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Articles 1 - 30 of 45
Full-Text Articles in Medicine and Health Sciences
The Effect Of Complementary And Alternative Medicine For Migraine Headaches: An Integrative Review, Katelyn Vaughn Spangler
The Effect Of Complementary And Alternative Medicine For Migraine Headaches: An Integrative Review, Katelyn Vaughn Spangler
Doctoral Dissertations and Projects
Migraine headaches continue to be a prominent health concern, affecting a large percentage of the population globally. These headaches have many negative impacts on patients’ lives, including decreased productivity, missed time at work or school, increased suicidal tendencies, and a decreased overall quality of life. Pharmacological approaches for treatment are available but often present with safety concerns, unpleasant side effects, rebound headaches, increased expenses, and a higher rate of emergency department visits. Therefore, many people seek treatment options other than conventional medication to address their migraines. Various complementary and alternative medicine therapies have shown promising results in previous clinical trials …
Copd Discharge Care Bundles: An Integrative Review, Leigh Goodwin Wingo
Copd Discharge Care Bundles: An Integrative Review, Leigh Goodwin Wingo
Doctoral Dissertations and Projects
Chronic obstructive pulmonary disease (COPD) is one of the leading causes of death in the United States. It is the reason for millions of emergency room and hospitalizations, increasing healthcare costs, morbidity, and mortality. Many studies have evaluated the effects of COPD patient care bundles to help reduce the risk of 30-60-90-day readmissions post discharge from the hospital for COPD exacerbation. A comprehensive search was conducted on articles dated between February 2015 to January 2020 in the MEDLINE, EMBASE, and CINAHL, OVID, internet search, and Liberty University online library. This review included articles based on the effectiveness of COPD discharge …
Effectiveness Of Smoking Cessation In Heart Disease Patients: An Integrative Review, Dolly Ruth Griggs
Effectiveness Of Smoking Cessation In Heart Disease Patients: An Integrative Review, Dolly Ruth Griggs
Doctoral Dissertations and Projects
Tobacco smoking is associated with cardiovascular, respiratory, cancer-related illnesses, and deaths. Tobacco toxin clogs blood arteries, leading to increased risks of cardiovascular diseases or death. Smoking cessation programs have been implemented to aid patients with abstaining from tobacco usage, particularly those with heart-related diseases. The challenges experienced in implementing smoking cessation interventions include a lack of follow-ups, support, and education regarding the risks associated with smoking tobacco. The aim of this project was to examine the effectiveness of the smoking cessation intervention and programs implemented in patients diagnosed with heart diseases. An integrative study review was applied to assess interventions …
Up And Moving: An Integrative Review Evaluating Early Mobility In The Intensive Care Unit, Rachel Huffman
Up And Moving: An Integrative Review Evaluating Early Mobility In The Intensive Care Unit, Rachel Huffman
Doctoral Dissertations and Projects
Existing literature has highlighted the benefits of early mobility of patients in intensive care units. This integrative review (IR) sought to determine the best methods of early mobility intervention implementation. The search process utilized databases relevant to the selected topic, and the flow of information abstracted from the search process was placed into a PRISMA flow diagram. Additionally, review software was used to manage the collected data, ensuring that the search was documented with precision. To appraise the literature, a matrix was developed. The literature revealed that early mobility programs, protocols, and algorithms were guiding themes noted throughout this IR, …
A Qualitative Phenomenological Study On Moral Distress And The Nursing Student During The Covid-19 Pandemic, Alan Peter Howard
A Qualitative Phenomenological Study On Moral Distress And The Nursing Student During The Covid-19 Pandemic, Alan Peter Howard
Doctoral Dissertations and Projects
The purpose of this phenomenological study was to explore the phenomenon of moral distress on nursing students who engaged in clinical experiences during the COVID-19 pandemic. This research study was supported by Jean Watson’s theory of human caring (Watson, 2006) as it explained the relationship between a nursing students’ provision of care and the moral dilemma and potential moral distress related to threats to that care. This study was also presented within the conceptual framework of Patricia Benner’s model from novice to expert (Benner, 1984). Within this framework, the nursing student as novice may not have the skills or experience …
