Matching Items (24)
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- All Subjects: Nursing
- Creators: Arizona State University. College of Nursing & Healthcare Innovation
Description
Obesity in Hispanic youth has reached alarmingly high levels, increasing the risk of type 2 diabetes, hyperlipidemia, hypertension, and cardiovascular disease. In Mexican American children ages 6-11 years, 41.7% are overweight and obese, 24.7% are obese and 19.6% have a Body Mass Index (BMI) greater than the 97th percentile. While personal, behavioral, and environmental factors contribute to these high rates, emerging literature suggests acculturation, self-efficacy and social support are key influences. The one-group, pre- and post-test, quasi-experimental design used a community-based participatory research (CBPR) method to test the feasibility, acceptability, and preliminary efficacy of the 8-week intervention. Social Cognitive Theory (SCT) was used to guide the design. Measurements included an analysis of recruitment, retention, participant satisfaction, observation of intervention sessions, paired t-tests, effect sizes, and bivariate correlations between study variables (acculturation, nutrition and physical activity [PA] knowledge, attitude and behaviors, perceived confidence and social support) and outcome variables (BMI z-score, waist circumference and BP percentile) Findings showed the SSLN program was feasible and acceptable. Participants (n = 16) reported that the curriculum was fun and they learned about nutrition and PA. The retention rate was 94%. The preliminary effects on adolescent nutrition and PA behaviors showed mixed results with small-to-medium effect sizes for nutrition knowledge and attitude, PA and sedentary behavior. Correlation analysis among acculturation and study variables was not significant. Positive associations were found between perceived confidence in eating and nutrition attitude (r = .61, p < .05) and nutrition behavior (r = .62, p < .05), perceived confidence in exercise and nutrition behavior (r = .66, p < .05), social support from family for exercise and PA behavior (r = .67, p < .01) and social support from friends for exercise and PA behavior (r = .56, p < .05). These findings suggest a culturally specific healthy eating and activity program for adolescents was feasible and acceptable and warrants further investigation, since it may fill a gap in existing obesity programs designed for Hispanic youth. The positive correlations suggest further testing of the theoretical model.
ContributorsStevens, Carol (Author) / Gance-Cleveland, Bonnie (Thesis advisor) / Komnenich, Pauline (Committee member) / Shaibi, Gabriel (Committee member) / Arcoleo, Kimberly (Committee member) / Arizona State University (Publisher)
Created2011
Description
ABSTRACT Approximately 3.5% of adolescents in the United States have chronic daily headache (CDH). Chronic daily headaches in adolescents are often refractory to the adult pharmacological interventions. And as a result, adolescents typically experience increased levels of stress, which exacerbates their headaches. Chronic daily headaches negatively impact both the adolescent and their family. Adolescents with CDHs frequently exemplify comorbid psychiatric symptoms such as anxiety, depression, and increased risk for suicide. Risk factors for CDH in adolescents have been well studied; however, few studies have focused on psychologically based interventions to enhance effective coping, positive mental health, and pain relief in this group of teens. Given the paucity of psychologically focused interventions in this group, further research is necessary to test and develop the effectiveness of cognitive behavioral skills building (CBSB) interventions. This pilot study focused on the use of a CBSB intervention that emphasized problem solving, cue recognition, effective communication, behavior modeling, cognitive reappraisal, stress management, effective coping, and positive thinking. A randomized controlled trial pilot study was conducted. The intervention group received a seven-week intervention focused on CBSB techniques and headache education, while the comparison headache education group received a seven-week program focused on basic headache hygiene measures (e.g., adequate sleep, adequate hydration, dietary triggers, environmental triggers). The total sample included 32 adolescents inclusive of the ages 13 and 17 years. Paired t-tests resulted in significant preliminary positive effects for COPE-HEP on anxiety, depression, beliefs, headache disability, headache frequency, and headache duration. Comparison group education resulted in significant preliminary positive effects on anxiety, depression, headache disability, headache frequency, headache pain level, headache duration, and medication frequency. There were no significant changes over time in means of parent perception of pain interference for both groups. Independent t-tests revealed that COPE-HEP teens had significantly less anxiety and headache duration at post-intervention. The acceptability of the COPE-HEP intervention with adolescents with CDHs in a specialty care setting is supported by this study, while the feasibility of conducting this study in a specialty care setting is partially supported. These findings support a need to refine the intervention and test both its short and long-term effects in a full-scale randomized controlled trial with adolescents who have CDHs.
