Maternal and Pediatric Department, College of Nursing, University of Hail, Hail City 2240, Kingdom of Saudi Arabia
Belmont University
University of Massachusetts Amherst
Minnesota State University, Mankato
University of Texas at Tyler
University of Central Florida
Pittsburg State University
University of Missouri, St. Louis
University of San Diego
Increasing Colorectal Cancer Screening Rates In The Psychiatric Inpatient Unit,
2022
University of San Francisco
Increasing Colorectal Cancer Screening Rates In The Psychiatric Inpatient Unit, Diane R. Ventura
Master's Projects and Capstones
Increasing Colorectal Cancer Screening Rates in the Psychiatric Inpatient Unit
Abstract
Problem: Colorectal cancer is one of the leading cancer deaths in the United States. The Psychiatric Inpatient Unit has a colorectal cancer screening compliance rate of 40% compared to the statewide average of 80%.
Context: The Psychiatric Inpatient Unit is a 58-bed inpatient intermediate care facility mental health program in Northern California. Upon review of the EMR, most PIU nurses give verbal instructions and patient education on colorectal cancer screenings when due. Still, no printed handout was provided to the patients upon review of the EMR.
Intervention: Review of ...
Impact Of Montessori-Based Dementia Programming On Engagement And Affect Of Older Adults With Dementia,
2022
The University of San Francisco
Impact Of Montessori-Based Dementia Programming On Engagement And Affect Of Older Adults With Dementia, Meredith S. Sheppard
Master's Projects and Capstones
The COVID-19 pandemic has profoundly impacted the Adult Day Services program and Adult Day programs across the country. As the Adult Day Services program transitions to an in-person format, goals within the organization include developing appropriate programming, increasing group size, and keeping clients entertained. The framework guiding this quality improvement project is Montessori-Based Dementia Programming ® (MBDP). This project aims to increase client engagement, decrease client anxiety, and decrease staff workload. This will be measured by a self-developed staff workload survey, the Menorah-Park Engagement, and the Affect rating scale. Implementation of MBDP at the Adult Day Center did not meet all ...
The Emerging Epidemic Of Type 2 Diabetes And Obesity Amongst Young Children,
2022
Dominican University of California
The Emerging Epidemic Of Type 2 Diabetes And Obesity Amongst Young Children, Juliana Morales
Nursing | Senior Theses
Background:
In the past years childhood obesity has increased tremendously and currently ⅓ of children in the United States are obese today. Obesity and Type 2 Diabetes are illnesses that can later on lead to more severe health complications when as a child enters adulthood. Children who are obese have a greater risk of developing Type 2 diabetes, and currently more than 80% of children who already are diagnosed with Type 2 diabetes are obese. In school and often by health care providers we are told daily physical activity and healthy diet are the best ways to maintain optimal health ...
Factors Impacting Organ Transplant Outcomes,
2022
Dominican University of California
Factors Impacting Organ Transplant Outcomes, Katelyn Grubich
Nursing | Senior Theses
Organ transplants are crucial to the survival of those on the receiving end. With medicine advancing, so has transplantation. Health care providers are becoming more aware of the strategies necessary to prolong the transplanted organ and how to obtain better outcomes. Heart, lungs, kidney, liver, pancreas, and some where more than one organ are involved, are the types of organ transplants performed.
Providing patients information will allow them to be a part of their treatment and can help to ease their anxiety knowing what is being performed and what can be expected. Health care providers must ensure that patients and ...
Association Between Exposure To Family Planning Messages On Different Mass Media Channels And The Utilization Of Modern Contraceptives Among Young Women In Sierra Leone: Insights From The 2019 Sierra Leone Demographic Health Survey,
2022
Programmes Department, GOAL Global
Association Between Exposure To Family Planning Messages On Different Mass Media Channels And The Utilization Of Modern Contraceptives Among Young Women In Sierra Leone: Insights From The 2019 Sierra Leone Demographic Health Survey, Quraish Sserwanja, Patricia Turimumahoro, Lilian Nuwabaine, Kassim Kamara, Milton W. Musaba
School of Nursing & Midwifery, East Africa
Background
Access to sexual and reproductive health information enables young women to make appropriate decisions. We examined the association between exposure to family planning messages on different mass media and the use of modern contraceptives among young women in Sierra Leone.
