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2018

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Articles 6301 - 6330 of 15442

Full-Text Articles in Medicine and Health Sciences

Using End Of Life Care In A Simulation Scenario In An Effort To Help Increase Student Confidence, Amy P. Davis May 2018

Using End Of Life Care In A Simulation Scenario In An Effort To Help Increase Student Confidence, Amy P. Davis

Nursing Theses and Capstone Projects

This evidence-based project examined how using the end of life care in a simulation scenario would help in an effort to increase student confidence. A sample size of 28 Practical Nursing Students participated in the simulation scenario. The Confidence Scale (C-scale) developed by Susan Grundy, was administered to the students as a pre-test prior to the simulation and a post-test after the simulation. The C-scale measured student confidence and consisted of five questions asking the students to rate themselves on a scale of one to five in performing a task. The goal was to see if the student’s confidence level …


Stress And Mindfulness Meditation Strategies In Nursing Student Clinical Education And Future Clinical Practice, Joanne Kathryn Mcclave May 2018

Stress And Mindfulness Meditation Strategies In Nursing Student Clinical Education And Future Clinical Practice, Joanne Kathryn Mcclave

Nursing Theses and Capstone Projects

The purpose of the DNP project was to assist students to recognize, reduce, and manage their stress. The mindfulness meditation interventions are an effective strategy to manage and reduce stress. The project was set in a southeastern part of the United States at a community college that had an associate degree nursing program. At present, nursing education does not include stress and the management of stress in the curriculum. The project targeted associate degree nursing students to teach students how stress influences their lives and evidence-based strategies to alleviate their stress in clinical practice and in future practice through education …


Improving Nurse-Patient Communication Using The Teach-Back Method, Sheila Revis Smallwood May 2018

Improving Nurse-Patient Communication Using The Teach-Back Method, Sheila Revis Smallwood

Nursing Theses and Capstone Projects

Effective nursing communication considers health literacy, the person’s ability to understand and make health decisions based on the information given. Health professionals often overestimate the health literacy of patients, thereby affecting patient outcomes. In a hospital environment, patients rate the ability of the nurse to explain things in a way patients understand by completing the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) after discharge. The HCAHPS results are converted to a score which is used in a formula to determine hospital reimbursement; the lower the score, the lower the reimbursement. The purpose of this project was to improve …


Correctional Nursing: Why Is Retention An Issue?, Bethany Jernigan May 2018

Correctional Nursing: Why Is Retention An Issue?, Bethany Jernigan

Nursing Theses and Capstone Projects

The specialty of correctional nursing has its own set of considerations and concerns that impact retention and affect healthcare outcomes for the offender population. The purpose of this research study was to identify specific areas causing poor nursing staff retention and recruitment within the correctional environment. The literature review revealed correctional nursing can benefit from: improved education and training for correctional nurses, emphasis and focus on public health in the correctional environment, role confusion in correctional nursing, and further investigation and research needed in recruitment and retention. Prison nursing staff at a large, rural correctional facility, completed the revised Casey-Fink …


Stress Management And The Novice Nurse, Patrice Lawrency May 2018

Stress Management And The Novice Nurse, Patrice Lawrency

Nursing Theses and Capstone Projects

The stress of the novice nurse impacts the quality of patient care, emotional, and physical wellbeing of the novice nurse and hospital costs. The aging of the Baby Boomer generation is impacting the nursing profession. These factors should be addressed to promote the retention of novice nurses in the profession. Research has shown that the mitigation of stress in the novice nurse can have a positive impact on the nursing shortage. An inundation of literature exists on the evolution process from the academic to the clinical setting, but few studies identified resources to provide support to the novice nurse. Strategies …


