Medicine and Health Sciences Commons^™

Psychological & Psychosocial Deficits Among Pediatric Survivors Of Hematological Neoplasms, Elizabeth Ross

Grace Peterson Nursing Research Colloquium

Background: Pediatric cancer patients are surviving cancer and living long, relatively healthy lives due to advances in pediatric cancer therapeutics. Even with modern medical research and technology, pediatric cancer is still the leading cause of death for children and adolescents in the United States. Based on statistics from the American Cancer Society (ACS), hematological cancers, such as leukemia and lymphoma, are the leading type of non-solid malignancies in children (ACS, 2016). For decades pediatric cancer survival rates have steadily increased with an overall cure rate of over 75%.

While it is great that the survivor rate has and is steadily …

Delirium Rates Increasing In Elderly Hospitalized Patients, Sarah Jane Soffel

Grace Peterson Nursing Research Colloquium

Delirium commonly affects hospitalized elderly patients, and is associated with increased mortality and morbidity, among other detrimental outcomes. Delirium is increasing in prevalence, yet remains under detected. Many of the negative effects of hospitalization, such as immobility, dehydration, and polypharmacy, increase the risk for developing delirium. Early detection of delirium remains an important factor for treatment and reversal. The aim of the integrative literature review was to determine whether delirium rates are increasing among elderly hospitalized patients, as well as to identify risk factors associated with delirium and nursing interventions that may prevent the increasing prevalence of delirium. The study …

The Influence Of Compassion Satisfaction And Its Effect On The Nurse-Patient Relationship, Brandon Larsen

Grace Peterson Nursing Research Colloquium

No abstract provided.

The Effects Of Physical Exercise On The Executive Functions Of Children With Attention Deficit Hyperactivity Disorder: An Integrative Review Of Literature, Julie Diamond

Grace Peterson Nursing Research Colloquium

Abstract

Attention deficit hyperactivity disorder (ADHD) is a common neurodevelopmental disorder that affects 6.4 million children in the United States. These children often experience deficits in both behavioral and cognitive executive functioning. Physical exercise (PE) has been gaining recognition as an alternative non-pharmacological treatment option for children with ADHD. This study aims to gain a better understanding of the efficacy of physical exercise in improving the executive functions (EF) of these children. Critical gaps in the literature were identified and addressed. A detailed search was conducted using CINAHL, PubMed, and PsycINFO. Peer-reviewed studies written in English and published between 2006 …

Intra-Operative Awareness With Recall Under General Anesthesia, Kelly Lannert, Dulcie Schippa

Grace Peterson Nursing Research Colloquium

Abstract

Background: Anesthesia practitioners are familiar with awareness with recall (AWR) as a phenomenon, however, research has shown it is inadequately assessed, evaluated, and treated in patients receiving general anesthesia leading to significant undesired sequela.

Objectives: The purpose of this quality improvement project (QIP) was to attempt to improve the perceived knowledge and comfort of anesthesia practitioners relative to the assessment, evaluation, and treatment of patients with AWR, thus, closing the gap between knowledge and practice.

Method: The sample consisted of 150 anesthesia practitioners from the Northshore University HealthSystem. Pre-and post-test Likert-type surveys were used and uploaded into Qualtrics to …

Certified Registered Nurse Anesthetists (Crna’S) Knowledge And Attitudes Regarding Acupressure As An Adjunct To Postoperative Nausea And Vomiting Prevention, Jacqueline Kuhn, Kim Homa

Grace Peterson Nursing Research Colloquium

No abstract provided.

Family's Perspective On Quality End-Of-Life Care For The Dying Patient, Kelly Liu

Grace Peterson Nursing Research Colloquium

No abstract provided.

