Public Health and Community Nursing Commons^™

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 ...

Implementing A Health Services Google Classroom In A High School Setting, Christina M. Wilkinson

Master's Projects and Capstones

Abstract

Problem: The present study investigated the use of Google Classroom and the impact of providing students with basic self-care information on nurse office visit times.

Context: A School nurses are often responsible for multiple schools and a large population of students. These demands pose challenges for school nurses to appropriately serve the student population.

Interventions: Disseminate basic health information on self-care to students via Google Classroom.

Measures: The outcome measure is to make nurse’s office visits less than ten minutes. The data source being chart reviews and the target is 80% of students. The process measure is to ...

The Usability And Feasibility Of A Nursing Evidence-Based Comorbidity Educational Website For An Urban Mental Health Assertive Community Treatment (Act) Program, Andrea Brudigan, Laurie Sewell-Muller, Kokuvi Sena Tsogbevi

Doctor of Nursing Practice Projects: College of Nursing

Objective: Serious mental illness (SMI) causes an increased risk for comorbidities like heart disease, obesity, metabolic syndrome, and diabetes. Many times, these comorbidities are due to side effects of antipsychotics and poor self-management from low insight and other symptoms of mental illness. This project aims to enhance client care enrolled in an Assertive Community Treatment (ACT) program by providing evidence-based resources tailored to clients with SMI, providing ACT team members with support to promote healthy behaviors in clients.

Methods: A website was developed that provides printable, easy-to-read, evidence-based resources that address physical comorbidities. The ACT team integrated these resources into ...

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 ...

Safe Practices For Preventing Covid-19 Among School-Aged Children, Meleena Reyelle Banda-Garcia

Nursing | Senior Theses

Communicable diseases and infections are common health problems among children. Among the most impactful communicable diseases present today is COVID-19, a disease caused by a virus named SARS-CoV-2, which has forced many school closures due to rapid transmission. Despite children not being the main driving factor of the spread of the disease, severe complications underlying COVID-19 incidence have resulted in increased hospitalization among school-age children.The initial global response to the spread of COVID-19 included the closure of school systems; however as the disease continues to be effectively managed, communities are starting to re-open schools partially or entirely nationwide. Although ...

Rising Costs Of Insulin And Effects Of Self-Management In Type 1 Diabetes, Justine Yadao

Nursing | Senior Theses

Background

Type 1 diabetes, also known as juvenile diabetes or insulin-dependent diabetes is a chronic condition where the pancreas may not be able to produce little to no insulin. This type of diabetes can be attributed to some factors such as age, family history, environmental factors or types of viruses. It is seen more often in children or adolescence but can develop in adults, averaging approximately 5-10% of the population.

Insulin is a type of hormone produced in the pancreas naturally or can be manufactured in the laboratory. People with Type 1 Diabetes need insulin from an exogenous source to ...

Childhood And Adolescent Obesity: Related Comorbidities And Interventions, Jasmine Wong

Nursing | Senior Theses

Background

The prevalence of childhood and adolescent obesity in the United States has steadily risen over the years and has become a public health concern. Obesity is defined as a BMI at or above the 95th percentile for children and teens of the same age and sex. Obese children and adolescents are at risk for poor health and poor quality of life. Furthermore, there are numerous comorbidities associated with childhood and adolescent obesity. While some of the associated diseases are acute, others can become chronic and result in lifelong conditions.

Objective

The purpose of the present thesis is to explore ...

Infection Control: Proper Handwashing Technique Within A Vulnerable Population, Seattle Pacific University

Nursing Leadership in Community Engagement Projects

Introduction

Recovery Café is a place of healing and recovery for those experiencing a variety of different kinds of traumas and experiences, whether it be homelessness, substance abuse, domestic violence, and others. This alcohol and drug free space is provided for members so that they can build relationships amongst each other, and gain access to resources such as housing, employment, support circles, social and health services. Typically open from 12-6, this community provides two free meals a day, resources, and ongoing support for their members regardless of past trauma, behaviors, and mistakes. Since the largest population group in this community ...

Implementing A Structured Walking Program For Prek Through 8th Grade Teachers, Caitlin M. Kile, Robin Harris, Robin Bowden

Graduate Publications and Other Selected Works - Doctor of Nursing Practice (DNP)

Physical inactivity has become a significant health concern not only in the United States but worldwide. Adults are becoming sedentary due to sitting at work and school, computer use, and motorized transportation. During the COVID-19 pandemic, teachers experienced increased workloads, increased sedentary work time for virtual classes, and longer work hours. A PreK-8^th grade school system in the southeastern United States had health promotion and prevention programs for students but no health and wellness programs for teachers. Wellness programs can promote physical health and less worker absenteeism. At the completion of a 12-week walking program, the teacher's weekly ...

