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- Title
- Future role of nurses in long-term care of late life adults.
- Creator
- Zebrowski, Bonita Gene, Florida Atlantic University, Appleton, Cathy, Christine E. Lynn College of Nursing
- Abstract/Description
-
By the year 2020 with an estimated 55 million persons age sixty-five or greater, the aging of the population will replace population growth in national importance. In a population top heavy with aged individuals, patterns of disease and disability will be radically different from that of a population with a broad base of neonates. Presently, 86% of individuals age sixty-five and greater are living with one or more chronic diseases that require long-term care. The goal of this research was to...
Show moreBy the year 2020 with an estimated 55 million persons age sixty-five or greater, the aging of the population will replace population growth in national importance. In a population top heavy with aged individuals, patterns of disease and disability will be radically different from that of a population with a broad base of neonates. Presently, 86% of individuals age sixty-five and greater are living with one or more chronic diseases that require long-term care. The goal of this research was to define the future role of nurses in long-term care of late life adults. The futures methods used in this descriptive study include trend extrapolation and scenario building. The major finding of this research was the overburdening of the existing care systems by demographic pressures. The results of this research provide nurses with a basis for long-term strategic planning related to the future role of nurses in caring for late life adults.
Show less - Date Issued
- 1994
- PURL
- http://purl.flvc.org/fcla/dt/15069
- Subject Headings
- Older people--Medical care, Older people--Long-term care, Geriatric nursing
- Format
- Document (PDF)
- Title
- Evaluation of the Use of Community Mental Health Resources to Decrease Depression Scores in Adolescent Patients.
- Creator
- Youngblood, Brittany, Bulfin, Susan, Florida Atlantic University, Christine E. Lynn College of Nursing
- Abstract/Description
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This paper described a quality improvement project with a goal of decreasing depression symptoms through the use of specified community mental health resources. The aim of this project was to decrease depression scores for pediatric patients by offering information on available community resources. This was achieved by providing an evidence-based pamphlet with community-based mental health resources to patients who scored high on the depression screening. This intervention addressed an...
Show moreThis paper described a quality improvement project with a goal of decreasing depression symptoms through the use of specified community mental health resources. The aim of this project was to decrease depression scores for pediatric patients by offering information on available community resources. This was achieved by providing an evidence-based pamphlet with community-based mental health resources to patients who scored high on the depression screening. This intervention addressed an identified gap at the site concerning mental health services for depressed adolescents. Objectives included providing patients who screen positive for depression the community resource list, obtaining decreased scores on the Patient Health Questionnaire-9 (PHQ-9) depression screening 6 weeks post intervention, and return visits for follow up appointments for re-assessment. All adolescents ages 12-18 who visited the pediatrician’s office from June 2, 2021, to July 7, 2021, for an annual well visit or mental health complaint were offered the PHQ-9 screening. Patients who scored 5 or higher were invited to participate in the project for a total of 20 participants. The 3 objectives for this project were not met. Providers demonstrated low participation and adequate follow-up was not provided resulting in lack of the PHQ-9 rescreening. Recommendations for future efforts to increase to decrease depression symptoms would be to determine barriers to providers recommending community resources and incorporating modifications to the project based on provider identified barriers. A longer period (such as 6 months) could also assist in increasing provider participation and patients’ use of community resources.
Show less - Date Issued
- 2021
- PURL
- http://purl.flvc.org/fau/fd/faudnp000035
- Format
- Document (PDF)
- Title
- Sources of infant care informational social support for mothers of infants in the Appalachian region.
- Creator
- Wright, Mary Ellen, Liehr, Patricia, Florida Atlantic University, Christine E. Lynn College of Nursing
- Abstract/Description
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The purpose of this study was to describe the sources of infant care informational support systems that mothers residing in the Western North Carolina Appalachian region use and prefer in the postpartum period. In addition, the study explored the associations of the sources for informational social support on infant care with personal factors (age, socioeconomic status, parity, race, ethnicity, residence, marital status, education, access to Internet, access to cellular phone, prior...
Show moreThe purpose of this study was to describe the sources of infant care informational support systems that mothers residing in the Western North Carolina Appalachian region use and prefer in the postpartum period. In addition, the study explored the associations of the sources for informational social support on infant care with personal factors (age, socioeconomic status, parity, race, ethnicity, residence, marital status, education, access to Internet, access to cellular phone, prior attendance in childbirth classes, and other adult infant care assistance in the home) of the mothers.
Show less - Date Issued
- 2015
- PURL
- http://purl.flvc.org/fau/fd/FA00004422
- Subject Headings
- Appalachian Region, Southern--Social life and customs, Maternal health services--Appalachian Region, Southern, Health services accessibility--Appalachian Region, Southern, Social networks--Appalachian Region, Southern, Infants--Health and hygiene--Appalachian Region, Southern, Communication in medicine, Appalachians (People)--North Carolina--Social life and customs
- Format
- Document (PDF)
- Title
- Culturally Tailoring a Substance Use Intervention Among Southeastern Urban American Indian and Alaska Native Youth.
- Creator
- Wimbish-Cirilo, Rose M., Lowe, John, Florida Atlantic University, Christine E. Lynn College of Nursing
- Abstract/Description
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In the United States, post European-colonial influence and exposure to substances such as alcohol historically mark the beginning of substance use exposure and involvement among all American Indian and Alaska Native (AI/AN) people. Research findings indicate there are strong interrelationships between the origin and prevalence of substance use and U.S.-European colonization, historical trauma, forced assimilation, cultural losses, and relocation among urban AI/AN people (Burt, 1986; Clinton,...
