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- Title
- “Wellness Through Action”: Assisting Community Dwelling Haitian American Older Adults in Adopting Habit Forming Activities to Address Depression.
- Creator
- Michel, Madeline, Ordóñez, María de los Ángeles, Florida Atlantic University, Christine E. Lynn College of Nursing
- Abstract/Description
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Depressive symptoms are one of the factors that can accelerate aging and may negatively affect cognitive status of older adults, rendering them dependent on caregivers as they age. In general, depression can be the catalyst of physical inactivity in older adults and a mediator of cardiovascular events, and mortality. Furthermore, depression can be linked with increased disability, chronic medical conditions, and stressful life events; hence, placing significant burden on patients, their...
Show moreDepressive symptoms are one of the factors that can accelerate aging and may negatively affect cognitive status of older adults, rendering them dependent on caregivers as they age. In general, depression can be the catalyst of physical inactivity in older adults and a mediator of cardiovascular events, and mortality. Furthermore, depression can be linked with increased disability, chronic medical conditions, and stressful life events; hence, placing significant burden on patients, their families, their communities, the economy, and the healthcare system. In South Florida, many older Haitian American (HA) adults living in our local community experience depression and lack of participation in routine physical and cognitive activities. Nurses routinely utilize a variety of nonpharmacological approaches and patient education interventions designed to reduce the negative impact of comorbid conditions, promote independence, and augment patients’ quality of life. The purpose of this paper is to address the need to develop a habit of engagement in regular physical and mental stimulation activities in older Haitian American adults, to highlight the best current evidence, and to provide a comprehensive description of this quality improvement project with recommendations for practice change. An analysis of the quantitative results, a thorough evaluation of the project, and a final critique with plans for future dissemination are also included.
Show less - Date Issued
- 2019
- PURL
- http://purl.flvc.org/fau/fd/FA00007540
- Format
- Document (PDF)
- Title
- A COMPARATIVE STUDY OF RESILIENCE IN LATER LIFE IN THE U.S. AND NEPAL.
- Creator
- Neupane Poudel, Bandana, Tappen, Ruth M., Florida Atlantic University, Christine E. Lynn College of Nursing, Christine E. Lynn College of Nursing
- Abstract/Description
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Resilience has been suggestive of successful aging. However, the resilience literature lacks a well-developed theoretical model of resilience in later life for diverse groups. The purpose of this study was to examine and compare the resilience and its predictive factors in participants 60 years and older from the U.S. and Nepal. Secondary data from the Healthy Aging Research Initiative and newly collected data from Nepal were analyzed. Independent t-test using Welch’s test was used to assess...
Show moreResilience has been suggestive of successful aging. However, the resilience literature lacks a well-developed theoretical model of resilience in later life for diverse groups. The purpose of this study was to examine and compare the resilience and its predictive factors in participants 60 years and older from the U.S. and Nepal. Secondary data from the Healthy Aging Research Initiative and newly collected data from Nepal were analyzed. Independent t-test using Welch’s test was used to assess the differences in resilience, functional activity, frailty, social support, personality, spirituality, physical health, and mental health of participants between the two countries. One-way analysis of variance and multiple comparisons of the groups using the Games-Howell post hoc test was conducted to assess the differences in resilience of participants across groups of ethnicities, frailty status, and religious attendance. Pearson correlations were used to assess the relationship of resilience with independent variables. Backward elimination regression was used to identify the predictive factors of resilience. The model fit for the constructed conceptual model in the study was tested by Structural equation modeling.
Show less - Date Issued
- 2021
- PURL
- http://purl.flvc.org/fau/fd/FA00013800
- Subject Headings
- Resilience (Personality trait) in old age, Healthy Aging, Resilience (Personality trait)--Nepal, Resilience (Personality trait)--United States
- 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
- 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
- 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
- A STATEWIDE ANALYSIS OF THE SOCIAL DETERMINANTS OF OPIOID-RELATED DEATHS IN OLDER ADULTS.
