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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: 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: 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: The Effects of Plant-Based Diets on Hypertension.
Creator: Ezavin, Jennifer, Harris, Nancy, Florida Atlantic University, Christine E. Lynn College of Nursing
Abstract/Description: In 2019, the leading cause of death in the United States was cardiac disease associated with high blood pressure. High blood pressure has had profound consequences on people’s lives leading to stroke and even death. As a preventive measure, providers have encouraged lifestyle changes in order to help alleviate the burden of this condition. One of these consist of altering eating habits to a strictly plant-based diet. With the help of Doctor Sarah Long DNP, ten participants suffering from high...
Show moreIn 2019, the leading cause of death in the United States was cardiac disease associated with high blood pressure. High blood pressure has had profound consequences on people’s lives leading to stroke and even death. As a preventive measure, providers have encouraged lifestyle changes in order to help alleviate the burden of this condition. One of these consist of altering eating habits to a strictly plant-based diet. With the help of Doctor Sarah Long DNP, ten participants suffering from high blood pressure have volunteered to alter their eating habits for four weeks to further demonstrate the efficacy of plant-based diets. Thanks to Nola J. Pender’s Health Promotion Model and a paired t-test, this project was able to provide additional insight on the efficacy of plant-based diets while analyzing the participants’ willingness to alter their lifestyles for health promotion purposes. The results further demonstrated the effectiveness of plant-based diets by successfully assisting nine of the ten participants in lowering their blood pressures.
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Date Issued: 2022
PURL: http://purl.flvc.org/fau/fd/faudnp000053
Format: Document (PDF)

Title: Using Campinas- Barcode’s Cultural Competency Model and Roach's Model of Caring to Enhance Self-Perception of Cultural Competence and Perceived Knowledge of Caring among Physicians, Nurse Practitioners, and Community Nurses.
Creator: Bannis, Alicia, Hawthorne, Dawn, Florida Atlantic University, Christine E. Lynn College of Nursing
Abstract/Description: As the culturally diverse healthcare population in the United States rises, the demand for healthcare providers who are knowledgeable in providing culturally competent care increases. Community health care providers are mandated to make cultural competence a priority in their clinical practice. This mandate challenges healthcare professionals to increase their knowledge of cultural diversity and caring behaviors and provide appropriate health care services to meet the needs of racially and...
Show moreAs the culturally diverse healthcare population in the United States rises, the demand for healthcare providers who are knowledgeable in providing culturally competent care increases. Community health care providers are mandated to make cultural competence a priority in their clinical practice. This mandate challenges healthcare professionals to increase their knowledge of cultural diversity and caring behaviors and provide appropriate health care services to meet the needs of racially and ethnically diverse clients. For this project, an assessment of community healthcare providers’ self-perception of cultural competence and perceived knowledge of caring behaviors was untaken while posing the question: “How does a two-month education program on cultural competency and caring enhance cultural sensitivity and increase understanding of caring behaviors for physicians, nurse practitioners and community health nurse in a community health clinic?” The effectiveness of this education program was evaluated using a quantitative one-group pretest/post-test survey design. Project results from the post-test found a general improvement in self-perception of cultural competence and perceived knowledge of caring behaviors among participants, which suggests that the education program was successful.
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Date Issued: 2015
PURL: http://purl.flvc.org/fau/fd/faudnp000042
Format: Document (PDF)

