Digital Commons Network^™

Factors Related To 30-Day Readmission Among Hispanics With Type 2 Diabetes, Athena Mohebbi

Dissertations

Background: Medicare spends $17 billion yearly on 30-day readmissions. Hispanic adults have a higher prevalence of diabetes (12.6%) compared to non-Hispanic whites (9.4%). Those with a diagnosis of diabetes have the 17% higher rate (14-23%) for 30-day readmission. Little research has been conducted on Hispanics with diabetes relative to 30-day readmissions. Aims: Among Hispanics with type 2 diabetes: 1) measure the incidence of 30-day readmission by sociodemographic, behavioral and clinical factors;2) identify independent factors associated with 30-day readmission among Hispanic adults with type 2 diabetes accounting for potential covariates; 3) compare the ability of the Hispanic Diabetic Study Model plus …

Academic Nursing: Time To Joint The Street Medicine Movement, Jennifer King

DNP Qualifying Manuscripts

Academic based street medicine programs are springing up across the United States to provide critical points of access to persons experiencing homelessness. This innovative specialty care practice was developed by Dr. Jim Withers in 1992. His vision of increasing access to care by bringing healthcare to the streets is a proven solution to improve outcomes while building trust with the larger mainstream healthcare system. Street medicine programs provide teaching learning opportunities for medical professionals. The majority of street programs internationally are founded by medical schools. Nursing schools are well suited to begin street medicine programs and provide immersive experiences for …

Roli I Infermierit Në Kujdesin E Pacientëve Me Diabet Melit Tipi 2, Albina Krasniqi

Theses and Dissertations

Diabeti është një sëmundje e perhapur në të gjithë botën dhe shifrat flasin në rritje të vazhdueshme të njerezve të prekur nga kjo sëmundje. Gjithnjë e më shumë është në rritje numri i faktoreve të rinjë të rrezikut për diabetin, faktorët madhor të rrezikut për këtë sëmundje kronike mbeten faktor tradicional si: mosha, dhjamosja, inaktiviteti fizikë, faktoret diabetic, historia familjare për diabet dhe prania e faktorëve të tjerë kardiometabolik të rriskut. [1]. Qëllimi i këtij punimi është të përshkruaj trajtimin dhe kujdesin infermieror tek pacientet me DM si dhe edukimi për sëmundjen. Në këtë punim hulumtohen të dhëna për moshën, …

Ushqyeshmëria Dhe Aktivitetet Fizike Te Të Rinjtë, Hazbije Hasani

Theses and Dissertations

Ky punim shqyrton gjendjen ushqyese të të rinjeve si dhe shprehin e aktivitetit fizik. Ushqyeshmëria është një proces nëpërmjet të cilit merren dhe përdoren nga organizmi elementet kryesore të ushqimit. Aktiviteti fizik përcaktohet si qdo lëvizje trupore e prodhuar nga muskujt skeletor që kërkon shpenzim të energjisë. Qëllimi i punimit është të vlerësojë raportin ndërmjet ushqyeshmërisë dhe aktivitetit fizik, si dhe rëndësinë që të rinjët i kushtojnë këtyre dy aspekteve në përditshmëri. Metodologjia: Qasja në këtë punim ishte kuantitativ. Grumbullimi i të dhënave është përmes pyetsorëve të strukturuar me 14 pyetje të mbyllura ku qytetaret kanë pasur mundësi të zgjedhin …

Back To The Basics With Environmental Hygiene, Shanna D. Stowe

Doctoral Dissertations and Projects

Environmental hygiene is fundamental in preventing the transmission of pathogens that can cause health care-associated infections (HAIs). Inanimate surfaces within the patient’s environment are defined as high-touch surfaces and include areas such as bedrails, tray tables, call lights, telephones, any equipment that is attached to the patient, and the computer on wheels. HAIs develop during hospitalization and occur within 48 to 72 hours of admission or within 10 days after hospital discharge (CDC, 2014; Collins, 2008). HAIs increase the morbidity, mortality, and hospital expenditures; and critically ill patients are at greater risk for HAIs because of their compromised immune systems, …

Does Family Communication Matter? Exploring Knowledge Of Breast Cancer Genetics In Cancer Families, Deborah O. Himes Phd, Aprn-Bc, Sarah H. Davis, Jane H. Lassetter, Neil E. Peterson, Margaret F. Clayton, Wendy Birmingham Phd, Anita Y. Kinney

