Digital Commons Network^™

Measuring Knowledge And Behavior After An Educational Program On Air Pollution As A Health Risk Reduction Strategy, Mary Eileen Guerin Kloster

Dissertations

Potential exposure to indoor and outdoor air pollution must be considered as part of an overall health risk reduction strategy. Toxicants identified in outdoor air pollution, fine particulate matter (PM2.5), and photochemical ozone cause a systemic inflammatory response to the heart and lungs after exposure. Inside the home, health issues from exposure to carbon monoxide (CO), PM2.5, nitrogen dioxide (NO2), and volatile organic compounds (VOC) are intensified when the home is sealed with the windows and doors closed. This explanatory study sought to promote health by teaching participants about strategies to reduce risks related to indoor and outdoor effects of …

Celiac Disease: Examination Of Executive Function And Social Phobia Among Female College-Aged Students, Jacqueline M. Arnone

Dissertations

This study compares traditional age female college students (18-25) diagnosed with celiac disease (CD) to age matched controls on measurements of executive function (EF) and social phobia (SP). Although previous research in this area has been mixed, a preponderance of the evidence from these studies suggests that CD impacts cognitive functioning as a whole; executive functioning in particular. However, most of the literature in this area focuses on age groups outside of the normal traditional college age range. No research to date has examined executive functioning or social phobia among 18-25-year-old female college students with CD. Bronfenbrenner's Bio-Ecological Systems Theory …

Firearm Injuries In Maryland, 2005-2014: Trends, Recidivism, And Costs, Paul A. Thurman

Dissertations

Violent injuries related to firearms are common in the U.S., whether accidental or intentional. Restrictions on use of Federal dollars for research on injury prevention involving firearms has limited our knowledge of how firearm injury impacts the health care system. The objectives of this study are to characterize firearm injuries (FI) in Maryland, quantify recidivism, and to describe hospital treatment and their associated costs for Maryland.

ED and inpatient hospital records utilizing E codes consistent with FI were linked across visits to create unique cases from 2005-2014. Recidivism was defined as any subsequent ED visit or hospitalization for FI. The …

"It Was A Season..." Postpartum Depression In American Indian/Alaska Native Women, Jennifer Leigh Heck

Dissertations

Postpartum depression (PPD) is linked to diminished maternal, pediatric, and family health outcomes and is designated as the most common childbirth complication. PPD is found in most populations, and touts international status as a major public health concern. Clinicians define PPD as an episode of major depressive disorder with a "peripartum onset" that occurs within the first year after delivery. Studies suggest that American Indian/Alaska Native (AI/AN) women suffer higher PPD prevalence (14% to 29%) than other United States' women, revealing a racial/ethnic disparity. Health disparities research is a national public health priority and substantiates the need to explore PPD …

Elderly Partners' Lived Experience Of Bladder And/Or Colorectal Cancer Diagnosis Living With A Ostomy, Dinah R. Herrick

Dissertations

Bladder and colorectal cancer (CRC) are two of the most aggressive types of cancer with treatment creating physical and psychosocial comorbidities that affect the quality of life of patients affected by the disease. Numerous studies have been conducted about the experiences and needs of people who have had a bladder and/or CRC diagnosis, surgical intervention, and an ostomy, but studies about the experiences of the elderly partners are negligible. Specifically, the older adult (65-84 years old) group was found to be essentially unstudied with only 10 (0.51%) known 75- to 84-year old participants included in relevant studies that involved 1,750 …

Family Dementia Caregivers' Perceptions Of The Virtual Dementia Tour®: A Changed Reality, Candace Currie Harrington

Dissertations

Family dementia caregiving involves many challenges that often lead to stress and frustration. A subjective understanding of the daily struggles associated with dementia is not possible unless one has the disease; therefore, the family dementia caregiver's perception of dementia might be incongruent with their family member's lived experience.

The Virtual Dementia Tour® (VDT) provides a vicarious first-person perspective for six of the most common symptoms of dementia. Although extensive evidence supports the use of the Virtual Dementia Tour® in the healthcare profession and education, no research studies were found investigating the Virtual Dementia Tour® with family dementia caregivers.

