Nursing | Student Research Posters

Follow

• 

  Advancing School Nursing Practice: A Novel Approach to Screening for Gastrointestinal Disorders in Children

  Ashley Bunting and Isabella Cavlan

  California schools currently only screen for vision and hearing, leaving many other health concerns unaddressed. Among these, gastrointestinal (GI) health is particularly significant, as digestive disorders can lead to severe consequences, like malnutrition and stunted growth. By incorporating routine GI screenings, school nurses can promote the early detection of disease, allowing for timely intervention and improved health outcomes in children.
  
  Based on existing literature, we have developed a novel pediatric GI screening tool for school nurses to use in routine screenings, presented below.

• 

  Assessing Disparities in Culturally Competent Care in Ethnic Burn Patients

  Min Kang

  One of the most debilitating injuries one can suffer is a burn. It is even worse when certain individuals can not access the high quality care such as immigrants. With immigration rates increasing over the last several decades, these populations often lack the proper medical care that they deserve. The overarching theme in this population is that they face challenges in attaining positive patient outcomes due to cultural differences.

  • Lack of Culturally Competent Care in Burn Care
  • Addressing Cultural Safety and Quality of Care in Burn Injury Management
  • Analyzing Disparities in Access to Culturally Competent Burn care

• 

  Assessing Lung Cancer Screening Protocols and Outcomes: A Comparative Analysis Between Indonesia and the United States

  Priscilla Sitorus

  After losing a loved one to lung cancer, it can be difficult to process, especially when the diagnosis could have been made earlier. However, some may struggle to trust a healthcare system when screening protocols and care vary significantly, to the extent that it may seem unclear. Amongst both men and women, lung cancer is the worldwide leading cause of cancer-related mortality (World Health Organization, 2023), thus further creating a considerable amount of challenges that not only takes part in communities, but the overall healthcare system. Despite the increasing rate of lung cancer, Indonesia has limited screening programs available for the general public showing disparities in the public being able to easily access healthcare service and resources which is exacerbated by the issue. In contrast, the United States has instilled screening protocols in hospitals across the nation in order to catch the disease when it is in its earlier stages. They also have extensive research being conducted in order to further development of comprehensive lung cancer screening programs, treatment, and techniques, such as low-dose computed tomography (also known as LDCT), to help higher-risk populations. By examining the two countries’ similarities and disparities in their approaches in lung cancer screening protocols, this will allow those to further look into and develop global healthcare policy changes towards effective screening strategies and protocols in order to reduce the escalating frequency that lung cancer plays in our global mortality.

• 

  Breaking the Mold: Exploring the Influence of Gender Roles on Men's Choice of Nursing Specialties and Its Implications for Patient Care

  Cid Rowel Agustin

  Gender roles and stereotypes continue to shape societal perceptions and expectations within the nursing profession. While strides have been made towards gender equality, male nurses remain underrepresented in certain nursing specialties. Understanding the influence of gender roles and stereotypes on male nurses' specialty selection is essential for promoting diversity and enhancing patient care outcomes. This study aims to explore how perceptions of gender roles and stereotypes impact the career decisions of male nurses and the subsequent implications for future patient care. By examining this complex interplay, we seek to uncover insights that can inform strategies for fostering inclusivity and improving healthcare delivery within the nursing profession.

• 

  Detection and Management of Post Intensive Care Syndrome

  Ann Tomy

  Post Intensive Care Syndrome (PICS) is a collection of symptoms that more than half of patients who survive a critical illness experience after discharge.Those symptoms include weakness, fatigue, sleep disturbances, cognitive dysfunction, post-traumatic stress disorder, mental health conditions, and a lack of effective coping strategies. PICS can significantly impact an individual's quality of life, complicating the recovery process and posing challenges for reintegration into daily activities and societal roles. The etiology of PICS is multifactorial, with the severity and duration of the illness, the nature of medical interventions in the ICU, and the pre-existing health condition of the patient all contributing to its development. The stress of an ICU stay, characterized by invasive treatments, sedation, and the disruption of normal sleep patterns, can also exacerbate or trigger symptoms. Early identification of at-risk individuals and targeted interventions are crucial steps in mitigating the impact of PICS and facilitating a smoother transition to normal life following critical illness.

