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A Social Controversy: Autism Spectrum Disorder's Correlation To The Measles-Mumps-Rubella Vaccination, Lindsay A. Frye

Senior Honors Theses

A 1998 research study lead by Dr. Andrew Wakefield linked the measles-mumps-rubella (MMR) vaccination as a probable cause to autism spectrum disorder. This publication has started a significant debate among healthcare professionals and instigated an anti-vaccination movement within the general population. This vaccination controversy was started by parents who readily accepted Wakefield’s findings as truth and frequently would choose to withdrawal the administration of vaccinations from their children’s care plans. There has also been disapproval by healthcare professionals over Wakefield’s study since numerous research teams have been unable to replicate his findings. This disagreement surrounding the MMR vaccination is likely …

Opioid Withdrawal Signs And Symptoms In The Pediatric Patient During Opioid Tapering, Deborah Fisher

Theses and Dissertations

Opioids are used routinely in the pediatric intensive care population for analgesia, sedation, blunting of physiologic responses to stress, and safety. In children, physical dependence may occur in as little as two to three days of continuous opioid therapy. Once the child no longer needs the opioid, the medications are reduced over time. A review of the literature revealed that the majority of the published studies used either a neonatal opioid assessment tool or no assessment tool. A subsequent international survey of pediatric providers found a wide range of opioid tapering practices and sporadic use of opioid withdrawal instruments to …

Instituting An Oral Health Preventive Service Program, Including Fluoride Varnish, For Preschool Children Birth To Five Years In A Rural Health Clinic: A Clinical Scholarship Project, Carol Ann Berger

Dissertations

Abstract This project was designed to institute an oral health preventive program in a rural health clinic, in a dental provider shortage area, promoting oral health in preschool children birth to five years by: (a) instituting a program that supports the Missouri preventive service program in oral health, (b) promoting oral screenings and fluoride varnish twice yearly, (c) assessing the risk of caries, (d) referring to appropriate dental services and (e) educating parents or guardian about the importance of oral health and how to maintain oral health at home with children birth to five years. This project sought to answer …

Development Of An Advanced Practice Registered Nurse Primary Care Telephone Clinic, Linda G. Kaiser

Dissertations

Abstract Development of an Advanced Practice Registered Nurse Primary Care Telephone Clinic This pilot project developed and implemented a telephone clinic based on established Veterans Affairs telephone policy and procedures and determined patient acceptability of this new visit type as an alternative to face to face visits. The review of the literature produced research that indicates telephone clinics are a viable visit option for patients. Telephone visits provide access to the primary care provider while being convenient and economical for patients. Research studies demonstrate that patients are satisfied with this visit option. The pilot project was successfully implemented in a …

Community Health Nursing Service Learning, Joyce K. Edmonds, Diane Coste

Office of Community Partnerships Posters

Through the Service Learning Course, College of Nursing and Health Sciences, RN-BS Online Program, Senior Level Course, Community Health for RN’s and NU 461, 6 credits Student Body Registered Nurses (70-105 each semester) throughout the state seeking to obtain a Bachelor in Science of Nursing. The Institute of Medicine, Future of Nursing Report recommends increasing the proportion of nurses with a baccalaureate degree to 80% by 2020. Instructional Aim Students obtain a better understanding of public health and nursing theory and practice as they further develop their professional and civic identities through meaningful service to their communities. Service Learning Requirement …

Sex And Gender In Tobacco Reduction - The State Of The Evidence, Iris Torchalla, Chizimuzo T.C. Okoli

Nursing Presentations

• Global prevalence, risk, and mortality from smoking

• Gender/Sex specific diseases associated with tobacco use

• Gender/Sex specific reasons for smoking

• Gender/Sex specific factors in treating tobacco use

The Tobacco Dependence Clinic: Gender Issues And Possibilities In Cessation Treatment, Chizimuzo T.C. Okoli, Milan Khara

Nursing Presentations

• The Tobacco Dependence Clinic (TDC) is a program that provides behavioural counselling and up to 6-7months of no-cost pharmacotherapy for clients through VCH Mental Health and Addiction Services

• Program is run with a team of nurses, counsellors, respiratory therapists, and a physician.

