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You searched for +publisher:"University of Arizona" +contributor:("Flamm, Kristie L"). Showing records 1 – 3 of 3 total matches.

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University of Arizona

1. Celeste, Michelle Stephanie II. Understanding the Relationship Between Patients' Expectations and Satisfaction After Primary Total Knee Arthroplasty .

Degree: 2018, University of Arizona

Purpose: The aims of this needs assessment project are to determine if there is a gap in the preoperative expectations and degree of satisfaction expressed three months after primary total knee arthroplasty (TKA) and if there is a need to modify patients’ preoperative education before undergoing primary TKA at Yee Advanced Orthopedics and Sports Medicine in Las Vegas, Nevada. Background: The prevalence of symptomatic knee osteoarthritis (OA) in the United States increased in conjunction with an aging population and growing obesity epidemic. Joint replacement is performed to help decrease pain and improve quality of life among patients with knee OA. Methods: This project used a needs assessment survey and employed the use of descriptive analysis, independent sample t-test, one-way ANOVA and simple linear regression model, to examine the relationships among expectations and satisfaction level. Results: The sociodemographic data and a completion of a three-month follow-up were not predictive of the patients’ satisfaction level. The usage of a walking aid as a result of OA were not predictive of patients’ expectations. However, the feeling of preparedness demonstrated a higher expectation level. The degree of preoperative expectations was positively correlated with the satisfaction level three months after primary TKA. Conclusions: The surgeon’s preoperative discussion played a role in preparing patients regarding what to expect regarding the surgery, which contributed to a higher satisfaction level (85.2%) three months after the surgery. This suggests the importance of targeting patient education before undergoing primary TKA. Advisors/Committee Members: Flamm, Kristie L (advisor), Buchner, Brian R. (committeemember), Lacasse, Cheryl (committeemember).

Subjects/Keywords: Needs Assessment; Orthopedic; Patients' Expectations; Patients' Satisfaction; Primary Total Knee Arthroplasty

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APA · Chicago · MLA · Vancouver · CSE | Export to Zotero / EndNote / Reference Manager

APA (6th Edition):

Celeste, M. S. I. (2018). Understanding the Relationship Between Patients' Expectations and Satisfaction After Primary Total Knee Arthroplasty . (Doctoral Dissertation). University of Arizona. Retrieved from http://hdl.handle.net/10150/627712

Chicago Manual of Style (16th Edition):

Celeste, Michelle Stephanie II. “Understanding the Relationship Between Patients' Expectations and Satisfaction After Primary Total Knee Arthroplasty .” 2018. Doctoral Dissertation, University of Arizona. Accessed February 16, 2019. http://hdl.handle.net/10150/627712.

MLA Handbook (7th Edition):

Celeste, Michelle Stephanie II. “Understanding the Relationship Between Patients' Expectations and Satisfaction After Primary Total Knee Arthroplasty .” 2018. Web. 16 Feb 2019.

Vancouver:

Celeste MSI. Understanding the Relationship Between Patients' Expectations and Satisfaction After Primary Total Knee Arthroplasty . [Internet] [Doctoral dissertation]. University of Arizona; 2018. [cited 2019 Feb 16]. Available from: http://hdl.handle.net/10150/627712.

Council of Science Editors:

Celeste MSI. Understanding the Relationship Between Patients' Expectations and Satisfaction After Primary Total Knee Arthroplasty . [Doctoral Dissertation]. University of Arizona; 2018. Available from: http://hdl.handle.net/10150/627712


University of Arizona

2. Safaeian, Nila. Screening for Depression with Chronic Pain: An Educational Intervention for Nurse Practitioners .

Degree: 2018, University of Arizona

Background: Chronic, non-malignant pain impacts physical and mental well-being. Adults with chronic pain are at significantly increased risk for depression, with symptoms often occurring together. Despite this relationship, the majority of these patients are not routinely screened for depression in the primary care setting. The role of nurse practitioners in primary care is growing, and they are likely to encounter patients suffering from co-morbid pain and depression. Objective: The purpose of this project was to identify primary care nurse practitioners’ knowledge and awareness regarding the relationship between chronic, non-malignant pain and depression, and to identify current practices and barriers to screening for depression with pain. Methods: This project utilized a quasi-experimental pre- and post-test design, in order to compare knowledge, awareness, and practices among primary care nurse practitioners before and after an educational intervention highlighting the relationship between chronic, non-malignant pain and depression. Participants were recruited via email through the Coalition of Arizona Nurses in Advanced Practice (CAZNAP) and the Southern Arizona Advanced Practice Nurse – Nurse Practitioner Society (SAZAPN/NPS) listservs. Results: A total of 12 participants completed both the pre- and post-survey for data analysis. Wilcoxon-signed rank tests on four specific questions related to knowledge and intent to screen revealed p-values greater than 0.05 and median differences in the sample equal to zero, indicating that the educational module was ineffective in improving knowledge or intent to screen. The majority of participants (59.2%) indicated that they were extremely likely to screen patients with chronic pain for depression, prior to completing the educational module. Similarly, over half of participants strongly agreed on the pre-survey that there is a strong relationship between chronic pain and depression, and that routine screening may improve these outcomes. Conclusion: Individual improvements in nurse practitioner knowledge and intent to screen did occur, but not at a statistically significant rate. Participant baseline knowledge was high, making it difficult for an educational module to improve post-survey scores. The data from this project may serve as a baseline for future research, as current literature on the role of primary care nurse practitioners in chronic pain management and depression screening is limited. Advisors/Committee Members: Martin-Plank, Lorraine (advisor), Flamm, Kristie L. (committeemember), Christianson-Silva, Paula (committeemember).

