Medicine and Health Sciences Commons^™

Addressing Compassion Fatigue In Critical Care Nurses, Melissa Bowen

Doctor of Nursing Practice Projects

Compassion fatigue causes a ripple effect that impacts caregivers, patient outcomes, and the reliability of healthcare organizations. Jarrad et al. (2018) suggests the physical, emotional, spiritual, social, and organizational consequences of compassion fatigue are so extensive that they threaten the integrity of the nurse. Addressing compassion fatigue in critical care nurses is an indispensable part of maintaining the integrity and trust of the healthcare profession. It is imperative to care for the caregivers to warrant a solid foundation for optimal patient outcomes and engagement. Self-education and awareness, nursing leadership involvement, and self-care are integral to ensuring that compassion fatigue does …

Obstructive Sleep Apnea Education To The Rural Community, Brandi Harris

Doctor of Nursing Practice Projects

This project was executed to provide obstructive sleep apnea education to the men and women of the rural community. Many residents of rural communities remain undereducated and unaware of diseases and disorders in which they are subjected to or have increased risks for. Obstructive sleep apnea affects approximately twenty-two billion Americans. Of those affected, nearly eighty percent remain undiagnosed and untreated (Nagappa et al., 2015). Victims of the sleep disorder fail to acknowledge signs and symptoms of obstructive sleep apnea, many oblivious to the etiology, risk factors, symptoms, and pathophysiology of the disorder. Presenting education to residents of the rural …

Increasing Knowledge And Comfort Levels Of Icu Nurses In Goals Of Care Discussions Through Palliative Care Education, Stephanie Harrison

Doctor of Nursing Practice Projects

Critical care nurses are tasked with treating patients during the most complex times, typically beginning with aggressive treatment measures and in many cases, transitioning to end-of-life care. According to the literature review, critical care nurses report they frequently provide care that they feel is futile and palliative care resources are underutilized in the intensive care unit. They also report limited education/training and comfort in understanding their role in goals of care conversations and end-of-life care despite their vital role in providing direct patient care. The goal of this project was to implement an education program using the IMPACT-ICU toolkit to …

Game-Based Learning Effects On Nclex-Rn Perception Of Preparedness And Pass Rates, Alexis Utley

Doctor of Nursing Practice Projects

Background: The National Council Licensure Examination for Registered Nurses (NCLEX-RN) has been used to measure the quality of a nursing program’s effectiveness in preparing nursing students to pass the exam since 1988. The combined average pass rate percentage for the Hunt School of Nursing (HSON) nursing programs for the year 2021 was 88%.

Method: Information on feelings of preparedness and time to test after graduation was collected via survey prior to the game-based learning (GBL) activity. This same information was collected post GBL and compared to the pre-survey results. NCLEX-RN pass rate data was collected 1 month after graduation.

Results: …

Using A Deterioration Index Score To Improve Patient Outcomes, Amanda Doub

Doctor of Nursing Practice Projects

Quick recognition and response to clinical deterioration have a significant impact on patient mortality and outcomes. Nurses’ confidence in their ability to recognize signs and symptoms of deterioration and activate rapid response teams (RRT) is vital in preventing code blues and transfers to a higher level of care. The objective of this project was to determine the effect of an educational intervention on nurse acknowledgment of the deterioration index score and nurse confidence in intervening to improve patient outcomes by alerting the Rapid Response Team (RRT) within two months for adult patients on a medical-surgical unit. Findings from the project …

Virginia Dental Journal (Vol. 99, No. 1, 2022)

Virginia Dental Journal

No abstract provided.

M Technique® In The Preoperative Setting To Reduce Anxiety, Maureen Robbins Rn, Debra Mcfarlane Rn, Kathleen Hyland Rn

Nursing Research and Scholarship 2022

Nursing Scholarship Symposium Event Posters.

Notice: Improving Picu Practices For High-Risk Medications, Zelia Almeida Rn, Julie Sheperd Rn

Nursing Research and Scholarship 2022

Holistic and Nursing Scholarship Symposium Event Posters.

