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- Title
- African Americans and Hypertension.
- Creator
- Erisme, Marie S., Florida Atlantic University, Christine E. Lynn College of Nursing
- Abstract/Description
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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
- 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
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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
- 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
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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
- SHARED approach to lessen ER readmissions of Substance use disorder (SUD) with BRIDGE program.
- Creator
- Hamilton, Losarnia, Kelly, Tracian, Cordero, Nelson, Florida Atlantic University, Christine E. Lynn College of Nursing
- Abstract/Description
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Substance use disorders (SUD) are associated with an excessive number of hospital and emergency room visits, as well as noncompliance with medical guidance. Many low-barrier substance abuse treatment bridge clinics are hospital-based outpatient operations that are not licensed as opioid treatment facilities (OTPs). The aim of this quality improvement project is to reduce ER readmissions for patients suffering from substance abuse disorders. Improvements were seen in patients after three...
Show moreSubstance use disorders (SUD) are associated with an excessive number of hospital and emergency room visits, as well as noncompliance with medical guidance. Many low-barrier substance abuse treatment bridge clinics are hospital-based outpatient operations that are not licensed as opioid treatment facilities (OTPs). The aim of this quality improvement project is to reduce ER readmissions for patients suffering from substance abuse disorders. Improvements were seen in patients after three months of participation in the provided BRIDGE program using the shared technique. The Agency for Healthcare Research and Quality's (AHRQ) SHARE Approach to Decision-Making assists healthcare clinicians in partnering with patients to make the best decision possible for them. The frequent emergency room visits by people suffering from SUD inspired our project. The DNP student visited with SUD patients in the ED and engaged in collaborative decision-making with them. This project aims to educate individuals who visit the Broward Health Medical Center emergency room about the importance of a substance abuse treatment program. Nonparametric statistics were utilized to determine the extent to which the individual was active in the decision-making process. Descriptive statistics were used to describe the participants who consented and refused to participate in the BRIDGE Program, as well as to calculate the percentage of participants who agreed to participate in the BRIDGE Program and whether any of them were readmitted during the program.
Show less - Date Issued
- 2023
- PURL
- http://purl.flvc.org/fau/fd/faudnp000100
- 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
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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.
Show less - Date Issued
- 2023
- PURL
- http://purl.flvc.org/fau/fd/faudnp000077
- Format
- Document (PDF)
- Title
- Evaluation of Geriatric Education and Interprofessional Collaboration in Healthcare Practice: Identifying Opportunities to Improve Care for Older Adults.
- Creator
- Jarrin, Tatiana, Florida Atlantic University, Christine E. Lynn College of Nursing
- Abstract/Description
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Background Interprofessional collaboration and knowledge of how to care for older adults are important components of high-quality care for a multitude of healthcare disciplines. The aging population presents unique challenges to healthcare professionals, and education on how to care for older adults can equip them with the knowledge and skills needed to provide optimal care. Florida Atlantic University’s (FAU) Office of Interprofessional Education and Practice (IPE&P) designed a Foundational...
Show moreBackground Interprofessional collaboration and knowledge of how to care for older adults are important components of high-quality care for a multitude of healthcare disciplines. The aging population presents unique challenges to healthcare professionals, and education on how to care for older adults can equip them with the knowledge and skills needed to provide optimal care. Florida Atlantic University’s (FAU) Office of Interprofessional Education and Practice (IPE&P) designed a Foundational Level Program which includes the Canvas modules for IPEP 2022-2023 and the Senior Adult Geriatric Educator (SAGE) visits. This program is an example of an academic initiative that aims to improve interprofessional collaboration among healthcare professionals regarding education and assessment of the aging population. Aim This program evaluation aimed to examine the current SAGE Mentor program that is presented through Florida Atlantic University’s Office of Interprofessional Education and Practice and to evaluate whether students who participated experienced enhanced competency upon completion of this Foundational Level Program.
Show less - Date Issued
- 2023
- PURL
- http://purl.flvc.org/fau/fd/faudnp000089
- Format
- Document (PDF)
- Title
- Program Evaluation of Bereavement Services within a Community Hospice.
