Scholarship & Research
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Item Swan song : architectural thesis(Montana State University - Bozeman, 1989) Barney, Rhonda J.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 Concepts of patient care in the rehabilitation of the hospitalized patient(Montana State University - Bozeman, 1961) Foss, Dorothy BoydItem An evidence-based pediatric asthma toolkit for the primary care provider(Montana State University - Bozeman, College of Nursing, 2014) Davis, Amy Lynn; Chairperson, Graduate Committee: Sandra KuntzUncontrolled asthma has costly health and economic consequences. There is a clear clinical need for better asthma management programs in the pediatric primary care setting (Akinbami et al., 2011; Sleath et al., 2011). The current system for asthma management in primary care offices is not improving outcomes for pediatric asthma patients in the United States or the state of Montana. Barriers to providing comprehensive evidence-based pediatric asthma care exist in the primary care setting nationwide (US DHHS, 2010; & Meyer, 2011). The creation of an evidence-based pediatric asthma toolkit for the primary care provider based on the EPR-3 Asthma Diagnosis and Management Guidelines (NIH, NHLBI, 2007) is an attempt to alleviate prevalent barriers primary care providers face in pediatric asthma care. A toolkit was assembled based on literature reviewed, interviews with experts in the field, and suggestions from primary care providers after reviewing the tool. The toolkit was found to be evidence-based, appropriate for use in the primary care setting, efficient for use in a busy primary care setting, and desired for use by primary care providers in the state based on informal interviews and reviews. It is suggested that the Pediatric Asthma Toolkit for the Primary Care Provider be tested using a formal research study for its' effectiveness in improving pediatric asthma care in the primary care setting as well as improving asthma outcomes in the state of Montana. More research needs to be done in the U.S. to evaluate the effectiveness and use of asthma toolkits by primary care providers. The toolkit will need to be updated when new research is published on asthma care as well as when new national asthma guidelines are issued. The toolkit will also need to be updated with current available pharmaceuticals and devices for asthma. This professional project is in alignment with the national Asthma Control Goals for Healthy People 2020 as well as the National Asthma Education and Prevention Program recommendations for implementation of the EPR-3 Guidelines. It is also in alignment with the Montana Asthma Control Program's goals to create partnerships throughout the state and improve asthma outcomes for Montana.Item The effect of health perception on compliance with prescribed medications by cardiovascular patients(Montana State University - Bozeman, College of Nursing, 1978) Piltingsrud, Donna MarieItem The effects of music therapy on comfort in the mechanically ventilated patient in the intensive care unit(Montana State University - Bozeman, College of Nursing, 2006) Besel, Jamie Marie; Chairperson, Graduate Committee: Jane ScharffThe purpose of this pilot study was to assess the effects of music therapy on comfort in acute mechanically ventilated patients in the Intensive Care Unit. Mechanical ventilation leads to decreased comfort. Pain and anxiety may increase during this treatment modality, and the literature suggests this may directly affect patient comfort levels. Music therapy as a nursing intervention within the context of comfort, pain, and anxiety of mechanically ventilated patients was investigated. This quasi-experiemental study used a pre-test and post-test design with subjects serving as their own control. The convenience sample consisted of 2 men and 3 women who were mechanically ventilated and fit the selection criteria. Dependent variables measured included comfort, pain, and anxiety. Physiologic dependent measures included heart rate, respiratory rate, and systolic and diastolic blood pressure collected at timed intervals. Comfort was measured using a modified version of the Hospice Comfort Questionnaire. Pain was measured using the Numerical Graphic Rating Pain Scale. Anxiety was measured using the Faces Anxiety Scale. Important preliminary quantitative results are provided by this pilot study. The mean, standard deviation, significance, and paired t-tests were compared for each tool to determine changes in scoring before and after the intervention and control. This was also completed for physiological data including systolic and diastolic blood pressure, respiratory rate, and heart rate. Paired t-tests showed no significant mean differences between two points of measurement on systolic, diastolic, heart rate, and respiratory rate in both the intervention and control groups. Comfort, anxiety, and pain scores before and after the intervention and control also did not demonstrate significance. The small sample size makes generalization of these findings impossible to the entire population of acute mechanically ventilated patients in Billings, Montana.Item Nurses' knowledge of heart failure guidelines in a Western Montana hospital(Montana State University - Bozeman, College of Nursing, 2009) Knopp, Anna Marie; Chairperson, Graduate Committee: Susan LuparellHeart failure (HF) is an epidemic. Five million people were diagnosed with the disease in 2006 and 550,000 new cases are being reported each year. HF is associated with a decreased quality of life and high mortality rate. It also accounts for 12-15 million office visits and 6.5 million hospital stays each year. Although there is no known cure for HF, understanding the disease and guidelines put forth by the American Heart Association as well as the Heart Failure Society of America, has been shown to decrease mortality, increase quality of life, and decrease hospital admissions. Healthcare workers play a vital role in educating HF patients about the disease, and as such, they themselves should be knowledgeable about what they teach. This study seeks to describe nurses' knowledge of the HF education guidelines in a western Montana hospital. A questionnaire was sent to 196 nurses working in a western Montana hospital testing their knowledge regarding the HF education guidelines. Only one nurse answered all questions correctly. The lowest score attained was 25% and the average score for the entire group was 72%. Demographic data explored was area worked (critical care versus non-critical care), years of experience, and educational preparation. The results of this study demonstrated that nurses working in a western Montana hospital may not be sufficiently knowledgeable regarding the HF education guidelines. Increased education may better prepare nurses to educate patients regarding the HF education guidelines. HF patients who are taught by educated nurses may receive a higher quality of education in which, perhaps, the patients will have a better understanding of their disease and the guidelines to increase quality of life and decrease mortality and hospital admissions rates.