Digital Commons Network^™

Compliance To Antipsychotic Medication: A Challenge For Client, Family And Health Care Providers., Ambreen Tharani, Salima Farooq, Faiza Saleem, Anila Naveed

School of Nursing & Midwifery

Compliance with anti-psychotic medications plays a significant role in managing clients with schizophrenia. It not only helps in controlling the symptoms, but also decreases the risk of relapses and ultimately improves quality of life (QoL) for the clients. However, compliance with anti-psychotic medication remains a challenge for the client, family and healthcare providers. Identification of these associated factors is vital to make appropriate plan to enhance medication compliance. In this paper, various factors are highlighted that are associated with medication compliance in clients with schizophrenia.

Volume 05, Ian Karamarkovich, Jessica Cox, Kyle Fowlkes, Allison Pawlowski, Kaitlin Major, Carrie Dunham, Kelsey Scheitlin, Kathryn Grayson, Ashley Johnson, Jennifer Nehrt, Kelsey Stolzenbach, Kristin Mcquarrie, Sara Nelson, Melisa Michelle, Jessica Sudlow, Perry Bason, Danielle Dmuchawski, Mariah Asbell, Matthew Sakach, Timothy Smith Jr., Annaliese Troxell, T. Dane Summerell, Sarah Ganrude, Malina Rutherford, Hannah Hopper, John Berry Jr., James Early, Colleen Festa, Chelsea D. Taylor, Michelle Maddox, Kaitlyn Smith, Sarah Schu, Cabell Edmunds, Katherine Grayson, Kayla Tornai

Incite: The Journal of Undergraduate Scholarship

Introduction from Dean Dr. Charles Ross

The Tallis House as an Extension of Emily Tallis in McEwan's Atonement by Ian Karamarkovich

Graphic Design by Jessica Cox

Graphic Design by Kyle Fowlkes

Graphic Design by Allison Pawlowski

Incorporating Original Research in The Classroom: A Case Study Analyzing the Influence of the Chesapeake Bay on Local Temperatures by Kaitlin Major, Carrie Dunham and Dr. Kelsey Scheitlin

Graphic Design by Kathryn Grayson

Graphic Design by Ashley Johnson

Facing the Music: Environmental Impact Assessment of Building A Concert Hall on North Campus by Jennifer Nehrt, Kelsey Stolzenbach And Dr. Kelsey Scheitlin

Art by Kristin …

Determinants Of Health-Related Quality Of Life In Arab American Patients With Type 2 Diabetes, Yousef Zakarni Phd

Dissertations

HRQL is an important aspect of chronic illnesses such as diabetes and needs to be considered by healthcare providers. It is one of the most important outcomes of healthcare interventions, representing an integral public health goal in Healthy People 2000, 2010, and 2020. Arab Americans (AAs), one of the most rapidly growing minorities in United States, tend to have a high prevalence of type 2 diabetes. The purpose of this study was to describe determinants of HRQL, including social support attitude, religiosity, and select demographics for AA patients with type 2 diabetes. A descriptive correlational study using a cross sectional …

Effects Of An Interprofessional Simulation Activity To Improve Students' Perceptions Of Other Healthcare Professions, Chase Raymond Poulsen

STEMPS Theses & Dissertations

Healthcare professionals have historically been educated and trained by members of their own profession within a curriculum that reinforces their individual discipline-specific strengths. This differentiation has contributed to students having little interaction with other professionals until after they have entered the workforce and consequently little formal education in collaboration or integration. The purpose of this mixed-method study was to evaluate the impact of an interprofessional (IP) collaborative activity on student's perceptions of the others discipline for the improvement in care of medical patients.

The sample population consisted of students from two programs, nursing (n=40) and respiratory therapy (n=33). Students were …

At Risk Young Adults: Healthcare Options During And After The Transition From Adolescence To Adulthood For Those Aging Out Of The Foster Care System, Michael Ockrin

Nursing Masters

Approximately 20,000 of the 500,000 foster care children in the United States age out of social services each year (Yen, Hammond, & Kushel, 2009). These youth lack the family support systems that most young adults have. They rarely receive the health care services that other young adults receive because of a lack of health insurance. Government programs have begun to address the problem. The Fostering Connections to Success and Increasing Adoptions Act of 2008 requires states to help youth in their transition to adulthood and addresses many issues including healthcare. The Foster Care Independence Act of 1999 doubled the amount …

Psychometrics Of The Depressive Cognition Scale In Caregivers Of Persons With Autism Spectrum Disorders, Abir K. Bekhet, Jaclene A. Zauszniewski

