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Articles 1 - 16 of 16
Full-Text Articles in Medicine and Health Sciences
How Do Glp-Ira Medications Affect Gut And Brain Hunger Signaling To Allow For Reduction In Weight And Better Glycemic Control In Adults With Obesity And Type 2 Diabetes?, David White
Graduate Research Projects
No abstract provided.
Effects Of A Residential Lifestyle Intervention Program On Selected Lipid Measures And Nutritional Choices, Delores M. Rugless
Effects Of A Residential Lifestyle Intervention Program On Selected Lipid Measures And Nutritional Choices, Delores M. Rugless
DNP Research Projects
Abstract
Objective: Cardiovascular disease has been the leading cause of death since the early 1920s. As with other chronic diseases, cardiovascular disease is primarily influenced by behaviors and the environment, with poor nutrition being a major contributing factor. Despite knowing the importance of lifestyle modification to manage cardiovascular disease effectively, many individuals have difficulty adhering to lifestyle modification principles. Residential lifestyle modification centers provide the education and support necessary to assist individuals with implementing behavioral changes. This DNP project aimed to demonstrate the value of diet modification implemented at a residential lifestyle center to decrease specific cardiovascular risk factors. Method: …
A Lifestyle Management Coaching Intervention For Fear Of Cancer Recurrence In Young Breast Cancer Survivors, Lisa R. Murphy
A Lifestyle Management Coaching Intervention For Fear Of Cancer Recurrence In Young Breast Cancer Survivors, Lisa R. Murphy
DNP Research Projects
Abstract
Objective: A significant challenge facing young breast cancer (BC) survivors is learning how to manage fear of cancer recurrence (FCR) during survivorship. Limited tailored FCR interventions and age-appropriate support exist. This Doctor of Nursing (DNP) project, based upon best practice guidelines, aimed to evaluate how a Lifestyle Management Coaching Intervention (LMCI) could help young female BC survivors learn how to decrease and manage their FCR more effectively and experience improved health outcomes.
Method: Eligible participants were female BC survivors aged 18-59 with Stage I-III BC demonstrating elevated baseline FCR screening scores during the extended survival period recruited from the …
The Impact Of Physical Activity Education During Pregnancy, Lizeth Banuchi
The Impact Of Physical Activity Education During Pregnancy, Lizeth Banuchi
DNP Research Projects
Abstract
Background: Physical Activity (PA) during pregnancy is important to maintain optimal maternal and neonatal health. Gestational Diabetes Mellitus (GDM) requires close monitoring during pregnancy due to the health risk it can cause to mother and fetus. It is evident that PA can help improve maternal health outcomes to positively offer overall wellness throughout the pregnancy.
Objective: The purpose of this Quality Improvement Project (QIP) is to evaluate the impact of PA education on PA implementation during pregnancy and improve clinical practice for healthcare providers to introduce PA education during prenatal care per ACOG and CESP guidelines.
Method: This quality …
A Dnp Quality Improvement Project To Assess The Traumatic Brain Injury Survivor And Their Family Caregivers' Coping And Resiliency, Marcelle Angall-Leonce
A Dnp Quality Improvement Project To Assess The Traumatic Brain Injury Survivor And Their Family Caregivers' Coping And Resiliency, Marcelle Angall-Leonce
DNP Research Projects
Abstract
Background: Traumatic brain injury (TBI) support groups are vital to TBI survivors in the community and provide resources to family caregivers (FCs) to mitigate caregiver burden. Resiliency is a necessary characteristic to cope with chronic diseases and the demands of caregiving. However, a gap exists in how TBI support groups mitigate family stress and empower coping and resiliency for the TBI survivor and FCs. Method: The quality improvement project assessed TBI survivors' and FCs' coping and resiliency before and after an educational module on coping, resiliency, and self-care strategies. Intervention: A quality improvement project in a support group of …
Massive Blood Transfusion Practises: A Survey Of Level 1 Trauma Centers, Rebecca C. Parker
Massive Blood Transfusion Practises: A Survey Of Level 1 Trauma Centers, Rebecca C. Parker
DNP Research Projects
Abstract
Background: Traumatic injury is the leading cause of death for individuals under the age of 45 years old, regardless of race, origin, or sex (CDC, 2019). Among patients who sustain traumatic injury, hemorrhage remains the leading cause of death (American College of Surgeons [ACS], 2014). Hemodynamic stability may be achieved through administration of blood products such as packed red blood cells (PRBC), plasma, and platelets (PTL). Patients with severe exsanguination may require administration of blood products in large quantities, also known as a massive blood transfusion (MBT).
