Medicine and Health Sciences Commons^™

The Use Of Simulation To Decrease Stress In First Year Student Registered Nurse Anesthetists, Jared Scott Seymour

Doctoral Projects

Each year, critical care nurses across the nation make the decision to become anesthesia providers. In order to become a certified anesthesia provider, nurses must meet the high standards required to be considered for entrance into anesthesia school. Once accepted, these students, known as Student Registered Nurse Anesthetists (SRNAs), must successfully complete a rigorous curriculum consisting of both didactic and clinical training. Due in part to the high degree of difficulty of anesthesia programs, SRNAs are at risk for experiencing high levels of stress. Chipas and McKenna (2011) shows SRNAs experience a self-reported average daily stress level of 7.2 on …

Gestational Weight Gain And Maternal Health Among Hispanic Women, Megan W. Harvey

Doctoral Dissertations

More than 70% of women do not gain within their target range of gestational weight gain (GWG), as recommended by the Institute of Medicine (IOM) in 2009. Risks associated with inadequate GWG include small-for-gestational age, low birthweight, pre-term birth, and difficulty establishing breastfeeding. Risks associated with excessive GWG include large-for-gestational-age, macrosomia, and delivery complications. There are also long-term consequences for maternal and fetal metabolic processes. Higher pre-pregnancy BMI, lower education level, and higher parity are known risk factors for excessive GWG. There are also possible racial / ethnic differences, and Hispanic women, in particular, may be at high risk for …

State And Trait Anxiety: A Comparison Of The On And Off Field Anxiety Levels Of Athletes And Non-Athletes, Asha Satori Rutland Stegall

Honors College Theses

The purpose of this study was to quantitatively compare anxiety levels among collegiate basketball players and intramural athletes at a public, Division I university in the Southern part of the United States. This research looked at two different forms of anxiety: State Anxiety and Trait Anxiety. Surveys were completed by 60 students, 30 of which were classified as collegiate basketball players and the remaining 30 students were classified as non-collegiate intramural athletes. The data were analyzed using SPSS statistical software. The results showed no statistical difference in state or trait anxiety levels among different genders or athlete type. Further research …

The United States Medical Licensing Exam (Usmle) And Medical Student Wellness: An Ethnographic Qualitative Study At Cooper Medical School Of Rowan University, Patricia Davis Vanston

Theses and Dissertations

Research indicates that medical students experience unusually high levels of stress, anxiety, depression, and loss of empathy while in medical school. As the number of medical students rises and residency positions remain stagnant, the USMLE receives greater emphasis as a barometer to determine residency placement and future career paths thereby increasing levels of stress among students. Stress is associated with diminished self-care, potentially leading to a negative impact on well-being. This ethnographic, qualitative study sought to examine the extent to which the anticipation of, preparation for, and implications of the USMLE contribute to medical student stress, wellness, and self-care. Through …

Development Of An Educational Seminar On Coping With Stress For Nurse Anesthesia Trainees, Becky Belk

College of Science and Health Theses and Dissertations

Stress is the body’s way of responding to something out of the norm, or a stressor. Stressors affect nurse anesthesia trainees (NATs) to unpredictable levels of stress. The purpose of this study was to explore stressors experienced; ways to cope with stressors as perceived by NATs, if there was any association between socio-demographic variables to the various ways of coping with stress, and development of a one-hour seminar on different ways to cope with stress during a nurse anesthesia program.

