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- Title
- Mixed Method of Health Literacy and Diabetes Self- Management Among Saudi Adults with Type 2 Diabetes Mellitus.
- Creator
- Almashni, Ibtisam Y., Hain, Debra, Florida Atlantic University, Christine E. Lynn College of Nursing, Christine E. Lynn College of Nursing
- Abstract/Description
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The worldwide threat of Diabetes Mellitus (DM) has been increasing rapidly, and is now an estimated 463 million, of which 55 million people originate from Middle East and Nort African (“MENA”) region (international Diabetes Federation [“IDF’], 2020). In Saudi Arabia, the prevalence of diabetes has roughly reached a ten-fold increase in the past three decades, placing Saudi Arabia’s incidence as one of the highest globally (Almubark et al., 2022). The purpose of the study was to examine the...
Show moreThe worldwide threat of Diabetes Mellitus (DM) has been increasing rapidly, and is now an estimated 463 million, of which 55 million people originate from Middle East and Nort African (“MENA”) region (international Diabetes Federation [“IDF’], 2020). In Saudi Arabia, the prevalence of diabetes has roughly reached a ten-fold increase in the past three decades, placing Saudi Arabia’s incidence as one of the highest globally (Almubark et al., 2022). The purpose of the study was to examine the relationship between health and diabetes self-management among Saudi adults with Type 2 Diabetes Mellitus (T2DM). The study further aimed to explore how Saudi adult with T2DM seek and utilize diabetes knowledge to self-manage their diabetes. The study was guided by Leininger’s Culture Care Diversity and Universality Theory (2002). Leininger’s Sunrise Enabler- Model provided a framework to explore the various factors that affect diabetes self-management through a cultural lens. This model provides a comprehensive understanding pf multiple factors influencing diabetes self-management. A sample of 66 Saudi adults with T2DM aged 40-61 and older was recruited from diabetes center and Primary Healthcare Center (PHCC) at National Guard Hospital King Abdulaziz Medical City Jeddah, Saudi Arabia. A Parallel Mixed Method (PPM) design was applied, using semi-structured interviews, Diabetes Self-management Questionnaire (DSMQ), Short Test of Functional Health Literacy in Adult (S-TOFHLA), and sociodemographic surveys.
Show less - Date Issued
- 2023
- PURL
- http://purl.flvc.org/fau/fd/FA00014326
- Subject Headings
- Diabetes, Health literacy, Self Management, Saudi Arabians, Health education
- Format
- Document (PDF)
- Title
- VETERANS’ PERSPECTIVES ON THE MEANING OF THEIR WELL-BEING EXPERIENCE: A PHENOMENOLOGICAL INQUIRY.
- Creator
- Birmingham, Cheryl Lynn, Chiang-Hanisko, Lenny, Florida Atlantic University, Christine E. Lynn College of Nursing, Christine E. Lynn College of Nursing
- Abstract/Description
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The veterans are a unique community shaped by past military experiences that may have positive and negative effects on their well-being as soldiers. With nearly half of the 18.4 million veterans in the United States living beyond 61 years, age-related physical and mental health conditions may impact the veterans’ well-being. Promoting veterans’ well-being has been studied extensively but literature on how they define it is scanty. It is critical to understand how veterans define well-being to...
Show moreThe veterans are a unique community shaped by past military experiences that may have positive and negative effects on their well-being as soldiers. With nearly half of the 18.4 million veterans in the United States living beyond 61 years, age-related physical and mental health conditions may impact the veterans’ well-being. Promoting veterans’ well-being has been studied extensively but literature on how they define it is scanty. It is critical to understand how veterans define well-being to inform future program development to address mental health needs. The purpose of this study is to discover the meaning and the lived experience of well-being among veterans. The methodology used for this study was a qualitative hermeneutic interpretative phenomenological approach to understand the meaning of veterans’ well-being. It allowed the phenomena to surface while exposing the essence of and the experience. The sampling method for recruiting participants was purposive sampling, with semi structured interviews conducted via ZOOM and direct observations at Veteran Service Organizations (VSOs) to obtain data. Fourteen veterans participated in this study, comprising eight males and six females with majority aged over 61 years. In terms of race/ethnicity, 64 % were White, 21% Hispanic and 15 % African American. With the use of Max van Manen’s analysis strategy, seven major themes emerged: (a) A Connection With A Special Bond To The Military Sisterhood/Brotherhood, (b) The Lingering Effects Of Military Service Continue To Simmer In Veteran life, (c) Feeling Grateful/Prideful Through Appreciation For Their Military Service, (d) Healthy Companionships/Relationships With Mutual Respect Yield Veteran Equilibrium, (e) Creating A Veteran Framily/Fraternity, (f) Self-fulfilment By Giving Back And Making A Life With A Purpose and (g) Veterans Living A Healthy Life Caring For Self. Six of the seven themes addressed the veterans’ well-being. The lingering effects have persisted and challenged the Veterans’ emotional well-being. However, they were able to express their military camaraderie even in the veterans’ life. Programs based on social relationships that allow connections with veterans and/or their significant others need to be established.
