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Prehabilitation Impact On Post-Operative Risk, Readmission Rates And Patient Satisfaction, Pamela Fields

Doctor of Nursing Practice Projects

Background: Prehabilitation programs may improve 30-day readmission rates, post-operative infections and patient satisfaction in obese total joint replacement (TJR) patients. Joint replacement patients who participate in prehabilitation have improved physical function and patient satisfaction. In an effort to improve TJR patients’ mobility and recovery, a prehabilitation performance improvement project was implemented at a local wellness center.

Method: The Institute of Healthcare Improvement, Triple Aim Initiative (IHI, TAI) and Centers for Medicare and Medicaid (CMS) performance improvement goals provided the project foundation (IHI, 2015; CMS; 2015). The physical exercise routine utilized in this program was identified as appropriate for use with …

Ua61/1 Nursing Spirit, Volume 1, Neal Chambler, Dean, Mary Bennett, Director, Susan Megahee, Editor, Creative, Wku School Of Nursing

School of Nursing Publications

No abstract provided.

Use Of Culturally Tailored Media To Increase Hiv Screening Among African Americans, Leda Evans

Doctoral Projects

Over one million people in the United States have HIV with a substantial portion of these individuals being African American. Innovative approaches to improving the HIV disparity among African Americans have been encouraged by the federal government. Culturally tailored HIV risk reduction interventions have been noted as effective in several studies in reducing risk behavior. The purpose of the intervention was to determine if the use of culturally tailored HIV risk reduction media would result in an increase in HIV screening among African Americans. A one-time community based-intervention with no control group was utilized to determine impact of media. Screening …

Is Dietary Intervention A Viable Method For Improving Outcomes In Adult Patients With Asthma?, Jennifer Grolimund

Senior Honors Theses

Asthma is a disease process characterized by episodic inflammation of the lower airway in response to various triggers. Those with asthma have trouble breathing effectively during an acute episode, making asthma a potentially life threatening condition. Standard medical treatment of asthma, including medications and environmental changes, can be effective at reducing or eliminating negative outcomes in patients with asthma. However, a holistic approach to patient care, including an examination of dietary influence, may also be useful for patients trying to manage the course of their illness. Variations in intake of individual nutrients or in total dietary patterns may play a …

2016 Spring Newsletter, Morehead State University. Nursing Department.

Nursing Department Publications Archive

2016 Spring Newsletter of the Department of Nursing at Morehead State University.

Training Traditional Birth Attendants In Sub-Saharan Africa, Lindsey J. Smith

Senior Honors Theses

Even after many adjustments, recommended practice regarding traditional birth attendants (TBAs) and their contribution to lowering the maternal mortality rate (MMR) continues to be disputed among various stakeholders. Sub-Saharan Africa continues to see high maternal mortality rates, despite various attempts by the World Health Organization (WHO) and others at utilizing the formal health care system (Prata, et al., 2011). Considering all factors and variables behind the reason for this problem in Sub-Saharan African, it is reasonable to conclude that training traditional birth attendants (TBAs) in evidence-based practice, in conjunction with developing longer-term strategies, is an appropriate approach for the short …

Faith Community Nursing: Bridging The Gap Between Effective Healthcare And Biblical Ministry, Moriah Kenna

Senior Honors Theses

The United States’ traditional health care system is unprepared to combat the growing rates of chronic illness in its population. With over 90% of those aged 66 years and older living with a chronic illness, an emphasis on preventative care must be enacted. Faith community nursing is a viable and effective option for long-term preventative management of chronic illnesses in the community. Faith community nursing fits both the mission of the Christian church and the needs of the healthcare community and greater awareness of this must be achieved in both the faith and healthcare sectors to bring about maximum results.

Exploring The Needs And Preferences For A Diabetes Self-Management Program In Hispanics Living In The Central Valley Of California, Emily Lane Kimble

Doctoral Projects

Diabetes mellitus type 2 is an ever increasing threat to the health of people living in the United States, especially those of Hispanic ethnicity. This ethnic group is disproportionately afflicted with the chronic condition and is also more likely than non-Hispanic whites to suffer from serious complications of diabetes. This project examines this growing problem among Hispanics living in the Central Valley of California by exploring how best to structure diabetes self-management education in a network of community health centers.

