Current Search: Decker, Jonathan (x)
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- Title
- EXPLORING STRESS MANAGEMENT AND COPING MECHANISMS IN PARENTS OF INFANTS IN THE NEONATAL INTENSIVE CARE UNIT (NICU).
- Creator
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Day, Samantha E, Decker, Jonathan, University of Central Florida
- Abstract / Description
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The purpose of this study was to conduct a literature review that examined parental coping mechanisms and stress relief techniques for parents of infants admitted to the neonatal intensive care unit (NICU). A search was conducted using multiples databases using key terms such as stress AND coping, parent* OR caregiver, ped* OR child*, support* or aid, NICU OR neonatal intensive care unit, and nurs*. The results were limited to scholarly, peer reviewed journals in the English language....
Show moreThe purpose of this study was to conduct a literature review that examined parental coping mechanisms and stress relief techniques for parents of infants admitted to the neonatal intensive care unit (NICU). A search was conducted using multiples databases using key terms such as stress AND coping, parent* OR caregiver, ped* OR child*, support* or aid, NICU OR neonatal intensive care unit, and nurs*. The results were limited to scholarly, peer reviewed journals in the English language. Exclusion criteria included not relating to parents or caregivers and mechanisms of coping with stress or if they pertain to palliative or end-of-life care. Each article meeting the inclusion criteria were critiqued and analyzed for information pertaining to the topic of this review. The thirteen articles yielded from the search revolved around the common themes of Visitation/Participation, Communication, and Comfort Measures. The literature revealed an overall positive association in reducing the amount of stress experienced when an intervention was provided. Implications for further research involve directly comparing the efficacy of interventions to determine which could be most useful in practice.
Show less - Date Issued
- 2019
- Identifier
- CFH2000467, ucf:45863
- Format
- Document (PDF)
- PURL
- http://purl.flvc.org/ucf/fd/CFH2000467
- Title
- THE EFFECT OF NURSING INTERVENTIONS AND HEALTH PROMOTION ON CHILDHOOD OBESITY: A LITERATURE REVIEW.
- Creator
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Mageloff, Grace N, Decker, Jonathan, University of Central Florida
- Abstract / Description
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Childhood obesity is a growing epidemic in the United States that has short-term and long-term health consequences for the children affected. Nurses are patient advocates and are responsible for speaking up for the patient; in the pediatric population, a nurse must act as an advocate on behalf of the child. The purpose of this literature review is to look at different barriers to nursing interventions in regard to childhood obesity. A literature review was done by using different databases,...
Show moreChildhood obesity is a growing epidemic in the United States that has short-term and long-term health consequences for the children affected. Nurses are patient advocates and are responsible for speaking up for the patient; in the pediatric population, a nurse must act as an advocate on behalf of the child. The purpose of this literature review is to look at different barriers to nursing interventions in regard to childhood obesity. A literature review was done by using different databases, with 11 articles having similar themes and interventions used. The main themes from the literature review were parental willingness and involvement in weight loss strategies with their child, a lack of training for nurses in the area of childhood obesity, and a lack of standardized assessment methods for charting and tracking children's weight status. The research suggests that the more involved a parent is, the more successful the child's weight loss will be. Additionally, an overall lack of training in health promotion was noted among nurses alone with a feeling of discomfort when speaking to parents and children about the child's weight, indicating a need for further education in health promotion techniques. Finally, articles did not commonly use a standardized assessment method to track weight status in the pediatric population, making cross-examination of different result difficult and points to a need for a standardized measure that is as objective as possible, such as a body fat percentage measure.
Show less - Date Issued
- 2019
- Identifier
- CFH2000466, ucf:45818
- Format
- Document (PDF)
- PURL
- http://purl.flvc.org/ucf/fd/CFH2000466
- Title
- A NEW MEASURE OF PARENTAL SELF-EFFICACY FOR ENACTING HEALTHY LIFESTYLES IN THEIR CHILDREN.