Optimal Frequency Intensity Of Physical Activity To Reduce The Risk Of Hypertension In The Korean Population, Jang Won Son, Sukho Lee, Minsoo Kang, Yun A. Shin, Jae Hyun Kim

Faculty and Student Publications

PURPOSE: Regular physical activity (PA) is an effective lifestyle modification for preventing hypertension. This study aimed to analyze the optimal frequency of PA required to reduce the incidence of hypertension in the Korean population. Most Korean studies have included only small samples and limited age ranges. METHODS: The present study analyzed 16,299,865 participants aged ≥20 years (44.25±12.74 years) from the 2009 to 2012 Korean National Health Insurance Corporation Survey database. The International Physical Activity Questionnaire was used to assess the frequency and intensity of physical activity. Hazard ratios for incident hypertension were analyzed by physical activity participation, age, and sex …

Efficacy Of Educational Programs For Homeless Adults With Mental Illness, Madison Herbeck, Samantha Proctor, Bailee Scheer

Critically Appraised Topics

Homeless adults continually face occupational deprivation. There is a lack of reimbursement for occupational therapy community-based interventions (Gutman, 2021). This critically appraised topic aims to explore how educational programs will impact and influence positive occupational engagement and quality of life for homeless adults with mental illness.

Implementation Of The National Institutes Of Stroke Scale (Nihss) In A Cardiovascular Intensive Care For Post Carotid Intervention Patients, Lisa Morgan Msn, Rn, Cnrn, Agcns-Bc

Nursing Publications, Posters, & Presentations

Poster addresses following problem: Post carotid intervention patients in the Cardiovascular Intensive Care Unit (CVICU) were not routinely assessed with the NIHSS.

Change in process implemented through improvement protocol.

APRN Implications: Improved collaboration between nursing and the medical team.

Exploring Practice-Based Clinical–Research Partnerships In Speech-Language Pathology: A Scoping Review, Lisa Archibald

Data and Test Instruments

No abstract provided.

2022: Global Ethical Think Tank, Sheila A. Davis Phd

Journal of Health Ethics

Editor's introduction to Volume 18, Number 1 of the Journal of Health Ethics.

Exploring The Potential For Therapeutic Art-Making In School Psychology Practice: A Single Case Study Of A Training Experience, Alexandra G. Manion

Electronic Theses and Dissertations

The purpose of this study was to investigate the impact of a training experience on the use of therapeutic art-making for school psychologists, with a focus on how to incorporate these concepts into their school-based mental health practice. Therapeutic artmaking includes the use of visual art activities (drawing, painting, clay, and collage) with specific therapeutic intent. Although there are examples of art therapists providing inschool therapeutic art-making services to support the mental health needs of students, there is far less information regarding the use of therapeutic art-making by school-based mental health providers, including school psychologists. This single case study explored …

Exploring The Relationship Between Historical Redlining And Place-Based Reproductive Health Inequities: A Qualitative Gis Approach, Kristi L. Roybal

Electronic Theses and Dissertations

Individual-level risk factors and characteristics do not fully explain racial, ethnic, and socioeconomic inequities in preterm birth in the United States, and evidence suggests that medical advancements, increased access to prenatal care, and high per-capita spending on health care have done little to reduce these inequities. Health inequities research has shifted its attention from individual-level factors that influence health outcomes to the social determinants of health. Neighborhoods, considered an important upstream social determinant of health, can influence health outcomes through their social, service, and physical environments, and have been consistently linked to birth outcomes. Despite increased attention to neighborhood influences …

Perceptions Of Parental Care And Overprotection In Childhood: Influences On The Neurobiological Adaptation To Motherhood, Leah Grande

Electronic Theses and Dissertations

Recalled memories of caregiving in childhood are especially salient during the postpartum period and inform mothers’ conceptualization of her new parenting role. Positive perceptions of care received from one’s parents are related to improved maternal-infant bonding and positive parenting behaviors, whereas negative perceptions of care convey risk for maladaptive parenting. Few studies have investigated neural and biological mechanisms contributing to observed associations between childhood care and the adaptation to motherhood. The following studies address this gap by examining how perceptions of childhood parental care and overprotection are related to maternal behavior, oxytocin levels, and neural response. Methods: Perceived childhood maternal …

Understanding And Supporting Asian American Youth’S Mental Health Within Cultural And Family Contexts, In Young Park

Electronic Theses and Dissertations

Mental health problems are a major health issue among East Asian American (EAA) youth. Although previous research has explored the risk and protective factors associated with mental health problems of EAA youth, many studies have employed Eurocentric perspectives, thereby excluding their unique cultural backgrounds, beliefs, and values. To better understand mental health needs and support these youth, further research that identifies different factors associated with mental health problems in their cultural context and assesses evidence-supported and culturally responsive interventions is needed.

