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Articles 3361 - 3390 of 70825
Full-Text Articles in Medicine and Health Sciences
Quality Improvement Project Increasing Job Satisfaction Among Nurses, Sarah Hines
Quality Improvement Project Increasing Job Satisfaction Among Nurses, Sarah Hines
Doctor of Nursing Practice Projects
Ineffective nurse leadership has been attributed to low nurse satisfaction, a decrease in morale, and can increase nurse turnover rates. Patient care and safety can be affected when nurses are dissatisfied with their workplace. The purpose of this quality improvement project was to increase nurses’ satisfaction rates on three behavioral health units by providing leadership classes for nursing leaders to attend to help combat nurse dissatisfaction rates. The methods utilized a quantitative design with pre- and post-intervention measurements. Pre- and post-intervention Likert-scale questionnaire data collected from direct-patient care registered nurses who met inclusion criteria on three behavioral health units by …
Demographic And Clinical Predictors Of Metabolic Dysfunction-Associated Steatotic Liver Disease And Advanced Fibrosis In The United States, Gail Fernandes
Demographic And Clinical Predictors Of Metabolic Dysfunction-Associated Steatotic Liver Disease And Advanced Fibrosis In The United States, Gail Fernandes
Walden Dissertations and Doctoral Studies
Metabolic dysfunction-associated steatotic liver disease (MASLD; formerly nonalcoholic fatty liver disease-related liver fibrosis) is a growing public health problem in the United States. The purpose of this study was to assess the prevalence of MASLD-related advanced fibrosis in the United States and assess whether type 2 diabetes mellitus (T2DM) and cardiovascular disease (CVD) were independent risk factors for MASLD-related advanced fibrosis. This study was a quantitative cross-sectional analysis of the National Health and Nutrition Examination Survey data from 2011 to 2020, grounded in the social ecological theory. Participants (N = 21,829) were included if they were ≥18 years, excluded if …
Staff Education To Promote Medication Adherence In Hypertension, Amie Sankoh
Staff Education To Promote Medication Adherence In Hypertension, Amie Sankoh
Walden Dissertations and Doctoral Studies
A primary care medical clinic experienced an increase in hospital readmission for hypertensive patients, as evidenced by a consistent lack of standardized patient education on medication adherence and a notable increase in readmission rates for uncontrolled hypertension. Hypertension is a significant public health problem associated with an elevated risk of heart disease, stroke, and kidney disease. The gap in practice identified was a lack of knowledge among the medical staff in teaching patients about hypertension medication adherence. The practice-focused question was: Does educating primary care medical staff on the importance of medication adherence in hypertension improve knowledge, as evidenced by …
Staff Education On Blood Glucose Monitoring Protocols For Assisted Living Facility Staff, Musa Ahmed Mugenyi
Staff Education On Blood Glucose Monitoring Protocols For Assisted Living Facility Staff, Musa Ahmed Mugenyi
Walden Dissertations and Doctoral Studies
At the practice site, older residents face inconsistent and untimely blood sugar assessments, contributing to avoidable complications such as hypoglycemia, hyperglycemia, and hospitalizations. Many caregivers lack standardized training in blood glucose monitoring, which poses a significant risk to residents with diabetes or prediabetes. To address this practice problem, a staff education program on blood glucose monitoring protocols was initiated. The practice-focused question was the following: Will staff knowledge and confidence increase after participating in an education program on monitoring blood glucose levels? As part of the education program, staff received evidence-based instruction on proper techniques for blood glucose testing, recognizing …
Adapt & Thrive: Parkinson’S Training For A More Meaningful Life, Alyson Chew
Adapt & Thrive: Parkinson’S Training For A More Meaningful Life, Alyson Chew
Occupational Therapy Student Capstones
As of 2022, there are 107,601 people with Parkinson’s disease (PD) in California with 78% of cases above 70 years old (California Department of Public Health, 2024). Falls are the most common cause of injury for adults 65 years and older with over 14 million falls reported annually (CDC, 2024). Occupational therapy is an underutilized profession that can assist both people with PD and caregivers to reduce falls and injuries from occurring.
