Psychology Commons^™

Reflective Journaling Intervention To Impact Self-Awareness, Professional Health, And Overall Well-Being In Nurses, Brittany M. Langan, Katherine Keppen

Doctor of Nursing Practice Projects: College of Nursing

Background. Burnout among nurses has been on the rise and was exacerbated with the pandemic. Reflective journaling after work may be a strategy to decrease feelings of burnout. Reflective journaling, as an intervention, has been shown to improve self-awareness, compassion fatigue, and burnout among nurses. The purpose of this study was to pilot a 4-week reflective journaling intervention in hospital-based nurses and describe participant professional quality of life, self-awareness, and overall well-being.

Theoretical Framework. The Theory of Reasoned Action (TRA) was chosen as the theoretical framework because it identifies the belief that performing a particular behavior will lead to a …

The Effects Of The Transition From Pre-Nursing To Nursing On Mental Health, Andrew J. Davis, Paige R. Mullins, Kimberly A. Sell

Undergraduate Honors Theses

Mental health is an ever-growing crisis among adolescents and young adults, with suicide as second leading cause of death and the number of those negatively affected continually on the rise. Transitions are one of the major stressors prevalent among these age groups, placing individuals at risk for mental health deficits. This quantitative voluntary response comparative study assesses the transitional mental health of pre-nursing students and students in the nursing program at East Tennessee State University. Emailed to all with a declared major of pre-nursing or nursing, this study measured mental health using evidenced based assessment tools. The PHQ-9 for depression …

Communicating Comfort In Crisis: A Literature Review On Overcoming The Emergency Room Environment To Foster The Nurse-Patient Relationship, Faith G. Davenport

Senior Honors Theses

The average emergency room patient is not receiving the compassionate nurse-patient communication that patients experience on other hospital floors. Fewer positive nurse-patient interactions prompt patients to state that they feel uncomforted and dissatisfied on hospital exit surveys, inciting hospital management to investigate how to reverse this trend to retain their federal funding. Emergency room nurses cite multiple barriers inherent in their work environment that prevent them from building rapport with their patients, including a layout not conducive to private conversations, strict time constraints, and a fluctuating workload. Working for a prolonged period under these conditions is driving many nurses to …

Mitigating Weight Stigma In The Medical System: Self-Compassion For Nursing Students, Ellen C. Joseph

Electronic Theses and Dissertations

Weight stigma is a form of oppression that has been shown to have a detrimental impact on the well-being of people with higher weight. Healthcare providers are one of the most common sources of weight stigma, and their stigmatizing beliefs have been found to be associated with differential care for patients with “obesity”. The current study aimed to explore the feasibility of the loving-kindness meditation (LKM) as a brief intervention that reduces weight bias in nursing students by increasing self-compassion, positive, other-focused emotions, and cognitive flexibility, in order to improve compassionate care for patients with higher weight. Participants (189 nursing …

Black Hearts Matter: A Comparative Study Of Sociodemographic, Clinical, And Psychosocial Characteristics In Black And White Persons With Heart Failure, Hannah M Anderson Hughes

Theses and Dissertations

Heart failure (HF) is a chronic, progressive, debilitating illness that disproportionately affects Black individuals, often leading to poor quality of life (QOL). Various sociodemographic, clinical, and psychological characteristics are related to QOL in patients with HF. Because most studies do not include representative Black samples or report findings from racial subgroup analyses, these relationships and any existing racial differences are not well understood. The purpose of this descriptive, comparative study was to explore the relationships among sociodemographic, clinical, and psychological characteristics and QOL in patients with HF and to determine if there were racial differences between Black and White individuals. …

An Item Response Theory Analysis Of The Scoff Questionnaire In A Seventh Grade Population, Gerald J. Bean

International Journal of School Social Work

Eating disorders continue to be of concern to school social workers and health and counseling services staff in schools. There is a substantive need for scales that can help to measure both the extent to which eating disorders exist in a school population and to measure risk for specific students. Given that an eating disorder can be chronic and life-altering, early detection of risk is critically important. The aim of this study was to examine the psychometric properties of a popular eating order screening scale—the SCOFF Questionnaire—in a seventh-grade population using Item Response Theory methods. Epidemiological studies have suggested that …

Empowering Nurses Of Minority In The Face Of Incivility And Bullying: Through The Lens Of Phenomenology, Corrine Floyd

Dissertations

Abstract

Up to 85% of nurses have reported exposure to incivility in the workplace (Hunt & Marini, 2012). The often-subtle nature of incivility toward nurses in a minority population may partially explain why it remains a problem. Healthcare organizations realize the need for civility to counter the high turnover rate, staff shortages, and low job satisfaction reported by nurses, but lack understanding of how nurses of a minority population perceive incivility and bullying. This study aimed to answer the research question how do nurses with minority representation experience incivility and bullying versus empowerment in the workplace? A descriptive phenomenological design …

A Case For Delirium Risk Prediction Models To Aid In Triaging Resources To Those Most At Risk An Integrative Literature Review, Tammy Perttula

