Programs and Communities
The collection collates collections by schools, centers, programs, and research groups.
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- All Subjects: Diabetes Mellitus
- All Subjects: Nurse practitioners
- Creators: Arizona State University. College of Nursing & Healthcare Innovation
Description
While the COVID-19 pandemic continues to evolve, America’s nursing work force continue to work in the most challenging of circumstances. While expected to hold the fort and continue on, deep inside, they bury an unprecedented level of acute stress, anxiety and depression. Peer support groups have been posed as a possible coping behavior. This cross-sectional designed project was developed to assess the worth and feasibility of a virtual peer support group with a focus on healthcare provider wellness during a period of surge of the COVID-19 pandemic. Overwhelmed staff, technology/documentation changes and challenges, competing clinical demands, short-staffing and Zoom fatigue were identified as the limiting factors for this project’s completion within its given timeframe. These findings informed of current barriers, providing a basis for future program development to mitigate the impact of psychological distress among healthcare providers. Evolving literature on this topic supports recommendations for further study and action by individual health care providers, organizations and at the state and national levels.
ContributorsClark-Deuel, Janna (Author) / Sanborn, Heidi (Thesis advisor) / Arizona State University. College of Nursing & Healthcare Innovation (Contributor)
Created2021-12-01
Description
Background: People with diabetes are at greater risk for comorbid cardiovascular disease, end stage organ damage, disability, and early death. There is substantial evidence that individualizing self-care education, such as eating a healthy diet, greatly improves diabetes management.
Objective: The purpose of this paper is to review the outcomes of a diabetes education program offered to underserved women in the Southwestern United States.
Methods: Four weekly nutrition classes were individualized and taught at a nonprofit organization in the southwest United States. Behavior change was measured using the Summary of Diabetes Self-Care Activities (SDSCA) tool. Classes were advertised via the center’s monthly class calendar and fliers. A total of nine participants (N=9) came to every class and took the SDSCA survey before and after class instruction.
Results: Descriptive statistics and two 2-tailed t-tests with the critical value set at p<0.05 were used for data analysis. The participants were Hispanic women, most between the ages of 40-49, and had an income between $0-14,000. The mean difference between the variables of both general diet and specific diet pre and post-tests were significantly different from zero. The assumptions of normality and homogeneity were met. The results of both two-tailed paired sample t-tests were significant suggesting the means of general and specific diet pre-tests were significantly lower than the means of the general and specific diet post-tests.
Discussion: The assumptions of normality and homogeneity were met and the results were significant. The pre-intervention scores for both categories were statistically significantly lower than the post-intervention scores for both categories. Thus, the desired outcome of helping clients within the organization modify, adapt, or change self-care behaviors related to diet was met.
ContributorsGandee, Marisol (Author) / Chiffelle, Rochelle (Thesis advisor) / Arizona State University. College of Nursing & Healthcare Innovation (Contributor)
Created2022-04-26
Description
Purpose & Background: Family Nurse Practitioner (FNP) residency programs are meant to ease providers' transition into practice, but there is limited evidence about their overall effectiveness and impact on provider satisfaction. When a FNP residency program in the Southwestern United States found they had high resident provider attrition rates, it prompted an investigation into current and past residents’ satisfaction levels.
Methods: Arizona State University’s (ASU’s) Institutional Review Board (IRB) and the project site’s review committee approved the project design for human subject protection. After approval, all current and past residents employed at the practice were e-mailed a link to SurveySparrow with the Misener Nurse Practitioner Job Satisfaction Scale (MNPJSS) and a demographic questionnaire in December 2021 and February 2022.
Results: Mean satisfaction scores indicated “minimally satisfied” overall. When satisfaction was compared over time using a two-tailed independent t-test for an alpha value of 0.05, p = 0.731, indicating no significant change in satisfaction over two months. Total satisfaction and subscales of satisfaction were divided by cohort, averaged, and compared on a Likert scale from “1” (Very Dissatisfied) to “6” (Very Satisfied). Current residents’ average satisfaction score was M = 3.77. They were most satisfied with challenge and autonomy, M = 4.28, and least with collegiality, M
= 3.26. Providers' one-year post-residency average satisfaction score was M = 3.98. They were most satisfied with benefits, M = 4.53, and least with time, M = 3.04. Providers' two-year post- residency average satisfaction score was M = 3.49. They were most satisfied with benefits, M = 4.56, and least with time, M = 2.90. Using Pearson Correlation tests there was no correlation between average satisfaction and average performance on Uniform Data Systems (UDS), r = 0.01, p = 0.968.
Conclusions: Overall providers were “minimally satisfied.” Opportunities to make program improvements were identified and could help improve retention and reduce costs and provider shortages.
ContributorsLuedtke, M. Erin (Author) / Ochieng, Judith (Thesis advisor) / Arizona State University. College of Nursing & Healthcare Innovation (Contributor)
Created2022-04-29
Description
Background: Type II diabetes mellitus (T2DM) is a growing issue globally. Social determinants of health (SDH) play a crucial role on patients’ outcomes and complications from the disease. Hispanics are twice as likely to suffer from T2DM when compared to non-Hispanic whites, and they often rely on federally qualified community health centers (FQCHC) for their medical needs. These centers are then faced with high volume of patients with high acuity, which leads to limited time and resources to provide diabetic education.
Methods: The Purnell model of cultural competence will be used as a framework to provide unbiased, culturally tailored (CT) education to improve patients’ outcomes. The advancing research and clinical practice through close collaboration (ARCC) model will be used as it focuses on evidence-based practice (EPB) implementation that is sustainable across the system.
Purpose: The purpose of this EBP project is to promote culturally tailored (CT) DSME at a low-income FQCHC in greater Phoenix to improve diabetes outcomes and decrease complications from the disease. Consequently, decreasing the costly effects of diabetes complications to patients, FQCHC, and the state of Arizona.
Conclusion: Evidence suggest that diabetes self-care management education (DSME) is successful, independent of the format of delivery, in improving diabetes outcomes and patients’ self-care. However, it is underutilized in the United States even though it is a covered Medicare service.
ContributorsDavis, Maria Regiane (Author) / Rauton, Monica (Thesis advisor) / Arizona State University. College of Nursing & Healthcare Innovation (Contributor)
Created2021-04-28