Medicine and Health Sciences Commons^™

Implementation Of A Standardized Discharge Process At A Substance Use Disorder Inpatient Treatment Facility, Katelyn Love Bsn, Rn, Jennifer Sternberg Dnp, Aprn, Fnp-C, Kathryn Dambrino Dnp, Aprn, Fnp-C, David Phillippi Biostatistican

DNP Projects

Project Title: Implementation of a Standardized Discharge Process at a Substance Use Disorder Inpatient Treatment Facility

Background and Rationale: Currently, millions of adults are suffering from substance use disorder. For those in recovery, 45-55% of these adults will relapse within the first 6 months of leaving rehab, and due to loss of tolerance to their preferred drug of choice, these clients are at higher risk of mortality. This transition of care phase is a critical time period for clients to avoid relapse while navigating recovery challenges independently, and evidence supports standardized, intentional, client-centered discharge planning to improve transitional care outcomes. …

Effect Of Unilateral And Bilateral Resistance Training On Performance Tests Of Collegiate Softball Athletes, Kamryn S. O'Dell

Electronic Theses & Dissertations

Strength and conditioning coaches typically have athletes perform either unilateral (UL) or bilateral (BL) lower body training, based on the perception that UL may be more sport-specific, and may enable lighter loads due to different stability requirements. A randomized controlled design was used to assess the effects of UL (n=6) and BL (n=5) on collegiate DII softball athletes. After three weeks of familiarization training, testing was done pre- and post- 8 weeks of the athletes’ Fall offseason training program. Performance testing consisted of strength (front squat, hex bar deadlift, front rack split squat, rear foot elevated split squat), change of …

The Relationship Between Climate Change Awareness And Mental Health Among Adults In The United States, Stanley Nkemjika

Walden Dissertations and Doctoral Studies

Understanding the connection between climate change awareness and overall well-being is crucial, particularly regarding its impact on the environment and mental health. However, there is a need for more research on this topic, especially within the American context. The mental health implications of climate change are not yet fully understood, and there is a gap in the literature. This gap was addressed by exploring climate change awareness effects on mental health among U.S. adults. The social ecological model provided a framework to examine the impact of climate change awareness on mental health, considering individual, interpersonal, community, and societal factors. This …

Stereotype, Stigma, And Discrimination And Prep Use Among Black And Latino Men And Women, Aieshia Brooks Poole

Walden Dissertations and Doctoral Studies

HIV infections continue to rise in the Southern United States, with Black and Latino men who have sex with men (MSM), bisexual men, and women experiencing disproportionate impacts. Although pre-exposure prophylaxis (PrEP) is an effective biomedical intervention for reducing HIV transmission, disparities in its uptake remain due to healthcare stereotype threat, felt stigma, and everyday discrimination. This quantitative cross-sectional study analyzed secondary data from the Generations: A Study of the Life and Health of LGB People in a Changing Society (2016–2019) to examine the relationship between these psychosocial barriers and PrEP use among Black/Latino MSM, bisexual men, and women aged …

The Role Of Occupational Therapy In Bladder And Bowel Management For Individuals With Spinal Cord Injuries: An Educational Video Series, Julia Ryan

Student Capstone Papers

Occupational therapy (OT) practitioners are uniquely positioned to support individuals with spinal cord injury (SCI) in developing effective bowel and bladder management (BBM) routines. However, most existing literature approaches BBM from a medical perspective, offering limited guidance on how to translate occupation-based strategies into OT practice. This lack of discipline-specific resources contributes to reduced confidence among generalist practitioners and hinders the consistent implementation of BBM interventions across inpatient and community settings. To address this gap, a nine-part educational video series was developed to enhance OT practitioners’ knowledge, clinical reasoning, and confidence in delivering BBM interventions for clients with SCI. The …

Retroactive Quality Improvement By Utilization Of The Leaf, Preston Stigall

Walden Dissertations and Doctoral Studies

Summary This project is a retroactive quality improvement initiative to evaluate the effectiveness of the LEAF wearable pressure sensor and reduce sacral hospital-acquired pressure injuries (HAPIs) in critically-ill adult patients. The practice problem addressed is the high incidence of pressure injuries in hospitalized patients, which can lead to increased mortality, prolonged hospital stays, and higher healthcare costs. The evidence-based practice question was: In critically ill adult patients at risk of pressure injuries, how does the use of the LEAF wearable pressure sensor compared to standard care without sensors impact the incidence of sacral HAPIs over the past year? The purpose …

