Digital Commons Network^™

Addressing Opioid Misuse And Abuse Through Interprofessional Engagement And Education, Marta J. Brooks, Suzanne E. Holm, Shelene Thomas, Amy J. Rich

Internet Journal of Allied Health Sciences and Practice

Purpose: The purpose of this initiative was to develop and implement an interprofessional panel aimed to expose a university audience to the magnitude of opioid misuse and abuse, as well as demonstrate each health professional’s role in curbing the epidemic. Further, this experience was to provide a platform for interprofessional discussion and to share with attendees tangible action items to begin combatting the opioid epidemic.

Methods: An interdisciplinary committee of healthcare professionals collaborated to initiate a dialogue around opioid misuse and abuse to highlight the power of interprofessional (IP) collaboration in addressing the opioid epidemic. Each panel member shared …

Resilience In Caregivers Of Partners With Young Onset Dementia: A Concept Analysis, Karie R. Kobiske, Abir K. Bekhet

College of Nursing Faculty Research and Publications

Introduction: Over 200,000 Americans diagnosed with young onset dementia (YOD), dementia diagnosed prior to age 65, are cared for by family members. This can be costly to caregivers’physical and psychological health. Some adapt well to the caregiver role and are said to be resilient. Aim/Question: This paper builds on current understanding of the concept of resilience and applies this to caregivers of partners diagnosed with YOD. Method: Concept analysis. Results: Resilient caregivers exhibit attributes including determination, flexibility, positive thinking, self-efficacy, resourcefulness, social support and spirituality. Discussion: YOD affects caregiver’s health. Much research has been done on interventions for dementia caregivers. …

Health-Related Quality Of Life Of Older Adults In Costa Rica As Measured By The Short-Form-36 Health Survey, Esmeralda Valdivieso-Mora, Mirjana Ivanisevic, Leslie A. Shaw, Mauricio Garnier-Villarreal, Zachary D. Green, Monica Salazar-Villanea, Jose Moncada-Jimenez, David K. Johnson

College of Nursing Faculty Research and Publications

Objective: To test the validity of a common measure of health-related quality of life (Short-Form-36 [SF-36]) in cognitively healthy older adults living in rural and urban Costa Rica. Method: Confirmatory factor analysis was applied to SF-36 data collected in 250 older adults from San Jose and Guanacaste, Costa Rica. Results: The best fitting model for the SF-36 was an eight first-order factor structure. A high correlation between the Mental Component Summary and Physical Component Summary scores was found. Region differences indicated that rural dwellers perceive a poorer health-related quality of life compared with the urban group. Discussion: Costa Rican older …

Educating Oncology Nurses About The Emotional Impact Of Cancer Diagnosis, Jonnell Ortiz Zayas

Walden Dissertations and Doctoral Studies

Anxiety and depression are common mood disorders in cancer patients, regardless of mental state prior to diagnosis. A gap in the education of oncology nurses in an eastern Caribbean island was discovered regarding their ability to identify anxiety and depression symptoms and to help patients who suffered from these disorders. The purpose of this project was to improve oncology nurses' assessment skills by reviewing appropriate use of the Hospital Anxiety and Depression Scale (HADS) tool and familiarizing nurses with resources to help patients who score high on the HADS. The Levine conservation model was the theoretical framework for this project. …

“These Classes Have Been My Happy Place”: Feasibility Study Of A Self-Care Program In Native Hawaiian Custodial Grandparents, Loriena Yancura, Heather Greenwood-Junkermeier, Christine A. Fruhauf

Asian/Pacific Island Nursing Journal

Native Hawaiian custodial grandparents have a distinctive set of strengths and challenges that may lead them to benefit from a structured self-care program. The purpose of this paper is to describe a feasibility study with nine Native Hawaiian custodial grandparents who participated in a 6-week self-care intervention. Based on open-ended questions during the post-questionnaire and at the 6-month follow-up focus group, grandparent participants noted that their grandchildren needed education and clothing. Most grandparents did not endorse statements that their grandchildren had any mental or physical health conditions. Grandparents reflected that the intervention provided them with skills to help cope with …

Improving Adherence To Mental Health Treatment In A Low-Income Clinic, Janice G. Gandy

