Psychiatric and Mental Health Nursing Commons^™

Mental Health Disparities In Minorities And Their Relation To Nursing Practice, Aaliyah Bailey, Ashley Clark, Ashlyn Bowers, Cassidy Paquette, Garrett Bassham

Epsilon Sigma at-Large Research Conference

Evidence Based Health Promotion Scientific Abstract

Introduction & Background:

Mental Health resources are scarce in rural areas. In 2020, suicide was the third leading cause of death for African Americans ages 15 to 24; this is only one example of the mental health disparities experienced by minority groups.

Purpose Statement and Research Question:

We saught to answer: “Are there greater mental health disparities among sexual and ethnic minorities, such as LGBTQ+ groups or Middle Eastern women, compared to their heterosexual, majority counterparts; if so, is there anything we can do about the issue as nurses?”

Literature Review:

To match the …

Fatherhood And The Influence Of Spouses Postpartum Depression On Relationship Satisfaction, Emma Salinas

Nursing | Student Research Posters

Postpartum depression and the effects it has on women have long been well studied and documented, however, little research has been done on how this illness affects these women’s partners. Considering the significant amount of research conducted on postpartum depression (PPD) from the perspective of women and the increasing trend towards family-oriented approaches, it is vital to further undertake studies concentrating on the male perspective of coping with a partner who has PPD. This in turn opens a new and important area of research for the clinical psychology community. This research proposal aims to focus on fathers’ coping styles when …

Improving The Psychosocial Effects Of A Burn Injury, Leila Young

Nursing | Student Research Posters

Burn injuries are an existing risk factor of social impairment. The main priority of care for a burn patient includes the focus on pain management and wound care. However, scarce research has been studied on how to improve the psychological adjustment of burn victims. There is limited availability of evidenced based practice that is related to promoting a healthy social life after a burn. Without interventions to help re-engage burn victims with society, they will turn to negative coping mechanisms such as avoidance, isolation and distancing. The goal of this study is to enhance the social interaction of burn survivors …

Effects Of Nurse-Patient Relationship On Medication Adherence Of Mental Health Patients, April Monica Magbual

Nursing | Student Research Posters

Medication adherence among mentally ill patients (MIP) is a significant issue in healthcare which require extra support & guidance to encourage better recovery. Administering medication is a critical role of nurses that must be performed effectively and appropriately. Employing a nurse-patient relationship (NPR) and nursing presence has been shown to create a positive outcome and an essential characteristic to improve medication adherence. However, there is insufficient research exploring NPR and medication adherence specifically for MIPs. Participants’ cultural variations, age range, specific interventions & economic factors influencing medication compliance are missing.

Maternal Postnatal Depressive Symptoms And Its Effects On Infant Bonding, Tammy Nguyen

Nursing | Student Research Posters

The objective of this thesis is to gain insight on precipitating factors that increase postpartum mother’s depressive symptoms, including stress and anxiety, and how attachment is influenced. Maternal-infant bonding is defined as the emotional relationship and interaction between mother and infant. Postnatal depressive symptoms typically are under-diagnosed due to a lack of education and the stigma of believing that the effects are “normal” consequences of motherhood. Those affected may not seek professional help. Unrealistic expectations about bonding with their infants can have a negative mental health impact on mothers and influence infants’ behaviors. High expectations of needing to be a …

Post-Traumatic Stress Disorder Among Healthcare Professionals Working In Emergency Transport And Critical Care Settings, Keenan Mai

Nursing | Student Research Posters

No abstract provided.

Dnp Final Report: Decreasing Stress & Anxiety In Nursing Students: A Mindfulness-Based Program Intervention, Jennifer L. Cole

DNP Final Reports

Nursing students experience increased stress and anxiety due to the rigorous requirements of nursing school. Students often feel pressure to perform in a competitive environment that stretches them mentally and physically to learn extensive didactic material while simultaneously performing competently in clinical settings. Without effective methods to address self-care, students may experience the ramifications of unresolved stress. The practice question guiding the project was: In undergraduate Level II nursing students (P), does implementing a Mindfulness Based Program (MBP) (I), compared to not implementing a MBP (C), affect stress, anxiety, and mindfulness (O) during a semester (T)? Based on systematic review …

Challenges To Coordination Of Care In The Diabetic Homeless Population, Melissa K. Smith

Doctoral Dissertations & Projects

Abstract

Diabetes mellitus (DM) significantly impacts the lives of Americans and the healthcare industry. Clinicians and patients utilize significant time, effort, and resources to combat the challenges faced. Homeless patients have additional burdens not experienced by those of housed individuals. A Midwest homeless shelter recognized the ongoing unmet needs for primary care and behavioral health services for their clinic patients. It was postulated that implementing a streamlined referral process to primary care services, enabling patients to be seen same day or next day, would increase utilization of services by this population. To increase the probability of patients presenting for their …

Creation And Implementation Of A Trauma-Informed Care Safety Tool In An Inpatient Mental Health Unit, Katie Rhea, Jeremy Williams, Teresa Rangel

Articles, Abstracts, and Reports

No abstract provided.

