Medicine and Health Sciences Commons^™

Development Of A Comprehensive Staff Development Program About Outpatient Diabetes Clinic Care For Patients With Type 1 And Type 2 Diabetes Mellitus, Cynthia G. Sanders

Electronic Theses and Dissertations

The purpose of this DNP project was to evaluate if focused staff education about the many aspects of outpatient diabetes care has the potential to increase knowledge and impact attitudes about diabetes in staff providing care to patients with type 1 and type 2 diabetes mellitus. Diabetes is a disease with wide ranging implications, in terms of cost, consumer health, and quality of life, for populations worldwide, including the United States. It is critical that staff who participate in the care of patients with diabetes mellitus have a role-specific educational foundation to support their contribution to patient care. The researcher …

The Transformation: Teaching Critical Thinking And Clinical Decision Making In Nursing Education, Winifred Ferguson Adams

Electronic Theses and Dissertations

Abstract

The profession of nursing has recognized in the past 20 years the need for graduate nurses to enter the profession prepared to care for complex medical patients in an ever-changing healthcare environment. It has become a major challenge for nurse educators to provide students with adequate didactic and clinical education in nursing. The overall purpose of this project was to help nurse educators accept the challenge required to make the radical transformation in education. Faculty participated in the measurement of self-efficacy pre and post-exposure to teaching strategies related to (1) critical thinking, (2) clinical judgment, and (3) clinical reasoning …

Expanding Clinical Knowledge And Awareness To Non-Benzodiazepine Treatments By Providing An Educational Intervention: A Quantitative Study, Alexander Labrador

Doctor of Nursing Practice Scholarly Project

This study examined the effectiveness of an educational intervention for healthcare clinicians to increase knowledge and awareness of non-benzodiazepine treatments for the treatment of anxiety and panic disorders. The target population were healthcare clinicians in a metropolitan area that commonly treat anxiety and panic disorders. Clinicians from different specialties were recruited to participate and evaluated on their knowledge of benzodiazepines on a 3-question pretest survey using a Likert scale. The clinician was then given a 30-minute educational intervention that covered the risks and dangers of benzodiazepines and a review of alternative, non-benzodiazepine treatment options. The clinician then self-evaluated themselves using …

“E-Matching Card” To Improve Cooperation And Cognitive Abilities Among Nursing Students, Elsye Maria Rosa, Sri Sundari, Eny Renta Ambarwati, Galuh Suryandari, Erna Rochmawati, Farid Suryanto

Jurnal Keperawatan Indonesia

One of the learning models that can help students is the cooperative learning model (cooperative learning). Cooperative learning is a group learning method that makes students active in groups. They are expected to work together and discuss the tasks given by the lecturer. One type of cooperative learning model is making a match. Students make a matching learning model using learning cards can increase student activity so that this model is expected to be able to improve learning outcomes. The purpose of this research is to build a learning model using the student make a match approach’s learning cards to …

Factors Determining Commitment To Health-Promoting Behavior During Covid-19, Dheni Koerniawan, Sanny Frisca

Jurnal Keperawatan Indonesia

Forming new behaviors during the COVID-19 pandemic required individual commitment. Based on Pender’s health promotion model (HPM), factors affecting commitment to new behaviors include benefit perception, barriers, self-efficacy, related activities, as well as interpersonal and situational influences. This study aims to determine the determinant factors that affected commitment to health-promoting behavior and habits during the COVID-19 pandemic. This study randomly assigned online questionnaires to 186 people in Palembang. The instruments used in this study were developed by the author based on Pender’s HPM. Path analysis with the SEM-PLS approach was used to analyze determinant factors of community commitment. The results …

Anxiety, Depression, Loneliness, Spirituality, And Social Support In Older People During The Covid-19 Pandemic, Esti Widiani, Nurul Hidayah, Abdul Hanan

Jurnal Keperawatan Indonesia

The COVID-19 pandemic has resulted in the threat of death. Some older people feel they are not ready to face the end of their lives, so psychosocial problems arise, such as loneliness, anxiety, and depression. This research study aims to explore some psychosocial aspects, namely spirituality, social support, depression, anxiety, and loneliness in the elderly during the pandemic. The research design was cross-sectional. The total sample was 142 people selected using the purposive sampling method. Data collection used various scales to look at spirituality, depression, anxiety, and loneliness. The results showed that median spirituality and social support scores were high. …

The Impact Of Stress On The Work Performance Of Covid-19 Isolation Room Nurses At Hospitals In Timor, Antonius Rino Vanchapo, Anggorowati Anggorowati, Ni Made Merlin

