Graduate Theses, Projects, and Dissertations
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A Comparison of Recruitment Outcomes Using an Alternate Clinical Trial Recruitment Script for Lifestyle Intervention for the Treatment of Diabetes (LIFT)
(2022-05)Background Despite noble advancements in clinical research recruitment. Ethnic minorities continue to be disproportionately represented. Identifying variables that contribute to increased participation in such trials can ... -
Assessing Social Determinants of Health to Improve the Quality of Life in the Adult Day Care Health Center Participants
(2022-05-05)The purpose of this quality improvement mixed methods design is to provide facilitators at an adult urban daycare health center with a toolkit to screen clients for SDOH and QOL among the adult clients ages 18 years and ... -
Developing a Multifaceted Fall Prevention Strategy in the Emergency Department
(2022-05-05)Abstract Despite systemwide efforts to reduce patient falls, this problem continues to be a significant patient safety concern in the emergency department. The ED is a high acuity, fast-paced, crowded and unpredictable ... -
Quality Improvement in Primary Care using the STOPP/START Criteria
(2022-05-05)Adverse drug reactions (ADRs) in older people is a public health issue and is increasingly a problem in the care of the geriatric population. Polypharmacy and potentially inappropriate medications (PIM) are recognized risk ... -
Depression in Diabetes: Utilizing a Depression Management Algorithm in Primary Care
(2022-05-04)Background: Patients with diabetes are more prone to depression because of the debilitating nature of coping with a chronic disease long term (Polacsek et al., 2021). Screening for depression in this population is critical ... -
A Toolkit to Measure Success: Assessing the Impact of Learning Activities for Social Skills and Parent’s Group for Perceived Social Support
(2022-05-03)Objective: This quality improvement (QI) program provided staff implementing a non-profit organization’s intervention program to enhance social skills with resources needed to measure the impact the program has on participants ... -
Developing an ED Discharge Team to Incorporate the Re-Engineered Discharge (RED) Toolkit in a Rural Emergency Department
(2022-05-05)Background: The 72-hour return rate represents an important quality indicator and benchmark for Emergency Department (ED) care to determine if high quality and safe care is being delivered at a particular facility. The RED ... -
Improving T2DM Outcomes in Primary Care
(2022-04-01)Background: In the United States (US), over 34 million Americans have diabetes mellitus and 90% -95% of these individuals have Type 2 diabetes mellitus (T2DM) (Centers for Disease Control and Prevention [CDC], 2021). In ... -
School-Based Initiative for Early Recognition of Depression Among Middle School Students
(2022-04-28)The purpose of this project is to determine if a Patient Health Questionnaire (PHQ)-9 is useful in identifying, evaluating, and lowering depression in middle school students. Nurses will administer the Patient Health ... -
Trauma Informed Adult Primary Care
(2022-04-28)This project was a quality improvement project designed to implement trauma-focused care and adverse childhood experiences screening (ACEs) for adults in the primary care setting who were diagnosed with anxiety or depression. ... -
Analyzing Psychosocial Distress Screenings: A Quality Improvement Project that Modifies the Frequency of Screenings
(2022-04-28)Background/Purpose: Distress is a multifactorial unpleasant experience that can interfere with the patients’ ability to cope with cancer. Research has recognized the effectiveness of interventions in the ability to reduce ... -
mHealth Strategy for Adult Primary Care Weight Management
(2022-04)Obesity contributes to higher healthcare costs and risk for disease. Obesity management is labor and resource intensive in the primary care setting, requiring patient education, reeducation, and frequent clinician assessment ... -
An Integrated Pediatric Primary Care Model to Address Trauma, Inequities and Health Disparities
(2022-04-28)Background: Toxic stress in the form of adverse childhood experiences (ACE) and unmet social determinants of health (SDoH) are prevalent issues in the pediatric population and remain a cause of concern. Evidence reveals ... -
Encouraging Nurse Autonomy Through Skills Validation to Increase Dysphagia Screenings in Adults
(2022-04)Globally as well as in the United States, dysphagia is a prevalent problem (Abu-Snieneh & Saleh, 2018; American Speech-Language-Hearing Association, 2020). Nurses primarily assess dysphagia risks and implement initial ... -
An Analysis of College Students’ Nutrition Practices
(2022-04-21)Poor nutrition is associated with half of the leading causes of death for adults and has influenced the alarming obesity rates. Negative nutrition practices and knowledge are at the forefront of this issue and are often ... -
Implementation of 'My Birth Control' Tool
(2022-04-18)To evaluate the effect of the My Birth Control tool on patient provider and staff satisfaction of contraceptive counseling Methods The provider in a women s health clinic in Western North Carolina offered the My Birth ... -
Increasing Patient Compliance with the Recommended Plan of Care for Pregnant Women with Gestational or Type 2 Diabetes
(2022-03)The goal of this project was to determine if the implementation of a diabetes in pregnancy care plan appointment improves patient compliance to visits with diabetes educators in an obstetrics and gynecology (OBGYN) office. ... -
Improving Smoking History Documentation & Lung Cancer Screening in a Primary Care Clinic
(2022-03)Background: Lung cancer is the leading cause of cancer-related deaths in the United States (Rajupet et al., 2017). The US Preventive Service Task Force (USPSTF) recommends annual screening for lung cancer with low dose ... -
Weight Loss Programs: Impact on the Obesity Epidemic
(2022-01)With an increasing prevalence of obesity there are a growing number of programs and methods for weight loss. There are many approaches to medically supervised weight loss, ranging from changes to diet and exercise to ... -
Evaluating the Impacts of COVID-19 Stay at Home Orders on the Physical, Mental, and Social Wellbeing in Participants in YMCA SilverSneakers Programming
(2021-10)North Carolina Executive Orders placed in March 2020 encouraged families and individuals to stay in their homes and to only leave their homes to perform essential services for survival and work. This Executive Order ...