Medicine and Health Sciences Commons^™

Improving Awareness And Identifying Risks For Emergence Delirium In Military Veterans, Hannah E. Pino

Graduate Theses, Dissertations, and Problem Reports (ETD)

Background: Emergence delirium (ED) is an acute state of confusion during the recovery phase from anesthesia that may be life-threatening, especially in the veteran population. Military veteran status may be explored by the Have You Ever Served questionnaire that was developed by the American Academy of Nursing to identify veterans upon admission to the hospital and thus be able to better care for them during their stay. This campaign has been in effect at the hospital site of this project for nearly 10 years. The questionnaire identifies military history risk factors such as combat history or a diagnosis of post-traumatic …

Digital Health Literacy, Vaccine Information Sources, And Vaccine Acceptance Among Parents In Ontario: Quantitative Findings From A Mixed Methods Study, Sarah Ashfield, Lorie Donelle Phd, Rn, Fcan, Panagiota Tryphonopoulos, Ève Dubé, Maxwell Smith

Publications

Parents make important vaccination decisions for their children and many variables affect parents' decisions to accept or decline vaccines. Parents are tasked with locating, understanding, and applying information to inform health decisions often using online resources; however, the digital health literacy levels of parents are unknown. The purpose of this study was to investigate parents' digital health literacy levels, their sources for vaccine information, and analyze how demographics, digital health literacy, health literacy, parental attitudes and vaccine beliefs, trust, and vaccine information sources predict vaccine acceptance. Quantitative findings of a mixed methods study that examined parental vaccine decision making across …

Exploring The Experiential Journey Of Women With Pcos Across The Lifespan: A Qualitative Inquiry, Pamela J. Wright Phd, Ms, Med, Rn, Cen, Robin Dawson Phd, Rn, Cpnp-Pc, Cynthia F. Corbett Phd, Rn, Faan

Publications

Introduction: Peri-postmenopausal women with the chronic condition polycystic ovary syndrome (PCOS) remain at cardiometabolic risk and/or subsist with established comorbidity while continuing to manage persistent PCOS signs and symptoms, such as hirsutism. Thus, PCOS transcends the reproductive years, yet there is sparse scientific literature on the peri-postmenopausal years of women with PCOS.

Purpose: To explore how peri-postmenopausal women's perceptions about PCOS have changed over the lifespan since their PCOS diagnosis.

Methods: A cross-sectional survey with one qualitative question was conducted via Research Electronic Data Capture (REDCap) among women with PCOS aged ≥43 years, who were all recruited …

The Relationship Between Work Engagement, Depression, Anxiety, And Covid-19 Anxiety In Physician Assistant Students, Sydney N. Pepper, Emily T. Farrell, Robin M. Dawson Phd, Rn, Cpnp-Pc, Michael D. Wirth Msph, Phd, Face

Publications

Introduction: Physician assistants (PAs) are subject to high levels of burnout, depressive symptoms, and anxiety, which can negatively impact quality of care and patient outcomes. Learning how to handle stress in the classroom may increase success and engagement in PA programs. The goal of this study was to characterize burnout, depressive symptoms, and anxiety in current PA students and examine the relationship between these factors and work engagement. Methods: This cross-sectional study surveyed PA students (n = 42) via convenience sampling from eighteen different PA programs across North and South Carolina in October, 2021. Questionnaires included the Utrecht Work Engagement …

Transition Experiences For Individuals Who Are Culturally Deaf, Deaf, Or Hard Of Hearing In The United States And Canada: A Scoping Review, Anna Kell Phd, Rn, Cne, Cindy Corbett Phd, Rn, Faan, Donna M. Kazemi Phd, Rn, Cne, Fiaan, Stephen Fitzmaurice, Robin M. Dawson Phd, Rn, Cpnp-Pc

