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Stroke Outreach In The Lao Community, Noor A. Dythavon 2016 University of San Francisco

Stroke Outreach In The Lao Community, Noor A. Dythavon

Master's Projects

CNL Abstract

A community health needs assessment for the service area prompted concern regarding access to quality healthcare for non-English speaking Southeast Asians (SEA) in the area. Goals of an initial investigation and subsequent implementation of sustainable stroke health fairs for non-English speaking communities were evaluated to assess primary healthcare concerns that the SEA community face and to suggest long-term solutions to these issues. Initial investigation required researching population-specific minority health statistics to quantify the prevalence of chronic diseases and conditions which were prioritized in terms of needs versus disparities. Research came from evidence base practice guidelines and personal concern ...


The Development, Implementation, And Evaluation Of A Transgender Health Resource Bundle, Lovejeet Kaur Ms. 2016 The University of San Francisco

The Development, Implementation, And Evaluation Of A Transgender Health Resource Bundle, Lovejeet Kaur Ms.

Doctor of Nursing Practice (DNP) Projects

Transgender populations experience disproportionate social and health disparities that can negatively impact quality of life. Healthcare barriers due to gender based discrimination and lack of medical insurance and culturally competent providers contribute to low levels of access to preventative health care screenings, resulting in sub-optimal health outcomes. The unique health circumstances of transgender individuals have been understudied in the literature. As a result clinicians are often under-informed of their specific health maintenance needs and screening guidelines. To help address this disparity, a Doctor of Nursing Practice (DNP) student at the University of San Francisco facilitated the collaborative assessment, development, implementation ...


Kinder Ready: Exploring The Role Of Technology In Promoting School Readiness Among Low-Income Parents In A Clinic-Based Setting, Brenda Lu 2016 University of San Francisco

Kinder Ready: Exploring The Role Of Technology In Promoting School Readiness Among Low-Income Parents In A Clinic-Based Setting, Brenda Lu

Master's Projects

The Stanford Pediatric Advocacy Program advocates to improve the health status of children in Silicon Valley and the surrounding community. This summer, I worked on a project called Kinder Ready, with the goal of evaluating the feasibility of technology use in promoting school readiness in children ages zero to five. We used a variety of qualitative research methods, including focus groups, one-on-one interviews, and surveys to collect feedback from the community on what their children need to transition into schools. Our local participatory research approach has paved the way for many new partnerships with local organizations, while strengthening existing ones ...


Improving Healthcare Provider Knowledge In Acute And Primary Transgender Health Needs: The Implementation Of A Clinical Education Program With Urgent Care And Emergency Room Staff And Providers, Tonia Lower 2016 Otterbein University

Improving Healthcare Provider Knowledge In Acute And Primary Transgender Health Needs: The Implementation Of A Clinical Education Program With Urgent Care And Emergency Room Staff And Providers, Tonia Lower

Doctoral Theses

The purpose of this project was to improve knowledge and identify personal bias and beliefs in the acute and primary healthcare needs of transgender persons, through the implementation of a clinical education program with healthcare providers and staff working within the urgent care and emergency department settings. The need for such a program exists due to the lack of suitable and accessible healthcare that may lead to misdiagnosis, delay of treatment and poor health outcomes. Including clinical education in the acute and primary healthcare needs of transgender persons that can be integrated into healthcare organizations may aid in the improvement ...


Utilizing Culturally Congruent Educational Interventions To Improve Native American Diabetic Outcomes, Laurie Ann Hamilton 2016 University of Southern Mississippi

Utilizing Culturally Congruent Educational Interventions To Improve Native American Diabetic Outcomes, Laurie Ann Hamilton

Doctoral Nursing Capstone Projects

Native Americans suffer from diabetes type II at a proportionately higher rate than other populations. Management of diabetes in this population is problematic and compounded by multiple influences such as socioeconomic, cultural and linguistic variables. The purpose of this DNP project was to investigate cultural influences on Native American diabetic outcomes.

Do cultural influences act as barriers to diabetic medication, diet and education understanding? Would a Native American nurse applied education on medication, diet and exercise improve diabetic outcomes in a 3 month period?

A convenience sample of 6 Native American participants obtained at a primary care clinic were given ...


Intergenerational Hispanic Perceptions Of Childhood Obesity, Janelle Weiss 2016 University of Arkansas, Fayetteville

Intergenerational Hispanic Perceptions Of Childhood Obesity, Janelle Weiss

The Eleanor Mann School of Nursing Undergraduate Honors Theses

Background: Childhood obesity is on the rise in the United States especially among minority families. This study investigates how Hispanic parents perceive their child's weight based on years of acculturation, education level, age, child’s gender and 1st or 2nd generation status.

Objective: To assess if there are differences in perception between more acculturated Hispanic immigrants and their less acculturated counterparts.

Methods: Data were collected using the Child's Body Image Scale. Participants were asked to arrange the images based on a series of questions inquiring about their perception of their child and health in general. BMI ...