Methods
This was a secondary analysis of the 2019 Sierra Leone Demographic and Health Survey data of young women aged 15–24 years. Multistage stratified sampling was used to select study participants in the survey. We used multivariable logistic regression to determine the association between exposure to family panning messages on different types mass media channels and utilization of ...
Understanding The Effectiveness Of Diabetes Self-Management Education On Psychological Distress And Self-Care Activity Measures: A Focus On Latinx Community,
2022
California State University, Northern California Consortium Doctor of Nursing Practice
Understanding The Effectiveness Of Diabetes Self-Management Education On Psychological Distress And Self-Care Activity Measures: A Focus On Latinx Community, Anita Khadka
Doctoral Projects
The psychological distress that people with diabetes experience makes them twice likely to have clinical depression. Diabetes self-management education and support is an effective strategy to improve psychological distress and increase self-care activity measures. However, there has been limited knowledge on the impact of formal diabetes self-management education and support DSME/S on psychological distress among minority populations such as Latinx. The primary objective of this study is to explore the impact of diabetes self-management education on psychological distress and self-care activity measures. This study also explores the impact of demographic variables of the Latinx respondents on psychological distress and ...
Audit And Feedback For Blood Glucose Point Of Care Testing,
2022
University of St. Augustine for Health Sciences
Audit And Feedback For Blood Glucose Point Of Care Testing, Faith A. Onwuka
Student Scholarly Projects
Practice Problem: Patient identification errors in point-of-care testing (POCT) is responsible for test results being missed or transferred to the wrong patient’s chart. A hospital in Los Angeles County experienced a 50% compliance rate in patient barcode scanning prior to blood glucose POCT which affected the delivery of care.
PICOT: The PICOT question that guided this project was: Among emergency room nursing staff (P), how does the implementation of audit and feedback (I), when compared to random observations (C) improve compliance of patient identification with barcode scanning before performing blood glucose check (O) within ten weeks (T)? Evidence: The ...
Global Child And Family-Centered Care Fellowship, Education And Mentorship For Pediatric Healthcare Professionals: A Literature Review,
2022
Standish Foundation for Children
Global Child And Family-Centered Care Fellowship, Education And Mentorship For Pediatric Healthcare Professionals: A Literature Review, Ashley Zheng, Bobbijo Pansier
Patient Experience Journal
Child- and family-centered care (FCC) is increasingly accepted and implemented to optimize the healthcare experience for patients, their families, and healthcare professionals. Standish Foundation for Children, a 501(c)(3) non-profit, has designed and piloted a fellowship to educate pediatric healthcare professionals in FCC & psychosocial care via an inquiry and mentorship model in Tbilisis, Georgia. This review aimed to evaluate and synthesize existing literature on psychosocial and FCC mentorship for pediatric healthcare professionals in four parts: ongoing need, effects on healthcare professionals, effects on children and their families and/or caregivers, and in cross-country healthcare settings. Reviewers searched open-source databases ...
Improving Diagnosis And Treatment Of Prediabetes Among Primary Care Providers By Increasing Awareness Of Prediabetes Education,
2022
The University of Southern Mississippi
Improving Diagnosis And Treatment Of Prediabetes Among Primary Care Providers By Increasing Awareness Of Prediabetes Education, Sonia Walker
Doctoral Projects
Prediabetes is a precursor to diabetes and requires treatment most of the time. Prediabetes is a health condition characterized by high blood sugar levels, but it has not developed into type 2 diabetes mellitus (T2DM). According to the Centers for Disease Control and Prevention (CDC) recent estimates, about 88 million Americans have prediabetes (CDC, 2020). This project's main aims were to determine the effectiveness of implementing a structured prediabetes education intervention in diagnosing and screening prediabetes among primary care providers caring for African American females (AA) aged 30 to 60 years. Moreover, to evaluate the outcomes of implementing the ...
