Public Health and Community Nursing Commons^™

Methicillin-Resistant Staphylococcus Aureus Education Effectiveness For Athletic Trainers At A University Community Physical Activity Center., Afton Cope

Undergraduate Honors Theses

Methicillin-resistant Staphylococcus aureus (MRSA) is a problem nationally and affects many people from all walks of life. Community associated MRSA is often ignored and not viewed as significant, thus there is a lack of education on the topic. One area that is at a particular risk for the transmission of Community Associated MRSA is physical activity centers. Education in these areas could improve the knowledge of community acquired MRSA among employees and decrease the likelihood of infection at physical activity centers. In this study a pre-test was given. After the pre-test an educational powerpoint on MRSA was presented and then …

Perceptions Of A Dedicated Education Unit In The Mississippi Delta, Jacquelyn Felecia Brownlow

Doctoral Projects

The highest health care disparities in the country plague the Mississippi Delta. A weakened economy, minimal access to healthcare and an outdated traditional clinical learning environment place enormous strains on nursing education in this area to provide more nurses. The office of Nursing Workforce reported a 14% to 16% nursing turnover in the Delta compared to the national average of 13.5%. As a result, the health care organization has encountered high nurse turnover, increased staffing shortages, and a decrease in nursing quality indicators. As an effort to improve clinical education and bridge gaps between education and practice, several schools in …

Understanding Faculty And Non-Traditional Student Perceptions Of Self-Directed Learning In A Practical Nursing Program, Carmen Marie Rogers

Graduate Theses and Dissertations

This study was designed to identify and investigate nursing faculty and student perspectives of self-directed learning in a practical nursing program. It also explored the degree to which student's perceptions of self-directed learning exhibited factors consistent with that of critical thinking. This study is important because self-directed learning and its critical thinking elements are essential in providing safe, competent, effective, and efficient nursing care within practice and education. Using an explanatory case study design the practice of self-directed learning within a practical nursing program was examined through the use of: classroom observations, interviews with nursing faculty, nursing students, and document …

The Reality Of Disaster: An Educational Template That Brings Community Into The Classroom, Mary T. Bouchaud Phd, Msn, Cns, Rn, Crrn, Edward H. Jasper Md

Population Health Matters (Formerly Health Policy Newsletter)

No abstract provided.

Meeting The Challenges For The Plain Community In Healthcare, Mindy Brosious Bsn, Rn, Nicole Zimmerman Bsn, Rn, Nancy Humes Bsn, Rn, Patricia Christenson Rn

Patient Care Services / Nursing

No abstract provided.

An Educational Approach: Increasing College Freshmen's Knowledge Regarding Sexually Transmitted Infections, Jennie Mcclain

Evidence-Based Practice Project Reports

According to the Centers for Disease Control (2009), young adults account for only 25% o fsexually active persons in the United States, but account for 50% of the newly diagnosed cases of sexually transmitted infections (STIs). Some young adults may not have received appropriate or credible information on sexual health by which to make knowledgeable decisions that may influence the rest of their lives. High schools are not required to offer comprehensive sex education. Therefore, some students may have received abstinence-only sex education. Risk reduction and disease prevention are important in college health. This evidenced-based practice project included the creation, …

Christian Villanueva - Trauma Exposure Reported By Women Recently Deported From The U.S. To Mexico, Christian Villanueva

Ronald E. McNair Scholars Program 2013

In 2012 the U.S. deported approximately 200,000 individuals to Mexico; a significant proportion of these individuals were women. The combined effect of previous traumatic experiences with that of being deported to Mexico is detrimental to women’s health. The trauma suffered through this process results in high levels of stress that lead to a variety of mental and physical health problems for Mexican women, disproportionally compared to men, who entered into and are deported from the U.S. The purpose of this study is to describe the life history of trauma exposure of women who have recently been deported from the U.S. …

Analysis Of Community-Based Accumulation Of Home Medications (Caches) Found At Death Scenes In Davidson County, Tennessee, Carrie E. Plummer

Theses and Dissertations (ETD)

Introduction: Stockpiling of unused medications by community-dwelling individuals results in Community-based ACcumulation of Home mEdicationS (CACHES). CACHES place the individual, health care and justice system, and ecosystem at risk for adverse outcomes including: a) diversion of prescription medications by friends and family, b) pediatric poisonings, c) adverse drug events, d) increased criminal justice system costs related to prescription drug abuse, e) increased health care costs, and f) pollution of local water supplies via improper medication disposal. This study explores the relationship among individual risk factors (gender, race, age, comorbid conditions), geographical location, health care risk factors (number of prescribers and …

