Digital Commons Network^™

The Effectiveness Of A Webinar To Improve Icu Nurses’ Competency In Palliative Care, Justine Kirschner

The Eleanor Mann School of Nursing DNP Capstone Projects

Patients with serious illness lack access to quality patient-centered care despite the growth in palliative care awareness and services. Palliative care is an interdisciplinary care system intended to optimize the quality of life of patients with serious, life-limiting illness and their families. Patients admitted to the intensive care unit (ICU) are facing critical illnesses and can benefit from palliative care integration into their care. This DNP quality improvement (QI) project, grounded in Benner’s Novice to Expert nursing theory, aimed to increase ICU nurse competency in palliative care from novice to competent through a continuing education webinar. The study analyzed nurses’ …

Family Disruptions And Maternal Health In Covid Times, Donna Maldonado

Open Access Theses & Dissertations

AbstractPrenatal and postpartum women of the border region of El Paso-Ciudad Juarez have been experiencing multiple forms of family disruption due to the twenty-month border closure in an attempt to contain the COVID pandemic, partners having to find jobs far away from home because of economic concerns, and fear of familial disruption due to the threat of deportation of partners or family members. The purpose of the study is to explore the perceived effects of these types of family disruptions and how they are shaping maternal health in COVID times. This project included the analysis of fifteen interviews with pregnant …

Systematic Literature Review: Culturally Appropriate Approach To Advance Care Planning For Ponca Tribe Elders, Priscila Soto Prado

Capstone Experience: Master of Public Health

Advance Care Planning is understudied in Native American and Alaskan Natives communities. There is a strong need for further research on culturally adapting advance care planning (ACP) for indigenous communities. Specifically, for the Ponca Tribe, culturally adapting the ACP used would ideally increase the acceptance of ACP in that community. This systematic literature resulted in identifying four themes other tribes have utilized to culturally adapt their ACP, advance directive, palliative and/or end-of-life processes in an effort to increase completion rates. The four themes were involving the elders with the adaptation process, increasing education efforts and awareness of ACP and ADs, …

The Quality Of Primary Care Performance In Private Sector Facilities In Nairobi, Kenya: A Cross-Sectional Descriptive Survey, Gulnaz Mohamoud, Robert Mash

Family Medicine, East Africa

Background: Integrated health services with an emphasis on primary care are needed for effective primary health care and achievement of universal health coverage. The key elements of high quality primary care are first-contact access, continuity, comprehensiveness, coordination, and person-centredness. In Kenya, there is paucity of informa- tion on the performance of these key elements and such information is needed to improve service delivery. Therefore, the study aimed to evaluate the quality of primary care performance in private sector facilities in Nairobi, Kenya.

Methods: A cross-sectional descriptive study using an adapted Primary Care Assessment Tool for the Kenyan context …

Enhancing Depression Screening For The Adolescent Population In The Pediatric Emergency Department By Utilizing The Patient Health Questionnaire: A Quality Improvement Project, Chelsea Alvarez

DNP Projects

Background:

Mental health disparities make up 16% of the global burden of disease and injury in people ages 10-19. Many cases of mental health are unidentified and left untreated. Failure to address mental health disorders in children can lead to poor outcomes of health and well-being. Evidence-based practice supports the utilization of screening tools such as the Patient Health Questionnaire-9 (PHQ-9) for depression screening in adolescents ages 12-18 years.

Objectives:

By implementing the PHQ-9 in the pediatric emergency department, the goals for this quality improvement project were to increase staff knowledge on the PHQ-9, improve staff screening compliance, and to …

Adolescent Connectedness: A Scoping Review Of Available Measures And Their Psychometric Properties, Ezra Too, Esther Chongwo, Adam Mabrouk, Amina Abubakar

Institute for Human Development, East Africa

Introduction: Adolescent connectedness, a key component of positive youth development, is associated with various positive health outcomes. Several measures have been developed to assess this construct. However, no study has summarized data on the existing measures of adolescent connectedness. We conducted this scoping review to fill this gap. We specifically aimed to: (i) identify the existing measures of adolescent connectedness, (ii) determine the most frequently used measures among the identified measures, and (iii) summarize the psychometric properties of these measures with a keen interest in highlighting their cross-cultural utility and validity.

