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Improving The Implementation Of The Acute Care Nurse Practitioner (Acnp) Role: Development Of Acnp Role Implementation Guidelines, Megan Elizabeth Liego

Doctor of Nursing Practice (DNP) Projects

With the implementation of the Patient Protection and Affordable Care Act (PPACA) and the Value Based Purchasing (VBP) initiative, hospitals and the health System have rolled out a strategic goals of focusing on meeting the VBP objectives and standardizing care within their hospitals. To help meet these goals and improve patient care, many hospitals have looked toward the implementation of the acute care nurse practitioner (ACNP) role in the hospital setting. There is a lack of guidelines, though, on how to implement the ACNP role. This has led to several barriers, which have created variation in practice and outcomes across …

Grant Application: Randomized Comparison Of Two Internet-Supported Natural Family Planning Methods, Richard J. Fehring

Randomized Comparison of Two Internet-Supported Methods of Natural Family Planning

No abstract provided.

Secondary Analysis Of Adolescent And Young Adult Sexual Health In Kalamazoo And Jackson Counties, Kayla Bolter

Honors Theses

Based off of the Healthy People 2020 goals regarding sexual health behaviors and reduction in the proportion of gonorrhea infections among males and females ages 15-44, the purpose of this thesis to provide the necessary evidence that a sexual health education intervention needs to be implemented into the campus of Western Michigan University in order to reduce the rates of gonorrhea among college students aged 20-24 in Kalamazoo County. This is a secondary analysis that compared the reported gonorrhea rates in Kalamazoo County, Michigan to the reported rates of gonorrhea in Jackson County, Michigan. Several components were compared within each …

Secondary Analysis Of Adolescent And Young Adult Sexual Health In Kalamazoo And Jackson Counties, Jenna Moreau

Honors Theses

This secondary analysis is a comparison of two Counties, Kalamazoo and Jackson, to see if the presence of a university has impact on reported Chlamydia cases. Nationally, 20-24 year olds account for the highest number of reported Chlamydia infections. This age group also accounts for the large majority of college students that attend Western Michigan University found in Kalamazoo County. It is believed that by collecting this data, there will be an obvious need for implementation of an education intervention for students at Western Michigan University regarding sexual health.

It was proposed that there would be a higher prevalence of …

Caring Minds, University Of Texas Health Science Center At Houston School Of Nursing

Caring Minds

• Greetings from Dean Patricia Stark
• Nursing faculty members receive endowment medals at dinner
• “AccPhD” program proves model for faculty growth
• Gifts topping $1.3 million support studies of future nursing educators
• Rozmus selected for 2013 Regents’ Outstanding Teaching Award
• New Practice Doctorate Advances Training for Nurse Anesthetists
• Partners 2013 Spring Luncheon: Cody Unser shares outlook with Partners
• Graduating students select 2013 McGovern Outstanding Teachers
• Diabetes researcher Wang named a 2013 Robert Wood Johnson Foundation ‘Nurse Faculty Scholar’
• School celebrates 40th Anniversary
• UTHealth School of Nursing By the Numbers
• Armstrong inducted as 2013 FAAN, receives $2.4 million NINR grant
• TURN study aims …

Chhs December 2013 E-Newsletter, Dr. John Bonaguro, Dean, Vashon S. Wells, Editor, Wku College Of Health & Human Services

College of Health & Human Services Publications

No abstract provided.

Comparing The Effectiveness Of Debriefing Methods In High Fidelity Simulation In A Nursing Baccalaureate Program, Jihad Jawad Kadhim

Nursing Master Theses

The experiential learning process is a key concept in gaining and analyzing knowledge, which involves participation in those experiences. In nursing education, these experiences can occur through high-fidelity simulation. The most important component of this learning process is the post-experience critical analysis or debriefing. During the debriefing phase, students must reflect upon the experiences, identify key points, and discuss the main concern related to patient care. The debriefing phase helps students to be able to develop and refine knowledge and experiences. Methods of debriefing include verbal feedback or video-assisted verbal discussion that allows students to reflect and discuss on what …

Don’T Strike Out Too Early In The Game: The Nurse Practitioner’S Role In Preventing Youth Pitching Related Injuries, Jessica Sanders

Graduate Research Projects

No abstract provided.

