Medicine and Health Sciences Commons^™

Improving Nurse Education On Research Informed Consent, Tina Rasooli

Master's Projects and Capstones

As the number of human participants in clinical trials continues to grow, it is increasingly imperative that research nurses are educated about valid research informed consent to improve patient outcomes. As patient advocates, nurses must be aware of the components and principles of valid informed consent in order to protect the rights, safety, and wellbeing of their patients as human subjects. The research nurse must also be aware of their available resources and who to contact if they suspect a problem or a lack of patient comprehension of the study. In order to address these needs, an evidence-based performance improvement …

Personality And Socio-Institutional Predictors Of Self-Employment Intentions Among People With Disabilities: An Empirical Investigation, Yuleinys A. Castillo

Theses and Dissertations - UTB/UTPA

As a minority group, people with disabilities (PWD) face many challenges when making a career choice and establishing vocational goals. Self-employment or entrepreneurship represents a viable, prevalent vocational option for people with disabilities (PWD). Owning a business, which offers flexibility, independence, earnings, and satisfaction, is a common vocational practice among PWD. This dissertation investigates the dynamic factors that influence entrepreneurial business formation among minority groups. Specifically, it evaluates the effect of personal, socio-cultural, and institutional factors on the entrepreneurial intentions of PWD. After controlling for age, minority status, educational level, type of disability and gender, the results highlight significant empirical …

Using A Mental Health Board Game Intervention To Reduce Mental Illness Stigma Among Nursing Students, Anna Kristina Wassink

Doctoral Dissertations

Mental illness stigma can be displayed by anyone including those working in the health care field. Bachelor of Science in Nursing (BSN) students are one group within the health care field. The purpose of this project is to explore attitude change among BSN students related to mental illness stigma. The question guiding this project is whether a creative game implemented in conjunction with the existing educational and clinical experiences is helpful in reducing mental illness stigma in BSN students. Thirty-eight participants, 5 males and 33 females, a majority of whom were 20-21 years old, participated in this project. The intervention …

The Effect Of Shared Medical Appointments And Education On Hemoglobin A1c Levels, Gina L. Moore

Evidence-Based Practice Project Reports

Type II diabetes affects millions of people worldwide. Approximately 25.8 million or 8.3 percent of the United States (U.S.) population has type II diabetes. The number of adults in the United States developing diabetes has been projected to double by the year 2030 (World Health Organization, 2013). Diabetes is the leading cause of kidney failure and blindness, as well as the major cause of heart disease and stroke which is the 7th leading cause of death in the U.S. The purpose of this evidence-based project was to determine the effects of education during shared medical appointments with type II diabetic …

The Use Of Stress Reduction Techniques In Nursing Education, Jennifer S. Bauer

Evidence-Based Practice Project Reports

Stress is a complex phenomenon that has significant effects on students which may disturb their physiological, psychological, and spiritual health and well-being. Nursing students have been identified to be at high risk for stress during their education. Stress can arise from new clinical experiences, academic load, and personal stressors (Jones & Johnston, 2006). This increase in stress can lead to the student’s inability to assimilate and learn within the classroom and clinical settings. A review of the literature provided evidence that reported a positive relationship between guided imagery and a decrease in stress and anxiety. This evidence-based practice (EBP) project …

Effects Of A Parish Based Heart Healthy Education Program, Kristin A. Kilinski

Evidence-Based Practice Project Reports

Cardiovascular disease is the leading cause of mortality and morbidity in the United States. Some risk factors for cardiovascular disease can be modified which include: diet; physical activity; smoking; hypertension; diabetes; and weight. Various national programs, such as “Go Red for Women” and “Let’s Move,” have been implemented to address this growing epidemic. Community programs are needed as an adjunct to these national initiatives. Thus, a parish based cardiovascular disease educational program would provide for a unique socially and spiritually supportive environment for education at the community level. Research findings indicate that parish based educational programs are effective in increasing …

Effects Of An Osteoporosis Educational Intervention: Knowledge And Self-Efficacy Of Prevention In Young Adult Collegiate Females, Valerie A. Bollenbacher

