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2019

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Sun Protective Behavior Counseling In Parents Of Children Aged Six Months And Older, Stephanie Queen Jan 2019

Sun Protective Behavior Counseling In Parents Of Children Aged Six Months And Older, Stephanie Queen

Electronic Theses and Dissertations 2010 - 2019

Ultraviolet radiation exposure (UVR) is the most significant modifiable risk factor in preventing skin cancer. Seeking shade, and wearing hats, photoprotective clothing, sunscreen, and sunglasses are effective sun protective behaviors proven to reduce long-term morbidity and mortality from UVR. To be effective, these behaviors must be practiced consistently and adopted early within childhood. This quality improvement project explores the impact of sun protective behavior counseling in parents with children aged six months or older. Sun protective behavior counseling was given to parents in conjunction with evidence-based supplemental infographics along with examples of appropriate clothing, sunglasses, hats, and sunscreens. Successes of …

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Lipids, Learning, And Lifestyle: Improving Cholesterol Levels In A Rural Health Clinic Through Enhanced Care-Coordinator Education, Stefanie Warren Jan 2019

Lipids, Learning, And Lifestyle: Improving Cholesterol Levels In A Rural Health Clinic Through Enhanced Care-Coordinator Education, Stefanie Warren

Electronic Theses and Dissertations 2010 - 2019

Having high cholesterol levels raises the risk for heart disease, the leading cause of death in the United States. High cholesterol is considered a silent preventable condition. Uncontrolled cholesterol levels increase health disparities experienced by patients of low-socioeconomic status. The purpose of this quality improvement (QI) project is to determine the effect of an evidence-based cholesterol education program in enhancing hyperlipidemia management strategies among Care Coordinators at a Federally Qualified Health Center (FQHC). The overall goal of the project is to improve patient’s cholesterol levels over a 3-month period. This project supports the implementation of enhanced hyperlipidemia education for Care …

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Using Educational Materials To Increase Colorectal Cancer Screening Rates, Loreta D. Padron Jan 2019

Using Educational Materials To Increase Colorectal Cancer Screening Rates, Loreta D. Padron

Electronic Theses and Dissertations 2010 - 2019

Colorectal cancer (CRC) is the second leading, and third most preventable cancer in the United States (U.S.) (Center for Disease Control [CDC], 2019a) As the second leading cause of deaths in the U.S., more than 90% of CRC cases occur in people age 50 and older (CDC, 2019a). Roughly about 21.7 million of those at greatest risk of developing CRC have not been screened as recommended (CDC, 2019b). According to the national guidelines, the United States Preventative Service Task Force [USPSTF] recommends screening for CRC using a fecal occult blood testing (FIT or gFOBT) yearly, a sigmoidoscopy every 5 years …

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Use Of The Hypertension Self-Care Profile Tool And Dash Diet For Self-Care Management Among African American Adults With Hypertension, Charity H. Denson Jan 2019

Use Of The Hypertension Self-Care Profile Tool And Dash Diet For Self-Care Management Among African American Adults With Hypertension, Charity H. Denson

Electronic Theses and Dissertations 2010 - 2019

Although there are clinical guidelines in place for the treatment of hypertension (HTN), many African Americans (AA) fail to reach controlled levels within the primary care setting. The ultimate goal of this quality improvement project is to provide evidence-based information that could be used to improve HTN care and decrease the rates of uncontrolled HTN among AA adults with HTN. The project was conducted at a Federally Qualified Health Center in Fort Pierce, Florida. The intention of this quality improvement project is to address the need for attention to this concerning issue, to highlight best current evidence, and to provide …

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Improving Hypertension: Engagement In A Walking Exercise Program In A Primary Care Setting, Ana Favareto Jan 2019

Improving Hypertension: Engagement In A Walking Exercise Program In A Primary Care Setting, Ana Favareto

Electronic Theses and Dissertations 2010 - 2019

Background: Hypertension (HTN) is a very common, undertreated, and costly disease. Despite effective treatment strategies available, uncontrolled hypertension remains a persistent problem in the primary care setting. Purpose: The purpose of this Doctor of Nursing Practice (DNP) project was to assess the effectiveness of a walking exercise program (WEP) on blood pressure in adults diagnosed with uncontrolled hypertension in a primary care setting. Goals were targeted to decrease blood pressure, decrease BMI, and increase physical activity. Methods: Using Bandura’s Social Cognitive theory as a framework, a walking exercise was offered at a primary care clinic, to assess the effectiveness of …

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Improving Hemoglobin A1c Using The 4 Steps To Manage Your Diabetes For Life, Brittany Murray Jan 2019

Improving Hemoglobin A1c Using The 4 Steps To Manage Your Diabetes For Life, Brittany Murray

Electronic Theses and Dissertations 2010 - 2019

Diabetes is the seventh leading cause of death in the U.S. where 1.5 million Americans are diagnosed each year. This evidence-based quality improvement project showed the effects of diabetes self-management education on lowering hemoglobin A1c levels and improving self-management behaviors. Education from the National Diabetes Education Program using the 4 Steps to Manage Your Diabetes for Life booklet along with follow up phone calls, a pre and post- Diabetes Self-Management Questionnaire were administered to twelve participants at the clinic. Descriptive statistics and a paired sample T-test were used to analyze data on the hemoglobin A1c and the Diabetes Self-Management Questionnaire. …

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Improving Assessment And Management Of Copd, Kevin P. Hanaway Jan 2019

