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- Title
- BEHAVIORAL INTERVENTIONS VERSUS PHARMACEUTICAL INTERVENTIONS TO REDUCE PREOPERATIVE ANXIETY IN SCHOOL AGED CHILDREN.
- Creator
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Cline, Jennifer J, D'Amato-Kubiet, Leslee, University of Central Florida
- Abstract / Description
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Surgical procedures that require general anesthesia can be stressful and create needless anxiety for school-age children. Interventions aimed at reducing preoperative anxiety can improve cooperation and enhance postoperative outcomes by lowering anxiety levels prior to induction of general anesthesia. The purpose of this study was to examine the effects of behavioral interventions versus drug therapy in reducing pre-operative anxiety in children. The secondary purpose was to compare methods...
Show moreSurgical procedures that require general anesthesia can be stressful and create needless anxiety for school-age children. Interventions aimed at reducing preoperative anxiety can improve cooperation and enhance postoperative outcomes by lowering anxiety levels prior to induction of general anesthesia. The purpose of this study was to examine the effects of behavioral interventions versus drug therapy in reducing pre-operative anxiety in children. The secondary purpose was to compare methods used to integrate anxiety reduction interventions into pre-operative care and to evaluate the most widely used and effective strategy for clinical practice. A literature review exploring behavioral based stress reduction interventions and drug therapy targeted at reducing preoperative anxiety was conducted from various online databases. Peer reviewed articles, published in the English-language between 2006 and 2015 that focused on postoperative outcomes in which preoperative interventions to reduce anxiety in children age two years and older, as well as the parent's perspective of the outcome, were included for synthesis. Results from 9 randomized controlled trials that used behavioral based interventions implemented on the day of surgery, prior to anesthesia induction were compared for effectiveness at anxiety reduction versus the use of drug therapy prior to surgery. The studies suggest more successful post-surgical outcomes related to shorter length of stay and post-operative delirium for behavioral interventions to reduce anxiety prior to surgery and demonstrated even greater optimal outcomes for combined behavioral interventions. Drug therapy alone to decrease anxiety prior to anesthesia induction showed mixed results in reduction of physiologic and general outcomes following surgery. No significant difference between behavioral based interventions versus drug therapy was shown in any of the reviewed studies to have a significant effect on post-surgical outcomes. However, potentially promising behavioral based interventions such as clowns, electronic devices, parental presence and music over drug therapy prior to surgery, require further evaluation for their use in decreasing pre-operative anxiety in school-age children and having a positive impact on post-operative outcomes.
Show less - Date Issued
- 2016
- Identifier
- CFH2000090, ucf:45566
- Format
- Document (PDF)
- PURL
- http://purl.flvc.org/ucf/fd/CFH2000090
- Title
- BUSINESS CASE STUDIES IN SUSTAINABILITY PRACTICES.
- Creator
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Lynch, Sheri L, Combs, James G., University of Central Florida
- Abstract / Description
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Protecting the environment for future generations is crucial. Although businesses are under strong pressure to support sustainability, many leaders find it challenging to meet the environmental needs of the present without negatively impacting their economic goals. This paper describes some methods that businesses have adopted to effectively manage environmental issues and offer an opportunity for competitive advantage. In particular, three case studies show ways that the companies have...
Show moreProtecting the environment for future generations is crucial. Although businesses are under strong pressure to support sustainability, many leaders find it challenging to meet the environmental needs of the present without negatively impacting their economic goals. This paper describes some methods that businesses have adopted to effectively manage environmental issues and offer an opportunity for competitive advantage. In particular, three case studies show ways that the companies have embraced and integrated sustainability into their strategic planning process, which helped them achieve growth and success in the context of social and environmental concerns. The paper shows how these businesses have chosen to embrace sustainability to minimize the negative impact in our environment, society, and economy. The case studies can help managers define and prioritize their sustainability goals, achieve social and economic value, and transform these environmental investments into sources of competitive advantage. This paper can be beneficial to other businesses who desire to move beyond compliance of the law and become proactive in helping our environment for future generations.
Show less - Date Issued
- 2016
- Identifier
- CFH2000100, ucf:45523
- Format
- Document (PDF)
- PURL
- http://purl.flvc.org/ucf/fd/CFH2000100
- Title
- EVALUATING COMPETITION BETWEEN VERBAL AND IMPLICIT SYSTEMS WITH FUNCTIONAL NEAR-INFRARED SPECTROSCOPY.
- Creator
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Schiebel, Troy A, Bohil, Corey, University of Central Florida
- Abstract / Description
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In category learning, explicit processes function through the prefrontal cortex (PFC) and implicit processes function through the basal ganglia. Research suggested that these two systems compete with each other. The goal of this study was to shed light on this theory. 15 undergraduate subjects took part in an event-related experiment that required them to categorize computer-generated line-stimuli, which varied in length and/or angle depending on condition. Subjects participated in an...
