Digital Commons Network^™

Evidence Based Protocol: Improving Nutrition Monitoring In Hospitalized Adults, Philip W. Jackson

Master's Projects

Malnutrition affects a large number of adult inpatients. For these patients, the implications of the high rate of malnutrition include impaired wound healing, higher rates of infection, and an increased risk of death. These complications contribute to increased healthcare costs and longer lengths of stay. The level of monitoring and documentation of patients’ meal consumption was acknowledged to be below expectations in an acuity-adaptable neurosciences unit situated in a downtown hospital located in the Midwestern United States. The define-measure-analyze-improve-control (DMAIC) quality improvement framework guided the quality improvement team to develop a standard process for meal related activities. The rate of …

Individualized Glycemic Targets For The Elderly Residing In Long Term Care Facilities, Abegail Hubberd

Doctor of Nursing Practice

Of people age 65 and older residing in a long-term care facility, 1 in 4 has Type 2 diabetes (Smide & Nygren, 2013). Care and management of this population is a challenge for nurses and other providers. Results of a needs assessment in a local long-term care facility identified deficiencies in the provision of evidence-based Type 2 diabetes care for this target population. American Diabetes Association Guidelines (2017) recommend application of individualized HbA1c targets for the elderly residing in long-term care facilities, especially for those with compromises in clinical and functional status. This two prong quality improvement project strove to …

Critical Appraisal Tools And Reporting Guidelines For Evidence-Based Practice, Robin Buccheri, Claire Olivia Sharifi

Gleeson Library Faculty and Staff Research and Scholarship

Background: Nurses engaged in evidence-based practice (EBP) have two important sets of tools: Critical appraisal tools and reporting guidelines. Critical appraisal tools facilitate the appraisal process and guide a consumer of evidence through an objective, analytical, evaluation process. Reporting guidelines, checklists of items that should be included in a publication or report, ensure that the project or guidelines are reported on with clarity, completeness, and transparency. Purpose The primary purpose of this paper is to help nurses understand the difference between critical appraisal tools and reporting guidelines. A secondary purpose is to help nurses locate the appropriate tool for the …

Improving Discharge Planning Using The Re-Engineered Discharge (Red) Program, Sterling L. Roberts, Leslie C. Moore, Brian Jack

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

The 12-actionable items of the Re-Engineered Discharge Program (RED) are equipped to address essential areas to prevent hospital re-visits. Evidence supports the use of nurses to complete these essential components of hospital interventions. The aims of this project were to: 1) assess nurses’ readiness to learn prior to receiving education on the RED Program, and 2) measure the utilization of the RED discharge process from patient chart reviews following an educational intervention focused on the RED 12-actionable items. Participants (N = 69) scored high M = 219.8 (SD 23.7) on the Self-Directed Learning Readiness – Adult Scale, indicating the nurses …

A Quality Improvement Initiative To Increase Statin Therapy Adherence Among Patients With Diabetes Aged 65 Years And Older, Kelly Nunemaker

Doctor of Nursing Practice

The purpose of this project was to improve statin therapy adherence among diabetic patients aged 65 and older treated at a small family practice clinic in western San Antonio. Additionally, the project aimed to decrease LDL cholesterol (LDL-C) levels in this patient population as recommended to 70 mg/dl or less. Diabetic patients are more likely to die from a cardiac event than patients without diabetes. Statin therapy is an important factor in lowering cholesterol, which reduces the patient’s risk for atherosclerosis. Educating patients aged 65 and older about the role of statin therapy in preventing cardiovascular events, stroke, and vascular …

Interventions To Increase Diabetes Self-Management Education Referral And Attendance, Genevieve Talamantez

Doctor of Nursing Practice

Despite the proven benefits of diabetes self-management education (DSME), referral and attendance remains suboptimal. DSME has the ability to encourage self-care behavior, improve clinical outcomes, and improve quality of life in a cost-effective manner. The American Diabetes Association recommends that all people with diabetes receive DSME in order to facilitate the knowledge, skills, and ability necessary for diabetic self-care. The Office of Disease Prevention and Health Promotion, Healthy People 2020, set a national diabetic patient education attendance target goal of 62.5% for adults. The purpose of this quality improvement project is to increase referral and attendance to DSME in type-2 …

Evidence-Based Discharge Education Guidelines To Improve Adherence To Self-Care And Decrease 30-Day Readmissions For Older Heart Failure Patients, Lisette Melton