Jurnal Keperawatan Indonesia

The incidence of Corona Virus Disease (COVID-19) in East Nusa Tenggara has increased tremendously since April 2020. This has caused nurses to experience anxiety and stress due to fears of a shortage of special COVID-19 inpatient rooms. This study aimed to analyze the correlation between stress and the work performance of the COVID-19 isolation room nurses in mainland Timor. This cross-sectional study involved 278 nurses who worked in the COVID-19 isolation rooms of three hospitals on Timor Island. The Depression Anxiety Stress Scales (DASS-42) and the Nurse Work Performance Sheet were applied to obtain the data. The results demonstrated that …

Parents' Attitudes And Stress Levels Associated With Assisting Children's Distance Learning In Westren Indonesia, Dina Musila, Florensia Dewi Rahayu Wulan Prasetya, Maria Arnetta Friesca Indriani, Lia Kartika, Agustin Lamtiur

Jurnal Keperawatan Indonesia

The Indonesian government implemented distance learning to reduce the viral spread during the coronavirus disease (COVID-19) pandemic. A preliminary study based on interviews with 10 parents found that some parents had problems accessing the internet during their children’s online classes and that they used an excessive amount of data. Parents also had difficulty dividing their time between working and assisting their children with their online learning. This study aimed to determine parents’ attitudes and stress levels associated with assisting their children’s distance learning in western Indonesia. A descriptive research method was utilized, and the research population consisted of parents with …

Family Caregivers’ Preparedness With Death And Dying: An Ethnographic Study, Erna Rochmawati, Rick Wiechula

Jurnal Keperawatan Indonesia

Death and dying is a complex process and influenced by belief and culture. Understanding the cultural practice is therefore important to enable providing quality end-of-life care. This paper focus in reporting how family caregivers prepare and deal with death and dying within palliative care context. This study was a contemporary ethnographic study that deriving data from observations and informal interviews. Field observation and informal interviews were conducted over three months with 21 patients’ relatives. Data was analyzed using ethnographic data analysis framework. Dealing with death and dying relates to how this was experienced and managed by the patient’s relatives. Three …

Whether Covid-19 Infection Affects Human Cognitive Function, June Li Alsgaard

Doctoral Dissertations and Projects

The COVID-19 pandemic, resulting from the SARS-CoV-2 virus, continues to impact the daily lives of individuals worldwide. Although research has been conducted on long-COVID symptoms, the underlying causes remain unclear. Notably, instances of neurological decline have been observed following SARS-CoV-2 infections. 125,573 articles regarding neurological damage and cognitive disfunction were published and can be found from major research databases. For this scholarly project, 25 peer-reviewed journal articles pertaining to long-COVID and neurologic function changes, as well as potential underlying reasons for these changes, were curated. The proposed hypotheses include the virus' ability to pass through and harm the blood-brain barrier …

Evaluating The Need For Return-To-Learn Concussion Protocols In High School Student-Athletes: An Integrative Review, William David Midgette

Doctoral Dissertations and Projects

Over a million high school students are estimated to sustain at least one sports-related concussion annually. Unfortunately, over a third of these student-athletes suffer from post-concussion syndrome, which leads to the question of whether student-athletes are allowed proper time to heal after a concussion or if more can be done to optimize concussion recovery. Proper and optimal recovery post-concussion encompasses both physical and cognitive rest. While concussion management has traditionally focused on the physical aspects of recovery, emphasis has shifted to the cognitive impacts of concussions. There is literature to support that cognitive rest is vitally important, if not equally …

High Fructose Corn Syrup And Sugar Substitutes: Hemoglobin A1c Implications In Diabetes?, Rachelle S. Glover

Doctoral Dissertations and Projects

Diabetes mellitus type 2 (DMt2) is an increasing health concern of epidemic proportion in the United States. High fructose corn syrup (HFCS) and artificial sweeteners (AS) have been implicated as contributory factors to DMt2. This project seeks to demonstrate elimination of daily consumption of HFCS and AS in DMt2 patients can contribute to lower hemoglobin A1C (HgbA1C) levels by comparing two groups of patients receiving two differing diabetes education programs. A reduction of HgbA1C levels by 0.2-0.5% is expected in DMt2 patients instructed to eliminate HFCS and AS, and no change is expected in HgbA1C levels in DMt2 patients receiving …

Measures Clinicians In The Urgent And Emergent Settings Can Use To Increase Psychosocial Support And Patient Satisfaction After Miscarriage: An Integrative Review, Ashley Luanne Kay Brown

