Health Equity And Quantifying The Patient Experience: A Case Study, Maria R. Moreno, Brandon Sherrets, Danielle J. Roberts, Kristen Azar

Patient Experience Journal

The COVID-19 pandemic has invigorated efforts to address health inequities disproportionately burdened by racial/ethnic groups and individuals of low socioeconomic status. Measuring and monitoring patient experience is crucial to understanding why the gaps exist and identifying mechanisms necessary to close them. Electronic health records and digital health tools hold much promise in this regard and can lead to change. We present a case study describing the innovative efforts undertaken at Sutter Health, a large integrated health network in Northern California, to quantify gaps in health equity using electronic platforms and visualization modalities. More work is needed to identify and address …

A Closer Look At The Association Between African American Men’S Perceptions Of Healthcare Providers’ Cultural Sensitivity And Hypertension, Kyvia Crisco

Patient Experience Journal

African Americans, specifically African American men, continue to have a substantially higher rate of hypertension and lower life expectancy than other racial and ethnic groups. This has been linked to poor interactions with health care providers. The purpose of this study was to examine the association between African American men's perceptions of health care providers' cultural sensitivity and a diagnosis of hypertension. A cross-sectional quantitative study was conducted with a specific focus on the association between the perceptions of provider cultural sensitivity and hypertension controlling for age, socioeconomic status, insurance status, and anxiety. Quantitative data were collected from 330 African …

Effectiveness Of The Nurse-Practitioner-Driven Enteral Nutrition Protocol, Jho Mary Tangcora

Dissertations

The delay in initiating enteral feeding (EF) in the critical care unit is known to cause malnutrition which may lead to poor patient outcomes. The purpose of this quasi-experimental quantitative project was to determine if the nurse practitioner (NP)-driven enteral nutrition protocol recommended by the Society of Critical Care Medicine (SCCM) and the American Society for Parenteral and Enteral Nutrition (ASPEN) will psychologically empower the NP toward reducing the delay on initiating EF and lowering the length of stay (LOS) of adult patients an intensive care unit in urban California over four weeks. This project utilized the theoretical foundation of …

Changes To Medical Students' First Course Highlight Social, Community Factors In Healthcare, Kendra Carter

Browse All News

No abstract provided.

College Of Nursing Msn Student Handbook 2021-2022, University Of Alabama In Huntsville

Student Handbooks

No abstract provided.

4ms Framework For Aging Healthcare, Christine Zaki

Nursing Capstones

Background: At the beginning of the pandemic, primary care clinics in North Dakota (ND) had just a trickle of daily telehealth encounters. Over time, these encounters increased, primarily for the youngest seniors (55 – 70 years old). Due to increased COVID-19 cases among the elderly population in ND, the Geriatric Workforce Enhancement Program (GWEP) allocated a grant to the University of North Dakota (UND) to promote telehealth use in the elderly residing in rural ND and receiving home care through the desired home care agency. This project aims to promote telehealth to reduce exposure to COVID-19 among the geriatric populations …

Causes Of Driver Distraction And Incidents At Signalized Intersections, Zannatulferdous Labony

Civil Engineering Dissertations - Archive

Driver distraction causes a major portion of motor vehicle crashes because distractions turn the driver’s attention away from driving the driving task, Intersections represent high risk environments because many conflict points within the intersection exist. At intersections with signalized traffic control, drivers may be more likely to become distracted than at other intersections. While distraction during the red indication may not seem to be a significant concern, this study investigates the role distraction plays in crashes at signalized intersections. Using the SHRP2 naturalistic driving study data, this study focuses on investigating the frequency and types of driver distraction, the causes …

Growth And Resilience During Covid-19: Research On The Impact Of The Pandemic On Older Adults In Singapore, Centre For Research On Successful Ageing

ROSA Research Briefs

It has been a year since the Centre for Research on Successful Ageing (ROSA) was established in place of the Centre for Research on the Economics of Ageing (CREA). While it was a year full of challenges (least of all the COVID-19 pandemic), the team at ROSA adapted and worked hard to overcome these challenges, and we are grateful for the opportunity to share this annual report that presents a snapshot into the centre’s work to better understand the ‘ageing Singaporean’. Much of the work that has been done in the first year has been focused on establishing a good …

2021-2022 Undergraduate And Graduate Catalog, The University Of Alabama In Huntsville

Course Catalogs

No abstract provided.

