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Generation Y Health Professional Students’ Preferred Teaching And Learning Approaches: A Systematic Review, Caroline Mary Hills, Tracy Levett-Jones, Samuel Lapkin, Helen Warren-Forward

The Open Journal of Occupational Therapy

Generation Y or Millennials are descriptors for those born between 1982 and 2000. This cohort has grown up in the digital age and is purported to have different learning preferences from previous generations. Students are important stakeholders in identifying their preferred teaching and learning approaches in health professional programs. This study aimed to identify, appraise, and synthesize the best available evidence regarding the teaching and learning preferences of Generation Y health professional students. The review considered any objectively measured or self-reported outcomes of teaching and learning reported from Generation Y health professional student perspectives. In accordance with a previously published …

Non-Pharmacologic Measures To Prevent And Treat Gestational Diabetes, Dikshya Aryal

All Electronic Theses and Dissertations

Background: Gestational Diabetes (GDM) can have adverse effects on the health of both mother and baby during pregnancy and for a lifetime thereafter. While insulin is the mainstay of treatment, metformin and glyburide may be considered as alternatives (Carroll & Kelley, 2014). Pregnant mothers, however, may be hesitant to use pharmaceutical therapies, preferring natural alternatives (Zaki & Albarraq, 2014). Purpose: The purpose of this paper is to identify and examine effective non-pharmacological interventions for the prevention and the management of GDM. Results: Twenty-one articles were included in this review and thirteen studies support the use of certain diets (Mediterranean or …

Midwife Provider Education And Screening Can Prevent And Decrease The Prevalence Of Perinatal And Postpartum Depression: A Critical Review Of The Literature, Suzanne M. Chatters

All Electronic Theses and Dissertations

Background: Perinatal and postpartum depression (PPD) has a diagnosed prevalence of 10-20%. Experts theorize that up to 60% of women experiencing PPD do not seek help. Mental depression carries a negative stigma in western culture and medicine. It is however, both a natural occurrence and physiologic disorder. If unaddressed, depression can become a severe and dangerous condition for both women and their children. The transition to motherhood presents with multifactorial influences such as hormonal, physical, and mental changes. Pregnant women in particular, who are experiencing a change in hormonal status, sleep pattern disruption, and personal role identity are at risk …

The Effectiveness Of Prenatal Education In The Prevention Of Postpartum Depression, Leslie Ranae Dwyer

All Electronic Theses and Dissertations

With more than 800,000 new mothers in the United States experienceing postpartum depression (PPD) in the first year following delivery, research is warranted to determine if prenatal education is effective in reducing or eliminating PPD altogether. Purpose: The purpose of this critical review of literature is to examine PPD and determine if the concept of prenatal education can effectively prevent or reduce the risk of PPD. Results: Pender's Health Promotion Model (HPM) was used to assist in anayzing studies for the literature review. Research included twently individual studies including both qualitative and quantitaive methods. The critical review of literature revealed …

Routine Screening For Thyroid Peroxidase Antibodies During Pregnancy: Universal Versus Targeted, Megan M. Gross

All Electronic Theses and Dissertations

Background: There are currently no guidelines for screening for thyroid peroxidase antibodies (TPOAb) during pregnancy. Currently, there is some debate as to whether pregnant women should be screened for TPOAb, universally, or using a risk-based approach. In addition, there is conflicting evidence suggesting the implications of positive TPOAb testing during pregnancy and their effect on not only the pregnancy, but also the postpartum period and the fetus. Purpose: To determine whether TPOAb should be screened for during the first trimester of pregnancy; and if so, to determine if a risk-based approach or universal screening method is more appropriate. Results: Twenty-four …

Better Together: Group Prenatal Care Improves Outcomes, Rachel Hanus

All Electronic Theses and Dissertations

Background: Neonatal outcomes have not improved over the past 30 years in spite of increases in funding and utilization. New models of prenatal care, such as Centering Pregnancy, need to be evaluated for effectiveness. This critical review of the literature focuses on comparing birth outcomes, maternal weight gain, and adequacy of prenatal care between group and traditional care models. Results: Newborns with mothers in group care were more likely to be born at later gestational ages and with higher birth weights. Mothers in group care were more likely to use contraception postpartum and have better prenatal attendance. Women in at-risk …

