Digital Commons Network^™

Sexually Transmitted Disease Education And Effects On Condom Use In College Students, Patricia Alvarez

Doctoral Projects

In the United States, nearly 50% of the sexually transmitted diseases (STDs) reported each year occur in adolescents and young adults ages 15-24. An IRB approved, exploratory mix method research study was conducted in a California Community College to investigate participants' opinions on STD education tools, effectiveness, and to rank preferred instructional methods used in 51h-12'h grades. One hundred and thirteen students participated and reported use of variety of educational tools with the lecture technique selected by almost 80% surveyed. Demonstration of condom application had highest percent ranked as number one for the preferred educational tool; yet had the least …

Access To Care Barriers For Native American Veterans, Joanne Kristen Rhoads

Doctoral Projects

There are very few studies that examine Native American Veterans and access to care issues. Therefore, the researchers implemented an exploratory, descriptive, qualitative project to explore and identify the potential barriers that Native American Veterans have experienced with access to healthcare and participation in veteran benefit programs. A purposeful sample consisted of 14 Native veterans from the American Indian Veteran Association who were eligible for veteran services, and were willing to participate in the project. Fieldwork was performed in the natural environment of the Sierra Nevada foothills on the ancestral homeland of a California Tribe. The facilitator utilized a demographic …

Sternal Precautions: Is It Necessary To Restrict Our Patients?, Lauren Belyea

Honors College Theses

This paper is based on the inquiry about the effects of sternal precautions as part of a patient’s recovery following a sternotomy. It is important to explore this because nurses should always be asking themselves “why am I doing what I am doing with my patients?” “Which of my practices are evidence based and which do not have any evidence to support them?” (MeInyk, 2009). If sternal precautions are indeed overly restrictive and preventing patients from achieving the best possible recovery outcomes, it is the job of the nurse and other healthcare providers to make changes to the current practice.

Promoting Adult Pertussis Vaccination In The Workplace, Jennifer Bainum, Karlen Beth Luthy, Renea L. Beckstrand, Janelle L. B. Macintosh, Lacey M. Eden

Student Works

Vaccines are an important disease prevention strategy among individuals of all age groups. Despite the success of vaccinations in preventing communicable diseases, adults, in particular, often have sub-optimal vaccination rates. Consequently, some vaccine-preventable diseases, such as pertussis, are still on the rise in the United States despite the availability of the Tdap vaccine. As most adults can be found in the workplace, occupational health and environmental health nurses (OHEHNs) are in a unique role to encourage employers to promote adequate Tdap vaccination among their employees. As specific resources regarding Tdap vaccination are lacking, the Pertussis Prevention Toolkit was developed to …

Childhood Type Ii Diabetes: The Risks And Complications, Danielle R. Kapke

Senior Honors Theses

Type II Diabetes Mellitus is an endocrine disorder that affects people of all ages. Type II Diabetes was once considered adult-onset diabetes, as it was nearly exclusively diagnosed in adults. Over the last three decades, the number of children diagnosed with Type II Diabetes has greatly increased. This rapid increase in childhood Type II Diabetes has prompted researchers to investigate why the epidemic exists and what its life-long ramifications may be for those diagnosed. Childhood Type II Diabetes is a heterogeneous disorder, meaning it is caused by both genetic and environmental factors. The incidence of childhood Type II Diabetes can …

Volume 07, Rachel C. Lombardi, Ben Osterhout, Lindsay Graybill, Rebecca E. Dey, Skyler T. Carpenter, Emma Beckett, Jason Ware, Mollie Andrews, James Bates, Landon Cooper, Tiffani Jeffries, Maria Wheaton, Dallas Price, Laura Kahler, Sarah Charlton, Anna Bultrowicz, Emily Spittle, Erin Godwin, Eamon Brokenbrough

Incite: The Journal of Undergraduate Scholarship

Introduction from Interim Dean Dr. Jennifer Apperson

Spatial Analysis of Potential Risk Factors Associated with Addition of Atlantic Coast Pipeline Through Virginia by Rachel C. Lombardi

"Delicate Matters with No Speaking," "Hope and Nothing," "Mono Duality" by Ben Osterhout