- Creator
- Suriaga, Armiel, Bryan, Valerie C., Florida Atlantic University, Christine E. Lynn College of Nursing, Christine E. Lynn College of Nursing
- Abstract/Description
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Background: Opioid-related deaths remain a significant public health problem in the United States. Opioids cause approximately 75% of all drug-related deaths. Since 1999, nearly half a million Americans have died from opioid overdoses. In 2018, 9,290 people > 55 years old died from opioid overdoses in the United States. In Florida, more than 1,000 older adults died from opioids (as a cause of death) from 2014-2018. However, there is a dearth of research about the manner of deaths of older...
Show moreBackground: Opioid-related deaths remain a significant public health problem in the United States. Opioids cause approximately 75% of all drug-related deaths. Since 1999, nearly half a million Americans have died from opioid overdoses. In 2018, 9,290 people > 55 years old died from opioid overdoses in the United States. In Florida, more than 1,000 older adults died from opioids (as a cause of death) from 2014-2018. However, there is a dearth of research about the manner of deaths of older adults who used, misused, or abused opioids. Methods: This secondary analysis utilized data from the Florida Drug and Law Enforcement (FDLE) agency between 2014 - 2018. A generalized linear model with a normal probability distribution was used to examine which social determinants or factors such as race, income, education level, percentage of people in poverty, and population density predicted opioid death rate in Florida. Chi-square statistics were used to determine the association between gender, race, and opioid-related deaths (ORD), and the relationship of the manner of death to the opioid drugs involved. The trend of opioid death rate was also analyzed by Florida county and through the data years 2014 to 2018.
Show less - Date Issued
- 2021
- PURL
- http://purl.flvc.org/fau/fd/FA00013683
- Subject Headings
- Opioids, Older people, Death
- Format
- Document (PDF)
- Title
- A Systematic Review and Quantitative Meta-Analysis of the Accuracy of Visual Inspection for Cervical Cancer Screening: Does Provider Type or Training Matter?.
- Creator
- Driscoll, Susan D., Tappen, Ruth M., Florida Atlantic University, Christine E. Lynn College of Nursing
- Abstract/Description
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Background: A global cervical cancer health disparity persists despite the demonstrated success of primary and secondary preventive strategies, such as cervical visual inspection (VI). Cervical cancer is the leading cause of cancer incidence and death for women in many low resource areas. The greatest risk is for those who are unable or unwilling to access screening. Barriers include healthcare personnel shortages, cost, transportation, and mistrust of healthcare providers and systems. Using...
Show moreBackground: A global cervical cancer health disparity persists despite the demonstrated success of primary and secondary preventive strategies, such as cervical visual inspection (VI). Cervical cancer is the leading cause of cancer incidence and death for women in many low resource areas. The greatest risk is for those who are unable or unwilling to access screening. Barriers include healthcare personnel shortages, cost, transportation, and mistrust of healthcare providers and systems. Using community health workers (CHWs) may overcome these barriers, increase facilitators, and improve participation in screening for women in remote areas with limited access to clinical resources. Aim: To determine whether the accuracy of VI performed by CHWs was comparable to VI by physicians or nurses and to consider the affect components of provider training had on VI accuracy. Methods: A systematic review and quantitative meta-analysis of published literature reporting on VI accuracy, provider type, and training was conducted. Strict inclusion/exclusion criteria, study quality, and publication bias assessments improved rigor and bivariate linear mixed modeling (BLMM) was used to determine the affect of predictors on accuracy. Unconditional and conditional BLMMs, controlling for VI technique, provider type, community, clinical setting, HIV status, and gynecological symptoms were considered. Results: Provider type was a significant predictor of sensitivity (p=.048) in the unconditional VI model. VI performed by CHWs was 15% more sensitive than physicians (p=.014). Provider type was not a significant predictor of accuracy in any other models. Didactic and mentored hours predicted sensitivity in both BLMMs. Quality assurance and use of a training manual predicted specificity in unconditional BLMMs, but was not significant in conditional models. Number of training days, with ≤5 being optimal, predicted sensitivity in both BLMMs and specificity in the unconditional model. Conclusion: Study results suggest that community based cervical cancer screening with VI conducted by CHWs can be as, if not more, accurate than VI performed by licensed providers. Locally based screening programs could increase access to screening for women in remote areas. Collaborative partnerships in “pragmatic solidarity” between healthcare systems, CHWs, and the community could promote participation in screening resulting in decreased cervical cancer incidence and mortality.