Doctor of Nursing Practice

Heart failure is a complex, debilitating, chronic disease characterized by high mortality and frequent hospital readmissions. Heart failure affects 5.7 million people in the United States with 670,000 new patients diagnosed each year. Patients are most vulnerable during the transition from the acute care setting to home. Limited patient knowledge on symptom recognition leads to detrimental outcomes for the patients; therefore, discharge education is paramount for decreasing readmissions. The national benchmark for 30-day readmission is 27%. The purpose of this quality improvement project was to improve compliance with the 2013 American Heart Association guidelines through discharge education by Telemetry staff …

The Relationship Between Bmi & Mandated Physical Education Requirements Of Elementary Schools, Kathryn Fairlamb

The Eleanor Mann School of Nursing Undergraduate Honors Theses

The physical activity policies of elementary schools in Arkansas and correlations between physical activity requirements and body mass index have been studied. Examination of the policies at the individual school, district, or state level were noted. The statewide BMI database was consulted. Interviews with physical education teachers was conducted to assess policy implementation. Results may provide schools and policy makers with insight on future physical activity policies.

Influence Of Social And Economic Factors On Elementary Student Health In Northwest Arkansas, Megan Marks

The Eleanor Mann School of Nursing Undergraduate Honors Theses

A child’s wellbeing is influenced by many factors related to the environment they are raised in. The purpose of this study was to investigate the relationship between a child’s social and economic factors and his or her health. A convenience sample of 588 2nd and 4th grade children was taken from three elementary schools in Springdale Independent School District. Health status was represented by calculations of each child’s body mass index (BMI) and number of days counted absent from school. Socioeconomic and demographic factors examined include the child’s grade level, gender, ethnicity, number of parents over the household, number of …

A Quality Improvement Initiative To Increase Hypertension Treatment Adherence Among Hispanic Patients With Limited English Proficiency, Barbara Chavez

Doctor of Nursing Practice

The purpose of this project was to improve hypertension (HTN) treatment adherence among limited English proficient Hispanic patients with uncontrolled HTN. Limited English Proficiency (LEP) significantly reduces HTN control among Hispanics by diminishing their understanding of HTN diagnosis, treatment adherence, and complications. A language sensitive education session focusing on antihypertensive medications, reduced sodium intake, and appointment keeping was implemented among LEP Hispanic patients 21 to 85 years of age, with uncontrolled HTN, receiving care at a federally funded south San Antonio clinic. The Hill-Bone Compliance to High Blood Pressure Therapy Scale was utilized to measure adherence in the following domains: …

Self-Management As A Mediator Of The Relationship Between Social Support And Health Outcomes Of African American Adults With Type 2 Diabetes., Tariq N. Al-Dwaikat

Electronic Theses and Dissertations

Type 2 diabetes (T2D) is often associated with serious complications. African American adults have higher rates of diabetes-related complications than other ethnicities. Diabetes self-management reduces the risk of developing biological and psychological symptoms. Social support promotes positive behavior change and self-management that leads to improved biobehavioral and psychosocial outcomes. Few studies explored the relationship between social support dimensions and self-management behaviors, diabetes biomarkers, and psychosocial outcomes of African American adults with T2D. The purpose of this dissertation was to examine the relationships of various dimensions of social support with self-management behaviors and diabetes biomarkers and psychosocial outcomes of African American …

Effect Of Socioeconomic Disadvantage, Remoteness And Indigenous Status On Hospital Usage For Western Australian Preterm Infants Under 12 Months Of Age: A Population-Based Data Linkage Study, Natalie A. Strobel, Sue Peter, Kimberley E. Mcauley, Daniel R. Mcaullay, Rhonda Marriott, Karen M. Edmond

Research outputs 2014 to 2021

Objectives:

Our primary objective was to determine the incidence of hospital admission and emergency department presentation in Indigenous and non-Indigenous preterm infants aged postdischarge from birth admission to 11 months in Western Australia. Secondary objectives were to assess incidence in the poorest infants from remote areas and to determine the primary causes of hospital usage in preterm infants.

Design:

Prospective population-based linked data set.

Setting and participants:

All preterm babies born in Western Australia during 2010 and 2011.

Main outcome measures:

All-cause hospitalisations and emergency department presentations.

Results:

There were 6.9% (4211/61 254) preterm infants, 13.1% (433/3311) Indigenous …

Empowering Nurses To Use Non-Pharmacological Measures To Help Control Pain In The Postoperative Period, Marie E. Aamodt

Nursing Capstones

No abstract provided.

