Psychiatric and Mental Health Nursing Commons^™

Constructivism Applied To Psychiatric–Mental Health Nursing: An Alternative To Supplement Traditional Clinical Education, Michelle Hampton

Faculty Publications

With the popularity of accelerated pre‐licensure nursing programmes and the growth in nursing student enrolments, traditional clinical education continues to be a challenge to deliver. Nursing faculty members are required to develop and implement educational innovations that achieve effective learning outcomes, while using fewer resources. The purpose of this qualitative study was to explore the effectiveness of a constructivism‐based learning project to achieve specific learning outcomes and to supplement approximately 30 clinical hours in a psychiatric–mental health nursing course. Students participated in a 10‐week, multistage project that examined life histories, treatment resources, and evidence‐based practice, as applied to a single …

Developing A Nursing Based Support Group For Incarcerated Women Survivors Of Childhood Sexual Assault: Pathways For Healing, Paula Johns

Theses and Graduate Projects

Every year large numbers of women are incarcerated in jail, prisons or other correctional jurisdictions in America. Research has shown that more than half of these women report a history of sexual abuse as a child, many who have rarely told their story. Typical coping mechanisms for those who have been traumatized sexually are attempts to commit suicide, the use and abuse of drugs and alcohol, running away, disassociation, becoming promiscuous, or eating disorders, etc. These early adaptations at a young age can influence nearly every parameter of their lives, contributing to numerous other negative consequences, such as increased physical …

A Study Of Expressed Emotion In Psychiatric Nurses And Its Relation To The General Role And Effects Of Emotions In Nursing, Lauren A. Buck

Senior Honors Theses

Nurses play a vital role in the health and care of a patient. Through that care, the nurse has the ability to improve the patient’s experience or ruin it. A vital component influencing the care provided are the emotions the nurse displays toward her coworkers, patients, and patients’ family members. The emotions of a nurse may positively or negatively impact a patient. The studies that examine the impact of the nurse’s emotions on patient’s outcomes are varied and few. The communication and emotion of nurses are likely to impact their care and, from that, the patient’s outcome; however, there is …

Differences In Substance-Related Risk Behavior Between Dual And Triple Diagnosed Severely Mentally Ill Adults, Michelle Hampton, Linda Chafetz, Carmen Portillo

Faculty Publications

The purpose of this study was to determine whether differences exist between adults with dual and triple diagnoses with regard to substance-related risk behaviors. This secondary analysis was a cross-sectional study. There were 252 subjects with dual and triple diagnoses recruited from residential crisis programs in San Francisco. Using descriptive and logistic regression analyses, subjects in the two groups were compared with regard to demographic data, types of substances, and routes of administration used in the previous 30 days to determine risk for exposure and/or transmission of human immunodeficiency virus/hepatitis C virus. When compared to the dual diagnosis group, subjects …

Factors Predicting Exercise Behavior Of Graduate Students, Bibha Gautam

Theses and Dissertations

Graduate school is often experienced as a time of increased demands/expectations resulting in heightened levels of stress due to academic work, family responsibilities, job demands, financial pressure, and other life related issues. Besides stress, graduate school also brings about significant physical inactivity due to the shift of the immediate priority to academic accomplishment. Reports of increasing prevalence of cardiovascular disease (CVD) risk factors among students highlight that this group may have particular risk not well-identified. Yet, relative risk can be reduced by lifestyle modifications, such as eating well, exercising, and stress reduction. The majority of the risk factors, to a …

The Lived Experience Of Mothers Bereaved By The Suicide Death Of A Child., Cynthia Walker Lynn

Electronic Theses and Dissertations

Suicide has existed throughout recorded history. It is a phenomenon that has been both culturally and morally defined across time and civilizations. It is estimated that over 34,000 Americans deliberately take their own lives annually. Moreover, according to some experts, between 6 and 28 individuals are directly affected by each completed suicide. These individuals are referred to as suicide survivors. The consequences for suicide survivors are multidimensional in part because relationships to the deceased play a vital role in bereavement. Previous research studies in the areas of suicidology and bereavement have failed to explore the experience of mothers bereaved …