Understanding The Collaborative Role Of Occupational Therapists And Personal Trainers With Young Onset Parkinson’S Populations, Anthony Cervania
Understanding The Collaborative Role Of Occupational Therapists And Personal Trainers With Young Onset Parkinson’S Populations, Anthony Cervania
Occupational Therapy Student Capstones
The lack of resources and research on YOPD decreases overall quality of life for individuals with YOPD and decreases treatment quality provided by healthcare professionals due to lacking Evidence Based Practice (EBP).
Navigating Sensory Challenges: Understanding The Sensory Experience Of Adults With Dementia In Adult Day Centers, Bailey Stewart
Navigating Sensory Challenges: Understanding The Sensory Experience Of Adults With Dementia In Adult Day Centers, Bailey Stewart
Occupational Therapy Student Capstones
Staff had not yet received formal training on how to identify a variety of sensory based behaviors and how to best utilize the sensory room and tailor its use to meet specific individual’s needs from an OT lens.
Advancing The Role Of Occupational Therapy In Diabetes Self-Management: A Community-Focused Approach In Stockton, Benjamin Angel Magallon
Advancing The Role Of Occupational Therapy In Diabetes Self-Management: A Community-Focused Approach In Stockton, Benjamin Angel Magallon
Occupational Therapy Student Capstones
Key Barriers: Lower Socioeconomic Status (LSES), low health literacy, and lack of culturally appropriate diabetes care hinder effective self-management. Gap in Services: Occupational therapy is underutilized in chronic disease care, with unmet needs in addressing diabetes-related depression, physical rehabilitation, and health education. Purpose: Equip occupational therapy students and early-career practitioners to address gaps in diabetes care using evidence-based, client-centered approaches.
Enhancing Adaptive Aquatics For Children With Autism, Arielle Bernstein
Enhancing Adaptive Aquatics For Children With Autism, Arielle Bernstein
Occupational Therapy Student Capstones
Drowning is the leading cause of death for children with autism. Current trainings lack inclusive, neurodiversity-informed teaching strategies. Without practical tools and education, instructors struggle to meet the unique sensory and communication needs of these swimmers.
Innovative Rehabilitation: Enhancing Qol For College Athletes With Post-Concussion Symptoms, Francis Gonzales
Innovative Rehabilitation: Enhancing Qol For College Athletes With Post-Concussion Symptoms, Francis Gonzales
Occupational Therapy Student Capstones
Inconsistent concussion protocols and modest current practices in emerging technology for treating post-concussion symptoms can lead to a decrease in physical, cognitive, and emotional deficits, causing college athletes to have diminished community integration and poor QOL.
Helping Prepare Young Adults With Disabilities For Successful Employment, Irvin Jimenez
Helping Prepare Young Adults With Disabilities For Successful Employment, Irvin Jimenez
Occupational Therapy Student Capstones
Problem Statement: Young adults with disabilities are at a higher risk of unemployment and typically don't receive the career development and employment readiness training needed to attain employment (Lindsay et al., 2015). In turn, young adults with disabilities struggle to transition into the workforce and can benefit from life skills and work-related skills in which occupational therapy (OT) can help with providing valuable insight and helping with identifying and selecting work opportunities, employment seeking and acquisition, and developing needed work-related skills and patterns (Occupational therapy practice framework, 2020).
Mindfulness, Meaning, And Mental Health: Occupational Therapy At The Heart Of Community Wellness At Acc, Hazel Hyeonjin Yang
Mindfulness, Meaning, And Mental Health: Occupational Therapy At The Heart Of Community Wellness At Acc, Hazel Hyeonjin Yang
Occupational Therapy Student Capstones
Despite growth, limited research exists on culturally sensitive healthcare interventions and utilization patterns in this group. Aimed to increase awareness and support older adults in accessing mental health services, promotes mindfulness and highlights the role of occupational therapy in community wellness by addressing cultural and generational barriers through workshops.
