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Psychiatric and Mental Health Nursing Commons

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Understanding Alcoholics’ “Difficulty In Life”: An Empirical Comparison Of Alcoholics And Nonalcoholics, Keiko Ito 2017 Toho University

Understanding Alcoholics’ “Difficulty In Life”: An Empirical Comparison Of Alcoholics And Nonalcoholics, Keiko Ito

Asian/Pacific Island Nursing Journal

The Japanese success rate for alcoholism treatment is approximately 30%, indicating high relapse rates. Although “difficulty in life” is thought to contribute to alcoholics’ relapse, the characteristics of the phenomenon are unknown. This study examined the factors contributing to alcoholics’ difficulty in life. Alcoholic self-help group members, who indicated the extent of their difficulty in life and described the factors that contributed to this difficulty, completed a self-administered questionnaire. Participants’ hypersensitivity/grandiosity traits were also examined. A control group of nonalcoholic men also completed the questionnaire. Simple tabulation, descriptive statistics, Mann-Whitney U tests, and multivariate analyses were used to compare ...


Stroke Outreach In The Lao Community, Noor A. Dythavon 2016 University of San Francisco

Stroke Outreach In The Lao Community, Noor A. Dythavon

Master's Projects

CNL Abstract

A community health needs assessment for the service area prompted concern regarding access to quality healthcare for non-English speaking Southeast Asians (SEA) in the area. Goals of an initial investigation and subsequent implementation of sustainable stroke health fairs for non-English speaking communities were evaluated to assess primary healthcare concerns that the SEA community face and to suggest long-term solutions to these issues. Initial investigation required researching population-specific minority health statistics to quantify the prevalence of chronic diseases and conditions which were prioritized in terms of needs versus disparities. Research came from evidence base practice guidelines and personal concern ...


Asian American Women's Resilience: An Integrative Review, Andrew Thomas Reyes, Rose E. Constantino 2016 University of Nevada, Las Vegas

Asian American Women's Resilience: An Integrative Review, Andrew Thomas Reyes, Rose E. Constantino

Asian/Pacific Island Nursing Journal

Asian American women face unique stressors that threaten their overall health and well-being. However, resilience is a phenomenon that allows individuals to develop positive adaptation despite adversities and challenges. This integrative review is conducted in order to explore the current state of knowledge regarding the resilience of Asian American women. Twelve databases were used to identify related articles: Academic Search Premier, CINAHL, ERIC, Ethnic NewsWatch, GenderWatch, ProQuest Dissertations and Theses Global, ProQuest Sociological Abstracts, PsycINFO, PubMed, SAGE (Psychology and Sociology collections), Scopus, and Web of Science. Twenty-one research studies met the inclusion criteria of the integrative review. Five common themes ...


Improving Quality And Efficient Communication Between Providers And Nursing - A Psychiatric Sbar Tool (Psych), Karen Lee Richards 2016 University of San Francisco

Improving Quality And Efficient Communication Between Providers And Nursing - A Psychiatric Sbar Tool (Psych), Karen Lee Richards

Master's Projects

IMPROVING QUALITY AND EFFICIENT COMMUNICATION BETWEEN

PROVIDERS AND NURSING - A PSYCHIATRIC SBAR TOOL (PSYCH)

Karen Richards

University of San Francisco

Abstract

Effective communication is the cornerstone of providing safety and quality healthcare. However, nursing and providers often share information inequitably, as these disciplines are trained differently regarding communication. Providers are taught to be brief, accurate and focused while nurses are taught to be descriptive and holistic. These differences have led to disparity in the sharing of valuable patient information, subsequently leading to increased frustration, inefficiency, and medical errors. Multiple studies provide evidence that poor communication is a major contributor to ...


Recovery-Oriented Care And Inpatient Psychiatric Nursing Practice, Julia M. McLaughlin 2016 University San Francisco

Recovery-Oriented Care And Inpatient Psychiatric Nursing Practice, Julia M. Mclaughlin

