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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
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
Hypes, Kathe, Blackwell, Christopher, Covelli, Maureen, Winton, Mark, University of Central Florida
Abstract / Description
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.
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Date Issued
2012
Identifier
CFE0004551, ucf:49239
Format
Document (PDF)
PURL
http://purl.flvc.org/ucf/fd/CFE0004551
DIGITAL RESEARCH CYCLES: HOW ATTITUDES TOWARD CONTENT, CULTURE AND TECHNOLOGY AFFECT WEB DEVELOPMENT.
Title
DIGITAL RESEARCH CYCLES: HOW ATTITUDES TOWARD CONTENT, CULTURE AND TECHNOLOGY AFFECT WEB DEVELOPMENT.
Creator
Scott, Edward, Saper, Craig, University of Central Florida
Abstract / Description
It has been estimated that one third of the world's population does not have access to "adequate" health care. Some 1.6 billion people live in countries experiencing "concentrated" acquired immune deficiency syndrome (AIDS) epidemics. Many countries in Africa -- and other low-income countries -- are in dire need of help providing adequate health care services to their citizens. They require more hands-on care from Western health workers -- and training so more African health workers can...
Show moreIt has been estimated that one third of the world's population does not have access to "adequate" health care. Some 1.6 billion people live in countries experiencing "concentrated" acquired immune deficiency syndrome (AIDS) epidemics. Many countries in Africa -- and other low-income countries -- are in dire need of help providing adequate health care services to their citizens. They require more hands-on care from Western health workers -- and training so more African health workers can eventually care for their own citizens. But these countries also need assistance acquiring and implementing both texts -- the body of medical information potentially available to them -- and technology -- the means by which that information can be conveyed. This dissertation looks at these issues and others from a multi-faceted approach. It combines a survey of the developers of Web sites designed for use by health workers in low-income countries and a proposal for a novel approach to communication theory, which could help improve health communication and other social marketing practices. It also includes an extensive review of literature regarding a number of topics related to these issues. To improve healthcare services in low-income countries, several things should occur. First, more health workers -- and others -- could visit African countries and other places to provide free, hands-on medical care, as this researcher's group did in Uganda. Such trips are ideal occasions for studying the cultural differences between "mzungu" (white man) and the Ugandan people. A number of useful medical texts have been written for health workers in low-income countries. Others will be published as new health information becomes available. But on what medium will they be published? Computers? Personal digital assistants? During the past 10 years the Internet became an ideal venue for conveying information. Unfortunately, people in target countries such as Uganda encounter cultural differences when such new technologies are diffused. This dissertation looks at cultural and technological difficulties encountered by people in low-income countries who attempt to diffuse information and communication technologies (ICT). Once a technology has been successfully adopted, someone will look for ways to use it to help others. There are hundreds of sites on the Internet -- built by Web developers in Western countries -- that are designed for use by health workers in low-income countries. However, these Web developers also experience cultural and technological differences, based on their knowledge of and attitudes toward best practices in their field. This research includes a survey of Web developers which determined their attitudes toward best practices in their field and tested this researcher's hypothesis that there is no significant difference among the developers' attitudes toward the content on their sites, their audience's cultural needs and the various technological needs their audience has. It was found that the Web developers agree with 17 of 18 perceived best practices and that there is a significant difference between Web developers' attitudes toward their audience's technological needs and their attitudes toward quality content and the audience's cultural needs. Creation of the survey herein resulted in this researcher generating a new way of thinking about communication theory -- called digital research cycles. The survey was based on a review of literature and is rooted in the belief that any successful communication of a computer-mediated message in the information age is a behavior which is influenced by the senders' and receivers' attitudes and knowledge about textual style, the audience, technology and the subject matter to which the message pertains.
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Date Issued
2009
Identifier
CFE0002637, ucf:48218
Format
Document (PDF)
PURL
http://purl.flvc.org/ucf/fd/CFE0002637
THE EXPERIENCES OF HEALTH CARE PROVIDERS PROVIDING COMFORT FOR NURSING HOME PATIENTS AT THE END OF LIFE
Title
THE EXPERIENCES OF HEALTH CARE PROVIDERS PROVIDING COMFORT FOR NURSING HOME PATIENTS AT THE END OF LIFE.
Creator
Baker, Herma, Rash, Elizabeth, University of Central Florida
Abstract / Description
Research shows that healthcare providers (HCPs) are not adequately prepared to provide comfort care for patients who are at the end of life. Since the 1990s, numerous legislative, research, and clinical initiatives have addressed concerns about improving care at the end of life. The purpose of this study was to describe the experiences of HCPs providing comfort for patients in the nursing home who are at the end of life. This study focused on physicians, nurse practitioners, nurses and nurses...
