Reducing Annual Emergency Department Visits Through Improved Asthma Discharge Teaching, 2016 University of San Francisco
Reducing Annual Emergency Department Visits Through Improved Asthma Discharge Teaching, Alvin R. Walters
Asthma is the most common pediatric condition in the United States, and a child's home environment plays an impactful role in the triggering of asthma exacerbations (Harper et al., 2015). Current emergency department (ED) ideology focuses on symptoms management, with little time spent on education, and virtually no attention paid to the home environment. Evidence shows that programs which incorporate home environmental assessments into asthma patient education produce a reduction in annual ED visits, fewer missed school days, decreased use of rescue medications, and improvements in quality of life (Gruber K.J., et al, 2016, Hollenbach J.P. & Cloutier ...
Training New Mothers In Infant Cardiopulmonary Resuscitation (Cpr), 2016 Lehigh Valley Health Network
Training New Mothers In Infant Cardiopulmonary Resuscitation (Cpr), Gavin C. Barr Jr. Md, Marna R. Greenberg Do, Mph, Facep, Valerie Rupp Rn, Bsn, Charles C. Worrilow Md, Katie Fredericks, Anne Marie Crown, John Reed Rrt
Charles Worrilow, MD.
No abstract provided.
Development Of A Breastfeeding Class Specifically For Working Moms, 2016 University of San Francisco
Development Of A Breastfeeding Class Specifically For Working Moms, Maryleah S. Needels
Successfully breastfeeding mothers who are planning to return to work and remain exclusively breastfeeding their infants have a knowledge deficit as to the federal law protecting their rights along with the basic skills for pumping, storing, and bottle-feeding of breast milk. There is a significant drop in breastfeeding rates at both the 3 and 6-month marker, which coincides with maternal return to employment. After attending the Working Moms Breastfeeding Class, 100% of mothers reported an increase in knowledge surrounding the law and the CDC’s basic skills for handling pumped breast milk based on a pre/post questionnaire. Bandura’s ...
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 ...
Type 1 Congenital Pulmonary Airway Malformation: The Most Common Lung Lesion In Newborns., 2016 Otterbein University
Type 1 Congenital Pulmonary Airway Malformation: The Most Common Lung Lesion In Newborns., Delilah Penn
Master of Science in Nursing (MSN) Student Scholarship
A poster project on Type 1 Congenital Pulmonary Airway Malformation: The most common lung lesion in newborns.
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 ...
Appropriate Gestational Weight Gain, 2016 University of San Diego
Appropriate Gestational Weight Gain, Eugelyn Opalec Santos
Doctor of Nursing Practice Projects
Over the past 30 years, excessive weight gain during pregnancy among American women has been a significant concern, resulting in serious health consequences to mothers and their newborns. During 2011, 48% of U.S. women gained more than the ideal amount of weight during pregnancy. Several international studies have also documented that excessive weight gain during pregnancy is associated with adverse maternal and neonatal outcomes. As a result, one in ten babies were born prematurely in the United States in 2014. Based on the Institute of Medicine's (IOM) guidelines (2009), the purpose of this project was to implement ...
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 ...
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 ...
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 ...
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 ...
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 ...
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 ...
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 ...
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 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 ...
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 ...
Improving The Lives Of Fragile Newborns: What Does Nursing Have To Offer?, 2016 University of Pennsylvania
Improving The Lives Of Fragile Newborns: What Does Nursing Have To Offer?, Eileen Lake
This brief summarizes evidence of nursing’s effects on NICU outcomes and recommends policies to bolster and support nursing practice in NICUs. Adequate staffing and a supportive work environment are associated with better outcomes for very low birth weight infants.
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 ...