Medicine and Health Sciences Commons^™

Incorporating A Caregiver Support Group For Parents Of Children Diagnosed With Type 1 Diabetes Mellitus (T1dm)., Molly Recktenwald

Doctor of Nursing Practice Papers

Background: Learning to live with a chronic illness can be one of the most stressful times for a child and family. A new diagnosis of Type 1 Diabetes Mellitus (T1DM) consists of overwhelming amounts of education, and at the time of a new diagnosis, caregivers can experience extreme emotions, including depression and anxiety. Parent support groups have been shown to validate and alleviate parents’ emotions surrounding the diagnosis. Purpose: The purpose of this project was to initiate a support group for parents and caregivers of children diagnosed with new-onset T1DM that can be maintained and expanded in the future to …

Integrating Mhealth In A Virtual Prenatal Class To Promote Behavior Modification In Pregnant Women., Brittney Corniel

Doctor of Nursing Practice Papers

Background: Occurrences of pre-term births are disparagingly higher among women from vulnerable populations. Prenatal classes provide healthcare professionals an opportunity to educate pregnant women about mitigating their risk factors for perinatal complications.

Purpose: To introduce the use of pregnancy mobile applications in a prenatal class to assist women in obtaining optimal maternal health for fetal development.

Methods: A pre/post-test design was used to explore the relationship between increased mobile health (mHealth) use and achievement of health behavior goals. The project intervention included a 15-minute PowerPoint presentation about optimal use and effectiveness of mobile apps in pregnancy, pregnancy health behaviors, and …

Implementation Of Sensory Modulation For De-Escalation On An Adolescent, Female Psychiatric Inpatient Unit., Heather Scott

Doctor of Nursing Practice Papers

Background: Epidemiological data suggested high rates of aggressive incidents involving adolescent patients occurred on inpatient psychiatric mental health units. To mitigate these incidents, mental health staff utilized de-escalation techniques to help alleviate distress, yet the data suggested many occurrences resulted in a seclusion or restraint event. Consequently, national healthcare entities and mental health organizations have advocated for eliminating seclusion and restraint practices due to their potential for re-traumatization, injury, or death.

Purpose: This evidence-based project aimed to increase nurses' self-efficacy when utilizing sensory modulation as a de-escalation technique for aggressive behavior to reduce the seclusion/restraint rate.

Methods: Mental health staff …

Practical Pearl: Poison Ivey/Oak Sumac - July 2021, Baystate Children's Hospital

Pediatrics Practical Pearls: Referral Guidelines for Common Problems

No abstract provided.

Type I And Type Ii Diabetes Mellitus: Pathophysiology And Nursing Anesthesia Considerations, Megan Przybysz

Nursing Student Class Projects (Formerly MSN)

Diabetes Mellitus is prevalent across the globe, affecting more than 400 million people worldwide (Ogurtsova, 2017). Due to the high incidence of those affected, all healthcare providers will be responsible for the care of a diabetic patient, making it imperative that providers have a working knowledge of the pathophysiology of diabetes. This poster discusses the pathophysiology of type I and type II diabetes mellitus, as well as diabetes signs and symptoms and diagnostic criteria. There is also an examination of comorbidities associated with diabetes and how the pathophysiology of diabetes assists in the development of conditions such as autonomic neuropathy, …

Coccidioidomycosis (Valley Fever) Awareness, Kelly Dzialowski

Nursing Student Class Projects (Formerly MSN)

The overall purpose of this poster is to describe the fungal infection, Coccidioidomycosis, and bring awareness to this infection. The poster describes the history of the infection, pathophysiology, risk factors, and clinical presentation. Diagnosis, treatment, and complications of coccidioidomycosis are also addressed. The poster discusses the implications for nursing practice, information about the search for a vaccine, and comparisons of coccidioidomycosis and Covid-19. Finally, the conclusion discusses the key points within the poster and the importance of prompt and accurate diagnosis.

