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Description
BACKGROUND: Strokes remain the number one cause of long-term disability in the United States. Delays in reperfusion after a stroke increase a patient’s risk for unfavorable outcomes. PURPOSE: The purpose of this project is to decrease the time from patient’s arrival to the emergency department (ED) to interventional radiology (IR) for mechanical thrombectomy intervention by educating nurses on how to identify IR-qualifying strokes using specific screening tools. Bandura’s self-efficacy theory will serve as an essential model to guide this project. METHODS: A PowerPoint presentation and brochure were distributed to all ED nursing staff via email at a large urban teaching hospital in the Southwestern United States. These documents discussed the vision, aphasia, neglect (VAN) and balance, eyes, face, arm, speech, time (BE-FAST) screening tools which have high rates of reliability and validity in detecting large vessel occlusions (LVOs) and posterior circulation strokes. Included was a 5-question survey to assess for completion of provided material. Data on the facilities door-to-interventional radiology (IR) times were collected for two months and compared to data from the previous two months prior to the intervention. IRB approval was obtained from the project site. RESULTS: Average door-to-IR times at project site decreased by twenty-eight minutes after ED nurses received stroke screening tool education. DISCUSSION/CONCLUSION: The ability to recognize stroke symptoms consistent with LVOs and posterior circulation strokes upon arrival to the ED allows for timely IR intervention which supports better patient outcomes.
ContributorsEaton, Summer (Author) / Denke, Nancy (Thesis advisor) / Arizona State University. College of Nursing & Healthcare Innovation (Contributor)
Created2022-04-29
Description
Objective: Chronic low back pain in adults is a global health and economic problem. Many with back pain experience compromised sleep. While Cognitive Behavioral Therapy (CBT) is a gold standard in improving sleep among individuals with pain, this approach requires trained staff. The sleep hygiene education and meditation techniques, components of CBT, were utilized in patients with chronic low back pain to improve sleep quality.
Methods: Twenty patients with chronic back pain volunteered to receive sleep hygiene education and meditation videos to practice for 12 weeks and participate in 4-weekly phone calls. Participants were assessed at baseline and post-treatment with the Pittsburgh Sleep Quality Index (PSQI). Participants were patients at a local pain clinic with chronic low back pain without untreated mental illness, sleep apnea, or restless leg syndrome. Informed consent was obtained from participants, along with demographic data. Participants received a brochure with education information to engage daily for 12 weeks. Participants were then contacted weekly by phone to review the learned information.
Results: 13 participants completed the post-intervention questionnaire (35 % attrition rate). Mean age was 55.15 yrs. and most were female (n=11). Paired t-test demonstrated that change in pre and post PSQI score, and Medication Use did not show statistical significance (p=0.372; p=0.502). However, Subjective Sleep Quality had clinical significance (p=.022) suggesting individuals thought their sleep have improved.
Discussion: Sleep hygiene education and meditation techniques is an approach for individuals considering non-invasive and cost-effective approach to improve sleep
ContributorsSong, Christine (Author) / Baker, Laurie (Thesis advisor) / Arizona State University. College of Nursing & Healthcare Innovation (Contributor)
Created2022-04-29
Description
Objectives: Asthma education is essential for every pediatric asthma management plan. This Doctor of Nursing Practice (DNP) Quality Improvement (QI) project, guided by the Social Cognitive Theory, aims to explore effective and innovative interventions for asthma management and determine if telehealth is an effective way to deliver asthma education to parents.
Methods: Parents (n = 5) of children with asthma at an urban pediatric primary care clinic were recruited to attend four weekly, 60-minute asthma education sessions over Zoom®. Participants were recruited with flyers and clinic referrals. Participants answered pre- and post-intervention online questionnaires following informed consent, including the Parental Asthma Management Self-Efficacy Scale (PAMSES), the Asthma Control Test (ACT), and a parent program evaluation. Paired sample t-tests were conducted to analyze data and measure mean differences in pre-and post-parent self-efficacy and asthma control in their child.
Results: The results include a statistically significant change in pre-intervention and post-intervention mean PAMSES scores. There was no significant difference between pre-intervention and post-intervention ACT scores; however, there was an increase in mean ACT scores from baseline.
Conclusions: Telehealth is a practical and cost-effective way to address gaps in asthma education and improve patient outcomes. The use of telehealth may be an effective way to address gaps in parent/patient education regarding the prevention of and management of asthma symptoms. Ongoing assessment is needed to evaluate if asthma telehealth education can be effective in other settings, languages, and age groups.
