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Title: Implementing a Physical Wellness Program in Spanish in a Primary Care Setting.
Creator: Preciado, Heather, Florida Atlantic University, Christine E. Lynn College of Nursing
Abstract/Description: This paper presents a Quality Improvement project aimed at increasing physical activity in Hispanic patients aged 45 to 55, through a Get Active program with the goal of reducing the risk of cardiovascular disease (CVD). The project involves implementing a bi-weekly physical activity session as well as a Zoom session to increase activity as well awareness surrounding CVD prevention. The project's outcomes will inform medical staff on how to create more Zoom sessions to help patients implement...
Show moreThis paper presents a Quality Improvement project aimed at increasing physical activity in Hispanic patients aged 45 to 55, through a Get Active program with the goal of reducing the risk of cardiovascular disease (CVD). The project involves implementing a bi-weekly physical activity session as well as a Zoom session to increase activity as well awareness surrounding CVD prevention. The project's outcomes will inform medical staff on how to create more Zoom sessions to help patients implement a physical exercise program. A total of twenty-five participants were eligible to participate, and only 8 took part in the study. This initiative has the potential to make a significant impact on public health by reducing the incidence of CVD among the Hispanic population.
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Date Issued: 2023
PURL: http://purl.flvc.org/fau/fd/faudnp000093
Format: Document (PDF)

Title: Implementing Evidence-Based Practice in the Psychiatric Setting: The Use of Nursing Situation Exemplars.
Creator: Peltier, Roland G., Bulfin, Susan, Florida Atlantic University, Christine E. Lynn College of Nursing
Abstract/Description: The purpose of this paper is to illustrate a Doctor of Nursing Practice Project through the implementation of a structured quality improvement project, designed to increase the use of evidence-based practice (EBP) among psychiatric nurses in a metropolitan acute care setting. An increase in understanding and use of EBP was achieved by comparing data obtained from pre-implementation and post-implementation surveys designed to seek attitudes toward, knowledge of, and use of EBP in a psychiatric...
Show moreThe purpose of this paper is to illustrate a Doctor of Nursing Practice Project through the implementation of a structured quality improvement project, designed to increase the use of evidence-based practice (EBP) among psychiatric nurses in a metropolitan acute care setting. An increase in understanding and use of EBP was achieved by comparing data obtained from pre-implementation and post-implementation surveys designed to seek attitudes toward, knowledge of, and use of EBP in a psychiatric setting. This evidence-based proposal is aligned with the Christine E. Lynn College of Nursing’s caring philosophy and the call for using evidence-based information to inform nursing practice.
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Date Issued: 2021
PURL: http://purl.flvc.org/fau/fd/faudnp000040
Format: Document (PDF)

Title: Implementing KDIGO Guidelines into Primary Care Practice.
Creator: Laucella, Oniel D., Hain, Debra, Florida Atlantic University, Christine E. Lynn College of Nursing
Abstract/Description: Chronic kidney disease (CKD) affects millions globally, often remaining undiagnosed until reaching advanced stages. Early detection, especially in high-risk populations such as those with diabetes, hypertension, or a family history of CKD, is critical for improving outcomes (National Kidney Foundation, 2020). Diabetes is the leading cause of CKD, followed by hypertension, and screening for microalbuminuria is an effective, low-cost method for early detection. This Doctor of Nursing Practice ...
Show moreChronic kidney disease (CKD) affects millions globally, often remaining undiagnosed until reaching advanced stages. Early detection, especially in high-risk populations such as those with diabetes, hypertension, or a family history of CKD, is critical for improving outcomes (National Kidney Foundation, 2020). Diabetes is the leading cause of CKD, followed by hypertension, and screening for microalbuminuria is an effective, low-cost method for early detection. This Doctor of Nursing Practice (DNP) project sought to improve healthcare providers' knowledge, attitude, and practices (KAP) regarding CKD screening and management by implementing newly released Kidney Disease: Improving Global Outcomes (KDIGO, 2024) clinical practice guidelines in the primary care setting. The project was conducted at the HANDS Clinic where eight providers who had direct patient care participated. It utilized educational tools, including an audio-video presentation, a mobile app, and infographic posters, to support protocol adoption and promote evidence-based screening. Providers completed pre- and post-intervention questionnaires during a six-week period to assess changes in KAP. Results showed significant improvements in providers' understanding of CKD risk factors and screening criteria and increased confidence in managing at-risk patients. These findings suggest that structured screening protocols, supported by educational resources, can positively impact provider-driven preventive care, leading to earlier CKD detection and improved patient outcomes. This project serves as a model for primary and community health clinics to enhance health promotion and disease prevention for individuals at risk of CKD (Bello et al., 2019). The project supported Healthy People 2030 goals by increasing diabetic kidney screening, raising awareness of CKD, and reducing disease burden. It also aligned with Triple Aim initiatives by improving care quality, reducing costs, and promoting better health outcomes in the diabetic population.
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Date Issued: 2024
PURL: http://purl.flvc.org/fau/fd/faudnp000108
Format: Document (PDF)

