Digital Commons Network^™

Bedside Nurse Recognition Of Delirium In The Medical-Surgical Setting, Bridget Ann Denzik

Walden Dissertations and Doctoral Studies

Delirium in adults aged 65 and older is a common occurrence in the acute care setting and is often unrecognized by bedside nurses. Delirium can trigger a negative cascade of events resulting in an increase in morbidity and mortality, functional decline, longer length of stay, and high rates of post hospital institutionalization and has a significant socioeconomic impact. The purpose of this quality improvement project was to establish a solid foundation using scholarly literature to support the development of a delirium prevention, recognition, and treatment program in the medical-surgical acute care setting applying the program logic framework. The goal was …

An Evidence Based Curriculum On Early Recognition And Prevention Of Delirium In Hospitalized Elderly, Albert Belaro

Yale School of Nursing Digital Theses

Abstract

Background: Delirium in older adults is common, but there is evidence that programs utilizing a set of non-pharmacologic interventions are effective in preventing it. Early recognition and delirium prevention programs may save lives and reduce healthcare costs.

Problem: Hospitalized older adults have special needs that can be addressed using evidence-based clinical practice. However, hospital nurses may lack the competency to care for patients at risk of developing delirium and can benefit from a delirium educational training program.

Design: The development of an Education program.

Methods: Critical content was identified, synthesized from the literature and developed into a curriculum outline. …

Beers Medication: Empowering The Elderly Through Education, Amanda J. Parker

DNP Projects

The elderly population (those aged 65 years and older) has an increased risk of experiencing adverse effects from their prescribed medications. These adverse effects are due to many reasons, one being changes that naturally occur in the aging body, such as diminished kidney function or decreased gastrointestinal motility. This project explores the prescribing practices of one primary care practice setting. Specifically, this project sought to determine the number of patients in a primary care practice who were prescribed medications on the Beers list and whether or not the patients received education on adverse effects. The results concluded the most frequently …

Preserving Personhood In Individuals With Cognitive Impairment: A Caregiver's Role, Maren Legg

Honors Projects

This project consists of an educational program for informal caregivers in the Bowling Green community on preserving personhood in individuals with cognitive impairments through caregiving experiences. The program was based on a copious amount of research regarding personhood, how personhood relates to individuals experiencing cognitive impairment, and how care provided by caregivers can be provided in a way that promotes and preserves an individual’s personality, personhood, and selfhood.

The program was developed over the span of four months and incorporates models of personhood, behaviors that threaten and preserve or promote personhood, as well as practical suggestions for strategies in how …

The Effect Of Physical Activity Levels On Hydration Markers In Non-Athletic Free-Living Individuals, Mikell Lucas Hammer

Graduate Theses and Dissertations

Higher levels of physical activity requires increased fluid intake due to increased water losses via sweating. PURPOSE: To determine the effect of physical activity on hydration status and water intake. METHODS: This study involved 8 visits to the Human Performance Laboratory over 22 days. Body weight and urine measurements were taken every visit. Physical activity was assessed by the International Physical Activity Questionnaire (IPAQ), water intake by the Water Frequency Questionnaire (WFQ), and hydration status by urine osmolality (UOsm), urine specific gravity (USG), and urine color (UC). From the IPAQ subjects were classified as low, moderate and high physical activity …

The Correlation Between Confidence And Knowledge Of Evidence-Based Practice Among Occupational Therapy Students, Kate E. Decleene Huber, Alison Nichols, Kaila Bowman, Jessica Hershberger, Jessica Marquis, Taylor Murphy, Chanlar Pierce, Chelsea Sanders

The Open Journal of Occupational Therapy

Evidence-based practice (EBP) is used throughout multiple health-care professions and includes the use of best research available, client preferences, and the practitioner’s experience. Occupational therapy educational programs are required to incorporate EBP into their curriculum. A convenience sample of occupational therapy students from a private university completed a survey designed to measure students’ knowledge and confidence in EBP. The survey consisted of the Knowledge of Research Evidence Competencies (K-REC) and the Evidence-Based Practice Confidence (EPIC) scale, as well as demographic questions. Of the respondents (n = 47), third-year students indicated higher confidence in the ability to utilize EBP and higher …

Perceptions Of Support Networks During The Graduate Assistant Athletic Trainer Experience, Stephanie M. Mazerolle, Stephanie Clines, Christianne M. Eason, William A. Pitney

Rehabilitation Sciences Faculty Publications

Context: The graduate-assistant position can be a highly influential experience because it is often the first time novice athletic trainers (ATs) are practicing autonomously.

Objective: To gain an understanding of how graduate-assistant ATs (GAATs) perceive professional socialization and mentorship during their assistantships.

Design: Semistructured phone interviews. Setting: Graduate-assistant ATs in various clinical settings.

