Medicine and Health Sciences Commons^™

Intraoperative Blood Pressure And Effect Of Volatile Anesthetic In Brain Dead Organ Donors, Alison Lynn Karmanian

College of Science and Health Theses and Dissertations

Background: There is a large disparity between the number of people waiting for organ transplants and the number of organs available. Optimal hemodynamic management can influence transplant outcomes, therefore evidence-based hemodynamic management should be practiced to maximize scarce donor organs.

Purpose: The purpose of this study was to examine intraoperative blood pressures and administration of volatile anesthetics during brain dead organ donor procurements. Use of volatile anesthetics was examined to determine how use and dose affected the ability to maintain mean arterial pressure (MAP) between 60 to 90 mmHg.

Design: This study was a retrospective chart review.

Results: Twenty-eight cases …

Electronic Health Record Utilization And Education: Improving Role-Specific Confidence And Competence In The Outpatient Setting, Nicole Neuman

Master's Projects and Capstones

The call for meaningful use of electronic health records (EHR) and its universal benefits are well known. Despite mandates for change resistance to adoption of paper-less system remains problematic. Non-use of the EHR has persisted in the outpatient specialty care setting in spite of 4 all-staff trainings and stakeholder backing. This project suggests that implementing team leadership and educational tools provides staff with confidence and supportive resources to achieve proficiency. Objectives for this project include (a) providing staff with training and tools to access self-guided troubleshooting videos, follow quick-guide checklists for crucial tasks, and provide handouts for patient portal access, …

Biomedical Research Careers Pipeline In A Southern Hispanic-Serving Institution (Hsi): Perspectives Of Faculty And Students On Efficacy Of Mentoring Workshops, Ming-Tsan P. Lu, Stacey Lee Gonzalez, Yuridia Munoz, Luis V. Colom

Teaching and Learning Faculty Publications

The purpose of the study was to investigate the efficacy of the Mentoring Workshops for students and faculty. College student and faculty participants’ perceptions of competencies, abilities, beliefs, and attitudes through the study university’s mentoring workshops were reported. The studies were exploratory in nature, leading the investigators to conduct pre-post surveys. Findings suggested that students and faculty had a positive perception of the mentoring workshops’ effectiveness. Faculty provided suggestions, such as making the workshops longer, providing case studies, and holding future mentoring workshops, were reported for enhancing the effectiveness of the mentoring workshops.

Factors That Influence Intrinsic Motivation On Program Completion For Rehabilitative Patients: An Integrative Review Of Literature, Zareen Khan, Akif Khan

Grace Peterson Nursing Research Colloquium

Abstract

Background: Rehabilitation is often focused on improving an individual’s physical or functional capabilities after a traumatic injury. However, successful rehabilitation adherence and program completion has shown to have attributes of intrinsic motivation. Intrinsic motivation, as defined by Deci and Ryan (1985), is a learned behavioral trait that is driven by an internal force and produces a rewarding outcome.

Objectives: The purpose of an integrative literature review was to determine which factors influence intrinsic motivation among patients enrolled in rehabilitation programs. Thus, advancing the knowledge of clinicians to explore and utilize its applications with their clients; ultimately aiding them to …

The Role Of Spirituality Among Schizophrenia Patients: An Integrated Literature Review, Sarah Bieber

Grace Peterson Nursing Research Colloquium

Abstract

Background: Over the past 30 years, the field of psychology has evolved to become more receptive towards spirituality as an influential concept in the recovery of many mental health illnesses. The role of spirituality as it relates to recovery for patients living with schizophrenia, however, has not been effectively explored. In order to induce a spiritual sense, one must have an ability to think and reflect abstractly; however, this requirement conflicts with the schizophrenic mind’s preference for concrete thinking. It is questionable whether patients with schizophrenia regard the role of spirituality as it relates to their recovery in the …

Food Addiction And The Effective Treatment Of Adult Food Addicts: An Integrative Review Of Literature, Sara Bourque

Grace Peterson Nursing Research Colloquium

Abstract

Background: In a survey conducted between the years of 2011 and 2014 it was suggested that 36% of adults in the U.S. were obese with over 40.2% being middle aged adults. Obesity is associated with a number of comorbid conditions including diabetes, heart attacks, and strokes. Due to this it is one of the major factors driving up our annual medical care costs. It is also one of the leading causes of death not only in the U.S. but worldwide. With one third of the adult population in the U.S. being obese food addiction may very well be a …

Mothers Working Nonstandard Schedules And The Influence On Their Children’S Behavior, Danielle Richardson

Grace Peterson Nursing Research Colloquium

Abstract

Purpose

The aim of this study is to determine if there is a relationship between mothers working nonstandard schedules and a negative impact on their children’s behavior.

