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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)

Title: Effects of a Crisis Intervention Team (CIT) Training Program upon police officers before and after crisis intervention team training: an evidenced based program evaluation project in Miami Dade county Florida.
Creator: Ellis, Horace, Christine E. Lynn College of Nursing, Florida Atlantic University
Date Issued: 2012
PURL: http://purl.flvc.org/fcla/dt/3355952
Format: Document (PDF)

Title: The effects of a walking exercise program on glucose control in type 2 Diabetes Mellitus.
Creator: DaSilva, Judy R., Christine E. Lynn College of Nursing, Florida Atlantic University
Date Issued: 2012
PURL: http://purl.flvc.org/fcla/dt/3355955
Format: Document (PDF)

Title: Does a patient’s disease report card encourage patient self- accountability and in turn improve patient literacy?.
Creator: McCaffrey, Janine, Christine E. Lynn College of Nursing, Florida Atlantic University
Date Issued: 2012
PURL: http://purl.flvc.org/fcla/dt/3355956
Format: Document (PDF)

Title: Transitional care-APN guided care coordination.
Creator: Shields, Karen P., Christine E. Lynn College of Nursing, Florida Atlantic University
Date Issued: 2012
PURL: http://purl.flvc.org/fcla/dt/3355959
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: Improving Behavioral and Psychological Symptoms and Cognitive Status of Participants with Dementia through the Use of Toy Interactive Pets.
Creator: Streit, Bryanna
Abstract/Description: Background: In the US, one in three older adults die with Alzheimer’s or related dementia (Gaugler et al., 2019). Currently, there is no cure for the rapidly growing burden, but there are pharmacological treatments to manage the symptoms, which lead to numerous side effects (Kales et al., 2015). Method: We tested the effectiveness of a non-pharmacological toy interactive pet (TIP) in improving mood/behavior and cognition among twelve persons with mild-severe dementia attending an adult day...
Show moreBackground: In the US, one in three older adults die with Alzheimer’s or related dementia (Gaugler et al., 2019). Currently, there is no cure for the rapidly growing burden, but there are pharmacological treatments to manage the symptoms, which lead to numerous side effects (Kales et al., 2015). Method: We tested the effectiveness of a non-pharmacological toy interactive pet (TIP) in improving mood/behavior and cognition among twelve persons with mild-severe dementia attending an adult day center (ADC) over 12 visits. Mood/behavioral symptoms were assessed using the Alzheimer’s Disease and Related Dementias Mood Scale (AD-RD), Observed Emotion Rating Scale (OERS), and the Cornell Scale for Depression in Dementia (CSDD). Cognition was assessed via Mini Mental State Examination (MMSE). Paired-sample t-tests, Pearson’s correlation, repeated measures t-test, and a post-intervention qualitative inquiry were used to examine the significance of TIP. Results: All mood scores improved over time, with two showing significance: OERS (M = 73.7/SD=9.6); conditions t(11) = -19.18, p<.001, and CSDD (M = 8.8/SD = 7.2); conditions t(11) = 4.12, p=.002. Over half (0.67%) scored higher on the MMSE post-test than the pre-test: M =10.7(SD = 5.5) and M =12.2(SD=7.1), respectively. Participants stroked and spoke often to their pets. Several family members reported participants sleeping with their pet following the program’s conclusion.
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Date Issued: 2019
PURL: http://purl.flvc.org/fau/fd/FAUIR000378
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: The Impact of Cardiopulmonary Rehabilitation on Quality of Life.
Creator: Conde, Wildya, Ordóñez, María, Florida Atlantic University, Christine E. Lynn College of Nursing
Abstract/Description: The devastating effects of cardiovascular disease are evident at a global and national level. Heart disease is the leading cause of mortality for both men and women, furthermore, heart disease is the number one cause of mortality for most ethnicities in the United States. Pulmonary disease also has an adverse impact on society. Pulmonary disease is one of the leading causes of disability and death worldwide. In an effort to increase the awareness of the effectiveness of cardiopulmonary...
Show moreThe devastating effects of cardiovascular disease are evident at a global and national level. Heart disease is the leading cause of mortality for both men and women, furthermore, heart disease is the number one cause of mortality for most ethnicities in the United States. Pulmonary disease also has an adverse impact on society. Pulmonary disease is one of the leading causes of disability and death worldwide. In an effort to increase the awareness of the effectiveness of cardiopulmonary rehabilitation clinics, this doctoral project conducted a program evaluation on a cardiopulmonary rehabilitation program (CRP) in Stuart, Florida. The purpose was achieved by using the CDC program evaluation guideline. The intention of this paper was to determine if health related quality of life is positively influenced by participation in this CRP. Included will be an analysis of the results, an evaluation of the proposed project, plans for dissemination, and recommendations to increase the effectiveness of the CRP.
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Date Issued: 2019
PURL: http://purl.flvc.org/fau/fd/FA00007528
Format: Document (PDF)

