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Using Education To Confidently Identify And Report Concerns Of Child Abuse And Neglect: A Qualitative Improvement Initiative Through Staff Development, Sarah E. Neilson

Master's Theses and Capstones

BACKGROUND: Pre-licensure education on child abuse and neglect is crucial for nurses in the healthcare field. It helps to equip them with the knowledge and skills necessary to effectively identify, report, and intervene in cases of child abuse and neglect. Having this education available and understanding the signs and effects of child abuse and neglect, empowers nurses to take quick and decisive action in early intervention and prevention. Within the microsystem of a local Operating Room (OR), this quality improvement (QI) project will determine the muchneeded addition to the healthcare curriculum.

METHODS: The Plan, Do, Study, Act (PDSA) framework was …

Improving Postpartum Depression Education Within The Microsystem, Mackenzie A. Sturdevant

Master's Theses and Capstones

BACKGROUND: Postpartum depression (PPD) is a significant mental health issue affecting a substantial percentage of new mothers, ranging from "baby blues" to severe forms like postpartum psychosis. Maternity nurses play a crucial role in early detection and education due to the gap in postpartum care follow-up appointments, which can delay necessary interventions.

LOCAL PROBLEM: Despite the critical role of maternity nurses, there is variability in their preparedness to educate and support patients regarding PPD during the immediate postpartum period. This study aims to enhance maternity nurses' knowledge and confidence in providing PPD education through a quality improvement (QI) project within …

Exploring Racial Disparities In Sex Trafficking Special Docket Court Programs, Aaron Murnan, Gwen England, Samantha J. Boch, Caneacha Matthews, Henry Ofori Duah, Islam Qasem, Sarah Manchak

College of Nursing Faculty Research and Publications

Purpose: The United States criminal legal system has a long-standing and well-documented history of perpetuating racial disparities in health and well-being through inequitable policing, sentencing, and incarceration practices. In the last decade, the criminal legal system has re-considered their response to women arrested for solicitation via sex trafficking specialty courts. Methods: The current study leverages publicly available data from one large Midwestern county to explore the presence of racial disparities within women’s referral to, election to participate in, and success within one specialty court program for women in the sex trade. Results: Between 1990 and 2022, approximately 27,790 women were …

Environmental Sustainability, Healthcare Workers And Healthcare Students: A Literature Review Of Attitudes And Learning Approaches, Pamela R. Mccauley, Kavita Mathur, Reza Kamali Miab, Nina Cohen, Kedena Henriques-Thompson, Jyo Gopinath

Health Professions Education

Purpose: Today, increased attention has been placed on the healthcare industry and its workers in the wake of the global COVID-19 pandemic. Increases in facemask production, personal protective equipment, and the number of patients admitted into hospitals have resulted in a sharp rise in medical waste and environmental concerns. This has led to a greater interest by the research community to study the type of training and education that healthcare workers and students receive which could facilitate the implementation of sustainability activities during their work.

Design/Methodology: We have conducted a literature review (2010 to 2024) on healthcare worker …

It Takes It Out Of The Textbook: Benefits Of And Barriers To Expert By Experience Involvement In Pre-Registration Mental Health Nursing Education, Brenda Happell, Sarah Gordon, John Hurley, Kim Foster, Mike Hazelton, Richard Lakeman, Lorna Moxham, Terri Warner

Research outputs 2022 to 2026

What Is Known on the Subject?: Service user involvement in mental health nursing education is beneficial in terms of attitudinal change to reduce stigma, clinical skill development and enhancing understandings of recovery-oriented practice. Service users as experts by experience have not been embedded within pre-registration nursing programs. Consequently, they remain limited in number, ad hoc and frequently tokenistic. Nurse academics responsible for the design and delivery of pre-registration mental health nursing curricula have a potentially important role in facilitating expert by experience involvement in mental health nursing education. What this Paper Adds to Existing Knowledge: Nurse academics teaching mental health …

Using Mindfulness In Nursing Burnout. An Integrative Review., April Day Branham

Doctoral Dissertations and Projects

The purpose of this integrative review is to evaluate if mindfulness is effective in decreasing nursing burnout. Nursing burnout has negatively affected the nursing profession for many years, and since the COVID-19 pandemic, it appears to be worse. Mindfulness is a practice that has been used for decades, however, it is gaining more attention in the nursing realm. Mindfulness consists of being present in a moment without judgment. It can consist of individual exercises that are completed using an instructor in person, in an application on a smartphone or computer, or yoga-based mindful activities. A preliminary literature review was completed …

