Now showing items 1-20 of 78

    • Recognizing the Impact of Sensory Processing Differences: Social Work Assessment and Intervention

      Walbam, Katherine (2021-10-20)
      Sensory processing differences impact up to 20% of the general population of the United States, yet social workers may not receive training on this neurobiological condition. Sensory processing in an important concept for practicing social workers to understand, as the underlying cause of behavior is what guides our treatment; accurate intervention relies on accurate assessment. This presentation will introduce the theory of sensory integration and current neuroscience understandings of sensory processing, discuss symptom presentation, co-morbid and differential diagnoses, and implications for social work assessment and intervention.
    • 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
    • The Learning Needs of Newly Licensed Registered Nurses

      Fraley, Hannah; Goodwin, Paige Allison (2016-05-01)
      Nurses are on the frontline of healthcare delivery. The learning needs of newly licensed registered nurses are poorly understood. The aim of this study is to identify the specific learning needs of these newly licensed nurses so that they are able to confidently provide excellent care to culturally, ethnically, and racially diverse patients. A qualitative approach was used to complete this study. Convenience sampling was used to recruit ten newly licensed registered nurses who were interviewed by phone. The interviews were transcribed. Questions targeted working nurses experiences with nursing skills, interdisciplinary interactions, and documentation. Data was analyzed and coded for the identification of themes. Gaps in the literature exist regarding the specific learning needs of newly licensed registered nurses. Understanding their learning needs can provide insight into how to better transition student nurses to registered nurses so that they are able to adequately and safely take care of a diverse patient population and work successfully as new nurses.
    • Risks and Benefits of Self-Diagnosis Using the Internet

      Fraley, Hannah (2016-05-01)
      As technology use increases, self-diagnosis using a symptom checker on the World Wide Web has become a topic of discussion in the health field. Given that many in the United States continue without access to medical care, it is becoming common practice for patients to self-diagnose using information sought on the internet. Health literacy of internet health information is a concern, especially among vulnerable populations, such as immigrants and those without access to health insurance. The aim of this study is to understand the phenomenon of self-diagnosis using the internet as a source of health information among a convenience sample of Salem State University students (N= 150). A survey instrument was used to examine the following: perception of accurate health information sought throughout the internet; follow-up with primary physicians, how much trust is placed in internet self-diagnosis, and how often participants use the internet to self-diagnose. Data was analyzed using thematic coding methods. The internet provides us with access to information, yet among those seeking health-related information, there is a concern that critical health information can either be misinterpreted, unreliable or both. Self-diagnosis using the internet is a particular concern if patients are using the internet in the place of a physician. Results from this study can inform healthcare professionals about college faculty, staff and student perceptions regarding use of the internet to self-diagnose prior to seeing a primary physician, as well as inform future study of this phenomenon.
    • 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.
    • The Benefits of Cardiac Rehabilitation for Post-Myocardial Infarction Patients

      Fraley, Hannah (2016-05-01)
      Myocardial infarction is one of the most significant causes of death worldwide. Factors leading to a patient's risk of having a myocardial infarction are obesity, smoking, high cholesterol, hypertension, and a sedentary lifestyle. If patients knew of these risks, the likelihood of a myocardial infarction occurring could decrease. Because of a lack of information about the topic, many patients unfortunately experience a myocardial infarction before it is preventable. Lack of knowledge about how serious the disease is and treatment is also a reason for not going through with cardiac rehabilitation. People around the world need to be educated about myocardial infarction risks and the positive outcomes of attending cardiac rehabilitation. The aim of this study is to improve the quality of life of myocardial infarction patients by determining the long-term benefits of going through with cardiac rehabilitation. A review of the literature was conducted. CINAHL was used to search articles pertaining to the research topic. Results include the following: a lack of cardiac knowledge led to patients' unawareness of the need for attending cardiac rehabilitation; patients improved both physically and psychologically after attending rehabilitation; individualized education has been the most effective for myocardial infarction patients. Myocardial infarction can potentially be prevented through education of cardiac patients on the benefits and importance of cardiac rehabilitation. Results from this study have implications for helping to decrease morbidity and mortality among this high-risk population.
    • Shameless: An Examination of Addiction and Alcoholism in the Family