Title: Improved recognition process using the Anaphylaxis Rapid Screening Tool (ARST).
Creator: Sanabria, Jessica, Harris, Nancy, Roman Laporte, Roberto, Florida Atlantic University, Christine E. Lynn College of Nursing
Abstract/Description: Anaphylaxis is a rapid-onset, severe life-threatening allergic reaction. With as many as 1 in 20 adults experiencing anaphylaxis in their lifetime, it is imperative that the condition can be recognized quickly and accurately. It was identified that there was no consistent manner in which patients seeking treatment were evaluated. Therefore, with the intention to increase awareness of symptoms and introduce a standardized screening process. Over an eight week period, any patient presenting to...
Show moreAnaphylaxis is a rapid-onset, severe life-threatening allergic reaction. With as many as 1 in 20 adults experiencing anaphylaxis in their lifetime, it is imperative that the condition can be recognized quickly and accurately. It was identified that there was no consistent manner in which patients seeking treatment were evaluated. Therefore, with the intention to increase awareness of symptoms and introduce a standardized screening process. Over an eight week period, any patient presenting to the urgent care was screened using the Anaphylaxis Rapid Screening Tool (ARST) . 17 Urgent care staff members willing participated in the intervention which included use of the ARST, the Anaphylaxis Case Scenario (pre- and post-) Test, and the East of Use and Confidence Questionnaire. Results: 47% of the staff demonstrated an increase in post-test scores; no staff member scored worse on post-test. 93-100% of staff verbalized ease of use of tool, increased confidence in ability to recognize symptoms of anaphylaxis, and the tool helped them to recognize other signs and symptoms of anaphylaxis. Total patient sample requiring screening was 117. Screening compliance rate of 32.5%. Limitations: small sample size (both of staff and patients screened), short project duration period, limited to a single urgent care location. Recommendation: expand the number of sites implementing the intervention for a minimum of a 12-month period in order to further evaluate outcomes.
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Date Issued: 2019
PURL: http://purl.flvc.org/fau/fd/FA00007546
Format: Document (PDF)

Title: Improvement of Diabetes Knowledge, Management, and Self-Efficacy in Haitian Patients with Type 2 Diabetes Through Utilization of a PowerPoint Presentation: A Quality Improvement Project.
Creator: Noel, Alexandra, Dittman, Patricia, Duhaney, Michelle, Florida Atlantic University, Christine E. Lynn College of Nursing
Abstract/Description: Background: The prevalence of Type 2 diabetes is substantially significant in the United States and has been this way for several years. Diabetes is a complex, chronic disease that, without proper control, may result in avoidable complications. Once the diagnosis of diabetes is made, it is critical to establish clear treatment goals on increasing knowledge, self-efficacy and enhancing self-care. Implementing a program that supports self-care strategies for adults with diabetes to help achieve...
Show moreBackground: The prevalence of Type 2 diabetes is substantially significant in the United States and has been this way for several years. Diabetes is a complex, chronic disease that, without proper control, may result in avoidable complications. Once the diagnosis of diabetes is made, it is critical to establish clear treatment goals on increasing knowledge, self-efficacy and enhancing self-care. Implementing a program that supports self-care strategies for adults with diabetes to help achieve optimal health outcomes. For US adults aged 18 years or older the prevalence of diagnosed diabetes in non-Hispanic blacks is 12.1% which is the second highest (CDC,2019). Purpose: The purpose of this study is to determine if a PowerPoint presentation in Haitian Creole on diabetes self-management will improve self-efficacy, diabetes knowledge and management among Haitian patients with type 2 diabetes. Methods: In this pre‐post prospective design study, 13 participants with type 2 diabetes recruited from a primary care clinic in Boca Raton, FL were asked to complete a survey called the Diabetes Self‐Management Questionnaire (DSMQ), after which they attended a face‐to‐face or virtual PowerPoint presentation done in Haitian Creole with an optional 1‐hour discussion session. Following the class, they completed the same self‐management questionnaire with 2 additional investigator‐developed questions regarding class benefit. Results: Paired sample t tests were performed to compare the pretest to posttest scores on the DSMQ questionnaire which showed statistically significant improvement. Conclusion: The study found a perceived benefit in a self-management educational class in Haitian Creole for Haitian patients with type 2 diabetes.
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Date Issued: 2022
PURL: http://purl.flvc.org/fau/fd/faudnp000046
Format: Document (PDF)

