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Assessment Of Concerns And Health-Seeking Behaviours Related To Covid-19 Infection, Elizebeth Rani. V, Sudha Arumugam, Yashodha G

Manipal Journal of Nursing and Health Sciences

Assessment of concerns and health-seeking behaviours related to COVID-19 infection

Elizebeth Rani V ^1* R Sudha ² , Yashodha G ³

1. Reader, VHS-MA Chidambaram College of Nursing, Chennai, Tamil Nadu, India

2. Principal, VHS-MA Chidambaram College of Nursing, Chennai, Tamil Nadu, India

3. Lecturer, VHS-MA Chidambaram College of Nursing, Chennai, Tamil Nadu, India

*Corresponding author

Elizebeth Rani. V, Reader, VHS-MA Chidambaram College of Nursing, Chennai, Tamil Nadu, India

E-mail: [email protected]

Short title: Elizebeth et al. Health-seeking behaviours related to COVID-19.

How to cite this article: Elizebeth Rani V, Sudha R, & Yashodha G (2021). Assessment of …

Epidemics And Pandemics: That Changed The Public Health History, Suja Karkada Dr., Mickael Antonie Joseph Dr., Celastin Susan, Veena Sophiya Menezes, Lanet Smitha Karkada

Manipal Journal of Nursing and Health Sciences

Epidemics and Pandemics: that changed the public health history

Abstract

Currently, the world is experiencing one of the most disruptive pandemics in the modern history of disease and illness. As human beings became more civilized, started building cities, establishing trade routes between cities and countries, the conditions needed for these diseases to spread were greatly enhanced and hence history has recorded many more epidemics and pandemics since the advent of global travel. Many of these epidemics and pandemics have disrupted the life of common human being from BC 430(Athens Plague) until date (Covid 19). Most of the recorded epidemics in …

Socio-Economic And Geographical Inequalities In Adolescent Fertility Rate In Ghana, 1993–2014, Bright Opoku Ahinkorah, Eugene Budu, Henry Ofori Duah, Joshua Okyere, Abdul-Aziz Seidu

College of Nursing Faculty Research and Publications

Background

Despite public health interventions to control adolescent fertility, it remains high in sub-Saharan Africa. Ghana is one of the countries in sub-Saharan Africa with the highest adolescent fertility rates. We examined the trends and socio-economic and geographical patterns of disparities in adolescent fertility in Ghana from 1993 to 2014.

Methods

Using the World Health Organization’s (WHO) Health Equity Assessment Toolkit (HEAT) software, data from the 1993–2014 Ghana Demographic and Health surveys were analyzed. First, we disaggregated adolescent fertility rates (AFR) by four equity stratifiers: wealth index, education, residence and region. Second, we measured the inequality through summary measures, namely …

Effectiveness Of A Vaccination Education Module For College Freshman, Gavin Robert Behunin

Theses and Dissertations

The purpose of this thesis is to evaluate a vaccination education module and evaluate its effectiveness to improve vaccine beliefs and behaviors among college freshmen. The participants included 177 college freshmen at one Utah university. Participants were eligible for this study if admitted as a new freshman during the 2019-2020 school year. The study was a cross-sectional pre- and post-education evaluation assessing vaccine beliefs and behaviors using a Likert-type scale. After completing the vaccination education module, participants' vaccine beliefs and behavioral intentions improved. Participants reported they were more likely to be up-to-date on personal vaccines and more likely to expect …

Reflecting On The Now: Race, Gender, Socio-Economic Status And Covid-19, Ariana Montemayor, Sydney M. Scanlon

VA Engage Journal

Early in 2020, we began a project for our Women and Technology class at Old Dominion University to highlight women working in health sciences. However, our original project idea drastically changed with the onset of the COVID-19 pandemic. COVID-19 focused our attention on issues regarding societal inequalities and health disparities. Therefore, we decided to create a new project that emphasized the societal inequalities and the disproportionate impact COVID had on People of Color, women and low-income individuals. In this paper, we critically reflect on the journey of our project from conception to completion, as well as how we, and the …

Promoting Antibiotic Stewardship In Primary Care Setting: An Evaluation Process Of Treatment Practices For Uncomplicated Urinary Tract Infections In Premenopausal Non-Pregnant Women, Ira Amayun

Doctor of Nursing Practice (DNP) Projects

Problem

Inappropriate antibiotic prescribing increases the prevalence of antibiotic resistance. While evidence-based practice guidelines can reduce antibiotic use, inconsistent adherence to these guidelines results in ineffective treatment, increased cost, and increasing antibiotic resistance.

