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Where Do Gorillas Get Their Protein? Plant-Based Diet For A Healthier Lifestyle, Cheryl Track

International Journal of Faith Community Nursing

After watching what they thought to be an interesting and educational documentary on nutrition, my friends, Sharon and Scott, felt inspired to challenge themselves by undertaking some dietary changes apart from their regular eating habits. What started out as a short “trial run” to explore plant-based dieting, Sharon and Scott quickly realized this alternative eating style proved beneficial. In a short period of time, two individuals with their own fitness and wellness goals saw noticeable changes in lab results and experienced positive changes to their overall health – enough evidence leaving them convinced the “trial run” with plant-based dieting should …

I’Ll Just Weight On The Lord: The Lived Experience Of Obesity, Spirituality, And Health Behaviors In African American Women, Andrea S. Poynter, Florence M. Weierbach

International Journal of Faith Community Nursing

Obesity is one of the fastest growing health concerns impacting all racial, ethnic, gender, and socioeconomic groups in the United States of America. Obesity has gained nationwide attention due to its health-related disorders such as heart disease, stroke, diabetes, and various cancer types that increase the annual medical cost on a financially stressed health system (Centers for Disease Control and Prevention (CDC), 2022). Obesity has reached epidemic proportions in all races and genders within the US with African American women comprising a majority of those impacted by this chronic health condition (U.S. Department of Health and Human Services Offices of …

Is Semaglutide The Key To The Fight Against "Globesity"?, Melissa Travelsted, Maire M. Blankenship

International Journal of Faith Community Nursing

The obesity epidemic, referred to as "globesity" by the World Health Organization (WHO) in 2001, remains a critical global health issue with escalating prevalence rates. In 2022, approximately 2.5 billion adults worldwide were overweight, with 890 million classified as obese, highlighting a significant health burden and economic impact. By 2030, projections suggest over one billion individuals globally will be affected by obesity. In the United States, where more than 40% of adults are obese, healthcare costs attributed to obesity-related illnesses exceed $173 billion annually.

Obesity is defined by a body mass index (BMI) of 30 or above and significantly increases …

Successful Application Of Craniosacral Therapy In A Case Of Colic In An 8-Week-Old Baby, Caro O’Neill, Angie Butterfield

Journal of Transformative Touch

This case study reports on the effectiveness of CranioSacral Therapy (CST) for an eight-week-old baby boy experiencing colic. A CST pediatric protocol was utilized during two sessions, a week apart, in May 2023. An improvement in symptoms was recorded after the first treatment. After the second treatment the baby was no longer presenting with symptoms related to infant colic. This case suggests that CST can be an effective support for babies experiencing infant colic.

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Evaluating The Effectiveness Of Silicone Foam Dressing In Preventing Pressure Ulcers In Intensive Care Settings, Farah Ibrahim Rn Bsn

Nurse Residency

PICOT Question: For critically ill patients and high-risk aged care residents, does the use of multi-layer silicone foam dressing reduce the future risk of developing pressure injuries compared with those who receive the standard pressure injury preventions without the application of the dressing on their sacrum and heels?

The Benefits Of Self-Care And Wellness, Tara Nau

Nurse Residency

Among practicing nurses, does participation in health-promoting self-care and lifestyle interventions improve their health behaviors and well-being compared to those who do not engage in such interventions?

Complementary Therapies For Chemotherapy Induced Side Effects In Oncology Patients, Alyssa Gravel Rn, Tori Welch Rn

Nurse Residency

PICOT Question: In oncological patients undergoing conventional treatment, what is the effectiveness of non-pharmacological interventions in treating side effects of chemotherapy and radiation?

Preventing Hospital-Acquired Pressure Injuries On Medical-Surgical Unit, Kayce Hamilton

MSN Student Capstones

No abstract provided.

World Delirium Wareness And Quality Survey In 2023- A Worldwide Point Prevalence Study, Heidi Lindroth, Keibun Liu, Laura Szalacha, Giuseppe Bellelli, Mark Von Den Boogaard, Gideon Caplan, Chi Ryang Chung, Muhammed Elhadi, Mohan Gurjar, Gabriel Heras-La-Calle, Magdalena Hoffman, Marie-Madlen Jeitziner, Karla Krewulak, Tanja Mailhot, Alessandro Morandi, Ricardo Kenji Nawa, Esther S. Oh, Marie Oxenboell Collet, Rebecca Von Haken, Peter Nydahl, For The Wdad Study Team

Publications

Background

Delirium, an acute brain dysfunction, is proposed to be highly prevalent in clinical care and shown to significantly increase the risk of mortality and dementia.

