Integrating Body Dysmorphic Disorder Screening Into Aesthetic Medicine Clinics, Michelle Andrus

Doctor of Nursing Practice Projects

As rates of elective cosmetic and dermatological procedures increase, it remains imperative for

aesthetic medicine providers to adequately screen potential patients for body dysmorphic

disorder (BDD). A psychiatric disorder, BDD presents when persons perceive flaws that are not

apparent to others, perform repetitive actions to examine and groom themselves which hinders

daily living activities, and require constant reassurance regarding their appearance. Literature

notes those with BDD seek elective cosmetic surgery at higher rates than the general population

resulting in poor satisfaction and outcomes. Cosmetic Procedure Screening (COPS) is a validated

screening tool for BDD and this quality improvement project sought …

Empowering Nurses: Virtual Mentorship For Local Patient Care, Kimberly Kenney Dr.

Doctor of Nursing Practice Projects

Abstract

Retention of critical care nurses is a challenge for healthcare organizations. Regional critical access hospitals struggle with recruitment and retention of qualified registered nurses (RN). Providing nurses with experienced mentorship can support continued learning and opportunities to provide high quality care. Veteran critical care nurses can provide invaluable mentorship to regional critical access hospitals, aiding them in the establishment of local critical care units. A review of literature provides evidence of the positive impact of RN mentorship programs through noted improvement in role satisfaction, RN retention, improved patient outcomes, and decreased organizational healthcare costs. The literature also identifies positive …

Behavioral Emergency Response Team: Improving Medical-Surgical Nurses' Confidence And Participation In De-Escalation Interventions, Amara Toure

Doctor of Nursing Practice Projects

The most common form of Workplace Violence (WPV) in the United States (US) is patients' aggressive behaviors toward healthcare professionals, predominantly affecting nursing staff. This form of workplace violence can be mitigated by equipping nursing staff with the knowledge, skills, and confidence to de-escalate behavioral emergencies in acute care settings. Bowers’ Safewards de-escalation model was selected as the theoretical framework for this Quality Improvement (QI) project. The QI project aimed to increase nurses’ confidence in participation in de-escalation interventions, including the appropriate activation of a Behavioral Emergency Response Team (BERT) by medical-surgical nurses working at a government hospital in the …

Adolescent Depression: Implementation Of Annual Screening To Improve Mental Health Referral Rates, Crystal R. Prewitt

Doctor of Nursing Practice Projects

Adolescent depression is becoming increasingly prevalent in the United States with an estimated 2.9 million adolescents between the ages of 12 and 18 years old affected by Major Depressive Disorder annually. Adolescent depression increases the risk of academic difficulties, substance abuse, and suicide. Depression screening in the primary care setting is an effective intervention to identify at-risk youth, but screening rates remain low. Primary care providers fail to identify up to 80% of adolescents with depression symptoms and more than 60% of adolescents do not receive needed mental health services. This DNP project implemented an evidence-based practice change for annual …

Standardizing Nasogastric Tube Securement: A Quality Improvement Initiative, Shannon Lee Thompkins

Graduate Theses, Dissertations, and Problem Reports (ETD)

Problem: At a large academic medical center located in the northeastern United States, nasogastric tubes (NGT) were traditionally secured with tape. The institutional policy was nonspecific with no written procedure. The inconsistent use of nasal bridle securement devices (NBSD) and predominant use of tape has the potential to lead to a high rate of NGT dislodgement.

Background: NGT complication and dislodgement rates range from 2%-36% (Gimenes et al., 2019). Stabler et al. (2018) report 29%-63% NGT dislodgement rates in critically ill patients. Patients with intracranial hemorrhage dislodge NGTs in 25% of patients (Rahman et al., 2022)

Available Knowledge: Based on …

An Examination Of Coping Resources And Strategies Among Appalachian Transgender And Gender Nonconforming Adults And Youth, Zachary Ramsey

Graduate Theses, Dissertations, and Problem Reports (ETD)

Background. The body of literature shows that TGNC adults and youth face a multitude of health disparities (e.g., depression, anxiety, suicidal ideation, eating disorders, body dysmorphia) due to their marginalization. Neither Meyer’s Minority Stress Model nor Testa’s Gender Minority Stress and Resilience Model sufficiently examines coping and the ways it interacts with other concepts within the model. Aims. The objective of this dissertation was to examine the coping resources and strategies of Appalachian transgender and gender nonconforming individuals. The three aims of this study were to: 1) evaluate the relationship of coping resources and strategies between TGNC Youth and cisgender …