Nursing Documentation Environment In The Hospital Setting, Alice Cavin May 2018

Nursing Documentation Environment In The Hospital Setting, Alice Cavin

Nursing Theses and Capstone Projects

Nurses often document in open nurses’ stations exposed to frequent interruptions. Much has been written on the need to limit distractions while collecting and administering medications but little has been published on the effects interruptions have on nursing documentation. The purpose of this study was to examine the environment in which nurses chart and to gather their perceptions of the documentation environment. Marilyn Ray’s Theory of Bureaucratic Caring was the guiding framework for this study. A review of the literature revealed the effects open work spaces, noise, and interruptions can have on work performance. This study, a focus group discussion, …


Improving Professionalism In New Graduate Nursing Behavior, Debra Brendley May 2018

Improving Professionalism In New Graduate Nursing Behavior, Debra Brendley

Nursing Theses and Capstone Projects

Professional behavior in nursing is a difficult term to define. There are generational, cultural, and regional aspects that affect the definition of this concept. Nursing, as in other professions, has a set of behaviors it has deemed necessary to guide practice. Professionalism is paramount in that it guides the nurse’s behavior in patient care, in collaboration with healthcare team members, and in serving the community. There is a direct correlation between professional behavior in nursing practice and positive patient outcomes. Unprofessionalism has been noted as an issue in nursing, including the new graduate nurse population. This project sought to develop …


Watson’S Theory Of Human Caring: Effect On Nurse Perception Of Care Environment, Shannon Jones May 2018

Watson’S Theory Of Human Caring: Effect On Nurse Perception Of Care Environment, Shannon Jones

Nursing Theses and Capstone Projects

Psychiatric and mental health nurses face unique problems related to the specifics of the role including low morale and burnout. These problems stem from many factors including insufficient staffing, lack of support from management, and patient behaviors such as aggression or noncompliance which lead to poor patient outcomes. The purpose of this study was to determine what effect adoption of Dr. Jean Watson’s Theory of Human Caring has on nurse perception of the care environment on an inpatient psychiatric unit in a rural community hospital as measured by a modified version of the Combined Assessment of Psychiatric Environments (CAPE) instrument. …


Improving Gender Diversity In Nursing Through A Mentoring Program, Nancy Lynn Hilburn May 2018

Improving Gender Diversity In Nursing Through A Mentoring Program, Nancy Lynn Hilburn

Nursing Theses and Capstone Projects

Diversity can add value to a team by bringing in ideas and viewpoints from various backgrounds that may not have been thought of otherwise. This is also true in the health care setting. Nurse leaders have identified a strong connection between a diverse nursing workforce and the ability to provide quality, culturally competent care to patients (American Association of Colleges of Nursing, [AACN] 2015). According to the Kaiser Foundation, there were 3,184,283 registered nurses (RN) in the United States in 2016. The National Council of State Boards of Nursing and The Forum of State Nursing Workforce Centers 2013 National Workforce …


Early Fetal Loss In The Emergency Department And Nurses’ Perceptions Of Care: Implementation Of A Framework For Care, Sandy Langheld May 2018

Early Fetal Loss In The Emergency Department And Nurses’ Perceptions Of Care: Implementation Of A Framework For Care, Sandy Langheld

Nursing Theses and Capstone Projects

Women and families widely report dissatisfaction with miscarriage care received in the emergency department (ED). Nurses in the ED are not formally trained in principles of perinatal bereavement, including meeting the complex psychological needs of clients experiencing the loss of an early pregnancy. Nurses may lack the confidence, preparedness, and knowledge needed to care for these clients holistically. This project hypothesized ED nurses’ perceptions (knowledge, confidence, and preparedness) would improve subsequent to education and implementation of an evidence-based framework for care. Emergency department nurses’ perceptions (knowledge, confidence, and preparedness) of care significantly increased after education and implementation of an evidence-based …


The Impact Of Social Factors On Readmission Rates Of Heart Failure Patients, Lashwanda Richardson May 2018

The Impact Of Social Factors On Readmission Rates Of Heart Failure Patients, Lashwanda Richardson