Show less - Date Issued
- 2023
- PURL
- http://purl.flvc.org/fau/fd/FA00014317
- Subject Headings
- Veterans, Veterans--Mental health, Well-being, Caring
- Format
- Document (PDF)
- Title
- The Association Between Informal Caregiver Knowledge about Type 2 Diabetes Mellitus and Patients’ HbA1C Level among a Saudi Arabian Cohort.
- Creator
- Fallatah, Jamilah Ahmed, Wiese, Lisa Kirk, Florida Atlantic University, Christine E. Lynn College of Nursing, Christine E. Lynn College of Nursing
- Abstract/Description
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Background: Almost seven million persons in Saudi Arabia are diagnosed with Type 2 Diabetes Mellitus (T2DM). Lack of knowledge regarding T2DM among Saudi caregivers may impact T2DM management and disease outcomes, yet established educational programs for their caregivers are scant. There is a need to discover T2DM informal caregivers’ knowledge and its relation to patients' T2DM management, prior to designing educational interventions. Purpose: The purpose of this quantitative, correlational...
Show moreBackground: Almost seven million persons in Saudi Arabia are diagnosed with Type 2 Diabetes Mellitus (T2DM). Lack of knowledge regarding T2DM among Saudi caregivers may impact T2DM management and disease outcomes, yet established educational programs for their caregivers are scant. There is a need to discover T2DM informal caregivers’ knowledge and its relation to patients' T2DM management, prior to designing educational interventions. Purpose: The purpose of this quantitative, correlational study was to measure disease knowledge among informal caregivers for patients with T2DM in Saudi Arabia, and to compare findings to the patient-health status presented by HbA1C level. This study was conceptualized within nursing caring science, using Nursing as Caring Theory (Boykin & Schoenhofer, 2001), and the Individual and Family Self-Management Theory (Ryan & Sawin, 2009).
Show less - Date Issued
- 2023
- PURL
- http://purl.flvc.org/fau/fd/FA00014307
- Subject Headings
- Diabetes Mellitus, Type 2, Caregivers, Saudi Arabia, Nursing
- Format
- Document (PDF)
- Title
- THE RELATIONSHIP BETWEEN STIGMA AND LEVEL OF ALZHEIMER'S DISEASE KNOWLEDGE WITHIN THE SAUDI CULTURE.
- Creator
- Jambi, Amnah, Butcher, Howard K., Florida Atlantic University, Christine E. Lynn College of Nursing, Christine E. Lynn College of Nursing
- Abstract/Description
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There are two types of stigmas: self-stigma and public stigma. The focus of this dissertation was public stigma. The public stigma encountered by persons with Alzheimer’s Disease (AD) contributes to the isolation of families due to the effort made by AD caregivers to adjust to social challenges (Abojabel & Warner, 2019). According to the Saudi Alzheimer’s Disease Association (2022), there are 130 thousand documented cases of AD, which comprised 9% of the aged population. The severity of...
Show moreThere are two types of stigmas: self-stigma and public stigma. The focus of this dissertation was public stigma. The public stigma encountered by persons with Alzheimer’s Disease (AD) contributes to the isolation of families due to the effort made by AD caregivers to adjust to social challenges (Abojabel & Warner, 2019). According to the Saudi Alzheimer’s Disease Association (2022), there are 130 thousand documented cases of AD, which comprised 9% of the aged population. The severity of stigmas can vary across cultures because stigmas of disease are connected to cultural norms (Corrigan, 2014). Most studies conducted in Saudi Arabia have assessed public stigma regarding mental illnesses, but no study has been found regarding public stigma within the AD scope. Population-based approaches that attempt to clarify stigma level prevalence in representative samples are important to develop methods to address these disparities and ensure equitable access to health care within the population's cultural context. The aim of this study was to 1) identify the relationship between public stigma and the level of AD knowledge among the Saudi population and 2) identify the potential factors that were associated with public stigma and AD knowledge levels among Saudi community members, within the context of a caring science perspective using critical caring theory and specific-situation theory.
Show less - Date Issued
- 2023
- PURL
- http://purl.flvc.org/fau/fd/FA00014320
- Subject Headings
- Alzheimer Disease, Saudi Arabia, Stigma (Social psychology)
- Format
- Document (PDF)
- Title
- INVESTIGATING THE LIVED EXPERIENCE OF LATINO FARMWORKERS WHO DRINK ALCOHOL.
- Creator
- Solorzano, Angel Johann Martinez, Wiese, Lisa Ann Kirk, Florida Atlantic University, Christine E. Lynn College of Nursing, Christine E. Lynn College of Nursing
- Abstract/Description
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Excessive alcohol use, in addition to economic and social impacts, increases the risks of numerous chronic health problems, which further increase societal costs (Gloppen et al., 2022). Over 5% of the global burden of disease and injury as calculated in disability-adjusted life years, stems from alcohol use (World Health Organization [WHO], 2023). In the United States, nearly 30 million persons in 2021 experienced alcohol use disorder (National Institute on Alcohol Abuse and Alcoholism [NIAAA...
