View All Items

Title: SHARED approach to lessen ER readmissions of Substance use disorder (SUD) with BRIDGE program.
Creator: Hamilton, Losarnia, Kelly, Tracian, Cordero, Nelson, Florida Atlantic University, Christine E. Lynn College of Nursing
Abstract/Description: Substance use disorders (SUD) are associated with an excessive number of hospital and emergency room visits, as well as noncompliance with medical guidance. Many low-barrier substance abuse treatment bridge clinics are hospital-based outpatient operations that are not licensed as opioid treatment facilities (OTPs). The aim of this quality improvement project is to reduce ER readmissions for patients suffering from substance abuse disorders. Improvements were seen in patients after three...
Show moreSubstance use disorders (SUD) are associated with an excessive number of hospital and emergency room visits, as well as noncompliance with medical guidance. Many low-barrier substance abuse treatment bridge clinics are hospital-based outpatient operations that are not licensed as opioid treatment facilities (OTPs). The aim of this quality improvement project is to reduce ER readmissions for patients suffering from substance abuse disorders. Improvements were seen in patients after three months of participation in the provided BRIDGE program using the shared technique. The Agency for Healthcare Research and Quality's (AHRQ) SHARE Approach to Decision-Making assists healthcare clinicians in partnering with patients to make the best decision possible for them. The frequent emergency room visits by people suffering from SUD inspired our project. The DNP student visited with SUD patients in the ED and engaged in collaborative decision-making with them. This project aims to educate individuals who visit the Broward Health Medical Center emergency room about the importance of a substance abuse treatment program. Nonparametric statistics were utilized to determine the extent to which the individual was active in the decision-making process. Descriptive statistics were used to describe the participants who consented and refused to participate in the BRIDGE Program, as well as to calculate the percentage of participants who agreed to participate in the BRIDGE Program and whether any of them were readmitted during the program.
Show less
Date Issued: 2023
PURL: http://purl.flvc.org/fau/fd/faudnp000100
Format: Document (PDF)

Title: Well Balanced Yoga: Impact of Chair Yoga on Balance and Well-Being Among Older Adults Residing in Assisted Living.
Creator: Barrett, Karrah, Florida Atlantic University, Christine E. Lynn College of Nursing
Abstract/Description: Falls among older adults are steadily increasing and contribute to the growing mortality and morbidity rates of this population. Fall prevention measures are complex and require a multidimensional approach to reduce associated risk factors. Older adults with more engagement were less prone to feelings of loneliness and, consequently, exhibited elevated levels of physical, psychological, and social well-being. This project explores the potential use of chair yoga as a non-pharmacological...
Show moreFalls among older adults are steadily increasing and contribute to the growing mortality and morbidity rates of this population. Fall prevention measures are complex and require a multidimensional approach to reduce associated risk factors. Older adults with more engagement were less prone to feelings of loneliness and, consequently, exhibited elevated levels of physical, psychological, and social well-being. This project explores the potential use of chair yoga as a non-pharmacological intervention to enhance balance and well-being among older adults residing in an assisted living facility. Evidence shows physical activity using yoga can decrease fall risk factors and improve psychological health. The project leader provided instruction on the implementation of chair yoga over a six-week period. The findings showed an improvement in balance based on the BERG Balance Test, and the WHO-5 Well-Being Index demonstrated an improvement of well-being. These results highlight the benefits of chair yoga in improving balance and a sense of well-being in this population. Further investigation is needed in motivational strategies, recruitment, and staff engagement. This project emphasizes the importance of physical activity programs among older adults residing in Assisted Living Facilities to improve overall health and well-being.
Show less
Date Issued: 2023
PURL: http://purl.flvc.org/fau/fd/faudnp000086
Format: Document (PDF)

Title: 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.
Show less
Date Issued: 2019
PURL: http://purl.flvc.org/fau/fd/FA00007527
Format: Document (PDF)

