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Articles 2101 - 2130 of 2877
Full-Text Articles in Psychiatry and Psychology
Journal Cover And Front Matter
The Effects Of The Tootling Intervention Using Daily Reinforcement, Melissa Bryanne Mchugh
The Effects Of The Tootling Intervention Using Daily Reinforcement, Melissa Bryanne Mchugh
Master's Theses
The current study was designed to replicate and extend the literature on the effectiveness of a classroom intervention known as Tootling (Skinner, Skinner, & Cashwell, 1998) in decreasing disruptive classroom behavior as well as increasing academically engaged classroom behavior. Tootling is a strategy that encourages and prompts students to report instances of their peers’ positive behaviors. Thus far, only three studies have utilized direct observation data for disruptive behavior during Tootling (Cihak, Kirk, & Boon, 2009; Lambert, 2012, 2014). To extend the research on Tootling, direct observation data of disruptive and academically engaged behaviors were collected on both entire classes …
On Reporting The Onset Of The Intention To Move, Uri Maoz, Liad Mudrik, Ram Rivlin, Ian Ross, Adam Mamelak, Gideon Yaffe
On Reporting The Onset Of The Intention To Move, Uri Maoz, Liad Mudrik, Ram Rivlin, Ian Ross, Adam Mamelak, Gideon Yaffe
Psychology Faculty Books and Book Chapters
"In 1965, Hans Kornhuber and Luder Deecke made a discovery that greatly influenced the study of voluntary action. Using electroencephalography (EEG), they showed that when aligning some tens of trials to movement onset and averaging, a slowly decreasing electrical potential emerges over central regions of the brain. It starts 1 second ( s) or so before the onset of the voluntary action1 and continues until shortly after the action begins. They termed this the Bereitschaftspotential, or readiness potential (RP; Kornhuber & Deecke, 1965).2 This became the first well-established neural marker of voluntary action. In that, the RP allowed for more …
Cross-Disciplinary Sciences At Gettysburg College: Second Annual Poster Presentation, X-Sig
Cross-Disciplinary Sciences At Gettysburg College: Second Annual Poster Presentation, X-Sig
Student Publications
This booklet includes Biology student presentations by: Taylor Bury, Abigail Dworkin-Brodsky, Mary Pearce, Jasper Leavitt, Morgan Panzer, Ellen Petley, Kalli Qutub, Taylor Randell, Samantha Eck, Lana McDowell, Jenn Soroka, Celina Harris, Natalie Tanke, Alexandra Turano, and Caroline Garliss.
This booklet includes Biochemistry & Molecular Biology student presentations by: Matthew Dunworth, Andrew Sydenstricker, Brianne Tomko, Albert Vill, Warren Campbell, David Van Doren, Kevin Mrugalski, Stacey Heaver, Alecia Achimovich, and Katherine Boas.
This booklet includes Chemistry student presentations by: Kristen Baker, Laura Lee, Kathryn Fodale, Daniel Ruff, Michael Counihan, Ida DiMucci, Joshua Sgroi, Celina Harris, and Natalie Tanke.
