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- Creators: Barrett, The Honors College
Description
Osteoporosis is a medical condition that leads to decreased bone mineral density, resulting in increased fracture risk.1 Research regarding the relationship between sleep and bone mass is limited and has primarily been studied in elderly adults. While this population is most affected by osteoporosis, adolescents are the most proactive population in terms of prevention. The purpose of this study was to evaluate the relationship between sleep efficiency and serum osteocalcin in college-aged individuals as a means of osteoporosis prevention. Thirty participants ages 18-25 years (22 females, 8 males) at Arizona State University were involved in this cross-sectional study. Data were collected during one week via self-recorded sleep diaries, quantitative ActiWatch, DEXA imaging, and serum blood draws to measure the bone biomarker osteocalcin. Three participants were excluded from the study as outliers. The median (IQR) for osteocalcin measured by ELISA was 11.6 (9.7, 14.5) ng/mL. The average sleep efficiency measured by actigraphy was 88.3% ± 3.0%. Regression models of sleep efficiency and osteocalcin concentration were not statistically significant. While the addition of covariates helped explain more of the variation in serum osteocalcin concentration, the results remained insignificant. There was a trend between osteocalcin and age, suggesting that as age increases, osteocalcin decreases. This was a limited study, and further investigation regarding the relationship between sleep efficiency and osteocalcin is warranted.
ContributorsMarsh, Courtney Nicole (Author) / Whisner, Corrie (Thesis director) / Mahmood, Tara (Committee member) / School of International Letters and Cultures (Contributor) / School of Nutrition and Health Promotion (Contributor) / Barrett, The Honors College (Contributor)
Created2018-05
Description
Often equated with hospice or end-of-life care, palliative care is the expansion of traditional disease-model medical treatments to include the goals of enhancing quality of life, facilitating patient autonomy, and addressing physical or emotional suffering. This interdisciplinary model is essential throughout the cancer continuum and offers the best patient outcomes when initiated at the time of diagnosis. While extensive research exists on the purpose and benefits of palliative care, substantial barriers to early and effective implementation remain. This study aims to examine and integrate current research literature on oncology nurses' perceptions of palliative care, including comparison to evidence-based preferred practice. Synthesis of qualitative findings offers transformative reconceptualization aimed to inform nursing education and improve patient care.
ContributorsScheller, Makena (Author) / Stevens, Carol (Thesis director) / Holcomb, Cynthia (Committee member) / Arizona State University. College of Nursing & Healthcare Innovation (Contributor) / School of Politics and Global Studies (Contributor) / Barrett, The Honors College (Contributor)
Created2016-05
Description
Purpose: The purpose of this study is to examine perceptions of medical-surgical nurses of alcohol-abusing patients admitted to an acute care facility Background: Studies report that many nurses have negative feelings about substance-abusing patients (Neville & Roan, 2014). It has been found nurses report a lack of knowledge about substance abuse disorders, as well as a view that substance abusing patients are more emotionally challenging and dangerous, often leading to decreased motivation and lower levels of job satisfaction (van Boekel, Brouwers, van Weeghel & Garrestsen, 2013). However, studies have found that additional education can positively impact nurses' perceptions (Arthur, 2001). Methods/Approach: This study is a descriptive design using a 17-question 2-part survey. The first part of the survey includes seven demographic questions pertaining to the participants' characteristics and experiences. The second part of the survey is adapted from the Short Alcohol and Alcohol Problems Perception Questionnaire (SAAPPQ), a valid and reliable instrument used to assess healthcare providers' attitudes toward working with alcohol-abusing patients. Results: Eighty four medical-surgical nurses participated in the study. Over half reported having four hours or less of continuing education on alcohol abuse disorder. Regression analyses identified positive relationships between factors, particularly continuing education, on perceptions of alcohol-abusing patients. Conclusions/Implications: Results of this study can be used to determine what factors contribute to nurses' perceptions of alcohol-abusing patients in the medical-surgical unit, therefore aiding in identifying and developing effective policies, protocols, and interventions aimed at improving quality of patient care in this specific patient population.
