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Title: COASTAL ABSENCES IN ANDEAN ARCHAEOLOGY AND THE CONSTRUCTION OF A HIGHLAND-CENTRIC INDIGENEITY.
Creator: Crawford, Ben, Corr, Rachel, Harriet L. Wilkes Honors College, Florida Atlantic University
Abstract/Description: As a tangible linkage to the past, archaeological material culture plays a vital role in constructing contemporary identities. In Ecuador, archaeology focused on the state societies of the Andean highlands has long informed a hill-centric national narrative about the indigenous past, leaving coastal peoples on the margins. Conversely, more recent efforts at investigating overlooked coastal sites have paralleled the process of coastal communities publically reclaiming their indigenous status....
Show moreAs a tangible linkage to the past, archaeological material culture plays a vital role in constructing contemporary identities. In Ecuador, archaeology focused on the state societies of the Andean highlands has long informed a hill-centric national narrative about the indigenous past, leaving coastal peoples on the margins. Conversely, more recent efforts at investigating overlooked coastal sites have paralleled the process of coastal communities publically reclaiming their indigenous status. This thesis investigates the historical trends in the field of Andean archaeology which have contributed to a popular conception of highland indigeneity in Ecuador that excludes coastal peoples. However, coastal peoples’ recent expressions of indigeneity have reciprocally drawn from and shaped the work of contemporary archaeologists working in coastal sites, articulating a vision of indigenous ethnicity rooted in a living relationship to the archaeological record which subverts predominant highland centric narratives.
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Date Issued: 2023
PURL: http://purl.flvc.org/fau/fd/FAUHT00286
Format: Document (PDF)

Title: Exploring Fractals: the Madelbrot Set.
Creator: Diehl, Sarah, McGovern, Warren Wm., Harriet L. Wilkes Honors College, Florida Atlantic University
Abstract/Description: A fractal is a shape that is self-similar through infinitely many iterations. There are many instances of self-similarity in nature, but fractals can be computer-generated and even modeled after nature. One of the most notable examples of a computergenerated fractal is the Mandelbrot set, which is defined as the set of those z for which the orbit of fc(z) = z2 + c is bounded. This set is an instance of how a simple iteration can be extremely intricate.
Date Issued: 2023
PURL: http://purl.flvc.org/fau/fd/FAUHT00283
Format: Document (PDF)

Title: DELINEATING THE INTRACELLULAR AND EXTRACELLULAR ROLE OF MATRIX METALLOPROTEINASE 14 IN PRIMARY AND METASTATIC PANCREATIC CANCERS BxPC-3 AND HPAF-II.
Creator: Gopi, Nihasika, Fields, Gregg B., Harriet L. Wilkes Honors College, Florida Atlantic University
Abstract/Description: Using flow cytometry and two forms of hypoxic induction, chemical (CoCl2) and gaseous (Tri-gas chamber), this study highlighted the advantages of quantitative analyses of MMP-14 expression (intracellularly/extracellularly) for one primary (BxPC-3) and one metastatic (HPAF-II) pancreatic cancer line. No significant changes in MMP-14 expression were observed for pancreatic cancer lines using CoCl2. Increased expression levels of MMP-14 were observed using tri-gas incubation maintaining oxygen...
Show moreUsing flow cytometry and two forms of hypoxic induction, chemical (CoCl2) and gaseous (Tri-gas chamber), this study highlighted the advantages of quantitative analyses of MMP-14 expression (intracellularly/extracellularly) for one primary (BxPC-3) and one metastatic (HPAF-II) pancreatic cancer line. No significant changes in MMP-14 expression were observed for pancreatic cancer lines using CoCl2. Increased expression levels of MMP-14 were observed using tri-gas incubation maintaining oxygen levels at 2% intracellularly for HPAF-II, but not BxPC-3. A combination of 2D/3D cell culturing techniques were also used to examine changes in cellular behavior/morphology after hypoxic exposure and a 24-hour reoxygenation cycle. BxPC-3 cells showed a greater propensity toward oxidative damage caused by reoxygenation using 2D culturing techniques. Using 3D biomimetic culturing techniques, reoxygenated BxPC-3 cells did not undergo significant apoptosis or necrosis. These results suggest that changes in cellular metabolism and behavior depend on both phenotype and culture scaffolding.
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Date Issued: 2023
PURL: http://purl.flvc.org/fau/fd/FAUHT00284
Format: Document (PDF)

