Digital Commons Network^™

Introducing Mental Health Resources To Nurse Practitioner Residents, Tiffanie Bailey

Doctor of Nursing Practice Projects

This DNP Project identified the increased need for mental health resources after the COVID-19 pandemic. Studies showed the rate of anxiety, depression, and substance use has also been on the rise since the beginning of the pandemic. As the impact of the COVID-19 pandemic began to devastate the country mentally and physically, it became quickly apparent that additional resources to provide support for those suffering from mental illness were essential. This project aimed to introduce a Mental Health First Aid course within the Residency Program at the Center for Family Guidance. Participants were asked to complete a pre-test indicating their …

Cardiovascular Disease In Firefighters, Emily Jordan Baldwin

Doctor of Nursing Practice Projects

This quality improvement project aimed to address the problem of increased cardiovascular events in firefighters in a county in the foothills of North Carolina. Nola Pender and Dorothy Orem’s theories were utilized for this project. The literature review exhibits the prevalence and significance of cardiovascular disease in firefighters. The literature review demonstrates the benefits healthy eating and exercise have on the heart and towards the prevention of cardiovascular disease. A pre- and post-test was utilized for this project and allowed for the collection of data appropriately. The results showed education on cardiovascular disease, exercise, and healthy eating increased the knowledge …

Bridging The Gap: Strategies To Enrich The Clinical Experience Of Undergraduate Nursing Students To Improve Clinical Judgment Skills, Gabrielle Hope

Doctor of Nursing Practice Projects

Introduction: The lack of competent clinical judgement among new graduate nurses contributes to poor patient outcomes, negatively impacting patient satisfaction scores, and subsequently raising the cost of healthcare for consumers. This project explores how reflective journaling and cooperative learning activities contribute to the development of critical thinking of nursing students during their Nursing Fundamentals clinical practicum.

Methods: Seventeen students enrolled in a private university nursing program were selected as the sample. The students were introduced to the recommended learning strategies and invited to anonymously participate in a pre-survey and post-survey. The surveys were identical in content and consisted …

Increased Concern Of Suicide Behaviors In The Adolescent Population, Jaime Shareen-Porter Earle

Doctor of Nursing Practice Projects

This quality improvement project focused on addressing the concern for the increase of depression, anxiety, and self-harm behaviors among adolescents, which can lead to suicidal ideation and attempts. Suicide behaviors have increased among adolescents, and research revealed that suicide is the second leading cause of death in this population. An educational PowerPoint was presented to members of the community on suicide behaviors, how to identify the behaviors, and where to get support and resources in the community. Pre- and post-surveys were used to assess the participants' knowledge and confidence levels before and after project implementation. The surveys contained the same …

Essential Collaborations Among Case Managers And Providers Regarding Discharge Processes, Lashawnda Richardson

Doctor of Nursing Practice Projects

Communication is vital between case managers and providers when patients need care coordination post-discharge. This includes but is not limited to facilitating home health services, ordering durable medical equipment, sending referrals to rehabilitation facilities, and sponsorship for uninsured or underinsured patients. This gives case managers the opportunity to educate providers on the discharge needs they ordered for their patients. The collaboration between case managers and providers allows for timely discharge planning and providing patients and their families with accurate information regarding their discharge needs.

Sleep Hygiene Education, Hope Colon

Doctor of Nursing Practice Projects

This DNP project was designed to increase awareness of insomnia and sleep hygiene in the target community by providing an in-person educational session on sleep hygiene. The educational session provided information on insomnia, sleep hygiene habits, statistics of those with sleep disorders, and medication use for sleep. The impact of the project implementation was measured using a pre-intervention survey and a post-intervention survey. All survey items had an increase in correct answers post-intervention. In conclusion, the results revealed there was an increase in awareness and knowledge base of insomnia and sleep hygiene after the education was provided.

