Public Health Commons^™

Establishing A Routine Process Of Medication Reconciliation In A Rural Primary Care Clinic To Address Unnecessary Polypharmacy In Patients 65 And Older, Jessica Kirkwood-Harp

Doctor of Nursing Practice Projects

Background: Medication safety by reducing the proportion of older adults who use inappropriate medications is a Healthy People 2030 goal (Office of Disease Prevention and Health Promotion, n.d.(a)). The research for this proposal supported an established medication reconciliation (MR) to reduce errors and adverse drug events (ADEs). Consistent MR is essential for patient safety and positive patient outcomes in rural outpatient primary care clinics, as these patients possess multiple comorbidities.

Purpose: This Doctor of Nursing Practice (DNP) quality improvement project (QIP) established a routine MR process within a rural primary care clinic with reduced unnecessary polypharmacy and decreased risk of …

Project Ankle-Brachial Index: Implementation Of An Evidence-Based Peripheral Artery Disease Protocol, Melaney Banks

Doctor of Nursing Practice Projects

Background: Peripheral artery disease (PAD) is a narrowing or blocking of the arteries due to plaque buildup, which prevents oxygen, blood, and other nutrients from getting to the legs. When this buildup reaches a certain point, it becomes atherosclerosis, which is more prevalent in a smoker. Smoking intensifies the problem of plaque buildup if an individual already suffers from PAD. When an individual smokes, the nicotine causes the arteries to constrict and narrow, reducing blood flow further. The ankle-brachial index (ABI) is a simple, cost-effective diagnostic test to identify the presence of PAD which will improve patient outcomes.

Purpose: This …

Implementation And Evaluation Of A Syphilis Screening Tool To Increase Patient Testing For Syphilis Among Adults 18 Years And Older In A Rural Primary Care Clinic, Valeria S. Wiggins

Doctor of Nursing Practice Projects

Background: Sexually transmitted infections (STIs) are an increasing epidemic in the United States (U.S.) that need immediate interventions to reverse the effects of syphilis on the sexual health of adults in rural populations. Many are unaware of the growing rate of syphilis and the overall impact it causes nationally. When syphilis is detected early, it can be easily treated and cured. Rural primary care providers are ideal candidates for implementing education, screening, testing, and treatment.

Purpose: The Doctor of Nursing Practice (DNP) project aims to increase the frequency of screening patients in rural primary care clinics for high-risk sexual behaviors. …

Evaluating The Extent Of Fall Prevention Knowledge Of Direct Care Clinicians In A Post-Acute Hospital Setting: A Quality Improvement Initiative, Joseph Henry Mitchell Jr

Doctor of Nursing Practice Projects

Background: Events, such as falls, continue to maintain permanence in countless public health settings and organizations, attributing to unnecessary resource utilization. Proven methods for mitigating fall occurrences transpire through reliable fall education and by creating programs that directly impact these incidents. These agendas are essential and can lessen undue stress, obligations, and associated fiscal liability.

Purpose: This DNP project aimed to ascertain and expand unit nurses' fall prevention strategy knowledge in a long-term acute care hospital, bringing awareness of evidence-based practices through a learning addendum.

Methods: This program, based on a descriptive, quasi-experimental, pre-, and post-analysis, strategically …

Physical Activity And Sedentary Behaviour Among Children And Adolescents With Intellectual Disabilities During The Covid-19 Lockdown In China, Y. Q. Yuan, J. N. Ding, N. Bi, M. J. Wang, S. C. Zhou, X. L. Wang, S. H. Zhang, Y. Liu, G. Roswal

Research, Publications & Creative Work

Background: In the wake of the COVID-19 pandemic, preliminary research has reported a significant decline in physical activity (PA) and an increase in sedentary behaviour (SB) among typically developed children and adolescents. Limited research has looked at the current situation of PA and SB during this pandemic among children and adolescents with intellectual disabilities (ID). This study investigated the situations about PA and SB among school-aged children and adolescents with ID on China’s mainland during the COVID-19 outbreak.

