Matching Items (105)
Description
The national average of children aged 19-35 months receiving all recommended vaccines was under 75 percent for the year 2014. In Arizona the average was 65.1 percent, ranking them as 46th in the nation. Language, availability and education are all barriers affecting the rates in Arizona. Appropriate education has the biggest impact on vaccination rates in Arizona. A review of resources available in Arizona was conducted and presented for parents of children in need of the vaccines. A poster designed to educate the population and promote vaccinations was created and distributed to the Maricopa County Department of Public Health and Mayo Clinic Hospital as well.
ContributorsBandi, Miranda Christina (Author) / Sutter, Kimberlee (Thesis director) / Barnum, Leslie (Committee member) / Arizona State University. College of Nursing & Healthcare Innovation (Contributor) / Barrett, The Honors College (Contributor)
Created2016-05
Description
The stigma associated with mental illness has been and continues to be a considerable issue of concern in the care of persons with mental illness. Stigma affects not only those with mental illness, but also their families, healthcare personnel, the social community, and policy formation. Common themes of stigma associated with mental illness are fear, social rejection, stereotyping, negative impact, and a lack of knowledge and awareness of mental illness. Despite a more accurate understanding of mental illness, stigma still exists. Interventions to help reverse the stigma associated with mental illness include education, awareness and an environment of inclusion. Toward this end, a PowerPoint presentation will be gifted to Arizona State University College of Nursing to be shown during the psychiatric mental health rotation outlining mental illness and stigma, and what nurses and future nurses can do to combat this stigma.
ContributorsParsons, Chelsey (Author) / Fargotstein, Barbara (Thesis director) / Hosley, Brenda (Committee member) / Sayles, Judy (Committee member) / Barrett, The Honors College (Contributor) / Arizona State University. College of Nursing & Healthcare Innovation (Contributor)
Created2014-12
Description
In the United States, more than 22 million people are estimated to be affected by the chronic illness, asthma (American Lung Association [ALA], 2014). Of those 22 million, approximately 7.1 million are children (ALA, 2014). An important factor in trying to curb the frequency of asthma attacks is education. Particular elements of asthma education include symptom recognition, self-management skills, correct administration, and understanding how medications are used to control asthma. A review of the literature shows that multimedia education holds some promise in increasing asthma-knowledge retention. This creative project involved the creation of an asthma-education video with a concomitant asthma-education comic book. Of the two creations, the asthma-education video was used in a former Doctorate of Nursing Practice (DNP) student’s study to supplement a session at a clinic with an asthma educator. The tools included in the study, the Asthma Medication Use Questionnaire (Moya, 2014) and the Asthma Control TestTM (ACTTM; QualityMetric Incorporated, 2002), were completed by the participants prior to and after the implementation of the session that incorporated the video. The results suggested that the video had an effect on asthma control as measured by the ACTTM (QualityMetric Incorporated, 2002), but not on daily preventative asthma inhaler usage as measured by the Asthma Medication Use Questionnaire (Moya, 2014). The comic book has not been evaluated yet. Both multimedia education tools—the comic book and the video—were created as a requirement for the Barrett thesis.
ContributorsVanhkham, Sophia (Co-author) / Wells, Amanda (Co-author) / Stevens, Carol (Thesis director) / Vana, Kimberly (Committee member) / Barrett, The Honors College (Contributor) / Arizona State University. College of Nursing & Healthcare Innovation (Contributor) / Department of English (Contributor) / School of Art (Contributor)
Created2015-05
Description
Mentorship is important to learning because it provides a frame of reference and the guidance necessary to succeed for those who are inexperienced. The purpose of this study was to explore the impact of a one-semester mentorship program for freshman Barrett nursing students. Specifically, it was hypothesized that freshman Barrett nursing students (mentees) would experience higher levels of confidence as they enter their second year. With improved confidence and better preparation in handling stress, freshman Barrett students are more likely to stay in the Barrett program throughout their time at a university in the southwestern United States. The mentorship program included freshman Barrett students pursuing a degree in nursing as the mentees and Term 8 (senior) Barrett Nursing students as the mentors. The mentorship program supported freshman students in reaching out to their mentors for study tips, class advice, homework help, and use them as a general resource throughout the application process. Quantitative data was collected in a pre- and post-survey in order to analyze the confidence scores of mentors and mentees. The survey asked participants questions regarding their level of self-confidence and asked them to rank their responses on a Likert scale with 1 being strongly disagree and 5 being strongly agree. The results showed that confidence levels based on the quantitative data either stayed the same or was improved in every participant. Specifically, there were multiple statistically significant findings based on the paired t-tests that were run. Findings suggest the mentorship program improved the confidence levels in both freshman Barrett students and their Senior mentors.
