Digital Commons Network^™

Family-Centered Psychosocial Care For Pediatric Oncology Patients, Jessica W. Casey

UNLV Theses, Dissertations, Professional Papers, and Capstones

Psychosocial conditions are prevalent in pediatric oncology patients (Kahalley et al., 2013). Family and social support are essential aspects of a patient's health care outcomes (Merck & McElfresh, 2019). Anxiety and depression are common in pediatric oncology patients due to trauma during treatment (Pao & Kazak, 2015). These patients also can have preexisting developmental or behavioral conditions before starting treatment. Treatment side effects can also cause cognitive and behavioral changes (Nixon, 2014b). Nurses should be knowledgeable and confident in their ability to care for patients' psychosocial health and development. The purpose of this Doctor of Nursing Practice (DNP) project is …

Evaluating Repetitive Transcranial Magnetic Stimulation To Reduce Opioid Cravings In Opioid Use Disorder, Cameron Duncan

UNLV Theses, Dissertations, Professional Papers, and Capstones

Opioid Use Disorder (OUD) is a multi-faceted, complex ailment affecting many individuals and their families across the globe. Currently, there are multiple interventions used in the treatment of OUD, many of which are designed to reduce cravings for opioids. Cravings for opioids are a strong predictor of relapse in the disorder. However, many of the interventions used in clinical practice have inherent risks including a potential for abuse and diversion. Repetitive Transcranial Magnetic Stimulation (rTMS) is an outpatient procedure that may be effective in reducing cravings for opioids, thereby reducing relapse. Methods: This study employed a randomized, single-blind, experimental design …

The Distribution Of Opioid Settlement Funds In Northeast Tennessee, Amani Patel

Undergraduate Honors Theses

Opioid Use Disorder is defined by the NIH as “the chronic use of opioids that causes

clinically significant distress or impairment.”1 Due to a number of factors, the overuse of opioids has become an epidemic in the United States. In recent years there have been a number of lawsuits against pharmaceutical companies and other parties who have benefitted from the proliferation of this issue. In most cases, it is up to the states or local governments who receive these funds to determine their best use. The purpose of this Thesis is to analyze the resources recommended by Ballad Health’s Community …

Investigating The Links Between Body Composition And Female University Students’ Night Eating Habits And Sleep Quality, Hanisah Rosli, Arimi Fitri Mat Ludin, Amanda Priscilla Lim, Vimalah Vallavan, Lew Sze Yuen, Norizatul Hidayah Yusop, Nur Athirah Razali, Amerull Daneal Amran, Nurfarahin Asmadi, Mohd Sham Othman

Makara Journal of Health Research

Background: Malaysia has the highest prevalence of obesity among Southeast Asian countries, and the current number is expected to increase further. In particular, the rate of obesity is reportedly increasing among females and young adults in Malaysia. Modern lifestyle habits, which include night eating and poor sleep quality, have been shown to increase the risk of obesity and high body fat. This study aims to determine the link between female university students’ body composition and their night eating habits and sleep quality.

Methods: Body composition was measured using a Bioelectrical Impedance Analysis (BIA) analyzer. Night eating syndrome and …

Mitragyna Speciosa As A Potential Substitute Therapy In Opioid Dependence: A Case Report, Karniza Khalid, Jason S.K. Wong, Ruzita Jamaluddin

Pharmaceutical Sciences and Research

Preclinical data have consistently suggested the pharmaceutical potential of kratom (Mitragyna speciosa), including as a substitute therapy in opioid dependence. In this case report, we present a case of a man with a long history of kratom use to help him cope with his opiate withdrawals while abstaining from illicit drug use. This is the first published detailed case report highlighting the potential use of kratom to aid opioid dependence encountered in the clinical setting. Our article is also supported by literature review with regards to kratom’s safety profile and pharmacological potential.

Examining Social Determinants Of Health During A Pandemic: Clinical Application Of Z Codes Before And During Covid-19, Xueying Yang Ph.D., Brooks Yelton, Shujie Chen, Jiajia Zhang Ph.D., Bankole Olatosi Ph.D., Shan Qiao Ph.D., Xiaoming Li Ph.D., Daniela B. Friedman Ph.D.