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

Title: Using Educational Materials to Increase Colorectal Cancer Screening Rates.
Creator: Padron, Loreta D., Longo, Joy, Florida Atlantic University, Christine E. Lynn College of Nursing
Abstract/Description: Colorectal cancer (CRC) is the second leading, and third most preventable cancer in the United States (U.S.) (Center for Disease Control [CDC], 2019a) As the second leading cause of deaths in the U.S., more than 90% of CRC cases occur in people age 50 and older (CDC, 2019a). Roughly about 21.7 million of those at greatest risk of developing CRC have not been screened as recommended (CDC, 2019b). According to the national guidelines, the United States Preventative Service Task Force [USPSTF]...
Show moreColorectal cancer (CRC) is the second leading, and third most preventable cancer in the United States (U.S.) (Center for Disease Control [CDC], 2019a) As the second leading cause of deaths in the U.S., more than 90% of CRC cases occur in people age 50 and older (CDC, 2019a). Roughly about 21.7 million of those at greatest risk of developing CRC have not been screened as recommended (CDC, 2019b). According to the national guidelines, the United States Preventative Service Task Force [USPSTF] recommends screening for CRC using a fecal occult blood testing (FIT or gFOBT) yearly, a sigmoidoscopy every 5 years along with a FIT or gFOBT every 3 years, or a colonoscopy every 10 years in adults beginning at age 50 years and continuing until age 75 years (USPSTF, 2019). Early screening for CRC is of utmost importance with the main benefit being that it can prevent colorectal cancer or find it early, and reduce the chance that a person will die from CRC because treatment often leads to a cure (CDC, 2019c; USPSTF, 2019).
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Date Issued: 2019
PURL: http://purl.flvc.org/fau/fd/FA00007542
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: Improvement of Diabetes Knowledge, Management, and Self-Efficacy in Haitian Patients with Type 2 Diabetes Through Utilization of a PowerPoint Presentation: A Quality Improvement Project.
Creator: Noel, Alexandra, Dittman, Patricia, Duhaney, Michelle, Florida Atlantic University, Christine E. Lynn College of Nursing
Abstract/Description: Background: The prevalence of Type 2 diabetes is substantially significant in the United States and has been this way for several years. Diabetes is a complex, chronic disease that, without proper control, may result in avoidable complications. Once the diagnosis of diabetes is made, it is critical to establish clear treatment goals on increasing knowledge, self-efficacy and enhancing self-care. Implementing a program that supports self-care strategies for adults with diabetes to help achieve...
Show moreBackground: The prevalence of Type 2 diabetes is substantially significant in the United States and has been this way for several years. Diabetes is a complex, chronic disease that, without proper control, may result in avoidable complications. Once the diagnosis of diabetes is made, it is critical to establish clear treatment goals on increasing knowledge, self-efficacy and enhancing self-care. Implementing a program that supports self-care strategies for adults with diabetes to help achieve optimal health outcomes. For US adults aged 18 years or older the prevalence of diagnosed diabetes in non-Hispanic blacks is 12.1% which is the second highest (CDC,2019). Purpose: The purpose of this study is to determine if a PowerPoint presentation in Haitian Creole on diabetes self-management will improve self-efficacy, diabetes knowledge and management among Haitian patients with type 2 diabetes. Methods: In this pre‐post prospective design study, 13 participants with type 2 diabetes recruited from a primary care clinic in Boca Raton, FL were asked to complete a survey called the Diabetes Self‐Management Questionnaire (DSMQ), after which they attended a face‐to‐face or virtual PowerPoint presentation done in Haitian Creole with an optional 1‐hour discussion session. Following the class, they completed the same self‐management questionnaire with 2 additional investigator‐developed questions regarding class benefit. Results: Paired sample t tests were performed to compare the pretest to posttest scores on the DSMQ questionnaire which showed statistically significant improvement. Conclusion: The study found a perceived benefit in a self-management educational class in Haitian Creole for Haitian patients with type 2 diabetes.
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Date Issued: 2022
PURL: http://purl.flvc.org/fau/fd/faudnp000046
Format: Document (PDF)

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

Title: Improving Hemoglobin A1c Using the 4 Steps to Manage Your Diabetes for Life.
Creator: Murray, Brittany, Longo, Joy, Florida Atlantic University, Christine E. Lynn College of Nursing
Abstract/Description: Diabetes is the seventh leading cause of death in the U.S. where 1.5 million Americans are diagnosed each year. This evidence-based quality improvement project showed the effects of diabetes self-management education on lowering hemoglobin A1c levels and improving self-management behaviors. Education from the National Diabetes Education Program using the 4 Steps to Manage Your Diabetes for Life booklet along with follow up phone calls, a pre and post- Diabetes Self-Management Questionnaire...
Show moreDiabetes is the seventh leading cause of death in the U.S. where 1.5 million Americans are diagnosed each year. This evidence-based quality improvement project showed the effects of diabetes self-management education on lowering hemoglobin A1c levels and improving self-management behaviors. Education from the National Diabetes Education Program using the 4 Steps to Manage Your Diabetes for Life booklet along with follow up phone calls, a pre and post- Diabetes Self-Management Questionnaire were administered to twelve participants at the clinic. Descriptive statistics and a paired sample T-test were used to analyze data on the hemoglobin A1c and the Diabetes Self-Management Questionnaire. The results showed there was a decrease in the A1c from an average of 10.9 (1.14) on the pre-test to 9.0 (1.74) on the post-test [t(11) = 3.56, p=0.004]. There was an increase in the score from pre to post-test of the Diabetes Self-Management Questionnaire from an average of 30.3 (5.99) on the pre-test to 36.5 (4.68) on the post-test, indicating an increase in knowledge and self-management [t(11) = -2.46, p=0.031]. It is recommended that the 4 Steps to Manage Your Diabetes for Life be used in practice in order to help lower the hemoglobin A1c levels.
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Date Issued: 2019
PURL: http://purl.flvc.org/fau/fd/FA00007541
Format: Document (PDF)

