Digital Commons Network^™

Best Practice Tool Kit For Implementation Of A Patient Education Program For Congestive Heart Failure Education, Sarah Poe, Lyndsi Hall

Group: Nebraska Methodist College

Problem: Congestive heart failure (CHF) is a challenging health concern and generates a multitude of issues including increased mortality rates and hospital readmission rates, and drastically decreases the quality of lives for patients affected with this health issue. This project was designed to investigate whether or not patients receiving care within a large cardiology clinic in the Midwest gained increased knowledge and disease management skills regarding their diagnosis, prognosis, dietary and activity guidelines, as well as symptom recognition and management when participating in CHF education classes provided by a designated CHF nurse educator over a four-week period.

Intervention: The CHF …

Awareness Of E-Cigarettes And Association Of Use Among High School Students, Kimberly A. Sullivan

Group: Nebraska Methodist College

Background: According to the 2018 National Youth Tobacco Survey (NYTS) data, e-cigarette use among high school and middle school students has increased at an alarming rate between 2017 and 2018, with a reported 3.8 million youth currently using various types of e-cigarette products (U.S. Food & Drug Administration, n.d.). As of February 18, 2020, a total of 2,807 confirmed hospital cases of severe respiratory illnesses and 68 deaths have been reported to the Centers for Disease Control and Prevention (CDC) from all 50 states, the District of Columbia, and two United States territories (Centers for Disease Control and Prevention, n.d.). …

Improving Suicide Risk Screening In A Pediatric Outpatient Clinic, Annie Bowman

Group: Nebraska Methodist College

Objective: The purpose of this project was to determine if implementation of an educational intervention for clinical providers and staff on the Ask Suicide Screening Questions (ASQ) tool improved knowledge and confidence on suicide risk screening in a pediatric ambulatory setting. Participants: Behavioral health clinic in which 9 participants completed pre survey and 8 participants completed both pre and post survey (N = 8). Study Method: Pre and post test design with intervention of an online education presentation for staff and clinicians in the behavioral health clinic. A 12 item pre and post-test survey was created to assess participant …

Vitamin B12 Screening And Treatment In Patients Taking Metformin, Ashlee Denny

Group: Nebraska Methodist College

Background: Long-term metformin therapy is linked with the potential side effect of vitamin B12 deficiency. Although screening is recommended, there is no standardized screening guideline. Vitamin B12 deficiency is frequently unrecognized. An electronic medical record-based alert may lead to more identification and better patient outcomes.

Purpose: The purpose of this project was to determine the impact of focused education on clinician perceptions about the importance of using an electronic medical record-based alert to ensure routine vitamin B12 monitoring in type II diabetic patients prescribed metformin.

Methodology: The organization site for this doctoral project was a single, stand-alone, primary care clinic …

Improving Patient Education To Increase Nurses’ Confidence, Aisha N. Washington

Group: Nebraska Methodist College

Effective patient education is something every interdisciplinary healthcare team member should aim for at each educational session. When patients understand the intended education, their ability to manage their chronic conditions at home is greatly affected. Patients have difficulties comprehending critical information more commonly than they should. Bedside nurses in the acute care hospital setting spend more time with patients than do their physicians and do much of the patient teaching. However, many nurses do not feel confident in implementing effective patient education. A structured patient educational tool was created for this project for nurses to implement when educating patients using …

Importance Of Patient Education On Hemoglobin A1c And Dietary Modifications, Joseph Giramata

Group: Nebraska Methodist College

Research shows that only less than 25% of adult patients who are being treated for diabetes can recall their previous and most recent hemoglobin A1c levels. It is the providers' role to educate adult patients at every visit about their hemoglobin A1c levels and the benefits related to knowing the levels coupled with increase in physical activities and a plant-based diet. The purpose statement guiding this project is: In medical providers caring for adult patients diagnosed with DM2, does provider education on hemoglobin A1c and dietary modifications affect medical providers management of DM2? The project consisted of an educational intervention. …

