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Full-Text Articles in Medicine and Health Sciences
A Digitally Enhanced Virtual Cognitive Behavior Skill Building Intervention To Reduce Parent Stress And Family Obesogenic Behaviors, Sharlene Smith
A Digitally Enhanced Virtual Cognitive Behavior Skill Building Intervention To Reduce Parent Stress And Family Obesogenic Behaviors, Sharlene Smith
Electronic Theses and Dissertations, 2020-
Parental stress is associated with increased obesogenic family lifestyle behaviors contributing to childhood obesity. Novel interventions are needed to reduce parental stress and improve healthy lifestyle behaviors for preschool-age children and families. The primary study aim was to analyze preliminary effects of a digitally enhanced evidence-based cognitive- behavior skill-building (CBSB) intervention on parental stress and healthy lifestyle behaviors (diet and physical activity) among parents of preschool-age children. A secondary aim was to evaluate feasibility/acceptability of this school-based virtual intervention during the COVID-19 pandemic. The 12-week intervention involved text messaging and three pre-recorded CBSB educational video presentations accessed by parents of …
Exploration Of The Oral Microbiome In Non-Ventilated Hospitalized Patients, Kimberly Emery
Exploration Of The Oral Microbiome In Non-Ventilated Hospitalized Patients, Kimberly Emery
Electronic Theses and Dissertations, 2020-
Non-ventilator hospital acquired pneumonia (NV-HAP) impacts 1 in 100 hospitalized patients and is a significant patient concern due to its negative clinical outcomes. Many factors play a role in NV-HAP development: oral health, oral care, microaspiration risk, and the oral microbiome. Little is known about how the oral microbiome alters during hospitalization. This study explored changes in the oral microbiome of non-ventilated hospitalized patients over time and analyzed the relationship between the oral microbiome, pre-hospital residence, and NV-HAP. A prospective, observational design was used to recruit 46 non-ventilated adults 65 years and older from a large medical center in central …
Nurse Managers' Patient Safety Communication, Christine Deatrick
Nurse Managers' Patient Safety Communication, Christine Deatrick
Electronic Theses and Dissertations, 2020-
Medical errors are a continuing issue for healthcare organizations and can lead to patient harm or death. To bring about organizational learning and therefore reduce medical errors, information must successfully flow through an organization. Nurse managers play an essential role as the conduit of information between frontline staff and the organization. The primary purpose of this study is to describe the decision-making process of how nurse managers actively select and transmit information on patient safety concerns. A qualitative constructivist grounded theory approach was used. Nineteen unit-level nurse managers, working full-time in an acute care hospital with a minimum of one-year …
Social Support And Empowerment Among Caregivers Of Children With Asthma, Lauren Lebo
Social Support And Empowerment Among Caregivers Of Children With Asthma, Lauren Lebo
Electronic Theses and Dissertations, 2020-
The purpose of this study was to better understand the concept of empowerment among caregivers of children with asthma. This study investigated what is already known about empowerment among caregivers and the instruments available to measure caregiver empowerment. This study then examined the relationship between social support and caregiver empowerment as well as income level and empowerment amongst caregivers of children with asthma. This study used the Federal Poverty Guidelines, Family Empowerment Scale and MOS Social Support Survey to measure these relationships. It was found that there was no relationship between income level and empowerment, but there was a significant …
The Effect Of The Medilepsy Mobile App On Medication Adherence And Transition Readiness In Adolescents And Young Adults With Epilepsy, Michelle Tall
The Effect Of The Medilepsy Mobile App On Medication Adherence And Transition Readiness In Adolescents And Young Adults With Epilepsy, Michelle Tall
Electronic Theses and Dissertations, 2020-
Medication nonadherence and lack of transition readiness are global challenges for individuals living with epilepsy and their families. Medication adherence measures the level of compliance with healthcare providers' treatment recommendations. Transition readiness is the gradual steps patients take to develop independence and self-management as they transfer from pediatric to adult healthcare models. Factors impacting medication adherence and transition readiness skills include developmental stage/age; forgetfulness; family/caregivers; socioeconomic status; knowledge/attitude about the disease; side effects; number of medications; and subjective and objective quantifications of adherence. One promising intervention for patients and families is mobile technology used for reaching, teaching, and communicating. However, …