Show less - Date Issued
- 2016
- PURL
- http://purl.flvc.org/fau/fd/FA00004755
- Subject Headings
- Women--Health and hygiene., Cervix uteri--Cancer--Diagnosis., Cervix uteri--Cancer--Prevention., Medical screening., Medical care--Quality control., Community health services.
- Format
- Document (PDF)
- Title
- A Well-Being Program Grounded in Caring: Increasing Staff Satisfaction.
- Creator
- Jasmin, Marie Rose S., Linette, Donna, Rotolo, Patrice, Florida Atlantic University, Christine E. Lynn College of Nursing
- Abstract/Description
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Over the last few decades, there has been a growing concern over the shortage and training of behavioral healthcare workers in the United States and more so over mental health workers' retention. Publicly funded mental health institutions have been the most affected by the high turnover rate of mental health staff, which increases operational costs by continually hiring and training new staff. Besides increasing health care costs, the high turnover rate creates an unstable work environment...
Show moreOver the last few decades, there has been a growing concern over the shortage and training of behavioral healthcare workers in the United States and more so over mental health workers' retention. Publicly funded mental health institutions have been the most affected by the high turnover rate of mental health staff, which increases operational costs by continually hiring and training new staff. Besides increasing health care costs, the high turnover rate creates an unstable work environment that negatively impacts the quality of care. However, when employees are empowered to do their job and care for themselves, they are more likely to experience overall satisfaction and be committed to their organization. Many authors suggest that providing ongoing training to help employees adapt to their daily routine and create a caring environment positively impacts job satisfaction and organizational commitment. Therefore, organizations must implement strategies to enhance employee work experience, satisfaction, and retention. This paper intends to present a unique evidence-based training strategy to improve mental health workers' caring behaviors and work experience. Analysis of this quality improvement project's quantitative results, its evaluation, and practice recommendations are addressed.
Show less - Date Issued
- 2020
- PURL
- http://purl.flvc.org/fau/fd/faudnp000010
- Format
- Document (PDF)
- Title
- Acculturative Stress in Second Generation Haitian Americans.
- Creator
- Horne, Cassandre, Keller, Kathryn B., Florida Atlantic University, Christine E. Lynn College of Nursing, Christine E. Lynn College of Nursing
- Abstract/Description
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Second generation Haitian Americans have a unique set of challenges created by the fluid balancing of three cultures. This group has to be able to understand and function appropriately between the American culture, Black American culture, and the Haitian culture. Balancing and living in between multiple cultures while trying to grow in autonomy and adulthood can affect the mental health of emerging adults. Youth transitioning into adulthood struggle with gaining independence while finding...
Show moreSecond generation Haitian Americans have a unique set of challenges created by the fluid balancing of three cultures. This group has to be able to understand and function appropriately between the American culture, Black American culture, and the Haitian culture. Balancing and living in between multiple cultures while trying to grow in autonomy and adulthood can affect the mental health of emerging adults. Youth transitioning into adulthood struggle with gaining independence while finding their way in their identity. This stress coupled with cultural expectations are increasing stress levels in this population and age group. This study implemented a mixed methods approach to explore if acculturative stress had an effect on the mental health of second generation Haitian Americans. Also, explored in this study is the degree of stress experienced by this population. Resulting themes revealed that Haitian parents and culture were strict, a dual identity, and lack of awareness/ support for mental health in the culture were stressors. Themes of admiration for the Haitian culture and resiliency serve as possibilities as to why many continued to be educated members of society.
Show less - Date Issued
- 2021
- PURL
- http://purl.flvc.org/fau/fd/FA00013820
- Subject Headings
- Haitian Americans, Stress, Psychological, Acculturation, Haitian Americans--Ethnic identity
- Format
- Document (PDF)
- Title
- Adolescents’ Equine-Assisted Experiences from a Unitary Caring Perspective.
- Creator
- Mygatt, Marla G., Smith, Marlaine, Florida Atlantic University, Christine E. Lynn College of Nursing, Christine E. Lynn College of Nursing
- Abstract/Description
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Although there appears to be heightened awareness of the alarming rise in adolescent mental health concerns, treatment initiation and adherence to traditional therapies remains low. Nurses are at the forefront of exploring innovative youth-friendly therapeutic options that engage adolescents who otherwise may be reluctant to care. Human-animal interactions (HAIs) are alternative approaches where animals are integrated as therapeutic partners to help break down barriers, build trust, uncover...
