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Title: Florida Developmental Education Reform: Responses from the Leaders of Florida College System Institutions.
Creator: Hu, Shouping, Park, Toby, Tandberg, David, Hankerson, Dava, Collins, Rhonda, Nix, Amanda
Abstract/Description: The Florida legislature drastically restructured developmental education placement and instruction through Senate Bill 1720 (SB 1720) during the 2013 legislative session. There is a critical need to understand how colleges within the Florida College System (FCS) respond to SB 1720 in terms of students’ education placement and course instruction, as well as what effects this legislation could have on student outcomes. Florida is at the forefront in developmental education reform, which...
Show moreThe Florida legislature drastically restructured developmental education placement and instruction through Senate Bill 1720 (SB 1720) during the 2013 legislative session. There is a critical need to understand how colleges within the Florida College System (FCS) respond to SB 1720 in terms of students’ education placement and course instruction, as well as what effects this legislation could have on student outcomes. Florida is at the forefront in developmental education reform, which provides an excellent opportunity to examine how various developmental education approaches affect student success in college. We conducted a survey of various college administrators responsible for the developmental education initiatives at the 28 FCS institutions.
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Date Issued: 2014-06-01
Identifier: FSU_libsubv1_scholarship_submission_1493918588_e613c44f
Format: Citation

Title: Higher Education Research Centers and the Perspectives of Their Leadership.
Creator: Peters, Allison B., Nix, Samantha, Hu, Shouping
Abstract/Description: This study explores the state of higher education research centers in the United States with a focus on center funding, organization, research topics, challenges, and opportunities. An online survey was disseminated in Spring 2017 to directors and associate directors of 31 university-affiliated centers/institutes focused on higher education research, policy, and/or practice in the United States. Individuals from 15 research centers completed the survey.
Date Issued: 2018-01-31
Identifier: FSU_libsubv1_scholarship_submission_1517404412_926a4888
Format: Citation

Title: Measuring teacher ability to predict student success in solving specific mathematics problems: Procedures and initial findings of accuracy, overprediction, and underprediction.
Creator: Schoen, Robert C, Iuhasz-Velez, Naomi
Abstract/Description: This report describes efforts to measure teachers’ knowledge of their own students’ abilities in mathematics. We refer to the assessment instrument described in this report as the Teacher Ability to Predict Student Success (TAPSS) instrument. The purpose of this report is to describe the data-collection procedures we used in our attempts to measure teacher judgment accuracy. The present report provides a description of the sample, a description of the study design and its realization, and...
Show moreThis report describes efforts to measure teachers’ knowledge of their own students’ abilities in mathematics. We refer to the assessment instrument described in this report as the Teacher Ability to Predict Student Success (TAPSS) instrument. The purpose of this report is to describe the data-collection procedures we used in our attempts to measure teacher judgment accuracy. The present report provides a description of the sample, a description of the study design and its realization, and descriptive statistics. The analytic sample for the spring 2014 wave of data collection involved grade 1 and grade 2 students (n = 504) and their mathematics teachers (n = 146). The analytic sample for the 2015 wave of data collection included a larger sample of students (n = 785) and their teachers (n = 200). For each student and item, the teachers predicted whether the student would solve the item correctly. Overall, teachers accurately predicted their students' performance about 60% of the time. Overprediction was more common than underproduction. We anticipate that teacher judgment accuracy will ultimately yield important insight into the elusive link between teacher knowledge and student learning. During each wave of data collection, teachers were shown a set of problems from the interview and were told which students would be attempting to solve the problems. The work described here was completed as part of a randomized controlled trial evaluating the implementation and impact of a teacher professional-development program called Cognitively Guided Instruction (CGI). We anticipate that data generated with the TAPSS instrument will be used to determine the effects of the teacher professional-development program on teacher judgment accuracy and the extent to which this type of knowledge is associated with student learning. The TAPSS instrument and the sample described here represent several advancements in the field of measuring teacher judgment accuracy, including the iterative development of a new instrument available to researchers and program evaluators.
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Date Issued: 2017-05-01
Identifier: FSU_libsubv1_scholarship_submission_1507903318_c844f076, 10.17125/fsu.1507903318
Format: Citation

Title: Changes on the Ground: Site Visit Report of the Third Year of Developmental Education Reform in the Florida College System.
Creator: Hu, Shouping, Bertrand Jones, Tamara, Brower, Rebecca, Park, Toby, Nix, Amanda, Rahming, Sophia, Harrison, Jamaal, Sermon, Jenay, Daniels, Hollie
Abstract/Description: Researchers at the CPS have been conducting a longitudinal study of how Florida College System (FCS) institutions have implemented developmental education reform (SB 1720) on their campuses. As a part of this research report, CPS researchers conducted site visits to nine FCS institutions from November 2016 to April 2017. In this statewide report, we consider administrative, faculty, advisor, support staff, and student perspectives on broad trends which have taken place across the FCS since SB...
Show moreResearchers at the CPS have been conducting a longitudinal study of how Florida College System (FCS) institutions have implemented developmental education reform (SB 1720) on their campuses. As a part of this research report, CPS researchers conducted site visits to nine FCS institutions from November 2016 to April 2017. In this statewide report, we consider administrative, faculty, advisor, support staff, and student perspectives on broad trends which have taken place across the FCS since SB 1720 was enacted. We begin this report by presenting perceptions of the legislation we encountered across the state of Florida in 2016-2017 by stakeholders at nine institutions.
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Date Issued: 2017-07-01
Identifier: FSU_libsubv1_scholarship_submission_1502900193_fd9ec2bd, 10.17125/fsu.1502900193
Format: Citation

Title: Increasing Momentum for Student Success: Developmental Education Redesign and Student Progress in Florida.
Creator: Hu, Shouping, Park, Toby, Mokher, Christine, Spencer, Hayley, Hu, Xinye, Bertrand Jones, Tamara
Abstract/Description: Since the fall semester of 2014, Florida’s Senate Bill 1720 (SB 1720) initiated a major statewide developmental education reform in the Florida College System (FCS). Now that the reform has been underway for a few years, we use first-time-in-college (FTIC) students to examine three sets of indicators of student progress to understand the impacts of SB 1720: developmental education enrollment and passing rates, introductory college-level course enrollment and passing rates, and college-level...
Show moreSince the fall semester of 2014, Florida’s Senate Bill 1720 (SB 1720) initiated a major statewide developmental education reform in the Florida College System (FCS). Now that the reform has been underway for a few years, we use first-time-in-college (FTIC) students to examine three sets of indicators of student progress to understand the impacts of SB 1720: developmental education enrollment and passing rates, introductory college-level course enrollment and passing rates, and college-level credit hours attempted and earned during the first year of enrollment. For introductory college-level course passing rates, we present our results in two different ways. The first is a course-based passing rate, which is the number of students passing English or math courses divided by the total number of students enrolled in the course. The second measure is a cohort-based passing rate—the number of individuals passing the English or math courses divided by the total number of students in that cohort. We use data from Florida’s K-20 Education Data Warehouse (EDW), which tracks all Florida public school students remaining in-state from Kindergarten to postsecondary education. We include six-cohorts (fall 2011 to fall 2016) of FTIC student data from all 28 public state colleges in Florida. The key findings include: • Enrollment rates in developmental reading, writing, and math declined sharply following the reform. • Passing rates in developmental education courses remained relatively constant. • Enrollment rates in introductory college-level courses increased following the reform, most notably in math courses. • Course-based passing rates in English remained relatively stable over time, while course-based passing rates in intermediate algebra declined. • Cohort-based passing rates in English and math courses increased following the reform from a cohort-by-cohort comparative perspective. • Cohort-based passing rates for Black and Hispanic students increased at greater rates than White students. • Total first-year credit hours attempted and earned increased for all students following the reform. • Black and Hispanic students experienced a greater increase in college-level credits earned following the reform, compared to White students. In sum, since the implementation of the developmental education reform in Florida in fall of 2014, there has been an increase of student success as measured by introductory college-level course passing rates as measured as the share of students of each cohort who passed the courses and college-level credit hours attempted and earned during the first year of enrollment. The findings also point to the narrowing gaps in those measures for students of different racial/ethnic backgrounds. Overall, the developmental education redesign in Florida appears to have led to increased success and improved equity in the Florida College System.
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Date Issued: 2019-02-27
Identifier: FSU_libsubv1_scholarship_submission_1550948148_bd6a2f97
Format: Citation

Title: Elementary Mathematics Student Assessment: Measuring the Performance of Grade K, 1, and 2 Students in Counting, Word Problems, and Computation in Fall 2015.
Creator: Schoen, Robert C., Anderson, Daniel, Champagne, Zachary, Bauduin, Charity
Abstract/Description: This report provides a description of the development process, field testing, and psychometric properties of a student mathematics test designed to assess grades K, 1, and 2 student abilities. The test was administered to 4,486 participating grade K, 1, and 2 students in 67 schools located in 10 public school districts in Florida during fall 2015. Focused on counting, word problems, and computation, the student assessment was designed to serve as a baseline measure of student achievement for...
Show moreThis report provides a description of the development process, field testing, and psychometric properties of a student mathematics test designed to assess grades K, 1, and 2 student abilities. The test was administered to 4,486 participating grade K, 1, and 2 students in 67 schools located in 10 public school districts in Florida during fall 2015. Focused on counting, word problems, and computation, the student assessment was designed to serve as a baseline measure of student achievement for use as a covariate in a randomized controlled trial evaluating the impact of a teacher professional development program called Cognitively Guided Instruction (CGI) on student learning.
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Date Issued: 2017-05-01
Identifier: FSU_libsubv1_scholarship_submission_1522170756_b9aee8c6, 10.17125/fsu.1522170756
Format: Citation

Title: Elementary Mathematics Student Assessment: Measuring the Performance of Grade 1 and 2 Students in Counting, Word Problems, and Computation in Fall 2013.
Creator: Schoen, Robert C., LaVenia, Mark, Bauduin, Charity, Farina, Kristy
Abstract/Description: This report provides a description of the development process, field testing, and psychometric properties of a student mathematics test designed to assess grades 1 and 2 student abilities. The test was administered to 2,373 participating grade 1 and 2 students in 22 schools located in 2 public school districts in Florida during fall 2013. Focused on counting, word problems, and computation, the student assessment was designed to serve as a baseline measure of student achievement in a...
Show moreThis report provides a description of the development process, field testing, and psychometric properties of a student mathematics test designed to assess grades 1 and 2 student abilities. The test was administered to 2,373 participating grade 1 and 2 students in 22 schools located in 2 public school districts in Florida during fall 2013. Focused on counting, word problems, and computation, the student assessment was designed to serve as a baseline measure of student achievement in a randomized controlled trial evaluating the impact of a teacher professional development program called Cognitively Guided Instruction (CGI) on student learning.
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Date Issued: 2016-12-01
Identifier: FSU_libsubv1_scholarship_submission_1508170543_88b3bb98, 10.17125/fsu.1508170543
Format: Citation

Title: Elementary Mathematics Student Assessment: Measuring the Performance of Grade 1 and 2 Students in Counting, Word Problems, and Computation in Fall 2014.
Creator: Schoen, Robert C., LaVenia, Mark, Bauduin, Charity, Farina, Kristy
Abstract/Description: This report provides a description of the development process, field testing, and psychometric properties of a student mathematics test designed to assess grades 1 and 2 student abilities. The test was administered to 3,080 participating grade 1 and 2 students in 22 schools located in 2 public school districts in Florida during fall 2014. Focused on counting, word problems, and computation, the student assessment was designed to serve as a baseline measure of student achievement in a...
Show moreThis report provides a description of the development process, field testing, and psychometric properties of a student mathematics test designed to assess grades 1 and 2 student abilities. The test was administered to 3,080 participating grade 1 and 2 students in 22 schools located in 2 public school districts in Florida during fall 2014. Focused on counting, word problems, and computation, the student assessment was designed to serve as a baseline measure of student achievement in a randomized controlled trial evaluating the impact of a teacher professional development program called Cognitively Guided Instruction (CGI) on student learning.
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Date Issued: 2016-12-01
Identifier: FSU_libsubv1_scholarship_submission_1508174887_7414870c, 10.17125/fsu.1508174887
Format: Citation

