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Articles 301 - 330 of 401
Full-Text Articles in Nursing
Web-Based Applications For Weight Loss And Management: An Integrative Review, Linda Lawton Smith
Web-Based Applications For Weight Loss And Management: An Integrative Review, Linda Lawton Smith
Doctoral Dissertations and Projects
Obesity is associated with the leading causes of death in the United States and the world. Internationally, 39% of the world’s population was overweight or obese, in 2014, with 9% having diabetes. These causes include diabetes, stroke, certain types of cancer and heart disease. Obesity can lead to poorer mental health outcomes and cause a decrease in the quality of life. This integrative review is to determine if health and dietary smart-phone apps are effective tools to help overweight and obese people lose weight and maintain that loss.
Chronic Disease Self-Management Support In Rural Areas: An Integrative Review, Karla A. Callahan
Chronic Disease Self-Management Support In Rural Areas: An Integrative Review, Karla A. Callahan
Doctoral Dissertations and Projects
Millions of Americans live with chronic health conditions which require careful attention and specific actions for optimal management. Chronic Disease Self-Management Education (CDSME) has been effectively utilized to improve health outcomes and quality of life for individuals with chronic disease, enhancing knowledge and self-efficacy. Traditional CDSME programs are less available for rural residents. An examination of successful CDSME programs highlights common interventions that yield success and may be utilized in a variety of settings. Self-management is more complex, but also more essential, for individuals with more than one chronic condition. Clinicians can provide individualized support for appropriate self-management techniques, thereby …
Pediatric Concussion Management In The School Setting: An Integrative Literature Review, Renee Mann
Pediatric Concussion Management In The School Setting: An Integrative Literature Review, Renee Mann
Doctoral Dissertations and Projects
Concussions in the pediatric population are a growing concern due to the impact concussions could have on the child’s health and well-being. Appropriate management of concussions in the pediatric population promotes recovery and the return of the student who has sustained a concussion to school and to normal physical activities. The purpose of this integrative review project is to evaluate the current practices, evidence-based recommendations, and guidelines to ascertain the optimum recovery times in children who have sustained a concussion within the school setting, grades K-12. An integrative review was conducted utilizing the Whitmore and Knafl framework. The four main …
Factors Hindering Human Papillomavirus(Hpv) Vaccination Uptake Among Children And Young Adults Between Ages Nine To Twenty-Six In America, Foluke Olufunbi Ajuwon
Factors Hindering Human Papillomavirus(Hpv) Vaccination Uptake Among Children And Young Adults Between Ages Nine To Twenty-Six In America, Foluke Olufunbi Ajuwon
Doctoral Dissertations and Projects
This Integrative Review Project searched relevant literature and conducted research to discover factors hindering HPV vaccination among children and young adults in America and interventions to increase HPV vaccination among individuals in this group. The importance of the HPV vaccination cannot be understated; the HPV vaccine is the most effective approach for preventing infections and decreasing risk of HPV-associated conditions such as cervical, oral pharyngeal, and rectal cancer. In the United States, HPV inoculation uptake is reported to be less than 80% for the initial dosage, and less than 40% of young males and females complete all the series dosage …
How Effective Is Psychotherapy In Reducing Opioid Usage Among Patients With Chronic Pain?, Charity Harold Whorley
How Effective Is Psychotherapy In Reducing Opioid Usage Among Patients With Chronic Pain?, Charity Harold Whorley
Doctoral Dissertations and Projects
The purpose of this integrative review is to evaluate the effectiveness of psychotherapy in the management of chronic pain thorough a comprehensive review and synthesis of current literature on the topic. Chronic pain is a prevalent condition throughout America with an estimated 30% of the population affected. As such, it is a common condition encountered in primary care. At one point the mainstay of treatment was opioid therapy. Unfortunately, this along with other issues has contributed to an overprescribing of narcotics and ultimately the opioid crisis in America. Healthcare providers are in a unique position to assist in reversing this …
Mitigating The Risk Of Opioid Overdose And Death Of The Veteran: An Integrative Review, Cheryl Anne Landry
Mitigating The Risk Of Opioid Overdose And Death Of The Veteran: An Integrative Review, Cheryl Anne Landry