ContributorsScalise, Bailey Nicole (Author) / Hosley, Brenda (Thesis director) / Baumhover, Nancy (Committee member) / Todd, Michael (Committee member) / Arizona State University. College of Nursing & Healthcare Innovation (Contributor) / Barrett, The Honors College (Contributor)
Created2016-05
Description
The national average of children aged 19-35 months receiving all recommended vaccines was under 75 percent for the year 2014. In Arizona the average was 65.1 percent, ranking them as 46th in the nation. Language, availability and education are all barriers affecting the rates in Arizona. Appropriate education has the biggest impact on vaccination rates in Arizona. A review of resources available in Arizona was conducted and presented for parents of children in need of the vaccines. A poster designed to educate the population and promote vaccinations was created and distributed to the Maricopa County Department of Public Health and Mayo Clinic Hospital as well.
ContributorsBandi, Miranda Christina (Author) / Sutter, Kimberlee (Thesis director) / Barnum, Leslie (Committee member) / Arizona State University. College of Nursing & Healthcare Innovation (Contributor) / Barrett, The Honors College (Contributor)
Created2016-05
Description
The stigma associated with mental illness has been and continues to be a considerable issue of concern in the care of persons with mental illness. Stigma affects not only those with mental illness, but also their families, healthcare personnel, the social community, and policy formation. Common themes of stigma associated with mental illness are fear, social rejection, stereotyping, negative impact, and a lack of knowledge and awareness of mental illness. Despite a more accurate understanding of mental illness, stigma still exists. Interventions to help reverse the stigma associated with mental illness include education, awareness and an environment of inclusion. Toward this end, a PowerPoint presentation will be gifted to Arizona State University College of Nursing to be shown during the psychiatric mental health rotation outlining mental illness and stigma, and what nurses and future nurses can do to combat this stigma.
ContributorsParsons, Chelsey (Author) / Fargotstein, Barbara (Thesis director) / Hosley, Brenda (Committee member) / Sayles, Judy (Committee member) / Barrett, The Honors College (Contributor) / Arizona State University. College of Nursing & Healthcare Innovation (Contributor)
Created2014-12
Description
In the United States, more than 22 million people are estimated to be affected by the chronic illness, asthma (American Lung Association [ALA], 2014). Of those 22 million, approximately 7.1 million are children (ALA, 2014). An important factor in trying to curb the frequency of asthma attacks is education. Particular elements of asthma education include symptom recognition, self-management skills, correct administration, and understanding how medications are used to control asthma. A review of the literature shows that multimedia education holds some promise in increasing asthma-knowledge retention. This creative project involved the creation of an asthma-education video with a concomitant asthma-education comic book. Of the two creations, the asthma-education video was used in a former Doctorate of Nursing Practice (DNP) student’s study to supplement a session at a clinic with an asthma educator. The tools included in the study, the Asthma Medication Use Questionnaire (Moya, 2014) and the Asthma Control TestTM (ACTTM; QualityMetric Incorporated, 2002), were completed by the participants prior to and after the implementation of the session that incorporated the video. The results suggested that the video had an effect on asthma control as measured by the ACTTM (QualityMetric Incorporated, 2002), but not on daily preventative asthma inhaler usage as measured by the Asthma Medication Use Questionnaire (Moya, 2014). The comic book has not been evaluated yet. Both multimedia education tools—the comic book and the video—were created as a requirement for the Barrett thesis.
