Medicine and Health Sciences Commons^™

Leadership Styles And Nursing Satisfaction Rates, Wilma Lee Jones

Walden Dissertations and Doctoral Studies

The purpose of this project was to translate evidence-based literature into policy and practice guidelines in order to improve leadership standards and skills among nurse managers and improve patient outcomes and the quality of care. Guided by the American Nurses Credentialing Center Magnet Model and Lewin's change theory, which sets the framework for creating exceptional nursing leaders, a literature search was conducted from studies ranging from 2010 to 2012 from several databases. Inclusion criteria were based on the presence of one or more leadership styles discussed in the articles and the impact of leadership style on nursing satisfaction. A total …

Culturally Competent Care In Parkinson's Disease, Melinda Hermanns

Nursing Faculty Publications and Presentations

Findings from a qualitative ethnographic study that examined the experiences of a group of persons with Parkinson disease are presented in this article. Culturally competent care for persons who share a common illness, such as Parkinson disease, is facilitated when the findings are incorporated into the Clinically Relevant Continuum Model. Use of this model allows providers to evaluate and use appropriate published evidence in addition to provider expertise and patient preferences and values.

Obesity And Overweight Prevalence Among A Mississippi Low-Income Preschool Population: A Five-Year Comparison, Bonnie Harbaugh, Jerome R. Kolbo, Elaine F. Molaison, Geoffrey M. Hudson, Lei Zhang, Danyell Wells

Faculty Publications

Purpose. This study determined 2010 rates of overweight/obesity in a representative sample of low-income preschoolers in Mississippi, USA and compared rates between 2005 (� = 1 2 5 0) and 2010 (� = 1 7 6 5). Significance. Obesity is a significant global health issue because of its well-established negative health consequences. Child obesity is a concern due to risk of early-onset obesity-related illnesses and the longevity of lifetime exposure to those illnesses. Methods. Identical measures were used in 2005 and 2010 with complex-stratified sampling designs. Results. Chi-square tests revealed that overall obesity/overweight rates between 2005 (20.6%/17.9%) and 2010 (20.8%/17.0%) …

A Study To Determine The Influence Of Workload On Nursing Personnel, Supreeta G. Amin

Dissertations

The alarming number of adverse medical events and associated costs have placed immense importance toward the safety and health of both patients and medical personnel. A shrinking nurse workforce, an aging patient and nursing population coupled with a mismatch between hospital demands and the available nursing staff have created a situation detrimental to both patient and nursing personnel. Long working hours, working more than one job, low staffing ratios, high patient acuity, minimal social support, low experience level, complicated equipment, complex procedures and varying workload are some factors that may have a negative impact on the quality of care provided …

The Lived Experience Of Discontinuing Hormonal Contraception Among Women In Rural Uganda, Joseph Mwizerwa, Locsin C. Rozzano

School of Nursing & Midwifery, East Africa

The purpose of the study was to describe the experience of discontinuing hormonal contraceptive use among women in rural Uganda. A significant number of women in Uganda discontinue hormonal contraception even though such method has been effective. Consequently, these women have unprotected sex, although not wanting to conceive. Narrative descriptions of the experiences by eight women were analyzed using content analysis. The findings describe the experience as Frustration and Helplessness, Living in Fear of Uncertainty, Ingenuity of using other methods of contraception, thus fostering the Accomplishments of being a wife, mother, and woman. Implications for nursing practice, research, and education …

A Study Of The Relationships Among Maternal Caregiver Family Management Behaviors, Childhood Asthma Morbidity, And Asthma Control, Linda M. Gibson

All ETDs from UAB

A STUDY OF THE RELATIONSHIPS AMONG MATERNAL CAREGIVER FAMILY MANAGEMENT BEHAVIORS, CHILDHOOD ASTHMA MORBIDITY, AND ASTHMA CONTROL ABSTRACT LINDA GIBSON NURSING Childhood asthma, the most common chronic childhood condition, is associated with high rates of asthma morbidity (emergency department visits, hospitalizations, and school days missed due to asthma). Inadequate asthma control accounts for $1.9 billion annual health expenditures. Numerous studies have identified the relationship of the family caregiver's perception regarding asthma management and the child's asthma outcomes; though few have examined family caregiver asthma management behaviors. Knafl and colleagues (2003) defined family management behaviors as accommodations that family members use …

Biobehavioral Relationships And Health Related Quality Of Life In Persons With End Stage Renal Disease On Hemodialysis, Avis Allen

