Implementing A Practice Strategy In Primary Care Using An Assessment Tool To Screen For Depression, Donna Snow

Doctoral Projects

Increased efforts are being made to move individuals with co-morbid medical and psychiatric diagnoses toward integrated care. Lack of consistent screening in primary care has caused missed opportunities to identify depression during a routine healthcare provider visit. This project sought to implement a practice strategy in primary care using an assessment tool to screen for depression. Interviews were used to ask patients to answer two questions related to the frequency of depressed mood in the last two weeks. The project was seeking to show by screening patients in primary care for depression, the number of referrals to behavioral health would …

Improving Medication Adherence In African American Adult Females With Hypertension, Donald Welch

Doctoral Projects

The World Health Organization (WHO) reported that adherence among patients with chronic diseases averages nearly 50% in developed countries (Lam & Fresco, 2015). Medication non-adherence is recognized as a significant public health issue that leads to poor health outcomes and added healthcare costs. Multiple African American adult females with hypertension have a high prevalence of non-adhering to their treatment plan. Numerous factors lead to poor medication adherence, including socioeconomic factors, therapy-related factors, patients-related factors, condition-related factors, and health system/healthcare team-related factors (Lam & Fresco, 2015). Medication adherence can lead to a decreased risk of adverse outcomes such as stroke and …

Assessment Of Intrapartum Nurses' Beliefs Related To Birth Practices, Janice Scaggs

Doctoral Projects

Intrapartum nurses’ beliefs influence nursing behavior and nursing interventions during labor and birth. Assessing these beliefs in a regional hospital in the Southeastern United States was the focus of the doctoral project. Before the project, there was no objective data that assessed individual nurse’s beliefs and birth practices in the labor and delivery unit, or among the nursing staff as a whole. A knowledge gap existed in understanding if the nursing culture valued, promoted, and supported intended vaginal birth. Nursing leadership recognized that the overall cesarean birth rate and primary cesarean birth rate in the hospital were similar to State …

The Effects Of Nursing School Peer Tutoring On Tutors, Yelyzaveta Soboleva

Undergraduate Honors Theses

An integrative review was used to examine the effects of being a tutor versus not being a tutor. The matrix method was used to guide the research process, to identify articles that met the inclusion criteria, and to reduce data into common topics of peer tutoring. The results of the integrative review yielded 20 articles and suggested that students in the position to assist others are more confident in communicating in groups and have higher knowledge in the subject they help with than their fellow peers. The literature showed that students in the position to assist others have defined personal …

Renal Transplantation In A Patient With Mhy9-Related Disease; A Case Report, Sepideh Zununi Vahed, Bahram Niknafs, Hamid Noshad, Ramin Tolouian, Mohammadali Mohajel Shoja, Audrey C. Tolouian, Mohammadreza Ardalan

Nursing Faculty Publications

MYH9-related diseases (MYH9-RD) are clinically represented by thrombocytopenia, large platelets, proteinuria and various degrees of renal dysfunction. We present a 25-year-old male with thrombocytopenia, large platelets, renal dysfunction and proteinuria. Gene sequencing of whole exons of MYH9 gene confirmed the diagnosis of MYH9-related disorder and revealed single nucleotide polymorphisms (SNPs) in the introns 13 (rs3752462) and 14 (rs2413396) and a mutation in exon 26 of MYH9 gene. Our result supported the possibility of non-coding SNPs involvement in the pathogenicity of the MYH9-RD disease and successful renal transplant in this patient.

The Footprint Of Androgen Sensitive Serine Protease (Tmprss2) In Gender Mortality With Covid-19, Sepideh Zununi Vahed, Shahram Ghiyasvand, Ramin Tolouian, Hamid Noshad, Audrey C. Tolouian, Mohammadali Mohajel Shoja, Mohammadreza Ardalan

Nursing Faculty Publications

Male gender is an obvious risk factor for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection and mortality rate is higher in men than women. Undoubtedly, gender-related behavioral factors, such as higher amounts of smoking, alcohol consumption, and biological differences in immune systems could make males more vulnerable. The role of androgen-responsive elements (AREs) of transmembrane serine proteases type II (TMPRSS2) gene as one of the major players of male dominancy in severe COVID-19 infection has been under appreciated and needs to be clarified.

