Digital Commons Network^™

Creating Opportunities For Personal Empowerment For Adolescent Students In A Rural High School, Sharon A. Edwards

Doctor of Nursing Practice Projects

BACKGROUND: With the incidence of 3% of children and 6% of adolescents diagnosed with depression, treatment appropriate for this population is needed. Provision of mental health care is limited due to barriers of access such as transportation, parental consent, and availability of services in the adolescent’s environment such as the school setting. OBJECTIVES: To decrease the depressive symptoms and increase the self-confidence perceptions of adolescents in a high school setting utilizing a cognitive-behavioral skills enhancing, seven-session intervention called COPE (Creating Opportunities for Personal Empowerment).

STUDY DESIGN: The project was an evidence-based nurse practitioner project utilizing pre- and …

The Use Of 4g Android Tablets For Enhanced Patient Activation Of Chronic Disease Self-Management In People With Heart Failure, Judith Kutzleb, Nancy Elmann, Andrew Fruhschien, Stephen Angeli, Angel Mulkay, Jarrett Bauer, Dan Priece

Touro College of Osteopathic Medicine (New York) Publications and Research

Problem: The purpose of this research was to evaluate the impact of an advanced practice nurse-directed patient education approach to heart failure treatment integrating the use of an interactive 4G android tablet, will enable patients to experience enhanced patient activation and engagement in chronic disease self-management and fewer 30-day rereadmissions.

Data source: This was a prospective patient randomization, multi-center quasi-experimental design study of 50 patients comparing an advanced practice nurse-directed education of disease self-management and use of a 4G android tablet (TC) group (n = 25) and routine medical management (MC) group. The study length was 12 months.

Conclusions: Descriptive …

Breastfeeding Education: Improving Initiation And Duration Of Breastfeeding, Rhonda Coffey

Nursing Theses and Capstone Projects

The purpose of this research study was to examine the level of self-efficacy for new mothers attending a formal breastfeeding education compared to those that did not. Participants were asked to complete the Breast Feeding Self-Efficacy Scale - Short Form via telephone. Twenty primigravida mothers who were breastfeeding at the time of discharge agreed to participate. A Pearson correlation coefficient was calculated examining the relationship between the participant's level of self-efficacy and participation in formal breastfeeding. The Pearson correlation coefficient was positive but was not statistically significant ( r (18)= .250, p > .05) indicating no relationship between the participant's self-efficacy …

Knowledge Of The Risks Of Heart Disease In Uninsured And Insured Persons With Diabetes In A Rural Community In Southeastern United States, Lisa S. Howard

Nursing Theses and Capstone Projects

Diabetes and heart disease are chronic illnesses affecting many lives in the United States. Both diseases have complications, and when coupled together, the mortality rate and risk of complications increase. Heart disease is the leading cause of death in most countries across the world, and the majority of individuals diagnosed with diabetes die of a heart disease complication. Literature review reveals a plethora of research regarding the relationship between diabetes and heart disease, but limited research was found regarding health disparities with diabetes and heart disease awareness. No research was found assessing the knowledge base regarding diabetes and heart disease …

Patient Education In The Emergency Department, Bryan K. Devinney

Nursing Theses and Capstone Projects

Patient education is a core component to the practice of nursing in many countries, including the United States. Emergency department nurses are often overwhelmed with the number of patients they must care for in short amounts of time. The patients are often in varying stages of evaluation and treatment, and the nurse may be involved in one-on-one interventions with these patients. This can leave little time for patient education, especially if the nurse does not feel like the patient education is meaningful or useful. Various factors can influence the ability and desire of the emergency department nurse to provide proper …

Non-Pharmacological Interventions Project: Treatment For Dementia, Mandy Richards

Nursing Theses and Capstone Projects

In response to the Office of Inspector General's research report on atypical antipsychotic off label treatment of elderly dementia residents in long-term care, the Centers for Medicare and Medicaid Services developed a non-pharmacological intervention known as the Hand In Hand training tool. This projects focus was on training the direct care nursing staff with the Hand In Hand tool and evaluating for decrease in behavior and psychological symptoms in their patients. A retrospective chart review was utilized for the Minimum Data Sets tool Brief Interview of Mental Status (BIMS) and Mood interview. Pre training and post training scores were analyzed …

South Carolina School Nurses' Knowledge, Opinions, Perceptions, And Practice Measures Regarding Childhood Obesity, Logan Camp

Nursing Theses and Capstone Projects

Childhood obesity has become a significant national health issue due to rising incidences and associated chronic medical conditions. School nurses across the United States of America are in prime positions to address childhood obesity as they have access to large numbers of children and adolescents in school settings. A review of current literature demonstrated that school nurses were overall knowledgeable concerning childhood obesity, but encountered numerous barriers in enacting weight-related assessments and treatment programs. The purpose of this research study was to determine the knowledge, opinions, perceptions, and practice measures of South Carolina school nurses regarding childhood obesity. The "School …

