Digital Commons Network^™

Neonatal Nurses’ Knowledge And Assessment Of Necrotizing Enterocolitis (Nec) In The Premature Infant., Kathryn Taylor Van Hoose

Doctor of Nursing Practice Papers

Necrotizing Enterocolitis (NEC) is the most common gastrointestinal emergency seen in the Neonatal Intensive Care Unit (NICU) (Cleveland Clinic, 2015). NEC occurs most frequently in premature infants, accounting for approximately 60 to 80 percent of all cases (Singh et al., 2008). Mortality rates associated with NEC are estimated to be between 20 and 30 percent reaching upwards of 50 percent for patients requiring surgical intervention (Cleveland Clinic, 2015). There is an abundance of research surrounding the pathophysiology, potential causes, and protective factors related to NEC in the premature infant. Comparisons of various interventions such as: feeding practices and protocols, administration …

Impact Of Telehealth Education Versus Standard Care On Increasing Self-Efficacy Scores And Diabetes Knowledge In Adult Diabetics, Glenda A. Tisdale Msn Rn

Doctor of Nursing Practice Projects

Background: Evidence supports the use of telehealth as an effective method to support the increase in self-efficacy and knowledge among patients with Diabetes Mellitus.

Objectives: This study was to determine whether using telehealth education in conjunction with standard care compared to standard care only, could increase self-efficacy scores and knowledge for adults with diabetes.

Methodology: A randomized, pre-posttest design is used. A convenient sample of 58 adults with self-reported type 2 diabetes were recruited from a faith-based environment. The control group received two 45-minutes standard education sessions about diabetes and diabetes care. The intervention group received weekly smart-phone messaging for …

Pre-Discharge Bnp: A Policy Change To Reduce Hospital Readmission, Melissa Duckett

Doctor of Nursing Practice Projects

Heart Failure (HF) is the leading cause of hospital readmission for patients 65 years of age and older. A pre-discharge B-type natriuretic peptide is a strong predictor of hospital readmission and mortality. The annual cost for admission of patients with HF is greater than $17 billion. Diagnosed heart failure patients continue to be discharged without the physician knowing their current BNP levels. The Affordable Care Act established the Hospital Readmissions Reduction Program (HRRP) requiring the Center for Medicare and Medicaid Services (CMS) to reduce reimbursement to hospitals with high readmission rates. A change in policy should be initiated to include …

Effectiveness Of Self Instructional Module (Sim) On Knowledge Regarding Management Of Selected Poisoning In Children Among Paediatric Staff Nurses, Irene Freeda Ms, Smitha Bobby Ms, Sunita Solomon-Calvin Ms, Sophia Vinitha Ms

Manipal Journal of Nursing and Health Sciences

Background: Acute paediatric poisoning is a common medical emergency. Poisoning is one of the major causes of death among infants and toddlers in developing countries like India. Poisoning in children requires emergency intervention but, in every instance, medical evaluation is necessary to initiate appropriate action. Objectives: To assess the effectiveness of self-instructional module (SIM) on knowledge; Method: A quantitative, one group pre-test-post-test design was carried out among the purposive sample of 60 paediatric staff nurses. A structured knowledge questionnaire was used to assess the pre-test and post-test knowledge. A SIM was given on the day of the pre-test. Post-test was …

The Paediatric Nurse Practitioner: The Evolution Of A Role, Velerie Kiers, Caitlyn Shea, Elissa Ladd Dr

Manipal Journal of Nursing and Health Sciences

The paediatric nurse practitioner (PNP) is an advanced practice nursing role aimed at providing high quality care to children of all ages. Paediatric nurse practitioners are credentialed to provide a wide range of services dependent on their role as a paediatric nurse practitioner, i.e. primary care, acute care or neonatal. There are two possible paths that can be taken to become a paediatric nurse practitioner: the traditional path or apply for direct entry nursing program after completing Bachelor’s degree. This article describes the path to paediatric nurse practitioner practice.