Show moreIn category learning, explicit processes function through the prefrontal cortex (PFC) and implicit processes function through the basal ganglia. Research suggested that these two systems compete with each other. The goal of this study was to shed light on this theory. 15 undergraduate subjects took part in an event-related experiment that required them to categorize computer-generated line-stimuli, which varied in length and/or angle depending on condition. Subjects participated in an explicit "rule-based" (RB) condition and an implicit "information-integration" (II) condition while connected to a functional near-infrared spectroscopy (fNIRS) apparatus, which measured the hemodynamic response (HR) in their PFC. Each condition contained 2 blocks. We hypothesized that the competition between explicit and implicit systems (COVIS) would be demonstrated if, by block 2, task-accuracy was approximately equal across conditions with PFC activity being comparatively higher in the II condition. This would indicate that subjects could learn the categorization task in both conditions but were only able to decipher an explicit rule in the RB condition; their PFC would struggle to do so in the II condition, resulting in perpetually high activation. In accordance with predictions, results revealed no difference in accuracy across conditions with significant difference in channel activation. There were channel trends (p<.1) which showed PFC activation decrease in the RB condition and increase in the II condition by block 2. While these results support our predictions, they are largely nonsignificant, which could be attributed to the event-related design. Future research should utilize a larger samples size for improved statistical power.
Show less - Date Issued
- 2016
- Identifier
- CFH2000086, ucf:45502
- Format
- Document (PDF)
- PURL
- http://purl.flvc.org/ucf/fd/CFH2000086
- Title
- EXPLORING ATTACHMENT BEHAVIORS IN URBAN MOTHERS AND THEIR INFANTS.
- Creator
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Rusoff, Brooke G., Culp, Anne, University of Central Florida
- Abstract / Description
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Infants enter this world relying on caregivers to nurture and protect them. Through this reliance, infants develop an attachment to their caregivers, thus setting the stage for how a child comes to view the world and the people in it. This study sought to further explore attachment behaviors through observation of a voluntary parent education course offered through the Early Learning Coalition of Orange County. Data were collected three times over the course of the nine week program on four...
Show moreInfants enter this world relying on caregivers to nurture and protect them. Through this reliance, infants develop an attachment to their caregivers, thus setting the stage for how a child comes to view the world and the people in it. This study sought to further explore attachment behaviors through observation of a voluntary parent education course offered through the Early Learning Coalition of Orange County. Data were collected three times over the course of the nine week program on four mother-infant dyads. Across the three mothers who were present for at least two observations, negative behaviors decreased between the first and final observations; however, positive behaviors were observed, but less conclusive. The results of this study can be used to improve the current early intervention program, as well as those in the future.
Show less - Date Issued
- 2016
- Identifier
- CFH2000088, ucf:45547
- Format
- Document (PDF)
- PURL
- http://purl.flvc.org/ucf/fd/CFH2000088
- Title
- IDENTITY DEVELOPMENT AND SEXUAL ORIENTATION PREJUDICE.
- Creator
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Smith, Cassandra, Berman, Steven L., University of Central Florida
- Abstract / Description
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This study examined the relationships among psychological variables of sexual prejudice, psychological adjustment, and identity development. It was hypothesized that sexual orientation prejudice would be negatively related to psychological adjustment. It was further hypothesized that identity formation would moderate the relationship between sexual orientation prejudice and psychological adjustment. Participants were 200 college students, ages ranged from 18-48 (M = 21.96, SD = 4.87). Sexual...
Show moreThis study examined the relationships among psychological variables of sexual prejudice, psychological adjustment, and identity development. It was hypothesized that sexual orientation prejudice would be negatively related to psychological adjustment. It was further hypothesized that identity formation would moderate the relationship between sexual orientation prejudice and psychological adjustment. Participants were 200 college students, ages ranged from 18-48 (M = 21.96, SD = 4.87). Sexual orientation for the participants included self-identified labels of Heterosexual (88.5%), Homosexual (6.5%), Bisexual (3.5%), Pansexual (1%), and Demisexual (0.5%). Survey data were collected through a Psychology Research Experience website (SONA). Results revealed a negative correlation between Heterophobia, and Life Satisfaction. However, no statistically significant correlation was found between Homophobia and Life Satisfaction. Heterophobia (but not Homophobia) was significantly correlated with identity Exploration in Depth and Identification with Commitment. The measure of sexual adjustment revealed both Heterophobia and Homophobia positively correlated with Sexual Anxiety and Sexual Fear. The identity variables (Sexual Exploration and Sexual Commitment) were found to be related to sexual orientation prejudice. The moderator hypothesis was partially supported in that two moderator variables significantly interacted with sexual orientation prejudice (Heterophobia) and psychological adjustment (Sexual Anxiety and Sexual Fear). However, more research is needed to further elucidate the intricate relationships among psychological variables of sexual orientation prejudice, psychological adjustment, and identity development.
Show less - Date Issued
- 2016
- Identifier
- CFH2000099, ucf:45540
- Format
- Document (PDF)
- PURL
- http://purl.flvc.org/ucf/fd/CFH2000099
- Title
- IDENTITY DEVELOPMENT, SOCIAL SUPPORT, AND MOTHERHOOD.
- Creator
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Rosado, Dayanara, Berman, Steven L., University of Central Florida
- Abstract / Description
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Adolescent pregnancy creates challenges for this minority population in balancing their motherhood identity with continuing to develop their identity at the adolescent stage, which presents a social problem today. The intent of this thesis is to explore the relationship between identity, adjustment, and social support among college students who were adolescent mothers. The following surveys: Personal Network Matrix (PNM), The Identity Distress Scale (IDS), and The Dimension of Identity...