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

Title: Breast Cancer Screening in Uninsured Women.
Creator: Porter, Carla, Archibald, Cynthia, Florida Atlantic University, Christine E. Lynn College of Nursing
Abstract/Description: Breast Cancer is the most common cancer in women worldwide. African American and Hispanic women have a higher incidence of breast cancer mortality rate than their counterparts. Minority women are more are unlikely to receive breast cancer screening and are often diagnosed at later stages. Women diagnosed with abnormal breast screening can experience barriers to timely follow-up care resulting in delays in cancer diagnosis. Early cancer screening and prevention does reduce mortality rates....
Show moreBreast Cancer is the most common cancer in women worldwide. African American and Hispanic women have a higher incidence of breast cancer mortality rate than their counterparts. Minority women are more are unlikely to receive breast cancer screening and are often diagnosed at later stages. Women diagnosed with abnormal breast screening can experience barriers to timely follow-up care resulting in delays in cancer diagnosis. Early cancer screening and prevention does reduce mortality rates. Despite breast cancer screening programs, minority women continue to have lower screening rates compared to non-minority women. A non-profit Community Health Center (CHC) in South Florida serves low-income, uninsured, and undocumented individuals: Treasure Your Chest (TYC) is CHC’s breast screening program. The purpose of this project was to assess utilization of TYC. This study was conducted through a retrospective approach examining the use of TYC in reducing breast screening among uninsured women ages 50 to 74 years old. After receiving permission, reviews were done on 57 charts of women who met criteria, and data was analyzed using SPSS. Results indicate women did not maximize the service. Recommendations are discussed.
Show less
Date Issued: 2019
PURL: http://purl.flvc.org/fau/fd/FA00007543
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.
Show less
Date Issued: 2019
PURL: http://purl.flvc.org/fau/fd/FA00007537
Format: Document (PDF)

Title: The lived experience of decision-making for older adults who had an implantable cardioverter defibrillator inserted.
Creator: Lucas, Louise A.
Abstract/Description: The implantable cardioverter defibrillator (ICD) is an electronic medical device that was invented by Dr. Michael Mirowski and his team in 1980. The purpose of the ICD, which is implanted in a person's chest, is to sense and shock the heart when detecting a lethal cardiac arrhythmia into a rhythm that can sustain life. While the ICD saves lives, it also has the potential to deliver painful shocks when it is activated. The ICD was initially inserted in people who had survived a sudden cardiac...
Show moreThe implantable cardioverter defibrillator (ICD) is an electronic medical device that was invented by Dr. Michael Mirowski and his team in 1980. The purpose of the ICD, which is implanted in a person's chest, is to sense and shock the heart when detecting a lethal cardiac arrhythmia into a rhythm that can sustain life. While the ICD saves lives, it also has the potential to deliver painful shocks when it is activated. The ICD was initially inserted in people who had survived a sudden cardiac arrest; the device is now being implanted in older adults with heart failure and no known history of cardiac arrhythmias. When talking with patients and personal family members who had an ICD, it was unclear what influenced their decision to have an ICD implanted. Understanding the experience of decision-making for older adults who had an ICD has added to nursing knowledge, practice, and education when working with people who had an ICD inserted. To understand the lived experience, the researcher conducted a phenomenological research study, guided by the theoretical lens of Paterson and Zderad's (1976/1988) humanistic nursing and analyzed the data as outlined by Giorgi (2009). The results of the study indicated the participants' lived experience of decision-making for older adults who had an implantable cardioverter defibrillator inserted was influenced by the following : trust in their physician's decision; accepting the device was necessary; the decision was easy to make; and hope and desire to live longer.
Show less
Date Issued: 2011
PURL: http://purl.flvc.org/FAU/3332724
Subject Headings: Arrhythmia, Treatment, Decision making, Hermeneutics, Research, Phenomenology, Research, Medicine, Decision making, Evidence based medicine, Nursing, Decision making, Outcome assessment (Medical care)
Format: Document (PDF)