Reducing Perineum Injuries And Trauma During Vaginal Delivery, Joyce Elaine Pepple

All Electronic Theses and Dissertations

Background: Perineal trauma and injury is extremely common during vaginal birth. Nurse-midwives and other obstetric providers should explore the most current literature for possible ways that perineal trauma and injury during vaginal birth can be avoided in patients. Purpose: To determine if hands-on perineum care, given by healthcare providers during labor and delivery, decreases perineal trauma and injury in women giving birth vaginally, compared with as opposed to women delivering vaginally who do not receive any hands-on perineum care. Results: Some hands-on techniques may improve perineal outcomes, but the hands-on techniques vary in effectiveness. The majority of providers currently prefer/use …

Community Care Paramedicine Program, Mary Beth Sather

All Electronic Theses and Dissertations

The Community Care Paramedicine Program is an emerging field across the United States that utilizes the expertise and service of Paramedics within the community they serve. In this program, paramedics are integrated into the local healthcare system and overseen by emergency and primary care physicians along with additional support to hospitals, municipalities, residents, and insurance companies in several ways. The role of the Community Care Paramedic adapts to the specific needs of the community they serve. This is a growing program which has shown success in rural communities in providing initiatives for a healthier community and studies have shown that …

Implications For Delayed Versus Immediate Umbilical Cord Clamping, Laura Ann Shaver

All Electronic Theses and Dissertations

Purpose: The purpose of the critical review of literature was to identify and analyze benefits of delayed umbilical cord clamping in full term and preterm infants with a focus on iron stores, hemoglobin, hematocrit, and hyperbilirubinemia. Methods: Twenty-two articles were included in the critical literature review with the purpose of determining whether delayed umbilical cord clamping caused increases in iron stores, hemoglobin and hematocrit, or had no clinical significant increases in hyperbilirubinemia causing neonatal jaundice and the need for phototherapy treatment. Results/Conclusion: Delayed umbilical cord clamping is a low risk, cost effective intervention that is safe and has many benefits …

Professional Nursing Value Development In Nursing Students Who Participate In International Service Learning, Heather Ferrillo-Diiulio

Student Theses, Dissertations and Capstones

Background: International Service Learning (ISL) is becoming widely used in nursing education as a means to provide global learning opportunities. Concrete outcomes for these experiences have not been clearly supported in previous research. Determining if ISL experience facilitate the development of Professional Nursing Values (PNV) can support the use of ISL as a viable pedagogy. Purpose: The purpose of the study was to determine if there were a difference in PNV development in students who participate in ISL as part of their clinical experiences compared to those who do not. The hypothesis was that there was a difference in the …

Cancer-Related Fatigue Clinical Guideline And Protocol For Hospitalized Oncology Patients: A Quality Improvement Project, Sulotte Valcin Amilcar

Student Theses, Dissertations and Capstones

Background: Cancer-related fatigue is one of the most common symptom experienced by cancer patients throughout their cancer trajectory. However, very little effort has been made within many oncology practices to assess this clinical problem and to provide timely nursing interventions to reduce its impact. While there have been tremendous advancements in the treatments of the disease aspects of cancer in term of medicine and advanced technology, basic assessment of related physiological concerns, such as fatigue, have not seen the same progress. Purpose: The purpose of this quality improvement project was to develop an evidence-based cancer-related fatigue assessment guideline and a …

Chemotherapy Side Effects At Home: A Nursing Impact, Gwendolyn E. Saint-Clarke

Student Theses, Dissertations and Capstones

Background: Approximately 32% of all lymphoma patients experience immunocompromised severe avoidable side effects of nadir at home after discharge postchemotherapy. The certified oncology nurses employed at a large metropolitan hospital in Atlanta, Georgia, lack standardized discharge guidelines that include regulatory organizations’ recommendations to assist patients/families with at-home self-management of the avoidable side effects. Purpose: The purpose of this quality improvement project was to utilize the institution’s existing postchemotherapy discharge protocol to assess certified oncology nurses’ knowledge of severe avoidable side effects of nadir; modify the existing healthcare institution’s postchemotherapy discharge protocol to reflect standardized practice for promoting clinical practice continuity …