Title: ORIGAMI CONSTRUCTIBLE NUMBERS AND SOLVING THE PROBLEMS OF ANTIQUITY.
Creator: Preisser, Kasey, McGovern, Warren Wm., Harriet L. Wilkes Honors College, Florida Atlantic University
Abstract/Description: The Problems of Antiquity, which have challenged and fascinated mathematicians for hundreds of years, include squaring the circle, trisecting the angle, and doubling the cube. Mathematicians of Ancient Greece attempted to solve these problems through the traditional construction methods involving a compass and straightedge. It was discovered in the nineteenth century, however, that these problems are impossible to solve using a compass and straightedge. Surprisingly, it is origami - the...
Show moreThe Problems of Antiquity, which have challenged and fascinated mathematicians for hundreds of years, include squaring the circle, trisecting the angle, and doubling the cube. Mathematicians of Ancient Greece attempted to solve these problems through the traditional construction methods involving a compass and straightedge. It was discovered in the nineteenth century, however, that these problems are impossible to solve using a compass and straightedge. Surprisingly, it is origami - the ancient art of Japanese paper folding - that holds the key to solving two of these classical problems. The development of the field of origami constructible numbers has led to modern axioms that, when coupled with traditional paper folding techniques, make trisecting the angle and doubling the cube possible. The applications of mathematical origami are seemingly endless, ranging from solving these ancient problems to designing folding space telescopes.
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Date Issued: 2023
PURL: http://purl.flvc.org/fau/fd/FAUHT00285
Format: Document (PDF)

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

Title: Educating Staff of a Memory Disorder Clinic on the Utilization of a Standardized Suicide Screening Tool to Improve Knowledge and Care for Patients Diagnosed with Dementia.
Creator: Belgarde, Eden, Kelly, Tracian, Ortega. Maria de los Angeles, Florida Atlantic University, Christine E. Lynn College of Nursing
Abstract/Description: Background: Suicide is a major health problem that is among the leading causes of deaths in the United States and can be prevented through community-based interventions. Suicide rates in older adults are increasing. Common suicidal risk factors include a decline in cognitive function, having other psychiatric comorbidities, and dementia. The risk for suicide increases for individuals within the first three months of receiving a dementia diagnosis and includes the first three months of another...
Show moreBackground: Suicide is a major health problem that is among the leading causes of deaths in the United States and can be prevented through community-based interventions. Suicide rates in older adults are increasing. Common suicidal risk factors include a decline in cognitive function, having other psychiatric comorbidities, and dementia. The risk for suicide increases for individuals within the first three months of receiving a dementia diagnosis and includes the first three months of another subgroup of individuals who were diagnosed with dementia before the age of 65. Purpose: The purpose of this quality improvement project is to educate the staff at a memory and wellness center in Boca Raton on how to use a standardized suicide screening tool to improve their knowledge and perceived comfort in utilizing the tool and providing care to patients with dementia.
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Date Issued: 2023
PURL: http://purl.flvc.org/fau/fd/faudnp000084
Format: Document (PDF)

