Medicine and Health Sciences Commons^™

La Maestra’S Circle Of Care: Studying The Impact Of An Integrated Service Model On The Health And Well-Being Of Vulnerable Populations, Zara Marselian

Dissertations

ABSTRACT

There is an urgent need to reform the health care delivery system in the United States, as recognized through current bipartisan efforts. Society’s vulnerable populations especially need health care reform as health care outcomes are the poorest among disadvantaged populations. Moreover, vulnerable populations are twice as likely to develop chronic diseases than the general population and they remain ill due to other contextual, societal factors affecting their ability to achieve health and well-being. This population is subjected to adverse life events that suggest a more comprehensive approach to health and well-being is called for.

The Circle of Care is …

2020-05-17_Michiganoverview_Covidlongtermcare, Michigan Department Of Health & Human Services

Michigan COVID-19 Long Term Care Data

The COVID Long Term Care Facilities page was obtained from Michigan's COVID-19 data page: https://www.michigan.gov/coronavirus/0,9753,7-406-98163_98173-526911--,00.html.

This report is created by the Michigan Department of Health & Human Services from data self-reported by long-term care facilities into EMResource. Data is updated on an ongoing basis.

These case counts reflect current cases of COVID-19 among facility residents reported to the Michigan Department of Health and Human Services. Please note that the data will be posted daily, Monday-Friday. These totals do not include patients or staff who have recovered or passed away prior to this report. In other words, they are a …

Association Between Patient Ability In Activities Of Daily Living At Hospital Admission And Key Indicators, Stephanie Rosen, Amber Steele

UNLV Theses, Dissertations, Professional Papers, and Capstones

Background: Illness and inactivity in the hospital frequently leads to disability that can reduce quality of life and increase costs. Early identification of people with limitations in activities of daily living (ADL) who are at risk for poor outcomes such as increased length of stay (LOS), hospital acquired conditions (i.e., falls and pressure injuries (PIs)), and discharge away from home can facilitate appropriate intervention. The Activity Measure for Post-Acute Care Inpatient Activity Short Form (AM-PAC IASF), a reliable and valid tool to measure ADL limitations, is scored at admission for all patients in our hospital. The purpose of this study …

Comparative Antiviral Activity Of Remdesivir And Anti-Hiv Nucleoside Analogs Against Human Coronavirus 229e (Hcov-229e), Keykavous Parang, Naglaa Salem El-Sayed, Assad J. Kazeminy, Rakesh Tiwari

Pharmacy Faculty Articles and Research

Remdesivir is a nucleotide prodrug that is currently undergoing extensive clinical trials for the treatment of COVID-19. The prodrug is metabolized to its active triphosphate form and interferes with the action of RNA-dependent RNA polymerase of SARS-COV-2. Herein, we report the antiviral activity of remdesivir against human coronavirus 229E (HCoV-229E) compared to known anti-HIV agents. These agents included tenofovir (TFV), 4′-ethynyl-2-fluoro-2′-deoxyadenosine (EFdA), alovudine (FLT), lamivudine (3TC), and emtricitabine (FTC), known as nucleoside reverse-transcriptase inhibitors (NRTIs), and a number of 5′-O-fatty acylated anti-HIV nucleoside conjugates. The anti-HIV nucleosides interfere with HIV RNA-dependent DNA polymerase and/or act as chain terminators. …

The Threat Of Antibiotic Resistance In Changing Climate, Aliyar Cyrus Fouladkhah, Brian Thompson, Janey Smith Camp

Agricultural and Environmental Sciences Faculty Research

As the earliest form of life, microorganisms have elaborate mechanisms for adapting to changes in environmental conditions.

Impact Of Childhood Vaccinations Suspended Due To Covid-19, Karina I. Figueroa

2020 Symposium Posters

Due to the COVID-19 outbreak of 2020, a public health issue has been created that has the potential to significantly affect our view on society. Among the variety of preventative tactics to slow the spread of infection, there has been a suspension of childhood vaccination across the globe including among developing countries. The World Health Organization (WHO) has announced that governments suspend preventive vaccination programs briefly during the pandemic as of March 26th (Ray, 2020). As a result of this, there has been an impact on children's health and an increase in mortality rates. The purpose of this research paper …

2020-05-16_Michiganoverview_Covidsymptoms, Michigan Department Of Health & Human Services

Michigan COVID-19 Syndromic Surveillance System Data

The Syndromic Surveillance System Data report was obtained from Michigan's COVID-19 dashboard, from under the link "​Coronavirus Symptoms": https://www.michigan.gov/coronavirus. Data was compiled by the Michigan Department of Health and Human Services (MDHHS). The information was updated daily.