Doctor of Nursing Practice (DNP) Final Clinical Projects, 2016-2019

The increasing prevalence of mental illness in the United States presents significant challenges for primary care providers in low-income settings. Integrated Behavioral Health (IBH) programs have resulted in improved general health for low-income participants; however, managing appointment adherence, in which the patient attends appointment as scheduled, is particularly challenging. The purpose of this pilot project was to implement bundled interventions at a low-income primary care clinic to improve patient adherence to behavioral health treatment. The bundle of interventions included: 1) educational interventions emphasizing the benefits of IBH care 2) warm patient handoffs between the primary care provider to a behavioral …

Lost In Translation, Daniel Pena

Master's Projects and Capstones

At the conclusion of a patient’s hospitalization the Registered Nurse (RN) will review all discharge instructions in the patients room in their preferred language. Plan time for the discharge and facilitate a calm quiet environment, such as the patient’s room with the door closed, if possible. Get the discharge instructions printed out in their preferred language and a set for yourself in English would be best so you are able to review the instructions line by line with them. When the patients medical team, such as but not limited to, medical doctors, pharmacists, physical therapists, and social work have completed …

Inpatient Hospice Home: A Needs Assessment And Business Plan, Stacey Middleton

Doctor of Nursing Practice Scholarly Project

An Abstract of the Scholarly Project by

Stacey Middleton

There are two constants that every person can count on in life, being born and dying. No amount of research is required, and there is no need to challenge the inevitable. When a child is born, people celebrate and congratulate the new parents and their family. When a person dies, people are saddened by the loss of a friend and loved one. Death comes to all and is either, fast and unexpected or a slow drawn out process. Every dying patient deserves to die with dignity, be free from pain, and …

Spirituality In Clinical Practice: Recognizing The Importance Of Personal Values And Beliefs In Medical Decision-Making, Katie Lutz

Doctor of Nursing Practice (DNP) Projects

This Doctor of Nursing Practice (DNP) project addresses the importance of values and beliefs in patient’s healthcare decisions. Relying on a holistic theoretical model that accounts for all aspects of the human experience, the focus shifts from standard healthcare delivery to exploration of spiritual values and beliefs. In the past two decades, researchers and healthcare professionals have juxtaposed healthcare and spirituality to broaden the domain of care and enrich the provider and patient experience. Evidence has shown the alliance of spirituality and clinical practice has the potential to improve wellbeing and healthcare outcomes.

Interventions: In a public health setting, a …

An Evaluation Of A Care Conference Model And Improvement In The Transition Process For Medically Complex Pediatric Patients Between Inpatient And Outpatient Care, Tamara Van Kampen

Doctoral Projects

Medically complex and/or fragile pediatric patients are high utilizers of health care dollars. This population represents less than one percent of the general pediatric population, yet they account for more than 30% of pediatric healthcare costs. These patients tend to have longer lengths of stay in the hospital, high readmission rates, and lower healthcare satisfaction scores. They also have multiple transitions between inpatient and outpatient care which increases the opportunity for medical errors. Research has shown that care conferences attended by key stakeholders tend to reduce readmissions and healthcare utilization while improving satisfaction rates and patient outcomes. Research also shows …

Improving Early Child Developmental Screenings In A Primary Care Setting: A Quality Improvement Project, Marlischa Jackson

Doctor of Nursing Practice

A dramatic growth of physical, motor, cognitive, communication, emotional, and social development will occur during the 3 years of life. Of children ages 3-17 years of age, 13% have some type of developmental or behavioral condition that goes undiagnosed before the age of 10. Children with multiple health and social risk factors, or those with chronic health disorders, are at greater risk to develop early child delays or disabilities. In the U. S., developmental screenings are only completed 21% of the time during well-child visits. Therefore, the purpose of this quality improvement project was to increase the adherence of health …

An Exploration Of Dementia Friendly Communities From The Perspective Of Persons Living With Dementia, Catherine Hebert

Electronic Theses and Dissertations

The growing global prevalence of dementia coupled with a shift in public perception from a hopeless disease to the possibility of living well with dementia has led to the formation of dementia friendly communities (DFC). DFCs are a new phenomenon in the United States, with a gap in knowledge on input from people living with dementia (PLWD). This study investigated DFCs from the perspective of PLWD in Western North Carolina, with the following research questions:

1. How are interactions and relationships experienced by persons living with dementia in the community?
2. How is community engagement experienced by PLWD?
3. To what extent and …

