Medicine and Health Sciences Commons^™

Implementation Of A Nursing Workload Tool To Reduce Nurse Burnout, Nicole K. Greives

Evidence-Based Practice Project Reports

Nursing burnout and workload is a complicated issue with far-reaching effects. Nursing burnout and inappropriate nursing workload have been linked to increased risk of urinary tract infection, respiratory infections, decreased patient satisfaction, decreased quality and safety of care, and increased mortality. The purpose of the project was to decrease nursing burnout on a Medical Progressive Care Unit (MPCU) by moving patients with high workloads and medical instability to a higher level of care. Within this project, Rosabeth Kanter’s Theory of Structural Power was used for the theoretical framework, and the Stetler Model guided the implementation. The intervention consisted of a …

Post-Traumatic Growth In Cancer Survivors: Narrative Markers And Functions Of The Experience's Transformation, Maria Luisa Martino, Maria Francesca Freda

The Qualitative Report

The concept that a traumatic experience, such as a cancer, can lead to a positive change and transformation of self, life and relationships was named as post-traumatic growth (PTG). A large amount of research measured PTG in cancer survivors arguing an interpretation of the construct as an outcome. Recently, qualitative research shows different types of narrative of PTG, but the narrative markers and their functions of transformation remain still unclear. Within a mixed-method, we aim to highlight the narrative markers and their transformative functions, underlying the PTG, within 12 cancer survivors’ narratives with medium/high and medium/low level of PTG. A …

Behavioral Sensitization Following Concurrent Exposure To 4-Methylmethcathinone (4-Mmc) And 3,4-Methylenedioxymethamphetamine (Mdma) In Male Sprague-Dawley Rats, Trent Bullock

Honors Theses

Recreational use of a new class of stimulant drugs known as synthetic cathinones is a recent public health concern. Although the Drug Enforcement Administration placed several of the most common of these substances permanently on schedule 1, their use is still prevalent as they remain low cost, accessible, and potent. Concomitant use of cathinone derivatives with other psychostimulant drugs is commonly reported by recreational users. Despite the prevalence of synthetic cathinone abuse, there is currently a paucity of scientific research regarding the behavioral and neurochemical effects of these drugs in mixtures with other drugs of abuse. The behavioral sensitization paradigm …

Examining Multi-Session Brief Intervention For Substance Use In Primary Care: Research Methods Of A Randomized Controlled Trial., Jaclyn E Chambers, Adam C Brooks, Rachel Medvin, David S Metzger, Jennifer Lauby, Carolyn M Carpenedo, Kevin E Favor, Kimberly C Kirby

College of Science & Mathematics Departmental Research

BACKGROUND: Brief interventions such as Screening, a single session of Brief Intervention, and Referral to Treatment (SBIRT) have shown mixed effectiveness in primary care. However, there are indications that multi-session brief interventions may demonstrate more consistently positive outcomes, and perhaps a more intensive approach would be of benefit in addressing substance use in primary care. This study compared the effectiveness of SBIRT with a single BI session (BI/RT) to a multi-session brief-treatment intervention (BI/RT+) in primary care. We also developed easy-to-use, evidence-based materials to assist clinicians in delivering these interventions.

METHODS/DESIGN: This study was conducted in three Federally Qualified Healthcare …

Binge Drinking: Subtypes And Associations In Young Adults, Christopher J. Skok

Butler Journal of Undergraduate Research

Binge drinking has been common practice and a rite of passage for many young adults in the college population. The practice of binge drinking has continued even as binging is associated with several cognitive deficits. One unanswered question still remains: namely, at what levels of binge drinking do these cognitive deficits associate? To investigate this question, three different groups of binge drinkers (low, moderate, and heavy) were compared on two measures of cognition: intelligence (IQ) and executive working memory (EWM) capacity. The binge groups were also compared to non-bingers and abstainers to further investigate how they differed in EWM capacity …

Elementary School Students' Quantitative Reasoning: Processing Whole Numbers And Proportions, Ty W. Boyer, Natalie Branch

