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Family Nurse Practitioner Student Competencies In Integrated Psychiatric Healthcare, Mark Manning 2018 University of San Diego

Family Nurse Practitioner Student Competencies In Integrated Psychiatric Healthcare, Mark Manning

Doctor of Nursing Practice Final Manuscripts

Title: Practicum to Practice: Family Nurse Practitioner Student Competencies in Integrated Psychiatric Mental Healthcare.

Background: Major Depressive Disorder (MDD) is a widespread and costly diagnosis that affects nearly 16 million people annually and costs the United States nearly $83 Billion. Primary care providers such as Family Nurse Practitioners (FNP) play a crucial role in screening for health problems, preventing, and managing illness. Opportunities exist to integrate psychiatric mental healthcare into FNP curriculum and clinical practicums to better prepare providers to identify and screen for depression.

Purpose: The purpose of this evidenced-based practice project is to evaluate FNP student competencies in ...


Primary Care Provider Attitudes Towards Adoption Of Evidence Based Practice: Indicators Of Acceptance Towards Bibliotherapy, Shannon Scott 2018 Northern Michigan University

Primary Care Provider Attitudes Towards Adoption Of Evidence Based Practice: Indicators Of Acceptance Towards Bibliotherapy, Shannon Scott

DNP Scholarly Projects

The rising prevalence of depression is straining the skeletal mental health systems in rural communities, resulting in a majority of patients receiving management for their depression solely by their primary care providers. However, providers need to be empowered with evidence-based resources to provide adequate care beyond pharmacotherapy exclusively. Bibliotherapy, or the prescription of books for the treatment of disease, is readily used by psychologists but less incorporated into the traditional medical model of patient care. This small pilot study provided primary care providers in a rural area complimentary copies of the self-help text Feeling Good (Burns, 2009) to incorporate into ...


Development And Validation Of A Silhouette Scale To Measure African-American Mothers’ Perception Of The Body Size Of Their Two To Four Year Old Children, Joan Buckley 2018 The Graduate Center, City University of New York

Development And Validation Of A Silhouette Scale To Measure African-American Mothers’ Perception Of The Body Size Of Their Two To Four Year Old Children, Joan Buckley

All Dissertations, Theses, and Capstone Projects

Background: In the United States (U.S.), the Center for Disease Control (2011 – 2014) reported that one-third of adults and 17% of children between the ages of two and nineteen are obese. Obesity in the U.S. is higher in the African-American groups comprising 13.2 % of the U.S. population. With the link between obesity and chronic diseases, such as, diabetes, heart disease, stroke, and some cancers there is a necessity to understand and reverse the consequences of obesity. There is a need to change the development of obesity/adiposity from childhood to adulthood in African-Americans. Exploring the parent ...


Pornography As A Public Health Issue: Promoting Violence And Exploitation Of Children, Youth, And Adults, Elisabeth Taylor 2018 Center for Human Dignity, United Against Sexual Exploitation

Pornography As A Public Health Issue: Promoting Violence And Exploitation Of Children, Youth, And Adults, Elisabeth Taylor

Dignity: A Journal on Sexual Exploitation and Violence

The pornography industry is expanding exponentially as a result of ongoing technological advances. The ability to stream videos over the internet and the ubiquity of the smart phone have meant that pornography producers are able to use algorithms to target potential consumers, to cultivate new sexual tastes and to deliver content to a more diverse audience over mobile devices. The advent of virtual reality pornography with interactive sex toys and sex robots imbued with artificial intelligence promises to unleash a further step-change in the extent to which pornography influences ‘real-world’ sexual culture. The critical analysis of pornography undertaken over decades ...


The Effectiveness Of Insulin Pump Therapy After Transition From Multiple Daily Insulin Injections In Type 1 Diabetes, Sima Sapkota 2018 California State University, Northern California Consortium Doctor of Nursing Practice

The Effectiveness Of Insulin Pump Therapy After Transition From Multiple Daily Insulin Injections In Type 1 Diabetes, Sima Sapkota

Doctoral Projects

The population of patients who have been diagnosed with diabetes mellitus (Type 1 or Type 2) has been increasing in the United States. Patients with type 1 diabetes may receive insulin through delivery via insulin pump therapy (IPT) or multiple daily insulin injections (MDII). In addition to requiring insulin, other management regimens have included frequent blood glucose monitoring, checking laboratory values hemoglobin A1c (A1C), maintaining normal body mass index (BMI), keeping a balanced diet, carbohydrate counting, and exercise. The purpose of the study was to compare the retrospective data of A1C and BMI of patients with type 1 diabetes after ...


