Matching Items (15)
Description
The purpose of the study was to explore students' writing abilities throughout the online RN-BSN program at a large urban university in the Southwest. The aims of the study were: 1) explore how students' writing abilities, confidence in writing, and ability to locate resources change throughout the online RN-BSN program, 2) identify which aspects of writing students consider to be their strengths and/or challenges, and 3) explore which factors predict how well students write, their confidence in writing, and their ability to locate resources. After obtaining IRB approval, an invitation to participate in the study was sent to students enrolled in four different courses within the RN-BSN program. Students who chose to participate completed a 16-item questionnaire in which they rated their writing abilities, confidences, and skills, indicated strengths and challenges in their writing, and skills in locating evidence-based resources. An improvement was noted in students' self-rated academic writing confidence, professional writing confidence, internet reference skills, and library reference skills. The number of years as a registered nurse predicted overall writing ability and academic writing confidence.
ContributorsCoons, Janae (Author) / Stevens, Carol (Thesis director) / Sanborn, Heidi (Committee member) / Todd, Michael (Committee member) / Arizona State University. College of Nursing & Healthcare Innovation (Contributor) / Barrett, The Honors College (Contributor)
Created2018-05
Description
According to the CDC, over 1/3 of Americans are considered obese (CDC, 2015). Being overweight makes individuals at high risk for developing countless diseases that lead to premature death. Most of these diseases are preventable with healthy weight attained by nutritious diet and regular exercise. People living in food deserts such as Harmon have limited access to healthy food options. Access to supermarkets and nutritious foods is connected to healthy body weight and decreased obesity while increased access to convenience stores is connected to increased obesity rates (Beaulac et al., 2009). A survey was formulated for residents of the Harmon community to better understand their food preferences, limitations, and needs. The results gathered from the survey indicate that people in Harmon have a desire to eat healthfully, but there are barriers such as access and price of food that limit their ability to make smart food choices. The survey results also suggest that there is a potential lack of understanding regarding nutrition and what healthful eating actually means.
ContributorsGibson, Lindsay Ilana (Author) / Sanborn, Heidi (Thesis director) / Calvin, Samantha (Committee member) / School of Human Evolution and Social Change (Contributor) / School of Life Sciences (Contributor) / Barrett, The Honors College (Contributor)
Created2016-05
Description
My thesis aims to examine how partisan politics and politicization of women’s health issues adversely impacts the health and wellbeing of women. I will explore this topic within the broader context of partisanship, morality, feminism, and social justice in an attempt to dissect the arguments propagated by both the pro-life and pro-choice spheres. Political polarization results in limitations for reproductive health resources for women, particularly low-income and minority women who rely on government-funded healthcare to meet their needs. Moreover, reducing women’s healthcare decision-making opportunities not only has a destructive impact on their health and financial security, but also poses significant human rights implications concerning bodily autonomy and gender equality. Through the literature review, I intend on highlighting the role of conservative politics in diminishing available services, to the detriment of women, particularly low-income and marginalized women. I plan to demonstrate this hypothesis through a literature review, analysis of Roe v. Wade, and a review of the historical trajectory that illuminates factors related to the availability and accessibility of reproductive resources. Lastly, I will critique the political narratives pushed by both liberal and conservative media and highlight the need for a comprehensive reproductive justice framework for achieving positive SHRH outcomes.
ContributorsNguyen, Christy (Author) / Sullivan-Detheridge, Julie (Thesis director) / Ochieng, Judith (Committee member) / Edson College of Nursing and Health Innovation (Contributor) / Sanford School of Social and Family Dynamics (Contributor) / Barrett, The Honors College (Contributor)
Created2021-05
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
Lack of prenatal care or delayed onset of prenatal care has been shown to demonstrate poor health outcomes such as pre-term delivery for pregnant women and/or low-birth weight for their babies. A community-based pregnancy center’s lack of a process improvement plan for increasing engagement with their online educational classes results in patients not receiving the benefits of prenatal care resources intended to improve their pregnancy health outcomes. Community-based pregnancy centers, bridge the gap for vulnerable populations by offering needed prenatal care and resources in local communities. Incorporation of social media, two-way text messaging and mobile phone applications for patient engagement are low-risk, low-cost interventions that could be timely and measurable components of a process improvement plan to ensure continued prenatal care. This paper critically appraises and synthesizes evidence-based research related to interactive communications on patient engagement. The evidence synthesis guided the development of an intervention piloting a texting service to send clients two-way messages. Increased engagement with the Center’s educational programs was evaluated by tracking class registrations, text responses, opt out rates and usage of the material resource program. Clients’ perception of confidence in problem-solving will be assessed pre- and post-implementation of texting.
ContributorsHodge, E. Mary (Author) / Sanborn, Heidi (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
Purpose: Patient portals are widely available online applications with many health-related tools that facilitate patient engagement and enhance communication with providers yet are highly underutilized. The purpose of this evidence-based practice (EBP) project was to explore an English and Spanish patient portal educational video's impact on patient engagement in a Federally Qualified Health Center (FQHC). The social cognitive theory underpins the project because patients' portal use behavior can change if changing their environmental factors in the clinic with educational videos.
Methods: The Universities Institutional Review Board granted exempt approval to ensure human subject protection. The participants included bilingual adult patients in an FQHC who have access to the internet and email addresses who visited the center during the implementation period. The tablets in the patient rooms displayed the English and Spanish educational video on step-by-step instructions on accessing, using the patient portal, and the benefits of use. The information technology technician pulled aggregate data from the analytics component of the patient portal before and after the four-week implementation period. The data included total number of clinic patients, number of active portal users, number of monthly logins, and gender. The project facilitator used descriptive statistics to compare pre-and post-intervention analytics. Results: Active portal users increased by 0.22% and monthly logins increased by 390 logins.