The Social Cognitive Theory provides a theoretical basis for investigation into motivation for diabetes self-management. This needs assessment specifically explored …

A Phenomenological Assessment Of Factors That Affect Medication Adherence Among Hypertensive Nigerian Immigrants, Beulah Iroegbu

Doctoral Projects

This qualitative study explored the perceptions that affect medication adherence among hypertensive Nigerian immigrants in Sacramento, California. The research questions focused on factors that influenced the adherence to hypertension medication; specifically, how the sample population explained the cause of hypertension and whether culture and religion impacted the cause and management of hypertension. A phenomenological approach was used to understand perceptions about medication adherence. A predefined group of 9 acted as a purposive sample and was given semi-structured individual interviews. Qualitative data analysis of the interviews was performed using Colaizzi's 7-step method. Results from the study found the cause of hypertension …

Experiences Of Registered Nurses Who Were Not Initially Successful On The Nclex-Rn, Then Subsequently Passed, Tammy L. Kasprovich

Dissertations (1934 -)

In the past decade, there has been little research conducted regarding individuals’ stories about not initially being successful on the nursing licensure examination (NCLEX-RN). An unsuccessful licensure examination attempt may affect the individual personally and profoundly in ways that could influence their future success. Learning from registered nurses’ experiences may contribute to developing new strategies to promote graduate nurses’ initial success, which could help alleviate the nursing shortage. The purpose of this research study was to explore, using a narrative method, the experiences of registered nurses who were not initially successful the NCLEX-RN, then subsequently passed. Personal Construct Theory (PCT) …

Gardening/Yard Work And Depressive Symptoms In African Americans, Elisa R. Torres, Carolyn M. Sampselle, David L. Ronis, Harold W. Neighbors, Kimberlee A. Gretebeck

College of Nursing Faculty Research and Publications

Background

The purpose of this study was to examine the frequency of gardening/yard work in relation to depressive symptoms in African-Americans while controlling for biological and social factors.

Methods

A secondary analysis was performed on the National Survey of American Life (n = 2,903) using logistic regression for complex samples. Gardening/Yard work was measured by self-reported frequency. Depressive symptoms were measured with the Center for Epidemiologic Studies Depression scale.

Results

Biological and social factors, not gardening/yard work, were associated with depressive symptoms.

Conclusions

Biological and social factors may need to be addressed before the association between gardening/yard work and depressive …

Facilitators And Barriers To Type 2 Diabetes Self-Management Among Rural African American Adults, Dina Byers, Katy Garth, Dana Manley, Diane Chlebowy

Journal of Health Disparities Research and Practice

Purpose: The purpose of this study was to identify facilitators and barriers to self-management of type 2 diabetes mellitus (T2DM) among African American adults living in rural communities. Research indicates that African Americans experience higher rates of T2DM and diabetes-related complications than other ethnic groups. In Kentucky, diabetes is now the fourth leading cause of death by disease among African Americans.

Methods: Twenty-two African American adults with T2DM were recruited from three churches in rural communities in Kentucky. Three focus groups were conducted to identify factors that made managing diabetes easier (facilitators) and factors that made managing diabetes more …

Integrating Evidence Into Practice Through A Nurse Residency Program, Patricia L. Hoak Msn, Rn, Nea-Bc

Patient Care Services / Nursing

No abstract provided.

Psychometric Evaluation Of The Physical Activity Enjoyment Scale In Adults With Functional Limitations, Carolyn J. Murrock, Abir K. Bekhet, Jaclene A. Zauszniewski

College of Nursing Faculty Research and Publications

Enjoyment is an important construct for understanding physical activity participation, and it has not been examined in adults with functional limitations. This secondary analysis reported the reliability and validity of the Physical Activity Enjoyment Scale (PACES) in a convenience sample of 40 adults with functional limitations. The participants completed the PACES, Center for Epidemiological Studies Depression Scale (CES-D), and the Late Life Function and Disability Instrument (LLFDI) prior to beginning a 12-week feasibility dance intervention study. Results indicated reliability as Cronbach's alpha was .95 and mean inter-item correlation was .52. To further support reliability, homogeneity of the instrument was evaluated …

The Effect Of A Resourcefulness Training Intervention On Relocation Adjustment And Adaptive Functioning Among Older Adults In Retirement Communities, Abir K. Bekhet, Jaclene A. Zauszniewski

College of Nursing Faculty Research and Publications

The population of older adults is increasing rapidly and is expected to reach 83.7 million by the year 2050. Previous research demonstrates that greater resourcefulness is associated with better quality of life and life satisfaction. The purpose of this pilot study was to evaluate the effects of a resourcefulness training intervention on positive cognitions, resourcefulness, relocation adjustment, and adaptive functioning among older adults who have relocated to retirement communities. Resourcefulness theory provided the theoretical framework for this study. Forty older adults who relocated to three retirement communities in Milwaukee, WI were randomly assigned to either a diversional activity group or …

Duloxetine And Pregabalin: A Comparison And Contrast For The Treatment Of Painful Diabetic Neuropathy, Maggie Hartmann

Nursing Capstones

No abstract provided.

