Behavioral Medicine Commons^™

Podium Presentation: Relationships Between Nursing Stress And Perceived Importance Of Access To Chaplains During The Covid-19 Pandemic, Teresa Bigand, Adam Gaines, Sheila Doucette, Danell Stengem, Rachel Freedberg, Jamie Roney, Rosemary Timmerman

2022 Providence Nurse Research Conference

Background:

Hospital chaplains are trained to provide spiritual support to inpatients, family members, and support persons across the continuum of care. Patients receiving a chaplain visit during their hospital stay report higher satisfaction, quality of life, and spiritual well-being. Chaplain consultation during hospitalization is related to higher rates of hospice enrollment and lower rates of in-hospital deaths. Additionally, evidence suggests nurses who are employed in hospitals with staff chaplains report lower stress and compassion fatigue based on frequency of interactions with chaplains during worked shifts. Since the COVID-19 pandemic, hospital nurses providing front-line care report higher stress levels compared to …

Podium Presentation: Levels Of Compassion Satisfaction Among Prescribers, Nursing Staff, And Chaplains, Teresa Bigand, Adam Gaines, Dawn Bock, Jamie Roney, Rachel Freedberg, Rosemary Timmerman, Danell Stengem

2022 Providence Nurse Research Conference

Background:

Patient care delivered in hospitals is fast-paced, complex, and ever-changing. During the COVID-19 pandemic, nurses, prescribers, and chaplains provided front-line, whole-person care in hospital settings to patients who had decreased or no access to visitors without the use of technology while facing acute illness and difficult prognoses. During the pandemic, nurses and physicians reported increased fatigue and stress in scientific literature. Poor emotional well-being may lead to decreased compassion satisfaction. Increased compassion satisfaction may mitigate adverse occupational and patient-centered outcomes, support fewer missed days at work, lead to higher staff satisfaction, and raise patient satisfaction scores. Literature reports that …

Podium Presentation: Entangled: Nurses With Mental Health Problems Who Died By Suicide, Adriana Barnes

2022 Providence Nurse Research Conference

No abstract provided.

Podium Presentation: Promoting Holistic Health: Impact Of Vocati On The Spiritual And Moral Development In Youth, Joann Long, Jeremy Smith

2022 Providence Nurse Research Conference

Background: Approximately one out of every six individuals are adolescents between the ages of 10 to 19. Promoting health and reducing risks for this age group has life-long health and societal consequences. Evidence suggests positive and negative risk-taking behaviors cluster in this population. Models for the promotion of positive youth development have shifted in focus from avoidance of risk-taking behaviors to emphasis on psychosocial competence and holistic well-being. Evidence suggests spiritual wellbeing, regardless of conceptual definition, is more often than not associated with positive health outcomes and development in youth. However, few studies have included spiritual and moral constructs in …

Podium Presentation: Or Nurses Psychological Well-Being And Redeployment During The Covid-19 Pandemic, Joy Lanfranchi, Trisha Saul, Ross Bindler

2022 Providence Nurse Research Conference

Background: Throughout the COVID-19 pandemic, Operating Room (OR) nurses were redeployed to patient care units during times of maximal surge capacity in hospitals caring for patients with the novel coronavirus. Hospital bed and staffing needs caused hospitals to cancel elective surgeries, allowing for conservation of bed space and nurses to accommodate the patient influx. Despite the highly specialized nature and skill set of OR nursing, OR nurses were expected to function in traditional patient care roles, where levels of self-assessed competence vary based on experience and training. There is a paucity of literature on the psychological impact of redeployment of …

Effects Of Mindfulness Stress Reduction Program On Nurses: An Integrated Research Review, Gisele Nicole Bazan

2022 Providence Nurse Research Conference

Background/Purpose:

Prevalence of nurse burnout can be as high as 40% (Duarte & Pinto-Gouveia, 2016). Variations of mindfulness-based interventions (MBI) have been utilized to combat burnout among nurses. Many studies utilize an adapted version(s) of the eight week mindfulness-based stress reduction (MBSR) course develop by Dr. Kabat-Zinn, which aims to aid in the improvement of mindfulness through practice of linking one’s physical and mental state in a nonjudgmental way (Ghawadra et al., 2019). Multiple instruments to measure levels of burnout and other psychological effects job stressors may have on nurses have also been applied. Higher levels of burnout have been …

Effects Of Compassion Fatigue In Critical Care Nurses On Retention: An Integrative Research Review, Kelsey Sawyer

2022 Providence Nurse Research Conference

No abstract provided.

