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Articles 241 - 270 of 343
Full-Text Articles in Nursing
Education For Pediatric Oncology Nurses On Fertility Preservation Of Pediatric Oncology Patients, Elyse Breit
Education For Pediatric Oncology Nurses On Fertility Preservation Of Pediatric Oncology Patients, Elyse Breit
HIM 1990-2015
Although the survival rate of childhood cancer is high, nearly two thirds of these survivors experience negative long-term secondary side effects from cancer treatments. Infertility is one such side effect that can have a prominent impact on quality of life as the patient ages. It is important for nurses working with pediatric oncology patients to provide the patient and family with education about risk for infertility and fertility preservation (FP) in order to allow families to make decisions about FP before cancer treatment starts. However, pediatric oncology nurses report being uneducated about FP guidelines and are hesitant to broach this …
Interventions For Childhood Obesity: Evaluating Technological Applications Targeting Physical Activity Level And Diet, Jessica Dipietro
Interventions For Childhood Obesity: Evaluating Technological Applications Targeting Physical Activity Level And Diet, Jessica Dipietro
HIM 1990-2015
Overweight and obese children have increased risks for multiple preventable diseases and conditions which can impair their physiological health and significantly increases the overall cost of their healthcare. Free mobile applications and technology for weight loss, dietary tracking, and physical activity may be quite useful for monitoring nutritional intake and exercise to facilitate weight loss. If so, nurses are well positioned to recommend such tools as part of their efforts to prevent childhood obesity and help children and parents better manage childhood obesity when it is present. However, there are no guidelines that nurses can use to determine what applications …
Exploring The Vicious Cycle Of Pediatric Asthma And Anxiety, Taylor Irwin
Exploring The Vicious Cycle Of Pediatric Asthma And Anxiety, Taylor Irwin
HIM 1990-2015
Asthma is the most common chronic disease of childhood. Children diagnosed with asthma are twice as likely to have a comorbid anxiety disorder as their non-asthmatic peers. The presence of both asthma and anxiety in the pediatric patient creates an environment of poor asthma control, and places them at risk for a variety of negative health events. Little is known about comorbid anxiety’s role in asthma health maintenance. Research has identified the link between these two conditions but causation is difficult to conclude. The aim of this thesis is to assess the current state of the science regarding pediatric asthma …
Factors That Influence Implementation Of Pain Management Strategies In The Neonatal Intensive Care Unit, Geraldine Martinez
Factors That Influence Implementation Of Pain Management Strategies In The Neonatal Intensive Care Unit, Geraldine Martinez
HIM 1990-2015
In the United States, 10% to 15% of newborns are admitted to the neonatal intensive care unit (NICU). Painful procedures are unavoidable during NICU care; the neonate experiences approximately 12 painful procedures per day. Inconsistent and/or inappropriate pain management in the NICU remains a problem. The purpose of this study is to identify the prevalent factors that influence the implementation of pain management strategies among nurses who work in a NICU setting in a Central Florida hospital. This study was conducted using a voluntary and anonymous electronic survey. The survey was divided into two sections; the first section designed to …
Use Of Complementary And Alternative Therapies: A Pilot Survey, Hector Ortiz-Cintron
Use Of Complementary And Alternative Therapies: A Pilot Survey, Hector Ortiz-Cintron
HIM 1990-2015
Meeting patient expectations in relation to pain management is an essential component of palliative and end-of-life care. However, previous research has demonstrated that pain is highly prevalent, especially during the four months prior to death. Poorly controlled pain contributes to cognitive failure, depression and an inability to complete daily activities. Unfortunately, pain and symptom management are often inadequate for patients placed in hospice care. The purpose of this study is to evaluate the perspectives of hospice nurses on complementary and alternative therapies to determine if there is an educational need in order to aide in the management of chronic pain …
Addressing Need For Research-Focused Nurses By Increasing Interest And Socialization At The Undergraduate Level, Sarah Thomas
Addressing Need For Research-Focused Nurses By Increasing Interest And Socialization At The Undergraduate Level, Sarah Thomas
HIM 1990-2015
The U.S. shortage of qualified nursing teachers and researchers is affecting national health care outcomes. Methods such as fast-tracking Baccalaureate nurses into graduate programs and embedding leadership development early into nursing curricula have been proposed to address faculty and research shortages. Early interest in nursing research careers increases likelihood of enrollment in graduate education. One way undergraduate nursing students may develop an interest in research careers is through a mentored apprenticeship with research-active faculty. In this thesis, the author uses an autoethnography methodology to examine the benefits that a mentored research apprenticeship model brought to her undergraduate experience. Her experience …
Mobile Phone Short Message Service (Sms) To Improve Malaria Pharmacoadherence In Zambia, Elinda Steury