Theses and Dissertations

The study of immune status and biobehavioral measures is limited in professional nursing. The purpose of the pre-pilot study was to describe levels of cytokines prior to, during, and after dialysis, examine changes in cytokine levels from immediate pre-dialysis to immediate post-dialysis, and to compare cytokine patterns prior to and after dialysis. A within subject descriptive study was conducted as part of a larger pilot study to describe levels of cytokines prior to, during, and after dialysis, examine changes in cytokine levels from immediate pre-dialysis to immediate post-dialysis, and to compare cytokine patterns prior to and after dialysis. Serum cytokine …

Dermoscopy: An Evidence-Based Approach For The Early Detection Of Melanoma, Angela Armstrong

UNF Graduate Theses and Dissertations

The purpose of this project was to evaluate the effectiveness of a practice-based dermoscopy training program for dermatology healthcare providers in order to improve their technique of performing clinical skin exams for the early detection of melanomas.

The overall incidence of melanoma continues to rise. More than 75% of all skin cancer deaths are from melanoma. Advanced melanoma spreads to lymph nodes and internal organs and can result in death. One American dies from melanoma almost every hour (American Cancer Society [ACS], 2009). Early diagnosis and excision are essential to reduce morbidity and to improve patient survival.

This one-group before-and-after …

Impact Of Group Medical Visits For Adult Patients With Type 2 Diabetes Mellitus, Theresa Pye

UNF Graduate Theses and Dissertations

Diabetes is a condition that is primarily self-managed and lifestyle modifications such as diet, exercise, and weight management are necessary to reduce morbidity and mortality. Motivation to implement lifestyle modifications through self management is an integral part of disease management and studies have shown group medical visits are more effective than individual appointments in this patient population. The purpose of this project was to develop, implement and evaluate an evidencebased group medical visit program for up to a maximum of 8 adult patients with type 2 diabetes in a family practice setting for six months. Seven participants with abnormal A1C …

The Palliative Care Interdisciplinary Team: Where Is The Community Pharmacist?, Moira O'Connor, Judith Pugh, Moyez Jiwa, Jeff Hughes, Colleen Fisher

Research outputs 2011

Palliative care emphasizes an interdisciplinary approach to care to improve quality of life and relieve symptoms. Palliative care is provided in many ways; in hospices, hospital units, and the community. However, the greatest proportion of palliative care is in the community. In hospice and palliative care units in hospitals, clinical pharmacists are part of the interdisciplinary team and work closely with other health care professionals. Their expertise in the therapeutic use ofmedications is highly regarded, particularly as many palliative care patients have complex medication regimens, involving off-label or off-license prescribing that increases their risk for drug-related problems. However, this active …

Perspectives On Nursing: Using Multimedia Interviews To Influence Career Decisions, Karen M. Lundberg, Michael C. Johnson, Cheryl A. Corbett, Michael Thompson

Faculty Publications

Students often have misconceptions regarding the reality of nursing and the opportunities available to nurses that sometimes result in poor choices related to pursuing nursing as a career. To help prenursing students make better-informed career decisions and address misunderstandings, faculty developed the DVD and Web site Perspectives on Nursing, a collection of 15 nurse interviews. The authors describe and discuss the project, the value of recorded nurses' stories, analysis of student feedback, and recommendations.

Media-Smart Youth After-School Pilot Program For Parkway Elementary, Brenda Reed

Doctor of Nursing Practice (DNP) Scholarly Projects - Archive

Refer to the document.

A Qualitative Study: Why Prolonged Stay In The Recovery Room?, Sharifa B. Lalani, Fauzia Ali, Zeenatkhanu Kanji, Salma Jaffer, Mohammed Ali

School of Nursing & Midwifery, East Africa

There are a number of factors that prolong patients’ stay in the recovery room (RR), which are related to system or clinical issues. However, less has been discovered from the RR nurses about reasons for prolonged patient stay and recommendations to solve this issue. Prolonged patient stay of more than 2 hours in the RR interferes with the primary role of the RR nurse, which is to provide care to immediate postanaesthesia patients. Consequently, this could affect the operating room schedule, normal flow of patients to the RR and discharge to the nursing units.