Dnp Final Report: Conquering Rn Turnover: Implementing Flexible Scheduling To Improve Job Satisfaction, Camille Y. Parsee

DNP Final Reports

Nurse turnover is a complex problem for the nursing profession, especially in the behavioral health setting, where turnover rates are higher than the overall RN national average. The consequences of high nurse turnover include increased health costs, low-quality patient care, and staffing constraints. The association between nurse turnover and job satisfaction is profound because of their reciprocal relationship; therefore, implementing an intervention to help mitigate nurse dissatisfaction is essential to overcoming nurse turnover. Flexible scheduling is an intervention that gives nurses independence with their schedule which improves work-life balance and promotes nurse retention (Wright, 2017). The following PICOT question was …

Evaluating The Efficacy Of Medication-Assisted Treatment For First Episode Psychosis: A Scoping Review, Chanel Thomas Msn, Aprn, Fnp-Bc, Rn-Bc, Alexandra Wittenberg Bsn, Rn-Bc, Anttrenika Anderson Bsn, Rn, Tracy Mcclinton Dnp, Aprn, Agacnp-Bc, Ebp-C

Doctor of Nursing Practice Projects

Purpose/Background

The Substance Abuse and Mental Health Services Administration (SAMHSA) recommends that individuals with substance use disorder (SUD) receive medicated-assisted treatment (MAT), as a complete approach to substance use treatment (SAMHSA, 2019). However, treatment measures using combination treatment for SUD in individuals experiencing first episode psychosis (FEP) are seldom used. This scoping review assesses the efficacy of MAT in conjunction with antipsychotics compared to the use of antipsychotic monotherapy for FEP individuals on hospital readmission rates.

Methods

The authors conducted a literature review utilizing PubMed, EBSCO, Elsevier, Google Scholar, PsychINFO, and Medline from August 2020 to November 2022. Key phrases …

Nursing Care Of Family Caregivers: Interventions And Considerations Regarding Current Issues Facing Family Caregivers Of Persons With Dementia Relevant To Nursing Practice, Alayna Kent

Senior Honors Theses

There are an estimated 6.5 million Americans age 65 and older who are currently living with Alzheimer’s dementia. A large majority of these individuals receive care from a nonprofessional family caregiver, typically in the home setting. It is well documented that family caregivers of dementia patients experience many unique challenges. These challenges provide valuable opportunities for nurses to provide helpful interventions to aid this vulnerable population. An integrated review of the recent literature was conducted, and articles were chosen by a method modeled after the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) flowsheet. The research was then analyzed …

Child Abuse From A Nursing Perspective: Assessment And Implications, Ashtyn Spring

Senior Honors Theses

Nurses experience the relationship dynamics between pediatric patients and their families firsthand. Being informed by the goals of holistic care, nurses should be assessing for unhealthy dynamics among pediatric patients and their caregivers so they can respond appropriately when a potential for abuse is present. Healthcare workers have the duty to provide safety and healing to their patients. Through the unique contact nurses have with patients, their training for accurate assessment skills, and their responsibility as healthcare workers, nurses are placed with the opportunity to help children out of abusive situations. Prompt identification of the potential for abuse can prevent …

Medication Adherence Via A Smartphone Application, Robert B. Marsh

Seton Hall University Dissertations and Theses (ETDs)

Medication adherence among the mentally ill is critical.

Creation And Implementation Of A Trauma Informed Care Safety Tool In An Inpatient Mental Health Unit, Katie Rhea, Jeremy Williams, Teresa Rangel

Providence Nursing Research Conference 2023 – Present

No abstract provided.

