View All Items

Title: “Wellness Through Action”: Assisting Community Dwelling Haitian American Older Adults in Adopting Habit Forming Activities to Address Depression.
Creator: Michel, Madeline, Ordóñez, María de los Ángeles, Florida Atlantic University, Christine E. Lynn College of Nursing
Abstract/Description: Depressive symptoms are one of the factors that can accelerate aging and may negatively affect cognitive status of older adults, rendering them dependent on caregivers as they age. In general, depression can be the catalyst of physical inactivity in older adults and a mediator of cardiovascular events, and mortality. Furthermore, depression can be linked with increased disability, chronic medical conditions, and stressful life events; hence, placing significant burden on patients, their...
Show moreDepressive symptoms are one of the factors that can accelerate aging and may negatively affect cognitive status of older adults, rendering them dependent on caregivers as they age. In general, depression can be the catalyst of physical inactivity in older adults and a mediator of cardiovascular events, and mortality. Furthermore, depression can be linked with increased disability, chronic medical conditions, and stressful life events; hence, placing significant burden on patients, their families, their communities, the economy, and the healthcare system. In South Florida, many older Haitian American (HA) adults living in our local community experience depression and lack of participation in routine physical and cognitive activities. Nurses routinely utilize a variety of nonpharmacological approaches and patient education interventions designed to reduce the negative impact of comorbid conditions, promote independence, and augment patients’ quality of life. The purpose of this paper is to address the need to develop a habit of engagement in regular physical and mental stimulation activities in older Haitian American adults, to highlight the best current evidence, and to provide a comprehensive description of this quality improvement project with recommendations for practice change. An analysis of the quantitative results, a thorough evaluation of the project, and a final critique with plans for future dissemination are also included.
Show less
Date Issued: 2019
PURL: http://purl.flvc.org/fau/fd/FA00007540
Format: Document (PDF)

Title: A Complementary and Integrative Care Educational Needs Assessment of Advanced Practice Registered Nurses in Outpatient Settings.
Creator: Glynn, Amanda L., Hain, Debra, Wilson, Candy, Florida Atlantic University, Christine E. Lynn College of Nursing
Abstract/Description: Deficits in patient and provider knowledge in the use of complementary and integrative care (CIC) methodologies resulted in the planned creation of a future CIC educational course for outpatient advanced practice registered nurse practitioners (APRNs) who often serve as a primary source of health education for their patients. A survey, which was based upon the Theory of Bureaucratic Caring and the Canadian Institutes of Health Research’s (CIHR) knowledge-to-action (KTA) cycle, and...
Show moreDeficits in patient and provider knowledge in the use of complementary and integrative care (CIC) methodologies resulted in the planned creation of a future CIC educational course for outpatient advanced practice registered nurse practitioners (APRNs) who often serve as a primary source of health education for their patients. A survey, which was based upon the Theory of Bureaucratic Caring and the Canadian Institutes of Health Research’s (CIHR) knowledge-to-action (KTA) cycle, and incorporated elements of the Complementary and Integrative Health Assessment for Practitioners (CIAHP) and the Complementary and Alternative Medicine Beliefs Inventory (CAMBI), was created to assess the CIC educational needs of APRNs employed in primary care/outpatient settings. Survey participants identified their preferred method of instruction, top areas of CIC topics of interest and occupational applicability, and preferences for CIC educational course design and delivery. A low ratio of survey respondents versus completion rate and the lack of participant occupational and demographical diversity were observed challenges. Survey data supported the need for the creation and implementation of a pending CIC educational course with a goal of mirroring the educational needs of advanced practice registered nurses.
Show less
Date Issued: 2023
PURL: http://purl.flvc.org/fau/fd/faudnp000098
Format: Document (PDF)