Evidence-Based Practice Project Reports

Osteoporosis is a silent and potentially debilitating chronic illness. In 2012, the CDC reported that 4.5 million women over the age of 50 were diagnosed with osteoporosis in the United States. Within the next 20 years, 41 million women worldwide are projected to have osteoporosis. The annual financial burden of osteoporosis is estimated to be 19 billion dollars. The objective of this evidence-based practice project was to answer the clinical question: In young adult collegiate females, how does an osteoporosis educational intervention compared to current education effect osteoporosis knowledge and self-efficacy of osteoporosis prevention over a one-month time period? The …

Blended Pedagogy Pathophysiology Course: Effectiveness And Student Satisfaction, Betsy Botsford, Samantha Corn, Alanna Keenan

UNLV Theses, Dissertations, Professional Papers, and Capstones

Background and Purpose: Evidence supports the effectiveness of computer-assisted instruction (CAI) versus a traditional face-to-face teaching model, but little is known regarding the effectiveness of a blended pedagogy. The purpose of this study is to determine the effectiveness of a blended learning format in a pathophysiology course for entry-level Doctorate of Physical Therapy (DPT) students, to evaluate their level of satisfaction of a podcast formatted course, and to observe changes in cohort performance over time.

Subjects: Five University of Nevada, Las Vegas (UNLV) DPT cohorts (n = 139) participated in the study. Some cohorts were taught in a traditional classroom …

Evaluation Of A Theory-Based Farm To School Program, Rebecca Kent Bishop

Master's Theses

Fruit and vegetable (FV) intakes in MS children remain lower than recommended. Theory-based, multi-component nutrition education interventions like Farm to School (F2S) target FV consumption and utilize such interventions to improve children’s dietary behaviors by incorporating nutrition and agriculture education. The current study was designed with Theory of Planned Behavior (TPB) as its framework. An intervention was implemented to enhance beliefs, norms, and self-efficacy regarding FV, thus potentially increasing the intention to consume more FV. The research objectives of this study are to describe changes over the course of the intervention in (1) nutrition knowledge; (2) norms, beliefs, and self-efficacy …

Factors Affecting Attitudes Towards Individuals With Schizophrenia: Perceptions Of Mexican American College Students, Valerie Paredes

Theses and Dissertations - UTB/UTPA

This study is designed to examine the effects of acculturation and level of familiarity on stigma of Mexican American college students towards individuals with schizophrenia along the border of Texas and Mexico (N = 223). The area has a history of high levels of disparity in regards to the utilization of mental health services. Data was collected by surveying Mexican American college students through a convenience sample at two separate post-secondary southwestern Hispanic-Serving Institutions (HSIs) along a border community. The instrumentation for the study was composed of a demographic questionnaire, The Acculturation Scale for Mexican-Americans-II (Cuéllar, Arnold, & Maldonado, 1995), …

Predictors Of Success In Entry-Level Master's Degree Programs In Athletic Training, Mary E. Murray

Seton Hall University Dissertations and Theses (ETDs)

ABSTRACT

Athletic training educational program directors use a variety of admission criteria to select qualified applicants who they anticipate will succeed academically and professionally. No standard sets of admission criteria exist for identifying a student’s ability to succeed in an entry-level master’s degree athletic training program or on the Board of Certification (BOC) examination. The purpose of this retrospective study was to investigate the relationship between entry-level master’s degree athletic training student demographic and academic factors and first- attempt passing rate on the BOC examination. The research questions examined the relationship between age, gender, admission grade point average (GPA), final …

Evidence-Based Health Literacy Training Program For Occupational Therapy Professionals : Program Development And Evaluation, Cheryl Miller-Scott

Occupational Therapy Program Student Theses, Dissertations and Capstones

This capstone project is a training program development and evaluation project. The purpose of the project was to develop, pilot, and evaluate an

evidence-based health literacy training program for occupational therapy professionals. Occupational therapy strives to be a science-driven profession, which provides client-centered care. Health literacy is a client-centered factor for which occupational therapy professionals require additional training to best serve their clients in all settings and across the lifespan. A review of health literacy literature was used in this project to develop the training program and offers a science-driven approach to this client-centered factor for occupational therapists to better …

An Exploratory Analysis Of Fruit And Vegetable Consumption In Black Men, Jacqueline Reiter

Open Access Theses

Objective: Multiple peer-reviewed studies have found an association between fruit and vegetable consumption and lower risk for diseases such as hypertension, stroke and cancer. In other related studies, education level, retail food environment, and fruit and vegetable consumption were also examined together to discover patterns and associations. Currently, Black males have a higher risk for poor health outcomes. Limited research has focused specifically on Black men's fruit and vegetable consumption. This study explored the association between education level, food store access (measured by proximity) and fruit and vegetable consumption in black African American men.

