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Full-Text Articles in Medicine and Health Sciences

Effect Of Incarceration On Prisoners Diagnosed With Mental Health Conditions: Trauma, Treatment, And Transitioning, Ingria S. Haywood Jun 2024

Effect Of Incarceration On Prisoners Diagnosed With Mental Health Conditions: Trauma, Treatment, And Transitioning, Ingria S. Haywood

Doctoral Dissertations and Projects

A mental illness is a medical disorder that affects a person’s behavior, thoughts, and emotions. It also has an impact on social and cognitive functions. Misuse of substances, biological factors, or abuse, whether as a victim or a bystander to repeated abuse, are all variables that contribute to mental illness. The prevalence of mental illness among incarcerated prisoners is alarming, and it is nondiscriminatory in that it affects both men and women. Several variables contribute to inmates’ susceptibility to mental health problems. Anxiety disorders, depression as a mood disorder, dementia, and schizophrenia are examples of these. A diagnosis of mental …


Examining The Cues To Action Of Christian Parents And/Or Guardians Who Are Hesitant To Vaccinate Pediatric Populations, Marcia S. Jackson Jun 2024

Examining The Cues To Action Of Christian Parents And/Or Guardians Who Are Hesitant To Vaccinate Pediatric Populations, Marcia S. Jackson

Doctoral Dissertations and Projects

As a result of skepticism related to vaccine administration, many newborns and children are without their standardized and recommended vaccinations due to parent and/or guardian beliefs. It is the parent and/or guardian who holds the power to vaccinate their children. Vaccine administration is one of the most successful achievements of public health intervention in the 20th century. The purpose of this study is to use a descriptive case study analysis approach to assess parents' and/or guardians' concerns, attitudes, beliefs, and intentions towards immunizations for their children (from birth to 18 years of age). Understanding the "why" and "how" concerns raised …


Impact Of Preceptorship And Mentoring On New Nurse Resilience, Dianna Marie Lundrigan Garza Jun 2024

Impact Of Preceptorship And Mentoring On New Nurse Resilience, Dianna Marie Lundrigan Garza

Doctoral Dissertations and Projects

Healthcare organizations continue to have difficulties retaining healthcare staff. Administrations spend significant amounts of time and money to incentivize new nurses to join their organizations with mixed results for both acute and long-term care units. Preceptorship or mentorship has been identified as having an impact on increasing positivity and resilience in new nurses. This paper examined prior research to identify trends and patterns in findings regarding this topic. Research of databases was conducted to identify common topics regarding resilience and retention of new nurses. Data supported having preceptors who receive training in teaching methods, communication, and support of new nurses. …


Implementation Of A Nursing Care Bundle For Hospitalized Patients Receiving End-Of-Life Care, Klaire Thomason Jun 2024

Implementation Of A Nursing Care Bundle For Hospitalized Patients Receiving End-Of-Life Care, Klaire Thomason

Doctoral Dissertations and Projects

A significant number of patients die in the hospital. Family-centered nursing care interventions are critically important to help ease the physical, social, spiritual, and emotional symptoms that patients may experience at the end of life. Despite the importance of the nurse’s role in delivering comprehensive end-of-life care, many nurses lack the knowledge and confidence necessary to implement evidence-based interventions. The purpose of this project was to evaluate the effectiveness of a nursing care bundle on increasing nurses’ self-perceived ability to deliver high-quality end-of-life care to patients in the inpatient setting. For this pilot study, an evidence-based Comfort Care Nursing Bundle …


Lean Implementation Difference Between Lean Maturity, Psychological Well-Being, And Employee Engagement Of Nurses In A Hospital Setting, Kevin E. Smith Jun 2024

Lean Implementation Difference Between Lean Maturity, Psychological Well-Being, And Employee Engagement Of Nurses In A Hospital Setting, Kevin E. Smith

Doctoral Dissertations and Projects

This quantitative study examined the differences of Lean implementation in three settings; (a hospital in a health system where Lean is implemented throughout the system, a hospital that has implemented Lean in a health system that has not implemented Lean, a hospital that has not implemented Lean in a health system that has not implemented Lean) between LM, PWB, and EE among nurses in a hospital setting. The theoretical construct of the job demands-resources model is used to base the study. Three survey instruments (Psychological Well-Being Scale, Utrecht Work Engagement Scale, Lean Healthcare Implementation Self-Assessment Instrument) were self-administered by registered …


Modificaciones Realizadas En Cirugías Y En Cuidados De Pacientes En Ecuador, Addison Wolfe Jun 2024

Modificaciones Realizadas En Cirugías Y En Cuidados De Pacientes En Ecuador, Addison Wolfe

NEXUS: The Liberty Journal of Interdisciplinary Studies

No abstract provided.


