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Open educational resources (OER) in STEM courses
Title
Open educational resources (OER) in STEM courses.
Creator
Ress, Sunghae
Abstract/Description
Presented at the Charles E. Schmidt College of Science Best Teaching Practices in STEM Forum, Florida Atlantic University, Boca Raton, FL.
Date Issued
2019
PURL
http://purl.flvc.org/fau/fd/FAUIR000364
Format
Document (PDF)
A strategy for sharing your research: Make your work open access
Title
A strategy for sharing your research: Make your work open access.
Creator
Ress, Sunghae
Abstract/Description
Presented at the 2017 International Open Access Week
Date Issued
2017
PURL
http://purl.flvc.org/fau/fd/FAUIR000415
Subject Headings
Open access publishing, Open access
Format
Document (PDF)
Digital collections: A bridge to cultivating librarian-faculty partnerships
Title
Digital collections: A bridge to cultivating librarian-faculty partnerships.
Creator
Ress, Sunghae
Abstract/Description
Digital Library Federation Forum 2019 Conference presentation. This presentation highlighted three collections from FAU Research Repository to illustrate the results of building and sustaining librarian-faculty collaborations for student engagement, research, and learning. Cultivating existing relationships has led to new collaborations with faculty to explore and include open educational resources for STEM courses at our campus.
Date Issued
2019
PURL
http://purl.flvc.org/fau/fd/FAUIR000414
Format
Document (PDF)
Using word clouds to assist with collection development
Title
Using word clouds to assist with collection development.
Creator
English, Zach, Ress, Sunghae, Fenichel, Ethan
Abstract/Description
2016 Florida Library Association Annual Conference presentation
Date Issued
2016
PURL
http://purl.flvc.org/fau/fd/FAUIR000416
Subject Headings
Collection development (Libraries)
Format
Document (PDF)
Using Evidence-based Approaches to Increase Cervical Cancer Screening Understanding and Uptake Among African American Women
Title
Using Evidence-based Approaches to Increase Cervical Cancer Screening Understanding and Uptake Among African American Women.
Creator
Atilus, Rosita, Paulino, Thamarre, Bulfin, Susan, Florida Atlantic University, Christine E. Lynn College of Nursing
Abstract/Description
Cervical cancer screening and prevention is an important aspect of primary care. Primary care providers (PCPs) have the role of either performing the initial screening test or referring to gynecologists for testing and follow-up care if needed. The PCPs have the opportunity to to discuss the importance of cervical cancer screening at each encounter. This is of particular importance for African-American (AA) women. According to Gopalini et al. (2020) AA women have significantly higher cervical...
Show moreCervical cancer screening and prevention is an important aspect of primary care. Primary care providers (PCPs) have the role of either performing the initial screening test or referring to gynecologists for testing and follow-up care if needed. The PCPs have the opportunity to to discuss the importance of cervical cancer screening at each encounter. This is of particular importance for African-American (AA) women. According to Gopalini et al. (2020) AA women have significantly higher cervical cancer incidence and mortality rates than Non-Hispanic Whites. This quality improvement project was conducted to increase the understanding of cervical cancer screening and uptake among African American Women in a south Florida medical center. Educational sessions were implemented based on Cervical Cancer Screening (CCS) guidelines from the American College of Obstetricians and Gynecologists (ACOG), instructional materials from the Centers for Disease Control and Prevention (CDC), and best practices in recommending CCS to the participants by the project team leaders (PTLs). The project processes were guided by Dr. Elizabeth Barrett’s Theory of Power as Knowing Participation in Change (PKPC) and underpinned by Dr. Jean Watson’s theory of human caring. Twenty-five patients participated and followed through the end of the project. Every participant received educational sessions and materials, expressed an intent to complete pap test, and completed pap screenings. The tool CCS-KAP Survey (Cervical Cancer Screening Knowledge, Awareness, and Practices) was used to evaluate participants’ cervical cancer screening knowledge and practices in both pre- and post-intervention periods. The results demonstrated enhanced knowledge and increased uptake for pap screenings among this group.
