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Establishing A Center Of Excellence On Health Disparities In Rural Populations, Kathryn Anderson, B. Smalley, J. Warren 2016 Georgia Southern University

Establishing A Center Of Excellence On Health Disparities In Rural Populations, Kathryn Anderson, B. Smalley, J. Warren

Kathryn H. Anderson

No abstract provided.


Pathophysiology, Lee Ellen Kirkhorn, Jacquelyn Banasik 2016 IPFW

Pathophysiology, Lee Ellen Kirkhorn, Jacquelyn Banasik

Lee Ellen C Kirkhorn

No abstract provided.


Hope And Health Related Quality Of Life Of Older Women Who Have Had Heart Attacks, Alice Mary Kelly-Tobin 2016 Graduate Center, City University of New York

Hope And Health Related Quality Of Life Of Older Women Who Have Had Heart Attacks, Alice Mary Kelly-Tobin

All Dissertations, Theses, and Capstone Projects (2014-Present)

Background: Heart disease is the number one cause of death and leading cause of disability in adults in the United States. Coronary heart disease (CHD) is the most common form of heart disease with heart attack as its acute manifestation. Health Related Quality of Life (HRQoL) is a multidimensional concept of self-perception of physical, emotional health, and overall sense of well-being. Hope, an inner process focusing on maintaining physical and mental well-being, is considered necessary for survival of chronic illnesses, such as CHD.

Method: Women age 65 and older who have had heart attacks (N=91) volunteered to participate in ...


Exploring Older Adults’ Perceptions Of The Utility And Ease Of Use Of Personal Emergency Response Systems, Patricia A. McLean 2016 Graduate Center, City University of New York

Exploring Older Adults’ Perceptions Of The Utility And Ease Of Use Of Personal Emergency Response Systems, Patricia A. Mclean

All Dissertations, Theses, and Capstone Projects (2014-Present)

Key Words: Older adults, aging in place, functional impairment, assistive home-based technology, personal emergency response system (PERS).

Aim: The aim of this study was to explore and describe perceptions of the utility and ease of use of a personal emergency response system (PERS) among older adults who are aging in place.

Research Question: “What is the meaning of a PERS use for functionally impaired older adults?”

Design: An exploratory-descriptive qualitative design was used to recruit members of a VNSNY CHOICE Managed Long Term Care (MLTC) site in Queens, NY, who met the study’s eligibility through the selection criteria. Fourteen ...


Assessment Of Air Force Providers’ Adherence To Overweight And Obesity Guidelines, Dale Harrell 2016 Otterbein University

Assessment Of Air Force Providers’ Adherence To Overweight And Obesity Guidelines, Dale Harrell

Doctoral Theses

Despite the existence of obesity treatment guidelines, Air Force healthcare providers may offer suboptimal weight management. The purpose of this quality improvement project is to assess adherence by healthcare practitioners with adult overweight and obesity guidelines before and after an educational session on the optimal management of the overweight or obese patient. Overweight or obese adults treated in Military Treatment Facilities (MTF) may not be properly identified and controlled, as providers may not be adhering to the American College of Cardiology (ACC) and the American Heart Association (AHA) guidelines for the management of obesity.


The Development Of Standardized Patient Controlled Analgesia Documentation To Improve Patient Care, Collyn West 2016 University of San Francisco

The Development Of Standardized Patient Controlled Analgesia Documentation To Improve Patient Care, Collyn West

Master's Projects

On a 28 bed post-surgical unit, reviewing patient records revealed only 26% had thorough patient controlled analgesia (PCA) documentation. A pre-quiz no staff knew all of the required components for documentation or which policies to reference and, on average, the staff were only able to correctly answer 30% of the questions. Therefore, a project utilizing the clinical nurse leader improvement theme of clinical outcomes management was initiated to standardize the documentation of PCA medication administration to improve post-operative pain management, improve patient satisfaction, and improve patient safety.

The current process was determined using a fishbone diagram, a SWOT analysis was ...


