Digital Commons Network^™

An Interprofessional Falls Assessment Clinic Model To Develop Collaborative Team Skills Among Health Professional Students, Tracey Vause-Earland, Ms, Otr/L, Leigh Ann Hewston, Pt, Med, Cecilia Borden, Edd, Msn, Brooke Salzman, Md, Emily Hajjar, Pharmd, Ellen Furman, Msw, Christine Hsieh, Md, Susan Parks, Md

Department of Occupational Therapy Posters and Presentations

BACKGROUND

• Older adults are at increased risk for falls and fall related injuries, leading to loss of independence, disability, and increased mortality.
• Preventing injury and falls is a national Healthy People 2010 objective. However, physicians and other health professionals frequently fail to incorporate known evidence into usual care. Screening for falls is not consistently performed as an essential assessment in older adults by primary care providers.
• Multidisciplinary assessment can be an important component in preventing falls in community dwelling adults.
• In new practice models, such as the Chronic Care Model, there is an emphasis on interdisciplinary collaboration, however health professions …

Nursing Students' Attitude And Knowledge Of Alzheimer's Disease, Michelle Kimzey

Nursing Theses and Dissertations

As the population ages, nurses must be prepared to provide care for the large number of people with Alzheimer's disease (PWAD). Research is limited on nursing students and people with AD, whether nursing education prepares students to care for this population, or the best methods to educate students in an insightful and collaborative environment. The aim of this mixed methods design study was to determine the effects of educational experiences on nursing students' knowledge and attitudes towards people with AD. The qualitative piece identified factors that influenced and explained differences in nursing students' knowledge and attitudes surrounding the care of …

The Relationship Of Nursing Career Perception Congruence And Perceived Social Support On Hispanic Middle School Female Nursing Career Choice, Karen Vicino Bourgeois

Dissertations, Theses, and Capstone Projects

The purpose of this study was to examine the relationship of nursing career perception congruence and perceived social support on Hispanic middle school females' nursing career choice. A non-experimental descriptive, cross sectional design examined the relationship in a convenience sample of 200 Hispanic middle school females from the New York tri-state area. Instruments used to measure nursing career choice, nursing career perception congruence, and perceived social support, were: (1) the Nursing Career Choice Questionnaire (NCC); (2) Attitudes, Values, and Beliefs Scale (AVBS); and (3) the Child and Adolescent Social Support Scale (CASSS) .Multinomial logistic regression analyses indicated support for the …

Commencement Program 2014, Loma Linda University

Commencement Programs

CONTENTS

1 | Message from the President

3 | 2014 Events of Commencement

5 | The Academic Procession

7 | Significance of Academic Regalia

9 | The Good Samaritan

10 | University History Highlights

12 | Loma Linda University Song - "Healing Love"

13 | The Speakers

24 | The University Honorees

40 | The School Honorees

64 | The Programs

• School of Medicine, 65
• School of Pharmacy, 87
• School of Dentistry, 95
• School of Behavioral Health and School of Religion, 114
• School of Nursing, 126
• School of Public Health, 138
• School of Allied Health Professions - Physical Therapy, 156 …

Creating A Healing Environment: Strategies Christian Nurses Use, Jane Bacon Pfeiffer

Loma Linda University Electronic Theses, Dissertations & Projects

Nursing metaparadigm concepts of nurse, person, environment, and health are the conceptual building blocks which provide direction to nursing research and knowledge development (Fawcett & Desnato-Madeya, 2013). Interaction of person, nurse and environment facilitate optimal outcomes yet, there remains a need for research on the paradigm concept of environment and creation of a healing environment in particular. (Meleis, 2010).

The purpose of this study was to explore the strategies Christian nurses used to create a healing environment and enhance well-being for non-end-of-life, hospitalized patients from admission forward. Specific aims included identifying nurses’ perspectives on (1) the strategies Christian nurses used …

Psychometric Properties Of The Index Of Relocation Adjustment, Abir K. Bekhet, Jaclene Zauszniewski

College of Nursing Faculty Research and Publications

More and more American older adults are relocating to retirement communities, and they experience challenges in adjusting to new surroundings that may increase their depression and mortality. An instrument not previously tested in the United States, the Index of Relocation Adjustment (IRA), may help in early identification of poor relocation adjustment. This study examined the psychometric properties of the IRA using secondary data from a convenience sample of 104 older adults who relocated to 6 retirement communities in Northeast Ohio. Cronbach’s alpha was .86. The IRA was correlated with measures of positive cognitions (r = .48, p < .01) and relocation controllability (r = …

Health, Health Perceptions, Healthcare Practices, And Influencing Factors Among Korean Immigrants Living In Rural Texas, Mary Beth Winton