A Secondary Data Analysis Of The Prevalence Of Reported Dementia And Subjective Cognitive Decline Across U.S. National Surveys, Matthew C. Picchiello

Arts & Sciences Graduate Student Theses and Dissertations

Within the United States, many large-scale, nationally representative studies exist with the goal of tracking and monitoring aspects of health. These studies are often used to establish the prevalence of dementia and subjective cognitive decline (SCD) in the population. The goal of the current study is to examine how different population-based studies probe respondents about conditions related to cognitive impairment, and to assess similarities and differences in point estimates. We reviewed eight studies and identified comparable items related to dementia and SCD. We calculated design-appropriate point prevalence estimates and compared weighted estimates across studies, finding a wide range and statistically …

The Role Of Occupational Therapy Practitioners In Evaluation And Intervention Of Sleep With Older Adult Clients, Susan Cleghorn, Nicole Bell, Sauda Muhammad, Jordan Schneider, Laura Zeleznak

Older Adult

Objective: This study sought to explore occupational therapy practitioners’ perceptions of their role in working with older adults with sleep issues.

Methods: A mixed methods approach was used with data gathered from an online survey tool disseminated through social media platforms. Data from 17 participants was analyzed.

Results: Respondents reported not receiving entry-level knowledge of sleep evaluation in academic programs (70.6%). Additionally, 41.2% of respondents utilized continuing education opportunities. Respondents reported lack of occupational therapy specific evaluation tools as a significant barrier to addressing sleep in practice.

Discussion: Results indicate the need for additional research, coverage on sleep in the …

Planning, Aging, And Loneliness: Reviewing Evidence About Built Environment Effects, Yingying Lyu, Ann Forsyth

Geography & Planning Faculty Publications

Large numbers of people in many countries report being lonely with rates highest among the very old. Does the built environment affect loneliness among older people and if so, how? Using a scoping review, we examined associations between loneliness and built environments at the block, neighborhood, and city scales The (a) neighborhood environment has received most attention. Research has also examined (b) urban contexts, (c) housing, and (d) transportation access. Findings are mixed with the stronger evidence that local resources, walkability, overall environment quality, housing options, and nearby transportation alternatives can help combat loneliness.

Telehealth Assessment In The Elderly Using The 4m'S, Janet Obonyo

Nursing Capstones

COVID-19 has accelerated an already urgent need for telehealth in the United States. While health care systems have been providing telehealth for years, the number of providers and patients who need to participate in telehealth has ballooned overnight. Though telehealth has been in use for a while, the geriatric population seems to be disadvantaged, especially those who reside in rural settings. Due to increased COVID 19 cases among the elderly population in North Dakota, the Geriatric Workforce Enhancement Program (GWEP) allocated a grant to the University of North Dakota to promote telehealth in the elderly receiving homecare services in rural …

Age Friendly North Reading: A Community Needs Assessment, Caitlin Coyle

Center for Social and Demographic Research on Aging Publications

By the year 2030, 35% of North Reading residents will be age 60 and older1. In response to this demographic shift as well as in response to the desire of most residents to remain living in their community, the resident leaders of North Reading, with support of the Town, have embarked on the journey to become a more age friendly community. The Age-Friendly North Reading initiative means to ensure that North Reading is, and remains, a place where older adults can comfortably and safely age in place. This report describes research undertaken by the Center for Social & Demographic Research …

Homeschooling, Social Isolation, And Life Trajectories: An Analysis Of Formerly Homeschooled Adults, Daniel Hamlin, Albert Cheng

Education Reform Faculty and Graduate Students Publications

A longstanding critique of homeschooling is that it isolates children from mainstream society, depriving them of social experiences needed to thrive as adults. Although a small number of empirical studies challenge this criticism, this research tends to be derived from self-reports of homeschooling parents about their children. In this study, analyses of qualitative interviews (n = 31) and survey data (n = 140) of adults who were homeschooled as children are performed. Most interview participants described conventional and unconventional social experiences that they felt had satisfied their social needs while being homeschooled. Participants who were homeschooled for all or most …