The Development Of A Comprehensive Adhd Program For Elementary School Educators, Angie Lee Echoles

Doctoral Projects

On average, teachers will teach at least one student with Attention Deficit Hyperactivity Disorder (ADHD) in any given school year without receiving any instructions at all on ADHD. ADHD affects 3% to 7% of school-age students and one in every twenty children (Centers for Disease Control and Prevention (CDC), 2010). It is classified as one of the most common mental health disorders affecting school-age students. The American Psychiatric Association (APA, 2013) defines ADHD as a hereditary, non-curable, common childhood disorder. A triad of symptoms is associated with this disorder: inattention, hyperactivity, and impulsivity, which all have a major impact on …

The Impact Of Caring For Children With Mental Retardation On Families As Perceived By Mothers In Karachi, Pakistan., Arusa Lakhani, Irma Gavino, Aisha Yousafzai

School of Nursing & Midwifery

OBJECTIVE:

To assess how families perceive the positive and negative impacts of caring for a child with mental retardation.

METHODS:

The quantitative descriptive study was conducted from January to August 2007 and comprised 54 families attending a private day-care centre for children with special needs in Karachi, Pakistan. The Kansas Inventory of Parental Perceptions was used to assess mothers' perceptions on the impact of caring for a child with mental retardation. Positive contributions, social comparisons with others, understanding of disability and perception of control were assessed. SPSS 16 was used for statistical analysis.

RESULTS:

Mothers reported positive contribution to family …

Perceptions Of A Dedicated Education Unit In The Mississippi Delta, Jacquelyn Felecia Brownlow

Doctoral Projects

The highest health care disparities in the country plague the Mississippi Delta. A weakened economy, minimal access to healthcare and an outdated traditional clinical learning environment place enormous strains on nursing education in this area to provide more nurses. The office of Nursing Workforce reported a 14% to 16% nursing turnover in the Delta compared to the national average of 13.5%. As a result, the health care organization has encountered high nurse turnover, increased staffing shortages, and a decrease in nursing quality indicators. As an effort to improve clinical education and bridge gaps between education and practice, several schools in …

Assessing Certified Registered Nurse Anesthetists’ Attitudes Toward And Barriers To The Use Of Evidence-Based Anesthesia Practice, Laurie E. Parkman

Doctor of Nursing Practice (DNP) Translational and Clinical Research Projects

Evidence-based practice is the integration and synthesis of the best research evidence with clinical expertise and patient values. Use of evidence-based practice decreases variability in care and improves patient outcomes. This research project assessed variables that inhibit the adoption of evidence-based practice into individual CRNAs’ practice. Ninety-two CRNAs in Georgia participated in an email survey to assess attitudes and perceived barriers to evidence-based practice. Attitudes toward evidence-based practice were assessed with the Evidence-Based Practice Questionnaire (EBPQ), and perceived barriers to the use of evidence-based practice were assessed with the BARRIERS scale. A Pearson product-moment correlation coefficient was computed to assess …

Understanding Faculty And Non-Traditional Student Perceptions Of Self-Directed Learning In A Practical Nursing Program, Carmen Marie Rogers

Graduate Theses and Dissertations

This study was designed to identify and investigate nursing faculty and student perspectives of self-directed learning in a practical nursing program. It also explored the degree to which student's perceptions of self-directed learning exhibited factors consistent with that of critical thinking. This study is important because self-directed learning and its critical thinking elements are essential in providing safe, competent, effective, and efficient nursing care within practice and education. Using an explanatory case study design the practice of self-directed learning within a practical nursing program was examined through the use of: classroom observations, interviews with nursing faculty, nursing students, and document …

Methicillin-Resistant Staphylococcus Aureus Education Effectiveness For Athletic Trainers At A University Community Physical Activity Center., Afton Cope

Undergraduate Honors Theses

Methicillin-resistant Staphylococcus aureus (MRSA) is a problem nationally and affects many people from all walks of life. Community associated MRSA is often ignored and not viewed as significant, thus there is a lack of education on the topic. One area that is at a particular risk for the transmission of Community Associated MRSA is physical activity centers. Education in these areas could improve the knowledge of community acquired MRSA among employees and decrease the likelihood of infection at physical activity centers. In this study a pre-test was given. After the pre-test an educational powerpoint on MRSA was presented and then …

The Journey To Becoming-Authentic From The Voices Of Nursing Students Living With Attention Deficit Hyperactivity Disorder, Sheryl Lynn Allen

Dissertations

Research and literature on nursing students living with attention deficit hyperactivity disorder (ADHD) in higher education is deficient in supporting the needs of a growing population. The aim of this study sought to uncover the essence of nursing students’ experiences through a hermeneutic phenomenological approach and promote deeper understanding of the meaning of lifeworld experiences through the lens of critical social theory (CST). CST sustains freedom from ideological restraints to allow exploration into individual experiences. The voices of student participants provide the medium for articulating meaning. An integrative approach using van Manen’s (1990) and Munhall’s (2012) methods guided this study. …

Acupuncture For Sleep Disturbances In Veterans With Post Traumatic Stress Disorder, Heather C. King Phd