Addressing Obstetric Health Care Providers' Nutritional Insight In The Low Socioeconomic Population, Nicole Theresa Marshall

Student Theses, Dissertations and Capstones

Background: During a woman's pregnant state, a diet that is adequate in nutrition is critical to the developing fetus, especially in the lower socioeconomic status population. The healthcare provider is charged with the acute fundamental awareness of this additional factor that can grossly impact pregnancy. Nutritional advice from the health care provider is one of many key points that contribute to the successful outcome of the pregnancy. Purpose: The purpose of this quality improvement project was to develop a standardized, evidence-based practice (EBP) protocol for the management of maternal nutrition, gestational weight gain, and physical activity for provider use at …

Motivational Interviewing In Primary Care To Improve Lifestyle Choices For School Age Children, Angela D. Wood

Doctor of Nursing Practice Projects

Childhood obesity is an epidemic in the United States placing children at risk for immediate and long-term health problems. Primary care providers are optimally placed to address this high-priority health issue. The purpose of the project was to implement a practice change in the delivery of nutrition and physical activity information during well child visits. The 5-2-1-0 healthy habits message was delivered via motivational interviewing to the parent/guardian of overweight/obese children. A sample of seven parents/guardians participated in the educational program, which included an initial visit, two-week follow-up phone call, and one-month follow up visit. An initial assessment of family …

Creating A Rural Nursing Workforce, Heidi Johnston

Doctor of Nursing Practice Projects

Background: Nursing students living in rural areas often encounter barriers, real or perceived, to receiving education. These students may be unable to leave home to obtain higher education due to expectations, financial issues, and geography (Robert Wood Johnson Foundation, 2010), thus contributing to a shortage of qualified nurses in rural communities. Great Basin College (GBC) recently implemented synchronized distance education Synchronized Distance Education (SDE) for the (AAS) nursing program, and there was a need to conduct a program evaluation in order to maintain/improve program quality. One goal of Healthy People 2020 (2014) is improving access to comprehensive, quality healthcare services. …

Telephone Follow-Up To Reduce The Readmission Rate In Gynecologic Oncology Surgery Patients, Karla Kenyon Fernandez

Nursing Theses and Capstone Projects

Unplanned hospital readmissions are commonly viewed as a marker of poor quality care and result in increased costs for both healthcare institutions and patients. Factors associated with readmission for gynecological oncology patients can be related to the radical surgical interventions required for the management of their disease, as well as complex comorbidity profiles, surgical complexity, cancer stage, and perioperative complications. The purpose of this study was to explore and examine the impact of nursing-led telephone follow up on the reduction of the readmission rate in gynecologic oncology abdominal surgery patients following initial discharge post-operatively. A cross-sectional research study was used …

Hospice Nurses’ Perception Of Factors Influencing Nurse Retention, Vanessa Kelly Boris

Nursing Theses and Capstone Projects

Aim. To identify factors that affect hospice nurses’ intent to remain employed. Background. Recent literature indicates that turnover is a major problem for health care organizations, since it is costly and negatively affects patient care. Several strategies have been highlighted to help improve retention rates, however hospice nurses have special needs. Methods. To assess hospice nurse perspectives, a survey was conducted using registered nurses working in a multi-county Hospice and Palliative Care facility in the southeastern U.S. Survey items were based on information gathered from previous focus groups exploring determinants of nurse retention. Results. Eighty-eight percent (n=7) of nurses chose …

Nurse-Physician Collaboration And Satisfaction, Fatima Brewton

Nursing Theses and Capstone Projects

The purpose of the study was to examine the effects of interdisciplinary rounds (IDR) on a neurology medical-surgical inpatient unit. Existing research shows that IDR improves nurse-physician relationships and satisfaction and improves patient outcomes. Using the Collaboration and Satisfaction about Care Decisions (CSACD) tool developed by Baggs, nurse-physician collaboration and satisfaction was measured pre and post implementation of interdisciplinary rounds. Twenty-one nurses and five physicians participated in the study which included education sessions, a two week trial of IDR, and a pre and post survey. Nurses and physicians in this sample perceived a significant increase in collaboration (X = 5.6563, …

