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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

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
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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

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
PURPOSE: The purpose of the study was to examine recent nursing textbooks’ portrayal of gender, weight, and diagnosis in eating disorder exemplars, and compare the textbook presentation to prevalence rates as published within the textbooks themselves.

CONTEXT: Eating disorders are often portrayed as afflicting underweight women with a diagnosis of anorexia

PURPOSE: The purpose of the study was to examine recent nursing textbooks’ portrayal of gender, weight, and diagnosis in eating disorder exemplars, and compare the textbook presentation to prevalence rates as published within the textbooks themselves.

CONTEXT: Eating disorders are often portrayed as afflicting underweight women with a diagnosis of anorexia nervosa. Demographics of people outside this stereotype face health disparities in illness recognition and treatment. Passive exposure to information on eating disorders can reduce stereotypical beliefs among nursing students, which has the potential to improve patient care.

METHOD: Case studies, practice questions, vignettes, and care plans from eight psychiatric nursing textbooks were analyzed for portrayal of the three research variables.

DATA and RESULTS: Men were not significantly underrepresented in the exemplars. Transgender clients, clients of normal or overweight status, and clients with diagnoses other than anorexia nervosa were significantly underrepresented from eating disorder exemplars.

CONCLUSION: Textbooks should be adjusted to include more exemplars from underrepresented demographics of clients with eating disorders.
ContributorsDavid, Teresa C (Author) / Brian, Jennifer (Thesis director) / Kniskern, Megan (Committee member) / Edson College of Nursing and Health Innovation (Contributor) / Barrett, The Honors College (Contributor)
Created2020-12
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The purpose of this study is to explore ways nurses provide an optimal healing environment in the hospital setting. One aim of this research is to identify gaps between nurses’ confidence in their ability to provide a healing environment and patient interpretation of the environment they received. Additionally, this paper

The purpose of this study is to explore ways nurses provide an optimal healing environment in the hospital setting. One aim of this research is to identify gaps between nurses’ confidence in their ability to provide a healing environment and patient interpretation of the environment they received. Additionally, this paper looks for missing information in healing environment literature and pinpoints where hospital systems can be improved to help nurses and patients under their care. Data was collected through two online surveys created with Qualtrics Research Core™. One was taken by registered nurses who annotated how well they execute each domain of an Optimal Healing Environment (OHE) and what hinders their performance. The other survey was given to individuals who have been a patient in an Arizona hospital, and they commented on the environment they experienced. Total surveyed subjects include three nurses and four previously hospitalized patients. Data collected was not enough to make any conclusions so additional literature was reviewed and patterns between the literature and survey responses were analyzed. There is a consensus around what a healing environment should look like but there is no explanation as to who is responsible for creating one and what is the nurse’s role, if any. It was concluded that there needs to be more research on the practice of providing healing environments.
ContributorsCavanagh, Kacey (Author) / Nathalie, Rennell (Thesis director) / Karen, Eynon (Committee member) / Edson College of Nursing and Health Innovation (Contributor) / Barrett, The Honors College (Contributor)
Created2019-05
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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

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.
ContributorsNelson, Shelby Marcelle (Author) / Rascón, Aliria (Thesis director) / Hagler, Debra (Committee member) / Edson College of Nursing and Health Innovation (Contributor) / Barrett, The Honors College (Contributor)
Created2020-05
Description

It is often a passion for caring for others that drives people towards the profession of nursing in the first place. At some point, however, this desire to care for other people takes over, and nurses soon forget how to properly care for themselves. It was asked: If students are

It is often a passion for caring for others that drives people towards the profession of nursing in the first place. At some point, however, this desire to care for other people takes over, and nurses soon forget how to properly care for themselves. It was asked: If students are better prepared with and more encouraged to use healthy coping mechanisms and integrative modalities to deal with their daily lives, are they more likely to continue to care for themselves properly as time goes on? Ample research was conducted illuminating the prevalence of this worldwide problem and highlighting potential solutions noted by credible sources. An initiative was formed with the goal of improving the self care practices of nursing students at Arizona State University (ASU) with the greater intent of promoting a healthier work environment as these students advance into their future careers. The Arizona Student Chapter of the American Holistic Nurses Association (AHNA) at ASU was formed, and it serves as the vessel for this self-care health-care mission.

