practice regulations on access to care. The specific aim of this study is to examine the relation between different levels of state NP practice regulation and access to care in the Medicare population. The design of the study is a secondary data analysis...

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. ...

participants. The transitional care interventions consisted of four components conducted by the advanced practice registered nurse: (1) meeting with the participants at the hospital, (2) facsimiles of discharge summaries, (3) scheduling a follow-up appointments...

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 ...

research into micro-practices as a possible effective strategy for managing chronic pain and stress among nurses....

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 ...

Immunizations are a primary prevention intervention to prevent communicable diseases. The human papillomavirus (HPV) vaccine has been available to females in the United States since June 2006. However, the receipt of the HPV vaccine is suboptimal...

There is an inability to retain new graduate nurses in their initial positions. Patricia Benner (1984) developed the From Novice to Expert Theory of nurse development outlining the nurses’ transition through the developmental ...

Obstructive sleep apnea is a modifiable stroke risk factor that is often overlooked when addressing stroke risk factor management. By screening stroke patients for obstructive sleep apnea risk and treating it once ...

Stroke is the fifth leading cause of death in the United States with about 800,000 strokes per year and is a significant cause of adult disability. About 15% of all strokes are attributed to atrial fibrillation. Moderate ...

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 ...

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 ...

Purpose: The purpose of this study is to evaluate the feasibility, intervention mechanism, and potential effectiveness of the SystemCHANGE™ (Change Habits by Applying New Goals and Experiences) intervention in older ...

Despite best practice guidelines, Somali refugee women access breast and cervical cancer screenings at a significantly lower rate than other women in the United States. This doctoral nursing project evaluated the ...

narrative inquiry techniques, and two explanatory models were derived. The first model described women’s use of opportunizing talk and fatalizing talk in embedded trauma stories as a reflection of their perception of self-and-other in the process of support...

Background: Nearly 50% of people with heart failure do not adhere to their medication regimens, leading to increased health care costs and poor patient outcomes. The purpose of this study was to examine the feasibility ...

-site registry. This registry was developed in 2014 by Children’s Mercy Kansas City and includes patient, family, and medical record data. SPSS AMOS software was used to refine a model to develop a theoretically identified, recursive structural equation model...

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 ...

failure, which leaves nurses ill-equipped to promote spiritual wellbeing in providing care to patients. In this study, I employed open-ended interviewing and narrative analysis techniques to gain a better understanding of spiritual coping over time...

Aging is accompanied by a significant decline in bone mass and strength (osteoporosis) and in muscle mass and strength (sarcopenia). These conditions pose a tremendous threat as each year, one in three older adults living ...