Publications

Introduction: Adolescence is a crucial time of transition in all aspects of life. Transition experiences for culturally Deaf individuals and individuals who are deaf or hard of hearing often differ from the mainstream population. The purpose of this scoping review was to examine and synthesize the existing literature surrounding transition experiences for culturally Deaf and deaf and hard of hearing populations through the lens of Meleis’ Transitions Theory. Method: Using PRISMA-ScR guidelines, a scoping review of literature related to transition experiences for culturally Deaf individuals and individuals who are deaf or hard of hearing was conducted. The scope of the …

Chronic Disease Management In A Nurse Practitioner-Led Clinic: An Interpretive Description Study, Natalie Floriancic, Anna Garnett, Lorie Donelle Phd, Rn, Fcan

Publications

Introduction: Nurse practitioner-led clinics (NPLC) represent a model of care that has the potential to enhance primary healthcare delivery to community-dwelling adults who are living with chronic disease by providing greater access and continuity of care and reducing the burden on acute care settings. However, there is limited understanding of nurse practitioners’ experiences and perspectives on supporting adults in chronic disease management within an NPLC model of care. Increased understanding would contribute to our ability to evaluate the effectiveness of the NPLC model of care for chronic disease management. Objective: This study explored current chronic disease management practices implemented by …

Family And Friend Caregiver Satisfaction And Utility Of Passive Remote Monitoring Technology Utilized By Frail Home Care Clients, Lori E. Weeks, Grace Warner, Yu Ting Chen, Bradley Hiebert, Emily Richard, Kathleen Ledoux, Lorie Donelle Phd, Rn, Fcan

Publications

Background: Passive remote monitoring technologies (RMT) utilize information gathered from sensors that is transmitted to a caregiver to alert them to a possible incident. There are gaps in our knowledge about the level of satisfaction with passive RMT from the perspective of those who have actual experience using this technology, including family and friend caregivers. This knowledge is important as caregivers are instrumental in determining whether passive RMT will be adopted and utilized over time. In addition, technologies designed for older adults and their caregivers are both helpful and user-friendly. Objective: The aim of this research was to identify the …

Ranking Of Health Problems And Prioritization Of Cancer Education Topics By African American Communities In South Carolina, E. Sylvia Melikam, Gayenell S. Magwood Phd, Rn, Faha, Faan, Marvella Ford, Judith Salley, Latecia Abraham-Hilaire, Joni Nelson, Audrey Mccrary-Quarles, Cammie Berry, Delaram Sirizi, Kathleen B. Cartmell

Publications

Despite landmark breakthroughs in cancer research, African American adults (AA) bear the highest cancer burden compared to other racial groups in the United States (US). AA adults have twice the likelihood of dying from prostate and uterine cancers compared to White adults, suggesting that there are fundamental issues yet to be addressed when developing and implementing cancer-preventative programs for AA communities. Community-based participatory research (CBPR) empowers community members to identify and prioritize their health problems and preferred strategies to tackle these issues. In alignment with the CBPR approach, the South Carolina Cancer Disparities Research Center (SC CADRE) undertook a study …

Harnessing The Power Of Complementarity Between Smart Tracking Technology And Associated Health Information Technologies: Longitudinal Study, Youyou Tao, Ruilin Zhu, Dezhi Wu

Publications

Background: Smart tracking technology (STT) that was applied for clinical use has the potential to reduce 30-day all-cause readmission risk through streamlining clinical workflows with improved accuracy, mobility, and efficiency. However, previously published literature has inadequately addressed the joint effects of STT for clinical use and its complementary health ITs (HITs) in this context. Furthermore, while previous studies have discussed the symbiotic and pooled complementarity effects among different HITs, there is a lack of evidence-based research specifically examining the complementarity effects between STT for clinical use and other relevant HITs. Objective: Through a complementarity theory lens, this study aims to …

Impact Of Telehealth On Health Disparities Associated With Travel Time To Hospital For Patients With Recurrent Admissions: 4-Year Panel Data Analysis, Youyou Tao, Ace Vo, Dezhi Wu, Junyuan Lin, Kala Seal, Abhay Mishra, Arindam Brahma