• 

  Developmental Effects of Child Abuse: The Relevance of Timing

  Laura Luz Alvarez Pineda and Karla Susana Saldaña

  Background: Early physical, sexual, and emotional child abuse has been associated with long-life cognitive, emotional, and physical health repercussions. Purpose: The current paper, in addition to a literature review, proposes a research design to examine the emotional outcomes of physical, emotional, and sexual child abuse on Hispanics when a psychosocial therapy program is implemented. Methods: Participants will be recruited from children’s hospitals, daycares, and preschools around the Bay Area. Parental-informed consent will be obtained prior to participation. This longitudinal quantitative quasi-experimental study will be comprised of three phases to measure posttraumatic stress and depression symptoms, and suicidal ideation. Results: Multivariate analysis of variance (MANOVA) procedure, descriptive statistics, and a t-test will be used to interpret the data and identify a correlation between participation in psychosocial therapy and the improvement of posttraumatic stress symptoms, depression symptoms, and suicidal ideation in young Hispanic adults who have been victims of child abuse. Conclusion: Determining emotional outcomes of the implementation of a psychosocial therapy program on children with a history of child abuse into young adulthood is related to nursing as nurses are often the first to recognize and initiate treatment for this vulnerable population. This proposal will help healthcare professionals understand the importance of treatment in the development and mental health of child maltreatment victims.

• 

  Effects of California’s Mandated Staffing Ratios

  Connie Cheng

  California passed Mandated Staffing Ratio legislation (A.B. 394) in 2002 to regulate nurse-to-patient ratios in acute care hospitals to address nursing burnout, adverse patient outcomes, and errors. Ratios were determined by the California Health Department.

  The study aims to understand if California's Mandated Staffing Ratio legislation effectively reduced nursing satisfaction, medication errors, and hospital-acquired infections since its implementation in 2004 by focusing on Medical-Surgical units (Med-Surg).

• 

  Exploring the Impact of Swimming on Asthma Management in Asian Americans

  Trishtine Tran

  Asthma is a respiratory disease that leads to narrowing of the airways in the lungs due to inflammation and mucus. Common symptoms include cough, wheezing, asthma attacks, excess mucus production, and decreased exercise tolerance. Pharmacological treatment methods for asthma include bronchodilators, corticosteroids, and allergy medications. Nonpharmaceutical treatments include monitoring of exposure to allergens and breathing exercises, however swimming is not as commonly suggested. The purpose of this study is to investigate whether implementation of a swimming education class will influence the effectiveness of swimming on asthma management in Asian Americans. This study aims to examine quality of life, changes in lung function, and severity of asthma symptoms and exacerbations. A quantitative quasi-experimental design will be used to determine whether a swimming education class for Asian Americans with asthma will result in improved lung function and decreased frequency of asthma exacerbations. The sample size involves 100 participants who will be recruited from pulmonologist offices and asthma clinics that predominantly serve the Asian American population. The class will include information about the benefits of swimming and statistical data about asthma in the Asian American population. There will be a pre-test and post-test utilizing the Asthma Control Questionnaire (ACQ), Asthma Quality of Life Questionnaire (AQLQ), and lung function tests such as forced expiratory volume, forced vital capacity, and peak expiratory flow levels. A t-test will be used to determine the p-value of the data collected from the pre-test and post-test lung function tests. It is hypothesized that results will show an increase in quality of life, improvements in lung function tests, and decreased severity of asthma related symptoms.

• 

  How The Lockdown of Covid-19 Influenced The Neurocognitive and Psychosocial Development of Preschoolers

  Kay Picson

  The COVID-19 pandemic instilled a new normal across the world. Businesses turned to take out services and faced financial struggle. Hospitals enacted a visitor policy, limiting contact with patients, their families, and their friends. Schools closed their classrooms and moved to online learning from home, isolating children from their teachers, peers, and an optimal learning environment.