Survivors Of Human Trafficking: Reintegration Into The Community And Society, Charrita Ernewein
Survivors Of Human Trafficking: Reintegration Into The Community And Society, Charrita Ernewein
Electronic Theses and Dissertations, 2020-
Human trafficking is a highly profitable human rights violation and is labeled as one of the fastest growing industries worldwide. Few studies provided a detailed analysis of the survivors' accounts of their experiences and how these experiences influenced their reintegration into society. The purpose of this study was to explore and describe the experience of female survivors of sex trafficking as they reintegrated into the community and society using the survivors' voice. This study also aimed to describe the survivors experience with healthcare providers. This study obtained data from hard to detect populations (female survivors aged 18 and older) through …
Cognitive Rehearsal, Self-Efficacy, And Workplace Incivility Among Baccalaureate Nursing Students, Alina Diaz-Cruz
Cognitive Rehearsal, Self-Efficacy, And Workplace Incivility Among Baccalaureate Nursing Students, Alina Diaz-Cruz
Electronic Theses and Dissertations, 2020-
Workplace incivility is a widespread problem in the clinical work environment that affects present and future generations of nurses. The purpose of this study was to determine if a cognitive rehearsal intervention (i.e., TeamSTEPPS® DESC script) would increase senior nursing students' self-efficacy, decrease workplace incivility experienced in the clinical work environment, and if nursing students' pre-intervention self-efficacy level would be indirectly associated with post-intervention workplace incivility. A quasi-experimental, one-group pretest-posttest study was used to measure the effect of a cognitive rehearsal intervention on nursing students' self-efficacy levels and workplace incivility experienced in their clinical rotation at an acute care center. …
The Influences Of Generational Membership And Practice Environment On Nurse Manager Job Satisfaction, Angela Keith
The Influences Of Generational Membership And Practice Environment On Nurse Manager Job Satisfaction, Angela Keith
Electronic Theses and Dissertations, 2020-
The United States (US) is facing considerable shortages in all aspects of the nursing profession and this includes management. The nurse manager (NM) is a critical member of the healthcare team. They greatly influence the quality of patient care, staff retention, and the implementation of front-line and often progressive healthcare policy changes. Short tenures, high turnover rates, and poor recruiting outcomes, however, are threatening the current and future supply of experienced NMs. Today, there are three generations of NMs in practice: baby boomers, generation Xers, and generation Y'ers (also called millennials). Each of these cohorts has its own unique perception …
Knowledge And Attitudes Of Nurse Practitioner's Assessment Of Adults With Signs And Symptoms Of Posttraumatic Stress Disorder, Kelli Lipscomb
Knowledge And Attitudes Of Nurse Practitioner's Assessment Of Adults With Signs And Symptoms Of Posttraumatic Stress Disorder, Kelli Lipscomb
Electronic Theses and Dissertations, 2020-
As the numbers of primary care physicians decline, nurse practitioners (NPs) are filling this gap as primary care providers in many settings. The number of adults presenting to their primary care provider with signs and symptoms of posttraumatic stress disorder (PTSD) each year is unknown. The devastating effects of untreated PTSD include high rates of homelessness, violence, drug abuse, suicidality and a decreased quality of life. Little is known as to the breadth of NPs knowledge of PTSD sequelae, epidemiology and screening protocols. Increased perceived self-efficacy, tied to positive attitudes about PTSD knowledge and screening, result in overall higher rates …
Factors Associated With Resilience And Sense Of Coherence In Adult Transgender Persons: Identifying Predictors To Reduce Health Disparities In A Vulnerable Population, Jake Bush
Electronic Theses and Dissertations, 2020-
National studies revealed the transgender population has barriers to positive health outcomes, but also showed evidence of resilience. A focus on health strengths such as resilience may help mitigate health barriers. This work focused on the sociodemographic predictors of and interrelationships between resilience, sense of coherence (SOC), and health perception. There were three aims of this work. The first aim was to review the literature surrounding resilience and SOC in the adult transgender population. Results from an integrative literature review revealed three themes of resilience in the adult transgender population: social support, individual factors, and resources. Prior to the current …
