Digital Commons Network^™

Protective Orders And Limited Guardianships: Legal Tools For Sidelining Plenary Guardianship, David M. English, Nina Kohn

Faculty Publications

By encouraging use of limited guardianships and protective orders instead of full guardianships, states can reduce the likelihood of unnecessarily stripping adults of their civil rights. Yet, although such less restrictive alternatives have long been available to most courts, in practice, their use remains limited and sporadic. This article argues that this lack of use suggests that it is not sufficient for the law to state a preference for these less restrictive alternatives, it must actually create systems that incentivize their use and actively discourage the use of full guardianships. This article then shows, using the Uniform Guardianship, Conservatorship, and …

Comprehensive Onboarding And Orientation To Support Newly Hired Faculty In A Nursing Program, Kylateia Farrar-Stern, Michele Sheridan Malin, Amber Young-Brice

College of Nursing Faculty Research and Publications

Background:

Nursing programs are challenged with retaining nurse faculty due to many complex factors, one being the problem of suboptimal transition to the role.

Purpose:

The purpose of this project was to assess the impact of an onboarding and orientation program, the Teaching Excellence Program (TEP), on the transition of newly hired nurse faculty.

Methods:

Program assessment data, including quantitative and qualitative measures of 14 participants' needs and experiences, were collected over one academic year.

Results:

A Wilcoxon signed-rank test found no discernible difference between the preprogram and postprogram survey responses. Qualitatively, participants reported positive experiences with the TEP, highlighting …

ผลของโปรแกรมการจัดการตนเองที่เน้นการออกกำลังกายแบบแกว่งแขนต่อระดับฮีโมโกลบินเอวันซีของผู้ป่วยโรคเบาหวานเข้าจอประสาทตา, ลินดา อ่องนก, สุรีพร ธนศิลป์

Journal of Nursing Research, Innovation, and Health

วัตถุประสงค์: ศึกษาผลของโปรแกรมการจัดการตนเองที่เน้นการออกกำลังกายแบบแกว่งแขนต่อระดับฮีโมโกลบินเอวันซี ของผู้ป่วยโรคเบาหวานเข้าจอประสาทตา

รูปแบบการวิจัย: การวิจัยกึ่งทดลอง

วิธีดำเนินการวิจัย: กลุ่มตัวอย่างคือ ผู้ป่วยโรคเบาหวานเข้าจอประสาทตา ที่มารับการรักษาที่โรงพยาบาลเมตตาประชารักษ์ (วัดไร่ขิง) จังหวัดนครปฐม คัดเลือกกลุ่มตัวอย่าง โดยการสุ่มแบบเจาะจง ตามเกณฑ์ที่กำหนด จำนวน 44 คน แบ่งเป็นกลุ่มทดลองและกลุ่มควบคุมกลุ่มละ  22 คนโดย กลุ่มทดลองได้รับโปรแกรมการจัดการตนเองที่เน้นการออกกำลังกายแบบแกว่งแขน และกลุ่มควบคุมได้รับโปรแกรมตามปกติ เครื่องมือในการทดลอง คือ โปรแกรมการจัดการตนเองที่เน้นการออกกำลังกายแบบแกว่งแขน เครื่องมือวิจัยในการเก็บรวบรวมข้อมูล คือแบบบันทึกข้อมูลส่วนบุคคล และเครื่องตรวจระดับฮีโมโกลบินเอวันซี วิเคราะห์ข้อมูลโดยใช้สถิติ ร้อยละ ค่าเฉลี่ย ส่วนเบี่ยงเบนมาตรฐาน และการทดสอบที (t-test )

ผลการวิจัย 1) ฮีโมโกลบินเอวันซีของผู้ป่วยโรคเบาหวานเข้าจอประสาทตาในกลุ่มทดลองหลังได้รับโปรแกรมฯ (  = 8.30  ± 1.55 ) มีค่าต่ำกว่าก่อนการทดลอง (  = 9.14 ± 1.46  ) อย่างมีนัยสำคัญทางสถิติ (t= 3.23, p <05)  2) ผลต่างของฮีโมโกลบินเอวันซีก่อนและหลังเข้าร่วมวิจัยของกลุ่มทดลอง (= 0.84 ± 1.21) มากกว่ากลุ่มควบคุม (= 0.13 ±  0.85) อย่างมีนัยสำคัญทางสถิติ (t= 2.24 , p < .05 )