Title: Advance Care Planning in Primary Care: A Quality Improvement Project.
Creator: Dennis, Amanda Lang
Abstract/Description: Purpose of the Project: Advance care planning (ACP) has been shown to reduce unwanted care at end of life. However, rates of documentation of advance directives (ADs) are low in most settings. The aim of this project was to increase the number of ACP discussions that occur in a primary care clinic between provider and patient. Methods: The setting for this project was a family medicine residency program in a health system-owned practice, which included 20 resident physicians, six faculty...
Show morePurpose of the Project: Advance care planning (ACP) has been shown to reduce unwanted care at end of life. However, rates of documentation of advance directives (ADs) are low in most settings. The aim of this project was to increase the number of ACP discussions that occur in a primary care clinic between provider and patient. Methods: The setting for this project was a family medicine residency program in a health system-owned practice, which included 20 resident physicians, six faculty physician providers and one advanced registered nurse practitioner (ARNP). The first phase was an evaluation of an educational program for providers on ACP with the goal of increasing provider willingness to engage in ACP. The second phase was a quality improvement (QI) initiative involving clinical and non-clinical staff in the primary care office, using the Plan-Do-Check-Act (PDCA) framework. Results: Through the initial stages of the PDCA, participants identified awareness of ACP among patients, staff, and providers to be the most important factor in improving rates of ACP. A month-long awareness campaign was initiated, with specific activities to promote ACP. No significant change was identified in the number of ADs scanned into the EMR or in the number of ACP procedure codes billed before and after initiation of the QI intervention. Discussion: Through the course of the QI initiative, participants recognized that both staff and provider education is essential in improving ACP. They also identified that more patient education and outreach is needed. An awareness campaign was successful in encouraging discussion of ACP and its importance, but did not have an overall impact on rates of ACP. Conclusions: Changing culture and attitudes about ACP requires a comprehensive, multi-level strategy to engage providers, staff, and patients.
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Date Issued: 2018-04-12
Identifier: FSU_libsubv1_scholarship_submission_1523550044_6c0b0a2c
Format: Citation

Title: Improving Cervical Cancer Screening Rates in a Community Health Center: A Quality Improvement Project.
Creator: Balaji, Anusuyadevi Rajeevi
Abstract/Description: Purpose: The purpose of this quality improvement (QI) project was to increase the rates of routine cervical cancer screening (CCS) in eligible women of ages 21-64 years in an Adult Health Clinic (AHC) at a Community Health Center (CHC). The specific aim of this project was to determine the effect of a new CCS protocol and “Pap & Physical” appointments on cervical cancer screening incidence rates (CCSIRs). Methods: A QI committee developed a new CCS protocol and provided staff training on it....
Show morePurpose: The purpose of this quality improvement (QI) project was to increase the rates of routine cervical cancer screening (CCS) in eligible women of ages 21-64 years in an Adult Health Clinic (AHC) at a Community Health Center (CHC). The specific aim of this project was to determine the effect of a new CCS protocol and “Pap & Physical” appointments on cervical cancer screening incidence rates (CCSIRs). Methods: A QI committee developed a new CCS protocol and provided staff training on it. Pap & Physical appointments were also implemented along with client and provider reminder/recall interventions. A pretest/posttest design was used to determine effectiveness of these interventions. Results: The sample (N = 3354) consisted of all women of ages 23-64 years who presented for care during the pre- and post-intervention periods. The chi-square test did not reveal a significant association between the screening status and the pre- and post-intervention periods. The effect size was small (χ2 = 2.89, df = 1, p = 0.089, φ = 0.067). The overall CCSIRs did not improve from the pre- to post-intervention period (23% and 19.6% respectively). Discussion: There was no improvement in CCSIR from the pre- to post-intervention period despite interventions that targeted multiple barriers. Patients, staff, and system related factors affected CCSIRs. Information gleaned from this preliminary study should be used in further PDSA cycles and this has the potential to streamline processes and improve CCS rates in the AHC. Conclusion: To meet Healthy People 2020 goal for CCS, healthcare environments should evaluate their current CCS rates and implement evidence-based interventions in a manner that is adaptable to the healthcare environment’s workflow. Effective training and post-training assessment should be provided to staff. Providers should administer Pap smears on the same day as physical exams to reduce the need for multiple appointments. Studies addressing provider unwillingness to perform Pap smears are needed.
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Date Issued: 2018-04-23
Identifier: FSU_libsubv1_scholarship_submission_1524536894_2efa2cb3
Format: Citation

Title: Improving Patient Safety and Minimizing Alarm Fatigue through Effective Alarm Management.
Creator: De Leon, Jizzel Anne Velasco, Little, Barbara B.
Abstract/Description: Abstract Purpose: The purpose of this quality improvement (QI) project was to develop, implement and evaluate an Alarm Management QI Program in an intensive care unit (ICU) of a community hospital. The specific aims of the project were to reduce the number of ECG and pulse oximetry nuisance alarms, increase RN knowledge of alarm management and improve RN competency in management of ECG and pulse oximetry alarms. Methods: An online education program was developed and required for all ICU...
Show moreAbstract Purpose: The purpose of this quality improvement (QI) project was to develop, implement and evaluate an Alarm Management QI Program in an intensive care unit (ICU) of a community hospital. The specific aims of the project were to reduce the number of ECG and pulse oximetry nuisance alarms, increase RN knowledge of alarm management and improve RN competency in management of ECG and pulse oximetry alarms. Methods: An online education program was developed and required for all ICU nursing staff. In addition, RN alarm management competency was validated through a peer review process. A descriptive comparison design was used to examine the effectiveness of this quality improvement program. Results: The number of alarms elicited during the period of study significantly improved (p < 0.05) as a result of the educational program. Pre and posttest scores also showed improvement from a mean score of 57% to 78%. Competency validation results confirmed the majority of the peer review participants performed the expected practices. Conclusions: The Alarm Management Quality Improvement Program demonstrated positive changes to staff knowledge and competency, as well as the overall alarm occurrences in the unit after the intervention. Healthcare facilities can improve patient safety and minimize alarm fatigue by establishing alarm management policies, providing education and utilizing peer review to assure staff competency.
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Date Issued: 2018-04-16
Identifier: FSU_libsubv1_scholarship_submission_1523563144_99236d7d
Format: Citation

Title: Factors Influencing Parental Perception of Child's Weight Status.
Creator: Mauldin, Sabrina
Abstract/Description: Purpose: Childhood obesity is one of the most challenging and complex epidemics in today’s society. According to the World Health Organization, it is estimated the prevalence of childhood obesity will increase from 7% in 2012 to 11% in 2025. The purpose of the project is to identify factors that may influence parental perception of a child’s weight status. Methods: Parents of children aged 6-12 were surveyed regarding their child’s healthy behaviors, demographic information and perception of...
Show morePurpose: Childhood obesity is one of the most challenging and complex epidemics in today’s society. According to the World Health Organization, it is estimated the prevalence of childhood obesity will increase from 7% in 2012 to 11% in 2025. The purpose of the project is to identify factors that may influence parental perception of a child’s weight status. Methods: Parents of children aged 6-12 were surveyed regarding their child’s healthy behaviors, demographic information and perception of child’s current weight. Parents were also asked to select a body type they felt most accurately represented their child from a sketch which included 7 different body types. Children’s height and weight were measured and BMI was calculated. Parents were also asked to give a verbal description such as a little underweight, about the right weight, or overweight. Results: Thirty-two parents participated the survey. Nineteen out of 27 parents (70%) correctly perceived their children’s weight status. Common factors such as income, employment status, providing opportunities for physical activity and healthy eating habits were identified as impacting how a parent perceived their child’s weight status. Eighty percent of parents that provided an opportunity for physical activity to their child perceived their child to be about the right weight. Half of the parents that never/almost never provided an opportunity for physical activity perceived their child to be overweight. Discussion: If health care providers understand the elements affecting parental perception, there is an opportunity for change. Discussing healthy eating habits, limiting amount of screen time spent on electronics or television, and the importance of physical activity may heighten understanding. Conclusion: As a country with an increasing rate of childhood obesity it is imperative to identify causative factors prompting this epidemic. Although parents play an integral role in managing their child’s weight there are many other influences affecting obesity. Future research is needed to gain more insight and create a shared responsibility.
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Date Issued: 04/16/2018
Identifier: FSU_libsubv1_scholarship_submission_1523928001_5e75d773
Format: Citation

Title: Senior Nursing Students’ Early Recognition of Sepsis.
Creator: Powell, Zacharey A, Hauber, Roxanne
Abstract/Description: Problem Statement: Sepsis continues to be a major problem in many hospitals and healthcare settings throughout the United States. The effectiveness of early recognition accompanied by evidence-based treatment can make the difference between life and death. Nursing students must possess the knowledge and needed training to recognize early onset of sepsis in order to implement protocols for earlier resuscitation. Purpose: Apply educational interventions coupled with prep-test and post-test...
Show moreProblem Statement: Sepsis continues to be a major problem in many hospitals and healthcare settings throughout the United States. The effectiveness of early recognition accompanied by evidence-based treatment can make the difference between life and death. Nursing students must possess the knowledge and needed training to recognize early onset of sepsis in order to implement protocols for earlier resuscitation. Purpose: Apply educational interventions coupled with prep-test and post-test questions to evaluate nursing students’ requisite knowledge to identify and address early signs of sepsis. Methods: Employed a pre and post-test comparative design to measure the effectiveness of an educational session given to two groups of senior nursing students on the topic of early recognition and treatment of sepsis. Participation: ASN students (N=19 pre/post test) from a rural public state college in southeastern United States and BSN students (N= 72 pre-test) (N=73 post-test) from a large public state university in the southeastern United States. Results: N= 91 ASN and BSN students completed the pre-test and N = 92 ASN and BSN students completed the post-test. Majority of students were female 87.4%. The average age of participants largely fell within the age group of 18-25. ASN pre-test proportion of 0.36 pre-test, BSN proportion of correct answers on pre-test was 0.38 pre-test. ASN proportion of correct answers on post-test was 0.93 post-test and BSN proportion of correct answers on post-test was 0.90. Confidence interval of p < .001. Conclusions: There was a positive correlation between the sepsis educational session and post- test results in both the ASN and BSN cohorts.
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Date Issued: 04/26/2018
Identifier: FSU_libsubv1_scholarship_submission_1524775052_0f5d5cce
Format: Citation

Title: Self-Perception of Interpersonal Communication Competency and its Relationship to Job Satisfaction among Nurses in Florida.
Creator: Carroll, Myeshia La'tway, Dickey, Sabrina
Abstract/Description: Purpose: The purpose of this study was to determine if there was a relationship between self-perceived interpersonal communication competency and job satisfaction amid nurses in Florida. Methods: The study used a descriptive, cross-sectional design to obtain a convenience sample of nurses in the state of Florida. Surveys were dispensed electronically using Qualtrics, to active, licensed nurses listed within the publicly-accessible email database of the Florida Board of Nursing. Nurses of all...
Show morePurpose: The purpose of this study was to determine if there was a relationship between self-perceived interpersonal communication competency and job satisfaction amid nurses in Florida. Methods: The study used a descriptive, cross-sectional design to obtain a convenience sample of nurses in the state of Florida. Surveys were dispensed electronically using Qualtrics, to active, licensed nurses listed within the publicly-accessible email database of the Florida Board of Nursing. Nurses of all educational backgrounds were invited to rate self-reported levels of communication competency and job satisfaction. Data analysis included descriptive statistics, analysis of variance (ANOVA), chi-square, t-tests, and Spearman correlation coefficients. Results: There were a total of 1,997 participants. The majority of nurses (50.2%) reported to “almost always” achieve their communication goals. Most participants (28.3%) indicated being “satisfied” on the job. On average the nurses who reported consistent achievement of their communication goals also indicated high levels of job satisfaction (31%). Chi-square analysis revealed a significant association between accomplishing communication goals and job satisfaction, χ2 (18, n=1559) =100.18, p<.05. However, Spearman correlation coefficient showed that there was a negative relationship between those accomplishing communication goals and job satisfaction, r(1502)= -0.15, p<.05. Discussion: Most participants reported to “often” achieve high levels of interpersonal communication competency. There was a significant association between this variable and job satisfaction. This study provides insight on the role of self-perceived interpersonal communication competency regarding job satisfaction among a sample of active Florida nurses. Conclusions: Effective communication seems to play a role in the levels of job satisfaction. Health care institutions should consider incorporating ways to cultivate introspective communication skills to help improve levels of satisfaction in the work environment.
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Date Issued: 2018-04-27
Identifier: FSU_libsubv1_scholarship_submission_1524840242_95949f9a
Format: Citation