Show moreExcessive alcohol use, in addition to economic and social impacts, increases the risks of numerous chronic health problems, which further increase societal costs (Gloppen et al., 2022). Over 5% of the global burden of disease and injury as calculated in disability-adjusted life years, stems from alcohol use (World Health Organization [WHO], 2023). In the United States, nearly 30 million persons in 2021 experienced alcohol use disorder (National Institute on Alcohol Abuse and Alcoholism [NIAAA], 2023a). Among these, the Latino population is prone to be diagnosed with alcohol use disorders (NIAAA, 2023a). Limited research is available regarding alcohol use among a particularly vulnerable Latino group: farmworkers (Arcury et al., 2016). To date, no phenomenological studies exploring the lived experiences of Latino farmworkers (LFWs) who drink alcohol have been found in the literature. The purpose of this study was to explore the lived experience of LFWs who use alcohol through a phenomenological approach to gain a greater understanding of LFWs’ experiences with alcohol. A semi-structured interview guide containing open-ended questions was used as the main qualitative measure. A sociodemographic survey was used at baseline to collect the participants’ sociodemographic data and to assess patterns of alcohol intake. Eighteen participants were interviewed. Interviews were audio-recorded on a digital recording device, and they were transcribed by the student researcher. Analysis of the transcriptions was performed by the student researcher and a dissertation committee member using Colaizzi’s (1978) seven-step phenomenological analytic method and ATLAS to search for themes.
Show less - Date Issued
- 2023
- PURL
- http://purl.flvc.org/fau/fd/FA00014357
- Subject Headings
- Alcoholism, Hispanic Americans--Alcohol use, Farmworkers
- Format
- Document (PDF)
- Title
- Well Balanced Yoga: Impact of Chair Yoga on Balance and Well-Being Among Older Adults Residing in Assisted Living.
- Creator
- Barrett, Karrah, Florida Atlantic University, Christine E. Lynn College of Nursing
- Abstract/Description
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Falls among older adults are steadily increasing and contribute to the growing mortality and morbidity rates of this population. Fall prevention measures are complex and require a multidimensional approach to reduce associated risk factors. Older adults with more engagement were less prone to feelings of loneliness and, consequently, exhibited elevated levels of physical, psychological, and social well-being. This project explores the potential use of chair yoga as a non-pharmacological...
Show moreFalls among older adults are steadily increasing and contribute to the growing mortality and morbidity rates of this population. Fall prevention measures are complex and require a multidimensional approach to reduce associated risk factors. Older adults with more engagement were less prone to feelings of loneliness and, consequently, exhibited elevated levels of physical, psychological, and social well-being. This project explores the potential use of chair yoga as a non-pharmacological intervention to enhance balance and well-being among older adults residing in an assisted living facility. Evidence shows physical activity using yoga can decrease fall risk factors and improve psychological health. The project leader provided instruction on the implementation of chair yoga over a six-week period. The findings showed an improvement in balance based on the BERG Balance Test, and the WHO-5 Well-Being Index demonstrated an improvement of well-being. These results highlight the benefits of chair yoga in improving balance and a sense of well-being in this population. Further investigation is needed in motivational strategies, recruitment, and staff engagement. This project emphasizes the importance of physical activity programs among older adults residing in Assisted Living Facilities to improve overall health and well-being.
Show less - Date Issued
- 2023
- PURL
- http://purl.flvc.org/fau/fd/faudnp000086
- Format
- Document (PDF)
- Title
- Educating Staff of a Memory Disorder Clinic on the Utilization of a Standardized Suicide Screening Tool to Improve Knowledge and Care for Patients Diagnosed with Dementia.
- Creator
- Belgarde, Eden, Kelly, Tracian, Ortega. Maria de los Angeles, Florida Atlantic University, Christine E. Lynn College of Nursing
- Abstract/Description
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Background: Suicide is a major health problem that is among the leading causes of deaths in the United States and can be prevented through community-based interventions. Suicide rates in older adults are increasing. Common suicidal risk factors include a decline in cognitive function, having other psychiatric comorbidities, and dementia. The risk for suicide increases for individuals within the first three months of receiving a dementia diagnosis and includes the first three months of another...
Show moreBackground: Suicide is a major health problem that is among the leading causes of deaths in the United States and can be prevented through community-based interventions. Suicide rates in older adults are increasing. Common suicidal risk factors include a decline in cognitive function, having other psychiatric comorbidities, and dementia. The risk for suicide increases for individuals within the first three months of receiving a dementia diagnosis and includes the first three months of another subgroup of individuals who were diagnosed with dementia before the age of 65. Purpose: The purpose of this quality improvement project is to educate the staff at a memory and wellness center in Boca Raton on how to use a standardized suicide screening tool to improve their knowledge and perceived comfort in utilizing the tool and providing care to patients with dementia.
Show less - Date Issued
- 2023
- PURL
- http://purl.flvc.org/fau/fd/faudnp000084
- Format
- Document (PDF)
- Title
- Incorporating Spirituality to Improve Self-Management of Chronic Diseases.