Title: Improvement of foot care knowledge and behaviors of diabetic patients.
Creator: Huffman, Samantha, Mammah, Kyndall, Carter, Kelsey, Florida Atlantic University, Christine E. Lynn College of Nursing
Abstract/Description: In the United States over 37 million people have diabetes. The condition damages blood vessels and tissues leading to peripheral neuropathy and impaired wound healing. The loss of protective sensation associated with diabetes can prevent patients from recognizing when they have a wound or some other kind of skin damage present. Delayed identification of wounds in a diabetic patient can have dangerous consequences, most notable amputation of the affected body part. In fact, diabetes is the...
Show moreIn the United States over 37 million people have diabetes. The condition damages blood vessels and tissues leading to peripheral neuropathy and impaired wound healing. The loss of protective sensation associated with diabetes can prevent patients from recognizing when they have a wound or some other kind of skin damage present. Delayed identification of wounds in a diabetic patient can have dangerous consequences, most notable amputation of the affected body part. In fact, diabetes is the strongest influence in non-traumatic lower extremity amputations. The purpose of this project was to increase patient knowledge of proper foot-care as well as improve foot self-care behaviors at home. The project team members sought to achieve this by implementing a standardized patient education program for diabetic patients in addition to performing a diabetic foot exam (DFE) with the patient in the primary care setting. The education sessions included verbal and written instruction that were developed using the American Diabetes Association (ADA) proper foot care guidelines. After the implementation of the project, scores on both the basic diabetes foot-care questionnaire and the diabetes foot self-care behavior scale (DFSBS) increased.
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Date Issued: 2023
PURL: http://purl.flvc.org/fau/fd/faudnp000077
Format: Document (PDF)

Title: Improving Adherence among Hispanic Adults with Type II Diabetes: A Culturally Sensitive Self-Management Program.
Creator: Murillo, Beatrice Arozarena, Hernández, María de los Ángeles Ortega, Gunawardene, Shariffa, Florida Atlantic University, Christine E. Lynn College of Nursing
Abstract/Description: Low health literacy can lead to a lack of disease perception or understanding of one’s disease process, treatment plan, and state of health, which could potentially lead to nonadherence, further health disparities, and poor health outcomes (Hugtenburg et al., 2013). The purpose of this project was to evaluate whether an online platform that provides Hispanic patients with evidence based and culturally sensitive diabetic education and support in the form of a video, would improve adherence and...
Show moreLow health literacy can lead to a lack of disease perception or understanding of one’s disease process, treatment plan, and state of health, which could potentially lead to nonadherence, further health disparities, and poor health outcomes (Hugtenburg et al., 2013). The purpose of this project was to evaluate whether an online platform that provides Hispanic patients with evidence based and culturally sensitive diabetic education and support in the form of a video, would improve adherence and health outcomes. Upon the completion of the 3-month program that consisted of bi-weekly check-ins, results showed that there were overall improvements in the participants’ fasting blood glucose, systolic and diastolic blood pressure, body mass index, Diabetes Self-Management Questionnaire (DSMQ) scores, and A1C.
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Date Issued: 2022
PURL: http://purl.flvc.org/fau/fd/faudnp000066
Format: Document (PDF)

