Public Health and Community Nursing Commons^™

The Influence Of Time Perspective On Physical Activity Intentions And Behaviors Among Adolescents Residing In Central Appalachia., Tauna Gulley

Electronic Theses and Dissertations

Obesity and inactivity are prevalent among central Appalachian adolescents. Appalachian residents have been labeled "fatalistic," a time perspective unsupportive of health-promoting behaviors such as regular participation in physical activity. The theory of planned behavior has been used extensively to explain the physical activity behaviors of adolescents. Constructs within the theory of planned behavior include attitudes toward the behavior, subjective norms, perceived behavioral control, and intention to perform the behavior. The purpose of this study was to determine the time perspective of central Appalachian adolescents and examine the relationship between time perspective and the constructs within the theory of planned behavior. …

Rn Transition To Practice Program In The Primary Care And School Settings: Development, Implementation, And Evaluation, Maria-Idalia O. Lens

Doctor of Nursing Practice (DNP) Projects

New graduate registered nurses (RN) are facing a difficult time finding jobs since the economy of the United States has declined. Since then the California Institute of Nursing and Health Care, along with funding from the Betty Moore Foundation, have developed RN transition programs. These programs were developed to increase skills, confidence, and experience among new RN graduates to promote their transition into the nursing workforce. The programs also were designed to retain newly licensed nurses in the nursing profession while engaging competencies that could be transferred to both acute and outpatient care settings. In addition, the programs are intended …

Poor Women With Sexually Transmitted Infections: Providers’ Perspectives On Diagnoses, Genevieve R. Cox

Sociology

This article presents results from a study of health care providers, mainly nurses and nurse practitioners, who routinely diagnose sexually transmitted diseases (STDs) in rural low-income populations in West Virginia (WV). A qualitative analysis of eighteen semi-structured interviews reveals that providers who consistently work with low-income populations believe patients undergo a negative change in self-image in response to a chronic STD diagnosis. Providers express concerns about a number of issues related to low-income, rural women’s access to sexual health care and see the need for more sexuality education, more funding for free and reduced cost clinics, and more available health …

Feasibility And Impact Of Telemonitor-Based Depression Care Management For Geriatric Homecare Patients, Thomas Sheeran, Terry Rabinowitz, Jennifer Lotterman, Catherine F. Reilly, Suzanne Brown Rn, Patricia Donehower, Elizabeth Ellsworth, Judith L. Amour, Martha L. Bruce

Social Work Faculty Publications

Objective: The objective of this study was to test the feasibility, acceptability, and preliminary clinical outcomes of a method to leverage existing home healthcare telemonitoring technology to deliver depression care management (DCM) to both Spanish- and English-speaking elderly homebound recipients of homecare services.

Materials and Methods: Three stand-alone, nonprofit community homecare agencies located in New York, Vermont, and Miami participated in this study. Evidence-based DCM was adapted to the telemonitor platform by programming questions and educational information on depression symptoms, antidepressant adherence, and side effects. Recruited patients participated for a minimum of 3 weeks. Telehealth nurses were trained on DCM …

Occupational Health Assessment: A Tool For Nursing Faculty, Sherry R. Lovan, M. Susan Jones

Nursing Faculty Publications

No abstract provided.

Comparison Of Workplace Protection Factors For Different Biological Contaminants, Kyungmin Jacob Cho, Tiina Reponen, Roy Mckay, Alok Dwivedi, Atin Adhikari, Umesh Singh, Rakesh Shukla, M. Susan Jones, Gordon Jones, Sergey A. Grinshpun

Nursing Faculty Publications

This study compared workplace protection factors (WPFs) for five different contaminants (endotoxin, fungal spores, (1→3)-β-D-glucan, total particle mass, and total particle number) provided by an N95 elastomeric respirator (ER) and an N95 filtering facepiece respirator (FFR). We previously reported size-selective WPFs for total particle numbers for the ER and FFR, whereas the current article is focused on WPFs for bioaerosols and total particle mass. Farm workers (n = 25) wore the ER and FFR while performing activities at eight locations representing horse farms, pig barns, and grain handling facilities. For the determination of WPFs, particles were collected on filters simultaneously …

Paramed Home: A Protocol For A Randomised Controlled Trial Of Paramedic Assessment And Referral To Access Medical Care At Home, Glenn Arendts, Moira Sim, Steven Johnston, Richard Brightwell

Research outputs 2011

Background: In Australia approximately 25% of Emergency Department (ED) attendances are via ambulance. ED overcrowding in Australia, as in many countries, is common. Measures to reduce overcrowding include the provision of enhanced timely primary care in the community for appropriate low risk injury and illness. Therefore paramedic assessment and referral to a community home hospital service, in preference to transfer to ED, may confer clinical and cost benefit.

