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Psychiatric and Mental Health Nursing Commons

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Sibling Caregivers Of Individuals Diagnosed With Schizophrenia, Mijung Park, Kwang-Ja Lee 2017 University of California, San Francisco

Sibling Caregivers Of Individuals Diagnosed With Schizophrenia, Mijung Park, Kwang-Ja Lee

Asian/Pacific Island Nursing Journal

Siblings of individuals diagnosed with schizophrenia are an important source of family caregiving. Unfortunately, limited information is available about sibling caregivers because existing studies have focused on other family relationships such as parents, spouses, and children. To fill the knowledge gap, the purpose of this study is to describe Korean sibling caregivers’ experience with individuals diagnosed with schizophrenia.

Guided by Colaizzi’s descriptive phenomenological methodology, we conducted in-depth, semi-structured, face-to-face interviews with eight individuals who have a sibling (1) diagnosed with schizophrenia and (2) hospitalized in an inpatient psychiatric unit. We discerned six key themes: sorrow, burnout, shame, different perspectives ...


Grace Peterson Research Colloquium, Emma Pfeiffer 2017 DePaul University

Grace Peterson Research Colloquium, Emma Pfeiffer

Grace Peterson Nursing Research Colloquium

Mental illness is commonly under-diagnosed, misdiagnosed, or untreated, particularly in the elderly population. An expected population increase for those 65 years and older, increased in health care expenses coupled with the moral and ethical obligation of health care providers to promote quality of life at all ages makes investigation to alternative treatments in this population is worth investigating. The purpose of this literature review is to synthesize existing studies to clarify the following questions: What are the effects of pet therapy on those experiencing signs and symptoms of depression and anxiety? Why is pet therapy still lagging in validated studies ...


The Efficacy Of Treatment For Ptsd In Combat Veterans, Daniel Lutz 2017 DePaul University

The Efficacy Of Treatment For Ptsd In Combat Veterans, Daniel Lutz

Grace Peterson Nursing Research Colloquium

An integrative literature review to treatments available to combat veterans suffering from Post Traumatic Stress Disorder (PTSD).


Perceived Stigmas And Barriers For Veterans With Mental Health Disorders, Elaine Lobo 2017 DePaul University

Perceived Stigmas And Barriers For Veterans With Mental Health Disorders, Elaine Lobo

Grace Peterson Nursing Research Colloquium

PERCEIVED STIGMAS AND BARRIERS FOR VETERANS WITH MENTAL HEALTH DISORDERS

Elaine Lobo

Faculty Sponsor: Kim Siarkowski Amer, PhD, RN

Background: Research has shown a low percentage of veterans taking advantage of mental health services.

Objectives: Evaluate the help-seeking behaviors of veterans screening positive for mental health problems and determine the most common modifiable risk factors of perceived stigma and barriers to mental health underutilization.

Method: An integrative review of literature using Whittemore and Knafl’s updated methodology was performed. A total of nine articles were selected and reviewed independently for comparison.

Findings/Results: No more than 39% of veterans screening ...


College Students, Experiences On Smart Phone Technology Usage: A Qualitative Content Analysis Study, fatemeh jafarzadeh-kenarsari, parand pourghane 2017 Medical Education Research Center (MERC), Education Development Center, Guilan University of Medical Sciences, Rasht, Iran

College Students, Experiences On Smart Phone Technology Usage: A Qualitative Content Analysis Study, Fatemeh Jafarzadeh-Kenarsari, Parand Pourghane

The Qualitative Report

Besides many benefits of the cell phone technology, numerous arguments are raised on the different and important negative effects of such a technology. This qualitative content analysis study explored the common usages of smart phone technology, its challenges, and benefits among Iranian college students. Participants were 32 bachelor degree students who were recruited using purposive sampling method with maximum variation. Data were collected through 11 individual semi-structured interviews and 3 focus group discussions (5-8 students in each group). Data analysis was done based on a conventional content analysis approach. Data analysis resulted in 3 main themes and 12 sub-themes. The ...


