Medicine and Health Sciences Commons^™

Affirmative Counseling With Lgbqqia Individuals: A Training And Resource Manual For Mental Health Counselors, Tena Prestidge

Dissertations, Theses, and Projects

This article is a review of literature related to issues associated with working with LGBQQIA clients. Although not an exhaustive review, the literature provides evidence of the need for additional training to improve the confidence and competence of counselors working with this population. Further, information is provided on what makes a counselor competent to work with LGBQQIA clients and evidence-based practices that have been shown to be effective in working with them. Following this review, a training and education manual is presented to help fill the need of additional training related to working with this population.

Barriers And Resources For Competitive Adaptive Rock Climbing, Amy Griswold, Susan Macdermott

Spring 2022 Virtual OTD Capstone Symposium

The purpose of this project was to (1) identify barriers to participation in competitive adaptive rock climbing for adults with a physical disability and (2) create and distribute virtual educational resources to meet identified barriers. The need for this project was highlighted by athlete and coach self-report of limited ability to engage in competitive adaptive rock climbing, also known as paraclimbing.

The sample consisted of 108 adaptive athletes, adaptive rock-climbing coaches, staff members in rock climbing gyms, and volunteers at adaptive rock climbing events. Participants anonymously completed a ten-minute mixed methods virtual survey using Microsoft Forms.

Statistical analyses suggest recurrent …

Supporting The Transition Out Of The Family Caregiver Role: An Occupation-Centered Approach, Whitney Wilbanks, Susan Macdermott

Spring 2022 Virtual OTD Capstone Symposium

Engagement in meaningful and valued occupations can be used as a means to help former family caregivers cope, heal, and grow following the loss of their loved one (Pickens, 2011). Occupational engagement can be used as a means to help former family caregivers reshape their personal identity, experience a sense of wholeness, and reestablish purpose and balance in their lives (Hocking, 2016). The purpose of this doctoral capstone project was to educate hospice care staff on ways to support individuals with transitioning out of the family caregiver role following the death of the care recipient. An educational resource was developed …

The Impact Of An Innovative Simulation On Prelicensure Nursing Student Empathy Levels, Annie Harrison

Articles, Abstracts, and Reports

Empathy is the ability to see oneself in the situation of another and to take actions on behalf of that individual based on that perception. However, empathy has been shown to decrease in nursing education and continues to do so in nursing practice. Importantly, aspects of empathy have been shown to be teachable. This scholarly practice project examined whether an innovative simulation would increase empathy in prelicensure nursing students. This study, guided by self-determination theory (SDT) and designed according to the Plan-Do-Study-Act (PDSA) change model, used a mixed-methods design. The instrument for quantitative data collection was the Toronto Empathy Questionnaire …

Analysis Of A Future Dentist, Monica J. Nagy

Honors Projects

My Senior Honors Project at GVSU is centered around the options I will have in front of me once I graduate from dental school. First I researched what the future of dentistry will look like 10 years from now. The COVID-19 pandemic has greatly impacted the dental field, creating better sanitation and procedural changes that will likely last forever. The second part of my project entailed the creation of a Business Model Canvas for owning a private dental practice. The final aspect of my project is a presentation of my potential plans of action. The powerpoint provides the steps for …

Technology Methods In The Bariatric Postoperative Follow-Up Phase Benchmark Study, Haley Rogers

MSN Capstone Projects

Diet and exercise seem to be the safer option for weight loss, but many individuals struggle to achieve maximum weight loss with these methods. Bariatric surgery has become a growing trend to help combat the obesity epidemic that society is now facing. A large increase in sleeve gastrectomy has been utilized and in 2013, there was a documented 468, 609 cases of bariatric surgery performed worldwide (Sherf Dagan et al., 2017). Bariatric surgery has been shown to provide the greatest level of weight loss when compared to traditional methods that include diet and exercise (Khan, 2016). Weight regain has been …

To Use Or Not To Use Oxygen For Mi Benchmark Study, Alexia Celaya

MSN Capstone Projects

It is a common practice for emergency personnel to administer oxygen for a patient diagnosed with a myocardial infarction. It is a well-known practice to place the patient on supplemental oxygen even if they are not hypoxic. The use of supplemental oxygen has been a cornerstone in the treatment of myocardial infarction. The rationale behind the administration of oxygen therapy is to increase oxygen delivery to the myocardium, therefore limiting the infarct size and future complications (Hofmann et al., 2017). The use of supplemental oxygen on normoxic patients has been challenged due to the possibility of causing further injury to …