Faculty Publications

Knowledge of breast cancer genetics is critical for those at increased hereditary risk who must make decisions about breast cancer screening options. This descriptive study explored theory-based relationships among cognitive and emotional variables related to knowledge of breast cancer genetics in cancer families. Participants included first-degree relatives of women with breast cancer who had received genetic counseling and testing. Study participants themselves did not have breast cancer and had not received genetic counseling or testing. Data were collected by telephone interviews and surveys. Variables analyzed included numeracy, health literacy, cancer-related distress, age, education, and the reported amount of information shared …

Reflux, Apnea And The Impact On Discharge, Michele Savin, Dnp, Nnp-Bc, Kaitlin Kenaley, Md, Maureen Moffet, Msn, Rula Nassar, Md

College of Nursing Posters

Decisions made about timing of discharge can be subjective. Definitions of significant bradycardia are multiple, and interventions are variable.

This necessitates an informed discussion with parents about the natural course of apnea, bradycardia and reflux.

The physiology of gastroesophageal reflux and respiratory control have intermingled confounding variables.

Critical thinking is required to educate and support families, however a paucity of research exists. Risks and benefits of pharmacologic and nonpharmacologic interventions should be evaluated.

Nurses need increased confidence in understanding how to approach the preterm infant with apnea and/or reflux as well as how to interact with families to support discharge …

A Multifaceted Approach To Improve Quarterly Visit Rates At A Pediatric Cystic Fibrosis Care Center, Paula Capel, Jessica Banks, Micaela Mckenna, Ashley Andrews, Christopher M. Oermann

Posters

Standard quality improvement methodology was used to improve quarterly visit rates among cystic fibrosis patients at Children's Mercy Kansas City Cystic Fibrosis Center.

• A family-centered, team-based approach was adopted
• A change in culture led to sustained improvement

Improved quarterly visit rates should drive improvement in outcomes including pulmonary function and nutritional status.

A Well-Being Vision: Transcending Care., Judith A Boerger, Pamela Bland, Carolyn Meyer, Kristen Ruble, Sue Ehinger Pnd

Nursing Publications, Posters, & Presentations

Well-being is a competitive strategy to attract the best and brightest talents and keep them from burning out or leaving.

Perceptions Of Rural Birthing Practices: A Glimpse Into Maternal And Child Health For Women In Kangra District, Himachal Pradesh, Mackenzie Burke

Independent Study Project (ISP) Collection

Over the past two decades birthing practices within India have drastically changed. This change is most visible in the shift from homebirths to hospital births following the implementation of the National Rural Health Mission. This study aims to understand and give voice to women’s perceptions of birthing practices in the rural villages of Kangra District of Himachal Pradesh. A total of ten interviews were conducted with both mothers and healthcare practitioners in the surrounding villages of Kangra District in order to gain a thorough, qualitative understanding of birthing practices in the local communities. The healthcare practitioners’ responses were divided according …

Std Education Among African American Women: An Educational Improvement Initiative, Marqueta V. Abraham

Electronic Theses and Dissertations

Research reveals there is a knowledge gap facing African American women regarding sexual health education, specifically sexually transmitted diseases. The Sexually Transmitted Disease Knowledge Questionnaire (STD-KQ) was used to assess participants’ knowledge and attitudes regarding sexually transmitted diseases. The STD-KQ self-assessment was administered to African American women and utilized to develop a 45-minute education seminar to bridge the knowledge gap. After an education seminar was held, a posttest was administered to test the women’s knowledge and to determine their level of awareness. Using a paired-samples t test, the researcher found an overall increase in awareness of the types of sexually …

Triple Aims Healthcare Policy Voices Of Graduate Student Interprofessional Team Members, Gary J. Skolits, Rachel N. Ladd, Paul Kirkland, Lora Beebe, Marian Roman

The Qualitative Report

The purpose of this study is to share the voices of healthcare graduate students participating in an interprofessional course experience, particularly as their voice relate to fundamental healthcare issues care embodied in the Triple Aims. Two research questions guided study efforts: (1) how do graduate students perceive the value of interprofessional learning experiences for their professional development as future healthcare providers? and (2) based on these experiences, how do students perceive the potential for interprofessional teams to address the Triple Aims of health care? This study was based on the qualitative approach of inductive thematic coding (Braun & Clarke, 2006). …