Only aggregate data was collected so the statistical significance was not calculated. Conclusion: This EBP project enhances knowledge on patient portal utilization's impact on patient engagement and may apply to current practice.
ContributorsHerrera, M. Sara (Author) / Ochieng, Judith (Thesis advisor) / Arizona State University. College of Nursing & Healthcare Innovation (Contributor)
Created2022-04-29
Description
Background: Vaccination is an effective public health tool; however, immunization rates are low in American adults, with disparities existing for Hispanics compared to non-Hispanic Caucasians, uninsured individuals, undocumented immigrants, and low-income individuals (Lu et al., 2014; Lu et al., 2015; Williams et al., 2016). Consequently, 42,000 adults still die each year in the United States (US) from vaccine-preventable diseases, and nine billion dollars are spent on associated healthcare costs and lost productivity (ADHS, 2015; Wilson et al., 2019). To improve adult vaccination rates, the National Vaccine Advisory Committee recommends the Standards for Adult Immunization Practices, including regular assessment, recommendation, delivery or referral, and documentation during follow-up on vaccination (Orenstein et al., 2014; CDC, 2016).
Local problem: A free clinic in Arizona serving uninsured, undocumented Latin American immigrants had low vaccination rates and a deficiency in vaccination documentation in electronic medical records.
Methods: An evidence-based quality improvement project was conducted to address low vaccination rates and provider practices using a multi-component intervention. The effect and usage were evaluated through chart audits and pre- post-intervention surveys.
Interventions: A vaccination questionnaire was administered at all in-person primary care visits. Brief educational videos were provided to providers and office staff before the intervention addressing the questionnaire's use, purpose, and goals. Adult immunization schedule printouts were made available in all patient rooms and provider charting areas. Additionally, a resource sheet on local free immunization programs was created for providers and patients.
Results: The intervention's effect was unable to be determined due to a breakdown in the protocol after the second week of implementation. However, 92% of completed questionnaires reviewed indicated the patient needed one or more vaccination. Sixty-five percent of electronic medical records reviewed had no vaccination documentation historically for assessment, recommendation, referral, follow-up, or scanned vaccination records. No charts reviewed had these areas documented regularly.
Conclusion: Vaccination rates and the Standards of Adult Immunization Practices are low at the free clinic. Further quality improvement measures are indicated addressing barriers present.
ContributorsDukes, Alyssa (Author) / Ochieng, Judith (Thesis advisor) / Arizona State University. College of Nursing & Healthcare Innovation (Contributor)
Created2021-04-27
Description
Objective: Mental health illnesses are complex conditions that afflict many university students. International students are uniquely vulnerable to these conditions due to challenges such as adjusting to the new environment and culture of American universities. They are also less likely than domestic students to receive mental health services. Research indicates that there are obstacles for international students when it comes to seeking mental health services, but these obstacles are typically over-generalized and less applicable to each specific university setting. The purpose of this paper was to assess the barriers in seeking mental health services by international students. Participants: International students at a large university located in Southwestern United States. Students 18 years of age or older, enrolled as an international student, proficient in English, exhibiting mental health symptoms, and refusal of primary care physician’s referral to mental health services. Method: Physicians at Health Services verbally recruited the participants during routine visits. Participants did not provide any personal information, and completion of the questionnaire indicated their consent. This project was guided by the model of mental health help-seeking, where a questionnaire was administered to students, allowing them to identify what specifically prevents them from receiving mental health services.
Result: Due to the COVID-19 pandemic, only 1 questionnaire was completed, but it was rejected as it was filled by domestic student. Conclusion: The data gathered through this questionnaire was intended to be provided to university healthcare providers to better understand how they can connect with international students with mental health concerns.
ContributorsSaqib, Syed (Author) / Ochieng, Judith (Thesis advisor) / Arizona State University. College of Nursing & Healthcare Innovation (Contributor)
Created2021-04-27
Description
The health care industry increasingly recognizes interprofessional collaboration (IPC) as the key to optimizing delivery of care, and interprofessional education (IPE) has been the foundational method for building IPC. When IPC is examined, leadership skills of the practitioners are often seen as a positive force for optimizing team performance. This project aimed to deliver an education session sharing interprofessional leadership (IPL) competencies and the effect they may have on attitudes toward IPC. A pilot was designed for a single site, a student run clinic in a large city in the Southwest United States, which serves as a learning laboratory to help future health practitioners grow IPC skills through effective and innovative IPE. A search of the available evidence supporting this project revealed that educational activities delivered to practitioners can build the leadership skills seen in effective IPC.
During the Fall 2017 semester, the education sessions were delivered to student practitioners at the clinic during their semester-long rotation. The University of the West of England Interprofessional Questionnaire, designed to measure self-assessment of attitudes toward collaborative learning and collaborative working, was deployed at the beginning and end of a semester-long rotation to all students working at the clinic to look for changes. A low sample size limited results to assessment of clinical significance, but showed some changes that could be significant if the project continues. Clinically significant changes show an increase in students’ rating of their own skills and preferences toward interprofessional practice. In keeping with the learning laboratory model at the clinic, these outcomes support continued delivery and examination of the education model with subsequent clinic rotations to strengthen the conclusions being drawn from the results.
ContributorsSanborn, Heidi (Author) / Kenny, Kathy (Thesis advisor)
Created2018-04-30