Theses and Dissertations at Montana State University (MSU)
Permanent URI for this collectionhttps://scholarworks.montana.edu/handle/1/733
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Item Introducing trauma-informed care in an acute inpatient psychiatric unit: a quality improvement project(Montana State University - Bozeman, College of Nursing, 2020) Thompson, Evan Robert; Chairperson, Graduate Committee: Julie RuffTraumatic experiences are common in society and are associated with an increased risk of development of adverse physical and psychological outcomes extending throughout the lifespan. Individuals accessing mental health services, such as inpatient hospitalization, are likely to have experienced interpersonal trauma at some point during their lives. Mental health professionals are well suited to provide supportive and effective trauma-informed care (TIC) to patients with trauma histories. TIC seeks to actively resist patient re-traumatization and caregiver secondary traumatic stress. An evidenced-based trauma-informed care training was presented to mental health professionals working on a psychiatric inpatient unit. The project involved a single group pre-post test design with a 1-month follow-up assessment. Staff attitudes towards trauma-informed care were evaluated by a psychometrically validated tool (ARTIC-35). Sums of the items on the ARTIC?35 for each participant were divided by the number of items, means and standard deviations for aggregate average scores for each time point were obtained, and percent change for participant average scores between time points were calculated. Additionally, participants were asked to share if they had incorporated trauma-informed care into their work with patients and if they experienced any barriers to implementing TIC since the training. Immediately following the training, ARTIC-35 scores increased on average by 11%, demonstrating that attitudes related to trauma-informed care improved as a result of the training. One month following the training, all six participants maintained their score on the ARTIC-35, representing a 12% increase from pre-training scores and 0.61% from immediately following training. Further, all participants indicated at the 1-month follow-up assessment that they changed their practice to incorporate trauma-informed care into their work with patients. A 1-hour TIC in-service training demonstrated the ability to improve psychiatric healthcare professional's attitudes toward trauma-informed care. Healthcare organizations serving patients with traumatic histories should consider TIC training for all personnel.Item Decreasing suicide among veterans(Montana State University - Bozeman, College of Nursing, 2014) Perry, Livia Csonka Marta; Chairperson, Graduate Committee: Polly PetersenEstimates are showing that approximately 22 veterans commit suicide per day. Those at highest risk for suicide are married, white males between the ages of 50-59 with a high school education or higher, located in specific western, central and eastern states. Research has shown that 45% of those who completed suicide have seen their PCPs in the month preceding their death, and 67% of those who attempt suicide receive medical attention as a result. Although PCPs may be in a strategic position to assess for suicide risk within the veteran population, research has shown that suicide screening is underutilized in the Primary Care Setting. A possible cause for this may be the inadequate training of practitioners in the area of suicide screening. Research has demonstrated that educating PCPs in this area resulted in an increase in suicide screening in their practice settings. To meet this educational gap, a podcast was created for the purpose of educating PCPs on the topic of veteran suicidality and suicide screening. To test the effectiveness of the podcast, Montana State University graduate students from the College of Nursing were invited to participate in listening to the podcast. Each participant completed a corresponding pre and posttest. Test results show an average increase of 21% in correct answers when comparing pre and posttest results, indicating that the podcast effectively served to convey intended information to participants.Item Cultural perceptions of American Indian women in Southcentral Montana regarding pre-diabetic education(Montana State University - Bozeman, College of Nursing, 2008) Hartford, Lori Ann; Chairperson, Graduate Committee: Christina SieloffTreatment 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 education for pre-diabetics. This qualitative ethno-nursing study was conducted through one-on-one interviews with six American Indian women of the Crow Tribe over a period of months to determine what they defined as culturally important for the health care provider to know when teaching about prediabetes. The data from these interviews were then analyzed using qualitative software by Ethnograph ®, and four primary themes were found. These themes were: extended family and elders, spirituality and traditions, culturally specific foods and activities and a feeling of inevitability of developing diabetes. As cultural competency is an area that is included in all schools of nursing and some schools of medicine, it is important that health care providers have an awareness of cultural specific health information. All the informants in this study reported that they felt more respected when their health care provider brought up the topic of how their culture affects their health habits, as well as how important to them it is that the health care provider be open to learning about the specifics of their culture.