"Connect" Graphic Design Senior Project by Lindsay Graybill

Phenolic Acids in Brassicaceae Plants: Ovipositional Stimulants or Deterrents for Cabbage White Butterfly, Pieris Rapae? by Rebecca E. Dey And Skyler T. Carpenter

"Abecedarian Cards" by Emma Beckett, Jason Ware, And Mollie Andrews

Helvetica: A Type Specimen Book by James Bates, Landon Cooper, Tiffani Jeffries, And Maria Wheaton

“Things Left Behind” by Dallas …

The Impact Of State Certification Of Community Health Workers On Team Climate Among Registered Nurses In The United States, Mark Siemon, Geoff Shuster, Blake Boursaw

Nursing Faculty Publications and Presentations

A number of states have adopted certification programs for community health workers (CHWs) to improve recognition of CHWs as members of health care teams, increase oversight, and to provide sustainable funding. There has been little research into the impact of state CHW certification on the diffusion and adoption of CHWs into existing health care systems. This study examined the impact of state CHW certification on the perceptions of team climate among registered nurses (RNs) who work with CHWs in states with and without CHW certification programs. The study recruited RNs using a purposeful sampling method and used an online survey, …

Knowledge Of Stroke Symptom And Risk Factors And Acculturation Among Cambodian Immigrants Living In Southern California, Samantha N. Sangsanoi-Terkchareon

Dissertations

The purpose of this quantitative study was to describe and examine the relationships between age, gender, educational level, health insurance status, and income to level of acculturation and knowledge of stroke symptom and risk factors recognition among Cambodian immigrants (n=200) living in Southern California. The data were analyzed using Pearson correlation, Kendal Tau, Chi-Square, and multiple regression to the determine relationship between depend and independent variables. The results of this study were that Cambodian participants’ mean age was 46.07 (SD= 17.51), average years of education were 8.95 (SD=5.26) and the mean number of people in each household was …

Does The Addition Of Dexamethasone To Local Anesthetic Used For Peripheral Nerve Block Prolong Analgesia In The Surgical Patient?, Janice M. Oliveira

Nurse Anesthesia MSNA Student Capstones

Pain after orthopedic surgery can be intense. Many anesthesia providers and orthopedic surgeons support the use of peripheral nerve blockade to assist in decreasing the amount of pain a patient may experience post operatively. Select medication adjuncts are being added to peripheral nerve blocks to prolong analgesia. The research presented here focuses on the addition of dexamethasone to peripheral nerve blocks to prolong analgesia. Dexamethasone is a synthetic glucocorticoid that acts as an anti-inflammatory. It has been shown to inhibit the release of inflammatory mediators such as, interleukins and cytokines, facilitating the release of anti-inflammatory mediators, decreasing postoperative pain. Recent …

Understanding And Treating Emergence Delirium, Peter Currie

Nurse Anesthesia MSNA Student Capstones

This paper examines our current understanding of the phenomena of emergence delirium, which can occur following general anesthesia. Much research has been conducted to elucidate the causative factors of this condition, with findings ranging from anxiety to volatile agents and the neurodevelopment of the brain (Aono, Ueda, & Mamiya, 1997; Kain et al., 2004; McLott, Jurecic, Hemphill, & Dunn, 2013). While much of our understanding of emergence delirium has come from studying children, who are more prone to this condition, we can attempt to learn even more by examining the increased incidence of emergence delirium that occurs in those with …

Assessment Of The Preoperative Assessment: A Case Study, Steven James Birchenough

Nurse Anesthesia MSNA Student Capstones

The geriatric population defined as individuals 65 years of age or older is expected to increase to 20% of the total population by the year 2020. This population currently makes up one-third of the surgical population and is projected to double by 2020. The perioperative risks for this population are also increased and pose significant increases in morbidity and mortality. The need for a detailed preoperative assessment is crucial in any surgical patient. It is increasingly imperative for the geriatric surgical patient as assessment is vital for the surgical team to make decisions regarding the projected necessity, plan and desired …

Minimal Opioid Anesthetic In Patient With History Of Substance Abuse: A Case Study, Sarah E. Varney

Nurse Anesthesia MSNA Student Capstones

More than half of the population in the United States of America drinks alcohol regularly. Thousands of deaths annually are linked to drug overdoses, and that number continues to rise. Anesthesia professionals can expect to see patients in various levels of substance abuse and recovery during their practice. This case study is presented to discuss a minimal narcotic technique given in a patient with a history of prescription drug abuse, who had been substance free since successfully been through a recovery program years prior.

