Medicine and Health Sciences Commons^™

Analysis Of Community-Based Accumulation Of Home Medications (Caches) Found At Death Scenes In Davidson County, Tennessee, Carrie E. Plummer

Theses and Dissertations (ETD)

Introduction: Stockpiling of unused medications by community-dwelling individuals results in Community-based ACcumulation of Home mEdicationS (CACHES). CACHES place the individual, health care and justice system, and ecosystem at risk for adverse outcomes including: a) diversion of prescription medications by friends and family, b) pediatric poisonings, c) adverse drug events, d) increased criminal justice system costs related to prescription drug abuse, e) increased health care costs, and f) pollution of local water supplies via improper medication disposal. This study explores the relationship among individual risk factors (gender, race, age, comorbid conditions), geographical location, health care risk factors (number of prescribers and …

Randomized Comparison Of Two Internet-Supported Fertility Awareness Based Methods Of Family Planning, Richard J. Fehring, Mary Schneider, Kathleen Raviele, Dana Rodriguez, Jessica E. Pruszynski

College of Nursing Faculty Research and Publications

Background

The aim was to compare the efficacy and acceptability of two Internet-supported fertility-awareness-based methods of family planning.

Study design

Six hundred and sixty-seven women and their male partners were randomized into either an electronic hormonal fertility monitor (EHFM) group or a cervical mucus monitoring (CMM) group. Both groups utilized a Web site with instructions, charts and support. Acceptability was assessed online at 1, 3 and 6 months. Pregnancy rates were determined by survival analysis.

Results

The EHFM participants (N= 197) had a total pregnancy rate of 7 per 100 users over 12 months of use compared with …

Support For A Smoke-Free Bylaw In Parks And On Beaches, Chizimuzo T.C. Okoli, Ann Pederson, Wendy Rice

Nursing Faculty Publications

BACKGROUND: In September 2010, Vancouver, Canada enacted a smoke-free bylaw in parks and on beaches.

OBJECTIVE: To examine demographic and attitudinal factors associated with the public opinion on Vancouver's outdoor smoke-free bylaw.

METHODS: From 496 randomly selected Vancouver residents, information on demographics, smoking status, and opinions and support for or opposition to the smoke-free bylaw were obtained by telephone surveys.

RESULTS: Approximately 84.2% of the sample endorsed the legislation; a greater proportion of non-smokers supported the bylaw than smokers (88.6% vs. 52.0%). In multivariate analysis, demographic variables significantly associated with supporting the smoke-free bylaw were being female, having completed community …

Spirituality, Religiosity, Depression, Anxiety, And Drug-Use Consequences During Methadone Maintenance Therapy, Linda B. Piacentine

College of Nursing Faculty Research and Publications

Substance addiction is damaging to the health of persons, families, and society. Often the person with addiction has decreased spirituality and religiosity and suffers from anxiety, depression, or both, increasing the risk for continued substance use and its concomitant negative consequences. The study purpose was to describe spirituality and religiosity, among persons enrolled in methadone maintenance therapy and to examine associations between spirituality, religiosity, anxiety, depression, and drug-use consequences. Using a descriptive and cross-sectional correlational design, 108 participants completed questionnaires assessing the study variables. Spiritual well-being was similar to other addiction samples and lower than healthy person samples. Most participants …

A Theater Intervention To Prevent Teen Dating Violence For Mexican-American Middle School Students, Ruth Ann Belknap, Kristin Haglund, Holly Felzer, Jessica E. Pruszynski, John Schneider

College of Nursing Faculty Research and Publications

Purpose

To test a theater intervention designed to raise awareness of the dynamics and consequences of teen dating violence (TDV) and to facilitate creation of nonviolent responses to TDV among Latino and Latina adolescents. The intervention was based on Theater of the Oppressed, which advocates the use of theater methods to explore social issues and to allow audiences to experiment with problem-solving, thereby promoting change.

Methods

This study used a pretest–posttest, no control group, mixed-measures design to study 66 Mexican-American adolescents (mean age, 13.4 ± 5 years). Two plays containing subtle and overt signs of control and abuse were written …

The Flame, 2012-2013, Mennonite College Of Nursing

The Flame (1985-present)

The Flame is a newsletter of Illinois State University's Mennonite College of Nursing

"A Day In The Life:" A Simulated Experience, Melinda Hermanns, Narisa Waldo, Mary Luanne Lilly