Advanced Maternal Age And The Correlation Between Cesarean Birth Rates, Hope Campbell

Grace Peterson Nursing Research Colloquium

According to the Center for Disease Control and Prevention (CDC), the mean age of mothers at the delivery of their first child has increased from 24.9 years to 26.3 years between 2000 and 2014. Miscarriages, financial instability, lack of a partner and more effective contraception may also be associated with the increasing rate of delayed pregnancy. The increasing rate of delayed pregnancy could contribute to the higher rate of cesarean section deliveries in women over the age of 35 which could lead to an increased risk to mother and fetus. The rising cesarean rate is associated with rising costs and …

Acupuncture As An Effective Method For Pain Management In Post-Op Care, Margaret Severance

Grace Peterson Nursing Research Colloquium

Abstract

Background: There is much evidence that portrays the lack of satisfactory pain control in post-operative care. Acupuncture has been shown to be effective in the clinical setting for pain management and control and its therapeutic indications are well recognized by WHO. A multimodal approach to post-op pain care can provide non-opioid pain, and anti-emetic relief.

Objectives: The aim of the integrative literature review was to determine whether acupuncture provides efficient pain management in post-operative care.

Method: This study is an integrative literature review, in which an intensive review of literature was analyzed to seek evidence that acupuncture for pain …

Provider Barriers To Delivery Of Quality Transgender Healthcare, Suthiratana Bhudvanbhen-Jung

Grace Peterson Nursing Research Colloquium

Provider Barriers to Delivery of Quality Transgender Healthcare

Background: Transgender encompasses anyone who does not identify with the gender they were assigned at birth. Due to the previous DSM-IV Gender Identity Disorder diagnosis, transgender was considered a pathology. The 2013 DSM-V switch to Gender Dysphoria depathologized the transgender identity. Subsequently, transgender care is now covered by insurance and considered part of expected patient care when before it was not covered. This research study focuses on provider reported barriers to trans healthcare over patient reported, though some patient reports were used in conjunction with provider perspective.

Objective: The objective of this …

Barriers To Medication-Assisted Opioid Recovery: An Integrative Review Of Literature, Emily Miller

Grace Peterson Nursing Research Colloquium

Abstract

Background: Opioid addiction has become one of the fastest growing epidemics sweeping the world, but despite the use of opioid agonist medication-assisted treatment (MAT) with methadone or buprenorphine having been found to be one of the most effective methods for treatment of this epidemic, there is still a significant gap between the number of people that need MAT and the number of people that actually receive MAT.

Objective: The purpose of this integrative literature review is to explore the barriers that prevent many addicts from receiving MAT and to identify strategies that may assist in eliminating these barriers in …

Barriers To Identification Of Domestic Violence Victims In Lgbtq Populations, Jill Sears

Grace Peterson Nursing Research Colloquium

Background: Clinicians perceptions of domestic violence victims in the LGBT community when presenting in the Emergency Department environment creates barriers to timely identification.

Objectives: A literature review examined clinician’s perceptions of domestic violence in the LGBT compared to heterosexuals and how those perceptions create barrier to identification of victims.

Method: An integrative literature review was conducted utilizing four databases including: Cumulative Index of Nursing and Allied Health (Cinnahl) Complete, Proquest Nursing & Allied Health Source, Psychinfo, and PubMed. Key search words used and included “domestic violence”, “intimate partner violence”, “gay”, “homosexual”, “lesbian”, “LGBT”, “LGBTQ”, “perceptions”, “same-sex”, “identification”, “barriers”.

Results: Clinician …

The Nurse’S Role In Overcoming Barriers To Cancer Screening Of African Americans, Wendy Clayton

Grace Peterson Nursing Research Colloquium

Abstract

Background: While investigations into racial cancer disparities have been conducted since cancer screening practices have begun, there are few studies that address barriers to cancer screening behaviors in African Americans particularly within the perspective of nursing. This concept is of particular concern for nurses because nursing personnel have an opportunity and responsibility to impact the overall incidence and mortality of cancers.

Objective: The purposes of this literature review were to identify various barriers to early cancer detection and screening behaviors among African Americans and to evaluate the nursing interventions constituting the nurse’s role in overcoming these barriers.

