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Title: FINDING A UNIQUE PATH: EMBODYING PARENTING IN THE MIDST OF CONFLICTING COMPLEXITY WITHIN PEDIATRIC PALLIATIVE CARE.
Creator: Olafson, Elizabeth A., Barry, Charlotte D., Florida Atlantic University, Christine E. Lynn College of Nursing, Christine E. Lynn College of Nursing
Abstract/Description: The purpose of this qualitative study was to explore the process of complex healthcare decision-making by parents for their children within the milieu of a pediatric palliative care team. As healthcare has advanced, the number of children living with complex chronic conditions has increased. Decision-making by parents for their children referred to palliative care has not, up to this point, been widely explored by nursing. A purposeful sample of 22 participants, parents of children in life...
Show moreThe purpose of this qualitative study was to explore the process of complex healthcare decision-making by parents for their children within the milieu of a pediatric palliative care team. As healthcare has advanced, the number of children living with complex chronic conditions has increased. Decision-making by parents for their children referred to palliative care has not, up to this point, been widely explored by nursing. A purposeful sample of 22 participants, parents of children in life-limiting or life-threatening situations were asked: What matters most during the process of complex healthcare decision-making? A constant comparative method was used to analyze data collected from semistructured interviews and the theory of embodying parenting in the midst of conflicting complexity emerged. J. Watson’s (2020) theory of human caring grounded the researcher in living caritas processes throughout the study. All participants experienced a disruption of their expected parenting and family normal. Through constant comparative data analysis, the core category of embodying parenting was identified. Feeling respected as the parent, thoughtfully making right decisions, and maintaining presence support embodying parenting. The basic social process identified was finding a unique path. The process of finding a unique path included connecting with a supportive community, claiming decisional authority, moderating negative thoughts and feelings, and adjusting expectations. Living in peace was achieved by finding a unique path to embodying parenting in the midst of conflicting complexity. For the participants in this study, accepting circumstances, feeling gratitude, and perceiving life differently led to living in peace.
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Date Issued: 2020
PURL: http://purl.flvc.org/fau/fd/FA00013599
Subject Headings: Palliative Care, Nursing, Pediatric nursing, Decision Making
Format: Document (PDF)