      Amato, Phil (2014-05-17)
      The principle objective of this paper is to examine the effects of alcoholism and addiction on the family system through the analysis of a fictional family, the Gallaghers from Shameless. To explore the role of alcoholism and addiction in the family, this paper analyzes the family system through resilience, happiness, and family intervention. Because alcoholism and addiction are stigmatized in the media, people suffering from these two diseases have been dehumanized. The producers of Shameless have the opportunity to create a television series that accurately portrays alcohoism and addiction and the effects it has on families. A realistic depiction of alcoholism and addiction impacts the audience's perception of the two diseases.
    • Student Nurses' Knowledge of End-of-Life Treatment Options in Dementia Patients

      Fraley, Hannah (2016-05-01)
      Dementia is a serious disease that affects 46.8 million elders globally with 9.9 million new cases each year. It is not often understood that dementia is considered a terminal illness, and it is thought that misconceptions about dementia may be a factor of poor quality of care for this vulnerable population at the end of their lives. Nurses are on the front lines of caring for dementia patients, however nurses may lack knowledge of how to best care for dementia patients and their families. A qualitative survey study will be conducted using a convenience sample of Salem State nursing students (N= 100). Specific study aims include: do nursing students know about dementia, advanced directives, and end of life care and treatment options specifically related to the dementia patient? Thematic coding methods will be used to analyze the data. Results from this study will help identify knowledge needs of nursing students related to end-of-life treatment for dementia patients. Understanding knowledge needs of nurses can further inform future educational programs for nursing students in order to increase the quality of care for this population.
    • Factors Affecting the Quality of Life of Residents in Nursing Homes: Knowledge and Strategies for the Novice Nurse

      Leger, Robin (2016-05-01)
      Background and Significance: Quality of Life (QOL) is a major focus of practice in all areas of nursing, including promoting QOL for the elderly. New graduate Registered Nurses (RNs) have the option of working in a nursing home for their first career opportunity. The significant increase in the Baby Boomer population (nearly tripling between 1980-2030) will cause an influx of nursing home residents as they require nursing home services. Review of the Literature: Quality of Life (QOL) is important to providing quality, holistic care. Many factors encompass QOL. It is necessary for the new graduate RN to learn about interventions that positively impact nursing home residents' QOL. The literature review speaks only about first-hand studies focusing on nursing home residents' own interpretations of QOL factors. Several QOL domains were identified including promoting comfort, meaningful relationships, and maintaining autonomy and dignity. Undergraduate nursing education and new graduate orientation programs offer little information on the nurse's role in promoting QOL in the elderly. Implications for Novice Nurse Education: A table was adapted to show the QOL domains for the Elderly and possible RN Interventions to positively impact nursing home residents QOL. Provided with education focused on competencies for promoting QOL in the elderly, the new graduate RN will be able to use the interventions presented in the table to realize ways to positively impact QOL of nursing home residents during their first nursing experience as a novice nurse.
    • Information Available to Patients Diagnosed with Dementia: Interviews With Caregivers and Their Experiences

      Fraley, Hannah (2015-05-01)
      Purpose: Dementia is a prevalent problem for older adults and their families. Early intervention and a multidisciplinary approach for treatment have been linked to better quality of life. The primary objective of this study was to discover what information is available to patients with dementia upon diagnosis and how beneficial the information given is perceived by the primary caregivers. Secondary objectives included types of resources most utilized by the caregiver and how caregivers found out about such resources. Methods: A qualitative study design was employed using snowball sampling methods and semi-structured interviews among primary caregivers (n= 5) of patients with Alzheimer’s Disease (n= 3), Lewy Body Dementia (n= 1), and Dementia Unspecified (n= 1) respectively. Thematic coding methods were used to identify potential barriers to accessing timely information regarding disease prognosis and optimal resources. Results: Several themes emerged from caregiver interviews. Central themes found among the caregivers include: 1.) chronic grief 2.) chronic frustrations 3.) chronic guilt 4.) total responsibility of care. Several subthemes emerged that compound upon these caregiver experiences including provider related parries such as lack of quality information, and access barriers including difficulty finding community resources. Conclusion: Caregivers interviewed in this study perceive support from their health care team in general, yet have limited perceived support in navigating how to access community resources. Patients and their families need guidance and support from the health care team upon diagnosis, yet also need ongoing support and education while caring for a loved one with Dementia.
    • 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.
    • Systematic Literature Review: A Family Approach to Postnatal Depression

