Medicine and Health Sciences Commons^™

Assessing Medication Compliance And The Usage Of Complementary Therapies Effecting Hba1c Among Patients With Type 2 Diabetes Mellitus In A Tertiary Care Hospital In Karachi, Pakistan, Neelam Nasruddin

Theses & Dissertations

Background: Diabetes Mellitus is a chronic illness. It remains to be a major public health matter and a financial burden on the medical system worldwide. This condition can be managed and better treatment strategies and compliance can reduce the risk of complications. In 2022, there will be around 33,000,000 new cases of diabetes worldwide, with 26.7% of the adults in Pakistan being affected, predicts the (International Diabetes Federation, 2022). However, it is observed that most individuals turn to complementary and alternative methods (CAM)/Traditional medicine because of the rising cost of therapy, adverse effects of anti-diabetic medications, and accessibility concerns.
Purpose: …

Nursing Education In Complementary Alternative Modalities: A Case Study, Deborah Bird

Dissertations

Purpose: The purpose of this embedded case study was to describe the preparation for and utilization of complimentary alternative modality (CAM) interventions by an experienced Doctor of Nursing Practice (DNP) prepared nurse practitioner (NP) working in an outpatient setting.

Background: Given the widespread use of CAM by the American public and the potential complications involved in combining CAM and standard medical care, a lack of educational preparation in CAM interventions by NPs delivering primary care in outpatient health care settings represents both a potential risk and a missed opportunity to provide holistic patient care. Such a lack of knowledge also …

How Early Education And Pet Therapy May Help Nurses With Compassion Fatigue, Katie E. Clark

Electronic Theses and Dissertations

Abstract

Although there is a great deal of research on the causes of compassion fatigue, there is little research on prevention techniques or ways to combat compassion fatigue. The purpose of this qualitative phenomenological study was to discover if nurses are prepared to cope with occupational stress and compassion fatigue. A secondary purpose was to examine the perceived benefit that pet therapy can have as a possible stress reduction technique to decrease the effects of compassion fatigue. This research was conducted by gathering data via semistructured interviews. The researcher interviewed nurses who were currently practicing patient care and scored as …

Developing A Sexual Health Consent Strategy For Refugees: A Qualitative Approach, Amita Tuteja, Elisha Riggs, Lena Sanci, Lester Mascarenhas, Anna Power, Di Vanvliet, Katrina Sangster, Kimberley Mcguinness, Meredith Temple-Smith

The Qualitative Report

We report the development of a strategy for obtaining a truly voluntary and informed consent for sexual and reproductive health (SRH) research with Burma-born refugees settled in Australia. Using a qualitative descriptive research design, we interviewed 29 providers of refugee services (PRS) including health care professionals (doctors, nurses, midwives), bilingual supporting staff (interpreters, social workers, settlement workers, community liaison officers) and administrative staff (practice managers, reception staff) who provide primary care services to refugees. Interviews were audio recorded, transcribed, and subjected to thematic analysis. Four themes emerged: (a) unique values of Burma-born people, (b) unfamiliarity with Western concepts of research, …

Indian Healthcare System: Reflections Of Swedish Nursing Students, Elisabeth Mangrio

Manipal Journal of Nursing and Health Sciences

Internationalization within nursing programs is essential to provide nurses with cultural competence and for nursing students to gain an international perspective. It has also been shown to be effective to gain a cultural understanding. This paper aims to illuminate and explain the experiences that Swedish nursing students had while they engaged in clinical training during an exchange program in India and to provide a comparison between the health service in both countries. Nursing students from Sweden did a four-week clinical placement within the primary healthcare in India in 2020. During the clinical placement, which consisted of a variety of healthcare …

Complementary Alternative Medicine: An Education Of Guided Self-Care In The Elderly Population For Management Of Chronic Conditions, Janice B. Gerber