The Impact Of Metformin In Chronic Kidney Disease-Mineral And Bone Disorder, Rohollah Masumi, Ramin Tolouian, Audrey C. Tolouian, Leila Mohmoodnia

Nursing Faculty Publications

Chronic kidney disease-mineral and bone disorder (CKD-MBD) is a disorder of mineral and bone metabolism due to chronic kidney disease (CKD). Bone disease and mortality are more common in patients with CKD. In addition of antidiabetic properties of metformin (MET), it possesses anti-inflammatory, anti-fibrotic properties and increases the markers of osteogenic effects. Therefore, it improves bone quality and decreases the risk of fractures in patients with type 2 diabetes. Metformin can also inhibit arterial calcification, maintain calcium-phosphorus balance, decrease cellular infiltration, fibrosis, and inflammation in kidney. Based on evidence, the prevalence of lactic acidosis due to metformin in patients with …

The Impact Of A Faith-Based Education Network For Cardiovascular Disease Prevention, Chandila Tutt

Doctor of Nursing Practice (DNP) Translational and Clinical Research Projects

Abstract

Cardiovascular disease is a leading cause of mortality in the United States. Racial disparities related to cardiovascular disease also exist, especially in African Americans. It is imperative to explore solutions to close the gap among these individuals. This study measured the effectiveness of an educational intervention on cardiovascular disease prevention targeting African Americans in a faith-based community setting. This study aimed to target individuals in community and faith-based settings for health promotion and disease prevention through an education network, increase participant’s awareness and knowledge about cardiovascular disease, determine the impact of a cardiovascular disease program on perceived cardiovascular disease …

Effect Of Gender On Intentional Learning Orientation, Sarah Anderson, Loyd Lee Glenn

Undergraduate Honors Theses

Knowledge of how gender affects learning is scarcely understood in the realm of nursing education. Prior studies have indicated certain learning styles are predictors of passing board examinations. Pinpointing specific learning styles could improve educational outcomes and produce thoroughly equipped nurses. Previous researchers have studied the differences in learning preferences according to gender; however, no studies have solely concentrated on gender specific learning preferences among undergraduate nursing students. Learning Interest, as well as Goal Orientation, were found to be statistically significant between genders.

Fostering Humanization: Providing Care In The Margins, Alicia Mccauley

Theses and Graduate Projects

This doctorate of nursing practice project aimed to restore or improve the physical, emotional, and spiritual health in the marginalized population in Rochester, Minnesota to promote human dignity and foster humanization through the opening of a nursing-led drop-in center. Guided by􏰈 Jean Watson􏰆s Theory of Human Caring, the Rochester Health Commons was opened and provided personal hygiene supplies, foot soaks, foot care, community resources, and most importantly offered a place for people to feel welcomed and cared for. Utilizing the concepts of transpersonal caring, authentic listening, mutuality, and radical hospitality, transcultural nursing students serving at the Rochester Health Commons reduced …

Creating Health Membership In A Health Commons, Melinda Dively-White

Theses and Graduate Projects

Persons living in the margins may be separated or isolated because of poverty, disability, gender, and ethnicity. Isolation, along with exposure to at-risk environments and barriers to accessing health care, contributes to adverse health outcomes. Nurses must be open to learning essential transcultural skills to work with persons living in the margins to provide culturally appropriate care that addresses health inequities. Students in a Doctor of Nursing Practice program at Augsburg University developed an innovative approach to care for people living in the margins. The Health Commons, a nursing-led drop-in center in Rochester, MN, and grounded in Newman's (1999) Health …

An Integrative Review Of Early Ambulation's Effects On Vascular Complications Four Hours Post-Femorial Pci, Mackenzie Lucca