Objectives

To report on the global prevalence of clinically documented delirium and delirium-related clinical practices in wards caring for paediatric and adult patients in healthcare facilities.

Design

A prospective, cross-sectional, 39-question survey completed on World Delirium Awareness Day, 15 March 2023.

Participants

Clinicians or researchers with access to clinical data.

Main Outcome and Measure

The primary outcome was the prevalence of clinically documented delirium at 8:00 a.m. (4 h) and 8:00 p.m. (±4 h). …

Health Outcomes In Children With Prenatal Opioid Exposure With And Without Neonatal Abstinence Syndrome In The First Seven Years Of Life: An Observational Cohort Study, Joshua Lambert, Sara Arter, Henry Ofori Duah, Teenu Xavier, Jon E. Sprague

College of Nursing Faculty Research and Publications

Introduction Prenatal opioid exposure (POE) is a major public health consequence of the opioid epidemic. Long-term health outcomes associated with POE remain unclear, especially for children with POE without a diagnosis of neonatal abstinence syndrome (NAS). Here, we aimed to describe the health outcomes of children with POE and with POE and NAS compared to unexposed children during the first 7 years of life. Design In this retrospective observational cohort study, children born between 2015 and 2022 were identified from the Maternal and Infant Data Hub (MIDH), a data repository that continuously integrates maternal, neonatal, and pediatric records from two …

Health Literacy And Perceived Control: Intermediary Factors In The Relationship Between Race And Cardiovascular Disease Risk In Incarcerated Men In The United States, Jennifer L. Miller, Misook L. Chung, Lovoria B. Williams, Alison R. Connell, Zyad T. Saleh, Abdullah S. Alhurani, Alison L. Bailey, Mary Kay Rayens, Debra K. Moser

UK CARES Faculty Publications

Background: Black race, inadequate health literacy, and poor perceived control are predictors of increased cardiovascular disease (CVD) risk. The purpose of this study was to explore the relationships among race, health literacy, perceived control, and CVD risk while controlling for known risk factors in incarcerated men. Methods: We included data from 349 incarcerated men to examine race and CVD risk (Framingham Risk Score) using a serial mediation model with health literacy and perceived control using 95% confidence intervals (CIs) from 5000 bootstrap samples. Results: Of the participants (age, 36 ± 10; education, 12 ± 2; body mass index, 28.3 ± …

Mindful Self Care Interventions In Travel Nurses Who Have Worked During And After The Covid-19 Pandemic, Danika Desgazon

Doctor of Nursing Practice Projects

Background

The COVID-19 pandemic placed significant mental strain on frontline healthcare workers, particularly travel nurses deployed to high-risk areas. This group experienced heightened anxiety, fear, and post-traumatic stress, which often limited their engagement in essential self-care practices. Previous research indicates that structured self-care interventions, particularly those incorporating mindfulness, can help mitigate stress and improve mental health. However, the specific impact of such interventions on travel nurses has not been widely studied.

Purpose

This study aimed to evaluate the effectiveness of an 8-week mindful self-care intervention in reducing stress and improving self-care behaviors among travel nurses who worked during and after …

Socio-Economic Disparities In Prenatal Prognosis And Intervention Accessibility, Simona Raluca Iacoban, Madalina Piron Dumitrascu, Camil Laurentiu Bohiltea, Ioan Dumitru Suciu, Silviu Cristian Voinea, Nicolae Suciu

Journal of Mind and Medical Sciences

Objectives. This study aimed to assess the impact of socio-economic factors on prenatal care accessibility and outcomes and to evaluate the effectiveness of specialized integrative prenatal care in mitigating these disparities. Materials and Methods. A prospective cohort study was conducted between 2020 and 2023 in Bucharest, Romania, involving 100 pregnant women. Participants were equally divided into two groups that received standard and specialized prenatal care. Data were collected through structured interviews, medical record reviews, and standardized questionnaires at multiple time points during pregnancy and postpartum. Results. Women receiving integrative care had longer gestation periods (37.8 vs. 37.6 weeks), higher average …

