Digital Commons Network^™

Pathophysiology Of Celiac Disease, Alexandria Vigil

Nursing Student Class Projects (Formerly MSN)

Celiac disease (CD) affects approximately 3 million Americans and approximately 1% of people worldwide (Cui, Basen, Philipp, Yusin, & Krishnaswamy, 2017). Of the estimated 3 million American’s living with CD, approximately 97% of them are undiagnosed or suffering from symptoms and not receiving proper treatment (The University of Chicago Celiac Disease Center, n.d.). My father-in-law fell into this un-diagnosed category, having had CD and suffering from symptoms for over a year prior to diagnosis. Due to the genetic predisposition for developing this disease, I was interested in further researching this topic as my fiancé and daughter are at a 4%-17% …

Amyotrophic Lateral Sclerosis, Amber Stewart

Nursing Student Class Projects (Formerly MSN)

This poster takes an in depth look at Amyotrophic Lateral Sclerosis (ALS). It reviews the commons signs and symptoms of the disease, the different ways it can present, why clinicians should pay closer attention to ALS, and the pathophysiology behind the disease. While exploring the pathophysiology of ALS, the poster also explores spontaneous ALS versus familial ALS and some of the known genetic mutations that occur causing this disease. The poster concludes with a recommendation for implications for nursing practice and a summary of the contents.

Pathophysiology Of Irritable Bowel Syndrome, Sarah Buck Davis

Nursing Student Class Projects (Formerly MSN)

Irritable Bowel Syndrome (IBS) is one of the most common functional gastrointestinal disorders and is one of the most common reasons gastroenterology referrals are placed. IBS causes abdominal pain and is associated with altered bowel habits (Dlugosz, Zakikhany, Acevedo, D'Amato, & Lindberg, 2017, p. 1). While the pathophysiology of IBS is still being explored, it is multifactorial, and recent studies have shown that inflammation and immunological alterations play a role in the development of IBS (Dlugosz et al., 2017, p. 1). IBS causes abdominal pain and discomfort, negatively affects patients’ quality of life, and contributes to increased anxiety and depression. …

Managing Adult Obesity With Provider Education, Krystal August

Doctor of Nursing Practice Scholarly Project

The purpose of this study was to determine the significance of providing education over evidence-based clinical practice guidelines on managing adult obesity. This study also evaluated self-reported provider bias towards adults with overweight and obesity. This study was conducted at the 4-State Advance Practice Nurses (APN) conference in March 2018 that was held at Pittsburg State University. The participants of the study included nurse practitioners who attended the conference and volunteered their participation. The participants completed a pre-test. After the pre-test a PowerPoint presentation was given over the evidence-based clinical practice guidelines on managing adult obesity and provider obesity bias. …

Breastfeeding-Associated Neonatal Hyperbilirubinemia, Sara Lord

Nursing Student Class Projects (Formerly MSN)

Neonatal jaundice is one of the most common conditions in neonates, with 60-80% of infants experiencing some degree of increased serum bilirubin levels (Itoh, Okada, Kuboi, & Kusaka, 2017). Physiological jaundice is most commonly noted in the first week of life, with rising and peak levels occur between day of life three to five (Moncrieff, 2018) All infants experience a rise in serum bilirubin following birth due to their immature liver’s inability to clear the byproduct of red blood cell breakdown, bilirubin, from the blood (Gardner, Carter, Hines, & Hernandez, 2016). Hyperbilirubinemia can be caused by a variety of factors …

Nonalcoholic Fatty Liver Disease, Whitney Smith

Nursing Student Class Projects (Formerly MSN)

Nonalcoholic fatty liver disease (NAFLD) is a common, chronic disease process that has historically affected adults but is becoming more common among children and adolescents due to rising rates of childhood obesity. While the primary risk factor for NAFLD is obesity, other metabolic conditions including dyslipidemias and insulin-resistance may also contribute to increased risk of NAFLD also. NAFLD occurs when excess triglycerides and free fatty acids (FFA) infiltrate the liver and are stored as lipids inside hepatocytes. In addition to the effects of decreased liver function from damaged cells, NAFLD also contributes to increased levels of inflammatory cytokines that further …