Self-Reported Health Among Sexual Minorities In The United States, Christopher Burton

Electronic Theses and Dissertations

Previous literature on LGBTQ+ people (lesbian, gay, bisexual, transgender, queer/questioning, and other sexual minorities) reports that this community experiences greater health problems than heterosexuals. LGBTQ+ people experience higher rates of chronic conditions, STIs, addiction, poor mental health, and cancer, which highlights the importance of capturing data regarding health. A growing concern is that social surveys fail to find meaningful ways to gather gender and sexuality data to understand possible health disparities for LGBTQ+ people. This study uses data from the General Social Survey to examine the physical and mental health outcomes of LGB people compared to straight people in a …

A Preliminary Evaluation Of The Behavioral Gerontology Staff Training Protocols, Minyoung Kim

Masters Theses

Staff training in aging settings is integral to ensuring quality services, and such training has traditionally been conducted in person. With the COVID-19 outbreak, there is a need for innovative approaches to training that reduce exposure for trainers and staff. However, the efficacy of such an approach has not yet been demonstrated. To prevent the waste of staff resources at long-term care facilities, this study evaluates the efficacy of behavioral gerontology staff training protocols as a form of telehealth by utilizing graduate and undergraduate students as pilot participants. We use an additive concurrent multiple-probe design across participants to evaluate the …

Prevention Of Falls In Hospital: Audit Report From A Tertiary Care Hospital Of Pakistan, Anum Sadruddin Pidani, Tashfeen Ahmad, Nasreen Panjwani, Shahryar Noordin

Department of Surgery Docs

Objective: The study aims to assess the fall incidents in past 5 years and fall assessment practices at the Aga Khan University Hospital, Karachi.
Methods: We performed a single-center retrospective audit at Aga Khan University Hospital from October 2019 to December 2019. A list of all patients admitted to Aga Khan University Hospital under the Musculoskeletal and Sports Medicine Service Line was obtained using the Hospital Information Management System (HIMS) from Jan 2017 to June 2018. Data including fall assessment scores was collected retrospectively from medical record files.
Results: A total of 1499 patients were admitted during this time period, …

Air Pollution Particulate Matter Exposure And Chronic Cerebral Hypoperfusion And Measures Of White Matter Injury In A Murine Model, Qinghai Liu, Michelle Connor, Et Al

Open Access Publications

BACKGROUND: Exposure to ambient air pollution particulate matter (PM) is associated with increased risk of dementia and accelerated cognitive loss. Vascular contributions to cognitive impairment are well recognized. Chronic cerebral hypoperfusion (CCH) promotes neuroinflammation and blood-brain barrier weakening, which may augment neurotoxic effects of PM.

OBJECTIVES: This study examined interactions of nanoscale particulate matter (nPM; fine particulate matter with aerodynamic diameter

METHODS: nPM was collected using a particle sampler near a Los Angeles, California, freeway. Mice were exposed to 10 wk of reaerosolized nPM or filtered air (FA) for 150 h. CCH was induced by BCAS surgery. Mice (C57BL/6J males) …

江門市居家養老需求研究報告 : 城市深度訪談 = The Needs Of Ageing In Place In Jiangmen City : In-Depth Interviews In Urban Area, 嶺南大學-五邑大學居家養老聯合研究創新中心

APIAS Research Report 研究報告

本次研究旨在調查江門市老年人居家養老的現狀，探索服務需要，提升江門市老年人的生活質素。研究採用定性研究方法，對21名城市老人進行了深度訪談，調查日期從2020年7月到2020年9月。在這21名受訪者中，女性是11人，男性是10人；60-74歲的老人有9名，12名老人在75歲以上；與他人同住的老人有10名，11位老人是獨居。