ContributorsZurbriggen, Abigail Marie (Author) / Quillman, Jill (Thesis director) / Stevens, Carol (Committee member) / School of Nutrition and Health Promotion (Contributor) / Barrett, The Honors College (Contributor)
Created2018-12
Description
This project focused on determining the nursing influences on first-time mothers during labor. Postpartum women at a local hospital participated by completing a reliable and valid questionnaire to rate the importance of specific nursing supportive behaviors during their labors. The data gathered from this research will provide insight to labor and delivery nurses about how to best care for their patients' emotional, physical, and informational needs
ContributorsKinney, Meghan Marie (Author) / Floegel, Theresa (Thesis director) / Jasper, Marcia (Committee member) / Barrett, The Honors College (Contributor) / Arizona State University. College of Nursing & Healthcare Innovation (Contributor)
Created2013-12
Description
This past summer, I met a young lady named Ashley (name has been changed) who has been diagnosed with chronic Lyme disease. Upon researching this condition in greater detail, I learned that many medical providers who base their practice on the best evidence do not support treating patients for a chronic Lyme infection, the existence of which has not been substantially supported with research. I inquired about the process that led her to seek treatment for chronic Lyme disease at Jemsek Specialty Clinic. I learned that after many inaccurate diagnoses and years of unhelpful treatments, Ashley finally rejected the help offered by traditional medical doctors because she felt they were uncaring and inattentive, and went somewhere she felt heard. What she deserved, however, was both care that was based in scientific research and care that felt compassionate, as has been promoted by the nursing field. Despite the lack of a confirmed medical diagnosis, Ashley's day to day symptoms and struggles could be addressed with nursing care. I then constructed a nursing care plan to be implemented by Ashley's family and friends to help her feel her best and live a fulfilling life despite chronic disease. Patients should not have to choose between a healthcare provider who utilizes the strongest scientific evidence and one they feel understands them, though many do. Nursing can unite these mindsets by alleviating the daily challenges patients face. Please see the website http://careplanforashley.blogspot.com
ContributorsKnochel, Amanda Marie (Author) / Panchmatia, Bella (Thesis director) / Mishark, Kenneth (Committee member) / Barrett, The Honors College (Contributor) / Arizona State University. College of Nursing & Healthcare Innovation (Contributor)
Created2014-05
Description
As the complexity and severity of hospitalized patients increase, nurses working in an acute care setting will experience patient deaths. From novice to expert, nurses may utilize a range of coping strategies. When the patient is a pediatric patient, the coping strategies become critical. The purpose of this study is to explore the coping strategies used by novice and expert nurses when a pediatric patient dies. The second objective is to compare the coping strategies used by novice and expert nurses. The final objective is to determine if nurses feel nursing school and employee training prepared them for the death of a pediatric patient. Research has shown that nurses use many different coping strategies when faced with a patient's death (Abdullah, 2015; Kellogg, Baker, & McCune, 2014; Plante & Cry, 2011). Expert nurses who have years of experience should have more options for coping strategies than novice nurses, yet there is little evidence to support this. This qualitative descriptive study used structured in-depth interviews to explore the coping strategies of pediatric nurses when experiencing a patient's death. Using thematic analysis, transcripts of the interviews were coded such that themes emerged. Themes for novice nurses were compared to expert nurses. These themes were also placed into concepts that encompassed many similar themes. The findings help determine that there is a difference in the coping mechanisms used by novice and expert nurses, and there is a need for more education on coping strategies after the death of a pediatric patient.
