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- Breastfeeding (2)
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- Centering Pregnancy (2)
- Cesarean section (2)
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Articles 1 - 30 of 174
Full-Text Articles in Medicine and Health Sciences
Importance Of Eye Exams As A Secondary Preventative Measure For Diabetic Retinopathy: Winning The War On Blindness, Alondra S. Arredondo, Olivia Demeyer, Rachel Louise Pfenning-Wendt, Samuel Wolfe
Importance Of Eye Exams As A Secondary Preventative Measure For Diabetic Retinopathy: Winning The War On Blindness, Alondra S. Arredondo, Olivia Demeyer, Rachel Louise Pfenning-Wendt, Samuel Wolfe
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Despite current efforts by medical professionals to reduce the prevalence of diabetic retinopathy (DR), a microvascular complication of uncontrolled diabetes, this noncommunicable disease remains the leading cause of preventable vision loss worldwide (Cheloni et al., 2019). Research estimates 90% of DR cases could be prevented if detected early through routine eye exams, yet certain social determinants of health still remain a significant barrier for many individuals to receive this care. According to Wong & Sabanayagam (2020), only 25% of DM patients in developing countries receive routine care with adequate eye screenings. The goal of this community service project was to …
Rural Maternal Care Crisis & Strained Workforce: An Integrative Review Revealing Factors In The Rural Maternal Care Crisis, Taylor F. High Elk
Rural Maternal Care Crisis & Strained Workforce: An Integrative Review Revealing Factors In The Rural Maternal Care Crisis, Taylor F. High Elk
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Introduction: The United States is comprised of 75% rural areas and settings (American College of Obstetricians and Gynecologists (2014). Nearly five million women in the US do not have access to maternity care in the county in which they reside (Uribe-Leitz et al., 2022). Purpose: The purpose of this integrative review is to assess the hospitals that provide maternity care in rural settings, the procedures performed in these locations, and the maternal care workforce in the rural obstetric setting. The goal of this research is to identify why there is a lack of maternity care in the rural setting, and …
Physiology-Based Education For Patients With Type 2 Diabetes, Becca Barry, Cara Marie Gabriel, Brenna Lynn Olson
Physiology-Based Education For Patients With Type 2 Diabetes, Becca Barry, Cara Marie Gabriel, Brenna Lynn Olson
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Type 2 diabetes (T2DM) is a multisystemic disease that affects more than 370 million people worldwide and costs the U.S. Healthcare System over $245 billion per year (Kahn et al., 2013; Powers et al., 2015). Current diabetes education serves as a beneficial intervention method in the prevention and limitation of disease complications. Nevertheless, the current education regimen does not adequately convey the physiological reasoning behind those recommendations. Creating an educational tool that provides patients with physiological reasoning behind diabetes and treatment methods was needed to improve diabetes understanding. Neighborhood HealthSource expressed a need for easily understandable and accessible pathophysiology-based T2DM …
Hydration And Nutrition During Labor, Muna Abdi, Katie Cooper
Hydration And Nutrition During Labor, Muna Abdi, Katie Cooper
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Background/Purpose: Historically women have birthed in their own homes. As birth moved to the hospital, concerns surrounding gastric aspiration following general anesthesia led to restrictive intake policies for laboring women. Current professional recommendations vary regarding nutritional intake in labor. The purpose of this paper is to determine whether there are differences in maternal outcomes when different forms of hydration and nutrition are used during labor. Theoretical Framework: Neuman’s Systems Model was the theoretical framework used to guide the research process. This model includes four systems (client-client, environment, health, and nursing) which work together to promote holistic wellness. Methods: A thorough …
Postplacental Intrauterine Device Insertion: Efficacy And Barriers, Tommi Amanda Ladd Carrell
Postplacental Intrauterine Device Insertion: Efficacy And Barriers, Tommi Amanda Ladd Carrell
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As many as half of all women do not attend postpartum care and receive desired family planning care. Left with little to no resources for obtaining contraception, many go on to have subsequent unplanned pregnancies. The American College of Obstetricians and Gynecologists has stated that offering long-term, reversible contraception at the time of birth should be considered for these women, yet adoption of this procedure remains low. This literature review will evaluate the efficacy and advantages of postplacental intrauterine device placement and barriers to implementing the procedure.
