Medicine and Health Sciences Commons^™

Perceptions And Attitudes Of Western Michigan University Students On Antibiotic Medications, Emily Boask

Honors Theses

On a global scale, antibiotic resistance is a threat to public health. The causes of antibiotic resistance are multifaceted, including healthcare providers overprescribing antibiotics, antibiotic overuse in farming and food production, and antibiotic misuse or malpractices. The public recognizes antibiotic resistance as a significant problem but there are serious knowledge gaps regarding antibiotic resistance and antibiotic stewardship.

University students are a particularly important subpopulation of the public to understand appropriate antibiotic use because many of these individuals are navigating their health concerns on their own for the first time. Many individuals believe that antibiotics can improve cold symptoms, upper respiratory …

Educating Staff To Use The Teach-Back Method Towards Improving Adherence To Antipsychotic Medication, Elizabeth Adebayo

Walden Dissertations and Doctoral Studies

My goal for this staff education doctoral project was to improve adherence to antipsychotic medication among patients in a mental health facility through an education initiative for psychiatric intensive care unit staff focused on the teach-back method. The facility had reported a 20% increase in medication noncompliance among post-discharge patients within the past year, primarily attributed to nurses’ lack of adequate patient teaching strategies. I addressed the issue of effective patient education using the teach-back method in improving medication adherence in an inpatient mental health setting. Teaching objectives, content, and test questions were developed based on a substantial body of …

Clinical Utility Of Opencap Motion Analysis In Lower Limb Prosthesis Users, Sarahi Fernandez Leon

Honors Program Theses and Research Projects

The use of prosthetics has gradually increased due to various diseases, and it is estimated that 35-40 million people are prosthetic/orthotic users, with the number estimated to increase to two billion by 2050. Mobility has been determined to be a strong predictor of quality of life. There are various ways to measure mobility and predict outcomes in lower-limb amputees (LLA), such as self-report and performance-based measures. However, these come with many limitations, showcasing the need for quantitative measures of gait parameters to allow for better development of prosthetic components. Motion analysis tools are expensive and time consuming, but an inexpensive, …

Simulation Education To Improve Confidence Levels In Using Alternative Methods Of Restraint With Children On An Inpatient Psychiatric Unit, Roshni Patel

Walden Dissertations and Doctoral Studies

Summary Seclusion and restraints, while sometimes necessary for patient and staff safety, can result in negative outcomes, including physical and psychological harm to patients. This doctoral project addressed the critical issue of improving inpatient nurses’ confidence in applying alternative methods to seclusion and restraints. These alternatives are essential in psychiatric and acute care settings to promote patient safety, reduce the use of coercive interventions, and support a more humane approach to patient care. The practice problem identified was a notable lack of confidence and knowledge among inpatient nurses regarding using these alternative methods, which led to overreliance on seclusion and …

An Educational Intervention To Increase Nurse Practitioners’ Knowledge And Awareness Of Polypharmacy, Kiana Piedrahita

Walden Dissertations and Doctoral Studies

The presence of multiple health problems can contribute to the simultaneous use of multiple medications by an individual, also known as polypharmacy. While polypharmacy can be necessary, it has the potential risk of adverse drug reactions and possible hospitalization. In the local organization, leadership noted that 47% of patients seen are elderly individuals who have multiple comorbidities, indicating the probable use of multiple medications. Thus, purpose of this Doctor of Nursing Practice project was to determine if an educational intervention focused on polypharmacy and the use of the electronic medical record to manage polypharmacy increased knowledge and awareness among nurse …

Sibling Relationships Through The Lens Of Culture And Inclusion Of Other In The Self, Laura Aguilar

Honors Thesis

Sibling relationships are formative for identity development and well-being. These relationships vary in closeness due to factors such as age, gender, family dynamics, parenting style and cultural context. Existing literature has shown that siblings from interdependent cultures have closer relationships than those from independent cultures. This thesis proposes that sibling relationships can be examined through the lens of the self-expansion model, focusing on the Inclusion of Other in the Self (IOS) scale. It hypothesizes that those from interdependent cultures will have more inclusion of other in the self than those from independent cultures. Participants from Japan representing the interdependent culture …

Ethics Of Ai In The Classroom, Kyle Kos

Honors Theses

Artificial intelligence (AI) is rapidly evolving and is increasingly being used in classrooms. Several different forms of artificial intelligence have gained popularity within the past, one form of AI with widespread use in the classroom is Generative Pre-Trained Transformer (ChatGPT). This paper explores how the recent surge of popularity of ChatGPT has caused concerns of ethical use in the classroom. Additionally, this paper explores the capabilities and strategies for students to use AI, specifically in nursing.