Theses and Graduate Projects

The elderly population, specifically the residents in the Skilled Nursing Facility (SNF) or nursing homes, suffer from chronic conditions, many of which have a psychological and behavioral component. Conventional medicine treats the chronic conditions from one symptom to another through pharmacological interventions, which resulted in polypharmacy. Gathering evidenced-base practice of Complementary Alternative Medicine (CAM) will maximize opportunities for the elderly population to manage chronic conditions. The application of Parse’s Theory of Human Becoming (HBT) with self-guided education of CAM modalities in SNF explores the significant concepts of personal meaning, rhythmical patterns, and transcendence. Grounded on HBT, the self- guided education …

Factors Associated With Resilience And Sense Of Coherence In Adult Transgender Persons: Identifying Predictors To Reduce Health Disparities In A Vulnerable Population, Jake Bush

Electronic Theses and Dissertations, 2020-

National studies revealed the transgender population has barriers to positive health outcomes, but also showed evidence of resilience. A focus on health strengths such as resilience may help mitigate health barriers. This work focused on the sociodemographic predictors of and interrelationships between resilience, sense of coherence (SOC), and health perception. There were three aims of this work. The first aim was to review the literature surrounding resilience and SOC in the adult transgender population. Results from an integrative literature review revealed three themes of resilience in the adult transgender population: social support, individual factors, and resources. Prior to the current …

Parental Online Information Access And Childhood Vaccination Decisions In North America: Scoping Review, Sarah Ashfield, Lorie Donelle

Nursing Publications

Background: Immunizing children throughout their early years prevents the spread of communicable disease and decreases the morbidity and mortality associated with many vaccine-preventable diseases. Searching online allows individuals rapid access to health information. Objective: The purpose of this review was to develop an understanding of the existing literature of parents’ online health information-seeking behaviors to inform their vaccination choices for their children and to identify gaps in the literature around parents’ use of online health information and their vaccination choices. Methods: A scoping review of peer-reviewed literature from Canada and the United States was performed. The following databases were utilized …

Methods To Increase The Rate Of Childhood Vaccinating, Mary Beth Tillman

Walden Dissertations and Doctoral Studies

Vaccinations such as polio, diphtheria, varicella, and meningitis help to protect a child from life-threatening illnesses which have previously been contained by routine vaccinations. However, misinformation, negative press, and other contributing factors, have influenced caregivers to refuse to vaccinate their children placing the children at risk for contracting the disease. The Centers for Disease Control and Prevention recommends regular vaccinations for children beginning as newborns, yet the vaccination rate remains below acceptable levels. This project was developed to provide an educational program guided by Orem’s self-care theory and intended to increase nurses’ knowledge of vaccination and ultimately vaccination rates. A …

A Systematic Review: Effectiveness Of Complementary Therapies On Mental Status Of Pediatric Oncology Patients, Sara Fredricks, Jessica Lloyd, Whitney Wendling

Williams Honors College, Honors Research Projects

Children with cancer frequently suffer from depression, anxiety, feelings of hopelessness, and psychological stresses related to knowledge of potential risks, associated treatments, and the illness itself. These psychological problems can cause many additional physiological problems for these already chronically ill patients and may be detrimental to their overall health. The purpose of this systematic review is to review and critically appraise the evidence to determine if the use of Complementary and Alternative Methods (CAM), along with standardized care, affects mental health outcomes in pediatric cancer patients. Twenty-one primary source publications between 2013 and 2019 were analyzed for this systematic review. …

ปัจจัยที่มีความสัมพันธ์กับพฤติกรรมแสวงหาบริการสุขภาพของบุคคลที่มีความเสี่ยงโรคมะเร็งลำไส้ใหญ่และทวารหนัก, นิภาพร นามมันทะ

Chulalongkorn University Theses and Dissertations (Chula ETD)

