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Full-Text Articles in Medicine and Health Sciences

Examining The Use Of Expressive Arts Therapies In Neurorehabilitation Treatment Planning, Rebecca J. Horner May 2023

Examining The Use Of Expressive Arts Therapies In Neurorehabilitation Treatment Planning, Rebecca J. Horner

Expressive Therapies Capstone Theses

Those undergoing neurorehabilitation after stroke and traumatic brain injury report a diminished sense of overall wellness. This paper examines the conceivable benefits of introducing expressive arts therapies, which is the therapeutic use and combination of the visual arts, movement, drama, music, writing and other intermodal creative processes, into physical therapy and neurorehabilitation treatment planning. Expressive arts therapies have the capacity to engage with an individual’s physical, emotional, social and spiritual states concurrently. They simultaneously offer the ability to promote an increased sense of well-being, address mind-body disconnects, and process trauma non-verbally.

The sections of this narrative literature review focus ...


Small Extracellular Vesicle-Mediated Itgb6 Sirna Delivery Downregulates The Αvβ6 Integrin And Inhibits Adhesion And Migration Of Recipient Prostate Cancer Cells, Shiv Ram Krishn, Vaughn Garcia, Nicole M Naranjo, Fabio Quaglia, Christopher D Shields, Maisha A Harris, Andrew V Kossenkov, Qin Liu, Eva Corey, Dario C Altieri, Lucia R Languino Dec 2022

Small Extracellular Vesicle-Mediated Itgb6 Sirna Delivery Downregulates The Αvβ6 Integrin And Inhibits Adhesion And Migration Of Recipient Prostate Cancer Cells, Shiv Ram Krishn, Vaughn Garcia, Nicole M Naranjo, Fabio Quaglia, Christopher D Shields, Maisha A Harris, Andrew V Kossenkov, Qin Liu, Eva Corey, Dario C Altieri, Lucia R Languino

Department of Cancer Biology Faculty Papers

The αVβ6 integrin, an epithelial-specific cell surface receptor absent in normal prostate and expressed during prostate cancer (PrCa) progression, is a therapeutic target in many cancers. Here, we report that transcript levels of ITGB6 (encoding the β6 integrin subunit) are significantly increased in metastatic castrate-resistant androgen receptor-negative prostate tumors compared to androgen receptor-positive prostate tumors. In addition, the αVβ6 integrin protein levels are significantly elevated in androgen receptor-negative PrCa patient derived xenografts (PDXs) compared to androgen receptor-positive PDXs. In vitro, the androgen receptor-negative PrCa cells express high levels of the αVβ6 integrin compared to androgen receptor-positive PrCa cells. Additionally, expression ...


A Pilot Intervention Combining Assessment And Feedback With Communication Training And Behavioral Nudges To Increase Hpv Vaccine Uptake., Andrea Bradley-Ewing, Brian R. Lee, Jason N. Doctor, Georgann Meredith, Kathy Goggin, Angela Myers Dec 2022

A Pilot Intervention Combining Assessment And Feedback With Communication Training And Behavioral Nudges To Increase Hpv Vaccine Uptake., Andrea Bradley-Ewing, Brian R. Lee, Jason N. Doctor, Georgann Meredith, Kathy Goggin, Angela Myers

Manuscripts, Articles, Book Chapters and Other Papers

Human papillomavirus (HPV) causes >40,000 cancer diagnoses each year, yet vaccination rates remain low because widespread implementation of strategies to increase vaccinations has not occurred. Behavioral nudges have demonstrated efficacy in improving uptake of desired behaviors in health care settings but have not been tested for increasing HPV vaccinations. We assessed the impact of an intervention combining behavioral nudges with other proven strategies (i.e., assessment and feedback, provider communication training) on HPV vaccination rates and parental satisfaction in four Midwestern pediatric, outpatient practices. Practices were randomly assigned to receive either assessment and feedback or assessment and feedback combined ...


