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The Relationships Between Health Literacy, Self-Efficacy And Readiness For Change To Health Promotion Behaviors In Urban Black Women, Millie Hepburn 2016 millie.hepburn@student.shu.edu

The Relationships Between Health Literacy, Self-Efficacy And Readiness For Change To Health Promotion Behaviors In Urban Black Women, Millie Hepburn

Seton Hall University Dissertations and Theses (ETDs)

Problem: Black women have been shown to experience higher rates of morbidity and mortality as a result of stroke, cardiovascular disease, hypertension, diabetes and overweight or obesity than women of other races/ethnicities. The ability to avert certain health problems, such as cardiovascular disease, hypertension, diabetes, stroke and overweight or obesity is known to be directly related to active engagement in health promotion behaviors, yet Black women are consistently less likely to engage in these behaviors than are white women. Improved understanding of the various factors that impact individual health promotion behaviors to reduce risk, such as health literacy, self-efficacy ...


Psychosocial Determinants Of Physical Activity In Children Attending Afterschool Programs : A Path Analysis., Jiying Ling, Lorraine B. Robbins, Valerie L. McCarthy, Barbara J. Speck 2016 Michigan State University

Psychosocial Determinants Of Physical Activity In Children Attending Afterschool Programs : A Path Analysis., Jiying Ling, Lorraine B. Robbins, Valerie L. Mccarthy, Barbara J. Speck

Valerie L. McCarthy

Background: Physical activity (PA) is important for controlling childhood obesity, but a comprehensive PA model for school-aged children is lacking.

Objectives: Guided by the youth PA promotion (YPAP) model, this study estimated the direct and indirect effects of self-efficacy, enjoyment, parental influence, and environment on self-reported PA and pedometer steps. A secondary purpose was to explore the association between self-reported PA and pedometer steps.

Methods: An observational and prospective study was conducted among 133 children, aged 8–11 years old, from 10 elementary schools with afterschool programs in a Midwestern U.S. school district from August through October 2013. PA ...


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 ...


Practice Matters: Red Flags In Adults With Mental Illnesses, Lynette S. Smith PhD, APRN, PMHNP, FNP, Tonya Bragg-Underwood DNP, FNP-BC, CNE, W. Spencer Cole MSN, RN 2016 Western Kentucky University

Practice Matters: Red Flags In Adults With Mental Illnesses, Lynette S. Smith Phd, Aprn, Pmhnp, Fnp, Tonya Bragg-Underwood Dnp, Fnp-Bc, Cne, W. Spencer Cole Msn, Rn

International Journal of Faith Community Nursing

Faith Community Nurses have common beliefs, principles, ethics, and a level of trust with their population making them well-positioned to positively impact parishioners. FCNs provide support for people’s spiritual needs and nursing care. This makes FCNs a vital and approachable resource for parishioners when seeking advisement and assistance regarding their mental healthcare. In this article, we define red flags as suicidal idealization, mania, and psychosis, which if not promptly assessed and referred for treatment may result in serious harm or death. These red flags are predominately found in people with schizophrenia, depression, bipolar disorder, and post-traumatic stress disorder. People ...


The Tree Of Life Model Of Faith-Based Living: A Practice Model For Faith Community Nursing, Marcus M. Gaut 2016 The University of Southern Mississippi

The Tree Of Life Model Of Faith-Based Living: A Practice Model For Faith Community Nursing, Marcus M. Gaut

International Journal of Faith Community Nursing

The advancement of nursing practice is supported by a plethora of theories, conceptual models, and theoretical frameworks. Additionally, the complexity of nursing and the profession’s ability to respond to diverse manifestations of patient or client response to illness manifests in a number of specialty areas of practice. Faith Community Nursing is a specialty area of nursing practice that appears to lack a specific conceptual model upon which to support the faith-based practice of Faith Community Nurses. The Tree of Life Model of Faith-Based Living, an adaptation of the Activities of Living Model, supports the faith-based practice of Faith Community ...