Nursing Masters Papers

Abstract

Delirium is a complex syndrome resulting from compounding effects of acute illness, comorbidities, and the environment. It results in adverse outcomes: elevated mortality rates, length of stay, readmissions, institutionalization, long-term cognitive changes, and diminished quality of life. The rate of iatrogenic delirium is astounding, ranging from 10%-89%. There are no curative treatments; thus, primary prevention is the key. The purpose of this literature review is to identify and critique the research for the accuracy of risk stratification and feasibility in practice. Support for interventions that prevent delirium is mounting; however, interventions are resource-intensive and often not implemented. Researchers have …

Fostering Meaning Making In Grieving Adults With Intellectual And Developmental Disabilities, Teresa Graziano

Senior Honors Projects

No abstract provided.

Sustainability In Quality Improvement And Patient Safety Initiatives, Angelo P. Giardino, Eileen R. Giardino

Journal of Nursing & Interprofessional Leadership in Quality & Safety

The question often asked of a quality improvement initiative is whether the improvement process has been sustained within the organization. Rarely is the question answered satisfactorily. The sustainability of an improvement process is important as it justifies the investment of human and financial capital. The term 'evaporation of improvements' addresses the dilemma that between 33% to 70% of all innovations are reportedly not sustained (Fleiszer, Semenic, Ritchie, Richer, & Denis, 2015) . This evaporation of improvement captures the frustrating inability of many institutions to maintain the achieved improvement after the newness of the initial effort wears off (Buchanan, Fitzgerald, & …

Relative Effectiveness Of Mindfulness And Cognitive Behavioral Interventions For Anxiety Disorders: Meta-Analytic Review, Samina K. Singh, Kevin M. Gorey

Social Work Publications

Increasingly popular mindfulness intervention innovations seem demonstrably effective in alleviating anxiety among people with anxiety disorders. However, the basis of such primary and synthetic evidence has, for the most part, been comparisons with non-active comparison conditions such as waiting lists. The longest-standing and strongest evidence-informed practices in this field have been cognitive behavioral interventions (CBI). This meta-analysis synthesized evidence from nine randomized trials of the relative effectiveness of mindfulness interventions compared to CBIs (i.e., active control groups) in treating anxiety disorders. The sample-weighted synthesis found no statistically or practically significant differences between the two groups on anxiety alleviation: Cohen’s d …

The Effect Of Bedside Handoffs On Patients’ Perceived Fears, Maija Paldan

Honors Theses

Background and Significance: Fear, anxiety, and apprehension can have a profound effect upon patient outcomes, possibly leading to a worsened health condition or delay in recovery. Current literature finds that communication and social support by the nursing staff may foster patients’ understanding of their care and their experiences of feeling safe. The bedside handoff is one way of enhancing communication and providing support within nurse patient interactions. The purpose of this study is to explore the effect of bedside handoffs on patients’ perceived fear, anxiety, and apprehension.

Methods: A secondary analysis was performed upon a larger quantitative data set from …

Relationship Among Motivation, Emotion Regulation, And Psychological Well-Being Of Sophomore And Senior Level Nursing Students, Aryene Delgado, Douglas Garner, Nicole Langhals

Williams Honors College, Honors Research Projects

Nursing education and professional work involve stressful circumstances that may lead to attrition, which can further contribute to the projected nursing shortage. This study examines the relationships between motivation, emotional regulation, psychological well-being and academic performance in baccalaureate sophomore and senior level nursing students at a Midwest urban university in the United States. The non-experimental, correlational study is guided by Deci and Ryan’s self-determination theory and uses an online survey data collection and convenience sampling. Measures include: motivation, emotional regulation, psychological well-being (burnout; inauthenticity), and academic performance (GPA), and will be measured using Deci and Ryan’s scale, the Emotion Regulation …

The Regional Study Of Sleep-Related Behaviors Of Nurse Anesthetists: Personal And Professional Implications: A Replication Study, Jarrod Fontenelle

Doctoral Projects

Universally, anesthesia providers are expected to be knowledgeable, astutely responding to clinical challenges while maintaining a prolonged vigilance for administration of safe anesthesia and critical care. A fatigued anesthetist is the consequence of cumulative acuity manifesting as decreased motor and cognitive powers. This results in patient harm, impaired judgement, late and inadequate responses to clinical changes, poor communications, and medical errors. With increased expectations and medical-legal claims, anesthesiologists work to provide efficient and timely services, but are rendered sleep deprived themselves. It is the right time to address the issue of the health of anesthesia providers and the profession. The …

Improving Depression Care For Older Home Health Patients, Sarah R. Schirmer

DNP Projects

Rates of depression in older home healthcare (HH) patients are highly prevalent. Although depression in this population is associated with increased rates of re-hospitalization, falls, and suicides, it is frequently under diagnosed and under treated. This Capstone Report examined this problem through three interrelated manuscripts. The first manuscript explored the problem through a review of the literature. This review determined that while there are many barriers to adequate depression care, programs that train clinicians to screen for depression and connect patients to depression care encourage adequate evaluation and treatment and can result in clinically significant changes in depression scores. This …

Factors That Relate To Registered Nurses' Readiness For Interprofessional Learning In The Context Of Continuing Professional Development, Collette Williams

Dissertations

Today’s health-care professionals practice in a highly technological, multidisciplinary environment. In order to provide safe, effective, and high-quality patient care, collaboration is required among all professionals. Traditionally each profession has operated independently in regard to continued professional development. The purpose of this study was to assess practicing registered nurses’ readiness toward interprofessional learning in order to align learning with current practice.