ContributorsFlores, M. Cynthia (Author) / Jacobson, Diana (Thesis advisor) / Arizona State University. College of Nursing & Healthcare Innovation (Contributor)
Created2022-04-29
Description
The purpose of this Doctor of Nursing Practice (DNP) project is to develop and implement a culturally tailored educational program into a community clinic in a northern border community in Mexico to prevent and combat childhood obesity. In Mexico, 33.2% of children are overweight or obese and numbers are continuing to rise, which has a significant impact on physical and psychological health and can lead to diabetes, fatty liver disease, thyroid disease, cardiovascular disease, cancer, depression, and other chronic diseases. Guided by Bandura’s theory of self-efficacy, weekly education sessions were delivered to members of the community clinic for two weeks. Content included both a nutrition component and an exercise component. An emphasis was made on increasing physical activity, increasing water consumption, decreasing sugar sweetened beverages, and increasing fruit and vegetable consumption. Videos were developed for each education session. Worksheets and handouts were developed to enhance learning and give participants a tangible reference for individual learning. Content was taken from the CDC and adapted to fit the needs of the community. All content was culturally tailored for low literacy levels and translated to Spanish. Knowledge, behavior change, and self-efficacy were measured by pre and post surveys. Self-efficacy showed statistically significant change from pre and post intervention. These findings suggest that healthy eating and exercise education can potentially increase knowledge, promote behavior change, and enhance self-efficacy, which can, in turn, prevent and combat childhood obesity and related disease states.
ContributorsBahena, Sara (Author) / Jacobson, Diana (Thesis advisor) / Arizona State University. College of Nursing & Healthcare Innovation (Contributor)
Created2022-04-26
Description
Purpose & Background: Serious mental illness among incarcerated people continues to rise within the United States. Correctional officers only receive an average of 13.54 hours of training in special populations, including the mentally ill (Kois et al., 2020). This lack of training leaves new correctional officers inadequately prepared to manage this population in prison. Education is a cost-effective modality to provide a long-term change of practice. Mental health education was provided to New Correctional Officers (NCOs) at a 2,000-bed facility in Southwestern United States during their initial correctional officer training. Internal permissions were granted by the prison internal review board (IRB) and the Arizona State University IRB.
Methods:NCOs (n = 7) were recruited and consented to participate in psychoeducation specific to mentally ill prisoners. Using an evidence-based curriculum developed by Dr. Dana Dehart at the University of South Carolina, NCOs participated in four (4) 1-hour long mental health trainings that were instructor led. Pre/Post assessment tools were completed using a 10-item trauma quiz and a 12- item Mental Health Knowledge Schedule (MAKS) scale assessing participant attitudes towards mental illness.
Results: Participants were primarily male (57 %), White (42%), with an average age range between 31-40 years old, and with a high school degree. Post intervention quiz and MAKS show improved knowledge for all subjects using both tools.
Discussion/Conclusion: This project highlights cost-effective training with significant preliminary results in reducing stigma towards the mentally ill in prison. Furthermore, this information justifies the support, development, and funding for increasing mental health training for correctional staff nationwide.
ContributorsVargas, Ramses (Author) / Baker, Laurie (Thesis advisor) / Arizona State University. College of Nursing & Healthcare Innovation (Contributor)
Created2022-05-07
Description
Substance use among adolescents is incessantly problematic, but its recent collision with a rising opioid epidemic has exponentiated deaths in this age group. Despite opioids being a major contributor, indications remain that adolescent prevention efforts should focus on total substance abstinence. Evidence consistently highlights adverse childhood experiences and mental dysfunction as the strongest predictors of youth substance use initiation, and parent-focused interventions as the most significant prevention model. Participants in this project included five parents, with a teen between 11 and 16 years of age, who had recently experienced homelessness or where currently living in a transitional shelter. Guided by the Transtheoretical Model, this project assessed the impact of an evidence-based parenting program among high-risk families. Participants completed the Teen Triple P Online program from home while receiving weekly text message support. Each parent completed a pre-and post- Conflict Behavior Questionnaire (r=.86) and Depression, Anxiety, and Stress Scale (r =.71–.81), and a Client Satisfaction Questionnaire. A two-tailed Wilcoxon signed rank test was performed on the matched pairs of pre- and post- measures with the mean scores compared. Though statistically insignificant results were yielded, this quality improvement project found a clinically significant decrease in conflict behavior and parental anxiety, depression, and stress after completing the Teen Triple P Online program. Participant satisfaction with the program and subsequent family improvements was also found. These results suggest that interventions that decrease family conflict and improve a parent’s mental health, directly impact major family factors that contribute to adolescent substance use and adverse childhood experiences. This project contributes to the evidence that positive parenting programs have an impact at the individual, family, and societal levels.
