Psychological Impact Of Ulcerative Colitis On Pregnancy And Postpartum Period, Stephanie C. Carver

Nursing | Senior Theses

Background

Ulcerative colitis (UC) poses significant challenges during pregnancy, affecting both physical and mental health. While the physiological effects of UC during pregnancy are well documented, less is known about its impact on maternal mental health. This study aims to investigate the psychological effects of UC on pregnant women, focusing on stress levels, postpartum depression (PPD) incidence, and the role of multidisciplinary care in improving mental health outcomes.

Objective

The primary objective of this research proposal is to evaluate the psychological impact of UC during pregnancy and determine whether disease activity increases the risk of PPD and stress. A secondary …

Improving Maternal Mental Health: The Role Of Specialized Support For Queer Women With Postpartum Depression, Dan-Tam Pham

Nursing | Senior Theses

Queer women face disproportionately high rates of postpartum depression compared to heterosexual and cisgender individuals. Studies showed that queer women face heightened mental health challenges, including higher rates of depression and anxiety due to factors like discrimination, limited support systems, and negative healthcare experiences. There is a need for culturally competent, LGBTQ+-affirming interventions to improve maternal mental health outcomes; despite the health disparities faced by this population, research on specialized postpartum interventions is limited, revealing gaps in effective mental health care for queer mothers. The key search terms for the articles used in the study included: postpartum depression, queer women, …

The Ethical Justification Of Application Of Long-Acting Reversible Contraception In Patients With Intellectual Disabilities, Kelly Savitri

Journal of Health Ethics

This paper explores the ethical justification for the use of Long-Acting Reversible Contraception (LARC) in patients with intellectual disabilities, particularly in scenarios where patients cannot provide informed consent. The tension between respecting autonomy and ensuring beneficence presents a complex challenge for healthcare providers. Drawing on historical context, current reproductive justice issues, and evolving societal attitudes towards individuals with intellectual disabilities, this essay argues for a semi-discrete model that recognizes the need to prioritize patient health and safety while valuing their autonomy. By examining the implications of both past and present practices, this study highlights the necessity for healthcare providers to …

The Impact Of Having A Native Spanish-Speaking Nurse In Labor And Delivery For Latina Mothers, Lesvia Muñoz Mazariegos

Nursing | Senior Theses

Labor and Delivery is the physiological process in which a pregnant woman gives birth to a baby. With an increase of the Hispanic/Latinx population, the need for Spanish-speaking nurses also increases. Specifically in labor and delivery, language barriers play a critical role for a Latina mother’s laboring experience. However, according to the research, there is limited data on the effects of language concordance/discordance for laboring Latina mothers. To investigate, primary research articles were reviewed focusing on patient experiences with language concordance and discordance, childbirth experiences across different races, and nurses' perceptions of patient experiences related to language barriers. This proposed …

The Impact Of Roe V. Wade Overturning On Women’S Access To Medical Abortions: Exploring Alternative Care Models, Gillie Mason

Nursing | Senior Theses

This study explores the impact of educational interventions on California based Nurse Practitioners. And their willingness to provide telehealth abortion services in states with restrictions. By using a mixed methods approach it assesses how increased knowledge may help influence providers attitudes, adding to improved reproductive healthcare access. The study addresses the critical issue of reduced abortion access which stems from recent policy changes, which have left patients in certain regions with limited options. The literature shows that telemedicine and mail-order services hold promise for improving access. This research proposal explores the impact of educational interventions on California-based Nurse Practitioners’ willingness …

Treatment Safety In Pediatric Atopic Dermatitis, Malia Ecalnir

Nursing | Senior Theses

_Purpose

The purpose of this study is to compare the safety and long-term effects of topical calcineurin inhibitors (TCIs) and topical corticosteroids (TCS) in pediatric patients diagnosed with atopic dermatitis (AD), and to compare the prescribed treatment use for 6 to 12 months. By providing evidence on prescribed topical treatments, their safety differences, and long-term effects, healthcare professionals can make informed decisions to minimize risks and choose the safest appropriate treatment for children.

_Method

This study will employ a quasi-experimental design, and participants aged 2-18 years will be selected from a clinic. Participants and their families will complete an initial …

Rooming-In With The Newbies, Kiara Baguio Bsn, Rn, Allison Gomez Walker Bsn, Rn, Sydney Roth Bsn, Rn, Taylor Standring Bsn, Rn, Andriana Stewart Bsn, Rn

Posters

• Rates of bonding and breastfeeding with baby during hospital stays whether they are in a Baby-Friendly Hospital.
• How rooming-in with infant creates longer and stronger breastfeeding success rates.
• Statistics of breastfeeding and rooming-in within networks of Baby Friendly hospitals vs. non Baby Friendly.
• Change is necessary because evidence suggests that the later mothers begin breastfeeding, the higher the chances the newborn acquires an infection that can lead to death.

