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- Acculturation; Childhood obesity; Immigrant health (1)
- Adherence; Asthma; Medication; Pediatric (1)
- Agitation; Anxiety; Auditory stimuli; Ccu; Critical care; Critical care unit; Environmental noise; Icu; Intensive care; Intensive care unit; Nature based; Nature based sound; Psychoisis; Stress; White noise (1)
- Anticoagulant; Bruising; Enoxaparin; Hematoma; Heparin; Induration; Injection; Lovenox; Low molecular weight heparin; Nurse; Pain; Subcutaneous; Survey; Therapies (1)
- Asd; Autism; Hippotherapy equine therapy; Horseback riding (1)
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- Breastfeeding (1)
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- Contraception; Women's health (1)
- Controlled trial (1)
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- Diabetes prevention (1)
- Emergency department (1)
- Faith based (1)
- Family care giver (1)
- Health threat messages (1)
- Heart failure (1)
- Inoculation theory (1)
- Intervention (1)
- Job demand (1)
- Leadership styles (1)
- Lymphedema; Post mastectomy; Risk factors (1)
- Medical surgical nursing; interruption; medication error; patient safety; human factors (1)
- Nec; Necrotizing enterocolitis; Nicu; Nursing; Preterm (1)
- Nurse (1)
- Nurse managers (1)
- Older adults (1)
- Patient outcomes (1)
- Pediatrics; Child; Chronic pain; Integrative therapy; Yoga (1)
- Puerto ricans (1)
Articles 1 - 19 of 19
Full-Text Articles in Medicine and Health Sciences
The Effects Of Auditory Stimuli On Stress Levels Of Adult Patients In The Critical Care Setting, Jessica Ellermets
The Effects Of Auditory Stimuli On Stress Levels Of Adult Patients In The Critical Care Setting, Jessica Ellermets
HIM 1990-2015
The purpose of this review of literature is to explore the effects of interventional and environmental auditory stimuli on the adult critical care population. Current research has yet to compare and contrast the effectiveness of various interventional auditory stimuli on stress relief, an oversight this thesis aims to remedy. Modern day critical care settings demand the identification of the most therapeutic interventional auditory stimulus and the most stress-inducing environmental stimuli, so that interventions can be made to optimize patient stress levels and improve outcomes. Suggestions will be made on how to simultaneously reduce harmful or stress inducing auditory stimuli in …
Analyzing The Relationship Between Women's Decisions To Use Contraception And Their Partners' Perceptions Of Preventative Behavior, Kayla Gayle-Campbell
Analyzing The Relationship Between Women's Decisions To Use Contraception And Their Partners' Perceptions Of Preventative Behavior, Kayla Gayle-Campbell
HIM 1990-2015
A majority of adolescents and young adults report inconsistent use of safe sexual behaviors and contraception methods due to a variety of influencing factors. These practices can lead to limited future reproductive choices and can spread communicable disease in the population. The purpose of this study was to determine if a woman's decision to use a specific type of contraceptive method is influenced by her partner's attitude toward preventive sexual health practices. A secondary purpose was to analyze women's attitudes towards safe sex and contraceptive practices as independent entities of disease and pregnancy in the reproductive cycle. A literature review …
The Risk Of Secondary Lymphedema Due To Procedures In The Affected Arm Post-Mastectomy: A Literature Review, Lindsay Perna
The Risk Of Secondary Lymphedema Due To Procedures In The Affected Arm Post-Mastectomy: A Literature Review, Lindsay Perna
HIM 1990-2015
The risk for upper extremity lymphedema post-mastectomy in women surgically treated for breast cancer is a concern since it is often painful, aesthetically displeasing, and can increase the risk of infection. However, there is a paucity of data examining if diagnostic procedures performed in the ipsilateral arm post-mastectomy increases the risk of lymphedema. The purpose of this research is to examine the relationship between diagnostic procedures performed in the ipsilateral arm post-mastectomy and the occurrence of lymphedema with or without related complications. A systematic review of the literature was conducted from multiple, online databases available from 1992 through 2014, and …
Nursing Interventions To Prevent Necrotizing Eterocolitis: A State Of The Science Literature Review, Katherine Casto
Nursing Interventions To Prevent Necrotizing Eterocolitis: A State Of The Science Literature Review, Katherine Casto
HIM 1990-2015