A survey was distributed to members of the Illinois Association of Nurse Anesthetists (IANA), which identified demographic information, stressors, and …

Characterizing The Role Of The Neuropeptide Y-Y5r System In Breast Cancer, Jenna Kara

Electronic Thesis and Dissertation Repository

Studies have demonstrated a correlation between stress and an increased risk of breast cancer. Neuropeptide Y (NPY) is up- regulated in chronic stress and induces proliferation and chemotaxis of 4T1 breast cancer cells via Y5 receptor (Y5R) activation. In the studies performed in this thesis, we characterize NPY-Y5R as a regulatory system that promotes breast cancer metastasis. We compared three cancer cell sublines derived from the same murine mammary fat pad tumour, that greatly differ in metastatic potential (67NR, 168FARN, and 4T1) in addition to a 4T1-Y5R knockdown established in our labs. In this thesis we demonstrate significance of up-regulation …

Radiography Students: Factors Contributing To Their Stress And Methods Of Coping, Kayla A. Rosenbaum

Electronic Theses and Dissertations

College students experience high levels of stress, especially those in health care programs. The purpose of this study was to determine what factors contribute to Tennessee radiography student stress levels and the methods by which they cope with stress. Additionally, do demographic factors affect radiography student stress levels? The research was conducted February 4 to March 30, 2016. A survey was distributed to students in a radiography program at two and four year colleges in Tennessee. Participants were asked questions on factors that influence their stress levels, coping strategies, and health issues experienced in the past year. Descriptive statistics, independent …

Stress Management In A Corporate Setting, Erinn Gelakoska, Susan Instone

Doctor of Nursing Practice Final Manuscripts

Abstract

The purpose of this evidence-based project was to implement a sustainable stress management program in a corporate setting, utilizing company stress management resources. A three-step program was initiated to include a 30-minute stress education session, followed by a 30-minute one-on-one session with a nurse practitioner student utilizing aspects of motivational interviewing to develop a goal oriented stress management plan. An individual one-month follow up was also performed. Of the 30 employees who attended the educational session, 15 signed up for a one-on-one session. Eight out of the 15 employees completed the one-month follow up. Employees completed a pre and …

The Effect Of Stress On Bone Mineral Density In College Aged Females, Grace C. Berardini

Senior Honors Projects, 2010-2019

The relationship between psychological variables and bone mineral density (BMD) has been increasingly studied in the past few years, with research suggesting that decreased mood may play a role in decreased BMD. The purpose of this study was to determine if stress in college aged females on the James Madison University campus was related to decreased BMD. This study included 46 females between the ages of 18-24, who were currently enrolled in the Fall of 2015. All participants completed a medical questionnaire, 24-hour dietary recall, the Perceived Stress Scale (PSS), and the Depression, Anxiety, and Stress Scale (DASS). Participants’ BMD …

The Role Of Amp-Activated Protein Kinase (Ampk) In Tumorigenesis, Fei Han

Dissertations & Theses (Open Access)

AMPK plays a central role in controlling cellular and whole body energy level. Increasing studies have also discovered the diverse function of AMPK in cancer, such as autophagy and mitochondria biogenesis. However, how AMPK promotes cancer progression is still not clear. Here, we show that AMPK is essential for EGF-induced Akt activation, Glut1 expression, and glucose uptake. AMPK is also required for various stresses induced Akt activation and promote cell survival, including hypoxia and glucose deprivation. In addition, we found glucose deprivation-induced VEGF expression and secretion is also depend on AMPK, which may contribute to angiogenesis of surrounding endothelial cell …

Identification Of Predictors And Moderators Of Weight-Related Behaviors In College Students., Heather Owens

Electronic Theses and Dissertations

College students are at increased risk for weight-gain and obesity compared to their non-student peers. Although many studies have confirmed these findings, few address the underlying causes of weight-related behaviors in college students. Associations between sleep behaviors (sleep duration and sleep quality), stress and weight-related behaviors (physical activity and food choices) have been identified, but studies have not adequately explored these associations among college students. Further, the influence of bioecological determinants of health cannot be overlooked when addressing health-related behaviors in diverse populations. The purpose of this dissertation was to explore factors impacting sleep behaviors and weight-related behaviors in college …

Understanding Physicians’ And Non-Physician Practitioners’ Recommending Practices, Knowledge, Attitudes, Beliefs And Expectations Regarding Music As A Cost-Effective Complementary And Alternative Medicine Approach, Paul F. Franco