- Creator
- Klein, Abigail, Chadwell, Katherine, Bang, Carla, Florida Atlantic University, Christine E. Lynn College of Nursing
- Abstract/Description
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In the aftermath of the Covid-19 pandemic, bereavement and grief have become two widely used terms in modern day society. The terms are often used interchangeably to describe a feeling of deep sorrow felt after the loss of a loved one. Often it can be difficult for individuals to cope with the loss of a loved one, and it is estimated that 20% of bereaved individuals will experience complicated grief (NAMI, 2021). Complicated grief, often referred to as a prolonged grief disorder, can be...
Show moreIn the aftermath of the Covid-19 pandemic, bereavement and grief have become two widely used terms in modern day society. The terms are often used interchangeably to describe a feeling of deep sorrow felt after the loss of a loved one. Often it can be difficult for individuals to cope with the loss of a loved one, and it is estimated that 20% of bereaved individuals will experience complicated grief (NAMI, 2021). Complicated grief, often referred to as a prolonged grief disorder, can be defined in several ways. Today, the most widely accepted definition of complicated grief is grief that persists for longer than one year and significantly interrupts an individuals’ ability to complete daily functions (Cleveland Clinic, 2022). Each year, there are roughly 2.6 million deaths in the US alone, leaving behind approximately 13 million individuals (about twice the population of Arizona) to grieve (U.S. Census, 2021). A study conducted in 2019, surveyed 1,084 US adults and found that 32% had experienced grief following the death of a loved one in the past three years (The Grief Experience, 2019). Furthermore, of U.S. adults over the age of 65, 71% reported experiencing bereavement in the previous 30 months (Williams & Sawyer, 2017).
Show less - Date Issued
- 2023
- PURL
- http://purl.flvc.org/fau/fd/faudnp000096
- Format
- Document (PDF)
- Title
- Screening, Education, and Counseling to Address the Obesity Epidemic in Pediatric and Adolescent Populations.
- Creator
- Lanter, Sophie, Heinze, Katherine, Gambino, Paul, Florida Atlantic University, Christine E. Lynn College of Nursing
- Abstract/Description
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Childhood and adolescent obesity are significant public health concerns in the United States, with about 19% of children and adolescents aged 2-19 years being obese. Obesity is associated with several health risks, including type 2 diabetes, cardiovascular disease, and mental health issues. However, in many families there is a significant knowledge deficit in terms of risks and prevention for childhood and adolescent obesity. This Doctor of Nursing Practice project aims to address the gap in...
Show moreChildhood and adolescent obesity are significant public health concerns in the United States, with about 19% of children and adolescents aged 2-19 years being obese. Obesity is associated with several health risks, including type 2 diabetes, cardiovascular disease, and mental health issues. However, in many families there is a significant knowledge deficit in terms of risks and prevention for childhood and adolescent obesity. This Doctor of Nursing Practice project aims to address the gap in knowledge and awareness of childhood and adolescent obesity by implementing a screening, education, and counseling program within the Primary care setting. The project identified overweight and obese young adults between the ages of 12-21 years old, as well as providing education and counseling about co-morbid conditions. A 4-point Likert scale, created by the project leader, was given to participants to assess their baseline knowledge at the beginning of the project. Throughout the duration of the project, we worked to provide participants with strategies necessary for healthy lifestyle modification. The project utilized evidence-based interventions to help the participants learn how to adopt healthier habits, in an effort to increase knowledge about childhood/adolescent obesity, its subsequent co-morbidities, and the importance of continual screening, education, and counseling. The same 4-point Likert scale was given to participants as a post-study comparison. At the conclusion of the program, paired sample t-tests and Wilcoxon signed rank tests were used to analyze study data. The paired samples t-test and Wilcoxon signed rank test showed a significant reduction in BMI over the course of the project; furthermore, physical activity, understanding of balanced nutrition, and health food knowledge significantly increased over the course of the project. The implementation of this project has the potential to increase education, awareness, and may improve health outcomes. Future studies designed to empower families and healthcare providers with knowledge and tools to prevent and manage childhood and adolescent obesity, have the potential to make strides towards a healthier and more equitable society.
