Medicine and Health Sciences Commons^™

Pediatric Obesity In Primary Care, Lynne C. Liggins

Electronic Theses and Dissertations

The purpose of this evidence-based quantitative quasi-experimental research was to compare if providing the parents with information on the health risk associated with childhood obesity would cause the parents to make healthier food choices and encourage their children to be involved in a full hour of physical activity a day. Participants included parents and pediatric and adolescent children 5 to 18 years of age at a solo practice primary care office in a large city in Southern, California, which specializes in treating pediatric and adolescent patients. A pre- and postquantitative intervention design were used and analyzed using the paired t …

Barriers To Early Patient Mobilization Among Acute Care Nurses, Occupational Therapists, And Physical Therapists, Elena Crooks, Carly Ruggles, Emily Carlson, Tyler Powell, Teresa Bigand, Tiffanie Rampley, Crystal Billings, Danell Stengem, Jennifer Hoople, Rylee Price

Articles, Abstracts, and Reports

No abstract provided.

The Numbers Don’T Lie: A Quantitative Examination Of Trauma Outcomes Among Black Homeless Women, Lisa Marie Persad

Dissertations, Theses, and Capstone Projects

Based on the extensive levels of trauma exposure and the need to provide effective mental health treatment for homeless women and their families, this dissertation was conducted to better understand trauma-related psychological distress and associated mental health outcomes among Black homeless women. More specifically, this study’s researcher examined a national sample of homeless women using three theoretical frameworks (Social Determinants of Health, Critical Race Theory, and Intersectionality), conducting a secondary analysis of the Mental Health Client Level-2018 dataset from the Substance Abuse and Mental Health Services Administration (SAMHSA), and employing hierarchical logistic regression modeling to examine the relative impact of …

Sit Less, Move More: A National Study Of Physical-Activity Behavior And Cancer, Stella O. Nwogugu

Dissertations, Theses, and Capstone Projects

Background: Physical activity is associated with lower risks of cancer, the second leading cause of death among Americans. Yet, sedentary behavior is the prevailing lifestyle for about 80% of American adults. Additionally, cancer survivors remain significantly inactive, even though physical activity has been shown to decrease risk of cancer and cancer recurrence, improve tolerance of cancer therapy, and reduce mortality. This research explores the relative impact of personal agency, social support, and key demographic variables on physical-activity behavior for a national sample of adults as well as how these relationships differ for cancer survivors and their counterparts.

Methods: Using the …

Race, Gender, Physical Activity, And Cancer: A Quantitative Investigation, Shawna A. Townsend

Dissertations, Theses, and Capstone Projects

Black women are more likely to die from cancer than any other population in the United States. Physical activity is known to be associated with preventing and reducing cancer burden. However, Black women are less physically active than their White counterparts and have a higher prevalence of diseases related to lack of physical activity than any other female group. To better understand these issues, this study employed the self-and-family management framework and intersectionality as theoretical frameworks through a secondary analysis of the Health Information National Trends Survey (HINTS) dataset and hierarchical regression modeling to examine the relative impact of (a.) …

Adherence To Antihypertensive Medications Among African Americans Adults, Obiageli Obah-Mbanefo

Dissertations

Purpose: To describe adherence to antihypertensive medications among African Americans adults aged 35 to 65 years in south Los Angeles.

Study Aims: Aim 1: Describe patient sociodemographic factors (age, gender, education, insurance, employment, living arrangement and income), clinical factors (history of current depressive symptoms, comorbidities, comorbidity Charlson score and number of comorbidities), health literacy level, and medication adherence to hypertension (HTN) medications. Aim 2: Describe the relationships between sociodemographic factors, clinical factors, health literacy level, and medication adherence. Aim 3: Compare medication adherence between patients with high health literacy level, low possible health literacy, and low health literacy level.

Background: …

Visiting Nurses' Knowledge, Attitudes And Beliefs Regarding Telehealth To Promote Medication Compliance In The Elderly Population, Diane Renee Logan

Seton Hall University Dissertations and Theses (ETDs)

Introduction: Medication noncompliance in the elderly home dwelling adult is a persistent problem resulting in decreased quality of life, hospital readmission within a 30-day period and increased morbidity. Visiting nurses are in a key position to assist the elderly population to employ medication compliance strategies that are tailor-made to fit their individual needs and abilities. The introduction of telehealth technology, while meant to aid elderly home dwelling individuals, may negatively impact the infusion of medication compliance strategies and thus increase medication noncompliance if visiting nurses are not effective in employing this technology.

