Digital Commons Network^™

Education Regarding Advance Directives Improves The End-Of-Life Choices Documentation In Heart Failure Patients, Phebe Hagins Wright

Doctor of Nursing Practice Projects

Background: Heart failure affects the lives of more than 6 million people in the United States and outpatient heart failure clinics offer an opportunity to educate patients while providing evidence-based care. A needs analysis revealed that many heart failure patients do not have an advance directive (AD) on file.

Purpose: The DNP project aims to implement an educational program that provides the tools and knowledge to heart failure patients to assist patients in determining their end-of-life care goals and allow them to document these goals in the Five Wishes document.

Methods: This quality improvement project consisted of a didactic educational …

Prenatal Education For Black Mothers And Their Support Persons As An Intervention For Improving Initiation Of Breastfeeding, Sandra King

Doctor of Nursing Practice Projects

Background: The benefits of breastfeeding are commonly known; however, the rates of exclusive breastfeeding among the Black community are less than those of other ethnic groups. Providing breastmilk or formula to an infant is an individual decision. Influential factors such as cultural background, employment status, socioeconomic status, level of education, and availability of support from family members and health care providers correlate with the method a mother chooses to feed her infant. Increasing breastfeeding initiation immediately after birth is a necessary precedent for uptake in the exclusivity of breastfeeding.

Purpose: This Doctor of Nursing Practice project aims to improve prenatal …

Hpv Infection And Vaccination: A Question-And-Answer Guide For School Nurses, Mendi England, Karlen E. Luthy, Michael S. Robinson

Student Works

This paper provides school nurses with a quick question-and-answer format guide to common HPV-related questions that are often asked by school aged children's parents.

Recent Graduates’ Perspectives On Undergraduate Kinesiology Programs In Canada, Kevin Cheng, Alexander Klas, Rebecca Ataman, Shannon Chou, Sep Pouresa

All Dugoni School of Dentistry Faculty Articles

Background: Kinesiologists are a growing group of health professionals in Canada who can enter practice after completing undergraduate kinesiology programs. Unlike other health professional programs such as physiotherapy that have well-established curricula and extensive national accreditation standards, kinesiology programs vary considerably between institutions. The resultant disparities in kinesiology graduates’ entry-level skillsets, competencies, and confidence levels contribute to their uncertainty regarding their role in healthcare and the public’s underutilization of kinesiology services. Conclusions: As former kinesiology students, and as current kinesiologists and allied health professionals, we offer our perspective on how undergraduate kinesiology programs could change to respond to the needs …

Social Determinants Of Diabetes In Hampton Roads, Virginia, Priyadarshini Pattath

Virginia Journal of Public Health

Background: Recent research demonstrates the need to consider social and economic factors that are the determinants of diabetes along with individual factors. Although the average crude rate of diabetes in Virginia is 10.9%, some of the census tracts report a much higher rate. Neighborhoods in places like Norfolk, Newport News and Portsmouth in Virginia have a diabetes prevalence rate of around 25%. Using a multilevel approach for diabetes interventions will have a much better outcome as social determinants play a significant role in diabetes-related health disparities.

Method: Diabetes prevalence data in seven cities of Hampton Roads, Virginia was linked to …

Skin Response: A Multidisciplinary Approach To Pressure Injury Prevention, Shannon E. Jagger Msn, Rn-Bc, Ne-Bc, Cpps, Deborah A. Saber Ph.D.. Rn, Ccrn-K, Patricia Poirier Ph.D., Rn

Journal of Nursing & Interprofessional Leadership in Quality & Safety

Hospital acquired pressure injuries (HAPIs) are listed as serious reportable events and classified as “never events.” Nevertheless, more than 2.5 million people develop HAPIs in the United States every year with 60,000 dying from associated complications. HAPI rates at the site of this quality improvement initiative were high and required intervention. As a result, the Skin Response (SR) initiative was developed to bring a multidisciplinary team to the bedside within 20 minutes of an identified skin concern. This team consisted of the bedside registered nurse (RN), RN leader, physician, facilitator, nutritionist, and wound RN. Through a team approach, SR assisted …

Transforming Minnesota's Early Care And Education Infrastructure, Nicole Frethem

Student Scholarship

In 2021, the Minnesota legislature authorized the Great Start for All task force to present recommendations for how the state can provide “access to affordable, high-quality early care and education that enriches, nurtures, and supports children and their families,” to “all families” in Minnesota.

