Digital Commons Network^™

Clinical Nutrition Nursing Guideline For Critical Patients With Ventilator, Lin-Ying Chiang, Yu-Chu Pai, Hui-Fang Tung

Leadership Connection

Session presented on Friday, September 26, 2014:

The rate of successful weaning ventilator is strongly related to the nutritional status of patients. It is necessary to establish the clinical nutrition nursing guideline for critical patients with ventilator. However, nutrition care guidelines in respirator patients are not well established in Taiwan. The aim of the study was to develop clinical nutrition nursing care guidelines according to evidence-based medicine.

Preschooler's Perceptions Of Food As A Possible Factor Related To Childhood Obesity, Jennifer R. Bail

Leadership Connection

Session presented on Thursday, September 25, 2014:

Problem: Who thinks about hypertension or diabetes in children? According to the World Health Organization (WHO), obese children are likely to stay obese into adulthood and more likely to develop diabetes and cardiovascular diseases at a younger age. As healthcare professionals/educators, we need to address these concerns because of the growing obesity epidemic in younger and younger children. There are many facets related to this problem; however, to promote healthy eating habits in children, an understanding of their perceptions of food is key. Yet, limited research exists related to childrens perceptions of healthy …

Knowledge Of Screen Time Recommendations Among Women, Infants, And Children (Wic) Clients And Caregivers, Theresa Rose Marie Neff, Layna Himmelberg

Leadership Connection

Session presented on Friday, September 26, 2014:

Childhood obesity has become a national epidemic. There has been a rapid rise in childhood overweight and obesity in the United States over the last fifty years, with tripling numbers since the 1980s. Various behaviors increase risk for childhood obesity, including overuse of screen time. Obesity is associated with screen time use for the following reasons: decreased physical activity, increased sedentary activity, exposure to food advertising, and irregular patterns of eating. In response, the American Academy of Pediatrics [AAP] (1999) recommends limits on daily screen time use. AAP recommendations are as follows: children …

Intimate Partner Violence And Failure To Thrive In Children: A Literature Review, Pamela C. Kimeto

Leadership Connection

Session presented on Friday, September 26, 2014:

Failure to thrive is best described as inadequate growth or the inability to maintain growth, usually in early childhood. It is a sign of under nutrition (Gahagen, 2006; Levy, A., Levy, A., & Zangeten, 2009). In the United States, FTT is seen in 5-10% in primary care settings and in 3-5% in hospital settings (Cole & Lanham, 2011; Daniel, Kleis & Cemeroglu, 2008). Traditionally, the causes of FTT were subdivided into organic (medical) and nonorganic (social or environmental). There is increasing recognition that in many children the cause is multifactorial and includes biologic, …

Impact Of Individual And Neighborhood Factors On Cardiovascular Risk In White Hispanic Women And Men Compared To White Non-Hispanic Women And Wen, Tanya Marie Cohn

Leadership Connection

Session presented on Friday, September 26, 2014:

Cardiovascular disease (CVD) is the leading cause of mortality for adults in the United States regardless of ethnicity. Yet, cardiac and noncardiac-related risk factors vary by ethnicity, as does mortality rate. Specifically, Hispanics in the United States have a higher prevalence of risk factors compared to non-Hispanic Whites, but lower overall cardiovascular-related mortality rate (Daviglus et al., 2012). This unexplained difference in risk versus mortality argues the need for the ability to accurately assess cardiovascular risk in order to provide appropriate treatment plans, medication, and behavioral interventions. This disparity suggest that other factors …

Hypertension, And Fruits And Vegetables In Nepal: An Evidence Based Review, Timothy M. Davies

Leadership Connection

Session presented on Thursday, September 25, 2014: This project looks into the population of adults in Nepal with hypertension or high blood pressure, and what can be done to combat their high blood pressure. Specifically, nutrition was looked at as the best option to lower blood pressure. The background and significance of the amount of fruit and vegetables consumed by people in Nepal was researched by the Nepal Health Research Counsel, and some pertinent data is included. The DASH Diet was researched, along with the Harvard Healthy Eating Pyramid, and USDA MyPlate for their blood pressure lowering abilities. The research …