Doctoral Dissertations and Projects
Pain is a complicated phenomenon; it is an individual’s subjective experience and is often characterized by its duration. Chronic pain lasts longer than 90 days and can continue after the injury or illness that caused it has healed or gone away; chronic pain was identified as a national public health problem in a 2017 study by the National Academy of Medicine. Not only is chronic pain a national problem, but there is an opioid epidemic in the United States that is perpetuated by prescription pain medications. The opioid epidemic continues to consume veterans daily, but not much is said about …
Characteristics Of Successful Nurse Mentors And Potential Effects On The Retention And Job Satisfaction Of New Graduate Nurses: An Integrative Review, Toni Cheryl Thompson
Characteristics Of Successful Nurse Mentors And Potential Effects On The Retention And Job Satisfaction Of New Graduate Nurses: An Integrative Review, Toni Cheryl Thompson
Doctoral Dissertations and Projects
Mentoring is a process that has become embedded into new graduate nurses’ transition to professional practice since the 1980s. The Institute of Medicine’s The Future of Nursing identifies mentoring as a mechanism to increase patient safety and satisfaction. Effective mentoring has been categorized as one of the important components of transforming nurses into leaders, improving retention, and increasing job satisfaction. By recognizing the characteristics of successful mentors, organizations can increase the consistency and success of their mentoring programs. The purpose of this integrative review was to examine successful mentor characteristics and identify the effect of mentors on new graduate nurses’ …
The Effect Of A Screening Protocol On Opioid Use: An Integrative Review, Stephen D. Wright Jr
The Effect Of A Screening Protocol On Opioid Use: An Integrative Review, Stephen D. Wright Jr
Doctoral Dissertations and Projects
The opioid crisis is a pervasive and social problem in the United States. Since 2001 several hundred thousand people have died from the misuse of prescription and illicit opioids. On average nearly 130 Americans perish every day due to opioid abuse while millions annually struggle with morbidity derived from opioid abuse disorders. This crisis causes tremendous physical and emotional suffering and death and is likely the most profound public health crisis our nation has faced. In 2015 alone, 52,000 people died of drug overdoses, with over 30,000 of those dying from opioid drugs. If left unchecked, the epidemic will continue …
Enhancing Outpatient Participation In Advance Care Planning Via Nurse-Led Intervention: An Integrative Review, Daniel Patrick Arthur
Enhancing Outpatient Participation In Advance Care Planning Via Nurse-Led Intervention: An Integrative Review, Daniel Patrick Arthur
Doctoral Dissertations and Projects
Advance care planning allows for medical care at the end-of-life that is congruent with a patient’s wishes, values, and beliefs. Even with well-known organizations such as the Institute of Medicine recommending advance care planning completion and legislative encouragement such as the Patient Self-Determination Act of 1990, only approximately one-third of American adults have completed any form of advance directive. Barriers to participation include lack of time, lack of knowledge, and misconceptions on the part of healthcare providers and patients. As an integral part of the care team having significant patient contact in most healthcare settings, nurses are in an ideal …
Improving Advanced Care Planning Through Proper Implementation Of The Polst Paradigm: An Integrative Review, Charles Hunter Shomo Ii
Improving Advanced Care Planning Through Proper Implementation Of The Polst Paradigm: An Integrative Review, Charles Hunter Shomo Ii
Doctoral Dissertations and Projects
End of life planning is critical to ensure enactment of patient wishes, ethical patient treatment, and improved family acceptance of death. As such, this project addressed integration of reviewed literature of advanced planning directives to influence end-of-life care. Implementation guidelines and incorporation of the Physician Orders for Life Sustaining Treatment (POLST) paradigm was the central focus of this project. Addressing best implementation practices of the POLST paradigm should increase advanced care planning and ultimately positively impact patient and surrogate decisions regarding end of life management and care. Completion of this integrative review has provided substantial implicative evidence regarding best practice …
Cauti Prevention For Long Term Indwelling Bladder Catheters In Icu Patients: An Integrative Review, Joseph Andrew Chamness
Cauti Prevention For Long Term Indwelling Bladder Catheters In Icu Patients: An Integrative Review, Joseph Andrew Chamness