The early care and education landscape in Minnesota has experienced dramatic changes in programming and investments over the last twenty years. In the early 2000s, the state’s primary child care subsidy program, the Child Care Assistance Program (CCAP), was moved from the Department of Children, Families and Learning to the Department of Human Services in an …

Pregnancy Education In Rural Areas, Kayla Tinsley

Doctor of Nursing Practice Scholarly Project

Educating of the pregnancy population before, during and after pregnancy can help to ensure a healthy pregnancy and in turn reduce maternal mortality. The purpose of this research project was to understand education provided in the clinic and hospital setting in a rural area by those who take care of and talk to pregnant women and their support persons. A descriptive research design was utilized to discover the important education topics that are discussed, and the routine tests that are done throughout the pregnancy, during labor and at delivery, and even ask how prepared they feel they are equipped to …

Addressing Basic Needs Security At Santa Monica College, Brooke Guelker

Education Policy and Leadership Theses and Dissertations

Basic needs insecurity has gained recognition as a significant barrier to completing a postsecondary credential. Research has shown that students enrolled at community colleges experience basic needs insecurity at rates higher than their four-year counterparts. Given the community college’s expansive mission, it is imperative that these institutions attempt to mitigate basic needs insecurity by identifying innovative solutions tailored to their specific student populations. The original aim of this study was to explore the utility of the planned change framework in understanding how a partnership between a postsecondary institution (Santa Monica College) and a nonprofit organization (Swipe Out Hunger) led to …

Is Agriculture Being Implemented In Private School Classrooms? The Impact Of Teacher Willingness And Availability Of Resources., Casey Moss

Theses and Dissertations

Agricultural literacy has been a topic of concern as most of the population have little to no understanding of agriculture, and the impact it has on society. Agricultural literacy can be defined as “having knowledge and understanding of agriculturally related scientific and technologically based concepts and processes required for personal decision making” (Meischen & Trexler, 2003, p.44). Numerous studies have been conducted to determine the significance of agricultural literacy beginning with elementary aged children and continuing through high school. The majority of studies conducted focus on public school students and teachers. This has led to a gap in the knowledge …

Implementing A Self-Management Glucose Monitoring Pathway To Improve Glycemic Control, Brian Kozaczka

Doctor of Nursing Practice Scholarly Projects

Introduction: Nationwide and locally in Los Angeles, CA, uncontrolled diabetes remains a complex chronic condition within the primary care setting. Chronically uncontrolled diabetes is costly for patients and health care systems due to high morbidity and mortality rates. As payor sources move in the direction of providing payment based on core measures and value-based care, chronic illness programs designed to improve these outcomes must be developed, implemented, and sustained. The Federally Qualified Health Center (FQHC) in which this quality improvement project was conducted represents the largest of 11 comprehensive care, family practice FQHCs in the South-Central Los Angeles area.

Background: …

What Is The Satisfaction Of Youth Participating In A Pilot Reading And Food-Based Stem Education Program In Rural Appalachian Mississippi?, Meagan Smith

Honors Theses

Science, technology, engineering, and mathematics (STEM) education is a vital subsection of primary education which focuses on imparting knowledge to foster STEM literacy and ultimately bolster the workforce of STEM related fields (Holmlund, 2018). Due to both geographic and socioeconomic challenges, STEM education in rural areas suffers from a lack of engaging learning opportunities and contributes to a shortage of STEM professionals originating from rural areas (Munn, 2019)(Murphy, 2020). Rural areas such as Calhoun County, MS, where the pilot program associated with this thesis was conducted, do not have the means to support interactive learning institutions such as aquariums and …