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Date Issued
2021
PURL
http://purl.flvc.org/fau/fd/faudnp000034
Format
Document (PDF)
Call to Reduce Patient Readmissions Post-Kidney Transplant Through Improved Self-Care
Title
Call to Reduce Patient Readmissions Post-Kidney Transplant Through Improved Self-Care.
Creator
Beringhaus, Sonya L., Blum, Cynthia, Guerra, Giselle, Navitskaya, Sviatlana, Florida Atlantic University, Christine E. Lynn College of Nursing
Abstract/Description
The overwhelming number of hospital readmissions thirty days after kidney transplantation as well as the risk of further readmissions, graft failure, and even mortality, are not being given the appropriate time, attention, and intervention. The literature review shows a correlation between complications and a lack of education and understanding post-transplant. The literature review also revealed that there is a 50-75% mortality rate associated with early readmissions and that a substantial...
Show moreThe overwhelming number of hospital readmissions thirty days after kidney transplantation as well as the risk of further readmissions, graft failure, and even mortality, are not being given the appropriate time, attention, and intervention. The literature review shows a correlation between complications and a lack of education and understanding post-transplant. The literature review also revealed that there is a 50-75% mortality rate associated with early readmissions and that a substantial 50% of readmissions are preventable (Hogan et al., 2019, p. 1). To reduce complications necessitating readmissions, this doctoral project was created and designed to increase self-care knowledge post-kidney transplant in a group of patients receiving a transplant at the Miami Transplant Institute, a part of Jackson Memorial Health System. The project was designed in alignment with the Chronic Care Model and Mayeroff’s Ingredients of Caring to ensure promotion of a kind and patient environment conducive for learning for patients and their family members. Project approval was obtained from the Jackson Memorial Nursing Research Council, the chief nursing officers, Jackson Memorial Health System Research Department, as well as the advanced practice providers and management team at the Miami Transplant Institute. The purpose of this manuscript is to raise awareness of the significant need of education post-kidney transplant, review the literature and current recommendations, as well as provide a description of the quality improvement project and its implementation. The manuscript will also include a data analysis, project evaluation, recommendations for future practice and quality improvement projects, as well as a plan for future dissemination.
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Date Issued
2021
PURL
http://purl.flvc.org/fau/fd/faudnp000016
Format
Document (PDF)
Reducing Stress and Anxiety Level of Caregivers of Loved Ones Living with Dementia through a Video Guided Meditation Program
Title
Reducing Stress and Anxiety Level of Caregivers of Loved Ones Living with Dementia through a Video Guided Meditation Program.
Creator
Brown-Gordon, Patricia, Ortega, María, Michel, Madeline, Florida Atlantic University, Christine E. Lynn College of Nursing
Abstract/Description
Caring for a person with dementia can have serious implications for the psychological condition of family caregivers. There are high rates of stress and anxiety amongst family caregivers of individuals with dementia. Many authors show the invaluable service these family members provide and the need for healthcare providers to recognize and promote health amongst this population. In an effort to improve the health outcome for family caregivers, this doctoral project was designed to develop and...
Show moreCaring for a person with dementia can have serious implications for the psychological condition of family caregivers. There are high rates of stress and anxiety amongst family caregivers of individuals with dementia. Many authors show the invaluable service these family members provide and the need for healthcare providers to recognize and promote health amongst this population. In an effort to improve the health outcome for family caregivers, this doctoral project was designed to develop and implement a health promotion project through the use of a video guided meditation program. This paper emphasizes the need for attention to this concern, to highlight the best current evidence, and to provide a comprehensive description of this quality improvement project with recommendations for practice change. Included, is an analysis of the quantitative results, a thorough evaluation of the project, and a final critique with plans for future dissemination.
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Date Issued
2021
PURL
http://purl.flvc.org/fau/fd/faudnp000028
Format
Document (PDF)
Evaluation of Management Adherence in Afro-Caribbean Pediatric Patients with Diabetes
Title
Evaluation of Management Adherence in Afro-Caribbean Pediatric Patients with Diabetes.
