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Applying Hybrid Coding And Reflexivity In Qualitative Content Analysis: An Exemplar, Kunwar Kaur, Ma’En Zaid Abu-Qamar, Amineh Rashidi, Nilufeur Mckay, Rosemary Saunders

Research outputs 2022 to 2026

Qualitative Content Analysis (QCA) is a widely used method in nursing research for analysing textual data. Numerous authors have provided comprehensive explanations of this approach, including step-by-step guidelines. The coding methods employed in QCA are typically categorised as deductive, inductive, or a combination of both, often referred to as the abductive or hybrid technique. However, the hybrid coding technique remains under-utilised within nursing research. Further, trustworthiness, a cornerstone of qualitative research, has been extensively discussed in the literature, with reflexivity identified as a key component of ensuring rigor and credibility. This paper presents an example from nursing research where a …

Integrating Lifestyle Medicine Into Undergraduate Nursing Education, Lyndsay Wright

DNP Research Projects

Abstract 

Objective: Lifestyle Medicine (LM) effectively addresses the lifestyle-related diseases that contribute most to global morbidity, mortality, and healthcare spending. However, nurses and nursing students struggle with maintaining healthy lifestyles themselves, with LM and health behavior change strategies insufficiently taught in nursing education. Method: A quasi-experimental study with a pre-test and post-test design examined the effects of an LM educational intervention on undergraduate nursing students’ knowledge of LM and intentions for health behavior change. Data were collected using demographic questions, an LM knowledge (LMK) questionnaire, the Lifestyle Medicine Assessment (LMA), and a modified Intention to Change Behavior Scale …

Uplifting Youth: An Adolescent Mental Health Promotion Intervention, Adriana Cornejo

DNP Research Projects

Abstract 

The Lift Project™ is an initiative that combines positive psychology and lifestyle medicine to promote mental health. This DNP project investigated the effectiveness of The Lift Project™ in enhancing mental health outcomes in adolescents for the first time. A quasi-experimental design was employed, with participants aged 12 to 17 who attended The Lift Project™ workshop over 10 weeks (n = 22; age M = 15.3 years, SD = 0.99; 68.2% female, 100% Hispanic). Quantitative mental health assessments measuring anxiety, depression, stress, vitality, emotional well-being, flourishing, and life satisfaction were administered pre- and post-intervention. Results revealed a 30% reduction …

The Impact Of Nutrition On Depressive And Anxiety Symptoms In Adults, Joseph P. Galabit

Graduate Research Projects

No abstract provided.

The Potential Of Vitamin D As An Adjunct Therapy For Eczema, Kimberly Hill

Graduate Research Projects

No abstract provided.

Perception Of Nursing Care Among Patients And Nurses In Neuro Units Of Selected Settings In Chennai., Kanwaljeet Kaur, Deepa M, Dr. Sudha R

Manipal Journal of Nursing and Health Sciences

Introduction: Nurses are the health experts because they are caregivers, advocates, and educators. Patient is the Centre of nursing practice. Nurses provide care to patients from admission till discharge and gives more time to patients and their families as compared to other health care workers. This is the reason that nurses influence the patient perception about hospital care at most. Objective: The aim of this study was to Assessment of perception on nursing care provided among patients and nurses in neuro units of selected settings, Chennai. Methods: A quantitative research approach with a descriptive cross-sectional design was adopted for the …

Global Standards And Protocols For Oral Care In Pediatric Cancer Patients: Systematic Review Protocol, Meghna Pandit, Baby S. Nayak, Vasudeva K. Bhat, Suneel C. Mundkur, Judith A. Noronha, Sridhar N

Manipal Journal of Nursing and Health Sciences

Introduction Childhood cancer is a global health challenge, with over 275,000 cases annually among individuals under 19 years. Cancer treatments such as chemotherapy and radiation therapy lead to significant oral complications, including mucositis, xerostomia, and infections, adversely affecting treatment adherence and quality of life. Effective oral care is essential for mitigating these complications, particularly in resource-limited settings like India.

Objectives This systematic review aims to identify, assess, and summarize global guidelines and protocols for oral care in pediatric cancer patients, focusing on the prevention and management of oral complications during treatment.