First Impressions Of The Bedside Nurse From The Patient Perspective, Sharon Imes
First Impressions Of The Bedside Nurse From The Patient Perspective, Sharon Imes
Electronic Theses and Dissertations, 2020-
Relationships begin with first impressions. Since nurses are the cornerstone to hospital experiences, the nurse-patient relationship is of vital importance, beginning with the first impression. The nurse-patient relationship has the potential to impact the patient's trust, comfort, fear, and ultimately satisfaction with the entire hospital experience. Evidence is found in other disciplines emphasizing the importance of the first impression, however there is minimal research in nursing about first impressions of the bedside nurse. The purpose of this dissertation is to explore the first step in understanding the first impression of the bedside nurse from the patient perspective. Additionally, this research …
Remembering To Resume: Using Simulation-Based Education To Teach Nursing Students To Manage Interruptions, Peggy Hill
Remembering To Resume: Using Simulation-Based Education To Teach Nursing Students To Manage Interruptions, Peggy Hill
Electronic Theses and Dissertations, 2020-
Introduction: Since nurses are expected to be constantly available and responsive, their workflow is interrupted about 85 times each shift. As nursing students socialize to the profession, they need to learn how to adapt to an interruption fraught practice environment. Background: While some interruptions are important to patient care, dealing with conflicting demands can lead to mental fatigue, increased task time, and enhanced propensity for errors. Some experienced nurses learn to create strategies that facilitate remembering to resume an interrupted task, but they are often adopted through trial and error. When simulation-based education (SBE) is used according to industry standards, …
Hospital Readmission After Major Abdominal/Colorectal Surgeries: A Mixed-Methods Study, Ansu Sebastian
Hospital Readmission After Major Abdominal/Colorectal Surgeries: A Mixed-Methods Study, Ansu Sebastian
Electronic Theses and Dissertations, 2020-
Hospital readmission after major abdominal and colorectal surgeries is a complex phenomenon that impacts the quality and affordability of healthcare. A comprehensive review of the literature after implementation of the Hospital Readmission Reduction Program in 2012 revealed a paucity in studies that analyzed patients' perceptions regarding the phenomenon of readmission. In addition, there is a need for randomized trials that assess the impact of interventions on the rate of readmission among complex surgical patients. A mixed-methods study was conducted to combine descriptive factors impacting hospital readmission with patients' perceptions to produce meaningful data. The results indicated that although discharge education …
Nurse-Physician Collaboration During Bedside Rounding: What Is The Impact On The Nurse?, Martha Decesere
Nurse-Physician Collaboration During Bedside Rounding: What Is The Impact On The Nurse?, Martha Decesere
Electronic Theses and Dissertations, 2020-
Poor communication is identified as the root cause for the majority of sentinel events in hospitals, including wrong site surgery, medication errors, and failure to rescue. Interdisciplinary rounding (IDR), a long-standing practice in the Intensive Care Unit (ICU), provides a forum for communication and collaboration and has been linked to improved patient outcomes. Most of the research regarding IDR has been performed in the ICU setting within academic medical centers. IDR outside of the ICU has demonstrated similar clinical outcomes but a gap exists in the literature regarding the impact of IDR participation on the nurse, particularly for nurses working …
Patients With A Left Ventricular Device And Factors Affecting Readmission, Diana Pitcher
Patients With A Left Ventricular Device And Factors Affecting Readmission, Diana Pitcher
Electronic Theses and Dissertations, 2020-
Patients with a left ventricular assist device have a high rate of hospital readmissions after their index (placement of left ventricular device) discharge. With these devices becoming more common providers of care must understand why this population is being readmitted in order to promote well-being and keep patients out of the hospital. The purpose of this study was to identify and describe characteristics of the hospital readmission. This research study was a retrospective analysis of aggregate data from 2013-2019 with a sample size n = 32. The summary of data was described with descriptive statistics. The data was grouped and …
