Medicine and Health Sciences Commons^™

A Comparative Effectiveness Study Of Continuous Positive Airway Pressure (Cpap) Related Skin Breakdown When Using Different Nasal Interfaces In The Extremely Low Birth Weight (Elbw) Neonate, Katherine Newnam

Theses and Dissertations

Nasal continuous positive airway pressure (CPAP) is reportedly superior to mechanical ventilation in the neonatal population by reducing bronchopulmonary dysplasia (BPD). The neonate is vulnerable to injury secondary to immature physiological systems and skin structures and the current CPAP devices place constant pressure on nares, nasal septum and forehead, increasing injury risk. Through the framework of comparative effectiveness research an examination of nasal interfaces currently used during neonatal CPAP was conducted in an effort to provide scientifically supported recommendations and improve clinical outcomes. The primary aim of this study was to determine differences in the frequency, severity and specific types …

Dehumanization Of The Clinician And The Demise Of The Healing Relationship, Bro. Ignatius Perkins, O.P.

Faculty Conference Presentations

Presented at the conference, Catholic Principles in Health Care: Are They Compatible in a Secular Society, April 27, 2013. Aquinas College, Nashville, Tennessee & John Carroll Catholic High School, Birmingham, Alabama.

Abstract:

Professional literature in health care ethics today frequently reports discussions on the multiple variables that threaten the human dignity and vulnerability of the sick person. Unfortunately, little attention is given to understanding how human dignity of the clinician is threatened and violated in the current health care environment.

Today’s technologically and economically-driven health care environment is influenced by moral relativism, reductionism, and a clinical focus on specialization, technology …

The Effects Of A Violence Assessment Checklist On The Incidence Of Violence For Emergency Department Nurses, Sarah Knapp

Evidence-Based Practice Project Reports

Workplace violence (WV) is commonplace in American culture, and nurses working in emergency departments (ED) are not immune to its effects. Violence against emergency department nurses is prominent in current nursing literature, and a cause for major concern. Regrettably there is no consistent tool being used to assess for potential patient violence specific to the emergency department. Current assessment tools have been developed and are commonly used in the mental health arena. This evidence-based practice project concentrated on answering the clinical question of whether or not a violence risk assessment checklist reduced the incidence of violence and increased perception of …

The Role Of Nurses In Pediatric Pain Assessment And Interventions, Katie Pfannenstein

Honors Capstones

Capstone submitted as a graduation requirement for the BSU Honors Program.

Opinions About Smoking, Secondhand Smoke Exposure, And Smoking Behaviors Of Freshmen College Students, Nathan Matejczyk, Nina Tu, Michelle De Young, Nicole Arena

Symposium on Research and Creative Expression (SORCE)

The purpose of this project was to assess first semester freshman college students’ opinions about smoking, secondhand smoke exposure, and smoking behaviors on a smoke-free campus. This research used an online cross-sectional survey. For two years, surveys were emailed via Zoomerang to all first semester freshmen students at Valparaiso University. Survey questions contained 60 forced-choice or open-ended options. Data were analyzed using descriptive statistics. A total of 630 students responded. Subjects were primarily female (58.4%) and Caucasian (84.9%). Twenty-five percent of the respondents reported being exposed to secondhand smoke in their environments. Twenty-nine percent were unaware that the campus is …

Health Literacy: Understanding Medication Labels, Jennifer Sechrist, Brittany O’Reilly, Katherine Jankauski, Emily Czekala, Lily Salinas

Symposium on Research and Creative Expression (SORCE)

Introduction: According to the Institute of Medicine (IOM), over 90 million people in the U.S. have difficulty understanding and using health information including medication labels. Purpose: To determine how individuals interpret medication labels and the relationship between medication label interpretation and level of health literacy. Method: Participants were recruited from a student-run health fair and a University Relay for Life. After securing consent, participants completed demographic information and the Rapid Estimate of Adult Literacy in Medicine (REALM). Participants were asked to blindly choose three medication containers from a bag. The labels were prepared by a registered pharmacist and affixed to …

A Case Study Exploring Restraint And Seclusion Use In School-Age Children On An Inpatient Psychiatric Unit, Michelle Buckman Phd

Dissertations

Perceptions of children restrained and secluded (R&S) were explored using Yin's methodology and critical theory. The literature presented reviewed proponent's and opponent's views of the R&S intervention used on inpatient psychiatric units for the containment of violent patients. Despite reports of physical and emotional injury to staff and patient during restraining and secluding children, the intervention is still in use. Using Machover's framework, a semi-structured interview and drawings were used to illicit information from a 12 year old boy about his perceptions of R&S. Then, a presentation of barriers to conducting research is made. Results of the child's perceptions included …

The Stethoscoop, March 22, 2013, Mennonite College Of Nursing

The Stethoscoop (2013-2017)

The Stethoscoop is the newsletter for Mennonite College of Nursing students.