Mobile Phone Short Message Service (Sms) To Improve Malaria Pharmacoadherence In Zambia, Elinda Steury
Electronic Theses and Dissertations
Malaria significantly contributes to morbidity and mortality rates in Zambia. The currently accepted malaria treatment is artemisinin-based combination therapy (ACT); it is more than 97% effective when the regimen is strictly adhered to. However, the mean ACT adherence rate in sub-Saharan Africa is only approximately 38-48%. Poor pharmacoadherence remains a significant barrier to malaria control and elimination. The purpose of this study was to determine if adherence rates to a six-dose ACT antimalarial treatment differ between patients in Zambia who received short message service (SMS) reminders and those who did not. An experimental, randomized, controlled trial was conducted to collect …
Factors Associated With Information Literacy Competencies Of The Traditional Baccalaureate Nursing Student, Patricia Lafferty
Factors Associated With Information Literacy Competencies Of The Traditional Baccalaureate Nursing Student, Patricia Lafferty
Electronic Theses and Dissertations
Nursing practice at all levels requires a nurse to use evidence-based nursing to improve the quality of patient care. Registered nurses need information literacy skills to practice evidence-based nursing, therefore, all nursing students need to be information literate upon graduation from nursing programs. There is no empirical research evidence on information literacy skills for students entering nursing programs in four-year colleges. Students seeking to attain a baccalaureate degree through a traditional nursing program, enter with differing demographic and educational factors that may affect their information literacy skills. Therefore, the purpose of this research was to examine information literacy skills of …
An Investigation Of The Economic Viability And Ethical Ramifications Of Video Surveillance In The Icu, Laura Bagge
An Investigation Of The Economic Viability And Ethical Ramifications Of Video Surveillance In The Icu, Laura Bagge
HIM 1990-2015
The purpose of this review of literature is to investigate the various roles of video surveillance (VS) in the hospital's intensive care unit (ICU) as well as its legal and ethical implications. Today, hospitals spend more money on the ICU than on any other unit. By 2030, the population of those 65 and over is expected to double. 80% of older adults have at least one chronic diseases (Centers for Disease Control and Prevention, 2013). As a consequence, the demand for ICU services will likely increase, which may burden hospital with additional costs. Because of increasing economic pressures, more hospitals …
Sodium (Na) Levels In Drinking Water (H20) And Development Of Hypertension In Children, Sara Schiffman
Sodium (Na) Levels In Drinking Water (H20) And Development Of Hypertension In Children, Sara Schiffman
HIM 1990-2015
This integrative review of the literature focused on sodium (Na) content in drinking water (H?O) supplies and the subsequent effect on blood pressure levels in children. Studies for this review were drawn from the Cumulative Index of Nursing and Allied Health, PubMED, Science and Technology Databases, PsychInfo, United States (US) Environmental Protection Agency (EPA) and EPA in Florida websites. Criterion for inclusion in the data base searches were hypertension, high blood pressure, sodium in drinking water, drinking water salinity, children or preg'. Subsequently, further article selection criteria included children (under 18 years of age) and published in the English language …
Human Papillomavirus And Vaccination Of Males: Knowledge, Beliefs, And Perceptions Of Registered Nurses, Leah White
Human Papillomavirus And Vaccination Of Males: Knowledge, Beliefs, And Perceptions Of Registered Nurses, Leah White
HIM 1990-2015
Background: Human papillomavirus (HPV) infections are the most common sexually transmitted infections in the world today. HPV has been identified as the cause of both cancer and genital warts. A vaccine to prevent select types of HPV infection was developed and approved for males and females ages 9 to 26. This vaccine has not been universally accepted by healthcare providers, parents, or the public and has lower vaccination coverage rates than other recommended vaccines for the same age group. Multiple studies addressing the knowledge, perceptions, and beliefs of providers and parents regarding the vaccine have taken place. Only a few …
Nursing Interventions That Facilitate End-Of-Life Decision-Making In Pediatric Oncology, Lauren Baeringer
Nursing Interventions That Facilitate End-Of-Life Decision-Making In Pediatric Oncology, Lauren Baeringer
HIM 1990-2015
Nearly one-third of all pediatric oncology patients die from their disease, so nurses need to have an evidence-based standard of practice to guide their role in end-of-life decision-making. The purpose of this integrative review is to analyze current research on end-of-life decision-making within pediatric oncology to create a practice guideline for nurses working with this patient population. Eleven studies were examined to identify nursing interventions regarding the role of the nurse in end-of-life care, the role of the nurse in end-of-life decision-making, parent involvement in end-of-life decision-making, and child involvement in end-of-life decision-making, including the child's ability to participate in …
The Association Between Maternal Resiliency, Perceptions Of Touch, And Reports Of Infant Touch, Lisa D'Agostino
The Association Between Maternal Resiliency, Perceptions Of Touch, And Reports Of Infant Touch, Lisa D'Agostino
HIM 1990-2015
No abstract provided.
