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2024

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Full-Text Articles in Medicine and Health Sciences

Concepts In Animal Parasitology, Chapter 69: A Short Introduction To Marine Parasitology: Marine Parasites Of Economic And Medical Importance [Auxiliary Concepts], Klaus Rohde, Robin M. Overstreet Jan 2024

Concepts In Animal Parasitology, Chapter 69: A Short Introduction To Marine Parasitology: Marine Parasites Of Economic And Medical Importance [Auxiliary Concepts], Klaus Rohde, Robin M. Overstreet

Concepts in Animal Parasitology

Chapter 69 in Concepts in Animal Parasitology, S. L. Gardner and S. A. Gardner, editors. 2024. Zea Books, Lincoln, Nebraska, United States

Introduction

Parasitism, in this chapter, is defined as “a close association of two organisms, in which one—the parasite—depends on the other—the host—deriving some benefit from it. The benefit is often food” (Rohde, 2005b). Many bacteria, viruses, and fungi are parasitic but usually not studied by parasitologists sensu stricto; they are the domain of microbiologists. Parasites as defined here do not always harm their host; the border between so-called genuine parasites and other symbionts such as commensals is often …


Concepts In Animal Parasitology, Chapter 50: Ascarididae And Anisakidae (Families): Large Intestinal Nematodes [Nemata, Secernentea], Larry S. Roberts, John J. Janovy Jr., Steven A. Nadler, Scott L. Gardner Jan 2024

Concepts In Animal Parasitology, Chapter 50: Ascarididae And Anisakidae (Families): Large Intestinal Nematodes [Nemata, Secernentea], Larry S. Roberts, John J. Janovy Jr., Steven A. Nadler, Scott L. Gardner

Concepts in Animal Parasitology

An overview of the large intestinal nematodes (roundworms) in the families Ascarididae and Anisakidae. Includes a discussion of the taxonomy, as well as the biology and other aspects of ascarids and anasakids of human medical and veterinary importance, such as Ascaris lumbricoides, Toxocara canis, Anasakis spp., and other species.

Chapter 50 in Concepts in Animal Parasitology, by Larry S. Roberts, John J. Janovy, Jr., Steven Nadler, and Scott L. Gardner. 2024. S. L. Gardner and S. A. Gardner, editors. Zea Books, Lincoln, Nebraska, United States. doi: 10.32873/unl.dc.ciap050


Concepts In Animal Parasitology, Chapter 42: Opisthorchis (Genus) [Platyhelminthes, Trematoda, Digenea, Plagiorchiida], Sue Ann Gardner Jan 2024

Concepts In Animal Parasitology, Chapter 42: Opisthorchis (Genus) [Platyhelminthes, Trematoda, Digenea, Plagiorchiida], Sue Ann Gardner

Concepts in Animal Parasitology

A very brief overview of the trematode (fluke) genus Opisthorchis, including taxonomy, human medical importance, and life cycle.

Chapter 42 in Concepts in Animal Parasitology, compiled by Sue Ann Gardner from information from the United States Centers for Disease Control and Prevention, Division of Parasitic Diseases and Malaria. 2024. S. L. Gardner and S. A. Gardner, editors. Zea Books, Lincoln, Nebraska, United States. doi: 10.32873/unl.dc.ciap042


Concepts In Animal Parasitology, Chapter 37: Bivesiculata Olson Et Al., 2003 (Suborder): Small, Rare, But Important [Platyhelminthes, Trematoda, Digenea, Plagiorchiida], Thomas H. Cribb, Scott C. Cutmore Jan 2024

Concepts In Animal Parasitology, Chapter 37: Bivesiculata Olson Et Al., 2003 (Suborder): Small, Rare, But Important [Platyhelminthes, Trematoda, Digenea, Plagiorchiida], Thomas H. Cribb, Scott C. Cutmore

Concepts in Animal Parasitology

An overview of the the small, rare, but important group of trematodes (flukes) in suborder Bivesiculata Olson et al., 2003, found in the intestine of marine bony fishes in the class Osteichthyes. Includes identification methods, general morphology, life cycles, and taxonomy.