  The literature review consists of six articles pertaining to the influence of the COVID-19 lockdown on preschoolers neurocognitive and psychosocial development. Specifically, the influence of the lockdown on preschooler mental health, executive function, and social skills. According to the research, the results were differential, it was found that pandemic children demonstrated better problem solving and fine motor skills but lower social skills compared to pre-pandemic children. In a previous ASQ-3 study, it was concluded that positive/refer results were higher amongst pandemic children. However, in another study, there was no significant difference between pre and post pandemic scores. Children who transitioned to kindergarten resulted in the poorest EF skills. The COVID-19 lockdown also caused negative mental health issues.

  To help nurture social skills, play is an effective intervention. It is helpful to discuss emotion, practice language skills, and play games that invoke the skill of self-regulation such as freeze-tag or Simon Says.

• 

  ICU Nurse Mental Health: Telehealth vs In-Person Therapy

  Ariel Mach

  Background Nurses working within high-stress specialties, such as Intensive Care Units (ICUs), often face a lack of resources aimed at supporting their mental health. The expectation for the nurses is to independently manage their psychological well-being based on their knowledge and educational background. However, many times it is difficult to manage persistent stress, anxiety, or depression and this could adversely affect the quality of patient care and eventually lead to burnout. Telehealth therapy has become more readily available and used since the COVID-19 pandemic, leading to two forms of treatment delivery. Currently, there is limited research on the effectiveness of telehealth compared to the traditional form of in-person office visits. Objective The primary aim of this literature review and proposal is to improve the mental well-being of ICU nurses while assessing and comparing the effectiveness of telehealth versus in-person therapy in reducing anxiety. The literature review summarizes findings from six studies, categorizing them according to their effect on mental health and the benefits and barriers associated with in-person and telehealth therapy. Method This research proposal will encompass a mixed-methods study involving 25 participants for individual cognitive behavioral therapy, incorporating both qualitative and quantitative approaches. Participants will be recruited from hospitals with ICU departments through emails/flyers. Data will be collected pre- and post-intervention through questionnaires and surveys along with two test tools called the Generalized Anxiety Disorder Scale (GAD-7) and the Maslach Burnout Inventory (MBI). It is hypothesized that telehealth therapy will be more effective in reducing anxiety compared to in-person therapy in ICU nurses.

• 

  Impact of Nursing Education on Kangaroo Mother Care: Neurodevelopment Outcomes in Preterm Infants

  Giana Usac

  Preterm birth poses a significant risk to the normal trajectory of brain development, particularly in the cortex, which is responsible for higher cognitive functions, motor control, and socio-emotional processing. However, Kangaroo Mother Care (KMC) has emerged as an important early intervention capable of improving neurodevelopmental outcomes in preterm newborns. This quantitative research proposal aims to assess the influence of nurse education on KMC practices, identifying pivotal periods in infancy when KMC has the most significant impact on neurodevelopment outcomes in preterm infants. The literature critique focuses on the efficacy of nursing education, the optimization of KMC regarding duration and frequency, and its association with positive neurodevelopmental outcomes. This research proposal entails a true experimental study exploring the optimal frequency and duration of KMC sessions, intending to provide persuasive evidence of neurodevelopmental benefits for preterm infants. Fifty mother-preterm baby pairs will be randomly assigned to either a control group or an intervention group. Bayley Scales of Infant Development and the Peabody Developmental Motor Scales will be used to evaluate the outcomes of this study. Following the completion of the research proposal, it is anticipated that nursing professionals will gain valuable insights, enabling them to effectively educate parents on practices that enhance neurodevelopmental outcomes.

