Medicine and Health Sciences Commons^™

Integrating Evidence For Excellence In The Care Of Women And Newborns - The Evidence-Based Fellows² Program (Poster), Jennifer King Rnc, Bsn

Patient Care Services / Nursing

No abstract provided.

Leisure-Time Physical Activity In Relation To Depressive Symptoms In African-Americans: Results From The National Survey Of American Life, Elisa R. Torres, Carolyn M. Sampselle, David L. Ronis, Harold W. Neighbors, Kimberlee A. Gretebeck

College of Nursing Faculty Research and Publications

Objective

To examine the frequency of leisure-time physical activity (LTPA) in relation to depressive symptoms in a nationally representative sample of African American (AA) women and AA men with guidance by Stokols' Social Ecological Framework.

Method

A secondary analysis of AA women (n = 1811) and AA men (n = 1038) was performed on the National Survey of American Life, where a four stage national area probability sampling was conducted. Interviews were conducted 2001–2003. Clinically depressed AA were excluded from the current study. LTPA was measured by self-report frequency (never, rarely, sometimes, often) of participation in sports/exercise. Depressive symptoms were …

Children With Autism Spectrum Disorder At A Pediatric Hospital: A Systematic Review Of The Literature, Norah L. Johnson, Dana Rodriguez

College of Nursing Faculty Research and Publications

This review of literature describes the behaviors of hospitalized children with autism spectrum disorder (ASD) that health care providers find challenging. It also identifies strategies used to address these challenging behaviors. The systematic review of literature identified 34 articles from databases on health care of challenging behaviors of children with ASD. The review identified four categories of challenging behaviors (non-compliance, hyperactivity, sensory defensiveness, self-injury) and several strategies for reducing these behaviors. Partnering with parents to develop strategies is important for children with ASD to deliver timely and safe care.

2013 Commencement For Jefferson School Of Health Professions, Jefferson School Of Pharmacy, And Jefferson School Of Nursing

Jefferson College of Nursing Commencements

No abstract provided.

Cultural Aspects Of Latino Early Childhood Obesity, Lauren Clark, Susan L. Johnson, Mary E. O'Connor, Jane H. Lassetter

Faculty Publications

The problem of Latino childhood obesity is well known, and experts agree that the sooner it is addressed in a child’s life, the better. Strong evidence from nationwide studies suggests that obesity begins in infancy for Mexican Americans. National data demonstrate the dramatic increase in weight-for-recumbent length above the 95th percentile (using the NCHS growth chart) among Mexican American children between National Health and Nutrition Examination Survey (NHANES) and the Third National Health and Nutrition Examination Survey (NHANES III) (Ogden et al., 2006). High rates of childhood obesity affect the long-term health potential of children, since childhood obesity tracks into …

Conference Learnings, Pamela Swoyer Bsn, Rn, Ccrn

Patient Care Services / Nursing

No abstract provided.

Effects Of Patient-Directed Music Intervention On Anxiety And Sedative Exposure In Critically Ill Patients Receiving Mechanical Ventilatory Support: A Randomized Clinical Trial, Jill L. Guttormson, Linda L. Chlan, Craig R. Weinert, Annie Heiderscheidt, Mary Fran Tracy, Debra J. Skaar, Kay Savik

College of Nursing Faculty Research and Publications

Importance: Alternatives to sedative medications, such as music, may alleviate the anxiety associated with ventilatory support.

Objective: To test whether listening to self-initiated patient-directed music (PDM) can reduce anxiety and sedative exposure during ventilatory support in critically ill patients.

Design, Setting, and Patients: Randomized clinical trial that enrolled 373 patients from 12 intensive care units (ICUs) at 5 hospitals in the Minneapolis-St Paul, Minnesota, area receiving acute mechanical ventilatory support for respiratory failure between September 2006 and March 2011. Of the patients included in the study, 86% were white, 52% were female, and the mean (SD) age was …

Conference Learnings, Sarah Gerken Bsn, Rn

Patient Care Services / Nursing

No abstract provided.

Conference Learnings, Jane Halpin Rnc, Pcc

Patient Care Services / Nursing

No abstract provided.

Conference Learnings, Nicole J. Urban-Miller Rn, Bsn

Patient Care Services / Nursing

No abstract provided.

Conference Learnings, Denise Bodish Bsn, Rnbc

Patient Care Services / Nursing

No abstract provided.