2018 Summer Newsletter, Morehead State University. Nursing Department.

Nursing Department Publications Archive

2018 Summer Newsletter of the Department of Nursing at Morehead State University.

Trends And Factors Associated With Early Initiation Of Breastfeeding In Namibia: Analysis Of The Demographic And Health Surveys 2000–2013, M. N. Ndirangu, Samwel Gatimu, H. M. Mwinyi, D. C. Kibiwott

School of Nursing & Midwifery, East Africa

Background: Early initiation of breastfeeding (EIBF) lowers the risk for all-cause mortality in babies, including those with low birth weight. However, rates of neonatal mortality and delayed initiation of breastfeeding remain high in most low- and middle-income countries. This study aimed to assess the trends and factors associated with EIBF in Namibia from 2000 to 2013.

Methods: An analysis of EIBF trends was conducted using data from three Namibia Demographic Health Surveys. The present sample included singleton children younger than 2-years from 2000 (n = 1655), 2006–2007 (n = 2152) and 2013 (n = 2062) surveys. Descriptive statistics were used …

Empowering Culturally Specific Needs And Barriers In Diabetes Education As Identified By Polish Speaking Patients, Bernadeta Agnieszka Kapustka

College of Science and Health Theses and Dissertations

Diabetes is a serious chronic disease that poses a major public health problem. Ethnic minorities are at increased risk for developing diabetes and diabetes complications compared to the general population. Patient education is essential for self-management and for tackling this growing epidemic, yet not enough patients are receiving effective diabetes education. The Polish patient population have unmet needs for diabetes education that is specific to their cultural beliefs and dietary habits. Culturally specific diabetes education should address differences in lifestyle and health behaviors that are unique to every ethnic, cultural, and religious group. Diabetes education classes for Polish speaking patients …

Nurse Practitioner’S Perspectives On Treating Depression In The Nursing Home Setting, Bryan Mullaney

College of Science and Health Theses and Dissertations

Those living within the nursing home setting, or long-term care facilities, are at higher risk to succumb to the symptoms of depression due to illness, separation from family, and loss of autonomy. The available data has demonstrated that nurse practitioners are educated and trained to identify and treat depression. However, there is a lack of research that discusses the perspectives of nurse practitioners, such as how they utilize their clinical experience to tailor their treatment modalities on a case by case basis within the nursing home setting. They do this by using their specific assessment method to screen for depression, …

Commencement Program 2018, Loma Linda University

Commencement Programs

CONTENTS

1 | Message from the President

3 | 2018 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

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

• School of Medicine, 33
• School of Pharmacy, 63
• School of Dentistry, 76
• School of Allied Health Professions - Allied Health Studies, Cardiopulmonary Sciences, …

The Weight Of A Healthy Home: Early Screening For Childhood Obesity Risk, Sara Herbenick, Kathy James, Dnsc, Aprn, Faan, Jill Milton, Msn, Fnp

Doctor of Nursing Practice Final Manuscripts

Purpose

Despite the Healthy People 2020 target of 14.5%, the California obesity prevalence among low-income children ages 2 to 19 was 21% in 2010. An obesogenic home environment is a major contributor to overeating and sedentariness during this phase of development as children have less autonomy and are influenced by family environmental cues. The purpose of this evidence-based project was to implement a screening tool at a low socioeconomic elementary school clinic to identify children at risk of developing obesity and provide standardization for practitioners on educating parents regarding child obesity risk factors. The Family Nutrition and Physical Activity (FNPA) …

In Honor Of Self: A Weight Loss Project For A Military Population With Mental Disorders, Tanya Denise Stevenson-Gaines

Doctor of Nursing Practice Final Manuscripts

Background: Obesity in people diagnosed with mental disorders is at an epidemic level. Individuals with a mental illness who are prescribed medication for stability are at risk for obesity and metabolic syndrome. People with mental disorders have a 10 to 30-year decrease in life expectancy associated with chronic illnesses. Military personnel are separated from service when they are measured outside of body composition assessment standards.