Attitudes Toward The Amish Held By Nursing And Social Work Students At A Midwestern University, Lora Wyss, Rosanna Hess

Journal of Amish and Plain Anabaptist Studies

As Amish populations increase and move across North America, the likelihood grows that healthcare professionals will come into contact with them. No studies have been conducted to examine contact frequency with or attitudes of healthcare providers toward the Amish. The aims of this study were to examine attitudes toward the Amish among nursing and social work students attending a Christian liberal arts university in a Midwestern state, and, to determine the relationship between students’ cultural awareness, their knowledge of the Amish, their contact with the Amish, and their attitudes toward the Amish. The participants were anonymously surveyed using the Revised …

Mindfulness Based Self Care Toolkit For Psychiatric Healthcare Staff, Harkirat Kaur Bajwa

Doctor of Nursing Practice (DNP) Projects

Abstract

Background: Healthcare personnel (HCP) are at high risk of stress, burnout, and compassion fatigue (CF). Up to 50% of physicians and 33% of nurses experience burnout in the United States. Higher rates of burnout were noted during the recent SARS-CoV-2 (COVID-19) pandemic due to the increased need for mental health services among patients and HCP.

Problem: Stress, burnout, and CF are associated with increased medical errors, poor patient safety, and higher staff turnover rates. One-third of nurses report they intend to leave the profession because of burnout which contributes to financial burden for hospitals. A higher nurse turnover rate …

Beyond The Physical Wounds: A Proactive Approach To Mental Health Recovery After A Traumatic Injury, Christine Mcgahey

Doctor of Nursing Practice (DNP) Projects

Beyond the Physical Wounds: A Proactive Approach to Mental Health Recovery After a Traumatic Injury

Background: Every year, millions of Americans incur a life-threatening traumatic event and are admitted to trauma centers to treat their acute physical injuries. While traumatic injury is closely associated with developing post-traumatic stress disorder (PTSD), patients are rarely evaluated for PTSD risk or educated about long-term psychological sequelae.

Local Problem: The predictive value of early screening to quantify PTSD risk in trauma patients is well documented in the literature. However, in a 241-bed Level II Trauma acute care hospital, there was no protocol to evaluate …

Supporting Mental Health In Children By Providing Basic Skills And Knowledge Of Mental Health To Middle-School Teachers, Mariaelena Falcon

Doctor of Nursing Practice (DNP) Projects

Background: Mental health first aid training in middle school is an effective way to help teachers gain the necessary knowledge and confidence needed to support students with mental health distress and provide early interventions.

Local Problem: Lack of mental health training may result in teachers facing challenges in identifying and addressing mental health issues among their students. Specific problems resulting from this include limited awareness, insufficient skills, and strategies to effectively communicate and engage with students in mental health distress, and stigma surrounding mental health may make teachers uncomfortable discussing mental health.

Methods: The project will take place at Harper …

Improving Intimate Partner Violence Screening In A Women’S Health Practice Through Implementation Of An Evidence-Based Screening Tool, Jasmine Weber

Doctor of Nursing Practice Projects: College of Nursing

The purpose of this quality improvement project was to implement intimate partner violence screening in an outpatient women’s health clinic with no prior screening process in place. Current recommendations are to screen all reproductive age women for intimate partner violence 6 . During a three-month period 170 patients out of 260 eligible patients were screened using the HARK screening tool, 7 of those patients screened positive and were offered referrals to social work. While universal IPV screening was not achieved, a screening rate of 64% is a remarkable improvement from an apparent absence of screening prior to project implementation.

The Development And Evaluation Of Nurse-Created Video Modules To Encourage Healthy Behaviors Among Women With Polycystic Ovarian Syndrome (Pcos), Rebecca Akers

Doctoral Projects

Problem Statement: Women with PCOS have a higher prevalence of overweight and obesity, a problem that is directly linked with many of the symptoms and long-term health problems experienced by these individuals. Research studies indicate that lifestyle modifications, including dietary changes and increased physical activity aimed at promoting weight loss, are often the initial approach to treatment, but many women fail to adopt those health-promoting behaviors, which may be due to insufficient teaching and support provided by healthcare professionals.

