Medicine and Health Sciences Commons^™

The Role Of Antenatal Physical Activity In Preventing Postpartum Depression, Elayna Muncy

Grace Peterson Nursing Research Colloquium

Background: Postpartum depression (PPD) is a debilitating and potentially dangerous illness that women face. Though there are several methods of treatment of PPD, there are currently no clinical recommendations for preventative measures that can be taken. Physical activity has been shown to prevent depression, however there is a lack of consistent evidence regarding the efficacy of physical activity in preventing postpartum depression.

Objectives: The goal of this literature review is to determine the effects of antenatal physical activity interventions in preventing postpartum depression.

Methods: This integrative literature review will search for interventional studies in CINAHL, PubMed, PsychInfo, …

Diabetes Management Interventions In Patients With Schizophrenia: An Integrative Review Of The Literature, Angelica Leon

Grace Peterson Nursing Research Colloquium

Abstract

Background: Among those with schizophrenia, a higher incidence of diabetes occurs in comparison to the population at large. This higher prevalence is multi-factorial with can be due to life-style factors, psycho-social factors, as well as the increased risk for metabolic syndrome in those taking atypical anti-psychotics. This makes managing diabetes among those with schizophrenia increasingly difficult.

Objective: The purpose of this integrative literature review is to explore health interventions in patients with both schizophrenia and diabetes or at risk as well as to evaluate their effectiveness in diabetes management or metabolic syndrome management.

Methods: An integrative literature review …

Communication Barriers Affecting Self Management Of Diabetes In The Latino Community: An Integrative Literature Review, Janice Colon, Samantha Brunelle

Grace Peterson Nursing Research Colloquium

Abstract

Background: The rising numbers of diabetes in the Latino community are concerning. With the Latino population continuously growing and them being the third largest ethnic group with diabetes, research in this area must be conducted to find a solution. Due to this reason, an area of concern are the barriers that are contributing to the lack of self- management in this community.

Objective: The purpose of this review is to determine factors that contribute to communication barriers and to identify interventions that will help solve this problem.

Methods: An integrative literature review was conducted using three search engines CINAHL, …

Women’S Barriers To Use Of Midwives During Birth: An Integrative Literature Review, Chelsea Petersen

Grace Peterson Nursing Research Colloquium

No abstract provided.

The Effects Of Reentry Programs On Healthcare Accessibility And Resulting Emergency Department Strain By Ex-Inmates: An Integrative Literature Review, Kaitlyn Muratori

Grace Peterson Nursing Research Colloquium

THE EFFECTS OF REENTRY PROGRAMS ON HEALTHCARE ACCESSIBILITY AND RESULTING EMERGENCY DEPARTMENT STRAIN BY EX-INMATES

Kaitlyn Muratori

Faculty Sponsor: Dr. Christina Lattner

Background: Ex-inmates are significantly more likely to use emergency rooms to seek treatment for substance abuse, mental health disorders, or poor management of chronic conditions which, if not treated on a community level, ultimately contributes to overboarding in the emergency department.

Objectives: The purpose of this literature review is to use current research to examine the relationship between reentry programs across the US and healthcare accessibility, as well as the resulting strain of emergency room misuse by ex-inmates. …

Total Hip Replacement Recovery Strategies For Optimal Function In Older Adults, Colleen Ryan, Lauren Waddell

Grace Peterson Nursing Research Colloquium

Abstract

Background: Total hip replacement (THR) surgery is the most common reconstructive hip procedure and annual procedures rates are expected to rise for patients 65 and older. Recovery options are known to enhance function post THR; however, there is a lack of comprehensive and consistent strategies for optimal function in older adults.

Objectives: The purpose of this integrated literature review is to identify current recovery and rehabilitation program strategies used to reach optimal function for older adults post total hip replacement. To better understand current research related to THR recovery strategies for optimal function in OAs, a literature review is …

Addressing Barriers To Abnormal Pap-Test Follow-Up Among Low-Income, Ethnic Minority Women: An Integrative Literature Review, Emme Deamont

Grace Peterson Nursing Research Colloquium

No abstract provided.