Background

Nonstandard schedules are in demand among many professions due to the emerging 24/7 economy. With women accounting for nearly half of the U.S. labor force, more mothers are bound to be working nonstandard schedules. With these schedules, mothers are likely to miss important family routines with potential consequences to the children’s behavior.

Method

A thorough search was conducted using CINAHL Complete, PubMed, and ProQuest Nursing & Allied Health Source. Peer-reviewed studies …

Methods To Reduce Fall Risk, Christin Klineman

Grace Peterson Nursing Research Colloquium

Background: The reinforcement of patient, family, and staff education in addition to traditional fall risk interventions is critical to reduce the rates of falls in hospitalized patients.

Objectives: The purpose of this integrative literature review is to analyze whether or not performing initial falls risk assessments combined with patient and family education could potentially reduce the number of falls in hospitalized patients.

Method: An integrative literature review guided by Whittemore & Knafl was conducted using Cumulative Index of Nursing and Allied Health (CINAHL) Complete, ProQuest, PubMed and Google Scholar. A search was conducted using these terms: hospital, falls, fall prevention, …

Role Of Education In Organ Donation: An Integrative Literature Review, Angelica Dickey

Grace Peterson Nursing Research Colloquium

Role of Education in Organ Donation An Integrative Literature Review

Angelica Dickey

Faculty Sponsor: Angel Butron, RN

Background: Currently in the United States alone, there are over 120,000 individuals waiting for a transplant and on average, 22 individuals will die each day waiting. The current need for organs significantly outweighs the number of organs donated and the education process can help this balance.

Objectives: The purpose of this integrative literature review was to measure the general knowledge of non-healthcare professionals on organ donation and how earlier education can help increase rates of donation.

Method: An integrative literature review was conducted …

The Availability & Efficacy Of Non-Pharmacological Interventions For Pain Management For Children With Sickle Cell Disease: A Systematic Review Of The Literature, Uchenna Onyema-Jones

Grace Peterson Nursing Research Colloquium

The Availability & Efficacy of Non-Pharmacological Interventions

For Pain Management for Children with Sickle Cell Disease:

A Systematic Review of the Literature

Uchenna N. Onyema-Jones

Faculty Sponsor: Tamara Poole, MS, APN, FNP-BC

Background: Pain is the leading cause of hospitalizations for many pediatric patients with sickle cell disease and unfortunately it is often sub-optimally managed by healthcare professionals with pharmacological interventions.

Objectives: The purpose of this systematic literature review was to examine the availability and efficacy of non-pharmacological interventions used to manage pain in pediatric patients with sickle cell disease.

Method: A systemic literature review was conducted using the databases …

The Role Of Implicit Bias On Racial/Ethnic Health Disparities And Its, Anna Kim

Grace Peterson Nursing Research Colloquium

Background: Health disparities are differences in wellness and disease that exist between populations. Health disparities based on race and ethnicity exist in the United States, and implicit bias on the part of the provider may play a part. Objectives: The purpose of this integrative literature review is to describe if implicit bias based on race/ethnicity is found among health care professionals and its impact on health outcomes. Methods: Original studies published after 2006 were found using the CINAHL Complete database. Those that measured implicit bias in health professionals and studied racial/ethnic disparities were included. Results: Six original studies were analyzed, …

Coping Strategies Associated With High Quality Of Life In People Diagnosed With Multiple Sclerosis: An Intagrative Literature Review, Alyssa Fitzhugh

Grace Peterson Nursing Research Colloquium

Background: People suffering from Multiple Sclerosis (MS) face many challenges including physical disability, financial strain, and cognitive changes. While the coping mechanisms used to address these stressors can greatly impact one’s quality of life, limited studies are conducted to understand positive coping strategies used by this population.

Objectives: The purpose of this integrative literature review was to examine the types of coping strategies that have a positive impact on quality of life in individuals diagnosed with Multiple Sclerosis.

