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(1 - 8 of 8)
- Title
- HOMOPHOBIA IN REGISTERED NURSES.
- Creator
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Berry, Matthew, Blackwell, Christopher, University of Central Florida
- Abstract / Description
-
Homophobia plays a significant role in the treatment of individuals who identify as lesbian, gay, bisexual, or transgender (LGBT). The purpose of this study is to explore the presence of these types of negative attitudes as they present themselves in the nursing workforce. 520 registered nurses were contacted via email to partake in a survey assessing homophobic attitudes and perceptions regarding nursing care of LGBT persons. A total of 27 registered nurses responded and the resulting data...
Show moreHomophobia plays a significant role in the treatment of individuals who identify as lesbian, gay, bisexual, or transgender (LGBT). The purpose of this study is to explore the presence of these types of negative attitudes as they present themselves in the nursing workforce. 520 registered nurses were contacted via email to partake in a survey assessing homophobic attitudes and perceptions regarding nursing care of LGBT persons. A total of 27 registered nurses responded and the resulting data were analyzed using descriptive statistics. A majority of registered nurses were female (89.3%), greater than 40 years of age (75%), white (75%), heterosexual (96.4%), and Christian (67.9%) with a Bachelor's degree or less (57.1%). Homophobia scores averaged 27 on a scale from 12-60, higher scores translating to greater homophobia levels. This value is on the lower end of the scale, which interprets to lower levels of homophobia among the participants. While some of these scores did show the existence of negative attitudes toward LGBT individuals among participants, further investigation is needed with a larger, more representative sample. As a result, it is difficult to determine whether LGBT relations are improving with registered nurses.
Show less - Date Issued
- 2018
- Identifier
- CFH2000280, ucf:45873
- Format
- Document (PDF)
- PURL
- http://purl.flvc.org/ucf/fd/CFH2000280
- Title
- WHAT ARE THE MOST COMMONLY USED TOOLS TO SCREEN DEPRESSION IN HIV-INFECTED GAY AND BISEXUAL MEN?.
- Creator
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Isner, Michael, Blackwell, Christopher, University of Central Florida
- Abstract / Description
-
Gay and bisexual men infected with human immunodeficiency virus (HIV) comprise a sizable, medically vulnerable population. Depression is the most commonly experienced mental health disorder affecting this group of people, lending itself to a host of risks associated with depression. As screening of depression in this population can be challenging, it is vital that clinicians have the best available tools and guidelines to detect depressive symptomology. This focused, comprehensive review of...
Show moreGay and bisexual men infected with human immunodeficiency virus (HIV) comprise a sizable, medically vulnerable population. Depression is the most commonly experienced mental health disorder affecting this group of people, lending itself to a host of risks associated with depression. As screening of depression in this population can be challenging, it is vital that clinicians have the best available tools and guidelines to detect depressive symptomology. This focused, comprehensive review of the literature examined current data describing the clinical instruments used to detect depressive symptoms in HIV-infected gay and bisexual men. The aim of this analysis was to seek out which instruments were the most widely and successfully employed for this population. An initial search using EBSCOhost and associated databases CINAHL, MEDLINE, PsycINFO, and Health and Psychosocial Instruments alongside inclusion and exclusion criteria found 1,899 articles. Results were narrowed using additional inclusion and exclusion criteria and relevancy, yielding a total of 13 articles for review. The findings of this review suggest screening of depressive symptoms in HIV-infected gay and bisexual men was most successful using the CES-D, the BSI-18, and the BDI. Health care providers should have an understanding of the importance in assessing this population for depression and have access to the best possible tools to do so.
Show less - Date Issued
- 2017
- Identifier
- CFH2000205, ucf:45928
- Format
- Document (PDF)
- PURL
- http://purl.flvc.org/ucf/fd/CFH2000205
- Title
- THE EFFICACY OF FORMAL SEXUAL EDUCATION IN LGBTQ ADOLESCENTS: A REVIEW OF THE LITERATURE.