Title: Screening and Treatment Methods for Postmenopausal Osteoporosis by Florida’s Advanced Registered Nurse Practitioners.
Creator: DeCastro, Brittany
Abstract/Description: The state of Florida has the largest number of people over the age of 65 in the country; a cohort that continues to increase. Florida’s Advanced Registered Nurse Practitioners (ARNPs) play an integral role in providing health care for this cohort which often includes managing their comorbid conditions. This project was designed to identify existing knowledge gaps among Florida’s ARNPs regarding the screening and treatment methods of postmenopausal osteoporosis. The assessment tool, focused on...
Show moreThe state of Florida has the largest number of people over the age of 65 in the country; a cohort that continues to increase. Florida’s Advanced Registered Nurse Practitioners (ARNPs) play an integral role in providing health care for this cohort which often includes managing their comorbid conditions. This project was designed to identify existing knowledge gaps among Florida’s ARNPs regarding the screening and treatment methods of postmenopausal osteoporosis. The assessment tool, focused on four areas including: current screening and treatment practices for postmenopausal OP, prescription of Calcium, Vitamin D and anti-OP medications, referrals for bone density scanning and endocrinology, and fall prevention and education. A convenience sample of 24,115 active licensed Florida ARNPs was employed over a one-month period using an online needs assessment survey. Based on the analysis of data, 60% of the participants had never used a screening tool for postmenopausal women and 62% had never used a treatment algorithm for postmenopausal OP. Additionally, two of the focus areas were correlated with specific demographic variables. Findings from the project identified important knowledge gaps related to screening and treatment of individuals with postmenopausal OP.
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Date Issued: 2018-04-26
Identifier: FSU_libsubv1_scholarship_submission_1524772642_d50dcbf2
Format: Citation

Title: An Exploration of Learning Needs: Identifying Knowledge Deficits among Hospitalized Adults with Heart Failure.
Creator: Raines, Erika M, Dickey, Sabrina
Abstract/Description: Purpose: The purpose of this study was to examine the learning needs of hospitalized patients with heart failure (HF) by identifying their current HF self-care behaviors and knowledge levels, while identifying relationships between clinical variables (sociodemographic data and health history) and their learning needs. Methods: A descriptive, cross-sectional design was utilized to examine a convenience sample of 42 hospitalized patients with HF. Self-care behaviors and knowledge levels were...
Show morePurpose: The purpose of this study was to examine the learning needs of hospitalized patients with heart failure (HF) by identifying their current HF self-care behaviors and knowledge levels, while identifying relationships between clinical variables (sociodemographic data and health history) and their learning needs. Methods: A descriptive, cross-sectional design was utilized to examine a convenience sample of 42 hospitalized patients with HF. Self-care behaviors and knowledge levels were measured using the Self Care of Heart Failure Index (SCHFI) V. 6.2., and the Japanese Heart Failure Knowledge Scale. Descriptive statistics were used to describe the learning needs and sociodemographic data. Pearson product moment correlation coefficient was utilized to examine relationships between the learning needs and clinical variables. Results: The mean scores of self-care were 38.6% (maintenance), 41.6% (management) and 17.8% (confidence). The participant’s mean knowledge level score was 74.9%. Multiple HF hospital readmissions had a significant negative correlation with HF knowledge scores (r = -.358, p = 0.020), suggesting the lower the knowledge score, the higher the prevalence of HF readmissions. There were significant positive correlations between self-care maintenance (r=.525, p<0.05), management (r=.435, p<.05), confidence (r=.366, p <.05), knowledge level (r=.752, p<.05) and not living alone. Thus, indicating that living with family support is correlated with better self-care and greater knowledge. The presence of multiple comorbidities revealed significant positive correlations (p<.05) with self-care scores (maintenance [r=.391], management [r=.438], and confidence r=.504]), indicating a higher number of comorbidities, yields lower self-care behaviors. Discussion: Findings reveal poor self-care behaviors in all three areas (maintenance, management, confidence). These findings suggest that patients have difficulty implementing knowledge into self-care. Conclusions: By identifying knowledge deficits and contributing factors to suboptimal self-care, the chronic care model can be used as a guideline for ideal HF education and management. Improving self-care behaviors can be obtained by initiating an active engagement between health care teams and the patient.
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Date Issued: 2018-04-27
Identifier: FSU_libsubv1_scholarship_submission_1524874859_831d78b8
Format: Citation

Title: The Current State of Nurse Practitioner Postgraduate Training.
Creator: Vilches, Jacine
Abstract/Description: Purpose: Postgraduate training provides support to help new NPs adjust to their role during the first year of practice. These programs have grown in number over the years, yet there is a lack of comprehensive data. The goal of this study was to gather in-depth data to connect these programs with APRN students. Methods: This descriptive research study used an inventory tool to collect data from program directors. Data was analyzed using univariate statistics. Results: Of the 67 active programs...
Show morePurpose: Postgraduate training provides support to help new NPs adjust to their role during the first year of practice. These programs have grown in number over the years, yet there is a lack of comprehensive data. The goal of this study was to gather in-depth data to connect these programs with APRN students. Methods: This descriptive research study used an inventory tool to collect data from program directors. Data was analyzed using univariate statistics. Results: Of the 67 active programs, 30 directors responded (45%) with most respondents in the Northeast (33%) or the West Coast (27%). Fifty percent of the responding programs had a primary care focus and were operating for an average of 51.4 months (mode 36, range 12 – 120). A master's degree, APRN licensure in the program's state, and national board certification were required for admission to most (>80%) programs. The average monthly compensation was $5,729.16 (Mode $6,000) and all programs offered medical insurance. The programs boasted an estimated employment rate of 89% upon completion with 12 months being the most common. Programs offered access to a resource person 96% of the time and many (68%) of them trained residents at multiple training sites and included specialty rotations (86%). Discussion: Further studies to track the development of postgraduate training are necessary as these programs continue to grow. Studies that compare the performance outcomes between NP postgraduates and NPs with comparable years of practice should be performed to assist with meaningful appraisals of this training. Conclusions: Data obtained assists in the understanding of current postgraduate training. Postgraduate training provides useful supplementary education for newly graduated NPs and specialty care NPs.
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Date Issued: 2018-04-27
Identifier: FSU_libsubv1_scholarship_submission_1524876747_c4e0df79
Format: Citation

Title: Coping with Pediatric Death in the Emergency Department Setting: Are Healthcare Providers Prepared?.
Creator: Wiggins, Travis
Date Issued: 2018-04-10
Identifier: FSU_libsubv1_scholarship_submission_1523372897_a0fbfb24
Format: Citation

Title: Evaluation of a Process Change Using SBAR to Reduce Inappropriate Patient Placement and Increase Nursing Satisfaction.
Creator: Hernandez, Michelle Lynn, Hauber, Roxanne
Abstract/Description: Purpose: To determine the impact of the implementation of a standardized report sheet, SBAR, to improve verbal patient handoffs, inappropriate patient placement, and nursing satisfaction. Methods: The project used a pre/post descriptive design that included: 1) review of retrospective data from two sources to determine the number of inappropriate patient placements pre- and post- implementation of the SBAR tool and 2) a survey to determine nursing staff’s satisfaction before and after...
Show morePurpose: To determine the impact of the implementation of a standardized report sheet, SBAR, to improve verbal patient handoffs, inappropriate patient placement, and nursing satisfaction. Methods: The project used a pre/post descriptive design that included: 1) review of retrospective data from two sources to determine the number of inappropriate patient placements pre- and post- implementation of the SBAR tool and 2) a survey to determine nursing staff’s satisfaction before and after implementation. Data collection took place in a 300-bed inpatient hospital in Florida for seven months pre- and post- implementation through retrospective review of PRISM reports and unit logs, as well as, pre- and post -implementation surveys completed by RNs and LPNs. Results: Frequencies were calculated on both PRISM and Unit log data. Due to small sample sizes, only cumulative unit log totals were analyzed using a t-test and revealed no statistically significant difference between the pre –and post implementation data. None of the participants identified the new process as completely successful. Discussion: The discrepancy between the data in the unit logs and the data reported into the PRISM was significant and inferred that a lack of clarity and communication in reporting methods that may have played a role in the outcomes for this project. Conclusion: The limitations identified in the project need to be considered and addressed when planning similar studies.
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Date Issued: 2018-04-26
Identifier: FSU_libsubv1_scholarship_submission_1524782494_89b0f520
Format: Citation

Title: Does an Educational Intervention for a Nurse-Driven Indwelling Urinary Catheter Protocol Increase Nurses’ Knowledge and Compliance to the Protocol?.
Creator: Miller, Meghan
Abstract/Description: Purpose: Catheter-associated urinary tract infections (CAUTI) are responsible for approximately 40% of all hospital acquired infections. Over the past several years, hospitals have developed tools attempting to decrease CAUTI rates. Research suggests that nurse-driven protocols are effective in reducing CAUTI rates. The purpose of this project was to evaluate the effectiveness of an educational intervention related to a nurse-driven urinary catheter protocol in increasing registered nurses’ ...
Show morePurpose: Catheter-associated urinary tract infections (CAUTI) are responsible for approximately 40% of all hospital acquired infections. Over the past several years, hospitals have developed tools attempting to decrease CAUTI rates. Research suggests that nurse-driven protocols are effective in reducing CAUTI rates. The purpose of this project was to evaluate the effectiveness of an educational intervention related to a nurse-driven urinary catheter protocol in increasing registered nurses’ (RN) knowledge and compliance to the protocol. Methods:This study utilized a quasi-experimental pre-test, post-test and compliance self-report, to assess RNs’ knowledge and compliance to a nurse driven-urinary catheter protocol at a Southwest Florida hospital. RNs attended a nurse-driven protocol educational intervention, in which they completed both pre and post surveys and a compliance self-reports. The surveys and compliance self-reports were administered through SurveyMonkey. RNs reported compliance to the protocol on a Likert-type scale from 1-5. A paired sample t-test was done to compare the pretest and posttest results. A second paired sample t-test was done to compare the compliance self-reports completed before and after the educational session. Results: Thirty-two RNs participated in the study. The mean compliance prior to the educational intervention was 4.2, which increased to 4.7 after the educational intervention. The mean score on the pretest was 77%, increasing to 92% on the posttest. Discussion: Overall, the educational intervention was successful in increasing RNs’ knowledge and compliance to the nurse-driven urinary catheter protocol. Conclusion: The results suggest that providing education to RNs is critical. Reported compliance to the nurse-driven urinary catheter protocol is a critical step in increasing patient safety and decreasing the risks of CAUTIs.
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Date Issued: 2018-04-24
Identifier: FSU_libsubv1_scholarship_submission_1524596940_51d3cd69
Format: Citation

