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Title: The Effect of a Culturally Relevant Cardiovascular Health Promotion Program on Rural African Americans.
Creator: Abbott, Laurie S., Williams, Christine L., Florida Atlantic University, Christine E. Lynn College of Nursing
Abstract/Description: Health disparities among rural African Americans include disproportionately higher morbidity and mortality rates associated with cardiovascular disease. Interventions designed to decrease cardiovascular risk can potentially improve health outcomes among rural, underserved communities. The purpose of this study was to test the effect of a cardiovascular health promotion intervention among rural African Americans. An experimental study randomized by church clusters was done in two rural...
Show moreHealth disparities among rural African Americans include disproportionately higher morbidity and mortality rates associated with cardiovascular disease. Interventions designed to decrease cardiovascular risk can potentially improve health outcomes among rural, underserved communities. The purpose of this study was to test the effect of a cardiovascular health promotion intervention among rural African Americans. An experimental study randomized by church clusters was done in two rural counties in northern Florida. A total of 229 participants, 114 in the intervention group and 115 in the control group, were recruited from twelve rural African American churches. The pretest-posttest design included instruments chosen to measure cardiovascular health habits and knowledge as well as changes in produce consumption, dietary fat intake, and exercise using the major components of the Integrated Model of Behavioral Prediction: intentions, norms, attitudes, and self-efficacy. Linear mixed model was the statistical test used to detect the program effects. Participants who received the intervention had significant increases in scores for the cardiovascular health habits (p < .01) and health knowledge (p < .01) variables compared with the control group. There were also significant group differences regarding intentions to increase produce consumption (p < .01) and reduce dietary fat intake (p < .01). The cardiovascular health program was associated with other statistically significant results including produce consumption attitudes (p = .01) and norms (p < .01), dietary fat attitudes (p = .04) and norms (p < .01), and exercise attitudes (p < .01). There were also significant results found for perceived behavioral control/self-efficacy regarding increasing produce consumption (p < .01), reducing dietary fat intake (p = .03), and increasing exercise (p = .01). Compared to the control group, the cardiovascular health promotion intervention was effective in fostering positive health effects for most of the variables measured. The findings supported the theoretical framework used for guiding the study, the Integrative Model of Behavioral Prediction Nurse-led health promotion interventions within church settings can be effective means for reducing overall cardiovascular risk and health disparities among rural African American populations.
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Date Issued: 2015
PURL: http://purl.flvc.org/fau/fd/FA00004475
Subject Headings: African Americans -- Health and hygiene, African Americans -- Health services accessibility, African Americans -- Health services accessibility, Cultural awareness -- United States, Discrimination in medical care, Health status indicators -- United States
Format: Document (PDF)

Title: Differences in Nurses’ Perceptions of Safety Culture, Nurse-Physician Collaboration, and Level of Job Satisfaction Related to the Type of Obstetrical Physician Service Delivery Model Utilized.
Creator: Abiri, Olga, Sherman, Rose O., Florida Atlantic University, Christine E. Lynn College of Nursing
Abstract/Description: Creating a safety culture is the focus in the current healthcare environment. An inhouse, around-the-clock laborist service delivery model has been associated with positive outcomes, but little is known about the laborist structure’s contribution to the labor-anddelivery working environment. The purpose of this descriptive correlational study was to explore the effects of physician service delivery model on safety culture, nurse-physician collaboration, and nurses’ job satisfaction. An...
Show moreCreating a safety culture is the focus in the current healthcare environment. An inhouse, around-the-clock laborist service delivery model has been associated with positive outcomes, but little is known about the laborist structure’s contribution to the labor-anddelivery working environment. The purpose of this descriptive correlational study was to explore the effects of physician service delivery model on safety culture, nurse-physician collaboration, and nurses’ job satisfaction. An additional purpose was to examine associations between nurses’ perceptions of safety culture, nurse-physician collaboration, and job satisfaction. Ray’s (1981, 1989) Theory of Bureaucratic Caring and Homan’s (1974) Social Exchange Theory guided this study. A survey consisting of demographic questions, the Collaborative Practice Scale (Weiss & Davis, 1985), the Hospital Survey on Patient Safety Culture (Agency for Healthcare Research and Quality, 2015; HSOPSC), and the McCloskey and Mueller Satisfaction Scale (McCloskey & Mueller, 1990) was distributed to registered nurses (RNs) nationwide. The results indicated that nurses in facilities using the around-the-clock model had higher perceptions of nursephysician collaboration, but not of safety culture or job satisfaction in relation to the physician service-delivery model. Significant moderate-to-strong correlations between nurses’ perceptions of patient safety and job satisfaction, and a weak correlation between bedside nurses’ perceptions of nurse-physician collaboration and job satisfaction were demonstrated. Additional significant correlations were found between the instrument subscales. Control/responsibility in the MMSS scale was positively associated with both management support for patient safety, supervisors’ and managers’ expectations and actions promoting patient safety, and overall perceptions of safety in the HSOPSC scale. Praise and recognition in the MMSS scale were positively associated with supervisor/manager expectations and actions promoting patient safety in the HSOPSC scale. Further appraisal is needed to understand the mechanism by which the laborist model affects patient care and work environment. Recommendations for future research include replicating the study with a larger sample sizes in specific groups based on the role and scheduled shift, conducting the study in a single system or location to mitigate the effects of other variables; and exploring physicians’ perspectives on the variables being studied.
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Date Issued: 2017
PURL: http://purl.flvc.org/fau/fd/FA00004969, http://purl.flvc.org/fau/fd/FA00004959
Subject Headings: Dissertations, Academic -- Florida Atlantic University, Obstetrics--Practice., Medical care--Safety measures., Nurse-physician collaboration., Nurses--Job satisfaction., Labor and delivery.
Format: Document (PDF)