Master's Projects

For the past 15 years, major organizations such as the World Health Organization (WHO), Substance Abuse and Mental Health Services Administration (SAMHSA), and U.S. federal government have been committed to shifting mental health services from the medical model of care to the recovery-oriented model of care (Moller & McLoughlin, 2013). However, not all identified recovery-oriented practices have been fully implemented throughout mental health services, specifically in acute care settings. In 2015, San Mateo Medical Center’s acute psychiatric nursing staff completed McLoughlin’s (2005) Recovery Self-Assessment- Registered Nurse (RSA-RN). Data showed that 34% of nursing staff did not believe that the nurses within the Department of Psychiatry use a language of recovery and 40% reported that they did not feel that the hospital was recovery- oriented. In September 2016, a one-day workshop focused on the relevance, impact, and principles of the recovery-oriented care philosophy was held for all disciplines within the Department of Psychiatry, including nursing staff. In order to collect additional data specific to the one-day workshop, the RSA-RN was administered to nursing staff at the start of the workshop. Results from the pre-workshop assessment showed that 34% did not believe that the nurses within the Department of Psychiatry use a language of recovery and 10% did not feel that the hospital was recovery- oriented. A post-intervention RSA-RN assessment was electronically administered to workshop participants via Survey Monkey one month after the workshop; however the response rate was low and prevented a quantitative evaluation of the intervention’s impact on nursing practice.


Falls Program On An Acute Psychiatric Unit, Joseph Hunter Rose 2016 The University of San Francisco

Falls Program On An Acute Psychiatric Unit, Joseph Hunter Rose

Master's Projects

In the metropolitan hospital’s acute psychiatric unit there has been an increase in falls incidence as well as need for evaluation of the effectiveness of Schmid Fall Risk Assessment tool in its ability to properly identify those at risk. In the last fiscal year there were 45 falls among 28 patients on the acute psychiatric unit.Falls are harmful to the patients and can cause prolonged hospital stays with non-reimbursable costs to the hospital. Falls amongst psychiatric patients is an even greater challenge to address due to the nature of the mental health disease process. This project addresses general ...


An Examination Into The Relationship Between Iron Deficiency And Postpartum Depression, Sara A. Burroughs 2016 Liberty University

An Examination Into The Relationship Between Iron Deficiency And Postpartum Depression, Sara A. Burroughs

Senior Honors Theses

Postpartum depression is recognized as the most common complication of childbearing; however, its etiology remains fairly undetermined. Many different influences have been hypothesized as to what may cause postpartum depression, including changes in levels of various hormones (such as estrogen and progesterone), a decrease in serotonin, low levels of vitamin D, social factors, and iron deficiency. The lack of strong evidence for one specific cause makes it fairly clear that there are many factors that play a role in the development of postpartum depression. Iron deficiency is one issue that is thought to contribute to the development of postpartum depression ...


Examining The Associations Between Depressive Symptoms, Body Mass Index, And Physical Activity Self-Efficacy In African American Mother-Child Dyads, Y'Esha Vonyae Williams 2016 University of Tennessee Health Science Center

Examining The Associations Between Depressive Symptoms, Body Mass Index, And Physical Activity Self-Efficacy In African American Mother-Child Dyads, Y'Esha Vonyae Williams

Theses and Dissertations (ETD)

In recent decades the prevalence of childhood and adult depression and obesity has increased worldwide. Multiple factors influence the onset of both depression and obesity. Individual manifestations of depressive symptomatology and health-related problems associated with obesity vary; however, genetics and environmental and psychological factors have been implicated as correlates. Consequently, both disorders can ultimately interfere with individuals’ activities of daily living and decrease their quality of life. African American women are known to have a higher prevalence of obesity and more severe depressive symptoms in comparison to Caucasian women. Likewise, African American children are more obese and experience many factors ...


Health Professionals In Kenya: Strategies To Expand Reach And Reduce Brain Drain Of Psychiatric Nurses And Psychiatrists, Sharon Brownie, Elizabeth Oywer 2016 Aga Khan University

Health Professionals In Kenya: Strategies To Expand Reach And Reduce Brain Drain Of Psychiatric Nurses And Psychiatrists, Sharon Brownie, Elizabeth Oywer

Sharon Brownie

This paper highlights the extent of the brain drain in relation to human resources for health (HRH) that is currently challenging Kenya, and suggests strategies that have the potential to change current working environments and improve HRH retention rates. Governments in partnership with health professional bodies and regulators could improve the working conditions for psychiatrists and mental health nurses: by promoting career choices in mental health; by providing accessible professional development opportunities; and by easing workload pressures by expanding service reach through thoughtfully planned and delivered task-shifting to primary care. While these strategies have the potential to make a significant ...


