Behavioral Medicine Commons^™

Podium Presentation: Registered Nurses' Diet Quality And Overall Health During The Sars-Cov-2 Pandemic, Teresa Bigand, Ross Bindler, Lois James, Rachel Faulkner, Rebecca Penders, Trisha Saul, Marietta Sperry, Marian Wilson

2022 Providence Nurse Research Conference

No abstract provided.

Podium Presentation: Covid And Antidepressants: Ongoing Use Of Ssris And The Hospital Course Of Covid-19 Patients: A Retrospective Outcome Analysis, Sherri Mendelson

2022 Providence Nurse Research Conference

No abstract provided.

Podium Presentation: Opioid Use Among Total Knee Arthroplasty Patients, Kelsie Welle, Karen Colorafi, Kenn Daratha

2022 Providence Nurse Research Conference

No abstract provided.

Podium Presentation: Mindfulness Bundle Impact On Nurse Burnout Study, Gisele Nicole Bazan, Tiffany Patterson, Kelsey Sawyer, Deborah Wambui Kamau, Jamie Roney, Michelle Bradberry, Cynthia Louise Grissman, Sahar Mihandoust, Randall Stennett, Joann Long

2022 Providence Nurse Research Conference

No abstract provided.

Podium Presentation: Nursing And Emotional Health Before And During The Covid-19 Hospital Surges, Marietta Sperry, Ellen Romesburg, Teresa Bigand, Marian Wilson, Lois James

2022 Providence Nurse Research Conference

Background:

Occupational burnout, a symptom of chronic work-related stress, can lead to negative health outcomes such as anxiety, depression, diabetes, insomnia, and increased risk for cardiovascular disease. Burnout also augments negative occupational risks such as increased sick days, decreased productivity, disability claims, and turnover. Nurses working in the hospital setting report high levels of work-related stress and burnout related to patient acuity levels and short staffing, and rates have further worsened in the context of the COVID-19 pandemic. The emergence of the virus brought multiple hospital surges, greatly increasing nursing workload as patient acuity climbed and simultaneously, national nurse …

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.

Psychosocial Considerations For The Child With Rare Disease: A Review With Recommendations And Calls To Action., Leslee Belzer, Margaret Wright, Emily J. Goodwin, Mehar N. Singh, Brian S. Carter

Manuscripts, Articles, Book Chapters and Other Papers

Rare diseases (RD) affect children, adolescents, and their families infrequently, but with a significant impact. The diagnostic odyssey undertaken as part of having a child with RD is immense and carries with it practical, emotional, relational, and contextual issues that are not well understood. Children with RD often have chronic and complex medical conditions requiring a complicated milieu of care by numerous clinical caregivers. They may feel isolated and may feel stigmas in settings of education, employment, and the workplace, or a lack a social support or understanding. Some parents report facing similar loneliness amidst a veritable medicalization of their …

Hiv Response Interventions That Integrate Hiv Molecular Cluster And Social Network Analysis: A Systematic Review, Daniel J Gore, Kellie Schueler, Santhoshini Ramani, Arno Uvin, Gregory Phillips, Moira Mcnulty, Kayo Fujimoto, John Schneider

Faculty, Staff and Student Publications

Due to improved efficiency and reduced cost of viral sequencing, molecular cluster analysis can be feasibly utilized alongside existing human immunodeficiency virus (HIV) prevention strategies. The goal of this paper is to elucidate how HIV molecular cluster and social network analyses are being integrated to implement HIV response interventions. We searched PubMed, Scopus, PsycINFO, and Cochrane Library databases for studies incorporating both HIV molecular cluster and social network data. We identified 32 articles that combined analyses of HIV molecular sequences and social or sexual networks. All studies were descriptive. Six studies described network interventions informed by molecular and social data …

An Observational Retrospective Study Of Adverse Events And Behavioral Outcomes During Pediatric Dental Sedation, Kawtar Zouaidi, Gregory Olson, Helen H Lee, Elsbeth Kalenderian, Muhammad F Walji

Faculty, Staff and Student Publications

Purpose: The purpose of this study was to examine a university-based dental electronic health records (EHR) database to identify sedation-related adverse events (AEs) and assess patients' behavioral outcomes during routine pediatric dental sedations (PDSs) in a dental school clinic.

Methods: A database was screened for patients younger than 18 years old who had received dental sedation in 2019. The qualifying EHRs were then accessed and sedations were reviewed for AEs, which were categorized using a 12-point classification system and the Tracking and Reporting Outcomes of Procedural Sedation Tool. Patient behaviors were assessed using provider progress notes and categorized as presence/ …

The Outcome Of A Multidimensional Intervention Strategy For The Management Of Generalized Anxiety Disorder In An Internal Medicine Setting, Nicholas Davidson

Evidence-Based Practice Project Reports

Anxiety disorders are very prevalent in the United States. The most common type, Generalized Anxiety Disorder (GAD), affects 6.8 million adults every year. GAD can cause significant deficits in a person’s ability to function, decrease their quality of life and increases a person’s risk of attempting suicide. The purpose of this evidence-based practice (EBP) project was to improve the outcomes of adults diagnosed with GAD in an internal medicine setting by implementing a protocol composed of a combination of interventions. A thorough literature search was conducted to find the best available evidence to support the project. A total of 11 …

Barriers And Facilitators To Precision Medicine For Black Children With Autism Spectrum Disorder, Rachel Goodson