Improving Assessment And Management Of Copd, Kevin P. Hanaway

Electronic Theses and Dissertations 2010 - 2019

Chronic Obstructive Pulmonary Disease (COPD) is the fourth leading cause of death in the United States. In 2014 approximately 142,000 individuals in the U.S. died from COPD (Office of Disease Prevention & Health Promotion, Healthy People 2020). The Global Obstructive Lung Disease Initiative (GOLD) (2019) provides evidence-based practice (EBP) guidelines for diagnosing, managing, and treating Chronic Obstructive Pulmonary Disease (COPD). This Doctor of Nursing Practice (DNP) quality improvement project used best practice recommended by GOLD (2019) to improve assessment of COPD by use of the Chronic Obstructive Pulmonary Disease Assessment Test (CAT). The implementation process for using the CAT was …

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Screening Time: Increased Colorectal Cancer Screening Among Haitian Americans, Tarah Roch Jan 2019

Screening Time: Increased Colorectal Cancer Screening Among Haitian Americans, Tarah Roch

Electronic Theses and Dissertations 2010 - 2019

The American College of Gastroenterology and the American Cancer Society (2018) issued new guidelines recommending adults aged 45 years and older with an average risk of colorectal cancer undergo regular screening. When colorectal cancer is diagnosed at earlier stages, available treatments are more successful. Haitian immigrants are among the fastest growing group of immigrants in the US with Florida being the second largest number of people of Haitian heritage. National studies do not distinguish Haitians from the other Blacks subgroups and there are no specific statistics within African descent subgroups on colorectal cancer incidence and rate of screening. Based on …

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An Evaluation Of A Diabetes Self-Management Education Program In A Community Health Clinic, Daniela Chetan Jan 2019

An Evaluation Of A Diabetes Self-Management Education Program In A Community Health Clinic, Daniela Chetan

Electronic Theses and Dissertations 2010 - 2019

The incidence of uncontrolled diabetes among the adult population of the United States, especially individuals over 65 years, remains a critical issue and is on the rise. Florida is one of the most affected states with the largest population of adults ages 65 and older in the nation (FDAC, 2017). Adults within minority groups face the greatest hardships as they often do not have access to proper diabetes educational programs resulting in a higher prevalence of diabetes with a higher risk for developing diabetes-related complications (Ricci-Cabello et al., 2014). Diabetes is a chronic disease that requires a person to make …

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Health Related Quality Of Life And Coping Strategies Of Children With Type 1 Diabetes Mellitus Attending A Tertiary Care Setting, Vineetha Vijaykumar Ms, Sreeja S. A Ms Jan 2019

Health Related Quality Of Life And Coping Strategies Of Children With Type 1 Diabetes Mellitus Attending A Tertiary Care Setting, Vineetha Vijaykumar Ms, Sreeja S. A Ms

Manipal Journal of Nursing and Health Sciences

Introduction: Diabetes mellitus (DM) is a syndrome that results in abnormally high blood sugar levels and is due to the combined effect of hereditary and environment. There is a global increase of type 1diabetes at a proportion of 3% annually in children and adolescents and frightening 5% increase annually among pre-school children. The highest incidences were found in the 10 to 14 years (Swift, 2007). Objectives: The objectives were to determine the health related quality of life (HRQOL) and coping strategies of children with type 1 DM, to find the association between HRQOL with selected demographic variables and to identify …

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Social Determinants Of Adolescent Girls’ Dietary Pattern In Suburban Areas In Chennai: A Qualitative Approach, Ponnambily Jobin Ms Jan 2019

Social Determinants Of Adolescent Girls’ Dietary Pattern In Suburban Areas In Chennai: A Qualitative Approach, Ponnambily Jobin Ms

Manipal Journal of Nursing and Health Sciences

Background: The idea of adolescent well-being is getting importance all around the world and thus there is a lack of national investigations to survey the factors on the dietary pattern of young girls in suburban regions. Aim: The objective of the study is to explore the social determinants of adolescent girls’ dietary pattern in suburban areas of Chennai. Design: The phenomenological design was used to explore the social determinants of adolescent girl’s nutritional intake. The study population consisted of adolescent girls, who were in the age group of 15-18 years in suburban areas of Chennai. The tool had two sections: …

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A New Approach For Scoring In Objective Structured Clinical Examination, Jomon C. U Mr, Roseminu Varghese Ms Jan 2019

A New Approach For Scoring In Objective Structured Clinical Examination, Jomon C. U Mr, Roseminu Varghese Ms

Manipal Journal of Nursing and Health Sciences

The Objective Structured Clinical Examination (OSCE) is a useful multi-use assessment tool which may be used to evaluate health care providers of various disciplines in a clinical setting. It appraises proficiency, through direct observation based on objective or unbiased testing. It is accurate, objective and consistent letting uniform testing of clinical skills among an extensive range of students. OSCE software, developed at Manipal College of Nursing (MCON), a constituent unit of Manipal Academy of Higher Education (MAHE) is a windows-based platform which is integrated with student’s information system and is designed to access only through the intranet of MAHE. It …

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Knowledge Of Nurses Working In Maternity Units Before And After The Implementation Of Structured Teaching Program On Obstetrical Emergencies In Selected Hospitals, Guntur District, Andhra Pradesh, Geetha Dhanasiri Ms, Vasundhara R Ms Jan 2019

Knowledge Of Nurses Working In Maternity Units Before And After The Implementation Of Structured Teaching Program On Obstetrical Emergencies In Selected Hospitals, Guntur District, Andhra Pradesh, Geetha Dhanasiri Ms, Vasundhara R Ms

Manipal Journal of Nursing and Health Sciences

Introduction: The experience of pregnancy is individualistic and an important experience for a woman. The process of child birth is viewed as a rebirth of the woman, because of the very fact that the period of pregnancy, child birth and puerperium, which show a very normal course till that time, may suddenly turn in to life threatening situations called obstetrical emergencies. These conditions endanger the life of both the mother and the baby. Hence, it is the bound duty of all the obstetrical care providers to give due concentration in identifying the emergency conditions and safe guarding the life of …

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