Practice Matters: Prevention And Care Of Individuals With Type 2 Diabetes, Lizbeth P. Sturgeon Phd, Tonya M. Bragg-Underwood Dnp, Maire Blankenship Dnp

International Journal of Faith Community Nursing

A Faith Community Nurse (FCN) is tasked with promoting health within a faith-based community. As with any nursing role, the FCN must keep abreast of current issues and be aware of informational resources to keep his/her practice relevant. The area of focus in this issue is type 2 diabetes. During 2014, the global prevalence of diabetes among adults was estimated at 9%. There are numerous risk factors for type 2 diabetes including both modifiable and non-modifiable. The diagnosis of diabetes can be made based on plasma glucose or Hemoglobin A1C (A1C) criteria.Prediabetes and type 2 diabetes affect many people globally. …

Health Coaching In Faith-Based Community Diabetes Education, Janet L. Meyer, Beverley E. Holland

International Journal of Faith Community Nursing

Abstract

A significant health burden exists related to type 2 diabetes. Evidence-based solutions through research are needed to improve diabetes outcomes. Faith community diabetes education can be utilized to provide the knowledge needed to manage the disease. The purpose of the current study was to determine if a faith-based community diabetes education program including health coaching can increase self-efficacy in people with type 2 diabetes.

This pilot study used a pre-test/post-test format for data collection. Following diabetes education for all participants, half of the group received health coaching and the other half no further intervention. A survey consisting of two …

Implementing Faith Community Nursing Interventions To Promote Healthy Behaviors In Adults, Donna M. Callaghan

International Journal of Faith Community Nursing

Purpose: To report the implementation of faith community nursing interventions to promote healthy behaviors in adults. Callaghan (2015) reported the development of this intervention, which was based on previous studies that support the importance of spiritual growth on the initiative and responsibility for self-care across the life span (Callaghan, 2003, 2005, 2006). The intervention also included strategies to increase self-efficacy of healthy behaviors. The results of three separate implementations of the health promotion intervention are presented in this report.

Procedures: Three health promotion programs were implemented over a five year period (2010 – 2015). These programs were offered for the …

A Pilot Study Of A 6-Week Parenting Program For Mothers Of Pre-School Children Attending Family Health Centers In Karachi, Pakistan., Yasmeen Khowaja, Rozina Karmaliani Professor, Shela A. Hirani, Asif Raza Khowaja, Ghazala Rafique, Judith Mcfarlane

School of Nursing & Midwifery

BACKGROUND:

Recently, parenting programs to address behavioural and emotional problems associated with child maltreatment in developing countries have received much attention. There is a paucity of literature on effective parent education interventions in the local context of Pakistan. This study aimed to assess the feasibility of offering a 6-week parenting program for mothers of pre-schoolchildren attending family health centres (FHCs) in Karachi, the largest metropolitan city of Pakistan.

METHODS:

A pilot quasi-experimental trial was conducted. Two FHCs were selected, one as the intervention and the second as the control. A total of 57 mothers of pre-school children (n = 30 …

Feasibility Of Mhealth Technology Use Among A Sample Of Isolated Rural Men At High Risk For Cardiovascular Disease, Betsy J. Becker, Christine M. Eisenhauer, Carol H. Pullen, Paul J. Dizona, Patricia A. Hageman

Posters and Presentations: Physical Therapy

Purpose/Hypothesis: Isolated rural men are considered a health disparities group at high risk for cardiovascular disease. The increasing availability of technologies for self-monitoring for healthy eating, activity and weight loss (ie mHealth) may show promise for engaging rural men in lifestyle modification. This study investigated the feasibility of men from rural isolated areas to use a fitness monitor with text messaging support over a 3- week period. The study examined the men’s daily monitor use for tracking activity and eating, and assessed via written survey, their perspectives about mHealth.

Number of Subjects: Twelve men, ages 40 to 69, from …

Grace Spena, Grace Spena, Kelsey Duinkerken

Jefferson Nursing Oral Histories

Grace Spena grew up with an interest in health sciences, first wanting to be a medical laboratory technologist and later a registered nurse after attending an open house on nursing at Saint Agnes Hospital, where she volunteered as a teenager. Upon completing her education in 1971 from the Jefferson Diploma School of Nursing, Ms. Spena began her career as a Staff Nurse in the Surgical ICU at Jefferson Hospital. She then went to Medical College of Pennsylvania, working as a Staff Nurse in the combined Medical/Surgical ICU and later as the Head Nurse of the 3 West Medical/Surgical unit. After …