This booklet include Health …
Research Brief: "Cost-Effectiveness Of Supported Employment For Veterans With Spinal Cord Injuries", Institute For Veterans And Military Families At Syracuse University
Research Brief: "Cost-Effectiveness Of Supported Employment For Veterans With Spinal Cord Injuries", Institute For Veterans And Military Families At Syracuse University
Institute for Veterans and Military Families
This study focuses on individuals with a spinal cord injury (SCI) and their employment challenges. Clinical trials on supported employment (SE) intervention have established that SE is at least two times more effective in gaining competitive employment, and the cost of Spinal Cord Injury Vocational Integration Program (SCI-VIP) intervention at the one-year mark was not significantly different from the usual employment assistance offered to veterans with SCI. In practice, Veterans with SCI looking for employment should participate in SE interventions offered through the VA or other organizations, and Veterans with SCI who are seeking employment should know that there are …
Percepciones De La Salud Mental En Cochabamba / Femicide In Bolivia After Perceptions Of Mental Health In Cochabamba, Phoebe House
Percepciones De La Salud Mental En Cochabamba / Femicide In Bolivia After Perceptions Of Mental Health In Cochabamba, Phoebe House
Independent Study Project (ISP) Collection
El propósito de este proyecto es examinar las actitudes que existen en Cochabamba, Bolivia hacia la salud mental y los trastornos mentales. Usé principalmente las entrevistas para descubrir las opiniones de profesionales de la salud mental, estudiantes de psicología y las trabajadoras de un hogar de niños que se llama la Casa de Amor para Niños, donde hice un voluntariado. Aunque los resultados de este proyecto no son generalizables a la población entera de Cochabamba, hay evidencia de opiniones generalmente negativas hacia la salud mental y los trastornos mentales. Sin embargo, también hay evidencia que estas opiniones se pueden mejorar …
“Me & My Brain”: Exposing NeuroscienceʼS Closet Dualism, Liad Mudrik, Uri Maoz
“Me & My Brain”: Exposing NeuroscienceʼS Closet Dualism, Liad Mudrik, Uri Maoz
Psychology Faculty Articles and Research
Our intuitive concept of the relations between brain and mind is increasingly challenged by the scientific world view. Yet, although few neuroscientists openly endorse Cartesian dualism, careful reading reveals dualistic intuitions in prominent neuroscientific texts. Here, we present the “double-subject fallacy”: treating the brain and the entire person as two independent subjects who can simultaneously occupy divergent psychological states and even have complex interactions with each other—as in “my brain knew before I did.” Although at first, such writing may appear like harmless, or even cute, shorthand, a closer look suggests that it can be seriously misleading. Surprisingly, this confused …
The Epidemic Of Mental And Neurological Health, Mohsyn I. Malik
The Epidemic Of Mental And Neurological Health, Mohsyn I. Malik
Psychology Publications
This paper composes an image of modern mental and neurological health issues and looks to draw links to the current epidemic based on research and studies found online the internet and off-line. The goal is to examine what may be the underlying problem for a lot of these increases in mental health issues and neurodegenerative diseases and what are some promising clinical and sociocultural advances that may help. It explores problems such as the negative impact of the pharmaceutical giants, the increase in apathy in the work place and the general stigma towards mental disease. Through current research, the use …
Food Insecurity And Psychological Well-Being Among Women Living With Hiv/Aids On Antiretroviral Therapy In The Alabama Black Belt, Andrew A. Zekeri, Youssouf Diabate
Food Insecurity And Psychological Well-Being Among Women Living With Hiv/Aids On Antiretroviral Therapy In The Alabama Black Belt, Andrew A. Zekeri, Youssouf Diabate
Professional Agricultural Workers Journal
The objective of this research was to estimate the prevalence of food insecurity and determine if food insecurity is associated with psychological well-being among women living with HIV/AIDS. Survey data were collected from 268 women living with HIV/AIDS attending two clinics that provide medical and social support services to HIV-positive patients who live in 23 counties in Southeast Alabama. The results indicated that, using USDA food security scale, 54% of the women were food insecure. Multiple regression analysis results indicated that income, depressive symptoms, race, and participation in SNAP were significant predictors of food insecurity; employment and education were not …
Facilitated Detection Of Social Cues Conveyed By Familiar Faces, Matteo Visconti Di Oleggio Castello, J. Swaroop Guntupalli, Hua Yang, M. Ida Gobbini
Facilitated Detection Of Social Cues Conveyed By Familiar Faces, Matteo Visconti Di Oleggio Castello, J. Swaroop Guntupalli, Hua Yang, M. Ida Gobbini
Dartmouth Scholarship
Recognition of the identity of familiar faces in conditions with poor visibility or over large changes in head angle, lighting and partial occlusion is far more accurate than recognition of unfamiliar faces in similar conditions. Here we used a visual search paradigm to test if one class of social cues transmitted by faces—direction of another’s attention as conveyed by gaze direction and head orientation—is perceived more rapidly in personally familiar faces than in unfamiliar faces. We found a strong effect of familiarity on the detection of these social cues, suggesting that the times to process these signals in familiar faces …
The Impact Of Technology On Adolescent Identity Development, Christina Frederick, Amy Bradshaw Hoppock, Devin Liskey, Daniel Brown
The Impact Of Technology On Adolescent Identity Development, Christina Frederick, Amy Bradshaw Hoppock, Devin Liskey, Daniel Brown
Publications
This paper explores how technology use in adolescence facilitates adult identity achievement and presents evidence that technological objects, such as smartphones have become adolescent transitional objects. Early and late adolescents were surveyed about technology use and feelings associated with technology. Among older adolescents, anxiety level was related to smart phone use, such that higher anxiety was associated with greater smart phone use. The feelings and behaviors associated with use of the preferred device are consistent with feelings and behaviors associated with use of a transitional object. In contrast, younger adolescents did not appear to use technology as a transitional object. …
Intentions And Voluntary Actions: Reframing The Problem, Aaron Schurger
Intentions And Voluntary Actions: Reframing The Problem, Aaron Schurger
Psychology Faculty Articles and Research
Nachev and Hacker are justified in drawing our attention to the importance of conceptual clarity and coherence as these are too often overshadowed by technical sophistication and methodological rigor, which by themselves count for little. But can a process of “conceptual analysis” actually help us to avoid pitfalls, or does it merely serve to expose those pitfalls in hindsight? What is needed is a method for making scientific arguments formulaic and laying bare the implicit assumptions. We have tools for this, but not everyone uses them.