Adherence Practices Of Caucasian Women With Hypertension Residing In Rural Florida An Exploratory Study, Jeanne M. Hopple

Electronic Theses and Dissertations

Hypertension, or high blood pressure, is a major risk factor for heart disease and stroke. Elevated blood pressure is often a silent process affecting multiple organ systems. Risk for heart disease is associated with poorly treated or unrecognized hypertension that is more common among women than men. Non-adherence to prescribed treatment regimens has been identified as a major reason for inadequate hypertension management. This exploratory descriptive qualitative study using narrative inquiry investigated adherence practices among Caucasian women with diagnoses of hypertension from a rural area of Florida. The purpose of this study was to gain an understanding from women who …

Persistence To An Associate Of Applied Science Registered Nurse Degree: The Impact Of Placing Into Developmental Education Courses On Student Success, Caroline Clark Rivera

Educational Leadership & Workforce Development Theses & Dissertations

Student retention and success in nursing school has gained favor in educational research due to an increasing shortage of Registered Nurses. The purpose of this study is to measure the impact of student placement recommendation into developmental education courses on persistence to an Associate of Applied Science Registered Nurse degree. Using ex post facto research methodology rooted in the retention theories of Tinto, Bean and Metzner, and Jeffreys, this study aims to measure the effect of high school diploma type, age, race/ethnicity, and pre-requisite courses on student placement recommendation in developmental education and persistence to an Associate of Applied Science …

An Ethnographic Examination Of The Hourly Rounding Process, Lynn M. Deitrick Rn, Phd, Kathy Baker Rn, Mph, Hannah D. Paxton Rn, Mph, Michelle D. Flores Rn, Bsn, Deborah Swavely Rn, Msn

Administration & Leadership

No abstract provided.

The Relationship Of Financial Performance, Quality Indicators, And The Role Of Nurse Executives In Virginia Nursing Homes, Jeany V. Murphy

Health Services Research Dissertations

Problem statement. The dynamic nature of the healthcare industry has triggered changes in nurse executive functions. The job has expanded into entrepreneurial roles to be able to provide the most cost effective services while maintaining good quality outcomes for the residents. The new responsibility requires a different set of knowledge and competencies that is usually achieved through advanced education. It is not known whether nurse executives in long term care in Virginia possess the skills to influence both the financial and quality outcomes of the facility.

Methods. This descriptive research study examined the relationship of the nurse executives' technical, human, …

Educating Advanced Practice Nurses In Using Social Media In Rural Health Care, Carolyn M. Rutledge, Michelle Renaud, Laurel Shephard, Michele Bordelon, Tina Haney, Donna Gregory, Paula Ayers

Ellmer School of Nursing Faculty Publications

Health care in the United States is facing a crisis in providing access to quality care for those in underserved and rural regions. Advanced practice nurses are at the forefront of addressing such issues, through modalities such as health care technology. Many nursing education programs are seeking strategies for better educating students on technology utilization. Health care technology includes electronic health records, telemedicine, and clinical decision support systems. However, little focus has been placed on the role of social media in health care. This paper describes an educational workshop using standardized patients and hands-on experiences to introduce advanced practice nurses …

Educating Advanced Practice Nurses In Using Social Media In Rural Health Care, Carolyn M. Rutledge, Michelle Renaud, Laurel Shepherd, Michele Bordelon, Tina Haney, Donna Gregory, Paula Ayers

Ellmer School of Nursing Faculty Publications

Health care in the United States is facing a crisis in providing access to quality care for those in underserved and rural regions. Advanced practice nurses are at the forefront of addressing such issues, through modalities such as health care technology. Many nursing education programs are seeking strategies for better educating students on technology utilization. Health care technology includes electronic health records, telemedicine, and clinical decision support systems. However, little focus has been placed on the role of social media in health care. This paper describes an educational workshop using standardized patients and hands-on experiences to introduce advanced practice nurses …

Telehealth Stroke Education For Rural Elderly Virginians, Patricia A. Schweickert, Carolyn M. Rutledge, David C. Cattell-Gordon, Nina J. Solenski, Mary E. Jensen, Sheila Branson, John R. Gaughen

Ellmer School of Nursing Faculty Publications

Objective: Stroke is a prevalent condition found in elderly, rural populations. However, stroke education, which can be effective in addressing the risks, is often difficult to provide in these remote regions. The objective of this study is to evaluate the effectiveness of delivering stroke education to elderly individuals through telehealth versus in-person stroke prevention education methods.

Materials and Methods: A quasi-experimental nonequivalent control group design was used in this study. A convenience sample of 11 elderly adults (36% men, 64% women) with a mean age of 70 was selected from an Appalachian Program for All Inclusive Care for the Elderly …

Implementing A Fall Prevention Newsletter To Enhance Patient Safety, Mary Ellen O'Connell Rn, Msn, Mba, Claire Kukielka Ms, Cphq, Carolyn Davidson Phd, Rn, Ccrn, Fnp-Bc

Administration & Leadership

No abstract provided.