Nursing Theses and Capstone Projects

Heart Failure is the most common reason for readmission among Medicare fee-forservice patients. While there are medical and health related factors such as medication adherence and comorbidities that contribute to heart failure readmissions, there are many social factors that cause readmission as well. This thesis will focus on the impact social factors have on heart failure patients that lead to their readmission. It will also discuss evidence-based interventions that reduce readmissions and improve the performance of hospitals on their 30-day readmission performance measure. Reducing readmissions in patients with heart failure will reduce hospital costs. It will also help to close …


The Denison Pequotsepos Nature Center Giving Garden At Coogan Farm: A Practitioner Report On Community Gardens For Health And Regional Food Security, Emma Sutphen May 2018

The Denison Pequotsepos Nature Center Giving Garden At Coogan Farm: A Practitioner Report On Community Gardens For Health And Regional Food Security, Emma Sutphen

Sustainability and Social Justice

The Denison Pequotsepos Nature Center (DPNC) is a community organization that, through its various programming, works to perpetuate a vision of humans as part and parcel of the world. In 2013, when the Nature Center acquired the Coogan Farm property, the organization built a community garden called the Giving Garden to serve surrounding communities, expanding services to the foodservice sector educational programming around sustainable agriculture. DPNC’s partnership with the Robert G. Youngs Family Foundation, United Way of Southeastern Connecticut, and Gemma E. Moran mobile food pantry, forged in 2014, has allowed the garden to minimize area food insecurity through its …


Underserved And Unaccompanied: Lgbtq Youth, Meeting The Intersecting Needs Of Youth Homelessness And Lgbtq Identities In Worcester, Ma, Molly Kellman May 2018

Underserved And Unaccompanied: Lgbtq Youth, Meeting The Intersecting Needs Of Youth Homelessness And Lgbtq Identities In Worcester, Ma, Molly Kellman

Sustainability and Social Justice

LGBTQ youth are at a much higher risk for experiencing homelessness, victimization, abuse, and disconnection from social and medical services than their non-LGBTQ peers. This research paper uses a mixed-methods approach to identify the specific needs of unaccompanied LGBTQ youth in Worcester, Massachusetts, and how the youth service sector can better meet the needs of this population. Analysis of data from unaccompanied LGBTQ youth and the providers who serve them revealed a disconnect between service providers, and a lack of resources that accommodate the intersections of homelessness and LGBTQ identities. LGBTQ youth in Worcester are more at risk of experiencing …


The Effects Of Dietary Nitrate Supplementation On Swimming Performance In Collegiate Swimmers 2018, Christopher Daniel Mosconi May 2018

The Effects Of Dietary Nitrate Supplementation On Swimming Performance In Collegiate Swimmers 2018, Christopher Daniel Mosconi

Master's Theses

The desire for performance enhancement is a common goal amongst athletes. Recently a number of studies have reported various performance enhancing effects of dietary nitrate (NO3-) via beetroot juice (BRJ) supplementation. Research has indicated that the various performance enhancing effects of BRJ can be attributed to a decrease resting systolic blood pressure (SBP), diastolic blood pressure (DBP), and submaximal volume of oxygen consumption (VO2), while increasing vasodilation and mitochondrial efficiency. Purpose: The purpose of this study was to investigate whether BRJ supplementation improves swimming performance in collegiate level swimmers. Methods: Eight collegiate trained swimmers underwent a double-blind 5-day chronic supplementation …


Aspects Of Weight Management In Ncaa Division Iii Collegiate Wrestlers 2018, Matthew Martone B.S., Cscs May 2018

Aspects Of Weight Management In Ncaa Division Iii Collegiate Wrestlers 2018, Matthew Martone B.S., Cscs

Master's Theses

Objective: The purpose of this study was to observe the weight management habits of division III collegiate wrestlers during the week leading up to a competition. Methods: Subjects reported to the lab on Monday morning after an overnight fast. Subjects were measured for height and weight and were asked to provide urine and blood samples for analysis of hydration and creatine kinase activity, respectively. Throughout the week, subjects were weighed in and out of practice to monitor daily weight fluctuations. Subjects also self-recorded all food and drink consumption throughout the 5-day period. On Saturday morning, approximately 1 hour before weigh-ins …


Maine Health Access Foundation Addiction Care Program: Interim Evaluation Report, Mary Lindsey Smith Phd, Katie Rosingana Ba, Frances Jimenez Ba, Rachel M. Gallo Mph, Mark Richards Bs May 2018

Maine Health Access Foundation Addiction Care Program: Interim Evaluation Report, Mary Lindsey Smith Phd, Katie Rosingana Ba, Frances Jimenez Ba, Rachel M. Gallo Mph, Mark Richards Bs

Substance Use Research & Evaluation

No abstract provided.