Show moreAdolescent pregnancy creates challenges for this minority population in balancing their motherhood identity with continuing to develop their identity at the adolescent stage, which presents a social problem today. The intent of this thesis is to explore the relationship between identity, adjustment, and social support among college students who were adolescent mothers. The following surveys: Personal Network Matrix (PNM), The Identity Distress Scale (IDS), and The Dimension of Identity Development Scale (DIDS), were administered through the UCF SONA system. Participants were divided into three groups: mothers who had their first child as a teenager (teen mothers; n = 6), mothers who had their first child at 20 years or older (older mothers; n = 12), and women who have never had children (non-mothers; n = 182). Overall, the results of the study indicated that non-mothers tended to ruminate more than older mothers and the more social support mothers received as an adolescent, the less likely they were to ruminate at the adolescent stage. Moreover, older mothers displayed less identity exploration in breadth than non-mothers and adolescent mothers. Future researchers is needed to further investigate the relationship between social support, adjustment, and identity distress, in order to start building intervention research in assisting adolescent mothers in their struggle with identity development, emotional support, and for the well-being of their offspring.
Show less - Date Issued
- 2016
- Identifier
- CFH2000096, ucf:45560
- Format
- Document (PDF)
- PURL
- http://purl.flvc.org/ucf/fd/CFH2000096
- Title
- IMPLEMENTING GROWTH MINDSET PRINCIPLES FOR GIRLS IN STEM ELEMENTARY CLASSROOMS THROUGH THE CREATION OF A CHILDREN'S BOOK.
- Creator
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Van Westering, Jessica, Buchoff, Rita, University of Central Florida
- Abstract / Description
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With an emphasis on STEM education in schools, young girls begin to have an idea that math and science skills are based on one's natural ability. A fixed mindset is the belief that one possesses an ability that comes naturally. Many girls, starting at the elementary level tend to interpret a lack of skill for being dumb, and therefore, give up on difficult subjects like math and science. On the other hand, a fluid theory of intelligence, or growth mindset is when a student values effort and...
Show moreWith an emphasis on STEM education in schools, young girls begin to have an idea that math and science skills are based on one's natural ability. A fixed mindset is the belief that one possesses an ability that comes naturally. Many girls, starting at the elementary level tend to interpret a lack of skill for being dumb, and therefore, give up on difficult subjects like math and science. On the other hand, a fluid theory of intelligence, or growth mindset is when a student values effort and understands that these "abilities" come from hard work and taking on new challenges. Students in a growth mindset see intelligence as something that can be developed overtime, while every learning opportunity, challenge, and failure is seen as an important step to becoming more knowledgeable. As a teacher, promoting a growth mindset in the classroom is key for student success; praising and encouraging students through the process of learning is more valuable then giving a grade for the final product. This thesis not only researched the differences between a growth versus fixed mindset, but also the value of fluid theories of intelligence, and the effects on elementary aged girls. This thesis includes a children's book that promotes the idea of a growth mindset with a protagonist who learns to see the importance of persevering, working hard, and attaining success. With the picturebook intended for elementary aged students, its hope is to bring awareness to students and teachers that having a growth mindset mentality is important.
Show less - Date Issued
- 2016
- Identifier
- CFH2000089, ucf:45505
- Format
- Document (PDF)
- PURL
- http://purl.flvc.org/ucf/fd/CFH2000089
- Title
- INTENSIVE CARE IN ONCOLOGY: ADMISSION AND OUTCOMES IN ADULT PATIENTS WITH CANCER.
- Creator
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John, Surya, Loerzel, Victoria, University of Central Florida
- Abstract / Description
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Background: Historically, patients with cancer have been perceived as poor candidates for ICU admission. General ICU admission criteria lists cancer patients as low priority in ICU admission depriving them of the care they rightfully deserve. The purpose of this literary synthesis was to examine ICU admission criteria, risk factors, and outcomes of ICU admission in relation to hematological and solid tumor cancers and discuss ways that practitioners and nurses can educate patients with cancer...
Show moreBackground: Historically, patients with cancer have been perceived as poor candidates for ICU admission. General ICU admission criteria lists cancer patients as low priority in ICU admission depriving them of the care they rightfully deserve. The purpose of this literary synthesis was to examine ICU admission criteria, risk factors, and outcomes of ICU admission in relation to hematological and solid tumor cancers and discuss ways that practitioners and nurses can educate patients with cancer and their families on appropriateness of ICU care. Methods: A total of 768 articles were found in a literature search including all literature from 2005 to 2016 from all countries using the databases CINAHL Plus, MEDLINE, PsycINFO, and Academic Search Premier. These were further narrowed down based on relevancy by topic or reading abstracts. A total of 13 articles utilizing the inclusion and exclusion criteria of the literature search were included in the final literature synthesis. Results: In addition to general ICU admission criteria several other criteria and scores can be helpful in admitting patients with cancer to the ICU including cancer specific criteria, mortality predictor tools, performance status, and ICU trials. Mortality predictors, in combination with other patient characteristics, demonstrated effectiveness to predict outcomes in patients with cancer. Survival rates in hematological and solid tumor cancers have improved from the past, and lower prognostic scores can predict who will have better outcomes. Conclusion: Cancer specific criteria, mortality predictor tools, performance status, and ICU trials in addition to general ICU criteria should be used for admission of cancer patients into ICU. Practitioners and nurses should become familiar with the newest outcomes in patients with cancer to make collaborative informed decisions about ICU admission.
