Medicine and Health Sciences Commons^™

The Efficacy Of Tocilizumab As A Therapeutic Treatment For Sars-Cov-2 Infections: An Integrative Literature Review, Amanda Vancene Peterson

Nursing Masters Papers

The novel coronavirus SARS-CoV-2 and resulting COVID-19 infection has spread from a cluster of unidentified pneumonia cases in Wuhan, China, into an ongoing global health crisis. The strain on the healthcare systems and loss of human life has made finding ways to treat severe COVID-19 infections of the utmost importance. Mortality from COVID-19 has been shown to result from an overwhelming inflammatory response similar to the cytokine release syndrome seen in certain autoimmune reactions (Tleyjeh et al., 2020). It also can be seen after chimeric antigen receptor T-cell (CAR-T) therapy for certain cancers. It is hypothesized that treatments targeting the …

Adverse Childhood Experiences: Effects Of Covid-19, Evan Guo

Honors Projects

The evaluation of an adult's health status consists of several entities. These factors can include physical, mental, and emotional health in an individual's history contributing to their overall health. When studying such factors, some researchers emphasize the importance of recognizing events experienced during a person's childhood that affect their development, and therefore, their adult health status. Today, as people continue adapting to the COVID-19 pandemic and changes in regulation of standards for socialization, it is becoming apparent to healthcare researchers how these new modifications are highly impactful to the development of children and adolescents. When studying the various factors that …

Educating School Nurses: Returning To School During The Covid-19 Pandemic, Kelle Flynn-Gulley

Graduate Publications and Other Selected Works - Doctor of Nursing Practice (DNP)

As schools began reopening, following government mandated school closure early on during the COVID-19 pandemic, new safety measures and protocols were put in place to keep students and staff safe. School nurses have become essential to ensuring schools reopen safely. However, as school nurses were forced to adapt to their increasing roles and responsibilities, a method for providing continuing education to school nurses within an East Tennessee school district did not exist. The goal of this evidence-based practice project was to provide continuing education to school nurses on COVID-19 return to school guidelines via an e-learning modality. Larrabee’s Model for …

Faith Community Nurses: Caring For Individuals, Congregations, And Communities During The Covid-19 Pandemic, Mary Lynne Knighten Dnp, Rn, Nea-Bc, Lorie Hacker, Phyllis Ann Solari-Twadell, Lanet Owen Bsn, Rn-Bc, Bob Kentner Dnp, Rn, Chpq, Cen, Tcrn, Linda F. Garner

International Journal of Faith Community Nursing

As the COVID-19 pandemic continues for nearly two years, communities of faith are struggling to meet the spiritual needs of individuals, congregants, and communities during a particularly trying time in history. They have experienced closures, phased re-openings, and reinstated restrictions as the pandemic sees the fourth surge and a deadly more transmissible form of COVID in the Delta Variant. Faith Community Nurses, who are specially educated to provide intentional care of the spirit, play a pivotal role in providing care, support, and education to maintain and improve whole person health when people are isolated, physically distant, and at times critically …

University Student Health Services Covid-19 Pandemic Response: A Program Evaluation, Joy Dougherty

Doctor of Nursing Practice (DNP) Manuscripts

The COVID-19 pandemic began in China in December 2019, and continued to spread globally throughout the following months. The impact of the virus led to Universities nationwide closing their campuses. Strategic COVID-19 master plans were created to ensure that students, faculty, and staff could return to a safe environment for the fall semester. The role of University Student Health Services (SHS) departments became critical.

The SHS team incorporated telemedicine visits along with new policies, procedures, protocols, and guidelines to maximize the safety of the students, faculty, and staff upon their return to campus. This program evaluation focused on the strengths …

County Youth Athletics Response To Covid-19 Pandemic, Elise Schaller

Dissertations

Problem: To ensure safe participation in youth athletics and prevent COVID-19 transmission during the COVID-19 pandemic, St. Louis County Department of Public Health (DPH) implemented Youth Sports Guidelines on October 14, 2020. This project aimed to identify level of adherence to precautions listed in the guidelines at six county public high school athletic events.