研究檢視了江門市老年人的健康狀況和居家養老方面的需求，包括住房滿意度、社區設施情況、患病者個人護理需要及生活水準、健康資訊獲取方式、社會支援途徑和方式、老年人喜歡的活動、上門服務的選擇情況、社會組織分佈情況、患病老人的經濟狀況、及智能設備使用情況。

根據被訪者的需要，本文從醫療費用、養老中心和活動、可承擔服務、資訊傳遞、智能設備、家用電器及家居維修等六個方面提出了幾點建議，希望可以提升老年人的生活質素，使他們可以在家安享晚年。

The Effects Of The Dual-Tasking: Walking While Texting On Slip Recovery Mechanics, Ileana Abril Jarquin

Open Access Theses & Dissertations

Introduction: The number of induced falls has increased exponentially over the last decade. Previous studies have determined that the cognitive demands of texting affect the processing of cognitive and motor tasks.Research question: What effect does the dual-tasking of texting and walking has on slip recovery mechanics? Methods: Three-dimensional kinematic data were collected while 20 participants between the ages of 18 and 30 years three different conditions; 1) baseline, 2) walking + slip perturbation, and 3) texting and walking + slip perturbation. Results: Walking speed, numbers of falls, and recovery time from the slip were not affected by the texting dual-task. …

Food Insecurity And Older Adults: An Analysis Of Food Insecurity Among Elderly Households In The Us During The Covid-19 Pandemic, Stephanie Alexandra Morales

Open Access Theses & Dissertations

Past research has shown that food insecurity rates among the elderly have significantly increased during the COVID-19 pandemic. Nonetheless, there are yet to be peer-reviewed articles that specifically address food insecurity among the elderly during the COVID-19 pandemic. This cross-sectional study utilized a nationally representative sample (50 states and the District of Columbia, n = 29,779) using data derived from the Household Pulse Survey (HPS). One generalized estimating equation (GEE) was estimated along with bivariate analyses. The GEE revealed that Hispanics, Asians, and those who identified as other race were significantly more likely to be food insecure in comparison to …

California's Master Plan For Aging, Health Reimagined: A Case For Seniors To Age-In-Place, Remonia A. Bowie

Master's Projects and Capstones

Abstract

In 2021 Worldwide, communities face a singular yet common challenge; and this is the significant aging of their senior adult populations. Current evidence from the literature suggests that older adults prefer to stay in their homes as they age. However, the facilitators and challenges older people encounter in realizing their aging goals have been inadequately addressed by the current body of literature given the projected increase in the number of older people in the United States preferring to age from their homes. Aging adults are vulnerable to daily frustration, which could negatively impact their aging process. However, knowledge of …

Intersections Of Ageism And Gender Stigma: Exploring Long-Term Care Employees’ Attitudes Towards Aging, Tarah Loy

All Dissertations

The purpose of this mixed methods, single case study was to explore long-term care (LTC) employees’ attitudes towards age and gender. The intersection of Rosemary Garland-Thomson’s theory of feminist disability (2001) and Hailee Gibbons’ compulsory youthfulness theory (2016) provided the conceptual framework for this project. The sample consisted of 60 LTC direct care employees, all employed at the same organization, who completed an on-line survey during the COVID-19 pandemic. The survey consisted of demographic questions and the Fraboni Scale of Ageism. Twenty-one of these employees participated in a 30 minute phone interview. Cultural artifacts were also collected. Although quantitative results …

Association Between Greater Cerebellar Network Connectivity And Improved Phonemic Fluency Performance After Exercise Training In Older Adults, Junyeon Won, Yasmeen Faroqi-Shah, Daniel D. Callow, Allison Williams, Adewale Awoyemi, Kristy A. Nielson, J. Carson Smith

Psychology Faculty Research and Publications

Little is known about the effects of exercise training (ET) on lexical characteristics during fluency task and its association with cerebellum functional connectivity. The purposes of this study were (1) to investigate whether ET alters response patterns during phonemic and semantic fluency tasks and (2) to assess the association between ET-related changes in cerebellum functional connectivity (FC) and lexical characteristics during fluency tasks. Thirty-five older adults (78.0 ± 7.1 years; 17 mild cognitive impairment (MCI) and 18 healthy cognition (HC)) underwent a 12-week treadmill ET. Before and after ET, cardiorespiratory fitness tests, phonemic and semantic fluency tests, and resting-state fMRI …