สรุป :โปรแกรมการจัดการตนเองที่เน้นการออกกำลังกายแบบแกว่งแขนสามารถลดระดับฮีโมโกลบินในผู้ป่วยเบาหวานเข้าจอประสาทตาได้อย่างมีประสิทธิภาพ

Nursing Care For Transgender And Nonbinary Patients An Educational Model For Forensic Nurse Examiners, Shoshana Dickerson

Doctor of Nursing Practice Projects

One of the greatest barriers to healthcare faced by the transgender and nonbinary (TGNB) population is the lack of access to providers who are knowledgeable in providing safe, appropriate, and gender-affirming care. LGBT education for most nursing baccalaureate nursing programs contains only 2.12 hours of LGBT-related content in their curricula, with even less time specifically devoted to transgender health topics. One foundational intervention for addressing healthcare disparities among the TGNB population is to provide better and more inclusive education for nurses about gender-affirming care. The purpose of this quality improvement project was to design, implement, and evaluate an interactive educational …

Implementation Of Education And Use Of A Screening Tool To Assess Palliative Care Needs In The Critical Care Setting, Megan Stoeckinger

DNP Projects

Purpose: The purpose of this study was to measure palliative care knowledge, attitudes, perceived empowerment, and familiarity of the Supportive Palliative Care Indicators Tool (SPICT) among critical care nurses and advanced practice providers (APPs) before and after viewing a web-based educational video on an adult medicine intensive care unit (MICU).

Methods: This study was a one group pre- and post- implementation assessment using a web-based educational video and electronic surveys. The population included critical care nurses and advanced practice providers (APPs). This study spanned the timeframe between January 2022 and March 2022.

Results: Paired t-tests comparing pre-intervention …

Increasing Medicare Wellness Visit Participation In A Primary Care Clinic, Katherine Rodriguez-Guerrant

DNP Projects

Background: Medicare Wellness Visits (MWV) came into use in 2011 to provide Medicare patients and their providers a chance to create a 5 to 10 year plan to prevent illness, disease, and disability. These visits are often underutilized due to various barriers on both the provider and patient side.

Purpose: The purpose of this study is to assess provider barriers to conducting MWVs and provide an educational tool that will assist providers in increasing the number of MWVs conducted within this system.

Design: This is a descriptive, quasi-experimental study to assess provider barriers combined with a Quality improvement project that …

ปัจจัยคัดสรรที่สัมพันธ์กับพฤติกรรมการรับประทานอาหารของผู้ป่วยกลุ่มอาการภาวะกล้ามเนื้อหัวใจขาดเลือดเฉียบพลัน, รัชฎาพร บุญสนอง

Chulalongkorn University Theses and Dissertations (Chula ETD)

