Digital Commons Network^™

Promoting Wellness With Medical-Surgical Nurses In An Urban Medical Center Through Mindfulness-Based Stress Reduction, Shemeka Leonard

Doctor of Nursing Practice Projects

Background: Due to their position on the forefront lines of the healthcare system, nurses are more likely to experience stress at work. Job-related stress can cause increased anxiety, emotional turmoil, depression, and other mental issues. Nurses commonly deal with elevated distress due to workload demands such as passing medication, checking for errors, ensuring patient safety, and charting—mindfulness-based stress reduction (MBSR) is a useful means of reducing psychological distress.

Purpose: The DNP project objectives were to reduce stress, encourage well-being, and show how effective an MBSR program works in a hospital setting. The aim is to reduce stress/improve wellness.

Methods …

Improving Early Sepsis Recognition And Treatment By Utilizing The Surviving Sepsis Campaign In Emergency Department Patients, Rebecca Smith

Doctor of Nursing Practice Projects

Background: Sepsis is a physical reaction to infection that can cause bodily injury, organ deterioration, and death (Sepsis Alliance, 2022). Early sepsis identification and intervention requires staff engagement in quick recognition and implementation of care (Jorgensen, 2019). Septic patients require prompt initiation of intravenous fluids, hemodynamic observation, and appropriate laboratory testing (Evans & Rhodes, 2021). Rapid detection of sepsis can prevent patients from progressing to severe sepsis and septic shock, increasing the risk of mortality (Jorgensen, 2019). As a result of the high mortality rates and complications associated with this health disparity, evidenced-based care bundles were developed to improve care …

Using The 2as And R Method To Encourage Referral To Smoking Cessation Counseling In An Urban Pulmonary Clinic, Jennifer Holloway

Doctor of Nursing Practice Projects

Background: Smoking is a habit of millions of Americans despite the associated preventable health issues and death that it produces. Smoking cessation programs, particularly those using pharmacotherapy, are effective in increasing smoking cessation rates. However, smoking cessation programs remain underutilized.

Purpose: The purpose of the DNP project is to educate providers on using the 2As and R (ask, advise, and refer) of smoking cessation to assess a patient’s readiness to quit and refer to smoking cessation counseling. For providers working in an urban pulmonary clinic, does education regarding the use of the 2As and R method as a standardized intervention …

Evaluation Of A Peer Support Group Implementation To Reduce Burnout In Nursing Staff On An Acute Inpatient Mental Health Unit, Marilyn Scott

Doctor of Nursing Practice Projects

Background: Burnout is feeling emotionally overwhelmed and exhausted due to stress in the workplace. Caring for acute psychiatric patients can impact the mental health of nursing staff and contribute to high-stress levels. Nursing burnout contributes to staffing shortages and increased risk for adverse patient safety events in an acute inpatient mental health unit.

Purpose: The purpose of this Doctor of Nursing Practice (DNP) Quality Improvement (QI) project was to evaluate the impact of a peer support group on burnout reduction in the nursing staff working in an acute inpatient mental health unit.

Methods: A peer support group was implemented …

Let Us Talk About It: Using A Communication Tool To Improve The Timeliness Of Rapid Responses, Lajaynees Singleton

Doctor of Nursing Practice Projects

Background: In healthcare emergencies, minutes matter. Code blue, code stroke, and rapid responses are processes put in place by hospitals to save lives and improve the outcome of deteriorating patients. At a local medical facility in Alabama, the process for calling codes and rapid responses created miscommunication and delays in the code team’s arrival. An assessment revealed that a purchased clinical communication device (CCD) was underutilized.

Purpose: The purpose of the Doctor of Nursing Practice (DNP) project was to improve the communication of code blue, code stroke, and rapid responses by utilizing the CCD.

Methods: The quality improvement project consisted …

Stress Reduction In Correctional Healthcare Workers: A Survey Of Healthcare Staff Stress Levels In A Tennessee Correctional Facility Using The Perceived Stress Scale, Lashelle Melton

Doctor of Nursing Practice Projects

Background: Correctional nurses’ function in a high-stress environment due to the nature of their clients and the importance of environmental security. Job stress and satisfaction are theorized relational concepts that influence intent to stay, and turnover as described in the anticipated turnover model. Acute stress can occur in correctional nurses when faced with unexpected or intense situations, such as a medical emergency, a violent incident, or a suicide attempt. Several factors can contribute to acute stress in correctional nurses, leading to overwhelming feelings and making it difficult for nurses to provide quality care.