Show less - Date Issued
- 2016
- Identifier
- CFH2000093, ucf:45522
- Format
- Document (PDF)
- PURL
- http://purl.flvc.org/ucf/fd/CFH2000093
- Title
- NURSING KNOWLEDGE AND PERCEIVED COMFORT LEVEL IN ACUTE INFUSION REACTIONS FROM ANTINEOPLASTIC AGENTS.
- Creator
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Maiorini, Andrea L, Loerzel, Victoria, University of Central Florida
- Abstract / Description
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INTRODUCTION: Acute infusion reactions from antineoplastic agents can include hypersensitivity reactions, anaphylaxis, and cytokine release infusion reactions. Severe acute infusion reactions happen in about 5% of the oncology patient population and nurses are responsible for assessment and management of the reaction. This is a high-stress task for a nurse magnified by the lack of exposure. This project explores nursing knowledge and perceived comfort level of acute infusion reactions caused...
Show moreINTRODUCTION: Acute infusion reactions from antineoplastic agents can include hypersensitivity reactions, anaphylaxis, and cytokine release infusion reactions. Severe acute infusion reactions happen in about 5% of the oncology patient population and nurses are responsible for assessment and management of the reaction. This is a high-stress task for a nurse magnified by the lack of exposure. This project explores nursing knowledge and perceived comfort level of acute infusion reactions caused by antineoplastic agents. METHODOLOGY: An original survey was created to test nursing knowledge and assess comfort level. Nursing knowledge was broken down into six subscales: general knowledge of acute infusion reactions, signs and symptoms of hypersensitivity, anaphylaxis, and cytokine release infusion reaction, and drugs most likely to cause hypersensitivity and anaphylactic reactions and cytokine release infusion reactions. Comfort questions were asked on a 6-point Likert scale from extremely uncomfortable to extremely comfortable. There was an additional section in the survey related to nurses' distress and support in situations with acute infusion reactions. The questions were presented using a 6-point Likert scale ranging from strongly disagree to strongly agree. There were two open-ended questions that were designed to allow the nurses to share any additional information about their experiences with acute infusion reactions. Oncology nurses working with adults and pediatric populations were invited to participate. Descriptive statistics were used to analyze the survey results. T tests were used to compare groups and Pearson R statistics were used to examine relationships between total knowledge, knowledge subscale score, and comfort level. RESULTS: 20 nurses completed the survey. 12 were from the adult nurse population and 8 were from the pediatric nurse population. The typical participant was forty-four years of age, had sixteen years experience as a Registered Nurse, and thirteen years experience in the oncology setting. The average total knowledge score was a 56% based on 84 possible points. The basic knowledge section and the anaphylactic signs and symptoms were the highest scoring subscales, both scoring a 62%. Cytokine release infusion reaction signs and symptoms was the lowest scoring subscale with a 45%. There were no significant differences in knowledge between groups. The nurses chose an overwhelming agree/strongly agree when asked to choose the signs and symptoms related to each type of infusion reaction. The total comfort level score indicated that nurses were very comfortable managing acute reactions. There was no significant difference between the adult and pediatric setting comfort level scores. There was no statistically significant relationship between total knowledge score and total comfort level score. DISCUSSION: The knowledge score showed knowledge deficits while the comfort score indicated confidence in management of acute infusion reactions. The high frequency of agree/strongly agree for all three subscales of signs and symptoms indicates that the nurses at least know what to look for even if they cannot assign the specific sign and symptom to the type of infusion reaction. Knowledge about signs of specific types of drug reactions may not be necessary as long as a basic understanding of what to look for and how to manage a reaction is present.
Show less - Date Issued
- 2016
- Identifier
- CFH2000077, ucf:45564
- Format
- Document (PDF)
- PURL
- http://purl.flvc.org/ucf/fd/CFH2000077
- Title
- PARTICIPANT'S PERCEPTION OF REALISM AND PEDIATRIC PAIN ASSESSMENT UTILIZING A VIRTUAL PATIENT: A PILOT STUDY.
- Creator
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Carson, Alexandra, Anderson, Mindi, University of Central Florida
- Abstract / Description
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The use of simulation in curriculum affords students with the opportunity to enhance clinical skills in a safe environment. However, certain aspects of patient assessment are difficult to reproduce in current simulators, such as changes in facial expressions. Facial expressions are of particular importance when assessing for the presence and severity of pain in the pediatric population. Inconsistencies found in accurate identification of pain suggest the necessity of improved pain assessment...
Show moreThe use of simulation in curriculum affords students with the opportunity to enhance clinical skills in a safe environment. However, certain aspects of patient assessment are difficult to reproduce in current simulators, such as changes in facial expressions. Facial expressions are of particular importance when assessing for the presence and severity of pain in the pediatric population. Inconsistencies found in accurate identification of pain suggest the necessity of improved pain assessment training. This study evaluated nursing student's perceptions of a virtual patient designed to realistically display varying levels of pain in the pediatric patient. Additional purposes of this study were to evaluate the student's ability to accurately rate pediatric pain using a virtual patient with and without other indicators of pain, explore the students experience learning pediatric pain in nursing school, and explore the use of simulation in curriculum to teach pain. A total of N=11 nursing students participated in this study. Students were presented with a series of virtual patient faces and asked to provide a pain rating from 0-10 utilizing a pediatric pain assessment tool, and to numerically list the facial features used to identify the pain rating they chose. A questionnaire was then completed which included questions regarding the realism of the virtual patient, pain and curriculum, and simulation. Results of the study showed students rated pain lower than the expected rating when presented with virtual patient faces only, and rated pain closer to the expected rating when presented with virtual patient faces and other indicators of pain such as vital signs and verbal cues. A noticeable range of reported pain rating levels existed for all virtual faces in which students rated the pain lower or higher than the true pain rating. The majority of students reported the virtual patient was moderately to extremely realistic, and 90.9% (n=10) reported they would like to have the technology implemented into a simulation scenario.
