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  • The Implementation of the PHQ-9 to Assess and Diagnose Depression in New Patients in an Outpatient Psychiatric Practice

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    Description:
    The purpose of this evidence-based practice project was to evaluate the effectiveness of using the PHQ-9 tool to assess depression. Currently, no tool is being used to assess and diagnose patients with depression in an outpatient psychiatric practice. Instead, patients are diagnosed with depression based on a diagnostic interview with the healthcare practitioner (HCP). This study's objective was to improve the current clinical depression assessment and diagnosis practice by using the PHQ-9 screening tool to improve accuracy in diagnosing depression. The PHQ-9 is a reliable and valid tool for assessing patients in identifying factors predictive of depression, as well as a reliable measure of depression severity. These characteristics and its brevity make the PHQ-9 a valuable clinical and research tool in psychiatric outpatient practices. The data from this study supported the rationale for implementing this screening instrument in this outpatient psychiatric practice. Forty-nine new patients ages 18–54 years who were seeking treatment for depression at a psychiatric practice who had not been previously diagnosed with depression completed the PHQ-9 as well as the diagnostic interview with an HCP. The impact of the COVID-19 pandemic on patient depression was also explored. All participants were assessed using PHQ-9 and the diagnostic interview method. Data were analyzed using Stata 15 for descriptive and inferential statistics to examine the relationship between the two methods. Findings indicate that patients who expressed suicidal ideation during the clinical interview indicated the same on the PHQ-9. Results also show that PHQ-9 scores were significantly related to the severity of depressive symptoms. Finally, patients who indicated that COVID-19 had impacted them were significantly more likely to be assessed with major depressive disorder via the PHQ-9 instrument.
    Keyword:
    Depression, Diagnosis, COVID-19, PHQ-9, Screening, and SARS-CoV-2
    Subject:
    Nursing
    Creator:
    Farooqi, Farkhanda
    Owner:
    skushner@saintpeters.edu
    Publisher:
    Saint Peter's University
    Date Uploaded:
    10/28/2022
    Date Created:
    2021
    Rights Statement:
    In Copyright - Educational Use Permitted
    Resource Type:
    Dissertation

  • Nowhere to Go, No One to Help: Covid's Collateral Consequences

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    Description:
    The objective for this research is to build a future policy that will improve help given to domestic violence victims. It is to look at the different problems both before and during the pandemic and figure out what changes can be made to better protect and aid the victims. By interviewing non-profit organizations and an EMT, we get a better idea of the challenges that advocates face before and after the COVID-19 pandemic. The results show an increase in cases and demand for services when the pandemic started, with many organizations put on hold or transitioning to online services.
    Keyword:
    domestic violence, COVID-19, and non-profit organizations
    Subject:
    Criminal Justice
    Creator:
    Ramos, Janise
    Contributor:
    Dr. Beth Adubato, Thesis Advisor
    Owner:
    lsquillante@saintpeters.edu
    Publisher:
    Saint Peter's University
    Date Uploaded:
    06/14/2022
    Date Modified:
    06/14/2022
    Date Created:
    Spring 2022
    Rights Statement:
    In Copyright
    Resource Type:
    Research Paper

  • Coping with COVID-19: How Streaming Services Proved to Be an Escape from Our Harsh Reality

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    Description:
    The COVID-19 pandemic has affected people from all walks of life in various ways, and it has affected the way we consume media. Some spent more time on social media, others played more video games, but many sought refuge in streaming services and the content they offered. Analyzing this aspect of the pandemic has been done before through various surveys on a much larger scale, and analyzing it is particularly important because it shows how people’s habits changed since the pandemic began. This study is aimed to compare and contrast the streaming habits of people before and since the pandemic began. To achieve this, students at Saint Peter’s University in Jersey City, NJ were surveyed about their streaming habits before and after the pandemic began, as well as a wide variety of people via social media. Previous research suggests that people around the world spent more time on streaming services, as well as on the internet in general. The results of this study suggest the same, with a large focus on college students, but including adults as old as 75 years old. This study showed that since the pandemic began, there was an increase in time spent on streaming services, and the amount of streaming services that people used.
    Keyword:
    theaters, COVID-19, entertainment, movies, and streaming
    Subject:
    Communication & Media Culture
    Creator:
    Caruso, Joseph
    Contributor:
    Dr. Cynthia Walker, Thesis Advisor
    Owner:
    lsquillante@saintpeters.edu
    Publisher:
    Saint Peter's University
    Date Uploaded:
    06/14/2022
    Date Modified:
    06/14/2022
    Date Created:
    Spring 2022
    Rights Statement:
    In Copyright
    Resource Type:
    Research Paper

