Digital Commons Network^™

The Impact Of A Poverty Simulation On Baccalaureate Nursing Students’ Attitudes, Kristen Smith

Doctor of Nursing Practice Scholarly Projects

Poverty is an ongoing issue in the United States, with major implications for the health of U.S. citizens. In order to provide compassionate care, nurses must understand their own attitudes towards those living in poverty. The purpose of this study was to evaluate for possible changes in attitudes towards poverty in junior level BSN students after a poverty simulation intervention. Participants were surveyed using the Yun and Weaver’s Short Form Attitudes towards Poverty (SFATP) tool, which looks three factors of poverty attitudes: personal deficiency, stigma, and structural perspective.

The Adult Learning Theory provided the theoretical framework for the study. This …

Creating And Conducting Intergenerational Learning In Higher Education, Andrea Lauren Holt

Honors Projects

The creation, conduction and revision of a one of a kind intergenerational course taught in the Grand Valley State University Fredrick Meijer Honors College. Elders and Traditional Honors College Freshman came together in a mixed classroom in order to bridge the gaps of communication and misunderstanding between generations.

Evaluation Of A Health System’S Community Targeted Program For Individual’S With Increased Risk For Cardiovascular Disease And Diabetes, Phallon Lovelady

Doctoral Projects

Introduction: Lack of a program evaluation plan for a community targeted primary prevention program poses a risk for undefined program effectiveness. Conducting a systemic program evaluation helps determine program effectiveness and value. The purpose of this paper is to discuss the process of implementing a program evaluation during a Doctorate of Nursing Practice (DNP) scholarly project.

Objectives: The objectives of this project were to apply a scholarly approach to program evaluation utilizing evidence-based practice tools, demonstrate DNP Essentials and health systems leader competencies, and describe the steps taken during the process.

Methods: The CDC Framework for Program Evaluation (2011) was …

Dissociation Between Cervical Mucus And Urinary Hormones During The Postpartum Return Of Fertility In Breastfeeding Women, Thomas Bouchard, Len Blackwell, Simon Brown, Richard J. Fehring, Suzanne Parenteau-Carreau

College of Nursing Faculty Research and Publications

Identifying the return of fertility with cervical mucus observations is challenging during the postpartum period. Use of urinary measurements of estrogen and progesterone can assist in understanding the return to fertility during this period. The purposes of this study were to describe the postpartum return of fertility by an analysis of total estrogen (TE) and pregnanediol glucuronide (PDG) profiles and to correlate these profiles with cervical mucus observations. Twenty-six participants collected urine samples during the postpartum period and recorded mucus scores. TE and PDG hormones were analyzed and compared with mucus scores. During amenorrhea, mucus reflected TE changes in only …

The Ties That Bind: Cradling In Tajikistan, Lana B. Karasik, Catherine S. Tamis-Lemonda, Ori Ossmy, Karen E. Adolph

Publications and Research

A traditional childrearing practice—“gahvora” cradling—in Tajikistan and other parts of Central Asia purportedly restricts movement of infants’ body and limbs. However, the practice has been documented only informally in anecdotal reports. Thus, this study had two research questions: (1) To what extent are infants’ movements restricted in the gahvora? (2) How is time in the gahvora distributed over a 24-hour day in infants from 1–24 months of age? To answer these questions, we video-recorded 146 mothers cradling their infants and interviewed them using 24-hour time diaries to determine the distribution of time infants spent in the gahvora within a day …

Problems Experienced In The Second And Third Months After Discharge From A Heart Failure-Related Hospitalization, Joan S. Grant, Lucinda J. Graven

Journal of Patient-Centered Research and Reviews

The purpose of this study was to identify high-priority problems experienced by individuals during the second and third month after discharge from an acute care facility for heart failure. This descriptive, exploratory study, an extension of a previous analysis that examined high-priority problems in the first month, comprised 19 participants who were assigned to an intervention group that received a randomized, 12-week-pilot coping partnership (COPE-HF) intervention. A trained research nurse provided the intervention, and participants used a standard list to identify high-priority heart failure-related problems. Quantitative and content data analysis was conducted. While the highest-priority problem continued to be managing …