Populations At Risk For Cervical Cancer, Chantal Boyd, Danielle Dodd

Grace Peterson Nursing Research Colloquium

Abstract: This integrative literature review discusses the possible negative effects of the current cervical cancer screening guidelines enforced by the U.S. Preventative Task Force. Potential negative effects of guidelines are examined to determine the need for a more personalized approach in future cervical cancer screening guidelines. The purpose of this integrated literature review is to identify women at greater risk for developing breast cancer and their need to have more frequent screenings. The U.S. Preventative Task Force currently only requires frequent cervical cancer screenings in women who are immunocompromised, due to diseases such as HIV, or women who are diagnosed …

Barriers To Crna Scope Of Practice, Zachary Zenner, Liz Messina

Grace Peterson Nursing Research Colloquium

An integrative literature review on barriers that prevent CRNA's from having full autonomy in their practices.

An Evaluation Of Implementing Enhanced Recovery After Surgery Protocol Throughout The Perioperative Phase: A Quality Improvement Initiative To Enhance Patient Outcomes After Colorectal Surgery, Jerica Hill Dnp

Doctoral Projects

Abstract: The Enhanced Recovery After Surgery protocol (ERAS) is a multimodal collaborative approach implemented throughout the perioperative phase to enhance patient outcomes. The key mechanism for effectiveness in the ERAS protocol is the attenuation of the surgical stress response combined with treatments that support the return of functions that delay recovery in traditional methods. The purpose of this scholarly project was to evaluate the results of the ERAS Pilot program currently initiated at Baptist Memorial Hospital to improve patient outcomes undergoing major abdominal surgery. Prior to the implementation of the ERAS protocol there was no standardized method in place at …

Effects Of A Visual Artwork Intervention And Personal Progress Factors On Maternal Attitudes Towards Breastfeeding Among Black Women, Erika L. Gathron

Nursing Theses and Dissertations

Exclusive breastfeeding during the first six months of life is the recommended guideline, and the promotion of exclusive breastfeeding is a top priority for both national and international health organizations. The benefits of breastfeeding to both mother and baby reduces the burden of health disparity and promotes long-term healthful outcomes. Continued rates of low breastfeeding among Black women has brought forth the need for a methodological paradigm shift that enables nurses and researchers to explore creative, evidence-based, culturally relevant and population-specific interventions to enhance breastfeeding among Black women. This dissertation is an exploration of the use of art images of …

Use Of An Evidence‐Based Guideline For Management Of Side Effects From Long‐Acting Reversible Contraceptives: A Quality Improvement Report, Julia Jacobson, Jacqueline Nasso, J. Christopher Glantz

Nursing Faculty/Staff Publications

Introduction

Many health care providers believe that women who initiate long‐acting reversible contraceptives (LARC) discontinue the method because of side effects too soon for the method to be economical. The purpose of this quality improvement project was to implement and evaluate an evidence‐based telephone triage nursing guideline for management of side effects of LARC with an ultimate goal of reducing the number of early discontinuations.

Process

A telephone triage guideline was adapted from the Contraceptive Choice Project's Clinician Call Back System, supplemented with evidence‐based resources, and approved by clinicians at 2 community women's health and midwifery offices. Baseline retrospective data …

Eye Examination:Satisfying A Quality Care Measure In Diabetes, Meera Shekar

Dissertations

Abstract

Purpose: Diabetic retinopathy (DR), a microvascular complication occurs in patients with poorly controlled diabetes mellitus (DM). A known risk of increased visual impairment associated with DM occurs in patients when the glycosylated hemoglobin level (HbA1c) increases over 7.0%. Therefore, an annual retinal assessment as a quality care measure in diabetes management is necessary. The conducted study aimed to evaluate the documentation of an annual eye exam in all patients with DM in a private family practice clinic and to investigate any possible association between HbA1c level.

