Medicine and Health Sciences Commons^™

The Use Of Music To Reduce Test Anxiety In Nursing Students, Janice Kaye Fuson

Nursing Theses and Capstone Projects

The purpose of this study was to determine if listening to music at 60-80 beats per minute prior to testing would decrease anxiety. The following null hypotheses were presented, 1. There is no significant difference between the experimental and control group test STATE-TRAIT Anxiety scores. 2. There is no significant difference between experimental and control group pretest STATE and TEST anxiety score and pulse rates. 3. There is no significant difference between experimental and control group post-test STATE and TEST Anxiety Score and pulse rate (Summers et. al 1990). A previous pilot study was used as a basis for additional …

Emergency Departments And Stemi Care, Are The Guidelines Being Followed?, Dawn W. Hendren

Nursing Theses and Capstone Projects

The purpose of this study examined if an Emergency Department (ED) in a small rural hospital in western North Carolina is compliant with the American College of Cardiology (ACC) and the American Heart Association (AHA) guidelines for obtaining Electrocardiogram's (ECG's), administering fibrinolytics, and performing Primary Percutaneous Coronary Intervention (PCI) on patients with chest pain diagnosed with ST-Elevation Myocardial Infarction (STEMI). The national standards for ECGs is less than 10 minutes from arrival to first medical contact (FMC) with triage nurse; for fibrinolytics, less than 30 minutes from arrival to FMC; and for FMC to PCI, less than 90 minutes. The …

Nurse Practitioner Supply And Demand And Development Of A Family Nurse Practitioner Program, Cassaundra Hefner

Nursing Theses and Capstone Projects

The development of a nurse practitioner program in a rural community to meet the supply and demand of Nurse Practitioners (NP) in North Carolina was the focus of this project. With the recent enactment of the Patient Protection and Affordable Care Act (PPACA) (H.R. 3890), the United States (U.S.) is faced with a predicted primary care provider shortage of 45,400-65,800. According to Miller (2011) The New England Journal of Medicine ranked North Carolina as # 7 in the U.S. as having the biggest challenge of producing enough primary care providers to meet the needs of the newly insured. A detailed …

Critical Care Nursing Interventions And Incidence Of Ventilator Associated Pneumonia In The Trauma Population, Kelli R. Moore

Nursing Theses and Capstone Projects

Ventilator Associated Pneumonia (VAP) in the Trauma Intensive Care Unit is the most commonly encountered infection in the intensive care unit and can be linked to increased morbidity, increased mortality, increased mechanical ventilation days, increased hospital length of stay, and increased cost. A retrospective, correlational study examined the effect of compliance with a ventilator bundle protocol in the Neuro-Trauma Intensive Care Unit on aggregate VAP rates. The study's primary focus was to determine if interventions performed by critical care nurses reduced the incidence of Ventilator Associated Pneumonia (VAP) in the Trauma Intensive Care Unit. The study utilized the retrospective collection …

Evaluating The Effectiveness Of Nurse-Focused Computerized Clinical Decision Support On Urinary Catheter Practice Guidelines, Robin Lynn Neal Lang

Nursing Theses and Capstone Projects

A growing national emphasis has been placed on health information technology (HIT) with robust computerized clinical decision support (CCDS) integration into health care delivery. Catheter-associated urinary tract infection is the most frequent health care-associated infection in the United States and is associated with high cost, high volumes and determined to be preventable through the application of evidence-based guidelines. The purpose of this quasi-experimental, ex post facto study was to evaluate the impact of an evidence-based practice guideline computerized clinical decision support (CCDS) intervention in patients with a urinary catheter device. Correlational relationships were explored among patient and nurse-specific demographics as …

