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Title: AN ANALYTICAL FRAMEWORK TO ASSESS LIPOSUCTION OUTCOMES.
Creator: Patel, Kaivan, Pandya, Abhijit, Florida Atlantic University, Department of Computer and Electrical Engineering and Computer Science, College of Engineering and Computer Science
Abstract/Description: Liposuction is a common invasive procedure. Liposuction is performed for cosmetic and non-cosmetic reasons. Its use in regenerative medicine has been increasing. Its invasive nature renders it to have complications which can cause limitations in patients' recovery and patient lives. This thesis’s aim is to create an analytical framework to assess the liposuction procedure and its outcomes. The fundamental requirement to create this framework is to have a complete understanding of the...
Show moreLiposuction is a common invasive procedure. Liposuction is performed for cosmetic and non-cosmetic reasons. Its use in regenerative medicine has been increasing. Its invasive nature renders it to have complications which can cause limitations in patients' recovery and patient lives. This thesis’s aim is to create an analytical framework to assess the liposuction procedure and its outcomes. The fundamental requirement to create this framework is to have a complete understanding of the procedure which includes preparation and planning of the procedure, correctly performing the procedure and ensuring patient safety on day 0, week 2, week 4, and week 12 of the procedure. 54 patient’s liposuction outcomes were followed till week 12. Data collection is the first part of the framework, which involves understanding the complex surgical outcomes. Algorithms that have been previously studied to assess morbidities and mortalities have been used in this framework to assess if they can assess liposuction outcomes. In this framework algorithms like decision tree, XG boost, random forest, support vector classifier, k nearest neighbor, k means, k fold validation have been used. XG boost performed best to assess liposuction outcomes without validation. However, after cross validation other algorithms which are random forest, support vector machine and KNN classifier outperformed XG boost. This framework allows to assess liposuction outcomes based on the performance of the algorithms. In future, researchers can use this framework to assess liposuction as well as other surgical outcome.
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Date Issued: 2024
PURL: http://purl.flvc.org/fau/fd/FA00014429
Subject Headings: Liposuction, Outcome assessment (Medical care), Surgery, Algorithms
Format: Document (PDF)

Title: Predicting hospital readmissions in patients with diabetes: the importance of diabetes education and other factors.
Creator: Asper, Darwin E., College of Education, Department of Educational Leadership and Research Methodology
Abstract/Description: The objective of this study was to determine whether 11 independent variables or combinations of variables help to predict a diabetes-related hospital readmission for patients with diabetes within 60 days from discharge. The variables were categorized into four main groups: (a) patient characteristics, (b) lifestyle, (c) biomarkers, and (d) disease management aspects. A convenience sample of 389 historical medical records of patients who were admitted to a rural hospital in northeastern North...
Show moreThe objective of this study was to determine whether 11 independent variables or combinations of variables help to predict a diabetes-related hospital readmission for patients with diabetes within 60 days from discharge. The variables were categorized into four main groups: (a) patient characteristics, (b) lifestyle, (c) biomarkers, and (d) disease management aspects. A convenience sample of 389 historical medical records of patients who were admitted to a rural hospital in northeastern North Carolina with a diagnosis of, or relating to, diabetes was studied. After comparing predictive discriminant analysis (PDA) and logistic regression (LR), PDA performed better and was chosen to analyze a convenience sample of patients admitted to the hospital for a diabetes-related diagnosis from January, 2004 to December, 2006. The best overall subset accurately classified 27 cases with six predictors that included (a) systolic blood pressure, (b) smoking status, (c) blood glucose range, (d) ethnicity, (e) diabetes education, and (f) diastolic blood pressure. In an effort to simplify the prediction process, the subsets of two predictors were examined. The results of the analysis returned four subsets of 2-predictor variable combinations that correctly classified cases for readmission. Each of the four subsets has two predictors that are statistically and practically significant for predicting readmissions for a diabetes-related problem within fewer than 60 days. These combinations are the predictor subsets of (a) smoking status and being treated by a specialist or non-specialist physician, (b) a religious affiliation or a lack thereof and smoking status, (c) gender and smoking status, and (d) smoking status and ethnicity.
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Date Issued: 2009
PURL: http://purl.flvc.org/FAU/221947
Subject Headings: Outcome assessment (Medical care), Methodology, Medical care, Evaluation, Health services accessibility, Management, Patient education
Format: Document (PDF)

