Digital Commons Network^™

Food Insecurity Among College Students, Alison Hige

Honors Projects

Increasing collegiate education costs results in students today facing greater financial stress. As a result, students have to make difficult choices of how to allocate their monetary resources. Sometimes, students prioritize educational costs over nutrition and health necessities, impacting an individual’s ability to obtain adequate food resources. The purpose of this project was to explore the prevalence and impact of food insecurity among college students. The project included conducting a literature review yielding 26 pertinent articles from the keywords “food insecurity” and “college students.” Food insecurity affects a student’s physical and mental health, along with negatively impacting their scholastic abilities. …

Effects Of Teach-Back Method Of Education On Knowledge Of Heart Failure Self-Care Management And Post-Discharge Knowledge Retention, Ama Awuah-Asamoah Msn, Rn, Acnp

Doctor of Nursing Practice Projects

Background: Approximately forty to eighty percent of patient education is immediately forgotten, and about fifty percent of retained information is inaccurate; knowledge is an essential bridge between patient teaching, comprehension and knowledge retention by using the teach- back method (Farris, 2015; Rouse et al., 2016; Stamp et al., 2014).

Objectives: The purpose of this study was to compare teach-back education method versus standard education and care, on knowledge of heart failure (HF) self-care management at discharge and retention of knowledge at three to ten days post discharge.

Methods: A non-probability convenience sampling of 22 HF patients, 65 years and older, …

Developing An Evidence-Based Supportive Services Program For Cancer Survivors In A Private Oncology Practice, Joseph Ellul

Doctoral Projects

Improvements in cancer treatment have led to a rapidly increasing survivor population. In response, multiple side effects of cancer and cancer treatment as well as the various wellness needs of survivors have been recognized. Survivorship programs have been developed to care for survivors with residual effects of cancer and the side effects of treatment; however, additional support is needed. The purpose of the project was to highlight the need for a comprehensive supportive services program for the cancer survivor population and describe the steps that were required to successfully develop the program. The clinical question addressed by the project was: …

Increasing Prevention And Recognition Of Delirium In A Non-Icu Acute Care Population, Anne Gembrowski

Doctoral Projects

Delirium is associated with increased mortality, nosocomial complications, increased length of hospital stay, and greater chance of readmission, increased hospital costs, and a need for skilled nursing aid after discharge from the hospital. In a hospital, delirium can affect up to 50 percent of older patient 65. The solution is to prevent delirium from occurring and to regularly screen for its presence. The purpose of this paper is to explore the best prevention strategies and screening tool for delirium and to successfully implement a delirium bundle on a medical surgical unit. The question this paper attempts to answer is if …

Nurse Care Manager Impact On Type 2 Diabetes Mellitus At A Rural Primary Care Practice, Patrick Joswick

Doctoral Projects

Background: Type 2 Diabetes Mellitus is a common diagnosis managed in the primary care setting. Patients with an uncontrolled state of the condition are most vulnerable to develop complications from the disease. Consequently, type 2 diabetes remains as the leading cause of end stage renal disease and nontraumatic limb amputations.

Objectives: To improve type 2 diabetes quality measures, improve documentation of quality measures, increase the continuity of care, and create a streamlined workflow and communication within an interdisciplinary team.

Methods: Quality improvement project to establish multifaceted management of type 2 diabetes. Data on the management of care was gathered pre-/post-implementation …

Nutrition And Neurosurgery: Designing A Perioperative Pathway For Elective Spine Fusion Patients, Abigail J. Mckay

Doctoral Projects

Each additional hospital day related to a surgical complication costs an estimated $1,000 (Grusky et al., 2015). Due to the rising costs of healthcare, European professors designed Enhanced Recovery After Surgery pathways to mitigate potential adverse surgical outcomes and associated costs. A primary focus of these pathways emphasizes the importance of pre-procedure nutritional optimization. Literature increasingly supports malnutrition as an independent predictor of postoperative complications and increased length of stay (LOS) (Adogwa et al., 2014). The neurosurgical population has a wide variety of comorbidities that place them at increased risk for nutritional compromise. Thus, a perioperative nutrition pathway was implemented …

Implementation Of An Evidenced-Based Intervention For Pain Management In Lumbar Spine Surgery, Mary R. Draper

Doctoral Projects

Introduction: Spinal surgeries are among the top procedures responsible for the highest degree of post-surgical pain. Opioids are the mainstay of current pain management practices in the post-operative period. In light of the opioid epidemic, increased opioid tolerance, and changes in legislation, there is a calling for alternative strategies in managing acute and chronic pain. The purpose of this project is to answer the following question: Does implementation of an evidence-based intervention for preoperative administration of gabapentin reduce patients’ perception of pain and reduce opioid consumption in those who experience lumbar spine surgery?