Rising Costs Of Insulin And Effects Of Self-Management In Type 1 Diabetes, Justine Yadao Dec 2022

Rising Costs Of Insulin And Effects Of Self-Management In Type 1 Diabetes, Justine Yadao

Nursing | Senior Theses

Background

Type 1 diabetes, also known as juvenile diabetes or insulin-dependent diabetes is a chronic condition where the pancreas may not be able to produce little to no insulin. This type of diabetes can be attributed to some factors such as age, family history, environmental factors or types of viruses. It is seen more often in children or adolescence but can develop in adults, averaging approximately 5-10% of the population.

Insulin is a type of hormone produced in the pancreas naturally or can be manufactured in the laboratory. People with Type 1 Diabetes need insulin from an exogenous source to ...


Multidisciplinary Treatment Of Non-Spine Bone Metastases: Results Of A Modified Delphi Consensus Process., Erin F Gillespie, Noah J Mathis, Max Vaynrub, Ernesto Santos Martin, Rupesh Kotecha, Joseph Panoff, Andrew L Salner, Alyson Mcintosh Md, Ranju Gupta, Amitabh Gulati, Divya Yerramilli, Amy J Xu, Meredith Bartelstein, David M Guttmann, Yoshiya J Yamada, Diana Lin, Kaitlyn Lapen, Deborah Korenstein, David G Pfister, Allison Lipitz-Snyderman, Jonathan T Yang Jul 2022

Multidisciplinary Treatment Of Non-Spine Bone Metastases: Results Of A Modified Delphi Consensus Process., Erin F Gillespie, Noah J Mathis, Max Vaynrub, Ernesto Santos Martin, Rupesh Kotecha, Joseph Panoff, Andrew L Salner, Alyson Mcintosh Md, Ranju Gupta, Amitabh Gulati, Divya Yerramilli, Amy J Xu, Meredith Bartelstein, David M Guttmann, Yoshiya J Yamada, Diana Lin, Kaitlyn Lapen, Deborah Korenstein, David G Pfister, Allison Lipitz-Snyderman, Jonathan T Yang

Department of Radiation Oncology

Purpose: Local treatment for bone metastases is becoming increasingly complex. National guidelines traditionally focus only on radiation therapy (RT), leaving a gap in clinical decision support resources available to clinicians. The objective of this study was to reach expert consensus regarding multidisciplinary management of non-spine bone metastases, which would facilitate standardizing treatment within an academic-community partnership.

Methods and Materials: A multidisciplinary panel of physicians treating metastatic disease across the Memorial Sloan Kettering (MSK) Cancer Alliance, including community-based partner sites, was convened. Clinical questions rated of high importance in the management of non-spine bone metastases were identified via survey. A literature ...


Podium Persentation: Trauma-Informed Care In Palliative Care, Amber Piranio Jun 2022

Podium Persentation: Trauma-Informed Care In Palliative Care, Amber Piranio

Providence Nurse Research Conference (2022 - present)

No abstract provided.


Podium Presentation: Racial Inequities And Breastfeeding In A Nicu: A Quality Improvement Project, Emilia C. Garcia Jun 2022

Podium Presentation: Racial Inequities And Breastfeeding In A Nicu: A Quality Improvement Project, Emilia C. Garcia

Providence Nurse Research Conference (2022 - present)

No abstract provided.


Podium Presentation: Identifying Barriers To Quality Mother-Infant Interactions In The Nicu Through Naturalistic Systematic Observations, Christine Neugebauer, Miranda Cox, Melissa Deckert, Ann M. Mastergeorge Jun 2022

Podium Presentation: Identifying Barriers To Quality Mother-Infant Interactions In The Nicu Through Naturalistic Systematic Observations, Christine Neugebauer, Miranda Cox, Melissa Deckert, Ann M. Mastergeorge

Providence Nurse Research Conference (2022 - present)

No abstract provided.