Cardiogenic Shock Pathophysiology, Bradley Closson

Nursing Student Class Projects (Formerly MSN)

Information detailing cardiogenic shock was developed into poster form. The definition and significance of cardiogenic shock were discussed. Pathophysiology and the importance of pathophysiological concepts of cardiogenic shock included. Treatment interventions and the implications for nursing care presented.

Black Lips Don't Turn Blue: A Womanist Critique Of Discriminatory Language In Medical Education, Alison Lawrence

Womanist Ethics

This paper examines race and gender inequities in healthcare as it pertains to the unequal presentation of descriptors of illness in medical textbooks. The author adopts a womanist perspective to criticize the use of the white male body as the standard for all patients, which causes signs and symptoms in women and people of color to be dismissed as less important. Following an analysis of normalizing language in current medical texts as well as its consequences for patients, the author calls for a system-wide shift to more inclusive, intersectional medical education that not only acknowledges differences among patient groups, but …

Utilizing Virtual Reality To Introduce Hospice And End-Of-Life Approaches, Sydney P. Springer, George P. Allen

Pharmacy Practice Faculty Posters

Research poster describing the following:

The objective of this study was to assess changes in students’ comfort with talking about and caring for patients at EOL. A gap in the degree of instruction regarding palliative care in pharmacy curricula has been identified. The use of a virtual reality experience (VRE) has been shown to increase students’ understanding of and empathy for older adults with age-related conditions. We created a two-part palliative care series embedded into the 3rd professional year curriculum. Part one discussed perceptions of death and deprescribing at end-of-life (EOL). Part two used the Embodied Labs® VRE to follow …

Assessment Of Evolutionary Relationships For Prioritization Of Myxobacteria For Natural Product Discovery, Andrew Ahearne, Hanan Albataineh, Scot E. Dowd, D. Cole Stevens

Faculty and Student Publications

Discoveries of novel myxobacteria have started to unveil the potentially vast phylogenetic diversity within the family Myxococcaceae and have brought about an updated approach to myxobacterial classification. While traditional approaches focused on morphology, 16S gene sequences, and biochemistry, modern methods including comparative genomics have provided a more thorough assessment of myxobacterial taxonomy. Herein, we utilize long-read genome sequencing for two myxobacteria previously classified as Archangium primigenium and Chondrococcus macrosporus, as well as four environmental myxobacteria newly isolated for this study. Average nucleotide identity and digital DNA–DNA hybridization scores from comparative genomics suggest previously classified as A. primigenium to instead be …

Rural Community Pharmacies’ Preparedness For And Responses To Covid-19, Delesha M. Carpenter, Tessa Hastings, Salisa Westrick, Meagen Rosenthal

Faculty and Student Publications

Background: Few studies have documented rural community pharmacy disaster preparedness. Objectives: To: (1) describe rural community pharmacies’ preparedness for and responses to COVID-19 and (2) examine whether responses vary by level of pharmacy rurality. Methods: A convenience sample of rural community pharmacists completed an online survey (62% response rate) that assessed: (a) demographic characteristics; (b) COVID-19 information source use; (c) interest in COVID-19 testing; (d) infection control procedures; (e) disaster preparedness training, and (f) medication supply impacts. Descriptive statistics were calculated and differences by pharmacy rurality were explored. Results: Pharmacists used the CDC (87%), state health departments (77%), and state …

Transcriptomic Changes And The Roles Of Cannabinoid Receptors And Pparγin Developmental Toxicities Following Exposure To Δ9-Tetrahydrocannabinol And Cannabidiol, Zacharias Pandelides, Neelakanteswar Aluru, Cammi Thornton, Haley E. Watts

Faculty and Student Publications

Human consumption of cannabinoid-containing products during early life or pregnancy is rising. However, information about the molecular mechanisms involved in early life stage Δ9-tetrahydrocannabinol (THC) and cannabidiol (CBD) toxicities is critically lacking. Here, larval zebrafish (Danio rerio) were used to measure THC- and CBD-mediated changes on transcriptome and the roles of cannabinoid receptors (Cnr) 1 and 2 and peroxisome proliferator activator receptor γ(PPARγ) in developmental toxicities. Transcriptomic profiling of 96-h postfertilization (hpf) cnr+/+ embryos exposed (6 - 96 hpf) to 4 μM THC or 0.5 μM CBD showed differential expression of 904 and 1095 genes for THC and CBD, respectively, …