Subgroup-Specific Dose Finding For Phase I-Ii Trials Using Bayesian Clustering, Alexandra Curtis, Brian Smith, Andrew G. Chapple

School of Medicine Faculty Publications

In most models and algorithms for dose-finding clinical trials, it is assumed that the trial participants are homogeneous—the optimal dose is the same for all those who qualify for the trial. However, if there are heterogeneous populations who may benefit from the same treatment, it is inefficient to conduct dose-finding separately for each group, and assuming homogeneity across all subpopulations may lead to identification of the incorrect dose for some (or all) subgroups. To accommodate heterogeneity in dose-finding trials when both efficacy and toxicity outcomes must be used to identify the optimal dose (as in immunotherapeutic oncology treatments), we utilize …

Pediatric Autoimmune Neuropsychiatric Disorders Associated With Streptococcal Infections: Shifting The Paradigm On Post-Infectious Treatment And The Neuropsychiatric Impacts Of Infections, Nicholas Hill

Liberty University Research Week

Undergraduate

Three Minute Thesis

Osteoporosis In Postmenopausal Women, Lindsay Vazquez, Destiny Struble, Laura Wyne, Hadas Cohen, Lizzy Ryan, Modupe Adewuyi

Symposium of Student Scholars

Abstract

Background: Osteoporosis is a skeletal system disease that causes bone fragility due to low bone mineral density (BMD). BMD decreases with age and lack of estrogen production. Thus, post-menopausal women are prone to osteoporosis and have an elevated risk of bone fractures. Non-pharmaceutical interventions have the potential to increase BMD and lower osteoporosis patients' risk for bone fractures.

Objective: To compare published evidence on the effects of vitamin D, calcium supplements, and performing weight-bearing exercises in increasing BMD and lowering the risk for bone fractures among post-menopausal women.

Methods: In accordance with PRISMA guidelines. we conducted a systematic search …

Cannabis And Opioids In Chronic Pain Management, Estefan Tsegaye, Clara Kathryn Pollard, Emilie Tate, Justin White, Raphaela Woods

Symposium of Student Scholars

Background: Many adults suffer from chronic pain. Opioids are commonly prescribed to treat chronic pain, though they can produce adverse side effects and carry the potential for abuse and addiction. The introduction of cannabis in medicine has provided a possible alternative to opioids in chronic pain management. Objective: This systematic literature review aims to synthesize evidence from published studies to answer the following research question in the PICOT format: In adults over the age of 18 with chronic pain (P), how does prescribed cannabis therapy (I) compare with prescribed opioid therapy (C) in affecting perceived pain levels and quality of …

Heavy Eyes, Medication Errors, And Night-Shift Nursing, Mackenzie Hull, Doonya Mereby, Randolph Rich, Kat Wallace

Symposium of Student Scholars

Heavy Eyes, Medication Errors, and Night-shift Nursing

Recorded Video Upload

Undergraduate Student(s): Kat Wallace, Doonya Mereby, Randolph Rich, Mackenzie Hull

Research Mentor(s): Karen Armstrong

Background: Medication errors occur in every hospital setting, but the question is always how can they be avoided? Night shift and day shift differences play a significant role in medication errors. Further research is needed to delineate specific causes of medical errors between the two types of nursing work shift types. This study aims to identify whether night shift nurses working 12-hour shifts (7pm-7am) experience more medication errors than their day shift counterparts (7am-7pm), as well …

In Hospitalized Adult Patients Experiencing Sleep Disturbances At Cobb Hospital Cardiac Telemetry Unit, Will A Nonpharmacological Multi-Component Sleep Promotion Protocol Compared To Current Pharmacological Practices, Effectively Result In Better Patient Sleep Quality And Satisfaction Scores?, Janet Hall

Symposium of Student Scholars

Background:

The purpose of this evidence-based practice project is to implement and evaluate a nonpharmacological multi-component sleep promotion protocol for adult patients experiencing sleep disturbances related to hospitalization. Sleep is extremely important and plays a major role in restoring and healing our bodies. However, recent studies have shown that roughly 30 to 60% of hospitalized patients experience sleep issues or disturbances.