Title: Automated nursing knowledge classification using indexing.
Creator: Chinchanikar, Sucharita Vijay., College of Engineering and Computer Science, Department of Computer and Electrical Engineering and Computer Science
Abstract/Description: Promoting healthcare and wellbeing requires the dedication of a multi-tiered health service delivery system, which is comprised of specialists, medical doctors and nurses. A holistic view to a patient care perspective involves emotional, mental and physical healthcare needs, in which caring is understood as the essence of nursing. Properly and efficiently capturing and managing nursing knowledge is essential to advocating health promotion and illness prevention. This thesis proposes a...
Show morePromoting healthcare and wellbeing requires the dedication of a multi-tiered health service delivery system, which is comprised of specialists, medical doctors and nurses. A holistic view to a patient care perspective involves emotional, mental and physical healthcare needs, in which caring is understood as the essence of nursing. Properly and efficiently capturing and managing nursing knowledge is essential to advocating health promotion and illness prevention. This thesis proposes a document-indexing framework for automating classification of nursing knowledge based on nursing theory and practice model. The documents defining the numerous categories in nursing care model are structured with the help of expert nurse practitioners and professionals. These documents are indexed and used as a benchmark for the process of automatic mapping of each expression in the assessment form of a patient to the corresponding category in the nursing theory model. As an illustration of the proposed methodology, a prototype application is developed using the Latent Semantic Indexing (LSI) technique. The prototype application is tested in a nursing practice environment to validate the accuracy of the proposed algorithm. The simulation results are also compared with an application using Lucene indexing technique that internally uses modified vector space model for indexing. The result comparison showed that the LSI strategy gives 87.5% accurate results compared to the Lucene indexing technique that gives 80% accuracy. Both indexing methods maintain 100% consistency in the results.
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Date Issued: 2009
PURL: http://purl.flvc.org/FAU/186677
Subject Headings: Nursing, Computer-assisted instruction, Data transmission systems, Outcome assessment (Medical care), Nursing assessment, Digital techniques
Format: Document (PDF)

Title: Decision making models utilized by nurses to activate rapid response teams.
Creator: Parker, Carlo G., Christine E. Lynn College of Nursing
Abstract/Description: The purpose of this study was to determine the relationships between the nurses' decision making model, frequency of Rapid Response Team (RRT) activation, and the nurse's skill at the early recognition of clinical deterioration. A descriptive, cross sectional quantitative design was used. The participants in this study were 167 acute care registered nurses who had activated the RRT at least once in the preceding 12 months. The participants first were asked to recall a time when they had made...
Show moreThe purpose of this study was to determine the relationships between the nurses' decision making model, frequency of Rapid Response Team (RRT) activation, and the nurse's skill at the early recognition of clinical deterioration. A descriptive, cross sectional quantitative design was used. The participants in this study were 167 acute care registered nurses who had activated the RRT at least once in the preceding 12 months. The participants first were asked to recall a time when they had made the decision to activate the RRT and then were asked to complete the instruments used in this study. Using the Nurse Decision-Making Instrument, the participant's decision making model then was categorized as analytic, intuitive, or mixed. The skill at early recognition of clinical deterioration was measured with the Manifestations of Early Recognition Instrument. Participant scores on the two instruments were significantly correlated with each other as well as to their frequency of RRT activation over the preceding 12 months. The findings of this study indicated that nurses who used analytical decision making activated the RRT with greater frequency than either the intuitive or mixed decision makers. In addition, registered nurses who used analytical decision making to activate the RRT tended to have higher levels of skill in the early recognition of clinical deterioration, as measured by the MER, than either the intuitive or mixed decision makers. Another finding of this study was that RNs with higher levels of skill in the early recognition of clinical deterioration tended to activate the RRT more frequently than RNs with lower levels of this skill. The implications of this study are that the use of analytical decision making may result in more frequent activation of the RRT., Increased frequency of RRT activation has been linked in the literature with decreased patient mortality rates. The significance of the findings from this study is that the use of analytic decision making has the potential to reduce the incidence of the number one patient safety indicator, failure to rescue.
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Date Issued: 2011
PURL: http://purl.flvc.org/FAU/3318676
Subject Headings: Nursing, Decision making, Clinical competence, Outcome assessment (Medical care), Nursing diagnosis, Nurse and patient
Format: Document (PDF)