Methods The protocol adheres to PRISMA-P guidelines and is …

Minimizing Infant Injury Risk By Utilizing Parental Education In A Primary Care Setting, Courtney Munroe, Erin Kuehl, Rachel Mahlberg

Doctor of Nursing Practice Projects: College of Nursing

Introduction

Accidental injury and death to infants has been correlated to lack of proper education to parents of infants in the primary pediatric care setting. Sudden infant death syndrome (SIDS) and unintentional injuries were the second and third leading causes of post neonatal death during this period of time (Centers for Disease Control and Prevention [CDC], 2016). Studies have found that motor vehicle accidents are a leading cause of child injury and death for infants under 12 months of age. The CDC found that drowning, suffocation, and poisoning were other leading causes that contributed to child injury and death rates …

Implementation Strategies To Improve Medication Adherence In Adolescents (Aged 13 To 17 Years) With Antipsychotic Induced Weight Gain: Educational Toolkit For Clinicians, Joy Asike

Doctoral Dissertations and Projects

Nonadherence to medication leads to relapses of condition, frequent hospitalization and poor outcomes. Although antipsychotics are effective in the management of mental disorders and psychosis, the side effects, especially weight gain negatively influence medication compliance. Anti-psychotics related to weight gain is one of the most concerning treatment-emergent side leading to a great burden on patients, parents, and clinicians. Obesity and antipsychotic-related weight gain increase the risks to short- and long-term physical health problems such as metabolic syndrome, dyslipidemia, diabetes, hypertension. Evidence has shown that there is generally low guideline adherence regarding the monitoring of antipsychotics, especially in children and adolescents. …

Implementation Of A Standardized Screening And Referral Process For Social Determinants Of Health For Families With Children Within Two Rural Health Clinics, Laura Britton Stace

Doctors of Nursing Practice (DNP) Final Projects, 2020-current

Abstract

The American Academy of Pediatrics Bright Futures Guidelines recommends social determinants of health (SDOH) screening at well-child checks (WCCs). Social determinants of health are environmental factors, including food accessibility, mental health, and substance use, that can affect quality of life.

Rural health clinics (RHCs) in a county in Virginia did not routinely use a standardized screener to identify pediatric SDOH risks, nor did they have a standardized referral process for identifying SDOH risks. A hospital community needs assessment found that over 20% of the county households were below the federal poverty level. It is estimated that many children in …

Journey To Baby-Friendly: Standardizing Patient Breastfeeding Education In The Postpartum Microsystem, Emily Korwin

Master's Projects and Capstones

Problem Low breastfeeding rates remain a global challenge and a cause of adverse infant health outcomes despite the benefits of exclusive breastfeeding. In response, UNICEF and the WHO developed the Baby-Friendly Hospital Initiative (BFHI) to promote, protect, and support breastfeeding for infant growth and development. Context Hospital A is a mid-size hospital in Northern California. It has 24 labor, 13 antepartum, and 33 postpartum beds and serves a diverse population of patients. Intervention After a literature review, microsystem assessment, stakeholder survey, and root cause analysis, a standardized infant feeding nurse patient education checklist was developed and aligned with Baby-Friendly teaching …

Practicing Responses To Acute Clinical Troubles: Initiative Through Clinical Education (P.R.A.C.T.I.C.E.) To Improve Medical Emergency Response Increasing Nurse Confidence And Preparedness Through Low-Stakes Clinical Education, Lauren Castelblanco Rn, Viviana Lopez Rn, Nosa Odiase Rn, Everly Pompa Rn

Master's Projects and Capstones

A newly established pediatric outpatient infusion center in Los Angeles does not have immediate access to a Code Blue Team or a Rapid Response Team, and instead relies on the Staff Assist protocol to manage medical emergencies. Via direct interviews, registered nurses at the infusion center report feeling underprepared and lacking confidence to respond to medical emergencies that must be escalated to code blue. Microsystem assessment tools determined the root cause to be limited clinical exposure and limited opportunities for skills development. To address the nurses' concerns, Practicing Responses to Acute Clinical Troubles: Initiative through Clinical Education (P.R.A.C.T.I.C.E.) was implemented …

Journey To Baby-Friendly Designation: Standardizing Infant Feeding Education, Jasmine Geronimo Ibay

