The Impact Of Brief Electronic Guided Mindfulness Meditation On Anxiety Scores, 2024 Northern Michigan University
The Impact Of Brief Electronic Guided Mindfulness Meditation On Anxiety Scores, Sierra King
DNP Scholarly Projects
In the United States, anxiety rates are on the rise for the general population (Goodwin et al., 2020a). Prolonged and frequent anxiety can become unprompted and problematic (American Psychiatric Association, 2021). Management of anxiety is crucial for overall wellbeing. Access to treatment and resources for anxiety may be limited in rural geographical locations (Morales et al., n.d.). This DNP project sought to determine whether a brief intervention of electronic guided mindfulness meditation (MM) by Insight Timer is effective in decreasing anxiety in a rural populous. Convenience sampling recruited a final total of 11 rural participants who participated in seven sessions …
Lived Experiences: Growing Up With A Seriously Mentally Ill Parent, 2024 Case Western Reserve University
Lived Experiences: Growing Up With A Seriously Mentally Ill Parent, Deborah Lindell, Elliane Irani
Faculty Scholarship
Introduction: Individuals with serious mental illness often have persistent and disruptive symptoms. These can profoundly affect their children's lives, exposing them to adverse social and psychological conditions. Such conditions can result in traumatic lived experiences during childhood, which can carry over into adulthood, influencing their self-perceptions and shaping their attitudes toward themselves and society. To gain insights into this phenomenon, this study explored the lived experiences of adults who grew up with a parent with serious mental illness and their perceptions of their lives in adulthood. Design: This study used an interpretive phenomenological design. Methods: Participants were invited to voluntarily …
Cultural Wounds Find Release: Art Therapy And First Generation Immigrants’ Mental Health, 2024 Dominican University of California
Cultural Wounds Find Release: Art Therapy And First Generation Immigrants’ Mental Health, Crystal Soojung Yi, Dennis Chavez Calderon
Nursing | Senior Theses
Background: First-generation immigrants in the United States confront significant mental health challenges rooted in cultural identity conflict. Specifically, these challenges are linked to elevated rates of anxiety, depression, and post-traumatic stress disorder (PTSD), as indicated by Lindert et al. (2009). Art therapy holds promise as an intervention for treating mental health and identity conflicts in a variety of populations. Yet, little is known about how art therapy can improve the experience of first-generation immigrants experiencing cultural identity conflicts.
Objective: This study aims to assess the effectiveness of art therapy in improving the mental health and cultural identity conflicts of first-generation …
Evaluating The Effectiveness Of Culture Based Nurse-Led Education For Postpartum Depression In Primiparous Asian-American Women, 2024 Dominican University of California
Evaluating The Effectiveness Of Culture Based Nurse-Led Education For Postpartum Depression In Primiparous Asian-American Women, Colleen Peralta
Nursing | Senior Theses
The postpartum period is a critical period in regards to maternal health, marked by various physical, emotional, and psychological changes. Among the vulnerabilities that arise, postpartum depression (PPD) poses significant risks. More specifically, Asian-American mothers with postpartum depression face unique challenges, including the stigma surrounding mental health. As mental health stigma remains prevalent within the Asian-American community, it can make it challenging for mothers to seek out mental health care for postpartum depression. To investigate, primary research articles about the perceptions and experiences of PPD and the interventions used to improve PPD outcomes were examined. A plan for a future …
The Education Prescription: Exploring The Potential Of Patient Education To Reduce Mental Health Issues In Hormonal Contraceptive Users, 2024 Dominican University of California
The Education Prescription: Exploring The Potential Of Patient Education To Reduce Mental Health Issues In Hormonal Contraceptive Users, Maria Abraham
Nursing | Senior Theses
The many birth control options available impact a woman’s life, as hormonal contraceptives are commonly used but often misunderstood. These contraceptives, which contain progestin only, or estrogen and progestin combined, can come in various forms such as pills, implants, IUDs, injections, the vaginal ring, and skin patches. They offer benefits such as reduced menstrual cramps and ectopic pregnancy risk. However, they may lead to adverse side effects which can include increased blood pressure, nausea, headaches, breakthrough bleeding, and a higher risk of blood clots, with research indicating a potential link between oral contraceptive use and a decline in the user’s …
Increasing Medication Adherence In Patients With Bipolar Disorder Using Mobile App Reminder, 2023 James Madison University
Increasing Medication Adherence In Patients With Bipolar Disorder Using Mobile App Reminder, Emmaculate Ndifor
Doctors of Nursing Practice (DNP) Final Projects, 2020-current
Background: Bipolar disorder (BD) is the fifth leading course of disability in the world, contributing to many co-morbid conditions and complications. Non-adherence to medication is prevalent in patients with BD. The aim of the project was to use an evidence-based technological intervention to enhance medication adherence in BD patients between 18- 65 years old at an outpatient behavioral health clinic.
