UMSS22 Allied Health

Allied Health 

 

  1. Family Nurse Practitioner Student Perceptions of Simulation Based Education

Submission Type: Virtual Presentation

Submission Category: Allied Health

Author(s):

Sean Sibley 

Kelley Strout

Graduate Student Presentation

Faculty Mentor: Kelley Strout

Abstract: A form of high fidelity simulation, known as Objective Structured Clinical Examination (OSCE), is an evidence-based teaching/learning tool. Students prepare for and perform specific learning outcomes within the clinical scenario. There is substantial published literature and consensus guidance on simulation in pre-licensure nursing programs, but a lack of research on simulation in graduate level nursing education. The University of Maine School of Nursing graduate program has been developing and implementing theory and evidence based OSCE simulations in the FNP program since 2020. The simulation experiences are embedded into Family Nurse Practitioner (FNP) courses. Simulation is a form of experiential learning when students have the opportunity to “do it” and then reflect on the experience with evidence guided debriefing with faculty. Therefore, student satisfaction and perceptions of the design may influence their learning through the student-centric lens of experiential learning. Using three psychometrically sound standardized surveys, this study evaluates UMaine FNP students’ perceived satisfaction and self-confidence with the OSCE experience, as well as their evaluation of the simulation design, and how OSCEs attend to their learning needs. The sample was taken from FNP students in their final semester of the program, all of whom are registered nurses pursuing a Master of Science degree and certification as a Family Nurse Practitioner. Data is being collected and analyzed in March 2022 with outcomes to be determined.

 

  1. Climate Change Affects Wild Mammal Ranges and Health; Will That Also Affect Infectious Disease Exposure Risk at Maine Farms?

Submission Type: Poster

Submission Category: Allied Health

Author(s):

Rebecca French

Joseph Beale

Suzanne Ishaq

Undergraduate Student Presentation

Faculty Mentor: Suzanne Ishaq

Abstract: Climate change has caused the migration of animal species to new environments that match their ideal climate for living, but this introduction of species also allows new microbial pathogens to infest new environments. This has been seen recently in New England concerning Southern Flying Squirrels (Glaucomys volans) and in many species of mice including a vector for Lyme disease; White-footed Mice (Peromyscus leucopus). The research question that was investigated was if the integration of new species of rodents into Maine is bringing a risk of pathogenic outbreak into both livestock and human populations. The hypothesis posed was that pathogens such as Strongyloides robustus, Escherichia coli, Salmonella enterica, and others are going to be seen in samples taken from captured mice and squirrels. Pathogens and microbes were observed from samples of feces from caught rodents, at both farms and neighboring wilderness from multiple sites around Maine. These samples were then diluted and cultured on either Eosin Methylene Blue (EMB) agar, MacConkey agar, Blood agar, or Brilliant Green agar. Fecal flotations were also performed to look for parasites and eggs. The results of this project were inconclusive due to the difficulty in capturing many rodents. The hypothesis in turn was neither correct nor incorrect; because no conclusion could be made with such a small sample size. The direction of the research pivoted more toward the revision of methods and locations of future investigation so that in the future better results can be found. A large focus of the project also became training students in interdisciplinary research, so that these students could help to move this project forward in the future. This view of study has a great impact as it is demonstrating another risk of allowing climate change to progress throughout the world, and that is what makes it so important for more students to research this in the coming years.

 

  1. Firefighter Cancer Risk: A Qualitative Study of the Current Perceptions and Practices Surrounding Cancer Prevention in the Fire Service in Maine

Submission Type: Poster

Submission Category: Allied Health

Author(s):

Lauren Jellison

Patricia Poirier

Graduate Student Presentation

Faculty Mentor: Patricia Poirier

Abstract: Problem Statement: Cancer is becoming a common concern in the fire service. Studies have shown that firefighters are 14% more likely to be diagnosed with cancer compared to the general population. Firefighters have exposures to elements the public does not. Prolonged exposure to carcinogens may lead to an increased risk of firefighters’ poor health and safety outcomes. These exposures can occur on incident scenes and in department stations. Perceptions of firefighters have been studied to look at the main concerns surrounding cancer exposure and what can be done to decrease risk. The purpose of this study is to examine the perceptions of members of the Professional Fire Fighters of Maine (PFFM) and Maine Fire Chiefs surrounding cancer in the fire service and identify ways that cancer screenings can be better implemented.
Methods: Two surveys (one for PFFM and one for the Maine Fire Chiefs) have been developed targeting both groups’ perceptions of cancer risk in firefighters and the tactics departments and firefighters in Maine are taking to mitigate those risks.
Conclusion: Data will be analyzed from both surveys using descriptive statistics and compared to each other to gather information about the two parties’ perspectives. Once the data is analyzed, educational sessions for both the Professional Fire Fighters of Maine and the Maine Fire Chiefs Association are planned to present the data collected. 

 

  1. The Future of Nursing: Supporting Student Success

Submission Type: Poster

Submission Category: Allied Health

Author(s):

Rebecca Dias

Patricia Poirier

Graduate Student Presentation

Faculty Mentor: Patricia Poirier

Abstract: There is a critical nursing shortage in Maine and throughout the country. The COVID-19 pandemic has exacerbated this shortage and led to nurse burnout and exit from the healthcare field. To supplement the nursing workforce, and meet accreditation requirements, universities are tasked with graduating high percentages of qualified nursing students. Many studies have addressed techniques to improve nursing student retention rates, yet attrition remains high. Utilizing a structured literature review, evidence-based methods of supporting nursing students during four-year programs were compiled. These interventions fell into broad categories including social support, academic support, general academic skills, and the transition to higher education. Included among necessary social supports are strong peer relationships and financial security; academic supports include early intervention for failure risk, advising, and multi-disciplinary referrals. Enhancing academic skills including study techniques, time management, and test taking have been linked to improved student retention; bridging the gap between secondary and higher education with immersive orientations and individualized contact from faculty prior to the start of the first semester have led to improved student outcomes. Utilizing these interventions, an action plan was constructed to facilitate timely graduation of the nursing classes at the University of Maine. This action plan acts as an inter-departmental support system for students, as well as a comprehensive blueprint and referral network for faculty, including the First Year and Transfer Center, LiveWell, the Student Wellness Resource Center, and the counseling center.

 

  1. Utilization of Telemental Health Services in Rural Communities

Submission Type: Poster

Submission Category: Allied Health

Author(s):

Lydia Sprague

Samantha Mills

Jessica Rolfe

Tracey Peterson

Kelly Strout

Undergraduate Student Presentation

Faculty Mentor: Kelly Strout

Abstract: In addressing the potential role telehealth can have on the utilization of mental health services by patients residing in rural areas, we ask the following evidence-based PICOT question: Do patients residing in rural areas with access to telehealth utilize mental health services more often than those without access to telehealth? The COVID-19 pandemic has brought many challenges to the forefront of healthcare in addition to new innovations to combat these arising problems. Telehealth has been utilized to provide efficient and effective mental health care to patients who otherwise would not have been able to receive these required services. We conducted the search for research articles within Google Scholar and CINAHL using the terms and phrases “telehealth,” “rural communities,” and “mental health services.” Search criteria required all research articles to have been published between 2017 and 2022. All articles within this review were required to address all three keywords / phrases used in the search. Articles that did not discuss the use of tele-mental health services in rural communities were excluded. Sixteen articles were chosen that fell within the search criteria. Research suggests continued utilization of telehealth in combination with face-to-face meetings post-pandemic to increase the access to and utilization of needed mental health services in rural and underserved areas in the United States and around the globe.