The purpose of this review of literature is to understand the current state of the science and to make recommendations for practice and research in regards to the gastrointestinal condition affecting premature infants, necrotizing enterocolitis (NEC). Emphasis is placed on reviewing the literature to identify prevention strategies nurses can use to reduce the incidence, morbidity and mortality of NEC. The introduction will focus on discussing the problem of NEC including its risk factors, pathophysiology, and disease presentation. The findings sections will focus on the most promising and researched areas of intervention. The discussion section will focus on how this knowledge …
Factors That Affect Adherence With Long-Term Controller Medications Used To Manage Asthma In Children, Brittany Bowks
Factors That Affect Adherence With Long-Term Controller Medications Used To Manage Asthma In Children, Brittany Bowks
HIM 1990-2015
Problem: Asthma affects one out of every ten children in the United States. It is recommended that children with persistent asthma take long-term controller (LTC) medications to achieve control. However, adherence varies, and many children do not take their LTC medication at all. The average cost for hospitalization of a child with asthma is $8,406. Asthma in children also contributes to school absenteeism and a decrease in quality of life. Objective: A literature review was performed to examine factors that affect adherence to LTC medications used to control asthma in children. Method: A literature review was performed using the CINAHL, …
Acculturation Factors Associated With The Prevalence Of Obesity In Immigrant Children And Adolescents, Suzeline Desir
Acculturation Factors Associated With The Prevalence Of Obesity In Immigrant Children And Adolescents, Suzeline Desir
HIM 1990-2015
Childhood obesity (CO) is a significant public health issue in the United States, including the immigrant populations. Obese children and adolescents are at increased risk for multiple preventable comorbidities that affect their physical health and psychological well-being. The perception exists that the immigrant child population may possess protection against CO, but this group also experienced an increased prevalence of CO. Acculturation, or the adaptation to American culture and lifestyles, has been shown to be associated with the increased obesity rate among immigrant children and adolescents. Understanding the association between acculturation factors and CO is necessary to effectively combat obesity among …
The Use Of Yoga For Chronic Pain Management In The Pediatric Population, Annabeth Huff
The Use Of Yoga For Chronic Pain Management In The Pediatric Population, Annabeth Huff
HIM 1990-2015
Chronic pain has an adverse impact on the quality of life in children and adolescents. It can impair a child’s physical, psychological, and social functioning, leading to lower satisfaction with life and poor self-image related to health status. Forty-five percent of children experience chronic pain related to either disease processes or idiopathic causes. Not all children who suffer from chronic pain respond to traditional therapies. The purpose of this literature review was evaluation of current research on the use of yoga as an integrative therapy for chronic pain management in the pediatric population. A database search of CINAHL, MEDLINE, and …
The Effects Of Complementary Hippotherapy For Children With Austism Spectrum Disorder, Jamie Hicks
The Effects Of Complementary Hippotherapy For Children With Austism Spectrum Disorder, Jamie Hicks
HIM 1990-2015
Autism Spectrum Disorder (ASD) is an intricate and complex disorder that continues to grow in its prevalence year after year. The disorder is based on decreased social communication with prevalent stereotypical behaviors and problems in sensory processing. Due to the disorder diagnosis based on a spectrum, each child is different in their severity, and thus requires individualized forms of therapies and treatments. The cause of ASD is unknown, which makes the treatment difficult to standardize. Desperate to find a regimen that benefits their child’s ability to function more successfully, more and more parents are utilizing complementary alternative medicine (CAM). The …
Subcutaneous Injection Techniques Of Anticoagulant Therapies, Leah Morissette
Subcutaneous Injection Techniques Of Anticoagulant Therapies, Leah Morissette
HIM 1990-2015
Subcutaneous anticoagulant medications like Heparin and Low-Molecular Weight Heparin are injections that readily cause bruising, pain, induration, and hematoma formation at the injection site. It is known that these adverse reactions can be correlated to the technique used to administer these medications; however, there is no established technique that reduces bruising, pain, induration, and hematoma formation at the site. Currently, the only protocol for subcutaneous Heparin and Low-Molecular Weight Heparin is that it is to be administered subcutaneously in the abdomen and when using a prefilled syringe, the air bubble should not be removed. The purpose of this study was …
