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Keep The Beat With Heart Failure Education: A Quality Improvement Project, Brenda L. Peterson 2018 University of San Francisco

Keep The Beat With Heart Failure Education: A Quality Improvement Project, Brenda L. Peterson

Master's Projects and Capstones

Abstract

Problem: Heart failure (HF), also known as congestive heart failure (CHF), is the number one diagnosis-related group (DRG) for people 65 years of age and older in the United States. This disease group is complicated and debilitating, requiring frequent hospitalizations with high mortality rates. The Joint Commission on Accreditation of Healthcare Organizations (JCAHO) has identified CHF as an area for improvement in hospitals.

Context: This was a quality improvement project for an integrated medical center in the Central Valley, California with over 19,000 HF patients. In 2018, for patients 65 years and older, HF is the third-most admitted ...


Pharmacist Interventions Involving Patient Outreach: Early Findings Of Patient Outcomes In Older Adults, Matthew Fair BS, PharmD, BCPS, BCGP,, Michelle Omari-Okyere BS, PharmD, BCPS, BCGP, Elie Jabbour PharmD, MBA,, Brenda Frutos MPH, CHES, Nyann Biery MS 2018 Lehigh Valley Health Network

Pharmacist Interventions Involving Patient Outreach: Early Findings Of Patient Outcomes In Older Adults, Matthew Fair Bs, Pharmd, Bcps, Bcgp,, Michelle Omari-Okyere Bs, Pharmd, Bcps, Bcgp, Elie Jabbour Pharmd, Mba,, Brenda Frutos Mph, Ches, Nyann Biery Ms

Department of Pharmacy

No abstract provided.


A Learning Community Approach To Identifying Interventions In Health Systems To Reduce Colorectal Cancer Screening Disparities., Lillian C. Man, Melissa DiCarlo, Emily Lambert, Randa Sifri, Martha Romney, Linda Fleisher, Ronald Myers 2018 Thomas Jefferson University

A Learning Community Approach To Identifying Interventions In Health Systems To Reduce Colorectal Cancer Screening Disparities., Lillian C. Man, Melissa Dicarlo, Emily Lambert, Randa Sifri, Martha Romney, Linda Fleisher, Ronald Myers

Department of Medical Oncology Faculty Papers

Although colorectal cancer (CRC) screening in the United States has been increasing, screening rates are not optimal, and there are persistent disparities in CRC screening and mortality, particularly among minority patients. As most CRC screening takes place in primary care, health systems are well-positioned to address this important population health problem. However, most health systems have not actively engaged in identifying and implementing effective evidence-based intervention strategies that can raise CRC screening rates and reduce disparities. Drawing on the Collective Impact Model and the Interactive Systems Framework for Dissemination and Implementation, our project team applied a learning community strategy to ...


Initiating Patient Discussions About Oocyte Cryopreservation: Attitudes Of Obstetrics And Gynaecology Resident Physicians, Brennan Peterson, C. Gordon, Julia K. Boehm, M. C. Inhorn, P. Patrizio 2018 Chapman University

Initiating Patient Discussions About Oocyte Cryopreservation: Attitudes Of Obstetrics And Gynaecology Resident Physicians, Brennan Peterson, C. Gordon, Julia K. Boehm, M. C. Inhorn, P. Patrizio

Marriage and Family Therapy Faculty Articles and Research

This study examined the attitudes of obstetrics and gynaecology (OB/GYN) resident physicians to initiating patient discussions regarding medical and elective oocyte cryopreservation (OC). The study used a cross-sectional online survey of OB/GYN medical residents in the USA, sampled from residency programmes approved by the American Council for Graduate Medical Education. In total, 208 medical residents, distributed evenly between postgraduate years 1–4, participated in the study. Residents' fertility knowledge and attitudes to initiating discussions about OC were gathered. Forty percent (n = 83) believed that OB/GYN residents should initiate discussions about OC with patients (initiators), while 60% (n ...