ContributorsMyers, Lisa (Author) / Fries, Kathleen (Thesis director) / Augusta, Dawn (Committee member) / Barrett, The Honors College (Contributor) / Edson College of Nursing and Health Innovation (Contributor)
Created2021-12
Description

The aim of this thesis is to provide prelicensure nursing faculty at Arizona State University with a supplemental resource and presentation on inclusivity, with specific respect to the Lesbian, Gay, Bisexual, Transexual, Queer (LGBTQ+) demographic. Background research posits that prelicensure nursing faculty possess limited information about how to teach students

The aim of this thesis is to provide prelicensure nursing faculty at Arizona State University with a supplemental resource and presentation on inclusivity, with specific respect to the Lesbian, Gay, Bisexual, Transexual, Queer (LGBTQ+) demographic. Background research posits that prelicensure nursing faculty possess limited information about how to teach students to provide inclusive care and communicate respectfully with patients in the LGBTQ+ population group. This project synthesizes current research pertaining to health inequities within this demographic, and summarizes reported patient care experiences to illustrate a need for prelicensure faculty education in this area. Information from this research was extrapolated, and a supplemental resource regarding inclusivity created, which was presented to prelicensure nursing faculty at a staff meeting using an in-person modality. A survey was conducted at the conclusion of this educational presentation, gathering anonymous demographic data, as well as opinions as to the usefulness of the presentation in the setting of prelicensure nursing education. Results were then analyzed thematically, with 70% of those surveyed currently incorporating some form of LGBTQ+ education within their curriculum. These results suggest the majority of surveyed prelicensure faculty found the educational presentation and accompanying resource both useful and informative, and intend to apply information learned to their future practice as a nursing educator. These findings provide justification for continuing education and additional learning experiences in this area.

ContributorsArmendariz, Ethan (Author) / Cruz, Elizabeth (Co-author) / Hagler, Debra (Thesis director) / Shepherd, Allegra (Committee member) / Barrett, The Honors College (Contributor) / Edson College of Nursing and Health Innovation (Contributor)
Created2023-05
Description

The Philippines is one of the largest exporters of nurses across the world, yet continues to suffer disproportionately from nursing shortages domestically. The purpose of this paper is to examine the historical context of Filipino nurses in America, regarding the policies of migration and the current context for Filipino nursing

The Philippines is one of the largest exporters of nurses across the world, yet continues to suffer disproportionately from nursing shortages domestically. The purpose of this paper is to examine the historical context of Filipino nurses in America, regarding the policies of migration and the current context for Filipino nursing labor in the United States. While the United States is just one of the countries to receive imported Filipino laborers, this paper will focus on the continued relationship between the United States and the Philippines to export labor for economical gain on both ends. Upon reviewing the history and policies of Filipino nursing migration to America, the aim is to explore the consequences of this export, relating to healthcare outcomes, emotional distress, and economic stability. This historical review examines the future needs on ethnic studies integration, continued research on the contribution of Filipino nurses to America, policies surrounding exported labor, and the need for changes in the United States clinical nursing practice.

ContributorsAdversario, Kay Angela (Author) / Jaurigue, Lisa (Thesis director) / Yoo, Brandon (Committee member) / Barrett, The Honors College (Contributor) / Edson College of Nursing and Health Innovation (Contributor)
Created2023-05
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Bleeding control education has taken a much more prominent focus in saving lives over the past decade. While many non-medically trained civilians are receiving Stop the Bleed training, throughout their time as students, baccalaureate nursing students prominently struggle in pre-hospital emergencies. Not only would the implementation of Stop the Bleed

Bleeding control education has taken a much more prominent focus in saving lives over the past decade. While many non-medically trained civilians are receiving Stop the Bleed training, throughout their time as students, baccalaureate nursing students prominently struggle in pre-hospital emergencies. Not only would the implementation of Stop the Bleed education into baccalaureate nursing improve client outcomes, it can further spread and share the message of bleeding control, as well as enhance the student experience.

ContributorsMcDonald, Matthew (Author) / Hagler, Debra (Thesis director) / May, Jennifer (Committee member) / Barrett, The Honors College (Contributor) / College of Health Solutions (Contributor) / Edson College of Nursing and Health Innovation (Contributor)
Created2022-05
Description

Nursing burnout is a predominant issue for the modern nurse and must be more fully addressed for the health and success of the field and the individuals who make it up. Mindfulness exhibits efficacy in multiple studies as an intervention for burnout and should thus be considered as an option

Nursing burnout is a predominant issue for the modern nurse and must be more fully addressed for the health and success of the field and the individuals who make it up. Mindfulness exhibits efficacy in multiple studies as an intervention for burnout and should thus be considered as an option for treatment and prevention of this issue. The creation of the included mindfulness workbook allows nurses to assess and address their specific level of burnout in a cost-effective manner.

ContributorsAlexander, Taylor (Author) / Sebbens, Danielle (Thesis director) / Towers, Laura (Committee member) / Barrett, The Honors College (Contributor) / School of Social Transformation (Contributor) / Edson College of Nursing and Health Innovation (Contributor)
Created2022-05