Title: A PEARLS Approach to Reducing Depression, Anxiety, and Loneliness in Underserved Populations.
Creator: Padron, Dayana, Florida Atlantic University, Christine E. Lynn College of Nursing
Abstract/Description: Problem: This project addresses the prevalent mental health disparities experienced by older adults in underserved rural areas. Depression, anxiety, and loneliness can be exacerbated by factors such as social isolation, significantly impacting this population's well-being. The implementation of the Program to Encourage Active and Rewarding Lives (PEARLS) aims to bridge the gap and improve mental health outcomes in these communities. Population: The participants for this project included four...
Show moreProblem: This project addresses the prevalent mental health disparities experienced by older adults in underserved rural areas. Depression, anxiety, and loneliness can be exacerbated by factors such as social isolation, significantly impacting this population's well-being. The implementation of the Program to Encourage Active and Rewarding Lives (PEARLS) aims to bridge the gap and improve mental health outcomes in these communities. Population: The participants for this project included four older adults over the age of 50 from the underserved rural communities of Belle Glade and Pahokee all of whom reported symptoms of depression, anxiety, and loneliness.
Show less
Date Issued: 2023
PURL: http://purl.flvc.org/fau/fd/faudnp000090
Format: Document (PDF)

Title: A Quality Improvement Project to Increase Pregnancy Assessment in Women Veterans of Childbearing Age by Mental Health Providers.
Creator: Samuels, Renee G., Florida Atlantic University, Christine E. Lynn College of Nursing
Abstract/Description: Purpose The purpose of this quality improvement project is to educate outpatient mental health providers at the West Palm Beach VA Healthcare System (WPBVHS) on the importance of pregnancy testing among women veterans of childbearing age (WVCBA) before prescribing psychotropic drugs (PDs) and to increase pregnancy testing to reduce maternal and fetal risks. Background There are significant maternal and fetal risks associated with using prescription psychotropic drugs during pregnancy...
Show morePurpose The purpose of this quality improvement project is to educate outpatient mental health providers at the West Palm Beach VA Healthcare System (WPBVHS) on the importance of pregnancy testing among women veterans of childbearing age (WVCBA) before prescribing psychotropic drugs (PDs) and to increase pregnancy testing to reduce maternal and fetal risks. Background There are significant maternal and fetal risks associated with using prescription psychotropic drugs during pregnancy including increased risk of gestational diabetes, congenital malformations, neural tube defects, craniofacial disorders, spontaneous abortion, preterm birth, low birth weight, and possible developmental delays and learning disabilities. Half of mental health providers in America prescribe women of childbearing age psychotropic drugs without testing for pregnancy.
Show less
Date Issued: 2023
PURL: http://purl.flvc.org/fau/fd/faudnp000088
Format: Document (PDF)

Title: A Well-Being Program Grounded in Caring: Increasing Staff Satisfaction.
Creator: Jasmin, Marie Rose S., Linette, Donna, Rotolo, Patrice, Florida Atlantic University, Christine E. Lynn College of Nursing
Abstract/Description: Over the last few decades, there has been a growing concern over the shortage and training of behavioral healthcare workers in the United States and more so over mental health workers' retention. Publicly funded mental health institutions have been the most affected by the high turnover rate of mental health staff, which increases operational costs by continually hiring and training new staff. Besides increasing health care costs, the high turnover rate creates an unstable work environment...
Show moreOver the last few decades, there has been a growing concern over the shortage and training of behavioral healthcare workers in the United States and more so over mental health workers' retention. Publicly funded mental health institutions have been the most affected by the high turnover rate of mental health staff, which increases operational costs by continually hiring and training new staff. Besides increasing health care costs, the high turnover rate creates an unstable work environment that negatively impacts the quality of care. However, when employees are empowered to do their job and care for themselves, they are more likely to experience overall satisfaction and be committed to their organization. Many authors suggest that providing ongoing training to help employees adapt to their daily routine and create a caring environment positively impacts job satisfaction and organizational commitment. Therefore, organizations must implement strategies to enhance employee work experience, satisfaction, and retention. This paper intends to present a unique evidence-based training strategy to improve mental health workers' caring behaviors and work experience. Analysis of this quality improvement project's quantitative results, its evaluation, and practice recommendations are addressed.
Show less
Date Issued: 2020
PURL: http://purl.flvc.org/fau/fd/faudnp000010
Format: Document (PDF)