Episodic Memory Encoding And Retrieval In Face-Name Paired Paradigm: An Fnirs Study, Qian Yu, Boris Cheval, Benjamin Becker, Fabian Herold, Chetwyn C. H. Chan, Yvonne N. Delevoye-Turrell, Ségolène M. R. Guérin, Paul Loprinzi, Notger Mueller, Liye Zou

Faculty and Student Publications

Background: Episodic memory (EM) is particularly sensitive to pathological conditions and aging. In a neurocognitive context, the paired-associate learning (PAL) paradigm, which requires participants to learn and recall associations between stimuli, has been used to measure EM. The present study aimed to explore whether functional near-infrared spectroscopy (fNIRS) can be employed to determine cortical activity underlying encoding and retrieval. Moreover, we examined whether and how different aspects of task (i.e., novelty, difficulty) affects those cortical activities. Methods: Twenty-two male college students (age: M = 20.55, SD = 1.62) underwent a face-name PAL paradigm under 40-channel fNIRS covering fronto-parietal and middle …

Covid-19 Exposure And Diagnosis Among College Student Drinkers: Links To Alcohol Use Behavior, Motives, And Context, Hannah K. Allen, Samantha Cohen-Winans, Kaitlyn Armstrong, Nash C. Clark, M. Allison Ford

Faculty and Student Publications

The COVID-19 pandemic is a public health crisis. College student alcohol use is highly prevalent and primarily occurs in social settings where risk for COVID-19 transmission is heightened. This study explored the associations between alcohol use frequency, quantity, motives, and context with: (i) quarantine due to COVID-19 exposure and (ii) a positive diagnosis for COVID-19. A sample of n = 409 college student drinkers completed an online survey about their health and behaviors during the Fall 2020 semester. Since the start of the semester, 36% of students quarantined and 13% of students received a COVID-19 diagnosis. More frequent alcohol use …

Implementation Of A Quality Improvement (Qi) Intervention To Increase Influenza Vaccination Uptake In A Pediatric Primary Care Setting., Lisa Gaines

Doctor of Nursing Practice Papers

Background: Internal and external evidence demonstrates that there is a suboptimal uptake of influenza vaccination (flu vaccine) in all settings, despite national objectives to achieve 80%- 90% immunization rates across all populations. In 2002, the Advisory Committee on Immunization Practices (ACIP) issued a recommendation that all children 6 months of age and older be immunized annually with the influenza vaccine. Despite these recommendations, influenza vaccination is not required for school entry in the Commonwealth of Kentucky and immunization rates continue to fall below local, state, and national targets. Being considered an optional vaccine leaves the decision to vaccinate (or not) …

Newsletter, Summer 2021

Newsletter

No abstract provided.

Forward Together Update [Welcome Back, Vaccines, & Masks], July 1, 2021, University Of Northern Iowa

UNI Response to COVID-19

Welcomes back to campus those who have been working remotely. Includes reminders that vaccines are available and masks are encouraged for those not vaccinated.

An Interprofessional Approach To Holistic End-Of-Life., Andrew Aschbacher

Doctor of Nursing Practice Papers

Purpose: The goal of this Doctor of Nursing Practice (DNP) project was to develop and evaluate an evidence-based clinical practice guideline (EBP) for an interprofessional approach across four end-of-life care domains (1) ethnocentric spiritual wellbeing, (2) mental wellbeing, (3) symptom management, and (4) value-based goals of care. Design and Methods: The Iowa Model for the Development of Evidence-Based Practice guided the development of the practice guideline. A multi-phase literature review was conducted to establish and grade the best evidence. A two-phase evaluation plan was developed. The University of Louisville Institutional Review Board approved the project. Results: In evaluation phase one, …

