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Title: The Impact of Cardiopulmonary Rehabilitation on Quality of Life.
Creator: Conde, Wildya, Ordóñez, María, Florida Atlantic University, Christine E. Lynn College of Nursing
Abstract/Description: The devastating effects of cardiovascular disease are evident at a global and national level. Heart disease is the leading cause of mortality for both men and women, furthermore, heart disease is the number one cause of mortality for most ethnicities in the United States. Pulmonary disease also has an adverse impact on society. Pulmonary disease is one of the leading causes of disability and death worldwide. In an effort to increase the awareness of the effectiveness of cardiopulmonary...
Show moreThe devastating effects of cardiovascular disease are evident at a global and national level. Heart disease is the leading cause of mortality for both men and women, furthermore, heart disease is the number one cause of mortality for most ethnicities in the United States. Pulmonary disease also has an adverse impact on society. Pulmonary disease is one of the leading causes of disability and death worldwide. In an effort to increase the awareness of the effectiveness of cardiopulmonary rehabilitation clinics, this doctoral project conducted a program evaluation on a cardiopulmonary rehabilitation program (CRP) in Stuart, Florida. The purpose was achieved by using the CDC program evaluation guideline. The intention of this paper was to determine if health related quality of life is positively influenced by participation in this CRP. Included will be an analysis of the results, an evaluation of the proposed project, plans for dissemination, and recommendations to increase the effectiveness of the CRP.
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Date Issued: 2019
PURL: http://purl.flvc.org/fau/fd/FA00007528
Format: Document (PDF)

Title: The Impact of Enhanced Instruction on Self-Care Behaviors in Adults with Heart Failure.
Creator: Miller, Alexandra, Hershorin, Tracian Kelly, Eddison, Alan, Florida Atlantic University, Christine E. Lynn College of Nursing
Abstract/Description: Heart failure is a chronic disease affecting millions of people worldwide and carries a high burden on both patients and society. Current guidelines encourage the use of patient education along with medical therapy to improve outcomes. The aim of this manuscript is to describe a quality improvement (QI) project conducted to improve self-care behaviors among participants living with heart failure. The need for this project was identified at an outpatient clinic where patients with heart...
Show moreHeart failure is a chronic disease affecting millions of people worldwide and carries a high burden on both patients and society. Current guidelines encourage the use of patient education along with medical therapy to improve outcomes. The aim of this manuscript is to describe a quality improvement (QI) project conducted to improve self-care behaviors among participants living with heart failure. The need for this project was identified at an outpatient clinic where patients with heart failure (HF) were not receiving printed education materials or enhanced instruction. Through literature review, several studies identified potential barriers to adherence including complexity of treatment, low health literacy, and heart failure symptoms, while other studies displayed the positive impact of enhanced instruction on heart failure outcomes and self-care. This QI project was conducted over a 4-week period and involved a telehealth intervention utilizing printed education and teach-back to improve self-care behaviors. Participants completed self-care behavior surveys pre and post intervention. Improvements were noted among self-care scores of all the participants, although the sample size was small. From these results, it was recommended to the outpatient clinic to continue to provide printed education to patients with heart failure and incorporate a telehealth follow-up program to emphasize proper self-care behaviors for these patients. Future projects and research should be focused on larger sample sizes for longer periods of time and include the tracking of heart failure outcomes.
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Date Issued: 2021
PURL: http://purl.flvc.org/fau/fd/faudnp000021
Format: Document (PDF)

Title: The PEACH Project: Improving Provider Education for HPV Vaccination.
Creator: Eisenberg, Rachel L., Stein, Elizabeth R., Goodman, Rhonda, Florida Atlantic University, Christine E. Lynn College of Nursing
Abstract/Description: In the United States, the most common sexually transmitted infection (STI) is human papillomavirus (HPV) and although it is estimated that in the United States, 79 million people currently have HPV and an estimated 14 million people will become infected each year, vaccination rates to decrease HPV and associated cancers remains low (Jones et al., 2017). The Provider Education Achieving Community HPV Prevention (PEACH) program was created to enhance provider knowledge and understanding of the...
Show moreIn the United States, the most common sexually transmitted infection (STI) is human papillomavirus (HPV) and although it is estimated that in the United States, 79 million people currently have HPV and an estimated 14 million people will become infected each year, vaccination rates to decrease HPV and associated cancers remains low (Jones et al., 2017). The Provider Education Achieving Community HPV Prevention (PEACH) program was created to enhance provider knowledge and understanding of the HPV vaccine and improve vaccination rates through a provider education program. The qualitative improvement project was conducted at a non-profit family planning clinic in West Palm Beach and a primary care pediatric outpatient facility in Atlantis, Florida. The project leaders utilized Icek Ajzen’s Theory of Planned Behavior to provide a framework to further understand the mindset and decision-making process patients and parents go through while deciding to vaccinate against HPV.
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Date Issued: 2020
PURL: http://purl.flvc.org/fau/fd/faudnp000007
Format: Document (PDF)

