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- Title
- Zafè Neg se Mistè: a grounded theory study of end-of-life decision-making for Haitian American families in south Florida.
- Creator
- Ladd, Susan Charlotte, Smith, Marlaine, Florida Atlantic University, Christine E. Lynn College of Nursing
- Abstract/Description
-
The purpose of this study was to investigate the process used by Haitians and Haitian Americans who must make healthcare decisions for a terminally ill family member. There is a large population of Haitians and Haitian Americans in South Florida and there has been no research regarding their decision-making process about end-of-life healthcare. The study design was descriptive, applying constructivist grounded theory methodology. Data were collected using semi-structured, face-to-face...
Show moreThe purpose of this study was to investigate the process used by Haitians and Haitian Americans who must make healthcare decisions for a terminally ill family member. There is a large population of Haitians and Haitian Americans in South Florida and there has been no research regarding their decision-making process about end-of-life healthcare. The study design was descriptive, applying constructivist grounded theory methodology. Data were collected using semi-structured, face-to-face qualitative interviews. Data analysis and collection occurred simultaneously. Participants (n=12) were purposefully recruited, with 11 from a single, faith-based community. The findings resulted in six concepts: (1) imminent or actual death, (2) disrupted unity, (3) managing disrupted unity, (4) consequences, (5) restoring unity, and (6) creating memories you can live with. These six concepts, elaborated by an additional 17 dimensions, were incorporated into a process model relating to the cultural value of communal unity to the end-of-life decision-making process. The implications of this study include a need to improve the congruence between the nursing care provided at this vulnerable time and the cultural values of this population. Successful access to this population through the structure of the faith-based community points the way to increasing access to appropriate end-of-life healthcare. Practice implications informed by caring science include the importance of nurses’ coming to know the family and listening to the unique care needs.
Show less - Date Issued
- 2015
- PURL
- http://purl.flvc.org/fau/fd/FA00004387, http://purl.flvc.org/fau/fd/FA00004387
- Subject Headings
- End of life care, Haitian Americans -- Medical care -- Florida, Informed consent (Medical law), Life and death, Power over, Medical care -- Cross cultural studies, Medical ethics, Nurse and patient, Nurses -- Attitudes, Patient advocacy, Patient refusal of care
- Format
- Document (PDF)
- Title
- What keeps nurses in nursing: a Heideggerian hermeneutic phenomenological study.
- Creator
- Dunn, Dorothy J., Christine E. Lynn College of Nursing
- Abstract/Description
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The purpose of this study was to explore what keeps nurses in nursing by examining the impact of the relational experiences between the nurse and her or his patient in the context of the nursing situation. Heideggerian hermeneutic phenomenology grounded the study and was the method used to interpret the registered nurse participants' meaning of their everydayness. The nurses' first hand perspectives elicited implications for nursing practice. This qualitative research study examined what...
Show moreThe purpose of this study was to explore what keeps nurses in nursing by examining the impact of the relational experiences between the nurse and her or his patient in the context of the nursing situation. Heideggerian hermeneutic phenomenology grounded the study and was the method used to interpret the registered nurse participants' meaning of their everydayness. The nurses' first hand perspectives elicited implications for nursing practice. This qualitative research study examined what keeps nurses in nursing. The eight registered nurse participants provided rich descriptive data from which four relational themes emerged: Practicing from Inner Core Beliefs, Understanding the Other from Within, Making a Difference, and Nursing as an Evolving Process. The hermeneutical interpretative process guided the researcher to synthesize the themes into a constitutive pattern of meaning which the researcher named Intentional Compassion Energy. In intentional caring consciousness, the nurse intentionally knows the nursed as whole. Compassion energy is the intersubjective gift of compassion that gives nurses the opportunity to be with the nursed. Compassion energy is composed of compassionate presence, patterned nurturance and intentionally knowing the nursed and self as whole. Thus, intentional compassion energy is defined as the regeneration of nurses' capacity to foster interconnectedness when the nurse activates the intent to nurse. Intentional compassion energy was discovered in the meaning of the nurse participants being in their everydayness of practice. The participants described the intention to care compassionately as the grounding of their practice, striving to understand the other, to make a difference while living their nursing as an evolving process. Hermeneutic phenomenology provided the opening to discover what keeps nurses in nursing.
