Medicine and Health Sciences Commons^™

Improving Adherence In Adults With Hypertension Using Personalized Pictogram Pill Cards., Janneve P. Sankawulo-Knuckles

Doctor of Nursing Practice Papers

Non-adherence with prescribed hypertension (HTN) treatment significantly increases the risk for cardiovascular disease and stroke, leading to increased morbidity, mortality, and burden to the health care system. HTN affects one in three American adults and costs the health care system approximately $48.6 billion annually in direct (providers/health professionals fees, hospital services, prescription medications) and indirect (premature mortality) medical expenses (CDC, 2018; 2016). This quality improvement (QI) project implemented a personalized pictogram pill card intervention for adults with HTN at an urban, federally-qualified health care clinic in west Louisville. Pictogram pill cards were provided to hypertensive adults with medium and low …

A Retrospective Survey On Clinic Epidemiological Profile Of Venomous Snake Bite Patients In Kasturba Hospital, Manipal, Tanusree Pradhan

Manipal College of Nursing, Manipal Theses and Dissertations

ABSTRACT A research study titled, “A retrospective survey on clinico-epidemiological profile of venomous snake bite patients in Kasturba Hospital, Manipal” was conducted by Ms Tanusree Pradhan in partial fulfilment of the requirement for the degree of Master of Science in Nursing at Manipal College of Nursing, Manipal Academy of Higher Education, Manipal. The objective of the study was to assess the demographic characteristics, clinical course and outcome of treatment of venomous snake bite patients. The conceptual framework of this study was based on the system model. A quantitative survey approach and retrospective survey design was adopted for the research study. …

A Comparative Study To Assess The Life Satisfaction, Self-Esteem, Depression And Health Related Behaviour Among Pensioners And Non- Pensioners Elderly Population Of Selected Villages Of Udupi Taluk, Karnataka, Roshini Dsouza

Manipal College of Nursing, Manipal Theses and Dissertations

ABSTRACT The research study titled “A comparative study to assess the life satisfaction, self-esteem, depression and health related behaviors among the pensioner’s and non- pensioner’s elderly population of selected villages of Udupi taluk, Karnataka” was conducted by Mrs. Roshini Dsouza in partial fulfilment of requirement for the award of the Degree of Master of Science in Nursing from Manipal College of Nursing, MAHE, Manipal, Karnataka.

The objectives of the study were to a) assess the life satisfaction among the pensioner’s and non-pensioner’s elderly population by using the life satisfaction index for the third age, b) find the self-esteem among the …

“Effect Of Mandala Art Therapy On Attention And Functional Social Skill Among Intellectually Disabled Children In A Selected Special School Of Udupi, Karnataka.”, Pooja Bakshi

Manipal College of Nursing, Manipal Theses and Dissertations

ABSTARACT The study titled "Effect of Mandala Art Therapy on attention and functional social skill among intellectually disabled children in a selected special school of Udupi, Karnataka." was carried out by Ms. Pooja Bakshi, in partial fulfilment of the award of Masters Degree in Nursing, at Manipal College of Nursing Manipal. Objectives of the study were to assess the attention and functional social skills of intellectually disabled children and to determine the effectiveness of Mandala Art Therapy on attention and functional social skill among intellectually disabled children. A quantitative pre-experimental one group pre-test post-test research design was used in the …

A Study To Assess The Symptoms Of Irritable Bowel Syndrome (Ibs), Dietary Habits And Stress Among Employees Working In Selected Institutes Of Udupi District, Karnataka, Sangeeta Bsr

Manipal College of Nursing, Manipal Theses and Dissertations

ABSTRACT A research study entitled “A study to assess the symptoms of Irritable Bowel Syndrome (IBS), dietary habits and stress among the employees working in selected institutes of Udupi district, Karnataka” was conducted by Mrs. Sangeeta BSR in partial fulfilment of requirement of the award of the degree of Master of Science in Nursing from Manipal College of Nursing (MCON) MAHE, Manipal, Karnataka. The objectives of the study were to assess the symptoms of IBS using the symptom assessment scale for IBS, assess the dietary habits of the employees who are reporting to have IBS symptoms using scale to assess …

A Case Control Study To Assess The Risk Factors Associated With Fetal And Neonatal Death In Kasturba Hospital (Kh), Manipal, Karnataka, Ritu Kumari

Manipal College of Nursing, Manipal Theses and Dissertations

ABSTRACT The research study titled “A case control study to assess the risk factors associated with fetal and neonatal deaths in Kasturba Hospital (KH), Manipal, Karnataka” was conducted by Miss Ritu Kumari in partial fulfilment of requirement for the award of the degree of Master of Science in Nursing from Manipal College of Nursing, MAHE, Manipal, Karnataka.