Malignant Hyperthermia, Joel Jackson

Nursing Student Class Projects (Formerly MSN)

Malignant hyperthermia (MH) is a hypermetabolic response to succinylcholine or inhaled volatile gases administered during anesthesia and is caused by an autosomal dominant mutation of RYR1 or CACNA1S genes which affect how calcium channels function. The uncontrolled, unopposed calcium release and excitation-contraction coupling results in sustained skeletal muscle contraction resulting in muscle rigidity, hyperthermia, hypercapnia, hypertension, and tachycardia among other less common clinical features. The sequelae of an MH crisis include renal failure, rhabdomyolysis, hyperkalemia, metabolic disturbance and left untreated will result in mortality. All clinicians involved in peri-operative care both in-hospital and out of hospital must be cognizant of …

Acute Respiratory Distress Syndrome, Eric Boyer

Nursing Student Class Projects (Formerly MSN)

Acute respiratory distress syndrome (ARDS) is an inflammatory response that is accompanied by poor diffusion of oxygen across the alveolar-capillary membrane. Unfortunately, ARDS has a high mortality rate close to 43% when suffering from serve ARDS. ARDS cases in the United States range from 64.2 to 78.9 cases per 100,000 people. Early symptoms of ARDS are subtle and are common in many diseases processes. Such symptoms are tachycardia, tachypnea, and dyspnea. Late symptoms are right-sided heart failure, pulmonary hypertension, hypercarbia, and cyanosis. Common triggers of ARDS are sepsis, pulmonary insults such as pneumonia, pancreatitis, trauma, drug overdoses, and blood transfusions. …

Disseminated Intravascular Coagulation (Dic), Kahl Knapke

Nursing Student Class Projects (Formerly MSN)

Disseminated intravascular coagulation (DIC) is a rare medical emergency that can have profound and potentially life-threatening conditions. DIC has a hypercoagulability phase that simultaneously leads to a hypocoagulability phase due to depletion of clotting factors. DIC is secondary complication stemming from an underlying condition. Trauma, malignancy, severe infection, reaction to a transfusion, obstetric complications, etc. are a few conditions that are commonly linked to DIC. The primary method of treatment is early identification and resolving the underlying medical condition. The management of DIC requires nursing and medical staff with keen knowledge and understanding of precursor signs of DIC and the …

Gastroesophageal Reflux Disease, Kathryn Bland

Nursing Student Class Projects (Formerly MSN)

Gastroesophageal Reflux Disease is a very common disease, affecting at least 10% of people worldwide. Symptoms of the disease range from chest pain and chronic cough to acid reflux and laryngitis. It is a multifactorial disease. It can be caused by problems with the valve at the esophagogastric junction or improper pressure gradients between the stomach and esophagus. It can also be exacerbated by obesity, delayed gastric emptying and a hiatal sliding hernia. Nurses caring for these patients need to teach about prevention and treatment for the disease. Without treatment the disease can progress to Barrett’s esophagus and esophageal adenocarcinoma. …

Disseminated Intravascular Coagulation, Kahl Knapke

Nursing Student Class Projects (Formerly MSN)

Disseminated intravascular coagulation (DIC) is a rare medical emergency that can have profound and potentially life-threatening conditions. DIC has a hypercoagulability phase that simultaneously leads to a hypocoagulability phase due to depletion of clotting factors. DIC is a secondary complication stemming from an underlying condition. Trauma, malignancy, severe infection, reaction to a transfusion, obstetric complications, etc. are a few conditions that are commonly linked to DIC. The primary method of treatment is early identification and resolving the underlying medical condition. The management of DIC requires nursing and medical staff with keen knowledge and understanding of precursor signs of DIC and …

2021-07-01_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 …

Patterns Of Weight Change In A Commercial Weight Loss Program, Heontae Kim, Taeyeon Oh, Natalie M. Papini, Nanette V. Lopez, Stephen D. Herrmann, Minsoo Kang

