Journal of Student Nursing Research: Volume 6, Issue 1
Volume
Number
Journal Title
Journal ISSN
Date Published
05/01/2013
Journal Volume
Description
Keywords
Search Results
Now showing 1 - 6 of 6
Publication The Implications of Change on Advance Practice Psychiatric-Mental Health Nursing(2013-07-14) Schmidt, Scott CDiscussions regarding the certification of the psychiatric-mental health (PMH) clinical nurse specialist (CNS) resulted in its elimination by the American Nurses Credentialing Center (ANCC), effective 2014. The sole remaining advanced practice registered nurse (APRN) certification for providing psychiatric and mental health care will be the Family Psychiatric Nurse Practitioner (NP). Disagreement still lingers with the changes in certification, including fears that the role of the PMH-CNS, which include care for the child and adolescent patient population and psychotherapy, will no longer exist. Additional concerns include the loss of duties traditionally performed by PMH-CNS to other behavioral health disciplines. In contrast to these fears are the hopes that a single title will reduce confusion among consumers and professionals, allow for an improvement in the allocation of resources for roles with similar core functions, and better address the current needs of individuals seeking mental health care. This paper describes the implications of such a transition and how even with a change in title, the role of the CNS can and should survive.Publication Prenatal Care for Women with Serious Mental Illness(2013-07-14) DeCesaris, MarissaThe lifetime prevalence of serious mental illness (SMI) for women in the United States is nearly 6% (NIMH, 2012). Women in this group often have lifestyle and socioeconomic characteristics that lead to poor health status and delays in seeking heath care. While women with SMI are just as likely to have children as their non-mentally ill counterparts, they are more likely to experience pregnancy complications and negative birth outcomes. Prenatal care must take into consideration the unique needs of these women and the challenges they face. Recommendations for improving practice include increasing pregnancy screening, using multidisciplinary teams to provide holistic care, and involving the patient in shared decision-making. This care should be continuous throughout the woman’s childbearing years. Further research is needed to test the effectiveness of models of prenatal care tailored to women with SMI.Publication The Impact of Informational Materials on Psychosocial Responses to HPV Diagnosis and Management(2013-07-14) Palacios, JoselleCervical cancer screenings, colposcopy, and a diagnosis of human papillomavirus (HPV) increase anxiety in clients. Researchers have investigated several interventions to reduce emotional distress in clients, including disseminating informational leaflets and brochures, offering educational and counseling services, and hypnotherapy. There is insufficient evidence, however, for the effectiveness of informational leaflets in reducing anxiety and improving knowledge and client satisfaction. This article examines the utility of such an intervention and explores ones that may be more effective in reducing anxiety prior to, during, and after HPV and cervical cancer screening and management. Because HPV follow-up can involve several steps that take place over approximately two years, it is important to keep clients engaged in the system along the way. This article also examines if informational interventions increase client knowledge of cervical cancer and its cause, HPV and what impact this has on follow-up.Publication The Birth of an Intersex Infant: Exploring the Options and Ethics Behind Decision-Making(2013-07-14) Ovadia, DanaWhile joyous and miraculous, the birth of a healthy infant is an event laden with eustress, fear of inadequacies, and permutating visions of the future. Add to this the diagnosis of an intersex infant, and the family is catapulted into an abyss of unfamiliar questions and unexpected decision-making. Immediate surgical intervention to alter genitalia is a common decision, but is not the only option. An ethical debate stems around the core question of whether choosing the sex of a child is the responsibility of the parent, or of the child, as he or she ages. The psychological repercussions of sexual incongruencey resonates unabated throughout childhood and adolescence. The following paper explores the ethical considerations behind sex assignment surgery for intersex infants.Publication Ethical Perspectives Regarding Antidepressant Drug Therapy During Pregnancy(2013-07-14) Schmidt, Scott CA literature review was conducted to evaluate and understand the effects of antidepressant medication during pregnancy and the ethical issues surrounding the topic. Through the discussion of three articles, the review weighed the effects of antidepressants on maternal and child health. Antidepressant medication during pregnancy poses relative risks to cause fetal complications and defects, though the risk remains very small. However, untreated depression may significantly impact the childbearing family, including premature births, low birth weights, miscarriages, and suicide. Clinicians often have misconceptions of the risks of untreated depression during pregnancy and could benefit from an increased understanding of the current literature when making treatment decisions. Nevertheless, an individual’s history, symptomatology, and an understanding of medications known to be harmful to the fetus should guide the choice of treatment. Further research may help solidify understanding among clinicians and the public and ultimately lead to improved health outcomes for both mother and child.Publication The Physical and Mental Health Effects of Community Violence Exposure in Pre-Adolescent and Adolescent Youth(2013-07-14) Fairbrook, Sarah WThe purpose of this inquiry is to determine the impact of community violence exposure (CVE) on the physical and mental health of children and adolescents. Twelve research studies exploring this topic were found by conducting a search in Pubmed and the Cumulative Index of Nursing and the Allied Health Literature (CINAHL). The articles used in this inquiry were limited to those published in the United States after 2003. All studies directly assessed CVE and explored its association with psychological or physical symptoms. An increased risk of PTSD and internalizing symptoms were associated with CVE. Children with CVE were at a higher risk for somatic complaints. In addition, CVE was associated with higher morbidity in children with asthma. The literature was entirely self-report with both cross-sectional and longitudinal studies. These results indicate the need for further research to better understand CVE and health associations.