College of Nursing Faculty Research and Publications

Caregivers of persons with autism spectrum disorders (ASD) are prone to depression, and early identification of cognitive depressive symptoms is important to prevent the development of clinical depression. The Depressive Cognition Scale (DCS) can be used for early detection, but the scale's psychometrics has not been tested in caregivers of persons with ASD. In this study, 95 caregivers of persons with ASD completed the eight-item DCS and measures of caregiver burden and resourcefulness. A Cronbach's alpha of .90 indicated internal consistency. Construct validity was supported by significant correlations with caregiver burden (.59) and resourcefulness (− .57). Principal component factor analysis …

Lack Of Father Involvement In Research On Children With Autism Spectrum Disorder: Maternal Parenting Stress And Family Functioning, Norah L. Johnson, Pippa Simpson

College of Nursing Faculty Research and Publications

Autism Spectrum Disorder (ASD) has an estimated prevalence of greater than 1% of people in the US. Caring for children with ASD is stressful and challenging for parents. The purpose of the study is to understand the ramifications of the findings of a spouse/father's lack of participation for a study focused on stress and family functioning that attempted to recruit both parents of a child with ASD. The Kruskal-Wallis test compared medians of three groups of mothers of children with ASD in order to assess differences in parenting stress and family functioning discrepancy depending on their marital status and spouse …

Conceptualizing Group Dynamics From Our Clients’ Perspective: Development Of The Conceptualization Of Group Dynamics Inventory, Kevin A. Tate Phd, Edil Torres Rivera, William L. Conwill, David Miller, Ana Puig

College of Nursing Faculty Research and Publications

There is a clear call in group counseling practice and training for evidence-based practice (ACA, 2005; ASGW, 2008; CACREP, 2009). At the same time, group counselors also are asked to keep clients' experience at the center of their work (ASGW, 2012). This article outlines the authors' effort to develop and study an instrument designed to measure group counselors' conceptualization skill using group members' subjective perceptions as a foundation. Descriptions of the instrument's internal reliability, construct validity, and generalizability will be presented, as well as suggestions for conducting research on this instrument in future studies.

The Effect Of Either Topical Menthol Or A Placebo On Functioning And Knee Pain Among Patients With Knee Oa, Robert V. Topp, Joseph A. Brosky, David Pieschel

College of Nursing Faculty Research and Publications

Osteoarthritis (OA) is a common health problem with symptoms including reduced functioning and joint pain. Protracted pharmacological management of knee OA is associated with side effects including gastrointestinal, renal, and neurological dysfunction.Menthol gels have been used with limited empirical support to relieve pain and improve functioning among individual with OA. The purpose of this study was to compare the ability to complete functional tasks and knee pain while completing functional tasks among patients with knee OA after topical application of either 3.5% menthol gel or an inert placebo gel. Twenty individuals with knee OA volunteered to complete 2 data collection …

Measuring Nurses’ Impact On Health Care Quality: Progress, Challenges, And Future Directions, Susan L. Beck, Marianne E. Weiss, Nancy Ryan-Wenger, Nancy E. Donaldson, Carolyn Aydin, Gail L. Towsley, William Gardner

College of Nursing Faculty Research and Publications

Background: Quality measurement is central in efforts to improve health care delivery and financing. The Interdisciplinary Nursing Quality Research Initiative supported interdisciplinary research teams to address gaps in measuring the contributions of nursing to quality care.

Objective: To summarize the research of 4 interdisciplinary teams funded by The Interdisciplinary Nursing Quality Research Initiative and reflect on challenges and future directions to improving quality measurement.

Methods: Each team summarized their work including the targeted gap in measurement, the methods used, key results, and next steps. The authors discussed key challenges and recommended future directions.

Results: These exemplar projects addressed cross-cutting issues …

Facilitating Social Integration For People With Severe Mental Illness, Sheila Linz

Seton Hall University Dissertations and Theses (ETDs)

.

The Experiences Of Indian Nurses In America, Munira Wells

Seton Hall University Dissertations and Theses (ETDs)

.

The Ties That Bind: The Relationships Between And Among Registered Nurses' Clinical Experience, Clinical Decision-Making Processes, And Nursing Practice Issues Related To Physical Restraint Use With Attitudes Toward The Use Of Physical Restraints In The Critical Care Environment, Kristi Stinson

Seton Hall University Dissertations and Theses (ETDs)

.

The Relationship Of Perceived Trust And Perceived Stress Among Pregnant Women Receiving Care From A Certified Nurse Midwife, Maria Torchia Logrippo

Seton Hall University Dissertations and Theses (ETDs)

.

