Digital Commons Network^™

The Experience Of Young Adult Caregivers Of Patients With Left Ventricular Assist Devices (Lvads), Amy Emmarco

Seton Hall University Dissertations and Theses (ETDs)

Advanced heart failure is a serious diagnosis that is associated with limited options at the end stage of the disease. Left Ventricular Assist Devices (LVADs) are mechanical circulatory support systems that can be used for patients with end stage heart failure. These devices are complex and require specialized training to manage. Visiting home care services are unable to provide support and the management responsibility falls solely on the patient and their designated caregiver. Young adults serve in this caregiving role and very little is known about their specific journey. The aim of the study was to understand the experience of …

The Military As A Culture, Linda Casale

Leadership Connection

Nurses understanding of military culture has the potential to recognize mental illness and disability. Active duty personnel are apprehensive to seek mental health assistance due to the associated stigma (Convoy, 2013). Nurses provide a critical bridge in veterans obtaining appropriate mental health care. Nurse education should include training about veterans.

The Mentoring Experiences Of Adjunct Nursing Faculty: A Phenomenological Inquiry, Sharon Ramjohn

Leadership Connection

This dissertation research study explored the mentoring experiences of adjunct nursing faculty members in undergraduate nursing programs. The results indicate that adjunct instructors are expert clinicians but novice teachers who need mentoring and guidance as they transition from the practice settings to academia.

The Effect Of Kinship Foster Care Compared To Non-Kinship Foster Care On Resiliency, Alyssa Brynn Bergthold, Heidi Marie Vizino

Leadership Connection

This literature review evaluated the effect of foster home placement type on foster child resilience. Existing literature was evaluated and synthesized to compare the negative and positive effects of both kinship and non-kinship foster care on various indicators of child resilience including behavior, mental health, financial resources, and placement stability.

Student Hotspotting: An Opportunity For Student Nurses To Work With High-Utilizers On Interprofessional Teams, Colin Mcnamara, Michael Arenson, Jennifer R. Dyson, Madeleine Rutledge, Sindhuja Surapaneni

Leadership Connection

Healthcare costs are driven largely by a group of high-utilizers who constitute 5% of the population but account for about 50% of expenditures. A Grady Hospital-based intervention was created to engage Atlanta's high-utilizers with teams of interprofessional students in addressing non-medical concerns that contribute to frequent utilization.

Stepping On: An Evidence-Based Falls Prevention Program For Homebound Seniors, Anna Michelle Waldron

Leadership Connection

Stepping on is a program that empowers older adults to carry out health behaviors that reduce the risk of falls. It is a community workshop offered once a week for seven weeks teaching older adults' balance exercises, and specific education on how to prevent falls.

Predictors Of Stress And Strain In Hispanic Caregivers, Amy M. Levi, Mona Wicks, Elizabeth A. Tolley, J. Carolyn Graff, Karen A. Karlowicz, Cathy B. Scott, Shelley I. White-Means

Leadership Connection

The purpose of this study is to build on findings from the descriptive parent study, Caregiving in the U.S. 2015, by using a multivariate analysis to identify the caregiver, care recipient, and work-related factors reported by Hispanic caregivers that contribute to their physical and financial strain, and emotional stress.

Leadership, Scholarship, And Service: Living Our Values Through Humanitarian Aid, Gwen D. Sherwood, Jean Ann Davison

Leadership Connection

Alpha Alpha chapter lived the Sigma values in a spring break service learning humanitarian aid project demonstrating Leadership, Scholarship, and Service. In a framework of social justice our chapter led a mobile van with nurse practitioner and social work students to provide health access for those flooded during Hurricane Matthew.

Impact Of Mother Being In School On Academic Success Of Her Children: A Cross-Sectional Study, Ekta Rathee, Mellisa Hall

Leadership Connection

Pursuing higher education (HE) while raising children is the reality of today's many female nurses, which can be highly stressful especially for those with lack of support. This study investigates various aspects of this phenomenon including "how does a mother's pursuit of HE impact the academic success of her child(ren)?"

Distance-Technology Delivered Grief Support Program: Perceived Quality And Satisfaction Of Training Provided To Social Workers, Daniela Mccroby

Leadership Connection

Through a research grant provided by the Cambia Health Foundation, Caring Connections: A Hope and Comfort in Grief Program, a non-profit organization located in the College of Nursing at the University of Utah, extends grief support groups to rural/frontier Utah via distance-technology to diminish health care gap in under-served communities.

