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Basic knowledge of Alzheimer’s disease in rural populations
Title
Basic knowledge of Alzheimer’s disease in rural populations.
Creator
Wiese, Lisa Kirk, Williams, Christine L., Tappen, Ruth M., Graduate College
Date Issued
2013-04-12
PURL
http://purl.flvc.org/fcla/dt/3361371
Subject Headings
Alzheimer's disease, Rural population
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)
Education, Screening, and Follow Up to Reduce Obstructive Sleep Apnea in a Prison Reentry Residential Community
Title
Education, Screening, and Follow Up to Reduce Obstructive Sleep Apnea in a Prison Reentry Residential Community.
Creator
Lazcano, Amanda, Wiese, Lisa, Hain, Debra, Florida Atlantic University, Christine E. Lynn College of Nursing
Abstract/Description
Obstructive sleep apnea affects an estimated 936 million people worldwide (Pivetta, 2021). Untreated OSA can lead to adverse metabolic, cardiovascular, and neurocognitive consequences, possibly reducing one’s lifespan. Education and screening can spread awareness among a community which typically has limited access to resources and may promote early recognition and treatment. In a Christian-based prison reentry residential community, a pre-test survey was provided to a total sample of 19...
Show moreObstructive sleep apnea affects an estimated 936 million people worldwide (Pivetta, 2021). Untreated OSA can lead to adverse metabolic, cardiovascular, and neurocognitive consequences, possibly reducing one’s lifespan. Education and screening can spread awareness among a community which typically has limited access to resources and may promote early recognition and treatment. In a Christian-based prison reentry residential community, a pre-test survey was provided to a total sample of 19 participants to measure baseline knowledge of OSA. After administration of the pre-survey, education was provided in a group setting, using a detailed brochure the DNP student created. After participants read through the material and questions were answered, the post-survey was administered to measure if knowledge regarding OSA increased. Screening using the STOP-Bang questionnaire occurred after the post-surveys. The DNP student followed up with participants found to be at high risk for OSA patients over a 3-month period. A 37% of participants scored high risk for OSA, 37% scored intermediate risk, and 26% scored low risk. The p-value calculated to measure pre-and-post OSA knowledge using the survey total score was statistically significant (< .001.). Of the seven total participants who scored high risk, two were newly diagnosed with OSA after referral to a PCP for a sleep study with the help of the telephonic phone sessions. Education and screening demonstrated to be beneficial, resulting in positive outcomes. Project partakers were successfully able to define OSA, list risk factors, and describe how to diagnose and treat the condition. Participants who were newly diagnosed, previously diagnosed, or refused the sleep study managed to adjust modifiable risk factors over the summer such as weight loss, diet, and management of chronic conditions.
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Date Issued
2023
PURL
http://purl.flvc.org/fau/fd/faudnp000079
Format
Document (PDF)
Evaluating Certified Nursing Assistants’ Self Efficacy in Caring for Patients with Dementia
Title
Evaluating Certified Nursing Assistants’ Self Efficacy in Caring for Patients with Dementia.
Creator
Geyer, Jaimie, Wiese, Lisa Ann Kirk, Hernández, María de los Ángeles Ortega, Florida Atlantic University, Christine E. Lynn College of Nursing
Abstract/Description
In 2018, 50 million people were living with dementia worldwide, and this number is expected to increase to 82 million by 2030 (Novotny et al., 2018). The aim of this quality improvement project was to assess Certified Nursing Assistants’ (CNAs) dementia knowledge, self-efficacy in establishing caring relationships, and attitudes toward people living with dementia. In addition to sociodemographic data, measures used to guide development of the education intervention included questions from...
Show moreIn 2018, 50 million people were living with dementia worldwide, and this number is expected to increase to 82 million by 2030 (Novotny et al., 2018). The aim of this quality improvement project was to assess Certified Nursing Assistants’ (CNAs) dementia knowledge, self-efficacy in establishing caring relationships, and attitudes toward people living with dementia. In addition to sociodemographic data, measures used to guide development of the education intervention included questions from three measures; the Dementia Knowledge Assessment Scale (DKAS), Dementia Attitudes Scale (DAS), and Caring Efficacy Scale (CES). The results of the project demonstrated a need for further education of CNAs regarding health promotion strategies to reduce the risk of developing dementia and strategies for those already experiencing dementia. There was also an identified need for education regarding best techniques for communicating with people experiencing dementia, and ways in which those experiencing dementia communicate with those in their environment, including manifested behaviors. These survey results are intended to be used to build a web-based asynchronized and on-demand course to meet these educational gaps. and further improve the understanding and care of those experiencing dementia within the workplace of the CNA.
