Digital Commons Network^™

Preoperative Activity Level And Outcomes In Older Adult Cardiac Surgery Patients: A Pilot Study, Don Howard Sorensen

Theses and Dissertations

ABSTRACTPreoperative Activity Level and Outcomes in Older ¨Adult Cardiac Surgery Patients: A Pilot StudyDon Howard Sorensen Jr.College of Nursing, BYUMaster of SciencePurpose: To assess the relationship between preoperative physical activity levels and health related quality of life on intra- and post-hospital outcomes following scheduled cardiothoracic surgery in older adults.Rationale/Background: Adults age 50 and older tend to accumulate more sedentary time and are less physically active. Sedentary behavior is linked with early morbidity and death and may predispose patients to postoperative complications. Preoperative activity levels and its relationship to surgical outcomes is an underexplored area. Insight on this topic could influence …

United States Born Mexican Origin Women's Descriptions About Their Eating Patterns, Juanita Teresa Garcia

Dissertations (1934 -)

Problem. Mexican origin (MO) women comprise the largest Hispanic subgroup (nearly two-thirds) of Latinas in the US. This subgroup has high incidences of obesity and associated chronic diseases. Modifiable risk factors for obesity and chronic diseases include unhealthy diets and eating patterns. Efforts to understand eating patterns of Hispanics have focused on primarily first-generation Hispanics. To date, limited research has been conducted to explore underlying factors that contribute to eating patterns of US born MO women living in the US. Method. The purpose of this qualitative exploratory-descriptive study, using a thematic analysis approach, was employed to explore 15 US born …

The Impact Of In-Home Lactation Support On Breastfeeding Self-Efficacy, Duration, And Exclusivity, Kristian Beach

DNP Projects

While there is evidence to suggest that hospital lactation support impacts rates of breastfeeding initiation by new mothers, women may benefit from additional lactation support and intervention to meet Healthy People 2020 goals for breastfeeding duration and exclusivity. Breastfeeding self-efficacy can be targeted by lactation counselors to improve breastfeeding outcomes. The purpose of this study was to determine how in-home lactation support influences breastfeeding self-efficacy, duration, and exclusivity. A descriptive, cross-sectional, survey-based design with convenience sampling was used in the study, in which a one-time, voluntary, electronic survey with a retrospective pretest-posttest was emailed to postpartum women who received in-home …

Pediatric Type Ii Diabetes Mellitus: Examining The Upward Trend, Allison Foering

Senior Honors Theses

In recent years, there has been a significant increase in pediatric onset of type II diabetes. This paper will examine elements contributing to this trend. Type II diabetes will be discussed, including related pathophysiology, manifestations, diagnosis, and complications, with differentiation between adult and pediatric onset. Possible prevention and treatment methods appropriate for pediatric patients will also be discussed, along with possible outcomes in pediatric patients that could result from this disease. Overall, this paper will provide insight on the causes of this growing trend, and ways to improve the risks imposed on pediatric patients.

Prevalence And Predictors Of Low Serum 25-Hydroxyvitamin D Among Female African-American Breast Cancer Survivors, Patricia M. Sheean, Claudia Arroyo, Jennifer Woo, Melinda Stolley

Nursing: School of Nursing Faculty Publications and Other Works

Background:

African-American breast cancer survivors commonly demonstrate low serum 25-hydroxyvitamin D (25(OH)D). Decreased cutaneous conversion, high levels of adiposity, and even breast cancer treatment may influence vitamin D status. Previous investigations have analyzed African-American women in aggregate with other breast cancer survivors and have not comprehensively addressed these influential factors.

The Relationship Of Breastfeeding Self-Efficacy To Breastfeeding Duration And Breastfeeding Exclusivity Of Full-Term Infants In The Neonatal Intensive Care Unit: A Mixed Method Study, Karen Hylton-Mcguire

Theses & Dissertations

Background

Research demonstrates better health outcomes for both women and their infants when infants are breast-fed. There is evidence that an increasing number of full-term, normal birth weight infants are being admitted to the Neonatal Intensive Care Unit (NICU) and that these infants receive less breast milk than their well full-term and preterm infant counter parts. The effect of short-term admission of full-term infants to the NICU on maternal breastfeeding self-efficacy and breastfeeding exclusivity and duration, and the facilitators of and barriers to breastfeeding success reported by these mothers, has not been well explored.

Purpose

The purpose of this study …

Health Equity, Dora L. Clayton-Jones

College of Nursing Faculty Research and Publications

No abstract provided.

