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 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. ...

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 ...

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 ...

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 ...

The purpose of this evidence-based project was to introduce a group visit model as a feasible intervention to improve diabetes outcomes. This quantitative quasi-experimental study looked at a convenience sample of five ...

The incidence of stroke is expected to rise with the aging population, and the healthcare cost is predicted to triple by 2030. Stroke, as the leading cause of disability, warrants a stroke prevention education program ...

Nebraska became the 20th state to modernize regulations to allow for full practice authority for nurse practitioners. Legislative victories such as those evident in Nebraska are often lead by professional associations and ...

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 ...

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 ...

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 ...

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 ...

Breastfeeding is a valuable infant feeding method that offers many preventative health benefits to mothers and infants. The American Academy of Pediatrics and the World Health Organization provide recommendations ...

Cerebrovascular accidents (CVAs) continue to be one of the leading causes of disability and death throughout the United States (U.S.). While both men and women are at risk for CVAs, more women have CVAs each year than ...

According to the American Cancer Society, approximately 1.7 million new cancer cases were diagnosed in 2018. With a new diagnosis of cancer, patient education can be used to decrease anxiety about the diagnosis and ...

Nearly half of all infants are introduced to solid food before the recommended age. The World Health Organization and American Academy of Pediatrics have established guidelines encouraging parents to delay solid food ...

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 ...

A primary health concern in the adolescent population is the issue of preventable risky behaviors, which can lead to injury and even death. The primary care provider is responsible for identification of risky behavior ...

Many pediatric primary care clinics fall short in providing comprehensive sexual and reproductive health services to adolescent patients resulting in missed opportunities for pregnancy prevention, delays in sexually ...

Heart failure is a public health concern within today’s healthcare system at both the national and local level. As the prevalence of heart failure continues to rise, interventions on improving patient outcomes, reducing ...