Medicine and Health Sciences Commons^™

Assessing Provider Adherence To An Emergency Contraception Guideline In Reproductive Age Women, Amber E. Davis

DNP Projects

Purpose: To determine current provider adherence to the 2010 ACOG Emergency Contraception (EC) guidelines, specifically by assessing provider EC counseling with patients at well-woman annual exam visits or during contraceptive counseling visits. A second aim of this study is to identify provider facilitators and barriers of EC discussion with patients.

Methods: Using a retrospective design, 90 medical records of patients presenting to a university clinic within the previous year were reviewed for the discussion of EC during annual exams or contraceptive counseling. Forty-five medical records were reviewed prior to implementation of the Ambulatory Electronic Health Record (AEHR) and forty-five medical …

Routine Versus Ad Hoc Screening For Acute Stress Following Injury: Who Would Benefit And What Are The Opportunities For Prevention, Nathaniel Bell, Boris Sobolev, Stephen Anderson, Robert Hewko, Richard K. Simons

Faculty Publications

BACKGROUND:

Screening for acute stress is not part of routine trauma care owing in part to high variability of acute stress symptoms in identifying later onset of posttraumatic stress disorder (PTSD). The objective of this pilot study was to assess the sensitivity, specificity, and power to predict onset of PTSD symptoms at 1 and 4 months using a routine screening program in comparison to current ad hoc referral practice.

METHODS:

Prospective cross-sectional observational study of a sample of hospitalized trauma patients over a four-month period from a level-I hospital in Canada. Baseline assessments of acute stress (ASD) and subsyndromal ASD …

Implementation Of A Nurse-Initiated Topical Anesthesia Protocol, Jennifer Anderson

Doctor of Nursing Practice (DNP) Practice Innovation Projects

Although topical anesthetics are a safe, effective, and non-invasive alternative to infiltrated anesthesia for laceration repair, their availability to providers continues to limit their use. This practice innovation project developed a protocol for the nurse-initiated anesthesia for patients over one year of age presenting to a critical access hospital emergency department with lacerations. Pre and post implementation chart reviews were utilized to determine the effectiveness of the implementation of this protocol. This project has potential to impact patient pain levels, anxiety, restraint use, total treatment time, and patient satisfaction scores.

Implementing A Screening Pathway For Identifying Patients At Risk For Obstructive Sleep Apnea In Primary Care, Emily Fett

Doctor of Nursing Practice (DNP) Practice Innovation Projects

Obstructive sleep apnea (OSA) is emerging as a significant health problem largely underrecognized by health care providers in the primary care setting (Pagel, 2008). The intent of this practice innovation project was to change and reduce the variation in practice for OSA screening that did not follow what is known about best practices. In this study, a preexperimental one-group pretest-posttest design was carried out to evaluate the outcomes associated with implementing an evidence-based screening pathway into practice for OSA based on the recommendations set forth in a clinical practice guideline recently published by the American Academy of Sleep Medicine (Epstein …

Role Of The "Tobacco Free Teens" Mobile Application In Adolescent Smoking, Juawanna L. Schuller

DNP Projects

Adolescent tobacco use rates have plateaued. Tobacco use education is not mandatory in all states, yet schools remain a good opportunity to reach this population. School nurses should be able to identify components of effective tobacco use prevention education programs and learn to overcome barriers to implementation of these programs. The "Tobacco Free Teens" mobile application is a novel tool that may decrease adolescent tobacco use rates. A pilot study found that the Tobacco Free Teens mobile application was satisfactory to most participants but appealed to girls more than boys. Further research is needed to determine the effectiveness of this …

Editorial: Nurses’ Role In Improving Interdisciplinary Delirium Care In Inpatient Settings: Steps For Action, Annmarie Hosie, Jane Phillips

Nursing Papers and Journal Articles

No abstract provided.

