A Pre-Test Post-Test Tool Development And Evaluation For The Abstinence-Plus Curriculum “Against The Tide”, 2016 Cedarville University
A Pre-Test Post-Test Tool Development And Evaluation For The Abstinence-Plus Curriculum “Against The Tide”, Nicole C. Boucuvalas
Master of Science in Nursing Theses
Problem and Significance: Adolescents in the U.S. are subjected to multiple media messages, peer influence, and cultural acceptance of sexual activity that result in one of the highest rates of teen pregnancy, teen abortion, and sexually transmitted disease among all developed nations. Varying educational curriculums have been studied regarding their effectiveness in decreasing these negative societal issues with our youth. The Women’s Pregnancy Center within Peoria Rescue Ministries has been administering abstinence-plus sex education curriculum, Against the Tide (ATT), to various school systems for the past 15 years. However, the effectiveness of the ATT curriculum had not been ...
The Effect Of Therapeutic Horseback Riding On Balance And Self-Efficacy In Children With Developmental Disabilities, 2016 University of Akron Main Campus
The Effect Of Therapeutic Horseback Riding On Balance And Self-Efficacy In Children With Developmental Disabilities, Lauren M. Hurley, Alexandra Smola
Honors Research Projects
The prevalence of developmental disabilities in children in the United States is a serious problem. Since children with developmental disabilities often show decreased self-efficacy and balance, researchers have studied the effects of interventions in this population. The purpose of this study is to determine the effect of a 10-week THR session on balance and task-specific self-efficacy in children with physical disabilities ages 6 to 18 years old. Bandura’s social cognitive theory and The Physical Stress Theory will guide the quasi-experimental study. A pre-test post-test design will be implemented over a 12 week span at 3 different riding centers in ...
Behavioral Modification And Relapse Rates In Opioid-Dependent Pregnant Women Managed With Subutex, Tammy Lynn Minor
Walden Dissertations and Doctoral Studies
Behavioral Modification and Relapse Rates in
Opioid-Dependent Pregnant Women Managed with Subutex
MSN, Walden University, 2009
BSN, Marshall University, 1986
Project Submitted in Partial Fulfillment
of the Requirements for the Degree of
Doctor of Nursing Practice
Opioid dependency affects not only the individual who is dependent on opioids but negatively impactsalso the family unit, the community, and society as a whole. Opioid use in the prenatal period can have devastating effects on both the mother and the fetus. The purpose of this paper is to perform a secondary analysis of the effectiveness of ...
Implementation Of A Warming Protocol To Prevent Inadvertent Perioperative Hypothermia In The Ambulatory Surgical Setting, 2015 University of San Francisco
Implementation Of A Warming Protocol To Prevent Inadvertent Perioperative Hypothermia In The Ambulatory Surgical Setting, Joan Abigail Slagle
The implementation of a standardized warming protocol aims to improve patient outcomes by preventing inadvertent perioperative hypothermia (IPH) and its complications in the ambulatory surgical setting. All patients, regardless of age or gender, are at risk for experiencing a 1-2° C drop in body core temperature within thirty minutes of anesthesia induction. The global aim of this project is to prevent IPH and its complications in the ambulatory surgical setting by implementing a warming protocol at a freestanding ambulatory surgery center. While an audit of the microsystem revealed a normothermia rate of 28%, a standardized warming protocol is expected to ...
Alarm Management: Electrocardiographic Lead Management, 2015 University of San Francisco
Alarm Management: Electrocardiographic Lead Management, Dale Elaine Dominguez Ms.
Alarm Management: Electrocardiographic Lead Management
Quality improvement and safety that incorporates the Clinical Nurse Leader (CNL) competency of putting in place quality improvements plans that are bases on evidence, analysis, and risk anticipation is the thesis for this project. The associated problem is the myriads of electrocardiographic (ECG) alarms that alert staff to patient issues each day. Of those alerts, 88% to 90% are false or do not require immediate attention (Sendelbach & Jepsen, 2013). The high numbers of false alerts cause staff to become desensitized to the sound. This desensitization may cause staff not to respond to a critical ...