Title: Enhancing Nurse Practitioner Student Preparation for Pediatric Practicum Settings.
Creator: Akinpelu, Olufunmilayo, Evangelista, Jasmin, Bulfin, Susan, Opalinski, Andra, Florida Atlantic University, Christine E. Lynn College of Nursing
Abstract/Description: Due to increasing numbers of family nurse practitioner programs and lack of suitable pediatric clinical sites, other alternative methods such as using simulations must be sought out in order to increase confidence levels and enhance family nurse practitioner (FNP) students' preparedness to practice with the pediatric population.
Date Issued: 2020
PURL: http://purl.flvc.org/fau/fd/faudnp000001
Format: Document (PDF)

Title: The Use of Spinal Cord Stimulator for Chronic Pain Management and Opioid Use – A Program Evaluation.
Creator: Alexis, Florine, Echeona, Xochil, France, Nancey E. M., Forte, Alyzza De La UZ, Florida Atlantic University, Christine E. Lynn College of Nursing
Abstract/Description: Chronic pain is defined by the International Association of the Study of Pain as, “pain that persists beyond normal tissue healing time, which is assumed to be three months” (CDC, 2018 p.2). Chronic pain can be in any part of the body, but is most commonly experienced in the mid-back, lower back, leg, and head, in the form of headache. It is estimated that 80 percent of the U.S. population has experienced at least one episode of back pain in their lifetime.
Date Issued: 2020
PURL: http://purl.flvc.org/fau/fd/faudnp000002
Format: Document (PDF)

Title: Hypertension: Improving Outcomes through Enrollment in a Walking Exercise Program.
Creator: Almonord, Bernice, Brennen, Marlene, Dorval, Julina T., Florida Atlantic University, Christine E. Lynn College of Nursing
Abstract/Description: Hypertension is a major health care challenge. Uncontrolled hypertension is a huge financial burden in the United States. Strict medication adherence and lifestyle modifications such as incorporating a low sodium diet and increasing daily aerobic physical activity have been proven to be effective in managing hypertension. However, uncontrollable hypertension continues to be one of the most leading causes of cardiovascular disease and death worldwide. When compared to other groups, Haitians...
Show moreHypertension is a major health care challenge. Uncontrolled hypertension is a huge financial burden in the United States. Strict medication adherence and lifestyle modifications such as incorporating a low sodium diet and increasing daily aerobic physical activity have been proven to be effective in managing hypertension. However, uncontrollable hypertension continues to be one of the most leading causes of cardiovascular disease and death worldwide. When compared to other groups, Haitians have a higher disproportionate risk of morbidity and mortality from chronic disease. The purpose of this quality improvement project was to evaluate the effectiveness of physical activity through a walking exercise program and hypertension self-management education on blood pressure in Haitian adults aged 35 to 84 diagnosed with hypertension in the primary care setting. The project was an 8-week online/remote walking exercise program designed to provide bi-weekly hypertension self-management education sessions (moderate-intensity physical activity, low salt diet management, and medication adherence teaching), weekly self-adjusted step goals, and weekly one-on-one physical activity nurse counseling via telephone/video teleconference. The study results showed that participants who were fully engaged in the walking exercise program were able to manage their blood pressure by increasing their physical activity level, adhering to a low sodium diet, and increasing medication adherence.
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Date Issued: 2020
PURL: http://purl.flvc.org/fau/fd/faudnp000003
Format: Document (PDF)