Brief Literature Review:

Poor sleep negatively impacts all physiological systems, impairing immune function, delaying wound healing, and increasing the risk of various comorbid diagnoses such as diabetes, obesity, depression, heart attacks, and hypertension. Current sleep promoting methods used on …

Altering Training To Decrease Anxiety And Stress In Newly Graduated Pulmonary Nurses, Raina Davis

Symposium of Student Scholars

Abstract

Becoming an RN is never an easy feat, yet within the last half a decade there have been numerous studies done that illuminate significantly higher levels of anxiety, stress, and burnout rates in new nurses. There are many facets to why these levels are rising exponentially in new nurses, and one factor that contributes to these higher levels of anxiety and stress is the alterations that occurred to initial on-the-job training due to the pandemic. The importance of training rose when many universities had to go completely virtual because new nurses were graduating with as little as zero in-person …

The Effects Of Nursing Overtime Work Hours On Medication Errors And Patient Safety, Camilla Byrd, Halle Borgel, Mykayla Stephens, Jena Killian, Mya Kinney

Symposium of Student Scholars

Abstract

Background: The recent global pandemic has uncovered health care inequities among nursing professionals. The nursing shortage has placed pressure on overworked nurses to perform higher level critical care under dire and unsafe conditions. The stress of overworked nurses is a culprit for medical errors that affect the quality and effectiveness of patient care. Methods: Kennesaw State Library, PubMed, 35 articles screened. After thorough screening of various articles addressing this topic, we examined the quantitative and qualitative studies performed in all areas of nursing. Results: Research suggests that nurses working overtime versus full-time hours experience physical, mental, and emotional exhaustion …

Indications And Outcomes Of Or Circulators Continually Leaving The Room During Surgery, Kelly Mckay

Symposium of Student Scholars

Abstract

Surgical inefficiencies are a major concern for hospitals due to the fact that they can cause extended OR time, increased costs, and a decrease in patient safety. The primary goal of this research is to understand how operating room circulators leaving the room continuously for missing or needed items can be minimized. In turn, that will increase the efficiency and safety of the surgery. The research will identify and evaluate factors that influence the duration of time in which the circulator is out of the room and how to improve them. The AORN Position Statement states that one perioperative …

The Effect Of Chronic Quercetin Supplementation On Bone Health In Postmenopausal Women: A Double-Blind Placebo-Controlled Investigation, Stephen M. Carbonneau, Alyssa R. Bailly, Garrett M. Hester, Robert Buresh, Michaela M. Alesi, Trisha A. Van Dusseldorp

Symposium of Student Scholars

Currently, there is limited research investigating the effects of quercetin on bone turnover and density. Therefore, this study aimed to examine the efficacy of 90-day quercetin supplementation on bone turnover, inflammation, body composition, and physical function in postmenopausal women. Thirty-four healthy postmenopausal women (59.2 ± 7.0 yrs, 80.7 ± 15.6 kg, 29.8 ± 6.1 kg⸱m²) participated in the double-blind placebo-controlled investigation. Participants were randomly assigned to one of two groups: 500 mg of Q or 500 mg of fiber (placebo; PLB). Data collected during the pre-and post-supplementation assessments included: bone turnover (osteocalcin, P1NP, CTX), inflammation markers (IL-6, TNF-alpha, …

Post-Operative Delirium: Can Retraining On The Cam-Icu Tool Increase Nurses’ Confidence In Patient Assessment?, Alison Farraher

Symposium of Student Scholars

Background: Delirium is defined as an acute condition consisting of confusion, altered mental status, and disorganized thought processes. Patients who develop delirium have higher mortality rates, increased lengths of stay in the hospital, worse clinical outcomes, and place a higher burden on hospital staff. Affecting up to fifty percent of cardiac surgery patients, delirium is recognized as a major post-operative complication highlighting the importance of early detection. The Confusion Assessment Method for the ICU (CAM-ICU) is a widely accepted screening tool used to detect delirium in the ICU setting. Despite being clinically validated, many nurses lack adequate training on how …

Monthly Debriefing Sessions For Critical Care Nurses: Evaluating Nurse Burnout And Retention, Emilei Ison

