Medicine and Health Sciences Commons^™

The Effectiveness Of Psychotherapy In The Treatment Of Postpartum Depression, Elisa De Feo

Grace Peterson Nursing Research Colloquium

ABSTRACT

Background: Suicide is the second leading cause of death in postpartum women making it a major health priority. Lack of diagnosis, recognition of symptoms, and proactive treatment of postpartum depression (PPD) can lead to devastating effects on the mother and child such as harm or death. The intervention of psychotherapy is recommended as a first line treatment for PPD and is a means by which PPD can be reduced or avoided altogether. This integrative literature review seeks to discover if there is an opportune time in which to initiate psychotherapy interventions in order to reduce or prevent PPD development …

Examining The Effects In Patient Care That Emerge From Government Regulation In Home Health, Mark Figueroa

Grace Peterson Nursing Research Colloquium

Background: Government regulation in home health nursing is a serious and widespread issue with effects negatively impacting the lives of patients in the community setting. Excessive regulation limits healthy competition, access to primary care, and scope of practice in home health care nursing. Patients prefer to recover and receive care in a setting that is comfortable, familiar, and conducive to their independence.

Objectives: The purpose of this integrative literature review was to identify regulations that hinder a patient’s home health care benefit, and to explore its effect in the delivery, quality, and access to home health care in the community …

Effective Approaches For Reducing Suicidal Behavior In Mental Health Patients In The Emergency Department, Coether M. Yusuf

Grace Peterson Nursing Research Colloquium

An Integrative Literature Review

The Effects Of Interpersonal Therapy In The Treatment Of Postpartum Depression: An Integrative Literature Review, Abigail Henderson

Grace Peterson Nursing Research Colloquium

Abstract

Background: Many women suffer from postpartum depression (PPD) and delay seeking treatment due to a misunderstanding of the disorder and a shame of their depressive symptoms. These depressive symptoms have adverse effects for both the mother and the infant.

Study Purpose: The purpose of this study is to provide a detailed analysis that examines the efficacy and effects of Interpersonal Therapy (IPT) in the treatment of women with postpartum depression. With a deeper understanding of treatment options for postpartum depression, rates of this debilitating disorder may decrease.

Method: A search was conducted utilizing databases that included PubMed, the Cumulative …

Relevance Of Sex Education For Women Who Have Sex With Women, Sarrah Spohnholtz

Grace Peterson Nursing Research Colloquium

Relevance of Sex Education for Women Who Have Sex with Women

Sarrah Spohnholtz

Abstract

Women who have sex with women (WSW) are missing sexual scripts in society making it difficult for women who are in sexual relationships with other women to communicate and negotiate how to have safe sex. WSW are not given the appropriate resources, knowledge, or materials to engage in safe sex practices or advocate for their health. On top of that, there are minimal amounts of health research focusing on lesbian, bisexual, women who have sex with women leading to an increase in health disparities.

Background: Women …

Animal-Assisted Therapy And Oncology Hospice Patients, Lauren Anderson

Grace Peterson Nursing Research Colloquium

Background: If there are more ways to induce comfort during hospice care, all options should be explored, which is why animal-assisted therapy (AAT) could be a viable, non-pharmacological option for oncology hospice patients.

Objectives: The aim of this research is to show that the use of AAT with oncology patients receiving hospice care will result in enhanced comfort and diminished pain. The purpose of this study is to determine the effects on pain for oncology hospice patients receiving AAT compared to oncology hospice patients who do not receive AAT.

Method: This study is performed as an integrative …

The Effects Of Stress In The Black Community And Cardiovascular Diseases In Relation To Other Groups, Kara Jamison

Grace Peterson Nursing Research Colloquium

Abstract

Background: Heart disease is the number one killer for all Americans along with stroke and, as it stands, the risks of getting those diseases are even higher for African-Americans in comparison to other groups.

Objectives: The purpose of this literature review is to assess the association between chronic stressors, including racial and socioeconomical stressors, and disproportionate development of cardiovascular disease in the African American community through the use of research databases.

Method: A systematic literature review was conducted using CINAHL, PsycInfo and Academic Search Complete database. A search was conducted using these terms: African American, blacks, …

Effective Screening Of Postpartum Depression And Its Potential To Increase Treatment: An Integrative Literature Review, Isabella C. Huminsky

Grace Peterson Nursing Research Colloquium

Abstract

Background: Several studies suggest nurses specializing in women’s health, pediatrics, and family health have a critical role quickly identifying and subsequently, treating postpartum depression. Due to lack of knowledge surrounding postpartum depression and differences among assessments, it is estimated that almost half of postpartum depression cases go undiagnosed and untreated.

