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Kujdesi Infermieror Te Pacientët Me Diabet Tip 2, Jehona Llugiqi

Theses and Dissertations

Sëmundja e diabetit duke filluar nga diagnostifikimi, trajtimi e deri te menagjimi i sëmundjes kërkon një kujdes të shtuar si nga stafi shëndetësor ashtu edhe nga pacienti.

Numri i të diagnostifikuarve me diabet është çdo ditë në rritje e sipër. Kjo sëmundje prek të gjitha moshat nga të gjitha vendet, përfshirë edhe vendet më të zhvilluara.

Kujdesi infermieror përbën një rol kyç në menaxhimin e sëmundjes së diabetit dhe edukimin e pacientit lidhur me të.

Qëllimi i këtij punimi është hulumtimi se sa i pranishëm është diabeti në vende të Bashkimit Europian si: Slloveni, Bullgari, Itali, Kroaci gjatë vitit 2014. …

Aplikimi I Nanoteknologjisë Në Shëndetësi, Bahrie Fetahu

Theses and Dissertations

Në këtë punim diplome do të flas për aplikimin e nanoteknologjisë në shëndetësi, e cila përmban një degë të veçantë të saj që quhet nanomedicinë. Nanomedicina është aplikimi mjekësor i nanoteknologjisë. Nanomedicina varion nga aplikimet mjekësore të nanomaterialeve dhe pajisjeve biologjike, deri te biosensorët nanoelektronikë, madje edhe aplikimet e mundshme në të ardhmen të nanoteknologjisë molekulare siç janë makinat biologjike. Problemet aktuale për nanomjekësinë përfshijnë të kuptuarit e çështjeve që lidhen me toksicitetin dhe ndikimin mjedisor të materialeve në shkallë nanoseksuale (materiale struktura e të cilave është në shkallën e nanometrave, d.m.th. miliardat e një metri). Funksionet mund të shtohen …

Rritja Dhe Zhvillimi I Fëmijëve Të Moshës Parashkollore Në Komunën E Ferizajt, Kastriot Ilazi

Theses and Dissertations

Shumë studime argumetojnë vazhdimisht se fëmijëria e hershme është periudha më e rëndësishme dhe më efektive ku ndërtohet baza për jetë, punë dhe për arritshmëri më të lartë në të ardhmen, në krahasim me të gjitha periudhat tjera të jetës njerëzore.

Duke ditur rëndësin e kësaj periudhe në vende të ndryshme të botës, i kushtojn ë rëndësi shumë të madhe duke filluar nga politikëbërësit duke hartuar kurrikula, dokumente, qasje, metoda, teknika, trajnime për edukatoret, duke bërë fushata të ndryshme për vetëdijësimin e shoqërisë në përgjithësi.

Synimi kryesor i këtij hulumtimi është që të identifikohen faktorët që ndikojnë në rritjen dhe …

Resilience 101: A Resilience Education Intervention For College Freshmen, Angie Childre

Doctor of Nursing Practice (DNP) Translational and Clinical Research Projects

This evidence-based project sought to evaluate resilience in freshmen college students enrolled in a Bridge scholar program (BSP) in a liberal arts university in the southeastern United States. The American College Health Association (ACHA) found that stress and anxiety were the top two indicators for impacting academics in 2019 and had been at the top since 2009 at the university of study (ACHA, 2019). The study used a pretest and posttest design method with the implementation of a five-week resilience education intervention. There was no significant difference found in students’ resilience, health promoting behaviors, anxiety or stress from baseline to …

Streamlining The Specialty Weight Management Clinic Referral Process, Callie Ann Talley

The Eleanor Mann School of Nursing DNP Capstone Projects

Obesity affects a vast amount of the population within the state of Arkansas and has a high prevalence across the US. Weight management is notoriously difficult in the primary care setting. Currently the referral process to a specialty weight management clinic in Northeast Arkansas is incredibly lengthy and inefficient, often leading to missed or inappropriate referrals. As a result of a needs assessment within the health system, this DNP Quality Improvement Project focused on improving the referral process to a specialty weight management clinic. The aim was to create a more efficient referral process to benefit both the clinic, the …

A Dnp Quality Improvement Project Addressing Low Hiv Testing Rates Of College Students, Kimberly Griffin