Title: Ethnography of Adherence to Plans of Care in the HIV Positive Patient.
Creator: Saslo, Mark Christopher, Chase, Susan, Florida Atlantic University
Abstract/Description: Human Immunodeficiency Virus (HIV) results in a decline in the body's ability to fight infection as the illness progresses. Events contributing to disease progression include the emergence of viral mutations and loss of T -helper cells. This results in a decline in overall physical well-being. One explanation for this occurrence is lack of adherence with recommended treatment plans that can result in viral mutations and replication. The health care team establishes a plan to prevent or delay...
Show moreHuman Immunodeficiency Virus (HIV) results in a decline in the body's ability to fight infection as the illness progresses. Events contributing to disease progression include the emergence of viral mutations and loss of T -helper cells. This results in a decline in overall physical well-being. One explanation for this occurrence is lack of adherence with recommended treatment plans that can result in viral mutations and replication. The health care team establishes a plan to prevent or delay this decline in health. Can clinicians expect absolute commitment to plans of care without their knowing their effects on patients' life? This study was conducted to answer the research question, "What is the culture of living with HIV as it shapes adherence to plans of care for patients in south Florida?" in order to understand HIV positive patients' responses to managing complex medical regimens. In an effort to understand the life-world and experiences of patients who are HIV positive, an ethnographic study was conducted to explore how patients manage the daily demands of living with IDV. In addition, environment of care was observed to determine if it influenced adherence to medications and plans of care. Through the use of ethnography, interviews of IDV positive patients were conducted, several of whom had significant adherence issues and one person who might be considered an ideal patient. Several different settings were included in the research to determine what impact environment had on patients' adherence to medications and plans of care. Fear, trust, self-worth, literacy, financial and disease specific themes emerged and lead to the development of a model for adherence to plans of care for IDV positive patients. This model may enhance clinician/patient collaboration to achieve maximized health and delay progression of mv disease.
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Date Issued: 2007
PURL: http://purl.flvc.org/fau/fd/FA00000624
Subject Headings: Patient compliance, Chronic diseases--Treatment, AIDS (Disease)--Treatment--Psychological aspects, Outcome assessment (Medical care)
Format: Document (PDF)

Title: Chief nursing officer sustainment in the continued practice of nursing leadership: a phenomenological inquiry.
Creator: Prestia, Angela S., Sherman, Rose O., Florida Atlantic University, Christine E. Lynn College of Nursing
Abstract/Description: The highly complex role of the Chief Nursing Officer (CNO) requires the refinement of a multitude of competencies and leadership skills in this unprecedented time of healthcare reform. As the senior most patient advocate in our medical centers the CNO is responsible for translating research into practice, policy development and implementation creating value based patient-centric strategies to transform health care. The ability to sustain and thrive in this role is essential in repositioning...
Show moreThe highly complex role of the Chief Nursing Officer (CNO) requires the refinement of a multitude of competencies and leadership skills in this unprecedented time of healthcare reform. As the senior most patient advocate in our medical centers the CNO is responsible for translating research into practice, policy development and implementation creating value based patient-centric strategies to transform health care. The ability to sustain and thrive in this role is essential in repositioning nursing as a knowledgeable discipline actively contributing to the redesign of healthcare. This exploratory descriptive phenomenological study was designed to explore and describe the elements that contribute to the sustainment of CNOs in their practice of nurse executive leadership. Ray’s (1989) Theory of Bureaucratic Caring, Authentic Leadership Theory (Wong & Cummings, 2009), and Resiliency Theory (Earvolino- Ramirez (2007) provided the theoretical lens through which this study was grounded. Semi-structured telephonic interviews were conducted with twenty CNOs all with two consecutive years experience in their current role. Six themes emerged after thorough content analysis which describes the lived experience of sustainment. Each theme was supported by several subthemes. Themes emerged as: Loving the Profession, Having a Broader Impact Reflecting on One’s Own Work, Learning to Manage Conflict, Maintaining Work/Life Balance Working with Supportive Leaders.
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Date Issued: 2014
PURL: http://purl.flvc.org/fau/fd/FA00004320
Subject Headings: Health services administration, Leadership, Nurse administrators, Nursing ethics -- Philosophy, Nursing services -- Administration, Outcome assessment (Medical care), Public health personnel
Format: Document (PDF)

