Health Information Technology Commons^™

Self-Measured Blood Pressure Monitoring: A Patient Empowerment Project, Alison Cusmano

Doctor of Nursing Practice Final Manuscripts

Hypertension is a public health issue estimated to affect 112 million adults by 2030. Primary care patients in an outpatient clinic in Southern California with elevated blood pressure readings in the office did not have an organized system for close follow-up. The purpose of this evidence-based project (EBP) was to educate patients on self-measured blood pressure monitoring (SMBP), Dietary Approaches to Stop Hypertension (DASH), diet interventions, and healthy weight loss to improve hypertension rates. Through these interventions, patients developed an understanding of their systolic and diastolic blood pressure goals. Nurse practitioners, medical assistants, and licensed vocational nurses screened for high …

Access Barriers To Telehealth, Quynh Chau, Amita Behuria Pathak, Daniel Turner, Jacquelyn Cheun, Carl Noe

SMU Data Science Review

Abstract. Telehealth has long been touted as an efficient and cost-effective way to deliver health care services to patients. The COVID-19 global pandemic hastened the adoption of this technology in the United States. Despite its promises, telehealth as a technology-based model of health service delivery has also highlighted access to care inequities in the form of uneven utilization across various patient demographics. This research uses machine learning and publicly available data sources to describe telehealth utilization based on social determinants of care. The implications of this application can be used to inform health care providers of how to target efforts …

Daily Anesthesia Apparatus Checkout: Objective Structured Clinical Exam (Osce) For First Year Nurse Anesthesia Program Students, Blake Cochran, Lauren Hensleigh

Doctoral Projects

The anesthesia apparatus checkout is a vital task an anesthesia provider should be able to perform upon entering the clinical setting. In the past, more than half of anesthesia-related deaths throughout the nation were being attributed to assessable and avoidable causes involving the anesthesia machine. Therefore, the U.S. Food and Drug Administration (FDA) formulated and recently revised a detailed anesthesia apparatus checkout procedure to ensure patient safety within the operating room setting. Entering the clinical arena for the first time can be quite intimidating for anesthesia students; therefore, the objective structured clinical exam (OSCE) was developed with the intention that …

Framework Of Big Data Analytics In Real Time For Healthcare Enterprise Performance Measurements, Ahmed Mohamed

Electronic Theses and Dissertations, 2020-2023

Healthcare organizations (HCOs) currently have many information records about their patients. Yet, they cannot make proper, faster, and more thoughtful conclusions in many cases with their information. Much of the information is structured data such as medical records, historical data, and non-clinical information. This data is stored in a central repository called the Data Warehouse (DW). DW provides querying and reporting to different groups within the healthcare organization to support their future strategic initiatives. The generated reports create metrics to measure the organization's performance for post-action plans, not for real-time decisions. Additionally, healthcare organizations seek to benefit from the semi-structured …

The Effect Of The Medilepsy Mobile App On Medication Adherence And Transition Readiness In Adolescents And Young Adults With Epilepsy, Michelle Tall

Electronic Theses and Dissertations, 2020-2023

Medication nonadherence and lack of transition readiness are global challenges for individuals living with epilepsy and their families. Medication adherence measures the level of compliance with healthcare providers' treatment recommendations. Transition readiness is the gradual steps patients take to develop independence and self-management as they transfer from pediatric to adult healthcare models. Factors impacting medication adherence and transition readiness skills include developmental stage/age; forgetfulness; family/caregivers; socioeconomic status; knowledge/attitude about the disease; side effects; number of medications; and subjective and objective quantifications of adherence. One promising intervention for patients and families is mobile technology used for reaching, teaching, and communicating. However, …

November / December 2021, Cindy Brooks, Randy Curry

RURAL ROCKS

Rural Rocks, the Rural Health Network newsletter by the SWOSU College of Pharmacy.

Covid-19 Prioritization Triage Tool, Topanga Cheeves

Capstone Projects and Master's Theses

Smart Path to Housing and Health, an agency a part of the Santa Cruz County Department of Human Services is a local homeless action organization that specializes in a coordinated entry system that provides access to housing and service assistance to low income and people who are experiencing homelessness. Homelessness is a complex macro social and health issue that affects the quality of life because it increases unhealthy conditions for people living in poverty or who’s neighborhoods surround these encampments. Contributing factors such as lack of affordable housing, eligibility requirements, poverty, poor physical and mental health, addictions, and broken family …

Comparison Of Statistical Methods For Modeling Count Data With An Application To Length Of Hospital Stay, Gustavo A. Fernandez

Theses and Dissertations

Hospital length of stay (LOS) is a key indicator of hospital care management efficiency, cost of care, and hospital planning. Therefore, understanding hospital LOS variability is always an important healthcare focus. Hospital LOS data are count data, with discrete and nonnegative values, typically right-skewed, and often exhibiting excessive zeros. Numerous studies have been conducted to model hospital LOS to identify significant predictors contributing to its variability. Many researchers have used linear regression with or without logarithmic transformation of the outcome variable LOS, or logistic regression on a dichotomized LOS. These regression methods usually violate models’ assumptions and are subject …

