Medicine and Health Sciences Commons^™

Addressing Gaps In Quality And Safety Education During Pre-Licensure Clinical Rotations, Susan Pauly-O'Neill, Elizabeth E. Cooper

Nursing and Health Professions Faculty Research and Publications

United States national reports have called for improvement in healthcare professions education to better address patient care outcomes. In response, an initiative titled “Quality and Safety Education for Nurses (QSEN)” has been adopted by nursing programs across the nation, which describes the six main competencies to be included in nursing curricula. As early adopters of the QSEN competencies, the University of San Francisco nursing faculty promptly threaded the material throughout the 4-year Bachelor’s of Science in Nursing (BSN) curriculum. Confident that the topics were well covered in the classroom, we then sought to learn how often our students practiced these …

People Who Inject Drugs, Hiv Risk, And Hiv Testing Uptake In Sub-Saharan Africa, A K. Asher, J A. Hahn, Marie-Claude Couture, K Maher, Page

Nursing and Health Professions Faculty Research and Publications

Dramatic rises in injection drug use (IDU) in sub-Saharan Africa account for increasingly more infections in a region already overwhelmed by the HIV epidemic. There is no known estimate of the number of people who inject drugs (PWID) in the region, or the associated HIV prevalence in PWID. We reviewed literature with the goal of describing high-risk practices and exposures in PWID in sub-Saharan Africa, as well as current HIV prevention activities aimed at drug use. The literature search looked for articles related to HIV risk, injection drug users, stigma, and HIV testing in sub-Saharan Africa. This review found evidence …

Liberation Health And The Role Of The Public Health Leader, Courtney Keeler

Nursing and Health Professions Faculty Research and Publications

The following short report lays the groundwork for rethinking the practice and implications of public health leadership in the context of liberation health. Liberation health reduces to a universal idea:health is freedom. In short, everyone holds a subjective notion of health and, within certain bounds, has the right to promote and maintain that health. This report briefly describes liberation health, discusses the implications of liberation health for public health leadership, and outlines two needed transformations in moving towards a liberation health model of leadership. The report details areas for future research on this topic among public health leaders …

Transcultural Self-Efficacy Of Nursing Education Leaders And Faculty Related To Non-Binary Sexual Identities, Grace Hoyer

Master's Theses and Doctoral Dissertations

Higher nursing education has demonstrated effective modalities in leadership, practice, and health policy (Antrobus & Kitson, 1999). However, advancement in understanding populations of non-binary sexual identities need further recognition in nursing academic education, within both faculty and administration realms.

This study is about transcultural efficacy (TSE), an essential component of nursing education and leadership, as it relates to aspects of non-binary sexual identities. Non-binary sexual identities include groups and individuals identified publicly or personally outside the binary (male/female), majority group of heterosexuals. This group may include but is not limited by the titles of gay, lesbian, bisexual, transgendered, queer, genderqueer, …

Transcultural Nursing And Malaria: Identifying Global Health Strategies Through The Lived Experiences Of Nurses From The Villages Surrounding Bamenda, Cameroon, Noella Sob Tataw

Theses Digitization Project

This study highlights the challenges faced by nurses working in the villages surrounding Bamenda, Cameroon. This is done as a necessary first step towards developing a culturally compelling intervention strategy fro Malaria prevention/treatment, through direct interaction of nurses in villages surrounding Bamenda in Cameroon. Malaria and other diseases pose significant health care problems in remote regions of Cameroon.

The Risk Factors Associates With Obesity And Shift Work Among Female Nurses, Donna Robinson

Graduate Research Projects

No abstract provided.

Orientation For Increased Volunteer Effectiveness With Midwives For Haiti, Kelly Toner

Inquiry: The University of Arkansas Undergraduate Research Journal

This pilot study created a comprehensive orientation module to help Midwives for Haiti prepare volunteers to serve in the organization’s midwifery school in Haiti. The module was evaluated to assess its perceived effectiveness and) revise it to better fit volunteer needs. The volunteers completed the module prior to their trip to Haiti and then completed an evaluation survey upon return; only three volunteers completed the entire pilot study process. Two out of three responded that the orientation fully prepared them for their time abroad. Other comments included the need for (a) additional emphasis on basic math and drip rate calculations, …

Master Of Science In Nursing Online Programs 2013, Nova Southeastern University

Health Professions Divisions Course Catalogs and Course Descriptions

No abstract provided.