การวิจัยครั้งนี้เป็นการศึกษาความสัมพันธ์เชิงบรรยายเพื่อศึกษาปัจจัยคัดสรรที่สัมพันธ์กับพฤติกรรมการรับประทานอาหารของผู้ป่วยกลุ่มอาการภาวะกล้ามเนื้อหัวใจขาดเลือดเฉียบพลัน กลุ่มตัวอย่าง คือ ผู้ป่วยกลุ่มอาการภาวะกล้ามเนื้อหัวใจขาดเลือดเฉียบพลัน จำนวน 195 คน คัดเลือกกลุ่มตัวอย่างด้วยวิธีการสุ่มแบบหลายขั้นตอน จากผู้ป่วยที่มารับบริการ ณ แผนกผู้ป่วยนอกระบบหัวใจและหลอดเลือด โรงพยาบาลจุฬาลงกรณ์ สภากาชาดไทย โรงพยาบาลตำรวจ และโรงพยาบาลศิริราช เก็บข้อมูลโดยใช้แบบสอบถามทั้งหมด 7 ส่วน คือ 1) แบบบันทึกข้อมูลส่วนบุคคล 2) แบบสอบถามความรู้เรื่องโรคหัวใจขาดเลือด 3) แบบสอบถามการรับรู้การเจ็บป่วย 4) แบบสอบถามแรงจูงใจ 5) แบบสอบถามการสนับสนุนทางสังคม 6) แบบสอบถามการรับรู้สมรรถนะแห่งตน และ 7) แบบสอบถามพฤติกรรมการรับประทานอาหาร ตรวจสอบความตรงตามเนื้อหาโดยผู้ทรงคุณวุฒิ 5 คน มีค่าดัชนีความตรงตามเนื้อหาเท่ากับ 0.94, 1.0, 1.0, 0.97, 1.0 และ 0.95 ตามลำดับ และตรวจสอบความเที่ยงของเครื่องมือเท่ากับ .76, .80, .73, .91, .96 และ .87 ตามลำดับ วิเคราะห์ข้อมูลโดยใช้วิธีการทดสอบค่าสัมประสิทธิ์สหสัมพันธ์เพียร์สัน ผลการวิจัยสรุปได้ดังนี้ 1. ผู้ป่วยกลุ่มอาการภาวะกล้ามเนื้อหัวใจขาดเลือดเฉียบพลันมีคะแนนเฉลี่ยพฤติกรรมการรับประทานอาหารเฉพาะโรค ความรู้ แรงจูงใจ การสนับสนุนทางสังคม และการรับรู้สมรรถนะแห่งตนอยู่ในระดับสูง (Mean = 100.98 SD = 12.39, Mean = 16.48 SD = 2.16, Mean = 76.03 SD = 8.63, Mean = 67.43 SD = 9.09 และ Mean = 25.73 SD = 3.79 ตามลำดับ) และมีคะแนนการรับรู้การเจ็บป่วยระดับปานกลาง (Mean = 49.81 SD …

ผลของโปรแกรมการช่วยเลิกบุหรี่แบบสั้นต่อพฤติกรรมการเลิกบุหรี่ในผู้ที่เป็นวัณโรคปอด, วริฐา พรกิจวรกุล

Chulalongkorn University Theses and Dissertations (Chula ETD)

การวิจัยกึ่งทดลองครั้งนี้ มีวัตถุประสงค์เพื่อศึกษาผลของโปรแกรมการช่วยเลิกบุหรี่ต่อพฤติกรรมการเลิกบุหรี่ในผู้ที่เป็นวัณโรคปอด กลุ่มตัวอย่างคือ ผู้ป่วยวัณโรคปอดที่สูบบุหรี่อย่างน้อย 1 มวนในช่วง 1 สัปดาห์ที่ผ่านมา เข้ารับการรักษาที่คลินิกวัณโรค โรงพยาบาลระดับตติยภูมิแห่งหนึ่ง กรุงเทพมหานคร คัดเลือกกลุ่มตัวอย่างแบบเจาะจงตามคุณสมบัติที่กำหนด จำนวน 60 คน กำหนดให้ 30 คนแรกเป็นกลุ่มควบคุม และ 30 คนหลังเป็นกลุ่มทดลอง จับคู่กลุ่มตัวอย่างให้มีลักษณะคล้ายคลึงกันในเรื่องอายุและระดับการติดนิโคติน กลุ่มควบคุมได้รับการพยาบาลตามปกติ ในขณะที่กลุ่มทดลอง ได้รับการพยาบาลตามปกติและโปรแกรมการช่วยเลิกบุหรี่แบบสั้น เป็นเวลา 8 สัปดาห์ เก็บรวบรวมข้อมูลโดยใช้แบบประเมินพฤติกรรมการเลิกบุหรี่ และแบบสอบถามสถานะการสูบบุหรี่ ประเมินการเลิกบุหรี่จากการเลิกสูบบุหรี่ได้ติดต่อกันในช่วง 7 วันก่อนระยะเวลาประเมินผลที่ 2 เดือน วิเคราะห์ข้อมูลโดยใช้ร้อยละ ค่าเฉลี่ย ส่วนเบี่ยงเบนมาตรฐาน สถิติทดสอบไคสแควร์ สถิติทีและสถิติซี ผลการทดลองพบว่า 1. คะแนนเฉลี่ยพฤติกรรมการเลิกบุหรี่ของผู้ป่วยวัณโรคปอดที่สูบบุหรี่ภายหลังการเข้าร่วมโปรแกรมการช่วยเลิกบุหรี่แบบสั้น สูงกว่าก่อนเข้าร่วมโปรแกรม อย่างมีนัยสําคัญทางสถิติที่ระดับ .05 2. คะแนนเฉลี่ยพฤติกรรมการเลิกบุหรี่ของผู้ป่วยวัณโรคปอดที่สูบบุหรี่ภายหลังการเข้าร่วมโปรแกรมการช่วยเลิกบุหรี่แบบสั้น สูงกว่ากลุ่มควบคุมอย่างมีนัยสําคัญทางสถิติ (p<.05) 3. เมื่อประเมินที่ระยะเวลา 2 เดือนหลังการทดลอง พบว่า ผู้ป่วยวัณโรคปอดที่สูบบุหรี่ในกลุ่มทดลอง เลิกบุหรี่ได้ 12 คน ส่วนกลุ่มควบคุม เลิกบุหรี่ได้ 3 คน อัตราการเลิกบุหรี่ในช่วง 7 วันก่อนประเมินผล ในกลุ่มทดลองสูงกว่ากลุ่มควบคุม อย่างมีนัยสำคัญทางสถิติ (p<.05)