Title: Let’s Make it Simple: Understanding Nutrition in the Management of Obesity and Diabetes Through Visual Displays.
Creator: Del Valle, Rosalie Magramo, Wisdom-Chambers, Karen, Florida Atlantic University, Christine E. Lynn College of Nursing
Abstract/Description: In only 3 decades, obesity has evolved to a leading cause of morbidity and premature mortality in the United States (US) and worldwide (Kotsis et al., 2018). The rise in the prevalence of obesity has been accompanied by a rise in the prevalence of diabetes and nearly 90% of newly diagnosed patients were overweight (Rossouw, 2015). Most guidelines recommend promoting weight loss among overweight or obese individuals by reducing energy intake together with a healthy eating pattern that focuses...
Show moreIn only 3 decades, obesity has evolved to a leading cause of morbidity and premature mortality in the United States (US) and worldwide (Kotsis et al., 2018). The rise in the prevalence of obesity has been accompanied by a rise in the prevalence of diabetes and nearly 90% of newly diagnosed patients were overweight (Rossouw, 2015). Most guidelines recommend promoting weight loss among overweight or obese individuals by reducing energy intake together with a healthy eating pattern that focuses on a diet composed of whole or unprocessed foods combined with physical activity and ongoing support (Forouhi et al., 2018). Research also show that behavioral interventions for obesity involving face to face meetings in group sessions typically result in weight loss. The purpose of this quality improvement project is to initiate a practice improvement project through information dissemination using visual displays for healthy eating to improve knowledge, attitudes, and perceptions/practices toward proper nutrition that will ultimately support weight loss and diabetes control. The project was implemented at a federally qualified health center that caters to the underserved population of Okeechobee, FL. The program was led by a prospective doctoral candidate and involved group-based sessions, interactive teaching focused on dietary modification, and offered social networking and social support. Outcomes included improvement in anthropometric measurements, significant Knowledge, Attitude, and Perception (KAP) survey difference scores, and the ability to create or demonstrate a meal plan that suits preferences and reflects individual total daily caloric requirement.
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Date Issued: 2019
PURL: http://purl.flvc.org/fau/fd/FA00007529
Format: Document (PDF)

