Digital Commons Network^™

The Efficacy Of Non-Pharmacological Pain Management Methods Amongst Premature Neonates In The Neonatal Intensive Care Unit (Nicu), Hannah R. Martinez

Honors Undergraduate Theses

The purpose of this study was to conduct an integrated review of the literature examining the use of non-pharmacologic pain management strategies in premature neonates and to explore the relationship between health outcomes and time to discharge from the neonatal intensive care unit (NICU). Non-pharmacologic pain management strategies include human touch, facilitated tucking, non-nutritive sucking, and kangaroo care. A systematic review of the literature was conducted from multiple online databases. Peer reviewed, English-language articles containing the keywords ‘pain management’, ‘neonatal intensive care unit’, and ‘non-pharmacologic’ were included for synthesis. Exclusion criteria included articles with a focus on infants not admitted …

Effects Of Sepsis Protocols On Health Outcomes Of Adult Patients With Sepsis, Monika U. Mróz

Theses and Dissertations

Sepsis is a condition that arises from the host’s own exaggerated response to an infection, directed towards pathogens, but causing multiple organ failure. Sepsis is one of the most common causes of death, and a considerable absorber of healthcare resources. This frequently fatal condition, despite progress in technology and improving knowledge of pathophysiology, is still poorly understood, carries high mortality and morbidity rates, and survivors are often left with permanent disabilities and poor health outcomes.

Initial presentation of sepsis is often nonspecific, making diagnosis difficult, and causing lifesaving treatment delays. Sepsis guidelines are derived from emerging evidence-based research. While there …

Childhood Obesity And Nursing Interventions, Rebecca Oswald

Senior Honors Theses and Projects

This paper will examine obesity and the multitude of methods for a healthcare professional to help influence their patients using health promotion techniques for those who are at risk for obesity. This paper will discuss the pathophysiology of obesity as well as childhood obesity risk factors that pertain to this disease. This paper will investigate the nursing interventions being used today to combat childhood obesity within the following settings; school, in-patient, and clinic.

Caring Minds, University Of Texas Health Science Center At Houston School Of Nursing

Caring Minds

No abstract provided.

A Lost Tribe In The City: Health Status And Needs Of African Asylum Seekers And Refugees In Hong Kong, William Chi Wai Wong, Sealing Cheng, Eleanor Holroyd, Julie Chen, Kelley Ann Loper, Lynn Tran, Heidi Yin Hai Miu

School of Nursing & Midwifery, East Africa

Background: Hong Kong’s resistance to be a signatory of the 1951 Geneva Convention and lack of domestic policies in this area has resulted in restrictions on access to healthcare amongst asylum seekers and refugees (ASRs). Using social determinants of health framework this study sought to identify health practices, problems and needs of African ASRs in Hong Kong.

Methods: A cross-sectional survey comprising of six domains including health status, health-seeking behaviour and social experience targeted at adult African ASRs in Hong Kong was conducted through three local non-governmental organisations between February and April 2013. Outpatient care and inpatient care in the …

Palliative Care Across The Lifespan, Sonya Sabrah

Senior Honors Theses and Projects

When a patient or a loved one has a chronic, life-threatening illness, it is critical to guarantee the healthcare provider or family member helping them explore their options in order to make them as comfortable and happy as possible. Palliative care programs aim to relieve the patient or loved one from suffering by managing their symptoms, and working with them to achieve their goals and enhance their quality of life. Many people may confuse hospice with palliative care but it is important to realize hospice has certain requirements that a patient has to meet whereas palliative care programs can be …

Health Professions Division 2016-2017 Catalog, Nova Southeastern University

Health Professions Divisions Course Catalogs and Course Descriptions

No abstract provided.

B.S. Nursing Program Curriculum, Nova Southeastern University

Health Professions Divisions Course Catalogs and Course Descriptions

No abstract provided.

Alzheimer's Disease Today & Tomorrow, Sherry L. Shaffer

Nursing Student Class Projects (Formerly MSN)

Alzheimer’s Disease (AD) has impacted me on a personal level and professional level. I witnessed my grandfather slowly slip away at the hands of AD over the course of a decade. As a psychiatric nurse, I have provided care for geriatric patients diagnosed with Alzheimer’s Disease and stuck in a cycle of acute psychiatric distress and chronic neurodegeneration.