ChatGPT can offer extraordinary resources to students through capabilities such as essay writing and editing, generation of answers to questions instantly from a vast …

Neuroprotective Care And Painful Procedures, Jelda Frank

Walden Dissertations and Doctoral Studies

An inconsistent application of neuroprotective care provided by clinical staff, based on my observations, to minimize the negative effects of painful procedures that can negatively impact the neurodevelopment of neonates in the neonatal intensive care unit (NICU), was the identified practice problem for my Doctor of Nursing Practice (DNP) staff education project. Implementation of evidence-based neuroprotective and neuropromotive strategies aim to optimize outcomes for premature infants and minimize risk of potential negative effects to the neonate’s short and long term neurodevelopment. The DNP project practice-focused question addressed whether a presentation of an evidence-based educational program for NICU clinical staff would …

Clinical Practice Guideline: Shared Decision Making For Patients With Mental Health Disorders, Karen Rose Grant-Simmons

Walden Dissertations and Doctoral Studies

Summary This project was a clinical practice guideline (CPG) for practitioners who deliver healthcare services to patients living with mental health disorders. The practice problem addressed by this CPG was lack of mental health patient inclusion in terms of determining treatment plans of care. In back-to-back patient satisfaction surveys, patients indicated they would like to have more say in their treatment plans. The practice problem was important to increase patient input in clinical decision-making practices of practitioners. The project question was: Does evidence support development of a CPG for mental health patient-centered input regarding treatment plans of care that was …

Predictors Of Mortality In African Americans With Alzheimer’S Disease-Related Dementias, Latrice Camille Noonan

Walden Dissertations and Doctoral Studies

Alzheimer’s disease-related dementia (ADRD) is a leading cause of death worldwide. There is a need to identify the link between modifiable risk factors and the association with ADRD mortality. This study addresses the disproportionately high burden of ADRD among African Americans, aiming to inform targeted prevention strategies and promote health equity. In this study, the longitudinal relationship between ADRD mortality and the presences of diabetes, smoking, and obesity among older African Americans residing in the United States was examined, while controlling for age, gender, education, and socioeconomic status. The biopsychosocial model served as the theoretical framework for this study. The …

Staff Education To Improve Antipsychotic Medication Adherence, Muhammad J. Matlub

Walden Dissertations and Doctoral Studies

This staff educational project addressed a gap in practice involving minimal nursing intervention to support antipsychotic medication adherence. Antipsychotic medication nonadherence results in undermanaged schizophrenia, which is associated with relapse psychotic episodes, suicidality, and violence. Therefore, the project’s purpose was to educate the providers on long-acting injectable (LAI) antipsychotic medication to facilitate the use of the medications to address antipsychotic medication nonadherence. Eight providers were involved in the educational intervention and were educated on the LAI antipsychotic treatment intervention through an interactive educational session. Knowledge surveys were administered before and after the educational intervention. The collected data were analyzed using …

Educating Providers On Effective Prescribing Of Benzodiazepine, Juliana Nwakamma

Walden Dissertations and Doctoral Studies

The goal of this initiative is to increase provider confidence, improve patient outcomes, and foster constructive societal change by teaching healthcare professionals how to prescribe benzodiazepines safely and effectively. Many doctors prescribe benzodiazepines to treat anxiety, sleeplessness, and seizures, but using them comes with serious hazards, such as dependence, withdrawal, and overdosing, particularly when taken with other drugs like opioids. Taking these concerns into consideration, my study intends to close gaps in prescribing practices by creating an evidence-based education program specifically designed for healthcare professionals. The course emphasizes effective prescribing techniques, methods for weaning chronic users, and benzodiazepine substitutes such …

Effectiveness Of Eucalyptus For Pain Management: An Integrative Review, Taylor Stone, Jennifer Tran

Master's Projects

This integrative review examines eucalyptus essential oil effectiveness for pain, particularly as an alternative to opioids. An extensive literature search was conducted across multiple databases, including Joanna Briggs Institue, Cochrane, CINAHL, PubMed, and Scopus, focusing on studies examining eucalyptus oil’s analgesic properties, along with its effectiveness when used alone or in conjunction with complementary therapies like massage and acupuncture. Analysis identified three key themes: (1) the effectiveness of eucalyptus oil in pain reduction across various acute and chronic pain conditions, (2) its role in potentially reducing reliance on pharmaceutical pain relief, and (3) its capacity to enhance the effectiveness of …