A Diabetes Prevention Program Provided By Home Care Nurses To Residents Of Public Housing Communities, Robin Whittemore Phd, Alana Rosenberg Mph, Sangchoon Jeon Phd

Journal of Health Disparities Research and Practice

The purpose of this pilot study was 1) to modify the Diabetes Prevention Program protocol collaboratively with home care nurses, health professionals, and residents of public housing: 2) to evaluate the feasibility (reach and implementation) and the preliminary efficacy of the modified diabetes prevention program (mDPP) provided by home care nurses to adults at-risk for T2D on clinical, behavioral, and psychosocial outcomes compared to an enhanced standard care control group. A mixed-method sequential design was used. The sample (n=67) was primarily female (79%), with a mean age of 40 years, and of diverse race and ethnicity (76% non-White). Home care …

Malnutrition And Diseases Affecting The Children Of Uganda, Crystal Brooke Baldwin

Senior Honors Theses

Every day there are children in underdeveloped countries, such as Uganda, who are struggling to survive on minimal food, money, and other resources. These children do not have the opportunity to enjoy the benefits of a normal childhood because their main focus is on survival. Many of these children will die because of preventable disease and starvation that have resulted from the endless cycle of poverty and lack of education. Those who are lucky enough to survive must fight a daily battle to find the nutrients they need and to combat the diseases they may acquire. It is heartbreaking to …

Nurses’ Perspectives On Neonatal Massage Therapy In The Neonatal Intensive Care Unit, Kayla R. Hanson

Senior Honors Theses

Research in neonatal massage therapy has shown many possible benefits to the baby and family. Though there has been a growing trend towards family-centered care, along with a substantial and growing body of research, the practice of neonatal massage therapy is not routine in most NICUs. This study was conducted to evaluate neonatal intensive care nurses’ perspectives and attitudes towards neonatal massage therapy before and after evidence-based education. Willingness to discuss benefits of neonatal massage therapy significantly increased after education on neonatal massage therapy. The findings suggest that with proper training on the techniques and safety monitoring of massage therapy, …

Non-Pharmacologic Interventions For Long-Term Chronic Insomnia, Bo Mi You

Nursing Masters

Purpose: To systematically review, analyze and synthesize empirical evidence that has been published regarding the effectiveness of non-pharmacological management for patients with chronic insomnia.

Healthy Skin Is In: Effects Of A Multifaceted Sun Safety Program For Adolescents, Lindsay A. Munden

Evidence-Based Practice Project Reports

Skin cancer is a common, potentially life threatening disease notably on the rise among young Americans. A substantial portion of lifetime exposure to ultraviolet (UV) radiation, the greatest modifiable risk factor for skin cancer development, occurs during childhood and adolescence. Schools infrequently integrate sun safety education into the classroom and many lack essential sun safety policies. The purpose of this EBP project was to implement a multifaceted educational intervention providing middle school students with the knowledge behavioral skills needed to minimize the risk of developing skin cancer. The Health Belief Model and ACE Star Model of evidence-based practice guided this …

Providing Holistic And Spiritual Nursing Care, Jessika D. Gore

Senior Honors Theses

Holistic nursing is care of the whole person, which addresses physical, mental, emotional, spiritual, and relational aspects of health. Historically, nursing has always integrated these aspects into providing care. Nursing developed out of religious orders and was predominantly a way to serve God by serving the poor and the sick. Florence Nightingale believed that nursing was her calling from God and her faith and spirituality influenced every aspect of her care. Nurses today are often fearful of addressing the spiritual needs of their patients, despite research that demonstrates the importance of providing care in these areas. Nurses can use interventions …

Interdisciplinary Health Fair And The Tendencies Of Young Adults To Receive Follow-Up Health Care, Kaelyn Monroe

Honors Theses

The following proposal outlines the planning, implementation, and follow-up regarding an organized health fair that aims to promote healthy lifestyle in a minority population. The health fair will be conducted on October 9' 2012 at Climax Scott's Alternative High School. The populations addressed through this project include: 60 students ranging from 16-19 years of age, 30 individuals 19 years or older and 10 teachers. The health fair will be organized by three senior-level Bronson School of Nursing students: Alexandra Scheidt, Abby Smith, and Kaelyn Momoe. The thesis project committee consists of: Dr. Sally Vliem, Professor Wendy Kershner, and Professor Alice …

Interdisciplinary Health Fair And The Tendencies Of Young Adults To Receive Follow-Up Health Care, Alexandra Scheidt