Show less - Date Issued
- 2016
- Identifier
- CFH2000085, ucf:45525
- Format
- Document (PDF)
- PURL
- http://purl.flvc.org/ucf/fd/CFH2000085
- Title
- PHARMACOGENOMIC MANAGEMENT OF FAMILIAL HYPERCHOLESTEROLEMIA: AN INTEGRATIVE REVIEW OF THE LITERATURE.
- Creator
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Skibo, Brian V., Bushy, Angeline, Kubiet, Leslee, University of Central Florida
- Abstract / Description
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The purpose of this thesis is to examine familial hypercholesterolemia (FH) and emerging pharmacogenomics therapies that propose to lower serum low density lipid (LDL) levels. The search of various data bases resulted in nine research articles being selected for review. Syntheses of the articles suggest emerging phamacogenomic drug therapy can improve treatment outcomes for individuals with a diagnosis of FH. The Human Genome Project (HGP) has had far reaching applications for genomic...
Show moreThe purpose of this thesis is to examine familial hypercholesterolemia (FH) and emerging pharmacogenomics therapies that propose to lower serum low density lipid (LDL) levels. The search of various data bases resulted in nine research articles being selected for review. Syntheses of the articles suggest emerging phamacogenomic drug therapy can improve treatment outcomes for individuals with a diagnosis of FH. The Human Genome Project (HGP) has had far reaching applications for genomic technologies and pharmacagenomic interventions, tailored to human conditions associated with select genomic traits. Synthesis of nine research articles demonstrate that little is known on the topic and reveals extensive gaps in the evidence. This thesis concludes with implications for nursing education, practice, policy and research along with limitations are noted.
Show less - Date Issued
- 2016
- Identifier
- CFH2000076, ucf:45544
- Format
- Document (PDF)
- PURL
- http://purl.flvc.org/ucf/fd/CFH2000076
- Title
- PROCESS AND MIND: EXPLORING THE RELATIONSHIP BETWEEN PROCESS PHILOSOPHY AND THE NONLINEAR DYNAMICAL SYSTEMS SCIENCE OF COGNITION.
- Creator
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Moralez, Larry A, Favela, Luis H., University of Central Florida
- Abstract / Description
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This work examines the relationship between Alfred North Whitehead's process philosophy and the nonlinear dynamical systems framework for studying cognition. I argue that the nonlinear dynamical systems approach to cognitive science presupposes many key elements of his process philosophy. The process philosophical interpretation of nature posits events and the dynamic relations between events as the fundamental substrate of reality, as opposed to static physical substances. I present a brief...
Show moreThis work examines the relationship between Alfred North Whitehead's process philosophy and the nonlinear dynamical systems framework for studying cognition. I argue that the nonlinear dynamical systems approach to cognitive science presupposes many key elements of his process philosophy. The process philosophical interpretation of nature posits events and the dynamic relations between events as the fundamental substrate of reality, as opposed to static physical substances. I present a brief history of the development of substance thought before describing Whitehead's characterization of nature as a process. In following, I will examine the both the computational and nonlinear dynamical systems frameworks for investigating cognition. I will show that the computational paradigm is subject to many of the same criticisms as substance. Conversely, I will show that nonlinear dynamical cognitive science avoids these criticisms and is congenial to Whitehead's philosophy insofar as it is suitable for describing emergent processes. To conclude, I suggest that the nonlinear dynamical cognitive science confirms and validates Whitehead's philosophy. Furthermore, I argue that process philosophy is an appropriate characterization of nature for guiding inquiry in cognitive science.
Show less - Date Issued
- 2016
- Identifier
- CFH2000091, ucf:45553
- Format
- Document (PDF)
- PURL
- http://purl.flvc.org/ucf/fd/CFH2000091
- Title
- RETENTION OF CARDIOPULMONARY RESUSCITATION KNOWLEDGE AND PSYCHOMOTOR SKILL AMONG UNDERGRADUATE NURSING STUDENTS: AN INTEGRATIVE REVIEW OF LITERATURE.
- Creator
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Tirado, Fernanda, Gonzalez, Laura, University of Central Florida
- Abstract / Description
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Purpose: The purpose of this integrative literature review is to explore the effectiveness of different training modalities on the acquisition and retention of CPR knowledge and psychomotor skill among undergraduate nursing students. Background: It is well known that standard CPR-training is ineffective at preparing nurses for the rigors of a cardiac arrest event. Survival rates for in-hospital cardiac arrests remain low and the proportion of neurobehavioral sequelae among survivors is very...
