi, Mahomed, & Mahomed, 2012).

Current research shows that while 81-89% of patients who have had a TKA are satisfied postoperatively, there is room to improve patient satisfaction by providing further education preoperatively. While research cannot agree on a single, specific variable that influences patient dissatisfaction, a review of the literature shows that patients repeatedly note their “unmet expectations” as a ...


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