Impact Of Acculturation On Body Mass Index In Haitians, Nirva Berthold Lafontant

Journal of Excellence in Nursing and Healthcare Practice

Longer term immigrants residing in the United States exhibit physical health decline related to higher body mass index (BMI). Theories on immigrant acculturation have been used to examine health patterns by length of stay in the United States. The purpose of this cross-sectional study, guided by the Schwartz model of acculturation, was to examine the effect of acculturation and length of stay in the United States on BMI in a sample of Haitian immigrants living in a northeast metropolitan area. The research question was developed to examine the effects of acculturation and how long immigrants reside in the United States …

Translation And Validation Of The Hplp-Ii From English To Armenian, Zoya Minasyan, Leslie C. Hussey

Journal of Excellence in Nursing and Healthcare Practice

As the focus of healthcare shifts toward the social determinants of health, more information about health disparities between different ethnic communities is needed. The Health Promoting Lifestyle Profile II (HPLP-II) is an instrument that measures health promotion behavior across various cultural lines. This article describes the translation and validation of the HPLP-II from English to Armenian for the purpose of studying health promotion behavior among the hypertensive and normotensive Armenian American population and addressing health disparities among this community. Translating the HPLP-II required a multistep process to capture cultural linguistic adjustment. First, the researcher, a local bilingual professor, and a …

Andrews Nursing Students Change The World — One Mission Trip At A Time, Shawna Trotman Henry

Lake Union Herald

No abstract provided.

Preventing Delirium Takes A Village: Systematic Review And Meta-Analysis Of Delirium Preventive Models Of Care, Ariba Khan, Olga Boukrina, Mooyeon Oh-Park, Nina A. Flanagan, Maharaj Singh, K Oldham

College of Nursing Faculty Research and Publications

BACKGROUND

Each hospital day of delirium incurs greater healthcare costs, higher levels of care, greater staff burden, and higher complication rates. Accordingly, administrators are incentivized to identify models of care that reduce delirium rates and associated costs.

PURPOSE

We present a systematic review and meta-analysis of delirium prevention models of care.

DATA SOURCES

Ovid MEDLINE, CINAHL, Cochrane Database of Systematic Reviews, EMBASE, and PsycINFO.

STUDY SELECTION

Eligible models of care were defined as provider-oriented interventions involving revision of professional roles, multidisciplinary teams, and service integration. Included studies implemented multidomain, multicomponent interventions, used a validated delirium instrument, and enrolled a control …

Vitamin D Status And Risk Of Incident Tuberculosis Disease: A Nested Case-Control Study, Systematic Review, And Individual-Participant Data Meta-Analysis, Omowunmi Aibana, Chuan-Chin Huang, Said Aboud, Alberto Arnedo-Pena, Mercedes C Becerra, Juan Bautista Bellido-Blasco, Ramesh Bhosale, Roger Calderon, Silvia Chiang, Carmen Contreras, Ganmaa Davaasambuu, Wafaie W Fawzi, Molly F Franke, Jerome T Galea, Daniel Garcia-Ferrer, Maria Gil-Fortuño, Barbará Gomila-Sard, Amita Gupta, Nikhil Gupte, Rabia Hussain, Jesus Iborra-Millet, Najeeha T Iqbal, Jose Vicente Juan-Cerdán, Aarti Kinikar, Leonid Lecca, Vidya Mave, Noemi Meseguer-Ferrer, Grace Montepiedra, Ferdinand M Mugusi, Olumuyiwa A Owolabi, Julie Parsonnet, Freddy Roach-Poblete, Maria Angeles Romeu-García, Stephen A Spector, Christopher R Sudfeld, Mark W Tenforde, Toyin O Togun, Rosa Yataco, Zibiao Zhang, Megan B Murray

Faculty, Staff and Student Publications

BACKGROUND: Few studies have evaluated the association between preexisting vitamin D deficiency and incident tuberculosis (TB). We assessed the impact of baseline vitamins D levels on TB disease risk.