Eileen Healy Garrity, Eileen Healy Garrity, Kelsey Duinkerken

Jefferson Nursing Oral Histories

Eileen Garrity’s first draw to the medical field came through her interest in Christiaan Barnard’s work as a cardiac surgeon. After deciding to pursue nursing instead of medicine, Ms. Garrity entered the Jefferson School of Nursing’s Diploma program, graduating in 1976. She began her career as an ER and ICU nurse, working at Atlantic City Medical Center, Pennsylvania Hospital, and Mercy Fitzgerald. She eventually left hospital nursing to work at Blue Cross, ending there as the manager of their risk programs department before moving on to Taylor Hospital as a director of social work case management and later manager of …

Breanne Ward, Breanne Ward, Kelsey Duinkerken

Jefferson Nursing Oral Histories

Though she originally decided to become an accountant during college, Breanne Ward soon realized she would rather be in a field where she could work more closely with people. She chose nursing because she wanted the opportunity to physically care for others. Ms. Ward was accepted as a nursing student in Jefferson’s Full-time Accelerated Coursework Track (FACT) program, during which time she discovered an interest in community health through both her non-hospital clinical experiences and volunteering with Jeff HEALTH (Helping East Africa Link To Health). After working in the Thomas Jefferson University Hospital and completing her Master’s in Community Systems …

Pat Owens, Pat Owens, Kelsey Duinkerken

Jefferson Nursing Oral Histories

From a young age Pat Owens had a strong interest in nursing, and as a high school student she was even the President of her school’s Future Nurses Club. However, she also really liked home economics so when she went to college she decided to pursue home economics rather than nursing. After working as at the Dairy Council as a nutrition consultant and later at Campbell’s Soup in their test kitchen, Ms. Owens decided that she wanted to instead pursue a career in nursing. After looking into different programs in the Philadelphia area, she chose Jefferson, entering in 1990 and …

Innovations Volume 1: Issue 2, Ron And Kathy Assaf College Of Nursing

Innovations Magazine

No abstract provided.

Breastfeeding Effects With Early Intervention For Ankyloglossia (Tongue-Tie), Hope L. Adams

All Electronic Theses and Dissertations

Background: Anklyoglossia or tongue-tie in infants often goes undiagnosed primarily due to the lack of knowledge for assessing tongue-tie thus disrupting a successful breastfeeding experience. Education, diagnosis, and treatment of ankyloglossia are vital in order to create a successful breastfeeding outcome. Purpose: To determine the effects of breastfeeding with early intervention for ankyloglossia (tongue-tie). Theoretical/Conceptual Framework: Benner’s concept of Novice to Expert allows nurses to develop skills over time through education and personal experiences. Weidenbach’s concept of The Helping Art of Clinical Nursing applies to direct patient care, teaching, and advice. Methods: Cumulative Index to Nursing and Allied Health Literature …

Birth Centers And Underserved Populations, Michelle M. Dabrowski

All Electronic Theses and Dissertations

Background: Disadvantaged women in the United States experience disparities in prenatal and birth related health outcomes. Purpose: The purpose of this literature review is to answer the question, “Can freestanding birth centers (FBC) improve outcomes for disadvantaged populations?” Results: FBCs do improve outcomes for disadvantaged populations in mode of delivery, low birth weight, prematurity, breastfeeding continuance, enhanced social support, and decreased familial stress, without additional risk for adverse outcomes. FBCs showed a demonstrable financial benefit through decreased facility fees, delivery charges, and fewer costs associated with the adverse health outcomes of cesarean sections, low birth weight, and premature infants. Conclusion: …

Centering Pregnancy: The Maternal And Neonatal Benefits Of Group Prenatal Care, Trisha Lynn Nelson

All Electronic Theses and Dissertations

Background/Purpose: Centering Pregnancy is a type of group prenatal care that allows women to meet and receive their prenatal care together. The groups meet ten times during the pregnancy and focuses on different aspects of prenatal care. This critical review of the literature focuses on maternal and neonatal benefits of group prenatal care over traditional one-on-one care. A secondary analysis looks at how group prenatal care affects adolescents, women of low socioeconomic status, and minority ethnicities. The Social Learning Theory by Albert Bandura was utilized to look at Centering Pregnancy. The Social Learning Theory states that learning in a group …

Delayed Cord Clamping Impact On Transitional Outcomes Of The Newborn, Ann E. Rice

All Electronic Theses and Dissertations

Background: Currently in the United States, after a baby is born, the umbilical cord is immediately clamped; this is a routine obstetric procedure despite lack of evidence supporting this practice (Elchenbaum-Pikser, 2009). The practice of cord clamping varies with each provider from immediate cord clamping, to delayed cord clamping (which can vary from 1 to 5 minutes) to cord clamping after pulsation of the cord ceases. The procedure of cord clamping is a practice choice made by each medical provider and is based largely on personal preference, not evidence. Purpose: The purpose of this review and synthesis of literature is …