Objectives: The goal of this project is …

A Need For A Culturally Congruent Obesity Intervention At A Community Safety-Net Clinic, Claudia D. Rivera-Salas

Doctoral Projects

Background: Obesity is an epidemic in the United States which causes numerous chronic conditions and disproportionally impacts underserved populations. The removal of barriers that prevent active lifestyles such as unaffordable facilities and inaccessibility are of primary importance in promoting a healthy lifestyle.

Objectives: Collaboration with community organizations to increase access to culturally congruent nutrition and exercise classes for underserved Latino/Hispanic patients of a Midwestern safety-net clinic to reduce obesity, increase physical activity, and improve dietary habits.

Methods: Assessment of current practices revealed the need for project development. Six-week nutrition education class and exercise classes were held for eligible patients which …

Evaluating The Effectiveness Of Diabetes Class: A Project To Improve Quality Metric Measures, Miriam O. Russell

Doctoral Projects

Background: Diabetes is a significant health issue worldwide. Its increasing prevalence globally and regionally has been documented. Consequently, complications have resulted in higher morbidity and mortality in patients with diabetes (Martin & Lipman, 2013). The lack of education on self-managing diabetes can lead to serious complications. An effective approach, including evaluating and enhancing diabetes education, is necessary to improve diabetes self-management (Johnson & Raterink, 2009).

Objectives: To provide evaluation of a diabetes education class through quality measures and create a toolkit that will enhance the impact on the current diabetes education class.

Methods: A retrospective chart review that analyzes five …

Providing Preventive Health Education And Developing A Referral Policy And Toolkit To Increase Access To Primary Care For Individuals With Mental Illness, Phaedra Mclin, Stephanie Myers

Doctoral Projects

Treatment rates in primary care for the mental health population is traditionally low. Individuals with mental illnesses were at a higher risk for the development of chronic health problems (Ross et al., 2015). Substance Abuse and Mental Health Services Administration (SAMHSA) indicated that many people with serious mental illness die from preventable diseases. People with serious mental illness also have a higher mortality rate than those in the general population (SAMHSA, 2017b).

The purpose of this Doctor of Nursing Practice (DNP) project was to determine if educational training regarding specific chronic disease conditions influenced the attitude and knowledge of the …

Actualizing Best Care Practices At A Psychiatric Treatment Center To Validate The Asset Of An On-Site Electrocardiogram, Pamela Metts

Doctoral Projects

Considerations to be contemplated in daily health delivery systems are complex and require varied approaches to deliver best-care processes that produce optimal patient outcomes. Specialty practice sites not only require the capability but also necessitate proficiency and dedication in meeting and exceeding essential healthcare competencies. A psychiatric treatment center specialty practice was the setting for this DNP project. The focus of this project included: (1) care resourcefulness, (2) safety initiatives, (3) increased privacy and confidentiality compliance, and (4) cost-efficiency measures.

Technology use beyond the security of the safety available within the treatment complex is a current policy at the psychiatric …

Complete Care Model Impact On Glycemic Control In California State Prisons, Diane M. O’Laughlin

Doctoral Projects

The Complete Care Model (CCM) is a health care delivery model based on the well-studied and internationally validated chronic care theory. Since the integration of the chronic care theory into California Department of Corrections and Rehabilitation (CDCR) patient care in 2008, steady improvement in health care related mortality has been seen, and there have been no unavoidable health care related deaths in CDCR since 2012 (Gransee, 2018). However glycemic control in CDCR diabetic patients has made no statistically significant change since the implementation of the CCM in 2015 when comparing the two years before and the two years after implementation …

The Influence Of Continuity Of Nursing Care In The Acute Care Setting On Readiness For Discharge And Post-Discharge Return To Hospital, Sarah J. Bahr

Dissertations (1934 -)

Background: Promoting continuity of nursing care has the potential to increase patient readiness for discharge, which has been associated with fewer readmissions and emergency department (ED) visits. The few studies that have examined nursing continuity during acute care hospitalizations did not focus on discharge or post-discharge outcomes.Objectives: The aim of this research study was to examine the association of continuity in nurse assignment to patients prior to hospital discharge with return to hospital (readmission and ED/Observation visits), including exploration of the mediating pathway through patient readiness for discharge and moderation effects of unit environment and unit nurse characteristics.Methods: …

Effects Of Weighted Blankets On College Students’ Anxiety, Amy Clapp

Honors Projects

Background: Many mental health disorders, including anxiety, are identified during young adulthood when students are beginning college. Therapies such as weighted blankets may provide anxiety relief, but information about the use of weighted blankets for students is lacking.