Methods: We searched CINAHL, Embase, PsycInfo, PubMed, …

No Pass Zone: A Quality Improvement Project, Casey St. John

DNP Projects

Introduction: Patient call-bell lights are a means for communication from a hospitalized patient's room to staff members. This DNP project involves staff and patients on a 28-bed pediatric medical-surgical unit. The aim was to implement a No pass Zone for patient call bell lights. Additionally, this project served to aid in increasing staff responsiveness to answer patients' questions and concerns.

Methods: Staff completed a Cornerstone education on the No Pass Zone. Data was collected from pre/post-implementation staff surveys and pre/post-implementation Press Ganey scores. Weekly staff audits on direct observation of staff response to patients' call-bell lights.

Results: A total of …

Improving The Quality Of Burn Care Through Implementation Of The American Burn Association Competencies, Laura Ritter

DNP Projects

Background and Significance: Specialty certification is an important method to demonstrate that nurses possess training, expert knowledge, and skill in a specialty field. The American Burn Association (ABA) and the Burn Nurse Competency Initiative (BNCI) developed 11 competencies that specify the training, expert knowledge, and skills that nurses require for all aspects of burn nursing practice. The ABA and Board of Certification of Emergency Nurses are in the process of developing a burn certification for nurses. They suggest that all burn units begin to adopt these competencies to ensure consistent and competent care.

Purpose: To adopt the ABA …

Vol 2 May '22 Full Issue, Kari Fitzmorris Brisolara, Donna L. Williams

Journal of the Louisiana Public Health Association

No abstract provided.

A Simple Education And Feedback Intervention To Increase Early Discharge In An Inpatient Services Unit, Alex Katz, Andre Stefanescu, Paul Trubin, Andrew Russel, Jay Kaplan

Journal of the Louisiana Public Health Association

No abstract provided.

Adolescent Dating Violence: Attachment Style And Parents' Unhealthy Marital Relationship As Possible Predictors, Karli Spann

Psychological Science Undergraduate Honors Theses

This study tests whether insecure attachment style and parents’ modeling of unhealthy relationships predict adolescent dating violence (ADV) victimization. Also tested was the possible moderating role of secure attachment on the relation between parental modeling of unhealthy relationships and ADV victimization. It was hypothesized that insecure attachment and parental modeling of unhealthy relationships would individually be associated with increased ADV victimization, and secure attachment would attenuate the predicted positive association between parental modeling of unhealthy relationships and ADV victimization. Participants were adolescents (N = 152, M age = 15.61 years, SD = 1.086, 74.3% girls), who completed a survey …

Injection Drug Users (Idus), Blood-Borne Diseases, And The Role Of Needle Exchange Programs, Lilibeth Guzman

Electronic Theses, Projects, and Dissertations

Objective: Needle exchange programs are designed to educate injection drug users of healthy drug behaviors and establish a controlled environment to prevent blood-borne diseases through clean needles and provide treatment to reduce blood-borne diseases and become drug-free. This study observed the prevalence of blood-borne diseases among injection drug users as well as the general population. The study used publicly available data of drug use to assess differences by race/ethnicity, and participation in needle exchange programs.

Methods: Quantitative methods were used with the 2019 National Survey on Drug Use and Health. Analysis began with descriptive statistics, followed by regression analyses to …

Promoting Health Equity Among Racial And Ethnic Minorities During And After The Covid-19 Pandemic, Alexandra Viramontes, Deserry Salgado

Electronic Theses, Projects, and Dissertations

Racial and ethnic minorities experience disproportionate health outcomes during a pandemic, yet preparedness plans have failed to address the social determinants of health that produce the most severe impact. By examining social workers’ perspectives on the health disparities faced by racial and ethnic minorities during the COVID-19 pandemic, this study provides insight into the ways in which services can be improved in a future health crisis. In this exploratory study, a qualitative approach was utilized where social workers were asked to participate in interviews consisting of open-ended questions. The qualitative data was obtained in the form of interview transcripts, which …

