Digital Commons Network^™

Neurobiology Of Sexual Assault, Erin Misch, Denise Saint Arnault

Leadership Connection

Session presented on Sunday, September 18, 2016:

Sexual assault is a widespread problem. Nationally 19.3% of all women have reported being raped and 43.9% of all women have reported sexual assault other than rape (however, it is estimated that only 16% of these incidences are reported to law enforcement). A literature review was conducted and the goal of this research is to apply neurobiological theory of tonic immobility to understand underreporting of sexual assault. Tonic immobility (AKA 'rape-induced paralysis') is defined as an uncontrollable mammalian response in fearful and inescapable dangerous situations. Driven by the reptilian brain, this is a …

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 …

Preparing For A Future, Arahany Vasquez

Leadership Connection

Session presented on Thursday, September 25, 2014:

Millions of women suffer every year worldwide as a result of health, economic, developmental problems related to pregnancy and thereafter most suffer from lack of programs that are vital in creating a healthier relationship, family unit and neighborhoods. U.S women are among the highest impacted in particular those living in risk populations. For women who are marginalized or living in poverty areas with most significant health disparities, the risks are particularly critical. Fortunately we are able to offer some of the best care and resources throughout the world here at home, for those …

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 …

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 …

Development Of Middle Range Theory To Guide Practice In A Nurse-Led Symptom Evaluation And Management Clinic, Savita Devi Sukha, Allison Gilmer, Sr. Callista Roy

Leadership Connection

Session presented on Friday, September 26, 2014:

Purpose: To develop a middle range theory (MRT) of symptom management to guide the assessment and management of patients in a nurse-led symptom management clinic in the NIH (National Institutes of Health) campus. Specific aims Phase I are: 1) to identify and retrieve the studies that relate to the 5 cardinal symptoms of chronic conditions; 2) to analyze and critique the studies to create a MRT; and 3) to select major concepts to create a schema of the MRT.

Methods: The literature review was carried out to identify publications for the years 2001-2014 …

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 & …

The Millennium Development Goals: Incorporated Into Clinical Practice, Nancy C. Sharts-Hopko

Leadership Connection

Session presented on Thursday, September 20, 2012: This session will highlight role that clinical nurses pay in advancing the United Nations' Millennium Development Goals and the activities undertaken by nurses in clinical settings to advance these goals.

Lifelong Leadership: Making An Impact Through Service Learning, L. B. Wong, Safiya George Dalmida

Leadership Connection

This presentation will highlight the benefits of service learning to the personal leadership journey and provide resources for participating in service learning opportunities.

Disaster Nursing: From Headline To Frontline, Cynthia Vlasich, K. Joanne Mcglown

Leadership Connection

LEARNING OBJECTIVES By the end of this presentation, the learner will be able to …. • Describe the global frequency, severity and impact of disasters. • Identify potential roles for nurses in the US Federal response system. • Outline various ways in which nurses may enter the disaster response system. • Describe initial expectations of disaster nurses as part of an effective disaster response.

No Champion For Children: Tennessee's Rule 40a And The Appointment Of Guardians Ad Litem In Custody Proceedings, Austin Elizabeth Kupke

Tennessee Journal of Law and Policy

No abstract provided.

Precursors To Violence: Identifying, De-Escalating, And Reducing Women’S Risks, Laura Cox Dzurec, Cheri Clancy, Jacquelyn C. Campbell

Sigma Global Initiatives

Sigma Theta Tau International selected the Review Theme in which one of the agreed conclusions of the sixtieth session state the Commission on the Status of Women strongly condemns all forms of violence against all women and girls. Our topic empowers those who may be affected by violence so they may recognize the risk factors and take proactive actions to potentially avoid the escalation of these behaviors. As we are providing practical applications to workplace, home, and social setting incivility, bullying, and violence, we expect attendees to become more educated about how to recognize, understand the behavior of, and de-escalate …

End-Of-Life Care For Hispanics In The United States, Rebecca Zarate

Family Perspectives

No abstract provided.