A Comparison Of Medication Managemnt Between Older And Younger Adults Living With Hiv, Judy A. Frain

Dissertations

The aims of this study were to examine whether there are differences in medication management between older and younger adults living with Human Immunodeficiency Virus and to explore the relationship between age and personal factors including cognitive ability, depression and self-efficacy on medication management. The research utilized a descriptive-correlational, cross-sectional design to compare medication management between older and younger adults living with HIV and to describe differences in predictive factors of cognition, depression, and self-efficacy on medication management ability between older and younger adults living with HIV. Results indicate both older and younger adults have high rates of mild cognitive …

Move Montana: An Exercise Program For Children, Adolescents, And Their Families, Deanna Lynn Babb

Dissertations

Despite advances in medical science, the prevalence of obesity in the US has more than doubled in the last three decades, to over 72 million people (CDC, 2009). The purpose of this project was to pilot an exercise program that would increase physical activity in a group of adolescents and one of their parents or guardians. A convenient sample of 10 adults and eight adolescents returned surveys and exercised through the entire eight weeks (N = 18). Ten of the 18 participants (56%), six parents and four adolescents, reported increased frequency of exercise each week throughout the eight week period. …

Reducing Heart Failure In An Era Of Reform, Sandra M. Kurpela

Evidence-Based Practice Project Reports

Heart failure (HF) affects an estimated 5 million Americans, with 550,000 new patients diagnosed yearly (American Heart Association, 2004). Despite advancements, readmissions for HF remain high. Management is especially important due to recent legislation that penalizes hospitals with excessive readmissions. The purpose of this evidence-based project (EBP) was to determine if a chronic disease HF management program with advance practice nurse, home care, and telehealth would affect hospital readmission 4 weeks post-discharge. Orem’s Self-Care Deficit Nursing Theory and the Iowa Model guided this system change. The project used a longitudinal experimental pre- and post-test design with convenience sample from two …

Effects Of A School-Based Education Intervention On Bmi And Physical Activity, Lauren M. Panner

Evidence-Based Practice Project Reports

In 2011, the CDC reported that there are 12.5 million obese children and adolescents living in the United States (U.S.). The financial burden of childhood obesity in the U.S. is estimated to be 14 billion dollars. The objective of this evidence-based practice (EBP) project was to answer the question: In school-aged children, how does school-based, structured, family-oriented physical activity education affect body mass index (BMI) compared to usual education over an eight week time period? The Stetler Model of EBP and the health belief model were used to guide this project in a rural, Northwest Indiana elementary school. For eight …

Implementation Of Mental Health Screening In An Adolescent Health Care Clinic, Lisa Colleen Isenberg

Dissertations

The purpose of this project was to increase the awareness of adolescent mental health issues and emphasize the importance of screening for depression and suicidal ideations, to provide clinicians mental health screening tools, and to determine the barriers and challenges involved in performing mental health screenings in practice. This project implemented mental health screenings in an adolescent, urban, walk in health clinic and evaluated the mental health screening and implementation process from the patient and the provider perspectives and determined the resources needed for follow up. This practice evaluation project included a mental health screening on consenting 18-24 year olds, …

Self-Medication Practices Of Undergraduate College Students: Non-Medical Prescriptive Stimulant Use, Kim M. Vo

Honors Scholar Theses

Purpose: The purpose of this study was to determine self-medication practices of undergraduate students enrolled at the University of Connecticut in attempt to inform future educational efforts on drug misconceptions in order to encourage safe medication practices among incoming undergraduate students.

Background: Non-medical use of stimulants prescribed for attention-deficit/hyperactivity disorder (ADHD) treatment has gained attention due to non-medical prevalence rates in U.S. colleges. Current literature investigates circumstances, demographics and motives in sample populations that increase student misuse of these prescription medications.

Methods:

Design: Multi-method research strategy investigating the perceived focus group coded data to the actual self-reported Adhere Tx Know …

Limited English Proficient Patient's Use Of Family Members And Interpreters: A Pilot Study, Brittany T. Histing

Honors Scholar Theses

The purpose of this study is to explore and describe the experiences of “Spanish speaking, Spanish dominant and Limited English Proficient Latino patients” accessing health care in the United States (Parés-Avila, Sobralske, & Katz). This will be a descriptive study addressing caring for LEP patients accessing the healthcare setting using interpreters. The goal of the study is to describe LEP patient’s familiarity of interpreter services available via the CLAS standards, describe LEP patient’s experiences accessing healthcare in the United States, and describe LEP patient’s experiences in the United States health care system using or not using an interpreter.