Improving Sexually Transmitted Infections (Sti) Education And Access To Education For Healthcare Workers In A Rural Ambulatory Clinic, Savannah Elmore

Doctor of Nursing Practice Projects

Sexually transmitted infections (STIs) are prevalent across the United States, with one in five people diagnosed in 2018, resulting in nearly $16 billion in medical costs. The prevention and treatment of STIs have been identified as a priority area for improvement, with healthcare providers playing a critical role in education, diagnosing, and treating STIs. The aim of this capstone project was to improve STI education and access to education for healthcare workers in a rural ambulatory clinic. Through a needs assessment and the development of objectives and a timeline, the project identified and addressed gaps in STI education and resources, …

Mentorships For New Graduate Nurses, Taylor Leigh Bailey

Doctor of Nursing Practice Projects

New graduate registered nurses (NGRNs) represent a crucial segment of the nursing workforce, embodying the future of the profession. Thus, it is imperative that we utilize our resources, knowledge, and experiences to continuously strengthen and grow this generation of nurses. Mentorship is one key method that can be used to support NGRNs. This DNP project aimed to evaluate the effectiveness of mentorship for NGRNs within their first year of nursing practice and was implemented within an existing residency program at a Level I trauma facility. Experienced nurse volunteers received mentor education, and 40 NGRNs were individually paired with these volunteer …

Addressing Nursing School Retention: The Necessity Of Orientation In Nursing Education, Kerstin A. Queen

Doctor of Nursing Practice Projects

Nursing schools have been challenged to impact attrition and retention by creating an environment that increases student success. This DNP project was created to impact the current nursing shortage by increasing the number of nursing students who were retained after the first semester of nursing school. The DNP Project Leader designed a structured orientation program consisting of a 2-day in-person orientation and an online repository of resources. The DNP project sought to increase retention and provide pre-licensure students with gained skills to progress in the nursing program after the first semester in nursing school. The in-person orientation program provided participants …

Bridging The Gap: Strategies To Improve Hpv Vaccination Uptake, Stephanie Ramsey

Doctor of Nursing Practice Projects

The human papillomavirus (HPV) vaccination is approved by the United States (US) Food and Drug Administration (FDA) for individuals beginning at age 9. Evidence shows that HPV vaccination uptake is lower than other vaccinations offered in the early adolescent/adolescent age group. Healthy People 2030 set forth a goal that 80% of adolescents ages 13-15 will have HPV vaccine series completion by 2030. Research has shown that provider recommendation for the HPV vaccine is one of the reasons adolescents, or parents of adolescents, have chosen to initiate and complete the HPV vaccination. Studies have shown that providers who have been educated …

Remodeling Breastfeeding Education, Rhonda Coffey

Doctor of Nursing Practice Projects

Mothers face important decisions regarding how to feed their infants, and successful breastfeeding requires commitment, support, and education. The numerous health benefits of breastfeeding for both mothers and infants are well-documented throughout the literature, and experts recommend exclusive breastfeeding for the first year of life. Healthcare teams play a crucial role in supporting breastfeeding success by providing education, guidance, and troubleshooting assistance when complications arise. Reassurance from healthcare providers can also influence mothers' overall experiences with breastfeeding. The facility where participants deliver assists most mothers in initiating breastfeeding within 1 to 2 hours after delivery, with approximately 75% meeting this …

Machine Learning Helps In Quickly Diagnosis Cases Of "New Corona", Maad M. Mijwil, Ioannis Adamopoulos, Pramila Pudasaini

Mesopotamian Journal of Artificial Intelligence in Healthcare

Machine learning is considered one of the most significant techniques that play a vital role in diagnosing the Coronavirus. It is a set of advanced algorithms capable of analysing medical data and identifying patterns and behaviours of diseases. It is used to interpret medical images, giving details of each image with high accuracy and efficiency, such as chest X-ray images. These algorithms are trained on a large set of images to recognise patterns that indicate the presence of infection with the Coronavirus (COVID-19). This article will provide a brief overview of the importance of machine learning in diagnosing COVID-19 by …

Exploring Deep Learning Methods Used In The Medical Device Sector, Fredrick Kayusi, Benson Turyasingura, Petros Chavula, Orucho Justine Amadi

Mesopotamian Journal of Artificial Intelligence in Healthcare

The healthcare sector is witnessing significant development in many aspects thanks to the effects of artificial intelligence or software, which has turned out to be the centre of attraction all over the world. This is evidence of a simple development in acquiring deep knowledge of the methods and areas in which they are used. Face detection, voice recognition, autonomous use, the defence industry, the security industry, and other fields may be displayed as examples that help complete tasks. This article surveys the impact of deep learning methods and practices in the medical device industry, and we also examine the distribution …

Participatory Video As A Capacity-Building Tool On Disaster Risk Reduction Management: The Case Of A Philippine Rurban Youth Group In Bay, Laguna, Trina Leah T. Mendoza, Benjamina Paula G. Flor