- Creator
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Dressel, Candice P, Blackwell, Christopher, University of Central Florida
- Abstract / Description
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The purpose of this review of review was to determine if inclusive and comprehensive formal sexual education is effective in promoting safer sex behaviors compared to abstinence only until marriage sexual education, for lesbian, gay, bisexual, transgender and questioning (LGBTQ) adolescents. Peer reviewed articles were retrieved from Cumulative Index to Nursing and Allied Health Literature (CINAHL), Educational Resources Information Center (ERIC), Elton B. Stephens Co. Host (Ebsco Host),...
Show moreThe purpose of this review of review was to determine if inclusive and comprehensive formal sexual education is effective in promoting safer sex behaviors compared to abstinence only until marriage sexual education, for lesbian, gay, bisexual, transgender and questioning (LGBTQ) adolescents. Peer reviewed articles were retrieved from Cumulative Index to Nursing and Allied Health Literature (CINAHL), Educational Resources Information Center (ERIC), Elton B. Stephens Co. Host (Ebsco Host), Medical Literature On-line (Medline), Psychological Information Database (PsychINFO) and government released statistical information that was published from 2000-2017. Inclusion criteria of synthesized articles were based on formal sexual education aimed at adolescent populations, including focus on LGBTQ subgroups. The literature reviewed demonstrated abstinence only until marriage formal sexual education has minimal to no effects on LGBTQ adolescent's sexual behaviors. Whereas, comprehensive and inclusive formal sexual education has been shown to increase condom use, delay first sexual interaction, and decrease number of sexual partners and teen pregnancy. In conclusion, the research indicates that individuals who have received comprehensive or inclusive formal sexual education have a greater chance of demonstrating safe sex behaviors compared to those who received abstinence only until marriage sexual education.
Show less - Date Issued
- 2018
- Identifier
- CFH2000391, ucf:45776
- Format
- Document (PDF)
- PURL
- http://purl.flvc.org/ucf/fd/CFH2000391
- Title
- BARRIERS AFFECTING COMPLIANCE WITH THE IMPLEMENTATION OF EARLY GOAL DIRECTED THERAPY IN THE EMERGENCY DEPARTMENT.
- Creator
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Castro, Ivan, Blackwell, Christopher, University of Central Florida
- Abstract / Description
-
Early Goal Directed Therapy (EGDT) has been thoroughly researched and clinically supported to be effective at lowering morbidity and mortality associated with severe sepsis and septic shock. Due to the strengths of its efficacy, it has been integrated as an essential component of the Surviving Sepsis Campaign. However, very few studies have explored the barriers that affect compliance of the protocol in actual practice. The purpose of this study was to synthesize current research findings...
Show moreEarly Goal Directed Therapy (EGDT) has been thoroughly researched and clinically supported to be effective at lowering morbidity and mortality associated with severe sepsis and septic shock. Due to the strengths of its efficacy, it has been integrated as an essential component of the Surviving Sepsis Campaign. However, very few studies have explored the barriers that affect compliance of the protocol in actual practice. The purpose of this study was to synthesize current research findings regarding nursing barriers associated with EGDT. This research was limited to studies performed in the United States between 2003-2012, with patients at least 18 years old, and with data obtained from studies conducted within emergency departments (EDs) only. These findings may serve to help increase the compliance rate with the protocol among nurses in the ED. Findings indicated that compliance rates were mostly affected by two major barriers: 1) Lack of knowledge regarding the presentation and management of sepsis and septic shock, and 2)Lack of resources in the ED to perform the protocol to its full potential. Limitations of the review noted were that most research studies used were in major academic hospitals which limited the generalizability of the findings to other hospital settings. Nursing education should emphasize early recognition and aggressive treatment of sepsis. Future research should focus on addressing the most efficient ways to educate nurses on sepsis presentation and management and the ways these can be implemented in practice.
Show less - Date Issued
- 2013
- Identifier
- CFH0004420, ucf:45095
- Format
- Document (PDF)
- PURL
- http://purl.flvc.org/ucf/fd/CFH0004420
- Title
- REGISTERED NURSES' ATTITUDES TOWARD THE PROTECTION OF GAYS AND LESBIANS IN THE WORKPLACE: AN EXAMINATION OF HOMOPHOBIA AND DISCRIMINATORY BELIEFS.