Show less - Date Issued
- 2023
- PURL
- http://purl.flvc.org/fau/fd/faudnp000078
- Format
- Document (PDF)
- Title
- Education, Screening, and Follow Up to Reduce Obstructive Sleep Apnea in a Prison Reentry Residential Community.
- Creator
- Lazcano, Amanda, Wiese, Lisa, Hain, Debra, Florida Atlantic University, Christine E. Lynn College of Nursing
- Abstract/Description
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Obstructive sleep apnea affects an estimated 936 million people worldwide (Pivetta, 2021). Untreated OSA can lead to adverse metabolic, cardiovascular, and neurocognitive consequences, possibly reducing one’s lifespan. Education and screening can spread awareness among a community which typically has limited access to resources and may promote early recognition and treatment. In a Christian-based prison reentry residential community, a pre-test survey was provided to a total sample of 19...
Show moreObstructive sleep apnea affects an estimated 936 million people worldwide (Pivetta, 2021). Untreated OSA can lead to adverse metabolic, cardiovascular, and neurocognitive consequences, possibly reducing one’s lifespan. Education and screening can spread awareness among a community which typically has limited access to resources and may promote early recognition and treatment. In a Christian-based prison reentry residential community, a pre-test survey was provided to a total sample of 19 participants to measure baseline knowledge of OSA. After administration of the pre-survey, education was provided in a group setting, using a detailed brochure the DNP student created. After participants read through the material and questions were answered, the post-survey was administered to measure if knowledge regarding OSA increased. Screening using the STOP-Bang questionnaire occurred after the post-surveys. The DNP student followed up with participants found to be at high risk for OSA patients over a 3-month period. A 37% of participants scored high risk for OSA, 37% scored intermediate risk, and 26% scored low risk. The p-value calculated to measure pre-and-post OSA knowledge using the survey total score was statistically significant (< .001.). Of the seven total participants who scored high risk, two were newly diagnosed with OSA after referral to a PCP for a sleep study with the help of the telephonic phone sessions. Education and screening demonstrated to be beneficial, resulting in positive outcomes. Project partakers were successfully able to define OSA, list risk factors, and describe how to diagnose and treat the condition. Participants who were newly diagnosed, previously diagnosed, or refused the sleep study managed to adjust modifiable risk factors over the summer such as weight loss, diet, and management of chronic conditions.
Show less - Date Issued
- 2023
- PURL
- http://purl.flvc.org/fau/fd/faudnp000079
- 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
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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.
Show less - Date Issued
- 2023
- PURL
- http://purl.flvc.org/fau/fd/faudnp000092
- Format
- Document (PDF)
- Title
- Self- care & Burnout Amongst Emergency Room Nurses.
- Creator
- Oliver, Abigail, Harris, Nancy, Florida Atlantic University, Christine E. Lynn College of Nursing
- Abstract/Description
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This project will examine Self-care and Burnout amongst Emergency Room (ER) Nurses. This Quality Improvement (QI) project will be conducted at a 26-bed emergency room in a Southeast Florida hospital over 4 weeks. The Maslach Burnout Inventory-Human Services Survey (MBI-HSS) by Mind Garden will be administered to nurses pre and post intervention. The intervention will consist of a self-care health promotion presentation that provides information regarding the importance of self-care, self-care...
Show moreThis project will examine Self-care and Burnout amongst Emergency Room (ER) Nurses. This Quality Improvement (QI) project will be conducted at a 26-bed emergency room in a Southeast Florida hospital over 4 weeks. The Maslach Burnout Inventory-Human Services Survey (MBI-HSS) by Mind Garden will be administered to nurses pre and post intervention. The intervention will consist of a self-care health promotion presentation that provides information regarding the importance of self-care, self-care tips and examples of implementing these activities in their daily practice. The Maslach Burnout Inventory (MBI) was developed as a research instrument to assess burnout using three dimensions: Emotional Exhaustion, Depersonalization and reduced personal accomplishment. Each participant will be given a link to sign on and complete the Maslach Burnout Inventory by Mind Garden prior to the health promotion presentation and 3 weeks after pre-and post-assessment MBI HSS results. Data was collected from 9 participants. Data was collected in Excel and the data analysis was conducted using Intellectus Statistics (2023). Upper-tailed paired samples t-tests were conducted to examine whether emergency room nurses reported decreases in Emotional Exhaustion and Depersonalization from pretest to posttest. Likewise, a lower-tailed paired sample t-test was used to examine the increase in personal achievements from pretest to posttest. There were decreases in feelings of depersonalization and increases in personal accomplishments were noted after the self-promotion presentation. Self-care may be a simple, cost-effective tool to reduce nurse burnout and promote retention.