Doctor of Nursing Practice (DNP) Translational and Clinical Research Projects

Abstract

The overall HIV testing rate is very low in the United States. HIV is easily preventable with safe sexual practices, and early HIV screening is effective in identifying individuals affected and assuring linkage to care. The rate of HIV testing among college students reflects the low numbers of the national average. This quality improvement project evaluated attitudes towards HIV testing of undergraduate college students. The project aimed to determine attitudes of college students towards testing as well as relationships between demographic factors, frequency of HIV testing, and attitudes towards testing. A total of 99 undergraduate college students participated in …

Implementation Of Diabetic Foot Care Education Quality Improvement Project, Mitaliben R. Gor, Msn Aprn Fnp-C

Doctor of Nursing Practice Projects

Background: A diabetic foot ulcer is a major complication in diabetes mellitus that results in increased mortality, morbidity, costs, and reduced quality of life. In 2015, the prevalence of diabetic foot ulcers was estimated by the International Diabetes Federation to develop annually among 9.1 million to 26.1 million people with diabetes worldwide. Diabetic foot care has economic consequences due to the expenses related to the treatments that arise from prolonged and recurrent hospitalizations and social problems from employment losses.

Purpose: The purpose of this project was to implement diabetic foot care education among diabetes patients in the clinic as a …

Enteral Nutrition Protocol For Pediatric Burn Patients: A Quality Improvement Initiative, Margaret Tepe

Doctoral Projects

Objective: This quality improvement project was conducted to determine the efficacy of an enteral feeding protocol to improve nutrition supplementation in pediatric burn patients.

Methods: Non-ICU patients with >10% total burn surface area requiring enteral nutrition supplementation were fed within 12 hours of admission or with the first sedated dressing change, whichever took place first. Pre (n = 3) and post (n = 5) implementation of the enteral feeding protocol data were obtained. Data were collected via chart audit and survey.

Results: Patients and nurses had similar characteristics; and nurses had similar nutrition practices. Total intake of calories (93.8%) and …

Improving Adolescent Risk Assessment And Provider Follow-Up In Primary Care, Darby R. Disselkoen

Doctoral Projects

Purpose: The purpose of this quality improvement project was to improve preventive care for adolescent patients by implementing standardized, routine screening for risk-taking behaviors and improving provider response to identified risks using the Rapid Assessment for Adolescent Preventive Services tool and resources for providers to reference during discussions about risk.

Methods: Quality improvement methodology was utilized at a midwestern pediatric primary care office to implement a practice workflow for staff to follow during annual, adolescent wellchild exams beginning at age thirteen.

Results: Analysis of project results demonstrated a significant increase in routine screening for adolescent risk behaviors compared to the …

Barriers To Healthy Births At Nigerian Hospitals, Caroline Johnston

Senior Theses

Maternal mortality is a problem everywhere, but it is especially dangerous in Nigeria where the average woman experiences pregnancy six times during her lifetime (Population Reference Bureau, 2001). Many researchers focus on the medical complications associated with labor, such as hemorrhage, eclampsia, or infection. Although these birth complications are the direct sources of maternal death, it is also important to recognize how maternal mortality is a multifaceted issue influenced by local cultural groups, religions, politics, poverty level and the absence of basic infrastructures. Although maternal mortality is interconnected with social and geographical elements, my paper concentrates on Nigerian hospitals and …

Laboratory Techniques In Public Health: Bi-520 Introduction To Public Health Lab Manual, Anuradha Srivastava

Open Educational Resources

This laboratory manual for a foundations course Public Health is unique in the sense that very rarely, a foundations course in the field has a lab component offered with the lecture. This lab manual provides basic laboratory exercises that could be useful to introduce undergraduate students to the basics of public health laboratory practices.

Experiences Of Exclusively Expressing Breast Milk For Term Infants: A Qualitative Analysis, Lisa Anders

Dissertations (1934 -)

Breast milk feeding has numerous benefits for women and infants. Although positive maternal experiences with breast milk feeding impacts exclusivity, duration, and maternal mental health, most research focuses on women feeding directly at the breast. Breast milk can also be expressed and bottle-fed to the infant. This practice is encouraged in instances of maternal-infant separation or in cases of prematurity. However, there is an increasing number of women electing to feed exclusively expressed breast milk to term infants rather than feed directly at the breast. Little is known about what constitutes a positive, or salutary breastfeeding, experience in this population. …