The Use Of Video Monitoring To Decrease Falls, Marie Elizabeth Mo
The Use Of Video Monitoring To Decrease Falls, Marie Elizabeth Mo
Doctoral Dissertations and Projects
Fall prevention is a constant challenge for inpatient nursing staff. The purpose of this project is to demonstrate that falls in hospitalized patients will decrease with the initiation of video monitoring. A fall while in the hospital can lead to increased length of stay, increased cost to the organization, lack of reimbursement from Medicare, and the worst outcome is the patient never returning to baseline. Nursing staff struggle with fall prevention daily and are often unsuccessful. One to one sitters are often utilized as a fall prevention measure; this can be draining to hospital resources. Identified best practices of one-to-one …
The Impact Of Clinical Decision Support Tool (Supravista) In Identifying Sepsis Cases, Brandy N. Manigo
The Impact Of Clinical Decision Support Tool (Supravista) In Identifying Sepsis Cases, Brandy N. Manigo
Doctoral Dissertations and Projects
This paper describes an evidence-based quality improvement project within an acute healthcare organization to prevent early sepsis and mortality due to sepsis in the emergency department of a Veterans Affairs (VA) facility. Early recognition and intervention of sepsis is essential to provide the best treatment. The intent of the project is to support the utilization of health information technology (HIT) in preventing early sepsis and death related to sepsis. The project was implemented to determine the effect of identifying sepsis cases with the use of the patient electronic health record (EHR) through the use of the Sequential Organ Failure Assessment …
Palliative Care And Improving Quality Of Life With End Stage Renal Disease: An Integrative Review, Natoya Bender
Palliative Care And Improving Quality Of Life With End Stage Renal Disease: An Integrative Review, Natoya Bender
Doctoral Dissertations and Projects
End-stage renal disease is a rising health care problem effecting greater than 10% of the US population. there are 700,000 patients in dialysis in the U.S who are characterized by multiple comorbidities and increasing, distressing symptom burden. The need for palliative care for patient with end-stage renal disease is becoming standard of care due to their complex medical needs and high symptom burden. The aim of this integrative review investigated the incorporation of palliative care will improve the quality-of-life of patients with end-stage renal disease once introduced in their care. While palliative care provides an ideal opportunity to assess the …
Implementing A Nurse-Driven Evidence-Based Quality Improvement Protocol For Blood Pressure Management In Primary Care, Veronica Anderson
Implementing A Nurse-Driven Evidence-Based Quality Improvement Protocol For Blood Pressure Management In Primary Care, Veronica Anderson
Doctoral Dissertations and Projects
Hypertension is a global chronic medical condition that is life threatening and eventually fatal if left untreated. Elevated blood pressure will disrupt the function of the cardiovascular system and impact the function of major organs, resulting in devastating complications for the patient while increasing cost for the healthcare system. This evidence-based quality improvement project is aimed at increasing control for veterans with high blood pressure and lowering blood pressure to a goal under 140/90 through a nurse driven education program. A quasi-experimental project design was utilized to improve nursing practice in managing hypertension care by addressing veterans understanding of self-care …
Using The Fifth "P" In Purposeful Hourly Rounding To Decrease Falls And Improve Patient Experience, Brenda Hopkins Woodcock
Using The Fifth "P" In Purposeful Hourly Rounding To Decrease Falls And Improve Patient Experience, Brenda Hopkins Woodcock
Doctoral Dissertations and Projects
Falls are on the rise at a facility in the Southern part of Virginia. Reducing falls and falls with injury is a goal for this facility. The falls metric is an important nurse-sensitive quality indicator that impacts mortality, the patient experience, and hospital length-of-stay. A pilot study conducted over two months included an interdisciplinary approach to purposeful hourly rounding and the incorporation of a purposeful pause to consider fall-prevention measures before leaving a patient's room. The intervention demonstrated an improvement in the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) overall patient experience of care score as well as …