Competency Guide For Intrathecal Pump Nurses, Christine Tevlin 2016 Seton Hall University

Competency Guide For Intrathecal Pump Nurses, Christine Tevlin

Seton Hall University DNP Final Projects

There is a strong need for healthcare providers to improve the quality of care, which benefits not only patients but the whole population. Due to the increasing cost of health insurance, society is forced to bear the cost of poor care for patients. The Institute of Medicine (IOM) stunned the nation in 1999 with, “To Err is Human: Building a Safer Health System” which reported that between 44,000 and 98,000 people die each year from preventable medical errors (IOM, 1999). Since then there has been a move in the direction of accountability and quality care for patients. This ...


The Experience Of Adult Children Cargiving For Aging Parents, Kimberly Conway 2016 Seton Hall University

The Experience Of Adult Children Cargiving For Aging Parents, Kimberly Conway

Seton Hall University Dissertations and Theses (ETDs)

Background: An estimated 35 million Americans are age 65 or older, and this population is expected to double within 25 years. When the normal progression of life for an aging person is interrupted, adult children are often suddenly faced with assuming care of their parent(s). Currently adult child caregivers of aging parents, work up to 100 hours per month at caregiving. Problem Statement: A limited body of empirical studies exists on the caregiving of aging parents exclusively by their adult children. Despite the amount of time dedicated to parental caregiving little is known about the experience of this exclusive ...


Impact Of Nurse-Led Telephone Follow-Up On Heart Failure Readmissions, Anna Laura Trimbur 2016 Bellarmine University

Impact Of Nurse-Led Telephone Follow-Up On Heart Failure Readmissions, Anna Laura Trimbur

Graduate Theses, Dissertations, and Capstones

Abstract

Heart failure readmissions are a common and costly issue. Poor transitions of care as patients move from one setting to another are thought to be a major contributor to this growing problem. For those patients discharged to skilled nursing facilities (SNFs), poor transitions can be especially problematic. Telephone follow-up by nurses is a cost effective intervention commonly used to improve communication and coordination of care, thought little is known about interventions directed at patients discharged to SNFs. The purpose of this review is to evaluate the evidence regarding nurse led telephone follow-up in the transition of care process and ...


Sentinel Event Management Model: A Performance Improvement Project, Kelly M. Johnson 2016 Bellarmine University

Sentinel Event Management Model: A Performance Improvement Project, Kelly M. Johnson

Graduate Theses, Dissertations, and Capstones

The purpose of this performance improvement project was to implement a standard sentinel event management model in an acute care hospital that is part of a healthcare system based on best practices and principles of high reliability organizations. The project used define, measure, analyze, improve and control (DMAIC) methodology and Lewin’s Theory of Planned Change. High rates of medical harm and preventable deaths have been demonstrated around the world. It is estimated that one in four American families will be affected by preventable harm in healthcare involving further medical care, disability or even death. Despite international awareness and substantial ...


Telephone Follow-Up For Heart Failure Patients Discharged To Skilled Nursing Facilities, Anna Laura Trimbur 2016 Bellarmine University

Telephone Follow-Up For Heart Failure Patients Discharged To Skilled Nursing Facilities, Anna Laura Trimbur

Graduate Theses, Dissertations, and Capstones

Abstract

Reducing hospital readmissions has become a national priority for health care institutions. Telephone follow-up, a cost-effective intervention, has been used with varying degrees of success in reducing 30-day readmissions for heart failure (HF) patients. However, little is known about interventions directed toward HF patients discharged to skilled nursing facilities (SNFs). The purpose of this project was to test the effect of telephone follow-up with SNF staff by an advanced practice nurse (APN) on 30-day readmission rates. A one-time call to SNF staff was made by the APN to review key components of HF management. Readmission rates for the intervention ...


