Category Archives: Current Issues

Graduate Student Creates Coolsculpting Guide for Nurse Practitioners

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Photo of Harper. Photo by college employee Andrew Holman.

By Quincey Taylor

Body image is a hot topic in today’s society. From weight loss pills to diet regimens, it’s important for individuals to take the safe option for their own body type. Coolsculpting, also known as cryolipolysis, is one of the newest options on the market for individuals to change their body shape. Millie Harper, second year graduate student in the BYU College of Nursing, is creating a guide with the help of associate dean and professor Dr. Jane Lassetter for nurse practitioners to become more informed about this procedure in order to give the best care and advice to their patients.

It all started when Lassetter was at a beauty salon and noticed the coolsculpting procedure being done. “That didn’t really sit well with her,” explains Harper, “She thought that that should be something that should be overseen by health providers. She wanted to investigate further about the requirements and the risks and see if that was something that should be done in a beauty salon.”

Since then, Lassetter has done extensive research and has enlisted the help of Harper, acting as the chair of Harper’s writing project. This scholarly paper, which takes the place of Harper’s thesis, will act as a guide for nurse practitioners who may have patients who are interested in coolsculpting. Harper expounds that this will allow nurses to answer patients’ questions like, “Am I candidate? Would this be a good option for me? Is this something I should investigate further?” This guide will allow practitioners to be able to direct them to the best option.

In many cases, coolsculpting has provided lasting results for localized fat reduction. The procedure essentially freezes – and kills – fat cells in the body with a gel vacuum which are then reabsorbed into the system. Many times the process is focused on a certain area of the body, like the abdomen or upper arms. This isn’t necessarily a weight loss procedure, however, it focuses more on the sculpting of the body into a desirable shape.

Harper tells of the risks that are involved with the procedure, especially if the facility is questionable. She says, “Putting a cold device on your skin for 30 minutes isn’t always a good idea.” The biggest risk is frostbite, but other risks include increasing lipid levels and changing the chemical nature inside your body. Many times the individuals operating the machines have attended only a three-day course, and are only overseen from a distance by medical spa professionals.

It is important for nurses to be informed about this procedure because of its growing popularity. Body image is a big issue for a lot of people,” Harper says, “It’s important to be educated about it.”

 

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Fulbright Scholar Award: Dr. Sheri Palmer

By Mindy Longhurst

20181022_114839_HDRAn image of teaching professor Dr. Sheri Palmer with people from the National University of Asuncion. Image courtesy of Palmer.

Teaching professor Dr. Sheri Palmer has had an incredible year spending time in Paraguay for two significant nursing projects including a Fulbright Scholar Award.

Studying teenage pregnancy in Paraguay

This past August, Palmer with two other faculty members and five nursing students went to Paraguay on a research project to learn more about teenage pregnancy in Paraguay.

Palmer first came to love the people of Paraguay while serving a welfare mission for The Church of Jesus Christ of Latter-day Saints shortly after receiving her RN license thirty years ago. Since her time in Paraguay as a missionary, she has had a strong desire to go back and serve the people that she loves. While pondering this, Palmer came in contact with a nursing student named Rachel Trujillo who also served a mission for the Church in Paraguay. As they discussed their love for the people, Trujillo remembered the high teenage pregnancy rate in Paraguay and wanted to do something to help. She discussed this with Palmer and they decided to get a research team together to learn more about the teenage pregnancy rate in Paraguay.

(Watch a video about Trujillo and Palmer deciding on what to research in Paraguay https://youtu.be/BKjP1zyPqY0)

To study the teenage pregnancy, the students and professors went to Paraguay to interview local leaders and teachers about what might be contributing to the high rate of teenage pregnancy. Of these interviews, nursing student Julia Lee says, “We asked what is the frequency of teenage pregnancy here, what risk factors contribute to a teenager getting pregnant, what is happening now to prevent or reduce teenage pregnancy, and what suggestions does this person have to reduce teenage pregnancy.”

(Watch a video about the interview process https://youtu.be/nCzNfEdv7rY)

While they were in the schools in Cerrito, they would teach the girls from ages 8+ about maturation and sex education. They also provided each of the girls with a Days for Girls kit. This kit included underwear with built in washable pads so that the girls would be able to be clean during their menstrual cycle. Third semester nursing student Cortney Welch says, “I think teaching Days for Girls was really beneficial to those we were able to reach out to.” Trujillo expounds, “I think it will make a big difference, especially since our guides are now going around with Sheri, teaching the curriculum to other people. It has been cool because we have left other people in place to continue the legacy.”

