Staff View
Implementation of self-care management educational plan for chronic obstructive pulmonary disease

Descriptive

TitleInfo
Title
Implementation of self-care management educational plan for chronic obstructive pulmonary disease
Name (type = personal)
NamePart (type = family)
Umali
NamePart (type = given)
Luisa Nida L.
NamePart (type = date)
1958-
DisplayForm
Luisa Nida L. Umali
Role
RoleTerm (authority = RULIB)
author
Name (type = personal)
NamePart (type = family)
Heider
NamePart (type = given)
Gerti
DisplayForm
Gerti Heider
Affiliation
Advisory Committee
Role
RoleTerm (authority = RULIB)
chair
Name (type = corporate)
NamePart
Rutgers University
Role
RoleTerm (authority = RULIB)
degree grantor
Name (type = corporate)
NamePart
School of Nursing - RBHS
Role
RoleTerm (authority = RULIB)
school
TypeOfResource
Text
Genre (authority = marcgt)
theses
Genre (authority = ExL-Esploro)
ETD doctoral
OriginInfo
DateCreated (qualifier = exact); (encoding = w3cdtf); (keyDate = yes)
2020
DateOther (type = degree); (qualifier = exact); (encoding = w3cdtf)
2020-10
Language
LanguageTerm (authority = ISO 639-3:2007); (type = text)
English
Abstract (type = abstract)
Background
Chronic obstructive pulmonary disease (COPD) is the leading cause of morbidity and mortality in the United States. Annually, over 2.9 million die from the disease with higher estimates among older Americans, females, and African Americans. A major gap identified is that COPD patients have limited knowledge and strategies on their healthcare plans after hospital discharge.

Purpose
The purpose of this study was to implement an evidence-based intervention “Teach-Back” method to improve patients’ knowledge, skills, and strategies to maintain a healthy lifestyle and boost their self-confidence.

Intervention/Methodology
The eight-day “Teach-Back” method was administered to the study participants to strengthen their SM for COPD care. The method incorporates the Trans-theoretical model, a structured and personalized educational approach used to trigger self-motivation to change and adapt to a healthy lifestyle in patients with chronically ill diseases like COPD.

Measures
Several tools were used in this study. Pre and post-National Center for Biotechnology Information (NCBI) questionnaires were administered to adult patients with COPD to evaluate the effectiveness of knowledge acquisition on self-care management. The COPD Assessment Tool (CAT Test), a short and simple tool commonly used to measure the health status of COPD patients and patients with other pulmonary problems, was used in this study. The Stanford Self-efficacy for Monitoring Chronic Disease 6 Item Scale and the DRIVE 4 COPD five-question screener was used in identifying patients at risk for COPD.

Results
A total of 21 patients with a mean of 65.2 years (SD=± 9.3) participated in the study. Nearly half (N=10, 47.6%) of the study participants were classified as having very severe COPD, and almost all (90.5%, N=19) participants were considered as having a high risk for acquiring COPD. Approximately 19% (N=4) of the participants were on readmission, and 50% (N=2) were on readmission between 0 to 3 months. An increase in the NCBI scores between the pre and post-intervention was found. However, there was no statistical significant difference between the pre and post-intervention (M = -2.38, SD = .54) (t (20) = -2.02, p > .05, 95% CI= -.48 – .01).

