Public Health and Community Nursing Commons^™

Understanding How To Promote Healthy Dietary Habits Among Parents Of Adolescents, Jazmine D. Collins

Electronic Theses and Dissertations

Adolescents in the United States today have record-high prevalence rates for childhood obesity and overweight, which are conditions that have lifelong negative health consequences for individuals, and also carry high financial and social costs for the entire nation. The disproportionate burden of obesity and associated health conditions falls on adolescents of racial and ethnic minority group identities and from lower-income households. The increased risk that adolescents have for developing conditions like childhood obesity is closely associated with youth having diets that are unhealthier than in the past. Parents have a large influence on the eating habits and preferences of their …

“This Isn’T Just Busy, This Is Scary”: Stress, Social Support, And Coping Experiences Of Frontline Nurses During The Covid-19 Pandemic, Erin S. Craw, Tess M. Buckley, Michelle Miller-Day

Communication Faculty Articles and Research

Despite having previous experience and extensive trauma training, the COVID-19 pandemic presented unprecedented challenges for nurses working in hospital settings. During the pandemic, nurses struggle to care for patients and protect themselves from infection, while navigating ongoing organizational changes. Guided by prior literature on social support and coping, this study explores nurses’ experiences of coping with stress while treating COVID-19 patients during the pandemic. In-depth semi-structured interviews were conducted with 14 active staff nurses working in hospitals and one licensed practical nurse (LPN) at a rehabilitation center who treated COVID-19 patients during the pandemic. An inductive thematic analysis was employed …

Implementation Of Mindfulness-Based Movement For Sheltered Women, Rhea Rughani, Oliver Armand, Ashley Murrieta Ortega, Erin Murphy, Jordan Greenshield, Alorea Mae Domingo

Nursing Leadership in Community Engagement Projects

Introduction

In 1894, Angeline’s Day Center for Women was established through the Young Women’s Christian Association (YWCA) to serve the evolving needs of homeless women in Seattle by addressing existing racial and socioeconomic health disparities (Schafranek, 2021). Angeline’s provides overnight and day services to address the COVID-19 related heightened community need, including healthcare, meals, and hygiene services to 40 women (Schafranek, 2021). In 2022, the Seattle Pacific University (SPU) Lydia Green Nursing Program partnered with Angeline's to analyze and address the needs of the population they serve. The undergraduate nursing students performed a windshield survey and developed a community diagnosis …

Covid-19 Testing And Education At The Allen Family Center, Zoe Beck, Elijah Chong-Gum, Josselyn Gonzalez Perea, Sydnie Gould, Emily Planck, Kamila Tracey

Nursing Leadership in Community Engagement Projects

COVID-19 Testing and Education at the Allen Family Center

COVID-19 Testing and Education at the Allen Family Center The Mount Baker community is home to many families experiencing homelessness and housing instability. According to the Department of Community and Health Services, there is an estimate of 40,800 people in King County who experienced homelessness in 2020 (King County Department of Community, 2021). The Allen Family Center (AFC) is an inviting community resource, partnered with Mary’s Place and Mercy Housing Northwest, that serves families by providing assistance with housing, medical care, and childcare; recently, the AFC began providing COVID-19 testing available …

Increasing The Knowledge Of Opioid Use Disorder (Oud) And Medication Assisted Treatment (Mat) In Advanced Practice Registered Nurses (Aprns) In Georgia, Angela Queen Roberts, Jennifer Goldsberry Dnp, Msn, Fnp-Bc, Aprncne,, Gail Godwin Ph.D. Pmhnp-Bc,Cne, Sallie Coke Ph.D., Aprn, C-Pnp, C-Fnp, Pmhs

Graduate Research Showcase

The national opioid crisis has had devastating effects on the United States (US) healthcare system with the financial burden totaling more than $2 trillion from 2015 to 2018 (White House Government, 2020) and the physical burden of 128 overdose-related deaths daily (Centers for Disease Control, 2020). According to the Centers for Disease Control (CDC), some of these deaths are the result of deficits in education to healthcare providers about pain management treatment (CDC, 2020). Improved education for healthcare providers has resulted in a significant decline in the total number of opioid prescriptions from 2016-2019 which suggests that successful containment of …