การวิจัยครั้งนี้เป็นการศึกษาความสัมพันธ์เชิงบรรยายเพื่อศึกษาปัจจัยที่มีความสัมพันธ์กับพฤติกรรมแสวงหาบริการสุขภาพของบุคคลที่มีความเสี่ยงโรคมะเร็งลำไส้ใหญ่และทวารหนัก กลุ่มตัวอย่าง คือ บุคคลที่มีความเสี่ยงโรคมะเร็งลำไส้ใหญ่และทวารหนัก จำนวน 122 คน คัดเลือกกลุ่มตัวอย่างด้วยวิธีการสุ่มแบบหลายขั้นตอน จากผู้ที่มารับบริการแผนกผู้ป่วยนอกระบบทางเดินอาหาร โรงพยาบาลราชวิถี โรงพยาบาลตำรวจและโรงพยาบาลจุฬาลงกรณ์ สภากาชาดไทย เก็บข้อมูลโดยใช้แบบสอบถาม 6 ส่วน คือ 1) แบบสอบถามข้อมูลส่วนบุคคล 2) แบบสอบถามการรับรู้เกี่ยวกับการเจ็บป่วย 3) แบบสอบถามการสนับสนุนทางสังคม 4) แบบวัดความวิตกกังวล 5) แบบสอบถามความกลัว และ 6) แบบสอบถามพฤติกรรมแสวงหาบริการสุขภาพของบุคคลที่มีความเสี่ยงโรคมะเร็งลำไส้ใหญ่และทวารหนัก ผ่านการตรวจสอบความตรงตามเนื้อหาโดยผู้ทรงคุณวุฒิ 5 คน ค่าความเที่ยงของเครื่องมือเท่ากับ .86, .89, .86, .87 และ .86 ตามลำดับ วิเคราะห์ข้อมูลโดยใช้วิธีการทดสอบค่าสัมประสิทธิ์สหสัมพันธ์เพียร์สัน ผลการวิจัยสรุปได้ ดังนี้ 1. บุคคลที่มีความเสี่ยงโรคมะเร็งลำไส้ใหญ่และทวารหนักมีคะแนนเฉลี่ยพฤติกรรมแสวงหาบริการสุขภาพและการสนับสนุนทางสังคมอยู่ในระดับสูง (Mean = 31.31, SD = 4.93; Mean = 72.63, SD = 7.83 ตามลำดับ) ส่วนการรับรู้เกี่ยวกับการเจ็บป่วยและความกลัวมีคะแนนเฉลี่ยอยู่ในระดับปานกลาง (Mean = 74.66, SD = 17.03; Mean = 26.81, SD = 5.11 ตามลำดับ) และความวิตกกังวลมีคะแนนเฉลี่ยอยู่ในระดับต่ำ (Mean = 31.94, SD = 6.80) 2. การรับรู้เกี่ยวกับการเจ็บป่วยและการสนับสนุนทางสังคมมีความสัมพันธ์ทางบวกกับพฤติกรรมแสวงหาบริการสุขภาพของบุคคลที่มีความเสี่ยงโรคมะเร็งลำไส้ใหญ่และทวารหนักอย่างมีนัยสำคัญทางสถิติที่ระดับ .05 (r = .471, .327 ตามลำดับ) และความวิตกกังวลมีความสัมพันธ์ทางลบกับพฤติกรรมแสวงหาบริการสุขภาพของบุคคลที่มีความเสี่ยงโรคมะเร็งลำไส้ใหญ่และทวารหนักอย่างมีนัยสำคัญทางสถิติที่ระดับ .05 (r = -.367)

Complementary And Alternative Medicine In Chronic Conditions In Pediatrics, Kelly Colletti, Sierra Williams

Grace Peterson Nursing Research Colloquium

Abstract

Background: The number of people being diagnosed with a chronic disease is on the rise. Living with a chronic disease impacts a person’s physical, mental, emotional, financial, and social aspects of the person’s life as well. A child diagnosed with a chronic disease is even more affected by the disease due to the lack of understanding of the disease. Alternative therapies to medication and procedures are explored as a way to help children cope with the symptoms and side effects of their disease.