Sexually Transmitted Infection Risk Reduction For College Students, Mary Kathryn Dowling 2018 California State University, Northern California Consortium Doctor of Nursing Practice

Sexually Transmitted Infection Risk Reduction For College Students, Mary Kathryn Dowling

Doctoral Projects

University students have been assessed through many sexual health lenses, but there is a paucity of research on the sexual health of community college students. This population may provide good access to at-risk youth, and opportunity to reverse steep climbs in sexually transmitted infection (STI) rates. This research project pilot tests a theory-based intervention employing social facilitation to reduce STI risk among college students. Fifty students were recruited from Human Sexuality courses to participate in a 60-minute workshop. Pre- and post-testing measured for change in STI knowledge, attitude towards safer sex, and self-efficacy for engaging in safer sex practices.

A ...


An Exploration Of Barriers To Health Care Access Among Uninsured Patients: Using The Moderating Effect Of Patients’ Enablement, Enedelia Jessup 2018 Abilene Christian University

An Exploration Of Barriers To Health Care Access Among Uninsured Patients: Using The Moderating Effect Of Patients’ Enablement, Enedelia Jessup

Electronic Theses and Dissertations

ABSTRACT On March 23, 2010, Congress passed the Patient Protection and Affordable Care Act (ACA) to increase value of care, improve clinical outcomes, decrease health care costs, and increase affordability in health care access. The purpose of the study attempts to examine the moderating effects of patient enablement impacting barriers, low socio economic status, and unmet basic needs, toward health care access in uninsured populations post ACA. Only certain aspects of patient enablement in self-management of an individual’s health care goals have been conducted with uninsured populations with barriers toward health care access. The research design was a quantitative ...


A Quality Improvement Project To Address Medication Discrepancies Between Primary Care Providers And Prescribing Specialists For Intellectually And Developmentally Disabled Adults, Kristi Watson 2018 University of Massachusetts Amherst

A Quality Improvement Project To Address Medication Discrepancies Between Primary Care Providers And Prescribing Specialists For Intellectually And Developmentally Disabled Adults, Kristi Watson

Kristi Watson

Background: Adults with intellectual and developmental disabilities face many unique challenges when it comes to healthcare. There is a high rate of polypharmacy as well as specialty involvement to address the dynamic health needs of this underserved population.
Methods: This DNP project assessed the rate of medication discrepancies between primary care providers and prescribing specialists to determine if there is an increase in the re-hospitalization rate at 30-, 60-, 90-day intervals among those with an increased rate of medication discrepancies. Individuals in not-for-profit group homes in Western Massachusetts diagnosed with an intellectual or developmental disability with multiple prescribing providers were ...


Anesthesia "Hand Off" Process For Patients At High Risk For Obstructive Sleep Apnea, Terry Yeager 2018 Lynchburg College

Anesthesia "Hand Off" Process For Patients At High Risk For Obstructive Sleep Apnea, Terry Yeager

Student Scholar Showcase

No abstract provided.


Adherence To Evidence Based Guidelines For Acute Otitis Media: A Comparison Of Nurse Practitioners And Physicians, Tonya Moretz, Ashley Dunson, Jena Jaragoski 2018 University of North Georgia

Adherence To Evidence Based Guidelines For Acute Otitis Media: A Comparison Of Nurse Practitioners And Physicians, Tonya Moretz, Ashley Dunson, Jena Jaragoski

Family Nurse Practitioner Theses

This research study was conducted to compare the treatment patterns of Nurse Practitioners (NPs) and Physicians when treating children, aged 6 months to 12 years, diagnosed with Acute Otitis Media (AOM) based on the Centers for Disease Control and Prevention (CDC) and American Academy of Pediatrics (AAP) guidelines. An anonymous, non-experimental, cross­sectional, 9-item, web-based survey that differentiated information by provider was collected. A total of 39 surveys from NPs and Physicians was received. Findings conclude that providers are not consistently following the CDC and AAP recommendations. Survey analysis show that 35% percent of NPs incorrectly prescribe antibiotics compared to ...