Patient Fall Prevention, P6 Inpatient Geri-Med Psychiatry, Haley Pelletier, Suneela Nayak, Stephen Tyzik, Ruth Hanselman 2017 Maine Medical Center

Patient Fall Prevention, P6 Inpatient Geri-Med Psychiatry, Haley Pelletier, Suneela Nayak, Stephen Tyzik, Ruth Hanselman

Maine Medical Center

No abstract provided.


Racial Microaggressions Within The Field Of Nursing, Theresa Farris, Elizabeth Hartman, Young-Me Lee 2017 DePaul University

Racial Microaggressions Within The Field Of Nursing, Theresa Farris, Elizabeth Hartman, Young-Me Lee

Grace Peterson Nursing Research Colloquium

Racial microaggressions (RM) have transitioned into a subtle form of contemporary racism and are potentially involved within our communication as healthcare providers. Though cultural competency is addressed within nursing education, this RM phenomenon continues to happen in everyday discourse and can occur with little or no awareness on the part of Caucasians. The aim of this study was to gain a better understanding of how RMs against African Americans exist within the field of nursing and how their underlying discrimination increases the marginalization of this community. A detailed search was conducted using CINAHL, PsycInfo and ProQuest databases using the keywords ...


The Benefits Of And Barriers To Psychiatric Advance Directive Implementation, Lauren Haindfield 2017 DePaul University

The Benefits Of And Barriers To Psychiatric Advance Directive Implementation, Lauren Haindfield

Grace Peterson Nursing Research Colloquium

The Benefits of and Barriers to Psychiatric Advance Directive Implementation

Lauren Haindfield

Faculty Sponsor: Dr. Barbara Harris

Background: Psychiatric advance directives can be beneficial for patients with mental disorders, but their implementation is limited in large part due to a knowledge gap.

Objectives: The purpose of this integrative literature review was to identify both the benefits of and barriers to psychiatric advance directives.

Methods: This integrative literature review used the databases of CINAHL, PubMEd, and PsychInfo. Search terms included pad implementation, barriers to pad implementation, psychiatric advanced directives, benefits of psychiatric advanced directives, and current pad practices.

Results: PAD implementation ...


The Role Of Spirituality Among Schizophrenia Patients: An Integrated Literature Review, Sarah Bieber 2017 DePaul University

The Role Of Spirituality Among Schizophrenia Patients: An Integrated Literature Review, Sarah Bieber

Grace Peterson Nursing Research Colloquium

Abstract

Background: Over the past 30 years, the field of psychology has evolved to become more receptive towards spirituality as an influential concept in the recovery of many mental health illnesses. The role of spirituality as it relates to recovery for patients living with schizophrenia, however, has not been effectively explored. In order to induce a spiritual sense, one must have an ability to think and reflect abstractly; however, this requirement conflicts with the schizophrenic mind’s preference for concrete thinking. It is questionable whether patients with schizophrenia regard the role of spirituality as it relates to their recovery in ...


Outdoor Physical Activity And Mental Health, Justyna Helinska, Elizabeth Hartman 2017 DePaul University

Outdoor Physical Activity And Mental Health, Justyna Helinska, Elizabeth Hartman

Grace Peterson Nursing Research Colloquium

Abstract

Background: According to the Center for Disease Control and Prevention (2013), about 25% of US adults have a mental illness. The economic demand that treatment for mental illness involves is extensive. Recent evidence suggests that the outdoor environment that consists of exercise may have an effect on mental health. Present review of literature is unclear how effective this intervention might be if incorporated into an inpatient psychiatric setting.

Objective: Examining the benefits of incorporating outdoor physical activity as an intervention to treat psychiatric disorders.

Method: The literature search for the research topic was found using the databases of: CINAHL ...


Barriers To Medication-Assisted Opioid Recovery: An Integrative Review Of Literature, Emily Miller 2017 DePaul University

Barriers To Medication-Assisted Opioid Recovery: An Integrative Review Of Literature, Emily Miller

Grace Peterson Nursing Research Colloquium

Abstract

Background: Opioid addiction has become one of the fastest growing epidemics sweeping the world, but despite the use of opioid agonist medication-assisted treatment (MAT) with methadone or buprenorphine having been found to be one of the most effective methods for treatment of this epidemic, there is still a significant gap between the number of people that need MAT and the number of people that actually receive MAT.

