Digital Commons Network^™

Limited English Proficient Patient's Use Of Family Members And Interpreters: A Pilot Study, Brittany T. Histing

Honors Scholar Theses

The purpose of this study is to explore and describe the experiences of “Spanish speaking, Spanish dominant and Limited English Proficient Latino patients” accessing health care in the United States (Parés-Avila, Sobralske, & Katz). This will be a descriptive study addressing caring for LEP patients accessing the healthcare setting using interpreters. The goal of the study is to describe LEP patient’s familiarity of interpreter services available via the CLAS standards, describe LEP patient’s experiences accessing healthcare in the United States, and describe LEP patient’s experiences in the United States health care system using or not using an interpreter.

Self-Medication Practices Of Adults With Sickle Cell Disease: Design And Methodology, Courtney Marie Beyers

Honors Scholar Theses

Aim of study

To survey the self-medication practices of adults with Sickle Cell Disease (SCD) using NIH-validated ActualMeds™ Medication Management System via Apple iPad®, in order to improve individual medication management (adherence).

Rationale and Significance

Adults with SCD are a significant population to study when considering self-medication behaviors. Because individuals with SCD are now outgrowing the speciality care of pediatricians, and often find themselves left to manage multiple medications and self-care interventions.

This research is important in understanding medication management, such as high-risk medication adherence behaviors, prescription drug interactions, and over-the-counter drug interactions with prescription drugs in the UCHC patient …

The Lived Experience Of African American Nurses Who Attended Predominantly White University Baccalaureate Programs: Characteristics Of Success And Resilience, Carmen A. Stokes

Master's Theses and Doctoral Dissertations

This qualitative dissertation explores the lived experiences of successful African-American nurses who attended baccalaureate programs at predominantly White universities (PWUs). Only 5.4% of the national registered nurse workforce is identified as African American; yet African-American citizens account for approximately 12.9% of the United States' population, and 24% of all enrollments in nursing programs nationwide is composed of African-American students. Past nursing education research has almost exclusively focused on the deficits of African-American students. This dissertation study focuses on a gap in the literature because it addresses the strengths and attributes of those African-American students who succeed, thereby contributing to an …

The Effectiveness Of A Parental Education Intervention About A Child-Oriented Approach To Tolieting For Healthy Thai Toddlersthe Effectiveness Of A Parental Education Intervention About A Child-Oriented Approach To Tolieting For Healthy Thai Toddlers, On-Anong Thammajinda

Evidence-Based Practice Project Reports

Toilet training (TT) is a necessary developmental task that all healthy children must ultimately achieve. The Centers for Disease Control and Prevention (CDC, 2001) noticed that E. coli can be spread to playmates by toddlers who are not toilet trained. Studies showed parental participation in the TT process is crucial and parental readiness to pledge to TT is an important step for training. In Thailand, very few studies were conducted about TT a toddler, and all of the studies were descriptive. The purpose of this evidence-based practice project was to determine the effectiveness of a parental education intervention about TT, …

The Impact Of Community Use Of Novel Oral Anticoagulants On An Academic Medical Center, Luis Eraso, Md, Taki Galanis, Md, Kristina Kipp, Pharm.D., Walter K. Kraft, Md, Michael Palladino, Pharm.D., Cacp, Alejandro Perez, Md, Kimberle Ferebee-Spruill, Crnp, Geno Merli, Md, Brian G. Swift, Pharm.D., Mba, Lynda Thomson, Brittany Vining

Department of Pharmacology and Experimental Therapeutics Faculty Papers

Warfarin has been a mainstay of therapy for treatment and prevention of venous thromboembolic disease (VTED) and prevention of stroke and systemic embolism for over 50 years. Recent FDA approval of several novel oral anticoagulants has offered more extensive treatment options for management of these disease states.

The availability of the novel anticoagulants offers an attractive alternative to warfarin therapy for patients due to their convenience of use. In comparison to warfarin, dabigatran, rivaroxaban and apixaban offer: - a fixed dosage regimen

- a relatively small potential drug interaction profile

- minimal laboratory monitoring

- little to no dietary restrictions. …

Op-Ed: After Hospital Care, The Test Begins. Even For A Healthcare Professional, A Patient's Care Following Discharge Can Be Overwhelming., Beth Ann Swan

College of Nursing Faculty Papers & Presentations

In 2011, my husband, Eric, a trial attorney, was felled by a brain stem stroke just before he was to board a flight at O'Hare in Chicago. He was just 53 years old with no prior health conditions or problems. From the outset, we knew his recovery and rehabilitation would be long and difficult. We didn't know that his transition to post-hospital medical care would be just as challenging.

