Exploring The Relationship Between Dietary Self-Monitoring With A Mobile App And Weight Change, Jason Payne

Electronic Theses and Dissertations

Background: Approximately 70% of the adult population in the United States has overweight or obesity and increased risk for developing chronic diseases. Dietary self-monitoring adherence using a paper diary is associated with weight loss; however, few studies have examined this association with dietary self-monitoring apps. Objectives: 1) explore if an association exists between app-based dietary self-monitoring and weight change among adults with overweight or obesity and 2) explore the relationships between the frequency, consistency, and completeness of self-monitoring and weight change. Methods: Participants self-monitored dietary intake for 8 weeks using the app Calorie Counter by FatSecret. Participants were assigned …

Risk Factors Associated With Pressure Injury In Pediatric Congenital Heart Disease Patients, Ashlee Shields

Electronic Theses and Dissertations

Pediatric congenital heart disease (CHD) patients have unique risk factors associated with the pathophysiology of abnormal heart function. This vulnerable population is likely at an increased risk of acquiring a pressure injury during hospitalization. There are limited studies that include congenital heart disease patients and more specifically, factors unique to these patients. The purpose of this study was to identify risk factors associated with development of pressure injury in pediatric CHD patients. This retrospective study used a convenience sample from hospital-acquired data including subjects with congenital heart disease. The results demonstrated an association between pressure injury development and variables both …

Development Of A Propofol Administration Protocol For Soy Or Egg-Allergic Patients, Kayla Tisza

Doctor of Nursing Practice Projects

The use of propofol for anesthesia and the prevalence of food allergies are both increasing. Propofol’s preparation contains soybean oil and egg lecithin, raising concerns about cross-sensitivity. No widely accepted practice protocol regarding the administration of propofol in soy or egg-allergic patients exists, and the evidence of anaphylactic reactions in this population is inconclusive. This project involved the creation of a protocol that details the use of propofol for soy or egg-allergic patients at a regional medical center in central Illinois.

Collaboration with clinical stakeholders and an extensive review of the literature guided the development of an algorithm based protocol …

Preoperative Assessment Of Patients In An Enhanced Recovery Program, Edward Mitzelfelt

Doctor of Nursing Practice Projects

All patients undergoing surgery are at risk for perioperative morbidity and mortality (Gabriel et al, 2018) and a patient’s physical status plays a key role in patient outcomes (Hopkins et al, 2016). Enhanced recovery programs are intended to improve perioperative outcomes, facilitate postoperative recovery, and reduce loss of functional capacity (Feldheiser et al, 2016). Preoperative assessment allows for identification of risk factors which can be modified, with the aim of decreasing perioperative complications. A small community hospital had no standardized preoperative evaluation tool to use for their enhanced recovery patients. The purpose of this project was to create and implement …

Preventing Substance Use Disorder In Anesthesia Providers, Tyson Rogers

Doctor of Nursing Practice Projects

Developing substance use disorder is considered one of the most serious occupational risk factors for anesthesia providers. The purpose of this project was to identify the prevalence and risk factors of substance use disorder within the anesthesia community and to signify the importance of early education and awareness to help prevent the development of substance use disorder through early education, identification, and awareness. The project consisted of an educational PowerPoint that was placed on Southern Illinois University Edwardsville’s (SIUE) wellness website within Black Board. The third-year nurse anesthesia students at SIUE were sent an email on how to access the …

Addressing Hypertension Health Literacy In Black Individuals Who English Is Their Second Language, Uche Olateru

Doctor of Nursing Practice Projects

Hypertension is a primary preventable risk factor for cardiovascular disease. Despite advances in preventive and treatment measures, related to blood pressure control, the prevalence of hypertension in the United States remains high among Black People of immigrant and non immigrant communities. Healthcare is increasingly complex, and health literacy problems have increased due to demands by healthcare stakeholders for patients to assume a more independent role in taking charge of their health. A quality improvement project was conducted in a Faith based community to improve the knowledge of participants about hypertension. The objective of this project was to enhance lifestyle management …