Show moreIn the United States, post European-colonial influence and exposure to substances such as alcohol historically mark the beginning of substance use exposure and involvement among all American Indian and Alaska Native (AI/AN) people. Research findings indicate there are strong interrelationships between the origin and prevalence of substance use and U.S.-European colonization, historical trauma, forced assimilation, cultural losses, and relocation among urban AI/AN people (Burt, 1986; Clinton, Chadwick, & Bahr, 1975; Yuan et al., 2010). In an historical sense, the unsuccessful attempts of relocating AI/AN people to urban areas place the future generations of urban AI/AN youth at risk for substance use, health conditions, and health disparities. Nationally, incident rates of substance use among urban AI/AN populations ages 12 and over is rising steadily, two to three folds higher than other ethnicities in urban areas within states such as Florida. The overall objective of this study is to culturally tailor the evidence-based Lowe (2013) Cherokee Talking Circle Intervention for substance use prevention among Cherokee adolescents to that of an Urban Taking Circle Intervention for use among urban AI/AN adolescents in Florida. Therefore, the feasibility of culturally tailoring this substance use intervention among a southeastern urban AI/AN youth was examined and presented within this dissertation.
Show less - Date Issued
- 2016
- PURL
- http://purl.flvc.org/fau/fd/FA00004692, http://purl.flvc.org/fau/fd/FA00004692
- Subject Headings
- Alaska Natives -- Social conditions, Crisis intervention (Mental health services), Indians of North America -- Alcohol use -- Prevention, Indians of North America -- Social conditions, Indians of North America -- Substance use -- Prevention, Substance abuse -- Treatment
- Format
- Document (PDF)
- Title
- Testing an Integrated Health Promotion Model Using Social Media for Breastfeeding Women: Structural Equation Modeling.
- Creator
- Wilson, Jane C., Weglicki, Linda S., Florida Atlantic University, Christine E. Lynn College of Nursing
- Abstract/Description
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Exclusive breastfeeding for the first six months of life has been shown to decrease morbidity and mortality of women and infants. Organizations such as the United Nations Children’s Fund (UNICEF, 2018), American Academy of Pediatrics (AAP, 2012), and the World Health Organization (WHO, 2017a) have universally endorsed exclusive breastfeeding for the first six months of life, and then continuation of breastfeeding for a minimum of one to two years, with only supplementation of other liquid or...
Show moreExclusive breastfeeding for the first six months of life has been shown to decrease morbidity and mortality of women and infants. Organizations such as the United Nations Children’s Fund (UNICEF, 2018), American Academy of Pediatrics (AAP, 2012), and the World Health Organization (WHO, 2017a) have universally endorsed exclusive breastfeeding for the first six months of life, and then continuation of breastfeeding for a minimum of one to two years, with only supplementation of other liquid or solid food sources. Breastfeeding rates in the United States have not met the minimum goals set forth by Healthy People 2020 (n.d.). Although 81% of U.S. mothers initiated breastfeeding after the birth of their infant, only 22% of mothers were found to be exclusively breastfeeding at six months postpartum (Centers for Disease Control and Prevention [CDC], 2016a). This prospective, longitudinal, structural equation modeling study examined millennial-aged, exclusively breastfeeding women within one month postpartum who were followers of at least one of 17 social media breastfeeding support groups. Relationships of the conceptual constructs within Pender’s (1996) revised health promotion model (RHPM); House’s (1981) dimensions of social support; and the added constructs of breastfeeding knowledge, breastfeeding confidence, and breastfeeding attitude were analyzed in an effort to better understand the variables that lead to sustained exclusive breastfeeding to six months. Data supported the use of the integrated model for breastfeeding women. The normed referenced chi-square (2) of 1.9 (CFI =.94, IFI =.94, NFI =.89, RMSEA =.06, CFI [PCFI] >.5) indicated a good model fit. Additionally, there were statistically significant gains in the confidence, knowledge, and attitude scores from pretest to follow-up at six months. Exclusive breastfeeding to six months was reported to be three times (66%) higher than the U.S. national average (22%) (CDC, 2016a). Future use of the integrated model has great potential to impact public health by the exploration of variables that promote exclusive breastfeeding to six months.
Show less - Date Issued
- 2018
- PURL
- http://purl.flvc.org/fau/fd/FA00013106
- Subject Headings
- Structural equation modeling., Breastfeeding promotion., Social media.
- Format
- Document (PDF)
- Title
- Probiotic Use During Antibiotic Therapy: Strengthening Provider Practices.
- Creator
- Williams, Dana, Gordon, Shirley, Libman, Michele, Florida Atlantic University, Christine E. Lynn College of Nursing
- Abstract/Description
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Antibiotics are some of the most commonly prescribed medications. However, their use is associated with many side effects, one of which is Antibiotic-Associated Diarrhea (AAD). AAD is a common yet underreported side effect of antibiotic therapy that often leads to interrupted or premature discontinuation of antibiotic treatment that may result in a possible increase in long-term complications and other health implications related to AAD. The use of probiotics to prevent AAD and their general...
Show moreAntibiotics are some of the most commonly prescribed medications. However, their use is associated with many side effects, one of which is Antibiotic-Associated Diarrhea (AAD). AAD is a common yet underreported side effect of antibiotic therapy that often leads to interrupted or premature discontinuation of antibiotic treatment that may result in a possible increase in long-term complications and other health implications related to AAD. The use of probiotics to prevent AAD and their general positive impact on gut and overall health are well-studied and documented. Providers are generally aware of the recommended best practice regarding probiotic prescribing to prevent AAD. However, many providers fail to implement the recommendations into practice. A common theme among providers is a lack of knowledge as to which probiotics to recommend given the vast choices of possible probiotics available, the length of treatment, or the most favorable time frame for probiotic therapy. To reduce AAD occurrence and improve patient adherence with antibiotic therapy, this doctoral project aimed to improve provider probiotic knowledge and prescribing practices in a South Florida urgent care and a primary care setting.