Community Building Through A Recovery Oriented Sytems Of Care Model For Tobacco Cessation In The Elderly, Ginny L. Hamolsky

Senior Honors Projects

Abstract

Community building is an important concept for all healthcare providers to understand in order to implement effective health promotion and empower members of a community. The World Health Organization (WHO) states that community building involves action at three levels to improve health. These actions include the advancement of skills among practitioners, expansion of support and infrastructure for health promotion, and the development of cohesiveness and partnerships within communities. If implemented effectively, the benefits of community building include enhancing quality of life, promoting health and well being, empowering individuals, and creating sustainable health care organizations that conduct and maintain successful …

The Perception Of Health Assets Of A Rural Idaho Community Based On The Community-As-Partner Model, Cherno Bah

Boise State University Theses and Dissertations

To improve the health status of rural communities, it is important to recognize and utilize all available health assets the community has to offer. When considering health assets, community members often fail to recognize resources such as economic status, communication, education, recreation, and politics, and instead focus only on obvious resources such as available physicians, Emergency Medical Technician (EMT) services and access to health clinics. The purpose of this study was to identify what community health assets are perceived among members of the rural community of Grangeville, Idaho and how these assets might be categorized according to the nine sub-systems …

Cinemeducation: Teaching Family Assessment Skills Using Full-Length Movies, Astrid H. Wilson, Barbara J. Blake, Gloria A. Taylor, Glenda Hannings

Faculty Articles

A thorough family assessment provides a foundation for the nursing process when working with families. Therefore, nurses, along with other health care providers must develop expertise in conducting family assessments to provide the best possible care within the community. This article describes an innovative educational strategy using movies to teach family assessment skills and puts forth recommendations for future research to provide evidence to support this teaching modality.

Travesty Of Trust: A Critical Look At Racial And Ethnic Discrimination In The Healthcare Setting, Thea A. Beaty

Senior Honors Theses

The purpose of this thesis is to review the overarching purpose of healthcare, examine race-related disparities in minority patient outcomes within specific fields of medical practice, and discuss whether these disparities are the result of racial discrimination within the clinical setting, or are due at least partially to genetic and environmental factors, followed by an examination of how cross-cultural education for healthcare professionals can be improved to equip medical personnel with the attitudes, knowledge, and skills necessary to provide effective care to a culturally diverse patient populace. The benefits of recruiting a culturally and linguistically diverse team of healthcare providers …

Cardiovascular Risk Factors Prevalent Among Filipino-Americans: A Cross-Sectional Study, Alona Angosta

Interdisciplinary Research Scholarship Day

Filipino Americans are the 2nd largest Asian subgroup in the United States and their leading cause of death is cardiovascular disease (CVD). Despite this, little is known about their prevalence of CVD risk factors. This study revealed that many Filipino Americans living in Clark County, Nevada are at risk of heart disease because of the presence of CVD risk factors. Intensive lifestyle modification and treatment are recommended to help decrease the prevalence of heart disease in this group and improve their overall health outcomes. Nurses and nurse practitioners are in excellent position to educate their Filipino American clients regarding heart …

Barriers To Health Care For People With Disabilities And Practice Administrators’ Knowledge Of The Ada: Nevada Compared With The Nation, Jennifer Pharr, Michelle Chino

Interdisciplinary Research Scholarship Day

The purpose of this study was to determine if the number of barriers reported in the clinics could be predicted by characteristics of the administrators or
characteristics of the practice.To increase accessibility to health care, interventions should focus on practices located in buildings built before 1993, practices with administrators who are younger and have limited experience as administrators, administrators with low levels of ADA knowledge and practices with smaller number of patients.

Evaluation Of The Childhood Blood Lead Screening Component Of The Southern Nevada Childhood Lead Poisoning Prevention Program, Melissa Breunig, Shawn Gerstenberger

Interdisciplinary Research Scholarship Day

The objective of this paper is to highlight the progress of the lead poisoning prevention program in Southern Nevada. Specifically, we present blood lead screening results for Clark County, Nevada from 2006 through 2011, and review the progress towards recommendations made by Rothweiler et al. for Nevada in 2007.7

Isolation Of Lesbian, Gay, Bisexual, And Transgender Youth: A Dimensional Concept Analysis, Michael Johnson, Elaine Amella

Interdisciplinary Research Scholarship Day

Present the findings of a dimensional concept analysis of isolation within the context of LGBT youth. LGBT youth are at greater risk for negative health outcomes as compared to heterosexual youth, including depression, anxiety, suicide, substance abuse, and HIV/AIDS. Some studies suggest LGBT feeling and being isolated is related to some negative health outcomes. Other research reveals a relationship between isolation and negative health

Pre- And Post-Interrvention Perceptions Of Illness, Health, And The Home Environment Among Nevada Healthy Homes Participants, Michelle Ching, Shawn Gerstenberger

Interdisciplinary Research Scholarship Day

The Nevada Healthy Homes Partnership (NVHHP) is a collaborative program between the University of Nevada, Las Vegas (UNLV), Southern Nevada Health District (SNHD), Rebuilding Together (RBT), HELP of Southern Nevada, and other public/private housing authorities and health agencies in Southern Nevada.