Risk Factors Of Suicidal Phenomenon: Prevention And Intervention, Lisa M. Meyer
Risk Factors Of Suicidal Phenomenon: Prevention And Intervention, Lisa M. Meyer
Journal of Undergraduate Research at Minnesota State University, Mankato
Around the world suicide has caused more deaths per year than homicide or war (World Health Organization, 2002). Suicidal attempts (the person survives) and suicidal ideation (thinking seriously about suicide) are others dimensions of the suicide phenomenon. A number of risk factors have been considered as factors contributing to the increased likelihood of suicidal ideation, attempts, and completions. Sociological (external) factors and psychological (internal) factors have been considered in increasing suicidal risk. Beyond the individual factors research has also explained the family, social, and community aspects of the suicidal phenomenon. Helping professionals planning suicide intervention and prevention strategies need to …
Asperger's Disorder In Older Adulthood: The Unique Treatment Concerns And Implications For Applying Cognitive Behavioral Therapy, Brian Beaumund
Asperger's Disorder In Older Adulthood: The Unique Treatment Concerns And Implications For Applying Cognitive Behavioral Therapy, Brian Beaumund
Graduate School of Professional Psychology: Doctoral Papers and Masters Projects
This article provides a theoretical consideration for the problems faced by older adults diagnosed with Asperger’s Disorder as well as implications for applying Cognitive Behavioral Therapy with this distinct population. The author presents the relevant literature concerning the unique presentation and common problems of each, traditionally distinct population: (a) older adults and (b) Asperger’s Disorder. The author then extrapolates this data into a theoretical conceptualization of the unique clinical presentation and treatment considerations for the underrepresented population of older adults with Asperger’s Disorder. The author then presents a review of the relevant literature concerning the application of Cognitive Behavioral Therapy …
Cluster B Personality Disorders Separated By Gender Expectations, Brianna Kloss
Cluster B Personality Disorders Separated By Gender Expectations, Brianna Kloss
Journal of Undergraduate Research at Minnesota State University, Mankato
Criticisms of the Diagnostic and Statistical Manual of Mental Disorders (4th ed., text rev.; DSM-IV-TR; American Psychiatric Association [APA], 2000), the most widely recognized system for classification of psychological disorders in the U.S., including gender discriminating disorders and diagnoses, have existed for all editions of the DSM. Arguably, gender construction has a profound influence on the standards and evaluation of normal and abnormal behaviors. Concern for the presence of gender bias of personality disorders has been raised within the DSM, in part, by the frequent diagnoses made according to gender stereotypes. The DSM-IV-TR characterizes personality disorders as marked distress and …
Basic Psychological Needs, Suicidal Ideation, And Risk For Suicidal Behavior In Young Adults, Peter C. Britton, Kimberly A. Van Orden, Jameson K. Hirsch, Geoffrey C. Williams
Basic Psychological Needs, Suicidal Ideation, And Risk For Suicidal Behavior In Young Adults, Peter C. Britton, Kimberly A. Van Orden, Jameson K. Hirsch, Geoffrey C. Williams
ETSU Faculty Works
Associations between the satisfaction of basic psychological needs of autonomy, competence, and relatedness with current suicidal ideation and risk for suicidal behavior were examined. Two logistic regressions were conducted with a cross-sectional database of 440 university students to examine the association of need satisfaction with suicidal ideation and risk for suicidal behavior, while controlling for demographics and depressive symptoms. Suicidal ideation was reported by 15% of participants and 18% were found to be at risk for suicidal behavior. A one standard deviation increase in need satisfaction reduced the odds of suicidal ideation by 53%, OR (95% CI) = 0.47 (0.33–0.67), …
Mental Health Referral In Primary Care: Influence Of A Screening Instrument And A Brief Educational Intervention, Michael T. Miesner
Mental Health Referral In Primary Care: Influence Of A Screening Instrument And A Brief Educational Intervention, Michael T. Miesner
Electronic Theses and Dissertations