Measures Of Success: Making The Case For Advanced Practice-Sensitive Quality Indicators, Ruth Kleinpell, April Kapu, Cynthia Borum

HCA Healthcare Journal of Medicine

Advanced practice registered nurses (APRNs) are key health care providers in a variety of settings. Often APRNs are grouped in a collective category, along with physician assistants, and referred to collectively as advanced practice providers. As APRNs assume an increasing role in patient care management in hospital, outpatient, and community settings, such as clinics and rural practices, measuring the impact of their care on patient outcomes and quality of care becomes a necessary component of performance evaluation. APRN-sensitive outcome indicators are an important way to identify the impact of the role. While a number of studies have been conducted that …

Effectively Addressing Hospital-Acquired Pressure Injuries With A Multidisciplinary Approach, Nicki Roderman, Shandlie Wilcox, Andrew Beal

HCA Healthcare Journal of Medicine

Background

Hospital-acquired pressure injuries (HAPIs) result in patient harm, discomfort, and even death, with an estimated 2.5 million HAPIs occurring annually in the United States. These pressure injuries from prolonged pressure on the skin and deeper tissues cause reduced blood flow and the breakdown of skin and tissues, resulting in wounds. Additionally, these injuries contribute to longer hospital stays and increased health care costs. Hospitals have programs aimed at reducing HAPIs as well as ongoing surveillance to identify new trends early on. This ongoing monitoring revealed a trend early at our institution that HAPIs were 66% higher than the national …

Improving Maintenance Of Central Line Dressing To Reduce Risk Of Central Line-Associated Bloodstream Infections In An Acute-Care Setting, Kristi Gaskill, Kerry Wilder, Emily Sneed, Astrid J. Pujals, Kim Newman

HCA Healthcare Journal of Medicine

Background

Central line-associated bloodstream infections (CLABSI) increase morbidity, mortality, and healthcare costs. Central venous access device (CVAD) dressing integrity is critical to prevent CLABSI. From the First Quarter to the Third Quarter of 2023, CLABSI rates related to disruption in CVAD dressing integrity increased significantly at our facility. Despite the delivery of education, competency validation, and checklist implementation, CLABSI rates remained high, making this our top strategic priority.

The purpose of this quality improvement initiative was to determine if gum mastic adhesive and hemostatic powder would improve dressing integrity and decrease CLABSI rates related to disruption of central line dressings. …

Inpatient Falls: Epidemiology, Risk Assessment, And Prevention Measures. A Narrative Review, Taylor Locklear, Jeannie Kontos, Callaham A. Brock, Alexander B. Holland, Rachel Hemsath, Anna Deal, Shannon Leonard, Carsten Steinmetz, Saptarshi Biswas

HCA Healthcare Journal of Medicine

Patient falls are a common inpatient dilemma and comprise the largest category of preventable adverse events in hospitalized patients. These events place a clinical burden on the patient, such as increased morbidity and reduced quality of life, in addition to an economic burden on the hospital system. Fall prevention strategies have the opportunity to decrease inpatient health care costs and length of stay. Several risk factors have been identified that contribute to inpatient falls and several strategies have been identified to minimize this risk. These risk factors are typically characterized as intrinsic and extrinsic factors. Intrinsic factors include characteristics such …

Executive Summary: Clinical Practice Guideline Obstetrics Diabetes Management, Carole N. Louis

Walden Dissertations and Doctoral Studies

Summary A clinical practice guideline (CPG) was developed because the perinatal department lacked standardized management of pregestational and gestational diabetes. The practice issue is relevant since managing maternal glucose ranges during pregnancy mitigates adverse maternal and neonatal outcomes. The practice-focused question asks, “What are the best practices to manage diabetes in the intrapartum and postpartum settings?” The project was designed to develop an evidence-based protocol to provide standardized management for nurses and providers. Most studies in the literature search were quantitative sources with either A or B overall quality ratings. Based on the evidence, the intrapartum target maternal glucose range …

