Digital Commons Network^™

Care In Birth Centers Vs. Hospitals: Which Is Better?, Melissa Shank, Gemma Ryder

Nursing Student Work

No abstract provided.

A Comparison Of Out Of Hospital Births And Hospital Births In Low Risk Pregnancies, Amanda Smyth, Michelle Reck

Nursing Student Work

No abstract provided.

Need For Education And Support Of Breastfeeding In Preterm Infants, Casey Evers, Heather Cook

Nursing Student Work

No abstract provided.

Burnout: Absence Of Binding Diagnostic Criteria Hampers Prevalence Estimates, Renzo Bianchi, Irvin Sam Schonfeld, Eric Laurent

Publications and Research

Comments on an article by Jef Adriaenssens et al. (see record 2015-00662-015). In a recent review paper, Adriaenssens et al. concluded that about 26% of emergency nurses (EN) suffer from burnout and described their results as alarming. While commentators applaud Adriaenssens et al. efforts to provide a clearer picture of ill-health in EN, they thought that these authors' conclusions were weakened by a fundamental fact, namely, the absence of consensual, clinically valid diagnostic criteria for burnout. Trying to determine the prevalence of a condition that has no binding diagnostic criteria is problematic. Indeed, depending on how researchers decide to …

Evaluation Of The Move Program On Weight Loss Among Veterans, William Justin Allen

DNP Projects

The most current estimations from the CDC classify more than one third of the American population as obese (2011). This epidemic continues to contribute to a number of chronic diseases across the country including diabetes and heart disease, both associated with high morbidity and mortality (NHLBI, 1998). Billions of dollars are spent annually on obesity and obesity related conditions.

Perhaps this is what led the U.S. Department of Health and Human Services (HHS) to select Nutrition, Physical Activity, and Obesity as a Leading Health Indicator in Healthy People 2020. The updated NHLBI guidelines, based on clinical evidence, offer a blueprint …

Evaluation Of Primary Care Providers' Utilization Of Angiotensin-Converting Enzyme Inhibitor Therapy In Heart Failure Patients, Trisna P. Gozali

DNP Projects

Background: ACEI has been shown to help decrease mortality, morbidity, rate of re-hospitalization, and to improve symptoms of heart failure (HF). However, the rate of ACEI use for HF patients remain low despite the recommendations made by the ACCF/AHA Task Force in the current 2013 HF guideline. It is important to increase the use of ACEI because of its positive effect on the outcome of HF. In addition, improper charting could skew the number of patients who are actually taking ACEI, making it less than it actually it. Thus, providers should be on the forefront of encouraging ACEI use, especially …

Evaluation Of A Rheumatology Patient Prioritization Triage System, Katharine R. Layton

DNP Projects

The United States health care system is currently experiencing an increase in demand for services due to an aging population. Rheumatology, an Internal Medicine sub-specialty, treats those patients with arthritic conditions as well as other autoimmune and inflammatory conditions. A shortage of rheumatologists is projected by 2025, adding additional stress to an already burdened clinical area.This means patients can face substantial wait times when requesting consultation with a rheumatology provider.This capstone project will present three manuscripts that explore the referral process from primary to specialty care and strategies to reduce wait times. The first manuscript is a literature review that …

Examining Provider Perspectives On Implementation Of An Integrated Primary And Behavioral Health Care Model In The Outpatient Setting: A Qualitative Study, Holly Gray

DNP Projects

AIM The purpose of this qualitative descriptive research study was to identify and describe primary and mental health provider perspectives, including attitudes and knowledge related to integration of primary and behavioral health care in the outpatient setting. One objective of this project was to gather information from providers in both primary and behavioral health settings to ascertain how they perceive the idea of integrated care. Another objective of this project was to gather information about provider perception of current practice protocols for treatment of patients with comorbid physical and mental health issues, perceived facilitators and barriers to integrated care, and …

An Assessment Of Knowledge And Attitude Towards Stock Epinephrine Among Kentucky School Nurses, Brandi M. Duran