Nursing Masters Papers

As femoral access percutaneous cardiac interventions (PCIs) increase in the United States, so will vascular complications. Nurses play a vital role in increasing comfort and decreasing vascular complications in patients who have undergone a femoral access PCI, through monitoring and early ambulation. Early ambulation is supported by the literature, yet a sacred cow of nursing, prolonged bed rest, continues in clinical practice with varied nursing perception of optimal early ambulation time. The purpose of this integrative review was to assess if nursing perception of optimal ambulation time after a femoral access PCI, four hours, has any impact on vascular complications …

Hospital To Home: Fall Prevention Interventions For The Discharging Patient, Joy Bridewell

Nursing Masters Papers

Falls is a major public health problem globally, with an estimated 646,000 fatal falls per year. This makes falls the second leading cause of unintentional injury death. Falls are very costly with non-fatal fall injuries costing about $50 billion per year and fatal falls with an estimated $754 million. Many risk factors contribute to a person’s risk of falling. Risk factors include age, gender, muscle strength, underlying medical or disabling conditions, and unsafe environments. Patients who have been hospitalized are also among those at risk. Most hospitalized patients are assessed frequently to determine their risk of falling so that care …

Improving Pcs 5.67 Meditech’S User Interface By Adding A “One-Click-One-Screen” Electronic Page, German Abarca

Doctor of Nursing Practice Scholarly Project

Medical organizations and physicians have been encouraged to implement different EHR systems. Initially these systems aimed to record, and store clinical data and improve its access and legibility. However, as these systems have become almost indispensable, users are demanding from these applications more complex tasks. Small practices and/or rural medical organizations often cannot afford to continuously upgrade their EHR systems or acquire modern systems. Research has shown that one way to solve this problem is to customize and add features that can facilitate user navigation. The purpose of this QI project was to investigate if integrating a “one-click-one-screen” electronic window …

What's All The Buzzy About? Using Cryotherapy And Vibration For Pain During Vaccinations In Children, Marta L. Byma

Evidence-Based Practice Project Reports

Vaccinations are the most common painful needle procedure, with an estimated 12 billion injections given per year (CDC, 2019). The usual method for administration of vaccinations is through needle puncture, which is often painful. Children often report receiving a shot as one of the most feared and painful experiences (McMurtry et al., 2015). The purpose of this evidence-based practice (EBP) project was to improve patient experiences by decreasing the pain that is associated with vaccinations through the use of a nonpharmacological method for comfort via the Buzzy® device. After thorough analysis and synthesis of the literature, the Buzzy® device that …

Developing A Clinical Practice Guideline For Surgical Diabetic Patients, Barbie Denise Harbaugh, Diane Whitehead

Walden Faculty and Staff Publications

Diabetes is a recognized risk factor for postoperative infection, acute renal failure, ileus, and lengthy hospital stay. Optimal screening, management, and scheduling of elective surgery for diabetic patients has been shown to improve quality care, decrease complications, and increase the efficiency and lower the costs of preoperative patient care. However, surgery cancellations are common due to inadequate preoperative glycemic control and poor intraoperative glycemic control, which is a recognized risk factor for perioperative or postoperative complications. There were no clinical practice guidelines or optimization protocols for elective surgery patients at a small rural hospital in the Northeast United States. The …

The Lived Experiences Of Breathlessness In Adults With Chronic Heart Failure, Cecilia Cipriano Lijauco

Nursing Dissertations - Archive

Heart failure (HF) is a significant disease condition affecting 6.5 million Americans. Breathlessness is the hallmark symptom of HF impacting affected individual’s functional capacity and quality of life. It is a subjective symptom best described by individuals experiencing it, yet there are very few qualitative studies to understand this phenomenon in HF. The purpose of this study was to explore how adults with HF describe their experiences of breathlessness, determine characteristics, types and patterns, explore the impact of breathlessness on their daily life, and explore how affected individuals manage their breathlessness. Fourteen participants with diagnosis of HF and self-report of …

Kujdesi Në Zbatimin E Dhënies Së Injeksioneve, Infuzioneve Dhe Përcjellja E Tyre. Roli I Infermieres, Adelina Pllana

Theses and Dissertations

Hyrje: Infermieria përkufizohet si mbrojtja, promovimi dhe optimizimi i shëndetit dhe aftësive, për parandalimin e sëmundjeve dhe lëndimeve, nëpërmjet diagnozës dhe trajtimit të pacientëve. Injeksioni është akti i vendosjes së një lëngu, veçanërisht një ilaç, në trupin e një personi.

