Digital Commons Network^™

Prevalence And Impacts Of Musculoskeletal Pain Among The Elderly Living In The East Coast Region Of Peninsular Malaysia, Muhammad Kamil Che Hasan, Nur Nabila Izzati Asmera, Suliza Sulaiman, Mohd Said Nurumal, Nik Noor Kaussar Nik Mohd Hatta

Makara Journal of Health Research

Background: Musculoskeletal pain commonly affects the elderly, but the extent of this problem within the Malaysian community remains unknown. This study aimed to investigate the prevalence and impact of musculoskeletal pain among the elderly living in the community.

Methods: Elderly individuals aged 60 years and above with musculoskeletal pain and intact cognition were recruited for this study. Musculoskeletal pain was scored using the Nordic Musculoskeletal Questionnaire, and functional ability was assessed via the Lawton Instrumental Activities of Daily Living scale. Mental wellbeing was evaluated using the Short Warwick–Edinburgh Mental Wellbeing scale, and risk of falling was determined via …

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 …

Effectiveness Of Ehr-Depression Screening Among Adult Diabetics In An Urban Primary Care Clinic, Filipina C. Schnabel Md, Mph, Msn, Fnp-Bc, Danielle Aldridge Msn, Fnp-C, Laura Reed Dnp, Fnp-Bc

Doctor of Nursing Practice Projects

Background Diabetes mellitus (DM) and depression are important comorbid conditions that can lead to more serious health outcomes. The American Diabetes Association (ADA) supports routine screening for depression as part of standard diabetes management. The PHQ2 and PHQ9 questionnaires are good diagnostic screening tools used for major depressive disorders in Type 2 diabetes mellitus (DM2). This quality improvement study aims to compare the rate of depression screening, treatment, and referral to behavioral health in adult patients with DM2 pre and post-integration of depression screening tools into the electronic health record (EHR).

Methods We conducted a retrospective chart review on patients …

Zero Balancing In The Chiropractic Practice, Michele Doucette Dc

Journal of Transformative Touch

Discovering the profound gifts of the leading-edge structural and energetic manual therapy Zero Balancing (ZB), and adding it to my chiropractic and nutrition practice, has unified my personal growth with the sustainability of my professional practice. Much of humanity is starving for wholeness, authenticity, and meaningful connection with ourselves, others, and something greater. Chiropractors are well positioned to be leaders in a true evolution of healthcare, especially if, as we continue to explore the various branches of our therapeutic repertoires, we stay connected to our vitalistic roots that are now more supported than ever by new findings in the fields …

Integrating The Concept Of Trauma Into An Undergraduate Nursing Curriculum, Jacey Walker

DNP Projects

Adverse childhood experiences, or ACEs, are early childhood traumas such as abuse, neglect or household dysfunction that can cause chronic physical and mental health problems across the lifespan. Approximately 61% of the adults in the United States have experienced ACEs. The prevalence of ACEs among nurses is at least comparable to population prevalence, and rates may be higher in subpopulations of individuals who work in helping professions. The stressful and highly interpersonal nature of nursing work may exacerbate and compound the health impacts of a nurse’s underlying ACEs, affecting not only the nurse’s health, but also his or her work …

Dnp Final Report: The Impact Of Mindfulness Training On Stress, Burnout, And Mindfulness, Denise Mcnulty

DNP Final Reports

Stress and burnout are endemic in the health care profession, and the transition to practice is associated with even more stress and anxiety for new graduate nurses (Boehm & Tse, 2013). Researchers have demonstrated that mindfulness-based interventions mitigate stress and burnout and improve the workplace environment and patient outcomes (Perla et al., 2017; van den Riet et al., 2018). This scholarly evidence-based practice project assessed the impact of integrating mindfulness training into an existing nurse residency program. The team measured burnout, stress, and mindfulness via an online survey at the beginning of the February 2020 residency cohort with repeat measures …

