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Full-Text Articles in Medicine and Health Sciences

Antibiotic Over Prescription For Upper Respiratory Tract Infections, Amina Boudaia Apr 2023

Antibiotic Over Prescription For Upper Respiratory Tract Infections, Amina Boudaia

Evidence-Based Practice Project Reports

Antibiotic overuse is a major contributor to antibiotic resistance that is estimated to be responsible for 23,000 deaths annually in the United States (Durante et al., 2017; Garcia et al., 2016). Upper respiratory tract infections (URTIs) are speculated to be a leading contributor to the overprescribing of antibiotics (Aplin-Snider et al., 2020). The purpose of this project was to address the PICOT question: Does the implementation of patient education posters and protocol plus online training modules for providers (I) over an 8-week period or 30 patient charts (T) help to decrease antibiotic overprescription (O) in upper respiratory tract infections (P) …


Patient Knowledge And Barriers To Care For Their Type 2 Diabetes Mellitus (Dm) Condition, Diana A. Salama Jan 2021

Patient Knowledge And Barriers To Care For Their Type 2 Diabetes Mellitus (Dm) Condition, Diana A. Salama

Family Medicine Clerkship Student Projects

This project is investigating the patient knowledge and barriers that may be present which may contribute to a lack of effective care of their Type II Diabetes condition. This project is also investigating key components which may improve patient-centered care.


Patient Disclosure Of Complementary And Alternative Medicine And The Patient-Provider Relationship, Kathryn V. Ortmann, Norsha Scheil, Thomas Stearns Jan 2019

Patient Disclosure Of Complementary And Alternative Medicine And The Patient-Provider Relationship, Kathryn V. Ortmann, Norsha Scheil, Thomas Stearns

All Electronic Theses and Dissertations

Complementary and alternative medicine (CAM) is becoming increasingly prevalent in the United States, with notable usage of supplements, deep breathing exercises, and chiropractic care. Despite this influx of CAM, nearly half of patients do not report their CAM use to their medical provider (Jou & Johnson, 2016). Disclosing these practices to a medical provider is pertinent to patient safety, as a number of potential drug interactions and side effects are associated with different CAM practices. Current literature illustrates specific provider attributes help facilitate an open dialogue with patients, or more specifically, a positive patient-provider relationship. This research study examines if …


Uncertainty And Competing Priorities In Shared Clinical Decision-Making, Dennis J. Baumgardner Jun 2018

Uncertainty And Competing Priorities In Shared Clinical Decision-Making, Dennis J. Baumgardner

Dennis J. Baumgardner, MD

In this issue introduction, the editor-in-chief of Journal of Patient-Centered Research and Reviews observes that a connecting thread among the articles published therein is an element of uncertainty among patients and clinicians. Competing priorities for the patient also may be present. Several approaches to overcoming these prevalent conflicts to delivery of better health care have been proposed, the most important of which may be clinicians embracing a will to practice shared decision-making.


Uncertainty And Competing Priorities In Shared Clinical Decision-Making, Dennis J. Baumgardner Apr 2018

Uncertainty And Competing Priorities In Shared Clinical Decision-Making, Dennis J. Baumgardner

Journal of Patient-Centered Research and Reviews

In this issue introduction, the editor-in-chief of Journal of Patient-Centered Research and Reviews observes that a connecting thread among the articles published therein is an element of uncertainty among patients and clinicians. Competing priorities for the patient also may be present. Several approaches to overcoming these prevalent conflicts to delivery of better health care have been proposed, the most important of which may be clinicians embracing a will to practice shared decision-making.


Pap Smear Compliance Study At Emmc, Bangor Maine, Do Gwak Jan 2016

Pap Smear Compliance Study At Emmc, Bangor Maine, Do Gwak

Family Medicine Clerkship Student Projects

Many factors contribute to the accurate reporting of pap smear compliance in patients population. The factors identified during the study are system failure of EMR to track pap smear records and lack of communication among different clinics.


Using Education And A Prevention Protocol Tool To Decrease The Incidence Of Pressure Ulcers In A Nursing Home, Kristina L. Scalzitti May 2015

Using Education And A Prevention Protocol Tool To Decrease The Incidence Of Pressure Ulcers In A Nursing Home, Kristina L. Scalzitti

Evidence-Based Practice Project Reports

Over 1.3 million persons are residents in nursing homes (NHs); one in ten have pressure ulcers. The purpose of this evidence based practice project was to determine if implementation of a pressure ulcer prevention tool, along with staff education, decreases the incidence of pressure ulcers within the NH. Florence Nightingale’s Environmental Model and the Stetler Model were used to guide this project. The setting was a NH in northwest Indiana. Eleven nurses attended a 15 minute educational session on pressure ulcer prevention and implementation of the Pressure Ulcer Prevention Protocol Intervention (PUPPI) tool. PowerPoint slides were distributed and flyers about …


Implementation Of An Advance Directive Protocol In A Primary Care Setting, Gloria Dillman Apr 2015

Implementation Of An Advance Directive Protocol In A Primary Care Setting, Gloria Dillman

Evidence-Based Practice Project Reports

Despite the passage of the Patient Self-Determination Act in 1992, only 15% of the United States population has completed an advance directive (AD). This statistic will be exaggerated with the future growth of older adults in the year 2030, at which time this portion of the population is expected to double to 72.1 million people. Without an AD, patients lose their autonomy and may be subjected to costly, life prolonging treatments that they would never choose for themselves. The unnecessary costs and unwanted treatment are preventable with an AD, and primary care providers are in a prime position to initiate …


Does Being Cultured Pay? Racial And Language Concordance And Its Effect On Physician Income, Nayan Patel Jun 2012

Does Being Cultured Pay? Racial And Language Concordance And Its Effect On Physician Income, Nayan Patel

Honors Theses

Issues surrounding race and ethnicity in healthcare have increased in number as racial disparities as well as minority physicians become more prevalent in the USA. One such issue is the concordance rate of race and language amongst physicians and their patients. The effect of racial concordance in physician patient relationships has been looked at to determine if it affects the perceived level of health quality. Saha et al. (1999) found that Black and Hispanic patients were more satisfied in their healthcare when treated by a physician of their own race. In this study, I establish whether or not the racial …