Podium Presentation: Continuous Labor Epidural Placement Trends Among Parturients: An Evidence-Based Practice Project, Aleksandr A. Lyakhov, Teresa Bigand, Amanda Affleck, Kenn Daratha, Kris Daratha Jun 2022

Podium Presentation: Continuous Labor Epidural Placement Trends Among Parturients: An Evidence-Based Practice Project, Aleksandr A. Lyakhov, Teresa Bigand, Amanda Affleck, Kenn Daratha, Kris Daratha

Providence Nurse Research Conference (2022 - present)

Background:

Childbirth is very painful, and unmanaged pain may reduce patient satisfaction or lead to other complications. Evidence indicates that pain severity is lower among parturient women administered analgesia via a continuous labor epidural (CLE) and that maternal request is sufficient indication for CLE placement to manage labor pain. In some cases, a medical induction of labor may be scheduled, offering an opportunity for proactive pain management from hospital staff. Yet, trends on timing of CLE placement among parturient women with scheduled labor induction versus spontaneous labor in hospitals in Eastern Washington at one health system are unclear.

Purpose:

The ...


Podium Presentation: Spontaneous Intraventricular Empyema In A Patient With Bacterial Sinusitis, Rachel Freedberg, Brian J. Carlson, Cynthia Murphy, Teresa Bigand Jun 2022

Podium Presentation: Spontaneous Intraventricular Empyema In A Patient With Bacterial Sinusitis, Rachel Freedberg, Brian J. Carlson, Cynthia Murphy, Teresa Bigand

Providence Nurse Research Conference (2022 - present)

No abstract provided.


Podium Presentation: Sleep-Associated Impairment In Hospital Nurses Working 12-Hour Day Or Night Shifts During The Covid-19 Pandemic: A Large Health System Multisite Pilot Study, Jamie Roney, Teresa Bigand, Ross Bindler, Trisha Saul, Rebecca Penders, Douglas L Weeks, Lois James, Marian Wilson Jun 2022

Podium Presentation: Sleep-Associated Impairment In Hospital Nurses Working 12-Hour Day Or Night Shifts During The Covid-19 Pandemic: A Large Health System Multisite Pilot Study, Jamie Roney, Teresa Bigand, Ross Bindler, Trisha Saul, Rebecca Penders, Douglas L Weeks, Lois James, Marian Wilson

Providence Nurse Research Conference (2022 - present)

No abstract provided.


Podium Presentation: Pediatric Immunizations: Improving Hedis Measures And Vaccination Rates, Brianna Baublitz, Brenda Senger, Denise Ogorek, Teresa Bigand, Devorah Overbay Jun 2022

Podium Presentation: Pediatric Immunizations: Improving Hedis Measures And Vaccination Rates, Brianna Baublitz, Brenda Senger, Denise Ogorek, Teresa Bigand, Devorah Overbay

Providence Nurse Research Conference (2022 - present)

No abstract provided.


Podium Presentation: Opioid Use Among Total Knee Arthroplasty Patients, Kelsie Welle, Karen Colorafi, Kenn Daratha Jun 2022

Podium Presentation: Opioid Use Among Total Knee Arthroplasty Patients, Kelsie Welle, Karen Colorafi, Kenn Daratha

Providence Nurse Research Conference (2022 - present)

No abstract provided.


Podium Presentation: Covid And Antidepressants: Ongoing Use Of Ssris And The Hospital Course Of Covid-19 Patients: A Retrospective Outcome Analysis, Sherri Mendelson Jun 2022

Podium Presentation: Covid And Antidepressants: Ongoing Use Of Ssris And The Hospital Course Of Covid-19 Patients: A Retrospective Outcome Analysis, Sherri Mendelson

Providence Nurse Research Conference (2022 - present)

No abstract provided.


Podium Presentation: Registered Nurses' Diet Quality And Overall Health During The Sars-Cov-2 Pandemic, Teresa Bigand, Ross Bindler, Lois James, Rachel Faulkner, Rebecca Penders, Trisha Saul, Marietta Sperry, Marian Wilson Jun 2022

Podium Presentation: Registered Nurses' Diet Quality And Overall Health During The Sars-Cov-2 Pandemic, Teresa Bigand, Ross Bindler, Lois James, Rachel Faulkner, Rebecca Penders, Trisha Saul, Marietta Sperry, Marian Wilson

Providence Nurse Research Conference (2022 - present)

No abstract provided.