Chapter 37 in Concepts in Animal Parasitology by Thomas H. Cribb and Scott C. Cutmore. 2024. S. L. Gardner and S. A. Gardner, editors. Zea Books, Lincoln, Nebraska, United States. doi: 10.32873/unl.dc.ciap037


Concepts In Animal Parasitology, Chapter 18: Taenia (Genus) [Platyhelminthes, Cestoda, Eucestoda], Sumiya Ganzorig, Scott L. Gardner Jan 2024

Concepts In Animal Parasitology, Chapter 18: Taenia (Genus) [Platyhelminthes, Cestoda, Eucestoda], Sumiya Ganzorig, Scott L. Gardner

Concepts in Animal Parasitology

Discusses the cestode (tapeworm) genus Taenia, several species of which infect humans, including their general morphology, the asexual reproduction of the metacestodes, identifcation, systematics, phylogeny, distribution, hosts, and their medical and veterinary importance.

Chapter 18 in Concepts in Animal Parasitology on the genus Taenia by Sumiya Ganzorig and Scott L. Gardner. 2024. S. L. Gardner and S. A. Gardner, editors. Zea Books, Lincoln, Nebraska, United States. doi: 10.32873/unl.dc.ciap018


Concepts In Animal Parasitology, Chapter 63: Siphonaptera Latreille, 1825 (Order): Fleas [Arthropoda], Marcela Lareschi Jan 2024

Concepts In Animal Parasitology, Chapter 63: Siphonaptera Latreille, 1825 (Order): Fleas [Arthropoda], Marcela Lareschi

Concepts in Animal Parasitology

An overview of fleas, order Siphonaptera Latreille, 1825, the adults of which are highly specialized holometabolous arthropods adapted to parasitic life and are morphologically very different from other insects. Fleas are parasites of birds and mammals, but their greatest specific richness is associated with rodents. There are nearly 3,000 species and subspecies placed in 19 families that are currently known worldwide. Includes discussion of the general morphology of the imago, larva, pupa, and eggs, their morphological adaptation to parasitism, phylogeny, systematics, taxonomy, geographic distribution, host associations, biology, reproduction, and medical and veterinary importance.

Chapter 63 in Concepts in Animal Parasitology, …


Concepts In Animal Parasitology, Chapter 51: Heterakoidea (Superfamily): Cosmopolitan Gut-Dwelling Parasites Of Tetrapods [Nemata, Secernentea], F. Agustín Jiménez-Ruiz Jan 2024

Concepts In Animal Parasitology, Chapter 51: Heterakoidea (Superfamily): Cosmopolitan Gut-Dwelling Parasites Of Tetrapods [Nemata, Secernentea], F. Agustín Jiménez-Ruiz

Concepts in Animal Parasitology

An overview of the cosmopolitan gut-dwelling nematodes (roundworms) in the superfamily Heterakoidea, which occur most often in the cecum and large intestine of amphibians, reptiles, birds, and mammals. Discusses the general morphological characteristics, diagnosis, distribution and host associations, general biology, evolution, systematics, phylogeny, ecology, and conservation, including coverage of species of veterinary importance, Heterakis gallinarum and Histomonas meleagridis.

Chapter 51 in Concepts in Animal Parasitology, by F. Agustín Jiménez-Ruiz. 2024. S. L. Gardner and S. A. Gardner, editors. Zea Books, Lincoln, Nebraska, United States. doi: 10.32873/unl.dc.ciap051


Concepts In Animal Parasitology, Chapter 57: Nematomorpha (Phylum): Horsehair Worms, Matthew G. Bolek, Ben Hanelt Jan 2024

Concepts In Animal Parasitology, Chapter 57: Nematomorpha (Phylum): Horsehair Worms, Matthew G. Bolek, Ben Hanelt

Concepts in Animal Parasitology

An overview of the horsehair worms, phylum Nematomorpha, including discussion of their general morphology, life cycle, distribution, diversity, taxonomy, phylogeny, ecology, and behavior.