Aim: The aim of this study is to …

Accessibility, Acceptance, And Equity: Examining Disability-Linked Health Disparities As Nursing And Communication Scholars, Sarah Parsloe, Stacey M. Carroll

Nursing Communication

People with disabilities (PWD) experience health disparities, often related to contextual factors beyond the physical differences in body structure and function. The purpose of this article was to develop a research agenda for nursing and communication scholars that explores how developing accessible and empowering communication environments in healthcare contexts might mitigate disability-linked health disparities. We focused on two broad research objectives: developing both accessible communication environments and empowering communication environments in healthcare settings. Elements proposed as comprising accessible communication environments were: making health literacy accessible, addressing complex communication needs, and communicating the embodied experience of disability. Empowering communication environments were …

"Women Are Again Unsafe": Preventing Violence And Poor Maternal Outcomes During Current Floods In Pakistan, Sarmad Muhammad Soomar, Abir Arefin, Salman Muhammad Soomar

School of Nursing & Midwifery

No abstract provided.

Social Isolation In Community-Dwelling Older Adults During Covid-19: Understanding The Role Of Resilience, A Garnett, K Prentice, R Booth, Lorie Donelle Phd, Rn, Fcan, J. B. Orange, F. Webster

Publications

The COVID-19 pandemic increased social isolation for many older adults, causing concern for their health and well-being. To enhance understanding of how community-dwelling older adults were impacted by prolonged social isolation during COVID-19, a qualitative descriptive study was conducted to: (1) explore the self-reported factors supporting their resilience during COVID-19 related social isolation, and (2) to help understand the intentional and unintentional outcomes of the government mandated health measures. A total of 19 community dwelling older adults were sampled. Factors that supported older adults' resilience during COVID-19 included maintaining positivity, drawing on historical experiences of resilience and finding opportunities to …

Using Medical Expenditure Panel Survey Data To Explore The Relationship Between Patient-Centered Medical Homes And Racial Disparities In Severe Maternal Morbidity Outcomes, Curisa M. Tucker, Nathaniel Bell, Cynthia F. Corbett Phd, Rn, Faan, Audrey Lyndon, Tisha M. Felder

Publications

BACKGROUND: There are persistent racial/ethnic disparities in the occurrence of severe maternal morbidity. Patient-centered medical home care has the potential to address disparities in maternal outcomes.

OBJECTIVES: To examine (1) the association between receiving patient-centered medical home care and severe maternal morbidity outcomes and (2) the interaction of race/ethnicity on patient-centered medical home status and severe maternal morbidity.

DESIGN/METHODS: Using 2007 to 2016 data from the Medical Expenditures Panel Survey, we conducted a cross-sectional study to estimate the association between receipt of care from a patient-centered medical home and the occurrence of severe maternal morbidity, and racial-specific (White, Black, Asian, …

Substrate Electronics Dominate The Rate Of Reductive Dehalogenation Promoted By The Flavin-Dependent Iodotyrosine Deiodinase, Jeffrey M Carlson, Ayzsa Tannis, Kate R Woodworth, Megan R Reynolds, Neha Shinde, Breanne Anderson, Keivon Hobeheidar, Aisha Praag, Kristen Campbell, Cynthia Carpentieri, Teri Willabus, Elizabeth Burkhardt, Elizabeth Torrone, Kevin P O'Callaghan, Kathryn Miele, Dana Meaney-Delman, Suzanne M Gilboa, Emily O'Malley Olsen, Van T Tong

Faculty, Staff and Student Publications

Despite universal prenatal syphilis screening recommendations and availability of effective antibiotic treatment, syphilis prevalence during pregnancy and the incidence of congenital syphilis have continued to increase in the United States (1,2). Concurrent increases in methamphetamine, injection drug, and heroin use have been described in women with syphilis (3). CDC used data on births that occurred during January 1, 2018-December 31, 2021, from two states (Arizona and Georgia) that participate in the Surveillance for Emerging Threats to Pregnant People and Infants Network (SET-NET) to describe the prevalence of substance use among pregnant persons with syphilis by congenital syphilis pregnancy outcome (defined …

Implicit Bias Training In The Student Nurse Practitioner’S Curriculum, Macdana Selecon

DNP Qualifying Manuscripts

Background: Implicit bias (IB) training is not provided in all graduate nursing programs. As a result, graduate nursing students are not prepared to address poor health outcomes related to healthcare biases. This literature review examines the evidence for effective IB training methodologies.

