Nursing Commons^™

Prevalence Of Hypertension In Low- And Middle-Income Countries: A Systematic Review And Meta-Analysis., Ahmed Sarki, Chidozie U. Nduka, Saverio Stranges, Ngianga-Bakwin Kandala, Olalekan A. Uthman

School of Nursing & Midwifery, East Africa

We aimed to obtain overall and regional estimates of hypertension prevalence, and to examine the pattern of this disease condition across different socio-demographic characteristics in low-and middle-income countries. We searched electronic databases from inception to August 2015. We included population-based studies that reported hypertension prevalence using the current definition of blood pressure ≥140/90 mm Hg or self-reported use of antihypertensive medication. We used random-effects meta-analyses to pool prevalence estimates of hypertension, overall, by World Bank region and country income group. Meta-regression analyses were performed to explore sources of heterogeneity across the included studies. A total of 242 studies, comprising data …

Knowledge, Intake, And Willingness To Consume Fruits And Vegetables Of Children Located In A Food Desert Versus A Non-Food Desert, Brittany A. Pierce

The Eleanor Mann School of Nursing Undergraduate Honors Theses

The United States Department of Agriculture (USDA) defines a food desert as “urban neighborhoods and rural towns without ready access to fresh, healthy, and affordable foods” (“Food Deserts”, 2014). The purpose of this study was to determine the differences between knowledge, intake, and willingness to consume fruits and vegetables between students going to school in a food desert and students not going to school in a food desert. This study was conducted by showing students picture cards to determine knowledge of fruits and vegetables, surveying students to determine intake of fruits and vegetables, and food sampling to determine wiliness to …

The Impact Of Breastfeeding Education: A Retrospective Look At Breastfeeding Education And Breastfeeding Rates, Hannah Newell

The Eleanor Mann School of Nursing Undergraduate Honors Theses

Breastfeeding is associated with improved health outcomes for both mother and child. Not only does it provide optimal nutrition for the infant, it also encourages an intimate maternal-infant bonding experience that establishes the basis for parenting and interaction. Major medical organizations including the Surgeon General’s Healthy People 2020 have an aim of increasing the number of women who initiate breastfeeding, and a recommendation of exclusive breastfeeding for the first six months and continued breastfeeding for at least one year. While most women are aware that breastfeeding is the best source of nutrition for infants, they often lack knowledge regarding the …

Common Factors In Unplanned Cesarean Section, Lauren C. Compton

The Eleanor Mann School of Nursing Undergraduate Honors Theses

Obstetrical delivery by cesarean section is a prevalent form of delivery. Whether clinically indicated or by maternal request, cesarean delivery rates in the United States have risen to account for over a third of all deliveries. Cesarean section procedures are often clinically indicated and occur because of fetal factors, but they can also be elected by maternal request. The aims of this study are to analyze the frequency of the factors in the study questions that are associated with unplanned cesarean section procedures and to compare the frequency of these factors per cesarean section with the time of day the …

The Rates Of Mothers Who Continually Breastfeed After Implemented Breastfeeding Teaching, Katherine L. Moore

The Eleanor Mann School of Nursing Undergraduate Honors Theses

Many mothers are unaware of the benefits of breastfeeding. This lack of knowledge leads to an inability to weigh the advantages and disadvantages of the potential source of nutrition their infant will receive during his or her first months of life. Many mothers never even attempt to breastfeed their infant. Even among the mothers who do initially choose to breastfeed, the majority deviate to other forms of feeding early in the postpartum period. Despite the fact that most major medical organizations encourage exclusive breastfeeding through the first six months of an infant’s life, the CDC report for 2013 claims the …

Problem Solving Skill And Obesity In Children, Caitlin R. Spano

The Eleanor Mann School of Nursing Undergraduate Honors Theses

Abstract:

Introduction: Childhood obesity is a problem that leads to many serious health effects including early maturation, decreased quality of life and increased risk for cardiovascular disease. In 2012, over one third of children were considered obese (Childhood Obesity Facts 2015). Efforts have been made to reduce this number but they have not been fully successful (Nutrition Standards for School Meals 2015, Prevalence of Childhood obesity in the United States 2011-2012 2015). What other factors are causing kids to choose foods that lead to weight gain.