      Campbell, Charlene (2015-05-01)
      Through a systematic review of literature, this research project explores a family approach to postnatal depression (PND). Within the first year of giving birth, seven to 15 percent of woman experience postnatal depression. Postnatal depression does not solely affect new mothers, but also fathers and babies. In conducting a systematic review of Cumulative Index of Nursing and Allied Health Literature (CINAHL), Boston Public Library Electronic Resources, and Education Resources Information Centre Database (ERIC), along with Google and Google Scholar, nine peer-reviewed studies were ultimately selected for inclusion in this review. The systematic literature review revealed the benefits of a family approach to postnatal depression. Three main themes emerged from the research: 1) social and relationship support; 2) paternal PND; and 3) PND stigma. According to the results found in this review, teaching about PND should be focused on the all-new families in addition to the new mother. These results demonstrate teaching interventions should occur during the prenatal and postnatal time to reduce PND instances in both women and men.
    • 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.
    • How Stigma and Negative Attitudes Towards the Mentally Ill Affect Patients' Quality of Care: Moving Towards a Better Understanding for Change

      Fraley, Hannah (2015-05-01)
      Background: 1 out of every 4 American adults currently have a form of mental illness, while 50% of others will develop a mental disorder at some point in time. Mental illness not only emotionally deteriorates a person; it impairs one’s ability to function daily. Mental illness is highly correlated with other chronic diseases, such as diabetes, cardiac conditions and obesity, as well as homelessness and drug and alcohol dependency. The mentally ill are less likely to access healthcare for treatment due to experienced stigmatization, negative attitudes and stereotypes due to their diagnosis. The aim of this study is to detect and understand the negative attitudes towards the mentally ill, and to recognize how to work towards facilitating change in health care. Methods: CINAHL databases were searched to identify studies performed relating to the stigmatization of mental illnesses and how negative stereotypes affected patients’ quality of care. Results included data from qualitative and quantitative studies. Out of 171 reviewed papers, 11 met the criteria to perform this literature analysis. Results: Stigma towards the mentally ill is a prominent theme identified within the literature. Evidence based changes to eliminate stigma and negative attitudes towards mental disorders must be taken to improve quality of care. Understanding experienced stigma among the mentally ill is a first step to promote much-needed changes to health care delivery.
    • Maximum Sentencing Under Section 35

      Booth, Jeb (2015-05-01)
      The Massachusetts General Law Chapter 123 Section 35 allows a person to be involuntarily committed into a treatment facility for drug/alcohol abuse for a maximum of 90 days if suspected to pose an immediate risk to themselves or others. This law changed on July 1st, 2012 when it was previously a maximum of 30 days. A further look will be taken into what precipitating factors led the legislature to extend the maximum sentence, and what effect this has had on the treatment of the men in the facility. This research takes a step inside a facility where Section 35’s are sent, and breaks down the issues that lead the men into this facility. In addition, survey results will be presented that show which drugs have proven themselves most problematic in leading to the forced detox. Recommendations will be presented on how the Section 35 process could be improved, as viewed from the opinions of the men in the facility, psychologists who recommend the detox, clinicians of the facility, and Senator Jen Flanagan, who recently led a panel discussion on the Section 35 process.
    • Knowledge of HIV screening in Women of Childbearing Age: 18-50

