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  • ISSN: 2379-9501
    Volume 1 Issue 2
    Research Article
    Terri L. Schmitt*
    Abstract: Disordered eating behavior (DEB) is correlated with development of eating disorders and other psychological illnesses. Adolescent females with Type-1diabetes (T1DM) are at higher risk for DEB and have a two-fold higher incidence of disordered eating behavior than their non-diabetic counterparts. Individuals with T1DM have the unique ability to omit insulin as a weight reduction strategy. DEB in T1DM adolescent females significantly increases the risk for premature nephropathy, neuropathy, retinopathy, and death. Despite strong evidence to support the association between DEB and negative health outcomes, little research has focused on interventions to prevent the development of DEB in this population. The purpose of this study was to develop and test the feasibility and acceptability of a mother-daughter intervention addressing three of the major risk factors for DEB: low self-esteem, poor body image, and maternal-daughter communication. Intervention development was guided by feminist, cognitive behavioral, and current diabetic theoretical frameworks and input from a mother-daughter dyad with the daughter having T1DM. Data was collected from 10 mother-daughter dyads (n=20) on intervention effectiveness and overall acceptability. Feasibility and acceptability of the intervention was high in both mothers and daughters. Positive gains noted by participants included increased knowledge of mother-daughter communication, self-esteem, and deciphering media messages. A pre/post-test design was utilized to examine changes in depression, self-esteem, body image, mother-daughter relationship, and disordered eating risk from pre to post-intervention. Encouraging changes in the clinically desired direction were seen in body image and disordered eating risk post-intervention.
    Sharon L. Colley*
    Abstract: The need for mental health nurses is increasing, yet the field continues to be of little interest to graduates of nursing schools. Research has attributed this to lack of exposure and resultant anxiety. Lack of clinical site availability has complicated the issue by limiting the experiential exposure students receive during nursing programs. It has been well documented that lengthier clinical rotations and greater focus on mental health in theory courses results in improved perceptions of mental health nursing. A phenomenological approach was used to determine nursing students’ perceptions of mental health clinical experiences following preparatory role-play. The number of clinical hours assigned to mental health is diminishing, yet the need for nurses who are proficient in psychosocial care of patients is increasing. Role-playing in the simulation setting allows students to learn and practice interpersonal communication skills in a safe environment. A small qualitative study explored six students’ perceptions of their mental health clinical experience. Three of the students had participated in preparatory role-playprior to the rotation, while the other three had not. Analysis of data suggested that role-play was effective in reducing feelings of fear and discomfort, and allowed students to assume more advanced roles than that of the group that did not participate in role-playprior to the clinical rotation. While this small study cannot be generalized outside of this university setting, it was used in subsequent years to successfully redesign the mental health course and associated simulations.
    Naomi Matsuura1*, Shokon So1, Masayuki Nagata2 and Seiji Maeda2
    Abstract: Although “Japanese Approved Schools” are facilities for children and youths who have not been cared for appropriately by their parents, little is known about them and no research undertaken to characterize them. These facilities prevent youth from committing delinquent acts, and protect juveniles from maltreatment as social welfare facilities for children and youths. This is the first study to clarify what Japanese approved schools are and what traits the juveniles have. This current study examined main hypothesis that the subject group would have particular psychological traits and developmental disturbances. Participants were thirty-six juveniles (male=24, female=12) between ages11-18. Many of them have been exposed to parental abuse severely and exhibited serious antisocial behavior. The results of self-report questionnaires suggested that they have a low self-esteem and serious depressive symptoms. In addition, they showed AD/HD symptoms such as inattention, impulsivity, and hyperactivity. Our findings suggest that the subjects have negative emotional traits and multidimensional developmental disturbances. Findings and limitations in current study were discussed. Future research should focus on examining the efficacy of such facilities and utility of these services for juveniles.
    Review Article
    Pamela j Aselton*
    Abstract: Electronic medical records (EMR) all have privacy safeguards in place. Major healthcare institutions have taken steps to prevent employees from looking up information on patients whom they do not treat directly, however numerous potential intrusions into patient privacy are still possible. Centralization of medical records in the increasing number of multi-group practices distributes personal medical data over larger networks and increases the likelihood that personal medical data may be shared or viewed by unauthorized users. This article reviews the benefits of EMRs and the possible mechanisms by which data may be shared without patient knowledge, as well as solutions and safeguards that need to be taken to protect the privacy of patient medical records.
    Editorial
    Senn B, Kobleder A* and Schiess C
    In the last decades, new nursing models with different skills and grade mixes were developed and defined for several settings. Specialized nursing roles focus for example on family care, pediatric care, community health or gerontological care. This is an important step to meet specific needs of diverse patient populations and to further develop and promote Evidence-based nursing.
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