Sex Trafficking: A Toolbox For Apn's, Nissa Berbawy

Graduate Research Projects

Abstract

Objective: As the fastest growing crime in the world (Walker-Rodriguez, & Hill, 2011) and with sex slaves found in all 50 states (Grace et al, 2014), finding a solution to the problem of sex slavery is critical. One study showed 63.3% of sex slave survivors were treated in the emergency department while enslaved, revealing an opportunity for healthcare providers to intervene (The Emergency Nurses Association, 2015). The purpose of this review of literature is to provide evidence based resources to better equip APN’s to identify, intervene, and refer sex slaves for successful rehabilitative services. Methods: Databases searched were …

The Relationship Of Religion, Religiosity, And Parental Communication In The Sexual Behaviors Of Filipinos Aged 18-25 Years In The United States And The Philippines, Ivy C. Tuason, Racidon Bernarte, Fanglong Dong

Asian/Pacific Island Nursing Journal

This cross-sectional survey research aims to explore and compare the relationship of religion, religiosity, and parental communication to the sexual behaviors of Filipinos aged 18-25 years in the United States and the Philippines. The Duke University Religion Index and Parent-Teen Sexual Risk Communication Scale-III was used to measure religiosity and parental communication. There were 130 participants living in the United States and 247 living in the Philippines included in this study. Among respondents from the Philippines, low levels of parental communication were associated with an increased report for the lack of condom use during the last intercourse. Catholics had a …

Association Between Improved Mental Illness Treatment And Homelessness Outcomes, Madeline Caplice

Grace Peterson Nursing Research Colloquium

Background: A significantly higher percentage of the homeless population in the United States suffer from severe mental illness as compared to the total population. Research suggests that experiencing homelessness contributes to sensitivity to psychiatric distress in addition to less successful mental health recovery outcomes.

Objectives: This literature review sought to evaluate the effectiveness of improving mental illness treatment as a way to also combat homelessness through interventions such as supportive housing.

Methods: This integrative literature review was conducted using keywords “homelessness,” “mental illness,” and “supportive housing” to search the literature between 2010 and 2017.

Results: This study reveals that …

Guide Lines Vol. I, Issue 11 - November 2017, 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).

Social Capital And Hospital Readmission Of Older Adults, Sheryl Emmerling

Theses and Dissertations

This dissertation is comprised of three manuscripts exploring the concept of social capital and hospital readmission of older adults. The first manuscript provides a review of the literature evaluating studies that measure the relationship between social capital and health, healthy behaviors, and access to and utilization of healthcare resources. Further research focusing on testing various types of individual social capital and their relationship to key outcomes including hospital readmission is needed.

The second manuscript is a description of the Social Capital and Health Framework that can serve as an outline for assisting nurses and other healthcare providers to consider older …

Evaluation Of Screening, Brief Intervention, And Referral To Treatment (Sbirt) Implementation Into Practice, Olivia Wilson

Nursing Capstones

No abstract provided.

A New Understanding Of Palliative Care, Sarah Gale

The University Honors Program

The purpose of this paper is to discuss palliative care and how it is relates to chronic illness. It will include the current problems with palliative care as it is associated with chronic illness. The significance to nursing will be indicated and a review of literature follow and then by a synthesis of the literature. A project proposal will follow the synthesis followed by an evaluation of the implemented project and conclusion.

Debrief In Emergency Departments To Improve Compassion Fatigue And Promote Resiliency, Kristin Haglund, Madeline Schmidt

College of Nursing Faculty Research and Publications

The purpose of this case study was to describe compassion fatigue using one nurse's experience as an example and to present the process of Personal Reflective Debrief as an intervention to prevent compassion fatigue in emergency department (ED) nurses. Debriefing after adverse outcomes using a structured model has been used in health care as a nonthreatening and relatively low-cost way to discuss unanticipated outcomes, identify opportunities for improvement, and heal as a group. There are many methods of debrief tailored to specific timing around events, specific populations of health care workers, and amount of time for debriefing. Debrief with personal …

Strategies To Improve Interdisciplinary Communication In An Acute Care Inpatient Pediatric Unit, Sarah Thompson, Haley Pelletier, Barbara Bush Children's Hospital-Inpatient, Maine Medical Center, Suneela Nayak, Ruth Hanselman, Stephen Tyzik

MaineHealth Maine Medical Center

Interdisciplinary patient rounding has been shown to improve patient and family satisfaction as well as reduce patient length of stay and readmission rates. In an acute care inpatient pediatric unit, baseline metrics demonstrated that 100% of the time, nursing was not included in these rounds thus resulting in sub optimal communication.