Open Visitation Effects On The Critically Ill Individual, Melissa Mcneilly

Nursing Theses and Capstone Projects

The Intensive Care Unit has been known to be fast paced, stressful, and at times a loud atmosphere. Being a nurse in the ICU can be intimidating and being a patient can be frightening. Critically ill patients require close monitoring and supervision by the nursing staff. Many different aspects of care are crucial to the patients' recovery. Family members are an important part of a critically ill individual's recuperation. Different factors have an effect on the level of stress that a patient may experience while in the hospital. Critical Care Nurses were given a questionnaire to determine the beliefs and …

The Effects Of A High Fidelity Simulation Experience On Students' Knowledge, Starla H. Logan

Nursing Theses and Capstone Projects

The purpose of this study was to identify and examine the effects of high-fidelity simulation on the knowledge of second semester associate degree nursing students at a small community college. The research question addressed was: Does high-fidelity simulation increase the knowledge level of second semester ADN students. Researcher developed pre and post tests were used to measure the effects of the simulation on the students' knowledge level. The data was analyzed using the Statistical Package for Social Sciences, Version 19. Findings revealed a significant difference between the scores of the pre-test and the scores of the post-tests. The results of …

Knowledge Of And Attitude Toward Pain Control Among Hospice Nurses In A Southeastern State In The Us, Brandy C. Leroy

Nursing Theses and Capstone Projects

The hospice philosophy is based on pain and symptom management, comfort measures, and enhancement of quality of life at end-of-life (EOL). Pain management at EOL requires advanced knowledge and understanding by the healthcare team caring for these patients. A primary concern for the nurse caring for a patient at EOL is to achieve adequate pain control, provide comfort measures and maximize the patient's quality of life. This descriptive correlation study examined the hospice RN's knowledge and attitude of pain control at end-of-life. Forty-nine nurses employed at a hospice facility in a Southeastern state in the US were surveyed. Findings of …

Registered Nurses' Practices And Perceptions Of Indwelling Urinary Catheters And Number Of Indwelling Urinary Catheter Days In A Hospitalized Population, Janice Martin

Nursing Theses and Capstone Projects

Prevention of catheter associated urinary tract infections (CAUTIs) is an important component of the delivery of safe quality care. A common theme is emerging from the literature: not all indwelling urinary catheters are appropriate for the duration of the catheterization, which places the patient at an increased risk of CAUTI (Blodgett, 2009). Often, the reasoning used for determining if a patient needs a catheter is not evidence-based. The placement and maintenance of indwelling urinary catheters (IUCs) are in the scope of practice for registered nurses. Nurses should play an integral role in developing strategies to limit the use of catheters …

The Effect Of Education On Evidence-Based Practice And Nurses' Beliefs/Attitudes Toward And Intent To Use Evidence-Based Practice, Steve Mooney

Nursing Theses and Capstone Projects

Purpose: Does tradition or "we have always done it this way" provide for safe, confident care? The care nurses provide should be based on evidence. Many barriers to evidence-based practice (EBP) exist. Nurses' lack of knowledge about EBP and nurses' beliefs/attitudes toward and implementation of EBP need to be addressed. Hospital administration and nursing staff must be aware of current practice guidelines. Awareness of the need for EBP demands a process/action to change practice habits. The rewards of implementing EBP should motivate a transformation leading to adaptation of EBP care. The research question this project proposed to answer was: Will …

Introducing Telehealth To Nursing Students In A Pre-Licensure Program, Dwayne F. More

Nursing Theses and Capstone Projects

Telehealth has emerged as an enhancement to health care, giving clients greater access to care providers than ever before. It has benefited persons living in remote areas who cannot readily access health services and it has helped clients who have chronic disease conditions that require frequent monitoring, saving themselves and hospitals thousands of dollars. Nurses are an important part of delivering telehealth, yet it is not currently being taught in many nursing courses. The purpose of this project is to introduce telehealth into a pre-licensure nursing program via a learning module and to assess the students' understanding of the material …

Increasing Participation In The North Carolina Controlled Substances Reporting System Registration Among Western North Carolina Nurse Practitioners, Elizabeth Scism