(Watch a video about the Days for Girls program https://youtu.be/KA46WPHvqK8)

The 10 day research experience for the nursing students and faculty members was a great experience! Megan Hancock says, “I loved it! The entire time I was there I felt blessed to be there. It was nice knowing that what we are doing would lead to interventions that actually work because we were researching what is and what is not working.”

Fulbright Scholar Award

For six weeks from mid-October to the beginning of December Palmer was able to stay in Paraguay to help teach the nurses, teachers and students about nursing with her Fulbright Scholar Award. The Fulbright Scholar Award allows Palmer to be a visiting scholar to the national university in Paraguay (National University of Asuncion). Palmer was able to teach nursing classes to faculty members and students of the college in five different cities. She was able to teach at the Paraguayan Nursing Association, at private hospitals, public hospitals and at the Ministry of Health.

20181022_154935An image of Palmer with other medical professionals in Paraguay. Image courtesy of Palmer.

This is the first round of a two year experience in Paraguay for the Fulbright Scholar Award. The second round will be next March and April and the third round will be sometime in 2020. Going back and helping the Paraguayan people over the course of two years will help Palmer to make the biggest difference possible.

The love that Palmer has for the people of Paraguay is so evident, she lights up when she speaks about the people she has met while there. When Palmer would introduce herself and start her classes in Paraguay she would always try to explain the love that she and others have for the Paraguayan people. She explains, “Almost every time I was able to tell them about my mission, I would tell them that they were important. Just being able to express my love for them. It was neat to let them know that people think about you and care for you. We want the best for you.”

Palmer wants all of the nurses in Paraguay to feel empowered and to know that they are affecting so many lives. She says, “Empowering nurses is so important. One of the reasons I was there was to help empower the nurses, help their value of nursing to be greater in the country, to be looked upon as a worthy profession.” When she left the different cities she was teaching in, she did not realize the impact that she would have on others, just like the nurses in Paraguay do not always understand the impact they have on others.

Palmer is currently preparing for her next phase of the Fulbright Scholar Award. Palmer is eagerly looking forward to her next return to Paraguay!

To read more about Palmer’s experiences with her Fulbright Scholar Award read her blog https://palmerfulbrightinparaguay.wordpress.com/.

University Launches SafeWalk Feature on BYU App

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By Quincey Taylor

When I came to BYU, it was the first time that I found myself walking home alone in the dark. I had always had a car when I lived with my parents, so to be all by myself in a new environment was somewhat intimidating, especially as an 18 year old girl. I had an evening class and had to walk across campus every night to my apartment in Helaman Halls. Nothing scary or dangerous ever happened to me, but it would have made a huge difference to feel safe as I was walking to and from class at night.

BYU is one of the safest college campuses in the nation. According to Business Insider, an American business news website, BYU was ranked the number one safest college campus in the nation of 2016.* While number of assaults on BYU campus is low compared to other universities, unfortunate things still happen. It is sometimes difficult for victims to feel there is help in those vulnerable moments.

To address this concern of many BYU students, a team of students on the BYUSA Student Council set out to develop and launch a mobile service to help students feel safer. In the past, students were able to call a Safewalk hotline and be physically escorted home by a police officer. However, it is impossible for officers to walk all 33,000 students home. This feature was created as a “virtual escort” so that each student that wanted to take advantage of this service is able to. Launched during the 2017 fall semester, this app allows the BYU Police Department to monitor your location to ensure you reach your destination safely. It was even featured on Campus Security and Life Safety, a magazine focusing on efforts schools are making to become safer.

Follow these steps to try it out today:

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SafeWalk is a new feature on the BYU mobile app. To find it, click “Add Features” and select it from the list. You will need to click “Launch.” I tried it out on a stroll across campus and it was easy to use. It is important to read all the instructions in order to get the best use from the app. You will be asked to confirm your phone number to ensure they have the correct one.

 

 

 

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Next, you specify your destination by clicking on the map and setting a pin. Click “Confirm Destination” and your location will begin to be monitored by the BYU Police. You will receive a confirmation text to ensure that it is working.

 

 

 

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As you walk, your screen will show a red circle that, if clicked, will call the BYU Police immediately. Please do NOT close the app without ending your Safewalk session or the police will dispatch someone to check on you. Once you have reached your destination, click “I’ve Arrived Safely” to end the Safewalk. You will receive a text stating that your location is no longer being tracked.

Lt. Steven Messick with the BYU Police Department says about the new feature, “I think we live in a time where the need may be just the fact that we’re able to do it, and maybe there’s been a need for a long, long time, for this type of thing. We can do it now, we know how to do it and so why shouldn’t we use that to make BYU a safer place?” So, if you are ever uneasy or even just curious, try it out! You can never be too careful, even on a campus like BYU.

