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Effectiveness Of Antibiotic Stewardship For Healthcare Providers At Urgent Care Clinics, Helen T. Adewole 2024 Abilene Christian University

Effectiveness Of Antibiotic Stewardship For Healthcare Providers At Urgent Care Clinics, Helen T. Adewole

Electronic Theses and Dissertations

Antibiotics have revolutionized modern medicine; however, the overuse in urgent care and primary care significantly contributes to the global burden of infections resistant to available antimicrobial medicines. Approximately 30% of the antimicrobials prescribed in acute care settings are unnecessary. Patient demand for antibiotics has seemingly skyrocketed following the recent COVID-19 pandemic. Practitioners must be knowledgeable about antibiotic stewardship initiatives, such as the wait-and-see approach, to reduce antibiotic overuse and improve the trajectory of antibiotic resistance and patient health outcomes. The gap in practice was the limited awareness of scientific evidence-based tools to partner with patients and improve antibiotic prescription patterns. …


Overcoming Communication Challenges: Training Family Medicine Interns Amidst Covid-19, Ny'Nika T. McFadden, Connie C. Leeper, Catanya G. Stager, Amanda H. Wilkerson 2024 Texas State University, San Marcos

Overcoming Communication Challenges: Training Family Medicine Interns Amidst Covid-19, Ny'nika T. Mcfadden, Connie C. Leeper, Catanya G. Stager, Amanda H. Wilkerson

Marshall Journal of Medicine

Introduction

Assessing and addressing possible deficiencies in medical school training is important for residency programs. Due to virtual rotations and low patient volumes, the COVID-19 pandemic disrupted medical students’ opportunities to practice patient communication. Communication skills are essential for medical students and residents. Continuous participation in communication training can increase the self-efficacy of healthcare professionals. Due to the likely impact of COVID-19, we designed and implemented a tailored workshop that focused on increasing 16 incoming family medicine interns’ level of comfort communicating with patients and their families.

Methods

Sixteen incoming family medicine interns participated in the workshop during orientation in …


Exploring The Role Of Information And Communication Technologies In Allergic Rhinitis In Specialist Centers: Patient Perspectives On Usefulness, Value, And Impact On Healthcare, Ivan Cherrez-Ojeda, Jean Bousquet, Zouina Sarfraz, Azza Sarfraz, Monica Rodriguez Gonzales, Anna Bedbrook, Nelson Rosario, Benjamin Zepeda-Ortega, Guillermo Guidos, Ulbio Alcivar Molina 2024 Universidad de Especialidades Espíritu Santo, Ukraine

Exploring The Role Of Information And Communication Technologies In Allergic Rhinitis In Specialist Centers: Patient Perspectives On Usefulness, Value, And Impact On Healthcare, Ivan Cherrez-Ojeda, Jean Bousquet, Zouina Sarfraz, Azza Sarfraz, Monica Rodriguez Gonzales, Anna Bedbrook, Nelson Rosario, Benjamin Zepeda-Ortega, Guillermo Guidos, Ulbio Alcivar Molina

Department of Paediatrics and Child Health

Introduction: Information and communication technologies (ICTs) improve patient-centered care and are routinely used in Allergic Rhinitis (AR), but patients' preferences and attitudes are unexplored. This study examines AR-related information preferences and ICT use by AR patients.
Methods: A survey-based cross-sectional study was carried out in Ecuador from July to September 2019 in seven centers of reference for allergic disease. Participants were 18 years or older, diagnosed with AR and had access to ICT and the Internet. Descriptive and binomial logistic regressions were performed. A value of less than 0.05 was considered statistically significant.
Results: 217 patients were included. 47% (n …


Digital Phobia: An Inquiry For Mapping The Unseen Dimension Of New Digital Anxiety, The ‘Digiphobia’, Amarjit Kumar Singh ,Library Assistant, Md. Arshad Ali , Professional Assistant, Dr. Pankaj Mathur, Deputy Librarian, 2024 Central University of South Bihar (CUSB)