DNP Projects

This cross-sectional, pre-post intervention study was designed to gather information on Kentucky School Nurses attitude and knowledge toward non-prescribed epinephrine auto injectors in Kentucky Schools. All 500 members of the Kentucky Schools Nurses Association received a link to the pretest, educational intervention and posttest via email. Of those, 75 nurses responded and 72 were eligible to participate in the study. The data was analyzed through a paired t-test using SPSS. The results showed an increase in level of comfort with epinephrine, although it was not statistically significant. There was a statistical significance between the pretest and posttest when school nurses …

The Effects Of Nutritional Status Assessment By Pre-Albumin Level And Its Effects On Functional Independence Measures (Fim) In Adult Patients After Fall And Fracture, Saeed Niyati

Doctor of Nursing Practice (DNP) Scholarly Projects - Archive

Background: Fall is leading cause of injury in elderly persons. Nutritional status is an important aspect of elderly life that influences daily activities, quality of life in patients with fall and fractures. Objectives: To evaluate the effects of nutritional assessment by prealbumin level on Functional Independence Measures (FIM) and Length of Stay (LOS)in elderly population with fall and fracture in rehabilitation hospital. Methods: This study design was a one group pretest-posttest without a control group. Seventy one patients (n=71) 65 years or older who were admitted to the rehabilitation hospital with a diagnosis of fall and fracture recruited. Nutritional status …

Mental Health Access Among International College Students, Linda Bett

Doctor of Nursing Practice (DNP) Scholarly Projects - Archive

The International student population is steadily rising in various campuses across the United States (U.S). Mental health concerns such as mood, anxiety, adjustment disorders, relationship problems, and academic struggles are significant among this population (Mitchell, Greenwood, and Guglielmi, 2007; Yorgason, Linville, and Zitzman, 2008). Lack of knowledge, fear, stigma, poor support resources, unawareness of service availability, beliefs, culture, and mental health experiences have been voiced as reasons that impact help seeking attitudes. Early mental health interventions are therefore warranted; if mental health concerns are left unaddressed they could result in a decreased ability to function or more fatal consequences such …

Psychological Well-Being Among Breast Cancer Survivors: Factors That Influence Transition From Primary Treatment To Early Survivorship, Celestine G. Gochett

Theses and Dissertations--Nursing

Eudaimonic psychological well-being (PWB) refers to a lifelong process of purposeful engagement in goal-driven tasks or activities resulting in positive psychological functioning. These activities reflect autonomy, purpose in life, self-acceptance, personal growth, positive relations with others, and environmental mastery. While more women are surviving breast cancer, they face a multitude of late and long term physiopsychosocial challenges that result from being diagnosed and treated. Protective health effects associated with the experience of PWB can potentially mitigate ill-being and benefit overall health of breast cancer survivors (BCS). Adequate preparation by healthcare teams to transition them from primary treatment to early survivorship …

The Impact Of Prenatal Depressive Symptoms, Intimate Partner Relationship, And Immune Status On Postpartum Depression, Julia J. Hall

Theses and Dissertations--Nursing

The prevalence of depression during pregnancy in the U. S. is approximately 13%. Poor quality of the intimate partner relationship is significantly correlated with depression during pregnancy. The adverse effects of antenatal depression have been widely documented. The relationship between the intimate partner relationship and depression during pregnancy has not been well delineated in the literature. Little data exist regarding the impact of prenatal immune status on risk for postpartum depression. Due to limited evidence, there is a critical need to examine the relationship among trimester specific cytokines, quality of the intimate partner relationship, and antenatal depressive symptoms on risk …

Explore The Relationship Among Lung Cancer Stigma, Social Support, And Psychosocial Distress, Lisa Maggio

Theses and Dissertations--Nursing

There is longstanding causal relationship between cigarette smoking and lung cancer. Smoke-free policies and anti-smoking campaigns have been linked to the decline in smoking acceptance and contribute to the unintended consequence of stigmatizing smokers. Lung cancer is viewed as a self-inflicted disease and patients’ feel judged in a manner different from other cancers affecting social interactions between family, friends, and healthcare professionals. Lung cancer stigma contributes to depression, anxiety, poor self-esteem, guilt, shame, blame, threatens a person’s social identity, and limits social support that deeply affects patients and their support persons.