Literature Review: In research regarding psychological motivations of overeating, there has been a correlation …

Identifiable Risk Factors Associated With Congestive Heart Failure Hospital Readmissions, Kimberly M. Snyder

The Eleanor Mann School of Nursing Undergraduate Honors Theses

It is important to analyze patterns of risk factors associated with congestive heart failure (CHF) readmission rates. Today, if a CHF patient is readmitted within 30 days of their initial discharge the hospital will not be reimbursed for the stay. The aims of this study are to see if there is an association between patients readmitted within 30, 60, and 90 days of the initial discharge and to identify patterns of risk factors associated with CHF readmissions. A search of the CINAHL research database was conducted, using the key words “heart failure”, “signs and symptoms”, “readmission rates” and “comorbidities”. The …

Safe Sleep Education And Staff Compliance, Shayla M. Hadley

The Eleanor Mann School of Nursing Undergraduate Honors Theses

The purpose of this project was to evaluate compliance with the teaching and documentation of safe sleep practices within a pediatric unit. The objective was to increase the percentage of the charts of patients one year of age and younger that have documented safe sleep teaching at the level of compliance with the department policy. This change in compliance was measured by determining the percentage of patient charts having documented safe sleep teaching at the level of compliance prior to the implementation of mandatory staff education as compared to the percentage of charts with documented safe sleep teaching at the …

National Institutes Of Health Stroke Scale (Nihss) And Tissue Plasminogen (Tpa) Education For All Critical Care Nurses, Cheriese Rawlins

All Publications

No abstract provided.

An Emergency Department's Journey To Decreasing Door-To-Neurology Consult Times In Our Acute Stroke Patient Population, Jessica Sanabria

All Publications

No abstract provided.

Reinventing The Medical Request Process In A Correctional Healthcare Setting, Leah Murphy

Master's Projects and Capstones

This project was developed as part of a Clinical Nurse Leader course of study with the goal of gathering and evaluating microsystem data, and the creation and implementation of a process improvement project. The project was conducted in a correctional setting which houses male and female detainees with a wide variety of medical needs. The project addressed long wait times for detainees who have submitted a request for services from the medical department. The goal of this project was to reduce wait times for medical requests, and provide service for a greater number of patients. This project is needed because …

Assessing The Psychoeducational Approach To Transcendence And Health (Path) Program : An Intervention To Foster Self-Transcendence And Well-Being In Community-Dwelling Older Adults., Valerie Lander Mccarthy, Sharon Bowland, Lynne A. Hall, Jennifer Connelly

Faculty Scholarship

The late-life developmental process of self-transcendence shapes elders’ perspectives on self, others, the nature of this world, and of a dimension beyond the here and now. This qualitative pilot study evaluated the Psychoeducational Approach to Transcendence and Health (PATH) Program, a psychoeducational intervention to promote self-transcendence and well-being in community-dwelling women at a senior center. The intervention involved eight weekly group sessions using group processes, mindfulness practices, creative experiences, and independent at-home practice. The findings supported the underlying theory-based structure and content of the intervention and indicated the intervention may empower elders to attend to self-care, develop acceptance, and learn …

Visible Tattoos And Professional Nursing Characteristics: A Study On How Appearance Affects The Perception Of Essential Qualities Of Nurses, Darcy M. Boultinghouse

The Eleanor Mann School of Nursing Undergraduate Honors Theses

Previous studies have indicated that nurses with tattoos are viewed less favorably than nurses without tattoos, regardless of gender. Additionally, older adults are more likely to negatively evaluate nurses with tattoos than young adults. Images of male and female nurses with and without tattoos were shown to 128 participants between the ages of 18-80 years on an iPad. Participants selected according to gender which nurse possessed more of the following professional characteristics based on their initial impression of their physical traits, or selected no difference: respectfulness, kindness, trustworthiness, intelligence and competence. The study showed that male nurses with tattoos were …

Assessing The Need For A New Oral Care Protocol In The Non-Ventilated Patient Population, Talia J. Johnson

The Eleanor Mann School of Nursing Undergraduate Honors Theses

Abstract

Purpose: Nonventilator-associated hospital acquired pneumonia is a nosocomial infection that has not been heavily researched. With hospital-acquired pneumonia accounting for some of the most frequent nosocomial infections in the United States, it is important to determine ways to decrease rates of infection. The purpose of this study was to determine the rate of nonventilator-associated pneumonia in a hospital patient population, to determine charting compliance of nurses, and to determine whether there was a need for a new oral care protocol.