Method: This quality improvement study included a retrospective medical record review in …

Nurse Practitioner Students: Providing Wellness Screenings To Underserved Older Adults, Rexanna Tatlock

Purdue Journal of Service-Learning and International Engagement

Rexanna Tatlock (BSN, RN, CCRN) received a BSN from Saint Francis College in 2003. As a registered nurse, she specialized in critical care nursing and eventually enrolled in the Adult Gerontology Nurse Practitioner master’s program in Purdue University’s School of Nursing in 2016. Upon graduation in May 2018, Rexanna has planned to focus on primary health care. The service-learning project provided primary care clinical experience, while meeting the needs of an underserved older adult population. This article will discuss the community partnership, a needs assessment, and a wellness screening offered to Fairington Apartments (FA) residents.

Peer Health Educators On Campus: Teaching Safe Medication Practices, Baylee Q. Bryan, Olga O. Vlashyn, Stephanie A. Deremiah, Murphy K. O'Toole, Katherine M. Joseph, Jane E. Krause

Purdue Journal of Service-Learning and International Engagement

Baylee Q. Bryan, Olga O. Vlashyn, Stephanie A. Deremiah, and Murphy K. O’Toole are advanced professional students in the Doctor of Pharmacy program at Purdue University, graduating in May 2019. Katherine M. Joseph is a senior in the School of Nursing, graduating in December 2018. Jane E. Krause (Clinical Associate Professor of Pharmacy Practice, Purdue College of Pharmacy) served as a faculty mentor for this project. In this article, the authors describe their service-learning project intended to increase awareness on campus regarding prescription drug abuse and misuse.

Trying To Cover The Sun With Your Thumb: A Critical Ethnography Of Maternity Care Provision In Rural Northern New Mexico, Abigail Reese

Nursing ETDs

Access to maternity care is disappearing for women across rural America. In the state of New Mexico, women often travel long distances to access hospitals and providers that offer childbirth services, as these resources are concentrated primarily in metropolitan areas. Although data on provider distribution is available, very few studies have explored the maternity care access crisis from the perspectives of the midwives and physicians who work in rural areas. The purpose of this critical ethnographic study was to explore barriers and facilitators to the provision of childbirth services from providers’ perspectives with the intent of informing policy debates around …

Quality Of Care Strategies And The Subsequent Improvement Of Kangaroo Care Incidence Rates In Premature Infants, Sarah Anderson

Posters-at-the-Capitol

Purpose: The benefits of kangaroo care (KC) has long been studied and proven. Despite the research, incidence rates of KC are low in the neonatal ICU at the Kentucky Children’s Hospital. Some barriers to KC exist in our NICU and this study strives to address them. This study aims to develop and implement strategies to increase utilization of KC from 41% to  75% for eligible infants.

Methods: KC occurrence was monitored in 364 infants with birth weight ≤ 1250 grams. Strategies implemented were education of nurses, improved nurse-to-patient ratio, emphasis of KC in multidisciplinary rounding, improved documentation, …

Application And Influence Of Technology On Medication Adherence In Adults With Heart Failure: An Integrative Literature Review, Kristen Loda

Grace Peterson Nursing Research Colloquium

Abstract

Background: Heart failure is a progressive disease that presents itself through multiple debilitating symptoms. Being there is no cure, symptom management and prevention through a tailored polypharmaceutical regimen is key to keeping these patients out of the hospital and improving their quality of life. Considering as of 2014, 6 million Americans are living with heart failure, it is crucial to implement interventions to promote medication adherence. Emerging technologies can provide patients the opportunity to remotely monitor their self-care and better adhere to their drug regimens.