Objectives: To explore what research has been conducted regarding the clinical outcomes associated with effective screening of postpartum patients, to recommend educational programs for staff and patients, and screening and treatment protocols development so screening for postpartum depression can becomes universal.

Methods: This integrative literature review was conducted …

Addressing Burnout Of Neonatal Nurses And Effective Coping Strategies: An Integrative Literature Review, Jessica Proano

Grace Peterson Nursing Research Colloquium

Abstract

Background: Neonatal nurses care for newborns with many different illnesses, from the moment they are born up the the age of two. Neonatal nurses experience burnout due to the stress of caring for theses neonates. Burnout leads to nurses leaving the profession, developing health problems, and committing errors.

Objectives: The purpose of this integrative literature review was to examine burnout experienced by the nurses in the neonatal intensive care unit and to identify effective coping strategies that are being used.

Method: This integrative literature review was conducted using keywords “neonatal nurse,” “neonatal nursing,” “burnout,” and “coping” to search the …

Examining The Demand For Higher Education Nursing In Relation To The Nursing Shortage, Avani Thakkar

Grace Peterson Nursing Research Colloquium

Background: Advanced training of nursing professionals is directly correlated with improved patient outcomes. As several leading health care organizations reported that the United States is witnessing a dramatic nursing shortage, the implementation of nursing residency programs would solve the shortage of nursing personnel while simultaneously improving patient outcomes.

Objectives: To investigate current research regarding the significance of nursing education in relation to patient outcomes, and to recommend a feasible solution to the current nursing shortage while prioritizing patient outcomes.

Methods: This integrative literature review was conducted using keywords such as “nursing shortage, shortage of nurses, aging population and shortage of …

The Role Of Effective Nursing Management Of Chronic Pain To Decrease Opioid Misuse, Julia Pfetzer

Grace Peterson Nursing Research Colloquium

Review of literature surrounding the current nursing management of chronic pain, and how the use of alternate interventions and improved management of pain can potentially lead to decreased or discontinued use of opioid analgesics.

The Role Of Nurses' Knowledge Of Postpartum Complications And Its Effects On Maternal Mortality Rates In The United States: An Integrative Literature Review, Elizabeth Reid

Grace Peterson Nursing Research Colloquium

Background:The maternal mortality rate for the United States of America still remains the highest of all developed countries with 20.7 deaths per 100,000 live births with the CDC estimating that 60% of all of the deaths were preventable.

Objectives: The purpose of this integrative literature review was to identify the common causes of maternal mortality and nurses’ knowledge of these issues and how they apply this knowledge to care for and provide discharge education to patients.

Methods: This integrative literature review was conducted with the key words “maternal mortality, maternal morbidity, postpartum, nurse’s education, complications, quality of care, discharge …

Factors That Affect Nurses’ Perception Of Lgbtq Patients, Caitlin Grudzinski

Grace Peterson Nursing Research Colloquium

Factors that Affect Nurses’ Perception of LGBTQ Patients

Caitlin Grudzinski, MS Elizabeth Hartman, PhD, RN

Background: The number of persons identifying as LGBTQ (lesbian, gay, bisexual, transgender, queer) increasing and therefore, it is imperative that we address the health needs of this patient population. Despite progress in equality legislation, the LGBTQ community still faces significant barriers in accessing health care and discrimination from health care staff. Nurses spend approximately one third of their time with patients and are often the first health care providers that a patient sees. An integrative literature conducted to determine nursing attitudes towards the LGBT patient …

Examining Barriers To Nurse Mandated Reporting Of Child Abuse, Michele Green

Grace Peterson Nursing Research Colloquium

Abstract

Background: Child abuse is a serious and far-reaching issue with effects negatively influencing development across the lifespan. Intervention of child protective services is a significant component to mitigating abuse and assuring the well-being of children at risk for or experiencing abuse.

Objectives: The purpose of this integrative literature review was to identify barriers nurses as front-line workers may encounter when identifying child abuse, may experience when completing child abuse reporting measures, and to explore potential action measures for reduction in the identified reporting barriers.