Double The Outcomes: Employing Sensory Based Approaches To Improve The Quality Of Care And Reduce The Use Of Restraints On Inpatient Behavioral Health Units, Mary Ellen O'Connell RN, BSN, MSN, MBA, Jennifer P. Maloney MS, OTR/L, Stephanie Lenhart MBA, CPHQ 2016 Lehigh Valley Health Network

Double The Outcomes: Employing Sensory Based Approaches To Improve The Quality Of Care And Reduce The Use Of Restraints On Inpatient Behavioral Health Units, Mary Ellen O'Connell Rn, Bsn, Msn, Mba, Jennifer P. Maloney Ms, Otr/L, Stephanie Lenhart Mba, Cphq

Mary Ellen O'Connell

No abstract provided.


Biopsychosocial Vulnerability-Stress Modeling For An Incarcerated Population, Deborah Shelton, Bill Barta, Robert Trestman, Sara Wakai 2016 University of Connecticut, School of Nursing

Biopsychosocial Vulnerability-Stress Modeling For An Incarcerated Population, Deborah Shelton, Bill Barta, Robert Trestman, Sara Wakai

Journal for Evidence-based Practice in Correctional Health

This paper discusses individual constructs that form diathesis-stress models and formulates an adapted model for a corrections population. Diathesis-stress models are familiar within psychiatric nursing, but rarely discussed in the literature in their application to correctional population, or for their potential in guiding nursing practice in correctional settings. Of particular interest to this paper is the coping response of inmates to the stressors of incarceration and the implications for clinical care management.


The Relationship Between Elements Of Health And Social Systems And Substance Use Severity For Individuals Experiencing Homelessness, Sommer Froats 2016 The University of Western Ontario

The Relationship Between Elements Of Health And Social Systems And Substance Use Severity For Individuals Experiencing Homelessness, Sommer Froats

Electronic Thesis and Dissertation Repository

Canadians experiencing homelessness often live with severe substance use (Aubry et al., 2015; Khandor & Mason, 2007). Health challenges related to severe substance use contribute to the early mortality experienced by homeless Canadians (Hwang, Wilkins, Tjepkema, O’Campo & Dunn, 2009). This population also experience health and social system disadvantages. Using General Systems Theory, relationships between substance use severity and access to health care, housing stability, therapeutic relationship and quality of family and friends relationships were explored as elements of health and social systems. A correlational secondary analysis examined this in a sample of 65 individuals accessing housing first. Relationships were not ...


Predicting Burnout Among Psychiatric Technicians, Sarah E. Hernandez 2016 California State University, San Bernardino

Predicting Burnout Among Psychiatric Technicians, Sarah E. Hernandez

Electronic Theses, Projects, and Dissertations

This thesis attempted to examine stressors associated with the psychiatric technician profession and levels of burnout amongst them. This was accomplished through the use of a survey which included demographic data, the Maslach Burnout Inventory Human Services Survey (MBI‑HSS), an adaptation of the Nursing Stress Scale (NSS) and a self‑care assessment tool. A total of three research questions were examined statistically including levels of burnout on subcategories (personal accomplishment, emotional exhaustion and depersonalization), most common stressors identified by psychiatric technicians and percentage of participants who utilized therapy to cope with work related stress. The survey was made available ...


Enrichment Of Psychiatric Mental Health Clinical Rotations: A Suicide Scenario Simulation, Melinda Hermanns, Mary LuAnne Lilly, Bill Crawley 2016 The University of Texas at Tyler

Enrichment Of Psychiatric Mental Health Clinical Rotations: A Suicide Scenario Simulation, Melinda Hermanns, Mary Luanne Lilly, Bill Crawley

Melinda Hermanns

This poster was presented at the 27th Annual Psychiatric Mental Health Conference.


Increasing The Awareness Of Trauma Informed Care In The School Setting: Giving Practitioners The Tools To Actively Participate In Trauma Related Care, Rebekah L. Sypniewski 2016 University of San Francisco

Increasing The Awareness Of Trauma Informed Care In The School Setting: Giving Practitioners The Tools To Actively Participate In Trauma Related Care, Rebekah L. Sypniewski

Doctor of Nursing Practice (DNP) Projects

Of the approximately 15 million children and adolescents who have a mental health disorders that are interfering with their functioning, a mere 25% seek medical advice or treatment (Melnyk, Kelly, & Lusk, 2014). Furthermore, two thirds of youth report experience at least one traumatic event by age 16 (Suarez, Belcher, Briggs, & Titus, 2012). School health practitioners have regular contact with children and adolescents as they typically attend school five days a week, nine months out of the year. The consistent presence of the relationship between the practitioner and student creates an ideal environment for discussing the sensitive topics necessary to engage ...