Assessment Of Trauma-Informed Care Knowledge Among Caregivers In An Inpatient Mental Health Unit, Katie Rhea, Loni Conley, Jeremy Williams, Kathryn Wiltfong, Teresa Bigand

2022 Providence Nurse Research Conference

Background: Research suggests exposure to traumatic events is extremely common. Furthermore, risk of developing chronic health conditions or engaging harmful behaviors such as substance use later in life increases with more frequent exposure to traumatic events, especially during childhood. Best evidence recommends delivery of health care using a Trauma Informed Care (TIC) approach to improve outcomes such as anxiety or depression. This care approach guides healthcare providers on interactions with patients centered on the tenets of (1) safety, (2) trustworthiness, (3) peer support, (4) collaboration, (5) empowerment and choice, and (6) cultural, historical, and sex issues. On one inpatient …

Nurse-Led Screening, Brief Intervention, And Referral To Treatment (Sbirt) For Patients With Alcohol Use Disorder (Aud) In An Inpatient Setting, Angela Winter, Sandra Benavides-Vaello

2022 Providence Nurse Research Conference

No abstract provided.

Podium Presentation: Differences In Exercise Patterns Among Day And Night Shift Nurses During Covid-19 Surges, Randy Sanoff, Teresa Bigand, Elena Crooks, Katie Carroll, Mary Halabi

2022 Providence Nurse Research Conference

Background: Registered nurses (RN) working in acute-care hospitals during the Covid-19 pandemic reported unprecedented stress. Walking between 7000-10,000 steps each day offers positive benefits such as improved mood, reduced stress, and reduction in overall mortality risk. Additionally, the American College of Sports Medicine’s (ACSM) Physical Activity Guidelines recommends adults should engage in 75 -150 minutes per week of moderate to intense activity for health benefits. Yet, some research suggests that number of steps taken per week decreased and time spent sedentary increased during the first year of the onset of COVID-19 compared to the year prior. Among nurses working full-time …

Podium Presentation: Millennial Hospital Nurses Experiencing High Burnout And Turnover Risk During A Pandemic, Dana N Rutledge, Elizabeth Winokur, Sarah Douville

2022 Providence Nurse Research Conference

No abstract provided.

Prescribing Patterns Of Antipsychotics For Agitation Or Delirium Management In Non-Critically Ill Patients, Emily Chang, Pamela Levine

Providence Pharmacy PGY1 Program at Providence Portland and Providence St. Vincent Medical Centers 2022

No abstract provided.

Improving Utilization Of Buprenorphine In A Residency Program, Christopher Bender, Amy Dechet

Providence Portland Medical Center Internal Medicine 2022

No abstract provided.

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 …

Development Of Post Sexual Assault Care Standardized Guideline, Elsa Gomez, Elizabeth Winokur, Christine Recinos

Articles, Abstracts, and Reports

No abstract provided.

Improving Metabolic Monitoring During Transfers Of Care For Psychiatric Patients Discharged From The Inpatient Psychiatric Residency Service On An Antipsychotic Medication, Allison Cohen, Anisha Boetel

View All Washington/Montana GME

Presented at the 2022 Virtual Northwest Medical Research Symposium

Contingency Management: Dealing Abstinence From Methamphetamines, Casey Collins, Amy G Burns, Lindsey Cunningham, Brenda Fairman

View All Washington/Montana GME

Presented at the 2022 Virtual Northwest Medical Research Symposium

Increasing Awareness Of First Episode Psychosis, James Miller, Sam Holley, Sam Murray

View All Washington/Montana GME

Presented at the 2022 Virtual Northwest Medical Research Symposium

Harm Reduction For Sthc Patients With Opioid Use Disorder, Michael P. Kinney, Amy G Burns

View All Washington/Montana GME

Presented at the 2022 Virtual Northwest Medical Research Symposium

Duty To Warn Notifications In Residency Training, Savannah Patterson, Kelly Wurzel

View All Washington/Montana GME

Presented at the 2022 Virtual Northwest Medical Research Symposium

Utilization Of Prime Screening Questionnaire In Clinical Practice, Daniel Yang, Samuel Murray

View All Washington/Montana GME

Presented at the 2022 Virtual Northwest Medical Research Symposium

Screening For Adverse Childhood Experiences In Primary Care, Michelle Mckay, Logan Shetlar

View All Washington/Montana GME

Presented at the 2022 Virtual Northwest Medical Research Symposium

Naloxone Prescription At Discharge To Reduce Incidence Of Opioid Overdose, Shelly Haferkamp, Kelly Wurzel, Benjamin Jones, James M Scanlan, Michael G Sutcliffe

View All Washington/Montana GME

Presented at the 2022 Virtual Northwest Medical Research Symposium

Race Differences In Predictors Of Weight Gain Among A Community Sample Of Smokers Enrolled In A Randomized Controlled Trial Of A Multiple Behavior Change Intervention., Marcia M Tan, Terry Bush, Jennifer C Lovejoy, Harold Javitz, Alula Jimenez Torres, Ken Wassum, Bonnie Spring