Personal Protective Equipment Use For Patients With Clostridium Difficile, Mallory L. Compton 2016 Murray State University School of Nursing

Personal Protective Equipment Use For Patients With Clostridium Difficile, Mallory L. Compton

Scholars Week

In researching the literature on correct PPE by healthcare staff when a patient has C. diff. I have found that the policy on PPE for patients with C. diff at Baptist Health Paducah is compliant. The theoretical framework used for this research is that of Imogene King. Their policy is evidence based and is also cost effective when it comes to preventing the spread of infection from patient to patient. There is no need for change to this policy at this time because it is supported by evidence in the literature.


An Assessment Of The Human Papillomavirus Immunization Knowledge, Practices, And Prevention Among A Cohort Of Urban College Students, Nancy H. Busen PhD, FNP-BC, APRN, Robert G. Hanks PhD, RN, FNP, APRN, Eileen R. Giardino PhD, RN, APRN, FNP, Stanley Cron MSPH 2016 The University of Texas Health Science Center at Houston, School of Nursing

An Assessment Of The Human Papillomavirus Immunization Knowledge, Practices, And Prevention Among A Cohort Of Urban College Students, Nancy H. Busen Phd, Fnp-Bc, Aprn, Robert G. Hanks Phd, Rn, Fnp, Aprn, Eileen R. Giardino Phd, Rn, Aprn, Fnp, Stanley Cron Msph

Journal of Nursing & Interprofessional Leadership in Quality & Safety

Human papillomavirus (HPV) is the most common sexually transmitted disease, yet little is known about the college-age knowledge and prevention practices related to HPV. Although sample vaccination rates mirrored national known vaccination rates, a majority of participants did not complete the three dose vaccine schedule. HPV knowledge was similar between males and females while males were more likely to engage in preventative practices. This information can help healthcare providers reinforce vaccination schedule and prevention practices.


Human Papilloma Virus-Related Cervical Dysplasia, Shaylyn D. Webster 2016 Otterbein University

Human Papilloma Virus-Related Cervical Dysplasia, Shaylyn D. Webster

Master of Science in Nursing (MSN) Student Scholarship

Among sexually active men and women, the human papilloma virus (HPV) is one of the most common sexually transmitted infections. With more than 200 different genotypes of HPV known, there are more than 500,000 cases each year in the United States alone (Lowy, 2016). The virus is associated with nearly all cervical cancers, anal cancers, vaginal cancers, penile cancers, and head and neck cancers (Jorge & Wright, 2016). In women, the virus is capable of causing slow cellular changes on the cervix, and this dysplasia is graded based on severity (Jorge & Wright, 2016).

The statistics related to the prevalence and ...


Perceptions Of Renal Disease Risk Among African Americans: A Review Of The Literature, Casey L. Migliore, Julie Barroso, Allison Vorderstrasse 2016 Duke University School of Nursing

Perceptions Of Renal Disease Risk Among African Americans: A Review Of The Literature, Casey L. Migliore, Julie Barroso, Allison Vorderstrasse

Journal of Health Disparities Research and Practice

African Americans are disproportionately at risk for renal disease, especially those with type 2 diabetes (McDonough et al., 2011). Despite this disease disparity, the literature lacks research on renal disease awareness and risk perceptions among African Americans with type 2 diabetes. Therefore, a literature review guided by the Common Sense Model was conducted to review and synthesize the literature on African Americans’ awareness of renal disease and existing risk perceptions, capturing sociocultural factors in the African American community that could influence the development of those risk perceptions. The literature identified an overall lack of knowledge about renal disease risk factors ...


Gram-Negative Bacteria And Sepsis, Christine D. Ridge 2016 Otterbein University

Gram-Negative Bacteria And Sepsis, Christine D. Ridge

Master of Science in Nursing (MSN) Student Scholarship

Today’s medical world encompasses an environment in which gram-negative bacteria that once were defeated with common antibiotics, have now become resistant. Gram-negative bacteria like Klebsiella pneumoniae, Pseudomonas aeruginosa, Enterobacter, and Acinetobacter are pathogens that are an emerging threat causing sepsis due to multidrug-resistance (Pop-Vicas & Opal, 2014, p.189). The multidrug-resistance mechanisms of gram-negative bacteria coupled with a patient population commonly seen in hospital settings, that consist of immunocompromised adults due to advancing age, comorbidities (e.g. AIDS, history of transplants, diabetes, and chemotherapy), and immunotherapies, create an environment for advanced infection or sepsis to take place.

Complications of multidrug-resistant ...


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.


A Quality Improvement Project On Diagnosis And Management Of Asthma In A Private Pediatric Setting., Sosamma Ashley 2016 A DNP- FNP student graduating on May 19th, 2016

A Quality Improvement Project On Diagnosis And Management Of Asthma In A Private Pediatric Setting., Sosamma Ashley

Doctor of Nursing Practice (DNP) Projects

Abstract

Background: Although national guidelines exist for the diagnosis and management of asthma, general practice differs significantly from recommendations. Quality improvement methodology when implemented can narrow quality gaps.

