Matching Items (15)

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The Role of the Nurse in Helping Hematopoietic Cell Transplantation Patients Cope with Emotional Distress: A Qualitative Approach

Description

Hematopoietic stem cell transplantation (HCT), a common treatment for various hematopoietic cancers, involves lengthy hospital stays as well as intensive chemotherapy prior to the transplant. Many patients exhibit clinically significant

Hematopoietic stem cell transplantation (HCT), a common treatment for various hematopoietic cancers, involves lengthy hospital stays as well as intensive chemotherapy prior to the transplant. Many patients exhibit clinically significant symptoms of depression, anxiety, or post-traumatic stress disorder (PTSD) after transplant, due to the demanding nature of the treatment process and the associated risks. However, little research has been done concerning how nurses' actions impact the emotional well-being of these patients; most studies lack evidence related to the nursing staff's precise role in this distressing situation. The purpose of this study was to explore, using a qualitative approach, participants' personal experiences with their nurses throughout all phases of treatment, focusing on interventions and actions nurses took to ease the participants' reported anxiety, depression, or PTSD symptoms. A convenience sampling method was used to recruit participants. Nine English-speaking individuals (M age = 55 years; 78% female; 67% allogeneic) from around the US were invited to participate in semi-structured in-depth interviews. Seven major themes emerged from the interviews: (1) support from nurse, (2) physical symptoms, (3) emotional/cognitive distress, (4) open/honest communication, (5) coping, (6) continuity of nurses, and (7) anticipatory guidance. Results indicated the need for heavy psychosocial support, informational support, and active listening from nurses. Implications for nursing practice included an increased need for education on the best timing for implementation of nurse-led interventions, as well as further investigation into strategies for nurses to provide optimal psychosocial care for HCT patients.

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Agent

Created

Date Created
  • 2017-05

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Comparative Nursing Education in the US and UK

Description

I conducted a qualitative, comparative study on the nursing education systems in the United Kingdom and the United States, focusing on two universities—Arizona State University in Phoenix, Arizona and Leeds

I conducted a qualitative, comparative study on the nursing education systems in the United Kingdom and the United States, focusing on two universities—Arizona State University in Phoenix, Arizona and Leeds Beckett University in Leeds, England. The goals of my thesis included comparing the educational, economic, and cultural aspects of the countries and how those aspects impact nursing students on both sides of the pond. The educational and economic aspects were compared by utilizing existing literature and open data sources such as the university websites and publications from comparative education journals, while the cultural differences were evaluated by conducting short, one-on-one interviews with students enrolled in the Adult Health courses at both universities. The findings from the interviews were transcribed and coded, and findings from the sites were compared. While there is an extensive amount of research published regarding comparative education, there has not been much published comparing these developed countries. While there is a significant difference in the structure and cost of the nursing programs, there are more similarities than differences in culture between nursing students interviewed in the US and those interviewed in the UK.

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Agent

Created

Date Created
  • 2016-05

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Type 1 Diabetes Diagnosis Experience in Individuals Aged 15 to 24 Years

Description

The purpose of the integrative review was to analyze published research on the experiences of individuals aged 15 to 24 years within two years of a type 1 diabetes mellitus

The purpose of the integrative review was to analyze published research on the experiences of individuals aged 15 to 24 years within two years of a type 1 diabetes mellitus (T1DM) diagnosis, with the intention of understanding their potential challenges and ensuring best practice by healthcare professionals when caring for and supporting these individuals. With T1DM being a chronic disease with no known cure, this diagnosis greatly impacts one’s life, making understanding of the experiences of individuals with diabetes essential. Individuals aged 15 to 24 years were studied as this age group craves autonomy while potentially facing multiple life transitions simultaneously. They may make risky decisions that can threaten their health, and are at an increased risk for suicide. After completing a systematic literature search, two studies that met the set criteria were analyzed. One found that T1DM adds challenges to college living, while the other study discussed management of exercise with T1DM. Both studies emphasized the importance of education and how T1DM affects all parts of one’s life. While they provided a glimpse of the daily challenges individuals with T1DM face, there are still many gaps in T1DM diagnosis experience research. Health professionals need additional credible research in order to conduct evidence-based practice that improves the lives of these young individuals coping with a serious chronic disease. If further research is not conducted, individuals aged 15 to 24 years are at a severe disadvantage in navigating a new T1DM diagnosis and could easily become overwhelmed due to their developing brains and additional lifestyle changes that come with being an emerging adult.