Mechanistic Insight Into Maternal Electronic Cigarette Exposure And Its Effect On Offspring Cerebrovascular And Neurocognitive Health, Amber Victoria Mills

Graduate Theses, Dissertations, and Problem Reports (ETD)

Electronic cigarettes (Ecigs) have replaced smoking within the last decade as the preferred nicotine delivery system because of their advertising to the younger populations. Marketing has sold the idea that use of Ecigs are safer than smoking and this messaging has resonated with youth and other vulnerable populations such as pregnant women. Despite over 2.8 million children under 18 (Annual National Youth Tobacco Survey) deciding to vape, there is little information about what this will do to the next generation. Further, it is that same population that will soon reach an age when they will want to have children. There …

Implementing Best Practice Methods Of Endotracheal Tube Cuff Inflation In The Operating Room, Katherine Zeiger Brown

Graduate Theses, Dissertations, and Problem Reports (ETD)

Background: Use of manometers, inflating the endotracheal tube (ETT) cuff with a 5-mL syringe, displaying the pressure-volume loop (PV-L) on anesthesia machines, and auscultating with a stethoscope over the trachea have been shown effective in preventing ETT cuff overinflation in the operating room (OR). Purpose: The aims of this project were to implement and evaluate a best practice guideline for ETT cuff inflation in the OR. Methods: This project was conducted in several ORs at J.W. Ruby Memorial Hospital, in Morgantown, West Virginia. Participants included anesthesiologists, certified registered nurse anesthetists (CRNAs), student registered nurse anesthetists, residents, and medics. The ETT …

A Quality Improvement Initiative To Reduce Preanalytical Blood Gas Errors, Layla Haver Newbrough

Graduate Theses, Dissertations, and Problem Reports (ETD)

Abstract

Introduction: Laboratory testing is one of the most commonly performed procedures in healthcare and resulting data are paramount to clinical decision making. Background: Preanalytical blood gas laboratory errors often stem from the incorrect recording of a patient’s fraction of inspired oxygen (FiO2) within the laboratory collection application. Incorrect FiO2 may cause erroneous results or delays in reporting results that have the potential to negatively impact patient safety and medical management.

Purpose: The purpose of this quality improvement initiative was to reduce the occurrence of preanalytical blood gas laboratory errors. Methods/Interventions: This initiative combined modification of the laboratory collection application …

A Structured Diabetes Continuous Glucose Monitor Education Program To Improve Patient Knowledge And Self-Efficacy, Krystal Abucevicz-Swick

Graduate Theses, Dissertations, and Problem Reports (ETD)

Introduction/background: Continuous glucose monitor (CGM) is a recommended method of glucose monitoring for patients living with diabetes who are on insulin or experience documented hypoglycemia. CGM is a tool that can improve patient management of diabetes but works best when paired with education to achieve the maximum therapeutic benefits.

Purpose: The purpose of this project was (1) to develop an evidence-based structured CGM education program toolkit for people with diabetes who are ordered CGM, (2) to implement the CGM education toolkit into the Diabetes Self-Management and Education Services (DSMES) program at the project site, (3) to improve patient knowledge about …

Implant Overdenture Abutment Loosening Under Hyperbaric Conditions, Zana Jamal Al-Saloum

Graduate Theses, Dissertations, and Problem Reports (ETD)

Objectives: To investigate the effect of various hyperbaric air pressures on the loosening of LOCATOR® (ZEST Anchors, LLC, Escondido, CA USA) overdenture abutments.

The pressure conditions tested are meant to simulate scuba diving conditions in edentulous patients that are restored with implant-retained tissue-supported overdentures. Another sub-goal of this study is to determine whether or not there is a difference in LOCATOR® loosening when the sample is exposed to six cycles/dives as opposed to one cycle/dive.

Methods: 36 ZimVie Tapered Screw Vent Implants with a 3.5mm diameter implant platform, and a 2.5mm diameter (and 1.5mm deep) internal hexagon were …

A Retrospective Chart Review Of Avulsion Injuries Treated At Virginia Commonwealth University., Ryan Hediger

Theses and Dissertations

A RETROSPECTIVE CHART REVIEW OF AVULSION INJURIES TREATED AT VIRGINIA COMMONWEALTH UNIVERSITY. By: Ryan Hediger, DMD

Objective: Outcomes related to healing following an avulsion injury are multifactorial. However, contemporary literature suggests that tooth survival can be enhanced after such injuries by promptly replanting the tooth and adhering to proper management guidelines. Despite the abundance of resources available, the actions taken immediately after the avulsion injury play a pivotal role in determining the fate of an avulsed tooth. The primary objective of the current investigation is to unveil prognostic factors associated with the survival of avulsed teeth.