Method: This integrative literature review was conducted utilizing the key terms child, abuse, maltreatment, nurse, …

Effective Teaching By Nurses Through Use Of Latest Technology For Type 1 Diabetics, Kristen Neumann

Grace Peterson Nursing Research Colloquium

No abstract provided.

An Examination Of Nursing Biases That Affect Care To Obese Clients: An Integrative Literature Review, Tracy Mapaye

Grace Peterson Nursing Research Colloquium

Background: Obesity is the most prevalent health care problem threatening society today. Nurses play an important role in addressing this pandemic, however, nurses possess negative biases towards patients living with obesity. When nurses perpetuate these biases in the hospital setting, patient care and outcomes are compromised.

Objective: The purpose of this literature review was to explore current research to evaluate the prevalence of nursing biases towards obese patients in the acute care setting, identify its causative factors, determine the potential impact on patient care, and recommend possible evidenced-based solutions for the problem.

Method: An integrative literature review was conducted by …

The Effect Of Telemedicine With Healthcare Provider Feedback On Glycemic Control And Weight Loss In Individuals With Type 2 Diabetes, Monica B. Miguel

Grace Peterson Nursing Research Colloquium

Abstract

Background: Telemedicine with feedback (e.g., medication adjustments, lifestyle changes, support) may be effective in weight management and glycemic control. There has been mixed research determining whether telemedicine is effective in diabetes management and a lack of evidence identifying what strategies make it effective.

Objectives: The purpose of this integrative literature review was to identify whether telemonitoring with healthcare professional feedback is effective in weight management and glycemic control in those with type 2 diabetes and if so, how it is effective.

Method: An integrative literature review was conducted using the following databases: CINAHL, ProQuest, PubMed, and PsycInfo. Search …

The Influence Of Nurse Image On The Future Of Nursing, Alexandra Armada

Grace Peterson Nursing Research Colloquium

Background: Nurse image as perceived by society is outdated, inaccurate, and leads to the lack of interest in pursuing the profession. Contributing factors to this lack of interest in nursing could be explored by researching what resources are available to prospective nurses.

Objectives: The purpose of this literature review is to explore the implications that current overall nurse image (NI) has on the future of the nursing profession, by analyzing existing resources available to prospective nurses.

Methods: This integrative literature review utilized the matrix method by Judith Garrard to organize and synthesize the data. A data comparison of the data …

Effect Of Promoting Psychosocial Resilience In Adolescents With Diabetes: An Integrative Literature Review, Britney Sandino

Grace Peterson Nursing Research Colloquium

Background: Adolescent obesity and diabetes increase the risk of numerous physiological health threats and psychosocial stress disorders. Educating this population on how to cope with physical and psychosocial stressors improves their health status and health-related quality of life (HRQOL).

Objectives: The purpose of this review was to provide the nursing community with insight on the health promotion effects of fostering psychosocial resilience in diabetic adolescents aged 7 to 17 and suggest specific methods to integrate into their plan of care.

Methods: An integrative literature review was performed using PubMed, Cumulative Index to Nursing and Health Literature, Ovid Medline, ProQuest …

Hepsin-Mediated Processing Of Uromodulin Is Crucial For Salt-Sensitivity And Thick Ascending Limb Homeostasis., Eric Olinger, Jennifer Lake, Susan Sheehan, Guglielmo Schiano, Tomoaki Takata, Natsuko Tokonami, Huguette Debaix, Francesco Consolato, Luca Rampoldi, Ron Korstanje, Olivier Devuyst

Faculty Research 2019

Uromodulin is a zona pellucida-type protein essentially produced in the thick ascending limb (TAL) of the mammalian kidney. It is the most abundant protein in normal urine. Defective uromodulin processing is associated with various kidney disorders. The luminal release and subsequent polymerization of uromodulin depend on its cleavage mediated by the serine protease hepsin. The biological relevance of a proper cleavage of uromodulin remains unknown. Here we combined in vivo testing on hepsin-deficient mice, ex vivo analyses on isolated tubules and in vitro studies on TAL cells to demonstrate that hepsin influence on uromodulin processing is an important modulator of …

Biomedical Ethics And Responsible Conduct Of Research, Katherine Mendis

Open Educational Resources

This course is an introduction to the moral challenges that arise in the design and execution of biomedical research and the development of medical interventions. A historical review segues into detailed examination of key ethical concepts and principles, as well as topics of particular concern. At the culmination of the semester, students apply their knowledge of research ethics to an ethical analysis of their MTM BioDesign projects.