The Use Of Wet-To-Dry Dressings For Mechanical Debridement, Katherine Villa
The Use Of Wet-To-Dry Dressings For Mechanical Debridement, Katherine Villa
HIM 1990-2015
Clinical management of complex wounds is essential to promote wound healing. Prolonged healing time may lead to longer and more costly hospitalizations and poorer patient outcomes. The removal of nonviable, necrotic tissue via debridement is vital to the healing process. One of the most common debridement techniques, in the United States, is the use of wet-to-dry dressings. There are no defined guidelines or protocols for the timing of dressing changes and subsceequent debridement. The purpose of this study was to perform a review of literature to determine the rationale for the use of wet-to-dry dressings, explore alternative time sequences of …
Young-Onset Dementia: The Child's Experience With Coping, Jamie Zeher
Young-Onset Dementia: The Child's Experience With Coping, Jamie Zeher
HIM 1990-2015
Young onset dementia (YOD) affects not only the person diagnosed, but the family unit as a whole. It is estimated that as many as 500,000 people in the United States have YOD and around 250,000 children are involved in caring for these people. A child of a parent with YOD can begin to experience negative effects when the child begins to take part in caregiving for the person with young onset dementia (PWYOD). Feelings of stress, anger, fear of the future, depression, social isolation, and increasing responsibility of caring for the PWYOD can be felt by children as caregivers. Research …
Interventions For Treatment Related Side Effects In Older Women With Breast Cancer, Stephanie Suarez
Interventions For Treatment Related Side Effects In Older Women With Breast Cancer, Stephanie Suarez
HIM 1990-2015
Over half (57%) of the women diagnosed with breast cancer are age 65 and older. Treatment for breast cancer may exacerbate current chronic illnesses and/or cause multiple treatment related side effects such as insomnia, fatigue, decreased physical functioning, alterations in body image, poorer quality of life, and changes in psychosocial health. While many women with breast cancer experience these changes, research suggests that older women have different needs than younger women and may not always benefit from interventions. The purpose of this integrative review of literature was to evaluate interventions designed to improve treatment related side effects in female breast …
Barriers Affecting Compliance With The Implementation Of Early Goal Directed Therapy In The Emergency Department, Ivan Castro
Barriers Affecting Compliance With The Implementation Of Early Goal Directed Therapy In The Emergency Department, Ivan Castro
HIM 1990-2015
Early Goal Directed Therapy (EGDT) has been thoroughly researched and clinically supported to be effective at lowering morbidity and mortality associated with severe sepsis and septic shock. Due to the strengths of its efficacy, it has been integrated as an essential component of the Surviving Sepsis Campaign. However, very few studies have explored the barriers that affect compliance of the protocol in actual practice. The purpose of this study was to synthesize current research findings regarding nursing barriers associated with EGDT. This research was limited to studies performed in the United States between 2003-2012, with patients at least 18 years …
Women's Perceptions Of Nursing Care And Management After First Trimester Miscarriage, Jennifer Mcgee
Women's Perceptions Of Nursing Care And Management After First Trimester Miscarriage, Jennifer Mcgee
HIM 1990-2015
Spontaneous abortion, or miscarriage, is an event that affects approximately one in four women during their reproductive years. Despite the psychological and physiological trauma associated with the loss of pregnancy, few evidence-based practice recommendations exist to guide nursing care of women experiencing first trimester miscarriage. The purpose of this integrative review of literature was to examine research related to women's health care experiences of first trimester miscarriage and discuss common themes relating to nursing care. Inclusion criteria consisted of peer review research articles published after 2001 and available in the English language and women that experienced miscarriage during the first …
Evaluation Of Computer-Based Simulation For Pain Management Education, Nicole Gerardi
Evaluation Of Computer-Based Simulation For Pain Management Education, Nicole Gerardi
HIM 1990-2015
Effective pain management is an elusive concept in the acute care setting. Improving nurses' knowledge about optimal pain management is one way to improve the patient's pain experience. A computer-simulation game was developed as an alternative method of teaching the subject of pain management to nursing students. In the game, two patient scenarios are presented, one male and one female. Both patients present with acute pain and request help from the nurse. The player progresses through a series of nine questions as the scenarios unfold, each with one best or correct answer. The purpose of this study was to evaluate …