Methods: A chart review …

Psychedelic Expectancies And Post-Traumatic Stress Disorder Symptoms, Samantha Gomez

Electronic Theses & Dissertations (2024 - present)

Millions of Americans struggle with posttraumatic stress disorder (PTSD) every year. Though typical treatments work for some, patients often drop out of treatment. Given that patients are often retelling their traumatic experiences, or confronting stimuli and situations that are relevant to the experience, psychotherapy for PTSD can be psychologically demanding and intensive. These factors provide a further understanding for the high rates of PTSD treatment attrition. Psychedelic assisted psychotherapy (PAP) is a potential option to mitigate these concerns. Preliminary research on PAP has revealed effective and promising results. However, questions about PAP and their public perception remain. Furthermore, treatment expectancies, …

Hospital Surge Capacity In Co-Occurring Mass Casualty Incidents, Carolyn Solimine

Electronic Theses & Dissertations (2024 - present)

The COVID-19 pandemic has brought sweeping disruption and changes across healthcare systems. Examining how these changes have impacted surge capacity and capabilities is necessary to plan for future co-occurring surge-creating events in hospital Emergency Departments (EDs) and Intensive Care Units (ICUs). While there is extensive research on patient surge management, no study has looked at how the presence of a prolonged surge would impact the healthcare system’s ability to handle a concurrent acute patient surge. This study seeks to demonstrate the need for comprehensive planning for co-occurring patient surges in New York State using hospital capacity data from Health and …

The Effectiveness Of Aac Training For Nursing Students To Increase The Knowledge And Success For Communicating With Patients With Complex Communication Needs, Hanna Hill Webb

Murray State Theses and Dissertations

Effective communication is an essential practice for nurses and is fundamental for the care of patients. Nurses have significant difficulties communicating with patients with complex communication needs (CCN), which can lead to communication breakdowns and sentinel events. While AAC is a viable option for communicating with patients with CCN, nurses do not receive any training on how to effectively communicate or use AAC with patients with CCN. Nursing students are in the ideal position for learning how to use AAC and communicate with AAC, as they are in the process of learning and entering the field for medical placements. This …

The Effects Of Early Exposure To Prescription/Illicit Drugs And Drug Metabolites On Larval Zebrafish Behavioral And Motor Function Development, Jacob Thomas, Dena Weinberger, Bikram Subedi, Brandon Capps

Murray State Theses and Dissertations

THE EFFECTS OF EARLY EXPOSURE TO PRESCRIPTION/ILLICIT DRUGS AND DRUG METABOLITES ON LARVAL ZEBRAFISH BEHAVIORAL AND MOTOR FUNCTION DEVELOPMENT

A Thesis Presented to the Faculty of the Department of Biology

Murray State University

Murray, Kentucky

In Partial Fulfillment of the Requirements for the Degree of Masters In Science

By Jacob Thomas, B.S., Murray State University

December 2024

Acknowledgements

Brandon Capps, who pretty much did a whole third of the legwork on this project and saved me lots of headaches;

Chandler Maddox, one of the University of Kentucky’s finest undergrads who came in from the top rope with a folding chair …

Survivor Guilt And Posttraumatic Stress Among Young Adult Survivors Of Childhood Cancer, Alexandra Neenan

Master's Theses and Doctoral Dissertations

Childhood cancer survivors are at risk for a variety of adverse physical and mental health outcomes. Posttraumatic stress disorder (PTSD) occurs in a small, but notable, minority of childhood cancer survivors. Little is known about modifiable factors that may increase the risk of developing PTSD as a young adult survivor. One of the difficulties that has been minimally explored in this group is exposure to the deaths of other children with cancer, despite a 25% 15- year mortality rate among children who are diagnosed with cancer. The current study was among the first to explore potential impacts of this high …

Nursing Students’ Comfort In The Nursing Program, Camella Bloom, Rebecca Karr, Makenzie Menard