The objectives of the study were to a) identify the risk factors associated with fetal deaths through record analysis by using the risk assessment tool for fetal deaths and b) determine the risk factors associated with neonatal deaths through record analysis by using …

Expedited Partner Therapy: Advancing Health Policy In Kentucky., Brianna C. Tomlinson

Doctor of Nursing Practice Papers

Innovative strategies have become necessary in the treatment of patients diagnosed with sexually transmitted infections (STIs) and their partners due to increasing rates of infection, transmission, and reinfection. Expedited Partner Therapy (EPT) is an evidence-based approach for providers to improve partner treatment and decrease reinfection rates in patients with certain STIs. However, state-based legislation governs practice implementation and EPT remains prohibited in Kentucky (KY) despite Centers for Disease Control and Prevention (CDC) endorsement. Delay in policy change presents increased risk for reinfection and continued transmission in KY. John Kingdon’s Multiple Streams framework (2003) was used to analyze EPT policy in …

Reducing Falls Through An Education Intervention To Increase Nurse-Promoted Mobility In Hospitalized Patients., Tamara Slater

Doctor of Nursing Practice Papers

The aim of this project was to determine if educating registered nurses (RNs) on the importance of nurse-promoted patient mobilization could increase RN knowledge on patient mobility and reduce the rate of patient falls on a cardiology/neurology nursing unit in a southeastern area of the United States. This project was a quality improvement project with a pre-test/post-test design. The intervention included a teaching session for RNs and posted reminders. The teaching session included information on the use of a mobility algorithm, where to locate mobility equipment, and the physical therapy referral process. The reminders included flyers posted around the unit …

Reducing Burnout Among Mental Health Providers Using A Mindfulness Intervention., Joy Lindsey-Buckler

Doctor of Nursing Practice Papers

Burnout has been recognized as a barrier to quality care and expected patient outcomes for nearly 50 years (Freudenberger, 1974). Burnout, an “occupational phenomenon”, a syndrome of untreated chronic work-place stress, (WHO, 2019). Burnout has three factors: emotional exhaustion described as depletion of energy, depersonalization characterized by, increased levels of detachment; finally, reduced feelings of personal accomplishment with reduced feelings of professional efficacy. Health care providers (HCPs), Mental Health Providers (MHPs) and staff providing care in substance use disorder programs, experience high levels of burnout. Mindfulness practices have demonstrated efficacy in reducing burnout among HCPs.

Purpose: The purpose of …

A Retrospective Cohort Study On Perinatal Outcomes Of Hypertensive Disorders Of Pregnancy Among Women Hospitalized To A Tertiary Referral Hospital Of Udupi Taluk, Karnataka, Binita Sharma

Manipal College of Nursing, Manipal Theses and Dissertations

ABSTRACT “A retrospective cohort study on perinatal outcomes of hypertensive disorders of pregnancy among women hospitalized to a tertiary referral hospital of Udupi taluk, Karnataka” was conducted in Manipal College of Nursing, MAHE Manipal for the partial fulfillment of the course.

The objectives of the study were to assess the perinatal outcomes of hypertensive disorders of pregnancy and to compare the perinatal outcomes between hypertensive disorders of pregnancy and pregnancy complicated by other comorbid conditions, except hypertensive disorders of pregnancy. The perinatal outcomes were assessed by baseline proforma and checklist, which consisted of items related to antenatal, intranatal and postnatal …

A Correlational Study To Assess The Emotional Intelligence, Self-Esteem And Assertiveness Among Youth Studying In Selected Undergraduate Higher Educational Institutions Of Udupi District., Jagriti Niyogi