Publications

Background: Geographic, demographic, and socioeconomic differences in health outcomes persist despite the global focus on these issues by health organizations. Barriers to accessing care contribute significantly to these health disparities. Among these barriers, those related to travel time—the time required for patients to travel from their residences to health facilities—remain understudied compared with others. Objective: This study aimed to explore the impact of telehealth in addressing health disparities associated with travel time to hospitals for patients with recurrent hospital admissions. It specifically examined the role of telehealth in reducing in-hospital length of stay (LOS) for patients living farther from the …

Pursuing Success In A Hybrid Phd Nursing Program, Chloé Littzen, Jennifer T. May Phd, Rn, Anp-Bc, Jessica Rainbow, Helena Morrison, Lois Loescher

Publications

Background:

Little is known about hybrid PhD nursing students' experiences.

Method:

The purpose of this study was to describe and analyze the experiences of PhD nursing students in a hybrid program using a convergent mixed methods design. Recent nursing PhD alumni (n = 18), and current PhD students (n = 4) were recruited at a research-intensive university in the southwestern United States.

Results:

Four metainferences were identified: (1) the facilitator of faculty as both advisors and mentors; (2) the facilitator of peers as support, motivation, and a source of advice that preceded advisors; (3) the barrier of receiving …

Relationship Of Serum Copeptin Level With Traditional Risk Factors For Acute Coronary Syndrome In Early Diagnosis Of This Syndrome In Iraqi Patients, Ali Abdul Rasool Hussein, Abdulkareem H. Issa, Abbas Naji Muslem Al Shareeifi

Al-Esraa University College Journal for Medical Sciences

Background: Acute coronary syndrome (ACS) is still one of the main causes of morbidity and mortality worldwide and an early diagnosis of myocardial infarction (MI) aims to decrease mortality in MI patients. The ACS is manifested as one of three subtypes. These subtypes include MI with the electrocardiogram (ECG) is showing ST-segment elevation (STEMI), the other is MI with the ECG is showing no ST-segment elevation (NSTEMI) and the third type is unstable angina (UA). Objectives: To explore the Relationship of serum copeptin level with traditional risk factors for acute coronary syndrome in early diagnosis of this syndrome in Iraqi …

Immunological And Molecular Investigation Of Non-Helicobacter Pylori Gastritis Within Type 2 Diabetes Mellitus, Zahraa Maad Abdul-Sahib, Najah Ali Mohammad, Abdul Razzaq Nema

Al-Esraa University College Journal for Medical Sciences

Gastritis is one of the most common diseases in the digestive system, especially in patients with low immunity, including diabetic mellitus. Diabetic Mellitus considered one of an endocrine gland disease characterized by elevated blood sugar because of a defect in the regulation of sugar in the body. The purpose of this study was to assess the association between Non-Helicobacter pylori gastritis with type 2 diabetic mellitus (N-Hp G.T2DM), by interleukin IL-10 and IL-18. This study included 37(41.1%) N-Hp G.T2DM, 23 (25.6%) gastritis (G) only and 30 (33.3%) healthy participants. Biomarkers for T2DM and G (FBS, …

Postpartum Depression Among Latina Women: A Literature Review, Juan M. Martinez Jr.