Adapting An Evidence-Based Insomnia Practice Guideline For Use In A University Healthcare Setting, Maria M. Denny

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

Recent evidence-based practice guidelines (EBPGs) recommend cognitive-behavioral therapy for insomnia (CBT-I) as first-line treatment for adults with chronic insomnia, with pharmacotherapy as a secondary option. Pharmacotherapy is often used in primary care settings, which have limited access to specialty CBT-I services. Proven lower-intensity CBT-I components and delivery modes can be customized for primary care.The purpose of this DNP project was to adapt an insomnia EBPG for use at a university health service with integrated primary care and mental health resources. The integrated Promoting Action on Research Implementation in Health Services (i-PARIHS) framework guided this project, involving primary care and mental …

Impact Of Teaching Breathing Techniques On Patient Health Outcomes: A Systematic Review, Kathleen Benjamin Rickard, Jennifer Reich, Dorothy J. Dunn

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

The United States has some of the most expensive health care world wide, with an increase in chronic illness, poorer outcomes, and fragmentation of care. Patients seek integrative or alternative methods of care in order to participate and improve their own health outcomes. Promoting cost effective, useful, and safe tools for patients to learn during an office visit allows patients to participate in their own care for improved health. The clinical question for this systematic review is: What is the evidence for teaching breathing techniques in primary care to improve health outcomes? Evidence in the literature shows that while breath …

Chronic Pain: Relationship To Depression, Eugenia Ursan

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

The experience of chronic pain often interferes with family and social life, work performance, and overall quality of life. Depression symptoms in people with chronic pain may synergistically effect pain perception, negatively influencing the response to pain management and rehabilitation. Providers often fail to recognize and treat depression in patients presenting for treatment of chronic pain, and this failure can negatively impact rehabilitation outcomes. Importantly, limited research exists within the physical medicine setting about the relationship between chronic pain, symptoms of depression, and other variables like age and gender. Therefore, the relationship between chronic pain and depression in patients …

Implementation Of A Diabetes Treatment Algorithm In Primary Care For Use In The Adult Hispanic Population, Heidi Marshall Dillenbeck

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

Diabetes Mellitus Type 2 (DM2) is a growing problem in the United States. Hispanic Americans have a higher prevalence of diabetes than Non-Hispanic Whites and suffer from more severe complications of the disease. Although advances in diabetes treatment over the last decade has improved, management of diabetes in primary care is inconsistent despite well-publicized guidelines from the American Diabetes Association (ADA) and the American Association of Clinical Endocrinologists (AACE). With the growth of the Hispanic population expected to reach 25 % of the U.S. population by 2050, practice changes must be made to improve diabetes management. The literature supports the …

Implementation Of Rheumatoid Arthritis Assessment Tool: A Quality Improvement Project, Christina Mooroian-Pennington, Dorothy J. Dunn

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

Objective. Rheumatoid arthritis is a common inflammatory arthritis resulting in joint destruction that leads to physical and functional disability. This condition is characterized by variable disease activity levels, defined as low, moderate, and high. The higher the disease activity the more at risk the patient is for joint joint destruction. The routine use of an approved composite index for disease activity is recommended to assess disease activity level at each office visit. The American College of Rheumatology approved six composite indices; the Patient Activity Scale (PAS), the Patient Activity Scale II (PAS-II), the Routine Assessment of Patient Index Data 3 …

Patient Education, Engagement, And Activation For Chronic Pancreatitis Patients And Care Partners, Christina Sailors, Tara Whitmire

Group: Nebraska Methodist College

Background and Review of Literature: Chronic pancreatitis is a progressive disease with significant symptomatology, which can severely impact an individual's quality of life as well as their activities of daily living. The disease is difficult to diagnose and difficult understand.

Purpose: The purpose of this project was to develop and implement an individualized, face-to-face patient education, engagement, and activation session in effort to increase the level of patient and care partner knowledge of the CP disease process, improve patient and care partner expectations of care management, and increase patient and care partner involvement in their own car.

Methods: Ten-item surveys …

Preventing Type 2 Diabetes In Native Americans Through Nutrition, Dana M. Griffin, Dorothy Sansom

Group: Nebraska Methodist College

Diabetes is a chronic condition that disproportionately affects the Native American population. A means of improving the outcomes was through an education program aimed at a younger target population. The purpose of this project was to determine if nutritional knowledge can reduce the risk of Type 2 diabetes in the Native American population. Changes in dietary habits can reduce the risks of Type 2 diabetes for high risk populations like Native Americans. Having knowledge of nutrition can assist people in making educated choices in deciding what foods to consume. Determining nutritional knowledge by implementing a test followed by a dietician …

Improving Safe Skin Behaviors In High School Freshman, Kelsie Sue Scheer

Group: Nebraska Methodist College

OBJECTIVE: Sun exposure is common among teenagers but teenagers also have poor sun protection strategies. Sun exposure during adolescence or teenage years is associated with an increased risk of skin cancer later in life. Research suggests that adolescence and childhood are optimal periods to provide information regarding skin cancer and implement a primary prevention program. This project investigates whether or not providing education on skin cancer and safe sun behaviors increases knowledge among high school freshman at a rural Midwestern High School.

