Medicine and Health Sciences Commons^™

What We Say Matters: A Survey Of Anesthesia Providers’ Knowledge And Beliefs, Stefanie Glasgow, Lindsey Harris

College of Science and Health Theses and Dissertations

Pain is a serious concern and fear of patients. Due to the Joint Commission’s introduction of standards to address undertreatment of pain, it is now a focus of healthcare providers. Emerging research is focused on language in assessing pain. This study investigated the knowledge gap among anesthesia providers on positive language and pain assessment. The study objectives were to conduct a survey of Illinois Association of Nurse Anesthetists (IANA) members’ current knowledge and beliefs on Positive Language and the Nocebo Effect related to patient outcomes, and to educate anesthesia providers with an evidence-based fact sheet. The fact sheet and Qualtrics …

Exploring The Protective Effects Of Judaism On Risky Behaviors In College Students, Michelle E. Neuman

College of Science and Health Theses and Dissertations

Background: Common risky behaviors among college-aged young adults include risky sexual behaviors and substance use. Purpose: This study examines the protective effects of Judaism on students’ engagement in risky behaviors, building on a body of research on the protective effects of religious beliefs on risky health behaviors. Methods: Validated and reliable measures were used to assess religiosity and risky behaviors through anonymous surveys. Data was collected in Fall 2018 from a small cohort (N=15) of Jewish day school students. Results: Higher religiosity was more associated with delayed sexual activity than substance use behaviors. Judaism and religiosity were more strongly associated …

Resident Physicians’ Perceptions Of Ambulatory Care Pharmacy, Ashley Meredith, Darin Ramsey, Andrew Schmelz, Rachel Berglund

Scholarship and Professional Work – COPHS

Background: Physicians' acceptance of clinical pharmacy services is dependent on exposure to those services, with use increasing as resident physicians progress through their training. Resident physicians train within environments that have a multidisciplinary teaching and clinical care approach, working closely with other healthcare professionals. Ambulatory care pharmacists are increasingly working with resident physicians in clinic settings as part of the multidisciplinary team, and identification of resident physicians’ perceptions may influence future collaboration.

Objective: The objective of this research is to evaluate the perception of ambulatory care clinical pharmacy services from the perspective of resident physicians.

Methods: A statewide network of …

Enhancing Patient Well-Being: Apply Positive Psychology In Nursing Practice, Farida Bibi Mughal

School of Nursing & Midwifery

Objective: Positive psychology is the emerging concept in the medical field and has shown the positive effects on one’s well-being. This paper highlights the application of PERMA model in nursing practice.
Method: The model applied in the clinical area to access improvement in patient’s well-being. The concept of positive psychology’s applicability is discussed with the real life examples.
Result: The PERMA model when applied yields a positive impact on patient’s health and overall well-being.
Conclusion: The learning outcomes of this research will help the people in health care to understand the relationship between positive psychology and nursing practices for the …

Vascular Health And Mental Health In Collegiate Female Varsity Athletes, Club Sport Athletes And Recreationally Active Women, Allison Keller

Theses - ALL

The number of women participating in collegiate athletics has increased since Title IX was passed, which supports equal access to men and women in government-funded programs. Female student athletes are under increased pressure to maintain fitness while meeting academic standards, thus resulting in mental health concerns (i.e., depression and anxiety) and related poor lifestyle habits (i.e. problematic alcohol drinking and disturbed sleep quality). While high fitness imparts cardiovascular health benefits, such mental health concerns and poor lifestyle habits negatively impact cardiovascular health. Cardiovascular health is particularly concerning for women, as cardiovascular disease is a leading cause of death in this …

Identifying Opportunities For The Role Of Occupational Therapy In A Correctional Setting, Maxwell Sand

Student Capstone Papers

This study provides insight into the experiences of 7 individuals who had previous first-hand experience working in a correctional setting. Workplace culture related to health and wellness are discussed where participants disclose negative effects the environment posed to their well-being which in turn impacted their job satisfaction. Correctional settings prove not only to be restrictive to inmates, but also to staff members as they limit access to meaningful occupations, roles, and routines. Job demands linked to poor work policies and interaction with inmates are also found to take a toll physically, mentally, and emotionally which further exacerbates symptoms of stress, …

Resident Physicians’ Perceptions Of Ambulatory Care Pharmacy, Ashley H. Meredith, Darin Ramsey, Andrew Schmelz, Rachel Berglund

Department of Pharmacy Practice Faculty Publications

Background: Physicians' acceptance of clinical pharmacy services is dependent on exposure to those services, with use increasing as resident physicians progress through their training. Resident physicians train within environments that have a multidisciplinary teaching and clinical care approach, working closely with other healthcare professionals. Ambulatory care pharmacists are increasingly working with resident physicians in clinic settings as part of the multidisciplinary team, and identification of resident physicians’ perceptions may influence future collaboration.