Nursing Faculty Publications and Presentations

An experiential learning activity titled, "A Day in the Life" was implemented with nineteen baccalaureate nursing students in order to achieve a holistic understanding of the challenges faced by persons living with Schizophrenia and a physical disability, such as a fracture in an upper extremity or a visual impairment. The role play simulation required that students interact with public transportation and community resources, while assuming the role of a person with Schizophrenia and a physical disability. Using a qualitative descriptive methodology, reflective journals, aesthetic expressions, and post conference discussions about "A Day in the Life" were reviewed and analyzed by …

Metabolic Syndrome And Depression: A Systematic Review Of The Association, Michael S. Robinson

Student Works

Purpose: To explore whether there is an association between metabolic syndrome (MetS) and depression, the nature of the relationship, and implications for practicing health care professionals. Data Sources: Peer reviewed articles obtained through electronic database search in: CINAHL, The Cochrane Library, MEDLINE, and PsychINFO between the years of 2006 and 2013. Results: MetS and depression have a bidirectional association; MetS leads to depression and vice-versa. More severe depression has a stronger association with MetS. Increased waist circumference (AKA: abdominal obesity, body mass index [BMI]), elevated triglycerides, and low HDL cholesterol are the MetS components most commonly/strongly associated depression. Though not …

Conference Learnings, Kimberly Bartman Rn, Bsn, Cvn

Patient Care Services / Nursing

No abstract provided.

Conference Learnings, Todd Burgert Rn

Patient Care Services / Nursing

No abstract provided.

Student Perception Of How Simulation Applies To Clinical Experience, Brooke Alleger, Dr. Debra Wing

Journal of Undergraduate Research

For students in the nursing program at Brigham Young University, lab time in the Nursing Learning Center in the basement of the Spencer W. Kimball Tower is a regular part of the classroom experience. In this lab, nursing skills such as assessments, starting IVs, inserting catheters and cleaning wounds are taught and practiced. Once basic skill sets are taught, students are challenged with real-life scenarios requiring them to think critically and practice a subset of learned skills on a mannequin during simulation labs.

Developing An Instrument To Assess Immunization Requirements Among Utah Health Care Workers In The Outpatient Setting, Nathan Wiley, Dr. Beth Luthy

Journal of Undergraduate Research

The health care environment is ideal for the spread of immunization-preventable and communicable diseases (Goldstein, Kincade, Gamble, & Bearman, 2004). Communicable diseases, such as pertussis, are highly contagious and easily transmitted by health care workers (HCWs) to at-risk patients (CDC, 1997; Sandora, Gidengil, & Lee, 2008). Pediatric patients, especially those under 5 years of age, are especially vulnerable to immunization-preventable diseases since they have not yet completed all immunizations in a given series. Since 2006, the CDC has recommended the cocoon immunization strategy, a program that aims to protect newborns from pertussis by immunizing caregivers of the infant (TCH, 2010). …

Healing All Around The World: French Nurses’ Perspective Of The French Healthcare System, Cami Schiel, Dr. Leslie Miles

Journal of Undergraduate Research

The purpose of this project was to examine how foreign nurses (specifically French nurses) perceived their healthcare system, and those in other countries. This ultimately led to additional insight into where they get their perceptions, positive and negative aspects of different types of healthcare systems, and some differences between the French and American systems. It was fascinating.

Adults With Type 1 Diabetes; Lifetime Perspectives, Laura Boone, Dr. Donna Freeborn

Journal of Undergraduate Research

The purpose of this qualitative study was to identify the stressors experienced throughout childhood and adolescence of adults with type 1 diabetes (T1D). Identification of stressors can be a helpful tool in improving the child and family’s quality of life and current treatment methodologies.

Nursing Education: The Role Of Debriefing For Nursing Students’ First Clinical Experience With Death, Laura Gilpin, Dr. Barabar Heise

Journal of Undergraduate Research

Death, particularly the unexpected death of a patient, is an emotionally charged, highstress situation for any nurse. Nursing students encounter scenarios involving death and dying in simulation laboratories, as well as in the clinical setting. It is essential a nurse learns how to process and cope with his or her emotions regarding the death of a patient since it may occur frequently during his or her career. If a nurse cannot cope with these emotions it could lead to burn out and damage to overall emotional health.

How Incarceration Affects Maternal Identify Of Female Inmates, Ashlee Manwaring, Dr. Janelle Macintosh

Journal of Undergraduate Research

I proposed an ORCA with Janelle Macintosh, RN, PhD, last fall, and was awarded the grant in February. Our original idea was to investigate how incarceration affects maternal identify of female inmates. This was closely related to Dr. Macintosh’s original dissertation proposal and completed dissertation. However, we were not able to successfully complete the required IRB for the Department of Corrections. We determined a change in population would probably be the best course of action. Our goal was to do the same research on a different population.