Purpose: Utilize Pender’s Health Promotion Model to develop and evaluate a set of educational video modules focused on encouraging women with …

Predicting Factors Of Health-Related Quality Of Life Among End-Stage Renal Disease Patients Receiving Hemodialysis At A Tertiary Level Hospital In Nepal., Jyoti Gahatraj, Poolsuk Janepanish Visudtibhan, Tiraporn Junda, Nipaporn Butsing

Journal of Health Research

Background: End-stage renal disease (ESRD) puts tremendous burdens upon affected patients and their support persons in Nepal. The health-related quality of life (HRQoL) among Nepalese persons with hemodialysis-dependent ESRD is not well understood. This study aimed to examine HRQoL and its predicting factors among persons undergoing hemodialysis in Nepal.

Methods: A purposive sampling was applied to recruit 106 persons with ESRD receiving hemodialysis at a tertiary hospital in Nepal between October and December 2021. The structured questionnaires included personal information, the World Health Organization Quality of Life instruments (WHOQOL-BREF), the fatigue assessment scale (FAS), the Hamilton depression rating scale (HDRS), …

Benchmark Study Of Early Palliative Care In End-Stage Liver Disease, Pebble Ward

MSN Capstone Projects

Patients with ESLD in general have high rates of healthcare utilization, resulting in more than 250,000 hospitalizations at $9.8 billion annually in the United States (Ufere et al., 2019). Liver disease is a rising cause of death worldwide, affecting younger people, but palliative care is largely absent for these patients (Kimball et al. 2018). Early readmissions are common for patients with ESLD and in the U.S. alone, over 25% of patients are readmitted within 30 days of their initial diagnosis, rates that now exceed those seen for patients with CHF and COPD (Ufere et al. 2019). Evidence shows that early …

Palliative Care And Quality Of Life Improvement: A Benchmark Study, Rebecca Daniels

MSN Capstone Projects

This project provides an overview of the standard and regular implementation of palliative care versus early implementation of palliative care in patients with chronic or terminal illnesses. Palliative care is an essential component of healthcare that focuses on improving the quality of life and providing support to patients through holistic elements to patients and their families facing chronic and terminal illnesses. With evidence-based research, many articles have been published with implementation of early palliative care showing improvement in patient and even caregiver quality of life. This project includes evidence gathered from mixed methods of systematic review of existing literature, randomized …

A Systematic Review Of The Effect Of Family-Centered Education On The Physical And Mental Health Of Middle Eastern Refugee Women, Holly Keylada, Debora Merheb, Emilia Folkerts, Julia Nix, Khloe Blakey, Kimberly Landrum, Cheryl Swanson

Anna Vaughn School of Nursing Undergraduate Work

Refugee women from the Middle East are underrepresented in research and meeting their physical and mental health needs remains a significant challenge for healthcare workers in countries of resettlement. In this systematic research review, we synthesize family- centered interventions to address mental, menstrual, and reproductive health within this population. Twenty-one relevant studies were identified, showing the benefits of providing culturally sensitive family-centered education through the integration of educational interventions focused on community outreaches, interpersonal relations, school-based education, social networks, and more. However, there is still a need for high-quality mental, reproductive, and menstrual intervention studies within resettled refugees from the …

Emergency Department Patient Navigator Post Chest Pain Diagnosis Discharge, Nancy Simoes

Seton Hall University Dissertations and Theses (ETDs)

Abstract The most common complaint seen in the Emergency Department, along with abdominal pain, is nonspecific chest pain. Often, these complaints cause prolonged lengths of stay in the ED, followed by hospital admissions and subsequent readmissions for various reasons. When thinking about these various reasons, the question for prevention of readmission comes to mind. What could we do as a department to keep patients from continuously using the Emergency Department as a primary point of care instead of outpatient facilities when necessary? Project Aim: The purpose of this quality improvement project was to initiate the need for a patient navigator …

The Relationship Of Self-Care Behaviours And Online Learning Engagement Among Nursing Students During The Covid-19 Pandemic, Mazlinda Musa, Rohani Mamat, Hamidah Hassan, Sitti Fatimah Sa'at, Syed Syarizman Abd Rahim, Abdul Rahman Ramdzan, Octovia Abdullah, Vellerina Ally Paidius, Mariana Muitaba, Ashley Melissa George