Determining The Impact Of Using A Social Determinants Of Health Screening Tool In Identifying Unmet Needs, Barriers To Care, And Basic Awareness Of Social Resources, Maelene Schuhmacher-Omar, Kari Wade

Group: Nebraska Methodist College

The purpose of this project was to determine if conducting a short, social determinants of health (SDOH) assessment identified one or more unmet needs, one or more barriers to care, and to assess basic awareness of social resources. Conditions affecting people where they work and live have a strong influence on health outcomes. Social complexity, meaning having one or more unmet need, is directly related to poorer health outcomes. Individuals marginalized by poor social capital, health inequities and ongoing disparities, especially those in low income populations, experience higher morbidity and mortality. These unmet needs also affect the shared-decision making process …

The Impact Of Health Partner Participation In Cardiac Rehabilitation On Health Partner Knowledge Of Cardiac Disease Risk Factors, Nathan T. Shank

Group: Nebraska Methodist College

Background: Cardiac disease remains the top cause of mortality and morbidity in the United States. In order to achieve optimal long-term outcomes, people who have experienced an acute cardiac event must undergo several lifestyle and behavioral changes. With the importance of social support on health, it is equally important for a person's identified health partner to learn the recommended lifestyle changes that promote good health in post-acute cardiac patients. Many of these behaviors can be learned through participation in a cardiac rehabilitation program, but few studies have been performed on the benefits that a spouse receives from attending cardiac rehabilitation …

Constipation Management In Congestive Heart Failure Patients, Jordan Radel

Group: Nebraska Methodist College

Constipation within congestive heart failure patients admitted to the hospital poses a significant health burden, decrease in quality of life, and potential for complications. Based on a review of literature, nursing staff are the front line of patient care for these patients and can provide individualized nursing assessments that target constipation risk factors, potentially decreasing the risk and prevalence. A nursing led Cardiac Constipation Management Tool provides an effective means of risk assessment assigning appropriate categories of constipation risk, and ultimately leading to provider notification, designated constipation order set activation, and therefore decreased constipation rates. Upon admission the tool was …

Retrospective Data Analysis To Support The Use Of Small Body Movements As An Intervention For Prevention Of Pressure Ulcer Development, Leah Trautman, Valerie Lynn Anderson

Group: Nebraska Methodist College

Pressure ulcers cost the healthcare systems millions of dollars every year. The current literature indicates that a multi-modal approach must be used in order to provide the best prevention of pressure ulcers. The use of small body movements is a simple intervention that could be utilized in addition to the regularly used prevention methods. A retrospective data analysis was used to assess the possible need for an additional pressure ulcer prevention intervention and the possible effectiveness it may have had on the intensive care patient population. Data was collected 60 days prior to the implementation of the new intervention in …

Food Insecurity Screening Among Hospitalized Older Adults With Cardiovascular Disease, Claire Montoya

Group: Nebraska Methodist College

Objective: To implement a food insecurity (FI) screening process using the HVS^TM for adults age 60 and older on an inpatient cardiac unit. The intent was to better understand the prevalence of FI, to evaluate current nutrition resource use, and to assess for any significant relationship between resource use and FI screening result among this specific patient population.

Methods: Screenings were administered by registered nurses on the cardiac unit to any adult age 60 or older admitted to the unit. Screening forms consisted of the two-item HVS^TM and a third question screening for use of nutrition resources (SNAP, …

Magnesium Sulfate In Relation To Preeclamptic Postpartum Mothers, Megan Lihs, Nancy Murray, Valerie Lynn Anderson

Group: Nebraska Methodist College

Magnesium sulfate is often used from the onset of labor and during the postpartum period to stabilize maternal blood pressure. Because little is known about magnesium sulfate, there is a concern that allowing mothers to pump or breastfeed while receiving this medication may place additional stress on the mother’s body. The purpose of this project was to determine whether preeclamptic postpartum mothers receiving magnesium sulfate who initiated breast-pumping within 1-4 hours post-delivery experienced elevated blood pressures, as evidenced by a rise above 140/90 mm Hg. A retrospective chart review of mothers who delivered in 2017, received magnesium sulfate, required immediate …