Research Days

Background: The field of pharmacogenomics (identification of biomarkers regarding drug metabolism and activity to inform precision prescribing) is rapidly advancing for individuals on the autism spectrum, but these advancements are not equitably benefiting all communities. Specifically, utilization data suggests that Black families may be less likely to have access to clinical precision medicine supports. Moreover, historic underrepresentation of African-descended populations in genetic reference samples means that emerging research on precision medicine will retain these biases and perpetuate disparities in downstream clinical benefit. These issues are especially relevant to the autism community, who are more likely to receive psychotropic medications that …

Family-Centered Training And Therapy As Substance Abuse Intervention In Adolescents, Ryan St. John, Cam'ron Klotz, Muskaan Bibi, Archana Salek

Rowan-Virtua Research Day

We hypothesized that providing mental health resources for adolescents and educating their parents and families would decrease the prevalence of substance abuse in the Camden, NJ community given that overdose death had risen 138% from 2014-2018. Educating parents and families on the importance of adolescents dealing with mental disorders may help evaluate the mental stability of their child and prevent them from turning to illicit substance to cope. Increasing the communication and the availability of resources for adolescents to turn to before resorting to illicit substances can have beneficial effects.

Telemedicine And Adhd Management In Pediatric Patients In Southern New Jersey: A Retrospective Chart Review, Ami S. Patel, Alison Mancuso

Rowan-Virtua Research Day

Objectives:

• Investigate whether there is a relationship between use of telemedicine and improvement of symptoms of pediatric patients with ADHD
• To see if further study can be done on the use of telemedicine in treating pediatric ADHD patients

The Opioid Epidemic & Narcan® Education: Current State Of Narcan® Use, Alicia Podwojniak, Fatimah Seyed-Ali, Akhil Abraham, Archana Salek

Rowan-Virtua Research Day

Objectives:

• Investigate the need for increased naloxone awareness and availability in communities across the state [New Jersey]
• Assess the current advantages and disadvantages of Narcan® use
• Identify the barriers preventing naloxone from becoming a socially accepted treatment
• Develop an education plan to effectively teach target communities about Narcan® training and related resources/centers in that area.

Behavioral Parent Training For Adhd And Sleep: A Dream Pair, Whitney Rolling

Research Days

Background: Estimates for children with attention-deficit/hyperactivity disorder (ADHD) and comorbid sleep disorders range from 25-75% (4,5,10). Among childhood sleep disorders, behavioral insomnia is one of the most common, with the treatment of choice being behavioral parent training (BPT) (4). BPT therefore is a common treatment element for both sleep disturbance and ADHD and presents a unique opportunity for more holistic pediatric care.

Objectives/Goal: Our objective was to implement and evaluate a behavioral sleep intervention in an ADHD behavioral parent training (BPT) program. Goals of the intervention were to decrease behavioral sleep symptoms, increase sleep duration, and decrease ADHD impairment.

Methods/Design: …

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.

Multimodal Approach To Chronic Pain Management And Prevention Of Opioid Use Disorder, Hannah Elston

The Eleanor Mann School of Nursing Undergraduate Honors Theses

Background. Chronic pain (CP) is a major public health problem that affects one-third of the population and can interfere with the activities of daily life and cause decreased quality of life. Patients with CP have been increasingly prescribed opioids, contributing to the rise in the opioid epidemic. Due to the long-term nature of CP, the use of opioids as the sole treatment for CP can cause tolerance and increased dosages overtime which can lead to addiction and potentially overdose. Therefore, CP treatment should include multimodal approaches to treatment to prevent opioid misuse, opioid use disorder (OUD), and overdose. Multimodal treatments …

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

Providence Portland Medical Center Internal Medicine 2022

No abstract provided.

Blood-Brain Barrier Dysfunction In Bipolar Disorder: Molecular Mechanisms And Clinical Implications, Ning O Zhao, Natasha Topolski, Massimo Tusconi, Erika M Salarda, Christopher W Busby, Camila N N C Lima, Anilkumar Pillai, Joao Quevedo, Tatiana Barichello, Gabriel R Fries

Faculty, Staff and Student Publications

Bipolar disorder (BD) is a severe psychiatric disorder affecting approximately 1-3% of the population and characterized by a chronic and recurrent course of debilitating symptoms. An increasing focus has been directed to discover and explain the function of Blood-Brain Barrier (BBB) integrity and its association with a number of psychiatric disorders; however, there has been limited research in the role of BBB integrity in BD. Multiple pathways may play crucial roles in modulating BBB integrity in BD, such as inflammation, insulin resistance, and alterations of neuronal plasticity. In turn, BBB impairment is hypothesized to have a significant clinical impact in …

The Feasibility And Utility Of Harnessing Digital Health To Understand Clinical Trajectories In Medication Treatment For Opioid Use Disorder: D-Tect Study Design And Methodological Considerations, Lisa A. Marsch, Ching-Hua Chen, Sara R. Adams, Asma Asyyed, Monique B. Does, Saeed Hassanpour, Emily Hichborn, Melanie Jackson-Morris, Nicholas C. Jacobson, Heather K. Jones, David Kotz, Chantal A. Lambert-Harris, Zhiguo Li, Bethany Mcleman, Varun Mishra, Catherine Stanger, Geetha Subramaniam, Weiyi Wu, Cynthia I. Campbell

Dartmouth Scholarship

Introduction: Across the U.S., the prevalence of opioid use disorder (OUD) and the rates of opioid overdoses have risen precipitously in recent years. Several effective medications for OUD (MOUD) exist and have been shown to be life-saving. A large volume of research has identified a confluence of factors that predict attrition and continued substance use during substance use disorder treatment. However, much of this literature has examined a small set of potential moderators or mediators of outcomes in MOUD treatment and may lead to over-simplified accounts of treatment non-adherence. Digital health methodologies offer great promise for capturing intensive, longitudinal ecologically-valid …