Although less than half of all patients with mental disorders seek mental health treatment per se, approximately 80% of all people will visit their primary care physician (PCPs) within a year (Strosahl, 1998). However, it is not well understood how to best handle patients presenting with mental health issues in primary care practices. The purpose of this project was to implement an intervention involving a screening measure for anxiety and mood disorders in a primary care setting to increase the volume of anxiety and mood disorder screening, to increase the accuracy of disorder detection, and to also enhance PCPs patterns …
Grandfamilies Outcome Workgroup’S (Grow) Review Of Grandfamilies Support Groups: An Examination Of Concepts, Goals, Outcomes And Measures, Kerry A. Littlewood
Grandfamilies Outcome Workgroup’S (Grow) Review Of Grandfamilies Support Groups: An Examination Of Concepts, Goals, Outcomes And Measures, Kerry A. Littlewood
GrandFamilies: The Contemporary Journal of Research, Practice and Policy
A support group is the most widely used intervention for grandparents and other relatives raising children. Support groups require few resources to establish and are relatively inexpensive to implement. Despite the popularity of support groups for grandfamilies, there is little evidence evaluating their effectiveness to improve the lives of its members. In response to this issue and to support outcome-based research in the field, the Grandfamilies Outcome Workgroup (GrOW) was established. This study highlights GrOW’s review of the literature on the effectiveness of support groups for grandfamilies. Next, the GrOW Inventory of Support Groups (GrOW Inventory) was developed to explore …
Development Of A Short Version Of The Modified Yale Preoperative Anxiety Scale, Brooke N. Jenkins, Michelle Fortier, Sherrie H. Kaplan, Linda C. Mayes, Zeev N. Kain
Development Of A Short Version Of The Modified Yale Preoperative Anxiety Scale, Brooke N. Jenkins, Michelle Fortier, Sherrie H. Kaplan, Linda C. Mayes, Zeev N. Kain
Psychology Faculty Articles and Research
BACKGROUND: The modified Yale Preoperative Anxiety Scale (mYPAS) is the current “criterion standard” for assessing child anxiety during induction of anesthesia and has been used in >100 studies. This observational instrument covers 5 items and is typically administered at 4 perioperative time points. Application of this complex instrument in busy operating room (OR) settings, however, presents a challenge. In this investigation, we examined whether the instrument could be modified and made easier to use in OR settings.
METHODS: This study used qualitative methods, principal component analyses, Cronbach αs, and effect sizes to create the mYPAS-Short Form (mYPAS-SF) and reduce time …
Can Anyone With Low Income Be Food Secure?: Mitigating Food Insecurity Among Low Income Households With Children In The Tampa Bay Area, Edgar Allan Amador
Can Anyone With Low Income Be Food Secure?: Mitigating Food Insecurity Among Low Income Households With Children In The Tampa Bay Area, Edgar Allan Amador
USF Tampa Graduate Theses and Dissertations
In the US over the last few years, approximately 14.5% of households experience food insecurity at some point throughout the year. While studies on food insecurity in the US have determined that household income and specifically income available to spend on food is of critical importance to food security, it is still unclear why some households with low income are able to maintain food security while others experience food insecurity in a pattern characterized as not constant but recurrent. This dissertation compares households with children at different levels of food security and insecurity using the USDA Core Food Security Module …
The Interplay Of Trait Anger, Childhood Physical Abuse, And Alcohol Consumption In Predicting Intimate Partner Aggression, Rosalita C. Maldonado, Laura E. Watkins, David Dilillo
The Interplay Of Trait Anger, Childhood Physical Abuse, And Alcohol Consumption In Predicting Intimate Partner Aggression, Rosalita C. Maldonado, Laura E. Watkins, David Dilillo
Department of Psychology: Faculty Publications