Knowledge And Practices On The Prevention And Management Of Diarrhea In Children Under-2 Years Among Women Dwelling In Urban Slums Of Karachi, Pakistan, Asif Khaliq, Amreen 1, Nazia Jameel, Stefanie J. Krauth

Department of Paediatrics and Child Health

Background: Diarrhea is the second leading cause of death especially among children. The age-proportionate mortality of diarrheal disease in infants under 2 years is 72%, among children under 5 years of age. Children living in urban slums are more prone to develop diarrhea. Although the disease can be prevented by many simple cost-effective interventions, i.e. proper sanitation and hygiene, appropriate feeding, and timely vaccination, poverty and lack of basic life amenities often potentiate diarrhea mortality. Gadap town is the largest town of Karachi with a deprived health system. This study aims to assess pediatric diarrhea prevalence and related knowledge-practice gaps …

Recruiting Volunteers For New Horizons' Apprenticeship Program For Homeless Young Adults, Helena J. Balbirona, Jenny H. Chong, Evelyn Gutierrez, Veronika I. Ivakhnenko, Sofia K. Struiksma, Alicia L. Wong

Nursing Leadership in Community Engagement Projects

Introduction

New Horizons is a Seattle-based organization focused on meeting the basic needs of homeless young adults ages 18-25 through food, shelter, clothing, health clinics, and social work appointments. To help their clients achieve a sustainable lifestyle, New Horizons addresses the most challenging obstacles including job and house hunting through an innovative apprenticeship program through their café, Street Bean Coffee Roasters. Clients can learn skills transferable to other careers, including barista basics, work experience, and networking. Our project is to help New Horizons find volunteers or employees for their apprenticeship program. In finding volunteers or employees for the café, we …

The Impact Of Early Goal Directed Sepsis Bundle Sets In The Emergency Department And The Impact Of Sep-1 Compliance Rates, Christie L. Ferrari

Doctor of Nursing Practice Scholarly Projects

Sepsis is a medical emergency that is prevalent throughout hospitals everywhere. Due to the growing crisis, the Centers for Medicare and Medicaid Services (CMS) in collaboration with the Surviving Sepsis Campaign (SSC) adopted core measures for sepsis (SEP-1) which aim at improving overall compliance of evidence-based treatment standards for sepsis. The purpose of this Doctor of Nursing Practice (DNP) project was to determine if incorporating early goal directed sepsis bundles in a rural Midwestern ED was effective in increasing compliance with SEP-1 rates. The secondary purpose evaluated how nursing knowledge, awareness, and compliance with sepsis bundles affects SEP-1 compliance rates. …

Implementation Of Interactive Self-Help Bingo Activities To Promote Social Interaction Within Angeline’S Women's Shelter, Alora Mae Greene, Jennifer Hoag, Kiana Hwynn, Jana Johnson, Sophie Skinner, Jacob Wong

Nursing Leadership in Community Engagement Projects

The city of Seattle is ranked as the third-largest homeless population in the US with approximately 11,751 homeless individuals in 2020 (Public Health-Seattle & King County, 2020). Angeline’s is a former day center that now provides longer term, 24-hour housing for homeless women in Seattle and aims to help them find and maintain safe, stable housing. Their services include meals, laundry, showers, lockers, and connections to community resources. After completing a windshield survey and interview with two of the residents at Angeline’s, our group identified an impaired social interaction due to a lack of organized activities and mental health condition …

Pulmonary Post-Acute Sequelae Of Covid-19, Usman Akbar, Shivam Gulati, Johnny Zakhour Md, Alex Glynn, Jose Bordon

The University of Louisville Journal of Respiratory Infections

Introduction: Persistent symptoms have been observed in a substantial proportion of survivors of COVID-19 since relatively early in the pandemic. Among these post-acute sequelae of COVID-19 (PASC), respiratory symptoms appear to be the most prevalent.