Title: African Americans and Hypertension.
Creator: Erisme, Marie S., Florida Atlantic University, Christine E. Lynn College of Nursing
Abstract/Description: Purpose: Hypertension is a major concern in healthcare today, especially in African Americans. Causes of high blood pressure are multi-factorial and may include poor lifestyle choices, medication adherence, ineffective follow-up care and patient health care knowledge deficit. All aspects of blood pressure reduction are multifactorial, so they need to be addressed for adequate health control. Methods: The participants for this project included eight older adults ages 40-85 years in an Urban...
Show morePurpose: Hypertension is a major concern in healthcare today, especially in African Americans. Causes of high blood pressure are multi-factorial and may include poor lifestyle choices, medication adherence, ineffective follow-up care and patient health care knowledge deficit. All aspects of blood pressure reduction are multifactorial, so they need to be addressed for adequate health control. Methods: The participants for this project included eight older adults ages 40-85 years in an Urban African American church in Port Saint Lucie. This project aims to determine if a 3-month educational class that involves Dash diet, exercise planning, and antihypertensive adherence will improve blood pressure in African Americans.
Show less
Date Issued: 2023
PURL: http://purl.flvc.org/fau/fd/faudnp000091
Format: Document (PDF)

Title: An Evaluation of a Diabetes Self-Management Education Program in a Community Health Clinic.
Creator: Chetan, Daniela, Denny, Justine, Chadwell, Katherine, Florida Atlantic University, Christine E. Lynn College of Nursing
Abstract/Description: The incidence of uncontrolled diabetes among the adult population of the United States, especially individuals over 65 years, remains a critical issue and is on the rise. Florida is one of the most affected states with the largest population of adults ages 65 and older in the nation (FDAC, 2017). Adults within minority groups face the greatest hardships as they often do not have access to proper diabetes educational programs resulting in a higher prevalence of diabetes with a higher risk for...
Show moreThe incidence of uncontrolled diabetes among the adult population of the United States, especially individuals over 65 years, remains a critical issue and is on the rise. Florida is one of the most affected states with the largest population of adults ages 65 and older in the nation (FDAC, 2017). Adults within minority groups face the greatest hardships as they often do not have access to proper diabetes educational programs resulting in a higher prevalence of diabetes with a higher risk for developing diabetes-related complications (Ricci-Cabello et al., 2014). Diabetes is a chronic disease that requires a person to make a multitude of daily self-management decisions and perform complex care activities. Diabetes programs providing self-management education may be one of the solutions to addressing this problem, both nationally and locally. This project evaluated the effectiveness of the diabetes education program at the Cora E. Braynon Family Health Center, a community health clinic caring for underserved individuals. A total of 15 patients were followed throughout their participation in the program in June and July of 2019 for three months. Measurable outcomes for this program evaluation included participation in the program as evidenced by chart review, glycemic control by means of hemoglobin A1c measurements, self-management behaviors including diet, activity and exercise, and medication adherence by administering the Diabetes Self-Management Questionnaire (DSMQ) both pre- and post-participation in the program. Patient satisfaction with the program was measured using qualitative interview techniques. The interprofessional team members’ perception of the program was measured using a questionnaire based on the 10 ADA Diabetes Self-Management Education Standards as well as by qualitative interview. Alignment with the 2017 National Standards for Diabetes Self-Management Education and Support Curriculum Core Content Areas was measured by direct observation. After three months, 28% of the patients referred by their primary care provider attended both sessions in June, while 37% of patients referred attended the first session in July and 40.7% the second, meeting the set goal. After three months the following objectives were met: at least 15% of participants reported improvement in diet, activity and exercise, and medication adherence as compared to baseline scores on the DSMQ, 100% of patients and members of the interprofessional team reported satisfaction with the program, and 100% of the interprofessional team reported knowledge of the 2017 National Standards for Diabetes Self-Management Education. After three months, the following measured objectives were not met: only one participant reached the set goal of a 1% reduction in their recorded hemoglobin A1c levels, and during direct observation of program processes, only five of the eight standards from the 2017 National Standards for Diabetes Self-Management Education and Support Curriculum Core Content Areas were met. Core content areas of activity, healthy coping with psychosocial issues and problem solving, needed improvement. Such results support the push for the addition of a mental health counselor to the Care Coordination Team.
Show less
Date Issued: 2019
PURL: http://purl.flvc.org/fau/fd/FA00007527
Format: Document (PDF)