Title: The Use of Spinal Cord Stimulator for Chronic Pain Management and Opioid Use – A Program Evaluation.
Creator: Alexis, Florine, Echeona, Xochil, France, Nancey E. M., Forte, Alyzza De La UZ, Florida Atlantic University, Christine E. Lynn College of Nursing
Abstract/Description: Chronic pain is defined by the International Association of the Study of Pain as, “pain that persists beyond normal tissue healing time, which is assumed to be three months” (CDC, 2018 p.2). Chronic pain can be in any part of the body, but is most commonly experienced in the mid-back, lower back, leg, and head, in the form of headache. It is estimated that 80 percent of the U.S. population has experienced at least one episode of back pain in their lifetime.
Date Issued: 2020
PURL: http://purl.flvc.org/fau/fd/faudnp000002
Format: Document (PDF)

Title: The Use of Telehealth Measures to Improve Diet Change Adherence in Adults with Type 2 Diabetes Mellitus.
Creator: Fergile, Marlee, Gropper, Sareen, Cobalt, Michelle, Florida Atlantic University, Christine E. Lynn College of Nursing
Abstract/Description: According to Kalra, Jena, & Yeravdekar (2018), type 2 diabetes mellitus (T2DM) is considered a life style disease. It is a progressive and a chronic illness, largely caused by obesity and a lack of exercise. If left untreated or poorly controlled, this disease can lead to debilitating complications and premature death. The aim of this quality improvement Doctor of Nursing Practice (DNP) project was to improve dietary behavior in adults with T2DM. The overall goal of the project was to improve...
Show moreAccording to Kalra, Jena, & Yeravdekar (2018), type 2 diabetes mellitus (T2DM) is considered a life style disease. It is a progressive and a chronic illness, largely caused by obesity and a lack of exercise. If left untreated or poorly controlled, this disease can lead to debilitating complications and premature death. The aim of this quality improvement Doctor of Nursing Practice (DNP) project was to improve dietary behavior in adults with T2DM. The overall goal of the project was to improve diabetes outcomes through the implementation of evidence-based dietary information using a diabetes text-messaging program (mobile health technology). The project revealed that the implementation of telehealth measures, e,g, text messaging education and resource information on a weekly basis in between office visits, was beneficial to adult individuals with T2DM, improving health and dietary behavioral choices.
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Date Issued: 2021
PURL: http://purl.flvc.org/fau/fd/faudnp000029
Format: Document (PDF)

Title: The Utilization of Music Therapy to Improve Patient Anxiety Level.
Creator: Joseph, Moriane, Gordon, Shirley, Paik, Il Joon, Florida Atlantic University, Christine E. Lynn College of Nursing
Abstract/Description: Mental health conditions such as depression and/or anxiety can be improved through music therapy. In a few studies of patients undergoing invasive procedures, music therapy appeared to reduce depressive symptoms and anxiety levels (Aalbers et al., 2017; Padam et al., 2017). The objective of this clinical quality improvement project was to evaluate the role of music therapy in reducing the anxiety scores among patient with suspected chronic GERD, achalasia, or dysphagia undergoing an invasive...
Show moreMental health conditions such as depression and/or anxiety can be improved through music therapy. In a few studies of patients undergoing invasive procedures, music therapy appeared to reduce depressive symptoms and anxiety levels (Aalbers et al., 2017; Padam et al., 2017). The objective of this clinical quality improvement project was to evaluate the role of music therapy in reducing the anxiety scores among patient with suspected chronic GERD, achalasia, or dysphagia undergoing an invasive procedure such as an esophageal manometry study. The risks to the participants were no different than patients that are currently receiving standard care. Project participants were recruited from our Neurogastroenterology & GI Motility practice. They were all 18 years of age or older, male or female, and had a diagnosis of chronic GERD, suspected achalasia, or dysphagia. Patients completed the short version of the State and Trait Anxiety Inventory (STAI) questionnaires (the definitive instruments for measuring anxiety in adults). The objective markers such as vital signs (blood pressure, temperature, heart rate, pulse, and oxygen saturation) were collected before and after the intervention. The focus of data collection was on the essential qualities evaluated by the STAI-State (STAI-S) Anxiety scale, which are feelings of apprehension, tension, nervousness, and worry (Spielberger, 1983). Pre- and post-test scores were analyzed by conducting a paired t-test with the Intellectus statistical program to assess differences in pre- and post-anxiety scores of patients’ receiving “comfort talk” standard care versus music therapy.
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Date Issued: 2022
PURL: http://purl.flvc.org/fau/fd/faudnp000065
Format: Document (PDF)