Methods: We conducted a literature review of peer-reviewed publications in English on the clinical and epidemiological features of respiratory PASC in cohorts of 100 or more patients with a follow-up of four weeks or more after acute infection. Included studies reported the prevalence of persistent respiratory symptoms and/or the results of follow-up pulmonary function tests.

Results: On our review included 14 studies across eight countries …

The Role Of Healthcare Workers In The Care Of Human Trafficking Survivors, Darisel N. Ventura Rodriguez

NSU REACH and IPE Day

Purpose/Objective: Highlight the importance of increasing awareness among healthcare professionals on the identification and treatment of human trafficking victims. Background/Rationale: In the state of Florida, human trafficking (HT) remains a significant public health issue affecting hundreds of victims each year. Miami-Dade and Broward Counties reported 351 cases in 2019 alone. More than 50% of HT victims encounter healthcare providers while being exploited. For this reason, healthcare providers must be trained to recognize and treat victims of HT. The goal of this project was to educate healthcare providers and students on the identification of HT victims and how to provide trauma-informed …

Implementation Of A Drive-Through Covid-19 Mass Vaccination Site: Experiences From Louvax–Broadbent In Louisville, Kentucky, Ruth Carrico, Sarah Beth Hartlage, Valenchia Brown Msn, Aprn, Fnp-C, Sarah M. Bishop, Luanne Didelot, William Hayden, Beverly Williams Coleman, Sarah Tan, Delanor Manson, Kellie Kane, Dawn Balcom, Paul Kern

The University of Louisville Journal of Respiratory Infections

Background: Response to the COVID-19 pandemic has required innovative approaches to vaccination, including methods to rapidly and safely immunize communities. A major challenge to such a response involved access to untapped healthcare worker resources. The Louisville, Kentucky, response involved the use of a large volunteer workforce to supplement local public health employees in planning and implementing a large-scale drive-through vaccination event. The objective of this manuscript was to outline processes involved in training a mass immunization workforce and implementating a large-scale COVID-19 community vaccination.

Approach: Competency-based and standardized training was provided for every volunteer before working their shift. Volunteers worked …

Effects Of Nonpharmacological Interventions On Disruptive Vocalisation In Nursing Home Patients With Dementia-A Systematic Review, Saad Bilal Ahmed, Alfredo Obieta, Tamsin Santos, Saara Ahmad Muddasir, Joseph Elliot Ibrahim

Department of Biological & Biomedical Sciences

Background: Vocally disruptive behaviour is a common and difficult to treat condition in older residents with dementia. The aim of this systematic review is to evaluate the efficacy of nonpharmacological interventions in its management in persons with dementia residing in a nursing home.
Methodology: A systematic search was conducted using Ovid MEDLINE, CINAHL, and Cochrane databases and reference lists from relevant publications on various nonpharmacological approaches to manage vocally disruptive behaviour in nursing home residents. The method of appraisal was through the National Institutes of Health scoring for the Quality Assessment of controlled intervention studies. Inclusion criteria included residents of …

Usability Of Health-Related Websites By Filipino-American Adults And Nursing Informatics Experts, Kathleen Begonia

Dissertations, Theses, and Capstone Projects

Filipino-Americans are an understudied minority group with high prevalence and mortality from chronic conditions, such as cardiovascular disease and diabetes. Facing barriers to care and lack of culturally appropriate health resources, they frequently use the internet to obtain health information. It is unknown whether they perceive health-related websites to be useful or easy to use because there are no published usability studies involving this population. Using the Technology Acceptance Model as a theoretical framework, this study investigated the difference between website design ratings by experts and the perceptions of Filipino-American users to determine if usability guidelines influenced the perceived ease …

Rural Pregnant Women’S Experiences With Substance Use Disorder: A Qualitative Study, Cami Weber