Patients or Other Participants: Twenty-five GAATs (20 women, 5 men) studying in 1 of 3 academic tracks (postprofessional athletic training = 8, athletic training-based curriculum = 11, non-athletic training-based curriculum = 6). Median age was 24 years.

Data Collection and Analysis: Phone interviews were digitally recorded and …

Associations Between Work-Related Stress In Late Midlife, Educational Attainment, And Serious Health Problems In Old Age: A Longitudinal Study With Over 20 Years Of Follow-Up, Charlotta Nilsen, Ross Andel, Stefan Fors, Bettina Meinow, Alexander D. Mattsson, Ingemar Kåreholt

Aging Studies Faculty Publications

Background: People spend a considerable amount of time at work over the course of their lives, which makes the workplace important to health and aging. However, little is known about the potential long-term effects of work-related stress on late-life health. This study aims to examine work-related stress in late midlife and educational attainment in relation to serious health problems in old age.

Methods: Data from nationally representative Swedish surveys were used in the analyses (n = 1,502). Follow-up time was 20–24 years. Logistic regressions were used to examine work-related stress (self-reported job demands, job control, and job strain) in relation …

Students’ Digital Photography Behaviors During A Multiday Environmental Science Field Trip And Their Recollections Of Photographed Science Content, Victor R. Lee

Instructional Technology and Learning Sciences Faculty Publications

Taking photographs to document the experiences of an educational field trip is becoming a common activity for teachers and students alike. Considering the regular creation of photographic artifacts, our goal in this paper is to explore students’ picture taking behavior and their recollections of science content associated with their photographs. In this study, we partnered with a class of fifth-grade students in the United States and provided each student with a digital camera to document their experiences during an environmental science field trip at a national park. We report the frequency of photography behaviors according to which activities were most …

Pelaksanaan Program Children Educational Support Dalam Mengurangi Prevalensi Anak Jalanan Oleh Yayasan Indonesian Street Children Organisation (Isco) : Studi Deskriptif Di Sanggar (Isco) Kelurahan Kebun Melati, Tanah Abang, Wirda Amalia, Dwi Amalia Chandra Sekar

Jurnal Ilmu Kesejahteraan Sosial

This article discusses about the implementation of children educational support in reducing prevelance of street children by ISCO Foundation. Motivated by many poor children vulnerable to be street cause the difficulty of access to educational services. This research used a qualitative approach. Collecting data using observation and interview with 9 informant. The study results show that implementation of program has already ran fairly well characterized by reduced child beneficieris who took the streets due to provision of assistance in formal and non-formal education. This made the fulfillment of poor children needs to get an education from early age so the …

Suicide In Older Adults : Helping Case Managers Engage In Difficult Conversations : A Project Based Upon An Independent Investigation In Collaboration The Producer Of The Film "Talking With Dolores", Darlene O'Connor, Jennelle Liljestrand

Theses, Dissertations, and Projects

Suicide among older adults is an increasing mental health concern in the United States, and yet depression and other signs of suicide often go unnoticed. The film and discussion guide "Talking with Dolores" was funded by the Massachusetts Department of Public Health to increase awareness of warnings of depression and suicide in the elderly and demonstrate ways of conversing with them about suicide. Because of their unique contact with older individuals in their own homes, geriatric case managers are positioned as a gateway to necessary psychosocial support for elders, yet may not be receiving adequate training for the initial detection …

Use Of Participant-Generated Photography In A Research Contribution Course, Maryellen Thompson

The Open Journal of Occupational Therapy

This paper describes the use of small, qualitative studies focused on interviews done with participant-generated photographs as an effective and efficient way of teaching research to entry-level masters students. A comparison of using time-use diaries vs. participant-generated photography is presented to explicate the research process and demonstrate the advantages of using photography, including ease of data collection and data sharing. Over a three-year period of using participant-generated photographs as a guide for semi-structured interviews, students have consistently expressed enjoyment of the research process and increased empathy with their research participants.

The Cantor Years, Carol L. Boll

Syracuse University Magazine

Highlights the tenure of Chancellor Nancy Cantor and her distinctive and innovative thinking during her ten years at the helm of Syracuse University.

Stanley, Sharon Interview For The Miami Valley College Of Nursing And Health Oral History Project, Donna M. Curry, Sharon Stanley

Wright State University - Miami Valley College of Nursing and Health Oral History Project

Donna Miles Curry interviewed Sharon Stanley about Wright State University College of Nursing and Health.