Show moreAlthough there appears to be heightened awareness of the alarming rise in adolescent mental health concerns, treatment initiation and adherence to traditional therapies remains low. Nurses are at the forefront of exploring innovative youth-friendly therapeutic options that engage adolescents who otherwise may be reluctant to care. Human-animal interactions (HAIs) are alternative approaches where animals are integrated as therapeutic partners to help break down barriers, build trust, uncover meaning, and foster transformation. Equine-assisted learning (EAL), a type of HAI, was the focus of this research. This study explored the lived experience of adolescents who participated in an equine-assisted learning program guided through the lens of the theory of unitary caring and the hermeneutic-phenomenological unitary-caring research method. Eleven participants between the ages of 11-19 were interviewed. The outcomes of improved self-confidence, better mood, healthier relationships, and an optimistic outlook were supported by the literature. Six essences evolved from the narratives: troubled by turbulent connections; embracing uncertainty and vulnerability; awakening to the shared human-horse condition; attuning as one; engaging harmonically; and cultivating peace and joy. These essences, blended with the theory of unitary caring, led to the discovery of the antecedents of transformational change defined in the conceptual representation of the Unitary Caring Relatedness Model. These findings contribute to nursing and HAI literature and suggest a model that may be implemented in adolescent practice.
Show less - Date Issued
- 2023
- PURL
- http://purl.flvc.org/fau/fd/FA00014149
- Subject Headings
- Equine-Assisted Therapy, Teenagers--Mental health, Nursing
- Format
- Document (PDF)
- 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
- AIDS as a call for nurse caring: A phenomenological perspective.
- Creator
- Madayag, Tomas Mina Jr., Florida Atlantic University, Schoenhofer, Savina, Christine E. Lynn College of Nursing
- Abstract/Description
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The question that laid the basis for this study is: What is the meaning of nurse caring for patients with AIDS? This experience was unearthed through the phenomenological approaches of Van Manen and Munhall. The existential lived worlds provided the guide in amplifying the situatedness of participants. Through hermeneutical analysis, these themes emerged: being-with for another, knowing as a source of understanding and compassion, AIDS as stigma, AIDS as a call for nurse caring, connecting...
Show moreThe question that laid the basis for this study is: What is the meaning of nurse caring for patients with AIDS? This experience was unearthed through the phenomenological approaches of Van Manen and Munhall. The existential lived worlds provided the guide in amplifying the situatedness of participants. Through hermeneutical analysis, these themes emerged: being-with for another, knowing as a source of understanding and compassion, AIDS as stigma, AIDS as a call for nurse caring, connecting-severing, fear as a cause of dissonance, attachment by proxy, the experience of feeling for, corporeal vulnerability, the nurse as spiritless body, death as solace, and living time as hope. These findings were integrated with Roach's theory of nursing as the deliberate affirmation of caring as the human mode of being.
Show less - Date Issued
- 1993
- PURL
- http://purl.flvc.org/fcla/dt/14955
- Subject Headings
- Health Sciences, Nursing
- Format
- Document (PDF)
- Title
- An Evaluation of a Diabetes Self-Management Education Program in a Community Health Clinic.
- Creator
- Chetan, Daniela, Denny, Justine, Chadwell, Katherine, Florida Atlantic University, Christine E. Lynn College of Nursing
- Abstract/Description
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The incidence of uncontrolled diabetes among the adult population of the United States, especially individuals over 65 years, remains a critical issue and is on the rise. Florida is one of the most affected states with the largest population of adults ages 65 and older in the nation (FDAC, 2017). Adults within minority groups face the greatest hardships as they often do not have access to proper diabetes educational programs resulting in a higher prevalence of diabetes with a higher risk for...