Psychology: Faculty Publications

Elementary school-aged children have great difficulty reasoning proportionally and struggle with fractions and decimals, theoretically because proportions do not abide by the same principles as more familiar whole number quantities. The present study examines individual differences in proportional reasoning and whole number representations and tests a prediction for a nonlinearity in the development of relations between the two. Pre-kindergarten through fifth-grade students completed a battery of computerized tasks, including a proportional reasoning task, “which is more?” and “which is #?” whole number comparison tasks, and symbolic and nonsymbolic numerical line-estimation tasks. The results indicate that though younger children’s performance on …

The Effect Of Bedside Handoffs On Patients’ Perceived Fears, Maija Paldan

Honors Theses

Background and Significance: Fear, anxiety, and apprehension can have a profound effect upon patient outcomes, possibly leading to a worsened health condition or delay in recovery. Current literature finds that communication and social support by the nursing staff may foster patients’ understanding of their care and their experiences of feeling safe. The bedside handoff is one way of enhancing communication and providing support within nurse patient interactions. The purpose of this study is to explore the effect of bedside handoffs on patients’ perceived fear, anxiety, and apprehension.

Methods: A secondary analysis was performed upon a larger quantitative data set from …

Best Integrated Writing 2016 - Complete Edition

Best Integrated Writing

Best Integrated Writing includes excellent student writing from Integrated Writing courses taught at Wright State University. The journal is published annually by the Wright State University Department of English Language and Literatures.

Genetic Moderators Of Cognitive Decline In The Health And Retirement Study, Shannon K. Runge

USF Tampa Graduate Theses and Dissertations

The current dissertation used a gene x environment (G x E) approach to examine the independent and interactive effects of specific genetic variants and participation in physical and cognitive/social activities (PA and CSA) on cognitive performance in 4,764 participants of the Health and Retirement Study. Using three-wave data, three sets of multi-level growth models were conducted to examine baseline, longitudinal, and interactive effects of genotype (i.e., ApoE, COMT, and BDNF) and CSA/PA on performance across five cognitive measures: immediate, delayed and total word recall, and serial 7s and backwards counting.

At baseline, the ApoE ε4 allele predicted …

The Effects Of Chronic Partial Sleep Deprivation On Alcohol Consumption And Delta Fos B Accumulation, Kristian Ponder

Showcase of Graduate Student Scholarship and Creative Activities

The present study explores the relation between sleep restriction and alcohol use and the neural substrates that result from chronic behaviors, such as transcription factors. Transcription factor activity is suggested as a possible outcome of chronic behaviors, such as addiction. Sleep is discussed as possible mediating factor in the relationship between specific transcription factors and alcohol. Analysis will focus on brain areas related to both sleep and reward.

Nature Connection: Theory, Evidence And Practice, Matt V. Bukowski

Showcase of Graduate Student Scholarship and Creative Activities

This presentation explores scholarly work at the intersection of mental health and the natural world in a variety of disciplines. My intent is to provide an overview of theoretical perspectives, research-based evidence, and clinical practices that support the idea that experiencing the natural world can improve human mental health outcomes.

Flesch-Kincaid Reading Grade Level Re-Examined: Creating A Uniform Method For Calculating Readability On A Certification Exam, Emily Neuhoff, Kristiana M. Feeser, Kayla Sutherland, Thomas Hovatter

Online Journal for Workforce Education and Development

Abstract

Objective: This study attempted to establish a consistent measurement technique of the readability of a state-wide Certified Nursing Assistant’s (CNA) certification exam. Background: Monitoring the readability level of an exam helps ensure all test versions do not exceed the maximum reading level of the exam, and that knowledge of the subject matter, rather than reading ability, is being assessed. Method: A two part approach was used to specify and evaluate readability. First, two methods (Microsoft Word^® (MSW) software and published readability formulae) were used to calculate Flesch Reading Ease (FRE) and Flesch-Kincaid Reading Grade Level (FKRGL) for multiple …