• Over 100 years ago, Dr. Alois Alzheimer first described AD. (Alzheimer’s Association, 2016)

• In 1994, former President Ronald Reagan put AD in the spotlight when he publicly shared his diagnosis. (Alzheimer’s Association, 2016)

• In 2013, the CDC estimates as many as 5 …

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Relationship Between Self-Care Agency, Self-Care Practices, And Body Mass Index Among Nursing Professionals, Takara Schomberg

Electronic Theses and Dissertations

Purpose: The purpose of this study is to investigate the relationship between self-care agency (SCA), self-care practices (SCP), and Body Mass Index (BMI) among Registered Nurses (RNs) living in an urban South Dakota county. These specific constructs and their relationships have not been researched among nursing professionals. Methods: This study used a non-experimental, predictive correlational approach based on Orem’s Self-Care Deficit Theory to quantify the relationship between self-care agency and self-care practices and subsequently body mass index (BMI) among nursing professionals. A tracked but anonymous online survey was sent by email via QuestionPro to 210 nursing professionals selected using systematic …

The Effects Of Super-Fruits Including Montmorency Tart Cherries And Pomegranate On The Human Body: A Literature Review, Keeley D. Forrester

Senior Honors Theses and Projects

This literature review explores several published articles that report results related to health benefits of super-fruits including Montmorency tart cherries and pomegranate. Research suggests that Montmorency tart cherry supplementation may have the ability to relieve pain by decreasing inflammation, prevent gout flare ups by reducing uric acid levels in the bloodstream, relieve insomnia with natural exogenous melatonin, and lessen symptoms of muscle damage from physical exertion by decreasing oxidative stress. Studies have also shown that pomegranate supplementation may have the ability to help prevent obesity by helping to decrease body weight and fat production and improving insulin sensitivity as well …

The Influence Of Self-Efficacy On Physical Activity In Older Adults With Diabetes, Heather Tonyaleigh Mcgee-Anderson

MUSC Theses and Dissertations

Diabetes affects million individuals within the United States with the highest prevalence in older adults. Physical activity has been shown to improve diabetes control; yet older adults are significantly less physically active than national recommendations suggest. Higher levels of self-efficacy have been shown to increase physical activity in many populations. Bandura’s theoretical framework of self-efficacy has supported that a higher level of self-efficacy correlates with higher levels of physical activity. The research for this dissertation first explored a gap in the literature regarding older adults with diabetes as it relates to self-efficacy and physical activity with an integrative review. This …

Behavioral Modification And Relapse Rates In Opioid-Dependent Pregnant Women Managed With Subutex, Tammy Lynn Minor

Walden Dissertations and Doctoral Studies

Behavioral Modification and Relapse Rates in

Opioid-Dependent Pregnant Women Managed with Subutex

by

Tammy Minor

MSN, Walden University, 2009

BSN, Marshall University, 1986

Project Submitted in Partial Fulfillment

of the Requirements for the Degree of

Doctor of Nursing Practice

Walden University

March 2016

Opioid dependency affects not only the individual who is dependent on opioids but negatively impactsalso the family unit, the community, and society as a whole. Opioid use in the prenatal period can have devastating effects on both the mother and the fetus. The purpose of this paper is to perform a secondary analysis of the effectiveness of …

Mysleep101©: An Educational Mobile Medical Application For Sleep Health In Primary Care, Sonya Cook

Theses and Dissertations

Insufficient sleep has emerged over the past few decades as a public health concern. As little as 1 to 2 hours of sleep loss can produce extreme fatigue and physiological drives similar to thirst and/or hunger which increases the risk of motor vehicle accidents, work related mistakes and injuries. Sleep restriction whether voluntary or involuntary has produced a culture of chronic sleep deprivation that can be seen throughout the population. Chronic lack of quality sleep has been shown to adversely affect cardiovascular health, cognitive function, memory, immune responses and hormonal regulation among other homeostatic functions. Sleep disorders represent the cause …

Culture Counts: An Analysis Of Cultural Awareness And Competency Among Nursing Students, Ariel Starr Tate

Undergraduate Honors Theses

As cultural diversity becomes increasingly significant in the field of nursing, so does its inclusion in accredited Bachelor of Science in Nursing (BSN) and Associate Degree in Nursing (ADN) programs. An analysis of one university’s school of nursing program curriculum was conducted to measure the cultural awareness and competency of nursing students progressing through BSN and ADN accredited programs, using the Cultural Awareness Scale (CAS) survey and a qualitative survey. Results indicated BSN students and senior level students score higher on average compared to ADN students and junior level students respectively. However, low means overall and only 15% to 18% …

Effects Of Obesity On United States Farmers: A Pilot Study, Sharon C. Hunsucker

Theses and Dissertations--Nursing

Previous research described the value farmers place on their ability to work. The impact of obesity on workers is an increasing concern in occupational health research; yet, knowledge regarding the impact of obesity on the performance of farm work is limited. Identifying the impact of obesity on farmer’s work ability can guide healthcare workers in promoting and motivating farmers to implement lifestyle changes to improve health and sustain longevity in their ability to work.

