• The Self-Reported Atitudes And Awareness Of Nurse Practitioners Towards Music Therapy

      Moske-Weber, Charlene; Nowka, Scott; Coles, William (2018-01-01)
      This study takes the anonymous report of nurse practitioners’ view of music therapy in adjunction with regular pharmacological care among Salem State nursing faculty who currently practice as a nurse practitioner. The study aims to gather awareness and attitudes of nurse practitioners toward using music therapy in their area of practice. There is a growing problem of prescription drug abuse that is sweeping the nation. One factor of this is the use of extremely strong and addictive pain medication used for overall healthy patients after postoperative surgery. Using music therapy in adjunction to pharmacological care helps patients deal with all the same problems of surgery like pain, anxiety, and worry while leaving out the harsh addictive qualities of only using pharmacologic medications. The study will involve an anonymous survey of questions addressing current practice habits of nurse practitioners among Salem State nursing faculty who are nurse practitioners, their level of awareness of music therapy, their personal attitudes towards music therapy as a complimentary alternative pain management approach. Additionally, I will seek to understand levels of attitudes towards music therapy in relationship to reported practice behavior.
    • Sexually Transmitted Infections in the Elderly: Nursing Implications for Prevention and Education

      Leger, Robin; Winslow, Catherine (2014-05-17)
      This study will examine why the elderly population in the United States is at high risk for contracting and spreading sexually transmitted diseases. Through a review of literature, many different risk factors will be identified and discussed. The study will also include methods of prevention to protect this population. Education strategies will also be discussed, not only for the members of the elderly population, but for the health care professionals who treat them. By identifying risk factors, providing education, and learning about prevention, the rate sexually transmitted diseases are being spread will decrease among the elderly population.
    • The Significance Of The Microbiome: It's Role In Infant Development And Long-Term Health

      Ebersole, Nancy; Haro, Lariza (2021-05-01)
      Humans enjoy a beneficial symbiotic relationship with bacteria. Although commonly thought to be the cause of illness, bacteria aid in food digestion along with creating resistance to disease. The microbiome refers to the aggregate of bacteria that reside in our intestinal track. There has been an effort over the past decade to map the human microbiome in order to identify this relationship. Given this crucial role of microbiota in human health, it is important to know how the microbiome is formed in infancy as it may impact one’s future ability to obtain wellness. A review of the literature was done to examine what is known of the microbiome at the earliest stage of life and the relationship to issues later in life. The articles were identified using the databases CINAHL, PubMed, and MEDLINE. Five themes were identified across the articles studied. The microbiome: (a) of preterm infants differs from full-term infants; (b) at birth is found in both the lungs and intestines; (c) development is affected by an infant’s intake of formula vs. breastmilk; (d) present and its amount present during infancy may influence the risk of developing behavioral issues; (e) development is altered when antibiotics are administered to newborns/infants. The choices of how a child will be fed is decided during pregnancy and consideration of the microbiome and its effect on future health has serious implications. Knowledge of the microbiome’s role in healthy growth and development should be considered when working with expectant mothers, parents and families of newborns.
    • Student Nurses' Knowledge of End-of-Life Treatment Options in Dementia Patients

      Fraley, Hannah; Coulter, Shelby Anne (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.
    • Systematic Literature Review: A Family Approach to Postnatal Depression

      Campbell, Charlene; Swain, 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.
    • Todos Estamos Satisfechos? Are We All Satisfied? A Review of the Literature

      Fraley, Hannah; Crampton, Taylor (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.
    • Treating Patients With Ventilator-Associated Pneumonia (VAP): The Challenges Of Implementing Nursing Bundles Of Care

      Ebersole, Nancy; Guzman, Emilee (2022-05-01)
      A ventilator is any device used to support, assist, or control respiration. Ventilator Associated Pneumonia (VAP) can result from long term mechanical ventilation and causes a major life-threatening infection that has a high prevalence in patients in the Intensive Care Unit (ICU) within our hospitals today. Despite having life-saving benefits, mechanical ventilation puts patients at a high risk of developing VAP; this increases the length of hospital stay, increases the cost of treatment, and decreases patient quality of life. Therefore, hospitals have implemented standardized preventative care interventions or “bundles” for mechanically ventilated patients in attempts to reduce the overall VAP prevalence, and infection rate. A systemic literature review was performed using the CINAHL Plus database to investigate the challenges posed to nurses when implementing VAP care bundle interventions in ICU patients. Major themes are (a) VAP bundles significantly reduce days on a ventilator and days in the ICU, (b) What is in the care bundle matters, (c) Nursing compliance is related to education and years of experience, (d) Barriers to nursing adherence is related to the use of bundles, (e) Institutional barriers that affect nursing adherence to the use of bundles. The registered nurse is in a key position to mitigate the risk of VAP. Hospitals must provide standardized nursing policies that emerge from interpersonal communication with bedside nurses to enforce Evidence Based Practices. In the future, to provide optimal care for mechanically ventilated patients, hospitals must take action to create changes to overcome institutional barriers which impact patient care.
    • Undergraduate Nursing Students Attitudes Toward Physician Assisted Suicide