Creator
Colimon, Iseberte, Bulfin, Susan, Florida Atlantic University, Christine E. Lynn College of Nursing
Abstract/Description
Purpose: This project was implemented to address and improve the need for management adherence among the Afro-Caribbean pediatric population with Type 1 and Type 2 Diabetes (T1D) and (T2D). Background and Problem: Over the past 5 years, there has been an increased number of children diagnosed with diabetes. Particularly, one of the problems being faced by Haitians and other Afro-Caribbean patients with chronic illnesses, is poor management adherence due to lack of culturally congruent...
Show morePurpose: This project was implemented to address and improve the need for management adherence among the Afro-Caribbean pediatric population with Type 1 and Type 2 Diabetes (T1D) and (T2D). Background and Problem: Over the past 5 years, there has been an increased number of children diagnosed with diabetes. Particularly, one of the problems being faced by Haitians and other Afro-Caribbean patients with chronic illnesses, is poor management adherence due to lack of culturally congruent education. Additionally, the lack of education seen in patients with diabetes is correlated with difficulties to adapt and manage the condition properly. Method: Each participant received education that was tailored to the Afro-Caribbean culture and in their preferred language. Summary of diabetes self-care Activities (SDSCA) score and time in range values were assessed pre intervention and post intervention. A paired sample t-test was conducted by this Doctor of Nursing Practice student to assess the changes from pretest to posttest. A p-value of less than 0.05 was required for statistical significance. Results: More than 75% of the participants were educated with culturally congruent teachings that were tailored to the Afro-Caribbean culture. Improvement in SDSCA scores and TIR was also demonstrated. SDSCA p<.001 and TIR p=0.008. In addition, more than 75% of the participants demonstrated improved adherence to blood glucose monitoring consistency which was statically significant. Conclusion: The effectiveness of this project was evaluated by the outcomes of the participants’ post intervention. Findings from this project demonstrated that providing culturally congruent education to patients was successful at improving diabetes home management.
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Date Issued
2021
PURL
http://purl.flvc.org/fau/fd/faudnp000036
Format
Document (PDF)
Improving Blood Pressure Control through Self-Measured Blood Pressure Monitoring
Title
Improving Blood Pressure Control through Self-Measured Blood Pressure Monitoring.
Creator
Davis, Mary K., Dittman, Patricia, Mendez, Jessica, Florida Atlantic University, Christine E. Lynn College of Nursing
Abstract/Description
Uncontrolled hypertension can negatively affect a person’s overall health. Therefore, it is crucial that health care providers understand evidence-based measures that can improve hypertension control. The following Doctor of Nursing Practice project aimed to help improve hypertension outcomes in a community health clinic in West Palm Beach, Florida. The purpose of this paper is to highlight the impact of self-measured blood pressure monitoring (SMBP) as a self-management support strategy and...
Show moreUncontrolled hypertension can negatively affect a person’s overall health. Therefore, it is crucial that health care providers understand evidence-based measures that can improve hypertension control. The following Doctor of Nursing Practice project aimed to help improve hypertension outcomes in a community health clinic in West Palm Beach, Florida. The purpose of this paper is to highlight the impact of self-measured blood pressure monitoring (SMBP) as a self-management support strategy and discuss the outcomes of an educational intervention in a small community population. Along with a synthesis of current evidence on SMBP, this paper outlines the processes involved in measuring the effects of SMBP education on hypertension control. A data analysis involving mean differences between baseline and follow up blood pressure measurements, along with a paired samples t-test describing the differences between two week and 12 week post-intervention data is described. An evaluation of the project’s overall success and a discussion of implications for future practice are included as well.
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Date Issued
2021
PURL
http://purl.flvc.org/fau/fd/faudnp000017
Format
Document (PDF)
Psychoeducation to Assist in Decreasing Depression and Increasing Participation in Psychotherapy in Blacks/African Americans
Title
Psychoeducation to Assist in Decreasing Depression and Increasing Participation in Psychotherapy in Blacks/African Americans.
Creator
Delice, Jean Raynald, Ortega, María de los Ángeles, Ellis, Horace A., Florida Atlantic University, Christine E. Lynn College of Nursing
Abstract/Description
Purpose: The purpose of this quality improvement project is to assess the effectiveness of a Psychoeducation Program (PP) in decreasing symptoms of depression and improving participation in psychotherapy amongst Blacks/African Americans at a Federally Qualified Health Care Center (FQHC) in Miami Dade County, Florida. Created by the project leader, the PP was built upon resources provided by trusted organizations such as the National Institute of Mental Health (NIH, 2020) and Beyond Blue of...
