Medicine and Health Sciences Commons^™

Implementation Of The Modified Early Obstetric Warning System (Meows) In Obstetric Patients Within A Level Iv Maternal Care Facility, Mei M. Stalder

Student Scholarly Projects

Practice Problem: Incidences of increasing maternal morbidity and mortality are often preceded by a period of unrecognized deterioration. The lack of an obstetric early warning system in a high-risk Level IV Maternal Care Facility further contributed to delayed identification and intervention of deteriorating mothers.

PICOT: The PICOT question that guided this DNP project was, in obstetric patients, 18-years or older (P), does the Modified Early Obstetric Warning System (MEOWS) (I), compared to current standard practice (C), affect the number of patients transferred to the ICU (O) within a six-week time frame (T)?

Evidence: Nine evidence-based articles were included in this …

Creating Educational Curriculum And Fostering Health Promotion For Individuals With Down Syndrome At Gigi’S Playhouse, Allie Hutchinson

OTD Capstone Projects

This doctoral capstone project was completed through partnership with GiGi’s Playhouse Nashville. GiGi’s Playhouse is an organization with over 61+ locations across the United States and Mexico with the purpose of offering free, therapeutic and educational programs for individuals with Down Syndrome. The goal of this project was to create appropriate, educational curriculum for participants in GiGi Nashville’s adult education programs focused on self-confidence, skill knowledge, personal wellness, quality of life and a variety of other topics. A secondary focus of this project was to foster health promotion for individuals with Down syndrome through an emphasis on functional fitness. A …

Introduction To Neuropathy: A Foundational Guide To Understanding Neuropathy, Emilie-Grace King

OTD Capstone Projects

This project centers on the development of a deliverable titled Introduction to Neuropathy: A Foundational Guide to Understanding Neuropathy at Gilda’s Club Middle Tennessee, a nonprofit organization that provides support to individuals impacted by cancer. The initiative aimed to increase awareness and understanding of peripheral neuropathy—a common and often debilitating side effect of treatments related to cancer and other diagnosis —among club members, including patients, survivors, and caregivers. Through collaboration with clinical professionals, Gilda’s Club staff, and members of Gilda’s Club, educational materials were curated and presented in an accessible format tailored to the needs of a diverse audience. …

Evidence-Based Practice Consideration For Perioperative Use Of Mepivacaine In Total Knee Arthroplasty, Courtney E. Haley

Doctor of Nursing Practice Scholarly Projects

Total knee arthroplasty (TKA) is becoming increasingly prevalent, with projections of a significant rise in cases by 2050. Optimal perioperative management is essential for enhancing postoperative recovery, minimizing complications, and supporting early discharge. Spinal anesthesia, particularly with long-acting agents like bupivacaine, is commonly used; however, it may lead to prolonged motor blockade and postoperative urinary retention (POUR), impacting recovery. Recent research suggests that mepivacaine, an intermediate-acting spinal anesthetic, may offer improved recovery outcomes for TKA patients compared to bupivacaine. This evidence-based practice project aims to evaluate the effectiveness of mepivacaine in reducing neurologic recovery time, POUR, and length of stay …

Relationship Between Congestive Heart Failure, Chronic Obstructive Pulmonary Disease, Inflammatory Biomarkers, And Hospital Length Of Stay Among Covid-19 Patients., Alice Aghamie Osuji

Walden Dissertations and Doctoral Studies

COVID-19 has put immense pressure on healthcare facilities, especially in managing patients with comorbidity. This study addressed the association between two important coinfections, congestive heart failure (CHF) and chronic obstructive pulmonary disease (COPD), and their effect on hospital length of stay (LOS) among COVID-19 patients. The study also explored the predictive role of the inflammatory biomarker C-reactive protein (CRP) in prolonged hospitalization, also considering the influence of age and race. This study applied the Biopsychosocial Model and Chronic Care Model (CCM) to examine health outcomes and resource use. A retrospective cohort research design was used to examine medical records of …

Management Of Sensory Processing Differences To Support Children’S Participation In Church, Sarah Allen

OTD Capstone Projects

This doctoral capstone project was completed in partnership with the First Presbyterian Church of Nashville (FPCN), with the shared objective of fostering a more inclusive and sensory-friendly environment within its Children’s Ministry. In alignment with FPCN’s mission to nurture young disciples through holistic, age-appropriate faith formation, this project addressed the growing need to accommodate children’s diverse sensory needs. Key outcomes included improved staff confidence as measured through pre- and post-training surveys, the creation of a resource binder on sensory processing, autism spectrum disorder (ASD), and attention-deficit/hyperactivity disorder (ADHD), and concrete changes to curriculum structure and classroom environments to better support …