Grass Roots In Community Outreach For Optimal Infant Nutrition, Jessica Marie Gordon

Leadership Connection

Session presented on Thursday, September 25, 2014:

Exclusive breastfeeding for the first six months of life is strongly associated with optimal health outcomes for mother and child, in the short and long term. Yet exclusive breastfeeding is practiced by a minority of families, the duration rates of any and exclusive breastfeeding at six months are well below the United States Department of Health and Human Services Healthy People 2020 objectives. According to the 2008 report by the United States Breastfeeding Committee barriers that effect why moms do not breastfeed include: 1) limited provider awareness, knowledge, skills, and practices and limited …

Epigenetics For Breast Cancer Prevention: A Family Case-Control Study, Mildred C. Gonzales

Leadership Connection

Session presented on Friday, September 26, 2014:

Background: Breast cancer (BC) is the most common malignancy and second leading cause of cancer death among women. Epidemiological studies have documented that environmental carcinogens and unhealthy behaviors increase the risk of BC. This area of epigenetic interactions warrants further examination as it may provide promising behavioral interventions to effectively improve health of families in various communities. Purpose: The major purpose of this study is to provide foundation for evidence-based prevention strategies to enhance quality of care for women with BC and their families through examination of epigenetic pathways. This study will examine …

Correlates Of Lifestyle Physical Activity In Older Latinos, Shannon Halloway

Leadership Connection

Aims: The purpose of this secondary analysis is to identify the background (demographics, acculturation, environment, current health, and light physical activity [PA]) and intrapersonal (self-efficacy) correlates of moderate/vigorous PA in older community-dwelling Latinos. Despite growing numbers, relatively poor overall health status, and low levels of PA, few studies have examined the impact of these characteristics on PA in older Latinos. Current correlate studies have not included environment and social-cognitive variables in the study of older Latinos, and rarely utilized both subjective and objective measures of PA.

Methods: The design was descriptive cross-sectional. Participants were: self-identified Latinos, without disability, a score …

Community Gardens' Role In Pediatric Nutrition, Erick Von Ahn

Leadership Connection

According to the Centers for Disease Control and Prevention (CDC) obesity rates have climbed over the past 30 years. Currently, one-third of children in the U.S. are overweight or obese (U.S. Department of Health and Human Services, 2014). The likelihood of being obese as an adult is 70% higher for obese children (Obesity Action Coalition, 2014). Pediatric obesity increases the risks for cardiovascular disease, diabetes, asthma, gastrointestinal inflammatory pathologies, cancer, premature menarche, psychiatric and social pathologies (U.S. Department of Health and Human Services, 2014; Ohio Department of Health, 2008; Allison & Hyde, 2013; McIntyre, 2011; Wiskin, Owens, Cornelious, Wooton & …

A Model For Coordination Of A Prenatal Care Clinic For Substance Abusing Pregnant Women, Barbara J. Francis

Leadership Connection

Session presented on Thursday, September 25, 2014:

The goal of prenatal care is to optimize pregnancy outcomes. Women who use potentially dangerous substances while pregnant present a special concern because prenatal exposure can cause poor pregnancy outcomes including early childhood behavioral issues, and negative developmental outcomes. Specific effects of individual drugs are difficult to determine with multiple use. In addition, substance use is often accompanied by other risk factors including poverty, stress, depression and lack of social support. Furthermore, risk factors such as exposure to violence and poor nutrition also exist. Perinatal substance abuse has reached critical levels in recent …

The Millennium Development Goals: Taking Notice Of The Student Impact, Hannah Merriman

Leadership Connection

Session presented on Thursday, September 20, 2012: This panel session will highlight the role that students play in advancing the United Nations' Millennium Development Goals and the activities undertaken by student nurses to advance these goals.