Digital Phobia: An Inquiry For Mapping The Unseen Dimension Of New Digital Anxiety, The ‘Digiphobia’, Amarjit Kumar Singh ,Library Assistant, Md. Arshad Ali , Professional Assistant, Dr. Pankaj Mathur, Deputy Librarian,

Library Philosophy and Practice (e-journal)

Background: As technology continues to advance, individuals' interactions with digital platforms have become integral to daily life. Amidst this technological evolution, a novel concern emerges—Digital Phobia, hereafter referred to as “Digiphobia.” This phenomenon, although not previously explored in scholarly literature, necessitates an in-depth investigation due to its potential impact on individuals' well-being. Our research employs a two-step methodology to investigate its existence, implications, and manifestations.

Introduction: This research paper introduces and proposes the term "Digiphobia" as a comprehensive conceptualization of anxiety arising from interactions with digital spaces, applications, and environments. The proliferation of digital technologies has led to the emergence …


The Impact Of Loneliness Post-Pandemic And Immersed In The Upcoming Political Election, Regina M. Luttrell Ph.D., Gwen Pratt, Abigail Kludt, Amy Barone, Kwadwo Osei-Poku, Lihan Wang 2024 Syracuse University

The Impact Of Loneliness Post-Pandemic And Immersed In The Upcoming Political Election, Regina M. Luttrell Ph.D., Gwen Pratt, Abigail Kludt, Amy Barone, Kwadwo Osei-Poku, Lihan Wang

Real Chemistry Emerging Insights Lab

The Real Chemistry Emerging Insights Lab emerged with a partnership between Real Chemistry and the Public Relations department at the S.I. Newhouse School of Public Communication and serves as a multidisciplinary research center focusing on analytics, artificial intelligence, digital and emerging media for a number of organizations regarding communications.

Healthcare professionals and organizations are interested in identifying how mental health impacts different U.S. generational groups after the COVID-19 pandemic and the intersectionality of U.S. Politics. Our team focused on two generational cohorts – Generation X (1965-1980) and Generation Z (1997-2012) – as an entry point into navigating the impact of …


Patient Perceptions Of Audio-Only Versus Video Telehealth Visits: A Qualitative Study Among Patients In An Academic Medical Center Setting, Ryan Kruis, Elizabeth A. Brown, Jada Johnson, Kit N. Simpson, James McElligott, Jillian Harvey 2024 Medical University of South Carolina

Patient Perceptions Of Audio-Only Versus Video Telehealth Visits: A Qualitative Study Among Patients In An Academic Medical Center Setting, Ryan Kruis, Elizabeth A. Brown, Jada Johnson, Kit N. Simpson, James Mcelligott, Jillian Harvey

Community & Environmental Health Faculty Publications

Introduction: Telehealth utilization surged during the COVID-19 pandemic, offering expanded health care access. Audio-only visits emerged as a crucial tool for patients facing technology or connectivity barriers to still use telehealth. This qualitative study aims to better understand patient perceptions of audio-only versus video telehealth visits during the COVID-19 pandemic, and how patients perceive the role of each in their overall health care. Methods: Semi-structured interviews were conducted with 14 adult patients seeking care at an academic medical center located in the Southeast region of the United States. Patients had experienced both an audio-only and video telehealth visit within the …


Between Wages And Wellbeing: Examining The Role Of Employers In Increasing Covid-19 Vaccine Uptake In The State Of West Virginia, Nathaniel Udoh Godwin 2024 West Virginia University

Between Wages And Wellbeing: Examining The Role Of Employers In Increasing Covid-19 Vaccine Uptake In The State Of West Virginia, Nathaniel Udoh Godwin

Graduate Theses, Dissertations, and Problem Reports (ETD)

The novel coronavirus disease 2019 (COVID-19) stretched public health systems globally, with millions of cases confirmed across all continents of the world. The United States health systems struggled as the country grappled with emerging variants of the virus, differing levels of vaccine acceptance, misinformation, and disparity in health outcomes. As COVID-19 vaccines emerged, the U.S. Government sought to bolster uptake through myriad measures, including announcing vaccine requirements for federal employees, which was met with mixed reactions. Accordingly, some employers and businesses adopted a “no jab, no job” policy, while others stopped short of mandates but encouraged and incentivized vaccine uptake …


