Open Access. Powered by Scholars. Published by Universities.®

Medicine and Health Sciences Commons

Open Access. Powered by Scholars. Published by Universities.®

Articles 1 - 7 of 7

Full-Text Articles in Medicine and Health Sciences

The Impact Of Text Messaging Based Smoking Cessation Interventions In Hospitalized Adult Smokers, Charlene K. Zablotney Nov 2015

The Impact Of Text Messaging Based Smoking Cessation Interventions In Hospitalized Adult Smokers, Charlene K. Zablotney

Doctor of Nursing Practice (DNP) Program

Tobacco use is the leading cause of preventable death and disease in the world (WHO, 2008). Through both primary and secondary exposure, tobacco use affects every body system and every individual to whom nurses deliver care. According to the Center for Disease Control and Prevention (2012), each year, an estimated 443,000 people die prematurely from smoking or exposure to secondhand smoke, and another 8.6 million live with a serious illness caused by smoking. Despite these risks, approximately 46.6 million U.S. adults smoke cigarettes (CDC, 2012). Tobacco abuse results in a costly burden on society. Annual smoking economic costs in the …


Closing The Loop: The Effects Of Scheduling Patients' Follow-Up Prior To Emergency Department Discharge, Jens Hansen Aug 2015

Closing The Loop: The Effects Of Scheduling Patients' Follow-Up Prior To Emergency Department Discharge, Jens Hansen

Doctor of Nursing Practice (DNP) Program

Background: A large percentage of serious medical errors involve miscommunication during the hand-off of patients between medical providers. In addition, care providers do not effectively or completely communicate important information among themselves, to the patient, or to those taking care of the patient at home in a timely fashion. The communication method whether verbal, recorded, or written has proven to be ineffective. As healthcare disparities increase with healthcare complexity, it is important to extrapolate the best evidence based practice and bring these practices to the front line.

Literature Search: A comprehensive literature search using the Cumulative Index to Nursing and …


Prescriber Education Of Current Clinical Practice Guidelines For Urinary Tract Infections, Carol Medura Aug 2015

Prescriber Education Of Current Clinical Practice Guidelines For Urinary Tract Infections, Carol Medura

Doctor of Nursing Practice (DNP) Program

Urinary tract infections are one of the most common illnesses and inappropriate treatment of a urinary tract infection can have severe implications for the patient, including development of antibiotic resistance, increases in illness and health care costs. Discrepancies exist between provider practice behaviors and use of current clinical practice guidelines. This capstone project was to present clinical practice guidelines to emergency department providers to educate and improve the use of first-line antibiotics for the treatment of uncomplicated urinary tract infections. The review of the literature supported the use of education to increase adherence to guidelines. The providers at the emergency …


The Effectiveness Of Implementing Standard Of Care Best Practices Including Use Of Daily Incentive Spirometry To Improve Dyspnea And Quality Of Life In Adults With Chronic Obstructive Pulmonary Disease (Copd), Christine Gallagher Aug 2015

The Effectiveness Of Implementing Standard Of Care Best Practices Including Use Of Daily Incentive Spirometry To Improve Dyspnea And Quality Of Life In Adults With Chronic Obstructive Pulmonary Disease (Copd), Christine Gallagher

Doctor of Nursing Practice (DNP) Program

Chronic obstructive pulmonary disease (COPD) is a common preventable and treatable disease characterized by symptoms of dyspnea, cough, and wheezing. Many patients with COPD are on daily medications for their symptoms yet these symptoms continue to persist, impairing their quality of life. Patients with COPD experience respiratory muscle weakness that contributes to dyspnea and an inability to participate in daily activities. GOLD (2014) guidelines state that the goal of therapy in these patients is to reduce symptoms, increase participation in activities, and restore the highest level of independent functioning. The guidelines recommend the use of inspiratory muscle training (IMT) in …


Lipid Management Of Patients With Probable Familial Hypercholesterolemia By A Nurse Practitioner, Carla Weidner Aug 2015

Lipid Management Of Patients With Probable Familial Hypercholesterolemia By A Nurse Practitioner, Carla Weidner

Doctor of Nursing Practice (DNP) Program

Heart disease remains the number one killer of Americans. Patient’s high cholesterol numbers are a major risk factor for the development of heart disease. Studies performed by the Centers for Disease Control (CDC) and the U.S. Department of Health and Human Services (DHHS) have recognized this as an area in need of improvement. Strategies for improvement of patients’ serum cholesterol and adherence to the recommended therapies have been explored. The purpose of this evidence based project is to compare cholesterol management outcomes in patients cared for by a nurse practitioner, with lipid management certification, to patients cared for by their …


The Retrospective Evaluation Of The Effectiveness Of Implementing Standard Of Care Best Practices On Fear Of Hypoglycemia (Foh) In Insulin Requiring Diabetics, Melissa Laporte Aug 2015

The Retrospective Evaluation Of The Effectiveness Of Implementing Standard Of Care Best Practices On Fear Of Hypoglycemia (Foh) In Insulin Requiring Diabetics, Melissa Laporte

Doctor of Nursing Practice (DNP) Program

The population of individuals with diabetes is expected to rise along with a rise in the use of insulin therapy to control hyperglycemia and prevent diabetic complications. Insulin therapy is implicated as one of the leading causes of hypoglycemia, a potentially life-threatening adverse drug event. Hypoglycemia is recognized by patients and clinicians as the greatest barrier to achieving adequate glycemic control and it causes physical, psychosocial, financial, and safety concerns for individuals, their families, communities and health care systems. Hypoglycemia often causes insulin requiring diabetics to develop a fear of hypoglycemia, a complex phenomenon that manifests as avoidance of hypoglycemia …


The Impact Of Pelvic Floor Therapy On Adult Women With Intersticial Cystitis/Painful Bladder Syndrome, Christina M. Shuker Jul 2015

The Impact Of Pelvic Floor Therapy On Adult Women With Intersticial Cystitis/Painful Bladder Syndrome, Christina M. Shuker

Doctor of Nursing Practice (DNP) Program

Interstitial cystitis/painful bladder syndrome is a major source of chronic pelvic pain and disability affecting women of all ages, predominantly age 18 years and over. Estimates of prevalence among US women range from 2.7% to 6.5% translating to 3.4 and 7.9 million women who have symptoms consistent with this debilitating condition (Kerr, 2009). The bladder epithelium has been the focus for diagnosing and treating symptoms of IC, however taking focus away from the bladder has opened the door for clinicians to explore pelvic floor dysfunction indicating that pelvic floor therapies should be a first line treatment for those women with …