Digital Commons Network^™

Uncertainty In Illness And Health Literacy In Pancreatic Cancer Patients, Rae Reynolds

Dissertations and Theses (Open Access)

Background: Despite a shared link to cognitive processing of health information suggested by their definitions, information on the association between uncertainty and health literacy is scarce. Their relationship has not been studied in pancreatic cancer patients.

Aims: To evaluate uncertainty and health literacy in pancreatic cancer patients, examine their bivariate correlation, and determine significant predictors.

Methods: This descriptive, cross-sectional study was conducted in a comprehensive cancer center. Uncertainty was measured using the Mishel Uncertainty in Illness Scale -Community and health literacy was measured using the Cancer Health Literacy Test 30. Spearman’s rho tested correlation and linear regression models were …

Spiritual Perspectives, Spiritual Care, And Recovery-Oriented Practice In Psychiatric Mental Health Nurses, Melissa Neathery

Nursing Theses and Dissertations

The prevalence of mental illness is well documented with 450 million people suffering with a mental illness worldwide. Nurses are integral to the delivery of mental health services and can influence the provision of individually focused, evidence-based, and culturally competent care. Spiritual care has been shown to enhance coping, improve well-being, and increase satisfaction with care for those in mental health recovery. Three manuscripts presented in this dissertation portfolio explored and addressed the concepts spirituality and spiritual care for those in mental health and substance use recovery. The Recovery Practice Model was examined and how spiritual care can be integrated …

Empowering Victims Of Sex Trafficking: Developing A Practice Of Self-Care, Samantha Foster

Theses and Graduate Projects

Sex trafficking (ST) is on the rise globally, nationally, and locally. This modern day form of slavery most often victimizes women and children, stripping them of their personal power. The traumatizing crime that is sex trafficking affects its victims physically, mentally, emotionally, and spiritually and has many negative ramifications on communities. Minnesota is leading the Nation in addressing this human rights violation by implementing and enforcing the Safe Harbor Law. Guided by concepts of Jean Watson’s Theory of Human Caring, trauma-informed care (TIC) practices, current literature support, and in cooperation with shelters like Brittany’s Place in Minnesota, nurses may utilize …

Inter-Professional Education: A Literature Analysis And Description Of Pacer Study At Western Michigan University, Kari Scholten

Honors Theses

Inter-professional education is a topic that is widely gaining popularity throughout the healthcare field. Because inter-professional practice in the hospital and beyond has proven its value time and time again, universities must take it upon themselves to train their healthcare students to work efficiently and communicate effectively with other disciplines in the healthcare field. Through a thorough literature review, it was demonstrated that inter-professional education studies and simulations that were performed in a range of settings have had positive effects on a variety of factors, including communication, quality of care given, and perceptions of professional roles. A study performed at …

Guide Lines Vol. I, Issue 14 - April 2018, College Of Health And Human Services

GUIDE Lines

No abstract provided.

Nursing Knowledge And Attitudes Toward Trans* And Gender-Nonconforming Patients, Christine Humphrey

Doctor of Nursing Practice Scholarly Projects

This project aims to impact nursing knowledge and attitudes toward trans* and gender-nonconforming patients. The term transgender, synonymous with the term trans*, is utilized by individuals whose gender and designated sex at birth differ from one another, compared to cisgender persons whose gender and assigned sex are aligned (Erickson-Schroth, 2014).

The trans* population remains underserved. Nurses conscious and unconscious biases impede the advancement of knowledge and attitudes needed to promote best outcomes for trans* patients. Trans* patients have many of the same healthcare concerns as cisgender individuals. However, unique needs for this population arise from compounded issues of prejudice and …

Effects Of A Phase Ii Cardiac Rehabilitation Program On Patient Depression, Michael R. Legal, Dnp, Msn-Ed, Rn, Ccrn-K

Doctor of Nursing Practice Projects

Background: Screening for depression upon intake and completion of a Phase II cardiac rehabilitation (CR) program may influence the type of interventions implemented by CR staff and reduce depression.

Objectives: We examined patients before and after a Phase II CR program who self-reported as depressed using the CES-D score and also assessed scores by procedure, gender and age. We further identified the types of interventions used for those who were depressed.