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

Title: Consistent Caregivers’ Assignments in residents Suffering with Behavioral Psychiatric Symptoms in Dementia (BPSD).
Creator: Cijulus, Mara, Buie, Louise Aurélien, Caban, Jorge, Florida Atlantic University, Christine E. Lynn College of Nursing
Abstract/Description: Residents in long-term care settings with behavioral psychiatric symptoms in dementia (BPSD) are at increased risk of experiencing lower quality of life due to inconsistency in staff assignments. BPSD and inconsistent staff assignments affect residents' quality of life due to stress and anxiety experienced during activities of daily living (ADLs), interfering with caregiving and daily functioning. According to Brennan et al. (2017), “By minimizing the number of different staff who provide...
Show moreResidents in long-term care settings with behavioral psychiatric symptoms in dementia (BPSD) are at increased risk of experiencing lower quality of life due to inconsistency in staff assignments. BPSD and inconsistent staff assignments affect residents' quality of life due to stress and anxiety experienced during activities of daily living (ADLs), interfering with caregiving and daily functioning. According to Brennan et al. (2017), “By minimizing the number of different staff who provide care during a resident’s stay, consistent staff assignment promotes more resident-centered care and is thought to result in improved resident functioning and quality of life” (p. 851). There is an urgency for healthcare providers, administrators, and caregivers to address this problem. The purpose of this program evaluation project was to assess the effect of consistent caregivers’ assignments on residents in long-term care facilities exhibiting behavioral psychiatric symptoms of dementia (BPSD). This project was implemented at Brookdale Palm Beach Gardens and consisted of a convenience sample of residents from the memory care unit (N=21). Additionally, 19 caregivers were trained and assisted with the data collection using the Agitated Behavior in Dementia (ABID) scale for the nine-week duration of the intervention. Furthermore, an extensive review of medical records and medication administration records was completed to identify the frequency of psychotropic medications used to relieve BPSD. The descriptive statistics data were analyzed for nine- weeks using Intellectus statistics software program (2021). The descriptive statistics included means, standard deviation, and frequency distributions. The variables distribution is not considered to be asymmetrical about its means, and it is not markedly different than a normal distribution. The improvements that were seen throughout the program, though not statistically significant, should not be ignored; they can be promising for a similar future project.
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Date Issued: 2023
PURL: http://purl.flvc.org/fau/fd/faudnp000097
Format: Document (PDF)

Title: Enhancing Hypertension Management Strategies Through the Loving Heart Program.
Creator: Clarke, Joan, Love, Tamara, Florida Atlantic University, Christine E. Lynn College of Nursing
Abstract/Description: Background: The aim of this project was to describe a quality improvement program for Afro-Americans and Afro- Caribbean with hypertension that implemented a self-management program to enhance knowledge and self-management strategies to lower hypertension (HTN) and body mass index (BMI) within a twelve-week period. These markers addressed variables such as blood pressure monitoring, prevention, or reduction of hypertension. Method: This quality improvement project consisted of six volunteer...
Show moreBackground: The aim of this project was to describe a quality improvement program for Afro-Americans and Afro- Caribbean with hypertension that implemented a self-management program to enhance knowledge and self-management strategies to lower hypertension (HTN) and body mass index (BMI) within a twelve-week period. These markers addressed variables such as blood pressure monitoring, prevention, or reduction of hypertension. Method: This quality improvement project consisted of six volunteer participants. The participants were comprised of two males and four females of Afro- American and Afro-Caribbean descent with a history of hypertension who received the Hypertension Knowledge-Level (HKL) scale questionnaires used as a pre-and post-intervention, American Heart Association (2018), pre-training demographic questionnaire, and evidence-based educational guidelines materials about hypertension and self-management.
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Date Issued: 2023
PURL: http://purl.flvc.org/fau/fd/faudnp000087
Format: Document (PDF)

Title: Program evaluation of the detox protocol for patients with Alcohol Use Disorder.
Creator: De Freitas, Aisha, Hain, Debra, Florida Atlantic University, Christine E. Lynn College of Nursing
Abstract/Description: Background: Alcohol use disorder (AUD) is a serious problem that has affected countless of people in the United States. This disorder is difficult to treat and despite evidence-based treatments, there continues to be a problem. Treatment centers often attempt to address AUD with personalized detox protocol based on tradition and evidence that attempt to target pertinent factors that may increase the likelihood of sustained abstinence. Purpose: To conduct a program evaluation of thedetox...
Show moreBackground: Alcohol use disorder (AUD) is a serious problem that has affected countless of people in the United States. This disorder is difficult to treat and despite evidence-based treatments, there continues to be a problem. Treatment centers often attempt to address AUD with personalized detox protocol based on tradition and evidence that attempt to target pertinent factors that may increase the likelihood of sustained abstinence. Purpose: To conduct a program evaluation of thedetox protocol for patients diagnosed with AUD at a treatment center in south Florida. This program evaluation will yield important information regarding the outcomes of an established program. This project identified strengths, opportunities for improvement, and opportunities to support current practice at this facility.
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Date Issued: 2023
PURL: http://purl.flvc.org/fau/fd/faudnp000094
Format: Document (PDF)