Perineal Massage Or Warm Compress To Decrease Perineal Trauma In Second Stage Of Labor, Amanda Condon, Colleen Williams
Perineal Massage Or Warm Compress To Decrease Perineal Trauma In Second Stage Of Labor, Amanda Condon, Colleen Williams
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Background/Purpose: The purpose of this review of research is to determine if the use of perineal massage or warm compress in the second stage of labor decreases perineal trauma, including spontaneous lacerations or the need for an episiotomy. Theoretical Framework: Betty Neuman’s Systems Model asserts that each person will interact with the environment with their own set of variables. Neuman’s Systems Model focuses on maintaining health with the prevention of three categories of stressors: primary, secondary and tertiary. Nurse-midwives work to prevent perineal trauma by considering what interventions strengthen the defense of each women to the environment stressors of physiologic …
Maintaining Postpartum Bleeding: Effects Of Tranexamic Acid, Shenider Dufort
Maintaining Postpartum Bleeding: Effects Of Tranexamic Acid, Shenider Dufort
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Background/Purpose: The purpose of this literature appraisal is to determine the effectiveness of tranexamic acid (TXA) and its ability to stabilize postpartum bleeding. TXA is an antifibrinolytic pharmacologic drug found to reduce blood loss associated with trauma and patients undergoing major surgeries. When administered in combination with other uterotonics, the World Health Organization predicts the prophylactic use of TXA could globally improve the morbidity and mortality rates associated with postpartum hemorrhaging. Theoretical Framework: Kurt Lewin’s change theory was used in the development of this literature review. The Lewin change theory emphasizes the importance of change and development within a medical …
The Resilient Midwife, Sarah M. Dorsey
The Resilient Midwife, Sarah M. Dorsey
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Midwives have been shown to significantly improve birth outcomes; the World Health Organization proposes that 83% of maternal deaths, newborn deaths, and stillbirths could be prevented through midwifery care. However, burnout level in this profession is high; a 2017 survey of U.S. certified nurse-midwives and certified midwives revealed that 40.6% of these professionals were suffering from burnout. The purpose of this paper is to identify strategies to facilitate resilience and decrease burnout in the midwifery professionMethods: 1427 articles were screened to yield twenty research studies relevant to improving resiliency and decreasing burnout the midwifery profession. The twenty articles were summarized …
Implementing A Health And Wellness Program For Low Income Children And Their Families: A Community Outreach Program, Kailey Ann Geib, Hannah N. Moland, Emily Nicole Nelson
Implementing A Health And Wellness Program For Low Income Children And Their Families: A Community Outreach Program, Kailey Ann Geib, Hannah N. Moland, Emily Nicole Nelson
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Low income status has been proven to have negative effects on overall health, such as increased prevalence of chronic diseases and poor childhood development (Gupta, de Wit, & McKeown, 2007). Children living in communities of this status often do not have access to healthy foods or exercise facilities in comparison to middle and upper class children (Gupta, de Wit, & McKeown, 2007). Enhancement of education on these topics has the ability to combat the risk for poor health outcomes. A health and wellness program called SMILE was created and implemented at a child care center, called Carol Mathey’s Center for …
Telehealth Use During The Prenatal Period: Strengths And Limitations, Adrian M. Goblisch, Tessa L. Hand
Telehealth Use During The Prenatal Period: Strengths And Limitations, Adrian M. Goblisch, Tessa L. Hand
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Background/Purpose: The purpose of this paper is to examine the risks and benefits of telehealth use during the prenatal period. With the increasing use of technology to provide healthcare, especially during the COVID-19 pandemic, it is critical to examine the implications this care modality has on individuals and the community. Theoretical Framework: Katharine Kolcaba’s Comfort Theory was applied to the topic of telehealth use in the prenatal period. This theory explains that there is an immediate experience of strengthening when relief, ease, and transcendence are met and that an individual is more likely to exhibit health-seeking behaviors when comfort in …
The Effectiveness Of Comprehensive Sexual Education For Teens: An Exploration Of The Advantages And Disadvantages, Crystal L. Iddings, Danielle J. Wadsworth
The Effectiveness Of Comprehensive Sexual Education For Teens: An Exploration Of The Advantages And Disadvantages, Crystal L. Iddings, Danielle J. Wadsworth
