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Pharmacological Management Of The Diabetic Patient: A Staff Education Project, Wilantha Silva

Walden Dissertations and Doctoral Studies

Poorly controlled diabetes can lead to health complications that impact quality of life, increase healthcare costs, and create a negative impact on communities. Pharmacological management of diabetes was identified by stakeholders as a gap in practice at a clinic in the southeastern United States. The purpose of this project was to develop staff education based on American Diabetes Association (ADA) and American Association of Clinical Endocrinologists (AACE) standards of care, deliver education to primary care nurse practitioners (NPs), and evaluate their learning and confidence levels. The primary framework for this project was the chronic care model. An expert panel, including …

Staff Education Module On Beers Criteria For Geriatric Patients, Eyvonne Denise Hinton

Walden Dissertations and Doctoral Studies

One of the main problems affecting geriatric patients over the age of 65 is the heightened risks of severe complications and mortality from adverse drug events (ADEs). Beers Criteria is a suitable framework for identifying potentially inappropriate medications (PIMs) for such at-risk population. The purpose of this project was to develop an evidence-based educational intervention for use by health practitioners to increase their knowledge and confidence regarding the 2012 American Geriatrics Society (AGS) Beers Criteria for PIMs. Lewin’s change theory provided the conceptual framework for the project. The method to evaluate the scores used involved a descriptive analysis of scores …

Staff Education On Diabetes Self-Management For Patients, Gloria Eberechukwu Okoye

Walden Dissertations and Doctoral Studies

Abstract Staff Education on Diabetes Self-Management for Patients by Gloria Okoye MSN, Walden University, 2016 BSN, Walden University, 2015 Project Submitted in Partial Fulfillment of the Requirements for the Degree of Doctor of Nursing Practice Walden University May 2021 Abstract Diabetes mellitus is a chronic disease that poses health and financial burdens to patients, families, and society. An outpatient clinic in the Southeastern United States noted a gap in staff knowledge on diabetes self-management education for high-risk, diabetic patients. The purpose of the project was to educate clinical staff on lifestyle modification practices so that they could better educate diabetic …

Survivors Of Human Trafficking: Reintegration Into The Community And Society, Charrita Ernewein

Electronic Theses and Dissertations, 2020-2023

Human trafficking is a highly profitable human rights violation and is labeled as one of the fastest growing industries worldwide. Few studies provided a detailed analysis of the survivors' accounts of their experiences and how these experiences influenced their reintegration into society. The purpose of this study was to explore and describe the experience of female survivors of sex trafficking as they reintegrated into the community and society using the survivors' voice. This study also aimed to describe the survivors experience with healthcare providers. This study obtained data from hard to detect populations (female survivors aged 18 and older) through …

Ic025: Marianne Marcus, Transcript, University Of Texas Health Science Center At Houston. School Of Nursing

Cizik School of Nursing 50th Anniversary

Transcript of the oral history interview with Marianne Marcus. See more at University of Texas School of Nursing records and its finding aid.

Kujdesi Infermieror Tek Pacientët Me Hipertension, Adifete Tahiri Imeri

Theses and Dissertations

Arsyet të cilat na shtyen të hulumtojmë mbi tematikën për hipertensionin, ngelet padyshim natyra e kësaj dukurie sëmundje tek njerzit që dita ditës po i prek të gjithë padallim.

Fillimishtë u bazuam tek fakti i definicionit i cili shpiegon ne detaje qka dhe si zhvillohet hipertensioni në organizëm.

Hipertensioni oseshtypja e lartë e gjakut është një sëmundje në të cilën shtypja e gjakut ka nivele të larta dhe permanente mbi arterjet.

Ky punim është punim konceptual teorik.

Dihet se presioni arterial nuk është constant dhe në periudha të ndryshme gjatë ditës ndryshon nga vlerat më të larta gjatë sistolës (tkurrje …

Kujdesi Infermieror Te Pacientët Me Artrit Reumatoid, Valbona Zeqiraj

Theses and Dissertations

Artriti reumatoid është një çrregullim inflamator, sistemik,kronik i cili kryesisht prek nyjet që janë të veshura me synovium. Karakterizohet tipikisht nga një përfshirje simetrike,herë pas here deformuar, poliartriti periferik. Për shkak se është një sëmundje sistemike, mundet gjithashtu ndikojnë në të gjithë trupin, duke përfshirë zemrën, mushkëritë dhe sytë.