Methods: In total, 837 parents of children and adolescents (ages 6–18 years) with ID from 15 special education schools of Shandong Province …

Preventing Complications Of Undiagnosed Diabetic Peripheral Neuropathy In Rural Healthcare Settings, Kendra Ward Harris

Doctor of Nursing Practice Projects

Background: Diabetic peripheral neuropathy (DPN) affects the lives of approximately 50% of all persons diagnosed with diabetes. Patients who are minorities, residents of rural communities, low income, or non-compliant with treatment, have a higher risk of developing DPN. The long-term effects interfere with the patient’s abilities to carry out activities of daily living (ADLs) and instrumental activities of daily living (IADLs).

Patients incur debt from medical expenses, depression from the inability to perform self- care, and became withdrawn because of their distorted body image.

Purpose: The purpose of this project was to use the Michigan Neuropathy Screening Instrument (MNSI) …

Increasing Staff Awareness And Screening Practices For Adverse Childhood Experiences At A Primary Care Clinic, Kayla Wright

Doctor of Nursing Practice Projects

Adverse childhood experiences (ACEs) are present in approximately 60% of the adult population in the United States. There is a correlation between adverse childhood experiences and chronic health conditions as adults. Despite the evidence showing this correlation, there is a lack of screening for ACEs in the primary care setting. Many primary care providers and staff are unaware of ACEs or the correlation with chronic health conditions and substance abuse and, therefore, do not understand how to or recognize the benefits of screening in primary care. With education for providers and staff, primary care is the ideal setting to perform …

Covid-19 Journal | Cayla Boswell, Cayla Boswell

COVID-19 Student Journal Project

No abstract provided.

Covid-19 Journal | Logan Irwin, Logan Irwin

COVID-19 Student Journal Project

No abstract provided.

Covid-19 Journal | Anonymous, Anonymous

COVID-19 Student Journal Project

No abstract provided.

Covid-19 Journal | Madison Fortney, Madison Fortney

COVID-19 Student Journal Project

No abstract provided.

Covid-19 Journal | D.J. Foster, D.J. Foster

COVID-19 Student Journal Project

No abstract provided.

Covid-19 Journal | Miya Christopher, Miya Christopher

COVID-19 Student Journal Project

No abstract provided.

Covid-19 Journal | Mara'sha Goode, Mara'sha Goode

COVID-19 Student Journal Project

No abstract provided.

Covid-19 Journal | Sydney Dilbeck, Sydney Dilbeck

COVID-19 Student Journal Project

No abstract provided.

Covid-19 Journal | Joy Akles, Joy Akles

COVID-19 Student Journal Project

No abstract provided.

Covid-19 Journal | Corrin Cadle, Corrin Cadle

COVID-19 Student Journal Project

No abstract provided.

Covid-19 Journal | Chloe Brasher, Chloe Brasher

COVID-19 Student Journal Project

No abstract provided.

Covid-19 Journal | Maycie Eubank, Maycie Eubank

COVID-19 Student Journal Project

No abstract provided.

Covid-19 Journal | Madison Brooks, Madison Brooks

COVID-19 Student Journal Project

No abstract provided.

Covid-19 Journal | Kristy Finley, Kristy Finley

COVID-19 Student Journal Project

No abstract provided.

Covid-19 Journal | Brianna Cagle, Brianna Cagle

COVID-19 Student Journal Project

No abstract provided.

Covid-19 Journal | Bonae Barrs, Bonae Barrs

COVID-19 Student Journal Project

No abstract provided.

Covid-19 Journal | Erin Vance, Erin Vance

COVID-19 Student Journal Project

No abstract provided.

Covid-19 Journal | Emmalie Lovett, Emmalie Lovett

COVID-19 Student Journal Project

No abstract provided.

Covid-19 Journal | Emily Strange, Emily Strange

COVID-19 Student Journal Project

No abstract provided.

Covid-19 Journal | Taylor Thicklin, Taylor Thicklin

COVID-19 Student Journal Project

No abstract provided.

Covid-19 Journal | Ebony Scott, Ebony Scott

COVID-19 Student Journal Project

No abstract provided.

Covid-19 Journal | Gavin Anderson, Gavin Anderson

COVID-19 Student Journal Project

No abstract provided.

Covid-19 Journal | Cassidy Riddle, Cassidy Riddle

COVID-19 Student Journal Project

No abstract provided.