Effectiveness Of A Postpartum Breastfeeding Protocol For Avoiding Pregnancy And Descriptive Analysis Of The Physiology Of The Postpartum Transition, Mary Schneider

Dissertations (1934 -)

Traditionally, postpartum breastfeeding women used Natural Family Planning (NFP) methods that required observation of cervical mucus and basal body temperature as indicators of return to fertility. These indicators resulted in high unintended pregnancy rates (i.e., 14-32 over 12 months of use). High pregnancy rates were due to the inaccuracy and subjectivity of those fertility indicators which required extended periods of abstinence. Ineffectiveness of NFP methods is also related to changing patterns of fertility during lactation amenorrhea (LA) and the first six menstrual cycles postpartum.Studies of a NFP protocol where women used objective urine hormone biomarkers were 92-98% effective for …

Improving Nurses’ Provision Of Neuroprotective Care In The Nicu: A Quality Improvement Project, Tammi Reeves-Messner

Doctoral Projects

Infants born prematurely (less than 37 weeks’ gestation) require specialized medical and nursing care to survive. Most of these babies require some form of respiratory, cardiovascular, thermal, and nutritional support as their bodies are not yet physiologically mature enough to handle these basic functions on their own. These supports include basic care such as diaper changes and feeding as well as life-saving interventions which include ventilation, intravenous nutrition, thermal regulation, and vasoactive medications. Depending on their gestational age or their diagnoses, they may require higher levels of support, such as nitric oxide gas delivered via a ventilator (Lai et al, …

Improving Advanced Care Planning Through Proper Implementation Of The Polst Paradigm: An Integrative Review, Charles Hunter Shomo Ii

Doctoral Dissertations and Projects

End of life planning is critical to ensure enactment of patient wishes, ethical patient treatment, and improved family acceptance of death. As such, this project addressed integration of reviewed literature of advanced planning directives to influence end-of-life care. Implementation guidelines and incorporation of the Physician Orders for Life Sustaining Treatment (POLST) paradigm was the central focus of this project. Addressing best implementation practices of the POLST paradigm should increase advanced care planning and ultimately positively impact patient and surrogate decisions regarding end of life management and care. Completion of this integrative review has provided substantial implicative evidence regarding best practice …

Examining The Relationship Of Blood Transfusions And Acute Morbidity In Preterm Infants, Kayla Chavis Everhart

Theses and Dissertations

Preterm infants, those that are born less than 37 weeks gestational age, often suffer major morbidity and mortality during hospitalization in the neonatal intensive care unit due to their prematurity; one of the major morbidities is Necrotizing Enterocolitis, a devastating gastrointestinal disease. The exact aspects that cause preterm infants to develop Necrotizing Enterocolitis are unknown; however, our hypothesis is preterm infant thermal stability and/or preterm infant stress around packed red blood cell transfusions are etiological factors in the relationship between these necessary transfusions and morbid outcomes such as Necrotizing Enterocolitis.This dissertation includes an in-depth background and introduction of various morbid …

Life Satisfaction: Aging Female Informal Caregivers Of Persons With Dementia, Deborah Ann Monson

Dissertations

Purpose/Aims

The purpose of this study was to describe the relationship between aging female informal caregivers of persons with dementia (PWD) and care recipients’ PWD demographic factors, aging female informal caregivers of PWD social support factors, positive and negative feelings, a sense of flourishing, stress, and life satisfaction.

Background/Rationale

Older adults with dementia are living longer and the majority are receiving care by aging female informal caregivers. Dementia incrementally worsens over time impacting informal caregiver life satisfaction. Most studies have focused on negative aspects of informal caregiving. Therefore, this study investigated both positive and negative aspects of caregiving.

Conceptual Basis …

Health Disparities Associated With Pre-Existing Cardiovascular Disease And Telemedicine Interventions During Covid-19 Pandemic: Best Practice Review With Recommendations, Barbara Mae Madriaga

Doctor of Nursing Practice Final Manuscripts

Purpose: The purpose of this evidence-based practice Doctor of Nursing Practice (DNP) project was to review research-based evidence brought forth by other researchers and scientists. The first goal was to determine current health care disparities associated with COVID-19 and pre-existing cardiovascular disease. The second goal was to determine current recommendations of COVID-19 and pre-existing cardiovascular disease. The third goal was to determine the use of telemedicine during this pandemic for cardiovascular interventions.