Shkaku AR nuk njihet plotësisht. Ka të ngjarë që individët e ndjeshëm gjenetikisht të ekspozohen ndaj një antigjeni të panjohurduke rezultuar në vetë-stimulim të sistemit imunitar (autoimuniteti).

Përgjigja imune reagon në mënyrë të kryqëzuar me indin pritës (membranën synoviale) duke rezultuar në pezmatim të membranës sinoviale (sinovit).Kjo krijon hipertrofi sinoviale.

Ky …

Utilizing Video Education To Improve Self-Care In Heart Failure Population At Home, Adrienne Wharry

West Chester University Doctoral Projects

Abstract

This quality improvement project was implemented to improve self-care in home health patients using video education provided on the tablet-based monitoring system. Heart failure is a chronic, progressive disease with high hospital readmission rates. However, consistent use of self-care behaviors improves patient quality of life and reduces hospital readmission rates in heart failure patients. Literature has shown that continued self-care education is essential for the success of the heart failure patient. The use of Bluetooth tablet systems for home health care and monitoring has expanded in recent years. The Self-Care of Heart Failure Index (SCHFI) was administered to heart …

The Outcomes Of Cope, A Cognitive Behavioral Therapy Program, In Patients Awaiting Lvad Implantation, Aaron G. Harris

DNP Projects

PURPOSE: The purpose of the Doctor of Nursing Practice (DNP) project was to pilot Creating Opportunities for Personal Empowerment (COPE), an evidence based cognitive behavioral therapy (CBT) intervention, with patients diagnosed with advanced heart failure who are awaiting Left Ventricular Assist Device (LVAD) implantation or those who have had one recently implanted before they are discharged home. METHODS: A cross-sectional study design was used for this Pilot project. Patients were identified for potential participation by LVAD coordinators and represent a convenience sample. The patients were screened for anxiety and depression using the GAD-7 and PHQ-9 screening tools. If patients scored …

The Scale Development Of Nursing Repositioning Practice For Bedridden Patients, Saudi Arabia, Abdul Kareem Suhel Hamadeh Iblasi

Chulalongkorn University Theses and Dissertations (Chula ETD)

This study aimed to explore, develop and test the psychometric properties of repositioning practice measures among nurses in Saudi hospitals and explores its components' psychometric properties. The study adopted the DeVellis scale development framework. Initially, the study clarifies the concept by literature review and interviewing six experts. Then a pool of 103 items was generated as the first draft. Over two rounds of expert revisions, the experts accept 61 items with content validity index means ( I-CVIs) equal to 0.91 and scale content validity = 0.81. later, the reliability with alpha Cronbach was 0.98. Next, this survey was passed for …

Workplace Lactation Support And Breastfeeding Practices In Employed Mothers, Robin Ray

Theses and Dissertations--Nursing

Low rates of breastfeeding are a global public health issue. Despite national and international health agency recommendations for breastfeeding until infants are six months of age when solid foods are introduced and continued breastfeeding until 12 months of age or older, many mothers in the United States discontinue breastfeeding at an early age. Return to work after childbirth is one of the leading contributing factors to early cessation of breastfeeding in employed mothers. Understanding the association between individual and organizational factors and breastfeeding practices in employed mothers is essential for the development, implementation, and evaluation of programs and policies to …

Symptom Self-Management In Adolescents Following A Concussion, Amanda Hodges

Theses and Dissertations

Background: Adolescents experience a variety of symptoms following a concussion that affect their everyday life. Initial management consists of physical and cognitive rest followed by a gradual return to activities while monitoring symptoms. Managing concussion symptoms in adolescents is a challenge due to their lifestyle and developmental needs but it is the key to improving adolescents’ lives. Symptom self-management is the prevention and control of symptoms and has been shown to improve health outcomes but has not been studied in adolescents with concussion symptoms. Using the Individual and Family Self-Management Theory (IFSMT), the purpose of this study was to …

Evaluation Of Myfitnesspal’S Recommended Protein Intake Compared To The United States Recommended Dietary Allowances, Matthew C. Kokos, Christina Dobrowski, Aarika Merrill, Shaekira L. Niehuser, Teresa Bigand, Ross J. Bindler

Articles, Abstracts, and Reports

No abstract provided.