Show less - Date Issued
- 2021
- PURL
- http://purl.flvc.org/fau/fd/faudnp000024
- Format
- Document (PDF)
- Title
- The Impact of a Blood Pressure Monitoring Wellness Program on Adults with Hypertension.
- Creator
- Wilcox, Jasmine, Hain, Debra, Kinlaw, Nakeisha, Florida Atlantic University, Christine E. Lynn College of Nursing
- Abstract/Description
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Hypertension is a national health concern that can increase the risk for cardiovascular disease. Healthy People 2020 recommends improving cardiovascular health by increasing the number of adults who check their blood pressure and understand whether it is high or low. In an effort to improve outcomes in adults with hypertension, this quality improvement project was implemented at a primary care setting aimed at improving blood pressure control through self-care behaviors. The intervention...
Show moreHypertension is a national health concern that can increase the risk for cardiovascular disease. Healthy People 2020 recommends improving cardiovascular health by increasing the number of adults who check their blood pressure and understand whether it is high or low. In an effort to improve outcomes in adults with hypertension, this quality improvement project was implemented at a primary care setting aimed at improving blood pressure control through self-care behaviors. The intervention included providing staff education on the HBPM program called IHEALTH, an educational counseling session for recruited participants (adults ages 21- 85 with a diagnosis of HTN within the last year or uncontrolled HTN) in which a pre-test blood pressure knowledge and self-care scale on hypertension were administered. There were statistically significant improvements in BP from pretest to posttest on the average the Mean Arterial Pleasure (MAP) and Systolic BP. The MAP decrease from an average of 105.7 to 100.4 [t(7)=2.32, p=.027, Cohen’s D=1.76] whereas the SBP decrease from an average of 142.9 to 128.4 [t(7)=2.74, p=.015, Cohen’s D=2.07]. There was a small but nonsignificant decrease in DBP from an average of 87.1 to 86.4 [t(7)=0.17, p=.868, Cohen’s D=0.129]. The preintervention knowledge scale rose from a mean score of 69 to a mean score of 88 on the post test. The post intervention pre-intervention self-care score rose from an average of 44 to a post intervention average score of 75. The project showed that the implementation of a quality improvement project in a primary care setting with staff involvement can lead to participant blood pressure control through promotion of participants self-care behaviors. Therefore, implications for practice include incorporating HBPM programs into practice due to the high potential for improving blood pressure control through self-care behaviors. In addition, the implementation of a HBPM program in addition to office blood pressure is important for diagnosis and monitoring HTN (Kairo et. al., 2019).
Show less - Date Issued
- 2021
- PURL
- http://purl.flvc.org/fau/fd/faudnp000023
- Format
- Document (PDF)
- Title
- Transition experiences of the chronically ill adolescent.
- Creator
- White, Kelly N., Keller, Kathryn B., Florida Atlantic University, Christine E. Lynn College of Nursing
- Abstract/Description
-
The continued development of the American health care system and evolving technology have led to an increased life expectancy within the general population. In fact, these advancements have also resulted in growing numbers of young people with chronic illnesses living into adulthood. Approximately one third of children ages 10-17 have a chronic disease, and the vast majority of these children will survive beyond their 20th birthday (Blum, 1995; Lotstein, McPherson, Strickland, & Newacheck,...
Show moreThe continued development of the American health care system and evolving technology have led to an increased life expectancy within the general population. In fact, these advancements have also resulted in growing numbers of young people with chronic illnesses living into adulthood. Approximately one third of children ages 10-17 have a chronic disease, and the vast majority of these children will survive beyond their 20th birthday (Blum, 1995; Lotstein, McPherson, Strickland, & Newacheck, 2005; White, 2002). The main objective of this study was to explore the healthcare transition (HCT) practices of health care providers and the HCT experiences of chronically ill young adults living with sickle cell disease, cystic fibrosis, and/or diabetes. Meleis, Sawyer, Im, Hifinger Messias, & Schumacher’s (2000) theory on transition and Boykin and Schoenhofer’s (2001) theory of Nursing as Caring provided the theoretical lenses throughwhich study findings were viewed. This was a descriptive exploratory mixed methods design that consisted of survey data and used conventional content analysis to analyze the qualitative data. The quantitative portion of this study incorporated a 41-question survey that was completed by 33 health care providers working with chronically ill young adults in the southeast Florida region. Additionally, semi-structured interviews were conducted with eight young adults (18-24 years of age) living with a sickle cell disease, cystic fibrosis, and/or diabetes. Five themes emerged from an analysis of the data describing the healthcare transition (HCT) experience: Transition Confusion, Familial Reliance, Lost in Transition, Fiscal Stressors, and Transition Uneasiness. The findings of this study demonstrate that there are, at minimum, three general parts of the HCT process that remain deficient: educational preparation, consistent communication between all parties involved in the HCT process, and guidance for the independent negotiation of the present healthcare system. Recommendations for healthcare providers that work with chronically ill young adults include establishing a HCT framework that incorporates consistent communication among team members and patients/families, individualized educational formats, and guidance for navigational skills to negotiate the healthcare system.
