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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 continue to limit the practice...
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 ...
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 ...
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...
Decreasing Stress Through Education for Caregivers of Community-Dwelling Individuals with Dementia
(University of Missouri -- Kansas City, 2019)
People with dementia experience a decline in mental ability that interferes with daily life. The
behavioral and psychological symptoms of dementia affect the majority of individuals suffering
from dementia and cause ...
Male Same-Sex Intimate Partner Violence: Syndemic Theory, Minority Stress Theory, & the Community of Protective Measures
(2015-05-28)
Intimate partner violence is an underreported, stigmatized, and deleterious reality affecting a
higher proportion of men who have sex with men (MSM) than their heterosexual
counterparts. The constructs of two theories ...
Community Factors in Differential Responses of Child Protective Services
(2015-06-19)
Child maltreatment results in over 3 million referrals annually to U. S. child
protective services agencies and an estimated 695,000 children who are determined
to be child maltreatment victims. There are ongoing concerns ...
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 ...
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 ...
Using Telemedicine to Improve Breastfeeding Outcomes in the Primary Care Setting
(University of Missouri--Kansas City, 2017)
Breastmilk is the most complete form of nutrition for most infants, and it is recommended that
infants are exclusively breastfed for the first six months of life. Nationally, breastfeeding rates
fall short of the goals ...
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 ...
Patient Satisfaction Outcomes Following Antibiotic Resistance Education for Adults
(University of Missouri -- Kansas City, 2019)
Antibiotics have saved many lives since their discovery, but today, due to overuse, are becoming
less effective. A portion of provider reimbursement from Medicare and Medicaid is based on
patient satisfaction. Because ...
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 ...
Physical activity in adolescents with orthopedic limitations: The use of human-animal interaction in the form of dog-walking
(2015)
Nine out of ten adolescents fail to achieve Healthy People 2020 recommended levels of aerobic and muscle-strengthening physical activity leading to deleterious consequences for individuals and a public health epidemic (US ...
Weight Management Program on Self-Esteem in Adolescent Females Classified as Obese
(University of Missouri--Kansas City, 2018)
Today, nearly 20.5% of young people of in America are overweight or obese, affecting roughly
12.7 million children and adolescents. The obesity trend has been shown to be a precursor not
only to physiological ailments ...
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 ...
Influences on contraceptive use among college women
(2015-05-19)
Background: An unintended pregnancy (UIP) occurs before an ideal time or is completely unwanted. In 2011, the rate of UIP in the United States was 49% of all pregnancies. Unintended pregnancies are expensive to society and ...
Provider Perceptions of a Mature School-Based Health Center's Effect on Adolescent Health and Wellness: A Case Study
(2015-06-02)
School-based health centers (SBHCs) have emerged as a model of care that enhances
utilization of health care services for U.S. adolescents. Staffed by interdisciplinary teams,
physicians play a largely supervisory role ...
Survival Stories: Relationships of Justice-involved Women with History of Trauma
(University of Missouri--Kansas City, 2017)
providers who work with justice-involved women, the models for understanding women’s perceptions of support provide insight into how effective and ineffective practices take shape and may point to better targeted care planning, program design, and policy...
“Now there's a good woman”: how rural life course events shape the response to cognitive decline in older women
(University of Missouri--Kansas City, 2012-05-22)
Aims: This dissertation aimed to: (1) analyze the life-course experiences of rural, older women and the impact of those experiences on their values, health-illness behaviors and decision-making, particularly surrounding ...