I'm the dean and a professor at the Jefferson School of Nursing at Thomas Jefferson University in Philadelphia, and I'm a registered nurse. I thought my training and access to resources …

Interprofessional Roles Shoulder Dystocia: Maximizing Safety In Community Hospitals, Elizabeth Yznaga

Doctor of Nursing Practice (DNP) Projects

Prompted by evidence that clinical simulations improve patient safety, team simulations are emerging in hospital settings. Accrediting organizations such as the U.S. Joint Commission on Accreditation of Healthcare Organizations and the American College of Obstetricians and Gynecologists (Joint Commission, 2004, American College of Obstetricians and Gynecologists, 2002) have recommend simulation of obstetrical emergencies, including shoulder dystocia for hospital teams. National patient safety mandates for simulation training of critical events have not been available to small, rural hospitals because of lack of talent and equipment, creating a gap in resources. Other than demonstrations by manikin companies, this author has currently been …

Debriefing Simulations: Comparison Of Debriefing With Video And Debriefing Alone, Shelly J. Reed, Claire M. Andrews, Patricia K. Ravert

Faculty Publications

Background: Debriefing as part of the simulation experience is regarded as essential for learning. Evidence concerning best debriefing practices from the standpoint of a student nurse participant is minimal, particularly when comparing debriefing types. This study evaluated the differences in the student experience between two debriefing types: debriefing with video and debriefing without video (debriefing alone). Method: Nursing students participating in an intensive care simulation were randomized into one of the two debriefing types: debriefing with video (n = 32) and debriefing alone (n = 32) following simulation completion. After debriefing was completed, studentswere asked to complete a debriefing experience …

Evaluation Of An Innovative Program To Improve Outcomes Among Military Beneficiaries With Diabetes, Carol A.B. Andrews

Nursing Theses and Dissertations

Patient Centered Medical Home (PCMH) is a health care model implemented in all United States Air Force (USAF) medical facilities which uses a team-based approach to promote accessibility, quality care, and appropriate service utilization, while decreasing costs. To measure the effectiveness of this model, the National Committee for Quality Assurance (NCQA) has developed a tool to document and recognize facilities that incorporate all model elements. However, the effects of the full model implementation on patient outcomes in military settings have not been studied. This research fills an important gap in the literature because it studies the effect of PCMH implementation …

Challenges Of Smoking Cessation Research In Mongolia, Carol M. Rowley

Nursing Theses and Dissertations

The deleterious impact of tobacco use on health has been well-known for years. Nevertheless, cigarette smoking is a behavior which generally is not easily abandoned due to its addictive propensities. Thus, it is important for nurses to be competent in the delivery of evidence-based smoking cessation interventions which can help their clients achieve tobacco-free status. This need is particularly urgent in nations with high smoking prevalence rates, including many developing nations. The purpose of this study was two-fold. First, an investigation was undertaken to determine the smoking habits and influences among Eastern European nations, the former Soviet Union, and Mongolia. …

Fit To Care: An Action Research Study Exploring The Use Of Communication Theory To Strengthen Caring Relationships Between Teachers And Students, Pamela K. Lake

Nursing Theses and Dissertations

Watson's Theory of Human Caring lends theoretical structure to nursing curricula grounded in Caring Science. A key principle within the theory is the caring trusting teacher-student relationship. This relationship can be threatened by the need to relay instructional feedback to students when performance has fallen below standards. The tension resulting from this exchange is uncomfortable to all concerned and can damage the relationship and lead to even worse student performance. Nursing literature has not reported studies addressing this problem. Communication studies have extensive reports of such research. Feedback Intervention Theory (FIT) is based on skilled facework to improve student outcomes …

Chhs May/June 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.

Depression Screening Of Young Adult Freshmen Students, Marlee R. Steele

Evidence-Based Practice Project Reports

Depression is a mental health issue that requires prompt identification and treatment. According to the CDC, it is estimated that in the U.S .one in 10 adults suffer from depression (CDC, 2011) with 4.7% of young adults, 18-39 years, suffer from depression (CDC, 2006). Many young adults report that college life is often more stressful than anticipated and the demands placed not only academically, but also socially, adversely affect their psychological and physical health (Dyson & Renk, 2006). The purpose of this EBP project was to answer the PICOT question: How does a depression screening tool in combination with a …

Nursing Interventions That Facilitate End-Of-Life Decision-Making In Pediatric Oncology, Lauren Baeringer

HIM 1990-2015

Nearly one-third of all pediatric oncology patients die from their disease, so nurses need to have an evidence-based standard of practice to guide their role in end-of-life decision-making. The purpose of this integrative review is to analyze current research on end-of-life decision-making within pediatric oncology to create a practice guideline for nurses working with this patient population. Eleven studies were examined to identify nursing interventions regarding the role of the nurse in end-of-life care, the role of the nurse in end-of-life decision-making, parent involvement in end-of-life decision-making, and child involvement in end-of-life decision-making, including the child's ability to participate in …