The goal of this performance improvement project was to attain increased nursing participation. Data collection demonstrated several reasons for lack of participation and corrective actions were instituted. After undertaking this KPI goal and utilizing operational excellence, 95% of the time, nurses were called to morning rounds with the medical …

Delirium Reduction Strategies For The Critically Ill, June Chaves, Sam Canonico, Will Cheney, Tammy Corey, Gil Fraser, Alex Kowalewski, Jen Low, Cardiac Intensive Care Unit, Haley Pelletier, Cathy Palleschi, Stephen Tyzik, Suneela Nayak, Ruth Hanselman

MaineHealth Maine Medical Center

Delirium, an acute and fluctuating disturbance of consciousness and cognition, is a common manifestation of acute brain dysfunction in critically ill patients. Patients with delirium have longer hospital stays and a lower 6-month survival rate than do patients without delirium. Preliminary research suggests that delirium may be associated with cognitive impairment that persists months to years after discharge.

In a large acute care hospital, the cardiac intensive care staff became interested in mitigating their unit’s high delirium rate of ventilated patients. At baseline, many members of the healthcare team did not believe that delirium could be prevented and the predominant …

Factors That Affect United States Latina Immigrants’ Perception Of Preventative Care Of Stis And Contraceptive Use: An Integrative Review Of Literature Daniela Moody Linda Graf, Dnp, Cnm, Whnp-C, Apn, Rn Background: Latina Immigrants Are The Largest Growing Minority Group In The United States Yet They Have Limited Access To Healthcare Providers Who Can Accurately Educate The Women How To Best Prevent Transmission Of Stis And Also Provide Accurate Information On Various Types Of Contraceptive Use. Objectives: This Integrative Review Examined Current Research To Identify Factors That Affect A Latina Immigrant’S Perception On Preventative Care For Stis And Contraceptive Use. Methods: This Integrative Review Used Relevant Evidence To Answer The Specific Question Using A Narrative Analysis To Explain The Compilation Of Literature And Findings Of Varied Studies. Studies Were Organized, Coded, Summarized And In Classified In A Table Per Their Category. Findings: This Study Found That Acculturation And Language Affected Latina Immigrants’ Perception Of Obtaining Preventive Care For Stis And Contraceptive Use, Shown By Higher Rates Of Hpv And Other Stis. A Lack Of Education Or A Lack Of Information Also Increased The Lack Of Preventive For Stis And Contraceptive Use Within The Latina Immigrant Population. Conclusions: Due To The Evidence For This Integrative Review, The Nursing Community Needs To Provide More Outreach With Accurate Information Regarding Sti Transmission And Contraceptive Use For This Population., Daniela Granados Moody

Grace Peterson Nursing Research Colloquium

Factors that affect United States Latina immigrants’ perception of preventative care of STIs and contraceptive useFACTOFF: An Integrative Review of Literature

Daniela Moody Linda Graf, DNP, CNM, WHNP-C, APN, RN

Background: Latina immigrants are the largest growing minority group in the United States yet they have limited access to healthcare providers who can accurately educate the women how to best prevent transmission of STIs and also provide accurate information on various types of contraceptive use. Objectives: This integrative review examined current research to identify factors that affect a Latina immigrant’s perception on preventative care for STIs and contraceptive use. Methods: …

Contributing Factors Of Substance Abuse In African-American Adolescents Residing In Public Housing: An Integrative Literature Review, Kristin Miller, Gabrielle Harvery

Grace Peterson Nursing Research Colloquium

CONTRIBUTING FACTORS OF SUBSTANCE ABUSE IN AFRICAN-AMERICAN

ADOLESCENTS RESIDING IN PUBLIC HOUSING: AN INTEGRATIVE LITERATURE

REVIEW

Kristin Miller and Gabrielle Harvey

Faculty Sponsor: Young-Me Lee, PhD, RN

Background: Despite the provided funding from the government and implementation of current prevention programs for African-American adolescents, substance abuse is still a serious public health problem in this population.