Effects Of Mitochondrial Nadp+-Dependent Isocitrate Dehydrogenase Deficiency On Fructose-Induced Obesity In Mice, Allison Michelle Montalbano, Kaleigh Elizabeth Beane May 2018

Effects Of Mitochondrial Nadp+-Dependent Isocitrate Dehydrogenase Deficiency On Fructose-Induced Obesity In Mice, Allison Michelle Montalbano, Kaleigh Elizabeth Beane

Human Nutrition and Hospitality Management Undergraduate Honors Theses

Obesity prevalence in the United States continues to increase and is associated with health consequences such as type 2 diabetes, hypertension, atherosclerosis, and hyperlipidemia. Among many contributing factors to obesity, fructose may be one of the major reasons as it disrupts the antioxidant system thereby resulting in an accumulation of reactive oxidative species and leading to obese conditions. The enzyme, isocitrate dehydrogenase 2 (IDH2), reduces nicotinamide adenine dinucleotide phosphate from the TCA Cycle, hence might be implicated with not only energy metabolism but also cellular redox homeostasis. Therefore, the hypothesis was that IDH2 deficiency in mice would exacerbate hepatic lipid …


The Ethical Principle Of Vulnerability And The Case Against Human Organ Trafficking, Peter A. Depergola Ii May 2018

The Ethical Principle Of Vulnerability And The Case Against Human Organ Trafficking, Peter A. Depergola Ii

Journal of Health Ethics

An increasingly blurred understanding of the ethical significance of global "transplant transactions" - a curious combination of altruism and commerce, consent and coercion, gifts and theft, science and sorcery, care and human sacrifice - suggest a critical need to revisit the fundamental moral normlessness of the trafficking enterprise. This essay grounds its arguments in two, straightforward premises: (i) the ethical principle of respect for human vulnerability is an indispensable measure of the licitness of most, if not all, moral actions; and (ii) human organ trafficking violates the ethical principle of respect for human vulnerability. Drawing from this syllogism, the aim …


The Ethical Justification Of Equal Candidacy For Organ Transplantation In Alcoholic Patients, Peter A. Depergola Ii May 2018

The Ethical Justification Of Equal Candidacy For Organ Transplantation In Alcoholic Patients, Peter A. Depergola Ii

Journal of Health Ethics

An increasingly blurred understanding of the distinctive challenges posed to transplantation medicine and, by extension, public health, by the debilitating reality of alcoholism suggests a critical need to revisit the relationship between causality, candidacy, and culpability in light of substance addiction. This essay grounds its arguments in two, straightforward premises: (i) compassionate medical practice - understood as the sympathetic willingness to enter into the existential suffering of another in order to ameliorate the anguish invoked by disease - rests on the fiduciary relationship shared between provider and patient; and (ii) allocating medical goods according to moral desert rather than existential …


Health And Human Rights Of Syrian Women And Children Refugees: Trafficking, Resettlement, And The United Nations Convention On Refugees Revisited, Lori Maria Walton Phd, Dpt, Mph(S), Clt May 2018

Health And Human Rights Of Syrian Women And Children Refugees: Trafficking, Resettlement, And The United Nations Convention On Refugees Revisited, Lori Maria Walton Phd, Dpt, Mph(S), Clt