Doctoral Dissertations and Projects
This project aims to determine when a catheter should be removed in the intensive care unit to prevent premature removal. Subsequent multiple straight catheterizations may introduce bacteria into the urethra and result in hospital-acquired infections (HAI). The aim is to reduce the incidence of Catheter-Associated Urinary Tract Infection (CAUTI), a preventable HAI. A change in protocols is needed to match evidence-based research on the best practice methods. Strategies are proposed to decrease the risk of CAUTI, and limitations are discussed. Poorer strategies require more exclusions than good ones. The findings indicate more research is needed on newer strategies to determine …
Reduction Of Hospital Readmissions In Patients With A Diagnosis Of Copd: An Integrative Review, Guerline Norbrun
Reduction Of Hospital Readmissions In Patients With A Diagnosis Of Copd: An Integrative Review, Guerline Norbrun
Doctoral Dissertations and Projects
Chronic obstructive pulmonary disease (COPD) is a progressive lung disease with potential to interfere with breathing ability. It is the third leading cause of 30-day readmission and death in the US, and the leading cause of mortality and morbidity worldwide. It constitutes a society burden and poor disease management leads to major health consequences such as acute COPD exacerbation resulting in frequent costly readmissions, add to its massive direct healthcare costs. Over $50 billion are spent annually in direct care alone in addition to $15 billion in hospital readmissions; with 12 million adults are being affected in the United States …
Does The Management Of Compassion Fatigue In The Healthcare Setting Decrease Nurse Turnover: An Integrative Review, Barbara Fulcher Williams
Does The Management Of Compassion Fatigue In The Healthcare Setting Decrease Nurse Turnover: An Integrative Review, Barbara Fulcher Williams
Doctoral Dissertations and Projects
Healthcare systems are rapidly changing and with the increased age of the baby boomers, and shortage of nurses, and COVID-19, there is a rapid growth in compassion fatigue within the nursing community. More than 22% of nurses in direct patient care roles report experiencing emotional exhaustion. This results in negative consequences, reduced productivity, workplace violence, and poor patient care. Does the management of compassion fatigue in the healthcare setting decrease nurse turnover? This was an integrative review of the literature, utilizing 15-20 articles using Melnyk framework for evaluation. The variables addressed included the emotional state with negative psychological and physical …
Analysis Of Healthcare Miscommunication And How To Effectively Improve Communication Outcomes: An Integrative Review, Jill Suzanne Smith
Analysis Of Healthcare Miscommunication And How To Effectively Improve Communication Outcomes: An Integrative Review, Jill Suzanne Smith
Doctoral Dissertations and Projects
Healthcare workers convey client information regularly to provide essential and safe care. Errors in communication have been linked to a decrease in client satisfaction and an increase in medical errors. Both the Joint Commission and the World Health Organization have recommended using a standard communication tool, SBAR, to increase client satisfaction and decrease medical errors. A review of 52 research articles determined effective SBAR training should be conducted utilizing simulations to improve the healthcare providers’ self-confidence and usage of the SBAR tool. This integrative review also concluded the number and length of SBAR simulation sessions have no consequence on the …
Mentor Programs As A Strategic Approach To Nurse Retention: Integrative Review, Nancy Jo Thompson
Mentor Programs As A Strategic Approach To Nurse Retention: Integrative Review, Nancy Jo Thompson
Doctoral Dissertations and Projects
The purpose of this integrative review is to identify commonalties of mentor program success demonstrated by registered nurse retention to support DNP leaders seeking to address the nursing shortage by retaining newly licensed and experienced registered nurses. Mentor programs offer nurse leaders a low-cost solution with a high return on investment to address nurse retention. The United States is facing a tremendous nursing shortage compounded by multiple factors, including an unprecedented global pandemic. An aging population is leaving the profession while the new generation of nurses struggle to find their niche. Registered nurses make up the largest sector of health …
Employee Wellness Program Participation: Exploring Participation Of Registered Nurses In East Tennessee, Jacquelyn Turner
Employee Wellness Program Participation: Exploring Participation Of Registered Nurses In East Tennessee, Jacquelyn Turner
Doctoral Dissertations and Projects