Title: Assessing Clinical Staff Willingness to Learn and Implement the FIES Scale in the Adult Psychiatric Setting.
Creator: Cheng, Emani A., Dixon, De-Shaunah, Pritchard, Kyndall, Florida Atlantic University, Christine E. Lynn College of Nursing
Abstract/Description: When treating and studying mental health we must identify all of the factors that play a role in mental stability. Basic needs such as access to water, food, and resources can play a significant role in mental stability and can increase or decrease the likelihood of triggering, exacerbating, or eradicating a mental illness. Human beings need their basic needs met in order to have a healthy foundation and tackle mental and medical disorders. Scholarly evidence shows a positive correlation...
Show moreWhen treating and studying mental health we must identify all of the factors that play a role in mental stability. Basic needs such as access to water, food, and resources can play a significant role in mental stability and can increase or decrease the likelihood of triggering, exacerbating, or eradicating a mental illness. Human beings need their basic needs met in order to have a healthy foundation and tackle mental and medical disorders. Scholarly evidence shows a positive correlation between food insecurity and moderate to high levels of psychological distress. Inadequate access to food increases the probability of disorders, psychotic breakthroughs and/or exacerbation of psychiatric illnesses. Individuals with mental health disorders are at risk for poor food security. The DNP project created and implemented for quality improvement assess clinicians’ willingness to implement the Food Insecurity Experience Survey (FIES) in an adult inpatient psychiatric stabilization and residential setting after the completion of an educational program. Project evaluation involved the Evidence-Based Practice Assessment Survey (EBPAS), a pre- and post-test surveys on FIES knowledge, and a post-test on the usefulness of the educational program. Analysis revealed significance improvements in the Openness, Appeal, and Requirements subscales of the EBPAS. Items on the pre- post-test survey on FIES knowledge were statistically significant. Likewise, the results revealed significant satisfaction with the educational program. Facilitators of the project concluded that the project outcomes illustrate the utility of an educational program on the implementation of FIES for food insecurity screening in mental health settings.
Show less
Date Issued: 2022
PURL: http://purl.flvc.org/fau/fd/faudnp000070
Format: Document (PDF)

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

Title: Breast Cancer Screening: Improving African American Women Access to Mammography Screening.
Creator: Reason, Fernanda, Jones, Tarsha, Wisdom-Chambers, Karen, Florida Atlantic University, Christine E. Lynn College of Nursing
Abstract/Description: Breast cancer (BrCa) is the most common cancer diagnosed in American women and the second leading cause of cancer-related death, making it a top public health priority. According to Yedjou et al. (2019), BrCa incidence is quite close between Black women (125.1/100,000) and White women (127.7/per 100,000) in the US, but Black women are 42% more likely to die from this disease, indicating a critical need to increase early detection among this population. The FAU-Northwest Community Health...
Show moreBreast cancer (BrCa) is the most common cancer diagnosed in American women and the second leading cause of cancer-related death, making it a top public health priority. According to Yedjou et al. (2019), BrCa incidence is quite close between Black women (125.1/100,000) and White women (127.7/per 100,000) in the US, but Black women are 42% more likely to die from this disease, indicating a critical need to increase early detection among this population. The FAU-Northwest Community Health Center Alliance's Community Health Center (CHC) is a Federally Qualified Health Center (FQHC) Look A Like that provides care to thousands of community members with financial disadvantages as well as other barriers, which limits access to care. This DNP project examined barriers to mammography completion among Black/AA women who received care at the CHC through a medical record review and survey. The medical record of Black women between ages 40-74 who were eligible to receive a mammogram revealed that only (57%) completed a mammogram within the past 4 years and even fewer completed a mammogram within the past 2 years (35%). After surveying a sample of these women (n=25), we found higher self-reported rates of mammography screening (80%) within the past 4 years and (68%) within the past 2 years. Participants reported perceived barriers and perceived benefits of mammography screening. Findings of this QI project showed multilevel influential factors work in combination to impact mammography compliance. For example, combined sociodemographic factors (age, education, family medical history, language, and insurance status) had significant impact on mammography completion (p=0.035). Additionally, an open-ended survey item, revealed these barriers: no insurance, age criteria for mammogram not met, Covid-19, lack of financial stability, fear of pain and exposure to mammography, and no current pain. Recommendations include strategies for improving Black/AA women access to mammography screening.
Show less
Date Issued: 2021
PURL: http://purl.flvc.org/fau/fd/faudnp000027
Format: Document (PDF)