Undiagnosed Depression In The Elderly And Healthcare Education, Nancy J. Wynn-Grundy 2016 California State University, Northern California Consortium Doctor of Nursing Practice

Undiagnosed Depression In The Elderly And Healthcare Education, Nancy J. Wynn-Grundy

Doctoral Projects

This descriptive study examined undiagnosed depression in the elderly and how it affects the elderly from retaining healthcare education. It is estimated by 2029, 20% of the United States population will be age 65 and older (Colby & Ortman, 2014). Depression in the elderly who have chronic diseases, is estimated to be undiagnosed up to 40% (Chaoyang et al., 2009). A hallmark symptom of depression is the inability to concentrate. It is unknown if undiagnosed depression will affect the older adult from retaining pertinent healthcare education. The 30 point Geriatric Depression Scale (GDS) was administered to a class of elderly individuals ...


Teaching And Evaluation Of Suicidal Assessment, Five-Step Evaluation And Triage (Safe-T) In The Emergency Department, Evangeline Rico 2016 California State University, Northern California Consortium Doctor of Nursing Practice

Teaching And Evaluation Of Suicidal Assessment, Five-Step Evaluation And Triage (Safe-T) In The Emergency Department, Evangeline Rico

Doctoral Projects

Suicide remains to be a global and a national problem, and it continues to be one of the leading causes of death in the United States (U.S.) The Emergency Department (ED), being the gateway to the hospital can provide a great opportunity to assess each patient for suicidal ideation, and evaluate if patients present with risk factors for suicide. The competency of the ED staff plays a critical role in early recognition of patients who are at risk, and in implementing a plan of care for those with positive screens. However, researchers showed that knowledge deficit and lack of ...


Relationship Between Parental Alcoholism And Family Unpredictability, Kamie L. Stephens 2016 The University of Southern Mississippi

Relationship Between Parental Alcoholism And Family Unpredictability, Kamie L. Stephens

Honors Theses

This research is a retrospective study on adult children of alcoholics using a previous researcher’s, Dr. Ross, unpredictability scale. Family Unpredictability is defined as “a lack of consistency in family behaviors and regulatory systems,” (Ross and Hill, 2000). There is currently a lack of research related to parental alcoholism and its effect on family structure. The researcher hopes to gain insight on the relationship between parental alcoholism and family unpredictability. Previous research suggests children growing up with a caregiver who is an alcoholic experience a higher level of unpredictability in the home. Examples of this unpredictability are: a decreased ...


Impact Of Nursing Interventions On Positive Confusion Assessment Method (Cam) Scores, Katie Halsell 2016 University of Arkansas Fayetteville

Impact Of Nursing Interventions On Positive Confusion Assessment Method (Cam) Scores, Katie Halsell

The Eleanor Mann School of Nursing Undergraduate Honors Theses

Delirium occurs in patients of all ages, especially in the older adult population. Symptoms vary from patient to patient, and delirium is often misdiagnosed. Patients with delirium have a higher cost of care and a longer length of stay in the hospital. Delirium is a stressful event for both the nurse and the patient, resulting in poor patient outcomes. The Confusion Assessment Method (CAM) tool is used to diagnose delirium in confused patients; a positive CAM score indicates delirium. Nursing interventions are used to treat delirium. Interventions used range from non-pharmacologic measures to use of pharmacological measures and restraints. This ...


Nursing Perception Of Psychogenic Nonepileptic Spells: Improving Patient Outcomes, Amanda J. Cramer 2016 Otterbein University

Nursing Perception Of Psychogenic Nonepileptic Spells: Improving Patient Outcomes, Amanda J. Cramer

Doctoral Theses

Patients with psychogenic nonepileptic spells (PNES) have generally poor outcomes and many fail to engage in evidence-based treatments (Thompson et al., 2013). Negative healthcare provider perceptions have been implicated as a barrier to patient engagement in treatment recommendations for PNES (Whitehead, Kandler, & Reuber, 2013; Worsely et al., 2011). Illness perception of these patients has been evaluated from the perspective of physicians in multiple settings but perceptions by nurses are not well studied despite the close interactions that nurses have with these patients.

This project used Pender’s health promotion model to collect information about the nursing experience with patients with PNES at ...


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