Seton Hall University Dissertations and Theses (ETDs)

Background and Purpose of the Study: With the rise in healthcare costs, partly due to an aging demographic (of whom these care-receivers and their informal family member/friend caregivers are experiencing high stress and anxiety levels resulting in an increase in nursing home placement), a need exists for a cost-effective alternative to the traditional medical approach. Specifically, Music Therapy, a form of Complementary and Alternative Medicine (CAM) has been shown to decrease the severity of the problem by alleviating symptoms of an illness and improving overall well-being. The purpose of this study was to create a valid tool entitled “The Global …

Healthy Beginnings: Exploring The Impact Of Parental Stress And Relationship Quality On Birth Outcomes, Anna A. Divney

Dissertations, Theses, and Capstone Projects

This dissertation consists of three studies exploring the effects of maternal and paternal experiences of stress and perceptions of relationship quality on length of gestation and birth weight. The first study assessed the association of parental relationship quality with the baby’s length of gestation and birth weight among 2,072 families in the Fragile Families and Child Wellbeing study. Romantic relationships can be a substantial source of social support as well as stress, and have been shown to influence many health outcomes. Beyond crude relationship characteristics, however, few studies have assessed the association of other dimensions of relationship quality, such as …

What Works For Successful In-Home Family Therapists Working At Community-Based Agencies, Aleyah R. Yasin

Department of Family Therapy Dissertations and Applied Clinical Projects

Resiliency is an important characteristic of successful therapists (Aponte, 1991; Aponte & Carlsen, 2009; Aponte & Winter, 2000; Clark, 2009; Hamel & Laraway, 2004; Kuiper, 2012; Protinsky & Coward, 2001; Rosenburg & Pace, 2006; Wolgien & Coady, 1997), especially those in entry-level positions that tend to involve high stress and turnover (Acker, 2004; Clark, 2009; Davis, 2013; Greenson, Guo, Barth, Harley, & Sission, 2009; Grosch & Olsen, 1994; Gupta, Peterson, Lysaght, & Zweck, 2012; Horan, 2002; Maslach & Leiter, 1997; Negash & Sahin, 2011; Rosenburg &Pace, 2006; Skovolt &Trotter Mathison, 2011). This study explored the perspectives of six therapists providing …

Analgesia Followed By Long-Term Hyperalgesia Generated By Disinhibition Of The Basolateral Amygdala, Derek Atchley

Wayne State University Theses

Stress produces bimodal effects on pain peception. During exposure to a stressor pain responses are inibited (i.e. stress-induced analgesia). However, following long-term exposure to a stressor increases in responsiveness to painful stimuli may develop (i.e. stress-induced hyperalgesia). Here I evaluated how a key component of the subcortical defense circuit and target of stress hormones contributes to the development of both stress-induced analgesia and hyperalgesia. Bicuculline methiodide, a GABAA antagonist, injected into the basolateral amygdala was used to mimic the neural effects of a stressor or threat exposure. Immediately following injection pain responsiveness was decreased as measured by vocalizations after discharge …

Is Listening To Music While Exercising Effective In Reducing Stress?, Teresa Penetar

PCOM Physician Assistant Studies Student Scholarship

Objective: The objective of this selective evidence based medicine (EBM) review is to determine whether or not listening to music while exercising is effective in reducing stress.

Study Design: Review of three English language randomized control trials published in 2011 and 2013

Data Sources: The double-blind placebo-controlled randomized control trials were obtained via PubMed.

Outcomes Measured: Pretest-posttest surveys included the SF-36 Health Survey to assess self-reported health-related quality of life, the Activation- Deactivation Adjective Check List (AD-ACL) to measure mood, and a 9-item measure to assess emotion.