Aims: To address the problem of obesity in military members by providing a weight loss program with structured and collaborative weight management education and telephonic coaching.

Methods: Stakeholders were informed about the purpose and goals …

The Association Of Kangaroo Mother Care, Energy Conservation, And Bonding In Preterm Neonates, Dorothy Forde

Dissertations

Purpose:To examine the association of kangaroo mother care (KMC) on energy utilization and bonding as evidenced by reduced biochemical markers of adenosine triphosphate (ATP) degradation, hypoxanthine (Hx), xanthine (Xa), and uric acid (UA), and (allantoin), a measure of oxidative stress in preterm infants 24-36 weeks gestation. A secondary objective was to compare specific physiological parameters using bedside monitoring and perfusion and oxygenation of the gut using near-infrared spectroscopy (NIRS) during 1 hour of KMC compared to incubator care.

Study design: A randomized controlled trial (RCT) examining the effects of 1-hour of KMC or 1-hour incubator care on urinary markers …

Hospital Acquired Pressure Injury Prevention On An Inpatient Unit, Cherilyn Schumacher

Master's Projects and Capstones

Abstract

The aim of the project is to improve the process and delivery of care with established and accepted standards by implementing evidence-based change. The plan is to create a HAPI prevention plan with the main expected outcome to reduce the HAPI occurrences on the unit to zero by July 30, 2018. This will be accomplished by increasing awareness among nursing staff members through education and diligent monitoring of prevention practices and treatments.

The education portion of the plan will include reviewing basic pressure injury education and HAPI prevention and management in the form of visual aids provided by the …

Oxygen Consumption In Sepsis, Julie Graham

Dissertations

Background: Sepsis is a life-threatening condition that can lead to septic shock and death. With over 300,000 annual cases (AHRQ, 2011) costing a staggering $1.5 billion (Health Care Utilization Project Brief #185), the importance of sepsis is becoming clear. However, some basic biological mechanisms are poorly understood. Study Purpose: This study investigated the relationships between select demographics, resting energy expenditure (REE), serum lactate, SOFA score mortality index, oxygen consumption [by way of measuring net oxygen consumed, (V02) and net carbon dioxide produced (VC02)], and sepsis. Specific Aims: Aims were to describe 1) patient demographics, serum lactate, SOFA score mortality index, …

Effectiveness Of Early Postpartum Follow-Up On Breastfeeding Attrition, Joyce Bouknight-Gant

Doctor of Nursing Practice (DNP) Translational and Clinical Research Projects

This quality improvement project evaluated the effectiveness of early postpartum follow-up in decreasing breastfeeding attrition rates among postpartum mothers in the first three weeks after delivery. Of special interest is the ability to identify possible differences among maternal characteristics such as age, ethnicity, race or parity. Although the benefits of breastfeeding are widely known and breastfeeding in the United States continues to rise, the breastfeeding rates among African-American women and other races remain lower with a notable significant gap. As of 2013, African American mothers lagged behind their white and Hispanic counterparts in the practice by at least 20 percentage …

Decreasing Environmental Health Risks In The Philippines: Implementation Of A Culturally Appropriate Screening Tool, Alyssa Samson

Doctor of Nursing Practice (DNP) Projects

Objectives: The purpose of this DNP project was to increase the knowledge of environmental health risk factors in the Philippines among nurses and doctors located within that healthcare system. The overall goal was to educate providers on local environmental health risks, provide training for the use of a screening tool (Tagalog Environmental Health and Safety Assessment Tool [TEHSAT]), and provide resources aimed at increasing screening of at risk populations and provide opportunities for education and health promotion.