Methods/Design: A randomised controlled trial. Consenting adult patients that call an ambulance and are assessed by paramedics as having an eligible low risk problem will be randomised to referral to …

Using A Telephone Reminder System To Improve Pneumococcal Vaccination Rates For Medicare Recipients, Julie A. Koch

Evidence-Based Practice Project Reports

Despite recent advances in healthcare, Streptococcus pneumonia-associated infections contribute to significant morbidity and mortality in older adults. Because of the pneumococcal vaccine’s efficacy for preventing invasive disease, guidelines for vaccinating older adults have been developed; yet, the nation has not met immunization goals. The purpose of this EBP project was to determine if a telephone reminder, as compared to provider recommendation, would increase pneumococcal vaccination rates. The Iowa model and Kotter’s eight stages of change guided this project within a multi-provider office in Northwest Indiana. Within the practice, Medicare patients scheduled from September 1 to November 10, 2010 received a …

Interventions To Improve The Management Of Medically Uninsured Adult Patients With Type 2 Diabetes Mellitus In Primary Care, Community-Based Settings, Lynn Miskovich

Evidence-Based Practice Project Reports

This project measured the effect of a clinical algorithm on the provision of care to medically uninsured adult patients with type 2 diabetes and a low socioeconomic status (SES). Primary providers often fail to implement established standards for diabetes care to their maximal benefit and do not achieve American Diabetes Association (ADA) treatment standards. Saydah, et al. (2004) reported that only 48% of patients with diabetes achieved the recommended HbA1c goal, and 33% reached blood pressure and LDL targets. Goals for all three clinical parameters were obtained by only 7% of patients. The Stetler Model of Evidence-based Practice (EBP) provided …

Finding Healthy In Affordability, Courteney Tucker

Senior Honors Projects

No abstract provided.

Visitor Hand-Washing Compliance According To Policies And Procedures At A Regional Neonatal Intensive Care Unit., Desiree Raynor

Undergraduate Honors Theses

Hospital-acquired infections cost hospitals approximately $30.5 billion per year and also result in longer hospital stays, chronic conditions, and even death with associated malpractice costs. According to the Centers for Disease Control and Prevention, hand hygiene is a simple, effective way to prevent illness and infection. The purpose of this research was to determine if visitors to a neonatal intensive care unit (NICU) in a regional medical center comply with hand-washing policies and procedures. If NICU visitors wash their hands properly, they can prevent potentially fatal infections from spreading to patients, healthcare workers, and unaffected family members. Hand-washing compliance has …

Acceptance Of The Human Papillomavirus Vaccine Amount College Age Adults: Survey Research, Emily Pippo

Honors Capstones

Capstone submitted as a graduation requirement for BSU Honors Program.

Colorful Perspectives: Caring For Sick Children In Pune, India, Rachael Butterfield

Inquiry Journal 2011

No abstract provided.

Chhs March 2011 E-Newsletter, Dr. John Bonaguro, Dean, Vashon S. Wells, Editor, Wku College Of Health & Human Services

College of Health & Human Services Publications

No abstract provided.

What Is The Caregivers' (Certified Nursing Assistant) Perception Of Their Role While Caring For A Patient In The Household Model?, Daniyele Feaster

Nursing Theses and Capstone Projects

This was a mixed design study that assessed the caregivers' perception of their role while caring for patients in the household model. A sample of 12 caregivers currently employed in a long-term care facility operating in the household model was asked to complete a survey and answer 11 questions during a one on one interview. This interview tool allowed the caregivers the opportunity to rate their personal experiences, environment and express their feelings associated with their role as a certified nursing assistant working in a household model. The results indicated that the caregivers enjoyed working in the household environment and …

Parental Perception Of Childhood Obesity And The School's Role On Prevention And Interventions In Childhood Obesity, Monique Jones

Nursing Theses and Capstone Projects

Childhood obesity is a major health crisis that is becoming an epidemic among children and adolescents. Interventions must begin early and focus on prevention strategies to achieve the goal of increasing quality years of life for today's children and families. Parents with children in a local after school Boys & Girls club were surveyed regarding their perception of childhood obesity, the causes of childhood obesity, and the school's role in the prevention and treatment of childhood obesity. More than 90% of the participants identified inactivity, poor eating behavior, eating too much, and lack of money to buy nutritious foods as …

Diabetes Understanding Among Staff Nurses: Examining The Actual Versus Perceived Knowledge In The Acute Care Setting, Rebecca B. Ledbetter