• 

  Incorporation of Nutrition Education with Medication Inject to sustain Weight Loss

  Julia Calvelo

  Nationwide prevalence of obesity is related to comorbidities including heart disease, type 2 diabetes, and stroke. The United States spends nearly $173 billion annually for the medical cost of obesity, and obese adults have a difference of $1,861 of medical costs than those with healthy weight (CDC, 2022). Overweight individuals experience chronic health issues, resuling in a significant financial burden due to increased costs associated with medical treatment. Ozempic is a newly approved drug accepted by the FDA in 2017 to treat diabetes but is now gradually being implemented as a weight loss medication. It is used in conjunction with exercise and diet in adults with type 2 diabetes mellitus to improve glycemic control; however, continuous nutrition treatment is necessary in order to prevent rebound weight gain. Obesity is a significant public health challenge in the United States resulting from lack of access to education and networks to health and nutrition. Ethnicity and a community’s socio-economic factors play a role in proper access to education of healthy management of weight loss. Further problems arise when young adults discontinue weight loss medication without the proper support of nutrition education and an exercise regime. In order to sustain clinical weight loss and decrease the susceptibility of comorbid risks, lifestyle interventions are advised (Amaro, 2022). There is limited research on interventions to help with preventing weight gain after discontinuing medication.

• 

  IUD pain managment

  emily nguyen

• 

  Male Caregiver Strain: The Mental Effects of Being an Informal Caregiver for a Family Member with Dementia and Alzheimer's Disease

  Alessandra M. Barillas and Elijah Rammel B. Borja

  Background: Caregivers are vital in fulfilling patients' primary care needs, and families prefer them over sending their loved ones to skilled nursing facilities (SNFs). Alzheimer's Disease and Dementia are prevalent conditions necessitating continuous assistance due to memory and cognition impairments. As a result, support is essential for tasks like mobility, feeding, bathing, and perineal care, as well as emotional and physical challenges inherent in caregiving. Purpose: Upon diving into the mental health impacts of serving as an informal caregiver for individuals with Alzheimer's Disease and Dementia, a notable research gap becomes evident, especially concerning male caregivers. This lack of information may stem from a potential reluctance among male caregivers to openly share their experiences and emotions due to fears of societal judgment. Additionally, they might avoid seeking support, feeling obligated by a sense of duty and loyalty to care for their loved ones unconditionally. This thesis proposal intends to shed light on the physical and mental well-being of male caregivers in their roles as informal caregivers for individuals with Dementia and Alzheimer's Disease. The thesis will examine differences in caregiving responsibilities, the impact on health, experiences of burnout and strain, and the coping strategies used by male caregivers compared to their female counterparts. Method: The assessment will comprise 10 multiple-choice questions and three written response questions focusing on caregivers' responsibilities and the perceived impact of these duties on their lives. Results: Data collection for this qualitative study is pending; however, the survey anticipates illuminating the experiences of the male caregivers interviewed.

• 

  Maternal Stress on Preterm Birth in Asian American Women

  Dana Ma

  Background: Pregnancy represents a crucial life event marked by numerous physical and emotional transformations. The presence of anxiety during pregnancy can negatively impact the health of both the mother and the developing fetus. Objective: This study aims to assess the impact of educational interventions such as meditation, relaxation techniques, and cognitive-behavioral therapy on reducing anxiety levels among pregnant Asian American women. Method: The quantitative true experiment will consist of 100 pregnant Asian American women meeting the inclusion criteria of singleton pregnancy, between ages 25 to 45, and absence of pregnancy complications. Participants will be conveniently sampled from OBGYN clinics in the local area and randomly assigned to either the control or intervention group. The control group will be those receiving standard prenatal care which includes routine check-ups and measurements of anxiety levels. The intervention group will be those attending 1 hour weekly educational sessions including meditation relaxation techniques, and cognitive-behavioral therapy. To assess the efficiency of the study, participants' anxiety levels will be assessed using standardized scales such as the Generalized Anxiety Disorder 7 (GAD-7), Likert scales, and social support scales. Descriptive statistics will be used to compare means between the control and intervention groups. Inferential statistics, such as ht-tests, will be conducted to determine the significance of any observed differences in anxiety levels.