The Impact Of Advance Directives On The Intensity Of Care Received In The Acute Care Setting In Older Adults, Marsha Helen Tyacke

Dissertations (1934 -)

The proportion of older adults in the U.S. is rapidly increasing. One-third of Medicare expenditures occur in the final year of life, with nearly half resulting from acute exacerbations of chronic, progressive diseases(Riley & Lubitz, 2010). Older adults prefer comfort over life-sustaining care, and decreased intensity of care is associated with improved quality of life at the end-of-life (EOL). Advance directives (ADs) have been proposed as mechanisms to improve congruence between patient wishes and EOL care; however, the impact of ADs on care delivered in the acute care setting at the EOL for this population is unclear. A retrospective, correlation …

Test-Retest Reliability Of The Short-Form Survivor Unmet Needs Survey, Karen Taylor, Max Bulsara, Leanne Monterosso

Research outputs 2014 to 2021

Objective: Reliable and valid needs assessment measures are important assessment tools in cancer survivorship care. A new 30-item short-form version of the Survivor Unmet Needs Survey (SF-SUNS) was developed and validated with cancer survivors, including hematology cancer survivors; however, test-retest reliability has not been established. The objective of this study was to assess the test-retest reliability of the SF-SUNS with a cohort of lymphoma survivors (n = 40).

Methods: Test-retest reliability of the SF-SUNS was conducted at two time points: baseline (time 1) and 5 days later (time 2). Test-retest data were collected from lymphoma cancer survivors (n …

Diet Manipulation And The Impact On The Gut Microbiome In Rheumatoid Arthritis, Deanna Heine

Nursing Capstones

No abstract provided.

Relationship Between Type 2 Diabetes Mellitus And Depression, Kayla L. Bachand

Nursing Capstones

No abstract provided.

Regulasi Diri Pada Penyakit Kronis - Systematic Lupus Erythematosus: Kajian Literatur, Atikah Fatmawati

Jurnal Keperawatan Indonesia

Self Regulation in Chronic Illness -Systemic Lupus Erythematosus: Literature Review. Systemic Lupus Erythematosus (SLE) is one of the diseases that associated with immune system. SLE is still classified as a disease that lay in Indonesia. Many factors that cause this disease are not detected, one of which has not fulfilled the needs of patients and family of information, education, and support that is associated with SLE. This is necessary to enable the patient in self-management related illness. Articles were collected through electronic databases CINAHL, Science Direct, and ProQuest using keywords self-management, systemic lupus erythematosus, fatigue, and depression. The inclusion criteria …

Facilitated Tucking Effective To Pain Relief On The Preterm Infants In Perinatal Unit In Jakarta, Eva Oktaviani, Yeni Rustina, Defi Efendi

Jurnal Keperawatan Indonesia

The majority of preterm infants require a long period of hospitalization in intensive care units ,which often necessitates those undergoing painful procedures, including blood collection. This study aims to identify the effectiveness of facilitated tucking on pain responses, including physiological parameters and the duration of crying during blood collection. The study design is quasi-experimental, employing a non equivalent control group pretest-posttest approach. The study involves40 infants, selected by the consecutive sampling technique and assigned into two groups: an intervention group(n=20), which received facilitated tucking during blood collection, and a control group (n=20), which did not receive facilitated tucking. The General …

Penerapan Mobile Video Efektif Meningkatkan Pengetahuan Dan Sikap Ibu Dalam Menurunkan Lama Diare Balita Di Wilayah Puskesmas Kedaton Bandar Lampung, Yuli Lestari, Nani Nurhaeni, Happy Hayati

Jurnal Keperawatan Indonesia

Application of Mobile Video Effective to Increase the Knowledge and Attitude in Managing Diarrhea of the Mothers and to Reduce Diarrhea Duration of Under Five Children. Proper handling of diarrhea and education of diarrhea management in mothers can decrease morbidity and mortality of children under five due to diarrhea. This study aimed to examine the effectiveness of video education about management of diarrhea toward knowledge and attitude of the mother, and duration diarrhea of under five children. The design applied a pre and post-test with the control group. The total sample was 71 respondents divided to control group and interventions …

Exploring Significant Impacts Of Global Health On Nursing Education And Resource-Poor Communities: An Integrative Literature Review, Kimberly Elkayam, Elizabeth Del Cimmuto

Grace Peterson Nursing Research Colloquium

Exploring Significant Impact of Global Health Experienced by Nursing Educators: An Integrative Literature Review

Elizabeth Del Cimmuto & Kimberly Elkayam

Faculty Sponsor: Young-Me Lee, PhD, RN

Background: Nursing education in the United States is largely focused on health promotion at the local and community level. Modern advances in communication technology have facilitated a movement in nursing to gradually adopt a global health perspective in both practice and education.