Do Super Shoes Improve Drop Jump Performance?, Emily Urban

Honors Theses

Super shoes are responsible for the astonishing improvements in marathon times; however, it is unknown whether they can also aid athletes when it comes to jumping performance. Thus, the present study was designed to investigate if super shoes improve jump performance in athletes in comparison with regular athletic shoes, as measured by vertical jump height and torque during a drop jump maneuver. In addition, the study investigated if there were differences in kinetic and kinematic variables during jumping between shoes, as measured by torque production at the hip, knees, and ankles during takeoff.

The Effects Of Polycystic Ovarian Syndrome (Pcos) On Pregnancy From A Nursing Perspective, Haylee F. Schultz

Honors Capstones

The purpose of this research is to investigate the effects of Polycystic Ovarian Syndrome on pregnancy from a nursing standpoint. Nearly 5-10% of women in the United States are affected by polycystic ovarian syndrome during the reproductive years. This research aims to investigate how this condition impacts fertility and pregnancy risks. This initial research was completed through a review of existing literature accessed through databases such as CINNAHL and PubMed. Once all data is collected, the goal is to seek nursing interventions to lessen the effects of polycystic ovarian syndrome and increase positive pregnancy outcomes. This research is critical as …

Triathlete’S Preferences For Adding Strength Training To Triathlon Training Programming, Brannon Deugan

Doctorate in Kinesiology

This dissertation examined triathletes’ preferences and behaviors related to strength training integration within triathlon training programs, and despite growing evidence supporting the benefits of resistance training for injury prevention and performance enhancement, many endurance athletes remain hesitant to adopt strength training. The purpose of this study was to expand the current understanding of how age, gender, and experience influence strength training decisions and to translate those insights into practical strategies for coaching and athletic programming. A total of 210 triathletes completed an online survey assessing training behaviors, preferred strength modalities, session frequency, and load estimation methods. Quantitative data were analyzed …

Inside The Mad Mind: Medical Ethics In 19th Century Fiction, Danielle Dentremont

College Honors Program

The professionalization of medicine in mid-to-late 19th century America and Britain corresponded with heightened critical scrutiny of the ethics of doctor-patient relationships in contemporary fiction. With ethics frameworks of the century focused primarily on good fellowship between practitioners, it was difficult to charge practitioners with bad ethics. Yet, the broader debates of vivisection and women’s rights brought to light power imbalances between men and women that novelists began to suggest were present in medicine as well. Wilkie Collins’ Heart and Science weighs in on the danger of the doctor-scientist encroaching on women’s rights with the suggestion that women will be …

Developing Independent Living Skills In People With Intellectual Or Developmental Disabilities: A Guide For Direct Support Professionals, Nigel Yeo Mr.

Student Capstone Papers

Over one percent of the world has intellectual or developmental disabilities (IDD). Many of these people lack the living skills needed to live independently. Direct support professionals (DSPs) are people who provide daily assistance, care, and support to improve the wellbeing and quality of life among people with IDD. DSPs often have minimal training to perform their role, especially in support of the development of independent living skills. Independent living skills are adaptive behavioral competencies related to self-sufficiency, with focus on conceptual skills such as language abilities, social skills including interpersonal and social problem-solving, and practical skills that relate to …

Staff Education On The Management Of Diabetes Among Type 2 Diabetic Black American Patients, Ngozi Philomena Anonyuo

Walden Dissertations and Doctoral Studies

The aim of this staff education project was to increase nurses’ knowledge and confidence in providing patient education for diabetes self-management. Insufficient nurse knowledge regarding diabetes care and management was the gap in The practice-focused question was: Among Black American patients, does increasing nurses’ knowledge regarding implementation of diabetes-self management education programs result in a measurable increase in knowledge about diabetes management, ultimately contributing to improved expected diabetic outcomes involving glycemic control and reduced complications? Analytical strategies included descriptive and comparative analysis of deidentified pre- and post-knowledge assessments to evaluate the program’s impact on learning outcomes. An anonymous satisfaction survey …