Staff Education Regarding Breastfeeding For Perinatal Nurses, Shannon Nicole Long

Walden Dissertations and Doctoral Studies

AbstractExclusive breastfeeding in the U.S. is the optimal form of nutrition up to the age of 1 year; however, the current U.S. rate of 49% and Kentucky rate of 39% fall below the Healthy People 2020 goal of 60.6%. Researchers have shown that perinatal nurses often lack knowledge to ensure mothers begin and maintain this optimal form of human nourishment. Framed within the analysis, design, development, implementation, and evaluation model of instructional design, the purpose of this project was to present a continuing education program on breastfeeding for 10 staff nurses at the target hospital. The program presented was the …

New Graduate Nurses’ Transfusion Training Views: Reflection On Experiences With Adverse Reactions, Hind Jaber-Daou

Walden Dissertations and Doctoral Studies

Abstract:New graduate nursing students transitioning to becoming professionals undergo education and training to gain knowledge and competence about transfusions. Nonetheless, new graduate nurses experience stress during a blood transfusion adverse reaction, which can be associated with lack of knowledge and inadequate training. The purpose of this qualitative study was to gather data from new graduate nurses who described their lived experiences with patients exhibiting symptoms of adverse reactions, how they reflected on their emotional effects, and the influences of the training on their knowledge and confidence. The research was grounded in social cognitive theory that centers on the concept of …

Diabetic Education For Nurses To Enhance Patient Outcomes, Jacklyn Obeng

Walden Dissertations and Doctoral Studies

AbstractDiabetes mellitus is metabolic disease that causes elevated blood glucose levels resulting in long-term health complications and medical costs. This project was aimed at addressing the lack of confidence and knowledge staff had when teaching patients diabetes self-management interventions. The purpose of this project was to develop an evidence-based educational program for staff working in an outpatient clinic in the northeastern United States. The analysis, design, development, implementation, and evaluation model and Watson’s theory of human caring provided frameworks for the project development and implementation. A diabetic nurse educator, a family nurse practitioner, and the chief medical officer served as …

Clinical Practice Guidelines For Community-Based Resources For Substance Abuse Patients In An Emergency Department, Julie Ann Thompson

Walden Dissertations and Doctoral Studies

Substance use disorder (SUD) has plagued the United States for decades and has been an ongoing issue in a Midwest hospital emergency department where SUD patients were provided discharge information that did not include SUD specific recovery and rehabilitation resources available in the community. The purpose of this project was to develop a clinical practice guideline (CPG) for nurses to use when discharging a SUD patient with an accompanying evidence-based recovery and referral resource list including Narcan, medication-assisted treatment, crisis hotlines, needle exchange programs, and treatment options. The Johns Hopkins Nursing Evidence-Based Practice framework was used to grade the levels …

Impact Of An Educational Module On Female Collegiate Athlete Knowledge Regarding The Female Athlete Triad, Cayla Marie Barretto

Honors Theses and Capstones

The Female Athlete Triad was defined in women’s sport as early as 1992, by the American College of Sports Medicine (ACSM). The guidelines regarding the Triad emphasis the importance of education in the prevention of the disorder. However, there is little research supporting if this education is occurring and if it is effective. A quantitative, quasi-experimental study was conducted at the University of New Hampshire. Twenty-five female collegiate athletes participated in a pre-test, educational intervention, and post-test to determine baseline knowledge and if there was any improvement in knowledge after education. Percent changes in scores from pre-test and post-test were …

Implementing A Hospital-Acquired Pressure Ulcer Intervention In The Icu, Audrey Gross

Doctor of Nursing Practice Projects

Background: Hospitals had been confronting greater incentives to prevent Hospital-Acquired Pressure Ulcers (HAPUs). HAPU rates had increased in the Intensive Care Unit (ICU) at an academic hospital over the past six months, especially regarding device related HAPUs.

Objectives: The primary purpose of this project’s implementation was to decrease the number of HAPUs in the ICU by 50% within a three-month timeframe. Secondary objectives were to achieve scores of 100% in terms of compliance with the Registered Nurse (RN) education module, post-test scores, and documentation.