Tuberculosis Screening And Education In The Urban Public School District, Nikolaos S. Moraros

Theses

Tuberculosis (TB) is the world's deadliest curable communicable infectious disease. The eradication of TB is a significantly important intractable global public health challenge for health agencies at all levels. Global migration, cultural-socioeconomic factors and increase of multidrug-resistance tuberculosis (MDR-TB) affect the epidemiology of TB in the United States and other countries worldwide. Studies have shown that increase in TB knowledge and understanding contributes to early TB screenings/diagnosis, interventions and treatments, result in reducing MDR-TB, rates of TB transmissions, relapse, morbidity and mortality. The purpose of this project is: (1) to develop a TB screening risk assessment protocol for the Urban …

Nurses Caring For Birth Tourism Families In Neonatal Intensive Care Units: A Phenomenological Inquiry, Tamara Lacroix

Dissertations

Birth tourism families plan their birthing experience that includes purchasing a maternity care package, traveling internationally to a preferred destination, and the delivery of a healthy newborn in an expected short hospital stay. However, some families admit a premature or ill infant into a South Florida neonatal intensive care unit. When admitted into this setting, neonatal nurses are unique in providing quality nursing care to birth tourism infants and their parents as a family unit. There remains a gap in nursing research in understanding neonatal nurses' lived experience caring for birth tourism families in the neonatal intensive care unit.

The …

Nursing Students' Perceptions And Satisfaction Of Their Clinical Learning Environment During Community Health Nursing Placements At Dispensaries, Lina G. Nouwayhed

DNP and Student Works

The health system is becoming increasingly community based and wellness focused to keep people healthy rather than treating them after a problem has been aroused. The population at large is more aware of health issues and the consequences of unhealthy behaviors. These factors have created new demands on today's health care professionals in general and on community health nurses in particular in order to analyze and address client's interest, needs, and beliefs (Stanhope & Lancaster, 2016). Community health nursing is an exciting, challenging, and changing field of nursing which integrates all areas of nursing practice and public health knowledge in …

American Association Of Diabetes Educators 7 Intervention In Managing Type 2 Diabetes In Older Home Health Patients, Anne N. Ohakosim

Dissertations

Management of chronic disease pathologies requires the patient to have the ability to understand and manage their care. This may be especially challenging in the aging population caring for themselves at home. The home care agency noted the patients had a knowledge deficit regarding T2DM self-management of blood glucose levels. The purpose of this quantitative quasi-experimental quality improvement project was to determine if the implementation of the American Association of Diabetes Educators 7(AADE7) diabetes self-management program improved glucose levels and diabetic management knowledge among adult diabetic home health patients aged 65 and older. The project took place in northwestern Illinois …

Dispositional Mindfulness In Senior-Level Nursing Students: Examining The Relationship To Situation Awareness And Clinical Outcomes, Deborah L. Struth

Dissertations

Experts in the study of ergonomics and human performance factors have described the 'collective mindfulness' of nurses as a critical element to the attainment of highly reliable safety within patient care delivery. Little research exists related to the construct of mindfulness and its impact on safe nursing practice and situation awareness by the nurse.

Best Teaching Practices For Providing Culturally Sensitive And Inclusive Nursing Education: Nurse Educators' Perspectives, Christine L. Sommers

Dissertations

This paper explored problem-based learning and cultural diversity, critical thinking and clinical judgment and cultural diversity, and nurse educators' perceptions of implementing culturally diverse and inclusive nursing education. The results of this exploration are presented in three articles (Chapters 2-4). In Chapter 2, a synthesis of literature regarding strategies for problem-based learning with culturally diverse students was described. Studies in nursing literature have not specifically focused on the needs of culturally diverse students when implementing problem-based learning. Nurse educators need to consider their own culture and their students' culture when implementing problem-based learning. They also need to dialogue together about …

Nurse Family Member Perceptions Of Patient Death And Nursing Care After Withdrawal Of Life-Sustaining Treatment, Deena M. Drake

Dissertations

This pilot study explored nurse family member perceptions of nursing care and patient quality of death and dying during and after withdrawal of life-sustaining treatment within Intensive Care Units (ICU).

The Feasibility Of Using A Theory-Based, Online Delivery Microlearning System To Educate Nurse Practitioners About Clinical Skin Examination For Melanoma, Delaney Baker Stratton

Dissertations

The purpose was to explore the feasibility of delivering and developing an evidence-based intervention to educate PCNPs about comprehensive CSE for MM. Aim 1 was to develop three evidence-based, brief skin cancer videos with content on comprehensive CSE skills (risk assessment, head-to-toe skin examination, skin lesion assessment) that are suitable for online, theory-based delivery to PNCPs in various formats. Aim 2 was to determine enrollment and retention rates, intervention adherence, and acceptability and usability of the intervention following completion of the one-week intervention. The exploratory aim was to explore preliminary associations among information, motivation and behavior skills for CSE behavior …

The Effects Of Nursing Program Simulation Experience Level And Type Of Advanced Organizer On Clinical Judgment Performance, Satisfaction, Self-Confidence, And Perceived Cognitive Load Of Pre-Licensure Nursing Students In Simulation Based Learning, Tina D. Barbour-Taylor

Dissertations

Nursing education programs face many challenges with training students to become professional nurses who will practice safely in an evolving and complex healthcare system. Nurse educators are obliged to prepare students to meet these challenges, with clinical experience being a key aspect of training. However, limited availability of clinical sites restricts adequate training. Simulation based learning (SBL) activities that mimic real world environments are now transforming the clinical experience, however, research is limited and additional research is needed.