Williams Honors College, Honors Research Projects

This research project’s purpose is to investigate student nurses’ comfort levels within the nursing program. The project focuses on how interactions with RNs impact comfort levels of nursing students. These interactions take place within the student nurses’ clinical experiences or their experiences at their healthcare jobs. The sample was sophomore, junior, and senior-level undergraduate BSN students at The University of Akron, which is about 434 students. The number of participants that completed the survey was 57 nursing students. The independent variables were student level in the BSN program and current employment status in a patient care role. The dependent variable …

The Cardiorespiratory Differences Between Physically Trained Vs Untrained Collegiate Competitive Riffle Athletes, Jakob Rankin

Williams Honors College, Honors Research Projects

This research study will examine the differences in cardiorespiratory response of trained vs untrained physically active collegiate athletes participating in the sport of Competitive Rifle. The goal of this study is to determine how the heart and lungs respond from participation in Competitive Rifle with division one collegiate and intercollegiate club athletes. If successful, this study will help to determine a correlation of athletic performance in the sport of Competitive Rifle and structured physical training. We will also compare the results of males vs females within both division one and club athletes. The final output of this project is to …

Psychotropic Polypharmacy On Heart Rate Of Daphnia Magna, Gwendolynne Miller, Brian Bagatto

Williams Honors College, Honors Research Projects

The prevalence of patients being prescribed multiple medications concurrently is significantly rising, and so is the importance of investigating any interactions between medications. One common example—sertraline and clomipramine have been used together to treat obsessive compulsive disorder. Clomipramine, however, is known to cause tachyarrhythmias in some patients. The present study set out to investigate the role of this drug combination on the heart rate of a simple animal model, Daphnia magna, or the water flea. The water flea was exposed to saline, sertraline, clomipramine, or sertraline plus clomipramine, and heart rate was measured subsequently. It was found that the …

The Effects Of Social Support On Recovery Outcomes Of Hip Fracture Patients, Preshecca Ragavan

Williams Honors College, Honors Research Projects

This literature review, completed under the guidance of Ms. Anuja Sarode-Paciorek from Summa Health - Akron, will investigate the effects of social support on the recovery outcomes of hip fracture patients. As part of this literature review, I will collect and analyze several scientific journal articles previously published on this topic to gain an overview of what prior knowledge clinical researchers have already gathered about this topic. As part of the analyses, each article will be thoroughly read and briefly summarized. Then, these summaries will be used to compile a list of a few strengths and a list of a …

The Effects Of Static Versus Dynamic Stretching On Lower Extremity Power Output And Flexibility In Dancers, Meloney George

Williams Honors College, Honors Research Projects

Collegiate dancers require a large range of motion throughout all joints for performance success. Previous research has shown static (STA) stretching to be most effective at improving flexibility (Chaabene et al. 2019), due to this factor, warmups for dance are primarily based on STA stretching to allow dancers to reach their maximum flexibility. Previous research has also shown that STA stretching before activity can have negative effects on an athlete’s power output, and a large amount of power is essential for dance. PURPOSE: Determine the effect of STA and dynamic (DYN) stretching on lower extremity power and flexibility in collegiate …

The Effect Of Interval Time On Time To Exhaustion During High Intensity Interval Training Running In Recreational Male Runners, Abraham Castrejon

Cal Poly Humboldt theses and projects

High Intensity interval Training (HIIT) in running prescription can be applied in a variety of different ways, but HIIT prescription lacks specificity and efficiency in determining what duration of interval is optimal for improved aerobic performance. The purpose of this study was to test different HIIT protocols with a 1:1 ratio active: recovery intervals of 2:2 minute (Protocol 1), 4:4 minute (Protocol 2) and a continuous run trial (CRT). Seven recreational male runners (Age= 23.1 ± 3.4 yr, Height= 1.80 ± 0.1, Weight= 75.8 ± 9.6) performed a maximal oxygen consumption test (60.5 ± 4.9 ml/kg/min) with a graded exercise …

"They Are Expecting Us To Stay Strong": How Ambulance Personnel Navigate And Manage Their Emotions In A Rural Region Of Northern California, Tina M. Orton-Owens

Cal Poly Humboldt theses and projects

This research examines how emergency medical service (EMS) workers navigate and manage their calls in Humboldt County, a rural region of Northern California. The primary theoretical framework is drawn from Arlie Hochschild’s theory of Emotional Labor. This paper examines how emotional labor impacts EMS workers within a rural environment and with limited resources. I also look at how COVID-19 complicated EMS workers’ experiences. This paper is based on qualitative research where I conducted 13 mostly face-to-face interviews with EMS workers throughout the County between 2020 and 2022. Interviews consisted of 30 questions and interviews ranged in length from 1 to …