Myasthenia Gravis,
2022
Otterbein University
Myasthenia Gravis, Rebecca Wheeler
Nursing Student Class Projects (Formerly MSN)
Myasthenia gravis (MG), a neuromuscular and autoimmune disorder, is not completely understood by clinicians and scientists. The primary cause is thought to be anti-Acetylcholine receptor antibodies that attack the neuromuscular junction, causing destruction of post-synaptic junctional folds and blockade of the receptor. This causes frequent weakness and fatigability of voluntary muscles, making activities of daily living difficult for those living with MG. Although it is not an incredibly prevalent disease, the incidence is increasing in the United States due to better testing and diagnosis. Treatments are available, including cholinesterase inhibitors that raise the concentration of Acetylcholine at the neuromuscular junction ...
Exploration Of Vaccination Attitudes Among Parents And Caregivers In A Rural Appalachian Health Clinic,
2022
Vanderbilt. University School of Nursing
Exploration Of Vaccination Attitudes Among Parents And Caregivers In A Rural Appalachian Health Clinic, Radwa Omar, Karen Hande, Natasha Mcclure
Journal of Appalachian Health
At a rural Appalachian health clinic in Kentucky, 20% of patients under 18 years were not up to date with the CDC-recommended immunization schedule. Reasons parents or caregivers chose to delay or refuse their child’s immunizations were explored using the Caregiver Vaccination Attitude Scale. High levels of trust in the healthcare provider and self-reported vaccine knowledge highlight opportunities for rural healthcare providers to apply evidence-based communication strategies to address vaccine hesitancy and promote the safety and health of the entire community.
An Evidence-Based Questionnaire To Assess Influenza Vaccine Adherence In Young Adults Ages 19 To 25 Years,
2022
La Salle University
An Evidence-Based Questionnaire To Assess Influenza Vaccine Adherence In Young Adults Ages 19 To 25 Years, Tricia A. Gill
DNP Scholarly Projects
Young adults ages 19 to 25 years in the United States are at increased risk for influenza because their annual flu shot adherence is the lowest out of all age groups. Their non-adherence and increased potential for illness have a very great impact on contacts, including family, friends, coworkers, their children, and people in the community. The purpose of this Doctor of Nursing Practice Project is to create an evidence- and theoretically-based questionnaire aimed at assessing flu vaccine adherence in young adults ages 19 to 25 years in a primary care practice with the future objective of reducing the overall ...
Implementation Of An Evaluation Of Davita Clabsi Protocol To Reduce Bloodstream Infections In Acute Hemodialysis Patients,
2022
University of Missouri-St. Louis
Implementation Of An Evaluation Of Davita Clabsi Protocol To Reduce Bloodstream Infections In Acute Hemodialysis Patients, Emmy Le
Dissertations
Abstract
Problem: Central line-associated bloodstream infection (CLABSI) is the primary cause of morbidity and mortality in End-Stage Renal Disease (ESRD) patients on hemodialysis. It is associated with severe medical conditions, prolonged hospitalization, and financial burden. Despite its convenience and simple operation, central venous catheter (CVC) account for 70% of all CLABSI occurrence and increase the risk for septicemia and death.
Methods: This quality improvement (QI) project utilized a descriptive observational pilot design to identify the effect of DaVita CLABSI Protocol on CLABSI occurrence rate. Quantitative data was collected retrospectively and prospectively via electronic medical record (EMR) review before and after ...
Evaluation Of An Education Program Implementation For Adults With Stage 4 And 5 Chronic Kidney Disease,
2022
University of Missouri-St. Louis
Evaluation Of An Education Program Implementation For Adults With Stage 4 And 5 Chronic Kidney Disease, Dana Marie Carter
Dissertations
Abstract
Problem: Patients with long-term medical conditions represent a significant public health issue. Therefore, patients diagnosed with a chronic illness must have a high level of health literacy (HL) to manage their condition effectively. This Quality Improvement (QI) project evaluated the impact of an existing education-based program for stage 4 and 5 chronic kidney disease (CKD) patients and its effect on laboratory values compared before and after an NP-led education program that included vascular access, and modality choices.
Methods: A retrospective chart review was completed on 20 patients with an inclusive diagnosis of CKD stage 4 or 5 from October ...
Initiation Of Procalcitonin Screening As A Marker In Antibiotic Therapy De-Escalation,
2022
University of Missouri-St. Louis
Initiation Of Procalcitonin Screening As A Marker In Antibiotic Therapy De-Escalation, Briana Kile
Dissertations
Problem: The overuse of antibiotics has created antimicrobial resistance (AMR)
resulting in treatment failure for bacterial infections. To combat AMR, clinicians should
only prescribe antibiotic therapy when clinically warranted. It is easy to misdiagnose a
viral infection. However, any delay in the initiation of antibiotic therapy in a bacterial
infection may lead to increased morbidity and mortality. These patients with non-specific
clinical symptoms may be misdiagnosed without a rapid and definitive diagnostic test.
