Theses and Dissertations at Montana State University (MSU)
Permanent URI for this collectionhttps://scholarworks.montana.edu/handle/1/733
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Item Integrating pediatric oral health into a rural, public-health setting(Montana State University - Bozeman, College of Nursing, 2020) Bowden, Janelle Marie; Chairperson, Graduate Committee: Laura LarssonRural, low-income families in Montana experience individual and environmental barriers to oral healthcare access. In addition to knowledge deficits regarding pediatric milestones in oral health care, families in rural areas also have few, if any, pediatric dentists who accept Medicaid clients. The Centers for Disease Control and Prevention reported 2- to 5-year-olds are the only age group where the incidence of tooth decay is on the rise. This evidence-based demonstration research documents the baseline oral-health status of Park County Women, Infants, and Children (WIC) participants as well as the longitudinal efficacy of a bundled intervention to improve oral-health status in this high-priority population. Anticipatory guidance, caries risk assessment, repeated fluoride varnish application, and referrals for establishing a dental home and completing referrals for untreated decay are the bundled interventions under investigation in this project. Each level of intervention was documented in terms of state and national goals for the prevention of early childhood caries. The rate of signed forms consenting to treatment was used as a proxy measure that educating pregnant moms, parents, and caregivers about caring for baby teeth was effective. The long-term goal is to improve oral-health status in the Park County WIC population. The results of this research illustrated that performing oral-health assessments in a public-health setting provides an opportunity for nurses to promote sound oral-health practices, educate families on oral hygiene, and provide interventions aimed at preventing early childhood caries. Integrating oral health into public health as well as primary-care settings is a feasible and imperative practice in order to decrease the rates of ECC. A collaborative and integrative effort will ensure more children are screened for and educated on ECC. Introducing the intervention bundle at the WIC office in Park County proved to be a successful way of performing oral-health screenings, applying preventative FV, educating families on oral hygiene practices, and referring children to a dental home.Item Family environmental risk factors for adolescent substance use: an integrative review of the literature(Montana State University - Bozeman, College of Nursing, 2019) Walker, John Caleb; Chairperson, Graduate Committee: Tracy HellemSubstance use continues to be an ongoing problem throughout the United States and worldwide. In terms of substance use initiation, adolescence is characterized as an especially vulnerable developmental time period. There are many potential influences that can affect an adolescent's risk for initiating substance using behaviors. One particularly influential factor is the family environment the adolescent is exposed to on a daily basis. The purpose of this project was to summarize the evidence on the topic of adolescent substance use risk factors within the immediate family environment. Following an integrative review guideline, three library databases were searched utilizing a set of key search terms in order to obtain all relevant studies related to this topic. Each relevant research article found in the literature search that met the inclusion and exclusion criteria was included in the review process. Research findings were extracted from these research studies, organized into common categories, and integrative summaries were presented. The results of the review were categorized and presented based on commonly identified influential factors that were examined in the primary studies. As a result of this review, it was concluded that many significantly influential immediate family environment risk and protective factors have been identified in the literature. The significance of these findings and the potential implications for practice, prevention, and research, are discussed.Item Pediatric oncology : an educational handbook(Montana State University - Bozeman, College of Nursing, 1996) Gormely, Dawn Louise; Chairperson, Graduate Committee: Ardella FraleyItem A descriptive study of the health care needs of neurologically impaired children and family care providers residing in central and western Montana(Montana State University - Bozeman, College of Nursing, 1990) Gaughan, Darlene R. S.Item The reexperience of grief in parents of disabled children(Montana State University - Bozeman, College of Nursing, 1980) Fraley, Ardella M.Item Uncertainty in spouses of hospitalized cancer patients(Montana State University - Bozeman, College of Nursing, 1987) Molaris, Susan EllenItem Social support and quality of life among rural hemodialysis patients(Montana State University - Bozeman, College of Nursing, 1990) Anderson, Karleen MarieItem Caregiving behaviors of families who place an elderly relative in a nursing home(Montana State University - Bozeman, College of Nursing, 2002) Walton, Cynthia JoyItem Social support and health of partners of people with multiple sclerosis(Montana State University - Bozeman, College of Nursing, 1995) Burns, Laura Jean