Medicine and Health Sciences Commons^™

Unraveling A Rare Complication Of Perirectal Abscess In A Patient With Decompensated Alcoholic Cirrhosis, Tahminah Kausar, Mahmood Danishwar, Raesham Bukhari, Devi Parvathy Jyothi Ramachandran Nair, Benjamin J. Lloyd

Tower Health Research Day

No abstract provided.

Comparisons Of Using Alcohol, Coping Strategies, Anxiety, And Depression Between Usa And Taiwanese College Students, Pi-Ming Yeh Associate Professor, Cheng-Huei Chiao Professor, Jennchang Liou Professor

Epsilon Sigma at-Large Research Conference

Purpose: In this study, we compared United States (US) and Taiwanese college students’ using alcohol, coping strategies, anxiety, and depression.

Research Questions:

1. What were the differences in demographic characteristics, using alcohol, coping strategies, anxiety, and depression between US and Taiwanese college students?

2. What were the relationships between US and Taiwanese college students’ using alcohol, coping strategies, anxiety, and depression?

3. How much of US and Taiwanese college students’ anxiety and depression were predicted by their use of alcohol, coping strategies?

Methods: Four hundred and one US and 180 Taiwanese college students were recruited in this study. This was …

Restoring Effective Sleep Time In Post Cardiac Surgery Patients: A Quality Improvement Project, Brooke Watts Bsn, Rn

Epsilon Sigma at-Large Research Conference

Purpose: Restoring Effective Sleep Time in Post Cardiac Surgery Patients: A Quality Improvement Project

Brooke Watts, BSN, RN, DNP Student, Murray State University

Dr. Kristin Reid, DNP, APRN, ACNS-BC, DNP Program Director/Assistant Professor Murray State University

Aims: This quality improvement project was developed using DNP project guidelines provided through Murray State University and was designed to improve sleep in hospitalized cardiac surgery patients.

Processes: IRB approval was obtained from the healthcare institution and academic institution. This two-phase quality improvement project was designed to analyze the effects of a change in normalized hospital routines on self-reported sleep in post-cardiac surgery patients. …

Development And Evaluation Of Trauma Informed Care Education For Licensed Nurses, Kristina O'Meara

Epsilon Sigma at-Large Research Conference

Trauma informed care nursing education is crucial. Trauma informed care is a method of providing health care which understands the likelihood of past and present traumatic events in patients and families. The experience of past or present trauma often led to chronic diseases, substance abuse disorder, fragmented health care, fears surrounding health care, chronic stress, and other negative health consequences. The purpose of this project is to increase licensed nurses’ awareness and ability to practice trauma informed care in clinical practice, as well as promote policy initiation within the health care facilities. Method planning integrated the Knowledge to Action Cycle. …

Will The Implementation Of Nurse Competency Days Improve Knowledge And Satisfaction In Nursing Staff Of A Community Health Center?, Christina Morton

Epsilon Sigma at-Large Research Conference

Background: Nursing competencies are important for quality of care, patient safety, and identifying gaps in knowledge and skills. Patient harm has been linked to a lack of competency and insufficient policy and procedures.

Purpose: The purpose of this quality improvement project was to achieve standardization of nursing competencies within nurse-led clinics.

Aims: The aims of this project were to validate select competency days and determine the satisfaction of the competency days by the participants. The second aim of this project was to develop an electronic tracking form. A third aim was to develop and present a policy and procedure …

The Effects Of Age, Employment, Marriage, And Education On Academic Motivation In Undergraduate Nursing Students, Jessica Hamm Msn Rn Phd Student

Epsilon Sigma at-Large Research Conference

The Effects of Age, Employment, Marriage, and Education on Academic Motivation in Undergraduate Nursing Students

Purpose: The amount of research on non-cognitive variables affecting motivation is limited in nursing students. By using Self-Determination Theory, faculty can determine what motivates students to learn which will allow the creation of a learning environment that promotes student achievement.

Aim: To determine the effect age, marriage status, employment, and education level have on academic motivation in nursing students in the third semester of a baccalaureate nursing program within the framework of Self-Determination Theory.