• 

  Nurse Suicide: Examining Depression and Anxiety in Critical Care Settings

  Arianna Bernardine Barata

  Nurses play a critical role in healthcare, yet the demanding work environment often exposes them to stressors, leading to the development of depression and anxiety. According to the National Library of Medicine (NLM) (2021), 50.8% of nurses have stress, 74% have anxiety, 70.8% have depression, and 79.1% have at least one of them. Burnout, understaffing, COVID fatigue, alarm fatigue, patient ratios, and disrupted sleep patterns are some of the stressors nurses contend with in every shift. While some nurses may cope and overcome these challenges, many face more severe issues, such as suicide. Nurse suicide is an issue that has begun to grow exponentially across the United States. Howard (2023) reported an annual suicide rate of 14 per 100,000 nurses. Compared with other U.S. workers, nurses are at higher risk for suicidal ideation, and nurses with such ideation are more reluctant to seek help than those without it (Elizabeth et al., 2021). In this paper, critical nurses are defined as nurses who work in intensive care and oncology units. There is limited research on the efficacy of resources used to decrease anxiety and depression in the workplace. Some interventions can be implemented to decrease the prevalence of depression and anxiety in the critical care nurse setting. The purpose of this Research proposal is to identify the factors causing depression and anxiety in nurses working in the Intensive Care Unit versus the oncology department and determine if meditation and visualization are effective in decreasing the rates of depression and anxiety. How does the practice of meditation reduce the incidence of depression and anxiety in nurses, specifically analyzing ICU and Oncology nurses? The hypothesis is that meditation and visualization will decrease the amount of depression and anxiety in ICU and oncology nurses.

• 

  Optimizing Ventilator-Associated Pneumonia Prevention and Education: In Adult ICU Settings

  Danielle Gonzalez

  Abstract

  Background: Ventilator associated pneumonia (VAP) in adult intensive care patient units (ICU) is one of the most common and deadly nosocomial infections today. Studies have identified a gap in intensive care nurse ventilator education and compliance with hospital protocols. Overall increasing the rates of VAP and morbidity. Hospitals worldwide have shown a decrease in VAP rates after inheriting "VAP-bundles''. This includes nurse specific interventions and assessments as a preventative measure. However, studies failed to demonstrate which bundle interventions directly correspond to the prevention of VAP. Purpose: Address all components of education, a nurse’s ability to properly identify and understand the pathology of VAP, protocol compliance, to reducing VAP rates and identifying weak points in current hospital practices. Method: An observational longitudinal intervention study will be conducted in an adult ICU setting. The initial phase utilizes an uncontrolled group, setting a baseline. Followed by the subsequent phase, where participants become a controlled group, after the introduction of ventilator bundles. The data will be collected using, in person observation of nurse adherence and skill competency, along with providing educational classes on a bi-weekly basis. Concluding with a monthly questionnaire, that compares and reevaluates nurses' knowledge of preventative measures and treatment for VAP patients. Results: Preliminary findings suggest when conducting a continuous education program and implementing a “Ventilator Bundle” approach, VAP rates drastically drop. Conclusion: Each bundle included five main interventions (elevation of HOB 35°-45°, daily “sedation vacation & assessment of readiness to extubate, PUD prophylaxis DVT prophylaxis, and daily oral care with chlorhexidine). All interventions are pulled from the IHI bundle, indicating potential for making this the gold standard protocol. Overall proper adherence by all team members and ventilator education should be required by all ICUs.

• 

  Pediatric Vaccination Adherence: Enhancing Compliance Among First-Generation Asian American Parents

  Katelyn Leong

  Background: Vaccine adherence in the pediatric population refers to receiving vaccines as per the recommended schedule, which significantly reduces vaccine-preventable diseases and enhances community immunity. Vaccine hesitancy, driven by concerns such as safety, misinformation, or cultural beliefs can affect adherence. National coverage of state-mandated vaccines among kindergarteners declined from 95% to around 93% between 2019 and 2022, varying across different vaccines. Objective: This research proposal’s focus is to determine if an educational intervention targeting first-generation Asian Americans, who have adopted their immigrant parents' misinformation about vaccines, will effectively increase vaccination rates among their children. The study aims to assess the effectiveness of educational outreach in promoting vaccination adherence within this demographic group. The literature reviews contribute to understanding various aspects of pediatric vaccination on parental decision-making and adherence to immunizations and have implications for public health interventions promoting vaccine uptake and adherence among children. It highlights the influence of cultural and societal factors on vaccination rates and hesitancy, exploring demographic, cultural, and psychological influences shaping parental attitudes and behaviors toward childhood vaccination. Method: A quantitative experimental design will be used with a sample size of 100 participating families. Once the 100 participants are selected, they will be randomly placed in either the control or experimental group. Both groups will receive standardized care and education on the necessity of vaccine adherence; however, the control group will not receive the educational intervention coupled with the inclusion of a brochure containing the required dated immunization schedule. Vaccine adherence will be measured by the children’s EHR records (pre- and post-intervention) and a questionnaire will measure vaccine hesitancy and willingness before and after the intervention. As a result of the study, there is an expectation that vaccine adherence scores will increase.

