Medicine and Health Sciences Commons^™

A Study Of Expressed Emotion In Psychiatric Nurses And Its Relation To The General Role And Effects Of Emotions In Nursing, Lauren A. Buck

Senior Honors Theses

Nurses play a vital role in the health and care of a patient. Through that care, the nurse has the ability to improve the patient’s experience or ruin it. A vital component influencing the care provided are the emotions the nurse displays toward her coworkers, patients, and patients’ family members. The emotions of a nurse may positively or negatively impact a patient. The studies that examine the impact of the nurse’s emotions on patient’s outcomes are varied and few. The communication and emotion of nurses are likely to impact their care and, from that, the patient’s outcome; however, there is …

Differences In Substance-Related Risk Behavior Between Dual And Triple Diagnosed Severely Mentally Ill Adults, Michelle Hampton, Linda Chafetz, Carmen Portillo

Faculty Publications

The purpose of this study was to determine whether differences exist between adults with dual and triple diagnoses with regard to substance-related risk behaviors. This secondary analysis was a cross-sectional study. There were 252 subjects with dual and triple diagnoses recruited from residential crisis programs in San Francisco. Using descriptive and logistic regression analyses, subjects in the two groups were compared with regard to demographic data, types of substances, and routes of administration used in the previous 30 days to determine risk for exposure and/or transmission of human immunodeficiency virus/hepatitis C virus. When compared to the dual diagnosis group, subjects …

Factors Predicting Exercise Behavior Of Graduate Students, Bibha Gautam

Theses and Dissertations

Graduate school is often experienced as a time of increased demands/expectations resulting in heightened levels of stress due to academic work, family responsibilities, job demands, financial pressure, and other life related issues. Besides stress, graduate school also brings about significant physical inactivity due to the shift of the immediate priority to academic accomplishment. Reports of increasing prevalence of cardiovascular disease (CVD) risk factors among students highlight that this group may have particular risk not well-identified. Yet, relative risk can be reduced by lifestyle modifications, such as eating well, exercising, and stress reduction. The majority of the risk factors, to a …

Cruising For Truckers On Highways And The Internet: Sexual Networks And Infection Risk, Yorghos Apostolopoulos, Sevil Sönmez, Mona Shattell, Jennie Kronenfeld, Donna Smith, Sarah Stanton

Mona Shattell

Empirical evidence on the heterosexual partnerships of long-haul truckers suggests connections among occupational stressors, substance misuse, structural factors, and risk for sexually transmitted infections and HIV. Yet the potential risks associated with same-sex partnerships of truckers and truckchasers (men who specifically cruise for truckers) remain largely unknown. Drawing from diverse sources as well as primary and secondary data from 173 truckers and “truckchasers,” we discuss how trucking and cruising contexts, in conjunction with Internet fora, jointly create a risk-enabling environment for truckers and their sex contacts. Findings point toward an elusive but extensive sexual network that spans across the Internet …

Smoking Cessation Among Persons With Co-Occurring Substance Use Disorder And Mental Illness, Chizimuzo T.C. Okoli, Milan Khara

Chizimuzo T.C. Okoli

Aims: A history of either a substance use disorder (SUD) or psychiatric disorder (PD) is associated with tobacco use. However, there is limited information available on tobacco dependence treatment outcomes among individuals with co-occurring SUD and PD. Methods: Data from 202 participants enrolled in a tobacco dependence treatment program in an outpatient clinic setting were analysed. Findings: In multivariate analysis, having a history of SUD only (OR =.11, 95% CI = .02–.76) and having a co-occurring SUD and PD (OR = .13, 95% CI = .02–.81), as compared to having neither, were significant predictors of a lower likelihood of achieving …

The Lived Experience Of Mothers Bereaved By The Suicide Death Of A Child., Cynthia Walker Lynn

Electronic Theses and Dissertations

Suicide has existed throughout recorded history. It is a phenomenon that has been both culturally and morally defined across time and civilizations. It is estimated that over 34,000 Americans deliberately take their own lives annually. Moreover, according to some experts, between 6 and 28 individuals are directly affected by each completed suicide. These individuals are referred to as suicide survivors. The consequences for suicide survivors are multidimensional in part because relationships to the deceased play a vital role in bereavement. Previous research studies in the areas of suicidology and bereavement have failed to explore the experience of mothers bereaved …