Master's Projects and Capstones

Problem The influence of formula companies in hospitals has caused a decrease in national breastfeeding rates, increasing risks of adverse health outcomes among infants. In response, the World Health Organization (WHO) and the United Nations Children’s Fund (UNICEF) launched the Baby-Friendly Hospital Initiative (BFHI) in 1991 to support breastfeeding practices for infant development and eliminate commercial interests of formula companies from hospitals. Context The quality improvement (QI) project was conducted at Hospital A’s Birth Center, serving a diverse population of patients in the greater East Bay of Northern California. The microsystem has 24 labor beds, 13 antepartum beds, and 33 …

Increasing Access To Fresh Fruits And Vegetables At An Urban Clinic: A Quality Improvement Project, Jordan Michael Leahy

Master's Projects and Capstones

The microsystem setting for this quality improvement project is an adult health unit at one of five safety net clinics housed within a macrosystem in a large urban setting in Northern California serving a low-income, predominantly Hispanic population. Professionals involved in the delivery of the food security program include patient support services, medical assistants, case managers, health promoters, registered nurses, and providers. With enrollment in clinic’s food security program significantly lower than program goals, clinical site stakeholders sought to identify and address gaps in delivery. This quality improvement aimed to improve the screening process to increase the percentage of eligible …

Improving Food Security To Decrease Hypertension At An Urban Community Clinic, Christine S. Villalta

Master's Projects and Capstones

Diet and lifestyle changes have been proven to reduce blood pressure in patients with hypertension, and a key dietary approach aligned with this recommendation is the DASH diet, which includes consuming fruits and vegetables. Food insecurity, defined as lacking enough safe, nutritious food to maintain an active and healthy life, is a growing crisis in the United States, affecting 13.5% of U.S. households in 2023. This is especially significant for those whose chronic disease management depends on the accessibility of healthy food. An urban community clinic implemented a Food Security Program to decrease food insecurity and reduce hypertension among their …

Baby-Friendly Hospital Initiative: Becoming Baby-Friendly Designated, Krystal Angelique Mora

Master's Projects and Capstones

Section I: Abstract

Problem Despite efforts to increase breastfeeding rates, the influence of formula companies has contributed to the decrease in rates, affecting the health outcomes of infants. In response, the Baby-Friendly Hospital Initiative (BFHI) introduced standardized education for nursing staff to support infant growth and development. Context Hospital A Birth Center is a 33-bed culturally diverse unit that provides care to mothers in Northern California, delivering approximately 7,400 babies each year and helping patients transition into motherhood. Aim The quality improvement project aims to enhance the retention of BFHI-aligned education provided during hospitalization by 26.2%, raising retention rates among …

Implementation Of A Food Security Program To Reduce Hypertension At A Primary Care Clinic, Maribel Ballesteros

Master's Projects and Capstones

The food security program aims to reduce hypertension and food insecurity by increasing access to fresh fruits and vegetables. Although food insecurity is a growing public health issue, the food security program experienced significantly low enrollment compared to projected values. The quality improvement project was conducted in an adult medicine department in a primary care clinic in San Francisco serving the Latinx community. To address the issue of low program enrollment, a comprehensive educational food security program flyer was developed containing program information, including frequently asked questions. The flyer aimed to increase program enrollments by increasing program education. Fifty flyers …

Utilizing Pupper, A Social Robot Dog, To Increase Happiness And Improve Mood In Pediatric Patients Of A Cardiac Step-Down Unit, Angela Feng Wu

Master's Projects and Capstones

Objective The usage of social robots in pediatrics is an emerging field of study. Preliminary research shows that they are effective at improving the psychosocial well-being of pediatric patients. This quality improvement project focuses on Pupper, a newly developed quadruped social robot dog, and its ability in improving mood and happiness in pediatric patients of a cardiac step-down unit. Aim The aim of this project is to increase average mood scores of pediatric cardiac patients aged 3-25 years by 50% from their baseline of 3.75 to 5.63 on a six-point scale within a one-month time frame. Methods Before intervention and …

Food Security And Its Impact On Hypertension In Urban Communities, Lauren M. Nobriga