Show less - Date Issued
- 2014
- PURL
- http://purl.flvc.org/fau/fd/FA00004234, http://purl.flvc.org/fau/fd/FA00004234
- Subject Headings
- Children with disabilities -- Care, Chronic diseases in children -- Psychological aspects, Chronically ill children -- Services for, Health services accessibility, Nursing -- Philosophy, Nursing models
- Format
- Document (PDF)
- Title
- Development and testing of a measure of Alzheimer’s disease knowledge in a rural Appalachian community.
- Creator
- Weise, Lisa K., Williams, Christine L., Christine E. Lynn College of Nursing
- Abstract/Description
-
Rural West Virginia has a very high percentage of older adults. The age-related disease of Alzheimer’s threatens the health of older Appalachians, yet research on Alzheimer’s disease (AD) in this population is scarce. In order to improve screening rates for cognitive impairment, Appalachians need to understand their vulnerability. The first step would be to assess their knowledge about AD but a suitable AD knowledge test has not been developed. The purpose of this study was to test the...
Show moreRural West Virginia has a very high percentage of older adults. The age-related disease of Alzheimer’s threatens the health of older Appalachians, yet research on Alzheimer’s disease (AD) in this population is scarce. In order to improve screening rates for cognitive impairment, Appalachians need to understand their vulnerability. The first step would be to assess their knowledge about AD but a suitable AD knowledge test has not been developed. The purpose of this study was to test the reliability and validity of a new measure of knowledge about AD that is culturally congruent, and to examine factors that may predict AD knowledge in this rural population. A correlational descriptive study was conducted with 240 participants from four samples of older adults in south central rural Appalachian West Virginia using surveys and face-to-face interviews. Results from tests for stability, reliability including Rasch modeling, discrimination and point biserial indices, and concurrent, divergent, and construct validity were favorable. Findings were that although more diversity in test item difficulty is needed, the test discriminated well between persons with higher and lower levels of education [F(2, 226) = 170.51, p = .001]. Using multiple regression, the predictors of AD knowledge included caregiver status, miles from a healthcare provider, gender, and education; (R2=.05, F(4,187) = 2.65, p =. 04). Only years of education accounted for a significant proportion of unique variance in predicting the total BKAD score (t = 2.14, p =. 03). Implications include the need for further tool refinement, testing for health literacy, coordination with recent statewide efforts to educate the public regarding AD, and community based participatory research in designing culturally effective education programs that will ultimately increase screening and detection of Alzheimer’s disease in rural populations.
Show less - Date Issued
- 2013
- PURL
- http://purl.flvc.org/fau/fd/FA0004074
- Subject Headings
- Alzheimer's disease -- Diagnosis -- Social aspects, Alzheimer's disease -- Research -- Methodology, Health literacy -- West Virginia -- Appalachian Region, Southern, West Virginia -- Appalachian Region, Southern -- Social aspects
- Format
- Document (PDF)
- Title
- Lipids, Learning, and Lifestyle: Improving Cholesterol Levels in a Rural Health Clinic through Enhanced Care-Coordinator Education.
- Creator
- Warren, Stefanie, Wisdom-Chambers, Karen, Florida Atlantic University, Christine E. Lynn College of Nursing
- Abstract/Description
-
Having high cholesterol levels raises the risk for heart disease, the leading cause of death in the United States. High cholesterol is considered a silent preventable condition. Uncontrolled cholesterol levels increase health disparities experienced by patients of low-socioeconomic status. The purpose of this quality improvement (QI) project is to determine the effect of an evidence-based cholesterol education program in enhancing hyperlipidemia management strategies among Care Coordinators...
Show moreHaving high cholesterol levels raises the risk for heart disease, the leading cause of death in the United States. High cholesterol is considered a silent preventable condition. Uncontrolled cholesterol levels increase health disparities experienced by patients of low-socioeconomic status. The purpose of this quality improvement (QI) project is to determine the effect of an evidence-based cholesterol education program in enhancing hyperlipidemia management strategies among Care Coordinators at a Federally Qualified Health Center (FQHC). The overall goal of the project is to improve patient’s cholesterol levels over a 3-month period. This project supports the implementation of enhanced hyperlipidemia education for Care Coordinators based on a literature review and national hyperlipidemia guidelines. The Lipids, Learning and Lifestyle (LLL) program was created by the project leader and delivered in a train-the-trainer approach to the Care Coordinators at the FQHC. The project leader administered a modified Hypertension Knowledge-Level Scale (HK-LS) questionnaire to Care Coordinators before and after the training sessions, and score results were compared. A total of 10 patients were given the enhanced education by Care Coordinators, in individual sessions attended by the project leader. The patient’s pre and post-intervention cholesterol levels were compared to determine the impact of the educational program. Results from the modified HK-LS did show a statistically significant change in mean scores from pre intervention to post-intervention, revealing an overall improvement in knowledge about hyperlipidemia management. Review of the patient data showed there was no statistically significant improvement in Total Cholesterol (t(10)=1.60, p=.14), HDL (t(10)=-.69, p=.51), Triglycerides (t(10)=1.71, p=.12) or LDL (t(10)=.23, p=.82), from pre-intervention to post-intervention. Though there was no statistically significant improvement in overall Cholesterol levels for the patient participants, there was a statistically significant improvement in Care Coordinator knowledge about hyperlipidemia management.
Show less - Date Issued
- 2019
- PURL
- http://purl.flvc.org/fau/fd/FA00007549
- Format
- Document (PDF)
- Title
- Health of veterans home from war.