Caregiver Burden And Sibling Relationships In Families Raising Children With Disabilities, Diane W. Allred

Theses and Dissertations

The purpose of this study was to examine sibling relationships and caregiver burden in families raising children with disabilities (CWD). In order to determine (a) are there differences in caregiver burden according to parent gender and types of disability (b) are there differences in sibling relationships according to parent gender and type of disability and (c) is there a relationship between caregiver burden and sibling relationships after controlling for CWD and sibling gender and age, and type of disability? After IRB approval, 166 families living in the west and raising typically developing children (TDC) or a CWD participated. Disabilities included …

Genomics And Autism Spectrum Disorder, Norah L. Johnson

College of Nursing Faculty Research and Publications

Purpose: To present the current state of the evidence regarding translation of genetics (the study of single genes) and genomics (the study of all genes and gene-gene or gene-environment interactions) into health care of children with autism spectrum disorder (ASD).

Methods: This article presents an overview of ASD as an international health challenge, the emerging science related to broad diagnostic criteria, and the role of the nurse in research, education, and practice.

Findings: Much progress is being made in the understanding of genetics and genomics of ASD. Environmental factors are thought to contribute to the risk of developing ASD by …

Nurses’ Perceptions Of Sustainability Of Magnet® Efforts, Heather Vartanian, Kathleen Bobay, Marianne E. Weiss

College of Nursing Faculty Research and Publications

Magnet® designation and redesignation efforts are time and resource intensive. The results of a survey of nurses’ perceptions about 4 components of sustainability indicate differences between Magnet and non-Magnet hospitals. Evaluating nurses’ perception of the sustainability of Magnet efforts will help nurse executives determine where to commit financial, time, and human resources.

Relationship Of Internet-Delivered Mantram Repetition Program To Burnout, Stress Of Conscience, Spiritual Wellbeing, And Mindfulness In Healthcare Workers, Sheryl Leary Phd

Dissertations

This study evaluated the effect of the Mantram Repetition Program (MRP), an internet-delivered stress management course on burnout, stress of conscience, spiritual wellbeing, and mindfulness on a self-selected group of healthcare workers (HCWs). A quasi-experimental repeated measures design was used. Participants enrolled in a six-session MRP delivered over three months and completed baseline, post-course, and three-month post-course assessments. Measurement tools included the Maslach Burnout Inventory-General Survey (MBI-GS), the Stress of Conscience Questionnaire (SCQ), the Functional Assessment of Chronic Illness Therapy Spiritual Wellbeing Scale (FACIT-12), and the Mindfulness Awareness Attention Scale (MAAS). Statistically significant effects of the MRP showed a decrease …

Comparison Of Manual Versus Automated Data Collection Method For An Evidence-Based Nursing Practice Study, Matthew D. Byrne, T R. Jordan, Tamara Welle

Articles

OBJECTIVE:

The objective of this study was to investigate and improve the use of automated data collection procedures for nursing research and quality assurance.

METHODS:

A descriptive, correlational study analyzed 44 orthopedic surgical patients who were part of an evidence-based practice (EBP) project examining post-operative oxygen therapy at a Midwestern hospital. The automation work attempted to replicate a manually-collected data set from the EBP project.

RESULTS:

Automation was successful in replicating data collection for study data elements that were available in the clinical data repository. The automation procedures identified 32 "false negative" patients who met the inclusion criteria described in …

Time Management Strategies For Research Productivity, Jo-Ana D. Chase, Robert V. Topp, Carol E. Smith, Marlene Z. Cohen, Nancy Fahrenwald, Julie Zerwic, Lazelle E. Benefield, Cindy M. Anderson, Vicki Conn

College of Nursing Faculty Research and Publications

Researchers function in a complex environment and carry multiple role responsibilities. This environment is prone to various distractions that can derail productivity and decrease efficiency. Effective time management allows researchers to maintain focus on their work, contributing to research productivity. Thus, improving time management skills is essential to developing and sustaining a successful program of research. This article presents time management strategies addressing behaviors surrounding time assessment, planning, and monitoring. Herein, the Western Journal of Nursing Research editorial board recommends strategies to enhance time management, including setting realistic goals, prioritizing, and optimizing planning. Involving a team, problem-solving barriers, and early …

The Experiences Of Self-Managing Perceived Blood Pressure Changes In Women With Hypertension, Mary Margaret Franklin

Wayne State University Dissertations

The purpose of this qualitative study was to describe the experiences of women with HTN self-managing their perceived BP changes. van Manen's phenomenology methodology and method guided the inquiry, and also guided the existential reflection of the impact of perceived BP changes on the participants' lifeworlds (e.g, lived space, lived body, lived time, and lived relations).