Objective: The objective of this research is to evaluate the perception of ambulatory care clinical pharmacy services from the perspective of resident physicians.

Methods: A statewide network of …

Development Of Substrate Degradation Enzyme Therapy For Mucopolysaccharidosis Iva Murine Model., Kazuki Sawamoto, Shunji Tomatsu

Department of Pediatrics Faculty Papers

Mucopolysaccharidosis IVA (MPS IVA) is caused by a deficiency of the lysosomal enzyme N-acetylgalactosamine-6-sulfate sulfatase (GALNS). Conventional enzyme replacement therapy (ERT) is approved for MPS IVA. However, the fact that the infused enzyme cannot penetrate avascular lesions in cartilage leads to minimal impact on the bone lesion. Moreover, short half-life, high cost, instability, and narrow optimal pH range remain unmet challenges in ERT. Thermostable keratanase, endo-β-N-acetylglucosaminidase, has a unique character of a wide optimal pH range of pH 5.0-7.0. We hypothesized that this endoglycosidase degrades keratan sulfate (KS) polymer in circulating blood and, therefore, ameliorates the accumulation of KS in …

Exploring The Role Of Occupational Therapy In Primary Care, Tina Rosselli

Student Capstone Papers

Background: With an increase in adult chronic conditions (Holstein, 2018), as well as a growing number of older adults aging in place (Dickson & Toto, 2018), primary care will continue to see the greatest number of patients as it is the first point of contact for a person to enter the health-care system. Most primary care clinics are reimbursed based on quality outcome measures, which means insurance payers are looking at the value of care instead of the quantity of services (Halle et al., 2018). There is value in as well as an absence of assessment of occupational participation …

Screening And Diagnosing Spinal Muscular Atrophy By Use Of Buccal Swabs: A Validation Study Using Ddpcr, Anna Mackay

Honors Scholar Theses

Spinal Muscular Atrophy (SMA) is a genetic neuromuscular disorder characterized by progressive muscle weakness due to the degeneration of motor neurons. SMA is caused by a homozygous deletion, mutation or rearrangement in the Survival Motor Neuron 1 (SMN1) gene. Survival Motor Neuron 2 (SMN2) is located tandem to SMN1 and is identical to SMN1 except for a single nucleotide substitution in exon 7. SMA diagnosis and carrier status can be determined by droplet digital PCR (ddPCR). This study sought to validate Bio-Rad’s ddPCR SMN1and SMN2 gene determination copy number assay for SMA diagnosis and screening using buccal swabs specimens. Buccal …

A Renal Cell Carcinoma With Biallelic Somatic Tsc2 Mutation: Clinical Study And Literature Review., Jian Pang, Linang Wang, Jing Xu, Qiubo Xie, Qiuli Liu, Dali Tong, Gaolei Liu, Yiqiang Huang, Xingxia Yang, Jinhong Pan, Xiaochu Yan, Qiang Ma, Dianzheng Zhang, Jun Jiang

PCOM Scholarly Works

OBJECTIVES: To elucidate the effect of the biallelic somatic TSC2 mutations, identified in one adolescent patient, in renal cell carcinoma (RCC).

METHODS: Mutation analyses, immunohistochemistry and real-time polymerase chain reaction (PCR) were conducted.

RESULTS: Two novel somatic mutations of TSC2 in unilateral and solitary RCC samples from a 14-year-old female were identified. The pathological features suggest the tumor as a clear-cell renal cell carcinoma. In addition, immunohistochemistry revealed elevated levels of phosphorylated S6K1. Results from in vitro cellular experiments suggest that the mutant TSC2 proteins were quickly degraded and they failed to repress the phosphorylation of S6K1 and STAT3, which …

Hope, Courage, And Resilience In The Lives Of Transgender Women Of Color, Nadine Ruff, Amy B. Smoyer, Jean Breny

The Qualitative Report

There is a lack of qualitative and strengths-based knowledge about the lived experience of transgender women of color in the US. To address this research gap, a Photovoice project was undertaken with five transgender women living in a small urban area. Thematic analysis of the participants’ discussion of their photographs identified three major themes: hope, courage, and resilience. Analysis suggests a framework for understanding these women’s lived experiences and the psychosocial tools that they use to negotiate their daily lives and persevere in the face of interpersonal and structural oppression.