Context

At Athena Med-Monterey, a multi-provider primary care clinic where approximately 90% of the patients are women, written guidelines for uncomplicated urinary tract infections (uUTIs) in premenopausal non-pregnant women (PrMNPW) are lacking. In addition, there are no processes for assessing adherence to clinical guidelines.

Interventions

The advanced practice nurse (APN) led a quality improvement process to assess and promote adherence to practice guidelines using a small test …

The Associations Of Chronic Stress, Social Support, Health Behaviors And Metabolic Syndrome Among Hispanic Women, Edna Esquer

Dissertations

The Associations of Chronic Stress, Social Support, Health Behaviors and Metabolic Syndrome Among Hispanic Women

Background: Metabolic syndrome (MetS) prevalence is 25% among Mexican American women 30 – 49 years of age, compared to 22% among non-Hispanic Whites in the United States. Little is known about the additional contributions of chronic stress, social support and health behaviors to the development of MetS among this population.

Purpose: Describe the associations between chronic stress, social support, and health behaviors and the presence of MetS in Hispanic women living in an underserved community.

Methods: A retrospective cohort study design. The Adult Treatment Panel …

Removal Of Ana Language To Increase Access To Vaccination Compliance, Steven G. Pochop Jr.

Doctor of Nursing Practice Final Manuscripts

Background: In 2015, the American Nurses Association (ANA) revised their immunization and vaccine policy statement to address the culture of vaccines that was prevalent in 2015. Due to evolving climate and growth in vaccination noncompliance as evidenced by recent outbreaks of vaccine preventable illnesses.

Purpose of Project: It is my recommendation that the ANA remove their endorsement of religious exemption from vaccinations in their policy statement, considering misapplications for which the exemption was not designed and that compromises the safety of the public. Additionally, annual medical exemption recertification signed by a qualified provider will become the recommended standard of practice. …

Management Of Mild Abscesses In Adult Patients, Liliana Pittman

Doctor of Nursing Practice Final Manuscripts

The aim of this evidence-based project was to improve the management of purulent skin and soft tissue infections (SSTIs) among male inmates incarcerated within a detention facility in Southern California. Standardizing the use of the Infectious Diseases of America (IDSA) guidelines could ensure improved management of mild abscesses. The IDSA guideline supported the use of incision and drainage of mild abscesses without the use of broad-spectrum antibiotics when clinically appropriate. Over the past decade, the emergence of multi-resistant pathogens has contributed to an increase in the incidence of SSTIs. In 2012, the total cost of SSTIs in the United States …

Addressing Vaccine Hesitancy With Motivational Interviewing: A Pilot Study, Olivia Ball

Doctor of Nursing Practice Final Manuscripts

Statement of the problem: The unprecedented 2019 Measles outbreaks in the US and the current COVID 19 global pandemic highlight the necessity of addressing vaccine hesitancy. Improving vaccine confidence requires strategic communication approaches that focus on addressing the complex reasons for vaccine hesitancy.

Purpose: The purpose of this project was to improve both provider’s understanding of the complex factors involved in vaccine hesitancy and confidence in using motivational interviewing to address vaccine hesitancy.

Intervention: An educational presentation for advanced practice nurses was conducted with the purpose of highlighting the benefits of using motivational interviewing in vaccine hesitant patients.

Results: The …

A Guide To Vaccine Policy Change At A National Level, Janelle Bird

Doctor of Nursing Practice Final Manuscripts

Abstract

Health policy is in a near constant state of improvement. In order to solidify those improvements, health policy requires assistance from the upcoming generations of healthcare workers to push for those changes. Due to the outdated vaccination policy in the American Nurses Association (ANA), many states continued to issue exemptions based upon unsupported religious preferences. This helped to worsen the outbreak of measles in 2018-2019. The Previous ANA Policy on Vaccinations as of July 21, 2015 stated the ANA supports immunization exemptions only for the following reasons: Medical contraindications and Religious beliefs. Educate and train future health care professionals …

Development Of An Ehealth Harm Reduction Resource To Address Opioid Use Among Youth In Rural Northern California, Carolyn Perrotti Lake

Doctor of Nursing Practice (DNP) Projects

Problem: Opioid use and misuse is a leading cause of injury and death among adolescents and young adults in the United States, with a three-fold increase in opioid overdoses since 2000 (Carney et al., 2018; Hudgins et al., 2019). Opioid misuse correlates with misuse of other substances, which exponentially increases health risks over time. The most effective treatment for opioid use disorder (OUD) among adolescence is through effective prevention interventions that either prevent the development of the OUD or enable timely diagnosis and treatment in order to prevent poor health outcomes.