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Date Issued
2022
PURL
http://purl.flvc.org/fau/fd/faudnp000054
Format
Document (PDF)
Evaluating a Virtual Program of Therapeutic Interactive Pets to Improve Behavioral and Psychological Symptoms and Cognitive Status Among Older Adults Experiencing Alzheimer’s Disease and Related Dementias
Title
Evaluating a Virtual Program of Therapeutic Interactive Pets to Improve Behavioral and Psychological Symptoms and Cognitive Status Among Older Adults Experiencing Alzheimer’s Disease and Related Dementias.
Creator
Johnston, Melissa, Wiese, Lisa, Ordoñez, Maria, Florida Atlantic University, Christine E. Lynn College of Nursing
Abstract/Description
Nearly 6 million Americans of all ages are living with Alzheimer’s dementia or related dementias (ADRD), and the prevalence is only expected to increase as our population ages (Gaugler, et al., 2019). Recent estimates indicate that ADRD may be moving from the sixth most common cause of death in older adults to the third, after heart disease and cancer (National Institute on Aging, [NIA] 2019). Currently there is no cure for Alzheimer’s disease or related dementias.
Date Issued
2020
PURL
http://purl.flvc.org/fau/fd/faudnp000011
Format
Document (PDF)
Applying Story-Guided Dialogue to Examine Social Connections for Rural Caregivers of Persons Living with Alzheimer’s Disease and Related Dementias During A Global Pandemic
Title
Applying Story-Guided Dialogue to Examine Social Connections for Rural Caregivers of Persons Living with Alzheimer’s Disease and Related Dementias During A Global Pandemic.
Creator
Cappo, Kathleen, Wiese, Lisa Kirk, Florida Atlantic University, Christine E. Lynn College of Nursing, Christine E. Lynn College of Nursing
Abstract/Description
In the U.S., an estimated 16 million persons provide unpaid care for family and friends with Alzheimer’s disease and related dementias (ADRD). These caregivers are experiencing challenges, such as lack social interaction, which further impacts their own health. Social isolation for caregivers is now considered to be another challenge due to living in a global pandemic. The purpose of this study was to address the gap in understanding rural informal caregiver by examining social connectedness...
Show moreIn the U.S., an estimated 16 million persons provide unpaid care for family and friends with Alzheimer’s disease and related dementias (ADRD). These caregivers are experiencing challenges, such as lack social interaction, which further impacts their own health. Social isolation for caregivers is now considered to be another challenge due to living in a global pandemic. The purpose of this study was to address the gap in understanding rural informal caregiver by examining social connectedness through the use of story-guided dialogues among rural caregivers of PWD during a global pandemic. Story Theory guides intentional dialogue, to bring forward connecting with self-in-relation through use of story path, noting low, high, and turning points.
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Date Issued
2022
PURL
http://purl.flvc.org/fau/fd/FA00013983
Subject Headings
Caregivers, Rural caregivers, Alzheimer's disease, Social isolation, Pandemics
Format
Document (PDF)
THE LIVED EXPERIENCE OF OLDER NEPALESE WOMEN WITH URINARY INCONTINENCE
Title
THE LIVED EXPERIENCE OF OLDER NEPALESE WOMEN WITH URINARY INCONTINENCE.
Creator
Panday, Somi, Wiese, Lisa Ann Kirk, Florida Atlantic University, Christine E. Lynn College of Nursing, Christine E. Lynn College of Nursing
Abstract/Description
Urinary incontinence (UI) poses a significant challenge for women across different cultures, as their diverse perceptions of UI impact their decision-making and choices, which are influenced by personal beliefs and preferences. Although research on women's experiences with urinary incontinence has shown substantial progress, encompassing various cultural contexts, more studies are still needed to examine cultural factors and employ the framework of transcultural nursing theory. Additionally,...