Results: Listening to music while exercising increased pleasant emotions in all 3 studies. …

Perceived Stress, Caffeine Consumption, And Gpa Of Undergraduate Students At A Large Public University, Emma Simpson

Theses and Dissertations--Nutrition and Food Systems

Evidence suggests that college students may increase caffeine consumption to cope with the stress and demands of college. The relationships between perceived stress, caffeine consumption, and GPA were examined in students at a large public university. Students were surveyed to determine perceived stress (Cohen’s Perceived Stress Questionnaire), beliefs about caffeine, caffeine consumption, workload in and outside of the classroom, and GPA. Surveys were administered at the beginning of the semester and again at midterm. Based on Cohen’s 40-point scale, average stress scores increased from 15.95 ± 6.34 at the beginning of the semester to 18.89 ± 6.94 at midterms. Additionally, …

Self-Care Activities And Nurse Manager Well-Being, Gretchen Eileen Johnson

Walden Dissertations and Doctoral Studies

The role of the nurse manager is important in organizations and influences outcomes such as the safety and quality of care provided on a unit, satisfaction, turnover of nursing staff, and overall health of the work environment. Stressors for managing nurses can impair physical and emotional health and lead to poor patient and staff satisfaction, safety, and outcomes. The evidence-based practice project will explore nurse managers' well-being and self-care activities. The theoretical framework of the project is the Relationship-Based Care Model as well as Kotter's change theory. The literature suggests that self-care activities can reduce stress and improve well-being. A …

Longitudinal Examination Of Perceived Stress And Depression Symptomology In Division I Student-Athletes, Bobby Daigle

Electronic Theses and Dissertations

CONTEXT: Concussions are all too prevalent in amongst athletes. Concussions make up almost 5 percent of all collegiate athletic injuries. Concussions have been linked with many long lasting effects including depression and increased stress or anxiety.

OBJECTIVE: To longitudinally examine post-concussion depression and stress levels in National Collegiate Athletic Association Division 1 athletes.

DESIGN: Descriptive longitudinal study.

SETTING: National Collegiate Athletic Association Division I collegiate athletics.

PARTICIPANTS: Concussed and uninjured Division I collegiate athletes, ages 18-22, competing in football, women’s soccer, baseball, softball, and women’s track.

INTERVENTION(S): Participants completed the CES-D at baseline, 1 week, 1 month, and 3 months …

Relationship Between Stress And Young Adults' Complementary And Alternative Medicine Use, Anupama Kizhakkeveettil Kizhakkeveettil

Walden Dissertations and Doctoral Studies

Complementary and alternative medicine (CAM) refers to a group of diverse medical and healthcare systems, practices, and products not treated as conventional medicine. The body of literature on stress and stress management among young adults has not addressed the use of CAM modalities for stress management among this population. The theoretical foundation of the study was based upon the transactional model of stress and coping, which describes stress as an interaction between an external stressor and the resources available to eliminate the stressor. The purpose of this quantitative study was to examine whether variables such as exposure to CAM, stress …

Music Therapy As An Intervention To Reduce Anxiety In Mechanically-Ventilated Patients, Stephanie L. Levine

Honors Undergraduate Theses

Patients receiving mechanical ventilation endure high levels of stress and anxiety due to the invasiveness of the procedure. These critically ill patients are often uncomfortable as a result of their serious conditions and the high-intensity environments in which they are placed. Health care workers heavily sedate these patients to minimize pain and induce a state of relaxation. However, sedatives are known for their wide-ranging, and often deleterious, side effects. Music therapy is an intervention that has been studied in a variety of hospital settings to determine any potential beneficial effects on patients. Many studies have demonstrated a relationship between music …

Co-Morbid Symptoms Of Depression And Anxiety And Bio-Behavioral Response To Stress In Patients With Heart Failure, Abdullah S. Alhurani

Theses and Dissertations--Nursing

Heart failure (HF) is a major public health problem throughout the world. It accounts for one death certificate among nine in the United States. Heart failure and sudden death combined are responsible for the largest number of deaths in America. The total costs of HF in the United States are estimated to be $37 billion each year. Despite substantial medical and surgical advances related to treatment of HF, it remains a very costly condition with high mortality and morbidity rates. Although biological factors contribute to high morbidity and mortality in HF, there are many unexplored psychosocial factors that also likely …

