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2023 Graduates Project Abstracts By Cizik School Of Nursing At Uthealth Houston, Dnp Program Cizik School Of Nursing At Uthealth Houston

Doctor of Nursing Practice Projects 2018-2023

No abstract provided.

Benefits Of Rooming-In On Infants With Neonatal Opioid Withdrawal Syndrome, Emma Ricioli

Nursing | Senior Theses

Neonatal opioid withdrawal syndrome (NOWS) is a significant public health concern, affecting infants born to mothers who use opioids during pregnancy. Those exposed in-utero exhibit numerous signs of withdrawal after delivery including tremors, gastrointestinal distress, inconsolability, and poor feeding. Typical treatment for infants suffering from NOWS included direct admission to the neonatal intensive care unit (NICU) for close observation and pharmacological interventions. However, NICU stays can interfere with bonding and breastfeeding. They can also lead to increased lengths of stay, higher costs, and more invasive pharmacological treatments. These infants typically do not have any other concerning health issues besides NOWS …

Concept Of Health-Related Quality Of Life Among People With Heart Failure In Karachi, Pakistan, Anny Ashiq Ali

MBE 2023

Background: Non-communicable diseases (NCDs), including cardiovascular diseases, are a leading cause of global mortality. The mortality rate for cardiovascular diseases is on the rise, with 80 % to 86 % of fatalities, particularly in low- and middle-income countries, including Pakistan. Among NCDs, heart failure (HF) is a condition for which there is no cure, and patients rely on supportive treatments to maintain their quality of life. HF not only affects physical well-being but also has far-reaching consequences on the emotional, social, and cognitive aspects of life. In the context of Pakistan, where unique healthcare, sociocultural, and economic factors prevail, the …

Heated High Flow Oxygen Therapy Management Of Respiratory, Swallowing/Dysphagia And Nutrition Needs, Jenelle Overgaard

Nursing Posters

Problem

• Patients diagnosed with COVID-19 pose challenges for oxygenation. Often requiring heated high flow oxygen therapy (HHFOT) for days to weeks, with literflow commonly over 40 L/min with maximum of 60 L/min.
• There is minimal research on aspiration risk at higher literflow, therefore practice included decreasing liter flow to 20 L/min for oral intake was standard.
• During oral intake, with literflow decreased to 20 L/min, patients' oxygen saturations would quickly trend down.
• Alarms indicating low saturation would create anxiety, cause patients to eat faster potentially increasing risk for aspiration.

Solution

• For adult inpatients meeting criteria, increase maximum literflow allowed during …

Caffeine Usage And Effects On Quality Of Life, Clinical Performance, And Safety Among Nurses, Alexander Carl Yanga

Nursing | Senior Theses

Background: The purpose of this investigation is to examine the effects of caffeine consumption on the nurse’s quality of life. It also will explore the relationship between caffeine consumption, nurses' clinical performance, and patient safety. Nurses often endure long hours with demanding tasks to ensure client health and safety. Long work shifts and low margins for error can be taxing, which could result in fatigue, poorer sleep, and increased risk for mistakes. Caffeine is an accepted and effective option for combating fatigue and boosting alertness short term. Questions arise about whether caffeine is beneficial or if consumption causes a decrease …

Emerging Adults Reflect After Completing A Long-Distance Running Program: Were Program Goals Met?, Elaine M. Rutkowski, Patricia Calero, Cynthia D. Connelly

School of Nursing and Health Science: Faculty Scholarship

Objective:To examine the potential sustained effects of WeROCK, a structured middle school-based marathon training program, on participants’ reported levels of wellness promotion, physical activity, and self-efficacy as they enter early adulthood. Design and Methods: A retrospective descriptive mixed methods design. Sample included emerging adults (N=57) who were past middle school participants in WeROCK Orange County, CA. Data were collected via online questionnaires. Results: Physical activity contributed to the positive wellbeing for participants in this sample; Physical activity was satisfying, inspirational, and enjoyable; school was considered important; Approximately 77% of participants engaged in a high or moderate levels …

Covid-19 And Eating Disorders: How Covid-19 Increased The Prevalence And Severity Of Eating Disorders, And The Lasting Implications, Lucy Rogers

Mahurin Honors College Capstone Experience/Thesis Projects

COVID-19 brought on a whirlwind of changes that were impossible to have foreseen. The impacts on individuals have left lasting impressions, the natures of which continue to be unearthed even now- 4 years later. This thesis will outline the impacts of COVID-19 on those suffering from eating disorders and disordered eating habits, as well as ideas for how to support and care for these individuals through their continued hardships which have been set in motion by the pandemic.

