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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)

Title: Improving Nutrition in Adults with Hypertension.
Creator: Jenkins, Jennifer, Gropper, Sareen, Florida Atlantic University, Christine E. Lynn College of Nursing
Abstract/Description: Nutrition can play a significant role in health conditions especially diseases such as hypertension. Nutritional intake can positively or negatively affect blood pressure, and many authors have found impactful changes when proper diet is adhered. Individuals who follow DASH diet guidelines have especially made positive changes in blood pressure. This quality improvement project examined if DASH diet-based nutrition education in adults with hypertension improved dietary intakes of vegetables...
Show moreNutrition can play a significant role in health conditions especially diseases such as hypertension. Nutritional intake can positively or negatively affect blood pressure, and many authors have found impactful changes when proper diet is adhered. Individuals who follow DASH diet guidelines have especially made positive changes in blood pressure. This quality improvement project examined if DASH diet-based nutrition education in adults with hypertension improved dietary intakes of vegetables and fruits, and reduced sodium intake and blood pressure. This manuscript addresses this concern using current evidence by describing the steps taken in a quality improvement project at Community Health of South Florida, Inc. of South Florida. Results, evaluation, and recommendations are also included.
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Date Issued: 2019
PURL: http://purl.flvc.org/fau/fd/FA00007536
Format: Document (PDF)

Title: Improving Postpartum Depression Screening in African American Women Less than 35 years.
Creator: Phillips, Nikia, Chambers, Karen, Sajous, Farah, Florida Atlantic University, Christine E. Lynn College of Nursing
Abstract/Description: Background: Postpartum depression (PPD) is a devastating illness that can produce detrimental outcomes for mothers, families, and communities. Depression screening during the early postpartum period is essential as it assist health care providers in identifying “high-risk” cases of PPD, including women suffering from major depression, hallucinations, or suicidal thoughts (Couto et al., 2015). Postpartum depression is highest in African American (AA) women under the age of 35 years who are...
Show moreBackground: Postpartum depression (PPD) is a devastating illness that can produce detrimental outcomes for mothers, families, and communities. Depression screening during the early postpartum period is essential as it assist health care providers in identifying “high-risk” cases of PPD, including women suffering from major depression, hallucinations, or suicidal thoughts (Couto et al., 2015). Postpartum depression is highest in African American (AA) women under the age of 35 years who are single mothers, women who are victims of domestic violence and those who reside in under-resourced communities. Education on how to effectively screen for and treat PPD at the provider and community level is vital in combating the disparities in black maternal mental health. Objective: The purpose of this project is to implement a quality improvement project that will identify the lack of screening for PPD in AA women <35 years by healthcare providers, and educate and train clinical providers on how to effectively screen and diagnose PPD using a standardized screening tool during the early postpartum period of AA women < 35 yrs.
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Date Issued: 2023
PURL: http://purl.flvc.org/fau/fd/faudnp000085
Format: Document (PDF)

Title: Improving Referrals to a Diabetes Self-Management Education Program in a Primary Care Clinic.
Creator: Gomez, Stephanie, Wiese, Lisa, Florida Atlantic University, Christine E. Lynn College of Nursing
Abstract/Description: Despite the proven benefits and recommendations from the American Diabetes Association (ADA) to refer patients with type 2 diabetes to a diabetes self-management education (DSME) program, the referral rates to such programs by primary care providers (PCP) is considerably low. Only 6.8% of individuals with newly diagnosed type 2 diabetes with private health insurance have participated in DSME within 12 months of diagnosis, and only 4% of Medicare participants received DSME (Powers et al., 2020...
Show moreDespite the proven benefits and recommendations from the American Diabetes Association (ADA) to refer patients with type 2 diabetes to a diabetes self-management education (DSME) program, the referral rates to such programs by primary care providers (PCP) is considerably low. Only 6.8% of individuals with newly diagnosed type 2 diabetes with private health insurance have participated in DSME within 12 months of diagnosis, and only 4% of Medicare participants received DSME (Powers et al., 2020). The goal of this quality improvement project was to improve management of diabetes in primary care practice through increased awareness and engagement in DSME programs. The project was implemented at a metropolitan clinic in South Florida and included two PCP and their patients with a type 2 diabetes diagnosis. During an implementation phase, an educational session was given to each PCP with an intent to increase awareness on DSME, demonstrate its importance and recommendations by the ADA on its use, as well as educate on how and when to refer a patient with diabetes to a DSME program. Data were analyzed using descriptive statistics (percentages), and dependent sample t-test analyses. This quality improvement project resulted in improved post intervention DSME Questionnaire PCP scores, increased rates of referrals, increased rates of attendance to a DSME program and decreased HbA1c levels. These results demonstrate that an instructional intervention can positively influence PCP knowledge and standardized use of current evidence-based practice guidelines for treating adults with type 2 diabetes in a primary care setting.
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Date Issued: 2021
PURL: http://purl.flvc.org/fau/fd/faudnp000030
Format: Document (PDF)