Design: The data for this study …

The Effects Of Systematic Reinforcement On Academic Performance In Precision Teaching: An Investigation Of Acquisition, Retention, And Endurance, Victoria Ann Hoch

USF Tampa Graduate Theses and Dissertations

The use of positive reinforcement in acquisition programming is a hallmark of Applied Behavior Analysis; however, the Precision Teaching literature reveals a lack of reporting on the use of reinforcement. The present study utilized a groups design and single case analyses to investigate the effect of programming systematic tangible reinforcement on acquisition performance, retention and endurance of academic skills with 10 typically developing students ranging from 5-7 years of age. Results indicate that for both control and experimental participants, an increase in accuracy on both See/Say sight words and math problems occurred; however, the experimental group performed better on See/Say …

The Effectiveness Of St. Joseph Mercy Center For Diabetes Education Program At One And Two Years Post Education, Clisty Kinlin

Master's Theses and Doctoral Dissertations

Background: Diabetes is a disease of the endocrine system characterized by hyperglycemia, which can lead to multiple microvascular and macrovascular complications. Successful control of blood glucose levels can decrease associated complications.

Objective: This study evaluated the effectiveness of nutrition and lifestyle interventions in people diagnosed with type 2 diabetes.

Methods: A retrospective study reviewed laboratory data of individuals that attended the St. Joseph Mercy Center for Diabetes education program. HbA1c and lipid value were evaluated to determine the effectiveness of the program.

Results: Baseline HbA1c for all groups was 8.33%. Post-Program HbA1c was 6.70%, showing a 1.63% (p<0.0001) reduction from Baseline to Post-Program. There was a significant reduction in HbA1c of 1.4% (p<0.0001) for all groups from Baseline to 2-years Post-Program. Lipid levels did not show a significant change from Baseline to Post-Program, however, lipid levels reached target levels and continued to improve through 2-years Post-Program.

Conclusion: This …

An Evaluation Of The Effects Of Session Distribution On The Acquisition, Retention, And Endurance Of Material Learned Using Precision Teaching, Elizabeth G. Hasbrouck

USF Tampa Graduate Theses and Dissertations

Precision Teaching (PT) is a data-based educational tool that allows individual changes to be made to educational programs based specifically on the needs of the learner. The purpose of this study was to evaluate the effect of session distribution on the material learned in the context of a PT intervention program. Typical children, ages 3- to 5-years-old, whom were enrolled in a church-based child development program, participated. The goal of this study was to assess if the administration of PT sessions one day-a-week or five days-a-week effected the acquisition, retention, and endurance of material learned. Results indicate that there was …

Diabetes Prevention Of The Hispanic Population: Health Lifestyle Management Education At Our Lady Of Guadelupe Clinic In Worthington, Minnesota., Laura J. Bade, Amber E. Dionne, Erin A. Manoles, Lisa R. Milbrant

All Electronic Theses and Dissertations

The purpose of this research study was to utilize educational tools on healthy lifestyles in order to promote Diabetes Mellitus Type II (DMII) prevention in the Hispanic population in Worthington, Minnesota. Hispanic adults are 1.7 times more likely to be diagnosed with Diabetes Mellitus (DM) by a physician than non-Hispanics. Since DMII is a preventable disease, education focused on nutrition and activity will help prevent diabetes and its associated comorbidities. An educational seminar was conducted at Our Lady of Guadalupe in Worthington, Minnesota. A pretest/posttest was administered to assess the knowledge gained with the utilization of the educational tool. Despite …

Measuring The Playfulness Of Children With Special Needs In Occupational Therapist Led, Caregiver-Included Community Playgroups, Sarah Fabrizi