Title: Use of the Hypertension Self-Care Profile Tool and DASH Diet for Self-Care Management among African American Adults with Hypertension.
Creator: Denson, Charity H., Chambers, Karen, Florida Atlantic University, Christine E. Lynn College of Nursing
Abstract/Description: Although there are clinical guidelines in place for the treatment of hypertension (HTN), many African Americans (AA) fail to reach controlled levels within the primary care setting. The ultimate goal of this quality improvement project is to provide evidence-based information that could be used to improve HTN care and decrease the rates of uncontrolled HTN among AA adults with HTN. The project was conducted at a Federally Qualified Health Center in Fort Pierce, Florida. The intention of this...
Show moreAlthough there are clinical guidelines in place for the treatment of hypertension (HTN), many African Americans (AA) fail to reach controlled levels within the primary care setting. The ultimate goal of this quality improvement project is to provide evidence-based information that could be used to improve HTN care and decrease the rates of uncontrolled HTN among AA adults with HTN. The project was conducted at a Federally Qualified Health Center in Fort Pierce, Florida. The intention of this quality improvement project is to address the need for attention to this concerning issue, to highlight best current evidence, and to provide a comprehensive description of the issues with recommendations for practice change. An analysis of the quantitative results, an evaluation of the project, and plans for the future and dissemination of this project will be included.
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Date Issued: 2019
PURL: http://purl.flvc.org/fau/fd/FA00007530
Format: Document (PDF)

Title: Improving Hypertension: Engagement in a Walking Exercise Program in a Primary Care Setting.
Creator: Favareto, Ana, LaFrance, Herard, Edwards, Karethy, Florida Atlantic University, Christine E. Lynn College of Nursing
Abstract/Description: Background: Hypertension (HTN) is a very common, undertreated, and costly disease. Despite effective treatment strategies available, uncontrolled hypertension remains a persistent problem in the primary care setting. Purpose: The purpose of this Doctor of Nursing Practice (DNP) project was to assess the effectiveness of a walking exercise program (WEP) on blood pressure in adults diagnosed with uncontrolled hypertension in a primary care setting. Goals were targeted to decrease blood pressure...
Show moreBackground: Hypertension (HTN) is a very common, undertreated, and costly disease. Despite effective treatment strategies available, uncontrolled hypertension remains a persistent problem in the primary care setting. Purpose: The purpose of this Doctor of Nursing Practice (DNP) project was to assess the effectiveness of a walking exercise program (WEP) on blood pressure in adults diagnosed with uncontrolled hypertension in a primary care setting. Goals were targeted to decrease blood pressure, decrease BMI, and increase physical activity. Methods: Using Bandura’s Social Cognitive theory as a framework, a walking exercise was offered at a primary care clinic, to assess the effectiveness of exercise in reducing blood pressure. Fourteen (N=14) participants enrolled and completed the 8-week program. Blood pressure and body mass index (BMI) were measured prior to intervention (pre), 4-weeks after (mid), and at 8 weeks (post). Participants were given a pedometer to calculate steps walked daily, and a paper log for blood pressure and steps recording. Results/Interpretations: Systolic blood pressure (SBP) was significantly reduced (p=.001). Diastolic blood pressure (DBP) also had a statistically significant reduction (p=.049). BMI was also significantly reduced (p=.037) when compared to pre intervention. Implication: This quality improvement (QI) project showed that the implementation of a walking exercise program in a primary care setting can lead to significant improvements in blood pressure management.
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Date Issued: 2019
PURL: http://purl.flvc.org/fau/fd/FA00007531
Format: Document (PDF)