Chapter 57 in Concepts in Animal Parasitology, by Matthew G. Bolek and Ben Hanelt. 2024. S. L. Gardner and S. A. Gardner, editors. Zea Books, Lincoln, Nebraska, United States. doi: 10.32873/unl.dc.ciap057


Concepts In Animal Parasitology, Chapter 09: The Coccidia Proper: Important Apicomplexa Other Than Haemoprotozoa [Protozoa, Apicomplexa], Donald W. Duszynski Jan 2024

Concepts In Animal Parasitology, Chapter 09: The Coccidia Proper: Important Apicomplexa Other Than Haemoprotozoa [Protozoa, Apicomplexa], Donald W. Duszynski

Concepts in Animal Parasitology

Chapter 9 in Concepts in Animal Parasitology on the Coccidia Ppoper, important Apicomplexa other than Haemoprotozoa by Donald W. Duszynski. 2024. S. L. Gardner and S. A. Gardner, editors. Zea Books, Lincoln, Nebraska, United States. doi: 10.32873/unl.dc.ciap009


Use Of Machine Learning Approaches To Predict Transition Of Retention In Care Among People Living With Hiv In South Carolina: A Real-World Data Study, Ruilie Cai, Xueying Yang Ph.D., Yunqing Ma, Hao H. Zhang, Bankole Olatosi Ph.D., Sharon Weissman, Xiaoming Li Ph.D., Jiajia Zhang Ph.D. Jan 2024

Use Of Machine Learning Approaches To Predict Transition Of Retention In Care Among People Living With Hiv In South Carolina: A Real-World Data Study, Ruilie Cai, Xueying Yang Ph.D., Yunqing Ma, Hao H. Zhang, Bankole Olatosi Ph.D., Sharon Weissman, Xiaoming Li Ph.D., Jiajia Zhang Ph.D.

Faculty Publications

Maintaining retention in care (RIC) for people living with HIV (PLWH) helps achieve viral suppression and reduce onward transmission. This study aims to identify the best machine learning model that predicts the RIC transition over time. Extracting from the enhanced HIV/AIDS reporting system, this study included 9765 PLWH from 2005 to 2020 in South Carolina. Transition of RIC was defined as the change of RIC status in each two–year time window. We applied seven classifiers, such as Random Forest, Support Vector Machine, eXtreme Gradient Boosting and Long–short–term memory, for each lagged response to predict the subsequent year's RIC transition. Classification …


Pandemic Paradox: A Mixed Methods Study Unmasking The Impact Of Covid-19 On Australia's Nursing And Midwifery Workforce Job Satisfaction And Retention, Laura Lillian Hynes Jan 2024

Pandemic Paradox: A Mixed Methods Study Unmasking The Impact Of Covid-19 On Australia's Nursing And Midwifery Workforce Job Satisfaction And Retention, Laura Lillian Hynes

Theses

Background: The COVID-19 pandemic has seen an outpouring of attention focusing on the global nursing and midwifery shortage and its damaging impact on healthcare systems worldwide. However, there is limited research, both globally and in Australia, on its impact on nurses’ and midwives’ job satisfaction and their associated intentions to stay or leave their job and/or profession, as a result. The lack of extensive research in this area highlights the importance of this Doctoral thesis. My research aimed to fill this gap by conducting a detailed study of the personal experiences of nurses and midwives who worked during the pandemic …


Cancer Induced Bone Pain: Pain Classification And Management, Merlina Sulistio Jan 2024

Cancer Induced Bone Pain: Pain Classification And Management, Merlina Sulistio

Theses

Pain is a multidimensional personal experience influenced by biological, psychological, social and cultural factors. In the context of cancer pain, particularly cancer-induced bone pain (CIBP), it is essential that clinicians assess the multidimensional nature of pain to fully understand the patient’s pain experience, which often involves an evoked sense of both vulnerability and mortality.

