Browsing by Subject "Nursing"
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Item An Assessment of Formal Education in Breast feeding or human lactation for Health Professionals In Texas(2009-12-01) Zasova, Olga L.; Coggin, ClaudiaObjectives: Determine if health professionals receive formal courses in human lactation or breastfeeding at institutions of higher education in Texas. Methods: A website search was conducted for courses and competencies in human lactation or breastfeeding at degree-granting medical, physician assistants, public health, and nursing schools in Texas. In addition were searched in and out of state certificate-granting schools of midwifery, doula, and lactation consultants. Results: Breastfeeding was not cited in any of the curricula of degree-granting institutions. Nursing schools did not list but imbedded breastfeeding in childbearing courses. All certificate-granting schools require it in their curricula. Conclusion: It is difficult to foresee achievement of the breastfeeding goals for Healthy People 2010 when health professionals are not trained in them.Item Appropriate Delivery Of Care In American Patients With Hepatocellular Carcinoma: A Systematic Review(2013-05-01) Tan, Debra; Lykens, KristineObjective: To assess and provide in-depth analysis of appropriate delivery of care in patients with hepatocellular carcinoma (HCC) based on time of diagnosis within Americans in the United States. Design: Meta-analysis of retrospective cohort studies describing receipt of appropriate treatment utilization and delivery of care for HCC. Results: Among all twenty-three included studies, a total of 7,986 of 17,286 (44.4%, 95% CI 43.7-45.1%) patients received overall treatment. Of 48,200 patients with HCC, only 10,518 (21.8%, 95% CI 21.5-22.2%) patients received curative treatment and 6,810 of 11,776 (57.8%, 95% CI 56.9-58.7%) patients who were within early stage HCC received curative treatment. Conclusion: HCC treatment is underutilized in the United States. Although the pooled treatment rate for early HCC patients receiving curative treatment is somewhat better, only about four-sevenths receive appropriate care. There are significant socio-demographic disparities with the lowest treatment rates in non-Caucasians and non-private insurance patients.Item Association Between Breastfeeding and Asthma: A Cross-Sectional Study(2003-08-01) Trombley, Ann M.; Bayona, Manuel; Sandhu, RaghbirTrombley, Ann M., Association Between Breastfeeding and Asthma: A Cross-Sectional Study. Master of Public Health (Epidemiology), August 2003, 17 pp., 12 tables, bibliography, 54 titles. Controversy has surrounded the topic of breastfeeding and if it provides a protective effect against childhood asthma. The objective of this study was to assess whether a relationship exists between breastfeeding and childhood asthma. This study also examined several significant predictors of childhood asthma. A cross-sectional study was conducted using NHANES 1999-2000 data to identify and assess the crude and multivariate associations between the above mentioned variables and asthma and the effect that breastfeeding has on these relationships. Prevalence of asthma in this study was 12.5 per 100. Mexican Americans were found to have a protective association with the development of asthma. A strong protective association was found for those who were breastfed and the development of childhood asthma (OR=0.693, p-value=0.014).Item Cunniff, Nelda, D.O.(1985-11-05) Cunniff, Nelda; Stokes, C. RayAfter her career as an R.N., Dr. Cunniff entered TCOM as the only female student in its first graduating class (1974). She describes her 10 years of semi-rural general practice in Burleson, Texas. Dr. Cunniff serves on the board of the TCOM Foundation and is active in the TCOM Alumni Association. Interviewed by C. Ray Stokes, November 5, 1985.Item Efficacy of Alcohol-Impregnated Port Protectors on Central Line - Associated Blood Stream Infections in Intensive Care Units(2013-12-01) Omiwade, Oluwatoke; Shi, XiangrongOmiwade, Oluwatoke., Efficacy of Alcohol-Impregnated Port Protectors on Central Line- Associated Blood Stream Infections in Intensive Care Units. Master of Science (Clinical Research Management), May, 2014, 52pp, 8 tables and 23 references. This research project focused on assessing the effectiveness of alcohol-impregnated port protectors (A-IPP) in reducing infection rate among the patients having central venous catheters in selected intensive care units. Infection rate data was obtained from the department of Infection Control at Baylor All Saints Hospital at Fort Worth. A comparison was made between the infection rates before and after the use of A-IPP. Overall, the risk of infection is extremely low ([less than] 1%). The newly implemented alcohol impregnated protectors do not significantly affect observed infection rates in the units investigated.Item Enhancing the Care of the Elderly; An Educational Intervention to Improve Nutritional Knowledge of Nursing Home Staff(1998-06-01) Cummings, Dana; Ramirez, Gilbert; Coggin, Claudia; Rene, AntonioCummings, Dana M., Enhancing the Care of Elderly; an Educational Intervention to Improve Nutritional Knowledge of Nursing Home Staff. Master of Public Health, June 1998, 81 p.p., 5 tables, bibliography, 15 titles. Gross deficiencies exist in the quality and quantity of health care personnel taking care of the aged (Hersch, 1989). Eighty to ninety percent of nursing home staff are untrained aides paid the minimum wage to care for one of the sickest and frailest populations in the United States (Patenaude, 1997). The purpose of this study was to determine if short term nutrition education, utilizing principles for adult learners, would result in knowledge improvement in nursing home staff. An interactive, participatory instructional model was implemented into an existing structure of regular staff inservices to answer this question. To test the effectiveness of the intervention a questionnaire was developed using items from previously validated instruments. Using three nursing homes in the Dallas-Fort Worth metroplex, a total of 157 pre-test and 132 post-test questionnaires