Nursing Theses and Dissertations

The population of Asian immigrants in the United States increased 43.3% from 2000 to 2010. During the same period, Texas experienced an increase of Korean immigrants of over 47%. Despite the increase of Korean immigrants, only a minimal number of studies explored health and healthcare needs specific to this population. Furthermore, none of the studies addressed Korean immigrants living in rural Texas. Hence, an ethnographic study was conducted to examine the health and healthcare among Korean immigrants living in rural Texas. Face-to-face interviews were conducted and transcribed. Five major themes emerged which included acculturation, health and health perceptions, healthcare, relaxation …

The Effect Of Shared Medical Appointments And Education On Hemoglobin A1c Levels, Gina L. Moore

Evidence-Based Practice Project Reports

Type II diabetes affects millions of people worldwide. Approximately 25.8 million or 8.3 percent of the United States (U.S.) population has type II diabetes. The number of adults in the United States developing diabetes has been projected to double by the year 2030 (World Health Organization, 2013). Diabetes is the leading cause of kidney failure and blindness, as well as the major cause of heart disease and stroke which is the 7th leading cause of death in the U.S. The purpose of this evidence-based project was to determine the effects of education during shared medical appointments with type II diabetic …

Solving The Obesity Problem One Bite At A Time: A Review Of Interventions, Sally Catherine Davis

Honors Theses

Resource limitations contribute to obesity in southern rural populations. An examination of published research provides evidence related to factors that lead to obesity and to related health consequences. Resource limitations in southern rural areas include a lack of access to healthy foods, a lack of safe areas to exercise or fitness equipment, and a lack of funding to promote the hiring of adequate numbers of healthcare workers to implement prevention programs and treat obesity related diseases. An investigation of obesity rates in Mississippi and Louisiana demonstrate that high rates of obesity exist. Through an exploration of published interventions in both …

Opinions Of South Mississippi College Students Regarding Adolescent Sex Education, Mary K. Nobles

Honors Theses

Teen pregnancy and rates of sexually transmitted disease (STD) transmission among teenage Mississippians are disproportionally higher than the national average. These high rates are partially attributed to poor adolescent sex education programs in Mississippi (MS) schools. MS has a long history of inadequate sex education programs; until recently, sex education was not a required component of the curriculum. Most MS public schools teach abstinence-only education, which has been shown to be less effective than comprehensive programs. Most Mississippians probably assume that MS public schools teach the sex education programs of which the majority of Mississippians are in favor. A review …

Nurses' Job Satisfaction In Northwest Arkansas, Kaitlin Mcdowell

The Eleanor Mann School of Nursing Undergraduate Honors Theses

During the month of October 2013, approximately 450 registered nurses working at a hospital in Northwest Arkansas were surveyed. All registered nurses were included in the study and were given the survey with instructions to complete it and return it within 30 days. A modified version of the McCloskey/Mueller Satisfaction Scale by Tourangeau was utilized, evaluating factors as they related to job satisfaction such as control and responsibility, scheduling, professional opportunities, praise and recognition, balance of family and work, relationship with coworkers, salary/vacation/benefits, maternity leave/child care, care delivery, social contact, research opportunities, and decision making. These variables were all rated …

The Lived Experiences Of Female Nurses In Recovery: A Phenomenological Inquiry, Mattie Y. Sherard

DNP Research Projects

No abstract provided.

Successful Aging In The United States And China : A Theoretical Basis To Guide Nursing Research, Practice, And Policy., Valerie Lander Mccarthy, Hong Ji, Jiying Ling

Faculty and Staff Scholarship

Successful aging is an idea gaining increasing attention given the exponential growth in the older adult population. Criteria and definitions within multiple disciplines vary greatly in Western literature, with no consensus on its meaning. Moreover, sociocultural, economic and political differences between the Western view of successful aging and its use in China – with the world’s largest older adult population – add to the confusion. Similarities and differences in the meaning of successful aging in the United States and China are examined and the potential for a common definition that is useful to nursing in both countries is explored. Using …

Caring For Caregivers: Assessing Grief And Coping Of Pediatric Palliative Care Nurses, Sophia Undseth

2014-2016 Undergraduate

The definition and implementation of pediatric palliative care has been increasingly studied in recent years. Within the United States, where children generally have adequate nutrition and access to advanced technology, the population of dying children is relatively small. Nevertheless, the number of pediatric patients suffering from both cancer and other chronic and life-threatening diseases has increased. While there has been a focus upon the need for support of the child and the family, the emotional response and grief of the caregivers, especially nurses, has often gone unnoticed. The five different kinds of loss that may be experienced by caregivers help …

Evaluation Of The Care Program At Goodall Hospital’S Center For Women’S Health, Nicole Hutzler, Lindsey Stockwell

Thinking Matters Symposium Archive

The purpose of this descriptive study is to gain a better understanding of the characteristics that can affect depression and overall compliance in prenatal care. Researchers anticipate that women’s involvement in the CARE Program will lead to a decrease in depression scores measured between the first and second trimester. The continued assessment and support provided by the CARE Coordinator is also expected to lead to fewer untreated cases of perinatal and postpartum depression.