Context: The use of eHealth technology, which has …

Preventing Central Line Associated Bloodstream Infections In An Adult Intensive Care Unit, Monica Shaw

Master's Projects and Capstones

Central line associated blood stream infections (CLABSI) are considered preventable healthcare acquired infections, and are associated with significantly increased morbidity, mortality, and length of hospital stay. The CLABSI rate in an inpatient unit is a meaningful metric in relation to the safety and quality of care in that microsystem. This quality improvement project examines the efficacy of a CLABSI prevention bundle in reducing CLABSI events and improving adherence to central line care policy within a medical surgical adult intensive care unit. The target areas the bundle aimed to improve were unit processes, awareness of CLABSI and central line policies, and …

Improving Vaccination Uptake In The Latinx Community Through Standardized Outreach, Stephanie Ramirez

Master's Projects and Capstones

In the United States, Latinx communities have experienced a disproportionately high burden of COVID-19 infections and hospitalizations throughout the pandemic. The focus of this quality improvement project is to standardize the patient outreach process and education to increase COVID-19 vaccine uptake. The ambulatory community clinic in the city of Oakland, California serves a majority of underserved Latinx patients that have demonstrated distrust of the healthcare system and their disbelief in the positive outcomes of the COVID-19 vaccine. The high burden of COVID-19 infections among the Latinx community has led to misinformation and fear. In order to overcome this issue, Clinical …

Utilizing Tracer Methodology To Evaluate The Effectiveness Of A Hospital Antimicrobial Stewardship Program, Christine Smyth

Doctor of Nursing Practice (DNP) Projects

Antimicrobial resistant organisms are a growing threat in the United States and globally. It has become the expectation that healthcare institutions, including hospitals, contribute resources to create and maintain antimicrobial stewardship programs to decrease antimicrobial resistance, improve patient outcomes, and decrease the spread of multi-drug resistant organisms. The methods utilized to evaluate antimicrobial stewardship at hospitals often only evaluate outcome measures and fail to capture knowledge of the hospital antimicrobial stewardship program among prescribers, clinical pharmacists, and nurses, as well potential barriers to antimicrobial stewardship among healthcare providers. The purpose of this Doctor of Nursing project is to implement and …

Improving Surface Cleaning And Hand Hygiene Using Fluorescent Markers, Taryn Whitman

Master's Projects and Capstones

Problem: Compared to inpatient units, ambulatory care clinics have differences in staffing available and frequency to perform room turnover (RTO). Pre-intervention data revealed poor Hand hygiene (HH) and high-touch surface cleaning (HTSC) knowledge and low RTO compliance reliability. Currently, there is no process for objectively monitoring RTO compliance and staff self-evaluation of HH, HTSC, and RTO performance is incongruent with observations.

Context: HH and HTSC are a crucial component of preventing healthcare-associated infections (HAIs). Estimated loss of revenue for one northern California tertiary university hospital system (HCO) campus was nearly $1.8 million dollars in Medicare penalties for 2018.

Intervention: …

Increasing Vaccination Rates In Pregnancy Using A Multifaceted Approach Including Patient Education And Reminder/Recall Interventions, Jas Tiara Mcgee

Evidence-Based Practice Project Reports

Given the global tragedy that this most recent pandemic has caused, more attention has been given to the devastating outcomes that the spread of infectious disease outbreaks can have. Similar to those with comorbid conditions, pregnant women are also extremely vulnerable to infectious diseases, as disease manifestation does not only affect the mother, but the fetus as well. Thus, the prevention of both the influenza virus and pertussis are two major goals when providing care for this population. Preventing both of these disease processes during the intrapartum period helps to ensure optimal wellness for both mother and baby and overall …

Provider Knowledge Of Tickborne Diseases, Kristi Harbit

Doctor of Nursing Practice Scholarly Project

Tickborne diseases have increased in incidence in recent years, and new tickborne diseases are being discovered. These increasing numbers show the importance of well-educated health care providers to adequately diagnose and treat these diseases. The purpose of this DNP scholarly project study was to determine the effectiveness of an educational presentation for primary care providers over tickborne diseases in Kansas, Missouri, Oklahoma, and Arkansas. The educational presentation was given at a local nurse practitioner conference and knowledge was assessed via a pre-test, post-test, and 6-week follow-up email. Few research articles are available over this subject and the articles that have …

Increasing Patient Access To Medication-Assisted Treatment Programs For Opioid Use Disorder, Matthew J. Bednarchik