Journal of Public Affairs and Development

This study aimed to explore a youth-led participatory video (PV) process as a strategy for building the capacity of youth in disaster risk reduction management (DRRM) in a Philippine urban community. The study’s main research problem is: What constitutes a youth-led PV process? Specifically, it aimed to 1) describe a youth-led PV production process, 2) identify emergent characteristics of a youth-led PV process, and 3) examine features that explain how a PV process capacitates youth in DRRM. A series of DRRM and PV training workshops were conducted from January to March 2019 with a selected group of youth in Barangay …

Environmental Attitudes Of Local Government Scholars In Tiaong, Quezon, Philippines, Justine A. Marasigan, Ma. Larissa Lelu P. Gata

Journal of Public Affairs and Development

This study aimed to analyze the environmental attitudes of local government scholars in Tiaong, Quezon, Philippines. The quantitative research design was used to determine the level of environmental attitudes using the New Ecological Paradigm (NEP) Scale. It was also utilized to examine the relationship between environmental attitudes and independent variables which include demographic characteristics such as age, gender, and economic status, academic background such as student classification, scholastic standing, scholarship privileges, and membership in student and/or youth organizations, and experience with ecological extremes. A total of 301 respondents participated in an online survey administered through Google Forms ®. The respondents …

Scotland In The Forefront Of Property Law Reforms In The Uk: Potential Implications For The Scottish People, Goodtime Okara

School of Law, Humanities and Social Sciences

No abstract provided.

Why Students Select Their College Major: An Investigative Study, Kate N. Matthews, Diane R. Edmondson, Lucy Matthews

Atlantic Marketing Journal

With the decline in the number of traditional college-aged students, understanding the degree selection process is important for departments, colleges, and universities alike. For students, selecting the proper major early is also beneficial since it reduces time in school and tuition costs. Therefore, a better understanding of the degree selection process is worthwhile. Survey data was collected from 1,177 undergraduates at a southeastern U.S. university. Survey questions included major selection influences and other attitude and demographic items. The highest ranked reason is interest and passion followed by fit with personality type. This was similar for students who changed majors. External …

The Body Positivity Movement: Improving Female College Students Mental Health And Body Appreciation, Emilie Conners, Lucy Matthews, Diane R. Edmondson

Atlantic Marketing Journal

Body image concerns among college-aged women continue to be an immense issue across many college campuses. As technology advances, it has become more common for young girls and women to edit their social media photos and focus more on their flaws. Body image has a significant impact on mental and physical health; therefore, it is vital that these concerns are addressed and fought. One movement recently used as a possible way to combat this concern is the body positivity movement. However, more research is needed to understand the impact of this movement on young women. Survey data was collected via …

The Black Lives Matter Movement: A Systemic Crisis That Expands Crisis Response Theory, Pam Richardson-Greenfield, Alyssa Reynolds, Ryan Cruz, Monique Bell

Atlantic Marketing Journal

Relevance to Marketing Educators, Researchers, and/or Practitioners – In response to George Floyd’s death, a variety of organizations posted messages against racism and some began to openly support Black Lives Matter, often by name, in their corporate communication initiatives. With promises of financial commitments to uplift Black communities, calls for action, and initiatives to support internal change—large and small companies, non-profits and universities—could be perceived as courageous for establishing new protocols to support such a warranted change. However, in the era of “woke washing,” or inauthentic social justice messaging, the need to assess the authenticity of corporate statements of support …

Creating The New Normal: A Historical Approach To Understanding Marketing Agility And Its Implications Across Business, Healthcare, And Social Welfare In A Post Pandemic World, Elan Burton, Delancy Bennett, Linda Burton

Atlantic Marketing Journal

The purpose of this article is to expand our understanding of how marketing agility shapes business, healthcare, and social welfare policy and societal responses to global pandemics. We set the stage for this discussion by presenting an historical exemplar case of marketing agility during the 1918 Influenza pandemic in the US. Next, we outline a necessary conceptual revision and update to previous treatments of marketing agility relative to historical pandemics considering the recent COVID-19 pandemic. Our novel conceptualization focuses on a firm’s (business, healthcare, social welfare) prompt response to dynamic and turbulent circumstances beyond the control of the firm (Araújo …

Healthcare Marketing Communication: Media Usage And Psychographic Profiles For Baby Boomer, Gen X, And Millennial Consumers, Terry Damron, Joe Cangelosi, David Kim, Ed Ranelli

Atlantic Marketing Journal

Abstract

Purpose Preventive health care information (PHCI), which functions as a cost-effective or cost-saving means of reducing mortality and improving life quality, also fuels consumer demand for otherwise underutilized preventive medical services, thereby improving profitability for service providers. This study provides healthcare marketing professionals with media usage insights and psychographic profiles useful for developing effective PHCI communication strategies.