Methods: An integrative literature review was conducted. The keywords “coping, coping strategies, quality of life, multiple sclerosis, and MS” were used to …

Effective Nursing Interventions For Patients With High Health Anxiety: An Integrative Literature Review, Christina Hetz

Grace Peterson Nursing Research Colloquium

Effective Nursing Interventions For Patients With High Health Anxiety: An Integrative Literature Review

Christina Hetz

Faculty Sponsor: Dr. Young-Me Lee, PhD, RN, Larry Maturin MSN, APN, ACNS-BC, CEN, CCRN

Background: Patients with high health anxiety over seek medical services, resulting unnecessary and possibly invasive tests, consultations, and medication. This behavior ultimately results in iatrogenesis and causes symptoms of high health anxiety to increase.

Aim: The purpose of this integrative literature review was to identify interventions to lessen symptoms of high health anxiety, and the healthcare providers most successful in providing these interventions.

Method: An integrative literature review was conducted using …

Early Life Antibiotic Exposure And Its Association With Overweight/Obesity: An Integrative Review Of The Literature, Margaret Pfaff

Grace Peterson Nursing Research Colloquium

Early Life Antibiotic Exposure and its Association with Overweight/Obesity: An Integrative Review of the Literature

Margaret Pfaff

Faculty Sponsor: Dr. Shannon Simonovich

Background: Prevention of or treatment for obesity could improve quality of life for many people. Infancy may be a critical period during which efforts should be focused to mitigate modifiable factors that may influence the risk for developing obesity.

Objectives: This integrative literature identified factors associated with greater incidence or effects of antibiotic exposure during infancy and examined the connection between early life antibiotic exposure and later in life overweight/obesity.

Method: This analysis followed the Whittemore and Knafl …

Outdoor Physical Activity And Mental Health, Justyna Helinska, Elizabeth Hartman

Grace Peterson Nursing Research Colloquium

Abstract

Background: According to the Center for Disease Control and Prevention (2013), about 25% of US adults have a mental illness. The economic demand that treatment for mental illness involves is extensive. Recent evidence suggests that the outdoor environment that consists of exercise may have an effect on mental health. Present review of literature is unclear how effective this intervention might be if incorporated into an inpatient psychiatric setting.

Objective: Examining the benefits of incorporating outdoor physical activity as an intervention to treat psychiatric disorders.

Method: The literature search for the research topic was found using the databases of: CINAHL …

Incidence Of Pediatric Melanoma, Brittany Bendoff

Grace Peterson Nursing Research Colloquium

Background: Over the last 40 years the number of new melanoma cases is not only increasing in adults, but also in children. The rate of pediatric melanoma in males and females ages 1 to 19 has increased by 2% per year since 1973. Risk factors for adult melanomas are well understood, whereas due to the rarity of pediatric melanomas, the risk factors have not been established

Objectives: The purpose of the integrative literature review is to discover if and why the incidence rates of pediatric melanoma are increasing This review will also explore the trends in pediatric melanoma and detection …

Perceptions Of Stress In Parents Of Preterm Infants In The Nicu, Karina Ortiz

Grace Peterson Nursing Research Colloquium

Background: The NICU plays an important role in extending the life of newborns that are in need of specialized pediatric diagnostic and therapeutic services, however, it can be an unfamiliar and stressful environment that can affect parents’ perceptions and mental health.

Objectives: The purpose of this literature review is to focus on parental perceptions of stress of premature infants as well as the negative effects on the psychological well-being of the parents.

Method: This study will examine the impact of perceptions of stress in parents of pre-term infants while in the NICU through an integrative literature review. Different combinations of …

Clinicians’ Perspectives And Utilization Regarding Harm Reduction In Nursing Practice In Care Of Persons With Addiction: A Literature Review, Audrey Killarney

Grace Peterson Nursing Research Colloquium

Clinicians’ perspectives and utilization regarding harm reduction in nursing practice in care of persons with addiction: A literature review

Audrey Killarney, BS

Prof. Michelle Neuman, MSN, APN, RN

NSG 598: Graduate Research Synthesis

18 August 2017

Introduction

Background & Significance

Harm reduction is a concept best described as the recognition that individuals will engage in unhealthy behaviors, and the goal is to minimize the associated potential harm. (Stockwell, Reist, Macdonald, Benoit, & Jansson, 2010). Classically, it was used an alternative model of care for treating smokers and controlling the spread of HIV and hepatitis B (Henwood, Padgett, & Tiderington, 2014). …