This dissertation contains a review of the literature related …

The Impact Of Nursing A Significant Other In The Course Of Employment, Tania Arnold

Theses: Doctorates and Masters

This thesis describes the experiences of nurses and midwives working in metropolitan hospitals who cared for a significant other in their role of employment.

The absence of research directly related to this topic guided the exploration of individuals’ experiences to establish base line knowledge relating to this phenomenon.

This study used descriptive research to provide information relating to the personal and professional effects on nurses who were required to, chose to or had no choice but to care for a significant other in their role of employment. An on-line survey gathered demographic, Likert scale responses to evaluate impact on care, …

Variables In Vbac Success: A Retrospective Review Of Trial Of Labor After Cesarean (Tolac) And Labor Support, Jenna A. Koblentz

Scripps Senior Theses

For most of the 20^th century, the saying “once a cesarean, always a cesarean” was a rule in the United States. Today, the National Institutes of Health (NIH) opposes the dictum and urges women to consider trial of labor after cesarean (TOLAC). However, the factors that lead to a successful outcome remain unclear, as research continues to be conducted in hopes of creating a predictive model for vaginal birth after cesarean (VBAC) success.

The NIH’s request for more research in this area of obstetrics led to this retrospective cohort study of all TOLACs at Marin General Hospital (MGH) from …

Evaluation Of Vaccination Policies Among Utah Pediatric Clinic Employees, Tia Peterson

Theses and Dissertations

Introduction: Pediatric health care settings are high risk environments for spreading communicable and vaccine preventable diseases from health care workers to susceptible patients. Methods: All managers of pediatric clinics operating in the state of Utah were included. Participants were invited to complete a two-page questionnaire regarding their clinic vaccination policies. Results: Half (n = 23, 50%) of Utah pediatric outpatient clinics recommend employee vaccinations, although employee refusal is allowed without consequence. Of all adult vaccines, influenza was most often included as part of the employee vaccination policy. Some clinics required unvaccinated employees to wear masks in the event of illness, …

Ob-Pdcds Spanish, Marianne E. Weiss, Gabriella Malagon-Maldonado

Post-Discharge Coping Difficulty Scale (PDCDS)

The Readiness for Hospital Discharge Scale, Quality of Discharge Teaching Scale, and Post-Discharge Coping Difficulty Scale were developed by Dr. Marianne Weiss to measure nurse-sensitive discharge care processes and patient outcomes. Three versions of the scales were developed concurrently for different patient populations – Adult medical-surgical patients, Parents of hospitalized children, and Postpartum Patient mothers (see Weiss & Piacentine, 2006, Weiss et al., 2007, and Bobay et al., 2018 for description of the development and initial testing). Additional scales and information about translation rights are located at Marquette Nursing.

PERMISSION TO USE

The Readiness for Discharge Scale, Quality of Discharge …

The Balanced Counseling Strategy Plus: A Toolkit For Family Planning Service Providers Working In High Hiv/Sti Prevalence Settings (Supplemental Material In French), Population Council

Reproductive Health

The Balanced Counseling Strategy Plus (BCS+) toolkit, developed and tested in Kenya and South Africa, provides information and materials that healthcare providers need to offer complete, high-quality family planning counseling to clients living in areas with high rates of HIV and STIs. Content is in accordance with the 2015 WHO Medical Eligibility Criteria. The BCS+ provides evidence on clinical indications for the provision of family planning methods, counseling cards, instructions for providers, and guidance for supplemental counseling and services that family planning clients may need. The BCS+ includes user's guide, trainer's guide, algorithm, method brochures, and counseling cards. This publication …

The Balanced Counseling Strategy Plus: A Toolkit For Family Planning Service Providers Working In High Hiv/Sti Prevalence Settings, Population Council

Reproductive Health

The Balanced Counseling Strategy Plus (BCS+) toolkit, developed and tested in Kenya and South Africa, provides information and materials that healthcare providers need to offer complete, high-quality family planning counseling to clients living in areas with high rates of HIV and STIs. Content is in accordance with the 2015 WHO Medical Eligibility Criteria. The BCS+ provides evidence on clinical indications for the provision of family planning methods, counseling cards, instructions for providers, and guidance for supplemental counseling and services that family planning clients may need. This publication is the English language version of the user's guide, trainer's guide, algorithm, method …