Changing Age Segregation In The Us: 1990 To 2010, Debasree Das Gupta, David W. S. Wong

Kinesiology and Health Science Faculty Publications

Age segregation adversely impacts health and wellbeing. Prior studies, although limited, report increasing age segregation of the US. However, these studies are dated, do not comprehensively examine the spatiotemporal patterns and the correlates of intergenerational segregation, or suffer from methodological limitations. To address these gaps, we assess the spatiotemporal patterns of age segregation between 1990 and 2010 using census-tract data to compute the dissimilarity index (D) at the national, state, and county levels. Results contradict previous findings providing robust evidence of decreasing age segregation for most parts of the country and across geographical levels. We also examine factors explaining adult-older …

Mindfulness And Psychological Stress In Black Male Caregivers, Alyssa Misun Kim

Public Health Theses

Background: Mindfulness practices are under-studied in Black communities despite theireffectiveness in improving mental health. When specifically examining Black male caregivers of people living with Alzheimer’s disease or dementia, not much is known about how mindfulness can affect their stress in their role as a caregiver and their identity as a Black male. Therefore, the purpose of this study is to examine mindfulness, self-rated stress, and depressive symptoms among Black male caregivers and non-caregivers and determine whether mindfulness can serve as a protective buffer against psychological stress in each of these groups. Methods: 18 Black male caregivers and 29 non-caregivers completed …

Epidemiology Of Covid-19 Hospitalizations In New Haven And Middlesex Counties, Connecticut, July - September 2021, Caroline Mary Mcwilliams

Public Health Theses

Abstract:Background. This thesis explores the epidemiology of COVID-19 hospitalization among residents of New Haven County and Middlesex County, Connecticut from July - September 2021 with an emphasis on quantifying racial/ethnic and SES disparities. Two previous studies, the first conducted from March - May 2020 and the second conducted from July - December 2020, used COVID-NET Surveillance data from New Haven and Middlesex counties to explore the same questions. This thesis will compare findings with these previous studies to better understand how the epidemiology of COVID-19 hospitalization and racial/ethnic and SES disparities have changed in New Haven and Middlesex counties. Methods. …

Mennonite College Of Nursing Annual Report, Fiscal Year 2022, Judy Neubrander

Annual Reports - Mennonite College of Nursing

Annual report of the Mennonite College of Nursing at Illinois State University

Multilevel Influences On Physical Activity Participation In Rural And Cancer Populations With Obesity, Nashira Inika Brown

