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Capturing Women's Birth Experiences Through Photos, Kristen Montgomery, Betsy Crabtree, Samantha Grayson, Alyssa Harmon, Rachael Robbins, Sarah Shelton, Hannah Sobas, Alexis Taliaferro, Nolan Willard 2025 East Tennessee State University

Capturing Women's Birth Experiences Through Photos, Kristen Montgomery, Betsy Crabtree, Samantha Grayson, Alyssa Harmon, Rachael Robbins, Sarah Shelton, Hannah Sobas, Alexis Taliaferro, Nolan Willard

Epsilon Sigma at-Large Research Conference

Purpose: Each year 3.5 to 4 million women give birth in the United States. Childbirth is a life-changing event that induces various emotions in women. Many women report having a negative experience due to short staffing, inadequate care, and a loss of autonomy. Aims: The aim of the study was to understand what factors contribute to a positive or negative birth experience.

Methods: A descriptive qualitative study was conducted using photo elicitation. Photos were collected from participants and included a description of how the photo represented the participant’s experience. Demographic data were collected through a survey. Participants …


Utilizing The Mdq For Bipolar I Screening In The Primary Care Environment, Jamie Strozier 2025 East Tennessee State University

Utilizing The Mdq For Bipolar I Screening In The Primary Care Environment, Jamie Strozier

Epsilon Sigma at-Large Research Conference

Abstract- Utilizing the MDQ for Bipolar I Screening in the Primary Care Environment

Bipolar disorder is a chronic mental health condition characterized by episodes of depression, mania, or mixed symptoms, affecting approximately 5.7 million adults in the U.S. and 40 million individuals worldwide. Despite its significant impact, bipolar disorder is frequently misdiagnosed as major depressive disorder (MDD) in primary care settings, leading to inappropriate treatment and worsening patient outcomes. Research indicates that 78% of bipolar patients are initially misdiagnosed, with only 32% of primary care providers (PCPs) screening for the disorder. This quality improvement project aims to enhance bipolar disorder …


Disparities In Women's Healthcare, Allie Sonnleitner 2025 Winona State University

Disparities In Women's Healthcare, Allie Sonnleitner

Research & Creative Achievement Day

Purpose: Women's health care disparities remain an understudied topic within the scientific community, despite the emergence of the Women's Health Movement in the 1960s. It wasn't until 1986 that women were allowed to participate in clinical research and trials. In 2017, the National Institutes of Health launched its first dedicated program to address disparities among women. Studies have consistently found disparities between biological men and women in areas such as pain management, treatment and diagnostics, and inclusion in clinical trials. These studies highlight significant differences in care and provide substantial evidence to support their findings.

Methods and Results: To address …


Environmental Concerns Of Women In Appalachia, Kristen Montgomery, Adebayo Adeeko, Jessica Binns, Sarah Hall, Paula Hawkins, Allyson Newer, Michaela Outlaw, Karenna Turley 2025 East Tennessee State University

Environmental Concerns Of Women In Appalachia, Kristen Montgomery, Adebayo Adeeko, Jessica Binns, Sarah Hall, Paula Hawkins, Allyson Newer, Michaela Outlaw, Karenna Turley

Epsilon Sigma at-Large Research Conference

Purpose: Environmental contamination is rampant in the United States and other parts of the world. There are potential health implications related to environmental contamination.
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Aims: The purpose of this study was to investigate how concerned women in Appalachia are regarding the environment. The following research question was addressed: What concerns do women have regarding the environment? The objective of this study was to understand how women perceive their environment and to evaluate what concerns they have regarding the environment. We also evaluated demographic factors to see if any demographics contributed to particular concerns related …


Medication Card Implementation In Public Health Clinics To Increase Health Literacy Within Older Adults In Rural Communities, Abigail Mulcahy, Audrey Ehling, CeCelia Braun, Janae Salvetti, Jocelyn Liddell, Joshua Boen, Madison Henneman, Zoe Dreckmann 2025 Winona State University

Medication Card Implementation In Public Health Clinics To Increase Health Literacy Within Older Adults In Rural Communities, Abigail Mulcahy, Audrey Ehling, Cecelia Braun, Janae Salvetti, Jocelyn Liddell, Joshua Boen, Madison Henneman, Zoe Dreckmann

Research & Creative Achievement Day

Health literacy in older adults living in a rural community continues to be a barrier to care. Improving health literacy though enhancing communication between patients and healthcare providers is essential in improving health literacy in the community.