Subjects/Keywords: Depression; Nurse; Pain; Practitioner; Screening

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APA · Chicago · MLA · Vancouver · CSE | Export to Zotero / EndNote / Reference Manager

APA (6th Edition):

Safaeian, N. (2018). Screening for Depression with Chronic Pain: An Educational Intervention for Nurse Practitioners . (Doctoral Dissertation). University of Arizona. Retrieved from http://hdl.handle.net/10150/631316

Chicago Manual of Style (16th Edition):

Safaeian, Nila. “Screening for Depression with Chronic Pain: An Educational Intervention for Nurse Practitioners .” 2018. Doctoral Dissertation, University of Arizona. Accessed February 16, 2019. http://hdl.handle.net/10150/631316.

MLA Handbook (7th Edition):

Safaeian, Nila. “Screening for Depression with Chronic Pain: An Educational Intervention for Nurse Practitioners .” 2018. Web. 16 Feb 2019.

Vancouver:

Safaeian N. Screening for Depression with Chronic Pain: An Educational Intervention for Nurse Practitioners . [Internet] [Doctoral dissertation]. University of Arizona; 2018. [cited 2019 Feb 16]. Available from: http://hdl.handle.net/10150/631316.

Council of Science Editors:

Safaeian N. Screening for Depression with Chronic Pain: An Educational Intervention for Nurse Practitioners . [Doctoral Dissertation]. University of Arizona; 2018. Available from: http://hdl.handle.net/10150/631316


University of Arizona

3. Gaines, Jenna H. Barriers to Implementing Clinical Practice Guideline Nutrition Recommendations in Mild Acute Pancreatitis Patients: Provider's Knowledge and Practice .

Degree: 2017, University of Arizona

The spectrum of acute pancreatitis (AP) affects between 4.9 and 73.4 patients out of 100,000 worldwide annually (Tenner, Baillie, DeWitt, & Vege, 2013). AP uses the Atlanta classification system to establish a diagnosis of mild, moderate, or severe. The American College of Gastroenterology (ACG) has established comprehensive clinical practice guidelines (CPG) for the management of AP, the most recent version published in 2013 (Tenner et al., 2013). There have been similar CPGs published internationally that integrate current evidence-based research into recommendations for practice. These guidelines along with the ACG's guidelines recommend initiating a diet for mild acute pancreatitis patients due to research findings of improved patient outcomes (i.e. reduced length of hospital stay, decreased rate of infections, and reduced mortality) (Horibe et al., 2015; Lariño-Noia et al., 2014). There is an international awareness of the need for increased CPG nutrition recommendation compliance in the practice setting as many studies have found providers prefer to keep patients nil per os (NPO) and do not adhere to CPGs (Andersson, Andrén-Sandberg, Nilsson, & Andersson, 2012; Greenberg et al., 2016; Sun et al., 2013). The purpose of this doctor of nursing practice (DNP) project is to assess providers' current nutrition therapy practice and knowledge of the ACG’s CPG nutrition recommendations for mild AP patients. The researcher conducted the assessment with a hospitalist practice at Banner University Medical Center in Phoenix, Arizona. The results of the project contribute to the current body of research on national adherence to CPGs for AP and act as a needs assessment for future projects where a nutrition protocol order set may be established. The investigation of nutrition therapy for AP patients seeks to improve and standardize the care this patient population receives while in the acute care setting. Advisors/Committee Members: Carlisle, Heather L (advisor), Carlisle, Heather L. (committeemember), Buchner, Brian R. (committeemember), Flamm, Kristie L. (committeemember).

Subjects/Keywords: Acute pancreatitis; barriers; clinical practice guidelines; provider knowledge; provider practice

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APA · Chicago · MLA · Vancouver · CSE | Export to Zotero / EndNote / Reference Manager

APA (6th Edition):

Gaines, J. H. (2017). Barriers to Implementing Clinical Practice Guideline Nutrition Recommendations in Mild Acute Pancreatitis Patients: Provider's Knowledge and Practice . (Doctoral Dissertation). University of Arizona. Retrieved from http://hdl.handle.net/10150/624502

Chicago Manual of Style (16th Edition):

Gaines, Jenna H. “Barriers to Implementing Clinical Practice Guideline Nutrition Recommendations in Mild Acute Pancreatitis Patients: Provider's Knowledge and Practice .” 2017. Doctoral Dissertation, University of Arizona. Accessed February 16, 2019. http://hdl.handle.net/10150/624502.

MLA Handbook (7th Edition):

Gaines, Jenna H. “Barriers to Implementing Clinical Practice Guideline Nutrition Recommendations in Mild Acute Pancreatitis Patients: Provider's Knowledge and Practice .” 2017. Web. 16 Feb 2019.

Vancouver:

Gaines JH. Barriers to Implementing Clinical Practice Guideline Nutrition Recommendations in Mild Acute Pancreatitis Patients: Provider's Knowledge and Practice . [Internet] [Doctoral dissertation]. University of Arizona; 2017. [cited 2019 Feb 16]. Available from: http://hdl.handle.net/10150/624502.

Council of Science Editors:

Gaines JH. Barriers to Implementing Clinical Practice Guideline Nutrition Recommendations in Mild Acute Pancreatitis Patients: Provider's Knowledge and Practice . [Doctoral Dissertation]. University of Arizona; 2017. Available from: http://hdl.handle.net/10150/624502

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