Methods: This project included a two-part educational training session. The first part included a preliminary presentation on environmental health and the use of …

Hazardous Drug Administration In The Home Setting: Reducing Exposure Risks, Cynthia D. Huff Msn, Rn, Ocn, Crni, Cnl

Master's Projects and Capstones

Hazardous drug (HD) administration used to be contained in controlled-healthcare settings, however, the introduction of HDs for home administration has become a growing area of concern for home health agencies. The objectives of the Clinical Nurse Leader (CNL) project aims to improve homecare nurses' knowledge of HDs and improve competency with personal protective equipment (PPE). The microsystem provides short-term homecare services for acute and chronically-ill patients. One team leader, two home infusion coordinators, and twelve registered infusion nurses participated in learning about exposure risks and PPE use with HD administration. Kotter's 8-step change theory was used to develop behavior change …

Improving Pressure Ulcer Education, Fernando Romeo Zamarripa Guzman

Master's Projects and Capstones

An educational gap exists at the point of care with regards to pressure ulcer prevention for hospice clients. Medical personnel provide oral instructions, but they do not provide sufficient tools for future reference. This project consists of improving pressure ulcer education at the point of care. The nursing staff consists of ten nurses who act as case managers. They are a big part of client care within the hospice setting, which can vary from home care or care in a designated facility. To improve the current practice of providing just oral instructions to patients, an educational tool was created to …

Implementing Dietary And Physical Activity Guidelines In A College Health Center, Terry Lynn Bartmus

UNLV Theses, Dissertations, Professional Papers, and Capstones

Obesity has been classified as a major national health care problem that results in a significant increase in morbidity, mortality, and health care related costs. Seventy percent of all adults age 18 and older have a body mass index (BMI) of 25 or greater, indicating they are overweight or obese. Thirty-six percent of college students are overweight or obese. Research has shown that lack of time has further decreased weight-related counseling by primary-care providers. Printed materials have been shown to be effective in cueing individuals to engage in healthy behaviors such as following physical activity and recommended nutritional guidelines. Currently, …

Implementing Evidenced-Based Tools And Obesity Bias Training When Counseling Overweight And Obese Truck Drivers, Sheryl M. Giordano

UNLV Theses, Dissertations, Professional Papers, and Capstones

Many Americans are either overweight or obese, but commercial truck drivers are at an even higher risk by nature of their occupation. The 2010 Survey of U.S. Long-Haul Truck Drivers found that 22.8% were overweight, 68.9% were obese, and 17.4% were considered morbidly obese. The concern is that obesity is a gateway to multiple medical disorders, to include obstructive sleep apnea, cancer, diabetes, and cardiac disease. Despite growing concerns of obesity, healthcare providers face problems when counseling and discussing the issue with patients. The failure of healthcare providers to discuss obesity or the impending issue with patients (i.e., truck drivers) …

Addressing Disparities Among The Homeless Population With Type Ii Diabetes Through The Use Of Educational Programs, Allison Moses

Senior Honors Projects, 2010-2019

Background: The homeless population is exposed to many difficulties and barriers while attempting to manage Type II Diabetes Mellitus (DMII), which involves complex medication regimens and dietary and exercise modifications. The aim of this literature review is to increase awareness among healthcare professionals, to improve their understanding and ability to educate the homeless population, to help reduce health disparities and promote chronic disease management.

Methods: Access to two electronic search engines, CINAHL and PubMed, was obtained through James Madison University’s Library Database. The Ratings System for Level of Evidence was used to determine articles for inclusion based on reliability, sample …

Nature's Effect On Mental Health, Hannah Thomas

Senior Honors Projects, 2010-2019

The United States has an overwhelming number of people suffering from mental illness, especially anxiety and depression. These disorders can be debilitating in many areas of the person’s life. Not even half of those diagnosed with these conditions are treated effectively and costs are expected to rise significantly in the coming years. One population that is often overlooked that suffers from these conditions is health professionals themselves. Physicians and nurses have high rates of depression and anxiety due to the stress from their occupation. In order for more patients and providers to be treated and for the health care system …

Enhanced Recovery After Orthopedic Surgery In Total Hips And Knees, Christine Rigg

