Digital Commons Network^™

Problem Based Learning With Teamstepps®, Dana Clairmont

Nursing Capstones

No abstract provided.

Toward Expert Consensus On Guidelines For The Use Of Yoga In The Treatment Of Anxiety In Children And Adolescents., Laura J. Abels

Doctor of Nursing Practice Scholarly Projects

Problem Statement: Despite clinical evidence to support the use of yoga as a treatment option for children and adolescents with anxiety, clinical practice guidelines do not exist. Purpose: This project used the modified Delphi technique to determine if consensus exists on the need for clinical practice guidelines among experts in the fields of child and adolescent psychiatry, psychology, and yoga. Additionally, this project aimed to determine if consensus exists on what should be included in clinical practice guidelines for the use of yoga as a therapeutic intervention for anxiety in children and adolescents. Methods: Three rounds of questionnaires were used …

Prevention Of Oral Mucositis In Cancer Patients, Patricia E. Biel

Evidence-Based Practice Project Reports

Oral mucositis [OM] is one of the most severe non-hematological problems related to cancer treatments and can impact quality of life. It is linked to poorer outcomes due to the associated weight loss, pain, dehydration, and risk of developing life-threatening infections. The purpose of this evidence-based practice project was to determine if OM is preventable with the use of an oral care protocol and zinc supplementation when compared to use of oral care protocols alone. The Johns Hopkins Nursing Evidence-Based Practice Model was used to guide project implementation in an outpatient oncology office. Recommendations were developed from an exhaustive review …

Support And Mentorship Of Diverse And Disadvantaged Nursing Students, Elle E. Hoselton

Nursing Capstones

No abstract provided.

A Practical Understanding Of Preeclampsia For A Nurse In A Third World Setting, Anna Lovin

Senior Honors Theses

Preeclampsia is a disease of pregnancy that affects approximately 3-5% of women with child. It is one of the primary causes of mortality in mothers and babies across the globe. The exact cause, pathogenesis, or disease progression is unknown. Therefore, there is no definition of which patients are at risk for developing preeclampsia and what can work as a preventative measure. In high socioeconomic settings where there is good healthcare, standard treatment is established to manage the symptoms and decrease the progression of preeclampsia to eclampsia. However, in more rural, third-world settings of developing countries, caring for patients with preeclampsia …

Nursing Students' Knowledge Of Alcohol - Interactive Medications, Andrew Coop

Honors Projects

In 2018, nearly 57% of American adults reported drinking alcohol in the past month, and 41.5% of current drinkers reported taking alcohol-interactive (AI) medications. Consuming alcohol and medications concurrently may result in adverse effects. The purpose of this study was to determine the effectiveness of a one-hour lecture about AI medications in a class of undergraduate nursing students (N = 48) at a small Midwestern university. The Jarvis Nursing Knowledge of Alcohol-Interactive Medications survey was distributed on August 27, 2018, and again on November 19, 2018. A significant increase was found between pretest and posttest on correct identification of …

Using The Interactive Theory Of Breastfeeding To Promote Breastfeeding Within The Indigenous Population, Shawn Meyer

Nursing Capstones

No abstract provided.

Long-Term Use Of Metformin And Vitamin B12 Deficiency, Josalyn Joy Grueneich

Nursing Capstones

No abstract provided.

The Association Between Metabolic Syndrome And Gallstone Disease: A Case Report, Paul Rodenbiker

Nursing Capstones

No abstract provided.

Sustainability In Quality Improvement And Patient Safety Initiatives, Angelo P. Giardino, Eileen R. Giardino

Journal of Nursing & Interprofessional Leadership in Quality & Safety

The question often asked of a quality improvement initiative is whether the improvement process has been sustained within the organization. Rarely is the question answered satisfactorily. The sustainability of an improvement process is important as it justifies the investment of human and financial capital. The term 'evaporation of improvements' addresses the dilemma that between 33% to 70% of all innovations are reportedly not sustained (Fleiszer, Semenic, Ritchie, Richer, & Denis, 2015) . This evaporation of improvement captures the frustrating inability of many institutions to maintain the achieved improvement after the newness of the initial effort wears off (Buchanan, Fitzgerald, & …

Gastrostomy Tube Complications And Management, Deborah J. Garcia

Doctor of Nursing Practice Scholarly Projects

The avoidable complications of clogging and dislodgement of gastrostomy tubes (g-tubes) place a tremendous burden on patients, caregivers, healthcare providers, and the entire medical system. These complications are associated with $130 million in healthcare utilization each year. Insufficient education of patients and personal caregivers regarding the prevention of complications of clogging and dislodgement of g-tubes is identified as a major barrier. Preintervention and postintervention education program models were established, which include a preprocedure clinic visit with education as well as scheduled follow-up phone calls. A chart review and follow-up phone call was used to evaluate the effect of providing consistent …

Early Identification Of Frailty Predictors In A Vowed Religious Community Of Catholic Men: A Strategy For Successful Aging In Place, Julia Senn-Reeves