Title: The clinical scholar model: a strategy to bridge the theory-practice gap.
Creator: Arnold, Kathryn., Christine E. Lynn College of Nursing
Abstract/Description: The purpose of this study was to evaluate student outcomes following implementation of a clinical scholar model of clinical education in one of four placement sites of a college of nursing grounded in a caring philosophy. The question guiding the study was to determine if the clinical scholar model has an influence on student perceptions and outcomes when used with second-degree accelerated BSN students. Watson's Human Caring theory, based on ten caritas processes, serves as the theoretical...
Show moreThe purpose of this study was to evaluate student outcomes following implementation of a clinical scholar model of clinical education in one of four placement sites of a college of nursing grounded in a caring philosophy. The question guiding the study was to determine if the clinical scholar model has an influence on student perceptions and outcomes when used with second-degree accelerated BSN students. Watson's Human Caring theory, based on ten caritas processes, serves as the theoretical framework for this study (Watson, 2007). A sequential mixed-methods approach that combined quantitative and qualitative data collection techniques was implemented using a pre-experimental, post-test only design with non-equivalent groups to determine differences between the Traditional Model (TM) and Clinical Scholar Model (CSM) in clinical nursing education... Limitations of this study include low sample size and are partially due to limitations of the class size and low survey participation. Additionally, only CSM students attended a focus group, which prevented comparisons of qualitative feedback between groups. Even with these limitations, CSM students scored as well or better than TM students, indicating that the CSM could be a viable model for nursing clinical education.
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Date Issued: 2013
PURL: http://purl.flvc.org/FAU/3360742
Subject Headings: Nursing, Study and teaching, Nursing, Philosophy, Evidence-based nursing, Nursing, Psychological aspects
Format: Document (PDF)

Title: The Influence of Gardens on Resilience in Older Adults Living in a Continuing Care Community.
Creator: Bailey, Christie, Barry, Charlotte D., Florida Atlantic University, Christine E. Lynn College of Nursing
Abstract/Description: The purpose of this study was to explore the relationship between green environments and resilience in older adults. It had two aims: 1) to explore the effect of a reflective garden walking program on resilience and three of its related concepts - erceived stress, personal growth initiative, and quality of life - in older adults, and 2) to explore the resilience patterns of older adults engaging in the reflective garden walking intervention. A parallel mixed method design using a quasi...
Show moreThe purpose of this study was to explore the relationship between green environments and resilience in older adults. It had two aims: 1) to explore the effect of a reflective garden walking program on resilience and three of its related concepts - erceived stress, personal growth initiative, and quality of life - in older adults, and 2) to explore the resilience patterns of older adults engaging in the reflective garden walking intervention. A parallel mixed method design using a quasi-experimental quantitative and a descriptive exploratory qualitative approach was used. Participants engaged in a six week reflective garden walking program. By the end of the program, resilience levels exhibited a slight increase and perceived stress levels a decrease. The qualitative data supported some beneficial effects of the reflective garden walking program, but also indicated that much of the participants' experience of resilience may have been related to the rich social and nature-filled environment in which already they lived. Patterns of resilience that appeared in the data were maintaining a positive attitude, belief in one's self in the face of one's vulnerabilities, woven into the social fabric, purpose and meaning, personal strength, and communities for growing older.
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Date Issued: 2015
PURL: http://purl.flvc.org/fau/fd/FA00004480, http://purl.flvc.org/fau/fd/FA00004480
Subject Headings: Aging -- Psychology, Exercise -- Psychological aspects, Exercise for older people, Exercise therapy for older people, Gardening -- Philosophy, Older people -- Mental health, Resilience (Personality trait), Stress (Psychology)
Format: Document (PDF)

