Promoting Mammography Screenings In African American Women: Media, Church, And Health Providers, Lasonya Little, Debra C. Wallace, K.Jay Poole

Journal of Health Disparities Research and Practice

Due to the underutilization of screening mammography, African American women (AAW) are more likely to experience negative health outcomes after receiving a late-stage breast cancer diagnosis than White Women (WW). The purpose of this article is to examine the roles of the media, health community and the African American church and pastor and their potential impact in AAW screening decisions. Fifteen AAW, ages 45 and older, were invited to participate in a semi-structured interview. Most women agreed the African American pastor and church as well as the health community, and media are an integral part of their lives. Therefore, specific …

Workplace Violence In Emergency Departments, Education And De-Escalation Training: A Benchmark Study, Summer Block

MSN Capstone Projects

Most people do not go to work and fear being assaulted or harassed daily. However, for emergency nurses in this county that is exactly what it has come to. Up to 96% of emergency department nurses state they have been verbally abused. This entails name calling, verbal threats, being shouted at and being sworn at. Anywhere from 25% to 60% of these nurses have had to face physical assaults while on the job. (Al-Aadi, 2020; Copeland & Henry, 2017; Grinberg, 2022; Li et al., 2019; McDermid et al., 2019). Physical assaults can include being spit on, slapped, punched, kicked, choked, …

Impact Of A Provider Flagging System On Increasing Ezetimibe Utilization In High-Cardiac Risk Adults, Janessa Creado

Student Scholarly Projects

Practice Problem: Cardiovascular disease continues to be the leading cause of mortality globally. Often, healthcare providers fail to follow evidence-based guidelines in their practice.

PICOT: In high cardiac-risk, adult patients with low-density lipoprotein cholesterol (LDL-C) levels greater than 70 milligram/deciliter (mg/dl) despite being on a maximum tolerated dose of statin (P), what was the effect of a provider flagging system to initiate ezetimibe (I) compared to standard care (C) on increasing the utilization of ezetimibe according to the 2018 American Heart Association (AHA) guidelines (O) within 8 weeks (T)?

Evidence: An extensive evidence literature review …

Minimizing No-Show Rate In An Outpatient Wound Care, Kassandra Kern

MSN Student Capstones

No abstract provided.

Enhancing Athletic Participation: Continuous Glucose Monitoring For Pediatric Type 1 Diabetes Athletes, Danielle Santiago

Nursing | Student Research Posters

Background: Type 1 diabetes mellitus (T1DM) is a lifelong autoimmune condition requiring exogenous insulin, daily insulin management, and blood glucose monitoring (Kahanovitz et al., 2018). Diagnosis, often in childhood, brings overwhelming challenges for children and parents. While no cure exists, advances in monitoring and insulin delivery enhance blood sugar control and quality of life (Mayo Clinic, 2023)

Problem Statement: It is suspected that children with T1DM develop a fear of hypoglycemia (FOH) that deters exercise. Cockroft et al. (2023) found that 70% of youth with T1DM do not meet the recommended amount of exercise (Cockcroft et al., 2023). Physical education …

Vaginal Preparation In Cesarean Delivery To Decrease Surgical Site Infections: A Benchmark Study, Angelica Ware

MSN Capstone Projects

This benchmark project intends to decrease the rate of surgical site infections related to cesarean procedures with vaginal preparation through an evidence-based approach. Vaginal preparation is a simple technique that cleanses the vaginal walls by removing microorganisms. The goal of the benchmark project is to promote the implementation of a vaginal preparation policy across any healthcare facility that performs cesarean procedures. Vaginal preparation is intended for scheduled cases, add-on cases, and urgent cases. The benchmark study does not include emergent cesarean deliveries, as vaginal preparation is at the discretion of the physician in those cases.

The topic of surgical site …

Conference Proceedings: Select Abstracts Presented At 2023 Advocate Aurora Scientific Day

Journal of Patient-Centered Research and Reviews

This abstract supplement includes findings presented at the 49th annual Advocate Aurora Scientific Day on May 24, 2023. The Scientific Day symposium provides a virtual forum for the sharing of preliminary results from research and case studies conducted by faculty, fellows, residents, and other health professionals associated with Illinois-based Advocate Health Care and Wisconsin-based Aurora Health Care.

