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Articles 28321 - 28350 of 34232
Full-Text Articles in Medicine and Health Sciences
Beware, Don’T Overshare - Proper Use Of Social Media For Nurses, Sheryl Repischak Rn, Bsn, Ms
Beware, Don’T Overshare - Proper Use Of Social Media For Nurses, Sheryl Repischak Rn, Bsn, Ms
Patient Care Services / Nursing
No abstract provided.
Factors Associated With Fear Of Breast Cancer Recurrence Among Survivors, Jean Marie Lucas
Factors Associated With Fear Of Breast Cancer Recurrence Among Survivors, Jean Marie Lucas
USF Tampa Graduate Theses and Dissertations
The purpose of this cross-sectional, secondary data analysis was to explore, non-modifiable (stable) trait factors and modifiable (transient) state factors associated with fear of recurrence (FOR) in breast cancer survivors. Antecedent trait factors included demographic, clinical, social/behavioral factors, postulated mediator state factors included pain, fatigue, sleep disturbances, depression, state anxiety and perceived stress, and FOR was the outcome variable. The study used baseline data from an R-21 NCI funded (grant #R21CA109168) randomized control trial that examined the effects of mindfulness based stress reduction in early stage breast cancer recovery. Instruments from this study for antecedent variables (trait factors) included a …
The Strong Black Woman, Depression, And Emotional Eating, Michelle Renee Offutt
The Strong Black Woman, Depression, And Emotional Eating, Michelle Renee Offutt
USF Tampa Graduate Theses and Dissertations
Abstract
Eighty percent of all black women are overweight or obese which can lead to greatly increased morbidity and mortality, increasing healthcare costs and loss of healthy years of life. While multiple factors may contribute to obesity in black women, the cultural persona of the Strong Black Woman (SBW), an ideology that promotes unflagging toughness and denial of self-needs, may be the basis for behaviors that contribute to steady state obesity in this group. The purpose of this study was to investigate the relationships between the SBW persona, depression, and emotional eating.
Two predominately black churches in Florida were approached …
Prenatal Stress, Depression, And Herpes Viral Titers, Pao-Chu Hsu
Prenatal Stress, Depression, And Herpes Viral Titers, Pao-Chu Hsu
USF Tampa Graduate Theses and Dissertations
Recent studies suggest that some cases of prenatal depression may be associated with reactivation of latent infections of the herpesvirus family. The possible relationships among stress, prenatal depression, and herpes viral reactivation in pregnancy are understudied and the molecular pathways such as the neuroimmune biogenic amine pathway are unidentified. Chronic stress shifts the T helper-1 cell (Th1) cytokine profile to a Th2 profile, which favors virus induced pathogenesis and survival. Pregnancy is also associated with a similar Th2 dominance. In non-pregnant individuals, exposure to psychological or physical stress may be associated with latent herpes viral reactivation and could result in …
Predictors Of Quality Of Life In Patients With Cutaneous T Cell Lymphoma, Darcie Marie Deaver
Predictors Of Quality Of Life In Patients With Cutaneous T Cell Lymphoma, Darcie Marie Deaver
USF Tampa Graduate Theses and Dissertations
Abstract
Cutaneous T cell lymphoma (CTCL) is a rare, incurable, chronic disease accounting for approximately 3% of non-Hodgkin's lymphoma diagnoses every year. Patients with CTCL have skin lesions that can vary in severity putting patients at risk for developing symptoms that may impair their quality of life (QOL). The disease burden can lead to increased depressive symptoms, fatigue distress, and anxiety that the disease may be worsening. Seventy-five participants agreed to take part in an exploratory, prospective study to evaluate depressive symptoms, anxiety, fatigue distress, and spirituality as predictors of QOL in CTCL patients. Demographic variables including stage of disease, …
Knowledge And Practice Of Reproductive Health Among Mothers And Their Impact On Fetal Birth Outcomes: A Case Of Eritrea, Winta Negusse Araya
Knowledge And Practice Of Reproductive Health Among Mothers And Their Impact On Fetal Birth Outcomes: A Case Of Eritrea, Winta Negusse Araya
USF Tampa Graduate Theses and Dissertations
Maternal mortality is a huge concern globally leading to more than a quarter of a million deaths every year. Similarly, an estimated 4 million neonates die every year worldwide, contributing to the majority of deaths of under-5 children. The majority of these deaths take place in under-developed countries, and specifically, in the sub-Saharan Africa region. It is evidenced that maternal ill-health and death contribute to the majority of child deaths. Reducing the death of children under 5 years by two thirds and also improving maternal health/reducing maternal death by three quarters between the years 1990 and 2015 are two of …
