Theses and Dissertations at Montana State University (MSU)
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Item Inner maps(Montana State University - Bozeman, College of Arts & Architecture, 2022) Schroeder, Heather Marie; Co-Chairs, Graduate Committee: Sara Mast and Jeremy HatchInner Maps is an examination of the impact that early childhood trauma can have on an individual's body and mind, while also exploring what role art can play in healing oneself. While much of the physical work and writing is rooted in autobiographical experiences, it is important to note that these systems, beliefs, and traumas are not an isolated experience that belong to me alone. They are universally shared and hidden. Throughout this paper I explore various traumas such as being a child of addiction, body stored trauma, generational trauma, and lastly the mother wound. Through the process of visual art, one can make the personal public by bringing awareness to their individual experiences. Various mediums can be used, as they all carry their own weight, comfort, and storytelling abilities. Clay, fibers, and illustration have been crucial for my own processing. By acknowledging past and current pain, one can create further awareness's of personal behaviors. In doing so, we can have broader conversations around healing and hope. I acknowledge that criticisms and misunderstandings of one's experiences are bound to happen and that not everyone is called to share in such a manner. However, for me, art has been an outlet and a tool to examine these topics, leading me to conclude that art can be used as a powerful tool to process and release body stored trauma.Item Nurse-led screening, brief intervention, and referral to treatment for patients with alcohol use disorder in an inpatient setting(Montana State University - Bozeman, College of Nursing, 2022) Winter, Angela Kim; Chairperson, Graduate Committee: Sandra Benavides-VaelloMany preventable health risks result from unhealthy alcohol use. Two hundred thirty International Classification of Diseases (ICD-10) diagnosis codes are partially or completely associated with alcohol use disorder. The prevalence of alcohol use disorder (AUD) has risen in tandem with the COVID-19 pandemic. This creates an urgent call to action for clinicians to help patients recognize risky alcohol use and decrease the devastating burden this disease causes the individual and society. Healthcare providers generally receive limited content on how to address alcohol abuse in their training, and nurses generally lack confidence in addressing patients with AUD. Screening, brief intervention, and referral to treatment (SBIRT) is an effective, evidence-based process to identify and mitigate risky substance use. The screening portion of the SBIRT process involves the utilization of an Alcohol Use Disorder Identification Test (AUDIT-C) to stratify a patient's drinking into zones of risk. The purpose of this project was to utilize the literature to develop an educational training for nurses on the use of the AUDIT-C tool and motivational interviewing techniques to assist them in the SBIRT process. The project was implemented over a 6-week period on a 29-bed medical oncology unit within a 150-bed hospital in Western Montana. Forty-five nurses were administered a Likert scale survey at baseline and after watching the SBIRT educational PowerPoint to assess their confidence in addressing patients with AUD. The primary goal of this project was to increase nurses' self-reported levels of confidence in performing SBIRT care tasks. A secondary goal was to increase the frequency of AUDIT-C and SBIRT tool documentation within the electronic medical record (EMR). Outcomes of the project demonstrated that 70% (n=28) of survey respondents either agree or strongly agree they have confidence to carry out SBIRT-related care tasks after the SBIRT educational training as compared to 12.6% (n=2) at baseline. The project did not increase the frequency of AUDIT-C and SBIRT documentation within the EMR. These results are consistent with results in the literature, which suggest that, with adequate training, nurses in inpatient settings can play active roles in interdisciplinary initiatives to address unhealthy alcohol use among hospitalized patients.Item An integrative review of the use of gabapentin in treatment-seeking adults with alcohol use disorder in an outpatient setting(Montana State University - Bozeman, College of Nursing, 2020) Schell, Angela Marie; Chairperson, Graduate Committee: Casey ColeBackground: Alcohol use disorders (AUD) and alcohol consumption are complex public health issues that involve multiple comorbidities and significant healthcare costs. In the United States, one-third of adults will be diagnosed with an AUD within their lifetime and over 59.5 million Americans are at risk for an AUD due to reported binge drinking. The State of Montana has one of the highest AUD statistics in the country costing Montanans millions of dollars managing AUD-related physical and psychological illnesses. Despite the high rate of AUDs in Montana, the State has very few inpatient treatment facilities for Medicaid recipients to address alcohol abuse and addiction, causing significant lag time to enter