Engaging Undergraduate Students In An Online Science Course: The Relationship Between Instructor Prompt And Student Engagement In Synchronous Class Sessions, Todd C. Shoepe

Theses and Dissertations

The number of online courses in higher education is on the rise; however, empirical evidence elucidating best practices for synchronous online instruction is needed to implement these courses. The purpose of this dissertation was to perform a mixed-method investigation into the relationships between instructor prompt and student engagement in 5 areas based on the 7 Principles of Good Practices in Undergraduate Education using recorded chat, video, and audio transcripts of two recent fully online nutrition courses. A total of 25 previously recorded synchronous sessions including oral and textual chat interactions were transcribed. Every line of student interaction was determined to …

I'M Still Standing: Five Strategies To Survive Going Back To School, Janice Hawkins

Ellmer School of Nursing Faculty Publications

[First paragraph] Making the decision to return to school for a PhD was difficult for me. I feared the unknown but inescapable lifestyle adjustments. I’m resistant to change. When facing life’s cold waters, I wade, rather than plunge. There’s no wading into a PhD program. In spite of my cautious nature, I took the plunge.

The Effects Of An Experiential Learning And Mentorship Program Pairing Medical Students And Persons With Cognitive Impairment: A Qualitative Content Analysis, Darby J. Morhardt

Dissertations

The United States population is aging rapidly and with it a tremendous rise in the number of people with dementia. In the future, as now, physicians and other health care professionals will likely provide the majority of health care for older people and those with dementia. The non-geriatric trained workforce must have the attitudes, knowledge and skills needed to provide high quality care for this aging and increasingly cognitively impaired population. There is evidence that prevailing stigma regarding older adults can be modified with experiential opportunities early in students' career. Few of these programs are aimed at persons with dementia. …

Preparedness To Implement Wellness Strategies: Perceptions Of School Counselors, Tena Burnett

Graduate Theses and Dissertations

The purpose of this study is to survey school counselors to determine their knowledge and perceived preparedness to implement wellness strategies in school counseling programs. Wellness plans are a requirement for thousands of public school districts in the United States. There are no established standards for the training of school counselors in the area of wellness. School counselors are in a unique position to positively impact students through the use of wellness programs and strategies. School counselors from a mid-south state (N = 156) completed an electronic survey to measure how they implement wellness strategies and their perceived preparedness in …

Senior Center Participation In Northwest Arkansas: An Examination Of Future Marketing Strategies, Policy Implications, And Program Needs To Attract The Baby-Boomer Generation, Wanda Faye Turner

Graduate Theses and Dissertations

The purpose of the study was to explore the impact of the Baby Boomer Generation on the future services provided by Senior Centers in Northwest Arkansas, specifically in Benton, Madison, and Washington counties. The study was a mixed methods design utilizing both qualitative and quantitative methods. Three research groups were used: Nine Senior Center Directors, which were interviewed; one focus group composed of four Baby Boomers; and a print survey distributed to ninety-two Baby Boomers. The data revealed that changes are needed in the program and services in Senior Centers to attract the Baby Boomer Generation. Changes will need to …

Use Of Standardized Mastery Content Assessments Given During The First Year Of A Baccalaureate Nursing Program For Predicting Nclex-Rn Outcomes, Deanna Jan Emory

Graduate Theses and Dissertations

The purpose of this study was to evaluate the relationship between standardized content specific mastery assessments and NCLEX-RN outcomes. Three content-specific standardized assessments testing Fundamentals, Pharmacology and Mental Health concepts were used to explain the dichotomous NCLEX-RN outcome of pass or fail. The three assessments were developed by Assessment Technologies Institute, LLC (ATI). The assessments were administered to baccalaureate nursing students (N = 119) during the first year of a nursing program in one public university over a period of five consecutive semesters. Group comparisons between those passing and those failing NCLEX-RN on the first attempt and correlations were calculated …

The Trajectories And Correlation Between Physical Limitation And Depression In Elderly Residents Of Beijing, 1992-2009, Xia Li, Wei Wang, Qi Gao, Lijuan Wu, Yanxia Luo, Zhe Tang, Xiuhua Guo

Research outputs 2012

Background Physical limitation and psychological distress have been reported to be related, but studies describing the change of instrumental activities of daily living (IADLs) and depression syndrome over time or exploring the link pattern for their development are limited. The study was to assess distinctive patterns for the development of physical limitation and depression and to explore their correlation to form a proper prevention strategy. Methods Dual trajectory analysis was conducted using data from the Beijing Longitudinal Study of Aging (BLSA) 1992–2009 hosted by Xuanwu hospital for subjects with full information on depression and physical limitation for all available visits. …

Bmi Trajectories During The Transition To Older Adulthood: Persistent, Widening, Or Diminishing Disparities By Ethnicity And Education?, Katrina M. Walsemann, Jennifer A. Ailshire

Faculty Publications

Previous research has produced inconsistent results on whether education and ethnic disparities in BMI persist, widen, or diminish over time. We investigate how education and ethnicity, independently and conditionally, influence BMI trajectories during the transition to older adulthood. Employing random coefficient modeling, we analyzed 8 biennial waves of data (1992-2006) from the Health and Retirement Study, a nationally representative longitudinal study of individuals born between 1931 and 1941. After adjusting for health behaviors and health status, education and ethnic disparities in BMI persisted for most groups, but narrowed between high-educated white men and both low-educated Hispanic men and high-educated black …

Older Adults And A Writing Workshop: A Phenomenological Study, Jennifer Lynn Alex

Dissertations

This study examines how older adults experience the phenomenon of participating in a writing workshop and how older adults interpret their experiences, understandings, and realities of writing. Ten older adults, ranging in age from 62 to 83 with varying degrees of experiences in writing, participated in this study. Through a semi-structured interview, each participant related his or her experience first as a writer and then as a member of a writing workshop offered through a Community Literacy Center in a mid-sized Appalachian city.