  • The Effects the COVID-19 Pandemic had on Right-Wing Radicalization in America

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    Description:
    Since the spring of 2020, there has been a massive cultural shift in the American political atmosphere. Many of the underlying political tensions that have been ignored have suddenly come to the forefront of American politics. Along with more mobilization of left-wing political factions, there has been a staggering rise in right-wing movements. The COVID-19 pandemic has in many ways brought to attention some of the severe inequalities our current system produces as well as its fragile state of it. The pandemic has stifled years of economic growth since the Great Recession, leading to millions losing their jobs. The pandemic itself has put a massive strain on our healthcare system and has led to hundreds of thousands of Americans dead, and many more with chronic side effects. All of us in some way have been affected by the pandemic, whether it be socially, economically, physically, or mentally. In times of societal struggle and strife, however, there are political factions that thrive on this mass anxiety and aim to use that in order to garner support for their cause. Such groups are typically aligned with right-wing extremism and white supremacy. What this paper aims to do is examine how white supremacists and right-wing extremists have adapted their propaganda and recruitment tactics to COVID-19 and took advantage of the mass anxiety that came as a result.
    Keyword:
    propaganda, COVID-19, pandemic, extremism, and fascism
    Subject:
    Political Science
    Creator:
    Mark Rotundo
    Contributor:
    Dr. Anna Brown, Thesis Advisor
    Owner:
    lsquillante@saintpeters.edu
    Publisher:
    Saint Peter's University
    Date Uploaded:
    06/14/2022
    Date Modified:
    06/14/2022
    Date Created:
    Spring 2022
    Rights Statement:
    In Copyright
    Resource Type:
    Research Paper

  • The Lived Experience of Nursing Students Learning Remotely and Transitioning to Practice During the COVID-19 Pandemic

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    Description:
    Background: The COVID-19 pandemic led to the suspension of in-person classes across the globe. As a result, the nursing schools in the United States altered their method of instruction from face-to-face to remote learning, including the in-person clinical rotations and NCLEX-RN preparation for the graduating nursing students. Objective: This qualitative research study explores the lived experience of the registered nurses who prepared for their NCLEX-RN and transitioned into professional nursing practice during the COVID-19 pandemic. Research and Methods: The researcher conducted semi-structured interviews with seven registered nurses privately through phone calls, Google Meet, or Zoom meetings through the snowball technique. In addition, the researcher used ATLAS.ti to analyze all interview transcripts. Results: Three major themes emerged from this study: concerns regarding social isolation, lack of hands-on experience, and difficult transition to hospital practice. the researcher gathered mixed responses regarding their preparation for the NCLEX-RN, with three of them arguing that remote learning had a negative impact, three discussing otherwise, and one having mixed feelings. Five out of seven participants explicitly stated their problems regarding social isolation due to lack of interaction. In addition, they all expressed their dissatisfaction with the lack of hands-on experience since the clinical rotations were suspended. Lastly, five out of seven participants explained having difficulty transitioning to hospital practice. Additional concerns were directed toward anxiety and lack of confidence, resulting from their perceptions and experiences. Conclusion: The consensus from this research study is that the participants' negative lived experience outweighed the positive ones, which inevitably led to feelings of doubt, frustration, loneliness, and uncertainty. Further research is necessary to understand the full-scale impact of the pandemic, especially in the field of nursing and nursing education.
    Keyword:
    transition, isolation, COVID-19, NCLEX-RN, clinical, and remote learning
    Subject:
    Nursing
    Creator:
    Christian Dumol
    Contributor:
    Dr. Michelle Romano, Thesis Advisor
    Owner:
    lsquillante@saintpeters.edu
    Publisher:
    Saint Peter's University
    Date Uploaded:
    06/14/2022
    Date Modified:
    06/14/2022
    Date Created:
    Spring 2022
    Rights Statement:
    In Copyright
    Resource Type:
    Research Paper