The research conducted on this topic utilized peer reviewed articles found through databases such as CINAHL, PubMed, and Cochrane Library. The findings …

Radiation Therapy Of Glioblastoma: Experience Of A Moroccan Center, Hassani Wissal, El Ayachi Zineb, Farhane Fatim-Zahra, Alami Zenab, Bouhafa Touria

Health Sciences

Background: Glioblastomas are the most frequent and aggressive primary brain tumors. Their prognosis remains bleak, despite progress in management and understanding of the different biological mechanisms. Our objective is to highlight the impact of radiotherapy in improving the management of glioblastoma through the experience of the radiotherapy department at Hassan II University Hospital. Materials and Methods: This was a retrospective study analyzing the medical records of patients with glioblastoma over the period from August 2012 to January 2020. The data was analyzed using the epi-info software, therapeutic toxicities evaluated according to CTCAE V.4 scale, and overall survival estimated by the …

Work-Life Balance: Combating Nurse Practitioner Burnout And Primary Care Provider Shortages Utilizing Telehealth, Jennifer O'Dell

Graduate Research Projects

No abstract provided.

The Impact Of Self-Care On Nursing Faculty Burnout And Worklife, Jennifer J. Harrington

Regis University Student Publications (comprehensive collection)

Nursing faculty are relied upon to prepare the nursing workforce of the future. The stress and pressure felt by nursing faculty impacts their ability to practice self-care, and this threatens their ability to perform optimally. Lack of self-care can lead to diminished quality of life, and ultimately burnout. Feelings of burnout and decreased quality of life, which are precursors to faculty turnover, further perpetuates the nursing shortage. A Quality Improvement (QI) Pilot Initiative, with an evidence-based design methodology was implemented within one university’s nursing department, located in a western state, to address this problem. Using a pre-post survey design and …

Ineffective Aggregation Of Filipino-American Health Assessment Data & It's Effect On Individualized Healthcare, Marrian Gutierrez, Anthony Rain Macoy

Nursing | Senior Theses

Background

Filipino-Americans and their health care data seem to be difficult to find individually, and this is due to the continual grouping of this population with other Asian subgroups into the Asian-American population. The needs of the Filipino-American population are distinctly different from other Asian-American subgroups, and the underrepresentation leads to inadequate health care, lack of education within the community, and in some cases, disproportional deaths of Filipino-Americans.

Objective

To highlight the importance of adequate aggregation of health assessment data of a specific population on individualized care, in this paper, Filipino-Americans.

Summary of Findings

In the review of literature, it …

The Role Of Body Appreciation And Self-Worth In The Social Support, Self-Management, And Glycemic Control Relationships With Type 2 Diabetes Mellitus Among Adult Arab Omani Women, Samia Alharrasi

Wayne State University Dissertations

Background: Diabetes self-management (DSM) is the mainstay of type 2 diabetes mellitus (T2DM) control. Adhering to self-management tasks is demanding, especially for women living with T2DM. Adult Arab Omani women living with T2DM are highly influenced by their social environment, which might impact women’s body appreciation and self-worth. The literature focused on these psychological determinants of DSM adherence behavior among Omani women living with T2DM is scared. Objective: Therefore, this study aimed to examine the relationship between social support and DSM behavior as mediated by body appreciation and self-worth in adult (≥ 40 years old) Arab Omani women living with …

Virtual Reality Pain Intervention For Pediatric Burn Patients, Tanya Ann Hinrichs