Methods: We conducted a pre-post intervention study. Using a convenience sample, data were collected on CES-D scores before and after the program and by type of procedure, gender, and …

Comparison Of Serum And Cervical Cytokine Levels Throughout Pregnancy Between Preterm And Term Births, Kristin Ashford, Niraj R. Chavan, Amanda T. Wiggins, Molly Malany Sayre, Andrea Mccubbin, Agatha S. Critchfield, John O'Brien

Nursing Faculty Publications

Objective To assess differences in cytokine levels in cervicovaginal fluid (CVF) and serum across trimesters between women with preterm births (PTBs) and full-term births.

Study Design This multicenter study enrolled 302 women with a singleton gestation. CVF and serum cytokines, interleukin 1α (IL-1α), IL-1β, IL-6, IL-8, IL-10, C-reactive protein (CRP), tumor necrosis factor (TNF)-α, and matrix metalloproteinase (MMP)-8, were measured. Women with at least one cytokine assessment and noted PTB status in their medical record were retained in the study (N = 272). Data were analyzed using mixed modeling (main effects of PTBs and time/trimester).

Results For the CVF …

Can Standardizing Cabg Care With Clinical Pathways Reduce Length Of Stay And Hospital Acquired Infections?, Seana Friedman

Seton Hall University DNP Final Projects

Clinical pathways are a common component in the quest to improve the quality of health. Clinical pathways are used to reduce variation, improve quality of care and maximize the outcomes for specific groups of patients (Lawal, et al., 2016). The purpose of this project is to develop and initiate a Coronary Artery Bypass Grafting (CABG) clinical pathway to reduce variation in care as a way to improve quality of care and patient outcomes for CABG patients CABG surgery is considered a high risk, high cost, yet highly profitable surgery with considerable post-operative complications that affect numerous quality metrics including Length …

We Are The Medicine, Madalynn Wendland, Toni Speed

Interprofessional Education

We are all healers— to ourselves, each other and the world around us. Whether you are on the path of becoming a health professional, or have been in practice for a long time, this half-day workshop will help you to view healing from a holistic perspective that draws from the ancient traditions while respecting contemporary science.

The Benefits Of Yoga Therapy To The Health And Wellness Of Cancer Patients: An Integrative Review, Rima Beitoni

Grace Peterson Nursing Research Colloquium

Abstract

Background: The health and wellness – body, mind, and spirit, of cancer patients is vital to each person’s quality of life. Due to the psychological stressors and physical, mental, and emotional pressures cancer patients’ experience, they are at risk for impaired health and wellness and diminished Quality of Life (QOL). Yoga has been shown to benefit individuals by enhancing their coping ability to transform stress, anxiety, and pain to be more manageable.

Purpose: The purpose of this integrated literature review is to analyze evidence-based research and practices that explore the benefits of yoga in cancer patients and to explain …

Consequences Of Workplace Bullying On Employees' Health And Organization, Nency Antoine

Grace Peterson Nursing Research Colloquium

No abstract provided.

Caring For The Bereaved Mother, Ivonne Rocio Guzman

Seton Hall University DNP Final Projects

Purpose: Caring for the bereaved mother can be a challenging undertaking for healthcare professionals who unless have suffered a similar loss, can find it difficult to relate with bereaved parents. The purpose of this DNP project is to research grief and bereavement to better understand the parental bereavement experience and to develop an education lesson for MBU nurses caring for bereaved patients. It is essential to provide nurses with insight into the bereavement experience of parents who have suffered the loss of a child, so they can provide support that validates the parents’ grief and helps facilitate spiritual, emotional, or …

Comparing The Effects Of Immersion Service Learning And Local Service Learning In Pre-Licensure Health Care Students’ Transcultural Self-Efficacy, Kimberly Johnson

DNP Projects

Local and immersion service learning methods prepare pre-licensure health care professionals to deliver culturally competent care to diverse populations- an important need because of the rapid racial and ethnic diversity growth in the U.S. A mixed-methods approach compared the effect of local and immersion service learning methods on multiple disciplines of pre-licensure health care students’ confidence in delivering care to diverse populations. Guided by Jeffreys (2016) CCC Model, the Transcultural Self Efficacy Tool (TSET) was used to compare pre-licensure health care students’ (n=34) transcultural self-efficacy perceptions following local or immersion service learning experiences. Secondary source, qualitative data obtained from …

Evaluation Of Intimate Partner Violence Screening In A Metropolitan Public Health Department, Niani Conerly