A Clinical Nurse Leader Initiative: Promoting Mobility Among Long-Term Care Facility Residents, Ulyses Reamico

Master's Projects and Capstones

Maintenance of mobility during hospitalization or stay in long-term care facility result in improved patient outcomes including but not limited to decreased incidence of falls, non-pharmacological pain intervention, and prevention of further functional decline. In a 45-bed rehabilitation unit of a Veterans Affairs (VA) health care facility, a clinical nurse leader (CNL) initiative was done to promote mobility among the patients to mitigate functional decline. The patients, also referred to as clients or residents in long-term care facilities, were aged between 20s and 90s. The resident population consisted of patients admitted for physical rehabilitation after a stroke or surgical procedure, …

Approachability Of Nursing Clinical Instructors: Psychometric Assessment Of A Scale Development, Angela Collier

Electronic Theses and Dissertations

Approachability of nursing clinical instructors is largely unknown and misunderstood, yet critical for millennial students which currently comprise 82% of nursing students (National League for Nursing, 2014). Nursing education consists of both a didactic and a clinical component. Clinical education is dynamic and allows the student an experiential learning opportunity. Therefore, clinical nursing educators are vitally important. Approachability has been identified in many studies as a leading characteristic of an effective instructor. Although the importance of approachability of the instructor is established, currently no scale exists to measure this concept. The purpose of this study was to examine the validity …

Sex Trafficking: A Toolbox For Apn's, Nissa Berbawy

Graduate Research Projects

Abstract

Objective: As the fastest growing crime in the world (Walker-Rodriguez, & Hill, 2011) and with sex slaves found in all 50 states (Grace et al, 2014), finding a solution to the problem of sex slavery is critical. One study showed 63.3% of sex slave survivors were treated in the emergency department while enslaved, revealing an opportunity for healthcare providers to intervene (The Emergency Nurses Association, 2015). The purpose of this review of literature is to provide evidence based resources to better equip APN’s to identify, intervene, and refer sex slaves for successful rehabilitative services. Methods: Databases searched were …

Educational Strategies For Preventing And Managing Coronary Artery Disease (Cad), Anna M. Mills

The University Honors Program

Coronary artery disease (CAD) is a leading cause of death in the United States and many older people suffer from this disease (Luisi et al., 2015). It is vital that nurses understand the importance of education, good nursing care, and support in improving patient outcomes. Nurses care for patients with heart disease every day and it is important that nurses have a good understanding of the disease process, how to effectively educate patients, and how to care for them in hospital and community settings. The purpose of this project is to (1) perform a comprehensive literature review regarding prevention, education, …

The Correlation Between Postpartum Depression And Nutritional Intake: An Integrative Literature Review, Oana Vadineanu

Grace Peterson Nursing Research Colloquium

No abstract provided.

Effects Of Anti-Inflammatory Diets On Rheumatoid Arthritis: An Integrative Literature Review, Jeffrey James

Grace Peterson Nursing Research Colloquium

Effects of Anti-Inflammatory Diets on Rheumatoid Arthritis: An Integrative Literature Review

Jeffrey James

Faculty Sponsor: Dr. Elizabeth Hartman

Abstract

Background: Rheumatoid arthritis (RA) was estimated to have affected 1.5 million adults above the age of 18 in 2005 and rate of incidence has been reported to be increasing. Only 40-60% of rheumatoid arthritis risk can be attributed to genetics. Many studies suggest a link between RA and diet.

Objectives: The aim of this literature review was to investigate whether or not dietary choices could have a significant impact on the development of RA.

Methods: This integrative literature was conducted using …

A Low Carbohydrate, Ketogenic Diet For Treatment Of Type Ii Diabetes An Integrative Literature Review, Steven Lisowski

Grace Peterson Nursing Research Colloquium

A Low Carbohydrate, Ketogenic Diet for Treatment

of Type II Diabetes: An Integrative Literature Review

Steven Lisowski

Faculty Sponsor: Larry Maturin

Abstract

Background: Dietary modifications are commonly prescribed initial interventions in those recently diagnosed with type II diabetes. Presently, various researchers support that there is a growing body of evidence that advises to restrict carbohydrate intake to minimum levels to achieve optimal blood glucose levels and reduce complications related to poor diabetes management.

Objectives: To explore if the low carbohydrate, ketogenic diets (LCKD), in which carbohydrate intake of any kind is restricted, are very effective at reducing obesity and controlling …

High Antioxidant Diet And Its Effect On Delaying Alzheimer’S: An Integrative Literature Review, Alyssa Beyer

Grace Peterson Nursing Research Colloquium

High Antioxidant Diet and its Effect on Delaying Alzheimer’s:

An Integrative Literature Review

Alyssa Beyer

Faculty Sponsor: Alison DiValerio

Abstract

Background: In the absence of an adequate antioxidant defense system, oxidative-stress related changes occur in the brain. Therefore, a diet high in antioxidants may prove as an effective means in delaying, if not preventing, the onset of Alzheimer’s disease.