Title: Does physical fitness mediate the physiological and perceptual responses to 10-minutes of chest compression-only CPR?.
Creator: Berrones, Adam J., College of Education, Department of Exercise Science and Health Promotion
Abstract/Description: Purpose: To evaluate the influence of physical fitness on the metabolic and perceptual responses to chest compression-only (CCO) CPR. Methods: In a counterbalanced design, forty-seven CPR-certified participants were randomized to perform: 1) a fitness assessment in which muscular (e.g., push-ups = PU) and cardiorespiratory endurance (e.g., step test recovery heart rate = RHR) were determined, and 2) a 10-minute CCO-CPR trial in which the heart rate (HR) response and ratings of perceived...
Show morePurpose: To evaluate the influence of physical fitness on the metabolic and perceptual responses to chest compression-only (CCO) CPR. Methods: In a counterbalanced design, forty-seven CPR-certified participants were randomized to perform: 1) a fitness assessment in which muscular (e.g., push-ups = PU) and cardiorespiratory endurance (e.g., step test recovery heart rate = RHR) were determined, and 2) a 10-minute CCO-CPR trial in which the heart rate (HR) response and ratings of perceived exertion (RPE) were determined. Results: Both PU and RHR were significantly correlated to the HR response to CCO-CPR (r = - 0.45, p < 0.01; r = 0.54, p < 0.001). PU were significantly correlated to RPE: local muscular (r = - 0.43; p < 0.01), central (r = - 0.45; p < 0.01), and over-all (r = - 0.39; p < 0.01). Conclusions: Greater physical fitness lessens the metabolic and perceptual strain to CCO-CPR.
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Date Issued: 2010
PURL: http://purl.flvc.org/FAU/2953205
Subject Headings: CPR (First aid), Social aspects, First aid in illness and injury, Emergency medical services, Outcome assessment (Medical care)
Format: Document (PDF)

Title: The impact of satisfaction with care and empowerment on glycemic control among older African American adults with diabetes.
Creator: Johnson, Bridgette M., Christine E. Lynn College of Nursing
Abstract/Description: atisfaction with diabetes care, perceived feelings of empowerment to participate in self-care management, and glycemic control in a sample of older African American men and women with diabetes. A descriptive correlational quantitative design was used. The participants in this study were 73 men and women of African descent who were at least 50 years, English speaking, and diagnosed with diabetes for at least one year. The participants were asked to complete three survey instruments: the...
Show moreatisfaction with diabetes care, perceived feelings of empowerment to participate in self-care management, and glycemic control in a sample of older African American men and women with diabetes. A descriptive correlational quantitative design was used. The participants in this study were 73 men and women of African descent who were at least 50 years, English speaking, and diagnosed with diabetes for at least one year. The participants were asked to complete three survey instruments: the Patient Satisfaction Questionnaire-18 (PSQ-18), which measured how satisfied the participants were with their medical care; the Diabetes Empowerment Scale-Short Form (DES-SF), which measured attitudes towards diabetes and self-management of diabetes; and a demographic form, which collected data on the demographics of each participant. The most recent hemoglobin A1c (HbA1c) of each participant was obtained from the medical records. The correlations between HbA1c, DES, and the PSQ-18 subscales were exam ined. The study data indicated all correlations were statistically significant and negative with one exception. There was no correlation between HbA1c and time spent, a satisfaction subscale. Approximately half the participants were high school graduates, married, and reported being born in the Caribbean. Most had primary care physicians, but less than half reported attending a diabetes education program. The average BMI was 33.0. The findings of this study indicated older African adults who reported higher satisfaction with the care provided by their health care provider reported feeling more empowered to participate in diabetes self-care and reported lower HbA1c levels, suggesting better glycemic control (R2 = .39; P=<.001)., The implications of this study are that feeling empowered to participate in diabetes self-care management may result in improved glycemic control. Positive diabetes outcomes have been linked in the literature with persons feeling empowered to participate in diabetes self-care. The significance of the findings from this study is that given the relationship between empowerment and glycemic control, nurses should support the empowerment model of diabetes teaching. Diabetes education should provide written materials that are culturally sensitive for African American elders.
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Date Issued: 2012
PURL: http://purl.flvc.org/FAU/3342114
Subject Headings: Outcome assessment (Medical care), Nursing, Quality control, Medical economics, Patient satisfaction, Evaluation, African Americans, Health and hygiene, Sociological aspects
Format: Document (PDF)