An Exploration Into Public Health Experiences Of Rural Residents To Facilitate Understanding Of Chronic Poor Health Habits: A Phenomenological Study, Marybeth E. Mitcham
An Exploration Into Public Health Experiences Of Rural Residents To Facilitate Understanding Of Chronic Poor Health Habits: A Phenomenological Study, Marybeth E. Mitcham
Doctoral Dissertations and Projects
The purpose of this hermeneutic phenomenological study was to interpret the public health education experiences of rural residents in one predominantly rural county. This county was identified by its pseudonym, Middlesex County, for the purposes of this paper. The research was done to identify causal factors contributing to the problem of non-compliance exhibited by many rural residents. The non-compliance has resulted in many of those residents choosing to not implement beneficial practices and information from public health education. The guiding behavioral theory for this study was Maslow’s behavioral theory of a hierarchy of needs. This theory describes the rationale behind …
Feasibility Of Biosimilar Integration In Oncology Practice, Kelley Duncan Mayden
Feasibility Of Biosimilar Integration In Oncology Practice, Kelley Duncan Mayden
Doctoral Dissertations and Projects
The therapeutic value of biologics is of extreme importance in the treatment of most major cancers. Biologics account for half of the oncologic pharmacology market. As the population of the United States ages, the demand for biologics is expected to increase. The future supply of biologics may be prohibited by cost. Biosimilar biologics are highly similar to existing Food and Drug Administration-licensed biologics and have the potential to meet biological demand. Market introduction of biosimilars at a lower cost than reference biologics creates an opportunity for reducing the nation’s financial burden. Despite the obvious gains from biosimilar use, adoption into …
Strategies To Decrease Cauti Rates In Hospitalized Patients: An Integrative Review, Katie Nichole Robinson
Strategies To Decrease Cauti Rates In Hospitalized Patients: An Integrative Review, Katie Nichole Robinson
Doctoral Dissertations and Projects
Catheter-associated urinary tract infections (CAUTI) are proven to be a leading cause of infection within hospital systems and are caused by the use of indwelling urinary catheters. Diagnosis is made through additional urine testing and the infection requires treatment with antibiotics. The question within this integrative review was “What are effective strategies to decrease CAUTI rates in adult patients who are hospitalized?” During this integrative review, several strategies were examined to evaluate their effects on CAUTI rates on hospitalized adult patients requiring urinary drainage devices. Those strategies focused mainly on CAUTI bundles including proper insertion, early removal and external urinary …
Continuous Glucose Monitoring, Type 2 Diabetes And Hemoglobin A1c: An Integrative Review, Kimberly Dawn Fairchild
Continuous Glucose Monitoring, Type 2 Diabetes And Hemoglobin A1c: An Integrative Review, Kimberly Dawn Fairchild
Doctoral Dissertations and Projects
Continuous glucose monitors (CGMs) are used to measure a patient’s glucose levels every few minutes around the clock. According to the National Institute of Diabetes and Digestive and Kidney Disease (NIDDK), CGMs are mostly used by Type 1 Diabetes Mellitus patients, but research has shown that Type 2 DM patients can benefit from them as well (Ida et al., 2019; NIDDK, 2017). Glucose levels can change over hours or days, and seeing the trends by using a CGM will help patients make more informed decisions about the food they eat and how much they exercise, and the type and amount …
White Coat Remediation: Understanding Medical Students’ Academic Remediation Experiences, Lauren Elizabeth Daly
White Coat Remediation: Understanding Medical Students’ Academic Remediation Experiences, Lauren Elizabeth Daly
Doctoral Dissertations and Projects
The purpose of this transcendental phenomenological study was to understand the lived experience of academic remediation for medical students at an osteopathic medical school. Two theories guided this study: Bronfenbrenner and Ceci’s bioecological theory and Tajfel and Turner’s social identity theory. Research questions focused on understanding the emotional experience of failure within the medical education context, and the subsequent experience of involvement in the academic remediation process. Purposeful sampling was used to identify 10 medical students who did not pass one or more courses in their didactic curricula and underwent academic remediation as a result. The central question guiding this …
Examining The Impact Of Healthcare Providers In Relation To Gaining Patient's Acceptance And Initiation Of The Hpv Vaccine: An Integrative Review, Millie Elizabeth Knox