Blind Early Services Tn: An Inclusive Summer Camp, Caroline Mcdermott

OTD Capstone Projects

This doctoral capstone project was completed in partnership with Blind Early Services Tennessee (BEST), a non-profit organization with the focus on early intervention-based services for children with visual impairments. Currently, BEST serves over 200 families across the state of Tennessee with the following providers; teachers of the visually impaired (TVI), orientation & mobility specialists (O&M), and occupational therapists (OT). The focus of this project was to create BEST’s second annual summer camp, free of charge to participants, with activities specifically catered toward and adapted for children with low vision. Deliverables included a schedule of sensory, motor, and literacy activities, a …

A Guide To Home Modifications Through The Ot Lens, Alexis Pitman

OTD Capstone Projects

This doctoral capstone was completed through partnership with Westminster Home Connection. Westminster Home Connection is a non-profit agency serving low income adults 60+ or individuals with a disability by providing home repair and modifications to allow individuals to safely live in their home. The primary focus of this project was to create educational materials and bring an OT perspective to the assessment and modification process. Resources provided included a guidebook for home modifications and fall prevention education. Throughout this project I attended and assisted with home assessments, home modification, ramp builds, and declutter projects.

Investigating The Effects Of Sex And Estrous Cycle On The Incubation Of Cue-Induced Oxycodone Craving, Bhumiben Pradipkumar Patel

Theses and Dissertations

The overprescription and misuse of opioids like oxycodone has played a significant role in the ongoing opioid crisis. While effective painkillers, drugs like oxycodone are also reinforcing and often misused. While sex and ovarian hormones can impact the analgesic effects of these drugs, the impact of these factors on oxycodone reinforcement are not fully understood. This relationship between ovarian hormones and opioid reward is further complicated by the fact that opioid use can disrupt ovarian hormone levels and produce reproductive cycle irregularities. Using a rat model of drug craving and relapse vulnerability, we found that chronic oxycodone exposure produced reproductive …

Staff Education To Enhance Nurses' Knowledge Of Pressure Injury Prevention, Jacqueline Evette Foster

Walden Dissertations and Doctoral Studies

Summary Hospital-acquired pressure injuries (HAPIs) have a significant negative impact on patient safety and the quality of care. This doctor of nursing practice (DNP) staff education project focused on improving staff nurses’ knowledge in preventing pressure injuries. Recognizing the high incidence of pressure injuries at the project site, this staff education project addressed the critical need to reduce pressure injuries for at-risk patients by providing ongoing education and training to enhance pressure injury management, reduce hospital costs and length of hospitalization, and improve patient care quality. The practice-focused question guiding this staff education project was the following: To what degree …

Advancing Peripartum And Pelvic Health Rehabilitation At Tristar Centennial: Empowering Recovery Through Occupational Therapy, Lilly Martin

OTD Capstone Projects

This capstone project, Advancing Peripartum and Pelvic Health Rehabilitation, was completed through the Peripartum Inpatient Program and Pelvic Health Outpatient Program at TriStar Centennial Medical and focused on empowering recovery through occupational therapy (OT). It addressed needs by revising educational materials, developing videos for at-home recovery, defining OT’s role alongside physical therapy and social work, and improving the OT presentation and packet for peripartum rehabilitation. Deliverables included educational materials, videos, and graphics to boost patient engagement, alongside an OT presentation clarifying interdisciplinary collaboration. Materials were prepared for dissemination to interdisciplinary teams, patients, and families, ensuring alignment with OT’s scope and …

Assessing Oral Cancer Screenings Provided By Dental Hygienists, Nora N/A Basheer Megerdichian

Dental Hygiene ETDs

Oral cancer remains a significant public health concern, with a five-year survival rate of approximately 50% due to late-stage diagnoses. Dental hygienists play a crucial role in the early screening of oral cancer through routine intraoral and extraoral examinations. This study evaluates the effectiveness of oral cancer screenings conducted by dental hygienists in referring for further evaluation and their overall perception of the importance and frequencies of these examinations. A survey was distributed through the American Dental Hygienists’ Association (ADHA) to practicing dental hygienists across the United States, gathering data on screening frequency, referral patterns, perceived importance, and challenges faced …

Facilitating The Use Of Sbar By Nursing Staff For Handoff Communication, Amarillis L. Tompkins

Student Scholarly Projects

Practice Problem: Clear communication during shift handoffs is crucial to minimize errors and ensure patient safety in intensive care. The current SBAR framework used in the MICU is constrained by limited documentation space, which led to communication inefficiencies and heightened risks for patient care.

