Digital Commons Network^™

Addictions Following Bariatric Surgery: A Critial Review Of The Literature, Anna Hansene Bjork

All Electronic Theses and Dissertations

Background: Bariatric surgery has become increasingly common for the treatment of obesity. Research and education are needed to identify and study potential post-surgical risks including alcohol use disorders and other physiological and psychological comorbidities. Purpose: The purpose of this critical review of the literature was to study and identify addiction after bariatric surgery, specifically alcohol use disorder. Theoretical/Conceptual Framework: Rosenstock’s Health Belief Model (1988) was used to correlate theory and addiction. In particular, how health beliefs differ between patients, and their perception of addiction. This allows nurses to apply strategies that influence or educate patients on making healthy lifestyle changes. …

Supporting Physiologic Labor: Effects Of Hydrotherapy On Labor Outcomes, Ashley Y. Blaine

All Electronic Theses and Dissertations

Background/Purpose: The purpose of this literature analysis was to identify the effects of hydrotherapy use in the first stage of labor. Although hydrotherapy has been well-studied and its benefits well documented, it is use in labor still remains under-utilized in the United States. There has been a recent rise in medical intervention in labor and a coinciding rising cesarean section rate. In an effort to promote physiologic labor, both the American College of Obstetricians and Gynecologists (ACOG) and the American College of Nurse-Midwives (ACNM) have issued statements supporting hydrotherapy use during labor. Theoretical Framework: Katherine Kolcaba’s Theory of Comfort provides …

Neonatal Abstinence Syndrome (Nas) In Neonatal Intensive Care: Breastfeeding May Be Beneficial For Decreasing Nas Severity For Infants, Julie A. Chandler

All Electronic Theses and Dissertations

Background: Neonatal abstinence syndrome (NAS) is defined as hyperactivity of the central and autonomic nervous symptoms in infants from intrauterine exposure to drugs of addiction. There is variability in how NAS is managed in the neonatal intensive care unit (NICU) for infants with NAS, more research should be conducted to discover how breastfeeding may benefit NAS infants in the NICU. Purpose: The purpose of this critical review of the literature is to determine whether neonatal abstinence symptoms of infants diagnosed with neonatal abstinence syndrome (NAS) in the neonatal intensive care (NICU) differed if they were breastfed. Results: Using Meleis’s Transition …

Lifestyle Changes For Women With Gestational Diabetes, Brooklyn Feustel Elkan, Kristen Mccammon

All Electronic Theses and Dissertations

Background/Purpose: The purpose of this paper was to evaluate the current literature to see if there was a common thread in treatment/prevention of the progression of gestational diabetes in pregnant women. Theoretical Framework: Dorthea Orem’s theory, The Self-Care Deficit Theory, was the theoretical framework used in this critical review of the literature. This theory asserts that patients should be self-reliant and responsible for their healthcare. This is achieved by providers giving them options and advice based on evidence to change their lifestyle and take control. This directly relates to managing GDM, because providers can only counsel the patients on changes, …

Marijuana Use In Pregnancy And The Effects On The Fetus/Infant, Amy Rebecca Hurst, Malia Smylie

All Electronic Theses and Dissertations

The purpose of this paper is to critically examine the literature and evidence that is available surrounding pre-pregnancy and prenatal use of marijuana and the effects it has on the developing fetus/infant. It was found that across most findings that further research needs to be done on the use of marijuana prior to pregnancy, during pregnancy, and postpartum. It has also been found that screening and counseling needs to be done and focused on prior to pregnancy and during pregnancy and postpartum. Healthcare professionals have the opportunity to establish a trusting relationship with their patients and to be able to …

Variations To Labor, Maternal, And Neonatal Outcomes Related To Oral Intake During Labor, Amanda J. Stepper

All Electronic Theses and Dissertations

Background/Purpose: The purpose of this critical review of literature was to examine the risks and benefits of oral intake during labor and determine if oral intake is beneficial in promoting and supporting positive labor outcomes and maternal satisfaction without increasing risk associated with aspiration and poor birth outcomes. Theoretical/Conceptual Framework: Maslow’s hierarchy of needs was used to guide this literature review. Abraham Maslow’s theory on the hierarchy of needs determined that basic human needs must be met before needs of a higher order are addressed. Methods: Twenty research articles that were applicable to the scope of oral intake during labor …

Evaluation Of The Kenton Hardin County Family Bike Program, Jamie Hunsicker

Nursing Faculty Scholarship

Problem: With growing evidence of the benefits of physical activity and risks associated with physical inactivity, there has been increased focus on implementation of policy, standards, and evidence-based interventions to promote physical activity of Americans. In response to Hardin County physical activity statistics, national health goals, and as part of the Ohio Maternal Child Health (MCH) activity/nutrition grant, an innovative family bike program was developed and implemented in Summer 2018. Providing education and practice on safe biking, bike maintenance, and nutrition as well as providing safe bike equipment may decrease barriers to biking and increase rates of bicycling and, subsequently, …