Loneliness Among College Students, Jaime Benson

Honors Theses

This study investigated the level of loneliness among health-focused scholars in the College of Health and Human Services (CHHS), Western Michigan University to improve student life experience, social opportunities, and support networks. We recruited participants from various CHHS programs using a convenience sampling method, requiring informed consent and program enrollment. The UCLA Loneliness Scale served as our measurement tool, allowing us to compare scores across program backgrounds using independent samples t-tests or non-parametric alternatives. Among 59 participants, 22.0% reported low loneliness levels, 49.1% moderate levels, 25.4% moderately high levels, and 3.4% high levels. Notably, the highest scores emerged in questions …

Homebound Older Adult, Caregiver, And Provider Perspectives On The Benefits Of Home-Based Primary Care: A Narrative Review, Nila N. Sabetfakhri

Journal of Patient-Centered Research and Reviews

Home-based primary care (HBPC) is a clinical practice that is being increasingly utilized for the homebound older adult population. As the age demographics in the United States shift over time, these programs will need to be expanded to accommodate the growing aging population. This narrative review aims to compile studies on the benefits of HBPC from the perspective of homebound older adult patients, caregivers, and the health care providers who practice HBPC. Studies were identified through PubMed, Web of Science, and Google Scholar, and a total of 10 papers were included in this review. Identified benefits of HBPC for homebound …

Nurse Leader Burnout: The Impact From The Covid-19 Pandemic, Chelsey P. Hinrichs, Brittany Huneke, Ali Marty Rodningen

Nursing Masters Papers

Problem: Levels of burnout in nurse leaders have elevated at alarming rates throughout the COVID-19 pandemic.

Research Purpose: The purpose of this secondary analysis is to examine a.) prevalence of burnout felt by nurse leaders b.) drivers contributing to burnout for nurse leaders c.) outcomes related to nurse leader burnout and d.) workplace strategies that can be implemented to assist in decreasing burnout felt by nurse leaders.

Theoretical Model: The Conservation of Resources (COR) theory was applied to drive this study. This theory was chosen due to its connection to burnout and its direct relationship to COR theory resources. …

Improving Blood Pressure In Adults 65 Years And Older Via Weekly Telehealth Coaching, Janet Bathini

Student Scholarly Projects

Practice Problem: Hypertension is a significant modifiable risk factor for CVD and is on the rise with advancing age. The management at the VA hospital's GEC clinic acknowledged the importance of managing HTN in veterans to lower their CVD risk and were open to implementing EBP to enhance HTN management.

PICOT: The PICOT question that guided this project was: In the primary care setting, in older adults > 65 years with BP > 140/90 (P), does weekly telehealth coaching (I) compared to no telehealth coaching (C), decrease their BP (O) over a 6-week period (T)?

Evidence: The evidence that guided this project …

Pharmacogenomic Precision Medicine: Best Practice Toolkit For Improving Patient Screening For Adult Metastatic Cancer Patients, Rena L. Stewart

Student Scholarly Projects

Precision medicine utilizes pharmacogenomic testing as a therapeutic approach. Genomic testing can assess the impact of an individual's genome on their reaction to specific medications. The main objective is to find variants that may affect an individual's response to a given medication. The implementation of pharmacogenomics in oncology facilitates informed decision-making by clinicians in drug selection and dosage determination.

Early Discharge Planning To Improve Throughput, Alan Chhith

Student Scholarly Projects

Early discharge planning can improve the safety and outcomes of hospitalized patients. The aim of the multidisciplinary team early discharge rounds was to manage patient flow by removing discharge barriers to reduce the length of stay in the medical/surgical unit. The overall goal of the process improvement project was to make inpatient beds available to admit patients from the emergency department, reducing long ED boarding, and decrease the hours of diversion. The PICOT question for this project was: in the Veteran population (P) in the VA medical/surgical unit, early discharge planning with an interdisciplinary team (I) compared to regular discharge …

Point Of Care Testing: Best Practice Toolkit For Improving Access To Point Of Care Testing In Mobile Medicine, Michaela Gist

Student Scholarly Projects

Practice Problem: Healthcare for persons experiencing homelessness (PEH) is a complex issue. Chronic and communicable diseases are disproportionately represented within this population. Healthcare spending is 2.5 times more costly in comparison to those who have not experienced homelessness. Although mobile health clinics aim to reduce the concerns with access to care, they do not eliminate barriers if the appropriate tests are not immediately available.