Objectives: To determine the contributing factors of substance abuse among African-American adolescents residing in public housing and to review the current effective intervention programs that address those factors that lead to substance abuse in this population.

Method: An integrative literature review was conducted. An …

Barriers To Accessing And Utilizing Preventative Healthcare For The U.S. Hispanic Population, Maya Rosenberg

Grace Peterson Nursing Research Colloquium

Background: Utilization of healthcare in U.S. Hispanic populations is significantly lower compared to other population groups in the U.S. Many of the prevalent health conditions in the Hispanic population are ones that can be prevented or at least have better outcomes if detected and treated earlier. Despite the understanding that the Hispanic population is rapidly increasing and the growing concern of underutilization of healthcare services amongst Hispanics, there are limited studies that identify factors affecting healthcare access and utilization for this target population.

Objectives: The purpose of this integrative literature review is to identify barriers to accessing and utilizing preventative …

The Effect Of Motivational Interviewing On Medical Adherence In The Homeless Population, Kimberly Britt

Grace Peterson Nursing Research Colloquium

Abstract

Background: Methods of improving homelessness medical adherence are important because homeless populations incur higher than average costs in hospitalizations and medical treatment, disease rates, incarceration, police intervention, and emergency shelter expenses (“Cost of Homelessness,” n.d.). It is valuable to understand the role which Motivational Interviewing (MI) could play in improving medical adherence within the homeless population, thereby increasing the stabilization of homeless individual’s health, and decreasing needless overspending on emergency services.

Objectives: The purpose of this paper is to conduct an integrative literature review to determine if motivational interviewing can improve medical non-adherence with the homeless population.

Method: An …

Non-Pharmacological Interventions For Dementia Patients Experiencing Agitation, Beata Prendergast

Grace Peterson Nursing Research Colloquium

Abstract

Background: Several studies suggest that nonpharmacological interventions are preferred for first-line therapy when managing symptoms such as agitation associated with dementia. Patients experiencing dementia most likely develop behavioral symptoms throughout the course of their illnesses. These symptoms include agitation, which affects their quality of life. Current pharmacological treatment modalities are not always effective, and thus the significant shift to address agitation through non-pharmacological interventions is necessary.

Objectives: The purpose of this integrative literature was to explore the various research studies that have been conducted regarding several non-pharmacological interventions that can be beneficial in managing the dementia individual …

Canine-Assisted Therapy: How It Can Provide Social And Health Benefits To Patients With Autism Spectrum Disorder, Nadia Sarnecki

Grace Peterson Nursing Research Colloquium

Background: Over the years, there have been major developments that assist with the improvement of social skills and health among patients with Autism Spectrum Disorder (ASD), and canine-assisted therapy is one of them. Access to therapeutic resources such as canine-assisted therapy has introduced an inspiring, motivating, and furry new way for providing social and health benefits in patients with ASD in the hospital setting.

Objectives: The primary purpose this integrative review is to highlight the areas of research that have assessed the areas of social functioning positively affected by canine-assisted therapy and health benefits as a result of canine-assisted therapy …

Effective Methods For Domestic Violence Screening In The Emergency Department, Megan Bryan

Grace Peterson Nursing Research Colloquium

Abstract

Background: The CDC reports that one in four women and one in ten men will experience some form of domestic violence in their lifetime that will have either a short-term or long-term impact on their well-being. Often the first place these victims are seen where they can receive help is the emergency department. Objectives: The goal of this systematic integrative literature review was to explore existing literature on domestic violence screening methods used in the emergency department and determine which methods prove most effective. Concurrently, this review examined the barriers to effective domestic violence screening and how nursing education …

Resilience And Coping In The Adolescent And Young Adult With Type 1 Diabetes, Debra L. Messinger

Seton Hall University Dissertations and Theses (ETDs)

There is a need to understand the roles coping strategies play in enhancing resilience in adolescents and young adults with type 1 diabetes between the ages of 18-30. The purpose of this study was to examine the relationships between and among positive, protective coping strategies (courageous coping), negative coping strategies (defensive coping), and resilience. The Resilience in Illness Model (Haase, Kinter, Monahan, & Robb, 2014) was the theoretical model which guided this research.

A convenience sample was recruited via diabetes organizations’ Facebook and Forum pages, a College Diabetes Network chapter meeting, and Juvenile Diabetes Research Foundations’ (JDRF) sponsored events. Data …