Honors Theses

The following proposal outlines the planning, implementation, and follow-up regarding an organized health fair that aims to promote healthy lifestyle in a minority population. The health fair will be conducted on October 9' 2012 at Climax Scott's Alternative High School. The populations addressed through this project include: 60 students ranging from 16-19 years of age, 30 individuals 19 years or older and 10 teachers. The health fair will be organized by three senior-level Bronson School of Nursing students: Alexandra Scheidt, Abby Smith, and Kaelyn Momoe. The thesis project committee consists of: Dr. Sally Vliem, Professor Wendy Kershner, and Professor Alice …

Travesty Of Trust: A Critical Look At Racial And Ethnic Discrimination In The Healthcare Setting, Thea A. Beaty

Senior Honors Theses

The purpose of this thesis is to review the overarching purpose of healthcare, examine race-related disparities in minority patient outcomes within specific fields of medical practice, and discuss whether these disparities are the result of racial discrimination within the clinical setting, or are due at least partially to genetic and environmental factors, followed by an examination of how cross-cultural education for healthcare professionals can be improved to equip medical personnel with the attitudes, knowledge, and skills necessary to provide effective care to a culturally diverse patient populace. The benefits of recruiting a culturally and linguistically diverse team of healthcare providers …

Prevalence Of Pregnancy Folkloric Beliefs Among Nurse-Midwifery Client Populations, Iris Aleece Campbell

Honors Theses

OBJECTIVE: To explore prevalence of pregnancy related folklore beliefs by conducting a survey of CM/CNMs in the United States. Research questions included: What folklore beliefs are most commonly encountered by nurse-midwives? Does the prevalence of folklore beliefs differ by geography? Does the type of folklore beliefs differ by the ethnicity and culture of the nurse-midwifery clientele?

METHODS: After IRB and ACNM approval, a geographically diverse sample of 1,000 active CM/CNM members was sent an invitation email. The survey was developed following a literature review to include 12 pregnancy beliefs. Responders were asked to rate how frequently they heard each (never-I, …

Quantifying Head Injury Severity Following Pediatric Patient Falls, Janet Dufek, N.A. Ryan-Wenger, K.C Mefferd

Interdisciplinary Research Scholarship Day

The purpose of this study was to retrospectively calculate the head injury criteria (HIC) values for pediatric patient falls and correlate these values to documented injury severity (MERP) scores. A second purpose was to examine the relationship between child ages and associated HIC15 values in an attempt to scale the values obtained from pediatrics to adult values.

Pre- And Post-Interrvention Perceptions Of Illness, Health, And The Home Environment Among Nevada Healthy Homes Participants, Michelle Ching, Shawn Gerstenberger

Interdisciplinary Research Scholarship Day

The Nevada Healthy Homes Partnership (NVHHP) is a collaborative program between the University of Nevada, Las Vegas (UNLV), Southern Nevada Health District (SNHD), Rebuilding Together (RBT), HELP of Southern Nevada, and other public/private housing authorities and health agencies in Southern Nevada.

Cardiovascular Risk Factors Prevalent Among Filipino-Americans: A Cross-Sectional Study, Alona Angosta

Interdisciplinary Research Scholarship Day

Filipino Americans are the 2nd largest Asian subgroup in the United States and their leading cause of death is cardiovascular disease (CVD). Despite this, little is known about their prevalence of CVD risk factors. This study revealed that many Filipino Americans living in Clark County, Nevada are at risk of heart disease because of the presence of CVD risk factors. Intensive lifestyle modification and treatment are recommended to help decrease the prevalence of heart disease in this group and improve their overall health outcomes. Nurses and nurse practitioners are in excellent position to educate their Filipino American clients regarding heart …

Teaching Qsen Competencies To Entry Level Nursing Students, Brianna Clouet, Melissa Glasper, Cheryl Perna

Interdisciplinary Research Scholarship Day

The University of Nevada Las Vegas (UNLV) is a public state university with a fully accredited School of Nursing (SON), which typically admits 48 students every trimester into their accelerated pre-licensure BSN program. UNLV is:

• Accredited by the Commission on Collegiate Nursing Education (CCNE)

• Fully Approved by the Nevada State Board of Nursing (NSBN),

• Continuously working to meet and uphold external standards and to remain current and competitive.