Faculty Publications

Recognition of the impact of social determinants of health (SDoH) on healthcare outcomes, healthcare service utilization, and population health has prompted a global shift in focus to patient social needs and lived experiences in assessment and treatment. The International Classification of Diseases, 10th Revision, Clinical Modification (ICD-10-CM) provides a list of non-billable “Z codes” specific to SDoH for use in electronic health records. Using population-level analysis, this study aims to examine clinical application of Z codes in South Carolina before and during the COVID-19 pandemic. The study population consists of South Carolina residents who had a healthcare visit and had …

Depression Is Associated With Myocardial Infarction Within A Two-Year Period Among Adults In China, Lydia W. Li, Greta Cheng, Hongwei Xu, Zhenmei Zhang, Jinyu Liu, Yeates Conwell

Publications and Research

We examined whether baseline depression is associated with MI within a two-year period among adults aged 45+ in China and whether the association varies by sociodemographic characteristics. Two-year longitudinal data from a nationally representative sample of people aged 45+ in China were analyzed (N = 15,226). MI within the 2-year period was coded dichotomously. Baseline depression, assessed by the 10-item Center for Epidemiological Studies Depression scale, was used as a dichotomous and a continuous variable. After adjusting for medical conditions, lifestyle and sociodemographic characteristics, the odds of having an MI within the 2-year period were 46% greater for respondents with …

Florida Healthcare Workers Responses To Covid-19, Kristen K. Hicks-Roof

Showcase of Faculty Scholarly & Creative Activity

These two articles were published to describe the landscape of Florida healthcare professionals' responses to COVID-19. These data were collected in mid-2020 when times were unpredictable. These findings shed a lot of light on how we need to better train healthcare professionals on telehealth, interprofessional collaboration and communication among each other and patients.

Children Of Divorce Parents Group Manual, Sheyenne Hokit

Dissertations, Theses, and Projects

Divorce is something that is, unfortunately, becoming a commonality for a lot of children, and due to the complexity of divorce, many children struggle when trying to understand divorce and how it affects them. Some effects of divorce are various emotional and behavioral issues such as increased anger and decreased emotion regulation. Social, health, and academic concerns were also found. Counseling interventions like narrative therapy, emotion-focused family therapy, emotion-focused therapy, and play therapy were found to be effective with this population (Hirschfeld & Wittenborn, 2016, Thomas & Gibbons, 2009). The identified interventions provide peer-based social support, education on the misconceptions …

Using A Food Insecurity Screening Tool In The Nicu, Emily Coffman Bsn, Rn, Fatina Caldwell Bs, Bsn, Rn, Cpn, Cpen, Mackenzie Box Bsn, Rn, Uche Anani Md, Faap, Christin Fritz Md, Mph, Bobby Bellflower Dnsc, Nnp-Bc, Faanp

Doctor of Nursing Practice Projects

Purpose/Background: Infants admitted to the NICU are disproportionately born to low-income families. This, combined with unique financial challenges of their long-term stay, may predispose caregivers to food insecurity (FI). FI among caregivers has far reaching implications for the health of infants who are already vulnerable related to comorbidities from their NICU stay.

Methods: Using the Iowa model to successfully engage key stake holders and begin a small pilot study, a randomized preintervention chart audit was performed (n=30) to evaluate if FI was identified by NICU Social Worker (SW). The FI screening tool was administered by nursing to a separate group …

Single Session Counseling Integrated With Expressive Art To Improve Students' Internet Altruistic Behavior, Ganjar Suargani, Mulawarman Mulawarman, Awalya Awalya

Jurnal Kajian Bimbingan dan Konseling

The internet is one of the means to obtain information, interact, and even provide help to others. To be able to give voluntary help based on empathy, one must have internet altruistic abilities. This study aims to determine the effectiveness of single-session counseling with expressive art integration to improve students’ altruistic behavior on the internet. This study used a randomized pretest-posttest control group design. The intervention in the experimental group used a single session counseling strategy that was integrated with expressive art. The control group was given an intervention in the form of individual counseling without using a single session …

