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Articles 1 - 30 of 313
Full-Text Articles in Medicine and Health Sciences
The Impact Of Reporting Patient Safety Events: An Integrative Review, Catherine M. Amitrano
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 …
Faith-Based Intervention To Prevent Adolescent Self-Injury: An Integrative Review, Adekemi O. Akinyemi
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
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 …
Facilitator Ethnicity And Clinical Judgement Among Senior Minority Students Using Unfolding Case Studies, Rachael King
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. …
Do More Than Train New Nurses...Retain Them! A Qualitative Research Study, Kerrin L. Hampton
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 …
Exploring The Lived Experiences Of Rural Texas School Counselors Working With Students’ Mental Health After The Covid-19 Pandemic, Lanessa K. Allman
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 …
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 …
An Investigation Of The Effect Of A Combined Physical Exercise And Counseling As A Therapeutic Approach To Reducing Anxiety Symptoms, Andrea C. Beltran
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
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 …
Undergraduate Baccalaureate Nursing Student Knowledge And Attitudes Towards Neonatal And Pediatric Pain Management Practices, Jordan Lee Slowik
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 …
A Phenomenological Study Of Adult Patients With Auto-Immune Disease And Their Exposure To Adverse Childhood Experiences, Milton Louis Gonzalez
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
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 …
Use Of Acupuncture As A Complementary Therapy For The Treatment Of Chronic Pain In The Veteran Population To Improve Outcomes: An Integrative Review, Tabitha T. Smithers
Use Of Acupuncture As A Complementary Therapy For The Treatment Of Chronic Pain In The Veteran Population To Improve Outcomes: An Integrative Review, Tabitha T. Smithers
Doctoral Dissertations and Projects
Clinical care in patient management is progressive and should change as evidence-based practice research is available. Veterans’ experiences with pain related to their service-related injuries are unique. This pain can limit their ability to function in society successfully. Many of the patients continue to experience uncontrolled pain, as well as side effects from medications that have been prescribed. This integrative review focused on the use of acupuncture as a complementary therapy to improve pain and quality of life in the Veteran population. The review analyzes systematic reviews, randomized control trials, and additional levels of evidence from scholarly articles supporting the …
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
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 …
An Exploration Of The Lived Experience Of Novice Adjunct Nursing Faculty As They Transition From Clinical Expert To Novice Educator, Angelique Tolentino-Martin
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 Differences In Covid-19 Infection Rates: An Examination Of Residential Care Communities (Rccs), Han Yang
The Differences In Covid-19 Infection Rates: An Examination Of Residential Care Communities (Rccs), Han Yang
Doctoral Dissertations and Projects
Infection control practices (ICPs) are crucial for maintaining the health and safety of residents in a residential care community (RCC). This paper examines the differences in COVID-19 infection rates and cases based on the characteristics of RCCs, such as ICPs, personal protective equipment (PPE) shortages, ownership type (for-profit vs. nonprofit), census regions, and RCC size. While ICPs contribute significantly to preventing and controlling the highly contagious virus, a comprehensive program is encouraged to provide a targeted intervention based on RCC’s environmental factors. The importance of the characteristics of the RCCs must be considered in combing with the ICPs to enhance …
The Effect Of Having A Higher Percentage Of Better-Educated Nurses At A Bsn Prepared Educational Level Or Higher In Any Clinical Setting To Improve Patient Outcomes, Olusegun Michael Nutayi
The Effect Of Having A Higher Percentage Of Better-Educated Nurses At A Bsn Prepared Educational Level Or Higher In Any Clinical Setting To Improve Patient Outcomes, Olusegun Michael Nutayi
Doctoral Dissertations and Projects
An understanding of the complexity of today’s healthcare system is important for providing the best evidence-based practice care in any clinical setting. Nursing care is paramount in today’s healthcare setting including nursing education, the nursing skills, knowledge, and productivity that can enhance patient overall care. This scholarly project put forth the effects of having vibrant and productive nursing care that will improve patient outcomes. It focuses on linking nursing education to better patient outcomes in any clinical setting as well as looking into the understanding of nursing staffing, and the work environment associated with patient outcomes. This scholarly project intends …
Educating Outpatient Clinic Nurses In The Management Of Diabetes, Deborah O. Yisa
Educating Outpatient Clinic Nurses In The Management Of Diabetes, Deborah O. Yisa
Doctoral Dissertations and Projects