Show less - Date Issued
- 2009
- PURL
- http://purl.flvc.org/FAU/2182084
- Subject Headings
- Nursing services, Administration, Medical personnel, Supply and demand, Nurses, Job satisfaction, Nursing services, Personnel management, Phenomenological psychology
- 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
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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.
Show less - Date Issued
- 2023
- PURL
- http://purl.flvc.org/fau/fd/faudnp000086
- Format
- Document (PDF)
- Title
- VETERANS’ PERSPECTIVES ON THE MEANING OF THEIR WELL-BEING EXPERIENCE: A PHENOMENOLOGICAL INQUIRY.
- Creator
- Birmingham, Cheryl Lynn, Chiang-Hanisko, Lenny, Florida Atlantic University, Christine E. Lynn College of Nursing, Christine E. Lynn College of Nursing
- Abstract/Description
-
The veterans are a unique community shaped by past military experiences that may have positive and negative effects on their well-being as soldiers. With nearly half of the 18.4 million veterans in the United States living beyond 61 years, age-related physical and mental health conditions may impact the veterans’ well-being. Promoting veterans’ well-being has been studied extensively but literature on how they define it is scanty. It is critical to understand how veterans define well-being to...
Show moreThe veterans are a unique community shaped by past military experiences that may have positive and negative effects on their well-being as soldiers. With nearly half of the 18.4 million veterans in the United States living beyond 61 years, age-related physical and mental health conditions may impact the veterans’ well-being. Promoting veterans’ well-being has been studied extensively but literature on how they define it is scanty. It is critical to understand how veterans define well-being to inform future program development to address mental health needs. The purpose of this study is to discover the meaning and the lived experience of well-being among veterans. The methodology used for this study was a qualitative hermeneutic interpretative phenomenological approach to understand the meaning of veterans’ well-being. It allowed the phenomena to surface while exposing the essence of and the experience. The sampling method for recruiting participants was purposive sampling, with semi structured interviews conducted via ZOOM and direct observations at Veteran Service Organizations (VSOs) to obtain data. Fourteen veterans participated in this study, comprising eight males and six females with majority aged over 61 years. In terms of race/ethnicity, 64 % were White, 21% Hispanic and 15 % African American. With the use of Max van Manen’s analysis strategy, seven major themes emerged: (a) A Connection With A Special Bond To The Military Sisterhood/Brotherhood, (b) The Lingering Effects Of Military Service Continue To Simmer In Veteran life, (c) Feeling Grateful/Prideful Through Appreciation For Their Military Service, (d) Healthy Companionships/Relationships With Mutual Respect Yield Veteran Equilibrium, (e) Creating A Veteran Framily/Fraternity, (f) Self-fulfilment By Giving Back And Making A Life With A Purpose and (g) Veterans Living A Healthy Life Caring For Self. Six of the seven themes addressed the veterans’ well-being. The lingering effects have persisted and challenged the Veterans’ emotional well-being. However, they were able to express their military camaraderie even in the veterans’ life. Programs based on social relationships that allow connections with veterans and/or their significant others need to be established.
Show less - Date Issued
- 2023
- PURL
- http://purl.flvc.org/fau/fd/FA00014317
- Subject Headings
- Veterans, Veterans--Mental health, Well-being, Caring
- 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.
Show less - Date Issued
- 2021
- PURL
- http://purl.flvc.org/fau/fd/faudnp000034
- 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).
Show less - Date Issued
- 2019
- PURL
- http://purl.flvc.org/fau/fd/FA00007542
- 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.
Show less - Date Issued
- 2015
- PURL
- http://purl.flvc.org/fau/fd/faudnp000042
- Format
- Document (PDF)
- 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
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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.
Show less - Date Issued
- 2019
- PURL
- http://purl.flvc.org/fau/fd/FA00007530
- Format
- Document (PDF)
- Title
- USE OF COMPLEMENTARY THERAPIES FOR DIABETES MELLITUS BY JAMAICAN ADULTS IN SOUTH FLORIDA: A FOCUSED ETHNOGRAPHY.