Reducing Spinal Induced Hypotension In Cesarean Sections: A Multimodal Approach, Tyran D. Heilig

Doctor of Nursing Practice (DNP) Scholarly Projects - Archive

Background: Spinal anesthesia is the preferred method for elective cesarean sections due to its rapid onset, ability to keep the mother awake, and lower risk of complications compared to general anesthesia (Shitemaw et al., 2020). However, spinal-induced hypotension (SIH), caused by a sympathetic block, occurs in up to 75% of cases (Sklebar et al., 2019). A 2019 global study conducted in Ethiopia of 410 women found the incidence of SIH in cesarean sections to be 64% (Shitemaw et al., 2020). A Texas study found that 99.4% of cesarean deliveries experienced SIH, and 12% of those cases resulted in severe hypotension, …

Optimizing Pelvic Health: Evaluating The Efficacy Of Prenatal Strength And Resistance Training Combined With Pelvic Floor Muscle Exercises In Reducing Pelvic Organ Prolapse Risk, Samantha Requilman

Nursing | Senior Theses

While postnatal recovery is focused on the newborn, the mother’s health is equally important – particularly in preventing pelvic organ prolapse (POP), a condition that results in pelvic discomfort, incontinence, and a reduced quality of life. Although clinicians encourage pelvic floor muscle exercises (PFME) throughout pregnancy, POP is still prevalent among women, especially those who deliver vaginally. There are limited research studies on the effectiveness of prenatal resistance training in the prevention of pelvic dysfunctions and this study aims to address the gaps in the literature. So the question to address this study is: Does combining prenatal resistance training with …

Increasing Pediatric Asthma Follow-Up Visits And Decreasing Emergency Department Visits In A Primary Care Setting, Rima M. Basal

Doctor of Nursing Practice (DNP) Scholarly Projects - Archive

The implementation of the asthma follow-up visits bundle in the pediatric primary care setting is an evidence-based practice project aimed at improving pediatric asthma management. This manuscript discusses the deployment of the bundle, which includes pre- and post- knowledge assessment for parents/caregivers, asthma education through a short video and handout, administration of the asthma control test (ACT), completion of a written asthma action plan (WAAP), and education about the patient portal and telehealth. The goal is to improve parent/caregiver knowledge, treatment adherence, follow-up visit compliance (in-person or virtual) and reduce emergency department (ED) utilization. Parent/caregiver knowledge increased by 23%, ACT …

Methodological And Clinical Concerns In The Study On Postpartum Hypertension Management, Takaki Tanamoto, Kyosuke Kamijo, Yusuke Tsutsumi, Tetsuya Kawakita

Department of Obstetrics & Gynecology Faculty Publications

[Introduction] We read with interest the recent study by Rosenfeld et al.¹ However, we have several clinical and methodological concerns about this study.¹

First, this study's propensity score matching (PSM) lacked key clinical confounders, including perinatal risk factors and the highest systolic/diastolic blood pressures. Smoking, alcohol use, and multifetal gestation, which influence blood pressure during pregnancy,²,³ potentially affect both primary and secondary outcomes. Additionally, the authors did not report standardized mean differences before and after PSM, which are essential for assessing balance.⁴

Recognizing The Risk: Enhancing Nurse Preparedness For Postpartum Hemorrhage Through Simulation-Based Education, Ishpreet Kaur

Nursing | Student Research Posters

Background: Postpartum hemorrhage (PPH) is a serious, often unexpected complication after childbirth involving excessive bleeding. It is a leading cause of maternal death and can happen quickly, even in healthy pregnancies. Risk factors may increase the chances of PPH, but it can also occur without warning. Nurses play a key role in recognizing early signs and taking quick action. However, delays still happen due to inconsistent training, unclear protocols, and lack of preparedness. Strengthening nurse education and improving emergency response systems are essential to improve care and achieve better outcomes for mothers. Objective: This study aims to evaluate the impact …

Timing And Temperature Of Newborn Baths: A Qualitative Improvement Initiative Through Nursing Staff Development, Eileen Harwood

Master's Theses and Capstones

Abstract

BACKGROUND: Newborn bathing is a common task performed in a labor and delivery unit of a hospital, a newborn’s bath temperature, timing and how long it is performed, are important metrics to consider. Due to a newborn’s immature thermoregulation, there are multiple implications that come with receiving a bath that is not an optimal temperature or that is too soon after birth. As newborn bathing is often overlooked task due to its quotidian nature, a literature review of current evidence-based practice revealed the urgency to keep the optimal conditions at the forefront of considerations for both nurses and caregivers. …

Exploring The Mental Impact Of End-Of-Life Care Exposure On Neonatal Nurses: Perspectives And Insights, Kaith Monterroso