- Creator
- Burden, Margaret A., Florida Atlantic University, Christine E. Lynn College of Nursing
- Abstract/Description
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Chronic disease affects over 51% of Americans and often results in emotional, financial, and spiritual distress. Additionally, the exorbitant cost of managing chronic disease is creating a significant burden on healthcare systems. Self-management, which is crucial to disease outcome includes lifestyle changes and adherence to treatment regime. However, these lifestyle changes often cause emotional and physical struggles for those diagnosed with chronic disease. Spirituality is recognized as a...
Show moreChronic disease affects over 51% of Americans and often results in emotional, financial, and spiritual distress. Additionally, the exorbitant cost of managing chronic disease is creating a significant burden on healthcare systems. Self-management, which is crucial to disease outcome includes lifestyle changes and adherence to treatment regime. However, these lifestyle changes often cause emotional and physical struggles for those diagnosed with chronic disease. Spirituality is recognized as a source of support to alleviate stress and anxiety and provide the individual with the strength to make sense of the experience and move forward with their lives. The aim of this quality improvement project is to determine if a 10-week spiritual health education program enhances adults’ ability to self-manage their chronic disease. The education program included weekly bible devotionals and discussions on adapting healthy living including exercises and mindfulness meditation. The spiritual health education intervention sessions were provided online via Zoom and in-person. Participants were recruited from community churches. Inclusion criteria: English-speaking, adults (older than 18 years), with at least one chronic condition. All participants were asked to complete the Spiritual Needs Questionnaire (SpNQ) and the Self-Management Assessment Scale (SMASc). Paired samples t-tests were conducted to evaluate differences in participants SpNQ and SMASc scores pre and post receiving the spiritual education sessions. Significant differences were found between the test-retest scores on the SMASc questionnaire. A chi-square test was used to evaluate differences in the SMASc scores between virtual and in-person groups. There were no significant differences found in the test-retest SMASc scores. Additionally, differences were not found on the SpNQ scores between participants who received the education sessions online or in-person. The findings from this project can easily and cost-effectively be implemented in multiple, accessible locations.
Show less - Date Issued
- 2023
- PURL
- http://purl.flvc.org/fau/fd/faudnp000083
- Format
- Document (PDF)
- Title
- Consistent Caregivers’ Assignments in residents Suffering with Behavioral Psychiatric Symptoms in Dementia (BPSD).
- Creator
- Cijulus, Mara, Buie, Louise Aurélien, Caban, Jorge, Florida Atlantic University, Christine E. Lynn College of Nursing
- Abstract/Description
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Residents in long-term care settings with behavioral psychiatric symptoms in dementia (BPSD) are at increased risk of experiencing lower quality of life due to inconsistency in staff assignments. BPSD and inconsistent staff assignments affect residents' quality of life due to stress and anxiety experienced during activities of daily living (ADLs), interfering with caregiving and daily functioning. According to Brennan et al. (2017), “By minimizing the number of different staff who provide...
Show moreResidents in long-term care settings with behavioral psychiatric symptoms in dementia (BPSD) are at increased risk of experiencing lower quality of life due to inconsistency in staff assignments. BPSD and inconsistent staff assignments affect residents' quality of life due to stress and anxiety experienced during activities of daily living (ADLs), interfering with caregiving and daily functioning. According to Brennan et al. (2017), “By minimizing the number of different staff who provide care during a resident’s stay, consistent staff assignment promotes more resident-centered care and is thought to result in improved resident functioning and quality of life” (p. 851). There is an urgency for healthcare providers, administrators, and caregivers to address this problem. The purpose of this program evaluation project was to assess the effect of consistent caregivers’ assignments on residents in long-term care facilities exhibiting behavioral psychiatric symptoms of dementia (BPSD). This project was implemented at Brookdale Palm Beach Gardens and consisted of a convenience sample of residents from the memory care unit (N=21). Additionally, 19 caregivers were trained and assisted with the data collection using the Agitated Behavior in Dementia (ABID) scale for the nine-week duration of the intervention. Furthermore, an extensive review of medical records and medication administration records was completed to identify the frequency of psychotropic medications used to relieve BPSD. The descriptive statistics data were analyzed for nine- weeks using Intellectus statistics software program (2021). The descriptive statistics included means, standard deviation, and frequency distributions. The variables distribution is not considered to be asymmetrical about its means, and it is not markedly different than a normal distribution. The improvements that were seen throughout the program, though not statistically significant, should not be ignored; they can be promising for a similar future project.
Show less - Date Issued
- 2023
- PURL
- http://purl.flvc.org/fau/fd/faudnp000097
- Format
- Document (PDF)
- Title
- Enhancing Hypertension Management Strategies Through the Loving Heart Program.