Show morePurpose: The purpose of this quality improvement project is to assess the effectiveness of a Psychoeducation Program (PP) in decreasing symptoms of depression and improving participation in psychotherapy amongst Blacks/African Americans at a Federally Qualified Health Care Center (FQHC) in Miami Dade County, Florida. Created by the project leader, the PP was built upon resources provided by trusted organizations such as the National Institute of Mental Health (NIH, 2020) and Beyond Blue of Australia (Beyond blue 2021). Method: The participants were comprised of 7 men and 5 women Blacks/African Americans living with depression, on antidepressants and not interested in participating in psychotherapy. Over a threemonth period, they received four educational sessions on the importance of combining antidepressants and psychotherapy. Data were collected from pre- and post-intervention. Results: An analysis of the quantitative data collected demonstrated that the educational intervention did contribute to a decrease of their depression score as well as their Psychoeducation Readiness Index (PRI) score. Conclusion: Psychoeducation has the potential to alleviate Blacks/African Americans symptoms of depression and to increase their PRI scores while offering concrete information to tailor evidence-based interventions to bridge the gap between their reticence and the benefit from the virtue of psychotherapy.
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Date Issued
2021
PURL
http://purl.flvc.org/fau/fd/faudnp000037
Format
Document (PDF)
Improving the Health of Patients with Non-alcoholic Fatty Liver Disease By Engaging Providers to Implement Evidence-based Nutrition: The Mediterranean Diet
Title
Improving the Health of Patients with Non-alcoholic Fatty Liver Disease By Engaging Providers to Implement Evidence-based Nutrition: The Mediterranean Diet.
Creator
DiNetta, Andrea, Gordon, Shirley, Matthews-D’Avanzo, Andi, Florida Atlantic University, Christine E. Lynn College of Nursing
Abstract/Description
Non-alcoholic fatty liver disease (NAFLD) is a hidden epidemic that is rising to alarming levels worldwide. With no definitive guidelines established for treating this disease, many providers resort to advising their patients to “lose weight” without specific dietary guidance. Providers are lacking the education and tools needed to implement evidence-based treatment that already exists in peer reviewed research. The Mediterranean Diet (MedDiet) is one such evidence-based treatment that can be...
Show moreNon-alcoholic fatty liver disease (NAFLD) is a hidden epidemic that is rising to alarming levels worldwide. With no definitive guidelines established for treating this disease, many providers resort to advising their patients to “lose weight” without specific dietary guidance. Providers are lacking the education and tools needed to implement evidence-based treatment that already exists in peer reviewed research. The Mediterranean Diet (MedDiet) is one such evidence-based treatment that can be implemented in a healthcare setting. The goal of this project is to reduce the morbidity associated with NAFLD by giving providers the tools necessary to implement the MedDiet as a specific treatment modality in clinical practice. The project leader evaluated the impact of a MedDiet educational program on providers in their clinical practice and on improving their knowledge, confidence, and ability to manage patients at risk for or diagnosed with NAFLD. The educational program was implemented at a small primary care clinic using a PowerPoint presentation and a brochure on the MedDiet created by the project leader for providers to administer to patients. Results from a questionnaire administered before and after the program revealed providers improved their clinical practice regarding nutritional guidance and providing specific recommendations to their patients on adopting the MedDiet. Furthermore, providers marked increased knowledge, confidence, and ability to manage patients at risk for or diagnosed with NAFLD. The results of this project suggest that providers lack knowledge on the MedDiet and intervening with an educational program increased providers’ ability to implement the MedDiet with their patients.
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Date Issued
2021
PURL
http://purl.flvc.org/fau/fd/faudnp000018
Format
Document (PDF)
Effects of Adding an Instructional Mobile Phone Application to Asthma Treatment Plans on Inhaler Technique and Pulmonary Function
Title
Effects of Adding an Instructional Mobile Phone Application to Asthma Treatment Plans on Inhaler Technique and Pulmonary Function.