The Millennium Development Goals: Incorporated Into Clinical Practice, Nancy C. Sharts-Hopko

Leadership Connection

Session presented on Thursday, September 20, 2012: This session will highlight role that clinical nurses pay in advancing the United Nations' Millennium Development Goals and the activities undertaken by nurses in clinical settings to advance these goals.

Lifelong Leadership: Making An Impact Through Service Learning, L. B. Wong, Safiya George Dalmida

Leadership Connection

This presentation will highlight the benefits of service learning to the personal leadership journey and provide resources for participating in service learning opportunities.

Disaster Nursing: From Headline To Frontline, Cynthia Vlasich, K. Joanne Mcglown

Leadership Connection

LEARNING OBJECTIVES By the end of this presentation, the learner will be able to …. • Describe the global frequency, severity and impact of disasters. • Identify potential roles for nurses in the US Federal response system. • Outline various ways in which nurses may enter the disaster response system. • Describe initial expectations of disaster nurses as part of an effective disaster response.

Maternal-Child Health Crisis: Building The Leadership Framework For Effective Global Interventions, Beth Baldwin Tigges, Chun-Mei Li, Shanda Tichelle Harrison

Sigma Global Initiatives

According to the World Health Organization, approximately 830 women die from preventable causes related to pregnancy and childbirth every day, 99% occurring in developing countries. Because quality care can save the lives of women and babies, during this panel presentation Sigma Theta Tau International, in partnership with Johnson & Johnson, will discuss the process and project interventions that have reached over 100,000 people through the Maternal-Child Health Nurse Leadership Academy.

This program is intended to support safe and sustainable communities, ensuring that young nurses are prepared to lead in providing healthy, quality care of women and children and launching interventions …

High-Intensity Exercise In Community-Based Boxing Improves Functional Limitations In Individuals With Parkinson’S Disease, Linnette Ramos, Jessica Watson, Ryan Macalintal, Carrie Ellis

International Journal of Exercise Science

International Journal of Exercise Science 17(3): 1493-1503, 2024. Various exercise types may slow disease progression and improve physical function for people with Parkinson’s disease (PWP), including community-based boxing programs (CBP). Recent research suggests that high-intensity exercise may result in greater benefits for PWP. Participants in CBP, which are typically self-paced, may not be reaching this optimal intensity. This study examines if it is feasible and beneficial for PWP to perform high-intensity exercise in a CBP. Seven subjects diagnosed with Parkinson’s disease participated in a multimodal CBP twice a week for six weeks while wearing heart rate (HR) monitors to help …

Obesity Management: A Pilot Test Of An Electronic Health Record Prompt, Tanya M. Tillman

Group: Northern Arizona University School of Nursing, DNP Doctoral Papers

The project objective was to conduct a pilot study to discover primary care providers' responses to using a newly developed obesity screening and management addition to an electronic health record (EHR). Seven providers at a rural community health center pilot tested a red flag body mass index (BMI) prompt, an obesity template, and a resource list placed in the exam rooms to aid in obesity identification and management. Focus group narrative served as the data. A semi-structured interview obtained information about providers' responses to the EHR addition as well as their recommendations for improvements. The results of the pilot study …

Education And Implementation Of Polst Protocols In Northern Arizona, Dawn M. Rivas

Group: Northern Arizona University School of Nursing, DNP Doctoral Papers

Provider orders for life-sustaining treatment (POLST) is a medical order set that is signed by a physician, nurse practitioner, or a physician assistant and describes how patients wish to be cared for regarding their medical treatment (or refusal of) during times of serious illness and frailty. POLST provides continuity of care across settings of care, increased quality of life and, improved patient satisfaction. POLST is not readily available in all of the United States, and Flagstaff currently has the only POLST program in the state of Arizona. The purpose of this multi-step doctor of nursing practice (DNP) project was to …

Addressing Compassion Fatigue Of A Family Caregiver Of Adolescents In A Mental Health Setting: A Practice Change Project, Suzanne Mcwilliams