Title: Perspectives of professional competence by newly licensed, registered nurses.
Creator: Bartolone, Priscilla Dunson., Christine E. Lynn College of Nursing
Abstract/Description: Professional competence is expected of all nurses in practice. Although new nurses have met the competency requirement for practice legally, opinions vary among new nurses and nurse administrators as to whether new nurses are indeed competent to practice nursing. The purpose of this phenomenological research study was to learn what new nurses think about professional competence. The research question guiding this study was, "What is professional competence from the perspective of newly...
Show moreProfessional competence is expected of all nurses in practice. Although new nurses have met the competency requirement for practice legally, opinions vary among new nurses and nurse administrators as to whether new nurses are indeed competent to practice nursing. The purpose of this phenomenological research study was to learn what new nurses think about professional competence. The research question guiding this study was, "What is professional competence from the perspective of newly licensed registered nurses?"
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Date Issued: 2008
PURL: http://purl.flvc.org/fcla/dt/172666
Subject Headings: Clinical competence, Nursing, Standards, Nursing, Quality control, Nursing services, Administration
Format: Document (PDF)

Title: PSYCHOMETRIC EVALUATION OF THE MORAL COMFORT QUESTIONNAIRE AMONG HOSPITAL-BASED DIRECT-CARE REGISTERED NURSES.
Creator: Bermudez, Natalie, Tappen, Ruth M., Florida Atlantic University, Christine E. Lynn College of Nursing, Christine E. Lynn College of Nursing
Abstract/Description: Moral comfort, an emerging concept in nursing, is defined as an individual’s feelings of ease with decisions and actions related to a moral dilemma. Moral comfort for nurses is the positive outcome of a moral situation or dilemma, while moral distress, a widely explored issue in nursing, is the negative outcome. However, nursing literature on the concept of moral comfort is limited. While several instruments to measure moral distress exist, an instrument to measure moral comfort was not found...
Show moreMoral comfort, an emerging concept in nursing, is defined as an individual’s feelings of ease with decisions and actions related to a moral dilemma. Moral comfort for nurses is the positive outcome of a moral situation or dilemma, while moral distress, a widely explored issue in nursing, is the negative outcome. However, nursing literature on the concept of moral comfort is limited. While several instruments to measure moral distress exist, an instrument to measure moral comfort was not found. The Moral Comfort Questionnaire (MCQ) was theoretically developed. The purpose of this study was psychometric evaluation of this new 35-item instrument. Direct-care hospital-based registered nurses (n = 466) participated from February 2019 to September 2019 in this IRB-approved study. Participants completed demographic information, the MCQ, and the Moral Distress Scale revised (MDSR). Psychometric evaluation included a priori content validation and multiple statistical analyses: Cronbach’s alpha, Spearman’s correlation coefficient, weighted kappa, Bland- Altman analysis (B&A), discriminant validity, and confirmatory factor analysis (CFA).
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Date Issued: 2020
PURL: http://purl.flvc.org/fau/fd/FA00013445
Subject Headings: Nurses, Nursing, Nursing--Moral and ethical aspects, Nursing ethics
Format: Document (PDF)

Title: Christine E. Lynn College of Nursing library tutorial.
Creator: Borglund, Susan T., Allen, Ethan J., McMullen, Lindsey, Roshaven, Patricia, Christine E. Lynn College of Nursing
Date Issued: 2006-08
PURL: http://purl.flvc.org/fcla/dt/11494
Subject Headings: Florida Atlantic University. College of Nursing --Curricula, Library orientation, Nursing students, Florida Atlantic University. Libraries, Information literacy, Information resources, Library orientation, Library research
Format: Document (PDF)