The Numbers Don’T Lie: A Quantitative Examination Of Trauma Outcomes Among Black Homeless Women, Lisa Marie Persad

Dissertations, Theses, and Capstone Projects

Based on the extensive levels of trauma exposure and the need to provide effective mental health treatment for homeless women and their families, this dissertation was conducted to better understand trauma-related psychological distress and associated mental health outcomes among Black homeless women. More specifically, this study’s researcher examined a national sample of homeless women using three theoretical frameworks (Social Determinants of Health, Critical Race Theory, and Intersectionality), conducting a secondary analysis of the Mental Health Client Level-2018 dataset from the Substance Abuse and Mental Health Services Administration (SAMHSA), and employing hierarchical logistic regression modeling to examine the relative impact of …

Decreasing Restraint Use By Utilization Of Agitation Assessment And Verbal De-Escalation Strategies In An Inpatient Non-Psychiatric Hospital, Kiera Paulo

DNP Qualifying Manuscripts

Background: This paper reviews the literature on ways to decrease the use of restraints in hospitals – specifically the use of agitation assessments and verbal de-escalation to be implemented in healthcare facilities to decrease the number of restraints being used to manage undesirable patient behavior and workplace violence incidents. Problem: Restraints have been shown to impede the nurse-patient relationship and cause emotional and physical trauma to staff and patients. They are no longer considered preferred management and in some circumstances can be considered abuse. Intervention: Agitation assessments and verbal de-escalation have been shown to produce less aggressive behavior and decrease …

Screenings To Decrease Pediatric Suicide, Jordan Bridges, Dana Schildmeyer, Amanda Austin, Laura Boesken

Posters-at-the-Capitol

This project aimed to examine the current practice related to mental health and depression screenings in pediatric patients. The benefits of implementing screening in schools in identifying depression and suicide risks sooner were also considered. This project focused on the correlation between earlier mental health screening and identification of these mental health disorders earlier in the life of pediatric patients and suicide rates. Current, published literature notes mental health screening in the pediatric population in schools is an effective method to facilitate monitoring and early intervention in detecting a mental illness. Schools implementing mental health screenings can result in increased …

The Use Of Non-Icu Confusion Assessment Method (Cam) For Delirium Management, Stephanie Barendt, John Sharon Hudson

College of Health Sciences Posters

The purpose of this study was to determine the effect the use of the non-intensive care unit confusion assessment method (non-ICU CAM) as an early screening tool for delirium would have on the nursing practice of medical surgical nurses. This quasi-experimental study focused on early screening and prevention training of inpatient nurses caring for adult inpatients to proactively reduce episodes of delirium. The training included an educational video on how to perform the non-ICU CAM assessment, 4 scenarios to test knowledge on scoring patient, and techniques for reducing delirium if patient is positive. After one month of multimodal training for …

Lived Experiences Of People With Substance Use Disorder As Healthcare Education To Develop Empathy For This Population, Whitney Bynum

Nursing | Student Research Posters

Stigmas that develop among healthcare workers regarding patients with substance use disorder include: "drug-seeking", "violent", and "unmotivated". These beliefs can decrease the quality of care provided and results in less people seeking out needed treatment. Healthy People's 2030 goals include reducing drug and alcohol addiction. In order to do this, healthcare workers need to show empathy and form trusting relationships with this patient population. Building a trusting relationship allows the patient to be more receptive to help and suggestions. Learning the life story of a patient can help healthcare workers develop empathy and reduce negative attitudes.

Effects Of Nurse-Patient Relationship On Mental Health Patients’ Medication Adherence/Healthcare Outcome, April Monica Magbual

Nursing | Senior Theses

Background and Significance: Medication adherence among mentally ill patients (MIP) is a significant issue which require extra support & guidance to encourage better recovery. Administering medication is a critical role of nurses that must be performed effectively and appropriately, especially for MIPs.

Literature Review and Gap in the Literature: There is insufficient research exploring NPR and medication adherence specifically for MIPs. Participants’ cultural variations, age range, specific interventions & economic factors influencing medication compliance are missing. The current study aims to explore strategies that nurses can implement during patient interaction in the hospital setting.

Study Design and Method: A qualitative …

Covid-19 And Eating Disorders: How Covid-19 Increased The Prevalence And Severity Of Eating Disorders, And The Lasting Implications, Lucy Rogers

Mahurin Honors College Capstone Experience/Thesis Projects

COVID-19 brought on a whirlwind of changes that were impossible to have foreseen. The impacts on individuals have left lasting impressions, the natures of which continue to be unearthed even now- 4 years later. This thesis will outline the impacts of COVID-19 on those suffering from eating disorders and disordered eating habits, as well as ideas for how to support and care for these individuals through their continued hardships which have been set in motion by the pandemic.

