Evidence-Based Practice Screening Protocol to Integrate Physical Health Services into a Behavioral Health Center

ABSTRACT Individuals aged 18 or older who suffer from a serious mental illness (SMI) often have coexisting chronic physical health problems such as diabetes, hypertension, obesity, and cardiovascular disease. Multiple providers in various settings provide care for individuals with co-morbid SMI and physical health problems. Early, effective and efficient screening leads to successful treatment and management of patients with both SMI and chronic physical health complications. The purpose of this DNP project was to develop and implement an evidence-based integrated screening protocol for adult males (18 and over) diagnosed with SMI and co-morbid physical health problems who presented for care in a community based mental health center. A practice protocol was developed and implemented as a key part of the community-based mental health center clinical pathway. The protocol focused on comprehensive care management and care coordination for health and clinical services to include early screening and referrals. Two registered nurses screened 35 adult males with a SMI diagnosis for physical health complications. The mean age for the individuals screened was 41.88 years; 40% (14) were smokers; 23% (8) had elevated glucose levels; 20% (7) had hypertension; and 17% (6) were obese. No referrals to a primary care provider were completed. The evidence-based screening protocol for identifying physical health problems in individuals with SMI was effective. The development of the protocol improved quality of care delivery through screening, to identify individuals who would necessitate a referral to a primary care provider

Esports Curricula in U.S. Post-Secondary Institutions: A Case Study

Although the concept of Esports competency has been widely recognized, it is not yet well understood by the various educational institutions that have started offering certification programs in this field. This study aims to provide a comprehensive analysis of the multiple principles that have been established to promote this specialization. The increasing popularity of gaming and esports has led to the development of a wide range of educational programs that are geared toward addressing the needs of the future workforce. Although the goal of these programs is to provide a comprehensive view of the various facets of this field, the process of teaching them is still new. The goal of this study was to explore the common learning competencies that are developed in the post-secondary education of gamers and Esports in the United States. It was also conducted to identify the potential advantages of working in this field, over the traditional sports industry. Although esports has been included in various post-secondary education programs, such as secondary and post-secondary, it is not yet considered a completely new field. The findings of this study will be used to develop an interdisciplinary program in this field. Through the object collection process, the researcher was able to identify the various materials that are used in the education of esports students. These included the program descriptions and job postings for positions in the industry. She also examined the curriculum and course syllabi. Secondary data were then collected from a school that has an esports program. This type of data was used to analyze the program\u27s engagement and effectiveness. These quantitative data will be used to study how these programs are implemented in practice

Factors associated with the successful removal of indwelling urinary catheters post-operatively in the fragility hip fracture patient

Introduction Patients presenting to hospital with a fragility hip fracture are routinely catheterized in the emergency department. Studies have found that the duration of catheterization is the greatest and most important risk factor for developing a urinary tract infection. Whilst there is a considerable body of evidence around correct techniques for insertion of urinary catheters, there appears to be little evidence as to the timing of their removal. Aim of the study To describe the current practice of indwelling catheter (IDC) removal post operatively in the fragility hip fracture patient and to identify factors associated with the successful removal of IDCs post operatively in the same cohort of patients. Methods This study was a retrospective cohort analysis of patients admitted to a large, tertiary hospital with an established ortho-geriatric model of care. Results Aperient regime was the only factor that appeared to have a significant impact on the successful IDC removal. The patient commenced on the aperient regime was three times more likely to have an unsuccessful IDC removal than the patient on a limited or no aperient regime. Conclusion This study highlights the need for redesigning care that is patient focused, evidence-based, effective and efficient. The argument that a patient's bowel is required to be emptied prior to the successful removal of an IDC appears to be false, as in this study it was not identified as a predictor of successful IDC removal. A prospective clinical trial may be the next step forward in developing a clinical guideline for the successful removal of IDCs in the fragility hip fracture patient and/or surgical patient. Nurses have a crucial role to play in contributing to evidence-based practice and are continually challenged to do so

MBS Connects, Summer 2015

MBS Connects. University of Maine Contents Faculty Notes, p 2 From the Dean, p 3 Students hold business etiquette seminar, p 4 Annual Fund Information, p 5 Awards night recognizes students, faculty, p 5 MBS graduates share sage advice with students, p 6 Student Spotlight: Nicholas Derba, 2016, p 7 MBS Advisory Board, p 7 Alumni Spotlight: Tim Bishop, 1979, p 8 Alumni Spotlight: Ramat Oyetunji, 2005, p 9 Alumni Spotlight: Dianne Grade, 2008, p 10 Alumni Spotlight: Matt Chabe, 2013, p 11 Alumni Spotlight: Carley Soule, 2014, p 12 Student Spotlight: Justin Conant, 2015, p 13 Online MBA program, p 13 Tyler Technologies employees tell it like it is, p 14 Bangor Saving executives take part in business simulation, p 15 Student Spotlight: Ethan Hawes, 2015, p 16 Student Spotlight: David Patrick, 2016, p 18 Student Spotlight: Annabelle Hamilton, 2015, p 19 Student Spotlight: Marcy Hernandez, 2015, p 20 MBS club started, p 20 MBS Ambassadors, p 2