Dialysis Patient Education On The Prevention Of Kidney Disease Prior To Patients Receiving Dialysis: A Retrospective Descriptive Study, Jamie D. Jones

ATU Theses and Dissertations 2021 - Present

Fifty-two adult patients at an outpatient dialysis center in central Arkansas were surveyed regarding the education that was provided by medical professionals related to kidney disease and dialysis during treatment of hypertension and diabetes. The twenty-question survey inquired about demographic information, medical history, and the timing and perceived comprehension of education received. The researcher discovered that the majority of patients did not receive education that identified hypertension and diabetes as contributing factors of kidney disease until after diagnosis of kidney disease. The vast majority of participants reported that education regarding the life implications of dialysis, including fluid and dietary restrictions, …

Food Allergy Education In The Hospitality Industry, Hayley Stull

Human Nutrition and Hospitality Management Undergraduate Honors Theses

Food allergies affect thousands of people, because hospitality foodservice workers come into contact with the public, it is necessary that they need to be fully trained to ensure the safety of the public. This is especially important for those who possess food allergies. Previous research has shown major gaps in knowledge amongst these workers, which can lead to the potential to harm individuals with a food allergy. There is a lack in the consistency of training specifically concerning food allergies for food service workers across all states in the U.S. There are previous forms of educational tools concerning food allergies …

A Limited Look At The Educational Experiences Of Black Stem Professionals From The Butler Community And Beyond, Victoria Ann Templin

Undergraduate Honors Thesis Collection

This project looks at the STEM educational experiences of Black professionals from both the Butler community and outside of it. It focuses on the perspectives of five individuals (three Butler graduates and two non-Butler graduates) interviewed via Zoom and analyzes how their experiences compare to those of other Black STEM professionals across the nation. After completing the interviews and conducting thorough background research, all data was examined. It was found that what was discussed during the interviews paralleled what was discovered in the research, such as the importance of mentors and broadening the image of what a scientist looks like. …

Relationships Of Teacher Perceptions And Racially Diverse Third Grade Student Achievement : An Analysis Of Ecls-K:2011 Data University At Albany, Lynnette Renee Williams

Legacy Theses & Dissertations (2009 - 2024)

ABSTRACTIt has been over 50 years since desegregation efforts began and many public-school systems in the United States are still battling with performance gaps between White and historically underrepresented students. The term historically underrepresented refers to people from diverse racial, cultural, linguistic, and economically disadvantaged backgrounds who have been denied access or suffered institutional discrimination in the United States, and according to the U.S. Census includes Blacks/African Americans, Asian Americans, Hispanics, and Native Americans (Artiles et al., 2010). Many historically underrepresented students are lagging behind their peers on academic performance measures, standardized achievement tests, high school graduation, and college-career readiness …

The Influence Of Dash Diet Education On Knowledge And Adherence In Primary Care: A Quality Improvement Project, Paige Bekker

Masters Projects

Background/Local Problem: A rural family practice was concerned about the number of

patients with uncontrolled hypertension, 19.86% n = 56, as defined by the Centers for Disease Control and Prevention (CDC). After several quality improvement (QI) initiates to lower the prevalence rate of uncontrolled hypertension, including proper measurement techniques and home monitoring, the modifiable risk factor of adapting one’s food intake was introduced using the Dietary Approach to Stop Hypertension (DASH) diet as an intervention. The DASH diet is an evidence-based approach for lowering blood pressure. The QI project was completed with the purpose of implementing DASH diet education and …

Is Dietary Teaching Via Telehealth Effective In Lowering Hgba1c In Adult Patients With Prediabetes Or Type 2 Diabetes?, Mia Mccallum-Crawford