Qëllimi i këtij punimi është të hulumtojë mbi zbatimin e drejtë /jo të drejtë të dhënies së terapisë përmes injeksioneve, infuzioneve periferike dhe rolin e infermierës në këtë proces.

Metodologjia: Ky studim ndërsektorial u realizua midis muajit Janar 2020 dhe Shkurt 2020 në Klinikën e Kirurgjisë Torakale në Qendrën Klinike Universitare të Kosovës, si dhe në Klinikën e Kirurgjisë në …

Kujdesi Infermieror Dhe Diabeti Mellitus, Biondina Veliu

Theses and Dissertations

Arsyeja pse e mora këtë temë për studim është fakti se rastet me diabetin mellitus në vendin tonë janë të shumta. Është e rëndësishme që të mësojmë dhe të marrim sa më shumë informacione rreth Diabetit Mellitus qe t’i vijmë në ndihmë pacientëve dhe t’i sigurojmë një kujdes të veçant për ta. Qëllimi i studimit është që të mësojmë sa më shumë rreth komplikacioneve të kësaj diagnoze qëti sigurojme pacienteve një mënyrë të jetesës sa më të mirë. Duhet të bëjmë që këta pacintë të mos izolohen nga shoqëria por të përshtaten në mënyren e re të jetesës dhe të …

The Relationship Between Low Socioeconomic Status And Mortality Rates Of School Age Children Related To Motor Vehicle Accidents, Rubi Calderon-Rodriguez

Nursing | Senior Theses

The purpose of this study is to assess nurses’ perceptions on the relationship between low socioeconomic status and high mortality rates of children due to motor vehicle accidents(MVAs). MVAs are the leading cause of death among children four years and older. Studies reviewed in this paper support that low socioeconomic status is associated with high child mortality rates caused by motor vehicle accidents. Factors contributing to these high mortality rates include: the lack of or improper use of restraints, low parental education attainment levels, black or Hispanic race, and environmental risks of low socioeconomic areas. A mixed methods study is …

Nurses’ Reported Use Of Therapeutic Interventions Surrounding A Stillbirth Event, Sonya Woo

Nursing | Senior Theses

Psychological alterations and therapeutic interventions utilized for mothers who have suffered a stillbirth have been assessed and addressed in prior literature. This researcher reviewed ten articles highlighting the depression, grief, guilt, stress and concerns that can arise and interventions that were initiated within weeks immediately following stillbirth, during the time of a subsequent pregnancy, and a few years after having a subsequent child. An increased utilization of healthcare and health care provider presence have shown to positively influence the psychological effects of stillbirth. This researcher looked into the frequency and variety of which these interventions are being implemented in a …

Quality Improvement With The Breast Center, Hannah Seelye

The Eleanor Mann School of Nursing Undergraduate Honors Theses

I spent the summer of 2019 interning at The Breast Center under Audra Flammang. She has a degree in communications and holds the position of Quality Assurance Administrator. She primarily works to ensure Joint Commission Quality Indicators are met and proper documentation of these indicators takes place. She communicates with the staff in weekly meetings about their ideas for quality improvement projects and necessary indicators for ongoing or upcoming projects. Her job also includes preparing case briefings for the weekly Breast Conference that occurs at Washington Regional.