Doctoral Dissertations and Projects

In the United States, about one in four women will experience miscarriage and pregnancy loss sometime in their life. Miscarriage is a common and distressing event with significant physical and emotional consequences for women. Prompt and appropriate psychosocial support during the acute phase of miscarriage is essential for the well-being of patients and can positively impact their long-term recovery. However, urgent and emergent care settings often lack standardized protocols and guidelines for addressing the psychosocial needs of women who experience a miscarriage. The purpose of this integrative review is to provide clinicians in urgent and emergency settings with the tools …

How Geriatric Courses Affect Bachelor Of Science In Nursing Students’ Attitudes And Intentions To Work With Older Adults: A Mixed Methods Study, Nina C. Hoskins

Doctoral Dissertations and Projects

The purpose of this explanatory sequential mixed methods study was to determine if and how the completion of a didactic geriatric course influenced nursing students’ attitudes toward older people, and nursing students’ intentions to work with older adults among bachelor’s degree nursing programs in the Midwest region of the United States of America. An explanatory sequential design allowed the researcher to utilize qualitative data to explain the quantitative results, especially surprising or contradictory findings. To collect data from a convenience sample of 17 nursing students, the researcher used two psychometrically validated self-report instruments (Kogan's Attitudes towards Older People Scale and …

Application Of Classic Grounded Theory In Nursing Studies: A Qualitative Systematic Review Protocol, Justine Connor, Tracy Flenady, Trudy Dwyer, Debbie Massey

Research outputs 2022 to 2026

Introduction Classic grounded theory (CGT) is a valuable method for nursing research, but the application of CGT methodology in nursing studies has not been specifically investigated. With the increasing use of CGT in nursing research, attention is now focusing on the quality of studies using this methodology. In this systematic review, we aim to develop an understanding of the application of CGT methodology, specifically appraising the quality of the methodology's application in the field of nursing research. Methods and analysis The reporting of this review will be guided by the Preferred Reporting Items for Systematic and Meta-Analysis guidelines statement and …

Perceptions Of Covid-19 And The Use Of Health Information Technology Among People Who Are Uninsured: Multimethod Survey Study, Khushi S. Patel, Cynthia F. Corbett Phd, Rn, Faan, Elizabeth M. Combs, Sara B. Donevant, Margaret J. Selph, Lynette M. Gibson, Robin Dawson Phd, Rn, Cpnp-Pc, Amit P. Sheth, Ronda G. Hughes

Publications

BACKGROUND: As of May 2023, the novel SARS-CoV-2 has claimed nearly 7 million lives globally and >1.1 million lives in the United States. Low-income populations are often disproportionately affected by risk factors such as lifestyle, employment, and limited health literacy. These populations may lack the knowledge of appropriate infection precautions or have reduced access to care during illness, particularly in countries without universal health care.

OBJECTIVE: We aimed to explore the perceptions and experiences of COVID-19, including symptoms and risk factors among uninsured individuals seeking care at a free medical clinic, and to obtain respondents' perceptions of and suggestions for …

Hypertension: Care Management Program And Medication Adherence, Courtney Montgomery

Student Scholarly Projects

Practice Problem: Medication adherence is a major concern in healthcare as it is a contributing factor to uncontrolled hypertension and resistant hypertension. Uncontrolled hypertension can lead to strokes, heart attacks, kidney failure, and even death.

PICOT: The PICOT question that guided this project was in Medicare Advantage members with hypertension located in Kansas, who were admitted to the hospital or emergency room identified by stratification (P), does care management utilization using hypertension clinical guidelines (I), compared to the stand-alone hypertension clinical practice guideline (C), improve medication adherence (O) over 10 weeks (T)?

Evidence: Hypertension is one of the leading preventable …

Critical Education In Community Health Literacy For Brazilian Nurses: A Course Evaluation, Margareth S. Zanchetta, Walterlânia S. Santos, Onislene A. E. De Almeida, Katarinne Lima Moraes, Maria Wanderleya L. Coriolano-Marinus

Journal of Educational Research and Practice

This article presents an immediate evaluation of a professional development course in community health literacy for Brazilian nurses. An evaluation based on an applied thematic analysis of the accounts of 63 attendees in three Brazilian cities (January 2020) was guided by the following themes: (a) expansion of understanding about community health literacy as a pillar for planning and providing health care; (b) encouragement of innovation in research and/or practice; and (c) plans to incorporate the information shared in the course into professional projects. The evaluation disclosed the complexity of social contexts for health literacy, which is intertwined with ethnocultural diversity …

