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Diabetes Education Guide for Primary care providers in Montana: Author: White, Connie Mae; Date: 2005-05-15; Program: Nursing; Abstract: This project addresses a perceived need for a Diabetes Education Guide for rural primary care providers in Montana. Little data specific to rural primary care provider diabetes teaching resources was available. This project was designed to provide rural primary care providers in Montana with a quick initial diabetes education resource. A Diabetes Education Guide using a pamphlet format was developed and sent to 50 rural primary care providers in Montana. providers were asked to evaluate the Diabetes Education Guide by completing a six-question evaluation tool and by offering suggestions for im...; Download File | View full details

Acceptability of Primary care: A Study of One Community in Montana: Author: Vaughan, David James; Date: 2007-05-15; Program: Nursing; Abstract: INTRODUCTION: Access to health care is a concept that is of primary importance to health care providers, clients, and policy makers throughout America. This is especially true in rural communities, where researchers in one study indicated that it was the highest priority (Gamm, et al., 2003). Access is a multi-dimensional construct that includes the availability, accessibility, accommodation, affordability, and acceptability of health care. DESIGN AND PURPOSE: This study used a descriptive survey design to examine one dimension of access, acceptability of primary care, in one rural community i...; Download File | View full details

Cultural perceptions of American Indian women in Southcentral Montana regarding pre-diabetic education: Author: Hartford, Lori Ann; Date: 2008-08-15; Program: Nursing; Abstract: Treatment of prediabetes includes education which provides the prediabetic person with information to help them make lifestyle modification choices regarding their nutrition, exercise and weight control; in order that they control their illness and delay or prevent the development of diabetes. American Indians have a high incidence of both prediabetes and diabetes as a group compared to other ethnic groups in the U.S. There is a lack of data in the literature about what American Indians from the Crow Tribe in Montana consider to be cultural information that they feel should be included in educ...; Download File | View full details

Health Beliefs and Practices of 'Regulars' at the Rural Bar: Author: Jorgensen, Kathy Palm; Date: 2006-05-15; Program: Nursing; Abstract: Montana has one of the highest per capita rates of alcohol consumption. While alcohol use in rural areas has not been documented to be higher than in urban areas, rural residents have been recognized as having unique perspectives on health. This study was designed to explore the health beliefs and practices of rural men who regularly frequent the local bar. Understanding the perspective of this group may add to the body of knowledge used by Advanced Practice Nurses to work effectively with these men. Interviews with ten men from four rural communities with no local health care facility were un...; Download File | View full details

A descriptive study of childhood obesity monitoring practices used by Montana pediatric providers: Author: Schwarzkopf, Nancy Denise; Date: 2008-05-15; Program: Nursing; Abstract: INTRODUCTION: The global prevalence of childhood obesity is increasing. Overweight children face risks of compromised physical and mental well being, increased incidence of disease processes, and increased risk of adult obesity. Pediatric providers play a unique role in reversing the prevalence of obesity, yet there is little understanding of what practices are utilized to monitor children's weight. PROBLEM: Identifying children who are obese or are at risk for becoming obese may rely on evidence based weight monitoring practices. For many providers there may be a gap in knowledge regarding r...; Download File | View full details

Food Security and Family Well-Being: Author: Long, Lauren Christine; Date: 2007-05-15; Program: Health and Human Development; Abstract: Each year, millions of individuals in the United States experience hunger yet can not afford to obtain food. This feeling of hunger and uncertain ability to obtain food can have many consequences including food insecurity. Food insecurity is a growing problem which has severe implications for the individual and family. Among these implications are parental depression and child behavior problems. Additionally, there is increasing research pertaining to the uniqueness of rural locales and the increased risk for food insecurity in these areas. Although there is a growing body of literature exami...; Download File | View full details