Doctor of Nursing Practice Projects

The project sought to explore the perceived need for Medication-Assisted Treatment (MAT) for opioid use disorder among primary care providers in a rural central Illinois county. This project’s primary goal was to measure the prevalence of OUD in the community and the likelihood of primary care providers referring to an outpatient MAT program. A secondary objective was to utilize the survey results as a tool for the development of a MAT program. A cohort of twenty-five primary care providers were invited to participate in a survey to assess the perceived prevalence of OUD as well as the need for increased …

The Utility Of Masks As Protection Against Viral Respiratory Illnesses In Healthcare Workers, Brian Van Wie

Nursing Masters Papers

The COVID-19 pandemic is sweeping the globe, increasing the mortality and morbidity rates in areas that are experiencing outbreaks and putting excess pressure on healthcare systems. Healthcare workers (HCWs) have risen to the challenge of caring for those infected during the COVID-19 pandemic, putting themselves in high-risk situations. Current Center for Disease Control and Prevention (CDC) guidelines require HCWs to follow isolation precautions based on transmission routes to protect themselves from becoming infected. For COVID19, the recommendation for HCWs is continuous wearing of a surgical mask during a shift and donning an N95 mask while in direct contact with patients …

Dnp Final Report: Safety Huddle, Chukwuemeka Ogobuiro

DNP Final Reports

Over 70% of reported sentinel events are due to communication failure between patients, care providers, and/or administration. Safety Huddle has been shown to increase effective communication among healthcare providers. The application of Safety Huddle concept to behavioral health inpatient care is new. Therefore, this scholarly project utilizes the evidence-based practice change steps to improve teamwork and patient safety in the behavioral health inpatient units using Safety Huddle concepts. The Safety Huddle is a team-building tool that increases effective communication among healthcare providers. A review of the literature was conducted. The evidence suggests that Safety Huddle, a tool for effective communication, …

“I Was Like An Autumn Leaf That Looks Pretty From The Outside, But Would Break Once You Touched It”: A Case Study Of The Lived Experience Of Breast Cancer Survival, Wafa Hamad Almegewly, Dinah Gould, Sally Anstey

The Qualitative Report

In this hermeneutic phenomenological case study, we explored the lived experiences of one Saudi Arabian woman, Sahara, living with breast cancer and after, identifying her culture’s impact on the “meaning-making” process. We derived the data from a semi-structured interview and analyzed using interpretive phenomenological analysis (IPA). The themes were: (1) “discourse”: being a breast cancer patient; (2) “sociality”: the complex sense of living with visibility and invisibility; and (3) “selfhood”: regaining the sense of being normal. The study benefits healthcare providers, who need to understand women’s life-world, the impact of culture when designing a program of survival care, and the …

Antibiotic Durations For Skin And Soft Tissue Infections In Pediatric Urgent Care Clinics, Megan Hamner, Amanda Nedved, Holly Austin, Donna Wyly, Alaina N. Burns, Diana King, Brian R. Lee, Rana El Feghaly

Posters

Background: Skin and soft tissue infections (SSTIs) are the second most common diagnosis leading to pediatric antibiotic prescriptions in the outpatient setting after respiratory diagnoses. However, most antibiotic stewardship programs have mainly focused on the latter. Children seen in the ambulatory setting for SSTIs often receive >7 days of antibiotics, although current society guidelines recommend 5-7 days for most diagnoses.


Objective: To determine the baseline percentage of patients receiving antibiotic prescriptions for >7 days for SSTIs in urgent care clinics (UCC)s of a pediatric health system and to evaluate factors that influence providers towards longer durations.


Design/Methods: We built a …

Shfrytëzimi I Antimikrobikëve Dhe Problemi I Rezistencës Antimikrobike, Elvira Behluli

Theses and Dissertations

Hyrje: Antibiotikët janë substanca të prodhuara nga një mikroorganizëm apo e derivuar prej sajë cila në mënyrë selektive shkatërron ose pengon rritjen e mikrobeve të tjera.

Qëllimi i punimit: Qëllimi i punimit të kësaj teme ishte zgjerimi i njohurive lidhur me përdorimin e antibiotikëve, efektet pozitive që kanë nëse përdoren siç duhet si dhe efektet negative qe sjell përdorimi i pakontrolluar i tyre.