Title: Transitional care-APN guided care coordination.
Creator: Shields, Karen P., Christine E. Lynn College of Nursing, Florida Atlantic University
Date Issued: 2012
PURL: http://purl.flvc.org/fcla/dt/3355959
Format: Document (PDF)

Title: Use of a Patient Centered Transitional Care Program to Decrease Hospitalization in Adults with Heart Failure and/or COPD.
Creator: Guerrier, Mouline, Christine E. Lynn College of Nursing, Florida Atlantic University
Date Issued: 2018
PURL: http://purl.flvc.org/fau/fd/FAUIR000360
Format: Citation

Title: Use of the Hypertension Self-Care Profile Tool and DASH Diet for Self-Care Management among African American Adults with Hypertension.
Creator: Denson, Charity H., Chambers, Karen, Florida Atlantic University, Christine E. Lynn College of Nursing
Abstract/Description: Although there are clinical guidelines in place for the treatment of hypertension (HTN), many African Americans (AA) fail to reach controlled levels within the primary care setting. The ultimate goal of this quality improvement project is to provide evidence-based information that could be used to improve HTN care and decrease the rates of uncontrolled HTN among AA adults with HTN. The project was conducted at a Federally Qualified Health Center in Fort Pierce, Florida. The intention of this...
Show moreAlthough there are clinical guidelines in place for the treatment of hypertension (HTN), many African Americans (AA) fail to reach controlled levels within the primary care setting. The ultimate goal of this quality improvement project is to provide evidence-based information that could be used to improve HTN care and decrease the rates of uncontrolled HTN among AA adults with HTN. The project was conducted at a Federally Qualified Health Center in Fort Pierce, Florida. The intention of this quality improvement project is to address the need for attention to this concerning issue, to highlight best current evidence, and to provide a comprehensive description of the issues with recommendations for practice change. An analysis of the quantitative results, an evaluation of the project, and plans for the future and dissemination of this project will be included.
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Date Issued: 2019
PURL: http://purl.flvc.org/fau/fd/FA00007530
Format: Document (PDF)

Title: Using Campinas- Barcode’s Cultural Competency Model and Roach's Model of Caring to Enhance Self-Perception of Cultural Competence and Perceived Knowledge of Caring among Physicians, Nurse Practitioners, and Community Nurses.
Creator: Bannis, Alicia, Hawthorne, Dawn, Florida Atlantic University, Christine E. Lynn College of Nursing
Abstract/Description: As the culturally diverse healthcare population in the United States rises, the demand for healthcare providers who are knowledgeable in providing culturally competent care increases. Community health care providers are mandated to make cultural competence a priority in their clinical practice. This mandate challenges healthcare professionals to increase their knowledge of cultural diversity and caring behaviors and provide appropriate health care services to meet the needs of racially and...
Show moreAs the culturally diverse healthcare population in the United States rises, the demand for healthcare providers who are knowledgeable in providing culturally competent care increases. Community health care providers are mandated to make cultural competence a priority in their clinical practice. This mandate challenges healthcare professionals to increase their knowledge of cultural diversity and caring behaviors and provide appropriate health care services to meet the needs of racially and ethnically diverse clients. For this project, an assessment of community healthcare providers’ self-perception of cultural competence and perceived knowledge of caring behaviors was untaken while posing the question: “How does a two-month education program on cultural competency and caring enhance cultural sensitivity and increase understanding of caring behaviors for physicians, nurse practitioners and community health nurse in a community health clinic?” The effectiveness of this education program was evaluated using a quantitative one-group pretest/post-test survey design. Project results from the post-test found a general improvement in self-perception of cultural competence and perceived knowledge of caring behaviors among participants, which suggests that the education program was successful.
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Date Issued: 2015
PURL: http://purl.flvc.org/fau/fd/faudnp000042
Format: Document (PDF)

Title: Using Educational Materials to Increase Colorectal Cancer Screening Rates.
Creator: Padron, Loreta D., Longo, Joy, Florida Atlantic University, Christine E. Lynn College of Nursing
Abstract/Description: Colorectal cancer (CRC) is the second leading, and third most preventable cancer in the United States (U.S.) (Center for Disease Control [CDC], 2019a) As the second leading cause of deaths in the U.S., more than 90% of CRC cases occur in people age 50 and older (CDC, 2019a). Roughly about 21.7 million of those at greatest risk of developing CRC have not been screened as recommended (CDC, 2019b). According to the national guidelines, the United States Preventative Service Task Force [USPSTF]...
Show moreColorectal cancer (CRC) is the second leading, and third most preventable cancer in the United States (U.S.) (Center for Disease Control [CDC], 2019a) As the second leading cause of deaths in the U.S., more than 90% of CRC cases occur in people age 50 and older (CDC, 2019a). Roughly about 21.7 million of those at greatest risk of developing CRC have not been screened as recommended (CDC, 2019b). According to the national guidelines, the United States Preventative Service Task Force [USPSTF] recommends screening for CRC using a fecal occult blood testing (FIT or gFOBT) yearly, a sigmoidoscopy every 5 years along with a FIT or gFOBT every 3 years, or a colonoscopy every 10 years in adults beginning at age 50 years and continuing until age 75 years (USPSTF, 2019). Early screening for CRC is of utmost importance with the main benefit being that it can prevent colorectal cancer or find it early, and reduce the chance that a person will die from CRC because treatment often leads to a cure (CDC, 2019c; USPSTF, 2019).
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Date Issued: 2019
PURL: http://purl.flvc.org/fau/fd/FA00007542
Format: Document (PDF)