Objective: The objective of the project was to create and implement a plan of action to address identified gaps in key clinical activities of asthma care among pediatric population in a private pediatric setting in Northern California

Methods: The project was centered on the use of Education in Quality Improvement for Pediatric Practice (EQIPP), a program of the American Academy of the Pediatrics. Both the pediatrician and the DNP student took this ...


Electronic Cigarettes: A Literature Review, Iliana Vermillion 2016 University of North Georgia

Electronic Cigarettes: A Literature Review, Iliana Vermillion

Family Nurse Practitioner Theses

Objective: This literature review aims to define electronic cigarettes (ECs) and to examine the safety and potential health effects of ECs. Using published articles performed using online databases with key words to define the searches, 222 articles were yielded. Of these 222 articles with manual review and elimination 18 articles were selected to complete the literature review. The literature review yielded discussions on key components and effects of ECs such as propylene glycol, nicotine, the respiratory system, the cardiovascular system, cytotoxicity, etc.

Conclusions: Through a review of 18 research articles, information saturation was reached to conclude that the use of ...


Childhood Obesity And Risk Of Adult Cardiovascular Disease, Tina Campbell, Kayla Gee, Patricia Hernandez 2016 University of North Georgia

Childhood Obesity And Risk Of Adult Cardiovascular Disease, Tina Campbell, Kayla Gee, Patricia Hernandez

Family Nurse Practitioner Theses

No abstract provided.


The Impact Of Telemedicine And Patient Outcomes In Rural Settings, Pennie Schuh 2016 University of North Georgia

The Impact Of Telemedicine And Patient Outcomes In Rural Settings, Pennie Schuh

Family Nurse Practitioner Theses

Background and Purpose: Rural and Underserved populations pose a very real challenge in meeting healthcare needs. Telemedicine and Advance Practice Nurses offer viable solutions to those needs in a world of declining family practice physicians and has shown positive outcomes for patients in rural settings. The focus of this literature review is telemedicine's impact on patient outcomes in rural settings and it's utilization by the advance practice nurse. Methods: An extensive online literature review was performed utilizing CINAHL plus, Cochrane Library, PubMed and MedLine using key terms: MeSH terms, telemedicine, telehealth, rural, nurse practicioner, patient outcomes using Boolean ...


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 ...


The Effects Of Exercise On Depression, Meagan Classey, Kadesha Massaud, Lora Stepp 2016 University of North Georgia

The Effects Of Exercise On Depression, Meagan Classey, Kadesha Massaud, Lora Stepp

Family Nurse Practitioner Theses

Background: As the number of people diagnosed with clinical depression grows, so do the number of treatments. Along with pharmacological means, holistic and natrual approaches to treating depression are also explored. Aerobic exercise is among these treatment plans. Therefore, this review provides a concise explanation on how exercise may be utilized in the management of depressions. Methods: Studies were identified using CINAHL, PsychInfo, and MedLine using relevant search terms such as exercise and depression. Further narrowing of results was achieved by using only articles dated in the past 10 years. Purpose of Article: The aim of this article is to ...


Comparison Of Red Yeast Rice Versus Statin Therapy For Dyslipidemia: A Literature Review, Ellison Croft, Michelle Ladewig, Autumn Mills 2016 University of North Georgia

Comparison Of Red Yeast Rice Versus Statin Therapy For Dyslipidemia: A Literature Review, Ellison Croft, Michelle Ladewig, Autumn Mills

Family Nurse Practitioner Theses

Statins are the first line treatment for hyperlipidemia. However, some patients do not tolerate statins. For these patients, alternative treatments such as red yeast rice may be considered. The purpose of this literature review is to compare the lipid lowering capability of red yeast rice to statins.


Effectiveness And Feasibility Of In-Office Versus Smartphone Text-Delivered Nutrition Education In The College Setting: A Mixed-Methods Pilot Study, Jordan Rose, Deepika Goyal, Mary Ellen Wilkosz, Anita Catlin 2016 California State University, Northern California Consortium Doctor of Nursing Practice

Effectiveness And Feasibility Of In-Office Versus Smartphone Text-Delivered Nutrition Education In The College Setting: A Mixed-Methods Pilot Study, Jordan Rose, Deepika Goyal, Mary Ellen Wilkosz, Anita Catlin

Doctoral Projects

Often, being away from home for the first time, coupled with limited knowledge regarding healthy eating behaviors, leads to poor food choices and an increased risk of obesity among college-aged young adults. These college students are prone to high-calorie diets and limited physical activity, putting them at risk for obesity, a physiologically, psychologically, and financially costly epidemic in the United States. College students use their cellular phones over eight and a half hours a day and cell phones are their primary means of information consumption outside of the classroom, suggesting that the phones would be a useful tool to provide ...


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