Presentation Abstracts - Boston, MA

Scholarly Project

Presentation

Abstracts

April 25, 2013



Abstracts

Hepatitis c (HCV) and Suboxone
By: Amal Abdulkadir
The MGH Charlestown HealthCare Center provide collaborate care with a goal of improving current HCV treatment
program for Suboxone Patients. This paper will examine HCV, its connection to Intravenous drug use, available
treatment options and the barriers associated with seeking treatment for a small population of patients on Suboxone.
Reader: Jean Bernhardt, PhD, RN, NHA, NEA-BC. FNP-BC
Poster Presentation
Emergency Department Use Patterns Before and After Enrollment in a Student-Faculty Collaborative Clinic
By: Samantha Auerbach, RN
Patients enrolled in a student-faculty collaborative primary care clinic (CCC) were surveyed about emergency
department (ED) use before and after enrollment in CCC. For patients with no regular PCP, enrollment in CCC
significantly reduced ED use; no reduction was found for patients with a pre-existing PCP.
Reader: Katherine Simmonds, MS, MPH, RNC, WHNP
Presented at the Student Run Free Clinics Conference, San Antonio, TX, Jan 26, 2013
The Homeless at End of Life
By Gabriel Belosevic
Homeless populations have a high risk for premature death and have limited access to medical services including end-of-
life (EOL) care. Previous studies are sparse but suggest that the homeless welcome advance directive (AD) planning and
expressed valuing such an intervention. EOL content for future medical professionals accounts for less than 1% of the
textbooks used for national certification exams. A pilot study conducted by MGH-IHP BSN students at Boston Health
Care for the Homeless (BHCHP) found that 43% of the 70 BHCHP patients approached would complete Health Care Proxy
forms. This effort will be built upon in a future study at BHCHP next fall.
Addressing nutritional requirements for Alzheimer
By: Abila Benazea
Alzheimer’s disease (AD) is the 6th leading cause of death in adults in USA. Diminished sense of hunger and thirst,
depression, difficulty swallowing, chewing, inability to use utensils, and inability to feed- self contribute to poor
nutrition. NP needs to be educated about the importance of nutritional issues in AD.
Reader: Mary-Jane Henderson, APRN-BC, GNP
Poster Presentation
Implementing Best Practices in Diabetes Management: A Case Study Using Paper Reminders to Track Diabetic
Parameters
By: Amy Bennett
This is a case study in implementing a paper-based reminder tool designed to increase evidence-based practice
regarding Diabetes management in a small internal medicine practice. The case study discusses the evidence supporting
the use of a reminder, the design of the tool implemented, the stakeholders, the barriers and future recommendations.
Reader: Ellen Long-Middleton
Gender, Sexuality, and Diversity: Innovations in Improving Clinicians’ LGBT Competency
By: Rachael Berube
Lesbian, gay, bisexual and transgender (LGBT) people face significant health disparities related to a variety of socio-
cultural factors. Working with Dr. Michelle Forcier, a pediatrician in Providence, RI specializing in adolescent medicine
and care of pediatric LGBT patients, my role was to evaluate the knowledge, attitudes, self-assessed competencies and
priorities of MedPeds residents and faculty as pertaining to LGBT health services.
Reader: John G. Twomey, PNP, PhD

Presented: Nursing Students for Reproductive Justice meeting on March 25, 2013
Proposal for developing and evaluating the efficacy of a follow-up program for infants with Neonatal Abstinence
Syndrome
By: Lauren Boccuzzi, Ellen Griffin, Katie Ring and Lindsay Schommer
The incidence of infants with Neonatal Abstinence Syndrome is on the rise. The purpose of this proposal is to study the
efficacy of current programs designed to keep mothers and infants together. The proposal consists of an overview of
the problem, theoretical framework for a follow up program, evaluation of assessment tools and short-terms outcome
goals for mothers and infants.
Reader: Nancy Terres, PhD, APRN-BC
Massachusetts General Hospital Community Assessment: Focus Group Data Analysis
By: Mary Boyum
The following work will provide an overview of an in-depth analysis of several MGH Institute of Health Professions
student focus group data from the MGH Center for Community Health Improvement community assessments of
Charlestown, Chelsea, and Revere. Together with members of these communities, MGH IHP students participated in
addressing assets and challenges of each respective community, factors perceived as holding communities back, and
potential solutions to improving health and quality of life for the 21st Century. Education, substance abuse, public safety
and violence, nutrition, transportation, healthcare access, and environmental quality remain as priorities in community
focus still today.
Reader: Margaret Ann Mahoney, PhD, RN, ANP
Compassion Fatigue
By: Krystina Bruce
There is a need for education regarding the potential risks of, the hallmark signs of, and ways health care providers can
cope with compassion fatigue. This interactive and educational presentation was designed to help the new generation of
nurse practitioners be successful despite the psychological demands of their jobs.
Reader: Donna White, RN, PhD, CS
The Indications and Outcomes of Implantable Cardiac Defibrillators in Patients with Heart Failure and the Implications
on Nurse Practitioners as Providers
By: Amy Carr
According to the Center for Disease Control, cardiovascular disease is the single largest contributor to global mortality
and the leading cause of death in both men and women in the United States. Major studies such the MADIT-II and SCD-
HeFT have shown that implantable cardiac defibrillator devices reduce mortality in patients with heart failure preventing
life threatening arrhythmias and sudden cardiac death. The incurred expense of ICD implantation however presents a
major hurdle when considering growing United States health care costs.
Reader: Stephen Coffey, MSN, ANP-BC
Poster Presentation
Rural Health Care in the State of Maine: Challenges and opportunities
By: Bonnie Case
Rural residents in the State of Maine experience poorer health outcomes than suburban and urban residents. The State
of Maine must develop creative ways to recruit and retain primary care providers to rural areas to improve health
outcomes. Nurse practitioners are an ideal choice to address the gap in health care needs of rural Maine residents.
Reader: Patricia Reidy, DNP, FNP-BC
Mindfulness-Based Cognitive Therapy for Perinatal Anxiety: The CALM Pregnancy Study
By: Kerry Chenausky
Anxiety symptoms and disorders can complicate the perinatal period and result in adverse obstetric and neonatal
outcomes. The CALM Pregnancy program, an 8-week mindfulness-based cognitive therapy group intervention,
introduced mindfulness practices to women with subsyndromal or clinically-diagnosed anxiety disorders. Participants