Barriers To Truck Drivers’ Healthy Eating: Environmental Influences And Health Promotion Strategies, Yorghos Apostolopoulos, Sevil Sönmez, Mona Shattell, Robert Strack, Laura Haldeman, Victoria Jones

Mona Shattell

This article presents an assessment of 25 trucking work settings designed to examine whether the environmental attributes of these settings influence eating patterns of truckers who are at risk for excess weight gain. Findings corroborate evidence that these work settings represent healthy food deserts. From restaurants and vending machines to the social-information environments and their surrounding communities, only meager opportunities exist for healthful eating practices. This article aims to place underserved truckers and warehousing-sector employees firmly within the discourse of workplace health promotion and calls for multistakeholder wellness strategies that encompass the intertwined risk factors linked with the transportation work …

Assessing The Cultural Competence Of Healthcare Professionals In A Psychiatric Setting, Jean Kulas

Senior Honors Projects

Hospitals, nursing homes, and mental health facilities throughout Rhode Island admit patients from a multitude of cultures on a daily basis. As a result, healthcare professionals are often taking care of patients from backgrounds other than their own. Different groups of people have their own set of norms and unique views regarding medical treatment. How knowledgeable are healthcare workers about certain cultural practices, beliefs, and symptomatology?

My goal was to assess the cultural competency of healthcare professionals in a psychiatric and mental health facility in Rhode Island. I chose to focus on the mental health setting instead of a general …

Do Nurse Educators Feel Competent To Teach Cultural Competency Concepts?, Sharon Starr, Mona Shattell, Clifford Gonzales

Mona Shattell

Cultural competence has been proposed as one way to reduce health disparities in racial and ethnic minority populations. Nursing program accreditation standards mandate the inclusion of cultural competence concepts in the nursing curricula; however, are nursing educators prepared to teach culturally competency concepts and do nurse educators feel competent? The purposes of this article are to examine the literature about nurse educators' comfort with cultural competency concepts and to provide some suggestions for improvement.

Working Hard To Relax: Improving Engagement In Leisure Time Activities For A Healthier Work-Life Balance, Linda Buettner, Mona Shattell, Madeleine Reber

Mona Shattell

No abstract provided.

Treatment Of Persons With Mental Illness And Substance Use Disorders In Medical Emergency Departments In The United States, Mona Shattell, Melanie Andes

Mona Shattell

No abstract provided.

What Is The Caregivers' (Certified Nursing Assistant) Perception Of Their Role While Caring For A Patient In The Household Model?, Daniyele Feaster

Nursing Theses and Capstone Projects

This was a mixed design study that assessed the caregivers' perception of their role while caring for patients in the household model. A sample of 12 caregivers currently employed in a long-term care facility operating in the household model was asked to complete a survey and answer 11 questions during a one on one interview. This interview tool allowed the caregivers the opportunity to rate their personal experiences, environment and express their feelings associated with their role as a certified nursing assistant working in a household model. The results indicated that the caregivers enjoyed working in the household environment and …

Medicines Management In Mental Health, Austyn Snowden, Derek T. Barron

Derek T Barron

This article provides evidence to suggest that mental health nurses may not be as competent in medicines management as they believe themselves to be. A psychological model of skills awareness is used throughout the article to offer a theoretical explanation of this putative deficit and provide discussion of the possible causes. Training directed towards improving medicines management skills will be introduced. Training such as this is essential if mental health nurses are to offer the best care to those in receipt of their services and make best use of the opportunities provided by prescribing legislation

Assertive Community Treatment And The Physical Health Needs Of Persons With Severe Mental Illness: Issues Around Integration Of Mental Health And Physical Health, Mona Shattell, Natasha Donnelly, Anna Sheyett, Gary Cuddeback

Mona Shattell

BACKGROUND: Assertive community treatment (ACT) is characterized as a service delivery platform and represents an ideal setting in which mental health and physical health care can be integrated. OBJECTIVE: Little is known about the extent to which ACT integrates physical health care with mental health care or the challenges ACT teams experience. To address this gap, focus groups were conducted with five ACT teams in a Midwestern US state to explore how ACT teams address the physical health care needs of persons with severe mental illness. DESIGN: A qualitative study design was used. RESULTS: Three major themes emerged: ACT teams …

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

Administration & Leadership

No abstract provided.

An Educational Workshop: Introducing An Evidence-Based Psychotherapy Strategy "Tool Kit" For The Treatment Of Chronic Depression, Kimberleigh Christine Cox

Doctor of Nursing Practice (DNP) Projects

No Abstract Available