 

  1. Depressive Mood and Tobacco Use in Association with Cardiovascular Health

Submission Type: Poster

Submission Category: Allied Health

Author(s):

Kelsey Apovian

Michael Robbins

Undergraduate Student Presentation

Faculty Mentor: Michael Robbins

Abstract: The Centers for Disease Control and Prevention (CDC) have identified heart disease as the leading cause of death in the United States of America. According to the American Heart Association one of the indicators of heart disease is depressive symptoms experienced over a period of time. Another major risk factor for heart disease prevalence is tobacco use, which, in turn, the CDC has reported is more common for individuals with depression and anxiety. This study focuses on the association of depressive symptoms and tobacco use with cardiovascular health, while also examining additional lifestyle factors that contribute to the high rates of heart disease in America. It was hypothesized that use of tobacco as well as presence of depressive symptoms would negatively impact cardiovascular health. Cross sectional analyses were conducted with a sample of 893 participants aged 50 years or older from wave 6 of the Maine-Syracuse Longitudinal Study (MSLS), which included measures of depressive symptoms, trait anxiety, tobacco use, prescription psychotropic medication and cardiovascular health. Results thus far indicate that individuals who formerly smoked or currently smoke tobacco have higher trait anxiety scores and use of psychotropic medication than individuals who never smoked. Former smokers reported the highest number of symptoms of depression. Initial analyses show that more symptoms of depression are associated with poorer cardiovascular health, but results for tobacco use groups are mixed. Further analyses will examine tobacco use groups, depressive symptoms, psychotropic medication, and other lifestyle risk factors in relation to cardiovascular disease outcomes.

 

  1. The Prevention of Necrotizing Enterocolitis Through the Fortification of Human Milk

Submission Type: Poster

Submission Category: Allied Health

Author(s):

Kate Ciesielski

Nicholas Powers

Emma Heiser

Sara Todd

Kelley Strout

Undergraduate Student Presentation

Faculty Mentor: Kelley Strout

Abstract: Necrotizing enterocolitis (NEC) is the most common inflammatory disease of the gastrointestinal tract affecting preterm neonates which can rapidly progress to necrosis and possible perforation leading to increased healthcare costs, increased hospital length of stay, high mortality rates, and long term developmental and gastrointestinal issues. When looking into ways to combat this disease process found in preterm infants, human breast milk (HBM) is the first line of defense. HBM supplies infants with astonishing anti-infective properties and creates a variety of benefits for preterm infants in relation to gut health. The purpose of this literature review was to explore the fortification of human milk (HM) and how it affects the incidence of NEC. Literature reviewed is unanimously in support of a human milk diet because it helps to strengthen the gut microbiome. Bacteria located in the gut play a major role in immune homeostasis. For this research, we used the CINHAL database as well as Google Scholar. Based on our keywords below, we found twenty articles and narrowed our selection to twelve peer-reviewed articles. We have included articles published within the last five years, except for one significant publication. Our literature review shows fortifying infant feedings provides essential nutrients that can help promote neonatal gut health which reduces the risk of NEC. For future nursing care, health care teams should focus on educating caregivers about the importance of these preventative measures to produce the best outcome.

 

408. Addressing Human Sex Trafficking in Primary Care

Submission Type: Poster

Submission Category: Allied Health

Author(s):

Chloe White

Mary Tedesco-Schneck

Graduate Student Presentation

Faculty Mentor: Mary Tedesco-Schneck

Abstract: Human sex trafficking is a growing public health crisis with a significant presence globally and within the United States. Known to be underrecognized and underreported, the true prevalence of sex trafficking victimization is unknown but is believed to be high. Survivors of sex trafficking suffer immediate and long-term physical, mental, and social consequences. There are well-researched risk factors that raise the likelihood of victimization by human sex trafficking. It has been reported that the majority of sex trafficking victims do access healthcare while being trafficked. For numerous reasons, victims are unlikely to freely disclose their status to healthcare providers or other figures of authority. Each interaction a victim has with a healthcare provider is an opportunity to be recognized and assisted. However, research data and survivor narratives suggest opportunities for recognition are often missed. Primary care family nurse practitioners, who place value in long-term relationships with their patients, are in a position to assess patients for sex trafficking risk factors and initiate preventative care. They are also in the position to identify patients who are victims of sex trafficking and to assist them in accessing services. There is a lack of education for healthcare providers regarding these crucial skills. A discussion of risk factors for sex trafficking and preventive strategies for those at risk, as well as a brief overview of the response to suspected victim identification, is the focus of this discussion.

 

  1. Assessing the Impact of a Statewide Oral Health Education Program in Long-Term Care

Submission Type: Virtual Presentation

Submission Category: Allied Health

Author(s):

Rachel Coleman

David Wihry

Leah Kravette

Jennifer Crittenden

Graduate Student Presentation

Faculty Mentor: Jennifer Crittenden

Abstract: Older adults who need assistance with oral health care are at risk of poor oral health which impacts their overall health outcomes. Health professionals in long-term care facilities often need to assist older adults with their oral health; however, oral health training and education related to older adults is limited in long-term care settings.

MOTIVATE (Maine’s Oral Team-Based Initiative: Vital Access to Education) provided over 700 staff at eight long-term care settings free education and technical assistance to advance their knowledge, skills and attitudes about oral health based on the training needs identified through a pre-program survey.

Staff knowledge and attitudes related to older adult oral health care were assessed via survey before, during, and after MOTIVATE training. Program implementation applications and barriers were gathered after MOTIVATE completion. Resident and family member satisfaction with oral care provision was gathered via survey and the eight sites provided resident metrics related to oral health where available.

Following training, staff reported high levels of positive attitudes towards the importance of older adult oral healthcare and use of MOTIVATE oral healthcare techniques with residents. Staff reported older adult oral health care knowledge increased (88.1%-99.0% pre/post knowledge scores) and all eight sites implemented enhanced oral health assessments at admission and follow-up intervals. 1,700 MOTIVATE oral health kits containing oral hygiene tools were distributed and the average number of residents with oral health care plans dramatically increased within the two sites that tracked this metric (from 24 to 158 plans).

 

  1. Music Therapy as Pain Management for Postoperative Adult Patients

Submission Type: Poster

Submission Category: Allied Health

Author(s):

Paige Madore

Alysa Villapa

Danny Kornsey

Kaitlyn Sutton

Kelley Strout

Undergraduate Student Presentation

Faculty Mentor: Kelley Strout

Abstract: In postoperative adult patients who have undergone major surgery, does music therapy (MT) in combination with pharmaceutical pain management compared to use of only pharmaceutical pain management, produce lower pain scores? Patients who experience pain postoperatively are often treated with a “one-size fits all” pain medication regimen that doesn’t work for every patient. The purpose is to determine if pharmaceutical pain management combined with MT is a more effective intervention for postoperative pain. This project examines results from multiple evidence-based articles to help support that MT can be an effective form of pain management for postoperative adult patients. The articles showed clinically significant reduction in pain and the need for analgesia when clients utilized MT postoperatively. Studies also determined the implementation of MT into practice to be low-cost and feasible for postoperative pain. Upon review of the literature, integration of MT decreases pain in adults postoperatively following major surgery. We recommend nurses advocate the use of this intervention to patients who are willing to combine MT with pharmaceutical pain management. Further research is needed to determine which types of music are most effective in reducing pain.