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Agent

Created

Date Created
  • 2020-05

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Perceptions of College Students About Vaping

Description

As the use of e-cigarettes (vaping) has exponentially grown in the college population over the last few years, young people are experiencing related health complications. To better understand the rationale

As the use of e-cigarettes (vaping) has exponentially grown in the college population over the last few years, young people are experiencing related health complications. To better understand the rationale and appeal for using these products, I conducted a qualitative study of the perceptions and use of e-cigarettes by college students who were previous or current e-cigarette users. Ten participants responded to a standardized set of questions about their perceptions on vaping. Interviews were recorded and transcribed by the researcher and were coded independently by two members of the research team. The coded data was further analyzed to develop seven themes. Key themes included: “Social,” “health,” “self-image,” “negative health effects,” “knowledge,” and “dependence.” The data led to two major conclusions: 1) college students have a negative perception of their own usage of e-cigarettes, as well as their personal images related to vaping and the adverse health effects they experience from this habit 2) college students have varying levels of knowledge about e-cigarette products and desire to learn more about and the short- and long-term effects. Healthcare professionals can use these findings to improve understanding of how college students perceive the use of e-cigarettes and plan effective health promotion programs to minimize health risks in that population.

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Agent

Created

Date Created
  • 2020-05

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Nursing Interventions for Supporting Individuals with OCD in Acute Care Settings

Description

This thesis highlights the impact that nursing and collaborative care can have for patients in the acute care setting who have a mental illness, with a specific focus on Obsessive-Compulsive

This thesis highlights the impact that nursing and collaborative care can have for patients in the acute care setting who have a mental illness, with a specific focus on Obsessive-Compulsive Disorder and related disorders. Holistic care for patients admitted into the acute care setting with a comorbidity of OCD includes exploration of nursing interventions and collaborative therapies, namely journaling, mindfulness or meditation, breathing, self-help methods, exercise, massage, acupuncture or electroacupuncture, yoga, and nutrition. Each intervention was evaluated in the context of how a nurse can apply or facilitate the intervention in an acute care setting. Nurses and health professionals are encouraged to utilize these interventions and to be creative in their treatments, taking into consideration all aspects of a patient: mental, physical, and otherwise.

Contributors

Created

Date Created
  • 2020-05

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Education for the Prevention of Diabetes

Description

Randomized controlled trials and systematic reviews of paired education involving both diet and activity recommendations have shown significant reductions in the advancement of adult (age 18 to 80) prediabetes to

Randomized controlled trials and systematic reviews of paired education involving both diet and activity recommendations have shown significant reductions in the advancement of adult (age 18 to 80) prediabetes to type 2 diabetes mellitus (T2DM). Paired education on diet and activity has been effective for persons from diverse races, ethnicities, and levels of education. For this project, the paired education focused on the dietary guidance of the Whole 30 plan and the current exercise/activity recommendations of the American Diabetes Association (ADA). The ADA recommends 30 min 5 x week or 60 min 3 x week of exercise, with no more than 48 hours between exercise occurrences.

Ten adults with HbA1C between 5.7%-6.4%, levels specified by the ADA as prediabetes, were invited to participate in the project at an outpatient wellness practice. Participants took a pretest on basic food and activity knowledge, received educational sessions on the Whole 30™ plan and activity recommendations from the ADA, then completed a posttest. Participants were scheduled for one month follow ups. At the 3 month follow up appointment, repeat HbA1C was drawn. Most of the patients (7/10) completed return appointments at the 3-month time frame. Statistically significant results were seen in diet and exercise knowledge using a paired T-test. Clinically significant reductions were seen in HbA1C averages as well as weight, BMI, and glucose levels.

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Agent

Created

Date Created
  • 2017-04-30

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Health Care Provider Use of Motivational Interviewing to Address Vaccine Hesitancy in College Students

Description

Background: Vaccine-preventable diseases significantly influence the health and academic success of college students. Despite the known negative impact of these diseases, vaccination rates routinely fall short of national goals and

Background: Vaccine-preventable diseases significantly influence the health and academic success of college students. Despite the known negative impact of these diseases, vaccination rates routinely fall short of national goals and recommendations. Although vaccination decisions are complex, a recommendation from a health care provider is one of the key motivators for individuals receiving a vaccine. Motivational interviewing (MI), a counseling approach primarily used to address substance abuse, can be applied to other health-related behaviors.