A Transition Program To Primary Health Care For New Graduate Nurses: A Strategy Towards Building A Sustainable Primary Health Care Nurse Workforce?, C Gordon, C Aggar, A Williams, L Walker, S Willcock, J Bloomfield

Nursing Papers and Journal Articles

Background: This debate discusses the potential merits of a New Graduate Nurse Transition to Primary Health Care Program as an untested but potential nursing workforce development and sustainability strategy. Increasingly in Australia, health policy is focusing on the role of general practice and multidisciplinary teams in meeting the service needs of ageing populations in the community. Primary health care nurses who work in general practice are integral members of the multidisciplinary team but this workforce is ageing and predicted to face increasing shortages in the future. At the same time, Australia is currently experiencing a surplus of and a corresponding …

An Analysis Of The Cause, Effect & Control Of Hyperlipidemia From A Nursing Perspective, Melissa Rodgers

Theses and Dissertations

Two of the top four causes of death worldwide, heart disease and stroke, are related to hyperlipidemia, elevated cholesterol levels; these two illnesses account for approximately seventeen million deaths each year (World Health Organization, 2014). In order to combat the prevalence of these illnesses, the National Cholesterol Educational Panel has issued guidelines regarding cholesterol management. Extensive research has been published concerning cholesterol management. However, a gap remains between evidenced-based practice and community awareness of this phenomenon. This manuscript compiles research from peer reviewed nursing journals and acclaimed government and national organizations to express the cause, effect, and control of hyperlipidemia …

คุณลักษณะของโรงพยาบาลรัฐที่น่าอยู่น่าทำงาน สังกัดกระทรวงสาธารณสุข, นงลักษณ์ จิรประภาพงศ์, สุชาดา รัชชุกูล

Journal of Nursing Research, Innovation, and Health

วัตถุประสงค์: เพื่อศึกษาคุณลักษณะของโรงพยาบาลรัฐที่น่าอยู่น่าทํางาน สังกัดกระทรวงสาธารณสุข\n \nรูปแบบการวิจัย: การวิจัยเชิงพรรณนา โดยใช้เทคนิค EDFR\n \nวิธีดําเนินการวิจัย: กลุ่มตัวอย่าง คือ ผู้เชี่ยวชาญจํานวน 24 คน ประกอบด้วย ผู้เชี่ยวชาญกลุ่มผู้บริหาร กระทรวงสาธารณสุข กลุ่มนักวิชาการด้านการศึกษาองค์การ กลุ่มนักบริหารทรัพยากรบุคคล กลุ่ม ผู้บริหารโรงพยาบาล กลุ่มผู้บริหารการพยาบาล และกลุ่มพยาบาลด้านการปฏิบัติการ เครื่องมือที่ใช้ใน การวิจัย รอบแรกเป็นแบบสัมภาษณ์ รอบที่ 2 และรอบที่ 3 เป็นแบบสอบถามคุณลักษณะของ โรงพยาบาลรัฐที่น่าอยู่น่าทํางาน วิเคราะห์ข้อมูลโดยการหาค่ามัธยฐานและค่าพิสัยระหว่างควอไทล์ คัดเลือกคุณลักษณะของโรงพยาบาลรัฐที่น่าอยู่น่าทํางานจากค่าพิสัยที่มีความเห็นสอดคล้องกัน (IR ≤ 1.50) และค่ามัธยฐานที่มีระดับมากขึ้นไป (Median > 3.50)\n \nผลการวิจัย: คุณลักษณะของโรงพยาบาลรัฐที่น่าอยู่น่าทํางาน สังกัดกระทรวงสาธารณสุข ประกอบด้วย คุณลักษณะย่อย 64 ข้อ ซึ่งอยู่ในระดับความสําคัญ มาก ถึง มากที่สุด จําแนกได้เป็น 7 ด้าน ดังนี้ 1) ด้านการบริหารจัดการที่ดี จํานวน 18 ข้อ 2) ด้านการมีความสุขในการทํางานและผูกพันต่อองค์การ ของบุคลากร จํานวน 5 ข้อ 3) ด้านการให้ความสําคัญกับบุคลากร จํานวน 16 ข้อ 4) ด้านการมีภาวะ ผู้นําของผู้บริหาร จํานวน 10 ข้อ 5) ด้านการสื่อสารที่เปิดเผยและชัดเจน จํานวน 5 ข้อ 6) ด้านความ สามารถในการปรับตัวทันต่อการเปลี่ยนแปลง จํานวน 5 ข้อ และ 7) ด้านการดูแลสังคมและสิ่งแวดล้อม จํานวน 5 ข้อ\n \nสรุป: ผลการวิจัยที่ได้สามารถนําไปใช้เป็นแนวทางในการพัฒนาโรงพยาบาลให้น่าอยู่น่าทํางานต่อไป \n

Developing Entry-To-Practice Nursing Informatics Competencies For Registered Nurses, Lynn M. Nagle, Kristine Crosby, Noreen Frisch, Elizabeth Borycki, Lorie Donelle Phd, Rn, Fcan, Kathryn Hannah, Alexandra Harris, Sylvie Jetté, Tracy Shaben