ContributorsSummers, Amanda Justina (Author) / Stevens, Carol (Thesis director) / Beals, Jacquelin (Committee member) / Arizona State University. College of Nursing & Healthcare Innovation (Contributor) / Barrett, The Honors College (Contributor)
Created2017-05
Description
Falls are a leading cause of disability in the older population. In hospitalized patients, falls account for approximately 11,000 annual deaths in the U.S. (JCO, 2014). Falls can occur for a complexity of reasons. Orthostatic hypotension (OH), the change of blood pressure with position changes, is common amongst the elderly. Some believe that because of orthostatic symptoms, such as dizziness, change in vision, and vertigo, a patient is at higher risk for falling. However, the actual relationship of orthostatic hypotension to falls is uncertain. This project involves reviewing credible research studies to determine whether identifying positive orthostatic results in the elderly is an effective method for predicting a fall. The goal of this research is to apply the findings to the current method of Fall Risk evaluation in the Phoenix VA Medical Center (PVAMC) inpatient units. The consensus from the five research studies that were reviewed is that orthostatic hypotension is not a reliable predictor of falls in the elderly. These findings lead to the recommendation of utilizing the Morse Fall Scale as an evaluation tool for fall risk level. A comprehensive, individualized assessment to assess the risk of falls and complementary interventions is also recommended for a hospitalized patient. It is further suggested that a committee be formed to alert the appropriate staff of the designated Fall Risk level when utilizing the Computerized Patient Record System (CPRS) at the PVAMC. Proper evaluation of fall risk in hospitalized patients is critical in the prevention of falls and in providing high quality care.
ContributorsPalos, Elizabeth (Author) / Butterbaugh, Karen (Thesis director) / Paige, Leslie (Committee member) / Arizona State University. College of Nursing & Healthcare Innovation (Contributor) / Barrett, The Honors College (Contributor)
Created2017-05
Description
Spirituality is of paramount importance in end of life care yet this aspect of care is frequently unrecognized. Spiritual and religious needs are often not accurately assessed or understood. This study sought to investigate Christian end of life beliefs and needs. A qualitative study design was used to explore end of life beliefs and needs of members from a non-denominational Christian church who self-declared their Christianity. A 10-item Assessment Tool on end of life needs and beliefs was created by this investigator and used in the study (Appendix 1). A total of 14 participants were interviewed. Notes and audio recordings were taken and later transcribed and analyzed using thematic analysis including an open analysis and an axial analysis of the data. The open analysis identified trends and common concepts which were then categorized into broader themes during the axial analysis. Findings included several major themes that described the Christian population's end of life needs and beliefs. The major themes identified included: trust in God, beliefs about necessity of religious practices, lack of fear of death, similarities in religious rituals and practices, and a desire for quality of life. During a statistical analysis, findings revealed that 86% believed that pain and suffering should be treated and prevented. One hundred percent (100%) of the participants reported that their faith helped with their acceptance of death. An additional 64% stated that they did not fear death. The findings in this study can improve religious and cultural awareness for nurses and others in the healthcare field.
ContributorsStosz, Caroline Kelley (Author) / Rennell, Nathalie (Thesis director) / Stevens, Carol (Committee member) / Murphy, Ana Orrantia (Committee member) / Arizona State University. College of Nursing & Healthcare Innovation (Contributor) / Barrett, The Honors College (Contributor)
Created2017-05
Description
Post-traumatic stress disorder is prevalent in refugees. The population of refugees in the United States is continuing to increase, of which the majority of the incoming refugees are children. A more comprehensive approach is needed to assess children for PTSD. This creative project involved reviewing existing literature on refugees in the United States, child refugees, Erik Erikson's stages of psychosocial development, and available and applicable PTSD assessment tools. I developed a reference chart that compared the available assessment tools. I recognized that a PTSD assessment tool for refugee children does not exist. In response, I created an approach to assessing PTSD in refugee children ages 5-12. In creating this toolkit, I determined who is appropriate for administering the assessment, discovered how to create trust between the clinician and the child, created the assessment tool, including implementation instructions, and then provided directions on scoring and referrals. The tool itself is called the Child Refugee PTSD Assessment Tool (CRPAT-12). The creation of the CRPAT-12 will hopefully be disseminated and will encourage refugee resettlement organizations to assess children for PTSD upon intake. Early identification of symptoms of distress will help the child receive the appropriate treatment and will help prevent more extreme mental health complications.
ContributorsBuizer, Danyela Sutthida (Author) / Walker, Beth (Thesis director) / Stevens, Carol (Committee member) / Arizona State University. College of Nursing & Healthcare Innovation (Contributor) / Barrett, The Honors College (Contributor)
Created2017-05