Recovering The Lost Art Of Medicine: A Role For Ignatian Spirituality, Cecilia Motherway

College Honors Program

Throughout history, medicine or healing has been deeply associated with religion and spirituality, from the ancient Greek healing god Asclepius to the medieval monastic medical tradition and beyond. This lies in their common cause: addressing the vulnerability of our human existence. Humanity has long recognized that our suffering and death raise existential questions concerning our mortality that may require perspectives greater than biology and rationality can provide. However, at the turn of the 20th century, as medical technology rapidly advanced, raising the average global life expectancy by decades, the medical field removed all non-scientific, non-secular influences to position itself as …

Sensory Strategies For Trainees At Autism Career Training (Act), Emily A. Kay

OTD Capstone Projects

This doctoral capstone project was completed in partnership with Autism Career Training (ACT) who’s mission is to provide vocational training for adults with autism spectrum disorder (ASD) to bridge the gap between completion of high school level education and entering the workforce. The purpose of this project is to introduce sensory regulation activities to ACT students using Ayer’s Sensory Integration Theory. Additionally, it is to provide education for ACT staff on sensory regulation techniques, and introduction of resources for the ASD population in Middle Tennessee. The primary goal of this project is to increase participation in daily vocational tasks and …

Sleep Hygiene Programs In Adults With Parkinson’S Disease, Alexia R. Scott

OTD Capstone Projects

This doctoral capstone project was completed in collaboration with Bridges for Parkinson’s (B4PD), an associate of Rock Steady Boxing. B4PD is a wellness organization that offers fitness classes tailored to the needs of adults with Parkinson’s Disease (PD). Sleep disturbance is one of the most common non-motor symptoms of PD and was an identified need of the population at B4PD. This project aimed to address sleep needs through comprehensive individualized sleep hygiene programs based on a series of consultations. A sleep diary, the Pittsburgh Sleep Quality Index (PSQI), and a semi structured interview were used to assess sleep disturbances. The …

Improving Accessibility And Inclusion At Belmont University, Grace Apigian

OTD Capstone Projects

This capstone project utilized the collaboration with various departments and schools at Belmont University to improve the accessibility and inclusion in physical, social and academic contexts. The focus of this project was to pinpoint areas of campus that are inaccessible through student-reported survey data and measure these areas with use of the ADA checklist for existing facilities and hands on observation. This project also sought to develop educational resources and inclusive aids for various departments across campus to improve their inclusion and accessibility efforts. The findings of this project were summarized into a narrative needs assessment to distribute to all …

Expanding Therapy Services For The Infant & Pediatric Population In An Acute Setting, Hallie A. Long

OTD Capstone Projects

This doctoral capstone project was completed through a partnership with Med Center Health, located in Bowling Green, Kentucky. Med Center Health is a non-profit health system with a mission to care for people and improve the quality of life in the communities they serve. Med Center Health – Bowling Green (MCBG) provides a broad range of services for the Southcentral Kentucky community including a level III NICU and acute pediatric unit. The purpose of this project was to enhance current therapy services and resources provided in the NICU as well as initiate development of a rehabilitation program on the pediatric …

Program Development For Veterans With Disabilities In Conjunction With The Metro Parks Disabilities Program, Rylee E. Rohler

OTD Capstone Projects

This doctoral capstone project was completed in partnership with the Metro Parks disABILITIES Program. This agency provides day programming and inclusive sports leagues with a goal to create equal opportunity for safe recreational and cultural activities for as many Nashville citizens with intellectual and developmental disABILITIES as possible. Metro Parks offers a variety of age and ability-appropriate activities that highlight the ABILIITIES of all members. The primary objective of this capstone project was to create a manual for a branch program that would fill a notable gap in services available in middle Tennessee for veterans with disabilities. Roughly 24,500 working-age …

Impact Of Hypertension Education On The Self-Efficacy Of Patients With Uncontrolled Hypertension, Sharita Thompson