Examining The Impact Of Healthcare Providers In Relation To Gaining Patient's Acceptance And Initiation Of The Hpv Vaccine: An Integrative Review, Millie Elizabeth Knox
Doctoral Dissertations and Projects
The human papillomavirus (HPV) is a prevalent virus and the most common sexually transmitted infection (STI) worldwide. Nearly 80 million people, approximately one in four, are currently infected in the United States (US). Given that HPV infections affects over 20 million Americans with possible life-threatening consequences, the importance of adhering to the recommended two-dose or three-dose vaccination series has a significant impact on cancer prevention. Research studies have suggested that adolescents and young adults are at an increased risk of STIs and low HPV vaccination rates. For this integrative review, the target population was adolescents to young adults, ages 9-26 …
Preventing Malaria In Western Kenya Through Educational Interventions And Treatment Combination Of Indoor Residual Spraying With Insecticide Treated Mosquito Nets: An Integrated Review, Banis Nyokabi Githinji
Preventing Malaria In Western Kenya Through Educational Interventions And Treatment Combination Of Indoor Residual Spraying With Insecticide Treated Mosquito Nets: An Integrated Review, Banis Nyokabi Githinji
Doctoral Dissertations and Projects
Over the years, several Malaria prevention strategies have been deployed in western Kenya with the aim of reducing malaria infection rates. However, those rates continue to be disproportionally higher in western Kenya compared to other regions of the country. The objective of this review is to determine factors that contribute to higher malaria infection rates in western Kenya compared to other regions in the country. The review will also examine past literature to determine if combining educational interventions with treatment interventions offers greater protection against malaria compared to treatment interventions alone. First, the project will compare the geographic and human …
Conscious Sedation Medications And Risk Of Patient Falls: An Integrative Review, Tricia G. Stevens
Conscious Sedation Medications And Risk Of Patient Falls: An Integrative Review, Tricia G. Stevens
Doctoral Dissertations and Projects
Falls cause injury and occur at a high rate worldwide (World Health Organization, 2018). Healthcare organizations suffer from loss of reimbursement from patient falls due to the Centers for Medicare and Medicaid Services’ no-pay policy. With sedation increasing the risk for patient falls, the study of conscious sedation should be performed to analyze if there is a relationship between conscious sedation and patient falls. Current knowledge regarding this topic is needed to further understand the topic at hand. An integrative review was performed to review and synthesize data. A database search was conducted with research from 2016 to 2021. CINAHL, …
Analyzing The Relationship Between Breastfeeding And Postpartum Depression: An Integrative Review, Sarah K. Johnson
Analyzing The Relationship Between Breastfeeding And Postpartum Depression: An Integrative Review, Sarah K. Johnson
Doctoral Dissertations and Projects
Treating maternal mental health and identifying contributing factors are priorities in health care. Postpartum depression is a very prevalent and burdensome illness in the United States that negatively affects the health and well-being of postpartum mothers as well as their infants. While breastfeeding is known to be advantageous to both maternal and infant health, it may be implicated in the development of postpartum depression in some scenarios. The purpose of this integrative review is to examine the relationship between breastfeeding and postpartum depression to promote the best health outcomes for both the mother and the child with goals of determining …
Chronic Disease Self-Management Support In Rural Areas: An Integrative Review, Karla A. Callahan
Chronic Disease Self-Management Support In Rural Areas: An Integrative Review, Karla A. Callahan
Doctoral Dissertations and Projects
Millions of Americans live with chronic health conditions which require careful attention and specific actions for optimal management. Chronic Disease Self-Management Education (CDSME) has been effectively utilized to improve health outcomes and quality of life for individuals with chronic disease, enhancing knowledge and self-efficacy. Traditional CDSME programs are less available for rural residents. An examination of successful CDSME programs highlights common interventions that yield success and may be utilized in a variety of settings. Self-management is more complex, but also more essential, for individuals with more than one chronic condition. Clinicians can provide individualized support for appropriate self-management techniques, thereby …