Understanding Autism, Kaileigh J. Sweeney

Senior Honors Projects

Understanding Autism

Kaileigh Sweeney

Faculty Sponsor: Carolyn Hames

Autism spectrum disorders are greatly misunderstood in today’s society.  In the United States, it is estimated that 1 in 110 children are diagnosed with an autism spectrum disorder.  Despite this high prevalence, a great deal of the population is under the impression that a diagnosis of autism is straight forward and indicative of one set of devastating signs and symptoms.  However, the severity of this disorder can range from mild to severe. According to the National Institute of Health, an autism spectrum disorder (ASD) is a range of complex neurodevelopment disorders characterized …

Assessing The Cultural Competence Of Healthcare Professionals In A Psychiatric Setting, Jean Kulas

Senior Honors Projects

Hospitals, nursing homes, and mental health facilities throughout Rhode Island admit patients from a multitude of cultures on a daily basis. As a result, healthcare professionals are often taking care of patients from backgrounds other than their own. Different groups of people have their own set of norms and unique views regarding medical treatment. How knowledgeable are healthcare workers about certain cultural practices, beliefs, and symptomatology?

My goal was to assess the cultural competency of healthcare professionals in a psychiatric and mental health facility in Rhode Island. I chose to focus on the mental health setting instead of a general …

What Is The Caregivers' (Certified Nursing Assistant) Perception Of Their Role While Caring For A Patient In The Household Model?, Daniyele Feaster

Nursing Theses and Capstone Projects

This was a mixed design study that assessed the caregivers' perception of their role while caring for patients in the household model. A sample of 12 caregivers currently employed in a long-term care facility operating in the household model was asked to complete a survey and answer 11 questions during a one on one interview. This interview tool allowed the caregivers the opportunity to rate their personal experiences, environment and express their feelings associated with their role as a certified nursing assistant working in a household model. The results indicated that the caregivers enjoyed working in the household environment and …

An Educational Workshop: Introducing An Evidence-Based Psychotherapy Strategy "Tool Kit" For The Treatment Of Chronic Depression, Kimberleigh Christine Cox

Doctor of Nursing Practice (DNP) Projects

No Abstract Available

Double The Outcomes: Employing Sensory Based Approaches To Improve The Quality Of Care And Reduce The Use Of Restraints On Inpatient Behavioral Health Units, Mary Ellen O'Connell Rn, Bsn, Msn, Mba, Jennifer P. Maloney Ms, Otr/L, Stephanie Lenhart Mba, Cphq

Administration & Leadership

No abstract provided.

What Behavioral Effect Does Recess Have On Elemetntary-Age Students Diagnosed With Attention Deficit Disorder And Attention Deficit Hyperactivity Disorder (Add/Adhd)?, Brittany Long

Honors Capstone Projects and Theses

No abstract provided.

Exploring The Impact Of Race On Mental Health Service Utilization Among African Americans And Whites With Severe Mental Illness, Michelle Hampton, Linda Chafetz, Mary White

Faculty Publications

BACKGROUND: Disparities among African Americans and Whites with severe mental illness have been identified in numerous studies. Yet it remains unknown if disparities are associated with race or other vulnerabilities common to this population. OBJECTIVES: This study used the Behavioral Model for Vulnerable Populations to examine mental health service utilization among 155 African Americans and Whites with severe mental illness for 12 months after discharge from a residential crisis program. DESIGN: This cross-sectional study was a secondary analysis of data from a randomized trial. RESULTS: Race did not emerge as a significant predictor of mental health service utilization. Factors associated …

A Pilot Study Of Bibliotherapy To Reduce Alcohol Problems Among Patients In A Hospital Trauma Center, Paul Amrhein, Timothy Apodaca, William R. Miller, Carol R. Schermer

Department of Psychology Faculty Scholarship and Creative Works

Because alcohol use plays a major role in many injuries that require hospital care, there is increasing interest in developing interventions to address alcohol problems among emergency department and trauma center patients. The aim of the current study was to extend past research on brief interventions by investigating the use of a self-help manual to treat problem drinkers in a hospital trauma center. Forty injured patients who were either intoxicated at the time of injury or screened positive for harmful drinking were randomly assigned to receive either a brief assessment and a self-help booklet with no more than 5 minutes …

Psychiatrists' And Psychiatric Aprns' Views Of The Adolescent Mental Health Nurse's Role In The Inpatient Setting, Dana Lehner