Exploring The Homeless Persons Perception Of Living In A Long-Term Care Facility, Janice X. Woods

Dissertations

Objective: The purpose of this study was to explore the lived experiences of homeless persons admitted to a nursing home facility. Originally, the study was to explore their understanding of and their experience with advance health care planning; coincidently, the participants were more open to their experience of living in a long-term care facility.

Method: A convenience sample of 13 participants (12 male, 1 female) at four long-term care facilities in Southern California were interviewed about their perception of advanced health care planning, including the physician's orders for life sustaining treatment (POLST); a consent form required in all nursing homes. …

Associate And Baccalaureate Degree Nursing Students' Knowledge Of The Attitudes Toward Medication Errors And Reporting Medication Errors: Implications For Curriculum Development, Tabatha D. Teal

Dissertations

This paper evaluates senior nursing students' knowledge and attitudes of medication errors and reporting errors. This study was conducted to evaluate a need for improvements to nursing education on these two concepts. This mixed method study was conducted using a modified version of the Medication Administration Error Reporting Survey by Wakefield, Uden-Holman, and Wakefield (2005) and focus group sessions at four nursing programs in the Southern United States. Medication errors continue to be a threat to patient safety and underreporting exists due to the stigma surrounding admitting a mistake. Evaluating nursing students' knowledge and attitudes on these concepts is a …

Evaluating Student Knowledge, Self-Confidence, And Satisfaction During A Postpartum Hemorrhage Simulation Scenario, Elizabeth Riley, Nicole Ward, Degravelles Pamela, Leslie Mccormack, Natalie Capps

General Submissions: Presentations (Oral and Poster)

Postpartum hemorrhage (PPH) is an avoidable medical emergency that is the primary cause of nearly one-quarter of all maternal deaths worldwide (WHO, 2018). Pre-licensure nursing students are often unknowledgeable about PPH's signs and timely treatment due to a lack of exposure in the clinical setting (Phillippi, Buxton, & Overstreet, 2015).

An Ethnographic Study Of Pre-Graduate Precepted Nursing Student Clinical Placements In Long-Term Care Homes, Fran M. Meloche

Theses

Long-Term Care (LTC) home recruitment challenges and nursing student disinterest in such clinical placements and careers, underscore this study's urgent need. This qualitative focused ethnography explored preceptor, faculty advisor, and pre-graduate student beliefs, values, and practices contributing to positive LTC home clinical placements.

Primary Care Access And Use Among Homeless Persons, Kirsten A. Dickins

Dissertations

On a single night in the United States, more than 550,000 persons are homeless, a number that has increased in recent years. Homeless persons are disproportionately afflicted by acute and chronic communicable and non-communicable diseases, mental health disorders, and substance use disorders. These health disparities contribute to premature mortality: a marked life expectancy gap, as the average lifespan of a homeless person is 42 to 52 years, compared to 78 years among the general population. Further contributing to this gap is historic barriers to healthcare system access and use, such as lack of health insurance and resulted fragmented care receipt. …

A Quality Improvement Project: Evaluation Of Teach-Back Training On Medication Adherence In Hypertensive Older Veterans, Chelsea Hall-Mcarthur

Dissertations

Hypertension remains one of the most common yet uncontrolled chronic diseases among older adults. Medication adherence is a vital part in managing uncontrolled hypertension. The purpose of this QI project was to evaluate the effectiveness of using the teach-back method on improving anti-hypertension medication adherence of hypertensive older adult patients age 65 to 75 with at least two uncontrolled blood pressure readings during their most recent clinic visit in the past 6 months. Medication adherence was assessed using the Hill-Bone Medication Adherence Scale (HB-MAS) before and after the intervention. Health literacy scores were also recorded prior to the intervention using …

Factors Influencing The Recruitment And Hiring Of Early Career Nurse Faculty, Katie Sladky