How Younger Adults With Psychosocial Problems Experienced Person-Centered Health Consultations, Line Soot, Kirsten S. Freund, Jørgen Lous, Mikkel Vass, Lotte Hvas 2018 University of Copenhagen, Section of General Practice, Department of Public Health

How Younger Adults With Psychosocial Problems Experienced Person-Centered Health Consultations, Line Soot, Kirsten S. Freund, Jørgen Lous, Mikkel Vass, Lotte Hvas

Patient Experience Journal

Much attention is focused on the social determinants of health. Family medicine is challenged with a growing number of vulnerable persons with psychosocial or lifestyle related problems. The objective of this work was to explore how vulnerable younger adults experience person-centered preventive health consultations with their general practitioner. The design and setting for this work were a secondary qualitative analysis of a randomized controlled trial (RCT) in Danish general practices. Younger adults (20-45) were consecutively invited to answer a screening questionnaire about psychosocial and lifestyle-related problems when visiting general practice (28 general practitioners (GPs)) for ordinary consultations. The 30% most ...


Nadolol In Pregnancy: A Medical Student’S Reflection On Her Pregnancy, Rebecca King-Mallory, Shawndra Barker, Kaitlin McGrogan, Adam M. Franks 2018 Trident Medical Center, South Carolina

Nadolol In Pregnancy: A Medical Student’S Reflection On Her Pregnancy, Rebecca King-Mallory, Shawndra Barker, Kaitlin Mcgrogan, Adam M. Franks

Marshall Journal of Medicine

Hypertension is a common concern during pregnancy. Beta-blockers are one potential treatment, but third trimester exposure has correlated with an increased risk of perinatal events. Nadolol, a nonselective beta blocker, has properties that differ from those of its selective counterparts, including longer half-life, decreased protein binding, and renal excretion in the unchanged form. There is very limited data on the use of nadolol during pregnancy, and its safety has not been completely evaluated. This case study documents the perinatal outcomes of nadolol use throughout a medical student’s pregnancy and explores the experience in obtaining and undergoing medical care.


Conference Proceedings: Aurora Scientific Day 2018, 2018 Aurora Health Care

Conference Proceedings: Aurora Scientific Day 2018

Journal of Patient-Centered Research and Reviews

This journal supplement includes selected abstracts from among the more than 50 presented at the 44th annual Aurora Scientific Day research symposium. Held May 25, 2018, in Milwaukee, Wisconsin, Aurora Scientific Day provides a forum for original research conducted by faculty, fellows, residents, and other allied health professionals affiliated with Aurora Health Care, an integrated health system with hospitals and clinics in Wisconsin and Illinois.


Integrating Primary Care And Wellness Into A Community Mental Health Clinic, Brett Williamson MSW, MBA, Brenda Frutos MPH, CHES, Nyann Biery MS 2018 Lehigh Valley Health Network

Integrating Primary Care And Wellness Into A Community Mental Health Clinic, Brett Williamson Msw, Mba, Brenda Frutos Mph, Ches, Nyann Biery Ms

Department of Family Medicine

No abstract provided.


Pain, Depression, And Health-Related Quality Of Life Of Older Haenyeos (Women Divers), Eun Suk Ko, Kyung-Ja Kang 2018 JeJu Hamnaum Hospital, South Korea

Pain, Depression, And Health-Related Quality Of Life Of Older Haenyeos (Women Divers), Eun Suk Ko, Kyung-Ja Kang

Asian / Pacific Island Nursing Journal

This study aimed to provide basic data in order to develop effective intervention plans to improve the health-related quality of life of older haenyeos (professional female free divers). The study’s participants consisted of older haenyeos (≥65 years old) from seven fishing villages on Jeju Island, Korea. Data were collected using a questionnaire-based survey method, and the responses of 149 participants were analyzed. The participants’ mean pain score was 2.43 out of 5 points and their mean score for health-related quality of life was 61.18 out of 100 points. Depression was the strongest factor influencing health-related quality of ...


The Effect Of Patient Safety Educational Program On Nurses' Patient Safety Culture And Patient Safety Indicators, Nasrin Hanifi, Zahra Yazdanshenas, Masoumeh Namadian, Nima Motamed 2018 Zanjan University of Medical Sciences

The Effect Of Patient Safety Educational Program On Nurses' Patient Safety Culture And Patient Safety Indicators, Nasrin Hanifi, Zahra Yazdanshenas, Masoumeh Namadian, Nima Motamed

Asian / Pacific Island Nursing Journal

The need to improve patient’s safety is to change the patient’s safety culture. This study was conducted to determine the effect of the patient safety education program on nurses’ patient safety culture and patient safety indicators.