A Peer Support Program For Adolescents With Type 1 Diabetes, Amber A. Fuller

Group: Nebraska Methodist College

Type 1 diabetes mellitus (T1D) is a chronic condition impacting young children and subsequently follows them throughout life. The disease causes the body to lose the ability to produce insulin resulting in elevated blood sugar levels causing a cascade of detrimental complications. As children navigate through the different phases of life, especially during adolescence, the challenges of self-management of this disease can become difficult. In research, peer support programs have shown to be an effective method to approaching this challenge. This quality improvement project focused on the T1D adolescent population and created, implemented, and evaluated a peer support program, called …

Reducing Food Insecurity Within A Midwestern Suburb, Lucas Manning

Group: Nebraska Methodist College

Food insecurity, characterized by inadequate access to food, poses a significant challenge affecting numerous individuals and communities across the United States. This project examines the impact of an educational program aimed at increasing donations to a local pantry within a transportation-limited Midwestern suburb burdened by a prevalent food desert. The intervention involved the dissemination of an electronic presentation and pantry flyer via email to a community agency. The outcomes assessed included the number of items donated, the number of individuals served, and the number of meals provided by the pantry. The pre- and post-intervention data collected and analyzed with descriptive …

Advance Directive Promotion In The Community Setting, Erin Dugan

Group: Nebraska Methodist College

Problem: An advance directive is a recognized legal document that expresses a person's own wishes and values which will guide medical decision making in the event of serious illness or incapacity. Despite many ongoing efforts to increase civic awareness, advance directive completion rates remain historically low and the need for a standardized approach to advance care planning discussion has been extensively supported within the literature.

Intervention: The purpose of this project was to implement an oral discussion forum and enhanced informational session within the community setting to increase the intention to complete an advance directive form among adults aged 55 …

A Walking Plan For Pregnant Women With Gestational Diabetes: A Feasibility Study, Brittney Whitney, Jennifer Santerre

Group: National Association of Nurse Practitioners in Women's Health (NPWH)

Purpose: To determine the feasibility of a structured walking plan among pregnant women diagnosed with gestational diabetes mellitus (GDM) within a maternal fetal medicine practice.

Summary: Physical activity in combination with nutritional therapy has been shown to achieve glycemic control in women with GDM (ACOG, 2015). Recommendations for physical activity in pregnancy include 150 minutes of moderate intensity exercise most days of the week (ACOG 2015; CDC, 2015; U.S. Department of Health & Human Services, 2004). An innovative project was created to determine the feasibility of adding a walking plan into GDM care. The setting is a maternal fetal medicine …

Care Of Women With Thyroid Disease: Guideline Update, Donna Williams, Kathryn Trotter

Group: National Association of Nurse Practitioners in Women's Health (NPWH)

Problem Statement: Endocrinology guidelines for the diagnosis and management of thyroid disease differ in pregnancy and postpartum compared to the preconception state. Aim: NPs need to be aware of the management updates within the 2017 American Thyroid Association Guidelines. Hypothyroidism is second only to diabetes in endocrine disorders in pregnancy. Background: Due to the structural similarities of hCG to TSH and the increase in thyroxine binding globulin during pregnancy, nurse practitioners should understand the relative physiologic changes. These changes result in varied interpretation of free T4 values, forcing clarification in thyroid hormone laboratory assays. Population: Women across the lifespan were …

Obstetrical Healthcare Providers' Knowledge Of The 2009 Iom Guidelines For Weight Gain In Pregnancy; Clinical Integration And Implications, Beth Steinfeld

Group: National Association of Nurse Practitioners in Women's Health (NPWH)

Purpose: More than 35.8% of the US population is obese; 45% of pregnant women are overweight and thus, are at risk for numerous negative perinatal outcomes. Healthcare providers are faced with the challenges of having adequate educational preparation to help obese clients limit weight gain to comply with the recommended amount of gestational weight. Consistent integration of weight management interventions into their practice with obese clients will help address this clinical dilemma. In response to this problem, in 2009, the IOM reexamined their guidelines for weight gain in pregnancy and issued new and more stringent guidelines for weight gain for …

Improving Knowledge, Skills, And Attitudes About Breastfeeding, Vaidehi Patel

Group: National Association of Nurse Practitioners in Women's Health (NPWH)

Purpose: The purpose of this DNP project was to work in collaboration with the Women's Health Center at a local hospital to implement a breastfeeding education intervention among the staff, for the ultimate goal of improving breastfeeding knowledge, skills, and attitudes.