experienced significantly reduced anxiety symptoms, worry, perceived stress, and depressive symptoms post-
intervention.
Reader: Janice Goodman, PhD, RN, PMHCNS-BC
Pediatric Palliative Care: A Collaborative Approach
By: Daniela Ciccolini
Pediatric palliative care aims to alleviate suffering. This project presents a comprehensive picture of palliative care today
and the role of the nurse practitioner. Issues surrounding reimbursement and barriers to accessing care will be
discussed. Suggestions for collaborative models in the community as well as future research will be made.
Reader: Nancy Terres, PhD, APRN-BC
Poster Presentation
A Historical Perspective of Causation and Interventions for Preterm Birth in Black American Women
By: Ashley Cooper
While the overall U.S. IMR has declined, high rates for infants born to Black American mothers persist. This suggests that
causations specific to this group are being overlooked. As preterm birth and IMR are highly correlated, examining the
conditions that lead to PTB is a critical to reducing IMR. This project utilizes a review of current literature as a framework
to evince the historical context of the prevailing theories related to this disparity as a tool for developing more
efficacious interventions.
Reader: Margaret Beal, PhD, CNM
Poster Presentation
Integrating mental health into primary care
By: Nixon Cornay and Nicole Solk
The focus of this pilot study is to assess the need for and how a mental health psychiatric nurse practitioner (MHPNP) is
utilized at the MGH Charlestown Health Center. The assessment was done by investigating the types of referrals
received from the Primary Care Providers (PCPs) and the services provided by the MHPNP. In 2 ½ month, this student
received a total of 20 referrals from PCPs, suggesting the need and support for the integration.
Reader: Jean Bernhardt, PhD, RN, NHA, NEA-BC. FNP-BC
Nursing Home Staff Knowledge of Delirium
By: Mario Corpuz, RN, LNHA, MA
Delirium is common in the long-term care setting. We conducted a survey of nursing home staff and found that only 27%
had received education about delirium. We developed an in-service module to address this need.
Reader: Ruth Palan Lopez, PhD, APRN-BC
Unicorns, Zoos, and Nurses: The Evolving ACO
By: Sean Cunniffe
The Affordable Care Act, while containing many provisions to improve access, also includes provisions to improve quality
and lower costs. One such provision was the creation of Accountable Care Organizations, or ACOs. ACO’s work by
holding provider organizations accountable for reducing costs and improving quality by setting cost targets and offering
shared savings plans based on quality outcomes. The emphasis on improving outcomes while reducing costs provides an
excellent opportunity for NPs to excel and expand their practice since their utilization has been shown to provide both.
Reader: Alex Hoyt, PhD, FNP
Evaluation of Suboxone patients with Hepatitis C for Hep C treatment readiness
By: Loretta Cunningham
For the first time since its discovery in April 1989, Hepatitis C prevalence has changed from middle-aged adults to
adolescents and young adults. The growing incidence in asymptomatic young adults is concerning because they lack the
awareness that HCV could lead to cancer, cirrhosis and sometimes death. HCV progresses slowly. Its silent nature and
long incubation period sometimes enables a younger populations’ invincibility complex.
Reader: Jean Bernhardt, PhD, RN, NHA, NEA-BC. FNP-BC
Poster Presentation

Islet Cell Transplantation in Kidney Recipients
By: Emily Curran
Type-1 diabetes destroys the insulin producing cells of the pancreas thus rendering those with the disease dependent on
exogenous insulin. The long term complications and risk of mortality with hypoglycemic events are significant for
patients. Advances in islet cell transplantation have made it a viable treatment option.
Reader: John G. Twomey, PNP, PhD
Post-Partum Depression in Adolescent Mothers- A review of the literature
By: Emily D'Amato
While there is an extensive inventory of literature concerning postpartum depression and depression in adolescents,
there is relatively little that addresses post partum depression among adolescent mothers. This is a significant area of
concern; without proper diagnosis, appropriate treatment is difficult. This study reviews existing literature pertaining to
adolescent mothers with postpartum depression and elaborates on the emerging themes that result from these studies.
Reader: Veronica Kane, PhD, RN, CPNP
Poster Presentation
"I wish I knew..." Practical tips to living with a spinal cord injury
By: Kelly Davisson
After sustaining a spinal cord injury (SCI) patients undergo intense rehabilitation that includes a large amount of
education. This education ranges from bowel and bladder management to hydration and nutrition to sports and
recreation. However, no amount of education or rehabilitation completely prepares an individual for living every day
with a spinal cord injury. While going through life with an SCI one learns new ways of making life easier and ways around
difficult situations. In this project I have interviewed several people living with an SCI to collect information about what
they wish they knew when exiting rehab and advice they would give to others living with an SCI.
Reader: Ellen Long-Middleton, PhD, RN, CS-FNP
Poster Presentation
National Consensus Project for Quality Palliative Care: Literature Review of Domains 3, 5, and 7 Psychological and
Psychiatric Aspects of Care; Spiritual, Religious, and Existential Aspects of Care; and Care of the Imminently Dying
Patient
By: Betsy DiMeola, RN, Michelle Westbrook, RN, and Leah Whelan, RN
In 2013, the National Consensus Project for Quality Palliative Care (NCP) published the third edition of the Clinical
Practice Guidelines for Quality Palliative Care. These national guidelines are organized into eight established domains of
palliative care. This presentation discusses the notable trends found through the literature reviews and research
conducted for Domains 3, 5 and 7 of the guidelines: Psychological and Psychiatric Aspects of Care; Spiritual, Religious,
and Existential Aspects of Care; and Care of the Imminently Dying Patient.
Reader: John G. Twomey, PNP, PhD
The Development of an Advance Planning Tool for Patients to Declare Preferences Regarding Provider to Patient and
Provider to Family Disclosure of Terminal Illness
By: Chrystina Dolan and Kristina Kurakina
Requests for nondisclosure of terminal diagnosis to the patient cause ethical distress among clinicians for fear of
violating patient autonomy. We argue that failure to honor a patient-initiated request for nondisclosure is a violation of
patient autonomy. We explored the ethical grounds for nondisclosure and created a tool to facilitate the discussion and
documentation of patient preferences regarding disclosure of terminal diagnosis.
Reader: Margaret Ann Mahoney, PhD, RN, ANP
Addressing Rural Community Health Neeeds in the Dominican Republic
By: Woudlelyne Dominque, Donna McIntyre, Kimberly Nehiley, Meredith Wolf
The rural, underserved areas of the Dominican Republic face many barriers to healthcare including proximity to
healthcare facilities, cost of care, and lack of education. Through the implementation of a community health needs
assessment, a group of nurse practitioner students sought to establish a framework for future healthcare professionals
to follow to bring low cost, preventative based health maintenance education to rural communities.