Objectives: The aim of this study was to identify forms of technology available to …

Evaluation Of Breastfeeding Interventions To Improve Duration In Women At Risk Of Breastfeeding Attrition, Anthonia Anukam

Doctor of Nursing Practice (DNP) Translational and Clinical Research Projects

Breastfeeding has numerous health benefits for infants, children, and mothers. These benefits are dependent on the duration of breastfeeding. To attain these benefits, the World Health Organization and the CDC recommends mothers exclusively breastfeed for the first six months of the infant’s life and to continue breastfeeding while introducing complementary food until the infant is at least one year old. Research studies have reported a strong positive correlation between breastfeeding and reduced infant morbidity and mortality. Optimal breastfeeding practice could help prevent 823,000 child deaths. Globally, not breastfeeding or premature cessation of breastfeeding is estimated to result in economic losses …

Experiences Of Commercially Sexually Exploited Youth In The United States: A Qualitative Systematic Review, Michelle Hampton, Michelle Lieggi

Faculty Publications

Background: Youth at highest risk for commercial sexual exploitation in the United States (US) are runaway, homeless, and transgender youth. Despite the availability of research evidence pertaining to this phenomenon, there is a lack of research synthesis to enable easy access and use by health professionals and others who serve this population. This review’s purpose was to aggregate the qualitative evidence regarding commercially sexually exploited youth (CSEY) in the US to inform the development of appropriate interventions and response systems. Methods: The search included published and unpublished qualitative studies with current or former CSEY who resided in the US. Results: …

Nursing & Midwifery: The Key To The Rapid And Cost Effective Expansion Of High Quality Universal Healthcare, Nigel Crisp, Sharon Brownie, Charlotte Refsum

School of Nursing & Midwifery, East Africa

Nurses and midwives play a central role in all health systems. They support people in every aspect of their health and wellbeing – from health promotion to chronic disease management and specialist services. Together they make up half of the professional health workforce globally and account for about 90 percent of the contacts between patients and health professionals. This report argues that countries that invest in and develop their nursing and midwifery workforce can achieve a rapid, cost-effective expansion of high-quality UHC. This will also help to realize the World Health Assembly (WHA) target of 1 billion more people benefiting …

Expanding Magnetic Resonance Imaging Access For Patients With Cardiovascular Implantable Electronic Devices, Rosalie Geronimo

DNP Qualifying Manuscripts

There are over two million patients in the United States that have cardiovascular implantable electronic devices (CIEDs). In 2017, the Heart Rhythm Society (HRS) provided a consensus statement with guidelines and recommendations for device management of patients with magnetic resonance (MR) conditional as well as MR non-conditional CIEDs (Indik et al. 2017). In January 2018, the Centers for Medicare and Medicaid Services (CMS) proposed that a qualified physician, nurse practitioner (NP), or physician assistant (PA) with expertise in implanted permanent pacemakers (PM), implantable cardioverter defibrillator (ICD), cardiac resynchronization therapy pacemakers (CRT-P), or cardiac resynchronization therapy defibrillators (CRT-D) must directly supervise …

Improving Communication To Reduce Patient Falls In A 48-Bed Medical-Surgical Unit, Christian Gella

Nursing and Health Professions Faculty Research and Publications

Abstract

Problem: Patient falls has been associated with increased morbidity, mortality and decreased quality of life. The increase in total patient falls for 2018 relative to 2017, and a spike of 10 patient falls for the month of June 2018 from a baseline of 5.3 falls per month has gained greater attention to reduce patient harm from falls while hospitalized. Prevention of falls minimizes patient exposure to the possibility of being injured. Despite efforts to curtail patient falls, improvement in communication is essential to address the safety issues surrounding improving quality of care practices, and consequentially reduce un-reimbursable hospital costs …

Ketamine: The Potential For Treatment Resistant Depression, Rachel A. Sauter

Nursing Capstones

No abstract provided.

Patient Perceptions Of Their Own Data In Mhealth Technology–Enabled N-Of-1 Trials For Chronic Pain: Qualitative Study, Robin Whitney, Deborah Ward, Maria Marois, Christopher Schmid, Ida Sim, Richard Kravitz

Faculty Publications

Background: N-of-1 (individual comparison) trials are a promising approach for comparing the effectiveness of 2 or more treatments for individual patients; yet, few studies have qualitatively examined how patients use and make sense of their own patient-generated health data (PGHD) in the context of N-of-1 trials. Objective: The objective of our study was to explore chronic pain patients’ perceptions about the PGHD they compiled while comparing 2 chronic pain treatments and tracking their symptoms using a smartphone N-of-1 app in collaboration with their clinicians. Methods: Semistructured interviews were recorded with 33 patients, a consecutive subset of the intervention group in …