Promoting Positive Sexual Health Behaviors Among Rural College Students: Results Of A Targeted Sti Prevention Program, Julie Loyke

Doctoral Projects

Sexually transmitted infections (STIs) are a significant public health concern, with 26 million new cases diagnosed annually in the U.S. Emerging adults aged 18 to 25 years, which are included in the age group of Americans who have the highest rates for the three most common STIs: chlamydia, gonorrhea, and HPV (cdc.gov., 2020). Unfortunately, there is a paucity of research on the effects of STI education interventions on the attitudes and knowledge regarding STIs in this age group, especially in rural youth. While STI rates are high among adolescents and young adults nationally, rural youth have different behavioral risk factors …

The Routine Use Of Tympanometry To Prevent Unnecessary Antibiotics In Patients With Otalgia: An Evidence-Based Practice, Quality Improvement Project, Leslie Leffler

Graduate Theses, Dissertations, and Capstones

Abstract

Background: The use of Tympanometry to diagnosis Otitis Media with Effusion (OME) in adults is not routine practice in primary care, although it is supported by evidence and clinical practice guidelines. The misdiagnosis of OME frequently leads to inappropriate antibiotic prescribing, contributing to the rise in drug resistant infections.

Purpose: This evidence-based practice, quality improvement project sought to determine if the use of tympanometry by Family Nurse Practitioners (FNPs), to assess adults visiting primary care clinics, improved the accuracy of otitis media diagnoses and decreased unnecessary antibiotic therapy. The project also evaluated whether experience using the tympanometer …

The Effect Of Mandatory Triage Questions On Triage Processes: A Qualitative Exploratory Study, Paul Clark Rn, Phd, Ma, Faen

Faculty and Staff Scholarship

Objective: The study purpose was to obtain an understanding of both the types of questions mandated for the triage encounter in emergency departments across the US, and how emergency nurses (EN) perceive the relevance of these questions to the triage process. Methods: a qualitative descriptive exploratory study using focus group data was used. Data were collected at an in-person emergency nursing conference held in September 2022. Data were analyzed using Mayring’s 8-step process. Results: Participants (n=35) voiced concerns about a lack of expertise at all points in the triage process. The overarching problem is reported as data required by regulatory …

Impact Of Mental Wellness Courses On Student Mental Health, Joshua W. Pinson

Theses and Dissertations

A large portion of college students have been diagnosed with a mental health disorder and that number is climbing. Most of these students are not receiving treatment, and university counseling centers are unable to meet the increasing demands. The purpose of this study is to fill gaps in this literature by doing an early analysis of a larger, multi-year quasi-experimental study to assess the impact of college mental wellness courses on self-health measures and mental health resource utilization rates. The validated instruments used for evaluating self-health measures and mental health resource utilization were the Physical Activity Vital Sign (PAVS) Counseling …

Implementing A Designated Follow-Up Plan To Increase Patient Adherence To Surveillance Recommendations After Endovascular Aortic Repair, Stacey Basta

Student Scholarly Projects

Practice Problem: Patients who have had endovascular aortic repair (EVAR) require lifelong monitoring and imaging surveillance due to the increased risk of developing serious complications. Despite specific EVAR follow-up and guideline recommendations, patient adherence remains poor.

PICOT: In adult patients who have undergone endovascular aortic repair (P), does the use of a designated follow-up plan(I), compared to the current routine follow-up care (C), increase annual adherence of patients to the recommended post-surgical surveillance (O) over 10 weeks (T)?

Evidence: The literature supported the need to improve lifelong surveillance for EVAR patients, noting a positive correlation between improved patient adherence and …

Drug Diversion Education For The Anesthesia Provider Plus One, Denise M. Christie

DNP Projects

The purpose of this quality improvement project was to determine awareness, knowledge, and the value of educating both the anesthesia provider and their spouse/significant other/family member/close friend (plus one) on the risks of drug diversion. Surveys revealed only 20% of plus ones had received previous education on drug diversion. After the educational session, anesthesia providers and plus ones showed increased awareness of the risks of drug diversion (p 0.08), increased knowledge of signs and symptoms, and perceived protection from diversion through education of the plus ones (p 0.08). Further investigation of the persistence of these effects is warranted.