Nursing | Student Research Posters

Purpose: This research investigates education interventions aimed to improve neonatal nurses’ knowledge in End-of-Life Care (EoLC), with a goal in improving their mental health using coping strategies. This study seeks to, in the end, deliver effective sensitive and comprehensive care during EoLC. Improved education in this area is expected to enhance higher quality of care while fostering better mental health outcomes for nurses themselves. Methods: The proposed research utilizes a pre- and post-test design to evaluate the effectiveness of education and training in nurses who have a minimum of 3 to 4 years of experience in the Neonatal Intensive Care …

Educating Nurses On Culturally Competent Intimate Partner Violence Care, Nicole Lee

Nursing | Senior Theses

Purpose

The purpose of this research proposal is to examine the impact of mandatory training for labor and delivery nurses on culturally sensitive care for pregnant women who have experienced intimate partner violence. It aims to address gaps in provider training by evaluating improvement in screening rates, enhanced confidence, and effective interventions.

Methods

This study will recruit nurses from different labor and delivery units from different hospitals. This study will use a pre-test and post-test design to assess the effectiveness of the training. The evaluation will measure the changes in knowledge, confidence, and screening practices before and after training.

Results …

Exploring The Mental Impact Of End-Of-Life Care Exposure On Neonatal Nurses: Perspectives And Insights, Kaith Monterroso

Nursing | Senior Theses

Purpose: This research investigates education interventions aimed to improve neonatal nurses’ knowledge in End-of-Life Care (EoLC), with a goal in improving their mental health using coping strategies. This study seeks to, in the end, deliver effective sensitive and comprehensive care during EoLC. Improved education in this area is expected to enhance higher quality of care while fostering better mental health outcomes for nurses themselves. Methods: The proposed research utilizes a pre- and post-test design to evaluate the effectiveness of education and training in nurses who have a minimum of 3 to 4 years of experience in the Neonatal Intensive …

Paternal Negative Lifestyle Choices Affect On Maternal Pregnancy And Birth Outcomes: Bmi, Smoking, Drinking, Domestic Violence, Partner Involvement, Estrella Lopez

Nursing | Senior Theses

Paternal lifestyle choices are often overlooked yet are a crucial factor in maternal pregnancy and fetal outcomes. While maternal health behaviors have been the primary focus that determines a healthy pregnancy and child outcomes, this thesis explores how a paternal's (father's) harmful behaviors such as high body mass index (BMI), smoking habits, alcohol consumption, exposure to domestic violence, and lack of partner involvement, can contribute to diminishing the health of both mother and baby. After analyzing six research articles, this thesis revealed how a father's negative lifestyle choices affect maternal pregnancy and fetal outcomes. Using a quantitative, non-experimental descriptive design, …

Recognizing The Risk: Enhancing Nurse Preparedness For Postpartum Hemorrhage Through Simulation-Based Education, Ishpreet Kaur

Nursing | Senior Theses

Background: Postpartum hemorrhage (PPH) is a serious, often unexpected complication after childbirth involving excessive bleeding. It is a leading cause of maternal death and can happen quickly, even in healthy pregnancies. Risk factors may increase the chances of PPH, but it can also occur without warning. Nurses play a key role in recognizing early signs and taking quick action. However, delays still happen due to inconsistent training, unclear protocols, and lack of preparedness. Strengthening nurse education and improving emergency response systems are essential to improve care and achieve better outcomes for mothers. Objective: This study aims to evaluate the impact …

The Effects Of Medical Misinformation About Vaccines On Parents Of Pediatric Patients, Mya Izabela B. Emelia

Nursing | Senior Theses

Abstract

Purpose

The purpose of this study is to evaluate the effectiveness of an educational intervention designed for parents of pediatric patients who are vaccine hesitant and its impact on childhood vaccination rates. This research proposal aims to assess whether targeted education addressing vaccine misinformation, safety concerns, and benefits influences parental decision-making and improves vaccine uptake.

Methods

Parents of pediatric patients will be recruited from pediatric clinics and community health centers. Participants will complete a baseline survey before receiving an educational intervention addressing vaccine misinformation, social media-driven misconceptions, and hesitancy. A post-intervention survey will then assess changes in vaccine hesitancy, …

Education On The Early Recognition Of Antepartum Sepsis For Labor And Delivery Nurses, Diana Egan

Nursing | Senior Theses

Even though rare in occurrence, sepsis in pregnancy causes high morbidity and mortality rates, most deaths preventable with timely recognition and intervention. With symptoms difficult to identify, adjusted screening tools were created. The literature review highlighted the importance of using approaches such as these tools to improve on maternal outcomes and treatment. The review displayed how nurses in other departments find difficulty defining and identifying sepsis in adults as well as education surrounding interventions in maternal sepsis and obstetrical emergencies improve knowledge deficits. In response, questions emerge about what labor and delivery nurses know about recognizing sepsis in the pregnant …