Local Problem: Nationally, traumatic injury accounts for over 150,000 deaths annually (American …
The Effects Of 465nm Blue Light On Sleepiness & Fatigue, Mark E. Childress
The Effects Of 465nm Blue Light On Sleepiness & Fatigue, Mark E. Childress
DNP Research Projects
Abstract
Background: Exhaustion is now accepted in nursing culture. Staff suffering from sleepiness and fatigue are more likely to commit medical errors and sentinel events. Emergency department nurses have the greatest risk of committing these errors. Currently, there is no relief provided to shift workers beyond a single 30-minute meal break within a 12-hour period. Other researched mitigation strategies have either failed or are unrealistic in this environment.
Local Problem: Emergency Department nurses at Parkridge Medical Center in Chattanooga, TN suffer from chronic sleepiness and fatigue that is exacerbated by shift duration, excessive workload, a stressful environment, and lack of …
Enhancing Hospitalists' Knowledge In Relation To Palliative Care, Herline Raphael
Enhancing Hospitalists' Knowledge In Relation To Palliative Care, Herline Raphael
DNP Research Projects
Abstract
Palliative care was not the specialty of many hospitalists; thus, communication was hindered regarding ELC and advanced directives. Despite healthcare utilization in the United States, inadequate treatment of serious illnesses continues due to the lack of provider education and understanding of ELC (palliative and hospice care). Hospitalists are not formally or informally trained to care for patients that need palliative or hospice care. A quantitative, quasi- experimental and qualitative approach was utilized to determine if hospitalists who received educational training on palliative care communication and collaboration improved knowledge, skills, and collaboration when caring for end-of-life or critically ill patients. …
Improving Nutrition Literacy In Primary Care, Kami D. Dykes
Improving Nutrition Literacy In Primary Care, Kami D. Dykes
DNP Research Projects
Abstract
By the year 2030, nearly one in every two adults will have obesity (Body Mass Index [BMI] ≥30 kg/m2.), and one in four adults will have severe obesity (BMI ≥35 kg/m2) (Ward et al., 2019). Equally troubling is that obesity poses a threat to the health of individuals, decreases the quality of life, shortens life expectancy, causes and worsens comorbidities, and increases all- cause mortality (Abdelaal et al., 2017). Studies have shown a link between BMI, nutritional knowledge, and dietary practices. Nutrition literacy is a newer term that refers to the complex relationship between nutrition …
Impact Of Care Handoff Methods On Emergency Department Throughput Times, Shelby Graves
Impact Of Care Handoff Methods On Emergency Department Throughput Times, Shelby Graves
DNP Research Projects
Abstract
Background: Emergency department (ED) overcrowding leads to detrimental results including increased morbidity and mortality, delay in evaluation of treatment, increased cost of care, increased length of stay, diminished staff satisfaction, increased ambulance diversion, and reputation damage for the entire institution (American College of Emergency Physicians, 2019). A study performed at three high volume community hospitals revealed inefficiency of nursing handover as one of the many contributors to prolonged ED length of stay (Salehi, 2019).
Local Problem: According to the 2018 Emergency Department Benchmarking Alliance (EDBA) data survey the average length of time from patient arrival to admission disposition was …
Childhood Trauma And Chronic Disease, Breanna Urena
Childhood Trauma And Chronic Disease, Breanna Urena
Graduate Research Projects
No abstract provided.