Ua1c11/57 Bsn Graduation Photos, Wku Nursing

WKU Administration Documents

Unidentified photos of the 2013 BSN graduation ceremony.

Ua1c11/57 Sigma Theta Tau Induction Ceremony Photos, Wku Nursing

WKU Administration Documents

Unidentified images from the 2013 Sigma Theta Tau induction ceremony.

The Lived Experience Of Weight Retention Among Postpartum African American Adolescents, Thelma Mae Phillips

Wayne State University Dissertations

Background: Obesity presents a public health challenge and is a serious chronic medical condition, which is associated with multiple co-morbidities and reduced survivability/longevity (Davis, Stange, & Howitz, 2010). African American adolescents who retain weight after pregnancy are at the highest risk of becoming obese adults. Obesity is expected to cost the United States health care system over 237 million dollars (National Institutes of health, 2011) within the next decade.

The prevalence of obesity is cause for concern because of its costs to the economic base of the country and its toll in human suffering due to related morbidity and mortality. …

Predictors Of Psychosocial Adaptation To Pregnancy Among Urban African-American Primiparas, Joan M. Visger

Wayne State University Dissertations

Psychosocial adaptation to pregnancy among urban African-American women has not been well-researched. The purpose of this study was to examine predictors of psychosocial adaptation to pregnancy and to explore relationships among socioeconomic status, experiences and frequency of discrimination, personal control beliefs, social support, planned pregnancy, and model of health care among urban African-American primiparas using life course theory and Lederman's model of psychosocial adaptation to pregnancy as the framework.

One hundred and nine women participated in this descriptive, cross-sectional, correlational study. Participants were recruited from three clinical sites that provided care using medical and/or midwifery models of care. Study variables …

Sleep Homeodynamics And Wellbeing In Asymptomatic Hiv-Seropositive African American Women, Tabetha Lynn Gayton

Wayne State University Dissertations

SLEEP HOMEODYNAMICS AND WELLBEING IN ASYMPTOMATIC HIV–SEROPOSITIVE AFRICAN AMERICAN WOMEN

by

TABETHA LYNN GAYTON

December 2013

Advisor: Hossein N. Yarandi, PhD

Major: Nursing (Urban Health)

Degree: Doctor of Philosophy

BACKGROUND: HIV–related sleep disruption is a common complaint of persons with HIV infection. With the demographical shifts, African American women have now emerged as one of the fastest growing HIV populations today, yet they remain a vulnerable and underrepresented population in the sleep literature.

OBJECTIVE: The purpose of this pilot study was to explore the dynamics of HIV–related sleep disruption and wellbeing in asymptomatic HIV–seropositive AA women of childbearing age within …

Accountable Care Organizations: Elements Of Success, Sheila A. Haas

Nursing: School of Nursing Faculty Publications and Other Works

No abstract provided.

Affordable Care Act: Options For Accessing Health Insurance, Sheila A. Haas

Nursing: School of Nursing Faculty Publications and Other Works

No abstract provided.

Opportunities For The Uninsured To Access Affordable Health Insurance And Care, Sheila A. Haas

Nursing: School of Nursing Faculty Publications and Other Works

No abstract provided.

Quality Of Long-Term Care In Medicare-And Medicaid-Certified Nursing Homes In Southwest Ohio, Cheng Wu Zhang

Master of Public Health Program Student Publications

Background: Long-term care facilities provide a wide range of services over a sustained period of time to people of all ages with functional limitations and chronic conditions. Nursing homes provide 24 hour nursing care support and long-term housing.

Objectives: The purpose of this study is to explore the relationships among nursing home ownership, care processes and quality outcomes in Medicare- and Medicaid-certified nursing homes in Ohio.