Giving Voice To The Voiceless: Health Communication And Female Fieldworkers In Central Florida, Sofia Salazar 2024 University of Central Florida

Giving Voice To The Voiceless: Health Communication And Female Fieldworkers In Central Florida, Sofia Salazar

Graduate Thesis and Dissertation 2023-2024

This qualitative research project examined health experiences of female agricultural workers in central Florida. Specifically, this study identified the most common physical and mental health illnesses and issues reported by female agricultural workers, their health-related decision-making processes, methods used to access health-related information, and the challenges they encounter when attempting to access health-related information, support, and services. In total, 21 interviews were conducted with women who had worked for at least one year as an agricultural worker in central Florida. The data was analyzed for emergent themes based on a codebook developed using the IDEA model as a theoretical framework. …


Outpatient Fall Prevention In Ambulatory Adults 65 Years Old And Over, Dorothy L. Osborne-White 2024 University of Texas at Arlington

Outpatient Fall Prevention In Ambulatory Adults 65 Years Old And Over, Dorothy L. Osborne-White

Doctor of Nursing Practice (DNP) Scholarly Projects - Archive

Background: In the United States (U.S.), falls are the leading cause of injury among adults 65 and over, resulting in 36 million falls yearly (Moreland et al., 2020). According to the Centers for Disease Control and Prevention (CDC, 2023), one in four older adults experiences a fall each year. Falls are the world's second most prominent cause of accidental deaths (World Health Organization [WHO], 2021). Falls are the leading cause of both fatal and non-fatal injuries among older adults (Moreland et al., 2020).

Methods: A quality improvement project that included a fall bundle was implemented in a primary clinic. A …


Empowering Caregivers In The Prevention Of Clinical Delirium For At Risk Older Adults Boarding In The Emergency Department Setting, Danielle Brewer 2024 University of Kentucky

Empowering Caregivers In The Prevention Of Clinical Delirium For At Risk Older Adults Boarding In The Emergency Department Setting, Danielle Brewer

DNP Projects

Background: Emergency Department (ED) overcrowding is a global healthcare crisis documented in the literature for more than a decade, impacting patient outcomes and resource availability. While awaiting delayed transfer to an inpatient room, older adults in the ED remain vulnerable to developing acute delirium. Boarding potentiates the risk for worsening health outcomes, which are further compounded by delirium. Scarcity of resources and time constraints delay delirium detection and increase risk for down-stream hospital-acquired complications, higher cost, and prolonged length of stay. Current ED models do not prioritize caregiver partnership or involvement in delirium-conscious care, which is a holistic approach to …


Identifying Youth Appeals In Alcohol Alternative Social Media Content Through Framing, Melina ONeal 2024 West Chester University

Identifying Youth Appeals In Alcohol Alternative Social Media Content Through Framing, Melina Oneal

West Chester University Master’s Theses

Proposed regulations for alcohol advertising prevent beverage companies from targeting people under the legal drinking age. However, similar regulations for alcohol alternative beverages are less explored, which could allow alcohol alternative products to create awareness for alcoholic beverages among youth. Alcohol alternatives beverages, including no-alcohol and low-alcohol products, are increasing in popularity and can function as compliments to alcoholic products to decrease the total alcohol volume consumed or as substitutes for alcoholic products. Framing theory can be operationalized through the Content Appealing to Youth Index, an index of content elements found in research literature to be appealing to youth, to …


Autopathography Across Media: Trauma And Fluid Embodied Subjectivity, He (Kristen) Shen 2024 Colby College

Autopathography Across Media: Trauma And Fluid Embodied Subjectivity, He (Kristen) Shen