Show moreUrinary incontinence (UI) poses a significant challenge for women across different cultures, as their diverse perceptions of UI impact their decision-making and choices, which are influenced by personal beliefs and preferences. Although research on women's experiences with urinary incontinence has shown substantial progress, encompassing various cultural contexts, more studies are still needed to examine cultural factors and employ the framework of transcultural nursing theory. Additionally, limited research has explored the experiences of older women with urinary incontinence in Nepal. This descriptive phenomenological study aims to explore the lived experience of older Nepalese women dealing with urinary incontinence. By applying the theory of culture care diversity and universality and employing the Colaizzi process for phenomenological data analysis, this study seeks to interpret the experiences of older Nepalese women living with urinary incontinence. Data collection involved conducting semi-structured interviews with 16 participants aged between 60 and 80 years. Three themes emerged from the data: (1) Interference with daily living, (2) Modification of lifestyle, and (3) Impact on the whole family. The findings underscored the need for effective treatments and support systems to assist women with urinary incontinence in managing their symptoms.
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Date Issued
2023
PURL
http://purl.flvc.org/fau/fd/FA00014277
Subject Headings
Transcultural nursing, Older women, Urinary incontinence
Format
Document (PDF)
The Association Between Informal Caregiver Knowledge about Type 2 Diabetes Mellitus and Patients’ HbA1C Level among a Saudi Arabian Cohort
Title
The Association Between Informal Caregiver Knowledge about Type 2 Diabetes Mellitus and Patients’ HbA1C Level among a Saudi Arabian Cohort.
Creator
Fallatah, Jamilah Ahmed, Wiese, Lisa Kirk, Florida Atlantic University, Christine E. Lynn College of Nursing, Christine E. Lynn College of Nursing
Abstract/Description
Background: Almost seven million persons in Saudi Arabia are diagnosed with Type 2 Diabetes Mellitus (T2DM). Lack of knowledge regarding T2DM among Saudi caregivers may impact T2DM management and disease outcomes, yet established educational programs for their caregivers are scant. There is a need to discover T2DM informal caregivers’ knowledge and its relation to patients' T2DM management, prior to designing educational interventions. Purpose: The purpose of this quantitative, correlational...
Show moreBackground: Almost seven million persons in Saudi Arabia are diagnosed with Type 2 Diabetes Mellitus (T2DM). Lack of knowledge regarding T2DM among Saudi caregivers may impact T2DM management and disease outcomes, yet established educational programs for their caregivers are scant. There is a need to discover T2DM informal caregivers’ knowledge and its relation to patients' T2DM management, prior to designing educational interventions. Purpose: The purpose of this quantitative, correlational study was to measure disease knowledge among informal caregivers for patients with T2DM in Saudi Arabia, and to compare findings to the patient-health status presented by HbA1C level. This study was conceptualized within nursing caring science, using Nursing as Caring Theory (Boykin & Schoenhofer, 2001), and the Individual and Family Self-Management Theory (Ryan & Sawin, 2009).
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Date Issued
2023
PURL
http://purl.flvc.org/fau/fd/FA00014307
Subject Headings
Diabetes Mellitus, Type 2, Caregivers, Saudi Arabia, Nursing
Format
Document (PDF)
INVESTIGATING THE LIVED EXPERIENCE OF LATINO FARMWORKERS WHO DRINK ALCOHOL
Title
INVESTIGATING THE LIVED EXPERIENCE OF LATINO FARMWORKERS WHO DRINK ALCOHOL.
Creator
Solorzano, Angel Johann Martinez, Wiese, Lisa Ann Kirk, Florida Atlantic University, Christine E. Lynn College of Nursing, Christine E. Lynn College of Nursing
Abstract/Description
Excessive alcohol use, in addition to economic and social impacts, increases the risks of numerous chronic health problems, which further increase societal costs (Gloppen et al., 2022). Over 5% of the global burden of disease and injury as calculated in disability-adjusted life years, stems from alcohol use (World Health Organization [WHO], 2023). In the United States, nearly 30 million persons in 2021 experienced alcohol use disorder (National Institute on Alcohol Abuse and Alcoholism [NIAAA...