Title: Improving Intimate Partner Violence Screening in Primary Care.
Creator: Simionie, Amanda, Harris, Nancy, Klause, Karin, Florida Atlantic University, Christine E. Lynn College of Nursing
Abstract/Description: Intimate partner violence (IPV) is a global health problem affecting millions of individuals. The purpose of this DNP project is to compare current IPV practices and recommend use of an IPV screening tool into practice along with staff education to improve screening practices in primary care. The overall goal is to increase screening of IPV in primary care, which rates are currently very low throughout the nation. To achieve this goal a quality improvement project was conducted with...
Show moreIntimate partner violence (IPV) is a global health problem affecting millions of individuals. The purpose of this DNP project is to compare current IPV practices and recommend use of an IPV screening tool into practice along with staff education to improve screening practices in primary care. The overall goal is to increase screening of IPV in primary care, which rates are currently very low throughout the nation. To achieve this goal a quality improvement project was conducted with participants at a local clinic in Fort Pierce. The staff and providers received a PowerPoint and verbal presentation, which focused on the ability to identify IPV. They received a pre-intervention survey and a post intervention survey at the completion of the presentation. They were also given information on referrals and resources for patients identified with IPV. 54% of providers responded that they do not currently screen for IPV. Participants showed that they would in the future use a screening tool in practice. They also showed a significant change in perceptions after the intervention. Providers also felt that they do have time to screen for IPV in the future and thus resulting in practice change.
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Date Issued: 2022
PURL: http://purl.flvc.org/fau/fd/faudnp000051
Format: Document (PDF)

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)