Physical Activity, Daily Step Counts And Functional Ability In Older Adults: Using Nhanes Database, Chunfang(Maggie) Chen

Doctoral Dissertations

Maintaining functional ability and independence are essential in the healthcare of older adults. Physical activity(PA) has been acknowledged as effective and economical health promotion strategies in older population. However, the amount of PA needed to maintain functional ability in older adults remains unclear. This investigation used PRISM Dose-response Curves Stimulation Variable slope model to explore the relationships between the amount of PA and functional ability in community-dwelling young-old, middle-old and old-old age group adults. ANOVA analysis was used to examine the relationship between functional ability and self-perceived active level changes compared to 10 years ago. NHANES 2005-2006 older participants ...

Increased Access To Physical Activity For School-Aged Children In Community Settings, Kathleen Cobb, Alexandra Peary, Ashley Ricker, Leah Wilcox

Non-Thesis Student Work

Childhood obesity has reached unprecedented levels in the United States, which often continues into adulthood. Physical activity (PA) has shown to be an effective strategy in combating obesity in children by improving cardiovascular health and decreasing metabolic disease in adulthood. This literature review explored the effect of increased access to PA opportunities in community settings on the amount of time children ages 5-18 spent being physically active. Search of the literature included Google Scholar and CINAHL databases using the following terms: “child*,” “obesity,” “physical activity OR exercise,” “built environment,” and “school.” Inclusion criteria included peer-reviewed articles published from 2017-2022 with ...

Neonatal Abstinence Syndrome: Eat, Sleep, Console Vs Methadone, Isabel Henderson, Sarah Callahan, Joy Kempf

Non-Thesis Student Work

In addressing the growing rates of newborn admissions with neonatal abstinence syndrome the following evidence-based PICOT question was addressed: In neonates with neonatal abstinence syndrome, how effective is methadone compared to the eat, sleep, console model in controlling withdrawal symptoms during the postnatal period? The high rate of opioid use across the United States has directly impacted the growing incidence rate of neonatal abstinence syndrome. Diagnoses in the United States have increased from 1.2 per 1000 births in 2000 to 5.8 per 1000 births in 2012 and are still growing (Grossman et al., 2018). Due to this dramatic ...

Parent And Child Anxiety Evaluated During An Early Period Of The Covid-19 Pandemic: A Mixed-Methods Study, Karla M. Abela, Darlene Acorda, Stanley Cron, Geri Lobiondo-Wood

Journal of Patient-Centered Research and Reviews

Purpose: The objective of this study was to explore parent and child anxiety during the pandemic. Unlike previous pandemics, measures implemented to prevent the transmission of the SARS-CoV-2 virus have been much more limiting.

Methods: An explanatory convergent mixed-methods design was used to describe anxiety of children 9–17 years of age and their parents during August–October 2020. Adult and child versions of State-Trait Anxiety Inventory (STAI) were used to examine levels as measured on STAI’s state-anxiety subscale. Web-based interviews with a subset of patients were conducted qualitatively to analyze anxiety-related themes.

Results: A total of 188 parents ...

Multi-Jurisdictional Evaluation Of Sentinel City Virtual Simulation For Community Health Nursing Clinical Education, Andrea Chircop, Shelley Cobbett, Ruth E. Schofield Professor, Catherine Boudreau, Amanda Egert, Sylvane Filice, Andrea Harvey, Denise Kall, Linda Macdougall