Purpose: To compare the effect of weighted versus regular blankets on anxiety, sleep, and GPA in a sample of undergraduate students.

Conceptual framework: Measurements were operationalized through the Overall Anxiety Severity and Impairment Scale (OASIS).

Methods: A pilot study using a convenience sample with random assignment was conducted. Participants (N = 32) self-identified as belonging to one of …

Prediktor Kegagalan Menyusui Ekslusif: Studi Di Puskesmas Buaran Kabupaten Pekalongan Jawa Tengah Indonesia, Isyti'aroh Isyti'aroh, Siti Rofiqoh, Nurul Aktifah

Jurnal Keperawatan Indonesia

Predictors for Exclusive Breastfeeding Failure: Study at Buaran Community Health Center Pekalongan Regency, Central Java, Indonesia. The failure of exclusive breastfeeding (EBF) is still a phenomenon in the community. In 2015 Pekalongan Regency had exclusive breastfeeding coverage of 30.3%. It indicates that most mothers failed to give exclusive breastfeeding. This study aimed to determine the factors that related to exclusive breastfeeding (EBF)failure. This descriptive cross sectional study was carried out among 151 mother in the Buaran Health Centre Pekalongan Regency, selected using cluster random sampling method. The research instrument was questionnaires from the research of Isyti'aroh, Setyowati and Afifah (2013). …

Hubungan Tingkat Pengetahuan Dan Diabetes Self-Management Dengan Tingkat Stres Pasien Diabetes Melitus Yang Menjalani Diet, Kusnanto Kusnanto, Putri Mei Sundari, Candra Panji Asmoro, Hidayat Arifin

Jurnal Keperawatan Indonesia

The correlation between knowledge level and diabetes self-management towards stress level of patients DM with diet. Knowledge is very important in developing diabetes self-management to prevent the risk of long-term complications with a strict diet. The purpose of this study was to determine the relationship between knowledge and diabetes self-management with stress levels of people with diabetes mellitus who went on a diet. This study uses a cross-sectional design. The total samples obtained were106 respondents with multistage sampling, inclusion criteria included patients with DM years, did not use insulin injection, DM patients were still married and lived with their families. …

Dampak Frekuensi Pernapasan Predialisis Terhadap Kram Otot Intradialisis Di Rsud Panembahan Senopati Bantul, Cornelia D Y Nakeda, Mohamad Judha

Jurnal Keperawatan Indonesia

Effect of Predialysis Respiration Rate on Intradialysis Muscle Cramps at Regional Hospital Panembahan Senopati Bantul. Hemodialysis process often causes painful impact such as muscle cramps during intradialysis. The objective of this research was to identify the increased between respiratory rate and intradialysis muscle cramps. The method of this research was analytical survey method. This research is descriptif quantitative with cross sectional design. This research conducted in hemodialysis unit in Panembahan Senopati General Hospital in Bantul. The subjects of the research taken using accidental sampling. The total research subjects were 91 respondents. The researchers measured the relationship between predialysis respiratory rate …

Effect Of Intermittent Fasting In Patients With Type 2 Diabetes, Paul Reynolds

Nursing Capstones

No abstract provided.

The Influence Of Stressful Life Events On The Development Of Type 2 Diabetes, Joshua Minks

Dissertations

This study examined the relationship between distress and the development of Type 2 diabetes mellitus (T2DM) in the presence of established risk factors. Distress secondary to mental health disparities, stressful life events, and work conditions has been shown to promote insulin resistance and the development of T2DM.

Subjects (N=79) diagnosed with T2DM within the previous six months were recruited from SSM Health Centers and VA Medical Centers in the greater St. Louis area. They completed the Recent Life Changes Questionnaire, ENRICHD Social Support Instrument, and a demographic survey and analyses were conducted to determine differences between the veteran …

Effective Health Promotion Programs That Increase Medication Adherence Within The Hispanic Population: An Integrative Literature Review, Yaquilin Rubio

Grace Peterson Nursing Research Colloquium

No abstract provided.

Effective Health Promotion Programs That Increase Medication Adherence Within The Hispanic Population: An Integrative Literature Review, Yaquilin Rubio

Grace Peterson Nursing Research Colloquium

No abstract provided.

Efficacy And Cost Effectiveness Of Three Cam Therapies On Wound Healing: Acupuncture, Probiotics, And Intentional Comfort Touch, Jacquelyn A. Alderson

Grace Peterson Nursing Research Colloquium

Efficacy and Cost Effectiveness of Three CAM Therapies on Wound Healing: Acupuncture, Probiotics, and Intentional Comfort Touch

Jacquelyn Alderson

Research Advisor: Dr. Young-Me Lee, PhD, RN

Background: Wound healing is a pervasive medical and economic issue, and increasing the speed of healing would augment financial and physical quality of life on personal and global levels. Current medical treatments can be costly and time consuming, however, so complementary and alternative medicine (CAM) therapies may provide a way to enhance the speed and efficacy of wound healing without an excessive financial burden on the patient and the healthcare system.