 

  1. Exploring Teaching Methods on the Topics of Leadership to Undergraduate Nursing Students

Submission Type: Virtual Presentation

Submission Category: Allied Health

Author(s):

Sarah Sinclair

Patricia Poirier

Graduate Student Presentation

Faculty Mentor: Patricia Poirier

Abstract: As the nurse’s role has changed over time, the need for nurses to possess leadership skills is vital for the growth and development of the healthcare system as a whole. With the demand for these skills, multiple national and state organizations have required leadership in undergraduate nursing programs. This requirement then trickles down to the colleges and universities producing and educating the nurses of the future. Undergraduate nursing educators must rise to the task of adequately teaching our undergraduate nurses leadership skills to carry to their professional careers. There are multiple teaching methods for students, and they are constantly changing as the generations of learners change. These methods include lecture-based, flipped classrooms, team-based learning, and laboratory and clinical experiences. It is essential to evaluate these methods based on the content being taught. A literature review was conducted to determine the methods of teaching undergraduate nursing students and the results of each technique. Overall, alternative teaching methods had positive results, increasing student satisfaction, confidence, knowledge, teamwork, and engagement. Of the alternative methods, gaming was isolated and tested on senior undergraduate nursing students. An escape room was developed to replace the student’s traditional hands-on skills day. The intended outcomes demonstrated on post-activity surveying are that students will experience increased competence of skills, teamwork, collaboration, and leadership.

 

  1. The Effectiveness of Electronic Hand Hygiene Compliance Monitoring Systems in Healthcare Settings – Presentation Withdrawn from Judging

Submission Type: Poster

Submission Category: Allied Health

Author(s):

Courtney Callanan

Keyana Miller

Lynsie Russell

Kelley Strout

Undergraduate Student Presentation

Faculty Mentor: Kelley Strout

Abstract: Hand hygiene (HH) is an essential part of nursing practice. Although the importance of HH compliance is emphasized in all healthcare settings, it is still being performed inadequately. Using effective HH measures is associated with decreasing the risk for healthcare-associated infections (HAIs). The significance of this problem involves general patient safety but also the cost and burden of these infections on the healthcare system. Furthermore; in hospitalized patients, how will electronic hand hygiene monitoring systems (EHHMS) for healthcare workers decrease the rate of HAIs compared to no implementation of a monitoring system?

The aim of this presentation is to determine how implementing EHHMS affects HH compliance. We found EHHMS come in different forms based on what is appropriate for the facility’s infrastructure. Research showed that the gold standard of HH compliance is human observation. EHHMS are more accurate for monitoring HH compliance as it continuously monitors healthcare workers. Our research found a direct correlation between adequate HH compliance and preventing HAIs. Success of these systems relies on recognition and accountability of an organization combined with instant feedback and visual data within weekly compliance reports.

To determine HH compliance status among healthcare systems, 13 articles were referenced. Searches were conducted using databases including CINAHL and Nursing Reference Center Plus. Searches were limited to peer-reviewed articles published within the last 5 years. Research recommends hospital leadership incorporate nurses into the conversation about EHHMS. This can be done through leading by example and feedback from compliance reports to nursing supervisors from each unit. 

 

  1. For New Graduate Nurses, How Does a Nurse Education Program Addressing Coping Skills For Work-Related Stress Impact Job Satisfaction, Retention Rates, and Reduce Nurse Desensitization?

Submission Type: Poster

Submission Category: Allied Health

Author(s):

Hannah McAlary

Jackie Kucia

Chrissy Skidgel

Anna Badstubner

Undergraduate Student Presentation

Faculty Mentor: Kelley Strout

Abstract: This evidenced based study analyzed the impact of nursing education programs for new graduate nurses in regard to job satisfaction, retention rates, and desensitization. The research is aimed to address coping skills and prevention strategies used to combat work-related stress in nurses in comparison to the effects of new graduates’ experience when no such intervention has been applied. The incidence of burnout in the nursing profession has grown as a result of high stress levels, staffing shortages, and unsupportive workplace environments catalyzed by the COVID-19 pandemic. The CINAHL database from the University of Maine Fogler library website was used to search evidenced based articles relating to how nurse education programs address coping skills for work-related stress impact job satisfaction, retention rates, and reduce nurse desensitization. To gather our data, key words and phrases were searched in relation to the subject. These included: nurse burnout, stress management, coping skills, nurse education programs, and job satisfaction. All resources were evidenced based and peer reviewed articles published within the last five years. Through our research we discovered that mindfulness based stress reduction interventions, simulation based practice programs & peer coaching are all successful strategies in mitigating stressors. The goal of this evidenced based research is to improve the quality of life for nursing professionals and overall efficacy of the healthcare system. It is recommended that nurses advocate for their own mental health and that employers provide evidence-based resources discussed within our research to reduce the incidence of stress and burnout in new nurses.

 

  1. Structured Stress Relief Programs on Reducing Compassion Fatigue in Palliative Nursing

Submission Type: Virtual Presentation

Submission Category: Allied Health

Author(s):

Lily Jennings

Jordyn Gowell

Rachel Miller-Treat

Patricia Poirier

Undergraduate Student Presentation

Faculty Mentor: Patricia Poirier

Abstract: PICO Question:
In nurses working in palliative care, does structured stress relief programs, compared to attempted self implemented interventions, lead to decreased rates of compassion fatigue?
Topic and Purpose:
The compassion fatigue palliative nurses face daily is a prevalent issue in hospitals and hospices alike. Nursing suicide statistics show an annual average that is double that of the general population, while also facing higher rates of depression. With moral distress and adversity on the rise in healthcare facilities, considerations must be implemented to reduce nursing stress. The purpose of this literature review is to determine interventions shown to best decrease the compassion fatigue palliative nurses endure.
Method:
A literature search to enhance the understanding and importance of stress relief programs for nurses in palliative care was conducted using the following databases: CINHAL, ANA (n.d.), JAMA, and NCBI. The searches included articles from 2011 to present (2022). The following search terms were used including “and”: compassion fatigue• palliative care, palliative care• stress relief• programs, stress management• structured programs, stress management• self motivated. The following search terms were included using “or”: stress relief program• structured• unstructured, stress management program• self care,• self implemented.
When appropriate data is collected, the studies will be shuffled through, determining which will be the best fit to support the hypothesis. The results will be formatted into a formal literature review that best reflects the data and recommendations for practice will be made.
Conclusions:
The literature suggests explicit interventions that can reduce compassion fatigue. These protocols should be implemented in all hospitals, hospices and healthcare facilities to improve nurse’s morale and quality of care.

 

  1. Older Adult Caregivers and Factors Associated with Volunteering

Submission Type: Virtual Presentation

Submission Category: Allied Health

Author(s):

Rachel Coleman

Sol Baik

Jennifer Crittenden

Graduate Student Presentation

Faculty Mentor: Jennifer Crittenden

Abstract: Providing informal and family caregiving has been associated with reduced socialization, health, and mental wellbeing. In contrast, volunteering has been linked to a myriad of positive outcomes and protective factors. The factors influencing volunteerism among caregivers are not well understood as there has been little focus on people who participate in both activities.

Multivariate logistic regression was used on data from 1,890 caregivers in the National Study of Caregiving (NSOC) (2017) who were matched with their care recipients in the National Health and Aging Trends Study (NHATS) (2017). NHATS collects data on Medicare beneficiaries ages 65 and older; NSOC is a sample of informal caregivers to those NHATS participants. Both NHATS and NSOC samples were weighted to be nationally representative of the U.S. population in 2017. Demographic variables and factors related to caregiving in the last year and volunteer activity in the previous month were analyzed for factors associated with participation in volunteerism.