Caring For The Poor: Nurses' Attitudes Toward Patients From The Culture Of Poverty, Kimi Collyer Yuchs, C. Elizabeth Bonham

Leadership Connection

Patients from the culture of poverty are challenged when seeking health care. When nurses are cognizant of their personal attitudes and biases toward poverty, practice may change and improve health outcomes for this population.

A Systematic Review Of The Effects Of Yoga Therapy For Chronic Low Back Pain, Theresa Ann Poling

Leadership Connection

The purpose of this poster is to present the current state of the opioid crisis and to explore alternative therapies for chronic low back pain in the general adult population. Findings indicate that yoga therapy is an effective, cost efficient alternative to usual medical care for low back pain.

Service Leadership: The Role Of Supervision In Advanced Nursing Practice, Renee Simone

Leadership Connection

Session presented on Monday, September 19, 2016:

Significant attention in research and education has been paid to the importance of leadership in nursing, especially for the developing role of the Advanced Practice Registered Nurse (APRN)/Nurse Practitioner (NP) (Metzger & Rivers, 2014; Severinsson, Johansson & Lindquist, 2014; Dale et al., 2013; Taylor, 2013; Queiros, 2014). Supervision as one aspect of leadership has been linked primarily with managerial responsibilities and mentorship for new nurses (Moked & Crach-Zahavy, 2016). Efforts have been made to capture and quantify both the harmful sequelae of unsupportive supervisory relationships on staff and positive behaviors among managers and …

Identifying And Accommodating Education/Research Barriers Of Rural Nursing Staff In The Mississippi River Delta, L. Todd Hammon

Leadership Connection

Session presented on Sunday, September 18, 2016:

The purpose of this study was to identify by survey, what education and research barriers exist for operating room and post anesthesia care nursing staff in the rural hospitals of the Mississippi River Delta.

Barriers Of Contact Isolation Precautions: Healthcare Professional's Perceptions And Patient's Experiences, Samantha Kelsey Barber

Leadership Connection

Session presented on Sunday, September 18, 2016:

The main objective of this research review was to explore the lived experiences of patients under source contact isolation precautions and the perceptions and suggestions of healthcare workers interacting with patients under source isolation conditions. Patients and healthcare workers were interviewed over a period of time that allowed for the elaboration of personal feelings and perceptions to be articulated. The general consensus for both groups was deemed negative and the researchers were able to determine that one of the contributing factors was a lack of guiding knowledge in the form of an evidence …

Structure And Process For Interdisciplinary Education, Janet Haggerty Davis

Leadership Connection

Session presented on Friday, September 26, 2014: Purpose: Due to the complexity of our current and emerging health care system, emphasis is increasingly being placed on the need for student education in interdisciplinary health care teams. The World Health Organization (WHO) defines interdisciplinary education as "when students from two or more professions learn about, from and with each other to enable effective collaboration and improve health outcomes." Models for interdisciplinary education have been developed and some institutions have provided interdisciplinary education using case-based scenarios. The WHO proposes that interprofessional education is a necessary step in preparing a collaborative ready healthcare …

Translating And Piloting A Community Based Diabetes Prevention Intervention For Vietnamese-Americans, Taylor Annabel Fischer, Cindy Cao, Tam Nguyen

Leadership Connection

Session presented on Friday, September 26, 2014:

Diabetes is a serious chronic medical condition that has well-established links to devastating health outcomes including heart disease, stroke, and peripheral vascular disease. A large multicenter randomized clinical control trial (n=3,234) called the Diabetes Prevention Program has demonstrated that a lifestyle intervention focused on modest weight loss through dietary changes and increased physical activity can reduce the development of diabetes by 58%. However efforts to translate these findings to understudied and underserved minority populations, such as Vietnamese Americans, are lacking. Work in this area is important because the diets and cultural norms among …

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 …

End Of Life In African American Older Adults: An Integrative Literature Review, Karen O. Moss, Karen M. Rose

Leadership Connection

Session presented on Friday, September 26, 2014:

End-of-life care in the United States is described as deficient and fragmented. Minority populations engage in end-of-life planning less frequently than Caucasians. African Americans represent the second largest minority group in the United States with its older adult population projected to increase by 114% by 2030. The Patient-Self Determination Act of 1990 requires Medicare and Medicaid funded healthcare organizations to empower patients to refuse or accept medical care and execute advance directives. The Study to Understand Prognoses and Preferences for Outcomes and Risks of Treatments (SUPPORT) confirmed substantial shortcomings of healthcare for seriously …