METHODS AND FINDINGS: We assessed the association between baseline vitamin D and incident TB in a prospective cohort of 6,751 HIV-negative household contacts of TB patients enrolled between September 1, 2009, and August 29, 2012, in Lima, Peru. We screened for TB disease at 2, 6, and 12 months after enrollment. We defined cases as household contacts who developed TB disease at least 15 days after enrollment of the index patient. …

Creation And Implementation Of A Pediatric Advanced Practice Nurse Critical Care Fellowship Program, Bonnie Stojadinovic, Christine A. Schindler, Margaret Faut Callahan, Maureen O'Brien, Tom B. Rice, Theresa Mikhailov

College of Nursing Faculty Research and Publications

Advanced practice registered nurses (APRNs) who begin their careers in the pediatric intensive care unit (PICU) may be challenged in this practice environment. Inadequate prior experience as a staff nurse, limited opportunities for clinical placements in the PICU during graduate education, and being in a fast-paced, high-acuity practice environment without prior exposure to critically ill children are practice challenges in the PICU setting. The goal of postgraduate education training programs (fellowship programs) for the acute care pediatric nurse practitioner (ACPNP) is to prepare students to become beginner practitioners who can function effectively in the acute care setting within a few …

Centeringpregnancy: Perceptions Of Providers And Staff In A Private Ob Practice, Allison F. Mills

Doctoral Dissertations and Projects

Traditional prenatal care has been the stalwart of care in the United States since the 1920s; however, a new model of care is emerging: group-style prenatal care. This model of care has been well-documented within literature as having notable maternal and fetal outcomes, including increased patient satisfaction, decreased preterm birth rates, increased breastfeeding rates, and increased patient compliance, to name only a few. With such remarkable outcomes, it begs the question of why the group prenatal care model is not more widely utilized. This project aimed to determine if increasing the knowledge of healthcare providers in a private obstetrics practice …

Identifying Pediatric Obesity In The Retail Health Setting And Implications For Quality, Jodie Nicole Guardi

College of Science and Health Theses and Dissertations

Pediatric obesity has reached an epidemic status. The purpose of this study was to examine the prevalence of overweight and obese patients, as well as how often and how accurately a diagnosis was coded. The population for this study included children ages 3-18. This cohort presented to retail health clinics in a large urban health system for school or sports physicals from June 1, 2017 to November 30, 2017. Method. A retrospective chart review was conducted. Statistical analysis was performed to determine if there was a relationship between obesity and age, ethnicity, race, and gender. Results. The study identified 15.9% …

Enhancing Patient Well-Being: Apply Positive Psychology In Nursing Practice, Farida Bibi Mughal

School of Nursing & Midwifery

Objective: Positive psychology is the emerging concept in the medical field and has shown the positive effects on one’s well-being. This paper highlights the application of PERMA model in nursing practice.
Method: The model applied in the clinical area to access improvement in patient’s well-being. The concept of positive psychology’s applicability is discussed with the real life examples.
Result: The PERMA model when applied yields a positive impact on patient’s health and overall well-being.
Conclusion: The learning outcomes of this research will help the people in health care to understand the relationship between positive psychology and nursing practices for the …

The Impact Of Holistic Healing On Breast Cancer Patients, Arielle Walker

Grace Peterson Nursing Research Colloquium

The Impact of Holistic Healing on Breast Cancer Patients

Arielle Walker

Abstract

Background: As a nurse, it is important to encompass the holistic needs of breast cancer patients to provide more supportive care throughout their quest to optimal health and wellness. Holistic healing is the art and science of incorporating not only the physical wellness of patients, but also the emotional, spiritual, nutritional, and environmental lifestyle elements of each individual to deliver high-quality care.

Objective: The purpose of this integrative literature review was to discuss the positive impact of holistic healing on breast cancer patients, related to the way that …

Efficacy Of Diet Reducing Incidence In Pregnant Women, Kanwal Ladhani

Grace Peterson Nursing Research Colloquium

Background: Hypertensive disorders affect up to 10% of pregnancies in the United States. An area of concern is management of pregnancy-induced hypertensive disorders, leading to adverse maternal and fetal outcomes. Limited guidance is provided on managing hypertensive disorders from AHA and ACOG.

Objectives: This integrative literature review aims to analyze two interventions, exercise and diet modification, to evaluate the efficacy in reduction of diagnosis of pregnancy-induced hypertensive disorders in pregnant women with gestational diabetes.

Methods: A literature search through health science databases (CINAHL, PubMED, ProQuest, and Cochrane Library) was conducted, incorporating search terms and inclusion/exclusion criteria.