Review Of Infected Kin: Orphan Care And Aids In Lesotho, Cassandra L. Workman

The Journal of Social Encounters

In the opening vignette, “A Story about Joala,” we readers are brought to the highlands of Lesotho to share homebrewed beer with brewers, research participants, and the authors. This experience of sharing a drink asks us to consider what it means to share in Lesotho, what the ties are that hold people together. Like the communal sharing of food, sharing joala is a defining social activity and as we learn throughout the ethnography, one that is important in the creation of kin. Indeed, this book is presented though a kinship-first perspective.

Using this framework and ground-up analytical methodology, Block and …

The Critical Role Of Nursing Assessment In Clinical Outcomes Of Acute Compartment Syndrome: An Integrative Literature Review, Sedona Dowd

Grace Peterson Nursing Research Colloquium

The Critical Role of Nursing Assessment in Clinical Outcomes of

Acute Compartment Syndrome: An Integrative Literature Review

Sedona Dowd, MS

Faculty Sponsor: Elizabeth Hartman, PhD, RN

Abstract

Background: Nurses play a critical role in assessing for acute compartment syndrome. Despite the improvements made in diagnosing and treating patients with this potentially deadly situation, as well as an increased awareness of ACS, nurses are falling short when required to display knowledge and identify patients with the syndrome. Along with identifying at-risk patients for developing ACS, nurses can aide the clinical diagnosis of ACS through diligent assessment.

Objectives: To use current …

Effectively Enhancing Health Resilience In Adolescents With Type 1 Diabetes Mellitus: An Integrative Literature Review, Shelbi Steele

Grace Peterson Nursing Research Colloquium

Effectively Enhancing Health Resilience in Adolescents

with Type 1 Diabetes Mellitus: An Integrative Literature Review

Shelbi Steele, MS

Faculty Sponsor: Elizabeth Hartman, PhD, RN

Background: Several studies suggest that adolescence is a particularly difficult time for diabetes management because of the drive for independence, the search for acceptance and the complexity of the disease. Lack of health management increases the risk for diabetes – related complications in adulthood.

Objectives: To explore what research has been conducted regarding factors that enhance resilience among adolescents with type 1 diabetes mellitus and to recommend incorporation of these factors within direct nursing care to …

The Role Of Nursing In Fertility Preservation Of Cancer Patients: An Integrated Literature Review, Alexis Shanahan

Grace Peterson Nursing Research Colloquium

Background: Approximately 70,000 young people between the ages of 15 and 39 are diagnosed with cancer in the United States. Concurrently, ideal child bearing ages also fall within this age range. With this in mind, post treatment quality of life is considered. One of the most important aspects of post cancer treatment is preservation of fertility.

Objectives: To explore what research has been conducted to understand what the nurse’s role in fertility preservation of cancer patients.

Methods: An electronic search of literature was conducted using Academic Search Complete, Cumulative Index to Nursing and Health Literature (CINAHL), and …

Effective Pain Assessment Conducted By Nursing For Developmentally Disabled Clients: An Integrative Literature Review, Rebecca Silverman

Grace Peterson Nursing Research Colloquium

Background: Individuals with intellectual and developmental disabilities (IDD) cannot be cared for in the same way that typically developed individuals are cared for, especially when it comes to pain assessment. Self-report is currently the gold standard for pain assessment, making it difficult for nurses to manage the pain of individuals who cannot self-report. Techniques and strategies must be altered to provide effective care for developmentally impaired individuals to ensure their pain is not left untreated.

Objectives: To examine current methods of pain assessment for clients with cognitive and developmental disabilities in the hospital setting. This will help determine promising …

Postpartum Depression In Women Whose Babies Were Admitted To The Nicu: An Integrative Literature Review, Tara Winkelmann

Grace Peterson Nursing Research Colloquium

Background: Postpartum depression is a major depressive disorder that can occur anytime during pregnancy and for up to a few weeks after giving birth. Postpartum depression affects a significant proportion of women who have given birth, regardless of the birth outcomes. Mothers who had their babies admitted into the NICU face a different postpartum experience than mothers who had healthy babies, which increases their risk for developing postpartum depression.