- Creator
- Wands, LisaMarie., Christine E. Lynn College of Nursing
- Abstract/Description
-
Approximately 1.76 million men and women have served in the Operation Enduring Freedom (OEF) and Operation Iraqi Freedom (OIF) military campaigns since October 2001. The transition from living in a war zone to resuming a fulfilling life at home is often difficult for veterans. The purpose of this mixed methods study was to gain understanding of the issues that complicate health for veterans and approaches veterans used to resolve complicating health issues associated with the challenge of...
Show moreApproximately 1.76 million men and women have served in the Operation Enduring Freedom (OEF) and Operation Iraqi Freedom (OIF) military campaigns since October 2001. The transition from living in a war zone to resuming a fulfilling life at home is often difficult for veterans. The purpose of this mixed methods study was to gain understanding of the issues that complicate health for veterans and approaches veterans used to resolve complicating health issues associated with the challenge of coming home from war. Qualitative data collection and analysis was guided by story inquiry method. Quantitative data was collected using the 36-item Short-Form Health Survey, Version 2 (SF-36v2) and analyzed using QualityMetric Health Outcomes[TM] Score Software, Version 4.0. Seven OEF/OIF veterans who had completed at least one tour of duty in Iraq since October 2001 participated in this study. Three themes emerged from the qualitative data that capture the complicating health issues that participants encountered when coming home from war: flipping the switch, figuring out how to belong, and living the stress of a new normal. Two themes emerged from the qualitative data that capture approaches used to resolve complicating health issues associated with returning home from war: connecting with others and choosing a positive attitude. Quantitative data revealed that the majority of participants scored at or above general population norms on three of the subscales that measure physical health, as well as on two of the subscales that measure mental health; however a significant percentage scored below norms on the subscale that measures social functioning (57%) and on the subscale that directly measures mental health (43%)., All three themes describing complicating health issues that emerged during qualitative data analysis resonated with the SF-36v2's measures of mental health, especially social functioning which inquires about experiences with social interactions. Both themes describing movement toward resolving resounded strongly with the SF-36v2's measures of mental health. From this study's findings, changes to policy and practice, education of nurses and post-secondary faculty, and future research have been recommended to continue to assist the war veteran who is coming home.
Show less - Date Issued
- 2011
- PURL
- http://purl.flvc.org/FAU/3322516
- Subject Headings
- Post-traumatic stress disorder, Resilience (Personality trait), Veterans, Mental health, War, Psychological aspects, Iraq War, 2003-, Veterans, Medical care, Afghan War, 2001-, Veterans, Medical care
- Format
- Document (PDF)
- Title
- IDENTIFYING HEALTH PRIORITIES FOR A VULNERABLE UNDERSERVED COMMUNITY IN UGANDA, AFRICA USING COMMUNITY BASED PARTICIPATORY RESEARCH AND A PHOTOVOICE APPROACH.
- Creator
- Wallin, Cheryl Finch, Barry, Charlotte D., Florida Atlantic University, Christine E. Lynn College of Nursing, Christine E. Lynn College of Nursing
- Abstract/Description
-
The purpose of this descriptive phenomenological study was to give voice to an underserved and vulnerable population in Uganda, Africa to advocate for health priorities. Nineteen members of the village of Namagera, identified as a leper colony, were selected by community members and volunteered to participate in every element of this study. Descriptive phenomenology was the guiding philosophy and community-based participatory research methods and photovoice provided the lens for social action...
Show moreThe purpose of this descriptive phenomenological study was to give voice to an underserved and vulnerable population in Uganda, Africa to advocate for health priorities. Nineteen members of the village of Namagera, identified as a leper colony, were selected by community members and volunteered to participate in every element of this study. Descriptive phenomenology was the guiding philosophy and community-based participatory research methods and photovoice provided the lens for social action. Leininger’s theory of culture care diversity and universality (Leininger & McFarland, 2006) anchored the study in cultural caring and the community nursing practice model (Parker et al., 2020) kept the researcher grounded in the purpose of advancing the science of caring in community nursing. The research team included the researcher, the 19 participants, and six research assistants, who also served as language facilitators. Using photovoice methods, participants identified strengths and needs and used digital cameras to capture health concerns in the community. Eighty photos were analyzed by the participants and priorities were determined. The selected photos were placed on a photo board and shared with the whole community for input. Community members selected the health priorities and ranked them in importance: access to clean water, sanitation, disease, challenges for the elderly and disabled, lack of medical treatment, transportation, unemployment, and protection of the environment. The participants categorized the health priorities into three clusters of themes: basic needs, safety, and social/environmental. The themes were further incorporated into action plans identifying impeding factors for which the community would require outside assistance and promoting factors for which the community could solve themselves. Findings of this study illuminate the emergence of community empowerment: Community members found their voices, identified health priorities, and advocated for solutions.
Show less - Date Issued
- 2020
- PURL
- http://purl.flvc.org/fau/fd/FA00013562
- Subject Headings
- Phenomenology, Uganda, Vulnerable Populations, Health Priorities, Community-Based Participatory Research, Caring
- Format
- Document (PDF)
- Title
- Improving Medication Adherence in Adult Populations with Diabetes.
- Creator
- Thomas, Susan, Pritchard, Kyndall, Lafrance, Herard, Florida Atlantic University, Christine E. Lynn College of Nursing
- Abstract/Description
-
Medication non-adherence constitutes a significant barrier to the effective management of diabetes and can place a severe burden on healthcare system. Despite the development of new medications, diabetes remains the 7th leading cause of death in the United States (Hirsch et al.,2021). This quality improvement project was conducted in a primary care setting to assess and improve medication adherence.in adults with diabetes. The adherence to medication was measured by the Adherence Starts with...