PICO: In the homeless population treated in mobile medicine (P), what is the effect of point of care testing (I) on turnaround time (O) compared with outside laboratory testing (C)?

Evidence: Critical analysis of the literature …

Nursing Education On Pediatric Feeding Therapy, April Ng

Nursing | Student Research Posters

No abstract provided.

The Effect Of Caregiver Communication On Self-Care Outcomes For African Americans With Heart Failure, Adrienne Michelle Johnson

Walden Dissertations and Doctoral Studies

No abstract provided.

Improving Self-Management In Patients With Diabetes: A Staff Education Project, Tanja Ganues

Walden Dissertations and Doctoral Studies

No abstract provided.

Nursing Practice Rn's Interest, Experience, Confidence And Attitude Of Research Conduct, Candida Suzanne Barlow

Walden Dissertations and Doctoral Studies

No abstract provided.

Use Of Behavior Management Training To Improve Nurses' Confidence In Managing Patient Aggression, Chasity Long

Doctoral Projects

Workplace aggression and violence toward healthcare workers are documented extensively throughout the literature and unfortunately, this behavior has increased during the COVID-19 pandemic. Challenges brought on by the pandemic, such as visitor restrictions and short staffing, have only exacerbated patient aggression and violence. Workplace aggression and violence can cause not only psychological or physical injury to nurses and nursing staff, but it also impacts patient care, job satisfaction, absenteeism, and nurse retention. Training programs to improve nurses’ assessment skills to predict aggressive behaviors and de-escalate violent situations can help nurses better predict and manage patient aggression. A behavior management training …

A Pulse For Progress – Examining The Efficacy Of Best Nursing Developmental Care Practices For Children With Congenital Heart Disease At Risk For Developmental Delay In The Pcicu: A Prospective Quasi-Experimental Cohort Study, Jasmyn H. Jansen

Nursing | Student Research Posters

This paper examines the efficacy current best developmental care nursing practices in the pediatric cardiac intensive care unit (PCICU) for children with congenital heart disease (CHD). The proposed study explores the implications of the Cardiac Inpatient Neurodevelopmental Care Optimization (CINCO) program, a recent comprehensive developmental care bundle, as a universal implementation for PCICUs.

Nursing Education On Pressure Ulcer Prevention In Acute Care, Leasa Elizabeth Jones

Walden Dissertations and Doctoral Studies

No abstract provided.

Nursing Homes In The Mountain West, 2023, Annie Vong, Caitlin J. Saladino, William E. Brown Jr.

Health

This fact sheet presents nursing home data in the Mountain West states of Arizona, Colorado, Nevada, New Mexico, and Utah. Data from a September 2023 ProPublica publication titled, “Nursing Home Inspect” are presented including the total number of nursing homes, homes with serious deficiencies, homes with infection related deficiencies, the amount nursing homes paid in penalties and the number of payment suspensions for nursing homes in the Mountain West.

The Use Of Meditation/Mindfulness To Improve Anxiety In Young Adults, Aaron Wilkerson

Master of Science in Nursing Family Nurse Practitioner

Without intervention and relief from stress and anxiety, it can cause physical, psychological, and behavioral abnormalities (Kim et al., 2018). Chronic stress has been found to be prevalent among young adult age, students, and is having lasting negative effects on mental, emotional, and physical health, including feelings of being overwhelmed, hopelessness, loneliness, and even suicidal ideation (Burgstahler & Stenson, 2020). The practice of meditation and mindfulness offers a non-pharmacological option over the typical standard-of-care pharmacological treatment and provides a life skill for young adults to manage their stress and anxiety, ultimately overall improving their mental health (Lemay et al., 2019). …

Nurse Leader Rounding To Provide Fall Prevention Strategies, Kerri Philipbar

Student Scholarly Projects

Practice Problem: Falls while patients are hospitalized are all too common. It was identified that the 300-bed facility in Southeast Georgia had a clinical practice gap with inpatient falls. Inpatient falls cause unnecessary pain and suffering to the patient and families. In addition to the negative effects to the patients, it creates a hardship to the organization. Increased length of stay and additional testing and treatments are charged to the hospital because of a fall.