Title: Perceived HIV/AIDs Related Stigma Among Black Men Who Have Sex with Men.
Creator: Hawthorne, Kenara Ja' Nay, Whyte, James
Abstract/Description: The transmission of HIV is increasing around the world and BMSM are at in increased risk for transmission because of the associated stigma related to HIV. The purpose of this study is to determine the impact of HIV stigma, HIV status disclosure, and BMSM ability to access healthcare for prevention and treatment. A descriptive, correlational study examined the relationship between perceived stigma, HIV/AIDs disclosure, and access to healthcare. This study utilized a convenience sample for...
Show moreThe transmission of HIV is increasing around the world and BMSM are at in increased risk for transmission because of the associated stigma related to HIV. The purpose of this study is to determine the impact of HIV stigma, HIV status disclosure, and BMSM ability to access healthcare for prevention and treatment. A descriptive, correlational study examined the relationship between perceived stigma, HIV/AIDs disclosure, and access to healthcare. This study utilized a convenience sample for recruitment of participants on Facebook and Craigslist. A total of 30 young BMSM participated in this study. Feelings regarding knowledge of others regarding disease and the likelihood of disclosure were regressed. There was a statistically significant correlation between the participant’s feelings and likelihood of disclosure (p=0.37). The study indicated that perceived stigma affected BMSM undesirably, which in return decreased the likelihood of disclosure to others. Additionally, HIV-related stigma was considered to be a significant barrier for disclosure. Lastly, a total of 90% of the participants visited their HIV doctor. Many of the participants took antiretroviral medications despite the associated stigma that is surrounded by BMSM who are HIV positive. Additional educational interventions will need to be developed to decrease the rate of transmission in HIV positive BMSM.
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Date Issued: 2018-04-24
Identifier: FSU_libsubv1_scholarship_submission_1524622203_032f23ff
Format: Citation

Title: Clinician Knowledge on Perinatal Mood and Anxiety Disorders in Florida.
Creator: Salib-Barrios, Margaret Kathleen
Abstract/Description: Purpose: To understand knowledge gaps and barriers among Florida healthcare providers in the assessment and treatment of Perinatal Mood and Anxiety Disorders (PMADs). The information gathered should assist in making future recommendations to improve early screening and treatment of women with PMAD. Methods: The study was designed as a needs assessment questionnaire. ARNPs, PAs, DOs, and MDs with email addresses listed in the Florida Health Care Practitioner Data Portal were sent an...
Show morePurpose: To understand knowledge gaps and barriers among Florida healthcare providers in the assessment and treatment of Perinatal Mood and Anxiety Disorders (PMADs). The information gathered should assist in making future recommendations to improve early screening and treatment of women with PMAD. Methods: The study was designed as a needs assessment questionnaire. ARNPs, PAs, DOs, and MDs with email addresses listed in the Florida Health Care Practitioner Data Portal were sent an investigator-developed survey. Following the survey, participants were provided a link to MothersMentalHealth.org, developed by the FSU College of Medicine, which provides resources and education for mothers, families and clinicians. Analysis was conducted using Statistical Packages for the Social Sciences (SPSS) to determine how clinicians identified areas where they lacked preparedness in addressing PMADs and to identify differences in provider characteristics. Results: A total of 552 respondents completed the survey. Clinicians lack preparedness in six significant areas: appropriate use of language, detection of PMADs, care development, time and resource management, awareness of community resources, and provision of culturally specific care. Significant differences in preparedness were observed between disciplines. Discussion: Barriers to effectively addressing PMADs are all modifiable. Efforts are needed to improve the confidence, knowledge and preparedness of clinicians, regardless of specialty area, in the early detection, appropriate treatment and long-term management of patients with PMADs. Conclusions: Successful management of PMADs is critical for the welfare of women and their families. To further this research, it would be valuable to have PMAD education built into the requirements for all health care providers (HCPs) across the state of Florida. Simply increasing the awareness of available resources could improve PMAD outcomes.
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Date Issued: 2018-04-27
Identifier: FSU_libsubv1_scholarship_submission_1524802543_c4536779
Format: Citation

Title: Managing Urinary Retention: A Quality Improvement Project.
Creator: Dorenko, Tatiana
Abstract/Description: Abstract Purpose: The purpose of this quality improvement project was to develop, implement and evaluate the impact of an Urinary Retention Management protocol on indwelling urinary catheter utilization and incidence of bladder overdistention. The specific aims of the study were to decrease indwelling urinary catheter utilization and decrease the incidence of bladder volumes greater than 600 ml. Methods: The new protocol was implemented on inpatient medical-surgical, rehabilitation, and...
Show moreAbstract Purpose: The purpose of this quality improvement project was to develop, implement and evaluate the impact of an Urinary Retention Management protocol on indwelling urinary catheter utilization and incidence of bladder overdistention. The specific aims of the study were to decrease indwelling urinary catheter utilization and decrease the incidence of bladder volumes greater than 600 ml. Methods: The new protocol was implemented on inpatient medical-surgical, rehabilitation, and intensive care units. An online education module was required for all nurses. A descriptive comparison design was employed to evaluate the impact of the protocol utilizing de-identified retrospective electronic medical record data to compare the Urinary Catheter Utilization ratio and the incidence of bladder volumes above 600 ml pre- and post-implementation of the new protocol. Results: The data for pre-implementation period included 655 bladder scans with 295 volumes above 600 ml and 1125 bladder scans with 489 volumes above 600 ml for post-implementation period. The mean Catheter Utilization ratio decreased from 0.225 to 0.437, but the z-score 1.60 was not statistically significant. The ratio of incidences of bladder overdistention decreased from 0.450 to 0.437. There was a statistically significant decrease in mean bladder volumes above 600 ml from 786.72 ml to 765.51 ml in the pre-and post-implementation periods. The ratio of documented bladder scans increased from 1.9 to 3.20. Discussion: The implementation of a standardized urinary retention management protocol improved the monitoring of urinary retention, decreased severity of bladder overdistention and incidence of bladder volumes above 600 ml. Conclusions: This study reflected a modest positive effect on reducing the Indwelling Urinary Catheter Utilization ratio and incidences of bladder overdistention. Regardless of challenges associated with managing of urinary retention, implementation of evidence-based urinary retention management protocols can lead to early recognition and treatment of urinary retention for improving patient safety.
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Date Issued: 2018-04-11
Identifier: FSU_libsubv1_scholarship_submission_1523497769_7495ff4e
Format: Citation

Title: Nurses' Knowledge and Attitude Toward Chronic Pain Management in the Emergency.
Creator: Kostic, Michelle Noel
Abstract/Description: Purpose: The purpose of this project was to assess registered nurse’ knowledge and attitudes toward chronic pain in the ED. Methods: This project employed a non-experimental, descriptive design with use of an online electronic survey. The convenience sample included volunteer participants who completed two survey tools (The Chronic Pain Myth Scale and the KnowPain-12) and demographic information. Data analyses were performed with version 2.0 IBM SPSS software, using descriptive statistics,...
Show morePurpose: The purpose of this project was to assess registered nurse’ knowledge and attitudes toward chronic pain in the ED. Methods: This project employed a non-experimental, descriptive design with use of an online electronic survey. The convenience sample included volunteer participants who completed two survey tools (The Chronic Pain Myth Scale and the KnowPain-12) and demographic information. Data analyses were performed with version 2.0 IBM SPSS software, using descriptive statistics, and ANOVA. Results: The most common negative belief was that people suffering from chronic pain become dependent on their medications, like drug addicts (64%, n=323). There was also evidence that respondents believed that the severity of pain was exaggerated. In addition, findings revealed that respondents had an understanding of the biopsychosocial impacts of CP, yet demonstrated a limited opioid knowledge. Discussion: The knowledge gaps identified suggest that ER nurses need targeted pain management education, to enhance nurse’s knowledge, skills and attitude towards chronic pain. Reducing pain management disparities, by providing effective, safe and timely pain relief, requires sufficient knowledge, and ability to perform a thorough, unbiased pain assessment. Educational interventions should also be focused on CP’s pathophysiology, accurate assessment, non-opioid analgesia, and opioid treatment which includes information on state guidelines and regulations. Additionally, with considerable attention on the opioid crisis, ER nurses have a formidable task to ensure that chronic pain is not synonymous with drug addiction.
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Date Issued: 2018-04-27
Identifier: FSU_libsubv1_scholarship_submission_1524850027_68b86e27
Format: Citation

Title: Supporting the Second Victim.
Creator: Bryant, Shara
Abstract/Description: The purpose of this study was to examine “Second victim” phenomenon. Second victim phenomenon relates to healthcare providers’ response to an unanticipated adverse patient event, a medical error, or a patient related injury. The provider becomes a victim in the sense that the provider is traumatized by the event. The clinical question is: What physical and psychological effects do adverse event/medical errors have on second victims?
Date Issued: 2018-03-23
Identifier: FSU_libsubv1_scholarship_submission_1521927412_8fab3b52
Format: Citation

Title: "Poverty Porn": The Narratives of INGO Media Campaigns.
Creator: Costner, Monique, Kohli, Tanu
Abstract/Description: International non-governmental organizations (INGOs) have different strategies of raising awareness and funds for their causes. Sometimes however, these strategies can rely on the use of stereotypical or dehumanizing depictions of people from the developing world. We have all seen the images of hungry children with bloated stomachs, presumably from some African or Asian country. To what extent do these narratives present a grossly simplified version of the struggles people in poverty face?...
Show moreInternational non-governmental organizations (INGOs) have different strategies of raising awareness and funds for their causes. Sometimes however, these strategies can rely on the use of stereotypical or dehumanizing depictions of people from the developing world. We have all seen the images of hungry children with bloated stomachs, presumably from some African or Asian country. To what extent do these narratives present a grossly simplified version of the struggles people in poverty face? The term “poverty porn” has been coined to describe these kinds of shock-based images which reduce people to their vulnerability and helplessness. Narratives within INGO media campaigns can either contribute to, or combat stereotypical images of developing regions. The first section of this research will discuss representations of people from developing regions. Second, the research will examine strategies employed in several digital-based INGO media campaigns through their use of visual and verbal tools. Third, the research will analyze the ethical nature of media campaigns which contribute to or combat stereotypes. It is important for international non-governmental organizations and those within the field of international development to consider how communication strategies impact the understanding we have of developing regions. This research aims to look critically at INGO communications and provide best practices for organizations constructing their own media campaigns.
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Date Issued: 2018-05-04
Identifier: FSU_libsubv1_scholarship_submission_1525459546_a796c8ef
Format: Citation

Title: Promoting Influenza Vaccination Among Healthcare Workers at a Local Health Department.
Creator: Keller, Vivian R
Abstract/Description: This study investigated factors influencing public healthcare workers decision making regarding whether or not to get vaccinated for influenza. It aimed to increase the uptake of influenza vaccines among employees by implementing a multifaceted intervention.
Date Issued: 2019-03-27
Identifier: FSU_libsubv1_scholarship_submission_1553699854_e841bedd
Format: Citation

Title: An Educational Toolkit for Diet Based Weight Loss Programs.
Creator: Poley, Kevan Michael
Abstract/Description: Purpose: This review examined five chosen diet-based weight loss programs for common barriers to weight loss, efficacy, and risks and benefits specific to each diet. An educational toolkit was then produced to help providers counsel their patients on these programs. Methods: A search of empirical literature in electronic databases (e.g., CINAHL, Pubmed, JANE, Dynamed Plus, Cochrane’s Library, and ScienceDirect) was conducted during November and December of 2018. Of the 36 included articles,...
Show morePurpose: This review examined five chosen diet-based weight loss programs for common barriers to weight loss, efficacy, and risks and benefits specific to each diet. An educational toolkit was then produced to help providers counsel their patients on these programs. Methods: A search of empirical literature in electronic databases (e.g., CINAHL, Pubmed, JANE, Dynamed Plus, Cochrane’s Library, and ScienceDirect) was conducted during November and December of 2018. Of the 36 included articles, 14 were randomized controlled trials and ten were systematic reviews or meta analyses. The remaining 12 were either nonrandomized, observational, cross sectional, or qualitative. Four websites provided background information on these programs. Results: Barriers to weight loss included lack of accountability and self-motivation, as well as interference with life and personal tastes. Every diet produced significant weight loss compared to baseline and a control group. Statistically significant differences in weight loss were not seen when comparing two or more diets. However, the Ketosis diet had weight loss efficacy outcomes that were substantially larger comparatively. Every diet was found to have at least one associated benefit or risk. The ketosis diet had several adverse effects and medical contraindications. Discussion: This literature review suggests the chosen diets are effective at producing weight loss in patients who adhere to the diet. There were no statistically significantly differences in weight loss outcomes or improvements in cardiovascular risk factors among the chosen diets. The ketosis diet, while effective at generating weight loss, is shown to be contraindicated with several chronic healthcare problems. Conclusions: This literature review suggests that healthcare providers should fully appraise an individual’s history before recommending a diet-based weight loss program in order to increase adherence and maximize benefits for individuals with specific chronic conditions.
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Date Issued: 2019-03-12
Identifier: FSU_libsubv1_scholarship_submission_1552447054_df4c9557
Format: Citation