D101n: A Unique And Ill-Understood Familial Als-Related Sod1 Mutant, Analisa Lott

Honors Program Theses and Research Projects

Background: Amyotrophic Lateral Sclerosis (ALS) is a fatal neurodegenerative disease, with 90% of documented cases considered sporadic and about 10% showing a hereditary link; such cases are deemed as familial ALS (fALS). Superoxide dismutase (SOD), a copper-zinc binding enzyme that protects cells from damaging free radicals, has been linked to fALS with certain toxic gain of function mutations, such as the D101N mutant. The human SOD1 D101N mutant has been shown to be associated with rapidly progressing neurodegeneration yet is less prone to aggregation than similar mutants, but its deviation from wild-type (WT) SOD1 remains misunderstood.

Objective: Although the D101N …

Increasing Nursing Staff Knowledge On Medication Nonadherence Among Mental Health Patients, Princess Ndidi Amadi

Walden Dissertations and Doctoral Studies

Medication nonadherence is a challenge among patients with severe mental health disorders, increasing the patients’ risk for exacerbations of psychosis and relapse, which may result in hospital emergency room visits and hospital admissions. In patients with schizophrenia, major depressive disorders, and bipolar disorders, the mean medication nonadherence is 49%. While no single strategy works, a combination of behavioral and educational strategies has been shown to improve patient adherence to their medication regimen. The purpose of the Doctor of Nursing Practice project was to increase healthcare professionals’ knowledge of behavioral and educational strategies to improve medication adherence among patients with severe …

The Role Of Epigenetic Aberrations In The Cold Tumor Phenotype And Inflammatory Signaling In High-Risk Neuroblastoma, Pamela Morgan Watson

Alternative Theses and Dissertations (AETDs)

Neuroblastoma (NB) is a highly aggressive, heterogeneous disease that arises from the sympathetic nervous system (SNS) and originates from neural crest cells (NCCs) (1). NB is the most common extracranial cancer in pediatric accounts for 15% of pediatric cancer deaths (2). This high mortality rate is the result of the metastatic, immune evasive, and treatment resistant characteristics of the disease (3). It has been proposed that NB arises from blocks in differentiation during development, resulting in a mixture of two distinct cell types within the tumor: mesenchymal and adrenergic (Figure 1.1) (4,5). The adrenergic cell type is more differentiated, and …

The Nurse Faculty Compassion Instrument: A Methodological Study, Nancy Pritchard

Dissertations

As nursing shortages rise, nursing faculty have the important responsibility of increasing the number of nursing school graduates that enter the nursing profession. Unfortunately, attrition and retention continue to prevent nursing students from graduating on time or at all. Nursing faculty compassion has been identified as one important factor that could decrease nursing student attrition and increase nursing student retention and program completion. Compassion is a concept built upon the constructs of forming connections, empathetic behaviors, student suffering and faculty recognition of needs, and alleviation of suffering. No existing instruments measure all of these constructs. Some existing tools that measure …

A Scoping Review Of The Prevalence Of Polypharmacy In Dementia Patients In Correlation To Increased Falls And Hospitalizations, Julie Ward, Travis Adelman, Erica Barber, Elizabeth Upton

Doctor of Medical Science (DMSc)

Dementia is a progressive neurodegenerative condition characterized by cognitive decline and behavioral changes, which often necessitates polypharmacy to manage symptoms. There is a negative trade off to polypharmacy in that it increases the risks of falls and hospitalizations. Dementia patients are at an increased risk of falls and hospitalization, making it valuable to examine admission records to identify potentially modifiable risk factors. One of the most prevalent modifiable risk factors is polypharmacy in geriatric populations. Polypharmacy has become prevalent in older adults, not just in dementia. In 2013 a 3-year prospective cohort study of 1,742,336 people >65 years old looked …

Effectiveness Of Lavender Supplementation In Treating The Most Common Mental Health Conditions In Primary Care Settings: A Narrative Review, Taylor Irwin, Heather Justice, Kara Roman, Sophie Tajadod, Carilyn Ellis, Kristy Asbell, Jason Brumitt

Doctor of Medical Science (DMSc)

