Digital Commons Network^™

Functional Behavioral Analysis And Social Scripting For The Older Patient With Schizophrenia: A Staff Development Program, Laura Markwick, Charlene Smith, Diane J. Mick

Nursing Faculty/Staff Publications

Executive functioning is the ability to plan, strategize, organize, and focus on details. Impaired executive functioning plays a significant role in behavior disturbances. Lack of inhibition, impaired abstract reasoning, thought perseverance, rigidity in routine, and lack of insight disrupt social skills and daily life. Autism and schizophrenia present some similar behaviors, including impaired executive functioning, often resulting in pharmacological management as many healthcare professionals receive limited training in executive functioning. Non-pharmacological tools used in autism for behavior management include functional behavioral analysis and social scripting, which help to identify causes of behavior and teach more appropriate behavioral responses. Described here …

Enhancing Nurse Residents’ Transition To Practice Through An Evidence-Based Practice Project: The Volunteer Partners Walking Program, Tamara L. Burket Msn, Acns-Bc, Gcns-Bc, Ccrn, Fgnla

Patient Care Services / Nursing

No abstract provided.

Innovations Volume 1: Issue 1, Ron And Kathy Assaf College Of Nursing

Innovations Magazine

No abstract provided.

Understanding The Mystery Of Brain Death, Natalie A. Felter

Nursing Student Class Projects (Formerly MSN)

Lack of understanding of brain death has contributed to recent controversial cases (Copnell, 2014). The cases of Jahi McMath and Marlise Munoz were the focus of national news, causing an intense debate among the public and healthcare professionals (Copnell, 2014). The concept of brain death is a mystery to the public (Powell, 2014). Copnell (2014) found that 60% of family members who had been told their loved one was brain dead believed that they were still alive. Health professionals not having a clear grasp of brain death’s definition and assessment can lead to increased confusion in family members (Powell, 2014).

Effects Of Mindfulness Practices On Perceived Stress Levels, Kendall Ginn

Graduate Research Projects

No abstract provided.

Effects Of Edmr On Veterans With Ptsd, Beth Abele

Nursing Student Class Projects (Formerly MSN)

Of all the mental health disorders, the most commonly diagnosed among Iraqi and Afghanistan wars is Posttraumatic stress disorder (PTSD) (Hellmuth et al., 2012). Veterans who are suffering the effects of PTSD are treated every day in VA Medical Centers across the country, as well as in private sector hospitals. Many of these men and women are battling with drug addictions and alcohol abuse in attempts to self medicate (Murdoch et al., 2010). According to nationally represented study by Murdoch and colleagues (2010), one fifth of individuals who have been diagnosed with PTSD use drugs, alcohol or both to treat …

Sports Related Traumatic Brain Injuries, Ky Parrott

Nursing Student Class Projects (Formerly MSN)

Traumatic Brain Injuries (TBI) are the leading cause of long-term disability and injury death in the United States of America (Dash, Oh, Santiago, & Wade, 2012, p. 108). It is estimated that approximately 75% of all TBI’s are sports related. Recently, sports related TBI’s have received increased awareness due to the $765 million settlement between 18,000 retired football players who suffer from long-term concussive injuries and the National Football Association (NFL) (Mason, 2013, p. 267). Education regarding the pathophysiology of TBI’s is beneficial to understanding what changes the brain is enduring and why it is important to protect the brain, …

Spontaneous Coronary Artery Dissection Among Women, Stacy Hudepohl

Nursing Student Class Projects (Formerly MSN)

It has been noted that women often place their own health care on the bottom of their priority lists. Many times, they ignore simple pain and dismiss symptoms that may be troubling to health care providers. Health care providers especially to young women may dismiss complaints of chest pain as heartburn or anxiety. Changes seen in pregnancy and with menses can mimic some of these same complaints. As both an female professional in health care and as a patient it is very easy to get busy with the day and not recognize simple signs and symptoms that may lead to …

Nurses Alumni Association Bulletin, Fall 2014, Susan Albrecht Curcio, Aileen Ishuin Macmillan

Nursing Alumni Bulletins

2014 - 2015 Meeting Dates Calendar

2015 Annual Luncheon & Meeting Notice

Officers, Committee Chairs, Satellite and Volunteers

President's Message

Treasurer's Report

Resume of Minutes

Alumni Office News

Committee Reports

• Social
• Relief Trust Fund
• Satellite-Harrisburg Satellite Area
• Scholarship
• Nominating
• Bulletin
• By Laws

Jefferson Alumni Relations

Annual Giving

Janet C. Hindson Award

• Award Criteria
• Nominees
• Recipient

News About Our Graduates

Memories

Happy Birthday - To Be 80 or More

50th Anniversary Class List for 1964

Luncheon Reservations

Annual Luncheon Comments

• Luncheon Photos
• Anniversary Class List for 2015 Annual Luncheon

In Memoriam, Names of Deceased Graduates

Class News

Additional Information, Pins, Transcripts …

The Effects Of A Plant Based Diet On The Cholesterol Profile In Young Adults, Terriest Haire

Graduate Research Projects

No abstract provided.

