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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...
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. ...
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...
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 ...
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 ...
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 ...
Clinical Pathway for the Fontan Patient to Standardize Care
(University of Missouri -- Kansas City, 2019)
The Fontan repair is the final stage of surgical palliation for the pediatric patient with a single
ventricle heart. The post-operative medical management of this patient population can be
variable and hospital length ...
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 ...
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 ...
Multimodal Intervention to Increase Advance Care Planning in Primary Care Medicare Patients
(University of Missouri--Kansas City, 2018)
Advance care planning is the guideline recommended process which encourages adults to
analyze values, identify goals, and articulate preferences for future medical care in order to
protect autonomy in the event of ...
Role of Multimodal Analgesia in Recovery and Acute Pain in Bariatric Surgery
(University of Missouri--Kansas City, 2018)
Obesity affects pathophysiology causing cardiac, respiratory, and metabolic disorders. In
modern societies, bariatric weight-loss surgical procedures are escalating, as surgery has become
a treatment method for obesity. ...
Physical activity in adolescents with orthopedic limitations: The use of human-animal interaction in the form of dog-walking
(2015)
and Human Services, 2011). Whereas all adolescents comprise a vulnerable population because of minimal levels of physical activity, those with an orthopedic limitation, including slipped capitol femoral epiphyses or Blount’s disease, are at greater risk...
The Effect of Motivational Interviewing on Stroke Risk in Adults
(University of Missouri -- Kansas City, 2019)
Stroke is the fifth leading cause of death in the United States, and there are physical, economic,
and emotional consequences for patients and their families. Finding effective ways to reduce risk
factors and prevent ...
Reducing Risk for Cardiovascular Disease in African American Women
(University of Missouri--Kansas City, 2018)
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 ...
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 result in poorer health...
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 are dependent on the level...
Feasibility and Acceptability of a SystemCHANGE™ Intervention to Improve Medication Adherence in Older Adult Stroke Survivors: A Pilot Randomized Controlled Trial
(University of Missouri -- Kansas City, 2018)
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 ...
Phone Call Reminders for Pediatric Influenza Vaccination
(University of Missouri -- Kansas City, 2019)
The influenza vaccine is recommended annually for all children, adolescents, and adults over 6
months of age to provide immunity against the influenza virus. The influenza vaccine continues
to be the most effective ...
“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 ...