The Relationship Between Stress And Social Support In Baccalaureate Nursing Students, Hannah M. Greczanik, Vincent A. Lupico

Williams Honors College, Honors Research Projects

Nursing students experience high levels of stress throughout their college career. When it comes to managing this stress, the use of social support as a coping mechanism may be a factor. The purpose of this study was to examine the relationship between social support and stress in undergraduate baccalaureate nursing students and to compare social support and stress across levels of education. The study was guided by the Transactional Model of Stress and Coping. This study used a non-experimental descriptive design and a cross-sectional data collection with an online survey. The sample was a convenience sample of second, third, and …

Stress And Exercise In Undergraduate Health Professions Students, Kristin R. Weismantel, Meghan G. Brickner, Leah N. Rosler

Williams Honors College, Honors Research Projects

Background: Stress is prevalent among undergraduate students, especially students in health professions majors. Exercise as a health promoting behavior decreases stress. At the same time, increased stress may decrease exercise. This study described exercise and stress among undergraduate health professions students. More specifically this study described the intensity and duration of each exercise and the frequency of exercise during a typical week of the semester for students in health professions majors.

Theoretical framework: Pender’s Health Promotion Model guided this study.

Design: Cross-sectional, descriptive survey.

Methods: A convenience sample of 437 undergraduate students in a college of health professions (N =2,700) …

The Effects Of Perceived Stress, Sleep, And Stress Response On Cancer Related Fatigue In 8- To 12-Year-Old Central Nervous System Cancer Survivors, Ann Johnson

All ETDs from UAB

Survivors of childhood cancer are a growing population, and knowledge of persistent cancer related fatigue (CRF) is integral to survivorship. CRF in central nervous system (CNS) cancer is multifactorial and may be unique based on treatment and stage of survival. There is a gap in evidence for school-age survivors, especially during early survivorship. Aims: The aim of this study was to examine factors that influence CRF in child CNS cancer survivors at least 6 months and less than 6 years post treatment. The purpose of this study was to examine relationships between select factors and CRF and to determine effect …

Relationship Between Stress-Recovery State And Running Performance In Men's Collegiate Soccer, Nicholas A. Coker

Electronic Theses and Dissertations

Purpose: The purpose of this study was to evaluate the relationship between changes in running performance and the stress-recovery state in Division I collegiate soccer players. Methods: Running performance was evaluated in eight NCAA Division I male soccer players (179.39 ± 5.24 cm; 75.46 ± 5.98 kg; 20.37 ± 1.41 yrs.) over the course of 12 games during a single competitive season. The 12 games were divided into four blocks [B1(n=3), B2(n=3), B3(n=3), and B4(n=3)]. Running performance and game load were assessed using a wearable physiological harness and Global Positioning System (GPS) module. Game load, absolute distance, and distance covered …

Chronic Stress Potentiates The Response To Intra-Bed Nucleus Of The Stria Terminalis (Bnst) Pituitary Adenylate Cyclase Activating Peptide (Pacap) Infusion., Steven Bradley King

Graduate College Dissertations and Theses

Chronic or repeated exposure to stressful stimuli can result in several maladaptive consequences, including increased anxiety-like behaviors and altered peptide expression in brain structures involved in emotion. Among these structures, the bed nucleus of the stria terminalis (BNST) has been implicated in emotional behaviors as well as regulation of hypothalamic-pituitary-adrenal (HPA) axis activity. In rodents, chronic variate stress (CVS) has been shown to increase BNST pituitary adenylate cyclase activating polypeptide (PACAP) and its cognate PAC1 receptor transcript, and BNST PACAP signaling may mediate the maladaptive changes associated with chronic stress. In order to determine whether chronic stress would potentiate the …