Dnp Final Report: Psychosocial Screening For Oncology Patients, Robyn V. Beard

DNP Final Reports

Background: Patients with cancer often face severe distress related to fear of death, body disfigurement, financial stress, and lack of support system. This distress may lead to physical and emotional symptoms that bring patients to seek care at emergency departments, delay care or make poor health choices, and increase utilization of prescription drugs. With the already over burdened healthcare system, addressing these psychosocial needs is vital to improving patients outcomes as well as improving healthcare expenditure. Purpose: The purpose of this evidence based practice project was to improve perceived quality of life for oncology patients through detailed screening and behavioural …

Patient And Family Engagement: Bridging Together Interprofessional Practice And Patient- And Family-Centred Care, Yuchen Gao, Sylvia Abonyi, Pamela Downe, Krista Baerg, Heather A. Ward

Patient Experience Journal

Patient and family engagement as part of the health care team is increasingly recommended to meet the objective of providing safer and more coordinated care, as well as enhancing patient satisfaction. This project explores both health care professionals’ and patients and families’ experiences with patient- and family-centred care (PFCC) and interprofessional practice (IPP). Data were collected through individual interviews with 29 health care professionals and 17 patients and families on medicine and pediatrics at a tertiary care teaching hospital. Inductive coding and thematic analysis outcomes are presented using qualitative description. We used communicative action theory to interpret the gap that …

The Women Of Owen Clinic And Their Impact On Rural Mental Health, Mallory Stanley

Manuscripts

The mid-1900s was a pivotal moment in reforming mental health treatment in American Psychiatry. This movement becomes particularly clear when examining the championing work of two women, Dr. Thelma V. Owen and Dr. M. G. Stemmermann, at a rural mental health facility located in Huntington, WV: Owen Clinic Institute. While mental health stigma was at an extreme high among the general population, many factors aligned to allow for a new era of mental health care, including deinstitutionalization, World War II, and the advocation of professionals in the field. In West Virginia, no two people were more outspoken and active in …

Evaluating Healthcare Leaders: A Competency Assessment Of Rural Healthcare Management Within The Midwest, Heather Winkler

Dissertations, Theses, and Projects

Rural healthcare facilities, which include critical access hospitals, are vulnerable to closure due to workforce shortages, low patient volumes, challenging payer and patient populations, and geographic isolation. Additionally, many rural communities entered the COVID-19 pandemic understaffed, under-serviced, facing inadequate healthcare infrastructures, and with limited clinical resources and equipment. This exploratory research aimed to measure the leadership competencies identified by the American College of Healthcare Executives (ACHE) of healthcare leaders working in rural hospitals and clinics within the Midwest. Having expert leadership skills and competencies can significantly impact how an organization succeeds, both for the patients, staff, and community. In contrast, …

Discrimination, Acculturative Stress, And Academic Achievement In Emerging Adults, Rebecca Steele, Amanda Rosado, Nancy Hernandez, Elizabeth Brondolo

Journal of Vincentian Social Action

Researchers report an association of racial discrimination to academic achievement for racial/ethnic minority students. Racial discrimination is manifest on multiple levels, including interpersonal discrimination, discrimination in schools, and societal and cultural discrimination. Researchers have generally focused their efforts on examining the effects of one type of discrimination on academic achievement. Further, mediators of this relation have not been fully explored. In a sample of 78 college students, we found only interpersonal racial/ethnic discrimination, and not school-based or societal discrimination was negatively associated with GPA. However, the effects did not hold once controlling for demographic factors. We examined two potential mediators …

The Sisterarchy Of Indian Feminism, Shweta Sinha

Journal of Vincentian Social Action

The paradigm of feminism in India is deeply entrenched in its socio-cultural-political-economic reality. It is an ever-evolving byproduct of patriarchy borne out of the caste-system, colonialism, urbanism (‘Westernism’), and capitalism. As a result, the plurality within Indian feminism is predicated on the multiple patriarchies that exist within the Indian society. Therefore, while parsing feminism in India, it is imperative to identify and acknowledge the various sub-groups and intersectionality that exist within the larger framework of women’s issues.