Advanced Glycation End Products Are Elevated In Estrogen Receptor-Positive Breast Cancer Patients, Alter Response To Therapy, And Can Be Targeted By Lifestyle Intervention, Katherine R. Walter, Marvella E. Ford, Mathew J. Gregoski, Rita M. Kramer, Kendrea D. Knight, Laura Spruill, Lourdes M. Nogueira, Bradley A. Krisanits, Van Phan, Amanda C. La Rue, Michael B. Lilly, Stefan Ambs, King Chan, Tonya F. Turner, Heidi Varner, Shweta Singh, Jaime Uribarri, Elizabeth Garrett-Mayer, Kent E. Armeson, Ebony J. Hilton, Mark J. Clair, Marian H. Taylor, Andrea M. Abbott, Victoria J. Findlay, Lindsay L. Peterson, Gayenell Magwood Phd, Rn, Faha, Faan, David P. Turner

Publications

PURPOSE: Lifestyle factors associated with personal behavior can alter tumor-associated biological pathways and thereby increase cancer risk, growth, and disease recurrence. Advanced glycation end products (AGEs) are reactive metabolites produced endogenously as a by-product of normal metabolism. A Western lifestyle also promotes AGE accumulation in the body which is associated with disease phenotypes through modification of the genome, protein crosslinking/dysfunction, and aberrant cell signaling. Given the links between lifestyle, AGEs, and disease, we examined the association between dietary-AGEs and breast cancer. METHODS: We evaluated AGE levels in bio-specimens from estrogen receptor-positive (ER+) and estrogen receptor-negative (ER-) breast cancer patients, examined …

The Intersection Of School Corporal Punishment And Associated Factors: Baseline Results From A Randomized Controlled Trial In Pakistan, Hussain Maqbool Ahmed Khuwaja, Rozina Karmaliani Professor, Judith Mcfarlane, Rozina Somani, Saleema Gulzar, Tazeen S. Ali, Zahra Shaheen Premani, Esnat D. Chirwa, Rachel Jewkes

School of Nursing & Midwifery

Violence against youth is a global issue; one form of youth victimization is school corporal punishment. We use baseline assessments from a cluster randomized controlled trial to examine the prevalence of school corporal punishment, by gender, and the relationship to levels of peer violence at school, parent corporal punishment, youth food security and youth academic performance and school attendance in Pakistan. Forty homogenous public schools in the urban city of Hyderabad, Pakistan were chosen for randomization into the trial evaluating a youth violence prevention intervention. 1752 6th graders, age 11-14 years, were selected as the target population. Since schools are …

College Of Nursing, Matt Schmidt, Christine Delfanian, Dave Graves, Emily Weber

College of Nursing Magazine

FEATURE
[Page] 2 Student-athletes balance busy schedules

COLLEGE NEWS
[Page] 6 LeBeau honored
[Page] 8 Student receives Avera Wokini Scholarship
[Page] 10 College receives HRSA grant
[Page] 11 Simulation receives provisional accreditation
[Page] 12 Regional Health Rapid City's student room
[Page] 14 Population Health Evaluation Center opens

FACULTY NEWS
[Page] 16 Honors
[Page] 18 New Faces

ALUMNI NEWS
[Page] 22 Classes of 1959 and 1968 visit
[Page] 23 VabderWoude, Damgaaed honored
[Page] 24 Patient interaction drives Morrision
[Page] 26 Salter creates unique gift
[Page] 27 SDSU Foundation

Loma Linda Nurse - Vol. 26, Loma Linda University School Of Nursing

Loma Linda Nurse

Contents

FEATURES

4 | Where Legacies Begin — Alyssa Vega

8 | A Promise to Go Where the Lord Calls

10 | What I Wish I Had Known Before I Started Nursing School

14 | Constructing New Opportunities for Nursing Graduates

LLUSN HIGHLIGHTS

16-21 | ALUMNI NEWS

22-25 | HOMECOMING

26-27 |COMMENCEMENT

28-37 | ACADEMICS

38-39 | FACULTY UPDATES

Clinical Framework For Quality Improvement Of Cancer Cachexia., Clara Granda-Cameron, Mary Pat Lynch

College of Nursing Faculty Papers & Presentations

The objective of this article is to introduce the Clinical Framework for Quality Improvement of Cancer Cachexia (Cachexia Care Framework) as a tool to demonstrate the relevance of integrating the clinical components of cancer cachexia and the organizational strategies of a cancer institution on the quality of patient care and delivery of services throughout the cancer cachexia continuum. The data sources included peer-reviewed literature relevant to cancer cachexia and quality cancer care, and the authors' expertise. The Cachexia Care Framework results from a combination of the international consensus definition of cancer cachexia, the Institute of Medicine report Ensuring Quality Cancer …

Implementation And Evaluation Of A Physical Activity And Dietary Program In Federal Incarcerated Females, Rosemary A. Johnson, Kerry A. Milner, Christine Heng, Anna E. Greer, Susan M. Denisco