Title: Increasing the Colorectal Cancer Screening.
Creator: Flora, Maria, Love, Tamara, Florida Atlantic University, Christine E. Lynn College of Nursing
Abstract/Description: Background: Worldwide, Colorectal cancer (CRC) is the third leading cause of death (Bevan & Rutter, 2018). In the United States of America, Colorectal cancer is the second leading cause of death related to cancer (Green et al., 2019). The Center for Disease Control and Prevention (CDC) reports that millions of people are not screening as recommended and thus missing the chance to prevent or detect early CRC when treatment could often lead to a cure (CDC, 2016). CRC is a highly valued...
Show moreBackground: Worldwide, Colorectal cancer (CRC) is the third leading cause of death (Bevan & Rutter, 2018). In the United States of America, Colorectal cancer is the second leading cause of death related to cancer (Green et al., 2019). The Center for Disease Control and Prevention (CDC) reports that millions of people are not screening as recommended and thus missing the chance to prevent or detect early CRC when treatment could often lead to a cure (CDC, 2016). CRC is a highly valued preventive service, but sadly underused. Purpose: The project goal was to evaluate the Colorectal screening program in one of the Florida Community Health Centers (FCHC) to determine if the center meets the National goal of 80% within the past 10 months, and to provide recommendations for future screening practices. Methods: This project was conducted using retrospective chart reviews to calculate the CRC screening rates from July to September of 2019. Recommendations were made using the best available evidence. Results: The clinical analyses of the CRC screening of the FCHC revealed only 60% of patients were screened by September 2019. As per the survey conducted among the providers showed 100% awareness on all aspects except there is no designated staff that follows the CRC screening. Implications: The Florida Community Health Center (FCHC), failed to reach the National goal of 80% and the Health 2020 people goal of 70%. To increase the CRC screening rates, it is suggested that a new project champion be assigned to ensure the program’s success.
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Date Issued: 2019
PURL: http://purl.flvc.org/fau/fd/FA00007532
Format: Document (PDF)

Title: Remote Health Coaching on Nutrition to Tackle Hyperlipidemia in Underserved Communities.
Creator: Gamble, Mary I., Gropper, Sareen, Florida Atlantic University, Christine E. Lynn College of Nursing
Abstract/Description: Although there are effective medications to lower blood lipid levels, studies show that comprehensive nutritional counseling provides more effective and lasting results on blood lipids in comparison to standard of care with solely pharmacological intervention (Sialvera et al., 2017). Changes in diet such as reducing saturated fat and increasing fiber intake, are two of many alterations that have been proven to be successful and have consequently helped reduce the relative risk of ASCVD ...
Show moreAlthough there are effective medications to lower blood lipid levels, studies show that comprehensive nutritional counseling provides more effective and lasting results on blood lipids in comparison to standard of care with solely pharmacological intervention (Sialvera et al., 2017). Changes in diet such as reducing saturated fat and increasing fiber intake, are two of many alterations that have been proven to be successful and have consequently helped reduce the relative risk of ASCVD (Masana et al., 2017). The purpose of this quality improvement project was to direct participants with hyperlipidemia in the management of the condition using evidence-based nutrition guidelines and recommendations. The approach targeted underserved adults newly diagnosed with hyperlipidemia and seeking care at Broward Community and Family Health Center located in southeastern Florida. The community member, Mr. Laine, communicated that greater information on the dietary management of hyperlipidemia is beneficial to those who are determined to make changes to improve diet and lower blood cholesterol levels (S. Laine, oral communication, January 2019). Based on previous clinic data, there was a need for greater emphasis on nutritional education to assist clients in the control of hyperlipidemia.
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Date Issued: 2019
PURL: http://purl.flvc.org/fau/fd/FA00007533
Format: Document (PDF)

