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Full-Text Articles in Medicine and Health Sciences

Dental Students' Perceptions Of Dental Hygienists' Education And Scope Of Practice, Cynthia Metzger May 2022

Dental Students' Perceptions Of Dental Hygienists' Education And Scope Of Practice, Cynthia Metzger

Electronic Theses and Dissertations

Oral health is strongly correlated to systemic health in the United States. Dental professionals play a significant role in addressing the oral health and prevention of disease for populations in the United States. Because many areas in the United States lack access to dental care, the federal government considers dental hygienists part of the solution. It is now paying attention to restrictive dental hygiene scope of practice rules in each state. State dental boards, comprised mainly of dentists, make these rules based on their perception of dental hygienists' lack of education. This study explored fourth-year dental students' perceptions of the ...


Positive And Negative Deviant Counties: Identification Of Factors Associated With Health Outcomes, Olivia Egen May 2022

Positive And Negative Deviant Counties: Identification Of Factors Associated With Health Outcomes, Olivia Egen

Electronic Theses and Dissertations

Rural counties in the United States vary drastically on metrics related to socioeconomic status and dominant economic industry as well as health behaviors and outcomes. This study sought to understand the underlying structural reasons why some rural counties have better or worse than expected health outcomes using a positive deviance (PD) approach. The study aimed to: 1) create an area deprivation index and divide counties into quartiles using the index; 2) identify positive, negative, and non-deviant counties using health outcome metrics; 3) analyze differences between deviance on a variety of local public health system metrics; and 4) analyze differences between ...


Caregiver-Child Conversations About Sex In African American Women, Hannah King May 2022

Caregiver-Child Conversations About Sex In African American Women, Hannah King

Electronic Theses and Dissertations

Using grounded theory methods, this study examines the experience of African American women during their caregiver-child conversations about sex and the impacts of the conversations on their sexual attitudes. The process of these conversations begins with an unplanned topic and progresses further to identify six essential themes of these conversations: gender differences, race and religion, protective/emphasis on protection, lack of knowledge, withholding knowledge, and sex negativity/shame. African American women’s description of the process included feelings of shame and negativity towards their sexuality. Caregivers promoted positive messages about sex by having open conversations that advocated for equality between ...


Bedside Shift Report And Patient Satisfaction, Kasandra Johnson May 2022

Bedside Shift Report And Patient Satisfaction, Kasandra Johnson

Electronic Theses and Dissertations

Each year, millions of deaths worldwide are caused by medication errors in hospitals. Some of these errors are accounted for through miscommunication during the change of the nurse shift report. One of the Joint Commission’s 2019 national patient safety goals for hospital programs was to improve communication effectiveness among caregivers since mistakes in a caregiver’s communication accounted for 37% of severe patient injuries. Safety is threatened by patients not being included. Therefore, adopting the bedside shift report allows patients to be actively engaged, reinforcing nurse-patient communication. The bedside shift report enables nurses to provide safe, high-quality, patient-centered care ...


Understanding How To Promote Healthy Dietary Habits Among Parents Of Adolescents, Jazmine D. Collins Apr 2022

Understanding How To Promote Healthy Dietary Habits Among Parents Of Adolescents, Jazmine D. Collins

Electronic Theses and Dissertations

Adolescents in the United States today have record-high prevalence rates for childhood obesity and overweight, which are conditions that have lifelong negative health consequences for individuals, and also carry high financial and social costs for the entire nation. The disproportionate burden of obesity and associated health conditions falls on adolescents of racial and ethnic minority group identities and from lower-income households. The increased risk that adolescents have for developing conditions like childhood obesity is closely associated with youth having diets that are unhealthier than in the past. Parents have a large influence on the eating habits and preferences of their ...