Title: The Experience of Caring for Women with Drug or Alcohol Problems in the General Hospital.
Creator: Payne, Linda Gail, Barry, Charlotte D., Florida Atlantic University, Christine E. Lynn College of Nursing
Abstract/Description: The purpose of this study was to describe the lived experience of nurses who care for hospitalized women outside of an addiction treatment setting who have a problem with drugs and/or alcohol. The relational experiences of ten registered nurses who had cared for women with drug and alcohol problems were elicited. Heideggerian hermeneutic phenomenology was the method used to interpret the nurse participant's meaning of their experience. The theoretical framework that was used to explore the...
Show moreThe purpose of this study was to describe the lived experience of nurses who care for hospitalized women outside of an addiction treatment setting who have a problem with drugs and/or alcohol. The relational experiences of ten registered nurses who had cared for women with drug and alcohol problems were elicited. Heideggerian hermeneutic phenomenology was the method used to interpret the nurse participant's meaning of their experience. The theoretical framework that was used to explore the nurses' experience o caring for women who abuse or are dependent on alcohol and/or drugs was Boykin and Schoenhofer's Nursing as Caring (1993). The relational themes that emerged were: Caring in the dark; Intentionally knowing the woman with AOD as a unique person; and Experiencing sisterhood.
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Date Issued: 2015
PURL: http://purl.flvc.org/fau/fd/FA00004534
Subject Headings: Communication in nursing, Nurse and patient, Nursing assessment, Nursing models, Outcome assessment (Medical care), Women -- Substance abuse -- Treatment
Format: Document (PDF)

Title: Therapeutic Options for the Treatment of Breast Cancer: Using Cytoreg and Genistein Isoflavone.
Creator: Johnson, Michelle M., Kumi-Diaka, James, Florida Atlantic University, Charles E. Schmidt College of Science, Department of Biological Sciences
Abstract/Description: In spite the heavy investments in therapeutic research breast cancer still impacts the lives of women globally. The projected incidence of new cases in USA for 2008 is 67,770, with estimated 40,480 deaths. In this study, we investigated the therapeutic efficacy of Cytoreg®-genistein combination treatment on MCF-7 human breast cancer cells. MCF-7 cells were treated with genistein and Cytoreg® single and combination treatments for 24- 48hr; and the chemosensitivity assessed using bioassays:...
Show moreIn spite the heavy investments in therapeutic research breast cancer still impacts the lives of women globally. The projected incidence of new cases in USA for 2008 is 67,770, with estimated 40,480 deaths. In this study, we investigated the therapeutic efficacy of Cytoreg®-genistein combination treatment on MCF-7 human breast cancer cells. MCF-7 cells were treated with genistein and Cytoreg® single and combination treatments for 24- 48hr; and the chemosensitivity assessed using bioassays: Trypan Blue and MTT for cell viability; Ethidium bromide/Rhodamine 123 to assess apoptosis induction; F AM PolyCaspase binding assay for mechanism of action. The overall data indicated dose- and timedependent cell death in the MCF-cells and that apoptosis was the major means of treatmentinduced growth inhibition. There was evidence of Cytoreg®-induced autophagy in the cells. The overall findings indicated that genistein-Cytoreg® combination was more efficacious than either genistein or Cytoreg® alone. Cytoreg® enhanced the phytosensitivity of MCF-7 cells to genistein isoflavone.
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Date Issued: 2008
PURL: http://purl.flvc.org/fau/fd/FA00000777
Subject Headings: Breast--Cancer--Treatment, Phytochemicals--Physiological effect, Apoptosis--Molecular aspects, Phytoestrogens--Health aspects, Outcome assessment (Medical care)
Format: Document (PDF)

Title: How do home and community based services change long-term care?.
Creator: Perez, Enrique M., College for Design and Social Inquiry, School of Public Administration
Abstract/Description: The relationship between Public Administration and the people is one that requires legitimacy and compromise in order to solve complex problems. Individuals with intellectual and developmental disabilities (IDD) and their families during the last fifty years have put forth an agenda that calls for the advancement of rights for the disabled and more integration into the larger society. In this arena, government, with post civil rights legislation like the 1990 Americans with Disabilities Act ...
Show moreThe relationship between Public Administration and the people is one that requires legitimacy and compromise in order to solve complex problems. Individuals with intellectual and developmental disabilities (IDD) and their families during the last fifty years have put forth an agenda that calls for the advancement of rights for the disabled and more integration into the larger society. In this arena, government, with post civil rights legislation like the 1990 Americans with Disabilities Act (ADA), plays a huge role in promoting social awareness and bringing down barriers of stigmatization, understanding, and access. This struggle is fought on many fronts. A significant part of the effort focuses on moving the locus of long-term care of the disabled, including the IDD population, from an institutional setting to the least restrictive setting that will foster social ties and integration. Since the early 1980s as part of this effort to deinstitutionalize the disabled, legislation at both the federal and state level has supported and incentivized the creation of Home and Community Based Service (HCBS) programs. HCBS waivers, as they are typically called, are also promoted as a means of containing government expenditures for long-term care. However, the effectiveness of these waivers is poorly understood. The critical questions being - Do HCBS waivers promote and create an environment that increases awareness of the needs of IDD individuals? Do the programs help reduce stigmatization, promote understanding, and increase access to services and activities that foster social interaction? Or, do HCBS waivers create a new "iron cage" where the intellectually or developmentally disabled are once again relegated to existing as second class citizens? In this research, programs are mapped and then evaluated to paint a better picture of how HCBS waivers change long-term care., This research combines qualitative and quantitative approaches to triangulate on these phenoamea as a means to investigate when and how HCBS waiver programs facilitate, promote, or stifle the social integration of those with IDD. How does social integration manifest itself in the quality long-term care of those who often cannot take care of themselves?
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Date Issued: 2011
PURL: http://purl.flvc.org/FAU/3318667
Subject Headings: Long-term care of the sick, Medical care, Quality control, Sociology of disabiltiy, Heath care rationing, Outcome assessment (Medical care), Community health services
Format: Document (PDF)