Background: In the United States, heart disease has been the leading cause of death for most racial and ethnic groups. The COVID-19 pandemic has revealed deeply rooted inequities …

The Effect Of Breastfeeding Education In African American Women On Initiation And Duration Of Breastfeeding, Shalawn F. Harris

Electronic Theses and Dissertations

Abstract

This Doctor of Nursing Practice scholarly project aimed to evaluate the effectiveness of breastfeeding education in African American women on the initiation and duration of breastfeeding. Studies demonstrated that breastfeeding education by providers and a breastfeeding support network positively influenced breastfeeding initiation and continuation in African American women. Breastfeeding education containing information on the decreased risk of breast cancer in African American women may be an even greater motivator for breastfeeding. Participants for this project were African American women, ages 18–50, in their last trimester of pregnancy. The project was approved to be implemented at an urban clinic in …

A Faith-Based Approach To Promote African American Healthy Heart Behaviors, Gwendolyn Gaston

Electronic Theses and Dissertations

More than 100 million American people have some form of cardiovascular disease. African American life expectancy is 3.4 years shorter than that of Caucasians, with an estimated 32% difference in cardiovascular disease mortality between Caucasian and African American men and a 43% difference between Caucasian and African American women. The purpose of this project was to utilize a faith-based approach in developing a heart-healthy program for addressing health disparities in an African American Baptist Church. The program focused on improving cardiovascular health literacy and addressing modifiable risk factors. The results of this project revealed that African Americans need interventions to …

Examining The Relationship Of Physical Activity, Inflammation & Adiposity On Physical Function With Gender Differences, Jeanne Hlebichuk

Dissertations (1934 -)

Older adults are a rapidly growing segment of the population in the United States. The ability to maintain physical function declines with age and is a critical factor that contributes to living independently. Physical activity has been shown to slow declines in physical function and decrease chronic inflammation. Increases in adipose tissue and decreases in muscle mass are associated with aging. The increase in adipose tissue produces inflammatory markers that can negatively impact older adults’ health. Males and females’ biological changes with aging have been hypothesized to differ. The purposes of this study were to :1) examine the relationship between …

School Students’ Perception On Risky Behavior And Their Utilization Of Health Care Services, Muhammad Kamil Che Hasan, Noor Faizah Tutasting Rawi, Mohd Said Nurumal, Siti Hazariah Abdul Hamid

Jurnal Keperawatan Indonesia

The Malaysia Ministry of Health reported adolescents’ low utilization of healthcare services, although they need this ser- vice as a consequence of their involvement in risky behavior. This cross-sectional study aimed to determine adolescents’ perception on risk taking behavior and their utilization of health care services. A modified self-administered questionnaire was used to collect data from 250 secondary school students aged 13 and 14 years in one of the selected schools in Malacca, Malaysia. Data were analyzed using SPSS 20. Fast food consumption, loitering after school, physical fighting, smoking, and non-use of helmets were the most reported risky behaviors among …

Mothers’ Breastfeeding Practices And Self-Efficacy, Agrina Agrina, Febriana Sabrian, Oswati Hasanah, Erika Erika, Yesi Hasneli

Jurnal Keperawatan Indonesia

This study examined breastfeeding practices and self-efficacy among mothers residing in rural areas. A cross-sectional study was conducted for 104 mothers via purposeful sampling in a Posyandu (maternal and child health service) in Kampar district, one of the rural areas in Riau, Indonesia. The Breastfeeding Self-Efficacy Scale Short Form (BSES-SF) was used in the questionnaires to collect data. Chi-square test was used for bivariate analysis. Majority of the respondents (71.2%) were 20–35 years old; 69.3% of the respondents’ level of education were low (such as junior and senior high school levels). Approximately 91.3% of them were housewives. Exclusive breastfeeding prevalence …

Improving Caregivers’ Perceived Involvement In Care Through Facilitating Communication With Hospital Providers, Heather Manolas

Student Scholarly Projects

Practice Problem: Involvement of family in care-planning for prevention of delirium in acute care settings is crucial, yet remains underutilized in those who are cognitively impaired. Despite the incidence of delirium in acute care worsening during COVID-19, many factors have led to it being placed on the back burner.