Does Tight Glycemic Control Slow The Progression Of Chronic Kidney Disease?, Elani Dodd
Does Tight Glycemic Control Slow The Progression Of Chronic Kidney Disease?, Elani Dodd
Graduate Research Projects
No abstract provided.
Atrial Fibrillation In Covid-19: A Descriptive Study Of Incidence, Mortality And Related Factors, Diana L. Taylor
Atrial Fibrillation In Covid-19: A Descriptive Study Of Incidence, Mortality And Related Factors, Diana L. Taylor
DNP Research Projects
Abstract
This scholarly project determined the relationship of atrial fibrillation (AF) occurrences in COVID-19, as it is the most frequent arrhythmia in the U.S. and is driven by inflammatory pathology. In COVID-19 positive patients with AF occurrences understanding the relationship between these conditions could help identify patients with poor prognosis, higher morality, and other factors earlier in the hospital course.
This single-center scholarly project was a retrospective descriptive chart review to determine the relationship between AF and COVID-19 over a 6-month timeline in Chattanooga, TN. Of the 565 hospitalized COVID-19 positive patients included, 82 (14.5%) had AF occurrences. A higher …
Postpartum Hemorrhage Management: Improving Quality And Patient Safety Through Multidisciplinary Simulation Training, Beverly Mayfield
Postpartum Hemorrhage Management: Improving Quality And Patient Safety Through Multidisciplinary Simulation Training, Beverly Mayfield
DNP Research Projects
Abstract
Purpose: To evaluate the effectiveness of a multidisciplinary moderate fidelity simulated postpartum hemorrhage (PPH) educational intervention on accurate and timely adherence to a standard PPH protocol during simulated PPH events.
Methods: The study design was a quasi-experimental one group pretest- posttest time series utilizing a convenience sample of multidisciplinary nurses, nursing assistants, laboratory, and physician staff working at one rural hospital with an annual birthrate less than 100. The intervention was an educational in situ PPH moderate fidelity scenario with pre-brief and debrief. Change in performance was evaluated using unannounced PPH simulation drills at three one-month intervals following the …
The Impact Of Schizophrenia On Copd Readmission Rate Among Hospitalized South Carolinians, Emilienne Y. Watonsi
The Impact Of Schizophrenia On Copd Readmission Rate Among Hospitalized South Carolinians, Emilienne Y. Watonsi
DNP Research Projects
Due to elevated readmission costs, the Affordable Care Act established the Hospital Readmission Reduction Program in 2012 to curb the 30-day readmission rates. COPD and schizophrenia are two very expensive diseases, COPD national medical costs is projected to be $49.0 billion in 2020; the cost of schizophrenia was 155.7 billion in 2013. The main objective of this study was to determine if schizophrenia is a significant predictor of 30-day readmission following hospitalization for acute exacerbation of COPD after adjusting for age, gender, anxiety, smoking status, T2DM, chronic ischemic heart disease, and GERD. Methods: A retrospective cohort design was used to …
Development Of A Surgical Instrument Prototype To Perform A More Precise Capsulorhexis, Kirk Haugen
Development Of A Surgical Instrument Prototype To Perform A More Precise Capsulorhexis, Kirk Haugen
Interdisciplinary Program Research
Performing capsulorhexis is often considered the most difficult part of cataract surgery. Not only is it difficult to perform, but doing it correctly is important for refractive outcomes (Okada, Hersh, Paul, & Straaten, 2013). Poorly done capsulorhexes are associated with problems including posterior capsulor opacification, capsulor fibrosis, and capsulor phimosis (Raviv, The perect capsulorhexis: more critical than ever, 2010). This study investigates whether or not a proposed surgical instrument will produce more precise capsulorhexes as measured by the circularity index. 60 capsulorhexes were performed on cigarette paper laid over clay. Half were done using the continuous curvilinear capsulorhexis method, while …