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Psychiatric and Mental Health Nursing Commons

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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.


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 ...


The Effects Of Faith-Based Therapy Versus Secular Therapy On Substance Abuse Treatment, Lydia Cook, Brittany Humphreys, Jennifer Stallard 2016 Cedarville University

The Effects Of Faith-Based Therapy Versus Secular Therapy On Substance Abuse Treatment, Lydia Cook, Brittany Humphreys, Jennifer Stallard

The Research and Scholarship Symposium

Substance abuse can affect anyone. The consequences are significant and may lead to death. Substance abuse also puts a great financial burden on the healthcare system. The purpose of this review of literature was to investigate the effect of faith-based therapy compared to secular therapy on substance abuse treatment. The data sources used were: PsychINFO, CINAHL, and OneSearch. Results showed multiple factors of faith-based therapy such as: cultural pressure, fear of judgment, and social support may correlate with recovery. A positive correlation was found between faith-based therapy and substance abuse recovery when compared with secular therapy (Al-Omari, Hamed, & Abu Tariah, 2015; Avants, Beitel ...


Animal-Assisted Therapy For Military Veterans With Posttraumatic Stress Disorder: An Investigation On The Positive Effects Of Attachment And Affiliation Behaviors, Sara Miele 2016 Dominican University of California

Animal-Assisted Therapy For Military Veterans With Posttraumatic Stress Disorder: An Investigation On The Positive Effects Of Attachment And Affiliation Behaviors, Sara Miele

Scholarly and Creative Works Conference

Posttraumatic stress disorder (PTSD) develops in people who have experienced a traumatic event (nimh.nih.gov, 2016). Because PTSD is a chronic disorder, it is associated with impaired quality of life (Stern et al., 2013). A specific population at high risk for developing PTSD is military veterans. It is estimated over half a million military veterans suffer from PTSD (Stern et al., 2013). Although there are psychological services and treatments for veterans, many do not seek help because fear of the negative stigma associated with mental illness (Lanning & Krenek, 2013). Recently, efforts have been made to implement veteran friendly treatment ...


Co-Occurring Health Risks Among Middle Aged Hispanic Men Who Have Sex With Men (Hmsm) In South Florida, Beatriz Valdes 2016 Florida International University

Co-Occurring Health Risks Among Middle Aged Hispanic Men Who Have Sex With Men (Hmsm) In South Florida, Beatriz Valdes

FIU Electronic Theses and Dissertations

In 2010, men who have sex with men (MSM) represented 4% of the population in the United States (US) and accounted for 78% of all new Human Immunodeficiency Virus (HIV) infections among Hispanic men. Hispanic men who have sex with men (HMSM) accounted for the third largest number of new HIV infections (6,700 cases). This dissertation explored the effects of age, loneliness, substance use, depression, and social support on high risk sexual behaviors that predispose middle aged HMSM to sexually transmitted infections (STIs) and HIV infection risk. A sample of 150 urban HMSM aged 40 to 65 were surveyed ...


The Influence Of Areas Of Worklife And Compassion Satisfaction On Burnout Of Mental Health Nurses, Michelle Corinne Fredette-Carragher 2016 The University of Western Ontario

The Influence Of Areas Of Worklife And Compassion Satisfaction On Burnout Of Mental Health Nurses, Michelle Corinne Fredette-Carragher

Electronic Thesis and Dissertation Repository

The prevalence of burnout among nurses is linked to sub-optimal wellbeing and is reflected in higher than average rates of illness and absenteeism (Canadian Institute for Health Information, [CIHI], 2007). Additionally, there are consequences for clients including increased staff related errors and poor patient satisfaction. An improved person-job match in the six areas of worklife and higher compassion satisfaction may result in a workforce that is more engaged and able to achieve positive client outcomes. This study explores the relationship between person-job match and both compassion satisfaction and the emotional exhaustion component of burnout of mental health nurses through a ...


Patient Characteristics Associated With Inpatient Psychiatric Re-Admissions And The Utility Of The Readmit Clinical Risk Index, Autumn P. Roque 2016 University of Kentucky

Patient Characteristics Associated With Inpatient Psychiatric Re-Admissions And The Utility Of The Readmit Clinical Risk Index, Autumn P. Roque

DNP Practice Inquiry Projects

Abstract

In response to the problem of frequent 30 day re-admissions to inpatient psychiatric facilities, Vigod and colleagues (2015) developed the READMIT clinical risk index to identify risk factors for psychiatric inpatient re-admissions. The question addressed in this study was: Can the READMIT clinical risk index be used to identify patients that are at high risk for 30 day inpatient psychiatric re-admissions at Eastern State Hospital? This project used a descriptive retrospective design. Data were extracted from the discharge summaries of patients discharged from Eastern State Hospital between September 2013 and December 2014. Data collected included patient demographic variables (age ...