Show less - Date Issued
- 2023
- PURL
- http://purl.flvc.org/fau/fd/faudnp000101
- 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
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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
- 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
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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.
Show less - Date Issued
- 2023
- PURL
- http://purl.flvc.org/fau/fd/faudnp000080
- 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
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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.
Show less - Date Issued
- 2023
- PURL
- http://purl.flvc.org/fau/fd/faudnp000085
- Format
- Document (PDF)
- 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
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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.
Show less - Date Issued
- 2023
- PURL
- http://purl.flvc.org/fau/fd/faudnp000093
- Format
- Document (PDF)
- Title
- Gaining Insight into the Experiences of Women with Premenstrual Dysphoric Disorder and Improving Outcomes.
- Creator
- Reyes, Margaret M., Florida Atlantic University, Christine E. Lynn College of Nursing
- Abstract/Description
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Premenstrual symptoms have the potential to impact all women of reproductive age. Roughly 70-90% of women experience some level of premenstrual discomfort, while 3-8% experience the most severe, complex form, PMDD (Mishra, Elliot, and Marwaha, 2022). PMDD symptomatology is complex, and therefore overlaps with other diagnoses, which has complicated the diagnostic process. There is a growing body of evidence to support that PMDD has been misdiagnosed or disregarded, and stigmatized by providers...
Show morePremenstrual symptoms have the potential to impact all women of reproductive age. Roughly 70-90% of women experience some level of premenstrual discomfort, while 3-8% experience the most severe, complex form, PMDD (Mishra, Elliot, and Marwaha, 2022). PMDD symptomatology is complex, and therefore overlaps with other diagnoses, which has complicated the diagnostic process. There is a growing body of evidence to support that PMDD has been misdiagnosed or disregarded, and stigmatized by providers, and improvements are needed in both the education about the diagnostic process, as well as the diagnostic process itself. The purpose of this quality improvement project was to improve the quality of the assessment, diagnosis, and management of PMDD, and gain insight into the lived experiences from those living with the disorder as well as insight into the management of the disorder from clinicians. The populations of interest were menstruating females, age 18-45, documented history of mood instability or mood changes, in addition to treating clinicians at an outpatient psychiatric clinic. Practice changes that were implemented were as follows: implementation of the premenstrual symptoms screening tool (Appendix A) within the medical record; creation and distribution of informative/educational pamphlet/PDF for clinicians about PMDD diagnosis, assessment and treatment (Appendix B); creation and distribution of likert and open ended survey to measure perception of patients regarding diagnostic process, treatment and care overall; creation and distribution of likert and open ended survey to measure perception of clinicians regarding the use of the tool and how it affected their clinical decision making. Outcomes focused on screening practices and results, documentation in the medical record, engagement, and patient perception. Data was analyzed using clinical record reviews, interviews, Likert-type scales, and coding. Descriptive statistics were used to describe the population, and pre/post intervention changes. Relevant insight was gained on the knowledge gap and under recognition of Women's Health disorders such as PMDD and on screening practices. The project was successful in improving knowledge base of PMDD in both patients and clinicians. The limitations focused on patients’ engagement in the survey on follow up, as well as clinician engagement in the project overall. To further improve the diagnostic process, increase education and reduce stigma, future research may focus on improving engagement of clinicians and patients, and/or assessing current screening practices or treatment regimens for PMDD.
Show less - Date Issued
- 2023
- PURL
- http://purl.flvc.org/fau/fd/faudnp000081
- Format
- Document (PDF)
- Title
- Gaining Insight into the Experiences of Women with Premenstrual Dysphoric Disorder (PMDD) and Improving Outcomes.