Publications

Information and communication technologies (ICT) have brought about significant changes to the processes of health care delivery and changed how nurses perform in clinical, administrative, academic, and research settings. Because the potential benefits of ICT are significant, it is critical that new nurses have the knowledge and skills in informatics to provide safe and effective care. Despite the prevalence of technology in our day to day lives, and the potential significant benefits to patients, new nurses may not be prepared to work in this evolving reality. An important step in addressing this need for ICT preparation is to ensure that …

Comparative Transcriptome Profiling Of Two Tibetan Wild Barley Genotypes In Responses To Low Potassium, Jianbin Zeng, Xiaoyan He, Dezhi Wu, Bo Zhu, Shengguan Cai, Umme Aktari Nadira, Zahra Jabeen, Guoping Zhang

Publications

Potassium (K) deficiency is one of the major factors affecting crop growth and productivity. Development of low-K tolerant crops is an effective approach to solve the nutritional deficiency in agricultural production. Tibetan annual wild barley is rich in genetic diversity and can grow normally under poor soils, including low-K supply. However, the molecular mechanism about low K tolerance is still poorly understood. In this study, Illumina RNA-Sequencing was performed using two Tibetan wild barley genotypes differing in low K tolerance (XZ153, tolerant and XZ141, sensitive), to determine the genotypic difference in transcriptome profiling. We identified a total of 692 differentially …

A Study To Detect The Presence Of Racial/Ethnic Pay Disparities Among Registered Nurses (Rns) In U.S. Hospitals, Jean M. Moore

Legacy Theses & Dissertations (2009 - 2024)

For this research study, a regression decomposition of hospital RN salaries was conducted to detect the presence of racial/ethnic pay disparities for hospital RNs working in the most populous metropolitan statistical areas in the United States. Regression

A Mixed Methods Study Of Shared Epistemic Agency In Team Projects In An Online Baccalaureate Nursing Course, Suzanne Hayes

Legacy Theses & Dissertations (2009 - 2024)

This study explores the role of instructional design in the development of shared epistemic agency (SEA) when RN to BSN nursing students collaborate to complete a team project in an online course. Paavola & Hakkarainen's (2005) trialogical model of learning is used to design a learning activity where teams create a shared knowledge object, a co-authored patient interprofessional care plan to support group knowledge creation. The study addresses the following research questions:

Los Sistemas De Sa Iud: Una Comparacion Entre Illinois, Ee.Uu. Y Cataluna, Espana (A Comparison Of Healthcare Systems In Illinois, Usa And Catalonia, Spain), Jennifer Boll

Honors Projects

This project focuses on the differences in healthcare systems in Illinois, United States and Catalonia, Spain. The research includes a literature review on the different systems and the fundamental differences in how care is delivered. An investigation of the major differences in the cultural and political approaches to health care and how the systems provide for their patients is part of the study. Another focus is the treatment of Spanish-speaking patients in hospitals in Illinois and also the treatment of patients who speak Castilian (traditional Spanish) in hospitals in Catalan-speaking Barcelona. This comparison displays the importance of language in the …

Evidence-Based Practice In Action: Ensuring Quality Of Pediatric Assessment Frequency, Katelyn Mcdonald

Honors Projects

Optimal head to toe assessment frequency in hospitalized pediatric patients is unknown. Although pediatric patients have many accommodations based on their age, developmental state, and varied needs, healthcare professionals have not published any research regarding the optimal frequency for registered nurses to perform head-to-toe assessments in hospitalized pediatric patients. Healthcare professionals must make decisions based on evidence-based practice. A change in pediatric assessment intervals was proposed at a Midwestern regional medical center. The purpose of this pilot study was to ensure patient safety and staff satisfaction following a policy change in head-to-toe assessment frequency Chart audits were performed on all …

Development Of A Measure Of Nurse Vigilance From The Patient ' S Perspective: A Content Validity Study, Jennifer Boll

Honors Projects

Problem: Since the landmark Institute of Medicine report, To Err is Human, was published in 1999, patient safety has become a major concern in healthcare systems. Although attention is being given to patient safety and preventing patient morbidity and mortality, experts indicate that little progress has been made in decreasing healthcare errors. Vigilance is a phenomenon often identified in the literature as a means to promote patient safety and well-being. Purpose: The aim of this study was to establish content validity in a newly developed instrument designed to measure nurse vigilance from a patient perspective. Method: Generated 130 items and …