• Currently in 7 Addictions services located in community health centres in Vancouver.

Chhs April 2012 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.

Medications Use And Patient Outcomes At Two Indianapolis Area Skilled Nursing Facilities: A Retrospective Chart Review, Christine Brockett, Priscilla T. Ryder

Scholarship and Professional Work – COPHS

Background: Residential health care has changed over time. Skilled nursing facilities (SNF) as an alternative to standard long-term care are understudied. Objective: To describe current prescribing patterns of medication use in two Indianapolis SNFs.

Method: Chart review to examine associations between medication use and outcomes such as weight changes, falls and re-hospitalization. Discharged patients had to be residents for at least 14 days.

Results: 35 charts were reviewed. 17 (48.6%) patients were male, 22 (62.9%) were Caucasian, 15 (42.9%) had Medicaid, 6 subjects (17%) visited the emergency department, 5 (14.3%) visited the hospital during their stay at the selected facilities, …

Oncology Nurses' Cultural Competence, Knowledge, And Attitudes Toward Cancer Pain, Ayman Alnems Phd, Msn, Rn

Dissertations

Effective pain management requires appropriate knowledge, attitudes, and assessment skills. The purposes of this study were to obtain information about the knowledge and attitudes of oncology nurses related to cancer pain and its management, to evaluate oncology nurses' cultural competence, and to investigate relationships between oncology nurses' cultural competence and their pain management knowledge and attitudes. Ferrell and McCaffery's (2008) Nurses' Knowledge and Attitude Survey Regarding Pain (NKASRP), the Cultural Competence Assessment Survey (CCA) (Doorenbos, Schim, Benkert, & Borse, 2005; Schim, Doorenbos, Miller, & Benkert, 2003), and a demographic questionnaire were used to measure oncology registered nurses' cultural competence and …

Factors And Health Promoting Behaviors That Influence Maternal And Infant Outcomes In Older Pregnant Thai Women, Supawadee Thaewpia Phd, Msn, Rn

Dissertations

This dissertation summarizes research conducted in partial fulfillment of the program requirements for the Doctor of Philosophy in Nursing degree from the Hahn school of Nursing and Health Sciences, University of San Diego. The results of the dissertation research are organized as three discrete papers. Article one is entitled; "Reliability and Validity of Thai Translations of Instruments Measuring Psychosocial Factors and Health Promoting Behaviors among Older Pregnant Thai Women." This article describes the dissertation research study in which the selected instruments were piloted at an antenatal clinic in Thailand. The article determines the instruments' ability to examine perceived benefits, perceived …

Stroke Education In The Chinese Community: A Nurse Resident Project, Laura Beans, Bsn, Rn, Roisin Harvey, Bsn, Rn, Jonathan Lee, Bsn, Rn, David Lincul, Bsn, Rn, Gina Ramos, Bsn, Rn, Jodi Schantz, Bsn, Rn

Department of Nursing papers and presentations

Objectives:

To educate an urban Chinese community by creating a stroke prevention program that increases awareness of the disease.

To educate an urban Chinese community about stroke risk factors, stroke warning signs, and how to reduce modifiable stroke risk factors.

Geriatric Trauma Patients In The Emergency Department: Length Of Stay, Intensity Of Care, And Post Ed Destination", Elanor Gates, Doris Warner, Meg Bourbonniere, Patricia Williams

Department of Nursing papers and presentations

Background & Purpose: Research on emergency department length of stay (EDLOS) suggests that increased LOS may result in worse patient outcomes and increased overall LOS. Additional research suggests that increased age may not only result in lower intensity of care for some patients but might also increase EDLOS. For geriatric trauma patients, intensity of care and EDLOS may be different from non-geriatric patients. Given the nature of geriatric traumatic injury, it is important to understand if improvements can be made in geriatric trauma services.

