Theses and Dissertations at Montana State University (MSU)
Permanent URI for this collectionhttps://scholarworks.montana.edu/handle/1/733
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Item A registered nurse care manager's role in implementing a veteran obesity program(Montana State University - Bozeman, College of Nursing, 2022) Fleming-Weiler, Denise Dawn; Chairperson, Graduate Committee: Denise RiveraAim: A link exists between obesity, hypertension, cardiovascular disease, diabetes, and numerous other comorbid conditions. Studies have shown that weight reduction has a positive effect on comorbid conditions. The aim is to develop an obesity management program that combats obesity in the veteran population by focusing on self-efficacy and the registered nurse (RN) care manager role. Design: Quality improvement project Methods: The databases searched include Montana State University: CatSearch, Google Scholar, ProQuest, CINAHL, MEDLINE, and EBSCO Web of Science. The study participants include adults who met the Center for Disease Control and Prevention's (CDC) definition of obesity, with a Body Max Index (BMI) greater than 30 kg/m 2. Results: Further research could yield better practices for successfully implementing weight management treatment and intervention plans if programs focus on self-efficacy and collaboration with established programs. Additionally, more research would help identify an obesity registered nurse care manager's impact in combating obesity in the veteran populationItem Evaluating provider opinion of telepsychiatry(Montana State University - Bozeman, College of Nursing, 2021) Brannen, Hilary Jane; Chairperson, Graduate Committee: Tracy HellemTelepsychiatry, or two-way video conferencing for psychiatric purposes, has been around for the last 60 years. However, full implementation of its usage has stalled. Research has shown that clinical outcomes and patient satisfaction are equivalent to or superior when utilizing telepsychiatry, but provider satisfaction is lower. The aim of this project was to initially survey medication providers of psychiatric services at a statewide community mental health center in Montana to determine barriers that may exist to implementation and then provide education to determine whether that would impact their overall opinion of the modality. However, during the time between initial survey and follow-up survey, the COVID-19 global pandemic occurred and forced all providers to utilize telepsychiatry exclusively to continue providing care. This driving force of change allowed for the providers to increase their overall opinion of the feasibility, benefit, and confidence and belief in the modality. Continued challenges were noted but an overall increase of knowledge about telepsychiatry was also found. These findings are encouraging for increasing utilization of telepsychiatry by providers to provide access to mental health services in more rural and underserved communities.Item A pilot study of self-efficacy and household environmental risk reduction(Montana State University - Bozeman, College of Nursing, 2011) Werrell, Leda Kathryn; Chairperson, Graduate Committee: Wade G. HillCurrently there are numerous environmental hazards that low-income and rural families are exposed to in their households. There are ways to detect and reduce or eliminate these hazards, however members of the household would have to initiate this action. Self-efficacy, defined as "an aspect of self-perception that pertains to one's belief in his or her ability to perform a given task or behavior," is a driving force in initiating this action (Vennes & Thomas, 1997, p. 1947). In this study, self-efficacy was quantified and evaluated from a sample of 33 low-income and rural family members. The participants scored their self-efficacy on a numerical scale of 1-100, 100 representing very confident. This secondary data was utilized from the ERRNIE study conducted by Dr. Wade Hill and Dr. Patricia Butterfield. Self-efficacy for five environmental hazards was evaluated: radon, environmental tobacco smoke (ETS), well water, lead and carbon monoxide. General self-efficacy for household environmental risk reduction was also evaluated. Mean and standard deviation were calculated utilizing SPSS version 18 to create descriptive statistics. The highest mean for reported self-efficacy was for ETS (89.2). It is likely that this hazard had the highest mean due to being able to smell and see this hazard. The lowest mean for reported self-efficacy was for radon (66.2). This hazard is on odorless gas that requires special testing to detect. Interventions to decrease radon can be expensive and may be viewed as overwhelming and therefore decrease self-efficacy. The overall mean for all items evaluated was 76.5, showing that there is a need for greater attention on this topic. This could be completed by nurse practitioners and would focus on increasing awareness of these hazards, the possible health consequences of exposure to the hazards, and what interventions are available to decrease or eliminate this exposure.