Best Practices In The Management Of Pediatric Obesity In Primary Care Clinics, Lori Moseley

Theses and Dissertations

Obesity prevalence among children and adolescents has nearly tripled since 1980. Children and adolescents are at risk for developing the comorbidities seen in obese and overweight adults such as hypertension, type 2 diabetes, and sleep apnea. Traditional treatment for obese and overweight children involved counseling children and their families. Current recommendations include a comprehensive staged approach to weight management that includes prevention plus structured weight management, comprehensive multidisciplinary intervention and tertiary care intervention. Unfortunately structured weight management programs have not been widely available, leaving the primary provider with limited options.

The purpose of this project was to analyze the literature …

An Analysis Of Interpreter-Mediated Healthcare Interactions, Robin Dawson Estrada

Theses and Dissertations

The content and quality of communication between nurse practitioners and patients in primary care encounters contributes to diagnostic decision making, the provision of culturally appropriate interventions, and ultimately may impact health outcomes. In caring for patients with limited English proficiency, the addition of language discordance increases the complexity of the interaction and communication processes and the potential for disparate health outcomes. Most prior research on interpreter-mediated healthcare interactions has focused on accuracy, cost, satisfaction, and role enactment, but there is a lack of systematic research examining the actual interaction processes within the context of primary care clinic visits.

The aim …

Best Practice For Antipsychotic Medication Management In Community Dwelling Older Adults With Schizophrenia, Estelle Marie Brown

Theses and Dissertations

Schizophrenia, aging, and medication factors combine to present a very complex clinical presentation in caring for the elderly population with schizophrenia. The aging body displays a slowing of physiological processes, which alters the pharmacokinetics and pharmacodynamics of medications prescribed. Multiple comorbid health factors and the medications recommended for treatment may become detrimental to the overall body health, causing more problems for the older individual. This evidence based practice project reviewed literature and evidence to focus on the question, "In community dwelling older adults with schizophrenia, what is best practice for antipsychotic medication management?" The literature search resulted in classifying 16 …

In Children And Elderly Patients, What Are The Effects Of General Anesthesia On Neurological Health Compared With Procedural Sedation?, Taylor G. Caldwell

Theses and Dissertations

Anesthesia has been a necessity in the field of health care since it was discovered in the early to middle 1800s. Before anesthesia, many procedures and surgeries that are now considered an easy fix were life-threatening and patients often chose the inevitable death over the pain of surgery. The idea was stumbled upon when "laughing gas," nitrous oxide, was inhaled and credited in "produc[ing] a state of intoxication during which people became highly amused and insensitive to pain" (Palo Alto, 2013, para. 2). Anesthesia has come an unbelievably long way since the first surgery under anesthesia was performed by Dr. …

Preventing And Treating Complications Of Sickle Cell Disease In Pediatric Patients, Keandra S. Ferguson

Theses and Dissertations

Preventing and Treating Complications of Sickle Cell Disease in Pediatric Patients Sickle cell anemia, also known as sickle cell disease, affects over 90,000 people in the United States alone with those of African descent being at greater risk (Dobson & Byrne, 2014). Worldwide, it affects over 30 million people (Khoury, Musallam, Mroueh, & Abboud, 2011). It is usually detected during first year of life. After that, it is a lifelong disease (Hollins et al., 2012). Patients with sickle cell disease in the United States are expected to live until they are approximately 48 years old (BMJ Group, 2011). It is …

Instilling Diet And Exercise Confidence: Influence Of Nurse Body Size, Erin Murdock Spaulding

Honors Theses and Capstones

This paper reports a research study focused on perspective of nurse body size and how it affects confidence in a nurses’ ability to provide education on diet and exercise. The study followed a descriptive method design guided by a cross-sectional survey with quantitative variables. Results show that there is increased confidence in a nurse’s ability to provide education and influence habits regarding diet and exercise when the nurse role models such behaviors. Other findings presented include respondents’ perception of their body mass index versus their actual body mass index, percentage of respondents with health care conditions related to obesity, and …

Evaluating The Effects Of An Educational Lifestyle Modification Intervention On Blood Pressure In Adults With Prehypertension, Andrea M. Patterson