Show moreThe incidence of uncontrolled diabetes among the adult population of the United States, especially individuals over 65 years, remains a critical issue and is on the rise. Florida is one of the most affected states with the largest population of adults ages 65 and older in the nation (FDAC, 2017). Adults within minority groups face the greatest hardships as they often do not have access to proper diabetes educational programs resulting in a higher prevalence of diabetes with a higher risk for developing diabetes-related complications (Ricci-Cabello et al., 2014). Diabetes is a chronic disease that requires a person to make a multitude of daily self-management decisions and perform complex care activities. Diabetes programs providing self-management education may be one of the solutions to addressing this problem, both nationally and locally. This project evaluated the effectiveness of the diabetes education program at the Cora E. Braynon Family Health Center, a community health clinic caring for underserved individuals. A total of 15 patients were followed throughout their participation in the program in June and July of 2019 for three months. Measurable outcomes for this program evaluation included participation in the program as evidenced by chart review, glycemic control by means of hemoglobin A1c measurements, self-management behaviors including diet, activity and exercise, and medication adherence by administering the Diabetes Self-Management Questionnaire (DSMQ) both pre- and post-participation in the program. Patient satisfaction with the program was measured using qualitative interview techniques. The interprofessional team members’ perception of the program was measured using a questionnaire based on the 10 ADA Diabetes Self-Management Education Standards as well as by qualitative interview. Alignment with the 2017 National Standards for Diabetes Self-Management Education and Support Curriculum Core Content Areas was measured by direct observation. After three months, 28% of the patients referred by their primary care provider attended both sessions in June, while 37% of patients referred attended the first session in July and 40.7% the second, meeting the set goal. After three months the following objectives were met: at least 15% of participants reported improvement in diet, activity and exercise, and medication adherence as compared to baseline scores on the DSMQ, 100% of patients and members of the interprofessional team reported satisfaction with the program, and 100% of the interprofessional team reported knowledge of the 2017 National Standards for Diabetes Self-Management Education. After three months, the following measured objectives were not met: only one participant reached the set goal of a 1% reduction in their recorded hemoglobin A1c levels, and during direct observation of program processes, only five of the eight standards from the 2017 National Standards for Diabetes Self-Management Education and Support Curriculum Core Content Areas were met. Core content areas of activity, healthy coping with psychosocial issues and problem solving, needed improvement. Such results support the push for the addition of a mental health counselor to the Care Coordination Team.
Show less - Date Issued
- 2019
- PURL
- http://purl.flvc.org/fau/fd/FA00007527
- Format
- Document (PDF)
- Title
- An Examination of the Demographic, Social, and Environmental Predictors of Risk for Schizophrenia in Afro-Caribbean Immigrants Living in the United States.
- Creator
- Gall-Ojurongbe, Sandra, Williams, Christine L., Florida Atlantic University, Christine E. Lynn College of Nursing
- Abstract/Description
-
The pioneering work of Ödegaard (1932) was the first to link migration and schizophrenia by reporting rates in Norwegian immigrants in Minnesota as twice that of native Minnesotans and of Norwegians in Norway. However, only in recent decades has an interest in migration and schizophrenia been rekindled as a result of reports of elevated rates of schizophrenia in Afro-Caribbean immigrants in the United Kingdom in the mid- 1960s (Hutchinson & Haasen, 2004). Later studies reported elevated rates...
Show moreThe pioneering work of Ödegaard (1932) was the first to link migration and schizophrenia by reporting rates in Norwegian immigrants in Minnesota as twice that of native Minnesotans and of Norwegians in Norway. However, only in recent decades has an interest in migration and schizophrenia been rekindled as a result of reports of elevated rates of schizophrenia in Afro-Caribbean immigrants in the United Kingdom in the mid- 1960s (Hutchinson & Haasen, 2004). Later studies reported elevated rates in secondgeneration Afro-Caribbean immigrants compared to first-generation (Harrison, Owens, Holton, Neilson, & Boot, 1988). In the United States, Blacks were diagnosed with schizophrenia 2.4 times more often than Whites (Olbert, Nagendra, & Buck, 2018). However, mental health researchers in the United States generally combine all individuals of African descent as African- Americans. This practice obscures the nuances of culture and ethnicity within the Black subgroups as well as the immigrant status of Afro-Caribbeans. This research focused on the Afro-Caribbean immigrants and factors that predict risk for schizophrenia within this population. The process of migration is a complex enterprise that produces stressors and challenges, the effects of which are multifaceted. The social and environmental forces that parallel the process of migration may predispose individuals to severe psychiatric disorders such as schizophrenia. Socio-political dynamics in the host country that marginalize others of different cultural and/or racial persuasions can compound the negative effects of post-migration. Therefore, migration is considered a social determinant of health. Empirical evidence has substantiated that socio-environmental factors such as urbanicity, discrimination or socio-economic deprivation, social support, and goal striving stress are potential contributing factors to the development of psychotic disorders in immigrants. Moreover, evidence has supported that the darker the skin color of the immigrant the greater the risk (Cantor-Graae, 2007). The findings of this study confirmed that for Afro-Caribbean immigrants stressors in the post-migration phase such as discrimination, limited social support, and economic hardship that can be compounded by the number of dependent children were identified as possible predictors of risk for schizophrenia. This risk increased with length of residency and continued into the second-generation.