Title: Ethnicity, Gender and Pain Interference’s Influence on Depression Among Older Adults with Osteoarthritis.
Creator: Garrido, Jacinto J., Dunphy, Lynne M., Florida Atlantic University, Christine E. Lynn College of Nursing
Abstract/Description: The leading cause of disability among older adults is osteoarthritis (OA) (Centers for Disease Control and Prevention [CDC], 2017). Chronic pain associated with arthritis interferes with daily living among older adults and has been related to depression (Zanocchi et al., 2008). Research suggests that ethnicity and psychosocial factors may influence health outcomes of older adults with arthritis who are experiencing chronic pain and depression (Im, Guevara, & Chee, 2007; Wilson et al., 2014)....
Show moreThe leading cause of disability among older adults is osteoarthritis (OA) (Centers for Disease Control and Prevention [CDC], 2017). Chronic pain associated with arthritis interferes with daily living among older adults and has been related to depression (Zanocchi et al., 2008). Research suggests that ethnicity and psychosocial factors may influence health outcomes of older adults with arthritis who are experiencing chronic pain and depression (Im, Guevara, & Chee, 2007; Wilson et al., 2014). The influence of ethnicity on depression among older adults with OA experiencing chronic pain is the phenomenon of interest for this study. Chronic pain that interferes with activities of daily living gives rise to disability, followed by potential episodes of depression. This currently is impacting the quality of life for older adults with OA. The aim of this study was to gain new insight regarding the relationship and predictive factors for depression between pain interference, gender, and ethnicity among older adults with OA pain and depression. This study examined the research question, “Does ethnicity, gender, and pain interference predict depression among older adults with osteoarthritis?” This study was a secondary analysis of existing data from the National Institute of Health National Center for Complementary and Integrative Health (Park, McCaffrey, Newman, Cheung, & Hagen, 2014) study titled, The Effect of Sit ‘N’ Fit Chair Yoga on Community-Dwelling Elders with Osteoarthritis. A descriptive retrospective correlational design was utilized to investigate factors that predict depression. Statistical analysis included multiple linear regression and analysis of variance. The study sample (n = 104) consisted of community-dwelling older adults ages 65 years or older with osteoarthritis. Findings indicated that (1) ethnicity, gender, and pain interference did predict depression; (2) there were no significant difference in depression between Hispanics and non-Hispanics while controlling for pain interference; and (3) there was statistically significant differential interaction with depression when pain interference increased, with Hispanics reporting higher levels of depressions as pain interference increased, as compared to non-Hispanics. The new knowledge gained from this study may help guide healthcare providers in developing effective alternative approaches for improving health outcomes of mismanaged ethnically diverse older adults with OA.
Show less
Date Issued: 2017
PURL: http://purl.flvc.org/fau/fd/FA00004959, http://purl.flvc.org/fau/fd/FA00004949
Subject Headings: Dissertations, Academic -- Florida Atlantic University, Osteoarthritis--Alternative treatment., Chronic pain., Depression in old age., Ethnicity., Gender.
Format: Document (PDF)

Title: Iranian American Older Adults’ Attitudes and Proactive Actions Toward Planning Ahead for End-of-Life Care.
Creator: Rahemi, Zahra, Dunphy, Lynne M., Florida Atlantic University, Christine E. Lynn College of Nursing
Abstract/Description: Ethnically diverse older adults are the fastest growing population in the U.S. This population may experience transitional processes associated with immigration, acculturation, aging, and end of life (EOL). Advances in technology lead to increases in care options, which can cause uncertainty to make decisions for EOL. Unmade decisions about care prior to becoming unable to communicate are associated with burdens of last-minute decisions at EOL, unwanted intensive EOL treatments for people who...
Show moreEthnically diverse older adults are the fastest growing population in the U.S. This population may experience transitional processes associated with immigration, acculturation, aging, and end of life (EOL). Advances in technology lead to increases in care options, which can cause uncertainty to make decisions for EOL. Unmade decisions about care prior to becoming unable to communicate are associated with burdens of last-minute decisions at EOL, unwanted intensive EOL treatments for people who may die naturally of old age, financial and emotional costs, and decreased quality of life. In the U.S., a multicultural country with a variety of care options, advance directive (AD) completion and advance care planning (ACP) may improve culturally competent and person-centered care at EOL. However, the rate of AD completion and ACP is low among Americans, especially immigrant communities. These communities, including Iranian-American older adults, have been frequently understudied, and there is a gap in studies of EOL desires, attitudes, and actions/behaviors. This inquiry focused on planning ahead for EOL care across transitional processes that older immigrants may face. The aim was to enhance culturally competent care for older adults through distinguishing significant factors, which may influence planning for EOL care. Specific purposes were: To identify relationships between attitudes toward planning for EOL care and social supports, spirituality, healthcare system distrust, and acculturation; to identify a relationship between attitudes and proactive actions toward planning ahead in Iranian-American older adults. Conceptual frameworks for this descriptive, cross-sectional study included Culture Care Diversity and Universality and Transitions theories. Findings from 135 participants revealed that they were new immigrants to the U.S. (mean year of 23 in the U.S., 97% born in Iran) and highly educated and insured with high health statuses. About 55% preferred non-intensive treatments and/or homecare at EOL, and 52.6% had not communicated their EOL wishes. Attitudes toward planning ahead for EOL were positively associated with acculturation and healthcare system distrust, and negatively associated with spirituality. No significant association was found between attitudes and social support. Furthermore, favorable attitudes predicted higher proactive actions to communicate wishes. Implications for practice, policy, education, and recommendations for further studies were discussed.
Show less
Date Issued: 2017
PURL: http://purl.flvc.org/fau/fd/FA00004939
Subject Headings: Older people--Long-term care., Advance directives (Medical care), Health planning--United States., Right to die., Life care planning., Terminal care--Moral and ethical aspects., Immigrants--Psychology.
Format: Document (PDF)