Title: Improving Suicide Risk Assessment and Safety Plan Skills and Understanding through Education of Nursing Staff.
Creator: Palladino, Brittany, Edwards, Karethy, Avilus, Ursula, Florida Atlantic University, Christine E. Lynn College of Nursing
Abstract/Description: Background: Suicide ranks as the tenth leading cause of death in the United States. Those with substance use disorders face a 10-14 times higher risk of suicide The facility implemented nurse assisted suicide safety plans for patients at moderate or high risk of suicide on the initial Columbia Suicide Severity Rating Scale (C-SSRS). Based on nurses’ comments about the new implementation, it became evident that there was a knowledge gap and education may be able to improve the confidence and...
Show moreBackground: Suicide ranks as the tenth leading cause of death in the United States. Those with substance use disorders face a 10-14 times higher risk of suicide The facility implemented nurse assisted suicide safety plans for patients at moderate or high risk of suicide on the initial Columbia Suicide Severity Rating Scale (C-SSRS). Based on nurses’ comments about the new implementation, it became evident that there was a knowledge gap and education may be able to improve the confidence and knowledge of nursing staff. Purpose: The DNP project aimed to assist licensed nurses at the project site in enhancing their expertise, understanding and competence in the implementation of suicide safety planning. The suicide safety plan utilized by the facility helps patients identify personal coping strategies and people who can help in times of suicidality and crisis.
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Date Issued: 2023
PURL: http://purl.flvc.org/fau/fd/faudnp000080
Format: Document (PDF)

Title: Improving the Health of Patients with Non-alcoholic Fatty Liver Disease By Engaging Providers to Implement Evidence-based Nutrition: The Mediterranean Diet.
Creator: DiNetta, Andrea, Gordon, Shirley, Matthews-D’Avanzo, Andi, Florida Atlantic University, Christine E. Lynn College of Nursing
Abstract/Description: Non-alcoholic fatty liver disease (NAFLD) is a hidden epidemic that is rising to alarming levels worldwide. With no definitive guidelines established for treating this disease, many providers resort to advising their patients to “lose weight” without specific dietary guidance. Providers are lacking the education and tools needed to implement evidence-based treatment that already exists in peer reviewed research. The Mediterranean Diet (MedDiet) is one such evidence-based treatment that can be...
Show moreNon-alcoholic fatty liver disease (NAFLD) is a hidden epidemic that is rising to alarming levels worldwide. With no definitive guidelines established for treating this disease, many providers resort to advising their patients to “lose weight” without specific dietary guidance. Providers are lacking the education and tools needed to implement evidence-based treatment that already exists in peer reviewed research. The Mediterranean Diet (MedDiet) is one such evidence-based treatment that can be implemented in a healthcare setting. The goal of this project is to reduce the morbidity associated with NAFLD by giving providers the tools necessary to implement the MedDiet as a specific treatment modality in clinical practice. The project leader evaluated the impact of a MedDiet educational program on providers in their clinical practice and on improving their knowledge, confidence, and ability to manage patients at risk for or diagnosed with NAFLD. The educational program was implemented at a small primary care clinic using a PowerPoint presentation and a brochure on the MedDiet created by the project leader for providers to administer to patients. Results from a questionnaire administered before and after the program revealed providers improved their clinical practice regarding nutritional guidance and providing specific recommendations to their patients on adopting the MedDiet. Furthermore, providers marked increased knowledge, confidence, and ability to manage patients at risk for or diagnosed with NAFLD. The results of this project suggest that providers lack knowledge on the MedDiet and intervening with an educational program increased providers’ ability to implement the MedDiet with their patients.
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Date Issued: 2021
PURL: http://purl.flvc.org/fau/fd/faudnp000018
Format: Document (PDF)

Title: Improving the Management of Hypertension in African American Males and Females Between the Ages of 40 and 80.
Creator: Clercy, Micheline, Hershorin, Tracian Kelly, LaFrance, Herard, Florida Atlantic University, Christine E. Lynn College of Nursing
Abstract/Description: Background: Hypertension (HTN) is one of the leading causes of death in the United States. It is an all too common disease that goes unnoticed and untreated until it is too late. African American adults suffer from uncontrolled hypertension at a disproportionate rate when compared to their Caucasian or Latinx counterparts, and hypertension continues to be a persistent issue within a primary care setting when dealing with this population. Purpose: This Doctor of Nursing Practice (DNP) project...
Show moreBackground: Hypertension (HTN) is one of the leading causes of death in the United States. It is an all too common disease that goes unnoticed and untreated until it is too late. African American adults suffer from uncontrolled hypertension at a disproportionate rate when compared to their Caucasian or Latinx counterparts, and hypertension continues to be a persistent issue within a primary care setting when dealing with this population. Purpose: This Doctor of Nursing Practice (DNP) project assesses the effectiveness of combating hypertension by giving participants the knowledge to improve their condition, continually monitoring blood pressure, and providing counseling at various follow-up sessions. The primary goal of this project was to decrease the blood pressure of all participants and increase participants’ education on how to better manage their condition.
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Date Issued: 2022
PURL: http://purl.flvc.org/fau/fd/faudnp000062
Format: Document (PDF)