How Early Education And Pet Therapy May Help Nurses With Compassion Fatigue, Katie E. Clark Apr 2022

How Early Education And Pet Therapy May Help Nurses With Compassion Fatigue, Katie E. Clark

Electronic Theses and Dissertations

Abstract

Although there is a great deal of research on the causes of compassion fatigue, there is little research on prevention techniques or ways to combat compassion fatigue. The purpose of this qualitative phenomenological study was to discover if nurses are prepared to cope with occupational stress and compassion fatigue. A secondary purpose was to examine the perceived benefit that pet therapy can have as a possible stress reduction technique to decrease the effects of compassion fatigue. This research was conducted by gathering data via semistructured interviews. The researcher interviewed nurses who were currently practicing patient care and scored as ...


Facilitators To Becoming And Remaining Open Defecation Free In Uganda: Implications For Community-Led Total Sanitation Programming, Danette Lee Cagnet Apr 2022

Facilitators To Becoming And Remaining Open Defecation Free In Uganda: Implications For Community-Led Total Sanitation Programming, Danette Lee Cagnet

Electronic Theses and Dissertations

Poor sanitation behaviors, including open defecation, present risks for diarrhea, which is credited with 600,000 deaths a year in children under age five. Although CLTS is a solution to ending open defecation, more than half of the investment in producing open defecation free (ODF) communities is lost during the maintenance phase. The purpose of this qualitative, case study was to understand stakeholder perceptions of the facilitators and hindrances to becoming ODF certified and maintaining ODF status and sanitary behaviors in a small village community located in Uganda, East Africa. The researcher held individual interviews and in-person focus group discussions ...


Diabetes Education With A Focus On Blood Glucose Self-Management: Impacting The Frequency Of Glucose Monitoring, Jennifer M. Young Apr 2022

Diabetes Education With A Focus On Blood Glucose Self-Management: Impacting The Frequency Of Glucose Monitoring, Jennifer M. Young

Electronic Theses and Dissertations

This quality improvement project was conducted to evaluate whether a focused educational session on self-management of blood glucose monitoring increased the frequency of monitoring for adult type II diabetics who were not taking insulin therapy. The purpose of this improvement project was to add to the body of research from this project. Currently, there are no recommendations for people with type II diabetes who are not taking insulin therapy regarding monitoring their blood glucose. This quantitative project was conducted online to reduce face-to-face contact during the COVID-19 pandemic. It was conducted online through diabetes support groups found on Facebook. Permission ...


The Impact Of Disruptive Physician Behavior On Support Staff And Patients: A Quantitative Secondary Analysis, Michael C. Marino Mar 2022

The Impact Of Disruptive Physician Behavior On Support Staff And Patients: A Quantitative Secondary Analysis, Michael C. Marino

Electronic Theses and Dissertations

In this quantitative secondary analysis, the purpose was to examine the nature of disruptive physician behavior (DPB) from the support staff and patient perspectives. Healthcare staffing shortages existed prior to the global pandemic and have increased, creating importance for employee retention and recruitment. I wanted to understand the impact of physician behavior on staff turnover rates in a private oncology practice, its effect on patient satisfaction rates, and to compare these rates of physicians that display DPB with physicians that do not display this behavior in a private hematology oncology community outpatient setting in the Southwest United States. To answer ...


Improving The Competency Of Nurse Educators In The Use Of Simulation, Pricilla H. Wyatt Feb 2022

Improving The Competency Of Nurse Educators In The Use Of Simulation, Pricilla H. Wyatt

Electronic Theses and Dissertations

Simulation in nursing education programs is widely used as an active clinical learning strategy. This teaching methodology is a standard supplement to clinical experiences for nursing students to meet the requirements of clinical components within their degree program; however, the faculty of a small liberal arts-based Bachelor of Science in Nursing program was not using simulation to its fullest potential. Therefore, the purpose of this DNP project was to introduce the use of evidence-based practice simulation guidelines recommended by the National Council of State Boards of Nursing. The study sample of 16 included 10 full-time faculty, five part-time adjunct faculty ...