Use Of Simulation Involving Standardized Patients As An Education Program To Increase Nurse Confidence In Caring For Patients With Drug And Alcohol Problems, Brandy G. Mathews 2016 University of Kentucky

Use Of Simulation Involving Standardized Patients As An Education Program To Increase Nurse Confidence In Caring For Patients With Drug And Alcohol Problems, Brandy G. Mathews

DNP Practice Inquiry Projects

Purpose: The purpose of this pilot project was to test the effectiveness of a simulation exercise using standardized patients on nurses’ perceived confidence in caring for patients with drug and alcohol problems.

Method: The project was a mixed methods pre-test and posttest design to assess whether simulation using standardized patients was effective in improving nurses’ confidence in caring for patients with problematic drug and alcohol use issues. Qualitative data was obtained by interviewing participants using a semi structured interview.

Results: All nurses reported a positive experience as a result of participating in the simulation exercises. Use of simulation as a ...


Co-Morbid Symptoms Of Depression And Anxiety And Bio-Behavioral Response To Stress In Patients With Heart Failure, Abdullah S. Alhurani 2016 University of Kentucky

Co-Morbid Symptoms Of Depression And Anxiety And Bio-Behavioral Response To Stress In Patients With Heart Failure, Abdullah S. Alhurani

Theses and Dissertations--Nursing

Heart failure (HF) is a major public health problem throughout the world. It accounts for one death certificate among nine in the United States. Heart failure and sudden death combined are responsible for the largest number of deaths in America. The total costs of HF in the United States are estimated to be $37 billion each year. Despite substantial medical and surgical advances related to treatment of HF, it remains a very costly condition with high mortality and morbidity rates. Although biological factors contribute to high morbidity and mortality in HF, there are many unexplored psychosocial factors that also likely ...


Hearts In The Balance: The Impact Of Desired Versus Received Social Support Needs On Persons With Heart Failure, Melanie P. Schrader 2016 University of Kentucky

Hearts In The Balance: The Impact Of Desired Versus Received Social Support Needs On Persons With Heart Failure, Melanie P. Schrader

Theses and Dissertations--Nursing

Social support is the collection of tangible and intangible experiences that surround people as they cope with daily stressors. High quality social support is important among patients with cardiovascular disease (CVD) because it has positive effects on social, psychological and physical well-being, and those with good social support cope better with the travails of CVD. Although there are many studies of social support in CVD, little work has been done on the topic of discrepancies between desired and received social support in the context of gender.

The purpose of this dissertation was to determine if there are gender differences in ...


Adolescent Grief: The Nurse's Role In Promoting Healthy Coping Mechanisms And Preventing Future Hospitalizations, Erica C. Reighard Ms. 2016 James Madison University

Adolescent Grief: The Nurse's Role In Promoting Healthy Coping Mechanisms And Preventing Future Hospitalizations, Erica C. Reighard Ms.

Senior Honors Projects

Age and developmental stage directly influence the grieving individual's ability to understand and process death. Adolescents are especially vulnerable to developing negative coping skills such as substance abuse, self-destructive behaviors, and eating disorders. After a loss occurs, nurses can use their role as a caregiver who is neither a parent nor a peer to provide adolescents with an opportunity to express their grief. Nurses can educate grieving adolescents on the differences between positive and negative coping skills and can therefore reduce the number of future hospitalizations related to ineffective coping mechanisms.


Self-Efficacy And Coping In Transition Of Care After Remission Of Cancer In Adolescents, Leah M. McDonnell 2016 University of Central Florida

Self-Efficacy And Coping In Transition Of Care After Remission Of Cancer In Adolescents, Leah M. Mcdonnell

Honors in the Major Theses

The improvement in cancer remission rates in children and adolescents due to advances in cancer treatment and therapy has led to the development of guidelines that address long-term follow up for survivors of childhood cancers. Adolescents often experience negative emotions related to the fear of uncertainty about long-term survival after cancer remission, yet often report feelings of hope and optimism for the future more than adult cancer survivors. The purpose of this study was to understand the role of self-efficacy and coping in adolescents after remission of cancer. A secondary purpose was to analyze which coping strategies supported long-term survival ...


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