ContributorsHickman, Carolyn (Author) / Melnyk, Bernadette M (Thesis advisor) / Jacobson, Diana (Thesis advisor) / Gance-Cleveland, Bonnie (Committee member) / Szalacha, Laura (Committee member) / Arizona State University (Publisher)
Created2012
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
The purpose of this study was to explore how the phenomenon of familismo effects behavioral change within the Mexican-American family if one member of the family participates in an obesity prevention curriculum. The qualitative approach findings indicate that the principle of familismo regarding perceived responsibility to provide emotional support to family members regarding changes in physical activity and dietary habits. Participants reported that their families are eating healthier, since, they started the obesity prevention curriculum. The findings regarding physical activity were inconclusive. This study can help nurses, because it emphasizes the importance of promoting family involvement as a motivator for behavioral change, in terms of physical activity and healthy diet eating, within Mexican-American populations.
ContributorsRodriguez, Manuela (Author) / Stevens, Carol (Thesis director) / Perez, Adriana (Committee member) / Luft, Linda (Committee member) / Barrett, The Honors College (Contributor) / Arizona State University. College of Nursing & Healthcare Innovation (Contributor)
Created2013-05
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
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
This paper reviews a creative project designed to enhance the simulation experience for College of Nursing and Health Innovation nursing students at Arizona State University. Simulation allows students to practice imperative skills in a safe environment, free from the risk of injury to patients and the consequences of making these errors, in order to master skills that are essential in the clinical setting. Students are able to practice a wide range of invasive and noninvasive skills and hone in on their clinical judgement and critical thinking to make decisions that may be life threatening in a clinical situation. The group members designed written training materials and created corresponding video vignettes that would be utilized to enhance the confederate role and provide the students a deeper understanding of their simulated patient and the simulation scenario. The written training materials that were developed include confederate background information, patient and family education, and guided questions and answers for the video vignettes. The written training materials will be used to guide the students that are portraying the family member during the simulation. Trained standardized patients were hired to play the confederate role in the four video vignettes. The video vignettes portrayed interviews with a family member of the patient that delved into how they felt about their family member's hospitalization and what they hoped to learn from the nurses during their family member's hospitalization. The vignettes will be used to guide students to the needs of the patients and families in the corresponding scenarios. These vignettes will be accessible by students before the start of simulation in order to enhance understanding of the patient and ultimately, the scenario.
ContributorsBenn, Allie (Co-author) / Kiesling, Hannah (Co-author) / O'Brien, Janet (Thesis director) / Calacci, Margaret (Committee member) / Arizona State University. College of Nursing & Healthcare Innovation (Contributor) / Barrett, The Honors College (Contributor)
Created2018-12
Description
Significance Background: Human papilloma virus (HPV) is the most common sexually transmitted infection, affecting 79 million Americans today and an additional 14 million Americans becoming infected with HPV each year. HPV infection may lead to the development of genital warts and several types of cancers including both cervical and oropharyngeal cancers. The promotion of currently available HPV vaccines is important to prevent HPV transmission and reduce the prevalence of the comorbidities associated with infection. Promotion to Vietnamese-Americans in particular is important because of the increased rates of cervical cancers seen in this population. As Vietnamese-American mothers often act as the primary healthcare decision maker for their children, they were chosen as the target population for this intervention. Purpose: This study aims to (1) develop personal digital stories about HPV and HPV vaccination among Vietnamese women with adolescent children who are vaccinated against HPV; and (2) share these stories with a group of Vietnamese American mothers and assess the effect of the stories in changing the attitudes, beliefs, and intention to vaccinate for HPV. Methods: This study used a two-step process to design, implement, and evaluate digital stories to improve Vietnamese mothers' attitudes, beliefs, and intention to vaccinate their adolescent children against HPV. The first step was a formative research design to develop the digital stories. The second step was quasi-experimental with a pre and posttest design to evaluate the effect of the stories. Results: The first phase has produced two digital stories which will be screened recruitment has been completed for phase two. Content analysis showed the importance of community resources, the desire to protect children, a history of familial and/or personal cancer, concerns about side effects, and the influence of healthcare providers as themes in both stories. Recruitment efforts are underway to recruit eligible Vietnamese mothers to assess the effect of these stories. Data collection is ongoing. Conclusions and lessons learned: The project has yielded two digital stories and recruitment for phase two is underway. This project has been successful in obtaining IRB approval, recruiting phase one participants, holding a digital storytelling workshop, designing the phase two survey, and beginning data collection efforts. The phase two recruitment has been challenging and will necessitate a change in strategy to find participants.
ContributorsMartin, Kieran John Patrick (Author) / Chen, Angela Chia-Chen (Thesis director) / Larkey, Linda (Committee member) / Arizona State University. College of Nursing & Healthcare Innovation (Contributor) / Barrett, The Honors College (Contributor)
Created2017-05
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