Syndromic Surveillance System data is obtained from approximately 183 facilities participating in syndromic surveillance (132 Emergency Departments (ED), 51 Urgent Cares) across the State of Michigan. The reporting is based on individuals who present at EDs and may not be representative of the overall population. The coronavirus-like symptoms query searches visit free-text (chief complaint, triage notes, and clinical impression) for fever or …

Increasing Knowledge About Hpv And The Hpv Vaccine Amongst College Students, Morgan Baxter

Doctor of Nursing Practice Scholarly Project

This scholarly project included an education presentation to Pittsburg State University students enrolled in the Health Promotion class in the Fall of 2019, a pretest was taken before the educational presentation and then a posttest was completed to assess the student’s knowledge of HPV and the HPV vaccine. The posttest evaluated whether there was an increase in knowledge after the presentation. In this scholarly project there was an overall increase in knowledge with statistical significance (p

The Relationship Between Race And Ethnicity And Serious Safety Events In Hospitalized Patients, Samantha Crandall

Dissertations

Purpose. This study explored the association between patient sociodemographic characteristics and the occurrence of serious safety events (SSE) in hospitalized patients. Specific aims were to describe among patients who have experienced an SSE: 1) patient sociodemographic variables (age, gender, race, ethnicity and language spoken), health insurance coverage, patient zip code, payer mix, site of care location, and severity of event; 2) the relationships between the select patient sociodemographic variables, health insurance coverage, patient zip code, payer mix, site of care location and SSE level of harm; and 3) what factors increase or decrease the odds of experiencing higher levels of …

Covid-19: Launching Neurosurgery Into The Era Of Telehealth In The United States, Christina Huang Wright, James Wright, Berje Shammassian

Faculty Scholarship

The authors discuss the implications of the COVID-19 pandemic on the use of telehealth in the United States.

Identifying Risk Factors For Developing Post-Operative Complications After Breast Reconstruction Surgery In Breast Cancer Patients, Kelsey Akin

Doctor of Nursing Practice Scholarly Project

The purpose of this project was to identify risk factors for the development of post-operative complications in breast cancer patients after breast reconstruction surgery. The author first identified possible risk factors through a literature review and evaluated a current risk assessment tool being used in current practice. A retrospective chart review was conducted of fifty charts of patients who underwent a mastectomy and breast reconstruction surgery for the treatment of breast cancer. The author compared possible risk factors from the groups of patients who developed complications versus those who did not. The author found two possible relationships between two identified …

Determining The Knowledge And Practices Of Obstetrics Healthcare Professionals Regarding Maternal Intrapartum Pertussis Vaccination Administration, Kristie Mattix

Doctor of Nursing Practice Scholarly Project

Pertussis is a contagious respiratory disease that can occur in all age groups. Signs and symptoms of pertussis, however, are worse in infants and young children; likewise, the rates of severe cases, hospitalizations, and deaths are higher in this group as well. Vaccination against pertussis is the most effective way to combat this illness. In the last 15 years, there have been a number of changes in the recommendations regarding vaccination against pertussis. In order for these recommendations to be followed, healthcare professionals must be aware of the guidelines as well as be knowledgeable about the condition they are trying …

Using Provider Education About Self Care To Reduce Compassion Fatigue Among Nurses, Priscella Caron

Doctor of Nursing Practice Scholarly Project

Many have scrolled through Facebook and news stories highlighting nurses as “heroes” of the current coronavirus pandemic. Pictures of nurses in personal protective equipment while at work or clips of nurses making fun tiktok video’s celebrating recovered COVID -19 patients. Social media does not capture the sheer emotional, physical, and spiritual wear that nurses experience providing compassionate care to patients facing light threatening illness or events. Health care organizations are under pressure to control cost, increase productivity, and increase patient satisfaction scores, all while facing a pandemic crisis. This type of pressure can create inadequate staffing and increase clinical responsibilities …