Methods: This is a descriptive study that uses the Centers for Medicare and Medicaid Services’ (CMS) Minimum Data Set (MDS). There were 198 Medicare and Medicaid certified nursing homes located in Southwest Ohio included …

Virtual Collaboration In The Online Educational Setting: A Concept Analysis, Henny Breen

Faculty Publications

This study was designed to explore the concept of virtual collaboration within the context of an online learning environment in an academic setting. Rodgers’ method of evolutionary concept analysis was used to provide a contextual view of the concept to identify attributes, antecedents, and consequences of virtual collaboration. Commonly used terms to describe virtual collaboration are collaborative and cooperative learning, group work, group interaction, group learning and teamwork. A constructivist pedagogy, group-based process with a shared purpose, support and web-based technology are required for virtual collaboration to take place. Consequences of virtual collaboration are higher order thinking and learning to …

Examination Of The Impact Of Living Arrangements And Marital Status On Depression Among Older Adult Male Veterans, Nicole M. Behne

Honors Theses, 1963-2015

As the older adult population grows, depression rates are also on the rise. This is especially evident among American veterans, who experience a depression incidence close to 30%, making it one of the most common diagnoses treated within the Veterans Health Administraiton (Hankin, Spiro, Miller et al, as cited in Cully, Zimmer, Khan & Petersen, 2008).

The purpose of this study is to identify key demographic variables associated with depression among older male veterans. The results could help improve patterns of care, hopefully improving the management of depression. The retrospective descriptive study uses existing medical record data to identify patterns …

Identification Of Contributing Factors To Alcohol Abuse In Korean And Vietnam War Veterans, Hannah Prososki

Honors Theses, 1963-2015

Background: It is known that alcohol use is prevalent among American military personnel. There is little research on whether or not alcohol abuse in the military today can also be applied to Korean and Vietnam era war veterans.

Objective: This study aims to discover if risk factors for alcohol abuse patterns from Korean and Vietnam War veterans match a more recent predictive model for veteran alcohol abuse.

Method: A Retrospective descriptive study, using existing medical record data, drawn from a total record set of 400 veterans, 59 of which met inclusion criteria for alcohol abuse. Cases were then …

Dr. William Gorgas And His Management Style In The Eradication Of Yellow Fever During The Panama Canal Construction: A Historical Case Study, Faisal H. Aboul-Enein

2010-2016 Archived Posters

This study describes the style of management of Dr. William Gorgas as he led the public health effort to reduce diseases to a level that permitted the completion of the Panama Canal construction. Initially, Gorgas was skeptical of the mosquito vector theory. He fully accepted this theory after participating in Walter Reed's massive cleanup of Havana, Cuba during the Spanish American War of 1898. During 1905 to 1914, Gorgas was selected to lead the sanitary effort during the construction of the Panama Canal. The lessons learned from this historical case study provide public health administrators with guidance to effectively lead …

Hiding In Plain Sight: Building Community Special Social Capital In Distance Education Graduate Programs, Brenda H. Sheingold, Joyce A. Hahn, Anne Hofmeyer

Nursing Faculty Publications

No abstract provided.

Mind The Gap: Fostering Scholarship-Into-Practice For Advanced Practice Nursing Students Through Embedded Librarianship, Brenda H. Sheingold, Thomas Harrod

Nursing Faculty Publications

In recent years, librarianship has been increasingly recognized as a critical component of inter-professional healthcare education. This manuscript describes how innovative coordination between libraries and university healthcare programs can remove the barriers to scholarship for graduate students who enroll in distance education (DE) programs. The authors examined the perceived impact of librarian embedment for DE nursing students graduating with master’s degrees from George Washington University in 2013. Librarians were embedded in the first course in which they were enrolled in 2010 to support the mastery of scientific research skills. Analysis indicated that students strongly agreed that contact with embedded librarians …

Weight Bias: Promoting Nurses' Awareness, Beverly A. Kaehler

Theses and Graduate Projects

Obesity is an epidemic in the United States. Health care providers, including nursing staff who specialize in obesity treatment are not immune to the prevalent negative perceptions of obesity in society. Literature has demonstrated how nurses' bias can affect the care they give the obese population. Education can help develop self-awareness and increased self-awareness can develop caring attitudes. An educational program, that used cognitive and affective domains, to increase nurses' sensitivity and caring attinrdes was developed and presented to the nurses on a general surgery nursing unit that specializes in bariatric surgery. The nurses found the education very helpful, but …

