• A Literature Review of the Negative Impact of Dementia on the Nutritional Status of Hospitalized Elderly Patients

      Frost, Marion (2014-05-17)
      Dementia is a progressive psychological disorder in the elderly population that leads to cognitive impairment and can have an impact on many areas of their life, especially nutrition. It is very common to see hospitalized dementia patients not receiving proper nutrition because they are unable to feed themselves, and often are not provided with the help they need. Nutrition is often a topic that is overlooked in the hospital setting because of the narrow focus on the patient’s diagnosis that caused their admission. Dementia is also a disease that may not be diagnosed until it has progressed to later stages, with the person suffering for many years before interventions take place. This is a very important issue in nursing because malnutrition can lead to further illness and a delay of healing in the elderly, leading to prolonged hospital stays, readmissions, and reoccurring health problems in these patients. This thesis will be a review of medical and nursing journals that look at the impact of dementia on proper nutrition in the hospitalized patients and the different nursing interventions that are used to improve nutrition in these patients. I will also make suggestions for changes in these nursing interventions to improve their effectiveness. A review of the epidemiology of dementia and nutrition requirements of the elderly person will also be included in this thesis.
    • A Literature Review of the Onset of Social Media and its Effect on HIPPA Violations

      Magazzu, Tammi (2014-05-17)
      Social media has become increasingly popular in the United States and is accessed daily. It consists of different websites such as Facebook and Twitter. Access to these websites is easy and fast, allowing users to frequently network. In many situations, social media can be utilized in a positive manner. However, in fields such as nursing, social media can be detrimental. The Health Insurance Portability and Accountability Act, HIPAA, provides specific and strict regulations regarding the use of social media in the medical field. Breaching patient confidentiality can jeopardize a nurse’s job and future career. With the onset of social media, HIPAA violations have increased. This thesis will provide a literature review of social media and its onset, and how it affected HIPAA. I will show how these websites have caused more violations of HIPAA, and provide interventions and suggestions to decrease the violations. Specific methods will be included to show how the problem can be fixed. In addition, a brief history of social media will be provided to illustrate how it is extremely prevalent.
    • A Path To 2030: Targeting Women And Girls To End The Hiv/Aids Epidemic In Sub-Saharan Africa

      Mirick, Rebecca (2018-01-01)
      HIV/AIDS remains a significant problem in sub-Saharan Africa, even though international efforts have been working in the region for the last fifteen years. This paper examines HIV/AIDS data from four international health organization, the ONE Campaign, PEPFAR, the WHO, and the UN. Findings suggest UN’s Fast Track goals will not be met by 2020, which will jeopardize eradicating HIV/AIDS by 2030, unless changes to programing are made. First, women and girls who are HIV positive in the sub-Saharan Africa should follow the WHO’s Treat All Approach to prevent HIV transmission and those who are HIV negative should be placed on pre-exposure prophylaxis to prevent infection. Second, pregnant women should follow the WHO’s Treat All Approach in order to prevent mother to child transmission. Third, non-medical interventions such as reducing gender based violence and increasing access to education should be increased. Fourth, men’s health should be changed to help reach the Fast Track goals. These changes would include discrete testing services for men to encourage them to know their HIV status and get treated and an increase in voluntary make circumcisions to reduce infection rates. Funding is a major barrier to these recommendations. In order to close the funding gap, the US must keep its funding at current levels and G7 countries and middle and low income nations must increase their funding levels.
    • Accessibility Of Social Service Agencies For Clients With Limited English Proficiency

      Mirick, Rebecca (2021-05-01)
      This study examined the accessibility of social service agencies in the city of Lynn, Massachusetts for clients with limited English proficiency (LEP). Social service agencies (N=27) participated in phone interviews and/or an online survey, exploring services offered by the agencies, the availability of translation services and if so, in what languages and procedures for providing translation services. Results showed that more than half of the agencies provided oral translation services to clients who prefer to engage in a language other than English by relying on bilingual staff members, and family and friends of the client to act as the interpreters. Many agencies only offered services in Spanish and English. The study's findings offered some important insight into the availability of services to the sizable portion of the city's residents who have LEP status, revealing the disparities that exist in access to language assistance.
    • Advancements of Nursing Roles in Pediatric Burn Care

