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Impact of Nurse Practitioner Practice Regulation on Access to Healthcare Services
(2014-09-26)
representative of the “always enrolled” Medicare beneficiary population (N = 15,027, weighted sample = 45,205,096). Descriptive statistics are given to describe the population of interest. Covariates used in the regression analysis were: urbanicity, nursing home...
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. ...
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 ...
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 ...
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 ...
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 ...
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, ...
Primary Stroke Education Using the ASCVD Risk Calculator and the Stroke Knowledge Test in Primary Care
(University of Missouri -- Kansas City, 2020)
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 ...
The Political Astuteness of Nurse Practitioners Following a Successful Legislative Journey
(2016-05)
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 ...
Influences on contraceptive use among college women
(2015-05-19)
likely to report they did not intend to use contraception. If a participant intended to use contraception, they were 15 times more likely to report contraceptive use, and if a participant had health insurance that paid for contraception, they were six...
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 ...
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 ...
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 ...
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 ...
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 ...
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 ...
Cerebrovascular Accident Behavioral Modification Education for High-Risk Women
(2017)
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 ...
Oncology Patient Education by a Nurse Practitioner and Stress Reduction
(University of Missouri -- Kansas City, 2020)
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 ...
Provision of Telelactation Support to Improve Breastfeeding Outcome
(University of Missouri -- Kansas City, 2020)
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 ...