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Background/Purpose: The teen pregnancy rate in the United States was18.8 per 1000 in 2017. Although this is an all-time low for teen pregnancy in the United States, it is still the highest rate among developed countries. This literature review aimed to reveal the advantages and disadvantages of comprehensive sexual health education. Theoretical Framework: In 1947, Kurt Lewin identified three stages to the Change Theory which people go through while making change: unfreezing, change, freeze (or refreeze). These three major concepts are the force that pushes forward for change to occur. Methods: Twenty research articles were critically reviewed with the purpose …
Pa School And Relationship Satisfaction, Hannah M. Kerkhof, Rebecca Kornowski
Pa School And Relationship Satisfaction, Hannah M. Kerkhof, Rebecca Kornowski
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Physician assistant programs are rigorous, fast-paced, and time intensive, putting significant stress on PA students themselves and their romantic relationships. Research has been done on the effects of medical school on student mental health and romantic relationships, but there is a lack of research on PA students who undergo a similar didactic education. Determining the relationship between PA school stressors and relationship satisfaction may aid in the development of coping mechanisms for couples, reduce student and partner stress, and improve student well-being. The study revealed students who were married, male, between the ages of 30-39,cohabiting, or in long term relationships …
Dance: The Movement Supporting Safe, Sovereign And Satisfying Birth Experiences, Lisa Marie Morgan
Dance: The Movement Supporting Safe, Sovereign And Satisfying Birth Experiences, Lisa Marie Morgan
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Labor dance utilizes upright positioning, hands and knees position, use of the rebozo and other alternative labor and birth positions as a traditional means of taking advantage of gravity and increasing the pelvic diameter in labor and birth. Despite recommendations by the American College of Nurse-Midwives (ACNM) and the American College of Obstetricians and Gynecologists (ACOG) supporting such positions, promotion and use of labor dance remain in the margins of labor and birth experiences for most women. This literature review finds that labor dance increases safety, sovereignty and satisfaction in the labor and birth experience for women. Further, this simple …
Evaluating The Impact Of Volunteer And Facility Provided Doula Support In The Intrapartum Period On Maternal, Neonatal, And Psychosocial Outcomes In The Hospital Setting, Kayla Puent, Keirsta Marie Ragels
Evaluating The Impact Of Volunteer And Facility Provided Doula Support In The Intrapartum Period On Maternal, Neonatal, And Psychosocial Outcomes In The Hospital Setting, Kayla Puent, Keirsta Marie Ragels
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Background/Purpose: The unacceptably high maternal mortality rate in the United States has demanded a call to action for evaluation and implementation of efforts to improve both maternal and neonatal outcomes. Low-resource and low-socioeconomic populations are at a higher risk of experiencing adverse birth outcomes. Doulas have continuously been recognized as key tools in improving outcomes, but not all birthing persons have access to them. The positive impact of continuous labor support in improving outcomes is recognized by the American College of Obstetricians, American College of Nurse-Midwives, the Society for Maternal-Fetal Medicine, and the March of Dimes. The purpose of this …
Breastfeeding Education And Support For Marginalized Women To Increase Exclusive Breastfeeding Rates, Kelsea J. Rush, Leah Vogel
Breastfeeding Education And Support For Marginalized Women To Increase Exclusive Breastfeeding Rates, Kelsea J. Rush, Leah Vogel
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Background/Purpose: Marginalized women have significantly lower rates of breastfeeding initiation and duration and also experience significant health disparities when compared to non-marginalized populations. Breastfeeding has positive health benefits to both mother and child and could help to reduce these disparities. The purpose of this critical appraisal of the literature was to determine the effects of additional breastfeeding education and support on breastfeeding among marginalized groups of women. Theoretical Framework: Ramona Mercer’s Maternal Role Attainment Theory was used as a framework for the literature review by following the four stages of attainment; anticipatory, formal, informal, and personal. Methods: Twenty relevant, scholarly …
Assessment Of Medical Experiences Of Hearing Guardians With Deaf Or Hard Of Hearing Children In The Twin Cities, Hannah R. Jaster, Erin R. Rudolph, Melinda Sorensen