- Creator
- Clarke, Joan, Love, Tamara, Florida Atlantic University, Christine E. Lynn College of Nursing
- Abstract/Description
-
Background: The aim of this project was to describe a quality improvement program for Afro-Americans and Afro- Caribbean with hypertension that implemented a self-management program to enhance knowledge and self-management strategies to lower hypertension (HTN) and body mass index (BMI) within a twelve-week period. These markers addressed variables such as blood pressure monitoring, prevention, or reduction of hypertension. Method: This quality improvement project consisted of six volunteer...
Show moreBackground: The aim of this project was to describe a quality improvement program for Afro-Americans and Afro- Caribbean with hypertension that implemented a self-management program to enhance knowledge and self-management strategies to lower hypertension (HTN) and body mass index (BMI) within a twelve-week period. These markers addressed variables such as blood pressure monitoring, prevention, or reduction of hypertension. Method: This quality improvement project consisted of six volunteer participants. The participants were comprised of two males and four females of Afro- American and Afro-Caribbean descent with a history of hypertension who received the Hypertension Knowledge-Level (HKL) scale questionnaires used as a pre-and post-intervention, American Heart Association (2018), pre-training demographic questionnaire, and evidence-based educational guidelines materials about hypertension and self-management.
Show less - Date Issued
- 2023
- PURL
- http://purl.flvc.org/fau/fd/faudnp000087
- Format
- Document (PDF)
- Title
- Program evaluation of the detox protocol for patients with Alcohol Use Disorder.
- Creator
- De Freitas, Aisha, Hain, Debra, Florida Atlantic University, Christine E. Lynn College of Nursing
- Abstract/Description
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Background: Alcohol use disorder (AUD) is a serious problem that has affected countless of people in the United States. This disorder is difficult to treat and despite evidence-based treatments, there continues to be a problem. Treatment centers often attempt to address AUD with personalized detox protocol based on tradition and evidence that attempt to target pertinent factors that may increase the likelihood of sustained abstinence. Purpose: To conduct a program evaluation of thedetox...
Show moreBackground: Alcohol use disorder (AUD) is a serious problem that has affected countless of people in the United States. This disorder is difficult to treat and despite evidence-based treatments, there continues to be a problem. Treatment centers often attempt to address AUD with personalized detox protocol based on tradition and evidence that attempt to target pertinent factors that may increase the likelihood of sustained abstinence. Purpose: To conduct a program evaluation of thedetox protocol for patients diagnosed with AUD at a treatment center in south Florida. This program evaluation will yield important information regarding the outcomes of an established program. This project identified strengths, opportunities for improvement, and opportunities to support current practice at this facility.
Show less - Date Issued
- 2023
- PURL
- http://purl.flvc.org/fau/fd/faudnp000094
- Format
- Document (PDF)
- Title
- Optimizing Opioid Abuse Treatment in the Young Adult in an Outpatient Psychiatric Setting.
- Creator
- Desrosiers, Charlene, Mammah, Kyndall, Florida Atlantic University, Christine E. Lynn College of Nursing
- Abstract/Description
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Substance abuse, specifically opioid abuse, continues to be one of the largest epidemics in the United States. Death caused by overdose has seen a steady increase over the past few decades, and despite public health initiatives such as clean needle exchange programs, methadone clinics, and Narcan, there continues to be a concerning rise in the number of drug usage and death secondary to drug overdose in the young adult. Recently, Narcan became approved for over-the-counter usage to combat the...
Show moreSubstance abuse, specifically opioid abuse, continues to be one of the largest epidemics in the United States. Death caused by overdose has seen a steady increase over the past few decades, and despite public health initiatives such as clean needle exchange programs, methadone clinics, and Narcan, there continues to be a concerning rise in the number of drug usage and death secondary to drug overdose in the young adult. Recently, Narcan became approved for over-the-counter usage to combat the increased incidents of overdose. Scholarly evidence shows that opioid use disorder is most effectively treated with a combination of medication and psychotherapy, particularly Cognitive Behavioral Therapy (CBT). Although Medication-Assisted Therapy (MAT) remains the gold standard in the treatment of opioid use disorder, the evidence and literature presented throughout this project will document how much more effective treatment is when patients are engaging in psychotherapy. The evidence shows that patients have a reduction in cravings, there is a reduction in relapse, and in many cases the patients can maintain long-term sobriety utilizing the tools learned in psychotherapy sessions. This project is a quality improvement project, in which I assessed the current processes in place to assess current treatment of patients seeking initial psychiatric evaluation, as well as of those engaging in follow up visits for the treatment of OUD. From there, I realized that my project site did not have a current process in place unique to patients being seen for OUD. I developed a questionnaire, based on similarities between our patients seen for OUD, that would be used with patients to establish a baseline and used to gauge effectiveness of treatment at increments. Ten patients were followed from May to October to generate these findings that will be presented. In the end, this project has provided a promising conclusion: combined therapy with MAT and psychotherapy for treatment of OUD is effective in optimizing sobriety.
Show less - Date Issued
- 2023
- PURL
- http://purl.flvc.org/fau/fd/faudnp000076
- Format
- Document (PDF)
- Title
- African Americans and Hypertension.
