White Library Digital Repository

The White Library Digital Repository is a resource for the Spring Arbor University community to showcase, share, and preserve research and scholarship in an Open Access repository. The White Library Digital Repository collects writings and works of Spring Arbor University faculty, staff, and students including, but not limited to: published journal articles, conference papers, workshop presentations, undergraduate honors & graduate theses.

Faculty can send submissions to saulibrary+digitalIR@gmail.com. All submissions should include a signed deposit agreement by the author. The deposit agreement can be downloaded from http://bit.ly/2pwIqoe and submitted along with the theses, article, or work to saulibrary+digitalIR@gmail.com.



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Now showing 1 - 5 of 5

Recent Submissions

The Echo 1926
(The Student Body, 1926) Andrews, Burdette
The Role of Religion and Technology in the Treatment of Depression
(2022-05-01) Stoughton, Alison
The project regarding religion and technology in the treatment of depression is an intentional investigation of several concepts. Religion and technology have independently been found to be helpful in treatment of depression, a pervasive and major cause of disability in the United States (Apaydin et al., 2018). This evidence-based project (EBP) intends to apply these concepts to a clinical support tool for depression. An application was designed compiling various online religious media resources for personal depression support. A convenience sample of patients from a rural private practice, was collected over three months. A pretest-posttest design was utilized to measure the efficacy of this application in improving mood. The surveys include demographic indicators, categorical questions, and the standardized Patient Health Questionnaire (PHQ-9) for information collection. Descriptive statistics and f-tests were used to analyze the data collected for improvement in the subjective experience of depression. This was measured through three objectives: the PHQ-9 score, self-reported improvement in symptoms, and self-reported desire to continue using the application. The difference between the mean PHQ-9 score on the pre-test and post-test is 2.39 (P=0.0951), demonstrating some improvement in scores. The two-tailed f-test suggests that this difference is not statistically significant. Participants reported that 48% noticed an improvement in their symptoms with use of this application for a month. This falls short of the benchmark of >50%. Participants also reported that 64% of them are likely to continue to use this application. This measure exceeded the benchmark set for success of >50%. The outcomes reflect minimal benefit with the intervention though sample size and study design suggest caution with generalization of these results.
Identification of Burnout in Nurses During the COVID-19 Pandemic
(2022-05-01) Nelson, Joie Linn
Registered Nurses at Henry Ford Jackson suffer symptoms of burnout due to the COVID- 19 pandemic, which has created stress, fatigue, and impacted overall health. This burnout is demonstrated in the increasing turnover rate for nursing. The nurse turnover rate at Henry Ford Jackson rose 3.4% from 2019 to 2020 and continued to rise throughout 2021, reaching 26.4%. In exit interviews, nurses reported feelings of burnout, fatigue, loss of job satisfaction, anxiety, and depression as their reasons for leaving. These nurses identified a lack of personal wellness since the beginning of the COVID-19 pandemic and have requested peer and emotional support programs to assist them with coping and post-traumatic growth. As a result, developing a true wellness program that meets the psychological needs of the nursing staff, such as psychological first aid and journal therapy, is essential to improve morale, improve overall health, and reduce nursing turnover. Identification tools, such as the Burnout Assessment Tool (BAT), can identify and measure burnout for nurses. Identifying and measuring burnout aids in initiating wellness strategies which decrease symptoms of burnout, ultimately decreasing nurse turnover. The BAT has shown the ability to measure burnout and has been validated in the Netherlands for it’s use in assessing general practitioners, psychologists, and occupational physicians (Schaufeli et al., 2020). However, the BAT has limited use in the United States, specifically in nursing.
Educational Advances Increasing Perceived Self-Efficacy in Short Bowel Syndrome Utilizing Social Media
(2022-05-01) Lynn, Willis-Carr
Short bowel syndrome is complicated and requires complex treatment with a multidisciplinary team. The project Educational Advances to Increase Self-Efficacy in Short Bowel Syndrome Utilizing Social Media incorporates an established Facebook short bowel syndrome support group and the development of a web-based site in assisting caregivers who are having challenges providing care for their child with the diagnosis. The evidence suggests many patients and parents may feel overwhelmed with the responsibilities and medical requirements for this specific diagnosis as most patients require medical devices such as a central line, gastric tube, and/or surgical interventions consequently requiring an ostomy. Key terms include central line, social media, parenteral nutrition, absorptive capacity, short bowel syndrome, infection, Facebook, gastric tube, intestinal resection, ostomy, and self-efficacy. The goal of this evidence­ based project was to improve perceived self-efficacy through patient and parent/caregiver education. The project accomplished the goal in assisting parents and patients in transitioning home by creating a web resource providing evidence-based practices for common concerns and issues faced by the population with short bowel syndrome. An additional goal was to increase the caregiver knowledge base in caring for the patient with short bowel syndrome by the use of educational resources on the website. The Facebook support group hosted the website for an allotted time. Participants who used the website were asked to complete a pre-and post-General Self-Efficacy Scale (Appendix D) survey regarding perceived self-efficacy, usefulness, helpfulness, and the website’s benefit. The survey results were utilized to evaluate the website’s efficacy. The budget encompassed the cost of designing the website, survey, and maintaining the website. As the evidence has shown, the objectives were met, although budget changes were made. The feasibility of implementing the project was reasonable and completed without difficulty. Key findings include an increase in perceived self-efficacy after utilization of the website based on data analyzed from the pre and post-test.