Title: Program Evaluation of Target BP within a Community Health Center.
Creator: Geevarughese, Stephanie, Hain, Debra, Florida Atlantic University, Christine E. Lynn College of Nursing
Abstract/Description: Despite aggressive efforts to help people achieve target blood pressure goals, currently in the US, only 52% of patients with hypertension have achieved blood pressure goals as established by JNC 8 (Low et al., 2014). Hypertension correlates with a greater risk of myocardial infraction, heart failure, stroke, and kidney disease (Low et al., 2014). Early detection and intervention is essential to reduce mortality and morbidity (Beune et al., 2014). Target BP is a national initiative formed by...
Show moreDespite aggressive efforts to help people achieve target blood pressure goals, currently in the US, only 52% of patients with hypertension have achieved blood pressure goals as established by JNC 8 (Low et al., 2014). Hypertension correlates with a greater risk of myocardial infraction, heart failure, stroke, and kidney disease (Low et al., 2014). Early detection and intervention is essential to reduce mortality and morbidity (Beune et al., 2014). Target BP is a national initiative formed by the American Heart Association (AHA) and the American Medical Association (AMA) in response to the rising incidence of uncontrolled blood pressure (BP). The program established protocols including teaching patients how to measure blood pressure accurately as well as partnering with families, patients, and communities to promote self-management goals in hypertension. The Target BP program was implemented by the staff at one primary care practice in South Florida to improve blood pressure in their patient population. This health center serves hundreds of thousands of patients in the South Florida area to meet the needs of primary care in the community. The intention of this doctoral project was conduct a program evaluation of Target BP within this community health center in order to understand if the program should be adopted, adapted, or abandoned. All 114 patients enrolled in the Target BP program at the community health center where evaluated for improvement in hypertension during a four-month period. Twenty-five patients had blood pressures collected for all four months. The community health center exceeded their goal of 10% decrease in in the patients with uncontrolled hypertension within the organization. In total, 47 (41%) patients showed improvement in blood pressure to normal limits according to JNC8 standards over the 4 months. Program interventions were implemented per protocol when patient’s blood pressures were out of range. Staff nurses and healthcare providers provided interventions to address diet, exercise, monitoring blood pressure on logs, as well as taking medication for hypertension to encourage achievement of Target BP goals.
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Date Issued: 2019
PURL: http://purl.flvc.org/fau/fd/FA00007534
Format: Document (PDF)

Title: Improving Assessment and Management of COPD.
Creator: Hanaway, Kevin P., Eggenberger, Terry, Florida Atlantic University, Christine E. Lynn College of Nursing
Abstract/Description: Chronic Obstructive Pulmonary Disease (COPD) is the fourth leading cause of death in the United States. In 2014 approximately 142,000 individuals in the U.S. died from COPD (Office of Disease Prevention & Health Promotion, Healthy People 2020). The Global Obstructive Lung Disease Initiative (GOLD) (2019) provides evidence-based practice (EBP) guidelines for diagnosing, managing, and treating Chronic Obstructive Pulmonary Disease (COPD). This Doctor of Nursing Practice (DNP) quality...
Show moreChronic Obstructive Pulmonary Disease (COPD) is the fourth leading cause of death in the United States. In 2014 approximately 142,000 individuals in the U.S. died from COPD (Office of Disease Prevention & Health Promotion, Healthy People 2020). The Global Obstructive Lung Disease Initiative (GOLD) (2019) provides evidence-based practice (EBP) guidelines for diagnosing, managing, and treating Chronic Obstructive Pulmonary Disease (COPD). This Doctor of Nursing Practice (DNP) quality improvement project used best practice recommended by GOLD (2019) to improve assessment of COPD by use of the Chronic Obstructive Pulmonary Disease Assessment Test (CAT). The implementation process for using the CAT was guided by a conceptual framework called the Transtheoretical Model (TTM) (Prochaska & DiClemente, 1983; Prochaska, DiClemente, & Norcross, 1992) to initiate change. The underlying philosophical foundation for this project was from Nursing as Caring (NAC) envisioned by Boykin and Schoenhofer (1993). The use of the CAT Score recognized the experience of symptoms by COPD patients and then allowed providers to follow GOLD (2019) guidelines and enabled best practice in the management of pharmacotherapy for COPD patients. 174 patients who had a diagnosis of COPD at a pulmonary practice were administered that CAT before an office visit over three months. The use of the CAT for patients with COPD demonstrated that the board-certified pulmonologists at a pulmonary practice adhered to GOLD (2019) guidelines in their plans of care for patients with COPD. Given the CAT measures eight quality of life items related to COPD, the CAT result allowed providers to follow the evidencebased practice (EBP) found in GOLD (2019) and to demonstrate NAC.
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Date Issued: 2019
PURL: http://purl.flvc.org/fau/fd/FA00007535
Format: Document (PDF)