Honors Undergraduate Theses

The Hispanic population in the United States has increased to 62.1 million, significantly shaping the country's demographic landscape, with Hispanic women exhibiting the highest fertility rates. Concurrent with the population's growing trend is an increased prevalence rate of postpartum depression, with Latinas facing heightened risk factors. The inadequate representation of Latinas in postpartum depression research and healthcare guidelines exacerbates their vulnerability. The prevalence of postpartum depression among Latina women makes this condition a serious public health concern. Due to insufficient research on marginalized groups, emphasis is needed on culturally competent healthcare. This literature review aims to explore the underlying factors …

At The Heart Of Nursing: A Literature Review On Health Literacy Education In Nursing Curricula And Preparation For Patient Teaching Encounters, Samantha Garcia

Honors Undergraduate Theses

Background: Health literacy is defined as one’s ability to find, comprehend, and utilize information to make health decisions (Office of Disease Prevention and Health Promotion, n.d.). Globally, nursing students are exposed to the concept of health literacy during their degree-seeking years, yet no formal health literacy education exists across nursing curricula in pre-licensure programs at the associate and bachelor levels. This lack of standardization and non-emphasis of health literacy as a formal topic within education has contributed to poor provider performance and, in turn, low health literacy rates that may lead to suboptimal patient outcomes.

Significance: Studies have found that …

Palliative Care Integration Into Critical Care In People With Terminal Conditions, Arielle Westfall

Honors Undergraduate Theses

Palliative care is of value to the quality of life in people with terminal conditions when initiated early. The purpose of this literature review was to identify barriers to early initiation of palliative care consultation. The secondary purpose was to examine characteristics that prompt palliative care consultation. The TLC model of palliative care was used to explore palliative care in the critical care setting in people with terminal conditions. The concepts of the model support optimal palliative care as collaborative and comprehensive, with shared decisions made by the patient, practitioners, and loved ones. A literature review was conducted to identify …

Identifying Contributing Factors For Legal Placement Status In Involuntary Commitment And Voluntary Commitment In Child And Adolescent Psychiatry, Brianna R. Perry

Honors Undergraduate Theses

Background: Psychiatric hospitalization of children and adolescents can be carried out either voluntarily or involuntarily. The aim of this form of inpatient hospitalization is to provide treatment for those who cannot manage the symptoms of their mental illnesses on their own. However, psychiatric hospitalizations of children and adolescents are costly and could lead to outcomes such as worsened mental state in former patients and distrust of the system in caregivers. It is crucial to have a solid understanding of specific components that lead to the hospitalization.

Purpose: To identify potential trends in patient admission data through the analysis …

Exploring Nurses' Perspectives Of The Use Of Hospital Interpretation Technologies Versus Other Methods For Communicating With Non-English Language Preference (Nelp) Patients: A Literature Review, Natalie Moreira-Rivera

Honors Undergraduate Theses

Nurses' perspectives on the use of interpretation technologies compared to other methods for communicating with NELP patients when providing treatment in a hospital setting was explored utilizing a literature review. The literature search was conducted using CINHAL, APA PsychInfo, Medline, and Applied Science & Technology Source databases. The search resulted in 84 articles, of which 6 were eligible to be included in the narrative review. Three themes emerged that helped explain nurses’ perspectives: preferred technology, facilitators/benefits, and barriers/concerns. Interpretation technologies were preferred over in-person translators in most cases. Nurses and other healthcare providers perceived technologies as convenient, flexible, versatile, and …

Dance Movement Therapy For Pediatric Oncology Patients And Its Effect On Cancer Therapy-Related Symptoms, Victoria M. Trautwein

Honors Undergraduate Theses

Background: Pediatric cancer patients are susceptible to emotional distress, depression, anxiety, and physical symptoms impacting their quality of life. Dance movement therapy is a non-pharmacological method that has been shown to improve feelings of depression, anxiety, emotional, somatic symptoms, and overall quality of life. While much of cancer research is dedicated to finding cures, it is also important to focus on identifying methods for improving the symptoms and quality of life for pediatric cancer patients.

Aim: The purpose of the literature review is to examine studies that show the effects of dance movement therapy on pediatric oncology patients’ cancer-treatment related …

2024-2025 Newsletter, Morehead State University. Nursing Department.

Nursing Department Publications Archive

2024-2025 Newsletter of the Department of Nursing at Morehead State University.

