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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 ...
Implementation and Evaluation of the Success of a Direct Primary Care Model
(University of Missouri -- Kansas City, 2020)
Due to rising health care costs, limited access to primary care, and primary care provider
shortages, new health care models need to be implemented to reduce costs, improve outcomes,
increase access, and encourage more ...
Development and pilot test of a conscientization intervention for nurses who have experienced moral distress
(2019)
Nurses act as moral agents for patients and use their moral sensitivity to build trusting relationships to act in patients’ best interests. However, nurses also lack power in their place of employment due to inequality in ...
Health Literacy Provider Training and Patient Satisfaction
(2017)
Ninety million Americans lack the health literacy skills required to adequately manage their
health while healthcare professionals lack the formal training to appropriately address the needs
of low health literate ...
The Investigating Meaning/Purpose and Connectedness (IMPACT) Study: A Comparative Case Study of Parents of Adult Children with Schizophrenia
(2020)
Schizophrenia is a chronic and disabling disease that causes significant stress for a family from the time of onset throughout the individual’s life. For families with members who live with schizophrenia, spirituality can be a source of support...
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) ...
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 Influence of Nurses' Attitudes, Beliefs, and Biases Toward Families on Family-Centered Care Delivery in a Neonatal Intensive Care Unit: A Grounded Theory
(2021)
The purpose of this study was to examine nurses’ attitudes, beliefs, and biases toward families and the influence these views have on the implementation of family-centered care in the neonatal intensive care unit and to uncover social processes...
Effect of Patient Antibiotic Education on Provider Perceived Patient Expectation for Antibiotics
(2017)
Antibiotic resistance is a global concern that costs the world thousands of lives and the United
States billions of dollars annually in healthcare expenditures and missed work. One reason that
providers prescribe ...
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 ...
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 ...
CHamorus' Narratives and Perceptions of Historical Trauma and Contemporary Health in Guam
(2021)
Historical trauma refers to the generationally transferred human consequences of cultural oppression in a population associated with colonization, slavery, and genocide. Historical trauma theory suggests that such trauma ...
Impact of a psychoeducational intervention on dementia caregiving
(University of Missouri--Kansas City, 2011-12-16)
have shown positive results with psychoeducational interventions on caregiver health and stress. This study examined the impact of a psychoeducational intervention, the Family Series Workshop, on levels of coping, caregiving competence, and stress among...
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 ...
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 ...
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)
.02); social functioning (r(58) = -0.254, p = 0.05); worry (r(58) = -0.281, p = 0.03); daily activities (r(58) = -0.314, p = 0.01); parent HRQL summary score (r(58) = -0.260, p = 0.04); family functioning summary score (r(58) = -0.260, p = 0.05); and total...
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 ...
Effects of DASH Diet and Exercise on Hypertension
(University of Missouri -- Kansas City, 2019)
Hypertension is a global pandemic which can cause significant complications if left untreated.
The silent symptom characteristics associated with hypertension create the urgency for disease
management. The purpose of ...
Pediatric Behavioral Health Screening in the Primary Care Practice
(University of Missouri -- Kansas City, 2022)
Behavioral health issues affect between 15% to 20% of children, and if left untreated, these
issues can lead to long-term mental and physical health issues in children and adolescents. The
purpose of this quasi-experimental, ...
Social Support and Smoking among Midwest LGBT Adults
(2014-09-30)
Lesbian, gay, bisexual, and transgender (LGBT) populations have smoking rates twice that of their heterosexual counterparts. To design effective outreach, prevention, and treatments for these individuals, a comprehensive ...