Medicine and Health Sciences Commons^™

Does The Use Of Home-Based Continuous Glucose Monitoring Devices In Adults With Diabetes Mellitus Improve Hemoglobin A1c Levels? An Integrative Review, Ophelia Dionne Gelispie Ansari

Doctoral Dissertations and Projects

The prevalence of diabetes continues to rise, but patients’ ability to obtain and maintain glycemic control remains a challenge. In 2017, complications from diabetes resulted in over $300 billion expenditures in lost productivity and medical costs. The nation’s approach to addressing this problem starts with acknowledging the benefits that continuous glucose monitoring (CGM) as an adjunct intervention could change the trajectory of both diabetic care outcomes and the national expenditures associated with poor glycemic control, which leads to the destruction of other cells such as those found in the heart, eyes, and kidneys. Moreover, CGM use has been associated with …

Predicted Burnout From A Linear Combination Of Personal And Cultural Factors For Departmental Chairs At Academic Health Centers, Loraine Annmarie Antoine

Doctoral Dissertations and Projects

Academic departmental chairs at academic health centers have multifaceted roles that entail of faculty obligations, leadership tasks, and the provision of clinical care. Increasing job demands at academic healthcare centers and higher education institutions has led to an increase in burnout, job dissatisfaction, and attrition of faculty and departmental chairs. Departmental chairs at academic health centers must determine strategies to balance their multiple roles held at their institution, as well as roles held in personal aspects of their lives. The purpose of this study was to identify factors that contributed to turnover and job dissatisfaction for academic departmental chairs to …

Anxiety In Healthcare Actors Post Difficult Topic Healthcare Simulation Based Learning Activity, Sarah Elizabeth Pearce

Doctoral Dissertations and Projects

Difficult topic healthcare simulation-based learning activities help to prepare healthcare profession students in a manner which is consistent with the experiences they will face in their careers. However, while these types of simulation-based learning activities need to be simulated, little to no research has been conducted regarding the topic of the psychological effect on standardized patients (SP) who participate in these activities within simulation-based learning experiences. The purpose of this study was to provide a quantitative examination, of the anxiety related effects of difficult topic simulation-based learning activities on standardized patients. This study utilized an experimental quantitative post-test only control …

The Relationship Between Leader-Member Exchange And Citizen Willingness To Comply With Governmental Public Health Mandates Concerning Covid-19 In Dougherty County, Georgia: A Mixed Methods Analysis, Travis H. Goodson

Doctoral Dissertations and Projects

As of February 8, 2022, more than 394,381,395 individuals across the globe have contracted COVID-19; and from this number, reportedly more than 5,735,179 have died due to the virus (World Health Organization, 2022). Amid the COVID-19 pandemic, local, state, and federal governments have fielded a host of public health mandates in an attempt to curtail the spread of the virus; however, little is known about the efficacy of such mandates and how willing compliance is obtained through perceived high-quality leader-member exchanges. Compliance is best defined as willing conformity to official requirements; here, compliance is examined through the lens of relational …

Current Targeted Interventions For Adult Patients With Comorbid Obesity And Depression: An Integrative Review, Meredith Lawson Parnell

Doctoral Dissertations and Projects

Obesity and depression share a bidirectional relationship when they exist as comorbidities in addition to individually posing complex public health challenges. Evidence from recent years suggests that there is a benefit to treating these illnesses with an integrated approach when they co-occur, but no current clinical guideline exists for this approach. The purpose of this integrative review is to synthesize existing literature and report current interventions targeting the management of comorbid obesity and depression in adults. The Whittemore and Knafl methodology for integrative review is the framework used to conduct this synthesis. A systematic search was conducted of nine computerized …

Electronic Patient Portals: Promotion Of Access By Healthcare Workers Increases Patient Engagement, Dena Todd

Doctoral Dissertations and Projects

The use of technologies within healthcare settings has become an essential part of patient care. The Health Information for Economic and Clinical Health (HITECH) Act of 2010 contained requirements for healthcare providers to ensure the Meaningful Use (MU) of electronic health records. More specifically, electronic patient portal (EPP) systems were a part of this legislation since healthcare organizations needed to demonstrate they were providing patients with access to their personal health information. A major concern was that healthcare organizations not offering EPP access were at risk of losing federal funding. This integrative literature review explores strategies which can be deployed …

Health Choice Or Health Coercion? The Osha Emergency Temporary Standard Covid-19 Vaccination Mandates: Ax Or Vax, Savannah Snyder

Helm's School of Government Conference - American Revival: Citizenship & Virtue

No abstract provided.

Division In Rural America: Understanding The Difference Between Refusal To Treat Based On Medical Conscience Versus Discrimination And How To Overcome It, Sarah Mcmillen, Alexander Mcmillen, Melanie Kuder

Helm's School of Government Conference - American Revival: Citizenship & Virtue

Division in Rural America: Understanding the Difference Between Refusal to Treat Based on Medical Conscience Versus Discrimination and How to Overcome It

Melanie Kuder, PharmD, Alexander X. McMillen

and Sarah A. McMillen, PsyD.

This paper will provide an exploration of the Emergency Medical Treatment and Labor Act (EMTALA), how the guidelines on what constitutes adequate care have changed since the Centers for Medicare and Medicaid Services (CMS) issued a revision on March 30, 2020, the use of medical conscience as the right to refuse, and how the communities in Kansas have responded to this.

Impact Of Mentorship For New Graduate Nurses On Intent To Stay In The Acute Rehabilitation Hospital Setting Past One Year Of Employment, Nichole Lynn Winters

Doctoral Dissertations and Projects

Mentorship among new graduate registered nurses can greatly impact the first year of their nursing career. The first year of a new nurse’s career can be an extremely challenging time. During this first year, the new nurse is often left questioning if this career in healthcare is the right choice for them. The past two years have been even more challenging for healthcare and staffing. Orientation and mentorship have been impacted and retention of new graduate nurses has also been influenced as they do not have the support they need for the transition from student to professional. Implementation of a …

The Impact Of A Formal Leadership Development Program On Charge Nurse Leadership Competencies: An Integrative Review, Ellen Mae Hudson

Doctoral Dissertations and Projects

This integrative review focuses on the current body of evidence for charge nurse leadership development (CNLD). It identifies common skills and competencies, provides a synthesis of existing training practices, and identifies gaps in the evidence. A thorough literature search of electronic databases and reference lists was completed, resulting in the identification of 22 studies published between 2011 and 2020. Data from the selected studies were evaluated and categorized into common themes; virtually all reported positive outcomes for the charge nurse development program implemented. Two of the studies reviewed were integrative reviews that compared identified themes and methodologies. Four studies were …

Using The “Teach-Back” Education Method With Type Ii Diabetic Patients And Health Literacy: An Integrative Review, Sonia Romero

Doctoral Dissertations and Projects

Effective communication provides healthcare providers and patients an opportunity to address issues or concerns. Effective communication is linked to improving patient outcomes. Patients with low health literacy are unable to understand, read, comprehend, or discuss the information provided by their healthcare providers. Poor health literacy directly affects disease management and leads to poor patient outcomes. The increase rate of obesity worldwide has quadrupled, the unhealthy lifestyle is one of the risk factors causing adults to develop Type II Diabetes Mellitus (T2DM). T2DM is a condition in where the pancreas does not produce sufficient insulin to absorb the glucose consumed. T2DM …