Reader: Mertie L. Potter, DNP, PHMNP-BC
A Developing Problem: The Burden of Breast Cancer on African Countries and the Role Nursing Plays in Oncology Care
By: Erin Donovan
Breast cancer is the most prevalent form of cancer in both men and women in Africa. Increased detection and improved
treatments have reduced the number of deaths related to breast cancer in Western countries, but a rise in breast cancer
has been seen in African countries over the same time frame. Global initiatives and oncology programs have been
targeted to decrease these statistics and the role of nursing in both detection, prevention, and palliative care is thus far
limited in the global discussions but is critical for the provision of quality patient care in resource limited settings.
Reader: Sheila Davis, DNP. RM. AMP-BC. FAAM
Poster Presentation
Organ donation in the non-hospital setting
By: Melissa Dorchester
The current method of organ donation does not fulfill the increasing need for organ transplants. To increase the donor
population, out of hospital cardiac arrests donors should be considered as possible donors. This would double the
annual supply and with the influx of donors, more providers will be needed. Nurse practitioners could be essential with
this newest source of organ donation.
Reader: Judith Webb, DNP, ANP-BC, PCMNP-BC
Geriatric Hip Fractures - A Pathway to Recovery
By: Ryan Dowling
Patients who are admitted for surgical management of a fragility fracture of the hip are at high risk for complications.
Pathway to Recovery outlines the patient's flow through the hospital, details each member of the health care team's
role, and educates on the major signs and symptoms of complications and what the team takes as preventative
measures
Reader: Josh Dion, MS, APRN-BC, ACNP
Polycystic Ovarian Syndrome: Infertility and Psychological Well-Being
By: Jenny Edlin
Polycystic ovarian syndrome is a multifactorial endocrine syndrome that affects one in ten women of reproductive age.
PCOS is associated with long-term health complications and is the most common cause of anovulatory infertility.
Anticipatory grieving and the presence of infertility leads to psychological impairment that impacts the quality of life.
The role of the advanced nurse practitioner in promoting psychological well-being derives from diagnosing, educating,
and providing anticipatory support and guidance to women of reproductive age who desire pregnancy in the future.
Reader: Margaret Beal PhD, CNM
Presented: Mount Auburn Practice for Women, April 12, 2013
Health Related Quality of Life and Coping Styles in Systemic Lupus Erythematosus: A Literature Review
By: Christine Engle
This literature review examines the mechanisms associated with coping with chronic illness, specifically Systemic Lupus
Erythematosus (SLE). The epidemiological, socioeconomic, and psychosocial factors that influence the health-related
quality of life will be examined as well factors associated with commonly employed coping styles. Implications for health
care providers encountering and caring for this population will be reviewed.
Reader: Margaret Beal PhD, CNM
Poster Presentation
Comprehensive Contraception & Abortion Information for the Registered Nurse
By: Jacqueline Fee and Addie Schwarz
A narrated PowerPoint slide-set and reference guide that can be used to give readers a judgment free introduction to
contraception and abortion care. The slide-set presents comprehensive information to empower the bachelors prepared
nurse to effectively counsel and educate patients through the full spectrum of family planning.
Reader: Katherine Simmonds, MS, MPH, RNC, WHNP

Poster Presentation

An Examination of Chronic Pain and the Implications of Buprenorphine Use in a Primary Care Setting
By: Ellen Ficks
Buprenoprhine/ Suboxone has implications for use in the treatment of chronic pain in the primary care setting. This
project has focused on contributing to a Suboxone Registry that was developed for MGH Charlestown Community
Health Center and the implications of Suboxone use for patients living with chronic pain.
Reader: Jean Bernhardt, PhD, RN, NHA, NEA-BC. FNP-BC
Poster Presentation

Compassion Fatigue – Web of Confusion
By: Rosilyn Ford, MBA, RN
Challenges which lead to compassion fatigue in nursing arise from an overburden of providing care with compassion and
empathy while engaged in a therapeutic relationship with patients who have experienced pain, suffering, or trauma. As
researchers have struggled to describe compassion fatigue, definitions have spun into a web of confusion.
Reader: Mertie L. Potter, DNP, PHMNP-BC

The Legal and Ethical Implications for Nurses in Physician-assisted Suicide
By: Paula Fortuna
The issue of PAS has been the subject of controversy for decades. This issue greatly affects nurses as they are the
primary care providers for the dying. A review of the literature shows that nurses are involved in various stages but that
their role lacks clarity. Nurses need to be educated and involved in discussions of PAS and be aware how legalization
would affect their profession.
Reader: Mertie L. Potter, DNP, PHMNP-BC