The Balanced Counseling Strategy Plus: A Toolkit For Family Planning Service Providers Working In High Hiv/Sti Prevalence Settings (With Zika Information), Population Council

Reproductive Health

The Balanced Counseling Strategy Plus (BCS+) toolkit, developed and tested in Kenya and South Africa, provides information and materials that healthcare providers need to offer complete, high-quality family planning counseling to clients living in areas with high rates of HIV and STIs. Content is in accordance with the 2015 WHO Medical Eligibility Criteria. The BCS+ provides evidence on clinical indications for the provision of family planning methods, counseling cards, instructions for providers, and guidance for supplemental counseling and services that family planning clients may need. This publication is the English language version with Zika information of the user's guide, trainer's …

The Balanced Counseling Strategy Plus: A Toolkit For Family Planning Service Providers Working In High Hiv/Sti Prevalence Settings (Supplemental Material In Dari), Population Council

Reproductive Health

The Balanced Counseling Strategy Plus (BCS+) toolkit, developed and tested in Kenya and South Africa, provides information and materials that healthcare providers need to offer complete, high-quality family planning counseling to clients living in areas with high rates of HIV and STIs. Content is in accordance with the 2015 WHO Medical Eligibility Criteria. The BCS+ provides evidence on clinical indications for the provision of family planning methods, counseling cards, instructions for providers, and guidance for supplemental counseling and services that family planning clients may need. The BCS+ includes user's guide, trainer's guide, algorithm, method brochures, and counseling cards. This publication …

The Balanced Counseling Strategy Plus: A Toolkit For Family Planning Service Providers Working In High Hiv/Sti Prevalence Settings (Spanish Translation), Population Council

Reproductive Health

The Balanced Counseling Strategy Plus (BCS+) toolkit, developed and tested in Kenya and South Africa, provides information and materials that healthcare providers need to offer complete, high-quality family planning counseling to clients living in areas with high rates of HIV and STIs. Content is in accordance with the 2015 WHO Medical Eligibility Criteria. The BCS+ provides evidence on clinical indications for the provision of family planning methods, counseling cards, instructions for providers, and guidance for supplemental counseling and services that family planning clients may need. This publication is the Spanish language version of the user's guide, trainer's guide, algorithm, method …

Safe Motherhood Training For Rural Health Care Workers In Odukpani Local Government Area Of Cross River State, Nigeria, Josephine Etowa, Ekaete Asuquo, Ani Etokidem

School of Nursing & Midwifery, East Africa

Maternal mortality remains a challenge in developing countries which bear 99% of global maternal deaths (WHO, 2014). Nigeria, India, Pakistan, Afghanistan and Ethiopia carry more than 50% of the global burden of maternal mortality. According to the UNDP Human Development Report (2014), Nigeria’s maternal mortality ratio of 630 per 100,000 live births ranks among the highest in Africa. Two countries accounted for one third of all global maternal deaths: India at 17% (50 000) and Nigeria at 14% (40 000) (WHO, 2014).. Archibong and Aghan (2010) found that hospital based maternal mortality ratio in Cross River state was 1,513.4per 100,000 …

Outcomes Associated With Blood Component Transfusion In Adult Trauma Patients, Allison R. Jones

Theses and Dissertations--Nursing

The purpose of this dissertation was to evaluate outcomes associated with blood component (BC) transfusion in adult trauma patients. Specific aims were to: 1) explore the relationship between traumatic injury, hemorrhage, and BC transfusion, focusing on consequences of the component storage lesion through presentation of a conceptual model; 2) systematically review research literature comparing outcomes of massively transfused major trauma patients based on ratios of BCs received; 3) evaluating the relationship between type of blood transfusion trauma patients received (whole blood versus BCs) and mortality likelihood after controlling for demographic and clinical variables; 4) evaluating the relationship between volume and …

Colorectal Cancer Screening Practices Among Nurse Practitioners And Physician Assistants, Sandra A. Laird

