Public Health and Community Nursing Commons^™

The Impact Of Social Determinants Of Health On The Experience Of Informal Caregiving For Adults In Low Socioeconomic Urban Settings: A Literature Review., Haeun Lee, Dawn Frambes

Summer Research

About one in five people in the U.S. provide caregiving to family, friends, or neighbors. The number and support needs of informal caregivers has been increasing since 2015. According to Healthy People 2030, Social Determinants of Health (SDoH) are conditions that affect a person’s well-being, health, and quality of life. SDoH include:

• Financial stability
• Education
• Access to healthcare
• Neighborhood and physical environment
• Community and social context

Populations from urban and low socioeconomic areas have been determined to be at high risk for negative health outcomes related to SDoH.

Implementation Of A Pregnancy Intention Screening Question At A Federally Qualified Health Center, Diana Gue

Regis University Student Publications (comprehensive collection)

Objective: Process improvement project idea was examined due to the need to fulfill a requirement within a grant. One measure needed for the grant was a pregnancy intention screening question (PISQ) asked of women during their visits. There currently was no formal PISQ. The primary outcomes for this project are to measure effects of the addition of a PISQ on the provision of contraceptive counseling and/or contraceptive methods. Methods: The staff and providers were provided education of the workflow and documentation of the PISQ and the diagnosis codes for contraception counseling and methods. Data was collected three months prior to …

Nurse Practitioners’ Knowledge And Perceptions Regarding Substance Use, Audrey Bailey, Paden Dawkins, Amber Hankins, Erin Mckinney

MSN Research Projects

Substance use disorder (SUD) is an illness impacting many people today and continues to not be truly understood, even by providers. To gain a greater understanding of this issue in relation to nurse practitioners, the researchers surveyed nurse practitioners in the Southeastern United States. The goal of the study was to identify knowledge and perceptions of nurse practitioners regarding substance use and misuse. Watson’s Theory of Caring was used to guide the study. The research questions that guided this study were 1. Do nurse practitioners have a bias toward patients with substance use disorder, and 2. Do nurse practitioners believe …

Parental Knowledge Of Pediatric Car Seat Safety Recommendations, Stephanie Edwards, Erica Elkin, Danley Herring, Maggie Hyer, Joni Stewart

MSN Research Projects

According to the National Highway Traffic Safety Administration (NHTSA), in 2018, 634 children were killed in traffic accidents. One-third of children killed in car accidents are not restrained properly in the vehicle. Improper car seat use in infants and toddlers results from a lack of knowledge from guardians regarding car seat safety usage. Therefore, education from providers is vital to the health and safety of all children. According to these statistics, car seat safety is a large public health concern and needs to be addressed more often. Even though there are many factors related to traffic accidents, studies show that …

Implementation Of The 2017 Aha Guidelines By Primary Care Providers In Managing Elevated Blood Pressure A Modifiable Risk Factor Of Stroke, Chelsi Archie, Chelsea Bullock, Nekesha Johnson, Elizabeth Lishman

MSN Research Projects

Elevated blood pressure is a condition in which systolic blood pressure is 120-129 mmHg and diastolic blood pressure is less than 80 mmHg, according to the CDC (2020), which points out that elevated blood pressure often leads to hypertension. In 2017, The American Heart Association (AHA) released guidelines to aid providers in the early detection and management of hypertension. These guidelines integrate nonpharmacological and pharmacological therapies. The nonpharmacological therapies include following a heart-healthy diet, weight loss, sodium restriction, limitation of alcohol and tobacco consumption, and increased physical activity (AHA, 2018). Hypertension, “the silent killer” is one of the major causes …

Syphilis Screening Among Primary Care Providers, Sarah Christian, Nikki Franklin, Seth Stuart, Casey Tramel, Sereka Walker

MSN Research Projects

Syphilis is a sexually transmitted infection (STI) that can cause lesions on various mucosal areas of the body on an infected individual. If the disease is left untreated, syphilis can progress and affect an individual’s cardiovascular, neurological, and immune systems. The STI rates are on the rise across the United States, especially in the state of Mississippi. Because of the increase in syphilis rates in Mississippi, the researchers developed this study. The purpose of this study is to determine if primary care providers (PCPs) are knowledgeable and screening according to the guidelines of the Early and Periodic Screening, Diagnostic, and …

A Survey Of Primary Care Providers’ Strategies To Affect Influenza Vaccination Rates, Jennifer Moffett, Tracy Mitchell, Vera Simmons