Purpose: The DNP project aims …

Physical Exercise As A Lifestyle Modification To Lower Blood Pressure In Hypertensive Females With A Body Mass Index Greater Than 25, Kacee Pee

Doctor of Nursing Practice Projects

Background: Hypertension affects many Americans nationwide and, if untreated, can cause heart attack, stroke, and chronic kidney disease. Hypertension (HTN) accounts for about 1 in 5 deaths of U.S. women and is a greater burden for women than men (Wenger et al., 2018). Women who are overweight increase their risk of developing hypertension. Lifestyle modifications, such as diet and exercise, are the first-line treatment for hypertension. Physical exercise is a crucial component of lifestyle therapy for the primary prevention and treatment of hypertension. Several studies consistently demonstrate the beneficial effects of exercise on hypertension, with reductions in both systolic and …

The Quality Improvement Program For Sepsis Fallouts: Utilizing Education And An Order Set To Improve Compliance With Sep-1, Ryleigh Tibbitt

Doctor of Nursing Practice Projects

Background: Sepsis is a multisystem disease that occurs when the human body reacts to a severe infection in the body. Sepsis is a life-threatening response that can lead to multisystem organ failure and even death. Sepsis is the number one cost of hospitalization and is estimated to be $62 billion annually (Sepsis Alliance, 2022). This disease affects at least 1.7 million adults yearly in the United States, and nearly 270,000 die from it (National Institute of General Medical Statistics [NIGMS], 2021).

Purpose: This Doctor of Nursing Practice (DNP) project aimed to improve the compliance rate of the sepsis bundle with …

Utilizing The Cdc T-Dap Educational Material To Increase Parental Consent Of T-Dap Vaccination Rates Among Children 11-14 Years, Anita Pates

Doctor of Nursing Practice Projects

Background:The T-dap vaccine is vital to combating vaccine-preventable diseases. "T-dap vaccine can prevent tetanus, diphtheria, and pertussis" (Centers for Disease Control and Prevention [CDC], 2021). Therefore, providers must identify and educate parents whose child is unvaccinated with the T-dap vaccine. "If an increase in unvaccinated children continues to rise, there is risk for a resurgence of vaccine-preventable diseases and potential increase in deaths related to these infectious diseases" (Bowling, 2018, p. 128).

Purpose: The purpose of this DNP project was to implement an educational session targeting parents of children aged 11-14 in a pediatric clinic in an urban area …

Overuse Of Broad-Spectrum Antibiotics In The Acute Care Setting, Adaline Morris

Doctor of Nursing Practice Projects

Background: The identified problem discussed for the DNP project is antimicrobial resistance in acute care settings associated with the overuse of broad-spectrum antibiotics. Antibiotics are often started before obtaining cultures, thus skewing the results. The overuse of antibiotics can lead to almost complete resistance. In a study reviewed by Olesen, et al., performed in 2011, 34% of people received an antibiotic, and 10% of people received 57% of all antibiotic prescriptions (Olesen, et al., 2018). According to the World Health Organization (WHO), for example, a 92% resistance rate prescribing Ciprofloxacin for urinary tract infections with an E.Coli bacteria. (World Health …

Incorporating A Depression Screening Tool With A Music Strategy For Depression In Adults Aged 50 And Older In An Ltc Facility, Margaret L. Hill

Doctor of Nursing Practice Projects

Background: Depression is not a normal part of life or the aging process. Unfortunately, older adults are at an increased risk of experiencing depressive symptoms. The global prevalence of major depression in older adults at 13.3%, and adults (70 and above) have a higher risk of depression compared to other age groups.

Purpose: The purpose of the DNP project was to improve patient outcomes through the implementation of depression screening and an adjunctive music strategy in older adults with depressive symptoms.

Methods: A pre, mid, and post-intervention was conducted in a long-term care facility. This author conducted a …

Reducing Falls And Enhancing Patient Safety: The Role Of Purposeful Hourly Rounding In Rehab Units, Jeffrey Hughes

Doctor of Nursing Practice Projects

Background: This Doctor of Nursing Practice (DNP) project aims to evaluate the impact of purposeful hourly rounding (PHR) on fall rates and patient outcomes over eight weeks. Fall rates for the rehabilitation unit were examined at the facility, showing 5.19 falls per 1,000 patient days, while the national average is around 3.0 falls per 1,000 patient days. Falls in the hospital are often preventable events. Ensuring the staff in the rehab unit were adequately trained on the use of purposeful hourly rounding (PHR) offers an approach that may reduce the number of these largely preventable events.