Occupational Therapy Program Student Theses, Dissertations and Capstones

The aim of this study was to investigate the effectiveness of community playgroups on the playfulness of children ages 15 months to 3 years with special needs. In addition to playfulness of the child, the sensitivity and responsiveness of the caregiver were examined. A quasi-experimental, pretest-and-posttest, repeated measures design was used to follow eight children and their caregivers receiving early intervention services and taking part in a community playgroup. The children and their caregivers were measured during a 4-week standard-of-care baseline, before and after an 8-week intervention period, and 4 week post-intervention. The Test of Playfulness (ToP) was utilized to …

Core Professional Nursing Values As Experienced By Baccalaureate Nursing Students Who Are Men, Bonnie Schmidt

Student Theses, Dissertations and Capstones

Experts have called for greater diversity in the nursing workforce; however, men remain underrepresented in the nursing profession. The presence of cultural dissonance among male nursing students has been documented in prior research but little is known about their values that are culturally influenced. The purpose of this study was to understand and interpret the meaning of core professional nursing values to male baccalaureate nursing students. The research question was: what is the meaning of core professional nursing values to nursing students who are men.

The study setting was an undergraduate baccalaureate school of nursing in the Midwest. Using a …

Lived Experience Of Transitioning To A New Graduate Nurse Following A Prelicensure Hospital-Based Externship Experience, Debra Shipman

Student Theses, Dissertations and Capstones

Forty years after Kramer's (1974) seminal work, Reality Shock, new graduate nurses continue to have difficulty transitioning to the registered nurse (RN) role. The purpose of this phenomenological study explores the lived experience of new graduate nurses who completed a Veterans Affairs externship program in their senior year of nursing coursework and its perceived impact on their successful transition into the practice role 3-24 months following graduation. Benner's (1984) Novice-to-Expert Model, Karmer's (1974) Reality Shock Theory, and Selder's (1989) Life Transition Theory support a framework for this study. Twelve telephone interviews were conducted using van Manen's (1990) method for researching …

Simulation Collaboration: Will Screen Capture Change Attitudes?, Jeffrey Carmack

Nursing Theses and Capstone Projects

The ongoing call for interprofessional education with healthcare providers who routinely work together has largely gone unanswered. Parallel to this call, a large number of nursing programs across the United States exist in a stand-alone setting. These programs are unattached to a school of medicine. This creates barriers including a lack of access to physicians and lack of funding to hire medical staff as embedded participants. At the same time, aging nursing faculty, increasing enrollment, and decreasing clinical facility availability create an increased need to use simulation-learning environments to continue to maintain existing capacity in nursing programs. This project used …

Breastfeeding Education: Improving Initiation And Duration Of Breastfeeding, Rhonda Coffey

Nursing Theses and Capstone Projects

The purpose of this research study was to examine the level of self-efficacy for new mothers attending a formal breastfeeding education compared to those that did not. Participants were asked to complete the Breast Feeding Self-Efficacy Scale - Short Form via telephone. Twenty primigravida mothers who were breastfeeding at the time of discharge agreed to participate. A Pearson correlation coefficient was calculated examining the relationship between the participant's level of self-efficacy and participation in formal breastfeeding. The Pearson correlation coefficient was positive but was not statistically significant ( r (18)= .250, p > .05) indicating no relationship between the participant's self-efficacy …

Patient Education In The Emergency Department, Bryan K. Devinney

Nursing Theses and Capstone Projects

Patient education is a core component to the practice of nursing in many countries, including the United States. Emergency department nurses are often overwhelmed with the number of patients they must care for in short amounts of time. The patients are often in varying stages of evaluation and treatment, and the nurse may be involved in one-on-one interventions with these patients. This can leave little time for patient education, especially if the nurse does not feel like the patient education is meaningful or useful. Various factors can influence the ability and desire of the emergency department nurse to provide proper …

Internal Medicine Prescribers' Knowledge Of Medications And Effects Of Lack Of Access To Pharmaceutical Representatives, Patricia J. Brink

Master's Theses and Doctoral Dissertations

In the past decade there have been several policy changes within the health care community limiting access of pharmaceutical representatives to prescribers. This study examined the impact of lack of access to pharmaceutical representatives on internal medicine prescribers’ knowledge of medications. A web-based survey targeting prescribers’ current practice of obtaining information about new medications, their knowledge of two recently approved medications, and helpfulness of educational in-services by pharmaceutical representatives was conducted. Results showed the most common methods used to gain information of medications are conferences, journals, and word of mouth. Of the two new medications, 90% of prescribers were not …