Master's Projects and Capstones

The Quality Improvement Team proposed an intervention to increase enrollment in the Food Security Program, a six-month initiative that provides vouchers redeemable for fruits and vegetables. Long-term impacts of this Program include an improved food economy and enhanced patient disease management autonomy. This project aimed to increase the percentage of eligible adult medicine clinic patients enrolled in the Food Security Program by 25%, or 11 patients per month, based on the mean enrollment for the first four months of the Program (May to August) of nine patients. The intervention was based on bi-monthly performance reports, making the goal include enrolling …

Improving Diabetes Self-Management Skills Among Adults With Type 2 Diabetes Through Weekly Education, Carthia Joachim

Dissertations

Type 2 Diabetes Mellitus is one of the major health issues worldwide, which has led to many health complications, such as cardiovascular disease, nerve damage that leads to limb amputation, kidney damage, and even death (Sameer et al., 2020). Lack of self-care management is one of the reasons diabetes is becoming such an issue in society. Studies have shown that T2DM outcomes can be improved by implementing diabetes self-management education (DSME) (Hailu et al., 2019). The study evaluated the effectiveness of DSME intervention in adult patients with T2DM over 12 weeks in Orlando, Florida. Using a structured education program, the …

Health Services Monthly Educational Newsletter To Parents/Guardians, Dena L. Hinkle, Jennifer L. Fisher, Emily Garnett, Chelsea K. Mckee

Nursing Department Graduate Presentations/Conferences

This health services newsletter was created as an educational and information tool for parents/guardians of Will County School District 92. The intention of this project was to increase student compliance with health requirements, improve parental/guardian education regarding student health, and provide necessary student health education topics. The project began by completing a literature review which allowed for a thorough survey of existing information. The theoretical framework Whole School, Whole Community, Whole Child (WSCC) serves as the foundation for this proposal, along with Pender’s Health Promotion Model and the School Nursing Practice Framework. The three graduate nursing students determined important educational …

Natural Medicine Use In Costa Rica, Elizabeth Krol

Honors Theses

This study explores the role of natural medicine in Costa Rican culture, while focusing on its historical, cultural, and clinical significance. With a literature review, ethnobotanical research, and a study abroad experience, this paper highlights the integration of natural, herbal medicine into modern healthcare. Costa Rica’s rich biodiversity, with its varied microclimates and abundant medicinal plants, forms a strong foundation for traditional herbal medicine. Indigenous groups such as the BriBri and Cabécar contributed significantly to this legacy, which has evolved through interactions with European and Afro-Caribbean populations.

Research emphasizes the cultural importance of herbal medicine within the “Pura Vida” lifestyle, …

Composting For Cleaner Air, Simi Benisty, Katie Bui, Narmin Solman, David Woo

Master's Projects and Capstones

The aim of this project was to address food waste at Mary's Kitchen by implementing a composting initiative to divert organic waste from landfills. The project took place in a nonprofit organization that serves food to the homeless, where the target population includes staff, volunteers, and clients of the kitchen. Key interventions involved creating educational materials on composting, recycling, and waste management, including flyers in both English and Spanish, as well as a QR code for easy access. Additionally, smaller, color-coded buckets were introduced to replace the 33-gallon bins, making waste sorting more manageable. Measures included staff and volunteer compliance …

The Power Of Plate & Knowledge: Nutrition’S Role In Pcos Management For Asian American Women, Cassandra Camille Diego Curameng

Nursing | Student Research Posters

Polycystic ovarian syndrome (PCOS) is a metabolic endocrine disorder affecting 8–11% of women worldwide, with 70% remaining undiagnosed (WHO, 2023). It presents with symptoms such as irregular menstrual cycles, insulin resistance, high testosterone levels, anxiety, depression, and infertility, significantly impacting quality of life and health (OASH, 2021). The symptoms of PCOS can severely impact women’s quality of life, mental health, and long-term well-being. Insulin resistance contributes to symptom severity and a 50% likelihood of developing diabetes or prediabetes by age 40 (Wang et al., 2011). Women with PCOS face a threefold increased risk of endometrial, ovarian, and breast cancers (Barry …

Know Your Birth: Improving Knowledge And Confidence Through Education On Childbirth In Rural Kenya, Stephanie Cortez, Jasmine Ochoa, Manvi Pal, Carol Xiong

ELMSN E-Portfolio. A collection of Scholarly and Creative Works

No abstract provided.