Effect Of Breast Massage On Breast Milk Volume And Experience On The Expression Of Breast Milk Among Mothers Of Preterm Neonates, Sharmila Jose Ms, Sonia R B D'Souza Dr, Sreedevi C Ms

Manipal Journal of Nursing and Health Sciences

Prematurity is a serious and unmet challenge in perinatal health care. The incidence of premature births in India in 2010 was about 13%. As survival rates of preterm infants improve, prime attention is given on the management of nutrition and the mothers are motivated to supply expressed breastmilk to improve the quality of survival. Methods: The study included mothers of preterm neonates who belonged to the 27 to 34 weeks of gestational age. Recruitment to the study was based on breast engorgement screening using a breast engorgement screening scale on the second and the third postnatal day. The study had …

The Impact Of Social Networking On Adolescents, Krupa Susan Koshy Ms, Sunita Solomon-Calvin Ms, Smitha Bobby Ms, Sophia Vinitha Ms

Manipal Journal of Nursing and Health Sciences

Background: Social Networking Sites (SNSs) such as Facebook and WhatsApp, etc. has a great influence on young minds across the globe. Nowadays, SNSs are one of the most growing media of communication among rural and urban adolescents. The study was conducted to assess the knowledge of adolescents on the impact of social networking in selected rural and urban schools, Bangalore. Objective: The objective was to compare and assess the level of knowledge of adolescents in selected urban and rural schools about the impact of social networking. Method: A descriptive study was conducted and structured knowledge questionnaire on the impact of …

Testing Allostatic Load Factor Structures Among Adolescents: A Structural Equation Modeling Approach, Amanda L. King, Mauricio Garnier-Villarreal, Amanda M. Simanak, Norah L. Johnson

College of Nursing Faculty Research and Publications

Objectives

Allostatic load (AL) represents cumulative biological “wear and tear” that results from chronic stress exposure over time, ultimately increasing risk for chronic disease. A consensus is lacking regarding the best operationalization of AL, particularly for younger, less studied populations. The purpose of this study was to test multiple hypothesized factor structures for AL to determine the best measurement approach for adolescents.

Methods

We analyzed biologic data for 1900 adolescents aged 12‐18 from four waves (2003‐2010) of the National Health and Nutrition Examination Survey. AL indicator variables included cardiovascular (systolic BP, creatinine), metabolic (HDL, LDL, triglycerides, insulin, fasting glucose, HA1C, …

Variability In Catheter-Associated Asymptomatic Bacteriuria Rates Among Individual Nurses In Intensive Care Units: An Observational Cross-Sectional Study, Olga Yakusheva, Deena K. Costa, Kathleen L. Bobay, Jorge P. Parada, Marianne E. Weiss

College of Nursing Faculty Research and Publications

Catheter-associated asymptomatic bacteriuria (CAABU) is frequent in intensive care units (ICUs) and contributes to the routine use of antibiotics and to antibiotic-resistant infections. While nurses are responsible for the implementation of CAABU-prevention guidelines, variability in how individual nurses contribute to CAABU-free rates in ICUs has not been previously explored. This study’s objective was to examine the variability in CAABU-free outcomes of individual ICU nurses. This observational cross-sectional study used shift-level nurse-patient data from the electronic health records from two ICUs in a tertiary medical center in the US between July 2015 and June 2016. We included all adult (18+) catheterized …

Urban Partnerships To Address Health Literacy In High Need Populations, Abiola O. Keller, Amy Vuyk, Joshua Knox

College of Nursing Faculty Research and Publications

Low health literacy disproportionately affects racial and ethnic minority communities and lower-income socioeconomic groups. To address this critical determinant of health inequity, two nonprofit organizations, Repairers of the Breach, a day shelter for individuals experiencing homelessness, and Bread of Healing a neighborhood-based clinic serving individuals with low incomes, partnered with researchers at Marquette University to implement and evaluate an evidence-supported health literacy program. The partnership delivered the curriculum in seven one-hour sessions over seven weeks. The program attendees were predominantly African American men and women from 19–73 years old. Most participants had formal education ranging from elementary school to some …

The Use Of Halo Gravity Traction In The Treatment Of Severe Early Onset Spinal Deformity, Sravisht Iyer, Henry Ofori Duah, Irene Wulff, Henry O. Tutu, Rufai Mahmud, Kwadwo P. Yankey, Harry Akoto, Oheneba Boachie-Adjei

College of Nursing Faculty Research and Publications

Study Design. 