Journal of Health Ethics

In 2016, there were approximately 22.5 million refugees displaced outside their home country because of armed conflict, over half of whom are minors. Syria reported the highest number, with over eleven million refugees displaced, both internally and externally, from zones of conflict in 2017. Over five million Syrian refugees, between the years 2011 and 2017, have fled to other countries including: Lebanon (1.1 million), Jordan (660,000), Egypt (122,000), Turkey (2.9 million) and Iraq (241,000). Exposure to war, displacement, and violence deprives women and children of the basic right to health, including the “right to control one’s health and body” and …


Ethical Issues Perceived By Clinical Ethicists, Marcia S. Bosek, Brian Fulmer May 2018

Ethical Issues Perceived By Clinical Ethicists, Marcia S. Bosek, Brian Fulmer

Journal of Health Ethics

“Ethicists often work alone in rural locations while also holding leadership roles. Who helps the ethicist when he/she experiences an ethical dilemma or moral distress?” asked an ethicist. Purposes of this descriptive exploratory convenience research project were to (1) Identify the ethical issues personally experienced by clinical ethicists while fulfilling their professional role, and (2) Describe the resources that clinical ethicists have or desire for resolving these personally experienced ethical situations. A random purposive sampling strategy was implemented. IRB approval was obtained. 12 clinical ethicists participated. Eight of the participants had experienced a personal ethical issue while performing their clinical …


Ethical Dilemmas Experienced By Australian Rehabilitation Counsellors, Vanette Mclennan, Kerry Ryan, Christine Randall May 2018

Ethical Dilemmas Experienced By Australian Rehabilitation Counsellors, Vanette Mclennan, Kerry Ryan, Christine Randall

Journal of Health Ethics

Private sector rehabilitation counsellors operate in a dynamic and complex environment in which their decisions are influenced by several stakeholder interests including workers’ compensation authority regulators, scheme appointed agents, employers, and injured workers. The potentially competing interests of all parties often challenge the values and professional responsibilities of rehabilitation counsellors. The current study aimed to address the gap identified in the literature concerning ethical dilemmas unique to private sector rehabilitation counselling in Australia. A qualitative methodology was adopted to examine: a) the types of ethical dilemmas most encountered by rehabilitation counsellors working in the context of private sector settings; and …


Should Doctors Take Into Account Human Races? A Medical Ethics Approach, Gabriel Andrade May 2018

Should Doctors Take Into Account Human Races? A Medical Ethics Approach, Gabriel Andrade

Journal of Health Ethics

Racial discrimination has some very harmful social effects. But, can discrimination in medicine lead to good outcomes? This is an emerging question in medical ethics. It is undoubtedly true that some individuals are more genetically prone to some diseases than others. But, we should not rush to judgment, and believe that race may be a good guide in order to discover what diseases an individual is more susceptible to. Illnesses such as sickle cell-anemia and Tay Sachs disease have long been thought to have a racial correspondence. This is in fact not true. There have also been attempts to prescribe …


Dcyf, Child Victimization In Rhode Island Communities, S R. Rosenthal, S L. Buka May 2018

Dcyf, Child Victimization In Rhode Island Communities, S R. Rosenthal, S L. Buka

Health & Wellness Department Faculty Publications and Research

No abstract provided.


Interventions For Afterschool Programs To Decrease The Likelihood Of Childhood Obesity, Anna R. Boyd, Lauren E. Hendricks, Elexus T. Morton, Kayleigh S. Phillips, Corie Vanarsdale, Msn May 2018

Interventions For Afterschool Programs To Decrease The Likelihood Of Childhood Obesity, Anna R. Boyd, Lauren E. Hendricks, Elexus T. Morton, Kayleigh S. Phillips, Corie Vanarsdale, Msn

Anna Vaughn School of Nursing Undergraduate Work

This systematic research review (SRR) looked at the epidemic of childhood obesity and subsequent complications. Afterschool programs (ASPs) were targeted as a key area where children spend many hours each day and, therefore, an ideal place for obesity interventions. The purpose of this SRR was to search the current benefits ASPs can have on decreasing the risk and prevalence of childhood obesity and to answer the research question, "What are nursing interventions within ASPs that decrease the risk of obesity in children in the United States of America?" Childhood obesity influences nurses in many areas, including inpatient hospitals, schools, and …