Results: Seven articles were …

Causes And Risks Of Obesity In Children, Clare Calkins

Grace Peterson Nursing Research Colloquium

Obesity in children has been increasing in the United States, childhood obesity has negative long- and short-term effects on health. It is important to recognize the risk factors and causes behind childhood obesity to provide prevention methods. Diet and physical inactivity are leading risk factors that can be attributed to various other issues such as environment and social economic status. The design study used for this paper was a systematic review, a summary of clinical literature regarding childhood obesity and the factors that influence its prevalence in the United States. Literature search strategies used included data bases and specific search …

Challenges To Diabetes Self-Management For Adults With Type 2 Diabetes In Low-Resource Settings In Mexico City: A Qualitative Descriptive Study, Robin Whittemore, Mireya Vilar-Compte, Selene De La Cerda, Denise Marron, Rosabelle Conover, Roberta Delvy, Annel Lozano-Marrufo, Rafael Pérez-Escamilla

Department of Public Health Scholarship and Creative Works

Background: The prevalence of type 2 diabetes (T2D) in Mexico is one of the highest in the world, with high morbidity and mortality, and difficulty meeting glycemic targets. The purpose of this study was to identify the challenges for T2D self-management as perceived by both adults with T2D and health care providers in primary health clinics from Seguro Popular in Mexico City.

Methods: This was a qualitative descriptive study conducted in three Seguro Popular primary care clinics in Mexico City using convenience sampling. Semi-structured interviews were conducted with participants and data were analyzed using a content analysis approach.

Results: The …

Evidence Based Practice Implementation Of The Delirium Portion Of The Abcdef Bundle, Jessica Sumner

Graduate Theses, Dissertations, and Capstones

Background: Delirium is a common complication in the ICU setting and has serious long-term consequences. Increased mortality and long-term cognitive issues are associated with under-recognition and lack of treatment for delirium. Nursing staff must identify delirium and manage the event, in addition to providing care to other assigned patients.

Purpose: The purpose of this evidence-based project was twofold. First, the project set out to determine if implementation of the delirium portion of the ABCDEF bundle promoted delirium recognition and decreased ICU length of stay and ventilator days. Second, the project examined if the use of a structured delirium education program …

Hospital Acquired Pressure Injury Prevention: A Quality Improvement Project, Sukhjit Dhillon

Master's Projects and Capstones

Abstract

Hospital Acquired Pressure Injuries (HAPI) can be costly for the hospitals and devastating for the patients. Most pressure injuries are considered preventable, but despite that a lot of Americans die from pressure injury related complications each year. Hospitals spend billions of dollars on pressure injuries which can be used for other treatments. A quality improvement project was created to address these concerns and improve patient care. There were 5 cases of HAPIs on the telemetry/stroke unit prior to the start of this project. Interventions were created to improve the outcome. After careful review of the related literature, HAPI prevention …

Addressing The High Rates Of Infant Mortality In The African American Population: An Integrative Literature Review, Faith Frangenberg

Grace Peterson Nursing Research Colloquium

No abstract provided.

Implementation Of An Evidence-Based Physical Activity And Nutrition Program In An After School Setting., Tylar A. Williams

Doctor of Nursing Practice Papers

Childhood obesity rates are continuously rising despite efforts to curb the trend. Sedentary behaviors and lower socioeconomic communities have been linked to the overall increase in childhood obesity rates. Additionally, poor understanding of childhood obesity and its adverse effects, has been shown to contribute to the increase in sedentary behaviors of children. The purpose of this study was to evaluate the feasibility of an after school, childhood obesity program and its effects on physical activity and nutrition behaviors and knowledge base. The childhood obesity program that was used was the 5-2-1-0 Lets Go out of school program. The intervention was …

Nutritional Assessment Process Revision In Adult In-Patients., Amanda Hellmueller

Doctor of Nursing Practice Papers

Thorough and appropriate nutritional screening upon admission to the hospital can mitigate the negative consequences often associated with secondary malnutrition. At a suburban hospital in the southeastern United States, there was an 250% increase in consults to dieticians upon initiating use of the Malnutrition Screening Tool (MST) as the primary form of nutrition screening, which has been previously shown to have a high false positive rate. As a result, the workload of the dieticians increased. This time spent on analysis of false positive screenings takes away from time that could be spent on truly malnourished or at-risk patients. This quality …