Podium Presentation: Mindfulness Bundle Impact On Nurse Burnout Study, Gisele Nicole Bazan, Tiffany Patterson, Kelsey Sawyer, Deborah Wambui Kamau, Jamie Roney, Michelle Bradberry, Cynthia Louise Grissman, Sahar Mihandoust, Randall Stennett, Joann Long Jun 2022

Podium Presentation: Mindfulness Bundle Impact On Nurse Burnout Study, Gisele Nicole Bazan, Tiffany Patterson, Kelsey Sawyer, Deborah Wambui Kamau, Jamie Roney, Michelle Bradberry, Cynthia Louise Grissman, Sahar Mihandoust, Randall Stennett, Joann Long

Providence Nurse Research Conference (2022 - present)

No abstract provided.


Podium Presentation: Nursing And Emotional Health Before And During The Covid-19 Hospital Surges, Marietta Sperry, Ellen Romesburg, Teresa Bigand, Marian Wilson, Lois James Jun 2022

Podium Presentation: Nursing And Emotional Health Before And During The Covid-19 Hospital Surges, Marietta Sperry, Ellen Romesburg, Teresa Bigand, Marian Wilson, Lois James

Providence Nurse Research Conference (2022 - present)

Background:

Occupational burnout, a symptom of chronic work-related stress, can lead to negative health outcomes such as anxiety, depression, diabetes, insomnia, and increased risk for cardiovascular disease. Burnout also augments negative occupational risks such as increased sick days, decreased productivity, disability claims, and turnover. Nurses working in the hospital setting report high levels of work-related stress and burnout related to patient acuity levels and short staffing, and rates have further worsened in the context of the COVID-19 pandemic. The emergence of the virus brought multiple hospital surges, greatly increasing nursing workload as patient acuity climbed and simultaneously, national nurse turnover ...


Podium Presentation: Levels Of Compassion Satisfaction Among Prescribers, Nursing Staff, And Chaplains, Teresa Bigand, Adam Gaines, Dawn Bock, Jamie Roney, Rachel Freedberg, Rosemary Timmerman, Danell Stengem Jun 2022

Podium Presentation: Levels Of Compassion Satisfaction Among Prescribers, Nursing Staff, And Chaplains, Teresa Bigand, Adam Gaines, Dawn Bock, Jamie Roney, Rachel Freedberg, Rosemary Timmerman, Danell Stengem

Providence Nurse Research Conference (2022 - present)

Background:

Patient care delivered in hospitals is fast-paced, complex, and ever-changing. During the COVID-19 pandemic, nurses, prescribers, and chaplains provided front-line, whole-person care in hospital settings to patients who had decreased or no access to visitors without the use of technology while facing acute illness and difficult prognoses. During the pandemic, nurses and physicians reported increased fatigue and stress in scientific literature. Poor emotional well-being may lead to decreased compassion satisfaction. Increased compassion satisfaction may mitigate adverse occupational and patient-centered outcomes, support fewer missed days at work, lead to higher staff satisfaction, and raise patient satisfaction scores. Literature reports that ...


Podium Presentation: Relationships Between Nursing Stress And Perceived Importance Of Access To Chaplains During The Covid-19 Pandemic, Teresa Bigand, Adam Gaines, Sheila Doucette, Danell Stengem, Rachel Freedberg, Jamie Roney, Rosemary Timmerman Jun 2022

Podium Presentation: Relationships Between Nursing Stress And Perceived Importance Of Access To Chaplains During The Covid-19 Pandemic, Teresa Bigand, Adam Gaines, Sheila Doucette, Danell Stengem, Rachel Freedberg, Jamie Roney, Rosemary Timmerman

Providence Nurse Research Conference (2022 - present)

Background:

Hospital chaplains are trained to provide spiritual support to inpatients, family members, and support persons across the continuum of care. Patients receiving a chaplain visit during their hospital stay report higher satisfaction, quality of life, and spiritual well-being. Chaplain consultation during hospitalization is related to higher rates of hospice enrollment and lower rates of in-hospital deaths. Additionally, evidence suggests nurses who are employed in hospitals with staff chaplains report lower stress and compassion fatigue based on frequency of interactions with chaplains during worked shifts. Since the COVID-19 pandemic, hospital nurses providing front-line care report higher stress levels compared to ...