Associations Of Demographic Factors And Tobacco Use With Progesterone And Estradiol During Pregnancy, Kristin Ashford, Emily Rayens, Amanda T. Wiggins, Mary Kay Rayens, Molly Malany Sayre, John O'Brien

Perinatal Research and Wellness Center Faculty Publications

Objective: To evaluate the association of biochemically validated prenatal tobacco use with serum progesterone and estradiol in the second trimester of pregnancy, controlling for demographic and personal factors.

Study design: This secondary analysis of a multicenter longitudinal study included 114 women with singleton pregnancies. Multiple regression analysis assessed whether prenatal tobacco use was related to hormone levels during the second trimester, controlling for covariates (age, body mass index, and race or ethnicity, with gestational age added to subsequent models).

Result: In the initial regressions, tobacco users had significantly lower progesterone level compared with nonsmokers (p = .037), while estradiol …

Nutrition Risk Among An Ethnically Diverse Sample Of Community-Dwelling Older Adults, Patricia M. Sheean, Isabel C. Farrar, Suela Sulo, Jamie Partridge, Linda Schiffer, Marian Fitzgibbon

Nursing: School of Nursing Faculty Publications and Other Works

Objective

To assess the prevalence of nutritional risk among an ethnically diverse group of urban community-dwelling older adults and to explore if risk varied by race/ethnicity.

Design

Demographic characteristics, Katz’s activities of daily living and health-care resource utilization were ascertained cross-sectionally via telephone surveys with trained interviewers. Nutrition risk and nutrition symptomology were assessed via the abridged Patient Generated Subjective Global Assessment (abPG-SGA); scores of ≥6 points delineated ‘high’ nutrition risk. Descriptive statistics and logistic regression analyses were conducted.

Setting

Urban.

Participants

White, Black or Hispanic community-dwelling adults, ≥55 years of age, fluent in English or Spanish, residing in the …

I Was Clear With My Goals, Where I’M Heading, And What I Wanted With My Life: Life History Of An Omani Woman And Nurse Leader, Christie Emerson

Doctorate of Nursing Science Dissertations

This study uses life history methodology to examine the personal experience of being an Omani woman during the Omani Renaissance, choosing a career in nursing, and evolving into a nurse leader. There is a lack of research on why Omani women choose to enter the workforce, choose nursing career paths, and what sustains them in the nursing workforce. There is also a lack of research on the path to Omani nurse leadership. The research question is: What is the personal experience of being an Omani woman during the Omani Renaissance, choosing a career in nursing, and becoming a nurse leader? …

Faith Community Nursing In Community/Public Health Education: A Positive Student Nursing Experience, Pamela Preston

International Journal of Faith Community Nursing

Faith Community Nursing sites were recently integrated into a Community/Public Health Nursing course at a traditional Catholic baccalaureate college in New England. Junior and senior nursing students were randomly assigned to spend 10 clinical days at a site for their clinical experience. The students planned, participated in, and conducted diverse nursing and educational activities. At the end of the rotation, students completed evaluations rating the experience. The evaluations indicated that the clinical experience was positive. The diverse activities including support, health promotion, screening, and education in addition to the spiritual dimension allowed the students to participate in true holistic nursing …

Trying To Cover The Sun With Your Thumb: A Critical Ethnography Of Maternity Care Provision In Rural Northern New Mexico, Abigail Reese

Shared Knowledge Conference

Access to maternity care is disappearing for women across rural America. In New Mexico, women often travel long distances in order to access hospitals and providers that offer childbirth services, as these resources are primarily concentrated in metropolitan areas. Although data on provider distribution is available, very few studies have explored the maternity care access crisis from the perspectives of the midwives and physicians who work in rural areas. The purpose of this study was to explore barriers and facilitators to the provision of childbirth services from providers’ perspectives with the intent of informing policy debates around the maintenance of …