This single-blind clinical trial was conducted in two cardiac medical wards that were randomly selected as research settings among the hospital teaching wards of the Zanjan city in Zanjan. Twenty-six nurses participated in this study under in the experimental and control groups. The experimental group received the educational program for two sessions, and the control group received a booklet about patient safety ...


Lived Experience Of Health Seeking And Healthcare Utilization Among Korean Immigrant Women Living In Suburban Communities, Jin Young Seo, Wooksoo Kim, Sharon Hewner, Suzanne Dickerson 2018 SUNY, Buffalo, New York

Lived Experience Of Health Seeking And Healthcare Utilization Among Korean Immigrant Women Living In Suburban Communities, Jin Young Seo, Wooksoo Kim, Sharon Hewner, Suzanne Dickerson

Asian / Pacific Island Nursing Journal

Despite the rapid increase in Korean immigrant women in the United States, research on healthcare utilization and health-seeking behavior among Korean immigrant women is limited. The present study was designed to understand the health-seeking behavior and healthcare utilization of premenopausal Korean immigrant women living in suburban communities in the United States. The study was designed and guided by interpretive hermeneutic phenomenology. Twenty participants were recruited from suburban communities in Western New York. Individual, semistructured interviews were conducted and analyzed using a team approach. Korean immigrants experienced difficulties using the US healthcare system and significant differences between the US and Korean ...


The Transfusion Threshold For Upper Gastrointestinal Bleeding Is A Hemoglobin Of 7.0 G/Dl Or Less, Matthew J. Ouellette , D.O., Katherine S. Lee , M.D., Daniel P. Noack, Aaron Simpson , M.D., Rana K. Zaban , D.O., Chelsea Gonzalez , D.O., Racha El-Ladki , D.O. 2018 Annapolis Family Medicine Residency, Beaumont Wayne Hospital

The Transfusion Threshold For Upper Gastrointestinal Bleeding Is A Hemoglobin Of 7.0 G/Dl Or Less, Matthew J. Ouellette , D.O., Katherine S. Lee , M.D., Daniel P. Noack, Aaron Simpson , M.D., Rana K. Zaban , D.O., Chelsea Gonzalez , D.O., Racha El-Ladki , D.O.

Clinical Research in Practice: The Journal of Team Hippocrates

A critical appraisal and clinical application of Villanueva C, Colomo A, Bosch A, Concepcion M, Hernandez-Gea V, Aracil C. Transfusion strategies for acute upper gastrointestinal bleeding. New Eng J Med. 2013;368(1):11-21. doi: 10.1056/NEJMoa1211801


West Meets East: A Westerner’S Reflections On Leadership, Marion Broome 2018 University of Hawai'i Manoa

West Meets East: A Westerner’S Reflections On Leadership, Marion Broome

Asian / Pacific Island Nursing Journal

This article describes the leadership journey of a nursing leader from the United States. Background information on the culture of the United States where the author was raised and educated is provided as is a discussion about how her leadership skills were influenced by American culture. She reflects on the similarities and differences in leadership journeys between the nurse leaders from five Asian countries who participated in the Women’s Leadership Workshop held at Duke University in 2017. The article concludes with suggestions for women in leadership, particularly nurses, across the globe.


Women’S Leadership And Nursing Profession In South Korea, Eui Geum Oh 2018 University of Hawai'i Manoa

Women’S Leadership And Nursing Profession In South Korea, Eui Geum Oh

Asian / Pacific Island Nursing Journal

The purpose of this article is to introduce women’s leadership in the nursing profession of South Korea. For this purpose, the article will briefly discuss the cultural background of Korean society at the beginning and explain how the values of the traditional society have influenced women’s leadership in the nursing profession in South Korea. Finally, I will discuss my personal experience of leadership development based on Bolman and Deal’s leadership typology, Reframing Organizations: Artistry, Choice and Leadership (2013).


Leadership In Nursing In Korea, Myungsun Yi 2018 University of Hawai'i Manoa

Leadership In Nursing In Korea, Myungsun Yi

Asian / Pacific Island Nursing Journal

Nurses are the largest workforce that impacts the health of the people. As the life expectancy and the number of people with chronic diseases increases in Asia, it is important for Asian nursing professionals to play a pivotal role in improving health status and quality of life by demonstrating their leadership. This article focuses on nursing leadership in Korea. Leadership exemplars were described in detail to show how successful nursing leaders set goals and challenged to meet these goals, despite numerous obstacles that exist in male-oriented society of Korea. And three essential elements that future nurse leaders should consider were ...