Dissertations

Rural pregnant women with substance use disorder (SUD) are an understudied vulnerable population that often experiences poor pregnancy outcomes (Higgins et al., 2019; Jumah, 2016; Kramlich et al., 2018; Shaw et al., 2015). Despite the high prevalence and high burden associated with SUD, rural women are less likely than non-pregnant women to seek addiction treatment and complete an outpatient treatment program during pregnancy (Shaw et al., 2015). This study aimed to give voice to rural Missouri women with SUD. The research questions explored the life experiences and motivations for seeking treatment using a qualitative, descriptive research design with grounded theory …

Exploring Digital Health Interventions For Pregnant Women At High Risk For Pre-Eclampsia And Eclampsia In Low-Income And-Middle-Income Countries: A Scoping Review, Anam Shahil Feroz, Noreen Afzal, Emily Seto

Community Health Sciences

Objective: To explore digital health interventions that have been used to support pregnant women at high risk for pre-eclampsia/eclampsia (HRPE/E) in low-income and middle-income countries (LMICs).
Design: Scoping review.
Data source: EMBASE, MEDLINE, Cochrane Central Register of Controlled Trials, Cochrane Database of Systematic Reviews and CINAHL were searched between 1 January 2000 and 20 October 2020.
Eligibility criteria: The review included original research studies that were published in English, involved pregnant women at HRPE/E and implemented digital health interventions for PE/E in LMICs.
Data extraction and synthesis: Two reviewers independently completed the data extraction for each of the 19 final …

Cost-Effectiveness Analysis Of Implementing An Integrated Neonatal Care Kit To Reduce Neonatal Infection In Rural Pakistan, Fiona Muttalib, Karen Chung, Lisa Grace Pell, Shabina Ariff, Sajid Soofi, Shaun K. Morris, Beate Sander

Department of Paediatrics and Child Health

Objective:
To evaluate the cost-effectiveness of distribution of the integrated neonatal care kit (iNCK) by community health workers from the healthcare payer perspective in Rahimyar Khan, Pakistan.
Setting:
Rahimyar Khan, Pakistan.
Participants:
N/A.
Intervention:
Cost-utility analysis using a Markov model based on cluster randomised controlled trial (cRCT: NCT02130856) data and a literature review. We compared distribution of the iNCK to pregnant mothers to local standard of care and followed infants over a lifetime horizon.
Primary and secondary outcome measures:
The primary outcome was incremental net monetary benefit (INMB, at a cost-effectiveness threshold of US$15.50), discounted at 3%. Secondary outcomes …

Improving Primary Care Providers’ Assessment Of Type 2 Diabetic Patients, Jasmine Granger

DNP Projects

Type 2 diabetes is the most common form of diabetes and affects millions of Americans. Type 2 diabetes leads to many chronic medical conditions if not properly managed. Often, primary care providers (PCPs) deliver care to type two diabetic patients; therefore, it is imperative that PCPs are knowledgeable of current American Diabetes Association (ADA) guidelines. The purpose of this Doctor of Nursing Practice (DNP) project was to determine if implementation of a type 2 diabetes’ assessment algorithm improved PCP’s knowledge and compliance of ADA assessment guidelines. Educational sessions were conducted at clinics within Mississippi and Tennessee. A pre-test was administered, …

Maura O'Neill's Portfolio, Maura O'Neill

Honors College Portfolios

This portfolio consists of works that I have completed during my time in the School of Nursing at Duquesne University. The portfolio consists of blogs, brochures, posters, reflections, and more that encapsulate not only my nursing curriculum but my public and global health minor. Each element of this portfolio demonstrates my knowledge, passion, and interest in nursing with a focus in public/global health. A Bachelor of Science in Nursing curriculum consists of science-based courses and clinical experience. Aside from the tedious and rigorous nursing courses, public health courses can be added to further educate nursing students. Being able to understand …

Hiv-Related Shame: A Grounded Theory Study Exploring The Impact Of Psychoeducation On The Lives Of People Living With Hiv, Melissa Stuntz

DNP Research Projects

Abstract

Over the past 40 years there have been significant advances in medical care for HIV. However, many people living with HIV (PLWH) experience internalized stigma in the form of HIV-related shame. This shame has been found to negatively impact mental health, patient relationships, and adherence to healthcare. This grounded theory DNP scholarly project was aimed at developing a novel theoretical framework and practice to improve quality of life including increased viral load suppression in PLWH. To this aim, a psychoeducation curriculum based on shame resilience theory was implemented with two participants in an inner-city healthcare clinic. While the shame …

Finding Innovative Ways To Battle The Opioid Crisis, Nicholas Neidlinger

Student Research Poster Presentations 2022

No abstract provided.