Detection And Treatment Of Hemorrhage In The Postoperative Patient, Vanessa M. Derosby

Nurse Anesthesia MSNA Student Capstones

Hemorrhage is a devastating event that can occur in the perioperative period. It is estimated that 2.35 in 1000 patients will experience hemorrhage associate with surgery. Adverse outcomes affecting patient morbidity, mortality and quality of life are associated with hemorrhage. Timely detection, diagnosis and appropriate intervention in the setting of hemorrhage are imperative to reduce adverse outcomes of shock such as end organ damage, chronic disability or death. Anesthesia practitioners hold the charge of monitoring and managing the patient’s hemodynamic status and play an integral role in the detection and management of the hemorrhaging patient.

A Dual Conversation About Mentoring: Undergraduate Student Faculty Perspectives, Belinda Deal, Jennifer Grimes

Faculty Posters

This poster was presented at the Sigma Theta Tau, Beta Chi Regional Research Conference in Shreveport, LA.

Active Learning And Technology Immersion: Jumping In With Both Feet, Belinda Deal, Jerri L. Post

Faculty Posters

This poster was presented at the Sigma Theta Tau, Beta Chi Regional Research Conference in Shreveport, LA.

The Affordable Care Act And Student Perceptions, Jenifer Chilton, Danice B. Greer, Melinda Hermanns, Colleen Marzilli

Faculty Posters

A poster presented at UT Tyler's Faculty Awards, 2015.

Successful Strategies For Recruiting Minority Participants In Clinical Research, Danice B. Greer

Nursing Faculty Publications and Presentations

This presentation discusses the history of and successful strategies for recruiting minorities in participating in clinical research.

Are We Empowered? A Qualitative Approach To Unfold The Experiences Of Female Nurses In Pakistan, Saleema A. Gulzar, Rozina Karmaliani, Nasreen Lalani, Qurratulain Nasiruddin

School of Nursing & Midwifery

The disparity of men and women in certain societies, such as Pakistan, is a growing concern. The disparity, unchanging mind-set, and definitions rooted in traditions do not free individuals from the socially bound gender identities. In such circumstances, educational institutions can become a way of transforming social structures. Considering female nurses in Pakistan as a case study, this paper explores the notion of “empowerment” and the factors responsible for empowerment or disempowerment of female nurses. The study also evaluates the role of a leading nursing institution in Pakistan namely the Aga Khan University- School of Nursing and Midwifery (AKUSONAM) in …

El Rol Del Parto Mapuche En El Mundo De La Medicina Moderna / The Role Of Mapuche Birth In A World Of Modern Medicine, Nita Chai

Independent Study Project (ISP) Collection

Research Question: Is there existing demand for Mapuche birth practices and what are the barriers to incorporating them in the Chilean healthcare system? Objective: Analyze the current role of Mapuche birth practicesby determining what is the demand from the Mapuche for their use, describing the quality of communication between Mapuche women andmodern professionals, and identifying the perspectives of modern professionals on Mapuche birth practices. Background: Childbirth is an integral process for the human race. For many indigenous communities, the arrival of a new life holds cultural significance that is recognized through ceremonies during or after childbirth. Chile has implemented health …

Use Of Quick Response Coding To Create Interactive Patient And Provider Resources., Jennifer L. Bellot, Phd, Rn, Cne, Kathryn Shaffer, Edd, Rn, Cne, Mary Wang, Msn, Crnp

College of Nursing Faculty Papers & Presentations

BACKGROUND: Since their creation more than 20 years ago, the proliferation of Quick Response (QR) codes has expanded tremendously. Little was found in the literature to support the innovative use of QR coding in the classroom or in health care provision. Thus, the authors created a doctoral-level practicum experience using QR coding to create interactive, individualized patient or provider resource guides.

METHOD: Short, descriptive surveys were used before and after implementation of the practicum experience to determine students' comfort level using QR technology, their knowledge base, ease of use, and overall satisfaction with the practicum.