MSN Research Projects

Influenza is a vaccine preventable disease that affects millions of Americans and causes thousands of deaths and billions in healthcare costs. Annual influenza vaccination is regarded by researchers and healthcare governing bodies as the most effective way to prevent contracting the flu. A large body of research exists supporting primary care providers as influential in regard to patients’ healthcare decision making. However, if strategies are consistently being implemented to affect influenza vaccination rates remains unclear. The purpose of this study was to identify strategies being implemented to affect influenza vaccination rates by asking two questions: 1. Do primary care providers …

Knowledge Of The 2017 American Heart Association Hypertension Guidelines, Kelsey Creel, Kristan Kelly, Linda Turner

MSN Research Projects

The primary purpose of this project was to determine the knowledge of nurse practitioners in Mississippi regarding the 2017 American Heart Association Hypertension Guidelines. Following approval by the Institutional Review Board (IRB), the researchers utilized a descriptive, quantitative survey design to evaluate the knowledge of Mississippi nurse practitioners of the 2017 American Heart Association Hypertension Guidelines in regards to diagnosis and management of hypertension. Utilizing social media, the researchers targeted specific Facebook sites for nurse practitioners who practice in the state of Mississippi. Data was gathered through SurveyMonkey using a questionnaire. The data gathered from the completed questionnaires were then …

Utilizing Video Education To Improve Self-Care In Heart Failure Population At Home, Adrienne Wharry

West Chester University Doctoral Projects

Abstract

This quality improvement project was implemented to improve self-care in home health patients using video education provided on the tablet-based monitoring system. Heart failure is a chronic, progressive disease with high hospital readmission rates. However, consistent use of self-care behaviors improves patient quality of life and reduces hospital readmission rates in heart failure patients. Literature has shown that continued self-care education is essential for the success of the heart failure patient. The use of Bluetooth tablet systems for home health care and monitoring has expanded in recent years. The Self-Care of Heart Failure Index (SCHFI) was administered to heart …

Opioid Overdose Response Teaching To Staff In A Homeless Shelter, Hayley E. Rasmussen

Doctor of Nursing Practice (DNP) Practice Innovation Projects

Background/Purpose: Opioid overdose can occur in anyone who uses illicit drugs, but relationship correlation exists between homelessness and illicit drug use. Between March 2019 and March 2020, 92 deaths were attributed to opioids in the DNP Project state. Methods: Naloxone education was given to a single population of homeless shelter staff. An Opioid Overdose Attitude Scale (OOAS) and Opioid Overdose Knowledge Scale (OOKS) were administered to the sample prior to education, immediately after education, and 3 months after education.
Results: OOAS and OOKS changes between surveys as a whole were not statistically significant (p=0.14; p=0.25). Individual components of the surveys …

Workplace Lactation Support And Breastfeeding Practices In Employed Mothers, Robin Ray

Theses and Dissertations--Nursing

Low rates of breastfeeding are a global public health issue. Despite national and international health agency recommendations for breastfeeding until infants are six months of age when solid foods are introduced and continued breastfeeding until 12 months of age or older, many mothers in the United States discontinue breastfeeding at an early age. Return to work after childbirth is one of the leading contributing factors to early cessation of breastfeeding in employed mothers. Understanding the association between individual and organizational factors and breastfeeding practices in employed mothers is essential for the development, implementation, and evaluation of programs and policies to …

Perceived Neighborhood Characteristics And Parental Role In Physical Activity Of African American Youth, Kashica Webber-Ritchey, Elizabeth A. Moxley, Sungsoon Hwang, Desale Habtzghi, Sai Yalla

Faculty Articles, Papers, and Other Scholarship

Introduction: Lack of physical activity (PA) serves as one of the contributing factors to pediatric obesity in African American (AA) youth.

Objective: Further examination of the Social Ecological Model [SEM] influences on PA in AA youth is vital. The purpose of this pilot study is to explore environmental factors, built environment (BE) and parental role, in PA promotion.

Methods: Using mixed method data collection, a convenience sample of 28 AA parents/caregivers of school-aged children (6-12 years) enrolled in Chicago Youth Programs (CYP) completed an online survey. Parents/caregivers along with their child participated in focus group sessions (n=18 parent/child dyads). …

Providing Hispanic Immigrant And Migrant Health Care In America: Could Nps Be The Answer?, Hamabwe Kabwe

All Graduate Theses, Dissertations, and Other Capstone Projects

In recent years, the United States (U.S.) has seen an influx of Hispanic/Latino migrants/ immigrants fleeing their homes in South America, seeking opportunities for a better life in the U.S. Immigrants and their families often present to the U.S. with unique, unmet health care needs that ultimately impact the U.S. healthcare system and migrant health outcomes. Migration is a significant burden for the U.S. health care delivery system today and further magnifies known problems including inability to provide care to all because of lack of insurance for all, racial disparities in care outcomes, and unequal distribution of providers. There is …