- Creator
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Blackwell, Christopher, Kiehl, Ermalynn, University of Central Florida
- Abstract / Description
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Discrimination and inequality encountered by gays and lesbians in the United States is profuse. A cornerstone of the gay rights movement, equality in the workplace has been a pivotal struggle for gays and lesbians. This study examined the attitudes and opinions of registered nurses (RNs) regarding homosexuals in general and the protection of homosexuals in the workplace through a nondiscrimination policy. The author measured overall homophobic and discriminatory beliefs of the sample using...
Show moreDiscrimination and inequality encountered by gays and lesbians in the United States is profuse. A cornerstone of the gay rights movement, equality in the workplace has been a pivotal struggle for gays and lesbians. This study examined the attitudes and opinions of registered nurses (RNs) regarding homosexuals in general and the protection of homosexuals in the workplace through a nondiscrimination policy. The author measured overall homophobic and discriminatory beliefs of the sample using the Attitudes Toward Lesbian and Gay Men (ATLG) Scale; the demographic questionnaire was infused with questions regarding a protective workplace policy. Using T-tests, one-way analysis of variance (ANOVA) and structural equation modeling (SEM), correlations between independent variables (gender, age, religious association, belief in the "free choice" model of homosexuality, education level, exposure to homosexuals through friends and/or family associations, race/ethnicity, and support or non-support of a workplace nondiscrimination policy protective of gay men and lesbians) with the dependent variable of homophobia were explored.
Show less - Date Issued
- 2005
- Identifier
- CFE0000599, ucf:46475
- Format
- Document (PDF)
- PURL
- http://purl.flvc.org/ucf/fd/CFE0000599
- Title
- A COMPARISON OF THE QUALITY OF CARE AND COST EFFICIENCY BETWEEN ANESTHESIA PROVIDERS.
- Creator
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Carter, Daniel A, Blackwell, Christopher, Decker, Jonathan, University of Central Florida
- Abstract / Description
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The development of anesthesia has greatly contributed to the safety of surgeries, reduced the level of invasiveness of many procedures, and provided increased comfort for patients. The delivery of anesthetics has been primarily provided by one of two unique health care providers: a trained physician who has specialized in anesthesia, or an advanced practice nurse—the certified registered nurse anesthetist (CRNA). Both providers have a similar scope of practice, are nationally certified, and...
Show moreThe development of anesthesia has greatly contributed to the safety of surgeries, reduced the level of invasiveness of many procedures, and provided increased comfort for patients. The delivery of anesthetics has been primarily provided by one of two unique health care providers: a trained physician who has specialized in anesthesia, or an advanced practice nurse—the certified registered nurse anesthetist (CRNA). Both providers have a similar scope of practice, are nationally certified, and often work side-by-side. However, in recent years there has been some controversy between the two providers regarding autonomy, safety, and quality of services. The purpose of this study was to utilize current research comparing the two professions to determine if there is a difference in the quality of care and cost effectiveness between these two providers. This research was focused on studies performed in the United States after 1985. Results indicated no significant differences in quality of care between providers; however, a cost difference does exist. CRNA's provide a high quality of care equivalent to their physician counterparts, but at a reduced price. They additionally offer access to care in rural areas that lack anesthesiologists. Limitations include an inability to assess the impact of doctoral level programs for nurse anesthetists (required for entry into practice beginning in 2025) and how this may affect the main components of patient care assessed in this study (quality of care and cost). Future studies should look at ways to improve the relationship between the two providers and to remove barriers to nurse anesthetists' scope of practice in order to increase overall access to care.
Show less - Date Issued
- 2018
- Identifier
- CFH2000389, ucf:45859
- Format
- Document (PDF)
- PURL
- http://purl.flvc.org/ucf/fd/CFH2000389
- Title
- Infection Control and Health Care Associated Infection (HCAI) in the Nursing Home: A Study to Determine the Impact of an Educational Video and Pamphlet About Infection Control on Knowledge and Perception of Hand Hygiene in Certified Nurse Assistants.