Title: Improving Culturally Sensitive Communication among Healthcare Providers in Underserved Communities.
Creator: Massie, Denise Lee Marlatte
Abstract/Description: Purpose: The purpose of this project is to improve healthcare literacy in underserved patients by addressing healthcare providers’ modes of communication when caring for this population. This study will identify culturally common terms used in the underserved community to describe chronic disease processes, as well as assess graduate NP nursing student’s knowledge of common substitute terms and application when providing care in the underserved population. Additionally, we will examine if...
Show morePurpose: The purpose of this project is to improve healthcare literacy in underserved patients by addressing healthcare providers’ modes of communication when caring for this population. This study will identify culturally common terms used in the underserved community to describe chronic disease processes, as well as assess graduate NP nursing student’s knowledge of common substitute terms and application when providing care in the underserved population. Additionally, we will examine if demographic information effects the use of culturally competent language when providing care. Methods: A quasi-exploratory designed study was employed. A convenience sampling method was utilized for collecting data. Thirty-four graduate NP nursing students at one College of Nursing participated in the study. Descriptive statistics were used to analyze data for examination of the study aims. Results: There were a total of 34 participants to take the survey. The majority of the graduate student NPs who took the Self-Assessment tool learned key words for enhanced communication during assessment (58.9%) while (2.9%) did this rarely or not at all. When asked if participants learned familial colloquialisms (58.9%) while (2.9%) did this rarely or not at all. When asked to identify substitute terms used by the underserved population 2 of the participants identified the terms incorrectly. When asked if these terms were utilized when providing educational information, thirty-one replied “yes” while 3 answered “no”. After taking the Self-Assessment combined with years of experience did the respondents feel comfortable with the use of cultural literacy and communication fourteen replied “yes” and 2 replied “no”. Conclusion: Findings from the Self-Assessment tool demonstrate that graduate nurse NP students are aware and utilize culturally sensitive communication in the underserved population. Using words or phrases that are familiar to the patient population provides improved communication. Further investigation is needed to evaluate undergraduate nursing students. Additionally, demographic information including place of employment and specialty could enhance utilization of culturally sensitive communication. The nursing profession is focused on the patient as an individual, this also includes dialect and cultural terms that are recognizable to the individual and the community.
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Date Issued: 2019-03-27
Identifier: FSU_libsubv1_scholarship_submission_1554135005_c209d476
Format: Citation

Title: Essential Oils in Healthcare.
Creator: Ely, Macy
Abstract/Description: Purpose: This study examined the benefits, risk, and usage of essential oils in self and primary care as well as provide an educational tool kit to use as self-care and for providers to use in practice. Methods: A convenience sampling method was utilized for collecting data. Fifty-six students and faculty who are registered nurses or an advanced registered nurse practitioner at the College of Nursing participated in the study. Descriptive statistics were used to analyze data for examination...
Show morePurpose: This study examined the benefits, risk, and usage of essential oils in self and primary care as well as provide an educational tool kit to use as self-care and for providers to use in practice. Methods: A convenience sampling method was utilized for collecting data. Fifty-six students and faculty who are registered nurses or an advanced registered nurse practitioner at the College of Nursing participated in the study. Descriptive statistics were used to analyze data for examination of the study aims. Results: The majority of nurses surveyed use essential oils for self-care (80%), and of those who do are 90.9% are at least moderately comfortable using essential oils. Only 3 participants (5.6%) report using essential oils in primary care. The major knowledge deficits reported were not having a toolkit to use as guidelines for what essential oils can be used for common conditions (34.6%), evidence-based research and what the research shows (23.6%), and adverse reactions of essential oils (14.5%). Conclusion: Both findings from the literature and survey demonstrated the need for nurses to enhance their knowledge about essential oils for self and primary care. Nurses often partake in using essentials oils and have a very high comfort level while using essential oils. It is time for nurses to take the next step and get additional information, such as a toolkit, so they can help others experience the benefits of essential oils.
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Date Issued: 2019-04-04
Identifier: FSU_libsubv1_scholarship_submission_1554418983_57325a25
Format: Citation

Title: Closing the Gap: An Educational Intervention to Prevent the Sexual Transmission of the Zika Virus by Young Males.
Creator: Bolduc, Alicia
Abstract/Description: Purpose: The purpose of this project was to develop, implement and evaluate the effectiveness of a preventative educational intervention on the sexual transmission of Zika virus. Methods: A social media platform was used to market and deliver an educational module to young men ages 18 to 35 years old. Anyone on social media could access the educational intervention but purposive sampling focused on young males between 18 and 35 years of age living in the South-Eastern United States. Knowledge...
Show morePurpose: The purpose of this project was to develop, implement and evaluate the effectiveness of a preventative educational intervention on the sexual transmission of Zika virus. Methods: A social media platform was used to market and deliver an educational module to young men ages 18 to 35 years old. Anyone on social media could access the educational intervention but purposive sampling focused on young males between 18 and 35 years of age living in the South-Eastern United States. Knowledge of Zika virus transmission was measured before and after the educational intervention to evaluate learning. Descriptive statistics were computed to summarize demographic data and knowledge of Zika virus; paired t-tests were used to compare pre- and post-test responses. Results: Facebook/Instagram and Google AdWords media campaigns resulted in multiple potential participants navigating to the website and scanning information on sexual transmission of Zika. However, only 28 men meeting criteria completed the educational module and pre-/post-tests. The majority were Caucasian (89.3%) and married or in a domestic partnership (57.1%). Participants’ knowledge of the sexual transmission of Zika virus increased significantly following the educational intervention. Discussion: This project was proactive in offering an educational tool aimed at preventing another outbreak of Zika virus as opposed to reactionary based on increased rates of the sexual transmission of Zika virus. The media ad campaigns generated substantial interest by the target group but fell short in prompting participation in the educational intervention. Advertising costs were also increased when a specific audience was targeted directly. Conclusion: Zika virus remains an international threat that can be transmitted easily back into the United States. Preventative educational measures and innovative modes of delivery are needed to arrest the sexual transmission of Zika virus among young males. Major Professor: Dr. Eileen Cormier
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Date Issued: 2019-04-05
Identifier: FSU_libsubv1_scholarship_submission_1554770972_55b068bd
Format: Citation

Title: Sexual Harassment at the Bedside: Nurse Preparedness.
Creator: Walker, Corynn
Abstract/Description: Purpose: The purpose of this project was to explore factors regarding and the potential benefits of sexual harassment training videos specific to bedside nursing. Methods: A quasi-experimental research design was implemented to explore occurrence, confounding factors, and nurse preparation regarding sexual harassment at the bedside as well as the potential benefit of nurse-specific training videos. A convenience sampling of (n=31) graduate nursing students at Florida State University...
Show morePurpose: The purpose of this project was to explore factors regarding and the potential benefits of sexual harassment training videos specific to bedside nursing. Methods: A quasi-experimental research design was implemented to explore occurrence, confounding factors, and nurse preparation regarding sexual harassment at the bedside as well as the potential benefit of nurse-specific training videos. A convenience sampling of (n=31) graduate nursing students at Florida State University completed a pre-intervention survey, review of nurse-specific sexual harassment training videos, and post-intervention survey utilizing Qualtrics via internet. Data analysis was completed by the principal investigator using Microsoft Excel. Results: Initial pre-intervention data demonstrated 23 (74.19%) of research participants had experienced sexual harassment within their place of work. Of these participants, 78.36% of nurse participants believed they were not adequately prepared to handle the issue and had previously experienced sexual harassment from a patient. Of those participants who had not personally experienced sexual harassment, less than 50% stated they would notify management and only 25% stated they would remove themselves from the situation. Following the review of the nurse-specific training videos, reported incidence of sexual harassment increased to 80.64%. 30 (96.77%) of participants stated they found the educational videos helpful and 80.64% believed they would be adequately prepared for further instances. Discussion: This study provides continued support of the alarmingly high occurrence of sexual harassment amongst the nurse population and a lack of nurse preparedness as well as the potential benefit of nurse-specific sexual harassment training videos. Conclusions: Nurses experience sexual harassment at an incredibly high rate and may benefit from training that is specific to their profession.
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Date Issued: 2019-04-17
Identifier: FSU_libsubv1_scholarship_submission_1555543508_72759753
Format: Citation

Title: Factors Influencing Parental and Adult Decision Making for Pediatric Vaccines.
Creator: Thomas, Madison
Abstract/Description: Purpose: In an effort to further understand vaccination decision making, this study examined factors adult decision makers take into consideration when deciding whether or not to have children vaccinated. Methods: This project used a descriptive design to explore the effects that dissemination of evidence-based knowledge regarding vaccines has had on adult decision making to adhere or refrain from the recommended pediatric immunization schedule. A non-random, convenience sampling method was...
Show morePurpose: In an effort to further understand vaccination decision making, this study examined factors adult decision makers take into consideration when deciding whether or not to have children vaccinated. Methods: This project used a descriptive design to explore the effects that dissemination of evidence-based knowledge regarding vaccines has had on adult decision making to adhere or refrain from the recommended pediatric immunization schedule. A non-random, convenience sampling method was utilized to obtain participants by an online ad via Facebook advertisement. Demographic data was obtained, and participants had the option to provide narrative responses regarding vaccine decisions. Results: The results of the study demonstrate the presence of various factors which influence parent and adult decision makers’ decision to follow or refrain from the recommended pediatric immunization schedule. Influencing factors include but are not limited to number of children in the family, education level, religion, and information from resources such as a healthcare provider, friends and family, the internet, and research articles. This study also showed that parent and adult decision makers fear vaccines for a variety of reasons. Parent and adult decision makers cited fears such as the presence of toxic ingredients, too many shots at once, vaccines being ineffective, and side effects or vaccine injury. Discussion: This study demonstrates the need to educate parent and adult decision makers with unbiased, evidence-based information regarding vaccines, regardless whether they adhere to or refrain from the recommended pediatric immunization schedule. Conclusions: This study provides a distinctive reflection on immunization practices among parents and adult decision makers. This study calls for nurses and providers to make an effort to identify and provide knowledge to families and children who choose to deviate from the recommended pediatric immunization schedule or completely forgo immunization to address a main source of under immunized children in a sensitive manner. Future studies should focus on minority groups, people of color, ADM for those greater than 26 years old (i.e. special needs adults and dependent elders), and utilize different strategies to recruit participants.
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Date Issued: 2019-04-17
Identifier: FSU_libsubv1_scholarship_submission_1555550252_b80e7305
Format: Citation

