Doctor of Nursing Practice - Scholarly Projects | 2019
Permanent URI for this collectionhttps://hdl.handle.net/11274/11117
Browse
Browsing Doctor of Nursing Practice - Scholarly Projects | 2019 by Author "Roussel, Linda"
Now showing 1 - 4 of 4
- Results Per Page
- Sort Options
Item Faith-based culturally-tailored diabetes prevention program for African Americans(2019) Manning, Carol; Roussel, LindaBackground: The prevalence of prediabetes and type 2 diabetes mellitus (T2DM) in the United States (U.S.) continue to increase. African Americans (AAs) are disproportionately affected by T2DM, thus delivery of diabetes prevention programs (DPP) in a church setting is an effective way to disseminate health information and/or encouraging AAs to adopt healthy lifestyles. Purpose: The purpose of this study was to evaluate the effectiveness of an 8-week culturally-tailored DPP in mitigating the risks for the development of T2DM (also called “diabetes”) in a sample of AA church members through the implementation of the “Power to Prevent” DPP. The DPP was scripturally based and delivered in a church setting. The Diabetes Risk Test (DRT) was used to screen for eligible participants, with a score of five or greater indicating one’s risk for the development of T2DM. Methods: Baseline, and 8-week outcomes measures assessed: (a) knowledge of diabetes prevention strategies, (b) nutrition knowledge, (c) physical activity level, (d) body mass index (BMI) and, (d) weight loss of 5% to 7% of baseline bodyweight. Findings: Seventeen participants (56.6%) completed the study. The mean DRT score was 5.52. Knowledge of diabetes prevention strategies (p = 0.040), and healthy nutrition (p = 0.000) were significant. Physical activity (p = 0.188), and BMI (p = 0.109) did not improve significantly. Mean percentage weight reduction was 1.69%. Conclusion: Ongoing implementation of DPPs which target AAs in real-world settings such as their places of worship are needed to stem the tide of the diabetes epidemic in the U.S.Item Increasing awareness of sexually transmitted infection through education: A quality improvement initiative(2019) Thompson, Dennia; Roussel, LindaEach year it is estimated that millions of people are affected by sexually transmitted infections (STIs). Sexually transmitted infections are transmitted through sexual contact with an infected person through vaginal, anal, or oral sex. Untreated STIs can have a negative impact on a woman’s reproductive organs and can cause long-term health consequences. Effective interventions such as education to increase awareness of sexually transmitted infection can have a positive effect on decreasing the spread of these infections. The quality improvement (QI) initiative used existing evidence-based literature to educate the women who tested positive for an STI. The initiative was implemented over a 4-week timeframe in a women’s clinic (WC). A sample size of 100 women, 18 years and over, participated in the initiative. The data analysis for the standardized, evidence-based education demonstrated an increase in awareness among the women who participated in the initiative. The findings of the study reinforce the use of evidencebased education on STIs as a way to raise awareness.Item Parental awareness of childhood obesity: A quality improvement initiative(2019) Cole, Leticia; Roussel, LindaThe incidence of childhood obesity continues to rise, placing an increased risk of morbidity and mortality in adulthood. Over the years, the perceived “normal” weight increased causing a shift in parental misperceptions of their child’s actual weight (Hansen, Duncan, Tarasenko, Yan, & Zhang, 2014). Parental misperception of their child’s weight status is likely to lead to decreased motivation to address and change childhood obesity (Lundahl, Kidwell, & Nelson, 2014). Examination of parental perceptions can generate instructive information for addressing parental perceptions, increasing readiness to change, and managing the overweight and obese child. (Hansen et al., 2014). The goal of this quality improvement project was to assess parental perceptions of the overweight child and readiness to change behaviors. The project analysis revealed there remains a disproportionate number of parents who underestimate their child’s weight, as well as an association between parental perception of their child’s weight and readiness to change. This misperception is one that must be addressed to begin the process of treating and managing obesity. The results are intended to provide information to assist in increasing awareness of parents’ perceptions of their overweight child’s weight status as a starting point to the next steps towards implementing an obesity prevention and management plan.Item Text message appointment reminders to improve clinic attendance: A general internal medicine (GIM) clinic quality improvement (QI) project(2019) Valdres, Rosalie; Roussel, LindaThe lack-of-attendance rate at outpatient clinics is an inherent problem for the global health system, the United States healthcare system, and the local healthcare system. We aimed to decrease the no-show rate by implementing a quality improvement (QI) project at the community General Internal Medicine (GIM) Clinic. This QI pilot project focused on the use of text message appointment reminders that were bundled with telephone reminders along with patient-reviews of the no-show policy. The Plan-Do-Study-Act (PDSA) process was used in implementing the system. The pre-intervention no-show rate was 27%. During the intervention, the no-show rate decreased to 22% the first week, 5% the second week, and 8% the third week. The number of patients who did not attend their clinic appointments decreased while the clinic’s reimbursement rate increased. The QI team expanded the use of the text message reminder system to all of the providers in the clinic. The QI pilot project improved the clinic attendance of the GIM Clinic. Consequently, the GIM Clinic staff adopted the QI project model. The model supports consistent care for healthy patients as well as those who are critically and chronically ill. Also, the adoption of the model will help to improve the clinic’s income.