Methods: This was a Quality Improvement (QI) project involving adult patients in the ICU of an …

Pineal Gland Abnormalities And The Relationship Of Melatonin To The Development And Symptom Severity Of Schizophrenia: An Integrative Review Of The Literature, Kathryn Margretta

Honors Undergraduate Theses

The purpose of this thesis is to critique the literature focusing on the role of pineal gland volume and function and the development of schizophrenia by asking the question, "What is the relationship between pineal gland physiologic function and development and symptom severity of schizophrenia? It is crucial that health care providers continue advocate for better understanding of schizophrenia in order to develop a more appropriate treatment and relive the suffering of those with schizophrenia. A review of published literature focusing on the pineal glands association with schizophrenia was performed using several databases including: ScienceDirect, PubMED, Google Scholar, Cumulated Index …

Increasing Access To Diabetic Self-Management Education Using Telehealth In Rural Kentucky, Gina Good

Walden Dissertations and Doctoral Studies

The lack of diabetic self-management education (DSME) can affect generations of families who have suffered from diabetes. More than 80% of Appalachian Kentucky counties lack access to DSME and care due to high incidence of diabetes. The purpose of this quality improvement project was to determine whether the use of telehealth increased patient access to DSME in Southeast Kentucky. Application of Peplau’s theory of interpersonal relations to patient relationships in nursing practice provided a framework for the project. De-identified retrospective data 6 weeks before intervention and 6 weeks postintervention were collected by the project facility for secondary data analysis to …

The Evaluation Of An Amino Acid- Oral Re-Hydration Solution (Enterade®) To Improve Quality Of Life In Solid Tumor Cancer Patients By Reduction Of Chemotherapy Related Diarrhea, Holly Chitwood

DNP Projects

Background: Chemotherapy related diarrhea (CRD) is a common adverse effect of many chemotherapy agents used to treat cancer. CRD negatively affects quality of life (QOL) for cancer patients and often results in treatment delays, hold, dose reductions, and hospitalizations affecting morbidity and mortality. Proper management of CRD with novel therapeutics is needed to improve the quality of life and patient outcomes for this population.

Purpose: The purpose of this study was to evaluate the use of a proprietary amino acid-oral rehydration solution (AA-ORS) known as Enterade® to reduce the severity of CRD, to improve patient reported QOL among patients over …

Impact Of Audit And Feedback On Timing Variation In The Point Of Care Glucose Collection-Insulin Administration Workflow: A Quality Improvement Study, Paula S. Hudon

DNP Scholarly Projects

BACKGROUND: Multiple roles contribute to the point of care glucose collection and insulin administration workflow. Diabetes care associations and safety advocates provide recommendations since the time-action profile of prandial insulin requires knowledge and performance to deliver insulin safely.

PROBLEM: Variation of practice in relation to the time that point of care glucose was collected and meal and insulin administration assessments were completed failed to meet parameters.

PURPOSE: A quality improvement project aimed to test the effect audit and feedback has on rapid acting insulin administration and point of care glucose collection practice at meals.

METHOD: Audit and feedback, a knowledge …

Caregiver Knowledge, Perceived Self-Efficacy, And Level Of Confidence In Limiting Bedtime Screen Use In Preschoolers, Emily Hollingsworth

Honors Theses

Screen time usage is a major factor leading to negative behavioral and health consequences in young children. Screen time also affects sleep, with prior research showing a significant association between screen time, particularly at bedtime, and reduced sleep duration and increased sleep problems. The initial aim of this research was to measure and attempt to increase, through an educational intervention, the knowledge, perceived self-efficacy, and confidence of study participants/primary caregivers with regard to limiting the bedtime screen use of their preschoolers with the goal of health promotion. It was intended to be a quantitative, quasi-experimental, multi-site, pre- post-intervention case study. …

Registered Nurses’ Perceptions Of Obesity, Elizabeth Ann Pettifor

Walden Dissertations and Doctoral Studies

Obesity has become an epidemic in the United States (U.S.) population. Obesity is a risk factor for many health problems that ultimately lead to death or disability. Nurses in the U.S have a higher-than-average rate of overweight and obesity. The purpose of this exploratory, qualitative case study was to identify and recommend areas for change in the hospital environment to assist bedside nurses in the U.S to have a healthier lifestyle. Social media was used to conduct a purposeful sampling technique and recruit 10 registered nurses working full time at the bedside in the U.S who struggle with obesity. Semi …

Reducing Stress And Burnout In Hospice And Palliative Care Through Education, Marvet Wint

Walden Dissertations and Doctoral Studies

AbstractBurnout, a syndrome described as a state of mental and or physical exhaustion, impacts the workforce of hospice and palliative nurses where employees’ behaviors and professional efficacy reflect poorly on their work. The prevalence of burnout among hospice nurses led to the development of this project. The Maslach Burnout Inventory (MBI) served as a reference guide for developing the content, which addressed whether a staff education program at this Southeastern United States facility, would affect a change in knowledge among hospice nurses reduce burnout. Knowles’s theory of adult learning framed this education program on self-care and stress management. Focus was …