Title: Obstructive Sleep Apnea and the Postoperative Patient.
Creator: Busby-Drewek, Rachel, Porterfield, Susan
Abstract/Description: Purpose: Patients with Obstructive Sleep Apnea (OSA) are at an increased risk for serious health risks for up to a week following surgery due to physiological changes that increase after the introduction of anesthesia and opioid pain management. Improved nurse education about current evidence-based postoperative care recommendations can provide the tools to assist nurses with providing safe, knowledgeable care. This quality improvement project sought to increase nurses’ knowledge of...
Show morePurpose: Patients with Obstructive Sleep Apnea (OSA) are at an increased risk for serious health risks for up to a week following surgery due to physiological changes that increase after the introduction of anesthesia and opioid pain management. Improved nurse education about current evidence-based postoperative care recommendations can provide the tools to assist nurses with providing safe, knowledgeable care. This quality improvement project sought to increase nurses’ knowledge of postoperative monitoring and care needs for patients with Obstructive Sleep Apnea through the presentation of an educational toolkit. Method: A convenience sample of 55 Registered Nurses participated on four selected units at a 772-bed hospital that performs approximately 16,400 surgeries per year. This QI project utilized an identical pretest/ post-test technique given around an educational intervention. The educational intervention included a narrated PowerPoint, a brochure, and a reminder card. A demographic and OSA behavioral questionnaire was included with the pretest to assist with demographic and needs assessment data. Data was analyzed utilizing SPSS Version 25.0 using descriptive statistics and paired t-test analysis. Results: In the behavioral survey nurses were questioned on their care and rated their frequency of providing recommended postoperative measures on a scale of 0-5. The mean scores ranged from 1.89 to 3.36. This indicates that recommended postoperative care measures were not always being met. Knowledge test scores showed a statistically significant change in post-test scores from pretest scores (p < .001, t(54) = -6.103). Scores improved 11.5% from pretest to post-test after the educational intervention. The largest improvement in scores was found in questions related to OSAs association with cardiac arrhythmias, OSA prevalence in men versus women, REM sleep pattern changes effect on OSA, and REM sleep pattern changes after surgery. Discussion: Improved test scores suggest the need for further education of nurses on postoperative OSA needs. The behavioral care survey suggests that implementation of a structured postoperative OSA protocol would help to improve compliance with current recommendations. Conclusions: This QI project suggests the need for continued nurse education about postoperative OSA monitoring and care needs. Implementation of a formal educational program and postoperative OSA protocol is suggested. Further QI projects should aim to develop written discharge instructions to provide for the patient.
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Date Issued: 2019-04-17
Identifier: FSU_libsubv1_scholarship_submission_1555524136_86ae6286
Format: Citation

Title: Health Needs Assessment for a Methodist Congregation: A Health Ministry Pilot Study.
Creator: Keatley, Craig Thomas, Schluck, Glenna, Porterfield, Susan
Abstract/Description: Purpose: The purpose of this project is to promote physical well-being and disease prevention by exploring the health needs of a mid-sized Methodist congregation in southeast Florida and implementing an educational health fair workshop within a church setting. Methods: A quality improvement needs assessment was distributed amongst all members of a mid-sized Methodist congregation in order to determine the health topic with the most interest. Following the needs assessment, a health fair...
Show morePurpose: The purpose of this project is to promote physical well-being and disease prevention by exploring the health needs of a mid-sized Methodist congregation in southeast Florida and implementing an educational health fair workshop within a church setting. Methods: A quality improvement needs assessment was distributed amongst all members of a mid-sized Methodist congregation in order to determine the health topic with the most interest. Following the needs assessment, a health fair presentation was given to distribute information about the health topic of interest. Evaluation surveys were distributed immediately following the presentation. Results: Thirty-three needs assessment surveys were completed and returned. The health topic with the largest demand was hypertension (30%) followed by depression (24%). Additionally, 39% of participants selected multiple options. Results from the evaluation survey indicated that 93% of the participants would be extremely likely to participate in health ministry activities in the future. Discussion: This study demonstrates that despite an initially tepid reaction from the congregation regarding the health ministry program, a health-fair styled workshop is something in which they may be willing to participate. Health condition resources could be made available to the congregation for education and proper implementation of a successful health ministry program. Conclusions: The population will continue to age and resources need to be available to meet the needs of this dynamic population. Non-traditional healthcare settings, such as health ministry programs, can be utilized to help close gaps in providing quality health care. Future expansion of the health ministry program is something that should be considered for enhancing the health of the Methodist congregation. Major Professors: Glenna Schluck, PhD & Susan Porterfield, PhD, FNP-c
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Date Issued: 2019-04-17
Identifier: FSU_libsubv1_scholarship_submission_1555522793_80481958
Format: Citation

Title: The Use of Simulation for Nurse Practitioner Students: Clinical Presentation Curriculum.
Creator: Tuck, Jennifer Marie, Whyte, Maria
Abstract/Description: Purpose: The pilot project is to implement an Objective Structured Clinical Examination (OSCE) simulation and compare three Florida State University, Doctor of Nursing Practice (FSU DNP) cohorts to improve the clinical evaluation process.Methods: The FSU nurse practitioner students from all three cohorts completed a pre-test and were given educational materials regarding patient presentation. The participants were then evaluated on their assessment, plan, and presentation of a standardized...
Show morePurpose: The pilot project is to implement an Objective Structured Clinical Examination (OSCE) simulation and compare three Florida State University, Doctor of Nursing Practice (FSU DNP) cohorts to improve the clinical evaluation process.Methods: The FSU nurse practitioner students from all three cohorts completed a pre-test and were given educational materials regarding patient presentation. The participants were then evaluated on their assessment, plan, and presentation of a standardized patient. During the post simulation, students were given faculty evaluation feedback, which included: strengths, weaknesses, and areas of improvement. The post-test was delivered three months later.Results: Pre-test and post-test scores only showed marginal improvement; feedback from students and faculty showed that the simulation was useful for the evaluation. The faculty evaluations used a point scale from zero to six. The highest student score was 97 out of a total possible score of 102; the lowest score was 50. The average student score was 78.2 with a mean of 81.Discussion: The pilot supported OSCE to evaluate clinical students in the future as a benchmark to continue in the program. OSCE benchmarks can reduce the travel costs for the college during the clinical course of evaluation. Comparing the cost of using standardized patients and faculty travel for evaluations, the expense of using standardized patients would be less than the faculty travel costs, based on approximately $300 for a 6-hour evaluation day.Conclusions: The pilot identified the need for improving the scenario that was created, the potential economic benefits to the College, and recognized the technology limitations in the College of Nursing. Additionally, further investigation into the use of trained standardized patients is indicated.Primary Investigator: Jennifer Marie Tuck, BSN, RNMajor Professor: Maria D. Whyte, ARNP-C, DHScKeywords: simulation, standardized patient, nurse practitioner student, competency
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Date Issued: 2019-04-22
Identifier: FSU_libsubv1_scholarship_submission_1555946178_fbb9fd8a
Format: Citation

Title: Nutritional Education Intervention for Nurses Caring for Heart Failure Patients.
Creator: Chacon, Camilla
Abstract/Description: Purpose: The purpose of this project was to educate nurses on nutrition for patients with congestive heart failure (CHF), and improve discharge teaching practices by holding an educational intervention.Design: A quality improvement project.Setting: A small hospital in the Southeastern United States.Subjects: A convenience sample of 20 registered nurses employed in a medical-surgical floor and intensive care unit (ICU). 10 participants completed the project.Intervention: Pre- and post...
Show morePurpose: The purpose of this project was to educate nurses on nutrition for patients with congestive heart failure (CHF), and improve discharge teaching practices by holding an educational intervention.Design: A quality improvement project.Setting: A small hospital in the Southeastern United States.Subjects: A convenience sample of 20 registered nurses employed in a medical-surgical floor and intensive care unit (ICU). 10 participants completed the project.Intervention: Pre- and post-intervention surveys were developed which included the validated Nurses’ Knowledge of Heart Failure Education Principles Survey. A Patient Take- Home Toolkit was developed as a tool for discharge teaching. Educational in-services were held and the Patient Take-Home Toolkit was introduced. Nurses completed the pre-intervention survey in a paper format when attending the in-service and post-intervention surveys were emailed to nurses using SurveyMonkey one month later.Analysis: Descriptive statistics were used to evaluate the demographic data and current practices. Wilcoxon signed rank test was used to analyze nurses’ knowledge.Results: Pre-intervention, 40-50% (N=20) of participants provided verbal teaching alone for nutritional topics related to CHF, while 30-35% provided verbal teaching and a handout. Post- intervention, 55-60% (n=7) of participants reported the ideal practice of verbal education and the Take-Home Patient Toolkit for 2 of 3 topics. Analysis of survey items written by the PI demonstrated statistically significant increase in knowledge (W=1, p = 0.027<0.05, n=5).Analysis of the Nurses’ Knowledge of Heart Failure Survey indicates a significant increase in test score at the alpha = 0.10 level but not alpha = 0.05 level (W=1.5, p=0.068 < 0.10, n=8). Discussion: The results are promising, as the intervention successfully increased the percentage of nurses who provide ideal discharge nutritional teaching to patients with CHF. Nurses’ knowledge of nutrition and CHF management also demonstrated a statistically significant increase. However, the study results are limited by the small sample size.Conclusions: An educational intervention effectively increased ideal discharge teaching practices and increased knowledge among participants. Further studies with larger sample sizes would validate these results, and the long-term effect on CHF re-admission rates could be studied to determine the significance of nurse education on patient outcomes.
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Date Issued: 2019-04-27
Identifier: FSU_libsubv1_scholarship_submission_1556410342_3616ee71
Format: Citation

Title: Journaling as a Therapeutic Intervention to Decrease Postpartum Depressive Symptoms and Stress in Mothers with an Infant in NICU: A Case Study.
Creator: Munday, Kathryn
Abstract/Description: Title: Journaling as a Therapeutic Intervention to Decrease Postpartum Depressive Symptoms and Stress in Mothers with an Infant in NICU: A Case StudyPrimary Investigator: Kathryn Munday, BSN, RNPurpose: The purpose of this paper is to demonstrate a protocol that can assess and positively influence maternal wellness during infant hospitalization in Neonatal Intensive Care Unit (NICU).Methods: This case study details a mother’s experience in NICU and the impact collaborative care, postpartum...
Show moreTitle: Journaling as a Therapeutic Intervention to Decrease Postpartum Depressive Symptoms and Stress in Mothers with an Infant in NICU: A Case StudyPrimary Investigator: Kathryn Munday, BSN, RNPurpose: The purpose of this paper is to demonstrate a protocol that can assess and positively influence maternal wellness during infant hospitalization in Neonatal Intensive Care Unit (NICU).Methods: This case study details a mother’s experience in NICU and the impact collaborative care, postpartum mental health screening, and journaling can have on maternal mental health outcomes. Tools essential for NICU nurses used to identify and assist mothers of infants in NICU are: (1) Postpartum Educational Handout, (2) PHQ-9, (3) PSS: NICU, (4) Journal Handout, and (5) a JournalResults: The NICU nurses were able to recognize that J.S, the mother in the case study, was high risk for postpartum depressive and stress symptoms secondary to her infant’s admission to NICU. J.S used the journal to document various experiences and emotions throughout NICU journey. J.S found that journaling was helpful throughout her infant’s stay in NICU. The PHQ-9 and PSS: NICU scores improved from admission to discharge indicating that support from NICU and journaling had a positive impact on J.S. Discussion: NICU nurses are in a position to discuss maternal mental health with mothers of infants in NICU. Screening tools are easily provided, but assistance from a qualified provider is necessary in case of increased PHQ-9 scores or thoughts of suicide. A journal can be provided in all situations and does not require collaboration with other medical providers. All NICUs should provide mothers with a handout of local and online resources.Conclusions: Identification and discussion begins with infant admission, and all NICU mothers should be considered at increased risk for PPD and stress symptoms. NICU nurses, social work, medical staff, and mothers can collaborate to ensure appropriate screening, educational tools, coping options, and identification of community resources.Major Professor: Susan Liipfert Shelton, PhD, APRN, CNM
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Date Issued: 2019-04-25
Identifier: FSU_libsubv1_scholarship_submission_1556245276_9780a3a4
Format: Citation