Methods: This quality improvement (QI) initiative utilized an evidence-based clinical
guideline for procalcitonin (PCT) levels for antibiotic therapy de-escalation. WBC counts
were collected two-days and one-day before ...
Implicit Bias Training For Perinatal Nursing,
2022
University of Missouri-St. Louis
Implicit Bias Training For Perinatal Nursing, Racheal Lakine-Harden
Dissertations
Problem: Maternal and fetal morbidity and mortality is a rising health care crisis in the United States. Black women are disproportionately affected. Clinician implicit bias and medical racism have been named as factors in this crisis. Recommendations to address this public health peril include; educating and raising awareness among front-line perinatal nursing staff on implicit bias and its consequences for Black women. The purpose of this project is to evaluate the impact of implicit bias training on nurses’ awareness of implicit bias, attitudes, and beliefs about disparities, and the likelihood to engage in behaviors to reduce or address racial bias ...
Life Matters,
2022
University of Missouri-St. Louis
Life Matters, Marina Fischer
Dissertations
Problem: One of the challenges facing many primary care providers is managing hypertension. Hypertension contributes to cardiovascular disease events. Consequently, the high occurrence of hypertension related visits signifies a clinical practice gap in hypertension management resulting in substandard blood pressure outcomes. The purpose of this clinical scholarship project was to assess the difference of pre and post Quality of Life Scale (QOLS) scores in a hypertensive population.
Methods: This quality improvement project used a longitudinal, observational design with prospective data collection. The sample included newly diagnosed hypertensive adults ages 21 to 64 years old. The sample was administered the World ...
Palliative Care Screening For Persons Living With Dementia In A Nursing Home,
2022
University of Missouri-St. Louis
Palliative Care Screening For Persons Living With Dementia In A Nursing Home, Shanika S. Pruitt
Dissertations
Problem: Dementia is rapidly increasing as the people of the world mature and life expectancy increases. As the world ages and the prevalence of dementia increases, nursing home placement will and is the most sought place for care of this population. Dementia is under recognized as a terminal illness and palliative care is underutilized for nursing home residents with advanced symptoms of dementia.
Methods: This quality improvement (QI) initiative utilized a prospective, descriptive design. The Palliative Care Screening for the Elderly tool was administered to a purposive sample of persons living with dementia residing in the nursing home. Qualitative data ...
Left Ventricular Assist Device (Lvad) Driveline Infection Rates Between Two Different Dressing Methods,
2022
University of Missouri-St. Louis
Left Ventricular Assist Device (Lvad) Driveline Infection Rates Between Two Different Dressing Methods, Gretchen Compton
Dissertations
Problem: Heart failure has a growing impact on Americans, and this contributes to an increased number of patients requiring treatment for advanced heart failure. Typical treatment options may include cardiac transplant or the implantation of a left ventricular assist device (LVAD). The use of an LVAD requires sterile management of an external driveline site. Driveline infections are a common complication in this patient population and can lead to chronic complications. There are no published guidelines on the management of the driveline site. This project aimed to provide evidence that can be used in the establishment of standardized guidelines for driveline ...
Addressing Perceived Barriers To Screening For Adverse Childhood Experiences In Primary Care,
2022
University of Missouri-St. Louis
Addressing Perceived Barriers To Screening For Adverse Childhood Experiences In Primary Care, Trenton Conway
Dissertations
Problem: Inconsistent screening for Adverse Childhood Experiences (ACEs) in primary care settings leads to fewer appropriate behavioral health (BH) referrals and may increase risk for and incidence of chronic health conditions.
Methods: This quality improvement (QI) project used a descriptive observational design with prospective and retrospective data collection. The CDC’s ACE screening tool was administered to patients 18 years and older presenting to primary care. Data collection included number of ACE screenings completed and the number of BH referrals made following the screening. In additional, information was collected from medical assistants (MAs) and providers about the ACE screening process ...