- Creator
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Decker, Jonathan, Dennis, Karen, University of Central Florida
- Abstract / Description
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The issue of childhood obesity has become a pandemic of increasing prevalence and concern. Many behaviors contributing to overweight and obesity, such as dietary intake and physical activity, are learned in childhood. It is known that parents are key agents for change in their children. Therefore, interventions aimed at decreasing childhood overweight and obesity should be targeted at parents. Many parents state that they know the healthy dietary and physical activity behaviors they should...
Show moreThe issue of childhood obesity has become a pandemic of increasing prevalence and concern. Many behaviors contributing to overweight and obesity, such as dietary intake and physical activity, are learned in childhood. It is known that parents are key agents for change in their children. Therefore, interventions aimed at decreasing childhood overweight and obesity should be targeted at parents. Many parents state that they know the healthy dietary and physical activity behaviors they should adopt for their children, but lack the confidence, or self-efficacy, to enact these behaviors. A review of the literature for self-efficacy for behaviors in these domains in parents, adults and children uncovered many key elements involved. A search for an instrument to measure parental self-efficacy was unsuccessful in locating such an instrument, so several instruments in related domains were analyzed for content and utility for the generation of a new questionnaire. A 34-item questionnaire to measure parental self-efficacy for enacting healthy dietary and physical activity behaviors in their children 6-11 years old was developed and tested with a sample of 146 parents of children 6-11 years old, who could read and write English and had access to a computer with the internet. Internal reliability of the total scale was 0.94 and the two factors, dietary behaviors (DB) and physical activity behaviors (PAB) were 0.93 and 0.94, respectively. Test-retest reliability was also significant (p<0.05) for individual item responses and total and subscale scores in 25 participants after 5-10 days. Factor analysis resulted in two interpretable factors (DB and PAB) which accounted for 25.3% and 16.8% of the variance, respectively. All items correlated more strongly with items on their respective subscales. Concurrent validity with theoretically similar scales was also demonstrated. This new measure was reliable and valid in this sample of parents of children 6-11 years old. Future use and further evaluation of this new measure is warranted.
Show less - Date Issued
- 2010
- Identifier
- CFE0002983, ucf:47942
- Format
- Document (PDF)
- PURL
- http://purl.flvc.org/ucf/fd/CFE0002983
- Title
- THE EFFECTS OF WEARABLE FITNESS DEVICES ON PEDIATRIC OBESITY: AN INTEGRATIVE LITERATURE REVIEW.
- Creator
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Sabina, Kevin, Decker, Jonathan, Hill, Peggy, University of Central Florida
- Abstract / Description
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Childhood obesity is a foremost concern throughout the health care community. Approximately 17.6% of the pediatric population meet the criteria for obesity, which can lead to health disparities later in life, such as hypertension, type 2 diabetes mellitus, and metabolic syndrome. Emerging mobile and wearable lifestyle tracking devices can be a viable solution to the challenging problem of childhood obesity through behavior changes, feasibility, and adherence. The purpose of this literature...
Show moreChildhood obesity is a foremost concern throughout the health care community. Approximately 17.6% of the pediatric population meet the criteria for obesity, which can lead to health disparities later in life, such as hypertension, type 2 diabetes mellitus, and metabolic syndrome. Emerging mobile and wearable lifestyle tracking devices can be a viable solution to the challenging problem of childhood obesity through behavior changes, feasibility, and adherence. The purpose of this literature review was to determine the effect that mobile and wearable activity tracking devices have on the obese pediatric population. A centralized review of the literature was conducted using various data basesand resulted in 19 articles. 5 articles were chosen to review in more detail. 13 other articles were hand searched through credible resource citations, rendering 14 articles that met all criteria. The three general themes found in this literature review suggest that wearable activity tracking devices can be designed and effectively used by the pediatric population. Also, wearable activity tracking devices are accurate in conveying information on physical activity, calories, and heart rate. Lastly, wearable activity tracking devices can initiate behavioral changes in children leading to an increase in physical activity, resulting in the prevention and treatment of pediatric obesity.While in a majority of the studies analyzed trails were short. The research suggests wearable activity tracking devices will produce the desired results of increased activity in pediatric populations when they are worn correctly, are adequately engaging, and when they are designed in a feasible manner that is appealing to children.