Theses and Graduate Projects

Burns can be devasting trauma in the pediatric population, leading to lifelong physical and psychological pain and anxiety. Burn pain management is complicated and undertreated traditionally. The purpose of this scholarly project is to examine the use of virtual reality (VR) for distraction in pediatric patients who have experienced a burn to determine if VR improves pain management during painful procedures. A literature review revealed a gap in pain management in pediatric burn survivors with just traditional pharmacologic analgesia during painful procedures. Leininger’s Culture Care Theory provides a theoretical framework for this project’s purpose to determine if implementing a virtual …

Patient Positioning To Prevent Pressure Injuries, Maria D. Trevis

Theses and Graduate Projects

Skincare is an important intervention to prevent pressure injuries (PIs) during hospitalization. Prolonged pressure on a body part can result in restricted blood flow and oxygen, inadequate nutrition, and varying degrees of tissue damage, ultimately leading to a PI. Patients who have undergone surgery or have limited mobility are particularly vulnerable to developing PIs. The Centers for Medicare and Medicaid Services made a ruling in 2008 that hospitals would not be reimbursed for any hospital-acquired PIs as they are costly and preventable. Unfortunately, there is a knowledge gap in PI prevention due to a shortage of nursing staff, and changes …

The Impact Of Student-Led Lactation Education On Self-Efficacy In Clinical Simulation: An Integrative Literature Review, Kaitlyn Flores Yu

Honors Undergraduate Theses

Simulation is a critical component of nursing education. It provides a safe environment to practice and evaluate skills, supplements clinical hours, and removes barriers to a well-rounded education. Nurses are expected to be educators as part of our scope of practice, and simulation can facilitate this. One topic of nursing importance is lactation education, as breastfeeding has been shown to have multiple benefits for both mother and baby. National rates of exclusive breastfeeding for the first 6 months do not currently meet CDC recommendations. The pedagogy known as the Protégé Effect suggests that learning can be improved through teaching. Breastfeeding …

Educating Oncology Nurses On Identifying And Managing Cancer-Related Distress, Rosemary Vivella Irish

Walden Dissertations and Doctoral Studies

AbstractUp to 50% of patients diagnosed with cancer will experience significant levels of distress. Cancer is related to psychological distress and can negatively impact recovery from surgery, increase treatment side effects, and decrease overall quality of life. The National Comprehensive Cancer Network recommended screening for distress as part of comprehensive cancer care. In the practice setting, there was a need for better assessment of distress in cancer patients. The purpose of this staff education project was to address a gap in practice regarding the lack of knowledge of screening for distress by providing education to oncology nurses on how to …

Providing Diabetes Education To Improve Staff Nurses' Knowledge, Marcia A. Patterson

Walden Dissertations and Doctoral Studies

Diabetes mellitus is a chronic metabolic disease that affects over 34.2 million or 10.5% of the U.S. population and ranks as the seventh leading cause of death. Tennessee's diabetes prevalence rate is ranked 45th overall in the nation, with 14.9% of the population affected, and in the local area for this project, the rate is greater than 15%, creating a public health concern. Despite its prevalence, there is still a wide gap in knowledge among nurses on diabetes management. The practice-focused question for this project addressed whether a staff education program would improve nurses' knowledge regarding diabetes. The significant gap …

A Staff Education Project On The Administration Of Clinical Practice Guidelines For The Treatment Of Obesity And Overweight Children And Adolescents, Emilia Ochiabuto Okoye

Walden Dissertations and Doctoral Studies

AbstractObesity among children and adolescents has reached epidemic proportions in the United States (U.S). Nurses in pediatric settings have a critical role to play in assessing and managing childhood obesity. The partner site for this project has a childhood obesity rate of 35% compared to the national average of 19%. However, the nursing staff lacked adequate knowledge, competence, and confidence in assessing and managing childhood obesity in line with the recommended guidelines. The problem was addressed by implementing the Clinical Practice Guideline for the Treatment of Obesity and Overweight Children and Adolescents via an education program. The program’s content was …

Evaluation Of A Math And Medication Administration Proficiency Program In A Pre-Licensure Nursing Program, Dianne J. Hoekstra