Methods: An observational descriptive study design was used to monitor guideline adherence at high school athletic events. Two observers tallied violations by participants and spectators to Youth Sports Guidelines at St. Louis County public high school athletic events. Six high-frequency contact (basketball and wrestling) events …

Mental Health Concerns Of Frontline Registered Nurses Associated With The Covid-19 Pandemic, Julie Ingle

Dissertations

Problem

COVID-19 caused local healthcare facilities to admit patients with COVID-19 at increasing rates, critically overloading healthcare system resources. Caregiver-related stress associated with the COVID-19 pandemic placed frontline registered nurses (RNs) at risk for mental health consequences (Havlioglu & Demir, 2020; Shechter et al.,2020).

Methods

This quality improvement project used a descriptive design to administer a collection of validated instruments assessing anxiety, depression, posttraumatic stress disorder (PTSD), and demographics. A purposive sample of RNs were recruited from the COVID-19 units in a local hospital, and the survey was distributed via email.

Results

During the implementation period (April 4, 2021-May 15, …

Attitudes Toward Sars-Cov-2 In Frontline Healthcare Workers And First Responders, Michelle Tiffany Arrington

Dissertations

Problem: To date, little evidence exists to understand attitudes of SARS-CoV-2 in frontline healthcare workers (HCW) and first responders (FR), related to best practices in mitigating virus spread. The purpose of this project was to assess attitudes toward COVID-19 in young adults, ages 18-44 years old, who are frontline workers related to their adherence to PPE guidelines, social distancing, hand hygiene, community exposures, and vaccinations.

Methods: A descriptive survey design using five-point Likert scale questions and 26 open-ended questions and was implemented one-year after onset of the pandemic. A purposive sample working in a large, urban, Midwest metropolitan area was …

Mental Health Among Nursing Students Amid The Coronavirus Pandemic, Cheydan Crump

Honors College Theses

The purpose of this study was to determine the effects of the current pandemic on the mental health of nursing students at a rural university. This study examined various risk factors and potential indicators for mental health, such as changes in physical activity, sleep behaviors, and differing perceptions of support they have received from the nursing program and the participating university, throughout the spread of COVID-19. This study was a non-experimental, analytical study conducted in a rural university in the southern region of the United States. This convenience sample consisted of 21 students, all of which were enrolled in the …

Atrial Fibrillation In Covid-19: A Descriptive Study Of Incidence, Mortality And Related Factors, Diana L. Taylor

DNP Research Projects

Abstract

This scholarly project determined the relationship of atrial fibrillation (AF) occurrences in COVID-19, as it is the most frequent arrhythmia in the U.S. and is driven by inflammatory pathology. In COVID-19 positive patients with AF occurrences understanding the relationship between these conditions could help identify patients with poor prognosis, higher morality, and other factors earlier in the hospital course.

This single-center scholarly project was a retrospective descriptive chart review to determine the relationship between AF and COVID-19 over a 6-month timeline in Chattanooga, TN. Of the 565 hospitalized COVID-19 positive patients included, 82 (14.5%) had AF occurrences. A higher …

Hypercoagulable State Of Covid-19, Amanda Martin

Nursing Student Class Projects (Formerly MSN)

From the data that has been collected and compiled on SARS-CoV-2, or Coronavirus disease 2019 (COVID-19), it has shown that there are unique qualities of the novel virus that leads to a hypercoagulable state in those diagnosed. To effectively treat those afflicted with this specific symptom of COVID-19, an understanding of the pathophysiology of the virus must be established to effectively treat and potentially prevent coagulopathy and the thrombotic events that can ensue. Gaining more insight into this will allow for standardized plan of care that includes appropriate predicative labs and effective prophylactic medications to be utilized in outpatient or …