Show morePurpose: The purpose of this integrative literature review is to explore the effectiveness of different training modalities on the acquisition and retention of CPR knowledge and psychomotor skill among undergraduate nursing students. Background: It is well known that standard CPR-training is ineffective at preparing nurses for the rigors of a cardiac arrest event. Survival rates for in-hospital cardiac arrests remain low and the proportion of neurobehavioral sequelae among survivors is very high. Methods: A review of relevant literature published between 2006 and 2016 was conducted using the CINAHL and MEDLINE databases. The following key terms were used in the search: 'student*', 'nurs* student*', 'cardiopulmonary resuscitation (CPR)', 'Basic Life Support (BLS)', 'Advanced Life Support (ALS)', 'Advanced Cardiac Life Support (ACLS)', and 'Retention'. Results: The initial database search yielded a total of sixty-seven articles; of which, nine articles met the inclusion criteria and were utilized in the final analysis. The articles analyzed explored the effectiveness of different training modalities including: self-directed, CD-based, low-fidelity simulation, high-fidelity simulation, collaborative high-fidelity simulation, and deliberate practice. Conclusion: Current training is ineffective both in promoting long-term retention and in delaying the decay of previously learned information. The most effective training modality identified was high-fidelity simulation in conjunction with deliberate practice. The use of collaborative simulation through 'mock codes' maximizes the acquisition and retention of CPR knowledge and skill by providing the highest degree of fidelity. Deliberate practice was the only modality, which resulted in improvement of knowledge and skill over time. The absence of individualized feedback diminishes the effects of repeated practice. Practical experience is also susceptible to the detrimental effects exerted by the lack of feedback.
Show less - Date Issued
- 2016
- Identifier
- CFH2000082, ucf:45567
- Format
- Document (PDF)
- PURL
- http://purl.flvc.org/ucf/fd/CFH2000082
- Title
- RISK FACTORS IN WOMEN FOR POSTPARTUM DEPRESSION VERSUS POSTPARTUM PSYCHOSIS: AN INTEGRATIVE LITERATURE REVIEW.
- Creator
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Jamieson, Briana, Bushy, Angeline, University of Central Florida
- Abstract / Description
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The purpose of this literature review was to identify differentiating risk factors in women for postpartum depression and postpartum psychosis. By understanding differentiating risk factors health care professionals, and nurses in particular, can be alert to women who are at higher risk for postpartum depression or postpartum psychosis. This information allows for early nursing intervention and the development of appropriate treatment plans. Fifteen peer-reviewed, English language research...
Show moreThe purpose of this literature review was to identify differentiating risk factors in women for postpartum depression and postpartum psychosis. By understanding differentiating risk factors health care professionals, and nurses in particular, can be alert to women who are at higher risk for postpartum depression or postpartum psychosis. This information allows for early nursing intervention and the development of appropriate treatment plans. Fifteen peer-reviewed, English language research articles published between 2000 and 2015 were analyzed for the purpose of this literature review. Study results were inconclusive for the intention of this review, but do provide valuable information on independent risk factors for both disorders. A history of depression and significant life stressors are strong predictors for postpartum depression. Whereas a history of bipolar disorder is strongly associated with the development of postpartum psychosis. Further research is needed to examine the role of genetics in both postpartum depression and postpartum psychosis and to further evaluate risk factors for postpartum psychosis, specifically in women with no history of bipolar disorder. Moreover, additional research needs to be conducted within the United States due to a lack of generalizability of studies conducted in other nations.
Show less - Date Issued
- 2016
- Identifier
- CFH2000083, ucf:45562
- Format
- Document (PDF)
- PURL
- http://purl.flvc.org/ucf/fd/CFH2000083
- Title
- SMART MATERIAL ACTUATION AND MORPHING FOR UNMANNED AIRCRAFT SYSTEMS.
- Creator
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Da Silva Lima, Caio H, Kauffman, Jeffrey L., University of Central Florida
- Abstract / Description
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The intent of this thesis is to outline the design, analysis, and characterization of an axially compressed piezocomposite actuator and, in particular, to determine the correlation and accuracy of two models used to predict deflection of an axially compressed piezocomposite bimorph. Restrictions in material properties lead to vehicle inefficiencies caused by the discontinuous geometry of deflected control surfaces in unmanned aircraft systems. This performance disadvantage in discrete control...
Show moreThe intent of this thesis is to outline the design, analysis, and characterization of an axially compressed piezocomposite actuator and, in particular, to determine the correlation and accuracy of two models used to predict deflection of an axially compressed piezocomposite bimorph. Restrictions in material properties lead to vehicle inefficiencies caused by the discontinuous geometry of deflected control surfaces in unmanned aircraft systems. This performance disadvantage in discrete control surfaces is caused in part by the sharp edges that are formed when the surface is pivoted. Flow continuity over the body of a vehicle is important in minimizing the effects of drag and, in turn, increasing aerodynamic performance. An efficient alternative to discrete control surface actuation is axially compressed piezocomposite actuation which could potentially improve the efficiency of the vehicle in all environments. Bimorph performance in angular deflection and displacement for the PA16N and MFC-M8528-P1 piezocomposites is analyzed using a Classical Laminate Plate Theory (CLPT) model and an Elastica model. Model accuracy is verified through experimental testing of a PA16N bimorph. CLPT model is shown to be accurate to within .05 mm and Elastica model is shown to be accurate to within .04 mm for axial forces below 30 N. Correlation between the mathematical models is confirmed. Experimental results for the PA16N show that a 30 N compression force applied to the bimorph can increase the maximum displacement by approximately 2.5 times the original displacement.