Exploring The Genetics Of Myotonic Dystrophy Type 1 And Its Ethical Implications, Caleb Smith Jun 2024

Exploring The Genetics Of Myotonic Dystrophy Type 1 And Its Ethical Implications, Caleb Smith

NEXUS: The Liberty Journal of Interdisciplinary Studies

No abstract provided.


Do More Than Train New Nurses...Retain Them! A Qualitative Research Study, Kerrin L. Hampton May 2024

Do More Than Train New Nurses...Retain Them! A Qualitative Research Study, Kerrin L. Hampton

Doctoral Dissertations and Projects

The purpose of this hermeneutic phenomenological study is to understand the orientation experiences of new graduate nurses and identify retention practices that are relevant and beneficial to the population of interest. Study participants were new graduate nurses employed at a five-hospital healthcare system. Using social constructivism as the theoretical framework, the study sought to answer the research question of what are the lived experiences of new graduate nurses during orientation? Ten new graduate nurses participated in individual interviews to discuss their personal orientation experiences. The interviews informed the researcher regarding the meaning and value new graduates place on their orientation …


Facilitator Ethnicity And Clinical Judgement Among Senior Minority Students Using Unfolding Case Studies, Rachael King May 2024

Facilitator Ethnicity And Clinical Judgement Among Senior Minority Students Using Unfolding Case Studies, Rachael King

Doctoral Dissertations and Projects

Unfolding case studies are a technique used in advancing critical thinking in order for nursing students to enhance their clinical judgement. The format at which they are delivered can influence the degree of learning, understanding, applying, analyzing, and evaluating for students, especially senior minority nursing students. This quasi-experimental posttest survey between-groups study involved implementing unfolding case studies with a randomly selected minority or non-minority facilitator video recording for senior minority nursing students. After completing the case study, all participants were given a posttest survey, the Clinical Decision Making in Nursing Scale (Jenkins, 1983). The survey evaluates students’ self-perceived clinical judgement. …


Faith-Based Intervention To Prevent Adolescent Self-Injury: An Integrative Review, Adekemi O. Akinyemi May 2024

Faith-Based Intervention To Prevent Adolescent Self-Injury: An Integrative Review, Adekemi O. Akinyemi

Doctoral Dissertations and Projects

This integrative review explores the efficacy of incorporating faith-based (Christian/spiritual) interventions within the framework of Dialectical Behavior Therapy (DBT) to prevent non-suicidal self-injury (NSSI) among adolescents aged 11-19. As the prevalence of NSSI among this demographic group continues to rise, understanding the potential benefits and challenges of integrating faith-based components into evidence-based therapeutic approaches is crucial. The review synthesizes existing literature, drawing on empirical studies, theoretical frameworks, and clinical evidence to assess the impact of faith-based integration in DBT. Through a comprehensive analysis of diverse sources (e.g. CINAHL, PubMed, PsycINFO, NIH) this review was able to shed light on the …


Improving The Socio-Emotional Competence Of Academic Nurse Educators: An Experimental Study, Helen Freeman May 2024

Improving The Socio-Emotional Competence Of Academic Nurse Educators: An Experimental Study, Helen Freeman

Doctoral Dissertations and Projects

An academic nurse educator with a high level of socio-emotional competence (SEC) can create an inviting learning environment that promotes the highest level of achievement from students. The purpose of this two-group pretest-posttest experimental study was to determine the extent of effectiveness of socio-emotional intelligence education and a reflection-guided professional development plan in improving the socio-emotional competence of academic nurse educators. The Bar-On emotional social intelligence (ESI) conceptual model and the Purkey invitational theory were frameworks used to guide the study. The Emotional Quotient Inventory (EQ-i 2.0) was used as the data collection instrument to measure the pretest and posttest …