Title: Improving Assessment and Management of COPD.
Creator: Hanaway, Kevin P., Eggenberger, Terry, Florida Atlantic University, Christine E. Lynn College of Nursing
Abstract/Description: Chronic Obstructive Pulmonary Disease (COPD) is the fourth leading cause of death in the United States. In 2014 approximately 142,000 individuals in the U.S. died from COPD (Office of Disease Prevention & Health Promotion, Healthy People 2020). The Global Obstructive Lung Disease Initiative (GOLD) (2019) provides evidence-based practice (EBP) guidelines for diagnosing, managing, and treating Chronic Obstructive Pulmonary Disease (COPD). This Doctor of Nursing Practice (DNP) quality...
Show moreChronic Obstructive Pulmonary Disease (COPD) is the fourth leading cause of death in the United States. In 2014 approximately 142,000 individuals in the U.S. died from COPD (Office of Disease Prevention & Health Promotion, Healthy People 2020). The Global Obstructive Lung Disease Initiative (GOLD) (2019) provides evidence-based practice (EBP) guidelines for diagnosing, managing, and treating Chronic Obstructive Pulmonary Disease (COPD). This Doctor of Nursing Practice (DNP) quality improvement project used best practice recommended by GOLD (2019) to improve assessment of COPD by use of the Chronic Obstructive Pulmonary Disease Assessment Test (CAT). The implementation process for using the CAT was guided by a conceptual framework called the Transtheoretical Model (TTM) (Prochaska & DiClemente, 1983; Prochaska, DiClemente, & Norcross, 1992) to initiate change. The underlying philosophical foundation for this project was from Nursing as Caring (NAC) envisioned by Boykin and Schoenhofer (1993). The use of the CAT Score recognized the experience of symptoms by COPD patients and then allowed providers to follow GOLD (2019) guidelines and enabled best practice in the management of pharmacotherapy for COPD patients. 174 patients who had a diagnosis of COPD at a pulmonary practice were administered that CAT before an office visit over three months. The use of the CAT for patients with COPD demonstrated that the board-certified pulmonologists at a pulmonary practice adhered to GOLD (2019) guidelines in their plans of care for patients with COPD. Given the CAT measures eight quality of life items related to COPD, the CAT result allowed providers to follow the evidencebased practice (EBP) found in GOLD (2019) and to demonstrate NAC.
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Date Issued: 2019
PURL: http://purl.flvc.org/fau/fd/FA00007535
Format: Document (PDF)

Title: Improving Behavioral and Psychological Symptoms and Cognitive Status of Participants with Dementia through the Use of Toy Interactive Pets.
Creator: Streit, Bryanna
Abstract/Description: Background: In the US, one in three older adults die with Alzheimer’s or related dementia (Gaugler et al., 2019). Currently, there is no cure for the rapidly growing burden, but there are pharmacological treatments to manage the symptoms, which lead to numerous side effects (Kales et al., 2015). Method: We tested the effectiveness of a non-pharmacological toy interactive pet (TIP) in improving mood/behavior and cognition among twelve persons with mild-severe dementia attending an adult day...
Show moreBackground: In the US, one in three older adults die with Alzheimer’s or related dementia (Gaugler et al., 2019). Currently, there is no cure for the rapidly growing burden, but there are pharmacological treatments to manage the symptoms, which lead to numerous side effects (Kales et al., 2015). Method: We tested the effectiveness of a non-pharmacological toy interactive pet (TIP) in improving mood/behavior and cognition among twelve persons with mild-severe dementia attending an adult day center (ADC) over 12 visits. Mood/behavioral symptoms were assessed using the Alzheimer’s Disease and Related Dementias Mood Scale (AD-RD), Observed Emotion Rating Scale (OERS), and the Cornell Scale for Depression in Dementia (CSDD). Cognition was assessed via Mini Mental State Examination (MMSE). Paired-sample t-tests, Pearson’s correlation, repeated measures t-test, and a post-intervention qualitative inquiry were used to examine the significance of TIP. Results: All mood scores improved over time, with two showing significance: OERS (M = 73.7/SD=9.6); conditions t(11) = -19.18, p<.001, and CSDD (M = 8.8/SD = 7.2); conditions t(11) = 4.12, p=.002. Over half (0.67%) scored higher on the MMSE post-test than the pre-test: M =10.7(SD = 5.5) and M =12.2(SD=7.1), respectively. Participants stroked and spoke often to their pets. Several family members reported participants sleeping with their pet following the program’s conclusion.
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Date Issued: 2019
PURL: http://purl.flvc.org/fau/fd/FAUIR000378
Format: Document (PDF)

