- ItemParental experiences related to pediatric and adolescent chronic non-cancer pain: A qualitative exploration(Journal of Pediatric Nursing, 2023-03-01) Cole, Molly; Frye, William S.; Risko, Judy; Hall, Carrie AnnPurpose: To explore parental experiences in personal functioning and parenting associated with having a child experiencing chronic non-cancer pain. Methods: Parents with children experiencing chronic pain were asked to fill out a survey prior to their initial Pediatric Pain Clinic or Pain Psychology appointment at a children's hospital in the southeastern United States. A retrospective analysis of qualitative data was conducted. Qualitative results from open-ended survey questions will be focused on within this manuscript. Findings: A total of 288 surveys were collected in this study, with 243 participants answering at least one qualitative question. Of participants who responded to open-ended survey questions, there were 88 responses to a question related to parental change, 73 to parental impact, and 239 to goals of the visit. Through thematic analysis, five qualitative themes were identified: Pain Central: The Hub, Juggling Life, Suffering Side by Side, Unrealized Dreams, and Gettin’ it Under Control. Discussion: Parents do experience alterations in personal functioning and parenting as a result of having a child that experiences chronic non-cancer pain. Parents face struggles in many aspects of life including emotions, work, and interpersonal relationships. Theoretical considerations were discussed. Application to practice: Understanding the experiences parents have in raising a child with chronic pain is important in helping health care providers to recognize that this population may need interventions. This also assists in informing patient treatment, improving patient and parent care outcomes, and educating clinicians on how to better support parents. © 2022 Elsevier Inc.
- ItemIntramuscular versus intradermal administration for influenza vaccination in college students: A pilot study(Taylor & Francis, 2021) Hall, Carrie Ann; Skelly, Christy; Marc, Nancy; Risko, JudyObjective: College student populations are considered at greater risk of contracting influenza due to their close living conditions. Despite this increased risk, college students are reluctant to obtain annual vaccination. This pilot study sought to determine perceptions of students on a college campus who received the annual influenza vaccination via an intradermal route. Participants and methods: Forty-nine college students participated in the IRB approved study. After receiving the intradermal influenza vaccination, participants completed a demographic survey and vaccination perceptions questionnaire. Results: Participants were more likely to want to have an intradermal injection in the future and reported less pain with the intradermal injection. Additionally, individuals who reported greater pain with the intramuscular injection in the past were significantly more likely to want to receive an intradermal injection in the future (p < 0.019). Conclusions: Results suggest that intradermal route of vaccination may be more appealing to the college population.
- ItemPeer-to-Peer Education of College Females on Sexual Health(Horizon Research Publishing, 2018) Skelly, C.; Hall, Carrie Ann; Risher, C.; Brown, B.Abstract Objective: This study examined the sexual health knowledge of female undergraduate college students before and following a peer to peer, sexual health education intervention. Participants: Sixty-nine students participated in the study. Methods: Undergraduate female students from a central Florida private college completed paper-pencil questionnaires before and after a series of four peer-to-peer sexual health poster sessions. Results: Findings showed female undergraduate students had sexual health knowledge deficits prior to the intervention. Also, participant knowledge significantly increased pre- to post-test (p < 0.001). Conclusions: These results bring to light the continued sexual health knowledge deficits of undergraduate college students. Furthermore, the benefits of a peer-to-peer education programs on college campuses have the potential to increase undergraduate student’s sexual health knowledge. Such programs may help students develop and maintain positive sexual health, including sexual self-efficacy, positive body image, and mutually respectful relationship development.
- ItemImplementation of a Strength Training Intervention for Treating Sarcopenia Among Older Residents in a Skilled Nursing Facility(Florida Southern College, 2022-07-24) Lanton, Donna-Marie (Florida Southern College Student)Problem: Sarcopenia is a well-known geriatric syndrome characterized by the progressive and generalized loss of muscle quantity or quality. Physical activity is the most prevalent recommendation for treating and preventing sarcopenia. At the Advent Health Care Center, residents are neither screened for sarcopenia nor engaged in exercise programs outside of prescribed physical therapy when appropriate for rehabilitation due to injury. Background/Significance: The incidence of sarcopenia increases with age and is associated with adverse outcomes such as increased risk of falls, cognitive impairment, loss of independence, diminished quality of life, increased health costs, need for care in a skilled nursing facility, and increased mortality. Intervention: The intervention for this DNP project was a 90-day strength training program designed to improve measures of muscle mass, muscle strength, physical performance, and quality of life. The program was implemented in two phases. During Phase 1 (1 week), baseline data were collected and participants (N = 22) were oriented to the upcoming exercise regimen. During Phase 2 (12 weeks), the participants exercised and I collected 30-day, 60-day, and 90-day data for comparative purposes. Outcomes: Data showed the strength training program was an effective intervention for reducing the characteristics associated with sarcopenia. Significant gains were made on muscle mass from baseline to 60 days and on grip strength, balance, gait speed, chair stand, and quality of life over the intervention period. Reduction in the incidence of sarcopenia among long-term care residents in skilled nursing facilities may, subsequently, contribute to reduced adverse effects of the disease process such as falls, hospital readmissions, morbidity, and mortality and help residents achieve an overall higher quality of life.