Implementation Of Community Health Worker Education Toolkit To Promote Compliance In Managed Care Organization, Lamonica Johnson

DNP Scholarly Projects

Community health workers provide case management and care coordination services to high-risk members enrolled in Louisiana Department of Health’s Medicaid program. Centers for Medicare and Medicaid Services require states entering contracts with managed care organizations to conduct external quality reviews by an independent External Quality Review Organization. Healthcare Effectiveness Data and Information Set are quality metrics managed by the National Committee for Quality Assurance. These metrics are reported annually and required by Louisiana Department of Health. Community health workers are required to demonstrate quality accreditation and meet state specific requirement compliance through documentation. The aim of this project was to …

Improving Emr Usability And Clinical Efficiency Using An Immunization Tool For School Nurses In A Primary School Setting, Cathy Loiselle

DNP Scholarly Projects

BACKGROUND: School nursing has a foundation in population health and an essential role within the community, which needs to be structured by the developing field of health informatics in order to compete and communicate with all stakeholders. This quality improvement project specific aim was to improve the electronic medical record (EMR) usability and clinical efficiency.

METHODS: A school district with three elementary, one high and one middle school was chosen, using the school information system (SIS)/EMR currently in place at each school health office. The school health staff participating in this project included 5 registered nurses and 5 clinic assistants. …

Global Impact Of Physical Inactivity And Implications For Public Health Nursing, Elizabeth A. Moxley, Kashica Webber-Ritchey, Laura Hayman

Faculty Articles, Papers, and Other Scholarship

Physical inactivity has been a public health problem worldwide for more than a decade. Of those who are physically active, a substantial percentage engage solely in low or very low physical activity (PA) levels. In the last 3 decades, the prevalence of PA in the United States has decreased with approximately 80% of adults not meeting the recommended guidelines for aerobic and muscle strengthening PA. The PA levels of youth have dramatically decreasedwith 85% of adolescents reporting no PA. Regular PA participation can aid in preventing chronic diseases. A strong inverse dose-response relationship exists between PA and the incidence of …

Virtual Pedagogical Strategies And Hesi Student Outcomes In Response To Covid-19, Elizabeth A. Moxley, Anitha Saravanan, Larinda Dixon, Janice Miller, Maureen Waller

Faculty Articles, Papers, and Other Scholarship

Background: To maintain curricular integrity in response to COVID-19, nurse educators are increasingly required to transition from traditional (face-to-face) to virtual pedagogy. Objectives: The purpose of this analysis was to compare the HESI scores based on a traditional pedagogy with the HESI scores following implementation of virtual pedagogy during Spring 2020. Methods: Student (n = 115; 81% female; mean age = 25.71 years) HESI scores were compared after each eightweek session using the Mann Whitney U test, permutation test and Wilcoxon rank test. Logistic regression was used to identify students achieving at least 850. Chi-square test was used to determine …

Effect Of Exercise On Blood Pressure And Body Mass Index In At-Risk Populations, Jared Crum, Victoria Patterson, Riley Jarvis

Williams Honors College, Honors Research Projects

Higher blood pressure and basal metabolic rate (BMI) are health problems in the United States (U.S.), but particularly in high risk minority populations, in part because of limited access to adequate resources to help themselves become healthier. This Honors Paper aimed to examine the effect of an exercise intervention on blood pressure and BMI in high risk minority populations. The honors project is a part of the Finding A Better You (FABU) project by College of Health Profession faculty Dr. Murrock, Dr. MacCracken, and Dr. Juvancic-Heltzel. The FABU project assessed at risk individuals (lower income older adults) in Summit County …

Body Mass Index, Waist Circumference, And Hemoglobin A1c In The Lower Income African Americans, Lisa Gabel, Joci Verb, Lauren Windham

Williams Honors College, Honors Research Projects

The Honors project is in conjunction with a larger, state funded, intervention study, the Finding A Better U! (FABU) project, by Carolyn J. Murrock, PhD, RN, Mary Jo MacCracken, PhD, Judi-Juvancic-Heltzel PhD, and Alex Holt. While the larger study focuses on the effects of a weekly exercise and nutrition intervention on cardiovascular disease (CVD) and type 2 diabetes (T2DM) outcomes, the honors project will analyze data to determine preliminary findings, specifically, the relationship between body mass index (BMI), waist circumference, and hemoglobin A1C in the lower income African Americans (AA). The honors students will also assist the FABU team in …

Improving Human Papillomavirus Vaccination Rates Among Kentucky Adolescents, Cori Arena