Title: USE OF COMPLEMENTARY THERAPIES FOR DIABETES MELLITUS BY JAMAICAN ADULTS IN SOUTH FLORIDA: A FOCUSED ETHNOGRAPHY.
Creator: Brown, Raquel, Chiang-Hanisco, Lenny, Florida Atlantic University, Christine E. Lynn College of Nursing
Abstract/Description: Jamaicans, the largest group of English-speaking Caribbean people living in the United States (US), have a history of using bush medicine/complementary therapies (CT) in diabetes management. However, no research described the emic views of Jamaican adults regarding how they select the bush medicine they use or how they know these are suitable to manage diabetes. The purpose of this focused ethnography was to explore and describe how Jamaican adults with diabetes mellitus who live in South...
Show moreJamaicans, the largest group of English-speaking Caribbean people living in the United States (US), have a history of using bush medicine/complementary therapies (CT) in diabetes management. However, no research described the emic views of Jamaican adults regarding how they select the bush medicine they use or how they know these are suitable to manage diabetes. The purpose of this focused ethnography was to explore and describe how Jamaican adults with diabetes mellitus who live in South Florida select and use complementary therapies for managing their diabetes. The objectives were to: (1) Explore the emic views of Jamaican adults about using CT to manage diabetes mellitus; (2) Describe the rationale given by Jamaicans adults for using CT to manage diabetes mellitus; (3) Analyze and synthesize the data gathered about use of CT for diabetes by Jamaican adults to see if their actions have cultural components that can serve as a basis for providing culturally competent care.
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Date Issued: 2019
PURL: http://purl.flvc.org/fau/fd/FA00013287
Subject Headings: Diabetes--Alternative treatment, Jamaicans, Complementary Therapies, Ethnography, Culturally Competent Care--ethnology
Format: Document (PDF)

Title: Doctor of Nursing practice awareness: a public service announcement.
Creator: Buitrago, Rachael, Moore, Lisa, Murray, Donna, Christine E. Lynn College of Nursing, Florida Atlantic University
Date Issued: 2012
PURL: http://purl.flvc.org/fcla/dt/3355961
Format: Document (PDF)

Title: Identifying Barriers and Facilitators to Medication Adherence Among Underserved Adults with Hypertension in Miami-Dade County.
Creator: Carry, Coeurlande, Darville, Simone, Kelly, Tracian, Florida Atlantic University, Christine E. Lynn College of Nursing
Abstract/Description: African American (AA) and Hispanic American (HA) adults with hypertension have a higher risk of developing stroke, heart disease, and diabetes and have higher mortality rates from related complications. In the United States, more than 50% of patients with chronic conditions do not take their medication as prescribed (Kelly et al., 2014). Nonadherence is known to contribute to complications and difficulties in managing chronic diseases like hypertension and increased morbidity and deaths ...
Show moreAfrican American (AA) and Hispanic American (HA) adults with hypertension have a higher risk of developing stroke, heart disease, and diabetes and have higher mortality rates from related complications. In the United States, more than 50% of patients with chronic conditions do not take their medication as prescribed (Kelly et al., 2014). Nonadherence is known to contribute to complications and difficulties in managing chronic diseases like hypertension and increased morbidity and deaths (Ashoorkhani et al., 2018). This paper intends to address hypertension among AA and HA adults at Community Health of South Florida Incorporated (CHI) in Miami-Dade County.
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Date Issued: 2020
PURL: http://purl.flvc.org/fau/fd/faudnp000004
Format: Document (PDF)

Title: THE RELATIONSHIP AMONG HEALTHY WORK ENVIRONMENTS, NURSE CARING, AND NURSING-SENSITIVE PATIENT OUTCOMES IN MAGNET HOSPITALS.
Creator: Cassidy, Linda Franciose, Longo, Joy, Florida Atlantic University, Christine E. Lynn College of Nursing
Abstract/Description: The purpose of this study was to examine the relationship among Healthy Work Environments (HWEs), nurse caring behaviors, and nursing-sensitive patient outcomes, specifically catheter-associated urinary tract infections (CAUTIs), patient falls with injury, and hospital-associated pressure injuries (HAPIs) Stage 2 and above in Magnet hospitals. A descriptive, cross-sectional, quantitative, study was conducted between January 1, 2018, and February 28, 2018, in seven Magnet-designated hospitals...
Show moreThe purpose of this study was to examine the relationship among Healthy Work Environments (HWEs), nurse caring behaviors, and nursing-sensitive patient outcomes, specifically catheter-associated urinary tract infections (CAUTIs), patient falls with injury, and hospital-associated pressure injuries (HAPIs) Stage 2 and above in Magnet hospitals. A descriptive, cross-sectional, quantitative, study was conducted between January 1, 2018, and February 28, 2018, in seven Magnet-designated hospitals in a large faith-based system in the United States. A convenience, non-probability, purposive sample of permanently employed, direct-care RNs assigned to inpatient adult medical-surgical, telemetry, progressive care, stepdown, and critical care units were eligible to participate in the study. Three hundred and thirty-nine of 2632 eligible direct-care RNs participated in the study resulting in an overall response rate of 13.0% with a range of 5.5%–38.1% across hospitals. Nurse participants completed the AACN Healthy Work Environment Assessment Tool and the Nurse Caring Behaviors Inventory–24. Nursing-sensitive patient outcome data were obtained from patients cared for in the units during the study period.
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Date Issued: 2019
PURL: http://purl.flvc.org/fau/fd/FA00013292
Subject Headings: Work environment, Nurses, Caring, Patient Outcome Assessment, Healthy workplaces
Format: Document (PDF)