ContributorsVanhkham, Sophia (Co-author) / Wells, Amanda (Co-author) / Stevens, Carol (Thesis director) / Vana, Kimberly (Committee member) / Barrett, The Honors College (Contributor) / Arizona State University. College of Nursing & Healthcare Innovation (Contributor) / Department of English (Contributor) / School of Art (Contributor)
Created2015-05
Description
Sleep is an extremely important component of living a healthy life than can impact development and behavior starting in childhood. We expanded on past research regarding this topic to determine the role of childhood sleep and the onset of problem behaviors (externalizing and internalizing behaviors) among a sample of school-aged children. We predicted that lower sleep duration, decreased sleep efficiency, and prolonged sleep latency along with negative sleep habits would be associated with problem behaviors. Our sample was made up of 381 school-aged children (M = 8.49 years old, 49.6% female, 56% Caucasian) who were recruited through the Arizona Twin Study when the children were 12 months old. Mixed-model regressions included sex, socioeconomic status, and zygosity as covariates. Correlations and mixed-model regressions showed a significant relationship between negative sleep habits and problem behaviors (both externalizing and internalizing). Our results revealed that those who experience higher amounts of parent-reported negative sleep habits also demonstrate externalizing behaviors (aggression) and internalizing behaviors (anxiety). The findings in the current study are consistent with past research on this topic and suggest that poor sleep impacts daytime functioning and behavior.
ContributorsLee, Jenna Nicole (Author) / Valiente, Carlos (Thesis director) / Doane, Leah (Committee member) / Department of Psychology (Contributor) / School of International Letters and Cultures (Contributor) / Barrett, The Honors College (Contributor)
Created2018-05
Description
Mentorship is important to learning because it provides a frame of reference and the guidance necessary to succeed for those who are inexperienced. The purpose of this study was to explore the impact of a one-semester mentorship program for freshman Barrett nursing students. Specifically, it was hypothesized that freshman Barrett nursing students (mentees) would experience higher levels of confidence as they enter their second year. With improved confidence and better preparation in handling stress, freshman Barrett students are more likely to stay in the Barrett program throughout their time at a university in the southwestern United States. The mentorship program included freshman Barrett students pursuing a degree in nursing as the mentees and Term 8 (senior) Barrett Nursing students as the mentors. The mentorship program supported freshman students in reaching out to their mentors for study tips, class advice, homework help, and use them as a general resource throughout the application process. Quantitative data was collected in a pre- and post-survey in order to analyze the confidence scores of mentors and mentees. The survey asked participants questions regarding their level of self-confidence and asked them to rank their responses on a Likert scale with 1 being strongly disagree and 5 being strongly agree. The results showed that confidence levels based on the quantitative data either stayed the same or was improved in every participant. Specifically, there were multiple statistically significant findings based on the paired t-tests that were run. Findings suggest the mentorship program improved the confidence levels in both freshman Barrett students and their Senior mentors.
ContributorsZurbriggen, Abigail Marie (Author) / Quillman, Jill (Thesis director) / Stevens, Carol (Committee member) / School of Nutrition and Health Promotion (Contributor) / Barrett, The Honors College (Contributor)
Created2018-12
Description
Background While extensive research has been conducted among college students consuming alcohol with energy drinks, there is limited research exploring how extracurricular activities could have an impact on energy drink consumption and sleep. Understanding the association between student involvement and the impact it could have on sleep and energy drink consumption among college freshmen is essential in promoting healthy behaviors while in college. Objectives The purpose of this study was to understand the relationship between student involvement, average hours of sleep, and predicted prevalence of energy drink and coffee consumption amongst college freshmen living in residence halls at a large, public university in the Southwest. Student involvement and fewer hours of sleep hypothesized to observe higher energy drink consumption. Methods This study was a secondary data analysis of the second wave of the longitudinal SPARC (Social impact of Physical Activity and nutRition in College) study assessing college freshmen (n=599; 70.6% female; 50.9% non-white) living on campus. Students were enrolled in this study during the 2015\u20142016 school year. Mutually adjusted generalized estimating equation (GEE) binomial models examined the relationship between involvement (academic clubs, sport clubs, honors, taking 16 or more credit hours, and having a job) and sleep with energy drink and coffee consumption, controlling