A team consisting of two Level 4 BSN students and the BSN Coordinator identified the need to better integrate the QSEN competencies into current nursing curriculum. Although the competencies are embedded into …

The Impact Of Interdisciplinary Code Simulation On Perceptions Of Collaboration And Team Performance Among Internal Medicine Residents And Nursing Students, Cynthia Herrick, Michael Michael Nasiak, Aditi Singh, Sandhya Wahi-Gururaj, C. Sue Witt, Jessica Doolen, Kevin Gulliver

Interdisciplinary Research Scholarship Day

• Allows for inter-disciplinary training
• Provides safe environment to practice patient care with immediate feedback-quality improvement
• Results in better adherence to protocols
• Well received by learners
• In one study, almost half of IM residents surveyed felt ill- equipped to lead code teams even after ACLS training

Crisis Resource Management (CRM)

• Communication and cooperation
• Leadership and management
• Situational awareness
• Decision-making

A Single Long-Term Acute Care Hospital Experience With A Pressure Ulcer Prevention Program, Daniel Young, Cathy Borris-Hale

Interdisciplinary Research Scholarship Day

This study describes the experience of a single, long-term care acute hospital (LTAC) with the Medline Pressure Ulcer Prevention Program (mPUPP)

• The growing light being shed on pressure ulcer (PrU) costs for the people that get them and the health care systems that treat them, has challenged care facilities to look for programs to reduce nosocomial PrU
• Each PrU can cost between $700 and $135,000 in medical care related expenses and litigation
• Recent evidence suggests that successful PrU prevention programs have common characteristics

Preliminary Results Of Using A Student Success Facilitator In An Accelerated Baccalaureate Nursing Program, Jennifer Bellsey, Cheryl Perna, Tish Smyer, Carolyn B. Yucha, Antonio Gutierrez,

Interdisciplinary Research Scholarship Day

Competing demands of work, family, friends, and the academic rigor while in an accelerated baccalaureate nursing program often lead to high levels of anxiety and may contribute to unsuccessful student progression. This phenomena is not unique to the UNLV School of Nursing but is an issue that nursing programs grapple with nationwide. While there is nursing research literature related to student success programs there are limited studies that describe the use of a Student Success Facilitator (SSF) coupled with a Student to Student Mentoring Program (SSMP). IRB Exempt #1205-4167

Self-Management And Self-Management Support On Chronic Low Back Patients In Primary Care, Jennifer Kawi

Interdisciplinary Research Scholarship Day

• Chronic low back pain (CLBP) afflicts 28.5% of adults costing $100-200 billion dollars.
• In response, the Institute of Medicine (2011) strongly recommended self-management (SM) to engage patients to care for themselves adequately.
• Healthcare professionals are also urged to provide effective self-management support (SMS) to empower patient’s ability to self-manage.
• SM and SMS have shown success in improving other chronic disease outcomes; current knowledge base are insufficient in non-malignant CLBP

Effectiveness Of A Reference Accuracy Strategy For Faculty Scholarship, Kirsten Speck, Barbara St. Pierre Schneider,

Interdisciplinary Research Scholarship Day

The dissemination of scholarly information through scholarly publishing is one of the most important requirements to be successful in academia. Approximately 25-45% of nursing scholarship has at least one reference error. Reference inaccuracy occurs in scholarly publishing because most faculty authors focus more on the writing than on the accuracy of the references or these authors inadvertently miss the reference errors. Nevertheless, inaccurate references hinder the retrieval of material if author names are misspelled or the year or volume number is incorrect. Also, this lack of precision can raise questions about the accuracy of other parts of the material and …

Barriers To Health Care For People With Disabilities And Practice Administrators’ Knowledge Of The Ada: Nevada Compared With The Nation, Jennifer Pharr, Michelle Chino

Interdisciplinary Research Scholarship Day

The purpose of this study was to determine if the number of barriers reported in the clinics could be predicted by characteristics of the administrators or
characteristics of the practice.To increase accessibility to health care, interventions should focus on practices located in buildings built before 1993, practices with administrators who are younger and have limited experience as administrators, administrators with low levels of ADA knowledge and practices with smaller number of patients.

Evaluation Of The Childhood Blood Lead Screening Component Of The Southern Nevada Childhood Lead Poisoning Prevention Program, Melissa Breunig, Shawn Gerstenberger

Interdisciplinary Research Scholarship Day

The objective of this paper is to highlight the progress of the lead poisoning prevention program in Southern Nevada. Specifically, we present blood lead screening results for Clark County, Nevada from 2006 through 2011, and review the progress towards recommendations made by Rothweiler et al. for Nevada in 2007.7

Levels Of Adoption Of Electronic Health Records And Patient Safety: Effectiveness And Efficiency, Scott Neishi, Yili Gan, Christopher R. Cochran, Jay J. Shen

Interdisciplinary Research Scholarship Day

• Patient safety, including hospital acquired infections has become one of the major concerns in healthcare delivery in recent years
• Electronic health records are becoming an integral aspect of the health care delivery
• Health policies have been looking to improve quality / patient safety and efficiency of healthcare through the adoption of electronic health record (EHR) systems
• Can EHR adoption improve patient safety?
• Can EHR adoption reduce cost?
• H1: Patients treated at hospitals with a higher level of EHR adoption are less likely to incur poorer patient safety indicators
• H2: Patients treated at hospitals with a higher level of EHR adoption …