Objective: The purpose of this study was to examine if women whose babies were admitted to the NICU were at a higher risk for developing postpartum depression, and how depression screenings …

The Effects Of Creative Arts Therapies On The Traumatic Stress Symptoms Of Refugee Minors, Nhu Do

Grace Peterson Nursing Research Colloquium

Background:

The experiences of refugees are often characterized by traumatic stressors including loss and violence. Minors of these target populations are particularly sensitive to traumatic stress due to the nature of their developmental state. Currently, there is a lack of evidence-based research on the efficacy of Creative Arts Therapies (CATs) as interventions to reduce traumatic stress symptoms of refugee minors.

Study Purpose:

The purpose of this integrative literature review is to evaluate the current research to determine the efficacy of CATs as therapeutic interventions for refugee minors by comparing their traumatic stress symptoms before and after participating in CATs interventions. …

Barriers Contributing To The Increased Maternal Mortality Rate In African-American Women: An Integrative Literature Review, Taylor Looper

Grace Peterson Nursing Research Colloquium

Abstract

Background: In the United States African-American women are three to four more times likely to experience pregnancy related deaths than other women. Despite this fact, few studies have been conducted to explore barriers contributing to the increased maternal mortality rate in African-American women.

Purpose of Study: The purpose of this integrative literature review is to understand the implications that barriers to and lack of prenatal care have on maternal mortality amongst African-American women, as well as how patient-provider relationships affect the maternal mortality rate.

Methods: An integrative literature review was conducted to review existing peer-reviewed articles regarding the topic …

The Impact Of Holistic Healing On Breast Cancer Patients, Arielle Walker

Grace Peterson Nursing Research Colloquium

The Impact of Holistic Healing on Breast Cancer Patients

Arielle Walker

Abstract

Background: As a nurse, it is important to encompass the holistic needs of breast cancer patients to provide more supportive care throughout their quest to optimal health and wellness. Holistic healing is the art and science of incorporating not only the physical wellness of patients, but also the emotional, spiritual, nutritional, and environmental lifestyle elements of each individual to deliver high-quality care.

Objective: The purpose of this integrative literature review was to discuss the positive impact of holistic healing on breast cancer patients, related to the way that …

Help-Seeking Barriers Amongst Hispanic Women With Postpartum Depression, Daisy Lopez Arroyo

Grace Peterson Nursing Research Colloquium

Abstract

Help-Seeking Barriers Amongst Hispanic Women with Postpartum Depression

Background: Postpartum depression (PPD), although dangerous for the mother and the child, is not often acknowledged by the Hispanic community. Due to this, there is a limited amount of research investigating the impact of PPD in Hispanic women. However, considering the detrimental effects of PPD on women, it is important to analyze the barriers that impede Hispanic women from seeking professional medical attention for their symptoms. This is especially true considering that the Hispanic population are the largest minority group in the United States and are accounting for a large portion …

Caregiver Burden In Caregivers Of Patients With Alzheimer's: Interventions And Influence Of Relationship Roles And Gender, Stephanie Rutila

Grace Peterson Nursing Research Colloquium

Abstract

Background: Caregiver burden in caregivers of patients with Alzheimer’s disease can cause negative emotional, social, and physical effects on caregivers and impact their quality of life.

Objectives: The purpose of this integrative literature review was to determine which interventions are most effective in alleviating caregiver burden. This review also compared the degree of caregiver burden among gender (male vs. female) and family roles (adult-child vs. spouse) to determine how these differences may affect interventions.

Method: An integrative literature review was conducted using the databases PubMed, Cumulative Index to Nursing and Allied Health Literature (CINAHL), and PsychInfo. Search terms included …

Advancing Transgender Health Care Curriculum Into Depaul University's School Of Nursing: An Integrative Literature Review, Israel Ferandos

Grace Peterson Nursing Research Colloquium

Background: Within the lesbian, gay, bisexual, and transgender (LGBT) group, transgender individuals are the most vulnerable, discriminated against, and underserved individuals. The unique and complex health needs of transgender individuals are pressing concerns in the healthcare field. Currently, there is a dearth in nursing curriculum regarding basic care towards transgender patients resulting to nursing students having poor knowledge and unprepared to take care for transgender patients. Method: Integrative literature review using five peer-reviewed articles. Results: Studies emphasized that nursing students have limited knowledge on LGBT issues, particularly transgender health. Topics taught about transgender health involve clinical care for gender-reassignment, psychosocial …

Sex-Education And Safe-Sex Compliance For Gay Men Prescribed Truvada: An Integrative Literature Review, Donald Pette

Grace Peterson Nursing Research Colloquium

Background: In 2012, PrEP (Truvada), a once daily, fixed dose antiretroviral drug and of one the first HIV prophylactic drugs, was approved by the FDA. However, many gay male patients still engage in risky sexual practices after being prescribed PrEP.