- Creator
- Erisme, Marie S., Florida Atlantic University, Christine E. Lynn College of Nursing
- Abstract/Description
-
Purpose: Hypertension is a major concern in healthcare today, especially in African Americans. Causes of high blood pressure are multi-factorial and may include poor lifestyle choices, medication adherence, ineffective follow-up care and patient health care knowledge deficit. All aspects of blood pressure reduction are multifactorial, so they need to be addressed for adequate health control. Methods: The participants for this project included eight older adults ages 40-85 years in an Urban...
Show morePurpose: Hypertension is a major concern in healthcare today, especially in African Americans. Causes of high blood pressure are multi-factorial and may include poor lifestyle choices, medication adherence, ineffective follow-up care and patient health care knowledge deficit. All aspects of blood pressure reduction are multifactorial, so they need to be addressed for adequate health control. Methods: The participants for this project included eight older adults ages 40-85 years in an Urban African American church in Port Saint Lucie. This project aims to determine if a 3-month educational class that involves Dash diet, exercise planning, and antihypertensive adherence will improve blood pressure in African Americans.
Show less - Date Issued
- 2023
- PURL
- http://purl.flvc.org/fau/fd/faudnp000091
- Format
- Document (PDF)
- Title
- A Complementary and Integrative Care Educational Needs Assessment of Advanced Practice Registered Nurses in Outpatient Settings.
- Creator
- Glynn, Amanda L., Hain, Debra, Wilson, Candy, Florida Atlantic University, Christine E. Lynn College of Nursing
- Abstract/Description
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Deficits in patient and provider knowledge in the use of complementary and integrative care (CIC) methodologies resulted in the planned creation of a future CIC educational course for outpatient advanced practice registered nurse practitioners (APRNs) who often serve as a primary source of health education for their patients. A survey, which was based upon the Theory of Bureaucratic Caring and the Canadian Institutes of Health Research’s (CIHR) knowledge-to-action (KTA) cycle, and...
Show moreDeficits in patient and provider knowledge in the use of complementary and integrative care (CIC) methodologies resulted in the planned creation of a future CIC educational course for outpatient advanced practice registered nurse practitioners (APRNs) who often serve as a primary source of health education for their patients. A survey, which was based upon the Theory of Bureaucratic Caring and the Canadian Institutes of Health Research’s (CIHR) knowledge-to-action (KTA) cycle, and incorporated elements of the Complementary and Integrative Health Assessment for Practitioners (CIAHP) and the Complementary and Alternative Medicine Beliefs Inventory (CAMBI), was created to assess the CIC educational needs of APRNs employed in primary care/outpatient settings. Survey participants identified their preferred method of instruction, top areas of CIC topics of interest and occupational applicability, and preferences for CIC educational course design and delivery. A low ratio of survey respondents versus completion rate and the lack of participant occupational and demographical diversity were observed challenges. Survey data supported the need for the creation and implementation of a pending CIC educational course with a goal of mirroring the educational needs of advanced practice registered nurses.
Show less - Date Issued
- 2023
- PURL
- http://purl.flvc.org/fau/fd/faudnp000098
- Format
- Document (PDF)
- Title
- Decreasing Psychiatric ER Visits in Veterans Enrolled in Primary Care Home-Based Program.
- Creator
- Guedes, Jany L., Brennen, Marlene, Edouard, Christopher L., Florida Atlantic University, Christine E. Lynn College of Nursing
- Abstract/Description
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Geographical and health-related obstacles frequently prevent veterans from receiving care from civilian hospitals and the Veterans Health Administration. Due to poor patient education and lack of access to mental health care, many patients with serious mental health illnesses have no choice but to go to emergency care for mental health treatment that could be treated effectively in an outpatient setting. An initiative identifying the factors that lead veterans to the emergency room for...
Show moreGeographical and health-related obstacles frequently prevent veterans from receiving care from civilian hospitals and the Veterans Health Administration. Due to poor patient education and lack of access to mental health care, many patients with serious mental health illnesses have no choice but to go to emergency care for mental health treatment that could be treated effectively in an outpatient setting. An initiative identifying the factors that lead veterans to the emergency room for preventable mental health services has the potential to improve public health. Home-based mental health care can be provided in many modalities, including telehealth, video conferences, and in-person (face-to-face; In addition to eliminating transportation issues, improving access to mental health services, and reducing the stressors of waiting for appointments in outpatient clinics. The project was conducted with veterans enrolled in a home-based primary care program at a Southwest Region Hospital. A total of 15 male veterans between the ages of 55 and 85 agreed to participate. Six were African American (40 %), 5 were White (33 %), and four were Hispanic (26.6 %). A repeated measures ANOVA was conducted on PSS-10 scores. The main effect for the within-subjects factor was significant, F(3, 42) = 41.59, p < .001, indicating there were significant differences between the values of Pre-Intervention PSS-10 scores, Month 1 Pss-10 score Month 2 Pss-10 score, and Month 3 PSS-10 scores. A Repeated Measure ANOVA was conducted on Psych ER visits. The main effect for the within-subjects factor was significant, F(1, 14) = 93.04, p < .001, indicating significant differences between the values of Pre-intervention Psych ER visits and Month 3 Psych ER visits.