UNLV Theses, Dissertations, Professional Papers, and Capstones

Prediabetes and Type 2 diabetes mellitus (T2DM) are two common conditions diagnosed in the primary care setting. Both conditions benefit from a healthy lifestyle, managing blood sugar levels, and getting diabetes self-management education and support (DSMES). Within the past two decades, the healthcare community in the US has witnessed a substantial rise in diabetes among adults. Overall, the self-management of diabetes continues to worsen nationally. The purpose of this project is to improve patients’ self-management of both Prediabetes and T2DM through nutrition and show how nutritional counseling via telehealth provided by a nurse practitioner can improve HgbA1C values over 3 …

Academic And Social Effects Of Poverty On Elementary School Students, Nicole Sarkozy

Capstone Projects and Master's Theses

Poverty is incredibly stressful for low-income households and their students. This senior capstone examines how poverty affects Elementary School students academically and socially. Through the use of literature reviews and interviews with two teachers, the results indicated that poverty is the leading cause that has affected students’ academic performance and social performance.

Impact Of School Lunches On Elementary School Students' Academics, Yudbeth Coronel

Capstone Projects and Master's Theses

The focus of this senior capstone is to analyze the impact of school lunches on elementary student’s academic performance. It is obvious to note that the nutrition a student consumes can have a huge impact on their academics; whereas students who do not, students who do not receive the correct number of calories per day may adversely have the opposite outcome during class time. The finding indicates that school lunches with a healthy diet could impact students’ academic performance as opposed to those unhealthy diets that could result in student’s poor academic achievement.

The Occupational Therapy Approach To Pain Treatment: A Pain Curriculum, Rosalee Howell

UNLV Theses, Dissertations, Professional Papers, and Capstones

It is within the scope of the occupational therapy profession to treat patients experiencing pain. The holistic approach used to assess and treat patients to improve functional performance is vital in treating pain. The focus is to decrease the detrimental impact of pain on the patient’s mental health, enhancing their ability to function in social and vocational roles. However, education is not adequately addressed in occupational therapy programs and is vital in preparing clinicians to meet the patient’s needs effectively.

This Doctoral Capstone was developed to highlight the importance and the benefit of education in preparing clinicians to treat patients …

Parents' Experiences Of Children With A Rare Disease Attending A Mainstream School: Australia, Mandie Foster, Esther Adama, Diana Arabiat, Kevin Runions, Rena Vithiatharan, Maggie Zgambo, Ashleigh Lin

Research outputs 2022 to 2026

Purpose:

To explore the perceptions of parents who had a child or adolescent (6-18 years) diagnosed with a rare disease who attended a mainstream school in Western Australia.

Design and methods:

A cross-sectional online survey was conducted with 41 parents of children with a rare disease. Here we report the findings of 14 open-ended questions on their experience of illness-related factors and impact on school-related social activities, such as sports, school camps and leadership roles whilst their child with a rare disease attended a mainstream school in Australia. Responses were analysed using an inductive thematic content approach.

Results:

We identified …

Analysis Of Test Anxiety In Human Anatomy And Physiology I Students At The University Of Mississippi, Anne Piazza

Honors Theses

Student anxiety, specifically test anxiety, is common hindrance to student performance in various courses including Human Anatomy and Physiology at the University of Mississippi. Through a sequence of three surveys we collected demographic information, anxiety data related to the course, and test anxiety in general We researched factors that could potentially influence student anxiety such as at what point in the semester the student is evaluated, when students feel the most stressed, outcomes on previous evaluations, and perceived outcomes of the course. We also examined what effect the anxiety has on the student such as lowered performance, lowered test scores, …

Dnp Final Report: Education Impacting Delirium Knowledge And Recognition, Lynn A. Cox

DNP Final Reports

Background: Delirium is a disturbance of consciousness with an acute onset that varies from hours to days. Patients with delirium have a risk of increased length of stay, increased mortality, morbidity, and long-term cognitive effects. Therefore, the following PICOT question arises: In registered nurses in the acute care setting (P), how does education on use of the CAM (Confusion Assessment Method) tool (I) compared to those units not receiving education (C) affect recognition of delirium (O1) and use of the CAM tool (O2) over 6 weeks? (T)