Frontier residents' perceptions of health care access: Author: Smith, Raymond Joshua; Date: 2008-05-15; Program: Nursing; Abstract: It can be difficult to access health care due to cost, lack of insurance, and lack of available resources for Americans today. Frontier persons have even more obstacles in accessing health care due to geography, time and distance to facilities, lack of medical personal, and culture. This study's purpose was to better understand frontier residents' perceptions of access to health care. Specific aims were to (a) explore frontier residents' health care access resources, (b) investigate frontier residents' utilization of health care services, (c) search for reasons frontier residents seek health c...; Download File | View full details

The Demographics, Health Related Characteristics, and Primary care Utilization of Assisted Living Facility Residents in Montana: Author: King, Wade Robert; Date: 2006-05-15; Program: Nursing; Abstract: Despite the accelerated growth of assisted living facilities (ALF) as a housing option for elders, most research to date has focused on structural and organizational components of ALF and only a small number of studies related to health issues have been conducted. There is little information specific to the demographics and health related characteristics of ALF residents in Montana and no information regarding primary care utilization was found. This study provides information that is specific to the demographics and health related characteristics of ALF residents in Montana while delivering t...; Download File | View full details

Advocating for advance directives: guidelines for health care professionals: Author: Murphy, Rebecca Cowell; Date: 2009-05-15; Program: Nursing; Abstract: An advance directive, such as a Living Will or Durable Power of Attorney for Health care, allows a person to give their instructions about future medical care if he or she is unable to participate in decisions due to serious illness or incapacity. Despite the fact the Patient Self Determination Act requires health care facilities to provide patients with information about advance directives on admission, and the public and health care professionals support the use of advance directives, few people actually complete these documents. This project was developed in support of a local community hos...; Download File | View full details

An Assessment of Health Literacy about Complementary and Alternative Medicine in Adult Residents of Flathead County, Montana: Author: O'Neill, Jennifer Lynn; Date: 2007-05-15; Program: Nursing; Abstract: The purpose of this study was to explore health literacy about complementary and alternative medicine (CAM) in adult residents of Flathead County, Montana. The combination of documented low health literacy levels in U.S. and the proliferating use of CAM throughout the country create the potential for poor healthcare outcomes. Previous research indicates that due to lack of access to healthcare, rural residents often utilize CAM. Quantitative research methods and Margaret Newman's Health as an Expanding Consciousness provided the underlying framework for this study. A systematic sampling of 92...; Download File | View full details

A Survey of Postpartum Depression in Southeastern Montana: Author: Kent, Valerie Ann; Date: 2004-08-15; Program: Nursing; Abstract: There has been little research on postpartum depression (PPD) in the southeastern region of Montana. In the clinical experience of this researcher, relatively few health care providers perform a thorough assessment for PPD as part of postpartum care. Health care providers tend to underestimate both the incidence and effects of PPD. This study surveyed 16 women in southeastern Montana at their 4 to 6 week postpartum health care visit, using a standardized Postpartum Depression Screening Scale (PDSS). Surveys were scored while participants were at the clinic, and results were made available to t...; Download File | View full details

Words, Wounds, Chiasms: Native American Health care Encounters: Author: Lande, Nancy Carol; Date: 2005-05-15; Program: Native American Studies; Abstract: My research explores the theme of the production and reception of intercultural mis/communications between Indians and non-Indians as expressed through linguistic narratives in the material setting of health care facilities on Indian reservations in Montana. My thesis focuses on how the objectifying discourse of Western practices of biomedicine are taken for granted and impede doctors abilities to actually communicate with Native American patients about their health care by exploring sociolinguistic disparities that are revealed through personal interviews. Since the doctor-patient relationshi...; Download File | View full details

Alternative therapies for individuals with Dementia: Author: Fahlquist, Jeannie Marlene; Date: 2008-05-15; Program: Nursing; Abstract: Dementia is a chronic insidious disease that destroys the individual's cognitive, emotional and mental abilities. Ultimately, the individual is unable to appropriately verbalize basic wants and needs; therefore, behavioral symptoms become the way of communicating. Behavioral symptoms vary greatly from passivity to hostility and aggression. Unfortunately, due to the difficult task of caring for these individuals many families must place their loved ones in a long-term care facility for direct supervision. Long-term care facilities often use chemical restraints in order to treat the behavioral ...; Download File | View full details