Utilizing The Green Nursing Project Initiative To Educate Nurses About Health Effects Related To Exposure Of Chemicals Contained In Household And Personal Care Products And To Inspire Them To Take Action, Lisa Chan, Stephanie Chalupka 2016 University of Massachusetts Medical School

Utilizing The Green Nursing Project Initiative To Educate Nurses About Health Effects Related To Exposure Of Chemicals Contained In Household And Personal Care Products And To Inspire Them To Take Action, Lisa Chan, Stephanie Chalupka

UMass Center for Clinical and Translational Science Research Retreat

Consumers are exposed to a variety of environmental chemicals including carcinogens, reproductive toxins, and endocrine disrupting chemicals from everyday use of common household and personal care products. Evidence supports concern that exposures to low doses or the combination of low doses of chemicals can pose a health risk for the general population as well as for vulnerable populations. Gaps exist in translating this information to the public and helping people understand the health effects related to chemical exposures and personal actions they could take to reduce exposures.

There are 2.6 million nurses in the U.S. who have direct ...


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 ...


Increasing The Awareness Of Trauma Informed Care In The School Setting: Giving Practitioners The Tools To Actively Participate In Trauma Related Care, Rebekah L. Sypniewski 2016 University of San Francisco

Increasing The Awareness Of Trauma Informed Care In The School Setting: Giving Practitioners The Tools To Actively Participate In Trauma Related Care, Rebekah L. Sypniewski

Doctor of Nursing Practice (DNP) Projects

Of the approximately 15 million children and adolescents who have a mental health disorders that are interfering with their functioning, a mere 25% seek medical advice or treatment (Melnyk, Kelly, & Lusk, 2014). Furthermore, two thirds of youth report experience at least one traumatic event by age 16 (Suarez, Belcher, Briggs, & Titus, 2012). School health practitioners have regular contact with children and adolescents as they typically attend school five days a week, nine months out of the year. The consistent presence of the relationship between the practitioner and student creates an ideal environment for discussing the sensitive topics necessary to engage ...


Implementing Change To Decrease The Re-Admission Rate For Clients Of A Care Transition Program, Aileen Tran 2016 University of San Francisco

Implementing Change To Decrease The Re-Admission Rate For Clients Of A Care Transition Program, Aileen Tran

Master's Projects

The clinical nurse leader (CNL) internship project’s purpose is to implement a change to decrease readmission for clients in a care transition program, thereby improving quality of life. This care transition program aids with the transition from hospital to home for adults. The microsystem is composed of public health nurses, volunteers, student interns, supervisors, and an administrative assistant. The aim statement for this change project is to improve patient safety by decreasing readmission rates by implementing an initial follow-up phone call within one day of discharge in 75% of the care transition clients by April 30, 2016. This project ...


The Experience Of Adult Children Cargiving For Aging Parents, Kimberly Conway 2016 Seton Hall University

The Experience Of Adult Children Cargiving For Aging Parents, Kimberly Conway

Seton Hall University Dissertations and Theses (ETDs)

Background: An estimated 35 million Americans are age 65 or older, and this population is expected to double within 25 years. When the normal progression of life for an aging person is interrupted, adult children are often suddenly faced with assuming care of their parent(s). Currently adult child caregivers of aging parents, work up to 100 hours per month at caregiving. Problem Statement: A limited body of empirical studies exists on the caregiving of aging parents exclusively by their adult children. Despite the amount of time dedicated to parental caregiving little is known about the experience of this exclusive ...


Effect Of Using Culturally Sensitive Education In Increasing Mammogram Use And Breast Cancer Awareness: African Female Immigrants, Gertrude Mumba-Kaunda 2016 Valparaiso University

Effect Of Using Culturally Sensitive Education In Increasing Mammogram Use And Breast Cancer Awareness: African Female Immigrants, Gertrude Mumba-Kaunda

Evidence-Based Practice Project Reports

Despite the advances in medical technology, breast cancer is the most common cancer among women and is the second leading cause of death in African-American and Caucasian women in the United States. Mammography has shown to be one of the best methods to reduce late detection of breast cancer. The American Cancer Society recommends monthly self-breast examination (SBE), clinical breast examinations every 3 years, and yearly mammography starting at the age of 40. Despite the recommendations, there is still significant disparity among different racial groups, when it comes to death rates, which can be attributed to low screening rates. The ...