Honors Theses

Illness memoirs with first-person point of view have gained more attention in recent years among medical sociologists and anthropologists. Different from traditional “case histories”written by doctors that are in danger of ignoring patients’ voices, autopathograhical works delineate narrators’ transformative experiences of persons to patients, emphasizing the importance of gaining social understanding of illness. Focusing on three works within the category of autopathography across genres and media forms in the late 1950s and contemporary periods, The Cancer Journals (1980) written by Audre Lorde, The Collected Schizophrenias (2019) written by Esmé Weijun Wang, and The Diving Bell and the Butterfly (2007) directed …


Breaking The Silence: A Mixed Methods Study On Opioid Education, Overdose Risks, And Treatment Education Among College Students, Anita Silwal 2024 University of Kentucky

Breaking The Silence: A Mixed Methods Study On Opioid Education, Overdose Risks, And Treatment Education Among College Students, Anita Silwal

Theses and Dissertations--Communication

The opioid crisis is a national public health emergency in the United States. Opioid education, naloxone training, and medication for opioid use disorder treatment (MOUD) are evidence-based practices to mitigate opioid overdose. The opioid crisis is affecting people of all ages, including college students. Research indicates the gap in research among college students on how they perceive this public health emergency and how it is affecting them; thus, this dissertation aims to address the gap by examining college students' knowledge, attitude, and behavioral intentions toward opioid education, naloxone training, and referral to MOUD to those struggling with opioid addiction. The …


Crisis Negotiation Techniques In Interactional Context: Managing A Suicide Threat In An Emergency Service Call, Angela Garcia 2024 Bentley University

Crisis Negotiation Techniques In Interactional Context: Managing A Suicide Threat In An Emergency Service Call, Angela Garcia

Natural & Applied Sciences Faculty Publications

Previous research reveals that standard crisis negotiation techniques are useful in assisting suicidal persons, but how routine interactional procedures impact their implementation has not yet been sufficiently examined. Aim: This paper investigates how routine interactional procedures impact the effectiveness of crisis negotiation techniques in an emergency services call involving a suicide announcement. Methods: A publicly released emergency service call was transcribed and analyzed using the qualitative technique of conversation analysis. Results: The call taker used crisis negotiation techniques such as maximizing autonomy, displaying active listening, and distracting the caller to keep them on the phone. These techniques were implemented successfully …


Promoter Or Barrier? Assessing How Social Media Predicts Covid-19 Vaccine Acceptance And Hesitancy: A Systematic Review Of Primary Series And Booster Vaccine Investigations, Christopher J. McKinley, Yam Limbu 2024 Montclair State University

Promoter Or Barrier? Assessing How Social Media Predicts Covid-19 Vaccine Acceptance And Hesitancy: A Systematic Review Of Primary Series And Booster Vaccine Investigations, Christopher J. Mckinley, Yam Limbu

College of Communication and Media Scholarship and Creative Works

Abstract

Rationale

Prior research indicates that social media is primarily a negative contributor to Covid-19 vaccine outcomes.

Objective

The current systematic review of Covid-19 primary series and booster vaccine investigations provides a more nuanced and comprehensive assessment of this association by exploring a) how distinct social media judgmentsand actions predict different vaccine-related outcomes - perceptions and intentions/uptake, b) both primary series and booster findings, c) types of social media, and d) comparisons across different populations.

Method

We conducted a systematic reviewof published research examining the link between social media and COVID-19 vaccine outcomes – judgments, intentions, and uptake. …


Improving Spiritual Care Competency Among Intensive Care Unit Nurses: Promoting Holistic Patient Care Towards End-Of-Life, Joanne Nguyen, Dana Bagis 2024 Dominican University of California

Improving Spiritual Care Competency Among Intensive Care Unit Nurses: Promoting Holistic Patient Care Towards End-Of-Life, Joanne Nguyen, Dana Bagis

Nursing | Senior Theses

Intensive care unit (ICU) nurses play a crucial role in providing physiological stabilizing care in a dynamic and fast-paced environment, often marked by constant changes and variability in complex patients. Despite their specialization, the aspect of spiritual care tends to be overlooked, particularly in the context of end-of-life care. This is significant because previous studies have shown that a lack of spiritual care leads to poorer health outcomes, decreased coping, increased depression, and diminished quality of life for patients. This research proposal aims to investigate the spiritual care competency among ICU nurses who partake in spiritual care-based training, with the …