The Effect Of Acuity-Based Nurse Staffing On Nursing Medication Errors, Egidius Maria Eugene Waterval
The Effect Of Acuity-Based Nurse Staffing On Nursing Medication Errors, Egidius Maria Eugene Waterval
Electronic Theses and Dissertations, 2020-
Nurses spend on average one third of their time on direct patient care, and most on indirect care in hospital settings. However, nursing workload is challenging to measure in a systemized, accurate, and timely way. Patient classification systems are designed to capture information about nursing workload based on the illness severity of the patient (acuity) to determine staffing resources and balance nursing workload. These systems are instruments that group nursing care activities in different categories to determine patient acuity. Electronic health records provide opportunities to use available data sets to accurately, and in real-time, document many direct and indirect patient …
Access And Utilization Of Prenatal Care In Florida And Its Effects On Preterm Birth, Corinne Audette
Access And Utilization Of Prenatal Care In Florida And Its Effects On Preterm Birth, Corinne Audette
Electronic Theses and Dissertations, 2020-
Preterm birth in the United States is the leading cause of infant morbidity and mortality. The United States spends more per capita on healthcare than any other nation in the world, and still perinatal outcomes are disappointing when compared to other industrialized nations. Research and current clinical practice guidelines support the use of early and consistent prenatal care to lower risks for preterm birth, by acting as a key mechanism to monitor pregnancy and provide timely and appropriate interventions. Significant research has been completed to identify causative factors that lead to preterm birth. Overall, this literature has not had a …
Geographic Access To Community Mental Healthcare And Adherence To Treatment Among Patients With Schizophrenia Spectrum Disorders, Marie Smith-East
Geographic Access To Community Mental Healthcare And Adherence To Treatment Among Patients With Schizophrenia Spectrum Disorders, Marie Smith-East
Electronic Theses and Dissertations, 2020-
Disparities in access to mental health care for individuals with schizophrenia spectrum disorders continue to exist in the United States despite the creation of mental health policies seeking to improve access to care. As an integral element of healthcare system delivery, access is influenced by spatial (location) and non-spatial (sociodemographic) factors. Highlighting both spatial and non-spatial dimensions of access to mental healthcare, this study employed an innovative approach encompassing the geography of access and the integration of location analyses to bridge the gap between psychosocial dynamics and mental health services for improving cost-effective continuity of care. The aims were as …
The Relationship Of Cognitive Load And Different Participant Roles On Knowledge Retention In Simulation-Based Learning Among Undergraduate Nursing Students, Amanda Houston
Electronic Theses and Dissertations, 2020-
Background: High-fidelity simulation (HFS) is a cognitive load inducing educational tool that gives participants an opportunity to emulate clinical scenarios by assuming various roles. HFS offers opportunities for undergraduate nursing students to build fundamental knowledge that can replace, or enhance, clinical experiences. Cognitive load exists on a spectrum and negatively impacts learning when learners are at either extreme of the spectrum. Cognitive load is comprised of the three subcomponents of intrinsic, extraneous, and germane load. Not much is known about different subcomponents or their ability to prediction immediate knowledge and knowledge retention in students who play fundamentally different roles, as …
Undergraduate Nursing Students' Depth Of Reflection And Perceptions Of Self-Debriefing Following Virtual Simulation: A Multi-Method Descriptive Study, Valorie Mackenna
Undergraduate Nursing Students' Depth Of Reflection And Perceptions Of Self-Debriefing Following Virtual Simulation: A Multi-Method Descriptive Study, Valorie Mackenna
Electronic Theses and Dissertations, 2020-
Virtual simulation is a method of simulation-based education in which students participate in a clinical experience within a computer program and away from a clinical environment or classroom. This innovation makes simulation more accessible for learning, but also more challenging when it comes to providing a debriefing activity directly afterward by a facilitator. The purpose of debriefing is to afford learners the opportunity to reflect on the experience with a goal toward improvement. From the best practice standards, two recommendations stipulate that a debriefing session should occur soon after a simulation and should promote reflection. Self-debriefing is uniquely capable of …