Faculty and Student Publications

Objectives: In this study, we examined compliance and progress factors associated with weight loss and maintenance, individual patterns of weight trends following weight loss, and impact of early weight loss on longer-term weight change. Methods: We conducted secondary analysis of pre-post data. Participants were 8769 persons (mean age = 47.63 ± 13.78 years; 77.74% women; mean weight = 97.20 ± 22.82 kilograms; BMI = 34.09 ± 6.84) in a commercial weight management program. We carried out multiple regression analyses on weight change and percentage, and used ANOVA and the Pearson chi-square test to examine participant characteristics, weight change patterns, and …

Development And Implementation Of A School Nurse Staffing Model: A Policy Change Proposal., Jillian Champion

Doctor of Nursing Practice Papers

Background: School nurses play a vital role in the success of students. Having a school nurse is associated with improved attendance, management of chronic student conditions, and graduation rates. Public schools in Kentucky, and across the nation, face huge budget issues, and often, school nurse jobs are cut. With limited staff, school districts must find efficient ways to staff school nurses to meet student needs. The National Association of School Nurses (NASN) argue for staffing school nurses based on social determinants of health, along with medical complexity of students. In 2021, only one staffing model had been published with measurable …

Implementation Of An Evidence Based Quality Improvement Project To Improve Bathing Practices In The Neonatal Intensive Care Unit., Kimberly Johnson

Doctor of Nursing Practice Papers

Background: Conventional bathing practices in the NICU have shown to be a stressful, and even painful, activity for neonates and one that can negatively impact the developmental and physiological outcomes of premature infants. To negate these negative outcomes, and provide a positive experience for neonates and their parents, AWHONN recommends the implementation of immersion swaddle bathing [ISB] over conventional bathing practices, in premature infants and newborns. Purpose: The purpose of this quality improvement project was to implement and evaluate an evidence-based bathing practice in a Level III NICU that includes clinical practice guidelines and staff education. Methods: A live, education …

Developmentally Supportive Positioning In The Neonatal Intensive Care Unit., Taylor Morganti

Doctor of Nursing Practice Papers

Background: An estimated 15 million infants worldwide are born prematurely each year. These infants are at an increased risk of poor physical and neurodevelopment because of increased stress and inappropriate sensory stimuli experienced in the neonatal intensive care unit (NICU). The provision of developmentally supportive care can mitigate some of these noxious effects. By decreasing stress and conserving energy, developmentally supportive positioning can enhance sensory, motor, and neurodevelopment. Purpose: The purpose of this quality improvement project is to improve the positioning of premature neonates through an educational intervention and staff training on the importance of developmentally supportive positioning. Improved positioning …

The Effect Of An Educational Intervention On Nurses' Knowledge And Skills Related To The T-Piece Resuscitator., Christy Roe

Doctor of Nursing Practice Papers

Background: The t-piece resuscitator (TPR) is a device that provides respiratory support for neonates that has been shown to be safe and effective when used correctly. A recurring competency assessment for the TPR does not exist at the intervention site except for the biyearly Neonatal Resuscitation Program® checkoff. Nurses who are not competent and confident with the use of the t-piece resuscitator run the risk of not using it correctly when resuscitating a neonate and potentially causing harm. Methods: The Iowa Model of Evidence-Based Practice was used for this quality improvement project. A literature review was conducted to identify proper …

Improving Communication And Teamwork Among Emergency Department Nursing Staff., Phoebe Girgis

Doctor of Nursing Practice Papers

Background: Emergency Department (ED) nurses are experiencing a rise in patient visits, staffing shortages, lower levels of job satisfaction, higher nurse to patient ratios, increased acuity for trauma patients, and increased psychiatric admissions. Tension, frustration, and breakdowns in communication are among reasons for lateral violence among emergency nursing staff.

Setting: This evidence-based practice project took place at a level one trauma academic medical center in the Southeastern region of the United States. Emergency Psychiatric Services (EPS) is a subunit within the ED which has a capacity of 24 patients for psychiatric services. The main ED, Medical ED (MED), or the …