Show less - Date Issued
- 2018
- PURL
- http://purl.flvc.org/fau/fd/FA00013003
- Subject Headings
- Schizophrenia--Risk factors, Migration, African-Carribbean
- Format
- Document (PDF)
- Title
- Applying Story-Guided Dialogue to Examine Social Connections for Rural Caregivers of Persons Living with Alzheimer’s Disease and Related Dementias During A Global Pandemic.
- Creator
- Cappo, Kathleen, Wiese, Lisa Kirk, Florida Atlantic University, Christine E. Lynn College of Nursing, Christine E. Lynn College of Nursing
- Abstract/Description
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In the U.S., an estimated 16 million persons provide unpaid care for family and friends with Alzheimer’s disease and related dementias (ADRD). These caregivers are experiencing challenges, such as lack social interaction, which further impacts their own health. Social isolation for caregivers is now considered to be another challenge due to living in a global pandemic. The purpose of this study was to address the gap in understanding rural informal caregiver by examining social connectedness...
Show moreIn the U.S., an estimated 16 million persons provide unpaid care for family and friends with Alzheimer’s disease and related dementias (ADRD). These caregivers are experiencing challenges, such as lack social interaction, which further impacts their own health. Social isolation for caregivers is now considered to be another challenge due to living in a global pandemic. The purpose of this study was to address the gap in understanding rural informal caregiver by examining social connectedness through the use of story-guided dialogues among rural caregivers of PWD during a global pandemic. Story Theory guides intentional dialogue, to bring forward connecting with self-in-relation through use of story path, noting low, high, and turning points.
Show less - Date Issued
- 2022
- PURL
- http://purl.flvc.org/fau/fd/FA00013983
- Subject Headings
- Caregivers, Rural caregivers, Alzheimer's disease, Social isolation, Pandemics
- Format
- Document (PDF)
- Title
- Assessing Clinical Staff Willingness to Learn and Implement the FIES Scale in the Adult Psychiatric Setting.
- Creator
- Cheng, Emani A., Dixon, De-Shaunah, Pritchard, Kyndall, Florida Atlantic University, Christine E. Lynn College of Nursing
- Abstract/Description
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When treating and studying mental health we must identify all of the factors that play a role in mental stability. Basic needs such as access to water, food, and resources can play a significant role in mental stability and can increase or decrease the likelihood of triggering, exacerbating, or eradicating a mental illness. Human beings need their basic needs met in order to have a healthy foundation and tackle mental and medical disorders. Scholarly evidence shows a positive correlation...
Show moreWhen treating and studying mental health we must identify all of the factors that play a role in mental stability. Basic needs such as access to water, food, and resources can play a significant role in mental stability and can increase or decrease the likelihood of triggering, exacerbating, or eradicating a mental illness. Human beings need their basic needs met in order to have a healthy foundation and tackle mental and medical disorders. Scholarly evidence shows a positive correlation between food insecurity and moderate to high levels of psychological distress. Inadequate access to food increases the probability of disorders, psychotic breakthroughs and/or exacerbation of psychiatric illnesses. Individuals with mental health disorders are at risk for poor food security. The DNP project created and implemented for quality improvement assess clinicians’ willingness to implement the Food Insecurity Experience Survey (FIES) in an adult inpatient psychiatric stabilization and residential setting after the completion of an educational program. Project evaluation involved the Evidence-Based Practice Assessment Survey (EBPAS), a pre- and post-test surveys on FIES knowledge, and a post-test on the usefulness of the educational program. Analysis revealed significance improvements in the Openness, Appeal, and Requirements subscales of the EBPAS. Items on the pre- post-test survey on FIES knowledge were statistically significant. Likewise, the results revealed significant satisfaction with the educational program. Facilitators of the project concluded that the project outcomes illustrate the utility of an educational program on the implementation of FIES for food insecurity screening in mental health settings.