Graduate Research Theses & Dissertations

Calculation of the correct dosages is a key factor for safe patient medication administration. For decades nurse educators have aimed to improve the knowledge and skills of the pre-licensure nursing students for medication administration. In a midwestern pre-licensure nursing school, a program was implemented using a curriculum wide approach for the teaching, remediation, and assessment of the math skills required for safe medication administration; known as the Math and Medication Administration Proficiency (MMAP) program. This dissertation evaluates the MMAP program using a logic model and mixed methods approach. Results indicated improvement in the pre-licensure nursing students’ success with the testing …

Nursing Interventions To Decrease Depressive And Anxious Symptoms In Hispanic-American Youth, Vanessa C. Hernandez

Honors Undergraduate Theses

Introduction: Hispanic-American youth are less likely to receive mental health services despite being at increased risk for depression and anxiety. Having depression and anxiety at a young age can have detrimental long-term effects such as sexual risk behavior, delinquency, and suicide. Various kinds of nurses interact with this age group which can be a missed opportunity to intervene for the welfare of these youth. Interventions exist for depression and anxiety; however, they are not specific to nurses who care for young Hispanic-American patients. Methods: An integrative literature review was performed to identify nursing interventions for Hispanic American youth with depression …

Educating Oncology Nurses On Identifying And Managing Cancer-Related Distress, Rosemary Vivella Irish

Walden Dissertations and Doctoral Studies

AbstractUp to 50% of patients diagnosed with cancer will experience significant levels of distress. Cancer is related to psychological distress and can negatively impact recovery from surgery, increase treatment side effects, and decrease overall quality of life. The National Comprehensive Cancer Network recommended screening for distress as part of comprehensive cancer care. In the practice setting, there was a need for better assessment of distress in cancer patients. The purpose of this staff education project was to address a gap in practice regarding the lack of knowledge of screening for distress by providing education to oncology nurses on how to …

Discharge Education Protocol To Improve Patient Satisfaction, Courtney Banzon

Doctor of Nursing Practice (DNP) Practice Innovation Projects

Background: Discharge education that is patient-centered and started in a timely manner provides patients with the knowledge to care for themselves in the home setting and prevent adverse outcomes from occurring.
Methods: A discharge education protocol was implemented on a cardiology inpatient unit. The registered nurses were given a discharge checklist that focused on education and discharge planning with the patient within 24 hours of admission. Patients completed a survey that measured satisfaction of staff education. Surveys were collected for 10 weeks pre-intervention and compared with surveys 10 weeks post-intervention. Data was collected on the time of discharge with the …

Powered By Momma: Implementing Expressed Breast Milk For Oral Immunotherapy In A Level Iv Nicu, Whitney Anderson, Haneen Elsharif, Nicole Fletcher, Brooke Prince

2022

No abstract provided.

Current Status And Priorities Of Paediatric Oncology Nursing In Africa: A Synthesis Of Perspectives From Siop Africa Nurses, Glenn M. Afungchwi, Elianeth Kiteni, Mariam Ndagire, Biemba Maliti, Julia M. Challinor, Rachel Hollis

School of Nursing & Midwifery, East Africa

Introduction. As African countries adopt the global goal of improving childhood cancer survival to 60% by 2030, intentional actions are required to improve nursing. This report aims to describe the current status of paediatric oncology nursing in Africa.

Methods. We report on nursing-related aspects of a survey to map paediatric oncology services in Africa (2018–2019), document perceived nursing strengths and weaknesses (2017) and share nurses’ research priorities (2019). Additionally, we report on a survey to identify topics for a foundation course (2019) and the expressed perspective of African nurses about the status of paediatric oncology nursing across the continent (2022). …

The Effects Of Screen Time On Children, Jacqueline Valdepenas

Nursing | Senior Theses

With the development of technology continuing to grow at a fast-paced pace in society, children are now becoming exposed to such technology at a younger age. The introduction of smartphones and tablets, which is defined as screen time in this paper, are being introduced to children as young as 6 months of age. Instead of children playing with toys recommended for their age, they use screen time for their play needs and entertainment. Some parents use screen time as a distraction and/or relief for their own needs when the child is upset or they’re unable to tend to the child. …

Views And Opinions Of Mass Media Key Informants On Coverage Of Issues Related To Maternal, Newborn And Child Health In Lake Zone, Tanzania, Violeth A. Mbuni, Nyagwegwe Wango, Elias C. Nyanza

