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Full-Text Articles in Medicine and Health Sciences

Parental Attitudes Of Immunization In Children With Special Healthcare Needs: A Qualitative Study, Maren Topham Nov 2017

Parental Attitudes Of Immunization In Children With Special Healthcare Needs: A Qualitative Study, Maren Topham

Theses and Dissertations

Background and Purpose: Just over 15% of children under 18 years of age in the UnitedStates, or approximately 11.2 million children, are estimated to have special healthcare needs.Although children with special healthcare needs (CSHCN) make up a small percentage of thepediatric population, they account for over one third of pediatric medical care. Parental attitudesregarding immunization play a significant role in vaccination rates among children. The purposeof this research is to explore parental attitudes regarding immunization of CSHCN.Methods: This qualitative study focused on parental perceptions and beliefs aboutimmunizations for CSHCN. Sixteen participants, who were parents of CSHCN from onepediatric specialty care …


State Requirements For Childhood Vaccination Exemption Forms In The United States, Katherine Elizabeth Hill Jul 2017

State Requirements For Childhood Vaccination Exemption Forms In The United States, Katherine Elizabeth Hill

Theses and Dissertations

In the United States, children must be vaccinated in order to attend school, although parents also have the right to request a vaccine exemption. The type of vaccine exemption varies by state but can include exemption for religious, philosophical, medical, and temporary medical reasons. The purpose of this research was to identify the use of provider signature requirements and fees in states during the vaccine exemption process. A questionnaire was sent to immunization managers in the 50 United States, District of Columbia, the United States Indian Health Service, and eight United States territories. The managers were asked if their states …


Opioid Prescription And Use After Laparoscopic Cholecystectomy, Valynn Christina Haslam Jun 2017

Opioid Prescription And Use After Laparoscopic Cholecystectomy, Valynn Christina Haslam

Theses and Dissertations

Background: Opioid abuse has become a serious public health issue. While adequate pain management is an ethical responsibility for health care providers, responsible stewardship of controlled substances is of equal concern. Opioids are often prescribed for treatment of acute pain post-operatively. The purpose of this study is to examine opioid prescription practices and use of opioids after laparoscopic cholecystectomy. Methods: A convenience sample of 42 patients scheduled for laparoscopic cholecystectomy were enrolled in the study. Using a descriptive study design, patients were interviewed by phone 6-10 days post-operatively using a scripted questionnaire. The average number of excess prescribed opioid medication …


Parents Advising Parents: Raising A Child With Type 1 Diabetes, Becky Jean Rasmuson Jun 2017

Parents Advising Parents: Raising A Child With Type 1 Diabetes, Becky Jean Rasmuson

Theses and Dissertations

Background and Purpose: Children diagnosed with Type 1 Diabetes face significant challenges in the day to day management of their disease. Parents play an important role in supporting children at every stage of their lives and helping them transition to independence in the management of T1D. The purpose of this study was to learn from parents who have raised their children with T1D to adulthood and identify strategies for parents who are currently raising a child with T1D. Methods: Using a biographical method, a qualitative design, two in-depth interviews with open-ended prompts were completed with purposively selected parents of children …


Critical Care Nurses' Experiences Of Family Behaviors As Obstacles In End-Of-Life Care, Caitlin Brook Mallory Jun 2017

Critical Care Nurses' Experiences Of Family Behaviors As Obstacles In End-Of-Life Care, Caitlin Brook Mallory

Theses and Dissertations

Background: Critical care nurses (CCNs) frequently provide end-of-life care for critically ill patients. CCNs may face many obstacles while trying to provide quality EOL care. Some research focusing on obstacles CCNs face while trying to provide quality EOL care has been published; however, research focusing on family behavior obstacles is limited. Research focusing on family behavior as an EOL care obstacle may provide additional insight and improvement in care. Objective: What are the predominant themes noted when CCNs share their experiences of common obstacles, relating to families in providing EOL care? Methods: A random geographically dispersed sample of 2,000 members …


Development Of An Effective International Medical Disaster Relief Team: A Qualitative Descriptive Study, Nicolette Broby Apr 2017

Development Of An Effective International Medical Disaster Relief Team: A Qualitative Descriptive Study, Nicolette Broby

Theses and Dissertations

Natural and manmade disasters are occurring at an unprecedented rate. Injuries and sickness are among the most widespread types of suffering caused by disasters, making medical aid essential. However, medical response depends on multiple factors to be timely and effective. The process of building a competent international medical disaster relief organization is complex, yet many well-intentioned, charitable organizations react hastily after a disaster, sending medical teams without truly understanding what an effective response requires. Consequently, in their genuine effort to help, they may end up hindering the response effort more than helping. Meanwhile, successful organizations implement principles conducive to an …


The Nicotine Content Of A Sample Of E-Cigarette Liquid Manufactured In The United States, Barrett H. Raymond Apr 2017

The Nicotine Content Of A Sample Of E-Cigarette Liquid Manufactured In The United States, Barrett H. Raymond

Theses and Dissertations

Background: Use of electronic cigarettes (EC) has dramatically increased in the United States since 2010 with a forecasted growth of 37% between 2014 and 2019. There is little research on e-liquid nicotine concentration from domestic manufacturers. However, limited research outside of the U.S. found wide inconsistencies between the labeled concentration of nicotine in e-liquids and the actual nicotine concentration. Methods: The seven most popular online manufacturers or distributors were identified. E-liquid samples of the five most popular flavors from each manufacturer were purchased in nicotine concentrations of 0 mg/ml and 18 mg/ml. Of the samples purchased (n=70), all were labeled …


Identifying United States And Territory Requirements For Childhood Vaccination Exemptions, Emily Groth Dunn Jan 2017

Identifying United States And Territory Requirements For Childhood Vaccination Exemptions, Emily Groth Dunn

Theses and Dissertations

Background: Children are required by law to receive vaccinations to enter school. States and territories offer exemptions for parents who refuse to vaccinate their children. Types of exemptions vary by state or territory, as does the exemption claiming process. The purpose of this research was to identify the various education-related processes implemented by states and territories which allow parents to exempt children from vaccinations. Methods: A questionnaire was distributed to immunization managers in the 50 United States, District of Columbia, the United States Indian Health Service, and eight United States territories. Managers reported vaccination requirements for their jurisdiction (collectively referred …