The current study examined three well-established risk factors for intimate partner aggression (IPA) within Finkel and Eckhardt’s I3 model, including two impellance factors—trait anger and childhood physical abuse history—and the disinhibiting factor of alcohol consumption. Participants were 236 male and female college students in a committed heterosexual dating relationship who completed a battery of self-report measures assessing childhood physical abuse, trait anger, alcohol consumption, and IPA perpetration. Results revealed a significant three-way interaction showing that as the disinhibition factor alcohol consumption increased, the interaction of the two impelling factors, trait anger and childhood physical abuse, became increasingly more positive. …
Practicing Patienthood Online: Social Media, Chronic Illness, And Lay Expertise, Collette Sosnowy
Practicing Patienthood Online: Social Media, Chronic Illness, And Lay Expertise, Collette Sosnowy
Publications and Research
The use of digital technologies and social media by people with serious illness to find, share, and create health information is much celebrated but rarely critiqued. Proponents laud “Health 2.0” as transforming health care practice and empowering patients. Critics, however, argue that a discourse of developing lay expertise online masks the disciplinary practices of the neoliberal state’s emphasis on individual responsibility. Notably, the perspectives of people who are engaging with social media related to their health and illness are under-represented in this debate. This research examines the experiences and perspectives of women who blog about their lives with Multiple Sclerosis …
Risk Factors For Posttraumatic Stress Disorder In Haitian Students, Gretel Silvestre, Pascale Anacréon, Michèle Théodore, Emmanuel Silvestre, Eugenia Garcia-Dubus
Risk Factors For Posttraumatic Stress Disorder In Haitian Students, Gretel Silvestre, Pascale Anacréon, Michèle Théodore, Emmanuel Silvestre, Eugenia Garcia-Dubus
Publications and Research
The aim of this study was to assess the prevalence of posttraumatic stress disorder (PTSD) in undergraduate students after the Haiti earthquake on January 12, 2010, as well as to identify the risk factors involved in the development of PTSD symptoms in this sample. Evaluations concerning depression, anxiety, risk and protective factors, and PTSD symptoms were conducted in 246 Haitian undergraduate students enrolled in a Dominican private university. Results indicate a prevalence of 36% for PTSD 2 years after the earthquake, with a high prevalence also of depression (31.7%) and anxiety (21.1%). Some of the risk factors identified are being …
If You Can’T Take The Heat, Stay Out Of The Kitchen: A Reflection On “Student Beliefs, Multiculturalism, And Client Welfare.”, Thomas G. Plante
If You Can’T Take The Heat, Stay Out Of The Kitchen: A Reflection On “Student Beliefs, Multiculturalism, And Client Welfare.”, Thomas G. Plante
Psychology
In Student beliefs, multiculturalism, and client welfare, Professor Kristin Hancock offers a thoughtful description of and reflection on the contemporary challenges associated with psychology graduate trainees managing their personal and religious beliefs and practices with the training and professional demands of the psychology profession and their educational training institutions. She reviewed several recent court cases (e.g., Ward v. Polite et al., Keeton v. Anderson-Wiley et al., Ward v. Wilbanks et al.) where psychology students sued their graduate programs (typically secular state universities) because their training requirements included multicultural competency training involving sexual issues such as homosexuality. These graduate training …
Family Criticism And Depressive Symptoms In Older Adult Primary Care Patients: Optimism And Pessimism As Moderators, Jameson K. Hirsch, Kristin L. Walker, Ross B. Wilkinson, Jeffrey M. Lyness
Family Criticism And Depressive Symptoms In Older Adult Primary Care Patients: Optimism And Pessimism As Moderators, Jameson K. Hirsch, Kristin L. Walker, Ross B. Wilkinson, Jeffrey M. Lyness
ETSU Faculty Works
Objective: Depression is a significant global public health burden, and older adults may be particularly vulnerable to its effects. Among other risk factors, interpersonal conflicts, such as perceived criticism from family members, can increase risk for depressive symptoms in this population. We examined family criticism as a predictor of depressive symptoms and the potential moderating effect of optimism and pessimism.
Methods: One hundred five older adult, primary care patients completed self-report measures of family criticism, optimism and pessimism, and symptoms of depression. We hypothesized that optimism and pessimism would moderate the relationship between family criticism and depressive symptoms.