All ETDs from UAB

espite the strong evidence of physical activity benefits, the prevalence of physical inactivity and associated obesity continues to increase. Rural and cancer survivor populations with obesity, in particular, remain highly inactive and are at increased risk of comorbidities. Thus, physical activity interventions are needed to promote active lifestyles. However, before developing or adapting existing multi-level physical activity interventions, more research is needed to understand the necessary components to meet the needs and preferences of these unique populations. Therefore, this project involved identifying the gaps in literature followed by three studies to investigate the multilevel influences on physical activity in rural …

The Roles Of Racial Discrimination And Sleep In Cognitive Functioning In Diverse Youth, Queenisha Crichlow

All ETDs from UAB

Cognitive functioning is an important aspect of human development that is closely related to youth academic outcomes (Caemmerer et al., 2018). Specifically, there is evidence that cognitive abilities such as memory, attention, and self-control are predictive of academic achievement in youth (Peng & Kievit, 2020). Current research suggests that chronic stress reduces cognitive functioning (Korten et al., 2014), but few studies have examined this relationship for race-related stress, specifically racial discrimination. Considering that racial discrimination is a common and reoccurring type of stress in the lives of minority youth (Hughes et al., 2016), it is possible that chronic exposure to …

Smoking And Perceived Stress: Examining The Impact Of Racial Identity And Risk For Obstructive Sleep Apnea Through A Moderated Mediation Model, Sofia Mildrum Chana

All ETDs from UAB

Background: Cigarette smoking is known to have a negative effect on individuals’ sleep quality, and symptoms of insomnia. Smoking can particularly exacerbate sleep disorders such as obstructive sleep apnea (OSA) by increasing irritation and inflammation of the upper respiratory conducts. Previous research highlights the complex positive association between cigarette smoking and perceived stress. Sleep may be an important aspect intervening in the association between smoking and perceived stress, given that individuals who report high stress also report worse sleep quality and are at greater risk for OSA. However, limited research has examined the indirect association of cigarette smoking and perceived …

Leisure, Eudaimonic Behavior, Physical Activity And Well-Being Of Older Adults, Jungsu Ryu, Jinmoo Heo, Gary Ellis, Mark A. Widmer

Faculty Publications

This study explored how different types of daily experiences (leisure activity, eudaimonic behaviors) and select habits and dispositions (neuroticism, dispositional depression, physical activity level), are related to situational well-being (situational depression, immediate positive affect) among older adults from a community center. Six hundred thirty-eight situational experience sampling observations were provided by 19 participants ranging in age from 59 to 81 years (M¼68.68, SD¼7.17). Each participant was signaled on five randomly selected occasions each day for seven consecutive days. Upon receiving a signal, participants completed questionnaires measuring their activity participation and situational well-being at the time of the signal. Significant predictors …

Life-Space Mobility In The Older Adult, Community-Dwelling Cancer Survivor In The Deep South: A Secondary Data Analysis, Richard A. Taylor

All ETDs from UAB

By 2040, the U.S. is projected to have 26.1 million cancer survivors; 73% of these will be over 65 years old. Much is known about life-space mobility (LSM) in patients with non-cancer serious illnesses. Restricted LSM affects every aspect of an older adult’s life; their independence, autonomy, and quality of life (QOL). To date, there are no studies examining LSM in older cancer survivors. Therefore, we examined LSM, factors that affect LSM, and the relationship between LSM and QOL in older cancer survivors using existing data from the University of Alabama at Birmingham (UAB) Study of Aging (SOA) (NIA AG15062). …

Internal Funding Newsletter, Academic Year 2021-2022, Uno Office Of Research And Creative Activity

Internal Funding Newsletters

The University of Nebraska at Omaha is committed to exceptional education, groundbreaking research, and the life-long success of our students and alumni. The 2021- 2022 Academic Year brought many exciting opportunities for us to invest in a multitude of funding programs that promote research and creative activity. This year’s programs provided over $600,000 for student and faculty projects that reflect the broad range of scholarly interests of the UNO community, including evaluating marmoset stress responses to music, examining factors that influence undergraduate women to leave (or remain in) computer science majors, the human experience of dementia, aging, and caregiving, and …