      Leger, Robin (2015-05-01)
      Burns are a common injury for children, especially in toddlers and adolescents. Nurses are in the front line of care and possess many roles within the care of pediatric burn patients. Nursing roles in pediatric burn care can be organized into three major areas of care, including acute, rehabilitative and psychological. it is the roles that nurses carry out that make a difference in the long term quality of life in the pediatric burn patient. Goals and objectives: To address nursing roles in all three major areas of nursing care in pediatric burn care, acute care, rehabilitation care, psychosocial care, long term care and follow-up care.
    • An Evaluation Of Knowledge And Perception Amongst Nursing Students Pertaining To Ibuprofen

      Ebersole, Nancy; Nowka, Scott (2020-05-01)
      Ibuprofen is one of the most common over-the-counter pain medications accessible to consumers. It is known that ibuprofen can be dangerous to certain individuals (Curfman, 2015). This includes people who take this drug over prolonged periods of time, those who do not follow the necessary instructions/precautions, who may have heart disease or gastrointestinal complications, and others who may be at high risk for non-steroidal anti-inflammatory drug use. A 16-item questionnaire was developed to assess: a) how and when the decision is made to take pain medication, b) knowledge of recommendations and precautions related to the use of ibuprofen, c) how the decision is made to determine the amount of medication to take, and d) knowledge of potentially dangerous side effects. The data of this survey showed that a majority of nursing students knew critical components to proper use of ibuprofen. It also demonstrated upperclassmen students to contain more knowledge regarding ibuprofen dosaging than underclassmen. Although there were important educational points that students knew pertaining to ibuprofen, there were also gaps in the necessary knowledge that the survey indicated. With appropriate education and teaching of this common over-the-counter medication, it can decrease the risk for potentially dangerous complications in certain individuals. Due to this drug being so widely used and easily accessible, preventing improper use is essential for protecting our communities.
    • Assessing the Nutritional Health of College Students: An Ethnographic Approach

      Hills, Donna (2016-05-01)
      The culture of college students does not appear to give adequate attention to nutritional health. The purpose of this study seeks to explore whether college students are at risk for imbalanced nutrition. Among the studies reviewed, samples suggest that college students are at risk for imbalanced nutrition due to their financial instability, lack of nutritional knowledge, and inability to obtain healthy foods. The results of this systematic review of the literature suggest that implementations of nutritional education may reduce those risks.
    • Attitudes Surrounding Long-Acting Reversible Contraceptive Methods Among Female Undergraduate Nursing Students Over 18 Years Of Age At A Large New England University

      Moske-Weber, Charlene (2018-01-01)
      Background/Purpose: Long-Acting Reversible Contraceptive (LARC) methods are highly effective methods of birth control including intrauterine devices (IUD) and the implant. There is often a lower rate of usage with these methods due to factors such as high upfront cost, invasive insertion methods, and possible side effects. This research is aimed to understand some of the perceived and actual barriers for usage, as well as to identify any gaps in education regarding this method. Design and Methods: This project was conducted as a qualitative study with 114 total participants. Consent for the study will be implied by completing the survey. The survey will be distributed via the School of Nursing from Survey Monkey. The data was collected via a 10 question survey, which was distributed through the Salem State University School of nursing email server. Results: Respondents had a generalized understanding of long-acting reversible methods, while also having low levels of usage. The data supported that this population, which was predominantly 18-22 years old, had an adequate LARC understanding. However, 55% of women claimed current oral contraceptive use, and only 17% cited current LARC use, despite the high 88% education rate Implications: The study enables healthcare providers and health educators to assess the education needs and barriers that exist with LARC usage. An understanding of LARC methods will help to expand access and understanding of this method.
    • Birthing Positions And Perineal Trauma: A Systematic Review Of The Literature