• 

  Preventive Strategies for Elder Abuse within Hospice Care by Healthcare Professionals

  Joshua Eason

  Background: Healthcare professionals providing hospice care need to have particular specialized abilities, empathy, and trust. Unfortunately, some of these medical professionals are unable to provide their patients the care they need, so they will instead abuse and ignore them. Elder abuse must be identified and addressed in hospice care settings if older patients are to have their rights and dignity upheld and a standardized, compassionate end-of-life care program is to be provided for each patient.

  Purpose: The purpose of this study is to examine the effectiveness and preventative strategies for elder abuse, implemented by healthcare providers within the hospice care settings by examining and stating preventative measures.

  Method: We used a qualitative approach utilizing structured interviews toward healthcare professionals and patients by asking a series of questions regarding hospice care experience, witnessing abuse, and abuse training/education.

  Results: We found that a majority of healthcare professionals attended a mandatory abuse training program, yet it wasn’t as useful due to it being vague and not resembling real life scenarios. Patients state they have no personally experienced abuse, but know of their peers that have. During the interviews, family members have stated nurses did not educate them about the warning signs of abuse.

  Conclusion: Healthcare institutions may strive toward creating settings of safety, compassion, and respect for senior patients receiving hospice care by putting into place evidence-based treatments and rules. By working together and putting patient welfare first, we can reduce the number of elder abuse cases and make sure that everyone receiving hospice care has a dignified death experience.

• 

  Racial and Geographic Disparities in the Management and Care of Sepsis

  Luke Dommaschk Burwell

  Sepsis, a severe condition triggered by the body's response to infection, requires prompt treatment to prevent tissue damage and organ failure. The SEP-1 Sepsis bundle, developed by Center for Medicare and Medicaid Services (CMS), aims to standardize care, particularly in rural hospitals with limited resources. However, disparities in bundle adherence and mortality rates persist, with rural areas facing more significant challenges. Studies show racial differences in care quality, emphasizing the need for interventions to address systemic biases. While sepsis bundle adherence and simulation training are strong indicators of care improvement, the literature review underscores the need for targeted interventions in rural settings and addresses racial inequities in protocol activation. This research proposal utilizes a quantitative quasi-experimental design to examine the impact of nurse-led training programs on sepsis recognition and treatment initiation. Data collection relies on Medicare and Medicaid Quality service measures, emphasizing the time from first contact to sepsis alert activation and treatment. Pre-intervention data collection will establish baselines, while the educational program aims to enhance nurses' sepsis management skills. Post-intervention data evaluation will assess changes in mortality rates, alert activation times, and treatment adherence. Using descriptive statistics and t-testing, analysis of post-intervention data will determine significant differences between pre-and post-intervention measures; a p-value < 0.05 will indicate rejection of the null hypothesis.

• 

  Reducing Emergency Department Visits Among Children with Autism Spectrum Disorder

  Teri Nguyen

  In the realm of pediatric healthcare, children diagnosed with Autism Spectrum Disorder (ASD) face unique challenges alongside their caregivers. Caregivers face challenges in accessing appropriate support and resources to effectively address the needs of children with ASD. Children with ASD struggle with sensory sensitivities, impaired safety awareness, and difficulties perceiving potential dangers which put them at greater risk for injuries. As a result, children with autism have higher rates of emergency department visits compared to their neurotypical peers. This research aims to assess the effectiveness of nurse-led home injury prevention and education in reducing emergency department visits for children with ASD. This research proposal will use a true quantitative experimental design with a convenient sample of 100 children who have been diagnosed ASD and have had an emergency department visit within the previous year. The intervention and control groups' means will be compared using descriptive statistics. The anticipated outcome will be that nurse-led home injury prevention and education during follow-up visits will significantly reduce rates of emergency department visits in children with ASD by enhancing caregiver knowledge, promoting the implementation of tailored safety measures, and fostering a safer home environment.