Race/Ethnicity, Subjective And Objective Sleep Quality, Physical And Psychological Symptoms In Breast Cancer Survivors, Pinky H. Budhrani
Race/Ethnicity, Subjective And Objective Sleep Quality, Physical And Psychological Symptoms In Breast Cancer Survivors, Pinky H. Budhrani
USF Tampa Graduate Theses and Dissertations
Breast cancer is a major health problem and comprises the largest population of cancer survivors in the United States, estimated at 2.9 million women, accounting for 22% of all cancer survivors (National Cancer Institute, 2013). The advances in breast cancer screening, diagnosis and treatment has increased the importance of survivorship needs. A major concern among breast cancer survivors (BCS) is sleep disturbances. This study used an innovative approach to examine ethnic and racial disparities in sleep disturbances present in BCS. In addition, this study also explored sleep disturbances across different races/ethnicities. This study was a secondary data analysis of baseline …
The Relationship Between Socioeconomic Status And Body Mass Index On Vitamin D Levels In African American Women With And Without Diabetes Living In Areas With Abundant Sunshine, Shani Vann Davis
USF Tampa Graduate Theses and Dissertations
OBJECTIVE: To examine the relationships between socioeconomic status (SES), body mass index (BMI), and vitamin D levels in African American (AA) women living in areas with abundant sunshine; and to explore if diabetes moderates these relationships.
SIGNIFICANCE: More AA's live in poverty, and experience obesity, diabetes, and chronic disease compared to other groups. Eighty percent of AA women are overweight or obese, and rates of type 2 diabetes is highest in this group. Minority race, obesity, and diabetes increase risks for low vitamin D, and are associated with p
DESIGN AND METHOD: A cross-sectional descriptive research design was used to …
Relationship Between Dysphoric Moods, Risk-Taking Behaviors, And Toxoplasma Gondii Antibody Titers In Female Veterans, Allyson Radford Duffy
Relationship Between Dysphoric Moods, Risk-Taking Behaviors, And Toxoplasma Gondii Antibody Titers In Female Veterans, Allyson Radford Duffy
USF Tampa Graduate Theses and Dissertations
The number of female veterans is increasing daily. Previous research conducted on veterans has focused primarily on males or with small samples of females. Depression and suicidality are becoming increasingly evident in returning veterans. Toxoplasma gondii is an intracellular parasite that is common in the Middle East and has been reported to cause changes in personality and behavior.
The purpose of the current study was to examine relationships between T. gondii antibody titer and socioeconomic variables, dysphoric moods, and risk-taking behaviors in a sample of 70 female veterans. Blood samples were collected and analyzed for T. gondii antibody titer and …
Factors Predicting Pap Smear Adherence In Hiv-Infected Women: Using The Health Belief Model, Crystal L. Chapman Lambert
Factors Predicting Pap Smear Adherence In Hiv-Infected Women: Using The Health Belief Model, Crystal L. Chapman Lambert
USF Tampa Graduate Theses and Dissertations
Women infected with the human immunodeficiency virus are at increased risk for developing cervical cancer. Current guidelines reflect that Pap smears should be performed twice during the first year after diagnosis with HIV and annually thereafter. However, women with HIV are not obtaining Pap smears per the current guidelines. The purpose of this study was to evaluate HIV-infected women's attitudes toward cervical cancer and cervical cancer screening. The research design is an exploratory, cross-sectional, quantitative design. The sample of convenience consisted of participants recruited from two ambulatory HIV clinics in Florida. Attitudes were assessed using Champion's Health Belief Model and …
Sickle Cell Disease: The Role Of Self-Care Management, Nadine Matthie
Sickle Cell Disease: The Role Of Self-Care Management, Nadine Matthie
USF Tampa Graduate Theses and Dissertations
Abstract
Sickle cell disease is the most common genetic disorder in the United States. Approximately 90% of the hospitalizations in this patient population occur due to the most common complication, pain crises. Prevention of these crises is therefore essential and requires the patient to assume an active role in his or her disease management. Studies suggest that further research is needed to examine the self-care management process and to identify factors influencing self-care behaviors. The relationships among these factors must be clearly defined before interventions to improve self-care management can be determined. The aims of the study were threefold. The …