“Share The Fear”: Communication Concerns Of Parents With Cancer With Dependents And Coparents: A Qualitative Needs Assessment Study, Cinzia Caparso, Zoe Bowen, Sung Won Choi 2024 University of Michigan School of Nursing, Ann Arbor, MI

“Share The Fear”: Communication Concerns Of Parents With Cancer With Dependents And Coparents: A Qualitative Needs Assessment Study, Cinzia Caparso, Zoe Bowen, Sung Won Choi

Nursing Faculty Research Publications

Background: The estimated 1.6 million adults in the United States with cancer who also have dependents face unique challenges given the profound impact of cancer on their families, such as increased psychological distress, decreased quality of life, and altered family functioning. Unfortunately, little is known about the mutual cancer-related communication concerns for the perspectives of the parents with cancer or the coparents. Coparents care for the patient and dependents until they reach adulthood (e.g., unmarried, divorced, stepparent, and/or same-sex partnerships).

Objective: To understand the mutual cancer-related communication concerns from the perspectives of parents with cancer and the coparents and intervention …


The Study Of Baby Boomers And Generation Z’S Attitudes Towards Generational Mental Health Dynamics, Regina M. Luttrell Ph.D., Hunter Harpin, Emma Grace Reville, Yunxiang Yu, Abagail Sweeney 2024 Syracuse University

The Study Of Baby Boomers And Generation Z’S Attitudes Towards Generational Mental Health Dynamics, Regina M. Luttrell Ph.D., Hunter Harpin, Emma Grace Reville, Yunxiang Yu, Abagail Sweeney

Real Chemistry Emerging Insights Lab

The purpose of this research is to compare and contrast how different historical events have impacted Generation Z members’ and the Baby Boomers’ attitudes towards mental health and how those attitudes have guided members of these generations to feel about medical experts and the technology that they use to deliver their services in the post-COVID era. Studying these topics allows our group to make recommendations as to how medical experts should go about interacting with members of the Generation Z and Baby Boomer generations respectively, based on how historical events have influenced their attitudes towards mental health topics, their perceived …


Examining Connectivity And Mental Health Amongst Generation Z And Millennials, Regina M. Luttrell Ph.D., Alexandra Hosilyk, Nyah Jones, Grace Kos-Dondlinger, Runchu Lang, Katerina Miller 2024 Syracuse University

Examining Connectivity And Mental Health Amongst Generation Z And Millennials, Regina M. Luttrell Ph.D., Alexandra Hosilyk, Nyah Jones, Grace Kos-Dondlinger, Runchu Lang, Katerina Miller

Real Chemistry Emerging Insights Lab

The Real Chemistry Emerging Insights Lab tasked our research team to develop findings based on two generational cohorts and mental health. Our team decided to research Millennials and Generation Z in relation to their mental health and connectivity habits. In addition to these general topics, we analyzed how remote work, the COVID-19 pandemic and U.S. political turmoil have played a role in the mental health status of these two generational cohorts.

The Millennial generational cohort is defined as individuals born from 1981 to 1996. The Generation Z generational cohort is defined as individuals born from 1997 to 2012. In order …


Relationship Between Fentanyl Misinformation And College Students' Intentions To Administer Naloxone, Zoe Ryon 2024 University of Central Florida

Relationship Between Fentanyl Misinformation And College Students' Intentions To Administer Naloxone, Zoe Ryon

Honors Undergraduate Theses

Background: The news media has spread misinformation about the toxicity and potency of fentanyl, exaggerating the extent to which bystanders could be harmed by fentanyl when responding to overdose situations. College students are increasingly among the victims of opioid overdose, and their peers may be the nearest person capable of administering naloxone – an overdose reversal medication. However, college students who fear incidental exposure to fentanyl may be worried about administering naloxone.

Objective: I sought to understand the relationship between undergraduate college students’ perceptions of the risks of fentanyl and their intentions to administer naloxone in an overdose situation.

Methods: …


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