The Disrupt: A Measure Of Parent Distraction With Phones And Mobile Devices And Associations With Depression, Stress, And Parenting Quality., Brandon T. Mcdaniel Phd

Health Services and Informatics Research

Abstract

The landscape of modern parenting has shifted as an increasing number of parents have and utilize smartphones and other mobile devices throughout the day. A validated measure of parent distraction with these devices is needed in the field. It is important to have a validated measure of parent distraction with mobile devices (e.g., phubbing, technoference), as this distraction can be common at times and could negatively impact the quality of parenting that children receive. In the current study, I developed a brief, parent-reported survey measure of parent distraction (DISRUPT), examined its reliability and validity (convergent, divergent) in two survey …

Channel Integration Services In Online Healthcare Communities, Anqi Zhao, Qian Tang

Research Collection School Of Computing and Information Systems

In online healthcare communities, channel integration services have become the bridge between online and offline channels, enabling patients to easily migrate across channels. Different from pure online services, online-to-offline (On2Off) and offline-to-online (Off2On) channel integration services involve both channels. This study examines the interrelationships between pure online services and channel integration services. Using a panel dataset composed of data from an online healthcare community, we find that pure online services decrease patients’ demand for On2Off integration services but increase their use of Off2On integration services. Our findings suggest that providing healthcare services online can reduce online patients’ needs to visit …

Integration Of Internet Of Things And Health Recommender Systems, Moonkyung Yang

Electronic Theses, Projects, and Dissertations

The Internet of Things (IoT) has become a part of our lives and has provided many enhancements to day-to-day living. In this project, IoT in healthcare is reviewed. IoT-based healthcare is utilized in remote health monitoring, observing chronic diseases, individual fitness programs, helping the elderly, and many other healthcare fields. There are three main architectures of smart IoT healthcare: Three-Layer Architecture, Service-Oriented Based Architecture (SoA), and The Middleware-Based IoT Architecture. Depending on the required services, different IoT architecture are being used. In addition, IoT healthcare services, IoT healthcare service enablers, IoT healthcare applications, and IoT healthcare services focusing on Smartwatch …

The Emergence Of A Texas Collaboration To Improve Well-Being In Learning Health Systems, Toi B Harris, Anil Nanda, Lilit A Sargsyan, Wei-Jung A Chen, Jennifer G Christner

Faculty, Staff and Students Publications

Prior models of well-being have focused on resolving issues at different levels within a single institution. Changes over time in medicine have resulted in massive turnover and reduced clinical hours that portray a deficit-oriented system. As developments to improve purpose and professional satisfaction emerge, the Texas Medical Association Committee on Physician Health and Wellness (PHW) is committed to providing the vehicle for a statewide collaboration and illuminating the path forward.To describe the existing health and wellness resources in Texas academic medical centers and understand the gaps in resources and strategies for addressing the health and wellness needs in the medical …

Life Satisfaction Among Filipino Older Adults Living In The Coastal Area, Rhona Marie Caingles Noquiao

Jurnal Keperawatan Indonesia

Perhaps an all-encompassing aspiration of everyone who has ever walked the earth is to have lived his/her life to the fullest. However, the life experiences of each individual are the products of the decisions they make. This study aimed to investigate the relationship of older adults in Cabulijan, Tubigon, Bohol, Philippines’ self-esteem, social provisions received from other people, and relationships with other people to the level of their life satisfaction. Specifically, it sought to address the following queries: Is there a significant relationship between self-esteem, social provisions received from other people, and relationships with other people, and relationships with other …

Brain Gym Effectively Reduces Anxiety In School-And Preschool-Aged Children In Hospitals, Arbianingsih Arbianingsih, Huriati Huriati, Syarifah Musnayni, Nuravia Afiifah, A. Adriana Amal

Jurnal Keperawatan Indonesia

Hospitalization-induced anxiety in children can impede healing and lengthen hospitalization. As such, appropriate interventions are needed to reduce their anxiety during hospitalization. For example, brain exercise has been shown to reduce anxiety in children in diverse settings and developmental stages. This study was performed to compare the effect of brain exercise on anxiety in hospitalized school-and preschool-aged children. A pre-experimental pre/ posttest design was used, and 32 children were selected by consecutive sampling. Brain gym was given twice a day for 2 consecutive days. Data were collected from school-aged children by using a modified Zung Sel-Rating Anxiety Scale and Tailor …

Chronic Liver Disease Lowering Physical And Mental Health Dimensions, Apriliani Siburian, Cheng Fen Chang