Group: Northern Arizona University School of Nursing, DNP Doctoral Papers

Family members who care for adolescents with a mental health disorder (AMHD) have yet to be recognized as an at-risk population for developing Compassion Fatigue (CF). The project introduced the concept of CF and the development of a program for family caregivers of AMHD at New Haven, a residential treatment center (RTC) for adolescent girls with mental health disorders. Staff therapists, nurses, educators, and support staff attended an educational program on CF, validated screening tools, interventions, and educational materials for family caregivers. A pre/post-Continuing Professional Development Reaction Questionnaire (CPDRQ) was used to measure their intention to change practice. Family caregivers …

Implementing Recommended Perioperative Pain Practice Guidelines By Incorporating Intravenous Acetaminophen, Sarah Ann Torabi

Group: Northern Arizona University School of Nursing, DNP Doctoral Papers

Optimizing perioperative pain management is important in decreasing adverse outcomes in surgical patients. The purpose of this project was to implement recommended perioperative pain practice guidelines by incorporating intravenous acetaminophen (IVA) as part of multimodal analgesia at an acute care hospital in Northern Arizona. Lewin's change theory guided this project by using strategies to break barriers in accepting and changing perioperative pain guidelines by completing a retrospective chart review to determine IVA efficacy. Data was obtained from adult surgical patients at this facility from January 1, 2014-July 31, 2014 which resulted in 74 charts that met criteria; 37 patients received …

Identification Of Internal Risk Factors And Interventions To Prevent Exertional Heat Illnesses In Hikers: A Systematic Review, Sheri D. Erwin

Group: Northern Arizona University School of Nursing, DNP Doctoral Papers

Objective: To identify internal risk factors (e.g., caffeine and alcohol consumption, weight, medications, and medical conditions) and intervention strategies for prevention of exertional heat-related illnesses in hikers.

Methods: A systematic review was conducted using a predetermined list of MeSH headings to identify articles on exertional heat-related illnesses. CINHAL, MEDLINE, and PubMed databases were searched for articles published between 2009 and 2014. The studies were ranked using the Oxford Centre for Evidence-Based Medicine classification system. Studies were included if they had a level of evidence of 3 or higher or a grade of C or better.

Results: The initial search resulted …

Implementation Of A Diabetes Treatment Algorithm In Primary Care For Use In The Adult Hispanic Population, Heidi Marshall Dillenbeck

Group: Northern Arizona University School of Nursing, DNP Doctoral Papers

Diabetes Mellitus Type 2 (DM2) is a growing problem in the United States. Hispanic Americans have a higher prevalence of diabetes than Non-Hispanic Whites and suffer from more severe complications of the disease. Although advances in diabetes treatment over the last decade has improved, management of diabetes in primary care is inconsistent despite well-publicized guidelines from the American Diabetes Association (ADA) and the American Association of Clinical Endocrinologists (AACE). With the growth of the Hispanic population expected to reach 25 % of the U.S. population by 2050, practice changes must be made to improve diabetes management. The literature supports the …

Impact Of Equine Programs To Treat Autism On Caregiver Stress, Jennifer May

Group: Northern Arizona University School of Nursing, DNP Doctoral Papers

When a child is diagnosed with autism spectrum disorder (ASD), caregivers must navigate a complicated maze of information while experiencing their own emotional journey. Maladaptive behaviors seen in children with ASD can make daily routine tasks difficult to complete and attribute to higher levels of caregiver stress. Complementary and alternative medicine (CAM) approaches in treating ASD are gaining interest as caregivers are becoming involved in care planning. Equine programs are becoming increasingly popular options to treat maladaptive behaviors associated with ASD. The purpose of this project was to evaluate if equine programs in the Phoenix, Arizona area used to treat …

Diabetes: What Are The Barriers To Diet, Exercise And Medication Adherence In A Rural Southern Arizona Clinic?, Ambur Lindstrom-Mette

Group: Northern Arizona University School of Nursing, DNP Doctoral Papers

Purpose: To identify patient reported barriers to diet, exercise and medication adherence in adults who are diabetic patients in a rural Southern Arizona family practice clinic.