Nursing Theses and Capstone Projects

The misuse of prescription drugs for non-medical purposes is a risk to public health and safety. The rates of misuse and diversion of prescription drugs have nearly doubled since the 1990s. This project explored the importance of educating Nurse Practitioners (NPs) in North Carolina (NC) regarding the registration and utilization of the North Carolina Controlled Substances Reporting System (NCCSRS). This reporting system was designed to identify and prevent diversion and to reduce morbidity and mortality of unintentional drug overdoses among primary care patients. A website was developed to showcase the multiple benefits and encourage registration and utilization of the NCCSRS …

What Patient Related Factors Negatively Impact Patient Or Procedure Outcomes In Screening Colonoscopy?, Rebecca Truett

Nursing Theses and Capstone Projects

The success of colonoscopy in early detection and treatment of colonic lesions depends upon adequate bowel preparation. This study addresses factors related to the adequacy of bowel preparation for colonoscopy with a focus on patient factors including variables related to demographics as well as compliance. The hypothesis of the study of factors related to the adequacy of bowel preparation for colonoscopy is that certain patient factors are associated with inadequate colon preparation independent from preparation type or timing of the procedure.

Patient related factors were compared to colonoscopy procedure completion, compliance with colonoscopy preparation instructions and quality of colon preparation. …

An Overview Of Collaborative Work: The Student Experience, Shernett M. Chung

Nursing Theses and Capstone Projects

This study used a descriptive, quantitative design with survey methods to examine the experiences and opinions of 69 graduate and undergraduate nursing students who anonymously responded to questions about group work. The two-fold purpose of the study was to investigate students' negative perception and experience of collaborative learning in a tertiary level academic setting, and determine if students preferred to use the two instruments suggested in the study as regular components of future group assignments. A review of the literature suggested that the presence of slackers, social justice, and the Matthew Effect were known contributors of negative experiences within groups. …

The Use Of Peppermint Oil To Reduce The Nausea Of The Palliative Care And Hospice Patient, Mary Seale

Nursing Theses and Capstone Projects

A descriptive study was initiated to investigate the use of peppermint oil to reduce the nausea of the palliative care and hospice patient. Two local palliative care and hospice programs were used as sites for the study. Patients eighteen and older complaining of nausea were invited to participate in the study. The study was conducted for one and a half months. A total of eight patients consented to participate in the study with a mean age of seventy one years. The Bieri Scale, a visual-numeric analog, was used as the measurement instrument for the patients to evaluate their nausea. Results …

Knowledge And Attitudes Of Nurses Toward Pain Management, Penny Hennessee

Nursing Theses and Capstone Projects

The under-treatment of pain is a problematic area for hospitalized patients nationwide. Pain diminishes a person's quality of life and this issue can be of great concern to healthcare personnel. The purpose of this study was to explore nurses' knowledge and attitudes towards pain and pain management. Fifty nurses from various practice areas participated in the survey that included a demographic data form and the Knowledge and Attitudes Regarding Pain Management questionnaire. A literature review was conducted to review and explore nurses' knowledge and attitudes towards pain and pain management. This provided empirical evidence of nurses' assessment and documentation behaviors, …

Second-Year Associate Degree Nursing (Adn) Self-Efficacy In Relation To Simulation Lab Experiences, Sarah W. Tate

Nursing Theses and Capstone Projects

Second-Year Associate Degree Nursing (ADN) Self-Efficacy in Relation to Simulation Lab Experiences utilized a convenience sample of second-year associate degree nursing students to conduct a survey of their perceptions of an increase in self-efficacy or self confidence in relation to their simulation lab experiences. Albert Bandura's theory of self-efficacy was the theoretical framework for the study. Students who have high levels of self-efficacy have been shown to handle obstacles with less stress, perseverance, and success. In this study, 85% of the students agreed that simulation lab experiences were beneficial in increasing their confidence to perform safely in their preceptorship and …

