Theses and Dissertations at Montana State University (MSU)
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Item Is music an effective intervention for improving sleep quality among adult postoperative open-heart patients: a feasibility project(Montana State University - Bozeman, College of Nursing, 2019) Olds, Jenna Leann; Chairperson, Graduate Committee: Alice RunningSleep deprivation is a common disorder known to impair the immune system and healing. Noise, pain, anxiety, and illness in general contribute to sleep deprivation. Patients admitted to the hospital setting are at heightened risk for complications related to decreased quality of sleep. Pharmacological interventions such as opioids and sleep aids are frequently administered to combat this issue. Integrative therapies are often overlooked as a way to increase quality sleep while hospitalized. One of the safest and easiest alternative interventions to employ is music. The purpose of this pilot feasibility project was to determine whether implementing music at the bedside during hours of sleep in the acute coronary-care setting addressed quality of sleep for postoperative open-heart patients. While statistical significance was not met in this project, promising results were found.Item Cardiac services nurse residency(Montana State University - Bozeman, College of Nursing, 2016) Kennedy-Collins, Kamera Machel; Chairperson, Graduate Committee: Alice RunningThis professional project was born out of a specific need within the cardiac services department at Kalispell Regional Medical Center. In order to describe, and best determine the exact needs of the cardiac services department, a clinical microsystem assessment was completed for the department focusing on the 'five P's' of the assessment process; Purpose, Patients, Processes, Professionals, Patterns. Information obtained from the microsystem assessment highlighted the need for additional staffing. Factors such as retirement, department growth, and turnover have left the department chronically short staffed. Chronic short staffing has resulted in long work hours and routine overtime. Attempts at hiring experienced nurses have not been successful enough to meet the department demand. Evidence would support nursing residency programs as one solution to staffing shortages. Therefore, a literature review was completed regarding the design and success of nurse residency programs. Given the issues of persistent short staffing, and the subsequent increased work load for staff, a proposal for the development of a unit specific nurse residency program was made. This professional project proposes a 16 week unit specific nurse residency program designed to be integrated into the existing organizational program. The programs includes components of preceptorship, mentoring, and didactics. The goal of the proposed nurse residency program would be to provide education, professional support, and mentoring to new graduate nurses interested in cardiac care in order to satisfy long term staffing needs within the department.Item An evaluative study of the myocardial infarction patients' expressions of their needs and their responses about the health teaching they received(Montana State University - Bozeman, College of Professional Schools, 1969) Pesanti, Linda CatherineItem Rural-urban characteristics, resource needs and life-style changes after coronary artery bypass surgery(Montana State University - Bozeman, College of Nursing, 1980) Taulbee, Margaret Ann McNeilItem Long-term exercise maintenance in a selected group of Montana post coronary artery bypass graft surgery patients(Montana State University - Bozeman, College of Nursing, 1989) Salomon, Karen Lea HofstrandItem The effect of health perception on compliance with prescribed medications by cardiovascular patients(Montana State University - Bozeman, College of Nursing, 1978) Piltingsrud, Donna MarieItem Sexual rehabilitative needs of postmyocardial infarction patients(Montana State University - Bozeman, College of Nursing, 1982) Schultz, Connie MargaretItem Health perception, morale, social functioning, preoccupation with health, and social support among postoperative coronary artery bypass graft surgery patients(Montana State University - Bozeman, College of Nursing, 1986) Ceynar, Cynthia AnnItem A description of sleep patterns and sleep hygiene practices for adults in cardiac rehabilitation programs in Southern Montana(Montana State University - Bozeman, College of Nursing, 2009) Barker, Tina Marie; Chairperson, Graduate Committee: Rita E. CheekDespite the importance of coronary heart disease (CHD) as a major health problem and cardiac rehabilitation as a means of secondary prevention, no previous studies have been found which describe sleep patterns and sleep hygiene practices in this population. Sleep is essential for mental and physical well being and good sleep hygiene practices promote high quality sleep. Poor sleep quality can increase the risk of a myocardial infarction in persons with CHD. The purpose of this descriptive study was to describe sleep patterns and practices of adults diagnosed with CHD and participating in a cardiac rehabilitation program. Two survey tools, the Pittsburgh Sleep Quality Index and the Sleep Hygiene Index, were used to collect data on a convenience sample of 31 adults participating in cardiac rehabilitation programs located in southern Montana. The questionnaires were returned with a response rate of 69.3%. Study results indicate poor sleep quality in this sample population which was primarily due to poor sleep efficiency and sleep disturbance. Sleep hygiene practices of this sample were relatively good, with only a few areas of deficiencies observed. The findings from this study provide a basis for future research. Future research needs to approach the cardiac rehabilitation population on a larger scale and determine if specific sleep hygiene practices correlate with poor sleep quality. Nurse practitioners and other providers can incorporate this knowledge into interventions to promote sleep and sleep hygiene practices.Item Barriers to participation in cardiac rehabilitation : a rural perspective(Montana State University - Bozeman, College of Nursing, 2007) Echeverri, Rebecca Chloe; Chairperson, Graduate Committee: Charlene WintersCardiovascular disease is a significant health problem in rural states and complicated by the lack of access to specialized health care services such as cardiac rehabilitation programs. Researchers have documented that education, counseling, and behavioral interventions are important elements of cardiac rehabilitation (CR) that lead to decreased mortality and increased quality of life. Despite the known benefits of participation, only 10-20% of eligible persons in the United States participate in CR. While evidence exists to partially explain participation in cardiac rehabilitation programs, a major limitation of most studies reported in the literature is that they were conducted primarily in large urban areas. As a result, findings from these studies cannot be generalized to rural dwellers resulting in limited research examining participation in cardiac rehabilitation amongst rural persons.