The research conducted on this topic utilized peer reviewed articles found through databases such as CINAHL, PubMed, and Cochrane Library. The findings …

Studying The Impact Of Hyperlipidemia Monitoring Tools On Referral Rates In Patients Taking Antipsychotics, Jasmyn S. Allen

Doctoral Projects

The purpose of this DNP project is to determine how well an evaluation tool may be used to track hyperlipidemia in patients using antipsychotic medicines who are between the ages of 20 and 50. Elevated lipid contents in the bloodstream, or hyperlipidemia, increase the danger of heart-related illnesses. Antipsychotic drugs, frequently administered for mental health disorders and dyslipidemia, have been connected. The goal is to ascertain whether utilizing an evaluation tool raises the three-month referral rates for hyperlipidemia to primary care (Dayabandara et al., 2017). The foundation of the research is found in several articles collected from different websites. According …

Effectiveness Of Staff Training On Trauma-Informed Care, Brandy Tramel Williams

Doctoral Projects

The connection between experiencing trauma and the development of substance use disorder is widely recognized. Although trauma is more prevalent among individuals with substance use disorders, healthcare professionals have limited access to training focused on trauma informed care. It is crucial for those working in addiction treatment to receive training and education on trauma informed care to understand the impact of trauma and its association with substance use disorders.

This DNP project's objective was to develop and evaluate an educational presentation for staff emphasizing the importance of trauma-informed care in the context of addiction. The effectiveness of this intervention was …

Bibliography, Kim Link

Faculty/Staff Personal Papers

Bibliography of publications by Kim Link.

Intentions To Seek Mental Health Services Among Arabs In The United States: The Effect Of A Tailored Web-Based Educational Video, Ohoud Alosais

Theses and Dissertations--Nursing

Arabs in the United States (U.S.) are exposed to different stressors that place them at high risk of developing adverse mental health outcomes. Compared to other minority groups, Arabs in the U.S. have reported significantly higher levels of anxiety and depression. Researchers have found disparities between the need for mental health services (MHS) and actual utilization among Arabs in the U.S. Understanding the intrapersonal factors involved in MHS’ help-seeking behavior among Arabs in the U.S. is essential to reduce the burdens caused by untreated mental health disorders in this population. Therefore, the purpose of this dissertation was to enhance our …

Implementation Of A Suicide Prevention Program In A Rural School, Mackenzie Wieser

Doctor of Nursing Practice (DNP) Practice Innovation Projects

Introduction: Suicide is a leading cause of death among today's youth. One in six youth have seriously considered attempting suicide, and one in 13 have attempted suicide at least once. Timely identification of those at risk and connection with appropriate help are critical. Elementary, middle, and high school teachers are ideally positioned to act as gatekeepers through early recognition of students in psychological distress and timely response and referral when appropriate.
Evidence Summary: Teachers report a sense of responsibility for providing indirect mental health services to youth but have a lack of sufficient training and preparedness. Kognito online simulations have …

Improving Screen Time Review And Adherence To Age-Based Limits In A Fqhc, Erin K. Milner

DNP Projects

Background: Children in the US spend an average of 7.5 hours a day in front of a screen, well above the recommended 2 hours per day for entertainment. Screen time of greater than 3 hours per day is associated with higher body mass indices and insulin resistance that can lead to type 2 diabetes. Providers should review and reinforce age-appropriate screen time guidelines at well-child visits. Screen time education and behavior contracts can be used to facilitate age-appropriate screen time.

Project Goals:

1. To implement screen time education and behavior contracts in a pediatric population in a federally qualified health center …

The Effects Of Prolonged Exposure Therapy On The Symptoms Of Patients With Posttraumatic Stress Disorder, Hannah Belle Pontillas

Nursing | Senior Theses

The Diagnostic and Statistical Manual of Mental Disorders or DSM-5 defines posttraumatic stress disorder or PTSD as persistent psychophysiological reactions including intrusive memories of trauma, negative feelings towards such memories, and avoidance of related stimuli—all of which are a direct result of experiencing a traumatic event. The first line of treatment for this particular mental disorder is considered to be prolonged exposure therapy or PE therapy due to its high success rate in treating the symptoms of moderate to severe PTSD as it encourages patients to directly confront and overcome their trauma. However, PE therapy has garnered concern as it …

Maternal Postnatal Depressive Symptoms And Its Effects On Infant Bonding, Tammy Nguyen

Nursing | Senior Theses

The objective of this thesis is to gain insight on precipitating factors that increase postpartum mother’s depressive symptoms, including stress and anxiety, and how attachment is influenced. Maternal-infant bonding is defined as the emotional relationship and interaction between mother and infant. Postnatal depressive symptoms typically are under-diagnosed due to a lack of education and the stigma of believing that the effects are “normal” consequences of motherhood. Those affected may not seek professional help. Unrealistic expectations about bonding with their infants can have a negative mental health impact on mothers and influence infants’ behaviors. High expectations of needing to be a …