Development Of An Investigator-Designed Questionnaire Concerning Childbirth Delivery Options Based On The Theory Of Planned Behavior, Chun-Yi Tai
USF Tampa Graduate Theses and Dissertations
This study responds to the globally increasing rate of caesarean section, and specifically to the very high rate of elective caesarean section among Taiwanese mothers as evidence suggests that such elective caesareans pose potential health risks for mothers and babies. The purpose of this study was to develop and evaluate a multi-component instrument based on the theory of planned behavior (TPB) to better understand Taiwanese pregnant women's decisions regarding their childbirth delivery options (spontaneous vaginal delivery or elective caesarean section). The study was a four-phased mixed method design. First, the TPB guided item development and instrument drafting. Second, pretesting and …
Caregivers Of Older Adults: Burden, Perception Of Strain, And Health, Juana Ferrerosa Phd, Msn, Rn, Phn
Caregivers Of Older Adults: Burden, Perception Of Strain, And Health, Juana Ferrerosa Phd, Msn, Rn, Phn
Dissertations
Background: By the year 2030, the older population in the United States is projected to double from 35 to 70 million. Consequently, increasing the number of informal caregivers required to care for an aging population. Research suggests that levels of caregiver strain and their ability to cope can impact the health of caregivers. Tsai's (2003) Middle-Range Theory of Caregiver Stress guided this study and was modified to present an innovative approach which used perceived caregiver strain as a specific stressor in the Control Process of the model; it provided a basis for examining caregiver strain and its effect on the …
Epidemiology Of Hospital Acquired Methicillin Resistant Staphylococcus Aureus In A Veterans Affairs Medical Center Spinal Cord Injury Unit: Fiscal Years 2008-2011, Rebecca B. Stone
Epidemiology Of Hospital Acquired Methicillin Resistant Staphylococcus Aureus In A Veterans Affairs Medical Center Spinal Cord Injury Unit: Fiscal Years 2008-2011, Rebecca B. Stone
College of Graduate Studies: Theses & Dissertations
The purpose of this retrospective case-control study was to assess risk factors contributing to hospital acquired methicillin Staphylococcus aureus (HA-MRSA) and gain a better understanding of the burden of HA-MRSA infection in patients with spinal cord injuries. The study was also conducted to see if new information would be found on HA-MRSA infections and validate or refute current research for patients in a dedicated spinal cord injury unit at a Veterans Affairs Medical Center. During the study period, the infection control department identified 95 cases of HA-MRSA. Additional data retrospectively collected were basic demographics, admitting diagnosis, presence of varying comorbidities, …
Fit Into College Ii: Physical Activity And Nutrition Behavior Effectiveness And Programming Recommendations, Kristi M. King, Jiying Ling, S. Lee Ridner, Dean E. Jacks, Karen S. Newton, Robert V. Topp
Fit Into College Ii: Physical Activity And Nutrition Behavior Effectiveness And Programming Recommendations, Kristi M. King, Jiying Ling, S. Lee Ridner, Dean E. Jacks, Karen S. Newton, Robert V. Topp
College of Nursing Faculty Research and Publications
Purpose: To determine whether residency (living on campus versus off campus) was related to the effects of Fit into College on students’ health behaviors, and to understand interns’ perceptions of their roles in mentoring their trainees.
Design: Pre-experimental, one-group, pretest-posttest design and a posttest focus group interview.
Setting: University-offered health and internship courses.
Subjects: Twenty-four students (trainees) participated in the intervention, nine of whom lived on campus. Five student-interns served as their mentors.
Intervention: Fit into College was a 14-week intervention in which trainees teamed up with an intern to improve and/or maintain healthy nutrition and physical activity behaviors.
Measures: …
Authoritative Feeding Behaviors To Reduce Child Bmi Through Online Interventions, Marilyn Frenn, Jessica E. Pruszynski, Holly Felzer, Jiannan Zhang
Authoritative Feeding Behaviors To Reduce Child Bmi Through Online Interventions, Marilyn Frenn, Jessica E. Pruszynski, Holly Felzer, Jiannan Zhang
College of Nursing Faculty Research and Publications
Purpose.