This three-manuscript dissertation is presented in three papers. The first manuscript presents an integrative conceptual framework that uses two …

The Intersection Of Traumatic Brain Injury And Homelessness, Stephanie A. Chassman

Electronic Theses and Dissertations

The rates of TBI are significantly higher among individuals experiencing homelessness compared to the general population. Up to half of individuals experiencing homelessness may have a TBI. Accurate prevalence rates of TBI among individuals experiencing homelessness are difficult to obtain due to different methods of sampling participants and differing definitions of TBI; therefore, estimates may be underrepresented. Despite past research that has examined the relationship between TBI and homelessness, there are specific gaps in knowledge such as correlates and risk factors of TBI among individuals experiencing homelessness. This three-manuscript dissertation attempts to address these gaps in knowledge.

The first manuscript …

Well-Being Development: Parents’ Perceptions Of Gifted Adolescents, Barbara Moncure Washington

Electronic Theses and Dissertations

The purpose of this study was to examine parents’ perceptions of well-being development in their gifted adolescents. This was a qualitative study that used Narrative Inquiry as a research approach. Cloninger’s (1993) Psychobiological Model of Temperament and Character the (TCI) and Clandinin and Connelley’s (2000) Three-Dimensional Narrative Inquiry Space were utilized to address the research questions: What are parents’ perceptions of temperament in their gifted adolescent? What are parents’ perceptions of character in their gifted adolescent? What are the parents’ perceptions of well-being development? Dabrowski’s Theory of Positive Disintegration (TPD) provided an analysis lens for the study.

The framework for …

Case Report: Pre- And Post-Surgical Physical Therapy Management Of A Lateral Meniscus Tear, Michael Duginski

Physical Therapy Scholarly Projects

Background and Purpose. Meniscus surgeries comprise roughly 10% to 20% of all orthopedic surgeries, or roughly 850,000 surgeries annually. This case was the evaluation of a male with a torn right lateral meniscus who started physical therapy prior to undergoing a surgical repair of his right lateral meniscus. It will be determined if physical therapy interventions can improve meniscus injury symptoms and post-surgical recovery

Case Description. The patient was a 21-year-old male with a right lateral meniscus tear. The patient presented with the classic presentation of the diagnosis: knee clicking, difficulty on deep knee bending, pain, locking in knee joint …

Rehabilitation Post Rotator Cuff Repair Secondary To Rotator Cuff Tear: A Case Study, Jager Lane Hanson

Physical Therapy Scholarly Projects

Background and Purpose: A rotator cuff repair (RCR) is the broad term for an operation that is effective in treating the damaged muscles and/or tendons that support the shoulder and hold it in place, as well as facilitate active movement of the shoulder. This case study aims to evaluate the effectiveness of physical therapy following an RCR and discusses the outcomes experienced by the patient.

Case Description: The patient was a 54-year-old female who received post-surgical physical therapy 7 weeks following arthroscopic surgery to her right rotator cuff and was seen in outpatient therapy for 8 treatments following the initial …

There's A Duwende On My Shelf: The Parapsychological Studies Of Fr. Jaime C. Bulatao, Sj, Carl Lorenz Cervantes

International Journal of Transpersonal Studies

In the Filipino transpersonal worldview, the mind is not contained within the brain, and is often projected onto the world as “spirits”. Studying these cultural metaphors may allow for a deeper understanding of the Filipino psyche. Fr. Jaime C. Bulatao, SJ, one of the founders of the Psychological Association of the Philippines, studied the projections of the Filipino psyche as they manifested in paranormal phenomena. Bulatao provides the metaphor of eggs frying in a pan as a framework to understand this: the egg whites fuse despite the yolks being far apart. It is in the dissolution of boundaries that transpersonal …

Life Before Birth: A Thematic Analysis Of Memories Of Coming Into Life Part 2: Recollections Of Fetal Life And Birth, Jenny Wade