Summary: The various health benefits of exclusive breastfeeding are widely known. Various study sources, including professional peer-reviewed literature have demonstrated that breastfeeding is the optimal form of feeding and is considered a gold standard for infant nutrition. The purpose of DNP project was to work in collaboration with the Women's Health Center at a local hospital to implement a …

Npwh Position Statement: Brain Health Is Women's Health, National Association Of Nurse Practitioners In Women's Health

Group: National Association of Nurse Practitioners in Women's Health (NPWH)

The National Association of Nurse Practitioners in Women's Health (NPWH) supports collaborative action to establish brain health as a crucial aspect of Women's healthcare. A comprehensive approach includes promoting brain health, detecting cognitive impairment (CI) to facilitate accurate diagnosis and early intervention, and identifying and addressing the needs of individuals who are caregivers for loved ones with CI. NPWH believes a need exists for extensive research to better understand modifiable factors that influence brain health, improve one’s ability to make an early diagnosis of CI, establish effective therapies to prevent and treat CI, and support families and caregivers of individuals …

Sexually Transmitted Infections And Vaginitis Screening In Urgent Care, Robyn Fuller

Group: National Association of Nurse Practitioners in Women's Health (NPWH)

Purpose: The purpose of this quality improvement project was to use a web-based education to standardize STI and vaginitis screening methods, in adolescent and adult women presenting to the urgent care setting. The aim was to change clinicians' current beliefs and practices, for vaginitis and STI screening methods, to reflect current evidence-based practice, with an emphasis on self-collected vaginal swabs (SCVS).

Summary: Project participants included clinicians currently practicing in the urgent care setting and licensed as either a physician, advanced registered nurse practitioner, or physician assistant. An email inviting participants to participant in the e-learning module was sent to 34 …

Anxiety Scores Of Women Participating In High Risk Breast Cancer Outpatient Group Visits, Kathryn Trotter, Emily K. Routh

Group: National Association of Nurse Practitioners in Women's Health (NPWH)

Purpose: Women with an increased risk of breast cancer are often anxious about their risk and need additional counseling related to risk assessment, breast surveillance, and risk-lowering interventions. The purpose of the study was to examine perceived anxiety before and after facilitated group visits for this population.

Methodology: In conjunction with their follow-up visits, women in the high-risk breast clinic are invited to attend a one-hour group visit. Based on the Centering model, the focus is on breast education and support as well as health assessment. The small group sessions of 3-6 women are facilitated by the breast surgery NP …

Project Thrive: A Multidisciplinary One-Stop Shop Model Of Healthcare For Survivors Of Human Trafficking, Jonell Potter, Stephen Symes, D. Jeffrey Newport, Anastasia Godur, Grechen Mills, Ira Karmin, Panagiota Caralis

Group: National Association of Nurse Practitioners in Women's Health (NPWH)

Purpose: The purpose of this program is to provide an overview of a model of medical care designed for human trafficking survivors.