Interventions For Treatment Related Side Effects In Older Women With Breast Cancer, Stephanie Suarez

HIM 1990-2015

Over half (57%) of the women diagnosed with breast cancer are age 65 and older. Treatment for breast cancer may exacerbate current chronic illnesses and/or cause multiple treatment related side effects such as insomnia, fatigue, decreased physical functioning, alterations in body image, poorer quality of life, and changes in psychosocial health. While many women with breast cancer experience these changes, research suggests that older women have different needs than younger women and may not always benefit from interventions. The purpose of this integrative review of literature was to evaluate interventions designed to improve treatment related side effects in female breast …

Women's Perceptions Of Nursing Care And Management After First Trimester Miscarriage, Jennifer Mcgee

HIM 1990-2015

Spontaneous abortion, or miscarriage, is an event that affects approximately one in four women during their reproductive years. Despite the psychological and physiological trauma associated with the loss of pregnancy, few evidence-based practice recommendations exist to guide nursing care of women experiencing first trimester miscarriage. The purpose of this integrative review of literature was to examine research related to women's health care experiences of first trimester miscarriage and discuss common themes relating to nursing care. Inclusion criteria consisted of peer review research articles published after 2001 and available in the English language and women that experienced miscarriage during the first …

Evaluation Of Computer-Based Simulation For Pain Management Education, Nicole Gerardi

HIM 1990-2015

Effective pain management is an elusive concept in the acute care setting. Improving nurses' knowledge about optimal pain management is one way to improve the patient's pain experience. A computer-simulation game was developed as an alternative method of teaching the subject of pain management to nursing students. In the game, two patient scenarios are presented, one male and one female. Both patients present with acute pain and request help from the nurse. The player progresses through a series of nine questions as the scenarios unfold, each with one best or correct answer. The purpose of this study was to evaluate …

Factors Contributing To The Commission Of Errors And Omission Of Standard Nursing Practice Among New Nurses, Rachel Knowles

HIM 1990-2015

Every year, millions of medical errors are committed, costing not only patient health and satisfaction, but thousands of lives and billions of dollars. Errors occur in many areas of the healthcare environment, including the profession of nursing. Nurses provide and delegate patient care and consequently, standard nursing responsibilities such as medication administration, charting, patient education, and basic life support protocol may be incorrect, inadequate, or omitted. Although there is much literature about errors among the general nurse population and there is indication that new nurses commit more errors than experienced nurses, not much literature asks the following question: What are …

Support Systems In Adolescents With Type 1 Diabetes Mellitus And The Relationship To Diabetes-Related Stress, Conflict, And Metabolic Control, Samuel Foarde

HIM 1990-2015

The purpose of this integrated review of the literature was to explore the effects of social support on diabetes-related stress, conflict, and metabolic control in adolescents with type 1 diabetes mellitus (T1DM). Social support was examined in four subgroups: adolescents with T1DM, family caregivers, peers, and teachers. Relevant findings in the literature revealed a significant deficiency of research devoted to adolescent males with diabetes as well as fathers as primary and secondary caregivers. Studies highlighted the importance of fostering autonomy and positive self-image in adolescents with T1DM and described effective interventions to improve diabetes-related stress, reduce disease-related conflict, and improve …

Performance Differences Between Novice And Experienced Critical Care Nurses: A Replication Study, Josefina Inoturan Alejandro

Doctoral Projects

No abstract provided.

The Lived Experience Of Families With A Mentally Ill Family Member, Moses Wankiiri, Karen B. Drake, Kimberley R. Meyer

School of Nursing & Midwifery, East Africa

The study of the lived experience of families with a mentally ill family member involved seven family members who had come to visit their mentally ill relatives in the mental Hospital. The major objective was to explore the lived experience of families with a persistent1 mentally ill family member. The study adopted a qualitative descriptive-phenomenological design, participants were purposively sampled and data was collected using a tape recorder. Colaizzi’s phenomenological approach for data management was then employed. The study revealed that family members held misconceptions about mental illness
and described care as a contractual obligation. They lived in misery as …

Psychometric Properties Of Standardized Patient And Faculty Rater's Evaluations Of Pre-Licensure Nursing Student Competencies, Karen A. Macauley Phd, Dnp, Fnp-Bc, Gnp, Bc

Dissertations

The use of simulation as a teaching modality has been rooted in the military, aviation, space, and engineering for centuries (Bradley, 2006). Clinical simulation allows for training of healthcare providers that might be too costly, risky, or hazardous in the clinical setting (Bradley, 2006). A variety of simulation modalities are used including virtual learning, task trainers, mannequins, and standardized patients (SPs). External demands for improved accountability of clinical performance is requiring nursing educators to reevaluate methods of teaching and how we measure nursing competence (Nehring & Lashley, 2010). Standardized patients have been used in medical school curricula to teach and …

