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2019

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Improving Hgba1c And Overall Insulin Resistance For Patients With Type Ii Diabetes: Evaluating The Effectiveness Of A Whole-Food, Plant-Based Diet, Jennifer Seegott Jan 2019

Improving Hgba1c And Overall Insulin Resistance For Patients With Type Ii Diabetes: Evaluating The Effectiveness Of A Whole-Food, Plant-Based Diet, Jennifer Seegott

Electronic Theses and Dissertations 2010 - 2019

The purpose of this Doctor of Nursing Practice (DNP), quality improvement project was to assist participants in the management of their type 2 diabetes through the use an evidencebased Whole-Food, Plant-Based (WFPB) diet approach. The project described the effectiveness of individual WFPB instruction and counseling. Following recruitment, the participant attended weekly dietary counseling sessions focused on incorporating a WFPB diet over a 6-week period. The participant completed the 16-item food intake questionnaire (16-FIQ) pre- and post-dietary counseling along with HgbA1c measurements during the project period. Post dietary counseling resulted in an increase in the participant’s HgbA1c from 8.1% to 8.9%, …

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Determining The Impact Of A Bowel Management Protocol On Patients And Clinicians’ Compliance In Cardiac Intensive Care: A Mixed-Methods Approach, Dawn Warren, Bridie Kent Jan 2019

Determining The Impact Of A Bowel Management Protocol On Patients And Clinicians’ Compliance In Cardiac Intensive Care: A Mixed-Methods Approach, Dawn Warren, Bridie Kent

School of Nursing and Midwifery

No abstract provided.

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Methods Of Usability Testing In The Development Of Ehealth Applications: A Scoping Review, Inocencio Maramba, Arunangsu Chatterjee, Craig Newman Jan 2019

Methods Of Usability Testing In The Development Of Ehealth Applications: A Scoping Review, Inocencio Maramba, Arunangsu Chatterjee, Craig Newman

School of Nursing and Midwifery

Background The number of eHealth applications has exponentially increased in recent years, with over 325,000 health apps now available on all major app stores. This is in addition to other eHealth applications available on other platforms such as PC software, web sites and even gaming consoles. As with other digital applications, usability is one of the key factors in the successful implementation of eHealth apps. Reviews of the literature on empirical methods of usability testing in eHealth were last published in 2015. In the context of an exponentially increasing rate of App development year on year, an updated review is …

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Maternity Service Organisational Interventions That Aim To Reduce Caesarean Section: A Systematic Review And Meta-Analyses, Anna Chapman, Cate Nagle, Debra Bick, Rebecca Lindberg, Bridie Kent, Justin Calache, Alison M. Hutchinson Jan 2019

Maternity Service Organisational Interventions That Aim To Reduce Caesarean Section: A Systematic Review And Meta-Analyses, Anna Chapman, Cate Nagle, Debra Bick, Rebecca Lindberg, Bridie Kent, Justin Calache, Alison M. Hutchinson

School of Nursing and Midwifery

No abstract provided.

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Governance And Economic Development In The Arab Region: A Global Perspective, Islam Abdelbary Jan 2019

Governance And Economic Development In The Arab Region: A Global Perspective, Islam Abdelbary

Plymouth Business School Theses

The Arab region enjoys a strategic geographical location, an abundant natural resource base, a demographic gift of an expanding pool of young and educated labour force, and a dynamic and entrepreneurial population. Despite these, the region has been unable to achieve sustained and inclusive growth. This failure has strongly been attributed to igniting a wave of protests, popularly referred to as the ‘Arab Spring’, which spread throughout most of the region. Hence, the study aimed to identify the economic and especially institutional reasons that led to the Arab uprising by evaluating reform programmes that took place over the past two …

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Remote Health Coaching On Nutrition To Tackle Hyperlipidemia In Underserved Communities, Mary I. Gamble Jan 2019

Remote Health Coaching On Nutrition To Tackle Hyperlipidemia In Underserved Communities, Mary I. Gamble

Electronic Theses and Dissertations 2010 - 2019

Although there are effective medications to lower blood lipid levels, studies show that comprehensive nutritional counseling provides more effective and lasting results on blood lipids in comparison to standard of care with solely pharmacological intervention (Sialvera et al., 2017). Changes in diet such as reducing saturated fat and increasing fiber intake, are two of many alterations that have been proven to be successful and have consequently helped reduce the relative risk of ASCVD (Masana et al., 2017). The purpose of this quality improvement project was to direct participants with hyperlipidemia in the management of the condition using evidence-based nutrition guidelines …