Culturally Sensitive Diabetic Group Education, Kelly Marie Flores 2018 California State University, Northern California Consortium Doctor of Nursing Practice

Culturally Sensitive Diabetic Group Education, Kelly Marie Flores

Doctoral Projects

This study assessed the effectiveness of a culturally sensitive type 2 diabetes group education program delivered to Hispanic women in Merced County. Design: A pre-test post-test design. Purposeful sampling was used. Fifteen Hispanic women from a Merced County outpatient clinic were invited to participate in a culturally relevant group education workshop over a 6-week period. Four (N=4) women accepted the invitation, completed the educational workshop, and participated in the assessments. Topics discussed in the education sessions included: (1) diabetic diet, (2) exercise, (3) blood sugar monitoring, (4) medication, and (5) preventative health. A knowledge check was completed by the ...


Advancing Advance Care Planning In The Primary Care Setting, Antonette Sanderson, William Bodnar 2018 University of North Georgia

Advancing Advance Care Planning In The Primary Care Setting, Antonette Sanderson, William Bodnar

Family Nurse Practitioner Theses

Despite providers agreeing that advance care planning counseling is within their scope of practice, many reported that they lack the time, education and resources needed to provide their patients with the counseling needed to make informed advance care planning decisions. In an effort to address the perceived time crunch described by many providers, we are seeking feedback on the accessibility and ease of utilization of the rapid assessment tool we created which should allow for PCP's to quickly identify patients who could benefit from advance care planning interventions. First, providers at all levels were surveyed about their personal implementation ...


Enhancing Elderly Advance Care Planning Experience At A Primary Care Clinic, Oi Shan Wong 2018 California State University, Northern California Consortium Doctor of Nursing Practice

Enhancing Elderly Advance Care Planning Experience At A Primary Care Clinic, Oi Shan Wong

Doctoral Projects

The purpose of the project was to examine if the identification of readiness for an advance care planning (ACP) discussion of elderly participants would enhance the outcomes of participants' satisfaction, improve the likelihood of having an ACP discussion and increase the completion rates of an advance directive (AD) document after an office visit.

Forty-four elderly participants, who met the selection criteria, were recruited from a primary clinic in Northern California from October 1, 2017 to December 31, 2017 (Female, n =28). All participants were randomly assigned to either an intervention group (n= 22) or a control group (n =22). Their ...


Exploring Reasons For Opting Out Of Hpv Vaccination Among Patients And Health Care Providers, megan masters 2018 DePaul University

Exploring Reasons For Opting Out Of Hpv Vaccination Among Patients And Health Care Providers, Megan Masters

Grace Peterson Nursing Research Colloquium

Background: Human Papillomavirus (HPV) is a virus that can infect both males and females, potentially causing genital warts, vaginal, cervical, anal, and vulvar cancers. According to CDC guidelines, the HPV vaccine can be given to boys and girls age 9 to 26 (CDC, 2017). Although cases of HPV have dropped as the number of HPV vaccinations rise, vaccine rates are still far below the Health People 2020 target of 80% coverage. With current rates of 49.5% coverage in females, and 37.5% in males through 2017, it is evident that current routes of vaccine education are not adequate (CDC ...


Parental Knowledge And Perceptions Of Hpv Vaccines Among Korean American Parents, Veronica Ross, Serik Tursunaliev 2018 DePaul University

Parental Knowledge And Perceptions Of Hpv Vaccines Among Korean American Parents, Veronica Ross, Serik Tursunaliev

Grace Peterson Nursing Research Colloquium

Abstract

Title: Parental Knowledge and Perceptions of HPV Vaccines among Korean American Parents

Author: Young-Me Lee

Affiliation: School of Nursing, DePaul University, Chicago

Background: Given significant concerns about HPV infection, lower immunization rates, and higher cervical cancer risks facing KAs, limited attention has been paid to the specific concerns of KA parents and barriers that underlie parental reluctance to vaccinate their children.

Purpose: The purpose of this study was to examine Korean-Americans parents’ level of knowledge of the HPV vaccine, explore their perceptions of the HPV vaccination for their children, and identify the difference in parental knowledge and perceptions of ...