Features Of Women’S Leadership And Nursing In Japanese Culture, Reiko Sakashita 2018 University of Hawai'i Manoa

Features Of Women’S Leadership And Nursing In Japanese Culture, Reiko Sakashita

Asian / Pacific Island Nursing Journal

Mutual respect and harmonious relationships between people can be viewed as the fundamental spirit of Japanese culture. Japanese leaders try to keep the peace in human relations, rather than to achieve a goal. They become leaders due to internal and external conditions, rather than their own abilities. Japanese society has been basically male-dominated though the ratio of women leaders has increased recently. Higher education and development of academic societies in nursing have been very successful during the last two decades and nursing is one of the most trusted professions in Japan. However, some Japanese people still think a nurse is ...


Japanese American Nursing Education Leadership, Jillian Inouye PhD, Patricia T. Alpert 2018 University of Hawaii at Manoa

Japanese American Nursing Education Leadership, Jillian Inouye Phd, Patricia T. Alpert

Asian / Pacific Island Nursing Journal

Why are there so few Japanese-American Nursing Education leaders in the United States when Asians in general are considered the “model minority”? Several reasons point to the cultural and value differences of an Eastern versus Western perspective. Many who have addressed this issue in other professional fields explain this phenomenon as the bamboo ceiling. This article provides the experiences of two Japanese American Nurse Leaders framed through a theoretical framework proposed by Bolman and Deal (1991), which seems to relate to their “human resource leadership” style and the strong belief and empowerment of others. These leadership types develop symbols and ...


The Impact Of Mychart (Ephr) Use On The Clinical Outcomes Of Behavior-Related Modifiable Health Conditions, Sam George 2018 Parkview Health

The Impact Of Mychart (Ephr) Use On The Clinical Outcomes Of Behavior-Related Modifiable Health Conditions, Sam George

MAHE Student Research

Background: Obesity, hypertension, type II diabetes mellitus (DM), and hyperlipidemia represent highly prevalent chronic diseases among adult Americans. Each of these diseases are associated with several comorbidities, increased risk of mortality, and collectively place a substantial burden on healthcare resources. Prior scientific studies have linked patient activation with positive lifestyle modifications. Furthermore, patients who are highly engaged in their own care have better outcomes than those who are less involved. Patient portal messaging and ePHR use have theoretical benefits, namely, encouraging patient activation, but current evidence varies on ePHR use and improved clinical outcomes. Objective: This study investigates whether MyChart ...


Limiting Antibiotic Use In Acute Sinusitis: Partly A Matter Of Vocabulary?, Dennis J. Baumgardner 2018 Aurora UW Medical Group, Aurora Health Care

Limiting Antibiotic Use In Acute Sinusitis: Partly A Matter Of Vocabulary?, Dennis J. Baumgardner

Journal of Patient-Centered Research and Reviews

In his issue introduction, the editor-in-chief of Journal of Patient-Centered Research and Reviews comments on an included article that describes the successful use of an electronic medical record best practice alert to reduce the rate of antibiotic prescription for acute sinusitis. Various methods previously tried to improve antibiotic stewardship in this illness are briefly reviewed. Borrowing on the model of acute bronchitis, it is suggested that a change in conveyed diagnostic vocabulary to “sinus cold” when describing acute sinusitis may help limit antibiotics for this predominantly viral infection.


Implementation Of A Volunteer-Based Hospital Program For Older Adults, Elizabeth Collins, MD, Kristine Swartz, MD 2018 Thomas Jefferson University

Implementation Of A Volunteer-Based Hospital Program For Older Adults, Elizabeth Collins, Md, Kristine Swartz, Md

House Staff Quality Improvement and Patient Safety Posters

Background

  • A multi-faceted, volunteer-led, hospital-based program1has been shown to: •Reduce the incidence of delirium •Decrease hospital length of stay •Reduce hospital costs.
  • Implementation of such a program requires upfront investment.
  • A smaller, volunteer-based visitation program for older adults may provide support for the allocation of more hospital resources in delirium prevention and establishment of a formal Hospital Elder Life Program1in this institution.
  • This research aims to investigate: •If the implementation of a visitation program is feasible at this hospital •Volunteer experience with the program.


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