Objectives: The goal of this systematic integrated literature review is to determine whether there is a direct correlation between intake of a high antioxidant diet and delayed symptoms of Alzheimer’s disease.

Methods: This integrative literature review was conducted …

Major Components Of Quality Of Life In Pediatric Oncology Patients, Katelyn Mccabe

Grace Peterson Nursing Research Colloquium

No abstract provided.

Examining The Relationship Between Registered Nurses’ Turnover And The Benefits Of An Affirming Climate Of Diversity As Mediated By Workplace Outcomes, James Mark Clardy

Human Resource Development Theses and Dissertations

The Affordable Care Act has created within health care a growing demand for primary care services in both the inpatient and outpatient settings. The anticipated growth in need for registered nurses (RN) of 19% by 2020 is compounded by a current estimated national turnover rate greater than 17%. Human Resource Development (HRD) practitioners in health care are challenged to develop and implement interventions that can influence turnover in RNs despite identifying variables that effect turnover. This research explored how RN turnover can be positively affected by a government mandated requirement that health care create a diverse workforce and cultural competency. …

Validation Of The Electronic Kids Dietary Index (E-Kindex) Screening Tool For Early Identification Of Risk For Overweight/Obesity (Ow/Ob) In A Pediatric Population: Associations With Quality Of Life Perceptions, Patricia A. Hall

USF Tampa Graduate Theses and Dissertations

Despite a worsening obesity epidemic and despite the American Medical Association (AMA) declaring Obesity a disease (2013), few assessment tools exist that assist practitioners who are charged with identifying risk for development of OW/OB in children. The Center for Health Statistics (2017) reported a 40% rate in obesity in the adult population and 18.5% in children in the U.S. Successful weight loss maintenance after 1 to 2 years of non-invasive treatment is less than 1%, indicating obesity is nearly incurable, making prevention imperative. Assessing risk for OW/OB in children has proven difficult given the lack of validated tools. The purposes …

Hospitalization Rates And Predictors Of Rehospitalization Among Individuals With Advanced Cancer In The Year After Diagnosis, Robin Whitney, Janice Bell, Daniel Tancredi, Patrick Romano, Richard Bold, Jill Joseph

Faculty Publications

PurposeAmong individuals with advanced cancer, frequent hospitalization increasingly is viewed as a hallmark of poor-quality care. We examined hospitalization rates and individual- and hospital-level predictors of rehospitalization among individuals with advanced cancer in the year after diagnosis.MethodsIndividuals diagnosed with advanced breast, colorectal, non–small-cell lung, or pancreatic cancer from 2009 to 2012 (N = 25,032) were identified with data from the California Cancer Registry (CCR). After linkage with inpatient discharge data, multistate and log-linear Poisson regression models were used to calculate hospitalization rates and to model rehospitalization in the year after diagnosis, accounting for survival.ResultsIn the year after diagnosis, 71% of …

Skin -To-Skin Contact After Cesarean Delivery., Brittany Cerino Bsn, Rn, Keli Cichonski Bsn, Rn, Lee Daignault Bsn, Rn, Julia Gogle Rn, Roxann E. Wagner Msn, Rn, Rnc-Nic

Patient Care Services / Nursing

No abstract provided.

A Socio-Ecological Analysis Of Childhood Obesity And School Nutrition Policies And Practices In Select Elementary And Middle Schools On The Navajo Reservation, Regina S. Eddie

Nursing ETDs

Navajo and other American Indian children are most affected by overweight and obesity in comparison to their US counterparts, and schools have become a focal setting for prevention interventions. The study applied an ecological and a cultural framework to analyze the various factors that influence the food choices available to students and the impact of these choices on childhood obesity. The overall purpose of this descriptive study was to examine and describe how schools that participate in the National School Lunch Program (NSLP) are contributing to the diets of Navajo students since the passage of the Healthy Hunger Free Kids …

“The Bum Bundle” Skin Breakdown Prevention And Protection., Julianne Giordiano Bsn, Rn;, Monica Lupin Bsn, Rn;, Jane Riley Bsn, Rn;, Veronica Sharo Bsn, Rn;, Nicolle Snyder Bsn, Rn;

Patient Care Services / Nursing

No abstract provided.

Infuse!_Volume 1_Number 1_2017, College Of Nursing

Infuse! College of Nursing Magazine

No abstract provided.

Gw Nursing, Fall 2017, George Washington University, School Of Nursing

GW Nursing Magazine

No abstract provided.