Study/Project Design: A retrospective descriptive study utilizing the hospital’s trauma registry data was completed, including patient …

Community Mental Health Services: A Way Forward To Rehabilitate Chronic Mentally Ill Client., Ambreen Tharani, Salima Farooq, Anila Naveed

School of Nursing & Midwifery

Schizophrenia and other mental illnesses produce devastating effects on a clients' personal and psychosocial wellbeing. Besides the sufferer, it has irrevocable impacts on the lives of their loved ones. With advancement in the treatment modalities, researches have proven that hospital based care and psychotropic drugs are not the sole solution in managing the client symptoms. Deinstitutionalization is the paradigm shift from hospital based to community based care model that allows client/s to spend rest of their lives in the community setting. A well-structured community care based programme that focuses on psychosocial interventions has significant contribution in treatment and rehabilitation of …

Planning And Integrating Tablet Computing In An Accelerated Nursing Curriculum., Anthony J. Frisby, Phd, Kellie Smith, Edd, Rn, Kathryn Shaffer, Msn, Rn, Mary Hanson-Zalot, Msn, Rn, Aocn, Beth Ann Swan, Phd, Crnp, Faan

College of Nursing Faculty Papers & Presentations

Podium presentation at Rutgers Thirtieth Annual International Interprofessional Technology Conference, New Brunswick, NJ.

32 PowerPoint slides.

Special Ops: Vulnerable Populations And Tobacco Treatment, Chizimuzo T.C. Okoli, Audrey Darville

Nursing Presentations

• Reasons for Smoking among individuals with co-morbid substance use (SUD)and/or psychiatric disorders (PD)

• Smoking cessation treatment for individuals with co-morbid substance use (SUD) and/or psychiatric disorders (PD)

• Smoking among the Homeless population

Supporting Underserved Pregnant Women Through Smoking Cessation, Emily Bernhard, Lauren Paczkowski, Nathan Matejczyk, Nina Tu, Michelle De Young

Symposium on Research and Creative Expression (SORCE)

This project assessed smoking behaviors and supported smoking cessation in underserved pregnant women. Using a longitudinal design, women were recruited from a community prenatal center. Using the Transtheoretical model, interventions were designed to support the subjects’ movement along the stages of change. Subjects willing to quit were given a smoking cessation “quit kit.” For subjects not contemplating smoking cessation, information about the harmful effects of smoking was distributed to encourage movement towards quitting. Women who were smoking were followed throughout their pregnancy and up to one year after delivery. Subjects (N = 134) ranged in age from 18 to 41; …

Rain Rhythms: Spring 2012 - Fall 2012, College Of Nursing & Professional Disciplines

RAIN Rhythms

No abstract provided.

Beyond The Volcanoes: A Community Partnership For Health In Rural Nicaragua, Paige Snyder, Cathy Wingstrom, Chelsea Zeman

Symposium on Research and Creative Expression (SORCE)

Background: Health inequities related to gender, ethnicity, socioeconomic status, and geography exist in rural Nicaragua due in part to lack of access to health services. The purpose of this ongoing project is to improve health equity in rural Nicaragua through social transformation using community-based participatory action research. Bronfenbrenner’s ecological model of human development, school health, and primary health care theories provided the framework for this research. Community-based participatory action research involves six phases: partnership, assessment, planning, implementation, evaluation, and dissemination. In the evaluation phase, the goal was to gather information from stove recipients to see if their new stoves have …

Loma Linda Nurse - Vol. 20, No. 01, Loma Linda University School Of Nursing

Loma Linda Nurse

Contents

2 | From the dean: Marilyn Herrmann shares her thoughts

Features

4 | 1,440 Minutes—Why be ordinary?

6 | Pajamas lead to women’s refuge center

8 | Catching up with alumna Lida Lucas

20 | Dr. Julia Pearce: Reaching out

News

9 | School of Nursing professor and Medical Center selected for study

Development

10 | School adds new development officer

11 | Giving beyond the checkbook

Alumni homecoming

12 | KJN Society Brunch honors friends

13 | LLUSN celebrates alumni and friends with homecoming weekend

14 | Honored classes celebrate during alumni homecoming

15 | A note from …

Nursing Satisfaction In Caring For Elders, Sarah L. Vlachos

Honors Theses and Capstones

Despite the increasing number of Americans who are over 65 years of age, little research exists about the satisfaction of nurses who care for this population. This qualitative descriptive study investigated the factors that influence the satisfaction of such nurses, and yielded five main themes. Registered Nurses (RNs) reported providing high-quality care, developing relationships, and making a difference to be rewarding components of geriatric nursing. The nurses also discussed challenges, which included caring for elders with dementia and being unable to deliver the high-quality care they felt patients deserve. Several of these finding were consistent with existing studies that addressed …