Factors Contributing To The Commission Of Errors And Omission Of Standard Nursing Practice Among New Nurses, Rachel Knowles
Factors Contributing To The Commission Of Errors And Omission Of Standard Nursing Practice Among New Nurses, Rachel Knowles
HIM 1990-2015
Every year, millions of medical errors are committed, costing not only patient health and satisfaction, but thousands of lives and billions of dollars. Errors occur in many areas of the healthcare environment, including the profession of nursing. Nurses provide and delegate patient care and consequently, standard nursing responsibilities such as medication administration, charting, patient education, and basic life support protocol may be incorrect, inadequate, or omitted. Although there is much literature about errors among the general nurse population and there is indication that new nurses commit more errors than experienced nurses, not much literature asks the following question: What are …
Support Systems In Adolescents With Type 1 Diabetes Mellitus And The Relationship To Diabetes-Related Stress, Conflict, And Metabolic Control, Samuel Foarde
HIM 1990-2015
The purpose of this integrated review of the literature was to explore the effects of social support on diabetes-related stress, conflict, and metabolic control in adolescents with type 1 diabetes mellitus (T1DM). Social support was examined in four subgroups: adolescents with T1DM, family caregivers, peers, and teachers. Relevant findings in the literature revealed a significant deficiency of research devoted to adolescent males with diabetes as well as fathers as primary and secondary caregivers. Studies highlighted the importance of fostering autonomy and positive self-image in adolescents with T1DM and described effective interventions to improve diabetes-related stress, reduce disease-related conflict, and improve …
Assessment Of Perinatal Nurses' Knowledge Of Antiphospholipid Syndrome And Nursing Management Of Pregnant Women With Antiphospholipid Syndrome, Gabrielle Dennen
Assessment Of Perinatal Nurses' Knowledge Of Antiphospholipid Syndrome And Nursing Management Of Pregnant Women With Antiphospholipid Syndrome, Gabrielle Dennen
HIM 1990-2015
No abstract provided.
The Possible Role Of Burnout In Nursing Errors, Kelley Hoskins
The Possible Role Of Burnout In Nursing Errors, Kelley Hoskins
HIM 1990-2015
Nurse burnout and the commission of errors are two seemingly unrelated phenomena in the health care arena. Burnout was first described by Herbert J. Freudenberger in 1974 and has since been studied in many industries, including nursing. The issue of errors in health care has been a growing concern since the Institute of Medicine published the report, To Err is Human in 1999. Little research has been done to link burnout and the commission of errors. A literature review was performed to investigate these two issues. Peer-reviewed research articles were analyzed for contributing factors and effects on patient outcomes. The …
Evaluation Of A Mind-Body Website By Women With Breast Cancer, Laura Beck
Evaluation Of A Mind-Body Website By Women With Breast Cancer, Laura Beck
Electronic Theses and Dissertations
Despite having access to volumes of information, women newly diagnosed with breast cancer report a moderate level of distress related to their diagnosis, treatment, life expectancy, threat to current roles, and life-changing surgery and treatment choices. Web sites designed to teach people strategies to reduce distress are readily available online. The online format may be useful and practical for women who can access the site at their convenience, learn the components of the interventions at their own pace, and practice the strategies in the comfort of their home. The purpose of this study was to evaluate an online Mind-Body web …
Early And Intermediate Hospital-To-Home Transition Outcomes Of Older Adults Diagnosed With Diabetes, Jacqueline Lamanna
Early And Intermediate Hospital-To-Home Transition Outcomes Of Older Adults Diagnosed With Diabetes, Jacqueline Lamanna
Electronic Theses and Dissertations
Over 5 million older adults with diabetes are hospitalized each year. Though typically not the index condition that leads to hospitalization, diabetes control often decompensates during the course of an admission and necessitates changes in home self-management plans. The specific transitional care needs of older adults with diabetes have been largely unstudied. Transition theory provided the guiding framework for this research and proposes that each transition is a complex process created by the continuous interaction of personal, community, and societal-level conditions that facilitate or inhibit the health of a transition. Hospitalization has been described as a series of three successive, …