Preparedness For Practice Of Health Professionals In Papua New Guinea: A Cross-Sectional Survey Of Nurses And Community Health Workers., Mary Kililo, Julie Dopsie, Sulpain Passingan, Julie Kep, Nina Joseph, Russel Kitau, Mary Roroi, Chris Rossiter, Jenny Sim, Di Brown, Caroline Havery, Ali Moloney, Michele Rumsey

Pacific Journal of Health

Introduction

Papua New Guinea (PNG) experiences widespread health inequity and shortage of health professionals, exacerbated by poverty, isolation, gender-based violence and limited infrastructure, transport and accessible services. Nurses and community health workers (CHW) represent 72% of health workforce. However, health professional education programs are outdated and not aligned with national health priorities. We aimed to explore the adequacy of current curricula for nurses and CHWs by examining graduate competencies and preparedness for practice.

Methods

Cross-sectional study with four cohorts: 1) 130 new nurse graduates, 2) 75 nurses who supervised them, 3) 105 new CHW graduates and 4) 65 CHW supervisors. …

Pneumonia Pathway’S Effectiveness In Decreasing Length Of Stay In An Acute Care, Marie Carline Hollant

Walden Dissertations and Doctoral Studies

Community-acquired pneumonia (CAP) can be detrimental to patient outcomes. One major challenge affecting care for CAP is hospital length of stay (HLOS), which is associated with multiple factors, mainly comorbid conditions. One way to improve the efficiency of CAP hospital care is the implementation of pneumonia clinical pathways to ensure effectiveness in application of pneumonia treatment and care. This project evaluated the effectiveness of using pneumonia pathways by evaluating HLOS before and after the health care staff in the project site implemented pneumonia pathways. Use of the pneumonia pathways in the project site started in 2021, but there had not …

Creation And Implementation Of A Nurse Practitioner Student Escape Room, Sara Arn, Msn, Crnp, Agpcnp-Bc

College of Nursing Posters

Introduction

Educational escape rooms have been gaining popularity in nursing institutions over the past few years. The current literature focuses on the creation, implementation, and benefit of escape rooms for undergraduate nursing students. This poster presentation describes the creation and implementation of an educational escape room targeted to the experiences and skills of advanced practice nursing students enrolled in nurse practitioner programs.

Raising Awareness About Type 2 Diabetes In Adolescents Through Theatre: A Quasi-Experimental Pretest-Posttest Study, Margaret Curry

Wisdom & Compassion: The LUSON Journal

Education for preventing type 2 diabetes in adolescents should be a high priority among school officials and healthcare providers. The purpose of this research study was to educate adolescents on type 2 diabetes and to increase awareness about this disease. The Health Promotion Model developed by Nola Pender was used as the theoretical framework for this study. A quasi-experimental before-after design was used. The seventh and eighth-grade students enrolled in physical education classes at a local school were recruited. Of the 57 students recruited, 47 completed the study. A diabetes education program geared towards kindergarten through eighth grade was used. …

Abstract Education On Agency For Healthcare Research And Quality Ideal For Health Ministry, Francesse Charles-Cherelus

Walden Dissertations and Doctoral Studies

Education on Agency for Healthcare Research and Quality IDEAL for Health Ministry by Francesse Charles-Cherelus MS, Walden University, 2020 BS, Clayton State University, 2018 Project in Partial Fulfillment of the Requirements for the Degree of Doctor of Nursing Practice Walden University November 2024 The problem addressed in this project was lack of access to community resources for care of patients with behavioral or mental health conditions. Without adequate resources, patients are at risk for rehospitalization. The purpose of the doctoral project was to develop a staff education program for health ministry staff and evaluate effectiveness to increase staff confidence in …

Nurses’ Ability To Provide Diabetes Education In A Hospital Setting, Nicole Ancrum

Doctoral Dissertations and Projects

Diabetes is a destructive health problem that affects millions of people throughout the United States. Diabetes rates are drastically increasing, and diabetic adults have a higher risk of excessive hospitalization and readmission. One in every four or five hospitalized adult patients has diabetes. Hospitals nationwide are saddled with the responsibility of assessing the need for and supplying diabetic education. Registered nurses’ perception, awareness, and utilization of diabetes education are essential to patients’ ability and willingness to perform diabetes self-management interventions effectively. Meeting inpatient diabetes educational needs requires persistent, innovative strategies appropriate for available resources and staffing models. Nurses play a …