A Review Related To Midwifery Led Model Of Care, Shahnaz Shahid, Rafat Jan, Rahat Najam Qureshi, Salma Rattani

School of Nursing & Midwifery

Background: Midwifery led care (MLC) is a model of care in which perinatal care is provided to women throughout different phases of childbirth by a midwife.
Objective: This paper aims to provide a literature review on MLC.
Methods: A variety of databases and reports were considered to do the literature review on MLC. The search was limited from 1991 to 2011 by using keywords. A total of 50 articles were critically appraised for this review.
Findings: The main theme that emerged was women ^’s satisfaction with MLC. Satisfaction was integrated with midwife ^’s presence throughout childbirth, experience to …

Evaluating The Student Health Needs At Dalton State College, Cheryl W. Owens

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

The incidence of chronic diseases in college students mirrors that of older adults. Yet despite the enactment of the Affordable Care Act (ACA), college student continue to have difficulty accessing medical care. Many have no insurance, limited transportation and inadequate finances during college to obtain medical care. While college health centers may improve access to care, smaller colleges often do not have the financial and personnel resources to provide student health services. Even in colleges that provide student health services, the focuses are primarily on sexual health, mental health, violence, and substance abuse. Prevention and treatment of chronic diseases services …

Nurse Practitioner Screening Practices For Mild Cognitive Impairment In The Older Adult, Margaret Mcilwain

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

Abstract

Nurse practitioners (NPs/APRNs) who provide primary care services may be the first line providers in situations where adults present with symptoms of memory loss and forgetfulness. Though protocols are available for evaluating dementia, specific guidelines for evaluating early cognitive changes, Mild Cognitive Impairment (MCI), are lacking. This descriptive research project assesses the knowledge, current screening methods, and barriers to screening for MCI by nurse practitioners (APRNs) in the state of Georgia. One hundred and thirty two NPs participated in the survey. Forty-five percent of the participants were unfamiliar with the diagnostic category of MCI. Of the major barriers identified, …

Teaching Communication And Therapeutic Relationship Skills To Baccalaureate Nursing Students: A Peer Mentorship Simulation Approach, Leslie Miles, Linda Mabey, Sarah Leggett, Katie Stansfield

Faculty Publications

The literature on techniques for improving student competency in therapeutic communication and interpersonal skills is limited. A simulation approach to enhance the learning of communication skills was developed to address these issues. Second-semester and senior nursing students participated in videorecorded standardized patient simulations, with senior students portraying the patient. Following simulated interactions, senior students provided feedback to junior students on their use of communication skills and other therapeutic factors. To integrate the learning experience, junior students completed a written assignment, in which they identified effective and noneffective communication; personal strengths and weaknesses; and use of genuineness, empathy, and positive regard. …

Point In Time The Fitsteps For Life Exercise Program Improves Quality Of Life Of Persons With Cancer, Barbara Haas, Gary Kimmel, Melinda Hermanns

Faculty Posters

This poster was presented at the National Collegiate Honors College Conference in Fall of 2014 at Denver, Colorado.

Palliative Care's Sacramental And Liturgical Foundations: Healthcare Formed By Faith, Hope, And Love, Darren M. Henson

Dissertations (1934 -)

Medical history identifies Dame Cicely Saunders as the founder of modern hospice and palliative care for the unique care she gave to the incurably and terminally ill. Less known is how her Christian faith, combined with her knowledge of medicine, influenced her vision. This work retrieves the Christian roots of palliative care and asserts that the practice of faith preserves the practice of medicine from succumbing to medicalized dying--a phenomenon that excessively relies on technology with the implied hope that it will ultimately conquer illnesses and even death. Efficiency and effectiveness ground modern medicine's epistemology. These concepts follow the philosophical …

Relationships Among Uncertainty, Coping, And Psychological Distress In Older Adults With Mild Cognitive Impairment, Jennifer Sjostedt Avery

Dissertations (1934 -)