Objective: …

Contributing Factors Of Excess Calorie Consumption In Children An Integrative Literature Review, Frank L. Edwards, Tessa Cappel

Grace Peterson Nursing Research Colloquium

Contributing Factors of Excess Calorie Consumption in Children

An Integrative Literature Review

Frank Edwards & Tessa Cappel

Background: Childhood obesity is a growing epidemic that affects nearly every demographic in the United States (US). The risk factors are often unavoidable without proper education and awareness to parents, caregivers and children alike (CDC, 2018). The phenomenon of chronic overconsumption may play a profound role in chronic overconsumption.

Objectives: To explore potential factors leading to chronic excess calorie consumption (chronic overconsumption) in school-age children.

Methods: An integrative literature review was conducted to explore the factors leading to chronic excess calorie consumption in …

Built Food Environment And Perinatal Depression: An Integrative Literature Review, Rachel N. Mileski

Grace Peterson Nursing Research Colloquium

Background: Built food environment contributes to food access and insecurity, which impactsmaternal health due to increased rates of perinatal depression.

Objectives: The purpose of this integrative literature review will be to (1) identify contributing factors of built food environments in communities that increase the rate of perinatal depression and (2) evaluate the current intervention programs and methods addressing these factors in order to provide recommendations for further research.

Method: An integrative literature review will be used, in accordance with the Ecological Model, to evaluate contributing factors and suggestions.

Results: Findings from this integrative literature review revealed a link that connects …

Challenges To Breastfeeding Initiation And Nursing Implications For Intervention, Falynn Beauford, Tiffany Frencher

Grace Peterson Nursing Research Colloquium

Challenges to Breastfeeding Initiation and Nursing Implications for Intervention

Falynn Beauford & Tiffany Frencher

Research Sponsor Elizabeth P. Anderson RN, PhD

Background: Breast milk provides optimal nutrition for babies, provides them with antibodies for improved health outcomes, and lowers chances of Sudden Infant Death Syndrome. However, many mothers may not be receiving the support needed to initiate and continue breastfeeding for at least six months as recommended by the American Academy of Pediatrics.

Objectives: To explore the influential factors identified to impact whether or not a mother decides to initiate and continue breastfeeding after giving birth at a BFH-I facility. …

Early Nutritional Interventions For Patients At Risk For Malnutrition, Connie Lin, Bsn, Rn, Ccrn, Cecille Lamorena Bsn, Rn, Ccrn, Shadid Hayat, Md, Beth Asano, Rd, Rhonda Farkas, Ms, Rd, Linda Boose-Shutes, Bsn, Rn, Ccrn, Gemma Seidl, Msn, Rn, Mph Phn, Cara Buenaventura, Msn, Rn, Ccrn, Denise Beck, Msn, Rn, Lynn Tamanaha, Lisa Evans, Dnp, Acnp-Bc, Juliet Vapel-Phillips, Msn, Rn, Ccrn

St. Joseph Hospital, Orange, CA. Evidence Based Practice Conference

No abstract provided.

Enhanced Recovery Program: General Surgery Department, Jacoba Walsh, Rn, Bsn, Pccn-K, Darleen Nguyen, Rn, Bsn, Cn Iii, Cmsrn, Cassie Cecil Rn, Bsn, Cn Ii

St. Joseph Hospital, Orange, CA. Evidence Based Practice Conference

No abstract provided.

Implementation Of Lgbt+ Health Education For Master’S Entry Nursing Students, Daniel R. Mead

College of Science and Health Theses and Dissertations

Background: There is a paucity of evidence linking Lesbian, Gay, Bisexual, and Transgender (LGBT+) health education with improvement in nursing students’ knowledge, attitudes, and comfort of LGBT+ health considerations.

Methods: In a pre- and post-test study design, a total of 77 master’s entry to nursing practice students completed the LGBT+ health educational module during the Community Health Nursing course.

Results: Statistically significant results were found between pre-test to post-test data for knowledge (p < .001, Cohen’s d 2.52), attitudes (p < .001, Cohen’s d 0.35), and comfort (p = .001, Cohen’s d 0.31) of LGBT+ health considerations.

Conclusion: The LGBT+ health education module …

Improving Glycemic Control With Glucokinase Activators, Stephanie Furstenau

Nursing Capstones

No abstract provided.

Would Screening And Early Treatment Recommendations Decrease The Prevalence Of Osteoporosis In Men?, Angie Wallace

Nursing Capstones

No abstract provided.