Methods: CINAHL, Fusion, PubMed, Google Scholar, and Cochrane Database of Systematic Reviews were searched for peer-reviewed articles published between 2010 and 2022. The identified studies were critically appraised using the Johns Hopkins Nursing Evidence-Based Practice Level and Quality Guide Tool.

Results: Six articles were identified as eligible. Five studies implemented implicit bias training for graduate nursing students and …

Optimizing Your Capstone Experience: A Guidebook For Allied Health Professionals, Virginia E. Koenig

Open Touro Created

2023

This guidebook is designed for allied health professional students. Each chapter in this guidebook provides students with useful information, tools, and examples that will support them before, during, and after their capstone journey. This is a one of a kind resource that can be used in a variety of professional academic settings. The primary goal of this guidebook is to support students throughout their capstone experience and to help them understand how the capstone process will enrich both their personal and professional advancement.

Putting All My Eggs Into The App': Self, Relational And Systemic Surveillance Of Mothers' Use Of Digital Technologies During The Transition To Parenting, Jodi Hall, Bradley Hiebert, Danica Facca, Lorie Donelle Phd, Rn, Fcan

Publications

This paper builds on thematic findings from a larger study that explored how digital technologies (e.g. smartphones, apps, search engines) shape expectant and new mothers' early parenting practices. An overarching theme that arose across these mothers' experiences which deserved deeper exploration was relational digital surveillance. In the context of this paper, relational digital surveillance describes how mothers evaluate their sense of preparedness, goodness or suitability for motherhood as they transition into parenting in relation to: their own use of digital technologies when caring for their pregnant bodies (self-surveillance), partners' and family members' commentary and/or judgement regarding their use of digital …

Parental Contextual Factors And Decision-Making Related To Periviable Birth: An Integrative Review, Amy L. Wright, Elizabeth Mens, Gausiha Rathitharan

The Qualitative Report

Parents facing a periviable birth, or birth before 25 weeks of gestation, commonly engage in antenatal consultation with healthcare providers to determine a plan of care. Parents’ pre-existing contextual factors, beliefs, and values influence their decisions regarding birth and the care of their infant. This study aims to understand the role of parental contextual factors and best-practices to their integration during antenatal consultation The Whittemore and Knafl (2005) approach to conducting an integrative review along with thematic analysis was employed to determine and present the findings. Results describe three themes related to how contextual factors influence parental decision-making: personal values …

Breast Milk Jaundice (Nursing), Stephanie Bratton, Rebecca M. Cantu, Mitchell Stern, Wanda Dooley

Nursing and Health Sciences

No abstract provided.

Review Of Storytelling In Queer Appalachia: Imagining The Unspeakable Other, Sandra L. Cotton Dnp, Rn, Anp-Bc, Fnap, Laurie A. Theeke Phd, James Messer

Journal of Appalachian Health

The Journal of Appalachian Health is committed to reviewing published media that relates to contemporary concepts affecting the health of residents of Appalachia. Improving the health in the region of Appalachia means knowing our people as they live and thrive in communities. The book reviewed here, Storytelling in Queer Appalachia: Imagining the Unspeakable Other (Edited by Glasby, Gradin, and Ryerson), is a must read for people who wish to gain insight on the real experience of being queer in Appalachia.

Building Organizational Learning Capacity: A Road Map For Nurse Executives, Bret Lyman, Marie M. Prothero, Joy Parchment

Faculty Publications

The purpose of this article is to guide nurse executives in building learning capacity within their organizations. The Organizational Learning Road Map provided is grounded in the American Organization for Nursing Leadership’s Nurse Leader Core Competencies. Key steps include: developing one’s self as a learning leader, sharing a learning-focused vision for the organization, establishing a culture of learning, charting a course toward becoming a learning organization, developing a leadership team to support learning throughout the organization, measuring progress toward the vision, and sustaining momentum.