A Seat At The Table: Visioning Social Work’S Leadership Future, Lucas Hall

DSW Capstone Projects

This capstone focuses on the history of social work leadership, current trends in social work leadership, what is lacking and where we can go in the future. The systematic literature review was focuses on what is in the literature as it relates to social work leadership preparation. The conceptual paper proposes the creation of social work leadership fellowships and certification programs. Finally, the practice application paper is the full realization of the first two papers. A solution to the crisis of a lack of social work leadership preparation is proposed and fully fleshed out. The solution being the full-scale implementation …

Ethnic Differences In The Way College Students Cope With Stress, Temavulane N. Motsa

Masters Theses

Stress is one of the key concerns for students and has also been labelled the highest factor impacting students’ academic performance in colleges. A student’s ability to adequately cope with their stressors could determine their academic success or failure. This study examined whether there are any ethnic differences in the way African American and Caucasian American Students cope with stress. Data were collected from Students at Eastern Illinois University which included 45 African American Students and 40 Caucasian American students. The results revealed no significant differences in the way Caucasian American and African American students cope with stress. This paper …

The Role Of Pro-Longevity Micrornas In Aging, Sarah Noureddine

Electronic Theses and Dissertations, 2020-2023

Cellular senescence, a hallmark of aging, has been implicated in the pathogenesis of many major age-related disorders, including atherosclerosis, metabolic disease, and neurodegenerative disorders such as Alzheimer's disease (AD). AD is characterized by increased cognitive impairment and treatment options available provide minimal disease attenuation. Additionally, diagnostic methods for AD are not conclusive with definitive diagnoses requiring postmortem brain evaluations. Therefore, miRNAs, a class of small, non-coding RNAs, have garnered attention for their ability to regulate a variety of mRNAs and their potential to serve as both therapeutic targets and biomarkers of disease. Several miRNAs have already been implicated with AD …

Intergenerational Programming During The Pandemic: Transformation During (Constantly) Changing Times, Shannon E. Jarrott, Skye N. Leedahl, Tamar E. Shovali, Carson De Fries, Amy Delpo, Erica Estus, Caroline Gangji, Leslie Hasche, Jill Juris, Roddy Macinnes, Matthew Schilz, Rachel M. Scrivano, Andrew Steward, Catherine Taylor, Anne Walker

Human Development and Family Science Faculty Publications

Intergenerational programs have long been employed to reduce ageism and optimize youth and older adult development. Most involve in-person meetings, which COVID-19 arrested. Needs for safety and social contact were amplified during COVID-19, leading to modified programming that engaged generations remotely rather than eliminating it. Our collective case study incorporates four intergenerational programs in five US states prior to and during COVID-19. Each aims to reduce ageism, incorporating nutrition education, technology skills, or photography programming. Authors present case goals, participants, implementation methods, including responses to COVID-19, outcomes, and lessons learned. Technology afforded opportunities for intergenerational connections; non-technological methods also were …

Neighborhood Tenure, Donated Social Support, And Participation In Low- And Moderate-Income Communities, Megan E. Gilster

The Journal of Sociology & Social Welfare

Understanding what facilitates participation in neighborhood civic life is important for improving participatory interventions, and ultimately improving neighborhoods. The longer someone lives in a neighborhood, the more likely they are to participate in their neighborhood by organizing with neighbors, volunteering, or taking on a leadership role in a neighborhood organization. At the same time, the longer someone lives in a socioeconomically disadvantaged neighborhood, the more social ties they develop, which may increase social obligations. The present study examines whether helping friends and family (i.e., donated social support) is a barrier to neighborhood participation. Data come from the Anne E. Casey …

Journal Of Sociology And Social Welfare Vol. 49, No. 1

The Journal of Sociology & Social Welfare

No abstract provided.

Blood Metabolites Predicting Mild Cognitive Impairment In The Study Of Latinos-Investigation Of Neurocognitive Aging (Hchs/So), Shan He, Einat Granot-Hershkovitz, Ying Zhang, Jan Bressler, Wassim Tarraf, Bing Yu, Tianyi Huang, Donglin Zeng, Sylvia Wassertheil-Smoller, Melissa Lamar, Martha Daviglus, Maria J Marquine, Jianwen Cai, Thomas Mosley, Robert Kaplan, Eric Boerwinkle, Myriam Fornage, Charles Decarli, Bruce Kristal, Hector M Gonzalez, Tamar Sofer

Faculty, Staff and Student Publications

INTRODUCTION: Blood metabolomics-based biomarkers may be useful to predict measures of neurocognitive aging.