Manipal College of Nursing, Manipal Theses and Dissertations

ABSTRACT The study titled “A correlational study to assess the emotional intelligence, self-esteem, and assertiveness among youth studying in selected undergraduate higher educational institutions of Udupi district” was carried out by Ms Jagriti Niyogi, for the partial fulfillment of requirements for the award of the Degree of Masters of Science in Nursing in Manipal College of Nursing, MAHE, Manipal, Karnataka. Objectives of the study were to determine the relationship between emotional intelligence, self-esteem, and assertiveness among youth studying in selected under-graduate higher educational institutions of Udupi district. The conceptual framework used for this study was The Goleman Model (The Emotional …

A Study To Assess The Determinants And Outcomes Of Acute Kidney Injury Among Patients Admitted To Critical Care Units Of A Tertiary Care Hospital Of Udupi District, Caroline Liyan Noronha

Manipal College of Nursing, Manipal Theses and Dissertations

Abstract- BACKGROUND: Acute Kidney Injury (AKI) in the intensive care unit (ICU) portends worse outcomes and leads to high mortality. Early identification of high-risk patients can improve their outcomes and may reduce ICU mortality rate. Critical care nurses routinely examine the patient to identify the early onset of AKI but more methods of identification are required. OBJECTIVE: To identify the determinants and outcomes of acute kidney injury among critically ill patients. METHODS: This study was a cross-sectional survey of patients attending ICU during a period of 3 months. Patients were divided into two groups based upon their outcomes (AKI/non-AKI, fatal/non-fatal …

A Study To Assess Information Needs And Risk Of Venous Thromboembolism In Cancer Patients Receiving Chemotherapy With A View To Develop And Validate An Information Guide In A Tertiary Care Centre, Udupi District, Smita D Varghese

Manipal College of Nursing, Manipal Theses and Dissertations

ABSTRACT A research study entitled “A study to assess the information needs and risk of Venous thromboembolism (VTE) among cancer patients receiving chemotherapy with a view to develop and validate information guide in a tertiary care center, Udupi district” was carried out by Ms. Smita D Varghese in partial fulfilment of the requirement for the degree of Master in Science of Nursing at Manipal College of Nursing, Manipal. The objectives of the study were to assess the information needs of cancer patients, assess the risk of Venous thromboembolism (VTE) in a cancer patient and to develop and validate an information …

A Study To Assess The Functional Abilities And Quality Of Life (Qol) Among The Adult Patients With Hearing Loss And Their Perspective Towards Use Of Hearing Aid In Selected Hospitals Of Udupi District, Karnataka, Shalini .

Manipal College of Nursing, Manipal Theses and Dissertations

ABSTRACT “A descriptive study to assess the assess the functional abilities and quality of life (QOL) among the adult patients with hearing loss and their perspective towards use of hearing aid in selected hospitals of Udupi district, Karnataka.” was conducted by Shalini in partial fulfilment of the requirements for the award of Master of Science in Nursing at Manipal College of Nursing Manipal, MAHE.

The objectives of the study were to assess the functional abilities among the patients with hearing loss, assess the quality of life among the patients with hearing loss, assess the perspective towards use of hearing aid …

A Study To Assess The Post-Menopausal Symptoms, Stress And Coping Strategies Among Women In Selected Villages Of Udupi Taluk, Karnataka, Sowmya Naik

Manipal College of Nursing, Manipal Theses and Dissertations

ABSTRACT Background: Menopause is one of the most significant events in a woman's life, resulting in a series of physiological changes that eventually impact a woman's life and can be influenced by various socio-demographic influences and coping behaviours. The present study is aimed at assessing the post-menopausal symptoms, stress level and coping strategies adopted by women. A community-based cross-sectional descriptive survey was carried out. Methods: Selected 400 post-menopausal women within three years of amenorrhea aged between 45 and 55 years residing in the rural villages of Udupi taluk through purposive sampling technique. Menopausal symptoms were assessed by using menopausal rating …

A Study To Assess The Awareness And Attitude On Gamete Donation In Kasturba Hospital, Manipal, Udupi District, Karnataka In A View Of Developing A Information Booklet, Hema Shankar

Manipal College of Nursing, Manipal Theses and Dissertations

No abstract provided.