Pain assessment in populations with varying degrees of cognitive impairment: A proposed comprehensive systematic
pain assessment tool and training program
By: Amy Fraser
A review of literature with the objective of detecting the most reliable pain assessment strategies in the elderly
population with varying degrees of cognitive impairments. It will include a suggested systematic approach and training
program. The “Comfort Theory by Katharine Kolcaba will be a strong influence throughout the paper.
Reader: Mary-Jane Henderson, APRN-BC, GNP
Poster Presentation

The Risks and Benefits of Prophylactic Iron Supplementation for Exclusively Breastfed Infants
By: Anne Gately
The American Academy of Pediatrics (AAP) recommends that exclusively breast-fed infants begin supplemental iron at
the age of 4 months to prevent iron deficiency anemia. However, many pediatric primary care providers do not follow
these recommendations. This paper will examine the current body of evidence regarding the risks and benefits of iron
supplementation in infancy.
Reader: Malinda Teague, MSN, PNCB
Poster Presentation

HIV Prevention Strategies in the Primary Care Setting, Targeting Adolescent & Young Adult Women: A
Review of the Literature

By: Lauren Greb

Women in the United States are being infected with Human Immunodeficiency Virus (HIV) at increasing rates, especially
among adolescents and young adults, with the majority of such infections due to heterosexual sexual intercourse. A
literature review is performed to synthesize the available evidence on effective HIV prevention strategies aimed at
adolescent and young adult women.

Reader: Ellen Long-Middleton, PhD, RN, FNP-BC

Substance Abuse: Prevention, Treatment and Recovery
By: Alysia Hayes

Traditional, acute-care based model of treatment for alcoholism and addiction have failed to support sustained recovery
and it has become necessary to recognize substance abuse as a chronic disease. An educational video was created
highlighting the importance of continuation of care and the role of the nurse practitioner in substance abuse treatment.
Reader: Donna White, RN, PhD, CS
Video Presentation
A Comparison of Mealtime Environments and Processes in Traditional and Innovative Nursing Homes
By: Eric Holm
Research indicates that innovative reform of mealtime environments and related processes could contribute
meaningfully to improved nutritional and hydration status of nursing home residents. This observational study sought
to describe and compare mealtime environments and processes across a broad spectrum of organizational cultures
including the traditional, culture change, and small house models.
Reader: Ruth Palan Lopez Ph.D, GNP-BC
Poster Presentation
How Needs Assessments in the Dominican Republic Create Pathways to Effective Health
By: Kathleen Hughes, Roxanna Kaboli, Sarah Loy, Dawn Nathanson and Alyssa Yow
Nine MGH IHP NP students and instructor traveled to Dominican Republic to initiate needs assessment of three villages.
This marked the beginning of a long-term intervention organized by Christian Medical Missions in conjunction with
Project Hearts. The students’ mission was to ascertain current living conditions, literacy, and medical needs of
inhabitants. The mission provided students with understanding of international health outreach, discrepancies between
research and reality, and methods of inaugurating longer-term interventions.
Reader: Mertie L. Potter, DNP, PHMNP-BC
Non-suicidal Self-Injury in the Adolescent Population: A Primary Care Perspective
By: Sue Jensen
This literature review describes evidence based guidelines, particularly with respect to primary care providers, to
recognize, assess, refer and manage adolescents with non-suicidal self-injury behaviors.
Reader: Gail B. Gall, PhD, APRN-BC
Crisis Intervention Chapter Outline
By: Molly Jepsen
The scholarly project took the form of an annotated bibliography in chapter outline intended to provide evidence and
structure for a chapter to be included in a psychiatric nursing textbook. Crisis interventions are conceptualized here as
means to help re-establish equilibrium when it is disrupted in lives and communities. Seminal crisis theories, types of
crises, and crisis intervention methods are discussed.
Reader: Mertie L. Potter, DNP, PHMNP-BC
National Trends in AAP Leadership
By: Tricia Jette-Gonthier
Despite increasing numbers of Advanced Practice Providers throughout the nation, there is a lack of formal
administrative infrastructure. The current infrastructure, as well as credentialing and the role of the APP needs to be
standardized.. The goals of this research project were to survey institutions throughout the nation to examine APP
leadership roles and common infrastructures.
Reader: John Twomey, PhD, CPNP
Poster Presentation
Global Education: Current Models and a Vision for the Future
By: Jenna Jordan
Global education is becoming increasingly important for Nurse Practitioner students related to the rapidly diversifying
population. This poster reviews several global education models and proposes a new model based on the positive
qualities of the models reviewed.