Amongst all the marginalized factions that exist within the feminist framework, this study attempts to investigate a specific caste/class-based intersectional perspective, i.e., Dalit …

The Texas Community-Engagement Research Alliance Against Covid-19 In Disproportionately Affected Communities (Tx Ceal) Consortium, Rebecca A. Seguin-Fowler, Chris Amos, Bettina M. Beech, Robert L. Ferrer, Lorna Mcneill, Jasmine J. Opusunju, Emily Spence, Erika L. Thompson, Luis R. Torres-Hostos, Jamboor K. Vishwanatha

School of Social Work Faculty Publications

The coronavirus disease 2019 (COVID-19) pandemic requires urgent implementation of effective community-engaged strategies to enhance education, awareness, and inclusion of underserved communities in prevention, mitigation, and treatment efforts. The Texas Community-Engagement Alliance Consortium was established with support from the United States’ National Institutes of Health (NIH) to conduct community-engaged projects in selected geographic locations with a high proportion of medically underserved minority groups with a disproportionate burden of COVID-19 disease and hospitalizations. The purpose of this paper is to describe the development of the Consortium. The Consortium organized seven projects with focused activities to address COVID-19 clinical and vaccine trials …

Implementation Of A Decision Tree To Address Moral Distress, Tijuana Milton

Doctor of Nursing Practice (DNP) Translational and Clinical Research Projects

Healthcare workers (HCW) face daily challenges in the workplace environment. A relatively new problem called moral distress (MD) may present itself, but it may go unrecognized. The healthcare profession is being robbed of qualified personnel due to moral distress. The overall objective of this project was to help healthcare workers identify moral distress and seek resources to assist with the mitigation of moral distress. The outcome of this project demonstrated bedside HCWs showed higher levels of MD. Leadership must be intentional with providing education about the signs and symptoms of MD and assist employees to recognize and utilize available resources …

A Quality Improvement Project To Examine The Impact Of The Use Of Structured Diabetes Educational Materials For Medical Personnel, Alina Jaffer

DNP Projects

With the immigrant population increasing in the United States, the demand for healthcare providers who can provide culturally appropriate care and intracultural communication has increased. Compared to individuals born in the United States, immigrants with diabetes are less likely to meet the standardized targets for diabetes management, resulting in disparities in diabetes-related complications. The problem is the lack of evidence-based patient education for all people, including immigrants who do not speak English as a first language. The purpose of this project was to assess whether or not language-specific structured diabetes educational material for healthcare personnel use would increase the efficacy …

What Explained Nonprofit Organizations’ Satisfaction With Volunteer Retention During The Covid-19 Pandemic?, Suzanna R. Windon, Daniel Robotham, Ann Echols

Journal of Human Sciences and Extension

The purpose of this quantitative study was to investigate nonprofit organizations’ satisfaction with volunteer retention during the COVID-19 pandemic. The participants were 74 nonprofit organizations’ leaders who participated in the online survey. The response rate was 10.6%. We found that the overall mean score for satisfaction with organizational retention of volunteers during the COVID-19 pandemic was 3.50 (SD = .98), and the importance of volunteer management practices was 3.52 (SD = .96). Most nonprofit organizations were proactive (38.8%) and reacted promptly (52.2%) while addressing the organizations’ response to the pandemic. Approximately 10.3% of the variation in satisfaction with organizational retention …

Interprofessional Socialization Of Nursing Students After Participating In Interdisciplinary Rounds In An Intensive Care Unit, Ashlyn S. Upshaw

DNP Projects

Background: Nursing engagement in interprofessional collaboration leads to safe and quality healthcare for patients. In order to effectively engage in interprofessional collaboration, nursing students must socialize among healthcare providers from various disciplines. Purpose: The purpose of this project was to examine pre-licensure nursing students’ beliefs and attitudes towards interprofessional socialization and collaboration following their participation in interdisciplinary rounds in an intensive care unit (ICU) setting. Methods: A mixed-methods, cross-sectional design was used to collect data from undergraduate nursing students at a private university. Following an ICU clinical rotation, participants completed the Interprofessional Socialization and Valuing Survey-21 (ISVS-21) …

2022- The Twenty-Sixth Annual Symposium Of Student Scholars

Symposium of Student Scholars Program Books

The full program book from the Twenty-sixth Annual Symposium of Student Scholars, held on April 19, 2022. Includes abstracts from the presentations and posters.