Show less - Date Issued
- 2018
- Identifier
- CFH2000375, ucf:45824
- Format
- Document (PDF)
- PURL
- http://purl.flvc.org/ucf/fd/CFH2000375
- Title
- EVALUATING OUTCOMES OF EDUCATION ON WASTE MANAGEMENT IN THE HOSPITAL SETTING.
- Creator
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Schlather, Taryn N, Decker, Jonathan, Loerzel, Victoria, University of Central Florida
- Abstract / Description
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With advancements in healthcare, we continue to find new needs that must be addressed. Hospitals generate a substantial amount of medical waste, and proper disposal is important for patient and staff safety, environmental protection, and cost efficiency. A series of studies show there is a need for further education on hospital waste management policies. This thesis aims to evaluate education interventions to improve knowledge and healthcare waste disposal practices. This literature review...
Show moreWith advancements in healthcare, we continue to find new needs that must be addressed. Hospitals generate a substantial amount of medical waste, and proper disposal is important for patient and staff safety, environmental protection, and cost efficiency. A series of studies show there is a need for further education on hospital waste management policies. This thesis aims to evaluate education interventions to improve knowledge and healthcare waste disposal practices. This literature review was conducted using multiple databases, including MedLINE, CINAHL, GreenFILE, Google Scholar, EBSCOhost, and NCBI, to find qualifying research articles in the English language from 2005-2018. Key terms for the searches were: education, training, waste, disposal, healthcare, medical, reduction, hospital, pound, and kilogram. Results demonstrate that further education on hospital waste management has the potential to reduce waste, improve disposal and segregation, and reduce costs. However, the lack of consistency in the research, literature, and educational interventions all pose as limitations. Hospitals have the potential to benefit from improved waste management practices by enhancing patient care, reducing waste, saving costs on waste disposal, and protecting the environment.
Show less - Date Issued
- 2018
- Identifier
- CFH2000377, ucf:45822
- Format
- Document (PDF)
- PURL
- http://purl.flvc.org/ucf/fd/CFH2000377
- 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
- FACTORS THAT INFLUENCE THE FORMATION OF PEANUT ALLERGIES IN CHILDREN.
- Creator
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Gleason, Christie, Butts, Michele, Decker, Jonathan, University of Central Florida
- Abstract / Description
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Allergies have the potential to be a life-long debilitating fight, especially the severe reactions from allergies such as anaphylaxis. Peanut allergies tend to be both common and severe, and they happen to be found hiding in many food products. People can have allergic reactions to food products that were made in the same facility as peanut products, that is why it is so important to be aware of the products that are being consumed. The incidence of peanut allergies has increased in the last...
Show moreAllergies have the potential to be a life-long debilitating fight, especially the severe reactions from allergies such as anaphylaxis. Peanut allergies tend to be both common and severe, and they happen to be found hiding in many food products. People can have allergic reactions to food products that were made in the same facility as peanut products, that is why it is so important to be aware of the products that are being consumed. The incidence of peanut allergies has increased in the last decade, which is why it is crucial to study these allergies. This thesis looks at when the best time is to introduce peanut products to young children and the common risk factors that are associated with peanut allergies in children. The risk factors that are being looked at include: genetics, socioeconomic status, and ethnicity. This thesis also investigates a couple of treatment options for if your child develops a peanut allergy.
Show less - Date Issued
- 2018
- Identifier
- CFH2000385, ucf:45811
- Format
- Document (PDF)
- PURL
- http://purl.flvc.org/ucf/fd/CFH2000385
- 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