Title: Improving Nutrition in Adults with Hypertension.
Creator: Jenkins, Jennifer, Gropper, Sareen, Florida Atlantic University, Christine E. Lynn College of Nursing
Abstract/Description: Nutrition can play a significant role in health conditions especially diseases such as hypertension. Nutritional intake can positively or negatively affect blood pressure, and many authors have found impactful changes when proper diet is adhered. Individuals who follow DASH diet guidelines have especially made positive changes in blood pressure. This quality improvement project examined if DASH diet-based nutrition education in adults with hypertension improved dietary intakes of vegetables...
Show moreNutrition can play a significant role in health conditions especially diseases such as hypertension. Nutritional intake can positively or negatively affect blood pressure, and many authors have found impactful changes when proper diet is adhered. Individuals who follow DASH diet guidelines have especially made positive changes in blood pressure. This quality improvement project examined if DASH diet-based nutrition education in adults with hypertension improved dietary intakes of vegetables and fruits, and reduced sodium intake and blood pressure. This manuscript addresses this concern using current evidence by describing the steps taken in a quality improvement project at Community Health of South Florida, Inc. of South Florida. Results, evaluation, and recommendations are also included.
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Date Issued: 2019
PURL: http://purl.flvc.org/fau/fd/FA00007536
Format: Document (PDF)

Title: Community Breast Screening “Treasure Your Chest”.
Creator: Joji, Lovely, Love, Tamara, Kinlaw, Nakisha, Florida Atlantic University, Christine E. Lynn College of Nursing
Abstract/Description: Background: Cancer is the second leading cause of death in United States (CDC, 2019). It has a huge impact on our society. In 2019, an estimated 268,600 new cases of invasive breast cancer are expected to be diagnosed in women in the U.S., along with 62,930 new cases of non-invasive breast cancer (U.S. Breast Cancer Statistics, 2019). About 41,760 women in the U.S. are expected to die in 2019 from breast cancer. Early diagnosis of the disease can reduce the mortality significantly and promote...
Show moreBackground: Cancer is the second leading cause of death in United States (CDC, 2019). It has a huge impact on our society. In 2019, an estimated 268,600 new cases of invasive breast cancer are expected to be diagnosed in women in the U.S., along with 62,930 new cases of non-invasive breast cancer (U.S. Breast Cancer Statistics, 2019). About 41,760 women in the U.S. are expected to die in 2019 from breast cancer. Early diagnosis of the disease can reduce the mortality significantly and promote quality of life. Screening mammography has shown to reduce mortality from breast cancer in women 40-70years of age with increasing risk reduction with age. Purpose: This project evaluated “Treasure Your Chest”, a breast cancer screening program in a Community Health Center (CHC) to determine if the CHC met program goals of screening eligible women aged 50-74 yrs. during the given timeline. In addition to this, the purpose was also to identify perceived barriers to the breast screening program and process and to provide recommendations for future screening practices.
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Date Issued: 2019
PURL: http://purl.flvc.org/fau/fd/FA00007537
Format: Document (PDF)

Title: Getting Physical with Back Pain.
Creator: Langley, Jessica, Gordon, Shirley C., Harvey, Kathi, Florida Atlantic University, Christine E. Lynn College of Nursing
Abstract/Description: Low back pain (LBP) can be debilitating and result in decreased mobility and reduced quality of life. This paper describes a quality improvement project focusing on managing LBP using an evidenced-based, multimodal approach. The multimodal approach included physical therapy combined with an analgesic and/or anti-inflammatory medication for pain that provide different mechanisms of action. The selected population were patients who presented with low back pain in a primary care setting. The...
Show moreLow back pain (LBP) can be debilitating and result in decreased mobility and reduced quality of life. This paper describes a quality improvement project focusing on managing LBP using an evidenced-based, multimodal approach. The multimodal approach included physical therapy combined with an analgesic and/or anti-inflammatory medication for pain that provide different mechanisms of action. The selected population were patients who presented with low back pain in a primary care setting. The participants attended physical therapy for four weeks while taking an individualized, prescribed medication regimen based on pain rating scores and LBP physical assessment. On the follow-up evaluation, all participants reported reduced pain and 67% demonstrated a decrease of three or more points on the Wong FACES Pain Rating Scale, an increase of five or more points on the Quality of Life Scale, and an increase of five or more points on the Back Pain Function Scale from pre to post intervention. The primary goal of this quality improvement project was to implement and evaluate an evidence-based, multimodal treatment approach to improve health outcomes for persons experiencing LBP. Multimodal LBP management lead to decreased pain, increased mobility, and an increase in the overall quality of life for patients.
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Date Issued: 2019
PURL: http://purl.flvc.org/fau/fd/FA00007539
Format: Document (PDF)