Show less - Date Issued
- 2022
- PURL
- http://purl.flvc.org/fau/fd/faudnp000070
- Format
- Document (PDF)
- Title
- Avatar Guided Stories of Ease from Adolescents with Cancer.
- Creator
- Curnan, Laurie Ann, Liehr, Patricia, Florida Atlantic University, Christine E. Lynn College of Nursing
- Abstract/Description
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The overall purpose of this mixed method study was to describe adolescents’ experiences of ease while enduring treatment for cancer. Specifically, the study used avatar image-guided story-sharing (AIGSS) to explore adolescent sense-of-self, experiences of feeling uneasy, descriptions of qualities of ease, and best places for finding ease during treatment. The innovative research approach used in this study incorporated avatar images representing ‘ease’ in typical environments. By testing a...
Show moreThe overall purpose of this mixed method study was to describe adolescents’ experiences of ease while enduring treatment for cancer. Specifically, the study used avatar image-guided story-sharing (AIGSS) to explore adolescent sense-of-self, experiences of feeling uneasy, descriptions of qualities of ease, and best places for finding ease during treatment. The innovative research approach used in this study incorporated avatar images representing ‘ease’ in typical environments. By testing a developmentally relevant approach, AIGSS, to explore ease for adolescents enduring cancer, this study addressed a pressing need for meaningful approaches to engage adolescents in health-related dialogue about what matters most. While 10 qualities captured adolescent ease (beauty, fun, safety, strength, connectedness, calmness, rest, comfort, independence, and familiarity), connectedness, strength, fun, rest, and safety were the most significant qualities of ease threaded throughout stories. Two themes of self-reflected identity emerged: (a) valued personal qualities (extrinsic/admired) and (b) infused unique demeanors. Three themes described adolescent uneasiness during cancer treatment: (a) persistent uncertainty, (b) fearful anticipation, and (c) disrupted self. While home was most conducive for ease, personal meaning was given to the hospital enabling finding ease. This new knowledge is foundational for nurses who support adolescents during cancer treatment. This research lays the groundwork to re-define ease as a relevant outcome of quality nursing care, focusing on positive outcomes rather than catastrophic ones such as infection and death. Advancing caring science with interactive participative research enhanced communication with adolescents, having implications for both clinical research and pediatric oncology nursing practice.
Show less - Date Issued
- 2016
- PURL
- http://purl.flvc.org/fau/fd/FA00004582
- Subject Headings
- Avatar (Motion picture : 2009), Cancer in adolescence--Psychological aspects., Cancer in adolescence--Social aspects., Video games and children--Therapeutic use., Quality of life., Stress (Psychology), Psychophysiology.
- Format
- Document (PDF)
- Title
- Breast Cancer Screening in Uninsured Women.
- Creator
- Porter, Carla, Archibald, Cynthia, Florida Atlantic University, Christine E. Lynn College of Nursing
- Abstract/Description
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Breast Cancer is the most common cancer in women worldwide. African American and Hispanic women have a higher incidence of breast cancer mortality rate than their counterparts. Minority women are more are unlikely to receive breast cancer screening and are often diagnosed at later stages. Women diagnosed with abnormal breast screening can experience barriers to timely follow-up care resulting in delays in cancer diagnosis. Early cancer screening and prevention does reduce mortality rates....
Show moreBreast Cancer is the most common cancer in women worldwide. African American and Hispanic women have a higher incidence of breast cancer mortality rate than their counterparts. Minority women are more are unlikely to receive breast cancer screening and are often diagnosed at later stages. Women diagnosed with abnormal breast screening can experience barriers to timely follow-up care resulting in delays in cancer diagnosis. Early cancer screening and prevention does reduce mortality rates. Despite breast cancer screening programs, minority women continue to have lower screening rates compared to non-minority women. A non-profit Community Health Center (CHC) in South Florida serves low-income, uninsured, and undocumented individuals: Treasure Your Chest (TYC) is CHC’s breast screening program. The purpose of this project was to assess utilization of TYC. This study was conducted through a retrospective approach examining the use of TYC in reducing breast screening among uninsured women ages 50 to 74 years old. After receiving permission, reviews were done on 57 charts of women who met criteria, and data was analyzed using SPSS. Results indicate women did not maximize the service. Recommendations are discussed.