Title: In Adults with Depression and/or Anxiety, The Effect of Cognitive Behavioral Therapy (CBT) Focused on The Improvement Of Insomnia And Its Impact On Anxiety, Depression, And Sleep Quality.
Creator: Goraya, Muhammad R., PetitHomme, Edna, Florida Atlantic University, Christine E. Lynn College of Nursing
Abstract/Description: Sleep disorders can affect the length and subjective quality of sleep (insomnia). Numerous research studies have investigated how insomnia affects sadness and anxiety. Nowadays, the term "insomnia" is typically used to describe a disorder in which patients have trouble falling asleep and have difficulties functioning throughout the day. People may not even get enough sleep, or their sleep may not be of high quality. Thus, to gauge the efficacy of insomnia treatments, sleep quality should be...
Show moreSleep disorders can affect the length and subjective quality of sleep (insomnia). Numerous research studies have investigated how insomnia affects sadness and anxiety. Nowadays, the term "insomnia" is typically used to describe a disorder in which patients have trouble falling asleep and have difficulties functioning throughout the day. People may not even get enough sleep, or their sleep may not be of high quality. Thus, to gauge the efficacy of insomnia treatments, sleep quality should be measured (Ferini‐Strambi, 2021). Numerous studies have consistently demonstrated that achieving a healthy sleep length and quality can have a positive impact on a wide range of other health outcomes and metrics. Finding and treating the root causes of short sleep durations and poor sleep quality is worthwhile. While it has been demonstrated that enhancing sleep habits can improve assessments of many of these disorders, inadequate sleep has been linked to heart troubles and other metabolic difficulties (Loredo, 2006). For instance, getting continuous positive airway pressure (CPAP) therapy for sleep apnea can enhance the quality of a person's sleep, reduce their risk of developing metabolic and cardiovascular conditions, and stop people with prediabetes from becoming clinical diabetes.
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Date Issued: 2023
PURL: http://purl.flvc.org/fau/fd/faudnp000092
Format: Document (PDF)

Title: Incorporating Spirituality to Improve Self-Management of Chronic Diseases.
Creator: Burden, Margaret A., Florida Atlantic University, Christine E. Lynn College of Nursing
Abstract/Description: Chronic disease affects over 51% of Americans and often results in emotional, financial, and spiritual distress. Additionally, the exorbitant cost of managing chronic disease is creating a significant burden on healthcare systems. Self-management, which is crucial to disease outcome includes lifestyle changes and adherence to treatment regime. However, these lifestyle changes often cause emotional and physical struggles for those diagnosed with chronic disease. Spirituality is recognized as a...
Show moreChronic disease affects over 51% of Americans and often results in emotional, financial, and spiritual distress. Additionally, the exorbitant cost of managing chronic disease is creating a significant burden on healthcare systems. Self-management, which is crucial to disease outcome includes lifestyle changes and adherence to treatment regime. However, these lifestyle changes often cause emotional and physical struggles for those diagnosed with chronic disease. Spirituality is recognized as a source of support to alleviate stress and anxiety and provide the individual with the strength to make sense of the experience and move forward with their lives. The aim of this quality improvement project is to determine if a 10-week spiritual health education program enhances adults’ ability to self-manage their chronic disease. The education program included weekly bible devotionals and discussions on adapting healthy living including exercises and mindfulness meditation. The spiritual health education intervention sessions were provided online via Zoom and in-person. Participants were recruited from community churches. Inclusion criteria: English-speaking, adults (older than 18 years), with at least one chronic condition. All participants were asked to complete the Spiritual Needs Questionnaire (SpNQ) and the Self-Management Assessment Scale (SMASc). Paired samples t-tests were conducted to evaluate differences in participants SpNQ and SMASc scores pre and post receiving the spiritual education sessions. Significant differences were found between the test-retest scores on the SMASc questionnaire. A chi-square test was used to evaluate differences in the SMASc scores between virtual and in-person groups. There were no significant differences found in the test-retest SMASc scores. Additionally, differences were not found on the SpNQ scores between participants who received the education sessions online or in-person. The findings from this project can easily and cost-effectively be implemented in multiple, accessible locations.
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Date Issued: 2023
PURL: http://purl.flvc.org/fau/fd/faudnp000083
Format: Document (PDF)

Christine E. Lynn College of Nursing (132)	+ -
Florida Atlantic University (131)	+ -
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)	+ -

Document (PDF) (130)	+ -
Citation (3)	+ -

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