Show moreExcessive alcohol use, in addition to economic and social impacts, increases the risks of numerous chronic health problems, which further increase societal costs (Gloppen et al., 2022). Over 5% of the global burden of disease and injury as calculated in disability-adjusted life years, stems from alcohol use (World Health Organization [WHO], 2023). In the United States, nearly 30 million persons in 2021 experienced alcohol use disorder (National Institute on Alcohol Abuse and Alcoholism [NIAAA], 2023a). Among these, the Latino population is prone to be diagnosed with alcohol use disorders (NIAAA, 2023a). Limited research is available regarding alcohol use among a particularly vulnerable Latino group: farmworkers (Arcury et al., 2016). To date, no phenomenological studies exploring the lived experiences of Latino farmworkers (LFWs) who drink alcohol have been found in the literature. The purpose of this study was to explore the lived experience of LFWs who use alcohol through a phenomenological approach to gain a greater understanding of LFWs’ experiences with alcohol. A semi-structured interview guide containing open-ended questions was used as the main qualitative measure. A sociodemographic survey was used at baseline to collect the participants’ sociodemographic data and to assess patterns of alcohol intake. Eighteen participants were interviewed. Interviews were audio-recorded on a digital recording device, and they were transcribed by the student researcher. Analysis of the transcriptions was performed by the student researcher and a dissertation committee member using Colaizzi’s (1978) seven-step phenomenological analytic method and ATLAS to search for themes.
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Date Issued
2023
PURL
http://purl.flvc.org/fau/fd/FA00014357
Subject Headings
Alcoholism, Hispanic Americans--Alcohol use, Farmworkers
Format
Document (PDF)
Evaluating Perceptions and Educational Needs of Police Officers in the Care of Older Adults with Dementia
Title
Evaluating Perceptions and Educational Needs of Police Officers in the Care of Older Adults with Dementia.
Creator
Gonzalez, Alexandra Rich, Hernández, María de los Ángeles Ortega, Wiese, Lisa Ann Kirk, Florida Atlantic University, Christine E. Lynn College of Nursing
Abstract/Description
Dementia, Alzheimer’s disease, and other neurocognitive disorders causing memory loss in the older adult population has substantial implications on one’s physical, mental, social, and economic well-being. This quality improvement project aimed to evaluate the perceptions of current resources in place and what educational needs exist for police officers when providing care to older adults with dementia. The project intervention included an evidence-based online survey intended to assess police...
Show moreDementia, Alzheimer’s disease, and other neurocognitive disorders causing memory loss in the older adult population has substantial implications on one’s physical, mental, social, and economic well-being. This quality improvement project aimed to evaluate the perceptions of current resources in place and what educational needs exist for police officers when providing care to older adults with dementia. The project intervention included an evidence-based online survey intended to assess police officers’ sociodemographic information, previous exposure to dementia training, participants’ baseline dementia knowledge, general caring beliefs, and attitudes toward individuals with dementia. Most (97%; n = 28 of 29) respondents completed the surveys. Over half (64%) of respondents admitted to never receiving specialized training for dementia and 61% of respondents admitted to knowing someone in a professional setting with dementia. The overall average score of the Dementia Knowledge Assessment Scale (DKAS) questions was 76%, but there were 5 total questions that were answered correctly by less than 60% of respondents. The lowest scoring domains of questions from the DKAS included the “Communication and Behavior” domain and the “Risks and Health Promotion” domain. The data was interpreted and recommendations were made to inform the development of a 20-hour continuing education certificate course for first responders entitled, “Compassionate Care of Older Adults at Risk for Dementia.” The project results demonstrated the lack of formal training in dementia among police officers and emphasized areas of strength and areas of opportunity to learn more about caring for those with dementia. This project holds future application for learning about dementia among other first responder disciplines, such as firefighters or paramedics, including the administration of a post survey following the pilot program of the first responder continuing education certificate course.
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Date Issued
2022
PURL
http://purl.flvc.org/fau/fd/faudnp000055
Format
Document (PDF)