The Impact Of Reporting Patient Safety Events: An Integrative Review, Catherine M. Amitrano May 2024

The Impact Of Reporting Patient Safety Events: An Integrative Review, Catherine M. Amitrano

Doctoral Dissertations and Projects

Since the 1999 Institute of Medicine landmark report, To Err is Human, leading organizations such as the Agency for Healthcare Research and Quality have been working with healthcare leaders to reduce patient harm. A problem in healthcare is errors continue to occur at alarming rates. The COVID-19 pandemic impacted patient safety efforts and organizations are trying to get to pre-pandemic patient safety progress. The purpose of this integrative review was to review and evaluate individual research studies on patient safety event reporting and summarize what is known about the topic in terms of how patient safety event reporting impacts patient …


Exploring The Lived Experiences Of Rural Texas School Counselors Working With Students’ Mental Health After The Covid-19 Pandemic, Lanessa K. Allman May 2024

Exploring The Lived Experiences Of Rural Texas School Counselors Working With Students’ Mental Health After The Covid-19 Pandemic, Lanessa K. Allman

Doctoral Dissertations and Projects

The purpose of this qualitative descriptive phenomenological study was to describe the lived experiences of rural Texas counselors when working with students’ mental health in the aftermath of the COVID-19 pandemic. The study aims to answer questions of what school counselors describe as the mental health environment for students in rural Texas schools prior, during, and after the COVID-19 pandemic and the changes in the mental health environment of rural students. Most existing research has been focused on how COVID-19 changed school counselors’ roles and responsibilities and how the pandemic affected students’ mental health. The current study concentrated on the …


An Investigation Of The Effect Of A Combined Physical Exercise And Counseling As A Therapeutic Approach To Reducing Anxiety Symptoms, Andrea C. Beltran May 2024

An Investigation Of The Effect Of A Combined Physical Exercise And Counseling As A Therapeutic Approach To Reducing Anxiety Symptoms, Andrea C. Beltran

Doctoral Dissertations and Projects

Mental health issues are on the rise as the increase in emotional, psychological, and social well-being affects how people think, act, or feel toward themselves and others. The topic of physical exercise and mental health services has been researched to show a strong relationship between physical activity and positive mental health outcomes. Anxiety is the most common mental health concern in the United States (Goodwin et al., 2020). This study aims to investigate and quantify the impact and explore the relationships of the combined intervention approach of physical activity and counseling in reducing symptoms of anxiety. This research will utilize …


A Causal Relationship Between Mobile Health Wearable Devices’ Use And Improved Hypertension Management In African-Born Immigrants Aged 45-75 In Maricopa County, Arizona, Nelson Mcnova Bryant May 2024

A Causal Relationship Between Mobile Health Wearable Devices’ Use And Improved Hypertension Management In African-Born Immigrants Aged 45-75 In Maricopa County, Arizona, Nelson Mcnova Bryant

Doctoral Dissertations and Projects

The purpose of this causal-comparative study was to determine if differences exist between the use of mHealth wearable devices, specifically smartwatches, and the improvement in hypertension control. The target participants were 100 African-born immigrants, both males and females aged 45-75 who lived in Maricopa County, Arizona. In the study, 100 research participants with a hypertension diagnosis were divided into two equal groups. Group 1 consisted of 50 African-born immigrants who used mHealth wearable devices, specifically the Dafit M2 smartwatches to manage hypertension (which they received for free from the researcher). Group 2 consisted of 50 African-born immigrants who used a …


Using The Motivated Information Management Theory And The Social Support Theory To Understand Caregiver Perspectives Of Currently Available Health Communication Regarding Dementia: A Qualitative Study, Sara J. Alig May 2024

Using The Motivated Information Management Theory And The Social Support Theory To Understand Caregiver Perspectives Of Currently Available Health Communication Regarding Dementia: A Qualitative Study, Sara J. Alig