Implementing Emergency Bedside Backpacks In The Nicu To Improve Patient Outcomes, 2015 University of San Francisco
Implementing Emergency Bedside Backpacks In The Nicu To Improve Patient Outcomes, Melissa M. Garcia
Planning for a disaster, by implementing a unit specific disaster plan, has become an essential recommendation for Neonatal Intensive Care Units. Emergent situations have resulted from past natural disasters proving the need for additional planning when it comes to units with fragile populations. Research has shown instituting a specialized disaster plan, increases patient safety resulting in improved patient outcomes. This prospectus aims to implement emergency bedside backpacks as the first step in the development of a NICU specific disaster plan. These backpacks are meant to be an addition to the current hospital emergency plan, with the goal being to ...
Expanding The Nurse Practitioner Role In Treatment Resistant Major Depression, 2015 University of San Francisco
Expanding The Nurse Practitioner Role In Treatment Resistant Major Depression, Travis K. Svensson
Doctor of Nursing Practice (DNP) Projects
Treatment resistant major depression (TRMD) is a common problem with significant consequences in terms of bio-psycho-social disability and economic impact for the individual, family and community. A 2014 survey of San Francisco bay area community resources confirms that nurse practitioners (NPs) are under represented in the advanced management of TRMD using electroconvulsive therapy (ECT), transcranial magnetic stimulation (TMS) and ketamine infusion therapy (KIT). An expansion in the role of the NP in the management of TRMD is indicated. The purpose of this project was to develop and implement an education course that prepares a cohort of NPs to demonstrate mastery ...
Improving Management Of Inpatient Blood Glucose, 2015 University of San Francisco
Improving Management Of Inpatient Blood Glucose, Rachael K. Misitano
Epidemiologic studies indicate blood glucose management in the hospitalized patient population is not adequate; with approximately 30% of patients reporting values >180mg/dl. Patients with increased blood glucose levels pose a higher mortality risk as well as increased risks for dehydration, hypotension, renal injury, decreased wound healing, immunosuppression, and an overall increase in hospital length of stay (AACE, 2015). This project aims to improve inpatient management of blood glucose levels by facilitating MD-RN communication through a reduction in the current reportable blood glucose level. This project took place on a 17 bed adult medical-surgical unit at a large academic hospital ...
In The Surgical Patient Requiring Neuromuscular Blockade, Is There An Increased Incidence Of Postoperative Adverse Respiratory Events With Rocuronium Or Vecuronium?, 2015 University of Southern Mississippi
In The Surgical Patient Requiring Neuromuscular Blockade, Is There An Increased Incidence Of Postoperative Adverse Respiratory Events With Rocuronium Or Vecuronium?, Martha Claudine Boos
Doctoral Nursing Capstone Projects
It is estimated that up to 45% of surgical patients will have postoperative residual neuromuscular blockade (NMB) upon arrival to the postanesthesia care unit (PACU), and incomplete recovery can impair upper airway function and contribute to adverse respiratory events (Nagelhout & Plaus, 2014). This retrospective cohort study examined whether there was an increased incidence of postoperative adverse respiratory events with the neuromuscular blocking agents Rocuronium or Vecuronium. Inclusion criteria included any surgical patient ages 18-65 receiving NMB agents Rocuronium or Vecuronium during the procedure. Exclusion criteria included any surgical patient ages 18-65 with ASA classification > 4, any emergent cases, any patient ...
A Pilot Study Of Propofol As An Anti-Emetic In Laparoscopic, Gynecologic Surgery Patients, 2015 University of Southern Mississippi
A Pilot Study Of Propofol As An Anti-Emetic In Laparoscopic, Gynecologic Surgery Patients, Flem-Flam Aaron Flemister
Doctoral Nursing Capstone Projects
The goal of this project was to use sub-hypnotic doses of propofol to decrease post operative nausea and vomiting (PONV) rates in the immediate post-operative period in females, ages 18-65, undergoing laparoscopic gynecologic surgery.