DNP Projects

Background: The Human Papillomavirus (HPV) is a significant factor associated with the development of HPV-associated cancers in the United States. The administration of the HPV vaccination is a critical prevention strategy in reducing HPV-related cancers in the United States. The state of Kentucky has lower than average HPV vaccination rates compared to the national average. There is a significant amount of evidence exploring barriers and facilitators of the HPV vaccination administration. There are several multi-level barriers associated with low uptake of the HPV vaccination in adolescents. Multiple sources of evidence have indicated that parents who receive a provider recommendation are …

Contraceptive Accessibility And Reproductive Outcomes In Adolescents Seeking Care At School-Based Health Centers: A Systematic Review, Jamie Jenkins

All Graduate Theses, Dissertations, and Other Capstone Projects

Context: Adolescent pregnancy continues to be a public health concern in the United States. School-based health centers are an ideal setting for providing affordable, accessible, and confidential reproductive services for adolescents that can help prevent unintended pregnancies. However, there are great variations in the reproductive services offered at school-based health centers across the United States. Objective: This study aims to explore the question: Do school-based health centers that provide on-site contraception access have lower adolescent pregnancy rates and higher reported contraception use when compared to school-based health centers that do not provide on-site contraception? Methods: A literature …

Feminist Abolitionist Nursing, Martha Paynter, Keisha Jefferies, Leah Carrier, Lorie Goshin

Publications and Research

The converging crises of COVID-19 and racist state violence in 2020 shifted public discourse about marginalization, public health, and racism in unprecedented ways. Nursing responded to the pandemic with heroic commitment and new politicization. But public engagement with systemic racism is forcing a reckoning in nursing. The profession has its own history of racism and of alliance with systems of state control with which to contend. In this article, we argue nursing must adopt an ethics of abolitionism to realize its goals for health and justice. Abolitionism theorizes that policing and prison systems, originating from systems of enslavement and colonial …

Depression, Anxiety, Perceived Social Support And Associated Factors Among Elderly Nursing Home Residents In The Klang Valley, Pritiss Nair

Student Works (2020-2029)

Introduction: Depression and anxiety among the elderly brings about various adversities which affects the physical and psychological state of an individual and is a leading cause of disability worldwide and a primary contributor to the global burden of disease. Meanwhile, perceived social support from family members, relatives or friends, may improve an individual’s conduct, coping, physical and psychological well-being. Objectives: This study aims to determine the prevalence of depression and anxiety, perceived social support as well as the socio-demographic correlates among elderly residents residing in nursing homes in the Klang Valley. Study Design: It is a cross-sectional study conducted among …

Fear Of Covid-19 Among Nurses In University Malaya Medical Centre: The Prevalence And Its Association With Anxiety, Depression And The Coping Strategies, Farah Nabila Abd Majid

Student Works (2020-2029)

Introduction: The current COVID-19 pandemic has significantly caused an escalation in mental health issues among nurses. Aim: This study aims to determine the level of fear of COVID-19 and its association with socio-demographic factors, COVID-related factors, coping styles, anxiety and depression. Methods: A cross-sectional study was conducted via online survey. A total of 814 nurses from various disciplines in UMMC, a tertiary teaching hospital in Malaysia participated in the study. Sociodemographic data, COVID-related data and a set of validated questionnaires were used to measure fear of COVID-19, anxiety, depression and coping strategies. Results: The prevalence of high�level fear of COVID-19, …

Healthcare And Substance Use Service Accessibility And Barriers For Syringe Service Program (Ssp) Participants In Manchester, Nh, Faith Mackenzie Farnham

Honors Theses and Capstones

No abstract provided.

Differences In Smoking Behaviors And Readiness To Change For Patients With Copd And Differing Categories Of Depression, Jessica M. Floyd

Graduate Theses, Dissertations, and Problem Reports (ETD)

Background: Chronic obstructive pulmonary disease (COPD) is the third leading cause of death in the world. Depression is a common comorbidity of COPD and affects patient outcomes and smoking cessation. The purpose of this study was to explore and describe factors influencing smoking behaviors and readiness to change in patients with comorbid COPD and depression.

Aims: The research question that guided this study was, “What are the relationships among smoking, COPD, and depression?” The following aims stemmed from the research question: to describe the characteristics of a convenience sample of people living with COPD and differing categories of depression who …

Prescription Labels: Get To Know Them, Karen Adams

Doctor of Nursing Practice Projects

Low health literacy is a problem for millions of Americans resulting in increased use of healthcare resources resulting in poor health outcomes. The older adult population is continuing to grow and is the largest user of healthcare. Use of pharmaceutical regimens to manage chronic illnesses is the most commonly used treatment modality. Unfortunately, people with low health literacy may have trouble understanding and following their providers instructions. It can be difficult to read directions on over the counter and prescription medication bottles. Community-based health educational programs benefit the maintenance of older adult health. The purpose of this project was to …