Results: In …
Learning From Las Vegas: Gambling, Technology, Capitalism, And Addiction, David T. Courtwright
Learning From Las Vegas: Gambling, Technology, Capitalism, And Addiction, David T. Courtwright
Occasional Papers
Gambling has always led to addictive behavior in some individuals. However, the number and types of addicted gamblers have changed over time and in response to specific gambling environments. Recent work by historians, journalists, and anthropologists, reviewed in this paper, suggests that the situation worsened during the modern era, and that it has become worse still during the last half century. Technological, organizational, and marketing innovations have “weaponized” gambling, increasing both the likelihood that people will gamble and that they will gamble compulsively—a phenomenon with parallels to several other consumer products, including processed food, digitized games, and psychoactive drugs.
Toward A Dynamical Theory Of Body Movement In Musical Performance, Roger Chaffin, Alexander P. Demos
Toward A Dynamical Theory Of Body Movement In Musical Performance, Roger Chaffin, Alexander P. Demos
Open Access Author Fund Awardees' Articles
Musicians sway expressively as they play in ways that seem clearly related to the music, but quantifying the relationship has been difficult. We suggest that a complex systems framework and its accompanying tools for analyzing non-linear dynamical systems can help identify the motor synergies involved. Synergies are temporary assemblies of parts that come together to accomplish specific goals. We assume that the goal of the performer is to convey musical structure and expression to the audience and to other performers. We provide examples of how dynamical systems tools, such as recurrence quantification analysis (RQA), can be used to examine performers' …
Savor The Memory: A Reminiscence Exercise To Increase Positive Emotions And Reduce Depression Risk In Anxious Individuals, Bethany Morris
Savor The Memory: A Reminiscence Exercise To Increase Positive Emotions And Reduce Depression Risk In Anxious Individuals, Bethany Morris
USF Tampa Graduate Theses and Dissertations
A growing literature suggests that experiencing positive emotions provides psychological benefits (e.g., Coifman et al. 2007), and interventions increasing positive emotions may reduce depression risk (Geschwind et al., 2011). The present study tested whether reminiscence, a method of positive emotion savoring (Quoidbach et al., 2010), can mitigate depression risk by increasing positive emotions in an unselected sample and a subsample of at-risk anxious individuals. Female participants (n=336) were randomized to a reminiscence or control condition and asked to complete daily mental imagery exercises focusing on a positive memory (reminiscence) or a neutral laboratory memory (control) for one week. As expected, …
Discovering Behavioral Intervention: A Parent’S Interactive Guide To Aba, Richard Fleming, Carol Curtin, Cheryl A. Gray, Charles D. Hamad
Discovering Behavioral Intervention: A Parent’S Interactive Guide To Aba, Richard Fleming, Carol Curtin, Cheryl A. Gray, Charles D. Hamad
Current Issues in Emerging eLearning
Autism spectrum disorders (ASD) affect one in 110 children in the U.S. Parents of children with ASD need clear and accurate information to communicate with professionals as they seek appropriate services, including applied behavior analysis (ABA) based intervention. Behavioral professionals can assist parents in this endeavor by recommending resources, including online courses. This paper describes the development and evaluation of an online course on ABA for parents of children with ASD. Parents completing a summative field test (N=21) made significant gains in knowledge and reported high levels of satisfaction. Implications include the potential for enhanced parent-professional collaboration in treatment decision-making.
The Effect Of Patient Education On Anxiety Levels In Patients Receiving Chemotherapy For The First Time, Sarah Garcia
The Effect Of Patient Education On Anxiety Levels In Patients Receiving Chemotherapy For The First Time, Sarah Garcia
Evidence-Based Practice Project Reports
Cancer affects approximately 1.5 million people every year throughout the United States.Comprehensive care that includes psychosocial aspects is important to help patients effectively adapt to their diagnosis and treatment plan. Improper prevention and management of anxiety can lead to poor psychosocial outcomes, dissatisfaction with care, and decreased adherence to treatment. Current evidence suggests that education is effective at helping reduce anxiety in patients receiving chemotherapy for the first time. The purpose of this evidenced based practice project was to determine if nurse-led patient education regarding chemotherapy side effects, side-effect management, and orientation to the infusion center was effective at decreasing …