Reader: Elissa Ladd, PhD, RN CPNP
Poster Presentation
Early Bloomers: Helping Parents Recognize the Risks
By: Angela Kaufmann
Statistics have reported a steady increase in early puberty within the US since the 1940s. There have been many
attempts to determine this etiology, however research is mixed. In an effort to address knowledge deficits within the
parenting community, this project utilizes a literature review to compose a comprehensive article on early detection of
puberty and presumed risk factors.
Reader: Charae D'Ambra, MSN, APRN-BC
Poster Presentation
Fever Phobia: The Development of an Anticipatory Guidance Tool for Latino Parents
By: Catherine Kelly
Fever phobia and lack of parent education regarding fever management continue to be concerns in primary care, with a
particularly high prevalence among the Latino population. Health care providers have a responsibility to respond to
gaps in knowledge and provide families with the tools needed to promote and maintain health. A culturally competent
anticipatory guidance tool is provided to address this topic for improved patient care.
Reader: Charae D'Ambra, MSN, APRN-BC
Poster Presentation
The Future of HIV: Calling Primary Care to Action
By: Jessica Kraft and Ryan Tappin
The HIV epidemic has evolved. Changes in its cohort, workforce, and national policy threaten care access and quality.
Primary care is uniquely positioned to provide essential services, although currently ill equipped. Rethinking education,
culture, and reimbursement could advance the integration of HIV care into primary care while maintaining care quality
Reader: Sheila Davis, DNP. RM. AMP-BC. FAAM
Continuous Glucose Monitoring use in 8 to 17 year old patients with Type1 Diabetes
By: Dawn Kritter
Continuous Glucose Monitors have significantly changed diabetes management. Barriers preventing youth from using
the CGM consistently is currently being researched. The goal of this project was to review the current literature and
participate in a 14-week internship at Joslin Diabetes Center with the aim of improving patient adherence and
outcomes.
Reader: Lisa Volkening, MA, CCRP (Joslin Diabetes Center)
Poster Presentation
The Development of an Observational Tool for Multidisciplinary Rounds
By: Sarah Hayes LaPerle
The delivery of patient-centered care in acute and critical care settings relies heavily on continuity of the daily goals and
tasks created in multidisciplinary rounds. The aim of this study is to develop and validate an observational data
collection tool for use by researchers observing multidisciplinary rounds.
Reader: John G. Twomey, PNP, PhD
Health Implications for Homeless Youth Particularly Those Who Identify as Gay, Lesbian, Bisexual, or Transgender
By: Tim Laurin
National reports have noted the prevalence of lesbian, gay, bisexual, and transgender youth in the homeless population.
Many experience abandonment and severe health consequences due to their sexual orientation and gender identity.
Research shows that up to 40% of homeless youth identify as a sexual minority.
Reader: Martin Lewis
Poster Presentation
Barriers Experienced By Survivors of Sexual Assault in Primary Health Care

By: Danielle Lawrence
Despite recognition that sexual violence predisposes survivors to chronic health problems, sexually traumatic histories
are often not discussed in primary care settings. Societal stigma and providers’ lack of time are barriers to disclosure.
Recognition of barriers will guide methods to facilitate disclosure in order to develop effective plans of care.
Reader: Ellen Long-Middleton, PhD, RN, FNP-BC
Peanut Allergy: Attempting to Use Immunotherapy as Means of Reducing Anaphylaxis in the Pediatric Population
By: Christine Lee
Peanut allergy is one of the most serious and life threatening food allergies due to lifelong persistence and risk for
anaphylaxis. Massachusetts General Hospital is currently conducting an Peanut Oral Immunotherapy study in an
attempt to reduce peanut sensitive subjects' chances of anaphylaxis and hopefully induce a tolerance to peanut
Reader: John Twomey, PhD, CPNP
Poster Presentation
A higher level of critical thinking is developed with clinical experience
By: Marie Leon
Knowledge of the research process, in addition to clinical expertise, aids health care providers in incorporating evidence-
based findings into patient care. Basic knowledge of research assures that key scientific findings will be used to maintain
safety and improve quality. This paper identifies factors that are related to underutilization of research findings among
health care providers.
Reader: Inge Corless, PhD, RN, FAAN
Poster Presentation
Oncology nurse education in a global health setting
By: Martha Dietz Loring
High quality nurse-led education is critical for the development of successful patient care programs. The Partners In
Health and Dana Farber Cancer Institute (DFCI) nursing partnership seeks to provide these educational opportunities for
Rwandan nursing staff through mentorship from experienced oncology nurses from DFCI. The development of
comprehensive educational materials for the Cancer Center is a key component of successful nursing training and
providing continuity among the Fellows.
Reader: Sheila Davis, DNP. RM. AMP-BC. FAAM
Poster Presentation
Deactivation of Implantable Cardioverter Defibrillators at End-of-Life: Nurse Practitioners can Help Overcome Barriers
to Discussion
By: Mylah Mahon
Increased use of implanted cardioverter defibrillators [ICDs] has extended life expectancy allowing for development of
other terminal illnesses. When end-of-life nears, arrhythmias may develop thus triggering painful ICD shocks. This
literature review will describe barriers to ICD deactivation and the Advanced Practice Nurse’s role in facilitating end-of-
life decisions addressing ICDs.
Reader: Judith Webb, DNP, ANP-BC, PCMNP-BC
Addressing nutritional guidelines, safety, cleanliness needs of a day care in a Women’s refugee shelter
By: Lesley Manganello
In the gan developed at the ARDC shelter in Israel, no health guidelines existed. This manuscript focuses on the
development of the Gan using existing guidelines in establishing the significance of evidence based practices. The
findings from this project were that child care can benefit from nursing assessments and interventions.
Reader: Lynda Tyer-Viola, PhD, RNC
Presented February 22, 4pm to Lynda Tyer-Viola’s (my scholarly project reader) Capstone Development class.
Use of Internet-based interventions for effective weight loss in obese and overweight adults
By: Teresa McGrath