Effects Of Intermittent Pneumatic Compression On Delayed Onset Muscle Soreness (Doms) In Long Distance Runners, Shane N. Draper, Emily L. Kullman, Kenneth E. Sparks, Kathleen Little, Joan Thoman

Nursing Faculty Publications

© 2020, Western Kentucky University. All rights reserved. The purpose of this study was to observe the effectiveness of intermittent pneumatic compression (IPC) on reducing C-reactive protein (CRP) and DOMS after long distance running. Ten distance runners, five males and five females, ages 20-53 years performed two 20mile runs at 70% VO2 max. Each run was followed by either no treatment (control) or IPC treatment for five consecutive days. For the IPC run, participants were treated for one hour immediately following the run and daily for five more days thereafter. On control runs, participants did not receive any treatment. Serum …

Ethical Imperatives Critical To Effective Disease Control In The Coronavirus Pandemic: Recognition Of Global Health Interdependence As A Driver Of Health And Social Equity, George A. Gellert Md, Mph, Mpa

Journal of Health Ethics

Ethical imperatives critical to effective disease control in the coronavirus pandemic: Recognition of global health interdependence as a driver of health and social equity

George A. Gellert MD, MPH, MPA

ABSTRACT

Decades into the era of emerging infectious diseases, the 2019-2020 coronavirus pandemic has caught the world, and the United States in particular, poorly prepared to engage effective public health disease prevention and control measures. In part, this reflects poor public health planning, response, logistical preparation and pandemic readiness, and complacency by governments and disease control agencies. In terms of future responses to emerging infection pandemics, these deficiencies can be …

Students’ Knowledge Of Alzheimer’S Disease, D'Anna Helms

Nursing Theses and Capstone Projects

Preparing nursing students to care for the ever-growing aging population with memory impairment is vital. This research study aimed to determine the prevalence of knowledge of Alzheimer’s disease (AD) among Baccalaureate nursing students. A descriptive correlational design was used to determine the prevalence of AD knowledge among juniors in an Adult I course and seniors in a Mental Health nursing course. A cross-sectional design was used to collect data using the Alzheimer’s Disease Knowledge Scale (ADKS). A convenience sample of 63 student cohorts completed the survey. Results indicated that students were aware that AD is a form of dementia; however, …

Postpartum Depression In Military Mothers:Active Duty And Partners Of Active Duty Service Members, Amanda Willis

Master of Science in Nursing Theses and Projects

Postpartum depression (PPD) is the most common complication of pregnancy. Active duty mothers and mothers with active duty spouses have a unique risk factor, deployment. Military mothers may receive PPD education prenatally and during postpartum visits if necessary. This project created a postpartum depression video that was mandatory for mothers to watch before they were discharged from the postpartum unit after the delivery of their baby. Early education and treatment are the key to managing PPD in all mothers. The mothers were surveyed at their postpartum office visits to evaluate effectiveness of video.

Preparing The Nurse Aide I Student For The Workplace: Combating Burnout And Compassion Fatigue, Patrice Staley

Master of Science in Nursing Theses and Projects

Abstract not available

A Systemic Review And Meta-Analysis On The Antihypertensive Effect Of Aromatherapy Essential Oils, Mikyoung Lee, Ji-Ah Song, Mina Ahn, Ahra Jo, Jeongah Park, Wonjong Kim, Claudia M. Davis, Yeon Sook Kim, Myun-Haeng Hur

Nursing Faculty Publications

Purpose: This study is a systemic review of experimental results on the effects of aromatherapy on blood pressure.

Materials and Methods: Journal articles published to December, 2017, were retrieved from twelve databases. Randomized controlled trials in which were evaluated for changes in blood pressure following aromatherapy were selected. Risks of bias were assessed using the risk-of-bias (ROB) tool of the Cochrane Collaboration. Meta-analysis were dine using RevMan.

Results: Of the 2545 articles retrieved from the electronic databases, 580 duplicate articles and 1891 articles that were unrelated to the PICO (patient/problem, intervention, comparison, outcome) elements or did not satisfy the inclusion …

Nursing Student Handbook, Nursing

College of Health and Human Services Handbooks

No abstract provided.