From Trauma To Triumph: Occupational Therapy Approaches To Addressing Aces And Empowering Change, Kayla Livingston
From Trauma To Triumph: Occupational Therapy Approaches To Addressing Aces And Empowering Change, Kayla Livingston
Occupational Therapy Student Capstones
Problem statement: Despite the number of children who are exposed to ACEs, there is limited literature that mentions the relationship between current interventions and the scope of OT.
The Role Of Occupational Therapy In Addressing Physical & Psychosocial Health Needs Within The Dance Community To Optimize Artist-Athlete Longevity, Krista Narvasa Antonio
The Role Of Occupational Therapy In Addressing Physical & Psychosocial Health Needs Within The Dance Community To Optimize Artist-Athlete Longevity, Krista Narvasa Antonio
Occupational Therapy Student Capstones
Purpose: This capstone project seeks to advocate for holisitc and sustainable training approaches in dance by creating a system of improving awareness of current evidence-based protocols and practices surrounding dancer health.
Fostering Community To Promote Health And Wellness Amongst Lgbtq+ School Of Health Sciences Students, Lio Inumerable
Fostering Community To Promote Health And Wellness Amongst Lgbtq+ School Of Health Sciences Students, Lio Inumerable
Occupational Therapy Student Capstones
Problem Statement: Lack of resources, programming, and supports for queer-identifying graduate students in health science focused programs.
Traumatic Brain Injury In The Criminal Justice System, Molly Mcdavid
Traumatic Brain Injury In The Criminal Justice System, Molly Mcdavid
Occupational Therapy Student Capstones
Between 51 - 60.25% of incarcerated individuals and 47% of those on probation have one or more traumatic brain injuries (TBI’s) in their lifetime. Despite this, the criminal justice system (CJS) lacks: • Routine screening for TBI, • CJS worker education, on TBI and it’s impact, • TBI specific resources for clients and workers.
Supporting Co-Occupation Through Play: Exploring Park Accessibility For Families Affected By Disability, Serenity Edwards
Supporting Co-Occupation Through Play: Exploring Park Accessibility For Families Affected By Disability, Serenity Edwards
Occupational Therapy Student Capstones
Public playgrounds are often designed without considering the needs of families with disabilities. When parks and playground environments are not accessible it hinders the the co-occupation of play between parent and child.
Enumerating Escherichia Coli (E. Coli) Concentrations And Evaluating Optical Brighteners As A Potential Indicator Of Human Wastewater Contamination In La Nana Bayou, Banita Creek, And Their Tributaries, Nacogdoches, Texas, Swastika Acharya, Matthew Mcbroom, Yuhui Weng, Yanli Zhang
Enumerating Escherichia Coli (E. Coli) Concentrations And Evaluating Optical Brighteners As A Potential Indicator Of Human Wastewater Contamination In La Nana Bayou, Banita Creek, And Their Tributaries, Nacogdoches, Texas, Swastika Acharya, Matthew Mcbroom, Yuhui Weng, Yanli Zhang
Electronic Theses and Dissertations
La Nana Bayou was added to the Texas 303(d) list in 2000 after it failed to meet water quality standards set by the Texas Commission on Environmental Quality (TCEQ) for primary contact recreation due to elevated Escherichia coli (E. coli) levels. E. coli is a bacterial species commonly found in the intestines of humans and warm-blooded animals. It serves as an indicator of fecal contamination in freshwater, though its presence alone cannot identify the contamination source. Optical brighteners (OBs), chemicals found in laundry detergents, cleaning agents, toilet papers, and clothing, are unique to human wastewater. This study aimed …
Sbar: Handoff Communication Technique For Nurses, Carrie Jane Barnett
Sbar: Handoff Communication Technique For Nurses, Carrie Jane Barnett
Walden Dissertations and Doctoral Studies
This Doctor of Nursing Practice (DNP) staff education project aimed to address inconsistent and ineffective handoff communication among healthcare staff in a 44-bed observation unit. The project focused on implementing an education program centered on the SBAR (Situation-Background-Assessment-Recommendation) communication technique to improve staff knowledge and communication practices. Using a pretest/posttest design, the program demonstrated significant knowledge gains among participants, with a cohort-normalized gain of 0.85 and statistically significant improvements in test scores (p < .05). The intervention highlighted the importance of structured communication in enhancing patient safety, reducing errors, and fostering interdisciplinary collaboration. Despite limitations such as a small sample size and time constraints, the project highlighted the value of SBAR as a reliable tool for enhancing communication and improving patient outcomes. Recommendations include ongoing SBAR training, integration into onboarding programs, and expansion to other departments to sustain long-term improvements in communication and care quality.