Purpose: Purposeful …

Implementing An Emergency Severity Index (Esi) Triage Refresher Training To Decrease The Under-Triage Rate In The Emergency Department (Ed), Monique Wallace

Doctor of Nursing Practice Projects

Background: The Emergency Severity Index (ESI) is a triage tool used in most emergency departments in the United States (U.S.) that assesses acuity and resource allocation for emergency care patients. Registered nurses (RNs) must assign the appropriate triage category to ensure patients are seen in a proper time frame, have ideal patient outcomes, and have efficient patient throughput.

Purpose: This quality improvement project aims to decrease the under-triage rate of patients in the emergency department (ED) by implementing an Emergency Severity Index (ESI) triage refresher training.

Methods: This project used an A3 methodology. The triage specialist completed retrospective chart reviews …

Functional Ability And Quality Of Life Of Adult Patients With Hearing Loss: A Cross-Sectional Study, Shalini Saligrama, Soumya Christabel Dr., Jomon C U

Manipal Journal of Nursing and Health Sciences

Background and aim: The loss of hearing becomes precious when it is lacking, which makes it valuable. Hearing loss commonly affects functional ability and quality of life (QoL). Assessing the QoL in individuals with hearing loss helps with interventions and modifications of life habits. Objectives: The purpose of this study was to assess the functional ability and QoL of adult patients with hearing loss and to find the correlation between functional ability and QoL. Materials and methods: Adult patients (132) aged between 19 and 70 were chosen, all experiencing sensorineural, conductive, or mixed hearing impairments ranging from moderate to …

Aging In Berlin: A Community Needs Assessment, Mary Krebs, Caitlin Coyle

Center for Social and Demographic Research on Aging Publications

This report describes research undertaken by the Center for Social & Demographic Research on Aging (CSDRA) within the Gerontology Institute at the University of Massachusetts Boston, on behalf of the Town of Berlin. The goals of this project were to investigate the needs, interests, preferences, and opinions of Berlin residents age 18 or older by engaging the community regarding their experiences and needs relevant to the Social Services alongside the Council on Aging’s objectives to serve the needs of all Berlin citizens 60 and older. The contents of this report are meant to inform the Town of Berlin, the Berlin …

Initiating A Childhood Obesity Screening Process In An Urban Pediatric Office, Kesha Thomas

Doctor of Nursing Practice Projects

Background: The benefit of identifying a pediatric patient with obesity is to prevent many chronic health conditions that can occur from diabetes. Pediatric patients can be at risk for prediabetes, low self-esteem, and musculoskeletal issues. The patients that are at higher risk for childhood obesity are African American and Hispanics.

Purpose: The Doctor of Nursing Practice project aims to identify a pediatric patient that is obese to make sure that the patient is assessed appropriately and to discuss an appropriate intervention for the patient. To make sure all pediatrics have an accurate height, weight, and A1C during their well-child visit. …

The Implementation Of The Pressure Injury Prevention Protocol To Reduce The Incidence Of Hospital-Acquired Pressure Injuries In A Va Medical Surgical Unit, Nekia Whitlow

Doctor of Nursing Practice Projects

Background: The clinical gap in service addressed in the DNP project was hospital-acquired pressure injuries. A hospital-acquired pressure injury (HAPI) is a local injury to the skin and underlying tissue during an inpatient hospital stay. The injury is caused by pressure, shear, or both (The Joint Commission (TJC), 2022). The development of a HAPI can result from other factors, such as advanced age, immobility, perfusion issues, nutritional status, illness severity, and chronic conditions (Rondinelli, Zuniga, Kipnis, et al., 2018). Immobile or sedated patients in the intensive care units are the most at risk because they have medical conditions that prevent …

Empowering Aging Populations: Exploring New Technology For Independent Living, Rogelio Diaz

Occupational Therapy Student Capstones

No abstract provided.