Method: A descriptive correlational design was used to identify the effect …

Integration Of Mental Health And Enabling Services In A Rural School-Based Setting: An Evidence-Based Initiative, Kim Ferguson, Teresa Carnevale

Epsilon Sigma at-Large Research Conference

The Rural Expansion Program for At-risk Communities to Promote Health Outcomes through the Integration of Mental health and Enabling services in an Existing Primary Care School-Based Setting (REACH ME) program was established to increase access to mental health services at two existing school-based health centers (SBHC) in rural Hancock County, TN. These SBHCs are among the most unique in the nation, holding designations as federally funded qualified health centers - proving primary care services in a geographically isolated, rural, and medically underserved area. The aim of the project is increasing the number of patients receiving mental health and enabling services …

Quacking For Noggin: Farm Animal Assisted Therapy For The Traumatic Brain Injury Survivors, Alex Sargsyan

Epsilon Sigma at-Large Research Conference

The Aim

The aim of this study was to examine the effects of Animal Assisted Therapies with Farm Animals (AATF) with domesticated ducks on depression, anxiety, and self-efficacy in patients with traumatic brain injury (TBI) . Furthermore, the following hypothesis was tested:

Engaging in AATF with domesticated ducks will be associated with decrease in depression, anxiety, and an increase in self-efficacy.

Methods

The study examined the effects of AATF on anxiety and depression among patients with TBI. Time series quasi-experimental design structure was utilized. At the beginning of the study participants received Hospital Anxiety and Depression Survey (HADS) and General …

Health Literacy And Diabetes Outcomes In Adults With Type 2 Diabetes In Southwest Virginia, Casandra Reyes Arellano

Epsilon Sigma at-Large Research Conference

Purpose: To determine if a quality improvement project involving individualized, one-on-one Diabetes education will improve health literacy and Diabetes outcomes in adults with Type 2 Diabetes in a rural primary care clinic. Diabetes is a chronic condition affecting the United States with 9.6% of Virginia’s population living with Diabetes.

Aims: To improve patient’s Diabetes literacy scores, BMI, and Hemoglobin A1c levels through Diabetes education.

Processes: There are pre- and post-education phases. Data to be collected at the end of both phases consist of DNT15 scores, BMI, and A1c. In the pre-education phase, BMI was obtained, DNT15 was administered, and Diabetes …

Implementation Of Provider-Made Follow-Up Appointments For Depression In Primary Care, Rebecca Vaughn

Epsilon Sigma at-Large Research Conference

Implementation of provider-made follow-up appointments for depression in primary care

Rebecca Vaughn

College of Nursing, East Tennessee State University; Whitson Hester School of Nursing, Tennessee Technological University

Author Note

Rebecca Vaughn https://orcid.org/0009-0007-0731-3316 College of Nursing, East Tennessee State University

There are no conflicts of interest to disclose.

Corresponding concerning this manuscript should be addressed to Rebecca Vaughn

108 Reed Mill Lane Monroe TN 38573

Zrev2@etsu.edu

Abstract

Depression is a common condition diagnosed and managed in primary care.

Follow-up is inconsistent and low in these settings, creating a gap in care that

impacts management, adherence to treatment, and patient outcomes. The …

Nursing Burnout: The Impact Of Fatigue On Patient Outcomes, Leah Mccloud, Kera F. Putnam, Dylan Zeller, Pressley Davis

Epsilon Sigma at-Large Research Conference

Introduction & Background: Nursing burnout is caused by high stress that leads to lack of motivation. Our goal is to review the literature to evaluate the impact of nurse burnout on nursing care.

Purpose Statement & Research Question: The purpose of this literature review was to find the impact on nursing care in response to nursing burnout.