Understanding The Knowledge, Perceptions, And Advocacy Of Family Presence During Resuscitation By Emergency Department Registered Nurses, Myranda Prather

Doctor of Nursing Practice Scholarly Project

Although recommended by current evidence-based literature, family presence during resuscitation (FPDR) continues to be inconsistently implemented in healthcare facilities. This study aimed to assess and understand nurses’ knowledge, perceptions, and advocacy of family presence during resuscitation in the emergency department. For this cross-sectional descriptive study, an anonymous electronic survey was administered via email to all nurses employed in the emergency department at a local healthcare facility. Hard copies of the survey were also distributed in-person. Data collection occurred over a three week period. The data were coded and entered into a computer software statistics program for analysis. Descriptive statistics were …

Evaluation Of Intravenous Catheter Insertion Skills And Confidence Levels Of Nurses In The Acute Care Setting, Kelly Mishmash

Doctor of Nursing Practice Scholarly Project

The use of IVs for medication administration is an essential component in healthcare and benefits the patients (Castro-Sanchez, Charani, Drumright, Sevdalis, Shah, & Holmes, 2014). Obtaining intravenous access is a specialized nursing skill that requires a combination of clinical knowledge and psychomotor coordination (Ramer, Hunt, Ortega, Knowlton, Briggs, & Hirokawa, 2016). Difficulties created by vein size, obesity, and tortuosity can make even a skilled staff member struggle which then can lead to delays in treatment (Idemoto, Rowbottom, Reynolds, & Hickman, 2014). A single phase survey was conducted in a rural southwest Missouri hospital in order to assess confidence levels in …

Effectiveness Of Heart Failure Clinics On Reducing Hospital Readmissions, Sarah Stoughton

Doctor of Nursing Practice Scholarly Project

The purpose of this study was to determine if follow up visits at the AdventHealth Heart Failure Clinic in Shawnee Mission, Kansas were effective in reducing the 30-day readmission rate of heart failure patients. It was also to determine if a patient’s BMI, EF, GFR, and A1c would improve or remain stable with follow-up appointments at the same clinic or if they would worsen. The author assessed this through a retrospective chart review and collection of data. Data was collected on the 30-day readmission rate of heart failure patients prior to the opening of the clinic in the fall of …

Salary, Benefits Packages, And Negotiation Skills For Nurse Practitioners, Lea Ann Tyler, Laura A. Weiss

Doctor of Nursing Practice Scholarly Project

Currently, there are nearly 250,000 practicing nurse practitioners providing care in a broad variety of healthcare settings, and that number is growing by three to four thousand every year. Historically, nurse practitioners have been paid a salary commensurate with experience. As the healthcare market changes, so too is the way NPs are being paid. It is imperative that nurse practitioner students are educated and knowledgeable about nurse practitioner salary, benefits packages and negotiation techniques. This information is necessary to make informed decisions on these matters, and before signing any formal contract.

Through a substantial literature review, it was determined there …

Quality Family Planning: Enhancing The Knowledge Of Contraception Counseling In Primary Care, Allison N. Littleford

Doctor of Nursing Practice Scholarly Project

Reducing unintended pregnancies continues to be an important health initiative in the United States. National rates have demonstrated a slow decline, yet the CDC estimates rates remain near fifty percent, with rural women facing higher unintended pregnancy rates than their urban counterparts. Research demonstrates following evidence-based practice recommendations regarding family planning improves contraceptive adherence and helps women achieve desired pregnancy spacing.