Title: THE LIVED EXPERIENCE OF PARENTS OF CHILDREN WITH SPECIAL HEALTHCARE NEEDS ON PUBLIC AND PRIVATE INSURANCE: A PHENOMENOLOGICAL STUDY.
Creator: Reaves, Régine Placide, Chiang-Hanisko, Lenny, Florida Atlantic University, Christine E. Lynn College of Nursing, Christine E. Lynn College of Nursing
Abstract/Description: Due to recent advances in medical technology, the number of children with special healthcare needs (CSHCN) is steadily growing in the United States. CSHCN comprise more than 40% of overall healthcare costs nationwide, even though this group is only comprised of 16% of the U.S. child population. There are significant differences between private and public health plans in terms of cost, adequacy, and parent satisfaction. As an added benefit, some public and private health insurance plans offer...
Show moreDue to recent advances in medical technology, the number of children with special healthcare needs (CSHCN) is steadily growing in the United States. CSHCN comprise more than 40% of overall healthcare costs nationwide, even though this group is only comprised of 16% of the U.S. child population. There are significant differences between private and public health plans in terms of cost, adequacy, and parent satisfaction. As an added benefit, some public and private health insurance plans offer nursing care coordination (or nursing case management) services. The purpose of this study was to understand the experiences of parents of CSHCN enrolled in public and private insurance with or without a nurse care coordinator assigned. A phenomenological approach was used. One-to-one semi-structured interviews were conducted with 16 participants. Colaizzi’s (1978) eight steps of data analysis was the selected methodological interpretation. Five themes emerged from this study: Struggle with Self-Preservation, Abandonment and Isolation, Self-Reliance and Advocate, Interdependence, and Lifeline. These study findings highlighted the major differences with parents navigating their child’s health insurance. These differences were dependent on the type of insurance and sources of support available. The experience of parents with a nurse care coordinator differed from parents without a nurse. Parents of CSHCN enrolled in public insurance with a nurse care coordinator considered the nurse to be a primary source of support. These nurses were instrumental in solving problems with the public health plan. On the contrary, parents with CSHCN enrolled in private insurance without a nurse care coordinator carried this additional burden. There were also noticeable differences in parents’ satisfaction with the adequacy and cost of their child’s health insurance. Parents of CSHCN enrolled in private insurance voiced dissatisfaction with higher costs associated with their child’s plan. Meanwhile, parents of CSHCN enrolled in Medicaid expressed that out-of-pocket expenses were covered. Results from this study can be used to make policy changes by insurance companies. Incorporating nursing care coordination not only results in healthcare savings for the health plan but improved health outcomes for its members as well.
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Date Issued: 2020
PURL: http://purl.flvc.org/fau/fd/FA00013582
Subject Headings: Health insurance, Phenomenology--Research, Parents of children with disabilities
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: 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: Implementation of a Postpartum Depression Screening Program to Increase Detection and Referral of Women Experiencing Postpartum Depression (PPD).
Creator: Eziafa, Chinye, Longo, Joy, Florida Atlantic University, Christine E. Lynn College of Nursing
Abstract/Description: Postpartum depression is a common and serious mental disorder seen in 10% to 20% of postpartum women. It is the most undiagnosed and undertreated condition in obstetrics. It can affect mother-infant bonding, the mother’s wellbeing, and the infant’s development. The aim of this project is to implement a postpartum depression (PPD) screening program that will include early screening and referral for treatment. This manuscript will describe the results of the project and the importance of early...
Show morePostpartum depression is a common and serious mental disorder seen in 10% to 20% of postpartum women. It is the most undiagnosed and undertreated condition in obstetrics. It can affect mother-infant bonding, the mother’s wellbeing, and the infant’s development. The aim of this project is to implement a postpartum depression (PPD) screening program that will include early screening and referral for treatment. This manuscript will describe the results of the project and the importance of early screening for PPD. A practice change for a focused outcome was implemented in a practice. This change included a new protocol on PPD screening. A ten-item Edinburg postnatal depression scale (EPDS) was used to screen every woman during the postpartum visit. Data was collected between June 2020 and September 2020. Thirty women visited the clinic for a postpartum check within the 3-month period. Twenty-eight (93.3%) were screened for PPD. One (4%) of the twenty-eight women was detected to have symptoms of PPD and 100% of those who were detected with symptoms were referred. Two women (6.7%) were not screened. Prior to implementation of the protocol, education was provided to staff, and the 22-item revised depression attitude questionnaire (R-DAQ) was administered pre and post education to evaluate the knowledge and attitude of the staff. The independent sample T- Test was used to analyze the knowledge of staff pre and post educational sessions. The results showed an increase in knowledge, but it was not statistically significant. Also, the implementation of the practice change in the project site is still under assessment. In conclusion, implementing EPDS into practice will help improve PPD screening, early detection and treatment of PPD.
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Date Issued: 2020
PURL: http://purl.flvc.org/fau/fd/faudnp000005
Format: Document (PDF)

Title: Initiation of the Reducing Antibiotic Misuse Prescribing (RAMP) Program to Enhance Evidence-based Management of Acute Bronchitis in the Urgent Care setting.
Creator: Ortiz, Doris, Harris, Nancy, Bradley, Gary, Florida Atlantic University, Christine E. Lynn College of Nursing
Abstract/Description: The inappropriate use of antibiotics to treat non-bacterial infections has contributed to one of the public health problems resulting in antibiotic resistance (CDC, 2019). The purpose of this DNP project was to analyze providers’ awareness and beliefs regarding antibiotic use and resistance and to evaluate the effect of an antibiotic stewardship program on urgent care providers’ antibiotic prescribing for acute bronchitis. The overall goal is to decrease antibiotic resistant infections by...
Show moreThe inappropriate use of antibiotics to treat non-bacterial infections has contributed to one of the public health problems resulting in antibiotic resistance (CDC, 2019). The purpose of this DNP project was to analyze providers’ awareness and beliefs regarding antibiotic use and resistance and to evaluate the effect of an antibiotic stewardship program on urgent care providers’ antibiotic prescribing for acute bronchitis. The overall goal is to decrease antibiotic resistant infections by reducing inappropriate antibiotic prescribing for a viral infection. To achieve this goal, a quality improvement initiative was conducted with five participating urgent care providers. Pre-RAMP intervention there was an average of 64% of over prescribing antibiotic for acute bronchitis, post-RAMP intervention was 18% which was a 71.8% reduction of over prescribing for acute bronchitis. With continuation of the RAMP intervention, at a greater scale, it will produce a sample size with enough data to fully support the cause for awareness of antibiotic prescribing for safe and quality patient care.
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Date Issued: 2020
PURL: http://purl.flvc.org/fau/fd/faudnp000006
Format: Document (PDF)