Show less - Date Issued
- 2016
- Identifier
- CFH2000095, ucf:45563
- Format
- Document (PDF)
- PURL
- http://purl.flvc.org/ucf/fd/CFH2000095
- Title
- SUPERVISOR EXPECTATIONS, EVENT REPORTING, AND PATIENT SAFETY PERCEPTIONS: EXPLORING POTENTIAL MODERATORS AND MEDIATORS.
- Creator
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Hernandez, Claudia, Burke, Shawn, University of Central Florida
- Abstract / Description
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Given the high number of errors and negative events committed within medical settings, the emphasis on patient safety culture is becoming more prevalent. Despite this effort, underreporting has been and continues to be an issue in this area. Some research has shown a link between underreporting and lack of management responsiveness, but more work is necessary to identify reasons for underreporting and potential mitigating solutions. The objective of the present research is to answer questions...
Show moreGiven the high number of errors and negative events committed within medical settings, the emphasis on patient safety culture is becoming more prevalent. Despite this effort, underreporting has been and continues to be an issue in this area. Some research has shown a link between underreporting and lack of management responsiveness, but more work is necessary to identify reasons for underreporting and potential mitigating solutions. The objective of the present research is to answer questions regarding the impact supervisors have on staff's patient safety perceptions and event reporting, through the use of archival survey data collected with the AHRQ Hospital Safety Culture Survey (2004). Probable moderators and mediators of key relationships were explored as well. Results are presented and their implications are discussed herein.
Show less - Date Issued
- 2016
- Identifier
- CFH2000084, ucf:45551
- Format
- Document (PDF)
- PURL
- http://purl.flvc.org/ucf/fd/CFH2000084
- Title
- THE EFFECT OF ALTERNATIVE LABOR POSITIONS VERSUS THE LITHOTOMY POSITION ON BIRTHING OUTCOMES: AN INTEGRATIVE LITERATURE REVIEW.
- Creator
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Gaffka, Kelsey, Bushy, Angeline, University of Central Florida
- Abstract / Description
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Traditionally, the lithotomy position is the most commonly used birthing position in western cultures. The purpose of this literature review was to examine the differences in maternal and neonatal outcomes when alternative labor positions are used. Implications for future use of alternative labor positions were explored. Peer reviewed, English-language research articles published from 2009 to 2015 were included for synthesis. Study results revealed that the lithotomy position is linked to...
Show moreTraditionally, the lithotomy position is the most commonly used birthing position in western cultures. The purpose of this literature review was to examine the differences in maternal and neonatal outcomes when alternative labor positions are used. Implications for future use of alternative labor positions were explored. Peer reviewed, English-language research articles published from 2009 to 2015 were included for synthesis. Study results revealed that the lithotomy position is linked to multiple negative maternal outcomes. Birthing in a water pool or in a lateral position has been linked to more optimal maternal and neonatal outcomes compared to other positions. Health care providers, and nurses in particular, should be educated on the benefits and consequences of both the lithotomy position and alternative labor positions. Using this evidenced based research, health care professionals can educate women and families as they encounter the birthing process. Further research is needed to identify additional birthing outcomes of labor positions, specifically neonatal outcomes of the lithotomy position. In addition, research on innovative obstetric monitoring techniques will expand the opportunity to use alternative labor positions while protecting the mother and fetus.
Show less - Date Issued
- 2016
- Identifier
- CFH2000094, ucf:45509
- Format
- Document (PDF)
- PURL
- http://purl.flvc.org/ucf/fd/CFH2000094
- Title
- THE EFFECT OF CAFFEINE ON MIGRAINE HEADACHES.
- Creator
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Shimshoni, Deborah, Samsam, Mohtashem, University of Central Florida
- Abstract / Description
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As the most widely consumed drug around the globe, there is a vast array of contradicting research available on caffeine. One of the most debated and researched topics on caffeine is its effect on the brain. Meanwhile, the data on the neurological condition of migraine has information scattered throughout countless research articles and experiments. Although neither migraine or caffeine are completely understood by the medical world, this analysis attempts to give a more coherent...
Show moreAs the most widely consumed drug around the globe, there is a vast array of contradicting research available on caffeine. One of the most debated and researched topics on caffeine is its effect on the brain. Meanwhile, the data on the neurological condition of migraine has information scattered throughout countless research articles and experiments. Although neither migraine or caffeine are completely understood by the medical world, this analysis attempts to give a more coherent understanding of the relationship between the two. This is done by first understanding the known and theorized mechanisms of caffeine as well as the pathologies of migraine. Discussions on channelopathies, current migraine medications, and case studies will be presented. After much background research, we hypothesized that caffeine could excite neurons at physiological concentrations to the point of activation. This was tested by targeting the transcription factor cFos using immunocytochemistry in vitro. The protein cFos was identified due to its rapid translation�just 15 minutes after stimuli�to indicate activation. In addition to a control culture, three different caffeine concentrations were tested on the neurons: 50 micromoles� average plasma level after 1-2 cups of coffee consumption, 100 micromoles�average plasma level after 5-6 cups of coffee also believed to be the therapeutic amount to defend against neurological diseases such as Alzheimers Disease, and 250 micromoles�the average plasma level considered to be toxic in humans. Indeed, we saw a 53.8% increase in cFos expression in the neurons as 100 micromolar of caffeine was added and exposed to the cell cultures for 24 hours. In order to ensure the results obtained in this study were physiologically relevant in vivo, known toxic levels were tested for in vitro neurotoxicity. It was found in vitro that at the non toxic plasma concentrations of 50 micromolar and 100 micromolar of caffeine did not display cellular death as tested by Trypan Blue viability testing, Crystal Violet morphologies, and fleurojade immunochemistry that tests for degeneration. Each of these experiments identified a significant death increase as the toxic level of 250 micromoles of caffeine were utilized. This allowed us to theorize that the activation of neurons found in these experiments due to caffeine exposure would apply the same effect in vivo.