Objectives: The purpose of this integrated literature review is to determine the effectiveness of Complementary and …

Exploring Unmet Healthcare Needs, Healthcare Access, And The Use Of Complementary And Alternative Medicine By Chronic Pain Sufferers- An Analysis Of The National Population Health Survey, Jessica Lachance

Electronic Thesis and Dissertation Repository

Background: Chronic pain is a condition nurses encounter in their practice often; estimated to affect 1 in 5 Canadian adults, resulting in significant disability, a deleterious impact on health and quality of life, and a large financial and operational burden on the health care system. It is a complex and multifactorial phenomenon that despite research efforts remains poorly understood. Consequently, the focus of chronic pain treatment targets the managementof pain to improve quality of life and reduce suffering as much as possible, rather than a curative approach. Chronic pain has been recognized as one of the most pervasive and …

A Cross Sectional Survey To Assess The Prevalence Of Gynaecological Morbidity, Treatment Seeking Behavior And Perceived Barriers For Utilization Of Health Care System Among Married Women Of Reproductive Age Group In Selected Villages Of Udupi District, Karnataka, Lida Mathew

Manipal College of Nursing, Manipal Theses and Dissertations

ABSTRACT A research study titled, “A cross sectional survey to assess the prevalence of gynaecological morbidity, treatment seeking behavior and perceived barriers for utilization of health care system among married women of reproductive age group in selected villages of Udupi District, Karnataka” was conducted by Ms. Lida Mathew in partial fulfillment of the requirement for the degree of Master of Science in Nursing at Manipal College of Nursing, Manipal, Manipal University. The objectives of the study were to determine the prevalence of gynaecological morbidity among married women of reproductive age, to identify the treatment seeking behavior among married women of …

The Changing Roles And Reputations Of Dais In Rural Uttarakhand: An Investigation Into The Maternal Health Services Of Villages In Okhalkanda Block In Nainital, Jenna Davis

Independent Study Project (ISP) Collection

The dai, once a prominent figure in Indian maternal health, now faces marginalization as the government of India adopts the goal of universal institutional delivery. Under pressure from international discourse that Skilled Birth Attendants (SBAs) were more effective at lowering Maternal Mortality Rate (MMR) than Traditional Birth Attendants (TBAs) like dais (World Health Organization), dai training was discontinued and left in the hands of NGOs, while concurrently women and ASHAs were monetarily incentivized for every institutional birth (Park, 419). Yet in rural, isolated, or hilly areas like Okhalakanda block in Uttarakhand, institutional delivery is a long way from universal—only …

Childhood Vaccine Perceptions And Practices Among Naturopathic Physicians, Katherine Bloom Whitman

Graduate College Dissertations and Theses

Purpose: Parental decisions to vaccinate their children may be impacted by the advice of health care providers practicing complementary and alternative medicine (CAM). Available literature suggests an association between vaccine delay or refusal and CAM use, decreased vaccination status of naturopathic patients, and increased vaccine hesitancy among naturopathic students. Some naturopathic physicians state that their approach towards discussions about childhood vaccinations may support families in choosing partial vaccination over complete refusal, ultimately contributing to an overall increase in vaccinations.

Methods: Using a modified Health Belief Model as a theoretical framework, this online survey of naturopathic physicians assessed childhood vaccine-related perceptions …

Attitudes Of Western, Conventionally Trained Physicians Toward Integrative Medicine In Kenya: A Descriptive Correlational Study, Heather L. Hall

Master of Science in Nursing Theses

The 2007 policy draft of Kenya’s National Coordinating Agency for Population and Development (NCAPD) states that the primary source of health care for more than two-thirds of Kenya’s population is traditional medicine (as cited in NCAPD, 2008). The World Health Organization (WHO) (2013) suggests there should be an integration of TM into systems of national health care to increase health care access. Integrative medicine (IM) involves the integration of therapies from both alternative and mainstream medicine (Integrative medicine, 2014). Little is known about the attitudes of Western, conventionally trained physicians toward IM in a non-Western setting. The purposes of this …

Use Of Dietary And Herbal Supplements In Older Adults With Osteoarthritis, Sharon Denise Mcdonald

Dissertations

Over the past several decades, older adults with Osteoarthritis (OA) have increasingly used more natural products in an effort to manage chronic pain. The theoretical framework for this study was the Lazarus and Folkman transactional theory of stress and coping. This framework was chosen based on the belief that older adults with OA are taking natural products as an active problem solving coping strategy to manage the pain, disability, and alterations they experience in their health related quality life including functional status, physical symptoms, emotional health, and social functioning. Older adults also take prescription medications for Osteoarthritis and a variety …