Method: Research …

Impact Of Socioeconomic Status On Prenatal Nutrition And Postpartum Depression, Kelsey Moran

Grace Peterson Nursing Research Colloquium

Background: Postpartum depression (PPD) is the most common complication of childbirth, affecting 11-20% of women who give birth each year. Women suffering from PPD may experience feelings of guilt, worthlessness, and anxiety related to birth, and may think of suicide or harm towards their baby. Nutrition plays a key role in the onset, severity, and duration of general depression. Although nutritional deficiencies can be prevalent among all Americans, they disproportionately affect low-income individuals. There is currently a knowledge gap regarding postpartum depression causation in low-income women. It is important to understand the cause of postpartum depression to provide appropriate intervention …

Effect Of Body Image On Health Outcomes In Individuals With Weight-Related Disorders, Anna Gertsberg

Grace Peterson Nursing Research Colloquium

Weight related disorders are on the rise in the United States with a prevalence rate for anorexia nervosa of 0.6% and obesity of 20%. The increase is attributed to emphasis on body image. Body image is the combined perception of how one feels about their appearance with how others perceive them. The purpose of the integrative literature review was to analyze the effect of body image on individuals with anorexia nervosa and obesity and the mechanisms underlying such. A literature search was conducted through Cumulative Index to Nursing and Allied Health Literature (CINAHL) Complete, PubMed, ProQuest Nursing and Allied Health …

A Needs Assessment For Development Of An Interpreter Services Educational Tool For Crnas, Angela Meyer, Rachel Ferral

Grace Peterson Nursing Research Colloquium

Abstract

Background: Despite evidence of provider misuse of interpreter services and the resultant adverse outcomes that can and have occurred, few studies have assessed or addressed the gaps in knowledge and attitudes of certified registered nurse anesthetists (CRNAs) towards interpreter service usage when providing care for and consenting limited English proficient (LEP) patients.

Objectives: The purpose of this descriptive survey study was to identify CRNA knowledge and attitudes toward interpreter service usage for LEP patients to guide the development of a competency educational tool for CRNAs.

Methods: A descriptive, online survey research design was used. The Qualtrics online …

Development And Testing Of Cancer Treatment Shared Decision Making Scale For Nurses, Pamela Katz

Grace Peterson Nursing Research Colloquium

Abstract

Background: Shared decision-making (SDM) has emerged as the preferred model for decision-making in treatment decisions for cancer patients. Patient outcomes are maximized when this model is used since the patient is more engaged and empowered to be a part of their care. Yet, there are many barriers to participation in SDM that must be overcome from the patient, practitioner, and structural perspectives. It is important to find a way to accurately measure nurses’ competency in SDM since they are the ones spending the lion’s share of time with patients.

Theoretical Framework: The framework for SDM has evolved over the …

Antihistamine Treatment For Atopic Dermatitis, Katarina Donkers

Grace Peterson Nursing Research Colloquium

Anti-histamine Treatment for Atopic Dermatitis: A Literature Review

Katarina Donkers

Angel Butron

Background: Over 30 million individuals in the United States suffer from some form of atopic dermatitis, which is why it is essential to review current treatment options and determine their effectiveness.

Objectives: To address this issue, a literature review was performed to determine if antihistamines are considered safe and effective for long term treatment as well as if patients can develop tolerance.

Method: A comprehensive literature review was performed to determine the effects of antihistamines using peer-reviewed articles. Articles included were written in English, discussed antihistamines as a …

Identifying The Factors For Acute Cardiac Arrest For Establishing A New Recognition Protocol In Detecting Pre-Arrest Symptoms, Sarah Power

Grace Peterson Nursing Research Colloquium

Abstract

Background: Worsening physiological symptoms can easily go overlooked or unmanaged. The early detection of clinical signs that precede cardiac arrest can reduce the risk of worsening condition or death. Determining a nursing protocol to recognize pre-arrests symptoms would allow a systematic way to evaluate patients and their health status before adverse events occur.

Objectives: The purpose of an integrative literature review was to identify signs and symptoms that precede cardiac arrest, and to specify a recognition protocol that ameliorates patient care outcomes.