Innovative Pain Management Of The Post-Operative Patient, Debra Perry

Theses and Graduate Projects

Medical/surgical patients post-operatively report significant pain and are not always satisfied with their pain management. Nurses on medical/surgical units frequently find themselves in a cycle of chasing after their patients' pain. Medical/surgical units historically rely heavily on pharmacological interventions to manage post-operative pain with little focus on non-pharmacological interventions. With the integration of complementary and alternative medicine (CAM) as an additional tool for care for medical/surgical nurses, they will be empowered to be proactive rather than reactive in post-operative pain management. This project develops an innovative post-operative pain management educational program that integrates Western medicine and CAM into the care …

Self-Care For Native American People With Type 2 Diabetes: A Creative Approach To Enhance Their Well-Being, Manuela Przybyszewska-Wosiek

Theses and Graduate Projects

The development of culturally congruent visual resources on self-care in type 2 diabetes is a culturally appropriate method to provide education to the Native American patients. In particular, the creation of a series of illustrations on foot care is needed. Guided by Leininger's Culture Care Theory and the Sunrise Enabler, materials on foot care are developed through the convergence of emic (generic) and etic (professional) knowledge. Orem's Theory of Self-Care and the Native American perspectives are used to integrate concepts pertaining to self-care. This project supports the enhancement of health literacy as a component of health communication - a goal …

Leading The Way To Comprehensive And Compassionate Care Of Bariatric Patients, Wendy Kay Grimshaw

Theses and Graduate Projects

The past several decades have seen drastic increases in obesity worldwide. The United States (U.S.) is one of the leading countries for obese populations and has seen an even greater increase in its morbidly obese population, referred to as bariatric in the health care community. Many health care facilities designed to care for normal weight patients find themselves grappling to provide care for bariatric patients in facilities not built to accommodate their size. Widespread bias against obese patients, gaps in proper space and equipment, and knowledge deficits related to care needs and co-morbidities specific to the bariatric patient population need …

Promotion Of Mental Health Wellness Among Second Generation Immigrants In The Cedar Riverside Neighborhood, Caroline Abenakyo

Theses and Graduate Projects

Effects of the stigma associated with mental health illness among immigrant populations are exacerbated by challenges like language barrier, poverty and low education status. Immigrant children and teenagers are more vulnerable to compromised mental health wellness due to their dependence upon adults and their critical developmental stages. The purpose of this project is to explore the collaborative effort between health care professionals, law enforcement, community leaders and volunteers in the development of a nursing based support group for East African immigrant parents to promote mental health wellness for second generation immigrants in the Cedar Riverside neighborhood. Madeleine Leininger's Theory of …

The Malaika Project, Monicah M. Gikiri

Theses and Graduate Projects

Father involvement has been reported to have a positive relationship with children outcomes. The goal of this project is to empower young fathers by providing a safe home. The Malaika project will provide safe housing for young fathers age l8-21. Providing housing stability could potentially increase the parental involvement of the young father. The project was guided by Watson Theory of Caring and Culture of Safety Theory developed by Irihapeti Merenia Ramsden. This paper provides a guide on how these safe homes will be established. The project will discuss challenges that have been identified such as financing, IRS filings, and …

Quiet Please: Our Patients Are Healing!, Evie Pochardt

Theses and Graduate Projects

Patients are under a significant amount of stress during their hospitalization. Noise is an environmental stressor which is found at increasing levels in hospitals and is a primary annoyance for patients. This environmental pollutant can impair a patient's rest, sleep, and ultimately affect healing. Unwanted noise has been shown to cause sleep disturbance, impair wound healing, trigger hormones affecting the cardiovascular system, immune system, and metabolism as well as perception of pain. Intermittent noises such as those from infusion pumps, monitor alarms, and pagers are the most disturbing. Nightingale believed that unnecessary noise was harmful to the patient's healing; it …