Symposium of Student Scholars

Nurse burnout and retention is an ongoing issue in the trauma/surgery ICU, especially following COVID-19. Critical Care Societies Collaborative (CCSC) recently held a summit to address the issue of burnout among critical care professionals and call for action to implement change and promote research. Studies have shown that increased burnout amongst nurses is associated with increased healthcare associated infections, increased patient mortality, and decreased perceived quality of teamwork. With the cost of turnover being 1.2 to 1.3 times an RN’s salary, preventing burnout is a major issue for healthcare organizations. The purpose of this evidence-based practice project is to address …

A Better Way To Non-Invasively Measure Bilirubin Levels To Protect Infant Health, Kristen Mackeil

Symposium of Student Scholars

Background: Jaundice screening using transcutaneous bilirubin(TcB) monitors often produce inaccurately low results for lighter skin tone newborns and inaccurately high results for darker skin tone newborns. While high jaundice levels for lighter skin tone newborns risk going undetected, darker skin tone newborns receive unnecessary follow up heel sticks for serum bilirubin determination. This is a problem because dangerous jaundice levels may be under or over reported. Additionally, unnecessary heel sticks for darker skin tone newborns increase the risk of complications from puncture and increase newborn discomfort. Performing the heel stick and processing the blood sample also cost nurses and …

A Project Proposal: The Effects Of Standard Protocols During Cpr On Hospital-Acquired Infections Of Post-Open-Heart Surgery Patients In The Cvicu, Jessica Monahan

Symposium of Student Scholars

Abstract

A Project Proposal: The Effects of Standard Protocols during CPR on Hospital-Acquired Infections of Post-Open-Heart Surgery Patients in the CVICU

Background: Hospital-acquired infections (HAIs) are one of the most common complications post-cardiac surgeries and are associated with longer hospitalizations, elevated use of healthcare resources, and increased morbidity and mortality. The effects of HAIs after cardio-pulmonary resuscitation (CPR) in recent post-open-heart surgery patients remains largely unexplored. Therefore, the purpose of this project was to determine, in the CVICU does implementing standard protocols during CPR on recent post-open-heart surgery patients reduce HAIs?

Literature Review: HAIs during CPR can be acquired through …

Smart Voice Assistant For Diabetes Management With Non-Invasive Iot Software, Anh Duong

Symposium of Student Scholars

Over the last few decades, the rapid growth of the Internet of Things (IoT) technology has been exponentially expanding and positively impacting different aspects of life. Alongside the innovations and developments of artificial intelligence, smart voice assistant (SVA) was invented and is widely used on a daily basis—controlling home automation, performing tasks such as playing music, accessing and checking information—to make people’s lives easier. Furthermore, SVA has also been integrated into and is used in healthcare, especially personal assistance for elderly patients. In this study, we first explored and surveyed the usages and impacts of SVA in healthcare and particularly …

The Continual Prevalence Of Hiv/Aids Within The African American Gay Male Population, Kayla Bartell, Crystal Darby, Julia Wozniacki, Jasmin Cabeza

Symposium of Student Scholars

Background: Black/African American males that identify as gay or bisexual are more affected than any other ethnicity. Countless amounts of young adults who have contracted HIV have below standard medication adherence.

Aim: The purpose of this study is to explore accessibility and adherence to pre-exposure prophylactic medications for young African American gay adults who have contracted HIV.

Methods: The Johns Hopkins Evidence-Based Practice Model and Guidelines were used in the literature review, critical analysis, leveling of evidence, and quality rating. The PRISMA flow diagram was used to map out the number of records for inclusion and exclusion. PubMed, …

Gynecological Care For Transgender Men As Compared To Cisgender Women, Mary Daniel, April Schlinkert, Corinne Fielder, Loan Tran, Serena Mercado

Symposium of Student Scholars

Background: A large majority of the transgender male population experiences unequal healthcare especially in gynecological care. Purpose: The purpose of this study is to answer the question: In transgender men, how does gynecological healthcare compared with cisgender women’s gynecological care affect the outcome of the transgender man’s health? This presentation will discuss the differences in gynecological care for transgender men as compared to cisgender women. Methods: Data was collected using scholarly articles and past studies to support the research. Results: In comparison to cisgender women’s gynecological care, transgender men receive unequal care and less care overall. The lack of …