Local Problem: Despite previous quality improvement efforts aimed at increasing vaccine rates for influenza, human papillomavirus (HPV), and meningitis B (MenB), vaccinations at large university health centers have been well below benchmarks set by Healthy People 2020.

Methods: This study was guided by the Theory of Planned Behavior and included MI training and regular reinforcement for health care providers to address vaccine hesitancy with college students.

Results: Influenza vaccination rates improved, but HPV vaccine rates remained stable and MenB vaccine rates decreased compared with the previous year. Clinicians demonstrated a significant increase in knowledge of MI techniques after a targeted educational intervention. Repeat measures indicate the potential for sustained improvement when ongoing reinforcement is provided.

Conclusion: MI can be an effective part of a strategy to increase vaccination rates.

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Agent

Created

Date Created
  • 2019-04-26

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Implementation of a Child Physical Abuse Screening Program in the Emergency Department

Description

Children often present to the emergency department (ED) for treatment of abuse-related injuries. ED healthcare providers (HCPs) do not consistently screen children for physical abuse, which may allow abuse to

Children often present to the emergency department (ED) for treatment of abuse-related injuries. ED healthcare providers (HCPs) do not consistently screen children for physical abuse, which may allow abuse to go undetected and increases the risk for re-injury and death. ED HCPs frequently cite lack of knowledge or confidence in screening for and detecting child physical abuse.

The purpose of this evidence-based quality improvement project was to implement a comprehensive screening program that included ED HCP education on child physical abuse, a systematic screening protocol, and use of the validated Escape Instrument. After a 20-minute educational session, there was a significant increase in ED HCP knowledge and confidence scores for child physical abuse screening and recognition (p < .001). There was no difference in diagnostic coding of child physical abuse by ED HCPs when evaluating a 30-day period before and after implementation of the screening protocol.

In a follow-up survey, the Escape Instrument and educational session were the most reported screening facilitators, while transition to a new electronic health system was the most reported barrier. The results of this project support comprehensive ED screening programs as a method of improving HCP knowledge and confidence in screening for and recognizing child physical abuse. Future research should focus on the impact of screening on the diagnosis and treatment of child physical abuse. Efforts should also be made to standardize child abuse screening programs throughout all EDs, with the potential for spread to other settings.

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Agent

Created

Date Created
  • 2018-04-09

False Claims Act: Nurse Practitioners Edition

Description

Knowledge of the False Claims Act is necessary for nurse practitioners. Education on the False Claims Act is a preventive measure to protect patients, taxpayers, and federal health care programs.

Knowledge of the False Claims Act is necessary for nurse practitioners. Education on the False Claims Act is a preventive measure to protect patients, taxpayers, and federal health care programs. To provide the necessary education, I conducted extensive research on the False Claims Act, examined the literature to determine the relevance of the False Claims Act to nurse practitioners, conducted interviews with members in charge of preparing students to become nurse practitioners, and evaluated the best means to present the information. My end product is infographics that provide an overview of the complexities of the False Claims Act. From a health care compliance perspective, the infographics are resources that promote compliance with the False Claims Act through education.

Contributors

Created

Date Created
  • 2020-05

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Recommendations of nursing interventions that promote development in chronically ill and hospitalized infants

Description

Hospitalized and chronically ill infants are at risk for motor, cognitive, and social developmental delays. Nurses have an important role in supporting infant and family development to mitigate these delays.

Hospitalized and chronically ill infants are at risk for motor, cognitive, and social developmental delays. Nurses have an important role in supporting infant and family development to mitigate these delays. A literature review was performed to identify nursing interventions that promote development in these three categories. After literature was selected, critical appraisals were performed to assess the quality of evidence. Breast feeding, early cognitive-motor intervention, and family centered care were found to be beneficial for promoting motor development. Maternal scaffolding, responsive-didactic caregiving, and skin-to-skin contact are recommended nursing interventions for cognitive development. Lastly, integration of music is the nursing intervention recommended to promote social development.

Contributors

Agent

Created

Date Created
  • 2021-05