Factors Contributing To Nurse Burnout In Oncology, Caroline Withers

The Eleanor Mann School of Nursing Undergraduate Honors Theses

Nurse burnout is a pressing concern for healthcare with significant implications for all areas of nursing and patient outcomes. However, the specialty of oncology experiences burnout differently than other specialties for a multitude of reasons. This literature review aims to determine factors that contribute to nurse burnout within oncology, and identify evidence-based prevention strategies. The twenty studies included in the review underscore the crucial role of management and leadership in the prevention of nurse burnout. Further education and research are needed to better understand causes of burnout, as well as proper interventions. Interventions need to be established on a hospital …

Essential Tools For Sustainability Of A Student-Led, Pro-Bono Back School, Cory Brown, Rosalie Gutierrez, Jennifer Montes, Rondale Scruggs

UNLV Theses, Dissertations, Professional Papers, and Capstones

Background: In 2018, University of Nevada Las Vegas Doctor of Physical Therapy (DPT) students and faculty, in cooperation with a community partner, created a student-led pro bono Back School to address a gap in healthcare for underinsured individuals with low back pain in Southern Nevada. To support the sustainability of the Back School, the authors of this paper set out to develop a student club to recruit and train DPT students to volunteer in the program using a specifically designed electronic training manual. Overall, the aim was to encourage students to join the new club's leadership team to prepare future …

Deficits In Health Literacy And Inadequacies Of Specialized Health Care In The South For Deaf And Hard Of Hearing Patients, Kaleb Kittrell

Honors Theses

Health literacy is a constantly evolving concept that requires similarly evolving adaptation and specialization of health care to increase the quality of life for all. One demographic that is largely ignored when it comes to research in health literacy, specifically in the traditional South, is the d/Deaf and hard of hearing/Hard of Hearing (DHH) population. The purpose of this study is to determine the general health literacy of this specific demographic and compare results with that of other demographics to highlight the anticipated deficit in health literacy levels and emphasize the critical need for specialized care. This prospective, non-experimental, descriptive …

Evaluating The Effectiveness Of Restorative Justice Rehabilitative Services Available In Northeast Tennessee For Mothers Diagnosed With Substance Use Disorder, Claire Roberson

Undergraduate Honors Theses

Substance Use Disorder (SUD) has plagued families of rural Appalachia for many years, perpetuating involvement in the criminal justice system as well as generational trauma for people diagnosed with SUD and their children. This points to the necessity of a trauma-informed, restorative-justice based framework for rehabilitative services to most effectively heal families, address trauma, and re-integrate people diagnosed with SUD into society. A restorative justice-based program would provide health care services for addiction and any comorbid mental health disorders as well as teach parents how to properly provide for themselves and their families, manage finances, obtain employment, and further education. …

An Exploration Of Low-Income Dental Services In The Tri-Cities, Macie Proffitt

Undergraduate Honors Theses

Dental care has great importance in the overall health of every individual. Many do not realize the effect oral health plays in their overall health and many areas in the United States do not have access to the dental care needed to obtain proper healthcare standards. In many of these areas, such as the Appalachian region, dental services for low-income citizens are limited. Specifically, in the Northeast Tennessee region, these dental services are severely limited. Washington County and Hawkins County of Northeast Tennessee are specific underserved areas in the Appalachian region. The purpose of this project was to explore the …

Adapting Psychological First Aid For Healthcare Workers Fighting Covid-19 At An Academic Medical Center And Partner Institutions, Erika M. Rajo, Nathan H. Brown, Sandy B. Hyatt, Marisa L. Whitley