Challenges To Diabetes Self-Management For Adults With Type 2 Diabetes In Low-Resource Settings In Mexico City: A Qualitative Descriptive Study, Robin Whittemore, Mireya Vilar-Compte, Selene De La Cerda, Denise Marron, Rosabelle Conover, Roberta Delvy, Annel Lozano-Marrufo, Rafael Pérez-Escamilla

Department of Public Health Scholarship and Creative Works

Background: The prevalence of type 2 diabetes (T2D) in Mexico is one of the highest in the world, with high morbidity and mortality, and difficulty meeting glycemic targets. The purpose of this study was to identify the challenges for T2D self-management as perceived by both adults with T2D and health care providers in primary health clinics from Seguro Popular in Mexico City.

Methods: This was a qualitative descriptive study conducted in three Seguro Popular primary care clinics in Mexico City using convenience sampling. Semi-structured interviews were conducted with participants and data were analyzed using a content analysis approach.

Results: The …

Journey Of The State Budget, Karina Carmichael

Masters Theses/Capstone Projects

In attempts to make government fair and equitable, the process of any bill but especially the budget bill can be extremely convoluted and difficult to follow. I was able to learn how to navigate the system and understand the processes by which things happen at the statehouse.

The statehouse is filled with representatives of countless interest groups all fighting for their opinion of how things should be done. As demonstrated by this budget cycle, government can be a push and pull directed by politics, personal opinions, and countless other factors, which may result in nothing getting done.

Examining Predictors Related To Intent To Leave Nursing Among Advanced Beginner Nurses, Laura M. Domagala

College of Science and Health Theses and Dissertations

Introduction: Advanced beginner nurses are at risk of leaving the nursing profession prematurely and therefore further contributing to the nursing shortage. After a review of the literature, there are no known studies to date that examine the impact of compassion fatigue (including burnout and secondary traumatic stress), and compassion satisfaction on intent to leave nursing in the advanced beginner nurses. Objective: The objective of this study is (1) to examine the difference between demographic characteristics and compassion fatigue, and compassion satisfaction, and (2) to examine significant predictors for intent to leave nursing in the advanced beginner nurse measured by compassion …

Mechanisms Of Simvastatin Myotoxicity: The Role Of Autophagy Flux Inhibition., Arya Emami, Shahla Shojaei, Simone C. Da Silva Rosa, Mahmoud Aghaei, Ehsan Samiei, Amir Reza Vosoughi, Forouh Kalantari, Philip Kawalec, James Thliveris, Pawan Sharma, Amir A. Zeki, Mohsen Akbari, Joseph W. Gordon, Saeid Ghavami

Center for Translational Medicine Faculty Papers

Statins are some of the most widely used drugs worldwide, but one of their major side effects is myotoxicity. Using mouse myoblast (C2C12) and human alveolar rhabdomyosarcoma cell lines (RH30) in both 2-dimensional (2D) and 3-dimensional (3D) cell culture, we investigated the mechanisms of simvastatin's myotoxicity. We found that simvastatin significantly reduced cell viability in C2C12 cells compared to RH30 cells. However, simvastatin induced greater apoptosis in RH30 compared to C2C12 cells. Simvastatin-induced cell death is dependent on geranylgeranyl pyrophosphate (GGPP) in C2C12 cells, while in RH30 cells it is dependent on both farnesyl pyrophosphate (FPP) and GGPP. Simvastatin inhibited …

Assessing Workplace Wellness For The Occupation Of Hairdressing, Alex Kim

Student Capstone Papers

There is presently a lack of occupational therapy interventions that holistically treat work-related musculoskeletal disorders (WRMSDs) commonly found in the hairdressing population. Current studies found in the literature solely focus on the hairdressers’ symptoms, which leads to a more limited understanding of their situation. Furthermore, this focus on symptoms could lead to the possibility of overlooking confounding variables that could play a role in impacting these workers. This capstone project aims to examine the hairdressing occupation as a whole, assessing the health-related needs of hairdressers and create a holistic program that would address current needs and future preventative treatments for …

Evidence To Date: Ranibizumab And Its Potential In The Treatment Of Retinopathy Of Prematurity, Samir Patel, Michael A. Klufas

Wills Eye Hospital Papers

Retinopathy of prematurity (ROP) is a leading and preventable cause of childhood blindness worldwide. Although laser photocoagulation remains the gold standard for treatment, the off-label use of anti-vascular endothelial growth factor (anti-VEGF) therapy to treat ROP, particularly posterior zone I disease, is increasing. Although initial studies on anti-VEGF therapy for ROP have focused on bevacizumab, recent studies have proposed that ranibizumab may be a safer and more effective alternative for use in this population. This review updates recent evidence regarding the use of ranibizumab in the management of ROP.