Title: The bureaucratic system: A positive or negative effect on nursing home quality of care?.
Creator: Lipsman, Lisa A., Florida Atlantic University, Evans, Arthur S.
Abstract/Description: Over the last fifty years quality of care has been a consistent problem in nursing home facilities. The federal government implemented a bureaucratic system as an attempt to improve this standard. This thesis traces the emergence of this system in nursing homes and illustrates its failure to solve the problem. George Ritzer's four-point McDonaldization model of bureaucracy is applied to argue that the bureaucratic system for governing nursing homes has a negative effect on the quality of care...
Show moreOver the last fifty years quality of care has been a consistent problem in nursing home facilities. The federal government implemented a bureaucratic system as an attempt to improve this standard. This thesis traces the emergence of this system in nursing homes and illustrates its failure to solve the problem. George Ritzer's four-point McDonaldization model of bureaucracy is applied to argue that the bureaucratic system for governing nursing homes has a negative effect on the quality of care. Although this hypothesis has proven to be accurate, additional factors were consistently cited as having detrimental effects on resident care. These include issues such as insufficient pay and lack of training/education for CNAs. Moreover, human greed and societal views of the elderly appear to be the true root of the problem.
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Date Issued: 2004
PURL: http://purl.flvc.org/fcla/dt/13148
Subject Headings: Long-term care of the sick--Quality control, Nursing home care--Quality control, Outcome assessment (Medical care), Long-term care facilities--Standards
Format: Document (PDF)

Title: Effect of music as a nursing intervention to reduce anxiety in coronary bypass and valve replacement surgery patients.
Creator: Twiss, Elizabeth J., Florida Atlantic University, McCaffrey, Ruth.
Abstract/Description: The study investigated the effects of music to reduce anxiety and decrease intubation times in coronary artery bypass graft and valve replacement surgical patients in an acute care hospital. Anxiety can contribute to everything from heightened emotional stress, increased pain, blood pressure changes as well as lethal cardiac dysrhythmia and reduction in peripheral and renal perfusion. Research has shown, music as a therapeutic modality, relieves anxiety and pain in patients before and after...
Show moreThe study investigated the effects of music to reduce anxiety and decrease intubation times in coronary artery bypass graft and valve replacement surgical patients in an acute care hospital. Anxiety can contribute to everything from heightened emotional stress, increased pain, blood pressure changes as well as lethal cardiac dysrhythmia and reduction in peripheral and renal perfusion. Research has shown, music as a therapeutic modality, relieves anxiety and pain in patients before and after surgery. What patients hear during surgery can be a rich source of anxiety. Wearing earphones during surgery will eliminate this source of anxiety. Music is reported to distract patients in an alien environment and provide a comforting and familiar effect in discomforting conditions. Soothing music can produce a hypometabolic response characteristic of relaxation in which autonomic, immune, endocrine, and neuropeptide systems can be altered. Similarly, music produces desired psychological responses and reduction in anxiety and fear.
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Date Issued: 2003
PURL: http://purl.flvc.org/fcla/dt/13109
Subject Headings: Coronary artery bypass--Psychological aspects, Health Sciences, Health Care Management, Outcome assessment (Medical care), Stress (Psychology), Stress (Psychology), Music therapy, Music, Influence of, Music--Psychological aspects
Format: Document (PDF)

Title: An empirical analysis of factors influencing organizational cultural competence within emergency medical services systems.
Creator: Diggs, Schnequa, Thai, Khi V., Florida Atlantic University, College of Design and Social Inquiry, School of Public Administration
Abstract/Description: This dissertation examines factors with influence on the organizational cultural competence of Emergency Medical Services (EMS) systems. The purpose of this study was to draw on theories of representative bureaucracy and transformational leadership to assess cultural competence in Emergency Medical Services systems from the perspective of EMS leadership, within careful consideration of the external environment in which EMS systems operate.
Date Issued: 2015
PURL: http://purl.flvc.org/fau/fd/FA00004439, http://purl.flvc.org/fau/fd/FA00004439
Subject Headings: Emergency medical personnel -- Training of, Emergency medical services -- Management, Organizational effectiveness, Outcome assessment (Medical care), Transformational leadership
Format: Document (PDF)