PONV is one of the largest complications of anesthesia affecting 20-30% of all surgical patients. Risk factors associated with PONV are female gender, laparoscopy, general anesthesia, opioids, volatile agents, and post-operative pain; all of which are frequently encountered. The incidence of PONV can prolong recovery time, delay discharge, increase patient cost, decrease patient satisfaction, and can cause significant medical complications. Propofol has previously demonstrated anti-emetic properties ...
Bed Rest And Its Continued Use In Women With High-Risk Pregnancy: A Review Of Literature, 2015 Dominican University of California
Bed Rest And Its Continued Use In Women With High-Risk Pregnancy: A Review Of Literature, Irene De Los Reyes
Senior Theses and Capstone Projects
Bed rest is defined as confinement to bed and restriction of activity. In the clinical setting bed rest includes strict bed rest, strict bed rest in Trendelenburg position, bed rest with bathroom privileges, and up ad lib (Irion, Irion, Lewis & Giglio, 2012). Bed rest has been the standard treatment for over the past 30 years in preventing preterm birth and complications arising from high-risk pregnancy despite the lack of evidence to support its safety and effectiveness for the mother and fetus (Maloni, 2010). The purpose of this literature review and critique is to provide information about the adverse physiologic and ...
Caregivers Of Underserved Minority Populations: Views And Opinions Of The Role Of Schools In Bmi Screening, Education And Communication, 2015 University of Massachusetts Lowell
Caregivers Of Underserved Minority Populations: Views And Opinions Of The Role Of Schools In Bmi Screening, Education And Communication, Lori Keough Phd, M.Ed, Fnp-Bc
Journal of Health Disparities Research and Practice
A pilot study exploring caregiver views of the role of schools in students’ health.
To date, 20 states in theUnited Statesrequire school-based body mass index (BMI) screening for school-aged populations and for some the requirements include caregiver notification of the findings. Few studies have provided empirical data indicating whether or not caregivers accept or act on BMI communication from schools. Therefore, an exploratory pilot study was conducted in a culturally diverse urban school district to determine how a required (BMI) screening and notification were viewed by caregivers. Most caregivers reported that they felt schools did not have a role ...
Promoting Children's Adherence To Asthma Self-Management, 2015 University of Kentucky
Promoting Children's Adherence To Asthma Self-Management, Demetrius Abshire
Asthma is the most common chronic childhood condition, affecting about nine million children in the United States. Despite effective treatments available to children and their families, adherence to asthma self-management is low. This paper identifies barriers to asthma-self-management and discusses effective education and behavioral strategies to promote self-management in children with asthma. Implications specific to the profession of nursing are incorporated throughout the discussion. In addition to practical nursing interventions in clinic and hospital settings, areas of future nursing research are addressed.
Exercise And Hospitalized Leukemia Patients, 2015 Department of Nursing, Thomas Jefferson University Hospital
Exercise And Hospitalized Leukemia Patients, Anne Delengowski, Rn, Msn, Aocn, Justine O'Connor, Rn, Msn, Ocn, Megan Stinsman, Rn, Bsn, Ocn, Kate Mchenry, Rn, Bsn, Ocn, Kaitlin Mostak, Rn, Bsn, Joann Silcox, Rn, Msn, Colleen Sweeney, Rn, Christine Muldoon, Rn, Bsn, Ocn, Lauren Gilbride, Rn, Bsn
Department of Nursing papers and presentations
The purpose of this study was to determine if patients in a structured, monitored walking program experienced less symptom distress than patients receiving the usual standard of care during induction chemotherapy.
Thermal Burns And Smoke Inhalation Injuries, 2015 Liberty University
Thermal Burns And Smoke Inhalation Injuries, Anna Cox
In this pathophysiology paper, the reader is presented with a profile of an elderly patient who recently suffered thermal burns and smoke inhalation injuries as a result of a nursing home fire. This patient’s severe burns were classified as deep partial-thickness and full-thickness and her total body surface area (TBSA) of burns was over 15%. This paper details the different types of burns, the varying clinical manifestations of thermal burns, smoke inhalation injuries, laboratory values associated with burns, and the multitude of treatment necessary for each stage of burn management. Wound healing is described as well as potential risks ...