Creator
Doimeadios, Adelaida, Harris, Nancy, De Taboada, Darinka, Florida Atlantic University, Christine E. Lynn College of Nursing
Abstract/Description
Asthma is a chronic lung disease affecting all age groups worldwide with a need of educational interventions to ensure asthmatic individuals are correctly and accurately using prescribed inhalers. To improve pulmonary function on asthmatic individuals, this doctoral quality improvement project was designed to increase the knowledge of patients with an asthma diagnosis by using traditional teaching methods with the addition of an instructional mobile phone app to treatment plans on inhaler...
Show moreAsthma is a chronic lung disease affecting all age groups worldwide with a need of educational interventions to ensure asthmatic individuals are correctly and accurately using prescribed inhalers. To improve pulmonary function on asthmatic individuals, this doctoral quality improvement project was designed to increase the knowledge of patients with an asthma diagnosis by using traditional teaching methods with the addition of an instructional mobile phone app to treatment plans on inhaler technique and pulmonary function. The purpose of this paper is to address the need for proper and sufficient inhaler education for individuals with an asthma diagnosis requiring a prescribed inhaler to increase FEV1 by using the latest evidence-based research and providing a complete description of this doctoral quality improvement project with recommendations for change of practice. Included will be an analysis of the results, evaluation of the complete project and future practice changes.
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Date Issued
2021
PURL
http://purl.flvc.org/fau/fd/faudnp000019
Format
Document (PDF)
The Use of Telehealth Measures to Improve Diet Change Adherence in Adults with Type 2 Diabetes Mellitus
Title
The Use of Telehealth Measures to Improve Diet Change Adherence in Adults with Type 2 Diabetes Mellitus.
Creator
Fergile, Marlee, Gropper, Sareen, Cobalt, Michelle, Florida Atlantic University, Christine E. Lynn College of Nursing
Abstract/Description
According to Kalra, Jena, & Yeravdekar (2018), type 2 diabetes mellitus (T2DM) is considered a life style disease. It is a progressive and a chronic illness, largely caused by obesity and a lack of exercise. If left untreated or poorly controlled, this disease can lead to debilitating complications and premature death. The aim of this quality improvement Doctor of Nursing Practice (DNP) project was to improve dietary behavior in adults with T2DM. The overall goal of the project was to improve...
Show moreAccording to Kalra, Jena, & Yeravdekar (2018), type 2 diabetes mellitus (T2DM) is considered a life style disease. It is a progressive and a chronic illness, largely caused by obesity and a lack of exercise. If left untreated or poorly controlled, this disease can lead to debilitating complications and premature death. The aim of this quality improvement Doctor of Nursing Practice (DNP) project was to improve dietary behavior in adults with T2DM. The overall goal of the project was to improve diabetes outcomes through the implementation of evidence-based dietary information using a diabetes text-messaging program (mobile health technology). The project revealed that the implementation of telehealth measures, e,g, text messaging education and resource information on a weekly basis in between office visits, was beneficial to adult individuals with T2DM, improving health and dietary behavioral choices.
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Date Issued
2021
PURL
http://purl.flvc.org/fau/fd/faudnp000029
Format
Document (PDF)
Increasing the Uptake of the HPV Vaccine through Motivational Interviewing and Standardized Provider Education
Title
Increasing the Uptake of the HPV Vaccine through Motivational Interviewing and Standardized Provider Education.
Creator
Giammalvo, Kristen, Hodgers, Selena, Bulfin, Susan, Salsbury, Helen, Florida Atlantic University, Christine E. Lynn College of Nursing
Abstract/Description
Human papillomavirus (HPV is the most common sexually transmitted infection(STI) in the United States, with an estimated 80% of sexually active people contracting it at some point. HPV can cause cervical, vaginal, and vulvar cancers in females, as well as anal cancer and genital warts in males. However national data demonstrates less than 50% of females are fully vaccinated. This quality improvement project aimed to bridge the gap in young women who did not receive the vaccine during...