Doctor of Nursing Practice (DNP) Scholarly Projects - Archive

Purpose: The purpose of this study was to describe and compare the colorectal cancer screening practices of Texas nurse practitioners (NPs) and physician assistants (PAs). Research Questions: 1) What are the beliefs, attitudes, barriers, and practices of Texas NPs and P As with regard to risk stratified CRC screening in adults? 2) Is there a relationship between provider demographics (professional role, age, gender, race/ ethnicity, time in professional role, specialty, practice setting, percentage of primary care provided, percentage of patients aged>50, and weekly patient volume) and CRC screening practices? 3) What are the differences between NPs and P As …

A Comparative Evaluation Of The Learner Centered Grading Debriefing Method In Nursing Education, Marisa J. Belote

USF Tampa Graduate Theses and Dissertations

The nursing discipline lacks a consensus on a best practice method for debriefing students following simulation-based training. A recognized, standardized method does not exist and various methods are utilized within the domain. The similarities between aviation and healthcare are well documented. Training members of both disciplines require standardization and methods of best practice. The aviation industry through the Federal Aviation Administration has found Learner Centered Grading (LCG) to be a successful educational format. The utilization of the LCG Debriefing method in simulation-based training is the standardized debriefing format for a technologically dynamic industry.

The aim of this research was to …

Sleep, Depressive Symptoms And Cognition In Older Adults And Caregivers Of Persons With Dementia, Glenna Shemida Brewster

USF Tampa Graduate Theses and Dissertations

Caregivers of persons with dementia, who are often older adults, report sleep disturbance, high rates of depressive symptoms and may be at risk for impaired cognition. This dissertation examined sleep, depressive symptoms, and cognition in older adults and caregivers of persons with dementia. The aims of the review of literature were to understand, in community dwelling adults 60 years and older, the relationships among sleep parameters (sleep onset latency, wake after sleep onset, sleep efficiency, total sleep time, and general sleep complaints), and the domains of cognition (Executive Function, Attention, Episodic Memory, Working Memory, Processing Speed), and global cognition. Based …

ผลของโปรแกรมการสอนแนะต่อพฤติกรรมมารดาในการป้องกันภาวะตัวเหลืองจากการได้รับนมมารดาไม่เพียงพอในทารกแรกเกิดครบกำหนด, สุนทรี มอญทวี, รัตน์ศิริ ทาโต

Journal of Nursing Research, Innovation, and Health

วัตถุประสงค์: เพื่อเปรียบเทียบพฤติกรรมมารดาในการป้องกันภาวะตัวเหลืองจากการได้รับนมมารดาไม่เพียงพอ ระหว่างกลุ่มที่ได้รับการสอนแนะกับกลุ่มที่ได้รับการพยาบาลตามปกติ\n \nรูปแบบการวิจัย: การวิจัยแบบกึ่งทดลอง\n\nวิธีดำเนินการวิจัย: กลุ่มตัวอย่าง คือ ทารกแรกเกิดครบกำหนดที่มีภาวะสุขภาพดี จากการวินิจฉัยของแพทย์ น้ำหนักมากกว่าหรือเท่ากับ 2,500 กรัม และมารดาทารกแรกเกิดคลอดครบกำหนด คลอดปกติ มีอายุครรภ์มากกว่า 37 สัปดาห์ ถึง 42 สัปดาห์ แบ่งเป็นกลุ่มควบคุมและกลุ่มทดลอง กลุ่มละ 20 คู่ โดยจับคู่ในด้าน ประสบการณ์การเลี้ยงดูทารกตัวเหลือง การสนับสนุนทางสังคม และระดับการศึกษา กลุ่มควบคุมได้รับการดูแลตามปกติ กลุ่มทดลองได้รับโปรแกรมการสอนแนะ ตามแนวคิดการสอนแนะของ Helfer and Wilson (1982) ที่ประกอบด้วยคู่มือแนวทางการดำเนินกิจกรรมการดูแลทารกแรกเกิดในการป้องกันภาวะตัวเหลือง ภาพพลิก และแผนการสอน เก็บรวบรวมข้อมูล โดยใช้ แบบสอบถามพฤติกรรมการป้องกันภาวะตัวเหลืองจากการได้รับนมมารดาไม่เพียงพอ ที่ผ่านการตรวจสอบความตรงตามเนื้อหาโดยผู้ทรงคุณวุฒิจำนวน 5 คน มีค่าสัมประสิทธิ์แอลฟ่าของครอนบาค เท่ากับ .91 วิเคราะห์ข้อมูลโดยใช้สถิติเชิงพรรณนา และสถิติทดสอบที (Independent t-test)\n\nผลการวิจัย: คะแนนเฉลี่ยพฤติกรรมมารดาในการป้องกันภาวะตัวเหลืองจากการได้รับนมมารดาไม่เพียงพอในทารกแรกเกิดครบกำหนดของกลุ่มมารดาที่ได้รับโปรแกรมการสอนแนะสูงกว่ากลุ่มที่มารดาได้รับการพยาบาลตามปกติ อย่างมีนัยสำคัญทางสถิติ (p<.01)\n\nสรุป: โปรแกรมการสอนแนะเป็นกิจกรรมการพยาบาลที่มีประสิทธิภาพต่อพฤติกรรมของมารดาในการป้องกันภาวะตัวเหลืองจากการได้รับนมมารดาไม่เพียงพอในทารกแรกเกิดครบกำหนด\n