Title: Improving Blood Pressure Control through Self-Measured Blood Pressure Monitoring.
Creator: Davis, Mary K., Dittman, Patricia, Mendez, Jessica, Florida Atlantic University, Christine E. Lynn College of Nursing
Abstract/Description: Uncontrolled hypertension can negatively affect a person’s overall health. Therefore, it is crucial that health care providers understand evidence-based measures that can improve hypertension control. The following Doctor of Nursing Practice project aimed to help improve hypertension outcomes in a community health clinic in West Palm Beach, Florida. The purpose of this paper is to highlight the impact of self-measured blood pressure monitoring (SMBP) as a self-management support strategy and...
Show moreUncontrolled hypertension can negatively affect a person’s overall health. Therefore, it is crucial that health care providers understand evidence-based measures that can improve hypertension control. The following Doctor of Nursing Practice project aimed to help improve hypertension outcomes in a community health clinic in West Palm Beach, Florida. The purpose of this paper is to highlight the impact of self-measured blood pressure monitoring (SMBP) as a self-management support strategy and discuss the outcomes of an educational intervention in a small community population. Along with a synthesis of current evidence on SMBP, this paper outlines the processes involved in measuring the effects of SMBP education on hypertension control. A data analysis involving mean differences between baseline and follow up blood pressure measurements, along with a paired samples t-test describing the differences between two week and 12 week post-intervention data is described. An evaluation of the project’s overall success and a discussion of implications for future practice are included as well.
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Date Issued: 2021
PURL: http://purl.flvc.org/fau/fd/faudnp000017
Format: Document (PDF)

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

Title: Improving Eating Habits in Adults with Type 2 Diabetes: An experience with FOOD.
Creator: Noyan-Lue, Christine, Christine E. Lynn College of Nursing, Florida Atlantic University
Date Issued: 2018
PURL: http://purl.flvc.org/fau/fd/FAUIR000359
Format: Citation

Title: Improving Hemoglobin A1c Using the 4 Steps to Manage Your Diabetes for Life.
Creator: Murray, Brittany, Longo, Joy, Florida Atlantic University, Christine E. Lynn College of Nursing
Abstract/Description: Diabetes is the seventh leading cause of death in the U.S. where 1.5 million Americans are diagnosed each year. This evidence-based quality improvement project showed the effects of diabetes self-management education on lowering hemoglobin A1c levels and improving self-management behaviors. Education from the National Diabetes Education Program using the 4 Steps to Manage Your Diabetes for Life booklet along with follow up phone calls, a pre and post- Diabetes Self-Management Questionnaire...
Show moreDiabetes is the seventh leading cause of death in the U.S. where 1.5 million Americans are diagnosed each year. This evidence-based quality improvement project showed the effects of diabetes self-management education on lowering hemoglobin A1c levels and improving self-management behaviors. Education from the National Diabetes Education Program using the 4 Steps to Manage Your Diabetes for Life booklet along with follow up phone calls, a pre and post- Diabetes Self-Management Questionnaire were administered to twelve participants at the clinic. Descriptive statistics and a paired sample T-test were used to analyze data on the hemoglobin A1c and the Diabetes Self-Management Questionnaire. The results showed there was a decrease in the A1c from an average of 10.9 (1.14) on the pre-test to 9.0 (1.74) on the post-test [t(11) = 3.56, p=0.004]. There was an increase in the score from pre to post-test of the Diabetes Self-Management Questionnaire from an average of 30.3 (5.99) on the pre-test to 36.5 (4.68) on the post-test, indicating an increase in knowledge and self-management [t(11) = -2.46, p=0.031]. It is recommended that the 4 Steps to Manage Your Diabetes for Life be used in practice in order to help lower the hemoglobin A1c levels.
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Date Issued: 2019
PURL: http://purl.flvc.org/fau/fd/FA00007541
Format: Document (PDF)