The purpose of this dissertation was to examine the impact of obesity on the work ability of U.S. farmers. Specific aims were to 1) examine the …

Competitive Food Policy Implementation In Kentucky Schools, Paula Gisler

Theses and Dissertations--Nursing

This study was designed to explore the literature on competitive food policy implementation (CFPI); examines demographic and school factors associated with CFPI; and explores the experiences of school leaders and staff in CFPI using a proposed theoretical framework to guide the research. Competitive foods are those sold in vending machines, a la carte settings, fundraisers, class parties and other venues which compete with foods offered through the national school lunch and breakfast programs. Competitive foods have traditionally been of low nutritional value and high energy density. CFPI may be effective in reducing student calorie intake and BMI. However, evaluation of …

Assessment Of Obesity Management In A Primary Care Setting, Katie Diffenderfer

DNP Projects

Purpose: The purpose of this study was to evaluate the current practices related to obesity in the primary care setting in University of Kentucky’s Healthcare System. The specific aims were to: 1) Determine the proportion of obese patients who had an ICD-9/10 diagnosis code for obesity, 2) Determine the proportion of obese patients who received interventions related to their obesity, 3) Determine whether obesity diagnosis and interventions varied based on patient demographics, and 4) Compare actual obesity interventions to those outlined in the clinical practice guidelines.

Methods: A retrospective chart review of male and female patients between the ages of …

Effect Of Enteral Feeding Timing In Septic Shock Patients, Shane D. Slone

DNP Projects

The goal of this research project was to identify the effect of the timing of enteral nutrition (EN) initiation timing on in-hospital mortality, ICU LOS and hospital LOS among patients with septic shock requiring norepinephrine. The study design was a cross-sectional analysis of retrospective electronic health record data. Patients who had received norepinephrine for septic shock were divided into early EN initiation (within 48 hours of ICU admission) and late EN initiation (Greater than or equal to 48 hours after ICU admission) groups. 680 subjects were included; 469 in the early group and 211 in the late group. Demographics, comorbidities, …

An Evaluation Of Childhood Overweight And Obesity Screening And Management In The Primary Care Setting, Stephanie Horning

DNP Projects

Background-In Kentucky, 19.7% of children ages 6-11 years old are obese ("Center for Disease Control and Prevention (CDC)," 2013). Approximately 50% of these children will become obese adults (Lazarou & Kouta, 2010). It is imperative that interventions are initiated to normalize weight in childhood to offset the long term physical and psychosocial risks associated with obesity.

Purpose-The purpose of this gap analysis was to evaluate the screening and management of childhood overweight and obesity in one of Norton’s healthcare primary care setting.

Methods-The electronic medical records of 35 children aged 10 to 11, who had BMIs > 85 …

An Obesity Needs Assessment With African American Adults In Central Virginia, Nicole Michelle Brown

Walden Dissertations and Doctoral Studies

The risk for obesity is especially prevalent among African American adults in Central Virginia, who have one of the highest rates of obesity in the nation. Efforts to address obesity in African American adults through diet, weight reduction, and increased physical activity in settings such as schools, worksites, healthcare organizations, churches, and communities, are among the initiatives of Healthy People 2020. The objective of this project, conducted with 91 African American adults (33 females and 58 males) in central Virginia, was to complete a community needs assessment that related to obesity among members of an African American church. The needs …

Experiences In Care Given During Child Birth At A Referral Hospital In Kenya, Jane Kabo, A. Karani, J. Oyieke, A. B. Wakoli, B. Cheruiyot

School of Nursing & Midwifery, East Africa

The fifth Millennium development Goal (MDG) calls for a reduction in the maternal mortality ratio (MMR) by 75% between 1990 and 2015, with a key indicator being the proportion of births attended to by skilled health personnel, (United Nations, 2007). In Kenya the MMR is 400 and has made insufficient progress towards improving maternal health, (UNICEF, WHO, World Bank, 2013). According to KDHS (2014), the proportion of skilled birth attendance is 46.5%, while in Kenya it is 62% against an MDG target of 90%. According to Zaers S., et al., (2008), prior experience in delivery care by skilled attendants affects …

Partnership, Maine Medical Center

Annual Reports

Biennial Report on Nursing, 2015-2016

Integrative Review Of Nurse-Delivered Community-Based Physical Activity Promotion, Elizabeth Richards, Y. Cai