Title: Optimizing Opioid Abuse Treatment in the Young Adult in an Outpatient Psychiatric Setting.
Creator: Desrosiers, Charlene, Mammah, Kyndall, Florida Atlantic University, Christine E. Lynn College of Nursing
Abstract/Description: Substance abuse, specifically opioid abuse, continues to be one of the largest epidemics in the United States. Death caused by overdose has seen a steady increase over the past few decades, and despite public health initiatives such as clean needle exchange programs, methadone clinics, and Narcan, there continues to be a concerning rise in the number of drug usage and death secondary to drug overdose in the young adult. Recently, Narcan became approved for over-the-counter usage to combat the...
Show moreSubstance abuse, specifically opioid abuse, continues to be one of the largest epidemics in the United States. Death caused by overdose has seen a steady increase over the past few decades, and despite public health initiatives such as clean needle exchange programs, methadone clinics, and Narcan, there continues to be a concerning rise in the number of drug usage and death secondary to drug overdose in the young adult. Recently, Narcan became approved for over-the-counter usage to combat the increased incidents of overdose. Scholarly evidence shows that opioid use disorder is most effectively treated with a combination of medication and psychotherapy, particularly Cognitive Behavioral Therapy (CBT). Although Medication-Assisted Therapy (MAT) remains the gold standard in the treatment of opioid use disorder, the evidence and literature presented throughout this project will document how much more effective treatment is when patients are engaging in psychotherapy. The evidence shows that patients have a reduction in cravings, there is a reduction in relapse, and in many cases the patients can maintain long-term sobriety utilizing the tools learned in psychotherapy sessions. This project is a quality improvement project, in which I assessed the current processes in place to assess current treatment of patients seeking initial psychiatric evaluation, as well as of those engaging in follow up visits for the treatment of OUD. From there, I realized that my project site did not have a current process in place unique to patients being seen for OUD. I developed a questionnaire, based on similarities between our patients seen for OUD, that would be used with patients to establish a baseline and used to gauge effectiveness of treatment at increments. Ten patients were followed from May to October to generate these findings that will be presented. In the end, this project has provided a promising conclusion: combined therapy with MAT and psychotherapy for treatment of OUD is effective in optimizing sobriety.
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Date Issued: 2023
PURL: http://purl.flvc.org/fau/fd/faudnp000076
Format: Document (PDF)

Title: African Americans and Hypertension.
Creator: Erisme, Marie S., Florida Atlantic University, Christine E. Lynn College of Nursing
Abstract/Description: 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.
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Date Issued: 2023
PURL: http://purl.flvc.org/fau/fd/faudnp000091
Format: Document (PDF)

Title: A Complementary and Integrative Care Educational Needs Assessment of Advanced Practice Registered Nurses in Outpatient Settings.
Creator: Glynn, Amanda L., Hain, Debra, Wilson, Candy, Florida Atlantic University, Christine E. Lynn College of Nursing
Abstract/Description: 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.
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Date Issued: 2023
PURL: http://purl.flvc.org/fau/fd/faudnp000098
Format: Document (PDF)

Title: Decreasing Psychiatric ER Visits in Veterans Enrolled in Primary Care Home-Based Program.
Creator: Guedes, Jany L., Brennen, Marlene, Edouard, Christopher L., Florida Atlantic University, Christine E. Lynn College of Nursing
Abstract/Description: Geographical and health-related obstacles frequently prevent veterans from receiving care from civilian hospitals and the Veterans Health Administration. Due to poor patient education and lack of access to mental health care, many patients with serious mental health illnesses have no choice but to go to emergency care for mental health treatment that could be treated effectively in an outpatient setting. An initiative identifying the factors that lead veterans to the emergency room for...
Show moreGeographical and health-related obstacles frequently prevent veterans from receiving care from civilian hospitals and the Veterans Health Administration. Due to poor patient education and lack of access to mental health care, many patients with serious mental health illnesses have no choice but to go to emergency care for mental health treatment that could be treated effectively in an outpatient setting. An initiative identifying the factors that lead veterans to the emergency room for preventable mental health services has the potential to improve public health. Home-based mental health care can be provided in many modalities, including telehealth, video conferences, and in-person (face-to-face; In addition to eliminating transportation issues, improving access to mental health services, and reducing the stressors of waiting for appointments in outpatient clinics. The project was conducted with veterans enrolled in a home-based primary care program at a Southwest Region Hospital. A total of 15 male veterans between the ages of 55 and 85 agreed to participate. Six were African American (40 %), 5 were White (33 %), and four were Hispanic (26.6 %). A repeated measures ANOVA was conducted on PSS-10 scores. The main effect for the within-subjects factor was significant, F(3, 42) = 41.59, p < .001, indicating there were significant differences between the values of Pre-Intervention PSS-10 scores, Month 1 Pss-10 score Month 2 Pss-10 score, and Month 3 PSS-10 scores. A Repeated Measure ANOVA was conducted on Psych ER visits. The main effect for the within-subjects factor was significant, F(1, 14) = 93.04, p < .001, indicating significant differences between the values of Pre-intervention Psych ER visits and Month 3 Psych ER visits.
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Date Issued: 2023
PURL: http://purl.flvc.org/fau/fd/faudnp000099
Format: Document (PDF)