The purpose of the study was to examine the feasibility and initial efficacies of parent- and/or child-focused online interventions and variables correlated with child body mass index percentile change.
Design and Methods.
A feasibility and cluster randomized controlled pilot study was used.
Results.
Recruitment was more effective at parent–teacher conferences compared with when materials were sent home with fifth- to eighth-grade culturally diverse students. Retention was 90% for students and 62–74% for parents. Authoritative parent feeding behaviors were associated with lower child body mass index. A larger study is warranted.
Practice Implications.
Online approaches may provide a feasible option …
Het Gebruik Van Risicotaxatie Instrumenten Onder Spv-En (The Use Of Risk Assessment Instruments Among Community Psychiatric Nurses), Sophie De Valk, Corine De Ruiter, Jorge Folino, Matthew Large, Thierry Pham, Kim Reeves, Carolina Condemarin, Louise Nielsen, Martin Rettenberger, Robyn Mei Yee Ho, Verónica Godoy-Cervera, Kimberlie Dean, Maria Francisca Rebocho, Karin Arbach-Lucioni, Martin Grann, Katharina Seewald, Michael W. Doyle, Sarah Desmarais, Richard Van Dorn, Randy Otto, Jay Singh
Het Gebruik Van Risicotaxatie Instrumenten Onder Spv-En (The Use Of Risk Assessment Instruments Among Community Psychiatric Nurses), Sophie De Valk, Corine De Ruiter, Jorge Folino, Matthew Large, Thierry Pham, Kim Reeves, Carolina Condemarin, Louise Nielsen, Martin Rettenberger, Robyn Mei Yee Ho, Verónica Godoy-Cervera, Kimberlie Dean, Maria Francisca Rebocho, Karin Arbach-Lucioni, Martin Grann, Katharina Seewald, Michael W. Doyle, Sarah Desmarais, Richard Van Dorn, Randy Otto, Jay Singh
Faculty Scholarship
Dutch Abstract: Auteur en een groot aantal alumni-collega's van de Universiteit van Maastricht, hebben gekeken welke risicotaxatie-instrumenten SPV-en gebruiken om het risico van recidive in te schatten bij clienten uit de forensische psychiatrie. Met behulp van START kan volgens hen het risico voor anderen, het risico op victimisatie, risico op zelfbeschadigend gedrag, suïcidegevaar, ongeoorloofde afwezigheid, middelenmisbruik en zelfverwaarlozing bij deze forensische groep vastgesteld worden.
English Abstract: The author and colleagues from the University of Maastricht investigated the use of structured risk assessment instruments in forensic psychiatry. Using instruments such as the START may aid in the assessment of violence, victimization, …
Phenomenology Of Blast-Induced Traumatic Brain Injury In Military Personnel, Roxana Enid Delgado
Phenomenology Of Blast-Induced Traumatic Brain Injury In Military Personnel, Roxana Enid Delgado
Open Access Theses & Dissertations
Blast-induced traumatic brain injury (TBI) in military personnel may have long-lasting physical, emotional and sociocultural effects. The experiences of living with TBI as a military Service Member wounded during combat operations is not well understood. In this article, we intend to describe the lived experiences of sustaining a TBI and the impact of the injury. The method of inquiry that we selected was transcendental phenomenology, applying Edmund Husserl's principles for the data analysis. The participants were all active duty military personnel, between the ages of 18-45 years old, that were wounded during combat. The findings demonstrated that sustaining a TBI …
Genomics And Autism Spectrum Disorder (Asd), Norah L. Johnson, Ellen Giarelli, Catherine E. Rice
Genomics And Autism Spectrum Disorder (Asd), Norah L. Johnson, Ellen Giarelli, Catherine E. Rice
College of Nursing Faculty Research and Publications
Purpose: To understand the current state of the evidence regarding translation of genetics and genomics into nursing care of children with (ASD).
