Human Papilloma Virus-Related Cervical Dysplasia, 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 ...
Weight, Temperature, And Transcutaneous Bilirubin Of The Term Neonate At Discharge: A Comparative Study Between A Traditional Nursery And Rooming-In Model Of Care, Jennifer L. Pass
MSN in Leadership in Nursing Final Projects
Purpose: The purpose of this study was to examine day of discharge term neonate outcomes of percent weight change, body temperature, and transcutaneous bilirubin from a traditional nursery and a rooming-in model of care.
Design: A retrospective, descriptive, comparative design was used, comparing two groups for differences between outcomes.
Methods: A total of 102 electronic neonate records from one hospital in north Georgia were examined and divided based on when the model of neonate care changed from the traditional nursery care setting to full rooming-in, which was early November 2010: Group 1 (traditional care) consisted of 51 term neonates discharged ...
A Quality Improvement Project On Diagnosis And Management Of Asthma In A Private Pediatric Setting., 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
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 ...
Obstetric Triage Improvement, 2016 University of San Francisco
Obstetric Triage Improvement, Whitney Depaoli
The objective of the obstetric triage improvement project is to decrease the average length of stay for perinatal patients presenting to the obstetric triage. The setting is a university hospital in a large urban city. The population includes pregnant patients with obstetric complaints presenting to triage for further evaluation. Methods used include a root cause analysis, process mapping, lean transformation methodology, and standardization of workflow. The results of the project include reducing the average length of stay in obstetric triage from a baseline of 152 minutes to 120.58 minutes, which represents a 21% decrease. The creation of standard workflows ...
Reducing Iv Infiltrates In The Neonatal Population, 2016 University of San Francisco
Reducing Iv Infiltrates In The Neonatal Population, Stephanie L. Miller
The objective of the CNL project is to improve the quality of care provided to our patients. The project focuses efforts to reduce IV infiltrates by auditing all running IV lines, IV management monitoring and auditing infiltrate grading and documentation to find commonalities that could be causing infiltrates.
The project is focusing on the neonatal population at a children’s hospital in the Neonatal Intensive Care Unit (NICU). This NICU is an 80 bed unit that houses both critical care patients and intermediate care neonates.
Auditing was a major component to the project and helped with identifying common causes ...
Psychological And Sociocultural Influences Of Current And Historical Intimate Partner Violence In Pregnancy, 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 ...
The Influence Of Birth Weight On Body Mass Index In Young Children In Northwest Arkansas, 2016 University of Arkansas, Fayetteville
The Influence Of Birth Weight On Body Mass Index In Young Children In Northwest Arkansas, Margaret Frame
The Eleanor Mann School of Nursing Undergraduate Honors Theses
Body Mass Index (BMI) is a screening tool to measure body fat that is calculated based on the height, weight, age, and gender of a child. Being overweight as a child is defined as having a BMI between the 85th and 95th percentiles. Obesity is defined as having a BMI at or above the 95th percentile (“Basics About Childhood Obesity,” 2012). Having a high BMI comes with an increased risk of multiple co-morbidities, both physical and psychosocial (Pulgarón, 2013). Birth weight has been presumed to play a role in the prevalence of obesity in children. The purpose ...
Breast Milk Exposure And The Incidence Of Necrotizing Enterocolitis In Very Low Birth Weight Pre-Term Infants, 2016 University of Connecticut
Breast Milk Exposure And The Incidence Of Necrotizing Enterocolitis In Very Low Birth Weight Pre-Term Infants, Meaghan Sullivan
Honors Scholar Theses
Purpose: To determine what degree of exposure to breast milk feeding is protective against Necrotizing Enterocolitis (NEC) in very low birthweight (VLBW) preterm infants.
Data Sources: This is a secondary data analysis of 56 VLBW preterm infants diagnosed with NEC and 56 age-matched VLBW infants who served as controls. All infants were born between 1997 and 2009 and cared for in the Newborn Intensive Care Unit (NICU). Infants were born at or before 29 weeks gestation and with a birth weight less than 1500 grams. Data included the volume fed daily and type of feeding along with demographic birth data ...