      Delis, Pamela (2018-01-01)
      Lacerations and episiotomies can cause discomfort and extreme pain to new mothers. This can affect their ability to care for their newborn. Research has recently delved into the topic of perineal trauma. There are several risk factors associated with perineal trauma during birth. The effect of different birthing positions is still unclear. The purpose of this study is to explore birthing positions and perineal outcomes. A systematic review of the literature is proposed of available scholarly, peer reviewed published studies between years 2012-2017. Findings from this study will help inform how birthing positions can reduce perineal trauma. Implications of this study can help inform nursing care practices while caring for women experience labor and birth.
    • Central Line-Associated Bloodstream Infection Reduction: Using Evidence to Inform Practice

      Ebersole, Nancy; Cohen, Christopher (2021-05-01)
      Central line-associated bloodstream infections or CLABSIs cause major life-threatening illnesses that have a high prevalence rate within our healthcare industry today. CLABSIs not only cause potentially fatal consequences for patients, but also cost hospitals a substantial amount of money to treat these infections. CLABSIs can result from not only the insertion of the central line from a healthcare provider, but also in the central line care by nursing staff. Therefore, hospitals have implemented standardized "bundles" for central lines to try to reduce the overall amount of CLABSIs. However, many hospitals are not seeing a significant decrease in the number of infections from the time that they adopted these practices. A systematic review of literature was conducted using the CINAHL Plus database to investigate the efforts of trying to reduce the overall occurrence of CLABSIs and the success rates of these practices. Major themes include the implementation of bundles for central lines are not being consistently applied by those working at the bedside. Inconsistency with the implementation of bundles of care for central lines can be attributed to incomplete knowledge of what needs to be done; while the presence of written policies do not ensure policy compliance. Nurses are at the frontline to ensure patient safety and reducing patient risk for acquiring CLABSIs. It is important that nurses identify the barriers to compliance and collaborate to create effective strategies to promote patient safety and lower the overall occurrence of these life-threatening infections.
    • Communication Techniques Used by Medical and Surgical Nurses to Communicate with Patients with Alzheimer's Disease

      Frost, Marion (2014-05-17)
      Through the process of a literature review and an online survey of medical and surgical nurses currently working in the hospital environment, this study investigates “Techniques Used by Medical and Surgical Nurses to Communicate with Patients with Alzheimer’s Disease.” The literature review covers current research explaining how Alzheimer’s disease affects a person’s ability to verbally communicate and ability to understand verbal communication. The research also covers the most effective communication techniques to utilize when communicating with a person with Alzheimer’s disease. Nurses in the medical and surgical fields have been given an online survey which includes demographic information, scenarios, and various communication techniques that could be implemented when talking to someone with Alzheimer’s disease. The information from the online survey has been analyzed for trends to show if nurses are using the proper techniques when communicating or if they are following the misconceptions. This study contributes to an area of research that is lacking information, as well as explores if medical and surgical nurses are communicating effectively with an ever growing population of patients with Alzheimer’s disease.
    • Correspondence by Serial Killers: A Review

      Kuehnle, Kristen (2013-12-01)
      I will be reviewing characteristics and letters written to other serial killers during the same time frame that Charles Manson's followers were killing for him. The purpose of this review is to determine whether Charles Manson has similar characteristics. The sample will be white males because Charles Manson was Caucasian. This criterion will control for my error margin. White males have committed the majority of serial killings and there is more literature on them than female serial killers or non-white serial killers. This review will be to identify patterns between other serial killer's characteristics and see if they are present in Charles Manson or not. This information will be vital when it comes to my conclusion about whether or not Charles Manson should be considered a serial killer, even though he never performed any of the killings himself.
    • Current Range Of Treatments And Therapies In Children And Adolescents Diagnosed With ADHD; A Systematic Review Of The Literature

      Campbell, Charlene (2018-01-01)
      Attention Deficit Hyperactivity Disorder (ADHD) is a disorder that affects many children and adolescents in the United States. ADHD is associated with inattention, hyperactivity and impulsivity that usually starts during childhood and can last throughout life. The objective was to compile and synthesize the data on the many treatments available and gain insight from the results. This review of the literature examines research studies pertaining to the different therapies and the effects on attention deficit hyperactivity disorder with a focus on children and adolescents. It is the hope that in looking at a broad range of therapies we can work towards a future goal of better individualized treatment outcomes without a major reliance on pharmaceuticals.
    • Daily Living in Young Adults with Ehlers-Danlos Syndrome (EDS)