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Improving Nutrition In Adults With Hypertension, Jennifer Jenkins Jan 2019

Improving Nutrition In Adults With Hypertension, Jennifer Jenkins

Electronic Theses and Dissertations 2010 - 2019

Nutrition can play a significant role in health conditions especially diseases such as hypertension. Nutritional intake can positively or negatively affect blood pressure, and many authors have found impactful changes when proper diet is adhered. Individuals who follow DASH diet guidelines have especially made positive changes in blood pressure. This quality improvement project examined if DASH diet-based nutrition education in adults with hypertension improved dietary intakes of vegetables and fruits, and reduced sodium intake and blood pressure. This manuscript addresses this concern using current evidence by describing the steps taken in a quality improvement project at Community Health of South …

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Let’S Make It Simple: Understanding Nutrition In The Management Of Obesity And Diabetes Through Visual Displays, Rosalie Magramo Del Valle Jan 2019

Let’S Make It Simple: Understanding Nutrition In The Management Of Obesity And Diabetes Through Visual Displays, Rosalie Magramo Del Valle

Electronic Theses and Dissertations 2010 - 2019

In only 3 decades, obesity has evolved to a leading cause of morbidity and premature mortality in the United States (US) and worldwide (Kotsis et al., 2018). The rise in the prevalence of obesity has been accompanied by a rise in the prevalence of diabetes and nearly 90% of newly diagnosed patients were overweight (Rossouw, 2015). Most guidelines recommend promoting weight loss among overweight or obese individuals by reducing energy intake together with a healthy eating pattern that focuses on a diet composed of whole or unprocessed foods combined with physical activity and ongoing support (Forouhi et al., 2018). Research …

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The Impact Of Cardiopulmonary Rehabilitation On Quality Of Life, Wildya Conde Jan 2019

The Impact Of Cardiopulmonary Rehabilitation On Quality Of Life, Wildya Conde

Electronic Theses and Dissertations 2010 - 2019

The devastating effects of cardiovascular disease are evident at a global and national level. Heart disease is the leading cause of mortality for both men and women, furthermore, heart disease is the number one cause of mortality for most ethnicities in the United States. Pulmonary disease also has an adverse impact on society. Pulmonary disease is one of the leading causes of disability and death worldwide. In an effort to increase the awareness of the effectiveness of cardiopulmonary rehabilitation clinics, this doctoral project conducted a program evaluation on a cardiopulmonary rehabilitation program (CRP) in Stuart, Florida. The purpose was achieved …

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Program Evaluation Of Target Bp Within A Community Health Center, Stephanie Geevarughese Jan 2019

Program Evaluation Of Target Bp Within A Community Health Center, Stephanie Geevarughese

Electronic Theses and Dissertations 2010 - 2019

Despite aggressive efforts to help people achieve target blood pressure goals, currently in the US, only 52% of patients with hypertension have achieved blood pressure goals as established by JNC 8 (Low et al., 2014). Hypertension correlates with a greater risk of myocardial infraction, heart failure, stroke, and kidney disease (Low et al., 2014). Early detection and intervention is essential to reduce mortality and morbidity (Beune et al., 2014). Target BP is a national initiative formed by the American Heart Association (AHA) and the American Medical Association (AMA) in response to the rising incidence of uncontrolled blood pressure (BP). The …

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“Wellness Through Action”: Assisting Community Dwelling Haitian American Older Adults In Adopting Habit Forming Activities To Address Depression, Madeline Michel Jan 2019

“Wellness Through Action”: Assisting Community Dwelling Haitian American Older Adults In Adopting Habit Forming Activities To Address Depression, Madeline Michel

Electronic Theses and Dissertations 2010 - 2019

Depressive symptoms are one of the factors that can accelerate aging and may negatively affect cognitive status of older adults, rendering them dependent on caregivers as they age. In general, depression can be the catalyst of physical inactivity in older adults and a mediator of cardiovascular events, and mortality. Furthermore, depression can be linked with increased disability, chronic medical conditions, and stressful life events; hence, placing significant burden on patients, their families, their communities, the economy, and the healthcare system. In South Florida, many older Haitian American (HA) adults living in our local community experience depression and lack of participation …

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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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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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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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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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Study To Assess The Prevalence Of Breakfast Skipping And Its Associated Factors Among Nursing Students In Selected College, Mangaluru, Derina Benny Ms, Anu Varghese Ms, Ashly Susan Baby Ms, Aishwarya Roy Ms Jan 2019