The Effect Of Heart Failure Education On Knowledge And Readmission, Sara A. Golden 2016 Valparaiso University

The Effect Of Heart Failure Education On Knowledge And Readmission, Sara A. Golden

Evidence-Based Practice Project Reports

Heart Failure (HF) is a chronic progressive disease affecting over 5 million individuals with an expected increase in incidence as the population ages (Yehle & Plake, 2010). The costs associated with managing HF continue to increase and the Centers for Medicare and Medicaid Services (CMS) have attempted to identify ways to improve patient management of HF to reduce the revolving door of hospital readmissions and decrease expenditures. According to 2006 data, as many as one fourth of the Medicare beneficiaries discharged from acute care to skilled nursing facilities (SNF) were readmitted to the hospital within 30 days and the majority of these readmissions were unplanned (Mor, Intrator, Feng, & Grabowski, 2010). The role of nursing homes has changed from tertiary care settings to post-acute care facilities providing skilled nursing services (Mor et al., 2010). The purpose of the Evidence Based Practice (EBP) project was to determine if the implementation of a standardized education intervention to patients admitted to a SNF with a primary or secondary diagnosis of Heart Failure will reduce hospital readmission rates and improve patient knowledge. The theoretical framework used to guide this EBP project was the Situation-specific Theory of Heart Failure Self-care, and the Stetler model was used to implement the project. The Knowledge Acquisition Questionnaire (KAQ), developed by London Health Sciences Center, was used to measure patient and caregiver knowledge pre and post educational intervention. Staff members were also provided HF specific education and were given a questionnaire adapted from the KAQ to measure pre and post education knowledge. Paired-samples t-tests were conducted to analyze mean pre-test (M = 12.1; SD = 2.07) and post-test (M = 11.7; SD = 2.58) scores and did not show a statistically significant change in knowledge (t(9) = .524, p > .05). Hospital readmission rates were also compared to readmission rates for the same time period the prior year. The intervention group had a 0% hospital readmission rate compared to a 20% readmission rate for the comparison group. The results of this EBP indicate that incorporation of evidence-based interventions can reduce ...


Association Of Self-Care Confidence And Hospital Readmission Following Student Nurse Led Congestive Heart Failure Transitional Care Project, Peyton A. Phelps 2016 University of Arkansas Eleanor Mann School of Nursing

Association Of Self-Care Confidence And Hospital Readmission Following Student Nurse Led Congestive Heart Failure Transitional Care Project, Peyton A. Phelps

The Eleanor Mann School of Nursing Undergraduate Honors Theses

Abstract

Over 5 million Americans have been diagnosed with heart failure, and that number is growing. This disease is burdensome to the patient as it lessens their quality of life and to the healthcare system due to costliness and frequent readmissions. This study aims to evaluate if a student nurse led transitional care program can increase patient self-care confidence, in turn reducing 30 day hospital readmission rates. Twenty patients completed the Self Care of Heart Failure Index before and after a 14-week transitional care program. These reported data were compared using a paired samples t-test. There was not a ...


Breastfeeding Rates In Marshallese Mothers; A Needs Assessment, Olivia N. Pennington 2016 University of Arkansas, Fayetteville

Breastfeeding Rates In Marshallese Mothers; A Needs Assessment, Olivia N. Pennington

The Eleanor Mann School of Nursing Undergraduate Honors Theses

ABSTRACT

Background. Multiple health disparities are associated with the Marshallese population in Northwest Arkansas. Childhood obesity, linked to a decrease in exclusive breastfeeding, is one of the predominant issues. Since their migration to the United States, exclusive breastfeeding rates of Marshallese mothers have steadily declined throughout the years. Little research has been conducted to help combat this growing health disparity. Due to the increased growth in this population in Northwest Arkansas, it is imperative that measures are taken to decrease these disparities to improve the overall health of the future generations.

Objective: To determine the relationship between maternal age, parity ...


The Effects Of Patient Education And Knowledge Of Chf Patients As Evaluated By The Paksac Survey, Nabil Tovar 2016 University of Arkansas, Fayetteville

The Effects Of Patient Education And Knowledge Of Chf Patients As Evaluated By The Paksac Survey, Nabil Tovar

The Eleanor Mann School of Nursing Undergraduate Honors Theses

Abstract

After diagnosis, management of congestive heart failure (CHF) can pose quite a struggle to many patients, since it requires that lifestyle changes be implemented into their daily life. Patients require the sufficient knowledge and education in order to best manage symptoms and improve their quality of life after being diagnosed. Use of Patient Knowledge of Self-care activities in Congestive Heart Failure© (PaKSAC) survey in transitional care programs could identify patient gaps in knowledge, as well as decreasing acute care service use. The purpose of this research study was to investigate the knowledge level of CHF patients at the time ...