This mixed methods research design evaluates provider family planning knowledge levels prior to introduction of an educational video and PDF file, and following the educational tools. Results of the study showed a majority of providers were aware of CDC …

Increased Knowledge Of Autism Spectrum Disorders Reduces Stress Levels In Staff Caring Directly For Patients With Autism Spectrum Disorder., Katelyn E. Triplett

Doctor of Nursing Practice Scholarly Project

Autism Spectrum Disorders (ASD) is a group of disorders that affects approximately 1 in 59 children (Autism Spectrum Disorder, 2019). This group of disorders can cause deficits in communication, social relationships, and those with the diagnosis may exhibit undesirable behaviors as well as restrictive and repetitive behaviors (RRBs). There is limited education given to healthcare providers on this group of disorders, making it difficult to care for these patients. This study was conducted to determine if the stress level of staff that directly care for patients with ASD, at a pediatric behavioral health hospital, decreased following an educational presentation over …

2020-05-16_Michiganoverview_Covidstats, Michigan Department Of Health & Human Services

Cumulative Michigan COVID-19 Data

The COVID Overview page was obtained from Michigan's main COVID-19 page: https:/www.michigan.gov/coronavirus/0,9753,7-406-98163-520743--,00.html. Data was compiled by the Michigan Department of Health and Human Services (MDHHS). The information was updated daily at 3p.m., with COVID-19 results included as of 10 a.m.

Note on cumulative counts: This report is provisional and subject to change. As public health investigations of individual cases continue, there will be corrections to the status and details of referred cases that result in changes to this report.
Note on the deaths: Deaths must be reported by health care providers, medical examiners/coroners, and recorded by local health departments …

2020-05-16_Michiganoverview_Covidcounts, Michigan Department Of Health & Human Services

Michigan COVID-19 Confirmed Cases by Date of Onset Data

Data was captured from the Cumulative Data link of Michigan's Coronavirus webpage, under the url https://www.michigan.gov/coronavirus/0,9753,7-406-98163_98173_99207---,00.html.

The website contained the table Count of Confirmed COVID-19 Cases by Date of Onset , sorted by Michigan Preparedness Region. It also contained 18 charts, including the count of confirmed Covid-19 cases by date of onset in the state overall as well as in each preparedness region,and the normalized rate of Covid-19 cases per 1,000,000 residents in both the state and in each preparedness region.

2020-05-16_Michigandaily_Covidmap, Michigan Department Of Health & Human Services

Daily Michigan COVID-19 Update

The "WHERE WE STAND WITH COVID-19" map was obtained from Michigan's main COVID-19 page: https://www.michigan.gov/coronavirus. Data was compiled by the Michigan Department of Health and Human Services (MDHHS). The information was updated daily at 3p.m., Monday - Saturday.

The State of Michigan is working around the clock to test and treat COVID-19 patients. Below is the most recent data healthcare experts across the state have compiled.

The image contained a map, indicating total cases by county, and also provides statistics on Total Confirmed Cases, Total COVID-19 Deaths, Daily Confirmed Cases, and Daily COVID-19 Deaths. There …

Mindfulness And The Need To Minimize The Risk Of Harm: A Proposal To Implement And Enforce Standards For Secular Mindfulness Practice, Michael Falick

Mindfulness Studies Theses

While Western mindfulness practice is indeed beneficial for many participants, the research now clearly demonstrates that for some meditators, there are attendant potential risks. These potential risks to practitioners require a level of care from those individuals (and corporations) that disseminate mindfulness practice. Historically, in traditional Buddhist practice, mindfulness was but one of the eight factors on the Noble Eightfold Path. An important component of traditional practice strongly relies on ethics in the delivery of the practice. A formalized standard of care for modern, secular mindfulness practices, and a method to implement and enforce that standard, will greatly enhance safety …

Dance/Movement Therapy And Its Implications In A Studio-Based Dance Program: A Community Engagement Project, Akeila Sharp

Expressive Therapies Capstone Theses

Adolescent females often struggle with emotional regulation, developing relationships, and poor body image. Research indicates that taking dance classes or participating in dance movement therapy sessions can be an effective technique to improve in these areas. However, there is limited research on the use of both in one setting. Therefore, this capstone explored the impacts of dance on adolescent females and the implications of dance/movement therapy (DMT) in a studio-based dance program. The objective of this project was to examine how restructuring a dance class using DMT interventions could improve problem areas such as low self-esteem, lack of communication skills, …

What Was Lost: How Dance/Movement Therapy Can Support The Retention And Repair Of Cognitive Abilities In Cancer Patients, A Literature Review, Sarah E. Menser