METHODS: We tested the association between 707 blood metabolites measured in 1451 participants from the Hispanic Community Health Study/Study of Latinos (HCHS/SOL), with mild cognitive impairment (MCI) and global cognitive change assessed 7 years later. We further used Lasso penalized regression to construct a metabolomics risk score (MRS) that predicts MCI, potentially identifying a different set of metabolites than those discovered in individual-metabolite analysis.

RESULTS: We identified 20 metabolites predicting prevalent MCI and/or global cognitive change. Six of them were novel and 14 were previously reported as …

Human Services Professionals’ Perceptions Of Quality Care With Older Adults Experiencing Mild Traumatic Brain Injury, Frances Ludmer

Walden Dissertations and Doctoral Studies

One-third of patients with chronic consequences from traumatic brain injury (TBI) are reported to receive inadequate care for their ongoing functional, cognitive decline, and advanced pathophysiology. The quality-of-life (QOL) for older adults living with TBI may be reduced due to unequal access to resources and a lack of coordinated, holistic treatment plans. Recently, authors suggested that QOL for older adults with TBI depends on feelings of autonomy and cognitive functioning and requires holistic approaches to care. This generic qualitative study explored the experiences and perceptions of human service professionals (HSPs) working in mild traumatic brain injury (mTBI) related to holistic, …

The Lived Experience Of Older, Independent Residents During The Covid-19 Pandemic, Karen Graeb Stanley

Walden Dissertations and Doctoral Studies

The growing older population confronting the risks of the COVID-19 pandemic have a story to tell of their experiences that may influence the way society confronts future pandemics. Little research has been done on older adults in independent living communities and their experiences with the COVID-19 pandemic. This study aimed to fill that gap using the biopsychosocial model as a framework to guide the exploration of the research question addressing the lived experiences of older, independent residents during the COVID-19 pandemic. Using a basic qualitative analysis design, a purposive sample of 10 participants from a continuing care retirement community were …

Clinical Practice Guideline For Preventing Falls In Geriatric Patients, Rachida Abboud Todd

Walden Dissertations and Doctoral Studies

AbstractFalls among geriatric patients within the acute care setting constitute significant threats to their physical and mental health and quality of life. Falls, with or without injuries, can prolong the length of stay at the hospital and cause early placement in an aged care institution. The etiology of falls is a multifactorial phenomenon involving cumulative risks shared by many adults. In answering the practice focused question, the purpose of this doctorate project was to develop an evidenced-based clinical practice guideline (CPG) to provide a standardized guide to provide ready access to the evidence-based interventions found to be most effective in …

Improving Nurses Knowledge Of Hypertension & Self-Care In Va Telehealth Patients, Rochelle Windley

Walden Dissertations and Doctoral Studies

AbstractManagement of hypertension (HTN) is essential to nursing practice. Clinical care home telehealth (CCHT) nurses should be assertive and competent to help patients self-manage high blood pressure in the comfort of their homes. Locally, it was noted that there was a gap in knowledge and skills of the CCHT nurses to deliver evidenced-based and consistent patient education to home telehealth patients. To address the gap, an online training program was developed to increase staff knowledge and skills in hypertension management to improve their ability to coach patients in self-care strategies. The online training program was based on the Eighth Joint …

Prison Medical Professionals’ Perspectives On Dignity In Death For End-Of-Life Inmates, Charlene Lupo

Walden Dissertations and Doctoral Studies

Health care requirements of older persons in prison are complicated, and many may require palliative care before their term is completed. The purpose of this qualitative interpretative phenomenological analysis was to explore perspectives on dignity in death for end-of-life inmates through the lens of nine prison medical professionals. Concepts of dignity provided the conceptual framework for the study. Data were collected from one-to-one audio-recorded Zoom interviews and reflective literature articles. Axial coding and thematic data analysis were used to identify five themes: committed to their vocation, lack of services in administering proper health care, institutional barriers prohibiting death with dignity, …