Show less - Date Issued
- 2019
- PURL
- http://purl.flvc.org/fau/fd/FA00007543
- Format
- Document (PDF)
- Title
- Breast Cancer Screening: Improving African American Women Access to Mammography Screening.
- Creator
- Reason, Fernanda, Jones, Tarsha, Wisdom-Chambers, Karen, Florida Atlantic University, Christine E. Lynn College of Nursing
- Abstract/Description
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Breast cancer (BrCa) is the most common cancer diagnosed in American women and the second leading cause of cancer-related death, making it a top public health priority. According to Yedjou et al. (2019), BrCa incidence is quite close between Black women (125.1/100,000) and White women (127.7/per 100,000) in the US, but Black women are 42% more likely to die from this disease, indicating a critical need to increase early detection among this population. The FAU-Northwest Community Health...
Show moreBreast cancer (BrCa) is the most common cancer diagnosed in American women and the second leading cause of cancer-related death, making it a top public health priority. According to Yedjou et al. (2019), BrCa incidence is quite close between Black women (125.1/100,000) and White women (127.7/per 100,000) in the US, but Black women are 42% more likely to die from this disease, indicating a critical need to increase early detection among this population. The FAU-Northwest Community Health Center Alliance's Community Health Center (CHC) is a Federally Qualified Health Center (FQHC) Look A Like that provides care to thousands of community members with financial disadvantages as well as other barriers, which limits access to care. This DNP project examined barriers to mammography completion among Black/AA women who received care at the CHC through a medical record review and survey. The medical record of Black women between ages 40-74 who were eligible to receive a mammogram revealed that only (57%) completed a mammogram within the past 4 years and even fewer completed a mammogram within the past 2 years (35%). After surveying a sample of these women (n=25), we found higher self-reported rates of mammography screening (80%) within the past 4 years and (68%) within the past 2 years. Participants reported perceived barriers and perceived benefits of mammography screening. Findings of this QI project showed multilevel influential factors work in combination to impact mammography compliance. For example, combined sociodemographic factors (age, education, family medical history, language, and insurance status) had significant impact on mammography completion (p=0.035). Additionally, an open-ended survey item, revealed these barriers: no insurance, age criteria for mammogram not met, Covid-19, lack of financial stability, fear of pain and exposure to mammography, and no current pain. Recommendations include strategies for improving Black/AA women access to mammography screening.
Show less - Date Issued
- 2021
- PURL
- http://purl.flvc.org/fau/fd/faudnp000027
- Format
- Document (PDF)
- Title
- Building the family network: A community is born.
- Creator
- Petit, Robin Cecilie, Florida Atlantic University, Christine E. Lynn College of Nursing
- Abstract/Description
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This research study is a description of the meaning of membership in a network of families affected by HIV-AIDS. Four network members were interviewed using a phenomenological approach to guide the inquiry. Narrative descriptions were generated which revealed six essential themes. They were: "Reaching Out to Each Other", "Building a Foundation", "Sharing Hope", "Growing Stronger", "Respecting and Accepting", and "Belonging Together." One Metatheme emerged "Building a Community." The...
Show moreThis research study is a description of the meaning of membership in a network of families affected by HIV-AIDS. Four network members were interviewed using a phenomenological approach to guide the inquiry. Narrative descriptions were generated which revealed six essential themes. They were: "Reaching Out to Each Other", "Building a Foundation", "Sharing Hope", "Growing Stronger", "Respecting and Accepting", and "Belonging Together." One Metatheme emerged "Building a Community." The implications for nursing practice, education and research are discussed.
Show less - Date Issued
- 1996
- PURL
- http://purl.flvc.org/fcla/dt/15348
- Subject Headings
- Psychology, Social, Health Sciences, Nursing, Health Sciences, Public Health, Sociology, Individual and Family Studies
- Format
- Document (PDF)