During my internship, I was fortunate to learn a lot about radiology and …

Determining Racial And Ethnic Disparities In Breastfeeding In The United States, Summer Coker

The Eleanor Mann School of Nursing Undergraduate Honors Theses

The benefits of breastfeeding have been thoroughly studied and researched, with the majority of healthcare providers, health organizations and policies, and professionals in health all recommending the practice. Breastfeeding has protective factors for the newborn against infection and mortality. Other benefits for breastfed children include reduced risk of obesity, asthma, and ear infections; enhanced chance of having a higher income; and a stronger immune system that can follow them throughout adulthood (World Health Organization [WHO] 2020). For mothers who breastfeed, there is a reduced risk of developing ovarian and breast cancer, high blood pressure, and type 2 diabetes (Centers for …

Implementing Tiny Tusks: Breastfeeding And Infant Support Tent, Madeline Wiche

The Eleanor Mann School of Nursing Undergraduate Honors Theses

Tiny Tusks: Breastfeeding and Infant Support Tent provided the first designated clean, private area to nurse, pump or change an infant’s diaper at University of Arkansas home athletic events. Tiny Tusks offered comfortable rocking chairs, changing tables, bottled water, and engaging projects for siblings and young children at a wide variety of University of Arkansas home athletic events, including football games, men’s basketball games, and women’s gymnastics meets. The project was created and designed by two Eleanor Mann School of Nursing professors, Dr. Allison Scott and Dr. Kelly Vowell-Johnson, in collaboration with the University of Arkansas Athletic Department. Women’s Giving …

The Management Of Cancer Pain: Should Interventional Therapies Be Approached As First-Line Treatment Along With Beginning An Opioid Regimen?, Sarah Holmes

The Eleanor Mann School of Nursing Undergraduate Honors Theses

Cancer produces many symptoms, and pain is one of them. When a person is having pain due to cancer, many aspects of the person’s life may be altered or inhibited; for example, activities of daily living may be difficult to perform, their psychological state may be altered, their social lives may be changed, and their overall physical function may be affected in a way that the person may need to modify what they typically do in a normal day. The pain a person experiences depends on the type of cancer, how far the cancer has progressed, and the treatment being …

Barriers To Patient-Centered Care For Dementia Clients In The Long-Term Living Setting, Shaina Gaba

Nursing | Senior Theses

When caring for people with severe dementia, the concept of the person being central is increasingly advocated in clinical practice. Person-centered care acknowledges autonomy in all facets of care. Recent studies examine behavioral changes in individuals with dementia and how health care teams address these alterations. Health care providers are vital for effective holistic management. Therefore, this review focuses on the current knowledge regarding care goals, practices, and perceptions of the client battling with cognitive decline. A literature review ascertains that clients with dementia respond to interventions and have decreased negative health outcomes, when providers ensure values and needs are …

Herbal Antioxidants And Renal Ischemic-Reperfusion Injury; An Updated Review, Masoumeh Asgharpour, Audrey C. Tolouian, Lakkakula Vks Bhaskar, Ramin Tolouian, Nilofar Massoudi

Nursing Faculty Publications

Renal ischemia-reperfusion (RIR) is a pathological condition due to transient restriction of blood flow to the kidneys, which is followed by the subsequent recovery of perfusion and re-oxygenation. RIR injury contributes to the progression of renal dysfunction including acute kidney injury (AKI) in native and renal allograft transplant. The generation of reactive oxygen species (ROS) during oxidative stress contributes to the occurrence of RIR. Hence, the use of antioxidant compounds can improve oxidative stress due to RIR. This review highlights herbal antioxidant efficacy against RIR injury. The findings of this study indicate that antioxidant compounds with herbal origin could reduce …

Prevention Of Postherpatic Neuralgia In Patients With Herpes Zoster Infection, Kadie Erickson Rn

Nursing Capstones

No abstract provided.

Non-Narcotic Treatment For Postherpetic Neuralgia, Caitlyn Meehan Rn

Nursing Capstones

No abstract provided.

Herpes Zoster In Pregnancy, Kimberly Svidal Rn

Nursing Capstones

No abstract provided.