      Leger, Robin (2015-05-01)
      Background and Significance: Today across the globe, children are still being born with Human Immunodeficiency Virus (HIV) contracted from their mothers. Although the Center for Disease Control and Prevention (CDC) recommends that all women be screened for HIV during each pregnancy, women are still failing to meet this goal. Research shows that women who understand the benefits of HIV screening for their developing child in utero are more likely to receive an HIV screen during pregnancy. Furthermore, research has shown that women who perceive themselves as “low-risk” are less likely to receive and HIV screen prenatally. Methodology: The nursing student and faculty advisor composed a survey with questions on demographics, HIV transmission knowledge and a self-evaluation tool to assess women’s perception on their own knowledge of HIV transmission, screening, and benefits of screening. Results: Nearly 70% of women indicated of how much they themselves believed to known about HIV transmission with a range of scores from 27 to 100. Women’s responses to the VAS for knowledge of benefits of prenatal treatment for the developing fetus were much more discouraging than the previous VAS scale results. For this scale, there was a mean of only 34.1 with a range of 0-93. The standard deviation among responses was 27.1, meaning there was high variability among samples. Finally, the last VAS scale asked women to rate their knowledge of the fact that HIV transmission from mother to child can be prevented over 98% with the proper treatment. Women’s mean for this scale was only 44.7 with a range of 0-96 and the standard deviation among responses was 30.8, meaning there was also high variability among responses. Education level had absolutely no correlation to women’s knowledge of HIV transmission, screening, or treatment benefits during pregnancy. Of equal importance, results show that the majority of HIV transmission questions that were answered incorrectly were related to oral transmission. Implications: Education about HIV transmission and screening during pregnancy needs to be spread to women of all educational levels. Further research can focus on how best to educate women and how to promote prenatal HIV screening for all women during every pregnancy.
    • 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.
    • Resiliency: Do We Choose It? Exploring the Possibility of a Choice Component of Resilience

      Mirick, Rebecca (2015-05-01)
      By examining how participants view their own resiliency, this study looked to explore how people view resiliency and if they believe they make a choice to be, or not be resilient in the face of stress or trauma. By examining past moments of participant resilience, this study explored the possibility of a choice component that may impact resiliency. This study utilized a questionnaire of 28 questions to survey Salem State University students (N=113). 71% felt there was a “tipping point” to a person being resilient or not. 75% of the participants also believed that there is a choice made for a person to be resilient. In addition, 85% of participants believe that they are aware of a choice that is made when looking at lesser adverse situations. The implications of these findings on the topic of resilience is discussed.
    • 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.
    • Todos Estamos Satisfechos? Are We All Satisfied? A Review of the Literature

      Fraley, Hannah (2015-05-01)
      United States healthcare is experiencing a growing need for medical interpretation among diverse populations. Of note, the Hispanic population is steadily growing reaching upwards of 17% of the US population. The Hispanic patient experience and perception of care is poorly understood in the context of patient to provider communication in the US, despite 62% of Hispanics primarily speaking Spanish and limited English. A review of the literature was conducted, the Cumulative Index of Nursing and Allied Health Literature (CINAHL) database was exhaustively searched for English language research published between 2000 and October 2014 that identified disparities between Spanish-speakers and English-speakers regarding their healthcare experiences. Keyword searches included the following: Spanish speaking patients, patient satisfaction, and health disparity. Of twenty-five articles initially yielded by the search strategy, seventeen articles were selected that met inclusion criteria for further analysis and review. Within these articles, it appeared that patients generally did experience a lower rate of satisfaction as compared to English-speaking patients regarding their healthcare providers and the language utilized. Contrastingly, an article described a population of Spanish-speaking patients whose language barrier was not reported as an issue when being assessed for domestic violence. Limited research exists which targets the Hispanic patient population and language barriers faced when communicating with their health care providers. This presents an important gap in the literature to consider for this patient population specifically their experiences and perceptions of how care is delivered in the US. Culturally relevant research is needed in order to appropriately change the way in which health care is delivered to this population, which will ultimately improve patient to provider communication and health literacy.