Design This research is based on questionnaire responses (n = 813). Analysis of the variance (ANOVA) was used to assess and compare the importance consumers assigned to online PHCI sources. Factor analysis was used to determine whether attitude patterns tended to …

Product Elimination Decision And Its Impact On Consumers: The Special Case Of A Local Speedway, Mark Mitchell, Jacob Voegel, Michael Smith

Atlantic Marketing Journal

After 60+ years of operation, Myrtle Beach Speedway was closed and the property sold. The new owners will redevelop the property for commercial and residential purposes. Businesses routinely eliminate products for a variety of reasons, including under-performance and/or a desire to redeploy those resources elsewhere. What is often overlooked is the impact on consumers. In addition to reducing fan access to racing, a closed race track removes a racing opportunity for aspiring race car drivers and crew members. It can also mean shuttering tracks that once had historical significance. The history of raceway closures in the Myrtle Beach, SC area …

Essential Omega‐3 Fatty Acids Are Depleted In Sea Ice And Pelagic Algae Of The Central Arctic Ocean, Katrin Schmidt, Martin Graeve, Clara J.M. Hoppe, S Torres‐Valdes, Nahid Welteke, Laura M. Whitmore, Philipp Anhaus, Angus Atkinson, Simon T. Belt, Tina Brenneis, Robert G. Campbell, Giulia Castellani, Louise A. Copeman, Hauke Flores, Allison A. Fong, Nicole Hildebrandt, Doreen Kohlbach, Jens M. Nielsen, Christopher C. Parrish, C Rad‐Menéndez, Sebastian D. Rokitta, Sandra Tippenhauer, Yanpei Zhuang

School of Geography, Earth and Environmental Sciences

Microalgae are the main source of the omega‐3 fatty acids eicosapentaenoic acid (EPA) and docosahexaenoic acid (DHA), essential for the healthy development of most marine and terrestrial fauna including humans. Inverse correlations of algal EPA and DHA proportions (% of total fatty acids) with temperature have led to suggestions of a warming‐induced decline in the global production of these biomolecules and an enhanced importance of high latitude organisms for their provision. The cold Arctic Ocean is a potential hotspot of EPA and DHA production, but consequences of global warming are unknown. Here, we combine a full‐seasonal EPA and DHA dataset …

Social Prescribing For Autistic Adults, Charlotte Featherstone

Peninsula Medical School Theses

Background Autistic adults are affected by health and social disparities that impact life expectancy and quality of life, frequently resulting in escalating wellbeing concerns requiring costly acute care. Evidence suggests barriers to healthcare and a lack of post-diagnostic support may contribute to these inequalities. Social prescribing, a low-intensity personalised care model receiving increasing attention from policymakers and commissioners, offers opportunities to address isolation, build skills and promote health through collaborations between services and communities. However, social prescribing research and provision has overlooked wellbeing and access needs of autistic adults. This PhD project aimed to investigate factors affecting accessibility of social …

Pancreatoduodenectomy For Malignancy: Factors Influencing Surgical And Oncological Outcomes, Thomas Brendon Russell

Peninsula Medical School Theses

Introduction: Fit patients with a resectable pancreatic head adenocarcinoma (PDAC), ampullary adenocarcinoma (AA) or distal cholangiocarcinoma (CC) may be offered pancreatoduodenectomy (PD) with curative-intent. However, perioperative morbidity and cancer recurrence rates are high. This thesis aimed to explore the factors influencing PD outcomes. A focus was placed on nutrition, postoperative complications, and recurrence in AA patients. It is hoped the findings will guide patient selection/consenting and have implications for patient management. Methods: A retrospective cohort study of patients who underwent PD for histologically-confirmed malignancy was carried out (2012-2015). Twenty-nine centres from eight countries were involved. Data on the following were …

Failure, Remediation And The Disruption Of Professional Identity Formation In Undergraduate Medical Students (At Two Uk Medical Schools), James Michael Read

Peninsula Medical School Theses

The aim of this thesis is to understand how the narratives medical students create around their professional identities are impacted upon by academic failure and subsequent remediation at two UK medical schools. Whilst much has been written regarding pedagogically underpinned approaches to remediation, little has been published regarding how these interventions impact on the ways that students perceive themselves as future doctors, and the implications this has on their future studies. This thesis asks how failure and subsequent remediation impacts on professional identity formation, explores the different identities that students narrate they hold and considers how these findings can be …