Retrospective Review of Prospective cohort.

Objective. 

To describe the feasibility of preoperative halo gravity traction (HGT) with subsequent growing rod/guided growth (GR/GG) placement in early onset spinal deformity (EOSD).

Summary of Background Data. 

In children with severe EOSD, primary implantation of GR/GG constructs is not always possible. We describe a staged protocol with preoperative HGT followed by GR/GG implantation.

Methods. 

EOSD patients treated with HGT prior to GR/GG implantation were included. HGT used traction up to 50% body weight for 4 to 29 weeks. Pulmonary function tests (PFTs) were performed before and after HGT. Coronal Cobb (CC) and …

Perceptions Of Health Practices And Interactions With The Us Healthcare System Among Bhutanese Refugees: A Qualitative Approach, Amy E. Szajna

Journal of Refugee & Global Health

Purpose

The aim of this pilot study was to explore health practices of Bhutanese refugees and their interactions with the US healthcare system and providers.

Methodology

Researchers conducted 12 in-depth interviews and 7 patient-provider observation units as part of this descriptive qualitative study.

Results

Participants identified individual definitions of health and behaviors they value to maintain health. They identified significant trust and faith in their healthcare provider and valued provider-directed suggestions. Participants cited concerns with patient-provider communication resulting from limited English proficiency and frequent changes in primary care providers.

Discussion

This study is useful to inform further research and potential …

Defining Young Adulthood, Elena Higley

DNP Qualifying Manuscripts

Young adulthood is a unique developmental period that occurs between the ages of 18 and 25 years, during which there are key developmental tasks that allow the young adult to participate in self-exploration and identity formation. Currently, among various organizations there are differing definitions and age range inclusions for young adulthood, which cause confusion during program development, healthcare service delivery, and research. Young adulthood should be categorized separately from adolescence and adulthood, because young adults have lower rates of healthcare utilization and worse health outcomes related to preventable causes of morbidity and mortality than the surrounding age groups. Young adults …

Social And Economic Factors Leading To Health Disparities In The Latino Population Living In The United States, Omar Espinoza

Grace Peterson Nursing Research Colloquium

Abstract

Background: Several studies suggest that the Latino population in the United States receive poorer access to health care compared to other ethnics group.

Objective: The purpose of this integrative literature review was to identify social and economic factors that lead to health disparities among Latinos in the United States and to provide research-based recommendations on addressing the factors that lead to health inequalities.

Methods: This integrative literature review utilized the Self-Care Theory by Orem (2016) as framework to organize and conceptualize the research information. The keywords “Latinos AND healthcare AND disparities” were used to search the literature between …

School Nursing Interventions To Prevent Childhood Obesity: Integrative Literature Review, Sara Blythe Hewitt

Grace Peterson Nursing Research Colloquium

SCHOOL NURSING INTERVENTIONS TO PREVENT CHILDHOOD OBESITY: Integrative Literature Review

Sara Hewitt

Faculty Sponsor: Elizabeth P. Anderson RN, PhD

Background: Childhood obesity is a serious public health crisis. Obese children are more likely to become obese adults, and are at a higher risk for developing heart disease, type 2 diabetes, and cancer. To date, schools have been the primary target setting to implement obesity prevention programs. While there has been considerable research on these school-based obesity prevention programs, most overlook the school nurse as a potential resource. School nurses can lead BMI screening programs, nutrition and physical education lessons, …

Formula And Milk Food Insecurity Amongst Infants And Children In Wic Families, Kristen Hench

Grace Peterson Nursing Research Colloquium

No abstract provided.