Bone metastases are highly prevalent in advanced cancer, resulting in CIBP being one of the most common cancer pain syndromes. CIBP affects a patient’s physical and social functioning, reduces quality of life, increases psychological distress and often results in hospice or hospital admission. Yet, there is …


Prevalence Of Peristomal Skin Complications In The First 12 Weeks Post-Discharge Following Urinary/Faecal Stoma Formation Surgery, Tania Norman Jan 2024

Prevalence Of Peristomal Skin Complications In The First 12 Weeks Post-Discharge Following Urinary/Faecal Stoma Formation Surgery, Tania Norman

Theses

Background

An ostomy is a surgically created opening and can be performed to divert faecal effluent by exteriorisation of a segment of the small bowel otherwise known as the ilium, or from the large bowel otherwise known as the colon. A urinary diversion of effluent generally involves exteriorisation of a segment of ileum into which the ureters have been anastomosed. The exteriorised segment of bowel is referred to as a stoma and individuals who have had a stoma created often refer to themselves as an ‘ostomate’. The skin surrounding a stoma is referred to as peristomal skin.

Peristomal skin complications …


Enhancing Learning Experiences Of Neurodiversity And Implementing Sensory Strategies For Children In A Daycare Setting, Taylor Blackwell Jan 2024

Enhancing Learning Experiences Of Neurodiversity And Implementing Sensory Strategies For Children In A Daycare Setting, Taylor Blackwell

Occupational Therapy Doctorate Capstone Posters

The purpose and focus of this capstone project were to identify what tools and strategies were being utilized within Creative Beginnings Child Development Daycare Center that provided support for children with disabilities specifically Sensory Processing Disorder and Autism Spectrum Disorder. After completion of observations and evidence-based research the goal of the project was to create, educate and implement sensory tools and strategies into the daycare classrooms to improve inclusivity and increase support and participation throughout the day for the children and staff. Sensory tools and strategies were implemented within several daycare classrooms that provided support for atypical children by resulting …


When Virtual Reality Meets Occupational Therapy, Danielle Miracle Jan 2024

When Virtual Reality Meets Occupational Therapy, Danielle Miracle

Occupational Therapy Doctorate Capstone Posters

Virtual reality (VR) has found to be beneficial to occupational therapy clients in the way it creates a safe and enjoyable way to address daily occupations and its ability to increase upper extremity function. The purpose of this ALE was to incorporate VR into interventions for outpatient brain injury patients. Goals for this intervention included successfully implementing VR into intervention plans, creating a handbook for VR use in the use, and adapting equipment to be more accessible. After reaching these goals, implications for practice suggest that VR, along with other technologies can be beneficial for occupational therapists with the proper …


Implementation Of An Evidence-Based Bundle To Educate Nurses In The Care Of Adult Post-Transplant Diabetes Mellitus Patients, Christine Slaughter Jan 2024

Implementation Of An Evidence-Based Bundle To Educate Nurses In The Care Of Adult Post-Transplant Diabetes Mellitus Patients, Christine Slaughter

DNP Projects

Background: After solid organ transplantation, between 10-40% of patients develop post-transplant diabetes mellitus (PTDM) due to the immunosuppression regimen, infection, stress response and pain. Hyperglycemia events are common and managing glycemic targets is critical to decrease the likelihood of graft failure and mortality.

Purpose: To determine the impact of an evidenced-based bundle education strategy on the perceived confidence/knowledge of nurses and on their documentation compliance in the care of adult solid organ post-transplant diabetes mellitus patients.

Methods: A single group, pretest-posttest design was implemented to evaluate the effectiveness of the electronic educational program on the nurses perceived confidence/knowledge regarding glycemic …


The Effect Of An Intervention To Improve Screening For Opioid Use In Patients With Post Traumatic Stress Disorder, Tammy Swartz Jan 2024

The Effect Of An Intervention To Improve Screening For Opioid Use In Patients With Post Traumatic Stress Disorder, Tammy Swartz

DNP Projects

Background: Rates of post-traumatic stress disorder (PTSD) were reported to be higher during COVID-19 than during any other epidemic in history. Patients diagnosed with PTSD are at an increased risk of experiencing opioid use disorder (OUD). Early detection, prevention, and treatment are essential to prevent OUD.