Show moreMedication non-adherence constitutes a significant barrier to the effective management of diabetes and can place a severe burden on healthcare system. Despite the development of new medications, diabetes remains the 7th leading cause of death in the United States (Hirsch et al.,2021). This quality improvement project was conducted in a primary care setting to assess and improve medication adherence.in adults with diabetes. The adherence to medication was measured by the Adherence Starts with Knowledge-12(ASK-12) survey. The interventional strategies included medication-specific education, self-management of glucose monitoring, and a follow-up program using telephone calls, text messages, or mobile health applications. A total of eighteen eligible participants' ((72.2% female; mean age 62.06 y; 94.4% Afro-Caribbeans) ASK-12 questionnaire scores (pre and post) and Hemoglobin A1c (HgA1c) (pre and post) level were used for final data analysis. A paired sample t-test of ASK-12 scores demonstrated an improvement in medication adherence, from an average of (M=30.28, SD=6.28) on the pre-test to (M=14.39, SD=2.15) on the post-test [t (17) =12.14, p < 0.001, Cohen’ d=2.86]. A paired sample t-test of HgA1c results were also statistically significant with a decrease of the HgA1c from an average of (M= 9.1, SD=1.76) on the pre-test to M=7.9, SD=1.14) on post-test, [t (17) =5.49, p < 0.001, Cohen’s d =1.293]. This project highlights the positive impact of routine monitoring, medication-specific education, and follow-up reminders on improving medication adherence and glycemic control.
Show less - Date Issued
- 2021
- PURL
- http://purl.flvc.org/fau/fd/faudnp000033
- Format
- Document (PDF)
- Title
- FAMILY CAREGIVING DURING TRANSITIONAL CARE: AN ETHNOGRAPHIC EXPLORATION OF THAI-ISAN FAMILY CAREGIVERS PROVIDING CARE FOR SURVIVING STROKE OLDER ADULTS.
- Creator
- Thiengtham, Supavadee, Chiang-Hanisko, Lenny, Florida Atlantic University, Christine E. Lynn College of Nursing, Christine E. Lynn College of Nursing
- Abstract/Description
-
Providing family caregiving during transitional care of a stroke patient is the most challenging for family caregivers. This is because of the shift in the care environment from a hospital with an organizational culture to a home with a traditional culture. Yet, cultural influences on family caregiving during transitional care are not well studied. This ethnographic study aims to describe the family caregiving of older Thai-Isan stroke survivors through the transition from hospital to home....
Show moreProviding family caregiving during transitional care of a stroke patient is the most challenging for family caregivers. This is because of the shift in the care environment from a hospital with an organizational culture to a home with a traditional culture. Yet, cultural influences on family caregiving during transitional care are not well studied. This ethnographic study aims to describe the family caregiving of older Thai-Isan stroke survivors through the transition from hospital to home. This study employs Lininger's culture care theory (CCT) as the theoretical framework and utilizes the ethnonursing method to discover cultural knowledge. Data was collected through a demographic questionnaire, participant observations, and a semi-structured interview. Data was analyzed using the Four Phases of the Data Analysis Enabler. Fifteen dyads of older stroke patients and their family caregivers were recruited following the inclusion and exclusion criteria. The research settings included Srinagarind Hospital units and key informants’ homes in a Thai-Isan community.
Show less - Date Issued
- 2022
- PURL
- http://purl.flvc.org/fau/fd/FA00014114
- Subject Headings
- Caregivers, Thai ʻĪsān, Stroke, Transcultural nursing
- Format
- Document (PDF)
- Title
- Out of the Shadows and Into the Light: Illuminating the Path to a Bright Future for Nurses through Increased Advocacy Training.
- Creator
- Tagliaferri, Cynthia, Gordon, Shirley, Hogan, Debbie, Florida Atlantic University, Christine E. Lynn College of Nursing
- Abstract/Description
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A lack of knowledge and involvement in grassroots legislative advocacy among nursing professionals adversely affects nurses’ ability to effectively tackle issues impeding the safe and effective delivery of healthcare. The role of primary care nurses in improving health outcomes includes developing substantial legislative relationships that constructively introduce nurserelated issues that are not adequately recognized or understood by legislators. This DNP quality improvement project sought...
Show moreA lack of knowledge and involvement in grassroots legislative advocacy among nursing professionals adversely affects nurses’ ability to effectively tackle issues impeding the safe and effective delivery of healthcare. The role of primary care nurses in improving health outcomes includes developing substantial legislative relationships that constructively introduce nurserelated issues that are not adequately recognized or understood by legislators. This DNP quality improvement project sought to assess the effectiveness of a four (4) week legislative advocacy training program on the knowledge of, confidence in, and participation in the legislative advocacy process and local legislative outreach among nurse members of the Florida Nurses Association. Following the four (4) week intervention period, self-reported knowledge and confidence improved significantly evidenced by a reported 77.8% increase in advocacy knowledge and an 81.5% increase in advocacy skills. More than 80% of participants documented confidence in their ability to participate in legislative outreach with a 44% increase in contacting a legislator by email or mail, a 7.4% increase in legislative outreach by telephone, and a 7.4% increase with in-person visits. The results of this study suggest that increasing advocacy training, by incorporating frequent, repetitive sessions over a short period of time, is an effective approach to improving legislative outreach among nurse professionals.
Show less - Date Issued
- 2022
- PURL
- http://purl.flvc.org/fau/fd/faudnp000060
- Format
- Document (PDF)
- Title
- The magnetic appeal of nurse informaticians: Caring attractor for emergence.