The Influence Of Socioeconomic Status And Ethnicity On Body Mass Index In Children In Northwest Arkansas, 2016 University of Arkansas
The Influence Of Socioeconomic Status And Ethnicity On Body Mass Index In Children In Northwest Arkansas, Madison E. Davidson
The Eleanor Mann School of Nursing Undergraduate Honors Theses
Body Mass Index (BMI) is a measure of body fat that is calculated based on the height, weight, age, and gender of a child. Body Mass Index (BMI) is an important indicator of potential health risks in children. Determining correlations between ethnicity, socioeconomic status, and BMI may assist in identifying children at risk for comorbidities associated with either an elevated or low BMI. An elevated BMI may lead to complications later in life such as hypertension, hyperlipidemia, type 2 diabetes, obesity in adulthood, and psychosocial issues (Geason & Dodd, 2009). On the other hand, a low BMI could lead to decreased ...
Becoming Baby Friendly: Rooming-In For Patient Centered Care In The Maternal Setting, 2016 University of Massachusetts Boston
Becoming Baby Friendly: Rooming-In For Patient Centered Care In The Maternal Setting, Liana Macdonald
Honors College Theses
This thesis paper discusses the concept of rooming in on the maternity unit while pertaining to the QSEN nursing competency of patient centered care. Through an extensive review of the literature, the following question will be addressed: On the post-partum unit, does having the newborn rooming in with his or her mother improve patient-centered care compared to rooming in the nursery? After an introduction of the problem and its significance to patient-centered care, research that was conducted will be reviewed that discusses the importance of rooming in. A case example of a maternal-newborn couplet is provided, demonstrating the relevance of ...
Therapeutic Listening Communication In Children With Autism And Hyperacusis, 2016 California State University, Northern California Consortium Doctor of Nursing Practice
Therapeutic Listening Communication In Children With Autism And Hyperacusis, Jennifer Margaret Hughes
Hyperacusis, or auditory hypersensitivity, is defined as abnormally sensitive hearing and in some cases an extreme sensitivity, where normally tolerated sounds are perceived as excessively, even painfully loud. This is a debilitating condition for children with autism, causing activity limitations and participation restrictions, also leading to peer isolation and habitual sound avoidance behaviors.
This research explores a means of modifying the auditory environment of a child with hyperacusis in a safe, effective way for the purpose of improving attention span and facilitating learning. The small pilot study (n=4) was a single-subject, multiple-baseline design, conducted with school-aged children in the ...
Doulas Could Improve Foreign-Born Women’S Perinatal And Postpartum Satisfaction And Increase Health Providers’ Cultural Competency In A Multicultural Urban Area Of The United States., 2016 Clark University
Doulas Could Improve Foreign-Born Women’S Perinatal And Postpartum Satisfaction And Increase Health Providers’ Cultural Competency In A Multicultural Urban Area Of The United States., Crystal Kazik
International Development, Community and Environment (IDCE)
Doulas act as a cultural bridge between clients and providers through the support, advocacy, and education they provide. Unfortunately, migrant women may be at a disadvantage for accessing and benefiting from their services due to a variety of socioeconomic and cultural factors including predisposed ideas of care and structure based on experiences in native countries, language barriers, lower health literacy, and a lack of awareness and understanding from hospital/clinic staff.
A strategic multifaceted approach utilizing doulas, such as Boston Medical Center’s collaborative and culturally competent model, may greatly improve foreign-born women’s experience and satisfaction with healthcare when ...
The Utilization Of Exogenous Surfactant In The Neonate, 2016 Liberty University
The Utilization Of Exogenous Surfactant In The Neonate, Katherine Thorkildsen
Senior Honors Theses
Respiratory distress syndrome (RDS) is a common consequence of pulmonary immaturity in the lungs of neonates. RDS is the result of the deficient secretion of endogenous surfactant, causing increased surface tension in the alveolar sacs leading to respiratory compromise. RDS is more common in the preterm neonate but can be experienced by neonates at any gestational age. Treatment for RDS formerly consisted of mechanical ventilation and oxygen therapy to treat and relieve symptoms but not the cause. A new treatment method, developed largely in the 1980s and 90s is the use of exogenous surfactant to treat the deficiency exhibited in ...
The Presence Of Stem Cells In Human Breast Milk And Research Implications, 2016 Liberty University
The Presence Of Stem Cells In Human Breast Milk And Research Implications, Melody (Brooke) Peterson
Senior Honors Theses
Stem cell therapy research is an expanding area of study as stem cell therapy is believed to have the potential to provide treatment options for numerous disease processes. Currently, embryonic stem cell research is the method of choice to evaluate the potential for stem cell therapy. The use of human embryos for stem cell research raises moral and ethical controversies. Stem cells are found in a variety of mediums, but until the recent discovery of stem cells in human breast milk, the most versatile stem cells have been those found in the human embryo. Human breast milk stem cells could ...