Objective: to explore what research has been done regarding how nurse educators are impacted by adopting global health perspectives in nursing education and to suggest one potential way to add to this …

Health Benefits Of Pet Ownership For Older Adults, Molly Cook, Sydney Busch

Grace Peterson Nursing Research Colloquium

Background: Over the last few decades, life expectancy has increased causing a significant rise and rising number of senior citizens. This has resulted in greater demand and spending in healthcare for this growing population, due to, the increase risk for health problems that are associated with older age.

Objectives: The purpose of this literature review is to examine the health benefits of pet ownership for older adults. This study will provide information on what health benefits come with pet ownership, and how this can affect the elderly population.

Method: A computerized integrative review was conducted using various combinations of the …

Should Ferritin Tests Be Added To Routine Screening: An Integrative Literature Review, Adebowale Adesuyi

Grace Peterson Nursing Research Colloquium

Abstract

The purpose of this analysis was to explore the possible benefits of a blood screening to be coupled with the annual routine check-up. Blood screenings are only administered upon reasonable suspicion of pathology. Upon the examination of current research concerning ferritin levels within the blood, one can speculate the existence of strong correlations between ferritin levels, inflammatory disease and early morality. Cause for concern stems from the fact that the ferritin levels of the vast majority of people in the US are completely unknown.

Ferritin levels are the most accurate marker for measuring the amount of iron being stored …

Approaches To Hypertension Management In Patients Over Eighty Years Old, Lillia Budd

Nursing Capstones

No abstract provided.

Non-Pharmacological Treatment Options For Quality Sleep In Elderly, Kamilla Gundersen

Nursing Capstones

No abstract provided.

Improving Neonatal Outcomes Through The Implementation Of A Delayed Bathing Program, Kathy Livolsi

Seton Hall University DNP Final Projects

Abstract

Background and Objective: Until 2010 newborns at most community-based hospitals were subjected to their initial bath within two hours of birth. However, this practice has recently changed due to the evidence-based recommendations that demonstrate improved outcomes for neonates when the first bath is delayed for 12-24 hours after birth. Upon delivery, infants are placed skin-to-skin with their parents to promote thermoregulation, breast feeding and bonding. The purpose of this project was to implement a program that delayed infant bathing until the infant was approximately 24 hours old. Rates of neonatal hypoglycemia, neonatal hypothermia, exclusive in-hospital breastfeeding and formula supplementation …

Studies Of Amino Acid Mutations In Drug Resistance Of The Smo Protein, Eunice Wintona

UNO Student Research and Creative Activity Fair

Smoothened receptor (SMO) is a protein that in humans, is encoded by the SMO gene. A systemic mutation in its binding pocket helps predict the sensitivity of mutant proteins to different drugs. Known as a GPCR-like receptor, it is a component of the hedgehog signaling pathway; a pathway involved in body patterning and the regulation of adult stem cells. An uncontrolled or inappropriate activation of the Hedgehog pathway drives tumor progression in cancers and a number of birth defects. To achieve these goals, the molecular modeling software MOE was used to build small molecules and drug molecules like Vismodegib and …

A Multidimensional Approach To Improve Cardiovascular Quality Measure Documentation In A Native American Population, Jessica A. Mastbergen

Doctoral Projects

Native Americans are more likely than white counterparts to be diagnosed with heart disease (Office of Minority Health [OMH], 2017). The scholarly project was conducted in response to the need for improvement in cardiovascular lifestyle interventions for Native Americans and their documentation to meet Government Performance Results Act quality measures. The clinical question addressed was: what is an evidence-based multidimensional approach to improve cardiovascular quality measure documentation in a Native American primary care clinic? The multidimensional interventions included educational sessions for Community Health Representatives (CHRs), a provider education session on appropriate documentation in order to satisfy quality measures, chart review …

Feasibility Trial Intervention “Let’S Move Away From Screen”, Oksana K. Lidke

Doctoral Projects

“Let’s Move Away From Screen” was a six-week quality improvement project implemented in one of West Michigan’s after school programs among students attending 6th and 7th grades. The purpose was to implement physical activity and health education (nutrition, physical activity, and recreational screen time) with major intentions to (a) establish healthy lifestyles and decrease recreational screen time in the after school program and (b) evaluate the project’s acceptability and sustainability by students, parents, volunteers, and the organization. The project’s need was driven by the health needs assessment conducted in February 2016 by the school’s health center. One of the biggest …