Assessment Of Tracheostomy Care Practices In A Simulated Setting, Thomas Bolsega
Assessment Of Tracheostomy Care Practices In A Simulated Setting, Thomas Bolsega
HIM 1990-2015
Background: Although a tracheostomy is a common procedure for patients who require prolonged mechanical ventilation, little evidence exists as to the best practices for performing tracheostomy care to maintain the airway and promote skin integrity. Therefore, variability is likely, which may negatively impact patient outcomes. This study described tracheostomy care practices of registered nurses (RNs) and respiratory therapists (RTs) who regularly perform tracheostomy care in critical care settings. Methodology: The descriptive study was conducted following informed consent. RNs (n=15) and RTs (n=5) were asked to perform tracheostomy care on a simulated mannequin patient. An array of supplies (both required and …
Pre And Post Implementation Evaluation Of An Emergency Department Severe Sepsis Alert And Practice Protocol, Darleen Williams
Pre And Post Implementation Evaluation Of An Emergency Department Severe Sepsis Alert And Practice Protocol, Darleen Williams
Electronic Theses and Dissertations
Severe sepsis kills an estimated 1,400 people worldwide every day. This often fatal infectious process accounts for an estimated 215,000 deaths in the United States (US) annually. The main goal of this project was to evaluate the impact of the Emergency Department Severe Sepsis Alert and Practice Protocol (EDSSAPP) post implementation, on time to first antibiotic administration, length of stay, and mortality in patients admitted via the ORMC ED with severe sepsis. This study evaluated the time to first antibiotic administration, total ED and hospital length of stay (LOS) and mortality of severe sepsis patients either with a severe sepsis …
Family Care Giver Knowledge, Patient Illness Characteristics, And Unplanned Hospital Admissions In Older Adults With Cancer, Patricia Geddie
Family Care Giver Knowledge, Patient Illness Characteristics, And Unplanned Hospital Admissions In Older Adults With Cancer, Patricia Geddie
Electronic Theses and Dissertations
Unplanned hospital admissions (UHA) in older adult populations are a recurring problem in older adults with cancer. Older adults comprise approximately 60% of cancer diagnoses and receive the majority of cancer treatment. However, little is known about why older adults under treatment for cancer experience a high number of unplanned hospital admissions. A review of the literature provided few study findings and a gap in the current knowledge was identified regarding the factors associated with unplanned hospital admissions in older adults under treatment for cancer. A conceptual framework based on the literature and this researcher's clinical experienced guided this study. …
Rapid Response Teams Versus Critical Care Outreach Teams: Unplanned Escalations In Care And Associated Outcomes, Valerie Danesh
Rapid Response Teams Versus Critical Care Outreach Teams: Unplanned Escalations In Care And Associated Outcomes, Valerie Danesh
Electronic Theses and Dissertations
The incidence of unplanned escalations during hospitalization is undocumented, but estimates may be as high as 1.2 million occurrences per year in the United States. Rapid Response Teams (RRT) were developed for the early recognition and treatment of deteriorating patients to deliver time-sensitive interventions, but evidence related to optimal activation criteria and structure is limited. The purpose of this study is to determine if an Early Warning Score-based Critical Care Outreach (CCO) model is related to the frequency of unplanned intra-hospital escalations in care compared to a RRT system based on staff nurse identification of vital sign derangements and physical …
Perceived Social Support And Self-Care In Patients Hospitalized With Heart Failure, Lyne Chamberlain
Perceived Social Support And Self-Care In Patients Hospitalized With Heart Failure, Lyne Chamberlain
Electronic Theses and Dissertations
Problem: Heart failure is the most frequent cause for hospital readmissions in Medicare recipients, with an estimated annual cost of $12 billion. Heart failure hospitalizations are also an independent risk factor for increased mortality. Self-care, thought to be enhanced by perceived social support, is key to managing this syndrome, and up to 50% of readmissions are considered the result of inadequate self-care. Purpose: To evaluate perceived social support and self-care characteristics of patients hospitalized with an exacerbation of heart failure, and to compare these characteristics with a study of ambulatory patients with heart failure. In addition, to assess the relationship …