Environmental Risk Reduction through Nursing Intervention and Education: A Look at Parents' Perceptions of Risk of children's Exposure to Environmental Toxins: Author: Penniman, Megkian Aliisa; Date: 2005-05-15; Program: Education; Abstract: The success of efforts to provide environmental health (EH) information to families relies on testing interventions delivered in home and clinic settings. Few rural children's EH studies targeting multiple exposure pathways have been conducted. It is recommended that EH programs be framed and delivered in a manner meaningful to families and high-risk subgroups. This research addresses two questions: 1.) What are the risk avoidance behaviors regarding environmental tobacco smoke, radon, well water contamination, lead, and CO among a sample of rural households? 2.) Is there a difference in perce...; Download File | View full details

Environmental Services and Policies Related to Rest Breaks for Night Nurses in Montana Hospitals: Author: Kellam, Anita Marie; Date: 2008-05-15; Program: Nursing; Abstract: The nurses who work at night in acute care and critical access hospitals often must cope with a decreased amount of sleep, increased fatigue, and disruption of multiple physiological circadian rhythms. There is increased demand and rigor placed on night nurses in acute care adding to overall stress and demands on the nurse's ability to function safely and accurately. Simple environmental changes related to rest breaks, naps, and environmental services (work areas, break areas, eating facilities) can optimize the working environment and facilitate the nurse’s self care during the chal...; Download File | View full details

An evidence-based approach to managing neonatal abstinence syndrome: Author: Kusak, Kimberly Larsen; Date: 2008-08-15; Program: Nursing; Abstract: Neonates born to mothers addicted to opiates may develop neonatal abstinence syndrome (NAS). An infant exposed to opiates in-utero causes the neonate to withdraw from the substance after birth. Neonates with NAS are at risk for adverse outcomes including seizures and death along with many adverse symptoms related to neurological excitability and gastrointestinal dysfunction as described by the American Academy of Pediatrics (1998). As mentioned by Hunt et al. (2008), neonates exposed to opiates are at higher risk for prematurity, low birth weight and adverse neurodevelopment. These risk factor...; Download File | View full details

Use of Complementary and Alternative Medicine among Rural Montanans: Author: Beebe, Michele Morgen; Date: 2004-08-15; Program: Nursing; Abstract: Complementary and alternative medicine (CAM), an assortment of varying health care practices that exist outside the definition or accepted practices of conventional medicine, is increasing. Little is known about CAM use among rural Montanans. Health care providers need this information to better manage patient-care situations such as CAM-drug interactions or skewed laboratory results which may result from CAM use.The selected method was the qualitative approach. A convenience sample was selected, and after informed consent was obtained, interviews with the subjects were audio taped and transcr...; Download File | View full details

The effect of earplugs on perceived sleep quality of acute care patients: Author: Martin, Kristy Ann; Date: 2008-05-15; Program: Nursing; Abstract: The purpose of this study was to evaluate the use of earplugs to improve perceived sleep quality in hospitalized patients. Sleep disruption is a common problem for hospitalized patients and has been shown to lead to physical and emotional complications. A variety of factors such as pain, illness, stress, worry, noise, lights and patient care activities contribute to disturbed sleep. Studies on sound in hospitals have shown that levels exceed recommendations by the Environmental Protection Agency. Limited research has shown that earplugs are a cost-effective, nonpharmacologic intervention with ...; Download File | View full details

The Moral Integrity Development on Nursing Students in Two-Year Colleges: Author: Wirtz, Ellen Frances; Date: 2007-05-15; Program: Education; Abstract: Moral integrity development and professional decision making ability is a vital characteristic in nurses. A review of the literature revealed that while the moral development of baccalaureate nursing students had been investigated, there was little data investigating the variables affecting the moral development of nursing students in two-year colleges. Therefore, the purpose of this study was to investigate if age, gender, prior work experience in the health care field, prior college experience and grade point average made a difference in the moral development of nursing students in two-year ...; Download File | View full details