Graduate Theses, Dissertations, and Capstones

Background: The population in the United States is aging and experiencing age- and disease-related changes, leading to increased frailty, as well as increased disability, morbidity, and mortality. Timely recognition of these vulnerabilities, and intervention implementation, are crucial to prevent adverse outcomes and to support successful aging in place. Purpose: The purpose of this project is to develop and implement a multifaceted assessment process to identify early predictors of frailty among members of a vowed religious community of Catholic men to ultimately support successful aging in place. Participants: A single vowed religious community of Catholic men in the United States, living …

Perspectives Of Behavioral Health Providers In School Based Health Clinics (Sbhc) About Behavioral Health Services And Low-Income Adolescent Males’ Academic Achievement, Suzanne Gagnon

Nursing ETDs

ABSTRACT

Low-income adolescent males are subject to both health and educational inequities. Male adolescents are the least likely of all pediatric age and gender groups to access either primary care or behavioral health services. This same population is most likely to not complete high school or college. Health and educational outcomes are both affected by social determinants. School-based Health Centers (SBHCs) are known for providing access to primary care and behavioral health services for low-income and vulnerable populations. The purpose of this qualitative descriptive study was to identify themes from one-on-one semi-structured qualitative interviews with behavioral health providers, who provide …

Increasing Physical Activity In Hispanic Adults To Reduce Complications Of Type 2 Diabetes, Linda C. Valenzuela

Doctor of Nursing Practice Projects

Problem Description: Adults in the United States do not exercise sufficiently to meet the specifications outlined in the 2018 Physical Activity Guidelines (U.S. Department of Health and Human Services, 2018). The Office of Disease Prevention and Health Promotion’s (2018) Healthy People 2020 aims to eliminate health disparities and achieve health equity among all population groups in the United States. However, statistics from the U.S. Office of Minority Health (2014) indicate that Hispanics are twice as likely to be diagnosed with type 2 diabetes as non-Hispanic whites. According to a Centers for Disease Control and Prevention (CDC) report in 2015, …

Theory Of Planned Behavior: Examining Breastfeeding Intentions And Behaviors, Rebecca Chema

18th Annual Celebration of Undergraduate Research and Creative Activity (2019)

Breastfeeding is the gold standard for infant nutrition, providing benefits to both infants and mothers. According to the Theory of Planned Behavior (TPB), a mother’s breastfeeding intention is directly related to the following antecedents: attitudes, subjective norms, and perceived behavioral control. The purpose of this descriptive, prospective study was to examine the relationship between antecedents and breastfeeding intentions and behavior at 60 days postpartum utilizing three online questionnaires administered prior to birth and at 10 and 60 days postpartum. The baseline questionnaire measured participants’ attitudes, subjective norms, and perceived behavioral control toward breastfeeding intentions, while day 10 and day 60 …

Effects Of Elevated Thyroid Stimulating Hormone On Lactation In The Breastfeeding Woman, Kelsey Lindberg

Nursing Capstones

No abstract provided.

Diabetes Shared Medical Appointment: An Evidence-Based Innovation Project, Mohamed Bojang

DNP Final Reports

The purpose of the evidence-based practice innovation project (EPIP) is to address uncontrolled diabetes by implementing an evidence-based shared medical appointment (SMA) intervention which based on the body of the evidence will help improve diabetes outcomes. A pilot implementation and retrospective chart review were conducted. Data was collected on outcome indicators such as blood pressure, lipid values, body mass index, A1C, and knowledge. The results of a pilot SMA implementation revealed that patients who participated in the weekly SMA saw an improvement in post-mean values compared to pre-mean values. Mean A1c dropped to 7.0% from 7.11%; systolic blood pressure improved …

Benefits Of A Plant Based Diet For Prevention Of Cholecystitis, Courtney Anne Louise Woodbury

Nursing Capstones

No abstract provided.

Osteoporosis Education: Success In A Community Setting, Cathy H. Abell, Maria E. Main, Maire M. Blankenship, S. Renea Watkins

International Journal of Faith Community Nursing

The purpose of the quasi-experimental study was to examine the effect of a community educational offering on attendees’ knowledge of osteoporosis as measured by the Osteoporosis Knowledge Test. A statistical significant difference was noted between the pretest and post-test means (p = .000). The findings demonstrate that a brief educational session can increase knowledge regarding osteoporosis. Development of partnerships with community populations to provide opportunities for health education can be valuable in promoting healthy behaviors.

Describing Transitional Care Using The Nursing Intervention Classification: Faith Community Nursing, Deborah J. Ziebarth, Katora Campbell

International Journal of Faith Community Nursing

Abstract

Objective(s)

Faith community nurses (FCNs) provide transitional care to community patients following discharge from acute care facilities. Study objectives: describe transitional care using a standardized nursing language, Nursing Intervention Classification (NIC) and compare transitional care interventions to those considered to be evidenced-based.

Sample

Two years of de-identified intervention data captured from the FCN’s documentation of transitional care.