Title: The PEACH Project: Improving Provider Education for HPV Vaccination.
Creator: Eisenberg, Rachel L., Stein, Elizabeth R., Goodman, Rhonda, Florida Atlantic University, Christine E. Lynn College of Nursing
Abstract/Description: In the United States, the most common sexually transmitted infection (STI) is human papillomavirus (HPV) and although it is estimated that in the United States, 79 million people currently have HPV and an estimated 14 million people will become infected each year, vaccination rates to decrease HPV and associated cancers remains low (Jones et al., 2017). The Provider Education Achieving Community HPV Prevention (PEACH) program was created to enhance provider knowledge and understanding of the...
Show moreIn the United States, the most common sexually transmitted infection (STI) is human papillomavirus (HPV) and although it is estimated that in the United States, 79 million people currently have HPV and an estimated 14 million people will become infected each year, vaccination rates to decrease HPV and associated cancers remains low (Jones et al., 2017). The Provider Education Achieving Community HPV Prevention (PEACH) program was created to enhance provider knowledge and understanding of the HPV vaccine and improve vaccination rates through a provider education program. The qualitative improvement project was conducted at a non-profit family planning clinic in West Palm Beach and a primary care pediatric outpatient facility in Atlantis, Florida. The project leaders utilized Icek Ajzen’s Theory of Planned Behavior to provide a framework to further understand the mindset and decision-making process patients and parents go through while deciding to vaccinate against HPV.
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Date Issued: 2020
PURL: http://purl.flvc.org/fau/fd/faudnp000007
Format: Document (PDF)

Title: Improving Care for Patients with Diabetes through Enhanced Patient Provider Adherence to the Diabetes Engagement Checklist.
Creator: Hackenberg, Kendall, Rizkallah, Rayyana, Florida Atlantic University, Christine E. Lynn College of Nursing
Abstract/Description: The DNP project, hereafter referred to as the Diabetes Engagement Checklist (DEC) project entailed improving care for patients with diabetes in order to enhance patient adherence to selfmanagement. The project was based locally, in the primary care setting and the participants were clinic patients that were diagnosed with T2DM (Type 2 Diabetes Mellitus). The clinical question is as follows: In (P) adult primary care patients (18-99 years) diagnosed with T2DM (ICD11.9) what is the effect of...
Show moreThe DNP project, hereafter referred to as the Diabetes Engagement Checklist (DEC) project entailed improving care for patients with diabetes in order to enhance patient adherence to selfmanagement. The project was based locally, in the primary care setting and the participants were clinic patients that were diagnosed with T2DM (Type 2 Diabetes Mellitus). The clinical question is as follows: In (P) adult primary care patients (18-99 years) diagnosed with T2DM (ICD11.9) what is the effect of implementation of a diabetes screening quality of care checklist with provider and patient engagement (I) on patient outcomes and self-management (BMI, BP, LDL, HbA1c, PHQ-9) (O) compared to usual standard of care (C) over 3-month period (T)?
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Date Issued: 2020
PURL: http://purl.flvc.org/fau/fd/faudnp000008
Format: Document (PDF)