Summary: Human trafficking for sex and labor is a national epidemic. Most victims access health care while being trafficked. Once rescued, many victims need medical and mental health services. A comprehensive "one-stop shop" model of health care offering multidisciplinary services in a single location for survivors of human trafficking was designed to provide a patient centered approach within an environment that fosters compassion, trust, support and stability was designed and implemented to assist survivors with access to primary …

Npwh Position Statement: Menstrual Equity And Menstrual Health, National Association Of Nurse Practitioners In Women's Health

Group: National Association of Nurse Practitioners in Women's Health (NPWH)

The National Association of Nurse Practitioners in Women's Health asserts that all individuals who menstruate should have adequate access to appropriate menstrual products and to facilities that support privacy, safety, hygiene, and sanitation for changing menstrual products, washing body and hands, and cleaning or disposing of used materials. As well, all individuals who experience menstruation should have access to accurate, timely, and age-appropriate information about the menstrual cycle, expected changes that occur from puberty through menopause, and related self-care and hygiene practices. Access to healthcare for timely diagnosis and care for menstrual-cycle related discomforts and disorders is important for menstrual …

The Humanistic Foundations Of Imogene King's Theory Of Mutual Goal Attainment And Implications, Beverly J. Whelton

Group: King International Nursing Group

This presentation provides the humanistic foundations of Imogen King's theory of Mutual Goal Attainment through the Classical-Modern synthesis of the Contemporary philosopher, Norris Clark. Classical philosophy tells us humans are substantial (matter/form) beings with the capacities of knowing, reasoning and choosing from options we know. Modern philosophy tells us humans possess their own sense of self. They are beings towards others with self-possession and are self-transcendent and self-communicative finding fulfillment in self-giving. These natural capacities need to be nurtured and supported through education and mutual decision making.

Evolution Of An Empowerment Instrument, Christina Leibold Sieloff

Group: King International Nursing Group

Purpose:
The purpose of this presentation is to detail the evolution of a reliable and valid instrument: the Sieloff-King Assessment of Work Team/Group Empowerment within Organizations (SKAWTGEO©).

Rationale and Significance:
The SKAWTGEO, initially developed and psychometrically tested in 1996, is the only nursing-theory based instrument designed to estimate the empowerment of a work team or group within a health care organization. The instrument has been used internationally, translated into Finnish and Hebrew, and is currently being translated into Korean and Turkish. The researcher proposes that work team/group empowerment is a critical factor in the further improvement in the delivery of …

October 29, 2024, Council On Graduate Studies

Minutes

No abstract provided.

Electric Interrow Control Of Lupine Plants Does Not Adversely Affect The Neighboring Non-Target Lupine Plants, Catherine Borger, Miranda J. Slaven

Journal articles

Interrow weed control is used in a wide range of crops, traditionally applied via physical cultivation or banded herbicide application. However, these methods may result in crop damage, development of herbicide resistance, or off-target environmental impacts. Electric interrow weed control presents an alternative, although its potential impact on crop yield requires further investigation. One of the modes of action of electric weed control is the continuous electrode–plant contact method, which passes a current through the weed and into the roots. As the current passes into the roots, it can potentially disperse through the soil to neighboring root systems. Such off-target …

Green Cities And Transportation, Ariadna Reyes-Sanchez, Soheil Sharifi-Asl, Ladan Mozaffarian

Mavs Open Press Open Educational Resources - Archive

Green Cities and Transportation examines the significance of sustainable transportation projects for mitigating greenhouse gas emissions while supporting transportation equity for vulnerable commuters. The book examines insightful case studies from around the world that can serve as a reference for sustainable transportation initiatives in the U.S. It is organized into three sections: 1) Sustainability, Transportation Equity, and Planning, 2) Case Studies and Lessons from the North and South, and 3) Greenhouse Gas Emissions, Cities, and Mobility.

Addressing Weight Bias Among Pediatric Healthcare Clinical Staff., Kathyrn Kyler, Codi Cutburth, Gayla Goleman, Sarah Hampl, Amy R. Beck

Manuscripts, Articles, Book Chapters and Other Papers

BACKGROUND: Children with obesity may experience weight-based discrimination as a result of weight bias and stigma, which can have deleterious effects on their health and wellbeing, including increased risk of dysregulated, maladaptive, and disordered eating such as restriction, purging, and binging. Prior work has shown that weight bias occurs from healthcare workers caring for adults, but less is known about the prevalence of weight bias in the pediatric healthcare setting.

METHODS: We aimed to determine what proportion of pediatric healthcare professionals had attitudes of weight bias at our own institution by constructing a survey with questions from validated weight bias …