Assessment Of Medical Experiences Of Hearing Guardians With Deaf Or Hard Of Hearing Children In The Twin Cities, Hannah R. Jaster, Erin R. Rudolph, Melinda Sorensen
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This paper assesses the medical experiences guardians of deaf or hard of hearing children have after their children are first diagnosed with a hearing loss within the Twin Cities region of Minnesota. Data collection used a mixed methods approach through a survey containing Likert scale questions and opportunities to elaborate on personal experiences. The non-profit organization MN Hands & Voices provided a population qualified to participate in this study who were hearing guardians with a child under ten years old diagnosed within the Twin Cities region of Minnesota. Hearing loss can cause delays in language development if not diagnosed early, …
Diagnosing Dermatological Conditions In The Non-Caucasian Population, Mackenzie M. Mellum, Candace Joyce Nysted, Kassidy E. Westrom
Diagnosing Dermatological Conditions In The Non-Caucasian Population, Mackenzie M. Mellum, Candace Joyce Nysted, Kassidy E. Westrom
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There is currently a lack of resources available on dermatological conditions in the non-Caucasian population; therefore, additional educational materials are needed to supplement the education of healthcare professionals (Ebede & Papier, 2006). The researchers created an educational module with common dermatological conditions, the presentation of various dermatological conditions, and descriptive pictures of how each condition presents in the non-Caucasian population to use as a supplement to the current dermatology modules that are used throughout various health and social science programs at Bethel University in Arden Hills, MN. The topics of the module include basal cell carcinoma, squamous cell carcinoma, melanoma, …
The Effects Of Socialization On The Progression Of Dementia, Caitlyn Hagstrom, Ashley G. Heppner, Katelyn N. Kunde
The Effects Of Socialization On The Progression Of Dementia, Caitlyn Hagstrom, Ashley G. Heppner, Katelyn N. Kunde
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Dementia is an umbrella term for a group of disorders marked by a decline from baseline in memory, executive function, and other cognitive functions such as reasoning, handling complex tasks, and spatial orientation, all of which interferes with activities of daily living and independence (Larson, 2019). Current pharmaceutical management of dementia and related symptoms is limited (Press & Alexander, 2019b). As dementia progresses, the cognitive skills required to maintain social interactions and familial relationships decline, therefore affecting the perceived loneliness and isolation of the person living with dementia. This research was conducted to understand the role of socialization in the …
The Role Of Specialty Care In Pediatric Management In Minnesota, Marissa Hall, Rachel Nornes
The Role Of Specialty Care In Pediatric Management In Minnesota, Marissa Hall, Rachel Nornes
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Childhood asthma can be a challenging condition to manage and often requires individually tailored pharmacologic therapy in order to prevent symptom exacerbation and subsequent hospitalizations. Many patients and their families seek guidance from primary care providers or specialty care clinics to help in navigating appropriate medication management and symptom control. This study aimed to identify the role of specialty care management in pediatric asthmatics through the completion of a systematic chart review of patient records obtained from a Minnesota-based pediatric pulmonology clinic. The methodology included a qualitative retrospective cohort analysis which focused on patient referral source, specific treatment interventions, and …
Early Palliative Care Implementation In Metastatic Lung Cancer Patients: A Quality Improvement Project, Megan Joan Biegler, Erin Hamar, Stephanie Spinolo
Early Palliative Care Implementation In Metastatic Lung Cancer Patients: A Quality Improvement Project, Megan Joan Biegler, Erin Hamar, Stephanie Spinolo
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This was a quality improvement project that will allow improvements to be made in healthcare services offered and the overall health status of Stage IV metastatic lung cancer patients receiving palliative care referrals. Data was collected retrospectively from electronic medical records of Stage IV metastatic lung cancer patients with palliative care referrals between January 2019 and March 2020. The palliative care referrals between January 2019 and August 2019 were given per oncologist discretion in timing compared to August 2019-March 2020 when new patients received nurse navigator driven palliative care referrals immediately upon diagnosis. Data analysis looked at correlations for each …