Title: Evaluation of speak for myself™ with patients who are voiceless.
Creator: Koszalinski, Rebecca S., Tappen, Ruth M., Florida Atlantic University, Christine E. Lynn College of Nursing
Abstract/Description: Patients who are hospitalized and are without voice would like to participate in their care. This requires clear communication. Speak for Myself™ (SFM) was developed for use at the bedside so that communication may be facilitated between patient and nurse when the patient is voiceless. The objective of this study was to evaluate Speak for Myself™ at the bedside and to measure the outcomes. This was a mixed methods, one group pre-test-post-test, quasi-experimental study. Twenty adult patients...
Show morePatients who are hospitalized and are without voice would like to participate in their care. This requires clear communication. Speak for Myself™ (SFM) was developed for use at the bedside so that communication may be facilitated between patient and nurse when the patient is voiceless. The objective of this study was to evaluate Speak for Myself™ at the bedside and to measure the outcomes. This was a mixed methods, one group pre-test-post-test, quasi-experimental study. Twenty adult patients in three hospitals in South Florida agreed to use Speak for Myself™ during their acute care hospital stay (M = 8.86 hours). This group of participants (n = 20) ranged from 45 to 91 years old (males = 14; females = 6). Of the participants, 15 (75%) self-identified as European American, 2 (10%) self-identified as Hispanic, 2 (10%) self-identified as African American, and 1 (5%) self-identified as Asian. Ten of the participants (50%) were in respiratory failure. Two (10%) were receiving oxygenation measures related to unspecified complications of their illnesses. Of the remaining eight participants (40%), one each was receiving oxygenation measures due to atrial fibrillation, arteriosclerotic heart disease, cardiogenic shock, endocarditis, neck abscess, renal failure, status post seizure activity, and tongue metastasis.
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Date Issued: 2014
PURL: http://purl.flvc.org/fau/fd/FA00004298
Subject Headings: Communication devices for people with disabilities, Nurse and patient, Nursing -- Practice, Nursing -- Research -- Methodology, Outcome assessment (Medical care), People with disabilities -- Means of communication
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.
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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: A Clinical Decision Support System for the Identification of Potential Hospital Readmission Patients.
Creator: Baechle, Christopher, Agarwal, Ankur, Florida Atlantic University, College of Engineering and Computer Science, Department of Computer and Electrical Engineering and Computer Science
Abstract/Description: Recent federal legislation has incentivized hospitals to focus on quality of patient care. A primary metric of care quality is patient readmissions. Many methods exist to statistically identify patients most likely to require hospital readmission. Correct identification of high-risk patients allows hospitals to intelligently utilize limited resources in mitigating hospital readmissions. However, these methods have seen little practical adoption in the clinical setting. This research attempts...
Show moreRecent federal legislation has incentivized hospitals to focus on quality of patient care. A primary metric of care quality is patient readmissions. Many methods exist to statistically identify patients most likely to require hospital readmission. Correct identification of high-risk patients allows hospitals to intelligently utilize limited resources in mitigating hospital readmissions. However, these methods have seen little practical adoption in the clinical setting. This research attempts to identify the many open research questions that have impeded widespread adoption of predictive hospital readmission systems. Current systems often rely on structured data extracted from health records systems. This data can be expensive and time consuming to extract. Unstructured clinical notes are agnostic to the underlying records system and would decouple the predictive analytics system from the underlying records system. However, additional concerns in clinical natural language processing must be addressed before such a system can be implemented. Current systems often perform poorly using standard statistical measures. Misclassification cost of patient readmissions has yet to be addressed and there currently exists a gap between current readmission system evaluation metrics and those most appropriate in the clinical setting. Additionally, data availability for localized model creation has yet to be addressed by the research community. Large research hospitals may have sufficient data to build models, but many others do not. Simply combining data from many hospitals often results in a model which performs worse than using data from a single hospital. Current systems often produce a binary readmission classification. However, patients are often readmitted for differing reasons than index admission. There exists little research into predicting primary cause of readmission. Furthermore, co-occurring evidence discovery of clinical terms with primary diagnosis has seen only simplistic methods applied. This research addresses these concerns to increase adoption of predictive hospital readmission systems.
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Date Issued: 2017
PURL: http://purl.flvc.org/fau/fd/FA00004880, http://purl.flvc.org/fau/fd/FA00004880
Subject Headings: Health services administration--Management., Medical care--Quality control--Statistical methods., Medical care--Quality control--Data processing., Medical care--Decision making., Evidence-based medicine., Outcome assessment (Medical care)
Format: Document (PDF)