Dissertations

The nursing faculty and subsequent nursing shortages have plagued the profession for decades with little progress made in altering the trajectory of the problem (AACN, 2005; IOM, 2010; NLN, 2017). Primary influences on the faculty shortage include later entry into faculty roles, the aging of faculty, and early retirements, and a logical solution is to recruit nurses to faculty roles earlier in their careers. The purpose of this study was to examine factors relating to recruitment strategies and hiring practices used by administrators of undergraduate, prelicensure nursing programs for early career nursing faculty. This study contributes new knowledge about administrators' …

Music Listening: An Evidence-Based Approach To Help Manage Postoperative Pain, Tammie Ferguson

Dissertations

The current standard of practice to manage postoperative pain includes the use of opioids. The purpose of this evidence-based project was to evaluate the effectiveness of music listening as an adjuvant to traditional pain management strategies to relieve postoperative pain and to assess the dosage of opioids used to help manage postoperative pain. Kolcaba's Comfort Theory was used to guide this evidence-based project.

Nursing Staff Approaches To Providing Oral Hygiene In Stroke Survivors With Dysphagia: A Grounded Theory Study, Willard Brewer

Dissertations

The purpose of this qualitative grounded theory study was to explore how the nursing staff approaches oral hygiene in stroke survivors with dysphagia during the rehabilitation phase of recovery and what guides their decisions. Oral hygiene is a proven effective task known to prevent systemic health disparities (i.e. aspiration pneumonia, diabetes, gastrointestinal disparities, and even stroke). However, there are no current evidenced-based guidelines that provide instruction on how to execute oral hygiene to stroke survivors with dysphagia. Little is known about how nurses make decisions to implement oral hygiene in stroke survivors with dysphagia.

Vaccine Hesitancy In People Who Inject Drugs, David Migrandasa Arnopole

DNP and Student Works

The influenza virus requires vaccination for the world to have some control of the spread of the disease. People who inject drugs are just as likely to reject the influenza vaccine as the rest of the population but are at higher risk for complications from the virus (Lunan, 2020). The purpose of this study was to determine if an educational intervention would decrease vaccine hesitancy in PWID. The sample was from a population of people who inject drugs using a syringe exchange program located in Tennessee. The data were collected from December 2020 through February 2021 (n=310). The study method …

Nursing Students' Views Regarding The Use Of Virtual Reality: A Qualitative Exploration, Mohamad M. Saab, Margaret Landers, David Murphy, Josephine Hegarty

Sigma Foundation for Nursing Research Grant Reports

The popularity and use of virtual reality in healthcare delivery and nursing education is on the rise. Yet, the views of future nurses regarding this technology remain underexplored. This qualitative study explored nursing students' views of using virtual reality in healthcare and in nursing education.

Managing Ambiguity: Nurses Caring For The Mother Of A Stillborn Baby, Natasha J. Nurse-Clarke

Dissertations

The aim of this study was to describe and conceptualize the experiences and processes involved when labor and delivery nurses provide care to women experiencing a stillbirth.

The Experiences Of Internationally Educated Nurses While Preparing For The Nclex-Rn, Jhordin James C. Montegrico

Dissertations

About 5.6% of the U.S. nursing workforce is composed of internationally educated nurses (IEN). Nurses from the Philippines comprise the majority of IEN applying for the National Council Licensure Examination Registered Nurses (NCLEX-RN) but more than half of them fail the NCLEX-RN the first time. There is paucity of research on IEN and the NCLEX-RN, in general, and there are no published studies on IEN experiences while preparing for the NCLEX-RN.

This research described the experiences of IEN while preparing for the NCLEX-RN. It explored the facilitating and hindering factors of IEN NCLEX-RN preparatory experiences. Strategies were identified to overcome …

Healthcare Providers' And Community Leaders' Knowledge And Perceptions Of Neurocysticercosis In Rural Bolivia, Amy J. Alberts

Dissertations

Neurocysticercosis (NCC) is a preventable infectious disease that is considered a major cause of epilepsy in developing nations. Bolivia is one of the least developed nations in Latin America and in rural Bolivia persons with epilepsy (PWE) go largely without treatment. Epilepsy is a devastating disease that has the capacity to significantly decrease the quality of life, not only for PWE, but for their families as well. The development and implementation of a self-sustainable program for the prevention and treatment of NCC and the consistent treatment of epilepsy is essential. However, research on epilepsy and NCC in Bolivia, whether in …

Young Adult Nurse Work-Related Well-Being, Contemporary Practice Worldview, Resilience, And Co-Worker Support During The Covid-19 Pandemic, Chloe Olivia Rose Littzen-Brown

Dissertations

The purpose of this mixed-methods study was to describe and examine the type and significance of factors significantly related to young adult nurse work-related well-being.