Title: Improving HgbA1c and Overall Insulin Resistance for Patients with Type II Diabetes: Evaluating the Effectiveness of a Whole-Food, Plant-Based Diet.
Creator: Seegott, Jennifer, Gordon, Shirley C., Harvey, Kathi, Florida Atlantic University, Christine E. Lynn College of Nursing
Abstract/Description: The purpose of this Doctor of Nursing Practice (DNP), quality improvement project was to assist participants in the management of their type 2 diabetes through the use an evidencebased Whole-Food, Plant-Based (WFPB) diet approach. The project described the effectiveness of individual WFPB instruction and counseling. Following recruitment, the participant attended weekly dietary counseling sessions focused on incorporating a WFPB diet over a 6-week period. The participant completed the 16-item...
Show moreThe purpose of this Doctor of Nursing Practice (DNP), quality improvement project was to assist participants in the management of their type 2 diabetes through the use an evidencebased Whole-Food, Plant-Based (WFPB) diet approach. The project described the effectiveness of individual WFPB instruction and counseling. Following recruitment, the participant attended weekly dietary counseling sessions focused on incorporating a WFPB diet over a 6-week period. The participant completed the 16-item food intake questionnaire (16-FIQ) pre- and post-dietary counseling along with HgbA1c measurements during the project period. Post dietary counseling resulted in an increase in the participant’s HgbA1c from 8.1% to 8.9%, but the participants showed significant health behavior change as measured in the pre- and post-intervention 16 FIQ. The participant chose less animal-based products and substituted plant-based food choices post dietary counseling. Even though the participant’s HgbA1c showed no improvement, the participant demonstrated increase awareness regarding daily dietary decisions resulting in an increase in plant-based food consumption. Knowledge gained will be used to improve treatment recommendations for persons receiving care for type 2 diabetes at a volunteer primary care clinic in Southeast Florida.
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Date Issued: 2019
PURL: http://purl.flvc.org/fau/fd/FA00007547
Format: Document (PDF)

Title: Improving Hypertension: Engagement in a Walking Exercise Program in a Primary Care Setting.
Creator: Favareto, Ana, LaFrance, Herard, Edwards, Karethy, Florida Atlantic University, Christine E. Lynn College of Nursing
Abstract/Description: Background: Hypertension (HTN) is a very common, undertreated, and costly disease. Despite effective treatment strategies available, uncontrolled hypertension remains a persistent problem in the primary care setting. Purpose: The purpose of this Doctor of Nursing Practice (DNP) project was to assess the effectiveness of a walking exercise program (WEP) on blood pressure in adults diagnosed with uncontrolled hypertension in a primary care setting. Goals were targeted to decrease blood pressure...
Show moreBackground: Hypertension (HTN) is a very common, undertreated, and costly disease. Despite effective treatment strategies available, uncontrolled hypertension remains a persistent problem in the primary care setting. Purpose: The purpose of this Doctor of Nursing Practice (DNP) project was to assess the effectiveness of a walking exercise program (WEP) on blood pressure in adults diagnosed with uncontrolled hypertension in a primary care setting. Goals were targeted to decrease blood pressure, decrease BMI, and increase physical activity. Methods: Using Bandura’s Social Cognitive theory as a framework, a walking exercise was offered at a primary care clinic, to assess the effectiveness of exercise in reducing blood pressure. Fourteen (N=14) participants enrolled and completed the 8-week program. Blood pressure and body mass index (BMI) were measured prior to intervention (pre), 4-weeks after (mid), and at 8 weeks (post). Participants were given a pedometer to calculate steps walked daily, and a paper log for blood pressure and steps recording. Results/Interpretations: Systolic blood pressure (SBP) was significantly reduced (p=.001). Diastolic blood pressure (DBP) also had a statistically significant reduction (p=.049). BMI was also significantly reduced (p=.037) when compared to pre intervention. Implication: This quality improvement (QI) project showed that the implementation of a walking exercise program in a primary care setting can lead to significant improvements in blood pressure management.
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Date Issued: 2019
PURL: http://purl.flvc.org/fau/fd/FA00007531
Format: Document (PDF)