Examining Racial Disparities In Unemployment Among Health Care Workers Before, During, And After The Covid-19 Pandemic, Jason Semprini

Journal of Patient-Centered Research and Reviews

Among the U.S. health care workforce, the COVID-19 pandemic appeared to greatly impact employment levels in 2020. However, no research has examined how the pandemic’s impact on employment varied by racial/ethnic group or beyond the initial emergency year. Our study aimed to quantitatively evaluate workforce trends by race/ethnicity before, during, and after the COVID-19 pandemic. This study analyzed each March supplement of the Current Population Survey over a 5-year span (2018–2022). We restricted the sample to nurses, physician assistants, and other non-physician health care workers (HCW), per specific census occupation codes, and constructed an event-history study to test for differential …

Hypertension Education To Enhance Health Literacy, Kylee Westrip

Student Scholarly Projects

Practice Problem: The health of patients suffers greatly when their health literacy is not addressed through evidence-based education material.

PICOT: The PICOT question that guided this project was, in adult patients with hypertension (P), how does evidence-based education material (I) compared to the current state of verbal instructions provided (C) affect health literacy rates based on the high blood pressure health literacy scale (O) within 12-weeks (T)?

Evidence: The literature evidence revealed three strong themes, which included information on who is most at risk for low health literacy levels, education delivery methods, and specific education to be used.

Intervention: …

Back To Basics: Improving The Quality Of Blood Pressure Measurement, Heather Sailor

Student Scholarly Projects

Practice Problem: Hypertension is a leading cause of death and disability worldwide. Blood pressure measurement (BPM) is at the forefront of diagnosing and treating hypertension, however, it is often measured inaccurately.

PICOT: The PICOT question that guided this project was: In outpatient adult patients (P), what is the effect of implementing a standardized blood pressure measurement protocol (I) versus standard measurement (C), on the quality of blood pressure measurement (O) within 8 weeks (T)?

Evidence: Implementation of a blood pressure measurement protocol has been shown to improve the quality of blood pressure measurement.

Intervention: A blood pressure measurement protocol …

Shared Governance And Transition Into Practice: Impact On Work Engagement, Gudrun M. Reiter-Hiltebrand

Student Scholarly Projects

Practice Problem: High turnover rates, particularly in new graduate nurses, and poor organizational commitment and engagement negatively affect staffing, operational performance, and patient outcomes. A negative trend for nurse engagement indicators was noted in previous staff engagement surveys of this organization.

PICOT: The PICOT question that guided this project was: In transition-into-practice (TIP) nurses (P), how does the implementation of shared governance (I) compared with no shared governance participation (C), affect their engagement with the hospital (O) within eight weeks (T)?

Evidence: Literature has shown that nurse engagement is one of the nurse indicators positively affected by shared governance …

Faith And Information To Treat Hypertension, Tiffany Bell

Student Scholarly Projects

Practice Problem: The prevalence of stroke and hypertension (HTN) in African Americans in the United States is among the highest in the world (American Heart Association, n.d.) with cultural norms as a contributing factor.

PICOT: The PICOT question that guided this project was in African American adults (>18 y/o) (P), how does a faith-based hypertension management program (I), compared to standard hypertension management (C), affect blood pressure measurements (O) within an 8-week timeframe (T)?

Evidence: The integration of motivational interviewing with therapeutic lifestyle changes along with HTN education using a community-based participatory approach delivered in the …

Effectiveness Of Individualized Counseling On The Duration Of Exclusive Breastfeeding: Study Protocol For A Multicenter, Randomized, Parallel, And Open Clinical Trial., Mariana Torreglosa Ruiz, Elisa Da Conceição Rodrigues, Karine Emanuelle Peixoto Oliveira Da Silva, Cynthya Viana De Resende, Michele Curcino Cavalcanti, Luciano Marques Dos Santos, Monika Wernet, Ana Letícia Monteiro Gomes, Marialda Moreira Christoffel, Maria Beatriz Guimarães Raponi, Jéssica Aparecida Da Silva, Jacqueline Faria De Oliveira, Divanice Contim, Ana Linares

Nursing Faculty Publications

BACKGROUND: Despite the benefits of breastfeeding, early weaning is a reality, so less than 50% of children worldwide and in Brazil are on exclusive breastfeeding in the sixth month of life. A strategy to counteract this scenario is breastfeeding counseling. This study aims to verify the effectiveness of individualized counseling by nurses trained in breastfeeding counseling, on the duration of exclusive breastfeeding, compared to standard care.

METHODS: Multicenter, randomized, parallel, and open clinical trial, with primiparous women aged over 18 years, hospitalized in rooming-in wards at participating centers and hemodynamically stable, aware, and oriented, who had a single-fetus pregnancy and …