Using Simulation To Improve Skills, Confidence, And Satisfaction Related To Diabetes Education, Greshin M. Markwell

Doctor of Nursing Practice Projects

Diabetes mellitus is the seventh leading cause of death in the U.S. and affects 30.3 million people (Centers for Disease Control and Prevention [CDC], 2019). Research suggests that patients often have a limited knowledge and insight into self-management of diabetes mellitus (DM). Acceptance of the disease, insufficient knowledge, and noncompliance are the examples of key factors that affect the progress of the disease. Nurses play a key role in the delivery of diabetes education which can improve compliance. Simulation can be used to improve the nursing skill sets for diabetes education. The purpose of this project was to implement evidence-based …

Minimizing Antipsychotic Medication Side Effects In Adults Diagnosed With Mental Illness Through Psychoeducation: An Evidence-Based Approach, Sarah A. Yao

Doctor of Nursing Practice Projects

Adherence to antipsychotic medication has demonstrated significant impact in decreasing symptom exacerbation among patients diagnosed with mental illness. Antipsychotic medications have several benefits including the management of psychotic and mood disorders; however, they could cause unwanted medication side effects with metabolic and cardiovascular risks. This issue is one of the commonly linked side effects resulting in nonadherence among mentally ill patients. The purpose of this project was to implement a psychoeducational intervention using the SIMPLE program to address metabolic and cardiovascular risks associated with antipsychotic medications among adult patients diagnosed with mental illness. A sample size of sixteen adult patients …

Uninsured/Underinsured: Who's Problem Is It?, Manpreet Kaur

Student Research Poster Presentations 2020

The problem of uninsured and underinsured in terms of health care was implored in the population of the United States of America. Other developed nations have implemented universal health care whereas the United States have fallen behind. It is an ongoing problem in the nation, and it is not only the problem of the people who face being uninsured and underinsured. It is everyone’s problem because it affects the economy as a whole and every person is affected by the way the country decides to treat health care. Nurses, as health care professionals, have the opportunity to help patients access …

Planetree Model Blooms Success, Madelyn Roerig

Student Research Poster Presentations 2020

No abstract provided.

Caring Minds, Uthealth Cizik School Of Nursing

Caring Minds

No abstract provided.

Parental Nutrition Health Literacy, Sheila F. Towson

Regis University Student Publications (comprehensive collection)

Executive Summary

Parental Nutrition Health Literacy and Children’s Health

Problem: The problem identified in the following study is that overweight and obesity is associated with comorbidities that contribute to chronic diseases such as depression, decreased academic performance, type 2 diabetes, cardiac disease and others (Allesio, 2018; Barlow & Expert Committee, 2007). Demographics reveal obesity prevalence among children and adolescents to be 18.9% in the lowest income group, 19.9% in the middle-income group, and 10.9% in the highest income group (CDC, 2018). School and home environments are especially influential in affecting school-age children’s health behaviors (Luesse, Paul, Koch, Contendo, & Marsick, …

Identifying Attitudes And Knowledge Deficits Regarding Constipation In The Neurosurgical Patient: A Quality Improvement Project, Denise Trestyn Diaz

Student Theses, Dissertations and Capstones

Background: Constipation is a common problem in hospitalized patients worldwide. The providers’ lack of knowledge of the complications that can occur from constipation lead to increased discomfort and increased healthcare costs. Purpose: The purpose of this evidence-based practice education intervention was to improve neurosurgical health providers’ knowledge and attitudes on constipation prevention in neurosurgical patients. Theoretical Framework: Kolcaba’s Comfort Theory was used to guide this project. Methods: A pre- and post-test survey design guided this project. The physicians, nurse practitioners, and nurses completed a pre-test and post-test survey on prevention of constipation in the neurosurgical patient before and after the …

Optimal Nutrition In Pregnancy, Monica G. Daugherty

All Electronic Theses and Dissertations

This review provides valuable evidence for nurse-midwives about the major role that nutrition plays in the well being of the mother-infant dyad. Nutrition affects the pregnancy, maternal outcomes, and neonatal outcomes. Education about nutrition provided by nurse-midwives can help shape women’s experiences in a positive manner, safeguarding their pregnancy, their future, and their children’s future.

Deleting A Sacred Cow From The Emr: Removing Gastric Residual Volume Assessments, Christoph Lecznar

VCU Health Nursing

Purpose: The purpose of this Evidence-based practice (EBP) project was to implement current guidelines related to gastric residual volume (GRV) assessments for monitoring of feeding intolerance.