Jurnal Keperawatan Indonesia

The COVID-19 pandemic and the sudden switch from conventional to virtual classes allegedly raised students' risk of mental health illnesses, adversely influencing their academic engagement and learning outcomes. Nursing students in Malaysia, especially those enrolled in universities in Sabah, have traditionally been accustomed to a conventional face- to-face teaching and learning approach. Due to the COVID-19 pandemic, e-learning or online classes have become one of the learning methods for university nursing students in Sabah, either while they are on campus or at home, to obtain access for educational purposes. The purpose of this study was to assess the relationship between …

Interprofessional Education Among Health Care Professionals In The Care Of Autistic Children During The Last Two Decades (2001 To 2020): A Systematic Review Protocol, Sunitha Solomon Nagelli Ms., Sushmitha Karkada Dr., Ravishankar N Dr.

Manipal Journal of Nursing and Health Sciences

Introduction: Autism Spectrum Disorder requires management from multiple health professionals at various settings during the course of treatment. Interprofessional collaborative practice has been identified as one of the promising methods of care for an all-round healthcare management.

Objective: Collate empirical evidence on interprofessional education among healthcare professionals in providing care for children with autism

Method: Search will be conducted from five databases against the selected criteria. Review will be restricted to studies in English between 2001 to 2020 only. Two independent reviewers will scrutinize the abstract and title, and every study document retrieved will be investigated as …

Psychosocial Impacts On Parents Of Mentally Challenged Children At Mangaluru, Sooraj Kookal Mr

Manipal Journal of Nursing and Health Sciences

Abstract

Introduction: Intellectually disabled children upset the mental, physical, social, and financial outlooks of the family in terms of their rearing and future. The support systems surrounding the parents of mentally retarded children play a vital role to lessen the burden associated with their special child. This study brings up some light on the psycho-social impacts on parents of Mentally challenged children who were attending special schools at Mangaluru. Objective: The main objective of the study was to assess the psychosocial impacts on parents of mentally challenged children. Further, to find the association between the psychosocial impact on …

Targeting Loneliness In Older Adults With Weekly Socialization, Tanja Johnson

Dissertations

Problem: Loneliness related to social isolation among the older adult population has become an increasing health concern with few interventions available for the general population. Loneliness has been directly associated with depression, poorer physical health outcomes, and overall quality of life.

Methods: The purpose of this study is to evaluate loneliness in the older adult population residing in a senior living community in an urban area in Missouri. Weekly one-on-one socialization, ranging from 45-60 minutes, will be implemented over 6 weeks, with pre and post-intervention screening for loneliness with the 28-item Visit-A-Bit (VAB) screening tool. Approval was received by both …

Social Activity Restriction And Psychological Health Among Caregivers Of Older Adults With And Without Dementia, Elliane Irani, Kylie Meyer, Scott Emory Moore, Kedong Ding

Faculty Scholarship

Objectives: We examined associations between social activity restriction and psychological distress and well-being for caregivers of older adults with and without dementia, and if the identified associations are different for the two groups. Methods: Using data from the 2017 National Study of Caregiving, we identified caregivers of older adults with (N = 541) and without (N = 1701) dementia. Linear regression models were estimated, adjusting for caregivers’ age, gender, race, education, relationship to care recipient, and self-rated health. Results: Restriction in visiting friends and family and attending religious services were associated with higher distress in dementia caregivers. Restriction in visiting …

Risk And Protective Factors To Well-Being In Foster Care Youth Prescribed Psychotropic Medication In A Wraparound Program Of Care, Ann Reali Stratton

Dissertations

Background: Youth in foster care are prescribed psychotropic medications at higher rates and are more likely to experience disruptions to their medical care. Wraparound models of care have been shown to improve outcomes for youths on psychotropic medications, however, these methods have proved difficult to replicate in the foster care population. Government policies have called for better oversight in the foster care population and in response programs have been implemented, however, there remains little research for these programs. Objective: This research will evaluate the characteristics of foster care youth as they enter a Wraparound model of care and the predictive …

Telemedicine For Prenatal Care During The Covid-19 Pandemic, Katrina Wu

Day of Scholarship

In the United States, 24.4% or approximately 1 million pregnant individuals, do not receive early or sufficient prenatal care each year. Due to its widespread adoption during the pandemic, understanding how it was implemented and insights from user experiences can inform the utilization of telemedicine as a potential long-term strategy to improve access to prenatal care. For this national, convergent mixed methods study, researchers surveyed 196 perinatal providers and 749 pregnant patients during the COVID-19 pandemic. Findings indicated mild to moderate satisfaction across six telehealth usability domains. While the majority of participants reported they did not use blood pressure cuffs …

The Benefits Of Telehealth For Rural Communities, Cade Alberson, Taylor Alberson

Scholars Week

No abstract provided.