Cultural Competency In The Medical Workplace: A Look At Outpatient Clinic Nurses At A Children's Hospital In New England, Evelyn S. Callahan

Honors Scholar Theses

This paper analyzes the current state of progress toward cultural competency in the medical workplace, specifically in the hospital setting. It compares the current writing on the topic to research done at a large New England children’s hospital. The nurses are all individuals who work in an out patient setting so they often see the same patients regularly for longer periods of time. This differs from the in-patient or floor nurses who only spend limited time with a constantly changing population of patients. The research involved one-on-one interviews and a focus group with nurses at the hospital. The focus group …

Fibromyalgia Self-Care Management: Use Of Essential Oils, Regina Ann Sacco Izu Phd

Dissertations

Fibromyalgia is a female dominant chronic syndrome of diffuse muscle pain on palpation of at least 11 of 18 syndrome-associated tender points present for 3 months or longer. There is no cure. Self-care management involving multimodal integrative medicine approaches may increase treatment involvement resulting in a sense of control and pain relief. This embedded, single case study explored 'how' and 'why' an informant with fibromyalgia chose to initiate and continue self-care management using essential oils over several years to treat symptoms within context reality. Orem's Self-Care Deficit Model and the Principles of Integrative Medicine from the University of Arizona formed …

The Role Of The Nurse Practitioner In The Use Of Homeopathy In Healthcare, Misty Mathis Harris

MSN Research Projects

Homeopathy is the administration of diluted substances, derived from plants, minerals, or animal products, that would in a healthy person induce symptoms of the disease treated (Skinner, 1996). Samuel Hahnermann, the founder of homeopathy, insisted that homeopathy is the restoration of the bioenergetic field surrounding the life force (Skinner, 1996) . The purpose of this project was to develop a nurse practitioner knowledgebase regarding the use of homeopathy. Martha Rogers' Theory of Unitary Human Beings served as the theoretical foundation for this clinical project and guided the systematic review of literature. The consideration of the use of homeopathy by nurse …

Frequency Of Use Of Complementary And Alternative Medicine In Women With Breast Cancer, Cecile A. Lengacher, Mary Bennett, Kevin E. Kip, Rosemary Keller, Melisa S. Lavance, Lynette S. Smith, Charles E. Cox

Nursing Faculty Publications

No abstract provided.

Attitudes, Knowledge, And Practice Strategies Of Nurse Practitioners In The State Of California Regarding Complementary Therapy, Steven J. Lenthe

Master's Projects

Context: This is a replication of a study by Boucher and Lenz (1) concerning knowledge and attitudes of physicians in a Midwestern teaching hospital about complementary therapy. Approval for use of all or any part of the original questionnaire was obtained from the authors. Objective: To discover the attitudes, knowledge, and practice strategies related to complementary therapy by nurse practitioners in the state of California. Conclusion: Overall nurse practitioners view the combination of complementary therapies and allopathic medicine as beneficial to positive outcomes for their clients. Nurse practitioners in the State of California appear to be knowledgeable in the purposes …

Herbal Prescribing Practices Among Nurse Practitioners In Mississippi, Michelle Smith

MSN Research Projects

The focus of this descriptive study was to examine herbal therapy prescribing practices of nurse practitioners in Mississippi.

Facilitators And Barriers To Practice Of Nurse Practitioners In The Emergency Department, Teresa Stanford

MSN Research Projects

The focus of this descriptive study was to identify facilitators and barriers to practice of nurse practitioners in the emergency department.

Alternative Health Practices Of Homebound Adults In Northeast Mississippi, Jenny Barnes

MSN Research Projects

More people are relying on alternative practices and less conventional therapies for a wide variety of problems. Alternative therapies have gained increasing popularity, recognition, and usage in the past decade. Minimal knowledge exists regarding the alternative health care practices of the essentially homebound population who may be more likely to use alternative forms of health care due to the difficulty in leaving home and in following with certain cultural beliefs and practices. The focus of this descriptive study was to describe the alternative health practices of home health clients and how these practices may effect care in the primary care …