Epigenetic Regulation Of Inflammatory Pathways In Alcohol Related Hepatitis, Huey Kuan Tan

Peninsula Medical School Theses

Background: Alcohol-related liver disease (ArLD) contributes to approximately 1% of deaths worldwide and impacts on both economy and healthcare system. Alcohol related hepatitis (AH) - phenomenon of ArLD which is characterised by overactive inflammation is associated with 30% mortality rate at 90 days. Glucocorticoids (GC) are commonly used to treat AH. However, more than 1 in 3 patients fail to respond to GC therapy. Within the GC responders, the efficacy is variable due to individual glucocorticoid resistance. Improving our comprehension of GC non-responsiveness/ resistance is critical for early stratification of these patients and development of alternative therapies. This piece of …

Associations Between Fatigue Impact And Physical And Neurobehavioural Factors: An Exploration In People With Progressive Multiple Sclerosis, L Connolly, S Chatfield, J Freeman, A Salter, Mp Amato, G Brichetto, J Chataway, Nd Chiaravalloti, G Cutter, J Deluca, U Dalgas, R Farrell, P Feys, M Filippi, M Inglese, C Meza, Nb Moore, Rw Motl, Ma Rocca, Bm Sandroff, A Feinstein

School of Health Professions

Background: Fatigue is common in people with multiple sclerosis (MS). Understanding the relationship between fatigue, physical and neurobehavioural factors is important to inform future research and practice. Few studies explore this explicitly in people with progressive MS (pwPMS). Objective: To explore relationships between self-reported fatigue, physical and neurobehavioural measures in a large, international progressive MS sample of cognitively impaired people recruited to the CogEx trial. Methods: Baseline assessments of fatigue (Modified Fatigue Impact Scale; MFIS), aerobic capacity (VO _2peak), time in moderate-vigorous physical activity (MVPA; accelerometery over seven-days), walking performance (6-minute walk test; 6MWT), self-reported walking difficulty (MS Walking …

Beyond Surgery: Navigating Postoperative Care For Cauda Equina Syndrome Through A Scoping Review, Krithika Anil, Sandra Olmesdahl, Jack Read, Sam Hughes, Marcus Drake, Ingrid Hoeritzauer, Julie Woodfield, Holly Roy

School of Health Professions

Objective: Cauda equina syndrome (CES) is a serious neurological injury that can result in permanent disability. Our objective was to review the evidence for rehabilitation strategies for CES in a scoping review.Methods: A scoping review of the literature to identify rehabilitation strategies and their outcomes was performed. The search strategy used was: (Cauda equina syndrome) AND (treatment OR management OR intervention OR physio* OR bladder* OR neuro* OR stem cell OR repair OR rehab*) AND ("post?operat* OR post?surgical OR surgery"). MEDLINE, CINHAL, Prospero, Cochrane, ClinicalTrials.gov, EMBASE, Web of Science, PEDro, and eThos were searched.Results: Eight studies of rehabilitation for CES …

Specialist Physiotherapy For Functional Motor Disorder In England And Scotland (Physio4fmd): A Pragmatic, Multicentre, Phase 3 Randomised Controlled Trial, Physio4fmd Study Group, Glenn Nielsen, Jon Stone, Teresa C. Lee, Laura H. Goldstein, Louise Marston, Rachael Maree Hunter, Alan Carson, Kate Holt, Jon Marsden, Marie Le Novere, Irwin Nazareth, Hayley Noble, Markus Reuber, Ann Marie Strudwick, Beatriz Santana Suarez, Mark J. Edwards, Emily Beaves, David Breen, Christine Burness, Simone Caddy, Hannah Callaghan, Andrew Carberry, Luke Chetham, Andrea Clyne, Susie Cobb, Jan Coebergh, Lewis Cook, Patrick Cookson

School of Health Professions

Background: Functional motor disorder—the motor variant of functional neurological disorder—is a disabling condition that is commonly associated with poor health outcomes. Pathophysiological models have inspired new treatment approaches such as specialist physiotherapy, although evidence from large randomised controlled trials is absent. We aimed to assess the clinical effectiveness of a specialist physiotherapy intervention for functional motor disorder compared with treatment as usual. Methods: In this pragmatic, multicentre, phase 3 randomised controlled trial at 11 hospitals in England and Scotland, adults with a clinically definite diagnosis of functional motor disorder, diagnosed by a neurologist, were included. Participants were randomly assigned (1:1, …