DNP Projects

Routine intimate partner violence (IPV) screening has been recommended for all health care settings to prevent subsequent short and long term health consequences of survivors. However, provider adherence remains low. The purpose of this quality improvement project is to evaluate current screening practices, identify the needs of, and provide resources to three family planning clinics within a metropolitan public health department. The project utilized Donabedian’s Structure, Process, and Outcomes Model to map current protocols within three family planning clinics to identify current practices. A chart review including 105 patient charts was done to identify documentation of IPV screening/discussion as well …

Foster Youth Transition To Adulthood: Effects Of Housing Stability And Social Support On Mental Health, Elizabeth Gray Kaiser

DNP Projects

Foster care adolescents have a more difficult time transitioning to adulthood, compared to non-foster care peers, due to the maltreatment and uprooting they often experience prior to entering the foster care system. Although foster care protects children from harmful environments, literature supports that multiple placement changes and lack of stable family and social support contributes to higher likelihood of housing instability, such as homelessness, and mental health problems, including stress, anxiety, and depression, in adulthood. Independent living programs, such as YVLifeSet, facilitate more successful transitions to adulthood by offering support in the form of mentors, life-skills training, and counseling. These …

Guide Lines Vol. I, Issue 13 - March 2018, College Of Health And Human Services

GUIDE Lines

Periodic Newsletter of the Governors State University - University of Illinois, Chicago - Disparities Education Cancer research training and education project (The GUIDE Project).

A Meta-Analysis Of Interventions To Reduce Repeat Pregnancy And Birth Among Teenagers, Lee Smithbattle, Chutima Chantamit-O-Pas, Joanne Schneider

Journal of Adolescent and Family Health

Almost 20% of teen mothers have more than one child before age 20. Researchers have implemented many interventions to prevent subsequent births. The purpose of this study was to examine their effectiveness in preventing repeat pregnancy/birth. We searched nine electronic databases for eligible studies conducted through September, 2014; 47 primary studies met our criteria and provided 52 comparisons. We coded the primary studies for characteristics related to study source, participants, interventions, methods, and outcomes. Using meta-analytic techniques, we calculated intervention effect sizes (ESs) on repeat pregnancy/birth within three time periods: <15 months after the first>birth, 15-35 months, and after 36-60 months. Primary studies included …

Adult Day Service Providers: Untapped Potential For Care Coordination, Nicole Ruggiano, Ellen L. Brown, Karen L. Fortuna

Nursing & Health Sciences Research Journal

Adult Day Services (ADS) have become increasingly available for community-dwelling older adults who are often experiencing multiple chronic conditions and/or dementia. ADS providers spend a significant amount of time with their clients and offer the opportunity for a wealth of clinical information that can be used by primary care providers and specialists for decision-making about patient care. There are also opportunities for hospitals to coordinate care transitions with ADS providers by involving them with discharge planning with appropriate patients who require post-hospital care. However, ADS providers are often viewed as social service providers, and there is little known about the …

Does An Intervention Designed To Improve Self-Management, Social Support And Awareness Of Palliative-Care Address Needs Of Persons With Heart Failure, Family Caregivers And Clinicians?, Margaret Sebern, Nasir Sulemanjee, Mauricio Garnier-Villarreal, Mark J. Sebern, Carol J. Whitlatch

College of Nursing Faculty Research and Publications

Aims and Objectives

To conduct a formative evaluation of the iPad‐Enhanced Shared Care Intervention for Partners (iSCIP) among persons with heart failure (HF), family caregivers and clinicians. Together, persons with HF and family caregivers are referred to as partners.

Background

There is growing awareness of the caregiver's contributions to HF self‐management, social support and reciprocal benefits of interventions that involve both partners. The iSCIP engages both partners in a six‐session psychosocial intervention to address three preventable causes of poor outcomes in a HF population: poor self‐management skills, inadequate social support and underutilisation of palliative care. An iPad app is used …

Resilience From The Perspectives Of Caregivers Of Persons With Dementia, Abir K. Bekhet, Jennifer Sjostedt Avery

College of Nursing Faculty Research and Publications

No abstract provided.

Alcohol Abuse And Mental Health Disorders In United States Veterans, Heidi Prentice

Nursing Capstones

No abstract provided.

