NUR Faculty Scholarship

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    HPV education and vaccination uptake in college students: A DNP project
    (Wolters Kluwer Health, 2024) Hemingway, Bridget; Thornberry, Jennifer; Harrington, Jamie
    Introduction: The purpose of this DNP project was to establish baseline human papillomavirus (HPV) vaccination rates, improve baseline knowledge of HPV and HPV vaccines, reduce barriers to HPV vaccination, and increase intention of HPV vaccine uptake among college students. Methods: A precaution adoption process model-based survey, in-person education session, and posteducation survey were administered to college students in a Midwestern university to measure perceptions of HPV and HPV vaccination as well as to identify barriers to HPV vaccination. Results: From the preeducation survey to the posteducation survey, correct answers to questions increased, and barriers and misconceptions about HPV and the HPV vaccine decreased, indicating successful education. HPV vaccination intent, defined as indication of "likely" or "very likely" to receive the vaccine on the surveys, rose from 28.0% to 90.7% among participating college students. Conclusion: This study showed that implementing engaging, in-person HPV prevention education is an effective method for decreasing barriers related to vaccination and increasing vaccination intention. © 2024 Wolters Kluwer Health. All rights reserved.
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    Electronic cigarettes: Identifying college students using the Ask, Advise, and Refer tobacco cessation model
    (Kansas State Nurses Association, 2024-03-05) Hall, Christine; Sebes, Jennifer; Thornberry, Jennifer
    The rising prevalence in electronic cigarette (e-cigarette) usage among college students is an emerging public health issue, marking a shift from traditional tobacco products to e-cigarettes (Fonseca Fuentes et al., 2019). This trend is particularly concerning due to the health risks associated with e-cigarettes, such as nicotine addiction, interstitial lung disease and acute respiratory distress syndrome (England et al., 2017). In response to this challenge, the Ask, Advise, and Refer (AAR) tobacco cessation model was implemented in a university health center, aiming to promote cessation.
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    Standardized Calcium Replacement in Massive Transfusion: A Quality Improvement Project
    (NLM (Medline), 2023-09) Laing, Marisa L.; Burtch, Kimberly; Storrer, Angie; McCoy, Cameron
    BACKGROUND: Hypocalcemia is common in trauma patients receiving massive transfusion protocol and often leads to worsening coagulopathies. Despite the identified problem and recommendations for replacement, few institutions have implemented a standardized calcium replacement protocol. OBJECTIVE: This study aims to assess whether a revised massive transfusion protocol, including standardized calcium replacement, increases the incidence of calcium administration in trauma patients receiving massive transfusion protocol. METHODS: This quality improvement project used a retrospective pre-/postdesign to study the revision of the current facility's massive transfusion protocol to include calcium replacement and ionized calcium monitoring at an urban Level I academic trauma center. Pre- and postintervention data were collected from January 2022 through October 2022 to determine the number of times massive transfusion protocol was ordered, ionized calcium monitoring, and calcium administration rates. Feedback regarding the protocol was collected throughout the monitoring period and was utilized in the final analysis. RESULTS: A total of 40 patients received massive transfusion protocol, preintervention, 18 of 23 (78%) received calcium supplementation, postintervention, 15 of 16 (98%) were treated. The majority of protocol activations occurred in the trauma bay (79%) and postintervention; ionized calcium monitoring dropped by 14%. CONCLUSION: This study found that the addition of standardized calcium replacement improved administration rates of calcium in this patient population. Ongoing research will ensure the recommended changes improve the identified shortcomings and that patients maintain adequate ionized calcium levels with the current dosing parameters.
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    Electronic monitoring of mom's schedule (eMOMS™): A qualitative study of experiences in a lifestyle change program with lactation support
    (SAGE Publications Inc., 2023-07-18) Jacobson, Lisette T.; Bakhache, Natalie; Dowling, Jolynn A.; Okut, Hayrettin; Zackula, Rosey; Robbins, David C.; Stern, Judy E.; Grainger, David A.; Befort, Christie
    Purpose: To elicit feedback from participants who completed the eMOMS™ study, a feasibility randomized controlled trial (NCT04021602), on their perceptions of program strengths and weaknesses. Study Design: Qualitative - Semi-structured, telephone interview guide using open-ended questions. Setting: Rural Great Plains state, United States. Participants: Of 26 individuals who completed the eMOMS™ study, 24 consented to an interview. Method: Interviews were completed between October 2020 and May 2021. Audio-recordings were transcribed verbatim and organized in Microsoft 365. Data were analyzed using an exploratory, inductive thematic analysis. Results: Participants' mean age was 27.5 ((± 5.4) years and mean pre-pregnancy BMI was 29.5 kg/m2 (± 2.7). The majority (71%) were non-Hispanic White and 54% had a high school education/some college. Based on specific areas of inquiry, the following themes emerged: convenience of online program access using Facebook, importance of health coach's support and online interaction, positivity toward improving one's health, increased consciousness of health behaviors, diverse lactation educational needs, importance of educational materials on depression, and grief over the loss of birth expectations during COVID-19. Conclusion: Findings suggest participants' perceived value of a lifestyle change program coupled with lactation education and support delivered using social media. Findings inform future studies to further adapt lifestyle change programs. Copyright The Author(s) 2023.
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    Transition from practice to teaching: The advice I wish I received
    (SLACK Incorporated, 2023-01-01) Ward, Maggie
    [No abstract available]