Matching Items (178)
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Description
Purpose: Improve chronic obstructive pulmonary disease (COPD) screening in primary care by implementing Global Initiative for Chronic Obstructive Lung Disease (GOLD) screening criteria.

Background and Significance: Evidence shows primary care providers (PCPs) are not adhering to the GOLD Guidelines for COPD screening.

Methods: Guideline education with pre/post-intervention survey and percent of eligible

Purpose: Improve chronic obstructive pulmonary disease (COPD) screening in primary care by implementing Global Initiative for Chronic Obstructive Lung Disease (GOLD) screening criteria.

Background and Significance: Evidence shows primary care providers (PCPs) are not adhering to the GOLD Guidelines for COPD screening.

Methods: Guideline education with pre/post-intervention survey and percent of eligible participants screened.

Results: Pre-intervention surveys (n=10) and post-intervention surveys (n=8) completed. Significant increase in knowledge regarding the CAT score (M score = 11.50, U = 24.000, p<.05). Part 2) 24% (n=6) of participants were screened with the CAT questionnaire.

Conclusions: PCPs are aware of the GOLD Guidelines, but do not always adhere to its recommendations. Future research should concentrate on effective ways to implement the GOLD Guidelines screening recommendations in primary care clinics.
ContributorsManng, Jillian (Author) / Nunez, Diane (Thesis advisor)
Created2017-04-30
ContributorsMoio, Dom (Director) / Latin Jazz Ensemble (Performer) / ASU Library. Music Library (Publisher)
Created2001-11-05
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Description
Purpose: To assess study participants behavioral responses and perception of effectiveness of an activity tracking device to increase physical activity. Obesity is an endemic health issue in the U.S. and continues to gain concern for increasing morbidity and mortality rates. Benefits of physical activity are firmly established across healthcare disciplines

Purpose: To assess study participants behavioral responses and perception of effectiveness of an activity tracking device to increase physical activity. Obesity is an endemic health issue in the U.S. and continues to gain concern for increasing morbidity and mortality rates. Benefits of physical activity are firmly established across healthcare disciplines to combat and prevent obesity, yet sedentary behaviors continue to be on the rise. The use of wearable technology, that provides real-time feedback of activity, has been identified as a promising tool for increasing physical activity.

Methods: Analysis of a subset of questions from a larger survey was used to evaluate wearable device attitudes and behavior changes over time. Convenience sample (n=10), ages >18, required enrollment in a clinic-based weight and wellness program (WWP) to participate. The survey questions assessed effectiveness of wearable device on a 0-10 motivation scale to increase physical activity and a self- assessment of behavioral changes at specific intervals over a 6-month period. Descriptive statistics and non-parametric, two-tailed tests will be used to analyze the data. Due to the necessity of detecting minute differences with the small sample size, the significance level will be tested at the p<0.10.

Results: Participants >18 years of age, enrolled in a WWP (n=10) included 20% male and 80% female. Although a 12.3% increase in the mean score was found from week-1 to 6-months, the results were not statistically conclusive to the effectiveness of self-motivation to increase activity by participants wearing an activity tracking device; however, results are statistically significant for participants to increase activity with behavior changes based on device dashboard.

Conclusions: It is recommended for primary care providers to encourage the use of an activity tracking wearable device for behavior change to increase activity.
ContributorsCarroccio, Tanya (Author) / Nunez, Diane (Thesis advisor)
Created2018-04-28
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Description
Aims: The goals of this project were (1) develop a sepsis clinical guideline, (2) enhance direct patient care staff knowledge of sepsis and (3) survey staff comfort level with identifying sepsis post intervention.

Background: Sepsis remains a significant healthcare problem associated with high treatment costs and high mortality rates. Older adults

Aims: The goals of this project were (1) develop a sepsis clinical guideline, (2) enhance direct patient care staff knowledge of sepsis and (3) survey staff comfort level with identifying sepsis post intervention.

Background: Sepsis remains a significant healthcare problem associated with high treatment costs and high mortality rates. Older adults are at an increased risk for developing sepsis, especially when age is combined with any type of compromising factor, such as chronic illness, recent hospitalizations, wounds, or invasive devices. Current evidence demonstrates that sepsis screening is effective for early identification of sepsis. Early identification of sepsis improves time to treatment initiation, which improves outcomes.

Methods: An evidence-based, provider approved clinical guideline was developed for a post-acute care facility after an extensive review of the literature. Upon implementation, brief educational sessions were provided to direct patient care staff. Participants completed pre- and post-tests as well as a demographic survey. A satisfaction survey was administered 30 days post intervention. A paired samples t-test was used to analyze the difference in test scores. Pearson's correlation was used to analyze the relationship between staff comfort levels and the clinical guideline.

Results: The samples included 25 participants in the educational intervention and 18 in the satisfaction survey. There was a significant difference in the scores between pre-test (M = 72.3, SD = 12.43) and post-test scores (M = 86.6, SD = 10.2); t(24) = -5.578, p < 0.001. There was a significant correlation between staff who felt comfortable in identifying sepsis with ease of screening (r = .831, p < .01) and high comfort levels with the policy (r = .889, p < .01).

Conclusion: Utilizing a clinical guideline, coupled with education, improves staff knowledge and comfort identifying sepsis in the post-acute care setting, which may improve early recognition and treatment initiation. This outcome is clinically significant as patients in this setting represent a vulnerable population.
ContributorsKrzywicki, Erin (Author) / Nunez, Diane (Thesis advisor)
Created2017-04-29
ContributorsBrown, Joel (Conductor) / Hill, Gary W. (Conductor) (Conductor) / Pilafian, Sam (Conductor) / Jenkins, Clay (Performer) / Marohnic, Chuck (Performer) / Moio, Dom (Performer) / Warrington, Tom (Performer) / Grant, Edwin (Performer) / University Symphony Orchestra (Performer) / Chamber Winds (Performer) / ASU Library. Music Library (Publisher)
Created2000-03-08
ContributorsMoio, Dom (Performer) / Latin Jazz Ensemble (Performer) / ASU Library. Music Library (Publisher)
Created1994-11-14
ContributorsLatin Jazz Band (Performer) / ASU Library. Music Library (Publisher)
Created2011-03-28
ContributorsMoio, Dom (Contributor) / Gardner, Jeff (Performer) / Latin Jazz Band (Performer) / ASU Library. Music Library (Publisher)
Created2000-10-09
ContributorsPilafian, Sam (Performer) / Smith, J. B., 1957- (Performer) / Sheridan, Patrick, 1968- (Performer) / Moio, Dom (Performer) / Garcia, Joe (Performer) / ASU Library. Music Library (Publisher)
Created2002-10-06
ContributorsKniss, Richard (Performer) / Moio, Dom (Director) / Latin Jazz Band (Performer) / ASU Library. Music Library (Publisher)
Created2007-04-23