Enhancing Access To Cultural Health Assessment Instruments For Refugees In Idaho, Samantha Fundingsland

College of Health Sciences Poster Presentations

Statement of the problem: Boise, Idaho is one of 16 relocation centers in the United States for refugees from all over the world. The number of Boise refugees from 2001-2011 totaled 5,431 with more than 30 countries represented (Idaho Office for Refugees, 2013). Refugees are fleeing persecution on basis of race, religion, nationality, and social groups and generally cannot protect themselves from their own countries. The process of resettlement is stressful and can impact physical and mental health. Upon entering the United States refugees are required to undergo a medical examination, which initially introduces them to the healthcare system. Refugees …

A Collaborative Educational Innovation In An Old Order Mennonite Community, M. Susan Jones Phd, Maria E. Main Dnp, Dawn M. Garrett Phd

Nursing Faculty Publications

Forming collaborative, interprofessional partnerships to facilitate the education of future healthcare providers to serve diverse cultures is an overarching goal of Area Health Education Centers (AHECs) and supported by the Institute of Medicine (IOM, 2005). This article describes the process of creating and sustaining a collaborative interprofessional health promotion and educational project with an old order Mennonite (OOM) community in south central Kentucky. This ongoing project began over a decade ago and involves the collaborative efforts of the South Central Kentucky AHEC, the School of Nursing at Western Kentucky University (WKU), a family practice residency program affiliated with the University …

Examining Disparities In Care In An Uninsured, Diabetic Population, Emily R. Manninen

Honors Projects

Type 2 diabetes is a common health problem that requires continuing medical care, self-management, and education. However, different populations experience diabetes and diabetes-related care differently. This study examined diabetes care and health outcomes at a Midwest community health clinic serving the uninsured. Two waves of data were obtained from medical records. Wave 1 consisted of 88 medical records of people who were diagnosed with type 2 diabetes and also had previous medical record reviews regarding routine diabetes care and outcomes. Wave 2 consisted of in-depth review of 20 medical records of male patients, diagnosed with type 2 diabetes, whose primary …

Nursing Student Voices: Reflections On An International Service Learning Experience, Molly Kerby, Eve Main

Gender & Women's Studies Faculty Publications

For the past decade participation in service and experiential learning in higher education has increased. The purpose of this study was to explore the lived experience of BSN and MSN students participating in a multidisciplinary service-learning course in a rural, underserved village in Belize. Researchers analyzed student journals utilizing qualitative data analysis techniques. There were eight consistent themes found in the student journals. The findings indicate that international service learning opportunities increase students' awareness of their place in a global society and the potential contribution they can make in society. For the past decade, service and experiential learning in higher …

Early Home Visits By A Registered Nurse Care Manager With Heart Failure Patients, Dana Davis Blake

Nursing Theses and Capstone Projects

Strategies focused on 30 days in the life of a patient with heart failure will have limited impact on the burden that heart failure will have nationally or individually. The broader landscape of readmission risk underscores the need for a more comprehensive approach to heart failure management. Care management with a registered nurse demonstrated efficiently coordinate care. Home visits address the peaks of risk in the post-discharge transition and palliative phase while providing longitudinal support. The purpose of this study is to substantiate that early home visits and telephone followup with a registered nurse after discharge from the hospital will …

Cultural Bias Education Of Nursing Faculty, Frank Castelblanco

Nursing Theses and Capstone Projects

A cultural bias education seminar was presented to nursing faculty at a private university in Western North Carolina in an attempt to increase the level of cultural competence. Leininger's "Culture Care and Universality"; a nursing theory was used as the theoretical framework for the project and Campinha-Bacote's Inventory for Assessing the Process of Cultural Competency Among Healthcare Professionals, Revised (IAPCC-R) was employed to measure the pre- and post-cultural competence levels of the nursing faculty. The faculty voluntarily completed the pre-assessment, the seminar was completed and 17 participants completed the post assessment. The statistical findings illustrated an increase in total cultural …