The caregiving sample consisted of predominantly non-volunteers (0 non-volunteer, 1 volunteer, M = 0.26). Caregivers who volunteered were slightly less likely to be female (0 male, 1 female, M = 0.66) or coresiding with their care recipient, and were more likely to have higher well-being scores but lower self-reported health scores than non-volunteers. Gender, educational achievement, caregiving for a spouse, coresiding with care recipient, caregiving for multiple care recipients, quality of relationship with care recipient, caregiver well-being, having emotional/physical support, attending religious services, and group activity participation were all significant indicators for caregiver volunteerism. 

 

  1. Differing Outcomes in Men and Women After Substance Abuse Disorder Treatment

Submission Type: Poster

Submission Category: Allied Health

Author(s):

Chantal Connelly

Jordan Conroy

Meghan Cormican

Patricia Poirier

Undergraduate Student Presentation

Faculty Mentor: Patricia Poirier

Abstract:
PICO: In individuals experiencing substance abuse disorder (P), how does the treatment of women (I), compared to the treatment of men (C) lead to differing outcomes (O)?
Topic and Purpose:
According to the NSDUH, about 20 million Americans aged 12 and older suffered from a substance abuse disorder (SUD); in 2017, of these individuals, only about 9.1% have recovered from their disorder. Women are a particularly vulnerable population regarding SUD. Women who experience trauma, discrimination, or both may have a more difficult time trusting health care professionals which may impede their desire to seek treatment for their SUD. The purpose of this review of the literature is to identify evidence-based research to help identify SUD treatment of women, compared to men, and how their outcomes may differ.
Method:
The databases CINAHL and PubMed were searched, limited to studies published in English and after 2010. The following search terms were used: addiction; women “and” addiction; substance use disorder; substance use*; substance use “and” treatment “or” intervention; women “and” substance use “and” treatment; men “and” substance use “and” treatment. Appropriate studies will be retrieved, and a recommendation will be made.
Conclusions:
The literature suggests specific men and women differ regarding SUD. These findings may deem it appropriate to offer gender-specific treatment options for those seeking SUD treatment. Further research is necessary to determine what should be and what should not be included in women’s versus men’s treatment facilities to provide the best outcomes.

 

  1. Addressing the Gap in Nursing Leadership Competency

Submission Type: Virtual Presentation

Submission Category: Allied Health

Author(s):

Sarah Brooks

Jordan Conroy

Patricia Poirier

Graduate Student Presentation

Faculty Mentor: Patricia Poirier

Abstract: The gap between nursing academic preparation in leadership competency and development of these concepts in nurse residency must be addressed for the advancement of new nurses and the nursing profession. This gap has been explored through examining leadership competencies and training in the academic setting, the development of leadership during nurse residency, and approaches to bridge the gap between the two. The importance and expectations of leadership competency was examined through the review of requirements of nursing programs as well as the opportunities offered through nurse residencies. Bridging the gap can be achieved through academic-practice partnerships which can increase consistency between academia and clinical practice opportunities. Academic-practice partnerships are also opportunities for the continued growth of leadership competencies and education for new and experienced practicing nurses to improve outcomes. Increasing leadership competency is necessary for the future of nursing to meet the increasing demands of healthcare and continue the advancement of nursing. The provided orientation pathway for Gastroenterology nursing provides an exemplar of continuing to build leadership competency through nurse residency and professional development to narrow the gap. The pathway provides literature support for ongoing training in leadership in the outpatient nurse setting and evaluation of progress for the orientee. 

 

  1. Simulation-Based Learning in Nursing Education

Submission Type: Virtual Presentation

Submission Category: Allied Health

Author(s):

Sarah Hanscome

Deborah Eremita

Graduate Student Presentation

Faculty Mentor: Deborah Eremita

Abstract: Simulation-based experiences (SBE) are a technique that has been used for hundreds of years by the military and aviation programs. The importance of SBE in nursing education grew over the last ten years. In 2014, the National Council of State Boards of Nursing (NCSBN) found that SBE can replace up to 50% of clinical hours without affecting the student’s clinical competency or nursing knowledge. The literature review was conducted to explore student outcomes, debriefing, and evaluation in regards to SBE. An electronic search of the literature was conducted using the following keywords: simulation-based learning, simulation experience, student outcomes, evaluation, and debriefing. The literature supported that SBE improved nursing knowledge, self-confidence, critical thinking, and student satisfaction. Faculty-led debriefing was a key component to SBE because it was where the learning took place, where mistakes were fixed, and knowledge was engrained. A formative and summative evaluation may be used; however, formative evaluations resulted in better communication, self-reflection, and self-confidence. With the support of the University of Maine School of Nursing, a Medical-Surgical III SBE was created with the information learned in the literature review. The SBE was a capstone project. Four scenarios were created that consisted of two students taking care of one patient. There was a faculty-led debriefing session following each scenario. Evaluation was conducted utilizing the Creighton Competency Evaluation Instrument (C-CEI). The goal of the SBE was to improve critical thinking, self-confidence, and nursing knowledge in intravenous medication administration.

 

  1. The Effects of Self Care Strategies on Reducing Burnout Amongst Nurses

Submission Type: Exhibit

Submission Category: Allied Health

Author(s):

Lauren Ismail

Leann Grogan

Danielle Gaboury

Gabriella Panagakos

Kelley Strout

Undergraduate Student Presentation

Faculty Mentor: Kelley Strout

Abstract: How do healthcare facilities that offer self-care programs for nurses to prevent burnout compared to facilities without self-care strategies improve nurse job satisfaction and overall patient safety? In light of the COVID-19 pandemic and the immense amount of work bedside nurses have dedicated to caring for patients, nurse burnout is being experienced by nurses across the globe. This is proven in the literature, as a study of 18,935 nurses showed 34.1% of nurses experienced emotional exhaustion, 12.6% felt depersonalization, and 15.2% described a lack of personal accomplishment (Galanis et al., 2021). When nurses don’t engage in proper self-care to handle career-related physical and emotional stress, burnout and compassion fatigue may occur. Using the CINAHL database, a search was conducted on articles that show the effectiveness of self-care strategies on reducing burnout in nurses and improving overall patient care and safety within healthcare facilities. To conduct this search, keywords and phrases such as nursing burnout, understaffing in hospitals, and workplace safety, were used. This search yielded two articles regarding self-care strategies for nurses, eight regarding burnout/patient safety and two about safe staffing ratios. High burnout in nurses is associated with lower patient safety, and self care strategies create a reduction in burnout and an improvement in patient safety (da Silva Batalha et al., 2019). From this, it’s recommended that nurses engage in proper self-care such as mindfulness and adequate days off to reduce burnout and improve patient safety.

 

  1. Electronic Cigarette Use in Teenagers, Health Effects, and Solutions for Cessation

Submission Type: Poster

Submission Category: Allied Health

Author(s):

Chris Gooley

Sean Sibley

Graduate Student Presentation

Faculty Mentor: Sean Sibley

Abstract: E- cigarettes, originally developed for the purpose of creating a device capable of delivering traditional nicotine without carcinogenic smoke, have created an epidemic level psychological and social addiction for adolescents and young adults today. E-cigarette devices have been designed to be generationally attractive, while providing intriguing flavors to increase uptake. These devices provide substances such as nicotine and tetahydracannibol (THC) that are sought after for their stimulating and sedating properties. Teens are especially vulnerable to the addictive nature of these chemicals and the social experience, therefore making this a population of interterest for intervention. Evidence and awareness is lacking to inform healthcare providers of short and long term health consequences of patients using e-cigarettes. Family Nurse Practitioners in primary care settings are well positioned to address this public health problem if they are apprised of the phenomena and current evidence-based interventions for cessation. The purpose of this poster presentation is to identify the historical background of e-cigarette devices, adolescent and young adult perceptions of use, health implications, and evidence-based cessation strategies. Additionally, public health policy reform is needed to address this problem at a population level. Raising awareness within the Nurse Practitioner community can influence individual patient outcomes and increase advocacy in the policy arena. 