ผลของโปรแกรมสร้างการตระหนักรู้และส่งเสริมความมีคุณค่าในตนเองต่อพฤติกรรมป้องกันการมีเพศสัมพันธ์ของวัยรุ่นหญิงตอนต้น, วารุณี สอนอินทร์, มยุรี นิรัตธราดร, ปรีย์กมล รัชนกุล

Journal of Nursing Research, Innovation, and Health

วัตถุประสงค์: เพื่อศึกษาผลของโปรแกรมสร้างการตระหนักรู้และส่งเสริมความมีคุณค่าในตนเองต่อพฤติกรรมป้องกันการมีเพศสัมพันธ์ของวัยรุ่นหญิงตอนต้น\n\nรูปแบบการวิจัย: การวิจัยแบบกึ่งทดลอง\n \nวิธีดำเนินการวิจัย: กลุ่มตัวอย่าง คือ วัยรุ่นหญิงตอนต้นชั้นประถมศึกษาปีที่ 6 ในจังหวัดสุราษฎร์ธานี จำนวน 105 คน แบ่งเป็นกลุ่มทดลอง 51 คน และกลุ่มควบคุม 54 คน กลุ่มทดลองได้รับโปรแกรมสร้างการตระหนักรู้และส่งเสริมความมีคุณค่าในตนเอง เป็นเวลา2 สัปดาห์ จำนวน 4 ครั้ง กลุ่มควบคุมได้รับความรู้ตามปกติ เก็บข้อมูลโดยใช้แบบสอบถามพฤติกรรมป้องกันการมีเพศสัมพันธ์ ได้รับการตรวจสอบคุณภาพเครื่องมือโดยผู้ทรงคุณวุฒิจำนวน 5 คน ได้ค่าดัชนีความตรงตามเนื้อหา (CVI) เท่ากับ .84 ค่าสัมประสิทธิ์อัลฟ่าของครอนบาคเท่ากับ .83 เก็บข้อมูลก่อนการทดลองและหลังการทดลอง 4 สัปดาห์ วิเคราะห์โดยใช้สถิติพรรณนาและสถิติ t-test\n\nผลการวิจัย: 1) คะแนนเฉลี่ยพฤติกรรมป้องกันการมีเพศสัมพันธ์ของกลุ่มทดลองหลังการทดลอง 4 สัปดาห์ สูงกว่าก่อนการทดลองอย่างมีนัยสำคัญอย่างมีนัยสำคัญทางสถิติ (p<.05) 2) คะแนนเฉลี่ยพฤติกรรมป้องกันการมีเพศสัมพันธ์หลังการทดลอง 4 สัปดาห์ของกลุ่มทดลองสูงกว่ากลุ่มควบคุมอย่างมนัยสำคัญทางสถิติ (p<.05)\n\nสรุป: พยาบาลอนามัยชุมชนหรือพยาบาลโรงเรียนสามารถนำโปรแกรมไปประยุกต์ใช้เพื่อส่งเสริมพฤติกรรมป้องกันการมีเพศสัมพันธ์ในวัยรุ่นหญิงตอนต้น อันจะส่งผลลดการตั้งครรภ์และการติดเชื้อโรคติดต่อทางเพศสัมพันธ์ต่อไป\n