      Leger, Robin (2018-01-01)
      Background and Significance: Ehlers-Danlos Syndrome (EDS) is a rare, genetic connective tissue disorder that effects the production of collagen in the body, resulting in chronic pain, hypermobility and the need for many medical interventions. There is often a delay in diagnosis into adolescence or young adult life due to variability in multi-organ symptoms and their severity leading to misdiagnosis and uncertainty. Connective tissue holds the whole body together and when the collagen in that tissue doesn’t work the way it is supposed to, it can make changes in the way people live their lives. Methods: A qualitative, phenomenological study was conducted to explore what changes this condition can make to a person’s life. 5 women aged 18-22 were interviewed in person or via video chat. These interviews were later transcribed and analyzed. Results: Themes that emerged from the data were pain limiting daily tasks, the invisibility of the disease, and uncertainty about future of the condition.
    • Depression and Mental Health Awareness Regarding Adololescents Within the Primary Health Care Setting: Study Protocol

      Fraley, Hannah (2015-05-01)
      Background: Depression is a serious illness, warranting adequate access to care and treatment among adolescents. The aim of this study was to further understand college students’ perception of mental illness and perceived parental views regarding mental health disorders. Methods: Ethnicity and fields of study were analyzed to note any significance amongst the groups. Convenience sampling was used, targeting participants’ ages 18-25 years at Salem State University. Using mixed methods methodology, participants was asked to conduct a survey questionnaire. Survey questions were geared towards participant perception of depression, and perceptions of parental views on mental illness. Results: A total of 266 anonymous surveys were collected and analyzed to find that the majority of participants’ parental views on education and depression were correct. On the other hand, 25% of surveyors believed that their parents would believe that depression is caused by bad or weak character. As for ethnicity, Asian or Pacific Islander (50%), Hispanic or Latinos (35%), and Black or African American (36%) were more likely to think that their parents would believe that depression is caused by bad or weak character. As for fields of study, non-science majors were more likely to have stigmatizing beliefs in regards to depression. Conclusion: Further education on depression knowledge should be acknowledged in the school system, media, and more importantly; our health care system. Increased and more in-depth screenings for adolescent depression should be seen by the primary health care provider in order to decrease the number of untreated depression cases. For future studies, a more in-depth survey should be distributed with a larger sample size to increase the numbers in diversity.
    • Disability Competence: An Often-Overlooked Aspect of Cultural Competence in Social Work

      Slayter, Elspeth (2021-04-05)
      In this talk on cultural competence, we will examine the social construction of disability as distinct from impairment. We will learn about the basics of disability oppression and the response of disability communities in the form of various resistance movements. A review of various hot topics in current U.S. disability culture will be presented. An overview of the guiding principles of empowerment-oriented disability social work practice will be offered before workshop participants will have a chance to explore their own able-bodied privilege. Learning objectives: To discuss social construction of disability To introduce basics of disability oppression To review disability resistance movements To describe hot topics in disability culture To identify guiding principles for empowerment-oriented disability social work practice To explore able-bodied privilege
    • Does Maternal Breastfeeding Have Positive Long-Term Effects on Neurocognitive Development?

      Adee, Kathleen; Anonymous (2019-05-01)
      This study comprised a systematic review of literature based on the, long-term benefits of maternal breastfeeding on neurocognitive development in children. The immediate known benefits of breastfeeding are well documented throughout numerous research studies such as nutritional benefits and immunological growth. However, there are limited studies on the long-term effects of maternal breast feeding. The purpose of this research is to review literature on the long-term effects of maternal breastfeeding on neurocognitive development in children, specifically focusing on intelligence and language development. A total of 10 articles met the inclusion criteria and were used for this literature review. Among the different studies, the ages that were assessed are from the first year of life throughout 15 years of life. A positive impact is suggested after reviewing the research, but it only has a minor impact when being compared to children who were either formula fed or fed for shorter durations. The research reviewed shows positive effects on intelligence and language among children as old as 15 but due to the lack of existing literature, long-term benefits of neurocognitive development into adulthood could not be assessed.
    • Dog and Shield: The Buffering Effect K-9s Have on Police Officer Strain