Breast Cancer Related Lymphedema: An Algorithm For Self-Care, Paula D. Tedin-Moschovas

Leadership Connection

Session presented on Thursday, September 25, 2014:

In 2013, there were 2.8 million breast cancer survivors in America and Armer, et al, (2008) reveal that 20-40% will develop breast cancer-related lymphedema (BCRL). BCRL is an accumulation of lymph fluid in the interstitial spaces, of the arm or chest wall, where normal lymphatic flow has been disrupted by axillary node dissection, mastectomy, radiation or chemotherapy. Once lymphedema (LE) develops it becomes a chronic condition requiring medical and therapeutic support. The purpose of this scholarly activity is to create then study an algorithm to assist the patient in self-care. Knowledgeable nurses, physicians …

Panel Discussion 2: Litigation For Change, Jacqueline Dixon, Dean Rivkin, Robert Schwartz

Tennessee Journal of Law and Policy

No abstract provided.

The Mental Health Literacy Of Ncaa College Coaches: Knowledge, Beliefs, And Resources, Lauren Beasley, Steven Hoffman, Jackson Sears

Journal of Issues in Intercollegiate Athletics

National Collegiate Athletic Association (NCAA) college athletes in the United States (U.S.) are at risk for diminished mental health, and stigma may be a barrier to these athletes seeking professional mental health care. Coaches can create a team environment that prioritizes athlete mental health and destigmatizes help-seeking; however, this requires coaches to have appropriate mental health knowledge, operationalized as mental health literacy (MHL). Therefore, the purpose of this exploratory study was to explore three different constructs of MHL of NCAA coaches across Divisions I, II, and III. The Multicomponent Mental Health Literacy Scale (MMHLS), which measures MHL within three domains—knowledge, …

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 …

Recommendations For Promoting Culturally And Resource Appropriate Care For Native American (Na) Patients At Flagstaff Medical Center (Fmc), Aura Leaf Kaila Edmondson

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

Flagstaff Medical Center (FMC) is a primary referral center for its surrounding Native American (NA) communities. As such, FMC has a unique patient population with distinctive needs related to culture and available resources. This executive summary explores the provision of quality care to NA populations by discussing the execution of a clinician focused education needs assessment, implementation of an education program based upon this data, and synthesis of the experience to provide institutional recommendations for ongoing efforts to optimize the care of NA patients from a cultural and resource perspective.

The Effects Of Racial Battle Fatigue In Students Of Color: Increasing Awareness And Improving Coping Skills, Meyokia Smith

Group: Nebraska Methodist College

Students of color who attend predominately white institutions have reported experiencing racism, discrimination, or racial microaggression which has led to physiological, psychological, or behavioral stress responses coined as racial battle fatigue (RBF), a newer term describing these effects. This project sought to understand students of color's experiences of RBF through a focus support group while formulating coping mechanisms to assist students of color who may face RBF to build resiliency. The focus support group discussion concentrated on three main themes: Racial Battle Fatigue Awareness, Racial Battle Fatigue Experience, and Coping and Racial Battle Fatigue. Results from this study sought to …

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 …

Postpartum Depression Screening In The Neonatal Intensive Care Unit, Angela Zavala, Tara Whitmire

Group: Nebraska Methodist College

Background and Review of Literature: Postpartum depression (PPD) is recognized as a maternal mental health condition that can occur during pregnancy or in the postpartum period. Mothers of infants hospitalized in the neonatal intensive care unit (NICU) are at a particularly increased risk for developing PPD. Risk factors are multifactorial and if undiagnosed can lead to serious consequences for mother, infant and the family unit.

Purpose: The purpose of this project was: 1) to assess the incidence of PPD with interval screening compared to one-time screening in NICU mothers using the Edinburgh Postnatal Depression Scale (EPDS), and 2) to determine …

Reducing Readmissions Through Medication Reconciliation Program In Primary Care, Joseph Anthony Anthone, Tara Whitmire

Group: Nebraska Methodist College

Background: Hospital readmissions are a major expenditure within our healthcare system. Poor medication adherence and literacy greatly increases the risk of readmission. To combat this problem insurance payors incentivize prompt and effective post discharge medication reconciliation and education.

Objective: To develop and implement a protocol in a primary care clinic utilizing a proven medication assessment tool to improve patient understanding resulting in improved readmission outcomes, medication literacy, and self-management regarding patient medication adherence.

Methods: The project was conducted in two parts over a six month time frame. Initially, data was collected using web-based insurance portals for a two months for …

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, …

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 …