Journal of the Louisiana Public Health Association

Background: The COVID-19 pandemic has led to psychological distress and burnout among some healthcare workers. The purpose of this commentary article was to share lessons learned from the design and implementation of a virtual Psychological First Aid (PFA) intervention for healthcare workers affected by the pandemic. Method: Virtual PFA intervention opportunities were offered by an Academic Medical Center and Level 1 Trauma Center in New Orleans. A total of 105 healthcare workers utilized this intervention. Results: Descriptive analysis of this preliminary data indicates that participants perceived groups to be supportive and effective, but groups were infrequently attended after the first …

Community Health Worker Intervention To Improve Hba1c In Adult Diabetic Patients, Megan Wojtko

Doctor of Nursing Practice Projects

Type 2 Diabetes Mellitus (T2DM) is a disease that disproportionally impacts patients with multiple socioeconomic barriers that are often difficult to address during a primary care visit. Several provider and practice-level barriers also exist including time limitations within the visit and lack of trained staff to help with patient education and case management. Uncontrolled T2DM leads to poor health outcomes and increased healthcare costs. Community Health Workers (CHW) are trained lay persons that can successfully address the patient’s unmet needs and assist with the provider’s recommendations. The purpose of this project was to explore if a CHW led intervention focused …

Emergency Preparedness: Perceptions Of People With Disabilities, Lidia Adamina Fonseca

Theses and Dissertations

The prevalence of emergencies and disasters has increased over the past decade which has caused cities, states and countries to routinely develop emergency preparedness and management plans (Turk, 2016). Although these demands have increased, individuals with disabilities have been less represented in the development of the plans (Timmons, 2017; Turk, 2016). According to The World Bank Disaster Risk Management Report (2020), disasters (e.g., infectious disease outbreaks such as COVID-19, hurricanes, earthquakes, industrial accidents.) and post-disaster consequences have increased over recent years.

Although individuals with disabilities have become more aware of emergency preparedness and its importance, researchers have noted that there …

Implementing An Online, Integrative, Multi-Component, Group-Based Cognitive Behavior Therapy (Cbt) For The Reduction Of Caregiver Burden In Primary Familial Caregivers Of Persons With Dementia: A Preliminary Test Of Feasibility, Daniel Robert Schaffer

Psychology Theses & Dissertations

The purpose of this study was to examine the preliminary feasibility of an online, manualized, group-based, multi-component, cognitive behavioral therapy (CBT) treatment approach for the reduction of caregiver burden among family caregivers of persons with dementia. This study had five primary hypotheses: (1) the recruitment plan, as outlined within this study, would yield the target number of participants within a 12-month period; (2) the proposed group therapy protocol would produce a positive therapeutic climate, as operationalized by increased levels of perceived social support, perceived group cohesion, positive therapeutic alliance, and positive engagement; (3) this study would maintain adequate participant retention, …

Barriers To The Use Of Palliative And Hospice Care Among The Latino Population, Diana Ramirez

Electronic Theses, Projects, and Dissertations

Patients suffering from irreversible and terminal illnesses may benefit from the services provided by Palliative and Hospice Care to control any symptom burden and assist in navigating complex medical decisions. Many patients may express hesitation in accepting and enrolling to this service due to misconceptions. Language barriers may add an additional layer of complexity. This study explored the challenges Palliative Care providers encounter when introducing concept of hospice to Spanish-speaking patients their families for the first time. This study implemented qualitative research methods by using semi-structured one-on-one interviews. Ten members of an In-patient Palliative Care Team at a University Hospital …

The Underdiagnosis Of Adhd In Black Females, Kiana Clerkley

Electronic Theses, Projects, and Dissertations

Background

Historically, Black women have continued to face discriminatory practices within the various branches of healthcare in America, including mental health.

Objectives

The aim of this study was to explore the reasons for and factors contributing to the underdiagnosis of Attention Deficit- Hyperactivity Disorder (ADHD) among Black females.