Expressive Therapies Capstone Theses

This literature review examines research surrounding the effects of chemotherapy on cognitive abilities alongside methods of increasing cognitive functioning throughout treatment. Cancer-related cognitive impairment (CRCI) is seen in many patients undergoing chemotherapy yet has had little attention in cancer research. However, research that has been performed shows that by increasing physical activity during chemotherapy often results in improved cognitive abilities as well as increasing individual’s memory, focus, and multi-tasking abilities. With this connection between physical exercise and cognitive functioning, this author is interested in investigating the idea that dance/movement therapy can assist in the recovery and repair of residual cognitive …

The Efficacy Of Art Therapy As An Adjunctive Therapy For Psychosis: A Literature Review, Erin Tillquist

Expressive Therapies Capstone Theses

Psychosis is a serious symptom of mental illness that is characterized by a detachment from reality. This can include experiencing visual, auditory, or tactile hallucinations, as well as delusions or false beliefs (American Psychiatric Association, DSM-V, 2013). Psychosis is a symptom of many disorders including schizophrenia, bipolar disorder, substance use disorder, and dementia, among many others. Art therapy is often overlooked as a valuable treatment for psychosis, mainly due to a lack of research in the field and the difficulty of maintaining controlled research parameters with this acute population (Tamminga & Lahti, 2011). Likewise, psychosis is generally perceived as manageable …

Warming Up To Dance/Movement Therapy Through Humor, Amanda E. Ouimette

Expressive Therapies Capstone Theses

This thesis examined the effects humor has on a Dance/Movement Therapy (DMT) warm-up intervention in increasing engagement for individuals in a grief setting who are new to DMT practices. Studies have demonstrated the positive effects humor has on individuals’ sense of comfort and there were notable similarities with the benefits of DMT. The healing advantages of humor were thoroughly studied and the comedic principle of the “Rule of Threes” was chosen and translated into a movement warm-up intervention to create a space that allowed for humor and laughter. This humor strategy for the warm-up intervention was used in a group …

The Cycle Continues: The Effects Of Intergenerational Trauma On The Sense Of Self And The Healing Opportunities Of Dance/Movement Therapy: A Literature Review, Nora Buonagurio

Expressive Therapies Capstone Theses

This capstone thesis illuminates the far-reaching impact of intergenerational trauma on the sense of self, and the implications for dance/movement therapy in healing from intergenerational trauma. Intergenerational trauma (otherwise known as transgenerational trauma, historical trauma, and cultural trauma) is trauma that is passed down from generation to generation. Future generations experience their ancestors’ traumatic experiences as if it were their own, hijacking their sense of self and identity. Sense of self will be defined as feeling secure in who you are—sense of identity, personality, family background, aspirations, and semblance of having control in your life. Intergenerational trauma presents unique challenges …

The Freedom To Move: Dance/Movement Therapy And Survivors Of Trafficking - An Evolving Practice, Rebecca Richardson

Expressive Therapies Capstone Theses

Abstract

Human/Sex trafficking is the use of force or coercion for the purpose of exploiting humans (mainly women) for sex or labor. Consequences of being trafficked include psychological and physical symptoms that may hinder the survivors for the rest of their life if not treated. Survivors of human trafficking are infrequently researched and have limited evidence-based methods of treatment. Even fewer studies have been conducted involving the use of dance/movement therapy with survivors of trafficking. dance/movement therapy is vital to treatment because of its focus on integrating the body with the mind. In this literature review I discuss the effects …

Recovery-Oriented Dance Movement Therapy: A Controlled Trial In Mental Health Rehabilitation, Talia Bendel-Rozow

Expressive Therapies Dissertations

This dissertation evaluated the appropriateness of using a recovery-oriented dance movement therapy (RODMT) intervention for people who were experiencing severe mental illness. Dance movement therapy (DMT) has been used for decades to support people with psychological and psychiatric symptoms but, before this research, has not been studied in context of the recovery approach to mental health rehabilitation. The theoretical assumption of this study was that movement-based experiential activities could be used as the primary agent to demonstrate and convey specific recovery concepts among participants. The researcher developed a protocol for 13 sessions of group intervention that merged DMT with Illness …