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Screening, Brief Intervention And Referral To Treatment Implementation In The Emergency Department, Arvind Venkat MD, Gary Shank PhD, Sherry Rickard-Aasen, Janice Pringle PhD, William Johnjulio MD 2017 Allegheny General Hospital

Screening, Brief Intervention And Referral To Treatment Implementation In The Emergency Department, Arvind Venkat Md, Gary Shank Phd, Sherry Rickard-Aasen, Janice Pringle Phd, William Johnjulio Md

The Qualitative Report

We sought to qualitatively evaluate impediments in implementing a novel Screening, Brief Intervention and Referral to Treatment (SBIRT) protocol into normal emergency department (ED) workflow for patients with at-risk drug/alcohol behavior. From 2010, administrative and nursing champions trained nurses at a single ED (census: 50,000 visits/yr) in SBIRT and incorporated SBIRT into normal ED nursing workflow in 2012. To qualitatively analyze impediments in SBIRT implementation, we created a semi-structured questionnaire for protocol champions with subsequent follow-up. Investigators analyzed responses using qualitative methodology based on a modified grounded theory framework. In 2012, 47693 visits by 31525 patients met ...


Chicopee And Springfield School Collaboration With Umass Amherst (Uma): Alcohol And Opioid Screening, Brief Intervention And Referral To Treatment, Donna Zucker, Sally Linowski, Genevieve E. Chandler, Emma Dundon, Gloria DiFulvio, Diane Fedorchak, Suzanne Rataj, Dawn Heffernan 2017 University of Massachusetts - Amherst

Chicopee And Springfield School Collaboration With Umass Amherst (Uma): Alcohol And Opioid Screening, Brief Intervention And Referral To Treatment, Donna Zucker, Sally Linowski, Genevieve E. Chandler, Emma Dundon, Gloria Difulvio, Diane Fedorchak, Suzanne Rataj, Dawn Heffernan

Community Engagement and Research Symposia

The UMA nursing undergraduate training program, SBIRT: The Power of Nursing to Change Health, builds on a SAMHSA curriculum that is integrated into existing psychiatric/mental health, pediatric/young adult and community nursing courses that incorporate alcohol and substance abuse disorders. Student nurses will apply these new skills in their community and medical/surgical rotations in partnership with the Chicopee and Springfield Public Schools. High School survey data indicate that on average 67.5% of high school students have consumed alcohol with 40.1% indicating one drink in the last 30 days, and another 22.2% having five or more ...


Development Of A Health Promotion Program: Targeting Adolescent Behaviors And Attitudes Toward Prescription Opioids, Amelia DiDomenico-Houghton, Ruth Mori, Leopold-Negron Cruz, Michelle Riley, Melissa M. Silverman, Nancy Brewer 2017 Worcester State University

Development Of A Health Promotion Program: Targeting Adolescent Behaviors And Attitudes Toward Prescription Opioids, Amelia Didomenico-Houghton, Ruth Mori, Leopold-Negron Cruz, Michelle Riley, Melissa M. Silverman, Nancy Brewer

Community Engagement and Research Symposia

The current opioid epidemic kills an estimated four people every day in Massachusetts and is considered one of the greatest health threats to adolescents. Massachusetts state data indicates opioid addiction is a public health crisis, which requires the development of a health promotion program for adolescents and legislative action. The innovative eight-week middle school-based program Promote Opioid Prevention Program 4 Youth (POPPY) is implemented during Health and Wellness classes. POPPY is based on the Social Cognitive Theory, focusing on environmental and health behaviors. The goals of this distinct program are to: reduce adolescents' misuse of prescription opioid medication, increase adolescents ...


New Faith Community Nurse Program Offers Holistic Health Care To Local Community, Susan A. Goncalves 2017 Sacred Heart University

New Faith Community Nurse Program Offers Holistic Health Care To Local Community, Susan A. Goncalves

Susan A. Goncalves

Sacred Heart University’s College of Nursing has developed a faith community nurse program in collaboration with SHU’s pastoral care services and St. Vincent’s Medical Center in Bridgeport. The program will provide wellness and prevention programs to individuals at the University and in neighboring communities.
Rooted in the Judeo-Christian tradition, yet welcoming of all faiths, faith community nursing is a specialty practice embracing the view that God’s love is expressed in care for self and others.
Sue Goncalves, assistant professor at the College of Nursing, says her vision in developing the program at Sacred Heart “was to ...