School of Nursing Faculty Publications

Purpose: The purpose of this integrative review is to 1) describe intervention attributes, 2) describe the role of nurses in community PA promotion, and 3) describe the efficacy of the interventions in terms of PA behavior change. Methods: Computerized database and ancestry search strategies located distinct intervention trials between 1990 and 2015. Results: Thirteen national and international studies with 2,353 participants were reviewed. Multi-dose, face-to-face, group-based interventions with or without individual-based contacts for 6 months or less were the most common intervention delivery modes. Only 40% (n=5) of the studies integrated health behavior theory into intervention design. Less than half …

Supporting Healthy Futures For East Africa: Celebrating 15 Years Of Partnership In Nursing Education. School Of Nursing And Midwifery In East Africa, Aga Khan University, Nairobi, Kenya, Sharon Brownie, Walter Robb, Lyndal Hunter, Cliff Aliga, Isabel Kambo, Atem Machar, Joseph Mwizerwa, Judith Mutyabule, M. Namuguzi, Carolyne Namukwaya, Esther Nderitu, Leah Sande, Victor Skrzypczynski, Muneerah Vastani, Mariana Xavier

Books

This impact evaluation study was designed on the basis of quality and accountability. It focused on sourcing evidence regarding the impact and achievements of a 15-year investment in nursing education and workforce capacity building. The study was also designed to enhance alumni connection and establish sustainable models for monitoring and evaluation.

Low Self-Esteem Leads To Depression Among Elderly: Case Study Of Nursing Home, Savera Aziz Ali, Nadir Suhail, Sumera Aziz Ali

School of Nursing & Midwifery

Background: Self-esteem is defined as “how we value our self”; it affects our trust and relationships in every part of life. Person with low self-esteem may feel powerless and incompetent about himself/herself. Moreover, low self-esteem operates as a risk factor for depression, which is most common disorder among elderly people both in developed and developing countries, causing multiple behavioral changes as well as may increase the chances of depression and suicide among the elderly people. Objective: The objective of this case study was to understand the problems faced by elderly people in the nursing home and to relate the self-esteem …

Diabetes Mellitus Type 2: A Quality Improvement And Patient Safety Initiative, Remeliza Navarrete Tukay

Walden Dissertations and Doctoral Studies

The purpose of the quality improvement (QI) project was to examine the relationship between amended nursing education concerning diabetes mellitus (DM) Type 2 self-care management incorporating Tune in, Explore, Assist, Communicate, and Honor (TEACH) and Motivational Interviewing (MI) strategies and techniques and the Glycosylated hemoglobin (HgbA1C) of veteran patients with uncontrolled diabetes. The target sample included the 2 licensed practical nurses and 2 registered nurses assigned to 2 primary care teams, and the 10 purposively sampled patients with uncontrolled DM Type 2 from each team. The nurses' competencies were measured through descriptive comparison before and after nursing education implementation using …

Developing A Guideline For Care Of Students With Diabetes, Rita Ozioma Onwenna-Aninyei

Walden Dissertations and Doctoral Studies

Diabetes mellitus (DM) is one of the most common chronic diseases affecting children under the age of 20, and it often leads to serious complications. In recent decades, there has been an increase in incidence of both types of DM among U.S. children. Having this chronic condition not only negatively impacts the health of these children but also their academic achievements. School health nurses struggle to manage these children appropriately and safely. The purpose of this project was to develop an evidence- based guideline for a standardized process in which school nurses coordinate the school and student health care teams …

Promoting Diabetes Self-Managment Eduaction And Training In Out-Patient Clinics, Inemesit Godwin Udo

Walden Dissertations and Doctoral Studies

Abstract

Type 2 diabetes mellitus (T2DM) is a long term metabolic disorder characterized by high blood sugar, insulin resistance, and relative lack of insulin. T2DM is a leading cause of cardiovascular disease, blindness, kidney failure, lower-limb amputation, and other complications that are costly to patients and the U.S. health care system. Lack of knowledge and underdeveloped skills for self-management of diabetes continues to be the biggest problem for patients with T2DM. Using a team approach and Rosswurm and Larrabee's (1999) conceptual model as a framework, the purpose of this doctorate of nursing practice quality improvement project was to develop an …

Implementation And Evaluation Of Dietary Modification With Gestational Diabetes, Celia T. Ojeaga

Walden Dissertations and Doctoral Studies

Gestational diabetes mellitus (GDM) negatively affects the health of both mothers and babies, and is the most common pregnancy complication in the United States. Many dietary modification programs for pregnant women diagnosed with GDM rely on a one-size-fits-all approach to menu planning. The purpose of this project was to develop a diet modification program for GDM management using a patient-centered approach. The project objective was to develop the policies, procedures, and supporting documents needed to implement a successful GDM management program for pregnant women receiving antenatal care at an obstetrical clinic. The developed program incorporated strategies for clinic nursing staff …