The Effects Of Congestive Heart Failure On Quality Of Life: As Evaluated By The Minnesota Living With Heart Failure Questionnaire, Diana G. Gonzalez 2016 University of Arkansas, Fayetteville

The Effects Of Congestive Heart Failure On Quality Of Life: As Evaluated By The Minnesota Living With Heart Failure Questionnaire, Diana G. Gonzalez

The Eleanor Mann School of Nursing Undergraduate Honors Theses

Abstract

Congestive heart failure (CHF) is a chronic disease that impairs the quality of life (QoL) of patients and is associated with both high hospital readmission rates and healthcare resource utilization such as emergency services. This study proposed use a student led transitional care program in providing home care to NYHA functional class II and III CHF patients. It evaluated the impact of the program on their quality of life as measured by the Minnesota Living with Heart Failure Questionnaire© (MLWHFQ), the percentage of patients requiring readmission to the hospital within 30 days of initial hospitalization, and healthcare utilization. Thirty-six ...


Effects Of An Educational Intervention On Exclusive Breastfeeding Rates In Marshallese Mothers Residing In The U.S., Bentley S. Snider 2016 University of Arkansas, Fayetteville

Effects Of An Educational Intervention On Exclusive Breastfeeding Rates In Marshallese Mothers Residing In The U.S., Bentley S. Snider

The Eleanor Mann School of Nursing Undergraduate Honors Theses

Abstract

Background: The Marshallese are one of the fastest growing migrant populations in the U.S. They have considerable health disparities despite their increasing access to health care. The Marshallese women in this population prefer to breastfeed, but have encountered many cultural barriers that have deterred them from exclusively breastfeeding for a significant amount of time. Breastfeeding is linked to many protective benefits for children’s health, such as decreasing the likelihood of obesity, even into the adult years.

Objective: The purpose was to evaluate the impact on breastfeeding rates through implementation of a culturally significant educational intervention for the ...


Positive Deviance, Contraceptive Self-Efficacy And Social Desirability In Sexually Active Adolescent Females : A Mixed Methods Approach., Ashley D. Miller 2016 University of Louisville

Positive Deviance, Contraceptive Self-Efficacy And Social Desirability In Sexually Active Adolescent Females : A Mixed Methods Approach., Ashley D. Miller

Electronic Theses and Dissertations

Unintended pregnancy is an issue that impacts women of all ages, ethnicities, and socioeconomic statuses. It also impacts the child that results and the society in which they live. In the United States, adolescents experience unintended pregnancy more than adolescents in other countries. The purpose of this dissertation was to explore the factors that contribute to successful contraceptive use among adolescent females (ages 13-18) seeking reproductive health services at a local family planning clinic. The theoretical framework of contraceptive self-efficacy (CSE) was used to frame this understanding. The exploration was conducted in three ways: a critical review of the literature ...


An Exploration Of Social Capital Among Nurses In The Ambulatory Setting, Anna Lutz, Tamara McKinnon 2016 California State University, Northern California Consortium Doctor of Nursing Practice

An Exploration Of Social Capital Among Nurses In The Ambulatory Setting, Anna Lutz, Tamara Mckinnon

Doctoral Projects

Bullying and lateral violence are a sadly, common phenomena among nurses. While this issue has been examined within the inpatient, acute setting, it has not been widely researched in the ambulatory setting. This concept is usually looked at from a negative standpoint, looking at the levels of lateral violence. The purpose of this research study was done to explore the levels of social capital, also known as positive peer support, among nurses in the ambulatory setting. The participants of the study were 39 registered nurses from a public health department and an embedded care management department. The tool used was ...


Undiagnosed Depression In The Elderly And Healthcare Education, Nancy J. Wynn-Grundy 2016 California State University, Northern California Consortium Doctor of Nursing Practice

Undiagnosed Depression In The Elderly And Healthcare Education, Nancy J. Wynn-Grundy

Doctoral Projects

This descriptive study examined undiagnosed depression in the elderly and how it affects the elderly from retaining healthcare education. It is estimated by 2029, 20% of the United States population will be age 65 and older (Colby & Ortman, 2014). Depression in the elderly who have chronic diseases, is estimated to be undiagnosed up to 40% (Chaoyang et al., 2009). A hallmark symptom of depression is the inability to concentrate. It is unknown if undiagnosed depression will affect the older adult from retaining pertinent healthcare education. The 30 point Geriatric Depression Scale (GDS) was administered to a class of elderly individuals ...


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