Many organizations are faced with the challenge of managing employee retention and absenteeism. While retention strategies are focal to organizational leaders across the board, the growing shortage of nurses nationwide creates a critical concern for healthcare leaders. The purpose of this qualitative case study was to delve into the existing body of research pertaining to the impact of employee wellness programs on employee retention and absenteeism and further explore the reasons why employees choose to/ not to participate in wellness programs offered by employers. The intent of this study was to add to the existing body of knowledge on employee …
An Integrative Review: Best Practices In Advanced Practice Registered Nurse (Aprn) Telehealth Services To Improve Outcomes For Children With Chronic Health Conditions, Tamara Sue Moyer
Doctoral Dissertations and Projects
Telehealth is a rapidly growing field that affords individuals the opportunity to receive access to specialty providers, reduce expenses and travel, break down geographic barriers, deliver equality of care, and improve patient outcomes. Equality of healthcare for pediatric patients with chronic health conditions in rural areas face geographic barriers to delivery of care, resulting in poor patient outcomes, and increased costs. An integrative review was completed to identify and describe research findings in an attempt to answer the clinical questions proposed and identify areas in research that can lead to improved patient outcomes. The need to receive access to specialty …
Integrative Review On The Initiation Of A Systematic Oral Care Education Program, Toni Rochelle Thomas
Integrative Review On The Initiation Of A Systematic Oral Care Education Program, Toni Rochelle Thomas
Doctoral Dissertations and Projects
Hospital-acquired infections, such as non-ventilated hospital-acquired pneumonia (NVHAP), are significant patient safety concerns. The lack of oral care in the non-ventilated acute care patient population is a significant contributor to NVHAP. The nursing staff is on the front line in providing oral care to hospitalized patients but often lacks knowledge and understanding regarding the relationship between oral care and NVHAP. Searching MEDLINE, PubMed, CINAHL, and EBSCO databases for current, peer-reviewed, scholarly articles for English language articles between 2010-2020 led to supporting findings. These findings revealed missed oral care as the most common modifiable risk factor contributing to increased hospital-acquired pneumonia …
Implementation Of A Fall Risk Assessment Tool In Primary Practice May Decrease Fall Frequency In The Aging Population, Regina M. White
Implementation Of A Fall Risk Assessment Tool In Primary Practice May Decrease Fall Frequency In The Aging Population, Regina M. White
Doctoral Dissertations and Projects
The purpose of this evidence-based project was to illustrate the benefits of utilizing a fall risk assessment tool during office visits for the aging population of a Midwestern U.S. primary care practice. Utilization of this tool helped minimize fall frequency, thus improved quality of health. The reduction in falls helped minimize unnecessary healthcare expenses. This manuscript identified a rationale for the project, specific tool utilization, outcome measures before and after implementation, limitations, and future application for practice. Provider compliance with tool utilization and frequency were measured. Multiple potential causes of falls and recommendations to minimize falls were identified with the …
Organizational Strategies To Promote Nurse Resilience In The Acute Care Hospital Inpatient Setting: An Integrative Review, Marcia A. Depolo
Organizational Strategies To Promote Nurse Resilience In The Acute Care Hospital Inpatient Setting: An Integrative Review, Marcia A. Depolo
Doctoral Dissertations and Projects
Nurses practicing in acute care hospital environments are exposed to constant stressors from a variety of sources. Workplace stress can lead to unhealthy coping behaviors, illness, and burnout, with intent to leave the organization or the nursing profession altogether. Resilience-building strategies can be employed to foster coping, improve nurse wellbeing, increase job satisfaction, promote retention, and enhance quality patient outcomes. This integrative review provides a synthesis of scholarly publications on nursing resilience from January 2014 through October 2020. Themes to promote nursing resilience occurred at three levels: personal or individual, unit or group, and organizational. This paper will provide a …
A New Era: Utilizing Technology Tools To Enhance Elder Independence, April Lisa Phelps
A New Era: Utilizing Technology Tools To Enhance Elder Independence, April Lisa Phelps
Doctoral Dissertations and Projects