Doctor of Nursing Practice Projects

The prevalence of total knee and hip replacement surgery is increasing related to a combination of factors including osteoarthritis, age, and obesity (Christelis et al., 2015). The increased demand for joint replacement, current cost, and length of stay (LOS) place an increasing burden on clinical and financial resources. Enhanced recovery after surgery (ERAS) protocols have facilitated improved outcomes, such as increased patient satisfaction, decreased LOS, and associated costs (Bernard & Foss, 2014; Husted, Holm, & Jacobsen, 2008). Development and subsequent anesthesia group education were the beginning steps toward orthopedic protocol implementation in this project. This practice project had two goals: …

Developing An Online Wellness Curriculum For Nurse Anesthesia Students, Gina Calvanese, Jamie Rynearson

Doctor of Nursing Practice Projects

Student Registered Nurse Anesthetists (SRNAs) begin graduate school as confident critical care nurses, unaware of the impact that constant, daily stress will have on their lives. Wildgust (1986) presented the earliest known research and concluded stress negatively impacted the physiologic wellbeing of SRNAs. It has been reported that students in anesthesia programs experiencing high levels of stress and burnout are more likely to make critical errors when caring for their patients (de Oliveira, 2013). The goal of this doctoral project was to promote wellness and stress management among students enrolled in Southern Illinois University Edwardsville’s Nurse Anesthesia program by proposing …

Diabetes Education, Audra Trump

Doctor of Nursing Practice Projects

Background: Diabetes Self-Management Education (DSME) has been shown to improve diabetes management. However, a Midwest academic clinic does not offer formal diabetes education. The health department offers formal diabetes education classes twice a year. However, the classes are not flexible, long, and offered infrequently. Objective: The purpose of this project is to improve access to and standardize DSME for patients newly diagnosed with type II diabetes. Methods: The project design includes a one group pre-test/post-test convenience sample of adult patients who are newly diagnosed with type II diabetes in an academic outpatient setting. Results: At the time of diagnosis, the …

Diabetic Foot Screening Tool: Utility In A Busy Primary Care Setting, Crystal A. Cusanelli

Doctor of Nursing Practice Projects

Abstract

Problem: Providers in a Midwest rural clinic identified that foot care is often overlooked due to the complexity of diabetic patients and limited time available during office visits.

Purpose: This project examined the utility of an evidence-based, diabetic foot screening tool, provider satisfaction with the tool, and provider perceptions regarding foot care in a busy primary care practice.

Methodology: Providers were instructed on using the screening tool. The tool was utilized on all diabetic patients during office visits over a two-month period. Anonymous surveys were distributed and a focus group was conducted to gather post-implementation outcomes.

Results: Two providers …

The Effectiveness Of Implementing A Diabetic Checklist To Improve Patient Care Documentation, Evans Mutua, Edwilyn Colwell

Doctor of Nursing Practice Projects

The Effectiveness of Implementing a Diabetic Checklist to Improve Patient Care Documentation of Treatment and Outcomes.

Diabetes mellitus is a major public health problem worldwide. In 2012, about 29.1 million Americans had diabetes with about 1.4 million Americans being diagnosed with diabetes yearly (CDC, 2017). Diabetes is the 7^th leading cause of death in the United states and in Illinois, the cost is $6,490 per person with a treated population of 774, 600 (CDC, 2017). Complication due to diabetes include; diabetic retinopathy, neuropathy, end stage renal disease, amputations and death.

The American Diabetes Association, provide evidence-based guidelines for the …

The Effect Of Home Health Interventions On Hospital Readmission Rates In Patients With Congestive Heart Failure, Lindsay Reavis

Doctor of Nursing Practice Projects

Heart failure is a common diagnosis that affects millions of people worldwide. Unfortunately, heart failure is associated with a high risk of 30-day hospital readmission rates. Home health nurses have the potential to bridge the gap between discharge and hospital readmission by providing up-to-date patient education on a one-to-one basis. Research indicates home health nurses lack knowledge of the disease process, nurse management of the disease, and treatment. This project focused on an educational session about the pathophysiology of heart failure, fluid/weight monitoring, diet, medications, and exercise with a pre- and post-tests evaluating home health nurses understanding of heart failure. …