Beyond Tradition: Exploring The Underlying Factors Of Delayed Cord Clamping, Sehar Aslam

Journal of Asian Midwives (JAM)

Delayed cord clamping (DCC) benefits mothers and infants by improving iron levels and neurodevelopmental outcomes while reducing neonatal complications. It is a crucial intervention, especially where iron-rich foods are scarce. Despite its advantages, DCC is often neglected due to medical complications, inconsistent policies, and clinical time constraints. Promoting DCC requires comprehensive education, clear protocols, interdisciplinary collaboration, and adequate skilled staffing. This paper emphasizes the importance of consistent DCC practices to enhance maternal and infant health and urges healthcare providers and parents to prioritize DCC in birth plans.

Impact Of Climate Change On Maternal Health In Pakistan: A Review Paper, Ihsan Ullah, Kiran Mubeen, Dilshad Begum, Rafat Jan

Journal of Asian Midwives (JAM)

Pakistan is one of the country’s most susceptible to the effects of climate change. Recent floods, heavy snowfall and rain have significantly impacted maternal and infant health. Indigenous women of child-bearing age especially those in rural areas are among the most vulnerable, facing food insecurity, disruptive food systems, rising food prices, and disrupted food production due to climate change. This review highlights a critical gap in research on indigenous women's maternal nutrition in the context of climate change, particularly in low- and middle-income countries. It emphasized the necessity for culturally responsive approaches and a deeper understanding of how climate change …

Early Detection And Intervention Of Preschool-Aged Children Using Android-Based Monitoring During The Covid-19 Pandemic In Central Java, Triwiji Lestari, Elisa Elisa

Jurnal Keperawatan Indonesia

Preschool age is widely recognized as a critical phase in child development, often referred to as the golden period, the window of opportunity, and the critical period. Alarming statistics from the Indonesian Ministry of Health reveal that 16% of Indonesian toddlers, amounting to 0.4 million children, experience developmental delays, encompassing fine and gross motor skills, hearing impairments, reduced cognitive abilities, and speech delays. This study aims to assess the effectiveness of an Android-based early detection and intervention system on the development of preschool children during the challenging circumstances of the COVID-19 pandemic in Central Java. The research employed a quasi- …

Improving Primary Care Providers Awareness, Knowledge, Attitude, And Intention To Change Practice About Uncontrolled Obstructive Sleep Apnea And Its Effect On Metabolic Dysfunction-Associated Steatotic Liver Disease, Formerly Non-Alcoholic Fatty Liver Disease Prognosis, Olivia Amoakowaa-Senya

Doctoral Scholarly Projects & Capstones

Non-alcoholic fatty liver disease (NAFLD), now known as metabolic dysfunction-associated steatotic liver disease (MASLD), is the leading cause of chronic liver disease in the world. The mechanisms involved in its development and progression continue to be a mystery that scientists are trying to unravel. However, many research studies found a correlation between uncontrolled obstructive sleep apnea (OSA) and worsening of NAFLD. Chronic intermittent hypoxia and sleep fragmentation in OSA increase sympathetic activity and promote oxidative stress, pro-inflammatory cytokine production, and metabolic dysregulation, which increases the risk of various diseases, including NAFLD/MASLD progression. Early assessment and screening for OSA in patients …

The Role Of Midwives In Achieving The Global Sustainable Development Goals, Bakhtawar Muhammad Hanif Khowaja Bk, Elizabeth K. Darling

Journal of Asian Midwives (JAM)

The sustainable development goals (SDGs) provide a comprehensive framework for global development. Midwives are playing an important role in achieving the targets of the world’s priority agendas. They are actively involved in achieving the targets of SDG#2 by providing education to women on their nutritional requirements, supporting postnatal women with breastfeeding, and educating communities on the use of clean water, sanitation, and hygiene management. Beyond counseling and educating communities on nutrition and hygiene management, they are also involved in improving other health-related outcomes that are indicators for SDG#3, such as improving maternal and child immunization, counseling mothers on tobacco …