School of Nursing

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Browsing School of Nursing by Author "Bedi, Sarah"

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    FOR INDIVIDUALS WITH CHRONIC PAIN, WHAT ARE THE EFFECTS OF EFFECTIVE EMOTIONAL REGULATION COMPARED TO INEFFECTIVE REGULATION?
    (2025-04-17) Usher, Alexis; Bedi, Sarah
    Chronic pain is a debilitating issue that oftentimes leads to negative emotional regulation strategies that affect the psychological state of the person with chronic pain. The consequences of this type of pain extend more than just physical pain and limitations. Chronic pain can lead to psychological issues such as anxiety and depression. There is also an economic impact including loss of workdays and healthcare bills. The clinical issue in this study is the impact of emotional regulation on chronic pain and chronic pain management. Emotional regulation focuses on managing the emotional state and how to manage and change the negative emotional regulation that can lead to an increase in pain and negative coping strategies. The study focuses on whether emotional regulation can reduce pain perception and improve coping compared to ineffective regulation. The usefulness of evidence-based practice (EBP) in nursing is seen in this study as it promotes the use of research findings and their application in the clinical setting. The research in this study suggests that non-pharmacological interventions, such as emotional regulation strategies (mindfulness and cognitive behavioral therapy), can help to reduce pain intensity and improve the psychological state of patients with chronic pain. When in the clinical setting strategies that can be implemented right away can be deep breathing, practicing mindfulness meditation, and what cognitive therapy would look like. This intervention can be put in place during the education on pain management or when a patient is experiencing severe pain.
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    RACIALLY CONCORDANT CARE IN THE TREATMENT AND PREVENTION OF POSTPARTUM DEPRESSION IN AFRICAN AMERICAN WOMEN
    (2023-04-20) Nyambo, Leslie; Bedi, Sarah
    Postpartum depression (PPD) is part of the postpartum mood disorders experienced by women during the postpartum stage. It is characterized by feelings of extreme sadness, depressed mood, and loss of interest in formerly liked activities (Liu et al., 2015). Postpartum depression (PPD) is an ongoing issue notably for African American women. Ethnic, cultural, physiological, and demographic factors all play a role in the high prevalence of PPD in African American women compared to Caucasian women. Racially concordant and culturally aware peripartum care is crucial in the prevention, and treatment of PPD among African American women. Racially concordant care is one that is provided by a healthcare provider of the same racial or ethnic background as the patient (Shen et al., 2019). Its preference among minority populations is vastly due to the evidence that it greatly reduces instances of racism and bias, and increases patient satisfaction (Shen et al., 2019). The review method of the research was done using the PICO question, “In African American women, what is the effect of racially concordant perinatal care on the prevention and treatment of postpartum depression compared with discordant care within the postpartum period?” Using CINAHL Ultimate database, research of relevant literature was conducted using the following key terms: African American women, racially concordant care, and postpartum depression. Evidence-based practices such as racially concordant care and culturally-aware practices are important and should be implemented in nursing education as part of lowering health disparities. While racially concordant care for every African American mother might not be feasible, nurses that are informed and able to provide culturally sensitive screenings and postpartum care are crucial in decreasing the prevalence of postpartum depression in African American women.
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    THE EFFECT OF THE JADA DEVICE ON POSTPARTUM HEMORRHAGE IN THE FIRST 24 HOURS
    (2025-04-17) Dow, Hazel; Bedi, Sarah
    Postpartum hemorrhage (PPH), an extreme loss of blood after birth, is the leading cause of maternal mortality worldwide. 80% of the time, this is due to uterine atony. The uterus is tired after birth and remains completely relaxed. A woman experiencing PPH can bleed out and die in minutes. In the past, controlling a PPH took hours utilizing traditional uterotonic medications and balloon-tamponade devices. Women frequently lost their uterus and were left with lifelong reproductive issues. However, now, we can solve this problem in as little as three minutes with the Jada Device. The Jada device was created in 2011 and FDA approved in 2020. It is a vacuum-tamponade device. It is inserted into the atonic uterus and suctions it, forcing it to clamp down and stopping the hemorrhage. A balloon-tamponade device is simply inflated and puts pressure on the walls of the uterus. The Jada device, however, treats the cause of the hemorrhage (uterine atony) instead of simply masking it, as the balloon device does. Right now, the Jada device is in 2,000 hospitals nationwide. However, there are over 6,000 in the nation total, not to mention the rest of the world. The risk for fatal PPH skyrockets in underdeveloped countries. This device needs to be put into every hospital in every country in the world. The Jada device is the solution for PPH when traditional uterotonics have failed. A balloon tamponade system is 87% effective, while the Jada system boasts 94% efficacy. Other options are surgical intervention, which is risky and likely not available in underdeveloped countries and rural areas. The Jada device can be used anywhere and by almost anyone.
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    THE EFFECTS OF CHEST PHYSIOTHERAPY AND PHYSICAL ACTIVITY ON EXERCISE TOLERANCE IN CHILDREN WITH CYSTIC FIBROSIS
    (2025-04-17) Barton, Breanne; Bedi, Sarah
    Cystic fibrosis (CF) affects the daily life of children drastically through the types of treatment they have to complete each day. Many children complete chest physiotherapy (CPT) as their primary form of treatment for this disease. Other children will also complete cough/deep breathing exercise or different forms of physical activity. This study looks at whether exercise tolerance in the pediatric CF population can be increased when they take part in CPT and aerobic exercises combined versus CPT alone. This study found that exercise tolerance did not increase significantly when aerobic exercises were added to the treatment regimen. Although exercise tolerance was not improved, other aspects did such as overall wellbeing, increasing sputum clearance, improved oxygen saturation, and motivation. Researchers also found that children enrolled in a monitored exercise program which helped to instill accountability and motivation in pediatric CF clients. Many different aspects of CF children's lives can be improved through a monitored exercise program, but should not be the primary treatment for this population.