Title: An Examination of the Demographic, Social, and Environmental Predictors of Risk for Schizophrenia in Afro-Caribbean Immigrants Living in the United States.
Creator: Gall-Ojurongbe, Sandra, Williams, Christine L., Florida Atlantic University, Christine E. Lynn College of Nursing
Abstract/Description: The pioneering work of Ödegaard (1932) was the first to link migration and schizophrenia by reporting rates in Norwegian immigrants in Minnesota as twice that of native Minnesotans and of Norwegians in Norway. However, only in recent decades has an interest in migration and schizophrenia been rekindled as a result of reports of elevated rates of schizophrenia in Afro-Caribbean immigrants in the United Kingdom in the mid- 1960s (Hutchinson & Haasen, 2004). Later studies reported elevated rates...
Show moreThe pioneering work of Ödegaard (1932) was the first to link migration and schizophrenia by reporting rates in Norwegian immigrants in Minnesota as twice that of native Minnesotans and of Norwegians in Norway. However, only in recent decades has an interest in migration and schizophrenia been rekindled as a result of reports of elevated rates of schizophrenia in Afro-Caribbean immigrants in the United Kingdom in the mid- 1960s (Hutchinson & Haasen, 2004). Later studies reported elevated rates in secondgeneration Afro-Caribbean immigrants compared to first-generation (Harrison, Owens, Holton, Neilson, & Boot, 1988). In the United States, Blacks were diagnosed with schizophrenia 2.4 times more often than Whites (Olbert, Nagendra, & Buck, 2018). However, mental health researchers in the United States generally combine all individuals of African descent as African- Americans. This practice obscures the nuances of culture and ethnicity within the Black subgroups as well as the immigrant status of Afro-Caribbeans. This research focused on the Afro-Caribbean immigrants and factors that predict risk for schizophrenia within this population. The process of migration is a complex enterprise that produces stressors and challenges, the effects of which are multifaceted. The social and environmental forces that parallel the process of migration may predispose individuals to severe psychiatric disorders such as schizophrenia. Socio-political dynamics in the host country that marginalize others of different cultural and/or racial persuasions can compound the negative effects of post-migration. Therefore, migration is considered a social determinant of health. Empirical evidence has substantiated that socio-environmental factors such as urbanicity, discrimination or socio-economic deprivation, social support, and goal striving stress are potential contributing factors to the development of psychotic disorders in immigrants. Moreover, evidence has supported that the darker the skin color of the immigrant the greater the risk (Cantor-Graae, 2007). The findings of this study confirmed that for Afro-Caribbean immigrants stressors in the post-migration phase such as discrimination, limited social support, and economic hardship that can be compounded by the number of dependent children were identified as possible predictors of risk for schizophrenia. This risk increased with length of residency and continued into the second-generation.
Show less
Date Issued: 2018
PURL: http://purl.flvc.org/fau/fd/FA00013003
Subject Headings: Schizophrenia--Risk factors, Migration, African-Carribbean
Format: Document (PDF)