Data Saturation: The Mysterious Step In Grounded Theory Method, Khaldoun M. Aldiabat, Carole-Lynne Le Navenec

The Qualitative Report

The aim of this paper is to provide a discussion that is broad in both depth and breadth, about the concept of data saturation in Grounded Theory. It is expected that this knowledge will provide a helpful resource for (a) the novice researcher using a Grounded Theory approach, or for (b) graduate students currently enrolled in a qualitative research course, and for (c) instructors who teach or supervise qualitative research projects. The following topics are discussed in this paper: (1) definition of data saturation in Grounded Theory (GT); (2) factors pertaining to data saturation; (3) factors that hinder data saturation; …

An Exploration Of The Impact Of Social Support On The Parents Of Children With Autism Disorder, Elizabeth Mcdevitt

Nursing Capstones

No abstract provided.

Rn Case Manager Case Consultation, Nancy A. Schug

Nursing Posters

Purpose:

Apply the Collaborative Care Management Practice Model to address:

• Complex transition planning
• Clinical progression
• Readmission risk

Promote professional growth

Increase knowledge of the ACMA Scope and Standards of Practice for RN Case Managers.

Reducing The Prevalence Of Falls In The Assisted Living Facility Setting, Joan Louis Pierre

Student Theses, Dissertations and Capstones

Background: Falls are an issue of concern among the elderly population; it is not only costly, but their impact can have long-term consequences on the quality of life of the elderly. Fall risk in this population increases with age, and falls are the leading cause of accidental death and disability among older adults (Morris et al., 2016). Fall prevention is needed to help reduce these events. The success of this project required consideration of the unique needs of residents in the assisted living environment. Purpose: The purpose of this project was to reduce the prevalence of falls in the assisted …

Reducing The Prevalence Of Fall In The Assisted Living Facility Setting, Joan Louis Pierre

Student Theses, Dissertations and Capstones

Background: Falls are an issue of concern among the elderly population; it is not only costly, but their impact can have long-term consequences on the quality of life of the elderly. Fall risk in this population increases with age, and falls are the leading cause of accidental death and disability among older adults (Morris et al., 2016). Fall prevention is needed to help reduce these events. The success of this project required consideration of the unique needs of residents in the assisted living environment.

Purpose: The purpose of this project was to reduce the prevalence of falls in the assisted …

The Effect Of Ostomate-To-Ostomate Support On Psychosocial Adaptation To Stoma, Marjorie C. Summers

Doctor of Nursing Practice Projects

Approximately one million people in North America are living with an ostomy, and an additional 100,000 will undergo ostomy surgery annually. Persons living with ostomies, often referred to as ostomates, require specialized care and management to sustain physical health and quality of life. Fecal diversion ostomates, when compared to the general population, are more likely to experience psychological disturbance and higher levels of depression. These ostomates have reported increased loneliness, lowered self-esteem, decreased or absent libido, irritability, suicidal ideation, poor self-image, and symptoms of generalized anxiety disorder and social phobia. Being an ostomate has been associated with a reduction in …

The Perceptions And Experiences On Professional Caring Dispositions In Online And Hybrid Nursing Programs Among Veteran Nursing Educators, Devorah Overbay

Doctor of Education (EdD)

Integration of technology combined with the digitization of the classroom requires significant planning and financial commitment for educational institutions. A tension of sorts has developed that places additional pressure on many academic disciplines, especially applied disciplines such as nursing to teach effectively in the new digital landscape. Educators and students alike may find that the ever advancing technology and learning objectives do not always align in the ways they did in traditional classroom instruction. For an applied discipline, the field of nursing education is faced with many significant challenges to deliver high quality and relevant training in shifting learning environments. …

Simulation Outside The Silo: Allied Health Interprofessional Education Day To Improve Patient Outcomes, Eva Huneycutt Whitley

Nursing Theses and Capstone Projects

Since 2003, the World Health Organization (WHO) has identified working in interdisciplinary teams as a critical factor in providing patient-centered care. Simulationenhanced interprofessional education (Sim-IPE) has shown improved knowledge, skills, attitudes, and behaviors of teamwork required to improve patient outcomes. The purpose of this project was to determine whether a simulation-based interprofessional education day would improve these factors in senior allied health students in a small community college. The NLN Jeffries Simulation Theory was used as a theoretical framework for this project. The project administrator used the Interprofessional Socialization and Valuing Scale (ISVS) 9A pre-test to examine beliefs, behaviors, and …