Description Of Medical-Surgical Nurses Care Of Patients At Risk For Pressure Ulcers, Barbara Jean Mayer Phd

Dissertations

Aim: The purpose of this qualitative study was to explore and describe the level of understanding of PU development and prevention and perceptions of implementing PU prevention measures in nurses caring for patients in medical-surgical units. Method: The study was conducted in three (3) community hospitals within the same healthcare system using an Interpretive Description approach. Six (6) focus groups were conducted including thirty (30) participants. Findings: Participants described their knowledge of PU development and prevention as good and perceived continuing education as important in maintaining knowledge levels. Two (2) methods of identifying patients at risk for PU development were …

Risk-Appropriate Maternal Care: Identifying Risk Factors That Effect Maternal Outcome, Lucy R. Van Otterloo Phd, Msn, Rnc, Cns

Dissertations

Although maternal deaths are the most tragic of obstetric events it continues to be a rare event. Maternal morbidity, on the other hand, is increasing and poses a greater impact on the economic, psychological, and physical health of the woman and her family, yet it has not been the focus of measurement or research since there is no systematic collection of data available. As complications increase, the likelihood of adverse maternal outcomes such as longer postpartum stays due to the need for more extensive care will also increase. Nurses are being challenged to use their knowledge and skills to identify …

Perceptions Of Workplace Bullying Among Practicing Registered Nurses, Crystal Regina Threadgill

Dissertations

Workplace bullying (WPB) is a social and organizational problem. Within the health care arena, employees, particularly registered nurses, are at risk. WPB has several adverse effects and has been cited in the literature as closely associated with burnout and nurses leaving their positions. This quantitative study examined workplace bullying among practicing registered and its relationship with burnout and nurses’ intent to leave their current position.

The surveys utilized were the Negative Acts Questionnaires-Revised (NAQ-R), Maslach Burnout Inventory Survey, Intention to Turnover Scale and a demographic survey. Of the surveys distributed, a total of 185 were returned from one selected hospital …

The Association Between Maternal Resiliency, Perceptions Of Touch, And Reports Of Infant Touch, Lisa D'Agostino

HIM 1990-2015

No abstract provided.

Young-Onset Dementia: The Child's Experience With Coping, Jamie Zeher

HIM 1990-2015

Young onset dementia (YOD) affects not only the person diagnosed, but the family unit as a whole. It is estimated that as many as 500,000 people in the United States have YOD and around 250,000 children are involved in caring for these people. A child of a parent with YOD can begin to experience negative effects when the child begins to take part in caregiving for the person with young onset dementia (PWYOD). Feelings of stress, anger, fear of the future, depression, social isolation, and increasing responsibility of caring for the PWYOD can be felt by children as caregivers. Research …

The Perception Of Health Assets Of A Rural Idaho Community Based On The Community-As-Partner Model, Cherno Bah

Boise State University Theses and Dissertations

To improve the health status of rural communities, it is important to recognize and utilize all available health assets the community has to offer. When considering health assets, community members often fail to recognize resources such as economic status, communication, education, recreation, and politics, and instead focus only on obvious resources such as available physicians, Emergency Medical Technician (EMT) services and access to health clinics. The purpose of this study was to identify what community health assets are perceived among members of the rural community of Grangeville, Idaho and how these assets might be categorized according to the nine sub-systems …

The Impact Of Technology Attitudes And Skills Of Rural Health Clinic Nurses On The Level Of Adoption Of Electronic Health Records In Mississippi, Jennifer Lynn Styron

Dissertations

The evolution of health information technology continues to reform the delivery of efficient, safe, and equitable healthcare in the United States. One such example is the emergence of electronic health records (EHRs) and the discerning emphasis placed on using this technology in meaningful ways. While the integration of EHRs into daily practice impacts all healthcare professionals, nurses remain a prominent driver in the successful adoption and usage of these systems. It is therefore imperative to understand the impact of nurses’ technology attitudes and skills on the level of EHR adoption in Mississippi.

This quantitative study examined the technology attitudes and …

Toward A Model For Predicting Depression Among Veterans, Nita Aurora Magee-Cornelius

Dissertations

Major depression, identified as a leading cause of disability in the United States, is often first diagnosed by primary care providers. This disability is associated with increased morbidity, mortality, and a lower quality of life. With approximately one in every three veteran diagnosed with depression and the rate of suicide increasing in the United States military (Department of Veterans Affairs, 2009), the Patient Health Questionnaire-2 items (PHQ-2) can be instrumental in identification and monitoring of depressive symptoms. The purposes of this retrospective study were to determine the prevalence of depression, as measured by the federally mandated PHQ-2 in the VA, …