Characteristics And Regions Of Hospital Locations And The Risk Of Postpartum Hemorrhage., Zahra Shahin Jan 2022

Characteristics And Regions Of Hospital Locations And The Risk Of Postpartum Hemorrhage., Zahra Shahin

Electronic Theses and Dissertations

Background: Postpartum hemorrhage (PPH) is one of the contributing factors to maternal morbidity and mortality that in addition to maternal risk factors, may be related to other factors such as obstetric practice and clinical management of postpartum hemorrhage. Therefore, this study aimed to explore the association of postpartum hemorrhage with characteristics and regions of hospital locations across the United States, as the outcomes may create opportunities to improve policies and protocols regarding PPH management more effectively. Method: A retrospective study was performed using the 2018 National Inpatient Sample (NIS) database. Low-risk delivery hospitalizations involving the third stage of labor with ...


The Tragedy Of Caspian: C. S. Lewis And His Trauma, Chandler Hanton Jan 2022

The Tragedy Of Caspian: C. S. Lewis And His Trauma, Chandler Hanton

Electronic Theses and Dissertations

This thesis reconsiders C.S.Lewis’ The Chronicles of Narnia as a type of scriptotherapy that enabled Lewis to process and come to terms with a life full of serious and significant traumatic events. Trauma theory offers a vehicle for us to consider the alignments and connections between Lewis himself and his fictional creation, Caspian. In the specifics of both characterization and incident, Lewis mirrors the events and relationships that instilled and healed the trauma in his own life. In situating Caspian as his alter-ego, Lewis allowed his writing to function as a gender-specific therapeutic process for addressing the effects ...


Stress, Stress Appraisal And Coping In Athletic Trainers During The Covid-19 Pandemic, Lawson Holton Jan 2022

Stress, Stress Appraisal And Coping In Athletic Trainers During The Covid-19 Pandemic, Lawson Holton

Electronic Theses and Dissertations

Introduction: There have been many studies conducted on the stress and mental health of frontline healthcare workers (HCWs) over the past months since the COVID-19 pandemic began. Very limited literature has examined the effect of the pandemic on athletic trainers (ATs). Objective: The aim of this investigation was to examine the stress, stress appraisal, and coping measures of ATs during the COVID-19 pandemic. Methods: Participants were recruited members from the National Athletic Trainers’ Association (NATA). The Perceived Stress Scale-10 was used to measure stress, the Stress Appraisal Measure was used to measure stress appraisal, and the Brief COPE was used ...


Factors Associated With Intention To Disclose Concussive Symptoms In Active Duty Soldiers, Carly Beck Jan 2022

Factors Associated With Intention To Disclose Concussive Symptoms In Active Duty Soldiers, Carly Beck

Electronic Theses and Dissertations

Background: Concussion disclosure is a heavily researched topic, and while previous literature has explored predictors of concussion disclosure in numerous populations, research within the active duty Soldier population is limited. This study further explored predictors of concussion disclosure to a medical professional or leadership in the active duty Solider population through the lens of the Theory of Planned Behavior. Methods: A cross-sectional electronic survey was distributed to 181 active duty Soldiers. Descriptive statistics were used to report frequency of high intention to disclose concussive symptoms among demographics, and a multivariate regression model was used to assess significant predictors of intention ...


Exploring Sport, Exercise, And Performance Psychology Practitioners’ Attitudes On Attire, Claire Harding Jan 2022

Exploring Sport, Exercise, And Performance Psychology Practitioners’ Attitudes On Attire, Claire Harding

Electronic Theses and Dissertations

Research has revealed that attire has an influence on one’s self-perceptions, self and socially prescribed adjective traits and behavior (Adam & Galinsky, 2012; Lubker et. al, 2008; Peluchette & Karl, 2007). The present study aims to explore the influence of attire on perceptions, attitudes, and experiences of SEPP (Sport, Exercise, and Performance Psychology) practitioners during their applied work. Specifically, these factors were investigated through various demographic lenses such as gender, experience level, and age in order to describe the population. SEPP graduate students (n = 49) and early career professionals (n = 82) were asked to participate in a questionnaire, based on previous research, that ...