The goal of this integrative review was to examine the multitude of technology tools and the evidence which supports their use to enhance elders’ independence when residing at home. Multiple journal articles and books published between July 2015 and July 2020 were examined using the PRISMA model for evidence to support or oppose the use of technology to enhance the elders’s independence. A total of 27 articles were included in the final review. An exploration of gaps in knowledge related to the issue of elders using technology tools such as wearable sensors, artificial intelligence, home monitoring, robots, mHealth, Internet of …
Determining The Effectiveness Of System-Based Solutions To Improve Fragmented Care For Oncology Patients Living In Rural And Remote Regions: An Integrative Review, Andrea Nicole Fulmer
Determining The Effectiveness Of System-Based Solutions To Improve Fragmented Care For Oncology Patients Living In Rural And Remote Regions: An Integrative Review, Andrea Nicole Fulmer
Doctoral Dissertations and Projects
The purpose of this integrative review is to review, critique, and synthesize the current literature to determine the state of the science related to the established systems approach for improving healthcare management and care coordination of the oncology patient population in rural and remote regions. The oncology patient population with co-existing chronic disease living in rural and remote regions experience fragmented health care. New cancer diagnoses take precedence over other existing comorbidities and require focused and specialized care for lengthy periods of time. Research is significantly limited for the current state of science for the identified patient population living in …
Use Of Delirium Protocols In Decreasing Falls Among Adults In Acute Care: An Integrative Review, Shelly Steverson Thornton
Use Of Delirium Protocols In Decreasing Falls Among Adults In Acute Care: An Integrative Review, Shelly Steverson Thornton
Doctoral Dissertations and Projects
Delirium in elderly hospitalized adults continues to be a common and costly issue in health care today. Various delirium protocols and strategies are available to reduce negative outcomes of delirium such as falls, increased length of stay, pressure ulcers, hospital readmissions, the need for transferal to long-term care, and mortality rates. However, many hospitals have still not implemented routine delirium protocols. Because falls in older hospitalized adults are often linked to delirium, this integrative review was undertaken to examine delirium protocols and approaches that specifically decrease falls among older adults in acute care settings. Several multicomponent, multidisciplinary delirium protocols were …
Addressing Prescription Opioid Misuse Through The Increased Reporting Of Prescription Monitoring Program (Pdmp) Data: An Integrative Review, Claudia Hannah Georgestone
Addressing Prescription Opioid Misuse Through The Increased Reporting Of Prescription Monitoring Program (Pdmp) Data: An Integrative Review, Claudia Hannah Georgestone
Doctoral Dissertations and Projects
Opioid misuse relating to prescription pain killers have claimed the lives of many Americans, posing an escalating nationwide public health crisis. Prescription opioid overdose and death can impair an individual’s functionality, destabilizes family, and impose a significant financial burden. In 2014, the U.S. had an estimated 36 million people ages 12 years and older who had used prescription opioids for non-medical reasons. In that same year, there were “28,647” (61%) of 47,055 prescription and non-prescription opioid overdose deaths, indicating an increase from previous years (Center for Disease Control (CDC, 2020). Several measures to address the opioid crisis have been implemented, …
Cdsss For Cvd Risk Management: An Integrative Review, Elisabeth Mary Campbell
Cdsss For Cvd Risk Management: An Integrative Review, Elisabeth Mary Campbell
Doctoral Dissertations and Projects
Cardiovascular disease (CVD) is a preventable disease affecting almost half of adults in the United States (U.S.) and can have significant negative outcomes such as stroke and myocardial infarction, which can be fatal. Utilizing clinical decision support systems (CDSSs) in the primary care and community health setting can improve primary prevention of CVD by supporting evidence-based decision making at the point of care. This integrative review synthesizes the most up-to-date literature on the use of clinical decision support (CDS) tools to support guideline-based management of CVD risk. Using Whittemore and Knafl’s framework for integrative reviews, a systematic search of CINAHL, …
Self-Management Education For Prevention, Early Detection, And Treatment Of Hypoglycemia: An Integrative Review, Chinedum Rosemary Ikwueme
Self-Management Education For Prevention, Early Detection, And Treatment Of Hypoglycemia: An Integrative Review, Chinedum Rosemary Ikwueme
Doctoral Dissertations and Projects