International Journal of Transpersonal Studies

This article examines a second set of data produced in a thematic analysis of 68 “earliest memory” narratives submitted to an independent website to explore the question: what do people who claim to remember how they came into the world say about their experience prior to and including birth? Part 1 examined the first and largest subset of the data, narratives of an otherworldly existence consistent with Western reincarnation intermission stage 2 experiences, near-death experience accounts and mythic traditions. This article thematically analyzes descriptions of life in the womb, birth, and apparently veridical out-of-body and other paranormal impressions of events …

Emotion And Judgment In Young Women Of A Society In Transition, Maura A. E. Pilotti, Khadija El Alaoui

International Journal of Transpersonal Studies

The present study asked whether emotional responses to narratives of moral transgressions are shaped by the reader’s assumed relationship with the injured party (i.e., oneself, familiar other, and unfamiliar other). Its goal was to test a cultural, religious, and individualistic account of such responses in young females of a traditional society in transition towards a sustainable integration into the global economy. To this end, female college students from the Kingdom of Saudi Arabia were asked to identify their emotional reaction to each of several moral transgressions, report its intensity and then judge the severity of the transgression. In agreement with …

How Perception Meets Hermeneutics: An Empirical Investigation Of Tasseography, Elizabeth Avetisian

International Journal of Transpersonal Studies

Tasseography is a divination method to provide insight about the seeker’s past, present, or future life by interpreting patterns in the dregs of a liquid. Although it has been practiced with coffee throughout Europe and Middle East, particularly among women, no known studies exist on the seer’s perceptual process of the ambiguous patterns or how the roles of the seeker and seer, symbols, ritual, and cultural epistemology shape the divinatory hermeneutics. This study focused on the Armenian coffee divination ritual, asking what are the processes and conditions that enable experienced cup readers to obtain divinatory insight in tasseography? Two seekers …

Occupational Therapy’S Ability To Address Perceived Stress Levels In Caregivers Of Individuals With Dementia, Kjerstin Drugan, Molly Van Drehle, Jadalyn Wagner

Critically Appraised Topics

Caregivers of individuals with dementia face unique challenges that affect their ability to participate in their occupations and maintain low-stress levels (Armstrong et al., 2019; Chiao et al., 2015; Cooper et al., 2010; Delgarno et al., 2021; Franzosa et al., 2019; Gleason & Miller, 2021; Lloyd et al., 2019; Madruga et al., 2020; Piersol et al., 2017; Sterling et al., 2021; Yong et al., 2020). Evidence has supported the benefits of occupational therapy intervention for caregiver well-being (Burgess et al., 2021; Lloyd et al., 2019; Raj et al., 2021; Sztramko et al., 2021; Yong et al., 2020). In this critically …

Mcops, List Of Q1 Journals (2022-2023), Faculty Members

Health collection

No abstract provided.

Written Piece And Art By Antonella D'Ascanio, Antonella D'Ascanio

Quill & Scope

No abstract provided.

A Self-Compassion Intervention For University Students: A Dnp Project, David Coffey

Doctor of Nursing Practice Projects

University students are reporting increased levels of anxiety, depression, and suicidal ideation. Trends for mental health distress among this population have been increasing over the past few years. The COVID-19 pandemic has worsened this trend. It is important to provide college-age students with the knowledge and skills for self-compassion necessary to navigate the difficult transition from high school to university. Self-compassion skills have been shown to positively affect mental health outcomes, specifically anxiety and depression. A brief, two-part intervention was developed focusing on the major components of self-compassion and offered to university students over a two-week period. Results of the …

Impacting Students: Students With Disabilities Participating In A Theater Occupation-Based Program, Markii D. Landry

Occupational Therapy Doctorate Capstone Projects

Acting Creates Therapeutic Success (ACTS Jr.) is a program that uses theater and drama activities to address a variety of skills. Theater advantageously offers a variety of activities that suit the individual (costume and prop making, set design, screenplay writing, etc.), many that fall under the scope of occupational therapy, and is executed well as a form of group therapy given its innate camaraderie of actors and production members working together to form a final cohesive product (Phillips, 1996). The purpose of this study was to demonstrate how theater can be used as a meaningful activity for students with disabilities …