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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 ...


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 ...


Isolation Of Lesbian, Gay, Bisexual, And Transgender Youth: A Dimensional Concept Analysis, Michael Johnson, Elaine Amella 2016 University of Nevada, Las Vegas

Isolation Of Lesbian, Gay, Bisexual, And Transgender Youth: A Dimensional Concept Analysis, Michael Johnson, Elaine Amella

Michael Johnson

Present the findings of a dimensional concept analysis of isolation within the context of LGBT youth. LGBT youth are at greater risk for negative health outcomes as compared to heterosexual youth, including depression, anxiety, suicide, substance abuse, and HIV/AIDS. Some studies suggest LGBT feeling and being isolated is related to some negative health outcomes. Other research reveals a relationship between isolation and negative health


Tb Screening Guidelines For Transitional Care Unit, Caleb E. Newcomer 2016 Murray State University

Tb Screening Guidelines For Transitional Care Unit, Caleb E. Newcomer

Scholars Week

The basis of this research was the formation of new TB screening and risk assessment guidelines on a Transitional Care Unit within a medical center. Current evidence-based research studies helped to guide the recommendations for the policy changes based on their results and findings. The most pertinent policy changes are the treatment offered for patients suspected with HIV, the rigorous use of the Risk Assessment Tool, and BAMT testing for TB.


Patient Organizations And Primary Care Development: Reflections By Patients With Chronic Diseases, Britta E. Berglund, Irene Westerlund 2016 Department of Public Health and Caring Sciences, Box 564, Uppsala University, SE-75122 Uppsala, Sweden

Patient Organizations And Primary Care Development: Reflections By Patients With Chronic Diseases, Britta E. Berglund, Irene Westerlund

Patient Experience Journal

To explore how patients with chronic diseases, as well as members of patient organizations, perceive primary care and how they think about how to participate in primary care development. Focus group interviews with 28 patients in three regions in Sweden were conducted. We identified four themes: Availability of care, How to be met by professionals, Information needs and Continuity and prevention in care. Important was to meet the same doctor at every visit and to be met with empathy and knowledge about your disease. Suggestions about better use of technical information services, introduction of a coordinator in the waiting room ...


You Can’T Always Get What You Want: Who Deserves To Be Healthy?, Jeannine Uribe Ph.D., R.N., Denise Nagle Bailey Ed.D., M.Ed., MSN, R.N., CSN 2016 La Salle University

You Can’T Always Get What You Want: Who Deserves To Be Healthy?, Jeannine Uribe Ph.D., R.N., Denise Nagle Bailey Ed.D., M.Ed., Msn, R.N., Csn

Explorer Café

No abstract provided.


An Assessment Of The Human Papillomavirus Immunization Knowledge, Practices, And Prevention Among A Cohort Of Urban College Students, Nancy H. Busen PhD, FNP-BC, APRN, Robert G. Hanks PhD, RN, FNP, APRN, Eileen R. Giardino PhD, RN, APRN, FNP, Stanley Cron MSPH 2016 The University of Texas Health Science Center at Houston, School of Nursing

An Assessment Of The Human Papillomavirus Immunization Knowledge, Practices, And Prevention Among A Cohort Of Urban College Students, Nancy H. Busen Phd, Fnp-Bc, Aprn, Robert G. Hanks Phd, Rn, Fnp, Aprn, Eileen R. Giardino Phd, Rn, Aprn, Fnp, Stanley Cron Msph

Journal of Nursing & Interprofessional Leadership in Quality & Safety

Human papillomavirus (HPV) is the most common sexually transmitted disease, yet little is known about the college-age knowledge and prevention practices related to HPV. Although sample vaccination rates mirrored national known vaccination rates, a majority of participants did not complete the three dose vaccine schedule. HPV knowledge was similar between males and females while males were more likely to engage in preventative practices. This information can help healthcare providers reinforce vaccination schedule and prevention practices.


"Walking In A Maze": Community Providers' Difficulties Coordinating Health Care For Homeless Patients, Terri LaCoursiere Zucchero, Sarah McDannold, D. Keith McInnes 2016 University of Massachusetts Medical School

"Walking In A Maze": Community Providers' Difficulties Coordinating Health Care For Homeless Patients, Terri Lacoursiere Zucchero, Sarah Mcdannold, D. Keith Mcinnes

Graduate School of Nursing Publications and Presentations

BACKGROUND: While dual usage of US Department of Veterans Affairs (VA) and non-VA health services increases access to care and choice for veterans, it is also associated with a number of negative consequences including increased morbidity and mortality. Veterans with multiple health conditions, such as the homeless, may be particularly susceptible to the adverse effects of dual use. Homeless veteran dual use is an understudied yet timely topic given the Patient Protection and Affordable Care Act and Veterans Choice Act of 2014, both of which may increase non-VA care for this population. The study purpose was to evaluate homeless veteran ...


Biopsychosocial Vulnerability-Stress Modeling For An Incarcerated Population, Deborah Shelton, Bill Barta, Robert Trestman, Sara Wakai 2016 University of Connecticut, School of Nursing

Biopsychosocial Vulnerability-Stress Modeling For An Incarcerated Population, Deborah Shelton, Bill Barta, Robert Trestman, Sara Wakai

Journal for Evidence-based Practice in Correctional Health

This paper discusses individual constructs that form diathesis-stress models and formulates an adapted model for a corrections population. Diathesis-stress models are familiar within psychiatric nursing, but rarely discussed in the literature in their application to correctional population, or for their potential in guiding nursing practice in correctional settings. Of particular interest to this paper is the coping response of inmates to the stressors of incarceration and the implications for clinical care management.