Risk Factors For Central Line-Associated Bloodstream Infections (Clabsi) In Home Parenteral Nutrition (Hpn) Patients, Megan Ong

Grace Peterson Nursing Research Colloquium

CLABSI, home parenteral nutrition

Exploring Parental Wishes And Personhood In The Grey Zones Of Neonatal Resuscitation, Alison Lindsay

Honors Projects

The intense societal debate churning around the moral status of fetuses includes topics such as qualifications for personhood, the role of the autonomous decisions of a fetus’ mother, and the obligations of society to protect fetuses. This paper analyzes extending this discussion to newborns in five sections. The first section presents a literature review of responses to a philosophical paper about the respective interests of parents and fetuses and newborns, elaborating on aspects of personhood and parental decision-making. The second section presents a literature review of medical and nursing discussion around resuscitation for extremely premature newborns, focusing on similar evaluations …

Highlights From The American Heart Association's Epi|Lifestyle 2019 Scientific Sessions, Alvaro Alonso, Madison D. Anderson, Michael P. Bancks, Sherry Ann Brown, Melissa C. Caughey, Alex R. Chang, Erin Delker, Kathryn Foti, Véronique Gingras, Michael G. Nanna, Alexander C. Razavi, Jewel Scott Phd, Rn, Fnp-C, Elizabeth Selvin, Catherine Tcheandjieu, Alvin G. Thomas, Ruth Alma N. Turkson-Ocran, Allison Webel, Deborah R. Young, Bailey M. Debarmore

Faculty Publications

No abstract provided.

Highlights From The American Heart Association's Epi|Lifestyle 2019 Scientific Sessions, Alvaro Alonso, Madison D. Anderson, Michael P. Bancks, Sherry Ann Brown, Melissa C. Caughey, Alex R. Chang, Erin Delker, Kathryn Foti, Véronique Gingras, Michael G. Nanna, Alexander C. Razavi, Jewel Scott Phd, Rn, Fnp-C, Elizabeth Selvin, Catherine Tcheandjieu, Alvin G. Thomas, Ruth Alma N. Turkson-Ocran, Allison Webel, Deborah R. Young, Bailey M. Debarmore

Faculty Publications

No abstract provided.

Coolsculpting Or Cryolipolysis, A Guide For Primary Care Providers, Miryam Harper, Jane Lassetter

Student Works

A desire for the ideal body image has influenced development of a non-surgical body shaping procedure known as CoolSculpting, or cryolipolysis. The purpose of this clinical feature is to inform nurse practitioners regarding the risks and benefits of cryolipolysis so they can educate their patients. Cryolipolysis is a safe, effective method of reducing small areas of unwanted fat. Side effects are minimal and include pain, redness, bruising, and swelling. Results are seen within twelve weeks, but long-term effects are unknown. There are contraindications, and it is relatively expensive; however, it may be a safer option than invasive surgery.

Implications Of Blood Glucose Management With Heart Failure Patients With Type 2 Diabetes In An Acute Care Setting, Jamie Mulick, Mark Romond

All Nursing Boot Camp Posters

No abstract provided.

Comparison Of Macronutrient Loss From Human Milk Based Ontube Feeding Method In The Nicu Population: A Pilot Study, Cynthia Jackson, Melissa Stawarz,, Joanne Ransom,

All Nursing Boot Camp Posters

No abstract provided.

Adolescent Obesity In The Past Decade: A Systematic Review Of Genetics And Determinants Of Food Choice, Eleanor T. Campbell, Alexis T. Franks, Paule V. Joseph

Publications and Research

Background and purpose: As the incidence of global obesity increases, concerns about adverse health outcomes in adolescents continues to rise. The complexity and expense of this problem require early recognition and specific preventive treatments. Knowledge of genetics and determinants of food choices contributing to adolescent obesity warrants further examination. The primary goal was to appraise the literature from the past decade (2007–2017) on the current state of food choice and genetic determinants of adolescent overweight/obesity in the United States. The secondary goal was to determine trends in the literature and areas for future research.