Self-Medication Practices Of Adults With Sickle Cell Disease: Design And Methodology, Courtney Marie Beyers

Honors Scholar Theses

Aim of study

To survey the self-medication practices of adults with Sickle Cell Disease (SCD) using NIH-validated ActualMeds™ Medication Management System via Apple iPad®, in order to improve individual medication management (adherence).

Rationale and Significance

Adults with SCD are a significant population to study when considering self-medication behaviors. Because individuals with SCD are now outgrowing the speciality care of pediatricians, and often find themselves left to manage multiple medications and self-care interventions.

This research is important in understanding medication management, such as high-risk medication adherence behaviors, prescription drug interactions, and over-the-counter drug interactions with prescription drugs in the UCHC patient …

Nursing Students' Perceptions Of Uncivil Behavior In The Classroom Setting., Jessica Marie Stamey

Undergraduate Honors Theses

There is an increase in uncivil student behaviors in the classroom setting including inattention, lying, cheating, and plagiarism. The purpose of this quantitative descriptive study was to determine behaviors that undergraduate nursing students perceived as uncivil in the classroom. The research question was, “How do undergraduate nursing students perceive uncivil behavior in the classroom?” A convenience sample using cluster sample method of all five undergraduate baccalaureate nursing student cohorts from a College of Nursing in Appalachia were invited to complete the researcher’s edited version of the Incivility in Nursing Education (INE) survey. There were 526 undergraduate nursing students enrolled in …

Balance And Gait Among A Community Dwelling Older Adult Population Using Nintendo Wii Bowling Game., Carly Hutchins

Undergraduate Honors Theses

Due to the increase in the aging population older adults are looking for ways to stay fit and active in their later years. Such activities need to be fun, easy to operate, and encourage socialization. The Nintendo Wii© Bowling provides these features for the aging population. Participants in this quantitative pilot study had the opportunity to play the Nintendo Wii© Bowling Game twice a week for six weeks to see if their balance and mobility would improve when compared with the pre and post scores from the Performance Oriented Mobility Assessment (POMA). The participant’s scores on the Performance Oriented Mobility …

Nursing Student's Perceptions Of Cultural Competency., Caitlin Malcolm

Undergraduate Honors Theses

As the United States population becomes more culturally diverse, it has become a priority for health care professionals to competently provide culturally sensitive care. Cultural competency is required in baccalaureate (BSN) programs, mandated by collegiate nursing accrediting agencies. Although BSN programs have integrated cultural competency education into their core curricula, little data has been collected evaluating outcomes and effectiveness. Using a 36 question survey, students in all levels of a selected BSN program were asked questions regarding cultural competency and attitudes towards cultural care. The ANOVA and a Tukey Kramer analyses were performed with an alpha coefficient of 0.05 and …

The Architects Of Healing, Bro. Ignatius Perkins, O.P.

Faculty Conference Presentations

Salute to Nurses – 2013 ~ National Nurses Week.  Co-Sponsored by the Tennessean and the Tennessee Nurses Association, May 10, 2013. Aquinas College, Nashville, Tennessee.

The Lived Experience Of African American Nurses Who Attended Predominantly White University Baccalaureate Programs: Characteristics Of Success And Resilience, Carmen A. Stokes

Master's Theses and Doctoral Dissertations

This qualitative dissertation explores the lived experiences of successful African-American nurses who attended baccalaureate programs at predominantly White universities (PWUs). Only 5.4% of the national registered nurse workforce is identified as African American; yet African-American citizens account for approximately 12.9% of the United States' population, and 24% of all enrollments in nursing programs nationwide is composed of African-American students. Past nursing education research has almost exclusively focused on the deficits of African-American students. This dissertation study focuses on a gap in the literature because it addresses the strengths and attributes of those African-American students who succeed, thereby contributing to an …

Differences And Similarities In Rural Residents’ Health And Cardiac Risk Factors, Florence M. Weierbach, Bernice Yates, Melody Hertzog, Bunny Pozehl