Improvement Of Standardized Documentation Of Patients With Copd In An Acute Care Setting, Kimberly Biery

Doctor of Nursing Practice Program Projects

The purpose of this project was to improve patient clinical outcomes of average length of stay, mortality rate, and readmission within 30 days by increasing health care provider order set usage and documentation as it relates to patients with a primary diagnosis of Chronic Obstructive Pulmonary Disease (COPD). Epic ™ computer based clinical documentation by healthcare providers at The Christ Hospital (TCH) was inconsistent. The PICOT question developed was: in the COPD population of an acute care hospital, how does standardized electronic COPD process measure documentation and order set usage compared to no COPD process measure documentation and order set …

Child Weight And Feeding Patterns In An Old Order Mennonite Community, Dawn M. Garrett Wright, Maria E. Main, M. Susan Jones

Nursing Faculty Publications

Feeding practices in some religious communities may decrease childhood obesity. However, there is limited research in these communities to assess maternal perceptions of their children’s weight and feeding patterns. The purpose of this study was to ascertain Old Order Mennonite mothers’ perceptions of their children’s body weight and to examine feeding patterns for their children. Sample: Participants for this descriptive, correlational study were recruited from an Old Order Mennonite community in south central Kentucky. Sampling was achieved using a snowball sampling strategy and the use of a community insider. Methods: Body Mass Index was measured for mothers and child participants, …

Can Follow Up Phone Calls Decrease Complications Of Chemotherapy Toxicities In Adults?, Maire M. Blankenship

Doctor of Nursing Practice Technical Reports

Approximately 22% of all cancer patients in the United States receive chemotherapy. Older adults account for 60 % of new cancer diagnoses in the United States. The aging process is associated with comorbidities that potentially can increase toxicities associated with chemotherapy. These include coronary artery disease, hypertension, and diabetes. Monitoring for toxicities during treatment and intervening when needed allows patients to move forward in their treatment plan. Interruptions in the treatment plan have the potential to adversely affect treatment goals. The purpose of this study is to determine if patients receiving phone calls on predetermined days had fewer days of …

Improving Efficacy In And Across The Intermediate Care Area (Ica) Team, Jennifer O'Neil Bsn, Rn, Emma Branca Bsn, Rn

Posters

PURPOSE •Improve staff efficacy through improved communication, management of daily workflow and allocation of work assignments •Better meet patient needs •Promote patient safety •Improve patient and staff satisfaction

Gw Nursing, 2014, George Washington University, School Of Nursing

GW Nursing Magazine

No abstract provided.

Safe And Effective Use Of Aromatherapy For Postoperative Nausea, Kristen M. Haack

Theses and Graduate Projects

No abstract provided.

Healthy Choice, Healthy Life, Dawn M. Sanderman

Theses and Graduate Projects

According to the U.S. Department of Health and Human Services, unhealthy eating and inactivity cause any where from 310,000 to 580,000 deaths every year. How and what a child eats today will have a significant impact on his/her health throughout adolescence and adulthood. Consuming nutritious foods helps children grow, develop, do well academically and also prevents health issues, such as obesity, Type 2 diabetes, nutrient deficiencies and poor bone health. A project to empower middle school children to make healthy food choices was designed. An after school educational “Health Fair” was created using the theoretical framework of Watson’s Theory of …

Utilizing Watson's Theory Of Caring To Develop A Palliative Care Proposal For Olmsted Medical Center, Tammie Johnson

Theses and Graduate Projects

Palliative care is aimed at alleviating the suffering of patients with serious or chronic illnesses. Literature examined to determine the needs of seriously or chronically ill patients and their farnilies found patients to have physical, psychosocial, and spiritual needs while coping with their illness. In addition, patients' family needed support in physical care of their loved ones, as well as information and psychosocial needs for themselves. The purpose of this project is to develop a proposal for an inpatient palliative care program for Olmsted Medical Center's (OMC's) consideration, Watson's Theory of Caring was utilized in the development of a palliative …

Diabetic Assessment In A Wound Care Clinic, Laura Dooley

Theses and Graduate Projects

The number of people with diabetes in the United States is continuing to grow at an alarming rate. Over 23 million people in the United States are affected with the disease and it is estimated that the number of people diagnosed with diabetes in the United States is increasing by 1 million people annually. It is essential that nurses working in all capacities help with the prevention and management of this disease. lssues surrounding adequate patient self-management of the disease are identified as smoking, glycemic control, diabetes education, footcare, and financial concerns. An algorithm for diabetes assessment was developed to …

Maendeleo Ya Wanawake Project: Developing A Nursing Based Support Group For Kenyan Women In Minneapolis, Jackline Ikobe