Title: Correlation of Hypertension and Depression: Underserved Population 50 Years of Age or Above.
Creator: Pearl, Alice Kina
Abstract/Description: Purpose: The purpose of this project was to evaluate a quality improvement initiative by a small urban clinic that specializes in the elderly underserved population in south Florida. This initiative was to explore whether there was a correlation between depression and hypertension in the clinic population as well as be proactive in treating depression.Methods: After Florida State University Institutional Review Board (IRB) approval a retrospective chart review was accomplished after the...
Show morePurpose: The purpose of this project was to evaluate a quality improvement initiative by a small urban clinic that specializes in the elderly underserved population in south Florida. This initiative was to explore whether there was a correlation between depression and hypertension in the clinic population as well as be proactive in treating depression.Methods: After Florida State University Institutional Review Board (IRB) approval a retrospective chart review was accomplished after the implementation of the depression-screening tool of all patients coming to the clinic for medical appointments. This project gathered data on 100 patients, 50 patients with depression and 50 patients without depression. Hypertension rate was compared on the 100 patients. Depression was screened utilizing the ‘Patient Health Questionnaires’ (PHQ-9) form and the diagnosis data using ICD-10 codes. The information originated from the clinic’s electronic health record (EHR). The office manager provided the de-identified information to the principal investigator. Results: 50 patients (50%) were diagnosed with having depression and 37 patients (47%) had hypertension from a total of 100 patients. The top comorbidities in patients with depression were: hypertension (58%), chronic pain (40%), hyperlipidemia (38%), anxiety and/or panic attack (36%); diabetes mellitus or type II diabetes (26%), insomnia or sleeping disorder (26%), coronary artery disease (CAD) and/or cardiomyopathy (22% of total), chronic obstructive pulmonary disease (COPD) (22%), and gastro-esophageal reflux disease (GERD) (20%). Conclusion: In general the top comorbidities in patients with depression were higher in rate than the same comorbidities in patients without depression. The incidence of depression in this clinic was seven times the national average. The incidence of hypertension was 1.5 times the national average. There was a positive correlation between depression and hypertension in the sample population of this research. The incidence of hypertension in patients with depression was almost double the national average adults with hypertension. Implementing the depression screening tool will better serve the underserved population and promote positive patient outcomes in dealing with comorbidities with depression.
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Date Issued: 2019-04-27
Identifier: FSU_libsubv1_scholarship_submission_1556367303_746ed6c5
Format: Citation

Title: Barriers and Implications of Controlled Substance Prescribing for Florida APRNs.
Creator: Weissing, Lauren
Abstract/Description: Purpose: To determine barriers impacting Florida APRNs’ decision to prescribe controlled substances post statutory change that lifted restrictions on controlled substance prescribing. Based on the results, the primary investigator developed a toolkit to decrease these barriers. Methods: A 39-question survey was utilized to determine what factors influence Florida APRN schedule II-IV substance prescribing behaviors. This questionnaire was delivered online and in person to active, licensed...
Show morePurpose: To determine barriers impacting Florida APRNs’ decision to prescribe controlled substances post statutory change that lifted restrictions on controlled substance prescribing. Based on the results, the primary investigator developed a toolkit to decrease these barriers. Methods: A 39-question survey was utilized to determine what factors influence Florida APRN schedule II-IV substance prescribing behaviors. This questionnaire was delivered online and in person to active, licensed APRNs who are members of various nurse practitioner organizations in Florida. Results: Reasons for APRN lack of controlled substance prescribing included practice setting restrictions, physicians writing these prescriptions, and a lack of desire to prescribe these medications. Fifty-five percent of respondents who completed the 3-hour CE course on controlled substances prescribing reported that it adequately prepared them to prescribe schedule II-IV medications, compared to 77% of individuals who took the 8-hour course. Prescriber confidence was significantly associated with protocol characteristics, graduate nurse practitioner programs, colleague support, knowledge, and the extent APRNs prescribe these medications. Respondents noted benefits to prescribing controlled substances that included more efficient patient care, increased autonomy, independent patient management, increased patient access to care, and relief of required physician signatures on all schedule II-IV substances. Discussion: Two years post statutory change, more than 80% of Florida APRNs are DEA registered prescribers of controlled substances. A majority of APRNs feel knowledgeable and comfortable prescribing these medications. Although House Bill 423 removed a barrier to controlled substance prescribing, additional barriers remain. Providing additional skills, reducing quantity limitations for schedule II medications, and decreasing DEA cost would help to reduce these barriers. Conclusion: It is imperative to address the identified needs of APRNs to support them in effectively prescribing schedule II-IV substances. Full practice authority may remove unnecessary protocols and quantity limitations for certain medications, further decreasing barriers for APRNs prescribing controlled substances. This ongoing project will be expanded to determine whether these findings are consistent among all Florida APRNs.
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Date Issued: 2019-04-26
Identifier: FSU_libsubv1_scholarship_submission_1556312288_8013b875
Format: Citation

Title: A Gap Analysis: Healthcare Provider Perceptions of Nurse Practitioner Scope of Practice.
Creator: Kaiser, Kelsey Nicole
Abstract/Description: Purpose: The purpose of this project was to promote interprofessional education and collaboration among healthcare providers by identifying gaps in knowledge regarding NP scope of practice among medical doctors (MDs), osteopathic physicians (DOs), and physician assistants (PAs) in Florida. Methods: This quasi-experimental, gap analysis utilized a repeated measures design wherein the study participants served as their own controls. Surveys were delivered via Qualtrics, an online survey...
Show morePurpose: The purpose of this project was to promote interprofessional education and collaboration among healthcare providers by identifying gaps in knowledge regarding NP scope of practice among medical doctors (MDs), osteopathic physicians (DOs), and physician assistants (PAs) in Florida. Methods: This quasi-experimental, gap analysis utilized a repeated measures design wherein the study participants served as their own controls. Surveys were delivered via Qualtrics, an online survey platform, at two points in time: (1) before an online educational intervention and (2) four to six weeks after an online educational intervention to all actively practicing, Florida-licensed MDs, DOs, and PAs registered with the Florida Department of Health.Results: The Pre-Intervention Survey was started by 1,515 respondents, representing a response rate of 1.96%. Of the respondents: (1) 881 met inclusion criteria, and (2) completed the Pre- and Post-Intervention Surveys. Approximately 36.8% of PAs answered the question, “Can nurse practitioners in Florida prescribe schedule II drugs independently?” incorrectly. Approximately 27.1% of PAs answered the question, “Can nurse practitioners in Florida practice autonomously?” incorrectly. NP knowledge-based questions related to signing disabled person placard forms, autonomous practice, and prescribing schedule II drugs independently were incorrectly responded to by most participants. Discussion: PAs incorrectly perceive that NPs in Florida can practice autonomously and can prescribe schedule II drugs independently. MDs, DOs, and PAs have the greatest knowledge deficit in topics related to whether NPs can sign disabled person placard forms, practice autonomously, and prescribe schedule II drugs independently.Conclusion: Interprofessional education can mitigate confusion related to NP scope of practice, however, for interprofessional educational opportunities to be successful, knowledge deficits among collaborative healthcare providers must first be identified. Responses to knowledge-based questions in the Pre-Intervention Survey identified specific deficits among healthcare providers. Identifying deficiencies facilitate the development of effective interprofessional educational training materials and programs.
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Date Issued: 2019-04-26
Identifier: FSU_libsubv1_scholarship_submission_1556304833_db584f32
Format: Citation

Title: Assessment of Nurse Practitioners’ Screening, Prevention, and Treatment Practices in Pediatric Obesity.
Creator: Hargraves, Kyla
Date Issued: 2019-04-26
Identifier: FSU_libsubv1_scholarship_submission_1556299477_f91733aa
Format: Citation

Title: A Multistep Educational Intervention for Successful Outpatient Colonoscopy Preparation in a Rural Community.
Creator: Smythe, Samantha Andersen
Abstract/Description: AbstractPurpose: The purpose of this project was to increase patient knowledge related to bowel preparation success for screening colonoscopies. Methods: Twenty-eight patients scheduled for screening colonoscopies in a rural gastroenterology practice consented to participate in this project. The multi-step, interventional study project utilized an audiovisual educational tool with a pre/post-test design to determine both changes in knowledge base and any clarification that was still needed...
Show moreAbstractPurpose: The purpose of this project was to increase patient knowledge related to bowel preparation success for screening colonoscopies. Methods: Twenty-eight patients scheduled for screening colonoscopies in a rural gastroenterology practice consented to participate in this project. The multi-step, interventional study project utilized an audiovisual educational tool with a pre/post-test design to determine both changes in knowledge base and any clarification that was still needed regarding the prescribed bowel preparation. An investigator developed audio-visual presentation related to the procedure was provided. A one-on-one education session was then held to provide any clarification. The bowel cleanliness was later graded by the physician during the colonoscopy utilizing the Boston Bowel Preparation Scale (BBPS). A final survey was completed by participants to determine satisfaction with the study intervention. Paired samples t-tests were computed to evaluate the pre/post-test scores with descriptive statistics computed to evaluate the BBPS and satisfaction survey scores. Results: Over half (68%) of participants had an increase in posttest scores, demonstrating enhanced knowledge from the audiovisual presentation alone (p<.001). Most (86%) of the BBPS total scores were five or greater, meeting the criteria associated with higher polyp detection rates. Twenty-one (75%) participants reported that the intervention made the bowel preparation process easier. Discussion: The educational intervention in addition to the standard written instructions for colonoscopy bowel preparation demonstrated the potential to increase the number of successful outpatient screening colonoscopies. Physician and participant feedback supported the sustainability of the intervention in daily practice. Conclusions: The successful outcomes of this project support the need for enhanced educational interventions for use when instructing patients on their colonoscopy bowel preparation process. The data additionally promotes that the addition of enhanced educational interventions for patients may be effective in increasing bowel preparation success.
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Date Issued: 2019-04-25
Identifier: FSU_libsubv1_scholarship_submission_1556226011_1523eb96
Format: Citation

Title: Debriefing After Traumatic Events for Emergency Nurses: A Way to Decrease Secondary Traumatic Stress.
Creator: Kahrs, Rebecca
Abstract/Description: Purpose: To identify if the technique of debriefing after a traumatic event would decrease the secondary traumatic stress (STS) symptoms in emergency nurses.Methods: The use of a pre intervention survey, a debriefing educational intervention and a post intervention survey were utilized to gather data. The pre and post surveys created by Bird, et al., (2004) both utilized the same seventeen questions from the “Secondary Traumatic Stress Scale” for a thorough comparison of the secondary...
Show morePurpose: To identify if the technique of debriefing after a traumatic event would decrease the secondary traumatic stress (STS) symptoms in emergency nurses.Methods: The use of a pre intervention survey, a debriefing educational intervention and a post intervention survey were utilized to gather data. The pre and post surveys created by Bird, et al., (2004) both utilized the same seventeen questions from the “Secondary Traumatic Stress Scale” for a thorough comparison of the secondary traumatic stress symptoms before and after the use of the debriefing intervention. The debriefing toolkit included a brief STS description, STS symptoms, description of debriefing and top self-care tips. The data was analyzed using descriptive statistics and the Mann Whitney U test. Results: Forty-one ED nurses participated in the initial surveys and debriefing intervention. The participants decreased to thirty-seven for the post intervention survey. The significant symptoms included feeling emotionally numb, trouble sleeping, discouraged for the future, disturbing dreams, avoiding working with certain patients, the expectation of something bad to happen and finding gaps in memory. This revealed a p-value of 0.007 proving that the data was statistically significant for a decrease in secondary traumatic stress symptoms with the use of the debriefing educational toolkit in emergency department nurses after traumatic events. Discussion: The use of the debriefing educational intervention was found useful in decreasing secondary traumatic stress symptoms in emergency nurses after traumatic events. Emergency nurses found that with the recognition of symptoms and positive coping tools, that they are more successful professionally in dealing with secondary traumatic stress symptoms.Conclusion: Secondary traumatic stress can affect emergency nurses due to the frequent exposure to traumatic events such as deaths, severe injuries and critical illnesses. The recognition of secondary stress and a tool such as debriefing, can decrease and potentially eliminate secondary traumatic stress in emergency nurses that can encourage overall mental well-being improve burnout rates.
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Date Issued: 2019-04-20
Identifier: FSU_libsubv1_scholarship_submission_1555813997_69f8e52e
Format: Citation