Impact Of A Telephone-Based Care Management Program On Health Outcomes For Patients With Type 2 Diabetes And Hypertension, Abbegail Miller

DNP Projects

Background: Type 2 diabetes mellitus (T2DM) and hypertension (HTN) were the 7th leading cause of death in the United States, accounting for over 160,000 deaths annually. Complications related to T2DM and HTN are preventable with lifestyle modifications and medications. However, research has shown that lack of patient self-management, poor medication adherence, and physician time restraints limit disease improvement. A telephone-based care management program (CMP) provides a solution to meeting patient needs. Purpose: The purpose of this scholarly project was to evaluate individual biomarkers for glycemic and HTN control, as well as self-monitoring of blood glucose (SMBG) over one year of …

Black Maternal Mortality In The United States, Grace Phelps

Honors College Theses

Black maternal mortality is a looming issue in the United States as the rate of Black maternal deaths is 3-4 times higher than the average rate for White women. Research establishes that this is a multifaceted issue of care quality, preexisting health, biases and racism, and structural inequalities. This study aims to discuss the statistics, contributing factors, and possible solutions to the issue of Black maternal mortality. Specifically, this study aims to educate nursing students on the matter and test the implications an educational session has on knowledge about Black maternal mortality and how health care professionals can be part …

Eating For Health, Tanya Reese

Theses and Graduate Projects

As anxiety and depression have increased exponentially, researchers have discovered a link between nutrition and incidences of anxiety and depression. The communication between the gut and the brain is imperative for mental health. The inflammatory process that is initiated in the intestinal tract can change the chemistry of the brain resulting in anxiety and depression. Newman’s Theory, Health as Expanding Consciousness, helps people to identify patterns in their food choices and change those patterns to choose healthier foods. This scholarly project was implemented to teach youth and adults living in a rural community about the link between food and anxiety …

Complementary Alternative Medicine: An Education Of Guided Self-Care In The Elderly Population For Management Of Chronic Conditions, Janice B. Gerber

Theses and Graduate Projects

The elderly population, specifically the residents in the Skilled Nursing Facility (SNF) or nursing homes, suffer from chronic conditions, many of which have a psychological and behavioral component. Conventional medicine treats the chronic conditions from one symptom to another through pharmacological interventions, which resulted in polypharmacy. Gathering evidenced-base practice of Complementary Alternative Medicine (CAM) will maximize opportunities for the elderly population to manage chronic conditions. The application of Parse’s Theory of Human Becoming (HBT) with self-guided education of CAM modalities in SNF explores the significant concepts of personal meaning, rhythmical patterns, and transcendence. Grounded on HBT, the self- guided education …

Pediatric Obesity: Prevention, Assessment And Treatment In Primary Care, Susan Johnson

Theses and Graduate Projects

People of all ages deserve care for the disease of obesity. Pediatric obesity affects one in three children in the United States, and the number of obese children has tripled since the 1970s (Centers for Disease Control and Prevention (CDC), 2018a). High blood pressure, high cholesterol, type 2 diabetes, and sleep apnea are complications that pediatric patients now face, and these diseases are well known to worsen quality of, and potentially shorten life. This scholarly project addresses the question: How can family nurse practitioners effectively address pediatric obesity in the primary care setting? Interventions early in life, perhaps even pre-conception, …

Improving Family Nurse Practitioners’ Knowledge Of Palliative Care Resources, Michelle L. Bond

Theses and Graduate Projects

The shift in healthcare indicates Americans are living longer with progressive chronic illnesses subsequently reducing quality-of-life. Primary care providers have opportunities to assess the need for and implement palliative care to offer holistic symptom management to improve patient’s quality-of-life. The purpose of this scholarly project, guided by Jean Watson’s Theory of Human Caring, is to assess primary care providers knowledge and comfort regarding initiating palliative care while determining if additional education improves their familiarity. The objectives were to review current palliative care literature identifying barriers and inadequacies, determine evidence-based practice to develop an educational presentation and resources to improve communication, …

