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Impact of Nurse Practitioner Practice Regulation on Access to Healthcare Services
(2014-09-26)
Nurse practitioner (NP) practice regulations vary from state to state across the United States. Despite strong evidence supporting the quality of care and satisfaction with care provided by NPs, restrictive regulations ...
Reducing Outpatient Antibiotic Resistance: A Quasi-Experimental Study
(2017)
Approximately 50% of antibiotics prescribed are not necessary, nevertheless in the United States
among the many outpatient prescriptions, few are more widely prescribed than antibiotics. The
inappropriate use of ...
Retention of new graduates to their first professional role: perceptions of those that have stayed
(University of Missouri–Kansas City, 2016)
There is an inability to retain new graduate nurses in their initial positions.
Patricia Benner (1984) developed the From Novice to Expert Theory of nurse
development outlining the nurses’ transition through the developmental ...
The STRATA Study: Structural Antecedents of Tdap Administration in Obstetrical Practices in the Midwestern United States
(University of Missouri -- Kansas City, 2019)
Every year in the United States, young infants die from pertussis. The incidence of
pertussis among infants exceeds that of all other age groups. Protection is only available if
the mother receives the tetanus, diphtheria, ...
Toxic Stress Education for Pediatric Practitioners to Improve Health Outcomes
(University of Missouri--Kansas City, 2018)
Toxic stress associated with adverse childhood experiences during childhood can have
catastrophic lifelong neurobiological, social, and emotional effects and has been shown to
decrease life expectancy up to 20 years. ...
The Relationship between Social Support and Health Care Utilization among African-American Men Post-acute Myocardial Infarction
(2014-09-30)
African-American men have more health disparities in the form of higher rates of
chronic illness and shorter life expectancies when compared to their Caucasian
counterparts. A health disparity example is the higher ...
Breast and Cervical Cancer Screening in African American Women After Multiple Interventions
(University of Missouri--Kansas City, 2017)
African American women are consistently diagnosed at later stages of breast and cervical cancer
than Caucasian women, leading to increased morbidity and mortality rates. Although the
mammogram and Papanikolaou (Pap) ...
Distress and Caregiver Appraisal in Pediatric Critical Care Unit Nurses when Withdrawing Life-Sustaining Treatment
(University of Missouri--Kansas City, 2018)
Distress, defined as anxiety, sorrow, and/or pain, among nurses is a pervasive
problem. When elevated or uncompensated, distress may contribute to deleterious
consequences for the nurse, patient outcomes, the nursing ...
A descriptive, cross-sectional, correlational exploration of perceived stress, quality of life, and family functioning in parents of a child with congenital heart disease: The PinCHeD Study
(2020)
.01) better emotional functioning (n = 29, Mdn = 450.00, IQR = 162) in comparison to mothers (n = 29, Mdn = 350.00, IQR = 250), and in communication, where fathers reported statistically significant (Z = -2.38, p = 0.02) better communication (n = 29, Mdn = 275...
Improving Provider Comfort with the Assessment and Treatment of Erectile Dysfunction
(University of Missouri -- Kansas City, 2020)
Sexuality and optimal erectile function are essential aspects of holistic care. Healthcare
providers, however, do not routinely assess erectile function in male patients during the annual
wellness exam. Men are more ...
Reducing Risk for Cardiovascular Disease in African American Women
(University of Missouri--Kansas City, 2018)
In the United States, African American women are at significant risk for cardiovascular disease,
influenced by factors such as obesity, hypertension, sedentary lifestyle, and low socioeconomic
status. This Doctor of ...
BMI and Waist Circumference for Increased Overweight and Obesity Diagnosis
(University of Missouri -- Kansas City, 2020)
Overweight and obesity rates in the United States are reaching epidemic proportions and is a
greater reality to rural communities. The purpose of this quasi-experimental, quality
improvement project was to increase ...
Differences Between Licensed Healthcare Professionals with Substance Use-Related Licensure Discipline
(2020)
Substance Use Disorder (SUD) affects thousands of physicians, nurses, pharmacists and other healthcare providers across the country. Healthcare providers who suffer from SUD are different from those in the general population who suffer from SUD...
Effect of Interactive Education on Self-foot Exams in Type 2 Diabetes
(University of Missouri -- Kansas City, 2019)
In the United States, 30 million individuals are affected by type 2 diabetes, with all at risk for
complications and decreased quality of life. Diabetic foot ulcers and amputations cost $4.9 billion
annually in the ...
Increasing Compliance of Diabetic Screening Eye Exams
(2017)
Diabetic retinopathy is one of the principal causes of vision loss in middle-age and older adults
worldwide. This quasi-experimental study examined the impact of patient diabetic retinopathy
education and eye exam ...
Impact of the Implementation of Accountable Care Organizational Structure on Pediatric Emergency Department Visits
(2016)
In 2010, the United States was spending more per capita on healthcare than other
similar countries but did not have better outcomes and spending was increasing at an
unsustainable rate. That same year, the Patient ...
Feasibility and Acceptability of a SystemCHANGE™ Intervention to Improve Medication Adherence in Older Adult Stroke Survivors: A Pilot Randomized Controlled Trial
(University of Missouri -- Kansas City, 2018)
Purpose: The purpose of this study is to evaluate the feasibility, intervention
mechanism, and potential effectiveness of the SystemCHANGE™ (Change Habits by
Applying New Goals and Experiences) intervention in older ...
Self-Efficacy of Undergraduate Nursing Students in Providing Culturally Competent End-of-Life Care to LGBTQ+ Patients
(2022)
in meeting the diverse cultural needs of lesbian, gay, bisexual, transgender, queer/questioning (LGBTQ+) patients and their families, particularly regarding sensitivity to the unique challenges of this diverse population. Furthermore, culturally competent...
The Effects of Hypnosis on Acute Pain Among Adolescents Undergoing Surgical Pectus Excavatum Repair
(University of Missouri--Kansas City, 2017)
In the United States, approximately four million surgical procedures are performed on
children every year. Unfortunately, severe post-surgical pain is common. Children are at risk for
the development of chronic ...
The Effects of Career Commitment, Distress, and Persistence on Academic Success among Undergraduate Baccalaureate Nursing Students
(University of Missouri -- Kansas City, 2018)
The ability of students, specifically in higher education environments, to persist is a
critical determinant of academic success. Student success is especially precarious within
programs of nursing, where curricula ...