- Creator
- Reyes, Margaret Mary, Hain, Debra, Bhatia, Padam, Florida Atlantic University, Christine E. Lynn College of Nursing
- Date Issued
- 2023
- PURL
- http://purl.flvc.org/fau/fd/faudnp000102
- 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
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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
- Educational Intervention to Increase Knowledge of Compassion Fatigue among Interprofessional Staff and Improve BPSD.
- Creator
- Smith-Hector, Janet, Kelly, Tracian, Ortega. Maria de los Angeles, Florida Atlantic University, Christine E. Lynn College of Nursing
- Abstract/Description
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Caring for chronically ill patients, such as those suffering from dementia, can have a significant impact on the stress levels of healthcare professionals. Healthcare professionals are often physically and mentally affected by the stress experienced in their jobs, which may result in compassion fatigue. Compassion fatigue negatively affects healthcare providers, patients, and healthcare organizations. Current guidelines encourage education with self-care strategies to prevent or decrease the...
Show moreCaring for chronically ill patients, such as those suffering from dementia, can have a significant impact on the stress levels of healthcare professionals. Healthcare professionals are often physically and mentally affected by the stress experienced in their jobs, which may result in compassion fatigue. Compassion fatigue negatively affects healthcare providers, patients, and healthcare organizations. Current guidelines encourage education with self-care strategies to prevent or decrease the effects of compassion fatigue. This quality improvement project aimed to increase knowledge of compassion fatigue among the interprofessional staff at an adult daycare and improve clients' behavioral and psychological symptoms of dementia (BPSD). Within a six-week timeframe, a one-time educational intervention about compassion fatigue and mitigation strategies was implemented. Participants completed a preintervention ProQOL5 assessment and pre- and post-intervention surveys of knowledge about compassion fatigue. Although the sample was small and the time was short, analysis of the quantitative data showed significant improvement in knowledge about compassion fatigue post-intervention. The results of the ProQOL5 also demonstrated differences in compassion satisfaction and compassion fatigue among participants based on demographics. There were no documented changes in the BPSD of the clients who attended the adult daycare. It was recommended that new and current staff education about compassion fatigue be incorporated into the training programs. Future projects should include larger sample sizes, more extended periods of study time, and methods for tracking BPSD symptoms.
Show less - Date Issued
- 2023
- PURL
- http://purl.flvc.org/fau/fd/faudnp000082
- Format
- Document (PDF)
- Title
- Quality Improvement: Post-Partum Depression Screening Rates and Patient Perception of Knowledge Assessment.
- Creator
- Steele, Kylie, Longo, Joy, Gershman, Elise, Florida Atlantic University, Christine E. Lynn College of Nursing
- Abstract/Description
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Purpose: The purpose of this project is to implement the American College of Obstetricians and Gynecologists (ACOG) recommendations regarding postpartum depression (PPD) screenings, while also providing education on the topic itself to create a PPD assessment program. By doing so we will 1) Monitor the percentage of patients who are able to receive the PPD screenings as recommended by ACOG, and 2) assess the change of the patient’s perception of PPD knowledge during the postpartum period...
Show morePurpose: The purpose of this project is to implement the American College of Obstetricians and Gynecologists (ACOG) recommendations regarding postpartum depression (PPD) screenings, while also providing education on the topic itself to create a PPD assessment program. By doing so we will 1) Monitor the percentage of patients who are able to receive the PPD screenings as recommended by ACOG, and 2) assess the change of the patient’s perception of PPD knowledge during the postpartum period compared to the antepartum period. Methods: The Edinburgh Postpartum Depression Screening (EPDS) tool will be utilized to screen the risk of the expecting mothers at the first visit, the last visit. A PPD perception of knowledge assessment tool was designed to assess the patient’s knowledge regarding the topic which will be measured through a 5-point Agreement Likert Scale upon the first encounter (antepartum) as well as on the last (postpartum).
Show less - Date Issued
- 2023
- PURL
- http://purl.flvc.org/fau/fd/faudnp000095
- Format
- Document (PDF)