Functional Plasticity In Somatosensory Cortex Supports Motor Learning By Observing., Heather R Mcgregor, Joshua G A Cashaback, Paul L Gribble

Brain and Mind Institute Researchers' Publications

An influential idea in neuroscience is that the sensory-motor system is activated when observing the actions of others [1, 2]. This idea has recently been extended to motor learning, in which observation results in sensory-motor plasticity and behavioral changes in both motor and somatosensory domains [3-9]. However, it is unclear how the brain maps visual information onto motor circuits for learning. Here we test the idea that the somatosensory system, and specifically primary somatosensory cortex (S1), plays a role in motor learning by observing. In experiment 1, we applied stimulation to the median nerve to occupy the somatosensory system with …

Evaluating Virtual Reality Simulators As A Training Tool For Minimally Invasive Surgery, Jennifer F. Louie, Misa Shimono

Human Factors and Applied Psychology Student Conference

Minimally invasive surgery offers a number of advantages over traditional open surgeries, including faster patient recovery time, fewer side effects, and improved cosmesis. However, there are also a number of difficulties involved with performing this type of surgery, including poor visuo-spatial mapping, poor depth perception, and mechanical difficulties (e.g., the fulcrum effect). Considering the decrease in residency training hours required for surgical trainees in 2011 (Rajaram et al., 2014), it is essential that surgical trainees employ training methods that would best result in high accuracy and efficiency.

Simulator-based training addresses many of the issues of traditional master-apprentice surgical training methods …

46th Annual Wku Student Research Conference, Student Research Council

Student Research Conference Select Presentations

See document below for project abstracts

Ciis Today, Spring 2016 Issue, Ciis

CIIS Today

This volume is the Spring 2016 issue of CIIS Today, the Magazine of the California Institute of Integral Studies.

Suicidal Ideation In Patients Hospitalized For Emergency Medical Treatment Related To Physical Trauma: Effects Of Posttraumatic Stress And Depression, Erin E. Carney

Masters Theses & Specialist Projects

Survivors of physical trauma may be at increased risk for developing suicidal ideation and behavior both during and after their inpatient hospitalization for medical treatment of wounds. It remains to be understood why a population hospitalized for nonpsychiatric reasons may ultimately develop a desire to take their own life. The current study sought to answer this question by hypothesizing that symptoms of posttraumatic stress (PTS) and depression during the recovery period individually mediated the relationship between physical pain and suicidal ideation. Researchers assessed these relationships in 246 patients who were receiving emergency medical treatment for wounds associated with a physically …

Mediating Factors In The Relationship Between Non-Suicidal Self-Injury And Suicide Attempt, Amanda Gail Williams

Masters Theses & Specialist Projects

Non-suicidal self-injury (NSSI) is considered a strong predictor of suicidal behavior, although the exact relationship between NSSI and suicide is not clear. Several factors have been suggested in previous research, including attitudes toward one’s own body, thoughts and beliefs regarding death and suicide, and the ability to cause physical harm to oneself. In the current study, the researcher obtained data from 285 young adult participants who reported a history of NSSI. Two multiple mediation models were tested in which body protection, suicide-related concerns, and acquired capability for suicide were examined as mediators of the relationship between NSSI and suicide attempt …

Propofol-Induced Frontal Cortex Disconnection: A Study Of Resting-State Networks, Total Brain Connectivity, And Mean Bold Signal Oscillation Frequencies., Pieter Guldenmund, Ithabi S Gantner, Katherine Baquero, Tushar Das, Athena Demertzi, Pierre Boveroux, Vincent Bonhomme, Audrey Vanhaudenhuyse, Marie-Aurélie Bruno, Olivia Gosseries, Quentin Noirhomme, Muriëlle Kirsch, Mélanie Boly, Adrian M Owen, Steven Laureys, Francisco Gómez, Andrea Soddu