alcohol-abuse inpatient treatment. Gabapentin, an anticonvulsant, has recent evidence for use as a medication to aid in mild to moderate alcohol withdrawal symptoms, remedy symptoms of protracted abstinence, and help treatment-seeking individuals remain abstinent until inpatient alcohol addiction services are available. Objective: The purpose of this integrative literature review was to identify current knowledge related to the use of gabapentin in an outpatient setting for treatment-seeking adult patients (18-65 years) with an AUD, for preventing the symptoms of mild to moderate alcohol withdrawal syndrome, for treatment of symptoms related to protracted abstinence, and for assisting the individual to abstain from alcohol until initiation of inpatient substance-abuse treatment. Method: This topic was explored using an integrative literature review. Research articles were identified using the Cumulative Index to Nursing and Allied Health Literature (CINAHL), Cochrane Library, PubMed, PsycINFO, and Medline, from January 2014-December 2019. A review of abstracts using inclusion and exclusion criteria was conducted to determine relevant studies. Conclusion: The integrative review revealed limited evidence for the use of gabapentin to decrease symptoms of mild to moderate alcohol withdrawal and protracted abstinence in treatment-seeking adults on an outpatient basis. Heterogeneity of sample populations, interventions, and study aims should be addressed in future research studies.Item Improving quality through the development of a benzodiazapine sparing protocol for treating alcohol withdrawal in a community correctional setting(Montana State University - Bozeman, College of Nursing, 2018) Hill, Wade G.; Chairperson, Graduate Committee: Maria WinesAlcohol detoxification within community correctional environments poses significant challenges to local jurisdictions that are called to manage rising rates of incarceration among citizens with complex health needs including multiple comorbidities and mental illness and substance abuse. Traditional methods for intervening during detoxification have relied upon benzodiazepine tapers to reduce chances of the most serious consequences of alcohol withdrawal syndrome (AWS) but these medications have been increasingly attributed to poor outcomes such as increased risks of delirium, medication interactions, and risk of diversion among others. This project describes an evidence-based benzodiazepine sparing protocol that can be used to avoid use of this class of medications as well as an associated education intervention for detention officers and healthcare staff in one community correctional institution designed to improve knowledge of monitoring and treatment for inmates suffering from AWS. In total, 28 staff participated in the training and results suggest excellent overall quality and accomplishment of objectives at a high level. Implications for advanced practice nursing are discussed as well as directions for future dissemination efforts for BZ-sparing treatment.Item An investigation of the treatment approaches to alcoholism(Montana State University - Bozeman, 1971) Seitz, Edmund JamesItem Hangover cure and prevention : a small sample of beliefs in Montana(Montana State University - Bozeman, 1977) Parker, William AlvinItem A comparative study of personality trait profiles in three alcoholic groups(Montana State University - Bozeman, College of Professional Schools, 1970) Morgan, Lura Irving; Co-chairs, Graduate Committee: Virginia Felton and Rita M. DarraghThis study was an attempt to determine (l) if alcoholics have a common personality trait profile, (2) if there are identifyable differences in trait profiles of groups of alcoholics and (3) if differences can be applied to the treatment program at the Alcoholic Treatment Center, Galen, Montana. Groups were arranged in a bi-polar formation with a Receiving Hospital Group at Warm Springs State Hospital as one extreme and a group of Alcoholics Anonymous members at the other. Three mid-groups were formed from alcoholics at the Alcoholic Treatment Center with the time spent in treatment as the basis for group division. The author attempted to determine if treatment would result in group profiles becoming more similar to the Alcoholics Anonymous Group as treatment progressed. Five traits. Abasement, Impulsivity, Play, Endurance, and Succorance remained relatively constant throughout all groups while sixteen varied. The main conclusion was that all groups have common basic characteristics but each group had a degree of variation unique to itself. Surprisingly, the group nearest dismissal at the Alcoholic Treatment Center had a profile more like that of the Receiving Hospital Group thatn that of the Alcoholics Anonymous Group.Item Psychological distress and alcohol addiction(Montana State University - Bozeman, 1976) Marmion, Joseph, FatherItem An assessment of the feelings and coping behaviors of and resources for families of alcoholics(Montana State University - Bozeman, 1978) Feyen, Arlene Marie WilsonItem The effects of acute and chronic prenatal alcohol exposure on lymphoid organ development and immune function in C57BL/6 mice(Montana State University - Bozeman, College of Agriculture, 1990) Huang, Ching