Title: GIving voice to historical trauma through storytelling: the impact of boarding school experience on American Indians.
Creator: Charbonneau-Dahlen, Barbara K., Christine E. Lynn College of Nursing
Abstract/Description: Objectives: This study documented events contributing to historical trauma among American Indian mission boarding school survivors, described residual effects of that trauma, and verified the Dream Catcher-Medicine Wheel model as a culturally appropriate tool that enhanced storytelling. Research Design and Methods: Nine women from two Upper Plains tribes were located through snowball sampling and participant referrals. A descriptive exploratory qualitative approach facilitated them in...
Show moreObjectives: This study documented events contributing to historical trauma among American Indian mission boarding school survivors, described residual effects of that trauma, and verified the Dream Catcher-Medicine Wheel model as a culturally appropriate tool that enhanced storytelling. Research Design and Methods: Nine women from two Upper Plains tribes were located through snowball sampling and participant referrals. A descriptive exploratory qualitative approach facilitated them in relating their survival stories. Seven were tape-recorded and two were hand-written on the Dream Catcher-Medicine Wheel, a model specifically designed for this study; this, combined with traditional spiritual grounding ceremonies, enhanced perspective for researcher and participants alike. Data Analysis: Liehr and Smith's (2008) Story Theory guided the methodology in the data gathering and analysis process using the Dream Catcher-Medicine Wheel combined with taped and written storytelling sessions. Major themes were categorized and supported with interview quotes through inductive analysis of the two research questions: What were the health challenges faced by survivors of American Indian mission boarding schools over time?, and, How have American Indian mission boarding school survivors resolved the health challenges they have faced over time? The first theme, subdivided into Breaking and Silencing of Spirit, examined physical, mental, and sexual abuse. The second theme, Survival of Spirit, examined relationships/parenting, coping/substance abuse, and spirituality. Findings: The seven dimensions described in Lowe and Struthers' (2001) Nursing in Native American Culture Conceptual Framework provided the value structure used for interpretation of findings. Implications for practice and research were related to the seven dimensions as culturally appropriate parameters for nursing., Data analysis identified disturbing themes; unanticipated candor emerged, possibly owing to the fact that the researcher is a historical trauma survivor. Despite having survived historical trauma through the survival of the spirit, each participant struggles to resolve health challenges to this day. Unable to voice mission boarding school experiences for most of their adult lives, each affirmed the rediscovery of Native spirituality empowering; all expressed appreciation for traditional methods woven into storytelling sessions, particularly the Dream Catcher-Medicine Wheel, and all indicated they experienced release and healing through telling their stories. Key words: American Indian; historical trauma; nursing; boarding school; Dream Catcher-Medicine Wheel.
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Date Issued: 2010
PURL: http://purl.flvc.org/FAU/2975245
Subject Headings: Psychic trauma in children, Treatment, Resilience (Personality trait), Identity (Psychology), Indians of North America, Cultural assimilation, Indians of North America, Social conditions, Indians of North America, Medical care, Boarding schools, History, Narrative therapy, Interpersonal relations in children, Psychological aspects
Format: Document (PDF)