UNF Graduate Theses and Dissertations

The purpose of this project was to evaluate the effectiveness of an educational lifestyle modification (LM) intervention on blood pressure (BP) among adults with prehypertension. Prehypertension is a precursor to hypertension (HTN) and is a public epidemic in the United States. Approximately 68 million (31%) U.S. adult’s aged ≥18 years have hypertension. Hypertension can cause significant target organ damage, lead to coronary heart disease, heart failure, stroke, and kidney failure. Early identification and the primary treatment of persons with prehypertension with LM have the potential to minimize the progression and delay the onset of comorbidities associated with hypertension. This quality …

Factors That Relate To Registered Nurses' Readiness For Interprofessional Learning In The Context Of Continuing Professional Development, Collette Williams

Dissertations

Today’s health-care professionals practice in a highly technological, multidisciplinary environment. In order to provide safe, effective, and high-quality patient care, collaboration is required among all professionals. Traditionally each profession has operated independently in regard to continued professional development. The purpose of this study was to assess practicing registered nurses’ readiness toward interprofessional learning in order to align learning with current practice.

Method. An ex post facto study design was used to gather data to examine if there is a relationship between variables of demographics and readiness for interprofessional learning. The Readiness for Interprofessional Learning Scale (RIPLS) assesses the readiness for …

The “Secret” Impact Of Population Statistics On The Metrics Of Diabetes, Lyndal H. Hunter, Sharon Brownie, Walter F. Robb

School of Nursing & Midwifery, East Africa

The accuracy of disease metrics is dependent on the quality of population-based data. Many diseases, including diabetes, are age and sex dependant. Accurate age- and sexspecific population survey data, population estimates and projections are required to assess the scale and trends in the burden of these diseases. No assessment of the quality of population data being used in the UAE diabetes metrics has been published. We provide insight into the availability and quality of published population data, which is currently being used to inform diabetes research and health services planning in the UAE. We show the absence of credible population-based …

Nursing Pain Assessment & Management: A 3d Interactive Simulation, Enilda Romero-Hall, Ginger S. Watson, Yiannis Papelis, Hector Garcia

STEMPS Faculty Publications

In this design case, a team developed a 3D interactive simulation for nursing students and professional nurses to train and practice pain assessment and management procedures. In the simulation environment, the trainees interact with three emotionally expressive animated patients. The three patients vary in their ethnicity, age, and emotion intensity. Successful completion of the scenario requires that the trainee perform of a series of pain assessment and management tasks. The trainee is evaluated on the efficiency and appropriate sequencing of the tasks.

The purpose of this paper is to describe the decisions made regarding the type of virtual patients used, …

Relationships Between Health Literacy And Heart Failure Knowledge, Self-Efficacy, And Self-Care Adherence., Aleda M.H. Chen, Karen Yehle, Nancy M. Albert, Kenneth F. Ferraro, Holly L. Mason, Matthew M. Murawski, Kimberly S. Plake

School of Nursing Faculty Publications

Background

It has been argued that only 12% of adults have the necessary health literacy to manage their health care effectively, which can lead to difficulties in self-care activities, such as medication adherence. Prior research suggests that health literacy may influence knowledge, self-efficacy and self-care, but this has not been fully examined.

Objective

To test a model to explain the relationships between health literacy, heart failure knowledge, self-efficacy, and self-care.

Methods

Prior to receiving clinic-based education, newly referred patients to 3 heart failure clinics completed assessments of health literacy, heart failure knowledge, self-efficacy, self-care, and demographics. Structural equation modeling was …

A Mother's Paradox: Choosing A Birthing Method In The 21st Century, Jenae Franklin

Pitzer Senior Theses

Investigating childbirth, one of the biggest moments of a woman’s life, this thesis examines the reasons behind women’s preferred birthing methods. This research explores the fundamental decisions women make during the birthing process: the amount of prenatal care mothers will receive, the type of health care provider they will use, picking the place of delivery, views on technological and medical interventions, and outlooks on natural childbirth. In addition to an extensive literature review, in-depth interviews with mothers, midwives, and obstetricians are used to examine the various controversies of childbirth. This thesis begins with a review of the transition from midwives …

Betsy: A Case Study Of A Client With Down's Syndrome And Dementia, Cheryl D. Schlamb, Christine D. Moriconi

Nursing Faculty Publications

No abstract provided.

Homeless For One Winter Night: A Nursing Student's Perspective, Hannah Alewett

A with Honors Projects

For an A with Honors project for Parkland College, the student reflects on her overnight volunteer experience with CU@Home's One Winter Night, an event to raise funds for the cause of homelessness. As a nursing student, the author also reflects on homelessness from a health care perspective.