Reducing Catheter-Associated Infections Through A Two-Nurse Protocol, Jennifer Balagani

Symposium of Student Scholars

Catheter-associated infections related to Foley catheter insertion and maintenance is a current problem in my practicum unit and across the United States. Although we are only in the third month of 2022, my practicum unit has already documented three cases of catheter associated infections occurring this year. Unfortunately, these cases are not outside of the norm, in the United States, catheter-associated infections are the second most common hospital acquired infection (Zurmehly, 2018). The purpose of this project is to propose trial interventions at Kennestone Hospital that have been effective in other hospitals like the Shepherd Center to reduce the occurrence …

The Effects Of E-Cigarettes Versus Traditional Cigarettes On The Health Of Young Adults, Taylor Arnett, Sami Johnson, Victoria Leggett, Miranda Susman

Symposium of Student Scholars

Background: Electronic cigarettes, more commonly referred to as e-cigarettes, were initially designed as a less harmful alternative to traditional cigarette users. Although there are some benefits to transitioning to e-cigarettes, the benefits do not outweigh the health risks both cause to the cardiovascular and pulmonary system. Objective: This study was designed to better understand the consequences that traditional cigarettes and e-cigarettes have on young adults' health. Method: Research was conducted using CINAHL, EBSCO, and PubMed. The commonly used phrases to find search results include “traditional versus e-cigarettes effects on cardiovascular system” and “traditional versus e-cigarettes effects on respiratory system.” Boolean …

Demonstrating That Labor Induction Of At-Risk-Pregnant Women At Kennestone Hospital Leads To Better Health Outcomes, Raissa Ekwalla Moungang

Symposium of Student Scholars

Background: The process of labor induction involves the artificial initiation of labor/stimulation of uterine contractions in pregnant women, through mechanical methods or medication use. The purpose of this research is to show that while spontaneous labor is preferred by most patients, labor induction for certain indications, not only leads to better patient outcomes but also the avoidance of C-sections. Brief literature: Historically, women dying during childbirth or postpartum was common, but with technological and scientific advancements, it is now a rare occurrence. Care at Kennestone Hospital doesn’t just involve mitigating damages inflicted by illness, trauma, or others, but also focuses …

Exertional Heat Strokes Incidents In Service Members, Adria Cosby, Brian A. Moore

Symposium of Student Scholars

A serious health concern active-duty service members (SMs) face is heat strokes (Donham et al., 2020). Heat strokes are caused when the body is overworked by extended periods of heat and dehydration that can result in convulsions, brain damage, and death (Shimazaki et al., 2022). Active-duty requires a lot of exertional training on their soldiers such as long-distance runs and weight-bearing exercises which may increase their risk of developing heatstrokes (Donham et al., 2020). However, there is a dearth of literature examining heat strokes among SMs. As such, the present study sought to examine incidence rate trends of heatstroke diagnoses …

How Do Cultural Similarities With Providers And Caregivers Shape The Management Of Chronic Conditions?, Maygui Jean

Symposium of Student Scholars

Previous research has outlined evident disparities in the development of chronic health conditions among African Americans compared to other groups, with African American men disproportionately affected by almost every disorder investigated. Examinations into chronic health conditions revealed that social determinants of health stemming from structural racism combined with cultural elements, compounded by the fact that African American men are much less likely to have access to health insurance, are highly related to the health burdens of African American men. Yet, much literature exploring the experiences, expectations, and effects of chronic health conditions rarely focuses specifically on African American men. The …

Preventative Interventions To Support Decreasing Compassion Fatigue Among Critical Care Nurses, Vanessa Otamendi

Symposium of Student Scholars

Title: Preventative Interventions to Support Decreasing Compassion Fatigue Among Critical Care Nurses

Background:

Nurses who are subjected to traumatic situations like difficult patient situations and a lack of support can experience compassion fatigue. Compassion fatigue is a problem throughout the healthcare field, especially in critical care where there are complex patients and high-pressure situations. Early forms of interventions such as workshops are important to offer in hopes of nurses becoming aware of and avoiding compassion fatigue.

Brief Literature Review:

This study aimed to synthesize existing interventions that focused on hospital nurses in a critical care capacity which focused on preventing …