- Creator
- Brown, Raquel, Chiang-Hanisco, Lenny, Florida Atlantic University, Christine E. Lynn College of Nursing
- Abstract/Description
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Jamaicans, the largest group of English-speaking Caribbean people living in the United States (US), have a history of using bush medicine/complementary therapies (CT) in diabetes management. However, no research described the emic views of Jamaican adults regarding how they select the bush medicine they use or how they know these are suitable to manage diabetes. The purpose of this focused ethnography was to explore and describe how Jamaican adults with diabetes mellitus who live in South...
Show moreJamaicans, the largest group of English-speaking Caribbean people living in the United States (US), have a history of using bush medicine/complementary therapies (CT) in diabetes management. However, no research described the emic views of Jamaican adults regarding how they select the bush medicine they use or how they know these are suitable to manage diabetes. The purpose of this focused ethnography was to explore and describe how Jamaican adults with diabetes mellitus who live in South Florida select and use complementary therapies for managing their diabetes. The objectives were to: (1) Explore the emic views of Jamaican adults about using CT to manage diabetes mellitus; (2) Describe the rationale given by Jamaicans adults for using CT to manage diabetes mellitus; (3) Analyze and synthesize the data gathered about use of CT for diabetes by Jamaican adults to see if their actions have cultural components that can serve as a basis for providing culturally competent care.
Show less - Date Issued
- 2019
- PURL
- http://purl.flvc.org/fau/fd/FA00013287
- Subject Headings
- Diabetes--Alternative treatment, Jamaicans, Complementary Therapies, Ethnography, Culturally Competent Care--ethnology
- 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
- 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
- Transition experiences of the chronically ill adolescent.
- Creator
- White, Kelly N., Keller, Kathryn B., Florida Atlantic University, Christine E. Lynn College of Nursing
- Abstract/Description
-
The continued development of the American health care system and evolving technology have led to an increased life expectancy within the general population. In fact, these advancements have also resulted in growing numbers of young people with chronic illnesses living into adulthood. Approximately one third of children ages 10-17 have a chronic disease, and the vast majority of these children will survive beyond their 20th birthday (Blum, 1995; Lotstein, McPherson, Strickland, & Newacheck,...
Show moreThe continued development of the American health care system and evolving technology have led to an increased life expectancy within the general population. In fact, these advancements have also resulted in growing numbers of young people with chronic illnesses living into adulthood. Approximately one third of children ages 10-17 have a chronic disease, and the vast majority of these children will survive beyond their 20th birthday (Blum, 1995; Lotstein, McPherson, Strickland, & Newacheck, 2005; White, 2002). The main objective of this study was to explore the healthcare transition (HCT) practices of health care providers and the HCT experiences of chronically ill young adults living with sickle cell disease, cystic fibrosis, and/or diabetes. Meleis, Sawyer, Im, Hifinger Messias, & Schumacher’s (2000) theory on transition and Boykin and Schoenhofer’s (2001) theory of Nursing as Caring provided the theoretical lenses throughwhich study findings were viewed. This was a descriptive exploratory mixed methods design that consisted of survey data and used conventional content analysis to analyze the qualitative data. The quantitative portion of this study incorporated a 41-question survey that was completed by 33 health care providers working with chronically ill young adults in the southeast Florida region. Additionally, semi-structured interviews were conducted with eight young adults (18-24 years of age) living with a sickle cell disease, cystic fibrosis, and/or diabetes. Five themes emerged from an analysis of the data describing the healthcare transition (HCT) experience: Transition Confusion, Familial Reliance, Lost in Transition, Fiscal Stressors, and Transition Uneasiness. The findings of this study demonstrate that there are, at minimum, three general parts of the HCT process that remain deficient: educational preparation, consistent communication between all parties involved in the HCT process, and guidance for the independent negotiation of the present healthcare system. Recommendations for healthcare providers that work with chronically ill young adults include establishing a HCT framework that incorporates consistent communication among team members and patients/families, individualized educational formats, and guidance for navigational skills to negotiate the healthcare system.