Podium Presentation: Or Nurses Psychological Well-Being And Redeployment During The Covid-19 Pandemic, Joy Lanfranchi, Trisha Saul, Ross Bindler Jun 2022

Podium Presentation: Or Nurses Psychological Well-Being And Redeployment During The Covid-19 Pandemic, Joy Lanfranchi, Trisha Saul, Ross Bindler

Providence Nurse Research Conference (2022 - present)

Background: Throughout the COVID-19 pandemic, Operating Room (OR) nurses were redeployed to patient care units during times of maximal surge capacity in hospitals caring for patients with the novel coronavirus. Hospital bed and staffing needs caused hospitals to cancel elective surgeries, allowing for conservation of bed space and nurses to accommodate the patient influx. Despite the highly specialized nature and skill set of OR nursing, OR nurses were expected to function in traditional patient care roles, where levels of self-assessed competence vary based on experience and training. There is a paucity of literature on the psychological impact of redeployment of ...


Podium Presentation: Entangled: Nurses With Mental Health Problems Who Died By Suicide, Adriana Barnes Jun 2022

Podium Presentation: Entangled: Nurses With Mental Health Problems Who Died By Suicide, Adriana Barnes

Providence Nurse Research Conference (2022 - present)

No abstract provided.


Podium Presentation: Promoting Holistic Health: Impact Of Vocati On The Spiritual And Moral Development In Youth, Joann Long, Jeremy Smith Jun 2022

Podium Presentation: Promoting Holistic Health: Impact Of Vocati On The Spiritual And Moral Development In Youth, Joann Long, Jeremy Smith

Providence Nurse Research Conference (2022 - present)

Background: Approximately one out of every six individuals are adolescents between the ages of 10 to 19. Promoting health and reducing risks for this age group has life-long health and societal consequences. Evidence suggests positive and negative risk-taking behaviors cluster in this population. Models for the promotion of positive youth development have shifted in focus from avoidance of risk-taking behaviors to emphasis on psychosocial competence and holistic well-being. Evidence suggests spiritual wellbeing, regardless of conceptual definition, is more often than not associated with positive health outcomes and development in youth. However, few studies have included spiritual and moral constructs in ...


Will Apfel Score Awareness Among Caregivers Improve Postoperative Nausea And Vomiting (Ponv) Incidence And Management In Day Surgery?, Leni Alejo, Cherry De Guia, Cassandra Luck-Bird, Cynthia Rodriguez, Lilibeth Paloso, Gillian Ramirez, Deborah Graham Jun 2022

Will Apfel Score Awareness Among Caregivers Improve Postoperative Nausea And Vomiting (Ponv) Incidence And Management In Day Surgery?, Leni Alejo, Cherry De Guia, Cassandra Luck-Bird, Cynthia Rodriguez, Lilibeth Paloso, Gillian Ramirez, Deborah Graham

Providence Nurse Research Conference (2022 - present)

Background: Evidence supports Apfel Simplified Risk Score (SRS) as being effective in predicting postoperative nausea and vomiting (PONV) in patients following general anesthesia. Raising awareness of a person’s risk for PONV allows for prescription of antiemetics based on the Apfel SRS. Clinical Practice Guidelines (CPGs) for the management of PONV highlight first identifying patients’ risk to better manage anesthesia side effects. A team of nurses working in a tertiary hospital in Texas led a project using the Apfel SRS to improve PONV management.

Purpose: To raise awareness of patients' PONV risk perioperatively to improve patient outcomes of PONV events ...