Title: SHARED approach to lessen ER readmissions of Substance use disorder (SUD) with BRIDGE program.
Creator: Hamilton, Losarnia, Kelly, Tracian, Cordero, Nelson, Florida Atlantic University, Christine E. Lynn College of Nursing
Abstract/Description: Substance use disorders (SUD) are associated with an excessive number of hospital and emergency room visits, as well as noncompliance with medical guidance. Many low-barrier substance abuse treatment bridge clinics are hospital-based outpatient operations that are not licensed as opioid treatment facilities (OTPs). The aim of this quality improvement project is to reduce ER readmissions for patients suffering from substance abuse disorders. Improvements were seen in patients after three...
Show moreSubstance use disorders (SUD) are associated with an excessive number of hospital and emergency room visits, as well as noncompliance with medical guidance. Many low-barrier substance abuse treatment bridge clinics are hospital-based outpatient operations that are not licensed as opioid treatment facilities (OTPs). The aim of this quality improvement project is to reduce ER readmissions for patients suffering from substance abuse disorders. Improvements were seen in patients after three months of participation in the provided BRIDGE program using the shared technique. The Agency for Healthcare Research and Quality's (AHRQ) SHARE Approach to Decision-Making assists healthcare clinicians in partnering with patients to make the best decision possible for them. The frequent emergency room visits by people suffering from SUD inspired our project. The DNP student visited with SUD patients in the ED and engaged in collaborative decision-making with them. This project aims to educate individuals who visit the Broward Health Medical Center emergency room about the importance of a substance abuse treatment program. Nonparametric statistics were utilized to determine the extent to which the individual was active in the decision-making process. Descriptive statistics were used to describe the participants who consented and refused to participate in the BRIDGE Program, as well as to calculate the percentage of participants who agreed to participate in the BRIDGE Program and whether any of them were readmitted during the program.
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Date Issued: 2023
PURL: http://purl.flvc.org/fau/fd/faudnp000100
Format: Document (PDF)

Title: Improvement of foot care knowledge and behaviors of diabetic patients.
Creator: Huffman, Samantha, Mammah, Kyndall, Carter, Kelsey, Florida Atlantic University, Christine E. Lynn College of Nursing
Abstract/Description: In the United States over 37 million people have diabetes. The condition damages blood vessels and tissues leading to peripheral neuropathy and impaired wound healing. The loss of protective sensation associated with diabetes can prevent patients from recognizing when they have a wound or some other kind of skin damage present. Delayed identification of wounds in a diabetic patient can have dangerous consequences, most notable amputation of the affected body part. In fact, diabetes is the...
Show moreIn the United States over 37 million people have diabetes. The condition damages blood vessels and tissues leading to peripheral neuropathy and impaired wound healing. The loss of protective sensation associated with diabetes can prevent patients from recognizing when they have a wound or some other kind of skin damage present. Delayed identification of wounds in a diabetic patient can have dangerous consequences, most notable amputation of the affected body part. In fact, diabetes is the strongest influence in non-traumatic lower extremity amputations. The purpose of this project was to increase patient knowledge of proper foot-care as well as improve foot self-care behaviors at home. The project team members sought to achieve this by implementing a standardized patient education program for diabetic patients in addition to performing a diabetic foot exam (DFE) with the patient in the primary care setting. The education sessions included verbal and written instruction that were developed using the American Diabetes Association (ADA) proper foot care guidelines. After the implementation of the project, scores on both the basic diabetes foot-care questionnaire and the diabetes foot self-care behavior scale (DFSBS) increased.
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Date Issued: 2023
PURL: http://purl.flvc.org/fau/fd/faudnp000077
Format: Document (PDF)

