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The Bello Chavez Family: A Reflection Of Health In The Mexican American Community Through A Family Nursing Assessment, Vanessa Bello Chavez

Best Integrated Writing

Vanessa Bello Chavez provides an in-depth, personal look into the health problems that affect Hispanic families across the United States. The writing takes a personal view and makes it relatable to all.

Experiences Of African American Mothers Following Infant Death, Katina W. Jones

Nursing Theses and Dissertations

African American women have been disproportionately affected by unfavorable birth outcomes for decades. Infant mortality rates for non-Hispanic African American women have been almost twice as high as that of Caucasian women for years. The goal of this study was to: (1) understand African American mothers’ experiences with infant death and (2) discover how African American mothers manage their grief following the loss of an infant. A review of the literature revealed African American women experience infant loss at a rate of 13.31 deaths per 1,000 live births compared to 5.63 for Caucasian women and 4.75-9.22 for other racial and …

Blood Pressure And Job Domains Among Hotel Housekeepers, Marie-Anne Sanon Rosemberg Phd, Mn, Rn, Bidisha Ghosh Ms., John Shaver Bsn, Maria Militzer Ma, Julia Seng Phd, Cnm, Faan, Marjorie C. Mccullagh Phd, Rn, Aphn-Bc, Cohn-S, Faaohn, Faan

Journal of Health Disparities Research and Practice

Hotel housekeepers have challenging working conditions, putting them at risk for poor health such as hypertension. Despite their risks, few studies have measured their blood pressure (BP). The purpose of this study was to explore hotel housekeepers’ blood pressure and the associations between work and BP. Methods: A community engagement approach was used to recruit study participants. Data sources included questionnaires, and BP measurement. Results: Over 25% of the 39 hotel housekeepers reported hypertension diagnosis and/or antihypertensive medication used. Across the job domains, job satisfaction was correlated with diastolic BP, and workload was correlated with systolic BP. There were difference …

A Study To Assess The Effectiveness Of Nutritional Enhancement Programme On Knowledge And Micronutrient Deficiency Assessment Skills Among Mothers Of Anganwadi Children And Dietary Intake Of Micronutrients Of Anganwadi Children In Selected Anganwadi Centres Of Udupi District, Karnataka., Shraddha S Kanchan

Manipal College of Nursing, Manipal Theses and Dissertations

ABSTRACT “A study to assess the effectiveness of nutritional enhancement programme on knowledge and micronutrient deficiency assessment skills among mothers of anganwadi children and dietary intake of micronutrients of anganwadi children in selected anganwadi centres of Udupi district, Karnataka” was conducted by Ms. Shraddha S Kanchan in partial fulfilment of the requirement for the degree of Master of Science in Nursing at Manipal College of Nursing, MAHE, Manipal. The objectives of the study were: to assess the knowledge of mothers regarding micronutrients, find out the assessment skills of mothers of anganwadi children regarding micronutrient deficiency, assess the dietary intake of …

A Case Control Study To Compare The Factors Influencing Early Onset Of Menarche Among School Children In Selected Schools Of Udupi District., Jesna Joseph

Manipal College of Nursing, Manipal Theses and Dissertations

ABSTRACT A study titled “A case- control study to compare the factors influencing early onset of menarche among school children in selected schools of Udupi District” was conducted by Mrs. Jesna Joseph in partial fulfillment of the requirement of the award of Master of Science in Nursing at Manipal College of Nursing, MAHE, Manipal, Karnataka. The present study was an attempt to assess the mean age at onset of menarche and to assess the factors influencing it, thereby health awareness can be given to the public. The objectives of the study were to determine the mean age at onset of …

A Comparative Study To Assess The Health Related Quality Of Life (Hrqol) And Perception Of Body Image Among Normal And Overweight/Obese Adolescents In Selected English Medium Schools Of Udupi District, Karnataka., Jane Jyothi Mathias

Manipal College of Nursing, Manipal Theses and Dissertations

ABSTRACT A research study titled “A comparative study to assess the Health Related Quality of Life (HRQoL) and perception of body image among normal and overweight/obese adolescents in selected English Medium Schools of Udupi District, Karnataka” was conducted by Mrs Jane J Mathias in partial fulfilment of the requirement for the degree of Masters of Science in Nursing at Manipal College of Nursing, Manipal, Manipal Academy of Higher Education, Karnataka. The objectives of the study were to identify the normal and overweight/obese adolescents, find their Health Related Quality of Life (HRQoL) and body image perception, assess the relationship between BMI …