Methods: Baseline assessment included a pre Morisky Medication Adherence (MMAS-4) questionnaire. The development of an intervention to improve medication adherence was based on Johnson’s (2002) Medication Adherence Model (MAM).
Interventions: Participants downloaded the Medisafe app, registered medications and set …
Depression Screening Tool For Hysterectomy Patients, 2023 University of San Francisco
Depression Screening Tool For Hysterectomy Patients, Dede C. Mihedji
Doctor of Nursing Practice (DNP) Projects
Abstract
Background: The prevalence of hysterectomies in the United States ranges from
5.1 to 5.8 per 1000 women (Harnod et al., 2018). A standardized screening tool for assessing
depression preoperatively could mitigate the worsening of postoperative depressive symptoms in patients scheduled for a hysterectomy.
Local Problem: Currently, there is no standard of practice to routinely screen for depression in preoperative patients scheduled for hysterectomy surgeries. However, as with any surgical intervention, there are risks of long-term complications. Studies have identified that a hysterectomy may increase the risk of cardiovascular events, menopause, depression, and other outcomes (Madueke-Laveaux et al., 2022). …
Implementation Of A Community Health Worker (Chw) Training Program To Improve Birth Outcomes, 2023 University of San Francisco
Implementation Of A Community Health Worker (Chw) Training Program To Improve Birth Outcomes, Emiko Maruri
Doctor of Nursing Practice (DNP) Projects
Background
Those who have been affected by any adverse childhood experience (ACE) have an increased likelihood of poor birth outcomes. These include low infant birth weight, preterm delivery and can even lead to pregnancy loss.
Problem
Latina women have been identified by the Centers for Disease Control (CDC) as those most affected by ACEs. Further evidence supports those affected by 2 or more ACEs have poor birth outcomes.
Context
For this project, The Save the Children organization in partnership with the University of San Francisco Doctorate of Nursing Practice (USF DNP) students and Community Health Workers (CHWs) of the Central …
Implementation Of Fast-Track Triage Process To Improve Ambulance Patient Offloading Time (Apot) In A Psychiatric Emergency Services (Pes) Unit, 2023 The University of San Francisco
Implementation Of Fast-Track Triage Process To Improve Ambulance Patient Offloading Time (Apot) In A Psychiatric Emergency Services (Pes) Unit, Oke Augustine Umeugoji
Doctor of Nursing Practice (DNP) Projects
Abstract.
Background.
Ambulance delays in hospital EDs have recently been significant in the United States. This delay has been attributed to emergency department overcrowding, a record number of 911 calls, a shortage of ED staff (doctors and nurses), and poor resources available in the communities as alternatives to an ED visit. Local Emergency Medical Service Authorities (LEMSA) monitor and determine the community standards for measuring ambulance offload delays (AOD), usually in minutes.
Problem.
Lengthy ambulance patient offload times and their subsequent impact on EMS have been significant all around the state of California as well as nationwide. The ambulance delay …
Reducing Care Companion Utilization In Medical-Surgical And Telemetry Units, 2023 University of San Francisco
Reducing Care Companion Utilization In Medical-Surgical And Telemetry Units, Mary Jane B. Sagabaen
Master's Projects and Capstones
Abstract
Problem: The facility highly utilized sitters or care companions, negatively impacting the staffing plan, budget, and productivity. An average of 56 hours of care companions were used daily. This greatly exceeded the budget of 33 hours a day. Reassigning Patient Care Technicians (PCT) as care companions resulted in inadequate nurse support for patient care and increased cost for additional staffing needs. Despite this, the fall rate remained higher than the target.
Context: The patient population is mainly 65 years old and above, sometimes with confusion, dementia, delirium, and at high risk for falls and elopement. The culture included promptly …
Promoting Parent-Child Relationships Through Community-Based Family Wellness Programs To Improve Mental Health In Children, 2023 The University of San Francisco
Promoting Parent-Child Relationships Through Community-Based Family Wellness Programs To Improve Mental Health In Children, Maria Elena Falcon
Doctor of Nursing Practice (DNP) Projects
Objective: Adverse childhood experiences can affect a child mentally and lead to mental, health, and learning problems later in life. Establishing healthy parent-child relationships through family-oriented programs can promote mental well-being, improve behavior and learning in children and strengthen positive parent-child relationships.