 

*See link for Business Insider article: https://www.businessinsider.com/safest-college-campuses-in-america-2016-1

Three Nursing Student Experiences with Ohio Internship

By Mindy Longhurst

all threeImage of Christin Hickman, James Reinhardt and Cortney Welch at The Ohio State University. Image courtesy of Hickman.

Three College of Nursing students were able to research with some of the best mentors in the field of cancer research this summer with The Ohio State University’s Comprehensive Cancer Center (OSUCCC). The experiences that they had this summer were once in a lifetime (to learn more about how they received the internship opportunity read our previous article https://byunursing.wordpress.com/2018/03/30/a-really-good-big-deal/). Christin Hickman, Cortney Welch and James Reinhardt were able to work with a team of fellow researchers on a certain topic about cancer or cancer-related research. The team that they worked with involved a statistician, a PhD supervisor and a few other research students. In Ohio, a study was conducted that focused on a wide range of health topics, from this information each of the students focused on one aspect of the questionnaire for possible correlations. Following the summer’s research, they worked on publishing an article about their research and presented to a room full of PhD professors on their research findings.

templeImage of Christin Hickman and others at The Church of Jesus Christ of Latter-day Saints Columbus, Ohio temple. Image courtesy of Welch.

Christin’s experience

Christin Hickman, a fourth semester nursing student, wanted to participate in this internship experience to see if she wanted to do research full-time in the future. During this time, Hickman focused on colorectal cancer, which is a very preventable form of cancer through regular colonoscopy screenings. Hickman was able to see if there was a difference in knowledge and awareness of colorectal screening rates for those who live in urban areas versus rural areas. Through studying and research, she discovered that in Ohio there is little difference in the knowledge and amount of screenings in rural versus urban participants. The experiences that she had in Ohio helped her to prepare for the future and understand more about how research works. Hickman explains, “This experience helped me to secure my destiny. It feels like research is really what I want to do with my life.” In the future Hickman wants to study more about precision medicine and genetic research.

cortney welch with posterImage of Cortney Welch with her poster that was presented to PhD professors of her research findings. Image courtesy of Welch.

Cortney’s experience

Third semester nursing student, Cortney Welch, enjoyed her time in Ohio. She was able to research if there was a correlation in social cohesion in communities and colorectal cancer screenings. By the end of the summer, she was able to conclude that there is not a correlation in social cohesion in communities and colorectal cancer screenings. Along with the research, Welch was also able to work in a blood sample lab for patients who are using clinical trials for cancer treatment. She was able to help centrifuge, aliquoted blood and labeled the blood samples. Welch loved the experience that she received in both research labs. Welch says, “The internship was a growing experience. When I came home from the internship, I felt accomplished that I had experienced my first taste of a full-time job. I had learned how to do research, how to write a paper. I felt like it was a great use of my summer. It was hard and it was frustrating at times and tedious but I think it was well worth my time. I learned a lot.”

all three with HimesImage of Hickman, Reinhardt and Welch with assistant professor Dr. Deborah Himes. Image courtesy of Hickman.

James’ experience

James Reinhardt, a fourth semester nursing student, was able to focus his research on preventing cancer through a research study on men’s overall health. He studied at-risk participants on how they rated their health. Reinhardt tried to understand why some men would rate their health as poor. Since many of the participants did not take the survey throughout the intervention process, it was very difficult for Reinhardt to come to any conclusion about why these men rated their health as low. However, throughout the process in Ohio, Reinhardt learned many lessons. Reinhardt expounds, “I hopefully will be able to better see road blocks in future research projects. My overall experience was great! We did get to work along with medical students and students from different schools so that was a cool mix to be in. I got to learn how research is vital.”

Overall, the College of Nursing students had a great experience in Ohio. They were able to learn and grow to become better nurses. They are now taking the skills that they learned in Ohio and are implementing them into their current nursing studies.

Young Scholar Award Recipient

By Mindy Longhurst

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Dr.  Julie Valentine.

Assistant professor, Dr. Julie Valentine, received the Young Scholar Award at last week’s University Conference. This award is given to three assistant or associate professors on campus who have demonstrated exceptional research in their designated field. The recipients must be within their first 10 years of working at Brigham Young University and must be nominated by their respective college.

Valentine received this award for her research related to the field of forensic nursing, specifically in sexual assault and criminal justice system response to sexual assault. She researched sexual assault kit submission rates and predicting variables throughout Utah. Valentine’s research was instrumental in policy and legislature changes, resulting in passage of Utah House Bill 200 in 2017. This change in policy now requires submission and testing for all sexual assault kits in the state of Utah. Previously it was not required to have the kits submitted and tested.