Title: Call to Reduce Patient Readmissions Post-Kidney Transplant Through Improved Self-Care.
Creator: Beringhaus, Sonya L., Blum, Cynthia, Guerra, Giselle, Navitskaya, Sviatlana, Florida Atlantic University, Christine E. Lynn College of Nursing
Abstract/Description: The overwhelming number of hospital readmissions thirty days after kidney transplantation as well as the risk of further readmissions, graft failure, and even mortality, are not being given the appropriate time, attention, and intervention. The literature review shows a correlation between complications and a lack of education and understanding post-transplant. The literature review also revealed that there is a 50-75% mortality rate associated with early readmissions and that a substantial...
Show moreThe overwhelming number of hospital readmissions thirty days after kidney transplantation as well as the risk of further readmissions, graft failure, and even mortality, are not being given the appropriate time, attention, and intervention. The literature review shows a correlation between complications and a lack of education and understanding post-transplant. The literature review also revealed that there is a 50-75% mortality rate associated with early readmissions and that a substantial 50% of readmissions are preventable (Hogan et al., 2019, p. 1). To reduce complications necessitating readmissions, this doctoral project was created and designed to increase self-care knowledge post-kidney transplant in a group of patients receiving a transplant at the Miami Transplant Institute, a part of Jackson Memorial Health System. The project was designed in alignment with the Chronic Care Model and Mayeroff’s Ingredients of Caring to ensure promotion of a kind and patient environment conducive for learning for patients and their family members. Project approval was obtained from the Jackson Memorial Nursing Research Council, the chief nursing officers, Jackson Memorial Health System Research Department, as well as the advanced practice providers and management team at the Miami Transplant Institute. The purpose of this manuscript is to raise awareness of the significant need of education post-kidney transplant, review the literature and current recommendations, as well as provide a description of the quality improvement project and its implementation. The manuscript will also include a data analysis, project evaluation, recommendations for future practice and quality improvement projects, as well as a plan for future dissemination.
Show less
Date Issued: 2021
PURL: http://purl.flvc.org/fau/fd/faudnp000016
Format: Document (PDF)

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

Title: Community Breast Screening “Treasure Your Chest”.
Creator: Joji, Lovely, Love, Tamara, Kinlaw, Nakisha, Florida Atlantic University, Christine E. Lynn College of Nursing
Abstract/Description: Background: Cancer is the second leading cause of death in United States (CDC, 2019). It has a huge impact on our society. In 2019, an estimated 268,600 new cases of invasive breast cancer are expected to be diagnosed in women in the U.S., along with 62,930 new cases of non-invasive breast cancer (U.S. Breast Cancer Statistics, 2019). About 41,760 women in the U.S. are expected to die in 2019 from breast cancer. Early diagnosis of the disease can reduce the mortality significantly and promote...
Show moreBackground: Cancer is the second leading cause of death in United States (CDC, 2019). It has a huge impact on our society. In 2019, an estimated 268,600 new cases of invasive breast cancer are expected to be diagnosed in women in the U.S., along with 62,930 new cases of non-invasive breast cancer (U.S. Breast Cancer Statistics, 2019). About 41,760 women in the U.S. are expected to die in 2019 from breast cancer. Early diagnosis of the disease can reduce the mortality significantly and promote quality of life. Screening mammography has shown to reduce mortality from breast cancer in women 40-70years of age with increasing risk reduction with age. Purpose: This project evaluated “Treasure Your Chest”, a breast cancer screening program in a Community Health Center (CHC) to determine if the CHC met program goals of screening eligible women aged 50-74 yrs. during the given timeline. In addition to this, the purpose was also to identify perceived barriers to the breast screening program and process and to provide recommendations for future screening practices.
Show less
Date Issued: 2019
PURL: http://purl.flvc.org/fau/fd/FA00007537
Format: Document (PDF)