- Creator
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Hypes, Kathe, Blackwell, Christopher, Covelli, Maureen, Winton, Mark, University of Central Florida
- Abstract / Description
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The impact of an education program on perception, knowledge, and infection rate was evaluated in this study. The educational intervention consisted of a video on infection control and a World Health Organization (WHO) pamphlet for hand hygiene. The study was conducted in one nursing home in the Southeastern United States. The survey sample consisted of 66 certified nurse assistants (CNAs). A pre- and post-intervention design was employed using the WHO's Hand Hygiene Knowledge Questionnaire...
Show moreThe impact of an education program on perception, knowledge, and infection rate was evaluated in this study. The educational intervention consisted of a video on infection control and a World Health Organization (WHO) pamphlet for hand hygiene. The study was conducted in one nursing home in the Southeastern United States. The survey sample consisted of 66 certified nurse assistants (CNAs). A pre- and post-intervention design was employed using the WHO's Hand Hygiene Knowledge Questionnaire and the WHO Perception Survey. Friedman's test and central tendencies showed no statistical relationship between the educational intervention and the overall knowledge scores of the sample. There also were no statistical differences in perception of hand hygiene in the CNA sample. Infection frequency was reduced with a percent change of -42%. While results of knowledge and perception surveys were not statistically significant, multiple conclusions were derived to suggest that educational opportunities may impact hand hygiene practice in CNAs and lead to a decrease in infection.
Show less - Date Issued
- 2012
- Identifier
- CFE0004551, ucf:49239
- Format
- Document (PDF)
- PURL
- http://purl.flvc.org/ucf/fd/CFE0004551
- Title
- NONCARDIAC CHEST PAIN: THE USE OF HIGH RESOLUTION MANOMETRY AS A DIAGNOSTIC TOOL.
- Creator
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Hilal, Iman, Blackwell, Christopher, Decker, Jonathan, Quagliata, Joseph, University of Central Florida
- Abstract / Description
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Chest pain is one of the most common symptoms responsible for emergency department and primary care office visits in the United States. Chest pain can be noncardiac and may be attributed to multiple causes. Esophageal disorders including reflux, motility and functional conditions, affect a large proportion of patients with NCCP and lead to significant morbidity. The use of HRM has changed the diagnostic approach to esophageal motility disorders. It is the most specific and sensitive test for...
Show moreChest pain is one of the most common symptoms responsible for emergency department and primary care office visits in the United States. Chest pain can be noncardiac and may be attributed to multiple causes. Esophageal disorders including reflux, motility and functional conditions, affect a large proportion of patients with NCCP and lead to significant morbidity. The use of HRM has changed the diagnostic approach to esophageal motility disorders. It is the most specific and sensitive test for diagnosing motor disorders and a promising procedure in detecting dysmotility disorders in patients with NCCP. Despite the increased sensitivity of HRM, the main indications for esophageal manometry exclude NCCP.This study assessed the percentage of undiagnosed esophageal motility disorders in patients with NCCP referred for high resolution manometry. Differences in HRM findings in patients with NCCP versus patients meeting AGA recommendations for the clinical use of esophageal manometry were also compared. A retrospective descriptive design was utilized. Two hundred-nineteen patient charts were reviewed. One hundred sixty-eight (77%) patients underwent HRM and met AGA recommendations for esophageal manometry; 51 (23%) patients underwent the procedure after receiving a NCCP diagnosis.Findings showed that 116 (69%) patients in the AGA group had abnormal findings while 52 (31%) did not. In the NCCP group 34 (67%) had abnormal findings compared to 17 (33%) who did not. To compare normal and abnormal HRM findings in patients with NCCP versus those meeting AGA criteria, Chi-Square analysis was performed between the groups. The results were not statistically significant (p = 0.10).There were no significant differences in the results of HRM in both groups indicating the findings on HRM are the same despite the indication for the procedure. The findings support the use of HRM as a diagnostic tool in patients with chest pain after cardiac workup and endoscopic evaluation. This indicates a possible need to update the AGA indications for esophageal manometry and increase the awareness among healthcare providers regarding the use of HRM in patients with chest pain. Implication for future research is also discussed
Show less - Date Issued
- 2012
- Identifier
- CFE0004545, ucf:49256
- Format
- Document (PDF)
- PURL
- http://purl.flvc.org/ucf/fd/CFE0004545