Obesity is now considered an epidemic due to the increasing prevalence, health risks, and immense costs associated
with obesity related health conditions. Internet-based weight loss programs offer anonymity, convenience, lower costs,
and accessibility Literature shows that internet interventions should include behavioral modification, self-monitoring,
feedback, and social support for better weight loss outcomes. More research is needed to observe the effectiveness of
Internet weight loss programs in diverse populations.
Reader: Jean Bernhardt, PhD, RN, NHA, NEA-BC. FNP-BC
Poster Presentation
Rainmaking in Bénin: The need, support and strategies for developing a nursing program in an African village
By: Cheralyn A. McKee, RN, BSN
Addressing the need for nurses in rural Bénin is a complex endeavor, facing barriers in communication, infrastructure,
and workforce. This paper explores the need, support, and strategies for developing nurse education programs in rural
Africa to sustain improved healthcare quality, access, and nurse retention in remote areas like Guéné, Bénin.
Reader: Sheila Davis, DNP. RM. AMP-BC. FAAM
The Development of Guidelines for Pre-participation Physical Exams to Prevent Sudden Cardiac Death in Athletes
By: Deborah A. McNeil
Health professionals have strived to discover if cardiac causes of death in athletes is preventable through early
detection. Unfortunately, many times the first presentation of a cardiac problem in an athlete is sudden death.
Guidelines for advanced practice nurses to use during pre-participation physical exams are provided to identify those
athletes that are high risk for sudden cardiac death.
Reader: Stephen Coffey, MSN, ARNP
Presence of Holistic/CAM/ Mind Body Theory and Research in Nursing Literature – Preliminary Findings
By: KimLoan Merchant, RN
The use of complementary and alternative medicine (CAM) by patients is increasing. For nurses to serve as a resource
for patients, evidence-based knowledge of CAM therapies is necessary. This is a report on the preliminary findings of a
systematic review of holistic/mind body/CAM studies published in peer-reviewed nursing journals.
Reader: Janice Goodman, PhD, RN, PMHCNS-BC
Poster Presentation
A Glimpse into the Changing World of Hepatitis C Virus (HCV) Treatment
By: Jeanine Moreno
Hepatitis C virus (HCV) is the most common chronic blood borne disease in the U.S., with approximately 70 percent of
newly infected patients being asymptomatic. This project explored HCV treatment options, patient perspectives, and the
nursing implications involved in assessing patients for treatment in light of emerging therapies.
Reader: Jean Bernhardt, PhD, RN, NHA, NEA-BC. FNP-BC
Poster Presentation
Sleep Disordered Breathing in the Pediatric Population
By: Noelle Murry
In recent years, there has been an increase in the diagnosis of sleep disordered breathing in the pediatric population.
With the increase of presenting children in primary care settings, further education and tools need to be provided for
proper diagnosis and management of SDB in the pediatric population. This presentation will present the symptoms,
diagnosis and treatment of SDB in the pediatric population and explain the importance of an early diagnosis in children.
Reader: Veronica Kane, PhD, RN, CPNP
Delirium In-service Training at Chelsea Jewish Home
By: Isaac Kariuki Ndungu
Project purpose was to develop and implement an in-service module to help nursing home staff recognize and respond
to delirium. With a grant from Community Project Fund, I participated in a delirium webinar, searched relevant literature
and developed a presentation and brochure to present at a local nursing home.
Reader: Ruth Palan Lopez Ph.D. GNP-BC

Question: What is the rate of vaccination of HAV and HVC infected patients in one urban health center?
By: Laura M. Nelson
Many Hepatitis C patients are not properly vaccinated against Hepatitis A and Hepatitis B. Providers are focusing on
increasing preventative measures through vaccinations.
Reader: Jean M. Bernhardt, PhD, RN/NP
A Glimpse into the World of Medical Practices of Vietnam
By: Tuyet Nguyen
During April 23-May 24, 2012, I travelled to Vietnam, with the intention of a participant observer, to learn more about
Vietnamese culture and its healthcare practices. Through journaling, I reflected and gained insights into the implications
for nursing practice, research and service for my own future professional goals.
Reader: Patricia Lussier-Duynstee, PhD, RN
Marijuana: The Analgesic
By: Patrice Noel
Marijuana has been used as an analgesic for centuries; in the United States, its use has been restricted. More recently,
the use of marijuana in pain management has been approved in several states. This review explores pharmacology and
evidence regarding the use of marijuana and suggestions for nurse practitioners regarding how to approach patients
inquiring about marijuana for amelioration of pain.
Reader: Inge Corless, PhD, RN, FAAN
Effectiveness of Concussion Prevention Strategies for High School Athletes
By: Audrey Oetomo
Millions of high school athletes suffer concussions annually, putting them at risk for repeated concussions that can lead
to brain trauma and degenerative diseases. These deleterious effects to the developing brain have prompted a great
deal of research, education, and policy initiatives aimed at increasing awareness, preventing, and ultimately reducing
concussions. This scholarly project reviews the available prevention strategies including education, protective
equipment, neck strengthening, and policy changes, as well as the role of a Pediatric NP in this effort.
Reader: Veronica Kane, PhD, RN, CPNP
Presented to second-year pediatric students, April 9, 2013
Childhood Obesity: A group & family model for treatment and management
By: Kenya D. Palmer
As a member of CCC-Revere, a student facilitated physician supervised pediatric clinic, I collaborated with Harvard
medical students, to design and implement a family-based model to manage and treat childhood obesity in children, 5-9
years old. This scholarly project is a proposal for Revere Families Understanding Nutrition (R-FUN).
Reader: Nancy Terres, PhD, APRN-BC
Hospice Care in Prison
By: Leigh Pescatore
I developed an e-module describing hospice programs in the correctional setting, the critical need for such services and
the benefits and challenges specific to this unique environment. The module also explores the concept of compassion
and whether or not it can exist within the confines of a prison.
Reader: Ruth Palan Lopez Ph.D. GNP-BC
Poster Presentation
Survivorship Clinics and Their Impact on Patient’s Long Term Care
By: Gregory Peters
Improvements in treatment and therapy for childhood cancer have vastly improved over the past decades. The
effectiveness of these treatments has led to a better survival rates for these patients and the population of childhood
cancer survivors has grown and will only continue to grow. Guidelines for follow up care after treatment for this patient
population are important for their overall long term health and providers should be aware of proper screenings and
preventative care for these patients.