Experiences And Perceptions Of Female Athletic Trainers Working With Male Coaches In Male Sports, Sierra Hobday Jan 2022

Experiences And Perceptions Of Female Athletic Trainers Working With Male Coaches In Male Sports, Sierra Hobday

Electronic Theses and Dissertations

Context: Female athletic trainers are making great strides in a previously male-dominated profession and are also becoming more prevalent in working with male sports teams. Female athletic trainers working within male sports often face gender bias and discrimination which has been found to come from male coaches of these sports. While previous studies have shown male coaches may demonstrate practices of gender bias towards female athletic trainers working in male sports, no studies have focused directly on the male coach and female athletic trainer relationship. Purpose: To examine the experiences and perceptions of female athletic trainers currently working with male ...


Generalization Of Net Benefit Of Diagnostic Tests Into Multi-Stage Clinical Conditions: A Collapsing Approach, Ferdous Ahmed Jan 2022

Generalization Of Net Benefit Of Diagnostic Tests Into Multi-Stage Clinical Conditions: A Collapsing Approach, Ferdous Ahmed

Electronic Theses and Dissertations

Evaluating diagnostic tests based on benefit-risk involves both the tests’ accuracy and the clinical implications of the diagnostic errors. Diagnostic tests are commonly classified into two stages: either positive or negative for a clinical condition (diseased or non-diseased). However, some diseases have more than two stages, such as Alzheimer’s. In diseases with more than two stages, the benefits and risks of the clinical consequences could differ from stage to stage. I could not find any investigations to account for the difference in benefits and risks of tests with more than two stages in the literature. The benefit to cost ...


Polymeric Nanovaccine Delivery System For Influenza Vaccine, Chaitanya K. Valiveti Jan 2022

Polymeric Nanovaccine Delivery System For Influenza Vaccine, Chaitanya K. Valiveti

Electronic Theses and Dissertations

Vaccines are the most efficient and cost-effective method for preventing illnesses caused by infectious pathogens. Even though the great success of vaccines over decades, the development of safe and robust vaccines is still essential for emerging new pathogens, re-evolving old pathogens, and improving the insufficient protection given by existing vaccines. One of the most critical strategies for developing effective new vaccines is selecting and using a suitable adjuvant or immune stimulant. Immunologic adjuvants are essential for improving vaccine potency by enhancing the immune response of vaccine antigens. The amount of antigen could be spared with improved potency, especially during mass ...


Role Of Host Restriction Factors On Porcine Reproductive And Respiratory Syndrome Virus (Prrsv) Replication, Pratik Katwal Jan 2022

Role Of Host Restriction Factors On Porcine Reproductive And Respiratory Syndrome Virus (Prrsv) Replication, Pratik Katwal

Electronic Theses and Dissertations

In this study, the role of IFITM3 on PRRSV replication was studied in vitro by expressing exogenous IFITM3 in MARC-145 cells. An average of 31% reduction in PRRSV N protein expression and an average of 5.4 fold decrease in virus titer in the supernatant were observed in IFITM3 overexpressing cells as compared to vector control cells at 24 hours post infection (hpi). Moreover, there was a positive correlation between interferon- induced IFITM3 up-regulation and reduced PRRSV replication. To determine the role of endogenous IFITM3 in PRRSV replication, siRNA induced knockdown of IFITM3 was employed. RT-PCR validated the successful silencing ...


Peer Recovery Support Specialists: Role Clarification And Fit Within The Recovery Ecosystems Of Central Appalachia, Angela Hagaman Dec 2021

Peer Recovery Support Specialists: Role Clarification And Fit Within The Recovery Ecosystems Of Central Appalachia, Angela Hagaman

Electronic Theses and Dissertations

The Peer Recovery Support Specialist (PRSS), a certified professional who self-identifies as being in recovery from a substance use disorder (SUD), mental illness, or co-occurring disorders, plays a key role in the ongoing transformation of SUD treatment from one of acute clinical service provision with documented short-term outcomes including symptom reduction, to a more holistic and comprehensive approach to long-term recovery. Empirical evidence specific to outcomes of PRSS working in the addiction treatment realm is sparse and equivocal, indicating the need for additional research and improved methods designed to explore the nature of the PRSS role and fit within the ...