How It Came To Be…Integrating Ignatian Philosophy And Pedagogical Paradigm Into Marquette University’S Pre-Licensure Nursing Curriculum, Kerry Kosmoski-Goepfert, Margaret Callahan, Stephanie Russell
How It Came To Be…Integrating Ignatian Philosophy And Pedagogical Paradigm Into Marquette University’S Pre-Licensure Nursing Curriculum, Kerry Kosmoski-Goepfert, Margaret Callahan, Stephanie Russell
College of Nursing Faculty Research and Publications
This article describes the process that Marquette University’s College of Nursing used to revise its prelicensure nursing curriculum. More specifically, it explains how faculty discussions, with the Vice President of Mission & Ministry and a faculty member from the Department of Theology, which is centered on the philosophy of St. Ignatius of Loyola, and faculty participation in the Marquette Colleagues Program helped ameliorate the curricular change. The article also addresses how faculty selected the Ignatian Pedagogical Model as the framework for the revised curriculum; and the development of faculty and students for an enhanced understanding and application of Ignatian philosophy, …
Postpartum Weight Self-Management: A Concept Analysis, Jennifer M. Ohlendorf
Postpartum Weight Self-Management: A Concept Analysis, Jennifer M. Ohlendorf
College of Nursing Faculty Research and Publications
Aim: The aim of this concept analysis is to create a clear definition and framework to guide weight self-management research and promotion of healthy weight self-management during the postpartum period. Background: A woman’s ability to manage her weight through the postpartum transition has lifelong implications for her weight status. Methods: This concept analysis was guided by Walker and Avant (2005). A broad search of sources was performed, yielding 56 articles in which postpartum weight self-management was the main focus. Results: From consideration of the attributes of postpartum weight self-management, a descriptive, situation-specific theory emerged: Postpartum weight self-management is a process …
Acute Effects Of Massage Or Active Exercise In Relieving Muscle Soreness: Randomized Controlled Trial, Lars L. Andersen, Kenneth Jay, Christoffer H. Andersen, Markus D. Jakobsen, Emil Sundstrup, Robert V. Topp, David G. Behm
Acute Effects Of Massage Or Active Exercise In Relieving Muscle Soreness: Randomized Controlled Trial, Lars L. Andersen, Kenneth Jay, Christoffer H. Andersen, Markus D. Jakobsen, Emil Sundstrup, Robert V. Topp, David G. Behm
College of Nursing Faculty Research and Publications
Andersen, LL, Jay, K, Andersen, CH, Jakobsen, MD, Sundstrup, E, Topp, R, and Behm, DG. Acute effects of massage or active exercise in relieving muscle soreness: randomized controlled trial. J Strength Cond Res 27(12): 3352–3359, 2013—Massage is commonly believed to be the best modality for relieving muscle soreness. However, actively warming up the muscles with exercise may be an effective alternative. The purpose of this study was to compare the acute effect of massage with active exercise for relieving muscle soreness. Twenty healthy female volunteers (mean age 32 years) participated in this examiner-blind randomized controlled trial (ClinicalTrials.gov NCT01478451). The participants …
Migration Matters : The Experience Of United Kingdom Registered Nurses Migrating To Western Australia, Caroline J. Vafeas
Migration Matters : The Experience Of United Kingdom Registered Nurses Migrating To Western Australia, Caroline J. Vafeas
Theses: Doctorates and Masters
This qualitative study uses heuristic inquiry to investigate the unique journey of 21 registered nurses (RN) who migrated from the United Kingdom (UK) to Perth in Western Australia (WA) between 2003 and 2008. The study explores the reasons for migration as well as the professional, social and psychological impact on each participant and their accompanying family during the first two years of settling in a new country.