Implication
Despite not showing statistical significance with the “Teach-Back” method, the findings here demonstrate clinical significance in improving health literacy, strengthening patient care through the use of by using evidenced-based tools. Thus, this study recommends future research to explore the impact of the “Teach-Back” method to improve the knowledge of a healthy lifestyle in a larger sample size (>21) among adult COPD patients.
Subject (authority = local)
Topic
COPD
Subject (authority = RUETD)
Topic
Post-Master's DNP Practice
RelatedItem (type = host)
TitleInfo
Title
Rutgers University Electronic Theses and Dissertations
Identifier (type = RULIB)
ETD
Identifier
ETD_11147
PhysicalDescription
Form (authority = gmd)
InternetMediaType
application/pdf
InternetMediaType
text/xml
Note
Supplementary File: eIRB Rutgers
Extent
1 online resource (116 pages) : illustrations
Note (type = degree)
DNP
Note (type = bibliography)
Includes bibliographical references
RelatedItem (type = host)
TitleInfo
Title
School of Nursing (RBHS) DNP Projects
Identifier (type = local)
rucore10004500001
Location
PhysicalLocation (authority = marcorg); (displayLabel = Rutgers, The State University of New Jersey)
NjNbRU
Identifier (type = doi)
doi:10.7282/t3-595z-t478
Back to the top

Rights

RightsDeclaration (ID = rulibRdec0006)
The author owns the copyright to this work.
RightsHolder (type = personal)
Name
FamilyName
Umali
GivenName
Luisa Nida
Role
Copyright Holder
RightsEvent
Type
Permission or license
DateTime (encoding = w3cdtf); (qualifier = exact); (point = start)
2020-09-14 12:06:51
AssociatedEntity
Name
Luisa Nida Umali
Role
Copyright holder
Affiliation
Rutgers University. School of Nursing - RBHS
AssociatedObject
Type
License
Name
Author Agreement License
Detail
I hereby grant to the Rutgers University Libraries and to my school the non-exclusive right to archive, reproduce and distribute my thesis or dissertation, in whole or in part, and/or my abstract, in whole or in part, in and from an electronic format, subject to the release date subsequently stipulated in this submittal form and approved by my school. I represent and stipulate that the thesis or dissertation and its abstract are my original work, that they do not infringe or violate any rights of others, and that I make these grants as the sole owner of the rights to my thesis or dissertation and its abstract. I represent that I have obtained written permissions, when necessary, from the owner(s) of each third party copyrighted matter to be included in my thesis or dissertation and will supply copies of such upon request by my school. I acknowledge that RU ETD and my school will not distribute my thesis or dissertation or its abstract if, in their reasonable judgment, they believe all such rights have not been secured. I acknowledge that I retain ownership rights to the copyright of my work. I also retain the right to use all or part of this thesis or dissertation in future works, such as articles or books.
RightsEvent
Type
Embargo
DateTime (encoding = w3cdtf); (qualifier = exact); (point = start)
2020-10-31
DateTime (encoding = w3cdtf); (qualifier = exact); (point = end)
2099-12-31
Detail
Access to this PDF has been restricted at the author's request.
Copyright
Status
Copyright protected
Availability
Status
Open
Reason
Permission or license
Back to the top

