Theses and Dissertations at Montana State University (MSU)
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Item Evaluating communication methods and their impact on vaccination rates in early childhood(Montana State University - Bozeman, College of Nursing, 2020) Antos, Kelly Suzanne; Chairperson, Graduate Committee: Angela JukkalaYearly vaccination against seasonal influenza is the most effective prevention against an illness with especially dangerous implications for young children. The Center for Disease Control and Prevention (CDC) recommends two doses of influenza vaccine in the first eligible flu season for young children under the age of two. Communication of reminders for the second dose can be an integral aspect of improving rates at which young children receive the recommended two doses of influenza vaccine. Not all methods of communication are as effective, and the understanding and evaluation of each respective method provides the healthcare professional with information about how to best reach their families/caregivers with important information. The purpose of this paper is to evaluate these methods as they pertain to not only influenza vaccination rates, but also other routinely recommended early childhood vaccines. While technological advances have brought about many new and innovative ways to communicate with families, the literature suggests that reminder telephone calls remain the most effective method to communicate regarding vaccines which are due. New research is also emerging on this topic and will likely further guide the way in which healthcare providers communicate with their patients and families/caregivers. Sustainable improvement in uptake of vaccine rates are specific to the type of vaccine. Trends specific to the seasonal influenza vaccine will also be evaluated through the course of this paper to identify and evaluate additional interventions which may be necessary to achieve sustained improvement to protect the youngest members of our population.Item The spirituality within(Montana State University - Bozeman, College of Nursing, 2004) Norman, Tammy Kay; Chairperson, Graduate Committee: M. Jean Shreffler-GrantHealth care providers have always focused on the well being of their patients; the issue of spirituality adds another dimension to this focus. The use of spirituality in the health care visit directs this project Although interest in spirituality has waxed and waned, references to it exist throughout history. Spirituality is mentioned in Greek times, with the druids, in Christianity, by Viktor Frankl, and by Florence Nightingale. Although difficult to define, a review of literature reveals that connectedness, meaning and purpose, God or God-like being, and transcendence are all commonly accepted components of spirituality In addition to addressing the question of what spirituality is, answers to the following questions are provided: when spirituality should be used, who should use it, why it should be used, and how it can be used in the health care visit. Betty Neuman provided the conceptual framework that was used in gathering and presenting this information. The goal of this project was to increase providers’ knowledge about spirituality and how to utilize it in the patient care setting. A CE program was offered that was developed in various phases that included a literature review, preparation of the CE program, application for CE credits, environmental arrangement, delivery of the program, and final evaluation. Material was presented with the Powerpoint format in 21/2 hours. Following this, three guest speakers spent the next 1 1/2 hours discussing how they have been affected by spirituality with their various health care needs. They also gave ways that the health care providers they encountered influenced their spirituality in positive ways. While attendance was limited, the providers that attended the program indicated that they received valuable and practical information about the use of spirituality in health care. Health care providers can add to their professional growth by staying abreast of research in the area of spirituality. While some providers may feel reluctant to raise spiritual issues with their patients, others will revel in the newfound freedom in discussing a relevant, yet often intangible, element of health care with their patients.Item Hospital nurses' use of humor(Montana State University - Bozeman, College of Nursing, 1988) Johansen, Sheila MarieItem Rural nurses' perceptions of disruptive behavior and clinical outcomes : a replication-extension study(Montana State University - Bozeman, College of Nursing, 2012) Addison, Kara Marie; Chairperson, Graduate Committee: Susan LuparellDisruptive behavior in the healthcare setting is considered a major threat to patient safety, patient outcomes, patient satisfaction, and interdisciplinary relationships. The Institution of Medicine estimated that over 44,000 to 98,000 people die related to medical errors (2000). The Joint Commission suggests that disruptive behavior is one of the leading causes of adverse events in the healthcare setting (2008). The purpose of this study was to evaluate Montana nurses perceptions of disruptive behavior and its impacts on interdisciplinary relationships, patient safety, and patient outcomes while working in rural hospitals. This study was a replication-extension study based on Rosenstein & O'Daniel's research in 2008. Rosenstein's survey was used to assess perceptions of disruptive behavior in the healthcare environment. This survey was sent out to 120 rural nurses in Montana. Fifty-nine participants completed the survey resulting in a 49% response rate. One hundred percent of nurses indicated that disruptive behavior could have a potential negative effect on patient outcomes. Over 45% of nurses indicated that they were personally aware of an adverse event that occurred from disruptive behavior and 82.2% of nurses indicated this event could have been prevented. Nurse indicated that both nurse and physician disruptive behavior was prevalent in the rural healthcare setting. Also, participants indicated that disruptive behavior could be linked to increased stress, frustration, loss of concentration, reduced team collaboration, frustration, reduced information transfer, reduced communication, and impaired RN/MD relationships. Results from this survey demonstrated that disruptive behavior can lead to adverse events, compromises in patient safety and quality, and finally decrease overall interdisciplinary relationships. These findings have important implications for patient safety and effective interdisciplinary relationships and support the development of effective policy implementation to address and mange such behavior.