Barriers To Diabetes Self-Management In African American Women, Christine Little-Gregory

Nursing Theses and Capstone Projects

Diabetes is a global epidemic and is a leading cause of disease-related death. In the United States, diabetes is the most common chronic disease affecting 23.6 million Americans or 7.8% of the population (Centers for Disease Control, 2010a). African American women have the highest prevalence of diabetes. Health promotion in the form of diabetes self-management is the key to reducing this urgent disparity. This descriptive study sought to identify barriers to diabetes self-management and identify relationships associated with self-management in this population. This study was conducted using a convenience sampling of African American women with diabetes who were surveyed to …

Self-Care Agency And Self-Care Practice Of Adult African Americans With Type 2 Diabetes, Martha Eddings

Nursing Theses and Capstone Projects

The purpose of the study was to identify and examine the concepts of self-care agency and self-care practice of African American adults diagnosed with type 2 diabetes, living in the local community. The research questions addressed were: 1) What is the self-care agency of adult African Americans diagnosed with type 2 diabetes? 2) What is the self-care practice of adult African Americans diagnosed with type 2 diabetes? 3) Is there a relationship between self-care agency and self-care practice in adult African Americans diagnosed with type 2 diabetes? The Denyes Self-Care Agency Instrument (DSCAI-90) and the Denyes Self-Care Practice Instrument (DSCPI-90) …

Cardio Pulmonary Resuscitation Decisions In Nursing Home Residents, Melissa S. Bennett

Doctor of Nursing Practice Program Projects

Objective: Cardiopulmonary resuscitation (CPR) performed on nursing home residents, consistently demonstrates poor outcomes with less than 5% survival rate (AMDA, January 30, 2011). Study participants overestimate CPR survival based on television and lack of accurate information (Adams & Snedden, 2006; van Mil et al., 2000). This project evaluated use of a video decision tool on CPR choices in nursing home residents over three months.

Methods: A CPR video decision tool was added to advance care planning discussions as an audiovisual component to educate nursing home residents and their decision makers. Nurse Practitioners (NPs) documented the resident’s choices in the electronic …

Purging Healthcare Of Conventional "Wisdom" - An Interview With Liak Teng Lit, Lien Centre For Social Innovation

Social Space

Liak Teng Lit is known for his iconoclastic views and for pushing the envelope on healthcare and other social causes. Social Space visits the maverick in his award-winning Khoo Teck Puat Hospital for some wake-up calls.

Single Mutation To A Sex Pheromone Receptor Provides Adaptive Specificity Between Closely Related Moth Species, Gregory Patrick Leary, Jean E. Allen, Peggy L. Bunger, Jena B. Luginbill, Charles E. Linn Jr., Irene E. Macallister, Michael Kavanaugh, Kevin W. Wanner

Biomedical and Pharmaceutical Sciences Faculty Publications

Sex pheromone communication, acting as a prezygotic barrier to mating, is believed to have contributed to the speciation of moths and butterflies in the order Lepidoptera. Five decades after the discovery of the first moth sex pheromone, little is known about the molecular mechanisms that underlie the evolution of pheromone communication between closely related species. Although Asian and European corn borers (ACB and ECB) can be interbred in the laboratory, they are behaviorally isolated from mating naturally by their responses to subtly different sex pheromone isomers, (E)-12- and (Z)-12-tetradecenyl acetate and (E)-11- and (Z)-11-tetradecenyl acetate (ACB: E12, Z12; ECB; E11, …

Quality Of Life Of Families With Children Who Have Severe Developmental Disabilities: A Comparison Based On Child Residence, Joni Taylor Mcfelea, Sharon Raver