Relationship Between Internet Social Media Addiction And Communication Patterns Among Adolescents, Mona Hassan Abdelaal

Nursing

Abstract: Background: Internet social media and availability of mobile devices have an impact on the way people communicate. Adolescents have a wide range of positive and negative impacts come from the use of social media. Aim: Assess the relationship between internet social media addiction and communication patterns among adolescents. Design: A descriptive correlational design was utilized. Setting: The study was carried out at Technical Nursing Institutes in Benha city which consists of 2 Institutes and contain total (320) students from Benha Technical Nursing Institute for girls with total (170) students and from Benha Technical Nursing Institute of Health Insurance for …

Effect Of An Intervention Bundle On Thirst Intensity Among Intensive Care Unit Patients, Marwa Abdo, Manal Sayed Ismail, Nayera Mohamed Tantaewy

Nursing

Background: Dry mouth and thirst are commonly associated with a strong desire to drink fluid. Despite this, thirst is often overlooked in the intensive care unit (ICU). Patients in the intensive care unit (ICU) experience various causes of distress. Aim: This study aimed to assess the effect of an intervention bundle on thirst intensity among ICU patients. Methods: A quasi-experimental research design was used with a purposive sample of 100 ICU patients were selected and randomly divided into two groups: the thirst bundle group comprised of 50 ICU patients who received thirst bundle intervention with lip moisturizer, peppermint water mouthwash, …

Effect Of Incentive Spirometry On Respiratory Parameters Among Critically Ill Patients With Chest Tube Drainage, Marwa Abdo, Nayera Mohamed Tantaewy, Asmaa Ibrahim Aboseda

Nursing

Background: Chest tube drainage is a common procedure following cardiac or thoracic surgery, which can lead to respiratory disorders. Incentive spirometry (IS) is used to enhance respiratory outcomes by promoting deep breathing and lung expansion. Aim: evaluate the effect of incentive spirometry on respiratory parameters among critically ill patients with chest tube drainage. Research Design: A quasi-experimental design was used in this study. Setting: Cardiothoracic intensive care unit at the Cardiothoracic and Vascular Surgery Center of Mansoura University. Subjects: A convenience sample of 120 patients who underwent chest tube drainage was randomly assigned to either the IS group (n = …

Strategies And Emerging Mechanisms In Managing Pseudomonas Aeruginosa Biofilm-Associated Antibiotic Resistance In Renal Catheters, Ahmed Fadhil Kadhim

Al-Esraa University College Journal for Medical Sciences

Strategies and mechanisms in controlling Pseudomonas aeruginosa resistance to biofilm-associated with renal catheters are a serious concern. Renal catheters are widely used in hospitals for numerous urological disorders. However, they are the main cause of bacterial infections, especially P. aeruginosa, when used for a long time. The mechanism of biofilm-associated antibiotic resistance of P. aeruginosa in renal catheters is complex and has not been efficiently managed. This review debates certain strategies and mechanisms associated with P. aeruginosa biofilm antibiotic resistance in cases with renal catheters, including the prevention of biofilm formation, eradication of biofilm, and reducing biofilm-associated antibiotic resistance and …

Distribution Of Epidemiological Characteristics Among Drug Addiction Patients Admitted To Alqana Center For Social Rehabilitation, Ali Abdul Alkhudhur Murad, Atta Ah. Mousa Al-Sarray, Zeena Jamal Alkhazraji

Al-Esraa University College Journal for Medical Sciences

Background: Drug addiction is a worldwide issue; 5.6% of the world's population aged 15 to 64 took drugs at least once in 2016. For the majority of medicines, younger individuals use them more than older people do. Drug abuse seems to be on the increase in several ASEAN (Association of Southeast Asian Nations) countries, particularly among young men aged 15 to 30. Illicit drug abuse account for around 14% of the overall health burden among young males. Younger individuals are also more prone to die from drug abuse issues. Aim: To assess the severity of problems related to drug …