METHODS: Pretests/posttests were administered to students before education was provided and after education was provided. The pretest/posttest …

The Effect Of An Enhanced Recovery Protocol In Bariatric Surgery Postoperative Pain, Brittani A. Seagren

Group: Nebraska Methodist College

Pain management in bariatric surgery patients is challenging because of multiple factors including chronic pain conditions, perception differences, and varied impacts of pain medications. As a result, postoperative pain tends to be poorly managed leading to increased opiate consumption in this population (Raebel et al., 2013). The enhanced recovery protocol is a newer multimodal postoperative management protocol with demonstrated improved pain control in abdominal surgery patients (Thompson et al., 2012). It has also been shown to be safe in bariatric surgery patients (Awad et al., 2012). In order to study its effects as a pain management protocol in bariatric surgery …

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.). …

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 …

Foster Parent Mentoring Within Treatment Foster Care (Tfc), Jennifer Ketarkus

Group: Nebraska Methodist College

Research has shown peer-to-peer mentorship in child welfare has proven successful in helping parents navigate the system and, ultimately, reunify with their children. An evidence-based framework to guide best practices in mentorship within child welfare can also be applied to peer-to-peer mentorship for foster parents within Treatment Foster Care (TFC) programs. The Iowa Parent Partner Model provides six focus areas of learning for mentors, within these focus areas, the model identifies learning targets for mentors. For the purpose of this research, the Iowa Parent Partner Model was applied to a regional TFC program operating within a large, statewide network. The …

Reducing Stress: An Intervention For Registered Nurses, Niyi Olusoji

Group: Nebraska Methodist College

The nursing profession has been described as a stressful profession and prolonged exposure to stressful situations without interference has been known to be injurious to the emotional and physical wellbeing of the individual concerned. This study aims to proffer a solution to this problem and the outcome of this project will serve as a health improvement initiative that may be maintained at the individual level or incorporated into employee health activities. A total of 50 registered nurses were invited to participate in the project. Forty-eight individuals returned their questionnaires while only 38 individuals met the eligibility criteria. This paper presents …

Npwh Position Statement: Men With Breast Conditions: The Role Of The Whnp Specializing In Breast Care, 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) affirms the role of the women's health nurse practitioner (WHNP), as a member of a multidisciplinary breast care specialty team, in providing specialized breast care for women and men. Furthermore, NPWH supports the removal of any restrictions to the provision of male breast care that are based on the WHNP credential. WHNPs are educationally prepared to provide care for both women and men with benign and malignant breast conditions. The WHNP program curriculum includes breast pathophysiology, genomics/genetics, assessment and management of breast disorders, and risk assessment for hereditary breast cancers—all …

Npwh Position Statement: Climate Change, Women's Health, And Environmental Justice, 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) asserts that climate change has a significant effect on health and wellbeing globally. NPWH believes that nursing organizations and the nursing profession have a responsibility to meaningfully contribute to reducing vulnerability to the harmful effects of climate change (adaptation) and reducing or preventing greenhouse gas (GHG) emissions (mitigation) for the protection of the health and wellbeing of individuals, communities, and populations. NPWH recognizes that social and environmental justice are inherently connected to reducing harms to health and wellbeing associated with climate change. NPWH advocates for global and national policies and …

Npwh Position Statement: Primary Prevention Of Cardiovascular Disease In Women, 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) affirms that women's health nurse practitioners and other advanced practice registered nurses who provide healthcare for women across the lifespan have a critical role in cardiovascular disease (CVD) risk screening and implementation of primary prevention strategies to improve the cardiovascular health of women. NPWH promotes a person-centered cardiovascular health approach based on currently recognized guidelines, appropriate use of risk assessment tools, attention to social determinants of health (SDOH), and shared decision making about best strategies to reduce CVD risk. A multidisciplinary health professional team-based approach has the potential to improve …