Psychotropic Pharmacogenomic Testing: Effects On Provider Prescribing Patterns And Phq-9 Depression Screening Scores In A Rural Michigan Family Practice, Nicole Madalinski

Doctor of Nursing Practice Scholarly Projects

The rate of depression across the United States is on the rise with over 16.2 million people experiencing a depressive episode per year (Siu & and the US Preventive Services Task Force [USPSTF], 2016). Medications to treat depression typically take weeks or months to see clinical improvement (Uphold & Graham, 2013). If the medication is not effective, a dose or medication change may occur, lengthening the time spent in a depressive state. This scholarly project retrospectively analyzed charts at a rural primary care practice that implemented GeneSight® psychotropic pharmacogenomic testing for treatment resistant depression. This project sought to understand if …

The Impact Of A Poverty Simulation On Practical Nursing Students’ Attitudes Towards Poverty, Jaime Crabb

Doctor of Nursing Practice Scholarly Projects

Poverty is a multi-faceted global problem. Nurses and providers are front-line caregivers for this vulnerable population. In order to provide effective care, individuals must understand their own attitudes towards poverty. The purpose of this study was to evaluate for changes in Practical Nursing students’ attitudes towards poverty with the use of a poverty simulation based upon the Experiential Learning Theory. Participants were surveyed using the Short Form Attitudes towards Poverty (SFATP) tool. The ELT espouses that the best learning occurs when students actively engage in an experience, reflect upon it, and then apply that learning to future experiences. Statistical significance …

Implementation Of Motivational Interviewing Training In An Undergraduate Nursing Curriculum: Identifying Adolescents At Risk For Substance Use, Denise Seigart, Max Veltman, Janet Willhaus, Colene Letterle

Nursing Faculty Publications and Presentations

Motivational interviewing (MI) has been increasingly utilized by health care practitioners for many years. MI has been practiced by social workers, nurses, physicians, psychologists, substance use counselors, and many other health care practitioners. Unfortunately, many health care practitioners do not have adequate training in motivational interviewing, and therefore feel ill equipped to utilize this approach when faced with clients who are in need of assessment and coaching. This paper discusses our experiences with a pilot project to implement MI training within an Adolescent SBIRT (Screening, Brief Intervention, Referral to Treatment) content addition to the undergraduate nursing curriculum. It includes discussion …

Hospital Acquired Pressure Injury Gap Analysis, Mary Lou Hall

Master's Projects

Hospital acquired pressure injuries (HAPIs) were identified as an area for a quality improvement (QI) project in a progressive care unit (PCU) in a Midwestern Hospital. In order to reduce HAPIs and provide the best possible preventative care, a gap analysis between the current care practices on the progressive care unit and the best evidence-based practice recommendations for HAPI prevention in the areas of risk/skin assessment, surface support, nutrition and hydration, repositioning/movement, moisture management, and prophylactic dressings was conducted. The Model for Improvement (MFI) was the QI framework that guided this pressure injury gap analysis.

The goals of this gap …

Antibiotic Stewardship Among Primary Care Providers In Mississippi, Foley D. Graham, Hayden S. Kilgore, Kali D. Rogers, Sierra G. Cain, Brittany D. Dickerson, Kayla L. Warner

MSN Research Projects

The World Health Organization states antimicrobial resistance is the ability of a microorganism to stop an antimicrobial from working which results in ineffective treatment and persistent infections. The Center for Disease Control and Prevention (CDC, 2017) reported that in the year 2015, 269.4 million antibiotic prescriptions were written in the outpatient setting, and approximately 30% of antibiotics written are unwarranted. Of those cases, most patients receive an antibiotic related to acute uncomplicated bronchitis, pharyngitis, or rhinosinusitis. The CDC reported that Americans spend nearly $11 billion yearly on antibiotics alone. However, up to 50% of all antibiotics prescribed are not indicated …

Implementation Of The Eighth Joint National Committee Guidelines Of Hypertension By The Primary Care Provider, Emily J. Stidham, Meagan Z. Hillhouse, Haley J. Murphy, Shelly R. Parker, Elaina A. Ponder, Lauren A. Tutor