A Descriptive Study To Assess Non Suicidal Self-Injury (Nssi) Behaviour And Emotional Dysregulation Among College Students Of Selected Colleges In Udupi District, Karnataka, Manisha Samanta

Manipal College of Nursing, Manipal Theses and Dissertations

ABSTRACT A research study titled, “A study to assess the Non Suicidal Self Injury (NSSI) behavior and emotional dysregulation among college students of selected colleges in Udupi district, Karnataka, with a view to develop an information booklet on emotion regulation strategies.” was conducted by Ms. Manisha Samanta, as a partial fulfillment of the requirement for the degree of Master of Science in Nursing at Manipal College Of Nursing, Manipal. The objectives of the study were to assess NSSI behavior and emotional dysregulation and to determine the association between NSSI behavior, emotional dysregulation and selected variables among college students. The conceptual …

A Study To Assess The Knowledge Regarding Endometriosis And Wellbeing Of Women Diagnosed With Endometriosis In Selected Hospitals Of Udupi Taluk, Karnataka, Annie Nirmala A

Manipal College of Nursing, Manipal Theses and Dissertations

ABSTRACT A research entitled “A study to assess the knowledge regarding Endometriosis and wellbeing of women diagnosed with Endometriosis at selected Hospitals of Udupi Taluk, Karnataka.” was conducted by Ms Annie Nirmala as a partial fulfillment of the requirement for the degree of Master of Science in Nursing, at Manipal College of Nursing, MAHE, Manipal. The objectives of the study were to assess the knowledge of women regarding Endometriosis by using a structured knowledge questionnaire, assess the wellbeing among women diagnosed with Endometriosis by using a wellbeing questionnaire, determine the relationship between knowledge regarding Endometriosis and wellbeing of women diagnosed …

The Role Of Physician Assistants And Nurse Practitioners In Increasing Access To Buprenorphine, Yeon Sun Kim

Yale School of Medicine Physician Associate Program Theses

Opioid use disorder results in increasing mortality every year and is a growing concern in the United States. Buprenorphine is a safe and effective evidence-based medication to treat opioid use disorder. However, despite this evidence, there are a disproportionately low number of providers with the requisite Drug Enforcement Agency registration to prescribe buprenorphine, resulting in a significant barrier to access. In 2016, the Comprehensive Addiction and Recovery Act extended buprenorphine prescription privileges to physician assistants and nurse practitioners; however, these efforts have been restricted by state regulations. We hypothesize that access to buprenorphine is improved in areas where PA/NPs have …

Checkpoint And Cyclooxygenase Inhibition In Microsatellite Stable Metastatic Colorectal Cancer, Angela Preda

Yale School of Medicine Physician Associate Program Theses

Traditionally, metastatic colorectal cancer has been treated using cytotoxic chemotherapy but the development of immunotherapeutic agents has afforded higher durable remission rates and more tolerable side effect profiles in a small subset of patients. Immunotherapy treatments are currently approved for the treatment of microsatellite instability high subgroup that comprises four percent of metastatic colorectal cancer. However, immunotherapy treatments have little clinical activity in the microsatellite stable subgroup, which encompasses the majority of colorectal cancers. In this phase II trial, we propose to study the efficacy and safety of a three-drug regimen comprised of two immunotherapy treatments, programmed death 1 and …

Feasibility And Implementation Of The Columbia-Suicide Severity Rating Scale For Assessing At-Risk Adult Patients In The Emergency Department., Elise Hawkins

Doctor of Nursing Practice Papers

Background: Suicide is the tenth leading cause of death in the United States. Individuals who ultimately commit suicide often seek healthcare in the year prior to their death for unrelated medical complaints without detection of suicidal ideation. The Emergency Department (ED) has been identified as a key stakeholder in detecting suicide risk. Research supports the use of a universal evidence-based screening tool for all patients who present to the ED in order to identify those at risk for future suicide attempt, and to provide appropriate follow-up resources.

Aims: The aim of this scholarly project was to promote a …

The Use Of Simulation To Practice Pre-Exposure Prophylaxis Sexual Health Risk Screening, Management, And Follow-Up Within A Doctor Of Nursing Practice Program., Skyler K. Frye

Doctor of Nursing Practice Papers

Introduction: Incidence and prevalence for human immunodeficiency virus (HIV) has yet to experience a significant decline. Increasing provider knowledge regarding use of Pre-Exposure Prophylaxis, an HIV prevention drug, correlates with increased provider risk screening & prescribing PrEP. Standardized patient (SP) simulation is an effective teaching method for healthcare students to increase knowledge and confidence in providing sexual healthcare.