Title: Exploring the Moderating Effect of a Caring Work Environment on the Relationship Between Workplace Mistreatment and Nurses’ Ability to Provide Patient Care.
Creator: Moffa, Christine M., Liehr, Patricia, Florida Atlantic University, Christine E. Lynn College of Nursing
Abstract/Description: Workplace mistreatment (bullying, horizontal violence, and incivility) has been shown to impact nurses’ work satisfaction, job turnover, and physical and mental health. However, there are limited studies that examine its effect on patient outcomes. A correlational descriptive study of 79 acute care nurses was used to test a social justice model for examining the relationship between workplace mistreatment, quantified as threats to dimensions of nurses’ well-being (health, personal security,...
Show moreWorkplace mistreatment (bullying, horizontal violence, and incivility) has been shown to impact nurses’ work satisfaction, job turnover, and physical and mental health. However, there are limited studies that examine its effect on patient outcomes. A correlational descriptive study of 79 acute care nurses was used to test a social justice model for examining the relationship between workplace mistreatment, quantified as threats to dimensions of nurses’ well-being (health, personal security, reasoning, respect, attachment, and self-determination), and nurses’ ability to provide quality patient care. In addition, this study considered the moderating effect of caring work environment among co-workers on nurses’ ability to provide quality patient care in the face of workplace mistreatment. Stories of workplace mistreatment were collected anonymously and analyzed for alignment with threats to six dimensions of well-being. Ability to provide patient care was measured using the Healthcare Productivity Survey and a caring work environment was measured via the Culture of Companionate Love scale. The results demonstrated that threats to all six dimensions of well-being described by Powers and Faden (2006) were expressed in nurses’ stories of workplace mistreatment. Furthermore, 87% reported a decrease in ability to provide patient care after an incident of workplace mistreatment. Yet frequency of threatened dimensions did not have a significant relationship with ability to provide patient care. Moreover, there was a significant moderator effect of the caring work environment on the relationship between number of threatened dimensions of well-being and ability to provide quality patient care. Nurses in high caring environments loss less ability to provide care than nurses in low caring environments when one to three dimensions of well-being were threatened. However, this relationship reversed when four or more dimensions were threatened. Implications include further research on the relationship between workplace mistreatment and nurse well-being and changing practice to include fostering a caring work environment in healthcare facilities.
Show less
Date Issued: 2017
PURL: http://purl.flvc.org/fau/fd/FA00004990
Subject Headings: Dissertations, Academic -- Florida Atlantic University, Work environment., Bullying in the workplace., Nurses--Job satisfaction., Patient Care.
Format: Document (PDF)

Title: The Effect of a Culturally Relevant Cardiovascular Health Promotion Program on Rural African Americans.
Creator: Abbott, Laurie S., Williams, Christine L., Florida Atlantic University, Christine E. Lynn College of Nursing
Abstract/Description: Health disparities among rural African Americans include disproportionately higher morbidity and mortality rates associated with cardiovascular disease. Interventions designed to decrease cardiovascular risk can potentially improve health outcomes among rural, underserved communities. The purpose of this study was to test the effect of a cardiovascular health promotion intervention among rural African Americans. An experimental study randomized by church clusters was done in two rural...
Show moreHealth disparities among rural African Americans include disproportionately higher morbidity and mortality rates associated with cardiovascular disease. Interventions designed to decrease cardiovascular risk can potentially improve health outcomes among rural, underserved communities. The purpose of this study was to test the effect of a cardiovascular health promotion intervention among rural African Americans. An experimental study randomized by church clusters was done in two rural counties in northern Florida. A total of 229 participants, 114 in the intervention group and 115 in the control group, were recruited from twelve rural African American churches. The pretest-posttest design included instruments chosen to measure cardiovascular health habits and knowledge as well as changes in produce consumption, dietary fat intake, and exercise using the major components of the Integrated Model of Behavioral Prediction: intentions, norms, attitudes, and self-efficacy. Linear mixed model was the statistical test used to detect the program effects. Participants who received the intervention had significant increases in scores for the cardiovascular health habits (p < .01) and health knowledge (p < .01) variables compared with the control group. There were also significant group differences regarding intentions to increase produce consumption (p < .01) and reduce dietary fat intake (p < .01). The cardiovascular health program was associated with other statistically significant results including produce consumption attitudes (p = .01) and norms (p < .01), dietary fat attitudes (p = .04) and norms (p < .01), and exercise attitudes (p < .01). There were also significant results found for perceived behavioral control/self-efficacy regarding increasing produce consumption (p < .01), reducing dietary fat intake (p = .03), and increasing exercise (p = .01). Compared to the control group, the cardiovascular health promotion intervention was effective in fostering positive health effects for most of the variables measured. The findings supported the theoretical framework used for guiding the study, the Integrative Model of Behavioral Prediction Nurse-led health promotion interventions within church settings can be effective means for reducing overall cardiovascular risk and health disparities among rural African American populations.
Show less
Date Issued: 2015
PURL: http://purl.flvc.org/fau/fd/FA00004475
Subject Headings: African Americans -- Health and hygiene, African Americans -- Health services accessibility, African Americans -- Health services accessibility, Cultural awareness -- United States, Discrimination in medical care, Health status indicators -- United States
Format: Document (PDF)