- Creator
- Swinderman, Todd D., Florida Atlantic University, Christine E. Lynn College of Nursing
- Abstract/Description
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The purpose of this phenomenological study was to understand the meaning of transition from the art of handwritten nursing documentation to electronic documentation from the lived experiences of nurse informaticians. Chaos Theory within Complexity Sciences and Ray's Bureaucratic Caring Theory informed the study. The Swinderman Research Model was created to visualize the tension between order and chaos in nursing practice. Twelve nurse informaticians were interviewed about their experiences in...
Show moreThe purpose of this phenomenological study was to understand the meaning of transition from the art of handwritten nursing documentation to electronic documentation from the lived experiences of nurse informaticians. Chaos Theory within Complexity Sciences and Ray's Bureaucratic Caring Theory informed the study. The Swinderman Research Model was created to visualize the tension between order and chaos in nursing practice. Twelve nurse informaticians were interviewed about their experiences in designing, building, implementing and supporting electronic nursing documentation systems using van Marten's human science phenomenological method. Descriptive themes where illuminated and metathemes were interpreted from the research data. The universal whole of nursing informatics was expressed as self-in-relation through the metaphor of magnetic appeal linking the metathemes of inspired leadership and education, caring relationships, complexity, and technology. The metaphor of magnetic appeal illuminates the nurse informatician as the embodiment of caring with gifts as educator, negotiator, translator, and liaison. The Swinderman Research Model was enhanced using the research to create further the Swinderman Conceptual Model for Nursing Informatics. Chaos Theory within Complexity Sciences facilitated the understanding of the subtle dynamic patterns of flux and flow and choice-making in nursing. The Swinderman Conceptual Model for Nursing Informatics emerged as the future of Nursing Informatics in the transformation from handwritten to electronic nursing documentation in complex healthcare organizations.
Show less - Date Issued
- 2005
- PURL
- http://purl.flvc.org/fcla/dt/12130
- Subject Headings
- Health Sciences, Nursing
- Format
- Document (PDF)
- Title
- A STATEWIDE ANALYSIS OF THE SOCIAL DETERMINANTS OF OPIOID-RELATED DEATHS IN OLDER ADULTS.
- Creator
- Suriaga, Armiel, Bryan, Valerie C., Florida Atlantic University, Christine E. Lynn College of Nursing, Christine E. Lynn College of Nursing
- Abstract/Description
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Background: Opioid-related deaths remain a significant public health problem in the United States. Opioids cause approximately 75% of all drug-related deaths. Since 1999, nearly half a million Americans have died from opioid overdoses. In 2018, 9,290 people > 55 years old died from opioid overdoses in the United States. In Florida, more than 1,000 older adults died from opioids (as a cause of death) from 2014-2018. However, there is a dearth of research about the manner of deaths of older...
Show moreBackground: Opioid-related deaths remain a significant public health problem in the United States. Opioids cause approximately 75% of all drug-related deaths. Since 1999, nearly half a million Americans have died from opioid overdoses. In 2018, 9,290 people > 55 years old died from opioid overdoses in the United States. In Florida, more than 1,000 older adults died from opioids (as a cause of death) from 2014-2018. However, there is a dearth of research about the manner of deaths of older adults who used, misused, or abused opioids. Methods: This secondary analysis utilized data from the Florida Drug and Law Enforcement (FDLE) agency between 2014 - 2018. A generalized linear model with a normal probability distribution was used to examine which social determinants or factors such as race, income, education level, percentage of people in poverty, and population density predicted opioid death rate in Florida. Chi-square statistics were used to determine the association between gender, race, and opioid-related deaths (ORD), and the relationship of the manner of death to the opioid drugs involved. The trend of opioid death rate was also analyzed by Florida county and through the data years 2014 to 2018.
Show less - Date Issued
- 2021
- PURL
- http://purl.flvc.org/fau/fd/FA00013683
- Subject Headings
- Opioids, Older people, Death
- Format
- Document (PDF)
- Title
- THE IMPACTS OF LIVING ARRANGEMENTS, HEALTHY AGING, AND WELL-BEING AMONG OLDER THAI ADULTS.
- Creator
- Suragarn, Usar, Hain, Debra, Florida Atlantic University, Christine E. Lynn College of Nursing
- Abstract/Description
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The purpose of this exploratory-descriptive study was to compare the different living arrangements of older Thai adults on healthy aging and well-being in those attending the elderly school. The specific aims of this study were (1) to describe demographic characteristics, and (2) to identify differences between the outcomes the Thai Healthy Aging Instrument (HAI) and the Personal Wellbeing Index (PWI) in older Thai adults 60 years and older based on the types of living arrangements. The...
Show moreThe purpose of this exploratory-descriptive study was to compare the different living arrangements of older Thai adults on healthy aging and well-being in those attending the elderly school. The specific aims of this study were (1) to describe demographic characteristics, and (2) to identify differences between the outcomes the Thai Healthy Aging Instrument (HAI) and the Personal Wellbeing Index (PWI) in older Thai adults 60 years and older based on the types of living arrangements. The Convoy Model of Social Relations was used as a guide for understanding the multifactorial nature of the social connection (Kahn & Antonucci, 1980). A convenience sampling design was used to recruit 139 participants living in Tambon Hua Ngom, Chiang Rai province, Thailand, for at least a year. The sample included adults age 60 years and older who read and spoke Thais and had been participated in the elderly school at least once a month for one year. Among the participants (N = 139), 30 lived alone, and 109 lived with others. The findings of this study indicated that there were no statistically significant relationships between demographic characteristics between those who lived alone and those living with others, except for marital status. The participants living alone were more likely to be widowers compared to those living with others (p < .05).