Background: Metabolic support of patients is critical for the survival of critical illness and optimal recovery. Enteral nutrition is the preferred method of delivery, but its success is dependent upon the bedside clinician₂. Current clinical practice guidelines do not support the practice of monitoring GRVs however₂; greater than 98% of critical care nurses utilize GRV monitoring to assess for feeding intolerance₁. In our urban Academic Level I Trauma …

Health Literacy, Social Support, And Diabetes Self Care Among Individuals Of Arab Descent, Abeer Aseeri

Wayne State University Dissertations

HEALTH LITERACY, SOCIAL SUPPORT, AND DIABETES SELF-CARE AMONG INDIVUDALS OF ARAB DESCENT

BY ABEER ASEERI

August 2020 Advisor: Dr. Joan Visger & Dr. Nancy Hauff

Major: Nursing

Degree: Doctor of Philosophy

Introduction/Objectives: Individuals of Arabic descent who live in the United States are at increased risk of diabetes because the Middle Eastern and North African regions have the second highest global rate of the disease which, is also projected to increase by over 95% by 2035. Diabetes self-care involves seven essential behaviors, including: (1) eating a healthy diet, (2) being physically active, (3) being compliant with medication, (4) monitoring blood …

Evaluating The Nutritional Status Of Peruvian Born Children, Chantelle Garcia Medina

Honors Undergraduate Theses

Background: Rural areas of Peru lack access to healthcare resources and poor nutritional knowledge of what should be given to their children throughout their growth and development. The majority of the rural areas rely on a high carbohydrate, moderate vegetable diet, and lacking a protein source. Lower protein intake can lead to problems of malnutrition and growth stunting. Families rarely have monetary resources to provide a protein at every meal for the entire family. There is also a lack of a clean water supply, free of parasites and helminths. Caregivers often rely on replenishing intake with other fluids high …

The Effects Of Postpartum Depression, Acculturative Stress, And Social Support On Mother-Infant Bonding Among U.S. Immigrant Women Of Arabic Descent, Darin Mansor Mathkor

Wayne State University Dissertations

Purpose and Background/Significance: The transition from “woman” to “mother” is a significant life event and can be extremely stressful when merged with the transition from ‘local’ to ‘immigrant’. The development of mother-infant bonding is considered a critical process in the postpartum period. Immigrant women have higher rates of PPD compared with women in their native countries. Among the general population, PPD is strongly associated with lower quality mother-infant bonding. Social support can play a central role in lowering the levels of PPD, and may contribute to higher quality of mother-infant bonding. Moreover, limited data suggests that acculturative stress is found …

A Mixed Methods Study To Investigate Barriers And Enablers To Nurses’ Implementation Of Nonpharmacological Interventions For Infants With Neonatal Abstinence Syndrome (Nas), Allison Suber Adrian

MUSC Theses and Dissertations

The national burden of Neonatal Abstinence Syndrome on individuals, families, and the healthcare system has reached epidemic proportion. The rising incidence of Neonatal Abstinence Syndrome significantly impacts healthcare utilization and costs due to increases in Neonatal Intensive Care Unit admissions and length of hospitalization, to the possible detriment of maternal-infant bonding. Because nonpharmacologic nursing care is not complicated by the potentially harmful side effects of pharmacological treatment, it should be considered the standard of care for opioid-exposed infants; therefore, a comprehensive understanding of the barriers and enablers to nurses’ implementation of nonpharmacological interventions for infants with Neonatal Abstinence Syndrome is …

Type 2 Diabetes Prevention And Management Educational Toolkit, Theresa O. Orjiakor

Walden Dissertations and Doctoral Studies

AbstractDiabetes is one of the chronic diseases that are challenging to prevent and manage. Approximately 8.3% of the United States' population has type 2 diabetes. One of the primary challenges in managing the disease entails reducing the associated financial and human costs by preventing new cases and enacting social change. Prevention and management education programs using enhanced toolkit may have positive effects on type 2 diabetes patients, who start enjoying a good quality of life, as well as positive social change in their communities and families. The purpose of this project was to develop and evaluate a type 2 diabetes …

Pressure Injury Prevention In An Urban Surgical Intensive Care Unit, Kayma P. Ricks

Walden Dissertations and Doctoral Studies

Hospital-acquired pressure injuries (HAPIs) affect approximately 2.5 million patients in the

United States, annually. Prevention requires surgical intensive care unit (SICU) nursing staff to

effectively use evidence-based risk assessment measures to appropriately identify patients at risk

for developing HAPIs and to prevent poor patient outcomes. The Braden Scale risk assessment

tool has demonstrated reliability and validity in the prediction and assessment of patients at risk

for the development of HAPIs. The purpose of this Doctor of Nursing Practice (DNP) project

was to improve nurses’ knowledge of the appropriate use of the Braden Scale risk assessment

tool in the SICU of …

Congestive Heart Failure And Strategies To Improve Quality Of Life, Esther Akunna Okorie

Walden Dissertations and Doctoral Studies

Congestive heart failure is a global, chronic, progressive, and debilitating disease affecting mostly older adults. The multiple complications associated with the health issue led to readmissions and markedly reduced ability of heart failure (HF) patients to perform the self-care management of the problem. Nurses are responsible for providing a standardized quality education for patients; however, nurses at the project site lacked adequate skills and knowledge to bridge the gap in HF self-care management education. The project was guided by health belief model and self-care deficit with the goal of boosting the staff knowledge and confidence with providing patient HF self-care …