Title: Caring, the human mode of being : a blueprint for the health professions.
Creator: Roach, M. Simone
PURL: http://purl.flvc.org/fau/fd/FAUIR000230
Subject Headings: Nursing -- Philosophy, Nursing ethics
Format: Citation

Title: How do adult daughters care for self?.
Creator: Dunn, Dorothy J.
PURL: http://purl.flvc.org/fcla/dt/3336145
Subject Headings: Caregivers, Caregivers -- Psychosocial Factors, Daughters, Intergenerational Relations, Mother-Child Relations, Mothers, Self Care
Format: Document (PDF)

Title: Adolescent informants about rural teen pregnancy.
Creator: Weiss, Josie A.
PURL: http://purl.flvc.org/fcla/dt/3183266
Subject Headings: Rural health--U.S., Sexual ethics for teenagers --Decision making, Sexual ethics for youth --United States, Teenage pregnancy, Teenage pregnancy --Prevention, Teenage pregnancy --Prevention & control, Teenage pregnancy --United States, Teenage pregnancy --United States --Prevention, Teenagers --Sexual behavior --Decision making
Format: Document (PDF)

Title: Integrating simulation into advanced practice education: weighing costs and benefits.
Creator: Weiss, Josie A.
PURL: http://purl.flvc.org/fcla/dt/3183265
Subject Headings: Advanced Nursing Practice, Advanced Nursing Practice --Education, Education, Nursing, Patient Safety --Education, Patient Simulation, Simulations, Teaching Methods
Format: Document (PDF)

Title: Is teen pregnancy a problem? Answers from rural high school students.
Creator: Weiss, Josie A.
PURL: http://purl.flvc.org/fcla/dt/3183263
Subject Headings: Pregnancy in Adolescence, Adolescent Health, Attitude to Pregnancy, Pregnancy in Adolescence – Nursing, Public Health
Format: Document (PDF)

Title: Couples communication in dementia.
Creator: Williams, Christine L.
PURL: http://purl.flvc.org/fcla/dt/3183257
Subject Headings: Adaptation, Psychological, Caregivers, Caregivers/education, Communication, Dementia
Format: Document (PDF)

Title: Cardiovascular Disease (CVD) Awareness Program and CT Coronary Artery Calcium Scores Affect on Patient Perception of CVD Risk and Behavior Modifications.
Creator: St. Philippe, Theresa, Hain, Debra, Orringer, Carl E., Florida Atlantic University, Christine E. Lynn College of Nursing
Abstract/Description: Cardiovascular disease continues to be a medical concern affecting millions globally. 17.9 million people die each year from cardiovascular disease (CVD), representing 32% of all deaths worldwide, (World Health Organization, 2021). Despite medical evidence and continuous awareness efforts in treating CVD, people continue to engage in behaviors and lifestyles that ultimately increase their risk of developing CVD. In effort to help curtail the incline of heart disease, the aim of this quality...
Show moreCardiovascular disease continues to be a medical concern affecting millions globally. 17.9 million people die each year from cardiovascular disease (CVD), representing 32% of all deaths worldwide, (World Health Organization, 2021). Despite medical evidence and continuous awareness efforts in treating CVD, people continue to engage in behaviors and lifestyles that ultimately increase their risk of developing CVD. In effort to help curtail the incline of heart disease, the aim of this quality improvement project was to increase CVD awareness, knowledge of personal atherosclerosis cardiovascular disease (ASCVD) risk profile and encourage behavior modifications that lead to overall risk reduction. This was achieved by individualized educational sessions on cardiovascular health, discussion of lifestyle modification that reduces risk of developing ASCVD and undergoing CT CAC scores. Pre-test scores of CVD knowledge tool improved from a mean score of 40.66 to post-test mean score of 100, demonstrating that 100% of all participants showed increased knowledge of CVD, based on an alpha level of .05, [F(1, 48) = 55.02, p < .001]. In addition, risk modifying behaviors such as dietary choice improved after undergoing CAC scores and attending educational sessions. The mean of Unhealthy/Processed Food-Pre-Test was 3, denoting consumption of beverages with added sugars, fried and/or processed foods, at least 1-2 times per week, whereas post interventions mean score was 1.17, corresponding to consumption of unhealthy foods once per month or less, based on an alpha level of .05, [V = 168.00, z = -3.66, p < .001]. Lastly, the project demonstrated that understanding cardiovascular disease and associated ASCVD risk obtained by CT CAC scores led to increase in exercise and medication adherence.
Show less
Date Issued: 2022
PURL: http://purl.flvc.org/fau/fd/faudnp000071
Format: Document (PDF)