Literature Review: These articles were derived from a variety of databases, including PubMed, JSTOR and CINHAL from the last 5 years by entering search criteria such as: “nursing burnout impact on patient care,” “nursing burnout”, “registered nurses”, “effects of burnout”, “consequences”, “turnover,” “nursing …

A Shift Towards Informed Decision Making: Hormonal Contraception Versus Natural Cycle Tracking, Lauren Jurrens, Sydnee Isom, Deann Jelsma

Celebration of Research

Females participating in the wide array of birth control options are continuing to expand. With that, more females are expressing concerns about potential adverse drug reactions and side effects of hormonal birth control. While general side effects do occur, the risks for venous thromboembolism (VTE) vary depending on the hormone taken, and cancer risks are minimal to even nonexistent.^3,4,7,15 Yet, many females are turning to natural cycle tracking to avoid synthetic hormones, common side effects, and potential poor health outcomes. Both options can provide comparable efficacy when used appropriately. Therefore, providers must be knowledgeable in all contraception options to …

Interventions To Reduce Risk Of Perineal Tearing, Bailey Varpness, Kylie Lyman, Sandra Muyskens

Celebration of Research

Perineal tearing is one of the most common injuries that can be sustained during vaginal delivery, it can be physically and mentally debilitating for the mother to endure. Preventing this injury can lead to an easier healing process for the mother, allowing her to have a more impactful postpartum journey. There is debate as to whether warm compresses, perineal massage, and alternative birthing positions decrease the incidence of perineal tearing. This review of literature focuses on how these interventions work and if they are effective at decreasing the risk for perineal tearing during vaginal delivery.

Best Practice: Peripheral Iv Flushing And Catheter Changes, Adrianna Fransman, Joseph Callahan, Madelyn Liudahl, Anna Dewitt

Celebration of Research

A literature review between August 2023 and November 2023 took a closer look into antibiotic peripheral intravenous line flushing and tubing changes. Ten articles were reviewed: five relating to antibiotic line flushing and five relating to peripheral intravenous catheter changes. This review aimed to determine the best and most effective practices related to PIV antibiotic flushing and peripheral intravenous catheter replacement which in turn decreases the risk of infection, injury, and medication errors, along with increased medication efficacy. The evidence for interventions that promote the most effective outcomes in patients with peripheral intravenous lines is presented.

Examining The Effectiveness Of Subjective Perception Of Collegiate Athletes, Jakob Francksen-Small, Rajat Singh

Celebration of Research

The purpose of this study was to examine how accurately collegiate athletes can perceive their level of hydration via urine color compared to the actual specific gravity of the urine. The findings will be valuable in determining if visual perception is an accurate enough method for athletes to track their hydration. Thirty-five Northwestern College wrestlers were recruited. Each wrestler was instructed to collect a sample of their urine in a paper cup. Then, they compared their urine sample to a chart, provided by the Iowa High School Athletic Association. They assigned their sample a rating, ranging from 1-8. These ratings …

Melatonin As Treatment And Prophylaxis For Alzheimer's Disease, Avery Macintosh, Kayla Larsen, Andrea Crew

Celebration of Research

Alzheimer’s is a very prevalent disease that has no true dependable and effective treatment. Through research and trials melatonin has been seen as a potential therapeutic option for both structural and behavioral changes in Alzheimer’s. Studies have shown low levels of natural melatonin in CSF are a strong indicator of Alzheimer's Disease. This suggests melatonin could be used as a prophylactic measure as well as a treatment for slowing the disease’s neuropathological changes. Results showed that melatonin improves circadian rhythm and sleep quality leading to more effective glymphatic clearing of free radicals, improving cognition, and decreasing behavioral disturbances.

Pediatric Perceived Pain In Emergency Department Settings, Emma Jenness, Ana Dekruyter, Jackson Henry, Emily Miller

Celebration of Research

A literature review between September 2023-November 2023 examined the numerous nonpharmacological interventions employed in the Emergency Department setting to reduce perceived pain in the pediatric population during painful procedures. This review explored

current research for decreasing perceived pain for children using nonpharmacologic methods and to suggest evidence-based practices that meet the needs of the patient. We suggest several nonpharmacologic interventions that assist in decreasing pain during painful procedures in the Emergency Department setting for the pediatric population.