Title: Using Evidence-based Approaches to Increase Cervical Cancer Screening Understanding and Uptake Among African American Women.
Creator: Atilus, Rosita, Paulino, Thamarre, Bulfin, Susan, Florida Atlantic University, Christine E. Lynn College of Nursing
Abstract/Description: Cervical cancer screening and prevention is an important aspect of primary care. Primary care providers (PCPs) have the role of either performing the initial screening test or referring to gynecologists for testing and follow-up care if needed. The PCPs have the opportunity to to discuss the importance of cervical cancer screening at each encounter. This is of particular importance for African-American (AA) women. According to Gopalini et al. (2020) AA women have significantly higher cervical...
Show moreCervical cancer screening and prevention is an important aspect of primary care. Primary care providers (PCPs) have the role of either performing the initial screening test or referring to gynecologists for testing and follow-up care if needed. The PCPs have the opportunity to to discuss the importance of cervical cancer screening at each encounter. This is of particular importance for African-American (AA) women. According to Gopalini et al. (2020) AA women have significantly higher cervical cancer incidence and mortality rates than Non-Hispanic Whites. This quality improvement project was conducted to increase the understanding of cervical cancer screening and uptake among African American Women in a south Florida medical center. Educational sessions were implemented based on Cervical Cancer Screening (CCS) guidelines from the American College of Obstetricians and Gynecologists (ACOG), instructional materials from the Centers for Disease Control and Prevention (CDC), and best practices in recommending CCS to the participants by the project team leaders (PTLs). The project processes were guided by Dr. Elizabeth Barrett’s Theory of Power as Knowing Participation in Change (PKPC) and underpinned by Dr. Jean Watson’s theory of human caring. Twenty-five patients participated and followed through the end of the project. Every participant received educational sessions and materials, expressed an intent to complete pap test, and completed pap screenings. The tool CCS-KAP Survey (Cervical Cancer Screening Knowledge, Awareness, and Practices) was used to evaluate participants’ cervical cancer screening knowledge and practices in both pre- and post-intervention periods. The results demonstrated enhanced knowledge and increased uptake for pap screenings among this group.
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Date Issued: 2021
PURL: http://purl.flvc.org/fau/fd/faudnp000034
Format: Document (PDF)

Title: Well Balanced Yoga: Impact of Chair Yoga on Balance and Well-Being Among Older Adults Residing in Assisted Living.
Creator: Barrett, Karrah, Florida Atlantic University, Christine E. Lynn College of Nursing
Abstract/Description: Falls among older adults are steadily increasing and contribute to the growing mortality and morbidity rates of this population. Fall prevention measures are complex and require a multidimensional approach to reduce associated risk factors. Older adults with more engagement were less prone to feelings of loneliness and, consequently, exhibited elevated levels of physical, psychological, and social well-being. This project explores the potential use of chair yoga as a non-pharmacological...
Show moreFalls among older adults are steadily increasing and contribute to the growing mortality and morbidity rates of this population. Fall prevention measures are complex and require a multidimensional approach to reduce associated risk factors. Older adults with more engagement were less prone to feelings of loneliness and, consequently, exhibited elevated levels of physical, psychological, and social well-being. This project explores the potential use of chair yoga as a non-pharmacological intervention to enhance balance and well-being among older adults residing in an assisted living facility. Evidence shows physical activity using yoga can decrease fall risk factors and improve psychological health. The project leader provided instruction on the implementation of chair yoga over a six-week period. The findings showed an improvement in balance based on the BERG Balance Test, and the WHO-5 Well-Being Index demonstrated an improvement of well-being. These results highlight the benefits of chair yoga in improving balance and a sense of well-being in this population. Further investigation is needed in motivational strategies, recruitment, and staff engagement. This project emphasizes the importance of physical activity programs among older adults residing in Assisted Living Facilities to improve overall health and well-being.
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Date Issued: 2023
PURL: http://purl.flvc.org/fau/fd/faudnp000086
Format: Document (PDF)

Christine E. Lynn College of Nursing (132)	+ -
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