Title: Improving Intimate Partner Violence Screening in Primary Care.
Creator: Simionie, Amanda, Harris, Nancy, Klause, Karin, Florida Atlantic University, Christine E. Lynn College of Nursing
Abstract/Description: Intimate partner violence (IPV) is a global health problem affecting millions of individuals. The purpose of this DNP project is to compare current IPV practices and recommend use of an IPV screening tool into practice along with staff education to improve screening practices in primary care. The overall goal is to increase screening of IPV in primary care, which rates are currently very low throughout the nation. To achieve this goal a quality improvement project was conducted with...
Show moreIntimate partner violence (IPV) is a global health problem affecting millions of individuals. The purpose of this DNP project is to compare current IPV practices and recommend use of an IPV screening tool into practice along with staff education to improve screening practices in primary care. The overall goal is to increase screening of IPV in primary care, which rates are currently very low throughout the nation. To achieve this goal a quality improvement project was conducted with participants at a local clinic in Fort Pierce. The staff and providers received a PowerPoint and verbal presentation, which focused on the ability to identify IPV. They received a pre-intervention survey and a post intervention survey at the completion of the presentation. They were also given information on referrals and resources for patients identified with IPV. 54% of providers responded that they do not currently screen for IPV. Participants showed that they would in the future use a screening tool in practice. They also showed a significant change in perceptions after the intervention. Providers also felt that they do have time to screen for IPV in the future and thus resulting in practice change.
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Date Issued: 2022
PURL: http://purl.flvc.org/fau/fd/faudnp000051
Format: Document (PDF)

Title: Improving Knowledge and Decreasing Blood Pressures with a Tailored Education Program on Lifestyle in Blacks in an Underserved Population.
Creator: Richards, Shannon, Edwards, Karethy, Florida Atlantic University, Christine E. Lynn College of Nursing
Abstract/Description: According to Moss et al (2018), Hypertension (HTN) is a major cause of the disproportionately high rates of coronary heart disease, stroke, heart failure, and chronic kidney disease. For African-Americans, high blood pressure also develops earlier in life and is usually more severe (American Heart Association, 2016). HTN is worth being addressed because it is a very serious disease that can become a silent killer to all. This doctoral project addresses a specific need of a tailored education...
Show moreAccording to Moss et al (2018), Hypertension (HTN) is a major cause of the disproportionately high rates of coronary heart disease, stroke, heart failure, and chronic kidney disease. For African-Americans, high blood pressure also develops earlier in life and is usually more severe (American Heart Association, 2016). HTN is worth being addressed because it is a very serious disease that can become a silent killer to all. This doctoral project addresses a specific need of a tailored education program about HTN, a healthy diet aligned with the DASH diet and exercise in the underserved population. The intention of this paper is to improve participants’ hypertension knowledge, DASH diet adherence, and participation in physical activity to decrease blood pressures, and to provide a comprehensive description of this quality improvement project with recommendations for practice change. This project was implemented through telehealth due to the current pandemic of COVID 19.
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Date Issued: 2020
PURL: http://purl.flvc.org/fau/fd/faudnp000013
Format: Document (PDF)

Title: Improving knowledge and self-care behaviors in patients diagnosed with hypertension in the primary care clinic setting: A Quality Improvement Project.
Creator: Chacko, Leslie, Leavitt, Mary Ann, Lizano, Steve, Florida Atlantic University, Christine E. Lynn College of Nursing
Abstract/Description: “Out of the 17 million global deaths per year that result from cardiovascular disease, 9.4 million are due to hypertension” (Zinat Motlagh et al., 2016). Hypertension is a chronic disease that has been a major public health concern, leading to further complications including stroke, cardiovascular, and kidney disease. The purpose of this QI project was to both better comprehend hypertension management in the primary care setting and improve patient self-care behaviors. The participants for...
Show more“Out of the 17 million global deaths per year that result from cardiovascular disease, 9.4 million are due to hypertension” (Zinat Motlagh et al., 2016). Hypertension is a chronic disease that has been a major public health concern, leading to further complications including stroke, cardiovascular, and kidney disease. The purpose of this QI project was to both better comprehend hypertension management in the primary care setting and improve patient self-care behaviors. The participants for this project were recruited from a list of patients selected after reviewing patient charts along with the community leader. Those patients who were previously diagnosed with hypertension were specifically selected. The survey used to assess the patients was the The Hypertension Self-Care Activity Level Effects (H SCALE), which assesses the six prescribed self-care activities recommended by the JNC7: adherence to medication, weight loss or maintenance of ideal body weight, adoption of a low-salt diet, regular physical activity for 30 minutes most days of the week, limiting alcohol intake, and ceasing tobacco use.” (Warren-Findlow & Seymour, 2011). A total of nine individuals participated in this project over the span of three months. Post intervention scores for majority of the participants (88.8%) revealed an overall decrease in blood pressure readings post intervention.
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Date Issued: 2022
PURL: http://purl.flvc.org/fau/fd/faudnp000074
Format: Document (PDF)