Nursing Theses and Capstone Projects

Diabetes is the fourth leading cause of death world-wide claiming a staggering 3.8 million lives globally each year to related complications (World Health Organization, 2011). Diabetes complications account for 20% of all acute care admissions or 1 in every 5 patients have a diabetes-related condition (American Diabetes Association, 2011). Patient education in the areas of lifestyle modification, healthy eating habits, and proper medication administration is research-supported to clinically decrease the likelihood of acute complications. Bedside, acute care nurses are at the front line of patient education delivery and have the opportunity to determine behavioral stages related to a patient's readiness …

A Comparison Of Patient And Nurse Perception Of Problem Areas Associated With Type 2 Diabetes, Kelley Oglesby

Nursing Theses and Capstone Projects

The purpose of the study was to explore the difference in problem areas perceived and reported by patients with type 2 diabetes and registered nurses caring for patients with type 2 diabetes. Diabetes affects a large number of patients both physically and fiscally. Decreasing perception of problems by nurse case management intervention has the potential to adversely affect patients. A convenience sample of 20 patients and 10 nurses was obtained and completed the Problem Areas in Diabetes (PAID) questionnaire. Statistical analysis found a significant difference in perception of problems among patients and nurses.

The Incidence Of Individual Sexually Based Counseling By School Nurses In An Urban School System, Tiffany Dunlap

Nursing Theses and Capstone Projects

The purpose of this study is to evaluate the incidence of individual counseling on sexual issues by school nurses in a large, urban, public school system in the Southeastern United States (U.S). Utilizing a descriptive, non-experimental method for the study, a secondary data analysis was conducted by the researcher using information self-reported by 117 school nurses regarding individual counseling of students in grades kindergarten through twelve on sexual topics. The topics included in the study were pregnancy, puberty/reproductive health and sexual abuse. There was a relationship established between grade level and rate of individual counseling. School nurses in the school …

The Nurse's Knowledge Of Blood Conservation As A Part Of Blood Management, Lindsey Putnam Austin

Nursing Theses and Capstone Projects

Medicine has historically regarded blood transfusion as an integral component of major surgery or illness. However, clinical studies have shown that allogeneic blood transfusions are associated with increased morbidity and decreased survival. Knowledge of this research and the concepts of blood conservation so as to avoid unnecessary blood transfusions is needed in order to deliver holistic care and serve as patient advocate. This knowledge reaches every specialty of nursing care.

This study of the nurse's knowledge of blood conservation as a part of blood management utilizes The Conservation Model developed by Myra E. Levine in 1973. Levine's work is a …

A Study Of The Presence Of Relational Aggression In The Adult Population, Kathy C. Williams

Nursing Theses and Capstone Projects

Aggression can result in a challenge of the basic human need for safety and security (Plotnik, 1999). Historically there has been extensive research regarding physical aggression. However, only in the past two decades has relational aggression received attention. Most research studies regarding relational aggression have focused upon children, adolescents and young adults. The purpose of this study was to explore the presence of relational aggression in the adult population. The Self-Report of Aggression and Social Behavior Measure tool was used to survey a convenience sample of 67 nursing students. The participants were students enrolled in the school of nursing (associate, …

The Effect Of Emergency Department Length Of Stay On Clinical Outcomes For Critically Ill Or Injured Patients, Sheila Radcliff

Nursing Theses and Capstone Projects

The purpose of the study was to identify the effects of the emergency department length of stay on clinical outcomes for critically ill or injured patients in the regional referral community hospital. Delays in transfer have been associated with increased mortality rates, prolonged length of stays, and poor outcomes. Emergency departments are designed to respond to immediate life or limb threatening emergencies.

A quantitative, descriptive, retrospective design was used in this study. Data was collected from APACHE II, trauma databases, and ED logs. The study was conducted in a 752 bed hospital in the western North Carolina. Data was analyzed …

Screening, Brief Intervention, And Referral To Treatment For Alcohol Use In A Community College, Alexandra Aimee Bell

Theses Digitization Project

This study examines the impact of Screening, Brief Intervention, and Referral to Treatment (SBIRT) on the high-risk alcohol behavior of a sample of California community college students accessing services at the student health center.