The Moderating Effect Of Race On Ipts Factors And Suicidal Ideation In A Military Sample, Shelan A. Porter

Research Psychology Theses

Suicide rates have increased over the last 20 years in all ethnic and racial groups in the US, but most prominently for veterans and non-white racial subgroups. Suicidal Ideation is a predictor for suicide but there is limited research looking at mental health differences in the at-risk military community due to race. 794 military personnel were surveyed electronically on a range of mental health measures in a southern US joint forces training center between 2014 and 2015. Guided by the Interpersonal-Psychological Theory of Suicide, this secondary data analysis considered the moderating effect of a three-group race model on the relationship …

Extreme Heat Vulnerability Among Older Adults: A Multi-Level Risk Index For Portland, Oregon, Jacklyn N. Kohon, Katsuya Tanaka, Dani Himes, Paula Carder, Eiji Toda, Bryant Carlson

Institute on Aging Publications

Background and Objectives

Extreme heat is an environmental health equity concern disproportionately impacting low-income older adults and people of color. Exposure factors, such as living in rental housing and lack of air conditioning, and sensitivity factors, such as chronic disease and social isolation, increase mortality risk among older adults. Older persons face multiple barriers to adaptive heat mitigation, particularly for those living in historically temperate climates. This study measures two heat vulnerability indices to identify areas and individuals most vulnerable to extreme heat and discusses opportunities to mitigate vulnerability among older adults.

Research Design and Methods

We constructed two heat …

Mid-Life Leukocyte Telomere Length And Dementia Risk: An Observational And Mendelian Randomization Study Of 435,046 Uk Biobank Participants, Rui Liu, Luke C. Pilling, David Melzer, Lihong Wang, Kevin J. Manning, David C. Steffens, Jack Bowden, Richard H. Fortinsky, George A. Kuchel, Taeho G. Rhee, Breno S. Diniz, Chia-Ling Kuo

Health Science Faculty Publications

Telomere attrition is one of biological aging hallmarks and may be intervened to target multiple aging-related diseases, including Alzheimer's disease and Alzheimer's disease related dementias (AD/ADRD). The objective of this study was to assess associations of leukocyte telomere length (TL) with AD/ADRD and early markers of AD/ADRD, including cognitive performance and brain magnetic resonance imaging (MRI) phenotypes. Data from European-ancestry participants in the UK Biobank (n = 435,046) were used to evaluate whether mid-life leukocyte TL is associated with incident AD/ADRD over a mean follow-up of 12.2 years. In a subsample without AD/ADRD and with brain imaging data ( …

Singapore's Hospital To Home Program: Raising Patient Engagement Through Ai, John Abisheganaden, Kheng Hock Lee, Lian Leng Low, Eugene Shum, Han Leong Goh, Christine Gian Lee Ang, Andy Wee An Ta, Steven M. Miller

Research Collection School Of Computing and Information Systems

Because of their complex care needs, many elderly patients are discharged from hospitals only to be readmitted for multiple stays within the following twelve months. John Abisheganaden and his fellow authors describe Singapore’s Hospital to Home program, a community care initiative fueled by artificial intelligence.

Predictors Of Driving Performance Post-Stroke, Halle Elise Prine

Theses and Dissertations

Driving is a complex skill involving the interaction of various brain functions, making it challenging to determine the independent contributions of each process to driving proficiency. While past studies have identified assessments such as the Useful Field of View Test (UFOV) and the Trial Making Test (TMT) as strong predictors for driving skills, little research has explored the impact of visual search and movement inhibition on driving after stroke. This cross-sectional study includes participants between the ages of 21 to 80 years with residual disability caused by a unilateral middle cerebral artery stroke at least six months prior. The participants …

A Retrospective Study Of The Association Between Bsn Courses Grades And Scores On The Specialty Health Education Systems Incorporated (Hesi) Exams, Joshua Lambert, Teenu Xavier, Henry Ofori Duah, Donna Green, Julie Mccullough, Caroline Sanders

College of Nursing Faculty Research and Publications

The purpose of this study was to determine how students' individual grades in BSN courses associated with their medical surgical, fundamentals, and pharmacology raw HESI scores. The average of three HESI scores were calculated and recursive partitioning and regression trees were used to identify associations between course grades and the composite HESI score. The model results provide insight into assessing student progression and can help in implementing tailored remediation strategies.