Training Traditional Birth Attendants In Sub-Saharan Africa, 2016 Liberty University
Training Traditional Birth Attendants In Sub-Saharan Africa, Lindsey J. Smith
Senior Honors Theses
Even after many adjustments, recommended practice regarding traditional birth attendants (TBAs) and their contribution to lowering the maternal mortality rate (MMR) continues to be disputed among various stakeholders. Sub-Saharan Africa continues to see high maternal mortality rates, despite various attempts by the World Health Organization (WHO) and others at utilizing the formal health care system (Prata, et al., 2011). Considering all factors and variables behind the reason for this problem in Sub-Saharan African, it is reasonable to conclude that training traditional birth attendants (TBAs) in evidence-based practice, in conjunction with developing longer-term strategies, is an appropriate approach for the short ...
Embryo Adoption As An Ethical Option For Couples Faced With Infertility, 2016 Liberty University
Embryo Adoption As An Ethical Option For Couples Faced With Infertility, Rachel M. Walters
Senior Honors Theses
Embryo adoption takes embryos that are still forming and introduces them into the uterus of a woman with whom they do not share any genetic material. If pregnancy does ensue and continues without complications, the child that will be born will not share any genes with the woman who carried him or her. In addition, if the child is born to parents who already have other children, the children in the adoptive family will share no biological link to the newborn. Essentially, the child will have two families—a biological family and an adoptive family. This thesis will explore and ...
Identifying Intimate Partner Violence During Pregnancy In Prenatal Care Settings, 2016 East Tennessee State University
Identifying Intimate Partner Violence During Pregnancy In Prenatal Care Settings, Tifani R. Fletcher, Andrea D. Clements, Beth Bailey
International Journal of Health Sciences Education
More than 324,000 women each year are estimated as having experienced intimate partner violence (IPV) during pregnancy. Correctly identifying women experiencing all forms and severity of IPV is necessary to inform the implementation of interventions to prevent and treat IPV. This can optimally be accomplished with data from accurate screening instruments. The United States Preventative Services Task force has recently recommended that all women who are pregnant should be screened for IPV over the course of their pregnancy and postnatal visits. Currently, clinical practice and research are hindered by the lack of validated IPV screening measurements for a pregnant ...
A Systematic Review: Effects Of Breastfeeding On Early And Late Childhood, 2016 University of Akron
A Systematic Review: Effects Of Breastfeeding On Early And Late Childhood, Kara Campbell, Samantha Fritz
Honors Research Projects
The topic of the long-term impact of breast milk and formula milk composition on the health status of children continues to be a focus of discussion and research. The aim of this systematic review is to describe and critically appraise current evidence regarding the lasting effects of breastfeeding on health outcomes in children throughout early and late childhood. Twenty-one studies focusing on infant feeding were identified using PubMed, CINAHL, and Medline databases. These studies were then categorized according to health outcomes such as: weight, developmental, and immune system effects. Through a critical appraisal of this evidence, it was found ...
Evaluation Of Nurses' Knowledge Of "Period Of Purple Crying" Program: Shaken Baby Syndrome Prevention, 2016 University of Kentucky
Evaluation Of Nurses' Knowledge Of "Period Of Purple Crying" Program: Shaken Baby Syndrome Prevention, Cynthia L. Brubaker-Vincent Bsn Rn
DNP Practice Inquiry Projects
Shaken baby syndrome (SBS) and pediatric abusive head trauma (PAHT) continue to be the leading cause of child abuse death and most common causes of mortality and morbidity due to the physical child abuse in the United States (Barr, 2014). According to the CDC of the nearly 2,000 children who die from abuse each year, PAHT and SBS are responsible for 10-12% of those fatalities (CDC, 2015). There are 1450-1700 cases of reported shaken injuries to infants and children reported in the United States each year (Barr, 2014). Shaken Baby Syndrome is 100% preventable through the proper education ...
A Study Of Provider Practices In The Screening, Diagnosis, And Treatment Of Childhood Overweight And Obesity In A Rural Eastern Kentucky Clinic, Ashley R. Healy
DNP Practice Inquiry Projects
Objectives: The purpose of this study is to assess the current practices of providers for overweight and obese children at well visits, and how the demographics of age, sex, race, ethnicity, primary language spoken, insurance type, and provider type influence the care provided to overweight and obese children at the study site, which is a rural primary care clinic in eastern Kentucky.
Methods: This study is a retrospective design auditing well child charts (n = 571) from the study site over a two year period. Charts were audited for the data points of age, sex, race, ethnicity, primary spoken language, body ...