Determining Level And Trajectory Of Change In Reported Attentional Function In Women With Breat Cancer Receiving Chemotherapy, A Pilot Study, 2015 Oregon Health & Science University
Determining Level And Trajectory Of Change In Reported Attentional Function In Women With Breat Cancer Receiving Chemotherapy, A Pilot Study, Ginger Payne Keller
Background: Symptom cluster research in cancer has linked reports of cognitive problems, depression, and fatigue, along with sleep disturbance, anxiety, and pain in a psychoneurologic symptom cluster, potentially with a shared underlying inflammatory cytokine mechanism. Better understanding of the levels and trajectories of attentional function, depression, and fatigue and the relationships among these variables is needed to pursue knowledge of underlying mechanisms and to develop interventions targeted at helping to manage cancer-related symptoms. The purpose of the study was to describe how levels of attentional function, fatigue, and depression change over time and whether levels and trajectories of fatigue and ...
Youth Homelessness: The Impact Of Supportive Relationships On Recovery, 2015 The University of Western Ontario
Youth Homelessness: The Impact Of Supportive Relationships On Recovery, Sara Gasior
Electronic Thesis and Dissertation Repository
AIM: To test a model based on Peplau’s theory of Interpersonal Relations, which examines the influence of a network of service providers, perceptions of social supports and perceptions of family relations on a homeless youth’s perceptions of recovery.
BACKGROUND: Homeless youth comprise an extremely disenfranchised group and have been recognized as one of the fastest growing sub-groups within the homeless population. Homeless youth face impaired access to health and social services. They are often left unsupported and lack social and familial support or relationships with service providers. Homeless youth left unsupported frequently sink into a cycle of ...
Vitamin B12: Identification And Treatment Of Deficiencies, 2015 Brigham Young University - Provo
Vitamin B12: Identification And Treatment Of Deficiencies, Max Mitchell, Donna S. Freeborn
All Student Publications
Vitamin B12 is essential for the proper functioning of all cells. A deficiency can cause serious hematologic and neurologic damage. Groups at high risk for developing vitamin B12 deficiency include the elderly, vegetarians, pregnant women, persons with pernicious anemia, and patients with a history of gastrointestinal (GI) surgery. The purpose of this article is to increase awareness of vitamin B12 deficiency and discuss its pathophysiology, symptoms, diagnostic testing, and management
The Relationship Between Stressors And Intent To Leave Nursing Homes Among Directors Of Nursing, 2015 Walden University
The Relationship Between Stressors And Intent To Leave Nursing Homes Among Directors Of Nursing, Crystal R. Williamson, Mba, Ph.D.
Journal of Social Change
According to Centers for Medicare and Medicaid Services (CMS), some nursing homes have been ranked worst in the nation when rating the quality of resident care. The purpose of this study was to determine the relative strength of workplace stress, job satisfaction, organizational support, and personal data (number of years employed, age, highest education level) in predicting DON intentions to leave the position. This information contributes to social change because it is important to know that DONs need to experience general satisfaction in order to maintain stable leadership that positively contributes to the quality of care in Tennessee nursing ...
Peak Flow Versus Symptom Monitoring To Manage Childhood Asthma, 2015 University of Kentucky
Peak Flow Versus Symptom Monitoring To Manage Childhood Asthma, Ashleigh Ohlmann
Asthma is the most prevalent chronic respiratory disease in children. If asthma is not well managed, it can result in significant morbidity and mortality. The purpose of this paper is to assess the effects of peak flow versus symptom monitoring on asthma health outcomes in children. A literature review was conducted for research articles related to peak flow and symptom monitoring as they relate to asthma outcomes in children. The MEDLINE, PubMed, and CINAHL databases were accessed. The search was narrowed to include articles from the years 2000-2006 using the search terms child, asthma, peak flow meter, and symptom monitoring ...