Transcultural Nursing In Community: A Doctor Of Nursing Practice Project To Advance Nursing Education In Partnership With An Indigenous Community, Deb Shuhmacher

Theses and Graduate Projects

Through a culturally responsive partnership process, a doctoral project to advance nursing education on the Pine Ridge Indian Reservation in Pine Ridge, South Dakota is presented. The collaborative partnership is explored across a dominant Western culture and an Indigenous tribal community. A lens of awareness for White dominant culture is explained in relation to building a partnership with a Lakota tribal community. Traditional Indigenous values of mutuality, reciprocity, honor, and respect are discussed as significant in building a partnership. The process of engaging Indigenous wisdom and respecting Indigenous self-determination is foundational for the partnership process. Dr Leininger's culture care theory …

The Caring Connection: Using Leadership Metis To Facilitate Community Outreach For Hospital-Based Nurses, Susan Rein Loushin

Theses and Graduate Projects

This presentation and poster describes advanced practice as a leadership process that links nurses working in a hospital setting with people in the neighborhood who are homeless. It gives voice to the experiences of nurses volunteering within the homeless community. There is documented evidence supporting the virtues of volunteerism and the effect on the target population. However, there appears to be a gap in the literature regarding the effect outreach projects have on the personal and professional lives of nurses volunteering their time in the community.

This DNP project .created opportunities and leadership for nurses to work as citizen professionals …

Community Health Workers: Bearers Of The Light In Health, Healing, And Care, Jean M. Gunderson

Theses and Graduate Projects

Since the 1940's with the development of the community oriented Primary care model of sydney and Emily Kark that originated in Africa and was transposed to the United States, Community Health Workers (CHWs) have been integrated in community health activities. As individuals from the community intimately connected to its people and its cultural life-ways and meaning, they provide primary services and care as advocates, liaisons, educators, cultural brokers, and navigators; bridging multifaceted hanscultural constructs within systems. Thi increasing diversity of communities, the health inequities, and the call for culturally responsive care, reinforce the significance of understanding the practice of community …

Evaluation Of Health Newsletter Effectiveness On Dietary Habits In Low-Income Middle-Aged Women, Nichole Jennifer Hassebroek

All Graduate Theses, Dissertations, and Other Capstone Projects

There is little known about the effectiveness of the SagePlus newsletters at motivating dietary habit changes. The purpose of this study was to determine the effectiveness of the SagePlus newsletter in motivating low-income, middle-aged women who are participating in the SagePlus program to adopt healthier eating habits, specifically to eat more fruits and vegetables. A nonexperimental, descriptive correlational design was used in this study. Phone calls were placed to current SagePlus participants who had been enrolled in the program between six and 12 months. Forty English-speaking participants were contacted and agreed to participate in the telephone survey from a potential …

Gender Perceptions In Rheumatic Disease: A Secondary Analysis, Jean Heise

All Graduate Theses, Dissertations, and Other Capstone Projects

Problem: Rheumatoid arthritis affects approximately 1.3 million people in the United States. A chronic disease with a variable course leaves affected individuals in a state of uncertainty. Many individuals experience joint and muscle pain, a major symptom of the disease. Current literature provides varying information of gender perceptions and management of joint and muscle pain in rheumatic diseases. Purpose: The purpose of this secondary analysis was to explore (1) gender perception of seriousness of joint and muscle pain in rheumatoid arthritis, (2) gender perception of joint and muscle pain interference with daily life, (3) gender perception of controllability of joint …

Barriers To Using Motivational Interviewing For Lifestyle Counseling, Heidi June Sannes

All Graduate Theses, Dissertations, and Other Capstone Projects

The Minnesota Department of Health has sponsored Motivational Interviewing Continuing Education sessions for SagePlus providers to increase their knowledge and skill in the utilization of MI in their clinical practice. The impact of these educational sessions on skill development as well as utilization of MI by these providers is unknown. The purpose of this study was to determine if healthcare providers perceive any barriers in utilizing MI techniques to do lifestyle counseling with SagePlus program particiants. A descriptive quantitative design was used for this study. Of the 22 healthcare providers that were doing lifestyle counseling 16 completed the questionnaires. The …

Motivational Interviewing Training And Provider Proficiency, Jeremy Jay Waldo

All Graduate Theses, Dissertations, and Other Capstone Projects

The purpose of this descriptive study was to determine if there was a relationship between the amount and type of Motivational Interviewing (MI) training a SagePlus provider receives, motivation to utilize MI training, and the proficiency of the provider in using MI in lifestyle counseling in clinical practice. This study was comprised of 16 healthcare professionals who provide SagePlus lifestyle counseling interventions in clinics that participated in the Minnesota Department of Health (MDH) funded SagePlus program. A demographic questionnaire, modified Preventative Medicine Attitudes and Activities Questionnaire (PMAAQ) and Behaviour Change Counseling Index tool (BECCI) were utilized to assess provider's amount …