Nurse Faculty Job Satisfaction: Development And Evaluation Of The Nurse Educator Satisfaction Index, Annette J. Jackson 2016 Kennesaw State University

Nurse Faculty Job Satisfaction: Development And Evaluation Of The Nurse Educator Satisfaction Index, Annette J. Jackson

Doctorate of Nursing Science Dissertations

ABSTRACT

NURSE FACULTY JOB SATISFACTION: DEVELOPMENT AND EVALUATION

OF THE

NURSE EDUCATOR SATISFACTION INDEX

The nursing faculty shortage in American is predicted to worsen in the near future. This faculty shortage negatively impacts nursing practice by limiting the numbers of students admitted to nursing programs, and hindering efforts to build a nursing workforce sufficient in number to care for an aging patient population. Guided by Hagedorn’s Framework of Faculty Job Satisfaction, this descriptive, correlational study sought to validate a researcher-developed instrument to measure job satisfaction in a sample of Georgia nurse educators. A web-based survey was distributed to full-time ...


Mindfulness-Based Intervention For Perinatal Grief Education And Reduction Among Poor Women In Chhattisgarh, India: A Pilot Study, Lisa R. Roberts, Susanne B. Montgomery 2016 Loma Linda University

Mindfulness-Based Intervention For Perinatal Grief Education And Reduction Among Poor Women In Chhattisgarh, India: A Pilot Study, Lisa R. Roberts, Susanne B. Montgomery

Interdisciplinary Journal of Best Practices in Global Development

INTRODUCTION: Stillbirth is a significant public health problem in low to middle income countries and results in perinatal grief, often with negative psychosocial impact. In low-resource settings, such as Chhattisgarh, India, where needs are high, it is imperative to utilize low-cost, effective interventions. Mindfulness-based stress reduction (MBSR) is an empirically sound intervention that has been utilized for a broad range of physical and mental health problems, and is adaptable to specific populations. The main objective of this pilot study was to explore the feasibility and effectiveness of a shortened, culturally adapted mindfulness-based intervention to address the complex grief after stillbirth ...


Cinnamon In The Treatment Of Type Ii Diabetes, Pauline J. Maddox 2016 Southern Adventist University

Cinnamon In The Treatment Of Type Ii Diabetes, Pauline J. Maddox

Graduate Research Projects

Abstract

Objective

The purpose of this review of literature is to evaluate the effects of cinnamon on hemoglobin A1C (HbA1c) and fasting blood glucose/fasting plasma glucose (FBG/FPG) in various populations such as type II diabetes, prediabetics, metabolic syndrome, and overweight or obese individuals.

Research Design and Methods

A comprehensive literature review was done with the Cumulative Index to Nursing and Allied Health Literature (CINAHL) database using the keywords, cinnamon, type II diabetes, diabetes, HbA1c, and FBS. References used in previous meta-analysis were also searched and reviewed for inclusion. Studies were included in this review if they evaluated cinnamon ...


Insufficient Sleep And Depression In Adolescents, James Vick, Elizabeth Muchiri, Kristina James 2016 University of North Georgia

Insufficient Sleep And Depression In Adolescents, James Vick, Elizabeth Muchiri, Kristina James

Family Nurse Practitioner Theses

Overwhelming evidence suggests that sleep plays a crucial role in healthy adolescent development. The national Sleep Foundation along with American Academy of Pediatrics (AAP) recommends adolescents get 8.5 to 10 hours of sleep per night (Hirshkowitz, Whiton, Albert, Alessi, Bruni, DonCarlos,… Hillard, 2015). Statistics from the National Sleep Foundation poll show that as many as 59% of 6th through 8th graders and 87% of high school students in the United States get less than the recommended amount of sleep on school nights and that the average amount of school-night sleep obtained by high school seniors is fewer ...


Psychological And Sociocultural Influences Of Current And Historical Intimate Partner Violence In Pregnancy, Cindy D. Phillips 2016 East Tennessee State Universtiy

Psychological And Sociocultural Influences Of Current And Historical Intimate Partner Violence In Pregnancy, Cindy D. Phillips

Electronic Theses and Dissertations

The Centers for Disease Control and Prevention (CDC) estimates that 1.5 million women are victims of intimate partner violence (IPV) each year, and 324,000 of these women are pregnant (2013). Research on the predictability of certain factors and their relationship to current and historical IPV is limited. In order to better understand IPV as it related to a sample of 1,016 Appalachian pregnant women selected for the Tennessee Interventions for Pregnant Smokers (TIPS), it was important to evaluate various influences that may predict the prevalence of IPV in this population when compared to the State of Tennessee ...