MBS Connects, Vol. 6, Issue 8

MBS Connects. University of Maine Vol. 6, Issue 8 Contents Faculty Notes, p 2 From the Dean, p 3 Relyea teaches in Salzburg, Austria, p 3 2015 graduates find success, p 4 MBS students gain cultural, economic insights in Vietnam trip, p 6 Annual Fund Information, p 7 Faculty Notes, p 8 NFL pros talk about leadership, p 9 MBS Advisory Board, p 9 Four new members to MBS Advisory Board, p 10 Emery joins MBS Advisory Board as communications intern, p 11 UMaine Business Challenge winners announced, p 11 MBS finance society, p 12 Students learn from working professionals at conference, p 13 Alumni Spotlight: Gibrian Foltz 2007, p 14 Alumni Spotlight: Ana Zivanovic-Nenadovic 2008, p 15 Alumni Spotlight: Katie Smith 2013, p 16 Student Spotlight: Amy Lyons 2018, p 17 MBS students showcase research, p 18 MBS students serve as business consultants, p 19 Students learn about personal branding, p 20 Trade fair showcases students’ knowledge about how business is done abroad, p 21 International business competition recap, p 22 Sustainability challenge, p 23 Alumnus discusses digital marketing, p 24 Global warming and business, p 24 MBA student referees wheelchair rugby, p 25 MBS Donors, p 26 May 2015 graduates, p 2

MBS Connects, Winter 2016

MBS Connects. University of Maine Contents Faculty Notes, p 2 From the Dean, p 3 Faculty Notes, p 3 Scratchpad Accelerator, p 4 Faculty Notes, p 5 Broderick takes over VITA, p 6 Graduate organizations merge, p 7 New advisory board member appointed, p 7 Alumni Spotlight: Frank Mazur, 1967, p 8 Alumni Spotlight: Tim Gagnon, 1979, p 9 Alumni Spotlight: Bill Tarvainen, 1983, p 10 Alumni Spotlight: Charles Emery, 1996, p 11 Alumni Spotlight: Scott Rotundo, 1997, p 12 Alumni Spotlight: Chris Washburn CPA, 1997, 1998 (MBA), p 13 Alumni Spotlight: Max Parsons, 2014, p 14 Alumni Spotlight: Terri Bastarache, 2014, p 15 Maine Revenue Services representative speaks to accounting students, p 16 Student News: Students are AMA consultants, p 16 MBA Student Spotlight: Lori Lommler, 2018, p 17 Student Spotlight: Brent Martin, 2016, p 19 Faculty News, p 19 August 2015 MBS graduates, p 2

Chronic Worry as Avoidance of Arousal

Previous research suggests that worry is primarily a verbal-linguistic activity that may serve as a method of cognitive avoidance of fearful imagery. The purpose of the present study was to examine cognitive avoidance in high worriers (N = 22) and low worriers (N = 24) using psychophysiological measures and a modified dichotic listening task. The task involved presenting neutral words into an unattending ear while worry or neutral scenarios were presented into the attending ear. Participants were given a surprise word recognition test of the words presented to provide evidence of cognitive avoidance beyond self-report. Contrary to the hypotheses, high worriers did not have less physiological reactivity than did low worriers. Low worriers recognized more words than did high worriers overall. High worriers remembered more words from the worry scenario than the neutral condition, as would be expected if they attempted to avoid the worry scenario. Implications for treatment of worry and the use of the dichotic listening task in researching worry are discussed

Chronic Worry as Avoidance of Arousal

Previous research suggests that worry is primarily a verbal-linguistic activity that may serve as a method of cognitive avoidance of fearful imagery. The purpose of the present study was to examine cognitive avoidance in high worriers (N = 22) and low worriers (N = 24) using psychophysiological measures and a modified dichotic listening task. The task involved presenting neutral words into an unattending ear while worry or neutral scenarios were presented into the attending ear. Participants were given a surprise word recognition test of the words presented to provide evidence of cognitive avoidance beyond self-report. Contrary to the hypotheses, high worriers did not have less physiological reactivity than did low worriers. Low worriers recognized more words than did high worriers overall. High worriers remembered more words from the worry scenario than the neutral condition, as would be expected if they attempted to avoid the worry scenario. Implications for treatment of worry and the use of the dichotic listening task in researching worry are discussed

The Association between Neighborhood Disorder and Hypertension Mediated through Stress

poster abstractThis study seeks to understand the relationship between the physical and social neighborhood environment and self-reported hypertension status in order to improve the health of Baltimore City residents. However, the mechanism through which neighborhood disorder is associated with hypertension is unclear. Self-reported hypertension status and demographic information from 711 Baltimore City heads of households from the Windows to Health survey was combined with corresponding neighborhood block order/disorder ratings on the presence of violence, alcohol and other drugs using the Neighborhood Inventory for Environmental Typology (NIfTEy). Regression models were used to test the relationship between (1) neighborhood disorder and hypertension status, (2) neighborhood disorder and stress symptoms (tiredness, headache, and trouble concentrating), and (3) stress symptoms and hypertension status. Results showed a statistically significant association between neighborhood disorder (violence) and stress symptoms (tiredness) after adjusting for age, sex, race, employment status, and highest level of education completed (OR 1.35, CI 1.03-1.77). However, there was no association between neighborhood disorder and hypertension status or stress symptoms and hypertension status. It is possible stress symptoms could be related to other health outcomes. Given the shown relationship between neighborhood disorder and stress symptoms, public health practitioners should design and implement neighborhood level interventions in communities with high levels of disorder in order to improve the health and well-being of residents