Improving Clinician Care Practices Of Patients With Sickle Cell Anemia: An Integrative Review, Tracey Ann Royer
Improving Clinician Care Practices Of Patients With Sickle Cell Anemia: An Integrative Review, Tracey Ann Royer
Doctoral Dissertations and Projects
Sickle cell disease (SCD) is an inherited hematological disorder that can have a debilitating impact on those affected. The disease is caused by a mutation in the gene encoding for hemoglobin that alters the formation of the red blood cell to a sickle shape, the source of the term hemoglobin S or sickle hemoglobin. The most common manifestation of this disease state is acute pain due to the effects of vaso-occlusive crisis. The burden of disease can be intense, requiring frequent and prolonged hospitalizations with disruptions in one’s quality of life. Despite the gravity of this disease state, there exist …
Web-Based Applications For Weight Loss And Management: An Integrative Review, Linda Lawton Smith
Web-Based Applications For Weight Loss And Management: An Integrative Review, Linda Lawton Smith
Doctoral Dissertations and Projects
Obesity is associated with the leading causes of death in the United States and the world. Internationally, 39% of the world’s population was overweight or obese, in 2014, with 9% having diabetes. These causes include diabetes, stroke, certain types of cancer and heart disease. Obesity can lead to poorer mental health outcomes and cause a decrease in the quality of life. This integrative review is to determine if health and dietary smart-phone apps are effective tools to help overweight and obese people lose weight and maintain that loss.
Factors Hindering Human Papillomavirus(Hpv) Vaccination Uptake Among Children And Young Adults Between Ages Nine To Twenty-Six In America, Foluke Olufunbi Ajuwon
Factors Hindering Human Papillomavirus(Hpv) Vaccination Uptake Among Children And Young Adults Between Ages Nine To Twenty-Six In America, Foluke Olufunbi Ajuwon
Doctoral Dissertations and Projects
This Integrative Review Project searched relevant literature and conducted research to discover factors hindering HPV vaccination among children and young adults in America and interventions to increase HPV vaccination among individuals in this group. The importance of the HPV vaccination cannot be understated; the HPV vaccine is the most effective approach for preventing infections and decreasing risk of HPV-associated conditions such as cervical, oral pharyngeal, and rectal cancer. In the United States, HPV inoculation uptake is reported to be less than 80% for the initial dosage, and less than 40% of young males and females complete all the series dosage …
How Effective Is Psychotherapy In Reducing Opioid Usage Among Patients With Chronic Pain?, Charity Harold Whorley
How Effective Is Psychotherapy In Reducing Opioid Usage Among Patients With Chronic Pain?, Charity Harold Whorley
Doctoral Dissertations and Projects
The purpose of this integrative review is to evaluate the effectiveness of psychotherapy in the management of chronic pain thorough a comprehensive review and synthesis of current literature on the topic. Chronic pain is a prevalent condition throughout America with an estimated 30% of the population affected. As such, it is a common condition encountered in primary care. At one point the mainstay of treatment was opioid therapy. Unfortunately, this along with other issues has contributed to an overprescribing of narcotics and ultimately the opioid crisis in America. Healthcare providers are in a unique position to assist in reversing this …
Pediatric Concussion Management In The School Setting: An Integrative Literature Review, Renee Mann
Pediatric Concussion Management In The School Setting: An Integrative Literature Review, Renee Mann
Doctoral Dissertations and Projects
Concussions in the pediatric population are a growing concern due to the impact concussions could have on the child’s health and well-being. Appropriate management of concussions in the pediatric population promotes recovery and the return of the student who has sustained a concussion to school and to normal physical activities. The purpose of this integrative review project is to evaluate the current practices, evidence-based recommendations, and guidelines to ascertain the optimum recovery times in children who have sustained a concussion within the school setting, grades K-12. An integrative review was conducted utilizing the Whitmore and Knafl framework. The four main …
Promoting Health Literacy To Aging Christians To Combat The Scourge Of Euthanasia Through The Church, Willie Mae Corley