Institute for Educational Development, East Africa

In Tanzania, the mass media is a primary means of communicating health information to urban and rural populations. While unsafe abortion is the leading cause of maternal deaths and complications in Tanzania, this has increased the high unintended pregnancy rate. Journalists, editors, program managers and producers play a significant role in determining the health-related issues reported. In the present study, the views, and opinions of mass media key informants on coverage of issues related to maternal, newborn and child health in Lake Zone were investigated. This qualitative study was conducted with key informants from 24 mass media outlets that covered …

Pharmacy Students' Perception And Satisfaction With Chemistry Education: A Crosssectional Study, Fayssal Jhilal, Lamia Slimani, Lamia Zaari Lambarki, Ali Jafri, Samy Iskandar, Mariam El Jemli, Najib Alidrissi, Samir Ahid

Health Sciences

Chemistry is an important part of the curriculum for pharmacy students, as there are many disciplines within chemistry that are actually involved in the design and development of drugs, namely; general chemistry, synthetic organic chemistry, analytical chemistry, biochemistry, pharmaceutical chemistry (or therapeutic chemistry), pharmacognosy and materials chemistry for the design of dosage forms. The learning of chemistry by pharmacy students is generally influenced by their perception of theoretical courses, tutorials or practical work. In order to evaluate this perception, we conducted a cross-sectional study based on an anonymous electronic questionnaire distributed to students of all the Moroccan Faculty of Pharmacy …

Study Protocol For The Breathe Easier Trial: A Pilot Rct Of A Dyad-Based, Multiple-Behavior Intervention For Improving Physical And Emotional Health In Survivors Facing Lung Cancer, Karen Kane Mcdonnell Phd, Rn, Jeannette O. Andrews Phd, Rn, Faan, Chih Hsiang Yang Ph.D., Brandi R. Newsome, Ella Weinkle, Jean Elizabeth Davis, Shira Dunsiger

Faculty Publications

Background: Research targeting survivors of lung cancer has yet to adequately address the management of physical deconditioning and unresolved symptoms (dyspnea, fatigue). The objective of the Breathe Easier trial is to test the feasibility and preliminary effects of a theory-based, multiple-behavior intervention (physical activity, smoking reduction for current smokers, stress management) targeting survivors of localized non-small-cell lung cancer (NSCLC, stages I-III) and their supportive partners. Methods: This pilot RCT will enroll 30 dyads (60 participants). Each dyad will consist of one survivor and one partner (defined as a family member or friend) Dyads will be randomized to the Intervention Group …

Improving Unlicensed Staff And Nurses’ Knowledge, Attitudes, And Practices Associated With Fluid Status Monitoring By The Utilization Of A Fluid Status Monitoring Protocol, Brittni Roberts

Doctor of Nursing Practice (DNP) Practice Innovation Projects

Background: Monitoring fluid status may prevent adverse patient outcomes. Nurses and unlicensed staff are responsible for inpatient fluid status monitoring and documentation.
Methods: Registered nurses and unlicensed staff completed a pre-intervention questionnaire measuring their knowledge, attitudes, and practices related to fluid status monitoring. They then completed an education session on fluid status monitoring and the new protocol. This protocol includes use of a fluid balance chart, a standardized daily weight process, and allowed patient participation. The protocol was implemented for 2 months, and the questionnaire was completed again post implementation.
Results: The results were analyzed using a Wilcoxon signed-rank test …

Implementing A Walking Program For Sedentary Patients In A Weight Management Clinic, Bailey Tetrault

Doctor of Nursing Practice (DNP) Practice Innovation Projects

Background: Promoting physical activity in weight management patients promotes better patient outcomes.
Methods: Weight management clinic patients were enrolled in the 6-week Walk with Ease (WWE) program. At the first session, each participant’s walking distance was measured over a 20-minute timeframe using pedometers. WWE group met 3 times weekly for six weeks for walking activities and with education on movement, mobility, and strength. At each session, the walking distance of participants was measured over 20 minutes. Race, gender and age descriptive were also collected.
Results: Statistical tests included the Friedman Test, ANOVA, and linear regression were calculated at the 5% …