Barriers to Participation in Cardiac Rehabilitation: A Rural Perspective: Author: Echeverri, Rebecca Chloe; Date: 2007-05-15; Program: Nursing; Abstract: Cardiovascular disease is a significant health problem in rural states and complicated by the lack of access to specialized health care services such as cardiac rehabilitation programs. Researchers have documented that education, counseling, and behavioral interventions are important elements of cardiac rehabilitation (CR) that lead to decreased mortality and increased quality of life. Despite the known benefits of participation, only 10-20% of eligible persons in the United States participate in CR. While evidence exists to partially explain participation in cardiac rehabilitation programs, a...; Download File | View full details

Well water contaminants and consumer-based treatment systems: a resource for primary care providers: Author: Nagoda, Daniel Louis; Date: 2008-05-15; Program: Nursing; Abstract: An estimated 95% of rural residents use groundwater as their household water supply for drinking and everyday use. Public policy in Montana and through most of the United States dictates no rules about well water testing, only recommends testing be done on a yearly basis. Well water can contain lead, arsenic, volatile organic compounds (VOCs), synthetic organic compounds (SOCs), nitrates, and copper and many other possible contaminants. The choice of a consumer-based water filtration system should be based on the contaminant profile of the water source. Filter types vary in design and their co...; Download File | View full details

The Statistical Variance of Blood Glucose Levels of Medicial Intensive care Unit Patients while on an Insulin Infusion Protocol: Author: Ackerman, Kimberly Lynn; Date: 2006-05-15; Program: Nursing; Abstract: Hyperglycemia has been shown to have many negative consequences in the critically ill patient. Many physicians and nurses have been searching for ways to provide quality care for the critically ill and decrease the hyperglycemia found in the diabetic and nondiabetic Intensive care Unit (ICU) patient. Many physicians and nurses around the world are studying the use of the insulin infusion protocol to combat the hyperglycemia and therefore decrease the negative consequences associated with hyperglycemia. This study was a retrospective chart review of medical ICU patients in three months in 2003 ...; Download File | View full details

Does scripting by nurses in the emergency department increase patient satisfaction scores?: Author: Fuller, Melissa Lynn; Date: 2009-05-15; Program: Nursing; Abstract: Increased patient satisfaction has become has become a serious financial issue in hospitals for two reasons: (1) unfavorable patient satisfaction ratings may prompt high-cost decisions such as a new construction prompted by competition from other hospitals and (2) low satisfaction rating may affect a hospital's standing. Research indicates that the patient satisfaction scores in many emergency departments (EDs) around the world are low. The purpose of this study was to evaluate the use of scripting by nurses in the Emergency Department to increase patient satisfaction scores. Satisfaction scor...; Download File | View full details

The Lived Experience of Patients with Psoriasis: Author: Gittings, Megan McGonigle; Date: 2005-08-15; Program: Nursing; Abstract: Psoriasis is a chronic skin disease affecting an estimated 4.5 million adults. Symptoms can be mild to severe, and consist of silvery exfoliative plaques of skin. Although there are various forms of treatment, there is no cure. Existing data regarding psoriasis confirms a link between decreased quality of life and psoriasis. Subjective data regarding the disease has been documented since 1976, however, there exists a lack of qualitative nursing research regarding psoriasis. Additionally, only one study was found in which the lived experience of psoriasis patients was documented. This phenomeno...; Download File | View full details

Nursing Faculty Attitudes, Knowledge and Practice of Therapeutic Touch: Author: Hughes, Lynn Janine; Date: 2005-08-15; Program: Nursing; Abstract: Therapeutic touch is increasingly recognized as a nursing intervention that complements traditional medical care. Few studies specifically address nursing faculty perspectives on therapeutic touch and whether faculty include therapeutic touch theory or skills content in courses they teach. The purpose of this study was to describe nursing faculty attitudes, knowledge and practice of therapeutic touch. In addition, barriers to practicing or teaching therapeutic touch were identified. A survey (n=23) of nursing faculty teaching undergraduate students was conducted in a university-based nursing p...; Download File | View full details

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