Brain and Mind Institute Researchers' Publications

Propofol is one of the most commonly used anesthetics in the world, but much remains unknown about the mechanisms by which it induces loss of consciousness. In this resting-state functional magnetic resonance imaging study, we examined qualitative and quantitative changes of resting-state networks (RSNs), total brain connectivity, and mean oscillation frequencies of the regional blood oxygenation level-dependent (BOLD) signal, associated with propofol-induced mild sedation and loss of responsiveness in healthy subjects. We found that detectability of RSNs diminished significantly with loss of responsiveness, and total brain connectivity decreased strongly in the frontal cortex, which was associated with increased mean oscillation …

Revising The Bis/Bas Scale To Study Development: Measurement Invariance And Normative Effects Of Age And Sex From Childhood Through Adulthood., David Pagliaccio, Katherine R Luking, Andrey P Anokhin, Ian H Gotlib, Elizabeth P Hayden, Thomas M Olino, Chun-Zi Peng, Greg Hajcak, Deanna M Barch

Brain and Mind Institute Researchers' Publications

Carver and White's (1994) Behavioral Inhibition System/Behavioral Activation System (BIS/BAS) Scales have been useful tools for studying individual differences in reward-punishment sensitivity; however, their factor structure and invariance across development have not been well tested. In the current study, we examined the factor structure of the BIS/BAS Scales across 5 age groups: 6- to 10-year-old children (N = 229), 11- to 13-year-old early adolescents (N = 311), 14- to 16-year-old late adolescents (N = 353), 18- to 22-year-old young adults (N = 844), and 30- to 45-year-old adults (N = 471). Given poor fit of the standard 4-factor model (BIS, …

A Comparison Of A Discrete Trial Teaching Procedure And An Incidental Teaching Procedure To Help Children With Developmental Disorders Acquire Sight Word Reading Skills, Adam Golonka Psyd

All Student Scholarship

Knowing how to read words that are relevant and important has the potential to help individuals with developmental disorders gain independence within both school and community settings. The current study compares the effectiveness of two teaching procedures targeting reading skills in children with developmental disorders. Discrete trial teaching (DTT) is a commonly used method of teaching multiple pre-academic and academic skills to individuals with developmental disorders. It involves a systematic presentation of stimuli, a teaching procedure, and delivery of reinforcement, and is often delivered in a mass trial format. Incidental or naturalistic teaching, on the other hand, takes place in …

Perspectives On Pediatric Pain, Donald E. Greydanus, Dilip R. Patel, Colleen Dodich, Hatim A. Omar, Joav Merrick

Pediatrics Faculty Publications

No abstract provided.

Phantom Limb Pain, Stephanie J. Stockburger, Mandakini Sadhir, Hatim A. Omar

Pediatrics Faculty Publications

Phantom limb pain is pain that is perceived in a part of the body which is no longer present. It is estimated that 80 percent of amputees experience phantom limb pain. Although the term is “phantom limb pain” the feeling is often more of a burning, twisting, itching, or pressure sensation than pain. The exact mechanism of phantom limb pain is unknown although proposed mechanisms include pain origination from either the central nervous system or the peripheral nervous system. Since the exact mechanism of phantom limb pain is unknown, treating this pain may be difficult. Treatments include pharmacological and nonpharmacological. …

Church Attendance And Intrinsic Religiosity Predict A Lower Likelihood Of Hypertension In 18 To 60 Year Olds, Andrea D. Clements, Natalie Cyphers

ETSU Faculty Works

Abstract available through the Annals of Behavioral Medicine.

The Relationship Between Religiosity And Health-Promoting Behaviors In Pregnant Women At Pregnancy Resource Centers, Natalie Cyphers, Andrea D. Clements, Jody L. Ralph

ETSU Faculty Works

Abstract available through the Annals of Behavioral Medicine.