Implementation Of Cognitive Therapy Online Modules To Impact Advanced Practice Leader Burnout: A Quality Improvement Project, Courtney Cambell
Implementation Of Cognitive Therapy Online Modules To Impact Advanced Practice Leader Burnout: A Quality Improvement Project, Courtney Cambell
Doctor of Nursing Practice Projects
Advanced Practice Provider (APP) leaders face unique stressors due to their dual roles as clinicians and administrators, which places them at an elevated risk for burnout. This Doctor of Nursing Practice (DNP) quality improvement project aimed to evaluate the impact of self-paced cognitive behavioral therapy (CBT) programs, specifically Learn to Live and Lyra, on burnout among APP leaders at a medical center affiliated with a university and a children's hospital. Theproject spanned over six weeks, during which participants completed the Mini-Z Worklife Questionnaire for Leaders, assessing the effectiveness of the CBT programs. Although the original statistical analysis plan included a …
Quality Improvement Project Nursing Lab Instructors’ Experiences Using A Structured Prebriefing Tool In Simulation Education, Avion Smith-Samms
Quality Improvement Project Nursing Lab Instructors’ Experiences Using A Structured Prebriefing Tool In Simulation Education, Avion Smith-Samms
Doctor of Nursing Practice Projects
The International Nursing Association for Clinical Simulation and Learning (INACSL) endorses the inclusion of prebriefing as a Standard of Best Practice to enhance psychological safety, clarity, and engagement in simulation; without a structured approach, nursing students often experience anxiety, reduced confidence, and a lack of preparedness. At the project site, a university’s simulation learning lab, nursing lab instructors reported inconsistent prebriefing practices, leading to suboptimal simulation experiences. This Quality Improvement (QI) project aimed to evaluate the impact of implementing the INACSL prebriefing tool on nursing lab instructors’ perceptions of preparedness, confidence, and student performance. A quasi-experimental design was used over …
Enhancing Care Coordination Through Staff Education In Interdisciplinary Communication Best Practices, Sharane Bowlin
Enhancing Care Coordination Through Staff Education In Interdisciplinary Communication Best Practices, Sharane Bowlin
Walden Dissertations and Doctoral Studies
Effective communication is essential in psychiatric treatment, where patient status continuously evolves and needs to be addressed with quick decision-making to ensure optimal care results. Delayed communication, especially in the virtual setting, can affect patient care significantly. In this staff education project, I examined whether daily hybrid meetings with situation background, assessment, and recommendation (SBAR) protocol affect care coordination on a knowledge and attitudes survey. The purpose of this Doctor of Nursing Practice staff education project was to address communication breakdowns and coordination issues among an interdisciplinary psychiatric health care team. The intervention involved administering a presurvey; an in-person session …
Branching Out: Expanding Pediatric Occupational Therapy Through Nature-Based Practice, Sarah Kelly
Branching Out: Expanding Pediatric Occupational Therapy Through Nature-Based Practice, Sarah Kelly
Occupational Therapy Student Capstones
The current intake and outtake process lacks uniformity and there is no structured system in place to effectively monitor client progress and outcomes during the program or after its completion. Develop a streamlined process for screening, goal setting, and following up on goal progression at the end of camp.