Method: An integrative literature review was conducted undergoing an extensive search to identify acute cardiac arrest and …

Reframing The Conceptual Model Of Telehealth Nursing For Community-Dwelling Older Adults, Luz Rivera

Grace Peterson Nursing Research Colloquium

Background: Of the huge influx of retirees expected in the next 10 years, the vast majority prefers aging in place; a concept commonly used to refer to the practice of remaining in a community-based setting as the changes of life unfold with age. Extant health systems currently fail to provide the structure to promote staying at home when increasing health care assistance or monitoring is needed. Clinical pilot studies using telehealth are providing evidence for improving patient healthcare provision and outcomes from the setting of the patient’s choice. As the landscape of healthcare changes with technological advances, nursing practice also …

Evaluation Of A Video-Based Left Ventricular Assist Device Education Program For Certified Registered Nurse Anesthetists And Student Registered Nurse Anesthetists, Andrew Gause, Zain Rehman

Grace Peterson Nursing Research Colloquium

No abstract provided.

Adverse Psychological Effects Of Patients In Medical Isolation Due To Healthcare-Associated Infections, Kristin Brill

Grace Peterson Nursing Research Colloquium

Background: Patients placed in medical isolation due to healthcare-associated infections experience adverse psychological effects that can impact their quality of life.

Objectives: The purpose of this integrative literature review was to identify the adverse effects of patients in medical isolation as well as explore coping strategies that can be used to decrease these adverse effects.

Method: An integrative literature review was conducted using the databases of CINAHL, PsychInfo, PubMed, and PsychArticles. Search terms included adverse effects, negative effects, effects, adverse outcomes, negative outcomes, isolation precautions, contact isolation, droplet isolation, airborne isolation, isolation, coping and psychology.

Results: Five common adverse psychological …

Rates Of Autoimmune Disease Increasing In Women, Rosa De La Cotera

Grace Peterson Nursing Research Colloquium

Abstract

Autoimmune disorders (AD) are a group of highly disabling pathological conditions that are growing at an alarming rate affecting approximately 8% of the population. These disorders occur more frequently in women, as 78% of those diagnosed are women. Little conclusive research has been conducted as to determine why there is a tremendous sex disparity when looking at the rates. Due to the overall poor health that results from these disorders, there is an increase in the societal burden in terms of health care costs, loss of work productivity and reduced quality of life. The aim of this integrative literature …

Evaluating The Role Of Community Advisory Boards: With Persons Who Inject Drugs In Photovoice Research, Nicole Pallas

Grace Peterson Nursing Research Colloquium

Background: The use of community advisory boards (CABs) is a source of leadership in community-based participatory research (CBPR); however, not all researchers have incorporated CABs, and others have restricted CAB involvement for feasibility purposes. Although there is literature about utilizing CABs in a variety of CBPR studies, less is known about the challenges and successes of working with persons who inject drugs (PWIDs) as CAB members in photovoice methodology, as well as their perceptions throughout the process.

Objectives: The purpose of this qualitative study was to investigate the role CABs play in photovoice research while determining PWIDs’ capacity to fulfill …

Caregivers To Those With Traumatic Brain Injury: Identifying Caregiver Stressors And Effective Interventions, Andrea Vanover

Grace Peterson Nursing Research Colloquium

Abstract

Background: Traumatic Brain Injury is form of acquired brain injury that occurs when a sudden external trauma causes damage to the brain and depending on the severity of the injury, patients will need long-term care from caregivers who provide complete support to the affected. Feelings of stress make caregivers vulnerable to depression, anxiety, and reduce their ability to deal with coping which will further complications of caregiving.