Education On Advanced Directives In Rural Communities, Samantha Koster, Alyssa Iverson, Caroline O'Dell, Nulia Nguyen, Olivia Post, Gabrielle Gray, Cheol-Hyeon Roh 2025 Winona State University

Education On Advanced Directives In Rural Communities, Samantha Koster, Alyssa Iverson, Caroline O'Dell, Nulia Nguyen, Olivia Post, Gabrielle Gray, Cheol-Hyeon Roh

Research & Creative Achievement Day

Population Health Problem

Trempealeau County faces issues knowledge gaps and health literacy. The Compass Report (2024) highlights that 19% of residents in the county consider their community excellent in meeting their family’s educational needs, while 11% believe the opportunities for gaining additional knowledge are excellent.


A Jewel In The Crown Is Better Than Money In The Pocket": Historical Data On The Role Of Midwives In Caring For Families In Southern Appalachia, Kristen Montgomery 2025 East Tennessee State University

A Jewel In The Crown Is Better Than Money In The Pocket": Historical Data On The Role Of Midwives In Caring For Families In Southern Appalachia, Kristen Montgomery

Epsilon Sigma at-Large Research Conference

Background: Midwives have provided care to women since the beginning of time. Early midwives had little training but learned their craft from experienced women. Later, formal training became available. Midwives have a rich history in Appalachia.

Purpose: to explore the rich history of all types of midwives in Appalachia.

Methods: Materials from the Archives of Appalachia were reviewed. Both written and oral materials were evaluated. This included a review of the document, identification of themes, and then comparing those themes with previously identified themes. Documents were reviewed in a random order by two researchers who met to discuss results.

Results: …


Kentucky House Bill 159: Health Care Policy Analysis, Lindsey Frasure 2025 East Tennessee State University

Kentucky House Bill 159: Health Care Policy Analysis, Lindsey Frasure

Epsilon Sigma at-Large Research Conference

Lindsey Frasure MSN-Ed., RN

Lincoln Memorial University, Caylor School of Nursing

DNP Student

An Educational Presentation: Kentucky House Bill 159: Health Care Policy Analysis

Abstract:

Purpose/Background: Kentucky House Bill 159 is a bill that passed through the state congress in 2024. It is known as the decriminalization bill. The aim of this presentation is to analyze and discuss the bill in its entirety, why the bill continues to be important in healthcare, implications for nursing, the future of nursing, and advocation for change. The significance of the presentation is to educate fellow healthcare professionals on the importance of policy …


Stay Fit, Stay Safe: Sports Safety For Community-Dwelling Older Adults, Kierra A. Pickard, Lauren G. Cahalan, Allie Sonnleitner, Hanna G. Crabtree, Emily J. Myszewski, Claire R. Privatt, Maya L. Vosters 2025 Winona State University

Stay Fit, Stay Safe: Sports Safety For Community-Dwelling Older Adults, Kierra A. Pickard, Lauren G. Cahalan, Allie Sonnleitner, Hanna G. Crabtree, Emily J. Myszewski, Claire R. Privatt, Maya L. Vosters

Research & Creative Achievement Day

Purpose: With the growing older adult population, defined as 65 years and older, the importance of safety in activities, such as sports, is becoming more important. It is vital to address the needs of this population through increasing education to prevent or address injuries related to physical activity. The overall purpose of this project was to determine the impact of providing sports safety education at the Holmen Area Community Center (HACC). Moreover, we sought to explore and educate the clients at HACC on ways to prevent such injuries and what to do if an injury does occur.

Many older …


Implementation Of Palliative Care In Relation To Quality Of Life For Adults With Chronic Conditions, Zoe Dreckmann 2025 Winona State University

Implementation Of Palliative Care In Relation To Quality Of Life For Adults With Chronic Conditions, Zoe Dreckmann

Research & Creative Achievement Day

Palliative care is care focused on maintaining or improving one's quality of life. Many patients suffer from chronic conditions that impact quality of life due to high symptom burden and other factors that impact physical and emotional health. According to Calsina-Berna et al. (2022) in patients with advanced chronic conditions, 69-82% will need palliative care before death but only 12% will actually receive palliative care (Teixeira et al. 2023). Hence the majority of people with advanced illness need palliative intervention but fail to benefit from the services offered. Palliative care for these patients focuses on quality of life (QOL) which …


Scent-Sational Aromas, Joshua Boen 2025 Winona State University

Scent-Sational Aromas, Joshua Boen

Research & Creative Achievement Day

This is a series of health educational videos developed for TikTok and Instagram Reels formulated from a literature review. The videos focused on essential oils, how to use them properly, and how to avoid misinformation surrounding essential oils. These videos used research provided by a licensed aromatherapist and were approved by professors before being filmed, edited, and posted. The videos' data points were then evaluated to adapt posting for better engagement.