How Has Health Literacy And Digital Health Literacy Scholarship Evolved? A Global, Qualitative Study, Brooks Yelton Ma, Lmsw, Mayank Sakhuja, Simone Kavarana, Lauren Schaurer, Michelle Angelique Arent, Lorie Donelle Phd, Rn, Fcan, Mark M. Macauda, Samuel Noblet, Daniela B. Friedman

Publications

Health literacy (HL) is a key social determinant of health (SDoH) and is of increasing importance in public health research and intervention for improved health outcomes. Definitions of HL and digital health literacy (DHL) have evolved over time as the field has expanded conceptualization from an individual focus to the broader community and organizational levels. Careful consideration of HL and DHL for a variety of contexts and audiences is critical given increased global adoption of digital technologies and responses to emerging public health challenges. This study aimed to capture researchers' conceptualizations of HL/DHL and their motivations to engage in this …

Two Lives, Shruti Trehan Mbbs

Journal of Wellness

A busy oncologist makes a decision to leave her busy, thriving, community practice in the Mid-West and moves to a Veterans Affairs hospital in South Florida in the quest for a better work-life balance.

Executive Summary: Clinical Practice Guideline, Bona Eze

Walden Dissertations and Doctoral Studies

This Doctor of Nursing Practice (DNP) project addressed a gap in practice in an outpatient clinic in the Northeastern United States. The gap in practice was a lack of standardized patient education on self-care management strategies for adult patients with diabetes, leading to increased rates of noncompliance, readmission, and poor health outcomes. The guiding question asked whether an expert panel could evaluate and validate a clinical practice (CPG) developed from current, evidence-based literature and recommendations from the American Association of Clinical Endocrinologists and the American Diabetes Association on self-care management strategies for the adult patient with diabetes. The project followed …

Assessing The Impact Of Mindfulness-Based Stress Reduction (Mbsr) On Emergency Nurses' Absenteeism And Receptive Awareness Of And Attention To What Is Taking Place In The Present, Rachael Moore Drake

Doctor of Nursing Practice Scholarly Projects

Problem: The changing terrain of modern healthcare has made emergency nurses' well-being a top priority. Within the small community hospital where this project was conducted, the issue of employee work-related stress was identified through managers' feedback and employee surveys. Purpose: Leaders employ a comprehensive mindfulness program based on assessed employee needs to understand the practical interventions to address work-related stress. This project implemented mindfulness-based stress reduction (MSBR) interventions and assessed emergency nurses' absenteeism and receptive awareness of and attention to what is taking place in the present. Method: The project utilized the Mindful Attention Awareness Scale (MAAS) to assess emergency …

Implementation Of Eat Sleep Console For Neonatal Abstinence Syndrome: A Quality Improvement Project, Harley Addison Kennington

Doctor of Nursing Practice Scholarly Projects

Problem Statement: A level III NICU and mother-baby unit within an inpatient hospital in the Southeast United States transitioned from the Finnegan Neonatal Abstinence Scale (FNASS) to the Eat, Sleep, Console (ESC) for treating Neonatal Abstinence Syndrome (NAS). Prior to ESC implementation, there was limited nursing education of ESC practice guidelines or consideration for proper implementation protocol. Purpose: The purpose of this evidence-based quality improvement project was to reintroduce nursing staff to the ESC NAS Care Tool and ESC charting guidelines within the NICU and mother-baby units. Methods: This project followed the PDSA process – Plan, Do, Study, Act, underscored …

Depression In Individuals With Chronic Liver Disease: Improving Screening In The Outpatient Setting, Kayla Corine Wright

Doctor of Nursing Practice Scholarly Projects

Problem Statement: Individuals with chronic conditions such as chronic liver disease experience higher rates of depression, often underdiagnosed and placing high risk demographics in jeopardy of adverse outcomes, including worsening prognosis, decreased quality of life, and increased symptomatology.

Purpose: Evidence advocates for routine depression screening within high-risk patient populations. This paper outlines the implementation of a quality improvement initiative aimed at enhancing depression screening at a selected outpatient liver clinic within an extensive hospital system by implementing the PHQ-9 questionnaire during patient clinic visits, where no standardized screening protocol was previously in place.

Methods: The Plan-Do-Study-Act cycle guided the implementation …