Assessment Of Trauma-Informed Care Knowledge Among Caregivers In An Inpatient Mental Health Unit, Katie Rhea, Loni Conley, Jeremy Williams, Kathryn Wiltfong, Teresa Bigand Jun 2022

Assessment Of Trauma-Informed Care Knowledge Among Caregivers In An Inpatient Mental Health Unit, Katie Rhea, Loni Conley, Jeremy Williams, Kathryn Wiltfong, Teresa Bigand

Providence Nurse Research Conference (2022 - present)

Background: Research suggests exposure to traumatic events is extremely common. Furthermore, risk of developing chronic health conditions or engaging harmful behaviors such as substance use later in life increases with more frequent exposure to traumatic events, especially during childhood. Best evidence recommends delivery of health care using a Trauma Informed Care (TIC) approach to improve outcomes such as anxiety or depression. This care approach guides healthcare providers on interactions with patients centered on the tenets of (1) safety, (2) trustworthiness, (3) peer support, (4) collaboration, (5) empowerment and choice, and (6) cultural, historical, and sex issues. On one inpatient mental ...


Differences In Nutritional Profile Of 12-Hour Registered Nurses Who Do And Do Not Take At Least 60 Minutes Of Scheduled Breaks, Rachel Faulkner, Teresa Bigand, Marian Wilson, Lois James, Ross Bindler, Charis Williams Jun 2022

Differences In Nutritional Profile Of 12-Hour Registered Nurses Who Do And Do Not Take At Least 60 Minutes Of Scheduled Breaks, Rachel Faulkner, Teresa Bigand, Marian Wilson, Lois James, Ross Bindler, Charis Williams

Providence Nurse Research Conference (2022 - present)

No abstract provided.


Oral Care To Prevent Non-Ventilator Hospital Acquired Pneumonia, Rosemary Timmerman, Bonnie Barnard, Emily Anderson Jun 2022

Oral Care To Prevent Non-Ventilator Hospital Acquired Pneumonia, Rosemary Timmerman, Bonnie Barnard, Emily Anderson

Providence Nurse Research Conference (2022 - present)

No abstract provided.


Identifying Skin Integrity Issues In The Post Anesthesia Care Unit: A Qualitative Improvement Project, Lori Patten Jun 2022

Identifying Skin Integrity Issues In The Post Anesthesia Care Unit: A Qualitative Improvement Project, Lori Patten

Providence Nurse Research Conference (2022 - present)

No abstract provided.


Effects Of Compassion Fatigue In Critical Care Nurses On Retention: An Integrative Research Review, Kelsey Sawyer Jun 2022

Effects Of Compassion Fatigue In Critical Care Nurses On Retention: An Integrative Research Review, Kelsey Sawyer

Providence Nurse Research Conference (2022 - present)

No abstract provided.


Utilizing The Nurse's Voice To Improve Engagement During The Covid-19 Pandemic, Kathryn Webster, Sheila Linehan, Luzbel Diaz, Wendy Lu Jun 2022

Utilizing The Nurse's Voice To Improve Engagement During The Covid-19 Pandemic, Kathryn Webster, Sheila Linehan, Luzbel Diaz, Wendy Lu

Providence Nurse Research Conference (2022 - present)

No abstract provided.


Severe To Very Severe Hypertriglyceridemia Management, Lauren Johnston, Rachel K. Bennings Jun 2022

Severe To Very Severe Hypertriglyceridemia Management, Lauren Johnston, Rachel K. Bennings

Providence Nurse Research Conference (2022 - present)

Background: HTG-induced acute pancreatitis (HTG-IAP) is the third most common cause of pancreatitis, accounting for approximately 14% of cases. Knowing best care practices and having protocols to care for this patient population is imperative. Nurses working on the frontline of care noticed an increase in patients with HTG-IAP being admitted to their critical care unit, thus looking for an answer to how to best care for them became crucial. Nurses sought to find an answer to what evidence-based care delivery to this patient population is available in peer-reviewed literature.

Purpose/aims: Investigators sought to answer the question, “In adults (>18 ...