The Effects Of A Care Delivery Model Change On Nursing Staff And Patient Satisfaction, Kathleen Gier

Nursing Theses and Capstone Projects

Hospitals across the nation are faced with the challenge of providing high-quality, cost-effective patient care. The purpose of the research study, The Effects of a Care Delivery Model Change on Nursing Staff and Patient Satisfaction, was to examine the impact of implementing a team-approach care delivery model on defined outcomes of staff satisfaction and patient satisfaction. A quasi-experimental design study was utilized to examine the effects of implementing a team-approach care delivery model on a 33-bed Medical-Surgical unit. Prior to and after implementation of the new care delivery model, data were collected regarding patient and staff satisfaction. All nursing and …

Nurses' Perceptions Of Shared Medical Appointments, Kristin Monza

Nursing Theses and Capstone Projects

With the increased economic burdens placed on Americans in recent years, the topic of healthcare has been in the forefront. As healthcare reform embraces the country, healthcare organizations are forced to re-examine their business structure more accurately to reflect the changing culture and patient population. The Shared Medical Appointment (SMA) is a model in the chronic disease setting, and many of the benefits and proficiencies have been studied but no studies have assessed nurse experiences or perceptions of SMAs. The purpose of this study was to determine the Registered Nurses's experience with and perception of SMAs. A descriptive exploratory design …

Transcultural Nursing And Malaria: Identifying Global Health Strategies Through The Lived Experiences Of Nurses From The Villages Surrounding Bamenda, Cameroon, Noella Sob Tataw

Theses Digitization Project

This study highlights the challenges faced by nurses working in the villages surrounding Bamenda, Cameroon. This is done as a necessary first step towards developing a culturally compelling intervention strategy fro Malaria prevention/treatment, through direct interaction of nurses in villages surrounding Bamenda in Cameroon. Malaria and other diseases pose significant health care problems in remote regions of Cameroon.

Self-Care For Native American People With Type 2 Diabetes: A Creative Approach To Enhance Their Well-Being, Manuela Przybyszewska-Wosiek

Theses and Graduate Projects

The development of culturally congruent visual resources on self-care in type 2 diabetes is a culturally appropriate method to provide education to the Native American patients. In particular, the creation of a series of illustrations on foot care is needed. Guided by Leininger's Culture Care Theory and the Sunrise Enabler, materials on foot care are developed through the convergence of emic (generic) and etic (professional) knowledge. Orem's Theory of Self-Care and the Native American perspectives are used to integrate concepts pertaining to self-care. This project supports the enhancement of health literacy as a component of health communication - a goal …

Promotion Of Mental Health Wellness Among Second Generation Immigrants In The Cedar Riverside Neighborhood, Caroline Abenakyo

Theses and Graduate Projects

Effects of the stigma associated with mental health illness among immigrant populations are exacerbated by challenges like language barrier, poverty and low education status. Immigrant children and teenagers are more vulnerable to compromised mental health wellness due to their dependence upon adults and their critical developmental stages. The purpose of this project is to explore the collaborative effort between health care professionals, law enforcement, community leaders and volunteers in the development of a nursing based support group for East African immigrant parents to promote mental health wellness for second generation immigrants in the Cedar Riverside neighborhood. Madeleine Leininger's Theory of …

The Malaika Project, Monicah M. Gikiri

Theses and Graduate Projects

Father involvement has been reported to have a positive relationship with children outcomes. The goal of this project is to empower young fathers by providing a safe home. The Malaika project will provide safe housing for young fathers age l8-21. Providing housing stability could potentially increase the parental involvement of the young father. The project was guided by Watson Theory of Caring and Culture of Safety Theory developed by Irihapeti Merenia Ramsden. This paper provides a guide on how these safe homes will be established. The project will discuss challenges that have been identified such as financing, IRS filings, and …

Community Gardening And The Somali Immigrant Community, Sarah Sanford

Theses and Graduate Projects

Obesity, diabetes, and hypertension are all common diagnoses within the Somali immigrant community in Minneapolis, Minnesota. There is an opportunity for collaboration between graduate nursing sfudents at Augsburg College, which is a small inner-city college, the Health Commons, which is a drop-in health center staffed by nurses, and community members in the Cedar-Riverside neighborhood to address improvement in health, food choices, and socialization opporfunities for Somali immigrants. The purpose of this project is to develop relationships with Somali immigrant community members in the Cedar-Riverside neighborhood, Augsburg College graduate nursing students, University of Minnesota Extension Office dieticians and master gardeners, and …