Purpose: The purpose of this project was to determine if education aimed at increasing nurses’ knowledge increased patient screenings for OUD.

Methodology: A baseline chart audit was performed to determine the number of patients seen in the emergency department with PTSD who also were evaluated for OUD. Two hundred and forty emergency department registered …


The Impact Of An Educational Training To Front-Line Nurses And Providers To Reduce Seclusion And Restraint: Assessing Knowledge, Practices, And Attitudes, Kevin Bryant Jan 2024

The Impact Of An Educational Training To Front-Line Nurses And Providers To Reduce Seclusion And Restraint: Assessing Knowledge, Practices, And Attitudes, Kevin Bryant

DNP Projects

Background: The use of seclusion and restraint is common in hospitals, particularly in adult psychiatric settings. Although it is typically agreed that such measures should be used as a last resort in patient care, the majority of nurses feel that seclusion and restraint are necessary interventions in managing adverse behaviors of mental illness. There is a lack of data examining front-line nurses’ and providers’ knowledge, practices, and attitudes toward the use of seclusion and restraint following the use of a targeted educational training.

Purpose: This project aimed to evaluate the impact of a web-based educational intervention on the knowledge, …


Utilizing The Stop-Bang Questionnaire To Assess Risk Of Obstructive Sleep Apnea In Hospitalized Patients With Heart Failure To Facilitate Sleep Medicine Referrals Upon Discharge, Chelsea Mitchell Jan 2024

Utilizing The Stop-Bang Questionnaire To Assess Risk Of Obstructive Sleep Apnea In Hospitalized Patients With Heart Failure To Facilitate Sleep Medicine Referrals Upon Discharge, Chelsea Mitchell

DNP Projects

Background: Obstructive sleep apnea (OSA) is the most common sleep-breathing disorder. Undiagnosed OSA is highly prevalent in the population, especially in those with heart failure. OSA and heart failure combined create a negative feedback loop that can lead to poor clinical outcomes. Unfortunately, many cardiac patients are never screened for OSA.

Purpose: The purpose of this project is to improve screening rates for OSA via the STOP-Bang questionnaire and establish an efficient and effective process for referrals to sleep medicine for heart failure patients screening high-risk.

Methods: The design was a quality improvement project with pre- and post-testing and a …


The Effect Of A Community Resiliency Model Education On Resilience, Psychological Empowerment, And Well-Being In Behavioral Health Nurses, Lorrie Smith-Esterle Jan 2024

The Effect Of A Community Resiliency Model Education On Resilience, Psychological Empowerment, And Well-Being In Behavioral Health Nurses, Lorrie Smith-Esterle

DNP Projects

Background: Resilience, well-being, and psychological empowerment are associated with improvement in job satisfaction and nurse retention rates. The Community Resiliency Model (CRM) can promote emotional regulation, well-being, and create an internal state of balance in response to work-related stressors. Educating nurses on how to use CRM enables the recognition of changes in thoughts, emotions, sensations, and internal or external stimuli, which can promote resilience, well-being, and psychological empowerment.

Purpose: The purpose of this project was to evaluate evaluate the effect of a resiliency education using the Community Resiliency Model (CRM) on resilience, psychological empowerment, and well-being of behavioral health nurses. …


Improving Structural Empowerment Through The Co-Creation Of A Professional Governance Program Of Nurse Managers And Front-Line Nurses, Michelle Van Outer Jan 2024

Improving Structural Empowerment Through The Co-Creation Of A Professional Governance Program Of Nurse Managers And Front-Line Nurses, Michelle Van Outer

DNP Projects

Abstract

Background: Professional governance is a model in healthcare systems where nurses are involved by participating in decisions that lead their practice. Participation in professional governance has been shown to improve nursing practice, employee satisfaction, nursing autonomy, and patient outcomes.

Purpose: The purpose of this study is to evaluate nurses’ perceptions of empowerment when front-line nurses are involved with their nurse managers in the design and structure of an inpatient state psychiatric hospital’s professional governance program.