Mitigating Mitochondrial Dysfunction In The Insulin Resistant Phenotype: A Ketogenic Diet And Intermittent Hypoxia, William Christian Grillo, Joshua Pinson, Bethany K. Tangen
Mitigating Mitochondrial Dysfunction In The Insulin Resistant Phenotype: A Ketogenic Diet And Intermittent Hypoxia, William Christian Grillo, Joshua Pinson, Bethany K. Tangen
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Chronic disease currently affects 45%, nearly half, of all persons in the United States (Raghupathi & Raghupathi, 2018). A systemic, cellular etiology of chronic disease has been proposed: literature supports the mechanism of a universal cell danger response (CDR) (Naviaux, 2019). The hallmark of the CDR, the shift in metabolism to anaerobic glycolysis, is initiated by altered functionality of the mitochondria (Naviaux, 2019). Current research on mitochondrial dysfunction has demonstrated that a hypoxic intervention has successfully increased longevity in mice with mitochondrial dysfunction, but such an intervention has not, to our knowledge, been attempted in humans (Jain et al., 2016). …
Homelessness And Diabetes: A Review To Provide Education To Homeless Individuals And Organizations, David W. Grewe, Mckenzie J. Kostreva, Karly Kroeten
Homelessness And Diabetes: A Review To Provide Education To Homeless Individuals And Organizations, David W. Grewe, Mckenzie J. Kostreva, Karly Kroeten
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Diabetes is a disease that is prevalent in both the United States, and within the homeless population. This project outlines what T2DM is, its prevalence in the homeless population, and then barriers to treatment that the homeless face. Educational material and information regarding diabetes is severely lacking in the homeless population. There are many organizations that exist to aid homeless individuals in the Minneapolis/Saint Paul area. This project is specifically working with an organization called Helping Homeless Minnesota. By researching information on T2DM, homelessness, and educational materials available, resources have been created for Helping Homeless MN. The resources are meant …
Multidisciplinary Approach To Mitigating Effects Of Adverse Childhood Experiences In The Classroom, Owen M. Mccann, Olivia Olga Jeanette Nelson, Juliana Marie Pederson
Multidisciplinary Approach To Mitigating Effects Of Adverse Childhood Experiences In The Classroom, Owen M. Mccann, Olivia Olga Jeanette Nelson, Juliana Marie Pederson
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Adverse childhood experiences or ACEs, are traumatic experiences in a person’s life which occur before the age of 18 and have been shown to negatively impact overall health (Petruccelli, Davis, & Berman, 2019). One area of research on ACEs and their negative effects that has not been investigated thoroughly is the classroom environment. ACEs often do not demonstrate their negative effects until later in life in which high rates of obesity, mental health concerns, chronic obstructive pulmonary disease (COPD), chronic pain, and higher rates of emergency room visits are seen (Koball et al., 2019). Teachers and support staff interact with …
Benefits And Risk Associated With Physical Exercise During The Antenatal Period, Corrie Crump, Brittany Freeman
Benefits And Risk Associated With Physical Exercise During The Antenatal Period, Corrie Crump, Brittany Freeman
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Background/Purpose: There are many misconceptions, uncertainties, and false narratives pertaining to how much physical activity and what types of activities are safe in pregnancy. This purpose of this critical literature review was to provide more guidance on evidence-based recommendations for what activity and how much activity is considered safe, and shed light on the proven benefits being physically active provides. Additionally, the literature was reviewed to assess the benefits of exercise during pregnancy as it pertains to maternal morbidity. Theoretical Framework: Dorothea Orem’s Theory on Self-Care Deficit explains the importance of self-care, and focuses on the individual’s ability to perform …
Registered Nurse Perception Of Physician Assistants, Erin Renee Alpers, Linda Charles, Kaitlyn Mellesmoen
Registered Nurse Perception Of Physician Assistants, Erin Renee Alpers, Linda Charles, Kaitlyn Mellesmoen
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The physician assistant (PA) profession is a relatively new and ever-growing field within healthcare. PAs serve patients in many different specialties alongside a wide variety of other members of healthcare teams. With the exponential growth of the PA profession the understanding of the role they provide is essential to other healthcare workers. Since the emergence of the PA there has been one study on the relationship between Registered Nurses (RNs) and PAs, and this occurred over thirty years ago. An understanding between team members continues to be key to promoting effective care of patients in healthcare teams. Therefore, the study …