Honors Scholar Theses

Current perceptions about nurses’ roles and responsibilities are examined in this study, specifically relating to adolescent inpatient MHNs. Psychiatrists and psychiatric advanced practice registered nurses (APRNs), who work with MHNs and have also published scholarly psychiatric articles, were contacted to request their participation in an anonymous survey hosted by SurveyMonkey.com. This research was conducted to examine the stereotypes that exist against nurses within the health care profession itself, as compared to the pre-existing stereotypes displayed by the media’s view of nurses. Due to investigator time constraints, only six subjects participated in the study. Analysis of survey responses revealed four overarching …

Eligibility, Recruitment, And Retention Of African Americans With Severe Mental Illness In Community Research, Michelle Hampton, Mary White, Linda Chafetz

Faculty Publications

Data that addresses severely mentally ill (SMI) African Americans (AAs) likelihood to participate in clinical research is limited. This study’s purpose was to determine if differences exist between races regarding eligibility, recruitment, and retention in a community-based clinical trial. The sample included 293 participants. Data sources included clinical records and interviews. Logistic regression was used for analysis. AAs were as likely to participate and to complete followup interviews as Whites. In contrast to studies about non-mentally ill AAs, AAs with SMI appeared to be as willing to consent to and to remain in clinical research studies as Whites.

Image Of God: Effect On Coping, Psycho-Spiritual Well-Being And Fear Of Recurrence In Early Breast Cancer Survivors, Judith Anne Schreiber

University of Kentucky Doctoral Dissertations

The purpose of this dissertation was to examine whether a breast cancer survivor’s view of God influences her religious coping strategies, depression, anxiety, stress, fear of recurrence, and psychological well-being. These variables were selected based on literature that demonstrates relationships among them for breast cancer survivors. The specific aims of this dissertation were to: 1) identify religious coping strategies common to each of the four views of God; 2) examine the relationship of psychological well-being (Ryff) and religious coping strategies; and 3) examine differences in depression, anxiety, stress, fear of recurrence, and psychological well-being among women holding various views of …

Bring Mental Health Services Home: Meeting The Mental Health Needs Of Adolescents And Their Families In Rural Minnesota, Laura Filzen

All Graduate Theses, Dissertations, and Other Capstone Projects

The purpose of this project was to develop a program that addressed housing and therapeutic support to adolescents experiencing mental health issues, allowed adolescents to remain in the community, and promoted reunification with their families. “An important indicator of success for children in out-of-home care is a timely transition to reunification” (Park and Ryan, 2009). Based on the literature and practice, it is believed that intensive family therapy is needed to promote reunification and reduce recidivism of placement.

Nursing Attitudes Regarding Suicidal Patients Before And After Staff Education In Preparation For Hospital-Wide Suicide Assessments., Karen Burke Rn, Gail Stern Msn, Edward R. Norris Md, Fapa, Fapm, Carol A. Foltz Phd, Ralph A. Primelo Md, Michael Kaufmann Md, Terry A. Capuano Mba, Msn, Rn, Fache, Ne-Bc

Patient Care Services / Nursing

No abstract provided.

Predictors Of Depressive And Anxiety Symptoms Among African American Hiv-Positive Women, Nina Katherine Sublette

Theses and Dissertations (ETD)

This descriptive correlation study had four purposes: describe depressive and anxiety symptom levels in pregnant and non-pregnant African American (AA) HIV-positive women, examine the association between underlying vulnerabilities and depressive symptoms in HIV-positive AA women, determine the association between underlying vulnerabilities and anxiety symptoms in AA HIV-positive women, and determine the predictors of depressive and anxiety symptoms among African American HIV-positive women. A convenience sample of 80 African American HIV-positive women was recruited from university-based obstetrics/-gynecology and infectious disease practices in a large metropolitan city in the Mid-South. Depressive symptoms were measured with the Center for Epidemiologic Studies Depression Scale …

Displaced And Dispossessed: Caring For The World’S Refugees, Shela Akbar Ali Hirani

School of Nursing & Midwifery

No abstract provided.