• 

  Telehealth: A Rising Intervention for Latina Mothers Experiencing Prenatal and Postpartum Depression

  Britney Gutierrez

  Abstract: Background: Postpartum depression (PPD) is high among Latina women but often goes unrecognized and untreated. Recognition and management of PPD in this population is crucial as PPD contributes to negative health effects on the mother and infant. Purpose: This research aims to look into telehealth to improve screening methods and treatment for Latina mothers through a Spanish mobile health application that will provide screening and education on PPD. Method: This mixed-method quality improvement study will include 300 participants from an OB-GYN and Pediatrics community clinic, > 18 years old, of Hispanic/Latino ethnicity, Spanish speaking, currently pregnant, or had a child within the last year, with a score >12 on the Edinburgh Postnatal Depression Scale (EPDS), have no current treatment for PPD and have access to a mobile application. Participants will be randomly divided into two groups receiving the standard protocol for PPD but one group will receive the mobile app. Pre and post-tests will be used to measure scores of PPD using the EPDS in which independent t-test analyses will be conducted to reveal significant differences between the groups. Descriptive statistics will be used to measure the rates of screening between the groups and a coding scheme will be completed for the qualitative research obtained on mother’s experiences. Results: It is hypothesized that Latina mothers who participate in the mobile application intervention will have higher percentages of screening and lower scores on the EPDS post-test. A p-value less than 0.05 will reveal significant differences between the intervention and control groups. Conclusion: This research will show the significant impact of using telehealth, a mobile health application in Spanish, for screening and treating Latina mothers with PPD.

• 

  The Effects of Adverse Childhood Experiences on the Weight and Emotional Stability in Adolescents

  Lauren Parayno

  Adverse childhood experiences (ACES)a r e traumatic events that can occur during an adolescent's life. Af e w example of ACES are: • parental divorce/ separation • having a parent or guardian that isaddicted to a substance. These events cause the adolescent tolive through a state of chronic stress. Furthermore, these experiences put adolescents at a greater risk for obesity and depression. With adequate screening, nurses would be able to identify adolescents going through these troubling times. Interventionssuch aseducation on a healthier lifestyle and providing counseling services, would be beneficial to the age group.

• 

  The Effects of Music Therapy on Pediatric Patients with Congenital Heart Defects in the Pre and Postoperative Setting

  Janelle Marie Choy

  Congenital heart defects is a prominent medical occurrence especially in pediatrics. These defects often require surgeries and extensive treatment plans. These treatment plans often include invasive surgeries and extensive treatment plans which can require long recovery times along with potential surgical complications. This study aims to evaluate the effectiveness of music therapy on pediatric patients with congenital heart defects in the pre and postoperative setting and how music therapy can be implemented in treatment plans to yield effective recovery results for these patients. This research is significant as elevated vital signs and preoperative anxiety are associated with an increased need for anesthesia and analgesia requirements which can correlate to a risk for surgical complications. Elevated postoperative pain can result in an increased need for analgesic medications which can contribute to medication toxicity in a pediatric patient which can cause further complications. This study would consist of 80 pediatric patients on a cardiac unit aged 1 day to 10 years old diagnosed with a congenital heart defect who is undergoing cardiac surgery. A quasi-experimental randomized control trial will be conducted to compare the results of these cardiac patients in both preoperative and postoperative procedures. In these settings nurses would be responsible for gathering pre and postoperative vital signs, assessing preoperative anxiety, and assessing postoperative pain levels. With this study it is expected that patients who received music therapy during both pre and post operative procedures experienced a stabilization of vital signs, reduced preoperative anxiety, and lower postoperative pain levels.