Inspiring Change: Exercise Self-Efficacy, Dispositional Optimism, And Perceived Stress In College Seniors, Joshua M. Garrin

Walden Dissertations and Doctoral Studies

Prohealth competencies, positive outcome expectancies, and adaptive stress appraisals have profound implications for the real-world transition of college seniors—a population for which engagement in physical activity reflects a preeminent concern. Prior studies on exercise self-efficacy (ESE), dispositional optimism (DO), perceived stress (PS), and physical activity have yielded inconclusive evidence of the emergent psychosocial challenges encountered during the final year of the college experience. Using a triadic framework of self-efficacy, attribution, and cognitive appraisal theories, this crosssectional, quantitative study was conducted using a web survey to examine (a) the impact of physical activity level on ESE, DO, and PS; (b) the …

African American Race And Culture And Patients' Perceptions Of Diabetes Health Education, Linda Marie Keenan

Walden Dissertations and Doctoral Studies

African Americans diagnosed with diabetes are less likely to self-manage diabetes-specific modifiable risk factors. As a result, utilization of healthcare services occurs at a greater rate than other racial groups, and thereby incurs higher than expected healthcare costs. This ethnographic study explored the elements of diabetes educational material African Americans in a large city in the southern part of the United States found most useful to facilitate self-management of their disease. Bandura's self-efficacy theory provided the theoretical framework. Research questions addressed the preferred educational content, layout of material, and methods for educational delivery and caregiver support. A purposive sample of …

A Retrospective Analysis Of Paramedic Student Performance Under Simulated Stress, Nicholas Franklin Miller

Online Theses and Dissertations

The paramedic profession is an inherently difficult, dangerous and stressful profession. The paramedic is constantly barraged with acute stressors during the performance of his duties. These stressors have predictable, documented, negative effects on performance. The acute and chronic exposure to stress can negatively impact the safety and the well being of the paramedic. These stressors, if not successfully managed, can also result in negative effects to patients. Despite the overwhelming presence of stress in the paramedic environment, most paramedics receive little or no training to successfully perform under stress. One exception was a program called Trauma Lanes that was held …

Role Of The "Tobacco Free Teens" Mobile Application In Adolescent Smoking, Juawanna L. Schuller

DNP Projects

Adolescent tobacco use rates have plateaued. Tobacco use education is not mandatory in all states, yet schools remain a good opportunity to reach this population. School nurses should be able to identify components of effective tobacco use prevention education programs and learn to overcome barriers to implementation of these programs. The "Tobacco Free Teens" mobile application is a novel tool that may decrease adolescent tobacco use rates. A pilot study found that the Tobacco Free Teens mobile application was satisfactory to most participants but appealed to girls more than boys. Further research is needed to determine the effectiveness of this …

Plan B Emergency Contraception: Sampled University Students' Knowledge, Attitudes, And Behaviors, Natalie Hazel

All Graduate Theses, Dissertations, and Other Capstone Projects

The purpose of this research was to assess and evaluate sampled university students' knowledge, attitudes, perceptions, and behaviors related to the Plan B emergency contraceptive. To collect data, a 29 item survey was developed and administered to students in sampled classrooms at Minnesota State University, Mankato campus regarding their knowledge, attitudes, perceptions, and behaviors related to the Plan B emergency contraceptive; as well as demographic information. The findings of the study indicated there were some participants who have much knowledge about the Plan B emergency contraceptive. However, findings also showed that there were a number of participants who lacked knowledge …

Sex Education Background Of Students At Msu, Mankato Prior To Enrollment At The University, Natalie Mcconkey

All Graduate Theses, Dissertations, and Other Capstone Projects

The purpose of this study was to determine what key concepts were recalled in high school sex education curricula by students at MSU. The participants in this study were MSU, students enrolled in 2013 spring semester Health and the Environment course. An electronic survey consisting of 43 questions was distributed though the survey program SurveyMonkey. The survey was sent out to 596 MSU students, and data was collected from 39 MSU, M students. Roughly, 73% of the participants reported receiving comprehensive sex education compared to 19% of participants reporting abstinence-only education in high school. The key concepts that received major …