PICOT: The PICOT question that guided this project was: In the NFSG VA MICU, will staff nurses (P) using a revised SBAR communication tool with a checklist (I), compared to the current outdated SBAR tool without a checklist (C), improve the accuracy and completeness of patient handoff communication (O) over eight weeks (T)?

Evidence: The project …

Self-Management Program For Dyslipidemia: Impact On Health Behaviors To Modifiable Risk Factors And Compliance, Michael S. Lespron

Student Scholarly Projects

Practice Problem: Dyslipidemia management requires participation by both the healthcare provider and the patient alike. The inability to control lipid levels, including modifiable risk factors, can lead to cardiovascular disease which is the leading cause of death globally.

PICOT: In patients at a federally qualified health center that are 18-99 years of age and have a diagnosis of any type of dyslipidemia (P), does the implementation of a self-management program (SMP) via continued access to video recordings, take-home booklets, and biweekly follow-up calls (I) compared to current practices (C), increase compliance to medication adherence and lifestyle modification recommendations (O) within …

Policy And Practice: Analyzing Abortion Laws And Their Relationship To Competent Women’S Health Services In Ohio, Daija Smith

MUSC Theses and Dissertations

This study examines the relationship between abortion policy changes and women’s health services, focusing specifically on the state of Ohio’s evolving abortion laws and their implications. Using a qualitative approach, the research explores competency's role in addressing mental health disparities among diverse populations and marginalized communities. Through analyzing state policies and interviews with healthcare advance practice providers, this study completed a thematic analysis that identified opportunities such as shaping access and quality of care. The findings aim to inform strategies that reduce health disparities and improve competent care in women’s health services.

Education About Eds: How Can Colleges Reduce The Risk And Prevalence Of Eating Disorders In Ncaa Female Athletes?, Meghan J. Mcnabb, Alexandra Jakubiak

Department of Nutrition Student Projects

Female collegiate athletes are currently recognized as a high-risk group for developing eating disorders due to performance pressures and unrealistic body standards. Limited studies have analyzed the impact of tailored educational and behavioral interventions on the prevalence of eating disorders among female athletes in the National Collegiate Athletic Association (NCAA). This proposed research will be conducted at Nova Southeastern University to explore how colleges can decrease the cases of eating disorders among female athletes using a multi-component educational intervention. Participants will be screened through the EAT-26 assessment tool and initial BMI measures will be recorded to establish a baseline for …

Hierarchical Lineage Tracing To Unravel Mechanisms Of Cancer Treatment Resistance, Rachel Danielle Saxe

Dartmouth College Ph.D Dissertations

Cancer cells adapt to treatment, leading to the emergence of clones that are more aggressive and resistant to anti-cancer therapies. We have a limited understanding of the development of treatment resistance as we lack technologies to map the evolution of cancer under the selective pressure of treatment. To address this, we developed a hierarchical, dynamic lineage tracing method called FLARE (Following Lineage Adaptation and Resistance Evolution). We use this technique to track the progression of acute myeloid leukemia (AML) cell lines through exposure to Cytarabine (AraC), a front-line treatment in AML, in vitro and in vivo. We map distinct cellular …

The Association Of Sleep Quality And Depression On Having Three Vs. All Five Diagnostic Criteria Of Metabolic Syndrome, Nina Pollard

Walden Dissertations and Doctoral Studies

Metabolic syndrome is increasing in prevalence in the United States. To be diagnosed, three of the five diagnostic criteria must be met. There is a higher risk of metabolic syndrome due to lifestyle and social factors, with increased criteria occurring as an individual has unmet social determinants of health. This quantitative quasi-experimental/quasi-comparative study examined the association between education level, with sleep quality and depression as moderators, on a diagnosis of metabolic syndrome with all five criteria versus three criteria using a binary logistic regression while controlling for age, race, gender, income, employment, and marital status. Bronfenbrenner’s social ecological theory served …

Hdac5 Enzymatic Activity Regulates Scn4b Expression To Control Relapse-Like Cocaine Seeking, Daniel J. Wood