PICOT: In caregivers of cognitively impaired individuals, can implementation of an evidence-based, best practice tool that advocates for evidence-based delirium prevention strategies tailored to their loved-one and facilitates family involvement in care planning for these strategies during a healthcare experience as compared to no other intervention improve confidence in, and …

Patient Characteristics Related To Phlebitis In The East Coast Of Peninsular Malaysia Hospital, Azlina Daud, Fatimah Mohamad

Jurnal Keperawatan Indonesia

The insertion of peripheral intravenous catheters (PIVCs) is common for treatment among hospitalized patients. However, this procedure usually fails before the end of therapy because of several complications, including phlebitis. Therefore, this study aimed to determine the incidence and associated factors of phlebitis among patients with PIVC. A prospective cohort study was conducted in one of the hospitals located in East Coast Malaysia. The presence of phlebitis was assessed using the visual infusion phlebitis score checklist. The patients were followed until PIVC removal. A total of 321 data were collected among patients who received a new PIVC in the medical, …

Levels And Predictors Of Self-Care Among Patients With Hypertension In Pakistan, Khairulnissa Ajani, Ambreen Gowani, Raisa B. Gul, Pammla Petrucka

School of Nursing & Midwifery

Background: Globally, hypertension is the leading non-communicable disease and strongest predictor of cardiovascular diseases. To mitigate and prevent hypertension-related complications, self-care behavior adaptation has proven to be vital. In this study, we examined the six clinically prescribed levels of self-care as prescribed by the Seventh Report of the Joint National Committee on Prevention, Detection, Evaluation and Treatment of High Blood Pressure and its predictors among a select sample of hypertensive individuals in Karachi, Pakistan.
Methods: This study reports the cross-sectional survey of a sequential mixed method study which assessed the levels of self-care of hypertensive individuals residing in an urban …

Wound Care Nurses Becoming Quitline Providers And Teaching Patients About Smoking Cessation And Nicotine Replacement Therapy, Hannah Gilbert, Lakyn Rye

Scholars Week

Our evidence-based practice project focuses on wound care nurses becoming Quitline providers and teaching patients about smoking cessation and nicotine replacement therapy. To guide our research, we used Florence Nightingale’s Environmental Theory. Smoking is a modifiable risk factor that is a part of the patient’s environment. Our research we used supports that smoking can affect wound healing. We believe that wound care nurses should be trained in smoking cessation and nicotine replacement therapy prescribing to be an advocate to patients and their journey to wound healing.

Prevention Of Pressure Ulcers, Lauren Venegoni, Jordan Daugherty

Scholars Week

Pressure ulcers are one of the most common challenges all healthcare settings face. Since this is such a prevalent issue in all of nursing, proper interventions need to be put in place to prevent an occurrence. Utilizing risk assessment tools, early mobilization, repositioning, preventive skin care measures, good nutrition, and prophylactic dressings are just a few ways in which nurses can prevent PUs. There is emerging research on the use of silicone dressings in conjunction with other preventive measures that need to be taken in order to improve patient outcomes.

The Relationship Between New Graduate Registered Nurse Knowledge, Experiences, Attitudes, And Age Bias Toward The Older Adult, Michelle Fox

USF Tampa Graduate Theses and Dissertations

There had been a lack of research on the relationship between a new graduate Registered Nurses’ knowledge, experiences, attitudes, and age bias toward older adults. The purpose of this study was to investigate whether there was a relationship between new graduate Registered Nurses’ knowledge, experiences, attitudes, and age bias toward older adults.

The researcher used correlational, non-experimental, quantitative design for this study. The instruments used in this study were the Facts on Aging Quiz, the Kogan Attitude Toward Old People scale, and a demographic questionnaire. Descriptive statistics were used to analyze the demographic data and correlation coefficients were used to …

Racial Disparities In Post-Acute Home Health Care Referral And Utilization Among Older Adults With Diabetes, Jamie Smith, Olga Jarrín, Haiqun Lin, Tina Dharamdasani, Jennifer Tsui, Charlotte Thomas-Hawkins

College of Nursing Faculty Papers & Presentations

Racial and ethnic disparities exist in diabetes prevalence, health services utilization, and outcomes including disabling and life-threatening complications among patients with diabetes. Home health care may especially benefit older adults with diabetes through individualized education, advocacy, care coordination, and psychosocial support for patients and their caregivers. The purpose of this study was to examine the association between race/ethnicity and hospital discharge to home health care and subsequent utilization of home health care among a cohort of adults (age 50 and older) who experienced a diabetes-related hospitalization. The study was limited to patients who were continuously enrolled in Medicare for at …