Growing Old In Adopted Lands: The Nexus Of Ageing And Acculturation Research, Ágnes Szabó

Online Readings in Psychology and Culture

Ageing and migration are overlapping and interconnected social issues. Both ageing and acculturation research have been on the rise for decades, yet the two fields rarely intersect. Gerontological research on ageing migrants is situated outside of acculturation theory and older migrants have been largely overlooked in acculturation research. In this article, I provide an overview of the current state of knowledge on ageing in migrants, focusing on three lines of inquiry: epidemiological perspective on healthy ageing, critical approaches to understanding beliefs and values about what it means to age healthily for migrants, and research examining structural inequalities in older migrants’ …

Sleep Issues Of Older Adults: Lived Experience And Occupational Performance, Emily Angell, Anna Johnston, Adriana C. Mallett, Cassidy Ward, Rachel Wiltse

Masters Projects

Introduction: Sleep issues are prevalent among older adults which can affect occupational performance; however, there is a gap in the research in examining lived experiences of this population. This research may provide insight into these areas concerning this population.

Method: This qualitative phenomenological study was conducted via semi-structured interviews which were recorded. No identifiable information was collected during data collection. The inclusion criteria of the study sample were as follows: (a) aged 65 years or older; (b) have sleep issues or self-perceived sleep issues; (c) community-dwelling; (d) English is primary language; (e) live in West and Central Michigan. Exclusion criteria …

Sarcopenia: The Prevalence And Associated Factors In Community-Dwelling Elderly, Sumandar Sumandar, Mersi Ekaputri, Arya Ramadia

Media Kesehatan Masyarakat Indonesia

Sarcopenia is a syndrome characterized by a decrease in skeletal muscle mass and function due to aging. This study aims to assess the prevalence and associated factors of sarcopenia among the elderly in the Pekanbaru. 275 samples were selected using cluster sampling technique. The independent variables were socio-demographic characteristics, metabolic syndrome, independence level, physical activity, quality of life, depression, and nutritional status. Meanwhile, the dependent variable was sarcopenia. Data analysis was carried out through SPSS using statistical tests including descriptive statistics, chi-square, and multivariate logistic regression. The results show that 45.5% of the participants experienced sarcopenia. The mean age of …

Measures Determining Dementia-Related Attitudes In Adolescents: A Scoping Review, Esra Hassan, Ben Hicks, Naji Tabet, Nicolas Farina

Peninsula Medical School

Reducing stigma is a key benefit to intergenerational programs. However, little is known about the availability and suitability of measures that capture dementia-related attitudes in adolescents, thus limiting interpretations of the efficacy of such programs. The aim of this scoping review was to provide an overview of outcome measures used to capture dementia-related attitudes in adolescents. Scoping review methodology was used to systematically identify relevant articles. Key search terms included dementia, attitudes, and adolescents. Fourteen studies met the inclusion criteria, of which 13 unique measures were identified. However, there are gaps in psychometric properties and a lack of underlying theoretical …

Energetic Costs Of Testosterone In Two Subsistence Populations, Benjamin C. Trumble, Herman Pontzer, Jonathan Stieglitz, Daniel K. Cummings, Brian Wood, Melissa Emery Thompson, David Raichlen, Bret Beheim, Gandhi Yetish, Hillard Kaplan, Michael Gurven

ESI Publications

Objective

Testosterone plays a role in mediating energetic trade-offs between growth, maintenance, and reproduction. Investments in a high testosterone phenotype trade-off against other functions, particularly survival-enhancing immune function and cellular repair; thus only individuals in good condition can maintain both a high testosterone phenotype and somatic maintenance. While these effects are observed in experimental manipulations, they are difficult to demonstrate in free-living animals, particularly in humans. We hypothesize that individuals with higher testosterone will have higher energetic expenditures than those with lower testosterone.

Methods

Total energetic expenditure (TEE) was quantified using doubly labeled water in n = 40 Tsimane forager-horticulturalists …

How Social Work Managers Can Benefit From Teaching Social Work Students In A University, Mark Taylor, Selina James

Irish Journal of Academic Practice

The Department for Education’s Social Work Teaching Partnership initiative(Interface Associates UK Limited, 2020) in England created opportunities for social work practitioners to teach students at Higher Education Institutions (HEIs). This paper critically considers the effects of teaching on an experienced social work practitioner, one of the authors, Selina, who is a manager in Local Authority/NHS Adult Social Care. Selina began teaching social work students after 27 years of practice. One could reasonably assume that social work students with little or no social work experience were unlikely to affect how Selina saw her role and the potential for social work practice. …