Peer Support Breastfeeding Programs, Charli Bomgaars, Madison Blankespoor, Owen Kolste, Grace Twelmeyer, Macay Van't Hul

Celebration of Research

Research and analysis were done between August 2023 - November 2023 to explore the use of peer-support programs for anticipated and active breastfeeding women. Ten research reports were utilized to explore peer-supporting breastfeeding programs' use and potential success. The goal was to determine if peer support breastfeeding programs were impactful on breastfeeding mothers associated with Spencer Hospital. We present the benefits of peer support breastfeeding groups and their influence on maternal perceptions of breastfeeding, maternal confidence in sustaining breastfeeding, and the ability of mothers to achieve their breastfeeding goals.

A New Horizon On Knee Osteoarthritis: A Review Of Alternative Treatment Modalities, Rob Norton, Carlos Serafin-Martinez

Celebration of Research

Purpose: The purpose of this review is to determine the effectiveness and utility of alternative knee osteoarthritis treatments in order to assess their clinical applications compared to traditional NSAID and corticosteroid injection therapy. Methods: We analyzed 23 randomized control trials, systematic reviews, and meta analyses to compare the effectiveness of hyaluronic acid (HA), plasma rich protein (PRP) injections, and mesenchymal stem (MSC) cell injections. The individuals used in this study were over 18 years old, had moderate to severe knee osteoarthritis, and had failed at least 1 form of conservative treatment. Quantitative (imaging studies and ROM testing) and qualitative results …

Semaglutide Vs Bariatric Surgery Usage In Individuals Who Are Obese, Megan Carley, Quincey Bauman, Sandra Muyskens

Celebration of Research

Obesity is a complex health disease with rising prevalence. Comorbid conditions occur as a result of obesity that may be detrimental to an individual’s health. While theoretically preventable, it is a difficult condition to manage due to a wide range of causative factors and comorbidities. There are many options to help with weight loss, but two of the most effective treatments are semaglutide medication and bariatric surgery. A literature review was conducted to compare the risks and benefits of each method and identify the more beneficial intervention for weight loss in individuals with obesity. Each method is efficient for a …

The Gut Microbiome In Chronic Diseases, Emily Mcdonald, Katlyn Bombei, Madelyn Weber

Celebration of Research

Cardiovascular disease, chronic kidney disease, diabetes, and various mental health conditions have been shown to be associated with gut microbiota alterations that may contribute to the development and pathogenesis of those diseases. Cardiovascular disease, inflammatory bowel disease and diabetes have been associated with a lack of butyrate- producing bacteria which are responsible for lowering blood pressure, limiting atherosclerosis, abdominal pain, and lowering insulin resistance. Medications for individuals with schizophrenia may decrease bacteria with anti-inflammatory properties. Potential research avenues may be directed at investigating the di@erences between gut microbiomes between men and women to cultivate unique and targeted treatment and prevention …

Cost-Effective And Efficient Screening Guidelines For Diagnosing Non-Alcoholic Fatty Liver Disease, Emma Montenegro, Katelyn Ten Pas, Connor Van Peursem, Chelsea Thurm

Celebration of Research

A literature review was conducted between the months of August 2023-November 2023 to research current guidelines for non-alcoholic fatty liver disease (NAFLD) that were both cost effective and efficient in the adult population. The purpose of this review was to provide current guidelines that could be applied in practice to screen Promise Community Health Center’s patients for the presence of NAFLD. In the review we provide guideline recommendations that are both cost effective and efficient for Promise to apply to their adult population.

Deaths Of Despair In Rural Populations, Tirzah Wittenberg, Dr. Pam Hulstein

Celebration of Research

A literature review was conducted between August 2023-November 2023 to explore deaths of despair in rural and urban populations. The ten articles reviewed center around revealing the prevalence of substance abuse and suicide within different population densities. The purpose of examining this research is to create a foundation of understanding that can then be utilized when making changes on the micro and macro levels in access to health care resources. In this literature review, the prevalence of deaths of despair in rural populations is revealed, along with suggestions for future health care resource investments.