Mild cognitive impairment (MCI) has an average prevalence of 18.9% and most often affects people 60 years of age or older. It is a cognitive stage between normal functioning and dementia (Petersen, 2003; Petersen, 2011; Petersen et al., 2014). MCI can be broken into two subtypes classified by the presence of memory impairment (amnestic MCI) or the lack thereof (nonamnestic MCI). Medical diagnostic criteria are commonly used to guide research with older adults with MCI. A theoretical framework that addresses the antecedents and consequences of MCI, specifically one examining the relationships among MCI, uncertainty, coping and psychological distress, is essential …

Epigenetics And Social Context: Implications For Disparity In Cardiovascular Disease, Karen L. Saban, Herbert L. Matthews, Holli A. Devon, Linda W. Janusek

Nursing: School of Nursing Faculty Publications and Other Works

BACKGROUND:

Although it is well established that African Americans (AA) experience greater social stressors than non-Hispanic Whites (NHW), the extent to which early life adversity and cumulative social stressors such as perceived discrimination, neighborhood violence, subjective social status, and socioeconomic status contribute to disparity in coronary heart disease (CHD) and stroke between AA and NHW are not well understood.

PURPOSE:

The purpose of this paper is to propose a conceptual model based upon McEwen’s Allostatic Load Model suggesting how the relationships among social context, early life adversity, psychological stress, inflammation, adaptation, and epigenetic signature may contribute to the development of …

Hispanic Mothers' Normative Beliefs And Intentions About The Discussion Of Sex-Related Topics With Their Adolescent Daughters, Dana M. Rodriguez

Dissertations (1934 -)

Hispanic adolescent females continue to have rates of pregnancy and STIs, which exceed those of white non-Hispanic peers. When mothers engage in the discussion of sex-related topics (DSRTs) with their adolescent daughters, it has been shown to delay or decrease sexual intercourse. However, it has been found that Hispanic parents talk less with their daughters about sex-related topics (SRTs) when compared to other ethnic groups. Understanding why Hispanic mothers may or may not intend to engage in DSRTs is important in order to design culturally appropriate programs aimed at increasing their DSRTs. A sequential mixed-methods predictive correlational design framed by …

Role Of The Serotonin Transporter Gene In Resilience To Stress And Trauma: An Integrative Review, Kosuke Niitsu

Posters and Presentations: College of Nursing

Resilience is defined as a multi-dimensional dynamic concept of positive adaptation to stress and trauma. It is estimated that 38 - 52% of phenotypic variation in resilience among Americans is due to genetic variance. Among nine candidate genes associated with resilience, the promoter region of serotonin transporter gene (5- HTTLPR) is of increasing clinical interest. Accumulating evidence suggests those who carry the Short (S) allele of 5-HTTLPR may be at increased risk of developing psychopathology such as Post-Traumatic Stress Disorder (PTSD). However, little is known about whether S allele carriers are less resilient to stress and trauma compared to Long …

Factors Affecting Disruption In Families Of Adults With Mental Illness, M. Jane Suresky, Jaclene Zauszniewski, Abir K. Bekhet

College of Nursing Faculty Research and Publications

PURPOSE: This study examined relationships between vulnerability/risk and protective factors, and family functioning in women family members of adults with serious mental illness.

DESIGN AND METHODS: Using a descriptive, correlational design, this secondary analysis examined characteristics of the family member with mental illness (e.g., diagnosis, level of care) and measures of caregiver stigma and strain, client dependence, family disruption, sense of coherence, and resourcefulness.

FINDINGS: Family disruption was greatest inwomenwho provided direct care and whose family member had major depression, followed by bipolar disorder, schizophrenia, and panic disorder. Sense of coherence and resourcefulness were associated with lower family disruption, but …

Minimizing Pain During Childhood Vaccination Injections: Improving Adherence To Vaccination Schedules, Lacey M. Eden, Janelle L. B. Macintosh, Karlen E. Luthy, Renea L. Beckstrand

Faculty Publications

Pain experienced in childhood can lead to long-term and psychologically detrimental effects. Unfortunately, the most common pain experienced in childhood is caused by vaccinations and may lead to non-adherence to the recommended vaccination schedule. As a result, it is the health care provider's responsibility to take measures to reduce vaccination pain; however, there are a plethora of pain relieving interventions during immunizations and it is unclear which interventions are most cost efficient, timely, and effective. Studies have been conducted to investigate the efficacy of different pain management interventions during vaccinations. This review evaluates various pain relieving interventions and provide health …

Exploring Adolescent Reproductive Health Knowledge, Perceptions, And Behavior, Among Students Of Non-Government Secondary Schools Supported By Brac Mentoring Program In Rural Bangladesh, Bachera Aktar, Malabika Sarker, Andrew Jenkins