Correlation Between Self-Appraisal And Measured Risk For Prediabetes, Amanda Sowell

Nursing Theses and Capstone Projects

One-third of adults in the United States have prediabetes and 90% of those individuals are unaware they have the disease. Prediabetes is a disease where blood sugar levels are higher than normal, but not high enough to be diagnosed as prediabetes. The purpose of this thesis was to identify adults at risk for prediabetes in a rural community setting, and explore the relationship between adults’ perceived risk for prediabetes and actual measured risk for prediabetes as determined by the Centers for Disease Control (CDC) Prediabetes Screening Test. The organizing framework was based on Betty Neuman’s systems model. The participants of …

Effects Of Engaging Hospitalized Heart Failure Patients In A Self-Care Management Protocol On Self-Care Self-Confidence Levels, Michele Denise Blakely

Nursing Theses and Capstone Projects

Delivering high quality heart failure (HF) management and education to empower patients to manage successfully in the community is imperative. Common trends observed impacting HF patients and concerning inpatient nurses on a medical cardiology unit were identified and discussed. Understanding accessing and adhering to a low salt diet, fluid restriction, and daily weights were all commonly identified challenges by direct care nurses of HF patients. Nurses reported increased frustration with patients not knowing or possessing little awareness of their fluid restriction or how to manage or articulate restrictions during the inpatient stay. Nurses felt intake and output (I&O) and daily …

Childhood Obesity: Physiological And Psychological Implications And Ethical Responsibilities, Connie S. Lewis

Journal of Health Ethics

Childhood obesity continues to be a health concern in the United States with physiological and psychological consequences. Research conducted in schools may address the physiological effects and exacerbate negative psychological effects, including weight bias and stigmatization. In the home, children are dependent on parents/caregivers to provide a healthy diet and exhibit a healthy lifestyle.The ethical theory, ethics of care, emphasizes dependence and interdependence on others, and ethical and moral responsibilities in the parent/child relationship. The assurance of ethical considerations involving children in research and parental provision for healthy dietary provision is of utmost importance. Any action or inaction that results …

Ua61/1 Bsn Student Handbook, Wku School Of Nursing

WKU Administration Documents

Student handbook for BSN candidates in the WKU School of Nursing.

Educating Mothers Of Obese Hispanic Preschoolers To Create Lifelong Healthy Habits, Lynette Marshall

Doctor of Nursing Practice Projects

Problem and Background: Childhood obesity has doubled in children and quadrupled in adolescents in the past 3 decades, increasing from 5% to 17% in one generation. The highest rates of childhood obesity are among Mexican Americans. Obesity can increase health morbidities, and as obese children continue to grow, these health concerns progress to adulthood. In spite of enhanced education and communication between mothers of obese children and their primary care providers, minimal improvement has taken place in terms of outcomes and lifestyle changes.

Methods: Fourteen obese Hispanic 2- to 5-year-olds and their mothers participated in the study. The children’s BMIs …

Postpartum Depression And Acculturation Among U.S. Immigrant Women Of Arabic Descent, Dalia Alhasanat

Wayne State University Dissertations

Purpose and Background/Significance: Postpartum depression (PPD) affects 12-20% of U.S. mothers. The PPD rates for women of Arabic descent are even higher (up to 37%). Higher acculturative stress and acculturation and lack of social support have been related to higher risk for PPD symptoms among immigrant women. No published research has investigated the relationship between acculturative stress, social support, and/ or acculturation and PPD symptoms among U.S. immigrant women of Arabic descent. Therefore, the purpose of this dissertation research was to examine the impact of acculturative stress, social support, and acculturation on PPD symptoms among these women. The specific aims …

Factors Distinguishing Positive Deviance Among Low-Income African American Women: A Qualitative Study On Infant Feeding, Cecilia E. Barbosa, Saba W. Masho, Kellie E. Carlyle, Maghboeba Mosavel

School of Nursing Publications

Background: Positive deviant individuals practice beneficial behaviors in spite of having qualities characterizing them as high risk for unhealthy behaviors.