were completed. A significant increase in overall knowledge from 80.6% at baseline to 96.1% at post-test was found (p [less than] .001). Participants also showed a significant (p [less than] 0.001) overall increase in knowledge for each of the three learning domains; patient care related to nutrition, food and fluid intake of residents, and eating. These findings suggest that employing short-term education to nursing home staff, using principles for adult learners, can improve nutritional knowledge significantly.Item Expanding Library iPad Instruction: Developing and Analyzing a Mobile Technology Curriculum for First Year Clinical Students(2012-10-15) Whitehead, MicheleThe purpose of this study was to review student perceptions and the curriculum plan developed to meet the needs of first year clinical students required to purchase an iPad as part of the campus technology bundle for the 2012-2013 academic year. Under the instruction purview of the library, two areas of focus were determined in collaboration with the university’s IT department: Research and Point-of-Care Tools. A course was developed to guide users to iPad specific resources, increase proficiency with these tools, and enhance the students’ knowledge of research methodology. In order to create an effective program, a review of the current literature concerning mobile instructional technology and trends in academic medical libraries was employed. Statistics regarding user experience, training effectiveness, and preliminary mobile usage data were collected and analyzed to determine the impact of the implementation of the mobile device curriculum.Item Interpreter Narratives: End-Of-Life Conversations in a Pediatric Hospital(2007-10-01) Warren, Corinne Neitzke; Lurie, SueWarren, Corinne Neitzke., Interpreter Narratives: End-of-Life Conversations in a Pediatric Hospital. Master of Public Health (Health Interpreting and Health Applied Linguistics), October 2007, 162 pp., bibliography, 74 titles. Aspects of communication between caregivers and patients/families are noted consistently in the literature as important to perceptions of quality of care at the end of life (EOL). Healthcare interpreters, along with providers, can be “deliverers of bad news.” EOL encounters create challenging and unique role and performance demands for interpreters; as active participants in these conversations, interpreters intervene in various ways that impact the communication process. While they may view providers as having the central role in an encounter, aspects of their performance suggest the pivotal nature of their own participation. This exploratory, qualitative research aimed to understand and represent interpreters’ perceptions of the EOL communication they facilitate when providers and pediatric patients and families don’t share language or culture. Their perspectives were revealed in their stories of EOL encounters, as they recounted personal reactions to specific circumstances and conversation exchanges as well as how they handled interpretation in particular situations.Item The Effectiveness of Outpatient Antiemetic for Patients on Platinum, Camptosar, and Anthracycline-Based Chemotherapy(2002-07-25) Wiggins, Jenny Marie; Victoria Rudick; Julie PrejeanAbstract. Chemotherapy-induced nausea and vomiting (CINV) is a serious problem affecting at least 50% of patients. Some nausea and vomit pathways involve serotonin and serotonin type-3 (5-HT3) receptors for propagation of the reflex. 5-HT3 antagonists were developed to block the 5-HT3 receptors and inhibit emesis. Anzemet, Kytril, and Zofran are 5-HT3 antagonists used as antiemetics in patients receiving emetogenic chemotherapy. This study was designed to determine if current antiemetic therapy involving these 5-HT3 antagonists is effective for patents on platinum, camptosar, and anthracycline-based chemotherapy. The data from this study could be used to assert or adjust antiemetic therapy in patients on these chemotherapy regimens, thus providing better quality of life for patients as they undergo chemotherapy. Patients on platinum, camptosar, or anthracycline-based chemotherapies from three Fort Worth area clinics of Texas Cancer Care were chosen to gauge the effectiveness of their antiemetic regimen based on chemotherapy regimen, patient compliance, and specific 5-HT3 antagonist. Data was gathered based on questionnaires filled out by the patient for seven days and their chemotherapy nurse on the day of their treatment. It was found that Zofran was the 5-HT3 antagonist most often prescribed by the nurses. Patient compliance was not a factor in patient perception of CINV, because of the high levels of patient cooperation. Each of the chemotherapy regimens differed by day in overall average level of CINV. Patients on Kytril were found to experience more “severe” CINV than those taking Anzemet or those not taking a 5-HT3 antagonist as an outpatient. A recommendation from this study would be a larger sample size and a larger span of time. Each of the study sites should also be compared for nurse prescribing habits and patient compliance, as well as a higher level of decadron usage for patients experiencing moderate and severe CINV.Item The MISSCARE Nursing Survey: A Secondary Data Analysis(2010-12-01) Schuckhart, Mary C.; Patricia GwirtzThe purpose of this study was a secondary analysis in order to determine missed nursing care and reasons for missed nursing care in a hospital system located in the southwest United States. Data was collected from a system-wide parent project in which bedside and specialty nursing personnel completed the MISSCARE Nursing Survey. Interventions for basic care were missed by 45.7% of bedside nursing staff, while individual needs and planning were missed by [greater than] 35% and assessment was missed by [greater than] 20%. Reasons for missed care were lack of labor resources (63.2%), material resources (36.7%), and communication (31.9%). Specialty nursing staff revealed 12 elements of missed care (ambulation, turning, hygiene, intake/output documentation, surveillance, documentation, assessments, and medication) and 7 themes for reasons of missed care.