Coordinating Community Healthcare Needs To Local Services In Paraiso, Dominican Republic Through Strategic Assessment Strategies, Michelle A. Cole, Christina B. Gunther, Majid Sadigh 2017 Sacred Heart University

Coordinating Community Healthcare Needs To Local Services In Paraiso, Dominican Republic Through Strategic Assessment Strategies, Michelle A. Cole, Christina B. Gunther, Majid Sadigh

Christina B. Gunther

Background: The availability of healthcare services is limited in Paraiso, Dominican Republic with the nearest full-service hospital located 34.1 km away. A local, underutilized clinic was unaware of the needs of this disadvantaged community.

Method: Researchers adapted a World Health Organization assessment survey with the goals of determining residents’ priority needs and an appraisal of the current clinic capabilities and gaps in services in order to provide the community with relevant healthcare. 106 families were randomly selected in seven separate geographic areas of Paraiso to participate in the self-report assessment. Researchers, along with a community volunteer, conducted interviews utilizing ...


A Quasi-Experimental Study Of A Health Patterning Modality About Childhood Vaginitis And Power In Haitian Primary Caregivers, Anne Marie Berthe Leveille-Tulce 2017 The Graduate Center, City University of New York

A Quasi-Experimental Study Of A Health Patterning Modality About Childhood Vaginitis And Power In Haitian Primary Caregivers, Anne Marie Berthe Leveille-Tulce

All Graduate Works by Year: Dissertations, Theses, and Capstone Projects

The purpose of the study was to appraise the power as knowing participation in change of primary caregivers of Haitian children aged 6 to 13 years old before and after participation in an education and resource health patterning modality related to risk factors and prevention of childhood vaginitis. The study was framed within the realm of Rogers’ Science of Unitary Human Beings and the conceptual framework of Barrett’s Power as Knowing Participation in Change. A pretest-posttest quasi- experimental study was conducted. Descriptive statistics were used to answer the first research question “What are the power profiles of Haitian caregivers ...


Education Of Nurse Practitioners And Physician Assistants; What Role, If Any, For Physicians In Determining Their Scope Of Practice?, Joseph I. Shapiro 2017 Marshall University

Education Of Nurse Practitioners And Physician Assistants; What Role, If Any, For Physicians In Determining Their Scope Of Practice?, Joseph I. Shapiro

Marshall Journal of Medicine

Recent changes in legislation allow for non-physicians to independently perform many of the duties previously restricted to physicians. There are potentially benefits to these changes, but the author is concerned that some of the attributes of physicians induced by the long and rigorous training embedded in the profession may be absent in this new, independent health-care work force.


Cultural And Clinical Factors Associated With Antihypertensive Medication Adherence In Vietnamese Policemen, Wen-Wen Li, Duong Thi Kim Nhung, Wei-Shu Lai, Shiow-Li Hwang 2017 San Francisco State University

Cultural And Clinical Factors Associated With Antihypertensive Medication Adherence In Vietnamese Policemen, Wen-Wen Li, Duong Thi Kim Nhung, Wei-Shu Lai, Shiow-Li Hwang

Asian/Pacific Island Nursing Journal

The purpose of this study is to characterize Vietnamese policemen with hypertension, to report the proportion of hypertension control and medication adherence in Vietnamese policemen, and to explore cultural and clinical factors related to antihypertensive medication adherence. A cross-sectional study design was used. A convenience sample of 100 policemen with hypertension was recruited in Vietnam. A total score of 80% or more on the Medication Adherence scale was defined as medication adherence. Medication adherence was reported in 64% of the participants, but hypertension control was found in only 53%. Medication adherence was higher in the participants with higher perceived susceptibility ...