Adolescents & Long Acting Reversible Contraception, Nicole Elizabeth Amstutz, Jessica Kesterson
Adolescents & Long Acting Reversible Contraception, Nicole Elizabeth Amstutz, Jessica Kesterson
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Background/Purpose: The purpose of this literature appraisal is to assess adolescent access to long-acting reversible contraception (LARCs). Theoretical Framework: The Health Belief Model (HBM) helps describe the psychological and behavioral underpinnings of how one cares for one’s health. The HBM can be applied to how adolescents perceive the risks associated with unprotected intercourse compared to the perceived benefits of LARC usage. The HBM considers the benefits, barriers, risk of susceptibility, risk severity, self-efficacy, and cues to the action of adopting positive health interventions in one’s life (Jones et al., 2016). Methods: Twenty-four relevant articles from the literature were appraised. Results/Findings: …
A Community Service Project: Creating Awareness Of Chronic Malnutrition In Guatemalan Children, Mallory A. Beswick, Bree A. Blanchette, Brooke L. Elvehjem
A Community Service Project: Creating Awareness Of Chronic Malnutrition In Guatemalan Children, Mallory A. Beswick, Bree A. Blanchette, Brooke L. Elvehjem
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Guatemala City is home to one of Central America’s largest garbage dumps. Many individuals living in Guatemala City scavenge the dump for recyclables and other goods, that they can then sell for income. Family earnings vary greatly on a daily basis and can range anywhere from approximately $2.00 to $6.00. Since family income is very low and often unpredictable, many families living in the area struggle to supply not only a sufficient amount of food for their children, but also nutritious food needed for proper growth and development. As a result, many children in Guatemala face chronic malnutrition. Transforming Futures, …
Addictions Following Bariatric Surgery: A Critial Review Of The Literature, Anna Hansene Bjork
Addictions Following Bariatric Surgery: A Critial Review Of The Literature, Anna Hansene Bjork
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Background: Bariatric surgery has become increasingly common for the treatment of obesity. Research and education are needed to identify and study potential post-surgical risks including alcohol use disorders and other physiological and psychological comorbidities. Purpose: The purpose of this critical review of the literature was to study and identify addiction after bariatric surgery, specifically alcohol use disorder. Theoretical/Conceptual Framework: Rosenstock’s Health Belief Model (1988) was used to correlate theory and addiction. In particular, how health beliefs differ between patients, and their perception of addiction. This allows nurses to apply strategies that influence or educate patients on making healthy lifestyle changes. …
Supporting Physiologic Labor: Effects Of Hydrotherapy On Labor Outcomes, Ashley Y. Blaine
Supporting Physiologic Labor: Effects Of Hydrotherapy On Labor Outcomes, Ashley Y. Blaine
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Background/Purpose: The purpose of this literature analysis was to identify the effects of hydrotherapy use in the first stage of labor. Although hydrotherapy has been well-studied and its benefits well documented, it is use in labor still remains under-utilized in the United States. There has been a recent rise in medical intervention in labor and a coinciding rising cesarean section rate. In an effort to promote physiologic labor, both the American College of Obstetricians and Gynecologists (ACOG) and the American College of Nurse-Midwives (ACNM) have issued statements supporting hydrotherapy use during labor. Theoretical Framework: Katherine Kolcaba’s Theory of Comfort provides …
Neonatal Abstinence Syndrome (Nas) In Neonatal Intensive Care: Breastfeeding May Be Beneficial For Decreasing Nas Severity For Infants, Julie A. Chandler
Neonatal Abstinence Syndrome (Nas) In Neonatal Intensive Care: Breastfeeding May Be Beneficial For Decreasing Nas Severity For Infants, Julie A. Chandler
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Background: Neonatal abstinence syndrome (NAS) is defined as hyperactivity of the central and autonomic nervous symptoms in infants from intrauterine exposure to drugs of addiction. There is variability in how NAS is managed in the neonatal intensive care unit (NICU) for infants with NAS, more research should be conducted to discover how breastfeeding may benefit NAS infants in the NICU. Purpose: The purpose of this critical review of the literature is to determine whether neonatal abstinence symptoms of infants diagnosed with neonatal abstinence syndrome (NAS) in the neonatal intensive care (NICU) differed if they were breastfed. Results: Using Meleis’s Transition …