Immunological Markers And Clinical Features With Systemic Lupus Erythematosus In Iraqi Women Patients, Ali Yahya. Zeki, Ali Hussein. Al-Hafid, Haider Hafudh Humaish

Al-Esraa University College Journal for Medical Sciences

Background: Systemic Lupus Erythematosus is a complicated condition caused by the immune system attacking disease with unclear causes, affecting mainly women. It manifests with various symptoms and is diagnosed based on clinical and serological signs. Aims: To investigate the prevalence and the type of immunological and hematologic manifestations in SLE from pathologist's perspective. Methods: The study was done on 60 SLE patients and 60 controls from the Consulting Rheumatology Clinic in Baghdad Teaching Hospital in Baghdad City during the first half of the year 2024, from 25^th January 2024 until 25^th April 2024. Results: Marital state …

Cathepsin D And Its Relation With Lipid Profile In Coronary Atherosclerosis Patients, Israa Saad Salim, Walaa Ismael Jassim, Ahmed Saadi Hassan

Al-Esraa University College Journal for Medical Sciences

Background: Coronary atherosclerosis is a long lasting and continuously evolving disease with multiple clinical manifestations ranging from asymptomatic to stable angina, acute coronary syndrome (ACS), heart failure (HF) and sudden cardiac death (SCD). The onset and advancement of coronary atherosclerosis are influenced by both genetic and environmental factors. Objectives: The study aimed to find out if cathepsin D a good indicator to diagnose atherosclerosis and cardiovascular diseases and its relation with lipid profile. Materials and Methods: The study conducted with the participation of 150 subjects (100 patients with coronary atherosclerosis and 50 healthy control). Age for all subject was in …

Secretor Status And Anxiety Are Risk Factors For Getting Irritable Bowel Syndrome, Ola Amer Jasim, Khalid Mahdi Salih

Al-Esraa University College Journal for Medical Sciences

Irritable Bowel Syndrome (IBS) is a functional disease of gastrointestinal tract (GIT) that affects 10-20% of the population worldwide and is distinguished by abdominal pain/discomfort and changes in bowel habits that is accompanied by diarrhea, constipation, or both. Control-based study was conducted on 50 Iraqi patients with IBS who were presented at private clinics for gastrointestinal diseases (GIDs), along with 20 healthy individuals matched in their age and gender to act as control group. The study lasted from November 2021 to May 2022 and aimed to determine the frequency of IBS subtypes among Iraqi patients, as well as the influence …

Complement Component C3 And C4 Levels In Juvenile And Adult Sle Iraqi Patients, Sahar S. Aldhahir, Izzat A. M. Al-Rayahi, Salwa S. Muhsin

Al-Esraa University College Journal for Medical Sciences

Background: Systemic lupus erythematosus (SLE) is an autoimmune disease, with about 15-20% of patients being children. The causes of the disease are a mix of genetic and environmental factors. Complement C3 and C4 play a significant role in the diagnosis and monitoring of disease severity. Additionally, renal function tests are important for monitoring the disease, as the disease affects the kidneys in a large percentage of patients. Aim: The study was primarily conducted to compare complement C3 and C4 levels in Iraqi adult and juvenile patients with systemic lupus erythematosus. Patient and methods: The study consisted of 70 patients, …

The Effects Of Controlled Breathing And Physical Postures On Anxiety And Stress In Mental Health Patients, Kristen Killingsworth

DNP Research Projects

Objective: Anxiety and stress are debilitating disorders that have been on the rise in recent years following the COVID-19 pandemic. Medication alone has not been shown to be successful in mitigating the disorders, necessitating research into other alternatives for anxiety and stress management. The purpose of this project was to assess if a single complementary and alternative medicine (CAM) relaxation session had an impact on stress and anxiety levels. Method: A comprehensive literature review was conducted to identify strategies for reducing stress and anxiety. Guided by the Holistic Care Model of Self-Regulation, the nurse-led CAM relaxation session was developed. The …