From Heart To Eyes: Barriers Impacting Diabetes Management In Lses Areas, Robert Swayze
From Heart To Eyes: Barriers Impacting Diabetes Management In Lses Areas, Robert Swayze
Occupational Therapy Student Capstones
Problem statement: Individuals with diabetes in LSES communities often experience challenges in managing their health due to barriers affecting daily routines, motivation, and health literacy, leading to comorbidities like DR & CHF.
Occupational Therapy Home-Based Treatment To Improve Feeding In Kids With Arfid And Other Eating Disorders, Taylor Renee Sanders
Occupational Therapy Home-Based Treatment To Improve Feeding In Kids With Arfid And Other Eating Disorders, Taylor Renee Sanders
Occupational Therapy Student Capstones
The project aimed to spread research-based interventions and strategies to parents whose children are receiving occupational therapy for feeding challenges.
Gym Inclusivity For Individuals With Physical Disabilities, Sergio Rodriguez
Gym Inclusivity For Individuals With Physical Disabilities, Sergio Rodriguez
Occupational Therapy Student Capstones
Project purpose: Provide staff with the recommendations necessary to make the Fitness Center more ADA compliant. Provide staff with the training necessary to better understand different types of disabilities, laws and regulations and how to interact with individuals with disabilities. Provide students with the necessary tools to advocate for change within the fitness community.
Independence Beyond Sight: Occupational Therapy's Role In Promoting Functional Independence In Low Vision Communities, Kristina Holcomb
Independence Beyond Sight: Occupational Therapy's Role In Promoting Functional Independence In Low Vision Communities, Kristina Holcomb
Occupational Therapy Student Capstones
Many individuals with low vision experience a multitude of barriers limiting access to community and healthcare services. Interviews highlighted the need to expand outreach to youth, build an updated community resource guide, and the need for community events for all programs.
Empower, Educate, Engage: Supporting Hispanic Families With Diabetes Through Occupational Therapy, Luis E. Perez
Empower, Educate, Engage: Supporting Hispanic Families With Diabetes Through Occupational Therapy, Luis E. Perez
Occupational Therapy Student Capstones
The population of interest is Hispanic individuals and familiaes managing diabetes. Purpose: Close gaps in health literacy, daily routine-building, and family engagement through OT-designed tools and resources. Advocate for integration of OT into multidisciplinary diabetes-care teams, expanding access to holistic self-management support.
Play With Intent: A Community Based-Approach In Promoting Inclusive And Child-Led Engagement With Easterseals Superior California, Margerie Vergara Vinoya
Play With Intent: A Community Based-Approach In Promoting Inclusive And Child-Led Engagement With Easterseals Superior California, Margerie Vergara Vinoya
Occupational Therapy Student Capstones
Neurodiverse children may require additional environmental support to successfully engage, socialize, and adapt due to differences in their sensory systems. However, there’s a lack of inclusive, child-led, and sensory-rich environments that promote meaningful participation and social success.
Assistive Devices For Individuals With Multiple Sclerosis, Maribel Gutierrez
Assistive Devices For Individuals With Multiple Sclerosis, Maribel Gutierrez
Occupational Therapy Student Capstones
An epidemiology survey reported a prevalence of 2.8 million individuals diagnosed with multiple sclerosis (MS) in the year of 2020. In Northern California the prevalence of MS has increased with an estimated 288 cases per 100,000 individuals. Studies report less than 40% of individuals with MS have used occupational therapy services, and when they do, it is frequently in reaction to more severe symptoms than taking preventative measures.