Show less - Date Issued
- 2019
- PURL
- http://purl.flvc.org/fau/fd/FA00013417
- Subject Headings
- Thais, Healthy Aging, Well-being, Social Support, Older people
- Format
- Document (PDF)
- Title
- Effects of a Story-Sharing Intervention on Depression and Well-Being in Older Adults Transitioning to Long-Term Care.
- Creator
- Sullivan, Gail J., Hain, Debra J., Florida Atlantic University, Christine E. Lynn College of Nursing
- Abstract/Description
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The purpose of this randomized control trial (RCT) was to investigate the effects of a story-sharing intervention on older adults transitioning to long-term care (LTC). The specific aims were (1) to determine the effects of story sharing on the health transition outcomes of depression and well-being of adults transitioning to LTC; and (2) to determine if the sociodemographic characteristics (age, gender, ethnicity, marital status, level of education (LOE), months living at LTC facility,...
Show moreThe purpose of this randomized control trial (RCT) was to investigate the effects of a story-sharing intervention on older adults transitioning to long-term care (LTC). The specific aims were (1) to determine the effects of story sharing on the health transition outcomes of depression and well-being of adults transitioning to LTC; and (2) to determine if the sociodemographic characteristics (age, gender, ethnicity, marital status, level of education (LOE), months living at LTC facility, choice to move, and health problem(s) that may have resulted in the move) predict depression and/or well-being. Story sharing was defined as the respectful space where one tells and listens to stories of others (Heliker, 2009) while being guided by another (the investigator). Meleis’ middlerange theory of transitions (MMRTT) (Meleis et al., 2000) was used as a guide to understand the transitioning process. A convenience sampling design was used to recruit 100 participants from 11 LTC facilities in Broward County, located in Southeast Florida. The sample included adults, age 65 years and older, who were transitioning to a LTC facility within the past two years. Participants were randomly assigned to the control group (n = 52), who received standard care, or to the intervention group (n = 41), who received story-sharing and standard care. The results indicated there was no significant greater improvement to suggest an Intervention and Time effect for depression and/or well-being. Overall, predictive ability of the sociodemographic variables for depression and well-being were not statistically significant. However, LOE (junior college) did account for a significant portion of unique variance for increased depression, and time, marital status, ethnicity, LOE, and choice to move did account for a significant proportion of unique variance for well-being. Months living in LTC (more months) and marital status (all but divorced) were significant for improved well-being while ethnicity (Hispanic), LOE (high school and junior college), and choice to move (no choice) were significant for reduced well-being. Similar studies using a larger sample size, including non-English speaking participants; lengthier storysharing sessions; and measuring for pain, health, and bereavement may offer additional insights to healthy transition outcomes for this population.
Show less - Date Issued
- 2017
- PURL
- http://purl.flvc.org/fau/fd/FA00004827
- Subject Headings
- Loneliness--Psychological aspects., Depression in old age., Older people--Communication., Older people--Mental health services., Nursing home patients--Mental health., Nursing homes--Recreational activities., Recollection (Psychology)
- Format
- Document (PDF)
- Title
- Latinas experiencing transnational motherhood.
- Creator
- Sternberg, Rosa Maria., Christine E. Lynn College of Nursing
- Abstract/Description
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Economic changes have made the immigration of women to the United States part of major political and social issues. Women from Latin America frequently immigrate alone and without legal documentation, leaving their children in the care of relatives or friends, thus becoming transnational mothers in the process. Hispanic/Latino groups comprise the largest minority in the U.S., and Latina women account for 48.9% of the total Latino population. This demographic trend is expected to continue, and...
Show moreEconomic changes have made the immigration of women to the United States part of major political and social issues. Women from Latin America frequently immigrate alone and without legal documentation, leaving their children in the care of relatives or friends, thus becoming transnational mothers in the process. Hispanic/Latino groups comprise the largest minority in the U.S., and Latina women account for 48.9% of the total Latino population. This demographic trend is expected to continue, and Hispanic/Latino groups are projected to experience the largest population increase in the coming decades (Marshall, Urrutia-Rojas, Soto-Mas & Coggin, 2005). The separation from their family has a strong impact on the health and well-being of these women, rendering them vulnerable to health care barriers and health disparities. This qualitative research study explored the experiences of Latinas living transnational motherhood. Individual semi-structured interviews were conducted with eight Latin as living transnational motherhood between the ages 21- 39. The findings in this study describe the lived experience of Latina transnational mothers within their social, economic and cultural context. The narrative was analyzed using van Manen's (1990) interpretative hermeneutic phenomenological approach to narrative analysis. Findings indicate that Latinas experiencing transnational motherhood find meaning in mothering from afar through sacrifice, suffering, and hopefulness for a better life for their children, and for family reunification. Findings from this study inform nurses of the health care barriers that these Latinas living transnational motherhood encounter as they experience hardship in order to support their families abroad as well as themselves., Nurses caring for women who immigrate without their children are presented with professional and ethical challenges that require nurses to be knowledgeable about these women's pre- and post-immigration experiences findings of this study help narrowing the gap of information regarding lived experiences of Latinas transnational mothers. This knowledge offers guidance to the development of care that is compassionate, ethical and culturally appropriate.
Show less - Date Issued
- 2009
- PURL
- http://purl.flvc.org/FAU/3333040
- Subject Headings
- Latin America, Emigration and Immigration, Social aspects, Parental deprivation, Families, Cross-cultural studies, Transnationalism, Nursing, Social aspects, Communication in nursing, Emigration and Immigration, Social aspects
- Format
- Document (PDF)