ETSU Faculty Works

Purpose: The current U.S. population exceeds three hundred million with approximately 20% living in non-urban rural areas. A higher percentage of rural residents have diagnosed heart disease and report poorer health compared to non-rural residents; however, it is not known whether risk factor modification for heart disease and health status differ based on degree of rurality. The purposes of this study were: 1) to compare differences in health status and cardiac risk factors between cardiac patients living in large and small/isolated rural areas, and 2) to compare the health status of rural cardiac patients with a national sample. Method: A …

The Impact Of Community Use Of Novel Oral Anticoagulants On An Academic Medical Center, Luis Eraso, Md, Taki Galanis, Md, Kristina Kipp, Pharm.D., Walter K. Kraft, Md, Michael Palladino, Pharm.D., Cacp, Alejandro Perez, Md, Kimberle Ferebee-Spruill, Crnp, Geno Merli, Md, Brian G. Swift, Pharm.D., Mba, Lynda Thomson, Brittany Vining

Department of Pharmacology and Experimental Therapeutics Faculty Papers

Warfarin has been a mainstay of therapy for treatment and prevention of venous thromboembolic disease (VTED) and prevention of stroke and systemic embolism for over 50 years. Recent FDA approval of several novel oral anticoagulants has offered more extensive treatment options for management of these disease states.

The availability of the novel anticoagulants offers an attractive alternative to warfarin therapy for patients due to their convenience of use. In comparison to warfarin, dabigatran, rivaroxaban and apixaban offer: - a fixed dosage regimen

- a relatively small potential drug interaction profile

- minimal laboratory monitoring

- little to no dietary restrictions. …

The Effectiveness Of A Parental Education Intervention About A Child-Oriented Approach To Tolieting For Healthy Thai Toddlersthe Effectiveness Of A Parental Education Intervention About A Child-Oriented Approach To Tolieting For Healthy Thai Toddlers, On-Anong Thammajinda

Evidence-Based Practice Project Reports

Toilet training (TT) is a necessary developmental task that all healthy children must ultimately achieve. The Centers for Disease Control and Prevention (CDC, 2001) noticed that E. coli can be spread to playmates by toddlers who are not toilet trained. Studies showed parental participation in the TT process is crucial and parental readiness to pledge to TT is an important step for training. In Thailand, very few studies were conducted about TT a toddler, and all of the studies were descriptive. The purpose of this evidence-based practice project was to determine the effectiveness of a parental education intervention about TT, …

Op-Ed: After Hospital Care, The Test Begins. Even For A Healthcare Professional, A Patient's Care Following Discharge Can Be Overwhelming., Beth Ann Swan

College of Nursing Faculty Papers & Presentations

In 2011, my husband, Eric, a trial attorney, was felled by a brain stem stroke just before he was to board a flight at O'Hare in Chicago. He was just 53 years old with no prior health conditions or problems. From the outset, we knew his recovery and rehabilitation would be long and difficult. We didn't know that his transition to post-hospital medical care would be just as challenging.

I'm the dean and a professor at the Jefferson School of Nursing at Thomas Jefferson University in Philadelphia, and I'm a registered nurse. I thought my training and access to resources …

Interprofessional Roles Shoulder Dystocia: Maximizing Safety In Community Hospitals, Elizabeth Yznaga

Doctor of Nursing Practice (DNP) Projects

Prompted by evidence that clinical simulations improve patient safety, team simulations are emerging in hospital settings. Accrediting organizations such as the U.S. Joint Commission on Accreditation of Healthcare Organizations and the American College of Obstetricians and Gynecologists (Joint Commission, 2004, American College of Obstetricians and Gynecologists, 2002) have recommend simulation of obstetrical emergencies, including shoulder dystocia for hospital teams. National patient safety mandates for simulation training of critical events have not been available to small, rural hospitals because of lack of talent and equipment, creating a gap in resources. Other than demonstrations by manikin companies, this author has currently been …

Debriefing Simulations: Comparison Of Debriefing With Video And Debriefing Alone, Shelly J. Reed, Claire M. Andrews, Patricia K. Ravert

Faculty Publications

Background: Debriefing as part of the simulation experience is regarded as essential for learning. Evidence concerning best debriefing practices from the standpoint of a student nurse participant is minimal, particularly when comparing debriefing types. This study evaluated the differences in the student experience between two debriefing types: debriefing with video and debriefing without video (debriefing alone). Method: Nursing students participating in an intensive care simulation were randomized into one of the two debriefing types: debriefing with video (n = 32) and debriefing alone (n = 32) following simulation completion. After debriefing was completed, studentswere asked to complete a debriefing experience …