Conceptual Framework: Kanter’s theory of empowerment will guide this project. As individuals feel more empowered, the success of the organization increases. Kanter suggests that …


The Impact A Nurse Recruiter Has On Nursing Staff Shortages And Nurse Manager Satisfaction In An Acute Psychiatric Facility, Johna Arnett Jan 2024

The Impact A Nurse Recruiter Has On Nursing Staff Shortages And Nurse Manager Satisfaction In An Acute Psychiatric Facility, Johna Arnett

DNP Projects

Abstract

Background: Nursing staff shortages have persisted for the last few decades. Strategies to resolve this enduring challenge continue to drive the creative efforts to attract and retain new staff. These shortages not only affect patient care but can also impact the satisfaction of nurse managers. Little information is available on the effects of a nurse recruiter role on nursing staff shortages as well as nurse manager satisfaction.

Purpose: The purpose of this project is to assess how implementing a designated nurse recruiter impacts nursing staff shortages and nurse manager satisfaction in an acute psychiatric facility. This project examines two …


The Effect Of An Employee Recognition Program For Clinical Registered Nurse Retention At Eastern State Hospital, Kristi Richmond Jan 2024

The Effect Of An Employee Recognition Program For Clinical Registered Nurse Retention At Eastern State Hospital, Kristi Richmond

DNP Projects

Abstract

Background: Nurse executives want to build and retain teams capable of delivering high quality care. However, registered nurse (RN) turnover continues to jeopardize this goal. RN satisfaction has been associated with reduced turnover in the nursing field. Adequate staffing levels are linked to better patient outcomes, and employee recognition is a key factor in RN retention.

Purpose: The purpose of this study was to evaluate the effectiveness of utilizing an existing recognition tool for RNs at an inpatient state psychiatric hospital in the southeastern United States to determine level of job satisfaction, level of job loyalty, level of engagement, …


Reducing Nursing Documentation Burden: Evaluation Of An Electronic Health Record Optimization Plan, Jessica Collins Jan 2024

Reducing Nursing Documentation Burden: Evaluation Of An Electronic Health Record Optimization Plan, Jessica Collins

DNP Projects

Background: UK HealthCare transitioned to a new enterprise electronic health record (EHR) system, offered by Epic Systems Corporation, in June 2021. Approximately 2,000 inpatient nurses use the EpicCare Inpatient Module in the 1,086 licensed bed facilities. Compared to other academic medical centers, UK HealthCare nurses take more time documenting in this EHR inpatient module’s Basic Assessment Flowsheet (documentation burden) and have a longer delay between assessment and documentation (timeliness) potentially contributing to nursing dissatisfaction with using this new EHR.

Purpose: The purpose of this project was to evaluate the effectiveness of a phase of the Epic Nurse Well-Being Project, a …


Improving Dental Students' Knowledge And Confidence In Treating Tobacco Use, Victoria Pierce Jan 2024

Improving Dental Students' Knowledge And Confidence In Treating Tobacco Use, Victoria Pierce

DNP Projects

Background: Tobacco use can lead to numerous chronic health conditions. Healthcare professionals in the dental field are in a unique position to broach this issue with patients. Research shows that dental students do not feel equipped to provide tobacco cessation care, citing lack of education on the subject among their top reasons for this.

Purpose: The purpose of this project was to evaluate changes in dental students’ knowledge and confidence related to treating tobacco use after participation in an educational intervention about the 5A’s, behavioral counseling, and first-line prescription medications.

Methods: This quality improvement initiative utilized a quasi-experimental survey design …


Improving Nutrition Screening Practice In The Hospitalized Heart Failure Patient Population, Amanda J. Bourgeois Jan 2024

Improving Nutrition Screening Practice In The Hospitalized Heart Failure Patient Population, Amanda J. Bourgeois

DNP Projects

Background: Heart Failure is a disease known to affect nearly 6.5 million adults in the United States. Characterized by recurrent hospitalizations, heart failure significantly contributes to morbidity, mortality, and healthcare costs in the United States and worldwide. Because malnutrition is prevalent in the heart failure population, healthcare providers must perform nutritional assessments on admission to intervene in the case of malnutrition, prevent deterioration, and improve patient prognosis. Without intervention and early identification of malnutrition, heart failure hospitalizations will remain a significant problem.