Diabetes mellitus must be carefully managed and cared for to reduce complications and enhance quality of life. Nurses are essential to the treatment of people with diabetes, so they must have up- to-date knowledge and expertise in diabetic education. The significance of diabetic education for nurses, its effect on patient outcomes, and techniques for boosting nurses' competency in diabetes care are critical to positive patient outcomes and are all explored in this academic research. The results suggest a notable disparity between the participants' knowledge ratings before and after the intervention, confirming that all 13 participants benefited from the diabetic self-management …
Reducing Sexually Transmitted Infection In African American Teenage Adolescents: Developing A Culturally Competent Health Program For Underserved Communities, Brandolyn I. Burks
Reducing Sexually Transmitted Infection In African American Teenage Adolescents: Developing A Culturally Competent Health Program For Underserved Communities, Brandolyn I. Burks
Doctoral Dissertations and Projects
Proper education and programming can help reduce Sexually transmitted infections (STIs) among adolescents. This research aimed to help lay the framework for determining ways to ensure African American young adult adolescents aged 18–19 years have the necessary information and resources to make healthy decisions regarding their sex lives and experiences. The purpose of this grounded theory study was to understand what lived experiences and gaps of knowledge contribute to the contracting of STIs to develop a culturally competent health program to reduce the high rate of infections among African American 18–19-year-old adolescents living in underserved communities. The theory guiding this …
The Lived Experiences Of Student Nurses During Simulation Of Perinatal Loss, Paloma Alejandra Peña
The Lived Experiences Of Student Nurses During Simulation Of Perinatal Loss, Paloma Alejandra Peña
Doctoral Dissertations and Projects
The purpose of this phenomenological study was to understand the experiences and perceptions of undergraduate nursing students in providing care following a perinatal loss simulation. The theories that guided this study included Malcolm Knowles’ Theory of Andragogy and the National League for Nursing Jeffries Simulation. The selected theories provide structure for adult learners’ need to experience situational learning activities that are relevant to their job while building upon the foundation of students’ knowledge. Incorporation of Knowles’ and Jeffries’ theories guides the qualitative study of the simulation of a perinatal loss and the experiences of nursing students in providing care during …
A Strategic Plan For The Development Of A Model Of Care For Post Operative Bariatric Patients In Rural Utah, Cris R. Chamberlain
A Strategic Plan For The Development Of A Model Of Care For Post Operative Bariatric Patients In Rural Utah, Cris R. Chamberlain
Doctoral Dissertations and Projects
The delivery of health care for postoperative bariatric patients remains a challenge in rural settings, often leading to varied patient outcomes and inefficient resource allocation. This study aims to develop and implement a strategic model of care for postoperative bariatric patients at Castleview Hospital in Rural Utah. Grounded in the Iowa Model of Evidence-Based Practice, this initiative focuses on creating a cohesive and comprehensive postoperative care pathway, tailored to the unique patient demographics and facility constraints of a 39-bed hospital serving 35-45 bariatric patients annually. Methodology includes ethical considerations, secured through CITI training and pending IRB approval, robust data collection …
The Effectiveness Of Integrating Religious/Spirituality Beliefs Into Psychotherapy: An Integrative Review, Justina Anighoro-Okezie
The Effectiveness Of Integrating Religious/Spirituality Beliefs Into Psychotherapy: An Integrative Review, Justina Anighoro-Okezie
Doctoral Dissertations and Projects
This comprehensive review explores how integrating religious beliefs into psychotherapy impacts mental health outcomes. Following a structured approach guided by Whittemore and Knafl's (Nov 2005) methodology, the review involves a systematic literature search across academic databases, identifying 25 studies with diverse methods. Results indicate significant enhancements in both psychological and spiritual outcomes when religious beliefs are integrated into psychotherapy, compared to no-treatment control conditions. Compared to alternate treatments, adapted psychotherapy demonstrates a small to medium effect. Particularly in an additive design, while there's no significant superiority in psychological outcomes, there is in spiritual outcomes, emphasizing the potential benefits of incorporating …
The Impact Of Christian Education On Undergraduate Nursing Students’ Levels Of Spirituality And Resiliency, Lynette Rae Fair
The Impact Of Christian Education On Undergraduate Nursing Students’ Levels Of Spirituality And Resiliency, Lynette Rae Fair
Doctoral Dissertations and Projects
Nursing education must focus on preparing nursing students to be adaptable and resilient in the face of changing circumstances. The problem is there is a lack of research studies focused on evaluating the effect of a Christian college/education setting on nursing students’ level of spirituality and resilience. The purpose of this quantitative comparative study was to examine the differences between Christian and non-faith-based pre-licensure baccalaureate nursing education programs for spirituality and resiliency. This descriptive, non-experimental, cross-sectional comparative study utilized two key self-report instruments: the Assessment of Spirituality and Religious Sentiments (ASPIRES) and the Connor-Davidson Resilience Scale (CD-RISC). Data collection occurred …