  • A Qualitative Study of ICU Nurse Attitudes towards Their Mental Health while Caring for COVID-19 Patients

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    Description:
    Background: The COVID-19 pandemic reached the United States in March of 2020. America quickly led the world in the number of confirmed coronavirus cases, which contributed to hospital overflow and healthcare worker burnout. Many units that were not typically equipped for such critical cases were converted into COVID units, and there was a high demand for nursing support as the virus peaked. Objective: Since this study focuses on the self perceived mental health of the participants, the objective was to gather information pertaining to the lived experiences of these ICU nurses and how they feel/felt during the course of this pandemic. Materials and method: Using snowball technique, Intensive Care Unit (ICU) nurses who worked through the entirety of the COVID-19 pandemic will be interviewed through a Zoom call. They will be asked to describe their emotions while working on the front lines of the pandemic, and how those experiences have affected their mental health and their daily lives. Results: All nine nurses agreed that working through the COVID-19 pandemic was a stressful and confusing experience. All nurses felt like they weren’t able to provide proper care to their patients at the beginning of the pandemic and they felt lost. Now, all of the nurses feel more knowledgeable and more comfortable working with COVID positive patients. Four nurses sought out psychological support for their mental health, and one nurse considered it. Coping mechanisms varied from positive and negative habits, including cooking/baking, reading, sleeping, eating, smoking, drinking, talking to family, and talking to other nurses. Conclusion: ICU nurses face a great deal of pressure on a regular basis, and the outbreak of COVID-19 contributed to that stress leading many nurses to feel burnt out. The nine nurses that were interviewed had varying degrees of coping and psychological trauma.
    Keyword:
    coronavirus, Nursing, nurse burnout, mental health, COVID-19, and intensive care unit (ICU)
    Subject:
    Nursing
    Creator:
    Almontaser, Hannah
    Contributor:
    Prof. Sandra Horvat, Thesis Advisor
    Owner:
    lsquillante@saintpeters.edu
    Publisher:
    Saint Peter's University
    Date Uploaded:
    06/09/2021
    Date Modified:
    06/09/2021
    Date Created:
    Spring 2021
    Rights Statement:
    In Copyright
    Resource Type:
    Research Paper

  • COVID-19: Comparing the National Responses of New Zealand and the United States Using a Keynesian Analysis

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    Description:
    This paper investigates whether there is a link between a nation's response to covid-19 and their current/future economic position. It uses New Zealand and the United States as case studies, and has the initial position that, since New Zealand had a more effective response to covid-19 and was able to control the virus at an earlier stage, then they should be in a better economic position, not only currently, but for the future. This is based on the key Keynesian principles of uncertainty, confidence, and investment. However, even though New Zealand has eliminated the virus and been able to completely open the country, compared to the United States, which is still in a battle with covid-19, the current economic data does not support the initial thesis. This could be due to either the economic data yet reflecting New Zealand's success, or the key Keynesian principle of irrationality. A follow up study in the future will be required to tell whether the initial thesis is correct.
    Keyword:
    New Zealand, crisis response, healthcare, United States, COVID-19, economic response, lockdown, pandemic, and Keynes
    Subject:
    Economics
    Creator:
    Moore, Anton
    Contributor:
    Dr. Devin Rafferty, Thesis Advisor
    Owner:
    lsquillante@saintpeters.edu
    Publisher:
    Saint Peter's University
    Date Uploaded:
    06/09/2021
    Date Modified:
    06/09/2021
    Date Created:
    Spring 2021
    Rights Statement:
    In Copyright
    Resource Type:
    Research Paper

  • Trump: How We Got Here, What Lies Ahead

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    Keyword:
    electoral college, Barack Obama, bipartisanship, Donald Trump, COVID-19, and American politics
    Subject:
    Political Science
    Creator:
    Labrincha, Kyle
    Contributor:
    Dr. Anna Brown, Thesis Advisor
    Owner:
    lsquillante@saintpeters.edu
    Publisher:
    Saint Peter's University
    Date Uploaded:
    06/10/2020
    Date Modified:
    06/10/2020
    Date Created:
    April 20, 2020
    Rights Statement:
    In Copyright
    Resource Type:
    Research Paper