Title: Effects of the first year of a three-year CGI teacher professional-development program on grades 3–5 student achievement: A multisite cluster-randomized trial.
Creator: Schoen, Robert C., LaVenia, Mark, Tazaz, Amanda M.
Abstract/Description: Mathematics teacher professional-development (PD) programs based on Cognitively Guided Instruction (CGI) have been developed and implemented with tens of thousands of elementary mathematics teachers worldwide since the 1980s. Starting with a focus on addition and subtraction on whole numbers in the first CGI PD program, the content of these courses has expanded over time. In this study, we used a multisite cluster-randomized trial to estimate the impact of the first year of a three-year CGI...
Show moreMathematics teacher professional-development (PD) programs based on Cognitively Guided Instruction (CGI) have been developed and implemented with tens of thousands of elementary mathematics teachers worldwide since the 1980s. Starting with a focus on addition and subtraction on whole numbers in the first CGI PD program, the content of these courses has expanded over time. In this study, we used a multisite cluster-randomized trial to estimate the impact of the first year of a three-year CGI teacher professional-development program. This CGI PD program designed for grades three, four, and five teachers. The content of the program focused on fractions concepts and operations on fractions, multiplication and division on whole numbers, and algebraic thinking. The randomized sample included 149 teachers and their students, representing 32 schools in nine public school districts in Florida. Student outcomes were measured by the Elementary Mathematics Student Assessment (EMSA). The CGI 3–5 PD program was found to significantly impact student performance on the EMSA test (p =.007) in the first year of the three-year program. The point estimate of the main effect of the CGI program on student achievement (g = .18) was greater than many of the most effective teacher professional-development programs that have been subjected to rigorous evaluation.
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Date Issued: 2018-05-01
Identifier: FSU_libsubv1_scholarship_submission_1562595733_2f6c8c71, 10.33009/fsu.1562595733
Format: Citation

Title: Potential Predictors of Disposition and Recidivism in Emergency Department Visits: A Regression Analysis.
Creator: Gaillard, Garrett L
Abstract/Description: Background: Recidivism in the Emergency Department (ED) is often used as a measure of efficiency, quality of care, and ED performance. Additionally, disposition of the emergency department patient is an important decision that influences the patients follow up as well as future ED visits. Objective: This study examined: age, gender, marital status, ethnicity, payer status, principle diagnoses, triage acuity as predictors of ED disposition and recidivism. The primary aim was to establish a...
Show moreBackground: Recidivism in the Emergency Department (ED) is often used as a measure of efficiency, quality of care, and ED performance. Additionally, disposition of the emergency department patient is an important decision that influences the patients follow up as well as future ED visits. Objective: This study examined: age, gender, marital status, ethnicity, payer status, principle diagnoses, triage acuity as predictors of ED disposition and recidivism. The primary aim was to establish a model and assesses the predictability of different variables on incidence of admission or discharge and return to the ED. Method: A retrospective secondary analysis took place analyzing patient encounters from October 2015 to September 2016 at a 772-bed acute care hospital. A binary logistic regression was used to analyze variables and their correlation with disposition while a multinomial regression was used to correlate recidivism. Results: An analysis of 84,712 patient visits revealed that a binary logistic regression model containing all predictors was statistically significant at the level of p<.000 CI=95%. The model distinguished between those patients that were admitted and discharged from the ED. The model accurately classified 81.7% of cases. The model correctly classified patients who were discharged with a sensitivity of 93.5% and those who were admitted with a specificity of 38.5%. A mulitnomial model showed little significance in using socio-demographic variables as predictors of recidivism. Discussion: The model supports the use of socio-demographic variables and acuity of visit as predictors of disposition in the ED population. However, only single independent socio-demographic variables were useful in prediction of recidivism. These variables contribute to the development of care models in the ED. Additionally, implementation into the ESI triage index may help to further classify an accurately delineate patients during the triage process.
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Date Issued: 08/01/2018
Identifier: FSU_libsubv1_scholarship_submission_1524503836_e3b429ce
Format: Citation

Title: Enhanced Recovery After Surgery: Adherence Affects Outcomes of Colorectal Surgical Patients.
Creator: Dailey, Tess
Abstract/Description: Purpose: This project evaluates the outcomes of colorectal surgical patients following the implementation of the ERAS program at a community hospital to determine the effects of adherence on LOS and opioid use. The investigator hopes to demonstrate a reduction in opioid use for acute surgical pain when utilizing the ERAS pathway. Methods: A retrospective chart review was performed on patients who underwent standard and enhanced recovery colorectal surgeries at a community hospital in 2018....
Show morePurpose: This project evaluates the outcomes of colorectal surgical patients following the implementation of the ERAS program at a community hospital to determine the effects of adherence on LOS and opioid use. The investigator hopes to demonstrate a reduction in opioid use for acute surgical pain when utilizing the ERAS pathway. Methods: A retrospective chart review was performed on patients who underwent standard and enhanced recovery colorectal surgeries at a community hospital in 2018. Data on LOS and opioid use (MEQ/D), were extracted from a corporate and hospital database. Independent sample t-tests and descriptive statistics were used to examine correlations among the surgical pathways, LOS, and opioid use.Results: A total of 82 colorectal surgical patients were examined: 42 ERAS patients and 40 standard colorectal surgery patients. ERAS patients had a shorter LOS (M = 3.24 ± 1.45 vs M = 5.80 ± 3.09; p < .001) and utilized less MEQ/D (M = 7.62 ± 10.45 vs M = 41.25 ± 38.07; p < .001). Adherence with the pathway items was associated with shorter LOS; the impact on MEQ/D were mixed. Discussion: The impact of individual pathway items on LOS and opioid use requires further investigation. Surgical prescribing culture influences the use of opioids for pain management. A reduction of opioid use should translate to fewer opioid prescriptions at discharge. Conclusion: The ERAS pathway reduces LOS and MEQ/D compared with the standard surgical pathway. Compliance with the ERAS pathway items were correlated with shorter LOS, however the impact of compliance on MEQ/D was mixed. Preoperative carbohydrate drink administration and postoperative ambulation are areas of improvement opportunity. More research is needed to determine whether opioid use decreases upon discharge and which pathway items most significantly impact outcomes.
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Date Issued: 2020-03-19
Identifier: FSU_libsubv1_scholarship_submission_1584657130_7d2c900c
Format: Citation

Title: The Career State Inventory (CSI) as a Measure of the Career Decision State and Readiness for Career Decision Making: A Manual for Assessment, Administration, and Intervention (Second Edition).
Creator: Leierer, Stephen J., Peterson, Gary W., Reardon, Robert C., Osborn, Debra S.
Abstract/Description: The Career State Inventory (CSI) was developed initially as the Career Decision State Survey (CDSS) to facilitate research and practice in vocational psychology and career development. The primary purpose of this measure was to assess readiness for career problem solving and decision making. The CSI was developed by the authors working through Florida State University’s Center for the Study of Technology in Counseling and Career Development. Career practitioners and researchers may freely use...
Show moreThe Career State Inventory (CSI) was developed initially as the Career Decision State Survey (CDSS) to facilitate research and practice in vocational psychology and career development. The primary purpose of this measure was to assess readiness for career problem solving and decision making. The CSI was developed by the authors working through Florida State University’s Center for the Study of Technology in Counseling and Career Development. Career practitioners and researchers may freely use the instrument with proper citation of the instrument and credit as noted below. Sale of the CSI for profit is not authorized by the authors or FSU. A link to the CSI and the CSI Manual is provided at DigiNole the Florida State University Digital Library: https://fsu.digital.flvc.org/islandora/search/tech%20center?type=edismax&collection=fsu%3Aresearch_repository. CSI Manual topics include (a) an examination of the Career Decision State construct as a state of consciousness through the perspective of cognitive information processing theory (CIP); (b) prior research examining the concurrent validity of the CSI in relation to similar constructs; (c) procedures for administering and scoring the instrument; and (d) ways in which CSI results could be implemented and interpreted in the process of career service delivery or training of career services providers.
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Date Issued: 2020-04-20
Identifier: FSU_libsubv1_scholarship_submission_1587411085_afa0b2e3, 10.33009/fsu.1587411085
Format: Citation

Title: Culturally Sensitive Obstetrical Care.
Creator: Cooke, Taylor Jean
Abstract/Description: Purpose: The purpose of the study was to assess obstetrical health providers (OHP) knowledge on providing care that is culturally sensitive and congruent. Identifying gaps in current obstetrical practice exist and create a toolkit for OHP utilization based upon study findings.Methods: A cross sectional survey design was used, and participants were recruited through Florida licensing databases. Participants were OHPs that met inclusion and exclusion criteria. A Likert-type Qualtrics survey was...
Show morePurpose: The purpose of the study was to assess obstetrical health providers (OHP) knowledge on providing care that is culturally sensitive and congruent. Identifying gaps in current obstetrical practice exist and create a toolkit for OHP utilization based upon study findings.Methods: A cross sectional survey design was used, and participants were recruited through Florida licensing databases. Participants were OHPs that met inclusion and exclusion criteria. A Likert-type Qualtrics survey was e-mailed to qualifying OHPs to gauge attitudes, opinions, and knowledge concerning culturally sensitive care. A Pearson’s correlation coefficient was conducted to determine if correlations existed between participant characteristics and their knowledge, use, and opinions on cultural sensitivity. Moreover, a one-way analysis of variance was conducted to explore between group differences.Results: Study findings indicated differences between current research and study results. Participants indicated that they were knowledgeable on the importance in providing culturally congruent care and the impact on birth outcomes; but, indicated that they did not always provide care that was culturally centered. Significant differences existed between gender, age, and race with the implementation of culturally congruent prenatal care. Women, midwives, and African American (AA) providers were more likely to implement culturally congruent care. Discussion: Findings of this study will help close the gap between OHPs and AA women. The results of this study are the foundation for the OHPs provider toolkit created based on the findings. Moreover, findings will aid future research to focus on educating OHPs on the importance of providing congruent culturally sensitive care. Conclusion: In summary, study findings and resulting provider toolkit will aid providers and future researchers to focus on the value of OHPs who are not only knowledgeable in culturally congruent obstetrical care, but who also provide that care to AA women.
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Date Issued: 2020-04-17
Identifier: FSU_libsubv1_scholarship_submission_1587174548_f6ab189e
Format: Citation

Title: African American Men's Knowledge Regarding Contraception: An Intervention Study.
Creator: De Leon, Ruben
Abstract/Description: Purpose: The purpose of this project was to determine the effect of an educational intervention designed to improve African American men’s knowledge of common contraception methods.Methods: The study used a Pre-test/Post-test design with a convenience sample of African American men aged 18-30. Baseline knowledge was tested followed by an educational intervention and post-test. The study was conducted in a local fitness studio. The educational intervention consisted of a graphic presentation...
Show morePurpose: The purpose of this project was to determine the effect of an educational intervention designed to improve African American men’s knowledge of common contraception methods.Methods: The study used a Pre-test/Post-test design with a convenience sample of African American men aged 18-30. Baseline knowledge was tested followed by an educational intervention and post-test. The study was conducted in a local fitness studio. The educational intervention consisted of a graphic presentation embedded in Qualtrics. Topics include intra-uterine devices (IUDs), oral contraceptives, injectables, vaginal ring, condoms and common misconceptions.Results: The results indicated statistically significant differences on 5 out of the 20 items (p<0.001), involving advanced methods of female contraception. The results indicated moderately strong correlations between ‘confidence on topic’ and ‘notion of control in contraception’(r=0.554). Additionally, ‘previous education on topic’ and ‘confidence on topic’ also produced a moderate strength correlation (r=0.534). Overall, 96% of participants stated varying degrees of improvement in notions of confidence and control on the topic after the activity. 100% of participants reported increased likelihood of taking the initiative regarding contraceptive matters in their relationships and 93% wished educational tools such as this activity were more readily available in this area.Discussion: The study indicated knowledge deficits that were subsequently addressed through a brief intervention. It further emphasized the role of individual factors such as knowledge and confidence in improving male participation in contraceptive decision-making.Conclusion: This study was important because it served to fill a void in the dearth of research focusing on African American men and their role in unwanted pregnancies.
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Date Issued: 2020-04-20
Identifier: FSU_libsubv1_scholarship_submission_1587427202_9b88d5f5
Format: Citation

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