MSN Research Projects

Hypertension is a widespread disease process and well-known risk factor for coronary artery disease, stroke, heart failure, and renal failure. Proper diagnosis and treatment of hypertension is crucial to reducing these adverse patient outcomes. The Eighth Joint National Committee (JNC 8) released their most recent guidelines of the diagnosis and management of hypertension in December 2013 with implementation to take effect in January 2014. The JNC 8 guidelines of hypertension include the following: proper diagnosis of hypertension (>140/90 for patients < 60 years of age and those with diabetes and/or chronic kidney disease and >150/90 in patients > 60 years of age), lifestyle modifications to be initiated with every hypertensive patient, and newly diagnosed …

Early Detection Of Mild Cognitive Impairment In Older Adults Through The Use Of Annual Screening In The Primary Care Setting, Jordan Fulcher, Donald Tisdale, Charles Knapp, Jessica Mann, Kayla Mcmorise

MSN Research Projects

The purpose of this study was to determine primary care providers’ adherence to USPSTF (2015), and the Alzheimer’s Association’s (2013) recommendations and guidelines advocating annual cognitive impairment screening on patients ages 65 years and older. The Alzheimer’s Association issued an algorithm for detecting cognitive impairment in older adults; this cognitive assessment algorithm was accepted and mandated by U.S. Centers for Medicare and Medicaid Services during annual wellness visits of patients 65 years and older. In addition to the Alzheimer’s Association, USPSTF acknowledges the increasing prevalence of cognitive impairment and the benefits of early detection. However, USPSTF argues a lack o …

Psychometric Evaluation Of The Smartphone For Clinical Work Scale To Measure Nurses' Use Of Smartphones For Work Purposes, John Robert Bautista, Sonny Rosenthal, Trisha Tsui-Chuan Lin, Yin Leng Theng

Research Collection College of Integrative Studies

Objective: This study reports the development and psychometric evaluation of the Smartphone for Clinical WorkScale (SCWS)to measurenurses’use of smartphones for work purposes. Methods: Items were developed based on literature review and a preliminary study. After expert consultations and pilot testing, a 20-item scale was administered in January-June 2017 to 517 staff nurses from 19 tertiary level general hospitals in Metro Manila, Philippines. Exploratory factor analysis (EFA) and confirmatory factor analysis (CFA) were used to evaluate construct validity. Structural equation modeling (SEM) was used to test the predictive validity of SCWS on perceived work productivity. Results: EFA results show that 15 …

Identification Of Micrornas In Response To Aluminum Stress In The Roots Of Tibetan Wild Barley And Cultivated Barley, Liyuan Wu, Jiahua Yu, Qiufang Shen, Lu Huang, Dezhi Wu, Guoping Zhang

Publications

BACKGROUND: Barley is relatively sensitive to Aluminum (Al) toxicity among cereal crops, but shows a wide genotypic difference in Al tolerance. The well-known Al-tolerant mechanism in barley is related to Al exclusion mediated by a citrate transporter HvAACT1 (Al-activated citrate transporter 1). A 1-kb insertion in the promoter region of HvAACT1 gene results in a dramatic increase of its expression level, which only occurs in some Al-tolerant cultivars. However, Al-tolerant Tibetan wild barley accession XZ29 did not have the 1-kb insertion. RESULTS: We confirmed that the expression of HvAACT1 and secretion of citrate and other organic acids did not explain …

Bariatric Surgery Regain And Long-Term Weight Loss Among Women: Self-Efficacy, Social Support And Health Promotion Lifestyle Behaviors, Raelene Z. Brooks

Dissertations

Although bariatric surgery appears to produce success in a short period of time immediately after surgery, weight regain over time in this population cannot be ignored. Understanding the relationship between potential psychosocial predicting post-surgical variables influencing bariatric surgery may prevent long-term weight regain. The purpose of this research is to examine self-efficacy, social support, and lifestyle habits and their relationship to long term weight loss and regain in women post bariatric surgery. Weight regain is observed as early as 18 months to 2 years after bariatric surgery. Patients face challenges sustaining the dramatic lifestyle changes required to ensure positive long-term …

Integrating The Patient And Caregiver Voice In The Context Of Pediatric, Adolescent, And Young Adult Care: A Family-Centered Approach, Sarah K. Featherston, Beatriz N. Rozo, Danielle A. Buzanga, Alexandra M. Garcia, Joanne Greene, Laura K. Salvador, Joan O'Hanlon-Curry