Title: Improving Medication Adherence for Chronic Hypertension through Education and Self-Management Support: A Quality Improvement Project.
Creator: Hoyumpa, Rebecca H., D’Avolio, Deborah, Duhaney, Michelle, Florida Atlantic University, Christine E. Lynn College of Nursing
Abstract/Description: In the primary care setting, management of hypertension is the most common reason for office visits (Basile & Bloch, 2020). Uncontrolled hypertension accounts for 76% of persons with hypertension (CDC, 2020). This quality improvement (QI) project was conducted to improve medication adherence through education and self-management support in the management of chronic hypertension in a private family practice site in southeast Florida. The project addressed this by utilizing the Health Literacy...
Show moreIn the primary care setting, management of hypertension is the most common reason for office visits (Basile & Bloch, 2020). Uncontrolled hypertension accounts for 76% of persons with hypertension (CDC, 2020). This quality improvement (QI) project was conducted to improve medication adherence through education and self-management support in the management of chronic hypertension in a private family practice site in southeast Florida. The project addressed this by utilizing the Health Literacy Universal Precautions Toolkit, 2nd Edition (Agency for Healthcare Research and Quality [AHRQ], 2015a) to frame evidence-based interventions. UpToDate (Basile & Bloch, 2020) was utilized to provide patient education materials on hypertension, patient specific medications and home blood pressure monitoring. The conceptual framework was guided by the Health Literate Care Model (HLCM) (Koh et al., 2013a) systems approach scaffolded with Orem’s Self-Care Deficit Nursing Theory and underpinned with the Theory of Nursing as Caring.
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Date Issued: 2020
PURL: http://purl.flvc.org/fau/fd/faudnp000009
Format: Document (PDF)

Title: A Well-Being Program Grounded in Caring: Increasing Staff Satisfaction.
Creator: Jasmin, Marie Rose S., Linette, Donna, Rotolo, Patrice, Florida Atlantic University, Christine E. Lynn College of Nursing
Abstract/Description: Over the last few decades, there has been a growing concern over the shortage and training of behavioral healthcare workers in the United States and more so over mental health workers' retention. Publicly funded mental health institutions have been the most affected by the high turnover rate of mental health staff, which increases operational costs by continually hiring and training new staff. Besides increasing health care costs, the high turnover rate creates an unstable work environment...
Show moreOver the last few decades, there has been a growing concern over the shortage and training of behavioral healthcare workers in the United States and more so over mental health workers' retention. Publicly funded mental health institutions have been the most affected by the high turnover rate of mental health staff, which increases operational costs by continually hiring and training new staff. Besides increasing health care costs, the high turnover rate creates an unstable work environment that negatively impacts the quality of care. However, when employees are empowered to do their job and care for themselves, they are more likely to experience overall satisfaction and be committed to their organization. Many authors suggest that providing ongoing training to help employees adapt to their daily routine and create a caring environment positively impacts job satisfaction and organizational commitment. Therefore, organizations must implement strategies to enhance employee work experience, satisfaction, and retention. This paper intends to present a unique evidence-based training strategy to improve mental health workers' caring behaviors and work experience. Analysis of this quality improvement project's quantitative results, its evaluation, and practice recommendations are addressed.
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Date Issued: 2020
PURL: http://purl.flvc.org/fau/fd/faudnp000010
Format: Document (PDF)

Title: Evaluating a Virtual Program of Therapeutic Interactive Pets to Improve Behavioral and Psychological Symptoms and Cognitive Status Among Older Adults Experiencing Alzheimer’s Disease and Related Dementias.
Creator: Johnston, Melissa, Wiese, Lisa, Ordoñez, Maria, Florida Atlantic University, Christine E. Lynn College of Nursing
Abstract/Description: Nearly 6 million Americans of all ages are living with Alzheimer’s dementia or related dementias (ADRD), and the prevalence is only expected to increase as our population ages (Gaugler, et al., 2019). Recent estimates indicate that ADRD may be moving from the sixth most common cause of death in older adults to the third, after heart disease and cancer (National Institute on Aging, [NIA] 2019). Currently there is no cure for Alzheimer’s disease or related dementias.
Date Issued: 2020
PURL: http://purl.flvc.org/fau/fd/faudnp000011
Format: Document (PDF)