 

  1. Efficacy of the FIFA 11+ Injury Prevention Program in Maine High School Soccer

Submission Type: Poster

Submission Category: Allied Health

Author(s):

Meg Lander

Christopher Nightingale

Undergraduate Student Presentation

Faculty Mentor: Christopher Nightingale

Abstract: The purpose of this research was to assess the efficacy of the FIFA 11+ injury prevention program when used over the course of one soccer season in Maine high school athletics when compared to a standard warm-up approach. Every year, nearly two million injuries are sustained by high school athletes, and the FIFA 11+ program was developed to mitigate the risk of lower body injuries in soccer players. It has been shown to reduce the incidence of injury by one third or more in teenage and older athletes. Participants were randomly allocated into the FIFA 11+ group and the control group. The participants used their assigned warm-up program for the duration of their season. The results showed a statistically significant reduction in the number of injuries sustained by the FIFA 11+ group compared to the control group. The time lost due to injury was not statistically significant. The FIFA 11+ group suffered a total of 4 injuries with 97 days lost and the control group suffered 17 injuries resulting in 194 days lost. The four injuries sustained by the FIFA 11+ group were all serious and/or season ending while the control group sustained three serious and/or season ending injuries. The results suggest that the FIFA 11+ program is effective in decreasing the incidence of mild to moderate injuries.

 

  1. Nursing Burnout in Students

Submission Type: Virtual Presentation

Submission Category: Allied Health

Author(s):

Skyler Lipka

Kellee Leone

Emily Kane

Patricia Poirier

Undergraduate Student Presentation

Faculty Mentor: Patricia Poirier

Abstract: Nursing burnout affects both nurses and nursing students as they both show similar symptoms of anxiety, headaches, irritability, poor support, excessive workload, mental exhaustion, and physical exhaustion. Nursing students educating themselves on ways to avoid burnout is very important because all of these outcomes are detrimental to various dimensions of the health of a nurse. This topic was investigated by reviewing the literature of the following databases: CINAHL, PubMed, and Nursing Reference Center Plus consisting of articles published in English from 2012 to 2021. The following search terms were used: nursing, nursing students, academics, healthcare were associated with the phrase “and” along with the terms: burnout, mindfulness, stress. Once pertinent studies are retrieved group members will summarize findings and make recommendations for practice. The expected outcome drawn from this research was that participation in structured stress reduction programs for nursing students will have decreased levels of burnout.

 

  1. The Effect of Meditation and Alternative Self-Care Practices in Relieving Nursing Student’s Stress

Submission Type: Virtual Presentation

Submission Category: Allied Health

Author(s):

Lauren Dean

Maya Cunningham

Eve Daries

Patricia Poirier

Undergraduate Student Presentation

Faculty Mentor: Patricia Poirier

Abstract
PICOT Question: In BSN nursing students, how does incorporating meditation compared to alternative self-care practices into daily routines affect stress and anxiety levels during the course of their nursing program?
Topic and Purpose: Managing and reducing stress and anxiety is a difficult task for nursing students and the various coping strategies that they try to implement into their daily routines are generally ineffective. Determining which coping strategies are most effective at relieving stress and anxiety in nursing students is an issue that has the potential to improve students’ health and overall well-being. The purpose of this review is to discover the effects of meditation and self-care practices on the stress and anxiety levels of BSN nursing students.
Method: To conduct research on this issue, the database that will be used is the Cumulated Index to Nursing and Allied Health Literature (CINAHL). Key terms that will be used to search this database for articles include BSN nursing students, meditation, self-care, stress management, and school performance. The search criteria will also include English-language articles and journals, articles and journals published between the years of 2012 to 2022, and that all literature must be peer-reviewed.
Conclusions: The literature suggests that there are various techniques and activities that can be used to reduce stress and anxiety when implemented into the daily routines of BSN nursing students. Further research is needed to determine how meditation and personalized self-care practices specifically affect stress and anxiety levels among the undergraduate nursing student population.

 

  1. Critical Care Nurses and Mental Health

Submission Type: Virtual Presentation

Submission Category: Allied Health

Author(s):

Jessica Firstenberg

Claudia Fox

Dakota Grace Cochran

Patricia Poirier

Undergraduate Student Presentation

Faculty Mentor: Patricia Poirier

Abstract: The principal aim of this research project is to review the literature on best practices to support healthcare workers grieving the loss of patients. Being continuously exposed to the death of patients, especially during the COVID-19 pandemic, can adversely affect the mental health of healthcare workers leading to increased rates of depression, anxiety, and suicide. In order to evaluate interventions to support healthcare workers’ mental health the following databases were searched: CINHAL, Cochrane, and PubMed. The search was limited to articles published between the years 2012 and 2022 and written in the English language. Keywords used included “critical care nurse,” “mental health,” “coping,” “stress management,” and “burnout.” Key findings can serve as a reference for stakeholders and individuals who wish to implement clinical innovations surrounding healthcare workers and their mental health after the loss of a patient. Additionally, these findings can also aid in the facilitation of the initiatives focused towards increasing mental health in healthcare workers and providing insight to the effect of grief on the healthcare worker.

 

  1. Access in Healthcare Related to HIV Among Men Who Have Sex With Men

Submission Type: Virtual Presentation

Submission Category: Allied Health

Author(s):

Elena Jacey

Callie Gilmore

Keri Hebert

Patricia Poirier

Undergraduate Student Presentation

Faculty Mentor: Patricia Poirier

Abstract: Human immunodeficiency virus (HIV) attacks the body’s immune system. If not treated, it can lead to acquired immunodeficiency syndrome (AIDS). Eighty three percent of all HIV infections were accredited by men who have sex with men (MSM). A combination of continued sexual risk as well as a lack of healthcare coverage correlates with the persistently high rates of HIV among MSM. Prevention and care among MSM warrants immediate attention, as empirical studies continue to show that MSM are disproportionately affected by HIV, despite advances in prevention and treatment. We asked if among men who have sex with men, does access to healthcare compared to limited access to healthcare decrease the risk of living with HIV? We hypothesize that access to healthcare compared to limited access to healthcare does decrease the risk of living with HIV. The main database we used for our research was the CINAHL. The search terms we used to find articles related to our PICOT question were HIV, men who have sex with men, or MSM, and healthcare. The articles selected were found in full text, written in English, peer reviewed, and published in the past 10 years. Once relevant articles are summarized, recommendations for healthcare policy will be made. Two of our articles are quantitative and the other is a mix of qualitative and quantitative, looking at how different types of stigma impact HIV risk and its measurements. Nurses can use this information to advocate for improved access to healthcare for vulnerable populations.