Purpose: The purpose of this project was to evaluate an educational program aimed at increasing participant knowledge attainment and self-confidence in the ability to ascertain a sexual health history and advance the participant’s ability to manage PrEP candidates in a primary …

Practical Pearl: Poison Ivy - August 2019, Baystate Childrens's Hospital

Pediatrics Practical Pearls: Referral Guidelines for Common Problems

No abstract provided.

Himmelfarb Library Liaison Letter - August 2019, The George Washington University, Himmelfarb Health Sciences Library

Himmelfarb Library Liaison Letters

No abstract provided.

Fetal Alcohol Spectrum Disorder, Teresa Jordan

Nursing Student Class Projects (Formerly MSN)

Fetal Alcohol Spectrum Disorder (FASD) is a devastating disorder and is predicted more common than once thought. Recent research shows that the prevalence of Fetal Alcohol Spectrum Disorder is between 1% and %5 of the population, making it possibly more common than autism, and certainly more common than Down Syndrome, yet it does not get the same attention or resources of either. Current research is used to demonstrate the prevalence, the debilitation, and the social burden of this completely preventable disorder. Current research on the suspected pathophysiology of FASD is discussed, as well as future goals. It is important for …

The Pathophysiology Of Sepsis, Lauren Tomczak

Nursing Student Class Projects (Formerly MSN)

Sepsis occurs when an infection overwhelms the body and can lead to systemic organ dysfunction and death. The pathophysiology of sepsis is complex; disruption of the immune system causes unbalanced inflammatory and coagulation responses. Mortality rates of sepsis remain high, but continued research in the area of sepsis pathophysiology will likely lead to improved treatment modalities and better patient outcomes.

The Use Of Simulation And Experiential Learning To Practice Prenatal Care Management Within A Doctor Of Nursing Practice Program., Heather J. Locke

Doctor of Nursing Practice Papers

Background: Many barriers have been identified that affect patient-provider gestational weight gain (GWG) counseling, including lack of time, insufficient training, concern about the sensitivity of the topic, and the provider perception that the advice is ineffective (Ronnberg et al., 2015; Stotland et al., 2010). Simulation-based learning (SBL) is an evidence-based clinical education strategy that mimics real-life situations as a high-quality interactive experience that complements clinical experiences to develop entry into practice competency (SSH, 2015).

Aims: The purpose of this project was to implement an educational program that incorporated a combined teaching method of a didactic module and a standardized patient …

Implementation Of An Evidence-Based Physical Activity And Nutrition Program In An After School Setting., Tylar A. Williams

Doctor of Nursing Practice Papers

Childhood obesity rates are continuously rising despite efforts to curb the trend. Sedentary behaviors and lower socioeconomic communities have been linked to the overall increase in childhood obesity rates. Additionally, poor understanding of childhood obesity and its adverse effects, has been shown to contribute to the increase in sedentary behaviors of children. The purpose of this study was to evaluate the feasibility of an after school, childhood obesity program and its effects on physical activity and nutrition behaviors and knowledge base. The childhood obesity program that was used was the 5-2-1-0 Lets Go out of school program. The intervention was …

Sepsis Bundle Compliance In The Icu After Implementation Of An Educational Intervention., Courtni Breann Carwile

Doctor of Nursing Practice Papers

Purpose: The purpose of this project was to determine the effect of an educational intervention delivered to ICU nursing staff and providers on sepsis bundle compliance and mastery of the bundle metrics.

Methods: This study included a sepsis educational program that utilized a pre-and post-education survey to determine mastery of the sepsis bundle metrics. Retrospective data of the Sepsis 5-piece composite scores were collected and compared.

Results: 86 ICU nurses (71.6% of the nursing staff) participated in the educational intervention and the surveys. The mean survey score pre-intervention was 73.5%, and 100% post-intervention. Sepsis 5-piece composite score means increased from …

Nutritional Assessment Process Revision In Adult In-Patients., Amanda Hellmueller

Doctor of Nursing Practice Papers

Thorough and appropriate nutritional screening upon admission to the hospital can mitigate the negative consequences often associated with secondary malnutrition. At a suburban hospital in the southeastern United States, there was an 250% increase in consults to dieticians upon initiating use of the Malnutrition Screening Tool (MST) as the primary form of nutrition screening, which has been previously shown to have a high false positive rate. As a result, the workload of the dieticians increased. This time spent on analysis of false positive screenings takes away from time that could be spent on truly malnourished or at-risk patients. This quality …