Title: Implementing a Male Breast Cancer Screening Protocol with a Medically Underserved Population.
Creator: Gonzalez, Haizea Lee, Bulfin, Susan, Klause, Karin, Florida Atlantic University, Christine E. Lynn College of Nursing
Abstract/Description: This Doctor of Nursing Practice (DNP) project describes a quality improvement (QI) project to address the problem of male breast cancer (MBC) in a medically underserved population in the southeastern United States. The purpose of this project was to implement a practice protocol to increase breast cancer screening rates to potentially improve early identification and management of men at risk for breast cancer in an outpatient safety net clinic. The Six Sigma DMAIC methodology guided the...
Show moreThis Doctor of Nursing Practice (DNP) project describes a quality improvement (QI) project to address the problem of male breast cancer (MBC) in a medically underserved population in the southeastern United States. The purpose of this project was to implement a practice protocol to increase breast cancer screening rates to potentially improve early identification and management of men at risk for breast cancer in an outpatient safety net clinic. The Six Sigma DMAIC methodology guided the development, implementation, and evaluation of the project. A pre and post intervention survey was utilized to measure nurse practitioners’ knowledge, attitude, and practice (KAP) about MBC screening and a chart audit tool was utilized to measure adherence to the protocol. The results revealed statistical significance. The nurse practitioners demonstrated improved KAP of male breast cancer screening recommendations based on responses to the pre and post questionnaires. The implementation of the male breast cancer screening protocol led to a significant increase in the nurse practitioner’s MBC screening rates. The findings reinforce continued education of nurse practitioners for male breast cancer prevention. Public education is also pertinent for early detection and prevention of male breast cancer worldwide.
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Date Issued: 2020
PURL: http://purl.flvc.org/fau/fd/faudnp000012
Format: Document (PDF)

Title: Improving Knowledge and Decreasing Blood Pressures with a Tailored Education Program on Lifestyle in Blacks in an Underserved Population.
Creator: Richards, Shannon, Edwards, Karethy, Florida Atlantic University, Christine E. Lynn College of Nursing
Abstract/Description: According to Moss et al (2018), Hypertension (HTN) is a major cause of the disproportionately high rates of coronary heart disease, stroke, heart failure, and chronic kidney disease. For African-Americans, high blood pressure also develops earlier in life and is usually more severe (American Heart Association, 2016). HTN is worth being addressed because it is a very serious disease that can become a silent killer to all. This doctoral project addresses a specific need of a tailored education...
Show moreAccording to Moss et al (2018), Hypertension (HTN) is a major cause of the disproportionately high rates of coronary heart disease, stroke, heart failure, and chronic kidney disease. For African-Americans, high blood pressure also develops earlier in life and is usually more severe (American Heart Association, 2016). HTN is worth being addressed because it is a very serious disease that can become a silent killer to all. This doctoral project addresses a specific need of a tailored education program about HTN, a healthy diet aligned with the DASH diet and exercise in the underserved population. The intention of this paper is to improve participants’ hypertension knowledge, DASH diet adherence, and participation in physical activity to decrease blood pressures, and to provide a comprehensive description of this quality improvement project with recommendations for practice change. This project was implemented through telehealth due to the current pandemic of COVID 19.
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Date Issued: 2020
PURL: http://purl.flvc.org/fau/fd/faudnp000013
Format: Document (PDF)

Title: Increasing the Recommendation of Probiotics Through Provider and Patient Education for the Treatment of Recurrent Vaginitis.
Creator: Sicard, Jasmine, Spicer, Nia, Gordon, Shirley, Florida Atlantic University, Christine E. Lynn College of Nursing
Abstract/Description: Recurrent and chronic vaginitis affects women’s self-esteem, sex life and overall well-being. The underestimation of the impact of recurrent and chronic vaginitis on women warrants further research into interventions and treatments. While bacterial vaginosis and vulvocandidiasis are among the most common gynecological diagnoses associated with vaginitis, there is no clear resolution in the literature. The path to finding a treatment plan that provides better and longer lasting relief may lie...
Show moreRecurrent and chronic vaginitis affects women’s self-esteem, sex life and overall well-being. The underestimation of the impact of recurrent and chronic vaginitis on women warrants further research into interventions and treatments. While bacterial vaginosis and vulvocandidiasis are among the most common gynecological diagnoses associated with vaginitis, there is no clear resolution in the literature. The path to finding a treatment plan that provides better and longer lasting relief may lie within the addition of probiotics supplementation. The use of probiotics has been widely explored in topics pertaining to gut health, however creating a more balanced flora of bacteria within the vagina could also lead to advancements in women’s health. This doctoral project was designed and implemented to increase the knowledge of providers and patients about the long-term use of probiotics for vaginal health while decreasing symptomatology at a women’s and family practice in South Florida.
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Date Issued: 2020
PURL: http://purl.flvc.org/fau/fd/faudnp000014
Format: Document (PDF)