Does Family Communication Matter? Exploring Knowledge Of Breast Cancer Genetics In Cancer Families, Sarah Harmon Davis

Theses and Dissertations

Purpose: Knowledge of breast cancer genetics is critical for those at increased risk whomust make decisions about breast cancer screening options. The purpose of this study was toexplore cognitive and emotional variables that might influence knowledge of breast cancergenetics.Methods: This descriptive, exploratory study analyzed theory-based relationships amongvariables related to knowledge of breast cancer genetics in cancer families. Participants includedfirst-degree relatives of women with breast cancer who had received genetic counseling andtesting; participants themselves did not have breast cancer and had not received geneticcounseling or testing. Data were collected by telephone interview and survey. Variables analyzedinclude numeracy, health literacy, cancer-related distress, …

Does Family Communication Matter? Exploring Knowledge Of Breast Cancer Genetics In Cancer Families, Sarah Harmon Davis

Theses and Dissertations

Purpose: Knowledge of breast cancer genetics is critical for those at increased risk whomust make decisions about breast cancer screening options. The purpose of this study was toexplore cognitive and emotional variables that might influence knowledge of breast cancergenetics.Methods: This descriptive, exploratory study analyzed theory-based relationships amongvariables related to knowledge of breast cancer genetics in cancer families. Participants includedfirst-degree relatives of women with breast cancer who had received genetic counseling andtesting; participants themselves did not have breast cancer and had not received geneticcounseling or testing. Data were collected by telephone interview and survey. Variables analyzedinclude numeracy, health literacy, cancer-related distress, …

Is It Time To Reconsider Pressure Injuries As A Nurse-Sensitive Indicator?, Christine A. Schindler

College of Nursing Faculty Research and Publications

No abstract provided.

Meta-Analysis Of The Effects Of Exercise Interventions On Obese Adolescents, Brandy E. Strahan Phd, Rn, Hyochol Ahn Phd, Ms-Ece, Ms-Cts, Aprn, Anp-Bc, Jonathan Shuster M.Sc., Ph.D.

Journal of Nursing & Interprofessional Leadership in Quality & Safety

A meta-analysis of 10 randomized control studies published in 2003-2013 was conducted to provide a summary of the effects of exercise interventions on obese adolescents. Outcomes of the reviewed trials included body mass index, weight, glucose, and triglycerides. Data were combined using an inverse variance weighted random effects model. The effect size estimate for BMI was 1.354 kg/m² (p < 0.001, SE 0.321), indicating that the BMI of individuals in treatment groups improved, as compared to control groups. A statistically significant reduction in weight was greater in the intervention groups than the control groups by 3.815 kg (p = 0.001, SE 1.101). The findings of this meta-analysis show that exercise interventions may improve control of weight and BMI and in turn be a factor in decreasing obesity.

Diabetes Disparities In African Americans: A Cry For Help To Primary Care Providers, Pandora Goode

Journal of Health Disparities Research and Practice

Diabetes is a national public health problem. Low socioeconomic status influence access to quality care for African Americans with Diabetes who must rely on government assisted insurance or are uninsured. Inadequate access and poor quality care for African Americans contributes to increased morbidity and negative health outcomes. This manuscript will examine the existence of diabetes disparities in African Americans pertaining to the role of low socioeconomic status, access, and poor quality care, and suggest some practical strategies for reducing diabetes disparities in this population.

Development Of Diabetes And Obesity In Infants Of Diabetic Mothers, Breanna Ritchie

Nursing Capstones

No abstract provided.

Education For Wic Peer Counselors About Breastfeeding The Late Preterm Infant, Cindi Faith Bennett, Cynthia Galloway, Jane S. Grassley

Nursing Faculty Publications and Presentations

Mothers of late preterm infants need ongoing support because they often find establishing breastfeeding (BF) to be complex and difficult. Special Supplemental Nutrition Program for Women, Infants and Children peer counselors provide BF information and emotional support to new mothers in many communities. However, their current training does not include education about BF for the late preterm infant. The purpose of this report is to present important information about BF and the late preterm infant that can enhance peer counselors' ability to offer appropriate support. The effect of this education on outcomes such as BF rates, maternal self-efficacy, infant …