Quality Advancement in Nursing Education - Avancées en formation infirmière

Although positive learning outcomes have been documented for nursing students who participate in virtual simulation for community health nursing clinical education (Chircop & Cobbett, 2020), it is unknown whether learning outcomes of students using the same virtual simulation program are comparable across jurisdictions. Nine schools of nursing across Canada (Nova Scotia, Ontario, British Columbia) implemented and evaluated Sentinel City a virtual simulation program to complement the traditional community clinical, or as an alternative learning experience. A descriptive survey was used to carry out an evaluation of the use of Sentinel City and student learning outcomes. Quantitative data provided demographic statistics to describe the sample, compare student learning outcomes and perceptions of their learning experience and the qualitative data from open-ended questions provided detailed responses on the use of Sentinel City and its future recommendation. Data were analyzed using ANOVA (Welch statistic) to identify any significant differences among students from each jurisdiction in relation to their perception of the use of Sentinel City in meeting their course learning outcomes. Qualitative data from open-ended responses were analyzed using the six-step process outlined by Braun and Clarke (2006). The use of Sentinel City for community clinical learning in various Canadian jurisdictions positively contributed to achieving desired student learning outcomes. There are, however, significant differences among jurisdictions. Most of the students “agreed” that Sentinel City helped them achieve course learning outcomes. In all jurisdictions, most of the students indicated that they were “confident” and “very confident” in their knowledge about the community health nursing process, understanding of a population/community health assessment, understanding how to plan a population health intervention, and in their ability to integrate the five principles of primary health care into practice. Regarding their ability to apply a population health perspective (upstream thinking), most of the students were “confident” and “very confident”. Almost all students (93.62%) were confident and “very confident” in their ability to recognize health inequities indicating the highest level of confidence (Mean 4.38, SD 0.71). As educators, we found several advantages with the use of SC, including the ability to create controlled and standardized clinical learning experiences which contributes to fairness and quality of community clinical education. We recommend a robust orientation and professional development program for clinical instructors in community health nursing that is consistent with the new International Nursing Association for Clinical Simulation and Learning (2021) standards. The required expertise in community health nursing together with solid foundational knowledge of a simulation program for community health nursing and facilitation skills competence during pre- and de-briefing sessions are necessary for student success. One of our recommendations has been achieved with the recent release of Sentinel City Canada (https://www.sentinelu.com/events/sentinel-city-canada/). Overall, this cross-jurisdictional study revealed a flexibility with which Sentinel City® can be used or adapted as a teaching tool at different programs across Canadian jurisdictions and still contribute to the achievement of course learning outcomes.

Résumé

Bien que des résultats d’apprentissage positifs aient été documentés auprès d’étudiant(e)s qui participent à la simulation virtuelle pour la formation clinique en sciences infirmières en santé communautaire (Chircop et Cobbett, 2020), nous ne savons pas si les résultats d’apprentissage des étudiant(e)s utilisant le même programme de simulation virtuelle sont comparables d’une région à l’autre. Neuf écoles de sciences infirmières à travers le Canada (Nouvelle-Écosse, Ontario, Colombie-Britannique) ont mis en œuvre et évalué Sentinel City, un programme de simulation virtuelle pour compléter l’expérience en clinique communautaire traditionnelle ou comme expérience d’apprentissage de remplacement. Une étude descriptive par sondage a permis de réaliser une évaluation de l’utilisation de Sentinel City et des résultats d’apprentissage des étudiant(e)s. Les données quantitatives ont fourni des statistiques démographiques pour décrire l’échantillon, comparer les résultats d’apprentissage des étudiant(e)s et leurs perceptions de l’expérience d’apprentissage alors que les données qualitatives obtenues par des questions ouvertes ont fourni des renseignements détaillées sur l’utilisation de Sentinel City et sa recommandation pour le futur. Les données ont été analysées à l’aide de l’analyse de la variance (test ANOVA de Welch) pour identifier toute différence significative entre les étudiant(e)s de chaque région en ce qui concernait leur perception de l’utilisation de Sentinel City pour atteindre les résultats d’apprentissage de leurs cours. Les données qualitatives obtenues des réponses aux questions ouvertes ont été analysées à l’aide du processus en six étapes décrit par Braun et Clarke (2006). L’utilisation de Sentinel City pour l’apprentissage clinique communautaire dans diverses régions canadiennes a contribué positivement à l’atteinte des résultats d’apprentissage souhaités pour les étudiant(e)s. Il existe cependant des différences significatives entre les régions. La plupart des étudiant(e)s étaient « d’accord » pour dire que Sentinel City les avait aidés à atteindre les résultats d’apprentissage du cours. Dans toutes les régions, la plupart des étudiant(e)s ont indiqué qu’ils étaient « confiant(e)s » ou « très confiant(e)s » dans leur connaissance du processus de soins infirmiers en santé communautaire, de leur compréhension d’une évaluation de la santé de la population/communauté, de leur compréhension de la façon de planifier une intervention en santé populationnelle, et en leur capacité à intégrer les cinq principes des soins de santé primaires dans la pratique. Concernant leur capacité à appliquer une perspective de santé populationnelle (réflexion en amont), la plupart des étudiant(e)s étaient « confiant(e)s » ou « très confiant(e)s ». Presque tous les étudiants et étudiantes (93,62 %) étaient « confiant(e)s » et « très confiant(e)s » dans leur capacité à reconnaître les inégalités en matière de santé, indiquant le niveau de confiance le plus élevé (moyenne 4,38, écart type 0,71). En tant qu’enseignantes, nous avons trouvé plusieurs avantages à l’utilisation de Sentinel City, y compris la capacité de créer des expériences d’apprentissage clinique encadrées et uniformes qui contribuent à l’équité et à la qualité de l’enseignement clinique communautaire. Nous recommandons un solide programme d’orientation et de perfectionnement professionnel pour les enseignant(e)s cliniques en sciences infirmières en santé communautaire qui est conforme aux nouvelles normes de l’International Nursing Association for Clinical Simulation and Learning (2021). L’expertise requise en sciences infirmières en santé communautaire ainsi que de solides connaissances de base d’un programme de simulation pour les sciences infirmières en santé communautaire et les habiletés d’animation des séances pré et dé-breffage sont nécessaires à la réussite des étudiant(e)s. L’une de nos recommandations a été réalisée avec la récente diffusion de Sentinel City Canada (https://www.sentinelu.com/events/sentinel-city-canada/; en anglais seulement). Dans l’ensemble, cette étude interrégionale a révélé la flexibilité avec laquelle Sentinel City peut être utilisé ou adapté comme outil d’enseignement dans différents programmes à travers les régions canadiennes tout en contribuant à l’atteinte des résultats d’apprentissage des cours.