Doctor of Nursing Practice Projects

Self-efficacy is an essential aspect of patients being able to manage their uncontrolled hypertension. While it is important to give patients medications for their hypertension, it is just as important to educate the patients about their disease process. Teaching patients risk factors, acceptable blood pressure readings, and signs/symptoms of the disease process can help with decreasing further harm that the disease can cause to the body. This quality improvement project aimed to close the knowledge gap and increase self-efficacy among adult individuals, ages 18-75, who have uncontrolled hypertension by generating data that shows that education on the disease process will …

Program Development & Implementation Of Mindfulness Practices For Adults With Down Syndrome At Gigi’S Playhouse, Kelly Nydahl

OTD Capstone Projects

This doctoral capstone project was completed through partnership with GiGi’s Playhouse Nashville, a non-profit that offers free educational and therapeutic programming to individuals of all ages with Down syndrome. The focus of this project was to create and implement an entire semester worth of curriculum for two adult education classes, GiGi Prep and U. The goal of GiGi Prep was to enhance various career readiness skills, while GiGi U builds upon these skills to prepare an individual for real-world settings like independent living, college, and/or working a job. Topics such as communication skills, emotional regulation, money management, coping strategies, self-advocacy, …

Daily Living Curriculum For Adults With Disabilities, Paige E. Meyers

OTD Capstone Projects

This doctoral capstone project was completed in partnership with BrightStone, with the shared objective of increasing independence for adults with intellectual and developmental disabilities (IDD). In alignment with BrightStone’s values to empower the quality of life for adults with IDD where their choices and their voices matter, this project addressed the growing need to support their adults at all stages of life. Key outcomes included a daily living curriculum, adaptations to involve students in meal preparation and cleanup, staff training on fall prevention and recovery, and a functional skills progress tracker for residential home use.

Moderate Exercise And Tirzepatide Versus Tirzepatide Alone For Long-Term Weight Loss Maintenance, Edward Amoah Acheampong

Nursing Capstones

Background: Glucagon-like peptide-1 (GLP-1) receptor agonist (RA) drugs have been transformative when managing obesity in the clinical setting. Though these medications are effective for weight loss, questions regarding their efficacy for long-term weight loss or maintenance remain unanswered.

Purpose: The purpose of this scoping review was to answer the following clinical question: Can overweight or obese patients (P) who use tirzepatide without exercise (I) as compared to those incorporating 150 minutes a week of moderate aerobic exercise (C) sustain a ≥5% weight loss (O) one-year post-treatment (T)?

Methods: Five electronic article databases were searched to locate articles …

Nature's Relief: Efficacy Of Plant-Based Therapies Vs. Placebo In Easing Vasomotor Menopausal Symptoms, Megan N. Schneider

Nursing Capstones

Background: Vasomotor symptoms (VMS) impact the lives of menopausal women. Plant-based therapies are frequently used as alternatives to hormonal therapy, warranting evaluation of their effectiveness.

Purpose: This literature review evaluates the efficacy of plant-based therapies in alleviating VMS during menopause and compares their effectiveness to placebo treatment.

Methods: A literature review was conducted utilizing PubMed and Cumulative Index to Nursing and Allied Health Literature (CINAHL).

Results: The review includes a synthesis of 16 primary studies, highlighting five therapies: black cohosh, soy, red clover, evening primrose, and combination therapy in managing VMS. Soy consistently reduces VMS. Black cohosh, red clover, evening …

Glucagon-Like Peptide-1 Therapy And Substance Use Disorders, Rachel J. Brunsell

Nursing Capstones

Background: Treatment options for SUDs fail to address the neurobiological underpinnings of addiction. Recent studies suggest that GLP-1s, including semaglutide, liraglutide, and exenatide, offer therapeutic benefits by reducing cravings, improving treatment adherence, and decreasing relapse rates across a range of SUDs, including alcohol, cannabis, cocaine, nicotine, and opioid use disorders.

Purpose: The purpose of this article is to explore studies that highlight the potential benefits of GLP-1 receptor agonists in reducing substance cravings, improving treatment adherence, and decreasing relapse rates for patients with various SUDs.