Dissertations

Post Traumatic Stress Disorder (PTSD) has emerged as a significant problem among Operation Enduring Freedom/Operation Iraqi Freedom (OEF/OIF) veterans. Disturbed sleep is one of the most frequently reported symptoms among OEF/OIF veterans with PTSD. PTSD itself is impairing, but the burden of this disorder is likely heightened when accompanied by sleep disturbances. Sleep disturbances have been associated with a 75-90% increased risk of co-morbid conditions, increased levels of depression and anxiety, daytime sleepiness and fatigue, reduced psychomotor performance, diminished work productivity, and decreased quality of life. These consequences of disturbed sleep emphasize the critical need for additional evidence based therapies …

Group Empowerment Capacity And Capability In Schools Of Nursing, Mary Louanne Friend

Dissertations

Nursing education is experiencing rapid changes as nurses are expected to transform and lead health care delivery within the United States. The ability to produce graduates who can promote a culture of safety, and provide patient centered care in collaboration with others will require nursing administrators and faculty who are empowered and able to achieve goals. The Sieloff Theory of Group Empowerment within Organizations (Sieloff & Bularzik, 2011) provided the theoretical basis for this exploratory correlational study examining group empowerment capacity and empowerment in administrators and faculty within the United States. Empowerment was conceptualized as the ability of the group …

Understanding And Managing End Of Life Symptoms: A Teaching Guide For The Primary Caregiver, Christine Miraglia

Nursing Masters

Abstract The goal of hospice is to support patients and the family or friend who has taken on the role of the caregiver. The majority of care provided in the home to the ill patient is provided by informal caregivers with limited experience. Emotional and physical strain can cause caregiver breakdown even to the most capable caregiver. Caregivers become over whelmed and panic when they are expected to monitor, interpret, and make decisions, in providing direct care. There are tremendous expectations of the caregiver in the home setting. The home healthcare hospice nurse should provide teaching materials and information to …

Exploring Self-Efficacy And Stress Of Senior Nursing Students Who Participate In Progressive Simulation., Kaitlyn Nora Luckey-Smith

Undergraduate Honors Theses

According to Bandura (1994), self-efficacy is defined as "the belief in one’s capabilities to organize and execute the courses of action required in managing prospective situations" (quoted by Pajaras, 1996, p. 543). Self-efficacy has long been theorized to increase job retention and success after graduation from a nursing program. In this study, the researchers explored whether high fidelity simulation during the senior semester of nursing school increases perceived self-efficacy among nursing students. We also evaluated the impact of stress levels on perceived self-efficacy. The study surveyed 135 senior BSN students from both traditional and accelerated programs a Southeastern Tennessee University …

Identifying Disease Characteristics, Parent Experience And Coping Strategies When Predicting Pediatric Illness-Related Stress In Parents Of Children With Mitochondrial Disease, Brenda Senger

Nursing Faculty Scholarship

Mitochondrial disease (mito) is a group of rare, inherited, chronic, life-limiting, incurable neurodegenerative disorders known to affect children early in life that result from failure of the mitochondria to turn food into energy. The diagnosis of mito is elusive and complex, with a variety of clinical manifestations, multisystem involvement and the lack of a reliable biological marker for screening and diagnosis. The unpredictable prognosis and erratic nature of this illness can be overwhelming to parents who bear the daily responsibilities of managing the child's care. Little is known about the experience of parents caring for a child with mito.

Objective …

Developing Ethical Competence: The Perspective Of Nurse Educators From Pre-Licensure Baccalaureate Nursing Programs Accredited By The Commission On Collegiate Nursing Education, Jennifer Lee Bartlett

UNLV Theses, Dissertations, Professional Papers, and Capstones

Nurses face ethically-charged situations every day, yet ethics education is not universally integrated into pre-licensure baccalaureate nursing programs. Like other forms of competence, ethical competence requires development. Nurse educators are poised to impact on the competence of their students, both defining the ethics content and designing students' exposure. The purpose of this study is to describe the concept of ethical competence from the perspective of baccalaureate nursing faculty and describe current methods of integration and evaluation of ethics education in pre-licensure baccalaureate nursing programs. This research will be conducted using a sequential (quantitative-qualitative) mixed method approach. The first phase of …

The Lived Experiences Of Acute-Care Bedside Registered Nurses Caring For Patients And Their Families With Limited English Proficiency, Jami-Sue Coleman