Ovarian Cancer Survivorship Checklist, Emily Lott

Seton Hall University Dissertations and Theses (ETDs)

Background: The cancer survivorship population has been growing significantly in the last few years due to advancements in treatments such as immunotherapy, targeted medications and other types of chemotherapy. However, these survivors can have lifelong symptom burdens due to their diagnoses and adverse effects of their curative therapies. Symptoms are not always physical and can include emotional distress. Ovarian cancer patients in particular tend to have symptom complications because of their disease process. Symptoms include pain, constipation, neuropathy and fatigue. Ovarian cancer patients also experience a high level of cancer relapses. Early detection is key in cancer recurrences for patients …

Reducing Readmission Rates In Adult Patients (18–25 Years) With Alcohol And Substance Use Disorder Through Implementation Of Care Coordination Strategy: An Integrative Review, Godswill Evouka

Doctoral Dissertations and Projects

Alcohol and substance use disorders are a major issue in adults ages 18 to 25. According to the 2021 National Survey on Drug Use and Health, 6.6 million young adults ages 18 to 25 reported that they drank alcohol in the past month, and 2.4 million young adults ages 18 to 25 reported heavy alcohol use in the past. Over 20 million alcohol use cases were reported in the past year in the United States. Further, 21.6% of patients with drug use disorders were readmitted to hospitals within 30 days of discharge. Adults ages 18 to 25 years who are …

Sex Differences In Cholesterol And Triglyceride Levels Among Hospitalized Adolescents And Young Adults With Eating Disorders, Jason M. Nagata, Anita V. Chaphekar, Ruben Vargas, Anthony Nguyen, Amanda E. Downey, Khushi P. Patel, Kyle T. Ganson, Elena Stuart, Siena Vendlinski, Sara M. Buckelew, Andrea K. Garber

Publications

OBJECTIVE: To determine sex differences in cholesterol and triglyceride levels among adolescents and young adults hospitalized for medical complications of eating disorders. METHODS: A retrospective electronic medical record review of patients aged 9-25 years admitted to the University of California, San Francisco Eating Disorders Program for medical stabilization, between 2012 and 2020, was conducted. Non-fasting total cholesterol and triglycerides were collected; however, LDL and HDL levels were not available. RESULTS: Among 83 males and 441 females, mean ± SD age was 15.5 ± 2.8 years, 64.1% had anorexia nervosa, and admission percent median body mass index was 87.3 ± 13.9. …

Mental Health Suicide In Alabama, Michael Schurdell

University Faculty and Staff Publications

Mental health and suicide are significant issues in Alabama, a state that ranks 46th out of the 50 states and Washington D.C. in access to mental health services. Alabama’s suicide rate is 59% higher than its homicide rate of 8.3%. This crisis is particularly acute among Caucasian males aged 45-54, who account for 71% of suicides; this demographic is four times more likely to commit suicide than females and three times more likely than African Americans. High suicide rates correlate to a lack of available resources across the state, especially in rural communities. The closure of mental health facilities has …

Application Of The Social Determinants Of Health To Geriatric Patients By Nurse Practitioner Students, Theresa Marie Gruenke Schnable

Dissertations (1934 -)

ABSTRACT APPLICATION OF THE SOCIAL DETERMINANTS OF HEALTH TO GERIATRIC PATIENTS BY NURSE PRACTITIONER STUDENTS Patient outcomes are influenced by the social determinants of health (SDOH), which influence differing exposures to opportunities or health risks. Holistic care of geriatric patients includes considering SDOH in patient assessment, diagnosis, and care delivery. Understanding how NP students care for geriatric patients using a SDOH lens provides insight into their practice behaviors and helps educators understand how to strengthen NP programs to achieve better patient outcomes and advance health equity for the geriatric population. The purpose of this study was to describe how NP …