Nursing Faculty Publications

The purpose of this 3-month quasi-experimental pilot study was to examine the effect of a physical activity and dietary education program on body mass index (BMI) and resilience. Participants were given data-storing pedometers to record their physical activity, attended classes on healthy eating, and used portion control tools from http://ChooseMyPlate.gov . MyPlate usage and commissary purchases were collected weekly. BMI and resilience scores were measured at baseline, 6 weeks, and 12 weeks. Twenty-nine female prisoners completed the study. There was a statistically significant reduction in BMI after 12 weeks (χ2 = 7.56, p = .023) and resilience levels increased but …

“I Should Have Started Earlier, But I Was Not Feeling Ill!” Perceptions Of Kalenjin Women On Antenatal Care And Its Implications On Initial Access And Differentials In Patterns Of Antenatal Care Utilization In Rural Uasin Gishu County Kenya, Roselyter Riang’A, Anne Nangulu, Jacqueline Broerse

Population Health, East Africa

Aim: The aim of this study was to explore how Kalenjin women in rural Uasing Gishu County in Kenya perceive antenatal care and how their perceptions impede or motivate earlier access and continuous use of antenatal care services.

Methods: A study was conducted among 188 pregnant and post-natal mothers seeking care in 23 rural public health facilities. Gestational age at the initial antenatal care booking was established from their medical cards. Further researcher-administered questionnaire with closed and open-ended questions was used. Key informant interviews with traditional birth attendants (n = 6) and maternal and child health nursing officers (n = …

Improving The Interprofessional Relationship Between Nurses And Speech-Language Pathologists: A Pilot Study, Christina Hamling, Kristy Weissling

Honors Program: Senior Projects (Public)

The research presented in this thesis explores the impact of interprofessional education on undergraduate nursing and speech-language pathology students with an overall goal of improving the interprofessional relationship between the two fields. Utilizing quantitative and qualitative methods in the form of a pre-test, educational materials, live guided observation, and post-tests, the researchers found an increase in the nursing students ’ ability to identify the role of the speech-language pathologist in a medical setting (knowledge). There was also an increase in the speech-language pathology students’ ability to understand how and when to communicate with nurses in a medical setting (knowledge).

Factors Contributing To 30-Day Readmission In Postsurgical Patients: A Reevaluation Of Hospital Policies And Proposal For Change, Miriam Morgan-Skinner

Doctor of Nursing Practice Projects

Background

Readmission can cause much frustration for patients and families. The Center for Medicare and Medicaid Services (CMS) has emphasized the importance of finding ways to decrease readmissions within 30 days of discharge. In the southwest healthcare organization studied, the 30-day readmission rate for abdominal surgeries was 10%. The goal of the study was to identify the causative factors for the readmissions and make appropriate suggestive changes. This project identified the factors contributing to the 30-day readmission rate in selected abdominal surgeries between January 2016-July 2017 and developed a policy to address the predominant factor.

Method

After receiving institutional review …

Comparing Interprofessional Socialization In Mixed Discipline And Nursing Student Only Cohorts, Kara Groom

Dissertations (1934 -)

A main cause of patient safety incidents are avoidable failures in communication between health professionals. In response, healthcare has entered an era of interprofessionalism in education and patient care. A challenge to substantiating the value of interprofessional education (IPE) has been a limited number of studies that assess the effectiveness of IPE interventions compared to education interventions in which professions were learning separately from one another. This research project helps fill this gap and measures the differences in student interprofessional socialization (IS) between an IPE cohort and a usual care group of one-discipline learners. The purpose was to compare IS …

The Influence Of Social And Economic Factors On Breastfeeding And Rural Mothers, Rachel Ellen Borton

Theses and Dissertations

Little is known or understood about rural mothers and their experience with breastfeeding. The literature demonstrates a sound understanding of the factors that influence mothers and breastfeeding; however, it is unclear what factors influence breastfeeding among rural mothers. A search of the literature offered thousands of articles related to urban mothers and their breastfeeding experience, but few describe the rural mother’s breastfeeding experience. Therefore, the purpose of this study is to investigate the basic process that characterizes breastfeeding among mothers in the rural setting and to develop a theory based on the investigation of factors that influence breastfeeding among rural …

Micronutrient Deficiency Independently Predicts Time To Event In Patients With Heart Failure, Terry A. Lennie, Christina Andreae, Mary Kay Rayens, Eun Kyeung Song, Sandra B. Dunbar, Susan J. Pressler, Seongkum Heo, Jinshil Kim, Debra K. Moser

Nursing Faculty Publications

Background—Dietary micronutrient deficiencies have been shown to predict event‐free survival in other countries but have not been examined in patients with heart failure living in the United States. The purpose of this study was to determine whether number of dietary micronutrient deficiencies in patients with heart failure was associated with shorter event‐free survival, defined as a combined end point of all‐cause hospitalization and death.