Religious/Spiritual Coping In Older African American Women, Danice B. Greer, Willie M. Abel 2017 The University of Texas at Tyler

Religious/Spiritual Coping In Older African American Women, Danice B. Greer, Willie M. Abel

The Qualitative Report

The purpose of this study was to identify religious/spiritual coping behaviors of African American women with hypertension (HTN) and explore how religious/spiritual coping influences adherence to high blood pressure (HBP) therapy in older African American women. A mixed-method research design guided this study. Twenty African American women with primary HTN were enrolled in this study using a mixed methods concurrent triangulation design. Data collection included physiologic, descriptive, and sociodemographic data. Adherence was measured using the Hill-Bone Compliance to High Blood Pressure Therapy scale (Kim, Hill, Bone, & Levine, 2000), and religious/spiritual coping was evaluated with the Brief Religious/Spiritual Coping scale. Qualitative data were obtained by audiotaped interviews using a semi-structured interview guide. Descriptive, physiologic data and data from questionnaires were analyzed. Five themes emerged. (a) Feelings of dizziness, lightheadedness, and feeling sick; (b) Belief in God or a Supreme Being, (c) Prayer as the ...


Impacts On Global Health From Nursing Research.Pdf, Mona Shattell PhD, RN, FAAN 2016 DePaul University

Impacts On Global Health From Nursing Research.Pdf, Mona Shattell Phd, Rn, Faan

Mona Shattell

No abstract provided.


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 ...


Asian/White Differences In The Relationship Of Maternal Age To Low Birth Weight: Analysis Of The Prams Survey, 2004–2011, Sangmi Kim 2016 University of Pennsylvania

Asian/White Differences In The Relationship Of Maternal Age To Low Birth Weight: Analysis Of The Prams Survey, 2004–2011, Sangmi Kim

Asian/Pacific Island Nursing Journal

This study aimed to examine (a) maternal age patterns of low birth weight (LBW; birth weight < 2,500 g) for non-Hispanic (N-H) Asian and N-H White women, and (b) Asian–White gaps in LBW risk by maternal age and their mechanisms. Logistic regression analyses were performed on the Pregnancy Risk Assessment Monitoring System data of N-H Asian and N-H White women who delivered their first singleton birth without birth defects in 13 states between 2004 and 2011. Age- and race/ethnicity-specific LBW risk was estimated, unadjusted and adjusted for maternal risk factors (e.g., marital status, maternal education, pregnancy intention, stress, maternal morbidities, smoking, and prenatal care) and their interactions with maternal age or race/ethnicity. The interaction between maternal age and race/ethnicity was statistically significant (p < .0001) with covariates and interactions held constant. N-H Asian women showed a reverse W-shaped maternal-age pattern of LBW with the highest risk in their late 30s (OR = 1.56, 95% CI [1.26, 1.94]) whereas N-H White women experienced a maternal age-related increase in LBW. N-H Asian women were more likely to deliver LBW infant than their N-H White counterparts between their late 20s and late 30s, with the greatest racial/ethnic gap in their late 20s (OR = 4.19, 95% CI [3.33, 5.29]). Preventive strategies should be developed targeting N-H Asian women aged 25 to 39 years to reduce the Asian–White disparities in LBW ...


Connecting Culturally And Spiritually To Healthy Eating: A Community Assessment With Native Hawaiians, Mary Frances Oneha, Joan Dodgson, Mabel Ho`oipo DeCambra, Carol Titcomb, Rachelle Enos, Sandie Morimoto-Ching 2016 Waimanalo Health Center

Connecting Culturally And Spiritually To Healthy Eating: A Community Assessment With Native Hawaiians, Mary Frances Oneha, Joan Dodgson, Mabel Ho`Oipo Decambra, Carol Titcomb, Rachelle Enos, Sandie Morimoto-Ching

Asian/Pacific Island Nursing Journal

Many of the chronic illnesses disproportionately experienced by Native Hawaiians are directly related to poor diets and long-standing obesity beginning in childhood. We report on the findings of in-depth key informant interviews (N = 14) that took place in two Native Hawaiian communities as part of a larger, community-based participatory research study that included a community assessment through individual interviews and focused group discussions, and a pilot intervention targeting pregnant women, their infants, and families. Four categories emerged from the qualitative analysis of interview transcripts that described an understanding of “healthy eating”: family roles and responsibilities, aspects of community and physical ...