Objective: The purpose of this integrative literature review is to explore the barriers that prevent many addicts from receiving MAT and to identify strategies that may assist in eliminating these barriers in ...


Adverse Psychological Effects Of Patients In Medical Isolation Due To Healthcare-Associated Infections, Kristin Brill 2017 DePaul University

Adverse Psychological Effects Of Patients In Medical Isolation Due To Healthcare-Associated Infections, Kristin Brill

Grace Peterson Nursing Research Colloquium

Background: Patients placed in medical isolation due to healthcare-associated infections experience adverse psychological effects that can impact their quality of life.

Objectives: The purpose of this integrative literature review was to identify the adverse effects of patients in medical isolation as well as explore coping strategies that can be used to decrease these adverse effects.

Method: An integrative literature review was conducted using the databases of CINAHL, PsychInfo, PubMed, and PsychArticles. Search terms included adverse effects, negative effects, effects, adverse outcomes, negative outcomes, isolation precautions, contact isolation, droplet isolation, airborne isolation, isolation, coping and psychology.

Results: Five common adverse psychological ...


Comparison Of Two Nicotine Dependence Measures For Use With Korean American Women: The Ftnd And Autos, Sun S. Kim PhD, APRN-BC 2017 University of Massachusetts Boston

Comparison Of Two Nicotine Dependence Measures For Use With Korean American Women: The Ftnd And Autos, Sun S. Kim Phd, Aprn-Bc

Asian/Pacific Island Nursing Journal

This study compares psychometric properties of the Fagerström Test for Nicotine Dependence (FTND) and Autonomy over Tobacco Scale (AUTOS), which are measures of nicotine dependence. This study is a secondary analysis of data obtained from a smoking cessation study conducted with 49 Korean American women. We compared the FTND and AUTOS assessed at baseline regarding their internal consistency reliability and concurrent and predictive validities. The AUTOS outperformed the FTND in reliability and concurrent validity by yielding a higher Cronbach’s alpha and having significant relationships with smoking-related variables such as age at smoking onset, perceived risks of quitting, and self-efficacy ...


Education Program Using Non-Pharmacologic Support During Benzodiazepine Reduction In Patients With Anxiety Disorders, Kelly D. Kearney DNP, RN, PMHNP-BC, Diane Wardell PhD, WHNP-BC 2017 The University of Texas Health Science Center at Houston

Education Program Using Non-Pharmacologic Support During Benzodiazepine Reduction In Patients With Anxiety Disorders, Kelly D. Kearney Dnp, Rn, Pmhnp-Bc, Diane Wardell Phd, Whnp-Bc

Journal of Nursing & Interprofessional Leadership in Quality & Safety

A private mental health clinic developed an initiative to aid patients with anxiety disorders to taper their use of benzodiazepines. Based on best practices, a treatment protocol was developed in which patients attended 4 sessions (1 per month) in which they combined instruction in non-pharmaceutical anti-anxiety techniques (guided imagery, mindfulness meditation, deep breathing, progressive muscle relaxation, exercise, emotional freedom) with cognitive behavioral therapy and use of selective serotonin re uptake inhibitors. Participants experienced a reduction in benzodiazepine use. This small scale initiative showed that the holistic approach to anxiety management was an effective plan to decrease the use of benzodiazepines ...


A Review Of Treatment Programs For Offenders With Co-Occurring Addictive And Mental Disorders: Support For Booster Interventions, Annette T. Maruca, Deborah Shelton 2017 University of Connecticut - Storrs

A Review Of Treatment Programs For Offenders With Co-Occurring Addictive And Mental Disorders: Support For Booster Interventions, Annette T. Maruca, Deborah Shelton

Journal for Evidence-based Practice in Correctional Health

Background: Treatment interventions are essential in supporting psychosocial skills, health promotion and successful reintegration to community living for incarcerated persons. Booster interventions are presumed to be important methods for maintaining the effects of treatment effects for persons with addiction and mental disorders, but there has been remarkably little empirical attention to this assumption. Objectives: This review aims are: (1) to describe existing literature on treatment programs for offenders with addiction and mental disorders in the reentry process, and, (2) to add to the literature on this topic by evaluating the impact of booster interventions upon maintenance of treatment effects and ...