Methods: A systematic review of research …

Commencement Program 2019, Loma Linda University

Commencement Programs

CONTENTS

1 | Message from the President

3 | 2019 Events of Commencement

5 | The Academic Procession

7 | Significance of Academic Regalia

9 | The Good Samaritan

10 | University History Highlights

12 | Loma Linda University Song - "Healing Love"

13 | Criteria for Institutional Awards—Loma Linda University and Loma Linda University Health

15 | Loma Linda University Health and Loma Linda University Honorees

34 | The Programs, The School Honorees, and The Speakers

• School of Medicine, 35
• School of Pharmacy, 66
• School of Dentistry, 79
• School of Allied Health Professions - Allied Health Studies, Cardiopulmonary Sciences, …

Examining Clinical Indications For Cesarean Section In A University Hospital In Karachi, Pakistan, Zehra Kanji, Shannon D. Simonovich, Nida Najmi, Jessica Bishop-Royse

Journal of Asian Midwives (JAM)

Background and objectives: Current research reports that Pakistan exceeds the recommended percent of deliveries via cesarean sections, including both emergent and non-emergent. In order to better understand the high rate of cesarean sections in Pakistan we examined the medical and non-medical indications of these surgeries at a private university hospital in Karachi.

Methods: A retrospective analysis of patient medical record data was conducted from January 1st, 2018 to March 31st, 2018. The data collected was analyzed using SPSS 25.

Results: The total number of deliveries during the period was n= 1,211, out of which n=602 (49.70%) were CS. The top …

2019 Spring Newsletter, Morehead State University. Nursing Department.

Nursing Department Publications Archive

2019 Spring Newsletter of the Department of Nursing at Morehead State University.

Functional Exercise Improves Mobility Performance In Older Adults With Type 2 Diabetes: A Randomized Controlled Trial, Kimberlee A. Gretebeck, Caroline S. Blaum, Tisha Moore, Roger Brown, Andrzej Galecki, Debra Strasburg, Shu Chen, Neil B. Alexander

College of Nursing Faculty Research and Publications

Background: Diabetes-related disability occurs in approximately two-thirds of older adults with diabetes and is associated with loss of independence, increased health care resource utilization, and sedentary lifestyle. The objective of this randomized controlled trial was to determine the effect of a center-based functional circuit exercise training intervention followed by a 10-week customized home-based program in improving mobility function in sedentary older adults with diabetes.

Methods: Participants (n = 111; mean age 70.5 [7.1] y; mean body mass index 32.7 [5.9] kg/m²) were randomized to either a moderate-intensity functional circuit training (FCT) plus 10-week home program to …

Enhancing Chronic Pain Management Motivational Interview Among Lower Back Pain Patients, Melissa L. Hines-Antico

Doctor of Nursing Practice Final Manuscripts

Purpose: Untreated chronic pain is a nationwide epidemic affect individual physically, psychologically, and financially. Low back pain is the most common subset of chronic pain. Restricted clinic time and a focus on procedural/prescriptive methods for managing pain prohibits patient education regarding self-care, and formation of a relationship with the provider.

Design: Article review yielded 20 articles that supported the use of motivational interviewing for chronic pain in lower back pain patients. They were evaluated for their strength of evidence on a scale of 1-6. One article was ranked level I as a meta-analysis, and six were ranked as level II …

Use Of Best Practice Alerts To Improve Adherence To Evidence-Based Screening In Pediatric Diabetes Care, Daniel Desalvo, Sara K. Bartz, Blair Mockler, Rona Y. Sonabend

Journal of Nursing & Interprofessional Leadership in Quality & Safety

Background: Youth with type 1 diabetes (T1D) are at increased risk for comorbid autoimmune conditions and long-term complications. To help with early identification of these complications, the American Diabetes Association (ADA) has published evidence-based screening guidelines. The aim of our quality improvement intervention was to improve and sustain adherence to the ADA recommended screening guidelines to >90% for youth with T1D in the Texas Children’s Hospital (TCH) Diabetes Center by utilizing best practice alerts (BPA) within the electronic medical record (EMR).

Methods: In accordance with the ADA Standards of Care screening guidelines for youth with T1D, we analyzed the database …