Methods: A systematic electronic search using databases Cumulative Index to Nursing and Allied Health Literature (CINAHL), PubMed, and PsycINFO, contextualized current research on the importance of parent-child relationships and their influence on mental health. The inclusion criteria for the review used were articles in the English language and relevant dates from 2014 to 2021. The key terms used …
A Picture Of Spirituality In Youth Living With Bipolar Disorder, 2023 Western University
A Picture Of Spirituality In Youth Living With Bipolar Disorder, Michelle S. Solomon
Electronic Thesis and Dissertation Repository
There is a paucity of literature concerning how youth living with bipolar disorder understand and experience spirituality. The management of bipolar disorder through psychosocial interventions such as spirituality is critical due to the chronic and complex nature of the illness and the fact that pharmacotherapy has not been found to fully restore mood and quality of life (Michalak et al., 2016; Miller et al., 2014; Sanchez-Moreno et al., 2009; Stroppa & Moreira-Almeida, 2013). Spirituality has been defined as being concerned with the ultimate questions in life; the meaning in life that a person gains in relation to something bigger than …
Implementation Of A Screening, Brief Intervention, And Referral To Treatment Protocol For Treatment Of Opioid Use Disorder In Post-Carceral Populations, 2023 University of Tennessee, Knoxville
Implementation Of A Screening, Brief Intervention, And Referral To Treatment Protocol For Treatment Of Opioid Use Disorder In Post-Carceral Populations, Adaora Ede, Mary Johnson
Graduate Publications and Other Selected Works - Doctor of Nursing Practice (DNP)
BACKGROUND: Opioid use disorder (OUD) is a pressing public health issue in the US affecting marginalized populations the most. Within the correctional setting, 65% of inmates are affected with OUD, worsening health outcomes when untreated.
LOCAL PROBLEM: This evidence-based practice (EBP) project targeted justice-involved individuals with co-occurring OUD at a behavioral health clinic in Johnson City, Tennessee. This project aimed to improve outcomes related to recidivism and relapse through clinician education and the implementation of a Screening, Brief Intervention, and Referral to Treatment (SBIRT) protocol.
METHODS: Johns Hopkins Nursing Evidence-Based Practice Model (JHNEBP) was the guiding EBP model for the …
Mindfulness-Based Educational Module For Nurses Caring For Pediatric Mental Health Patients, 2023 University of Tennessee, Knoxville
Mindfulness-Based Educational Module For Nurses Caring For Pediatric Mental Health Patients, Brianna Mai Desjardins, Katherine Marie Newnam
Graduate Publications and Other Selected Works - Doctor of Nursing Practice (DNP)
BACKGROUND: Emergency pediatric nurses have the added stress of not only caring for medical patients but must also care for patients experiencing mental health issues. Many nurses feel unprepared to care for this specialized patient population. To bridge this gap, mindfulness-based interventions (MBIs) have been shown to provide nurses with the skills needed to care for mental health patients. This same concept can be applied to pediatric patients. Pediatric-focused mindfulness-based techniques can be used to help pediatric patients manage their symptoms.
LOCAL PROBLEM: The setting for this project was an urban pediatric emergency department in East Tennessee. At the state …
The Implementation Of Nurse Practitioner Residency Programs To Increase The Employment Retention Of New Graduates, 2023 Roseman University of Health Sciences
The Implementation Of Nurse Practitioner Residency Programs To Increase The Employment Retention Of New Graduates, Roni-Jo Panganiban
Master of Science in Nursing Family Nurse Practitioner
This review explores the effectiveness of Nurse Practitioner (NP) residency programs in addressing role strain, burnout, and retaining new graduates. It emphasizes the factors contributing to NP resignations and proposes formal residency programs to improve job satisfaction and retention rates. Research highlights benefits such as enhanced preparedness, credibility, and better patient care, advocating for increased program accessibility and funding. Additionally, the application of the theory of planned behavior underscores compliance with regulations, evidence-based practice, and environmental influences for patient safety in advanced practice registered nursing. The literature review on NP residency programs draws from six empirical articles, focusing on job …
Identifying Risk And Improving Outcomes: Application Of The Gad-7 Screening Tool Used Among Patients With Chronic Pain In An Outpatient Setting, 2023 University of Tennessee, Knoxville
Identifying Risk And Improving Outcomes: Application Of The Gad-7 Screening Tool Used Among Patients With Chronic Pain In An Outpatient Setting, Connor J. Cochran
Graduate Publications and Other Selected Works - Doctor of Nursing Practice (DNP)
Background: It is estimated that chronic pain affects one in every five adults and that one in every three adults will be diagnosed with an anxiety disorder within their lifetime, indicating an overlap in both chronic pain and anxiety. Early identification of anxiety in the outpatient setting has the potential to increase identification and referral rates to specialized care.