Diabetes Management, Christina Varady

Doctor of Nursing Practice Projects

Diabetes Self-Management Education and Support (DSMES) has been shown to improve diabetes management. A Midwest, private family practice did not offer formal diabetes education. The purpose of this project was to increase patient education for recently diagnosed patients with type 2 diabetes who had not yet reached their management goals. A second purpose was to develop quality educational material for the provider in this practice. These objectives were met by identifying patients who were not at the optimal goal of HgA1c of 7% per the American Diabetes Association (ADA) guidelines and providing quality diabetes education and follow up to these …

Optimizing Data Accessibility To Impact Bcma Compliance, Lucy A. Bischof, Margott Montesinos

Doctor of Nursing Practice Projects

Background: The integration of health information technology (HIT) is an expectation during the healthcare delivery process to ensure quality and accuracy. Data generated from HIT can help facilitate quality initiatives. HIT such as Barcode Medication Administration (BCMA) has been successfully introduced in the healthcare industry with a demonstrated positive impact on patient safety. A small test of change was implemented on a Medical Surgical (MS) and Intensive Care Unit (ICU) which included automated daily BCMA compliance reports sent to leadership compared to the current standard process.

Objectives: To examine impact of reports on the BCMA compliance data. To examine leadership …

Community Stakeholders' Views On Reducing Violence Against Women In Pakistan, Tazeen S. Ali, Rozina Karmaliani Professor, Hussain Maqbool Ahmed Khuwaja, Nasim Zahid Shah, Zahid Hyder Wadani, Saher Aijaz, Asli Kulane

School of Nursing & Midwifery

Background: Nearly half of the women experience violence across their lifespan in all the provinces of Pakistan at an alarming rate. Despite knowing the prevalence, there has been meager progress in developing strategies to combat violence at individual, family, or community level. Many interventions suggested in other countries have been pilot tested but the effects of those interventions had been limited. Therefore, the aim of this study is to understand the voices of stakeholders to reduce Violence Against Women (VAW) and to explore the possible community-based strategies that could be implemented in Pakistan.
Methods: A total of 14 Key Informant …

Developing The Pedis Pediatric Obstructive Sleep Apnea Screening Tool, Steven Sumpter

Doctor of Nursing Practice Projects

Obstructive sleep apnea (OSA) is the most common type of apnea in the pediatric population. Its prevalence is 0.7%-3.0% (Garcia et al., 2016). The dangers of OSA are multiplied in conjunction with anesthesia because anesthesia resembles a state of sleeping, relaxing the airway, and requiring more intense airway monitoring. Childhood OSA includes increased risk for developing neurocognitive impairment, behavioral problems, failure to thrive, hypertension, cardiac dysfunction, systemic inflammation, and increased healthcare costs (Kothare et al., 2015). A perioperative pediatric OSA screening tool is necessary to reduce airway risks. The PEDIS screening tool is a brief, efficient, and evidence-based tool capable …

Report: Creating And Piloting A Survey To Determine Readiness In Rural Populations In Ohio, Annie Bowen, Kay Ball

Doctor of Nursing Practice Scholarly Projects

In 2015, the Affordable Care Act and Medicaid expansion allowed over 700,000 Ohioans to gain access to healthcare insurance, but having health insurance did not improve access to healthcare providers. In rural populations in Ohio, there are several counties in which less than five healthcare providers are available for the entire county with little or no specialists available for patients. People in rural areas of Ohio may have significant travel time and distance to see a provider which decreases preventative health visits. Telehealth is the next big wave of technology and advancement for healthcare, but most rural populations in Ohio …

Report:Impact Of Educational Modules On Knowledge Among Neuroscience Nurses Working In The Epilepsy Monitoring Unit (Emu), Shivani Bhatnagar, Joy Shoemaker

Doctor of Nursing Practice Scholarly Projects

Background: Little data exists about nursing care and knowledge on an epilepsy monitoring unit (EMU). This study evaluated the impact of an educational series (three modules) on nursing knowledge and confidence in providing care, using a pre-test/post-test design. Objectives: There were three objectives for this study. The first objective was to improve nursing knowledge and competence in educating patients and families. The second, to increase nursing confidence in providing care and decision-making for the specialized patient population on the EMU. The third, to evaluate the effectiveness of educational modules. Subjects: Thirty-eight nurses working in the neuroscience unit participated in the …

Prevalance, Risk Factors For Malnutrition And Effectiveness Of Need-Based Intervention On Nutritional Status And Cognitive Development Of Preschool Children In Anganwadi Centers Of Udupi Dist., Ansuya .