Supporting And Creating Strong Women, Danielle Chee

Student Research Poster Presentations 2022

No abstract provided.

Healthcare Disaster Response, Angela Lockavich

Student Research Poster Presentations 2022

No abstract provided.

Aggressive Treatment And Prevention Of Substance Use Disorders, Kylan Kurtz

Student Research Poster Presentations 2022

No abstract provided.

Implementation Of An Icu Surge Capacity Response Protocol, Patrick Simon Soria

Regis University Student Publications (comprehensive collection)

Implementation of an ICU Surge Capacity Response Protocol

Patrick Simon S. Soria

Abstract

High consequence infectious diseases (HCID) threaten healthcare systems because of their high transmissibility, resulting in massive infections within hours. In the initial stages of an HCID outbreak in developing countries, there are no definite treatment pathways and guidelines to manage patients who become critically ill. The prolonged surge of critically ill patients affects the physical and mental well-being of intensive care unit (ICU) nurses due to many factors. An ICU surge capacity response protocol was implemented in four intensive care units for four months at one government …

Integration Of Sexual Assault Nurse Examiners (Sane’S) Care Program, Erin B. Mehta

Theses and Graduate Projects

Sexual assault is a public health issue, especially for individuals experiencing homelessness, violence, and victimization. Barriers to post-sexual assault health care must be addressed to ensure individuals experiencing homelessness receive effective and adequate care. Traditionally found in Emergency Departments, Sexual Assault Nurse Examiners (SANEs) offer patient-centered, comprehensive health care to sexual assault survivors. To reduce barriers for individuals experiencing homelessness, SANEs must be accessible where health care services are utilized. Guided by Jean Watson’s Theory of Human Caring and trauma-informed principles, this project aims to embed a SANE program into a homeless-specific Midwest Health Care Center. The SANE program will …

The Feasibility Of Transitional Psychiatric Care Service In A City With A Population 20, 171 In A Midwestern State, Aubri Ashbacher

Doctor of Nursing Practice Scholarly Project

Psychiatric patients are a known vulnerable population. This population often ends up in a cycle of decline post-hospitalization that leads to rehospitalization. The purpose of this study is to establish the feasibility for bringing psychiatric transitional care services to the local community. The methods for the study include a qualitative analysis of common themes discussed from the presentation of the idea of transitional care services for this area to area mental healthcare providers. Using a qualitative approach, the project will involve conducting interviews with mental healthcare providers in a midwestern community via Zoom about the feasibility of transitional psychiatric care …

Is Healthcare In The United States A Right Or A Privilege, Candace Balavage

Student Research Poster Presentations 2022

No abstract provided.

Outmigration And Unequal Distribution Of Filipino Physicians And Nurses: An Urgent Call For Investment In Health Human Resource And Systemic Reform, Janine Patricia G. Robredo, Bradley Ong, Michelle Ann B. Eala, Raymond John Naguit

Ateneo School of Medicine and Public Health Publications

No abstract provided.

Comparison Of Gps Imputation Methods In Environmental Health Research, Sungsoon Hwang, Kashica Webber-Ritchey, Elizabeth A. Moxley

Faculty Articles, Papers, and Other Scholarship

Assessment of personal exposure in the external environment commonly relies on global positioning system (GPS) measurements. However, it has been challenging to determine exposures accurately due to missing data in GPS trajectories. In environmental health research using GPS, missing data are often discarded or are typically imputed based on the last known location or linear interpolation. Imputation is said to mitigate bias in exposure measures, but methods used are hardly evaluated against ground truth. Widely used imputation methods assume that a person is either stationary or constantly moving during the missing interval. Relaxing this assumption, we propose a method for …