Articles, Abstracts, and Reports

African Americans have disproportionate rates of post-cessation weight gain compared to non-Hispanic whites, but few studies have examined this weight gain in a multiracial sample of smokers receiving evidence-based treatment in a community setting. We examined race differences in short-term weight gain during an intervention to foster smoking cessation plus weight management. Data were drawn from the Best Quit Study, a randomized controlled trial conducted via telephone quitlines across the U.S. from 2013 to 2017. The trial tested the effects on cessation and weight gain prevention of adding a weight control intervention either simultaneously with or sequentially after smoking cessation …

Self-Administered Behavioral Skills-Based At-Home Virtual Reality Therapy For Chronic Low Back Pain: Protocol For A Randomized Controlled Trial., Laura Garcia, Beth Darnall, Parthasarathy Krishnamurthy, Ian Mackey, Josh Sackman, Robert Louis, Todd Maddox, Brandon Birckhead

Articles, Abstracts, and Reports

BACKGROUND: Chronic pain is one of the most common and debilitating health conditions. Treatments for chronic low back pain typically focus on biomedical treatment approaches. While psychosocial treatments exist, multiple barriers prevent broad access. There is a significant unmet need for integrative, easily accessible, non-opioid solutions for chronic pain. Virtual reality (VR) is an immersive technology allowing innovation in the delivery of behavioral pain treatments. Behavioral skills-based VR is effective at facilitating pain management and reducing pain-related concerns. Continued research on these emerging approaches is needed.

OBJECTIVE: In this randomized controlled trial, we seek to test the efficacy of a …

Successful Bilateral Electroconvulsive Therapy In A Patient With A Seizure Disorder Taking Levetiracetam, Lorazepam, And Zonisamide: A Case Report., Ian R Mcgrane, Rachel E Tenison, Dana M Bimler, Robert C Munjal, Jason R Molinaro

Articles, Abstracts, and Reports

Electroconvulsive therapy (ECT) may be considered for treatment of severe, treatment-resistant, and emergent depression associated with MDD or bipolar disorder. Patients with epilepsy usually take medications that raise the seizure threshold, which poses challenges during ECT. We report a 66-year-old male with epilepsy taking levetiracetam extended-release (XR), lorazepam, and zonisamide requiring ECT for severe MDD. After literature review, the XR form of levetiracetam was changed to higher doses of the immediate-release (IR) formulation, and zonisamide was discontinued 2 days prior to ECT in the hospital and was resumed when the patient underwent outpatient continuation ECT. The patient was treated to …

An Exploratory Pilot Study With Plasma Protein Signatures Associated With Response Of Patients With Depression To Antidepressant Treatment For 10 Weeks., Eun Young Kim, Hee-Sung Ahn, Min Young Lee, Jiyoung Yu, Jeonghun Yeom, Hwangkyo Jeong, Hophil Min, Hyun Jeong Lee, Kyunggon Kim, Yong Min Ahn

Articles, Abstracts, and Reports

Major depressive disorder (MDD) is a leading cause of global disability with a chronic and recurrent course. Recognition of biological markers that could predict and monitor response to drug treatment could personalize clinical decision-making, minimize unnecessary drug exposure, and achieve better outcomes. Four longitudinal plasma samples were collected from each of ten patients with MDD treated with antidepressants for 10 weeks. Plasma proteins were analyzed qualitatively and quantitatively with a nanoflow LC-MS/MS technique. Of 1153 proteins identified in the 40 longitudinal plasma samples, 37 proteins were significantly associated with response/time and clustered into six according to time and response by …

E. Behavioral Evaluation And Addiction Management (Beam) Team, Deanne Niedziela

Year of the Nurse: Clinical Scholarship Presentations

No abstract provided.

K. Use Of A Standardized Procedure To Improve Care For Behavioral Health Patients, Elizabeth Winokur

Year of the Nurse: Clinical Scholarship Presentations

No abstract provided.

The Effects Of Music Intervention On Pain And Anxiety In The Immediate Postoperative Period In Adults Undergoing Total Knee Arthroplasty And Total Hip Arthroplasty, Peggy Olsen, Mary Waldo

All Nursing Boot Camp Posters

Background:

With the current opioid crisis in the United States, examining adjunct therapies for pain control is an important focus for nursing.

Music has demonstrated its value in treatment of pain in multiple settings including psychiatric medicine, palliative care, neurology and intensive care. Meta-analyses can be found supporting music intervention in reducing patients’ pain and anxiety.

“The Effects of Music Intervention in the Management of Chronic Pain, A Single-Blind, Randomized, Controlled Trial” (Clin J Pain, Vol 00, Number 00, 2011) details the study of Music Care in treating chronic pain patients and states that Music Care as an intervention “appears …