Title: An Evaluation of a Diabetes Self-Management Education Program in a Community Health Clinic.
Creator: Chetan, Daniela, Denny, Justine, Chadwell, Katherine, Florida Atlantic University, Christine E. Lynn College of Nursing
Abstract/Description: The incidence of uncontrolled diabetes among the adult population of the United States, especially individuals over 65 years, remains a critical issue and is on the rise. Florida is one of the most affected states with the largest population of adults ages 65 and older in the nation (FDAC, 2017). Adults within minority groups face the greatest hardships as they often do not have access to proper diabetes educational programs resulting in a higher prevalence of diabetes with a higher risk for...
Show moreThe incidence of uncontrolled diabetes among the adult population of the United States, especially individuals over 65 years, remains a critical issue and is on the rise. Florida is one of the most affected states with the largest population of adults ages 65 and older in the nation (FDAC, 2017). Adults within minority groups face the greatest hardships as they often do not have access to proper diabetes educational programs resulting in a higher prevalence of diabetes with a higher risk for developing diabetes-related complications (Ricci-Cabello et al., 2014). Diabetes is a chronic disease that requires a person to make a multitude of daily self-management decisions and perform complex care activities. Diabetes programs providing self-management education may be one of the solutions to addressing this problem, both nationally and locally. This project evaluated the effectiveness of the diabetes education program at the Cora E. Braynon Family Health Center, a community health clinic caring for underserved individuals. A total of 15 patients were followed throughout their participation in the program in June and July of 2019 for three months. Measurable outcomes for this program evaluation included participation in the program as evidenced by chart review, glycemic control by means of hemoglobin A1c measurements, self-management behaviors including diet, activity and exercise, and medication adherence by administering the Diabetes Self-Management Questionnaire (DSMQ) both pre- and post-participation in the program. Patient satisfaction with the program was measured using qualitative interview techniques. The interprofessional team members’ perception of the program was measured using a questionnaire based on the 10 ADA Diabetes Self-Management Education Standards as well as by qualitative interview. Alignment with the 2017 National Standards for Diabetes Self-Management Education and Support Curriculum Core Content Areas was measured by direct observation. After three months, 28% of the patients referred by their primary care provider attended both sessions in June, while 37% of patients referred attended the first session in July and 40.7% the second, meeting the set goal. After three months the following objectives were met: at least 15% of participants reported improvement in diet, activity and exercise, and medication adherence as compared to baseline scores on the DSMQ, 100% of patients and members of the interprofessional team reported satisfaction with the program, and 100% of the interprofessional team reported knowledge of the 2017 National Standards for Diabetes Self-Management Education. After three months, the following measured objectives were not met: only one participant reached the set goal of a 1% reduction in their recorded hemoglobin A1c levels, and during direct observation of program processes, only five of the eight standards from the 2017 National Standards for Diabetes Self-Management Education and Support Curriculum Core Content Areas were met. Core content areas of activity, healthy coping with psychosocial issues and problem solving, needed improvement. Such results support the push for the addition of a mental health counselor to the Care Coordination Team.
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Date Issued: 2019
PURL: http://purl.flvc.org/fau/fd/FA00007527
Format: Document (PDF)

Title: Improving Eating Habits in Adults with Type 2 Diabetes: An experience with FOOD.
Creator: Noyan-Lue, Christine, Christine E. Lynn College of Nursing, Florida Atlantic University
Date Issued: 2018
PURL: http://purl.flvc.org/fau/fd/FAUIR000359
Format: Citation

Title: Increasing Cognitive Screening, Neuropsychological Referrals, and Dementia Detection among Older Haitian Adults.
Creator: Daccarett, Sandra, Christine E. Lynn College of Nursing, , Florida Atlantic University
Date Issued: 2018
PURL: http://purl.flvc.org/fau/fd/FAUIR000358
Format: Citation

Title: Use of a Patient Centered Transitional Care Program to Decrease Hospitalization in Adults with Heart Failure and/or COPD.
Creator: Guerrier, Mouline, Christine E. Lynn College of Nursing, Florida Atlantic University
Date Issued: 2018
PURL: http://purl.flvc.org/fau/fd/FAUIR000360
Format: Citation

Title: DNP role in specialty care: starting an autonomous psychiatric practice in Miami using Electronic Health Record (EHR) technology.
Creator: Cioffi, George V., MacCaffrey, Ruth, Hernandez, Nelson D., Christine E. Lynn College of Nursing, Florida Atlantic University
Date Issued: 2012
PURL: http://purl.flvc.org/fcla/dt/3355951
Format: Document (PDF)

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