Title: Lipids, Learning, and Lifestyle: Improving Cholesterol Levels in a Rural Health Clinic through Enhanced Care-Coordinator Education.
Creator: Warren, Stefanie, Wisdom-Chambers, Karen, Florida Atlantic University, Christine E. Lynn College of Nursing
Abstract/Description: Having high cholesterol levels raises the risk for heart disease, the leading cause of death in the United States. High cholesterol is considered a silent preventable condition. Uncontrolled cholesterol levels increase health disparities experienced by patients of low-socioeconomic status. The purpose of this quality improvement (QI) project is to determine the effect of an evidence-based cholesterol education program in enhancing hyperlipidemia management strategies among Care Coordinators...
Show moreHaving high cholesterol levels raises the risk for heart disease, the leading cause of death in the United States. High cholesterol is considered a silent preventable condition. Uncontrolled cholesterol levels increase health disparities experienced by patients of low-socioeconomic status. The purpose of this quality improvement (QI) project is to determine the effect of an evidence-based cholesterol education program in enhancing hyperlipidemia management strategies among Care Coordinators at a Federally Qualified Health Center (FQHC). The overall goal of the project is to improve patient’s cholesterol levels over a 3-month period. This project supports the implementation of enhanced hyperlipidemia education for Care Coordinators based on a literature review and national hyperlipidemia guidelines. The Lipids, Learning and Lifestyle (LLL) program was created by the project leader and delivered in a train-the-trainer approach to the Care Coordinators at the FQHC. The project leader administered a modified Hypertension Knowledge-Level Scale (HK-LS) questionnaire to Care Coordinators before and after the training sessions, and score results were compared. A total of 10 patients were given the enhanced education by Care Coordinators, in individual sessions attended by the project leader. The patient’s pre and post-intervention cholesterol levels were compared to determine the impact of the educational program. Results from the modified HK-LS did show a statistically significant change in mean scores from pre intervention to post-intervention, revealing an overall improvement in knowledge about hyperlipidemia management. Review of the patient data showed there was no statistically significant improvement in Total Cholesterol (t(10)=1.60, p=.14), HDL (t(10)=-.69, p=.51), Triglycerides (t(10)=1.71, p=.12) or LDL (t(10)=.23, p=.82), from pre-intervention to post-intervention. Though there was no statistically significant improvement in overall Cholesterol levels for the patient participants, there was a statistically significant improvement in Care Coordinator knowledge about hyperlipidemia management.
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Date Issued: 2019
PURL: http://purl.flvc.org/fau/fd/FA00007549
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: Out of the Shadows and Into the Light: Illuminating the Path to a Bright Future for Nurses through Increased Advocacy Training.
Creator: Tagliaferri, Cynthia, Gordon, Shirley, Hogan, Debbie, Florida Atlantic University, Christine E. Lynn College of Nursing
Abstract/Description: A lack of knowledge and involvement in grassroots legislative advocacy among nursing professionals adversely affects nurses’ ability to effectively tackle issues impeding the safe and effective delivery of healthcare. The role of primary care nurses in improving health outcomes includes developing substantial legislative relationships that constructively introduce nurserelated issues that are not adequately recognized or understood by legislators. This DNP quality improvement project sought...
Show moreA lack of knowledge and involvement in grassroots legislative advocacy among nursing professionals adversely affects nurses’ ability to effectively tackle issues impeding the safe and effective delivery of healthcare. The role of primary care nurses in improving health outcomes includes developing substantial legislative relationships that constructively introduce nurserelated issues that are not adequately recognized or understood by legislators. This DNP quality improvement project sought to assess the effectiveness of a four (4) week legislative advocacy training program on the knowledge of, confidence in, and participation in the legislative advocacy process and local legislative outreach among nurse members of the Florida Nurses Association. Following the four (4) week intervention period, self-reported knowledge and confidence improved significantly evidenced by a reported 77.8% increase in advocacy knowledge and an 81.5% increase in advocacy skills. More than 80% of participants documented confidence in their ability to participate in legislative outreach with a 44% increase in contacting a legislator by email or mail, a 7.4% increase in legislative outreach by telephone, and a 7.4% increase with in-person visits. The results of this study suggest that increasing advocacy training, by incorporating frequent, repetitive sessions over a short period of time, is an effective approach to improving legislative outreach among nurse professionals.
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Date Issued: 2022
PURL: http://purl.flvc.org/fau/fd/faudnp000060
Format: Document (PDF)