MUSC Theses and Dissertations

Substance Use Disorder (SUD) is a relapsing disorder characterized by repeated seeking and use of psychoactive substances despite negative consequences to the individual. Epigenetic changes within the medium spiny neurons (MSNs) of the nucleus accumbens (NAc) are thought to underly the lasting propensity to relapse in SUD. The epigenetic enzyme histone deacetylase 5 (HDAC5) in NAc MSNs limits the formation of reward-cue associations in rodent models of drug seeking, but not sucrose seeking, leading to decreased relapse-like behavior. However, whether HDAC5 reduces drug seeking behavior through its own deacetylase activity or through the recruitment of co-repressors is unknown. Furthermore, these …

Improving The Rates Of Sexually Transmitted Infection Diagnosis By Increasing Provider Knowledge About Testing, Lauren Cunningham

Student Scholarship & Creative Works

There has been a significant increase in sexually transmitted infection (STI) rates since 2021. Though this issue is nationwide, rural providers require education regarding testing, screening, and transmission of disease processes. The infections with the most significant increase are gonorrhea, chlamydia, and syphilis. The purpose of this project was to provide education to providers regarding local STI statistics, in addition to when to and not to test for sexually transmitted STI infections. Education was provided to three Advance Practice Nurse Practitioners about disease signs and symptoms, transmission, and local STI statistic rates. STI testing rates were observed three months prior …

The Way To A Mother’S Heart: A Risk Assessment Tool For The Early Detection Of Maternal Peripartum Cardiomyopathies, Leighton Terrell

Student Scholarship & Creative Works

Abstract

Background

Peripartum cardiomyopathies are a rare, but deadly occurrence among pregnant and postpartum women. Maternal mortality rates have risen over the last few years proving a large problem with the focus on maternal health.

Objective

The objective of this intervention was to aid providers in diagnosing peripartum cardiomyopathies early before detrimental damage could be done to the hearts of these women.

Methods

In this quality improvement project, the need for a peripartum cardiomyopathy risk assessment survey among patients in small, rural area of Western Kentucky was determined.

Results

Using the 22 surveys that were collected, 36.4% of patients were …

Perceptions Of Campus Safety And Campus Carry Among Student Veterans, Kerwin J. Flaherty

Walden Dissertations and Doctoral Studies

Student veterans are an essential population for research but remain consistently underexamined in the literature. Similarly, veterans carrying firearms are an essential but under-examined topic in the literature. This study sought to address gaps in both domains by investigating student veterans’ perspectives on safety and firearms on campus, or “campus carry”. Campus carry refers to a set of policies that vary by jurisdiction but generally allow individuals to legally carry concealed firearms on all or some parts of a public university or college campus. This qualitative phenomenological study explored how student veterans in Texas perceive campus safety and how these …

Implementing Self-Regulation Practice And Handouts For Parents And Educators At Linden Waldorf School For The Neurodivergent Student Population​, Samantha Thompson

OTD Capstone Projects

This doctoral capstone project was completed through a partnership with Linden Waldorf School in Nashville, TN. The invention, application, and advocacy of occupational therapy approaches for the neurodivergent student population were the main objectives of this research. This project aimed to empower Linden Waldorf educators and staff to more effectively address the needs of their kids by offering direct observations, educational presentations, and a range of educational resources on an assortment of neurodivergent deficits and diagnoses. Executive dysfunction, attention deficit hyperactivity disorder, difficulties with emotional regulation, autistic spectrum disorders, and anxiety are among the diagnoses and deficiencies discussed in this …

Prenatal Exposure To Pm2.5 Concentration And Risk Of Preterm Birth In New Mexico; A Seasonal Pattern And Spatio-Temporal Modeling., Onyedikachi J. Okeke

Mathematics & Statistics ETDs

This study investigates the association between prenatal PM2.5 exposure and preterm birth risk in New Mexico (2014–2021). Using descriptive statistics, time series models, and spatial analyses, findings show an average preterm birth rate of 14.87 per 1,000 live births, with moderate correlation (r = 0.727) between PM2.5 levels and very preterm births. While traditional models revealed no significant global effect, spatial methods such as Geographically Weighted Regression (GWR) and Multiscale GWR uncovered strong spatial heterogeneity. PM2.5 effects varied by county (coefficients: -0.00154 to 0.00150), with clustering evident in 2018–2019 (Moran’s I = 0.155–0.174). Results highlight the limitations of global models …