Title: Avatar Guided Stories of Ease from Adolescents with Cancer.
Creator: Curnan, Laurie Ann, Liehr, Patricia, Florida Atlantic University, Christine E. Lynn College of Nursing
Abstract/Description: The overall purpose of this mixed method study was to describe adolescents’ experiences of ease while enduring treatment for cancer. Specifically, the study used avatar image-guided story-sharing (AIGSS) to explore adolescent sense-of-self, experiences of feeling uneasy, descriptions of qualities of ease, and best places for finding ease during treatment. The innovative research approach used in this study incorporated avatar images representing ‘ease’ in typical environments. By testing a...
Show moreThe overall purpose of this mixed method study was to describe adolescents’ experiences of ease while enduring treatment for cancer. Specifically, the study used avatar image-guided story-sharing (AIGSS) to explore adolescent sense-of-self, experiences of feeling uneasy, descriptions of qualities of ease, and best places for finding ease during treatment. The innovative research approach used in this study incorporated avatar images representing ‘ease’ in typical environments. By testing a developmentally relevant approach, AIGSS, to explore ease for adolescents enduring cancer, this study addressed a pressing need for meaningful approaches to engage adolescents in health-related dialogue about what matters most. While 10 qualities captured adolescent ease (beauty, fun, safety, strength, connectedness, calmness, rest, comfort, independence, and familiarity), connectedness, strength, fun, rest, and safety were the most significant qualities of ease threaded throughout stories. Two themes of self-reflected identity emerged: (a) valued personal qualities (extrinsic/admired) and (b) infused unique demeanors. Three themes described adolescent uneasiness during cancer treatment: (a) persistent uncertainty, (b) fearful anticipation, and (c) disrupted self. While home was most conducive for ease, personal meaning was given to the hospital enabling finding ease. This new knowledge is foundational for nurses who support adolescents during cancer treatment. This research lays the groundwork to re-define ease as a relevant outcome of quality nursing care, focusing on positive outcomes rather than catastrophic ones such as infection and death. Advancing caring science with interactive participative research enhanced communication with adolescents, having implications for both clinical research and pediatric oncology nursing practice.
Show less
Date Issued: 2016
PURL: http://purl.flvc.org/fau/fd/FA00004582
Subject Headings: Avatar (Motion picture : 2009), Cancer in adolescence--Psychological aspects., Cancer in adolescence--Social aspects., Video games and children--Therapeutic use., Quality of life., Stress (Psychology), Psychophysiology.
Format: Document (PDF)

FAU Theses and Dissertations (225)	+ -
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 (35)	+ -
Nurse and patient (32)	+ -
Caring (29)	+ -
Nursing--Philosophy (19)	+ -
Caregivers (12)	+ -

Nurse administrators (10)	+ -
Nursing ethics (8)	+ -
Intensive care nursing (7)	+ -
Nursing services--Administration (7)	+ -
Outcome assessment (Medical care) (7)	+ -
Psychological aspects (7)	+ -
Dissertations, Academic -- Florida Atlantic University (6)	+ -
Nurses--Attitudes (6)	+ -
Saudi Arabia (6)	+ -
Transcultural nursing (6)	+ -
Health Sciences, Nursing (5)	+ -
Medical care (5)	+ -
Nurses (5)	+ -
Nurses--Job satisfaction (5)	+ -
Nursing services (5)	+ -
Nursing--Psychological aspects (5)	+ -
Resilience (Personality trait) (5)	+ -
Stress (Psychology) (5)	+ -
Administration (4)	+ -
Community health nursing (4)	+ -
Decision making (4)	+ -
Education, Nursing (4)	+ -
Health attitudes (4)	+ -
Patient compliance (4)	+ -
Phenomenology (4)	+ -

United States (7)	+ -
Florida (2)	+ -
Thailand (1)	+ -

20th century (1)	+ -
21st century (1)	+ -

Search In

Pages

Pages

Sort Results By:

Narrow results by:

Collection

Topical Subject

Geographic Subject

Temporal Subject

Genre Subject

Title as Subject

Genre

Type of Resource

Language

Creator

Format

Owner

abstract (1)	+ -
slide (1)	+ -
textbook (1)	+ -

text (404)	+ -
poster (1)	+ -