Capstone Papers and Posters
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Browsing Capstone Papers and Posters by Author "Dr. Jane Langemeier"
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Item Outpatient Preoperative Prophylactic Antimicrobial Use and Surgical Site Infection Rates(2019-07) Zima, Ashlie; Dr. Jane LangemeierIn the United States, most postoperative orthopedic surgical site infections (SSIs) and prophylactic antimicrobial use research are hospital-based. However, 50% of the orthopedic procedures occur outpatient and postoperative SSI research is lacking (Berríos-Torres et al., 2017). Hospital-based preoperative prophylactic intravenous antibiotics administration supports decreased SSI rates (Al-Mulhim, Baragbah, Sadat-Ali, Alomran, & Azam, 2014). The research question posed was: For the adult patient undergoing an orthopedic surgical procedure at an outpatient facility, what is the effect of preoperative prophylactic antimicrobials on postoperative surgical site infection rates within the first 30-days? This descriptive study examined a convenience sample of adults, following an orthopedic procedure, administered a preoperative prophylactic intravenous antimicrobial for a postoperative SSI at an outpatient surgical facility. Guiding the research was Meleis’ transitions theory which examines the transitional experience throughout the surgical encounter to reduce associated risks (Omar, 2017). Of the 149 orthopedic cases reviewed between January 1, 2019-April 30, 2019, N = 103 patients met the inclusion criteria. The various intravenous antimicrobials and the doses administered were Cefazolin 1 gram, Cefazolin 2 grams, Clindamycin 600mg, Clindamycin 900mg, Vancomycin 1 gram, and Rocephin 1 gram. The study found 1 (0.01%) SSI documented for a patient administered Rocephin; significantly, 99.9% administered a preoperative prophylactic antimicrobial experienced no SSI within 30-days postoperatively. Future research recommendations include investigating the type, dose, and time of preoperative antibiotic administrations, and all surgical procedures performed at an outpatient surgical facility.Item Sun-Safety Education in Female Adolescents: Exploring Relationships between Education and Future Sun Safe Practices(2019-07) Bilek, Rachel; Dr. Jane LangemeierSkin cancer is the most common occurring form of cancer in the United States; 1 in 5 develop skin cancer by the age of 70 (Centers for Disease Control, [CDC] 2017). The American Cancer Society (2017) states exposure to ultraviolet (UV) radiation from sunlight and tanning bed lamps increase the risk of skin cancer development. UV exposure is a modifiable lifestyle behavior; the problem is the need for health curriculum aimed at skin cancer prevention behaviors and sun safe guidelines for the school-aged child. The quasi-experimental pre and post-test design explored how a nurse-led SunWise safety presentation effected adolescence girls age 16-17 on sun-safe behaviors. Developed by the Environmental Protection Agency (2016), the SunWise program included avoidance of sunburns and tanning beds, wearing sun protective clothing, and checking the UV outdoor index for increased risk of harm to minimize UV exposure. Pender’s health promotion model conceptually aligned the study, focusing on the adolescent’s future ability to apply sun safety to personal behavior changes. The two-tailed t-test analysis (n = 8) calculated a statistically significant t-score at the alpha level of .05 = 6.148. Study recommendations include expanding the sun safe education to reach children much younger within school health curriculums. Future research recommendations include longitudinal studies on the effectiveness of sun safe educational practices on the development of skin cancer over a patient’s life-time.