Manipal College of Nursing, Manipal Theses and Dissertations

No abstract provided.

Implementing A Health Promotion Physical Activity Program For Middle School Youth In A Rural, Faith-Based Organization, Karmin Maher-Hasse

Doctor of Nursing Practice Projects

Problem: Childhood obesity is more prevalent in rural areas, and these areas have fewer resources to address it. Geographic distance to available resources, health care provider shortages, parental obesity, and poverty contribute to higher prevalence of obesity in rural children compared to urban children.

Rationale: Obesity prevention and treatment often requires long-term healthy lifestyle behavior changes including nutrition counseling and physical activity (PA). It is likely an obese pre-adolescent will have obesity as an adult, and the likelihood increases if obesity continues into adolescence. Pre-adolescence provides a window of opportunity to influence healthier PA habits to prevent overweight (OW) and …

A Faith-Based Quality Improvement Project To Increase Awareness, Prevention, And Management Of Coronary Heart Disease In African Immigrants, Temitope S. Okpebho

Doctor of Nursing Practice Projects

Problem Description: Coronary heart disease (CHD) affects people globally, and it is the leading cause of death in the United States. Despite increased CHD awareness, evidence shows the increased prevalence and low CHD awareness among African Immigrants. According to Boateng et al. (2017), African immigrants are more likely to have CHD risk factors and be unaware. This may be due to changes in eating habits, lack of physical activity, increased stress level, and the adaptation of the Western diet.

Rationale: This project included implementing a culture care theory in a faith-based organization to increase awareness, management, and prevention of CHD …

Family-Centered Care In The Neonatal Intensive Care Unit, Madison Winter

The Eleanor Mann School of Nursing Undergraduate Honors Theses

Family-centered care can be useful in any clinical scenario, but more so in the Neonatal Intensive Care Unit (NICU). Having a preterm infant admitted into the NICU is not an ideal situation, and can cause high levels of apprehension for the parents. “Stress experienced by parents whose infant is hospitalized in the NICU is strongly correlated with anxiety, fatigue, depression, and sleep disruption” (Busse et al., 2013). [excerpt]

The Benefit Of Neonatal Intensive Care Units Providing A Specialized Program For Newborns In Drug Withdraw, Jessie Creekmore

Undergraduate Theses and Capstone Projects

Hospitals across America have intensive care units dedicated to neonates who are born with a wide variety of issues, with the hope that specialized care will promote healthy growth so the newborn can return home with its family. Unfortunately, the majority of the country is seeing an increase in neonates being born with drugs in their system from their mother’s dependency during pregnancy. Delivering mothers who were addicted to opioids quadrupled between 1999-2004, which resulted in an increase of infants born with Neonatal Abstinence Syndrome from 1.2 per 1000 births in the year 2000 to 5.63 per 1000 births in …

Efficacy Of A Mobile Application In A Chronic Kidney Disease Population, Jennifer R. Zamora

Evidence-Based Practice Project Reports

Chronic kidney disease (CKD) is associated with high healthcare costs, poor health outcomes and low quality of life (Donald et al., 2018). The US CKD prevalence is 15%, costing Medicare $79 billion in 2016 (United States Renal Data System, 2018). Self-management could reduce CKD burden (Jeddi, Nabovati, and Amirazodi, 2017). Mobile technology offers a low-cost, ease-of-access platform for chronic disease self-management (Whitehead & Seaton, 2016), potentially slowing disease progression and improving health outcomes (Jeddi, 2017). The purpose of this project was to utilize a CKD-specific mobile application, CARELogiQ, to facilitate symptom management; increasing patient satisfaction and decreasing hospitalizations and ER …