Seven African American and six European American women with HTN who were able to tell if their BP changed based on their symptoms were recruited from community settings and were interviewed once with a semi-structured guide. Participants were middle-aged (M=50.5 years, SD=9.62), experienced in …

Early Home Visits By A Registered Nurse Care Manager With Heart Failure Patients, Dana Davis Blake

Nursing Theses and Capstone Projects

Strategies focused on 30 days in the life of a patient with heart failure will have limited impact on the burden that heart failure will have nationally or individually. The broader landscape of readmission risk underscores the need for a more comprehensive approach to heart failure management. Care management with a registered nurse demonstrated efficiently coordinate care. Home visits address the peaks of risk in the post-discharge transition and palliative phase while providing longitudinal support. The purpose of this study is to substantiate that early home visits and telephone followup with a registered nurse after discharge from the hospital will …

Patient Education And Coumadin (Warfarin) Therapy: Readmission Rates Pre/Post Coumadin Team Initiation, Rebecca L. Barber

Nursing Theses and Capstone Projects

As a response to the 2011 National Patient Safety Goals (NPSG), a Coumadin Team, consisting of a Physician Chair, Pharmacists, and Registered Nurses, was formed at Mission Health System to focus on International Normalized Ratio (INR) testing, Coumadin dosing, and patient education. The goal of this team has been to identify and eliminate barriers that prevent the stabilization of INRs within the prescribed goal range, and to ensure that all patients receive education about Coumadin therapy in order to prevent harm and reduce readmission rates related to Coumadin therapy. The purpose of this study is to compare readmission rates within …

Examining Nursing Students' Retention Of Taught Content By Repeat Study And Repeat Testing: A Replicated Study, Rebecca Oglesby

Nursing Theses and Capstone Projects

This project was a replication of a previous study conducted with medical residents to determine if repeat testing produced higher scores as compared to repeat study. Current literature reports that repeated testing produces higher scores than repeated studying. This project was conducted with first semester nursing students who were provided a learning session on two topics, followed by a multiple-choice test and review sheet for each topic. Two groups were randomly assigned. Each group tested on either Topic A or Topic B (Asepsis and Oxygenation) and studied the other topic. Testing sessions were held on the teaching day, at two …

Assessment Of Nurses' Knowledge And Attitudes Toward Pain Management: Novice To Expert, Robin J. Sherrill

Nursing Theses and Capstone Projects

Despite 20 years of work by educators, clinicians, and professional organizations and the publication of clinical practice guidelines, there have been, at best, modest improvements in pain management practices (Berry & Dahl, 2000). Literature review asserts, nurses' continue to have knowledge deficits and ongoing negative attitudes toward pain management. Nurses are at the forefront in patient care and the appropriate skills, knowledge, and attitudes in pain assessment and management is essential in order to provide optimal patient care. The purpose of this study was to assess the current level of nursing knowledge and attitudes toward pain management from Benner's continuum …

Development And Implementation Of A Pediatric Palliative Care Program, Terri Mccaffrey, Diane Pelant, Jean Beckel

Nursing Posters

To define, develop, and implement a pediatric palliative care program.

Methadone Use In Palliative Care Patients, Kim Ruprecht

Nursing Posters

Methadone is increasingly being used for palliative cancer patients for pain management. Physicians are "rotating" opioids to help reduce opioid side effects, and help increase pain response due to tolerance of another opioid. Methadone has been compared to other opioids in studies in which it has been rotated with another opioid. The studies compared the adverse effects, cost, and the rate of success to achieve adequate pain management.

Nursing Annual Report 2011-2012, Children's Mercy Hospital

Nursing Annual Reports

Annual report for nursing services at Children's Mercy Kansas City.

Final Report: Randomized Comparison Of Two Internet-Supported Methods Of Natural Family Planning, Richard J. Fehring, Mary Schneider

Randomized Comparison of Two Internet-Supported Methods of Natural Family Planning

Studies consistently show that women want safe, effective, easy to use, and convenient methods of family planning (Arévalo,1997; Severy 2001). Although Natural Family Planning (NFP) methods are free of side effects, they are often ineffective and complex to learn and use (Grimes et al. 2005). Efforts have occurred over the past 10 years to simplify the teaching and use of NFP methods and increase their efficacy. These efforts include the development of low tech calendar-based methods (Arévalo et al. 2004), simplifying instructions (Frank-Herrmann et al. 2005), and developing accurate biological markers of fertility (Guida et al. 1999).

A new high-tech …

Recruiting For Epigenetic Research: Facilitating The Informed Consent Process, Nancy Jallo, Debra E. Lyon, Patricia Anne Kinser, Debra Lynch Kelly, Victoria Menzies, Colleen Jackson-Cook

School of Nursing Publications

Because the effects of epigenetic (gene-environment interaction) changes have been associated with numerous adverse health states, the study of epigenetic measures provides exciting research opportunities for biobehavioral scientists. However, recruitment for studies focusing on any aspect of genetics poses challenges. Multiple factors, including lack of knowledge regarding a research study, have been identified as barriers to recruitment. Strengthening the informed consent process through extended discussion has been found to be effective in recruiting for research studies in general, yet there is a paucity of information that focused on such a recruitment strategy for epigenetic studies. In this paper, we share …