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 ...


Tuning "The System": An Evaluation Or Restorative Practices In San Lorenzo School District, Amber White 2016 University of San Francisco

Tuning "The System": An Evaluation Or Restorative Practices In San Lorenzo School District, Amber White

Master's Projects

In 2013, The Director of Student Support Services for the San Lorenzo Unified School District (SLZUSD) implemented a Restorative Practices program in an effort to improve relationships on campus and decrease suspension and expulsion rates in SLZUSD. The Directors push for RP was fueled by the passing of Assembly Bill 1729 (AB-1729), when the California Education Code changed to allow for alternative disciplinary actions. States nationwide have passed bills similar to AB-1729 and allowed schools to use alternative punitive practices. Despite good natured intentions there were many faculty members who did not respond with enthusiasm and there has since been ...


Strategic Community Healthcare Management, Stephanie Penrod 2016 University of San Francisco

Strategic Community Healthcare Management, Stephanie Penrod

Master's Projects

Federally Qualified Health Centers(FQHC) and Community Health Centers are growing with the Affordable Care Act. This paper introduces literature that supports the need for Community Health Centers and management of low income patients with chronic illnesses. This paper also reviews the fieldwork experience at a FQHC. It reviews the goals, project, methods and findings of the fieldwork. This paper also elaborates on the scope of the project and a quality improvement report for the FQHC in observation. It discusses the future potential implementation of the recommendations and the benefits for both employees and patients. This paper concludes with follow ...


Issues In Patient Information Transmission: Standardizing Home Health Admission, Philippa Thomas 2016 University of San Francisco

Issues In Patient Information Transmission: Standardizing Home Health Admission, Philippa Thomas

Master's Projects

When 84 patients, current and former, complained about lack of information during the intake process within five months period, a uniform "Patient Screening Tool" (Appendix L) was developed to improve the admissions process to this home health agency. Intake staff is responsible for receiving accurate information from the referral sources, confirming qualifications to receive services, and initiating education about services to the patient. While the population served has a wide range in age, diagnoses, discharge settings and cultures, the majority are over 65, frail, homebound and are returning home after hospital, SNF or rehabilitation settings.

Data were collected through evidence ...


Implementing Change To Decrease The Emergency Department Visits For Pediatric Clients Referred To Mental Health Services, Diane Sandoval 2016 University of San Francisco

Implementing Change To Decrease The Emergency Department Visits For Pediatric Clients Referred To Mental Health Services, Diane Sandoval

Master's Projects

The purpose of this clinical nurse leader (CNL) internship project is to implement an improvement intervention to decrease emergency department visits or psychiatric emergency services visit rates for pediatric clients receiving mental health services through the ambulatory clinic. The goal is to increase client safety by preventing harm to themselves or others and improving quality of care provided through timely nursing telephone triage. The project is taking place in a county run pediatric ambulatory clinic. We will participate in a shared leadership team to make recommendations for improvement at the microsystem level. Team members include the charge nurse, clinic manager ...


Intranasal Naloxone Adminstration Education, Natalie O. Levchenko 2016 Univeristy of San Francisco

Intranasal Naloxone Adminstration Education, Natalie O. Levchenko

Master's Projects

The Clinical Nurse Leader project focused on the provision of education on intranasal naloxone administration to healthcare providers in Lake County in order to educate patients, their families, peers, and members of their social network. Fatal opioid overdose rates from prescribed or illicit opioids are four times greater in Lake County than California. The setting is Lake County, California, with a population of 65, 000, a radius of 1,300 square miles, and an annual per capita income of $21,000, with 24.3 % living in poverty. The CNL project focused on the Clinical Nurse Leader elements: Systems Analyst/Risk ...


Advanced Practice Nursing In Latin America And The Caribbean: Regulation, Education And Practice, Keri Elizabeth Zug, Silvia Helena De Bortoli Cassiani, Joyce Pulcini, Alessandra Bassalobre Garcia, Francisca Aguirre-Boza, Jeongyoung Park 2016 George Washington University

Advanced Practice Nursing In Latin America And The Caribbean: Regulation, Education And Practice, Keri Elizabeth Zug, Silvia Helena De Bortoli Cassiani, Joyce Pulcini, Alessandra Bassalobre Garcia, Francisca Aguirre-Boza, Jeongyoung Park

Nursing Faculty Publications

OBJECTIVE: to identify the current state of advanced practice nursing regulation, education and practice in Latin America and the Caribbean and the perception of nursing leaders in the region toward an advanced practice nursing role in primary health care to support Universal Access to Health and Universal Health Coverage initiatives.

METHOD: a descriptive cross-sectional design utilizing a web-based survey of 173 nursing leaders about their perceptions of the state of nursing practice and potential development of advanced practice nursing in their countries, including definition, work environment, regulation, education, nursing practice, nursing culture, and perceived receptiveness to an expanded role in ...


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 ...


Health Literacy Assessment And Chronic Disease: An Integrative Review, Dana S. Woody 2016 Liberty University

Health Literacy Assessment And Chronic Disease: An Integrative Review, Dana S. Woody

Graduate Student Projects and Scholarship

Health literacy is a matter of grave concern in health care today. Defined as more than the ability to read and write, it involves obtaining, processing, and understanding health information. Yet it is a concept often misunderstood and overlooked in the environment of professional care. Specifically, low health literacy in the setting of chronic disease has proven to be a challenging and costly phenomena. Given the high prevalence of chronic disease, there is a pressing need for health care providers to acknowledge this subject matter in care delivery. This integrative review provides a synthesis of published evidence identifying and clarifying ...


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