Development Of A Social Marketing Plan To Decrease Long Term Care Nurses Use Of Unnecessary Pharmacological Interventions To Address Residents' Behavioral Disturbances, Kela Spikes Bickham 2016 University of Southern Mississippi

Development Of A Social Marketing Plan To Decrease Long Term Care Nurses Use Of Unnecessary Pharmacological Interventions To Address Residents' Behavioral Disturbances, Kela Spikes Bickham

Doctoral Nursing Capstone Projects

Seventy-six percent of long term care (LTC) residents display behavioral disturbances associated with psychiatric disorders, including dementia, which “often occur in clusters and include depression, psychosis, aggression, agitation, anxiety, and wandering” (Agency for Healthcare Research and Quality [AHRQ], 2014 para. 2; Perkins, 2012). Forty percent of LTC residents with behavioral disturbances receive pharmacological treatments to manage their behavioral disturbances, but these medications have limited efficacy and significant adverse effects (Gustafsson, Karlsson, & Lövheim, 2013). This remains important because the population, ages 65 and older (approximately 88% of all LTC residents), represent the most vulnerable to the effects of pharmacological interventions (PIs; American Association of Retired Persons [AARP], 2007).

According to the United States (U.S.) Food and Drug Administration (FDA, 2005), the use of atypical antipsychotic medications for off-label purposes ...


Nursing Perception Of Psychogenic Nonepileptic Spells: Improving Patient Outcomes, Amanda J. Cramer 2016 Otterbein University

Nursing Perception Of Psychogenic Nonepileptic Spells: Improving Patient Outcomes, Amanda J. Cramer

Doctoral Theses

Patients with psychogenic nonepileptic spells (PNES) have generally poor outcomes and many fail to engage in evidence-based treatments (Thompson et al., 2013). Negative healthcare provider perceptions have been implicated as a barrier to patient engagement in treatment recommendations for PNES (Whitehead, Kandler, & Reuber, 2013; Worsely et al., 2011). Illness perception of these patients has been evaluated from the perspective of physicians in multiple settings but perceptions by nurses are not well studied despite the close interactions that nurses have with these patients.

This project used Pender’s health promotion model to collect information about the nursing experience with patients with PNES at ...


Resilience In Afghan Children And Their Families: A Review, Zeenatkhanu Kanji, Jane Drummond, Brenda Cameron 2016 Aga Khan University

Resilience In Afghan Children And Their Families: A Review, Zeenatkhanu Kanji, Jane Drummond, Brenda Cameron

Zeenatkhanu Kanji

Resilience enables individuals to survive the horrors of war and other such tragedies. This article draws on personal reflections of living in the post-Taliban period in Afghanistan and a review of the literature to explore resilience processes that may be present in the Afghan population. Adverse factors that Afghan children and families face include: destruction of infrastructure, danger, traumatic experiences, post traumatic stress disorder, political and ideological commitment. The protective factors that may have enabled them to survive, and subsequently rebuild in the face of multiple challenges are absolute faith in Allah (God), family support and community support. Understanding more ...


Preterm Birth A Risk Factor For Postpartum Depression In Pakistani Women, Salima Sulaiman Gulamani, Shahirose Premji, Zeenatkhanu Kanji, Syed Iqbal Azam 2016 Aga Khan University

Preterm Birth A Risk Factor For Postpartum Depression In Pakistani Women, Salima Sulaiman Gulamani, Shahirose Premji, Zeenatkhanu Kanji, Syed Iqbal Azam

Zeenatkhanu Kanji

A Pakistani cohort of 170 mothers of full-term infants and 34 mothers of preterm infants were screened at 6 weeks after delivery to compare the rate of PPD, and examine the contribution of parenting stress and mother-infant interaction to PPD among mothers of preterm infants. Mothers completed the Edinburgh postnatal depression scale, and a general questionnaire. Mothers of preterm infants also completed the parental stress scale and parental bonding questionnaire. The rate of PPD was significantly higher with the adjusted odds increasing by 2.68 (95% Confidence Interval 1.16 - 6.17, p = .015) in mothers of preterm in- fants ...


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