I’M A Big Kid Now: Enhancing Transition Rn Residents’ Confidence During Pediatric Patient Care, Emily W. Lam 2017 University of San Francisco

I’M A Big Kid Now: Enhancing Transition Rn Residents’ Confidence During Pediatric Patient Care, Emily W. Lam

Master's Projects and Capstones

The title of the clinical nurse leader project is “I’m a Big Kid Now: Enhancing Transition RN Residents’ Confidence During Pediatric Patient Care”. The project aims to improve the support components for Transition RN residents during their Transition RN Residency at Children’s Hospital Los Angeles. The clinical leadership theme that correlates to this project is communication. The clinical nurse leader’s role is to act as an educator and a facilitator throughout this project. In examining the clinical nurse leader competencies, competencies “use performance measures to assess and improve the delivery of evidence-based practices and promote outcomes that ...


Improving Communication And Satisfaction Through Hourly Rounds, Karen E. Sondeno 2017 University of San Francisco

Improving Communication And Satisfaction Through Hourly Rounds, Karen E. Sondeno

Master's Projects and Capstones

The focus of this CNL project is quality improvement using high quality hourly rounds to achieve improved patient satisfaction and communication with nurses. It was determined by reviewing survey results that patient satisfaction and nurse communication is below National levels. Data shows that rounds are not being done well on a medical unit before the improvement project. It is proven that patients receive and perceive higher quality care and communication with increased nurse presence at the bedside. The population of the medical unit has high numbers of confused/dementia, and dual-diagnosis patients. It was determined that the unit would benefit ...


Delirium: A Cnl-Led Protocol To Clear Up The Confusion, Shanda N. Whittle 2017 University of San Francisco

Delirium: A Cnl-Led Protocol To Clear Up The Confusion, Shanda N. Whittle

Master's Projects and Capstones

Project objectives: Delirium is a form of organ failure defined as an acute change in cognition, evidenced by altered consciousness and impaired attention that fluctuates over time, and is associated with increased morbidity, mortality, and healthcare services utilization. In the hospital where this evidence-based practice project took place, there was no formal protocol or guideline for assessing or managing delirium. Therefore, this project focused on improving the practice of identifying patients at risk for developing delirium with the AWOL tool and treating patients with signs and symptoms of delirium found using the Short-CAM assessment. Population and setting: This project took ...


Evidence-Based Verbal De-Escalation Techniques For The Family Nurse Practitioner: Education And Simulation, Rachael K. Misitano 2017 University of San Francisco

Evidence-Based Verbal De-Escalation Techniques For The Family Nurse Practitioner: Education And Simulation, Rachael K. Misitano

Doctor of Nursing Practice (DNP) Projects

Background: Healthcare workers are 4 times more likely to be exposed to workplace violence than workers employed in private industry, with assault rates as high as 7.8 per 10,000 workers. The National Institute for Occupational Safety and Health defines workplace violence as “violent acts, including physical assaults, and or threats of assault, directed toward persons at work or on duty” (OSHA, 2015, p. 2). Verbal de-escalation techniques that assist with care of the agitated patient are not routinely taught to Family Nurse Practitioners (FNPs) throughout their years of advanced coursework, yet it is something they are likely to ...


Guarding The Hidden Wounds Of War: The Lived Experience Of Chronic Combat-Related Ptsd In Vietnam And Korean War Veterans, Amy Mohr 2017 Carroll College, Helena, MT

Guarding The Hidden Wounds Of War: The Lived Experience Of Chronic Combat-Related Ptsd In Vietnam And Korean War Veterans, Amy Mohr

Nursing Undergraduate Theses

Combat-related Posttraumatic Stress Disorder (PTSD) is a debilitating condition that affects between 18.7% and 30.9% of Vietnam veterans at some point in their lives (Dohrenwend et al., 2006). Current literature highlights the clinical relevance of PTSD, supporting the fact that it is a chronic, fluctuating condition (Chopra et al., 2014, p. 95) with detrimental effects on not only mental but also physical health (Goldberg et al., 2014, p.1589). PTSD correlates with impaired cognition, concentration, problem solving, and reasoning (Mota et al., 2016, p. 351) along with increased likelihood of chronic illness, disability, unhealthy weight (Goldberg et al ...


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