Show less - Date Issued
- 2023
- PURL
- http://purl.flvc.org/fau/fd/faudnp000099
- Format
- Document (PDF)
- Title
- SHARED approach to lessen ER readmissions of Substance use disorder (SUD) with BRIDGE program.
- Creator
- Hamilton, Losarnia, Kelly, Tracian, Cordero, Nelson, Florida Atlantic University, Christine E. Lynn College of Nursing
- Abstract/Description
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Substance use disorders (SUD) are associated with an excessive number of hospital and emergency room visits, as well as noncompliance with medical guidance. Many low-barrier substance abuse treatment bridge clinics are hospital-based outpatient operations that are not licensed as opioid treatment facilities (OTPs). The aim of this quality improvement project is to reduce ER readmissions for patients suffering from substance abuse disorders. Improvements were seen in patients after three...
Show moreSubstance use disorders (SUD) are associated with an excessive number of hospital and emergency room visits, as well as noncompliance with medical guidance. Many low-barrier substance abuse treatment bridge clinics are hospital-based outpatient operations that are not licensed as opioid treatment facilities (OTPs). The aim of this quality improvement project is to reduce ER readmissions for patients suffering from substance abuse disorders. Improvements were seen in patients after three months of participation in the provided BRIDGE program using the shared technique. The Agency for Healthcare Research and Quality's (AHRQ) SHARE Approach to Decision-Making assists healthcare clinicians in partnering with patients to make the best decision possible for them. The frequent emergency room visits by people suffering from SUD inspired our project. The DNP student visited with SUD patients in the ED and engaged in collaborative decision-making with them. This project aims to educate individuals who visit the Broward Health Medical Center emergency room about the importance of a substance abuse treatment program. Nonparametric statistics were utilized to determine the extent to which the individual was active in the decision-making process. Descriptive statistics were used to describe the participants who consented and refused to participate in the BRIDGE Program, as well as to calculate the percentage of participants who agreed to participate in the BRIDGE Program and whether any of them were readmitted during the program.
Show less - Date Issued
- 2023
- PURL
- http://purl.flvc.org/fau/fd/faudnp000100
- Format
- Document (PDF)
- Title
- Improvement of foot care knowledge and behaviors of diabetic patients.
- Creator
- Huffman, Samantha, Mammah, Kyndall, Carter, Kelsey, Florida Atlantic University, Christine E. Lynn College of Nursing
- Abstract/Description
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In the United States over 37 million people have diabetes. The condition damages blood vessels and tissues leading to peripheral neuropathy and impaired wound healing. The loss of protective sensation associated with diabetes can prevent patients from recognizing when they have a wound or some other kind of skin damage present. Delayed identification of wounds in a diabetic patient can have dangerous consequences, most notable amputation of the affected body part. In fact, diabetes is the...
Show moreIn the United States over 37 million people have diabetes. The condition damages blood vessels and tissues leading to peripheral neuropathy and impaired wound healing. The loss of protective sensation associated with diabetes can prevent patients from recognizing when they have a wound or some other kind of skin damage present. Delayed identification of wounds in a diabetic patient can have dangerous consequences, most notable amputation of the affected body part. In fact, diabetes is the strongest influence in non-traumatic lower extremity amputations. The purpose of this project was to increase patient knowledge of proper foot-care as well as improve foot self-care behaviors at home. The project team members sought to achieve this by implementing a standardized patient education program for diabetic patients in addition to performing a diabetic foot exam (DFE) with the patient in the primary care setting. The education sessions included verbal and written instruction that were developed using the American Diabetes Association (ADA) proper foot care guidelines. After the implementation of the project, scores on both the basic diabetes foot-care questionnaire and the diabetes foot self-care behavior scale (DFSBS) increased.
Show less - Date Issued
- 2023
- PURL
- http://purl.flvc.org/fau/fd/faudnp000077
- Format
- Document (PDF)
- Title
- Evaluation of Geriatric Education and Interprofessional Collaboration in Healthcare Practice: Identifying Opportunities to Improve Care for Older Adults.
- Creator
- Jarrin, Tatiana, Florida Atlantic University, Christine E. Lynn College of Nursing
- Abstract/Description
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Background Interprofessional collaboration and knowledge of how to care for older adults are important components of high-quality care for a multitude of healthcare disciplines. The aging population presents unique challenges to healthcare professionals, and education on how to care for older adults can equip them with the knowledge and skills needed to provide optimal care. Florida Atlantic University’s (FAU) Office of Interprofessional Education and Practice (IPE&P) designed a Foundational...