Type 2 Diabetes - A Change For A Better Life, Hilary Greene

MSN Capstone Projects

Cardiovascular disease has been known to be the leading cause of mortality in patients with type 2 diabetes. With diabetes on the rise in the United States, it is important to assess changes in these patients to decrease the risk of developing cardiovascular disease or a major cardiovascular event such as a myocardial infarction, stroke, or death. If able to address healthy alternatives to patients to reduce the risks of major cardiovascular events such as a myocardial infarction or stroke, it could potentially save many lives. As a nurse educator, it is important to provide patients with the education they …

Perceptions Of Infusion Pump Alarms Among Experienced Nurses Versus Novice Nurses, Priyanka Panta

Merge

In nursing, infusion pumps are used daily to provide critical medications, fluids, and nutrition to patients. The alarm signals on these pumps can alert nurses to potential issues with the infusion, but some of these alarms are not clinically significant. In this study, the student researcher determined whether there was a statistically significant difference in the perceptions of infusion pump alarms among experienced and novice nurses. The student researcher hypothesized the novice nurses would have a higher perception of infusion pump alarms. The student researcher had the education department at a rural hospital in the southeastern United States distribute an …

The Detection And Prevention Of Weight Loss Attributed To Covid-19 Social Restrictions Within Long-Term Care Residents, Grace Gohman, Caitlin Williams, Alexander Lucken

Celebrating Scholarship and Creativity Day (2018-)

No abstract provided.

Examining Health Disparities Among Lesbian, Gay, Bisexual, Transgender, And Queer/Questioning Adults In Davidson County, Tennessee, Samantha Anticuar

DNP Projects

Background: Lesbian, gay, bisexual, transgender, queer, and questioning (LGBTQ) individuals experience increased risks for health disparities and discrimination compared to non-LGBTQ individuals, yet there is limited research in southern populations. Purpose: The purpose of this scholarly project was to examine if LGBTQ individuals had increased health disparities compared to non-LGBTQ individuals in Davidson County, Tennessee (TN). Methods: A quasi-experimental design (N = 1,704) used the 2019 Nashville Community Health and Well-being Survey for analysis. Results: Findings suggested LGBTQ individuals had increased odds of not having health insurance (p = .009, adjusted odds: 6.84), poor mental health (p …

Best Practices To Prevent Or Delay Diabetes In Adults With Prediabetes, Aminata Cham

Nursing DNP Projects

Abstract

Diabetes mellitus is a common disease prevalent in 10.5% of the US population about 34.2 million people and a disproportionate percentage of people of color. An EBP project for people with prediabetes was conducted in a faith-based based setting after institutional review board approval. The purpose of the project was to increase fruits and vegetable intake and increase physical activity in adults with prediabetes. The Chronic Care Model was used to guide the design and implementation of the project. The project was a modified version of the National Diabetes Prevention Program (NDPP) in a series of four 2-hour sessions …

Impact Of The Covid-19 Pandemic On Chhs Students, Macey Seal

Honors Theses

The 2020 COVID-19 pandemic has impacted students in various ways. Students around the world / in the U.S have been impacted in financial, emotional, mental, and physical ways as COVID-19 continues to change the way the world is navigated. The purpose of this thesis is to explore the feelings and vulnerabilities of students at the College of Health and Human Services (CHHS) building during the 2020 Pandemic. In order to succeed in school, students need to feel financially stable, physically stable and mentally stable. While many students have struggled with this balance in the past, the effect of COVID-19 has …

P13: Demographic Characteristics Of Hpv Infections And Reporting Among Women In The United States, Jake Tuft

Annual Research Symposium

No abstract provided.

P2: Characteristics Of Individuals With Oral Hpv Positive Results, Val Cheever, Eric Hon, Andrew J. Gross, Man Hung

Annual Research Symposium

No abstract provided.

