Digital Commons Network^™

Delta Zeta Chapter Transforming Through Membership Engagement: Connecting, Collaborating, And Catalyzing, Wanda Williams Johnson, Cassandra Dobson, Catherine Alicia Georges

Leadership Connection

The abstract contains information on the amount of work that is done to increase enrollment in the chapter as well as the increased scholarly work currently being done in the chapter. Creative and innovated work is done consistently to meet health care needs of the community that Delta Zeta served.

Assessment Of The Level Of Health Promotion Among Undergraduate Nursing Students At Rhode Island College, Luke N. Rock

Leadership Connection

With the rising concern regarding the personal health and wellness of nurses, an assessment was conducted of the level of health promotion among undergraduate nursing students using a quantitative survey and qualitative open response items. Results are analyzed, significance emphasized, and impact on nursing education and practice explored.

Assessing Implementation Fidelity Use In Adults With Intellectual Disability And Their Residential Care Staff, Charleen N. Yeager, Natalie R. Loops, David M. Hellrung

Leadership Connection

This abstract discusses the assessment of implementation fidelity using a checklist adapted from Breitenstein's (2008) Fidelity Checklist. Adherence and competence of the facilitators are evaluated through the STEPS and Food for Life interventions in multi-site community homes for adults with intellectual disabilities and their residential staff.

An Investigation Of Vitamin C And Chronic Diseases With Inflammatory/Autoimmune Components: A Literature Review, Jennifer M. Crook

Leadership Connection

This literature review combines emerging and established research regarding the multifaceted functions of Vitamin C in chronic inflammatory and autoimmune diseases. The importance of assessment of sub-optimal and marginal plasma Vitamin C status will be identified.

A Retrospective Study Measuring Bmi And Related Comorbidities Before And After Bariatric Surgery, Samantha Ray Hoselton

Leadership Connection

This study examines the differences between adults body mass index, hemoglobin A1c, hypertension, gastroesophageal reflux disease, sleep apnea, hyperlipidemia, and diabetes status. Current medications will also be taken before and up to two years after Laparoscopic Roux-en Y Gastric Bypass or Laparoscopic Sleeve Gastrectomy surgery.

Can The Cuban Health Care System Offer Lessons In Leadership?, Fay Mitchell-Brown

Leadership Connection

Session presented on Monday, September 19, 2016:

Leadership is the art of influencing and directing others to create results that would not have otherwise happened. In health care, strong leadership is crucial to the health and well-of populations served. Health care leaders must ensure that every member of the team work together to provide the highest level of care that is necessary to achieve the best health outcomes. Leaders also mentor employees while providing them with the advice and guidance they need to fulfill their roles with confidence. In the United States (US), more than ever health care is changing. …

Quality Improvement Of Documentation Of The Use Of Chlorhexidine In Patients With Central Venous Catheters, Dani Palmer, Margaret Miles

Leadership Connection

The objectives of this poster presentation are to (1) determine the causes for the lack of documentation of chlorhexidine (Hibiclens) in patients with central lines, then (2) differentiate the reasons for these causes. A central venous catheter is an intravenous port placed in a large vein of a patient. Central venous catheters are direct access devices that allow healthcare providers to deliver long-term treatments to their patients; furthermore, these devices are used for administration of fluids, medications, parental nutrition, and the drawing of labs. According to the Joint Commission, 'CVCs are the most frequent cause of health care-associated bloodstream infections.' …

Perinatal Ptsd: A Concept Analysis, Julie A. Vignato

Leadership Connection

Session presented on Sunday, September 18, 2016: Aim: To report an analysis of the concept of Posttraumatic Stress Disorder (PTSD) in the perinatal population. Background: The prevalence of PTSD in the perinatal period is rising with 9% of the U.S. perinatal population diagnosed with the disorder and an additional 18% being at risk for the condition. Left untreated, adverse maternal child outcomes result in increased morbidity, mortality, and healthcare costs. Design: Concept Analysis. Data Sources: The databases of CINAHL, Medline, PsychInfo, Academic Search Premier, and PsychINFO for articles published between 2004 and 2014, written in English, and using the terms …

Heart Failure Readmission: From The Eyes Of A Patient, Allison M. Sadowsky

Leadership Connection

Session presented on Sunday, September 18, 2016:

The purpose of this study was to explore perceptions of patients, who have congestive heart failure and who had a recent admission to the acute care setting, regarding factors that influenced their readmissions to the acute care setting, as well as to identify if there are areas of teaching that needed to be increased in emphasis or added to patient education to decrease future readmissions. The sample consisted of seven patients who had a readmission to the acute care setting and had a diagnosis of acute congestive heart failure. This qualitative study utilized …

