Scholarship & Research
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Item Father-specific education in the inpatient setting(Montana State University - Bozeman, College of Nursing, 2019) Smith, Pamela Alejandra; Chairperson, Graduate Committee: Sandra Benavides-VaelloThe early postpartum period is an important period of time to prepare mothers and fathers for parenthood. Father's involvement in children's lives has shown to be beneficial for the child's health and the entire family dynamics too. Evidence shows that parental education increases knowledge and confidence levels in parents. Currently, the majority of educational efforts and programs target mothers, leaving men with none or minimal tools to succeed as fathers of a newborn. A major goal of Healthy People 2020 in relation to children's health is a ten percent reduction in infant and neonatal deaths. One key approach for reaching this goal includes increasing the amount of educational and community based programs for infant and child health to increase knowledge in parents (both mothers and fathers) of safe practices with infants and children. This pre/post-quasi-experimental project was designed to evaluate gender specific education and changes in parental confidence level when exposed to educational literature. The project was implemented in the maternity unit at St. Vincent's Healthcare in Billings, Montana. With a total of 32 fathers as participants. Results of the project indicated an overall maintenance or improvement of parent confidence level evidenced by a maintenance or increase in Karitane Parenting Confidence Scale scores. Results of the project are expected to facilitate fathers' responsiveness to baby and better bonding of baby to father in the immediate future. Outcomes are expected to lead to positive consequences in children's health and development. Results also indicate the educational intervention with fathers was overall successful in fulfilling the purpose of this scholarly project.Item Presentation of a comprehensive community suicide prevention program: improvements for young adult males ages 18-34 years old(Montana State University - Bozeman, College of Nursing, 2019) Bagley, Jamie Lynn; Chairperson, Graduate Committee: Maria WinesSuicide continues to be a worldwide phenomenon causing more than 44,000 deaths nationally (American Foundation for Suicide Prevention [AFSP], 2015) and 800,000 deaths globally (World Health Organization [WHO], 2017). Although any population can be affected by suicide, certain populations are at a higher risk of being impacted. Completed suicides by the male population have been rapidly accelerating both nationally and within the state of Montana. Over the last 40 years Montana has been in the top five states for the highest suicide rates in the nation (Montana Department of Public Health and Human Services [MTDPHHS], 2016b), and as of January 2018, Montana ranked first in the nation for highest suicide death rate (Centers for Disease Control and Prevention [CDC], 2018). Male youth suicide is rising and is now the second leading cause of death between males ages 15-34 years old (CDC, 2015). Butte-Silver Bow County, located in Montana, is no exception, and is one of four counties in Montana with the highest suicide rates of 20.6/100,000 compared to Montana's suicide rate of 16.4/100,000 (MTDPHHS, 2016a). Twelve percent of males in Butte-Silver Bow County report 'fair' or 'poor' mental health (Sisters of Charity of Leavenworth [SLC], 2015). There is significant need for mental health support services for this age group. The lack of evidenced-based suicide prevention interventions/programs for males, particularly male youth, is alarming. The goal of this proposed community implementation program is to provide Butte-Silver Bow County and future communities with evidence-based interventions to decrease male youth suicides. An exhaustive literature search was conducted, and evidence-based suicide prevention programs were evaluated. As a result, evidenced-based components from Problem Solving Therapy (PST), and The Collaborative Assessment and Management of Suicidality (CAMS) were combined to form one comprehensive suicide prevention intervention program.Item Perception of hardiness in rural men(Montana State University - Bozeman, College of Nursing, 1996) Wirtz, Ellen FrancesItem Health beliefs and practices of 'regulars' at the rural bar(Montana State University - Bozeman, College of Nursing, 2006) Jorgensen, Kathy Palm; Chairperson, Graduate Committee: Jean Shreffler-GrantMontana has one of the highest per capita rates of alcohol consumption. While alcohol use in rural areas has not been documented to be higher than in urban areas, rural residents have been recognized as having unique perspectives on health. This study was designed to explore the health beliefs and practices of rural men who regularly frequent the local bar. Understanding the perspective of this group may add to the body of knowledge used by Advanced Practice Nurses to work effectively with these men. Interviews with ten men from four rural communities with no local health care facility were undertaken to explore the health beliefs and practices of this group. Bandura's Cognitive Social Theory was chosen as the theoretical framework to address how these men perceived health, health care, and health care providers as well as their own ability to control their wellness. The participants identified lack of pain and ability to function in daily tasks as being healthy. Most of the participants (90%) believed they had a great deal of control over their own well-being with physical activity being the most common self care activity. They avoided health care until unable to manage the illness or injury themselves then would choose a provider based on word of mouth, convenience, cost, and "knowing" the provider. Participants demonstrated an ability to change lifestyle patterns if they perceived the change to be important. Participants would avoid or not return to a provider who was rude, judgmental, or did not provide adequate pain control. Most named the bar as a place for socialization. Subjects were aware of the risks of smoking and excess alcohol but did not plan to change these activities in the absence of symptoms of disease. This study suggests that providers would be well served to a) assess the health care priorities of the 'regular' and tailor care to those perceived risks, b) make an effort to 'know' the patient by assessing social situation and lifestyle, c) portray an open, friendly, non-judgmental demeanor, and d) provide specific, clear information about personal risks/symptoms of disease with individualized suggestions about self-help measures.