Title: Implementation of Pain Assessment Tool for Patients with Dementia.
Creator: Sommer, Stephanie, Longo, Joy, Florida Atlantic University, Christine E. Lynn College of Nursing
Abstract/Description: According to the World Health Organization (2019) approximately 50 million people worldwide have dementia. Pain in patients with dementia who are unable to verbalize discomfort may lead to unnecessary suffering and a poor quality of life. Accurate pain evaluation by the nurse is of critical importance, yet pain is often inappropriately assessed and undertreated. The purpose of this quality improvement project was to implement a pain assessment tool for the assessment and management of pain in...
Show moreAccording to the World Health Organization (2019) approximately 50 million people worldwide have dementia. Pain in patients with dementia who are unable to verbalize discomfort may lead to unnecessary suffering and a poor quality of life. Accurate pain evaluation by the nurse is of critical importance, yet pain is often inappropriately assessed and undertreated. The purpose of this quality improvement project was to implement a pain assessment tool for the assessment and management of pain in patients with dementia. The project took place at an assisted living facility in Boca Raton, Florida. The Swanson middle-range Theory of Caring (SCT) served as the theoretical framework and the Plan, Do, Study, Act model supported the translation of evidence into practice.
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Date Issued: 2020
PURL: http://purl.flvc.org/fau/fd/faudnp000015
Format: Document (PDF)

Title: Thriving in Healthcare Providers: Relationship to Emotional Exhaustion & Impact on Primary Care Population Health Outcomes.
Creator: Constantinides, Shannon M., Hain, Debra, Florida Atlantic University, Christine E. Lynn College of Nursing, Christine E. Lynn College of Nursing
Abstract/Description: In 2014 Bodenheimer and Sinsky published the Quadruple Aim model, which argued that healthcare provider wellbeing was the missing link to improving patient and population health outcomes, as well as cost containment. Rather than treating burnout, however, experts in fields outside healthcare are finding validity in promoting thriving at work as a means to prevent burnout and improve employee satisfaction, engagement, and productivity. The purposes of this study were to investigate the...
Show moreIn 2014 Bodenheimer and Sinsky published the Quadruple Aim model, which argued that healthcare provider wellbeing was the missing link to improving patient and population health outcomes, as well as cost containment. Rather than treating burnout, however, experts in fields outside healthcare are finding validity in promoting thriving at work as a means to prevent burnout and improve employee satisfaction, engagement, and productivity. The purposes of this study were to investigate the relationship between thriving and emotional exhaustion (which is widely considered a core element of burnout) in healthcare providers, and the impact thriving had on primary care population health outcomes as measured by quantifiable value-based quality performance metrics. Using Georges' (2013) Emancipatory Theory of Compassion and Bodenheimer and Sinsky's Quadruple Aim as conceptual frameworks, this descriptive, non-experimental study used advanced applied biostatistical techniques to analyze archival data from the December 2018 UCHealth Physician and Advanced Practice Provider Voice Survey as well as provider performance scores from the same time period. Results of the study were mixed, showing that while there is an inverse relationship between thriving and emotional exhaustion in healthcare providers, thriving did not predict population health outcomes. By evaluating thriving in healthcare providers in relation to emotional exhaustion and in context of value-based health care delivery systems, this study was the first of its kind.
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Date Issued: 2020
PURL: http://purl.flvc.org/fau/fd/FA00013524
Subject Headings: Primary care (Medicine), Outcome Assessment, Health Care, Medical personnel, Well-being, Exhaustion
Format: Document (PDF)