Show moreHuman papillomavirus (HPV is the most common sexually transmitted infection(STI) in the United States, with an estimated 80% of sexually active people contracting it at some point. HPV can cause cervical, vaginal, and vulvar cancers in females, as well as anal cancer and genital warts in males. However national data demonstrates less than 50% of females are fully vaccinated. This quality improvement project aimed to bridge the gap in young women who did not receive the vaccine during childhood as well as increase knowledge about HPV, transmission, vaccination, and testing. The interventions used to facilitate the education included an HPV pamphlet and direct education with the trusted provider using motivational interviewing techniques. Pre and post tests were given to 48 participants that assessed HPV knowledge and intent to vaccinate. Participants included females < 27 years old with thirty-six participants who fully completed all aspects of the QI project at an OBGYN private practice. The intent to vaccinate in the pretest was 8% and posttest was 67%, with a percent increase of 700%. The pretest HPV knowledge average test score was 72% with an average post test score of 91%. The results of the project add to the body of evidence-based practice knowledge and clearly demonstrate the effectiveness of education with a strong provider recommendation in increasing vaccination uptake. The methods and modalities used for this project could easily be implemented in any practice following this particular patient population such as university student health systems or family practices.
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Date Issued
2021
PURL
http://purl.flvc.org/fau/fd/faudnp000025
Format
Document (PDF)
Improving Referrals to a Diabetes Self-Management Education Program in a Primary Care Clinic
Title
Improving Referrals to a Diabetes Self-Management Education Program in a Primary Care Clinic.
Creator
Gomez, Stephanie, Wiese, Lisa, Florida Atlantic University, Christine E. Lynn College of Nursing
Abstract/Description
Despite the proven benefits and recommendations from the American Diabetes Association (ADA) to refer patients with type 2 diabetes to a diabetes self-management education (DSME) program, the referral rates to such programs by primary care providers (PCP) is considerably low. Only 6.8% of individuals with newly diagnosed type 2 diabetes with private health insurance have participated in DSME within 12 months of diagnosis, and only 4% of Medicare participants received DSME (Powers et al., 2020...
Show moreDespite the proven benefits and recommendations from the American Diabetes Association (ADA) to refer patients with type 2 diabetes to a diabetes self-management education (DSME) program, the referral rates to such programs by primary care providers (PCP) is considerably low. Only 6.8% of individuals with newly diagnosed type 2 diabetes with private health insurance have participated in DSME within 12 months of diagnosis, and only 4% of Medicare participants received DSME (Powers et al., 2020). The goal of this quality improvement project was to improve management of diabetes in primary care practice through increased awareness and engagement in DSME programs. The project was implemented at a metropolitan clinic in South Florida and included two PCP and their patients with a type 2 diabetes diagnosis. During an implementation phase, an educational session was given to each PCP with an intent to increase awareness on DSME, demonstrate its importance and recommendations by the ADA on its use, as well as educate on how and when to refer a patient with diabetes to a DSME program. Data were analyzed using descriptive statistics (percentages), and dependent sample t-test analyses. This quality improvement project resulted in improved post intervention DSME Questionnaire PCP scores, increased rates of referrals, increased rates of attendance to a DSME program and decreased HbA1c levels. These results demonstrate that an instructional intervention can positively influence PCP knowledge and standardized use of current evidence-based practice guidelines for treating adults with type 2 diabetes in a primary care setting.
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Date Issued
2021
PURL
http://purl.flvc.org/fau/fd/faudnp000030
Format
Document (PDF)
Reduce Psychotropic Medication Use for Nursing Home Residents with Alzheimer’s/Dementia: A Quality Improvement Project
Title
Reduce Psychotropic Medication Use for Nursing Home Residents with Alzheimer’s/Dementia: A Quality Improvement Project.
Creator
Guerda, Joseph Valere, Hain, Debra, Gupta, Shobha, Florida Atlantic University, Christine E. Lynn College of Nursing
Abstract/Description
There is an increase in residents with dementia receiving care in Skilled Nursing Facilities (SNFs). As the person's dementia progresses there is an increased risk of behavioral and psychological symptoms of dementia (BPSD) which include aggressive behaviors, screaming, and yelling. Frequently, psychotropic medications are used to treat behaviors, but it is associated with several risks, including risks of falling, high hospitalization rate, adverse events, and even deaths of the nursing home...