Theses and Graduate Projects

In recent years, the Kenyan community living in Minneapolis, Minnesota, has had many cases of violence that have resulted in death or injury to the women and their children. Domestic violence is especially difficult because it disrupts every aspect of the victim's well-being. Many women experience repeated victimization because of the difficulty in leaving their abusive relationships. A woman's ability to disclose abuse and receive emotional support is critical to her survival. Implementing a nursing based support group for Kenyan women living in Minneapolis, who are victims of domestic violence, will empower them to understand the effects of living in …

Triglyceride/High Density Lipoprotein Cholesterol Ratio As A Screening Tool For Insulin Resistance In U.S. Adolescents, 12-19 Years Of Age, Constance Elaine Cephus

Nursing Dissertations - Archive

Background: Insulin resistance appears to be a metabolic process that occurs prior to the onset of cardiovascular disease and type 2 diabetes. A screening tool for insulin resistance may help clinicians determine which adolescents need intensive lifestyle modification to decrease risk of cardiovascular disease and diabetes.Purpose: The purpose of this study is to evaluate the performance characteristics of the TG/HDL ratio when used to assess risk of insulin resistance in U.S. adolescents.Methods: A secondary analysis of 2011-2012 data for adolescents (12-19 years of age) from the National Health and Nutrition Examination Survey (NHANES) was conducted to evaluate the performance characteristics …

Women’S Perception And Attitude Towards Male Dominancy And Controlling Behaviors, Tazeen S. Ali, Noureen Karamali, Omer Malik

School of Nursing & Midwifery

Introduction/Background: The study was conducted in urban Karachi, Pakistan to investigate women’s perceptions and attitudes towards male dominancy, female autonomy, and controlling behavior of husbands.
Method: This was investigated in a population based study with a cross-sectional design, involving married women aged 25 to 60 years. A Structured questionnaire developed by World Health Organisation (WHO) on violence was used. Community midwives interviewed these married women living in pre-selected low, middle and upper socio-economic areas of urban Karachi, Pakistan.
Findings: This study revealed women’s overall perception regarding male dominancy and controlling behavior and highlighted this attitude, as being …

Associations Of Controlling Behavior, Physical And Sexual Violence With Health Symptoms, Tazeen S. Ali, Aamir Abbas, Fazal Ather

School of Nursing & Midwifery

Controlling behavior is often manifested as monitoring, coercing or threatening the partner. Globally, it has been experienced by the women (in range of 5.2% to 56.6%) and often results in their physical and mental ill health. To the best of our knowledge there is no published research on controlling behaviors. Therefore, a cross sectional study was conducted to measure the magnitude of the controlling behaviors and its association to some physical stress symptoms of women. The study was conducted in urban settings of Karachi, Pakistan, using simple random sampling technique. The data was collected by trained midwifes from the 759 …

Psoriasis In Chronic And Acute Patients: A Comprehensive Care Guide For Practicing Nurses, Elena Segev

Senior Honors Theses and Projects

A guide for practicing nurses for psoriasis patient care. Includes pathophysiology, treatments, different demographics, psychological aspects and resources.

Pediatric Obesity: Taking Advantage Of Well-Child Visits For Early Identification, James E. Gelement

DNP Projects

Background: Pediatric obesity has reached epidemic levels in the United States and the burden of early identification and prevention lies with Primary Care Providers. With this burden comes the responsibility of increased documentation in order for patients to obtain the appropriate counseling, treatment, and referrals.

Objective: The objective of this study is to identify missed opportunities to identify pediatric patients that meet the criteria for overweight or obesity during well-child visits within a primary care practice.

Method: A retrospective chart review of 100 randomly selected patients born between 9/1/2001 and 9/1/2010 that have received a well-child visit between 1/1/2010 and …

Identifying The Characterestics Of Patients With Community Versus Hospital Acquired Pressure Ulcers, Ahmad A. Hamdan

Nursing Dissertations - Archive

Pressure ulcers (PU) are a common problem with important implications for the nursing community and for patients, including pain and suffering, delayed recovery, morbidity, mortality, and healthcare costs, but little is known regarding what characterizes the difference between community acquired pressure ulcers (CAPU) and hospital acquired pressure ulcers (HAPU). Therefore, the purpose of this descriptive correlational retrospective study was to describe patient characteristics associated with CAPU and HAPU. Measured variables included gender, age, ethnicity, PU site, albumin, weight, BMI insurance, length of stay, type of bed, type of admission, and weekend admission, as well as Braden Scale measures of moisture, …