Purpose: The purpose of this study is to evaluate the effect of an evidence-based educational program for cardiac …


An Educational Intervention On Provider Knowledge Of Hypertension Guidelines And Home Blood Pressure Monitoring, Alison Claire Oesterritter Jan 2024

An Educational Intervention On Provider Knowledge Of Hypertension Guidelines And Home Blood Pressure Monitoring, Alison Claire Oesterritter

DNP Projects

Background: While hypertension is the leading preventable risk factor for cardiovascular disease, disease control remains suboptimal. In the U.S., 47% of adults have hypertension, but only 25% are controlled. Despite having quality evidence-based guidelines, many recommendations are not implemented due to clinical inertia, or the tendency to not change therapy when targets aren’t met. Research has shown that this can be overcome with educational programs. Purpose: To provide training on hypertension guidelines and home blood pressure monitoring (HBPM) to overcome clinical inertia and improve patient outcomes related to hypertension. Methods: The project was a quasi-experimental, pre- and post- …


Improving Knowledge, Confidence, And Competency Among Icu Nurses Concerning The Benefits Of Using The Uk Ventilator Separation Protocol, Brittany Monroe Jan 2024

Improving Knowledge, Confidence, And Competency Among Icu Nurses Concerning The Benefits Of Using The Uk Ventilator Separation Protocol, Brittany Monroe

DNP Projects

Background: The trauma intensive care unit (ICU) at University of Kentucky (UK) Healthcare uses a ventilator separation protocol which provides specific guidelines on the successful weaning of patients from mechanical ventilation. However, many of the nurses are not aware of this protocol as formal education is not included in their orientation or training. This lack of knowledge can lead to risks such as increased patient morbidity, mortality, ICU length of stay, and healthcare-related costs. Research shows that using structured mechanical ventilator weaning tools in the ICU can shorten the duration of mechanical ventilation, which in turn, lowers these associated risks. …


The Impact Of Lung Cancer Screening Education On Knowledge And Screening Rates In A Kentucky Cancer Survivorship Clinic, Alexandra Isler Jan 2024

The Impact Of Lung Cancer Screening Education On Knowledge And Screening Rates In A Kentucky Cancer Survivorship Clinic, Alexandra Isler

DNP Projects

Background: Lung cancer is a significant problem in Kentucky, which ranks fourth in the nation in adults who currently smoke. Early detection, through lung cancer screening, can prevent untimely deaths. Several barriers to screening exist including lack of knowledge and awareness among patients regarding lung cancer screening. By increasing knowledge, at risk patients can take the necessary steps to decrease incidence of late stage diagnoses.

Purpose: The purpose of this project was to evaluate patients’ knowledge of lung cancer screening and referral and screening rates before and after one-on-one patient education.

Methods: This was a quality improvement project that used …


The Effects Of An Educational Intervention On Nursing Knowledge Of Post-Operative Care Of Patients After Minimally Invasive Esophagectomy Surgery, Kelli Curry Jan 2024

The Effects Of An Educational Intervention On Nursing Knowledge Of Post-Operative Care Of Patients After Minimally Invasive Esophagectomy Surgery, Kelli Curry

DNP Projects

Abstract

Background: Minimally invasive esophagectomy surgery is commonly performed by thoracic surgeons on patients with esophageal cancer. The post-operative care of these patients is meticulous and follows a protocol developed by the thoracic surgeons at the University of Kentucky. At UK Chandler Medical Center, concerns have been raised regarding nurses’ lack of education of the protocol, and therefore decreased implementation. Increasing nursing knowledge pertaining to this protocol by performing educational in-services periodically and standardizing and implementing formal education as part of nursing orientation will decrease the knowledge gap and improve patient outcomes and increase utilization of the post-operative protocol.

Purpose: …