Show moreBackground Interprofessional collaboration and knowledge of how to care for older adults are important components of high-quality care for a multitude of healthcare disciplines. The aging population presents unique challenges to healthcare professionals, and education on how to care for older adults can equip them with the knowledge and skills needed to provide optimal care. Florida Atlantic University’s (FAU) Office of Interprofessional Education and Practice (IPE&P) designed a Foundational Level Program which includes the Canvas modules for IPEP 2022-2023 and the Senior Adult Geriatric Educator (SAGE) visits. This program is an example of an academic initiative that aims to improve interprofessional collaboration among healthcare professionals regarding education and assessment of the aging population. Aim This program evaluation aimed to examine the current SAGE Mentor program that is presented through Florida Atlantic University’s Office of Interprofessional Education and Practice and to evaluate whether students who participated experienced enhanced competency upon completion of this Foundational Level Program.
Show less - Date Issued
- 2023
- PURL
- http://purl.flvc.org/fau/fd/faudnp000089
- Format
- Document (PDF)
- Title
- Program Evaluation of Bereavement Services within a Community Hospice.
- Creator
- Klein, Abigail, Chadwell, Katherine, Bang, Carla, Florida Atlantic University, Christine E. Lynn College of Nursing
- Abstract/Description
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In the aftermath of the Covid-19 pandemic, bereavement and grief have become two widely used terms in modern day society. The terms are often used interchangeably to describe a feeling of deep sorrow felt after the loss of a loved one. Often it can be difficult for individuals to cope with the loss of a loved one, and it is estimated that 20% of bereaved individuals will experience complicated grief (NAMI, 2021). Complicated grief, often referred to as a prolonged grief disorder, can be...
Show moreIn the aftermath of the Covid-19 pandemic, bereavement and grief have become two widely used terms in modern day society. The terms are often used interchangeably to describe a feeling of deep sorrow felt after the loss of a loved one. Often it can be difficult for individuals to cope with the loss of a loved one, and it is estimated that 20% of bereaved individuals will experience complicated grief (NAMI, 2021). Complicated grief, often referred to as a prolonged grief disorder, can be defined in several ways. Today, the most widely accepted definition of complicated grief is grief that persists for longer than one year and significantly interrupts an individuals’ ability to complete daily functions (Cleveland Clinic, 2022). Each year, there are roughly 2.6 million deaths in the US alone, leaving behind approximately 13 million individuals (about twice the population of Arizona) to grieve (U.S. Census, 2021). A study conducted in 2019, surveyed 1,084 US adults and found that 32% had experienced grief following the death of a loved one in the past three years (The Grief Experience, 2019). Furthermore, of U.S. adults over the age of 65, 71% reported experiencing bereavement in the previous 30 months (Williams & Sawyer, 2017).
Show less - Date Issued
- 2023
- PURL
- http://purl.flvc.org/fau/fd/faudnp000096
- Format
- Document (PDF)
- Title
- Screening, Education, and Counseling to Address the Obesity Epidemic in Pediatric and Adolescent Populations.
- Creator
- Lanter, Sophie, Heinze, Katherine, Gambino, Paul, Florida Atlantic University, Christine E. Lynn College of Nursing
- Abstract/Description
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Childhood and adolescent obesity are significant public health concerns in the United States, with about 19% of children and adolescents aged 2-19 years being obese. Obesity is associated with several health risks, including type 2 diabetes, cardiovascular disease, and mental health issues. However, in many families there is a significant knowledge deficit in terms of risks and prevention for childhood and adolescent obesity. This Doctor of Nursing Practice project aims to address the gap in...
Show moreChildhood and adolescent obesity are significant public health concerns in the United States, with about 19% of children and adolescents aged 2-19 years being obese. Obesity is associated with several health risks, including type 2 diabetes, cardiovascular disease, and mental health issues. However, in many families there is a significant knowledge deficit in terms of risks and prevention for childhood and adolescent obesity. This Doctor of Nursing Practice project aims to address the gap in knowledge and awareness of childhood and adolescent obesity by implementing a screening, education, and counseling program within the Primary care setting. The project identified overweight and obese young adults between the ages of 12-21 years old, as well as providing education and counseling about co-morbid conditions. A 4-point Likert scale, created by the project leader, was given to participants to assess their baseline knowledge at the beginning of the project. Throughout the duration of the project, we worked to provide participants with strategies necessary for healthy lifestyle modification. The project utilized evidence-based interventions to help the participants learn how to adopt healthier habits, in an effort to increase knowledge about childhood/adolescent obesity, its subsequent co-morbidities, and the importance of continual screening, education, and counseling. The same 4-point Likert scale was given to participants as a post-study comparison. At the conclusion of the program, paired sample t-tests and Wilcoxon signed rank tests were used to analyze study data. The paired samples t-test and Wilcoxon signed rank test showed a significant reduction in BMI over the course of the project; furthermore, physical activity, understanding of balanced nutrition, and health food knowledge significantly increased over the course of the project. The implementation of this project has the potential to increase education, awareness, and may improve health outcomes. Future studies designed to empower families and healthcare providers with knowledge and tools to prevent and manage childhood and adolescent obesity, have the potential to make strides towards a healthier and more equitable society.
Show less - Date Issued
- 2023
- PURL
- http://purl.flvc.org/fau/fd/faudnp000078
- Format
- Document (PDF)