RESULTS: Students reported high levels …

Are You Demonstrating The Value Of Caring?, Beth B. Boyd

Nursing Faculty Publications

Are you making a difference? Christian values and caring are at the heart of nursing practice. However, it seems there is little talk about caring values with nursing students, even though nurse educators can share these important messages with their students. Demonstrating compassion and caring in an environment of mutual respect can truly make a difference to future nurses.

Identification Of Candidate Genes For Psychological Resilience To Develop An Additive Genetic Resilience Index: An Integrative Review, Kosuke Niitsu, Julia F. Houfek

Posters and Presentations: College of Nursing

Problem: Most individuals experience at least one potentially traumatic event (PTE), such as tornado, in their lifetime. When exposed to PTEs, some individuals are more vulnerable to psychopathology, such as Posttraumatic Stress Disorder (PTSD). In contrast, other individuals are better able to cope with PTEs and maintain their psychological health. Such individuals are often described as psychologically resilient. Resilience is heritable, influenced by multiple genes including the Serotonin-Transporter-Linked Polymorphic Region (5-HTTLPR), the most studied candidate gene. Because resilience is polygenic, it is important to consider the influence of multiple genes in addition to 5-HTTLPR when studying the heritable component of …

What Will Nursing In Your Organization Look Like In 2020? Strategic Planning To Ignite The Ideal Future State. (Poster), Jacqueline D. Fenicle Rn, Msn, Nea-Bc

Patient Care Services / Nursing

No abstract provided.

The Stethoscoop, April 2015, Mennonite College Of Nursing

The Stethoscoop (2013-2017)

The Stethoscoop is the newsletter for Mennonite College of Nursing students.

Levels Of Empathy In Undergraduate Healthcare Professions Students, Ashley M. Tegge

Honors Projects

Empathy is a central component in effective healthcare provider-patient relationships, yet evidence exists that healthcare professions students lack empathy. A cross-sectional survey was completed to identify whether a relationship exists between empathy levels in baccalaureate nursing, psychology, pre-medical, pre-dental, pre-physical therapy, and pre-occupational therapy majors who have or have not identified a projected specialty within their profession upon entry into practice, and compare these findings. A 28-item questionnaire was completed by a convenience sample of 202 students with declared majors in the healthcare professions of interest. There was no significant difference in empathy levels between students of all majors who …

Masking Tuberculosis Patients, James Bowen, Austin Greenwood

Graduate Research Projects

Authors proposed a study to determine what effect a non-fit-tested patient-worn surgical mask has on inpatient tuberculosis transmission rates as compared to no mask usage.

Effectiveness Of Two Various Types Of School-Based Instruction Methods In Relation To Bmi, Physical Activity, And Nutrition Outcomes, Sherri Bakland, Elizabeth Moore-Jones

Graduate Research Projects

No abstract provided.

Perception Of Cultural Competence In Nurse Practitioners, Carolina G. Huerta, Peter L. Kranz, Janice A. Maville

School of Nursing Faculty Publications

Purpose: Nurse practitioners are at the forefront in providing quality care to diverse populations and must become cognizant of the importance of cultural competence in caring for diverse patients. The purpose of this study was to examine perceptions of cultural competence and its integration in the delivery of health care in nurse practitioners practicing in a Mexican-American region of South Texas.

Methodology: A descriptive, qualitative design using grounded theory and purposive sampling was utilized for this study. Sixteen nurse practitioners, fourteen females and two males, participated in the study. Qualitative data collection was elicited through individual interviews and …

Medication Reconciliation: A New Role To Decrease Discrepancies, Amanda Fougere, Tracie Heckman Msn, Rn, Cmsrn

Patient Care Services / Nursing

No abstract provided.

Loma Linda Nurse - Vol. 23, No. 01, Loma Linda University School Of Nursing

Loma Linda Nurse

Contents

From the dean

2 | Elizabeth Bossert shares her thoughts

News

4 | New dean continues tradition of strong leadership at LLU School of Nursing

6 | Honoring outgoing dean Marilyn Herrmann

7 | New BS-to-DNP program to begin

8 | First class of CRNA students graduates

9 | Vision 2020 charts future of Loma Linda University Health

10 | School expands to fill West Hall and upgrades skills laboratories

Features

12 | Learning assistance program offers safety net for struggling nursing students

14 Alumni profile: Dexter Emoto honored by grateful patient

15 | Student profile: Christian Rawlon gives …