The Use Of Medical Cannabis In Clinical Practice, Arianne Kryskow Dec 2021

The Use Of Medical Cannabis In Clinical Practice, Arianne Kryskow

Electronic Theses and Dissertations

Medical Cannabis is receiving renewed interest in clinical practice due to the gradual increase over the last few decades of cannabis legalization and high-quality research on the potential benefits of cannabis for treating a variety of conditions (NASEM, 2017; Nursing Care of the Patient, 2018). However, the pace of medical cannabis legalization and research are outpacing the training for medical providers, leaving gaps in their confidence and ability to safely guide patients using medical cannabis (NCSBN, 2018). Medical providers are increasingly fielding questions from patients regarding the use of medical cannabis for conditions commonly seen in clinical practice, but many ...


Pacing Variability And Performance In A 100 Mile Ultra Marathon, Brendan Gilpatrick Dec 2021

Pacing Variability And Performance In A 100 Mile Ultra Marathon, Brendan Gilpatrick

Electronic Theses and Dissertations

The purpose of this research was to explore the relationship between pacing variability and performance during a 100 mile trail race with significant changes in elevation. Changes in pace throughout an endurance event of this length could lead to insight into the relationship of early pacing on overall performance and placing among finishers. Due to variables like changes in terrain or weather it could prove difficult to construct a way to analyze data from these races. Race data from a loop style course with significant elevation change was used to determine if 1). There were significant changes in pace per ...


Stress And Anxiety Experience Of Dental Hygiene Students, Kristen Ford Dec 2021

Stress And Anxiety Experience Of Dental Hygiene Students, Kristen Ford

Electronic Theses and Dissertations

The ETSU dental hygiene program is very competitive and rigorous for those admitted. Student dental hygienists may experience higher levels of anxiety and more stressors while completing their course work and clinical hours than they have previously experienced in general education and prerequisite courses. These increased number of stressors and higher levels of anxiety may have negative impacts on students’ academic performance and success in clinical learning environments. A better understanding of the actual need for a stress reduction and anxiety management curriculum will facilitate creating and implementing this type of curriculum. A total of 44 current ETSU dental hygiene ...


Exploring Integration Between Athletic Trainers And Strength And Conditioning Coaches Among The Ncaa Division I Southern Conference Institutions, Yoshihiro Kojima Dec 2021

Exploring Integration Between Athletic Trainers And Strength And Conditioning Coaches Among The Ncaa Division I Southern Conference Institutions, Yoshihiro Kojima

Electronic Theses and Dissertations

The purpose of this study was to explore the interdepartmental integration between athletic trainers and strength and conditioning coaches in relation to relationship, communication, collaboration, and education. Forty participants from the NCAA Division I Southern Conference, twenty-eight athletic trainers and twelve strength and conditioning coaches, completed an electronic survey during a two-week period. Collected data were analyzed by descriptive and thematic coding analyses. The results suggested participated athletic trainers and strength and conditioning coaches were interactive and collaborative. Open-ended responses identified key concepts when athletic trainers and strength and conditioning coaches communicated and collaborated. A high interaction and collaboration model ...


Nursing Perceptions For Utilizing Essential Oil Application In Labor And The Effect Of Targeted Education, Joni R. Beckham Dec 2021

Nursing Perceptions For Utilizing Essential Oil Application In Labor And The Effect Of Targeted Education, Joni R. Beckham

Electronic Theses and Dissertations

This Doctor of Nursing Practice project was implemented to determine how a nurse’s perception of aromatherapy influences their decision to provide aromatherapy for patients during labor and the effect of targeted education on a nurse’s perception. The purpose of this project was to determine how nurses view the use of aromatherapy resources at their disposal and the likelihood that they would offer the intervention to their patients. This project provided education to increase nurses’ confidence in providing optimal care to patients using a traditional and holistic avenue of aromatherapy while determining if education can positively influence nurses to ...