Data Sources: A cross-sectional, quantitative self-reported survey was conducted. The Environmental Barrier Assessment Scale was the used to collect data at routine office visits.

Conclusions: Patients consistently identified problems with health as a barrier to diet, exercise and medication adherence in diabetes. Further discussion with patients is warranted to assist patients and providers to understand what problems are occurring and what the solution may be to help overcome these barriers.

Implications for Practice: Identification …

Preventing Type 2 Diabetes In Native Americans Through Nutrition, Dana M. Griffin, Dorothy Sansom

Group: Nebraska Methodist College

Diabetes is a chronic condition that disproportionately affects the Native American population. A means of improving the outcomes was through an education program aimed at a younger target population. The purpose of this project was to determine if nutritional knowledge can reduce the risk of Type 2 diabetes in the Native American population. Changes in dietary habits can reduce the risks of Type 2 diabetes for high risk populations like Native Americans. Having knowledge of nutrition can assist people in making educated choices in deciding what foods to consume. Determining nutritional knowledge by implementing a test followed by a dietician …

Continuous Glucose Monitoring And Behavior Change, Aubrey Molgaard

Group: Nebraska Methodist College

Clinical usage of continuous glucose monitor (CGM) devices has started to become a novel way to integrate glucose control with improvement in lifestyle with behavior change by seeing blood glucose levels in real-time. CGM and real-time data predicts what is happening with blood glucose levels and when people wearing the device views the data it allows the person with diabetes to guide lifestyle changes to better assist in blood glucose levels and less variability of blood glucose levels.

The study aim was to determine whether using CGM had an impact on behavior change with lifestyle choices consisting of activity or …

Reducing The Intake Of Red And Processed Meats In Food Pantry Consumers, Lisa J. Lehr, Jeannie Hannan

Group: Nebraska Methodist College

Background: Nutrition interventions prevent chronic disease and improve health outcomes. Often, these affect socioeconomically advantaged populations disproportionately, widening the gap in health disparities. Of the interventions studied, those with several approaches attempting to reach a smaller target were most effective. Targeting people in their natural environment has been proven effective to increase the power of education. Purpose: The purpose of this project was to assess whether an evidence-based educational nutrition intervention that involved visual cues within the pantry setting, samples of plant-based food, and an educational nutrition resource pack designed for low income populations would affect the protein intake habits …

The Impact Of A Virtual Poverty Simulation On Undergraduate Nursing Students' Attitudes, Beliefs, And Awareness, Kimberly A. Sullivan, Alice Kindschuh

Group: Nebraska Methodist College

Purpose: The purpose of this project was to determine the impact of a virtual simulation on undergraduate nursing students’ attitudes, beliefs, and awareness of poverty. Methodology: The SPENT virtual poverty simulation was conducted in a small private college located in the Northeast. The program was implemented during a Community Health nursing class with 22 students. Participating students were given a pre- and post-questionnaire to assess how the implementation of a virtual poverty simulation impacts undergraduate nursing students’ attitudes, beliefs, and awareness of poverty. Implications/Conclusion: There was no statistically significant results obtained from pre to post test results. Two-tailed t-tests were …

Sleep Hygiene Education For Rural Adults, Amber R. Rogers, Linda Carol Hughes

Group: Nebraska Methodist College

This is a DNP Capstone paper. This DNP project examined what effect a community based sleep hygiene education program had on the quantity and quality of sleep in rural adults. Participants received a 45 minute oral PowerPoint presentation on sleep hygiene and were given an educational handout. The Pittsburgh Sleep Quality Index (PSQI) questionnaire was used to subjectively evaluate a participant's sleep habit pre- and post-intervention (Buysse et al., 1989). Strong evidence suggests that the sleep hygiene intervention improves the overall PSQI global scores and overall quality of sleep. A paired sample t test was calculated to compare the means …