Implementation Of A Mhealth Program Within A Homeless Population Of Young Mothers, Maureen Byrnes

Seton Hall University DNP Final Projects

Purpose: Despite major medical advancements and education, more than 500,000 babies are born prematurely and an estimated 28,000 infants die before their first birthday annually (www.marchofdimes.com/peristats). New Jersey’s infant mortality rate appears exemplary when compared to the United States overall infant mortality rate. Yet, New Jersey’s infant mortality rate, preterm birth rate and low birth rate by mother’s race reveal a far greater risk for infants born to a mother who is African American (www.nj.gov/health/epht/outcome.shtml). The need for innovative approaches to improving New Jersey’s maternal-infant health is paramount. Mobile phones may provide an appropriate means of …

Lifetime Prevalence Of Emotional/Psychological Abuse Among Qualified Female Healthcare Providers., Azmat Jehan Khan, Rozina Karmaliani Professor, Tazeen Saeed Ali, Nargis Asad, Farhana Madhani

School of Nursing & Midwifery

The purpose of this study was to determine the lifetime prevalence of emotional/psychological abuse among married female healthcare providers in tertiary care hospitals in Karachi, Pakistan. A descriptive cross-sectional study was conducted in a sample of 350 married female nurses and doctors, recruited from three tertiary healthcare hospitals (one public and two private). This study used the self-administered modified truncated WHO multi-country questionnaire. Descriptive and univariate analysis was performed. Of the total sample of 350 female married healthcare providers, 97.7% (n = 342) were reported with one or more forms of domestic violence at some point in their married life, …

Chhs March/April 2014 E-Newsletter, Dr. John Bonaguro, Dean, Vashon S. Wells, Editor, Wku College Of Health & Human Services

College of Health & Human Services Publications

No abstract provided.

Effectiveness Of A Poverty Simulation In Second Life®: Changing Nursing Student Attitudes Toward Poor People, Nancy Menzel, Laura Helen Willson, Jessica Doolen

Nursing Faculty Research

Social justice is a fundamental value of the nursing profession, challenging educators to instill this professional value when caring for the poor. This randomized controlled trial examined whether an interactive virtual poverty simulation created in Second Life^® would improve nursing students’ empathy with and attributions for people living in poverty, compared to a self-study module. We created a multi-user virtual environment populated with families and individual avatars that represented the demographics contributing to poverty and vulnerability. Participants (N = 51 baccalaureate nursing students) were randomly assigned to either Intervention or Control groups and completed the modified Attitudes toward …

Developing The Value Proposition For The Role Of The Registered Nurse In Care Coordination And Transition Management In Ambulatory Care Settings, Sheila A. Haas, Beth Ann Swan

Department of Nursing papers and presentations

The Patient Protection and Affordable Care Act (2010) established clear provisions for Patient-Centered Medical Homes and Accountable Care Organizations. In both, care coordination and transition management are methods to provide safe, high quality care to at-risk populations such as patients with multiple chronic conditions. The emphasis on care coordination and transition management offers opportunities for nurses to work at their full potential as an integral part of the interprofessional team. Development of a model for the registered nurse in care coordination and transition management provides nurses the opportunity to develop the knowledge, skills, and attitudes to be a resource to …

Developing The Value Proposition For Registered Nurse Care Coordination And Transition Management Role In Ambulatory Care Settings, Sheila A. Haas, Beth Ann Swan

Nursing: School of Nursing Faculty Publications and Other Works

The Patient Protection and Affordable Care Act (2010) established clear provisions for Patient-Centered Medical Homes and Accountable Care Organizations. In both, care coordination and transition management are methods to provide safe, high-quality care to at-risk populations such as patients with multiple chronic conditions. The emphasis on care coordination and transition management offers opportunities for nurses to work at their full potential as an integral part of the interprofessional team. Development of a model for the registered nurse in care coordination and transition manage- ment provides nurses the opportunity to develop the knowledge, skills, and attitudes to be a resource to …

The Experience Of Having Primary Caregiving Responsibilities For An Adult Sibling With Down Syndrome, Patricia Sciscione

Seton Hall University Dissertations and Theses (ETDs)

Abstract

Background: The current generation of adults with Down syndrome is living longer and is likely to outlive their parents. Siblings have been identified as the likely future caregivers for adults with Down syndrome, yet little is known about what the experience is like for those who are currently caring for their siblings. It is necessary to gain an understanding of what the service needs are for this population in order to assist sibling caregivers.