An Evaluation Of The Chronic Disease Self-Management Program, Joan Sevy Majers

Doctor of Nursing Practice Program Projects

The prevalence and costs of chronic disease continue to escalate with the aging of the population and continued advancements in medical care. Self-management of chronic disease may be an alternative approach to care that could assist in moving away from a disease-oriented model to health-oriented one. Outcomes from chronic disease self-management programs are promising but inconsistent across disease entities and populations. Among the Veteran population, chronic disease self-management programs have been implemented in a number of Veteran Affairs facilities. The purpose of this project was to evaluate specific outcomes from the chronic disease self-management program conducted in the five medical …

An Analysis Of The Cause, Effect & Control Of Hyperlipidemia From A Nursing Perspective, Melissa Rodgers

Theses and Dissertations

Two of the top four causes of death worldwide, heart disease and stroke, are related to hyperlipidemia, elevated cholesterol levels; these two illnesses account for approximately seventeen million deaths each year (World Health Organization, 2014). In order to combat the prevalence of these illnesses, the National Cholesterol Educational Panel has issued guidelines regarding cholesterol management. Extensive research has been published concerning cholesterol management. However, a gap remains between evidenced-based practice and community awareness of this phenomenon. This manuscript compiles research from peer reviewed nursing journals and acclaimed government and national organizations to express the cause, effect, and control of hyperlipidemia …

Comparative Transcriptome Profiling Of Two Tibetan Wild Barley Genotypes In Responses To Low Potassium, Jianbin Zeng, Xiaoyan He, Dezhi Wu, Bo Zhu, Shengguan Cai, Umme Aktari Nadira, Zahra Jabeen, Guoping Zhang

Publications

Potassium (K) deficiency is one of the major factors affecting crop growth and productivity. Development of low-K tolerant crops is an effective approach to solve the nutritional deficiency in agricultural production. Tibetan annual wild barley is rich in genetic diversity and can grow normally under poor soils, including low-K supply. However, the molecular mechanism about low K tolerance is still poorly understood. In this study, Illumina RNA-Sequencing was performed using two Tibetan wild barley genotypes differing in low K tolerance (XZ153, tolerant and XZ141, sensitive), to determine the genotypic difference in transcriptome profiling. We identified a total of 692 differentially …

Evidence-Based Practice In Action: Ensuring Quality Of Pediatric Assessment Frequency, Katelyn Mcdonald

Honors Projects

Optimal head to toe assessment frequency in hospitalized pediatric patients is unknown. Although pediatric patients have many accommodations based on their age, developmental state, and varied needs, healthcare professionals have not published any research regarding the optimal frequency for registered nurses to perform head-to-toe assessments in hospitalized pediatric patients. Healthcare professionals must make decisions based on evidence-based practice. A change in pediatric assessment intervals was proposed at a Midwestern regional medical center. The purpose of this pilot study was to ensure patient safety and staff satisfaction following a policy change in head-to-toe assessment frequency Chart audits were performed on all …

Best Practices In The Management Of Pediatric Obesity In Primary Care Clinics, Lori Moseley

Theses and Dissertations

Obesity prevalence among children and adolescents has nearly tripled since 1980. Children and adolescents are at risk for developing the comorbidities seen in obese and overweight adults such as hypertension, type 2 diabetes, and sleep apnea. Traditional treatment for obese and overweight children involved counseling children and their families. Current recommendations include a comprehensive staged approach to weight management that includes prevention plus structured weight management, comprehensive multidisciplinary intervention and tertiary care intervention. Unfortunately structured weight management programs have not been widely available, leaving the primary provider with limited options.

The purpose of this project was to analyze the literature …

Evaluating The Effects Of An Educational Lifestyle Modification Intervention On Blood Pressure In Adults With Prehypertension, Andrea M. Patterson

UNF Graduate Theses and Dissertations

The purpose of this project was to evaluate the effectiveness of an educational lifestyle modification (LM) intervention on blood pressure (BP) among adults with prehypertension. Prehypertension is a precursor to hypertension (HTN) and is a public epidemic in the United States. Approximately 68 million (31%) U.S. adult’s aged ≥18 years have hypertension. Hypertension can cause significant target organ damage, lead to coronary heart disease, heart failure, stroke, and kidney failure. Early identification and the primary treatment of persons with prehypertension with LM have the potential to minimize the progression and delay the onset of comorbidities associated with hypertension. This quality …

The “Secret” Impact Of Population Statistics On The Metrics Of Diabetes, Lyndal H. Hunter, Sharon Brownie, Walter F. Robb

School of Nursing & Midwifery, East Africa

The accuracy of disease metrics is dependent on the quality of population-based data. Many diseases, including diabetes, are age and sex dependant. Accurate age- and sexspecific population survey data, population estimates and projections are required to assess the scale and trends in the burden of these diseases. No assessment of the quality of population data being used in the UAE diabetes metrics has been published. We provide insight into the availability and quality of published population data, which is currently being used to inform diabetes research and health services planning in the UAE. We show the absence of credible population-based …