Methods: A comprehensive review of recent studies examining the effects of GLP-1 receptor agonists, including …

The Effect Of Breastfeeding On Maternal Mental Health, Quinn Packineau

Nursing Capstones

Postpartum depression (PPD) is a significant public health issue impacting maternal and infant well-being, and though breastfeeding benefits both mother and baby, its effect on PPD is uncertain. This scoping literature review explores whether breastfeeding versus bottle feeding reduces PPD risk within six months postpartum using CINAHL and PubMed search of studies from the last five years on breastfeeding, bottle feeding, and PPD correlations. From 17 qualifying studies, results display exclusive and prolonged breastfeeding linked to lower PPD rates. However, the relationship is bidirectional because PPD can also prompt early breastfeeding cessation. Maternal self-efficacy, lactation support, and socioeconomic- demographic factors …

Using Visual Discharge Instructions: How Comics Can Improve Healthcare And Outcomes For Limited English Proficient Patients, Alexandra R. Streeter

Honors Thesis

The purpose of this thesis is to demonstrate how graphic medicine could be a useful tool for communicating medical discharge instructions to populations with Limited English Proficiency (LEP). It is divided into three parts. First, it provides an overview of the biggest struggles LEP patients encounter in healthcare, which often occur around discharge instructions and medication changes. Second, the paper explores what graphic medicine is and how it has been used in healthcare. The last part of this paper consists of original graphic medicine artwork that addresses key issues for LEP populations during discharge with the goal of offering a …

Socioeconomic Status, Parental Sex Education, And Race: Intersecting Influences On Adolescent Sexually Transmitted Infection Rates, Kiersten Hawkins-Moore

Walden Dissertations and Doctoral Studies

Adolescents and young adults represent many of the new sexually transmitted infections diagnosed each year in the United States, with pronounced disparities among minority racial and ethnic groups. This study examined 3,480 participants aged 15-24 from the 2017-2019 National Survey on Family Growth to explore the influence of race and socioeconomic status (SES) on the likelihood and comprehensiveness of parental sex education before the age of 18, using the Intersectionality Theory and Social Determinants of Health as frameworks. Controlling for formal sex education, binary and multinomial logistic regression models demonstrated that formal sex education significantly increased the odds of adolescents …

Improving Admissions Planning In A Specialized Adult Foster Care Program, Jessie Sullivan

Doctoral Dissertations & Projects

Background: Specialized adult foster care (AFC) programs have the unique ability to facilitate and coordinate continuity of care with an interdisciplinary approach internally and with community provider collaboration. The lack of communication in the transition of care admissions process leads to negative patient safety outcomes.

Purpose: The purpose of this quality improvement project was to identify barriers to improve communication, continuity of care, reduce negative health outcomes, and provide a culture of safety.

Methods: The Systems Engineering Initiative for Patient Safety (SEIPS) guided this quality improvement project. Assessment of quality measures and outcomes included the administration of pre- and post-implementation …

Quality Improvement Project Enhancing Mental Health Clinic Practices: Increasing Healthcare Professionals' Knowledge And Self-Assurance In Opioid Abuse Screening Tools In Healthcare Professionals Treating Adolescents, Festus Obonna

Doctor of Nursing Practice Projects

This study aimed to address the psychiatric mental health nurse practitioner’s unfamiliarity and inadequate confidence in utilizing the CAGE-AID screening tool in detecting opioid use in adolescents undergoing treatment at a psychiatric mental health clinic. The goal was to find out how structured training affected providers' understanding of and confidence in using the screening tool. Eight psychiatric mental health nurse practitioners, participated in a quasi-experimental pre- and post-intervention design. Descriptive statistics, paired t-tests, and Cronbach's alpha reliability analysis were used to look at the data. There was a significant improvement in providers' self-reported familiarity, confidence, and efficacy in using the …

Flip For Function Event Development For Increased Effectiveness And Promotion Of Community Engagement, Chloe D. Nedds

OTD Capstone Projects

This doctoral capstone project was completed in partnership with Flip for Function, a therapeutic gymnastics program that promotes self-confidence through adaptive athletics and child-led activities. The aim of this project was to enhance the efficiency of events to promote visibility and awareness of Flip for Function within the community. To reach these goals, research-based sensory activities, graphics, programming, and effective timelines were established to ensure seamless execution of events and promote awareness within the community. Alongside this, a choice board was created and implemented within the gym to promote access to communication resources for all individuals. As a result, events …