Acute Potentiation On Vertical Jump Performance Following Accentuated Eccentric Loaded Back Squats In Male High School Basketball Players, John Casey Ditch
Acute Potentiation On Vertical Jump Performance Following Accentuated Eccentric Loaded Back Squats In Male High School Basketball Players, John Casey Ditch
Doctoral Dissertations and Projects
The purpose of this study was to investigate the acute responses of accentuated eccentric loaded (AEL) back squats to induce a postactivation performance enhancement (PAPE) effect in youth athletes across three jump conditions: countermovement jump (CMJ), squat jump (SJ), and novel propulsive-only jump (POJ). Fifteen participants (age: 15.6 ± 1.1 years; RT experience: 1.3 ± 0.9 years; relative strength: 1.32 ± 0.3) three sessions (one familiarization, two experimental). AEL interventions were performed on each experimental session, (3 sets x 3 repetitions) (ECC: 95%, 105%, 115%: CON: 60% 1RM) with pre- and post-testing (3 min, 6 min, 9 min, 12 min). …
The Missing Link: The Significance Of Mental Health Screenings Post Natural Disasters: An Integrative Review, Chalita Mccormick Ellis
The Missing Link: The Significance Of Mental Health Screenings Post Natural Disasters: An Integrative Review, Chalita Mccormick Ellis
Doctoral Dissertations and Projects
Following a natural disaster, the emotional and psychological demands on survivors are great. In addition to generating suffering, such as bodily injuries, natural disasters impact disaster victims’ lives in catastrophic ways, causing loss of homes, property, and jobs; food insecurities; transportation disruption; and communication difficulties. These events disrupt communities, exacerbating adversities to physical and psychological well-being. This presents a critical need for effective mental health response. Screening specific to post-disaster trauma may assist in identifying clients who require prioritized mental health care. Depression, anxiety, and posttraumatic stress disorder are three common mental health issues that are often triggered by disasters. …
Developing Health Ministries Beyond The Disparities In The Community, Tasha Renea Berry-Lewis
Developing Health Ministries Beyond The Disparities In The Community, Tasha Renea Berry-Lewis
Doctoral Dissertations and Projects
Since the COVID-19 pandemic, there has been an upswing in the lack of awareness concerning disparities and the lack of resources available in many of the neighborhoods in the Chicagoland area. The Washington Park and Bronzeville areas are two (2) communities among several others in the Chicago area that are considered to be low-income neighborhoods with minimal resources and an increasing concern of disparities. As a church in the community, it is vitally important we provide a place of hope and trust for people to come for help and refuge. Developing a service such as a health and wellness ministry …
Impacts Of Opioids On Health And Ways To Overcome The Addiction, Kennedy Chidi Alajemba
Impacts Of Opioids On Health And Ways To Overcome The Addiction, Kennedy Chidi Alajemba
Doctoral Dissertations and Projects
Background: The opioid crisis in the United States has affected millions of individuals, causing high levels of opioid addiction among the population. With the onset of synthetic opioids, deaths from opioid-related causes have increased drastically. This study aims to understand the effect of opioid addiction and methods of controlling the problem for adult African Americans and Latinos at Pathways to Recovery Counseling and Education Services, Hazleton, Pennsylvania. Methods: The theories guiding this study are the Intersectionality Model and the Bay Area Regional Health Inequalities Initiative (BARHII) model. These theories reveal that factors such as age, ethnicity, and gender have a …
A Structured Handoff Report And Its Impact On Patient Experience, Gary N. Hicks
A Structured Handoff Report And Its Impact On Patient Experience, Gary N. Hicks
Doctoral Dissertations and Projects
Over the past decade, a fast-moving industry has challenged hospital health systems. Today, hospitals are measured on the effectiveness of healthcare delivery ensuring efficiency, quality, and safety. In addition to the delivery of effective healthcare, hospitals are now accountable for the overall patient experience, a system known as value-based purchasing. Value-based purchasing directly impacts the overall financial status of any healthcare organization and is based on data collected from the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS). Nursing practice can significantly influence the overall impact and outcomes of value-based purchasing by helping with an improvement of HCAHPS. One …
Mental Health Provider Shortage In Rural Communities, Barrow N. Tabe
Mental Health Provider Shortage In Rural Communities, Barrow N. Tabe
Doctoral Dissertations and Projects
This study examined the dire issue of mental health provider shortages in rural communities in the South, exploring the unique challenges faced by rural communities in the United States. Rural communities often struggle with limited access to mental health resources, resulting in disparities in care and exacerbating the burden on individuals facing mental health challenges. This study examines existing literature, highlighting the complex nature of the problem, including geographical, socioeconomic, cultural factors, and biblical perspectives that contribute to the shortage of mental health professionals in rural communities. Instrumental challenges identified include the shortage of credentialed mental professionals, lack of healthcare …