Bedside Shift Report, Megan Kellen, Aleksa Vande Hoef, Emma Dunsbergen, Nadalie Johnson

Celebration of Research

A literature review was conducted between August 2023-November 2023 to investigate bedside shift report and its effects on nursing communication, patient safety, and patient satisfaction. Ten articles focusing on the benefits and barriers to performing nurse-to-nurse handoff reports at the bedside were analyzed. Recommendations are made based on the best practices of bedside shift report on medical-surgical units.

Clinical Relevance Of Adolescent Ocp Use And Depression Risk, Rachael Shafer, Kaitlyn Waldner, Anne Reuter

Celebration of Research

Prevalence of depression within the United States has risen significantly in recent years.1 Depression in females has increased by 12 percent compared to 3.8 percent in males between 2009 and 2019.3 Hormonal contraceptives are widely used by women throughout the world and often started as early as menarche. Traditionally intended to prevent unwanted pregnancies, contraceptives are frequently used in the symptom management of menorrhagia and dysmenorrhea in females.2 Oral contraceptive pills (OCP) are a popular choice for adolescents due to their ease of use, formulation varieties, and ability to be used long-term. Considering the widespread use, the adverse effects can …

The Impact Of Blood Flow Restriction On Heart Rate And Muscle Activation, Janaya Battles, Rajat Singh, Daniel Swier

Celebration of Research

Blood Flow Restriction (BFR) is a rehabilitation technique used in physical therapy to improve muscle growth in patients. The technique involves using blood cuffs on the limbs to occlude blood flow within the muscles, thus limiting the buildup of muscle growth inhibitors. The current literature provides information regarding these aspects but is limited in providing information regarding the impact of BFR on neural muscular coordination. Therefore, the purpose of this study was to determine how various pressure levels of the BFR cuffs can impact the muscle activation of the restrained muscles and heart rate. Our results have shown that a …

Tranexamic Acid, Jett Skrien, Evan Lins, Kaleb Myhrwold

Celebration of Research

TXA administration has shown promising results in reducing blood loss resulting in a potentially life-saving measure. Early TXA administration has been shown to be most effective when administered within 3 hours of the incident. After the 3-hour window has passed, its effectiveness is negligible. At this point in time, no single superior means of administration or dosage has been agreed upon. Based on the evidence presented, TXA has a notable safety profile and has been proven to be a low-cost and effective way to reduce detrimental blood loss in trauma and surgical settings.

The Adverse Health Outcomes Of Benzene In Skincare Products, Maddie Olson, Allie Walter

Celebration of Research

Benzene is a known carcinogen commonly used in daily skin care products that could have negative physiological effects on the body.

The risks associated with the use of benzene-containing products have been researched, however, current evidence has not fully differentiated whether the potential negative effects of benzene outweigh the protection that benzene products provide against the development of skin cancer.

Association Between Carpal Tunnel Syndrome And Amyloid Heart Disease May Assist With Early Detection And Reduced Morbidity And Mortality, Kayla Nachbar, Nicole Kirk, Jaclyn Freese

Celebration of Research

Carpal tunnel syndrome may help identify more systemic issues than previously thought. Multiple research studies establish an association between carpal tunnel syndrome and heart disease, most specifically cardiac amyloidosis. This link is of importance as it requires alternative treatment choices to extend life expectancy for those diagnosed with the disease. Based on this analysis of multiple studies, there may be an indication for a screening criterion in those with carpal tunnel syndrome to identify a previously illusive disease before it progresses. History and certain clinical features may add to the utility of this finding to be applied as a screening …

Energy Drink Consumption In Adolescence Linked To Long Term Health Effects, Grace Eiden, Jenna Borchers, Jill Van Otterloo

Celebration of Research

Caffeine is a substance that is frequently ingested by individuals for a multitude of reasons, most often an energy boost. Recently, caffeine consumption has become popular among the adolescent population. We reviewed 15+ recent studies explaining the adverse effects of caffeine consumption among adolescents such as cognitive function, mental illness, and obesity. Numerous correlations were found including lower scores in several cognitive functions such as vocabulary comprehension, cognitive flexibility, and processing speeds, mental illnesses such as stress, anxiety, and depression, and the immense sugar-content in these beverages being linked to childhood obesity. It is important that healthcare professionals are aware …