Goat Tying Styles Impact On Performance Consistency With Rodeo Competitors In The National Intercollegiate Rodeo Association Ozark Region, Marie Baxley, C.A. Shea Porr, Thomas Powell

Honors College Theses

Goat tying is a rodeo event involving dismounting a horse, and flanking and tying three legs of a goat. Flanking is defined as picking a goat up and setting it on the ground on its side. Flank/gather (FG) is a style where riders scoop the legs with the right hand and then place them in the left. Catch the flank (CF), stuffing (ST), and funneling (FN) are other methods that involve the goats’ legs landing together so the right hand is not needed for gathering. The objectives of this study were to determine 1) if flanking method affects performance, and …

Supporting Maternal Mental Health In The Postpartum Period With The Use Of Home Resource Kit, Nicole Craig

Theses and Graduate Projects

Postpartum mental health disorders, including postpartum depression and anxiety, can affect a significant proportion of new mothers for centuries. This paper explores the development, implementation, and evaluation of an at-home mental health resource kit designed to support maternal mental health while navigating the stresses of new motherhood. Utilizing Jean Watson's Theory of Human Caring as a theoretical framework, the study assesses the effectiveness of integrative therapies such as aromatherapy, mindful meditation, and educational resources in managing postpartum stress. Data collected through pre- and post-surveys and roundtable discussions provide insights into the benefits and limitations of these interventions. The findings indicate …

Mindfulness Meditation For Informal Caregivers Of Individuals Living With Alzheimer's Disease, Stacey Miller

Theses and Graduate Projects

Abstract

Caring for individuals with Alzheimer’s disease places significant emotional, physical, financial, and psychological burden on caregivers. Alzheimer’s disease is leading to an increase in family members becoming informal caregivers for their loved ones living with this disease. According to the Alzheimer’s Association (2022), 66% of caregivers for people with dementia live in their homes with them. This scholarly project, through a literature review and qualitative data collection, explored the lived experiences of informal caregivers leading to feelings of stress. Mindfulness meditation provides proven benefits to stress management. Margaret Newman’s theory of Health as Expanding Consciousness lays the foundation for …

The Green Room: Creating An Environment To Combat Burnout In The Emergency Department, Vitaliy Kovdiy

Theses and Graduate Projects

BACKGROUND: In 2020 a pandemic created dangerous workloads leading to many nurses quitting their careers due to chronic stress. This project will create the green room, which is the name of this recharge room, where staff can go to experience a moment of peace to decrease their stress levels. This room had a spa aesthetic with comfortable seating and green plants. METHODS: This quality improvement project follows the plan-do-study-act model. When participants arrived, they filled out a questionnaire before using the room. They were then shown all the things they could do to utilize the room. After they were done …

Achieving Periodontal Disease Stabilization: Assessing The Impact Of Laser Therapy In Scaling And Root Planing And Periodontal Maintenance Visits, Cassandra Charlotte Cooper

Dental Hygiene ETDs

Purpose: This study examined the effectiveness of laser utilization in stabilizing periodontal disease over a one-year period. This research focused on the results following scaling and root planing with adjunctive laser-assisted periodontal therapy and laser bacterial reduction at subsequent periodontal maintenance visits. While short-term advantages are documented in the literature, research on sustained effectiveness is limited. Methods: A retrospective chart review of 30 adult patients who received the above treatment was conducted. Periodontal charting was recorded at three visits over one year. Data was collected and analyzed utilizing Statistical Package for Social Sciences (SPSS) to determine statistical significance of periodontal …

A Cross-Sectional Analysis: Employment And Its Impact On Physical Activity, Academic Performance, And Quality Of Life Among Bellarmine University Students, Orlando Exposito Nuñez

Undergraduate Theses

Introduction: Half of undergraduate students are employed, meaning they must balance work with academics, physical activity (PA), and personal responsibilities. This study examines the potential negative impact of employment on PA, academic performance, and quality of life (QOL) among college students. Methods: The cross-sectional survey comprised 125 Bellarmine University students (Age 21.07 ± 3.40; 52% female, 48% male). Measures included the RAND SF-36 for QOL, the International Physical Activity Questionnaire Short Form (IPAQ-SF), and a custom academic and employment questionnaire. Racial and ethnic demographics included White (75.2%), Black or African American (11.2%), Hispanic or Latino (15.2%), Asian (4.8%), Multiracial (4.8%), …