 

426. Cognitive Behavioral Therapy vs Dialectical Behavioral Therapy Effectiveness in Eating Disorder Patients

Submission Type: Virtual Presentation

Submission Category: Allied Health

Author(s):

Ashley Cantwell

Enrico Ayala

Leah Brooks

Patricia Poirier

Undergraduate Student Presentation

Faculty Mentor: Patricia Poirier

Abstract: Among adolescents who are affected by eating disorders, two methods of therapy have been considered: Cognitive Behavioral Therapy (CBT) and Dialectical Behavioral Therapy (DBT). Every 52 minutes around the globe, a life is lost due to an eating disorder. CBT is often used for eating disorder patients, but DBT may be more effective for eating disorder patients with comorbidities such as comorbid mental illnesses. Trying alternative forms of therapy like DBT could save lives for many eating disorder patients who have resisted treatment in the past. In order to determine which therapy is best recommended, the electronic databases chosen were CINAHL, PubMed, and PsycINFO, and included articles from the years 2012-2022. Search terms utilized for the search process include anorexia*, bulimia*, binge eating disorder (BED), eating disorder*, used with the Boolean phrase “and” to incorporate Cognitive Behavioral Therapy (CBT) and Dialectical Behavioral Therapy (DBT). All of the articles included in this search were published in English. Once all relevant data has been collected, group members will collaborate to form a decision on the findings and recommend implementation into real-world applications. Research suggests that dialectical behavioral therapy is effective in adolescent and young adult eating disorder patients that have resisted treatment in the past or have comorbidities such as PTSD and borderline personality disorder. The optimal outcome would be to reduce the number of deaths from eating disorders and to improve the quality of life of those who are affected.

 

  1. Comparing Interventions for Inpatient Psychogeriatric Patients and General Inpatient Geriatric Patients When Assessing Fall Risk and Prevention Strategies

Submission Type: Virtual Presentation

Submission Category: Allied Health

Author(s):

Libby Colley

Carly Fazendin

Lindsay Clements

Patricia Poirier

Undergraduate Student Presentation

Faculty Mentor: Patricia Poirier

Abstract: Topic and Purpose:
Psychogeriatric patients are at a higher fall risk due to their impaired mental status. Special considerations should be made when assessing fall risk and implementing fall prevention strategies such as, bed alarms, and restraints. The consequences of not solving falls in psychogeriatric patients is continued risk of injury. Falls could lead to broken bones, increased hospitalization, bruising, bleeding, and even death. Preventing these complications would benefit the safety of patients. Not solving the issue of psychogeriatric falls would continue to be a serious risk with potential for further injury to patients or the healthcare team. Further, psychogeriatric patients’ fall risk may be enhanced by medications, altered mental status, or other related factors.
Methods:
A literature search was conducted using the databases CINAHL, PubMed, MEDLINE, and PsycInfo. The search terms included: falls prevention or preventing falls or prevent falls or reduce falls and geriatrics or older adults or elderly or psychogeriatric, and mental health or mental illness or mental disorder or psychiatric illness. The inclusion criteria for the review was peer reviewed articles published between the years 2012-2022 published in English and focusing on two populations: inpatient geriatric patients and inpatient psychogeriatric patients. The articles focused on both fall prevention methods and fall risks. Exclusion criteria for the review includes articles published before 2012, outpatient geriatric and outpatient psychogeriatric patients, and patients under the age of 60.
Conclusions:
Once literature is reviewed, recommendations will be made on implementation of successful strategies to reduce fall risks in psychogeriatric patients

 

  1. The Impact of Insomnia on Migraines

Submission Type: Virtual Presentation

Submission Category: Allied Health

Author(s):

Emma Parrotta

Caroline Spencer

Emma Perkins

Patricia Poirier

Undergraduate Student Presentation

Faculty Mentor: Patricia Poirier

Abstract: Background
The association between insomnia and its causative role in migraine frequency has been thoroughly researched and supported by numerous studies. The higher the severity of one’s insomnia, the greater the probability a migraine will coincide. Individuals experiencing migraines often live in fear of onset of a succeeding migraine, causing interference in activities of daily living and preventing intentions of pursuing additional medical care. It is crucial that both insomnia and migraines be studied individually and simultaneously in efforts to better manage these conditions, while decreasing the potential of associated adverse outcomes.
Methods
In efforts to learn more about the association between the diagnosis of insomnia and frequency of migraines, journal articles from the CINAHL database were reviewed and analyzed. Articles were searched for within the last 5 years using keywords such as: Nursing, Insomnia, Migraine, Adults, Frequency, and Risks in conjunction with “and”. Other inclusion criteria included in the journal article search included peer review articles, full text version available, and published in English.
Outcomes
Once a thorough literature review has been conducted, specific techniques and practices will be identified of which may be implemented into clinical practice in efforts to decrease insomnia’s detrimental effects on the frequency of migraines. The effects of insomnia accompanied by migraines may lead to countless health deficits, therefore, it is important to continue to investigate the relationship and possible conclusions.

 

  1. The Effects of Physical Exercise on A1C Levels in Patients with Type II Diabetes – Presentation withdrawn from judging

Submission Type: Poster

Submission Category: Allied Health

Author(s):

Ashley Barker

Hailey Canelli

Bridget Callahan

Cole Bryant

Undergraduate Student Presentation

Faculty Mentor: Kelley Strout

Abstract: Topic and Purpose:
As type II diabetes has become more prevalent among adults, 90-95% of those with diabetes having type II, non-pharmacological control of the disease is important. Maintenance of type II diabetes is measured through a hemoglobin A1C. Various studies compare how 30 or more minutes of exercise for 3 or more days per week affect A1C levels over the course of a minimum of 12 weeks. The implementation plan includes comparison of different exercise plans to a patient’s resulting A1C.
Methods:
To investigate the evidence-based research evaluating the relationship between regular exercise and A1C levels in patients with type 2 diabetes, an online search was performed using research databases. Searches were narrowed to 2010 or newer and involved keywords type two diabetes, A1C, and physical exercise. Appropriate evidence based articles were then selected.
Results:
Upon study of evidence-based articles, research showed decreases of A1C ranging from 0.30% to 1.12% depending on the type of implemented exercise and the amount of time the exercise was performed. Implemented exercises included aerobic and resistance training, tai chi, high intensity interval training, arm swings, and nutrition. Studies lasted between 12 weeks and 8 years.
Conclusion:
Upon review of the literature, the intervention of physical exercise may reduce A1C levels in patients with type 2 diabetes when compared to those who do not regularly exercise. The implementation of this intervention should decrease poor health outcomes, increase glycemic control, lower BMI’s, and therefore help with lowering A1C levels and managing type 2 diabetes. 

 

  1. Education and Exercise in Reducing Back Pain in New Graduate Nurses

Submission Type: Virtual Presentation

Submission Category: Allied Health

Author(s):

Arianna Delaney

Sarah Doughty

MaryKate Earley

Emma Digirolamo

Patricia Poirier

Undergraduate Student Presentation

Faculty Mentor: Patricia Poirier

Abstract: In new graduate nurses with less than ten years of experience, will those that have been educated and received in-hospital training on proper lifting techniques and preventing lower back injury report less lower back pain compared to nurses that have not been educated or received training? According to a 2021 PubMed article, up to 90% of nurses suffer back pain and do not regularly exercise. The purpose of this review is to evaluate the impact of educational training programs and physical activity on back pain in nurses. New graduate bedside nurses are more susceptible to suffer from back pain due to improper lifting and transferring techniques, insufficient training and education, and a lack of regular exercise. In this paper, regular exercise is defined as any physical activity in the form of cardio, stretching, core strengthening, yoga, biking, and swimming for thirty to sixty minutes, three to four times per week. The method of research was an electronic search of the literature using CINAHL, PubMed, Google Scholar, and Nursing Reference Center Plus. Articles were limited to those published in English between the years 2012 to present. Keywords used included back pain, back injury, education, nurse*, new graduate, young, pain management, neck pain, hospital, prevention, and training. Once relevant articles were retrieved, the group determined the most applicable articles for this review and summarized the findings. In conclusion, the literature suggests that non-strenuous physical activity along with in-depth training on lifting techniques improves the number of nurses with less than ten years of experience at the bedside reporting back pain. 