Title: DIET COACHING TO IMPROVE PROTEIN INTAKE IN MIDDLE!AGED WOMEN.
Creator: Jackson, Kelley, Gropper, Sareen, Florida Atlantic University, Christine E. Lynn College of Nursing, Christine E. Lynn College of Nursing
Abstract/Description: The loss of muscle (mass, strength, and function) occurs in many individuals in their 40’s and begins to accelerate after 50 years of age resulting from multiple understood mechanisms. While many factors are thought to contribute to the changes that are observed in muscle with aging, one significant, yet modifiable factor is dietary protein intake. This study proposed to improve dietary protein intake in a group of middle-aged women living in South Florida over a 12-week period using...
Show moreThe loss of muscle (mass, strength, and function) occurs in many individuals in their 40’s and begins to accelerate after 50 years of age resulting from multiple understood mechanisms. While many factors are thought to contribute to the changes that are observed in muscle with aging, one significant, yet modifiable factor is dietary protein intake. This study proposed to improve dietary protein intake in a group of middle-aged women living in South Florida over a 12-week period using individualized per-meal protein prescriptions (1.2 g protein/kg body weight evenly distributed for all three meals) provided by a Registered Dietitian, followed by weekly diet coaching from a Nurse Practitioner (coach). Aims included: (1) An examination of the effect of diet coaching on protein intake, nutrition knowledge, muscle mass, strength, and function and (2) An understanding of how diet coaching sessions help in the process of making dietary changes. A parallel mixed methods research design allowed for a synthesis of inferences from each aim resulting in a meta-inference highlighting interdisciplinary collaboration.
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Date Issued: 2020
PURL: http://purl.flvc.org/fau/fd/FA00013545
Subject Headings: Middle-aged women, Dietary Proteins, Muscles--Aging
Format: Document (PDF)

Title: THE INFLUENCE OF MENTAL, PHYSICAL, AND SOCIAL ACTIVITY ON EPISODIC MEMORY OF PERSONS AGED 50 AND ABOVE IN THE UNITED STATES.
Creator: Malatyali, Ayse, Gordon, Shirley C., Florida Atlantic University, Christine E. Lynn College of Nursing, Christine E. Lynn College of Nursing
Abstract/Description: The purpose of this study was to describe the relationship between mental, physical, and social activity, and episodic memory (EM) of cognitively intact older persons. The specific aims were (a) to describe the relationship between EM and mental, physical, and social activity, (b) to describe the role of gender, marital status, and race on EM, (c) to describe the moderating effects of each activity on the relationship between each of the remaining two activities and EM, and (d) to describe...
Show moreThe purpose of this study was to describe the relationship between mental, physical, and social activity, and episodic memory (EM) of cognitively intact older persons. The specific aims were (a) to describe the relationship between EM and mental, physical, and social activity, (b) to describe the role of gender, marital status, and race on EM, (c) to describe the moderating effects of each activity on the relationship between each of the remaining two activities and EM, and (d) to describe the moderating effects of gender, marital status, and race on the relationship between each activity and EM. Two theoretical frameworks: Cognitive Reserve Theory (Stern, 2002) and Theory of Nursing as Caring (Boykin & Schoenhofer, 1993) guided the study. This study was designed as a correlational and retrospective secondary analysis of data sets from the Health and Retirement Study. The sample consisted of 3,903 cognitively intact persons who were 50 years and older and completed immediate and delayed recall tests in the 2016 HRS and the 2015 Consumptions and Activities Mail Survey. Descriptive statistics included the means for age: 67 (SD 9.54), education:13.85 (SD 5.89), and total cognition 16.86 (SD 3.11). The sample was predominantly Caucasian (78.3%), female (59.8%), and married (60.9%).
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Date Issued: 2020
PURL: http://purl.flvc.org/fau/fd/FA00013564
Subject Headings: Older people--United States, Episodic memory, Cognition--Aged, Lifestyles--Health aspects
Format: Document (PDF)

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