Title: Community-Based Approach to Promote Heart Healthy Behaviors in Hispanic Women.
Creator: Gonzalez, Yesenia, Chadwell, Katherine, Ortega, María de los Ángeles, Florida Atlantic University, Christine E. Lynn College of Nursing
Abstract/Description: The purpose of this Doctor of Nursing Practice (DNP), quality improvement (QI) project was to increase heart disease risk awareness while implementing healthy lifestyle behaviors in Hispanic women between the ages of 30-65. The literature presents that all women are at risk for cardiovascular disease (CVD); with ethnic minorities being disproportionally affected. Following recruitment, participants attended a weekly wellness program guided by the Pasos Adelante curriculum over a 12 week...
Show moreThe purpose of this Doctor of Nursing Practice (DNP), quality improvement (QI) project was to increase heart disease risk awareness while implementing healthy lifestyle behaviors in Hispanic women between the ages of 30-65. The literature presents that all women are at risk for cardiovascular disease (CVD); with ethnic minorities being disproportionally affected. Following recruitment, participants attended a weekly wellness program guided by the Pasos Adelante curriculum over a 12 week period. Lifestyle behaviors were assessed by using the Health Promoting Lifestyle Profile II (HPLP II) questionnaire, CV knowledge was assessed with a brief true or false questionnaire, and the Godin-Shephard Leisure Time Exercise Questionnaire (GSLTEQ) was used to measure physical activity. The results of this DNP project showed an increase in CVD risk knowledge and an increase in physical activity.
Show less
Date Issued: 2022
PURL: http://purl.flvc.org/fau/fd/faudnp000056
Format: Document (PDF)

Title: Consistent Caregivers’ Assignments in residents Suffering with Behavioral Psychiatric Symptoms in Dementia (BPSD).
Creator: Cijulus, Mara, Buie, Louise Aurélien, Caban, Jorge, Florida Atlantic University, Christine E. Lynn College of Nursing
Abstract/Description: Residents in long-term care settings with behavioral psychiatric symptoms in dementia (BPSD) are at increased risk of experiencing lower quality of life due to inconsistency in staff assignments. BPSD and inconsistent staff assignments affect residents' quality of life due to stress and anxiety experienced during activities of daily living (ADLs), interfering with caregiving and daily functioning. According to Brennan et al. (2017), “By minimizing the number of different staff who provide...
Show moreResidents in long-term care settings with behavioral psychiatric symptoms in dementia (BPSD) are at increased risk of experiencing lower quality of life due to inconsistency in staff assignments. BPSD and inconsistent staff assignments affect residents' quality of life due to stress and anxiety experienced during activities of daily living (ADLs), interfering with caregiving and daily functioning. According to Brennan et al. (2017), “By minimizing the number of different staff who provide care during a resident’s stay, consistent staff assignment promotes more resident-centered care and is thought to result in improved resident functioning and quality of life” (p. 851). There is an urgency for healthcare providers, administrators, and caregivers to address this problem. The purpose of this program evaluation project was to assess the effect of consistent caregivers’ assignments on residents in long-term care facilities exhibiting behavioral psychiatric symptoms of dementia (BPSD). This project was implemented at Brookdale Palm Beach Gardens and consisted of a convenience sample of residents from the memory care unit (N=21). Additionally, 19 caregivers were trained and assisted with the data collection using the Agitated Behavior in Dementia (ABID) scale for the nine-week duration of the intervention. Furthermore, an extensive review of medical records and medication administration records was completed to identify the frequency of psychotropic medications used to relieve BPSD. The descriptive statistics data were analyzed for nine- weeks using Intellectus statistics software program (2021). The descriptive statistics included means, standard deviation, and frequency distributions. The variables distribution is not considered to be asymmetrical about its means, and it is not markedly different than a normal distribution. The improvements that were seen throughout the program, though not statistically significant, should not be ignored; they can be promising for a similar future project.
Show less
Date Issued: 2023
PURL: http://purl.flvc.org/fau/fd/faudnp000097
Format: Document (PDF)