Ventilator-Associated Complications In The Mechanically Ventilated Veteran, Joan Grano
Ventilator-Associated Complications In The Mechanically Ventilated Veteran, Joan Grano
Electronic Theses and Dissertations
Surveillance of ventilator-associated pneumonia (VAP) has been the common outcome measurement used for internal and external benchmarking for mechanically ventilated patients; and although not a clinical definition, it is commonly used as an outcome measurement for research studies. Criteria in the VAP definition include both subjective and objective components, leading to questions of validity. In addition, recent legislation has mandated the public reporting of healthcare-associated infections, including VAP, in many states. Infectious disease experts have recently recommended monitoring a new outcome, ventilator-associated events (VAE), that contain specific objective criteria. The Centers for Disease Prevention and Control (CDC) have refined this …
Improving Chronic Kidney Disease Care With Group Visits, Vicki Montoya
Improving Chronic Kidney Disease Care With Group Visits, Vicki Montoya
Electronic Theses and Dissertations
First year death rates remain unacceptable high for the end-stage renal disease (ESRD) population. New effective methods are vital to improve first year morbidity and mortality outcomes for the population transitioning from Stage 4 chronic kidney disease (CKD) to ESRD)/Stage 5 CKD. Based on current methods, evidence-based recommendations made by nephrology providers are frequently not heeded by patients in Stage 4 CKD. Low levels of patient knowledge, self-efficacy, and a poor ability to self-manage CKD negatively influence a patient’s ability to follow provider recommendations. The group visit (GV) intervention has demonstrated improvements in disease-related outcomes through increased levels of patient …
The Early Postpartum Experience Of Previously Infertile Mothers, Sigrid Ladores
The Early Postpartum Experience Of Previously Infertile Mothers, Sigrid Ladores
Electronic Theses and Dissertations
The lived experiences of previously infertile mothers in the early postpartum period have not been previously studied. The purpose of the research was to explore the experiences of previously infertile mothers during their early postpartum period. Colaizzi’s (1978) approach to descriptive phenomenological inquiry was used to analyze the interview data obtained from twelve first-time, previously infertile mothers. These new mothers, aged 27 to 43 years, were interviewed twice. The first interview focused on eliciting descriptions of new motherhood in the early postpartum period after overcoming infertility. The second interview validated the interpretations from the first interview and provided additional information …
Nutrition Literacy And Demographic Variables As Predictors Of Adolescent Weight Status In A Florida County, Leslee D'Amato-Kubiet
Nutrition Literacy And Demographic Variables As Predictors Of Adolescent Weight Status In A Florida County, Leslee D'Amato-Kubiet
Electronic Theses and Dissertations
In recent years, childhood obesity has increased to epidemic proportions across the United States (U.S.) in parallel with adult obesity, which often reflects poor dietary choices and bad nutritional habits. Nutrition literacy, which encompasses the constructs of nutrition knowledge and skills, is considered a basic tool for good dietary habits and health promotion undertakings; however, its more definitive relationship to adolescent children’s weight status is unknown. Most childrens’ weight status studies have focused solely on behavioral aspects of adolescent food intake, taking into consideration parental influence, peer pressure, and societal expectations. Studies evaluating the measurement of nutrition literacy with regard …
Non-Invasive Positive Pressure Ventilation (Nppv) Its Uses, Complications, & Implications Within Nursing Practice In Acute Care Settings, Alexis Marano
HIM 1990-2015
The use of noninvasive positive pressure ventilation (NPPV) in acute care settings has drastically increased within the past 20 years. Research has indicated that NPPV is equally as effective as traditional mechanical ventilation(MV) in treating acute exacerbations of chronic pulmonary obstructive disease (COPD) and cardiogenic pulmonary edema. Furthermore, the risk of complication from NPPV is much lower than MV, in terms of ventilator-associated pneumonia and sepsis. It is imperative for the nurse to understand the various indications, interfaces, and potential complications associated with NPPV use. In addition to treating acute exacerbations of COPD and cardiogenic pulmonary edema, NPPV has been …