Protocol For An Ehub As An Systemic Intervention For Homeless Shelter Staff And Resident Psychosocial And Behavioral Needs, Celeste Sangiorgio, Cory Crane, Cassandra Berbery, Caroline Easton

Frameless

This paper includes a proposal and outline for a one- stop, web-based eHub for homeless shelter workers and residents. The shelter eHub is proposed as a one-stop portal for staff and resident skills acquisition, shelter and community resources, and rehearsal of coping skills. The theoretical and empirical support for eHub contents is reviewed, as well as the structure for evidence-based psychological skills building and gamified and virtual skills rehearsal components.

Embodying The Patient Experience: The Application Of Virtual Reality (Vr) In The Healthcare Classroom, Jenna Sadue, Linda Riek

Frameless

Nazareth College is known for its personalized education, a focus on social justice, and the support of students as they pursue their life’s work.

Thinking Inside Out: Using A Virtual Platform To Overcome Barriers To Interprofessional Education, Erin Siebers

Costas T. Lambrew Research Retreat 2022

Interprofessional education (IPE) leading to effective communication is critical for patient safety [1] • Barriers to IPE include lack of confidence and lack of experience and opportunities • Barriers are increased in rural states, due to travel and scheduling logistics[2,3] • The pandemic and social distancing restrictions forced rapid transition of an IPE OSCE from an in-person to a virtual event • Our objective was to provide students with an authentic experience similar in quality and value to prior in-person sessions

Substance Use Disorders, Cognitive Dysfunction, And Neurodivergence In Emerging Adulthood, David Posada, Jordyn Hebert

Symposium of Student Scholars

Substance Use Disorders, Cognitive Dysfunction, and Neurodivergence in Emerging Adulthood

Posada, D., Herbert, J., Weingast, L., Holliday, E.

Cognitive functioning in college students with substance use disorders (SUD) has been widely researched, however, discussions have largely concentrated on executive functions (EF) such as working memory, flexible thinking, and self-control. Literature on the relationship between cognitive dysfunction and SUD has largely underreported the influence of Attention Deficit/Hyperactivity Disorders (ADD/ADHD) and other neurodivergent characteristics. The current review explores the state of the literature on the relationship between neurodivergence, cognitive dysfunction, and SUD in emerging adulthood. More specifically, it speculates whether college students …

Women’S Self-Concept, Sexual Activity, And Intimacy After Sustaining A Traumatic Brain Injury, Erin Skotzke

The Open Journal of Occupational Therapy

A traumatic brain injury (TBI) can have a profound impact on how people think and feel about themselves and their abilities, values, goals, personalities, physical characteristics, and roles. Preliminary research findings suggest that barriers to developing a positive self-concept after injury in women include the desire to be perceived as “normal” after the injury or the feeling that society dismisses their injuries. In the field of occupational therapy, it is critical that therapists and researchers understand that self-concept can be altered after sustaining a TBI. This outcome can have a significant impact on participation in valued occupations, including participation in …

The Dynamic Use Of The Kawa Model: A Scoping Review, Jayme L. Ober, Rebecca S. Newbury, Jennifer E. Lape

The Open Journal of Occupational Therapy

Background: The Kawa model, a framework to guide culturally relevant occupational therapy, has gained recognition and become more widely used in practice. Research on the model thus far, while still relatively sparse, provides guidance for the model’s use, including its strengths and facets that require further exploration to support its use and effectiveness in dynamic ways.

Method: A scoping review was completed to gather, organize, appraise, and synthesize the current research evidence on use of the model.

Results: Findings support the Kawa model’s culturally flexible application and its capacity to garner client-centered qualitative information, as well as …

African Americans In Home Health: Advance Care Planning And Acute Care Services Use, Sharon Bigger, Lee Glenn

Epsilon Sigma at-Large Research Conference

Background: Home health is the fastest-growing healthcare setting in the country. Through Home Health Value-Based Purchasing (HHVBP), the Center for Medicare and Medicaid Services (CMS) provides incentives or penalties to HHAs based on outcomes. Hospitalization and emergency department use are weighted heaviest as poor outcomes. HHVBP requires HHAs to report on whether they are engaging in advance care planning (ACP) conversations. For this study, ACP was defined as a conversation held in advance of a medical crisis with a loved one and/or a health care provider about goals; values; preferences for future medical treatments; and choice of a surrogate decision-maker. …