A Systematic Review: Infant And Maternal Mortality And Morbidity In Developing Countries, Michayla Evans, Jamie Jeemon, Christiana Strysko, Lauren Toole, Patricia Catts, Rn, Phd May 2018

A Systematic Review: Infant And Maternal Mortality And Morbidity In Developing Countries, Michayla Evans, Jamie Jeemon, Christiana Strysko, Lauren Toole, Patricia Catts, Rn, Phd

Anna Vaughn School of Nursing Undergraduate Work

Maternal and infant morbidity and mortality rates are high within developing nations. The World Health Organization reports 800 women die daily due to pregnancy and labor complications (Maternal mortality, 2016). These complications are related to a wide variety of perinatal problems including preeclampsia and prolonged labor. Infant morbidity and mortality is related to infections, asphyxia, and low birthweight (Newborns: reducing mortality, 2016). The purpose of this systematic review was to research current literature to answer the question: “What are the nursing interventions to decrease maternal and infant morbidity and mortality in developing countries?”. This systematic research review included a sample …


Political Affiliation And White Privilege: The Effect Of Exposure To Symbols Of Political Affiliation And Race On Perceptions Of White Privilege And Anti-Black Discrimination, Hannah Knechel May 2018

Political Affiliation And White Privilege: The Effect Of Exposure To Symbols Of Political Affiliation And Race On Perceptions Of White Privilege And Anti-Black Discrimination, Hannah Knechel

Undergraduate Theses and Capstone Projects

This thesis explored the effects of exposure to different political affiliations and races on participants’ perceptions of white privilege and anti-black discrimination. Current research has studied the effects of race, framing, and guilt on the acknowledgement of white privilege, but none have explored how political affiliation can affect these perceptions. If simple exposure to these symbols of political affiliation can alter the perceptions of those exposed, perhaps the results of this study could be used to bring about awareness and ease political tensions. Participants were placed in one of six groups consisting of either a white or black experimenter wearing …


A Time Course Study Of Rotavirus-Infected Intestinal Cells Treated With Stilbenoids And The Regulation Of Apoptosis, Rebecca D. Parr, Caleb M. Witcher, Rebekah Napier-Jameson, Hannah L. Wilson, Stormey Wisdom, Macie N. Mattila, Essence B. Strange, Josephine Taylor, Beatrice Clack, Fabricio Medina-Bolivar, Judith M. Ball May 2018

A Time Course Study Of Rotavirus-Infected Intestinal Cells Treated With Stilbenoids And The Regulation Of Apoptosis, Rebecca D. Parr, Caleb M. Witcher, Rebekah Napier-Jameson, Hannah L. Wilson, Stormey Wisdom, Macie N. Mattila, Essence B. Strange, Josephine Taylor, Beatrice Clack, Fabricio Medina-Bolivar, Judith M. Ball

Faculty Publications

This is a time course study of virus –host interactions that are modified with the addition of two small natural products. They appear to effect virus replication and the host response to the infection.


The Effects Of Surface Pace In Baseball, Jason Farlow May 2018

The Effects Of Surface Pace In Baseball, Jason Farlow

Senior Theses

A baseball travels across different surfaces at different paces. The goal of this experiment is to find a percentage difference in speeds the ball will reflect off a given surface. The energy lost on the turf surface was far more significant than on dirt surface as the turf lost an average of 26% of its energy as compared to just 16% of the energy on dirt. In the Northwest conference, teams play on four turf-based infields and five dirt-based infields. The results of this study suggest that kinetic friction forces are more significant in reducing ball rebound speed than in …


College Of Health Sciences E-Newsletter, May 2018, Irvin B. Harrell (Editor) May 2018

College Of Health Sciences E-Newsletter, May 2018, Irvin B. Harrell (Editor)

Ellmer College of Health Sciences Newsletters

May 2018 issue of Old Dominion University's College of Health Sciences Newsletter.