Doctoral Dissertations and Projects

Dementia brings a cascade of changes into the life of not only the person facing it, but also the lives of the supporting family and caregivers. Dementia manifests with a gradual decline, or in some cases, a variably progressive decline in cognitive abilities. This decline requires the individual to rely more and more on caregivers. Caregiving necessitates the giving of oneself for another’s sake and oftentimes results in negative physical and social-emotional side effects. To navigate through the changes that are happening to their loved ones, as well as to themselves, caregivers need educational and social support. The purpose of …


A Phenomenological Study Of Adult Patients With Auto-Immune Disease And Their Exposure To Adverse Childhood Experiences, Milton Louis Gonzalez May 2024

A Phenomenological Study Of Adult Patients With Auto-Immune Disease And Their Exposure To Adverse Childhood Experiences, Milton Louis Gonzalez

Doctoral Dissertations and Projects

This qualitative phenomenological study explored and described the shared experiences of individuals impacted by an autoimmune disease and their exposure to adverse childhood experiences. The theory guiding this study was Vygotsky’s social constructivist theory, utilizing Kaiser Permanente’s Adverse Childhood Experience study as a guide to create awareness amongst physicians and mental health professionals, leading them to a more holistic approach when treating patients affected by an autoimmune disease. This was a qualitative study using Husserl’s transcendental phenomenology (TPh). The data collection methods used in the study included questionnaires, individual interviews, and document analysis. These forms of data were analyzed through …


An Interpretive Phenomenological Analysis Exploring African American Women’S Perceptions Of Access To Healthcare In The Midwest, Ramona D. Benson May 2024

An Interpretive Phenomenological Analysis Exploring African American Women’S Perceptions Of Access To Healthcare In The Midwest, Ramona D. Benson

Doctoral Dissertations and Projects

The purpose of this interpretive phenomenological study was to explore access to healthcare through the lens and lived experiences of African American Women (AAW) in Midwestern towns throughout the United States. African American women and other people of low socio-economic backgrounds continue to live with poorer health outcomes than many of their counterparts African American Women experience barriers to healthcare from a unique perspective than their White counterparts. Although medical professionals endeavor to attain equal treatment among each of their patients, significant healthcare disparities are prevalent among AAW Commonly recognized ethnic stereotypes are not always intentionally supported, however, their mere …


Undergraduate Baccalaureate Nursing Student Knowledge And Attitudes Towards Neonatal And Pediatric Pain Management Practices, Jordan Lee Slowik May 2024

Undergraduate Baccalaureate Nursing Student Knowledge And Attitudes Towards Neonatal And Pediatric Pain Management Practices, Jordan Lee Slowik

Doctoral Dissertations and Projects

Research has indicated that pain management practices amongst registered nurses is inadequate across all age groups; however, it is frequently noted that children receive less analgesia in comparable situations than adult clients leading to harmful and costly consequences. There is a distinct gap in nursing educational research understanding nursing student knowledge and attitudes towards neonatal and pediatric pain management practices. Using a convenience sample from a private, Christian-based university in the southeastern United States, this study used a quasi-experimental, one-group pretest/posttest design to understand the impact of elective nursing courses on undergraduate baccalaureate nursing student knowledge and attitudes towards neonatal …


Therapeutic Advances In The Management Of Type Ii Diabetes, Ashfod Mukula May 2024

Therapeutic Advances In The Management Of Type Ii Diabetes, Ashfod Mukula

Senior Honors Theses

Type 2 diabetes mellitus (T2DM) is a metabolic disorder characterized by persistent hyperglycemia. This condition occurs due to two main factors: β-cell dysfunction and reduced response to insulin by cells and tissues with insulin receptors (insulin resistance). Insulin resistance occurs when the body fails to respond to insulin; therefore, cells and tissues are impaired in transporting glucose, leading to abnormally high glucose levels in circulation. Insulin resistance is a multifactorial condition; thus, the eminent cause is not fully known. Individual health conditions and genetic predisposition have been postulated to cause it. Molecularly, insulin resistance has been associated with complications in …


Bronchopulmonary Dysplasia: Pathophysiology And The Effects Of The Microbiome, Anjali Jacob May 2024