Title: Continued Support Following a Diabetes Self-Management Program on Adherence to Self-Management Behaviors, Distress Levels and Measurable Health Outcomes for Patients with Type II Diabetes Mellitus.
Creator: Stala, Olivia, Hain, Debra, Schroeder, Kristen, Florida Atlantic University, Christine E. Lynn College of Nursing
Abstract/Description: Type II diabetes mellitus (T2DM) is a complex and multifactorial disease that can negatively affect a person’s physical and mental health. This disease is rapidly becoming one of the worst healthcare problems in America as rates are predicted to increase by 54%, impacting more than 54.9 million, by the year 2030 (Rowley, et al., 2017). Therefore, it is imperative that the health care system focuses attention on evidence-based measures that can improve diabetes control and prevent disease...
Show moreType II diabetes mellitus (T2DM) is a complex and multifactorial disease that can negatively affect a person’s physical and mental health. This disease is rapidly becoming one of the worst healthcare problems in America as rates are predicted to increase by 54%, impacting more than 54.9 million, by the year 2030 (Rowley, et al., 2017). Therefore, it is imperative that the health care system focuses attention on evidence-based measures that can improve diabetes control and prevent disease-related complications. Providing in-depth diabetes self-management education and support (DSME/S) to patients is necessary for them to successfully manage their chronic illness at home. The following Doctor of Nursing Practice quality improvement project aimed to improve diabetes outcomes in the community in collaboration with a local hospital organization, Holy Cross Health, located in Fort Lauderdale, Florida. This evidence-based change in practice project involved the implementation of additional in-person follow-up education and support following the completion of a diabetes program. The education and support provided was based on program content and current evidence in diabetes management and treatment. An in-depth synthesis of current evidence on DSMP and DSME/S was utilized for this project. This paper outlines the steps involved in measuring the impacts of continued support following completion of a program on diabetes control. A data analysis is described involving paired samples t-test and mean differences between baseline and post-intervention for health outcome measurements of weight, waist circumference, self-reported fasting blood glucose, self-reported serum hemoglobin A1C levels. In addition, a Diabetes Self-Management Questionnaire (DSMQ) and a Diabetes Distress Scale (DDS) were utilized comparison measurement tools.
Show less
Date Issued: 2022
PURL: http://purl.flvc.org/fau/fd/faudnp000067
Format: Document (PDF)

Title: Decreasing Psychiatric ER Visits in Veterans Enrolled in Primary Care Home-Based Program.
Creator: Guedes, Jany L., Brennen, Marlene, Edouard, Christopher L., Florida Atlantic University, Christine E. Lynn College of Nursing
Abstract/Description: Geographical and health-related obstacles frequently prevent veterans from receiving care from civilian hospitals and the Veterans Health Administration. Due to poor patient education and lack of access to mental health care, many patients with serious mental health illnesses have no choice but to go to emergency care for mental health treatment that could be treated effectively in an outpatient setting. An initiative identifying the factors that lead veterans to the emergency room for...
Show moreGeographical and health-related obstacles frequently prevent veterans from receiving care from civilian hospitals and the Veterans Health Administration. Due to poor patient education and lack of access to mental health care, many patients with serious mental health illnesses have no choice but to go to emergency care for mental health treatment that could be treated effectively in an outpatient setting. An initiative identifying the factors that lead veterans to the emergency room for preventable mental health services has the potential to improve public health. Home-based mental health care can be provided in many modalities, including telehealth, video conferences, and in-person (face-to-face; In addition to eliminating transportation issues, improving access to mental health services, and reducing the stressors of waiting for appointments in outpatient clinics. The project was conducted with veterans enrolled in a home-based primary care program at a Southwest Region Hospital. A total of 15 male veterans between the ages of 55 and 85 agreed to participate. Six were African American (40 %), 5 were White (33 %), and four were Hispanic (26.6 %). A repeated measures ANOVA was conducted on PSS-10 scores. The main effect for the within-subjects factor was significant, F(3, 42) = 41.59, p < .001, indicating there were significant differences between the values of Pre-Intervention PSS-10 scores, Month 1 Pss-10 score Month 2 Pss-10 score, and Month 3 PSS-10 scores. A Repeated Measure ANOVA was conducted on Psych ER visits. The main effect for the within-subjects factor was significant, F(1, 14) = 93.04, p < .001, indicating significant differences between the values of Pre-intervention Psych ER visits and Month 3 Psych ER visits.
Show less
Date Issued: 2023
PURL: http://purl.flvc.org/fau/fd/faudnp000099
Format: Document (PDF)