Objective: This study aimed to identify and understand factors distinguishing low-income African American women who breastfeed the longest (positive deviants) from those who breastfeed for a shorter duration or do not breastfeed.

Methods: Seven mini-focus groups on infant-feeding attitudes and experiences were conducted with 25 low-income African American women, grouped by infant-feeding practice. Positive deviants, who had breastfed for 4 months or more, were compared with formula-feeding participants who had only formula fed their babies and short-term breastfeeding participants who …

What Is The Relationship Between Food Insecurity And College Students Aged 18-22 And Its Effects On Academic Performance And How Can Proper Nutrition Be Promoted?, Karla Ramos, John Magbanua, Daniella Flores, Janelle De Dios, Karla Bugtong, Shannon Almonia

Student Research Posters

Food insecurity is defined as the limited or uncertain availability of nutritionally adequate and safe foods. It can also be defined as the limited or uncertain ability to acquire acceptable foods in socially acceptable ways. Previous research has observed that food insecurity can disrupt optimal development throughout the life cycle. A growing body of literature has documented the effects of food insecurity on cognitive, academic, and psychosocial development among college students. These studies consistently observed that food insecurity is associated with lower academic performance, poor health, and decreased psychosocial function. Among college students, financial hardship can translate into budget demands, …

Introduction: Nursing Research Project Posters, Jamela Martin, Janice Evans Hawkins

OUR Journal: ODU Undergraduate Research Journal

Nursing 363, Principles of Practice: Research as Foundation for Practice, is a required course in the undergraduate nursing curriculum at Old Dominion University. This course, offered every spring, focuses on the theories and concepts utilized in the scientific investigation of nursing practice. Students are introduced to scientific inquiry in nursing which forms the basis for nursing practice and theory. To meet course requirements, student groups create professional scientific research posters of their research proposal projects. What follows is a compilation of their research posters which were presented at the College of Health Sciences Interprofessional Poster Presentation day in the spring …

Exploring Community-Based Nutrition Education Programs On Children’S Knowledge Of Effective Budgeting And Nutritional Analysis, Danielle Beard, Katie Harris, Charlotte Harrison, Amanda Hawley, Kerri Healy, Ashley Tuttle

OUR Journal: ODU Undergraduate Research Journal

Children from low-income areas, ages 5-18, are at high risk for obesity and other related nutritional issues, partially due to lack of knowledge about effective budgeting and nutritional content analysis. Little information is known about the education provided by current community programs in Hampton Roads for teaching children to 1) shop smart, 2) read nutrition labels, and 3) the importance of eating healthier. We propose a longitudinal (12-week) observational study to determine what community-based education is provided to children on how and why to shop smart and read nutritional content; and to determine whether or not the education is effective. …

Nutritional Status Of Food Insecure Older Adults, Chelsie Walker, Lindsey Asbury, Javier Way, Brent Johnson, Alex Biddle, Courtney Wagner

OUR Journal: ODU Undergraduate Research Journal

Approximately 9.8 million seniors across America were at risk of going hungry in 2015. The percentage of seniors who faced the threat of hunger was equivalent to the percentage of seniors compared with the whole population of the United States. The prevalence rate of hypertension, which contributes to heart attacks and strokes, is over 50%, and the prevalence rate of diabetes is over 25% in seniors. Both heart disease and diabetes are among the top 10 leading causes of death in America with heart disease being number one. Appropriate dieting is recommended as a way to prevent and treat both …

Evaluating The Impact Of An Evidence- Based Weight Reduction Program Among The Obese At A Medical Facility In North Central United States, Petronilla Eke

Walden Dissertations and Doctoral Studies

In September 2016, the Centers for Disease Control and Prevention (CDC) determined that more than one-third (36.5%) of U.S. adults have an obesity problem. According to the CDC, this issue results in other medical conditions such as type 11 diabetes, hypertension, cancer, heart disease, and stroke. This project was designed to evaluate the effectiveness of an evidence-based weight reduction program for obese individuals at a medical facility in the North Central United States. The methodology used consisted of a retrospective chart review of pre- and post-data for 45 people who participated in the medical facility's weight-reduction program over a 6 …