Promoting Health Literacy To Aging Christians To Combat The Scourge Of Euthanasia Through The Church, Willie Mae Corley
Doctoral Dissertations and Projects
The many dilemmas that occur in the medical care of chronically ill seniors raise the question of whether senior populations have become the new black. The research seeks to provide an evidence-based review of limited health literacy among elderly African American Christians regarding diagnoses and medical treatments, which has resulted in unethical Christian practices becoming a norm. The researcher adapted the health literacy framework of Paasche Orlow and Wolf’s view of three distinct causes that influence health literacy: the access and utilization of health care, the patient-provider relationship, and self-care. The problem is that Victory Church members may not understand …
Mitigating The Risk Of Opioid Overdose And Death Of The Veteran: An Integrative Review, Cheryl Anne Landry
Mitigating The Risk Of Opioid Overdose And Death Of The Veteran: An Integrative Review, Cheryl Anne Landry
Doctoral Dissertations and Projects
Pain is a complicated phenomenon; it is an individual’s subjective experience and is often characterized by its duration. Chronic pain lasts longer than 90 days and can continue after the injury or illness that caused it has healed or gone away; chronic pain was identified as a national public health problem in a 2017 study by the National Academy of Medicine. Not only is chronic pain a national problem, but there is an opioid epidemic in the United States that is perpetuated by prescription pain medications. The opioid epidemic continues to consume veterans daily, but not much is said about …
Characteristics Of Successful Nurse Mentors And Potential Effects On The Retention And Job Satisfaction Of New Graduate Nurses: An Integrative Review, Toni Cheryl Thompson
Characteristics Of Successful Nurse Mentors And Potential Effects On The Retention And Job Satisfaction Of New Graduate Nurses: An Integrative Review, Toni Cheryl Thompson
Doctoral Dissertations and Projects
Mentoring is a process that has become embedded into new graduate nurses’ transition to professional practice since the 1980s. The Institute of Medicine’s The Future of Nursing identifies mentoring as a mechanism to increase patient safety and satisfaction. Effective mentoring has been categorized as one of the important components of transforming nurses into leaders, improving retention, and increasing job satisfaction. By recognizing the characteristics of successful mentors, organizations can increase the consistency and success of their mentoring programs. The purpose of this integrative review was to examine successful mentor characteristics and identify the effect of mentors on new graduate nurses’ …
Examining The Role Of Self-Compassion In Resilience Among African American Women: A Qualitative Perspective, Vivian W. France
Examining The Role Of Self-Compassion In Resilience Among African American Women: A Qualitative Perspective, Vivian W. France
Doctoral Dissertations and Projects
This study aimed to fill an important gap in the literature by exploring the role of self-compassion in resilience among African American women. This study was an investigation of some of the challenges African American women face in their lived experiences that impact their self-compassion and to provide an understanding of the role self-compassion plays in their pursuit of higher education. A qualitative design with a phenomenological approach and thematic analysis for gathering and extrapolating primary themes and subthemes from the participant data sets was used. Semistructured interviews were conducted with five African American women ages 27–58 years who had …
Analyzing The Investment Potential To Increase Prenatal Care Utilization As A Tactic To Decrease Preterm Birth Costs In Tennessee, Michael S. Wiggins
Analyzing The Investment Potential To Increase Prenatal Care Utilization As A Tactic To Decrease Preterm Birth Costs In Tennessee, Michael S. Wiggins
Doctoral Dissertations and Projects
Preterm birth contributes significantly to health care costs in the United States (Frey & Klebanoff, 2016). Certain components of prenatal care reduce preterm birth incidence (Newnham et al., 2014). Tennessee’s preterm birth rate ranks 35th among the 50 United States (National Center for Health Statistics, 2019). This study analyzed the investment potential to reduce preterm birth cost through increasing prenatal care utilization in Tennessee. Based on 2018 data, the study identified a significant relationship between prenatal care utilization and preterm birth incidence in Tennessee. The study also identified a significant opportunity to increase prenatal care utilization in Tennessee when compared …