Bronchopulmonary Dysplasia: Pathophysiology And The Effects Of The Microbiome, Anjali Jacob

Senior Honors Theses

Bronchopulmonary dysplasia (BPD) is a chronic neonatal lung disease that occurs in over 50% of premature infants. BPD is characterized by damage to the alveoli and bronchioles and improper vasculature formation. It is primarily caused by overexposure to oxygen through mechanical ventilation, but there are other risk factors that make infants more susceptible to BPD. Microbial composition impacts risk for developing BPD, and research is ongoing about the effects of the microbiome on BPD pathogenesis; this information is also valuable for preventative treatment. This paper reviews the normal function of the lungs, pathogenesis of BPD and how it affects normal …


Potential Adverse Cardiovascular Side Effects Following Mrna Covid-19 Vaccination, Abigayle Strohmeier May 2024

Potential Adverse Cardiovascular Side Effects Following Mrna Covid-19 Vaccination, Abigayle Strohmeier

Senior Honors Theses

The COVID-19 vaccine, regarded as a triumph by some and a danger by others, has been studied due to the presence of adverse cardiovascular side effects experienced by some individuals following vaccination. Incidence and prevalence rates of these effects are examined by various demographic factors, primarily age and sex. The most prevalent adverse cardiovascular effects noted are myocarditis, pericarditis, cardiovascular disease, tachycardia, hypertension, palpitation, and acute myocardial infarction. Due to the novelty of the mRNA COVID-19 vaccine, many health studies have focused their data analysis on age or sex characteristics, however many excellent opportunities for future research are necessary to …


The Molecular Basis Of Maple Syrup Urine Disease, Chloe Jensen May 2024

The Molecular Basis Of Maple Syrup Urine Disease, Chloe Jensen

Senior Honors Theses

Maple syrup urine disease (MSUD) is a rare metabolic disorder that is caused by mutations in the branched chain alpha keto acid dehydrogenase enzyme complex (BCKDC). There are three main genes, the BCKDHA, BCKDHB, and DBT, that affect the BCKDC, all contributing to the onset of the disease. MSUD causes encephalopathy, neural deficits, maple syrup scented urine, coma, and even death if not treated due to the aggregation of branched-chain amino acids (BCAAs). There is currently no known cure for patients with MSUD, but the condition can be managed to improve quality of life. This review serves to examine MSUD …


Detection And Extraction Of Pfoa And Pfos Via Mips, Joseph Redding May 2024

Detection And Extraction Of Pfoa And Pfos Via Mips, Joseph Redding

Senior Honors Theses

Perfluorooctanoic acid (PFOA) and perfluorooctane sulfonic acid (PFOS) are utilized as surfactants in many different materials. With an immensely stable structure due to the presence of carbon-fluorine bonds, PFOA and PFOS are resistant to degradation. Known to persist in water resources, these compounds tend to bioaccumulate and impute toxic effects on human health, such as decreased fertility and immune function. To date, there exists no effective approach to the removal of these lingering compounds. Because of the health risks, there is increasing urgency to devise a means by which to detect and withdraw PFOA and PFOS from the environment. In …


An Analysis Of Strength Training Implementation In Ballet, Claire Hoover May 2024

An Analysis Of Strength Training Implementation In Ballet, Claire Hoover

Senior Honors Theses

Ballet, a style of dance that is known for its 180-degree external rotation, extreme precision, discipline, and aesthetics, is an athletic activity that is undertaken by many young people, particularly females. Although ballet has many athletic components, recent studies have shown there are a variety of weaknesses that impact its participants, including the female athlete triad, lack of lower extremity muscular strength, risk of injury, and overtraining. According to recent research, strength training, although not historically paired with ballet, could minimize ballet dancers’ deficiencies by increasing muscular strength and reducing risk of injury and incidence of the female athlete triad. …


The Alexander Technique Applied To Dance And The Choreographic Process: Freeing Physical Expression From Trauma-Based Tension, Julia Johnston Apr 2024

The Alexander Technique Applied To Dance And The Choreographic Process: Freeing Physical Expression From Trauma-Based Tension, Julia Johnston