The Impact Of Vitamin D On Mental Health In College Students, Kelsey M. Hipenbecker, Joshua P. Gullickson, Rylee A. Fredrickson, Abigail M. Andersen, Isabel M. Schottenbauer, Bryce Stoltz, Brianna M. Carlson 2025 Winona State University

The Impact Of Vitamin D On Mental Health In College Students, Kelsey M. Hipenbecker, Joshua P. Gullickson, Rylee A. Fredrickson, Abigail M. Andersen, Isabel M. Schottenbauer, Bryce Stoltz, Brianna M. Carlson

Research & Creative Achievement Day

Mental illness can impact persons of all ages. A Healthy Minds study revealed that more than 60% of college students met the criteria for at least one mental health condition over the course of a year. Mental health issues such as generalized anxiety disorder (GAD) and major depressive disorder (MDD) have been associated with insufficient dietary vitamin D and sun avoidance amongst college students. Because mental illness is becoming increasingly prevalent in college students, we did a literature search to examine the association of vitamin D and mental health among college students. This topic is relevant as college students' busy …


Collaboration And Partnership Creation As A Method To Best Support Individuals With Intellectual And Developmental Disabilities (Idd), Jonas A. Bishop, Frank W. Jesse, Mueller G. Morgan, Lor Sheyenne, GaoHmong A. Yang, Isabelle R. Sunde, Gretta Bergstrom, Caitlin M. Curtin 2025 Winona State University

Collaboration And Partnership Creation As A Method To Best Support Individuals With Intellectual And Developmental Disabilities (Idd), Jonas A. Bishop, Frank W. Jesse, Mueller G. Morgan, Lor Sheyenne, Gaohmong A. Yang, Isabelle R. Sunde, Gretta Bergstrom, Caitlin M. Curtin

Research & Creative Achievement Day

Background: There is a growing need for inclusive healthcare for individuals with IDD. There is a gap in clinical training of care for individuals with IDD. Formal clinical training for IDD was lacking in 40% to 86% of healthcare providers [Khanlou et al., (2021); Friedman & VanPuymbrouck (2024)]. This lack of specialized training contributes to healthcare disparities.  Individuals with IDD have a life expectancy of 66.1 years, which is approximately 20 years shorter than the general population [Roll & Bower (2017); Friedman & VanPuymbrouck (2024)]. Additionally, 17 to 36% of individuals with IDD experiences limited access to healthcare providers, further …


Promoting Cardiovascular Health To Women 65 And Older, Kelly Blue, Ashtyn E. Newland, Malaina B. Buehler, Brianna E. Ryan, Serena Tatu, Emma Pagel, Naomi M. Breunig, Addison Lyon 2025 Winona State University

Promoting Cardiovascular Health To Women 65 And Older, Kelly Blue, Ashtyn E. Newland, Malaina B. Buehler, Brianna E. Ryan, Serena Tatu, Emma Pagel, Naomi M. Breunig, Addison Lyon

Research & Creative Achievement Day

New technologies, including virtual reality (VR), offer exciting new opportunities for tourism, especially in the wake of the COVID-19 pandemic. While these technologies provide tourism experiences for those who are not comfortable with or able to physically travel, they may have adverse effects on tourist destinations by reducing the number of physical visitors. To assess this, the study will include questions to analyze whether VR experiences increase or decrease the incentive to physically travel to a given destination. This question will be answered through a laboratory experiment involving exposure to a virtual tour, either with a VR headset or a …


Effects Of Prior Direct-Patient Care Experience On Undergraduate Nursing Students’ Anxiety And Self-Confidence, Lauren G. Cahalan, Kierra A. Pickard 2025 Winona State University

Effects Of Prior Direct-Patient Care Experience On Undergraduate Nursing Students’ Anxiety And Self-Confidence, Lauren G. Cahalan, Kierra A. Pickard

Research & Creative Achievement Day

Purpose:  An extensive literature review indicates a gap in understanding how prior direct patient care experience affects undergraduate nursing students’ anxiety and self-confidence during their program. The purpose of this project was to examine the impact of prior direct patient care experience on undergraduate nursing students’ anxiety and self-confidence while in an undergraduate nursing program.  