Show moreThere is an increase in residents with dementia receiving care in Skilled Nursing Facilities (SNFs). As the person's dementia progresses there is an increased risk of behavioral and psychological symptoms of dementia (BPSD) which include aggressive behaviors, screaming, and yelling. Frequently, psychotropic medications are used to treat behaviors, but it is associated with several risks, including risks of falling, high hospitalization rate, adverse events, and even deaths of the nursing home residents. The Centers for Medicare and Medicaid Services (CMS) are monitoring use and providers caring for individuals in SNFs will have to justify reasons for prescribing psychotropic medication (CMS, 2020). There is evidence of many interventions to treat BPSD. There is a need to translate this evidence into practice to see if we can reduce the use of psychotropic medications.
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Date Issued
2021
PURL
http://purl.flvc.org/fau/fd/faudnp000026
Format
Document (PDF)
Implementing a Lower Carbohydrate, Mediterranean-Style Diet to Improve A1C and BMI
Title
Implementing a Lower Carbohydrate, Mediterranean-Style Diet to Improve A1C and BMI.
Creator
Handwerger, Durrell, Love, Tamara, Grynberg, Fred, Florida Atlantic University, Christine E. Lynn College of Nursing
Abstract/Description
The aim of this project was to describe a quality program for individuals with Type II Diabetes (T2DM) that implemented a Mediterranean-style diet lower in carbohydrates to lower A1C (Glycosylated Hemoglobin) and BMI (Body mass index) in a 12-week period. These markers are clinically significant because A1C levels indicate an average of blood sugars over three months, and lower BMI scores over time indicate weight loss. Both of these variables are important markers of diabetic health.
Date Issued
2021
PURL
http://purl.flvc.org/fau/fd/faudnp000031
Format
Document (PDF)
Early Detection and Management of Acute Kidney Injury in Long Term Care Residents: Increasing Nursing Staff Knowledge, Confidence, and Competence
Title
Early Detection and Management of Acute Kidney Injury in Long Term Care Residents: Increasing Nursing Staff Knowledge, Confidence, and Competence.
Creator
Jamero, Fredeline, Hain, Debra, Speranza, Janet, Florida Atlantic University, Christine E. Lynn College of Nursing
Abstract/Description
The incidence of acute kidney injury AKI (also known as acute renal failure) is an emerging public health concern worldwide and it is associated with high healthcare cost, prolonged hospital stays, progression to chronic kidney disease and end-stage renal disease and higher mortality. Advanced age increases the vulnerability to AKI due to both structural and functional degeneration over time affecting many older adults living in long term care facilities. The literature shows AKI is...
Show moreThe incidence of acute kidney injury AKI (also known as acute renal failure) is an emerging public health concern worldwide and it is associated with high healthcare cost, prolonged hospital stays, progression to chronic kidney disease and end-stage renal disease and higher mortality. Advanced age increases the vulnerability to AKI due to both structural and functional degeneration over time affecting many older adults living in long term care facilities. The literature shows AKI is preventable with early detection and management. The purpose of this quality improvement project was to assess if the implementation an evidence-based education presentation to a group of nurses in a long-term care facility on early detection and management of AKI while improving the staff’s knowledge, confidence and competence will prevent the AKI in the facility, decrease AKI related hospitalizations and ultimately improve health outcomes. The plan, do, study, act (PDSA) method was used, and descriptive statistics were utilized to analyze the data of this project obtained from a pre-post survey questionnaire. A retrospective chart review of hospitalization data was utilized to record pre and post intervention hospital discharges. Results indicated that the education presentation improved knowledge and management of AKI; therefore, recommendations for practice change are necessary.
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Date Issued
2021
PURL
http://purl.flvc.org/fau/fd/faudnp000020
Format
Document (PDF)
Integrated Multistep Patient-Centered Program to Improve HEDIS Medication Adherence and Medicare Star Rating
Title
Integrated Multistep Patient-Centered Program to Improve HEDIS Medication Adherence and Medicare Star Rating.