The Food Choice Magician: The Dietician, Sylvia E. Martinez

Cohort VIII

Poor or inadequate caloric intake can hinder the improvement of comorbidities treated in primary care settings. Metabolic syndrome is major health concern that encompasses surplus of energy, obesity, and sedentary lifestyles (Kaur, 2014). The notion to develop and implement a multidisciplinary approach to improve the overall health of the community was the driving force of this quality improvement project to target metabolic syndromes. Following a 10-day reflective practice, those with hypertension, hyperlipidemia, and diabetes all had the necessity of dietary modifications to promote healthy food choices to ameliorate comorbidities and improve overall health. Literature reviewed outlined the significance of intervention …

Oh My Stomach: Constipation Management, Zoë Collette

Cohort VIII

Introduction: The purpose of this quality improvement project, as an adult gerontology/acute care nurse practitioner (AGACNP) working in a mental health hospital, was to provide the best intervention for those who are suffering from constipation. Previously, I was treating patients with Colace 100 mg Po BID, and now, various literature reviews proved that polyethylene glycol 3500 (PEG 3500) was a more effective treatment option. The goal of the PEG treatment was to help with the ease of a bowel movement within 24-48 hours. The project was conducted at Behavioral Hospital of Bellaire, a mental health hospital in Houston, Texas. A …

Blood Pressure Self-Monitoring As A Guide To Disease Management, Monnie Adereti

Cohort VIII

Background: Blood pressure is the force exerted by circulating blood against the walls of the arteries. Blood pressure is written as two numbers. The first (systolic) number represents the pressure in blood vessels when the heart contracts or beats. The second (diastolic) number represents the pressure in the vessels when the heart rests between beats. Hypertension is a medical condition that results from having blood pressure that is too high, and it is often referred to as a "silent killer." Most people with hypertension are unaware of the problem because it may have no warning signs or symptoms. When symptoms …

An Investigation Of Treatments For The Prevention Of Metabolic Complications For Women Suffering From Polycystic Ovarian Syndrome: Diet, Exercise, Weight Reduction And Herbal Remedies, Brenda Martinez-Puente

Nursing | Senior Theses

The purpose of this research study is to compare the views of traditional versus alternative treatments available to women with Polycystic Ovarian Syndrome (PCOS) suffering from metabolic complications. Alternative treatments include diet, exercise, herbal remedies, or any combination of the three. Pharmacological interventions for the conditions associated with PCOS such as metformin, used to control glucose levels, and clomiphene, used to treat infertility. Through the literature review, articles show herbs and plant products to have similar mechanisms of actions as the pharmacological interventions, but with less side effects. For example, cinnamon was shown to increase insulin sensitivity and pomegranate juice …

A Multicomponent Tailored Intervention Program Protocol For Weight Loss In An Underserved Adult Patient Population With Obesity, Rita R. Arnold

Evidence-Based Practice Project Reports

Obesity is a multifactorial, individualized, chronic disease that increases known risk factors for significant comorbidities and mortality. The primary purpose of this Evidence-Based practice project was to improve indicators of obesity (weight, BMI) among patients served by a free medical clinic, using a tailored multicomponent intervention. The secondary purpose was to determine if the weight loss intervention was associated with a decrease in blood pressure and depression symptoms. The intervention was guided by the Health Promotion Model by Nola Pender. The Johns Hopkins Nursing Evidence Based Practice Model (JHNEBP) guided implementation of the project. A comprehensive literature review was completed …

Neonatal Health Outcomes And Access To Care, Riki Desjarlais

Nursing | Senior Theses

This paper will review existing research regarding the importance of prenatal healthcare. The research included covers the barriers existing to pregnant mothers and the consequences these barriers pose for mothers and babies with prenatal care that is unobtainable or undesired. This paper will also review current interventions that have provided under-served mothers with the resources they need to better ensure a healthy pregnancy and delivery. Research analyzing mother’s attitudes and beliefs regarding prenatal care will be addressed in addition to how these beliefs may attribute to the health outcomes of their babies. Finally, this paper will include my own research …

Improving Medication Adherence In African American Adult Females With Hypertension, Donald Welch