Factors That Affect United States Latina Immigrants’ Perception Of Preventative Care Of Stis And Contraceptive Use: An Integrative Review Of Literature Daniela Moody Linda Graf, Dnp, Cnm, Whnp-C, Apn, Rn Background: Latina Immigrants Are The Largest Growing Minority Group In The United States Yet They Have Limited Access To Healthcare Providers Who Can Accurately Educate The Women How To Best Prevent Transmission Of Stis And Also Provide Accurate Information On Various Types Of Contraceptive Use. Objectives: This Integrative Review Examined Current Research To Identify Factors That Affect A Latina Immigrant’S Perception On Preventative Care For Stis And Contraceptive Use. Methods: This Integrative Review Used Relevant Evidence To Answer The Specific Question Using A Narrative Analysis To Explain The Compilation Of Literature And Findings Of Varied Studies. Studies Were Organized, Coded, Summarized And In Classified In A Table Per Their Category. Findings: This Study Found That Acculturation And Language Affected Latina Immigrants’ Perception Of Obtaining Preventive Care For Stis And Contraceptive Use, Shown By Higher Rates Of Hpv And Other Stis. A Lack Of Education Or A Lack Of Information Also Increased The Lack Of Preventive For Stis And Contraceptive Use Within The Latina Immigrant Population. Conclusions: Due To The Evidence For This Integrative Review, The Nursing Community Needs To Provide More Outreach With Accurate Information Regarding Sti Transmission And Contraceptive Use For This Population., Daniela Granados Moody

Grace Peterson Nursing Research Colloquium

Factors that affect United States Latina immigrants’ perception of preventative care of STIs and contraceptive useFACTOFF: An Integrative Review of Literature

Daniela Moody Linda Graf, DNP, CNM, WHNP-C, APN, RN

Background: Latina immigrants are the largest growing minority group in the United States yet they have limited access to healthcare providers who can accurately educate the women how to best prevent transmission of STIs and also provide accurate information on various types of contraceptive use. Objectives: This integrative review examined current research to identify factors that affect a Latina immigrant’s perception on preventative care for STIs and contraceptive use. Methods: …

Best Evidence-Based Best Practices For Helping Women That Are Addicted To Opiates During Pregnancy, Jordan Edwards

Grace Peterson Nursing Research Colloquium

Background: Women of childbearing age that are active opiate users are at high risk of inflicting irreversible damage on not only themselves but onto their unborn children as well. There are limited studies on effective treatment options and education models for pregnant women addicted to opiates. Current practices for helping women that are addicted to opiates do not address the importance of education models for successful cessation of opiate abuse, and defer to treatment options that are used for the general population.

Objectives: The purpose of this integrative literature review was to identify what evidence-based best practices are being used …

The Benefits Of And Barriers To Psychiatric Advance Directive Implementation, Lauren Haindfield

Grace Peterson Nursing Research Colloquium

The Benefits of and Barriers to Psychiatric Advance Directive Implementation

Lauren Haindfield

Faculty Sponsor: Dr. Barbara Harris

Background: Psychiatric advance directives can be beneficial for patients with mental disorders, but their implementation is limited in large part due to a knowledge gap.

Objectives: The purpose of this integrative literature review was to identify both the benefits of and barriers to psychiatric advance directives.

Methods: This integrative literature review used the databases of CINAHL, PubMEd, and PsychInfo. Search terms included pad implementation, barriers to pad implementation, psychiatric advanced directives, benefits of psychiatric advanced directives, and current pad practices.

Results: PAD implementation …

Napping And Errors In Night Shift Nursing, Yoon-Hee Hong

Grace Peterson Nursing Research Colloquium

Napping and Errors in Night Shift Nursing

Yoon-Hee Hong, MS Candidate

Larry Maturin, MSN, APN, ACNS-BC, CEN, CCRN

DePaul University School of Nursing

Summer 2017

Abstract

Fatigue and sleepiness in nurses resulting from long 12-hour night work shifts were brought to the spotlight by a sentinel event alert published by The Joint Commission in 2011. By working these long hours, nurses place patient safety at risk. Napping mid-shift has been proposed as a means of reducing the physiological demands and mental decline of fatigue and sleepiness. However, implementation of napping and other fatigue relief measures by nurse managers has not …