Asian American Women's Resilience: An Integrative Review, Andrew Thomas Reyes, Rose E. Constantino 2016 University of Nevada, Las Vegas

Asian American Women's Resilience: An Integrative Review, Andrew Thomas Reyes, Rose E. Constantino

Asian/Pacific Island Nursing Journal

Asian American women face unique stressors that threaten their overall health and well-being. However, resilience is a phenomenon that allows individuals to develop positive adaptation despite adversities and challenges. This integrative review is conducted in order to explore the current state of knowledge regarding the resilience of Asian American women. Twelve databases were used to identify related articles: Academic Search Premier, CINAHL, ERIC, Ethnic NewsWatch, GenderWatch, ProQuest Dissertations and Theses Global, ProQuest Sociological Abstracts, PsycINFO, PubMed, SAGE (Psychology and Sociology collections), Scopus, and Web of Science. Twenty-one research studies met the inclusion criteria of the integrative review. Five common themes ...


A Risk Stratification Model For Antihypertensive Medication Non-Adherence Among Chinese Immigrants, Wen-Wen Li, Chih-Ling Huang 2016 San Francisco State University

A Risk Stratification Model For Antihypertensive Medication Non-Adherence Among Chinese Immigrants, Wen-Wen Li, Chih-Ling Huang

Asian/Pacific Island Nursing Journal

The purpose of this study was to establish a risk stratification model for identifying Chinese immigrants at risk for non-adherence to antihypertensive medications. Questionnaires were self-administered to 200 Chinese immigrants in San Francisco, USA. Questionnaires included demographics, culture factors (e.g., Perceived Susceptibility in General, Perceived Benefits of Western Medication, Perceived Benefits of Chinese Herbs, and Health-Related Social Support), and medications adherence. Participants' mean age was 70.6 (±10.3) years. Three stratification factors were identified for non-adherence: Lower Perceived Susceptibility in General, lower Perceived Benefit of Western Medications, and longer Length of Stay in the United States. The probability ...


Ihss: Repackaging Consumer Information, Deloras N. Puran 2016 University of San Francisco

Ihss: Repackaging Consumer Information, Deloras N. Puran

Master's Projects

Currently, qualified Californians with disabilities and aging individuals can receive consumer-directed care through the IHSS program. Despite the strong demand for the program, new consumers are still struggling to begin their service after enrollment.

This study assisted San Francisco In Home Supportive Services Public Authority to understand how new consumers can navigate the IHSS program services after enrollment. Focus group and semi-structured in-depth interviews were conducted to gather feedback from consumers regarding what type of information would they need after enrollment, and how would they want to receive the information. Based on the feedback, written and virtual deliverables were designed ...


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

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

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 ...


Reducing Annual Emergency Department Visits Through Improved Asthma Discharge Teaching, Alvin R. Walters 2016 University of San Francisco

Reducing Annual Emergency Department Visits Through Improved Asthma Discharge Teaching, Alvin R. Walters

Master's Projects

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 ...


Enhancing Vegetable Intake In Infants And Toddlers Through Parental Complementary Feeding Education, Sophia Testa 2016 University of Arkansas, Fayetteville

Enhancing Vegetable Intake In Infants And Toddlers Through Parental Complementary Feeding Education, Sophia Testa

The Eleanor Mann School of Nursing Undergraduate Honors Theses

This research project investigated the outcomes of educating parents of infants between the ages of 6 months and 12 months on the importance of including vegetables in complementary feedings on the infant’s vegetable consumption. The efficiency of teaching was measured by comparing physical measurements and quantity of vegetables consumed by infants whose parents received education with the same data from infants whose parents did not receive education on inclusion of vegetable in complementary feedings. The results found contributed to Dr. Shreve’s research on childhood obesity in the Northwest Arkansas population and to the knowledge of parental education with ...


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