 

  1. Improving Patient Satisfaction Among Communication Impaired Adults

Submission Type: Poster

Submission Category: Allied Health

Author(s):

Kaitlynn Raye

Nancy Hall

Undergraduate Student Presentation

Faculty Mentor: Nancy Hall

Abstract: Research indicates that approximately 10% of adults have communication impairments (CI), but most practices do little to accommodate these people during outpatient visits. There is a rising necessity for medical professionals, family medicine practitioners in particular, to recognize these CIs so that accommodations can be developed to best meet the needs of these patients. Our study examines the epidemiology of CI in the Northern Light – Eastern Maine Medical Center’s Family Medicine Clinic (FMC). Through a patient database search, the study identifies the number of patients with verified CI diagnoses, characterizes the demographics and health status of these patients, including chronic diseases, office visits, hospitalizations and recognition of communication impairment by the treating physician. From there, we aim to describe the health status of those with CI in the FMC patient population, describe the healthcare utilization of those with CI in the FMC patient population, and identify additional markers in the electronic health records (EHR) of the CI patients. It is hypothesized that while some patients seen through the FMC practice will have received diagnoses of CI, the percentage will be much smaller than the indicated 10% of the total patients treated. Further, of those identified, a substantial number will exhibit evidence of chronic disease and increased healthcare utilization as compared to national norms. Finally, it is expected that limited evidence of recognition of CI on the part of the medical providers will be found. The findings are discussed with respect to improving primary care for patients with CI.

 

  1. Wellness Room Utilization for Stress Reduction in Nursing Students to Promote Healthy Social and Family Relationships.

Submission Type: Poster

Submission Category: Allied Health

Author(s):

Emily Mazzarelli

Patricia Poirier

Graduate Student Presentation

Faculty Mentor: Patricia Poirier

Abstract: Statistics illustrate that nursing school is stressful. Undergraduate nursing students in a BSN program have a rigorous curriculum, and can experience a high level of stress which can affect their mental health. Additionally, entrance into a high paced, stressful career necessitates tools for resiliency to avoid emotional exhaustion. Research has demonstrated that social health and family relationships can suffer from ongoing exposure to stressful situations while attending nursing school and later as a professional RN. Although “wellness programs” have been around for approximately forty years, nursing programs and hospitals have only recently begun to develop Wellness Rooms to promote wellness and mental health. These rooms have varying interventions depending on the facility, but they are designed to provide a private space to promote resiliency, wellbeing and relaxation. A Wellness Room will provide a place of solace for nursing students who are feeling overwhelmed and experiencing stress or anxiety. Ultimately the Wellness Room in the School of Nursing will promote stress reduction, therefore aiding in the maintenance of positive social and family relationships when nursing students are outside of school.

 

  1. Vaping Adolescents and Lung Injury

Submission Type: Poster

Submission Category: Allied Health

Author(s):

Katelin McDonough

Bridget Flynn

Alexy Hudock

Emily Avery

Madison Courser

Undergraduate Student Presentation

Faculty Mentor: Kelley Strout

Abstract: PICO QUESTION:
Are adolescents who vape at a greater risk for lung injury versus adolescents who do not?
TOPIC AND PURPOSE:
Research has demonstrated a growing epidemic of vaping amongst adolescents. More than two million school aged children in the U.S reported using vapes in 2021. Increased usage of vaping products has caused an increased prevalence of lung injuries. The adolescent age group has physiological differences that put them at a greater risk for adverse respiratory effects.
METHODS:
Using the CINAHL database on the University of Maine Fogler library website, we searched for evidenced based articles relating to adolescents’ use of vaping products, and how they affect the respiratory system. We used phrases such as: adolescent growth and development, smoking cessation programs, and adolescence and vaping. All articles are published within the last five years.
RESULTS:
The literature review showed that adolescents are more likely to discuss vaping use if directly asked by the healthcare professional. The chemicals within the vape aerosol such as diacetyl and carcinogens have been shown to lead to deterioration of the respiratory system. The literature review supported that supplementary material regarding the respiratory system was effective in fostering awareness of the dangers of vaping in the adolescent population.
IMPLICATIONS FOR NURSING PRACTICE:
The literature suggests certain interventions such as education plans may reduce the amount of adolescents that vape. The education can be implemented using the school as a platform. Health class or school-wide assemblies are two options for the school nurse to provide education. Further research will be required to determine if education is an effective measure in reducing adolescent vaping.

 

  1. Watching the Flock: How could Small Maine Poultry Farms be affected by an HPAI Outbreak?

Submission Type: Virtual Presentation

Submission Category: Allied Health

Author(s):

Victoria Pennington

Anne Lichtenwalner

Graduate Student Presentation

Faculty Mentor: Anne Lichtenwalner

Abstract: Avian influenza is a highly contagious virus that spreads among wild and domestic birds through bodily secretions, contaminated water/surfaces, or products such as eggs or meat. The highly-pathogenic form (HPAI) results in increased mortality due to culling and/or deaths; the low-pathogenic form can present with less illness unless it mutates to become highly pathogenic.
The study will examine current principles of small-scale Maine poultry farms to assess for any HPAI vulnerabilities using a 20 question survey. The IRB-approved survey will be geared toward small scale poultry farmers in Maine, especially those with free range flocks; the survey will be administered using the Qualtrics database over two weeks. The results will then be statistically analyzed to indicate any trends in knowledge or action that might impact the success of preventing or containing infectious disease such as the current HPAI outbreak.
The study may indicate the existence of a gap in knowledge around proximity of chicken coops to a contaminated surface (which could provide indirect or direct infection). Alternatively, there could also be data pointing toward infection rates being tied to other hosts in the form of small mammals and wild birds. Farmer understanding will be evaluated, but also may be augmented by the survey design.
Overall, HPAI control requires collaboration of animal health agencies and farms to minimize or prevent losses- both economical and physical. This study will provide important information to close biosecurity gaps and to continue providing the strongest defense against HPAI and other reportable avian diseases.

 

  1. Late Effects of Chemotherapy on Cancer Survivors – Presentation withdrawn from judging

Submission Type: Poster

Submission Category: Allied Health

Author(s):

Alexandra Beltz

Alixandra Elliot

George Jarvis

Taylor Parsons

Undergraduate Student Presentation

Faculty Mentor: Kelley Strout

Abstract: PICO Question:
In cancer survivors, how does chemotherapy treatment compared to other treatment modalities, such as radiation or surgery, affect the cognitive and immune systems 10 years after complete remission is achieved?
Topic and Purpose:
Cancer treatments, including chemotherapy, radiation, or surgery, may impact a cancer survivor’s mental and physical quality of life after remission is achieved. Chemotherapy is a toxic treatment agent that affects malignant and healthy cells leading to many side effects. The immune system is commonly affected leaving patients susceptible to infection. Cognitive impairment is also a common side effect experienced by many cancer survivors that lead to a disturbance in functioning.
Methods:
To investigate research focusing on late effects of chemotherapy treatment, we used the University of Maine academic library and searched through the CINAHL database. We used all evidence-based and peer review articles published between 2015-2022 for our research. Keywords used for advanced search include immune function, cancer, cognition, late effects, and chemotherapy.
Results:
Cancer survivors in remission can suffer from mental effects such as anxiety, depression, and stress which can negatively impact natural killer cell counts as well as lymphocyte counts. Recommended interventions include group therapies, therapeutic massage, and acupuncture.
Gut microbiota disruption from chemotherapy is linked to late effects in cancer survivors affecting the central nervous system and immune function.
Conclusion:
Upon review of the literature, certain interventions were found to be effective in managing the life-long effects of chemotherapy or other cancer treatment modalities on the immune system.