Communication Disorders & Special Education Faculty Publications

This study measured the quality of life of two groups of families with children who had severe developmental disabilities-families whose child lived at home and families whose child lived in a residential facility. Participants were 54 primary caregivers of children who had severe intellectual disabilities and who lacked the ability to both ambulate without assistance and communicate conversationally. Participants completed the "Family Quality of Life Scale" (Hoffman, Marquis, Poston, Summers, & Turnbull, 2006). Analyses revealed that both groups rated their family quality of life (FQOL) as exemplary. FQOL was higher in the family home group than in the residential facility …

Patent Landscape Of Influenza A Virus Prophylactic Vaccines And Related Technologies, Jon R. Cavicchi, Stanley P. Kowalski, David L. Pflugh, Jeremy Barton, Jeffrey Janovetz, John Schroeder

Law Faculty Scholarship

Executive Summary: This report focuses on patent landscape analysis of technologies related to prophylactic vaccines targeting pandemic strains of influenza. These technologies include methods of formulating vaccine, methods of producing of viruses or viral subunits, the composition of complete vaccines, and other technologies that have the potential to aid in a global response to this pathogen. The purpose of this patent landscape study was to search, identify, and categorize patent documents that are relevant to the development of vaccines that can efficiently promote the development of protective immunity against pandemic influenza virus strains.

The search strategy used keywords which the …

Exercise Is Medicine: Some Cautionary Remarks In Principle As Well As In Practice, Ross Neville

Articles

On the basis of extensive research on the relationship between physical activity, exercise and health, as well as strong support from policymakers and practitioners, the “Exercise is Medicine” initiative has become something of a linchpin in the agenda for modern healthcare reform and reflects a broader acceptance that the philosophy of health politics must shift from social engineering to performativity. However, in spite of the avowed commitment to encouraging individuals to take on a more reflexive relation to their health, it remains unclear as to whether an initiative such as this is, unambiguously, a good thing. In this paper, a …

Considering A Complemental Model Of Health And Fitness, Ross Neville

Articles

This article examines the concept of fitness, which, in spite of its much avowed cultural significance, has become the subject of much critical attention. In particular, it considers the now contested relation of fitness to health; the fact that, although there appears to be a clear consensus on a simple causal relation between the two, this has been deemed illusory outside the medico-scientific context of its production. In response to the problems with both of these positions, this article examines the potential for reconfiguring the relation between fitness and health on new terms. A complemental model of health and fitness …

Information-Seeking Behaviour Of Nurses: Where Is Information Sought And What Processes Are Followed?, Denise O'Leary, Siobhan Ni Mhaolrunaigh

Articles

Aim This paper is a report of a study on how nurses inform their decision-making in the workplace

Background Despite the growing availability of research evidence, nurses have been slow to adopt it into their daily decision-making.

Method The study was undertaken in Ireland between 2006 and 2007 using a sequential mixed methods approach. In phase 1, the views of a quota sample of 29 nurses were explored using semi-structured interviews incorporating vignettes. Phase 2 involved the design and dissemination of a survey to a disproportionate stratified random sample of 1356 nurses. The response rate was 29%.

Findings In decision-making, …

Just Say No: The Case Against The Reclassification Of Buprenorphine, Ameet Sarpatwari

University of Maryland Law Journal of Race, Religion, Gender and Class

No abstract provided.

From Service Provision To Function Based Performance - Perspectives On Public Health Systems From The Usa And Israel, F. Douglas Scutchfield, Ehud Miron, Richard Ingram

Preventive Medicine and Environmental Health Faculty Publications

If public health agencies are to fulfill their overall mission, they need to have defined measurable targets and should structure services to reach these targets, rather than offer a combination of ill-targeted programs. In order to do this, it is essential that there be a clear definition of what public health should do- a definition that does not ebb and flow based upon the prevailing political winds, but rather is based upon professional standards and measurements.

The establishment of the Essential Public Health Services framework in the U.S.A. was a major move in that direction, and the model, or revisions …

Com Outlook Winter 2012, College Of Osteopathic Medicine

COM Outlook

No abstract provided.