Title: Evaluation of Geriatric Education and Interprofessional Collaboration in Healthcare Practice: Identifying Opportunities to Improve Care for Older Adults.
Creator: Jarrin, Tatiana, Florida Atlantic University, Christine E. Lynn College of Nursing
Abstract/Description: Background Interprofessional collaboration and knowledge of how to care for older adults are important components of high-quality care for a multitude of healthcare disciplines. The aging population presents unique challenges to healthcare professionals, and education on how to care for older adults can equip them with the knowledge and skills needed to provide optimal care. Florida Atlantic University’s (FAU) Office of Interprofessional Education and Practice (IPE&P) designed a Foundational...
Show moreBackground Interprofessional collaboration and knowledge of how to care for older adults are important components of high-quality care for a multitude of healthcare disciplines. The aging population presents unique challenges to healthcare professionals, and education on how to care for older adults can equip them with the knowledge and skills needed to provide optimal care. Florida Atlantic University’s (FAU) Office of Interprofessional Education and Practice (IPE&P) designed a Foundational Level Program which includes the Canvas modules for IPEP 2022-2023 and the Senior Adult Geriatric Educator (SAGE) visits. This program is an example of an academic initiative that aims to improve interprofessional collaboration among healthcare professionals regarding education and assessment of the aging population. Aim This program evaluation aimed to examine the current SAGE Mentor program that is presented through Florida Atlantic University’s Office of Interprofessional Education and Practice and to evaluate whether students who participated experienced enhanced competency upon completion of this Foundational Level Program.
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Date Issued: 2023
PURL: http://purl.flvc.org/fau/fd/faudnp000089
Format: Document (PDF)

Title: Program Evaluation of Bereavement Services within a Community Hospice.
Creator: Klein, Abigail, Chadwell, Katherine, Bang, Carla, Florida Atlantic University, Christine E. Lynn College of Nursing
Abstract/Description: In the aftermath of the Covid-19 pandemic, bereavement and grief have become two widely used terms in modern day society. The terms are often used interchangeably to describe a feeling of deep sorrow felt after the loss of a loved one. Often it can be difficult for individuals to cope with the loss of a loved one, and it is estimated that 20% of bereaved individuals will experience complicated grief (NAMI, 2021). Complicated grief, often referred to as a prolonged grief disorder, can be...
Show moreIn the aftermath of the Covid-19 pandemic, bereavement and grief have become two widely used terms in modern day society. The terms are often used interchangeably to describe a feeling of deep sorrow felt after the loss of a loved one. Often it can be difficult for individuals to cope with the loss of a loved one, and it is estimated that 20% of bereaved individuals will experience complicated grief (NAMI, 2021). Complicated grief, often referred to as a prolonged grief disorder, can be defined in several ways. Today, the most widely accepted definition of complicated grief is grief that persists for longer than one year and significantly interrupts an individuals’ ability to complete daily functions (Cleveland Clinic, 2022). Each year, there are roughly 2.6 million deaths in the US alone, leaving behind approximately 13 million individuals (about twice the population of Arizona) to grieve (U.S. Census, 2021). A study conducted in 2019, surveyed 1,084 US adults and found that 32% had experienced grief following the death of a loved one in the past three years (The Grief Experience, 2019). Furthermore, of U.S. adults over the age of 65, 71% reported experiencing bereavement in the previous 30 months (Williams & Sawyer, 2017).
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Date Issued: 2023
PURL: http://purl.flvc.org/fau/fd/faudnp000096
Format: Document (PDF)