Primary care providers (PCPs) are increasingly challenged to meet the rising demand for psychiatric care in the United States (U.S.). 1,2 More patients are seeking mental health care from their PCP than ever before. The number of visits for mental health concerns increased by 50% from 11% of all visits in 2006 to approximately 16% of all visits in 2018. 1 Many patients are opting to seek treatment exclusively from PCPs rather than from psychiatric providers. 1 Several factors contribute to this trend, including a shortage of mental health care providers, limited insurance coverage for psychiatric services, and potential reluctance …

Glp-1 Agonists On Reducing The Risk Of Developing Dementia In Patients With Type 2 Diabetes, Alli Guerrero, Emmiline Chou, Erika Mccarthy, Heather Justice, Jason Brumitt

Doctor of Medical Science (DMSc)

Type 2 diabetes mellitus (T2DM) and dementia share a similar pathogenesis of insulin resistance, neuroinflammation, and oxidative stress.¹ Individuals diagnosed with T2DM are at an increased risk of experiencing accelerated cognitive decline, attributed to the underlying disease process, furthermore increasing the likelihood of developing dementia.¹ According to the Centers of Disease Control and Prevention (CDC), dementia was the second leading cause of death, with over 250,000 deaths associated with Alzheimer’s disease alone.² Currently, there are only two classes of drugs available for the symptomatic treatment of dementia: N-methyl D-aspartate (NMDA) antagonist and cholinesterase inhibitors.²However, no …

Deliberate Cold Exposure As Augmentation For Diabetic Management, Joel Graham, Michael Graham, Patrick Clyde, Michael Racine, Jason Brumitt

Doctor of Medical Science (DMSc)

CE has received attention during the past decade as a modality to decrease inflammation, improve mood, increase mental resiliency, and to facilitate physical exercise recovery. This “treatment” has been in use for centuries having been mentioned in ancient Greek texts. CE is also a common cultural practice of Nordic countries, with its traditional uses centering on the therapeutic effects improved health and recovery. These effects are predominantly moderated through the activation of the sympathetic nervous system (SNS) by changes in skin temperature, which subsequently induces the release of catecholamines to conserve body heat and prevent the onset of hypothermia. The …

Analyzing The Efficacy Of Dupilumab On Skin Clearance In Pediatric Patients With Atopic Dermatitis, Naomy Procopoi, Jason Brumitt

Doctor of Medical Science (DMSc)

Severe atopic dermatitis significantly impairs the quality of life for infants and young children, along with their family members and caregivers. Atopic dermatitis is a chronic inflammatory disease of the skin. It is characterized by pruritic, erythematous, and xerotic skin. The prevalence of atopic dermatitis in the pediatric population is much greater than in adults; it is estimated that approximately 15-20% of children worldwide are affected by this condition. Although the majority of these children achieve spontaneous remission in adulthood, mild to moderate disease may often be debilitating and lead to a lower quality of life.

Previously, the only approved …

Review Of Depression Management In Cardiovascular Disease, Kelsey Pangelinan, Kristy Asbell, Erika Mccarthy

Doctor of Medical Science (DMSc)

Introduction

Depression and cardiovascular disease (CVD) are closely interrelated, with depressive symptoms significantly more common in patients with heart disease than in the general population. Several studies have shown that between one-fifth to one-third of patients with severe acute coronary disease exhibit depressive signs, while around 10% meet the standards for major depressive disorder. This heightened occurrence of depression among ACS patients correlates with unfavorable cardiovascular outcomes, an amplified probability of recurrent heart events, and escalating healthcare costs.¹ Despite its acknowledged sway on cardiovascular health, depression often goes undiagnosed and untreated in this group. According to the World Health …

The Effect Of Gratitude On The Mental Health Of Healthcare Workers As Measured By Burnout And Depression, Haley S. Fujimori, Erika Mccarthy, Erika Barber, Jay Jamieson, Jason Brumitt

Doctor of Medical Science (DMSc)

Practicing gratitude has been shown to have a positive effect on both the mental and physical health of the general population and, thus, has been proposed as a means to improve the mental health of HCWs.Practicing gratitude can be defined as appreciating the things one has in life. Self-reflecting on things one is grateful for, listing good things that occurred throughout one’s day, journaling work events one is grateful for, and writing letters to thank someone are ways in which gratitude may be practiced. Existing research suggests that practicing gratitude is associated with improved sleep, blood pressure, and glycemic control, …