The Impact Of Relational Coordination And The Nurse On Patient Outcomes, Fanya Dejesus
The Impact Of Relational Coordination And The Nurse On Patient Outcomes, Fanya Dejesus
Electronic Theses and Dissertations
Healthcare quality remains a significant issue due to fragmentation of care in our complex U.S. healthcare systems. While coordination of care is foundational to healthcare quality as well as identified as a National Priority, fragmentation and uncoordinated care continues to afflict our systems. The purpose of this study was to explore the relationship between relational coordination and adverse nurse sensitive patient outcomes, namely hospital acquired pressure ulcers, patient falls with injury, catheter- associated urinary tract infection, and central line-associated blood stream infection. A retrospective correlational survey design using cross sectional data was used to conduct this quantitative study. An electronic …
Nurse Managers, Work Environment Factors And Workplace Bullying, Joy Parchment
Nurse Managers, Work Environment Factors And Workplace Bullying, Joy Parchment
Electronic Theses and Dissertations
The purpose of this dissertation is to explore relationships between authentic leadership style, global social power, job demand, job control, and workplace bullying of nurse managers in acute care settings across the United States. Over 30 years of workplace bullying research exists. Consequences are linked to intent to leave, turnover, and harmful emotional and physical effects. Published studies identifying nurse managers as targets of workplace bullying and work environment factors that contribute to nurse managers being recipients of workplace bullying either, downward from their leaders, horizontally from their nurse manager peers, and upwards from their clinical nurses were not identified. …
A Faith-Based Primary Diabetes Prevention Intervention For At-Risk Puerto Rican Adults: A Feasibility Study, Sylvia Torres-Thomas
A Faith-Based Primary Diabetes Prevention Intervention For At-Risk Puerto Rican Adults: A Feasibility Study, Sylvia Torres-Thomas
Electronic Theses and Dissertations
Diabetes is a serious health threat that disproportionately affects Hispanics of Puerto Rican heritage. Current evidence supports diabetes prevention programs to change health behaviors in people who are at risk and thus prevent the development of type 2 diabetes. However, few interventions exist for Hispanics, and even fewer have been designed for Puerto Rican adults. A literature review of community-based diabetes prevention programs involving at-risk Hispanics was conducted using a cultural sensitivity framework to determine the state of the science and identify gaps in knowledge regarding diabetes prevention for Puerto Ricans. An integrated theoretical framework was developed using constructs from …
Helping Mothers Defend Their Decision To Breastfeed, Kandis Natoli
Helping Mothers Defend Their Decision To Breastfeed, Kandis Natoli
Electronic Theses and Dissertations
The United States has established breastfeeding as an important health indicator within the Healthy People agenda. Healthy People target goals for breastfeeding initiation, duration, and exclusivity remain unmet. The US Surgeon General's Office reports that lack of knowledge and widespread misinformation about breastfeeding are barriers to meeting Healthy People goals. Breastfeeding mothers are vulnerable to messages that cast doubt on their ability to breastfeed. Very little research has examined specific approaches to help people resist negative messages about health beliefs and behaviors. The objective of this quasi-experimental study was to test an intervention designed to help mothers defend their breastfeeding …
Impact Of Interruption Frequency On Nurses' Performance, Satisfaction, And Cognition During Patient-Controlled Analgesia Use In The Simulated Setting, Kristi Campoe
Electronic Theses and Dissertations
Problem: Interruption during medication administration is a significant patient safety concern within health care, especially during the administration of high risk medications in nursing. Patient-controlled analgesia (PCA) devices are frequently associated with adverse events and have a four-fold increased risk of patient injury compared to non-PCA related adverse events. While the nature and frequency of interruptions have been established for nurses* medication processes, the impact of interruption frequency on nurses* PCA interaction has not been fully measured or described. Purpose: The purposes of this study were to quantify the impact of interruption frequency on registered nurses* (RN) performance, satisfaction, and …