ContributorsAllen, L. Amber (Author) / Helman, Jonathan (Thesis advisor) / Arizona State University. College of Nursing & Healthcare Innovation (Contributor)
Created2022-05-01
Description
Informed by the CompuGirls program, the CompuPower: Technology and Leadership program curriculum uses culturally responsive education practices to foster student leadership and civic engagement through the exploration of technology. This program is a year-long, in-school, high school elective course that schools can offer to male and female students for Career and Technical Education (CTE) course credit.
ContributorsScott, Kimberly A. (Author) / Nkrumah, Tara (Author)
Created2020-06-05
Description
This packet includes:
2020 Bracket Common Name
2020 Bracket Latin Binomial
Pre-Tournament Research Lesson Plan (English)
Tournament Lesson Plan & Worksheets (English)
Visual Arts Lesson Plan (English)
Language Arts Lesson Plan (English)
2020 Bracket Common Name (Spanish)
Pre-Tournament Research Lesson Plan (Spanish)
Tournament Lesson Plan & Worksheets (Spanish)
ContributorsHinde, Katie (Author) / Schuttler, Stephanie (Author) / Henning, Charon (Illustrator) / Nuñez-de la Mora, Alejandra (Translator)
Created2020
Description
This packet includes:
2019 Bracket
Pre-Tournament Research Lesson Plan (English)
Tournament Lesson Plan & Worksheets (English)
ContributorsHinde, Katie (Author) / Schuttler, Stephanie (Author) / Henning, Charon (Illustrator)
Created2019
Description
‘Describing at Large Their True and Lively Figure, their several Names, Conditions, Kinds, Virtues (both Natural and Fanciful), Countries of their Species, their Love and Hatred to Humankind, and the wonderful work of Natural Selection in their Evolution, Preservation, and Destruction.
Interwoven with curious variety of Creative Narrations out of Academic Literatures, Scholars, Artists, Scientists, and Poets. Illustrated with diverse Graphics and Emblems both pleasant and profitable for Students of all Faculties and Professions.’
ContributorsHinde, Katie (Author) / Amorim, Carlos Eduardo G (Author) / Anderson, Chris (Author) / Beasley, Melanie (Author) / Brokaw, Alyson F (Author) / Brubaker-Wittman, Laura (Author) / Brunstrum, Jeff (Author) / Burt, Nicole M (Author) / Casillas, Mary C (Author) / Chen, Albert (Author) / Chestnut, Tara (Author) / Coffman, Robin (Author) / Connors, Patrice K. (Author) / Dasari, Mauna (Author) / Dietrick, Jeanne (Author) / Ditelberg, Connor Fox (Author) / Drew, Josh (Author) / Durgavich, Lara (Author) / Easterling, Brian (Author) / Faust, Kaitlyn (Author) / Gabrys, Jennifer (Author) / Haridy, Yara (Author) / Hecht, Ian (Author) / Henning, Charon (Author) / Hilborn, Anne W. (Author) / Janz, Margaret (Author) / Josefson, Chloe (Author) / Karlsson, Elinor K (Author) / Kauffman, Laurie (Author) / Kissel, Jenna (Author) / Kissel, Marc (Author) / Kobylecky, Jennifer (Author) / Krell, Jason (Author) / Lee, Danielle N. (Author) / Lesciotto, Kate M (Author) / Lewton, Kristi L (Author) / Light, Jessica (Author) / Martin, Jessica Leigh, 1991- (Author) / Moore, Rick (Author) / Murphy, Asia (Author) / Murphy, Kaitlyn (Author) / Nickley, William (Author) / Nuñez-de la Mora, Alejandra (Author) / Pellicer, Olivia (Author) / Pellicer, Valeria (Author) / Perry, Anali Maughan (Author) / Popescu, Jessica (Author) / Rocha, Emily (Author) / Rubio-Godoy, Miguel (Author) / Rudzis, Cyn (Author) / Sarma, Mallika (Author) / Schuttler, Stephanie (Author) / Sinnott, Madeline (Author) / Stone, Anne C. (Author) / Tanis, Brian (Author) / Thacher, Abbie (Author) / Upham, Nathan (Author) / Varner, Jo (Author) / Villanea, Fernando (Author) / Weber, Jesse (Author) / Wilson, Melissa A. (Author) / Willcocks, Emma (Author)
Created2023-11-06