Design: A retrospective electronic record review was performed to determine the rate of nonventilator- associated hospital acquired …

A Model For Hospital Discharge Preparation: From Case Management To Care Transition, Marianne E. Weiss, Kathleen Bobay, Sarah J. Bahr, Linda L. Costa, Ronda G. Hughes, Diane E. Holland

College of Nursing Faculty Research and Publications

There has been a proliferation of initiatives to improve discharge processes and outcomes for the transition from hospital to home and community-based care. Operationalization of these processes has varied widely as hospitals have customized discharge care into innovative roles and functions. This article presents a model for conceptualizing the components of hospital discharge preparation to ensure attention to the full range of processes needed for a comprehensive strategy for hospital discharge.

Burden, Depressive Symptoms, And Perceived Health In Male Caregivers Of Persons With End Stage Renal Disease, Loretta Alexia Williams

Theses and Dissertations (ETD)

Introduction: Men are increasingly assuming the role of caregiver to individuals with chronic illnesses. The debilitating effects of ESRD cause many of those diagnosed with the disease to require assistance from family caregivers. Caregiver literature well reports that caregivers experience mental and physical health effects related to this role. However, research involving the experiences of male caregivers of individuals with ESRD is understudied. These studies use the background and contextual as well as primary and secondary domains of the Stress Process Model to determine the levels of and explore the experiences associated with caregiver burden, depressive symptoms, and perceived health …

The Lived Experience Of Registered Nurses With Substance Use Disorder Who Complete An Alternative To Discipline Program Through A State Board Of Nursing, Susan Melanie Ervin

UNLV Theses, Dissertations, Professional Papers, and Capstones

Substance use disorder, defined as the misuse of drugs and/or alcohol, is a major health problem in the United States. Health care providers, including nurses, are at risk for this disorder. Risk factors for substance use disorder (SUD) in nurses include social factors such as family history of the disorder and biological factors such as genetic predisposition. Specific risk factors for nurses include easy access to controlled substances (such as opiates), stressful work environments, the belief that substance use assists with coping and a lack of education related to substance use disorder.

Substance use disorder in nurses is a significant …

Evaluating A Novel Approach For Type 2 Diabetes Mellitus Patient Education: Modified Team -~ Based Learning, Corine Belle Lazaro

UNLV Theses, Dissertations, Professional Papers, and Capstones

One of the world’s most serious health issues today is the increasing prevalence of diabetes (Chobev, Sotirovska, Mihajilov, 2011). Indeed, the growth of this widespread and pernicious disease has been categorized as epidemic. The antidote for the diabetes epidemic lies in prevention and the use of a chronic care model that focuses on improving diabetes self-management. For both diabetes prevention and self-management, a core component pertains to knowledge—and specifically to improved public health literacy, public health education, and patient education. For example, ongoing patient education is a critical factor in helping patients to manage their diabetes and prevent the micro- …

A Simulation To Improve The Clinical Nursing Instructor’S Teaching Of Ethics To Students In The Clinical Setting, Cynthia S. Randall Dnp

All Student Scholarship

Ethical knowledge and skill is crucial to the discipline of nursing and is considered foundational knowledge for nursing practice (American Nurses Association [ANA], 2008). Nurses who assume roles in clinical teaching may be clinically competent but may have limited nursing education experience or knowledge in clinical instruction. The purpose of this project was to improve the educational experience of clinical instructors in the teaching of ethics to students in the clinical setting. This DNP capstone was a quality improvement project with a mixed method design using simulation as a teaching strategy. Eight clinical instructors from a university based baccalaureate nursing …

An Evidence Based Approach To Sepsis: Educational Program, Dolores Perez

UNLV Theses, Dissertations, Professional Papers, and Capstones

Evidence-based guidelines for recognizing and treating sepsis have been available for decades, yet healthcare providers do not adhere to the recommendations. Sepsis can progress rapidly if not recognized early. Literature reports reveal that sepsis is the leading cause of death in non-cardiac intensive care units (ICUs), and it is one of the most expensive conditions to treat. A hospital in the Las Vegas, Nevada area had previously introduced sepsis management prescriptions in 2011 with no formal education of sepsis guidelines to nurses. The original hospital’s sepsis management prescription sets followed guidelines dated 2008. The purpose of this project was to …