บทบาทของพยาบาลในการส่งเสริมโภชนาการและพฤติกรรมการรับประทานอาหารสำหรับเด็กวัยก่อนเรียน, ชลลดา จงสมจิตต์

Journal of Nursing Research, Innovation, and Health

บทความนี้มีวัตถุประสงค์เพื่อเสนอบทบาทของพยาบาลในการส่งเสริมโภชนาการและพฤติกรรมการรับประทานอาหารสำหรับเด็กวัยก่อนเรียน ภาวะโภชนาการในเด็กสามารถเป็นตัวชี้วัดถึงภาวะสุขภาพในภาพรวมและเป็นพื้นฐานที่สำคัญต่อการเจริญเติบโตด้านร่างกายและสติปัญญาของเด็ก หากเด็กไม่ได้รับการดูแลที่เหมาะสม และมีพฤติกรรมการรับประทานอาหารที่ไม่ดี ย่อมส่งผลต่อสุขภาพของเด็กได้ทั้งในปัจจุบันและอนาคตเมื่อเด็กโตขึ้น พยาบาลเด็กจึงมีบทบาทสำคัญในการให้คำแนะนำกับผู้ปกครอง รวมทั้งเป็นสื่อกลางในการให้ความรู้กับครูและพี่เลี้ยงเด็กในโรงเรียนหรือสถานรับเลี้ยงเด็กในการส่งเสริมโภชนาการและพฤติกรรมการรับประทานอาหารของเด็กให้เหมาะสม ซึ่งพยาบาลเด็กต้องมีความเข้าใจเบื้องต้นเกี่ยวกับพัฒนาการของเด็กวัยก่อนเรียนที่สอดคล้องกับการรับประทานอาหารของเด็ก ความต้องการสารอาหารของเด็ก ตลอดจนวิธีการดูแลจัดเตรียมอาหาร การส่งเสริมเด็กให้มีพฤติกรรมการรับประทานอาหารที่ดี และการจัดบรรยากาศที่น่ารื่นรมย์ในการรับประทานอาหาร ซึ่งเป็นการส่งเสริมพฤติกรรมการรับประทานอาหารที่เหมาะสมสำหรับเด็กวัยก่อนเรียน เพื่อให้เด็กวัยก่อนเรียนได้รับการดูแลที่เหมาะสม และมีสุขภาวะที่ดีต่อไป

Reducing Weight Bias: Creating An Anti-Weight Stigma Educational Simulation For Nurse Practitioner Students, Andrea A. Eickelmann

Doctor of Nursing Practice Projects

Background: Large-bodied people make up the majority of the American population, but healthcare providers are rarely taught specific techniques and strategies for management of their care and medical spaces are designed with furniture and equipment that does not accommodate large bodies. This alienation has resulted in a measurable detriment to the population’s mortality and morbidity, such increased mortality of 60% from experiencing weight stigma and over 50% high combined cancer death rates as compared to the rates of those with normal BMIs (Sutinet al., 2015; Calle et al., 2003).

Objective: This project will examine the evidence about weight stigma, efficacy …

Catching Up With Hpv Immunization: An Educational Video For College Students, Behrooz R. Soleimani

Doctor of Nursing Practice Projects

HPV is the most common sexually transmitted infection in the US, and it can lead to minor health problems such as genital warts and serious problems like cancer in men and women. HPV vaccination can effectively prevent HPV-related cancers and is recommended by ACIP to individuals aged 9-26. HPV vaccine uptake is low among adolescents and young adults in the US. College students have a window of opportunity to catch up with their HPV immunizations, and are often uninformed about HPV, the HPV vaccine, their eligibility to receive the HPV vaccine, and where they can obtain the HPV vaccine. An …

Pain Neuroscience Education As An Intervention For Chronic Pain, Corissa A. Sutton

Doctor of Nursing Practice Projects

Purpose: The purpose of this project was to evaluate the ability of Pain Neuroscience Education (PNE) to increase knowledge of pain as a biopsychosocial process and influence more health-promoting interpretations of pain among low-income adults as a preventative health education approach.

Background: PNE is a promising treatment approach for addressing chronic pain. However more data is needed to understand how to most effectively utilize this intervention.

Design: A program evaluation was conducted using a pre- and post- test design to elicit quantitative and qualitative data. Nine Seattle Housing Authority (SHA) buildings were invited to participate in two online pain neuroscience …