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The Doctor of Nursing Practice Final Projects collection contains the completed works of students from the DNP Program at Arizona State University's College of Nursing and Health Innovation. These projects are the culminating product of the curricula and demonstrate clinical scholarship.

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College of Nursing and Health Innovation
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Data Management and Technology Avoidance in a Free Clinic

Description
Capturing and presenting high-quality data can be challenging for free clinics due to lack of resources and technology avoidance. If free clinics are unable to present impactful data to current and potential donors, this may limit funding and restrict care provided to underserved and vulnerable populations. The following is a…

Capturing and presenting high-quality data can be challenging for free clinics due to lack of resources and technology avoidance. If free clinics are unable to present impactful data to current and potential donors, this may limit funding and restrict care provided to underserved and vulnerable populations. The following is a quality improvement project which addresses utilization of information systems within a free clinic. For one month, volunteer providers completed appointment summary forms for each patient seen in the clinic. Electronic form submissions (E=110) were compared to paper form submissions (P=196), with quality of data determined by form completeness scores. Welch’s t-test was used to determine statistical significance between electronic and paper form completeness scores (E=9.7, P=8.5) (p < .001). Findings suggest that utilization of electronic data collection tools within a free clinic produce more complete and accurate data. Barriers associated with technology utilization in this under-resourced environment were substantial. Findings related to overcoming some of these barriers may be useful for future exploration of health information technology utilization in under-resourced and technology avoidant settings. Results warrant future investigation of the relationship between quality of free clinic data, information management systems, provider willingness to utilize technology and funding opportunities in free clinics.
ContributorsCorcoran, Abigail T. (Author) / Thrall, Charlotte (Thesis advisor) / Arizona State University. College of Nursing & Healthcare Innovation (Contributor)
Created2021-04-24

Health Promotion Education for Overweight and Obesity in Adults with Endocrine Disorders

Description

Purpose: The purpose of this project was to implement health promotion education for overweight and obese adults with endocrine disorders. The overarching goal was to change dietary intake and improve exercise to reduce the incidence, prevalence, and impact of comorbidities associated with obesity.

Background/Synthesis: Obesity is a significant epidemic facing the…

Purpose: The purpose of this project was to implement health promotion education for overweight and obese adults with endocrine disorders. The overarching goal was to change dietary intake and improve exercise to reduce the incidence, prevalence, and impact of comorbidities associated with obesity.

Background/Synthesis: Obesity is a significant epidemic facing the nation today with multiple impacts on the national healthcare system. There is often an association between obesity and endocrine disorders such as type 2 diabetes and prediabetes. Both obesity and diabetes cost the nation billions of dollars annually in healthcare costs. Evidence shows that lifestyle modifications related to nutrition and physical activity are effective in weight reduction and prevention of chronic disease, especially when given by a healthcare provider.

Methods: Fifteen adult patients at an endocrinology office in Arizona received individual counseling using the teach-back method focusing on health promotion behaviors through nutrition and exercise with a two-week follow-up phone call. Short-term outcomes measured in this project included changes in dietary intake and exercise behaviors through a pre- and post-test adapted from an obesity-screening tool developed by Greenwood et al. (2008).

Outcomes/Results: Participants were primarily Caucasian and Hispanic, married, female, average age of 50 years, average BMI of 34.5, and some college education. There was a statistically significant increase in health promoting behavior on posttest scores (M=66, SD=6.23, range=58-76) compared to pretest scores (M=61, SD=4.72, range=50-66), t(14)=-2.55, p=0.023.

Conclusions and Implications: Overall, patient health promotion behaviors increased with this educational intervention. Clinical implications include a potential decrease in patient comorbidities related to overweight and obesity. Implications for the greater healthcare system include decreased comorbidities, utilization of healthcare resources, and costs associated with overweight and obesity. Future recommendations would include determining weight and BMI changes over a longer period of time for even better outcome measures.

Keywords: obesity, obese, overweight, health promotion, health education, diet, exercise, nutrition
ContributorsDeVeau, Kristina (Author) / Velasquez, Donna (Thesis advisor)
Created2016-05-06