UNLV Theses, Dissertations, Professional Papers, and Capstones

Approximately 8.6% of the total U.S. population is considered limited English proficient (LEP), a term that has been used by official US federal policy and will be used throughout this study. In a landmark report, the Institute of Medicine found that minorities received lower-quality health care than Caucasians even when insurance status, income, and other factors were equivalent. These differences were tied to issues such as bias, stereotypes and communication barriers between patients and their caregivers. In the hospital setting, registered nurses provide the most direct contact with patients and their families. Effective communication between patients and health care professionals …

Meeting The Needs Of Family Members Of Icu Patients., Kalie Nolen

Undergraduate Honors Theses

The intensive care unit is an extreme environment which houses the most critically ill patients in a hospital. As a result, an array of equipment, IV lines, medications, and sounds that are unfamiliar to the general public can be found. These factors, added to the fragile emotional state of families and friends who have recently admitted a loved one, can be overwhelming. This rush of unforeseen stimuli often leads to feelings of fear and powerlessness (Farrell, Joseph, & Schwartz-Barcott, 2005).

The patients in Intensive Care Units (ICU) are the primary focus of staff; some need virtually continuous care. As a …

Effects Of High Fidelity Simulation On Knowledge Acquisition, Self-Confidence, And Satisfaction With Baccalaureate Nursing Students Using The Solomon-Four Research Design, Rachel M. Hall

Electronic Theses and Dissertations

High Fidelity Simulation is a teaching strategy that is becoming well-entrenched in the world of nursing education and is rapidly expanding due to the challenges and demands of the health care environment. The problem addressed in this study is the conflicting research results regarding the effectiveness of HFS for students’ knowledge acquisition after participating in simulation exercises. Specifically this researcher determined the effects of a formatted simulation scenario on knowledge acquisition among nursing students and the students’ satisfaction and selfconfidence with the simulation learning activity. Kolb’s Experiential Learning Theory (1984) provided the framework for this study.

This study used a …

Factors Influencing Vaccination Decisions In African American Mothers Of Preschool Age Children, Chauntel Mckenzie Mcnair

USF Tampa Graduate Theses and Dissertations

Rates and coverage levels of immunizations of African-American children are reduced compared to other races. Few studies have identified factors that influence vaccination decisions of African-American mothers. This study assessed the mothers' vaccination decisions using a self-administered questionnaire and a screening instrument for determining health literacy. This instrument is called Rapid Estimate of Adult Literacy in Medicine (REALM). The sample was 92 African American mothers, recruited from a large metropolitan church in Jacksonville, Florida, who had at least one child under the age of seven. A cross-sectional research design was used to administer survey instruments to identify and interpret parental …

A Descriptive Exploratory Study Of The Experience Of Gay Partners Of Hiv-Positive Men, Jon Christensen Phd, Msn, Rn

Dissertations

HIV disease/AIDS has been the focus of much research since its introduction in 1981 and continues to have profound implications for those living with the disease and for those who are in close social relationships with them. One group that has received minimal attention in the HIV/AIDS literature is gay partners of HIV infected men. The aim of this study was to explore and describe the experiences of gay men living with a life partner who has HIV disease/AIDS who were not primary caregivers. A qualitative study using an interpretive descriptive approach was employed to study the experiences of ten …

Health Care From A Dominican Perspective: Who Do We Really Care About, Bro. Ignatius Perkins, O.P.

Faculty Conference Presentations

Presented at Ohio Dominican University, Columbus, Ohio, November 14, 2013.

Creating A Gold Medal Olympic And Paralympics Health Care Team: A Satisfaction Survey Of The Mobile Medical Unit/Polyclinic Team Training For The Vancouver 2010 Winter Games, D Ross Brown, Behrouz Heidary, Nathaniel Bell, Leanne Appleton, Richard K. Simons, David C. Evans, S Morad Hameed, Jack Taunton, Kosar Khwaja, Michael O'Connor, Naisan Garraway, Peter Hennecke, Donna Kuipers, Tracey Taulu, Lori Quinn

Faculty Publications

BACKGROUND:

The mobile medical unit/polyclinic (MMU/PC) was an essential part of the medical services to support ill or injured Olympic or Paralympics family during the 2010 Olympic and Paralympics winter games. The objective of this study was to survey the satisfaction of the clinical staff that completed the training programs prior to deployment to the MMU.

METHODS:

Medical personnel who participated in at least one of the four training programs, including (1) week-end sessions; (2) web-based modules; (3) just-in-time training; and (4) daily simulation exercises were invited to participate in a web-based survey and comment on their level of satisfaction …

Management Of Type 2 Diabetes With Lifestyle Coaching In Low Income Individuals, Enesa Kanjesic

Graduate Research Projects

No abstract provided.

Ventilator Weaning Protocols: Influencing Outcomes And Promoting Success, Nathan Woody

Graduate Research Projects

No abstract provided.