Technical

RULTechMD (ID = TECHNICAL1)
ContentModel
ETD
OperatingSystem (VERSION = 5.1)
windows xp
CreatingApplication
Version
1.7
DateCreated (point = end); (encoding = w3cdtf); (qualifier = exact)
2020-08-28T18:34:22
DateCreated (point = end); (encoding = w3cdtf); (qualifier = exact)
2020-10-14T15:54:45
ApplicationName
Microsoft® Word 2016
RULTechMD (ID = TECHNICAL2)
ContentModel
ETD
CreatingApplication
Version
1.5
DateCreated (point = end); (encoding = w3cdtf); (qualifier = exact)
2020-08-28T11:47:36
DateCreated (point = end); (encoding = w3cdtf); (qualifier = exact)
2020-08-28T11:47:36
ApplicationName
Acrobat Distiller 11.0 (Windows)
RULTechMD (ID = TECHNICAL3)
ContentModel
ETD
CreatingApplication
Version
1.5
DateCreated (point = end); (encoding = w3cdtf); (qualifier = exact)
2020-08-28T11:57:22
DateCreated (point = end); (encoding = w3cdtf); (qualifier = exact)
2020-08-28T11:57:22
ApplicationName
Acrobat Distiller 11.0 (Windows)
RULTechMD (ID = TECHNICAL4)
ContentModel
ETD
CreatingApplication
Version
1.4
DateCreated (point = start); (encoding = w3cdtf); (qualifier = exact)
2020-08-25T18:59:12
DateCreated (point = start); (encoding = w3cdtf); (qualifier = exact)
2020-08-25T18:59:12
ApplicationName
iText 2.1.0 (by lowagie.com)
RULTechMD (ID = TECHNICAL5)
ContentModel
ETD
CreatingApplication
Version
1.4
DateCreated (point = start); (encoding = w3cdtf); (qualifier = exact)
2020-08-25T18:57:19
DateCreated (point = start); (encoding = w3cdtf); (qualifier = exact)
2020-08-25T18:57:19
ApplicationName
iText 2.1.0 (by lowagie.com)
RULTechMD (ID = TECHNICAL6)
ContentModel
ETD
DateCreated (point = end); (encoding = w3cdtf); (qualifier = exact)
2020-12-14T13:55:29
CreatingApplication
Version
1.3
DateCreated (point = start); (encoding = w3cdtf); (qualifier = exact)
2020-08-13T16:47:46
RULTechMD (ID = TECHNICAL7)
ContentModel
ETD
CreatingApplication
Version
1.7
ApplicationName
Microsoft® Word 2016
DateCreated (point = end); (encoding = w3cdtf); (qualifier = exact)
2020-08-30T17:21:48
DateCreated (point = end); (encoding = w3cdtf); (qualifier = exact)
2020-08-30T17:21:48
RULTechMD (ID = TECHNICAL8)
ContentModel
ETD
CreatingApplication
Version
1.5
DateCreated (point = end); (encoding = w3cdtf); (qualifier = exact)
2018-06-27T16:14:09
DateCreated (point = end); (encoding = w3cdtf); (qualifier = exact)
2018-06-27T16:14:14
ApplicationName
Adobe PDF Library 15.0
RULTechMD (ID = TECHNICAL9)
ContentModel
ETD
CreatingApplication
Version
1.7
ApplicationName
Microsoft® Word 2016
DateCreated (point = end); (encoding = w3cdtf); (qualifier = exact)
2020-08-28T18:34:22
DateCreated (point = end); (encoding = w3cdtf); (qualifier = exact)
2020-08-28T18:34:22
RULTechMD (ID = TECHNICAL10)
ContentModel
ETD
DateCreated (point = end); (encoding = w3cdtf); (qualifier = exact)
2020-12-14T13:57:00
CreatingApplication
Version
1.7
ApplicationName
SECnvtToPDF V1.0
DateCreated (point = start); (encoding = w3cdtf); (qualifier = exact)
2019-04-18T07:56:22
RULTechMD (ID = TECHNICAL11)
ContentModel
ETD
CreatingApplication
Version
1.7
ApplicationName
Microsoft® Word 2016
DateCreated (point = end); (encoding = w3cdtf); (qualifier = exact)
2020-08-30T17:44:15
DateCreated (point = end); (encoding = w3cdtf); (qualifier = exact)
2020-08-30T17:44:15
RULTechMD (ID = TECHNICAL12)
ContentModel
ETD
DateCreated (point = end); (encoding = w3cdtf); (qualifier = exact)
2020-12-14T13:57:44
CreatingApplication
Version
1.3
DateCreated (point = start); (encoding = w3cdtf); (qualifier = exact)
2019-02-04T11:08:06
RULTechMD (ID = TECHNICAL13)
ContentModel
ETD
CreatingApplication
ApplicationName
Microsoft Office PowerPoint
DateCreated (point = end); (encoding = w3cdtf); (qualifier = exact)
2012-05-15T15:26:04
DateCreated (point = end); (encoding = w3cdtf); (qualifier = exact)
2020-08-17T22:53:59
Version
16.0000
Back to the top
Version 8.5.3
Rutgers University Libraries - Copyright ©2024