The Effect Of Aerobic Exercise On Reducing Drug Craving And Preventing Recurrence Of Methamphetamine Use Disorder, Sydney Skutt, Carilyn Ellis, Daniel Sanders, Jason Brumitt

Doctor of Medical Science (DMSc)

Methamphetamine (MA) is a derivative of amphetamine that is highly addictive and toxic. It is classified as a Schedule II stimulant under the Controlled Substances Act and has limited medical use for treatment of attention deficit hyperactivity disorder and high potential for abuse as a recreational drug. Prior to the 2000s, methamphetamine was derived from ephedrine or pseudoephedrine, a common ingredient in cold medicine, which became controlled in 2005 to combat the methamphetamine epidemic. Current methamphetamine is derived from phenyl-2-propanone, a chemical whose use is regulated for other uses, such as racing fuel, gold mining, perfume, and photography, fundamentally changing …

Relationship Of Stress, Family, And Social Support, And Job Satisfaction To Burnout Among Family Nurse Practitioners Employed In Primary Care Clinics In Mississippi, Laura-Jean Scott Brooks

Dissertations

In the realm of healthcare, burnout is the invisible monster that has infiltrated every facet of the industry with grossly visible results. From provider turnover to patient errors, burnout has lifelong effects on the healthcare provider and patient care. This researcher seeks to study variables and the relationship to burnout among Family Nurse Practitioners who practice in primary care in Mississippi. The Review of the Literature demonstrated a lack of findings in burnout among family nurse practitioners. Most of the literature reviewed focused on burnout among registered nurses. The guiding hypothesis of the research study was that social and family …

Short-Term And One-Week Follow-Up Of Dry Needling Effects On Shoulder Range Of Motion And Strength With Asymptomatic Individuals, Mark Hecimovich

Master of Science in Kinesiology

Dry needling, a subcutaneous treatment intervention using fine filiform needles, is growing in popularity amongst manual therapists and is used in treating myofascial trigger points, pain, range of motion, and strength, albeit with limited research. This research aimed to measure the effect of dry needling on the shoulder, its impact on external rotation, and abduction range of motion and strength with an asymptomatic cohort of individuals. It is hypothesized that dry needling on a cohort of healthy individuals will not influence both range of motion and strength.

This study consisted of a convenience sample of 20 university students aged 20 …

Emergency Room Treatment And Outcomes Of Patients Experiencing A Mental Health Crisis: A Scoping Review, Tyson Greener, Heather Rollins, Kevin Vandenheuvel, Carilyn Ellis

Doctor of Medical Science (DMSc)

During the past decade, emergency rooms (ER) across the country have become inundated with patients seeking treatment for behavioral health-related concerns. It was found in the United States in 2011 that one in four patients presenting to the emergency room did so with a mental health disorder. Patients present with a range of behavioral health concerns, including depression/anxiety, suicidal ideation, psychosis, substance use disorder, and suicidal attempts. It has been found that 1 in every five patients presenting to the ER with a mental health concern will return within 6 months. Within the same study, over 4 years, 44.8% (4796) …

Caregiver Involvement In Pediatric Speech-Language Pathology, Kathryn Ticknor

Theses & Honors Papers

This study explores how caregivers and speech-language pathologists (SLPs) perceive caregiver involvement in pediatric speech therapy services. The research addresses how and when caregiver input is solicited, and to what extent the services children receive reflect caregivers’ expressed concerns and priorities. Using a two-phase survey design, caregivers and speech-language pathologists from private practices in Virginia provided quantitative responses on the importance, frequency, and effectiveness of collaboration. Overall, caregivers reported moderate levels of involvement (mean score: 3.88/5). Contrary to conventional wisdom, caregivers’ level of involvement was not directly correlated with their level of satisfaction, suggesting other factors, such as communication quality …

Academic Nurse Leaders’ Application Of Bolman And Deal’S Leadership Orientation Framework, Jasmine Bratton

Dissertations

While Academic Nurse Leaders (ANLs) are vital to the functioning and quality of nursing programs in academic settings, many enter their roles with limited or no prior academic leadership and management experience. The inadequate preparation and development of ANLs remains a critical concern. For this reason, ANLs positions can be challenging and hard to fill. Although ANLs can hold various titles and positions across different academic institutions, this study specifically focuses on Deans, Directors, and Department Chairs working in the New York State area. Bolman and Deal’s (2021) four-frame model of leadership offers a framework that can be used to …