Three Words To Engage A Network In Patient Safety, Georgene Saliba Mba, Cphrm, Kristie Lowery Rn, Bs, Cphq, Cphrm, Gwenis L. Browning Rn, Bsn

Administration & Leadership

No abstract provided.

Using Lean Principals To Improve Patient Flow, Keith Weinhold Mha, Fache, Eliot L. Friedman Md, Darlene Matthias Rn, Ms, Ocn, Mary R. Greenberg, Amy E. Levan Rn, Bsn, Ocn, Jill Korn Rn, Bsn, Ocn, Melissa Kratz Rn, Msn, Aocn, Mandy Melocheck Rn, Msn, Ocn, Cindy J. Fenton Rn, Ocn, Janine Barnaby Rph, Bcop, Jeanne Kenna Rn, Ocn, Jennifer Mesker Pharmad, Kyle Sabatino Rn, Msn, Aocn, Lori Turnbach, Maura Price Rn, Bsn, Ocn, Pamela Tobias Ms, Rhia, Patricia Shearburn Rn, Msn, Aocn, Ramona E. Chase Crnp, Stephanie Thomas, Pamela Repetz, Barbara Versage Rn, Mba, Cphq

Administration & Leadership

No abstract provided.

Double The Outcomes: Employing Sensory Based Approaches To Improve The Quality Of Care And Reduce The Use Of Restraints On Inpatient Behavioral Health Units, Mary Ellen O'Connell Rn, Bsn, Msn, Mba, Jennifer P. Maloney Ms, Otr/L, Stephanie Lenhart Mba, Cphq

Administration & Leadership

No abstract provided.

The Utilization Of A Respiratory Care Journal Club To Facilitate State Continuing Division Of Educational Credits, Kenneth Miller Med, Rrt-Nps, Linda Cornman Bs, Rrt-Nps, Steven Pyne Rrt, Angela Lutz Bs, Rrt-Nps

Patient Care Services / Nursing

No abstract provided.

Attention To Clinical Processes Proves To Increase Patient Satisfaction, Greta L. Strauss Bs, Rdms, Michele Brown Rn, Bsn, Ocn, Jackie Kobeski Bs, Rt(M), Tamina L. Tannous Bsba

Patient Care Services / Nursing

No abstract provided.

Web-Based Interventions For Weight Loss And Weight Maintenance Among Rural Midlife And Older Women: Protocol For A Randomized Controlled Trial., Patricia A. Hageman, Carol H. Pullen, Melody Hertzog, Linda S, Boeckner, Susan Noble Walker

Journal Articles: Physical Therapy

BACKGROUND: Weight loss is challenging and maintenance of weight loss is problematic among midlife and older rural women. Finding effective interventions using innovative delivery methods that can reach underserved and vulnerable populations of overweight and obese rural women is a public health challenge.

METHODS/DESIGN: This Women Weigh-In for Wellness (The WWW study) randomized-controlled trial is designed to compare the effectiveness of theory-based behavior-change interventions using (1) website only, (2) website with peer-led support, or (3) website with professional email-counseling to facilitate initial weight loss (baseline to 6 months), guided continuing weight loss and maintenance (7-18 months) and self-directed weight maintenance …

The Effect Of Glp-1 Analog Use Upon C-Peptide Levels In Patients With Type 2 Diabetes Mellitus, Elizabeth Hale

Summer Community of Scholars Posters (RCEU and HCR Combined Programs)

No abstract provided.

Gestational Diabetes, Depression, And The Impact On Maternal Child Health Outcomes, Mary Alice Byrn

Dissertations

Antenatal depression occurs in about 20% of all pregnancies and gestational diabetes occurs in up to 14% of all pregnancies. Although there is sufficient information on (1) depression during pregnancy and (2) depression and diabetes, there is little information about depression and gestational diabetes. This comparative, longitudinal research study was done to better understand the relationship between gestational diabetes and depression. The study aims were the following: (1) to determine whether women with gestational diabetes had more depression than women without gestational diabetes, (2) to determine whether factors predictive of depression in pregnant women with gestational diabetes were different from …

African American Males Diagnosed With Schizophrenia: A Phenomenological Study, Lorraine Anderson

Theses and Dissertations

Abstract Little is known about how African American men with schizophrenia experience their every day existence. Through applying interpretive phenomenology and using a methodological structure designed by van Manen (1990, 1997), this research aimed to enrich the understanding of living with schizophrenia for these African American males. In this study, five men ranging in age from 21 to 57 described their lives within the context of existing with the diagnosis of schizophrenia. The lived experiences across the interviews revealed four overarching themes: They know that they are mentally ill; they make a special effort to test reality; they assert their …