Emergency Response Time And Fatalities In Rural Areas, Carrie Quinn

Grace Peterson Nursing Research Colloquium

Abstract

More than 90 people die every day in motor vehicle accidents. Rural residents are found to be five times more likely than their urban counterparts to die in a motor vehicle accident and three times more likely to be hospitalized. Many factors contribute to the severity and outcome of an accident; however, emergency medical services response time is one easily modifiable factor that is heavily related to the location of the accident and the patient’s outcome. This purpose of this research was to investigate motor vehicle accidents and emergency response time in a rural setting. The results reveal that …

Mesenchymal Stem Cells As An Alternative To Knee Replacement Surgery, Michelle Villegas-Downs

Grace Peterson Nursing Research Colloquium

Knee osteoarthritis is a degenerative disease that causes disability and persistent pain. Currently, treatment modalities for osteoarthritis focus on pain reduction and symptom management, but do little to address disease modification. Presently, the treatment of choice for knee osteoarthritis is total knee replacement surgery. Total knee replacement surgery carries significant risks and does not guarantee improvement in joint pain or function. In the last decade, advances in regenerative medicine have proposed the use of mesenchymal stem cells as a treatment strategy for joint preservation, cartilage regeneration and improved joint function in patients with osteoarthritis. The aim of this integrative literature …

The Grace Peterson Nursing Research Colloquium, Phutthaphen Sengpanich

Grace Peterson Nursing Research Colloquium

No abstract provided.

Food Insecurity And Its Impact On Health Status Among Homeless Individuals: An Integrative Literature Review, Jacqueline Munyasya

Grace Peterson Nursing Research Colloquium

FOOD INSECURITY AND ITS IMPACT ON HEALTH STATUS AMONG HOMELESS INDIVIDUALS:

AN INTEGRATIVE REVIEW

Jacqueline Munyasya

Faculty Sponsor: Dr. Shannon Simonovich

Background: Food insecurity is a serious problem in the United States and the number of people affected by food insecurity in the United States has risen dramatically in recent years. The homeless population is disproportionately affected. The combination of homelessness and food insecurity is a problem has the combined effect that is extremely costly to the public and the overall health of the population. As nurses, we will encounter these populations and treat them in both community and acute …

The Continuous Increased Occurrence Of Sexually Transmitted Infective Diseases, Kamila Lakoma

Grace Peterson Nursing Research Colloquium

No abstract provided.

Evaluation Of Entry-Level Nurse Anesthesia Educational Programs, Stephen Reimers

Grace Peterson Nursing Research Colloquium

Evaluation of Entry-Level Nurse Anesthesia Educational Programs: A National Survey Stephen Reimers, BSN, RN, CCRN Faculty Sponsor: Karen Kapanke, DNP, CRNA

Background: The requirement for all nurse anesthesia educational programs to transition to offering practice doctorates by January 1, 2022 signals a turning point in nurse anesthesia education.

Objectives: The goals of this project were to 1) determine the most significant barriers nurse anesthesia programs faced when transitioning offering a practice doctorate, 2) assess how the transition affected various program functions and outcomes, and 3) consider whether the requirement would result in a change in the number of graduates from …

The Grace Peterson Research Colloquium, Tolitu Aba-Omer

Grace Peterson Nursing Research Colloquium

No abstract provided.

Contributing Factors Of Substance Abuse In African-American Adolescents Residing In Public Housing: An Integrative Literature Review, Kristin Miller, Gabrielle Harvery

Grace Peterson Nursing Research Colloquium

CONTRIBUTING FACTORS OF SUBSTANCE ABUSE IN AFRICAN-AMERICAN

ADOLESCENTS RESIDING IN PUBLIC HOUSING: AN INTEGRATIVE LITERATURE

REVIEW

Kristin Miller and Gabrielle Harvey

Faculty Sponsor: Young-Me Lee, PhD, RN

Background: Despite the provided funding from the government and implementation of current prevention programs for African-American adolescents, substance abuse is still a serious public health problem in this population.

Objectives: To determine the contributing factors of substance abuse among African-American adolescents residing in public housing and to review the current effective intervention programs that address those factors that lead to substance abuse in this population.

Method: An integrative literature review was conducted. An …