Subjective Age And Inflammation Risk In Midlife Adults: Findings From The Midlife In The United States (Midus) Studies, Andree Hartanto, Nadyanna M. Majeed, Wee Qin Ng, Colin Kai Ning Chai, Verity Yu Qing Lua

Research Collection School of Social Sciences

Recent studies have suggested that subjective age—a subjective evaluation of one's own age—is a promising construct in gerontology that may contribute our understanding of risk for immune dysfunction. Nevertheless, studies documenting the association between subjective age and inflammatory biomarkers remain limited and provide mixed findings. In the present study, we revisited the relation between subjective age and systemic inflammation by utilizing a range of well-established inflammatory biomarkers (C-reactive protein, interleukin-6, fibrinogen, E-selectin, and intercellular adhesion molecule 1) through the collection of fasting blood samples before breakfast. In a large-scale dataset of midlife adults (N = 1800), we found some evidence …

Raps Sheet, Summer 2021, Retirement Association Of Portland State

RAPS Sheet: Monthly Newsletter

No abstract provided.

A Thematic Analysis Of The Attitudes And Perceptions Of Faculty Towards Inclusion Of Interprofessional Education In Healthcare Curriculum, Jitendra Singh, Tracy Eisenschenk

International Journal of Health Sciences Education

This qualitative study aimed to explore attitudes and perceptions of faculty towards inclusion of interprofessional education (IPE) in healthcare curriculum. Efforts were made to explore faculty members’ definition of IPE, significance of including IPE in content and curriculum and resources available to implement such initiatives in healthcare education programs. Further, challenges faced while including IPE in curriculum were also explored. Face to face semi structured interviews were conducted, and a six-step thematic analysis framework was utilized to analyze the collected data. Further, four dimension criteria was utilized to establish the rigor of the study. Eleven participants across undergraduate and graduate …

A Multidimensional Welfare Status Of Leprosy Patients Living In A Suburban Area, Yunia Irawati, Sri Linuwih Sw Menaldi, Melinda Harini, Luh Karunia Wahyuni, Wanarani Alwin, Astari Dwiranti, Adhityawarman Menaldi, Sonny Tirta Luzanil, Qaishum Matsurah, Dadun ., Rico Kurniawan, Ida Ruwaida, Gunawan Wicaksono, Muhammad Hidayat Sahid, Febrina Rahmayanti, Florentina Priscilia, Anis Fitriana, Tri Rahayu, Made Susiyanti, Gitalisa Andayani, Anna Puspitasari Bani, Hisar Daniel, Yeni Dwi Lestari

ASEAN Journal of Community Engagement

Leprosy has a high incidence of physical complications that will impact directly the physiological, economic, and social status of patients. Indonesia has a high burden of the disease, and several leprosy settlements are still spread in the country. Neglasari Village, Sitanala, Tangerang serves as one of the places of residence of people who have had leprosy. A health service initiative known as Identifikasi Tanda-Tanda Mata, Ekstremitas, dan Kulit pada Kusta (KATAMATAKU) was launched as a collaboration of health services among multi-departments (ophthalmology, dermatovenereology, and medical rehabilitation). Sitanala has a relatively high incidence of people who have had leprosy with disabilities …

Identification Of Primary Care Nurse Practitioner Clinical Procedural Skills Used In Practice: Examination Of Frequency Of Use, Importance Of Skill, And Training For Skill, David R. Want

Dissertations

With primary care NPs functioning in varied settings and roles requiring additional CPS knowledge and skills, NPs have expressed lack of preparedness regarding CPS. Although some evidence identified those CPS considered important to and frequently performed by NPs, the literature provides insufficient evidence to identify the CPS performed most frequently and rated as most important by primary care NPs in practice, and existing curricular standards lack clarity regarding which CPS to include in program curricula. This project aimed to conduct a practice analysis of the most frequently performed and most important CPS to primary care NPs in one region of …