Building Organizational Learning Capacity: A Road Map For Nurse Executives, Bret Lyman, Marie M. Prothero, Joy Parchment

Faculty Publications

The purpose of this article is to guide nurse executives in building learning capacity within their organizations. The Organizational Learning Road Map provided is grounded in the American Organization for Nursing Leadership’s Nurse Leader Core Competencies. Key steps include: developing one’s self as a learning leader, sharing a learning-focused vision for the organization, establishing a culture of learning, charting a course toward becoming a learning organization, developing a leadership team to support learning throughout the organization, measuring progress toward the vision, and sustaining momentum.

A Quality Improvement Project To Reduce Rates Of Deep Sternal Wound Infections Among Adult Cardiovascular Surgery Patients With A Sternotomy Approach, Cole Gatzke, Samantha Porcher

Nursing DNP Projects

Background: An increase in deep sternal wound infections (DSWI) within the cardiovascular surgery (CVS) department at a large midwestern teaching hospital among adult patients with an open sternotomy approach. Objective: To reduce the DSWI rate within the hospital’s CVS department. Methods: After gathering stakeholder input and observing the perioperative process, an extensive review of current literature was conducted to address the problem. Interventions that had literature support were then reanalyzed with stakeholder input for implementation selection, along with a cost-benefit analysis. A pilot was designed applying the Posthorax™ Pro Sternal Support Vest for adult cardiac surgery patients with a sternotomy …

Decreasing Restraint Use By Utilization Of Agitation Assessment And Verbal De-Escalation Strategies In An Inpatient Non-Psychiatric Hospital, Kiera Paulo

DNP Qualifying Manuscripts

Background: This paper reviews the literature on ways to decrease the use of restraints in hospitals – specifically the use of agitation assessments and verbal de-escalation to be implemented in healthcare facilities to decrease the number of restraints being used to manage undesirable patient behavior and workplace violence incidents. Problem: Restraints have been shown to impede the nurse-patient relationship and cause emotional and physical trauma to staff and patients. They are no longer considered preferred management and in some circumstances can be considered abuse. Intervention: Agitation assessments and verbal de-escalation have been shown to produce less aggressive behavior and decrease …

Metabolomics Of A Neonatal Cohort From The Alliance For Maternal And Newborn Health Improvement Biorepository: Effect Of Preanalytical Variables On Reference Intervals, Lena Jafri, Aysha Habib Khan, Muhammad Ilyas, Muhammad Imran Nisar, Javairia Khalid, Hafsa Majid, Aneeta Hotwani, Fyezah Jehan

Department of Pathology and Laboratory Medicine

Background: The study was conducted to determine reference interval (RI) and evaluate the effect of preanalytical variables on Dried blood spot (DBS)-amino acids, acylcarnitines and succinylacetone of neonates.
Methodology: DBS samples were collected within 48-72 hours of life. Samples were analyzed for biochemical markers on tandem mass spectrometer at the University of Iowa. Comparison of RI across various categorical variables were performed.
Results: A total of 610 reference samples were selected based on exclusion criteria; 53.2% being females. Mean gestational age (GA) of mothers at the time of delivery was 38.7±1.6 weeks; 24.5% neonates were of low birth weight and …

The Relationship Between Endotracheal Tube Different Cuff Pressure Measurements And The Incidence Of Ventilator-Associated Pneumonia, Menattallah Mohamed

Nursing

Endotracheal tube cuff pressure measurement is an essential practice for management of mechanically ventilated patients. Based on guidelines, it’s recommended to maintain the endotracheal tube cuff pressure within a range between 20-30cm H2O. When the endotracheal tube cuff pressure is lower than the normal range, it increases the risk of micro-aspirations and the passage of contaminated secretions of the oral cavity into the trachea; this potentially causing aspiration pneumonitis and ends with ventilator associated pneumonia. This study aimed to assess the relationship between endotracheal tube different cuff pressure measurements and the incidence of ventilator associated pneumonia. A non-randomized descriptive correlational …

Screenings To Decrease Pediatric Suicide, Jordan Bridges, Dana Schildmeyer, Amanda Austin, Laura Boesken