Doctoral Projects

The World Health Organization (WHO) reported that adherence among patients with chronic diseases averages nearly 50% in developed countries (Lam & Fresco, 2015). Medication non-adherence is recognized as a significant public health issue that leads to poor health outcomes and added healthcare costs. Multiple African American adult females with hypertension have a high prevalence of non-adhering to their treatment plan. Numerous factors lead to poor medication adherence, including socioeconomic factors, therapy-related factors, patients-related factors, condition-related factors, and health system/healthcare team-related factors (Lam & Fresco, 2015). Medication adherence can lead to a decreased risk of adverse outcomes such as stroke and …

The Impact Of A Faith-Based Education Network For Cardiovascular Disease Prevention, Chandila Tutt

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

Abstract

Cardiovascular disease is a leading cause of mortality in the United States. Racial disparities related to cardiovascular disease also exist, especially in African Americans. It is imperative to explore solutions to close the gap among these individuals. This study measured the effectiveness of an educational intervention on cardiovascular disease prevention targeting African Americans in a faith-based community setting. This study aimed to target individuals in community and faith-based settings for health promotion and disease prevention through an education network, increase participant’s awareness and knowledge about cardiovascular disease, determine the impact of a cardiovascular disease program on perceived cardiovascular disease …

Hospital To Home: Fall Prevention Interventions For The Discharging Patient, Joy Bridewell

Nursing Masters Papers

Falls is a major public health problem globally, with an estimated 646,000 fatal falls per year. This makes falls the second leading cause of unintentional injury death. Falls are very costly with non-fatal fall injuries costing about $50 billion per year and fatal falls with an estimated $754 million. Many risk factors contribute to a person’s risk of falling. Risk factors include age, gender, muscle strength, underlying medical or disabling conditions, and unsafe environments. Patients who have been hospitalized are also among those at risk. Most hospitalized patients are assessed frequently to determine their risk of falling so that care …

Developing A Clinical Practice Guideline For Surgical Diabetic Patients, Barbie Denise Harbaugh, Diane Whitehead

Walden Faculty and Staff Publications

Diabetes is a recognized risk factor for postoperative infection, acute renal failure, ileus, and lengthy hospital stay. Optimal screening, management, and scheduling of elective surgery for diabetic patients has been shown to improve quality care, decrease complications, and increase the efficiency and lower the costs of preoperative patient care. However, surgery cancellations are common due to inadequate preoperative glycemic control and poor intraoperative glycemic control, which is a recognized risk factor for perioperative or postoperative complications. There were no clinical practice guidelines or optimization protocols for elective surgery patients at a small rural hospital in the Northeast United States. The …

Determining Racial And Ethnic Disparities In Breastfeeding In The United States, Summer Coker

The Eleanor Mann School of Nursing Undergraduate Honors Theses

The benefits of breastfeeding have been thoroughly studied and researched, with the majority of healthcare providers, health organizations and policies, and professionals in health all recommending the practice. Breastfeeding has protective factors for the newborn against infection and mortality. Other benefits for breastfed children include reduced risk of obesity, asthma, and ear infections; enhanced chance of having a higher income; and a stronger immune system that can follow them throughout adulthood (World Health Organization [WHO] 2020). For mothers who breastfeed, there is a reduced risk of developing ovarian and breast cancer, high blood pressure, and type 2 diabetes (Centers for …

Implementing Tiny Tusks: Breastfeeding And Infant Support Tent, Madeline Wiche

The Eleanor Mann School of Nursing Undergraduate Honors Theses

Tiny Tusks: Breastfeeding and Infant Support Tent provided the first designated clean, private area to nurse, pump or change an infant’s diaper at University of Arkansas home athletic events. Tiny Tusks offered comfortable rocking chairs, changing tables, bottled water, and engaging projects for siblings and young children at a wide variety of University of Arkansas home athletic events, including football games, men’s basketball games, and women’s gymnastics meets. The project was created and designed by two Eleanor Mann School of Nursing professors, Dr. Allison Scott and Dr. Kelly Vowell-Johnson, in collaboration with the University of Arkansas Athletic Department. Women’s Giving …