Objectives: To explore and describe the experience of being an adult who is partially or fully involved with primary caregiving responsibilities for a sibling with …

Chhs February 2014 E-Newsletter, Dr. John Bonaguro, Dean, Vashon S. Wells, Editor, Wku College Of Health & Human Services

College of Health & Human Services Publications

No abstract provided.

Alcohol Treatment In The Native American, Linda Turner

Graduate Research Projects

No abstract provided.

Utilization Review Software: The Impact On Productivity And Structural Empowerment In Case Management Nurses In An Acute Care Setting, Kimberly Frazier

Nursing Theses and Capstone Projects

The Center for Medicare and Medicaid (CMS) seeks to achieve cost control by implementing aggressive cost containment mechanisms for an exploding Medicare population. One such mechanism is utilization review, which is employed to limit reimbursement of medical care that is determined to not be medically necessary. The CMS Conditions of Participation mandate that all hospitals determine whether a patient qualifies for an Inpatient or Observation stay. Utilization Review Specialist (UR) nurses were given the Conditions of Work Effectiveness Questionnaire II (CWEQ-II), Organizational Relationship Scale II (ORS-II), and the Job Activity Scale II (JAS II), six months after McKesson InterQual software …

Nursing Students' Perceptions Of Mental Health Patients And Mental Health Nursing, Susan Furr

Nursing Theses and Capstone Projects

This Capstone project evaluated the impact of a simulation-based learning experience on nursing students' anxiety levels, preparedness for psychiatric practicum, and stereotypical views towards individuals with mental illness. A sample of 15 bachelor level nursing students was utilized. The experimental group (n=8) was exposed to a four-hour simulation-based learning experience prior to the beginning of their clinical experience. The control group (n=7) began their clinical rotation without any simulation exposure. A pretest, posttest design utilizing the Mental Health Nursing Survey Part 1 (MHN-1) and the Mental Health Nursing Survey Part 2 (MHN-2) was used to measure the students' stereotypical views, …

Patient Navigator's Role Definition, Joann Smith

Nursing Theses and Capstone Projects

Patient navigation as a care coordination model continues to evolve. Early programs focused on access to care for the underserved and uninsured. With no standard credentials, title, training or job descriptions, navigator programs are as varied as the people who perform these duties. The nurse navigator provides a holistic approach to care delivery and focuses on care coordination, education, and physical, social and emotional aspects of care. Workload for the navigators is increasing as a result of patient, facility, departmental, and national accreditation demands. The goal of this capstone project was to redefine the job descriptions of the Oncology Nurse …

Utilization Of Cope In The College Population, Rachael Hovermale

Doctor of Nursing Practice Projects

Background: College is a major transition in the lives of many young adults. As early as 1997, Sax reported that stress and depression were on the rise among college students and that 9.7% of college freshmen experienced depressive symptoms. Mental health treatments are often geared to children or older adults.

Objective: The objectives of this project were to (a) assess levels of anxiety and depression in identified at risk college students; (b) implement a new cognitive behavioral therapy (CBT)-based intervention; and (c) evaluate the effectiveness of the intervention on students’ levels of anxiety and depression and satisfaction with the intervention. …

Lateral Violence In The Emergency Department, Lesley Swafford

Nursing Theses and Capstone Projects

This study examined the types, frequency, and scopes of emergency room nurses' personal experience with disruptive behavior and its impact on staff, their patients, and the organization. Seventy registered nurses completed the Johns Hopkins Disruptive Clinician Behavior survey. Descriptive statics were used to analyze results. The most significant findings included: (a) Passive aggressive behavior was the most commonly reported form of disruptive behavior occurring on a daily basis, (b) RN's were identified as the most common instigators of disruptive behavior, (c) pressure from high census, volume, and patient flow was identified as the most common trigger of disruptive behavior occurring …

Simulation Collaboration: Will Screen Capture Change Attitudes?, Jeffrey Carmack

Nursing Theses and Capstone Projects

The ongoing call for interprofessional education with healthcare providers who routinely work together has largely gone unanswered. Parallel to this call, a large number of nursing programs across the United States exist in a stand-alone setting. These programs are unattached to a school of medicine. This creates barriers including a lack of access to physicians and lack of funding to hire medical staff as embedded participants. At the same time, aging nursing faculty, increasing enrollment, and decreasing clinical facility availability create an increased need to use simulation-learning environments to continue to maintain existing capacity in nursing programs. This project used …