Metodologjia: Për realizimin e këtij punimi është përgatitur një pyetësorë me të dhëna bazike demografike (gjinia, grup-mosha, edukimi etj.) si dhe janë përfshirë pyetje specifike lidhur me njohuritë, mendimet dhe qëndrimet e tyre rreth antibiotikëve. Ky hulumtim …

Përdorimi I Vitaminës D Në Regjionin E Ferizajit, Ermelinda Neziri

Theses and Dissertations

Njohurite për vitaminat janë një çështje që secili njeri duhet t’i ketë, dhe që çdo infermier duhet që të informojë pacientët dhe të tregojë një kujdes të veçantë. Objektivi i temës do të jetë zgjerimi i njohurive rreth rolit dhe rëndësisë së përdorimit të vitaminës D. Një vend të posaqëm do te kete shqyrtimi i mungesës dhe përdorimi jo adekuat të vitaminës D duke pasur për fokus pasojat të cilat rezultojnë në këto raste. Duke zgjeruar këto njohuri, synoj që të njejtat të përdoren nga infermieret në mënyrë që një numër i madh i keqformimeve si rezultat i deficeinces së …

The Effects Of Covid-19 On Healthcare Workers: An Exploration Of Burnout, Cherise Fernandez

Nursing | Senior Theses

The healthcare workplace has been challenged with the SARS-CoV-2 corona virus (COVID-19) for majority of the year 2020 and it has posed a number of challenges for healthcare workers (HCWs). Due to the increased workload and demanding work hours, the prevalence of physician burnout has increased amongst this population. The escalation of burnout may lead to negative effects on physical and mental health. This poses a health concern amongst patients because the increase of burnout affects patient care, safety, and quality of care. Various surveys have been sent out to HCWs in order to determine if burnout has increased within …

A Bundled Approach To Integrative Care For Peripherally Inserted Extracorporeal Membrane Oxygenation Cannula Insertion Site, Kelly Garaffa, Mickey Amos

Nursing DNP Projects

Purpose and Rationale: This project is designed to translate the collective knowledge and evidence-based interventions surrounding the reduction of central line-associated bloodstream infections (CLABSIs) and use these evidence-based practices to create an extracorporeal membrane oxygenation (ECMO) cannula site bundle. The desired outcome of creating an ECMO cannula-site bundle is increased cannula site integrity, decreased frequency of dressing changes, and minimized risk of cannula-site infections.

Synthesis of Evidence: Currently, there are no clinical practice guidelines for ECMO cannula site care to guide bedside practice. The ELSO Infectious Disease Taskforce recommends implementation of a CLABSI bundle for ECMO site care, but many …

Overcoming Obesity: Provider Reminders And Education In Pediatrics, Michelle Warren

Evidence-Based Practice Project Reports

The prevalence of pediatric overweight and obesity is rising globally (Di Cesare et al., 2019) and results in lifelong chronic health problems and an estimated annual healthcare cost of $14.1 billion (Trasande & Chatterjee, 2009). The purpose of this evidence-based practice project was to address overweight and obesity in patients between the ages of five and 12 years through the provision of provider reminders, education, and guidelines. Primary outcomes included frequency of diagnosis, frequency of patient referrals, return to see times, and frequency of patient nutrition and activity education while secondary outcomes included patient weight, body mass index (BMI), and …

Use Of Probiotic In Preventing Antibiotic-Associated Diarrhea, Chanda Amatya

MSN Capstone Projects

Antibiotic-associated diarrhea (AAD) including Clostridium difficile associated diarrhea (CDAD) has been a challenging topic for the healthcare industry. AAD is caused by the disruption of normal microbial balance along with the gastrointestinal (GI) tract due to the use of an antibiotic. AAD not only increases healthcare cost burden but also increases morbidity and mortality among vulnerable populations such as the elderly. Death from CDAD for a patient over 65 years is about 90% (Mallina et al., 2018). Antibiotic use is very common among the elderly and it is the responsibility of healthcare providers to take appropriate measures in preventing complications …

How Do Canadian Public Health Agencies Respond To The Covid-19 Emergency Using Social Media: A Protocol For A Case Study Using Content And Sentiment Analysis, Anita Kothari, Lyndsay Foisey, Lorie Donelle Phd, Rn, Fcan, Michael Bauer

Publications

INTRODUCTION: Keeping Canadians safe requires a robust public health (PH) system. This is especially true when there is a PH emergency, like the COVID-19 pandemic. Social media, like Twitter and Facebook, is an important information channel because most people use the internet for their health information. The PH sector can use social media during emergency events for (1) PH messaging, (2) monitoring misinformation, and (3) responding to questions and concerns raised by the public. In this study, we ask: what is the Canadian PH risk communication response to the COVID-19 pandemic in the context of social media? METHODS AND ANALYSIS: …