Methods

This study was conducted using both quantitative and qualitative methods by use of collecting self-report scales and conducting individual interviews. Eight Black women were recruited by posting fliers on social media accounts that served as ADHD support groups among women. I collected data with the results of the self-report scale and …

Accessibility Of Mental Health Resources In Schools, Zitlaly Lizeth Cruz-Roman, Vianney Consepcion Sandoval

Electronic Theses, Projects, and Dissertations

This study aimed to examine parents’ and staff’s perception of the accessibility and awareness of mental health resources in school. Mental health resources are made available in school settings; however, not all families and students are aware of the resources being provided. To address the accessibility of mental health resources, research needs to take place to understand why these resources are not being utilized. Individuals’ mental health will improve by creating awareness of the resources since they will be aware of the resources and use them based on their needs. The research project utilized quantitative research methods and descriptive research …

Phytochemical And Synthetic Ahr Ligands As Novel Therapy For Refractory Breast Cancer, Jonathan V. Wooten

Loma Linda University Electronic Theses, Dissertations & Projects

Patients with triple-negative breast cancer (TNBC) possess tumors that lack estrogen receptor, progesterone receptor, and human growth factor receptor 2 expression. Such patients have lower survival rates than those diagnosed with other breast cancer subtypes in part, due to the scarcity of targeted therapy for TNBC. In addition to chemotherapy, patients with TNBC often consume natural remedies, which has led us and others to evaluate the ability of plant isolates to confer anticancer and chemopreventive actions. Poly-ADP ribose polymerase (PARP) is an enzyme that promotes DNA single-strand break repair. PARP inhibitor olaparib exploits DNA repair enzyme deficiency in tumors to …

Caregiver-Child Conversations About Sex In African American Women, Hannah King

Electronic Theses and Dissertations

Using grounded theory methods, this study examines the experience of African American women during their caregiver-child conversations about sex and the impacts of the conversations on their sexual attitudes. The process of these conversations begins with an unplanned topic and progresses further to identify six essential themes of these conversations: gender differences, race and religion, protective/emphasis on protection, lack of knowledge, withholding knowledge, and sex negativity/shame. African American women’s description of the process included feelings of shame and negativity towards their sexuality. Caregivers promoted positive messages about sex by having open conversations that advocated for equality between the genders, empower …

Health Disparities In Adults With Developmental And Intellectual Disabilities, Tulsi Patel

Nursing | Senior Theses

This paper reviews literature pertaining to the treatment of people with developmental disabilities. It will emphasize the inadequacies of health care in this population. The literature that will be discussed focuses on disparities in care via proxy, sociodemographic and clinical factors associated with disparities, assessing the needs of this population, the prevalence of disabilities in rural and urban settings, and the comparison of health disparities between adults with and without developmental disabilities.

For the purpose of this paper, a few terms will be defined. Developmental disabilities (DD) will be defined as “a group of conditions due to an impairment in …

Practicing Trauma-Informed Care In Nursing For A Better Outcome In Hospitalized Adolescents With Adverse Childhood Experiences And Trauma, Allysa Mia Fabricante

Nursing | Senior Theses

As nurses we want to give our patients the best care. That is why trauma-informed care (TIC) is important to include into nursing practice. TIC is a fairly new idea that addresses a patient's whole past and present life. Incorporating it into nursing practice can benefit patients who have adverse childhood experiences and trauma. Adverse Childhood Experiences (ACEs) are traumatic events that occur to a person starting from birth to 17 years old. In a hospital setting an adolescent patient can be triggered if ACEs and trauma is not properly addressed. The long-term effects of ACEs can affect adolescents into …

Evaluation Of Check-In Check-Out At Harden Middle School, Alondra Escobar

Capstone Projects and Master's Theses

This capstone was implemented at the Wellness Center in the Harden Middle School, a public school located in Salinas, California. The school has observed a drop in student grades in recent years and adopted the Check-In Check-Out (CICO) program to support students between the ages of 12 and 13 experiencing behavioral issues. To increase the impact of CICO, the school has experimented with customizing the program’s criteria for participation. The Capstone consisted of evaluating the impact of CICO on students’ grades under the participation criteria employed during the spring of 2021 by comparing participants’ grades and behavioral referrals before and …