Reader: Veronica Kane, PhD, RN, CPNP
Podium
Nonpharmacologic Interventions to Treat Insomnia in Correctional Settings
By: Victor Petreca
Insomnia is a common malady in correctional institutions. This paper delineates treatments strategies for insomnia that
are compliant with jail protocols in the US. Providers have many challenges when caring for inmates, including
diversion/misuse of prescription drugs. Security is also a concern. Evidence supports the efficacy of nonpharmacological
options to treat insomnia.
Reader: Susan Stevens DNP, MS, MEd, PMHNP-BC
Current Trends in Psychosocial Screening in Adolescent Oncology Patients
By: Amber Platt
A cancer diagnosis during adolescence and the subsequent treatment therapy present major obstacles to normal
adolescent development and leave the patient vulnerable to potential psychosocial distress. Currently, several screening
tools exist that provide the health care team with a measure of the adolescent oncology patient’s distress and
psychosocial need. This literature review describes the need for such screening and also examines the reliability and
validity of the existing screening tools.
Reader: Gail B. Gall, PhD, APRN-BC
Poster Presentation
Renal Allograft Tolerance through Mixed Chimerism Trial
By: Elizabeth Rakowski
Kidney transplantation is increasingly becoming the therapy of choice for end stage renal disease compared to
hemodialysis because of the increase life span of obtaining a new organ. Long term results of kidney transplantation
however are disappointing at times, mainly due to chronic rejection and the side effects of daily use of
immunosuppressive drugs. Among strategies that have been tested, the induction of mixed chimerism through
simultaneous kidney/bone marrow transplantation is thus far the only approach that has induced allograft tolerance in
clinical transplantation.
Reader: John G. Twomey, PNP, PhD
May 6 MGH transplant unit thanks

Recommendations for Reducing the Prevalence of Psychiatric Emergency Department Visits

By: Kiara Regan
Overcrowding of emergency departments is a prevalent problem faced by our healthcare system. Psychiatric patients
frequently first present to the emergency department for treatment and management of their mental health symptoms.
This scholarly project reviews current literature examining the experience of psychiatric patients in emergency
department settings, and has several clinical implications for emergency room nurses, mental health providers and
primary care providers, in order to promote better treatment outcomes for psychiatric patients.
Reader: Patricia Lussier-Duynstee, PhD, RN
Poster Presentation
Delirium Knowledge Among Health Care Providers
By: Alison H. Rhodes
Delirium frequently goes unrecognized by health care professionals. A lack of knowledge about delirium is frequently
cited as one of the primary reasons delirium diagnoses are often missed. The purpose of this project was to review the
existing literature regarding health care providers’ knowledge about delirium assessment and management.
Reader: Ruth Palan Lopez, Ph.D. GNP-BC
Shaken Baby Syndrome/Abusive Head Trauma: Controversies And New Information
By: Rachel V Rodman, RN, LICSW
Shaken baby syndrome/abusive head trauma is a diagnosis in flux, as new diagnostic criteria are being debated. Some
researchers have offered alternative possibilities for the classic presentation that differs from purposeful abuse. Other

researchers hold that the traditional syndrome presentation is still valid. Public health providers have implored clinicians
to use new ICD-10 codes to be as inclusive and specific as possible. Clinicians should be aware of mild and moderate
presentation of abusive head trauma, and should also be cognizant of the forensic implications while treating a child
with this presentation.
Reader: Nancy Terres, PhD, APRN-BC
The Benefits of Music Therapy with Pediatric Oncology Patients
By: Suzanne A. Rose
Pediatric oncology patients experience elevated levels of emotional distress, anxiety, fear and sometimes pain, while
receiving treatment for cancer. The benefits of utilizing music therapy can provide emotional support and decrease
anxiety for both the patient and the family, ultimately providing useful coping mechanisms that can be utilized
throughout their lives. The review of literature in this paper will present data that supports the statement that music
therapy offers positive effect and great benefit to the pediatric oncology patients and families.
Reader: John G. Twomey, PNP, PhD
Poster Presentation
Developing Evidence Based Guidelines for Screening for Post-Stroke Dysphagia in Long-Term
By: Tess Rubenstein
Purpose was to conduct a preliminary inquiry into re-feeding practices for tube fed nursing home residents by
conducting informal, open-ended interviews with NH staff. There are currently no standardized re-feeding guidelines;
there is a desire for said guidelines; and obtaining information from nursing homes is difficult.
Reader: Ruth Palan Lopez Ph.D. GNP-BC
Poster Presentation
Anxiety disorders: From suffering to hope
By: Lyndsie Ryalls
Lesbian, gay, bisexual and transgender (LGBT) people face significant health disparities related to a variety of socio-
cultural factors. Working with Dr. Michelle Forcier, a pediatrician in Providence, RI specializing in adolescent medicine
and care of pediatric LGBT patients, my role was to evaluate the knowledge, attitudes, self-assessed competencies and
priorities of MedPeds residents and faculty as pertaining to LGBT health services.
Reader: Mertie L. Potter, DNP, PHMNP-BC
¡Salud! - A Healthy Living Project
By: Norma Sanchez and Ricardo Sedan
We developed an interactive Spanish language health education program for impoverished Latinos living with chronic
and preventable illness in Charlestown, Massachusetts. Activities included cooking classes, exercise, discussions about
pertinent health topics, and field trips. Results indicated that most participants adopted at least one healthy living skill
following intervention and experienced increased socialization.
Reader: Margaret Ann Mahoney, PhD, RN, ANP
Poster Presentation
A Smartphone App to Empower Patients and Improve Quality of Care in Major Depression
By: Renata Sasson
I propose a smartphone application based upon the Patient Health Questionnaire (PHQ-9) that prompts users to chart
their mood daily. Data gathered by the application is unaffected by memory recall biases and can be used as a diagnostic
aid or monitoring tool. Placing such an emphasis on patients’ input also empowers them and strengthens the
therapeutic alliance.
Reader: John G. Twomey, PNP, PhD
Poster Presentation
Creation of an Eating Disorder D2L Module
By: Sara Sauder