PICOT: The PICOT question for this project is as follows: In adult patients in an acute care setting (P), does nurse leader rounding to …

Evidence-Based Intervention For Decreasing Chronic Kidney Progression In Patients With Type Ii Diabetes Mellitus, Lynn M. Johnson

Student Scholarly Projects

Practice Problem: The overall management of Type II Diabetes Mellitus (DM II) and the complications that accompany along with comorbidities are debilitating and financially exhausting. The American Diabetes Association dietary recommends a consistent low-carbohydrate diet to maintain optimal blood glucose levels to prevent complications and progression of other comorbidities. Uncontrolled diabetes mellitus leads to the development of chronic kidney disease (CKD) which can lead to the progression to End Stage Renal Disease.

PICOT: In patients in the outpatient setting aged 18 years and older(P), how does the ADA dietary guidelines for patients with type II DM(I) compared with patients self-reported …

Improving Access To Cardiac Catheterization, Sunitha Dharman

Student Scholarly Projects

The American Heart Association lists cardiovascular disease as the underlying cause of death for 874,613 people who lost their lives in 2019 (Tsao et al., 2022). On average, someone in the United States has a myocardial infarction every 40 seconds, and someone dies of a stroke every 3 minutes and 30 seconds. Studies support coronary artery disease as a significant contributor to cardiac arrest in a non-hospital setting (Yannopoulos et al., 2019). The authors provide evidence supporting the importance of early cardiac catheterization. There is a 10-15% survival rate with a higher level of functioning compared to delayed or no …

Promoting The Adoption Of Double Gloving Among Nurse Anesthetists: An Educational Intervention Based On The Theory Of Planned Behavior, Nguyet Tran

Doctoral Projects

Abstract

Background: The role of anesthetists in the transmission of pathogenic and non-pathogenic organisms from their work station to the patient has been well established in research. The proposed study aims to test the efficacy of an educational intervention in promoting double gloving in an effort to minimize the risk of cross-contamination.

Methods: This pilot study explored if multi-component educational intervention facilitates the adoption of double gloving and the prevention of cross-contamination in the anesthesia workstation. Student Registered Nurse Anesthetists (SRNAs) and Certified Registered Nurse Anesthetists (CRNAs) were followed in three evaluation phases; the first test was done before the …

Supporting Novice Nurse Transition To Practice Through Mentorship, Jesssica M. Cox

Walden Dissertations and Doctoral Studies

No abstract provided.

Body Dysmorphia Screening Tool For Aesthetic Treatments, Brandi Harper

MSN Capstone Projects

This evidence-based project includes a discussion of Body Dysmorphic Disorder (BDD) or body image disturbance as part of pre-treatment screening in medical facilities providing appearance-altering procedures and aesthetic treatments to adult patients. The information provided serves as the foundation for endorsing the adoption of a BDD screening tool into clinical practice to increase the identification of body dysmorphia, thereby facilitating proper referral, diagnosis, and treatment to aid in patient safety and satisfaction and limit medico-legal imputations. The discussion presented here is supported by evidence-based research. It focuses on BDD prevalence and significance amongst adult patients and highlights validated screening tools …

Dietary Analysis For Hashimoto’S Thyroiditis: An Integrative Review, Evan Thompson, Alison Hultquist

Master of Science in Nursing Final Projects

Abstract

Hashimoto’s Thyroiditis (HT) is the leading cause of primary hypothyroidism in the United States. In HT, there is an infiltration by lymphocytes which leads to the production of autoantibodies against the thyroid gland. Throughout this integrative review, the aim was to evaluate the effectiveness of micronutrient supplementation and dietary management as adjunct treatments in HT. The purpose was to assist primary care providers in the development of a more holistic plan of care. Literature published within the past seven years was gathered and reviewed from PubMed, CINAHL, and Cochrane Library. Findings indicate that many patients with HT may benefit …