Local Problem: An outpatient primary care facility that treats patients with chronic pain located in Philadelphia, Pennsylvania was the project setting. Prior to implementation, there was no standard process for identifying anxiety in patients.
Methods: The Iowa model of Evidence-Based Practice …
The Effect Of Focused Client Education On Case Management & Readmission Rates In Homeless Individuals With Co-Occurring Disorders Admitted To A Jail Diversion Program, 2023 University of Tennessee, Knoxville
The Effect Of Focused Client Education On Case Management & Readmission Rates In Homeless Individuals With Co-Occurring Disorders Admitted To A Jail Diversion Program, Pallavi Rao, Mary Johnson
Graduate Publications and Other Selected Works - Doctor of Nursing Practice (DNP)
Background: Individuals with both mental illness(es) (MI) and substance use disorder (SUD) occurring simultaneously are known as having co-occurring disorders (COD). The rates of COD found among homeless individuals (H-COD) are higher than in the general population. The presence of both conditions prevents H-COD individuals from overcoming their hardships and places them at a higher risk of being involved in the criminal justice system.
Local Problem: Jail diversion programs (JDPs) admit a high rate of H-COD clients nationally and locally at the project site in Knoxville (JDP-K). The Office on Homelessness reported about 80% of those admitted to JDP-K are …
Scaffolded Simulation In Psychiatric Mental Health Nursing Education, 2023 Jacksonville State University
Scaffolded Simulation In Psychiatric Mental Health Nursing Education, Lori Bobo, Stacy Mikel, Yolanda Chandler, Hungwei Tseng
Higher Learning Research Communications
Objectives: The purpose of this study was to investigate the impacts of using scaffolded clinical simulations on nursing students’ confidence in clinical reasoning, clinical judgment, and critical thinking skills. Next, we also attempted to gain insights into students’ perceptions of the benefits of scaffolded clinical simulations.
Method: We used a mixed-methods research design to investigate the impacts of using scaffolded clinical simulations on 133 second-semester baccalaureate nursing students’ confidence in clinical reasoning, clinical judgment, and critical thinking skills.
Results: Findings from this study indicate that students who perceived the benefits of scaffolded simulation activities (i.e., peer observations, debriefings, and self-reflections) …
The Effects Of Non-Pharmacological Interventions For Behavior And Psychological Symptoms Of Dementia: A Benchmark Study, 2023 University of Texas at Tyler
The Effects Of Non-Pharmacological Interventions For Behavior And Psychological Symptoms Of Dementia: A Benchmark Study, Rachel R. Williams
MSN Capstone Projects
The management of behavioral and psychological symptoms of dementia (BPSD) in patients who reside in nursing homes can be challenging. These neuropsychiatric behaviors can include but are not limited to aggression, agitation, delirium, depression, and psychosis (Cloak & Al Khalili, 2022). Patients with BPSD often have difficulty expressing their needs due to the disease process, resulting in further complexity when managing behaviors. There are no psychotropic medications to treat BPSD specifically, but many are often prescribed to treat the symptoms or behaviors exhibited by patients. The use of psychotropics, especially long-term can cause a myriad of adverse effects and should …
Life Experiences Of First-Year College Students Who Resided With A Parent Experiencing Depression, 2023 University of Maine - Main
Life Experiences Of First-Year College Students Who Resided With A Parent Experiencing Depression, Jasmine Olshin
Honors College
Depression is one of the most prevalent mental illnesses in the United States (US), and a significant number of depressed adults are parents to children who depend on them for care and nurturing. Research on parental depression (PD) focuses predominantly on its impacts on children and adolescents and has shown many negative outcomes as well as a predisposition to developing depression themselves. The literature on the impact of parental depression on young adults and college students is scant. Young adults (ages 18- 25) experience the highest rates of depression, and many of these individuals enter college where they are continuing …