Objective: The purpose of this literature review is to synthesize the research to identify caregiver stressors and clinically proven treatments to reduce caregiver stress in caregivers to those with TBI

Methods: Articles …

Genome-Wide Interaction Study Of Omega-3 Pufas And Other Fatty Acids On Inflammatory Biomarkers Of Cardiovascular Health In The Framingham Heart Study, Jenna Veenstra, Anya Kalsbeek, Jason Westra, Craig Disselkoen, Caren E. Smith, Nathan L. Tintle

Faculty Work Comprehensive List

Numerous genetic loci have been identified as being associated with circulating fatty acid (FA) levels and/or inflammatory biomarkers of cardiovascular health (e.g., C-reactive protein). Recently, using red blood cell (RBC) FA data from the Framingham Offspring Study, we conducted a genome-wide association study of over 2.5 million single nucleotide polymorphisms (SNPs) and 22 RBC FAs (and associated ratios), including the four Omega-3 FAs (ALA, DHA, DPA, and EPA). Our analyses identified numerous causal loci. In this manuscript, we investigate the extent to which polyunsaturated fatty acid (PUFA) levels moderate the relationship of genetics to cardiovascular health biomarkers using a genome-wide …

“Provoking Conversations”: Case Studies Of Organizations Where Option Grid™ Decision Aids Have Become ‘Normalized’, Peter Scalia, Glyn Elwyn, Marie-Anne Durand

Dartmouth Scholarship

Background: Implementing patient decision aids in clinic workflow has proven to be a challenge for healthcare organizations and physicians. Our aim was to determine the organizational strategies, motivations, and facilitating factors to the routine implementation of Option Grid™ encounter decision aids at two independent settings. Method: Case studies conducted by semi-structured interview, using the Normalization Process Theory (NPT) as a framework for thematic analysis. Twenty three interviews with physicians, nurses, hospital staff and stakeholderswere conducted at: 1) CapitalCare Medical Group in Albany, New York; 2) HealthPartners Clinics in Minneapolis, Minnesota. Results: ‘Coherent’ motivations were guided by financial incentives at CapitalCare, …

Understanding The Chondrogenic Potential Of Articular Chondrocytes, Krishna Sarma

Theses & Dissertations

Articular cartilage is a smooth, visco-elastic, aneural, avascular tissue made of water, an exquisitely organized framework of proteoglycans, glycosaminoglycans, and collagen fibrils and articular chondrocytes. It’s beautiful organization and composition provide it with the flexibility and strength to cover, protect and lubricate the ends of long bones in a diarthrodial joint. Cartilage homeostasis relies on articular chondrocytes to translate the mechanical forces of daily activity into efficient remodeling of the extracellular matrix. Age, joint injury, or other insulting factors can progressively incapacitate articular chondrocytes, resulting in cartilage lesions that devolve to degenerative joint disease. Therefore, the central idea explored in …

Hospital Based Emergency Department Visits With Dental Conditions: Outcomes And Policy Implications In The States Of California, Nebraska And New York, Sankeerth Rampa

Theses & Dissertations

The purpose of this dissertation was to present state-level estimates of hospital-based emergency department (ED) visits with dental conditions across all ages in the states of California, Nebraska, and New York. Also, this dissertation examined the outcomes and impact of changes in Medicaid policies on the utilization of ED with dental problems. State Emergency Department Databases (California, Nebraska, and New York), a component of the Healthcare Cost and Utilization Project (HCUP) was used for this dissertation. Dental conditions were identified by using International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM) codes. High-risk groups visiting EDs with dental conditions were …

Pineal Gland Tumor But Not Pinealoma: A Case Report, Syeda Naqvi, Chintan Rupareliya, Abdullah Shams, Maria Hameed, Zabeen Mahuwala, Pirthvi Raj Giyanwani

Neurology Faculty Publications

The pineal gland is a small pinecone-shaped and functionally endocrine structure located in the epithalamus region. Developmentally, the pineal gland is considered as a part of the epithalamus. It plays a role in the entrainment of the circadian rhythms of an organism by producing melatonin, a functionally important hormone. Lesions of the pineal region are rare compared to other parts of the brain. A lesion may be tumorous or non-tumorous in nature. The most common lesions are tumors that are pineal parenchymal tumors (PPT) in origin. Gliomas are the second most common tumors in the pineal region. We report a …