The Influence Of African Immigrants’ Beliefs On Health-Seeking Behaviors: An Integrative Literature Review, Omolara Alao-Aboko 2018 DePaul University

The Influence Of African Immigrants’ Beliefs On Health-Seeking Behaviors: An Integrative Literature Review, Omolara Alao-Aboko

Grace Peterson Nursing Research Colloquium

Abstract

Background: Africans hold many beliefs and engage in various practices that shape their health in their countries of origin. African immigrant population in the United States had the fastest immigrant growth rate between the years 2000-2013, increasing by 41% (Anderson, 2017). However, not much is known about how their beliefs impact health-seeking behaviors after immigrating into the U.S.

Objective: The purpose of this study was to explore and discover the influences of African immigrants’ beliefs on their health-seeking behaviors.

Method: Whitemore & Knafl (2005) was used as a guide for this literature review. A database search of CINAHL, PubMed, ProQuest, and Health Source: Nursing/Academic Edition was conducted to identify the ten articles used in the integrative review. The inclusion criteria for the review were peer-reviewed articles written in English and studies with African immigrant participants.

Results: The literature revealed an association between African immigrants’ beliefs and health-seeking behaviors, with the exception of one. Many African immigrants’ beliefs limited their utilization of healthcare services; some promoted health-seeking behaviors, while one study showed no statistical significance between their beliefs and health-seeking behaviors ...


Exploring The Need Of Hpv Education Programs In Korean American Communities, Emilia Mondragón, Young-Me Lee 2018 DePaul University

Exploring The Need Of Hpv Education Programs In Korean American Communities, Emilia Mondragón, Young-Me Lee

Grace Peterson Nursing Research Colloquium

Aim: 1) To identify cultural influences and other barriers affecting HPV vaccination decisions, 2) To identify educational methods that can deliver HPV related information to Korean American (KA) parents effectively

Background: Given significant concerns about HPV infection, lower immunization rates, and higher cervical cancer risks facing Korean Americans, it is imperative to better understand the barriers to vaccination. Currently, there is no HPV-focused education program that considers the linguistic and cultural barriers of the KA community. Additionally, there is a lack of effective educational content and methods available to reach KA parents.

Methods: An exploratory, qualitative design was conducted. Content ...


Diabetes Disparities In African Americans: A Cry For Help To Primary Care Providers, Pandora Goode 2018 University of North Carolina in Greensboro

Diabetes Disparities In African Americans: A Cry For Help To Primary Care Providers, Pandora Goode

Journal of Health Disparities Research and Practice

Diabetes is a national public health problem. Low socioeconomic status influence access to quality care for African Americans with Diabetes who must rely on government assisted insurance or are uninsured. Inadequate access and poor quality care for African Americans contributes to increased morbidity and negative health outcomes. This manuscript will examine the existence of diabetes disparities in African Americans pertaining to the role of low socioeconomic status, access, and poor quality care, and suggest some practical strategies for reducing diabetes disparities in this population.


What’S In A Name: Performance Improvement, Evidence-Based Practice, And Research?, Andrea Prentiss, Eve Butler 2018 Baptist Hospital of Miami, Miami Cancer Institute, Baptist Health South Florida

What’S In A Name: Performance Improvement, Evidence-Based Practice, And Research?, Andrea Prentiss, Eve Butler

Nursing & Health Sciences Research Journal

No abstract provided.


Using Rapid Cycle Improvement To Improve Weight Management In Family Medicine, Kelly McCormick 2018 University of Kentucky

Using Rapid Cycle Improvement To Improve Weight Management In Family Medicine, Kelly Mccormick

DNP Projects

PURPOSE: The purpose of this quality improvement project was to improve rates of nutrition screening and weight management in a Family and Community Medicine Clinic.

METHODS: This study was among several quality improvement projects being conducted at a Family and Community Medicine Clinic aimed at improving patient outcomes and quality measures for reimbursement beginning in 2019. Rapid cycle quality improvement was used to identify problems, implement changes, and evaluate workflow at the clinic in order to improve rates of compliance in BMI screening and documentation of weight management plans. Three PDSA cycles were completed. Activities included observation, staff education, visual ...


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