Title: Identifying descriptions of quality nursing care shared by nurse and patient in the acute care hospital environment.
Creator: Grimley, Karen A., Tappen, Ruth M., Florida Atlantic University, Christine E. Lynn College of Nursing
Abstract/Description: Nursing care is considered a primary predictor of patient assessment of the overall hospital experience. Yet, quality nursing care remains difficult to define. Limited research about nurse or patient perspectives on what constitutes quality nursing care in hospital settings prevents the identification of a shared description or insight into their possible interrelationship. Research about nurse and patient descriptions is needed to establish behaviors, attributes, and activities associated...
Show moreNursing care is considered a primary predictor of patient assessment of the overall hospital experience. Yet, quality nursing care remains difficult to define. Limited research about nurse or patient perspectives on what constitutes quality nursing care in hospital settings prevents the identification of a shared description or insight into their possible interrelationship. Research about nurse and patient descriptions is needed to establish behaviors, attributes, and activities associated with quality nursing care to improve the health and well-being of hospitalized patients.
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Date Issued: 2015
PURL: http://purl.flvc.org/fau/fd/FA00004375
Subject Headings: Nursing--Philosophy, Nurse and patient, Medical care--Quality control, Intensive care nursing--Quality control, Outcome assessment--Medical care, Total quality management, Evidence-based nursing.
Format: Document (PDF)

Outcome assessment (Medical care) (15)	+ -
Nurse and patient (4)	+ -
Nursing (4)	+ -
Decision making (2)	+ -
Evaluation (2)	+ -

Medical care (2)	+ -
Nursing assessment (2)	+ -
Outcome assessment (Medical care) (2)	+ -
Quality control (2)	+ -
AIDS (Disease)--Treatment--Psychological aspects (1)	+ -
African Americans (1)	+ -
Algorithms (1)	+ -
Apoptosis--Molecular aspects (1)	+ -
Arrhythmia (1)	+ -
Breast--Cancer--Treatment (1)	+ -
CPR (First aid) (1)	+ -
Chronic diseases--Treatment (1)	+ -
Clinical competence (1)	+ -
Communication devices for people with disabilities (1)	+ -
Communication in nursing (1)	+ -
Community health services (1)	+ -
Computer-assisted instruction (1)	+ -
Coronary artery bypass--Psychological aspects (1)	+ -
Data transmission systems (1)	+ -
Digital techniques (1)	+ -
Emergency medical services (1)	+ -
Emergency medical personnel -- Training of (1)	+ -
Emergency medical services -- Management (1)	+ -
Evidence based medicine (1)	+ -
Evidence-based medicine. (1)	+ -

Florida Atlantic University (11)	+ -
Christine E. Lynn College of Nursing (6)	+ -
College of Engineering and Computer Science (3)	+ -
Department of Computer and Electrical Engineering and Computer Science (3)	+ -
College of Education (2)	+ -

School of Public Administration (2)	+ -
Tappen, Ruth M. (2)	+ -
Agarwal, Ankur (1)	+ -
Asper, Darwin E. (1)	+ -
Baechle, Christopher (1)	+ -
Barry, Charlotte D. (1)	+ -
Berrones, Adam J. (1)	+ -
Charles E. Schmidt College of Science (1)	+ -
Chase, Susan (1)	+ -
Chinchanikar, Sucharita Vijay. (1)	+ -
College for Design and Social Inquiry (1)	+ -
College of Design and Social Inquiry (1)	+ -
Department of Biological Sciences (1)	+ -
Department of Educational Leadership and Research Methodology (1)	+ -
Department of Exercise Science and Health Promotion (1)	+ -
Diggs, Schnequa (1)	+ -
Evans, Arthur S. (1)	+ -
Grimley, Karen A. (1)	+ -
Johnson, Bridgette M. (1)	+ -
Johnson, Michelle M. (1)	+ -
Koszalinski, Rebecca S. (1)	+ -
Kumi-Diaka, James (1)	+ -
Lipsman, Lisa A. (1)	+ -
Lucas, Louise A. (1)	+ -
McCaffrey, Ruth. (1)	+ -

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