Objectives:The purpose of this study is to explore what factors, after being prescribed PrEP (Truvada), prevent gay male patients from participating in safe-sex practices.

Method: An integrative literature review was performed using PsychInfo, ProQuest, and Cumulative Index to Nursing and Allied Health Literature(CINAHL) Complete. Search strategy included combinations of the terms: Truvada, PrEP, HIV OR AIDS, Education, LGBT, …

Prison And Its Effects On The Health Outcomes Of Hiv Positive Black Men Post Incarceration, Samuel Gaines

Grace Peterson Nursing Research Colloquium

Prison and its Effects on the Health Outcomes of HIV Positive Black Men Post Incarceration

Samuel T. Gaines

Faculty Sponsor: Young-Me Lee, PhD, RN

Background: With an estimation that one in three Black men will be incarcerated in their lifetime and that incarcerated Black men are five times more likely to be diagnosed with HIV than their white counterparts, there is little information as to what factors affect their health outcomes post-incarceration.

Objectives: The purpose of this literature review is to use current research to explore the factors affecting the negative health outcomes of HIV positive African American men post-incarceration. …

Interventions In Hospice Caregivers’ Coping Mechanisms, Ollie Urbanski

Grace Peterson Nursing Research Colloquium

Abstract

Background: There is an increasing awareness, and need for, hospice services in the United States. While some may choose to receive their care in an inpatient setting, many prefer the comforts of home. When they receive their care at home, their loved ones end up shouldering many of the burdens of that care. There is a noticeable lack in support for this specific population of caregivers.

Objectives: The purpose of this integrative literature review is to investigate current best practices in regards to coping mechanisms for informal hospice caregivers and to analyze potential areas for development of research in …

Effects Of Community Violence Exposure On Health, Michael Thiede

Grace Peterson Nursing Research Colloquium

Abstract

Background: Across the globe there is a rising level of violence in the community, which disproportionately affects those living in urban, high poverty areas. Repeat exposure to this violence can lead to adverse future health outcomes in children.

Objectives: The purpose of this integrative literature review is to highlight the adverse health outcomes that stem from community violence exposure, and form a more comprehensive list of the effects it has on children and adolescents.

Method: An integrated literature review was conducted following Whittemore and Knafl’s methodology using the computerized databases of CINAHL, PsychInfo, and Sociology Collection. The keywords used …

Effective Elements Addressed In Culturally Appropriate Interventions For The Prevention Of Diabetes For Hispanics And Latinos: An Integrative Literature Review, Anja Nenadic

Grace Peterson Nursing Research Colloquium

Background: People of Hispanic and Latino origin have a higher risk for developing type two diabetes and consequently developing further health compromising complications compared to any other ethnic groups.

Objectives:The purpose of this integrative literature review was to identify effective elements addressed in evidence-based culturally appropriate interventions for the prevention of type two diabetes in the Hispanic and Latino population.

Method: An integrative literature review was performed using CINAHL, ProQuest, and Academic Search Complete. The searches were completed using the following keywords: diabetes or diabetic, culturally competent care or cultural appropriateness or culturally appropriate or cultural sensitivity or …

Naloxone’S Presence On The Opioid Epidemic, Karolina Ptasinski

Grace Peterson Nursing Research Colloquium

Abstract

Background: The opioid epidemic was a concern within the United States based upon the rising numbers of overdose deaths. Naloxone is the antidote for the adverse effects opioids have on the body, and its lack of viability varies from state to state.

Objective: The purpose of the literature reviews was to analyze the research available on naloxone’s effect during the most recent years of the opioid epidemic. It was to discover the founded effects naloxone had as a take-home drug, along with any correlation between overdose deaths and naloxone usage.

Method: An integrative literature review was used to interpret …