Participants: A total of 294 undergraduate nursing students were surveyed using Qualtrics. Students were from terms one, two, three, and four in the Winona and Rochester nursing program allowing for a population of diverse backgrounds.

Methods: A survey including the Nursing Anxiety and Self-Confidence with …


The Impact Of Physical Activity On Mental Health Disorders In Children, Brianna E. Ryan 2025 Winona State University

The Impact Of Physical Activity On Mental Health Disorders In Children, Brianna E. Ryan

Research & Creative Achievement Day

Purpose - The purpose of this project is to highlight the effects physical activity has on children's mental health and to provide evidence-based insights on ways physical activity can and should be incorporated into the developmental stages of children's lives. Ultimately, the goal being to promote healthier and improved mental health statuses for the younger populations.

Introduction - The mental health crises among children are on the rise as more children each year are diagnosed with mental health conditions. It has been found that around 20% of children ages five through seventeen regularly experience symptoms of mental health disorders and …


Electronic-Based Determinants Of Health Screening On An Inpatient Behavioral Health Unit, Anyaku O. Okpara 2025 University of Missouri-St. Louis

Electronic-Based Determinants Of Health Screening On An Inpatient Behavioral Health Unit, Anyaku O. Okpara

Dissertations

Problem: Approximately 14.1 million Americans are diagnosed with a Serious Mental Illness (SMI). These individuals experience death 10-20 years earlier compared to the general population, primarily due to chronic medical comorbidities and unmet health-related social needs (HRSNs). Mortality rates, increased healthcare utilization, and frequent readmissions in patients with multiple, unmet HRSNs are likely to remain high unless developments such as the incorporation of standardized, multi-domain, social determinants of health (SDOH) screenings into electronic health records (EHRs). The purpose of this quality improvement (QI) project, guided by the Institute for Healthcare (IHI) model for change utilizing the Plan-Do-Study-Act (PDSA) cycle, was …


Clinical Education Program For Hair Removal To Reduce Surgical Site Infections, Madison Smith, Dana Todd 2025 Murray State University

Clinical Education Program For Hair Removal To Reduce Surgical Site Infections, Madison Smith, Dana Todd

Student Scholarship & Creative Works

Abstract

Surgical site infections (SSIs) significantly impact surgical patients and with one contributory to their development is hair removal method, education about surgical hair removal methods is minimal in continued educational programs. The purpose of this project was to provide an educational program that discussed hair removal methods to reduce surgical site infections. The staff was educated on methods for hair removal in surgical patients, recommendations from manufacturers of the product, hospital policies regarding hair removal and governing organizational guidelines. Over two days for a 10-hour shift each day, a poster board and a 15-30-minute presentation then a pre/post-test was …


Surgical Specimen Management Protocols In The Pre-Analytical Phase, Jordan L. Hall 2025 University of Texas Health Science Center at Houston

Surgical Specimen Management Protocols In The Pre-Analytical Phase, Jordan L. Hall

Doctor of Nursing Practice Final Project Abstract

Purpose

This quality improvement (QI) project aimed to decrease surgical specimen errors during the pre-analytical phase at the target institution by 50% by January 2025 by developing best practices for specimen labeling and documentation.

Background

The QI project was implemented within a level two trauma center with a 24-suite operating room (OR) in The Woodlands, Texas, which provides care across all surgical specialties except ophthalmology.

Methodology

The target institution changed from nurse-hand-written specimen labels and requisition sheets to electronic medical record (EMR) generated specimen labels and requisition sheets. The change was congruent with the target institution’s shift to a new …


Evaluating The Effectiveness Of Telehealth Interventions In Managing Type 2 Diabetes Among Adults In Underserved Rural Areas, Taylor Lemke 2025 University of North Dakota

Evaluating The Effectiveness Of Telehealth Interventions In Managing Type 2 Diabetes Among Adults In Underserved Rural Areas, Taylor Lemke

Nursing Capstones

Managing Type 2 diabetes (T2D) in underserved rural areas presents ongoing challenges due to limited healthcare access and provider shortages. Telehealth interventions, such as remote monitoring, mobile health applications, and virtual consultations, have emerged as promising strategies to enhance care delivery. This systematic review evaluated the effectiveness of telehealth in improving glycemic control and patient satisfaction among adults with T2D in rural settings. Recent studies, including randomized controlled trials, cohort studies, and systematic reviews published between 2019 and 2025, were analyzed. Overall, telehealth was associated with reductions in hemoglobin A1c (HbA1c), improved medication adherence, and increased patient engagement. High levels …


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