Two Cultures Of Caring: A Comparative Study, Lisa Armstrong, Chistina Polito

Honors Theses and Capstones

There is much that the UK and the US could and should learn from each other to understand the quality of end-of-life care, through comparison of practice, analysis of care patterns and via original research (Higginson, 2005, p.170). Although comparisons between end-of-life care in the United Kingdom and United States have demonstrated similarities and disparities in many contexts, there is little evidence of research that directly compares nursing perspectives between the two Atlantic partners. This research explores nurse’s perceptions and experiences of caring for people within a hospice context and identifies themes of commonalities and disparities in theory and practice, …

Understanding The Experience Of Weight Gain And Body Image During Adolescent Pregnancy, Jessica L. Hinkley, Liana J. Newcombe

Honors Theses and Capstones

This qualitative descriptive study explores the experience of adolescent pregnancy and the influence of body image and other factors on weight gain. It identified three main themes through content analysis: Continuity of Care, Adolescent Investment in a Healthy Pregnancy, and the Impact of Pregnancy Symptoms.

African American Parents' Experiences In Their Children's Health Care Encounters, Rebecca D. Green

Dissertations, Theses and Capstone Projects (Full IR Collection)

Persistent disparities in African American child health may be the result of the intersection of many social determinants of health and other factors, such as health care relationships. A review of the literature revealed a gap in understanding of African Americans’ perceptions of care; and a gap in understanding of dimensions of relationship-centered care between African American patients and health care providers. The purpose of this qualitative study was to interview African American parents about their encounters with their children’s health care providers; in order to generate new understanding that could lead to interventions that can measurably improve health outcomes …

The Future Of Nursing: How Important Is Discipline-Specific Knowledge? A Conversation With Jacqueline Fawcett, Janie B. Butts, Karen L. Rich, Jacqueline Fawcett

Faculty Publications

Nurses have long attempted to secure a unique identity for the profession. Many scholars are now promoting an interdisciplinary framework for nursing practice. Fawcett is convinced that interdisciplinary practice poses a danger for nursing to lose its identity and that interdisciplinary practice cannot be successful if members of each discipline do not understand the conceptual models, practice, and research of their own discipline. Dr. Janie Butts and Dr. Karen Rich interviewed Dr. Jacqueline Fawcett about her views related to discipline-specific knowledge and nursing's future. The authors conclude that Fawcett's scientific foundation gives nursing the solidarity and power necessary to determine …

California School Nurses' Knowledge, Attitude, And Intention To Participate In Sexuality Education, Maria G. Matza Phd, Msn, Rnc

Dissertations

A critical need exists to provide adolescents with sexual health education as demonstrated by our nation's position in having the highest adolescent pregnancy rates among all the developed nations. The critical need is further pronounced by California's changing demographic profile of young Latinos who are projected to be the majority in 2042 and continue to demonstrate higher pregnancy and birth rates than other racial and ethnic groups. Currently, there is limited evidence to confirm if California's students are receiving sexual and reproductive health as required by law, nor is there evidence to link school nurses as teachers or consultants in …

We Rock – You Roll: Surgical Staging Unit Propels On-Time First Case Start Initiative, Marlene Mayza Bsn, Rn, Janice Magliane Adn, Rn

Patient Care Services / Nursing

No abstract provided.

Post-Operative Instructions & Information, Maura Diehl Rn, Cpan

Patient Care Services / Nursing

No abstract provided.

Insights To Patient Care Continuum: A Collaborative Approach From To Rehabilitative Care Settings, Holly D. Tavianini Rn, Bsn, Mshsa, Crn, Amber Moyer Rn, Bsn, Cnrn, Carol Domzalski Rn, Crrn, Jolene Klotz Rn,Msn,Crrn

Patient Care Services / Nursing

No abstract provided.

Just Do It—A Just Culture To Move From Blame To True Remediation, Jaclyn Bergstol Rn

Patient Care Services / Nursing

No abstract provided.