The Family Experience With Eating Disorders Scale: Psychometric Analysis, Victoria Folse

Scholarship

The role of the family in the development and maintenance of eating disorders is frequently cited in the literature; however, common methodological issues, including the use of diverse family assessment instruments with inadequate psychometric properties, exist. Further, variables specific to families with eating disorder are not being captured in available instruments. The modeling and role-modeling theory (Erickson, H., Kinney, C. (Eds). 1990. Modeling and role-modeling: Theory, practice, and research. Austin, TX: Society for Advancement of Modeling and Role-Modeling; Erickson, H. Tomlin, E., Swain, M. A.1983. Modeling and role-modeling: A theory and paradigm for nursing. Englewood Cliffs, NJ: Prentice-Hall.) was employed …

Humor And Laughter May Influence Health [Part] Iv. Humor And Immune Function, Mary Payne Bennett, Cecile Lengacher

Nursing Faculty Publications

This is the final article in a four part series reviewing the influence of humor and laughter on physiological and psychological well-being. This final article reviews the evidence for the effect of sense of humor, exposure to a humor stimulus and laughter on various immune system components, with a focus on the effects of laughter on natural killer cell cytotoxicity.

Humor And Laughter May Influence Health: [Part] Iii. Laughter And Health Outcomes, Mary Payne Bennett, Cecile Lengacher

Nursing Faculty Publications

This is part three of a four-part series reviewing the evidence on how humor influences physiological and psychological well-being. The first article included basic background information, definitions and a review of the theoretical underpinnings for this area of research. The second article discussed use of humor as a complementary therapy within various clinical samples, as well as evidence concerning how a sense of humor influences physiological and psychological wellbeing. This third article examines how laughter influences health outcomes; including muscle tension, cardio-respiratory functioning and various stress physiology

Recognition Of Depression In Primary Care Settings: The Influence Of Patient Age And Gender On Patient Care, Kelly Marie Monette

All-Inclusive List of Electronic Theses and Dissertations

Depression is a common condition that is often poorly detected in primary care medical settings. The elderly often fail to receive appropriate attention to their mental health needs, possibly due to physician's interpretation of physical and emotional changes as part of the normal aging process. The purpose of this study was to explore physicians' identification of depression and to determine whether age-related factors and gender impact recommendations for patient care. The respondents were full-time primary care physicians (N = 46; 63% male) who were randomly selected from a national listing of family medicine practitioners and primary care physicians (family medicine, …

A Study Of Adolescent Depression Among Middle School Students, Cristina Lee

Master's Projects

Adolescent depression and teenage suicide should not be neglected and underestimated. While mental health is one of the ten health indicators that Healthy People 20 I 0 is focused on, and there are goals for the health community to work on, statistics are showing that teenagers in a county in Northern California were at high risk for mental health problem. This study was an introductory screening of the depression level of 7th graders attending middle school, and explored sources of adolescent perceived stress and routes of assistance. Results of the study show that almost one in every five 7th graders …

Recruitment And Retention Of African Americans With Severe Mental Illness In Community Research, Michelle Hampton, Mary White, Linda Chafetz

Faculty Publications

No abstract provided.

Humor And Laughter May Influence Health: [Part] Ii. Complementary Therapies And Humor In A Clinical Population, Mary Payne Bennett, Cecile Lengacher

Nursing Faculty Publications

Our results support a connection between sense of humor and self-reported physical health, however, it is difficult to determine the relationship to any specific disease process. Whereas relationships between sense of humor and self-reported measures of physical well-being appear to be supported, more research is required to determine interrelationships between sense of humor and well-being.

Humor And Laughter May Influence Health. [Part] I. History And Background, Mary Payne Bennett, Cecile A. Lengacher

Nursing Faculty Publications

Articles in both the lay and professional literature have extolled the virtues of humor, many giving the mpression that the health benefits of humor are well documented by the scientific and medical community.The concept that humor or laughter can be therapeutic goes back to biblical times and this belief has received varying levels of support from the scientific community at different points in its history. urrent research indicates that using humor is well accepted by the public and is frequently used as a oping mechanism. However, the scientific evidence of the benefits of using humor on various health related outcomes …

Perceived Stressors, Coping Strategies, And Burnout Pertaining To Psychiatric Nurses Working On Locked Psychiatric Units, Richard A. White

Master's Theses and Doctoral Dissertations

The purpose of this study was to describe perceived occupational stressors, coping strategies, and burnout levels of psychiatric nurses working on locked psychiatric units in southeastern Michigan (N = 46), as well as to examine the relationships among demographic factors and these variables. This study utilized a correlation design, adapting the stress, coping, and burnout theoretical frameworks of Seyle, Lazarus, Folkman, and Maslach.

The results indicated that the majority of psychiatric nurses in this study were experiencing low levels of stress and moderate levels of burnout. The findings suggested that staffing issues were an important factor in determining stress …