Design

A mixed method descriptive design was used to facilitate a thorough exploration of the interventions. A qualitative descriptive method operationalized the concepts regarding transitional care interventions performed. A quantitative descriptive design was used to count nominal categories of documented nursing interventions. …

Application Of The Nurse As The Wounded Healer Theory To Traumatized Professionals, Erin R. Berger

Nursing Capstones

No abstract provided.

Activating Nursing To Address Unmet Needs In The 21st Century, Patricia Pittman

Health Policy and Management Faculty Publications

No abstract provided.

A Pre And Post Survey To Evaluate Patient Perception Of Group Diabetes Self-Management Education In Rural Health Clinics, Stormy Carter, Ashleigh Heter

Posters

Diabetes is a significant clinical issue in the primary care setting. Providers struggle to overcome barriers to facilitate therapeutic interventions for populations served. The specific aim of this study was to assess group diabetes self-management education from a patient perspective. Evaluation of diabetes knowledge and self-efficacy confidence was conducted in rural primary care clinics using pre and post surveys. This study utilized a one-group pretest-posttest design to patients receiving group diabetes self-management education in Southeast Kansas rural primary care clinics by a certified diabetes educator. The surveyed population included individuals ages 18-65 with prediabetes, type I, or type II diabetes …

Shelby Powell's Portfolio, Shelby Powell

Honors College Portfolios

The field of pediatric nursing is one that has captured my heart since I was 16. When I thought about what I wanted to be when I grew up, the only aspiration in my clearly uncertain plan was that I wanted to work with children. Soon after, I came to see the huge gratification that being a peds nurse could bring me. Through the work I have completed in my honors independent study, I have had the opportunity to focus on and learn more about this exceptional and rewarding field.

I began with comprising an educational blog focused on the …

Haitian American Women With Type 2 Diabetes Mellitus: An Integrative Review, Balkys L. Bivins, Indra R. Hershorin, Lonar Anthony Umadhay

Faculty Articles

Diabetes is escalating at staggering levels in the United States and worldwide. This paper will present a review of relevant literature that supports the need for research in Haitian American women, a particularly vulnerable group, with type 2 diabetes mellitus. It will also unveil the cultural factors that pose challenges to the treatment and management of this condition.

Gw Nursing, Spring 2019, George Washington University, School Of Nursing

GW Nursing Magazine

No abstract provided.

Bringing Truth To The Table: An Evidence Review To Dispell Common Dietary Myths, Madison Pierce

Senior Theses

Background/Significance

Nurses are most directly involved with patient care and are in an excellent position to be patient educators. Patients are more likely to actively listen after establishing rapport, especially for loaded topics such as lifestyle choices. While nurses have general nutrition knowledge, they may lack current, scientifically-based information to help patients implement a healthy diet. Nurses can both educate and be an example of health habits that patients should emulate, and therefore need to be adequately informed about topics like dietary misconceptions.

Purpose

The purpose of this project is to provide current evidence-based information regarding dietary misconceptions to nurses …

Follow-Up Among Homeless Patients At San Francisco General Hospital: Examining The Social Determinants Of Health, Robert Gnat

Doctoral Projects

The San Francisco General Hospital emergency department has a high occurrence of homeless patients that are lost to follow-up after discharge. This Doctor of Nursing Practice project conducted a survey to evaluate the social determinants of health among this population and how they influence the participant’s ability to follow-up. This is the first phase of a three-phase project involving assessment and evaluation. The second and third phases of this project will center on intervention and re-evaluation after intervention. The survey was administered to eligible participants who presented to the emergency department at San Francisco General Hospital. Fifty participants were surveyed …

Pressure Ulcers, Kelly Jeter, Courtney Frazier, Jimmy Mcdonell

Spring Showcase for Research and Creative Inquiry

During this research project, we are investigating if repositioning an immobile patient every two hours would reduce the risk of pressure ulcers forming. Pressure ulcers are caused by increased pressure or friction on bony prominences and are most likely found on immobile patients. Pressure ulcers are a major infection risk for the patient and a huge cost factor for the hospital. When the patient is immobile it becomes the nurses job to identify the risk of pressure ulcers and help prevent them from occurring. With constant repositioning every two hours, these factors could be reduced or stopped all together.

A Multi-Faceted Intervention To Improve Diagnosis And Treatment Rates Of Overweight And Obesity By Nurse Practitioners In Primary Care, Susan Disser

Evidence-Based Practice Project Reports

The United States is amid an obesity epidemic (Institute of Medicine, 2012). Indiana ranks as the tenth most overweight state. (America’s Health Rankings, 2018). Despite guidelines outlining the treatment of obesity, primary care providers seldom use these guidelines (Hayes et al., 2017). In a 2010 study, only 28.9% of obese patients received a diagnosis of obesity and less than 25% of these patients received counseling on diet, exercise, or weight loss (Bleich, Pickett-Blackely, & Cooper, 2011). The purpose of this evidence-based practice (EBP) project is to determine if a multi-faceted intervention consisting of academic detailing, reminders, audit with feedback, and …