Hypoglycemia is a major complication from poor diabetic care management. Available literature indicates that it is the underlying cause of mortality in over 258,000 deaths reported in 2017. That notwithstanding, it remains a phenomenon that is given less attention than it deserves, particularly in adults with type 2 diabetes. Aside from the huge annual financial costs to the health care system (about $327 billion) in 2017, patients with hypoglycemia complications risk many cardiovascular and neurological complications, including skipped time from work in middle aged adults, dementia, falls, hospitalization and death. The purpose of this integrative review is to educate nurses …
Improving Identification Of High-Risk Obstructive Sleep Apnea Patients In Primary Care: An Integrative Review, Lauren Ashley Paulson
Improving Identification Of High-Risk Obstructive Sleep Apnea Patients In Primary Care: An Integrative Review, Lauren Ashley Paulson
Doctoral Dissertations and Projects
Obstructive sleep apnea continues to be an area that is underdiagnosed and therefore undertreated. Left untreated, the condition is associated with increased morbidity and mortality as it can amplify the risk of multiple health conditions. Due to the negative impact of obstructive sleep apnea it is necessary for healthcare providers to provide timely detection. Primary care providers are in a position to identify high-risk individuals and refer them for further follow up testing. High-risk identification can be accomplished by integrating validated screening tools into patient assessments. This integrative review provides an overview of current screening tools for use in the …
Preventing Polypharmacy Amongst The Elderly In An Acute Care Setting Through The Integration Of The Deprescribing Tools Start, Stopp, And Beers Criteria, Samantha Bonita Wilkins-Copeland
Preventing Polypharmacy Amongst The Elderly In An Acute Care Setting Through The Integration Of The Deprescribing Tools Start, Stopp, And Beers Criteria, Samantha Bonita Wilkins-Copeland
Doctoral Dissertations and Projects
A significant percentage of medications prescribed in the United States are prescribed to elderly adults, which is due to the increase in chronic illness as Americans age. This increase in the use of medications amongst the elderly population has led to the issue of polypharmacy, which can lead to negative patient outcomes. An evidence-based practice pilot project was performed at a large tertiary care facility in Virginia. The aim of the scholarly project was to integrate three deprescribing tools into the everyday practice of pharmacists at the facility. Three outcomes were achieved: (1) Pharmacists understood how to accurately utilize the …
Walking Through Smoke: Implementation Of The 5a'S For Smoking Cessation Counseling In Rural Virginia, Cristina Maria Minotti
Walking Through Smoke: Implementation Of The 5a'S For Smoking Cessation Counseling In Rural Virginia, Cristina Maria Minotti
Doctoral Dissertations and Projects
Tobacco use represents a significant cause of morbidity and mortality in the U.S. and is a contributing risk factor for multiple pulmonary, cardiovascular, and oncologic diseases. Despite documented evidence of these health hazards, use of tobacco products remains high, particularly in rural America. While providers may frequently question patients regarding tobacco use and inform patients of associated health hazards, a standardized, structured process for delivering smoking cessation counseling (SCC) is rarely established in practice settings. One such method for standardization of SCC is the 5A’s (Ask, Advise, Assess, Assist, Arrange) model which has a robust body of evidence to support …
Increasing New Orienting Emergency Department Nurses' Awareness Of Mass Casualty Incident Emergency Preparedness And Disaster Response Core Competencies To Improve Mass Casualty Incident Response, Christopher C. Deramo Ii
Increasing New Orienting Emergency Department Nurses' Awareness Of Mass Casualty Incident Emergency Preparedness And Disaster Response Core Competencies To Improve Mass Casualty Incident Response, Christopher C. Deramo Ii
Doctoral Dissertations and Projects
Mass casualty incidents (MCI) impose a substantial threat to healthcare. Despite the increasing frequency of MCIs many healthcare organizations and nursing programs do not adequately prepare nurses to be effective responders during an MCI. This evidence-based practice pilot project was purposed to increase new orienting emergency department nurses’ confidence and ability to effectively respond to an MCI. This project involved implementing an MCI educational program consisting of a disaster nursing framework to educate new orienting emergency department nurses on emergency preparedness and disaster response core competencies. The project leader utilized a quasi-experimental design to collect data pre- and post-intervention utilizing …