The purpose of this scholarly project was to create a Desire to Learn (D2L) module focused on eating disorders, with the
goal being to eliminate some of the fear surrounding treatment of this population. These teaching resources, including:
presentation, recommended reading lists, and student assessments will help to provide future mental health
practitioners with evidenced based research surrounding eating disorders and how best to treat them.
Reader: Jeanne Cartier, PhD, PMHCNS-BC
Poster Presentation
MGHIHP Survival Guide for the Nurse Practitioner Student
By: Mary Samuelson
I created a mini-book containing information that I wish I had known upon starting the NP portion of the DEN program.
Some of the information provided is clinically related while some of the other advice is on the lighter side, including
favorite places to grab lunch and where to get help when you need to get your laptop encrypted.
Reader: Ruth Palan Lopez Ph.D. GNP-BC
Poster Presentation
Fluid Immersion Simulation in Pressure Ulcer Prevention
By: Gail Slotnick MBA, RN-BC, CWS
Pressure ulcer prevention is a quality and safe care priority for all healthcare organizations. Experts agree that pressure
relief plays a key role in any prevention program. The Dolphin Mat, a specialty fluid immersion simulation therapy,
initially designed for the military to air-transport dolphins safely to combat zones, is being used to prevent tissue
ischemia in patients at risk for pressure ulcer development. A Dolphin Mat trial was implemented at Massachusetts
General Hospital during 2012 to evaluate its pressure relieving ability compared to that of the standard support
surface(s) for select patients deemed at ultra-high risk for pressure ulcer development. This scholarly project
presentation is a summary review of the research to date on support surface use/efficacy in pressure ulcer prevention
followed by a detailed account of the MGH Dolphin Mat trial process and outcomes.
Reader: Virginia Capasso, PhD, ANP-BC, CWS, FACCWS
The Role of Cancer Survivorship Plans in Alleviating Treatment Related Anxiety and Adherence to Long Term Follow
Up
By: Olivia Straw
This paper will reviews three different types of studies as they relate to cancer survivorship: those which provide
evidence of a need for Survivorship Care Plans (SCPs), studies examining provider and patient expectations with regard
to care plan content, and those that evaluate the effectiveness of care plans in improving patient outcomes.
Reader: Stephen Coffey, MSN, ARNP
Mindfulness: A Self Care Intervention in the Participatory Medicine Model
By: Linda Sugarbaker
There is a growing body of well-designed research supporting the efficacy of Mindfulness Based Stress Reduction (MBSR)
as a self-care intervention to improve health and reduce stress in a variety of populations. The nature of mindfulness
practice involves proactive self-care that is a fundamental element in the evolving Participatory Medicine Model.
Reader: Janice Goodman, PhD, RN, PMHCNS-BC
Poster Presentation
The Lived Experienced of Women Mothering with Postpartum Depression
By: Francesca Villanueva
Most of the research in postpartum depression has consisted of quantitative studies, providing information concerning
the effects of postpartum depression on mothers and its influence on infants and children. The qualitative research,
available in conjunction with this study, provides insight regarding the experience of mothering an infant and children
while suffering with postpartum depression.
Reader: Janice Goodman, PhD, RN, PMHCNS-BC
Poster Presentation
Vaginal and rectal clostridial carriage among women of reproductive age in the United States

By: Cynthia Waite
Clostridium sordelli and Clostridium perfringens are bacteria that have been associated with the deaths of seventeen
women in the past ten years. Therefore a nation-wide study was launched to examine the prevalence and duration of
carriage of these bacteria in women of reproductive age. Screening includes rectal and vaginal samples collected at two
week intervals. The study is still in the data collection phase.
Reader: Katherine Simmonds, MS, MPH, RNC, WHNP
Poster Presentation
Addictions Treatment and Nursing
By: Andrea Warden
Drug addiction is an omnipresent disease that as a future health care provider you will encounter regardless of your area
of specialty. It is also a treatable, chronic brain disease. The purpose of this scholarly project is to design a course to
provide students with the fundamentals to evaluate care and manage patients experiencing chemical dependence. It is
for everyone who works in a general health care environment.
Reader: Donna White, RN, PhD, CS
Poster Presentation
Weight Patterns Among an Urban Population of Incarcerated Youth
By: Allison Winacoo
Adolescent obesity is especially prevalent in certain social groups, including racial minorities and lower socioeconomic
groups. Similarly, juvenile incarceration disproportionately affects these communities. Research into this coexistence is
ongoing at a Massachusetts Department of Youth Services (DYS) facility, to help define the problem and propose
interventions on individual and institutional levels to improve outcomes among residents.
Reader: Gail B. Gall, PhD, APRN-BC
Poster Presentation
Shared Decision-Making in Multiple Sclerosis: Foundational work towards creating an Option Grid decision aid for
Multiple Sclerosis disease modifying therapies
By: Karen Winn
This scholarly project consists of a comparative study of shared decision-making and its nursing theory, and it explores
how a shared decision-making model can be used to formulate a decision aid for disease-modifying therapies in multiple
sclerosis.
Reader: Brant J. Oliver, PhD, NP, MSN, MPH
Poster Presentation
Work Related Compassion Fatigue
By: Cheryl K. Wisniewski
The presentation explores articles that research the negative effects of hospice care on health care workers. The
research articles were reviewed for findings that can be implemented into professional practice to help educate those
faced with caring for those at the end of life (EOL) and to avoid the negative implications of caring for this complex and
sometimes emotionally demanding population.
Reader: Margaret Ann Mahoney, PhD, RN, ANP
Weight Bias and Healthcare: How Conflating Health and Weight Hurts Our Patients
By: Sara Sherwood Wright
Evidence suggests weight is a poor predictor of health and is difficult for people to change. Clinical focus on weight is a
result of and contributor to weight stigma, which adversely affects health. By reducing weight bias in practice, clinicians
can help patients of all weights to improve their health.
Reader: Susan Stevens, DNP, MS, MEd, PMHNP-BCSusan Stevens
Poster Presentation
Loss, Suffering and Grief: A Review of the State of the Science in Palliative Nursing
By: Brendan Wynne

Palliative care, as a nursing specialty, is still in its infancy. A review of the literature reveals several topics in end-of-life
care have changed considerably in the last 5 years. These include the use of standardized curriculums to educate
nurses, the recognition of disparities in palliative care across cultural lines, emerging theories on grief, and the
understanding of the need to assess and treat patients at the end-of-life based on their developmental stage. Updated
content in nursing textbooks is necessary to utilize this new knowledge.
Reader: Mertie L. Potter, DNP, PHMNP-BC