The Relationship Of Hospital Ceo Gender And The Patient Experience: The Role Of The Mediating Effects Of Hospital Characteristics, Lanean M. Lang Dec 2021

The Relationship Of Hospital Ceo Gender And The Patient Experience: The Role Of The Mediating Effects Of Hospital Characteristics, Lanean M. Lang

Electronic Theses and Dissertations

In this quantitative study, I investigated CEO gender and the patient experience in acute care hospitals in Texas for 2019. As the patient-experience has been the metric for quality patient care and hospital reimbursements, hospital CEOs play an important role in promoting positive patient experience as they lead the organization in strategic goals. The study is relevant as a shortage of experienced and qualified healthcare leaders is expected as baby-boomers retire. The lack of women leaders remains a challenging issue. The purpose of the study was to assess the gender differences of the CEO on the impact of patient experience ...


School Nursing Practice And Experiences During School Closures, Susie E. Birden Brown Dec 2021

School Nursing Practice And Experiences During School Closures, Susie E. Birden Brown

Electronic Theses and Dissertations

This evidence-based quality improvement project was to evaluate public school nurses’ relationships and reaction to their new work environment during the closure of schools in Northern California resulting from the COVID-19 pandemic. This project addressed the change in school nursing, especially the nurses’ working environment. A stress management program was offered to the school nurses as an intervention to give them information on perceived stress. The stress management program included mindfulness and stress-relieving techniques over a 1-month period. The research methodology used in the project was a pre- and postintervention using the Perceived Stress Scale-10 (PSS) to measure if the ...


Implementing Mindfulness Meditation To Reduce Nurse Burnout, Jannelle V. Sanchez Dec 2021

Implementing Mindfulness Meditation To Reduce Nurse Burnout, Jannelle V. Sanchez

Electronic Theses and Dissertations

Abstract

There will be an estimated shortage of 100,000 nurses by the year 2022, with 500,000 seasoned nurses retiring. The nursing profession has recently experienced a devastating pandemic that left no time to combat the detrimental effects of burnout, specifically for intensive care nurses, who are the frontline workers of a physically and psychologically draining working environment conducive to burnout. Nurses experience burnout for a mixture of reasons, but mainly it is due to the lack of interventions to help them combat the disease. Mindfulness meditation represents an interventional tool that has been shown to reduce the negative ...


Comparing Different Scaling Methods For Monitoring Weightlifting Performance, Jake Slaton Dec 2021

Comparing Different Scaling Methods For Monitoring Weightlifting Performance, Jake Slaton

Electronic Theses and Dissertations

Physiological performance has been commonly scaled for body size using various methods to scale anthropometrics, but a paucity of data exists on scaling muscle size. The aim of this thesis was to elucidate the optimal method to scale height (HT), body mass (BM), lean body mass (LBM), and muscle cross-sectional area (CSA) when scaling weightlifting performance for body size. 26 weightlifters (13 male, 13 female) participated in this study. The measurements collected were the snatch (SN), clean and jerk (CJ), isometric peak force (IPF), and countermovement jump height (CMJH). HT, LBM, BM, and vastus lateralis CSA were scaled using the ...


Opioid Use Disorder: A Crisis Of Concern, Evangella Harville Nov 2021

Opioid Use Disorder: A Crisis Of Concern, Evangella Harville

Electronic Theses and Dissertations

According to a statement from the U.S. Centers for Disease Control and Prevention, between 2000 and 2017, approximately 700,000 people died from drug overdoses in the United States. Approximately 128 persons lose their life each day from an opioid overdose. The data for this study were collected by the vice president of operations at the study site from a preexisting database for 2019 and 2020. The participants were inpatient patients, 18 and older, both male and female, and were from all ethnicities. The study facility was located in Western New York and offered a 30-bed inpatient treatment center ...