The Interrelations Between Spiritual Well-Being, Pain Interference And Depressive Symptoms In Patients With Multiple Sclerosis, Sheri A. Nsamenang, Jameson K. Hirsch, Raluca Topciu, Andrew D. Goodman, Paul R. Duberstein

ETSU Faculty Works

Depressive symptoms are common in individuals with multiple sclerosis (MS), and are frequently exacerbated by pain; however, spiritual well-being may allow persons with MS to more effectively cope with pain-related deficits in physical and role functioning. We explored the associations between spiritual well-being, pain interference and depressive symptoms, assessing each as a potential mediator, in eighty-one patients being treated for MS, who completed self-report measures: Functional Assessment of Chronic Illness Therapy-Spiritual Well-Being Scale, Pain Effects Scale, and Center for Epidemiologic Studies Depression Scale Revised. At the bivariate level, spiritual well-being and its subscale of meaning and peace were negatively associated …

Video Game Interventions To Improve Cognition In Older Adults, David E. C. Marra

Master's Theses (2009 -)

Cognitive abilities decline as part of the normal aging process. Various non-pharmacological interventions are being studied in an effort to ameliorate this cognitive decline. Some of these interventions include computerized cognitive training, such as neuropsychological software (i.e., brain training games) and video games. A previous study in our lab found that older adults who played a brain training game or a video poker game showed similar cognitive gains. The purpose of the present study was to follow the methodological procedures of our previous study to try and determine if the positive effects seen for the brain training program and video …

“My Logic Is Undeniable”: Replicating The Brain For Ideal Artificial Intelligence, Samuel C. Adams

Senior Honors Theses

Alan Turing asked if machines can think, but intelligence is more than logic and reason. I ask if a machine can feel pain or joy, have visions and dreams, or paint a masterpiece. The human brain sets the bar high, and despite our progress, artificial intelligence has a long way to go. Studying neurology from a software engineer’s perspective reveals numerous uncanny similarities between the functionality of the brain and that of a computer. If the brain is a biological computer, then it is the embodiment of artificial intelligence beyond anything we have yet achieved, and its architecture is advanced …

Volume 08, Meghan Enzinna, Casey Dawn Gailey, Raven Collins, Chiara Enriquez, Amelia Mcconnell, Alexander Morton, Emma Beckett, Leah G. Parr, Briana Adhikusuma, Taylor Embrey, Rowan Davis, Danielle Sisson, Bianca Cherry, Melissa Cacho, Chloe Woodward, Catherine Rollins, Carson Reeher, Landon Cooper, Haley Vasquez, Marlisha Stewart, Eric Whitehead, Sabrina Walker, James Bates

Incite: The Journal of Undergraduate Scholarship

Introduction from Interim Dean Dr. Jennifer Apperson

Indigenous Peoples and the Modern Era by Meghan Enzinna

"Who Says": How Selena Gomez and the Scene Attempt to Subvert the Popular Standards of Beauty by Casey Dawn Gailey

Art by Raven Collins

Meltdown on Social Media: Amy's Baking Company Meets Kitchen Nightmares by Nathena Haddrill

Art by Chiara Enriquez

Design by Amelia Mcconnell

Worth More Than a Thousand Words: A Visual Rhetorical Discussion of Virtual Reality by Examining "Clouds Over Sidra" by Alexander Morton

Design by Emma Beckett

The Sonata: An Analysis of Piano Sonata No. 14 in C Minor, K. …

The Relationship Between Counselors' Multicultural Counseling Competence And Poverty Beliefs, Madeline Elizabeth Clark

Counseling & Human Services Theses & Dissertations

The relationship between increased levels of poverty and decreased levels of psychological wellbeing and overall wellness is well documented. Although poverty clearly impacts mental health and wellness, little research in counseling has been conducted exploring the poverty attitudes of counselors. This study explored the relationship between professional counselors’ multicultural counseling competence (MCC), poverty beliefs, and select demographic factors (i.e. counseling specialty, gender, age, ethnocultural identity, poverty counseling experience, and personal poverty experience). Data were collected using survey-based methods from professional counselors of all specialties. Results of a hierarchical linear regression indicate that increased MCC, adjusted for select demographic factors, is …