Show less - Date Issued
- 2014
- PURL
- http://purl.flvc.org/fau/fd/FA00004234, http://purl.flvc.org/fau/fd/FA00004234
- Subject Headings
- Children with disabilities -- Care, Chronic diseases in children -- Psychological aspects, Chronically ill children -- Services for, Health services accessibility, Nursing -- Philosophy, Nursing models
- Format
- Document (PDF)
- Title
- Thriving in Healthcare Providers: Relationship to Emotional Exhaustion & Impact on Primary Care Population Health Outcomes.
- Creator
- Constantinides, Shannon M., Hain, Debra, Florida Atlantic University, Christine E. Lynn College of Nursing, Christine E. Lynn College of Nursing
- Abstract/Description
-
In 2014 Bodenheimer and Sinsky published the Quadruple Aim model, which argued that healthcare provider wellbeing was the missing link to improving patient and population health outcomes, as well as cost containment. Rather than treating burnout, however, experts in fields outside healthcare are finding validity in promoting thriving at work as a means to prevent burnout and improve employee satisfaction, engagement, and productivity. The purposes of this study were to investigate the...
Show moreIn 2014 Bodenheimer and Sinsky published the Quadruple Aim model, which argued that healthcare provider wellbeing was the missing link to improving patient and population health outcomes, as well as cost containment. Rather than treating burnout, however, experts in fields outside healthcare are finding validity in promoting thriving at work as a means to prevent burnout and improve employee satisfaction, engagement, and productivity. The purposes of this study were to investigate the relationship between thriving and emotional exhaustion (which is widely considered a core element of burnout) in healthcare providers, and the impact thriving had on primary care population health outcomes as measured by quantifiable value-based quality performance metrics. Using Georges' (2013) Emancipatory Theory of Compassion and Bodenheimer and Sinsky's Quadruple Aim as conceptual frameworks, this descriptive, non-experimental study used advanced applied biostatistical techniques to analyze archival data from the December 2018 UCHealth Physician and Advanced Practice Provider Voice Survey as well as provider performance scores from the same time period. Results of the study were mixed, showing that while there is an inverse relationship between thriving and emotional exhaustion in healthcare providers, thriving did not predict population health outcomes. By evaluating thriving in healthcare providers in relation to emotional exhaustion and in context of value-based health care delivery systems, this study was the first of its kind.
Show less - Date Issued
- 2020
- PURL
- http://purl.flvc.org/fau/fd/FA00013524
- Subject Headings
- Primary care (Medicine), Outcome Assessment, Health Care, Medical personnel, Well-being, Exhaustion
- 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.
Show less - Date Issued
- 2022
- PURL
- http://purl.flvc.org/fau/fd/faudnp000065
- 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.
Show less - Date Issued
- 2021
- PURL
- http://purl.flvc.org/fau/fd/faudnp000029
- 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 UNITARY CARING LIVED EXPERIENCE OF UNCERTAINTY AMONG FAMILY CAREGIVERS OF PERSONS WITH A STROKE DURING THE HOSPITAL STAY IN SAUDI ARABIA.
- Creator
- Alselami, Seham Eid, Butcher, Howard K., Florida Atlantic University, Christine E. Lynn College of Nursing, Christine E. Lynn College of Nursing
- Abstract/Description
-
Stroke is a major health problem in Saudi Arabia that impacts the health outcomes of adults and elderly persons. No matter its severity, stroke is a stressful life event not only for the survivors but their family caregivers as well. Uncertainty is one of the major problems facing family caregivers caring for persons with a stroke. Uncertainty affects overall health outcomes and the quality of life of family caregivers caring for persons with strokes. Current research has not yet identified...