Method. An ex post facto study design was used to gather data to examine if there is a relationship between variables of demographics and readiness for interprofessional learning. The Readiness for Interprofessional Learning Scale (RIPLS) assesses the readiness for …

Perceptions And Experiences Of Intimate Partner Violence Among Hispanic College Students, Racquel Vera

FIU Electronic Theses and Dissertations

Intimate partner violence (IPV) is recognized as a serious, growing problem on college campuses. IPV rates among college students exceed estimates reported for the general population. Few studies have examined the impact of IPV among the Hispanic college student (HCS) population or explored how HCSs perceive and experience IPV.

Focusing on young adults (ages 18 to 25 years), this mixed methods study was designed to explore the perceptions and experiences of IPV focusing on levels of victimization and perpetration in relation to gender role attitudes and beliefs, exposure to parental IPV, acculturation, and religiosity. A sample of 120 HCSs was …

A College Study On Grief, Depression, And Anxiety, Briana Alexandre Paulo

Senior Honors Projects

Trauma and stress have been commonly studied with the occurrence of anxiety disorders. However, less research has been conducted on the relationship between the experience of loss, the centrality of the loss to a person’s identity and the experience and severity of symptoms of depression and anxiety. Current research has examined the relationship between a significant stressful event and symptoms of post-traumatic stress disorder (PTSD). Symptoms of anxiety and depression are experienced by people during various points in their life, although higher levels of these disorders may be exhibited after having experienced a loss or stressful life event.

Grief can …

The Effects Of Stress-Reducing Interventions On Perceived Test Anxiety And Achievement Of Nursing Students, Julie Mcdaniel

Summer Community of Scholars Posters (RCEU and HCR Combined Programs)

No abstract provided.

Culturally And Linguistically Diverse Carers' Perceptions Of The Cultural Appropriateness Of Carer Support Services: An Exploratory Study, Andrea Creado

Theses : Honours

Research on service utilisation by primary family carers has highlighted that carers from culturally and linguistically diverse (CALD) backgrounds face specific barriers in accessing services, such as lack of culturally appropriate services, communication issues, prejudice, feelings of failure and misunderstanding of mental illness. However, little is known about how to best overcome these factors from the carers' perspective. The aim of this study was to investigate the perceptions CALD carers had of the cultural appropriateness of carers' support services available in Perth. Ten primary family carers from CALD backgrounds participated in a semi-structured interview to explore their perceptions of existing …

The Relationship And Effects Of Mindfulness On Comfort, Work Satisfaction, And Burnout Among Nurses Who Provide Direct Patient Care, Pamela Lichtenberg Heard

Dissertations

This study proposed to examine the problem of burnout in the nursing profession and ways to ameliorate burnout. Many burnout studies in the past focused on the problem and possible solutions that managers and/or hospital administrators could incorporate into their organization. The focus of this study is to evaluate ways that nurses can decrease their own propensity to burnout through the use of mindfulness. Therefore, this study examined burnout in a non-traditional manner. It is not assumed that others must assist nurses with decreasing their levels of burnout. Mindfulness is a means by which nurses can empower themselves to combat …

Play Preparation For The Adeno-Tonsillectomy Patient, Carol Brown, Harriet Hecker

Loma Linda University Electronic Theses, Dissertations & Projects

Hospitalization and surgery have been recognized as being psychologically stressful for the majority of children. Hospital personnel have attempted to reduce some of the unnecessary psychological stress incurred by children by the use of many different methods. This study attempted to evaluate the use of preoperative play preparation sessions for minimizing this stress. The method was experimental with one variable. The subjects were forty-one children aged three and one-half to seven and one-half who had adeno-tonsillectomies. Twenty-one children comprising Group E were involved in a play session by the researchers. Twenty children were not prepared in this way. The tools …

Change In Selected Sensitive Psychological Areas Of The Only Child When A Sibling Is Born, Eveline H. Loewe

Loma Linda University Electronic Theses, Dissertations & Projects

A study was undertaken to see if, through the use of story projective fables, data could be obtained about the change in selected sensitive psychological areas of an only child when a sibling is born.

Projective stories from the Fine Revision of the Despert Fables were used to form brief tests of the sensitive psychological areas of parental rejection/sibling rivalry, dependency and aggression/hostility. These tests were given, both before and six weeks after the birth of a sibling, to fifty children from families in the Santa Clara Valley. Criteria used in selecting the children limited the subjects to those who …