A phenomenological analysis method was used to identify and analyze themes of meaning that emerged in the …

Self-Efficacy And Educational Interventions In Heart Failure: A Review Of The Literature, Karen S. Yehle, Kimberly Plake

School of Nursing Faculty Publications

Purpose: The purpose of this study was to conduct a systematic review of the literature to better understand how to structure educational interventions for heart failure patients to improve their self-efficacy for self-care behaviors.

Methods: A computer search of the literature from 1966 through May 2009 was conducted, yielding 84 manuscripts. All manuscripts were reviewed in relation to the search criteria, resulting in 12 articles that were evaluated.

Results: Each of the reviewed studies utilized an intervention plus education to improve self-efficacy. Self-efficacy was a primary outcome for seven of the studies, and a secondary outcome for five on the …

Praeger, Susan Second Interview For The Miami Valley College Of Nursing And Health Oral History Project, Donna M. Curry, Pam Namenyi, Susan Praeger

Wright State University - Miami Valley College of Nursing and Health Oral History Project

Donna Miles Curry and Pam Namenyi interviewed Susan Praeger about the BEACON program at Wright State University College of Nursing and Health. Dr. Praeger discussed her interest in creating the BEACON program as well as its history.

Mentoring In Teacher Education: Building Nurturing Contexts And Teaching Communities For Rural Primary School Teachers In Sindh, Pakistan, Nilofar Vazir, Rakhshinda Meher

Institute for Educational Development, Karachi

This paper examines how mentoring can improve the performance and level of teacher education in Pakistan, especially in rural areas. It presents a qualitative case study that focuses on two teachers from rural Sindh; one male and the other female. These teachers were participants in the Mentoring Program at the Aga Khan University – Institute for Educational Development (AKU-IED). Data was collected through participant observations, from structured and unstructured interviews, in the classroom and the field, and from reflective journals. The program focused on reconceptualizing the role of these teachers as mentors, developing relevant skills through critical thinking and reflective …

Evaluation Of Experience Corps: Student Reading Outcomes, Nancy Morrow-Howell, Melissa Jonson-Reid, Stacey Mccrary, Yungsoo Lee, Ed Spitznagel

Center for Social Development Research

Evaluation of Experience Corps: Student Reading Outcomes

Nps' Perceptions Of Disaster Preparedness Education: Quantitative Survey Research, Milada Tichy, A. Elaine Bond, Renea L. Beckstrand, Barbara Heise

Faculty Publications

Nurse practitioners need to be effective in responding to large-scale natural and man-made disasters. However, disaster core competencies for NPs are largely nonexistent. The purpose of this study was to assess NPs' level of disaster preparedness and determine how NPs acquired knowledge about disaster preparation. Findings suggest that a consistent national NP curriculum for disaster preparedness, including communication with other disaster agencies, is needed. With proper education, NPs can play a major role in disaster management.

In Step With Our Parents: 3-Part Educational Series, Kate Boisen-Macdonald

All Graduate Theses, Dissertations, and Other Capstone Projects

The purpose of this project is to educate adult children caring for their parents, so they can identify as caregivers so they can better cope with, identify with, and/or navigate the role of care giving, and be aware of the resources available to them.

Comparing Net And Eri Standardized Exam Scores Between Baccaulureate Graduates Who Pass Or Fail The Nclex-Rn, Mary D. Bondmass, Sheniz Moonie, Susan Kowalski

Environmental & Global Health Faculty Research

In the United States, nursing programs are commonly evaluated by their graduates success on the National Council Licensure Examination for Registered Nurses (NCLEX-RN). The purpose of this paper is to describe a change in NCLEX-RN success rates following the addition of standardized exams throughout our program's curriculum, and to compare these exam scores between graduates who pass NCLEX-RN and those who do not. Our results indicate an 8.5% change (p < 0.000) in the NCLEX-RN pass rate from our previous 5-year mean pass rate, and significant differences in standardized test scores for those who pass the NCLEX-RN compared to those who do not (p < 0.03). We conclude that our selected standardized exam scores are able to significantly identify graduates who are more likely to pass NCLEX-RN than not.