Conference Learnings, Jennifer King Rnc, Bsn, Jenna Herb Rn, Bsn, Connie Erasmo Bsn, Rn

Patient Care Services / Nursing

No abstract provided.

Alternative Hospital Gift Bags And Breastfeeding Exclusivity, Yeon Bai, Shahla M. Wunderlich, Rickie Kashdan

Department of Nutrition and Food Studies Scholarship and Creative Works

The type of gift bags given to new mothers at the time of discharge from the hospital can influence their confidence in breastfeeding. Most hospitals in the US continue to distribute commercial gift bags containing formula samples despite the reported negative influence of commercial bags on the duration of breastfeeding. This study compared breastfeeding outcomes in women receiving three different kinds of gift bags at discharge. A prospective intervention study was conducted during the 2009-2010 in New Jersey. Three breastfeeding cohorts were recruited and assigned to three groups: COMMERCIAL received discharge bags containing formula samples, BF-INFO received breastfeeding information and …

The Benefits Of Undergraduate Research Assistantships In Nursing, Ryoko Pentecost

Student Research Initiative

Specific Aims:The specific aim of this study was to explore student nurses’ perceptions of the benefits of being an undergraduate research assistant.

Background: Undergraduate student nurses gain benefits from collaborating outside of the classroom with faculty as a research assistant. Students can explore the faculty role of researcher through their experiences, and these experiences may encourage students to become faculty in the future. Boise State University School of Nursing (BSU SON) students have been encouraged to participate with faculty members through the Faculty-Student Research Support Initiative, funded by the DeMeyer Endowment. Through this research experience, undergraduate research assistants from BSU …

Vitamin D Deficiency And Acute Lower Respiratory Infections In Children Under 5 Years Of Age: A Systematic Review, Allison Larkin

Student Works

Introduction: Acute lower respiratory infection (ALRI) is the leading cause of mortality in children 5 years and younger. The purposes of this literature review were to examine vitamin D deficiency (VDD) and ALRI in children 5 years and younger and make recommendations regarding vitamin D to prevent ALRI. Method: Databases were searched for studies investigating VDD and ALRI in children 5 years and younger. Two independent reviewers assessed internal validity using the U.S. Preventive Services Task Force grading criteria. Results: Eighteen studies met inclusion criteria. VDD was associated with increased risk or increased severity of ALRI in 13 studies, but …

Examining Nervios Among Immigrant Male Farmworkers In The Micasa Study: Sociodemographics, Housing Conditions And Psychosocial Factors, Maria Stoecklin-Marois, Marc Schenker, Kathleen A. O'Connor

Nursing Faculty Publications

Nervios is a culturally defined condition of psychological stress with important implications for Latino health. Using epidemiological research methods, we examined the prevalence of nerviosand associated risk factors, including drug and alcohol use, acculturation, and housing conditions in a population-based study of farm worker families in Mendota, CA (the MICASA Study). A household enumeration procedure was used for sampling, and 843 individuals were interviewed in 2006–2007. In this analysis, we present data on 422 men, 381 accompanied (family) males and 41 unaccompanied males. The prevalence of nervios was 22 %, with no difference in prevalence by household status. Low …

Making Meaning In The Legacy Of Tissue Donation For Donor Families, Nancy S. Hogan, Lee A. Schmidt, Maggie Coolican

Nursing: School of Nursing Faculty Publications and Other Works

Context-Individuals needing lifesaving (heart valves, skin grafts for repair of critical burn injuries) and life-enhancing (corneas, bone and tendon grafts, skin, and veins) tissue donations outnumber the tissues available for transplant. Objective-To describe the grief family members experienced 6 months after donation and to learn how family decision makers gained meaning from the decision to donate a loved one's tissues. This is phase 1 of a longitudinal study in which family decision makers will be surveyed again at 13 and 25 months after donation. Design-Qualitative descriptive. Participants-One hundred seven family decision makers whose family member died a traumatic sudden death …

The Role Of Transcendence In A Holistic View Of Successful Aging : A Concept Analysis And Model Of Transcendence In Maturation And Aging., Valerie Lander Mccarthy, Amanda Bockweg

Faculty and Staff Scholarship

BACKGROUND: Although successful aging is most often defined by the absence of disease and disability, older adults consistently report aging successfully even in the presence of chronic illness and functional limitations. A more holistic way of looking at old age suggests transcendence may be an important missing criterion for successful aging.