Frailty In Older Cancer Survivors: A Literature Review, Kathryn M. Free, Debra M. Lundquist, Stewart M. Bond

Leadership Connection

Session presented on Sunday, September 18, 2016:

Background/Purpose: Frailty is a multi-dimensional syndrome characterized by decreased physiologic reserve that results in increased vulnerability to stressors and adverse health outcomes. It has been hypothesized that cancer treatment is associated with accelerated aging and frailty; yet frailty in older cancer survivors is not well understood. The purpose of this literature review was to examine the nature and impact of frailty in this population.

Methods: We conducted a comprehensive search using CINAHL, PubMed, EMBASE, Psych INFO, and Proquest. Search terms included: cancer or neoplasms, cancer survivors, older adult, elderly, aged, frail elderly, frail …

Dietary Sodium Intake Is Predicted By Anti-Hypertensive Medication Regimen In Heart Failure Patients, Jennifer L. Smith, Terry A. Lennie, Misook L. Chung, Gia Mudd-Martin

Leadership Connection

Session presented on Sunday, September 18, 2016:

The purpose of this study was to examine whether having a prescribed ACEi was associated with increased dietary sodium density.

Dash Diet Reduces Sodium Intake Among African-American Women With Hypertension, Stephanie C. Ibekwe, Latrecia Dawson

Leadership Connection

Session presented on Monday, September 19, 2016:

The purpose was to develop, implement, and evaluate a student-led curriculum that used culturally appropriate nursing interventions to address salt-reduction self care behaviors and dietary approaches to stop hypertension among African American women located in an urban community. The curriculum aimed to improve knowledge about dietary approaches to minimize risk for hypertension, increase the participants' confidence in self-care abilities to manage dietary lifestyle changes, and reduce sodium intake among hypertensive African American women. Orem's Self Care Theory was utilized as a guide for its proven effectiveness in the use of self-management to achieve …

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

Leadership Connection

Session presented on Monday, September 19, 2016: Delirium in adults aged 65 and older is a common occurrence in the acute care setting and is often unrecognized by bedside nurses. Delirium is considered a medical emergency and 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 …

A Qualitative Description Of Wic Breastfeeding Peer Counselor Support, Emily Ruiz, Ryleigh Spivey, Becky Spencer, Hope Shaw, Jennifer Wilson

Leadership Connection

Session presented on Monday, September 19, 2016:

A Model For Falls With Major Injury In Nursing Home Residents, Soon Young Ha, Patricia Vermeersch

Leadership Connection

Session presented on Sunday, September 18, 2016:

Background: The combination of more elderly living longer and needing more supportive care means the absolute proportion of older adults in nursing homes is likely to rise. Nursing home residents are more likely to fall as compared to community dwelling older adults. Consequently, the absolute number of falls among nursing home residents will also increase with a concurrent rise in falls with major injury 4: bone fractures, joint dislocations, closed head injuries with altered consciousness, and/or subdural hematoma. 5 The increased falls with major injury will negatively impact the physical and psychological health …

A Dnp Project: Improving Skin-To-Skin In The O.R. Following A C-Section, Joanna L. Horst

Leadership Connection

Session presented on Monday, September 19, 2016:

Studies conducted for more than ten years have described how placing a newborn on their mother's bare skin immediately following birth provides both physiologic and psychological benefits for the newborn and the mother (Moran-Peters, Zauderer, Goldman, Balerlein, & Smith, 2014, p. 296). In a Cochrane review of thirty four studies it was demonstrated that skin to skin, (STS) contact immediately after delivery provides the newborn with improved stabilization of the heart rate, respiratory rate, blood oxygen saturation, blood glucose levels, and temperature consistency (Moore, Anderson, Bergman, & Dowswell, 2012, p. 5). A secondary …

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 …

Relationships Of Self-Care Behaviors And Professional Quality Of Life In Oncology Nurses, Susan M. Politsky

Leadership Connection

Session presented on Saturday, September 27, 2014:

Purpose: The purpose of this study was to explore the relationships among the six components of self-care behaviors that include health responsibility, physical activity, nutrition, spiritual growth, interpersonal relations, and stress management and the three components of professional quality of life that include compassion satisfaction, burnout, and secondary traumatic stress.

Methods: A descriptive correlational design was the most appropriate research design used to answer the research question: What are the relationships among the six components of self-care behaviors and the three components of professional quality of life? The sample selection for this study …

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.