Title: Screening, Education, and Counseling to Address the Obesity Epidemic in Pediatric and Adolescent Populations.
Creator: Lanter, Sophie, Heinze, Katherine, Gambino, Paul, Florida Atlantic University, Christine E. Lynn College of Nursing
Abstract/Description: Childhood and adolescent obesity are significant public health concerns in the United States, with about 19% of children and adolescents aged 2-19 years being obese. Obesity is associated with several health risks, including type 2 diabetes, cardiovascular disease, and mental health issues. However, in many families there is a significant knowledge deficit in terms of risks and prevention for childhood and adolescent obesity. This Doctor of Nursing Practice project aims to address the gap in...
Show moreChildhood and adolescent obesity are significant public health concerns in the United States, with about 19% of children and adolescents aged 2-19 years being obese. Obesity is associated with several health risks, including type 2 diabetes, cardiovascular disease, and mental health issues. However, in many families there is a significant knowledge deficit in terms of risks and prevention for childhood and adolescent obesity. This Doctor of Nursing Practice project aims to address the gap in knowledge and awareness of childhood and adolescent obesity by implementing a screening, education, and counseling program within the Primary care setting. The project identified overweight and obese young adults between the ages of 12-21 years old, as well as providing education and counseling about co-morbid conditions. A 4-point Likert scale, created by the project leader, was given to participants to assess their baseline knowledge at the beginning of the project. Throughout the duration of the project, we worked to provide participants with strategies necessary for healthy lifestyle modification. The project utilized evidence-based interventions to help the participants learn how to adopt healthier habits, in an effort to increase knowledge about childhood/adolescent obesity, its subsequent co-morbidities, and the importance of continual screening, education, and counseling. The same 4-point Likert scale was given to participants as a post-study comparison. At the conclusion of the program, paired sample t-tests and Wilcoxon signed rank tests were used to analyze study data. The paired samples t-test and Wilcoxon signed rank test showed a significant reduction in BMI over the course of the project; furthermore, physical activity, understanding of balanced nutrition, and health food knowledge significantly increased over the course of the project. The implementation of this project has the potential to increase education, awareness, and may improve health outcomes. Future studies designed to empower families and healthcare providers with knowledge and tools to prevent and manage childhood and adolescent obesity, have the potential to make strides towards a healthier and more equitable society.
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Date Issued: 2023
PURL: http://purl.flvc.org/fau/fd/faudnp000078
Format: Document (PDF)

Title: Education, Screening, and Follow Up to Reduce Obstructive Sleep Apnea in a Prison Reentry Residential Community.
Creator: Lazcano, Amanda, Wiese, Lisa, Hain, Debra, Florida Atlantic University, Christine E. Lynn College of Nursing
Abstract/Description: Obstructive sleep apnea affects an estimated 936 million people worldwide (Pivetta, 2021). Untreated OSA can lead to adverse metabolic, cardiovascular, and neurocognitive consequences, possibly reducing one’s lifespan. Education and screening can spread awareness among a community which typically has limited access to resources and may promote early recognition and treatment. In a Christian-based prison reentry residential community, a pre-test survey was provided to a total sample of 19...
Show moreObstructive sleep apnea affects an estimated 936 million people worldwide (Pivetta, 2021). Untreated OSA can lead to adverse metabolic, cardiovascular, and neurocognitive consequences, possibly reducing one’s lifespan. Education and screening can spread awareness among a community which typically has limited access to resources and may promote early recognition and treatment. In a Christian-based prison reentry residential community, a pre-test survey was provided to a total sample of 19 participants to measure baseline knowledge of OSA. After administration of the pre-survey, education was provided in a group setting, using a detailed brochure the DNP student created. After participants read through the material and questions were answered, the post-survey was administered to measure if knowledge regarding OSA increased. Screening using the STOP-Bang questionnaire occurred after the post-surveys. The DNP student followed up with participants found to be at high risk for OSA patients over a 3-month period. A 37% of participants scored high risk for OSA, 37% scored intermediate risk, and 26% scored low risk. The p-value calculated to measure pre-and-post OSA knowledge using the survey total score was statistically significant (< .001.). Of the seven total participants who scored high risk, two were newly diagnosed with OSA after referral to a PCP for a sleep study with the help of the telephonic phone sessions. Education and screening demonstrated to be beneficial, resulting in positive outcomes. Project partakers were successfully able to define OSA, list risk factors, and describe how to diagnose and treat the condition. Participants who were newly diagnosed, previously diagnosed, or refused the sleep study managed to adjust modifiable risk factors over the summer such as weight loss, diet, and management of chronic conditions.
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Date Issued: 2023
PURL: http://purl.flvc.org/fau/fd/faudnp000079
Format: Document (PDF)

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