AIM: Transcendence, a late life developmental process, appears to have a profound effect within the spiritual domain, but is an abstract, complex and unfamiliar concept. A clear understanding of the meaning of transcendence is necessary to explore the concept’s usefulness as a potential basis for future interventions to increase …

Validity And Reliability Testing: Urdu Translated Modified Response To Symptoms Questionnaire, Saleema Allana, Tazeen S. Ali, Khurshid Khowaja, Aamir Hameed, Debra Kay Moser

School of Nursing & Midwifery

Objective: To determine validity and reliability of the Urdu translated, modified "Response to symptoms questionnaire" (RSQ) among acute coronary syndrome (ACS) patients in Karachi.
Study Design: A qualitative, tool validation study.
Place and Duration of Study: Two tertiary care hospitals in Karachi, the Aga Khan University Hospital, Karachi and the Karachi Institute of Heart Diseases, from December 2010 to April 2011.
Methodology: After making certain modifications, the original tool in English was translated into Urdu. Next, five cardiology experts evaluated the tool for its content and face validity. Test retest and inter rater reliabilities were computed for the RSQ using …

Tobacco Treatment Outcomes From A Specialist Smoking Cessation Clinic Based Within Cardiology Services, Milan Khara, Chizimuzo T.C. Okoli

Nursing Presentations

BACKGROUND: Populations with cardiac conditions often continue to smoke at high rates (up to 62%), even after experiencing life-threatening cardiac events. The purpose of our study is to examine pilot treatment outcomes of an outpatient Smoking Cessation Clinic (SCC) provided within Cardiology Services.

METHODS: This study is based on a retrospective review of the charts of 118 participants of the SCC (between Sept 2010 and May 2012). The primary components of intervention include tailored pharmacotherapy and behavioural counselling. The main outcome of interest is self-reported 7-day point-prevalence of smoking abstinence verified by expired CO level (when available).

RESULTS: 34.7% …

Commencement Program 2013, Loma Linda University

Commencement Programs

CONTENTS

1 | Message from the President

3 | 2013 Events of Commencement

5 | The Academic Procession

7 | Significance of Academic Regalia

9 | The Good Samaritan

10 | University History Highlights

12 | Loma Linda University Song - "Healing Love"

13 | The Speakers

23 | The University Honorees

45 | The School Honorees

64 | The Programs

• School of Medicine, 65
• School of Pharmacy, 83
• School of Dentistry, 90
• School of Behavioral Health and School of Religion, 107
• School of Nursing, 120
• School of Pubic Health, 129
• School of Allied Health Professions - Physical Therapy, 145 …

School Of Nursing Newsletter June 2013, Southern Adventist University School Of Nursing

Southern Nursing - School of Nursing Newsletter

The June 2013 issue of the newsletter features articles on Linda Marlowe's retirement, senior recognition, mission trips, a simulated disaster, a visit from Japanese nursing students, and the debut of a standardized patient program.

Conference Learnings, Debra Peter Msn, Rn-Bc

Patient Care Services / Nursing

No abstract provided.

Quality Improvement Project: Analysis Of Efficiency Of Current Order Set For The Diagnostic Workup Used To Evaluate Neurogenic Stress Myocardium In Aneurysmal Subarachnoid Hemorrhage, Denise Miller Niklasch, Kathleen Bobay

College of Nursing Faculty Research and Publications

Purpose

To evaluate patterns of utilization of the aneurysmal subarachnoid hemorrhage (aSAH) protocol order set for neurogenic stress myocardium (NSM).

Data sources

Retrospective chart review.

Conclusions

The results of this study demonstrate that protocol order sets can be prone to omissions, variations in practice, and delays.

Implications for practice

Education and implementation of an intervening compliance monitor are essential to improve utilization and correctness in use of the aSAH protocol order set for NSM. Advance practice nurses (APNs) or nursing staff could provide this service. This would improve teamwork, improve efficiency of care delivery and utilization of resources, promote leadership …

Evaluating Tablet Technology In An Undergraduate Nursing Program, Beth Ann Swan, Kellie Smith, Anthony J. Frisby, Kathryn Shaffer, Mary Hanson-Zalot, Julie Becker

College of Nursing Faculty Papers & Presentations

With the introduction of tablet technology, faculty began asking questions about when, where, and how tables might enhance curriculum opportunities for student learning and faculty teaching strategies beyond their use as personal digital devices and smartphones (Swan, Smith, Frisby, Shaffer, & Hason-Zalot). Personal digital devices (PDDs), including smartphones, had been used by nursing students for the past five years. The purpose of this study was to evaluate how tablet technology affected student and faculty teaching-learning processes and outcomes in an accelerated, pre-licensure baccalaureate nursing program.