Scholarship & Research

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    Exercise as treatment for depression, dissemination of evidence-based practice to providers
    (Montana State University - Bozeman, College of Nursing, 2019) Dean, Amber Jewel; Chairperson, Graduate Committee: Tracy Hellem
    Statement of the problem: Depression is the leading cause of disability worldwide with low remission rates. Exercise has been used as an evidence-based treatment option with positive results. This project assessed the usefulness of a pocket card to disseminate evidence-based research to medication providers while collecting additional information. Methods: 93 medication providers were identified in northwestern Montana counties at 14 outpatient clinics to disburse an informational packet to, including the pocket card. A letter directed providers to take an initial survey and a follow up survey. Results: The majority of participants (86%) found the pocket card to be a useful way in receiving information regarding exercise as treatment for depression. Conclusion: The pocket card was a useful way to disseminate evidence for exercise as treatment for depression to medication providers.
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    A study of post partum mood changes as reflected by response to the Nowlis mood scale
    (Montana State University - Bozeman, College of Professional Schools, 1972) Yuhas, Frances Beckman; Chairperson, Graduate Committee: Merlyn Jean Maurer Willett
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    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. Darragh
    This 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.
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    A study of extraordinary means in relation to the aged, the critically ill, and the dying
    (Montana State University - Bozeman, College of Professional Schools, 1971) Maiers, Mary Gerals, Sister
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    A comparative study of attitudes towards dying patients
    (Montana State University - Bozeman, College of Professional Schools, 1971) Lukens, Loretta Mary Massman
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    A survey to determine if job satisfaction was related to expressions of satisfaction of selected needs among Army Nurse Corps officers
    (Montana State University - Bozeman, College of Professional Schools, 1969) LaRock, Ethel Barbara
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    The isolated student : identification of the isolate and an assessment of this isolation in relation to the amount of time employed in patient interaction
    (Montana State University - Bozeman, College of Professional Schools, 1968) Kiolet, Margaret Ellen
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    A study to determine how nurses and teachers perceive and accept persons with visible and hidden physical defects
    (Montana State University - Bozeman, College of Professional Schools, 1970) Johnson, Hulda Elvira
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    Psychiatric mental health nurses' perspectives on professional boundaries
    (Montana State University - Bozeman, College of Nursing, 2015) Becker, Robin Catherine; Chairperson, Graduate Committee: M. Jean Shreffler-Grant
    The therapeutic nurse-patient relationship is essential to psychiatric mental health nursing practice. Psychiatric mental health nurses must develop and maintain a positive therapeutic relationship with patients while upholding professional boundaries. The definition of professional boundaries is elusive and leaves much room for interpretation. Lack of a clear definition can impair nurses' knowledge and understanding of professional boundaries, which can lead to potential boundary violations. Currently literature does not represent the subjective definitions individual psychiatric mental health nurses have regarding professional boundaries. The purpose of this study was to explore the definitions of professional boundaries from the perspectives of psychiatric mental health nurses. All participants had a current registered nursing license, were currently employed at the sample hospital, and provided informed consent for participation. To address this purpose, answers to the following research questions were sought: 1) How do psychiatric mental health nurses define professional boundaries, 2) How does the psychiatric mental health nurse's definition of professional boundaries affect her or his practice, and 3) What challenges do psychiatric mental health nurses face in maintaining professional boundaries. To answer the research questions, a sample of seven psychiatric mental health nurses who practice at a hospital in Montana were interviewed using qualitative open-ended questions. Based on the participants response four themes relating to definitions of professional boundaries were identified. The themes were: (a) distinct to mental health, (b) changes throughout career, (c) relates to patient age, and (d) impact on practice. The results suggest the need for additional research on professional boundaries in a variety of psychiatric and non-psychiatric settings. The results of this study also offer many implications for future practice including regular staff training, thorough educational foundation, administrative attention to boundary violations and adequate self-care. The outcomes of this study can be used to guide psychiatric mental health nurses, nurse administrators, and healthcare organizations in promoting the therapeutic relationship while maintaining professional boundaries.
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