Show less - Date Issued
- 2016
- Identifier
- CFH2000087, ucf:45559
- Format
- Document (PDF)
- PURL
- http://purl.flvc.org/ucf/fd/CFH2000087
- Title
- THE EFFECT OF CLIMATE ON PHYSIOLOGY AND IMMUNE FUNCTION IN THE ASIAN CITRUS PSYLLID, DIAPHORINA CITRI.
- Creator
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Avecilla, Grace, Fedorka, Ken, University of Central Florida
- Abstract / Description
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The variation in the insect immune system is an important regulator of insect populations and the pathogens they carry. A central component of insect immunity is melanin, whose production creates cytotoxic intermediates that help to protect against a broad spectrum of pathogens. Melanin is also used in insect cuticle where it helps to improve thermoregulation and desiccation resistance, with insects having less melanized cuticles in warmer and more humid environments. Considering that cuticle...
Show moreThe variation in the insect immune system is an important regulator of insect populations and the pathogens they carry. A central component of insect immunity is melanin, whose production creates cytotoxic intermediates that help to protect against a broad spectrum of pathogens. Melanin is also used in insect cuticle where it helps to improve thermoregulation and desiccation resistance, with insects having less melanized cuticles in warmer and more humid environments. Considering that cuticle melanin and immune melanin are formed by near identical biochemical pathways, they are pleiotropically linked (that is, one or more linked genes influence multiple traits). This has lead to the cuticle-dependent immune investment (CDII) hypothesis, which states that adaptive responses in the cuticle can lead to non-adaptive changes in immunity and could lead to an increase in transmission of insect vectored pathogens in warming climates, due to a weaker defense against the pathogen. However, the impact of CDII on cuticle melanin and immunity, as well as infection prevalence and intensity, under seasonal conditions in the field is still unclear. In this project, we study a population of Asian citrus psyllids, Diaphorina citri, in the field over four seasons. Diaphorina citri vectors a Gram-negative bacteria, Candidatus Liberbacter asiaticus (CLas), that is responsible for Huanglongbing, aka citrus greening disease, which has cost the Florida citrus industry several billion dollars. We assess pathogen load of CLas by quantitative PCR, and assess levels of phenoloxidase activity in the insect hemolymph to measure insect immune function. We assess levels of cuticle melanin. Our results show a significant correlation between temperature, cuticle melanin, and immune function. However, the affect of seasonality on infection prevalence and intensity remains unclear.
Show less - Date Issued
- 2016
- Identifier
- CFH2000080, ucf:45529
- Format
- Document (PDF)
- PURL
- http://purl.flvc.org/ucf/fd/CFH2000080
- Title
- THE EFFECT OF NEIGHBORHOOD SIZE AND MORPHOLOGY IN THE CHINESE LANGUAGE.
- Creator
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Nguyen, Long, Sims, Valerie, University of Central Florida
- Abstract / Description
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The Neighborhood Size Effect (NSE), characterized as the effect in word determination based on changing one orthographic aspect of that word. The amount of words that can be created through such manipulation is called a neighborhood size (NS). Number of other factors such as frequency, how often a word appears and morphology, the combination of meaningful word units, have been suggested to have an overriding effect on NSE. In addition, there is a lack of research on NSE with non-alphabetical...
Show moreThe Neighborhood Size Effect (NSE), characterized as the effect in word determination based on changing one orthographic aspect of that word. The amount of words that can be created through such manipulation is called a neighborhood size (NS). Number of other factors such as frequency, how often a word appears and morphology, the combination of meaningful word units, have been suggested to have an overriding effect on NSE. In addition, there is a lack of research on NSE with non-alphabetical languages such as Chinese, which uses characters comprising of a multitude of semantic or phonetic markers. In this experiment, participants coming from mainland China were presented with 60 individual characters and 59 characters with Chinese morphology made up of two characters which form single words. Both conditions, were manipulated with NS by adjusting the semantic or phonetical radical within a character and with frequency by using a website that measures how frequent a character appeared within the language. Both character conditions were found to have a significant effect with frequency and neighborhood size (NS) with characters with higher frequency and lower NS found to have higher accuracy and lower reaction times. With low frequency single characters, it was that those with higher neighborhood size had greater delay in reaction time and lower accuracy. With low frequency morphologically constructed characters, it was found that lower neighborhood size had higher accuracy, but no significant result with regards to reaction time. Due to differing accuracy results with NS and character condition, it is suggested that further factors such as morphological processing in single characters and bigram frequency in morphologically constructed characters might have an effect on word determination in conjunction with neighborhood size. Thus, it is a possibility that Chinese morphological may depend more on other factors than neighborhood size.
Show less - Date Issued
- 2016
- Identifier
- CFH2000098, ucf:45556
- Format
- Document (PDF)
- PURL
- http://purl.flvc.org/ucf/fd/CFH2000098