Purpose: The evidence-based practice project described nurse education and pilot implementation using the …

Prevention Of Diabetes-Related Hospital Readmission Following Initial Diagnosis Of Diabetes In Patients Over The Age Of Fifty: A Scoping Review, Nathan Miller Dnp, Agacnp, Fnp, Jasmine Harris Dnp, Fnp, Michael Clardy Dnp, Agacnp, Diana Dedmon Dnp, Acnp, Fnp-Bc

Doctor of Nursing Practice Projects

Purpose/Background: By reviewing multiple studies related to the treatment of patients with new diagnoses of diabetes, this scoping review will endeavor to determine which interventions, when implemented for patients over 50 years old which are newly diagnosed with type 2 diabetes, can decrease the likelihood of hospital readmission related to diabetes within 90 days when compared with those patients who did not receive or participate in follow-up.

Methods: For resources to be eligible to review they had to be from 2015 or after. Studies selected included patients over the age of 50 newly diagnosed with type 2 diabetes subject to …

Training The Next Generation Of Translational Scientists: The Case Western Reserve University Translational Fellows Program, Cheryl L. Thompson, Tessianna A. Misko, Mark R. Chance

Faculty Scholarship

Background: An important part of biomedical research is the translation of discoveries into clinical or community applications that impact patient health. For a vast majority of clinical applications and sustainable community interventions, a time-tested way to get innovations to patients is through licensing of the technology and commercial development, often through startups. While biomedical scientists and trainees are schooled in discovery research, the processes of commercialization are foreign or intimidating. Further, many trainees will not aspire to a faculty position, and other avenues of advancement are desirable. Methods: At Case Western Reserve University, we developed and launched a Translational Fellows …

Plant Wise, Sophia Llamas

Honors Projects

Conceptually, Plant Wise is the key to bridging the gap between preconceived ideas about vegan and vegetarianism and successfully integrating plant-based foods into your everyday life. Physically, Plant Wise is a self-educational, interactive booklet chock-full of activities intended for users to complete at their own pace. Inside this 56-page booklet, there are recipes, doodling spaces, weekly check sheets, activities to do with friends and family, challenges, and so much more. Plant Wise utilizes these activities and journaling opportunities throughout as a self-reflective vehicle to give users an experience to reflect on, which aids in the retention of what’s been learned …

Integration Of Geriatric Content In Entry-Level Physical Therapy Education In The Philippines: A Pilot Study, Charlemaine Deane A. Perez

Philippine Journal of Physical Therapy

Introduction: Physical therapy (PT) practice is expected to dynamically respond to the growing needs of older adults. Currently, there is paucity in meeting the demands of the aging Filipino population that may be linked to the status of undergraduate PT education. To date, there are no known systematically analyzed data that explores the breadth of geriatric content in the local BSPT programs. This study aimed to describe the integration of geriatric-related content in the pre-clinical and clinical entry-level PT curricula.

Methods: Descriptive cross-sectional research design using survey instrumentation was conducted among heads and PT educators in higher educational …

Uncovering The Educational And Self Management Need In People With Inflammatory Bowel Disease, Zachary Palumbo

Doctor of Nursing Practice Scholarly Project

The purpose of the study was to assess the current knowledge of inflammatory bowel disease (IBD), self-management skills, and resources for IBD in people suffering from the condition. Self-management skills and education have been shown, along with medical treatment, to show improvements in symptom activity and overall quality of life (Conley & Redeker, 2016).The study used Orem’s Self-Care deficit theory as the theoretical framework. A mixed methods design was chosen for this particular study. The project provided an educational video and a pre and post-survey through email. The questionnaire and pre-test (Appendix A) was given before the education, and Appendix …

Com Outlook (Winter/Spring 2022 - Volume 23 Number 1), Nova Southeastern University

COM Outlook

No abstract provided.