      Booth, Jeb (2015-05-01)
      According to General Strain Theory, suicide, drug/alcohol abuse and violence are the result of maladaptive coping strategies in response to strain (Agnew, 1992). This study looks at categories of Po-lice Officer stress in congruence with Agnew’s categories of strain: failure to achieve positively valued goals, the presence of noxious situations or events, and the removal of positively valued stimuli (Agnew, 1992; Menard & Arter, 2013). It then measures the consequences of strain, both emotional and physical, in the officers involved in the study, and compares the results with the officers’ access to both emotional and instrumental support systems. The police “code of silence” subculture regarding mental health issues often leaves those officers who are struggling on the job with no one or nothing to turn to for help. Consequently, alcoholism, drug abuse, domestic violence, on-the-job violence and suicide are prevalent issues among law enforcement officers. This study will compare the buffering effect on stress and strain that the presence of a dog, both on and off the job, has on law enforcement officers. Dogs may serve as an intervening variable in the relationship between strain and negative behaviors. It is expected that having a permanent K-9 unit in each department would have a positive effect on police officer health and well-being by providing social and emotion-al support. Therefore, the use of K-9 units as a stress management tool as well as a law enforcement tool will also be discussed.
    • Easing the Emotional Burden of Families When a Child Has Cancer: The Application of Evidence to Nursing Practice

      Ebersole, Nancy (2021-05-01)
      The nurse’s role in caring for a child with cancer has its challenges, but when done correctly can positively affect the well-being of a patient and their family. Both the patient and family go through major psychosocial shifts from the time that the child receives the diagnosis of cancer. This time of considerable transition can leave families feeling lost during an already uncertain period. Keeping patients and family members involved throughout the course of treatment is essential for the success of effective care. The database CINAHL Plus was used to do a systematic review of the literature to identify common issues in pediatric oncology nursing practice and the toll that this can take on patients and their family’s mental well-being. Common themes identified in the literature are family members are in different developmental stages and each requires a unique approach; caregiver knowledge or lack thereof is a major factor in family well-being; and a child’s ability to communicate and be heard impacts how the need for care is perceived and provided. This is an important topic because nurses must consider the psychosocial needs of the family unit as well the physical needs when it comes to providing optimal care. Dealing with a diagnosis as harmful as cancer is a considerable amount of stress to be put on a young child and the family. Knowledge of what is currently known will lead to more effective communication with patients and family members, resulting in greater health outcomes.
    • Education Needs of Adults Living with Sickle Cell Disease in the U.S. and Jamaica

      Leger, Robin (2016-05-01)
      Purpose: To identify psychosocial and physiological components of sickle cell disease (SCD) health promotion to be included in patient and family education materials provided to an adult living with SCD for the promotion of wellness and reduction in complications of the disease. Background and significance: SCD occurs in approximately one in five hundred Jamaican born people and about 0.49 out of 1000 in America and results in intense pain episodes, and multi­organ failure (Knight-Madden, 2011). The role of the nurse and other healthcare providers as well as community based organizations in patient education is critical for promotion of quality of life. Tannahill (2009) argues that "fostering of empowering attributes such as resilience, self­esteem, confidence and lifeskills" also falls under the realm of education. Methods: A combination of telephone and written questionnaires were completed by nurse experts caring for patients with SCD in the U.S. and Jamaica, as well as executive board members of community based organizations for the support of community members living with SCD and their families. Discussion: There is a consensus that individuals with SCD are not adequately educated about the condition and its implications. Respondents recommended that those living with SCD be taught about basic physiology of the disease, family planning, early signs of complications, and exacerbating factors. Furthermore, each respondent explored barriers to effective educational interventions as well as methods of enhancing the quality and effectiveness of these interactions. This information can be used to develop effective educational materials for improving health outcomes.