Jurnal Keperawatan Indonesia

The most prevalent diseases within the world related to major illness and mortality are chronic liver diseases. The developing pervasiveness of chronic liver disease has resulted in increased interest in health-related quality of life, which incorporates the physical well-being of a patient and his emotional and social well-being. This study aimed to define the quality of life of patients with chronic liver disease. This study used the Quality-of-Life Short Form 36 Indonesian version to examine 102 patients with chronic liver disease from two hospitals with a descriptive design. The quality of life of the patients was comparatively low (M ± …

Post-Stroke Quality Of Life Perceived By Patients And Caregivers, Gitalia Putri Medea, Elly Nurachmah, Muhamad Adam

Jurnal Keperawatan Indonesia

The quality of life (QOL) of post-stroke patients can be assessed from the reports of patients themselves obtained through a structured interview or a questionnaire. However, some individuals are unable to comprehensively describe their QOL because of language disorders, cognitive effects caused by stroke, or pre-existing conditions. This study aims to identify differences in post-stroke QOL perception between patients and caregivers. A cross-sectional design involving 115 stroke patients and 115 caregivers was adopted, and Mann–Whitney test was used for statistical analysis. Results showed no significant difference in QOL perception (p = 0.166; α < 0.05), particularly in the physical (p = 0.278; α < 0.05), psychological (p = 0.068; α < 0.05), social relationship (p = 0.976; α < 0.05), and environmental (p = 0.157; α < 0.05) domains between patients and caregivers. Therefore, information from caregivers can be used to assess QOL when patients are incapable of reporting their condition.

20-Degree Elevation To Reduce Swelling And Pain After Lower Extremity Open Reduction And Internal Fixation Surgery, Eni Purwanty, Riri Maria, Masfuri Masfuri

Jurnal Keperawatan Indonesia

Surgery for open reduction and internal fixation (ORIF) causes tissue swelling and pain in the surgical area. Swelling and pain can be reduced by performing distal elevation in the area of surgical ORIF. This study aimed to determine the effect of a 20° elevation on swelling and pain level of patients after surgery for ORIF of the lower extremities. A quasi-experimental design with one intervention group (pretest and posttest) and one control group was implemented. Thirty-four post-operative ORIF patients treated in one hospital in South Sumatera met the inclusion criteria and were divided into intervention and control groups. Swelling circumference …

Songs Of A Caged Bird: A Glimpse Into The Being Of Youth Inside The Prison System, John Emmanuel Mendoza, Edward Daniel Mortalla, Laurence Lascuna Gracia

Jurnal Keperawatan Indonesia

Understanding young inmates’ experiences are essential since their lives have been shaped by the impact of social exclusion. This study aimed to explore the meaning of the lived experiences of young adults inside the prison system. The phenomenological inquiry was utilized, which is grounded in Martin Heidegger’s philosophy. Semi-structured interviews were conducted with 18 to 29-year-old inmates incarcerated for at least one year. Through interpretative phenomenological analysis, four themes emerged: An Unfamiliar Melody (with two subthemes: Humming with Frustrations and Tunes of Solitude); The Eyes Outside the Cage; Turning Over a New Feather; and If My Wings Unclipped. The “songs” …

Non-Invasive Monitoring Of Human Hygiene Using Vibration Sensor And Classifier, Shashank Trivedi, Maria Valero, Hossain Shahriar, Liang Zhao

Master of Science in Information Technology Theses

This paper presents a concept and an idea of a non-invasive monitoring system for human hygiene using vibration sensors. The approach is based on a combination of geophone sensor, a digitizer, and a cost-efficient computer board in a Raspberry Shake enclosure. People’s personal hygiene habits speak volume about how they take care of their bodies and health. Maintaining good hygiene practices not only reduce your chances of contracting a disease, but it could also reduce the risk of spreading illness within your community. Given the current pandemic, daily habits such as washing hands or taking regular showers have taken major …

Enhancing Cancer Care Of Rural Dwellers Through Telehealth And Engagement (Encore): Protocol To Evaluate Effectiveness Of A Multi-Level Telehealth-Based Intervention To Improve Rural Cancer Care Delivery, Tuya Pal, Pamela C. Hull, Tatsuki Koyama, Phillip Lammers, Denise Martinez, Jacob Mcarthy, Emma Schremp, Ann Tezak, Anne Washburn, Jennifer G. Whisenant, Debra L. Friedman

Markey Cancer Center Faculty Publications

BACKGROUND: Despite lower cancer incidence rates, cancer mortality is higher among rural compared to urban dwellers. Patient, provider, and institutional level factors contribute to these disparities. The overarching objective of this study is to leverage the multidisciplinary, multispecialty oncology team from an academic cancer center in order to provide comprehensive cancer care at both the patient and provider levels in rural healthcare centers. Our specific aims are to: 1) evaluate the clinical effectiveness of a multi-level telehealth-based intervention consisting of provider access to molecular tumor board expertise along with patient access to a supportive care intervention to improve cancer care …