 

  1. Negative Effects of COVID-19 on Nurse Burnout – Presentation withdrawn from judging

Submission Type: Poster

Submission Category: Allied Health

Author(s):

Camilla Silva

Kara Milton

Lauren Sturgess

Undergraduate Student Presentation

Faculty Mentor: Kelley Strout

Abstract: Amidst the 2 years since the start of the COVID-19 pandemic in December 2019, nurses have been overwhelmed with peak incidence rates of patient admissions. Hospitals are overburdened with needs to provide patient care and there is a continuous upward trend with demands for patient beds, medical supplies, and staffing nationwide. With this influx of needs, nurse burnout has steadily increased over the course of the COVID-19 pandemic. This has caused a decrease in the quality of patient care provided by inpatient nurses. The purpose of this article review was to determine strategic measures that have been utilized to decrease nurse burnout throughout the nation. Using the CINAHL database on the University of Maine Fogler library website, we conducted a search of evidenced based articles in order to inquire information regarding hospital based interventions to assist nurses. When conducting our initial search we included key words such as; COVID-19, Nurse Burnout, and Hospital Interventions. Within this specific search criteria, twenty-four articles resulted. The articles found were then further analyzed. Exclusion criteria included articles published prior to 2017, articles which were not peer reviewed, and articles published with emphasis on burnout in the medical field outside the scope of the nursing role. Following those exclusion criteria, ten articles were found to be significant to the systematic article review being completed. Upon review of the literature it was found that hospital-provided interventions such as psychosocial training, psychiatric intervention, and thankful events were found to relieve the strain and stress that the nursing population is currently facing.

 

  1. Validating the Accuracy of a Waterproof pH Data Logger to Monitor Ruminal pH in Batch Cultures of Rumen Fluid Obtained from Dairy Cattle

Submission Type: Exhibit

Submission Category: Allied Health

Author(s):

Averi Taylor

Diego Zamudio Ayala

Raphaella Del Castro

Juan J. Romero

Undergraduate Student Presentation

Faculty Mentor: Juan J. Romero

Abstract: The objective of this experiment was to assess the accuracy of a waterproof pH data logger (MX2501; Onset, MA) relative to a standard pH meter (HI10532; Hanna Instruments, RI). For this purpose, we conducted an in vitro ruminal incubation using rumen fluid obtained from two lactating dairy cows and corn meal as the substrate (14.9 g). Both probes were placed in the rumen fluid media and incubated at 39°C for 48 h, under anaerobic conditions with agitation. Values were collected every 30 min during the incubation. Resulting data were analyzed with the REG procedure of SAS to determine the relationship between the data obtained from the two pH probes. A linear model with an intercept of 1.175 ± 0.0489 and a regression coefficient of 0.838 ± 0.0081 was generated, which had an R2 of 0.991 and a mean square error of 0.0003. Remarkably, the model residuals around pH 6.0 were larger relative to other pH values (-0.06 vs. 0, respectively). The Pearson correlation coefficient was 0.996. The fermentation of the starch in the corn meal resulted in a pH drop from 6.79 to 5.90, due to the generation of volatile fatty acids. The pH drop occurred during the first 10 h of fermentation, and afterwards the pH values remained constant, most likely due to the depletion of corn meal nutrients. In conclusion, the waterproof data logger tested was equally responsive to a standard pH meter and can be used to monitor pH changes in culture batch ruminal fermentations.

 

  1. In Adult Patients with Congestive Heart Failure, Does Following a Cardiac Exercise Program Compared to a Lack of Exercise Implementation Prevent Hospital Readmission Within a 30 Day Period? – Presentation withdrawn from judging

Submission Type: Poster

Submission Category: Engineering and Information Sciences

Author(s):

Rebecca Witham

Jared Proulx

Spencer Creamer

Undergraduate Student Presentation

Faculty Mentor: Kelley Strout

Abstract: PICO Question:
In adult patients with congestive heart failure, does following a cardiac exercise program compared to a lack of exercise implementation prevent hospital readmission within a 30 day period?
Topic and Purpose:
Congestive heart failure (CHF) is a chronic condition that requires an abundance of lifestyle modifications, especially relating to diet and exercise. CHF has been linked to obesity and without adequate weight management through exercise, patients with CHF are much more at risk for developing additional comorbidities that increase their rates of hospital readmission.
Methods:
Using the CINAHL database on the University of Maine Fogler Library website and google scholar, we conducted a search for evidence based practice (EBP) articles related to the effects of exercise implementation on patients with congestive heart failure, specifically the risk of hospital readmission. While conducting this search, the inclusion criteria that was used consisted of terms such as congestive heart failure, exercise, and hospital readmission rates. We narrowed our search to research based peer-reviewed articles written in the last five years, and excluded any articles found that did not match the criteria.
Results:
Through the use of multiple controlled trials with randomized patients has shown evidence that exercise based cardiac rehabilitation has improved exercise capacity and the health related quality of life in heart failure patients compared to no exercise control groups after a 12 month follow up visit.
Conclusion:
After conducting a literature review of the EBP research articles, exercise implementation has been found to reduce the risk of hospital readmission rates and additional comorbidities associated with CHF. These exercise programs should be implemented for all patients with CHF who have been previously hospitalized and personalized to the degree of severity and comorbidities associated with their CHF diagnosis.

 

  1. Hospital Food-Waste Prevention Programs and Their Environmental Impact

Submission Type: Poster

Submission Category: Engineering and Information Sciences

Author(s):

Tanya Roy

Paige Solans

Jette Fox

Timothy Bullard

Drew D’Entremont

Undergraduate Student Presentation

Faculty Mentor: Kelley Strout

Abstract: PICO Question:
How do hospitals in the U.S. (P) with food waste prevention programs (I) compare in their environmental impact (O) compared to a hospital without any food waste programs (C)?
Topic and Purpose:
Hospitals are a leading source of food waste in the U.S. A 2017 study states if a hospital serves 6,640 meals per week, their food waste can equate to more than 48,000 lbs or 24 tons of food annually (Alshqaqeeq, et. al, 2017). Hospitals can combat this food waste with source reduction and repurposing wasted food for agricultural programs.
Search Strategy:
Using CINAHL and JSTOR database, a literature review was conducted using EBP articles using phrases such as hospital food waste prevention and healthcare food waste. All articles are published within the last five years, EBP, peer-reviewed. Each article mentioned food waste reduction strategies including source reduction, composting, donation, and animal feeding. Source reduction was mentioned the most with 6 articles, composting and donation second with 3 articles, and animal feed programs were mentioned in 2 articles.
Outcomes:
Source reduction was the most popular method to reduce food waste in the hospital setting. Source reduction strategies could be broken down further into their own categories, such as patient autonomy in menu choices, or giving patients control over portion sizes.
Recommendations:
Hospitals that do not have food-waste programs in place can implement source reduction programs into their hospitals to reduce environmental impact. Nurses should advocate for the implementation of reduction strategies.