Evaluating The Effectiveness Of Video-Based Education Of Venous Gas Embolism For Nurse Anesthesia Trainees, Danielle Balzano, Brianna E. Mcnamara

College of Science and Health Theses and Dissertations

Background/Significance: Video-based learning is a growing method being utilized to train nurse anesthesia trainees (NATs) in crisis management, such as a venous gas embolism (VGE). Use of this educational modality may improve crisis management skills, competence, and confidence in the NAT. Purpose: The purpose of this project was to evaluate the effectiveness of an educational video in enhancing the appropriate crisis management of VGE among NATs as measured by their knowledge and confidence levels. Methods: A quasi-experimental pretest-posttest design on a single group of participants was utilized for this project. A total of 14 first year NATs were recruited from …

Pathobiome Driven Gut Inflammation In Pakistani Children With Environmental Enteric Dysfunction, Najeeha Talat Iqbal, Sana Syed, Furqan Kabir, Zehra Jamil, Tauseef Akhund, Shahida Qureshi, Jie Liu, Jennie Ma Z, Shan Guleria, Andrew Gewirtz, Christopher Duggan P, Molly Hughes A, Kamran Sadiq, Asad Ali

Department of Paediatrics and Child Health

Environmental Enteric Dysfunction (EED) is an acquired small intestinal inflammatory condition underlying high rates of stunting in children <5 years of age in low- and middle-income countries. Children with EED are known to have repeated exposures to enteropathogens and environmental toxins that leads to malabsorptive syndrome. We aimed to characterize association of linear growth faltering with enteropathogen burden and subsequent changes in EED biomarkers. In a longitudinal birth cohort (n = 272), monthly anthropometric measurements (Length for Age Z score- LAZ) of asymptomatic children were obtained up to 18 months. Biological samples were collected at 6 and 9 months for the assessment of biomarkers. A customized TaqMan array card was used to target 40 enteropathogens in fecal samples. Linear regression was applied to study the effect of specific enteropathogen infection on change in linear growth (ΔLAZ). Presence of any pathogen in fecal sample correlated with serum flagellin IgA (6 mo, r = 0.19, p = 0.002), fecal Reg 1b (6 mo, r = 0.16, p = 0.01; 9mo, r = 0.16, p = 0.008) and serum Reg 1b (6 mo, r = 0.26, p<0.0001; 9 mo, r = 0.15, p = 0.008). At 6 months, presence of Campylobacter [β (SE) 7751.2 (2608.5), p = 0.003] and ETEC LT [β (SE) 7089.2 (3015.04), p = 0.019] was associated with increase in MPO. Giardia was associated with increase in Reg1b [β (SE) 72.189 (26.394), p = 0.006] and antiflic IgA[β (SE) 0.054 (0.021), p = 0.0091]. Multiple enteropathogen infections in early life negatively correlated with ΔLAZ, and simultaneous changes in gut inflammatory and permeability markers. A combination vaccine targeting enteropathogens in early life could help in the prevention of future stunting

Embedding Interprofessional Activities With Physical Therapy And Athletic Training Students In Shared Professional Course, Katie Sniffen, Anthony P. Breitbach, Erick Briggs, Leslie Hinyard

International Journal of Health Sciences Education

Introduction and Background: Interprofessional education (IPE) is outlined in many health professions education standards creating an increased demand for its inclusion in already crowded curricula with limited faculty and financial resources. The Interprofessional Education Collaborative (IPEC) developed “Core Competencies for Interprofessional Collaborative Practice” that outline a framework for meaningful IPE experiences. Case-based learning activities have been used to foster improvements in interprofessional role clarity, communication, and rapport among student groups. The authors describe one trial of incorporating interprofessional and team work activities in a shared professional course and report on student learning outcomes in the context of IPEC competencies.

Course …