Problem: In Midwest, suburban primary care clinics within large health systems, there was a lack of time for thorough diabetes education with a primary care provider (PCP), a lack of educational resources that took advantage of current patient wait times in primary care settings, and a lack of attendance at affiliated diabetes self-management…

Purpose: The purpose of this DNP project was to increase primary care providers' knowledge of food insecurity in pediatric patients by developing and presenting an evidence-based educational presentation on food insecurity. Background: In the United States in 2021, rates of food insecurity in households with children were reported at 6.1 million.…

Advance care planning (ACP) can assist patients and their families in navigating personal and medical choices at the end-of-life; however, these conversations often transpire too late. Primary care providers (PCPs) frequently develop extended relationships with their patients, especially those with chronic disease, and possess opportunities…

The paradigm shift in healthcare from "sick care" to a disease prevention model is driven by the need to address health inequities. The new paradigm requires a change from the current "distant yet concerned" attitude to patient-relationship-centered approaches. Two questions drive this study: (a) How we can prepare physicians…

Integrated Primary and Behavioral Healthcare (IPBH) programs have been investigated extensively in community settings, but few studies have included the effect of such programs on college campuses. Studies that have examined the effects of IPBH in community settings have indicated that integrated care is more effective than primary care…

In today's healthcare, managing chronic disease education has presented challenges for healthcare providers. Current research has indicated that the use of evidence-based practice educational tools used in conjunction with technology resources may improve patient outcomes. However the site did not have this in practice. Therefore, the purpose of…

The concept of precision medicine aims to provide additional context to patient data for healthcare providers. Precision medicine overlays three additional layers of patient data on top of standard patient information: environmental exposure, personal lifestyle and behavior patterns, and information gleaned from their genome. While precision…

Adoption and use of health information technology, the electronic health record (EHR) in particular, has the potential to help improve the quality of care, increase patient safety, and reduce health care costs. Unfortunately, adoption and use of health information technology has been slow, especially when compared to the adoption and use of…

Problem: Sepsis is a nocuous host response to infection that leads to organ dysfunction and hypotensive shock. Now deemed a public health burden, sepsis is predicted to increase as the population in the United States ages. Recent research conducted by the Centers for Disease Control and Prevention concluded that 80 percent of sepsis begins outside…

Telehealth can be effective for those who use it; however, very few educational programs prepare their students to utilize telehealth. The goal of this project was to integrate telehealth into the graduate nursing curriculum. This was done by providing a 1-hour classroom educational demonstration and lecture on telehealth along with 4-hour…

The nation is facing a physician shortage, specifically in relation to primary care and in rural underserved areas. The most basic function of a medical school is to educate physicians to care for the national population. The purpose of this study was to examine the physician practicing characteristics of the graduates of East Tennessee State…

To provide a high-quality education for all its students, schools must address a variety of needs that are related to physical, social and/or emotional health. School nurses are positioned to do that in the schools that they serve. Exploring how the school nurse intervenes to help children and their families to maintain a high level of health may…

Background: Obstructive sleep apnea (OSA) is chronic disorder that contributes to multiple physiological and psychological conditions. Obstructive sleep apnea contributes to high rates of morbidity and mortality and has substantial impacts on both health care costs and the quality of life for affected individuals and their families. Healthcare…

Introduction: Observational research using the thin slice technique has been routinely incorporated in observational research methods, however there is limited evidence supporting use of this technique compared to full interaction coding. The purpose of this study was to determine if this technique could be reliability coded, if ratings are…

Providing primary health and specialty services to 3.4 million rural and highly rural veterans is a challenging task because of geographic barriers and the uneven distribution of rural healthcare providers. Although the Veterans Health Administration is hoping that technology such as telemedicine expands availability of specialties' access to…