Title: “Wellness Through Action”: Assisting Community Dwelling Haitian American Older Adults in Adopting Habit Forming Activities to Address Depression.
Creator: Michel, Madeline, Ordóñez, María de los Ángeles, Florida Atlantic University, Christine E. Lynn College of Nursing
Abstract/Description: Depressive symptoms are one of the factors that can accelerate aging and may negatively affect cognitive status of older adults, rendering them dependent on caregivers as they age. In general, depression can be the catalyst of physical inactivity in older adults and a mediator of cardiovascular events, and mortality. Furthermore, depression can be linked with increased disability, chronic medical conditions, and stressful life events; hence, placing significant burden on patients, their...
Show moreDepressive symptoms are one of the factors that can accelerate aging and may negatively affect cognitive status of older adults, rendering them dependent on caregivers as they age. In general, depression can be the catalyst of physical inactivity in older adults and a mediator of cardiovascular events, and mortality. Furthermore, depression can be linked with increased disability, chronic medical conditions, and stressful life events; hence, placing significant burden on patients, their families, their communities, the economy, and the healthcare system. In South Florida, many older Haitian American (HA) adults living in our local community experience depression and lack of participation in routine physical and cognitive activities. Nurses routinely utilize a variety of nonpharmacological approaches and patient education interventions designed to reduce the negative impact of comorbid conditions, promote independence, and augment patients’ quality of life. The purpose of this paper is to address the need to develop a habit of engagement in regular physical and mental stimulation activities in older Haitian American adults, to highlight the best current evidence, and to provide a comprehensive description of this quality improvement project with recommendations for practice change. An analysis of the quantitative results, a thorough evaluation of the project, and a final critique with plans for future dissemination are also included.
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Date Issued: 2019
PURL: http://purl.flvc.org/fau/fd/FA00007540
Format: Document (PDF)

Christine E. Lynn College of Nursing (129)	+ -
Florida Atlantic University (129)	+ -
Hain, Debra (13)	+ -
Bulfin, Susan (8)	+ -
Gordon, Shirley (7)	+ -

Harris, Nancy (7)	+ -
Longo, Joy (6)	+ -
Chadwell, Katherine (5)	+ -
Kelly, Tracian (5)	+ -
Love, Tamara (5)	+ -
Gropper, Sareen (4)	+ -
Chiang-Hanisko, Lenny (3)	+ -
Edwards, Karethy (3)	+ -
Hernández, María de los Ángeles Ortega (3)	+ -
Hershorin, Tracian Kelly (3)	+ -
Pritchard, Kyndall (3)	+ -
Wiese, Lisa (3)	+ -
Wisdom-Chambers, Karen (3)	+ -
Brennen, Marlene (2)	+ -
Chambers, Karen (2)	+ -
Dittman, Patricia (2)	+ -
Duhaney, Michelle (2)	+ -
Gordon, Shirley C. (2)	+ -
Harvey, Kathi (2)	+ -
Hawthorne, Dawn (2)	+ -
Heinze, Katherine (2)	+ -
Klause, Karin (2)	+ -
LaFrance, Herard (2)	+ -
Leavitt, Mary Ann (2)	+ -
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