Patient Experience Journal

Family-centered care (FCC) is defined as an approach to care coordination founded in collaborative partnerships between healthcare providers, patients and their family caregivers. Amid the enthusiasm for FCC in the pediatric setting, opportunities have been identified to operationalize the engagement of pediatric, adolescent and young adult patients and their caregivers into decision making that translates not only to their healthcare, but also to the context in which care is provided, as well as the research informing their care. At a National Cancer Institute-designated comprehensive cancer center, the Children’s Cancer Hospital was instrumental in designing and implementing patient and family engagement …

Caring Moments Within An Interprofessional Healthcare Team: Children And Adolescent Perspectives, Amélia Didier, David Gachoud, Gabriela Von Niederhäusern, Lazare Benaroyo, Maya Zumstein-Shaha

Patient Experience Journal

Patients are now recognized as key partners to improve healthcare outcomes. Some organisations such as the WHO or the Canadian Interprofessional Health Collaborative (CIHC) encourage considering patients as partners in the interprofessional healthcare team. However, limited knowledge exists on patients’ perspective of interprofessional collaboration (IPC) and of their role in the collaborative process, particularly in pediatric settings. The experiences and perspectives of patients regarding IPC have to be considered in order to fully understand the concept of IPC and integrate it into practice. This qualitative study aimed at gaining a better understanding of the perspective of children of IPC, how …

Crohn's Disease, Mergithu Hubena

Nursing Student Class Projects (Formerly MSN)

Crohn’s disease is a progressive and systemic autoimmune disease that causes inflammation to any part of the gastrointestinal tract. The inflammation causes some of the clinical manifestations of crohn’s disease such as abdominal pain, diarrhea, malnutrition, weight loss and fatigue. The cause of crohn’s disease is unknown; however, studies show genetic predisposition, environmental exposures and the gastrointestinal tract microbiome playing roles in the development of crohn’s disease. Crohn’s disease involves the abnormal response of the immune system or a malfunctioning of mucosal immune system to offensive microorganisms which leads to gastrointestinal tissue injury.

Sepsis, John Bell

Nursing Student Class Projects (Formerly MSN)

The pathophysiology of sepsis is related to the patient’s immune response. It involves an imbalance between pro-inflammatory and antiinflammatory responses, causing damage by a variety of mechanisms (Keegan & Wira, 2014).

Telehealth And Diabetes Self- Management Education And Support For Improving Health Outcomes In Adults With Type 2 Diabetes: An Integrative Review, Monica Allen

Doctoral Dissertations and Scholarly Projects

With the increasing problem of access to health care, telehealth is an evidence-based service that uses a variety of technologies to provide quality healthcare. The use of telehealth services improves self-efficacy, self-management, and glycemic control in adults with type 2 diabetes mellitus after adults receive Diabetes Self-Management Education and Support (DSMES). Type 2 diabetes is the most common form of diabetes. If not self-managed, adults with type 2 diabetes are at increased risk of complications, which can be serious, costly and deadly. This integrative review provides an appraisal of the evidence published regarding the use of telehealth for the management …

Nurse-Led Triage Clinic In An Hiv Supportive Housing Apartment Community, Sally Breen

Dissertations

Problem: HIV-positive persons living in supportive housing who were otherwise homeless are reported to have better health outcomes than those who remain homeless. This was a quality improvement project to obtain baseline information regarding the implementation of onsite nursing services for individuals and their families residing in an HIV-positive supportive housing apartment community in an urban Midwestern city. Methods: A nurse triage clinic was implemented in partnership with the Doorways organization. Two registered nurses staffed the clinic two days per week. Data was collected on demographics and clinic utilization over a nine-week period. Results: Of the apartment residents, N=95, the …

Implementing A Caps Simulation To Increase Nursing Education Practice Students’ Self-Awareness Of Attitudes And Beliefs About Poverty, Melissa Ehmke

Dissertations

Problem. The purpose of this project is to determine if college students who are currently in nursing school, will benefit from the addition of a poverty simulation to positively influence their self-awareness and individual-level beliefs and attitudes towards poverty, therefore being able to serve those in poverty fully and guide them to appropriate resources.