Methods and Results—Four‐day food diaries were collected from 246 patients with heart failure (age: 61.5±12 years; 67% male; 73% white; 45% New York Heart Association [NYHA] class III/IV) and analyzed using Nutrition Data Systems …

Assessing Abstinence In Infants Greater Than 28 Days Old, Genieveve J. Cline

USF Tampa Graduate Theses and Dissertations

There are currently no published scoring instruments with prior empirical evidence to support the validity and reliability of the accuracy of the drug withdrawal scores generated in infants greater than 28 days of life with a diagnosis of Neonatal Abstinence Syndrome (NAS). This study was done to identify the signs of withdrawal in infants greater than 28 days of life with NAS and determine if further adaptation of the modified-FNAST was necessary to accurately measure the severity of drug withdrawal in this sub population of infants. This aim could not analyzed due to limitations of the data.

The study was …

Nutrition Education To Improve Health Outcomes In Community Dwelling Older Adults, Sara Giessinger

Master's Projects and Capstones

Abstract

The proportion of people age 60 and over is growing faster than other age group, and will double by 2050 from approximately 605 million to 2 billion worldwide, in addition to the 80 and over population quadrupling by the same time. Non-communicable diseases such as obesity, cancer, coronary heart and lung disease, diabetes, hypertension, insulin resistance, and hyperlipidemia,represent 63% of deaths annually worldwide. Due to the immense contact nurses have with clients, they play a key role in screening, referrals and education to guide this demographic to improved health outcomes through nutrition and physical activity interventions (Xiaoyue, Parker, Ferguson, …

Setting The Stage: Reviewing Current Knowledge On The Health Of New Zealand Immigrants—An Integrative Review, Blessing Kanengoni, Sari Andajani-Sutjahjo, Eleanor Holroyd

School of Nursing & Midwifery, East Africa

The growth of migrant communities continues to rise globally, creating unique and complex health challenges. Literature on immigrant health in New Zealand (NZ) remains scant. This integrative literature review was conducted drawing on peer-reviewed research articles on immigrant health in NZ published between 2012 and 2018. The objectives were to: (i) provide a critical overview of immigrant health in NZ; (ii) identify general trends in health research conducted in NZ on immigrants; (iii) compare, contrast, and evaluate the quality of the information; (iv) develop a summary of research results and; (v) identify priorities and recommendations for future research. A search …

Implementation And Compliance With A Goal-Directed Fluid Therapy (Gdft) Protocol For Hip Arthroplasties: A Two-Year Review, Michelle N. Pavlik

College of Science and Health Theses and Dissertations

Background: Historically, goal-directed fluid therapy (GDFT) has been shown to improve patient outcomes when used in the perioperative setting for specific cases (colorectal, etc). When anesthesia providers use GDFT protocols, intraoperative fluid therapy is” patient specific” via the use of dynamic patient-specific physiologic parameters.

Objectives: The aim of the study is to assess whether GDFT improved patient-specific fluid administration. A secondary aim was to assess adherence to the instated GDFT protocol.

Method: A retrospective chart review was conducted on 201 patients undergoing total hip arthroplasty (THA) procedures following implementation of a GDFT protocol at the University of Illinois at Chicago …

Management Of Diabetic Foot Ulcer: A Literature Review, Angger Anugerah Hadi Sulistyo

Jurnal Keperawatan Indonesia

This article explores the effective management of diabetic foot ulcer. A literature review was conducted by analyzing scholar papers including systematic review, clinical and a randomized control trial published between 2000 to 2016 in the English language. Data were searched through CINAHL, PubMed, Proquest and Google Scholar. The keywords used were diabetic foot ulcer or diabetic foot ulcers or diabetic foot or neuropathic foot ulcer combined with assessment and treatment. There were two kinds of assessment used in diabetic foot ulcer which are risk assessment and wound assessment. The treatments that frequently used in diabetic foot ulcer are systemic treatment …

Implementation And Compliance With A Goal-Directed Fluid Therapy (Gdft) Protocol For Total Hip Arthroplasties: A Two-Year Review, Michelle Pavlik

Grace Peterson Nursing Research Colloquium

Background: Historically, goal-directed fluid therapy (GDFT) has been shown to improve patient outcomes when used in the perioperative setting for specific cases (colorectal, etc). When anesthesia providers use GDFT protocols, intraoperative fluid therapy is” patient specific” via the use of dynamic patient-specific physiologic parameters.