Study To Assess The Prevalence Of Breakfast Skipping And Its Associated Factors Among Nursing Students In Selected College, Mangaluru, Derina Benny Ms, Anu Varghese Ms, Ashly Susan Baby Ms, Aishwarya Roy Ms

Manipal Journal of Nursing and Health Sciences

Introduction: Nowadays breakfast skipping is a tradition in the adolescent group. Breakfast actually means breaking the fast over the night. One of the most important meals which is required for a normal growth is breakfast. If we fail to have breakfast it can lead to the poor concentration, obesity, high blood pressure, irritability, fatigue, etc. Objectives: The objective of the study was to identify the prevalence among nursing students in relation to their breakfast skipping pattern and find out the factors associated with it. Methods: The approach used was a descriptive survey design. The sample comprised of 349 students. The …

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Management In Paediatric Burns: A Case Report, Sangeetha Priyadarshini Ms, Pramod Kumar Dr, Elsa Sanatombi Devi Dr, Anice George Dr Jan 2019

Management In Paediatric Burns: A Case Report, Sangeetha Priyadarshini Ms, Pramod Kumar Dr, Elsa Sanatombi Devi Dr, Anice George Dr

Manipal Journal of Nursing and Health Sciences

Burns are common childhood injuries among children, mainly caused by scald, fire or abuse. The authors presented the case of a one-year child who presented with second degree thermal burns due to fall of hot liquid on the child. Most of the burn injuries, which occur in the early ages of life, are mostly due to the negligence or lack of supervision of the child during the growing period. So, proper management of burn injury and adequate education of parents should be considered as an important aspect in prevention of burns in children. Further, the classification of burns injury helps …

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Part 1: Preparing Entry-Level Occupational Therapy And Physical Therapy Students To Promote Health And Wellbeing With Individuals With Disabilities, Brooks C. Wingo, Donald H. Lein Jr., Beth A. Barstow, Christopher A. Eidson, Tara S. Pearce, Laurie A. Malone, David M. Morris Jan 2019

Part 1: Preparing Entry-Level Occupational Therapy And Physical Therapy Students To Promote Health And Wellbeing With Individuals With Disabilities, Brooks C. Wingo, Donald H. Lein Jr., Beth A. Barstow, Christopher A. Eidson, Tara S. Pearce, Laurie A. Malone, David M. Morris

Journal of Occupational Therapy Education

To address accreditation standards for health and wellbeing within entry-level occupational therapy (OT) and physical therapy (PT) programs, the OT, PT, and Human Studies Departments at the University of Alabama at Birmingham (UAB) collaborated with community partners to conduct an interdisciplinary service learning activity based on the I Can Do It, You Can Do It Program (ICDI). This program is a structured community health program where individuals without disabilities are partnered with individuals with disabilities to enhance physical activity, healthy eating, and community participation. The purpose of this paper is to describe a formative evaluation of ICDI at UAB, and …

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Design Of An Osce To Assess Clinical Competence Of Occupational Therapy Students, Nancy E. Krusen, Debra Rollins Jan 2019

Design Of An Osce To Assess Clinical Competence Of Occupational Therapy Students, Nancy E. Krusen, Debra Rollins

Journal of Occupational Therapy Education

Objective structured clinical examinations (OSCEs) are a series of controlled, timed stations in which students demonstrate clinical skills. OSCEs are commonly used within health professions education to demonstrate competence, prepare for clinical education, and conduct program evaluation. The body of literature addressing the use of OSCEs in occupational therapy (OT) is growing; however, there are no available guidelines for developing an OSCE specific to the profession. The purpose of this paper is to describe the design of an OSCE for OT students prior to fieldwork placement. Twelve OT practitioners participated in a modified-Delphi method to generate possible OSCE scenarios. The …

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Application Of Theory To Guide Development Of A Rehabilitation Service-Learning Project In Guatemala, Mary Zadnik, Suzanne Trotter, Cindy Mathena Jan 2019

Application Of Theory To Guide Development Of A Rehabilitation Service-Learning Project In Guatemala, Mary Zadnik, Suzanne Trotter, Cindy Mathena

Journal of Occupational Therapy Education

International community-based rehabilitation service-learning projects in physical and occupational therapy education programs may impact underserved communities internationally. The intentional inclusion of learning in service activities has been identified as service-learning. Extending the impact and education beyond the service project is necessary in order to provide a sustainable outcome for the community. Faculty at the University of St. Augustine for Health Sciences partnered with Potter’s House Association International to develop an interprofessional program to address the rehabilitation needs and continuity of care following a one-week project serving the community members of the Guatemalan City Garbage Dump. The purpose of this article …

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