Methods. Bachelor of Science in Nursing (BSN) and Doctoral Nursing Practice (DNP) students participated in a three-hour Community Action Poverty Simulation (CAPS). A twenty-one item Attitude Toward Poverty Scale short form (ATPS) survey was completed pre and post-simulation participation.

Results. Significant improvements resulted in three of …

Evaluation Of Educating Registered Nurses Prior To Implementing New Evidence-Based Protocol: Enhanced Recovery After Surgery (Eras), Lisa Brooks

Dissertations

Evidence-based protocols promote standardization of care and patient safety. The inclusion of major stakeholders is imperative to the success of implementation of a new protocol. The “Enhanced Recovery After Surgery” (ERAS) protocol was implemented at the Veterans Administration Medical Center – St. Louis prior to formal education of direct-care registered nurses (RNs), a major stakeholder group. Due to the lack of knowledge, the RNs who were expected to implement and adhere to the ERAS protocol were not prepared and displayed a lack of confidence. Subsequently, an educational training intervention was designed and executed with thirty-five RN participants. Prior to this …

Anesthesia Considerations For Spinal Anesthesia In Infants, Cody Grassel

Nursing Capstones

No abstract provided.

Peningkatan Kualitas Hidup Lanjut Usia (Lansia) Di Kota Depok Dengan Latihan Keseimbangan, Stefanus Mendes Kiik, Junaiti Sahar, Henny Permatasari

Jurnal Keperawatan Indonesia

Quality Improvement of Elderly Life in Depok City with Balance Exercise. The quality of life (QOL) of the older adult is affected by various factors such as physical health, psychological health, social relationships and environment. This study aimed to investigate the effect of balance exercise on quality of life among older adults. This quasi-experimental design included two groups; 30 subjects as intervention groups and 30 subjects as control groups. The sample was taken by multistage random sampling. There were significant improvements in quality of life among older adults (p<0,001). Balance exercise can improve physical health, psychological health, social relationships, and environment. Balance exercise can be utilized as one of the preventive efforts to increase the quality of life among older adults in the community. Further research may consider a variety of age to know the effectiveness of balance exercise.

Hypnoparenting Effects Towards Fatigue As An Impact Of Chemotherapy Among Pediatric Patients With Acute Lymphoblastic Leukemia, Sapariah Anggraini

Jurnal Keperawatan Indonesia

The management of fatigue among pediatric patients with lymphoblastic leukemia does not become a priority apart from the cancer management itself. Hence, it is necessary to put an attention towards this issue by giving another complementary therapy for the patient called hypnoparenting. By implementing hypnoparenting will decrease the level of fatigue because of the chemotherapy process. Therefore the purpose of study was to investigate the effect of hypnoparenting towards fatigue prevalence as an impact of chemotherapy among pediatric patients with Acute Lymphoblastic Leukemia. This research utilized quasi experiment before after study. The population of the study was pediatric patients (5-12 …

Cystic Fibrosis, Fatime Sylla

Nursing Student Class Projects (Formerly MSN)

The study of the physiological development causing or associating with disease or injury provides an opportunity to find pertinent, personalized medicine for patients. In this perspective, Cystic fibrosis (CF), one of the most common lethal genetic and complex disease was analyzed as a perfect example on how knowing a disease process to the molecular level and understanding how it affects the individuals can lead to successful health results. Recent researches in CF have demonstrated that tailor therapies based on genetic findings have been effective in extending life expectancy of CF fibrosis patients to late 30s or 50s. However, other factors …

Promoting The Health Of Individuals With Intellectual And/Or Developmental Disabilities Through Community Gardening, Stephanie Brown

Department of Advanced Practice Nursing

No abstract provided.

Osteoarthritis, Melissa Kloeppel

Nursing Student Class Projects (Formerly MSN)

Osteoarthritis (OA) is a slow-progressing inflammatory joint disorder that significantly reduces the quality of life for millions of Americans worldwide. This type of arthritis commonly impacts the weight-bearing joints and pain is often the first symptom experienced. OA is projected to increase both in prevalence and incidence. There are specific risk factors associated with this disease and knowing these risk factors, especially those that are modifiable, are essential in decreasing the likelihood of developing OA. Since there is no real cure for OA, considering the risk factors, knowing the signs and symptoms, becoming aware of the pathophysiology, and understanding what …