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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 ...
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 ...
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 ...
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) ...
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. ...
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 ...
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...
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 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 ...
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 ...
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...
Education and Screening of the Female Athlete Triad in the Adolescent Population
(University of Missouri -- Kansas City, 2020)
The Female Athlete Triad was first identified in 1992, yet the majority of primary care providers
are unaware of the signs and symptoms and proper screening for the syndrome. The purpose of
this study was to implement ...
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...
Evidence-Based Practice Asthma Education in Primary Care
(University of Missouri--Kansas City, 2017)
Asthma affects more than 300 million people across the globe. The financial burden
impacts individuals and their families as well as communities and health care systems. Although
asthma education is a fundamental ...
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 ...
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 ...
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 ...
Enhance Transition Care for Medically Complex Adolescents
(University of Missouri -- Kansas City, 2020)
Medically complex adolescents with spina bifida and shunted hydrocephalus are living into
adulthood and requiring healthcare as adults. For effective neurosurgical care to continue from a
pediatric practice to an adult ...
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...
Improving Adolescent Asthma Management Using a Smart Phone Application
(University of Missouri -- Kansas City, 2020)
Asthma is a common condition in adolescence and finding a way to optimize asthma care
management is a priority in primary care. The purpose of this project was to introduce an
electronic asthma action plan using a ...