      Delis, Pamela; Lundblad, Kendyl (2018-01-01)
      Physician assisted suicide consists of a doctor providing a patient with the lethal means of a medication (usually the barbituate secobarbital) to administer themselves at their own will. Euthanasia is a slightly different form of physician assisted suicide, where the doctor takes an active role and administers the lethal dose of a medication (usually secobarbital) to the patient. As expected, this practice abounds with controversy. This research seeks to study baccalaureate student nurses’ opinions on physician assisted suicide. This research sought to understand if nursing students feel physician assisted suicide is ethical amongst certain situations, and whether or not they believe if it should be legalized in the United States. Using student nurses as the participants in this study seemed best because they most likely have, or will have, treated a critically or terminally ill patient. Nurses work the closest with these specific patients, and therefore their opinions on whether or not physician assisted suicide should be an option is extremely valuable. Survey methodology was used to conduct this research. The survey contained a few demographic questions and two scenarios for the students to state whether they agreed or not, and a space for their thoughts on the matter. Mostly all of the students, by the end of the survey, made it clear that they believe physician assisted suicide can and should be used within certain ethical situations.
    • Using the Ketogenic Diet to Reduce the Incidence of Pediatric Seizures: Helping Children and Families to Find a Better Quality of Life

      Ebersole, Nancy; Nowka, Scott; Gonsalves, Joanna; Wohler, Alison (2021-05-01)
      Seizure disorders have both medical as well as quality of life implications for anyone experiencing them. The use of medications to control and manage this disorder is not always effective and may cause side effects that discourage compliance with the prescribed drugs. All of these concerns are especially problematic for children with seizures and their families. The use of diet modifications to control seizures is showing promise as an alternative to medications. The high fat, ketogenic diet as well as the low glycemic index diet are being investigated to control seizures in children. A systematic review of the literature was done in the CINAHL Plus database. The themes identified across the studies are (a) the ketogenic diet was effective in reducing seizures whereas the low glycemic index diet was not; (b) compliance with diet changes is a significant concern in this patient population; (c) parents view quality of life differently than the children with seizure disorders and this can impact diet adherence; and (d) how this diet interacts with medications and alters other body functions must be considered when using the ketogenic diet for seizure management. These results indicate an opportunity for nurses to work with families and the health care team to reduce the incidence of seizures, improve treatment compliance, and enhance the quality of life. A treatment option which provides for the needs and desires of both the individual and the parents can strengthen the family unit and promote healthy outcomes for all.
    • Vaccines And The Evolution Of Society's Attitudes Toward Them: Implications For Future Nursing Practice

      Campbell, Charlene; Nowka, Scott; Shutt, Briana (2017-04-01)
      The various controversies surrounding vaccines are a pertinent topic in our society today and have increased fear related to immunization. Despite advances in medicine and the development of life-saving vaccines, diseases that were thought to be long gone have crept back into our society and become a public health concern once again. As the anti-vaccination movement gains momentum and parents choose not to vaccinate their children, there are increasing numbers of reported cases of once-eradicated diseases like Pertussis and Measles. A systematic literature review was done to explore immunizations and the evolution of their impact on society as well as to identify vaccine-related fears and their validity. Using Nola Pender’s Health Promotion Model as a theoretical framework, the goal of this review was to discuss implications for future nursing practice and to identify possible interventions for decreasing immunization fears.
    • Young Women With A Diagnosis Of Sarcoma: Decisions Related To Disease Treatment And Infertility Options

      Campbell, Charlene; Murungi, Sheilla (2019-05-01)
      Women suffering from sarcoma are often presented with the devastating news that they may experience infertility during or after chemotherapy and radiation treatment for the disease. Because of this, they must make the difficult decision to either go through with the treatments or explore options to preserve their fertility. Many of these women may be planning to have a family with biological children but undergoing chemotherapy and radiation treatment might make those plans impossible. This study examined therapeutic advances for preserving fertility in women while maintaining a therapeutic regimen for treatment of the disease. This research also examined the extent to which these patients have a full understanding of these treatments and if they are adequately informed of all of the available options from which to choose. This comprehensive review of the literature examined the psychological effects of potential infertility resulting from sarcoma treatment on women (18-44 years old) and their families. This study also explored the resources available to patients suffering from psychological effects of sarcoma treatment and infertility and the efficacy of these resources. The overall purpose of this study was to further examine the possible treatment options for these patients with an emphasis on the methods and resources to help them navigate this devastating diagnosis.