Title: Improving Medication Adherence for Chronic Hypertension through Education and Self-Management Support: A Quality Improvement Project.
Creator: Hoyumpa, Rebecca H., D’Avolio, Deborah, Duhaney, Michelle, Florida Atlantic University, Christine E. Lynn College of Nursing
Abstract/Description: In the primary care setting, management of hypertension is the most common reason for office visits (Basile & Bloch, 2020). Uncontrolled hypertension accounts for 76% of persons with hypertension (CDC, 2020). This quality improvement (QI) project was conducted to improve medication adherence through education and self-management support in the management of chronic hypertension in a private family practice site in southeast Florida. The project addressed this by utilizing the Health Literacy...
Show moreIn the primary care setting, management of hypertension is the most common reason for office visits (Basile & Bloch, 2020). Uncontrolled hypertension accounts for 76% of persons with hypertension (CDC, 2020). This quality improvement (QI) project was conducted to improve medication adherence through education and self-management support in the management of chronic hypertension in a private family practice site in southeast Florida. The project addressed this by utilizing the Health Literacy Universal Precautions Toolkit, 2nd Edition (Agency for Healthcare Research and Quality [AHRQ], 2015a) to frame evidence-based interventions. UpToDate (Basile & Bloch, 2020) was utilized to provide patient education materials on hypertension, patient specific medications and home blood pressure monitoring. The conceptual framework was guided by the Health Literate Care Model (HLCM) (Koh et al., 2013a) systems approach scaffolded with Orem’s Self-Care Deficit Nursing Theory and underpinned with the Theory of Nursing as Caring.
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Date Issued: 2020
PURL: http://purl.flvc.org/fau/fd/faudnp000009
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.
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Date Issued: 2021
PURL: http://purl.flvc.org/fau/fd/faudnp000033
Format: Document (PDF)

Christine E. Lynn College of Nursing (149)	+ -
Florida Atlantic University (148)	+ -
Hain, Debra (14)	+ -
Harris, Nancy (9)	+ -
Bulfin, Susan (8)	+ -

Gordon, Shirley (7)	+ -
Kelly, Tracian (7)	+ -
Longo, Joy (6)	+ -
Chadwell, Katherine (5)	+ -
Love, Tamara (5)	+ -
Gropper, Sareen (4)	+ -
Mammah, Kyndall (4)	+ -
Wisdom-Chambers, Karen (4)	+ -
Chiang-Hanisko, Lenny (3)	+ -
Edwards, Karethy (3)	+ -
Hernández, María de los Ángeles Ortega (3)	+ -
Hershorin, Tracian Kelly (3)	+ -
Ortega, María de los Ángeles (3)	+ -
Pritchard, Kyndall (3)	+ -
Wiese, Lisa (3)	+ -
Brennen, Marlene (2)	+ -
Chambers, Karen (2)	+ -
De la Cerda, Jodie (2)	+ -
Dittman, Patricia (2)	+ -
Duhaney, Michelle (2)	+ -
Eggenberger, Terry (2)	+ -
Gordon, Shirley C. (2)	+ -
Harvey, Kathi (2)	+ -
Hawthorne, Dawn (2)	+ -
Heinze, Katherine (2)	+ -

Document (PDF) (147)	+ -
Citation (3)	+ -

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