Objectives: The aim of the study is to assess whether GDFT improved patient-specific fluid administration. A secondary aim was to assess adherence to the instated GDFT protocol.

Method: A retrospective chart review was conducted on 201 patients undergoing total hip arthroplasty (THA) procedures following implementation of a GDFT protocol at the University of Illinois at Chicago …

Food Assistant Programs’ Food Quality And The Risk Of Developing Type Ii Diabetes In Native Americans, Ignacio Perez Jr

Grace Peterson Nursing Research Colloquium

Abstract

Background: A key factor behind the high rates of diabetes among Native Americans living in reservations is the high poverty rate. Though food assistance is provided on reservations to combat poverty and food insecurity, the rates of type II diabetes are still at an alarming high rate. Continuation of the alarming incidence of type II diabetes brings to question the nutritional quality of the food offered by food assistance programs.

Objectives: The purpose of study was to examine food assistance programs utilized by Native Americans to determine if the food quality may have an impact on the risk of …

The Impact Of Neonatal Intensive Care Unit Design On Neurodevelopmental Outcomes Of Premature Neonates: Single Rooms Vs. Multi-Bed Wards An Integrated Literature Review, Tory Bugaieski

Grace Peterson Nursing Research Colloquium

Background: Preterm birth is a significant cause of infant death and disability, including impaired neurodevelopmental functioning. Many recent studies report beneficial effects of single-family room (SFR) versus multi-bed-ward design in NICUs, however few studies focus on the neurodevelopmental-associated outcomes. Identification of positive and negative neurodevelopment in each environment will allow nurses and other healthcare providers to strategize patient placement and moderate environmental stimuli to maximize neurodevelopmental outcomes in both settings.

Objectives: The purpose of this literature review was to explore current research to evaluate whether neurodevelopmental outcome (including cognitive delay, hearing deficit or loss, and visual impairment) differs between preterm …

Cardiovascular Disease Risk Factors And Spontaneous Abortions In Early Pregnancies: An Integrated Review Of Literature, Monsurat Okesanjo

Grace Peterson Nursing Research Colloquium

Background: 30 percent of women with Cardiovascular diseases have a risk of having a miscarriage. Modifiable risk factors such as obesity, smoking, drug use, diabetes and/or hypertension are those that can be changed. Non-modifiable risk factors like race, age, or family predisposition are those that cannot be changed but can be controlled.

Objective: The purpose of this literature review is to identify cardiovascular risk factors that can potentially result in a miscarriage of 18-week gestation or less and to properly apply nursing interventions to reduce the number of potential miscarriages.

Method: An integrative literature review was conducted with widespread …

Management Of Risk Factors To Decrease Peanut Allergy Occurrences In The Youth Population, Emily Vukovich

Grace Peterson Nursing Research Colloquium

Abstract

Background: Recent increases in prevalence of peanut allergy has become a significant public health concern. There are many risk factors that have been determined to cause development of peanut allergies. These risk factors include genetics, race, sex, primary, and secondary prevention. Previous guidelines have given no evidence that preventing an infant from allergenic foods stunts development of peanut allergy.

Objectives: The purpose of this integrative literature review was to identify if early exposure to peanut prevents occurrence of peanut allergy development.

Method: An integrative literature review was conducted undergoing extensive search for studies that have focused …

Public Perceptions Of Sugar Sweetened Beverage Taxes: An Integrative Literature Review, Stacy Gates

Grace Peterson Nursing Research Colloquium

Background: Carbonated soft drinks are one of the largest sources of calories in the American diet, providing over 5% of caloric intake, and no significant nutritional value. Governments across the globe have begun to implement sugar sweetened beverage taxes in an attempt to stem the proliferation of these health issues, but such policies remain unpopular and implementation difficult.

Objectives: The purpose of this integrative literature review was to examine the public perception of sugar sweetened beverage taxes and to determine what strategies are needed to successfully implement similar policies in the future.

Method: An integrative literature review …

Nurses Role In Health Home Mixed Methods Study, Jacqueline S. Prokop

Nursing Theses and Dissertations

Managing individuals with chronic health conditions in the primary care setting continues to be a significant challenge in the U.S. health care system. This issue is further compounded for low-income individuals with both mental health and physical health chronic conditions. With the enactment of the Affordable Care Act (ACA), new chronic disease health home opportunities have emerged to address the existing structural and process gaps found in primary healthcare. The nurse’s role is integral to health homes as they empower nurses to play a greater role in improving patient experiences, population health, and lowering healthcare costs. Three research manuscripts presented …