In the contemporary climate of international nurse mobility, many employers are attempting to attract new employees, often with tantalising offers of an immediate visa and the enticement of a better climate and standard …
Racial Disparities In Pain Management In Primary Care, Miriam Ezenwa
Racial Disparities In Pain Management In Primary Care, Miriam Ezenwa
Journal of Health Disparities Research and Practice
This descriptive, cross-sectional, secondary data analysis was conducted to examine racial disparities in pain management of primary care patients with chronic nonmalignant pain using chronic opioid therapy. Data from 891 patients, including 201 African Americans and 691 Caucasians were used to test an explanatory model for these disparities. We predicted that: (1) African American patients would report worse pain management and poor quality of life (QOL) than Caucasians; (2) the association between race and pain management would be mediated by perceived discrimination relating to hopelessness; and (3) poor pain management would negatively affect QOL. Results revealed significant differences between African …
Humor As A Teaching Strategy: The Effect On Students' Educational Retention And Attention In A Nursing Baccalaureate Classroom, Mohammed Ahmed Alkhattab
Humor As A Teaching Strategy: The Effect On Students' Educational Retention And Attention In A Nursing Baccalaureate Classroom, Mohammed Ahmed Alkhattab
Nursing Master Theses
With the rapid development in nursing education systems, nurse educators struggle to find effective teaching strategies for their students. Using humor as a teaching strategy with nursing students can be helpful in improving many areas of their education. The review of literature showed a lack of studies on the effect of using humor in nursing education. The purpose of this study is to explore the effect of using humor as a teaching strategy on the educational retention and attention of sophomore nursing students. The setting for this study was a college of nursing at a Midwestern university. The participants were …
The Lived Experience Of Indonesian Nursing Faculty Participating In A Nursing Education Reform Based On The 2009 World Health Organization Global Standards, Joan Elaine Edwards
The Lived Experience Of Indonesian Nursing Faculty Participating In A Nursing Education Reform Based On The 2009 World Health Organization Global Standards, Joan Elaine Edwards
Nursing Theses and Dissertations
Problem: In 2009, the World Health Organization (WHO) published global standards for initial education of professional nurses and midwives. Curriculum revision is challenging; but even more difficult in developing countries such as Indonesia. Faculty may not be equipped educationally and experientially for the educator role. Indonesian nursing curricula are not currently based on the 2009 WHO global standards. Purpose: To understand the lived experience of Indonesian nursing faculty participating in curriculum revision based on 2009 World Health Organization global standards. Design: A mixed descriptive and interpretive phenomenological qualitative research approach, based on van Manne's methodology. Participants: Thirty-seven nursing faculty from …
The Role Of Internal Communication And The Effect On Employee Engagement, Cherie Gaither
The Role Of Internal Communication And The Effect On Employee Engagement, Cherie Gaither
Graduate Theses, Dissertations, and Capstones
The purpose of this project was to build and evaluate internal communication interventions that would enhance employee engagement. The desired outcome of the communication team’s efforts was to show a significant increase in employee engagement, as compared to peer institutions.
Does Pregnancy Intent Impact The Decision To Breastfeed?, Rachel Collins
Does Pregnancy Intent Impact The Decision To Breastfeed?, Rachel Collins
Undergraduate Honors Theses
Current literature overwhelmingly supports the benefits of breastfeeding for mothers and infants. Numerous studies significantly correlate specific demographics and background factors of breastfeeding and non-breastfeeding mothers. However, little research has focused on the intendedness of the pregnancy and its association with breastfeeding. The goal of this study was to examine the association between pregnancy intendedness and breastfeeding plans and behavior. The first question of interest examined was whether pregnancy intent was associated with a woman’s intent to exclusively breastfeed when asked during the third trimester, after control for potentially confounding differences between the two groups. The second question of interest …
Effectiveness Of A Pilot Gerontological Nursing Certification Preparation Support Program For Registered Nurses Working In Long Term Care, Gail B. Sprigler
Effectiveness Of A Pilot Gerontological Nursing Certification Preparation Support Program For Registered Nurses Working In Long Term Care, Gail B. Sprigler
Graduate Theses, Dissertations, and Capstones
Between 2000 and 2025 there will be a 30% increase in the prevalence of Alzheimer’s disease (AD) in Indiana (Alzheimer’s Association, 2010). Many individuals with AD and related dementia are cared for in long term care communities. Adequate knowledge and expertise of nurses caring for older adults, particularly those with dementia, is important for the delivery of quality care and the promotion of quality of life for residents living in long term care. This pilot project examined the benefit of a resource support program to encourage Gerontological Nursing certification for registered nurses in the long term care setting.
Workplace Lactation Support: Project Development And Implementation, Peggy Rinehart
Workplace Lactation Support: Project Development And Implementation, Peggy Rinehart
Graduate Theses, Dissertations, and Capstones
Objective: A pilot project establishing a lactation support program for staff, faculty, and students at Bluegrass Community and Technical College (BCTC) was introduced in September 2012. The lactation support program is intended to promote and support breastfeeding and decrease barriers to continued breastfeeding for mothers who are employed or attending classes. The purpose of this paper is to report on the: (1) development and implementation of a lactation support program in a regional multi-campus community college; and (2) plans for evaluation of the effectiveness of the new program. Setting: The program was implemented at a community college with campus sites …