Show moreStroke is a major health problem in Saudi Arabia that impacts the health outcomes of adults and elderly persons. No matter its severity, stroke is a stressful life event not only for the survivors but their family caregivers as well. Uncertainty is one of the major problems facing family caregivers caring for persons with a stroke. Uncertainty affects overall health outcomes and the quality of life of family caregivers caring for persons with strokes. Current research has not yet identified the meaning of the uncertainty of family caregivers of persons with strokes during hospitalization in Saudi Arabia. The purpose of this study was to gain an in-depth understanding of the meaning of uncertainty experienced by family caregivers of persons in the hospital who have survived strokes. This study used a phenomenological design. Data were collected through in-depth face-to-face and online semi-structured interviews with 15 family caregivers using openended questions. Participants were recruited from inpatient medical units and stroke care units in multi acute care hospitals in Saudi Arabia. The interviews were recorded, transcribed verbatim, translated, and analyzed using the hermeneutic phenomenological unitary caring research method. NVivo software (Version 12) was used to manage the qualitative data.
Show less - Date Issued
- 2022
- PURL
- http://purl.flvc.org/fau/fd/FA00014047
- Subject Headings
- Stroke, Caregivers, Nursing, Saudi Arabia
- Format
- Document (PDF)
- Title
- The Relationships among Sleep Quality, Fraility, and Falls in Older Adults Residing in the Community.
- Creator
- Staal, Jacqueline, Smith, Marlaine, Florida Atlantic University, Christine E. Lynn College of Nursing
- Abstract/Description
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One in three American older adults fall every year, making falls the leading cause of nonfatal injury treated in the emergency department (Centers for Disease Control and Prevention [CDC], 2013). Fall-related injuries cost the United States healthcare system nearly $30 billion a year and result in 27,000 deaths per year (Burns, Stevens, & Lee, 2016). The risk of falls increases with age, occurring more often in women than man. Age-related muscle weakness and functional decline contribute to...
Show moreOne in three American older adults fall every year, making falls the leading cause of nonfatal injury treated in the emergency department (Centers for Disease Control and Prevention [CDC], 2013). Fall-related injuries cost the United States healthcare system nearly $30 billion a year and result in 27,000 deaths per year (Burns, Stevens, & Lee, 2016). The risk of falls increases with age, occurring more often in women than man. Age-related muscle weakness and functional decline contribute to fall risk. Age-related changes in neuroendocrine hormone production and shifts in circadian rhythms promote sleep disorders, affecting nearly two-thirds of older adults. Poor sleep quality over time leads to drowsiness and impaired attention span and judgment. The purpose of this secondary analysis of a previously collected data set was to describe the relationships among frailty, subjective sleep quality, and falls in community-dwelling older adults. This secondary analysis also sought to determine the extent to which frailty and subjective sleep quality predict risk of future falls among community-dwelling older adults. Correlational analyses were performed to determine the nature and significance of the relationship between sleep quality and falls, frailty and falls, and sleep quality and frailty. A multiple regression analysis was performed to determine if sleep quality and frailty combined could predict falls. Frailty was found to account for a small variance in fall risk. However, sleep quality was not significantly related to falls nor was sleep quality predictive of falls. Risk for falls should be assessed at every clinical encounter and efforts to promote restful sleep should be addressed at least annually to reduce the risks of falls, functional decline, and sleep disorders among older adults in the community.
Show less - Date Issued
- 2017
- PURL
- http://purl.flvc.org/fau/fd/FA00004846, http://purl.flvc.org/fau/fd/FA00004846
- Subject Headings
- Sleep--Physiological aspects., Sleep disorders--Age factors., Falls (Accidents) in old age--Prevention., Frail elderly--Wounds and injuries--Prevention., Older people--Functional assessment., Older people--Quality of life.
- Format
- Document (PDF)
- Title
- THE RELATIONSHIP OF GENE EXPRESSION, STRESS, DEPRESSION, AND THE SOCIAL DETERMINANTS OF HEALTH DURING PREGNANCY.
- Creator
- Brennen, Marlene Brown, Tappen, Ruth, Florida Atlantic University, Christine E. Lynn College of Nursing, Christine E. Lynn College of Nursing
- Abstract/Description
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The purpose of this study was to explore differences in perceived stress, glucocorticoid receptor (GR), and the expression of histone acetylation (HAT) of the corticotropin-releasing hormone (CRH) gene between non-Hispanic Black and non-Hispanic White women in their 2nd trimester of pregnancy. Black women are 2–3 times more likely to experience preterm birth (PTB) and maternal mortality than White women (Hoyert, 2022; Martin et al., 2019). Researchers have reported chronic stress associated...