Effects Of Socioeconomic Status On Glycemic Control In Children And Young Adults With Type 1 Diabetes, Julianna Morgan

Undergraduate Research and Scholarship Symposium

The purpose of this research presentation is to identify the relationship between socioeconomic status and glycemic control in children and young adults living with Type 1 diabetes. Poor blood glucose regulation can often lead to various lasting complications such as chronic kidney disease, loss of eyesight, infection, and even death. These can be devastating to an individual, yet preventable. The complications resulting from the lack of strict glucose regulation are a significant problem currently facing healthcare and disproportionally affecting patients from lower socioeconomic groups. Using CINAHL, research studies about the relationship between type 1 diabetes control and socioeconomic status were …

How Nutrition And Lower Socioeconomic Status Affects The Overall Health Of Rural Appalachian Residents, Johanna Dundon, Chloe Foutch, Renae Helm, Katherine Walsh

Epsilon Sigma at-Large Research Conference

No abstract provided.

Healthcare Disparities Among Incarcerated Pregnant Women, Molly Carpenter, Halim Oluwatunmise, Whitney Shipley, Ojiugo Udensi

Epsilon Sigma at-Large Research Conference

No abstract provided.

Application Of The Ideas Framework In Adapting A Web-Based Physical Activity Intervention For Young Adult College Students, Kimberly R. Hartson, Lindsay J. Della, Kristi King, Sam Liu, Paige N. Newquist, Ryan E. Rhodes

Faculty and Staff Scholarship

User-centered developmental processes are critical to ensuring acceptability of e-health behavioral interventions, and yet physical activity research continues to be inundated with top-down developmental approaches. The IDEAS (Integrate, Design, Assess, and Share) framework outlines a user-centered process for development of e-health interventions. The purpose of this manuscript is to describe the application of the IDEAS framework in adapting a web-based physical activity intervention for young adult college students. Steps 1–3 emphasized integrating insights from users and theory and Steps 4–7 focused on iterative and rapid design with user feedback. Data were collected via repeat qualitative interviews with young adult college …

Protecting Sleep To Reduce Delirium In An Adult Intensive Care Unit, Heather Thomas

Student Scholarly Projects

Practice Problem: Delirium is a common, yet often preventable complication in hospitalized patients. It is often caused by fragmented sleep, medications, environmental stimuli, and treatment therapies.

PICOT: The PICOT question that guided this evidence-based practice change project was: For patients in an adult Intensive Care Unit (ICU), does using a nurse-initiated, non-pharmacological sleep-enhancement protocol, versus no sleep-enhancement protocol, reduce the incidence of ICU-delirium over a period of 2 months?

Evidence: The reviewed literature supported the evidence for effective use of a nurse-initiated protocol in reducing delirium in the ICU. Sixteen articles met the inclusion criteria for the review of literature …

A Safety Program In A Tertiary Care Center Emergency Department: An Evidence-Based Project To Increase Safety Event Reporting And Improve Frontline Staff Perceptions Of Hospital Management’S Response To Safety Events, Elizabeth Anne Mcmaster

Student Scholarly Projects

Practice Problem: The lack of a non-punitive safety culture with a healthcare organization is associated with decreased safety event reporting, reimbursement rates, and staff satisfaction.

PICOT: The PICOT question that guided this project was: In emergency department frontline staff, does hospital management involvement in a safety event program, contrasted with no safety event program, improve frontline staff’s reporting of safety events and perceptions of hospital management’s response to safety events management involvement over four weeks?

Evidence: Three overlapping themes that guided this project included: improving organizational culture, open communication, and leadership support in promoting patient safety.