Title: Diabetes Self-Management Program in African Americans.
Creator: Joseph, Angelique Orius, Mammah, Kyndall N., Duhaney, Michelle C., Florida Atlantic University, Christine E. Lynn College of Nursing
Abstract/Description: As the rate of diagnosed diabetes continues to increase in minority ethnic groups, especially African Americans (AA), the need to implement a diabetes self-care program for African Americans with type 2 diabetes was the purpose of that quality improvement project. The participants were recruited from Duhaney Medical, a private practice in Boca Raton, Florida. All the participants were current patients of Dr. Duhaney, the practice owner. The project lasted eight weeks and all communications...
Show moreAs the rate of diagnosed diabetes continues to increase in minority ethnic groups, especially African Americans (AA), the need to implement a diabetes self-care program for African Americans with type 2 diabetes was the purpose of that quality improvement project. The participants were recruited from Duhaney Medical, a private practice in Boca Raton, Florida. All the participants were current patients of Dr. Duhaney, the practice owner. The project lasted eight weeks and all communications happened via phone calls and emails. The participants received via email four different narrated PowerPoint presentations about diabetes. The Diabetes Knowledge Test (DKT) and the Diabetes Self-Management Questionnaire (DSMQ) were used to explore the participants’ knowledge and their diabetes self-management as it relates to glucose management, dietary control, physical activity, and healthcare use. The project started with 15 participants, but five withdrew. The age of the remaining ten participants (N=10) ranged from 32 to 75 years old, with more females (80%) than males (20%). The p-value for the DKT was 0.1879 and was not statistically significant. On the other hand, the DSMQ was statistically significant with a p-value of 0.0061. The mode of each item from the DSMQ were analyzed and the findings revealed that the participants understood and applied the appropriate activities for their diabetes self-care. Thus, the project proves that self-management programs are advantageous to patients’ well-being. As a result, more research should be conducted to reinforce the importance of diabetes self-management among AA while preparing the healthcare providers to facilitate that teaching.
Show less
Date Issued: 2022
PURL: http://purl.flvc.org/fau/fd/faudnp000044
Format: Document (PDF)

Title: DNP role in specialty care: starting an autonomous psychiatric practice in Miami using Electronic Health Record (EHR) technology.
Creator: Cioffi, George V., MacCaffrey, Ruth, Hernandez, Nelson D., Christine E. Lynn College of Nursing, Florida Atlantic University
Date Issued: 2012
PURL: http://purl.flvc.org/fcla/dt/3355951
Format: Document (PDF)

Title: Doctor of Nursing practice awareness: a public service announcement.
Creator: Buitrago, Rachael, Moore, Lisa, Murray, Donna, Christine E. Lynn College of Nursing, Florida Atlantic University
Date Issued: 2012
PURL: http://purl.flvc.org/fcla/dt/3355961
Format: Document (PDF)

Christine E. Lynn College of Nursing (129)	+ -
Florida Atlantic University (129)	+ -
Hain, Debra (13)	+ -
Bulfin, Susan (8)	+ -
Gordon, Shirley (7)	+ -

Harris, Nancy (7)	+ -
Longo, Joy (6)	+ -
Chadwell, Katherine (5)	+ -
Kelly, Tracian (5)	+ -
Love, Tamara (5)	+ -
Gropper, Sareen (4)	+ -
Chiang-Hanisko, Lenny (3)	+ -
Edwards, Karethy (3)	+ -
Hernández, María de los Ángeles Ortega (3)	+ -
Hershorin, Tracian Kelly (3)	+ -
Pritchard, Kyndall (3)	+ -
Wiese, Lisa (3)	+ -
Wisdom-Chambers, Karen (3)	+ -
Brennen, Marlene (2)	+ -
Chambers, Karen (2)	+ -
Dittman, Patricia (2)	+ -
Duhaney, Michelle (2)	+ -
Gordon, Shirley C. (2)	+ -
Harvey, Kathi (2)	+ -
Hawthorne, Dawn (2)	+ -
Heinze, Katherine (2)	+ -
Klause, Karin (2)	+ -
LaFrance, Herard (2)	+ -
Leavitt, Mary Ann (2)	+ -
Long, Sarah D. (2)	+ -

Search In

Pages

Pages

Sort Results By:

Narrow results by:

Collection

Type of Resource

Language

Creator