Show moreThe purpose of this study was to explore differences in perceived stress, glucocorticoid receptor (GR), and the expression of histone acetylation (HAT) of the corticotropin-releasing hormone (CRH) gene between non-Hispanic Black and non-Hispanic White women in their 2nd trimester of pregnancy. Black women are 2–3 times more likely to experience preterm birth (PTB) and maternal mortality than White women (Hoyert, 2022; Martin et al., 2019). Researchers have reported chronic stress associated with factors such as experiencing discrimination, financial hardship, and abuse may induce dysregulation of the stress hormones (Kramer et al., 2013; Shapiro-Mendoza et al., 2016). Likewise, the stress hormones glucocorticoid and CRH dysregulation have been linked to early labor, preeclampsia, and maternal death (Kramer et al., 2013; Shapiro-Mendoza et al., 2016; Yu et al., 2013). Additionally, social status, gender, education, and income are recognized as social determinants of health. This study used an observational, cross-sectional design to analyze the differences in perceived stress, depression, GR, and HAT of the CRH gene between a group of Black and White pregnant women in their 2nd trimester of pregnancy. This study analyzed perceived stress, depression, and peripheral blood monocytes cells (PMBC) using secondary, deidentified data from pregnant women. The Perceived Stress Scale was used to measure stress, the profile in Mood Depression Scale measured depression, a chromatin immunoprecipitation (ChIP) to quantitative Polymerase chain reaction (qPCR) analysis was used to measure GR and HAT of the CRH gene. The data were analyzed using correlation and analysis of covariance (ANCOVA) to examine relationships and the differences between groups.
Show less - Date Issued
- 2023
- PURL
- http://purl.flvc.org/fau/fd/FA00014286
- Subject Headings
- Social Determinants of Health, Gene expression, Pregnancy--Health aspects
- Format
- Document (PDF)
- Title
- THE RELATIONSHIP BETWEEN STIGMA AND LEVEL OF ALZHEIMER'S DISEASE KNOWLEDGE WITHIN THE SAUDI CULTURE.
- Creator
- Jambi, Amnah, Butcher, Howard K., Florida Atlantic University, Christine E. Lynn College of Nursing, Christine E. Lynn College of Nursing
- Abstract/Description
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There are two types of stigmas: self-stigma and public stigma. The focus of this dissertation was public stigma. The public stigma encountered by persons with Alzheimer’s Disease (AD) contributes to the isolation of families due to the effort made by AD caregivers to adjust to social challenges (Abojabel & Warner, 2019). According to the Saudi Alzheimer’s Disease Association (2022), there are 130 thousand documented cases of AD, which comprised 9% of the aged population. The severity of...
Show moreThere are two types of stigmas: self-stigma and public stigma. The focus of this dissertation was public stigma. The public stigma encountered by persons with Alzheimer’s Disease (AD) contributes to the isolation of families due to the effort made by AD caregivers to adjust to social challenges (Abojabel & Warner, 2019). According to the Saudi Alzheimer’s Disease Association (2022), there are 130 thousand documented cases of AD, which comprised 9% of the aged population. The severity of stigmas can vary across cultures because stigmas of disease are connected to cultural norms (Corrigan, 2014). Most studies conducted in Saudi Arabia have assessed public stigma regarding mental illnesses, but no study has been found regarding public stigma within the AD scope. Population-based approaches that attempt to clarify stigma level prevalence in representative samples are important to develop methods to address these disparities and ensure equitable access to health care within the population's cultural context. The aim of this study was to 1) identify the relationship between public stigma and the level of AD knowledge among the Saudi population and 2) identify the potential factors that were associated with public stigma and AD knowledge levels among Saudi community members, within the context of a caring science perspective using critical caring theory and specific-situation theory.
Show less - Date Issued
- 2023
- PURL
- http://purl.flvc.org/fau/fd/FA00014320
- Subject Headings
- Alzheimer Disease, Saudi Arabia, Stigma (Social psychology)
- Format
- Document (PDF)