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Now showing items 1-10 of 17
Implementation of the FISH! Philosophy in Primary Care: A change in the culture of healthcare delivery
(2016-12-06)
Background: Public Health Departments often serve a disenfranchised patient population. While practitioners are committed to providing exceptional care to vulnerable populations, lack of resources and governmental bureaucracy ...
Development of a Free Health Care Clinic in western North Carolina
(2016-07-19)
The purpose of this DNP project is to describe the development of a free health clinic in the western North Carolina community. The process will include the use of a community needs assessment to influence the formation ...
Improving Referral Management After Biometric Health Screening
(2016-12-07)
Referral management after biometric health screening is an integral component in the employee health model of care. Early detection and identification of health problems, counseling, follow-up, and referral to a health ...
Quality of life in school-age children with obesity, the experiences of school nurses, and moral distress associated with care delivery
(East Carolina University, 2016-11-16)
Childhood obesity is a multifaceted, complex problem that is associated with many other chronic health conditions. School nurses are well positioned to assess, intervene, and evaluate efforts to positively impact this ...
A Literature Review and Development of Clinical Practice Guidelines for the Use and Disclosure of Herbal/Dietary Supplements in the Elderly Population
(2016-12-02)
Background and Significance: There is an increased use of herbal and dietary supplements among the elderly population that has become a major phenomenon in primary care. Primary care providers must now address issues of ...
Clinic Staff Adherence to the CDC’s STD Treatment Guidelines: A QI Initiative in a Local Health Department
(2016-07-25)
The Orange County Health Department (OCHD), a medium sized health department in central North Carolina, manages many patients for sexually transmitted diseases (STDs) based on the CDC’s STD Treatment Guidelines and guidance ...
Improving Contraception Use in the Postpartum Period
(2016-07)
In the United States (U.S.) there are 6.4 million pregnancies per year, over half of which (51%) are unintended. At the time of hospital discharge many women do not have a postpartum contraception plan which puts them at ...
An Exploration of Heart Failure Readmission in Eastern North Carolina
(East Carolina University, 2016-07-27)
The purpose of this study is to identify and associate the level of patient activation and presence of comorbidities with early readmission, hospital discharge disposition, length of stay, number of admissions and all-cause ...
Implementing Antibiotic Stewardship in an Ambulatory Urgent Care Setting
(2016-07-09)
Antibiotic prescriptions for the treatment of common viral infections such as acute uncomplicated bronchitis are discouraged because they contribute to both avoidable adverse events and the development of bacterial resistance. ...
Practice Guide for Anesthetic Management of the Parturient Undergoing External Cephalic Version (ECV)
(2016-11-24)
Despite the World Health Organization’s recommendation that cesarean delivery (CD) rates not exceed 15%, one in three women in the United States have a CD. This is a 50% increase since the mid 1990’s. The Term Breech ...