Journal of Asian Midwives (JAM)

Adolescence is the transition period from childhood to adulthood. Since Bangladesh is such a conservative society, reproductive health education for adolescents has not been widely introduced. Very small adolescent health components are included in the secondary and higher secondary school curricula. The BRAC Mentoring Program provides mentorship training to secondary school pupils to develop them as peer leaders. However, this program does not provide adolescent reproductive health education. Therefore, a study, supported by BRAC Education Program in rural Bangladesh, was conducted to explore the current status of reproductive health knowledge, perceptions and practice among the students of secondary schools. This …

Chhs September 2014 E-Newsletter, Dr. John Bonaguro, Dean, Vashon S. Wells, Editor, Wku College Of Health & Human Services

College of Health & Human Services Publications

No abstract provided.

Return To Work After Stroke: A Nursing State Of The Science., Catherine Harris, Phd, Mba, Crnp

College of Nursing Faculty Papers & Presentations

There is a lack of research related to return to work (RTW) after acute ischemic stroke. Historically considered a disease of the elderly, acute ischemic stroke studies have not routinely used return to work as an outcome. Major stroke trials have not routinely collected this data as an endpoint. However, the mean age for acute ischemic stroke (AIS) has declined to 69 years of age, while the incidence in patients under the age of 55 has increased to 19%^1-3. Changes in retirement age have also affected RTW as a consideration in stroke patients. Failure to RTW after recovery …

Stress And Health Behaviors: Zoe Transformation Challenge Findings, Jeana Handley

Graduate Research Projects

No abstract provided.

Comparison Of Abstinence And Coital Frequency Between 2 Natural Methods Of Family Planning, Richard J. Fehring, Mary Schneider

College of Nursing Faculty Research and Publications

Introduction

The length of periodic abstinence, due to overestimation of the fertile phase of the menstrual cycle, is often a cause for dissatisfaction, discontinuation, and user error with natural family planning (NFP) methods. The objective of this research was to compare the length of required abstinence (ie, estimated fertility) and coital frequency between 2 NFP methods.

Methods

This was an analysis of data from a 12-month prospective comparison study in which participants were randomized into either an electronic hormonal fertility monitor (EHFM) group or a cervical mucus monitoring (CMM) group—both of which included a fertility algorithm as a double check …

“Releasing A Lot Of Poisons From My Mind”: Patients' Delusional Memories Of Intensive Care, Jill L. Guttormson

College of Nursing Faculty Research and Publications

Objectives

To describe intensive care unit (ICU) patients' delusional memories and interpretations of those memories.

Background

Delusional memories of the ICU are distressing for patients and may impact psychological recovery.

Methods

This is a secondary analysis from a study of mechanically ventilated patients' recall in relation to sedation. Subjects, recruited from one medical-surgical ICU, participated in structured interviews after extubation.

Results

Subjects (n = 35) with a mean age of 66 (SD 12.9) and on the ventilator a median of 4.5 days provided detailed descriptions of delusional memories of being shackled, caged, strangled, or being in a foreign country. …

Are Rural And Urban Newly Licensed Nurses Different? A Longitudinal Study Of A Nurse Residency Programme, Marilyn Meyer Bratt, Marianne Baernholdt, Jessica E. Pruszynski

College of Nursing Faculty Research and Publications

Aim

This study aimed to compare rural and urban nurse residency programme participants’ personal and job characteristics and perceptions of decision-making, job satisfaction, job stress, nursing performance and organisational commitment over time.

Background

Nurse residency programmes are an evolving strategy to foster transition to practice for new nurses. However, there are limited data available for programme outcomes particularly for rural nurses.

Method

A longitudinal design sampled 382 urban and 86 rural newly licensed hospital nurses during a 12-month nurse residency programme. Data were collected at the start of the programme, at 6 months and the end of the programme.

Results …

Psychometric Validation Of The Family Nurse Caring Belief Scale In A Neonatal Nursing Population, Eileen P. Magri

Theses & Dissertations

Statement of the Problem Many studies have explored the concept of family-centered care (FCC) as the framework in which the nurse recognizes and incorporates the family into the care of the patient. Implementation of FCC in the Neonatal Intensive Care Unit (NICU) has not been clearly or consistently described in the literature and is often included with Pediatric Intensive Care Units (PICU). The Family Nurse Caring Belief Scale (FNCBS) was developed to measure nurses’ beliefs regarding provision of family-sensitive care to families in crisis that incorporate concepts important to care for a family unit. Initial psychometric evaluation of the FNCBS …