Posters-at-the-Capitol

This project aimed to examine the current practice related to mental health and depression screenings in pediatric patients. The benefits of implementing screening in schools in identifying depression and suicide risks sooner were also considered. This project focused on the correlation between earlier mental health screening and identification of these mental health disorders earlier in the life of pediatric patients and suicide rates. Current, published literature notes mental health screening in the pediatric population in schools is an effective method to facilitate monitoring and early intervention in detecting a mental illness. Schools implementing mental health screenings can result in increased …

Home Visitation To Prevent And Reduce Postpartum Depression, Anna Bauer, Madison Polley, Laura Boesken Dnp, Msn, Rn

Posters-at-the-Capitol

Postpartum depression (PPD) occurs in 13-19% of women worldwide, and is a stigmatized medical condition affecting maternal and infantile long term outcomes. The purpose of this evidence-based practice project was to determine if women at high risk for PPD are affected by home visitation programs from discharge up to three years postpartum. CINHAL Ultimate, Google Scholar, and Medline databases were used. Current evidence supports the use of home-visitation programs for postpartum women to decrease the prevalence and the symptoms of PPD by allowing nurses access into homes to provide early intervention for PPD. In addition to providing care for prevention …

A Flexible Pressure Sensor With Highly Customizable Sensitivity And Linearity Via Positive Design Of Microhierarchical Structures With A Hyperelastic Model, Zhenjin Xu, Dezhi Wu, Zhiwen Chen, Zhongbao Wang, Cong Cao, Xiangyu Shao, Gang Zhou, Shaohua Zhang, Lingyun Wang, Daoheng Sun

Publications

The tactile pressure sensor is of great significance in flexible electronics, but sensitivity customization over the required working range with high linearity still remains a critical challenge. Despite numerous efforts to achieve high sensitivity and a wide working range, most sensitive microstructures tend to be obtained only by inverting naturally existing templates without rational design based on fundamental contact principles or models for piezoresistive pressure sensors. Here, a positive design strategy with a hyperelastic model and a Hertzian contact model for comparison was proposed to develop a flexible pressure sensor with highly customizable linear sensitivity and linearity, in which the …

Using Doctoral Education And Research-Based Learning To Advance The Nurse Leader, Kara R. De La Fosse

The Journal of Advancing Education Practice

Nurse leaders perform in highly autonomous positions in two dimensions; academia, and the clinical setting with the awesome responsibility to serve and protect others. To guide nursing practice, research-based skills are crucial to ensure leadership decisions are founded in evidence-based practice. Random controlled studies are gold-standard in healthcare compared to correlation or descriptive studies and employ a systematic review to strengthen findings (Schmidt & Brown, 2021). Research skills are prominent in numerous components of the leadership scope to perform at a stellar level.

Ur-Ine Good Hands In The Neuroscience Intensive Care Unit, Molly Lehatto, Courtney Hastings, Monika Mehlbrech, Christina Szabo

VCU Health Nursing

Purpose:

The purpose of this performance improvement project was to decrease the harm to patients related to catheter associated urinary tract infections (CAUTIs) in the Neuroscience Intensive Care Unit (NSICU). Historically, the NSICU had the highest CAUTI rates in our organization with as many as 6 CAUTIs per calendar year quarter. A core group of nurses partnered with providers, hospital infection preventionists and nursing leaders to improve practices for placing, removing, and managing urinary catheters and to implement guidelines for urine testing stewardship.

Description:

Significance: In 2020, the NSICU had 12 CAUTIs, the highest number of CAUTIs in the entire …

Wound Care Training Using Simulation: Impacts On Clinical Knowledge, Skill Performance, And Satisfaction Among Skilled Nursing Facility Staff, Anna Sue Moody, Vorachai Sribanditmongkol

College of Health Sciences Posters

Impaired skin integrity, wound formation, and infections are significant health concerns. Therefore, competent wound care is essential for skilled nursing facility residents in long-term care. To recoup losses sustained during the COVID-19 pandemic, one skilled, nursing facility in North Carolina increased admissions from other facilities from 59% to 68%, which resulted in a surge of residents with pre-existing and complex wounds. High staff turnover and inconsistent wound care practices were also observed. Research suggests that healthcare institutions with high attrition may experience degradations of clinical knowledge, skill proficiency, and safe, quality nursing care delivery. Evidence supports the use of simulation-based …