What? Is Epstein–Barr Virus Infection Linked To Multiple Sclerosis?, Asha Mahajan, Steven B Lippmann

The University of Louisville Journal of Respiratory Infections

No abstract provided.

Reducing The Stigma Of Nurses In Recovery: Substance Use Disorder And Alternative-To-Discipline Program Education For Nurses, Daniel Paul Del Toro, Pamela Hardesty

Graduate Publications and Other Selected Works - Doctor of Nursing Practice (DNP)

Decades of previous studies suggest that approximately 10-15% of all actively licensed nurses in the United States may be impaired by or in recovery from alcohol or other drug addiction. As a result of the COVID-19 pandemic, medical professionals are experiencing unprecedented amounts of stress, fatigue and emotional distress that when coupled with poor coping mechanisms and easily accessible addictive substances may result in an increased risk for developing substance use disorder. By providing education to nurses regarding substance use disorder (SUD) and alternative to discipline programs (ADP), previous studies have shown that the risk of nurses developing SUD can ...

Improving Hypertension Self Management In African American Men, Elizabeth C. Felix

Electronic Theses and Dissertations

Hypertension is a cardiopulmonary condition linked to genetic, environmental, and social factors. Left untreated, it can lead to fatal conditions such as heart disease. In the United States, African Americans experience disproportionately high rates of hypertension, earlier onset of symptoms, greater severity, and higher related mortality rates. African Americans also statistically have more difficulty self-managing their hypertension than other demographics. The aim of this project was (a) to identify, define, and measure perceived barriers to self-management of hypertension among African American men and (b) to target these barriers and increase patient engagement through personalized intervention plans. The researcher recruited 24 ...

Do You Know The Pathophysiology Of Cytokine Storm During Covid-19?, Shameera Shaik Masthan, Deekshitha Turaka, Ahmed Abdelhaleem, Mounica Vorla, Steven B. Lippmann

The University of Louisville Journal of Respiratory Infections

No abstract provided.

An Evaluation Of Covid-19 Vaccination Rates Of The Patients At The Kentucky Racing Health Services Center, Aditya Mehta, Dedra Hayden

The Cardinal Edge

COVID-19 vaccines have been widely available to the U.S. public since early 2021. However, vaccination rates still vary considerably across geographical areas and different populations. The objective of this study was to research overall vaccination rates against COVID-19 for Latinx patients at the Kentucky Racing Health Services Center (KRHSC). Vaccination and booster data was collected from June to December 2021 for all unique patients visiting the center. It was initially hypothesized that these rates of vaccination and booster doses for the KRHSC patients would be lower than the data reported by Kentucky and Jefferson County. After a retrospective review ...

Prevalence Of Health-Risk Behaviours Among Indigenous Australians With Diabetes: A Review, Sharon Atkinson-Briggs, Alicia Jenkins, Christopher Ryan, Laima Brazionis

Journal of the Australian Indigenous HealthInfoNet

Aboriginal and Torres Strait Islander Australians are at high risk of Type 2 diabetes and its complications. Optimal lifestyle choices can improve health outcomes. A thematic review of original research publications related to smoking, nutrition, alcohol intake, physical activity and emotional wellness in Aboriginal and Torres Strait Islander Australians with diabetes was performed. Overall, 7118 English-language publications were identified by search engines (PubMed, CINAHL, Scopus, Medline-Web of Science, and Google Scholar) with search terms Indigenous Australians OR Aboriginal and Torres Strait Islanders AND diabetes AND lifestyle OR smoking OR nutrition OR alcohol OR physical activity OR emotional wellbeing and their ...