Developing And Implementing A Sexually Transmitted Disease Screening Program To Decrease Chlamydia Cases On A College Campus, Amanda C. Harris

All Capstone Projects

Introduction: Sexually active college students were experiencing a high incidence, spread, and reinfection of the sexually transmitted Disease (STD) chlamydia on a university campus.
Purpose: To determine if implementing of a quality improvement program on campus utilizing a holistic approach would help decrease chlamydia cases. This program focused on fast-track STD screening, increasing knowledge about STDs, and addressing mental health issues.
Methods & Study Design: This was a descriptive/quasi-experimental design. Participants utilized the fast-track STD screening and completed surveys. Descriptive statistics and frequency tables were used to summarize survey responses for 1) the pre-and post-sexually transmitted disease (STD) education survey, …

Biomechanics, Strength, And Physical Function After Surgical Repair Of Rotational Ankle Fractures, Benjamin Brightwell

Theses and Dissertations--Kinesiology and Health Promotion

Ankle Fractures account for approximately 9% of all lower extremity fractures and incidence continues to rise. Up to 53% of ankle fractures require surgical intervention. Impaired physical function is one of the most reported and observed lasting effects of surgically repaired ankle fractures. Additionally, limited physical capacity and function have been identified as the primary threats to health-related quality of life after surgical repair of ankle fractures. These impairments to physical capacity and functionality can last longer than 5 years after surgery. Since surgery typically successfully restores stability and congruency of the talocrural joint, these poor long-term outcomes are an …

Understanding Intention And Behavior Of Practicing Yoga Through The Lens Of Theory Of Planned Behavior Specifically In Rural Communities; A Qualitative Study, Shelley Meyer

Theses and Dissertations--Kinesiology and Health Promotion

While there are known health benefits for participating in yoga, little has been studied on the intention and behavior for why individuals practice yoga especially through a theoretical lens and intense qualitative thematic analysis. Targeting the rural community considers other extenuating circumstances experienced by rural residents that can impact yoga participation in rural areas. Interviews were used to gain insight into a holistic viewpoint with the rich data bringing clarity to an individual’s thought process (of intention) to incorporate yoga (behavior) in their daily life. Utilizing the Theory of Planned Behavior as the theoretical framework for developing interview questions allowed …

Carotenoids And The Associations With Gut Microbiota Bacterial Populations In Chronic Kidney Disease Hemodialysis Patients, Andrea Kendall

Theses and Dissertations

Background: With increased prevalence and mortality of chronic kidney disease (CKD), treatment by renal replacement therapy using hemodialysis (HD) has increased in parallel. Emerging evidence suggests that gut microbiota play an important role in the progression of CKD; influential dietary factors have not been studied exhaustively to date.

Objective: To explore the relationships between dietary carotenoid intake, the abundance of specific gut microbiota, and symptom-related outcomes in patients with CKD on HD.

Methods: This cross-sectional study investigated the gut microbiota characteristics relative to carotenoid intake in CKD subjects on HD in central Illinois (n = 20). The Block Dialysis …

Communication Supports To Enhance The Community Participation Of Young Children With Complex Communication Needs: A Utilization-Focused Evaluation, Amy L. Yacucci

Theses and Dissertations

This utilization-focused evaluation study aimed to describe augmentative and alternative communication (AAC) supports to enhance communication accessibility for children with complex communication needs in a children’s museum. Utilizing feedback from museum staff and parents of children with communication disabilities, the study sought to identify practical strategies to improve the effectiveness of AAC supports in creating more inclusive community spaces. A utilization-focused evaluation framework (Patton & Campbell-Patton, 2022) guided the assessment of embedded-aided communication supports within the museum, ensuring that findings were relevant and actionable for stakeholders. The evaluation revealed three key insights: (a) the importance of communication access through multiple …

Pressing Toward Progress: A Phenomenological Study Exploring Perceptions Of Wellness Among Black Female Non-Traditional Students, Stacey Wiggins

Theses and Dissertations

Black female nontraditional student enrollment is increasing. Black women have higher rates of preventable stress related health issues than their white counterparts. While they have shown endurance and resilience to pursue their degree, it can jeopardize their wellness. This study provides an understanding of how this population perceives their wellness and what can be done to help them matriculate higher education without violating their wellness.