Senior Honors Theses

Ballet, contemporary, and modern dancers have expressed incurring trauma during their training and professional dance experiences; in a 2020 survey, 41% of professional dancers and 30% of ballet students reported experiencing or witnessing sexually inappropriate behavior in their respective workplaces and schools (DDP). This is just one example of a potential source of trauma for dancers. The physiological effects of trauma cause physical effects, creating tension in a dancer’s body. Dance relies on physical expression, the expression of thought and feeling through movement, to connect with the audience. Trauma-based tension inhibits a dancer’s range of physical expression and connection to …


The Purification And Thermal Stability Of The Peroxidase Enzyme In Cucurbita Moschata, Garen Hamner Apr 2024

The Purification And Thermal Stability Of The Peroxidase Enzyme In Cucurbita Moschata, Garen Hamner

Senior Honors Theses

Peroxidases are enzymes that catalyze the reduction of hydrogen peroxide to water while oxidizing organic substrates and are valuable in spheres like industrial and medical applications and histochemistry. Limitations still exist in the use of the well-studied horseradish peroxidase for certain activities due to limitations like poor thermal stability, thus the search for novel peroxidases that can overcome these limitations is an active area of research. Butternut squash peroxidase (Cucurbita moschata) (BSP) shows promise due to significant activity being found in the skin and apparent enhanced thermal stability, but an efficient purification scheme for it is lacking, as well as …


An Exploration Of The Lived Experience Of Novice Adjunct Nursing Faculty As They Transition From Clinical Expert To Novice Educator, Angelique Tolentino-Martin Apr 2024

An Exploration Of The Lived Experience Of Novice Adjunct Nursing Faculty As They Transition From Clinical Expert To Novice Educator, Angelique Tolentino-Martin

Doctoral Dissertations and Projects

This transcendental phenomenological study aimed to describe and understand the lived experiences of novice adjunct nursing faculty teaching in the United States in undergraduate nursing programs as they transition from clinical practice to academia. The theories that guided this study are Meleis’ transition theory and Schoening’s nurse educator transition model which provide a framework for the transition experiences for novice adjunct nursing faculty. The central research question is: What are the lived experiences of novice undergraduate adjunct nursing faculty transitioning from clinical expert to novice nurse faculty? Purposive sampling and snowball sampling were used to recruit participants who were novice …


The Predictive Relationship Between Pre-Nursing Boot Camp Participation And Successful Completion Of The First Semester And Retention In An Associate Degree Nursing Program, Misty Beth Stine Apr 2024

The Predictive Relationship Between Pre-Nursing Boot Camp Participation And Successful Completion Of The First Semester And Retention In An Associate Degree Nursing Program, Misty Beth Stine

Doctoral Dissertations and Projects

First semester students in undergraduate nursing programs are at the highest risk for attrition, so retention of these students is a priority concern. The purpose of this non-experimental correlational predictive quantitative study was to investigate whether participation in a pre-nursing student boot camp is predictive of successful completion of the first semester and retention at an Associate Degree Nursing program at a community college in the rural Southwestern United States. Data was retrospectively obtained from archival student records for all first semester nursing students accepted into the ADN program from 2018-2022. Sample size was N = 227. The chi-square test …


Simulation And Self-Efficacy In The Student Registered Nurse Anesthetist: A Quantitative, Causal-Comparative Study, Joseph Craig Kiesznowski Apr 2024

Simulation And Self-Efficacy In The Student Registered Nurse Anesthetist: A Quantitative, Causal-Comparative Study, Joseph Craig Kiesznowski

Doctoral Dissertations and Projects

The purpose of this quantitative, causal-comparative study was to determine if simulation training causes a significant increase in clinical self-efficacy in Student Registered Nurse Anesthetists. Simulation training in healthcare has been found to improve patient safety and has become a major tenet of nurse anesthetist education. Self-efficacy has been shown to correlate with improved clinical performance. This study builds on the research involving simulation training and clinical self-efficacy in the SRNA population. A convenience sample of SRNAs was taken from 49 different graduate nurse anesthesia programs across 13 different states. The Schwarzer and Jerusalem General Self-efficacy scale was used to …