Intervention: A safety event …

The Effects Of A Survivorship Care Plan On Hospital Readmission Rates In Allogenic Stem Cell Transplant Patients, Chantaney Williams

The Eleanor Mann School of Nursing DNP Capstone Projects

Stem cell transplants (SCTs) are complicated treatments utilized to treat hematologic malignancies and other disorders, such as multiple myeloma, non-Hodgkin’s lymphoma, Hodgkin’s lymphoma, acute myeloid leukemia, neuroblastomas, germ cell tumors, amyloidosis, and autoimmune disorders such as systemic lupus erythematosus and systemic sclerosis. The complex care of patients undergoing SCTs place them at high risk for adverse outcomes, including infection, cytomegalovirus, graft vs host disease, secondary new cancers, infertility, and sexual dysfunction (American Cancer Society, 2020). Survivorship care plans (SCPs) are a vital part of the discharge process to educate allogenic SCT patients about post-transplantation care. SCPs are implemented to reduce …

College Of Nursing, Spring 2021, Matt Schmidt, Christine Delfanian, Dave Graves, Sydney Smith, Micayla Standish

College of Nursing Magazine

FEATURES
[Page] 2 University honors Abuatiq
[Page] 4 Mehlhaff adds author to titles
[Page] 5 West River Health Sciences Center gets established
COLLEGE NEWS
[Page] 7 RN to B.S.N. program changes
[Page] 8 Program returns nurses to field
[Page] 10 Impact of NANEC
[Page] 11 New role for Arends
[Page] 12 Carson, Burdette retire
[Page] 14 Winterboer, Soholt honored
RESEARCH
[Page] 16 Mollman recognized for efforts
STUDENT NEWS
[Page] 20 Mother, daughter earn diplomas
[Page] 22 Sigma Theta Tau anniversary
[Page] 24 Engineering and nursing
[Page] 26 Benefits of scholarships
SDSU FOUNDATION
[Page] 28 Sustaining scholarships

How Parkview Created A Holistic Response Team To Improve Workforce Well-Being: Case Study For Health Care Providers Worldwide, Advisory Board, Pamela J. Bland Msn, Rn, Cenp, Hn-Bc, Erin Lacross Dnp, Rn, Nea-Bc, Cenp, Sarah Weaver Msn, Fnp-C, Hn-Bc, Carolyn Meyer Bsn, Rn, Hn-Bc, Ccl

Nursing Publications, Posters, & Presentations

Overview: How Parkview Created a Holistic Response Team to Improve Workforce Well-Being

The challenge: Health care staff across all levels find it challenging to prioritize their own wellbeing, both during and outside of an immediate crisis. The stigma associated with accessing emotional support resources, a health care culture that idolizes stoicism, and competing priorities for time leave many prone to burnout.

The organization: Parkview Health is a not-for-profit, community-based health system serving northeast Indiana and northwest Ohio. The system includes an extensive network of primary care and specialty physicians and 10 hospitals, with more than 13,000 employees.

The approach: Parkview …

Kujdesi Dhe Menaxhimi I Të Sëmurëve Me Hipertension Dhe Ushqyeshmëria E Tyre, Artan Loshaj

Theses and Dissertations

Hyrje: Tensioni i lartë i gjakut (hipertensioni arterial) është një nga shkaktarët e sëmundshmërisë dhe vdekshmërisë së parakohshme që mund të parandalohet.

Hipertensioni është një faktor i rëndësishëm i rrezikut për insultet cerebrovaskulare, iskemitë tranzitore, infarktin e miokardit, insuficiencën e zemrës, sëmundjet kronike të veshkave, dëmtimit kongnitiv dhe vdekjeve të parakohshme. Hipertensioni i patrajtuar, zakonisht shoqërohet me një rritje progresive të tensionit arterial. Rëndësi të veqantë në trajtim ka edhe ushqyeshmëria e këtyre pacienteve si p.sh: ndryshimi i stilit të jetës, kufizimi i kripës, reduktimi i peshës, ndërprerja e duhanit etj.

Qëllimi i studimit ishte marrja e informatave lidhur me …