Creator
Leykind, Alsu, Gordon, Shirley, Florida Atlantic University, Christine E. Lynn College of Nursing
Abstract/Description
Medication adherence (MA) has been a problem in healthcare for years. The MA for the purpose of this paper and project MA is defined as Proportion of Days Covered (PDC) of ≥ 80 % when patients fill their prescriptions on time as ordered by their Primary Healthcare Provider (PCP). There are devasting effects of medication nonadherence, which causes preventable deaths, hospital admission, injuries, and rising healthcare costs. Therefore, MA on certain maintenance medications for blood pressure,...
Show moreMedication adherence (MA) has been a problem in healthcare for years. The MA for the purpose of this paper and project MA is defined as Proportion of Days Covered (PDC) of ≥ 80 % when patients fill their prescriptions on time as ordered by their Primary Healthcare Provider (PCP). There are devasting effects of medication nonadherence, which causes preventable deaths, hospital admission, injuries, and rising healthcare costs. Therefore, MA on certain maintenance medications for blood pressure, diabetes and cholesterol are included as a patient care quality measure in the Healthcare Effectiveness Data and Information Set (HEDIS) by the Centers for Medicare and Medicaid Services (CMS) among Medicare Advantage beneficences. PCPs are accountable and responsible for their patients for adherence with those medications. Providers or practices that achieve target scores in HEDIS on MA financially rewarded with bonuses from the health plans that bring extra revenue. This doctoral project and paper intended to help providers and patients to address MA by implementing the Integrated Multistep Patient-Centered Program (IMPCP) in primary care to find out the effects on HEDIS scores and Medicare Star Rating (MSR). IMPCP was developed to address MA in the local primary care Managed Service Organizations (MSO) in South Florida. This design of this project was quasi - experimental with secondary analysis. Descriptive statistics were used as a method to manage data. In conclusion, the IMPCP improved HEDIS and MSR scores in the local MSO. This paper includes the description IMPCP, results, evaluation, critique, and plan for dissemination.
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Date Issued
2021
PURL
http://purl.flvc.org/fau/fd/faudnp000038
Format
Document (PDF)
The Impact of Enhanced Instruction on Self-Care Behaviors in Adults with Heart Failure
Title
The Impact of Enhanced Instruction on Self-Care Behaviors in Adults with Heart Failure.
Creator
Miller, Alexandra, Hershorin, Tracian Kelly, Eddison, Alan, Florida Atlantic University, Christine E. Lynn College of Nursing
Abstract/Description
Heart failure is a chronic disease affecting millions of people worldwide and carries a high burden on both patients and society. Current guidelines encourage the use of patient education along with medical therapy to improve outcomes. The aim of this manuscript is to describe a quality improvement (QI) project conducted to improve self-care behaviors among participants living with heart failure. The need for this project was identified at an outpatient clinic where patients with heart...
Show moreHeart failure is a chronic disease affecting millions of people worldwide and carries a high burden on both patients and society. Current guidelines encourage the use of patient education along with medical therapy to improve outcomes. The aim of this manuscript is to describe a quality improvement (QI) project conducted to improve self-care behaviors among participants living with heart failure. The need for this project was identified at an outpatient clinic where patients with heart failure (HF) were not receiving printed education materials or enhanced instruction. Through literature review, several studies identified potential barriers to adherence including complexity of treatment, low health literacy, and heart failure symptoms, while other studies displayed the positive impact of enhanced instruction on heart failure outcomes and self-care. This QI project was conducted over a 4-week period and involved a telehealth intervention utilizing printed education and teach-back to improve self-care behaviors. Participants completed self-care behavior surveys pre and post intervention. Improvements were noted among self-care scores of all the participants, although the sample size was small. From these results, it was recommended to the outpatient clinic to continue to provide printed education to patients with heart failure and incorporate a telehealth follow-up program to emphasize proper self-care behaviors for these patients. Future projects and research should be focused on larger sample sizes for longer periods of time and include the tracking of heart failure outcomes.
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Date Issued
2021
PURL
http://purl.flvc.org/fau/fd/faudnp000021
Format
Document (PDF)

Pages