for gender, race/ethnicity, Pell grant status, ever having tried alcohol, and clustering of students in residence halls. Results On average, students were enrolled in 15 credits, slept an average 8 hours per night, those who had a job worked 14 hours for pay per week, 35% reported consuming energy drinks in the past week, and about 29% of students reported coffee consumption. Males showed a higher predicted prevalence of energy drink consumption compared to females (p<0.001), where females showed a higher predicted prevalence of coffee consumption compared to males (<0.001); energy drink consumption was less prevalent amongst Hispanic students compared to white students (p=0.018), but more prevalent amongst black students compared to white students (p=0.002); no associations between race were found in predicted prevalence of coffee consumption. Average hours of sleep per night was inversely associated with energy drink consumption predicted prevalence (p<0.001). There was a lower predicted prevalence of energy drink and coffee consumption in honors student status (p<0.001) compared to non-honors students. Students taking 16 or more class credit hours showed a higher predicted prevalence in both energy drink (p=0.050) and coffee consumption (p=0.023) compared to students taking less than 16 class credit hours. Students involved in physically active clubs showed a greater predicted prevalence of coffee consumption (p<0.001) compared to students not in physically active clubs. There was no difference in the predicted prevalence in energy drink consumption amongst students involved in physically active clubs (p=0.710), non-physically active clubs (p=0.493), and having a job (p=0.146). Coffee consumption predicted prevalence showed no significant prevalence amongst students of different race and ethnicity [Black (p=0.507), Hispanic (p=103), Other (p=116)] as well as students involved in non-physically active (p=0.839) clubs and who had a paid job (p=0.088). Conclusion Associations observed between average hours of sleep, the different types of involvement of student activities, and energy drink and coffee consumption, were interesting in that a few findings were found to be contrary to the hypotheses. Future research should delve deeper into student involvement within honors programs to understand the contextual factors of why these students showed a significant inverse association in energy drink consumption. Contrary to hypothesis, sleep and energy drink consumption prevalence were indirectly related leading future research to examine and understand why students are consuming energy drinks since on average participants were meeting recommended sleep guidelines. Nutrition interventions are needed for the groups at consuming energy drinks and alcohol in combination due to the study finding increased predicted prevalence amongst these groups as well as the increased risky health behavior associated with the combination found in the literature. Support or Funding Information This study was supported by the NIH Common Fund from the Office of the Director and the Office of Behavioral and Social Sciences Research, grant number 1DP5OD017910-01 (PI: M. Bruening). The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health.
ContributorsBender, Rebecca Leigh (Author) / Bruening, Meg (Thesis director) / McCoy, Maureen (Committee member) / Brennhofer, Stephanie (Committee member) / School of Sustainability (Contributor) / School of Nutrition and Health Promotion (Contributor) / Barrett, The Honors College (Contributor)
Created2018-05
Description
Academic success in childhood is crucial for later academic, occupational, and life success (Heckman, 2006; Kuncel, Hezlett, & Ones, 2004; Spengler, Brunner, Damian, Lüdtke, Martin, & Roberts, 2015). Recent research suggests sleep is important for academic success but lacks objective measures of sleep (Buckhalt, El-Sheikh, Keller, & Kelly, 2009; Curcio, Ferrara, & De Gennaro, 2006; Dewald, Meijer, Oort, Kerkhof, & Bögels, 2010; Philbrook, Hinnant, Elmore-Staton, Buckhalt, & El-Sheikh, 2017). The purpose of this study was to examine the relations between sleep and academic success among children through objective measures of sleep in order to expand on the literature. Our sample consisted of 381 twins (50.4% male; 56% Caucasian; 36.5% same sex dizygotic) participating in an 8-year assessment from a longitudinal twin study. Actigraphy was used to assess sleep while various measures were used to assess academic success. A series of mixed model regressions were used to test the main predictions, with family entered as a random effect. Sex, age, Hispanic, SES, and zygosity were controlled for. Significant negative relations were revealed between sleep latency and reading and sleep latency and school liking. Additionally, SES was the most consistent significant positive predictor of our measures of academic success. These results suggest sleep and effects of SES should be considered when developing ways to help children’s school performance.
ContributorsAlvarez, Rachel Marie (Author) / Valiente, Carlos (Thesis director) / Doane, Leah (Committee member) / School of Criminology and Criminal Justice (Contributor) / Department of Psychology (Contributor) / Barrett, The Honors College (Contributor)
Created2018-05