Title: Medication Adherence in Patients Post Allogeneic Hematopoietic Stem Cell Transplant: The PPM Implementation Project.
Creator: Shrestha, Shakuntala, Bulfin, Susan, Florida Atlantic University, Christine E. Lynn College of Nursing
Abstract/Description: The goal of this quality improvement project was to increase medication adherence in patients post allogeneic hematopoietic stem cell transplant (allo-HSCT) following hospital discharge. The aim was to evaluate the impact of implementing an individualized post-transplant education intervention, grounded in Roach’s human caring attributes, on medication regimen adherence post-transplant (allo-HSCT) following hospital discharge. The intervention included use of a pill box and medication...
Show moreThe goal of this quality improvement project was to increase medication adherence in patients post allogeneic hematopoietic stem cell transplant (allo-HSCT) following hospital discharge. The aim was to evaluate the impact of implementing an individualized post-transplant education intervention, grounded in Roach’s human caring attributes, on medication regimen adherence post-transplant (allo-HSCT) following hospital discharge. The intervention included use of a pill box and medication calendar (PPM). Patient-Nurse interactions were guided by conscience and occurred within an environment of trust, respect, and compassion in which the nurse connected in full presence to the patient’s situation and demonstrated skills and knowledge (competence). A prospective, single arm, instructional intervention design was used to compare medication regimen adherence pre- and post- intervention. The effectiveness of the educational approach was evaluated using the Morisky Medication Adherence Scale-8 (MMAS-8). Participants included all patients who underwent allogeneic stem cell transplantation and discharged from the project facility between June 15th, 2021 and September 15th, 2021 (n=10). Prior to the PPM intervention, 20% of patients fell into the high medication adherence category, 40% were in medium adherence, and 40% in low medication adherence category. Four to five weeks after the PPM intervention, 70% were found to be in high adherence category and 30% in the medium adherence category. A paired sample t-test conducted on mean MMAS-8 score Pre- and Post- PPM intervention was found to be statistically significant (Mean 6.725 Versus 7.675, p=0.034). Early implementation of the PPM intervention involving individualized post-transplant instruction, grounded in caring science, was beneficial for post-transplant medication adherence in allo-HSCT patients following hospital discharge. Future research studies are needed to confirm the effectiveness and generalization of the PPM intervention.
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Date Issued: 2021
PURL: http://purl.flvc.org/fau/fd/faudnp000041
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: Screening Time: Increased Colorectal Cancer Screening Among Haitian Americans.
Creator: Roch, Tarah, Longo, Joy, Florida Atlantic University, Christine E. Lynn College of Nursing
Abstract/Description: The American College of Gastroenterology and the American Cancer Society (2018) issued new guidelines recommending adults aged 45 years and older with an average risk of colorectal cancer undergo regular screening. When colorectal cancer is diagnosed at earlier stages, available treatments are more successful. Haitian immigrants are among the fastest growing group of immigrants in the US with Florida being the second largest number of people of Haitian heritage. National studies do not...
Show moreThe American College of Gastroenterology and the American Cancer Society (2018) issued new guidelines recommending adults aged 45 years and older with an average risk of colorectal cancer undergo regular screening. When colorectal cancer is diagnosed at earlier stages, available treatments are more successful. Haitian immigrants are among the fastest growing group of immigrants in the US with Florida being the second largest number of people of Haitian heritage. National studies do not distinguish Haitians from the other Blacks subgroups and there are no specific statistics within African descent subgroups on colorectal cancer incidence and rate of screening. Based on the new guidelines from the American Cancer Society and the American College of Gastroenterology recommending early screening for African Americans and African descents, this project aimed at improving colorectal cancer screening rates and intent to screen among Haitian Americans in a faith-based community setting through the implementation of and educational colorectal cancer toolkit.
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Date Issued: 2019
PURL: http://purl.flvc.org/fau/fd/FA00007545
Format: Document (PDF)

Title: Sun Protective Behavior Counseling in Parents of Children Aged Six Months and Older.
Creator: Queen, Stephanie, Harris, Nancy, Figueredo, Ronald, Florida Atlantic University, Christine E. Lynn College of Nursing
Abstract/Description: Ultraviolet radiation exposure (UVR) is the most significant modifiable risk factor in preventing skin cancer. Seeking shade, and wearing hats, photoprotective clothing, sunscreen, and sunglasses are effective sun protective behaviors proven to reduce long-term morbidity and mortality from UVR. To be effective, these behaviors must be practiced consistently and adopted early within childhood. This quality improvement project explores the impact of sun protective behavior counseling in parents...
Show moreUltraviolet radiation exposure (UVR) is the most significant modifiable risk factor in preventing skin cancer. Seeking shade, and wearing hats, photoprotective clothing, sunscreen, and sunglasses are effective sun protective behaviors proven to reduce long-term morbidity and mortality from UVR. To be effective, these behaviors must be practiced consistently and adopted early within childhood. This quality improvement project explores the impact of sun protective behavior counseling in parents with children aged six months or older. Sun protective behavior counseling was given to parents in conjunction with evidence-based supplemental infographics along with examples of appropriate clothing, sunglasses, hats, and sunscreens. Successes of the project were measured with the pre- and post-test Sun Habits Survey and midpoint Sun Habits Diary and analyzed through parametric testing. Significant improvements in post-test scores were seen in sunscreen behaviors and were supported by the diary entries, with significant sunscreen use occurring on both weekend days and weekdays. Due to the favorable outcomes of this project, it is recommended that it be adapted to a larger scale and within communities.
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Date Issued: 2019
PURL: http://purl.flvc.org/fau/fd/FA00007544
Format: Document (PDF)

FAU Theses and Dissertations (224)	+ -
Christine E. Lynn College of Nursing Doctor of Nursing Practice (133)	+ -
FAU College Collections (34)	+ -
Office of Institutional Effectiveness & Analysis (11)	+ -
FAU Graduate Student Research (1)	+ -

Nursing (34)	+ -
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