Show moreResearch shows that healthcare providers (HCPs) are not adequately prepared to provide comfort care for patients who are at the end of life. Since the 1990s, numerous legislative, research, and clinical initiatives have addressed concerns about improving care at the end of life. The purpose of this study was to describe the experiences of HCPs providing comfort for patients in the nursing home who are at the end of life. This study focused on physicians, nurse practitioners, nurses and nursesÂÂÂÂ' aides at a central Florida nursing home. A descriptive qualitative design was done utilizing a focus group discussion, individual interviews, and a self-administered questionnaire. The findings indicated that a lack of facility support, inadequate staffing, inadequate end of life care education, family and patient denial of prognosis, as well as decreased primary care physician involvement affect the delivery of comfort care for patients at the end of life in the nursing home. This study supports the need for end of life education to HCPs and the need for adjustments in staffing to meet the complex needs of patients in the nursing home who are at the end of life. A new finding of this study reflects the use of an angel cart to aid in the provision of comfort care for patients at the end of life. Recommendations for future research were made based on study results
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Date Issued
2010
Identifier
CFE0003305, ucf:48505
Format
Document (PDF)
PURL
http://purl.flvc.org/ucf/fd/CFE0003305
Factors Contributing to Low Adequate Prenatal Care Rates in Orange County, Florida
Title
Factors Contributing to Low Adequate Prenatal Care Rates in Orange County, Florida.
Creator
Daniel, Lauren, Donley, Amy, Hinojosa, Melanie, University of Central Florida
Abstract / Description
In 2017, only 56% of births in Orange County, Florida, received adequate prenatal care(-)care that has been shown to prevent maternal and infant death. The Florida Department of Health uses the Kotelchuck Index to determine care adequacy. This index rates care adequacy based on when the mother first receives care, and how many recommended appointments she attends. Prenatal care is rated (")inadequate(") if it starts after the fourth month of pregnancy, and/or if less than half of the...
Show moreIn 2017, only 56% of births in Orange County, Florida, received adequate prenatal care(-)care that has been shown to prevent maternal and infant death. The Florida Department of Health uses the Kotelchuck Index to determine care adequacy. This index rates care adequacy based on when the mother first receives care, and how many recommended appointments she attends. Prenatal care is rated (")inadequate(") if it starts after the fourth month of pregnancy, and/or if less than half of the recommended appointments are attended. Receiving earlier and consistent prenatal care has been shown to be an effective way to improve birth outcomes.In Florida, counties that have low adequate prenatal care rates like Orange County's tend to be less populous and rural. However, Orange County stands out with its large population of 1.3 million and more urban environment; other Florida counties similar in population and environment to Orange tend to have rates like that of the state's, at approximately 70%.The objective of this study is to determine which factors contribute most significantly to prenatal care inadequacy in Orange, Duval, Hillsborough, Miami-Dade, and Pinellas counties; determine the differences between the most significant factors in Orange County and those in the other four counties; and to determine if residing in Orange County in of itself a risk factor for inadequate prenatal care, using logistic regression. By identifying factors that may lead to low adequacy rates, interventions intended to increase care adequacy in Orange County can be better targeted towards populations in need.
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Date Issued
2019
Identifier
CFE0007447, ucf:52715
Format
Document (PDF)
PURL
http://purl.flvc.org/ucf/fd/CFE0007447
TRAUMA-FOCUSED MODELS FOR CAREGIVERS: A SYSTEMATIC REVIEW OF EMPIRICAL RESEARCH
Title
TRAUMA-FOCUSED MODELS FOR CAREGIVERS: A SYSTEMATIC REVIEW OF EMPIRICAL RESEARCH.
Creator
Paul, Wesley, Lawrence, Shawn, University of Central Florida
Abstract / Description
Child and Adolescent caregivers are rarely the focus of research and/or trauma-focused or informed models when working with traumatized children (Baynard, Englund, & Rozelle, 2001; Chapman, Dube, & Anda, 2007). It has been shown that use of caregivers in the treatment of children who have suffered trauma can have a significant impact on not only the child, but also reduce the trauma symptoms of the caregivers themselves (Cohen, Mannarino, & Staron, 2006). The purpose of this study is to...
Show moreChild and Adolescent caregivers are rarely the focus of research and/or trauma-focused or informed models when working with traumatized children (Baynard, Englund, & Rozelle, 2001; Chapman, Dube, & Anda, 2007). It has been shown that use of caregivers in the treatment of children who have suffered trauma can have a significant impact on not only the child, but also reduce the trauma symptoms of the caregivers themselves (Cohen, Mannarino, & Staron, 2006). The purpose of this study is to critically review the empirical research of trauma-focused and trauma-informed trainings and treatment models for children who have suffered some form of trauma and whose caregiver is included in the treatment. The outcomes of trauma-focused models will be examined in terms of its purpose, intervention, facilitation, adaptability and modification. Implications for further research and application are drawn.
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Date Issued
2013
Identifier
CFH0004369, ucf:45026
Format
Document (PDF)
PURL
http://purl.flvc.org/ucf/fd/CFH0004369

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