Additionally, Valentine’s studies has focused on trauma-informed training programs with law enforcement to improve the response to sexual assault victims. Valentine has served on national committees to establish best practice guidelines for sexual assault kits.

When Valentine was informed that she would be receiving the award, she said, “I was very honored and surprised! I was especially happy because it provides extra funds for my research.”

With the award, Valentine is able to receive additional funding for her research, helping to improve our understanding of sexual and interpersonal violence to reduce violence in our communities.

BYU Grad Study Uncovers the Truth Behind E-Cigarette Labels

By Jonathan Schroeder

A recent BYU study suggests that e-cigarette users may be getting more than they paid for – twenty times as much. The study, conducted last year by BYU Nursing graduate student Barrett Raymond and associate professor Dr. Katreena Merrill, found the nicotine content of some US produced e-cigarette solutions to be significantly higher than advertised. The study was among the first of its kind to focus on prominent U.S. e-cigarette manufacturers.

“Whenever you’re doing a study, you want it to have a big impact,” Raymond said of his thesis project. “I felt like focusing this study on prominent e-cigarette manufacturers was the best way to do that.”

Raymond’s interest in the e-cigarette industry partly stems from his brother, Daniel. Daniel was a veteran of the Iraq War who returned to the States with an addiction to tobacco cigarettes. Eventually, Daniel was introduced to e-cigarettes and within two months was tobacco free. Before long, Daniel quit his job as a deputy sheriff and started a successful e-cigarette shop in Idaho Falls.

“I remember visiting my brother’s shop and watching as they made the e-cigarette solutions,” Raymond descibes. “They would use measuring cups and kitchen utensils to mix the chemicals together – poly-ethylene glycome, vegetable glycerine, a flavoring component, and a nicotine component. The nicotine would originally come in super high concentrations (1000 mg/mL) and they’d mix all the chemicals together in a five-gallon bucket; following these little recipes that were hand-written down.”

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E-Cigarette Solutions at Daniel’s Store

“It just blew my mind that this was what they were selling to consumers. The math on the recipe made sense, but they had no idea if there was any residual nicotine left on the container or utensils they were using or if there were any other factors that could impact the final product.”

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E-cigarette Solutions of 0, 3 and 18 mg/mL Concentrations

Raymond decided to conduct a study to see if the nicotine levels of e-cigarette solutions being sold actually matched what was listed on the labels. However, rather than focus on just a local cigarette shop in Idaho, Raymond focused his study on major U.S. e-cigarette manufacturers.

“I didn’t want to conduct a study that only applied to Utah or Idaho,” Raymond explains. “I wanted it to apply to the U.S., as a whole. The only way to really do that was to go online and look at major manufacturers.”

Raymond and Merrill identified the seven most popular US-based e-cigarette manufacturers using a Google search. They then purchased samples of the five most popular flavors from each manufacturer in nicotine concentrations of 0 and 18 mg/mL and tested them with the help of the BYU Chemistry and Nutrition departments to see if the nicotine content matched what was on the label. The results were pretty shocking.

“Of the thirty-five 18 mg/mL samples we tested, we found that most of them varied from 35 percent below the stated nicotine amount to 53 percent higher than the stated amount,” Raymond states. “To give you an idea, one of the manufacturers told us that the acceptable range of tolerance for nicotine levels is plus-or-minus 10 percent. Most of our findings fell outside of this range.”

However, the real surprise came in the results for the ‘nicotine-free’ samples. Of the thirty-five 0 mg/mL samples, almost all of them (91 percent) contained at least a trace amount of nicotine or more. Four samples of these samples contained more than 20 mg/mL of nicotine.

“What these results show is that adolescents who use e-cigarettes that are labeled ‘nicotine free’ could be constantly exposing themselves to small amounts of this addictive substance, without even realizing it,” Raymond adds. “What’s more is that their parents may unwillingly approve of their child’s e-cigarette use because they assume there’s no nicotine, when in reality that’s not always the case.”

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A donut-flavored “nicotine-free” vaping solution purchased from a major e-Cigarette manufacturer.

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This last finding could place Raymond’s study at the center of an ongoing national debate. A recent study by the National Institute of Health revealed that more than a third of high school seniors in the US had used an e-cigarette in 2017 – and that’s just among upperclassmen. In 2016, the US Surgeon General reported that the use of e-cigarettes among high school students had increased by 900 percent between 2011 and 2015. In light of this crisis, many officials in Congress and the Food and Drug Administration have started to push for greater oversight of the $4 billion e-cigarette industry.

Raymond says he hopes this study will prompt e-cigarette companies to step forward and make improvements, on their own—a call to action that some manufacturers have already answered. Not long after the study was published, one of the manufacturers reached out to Raymond, asking him to share the product code of the study samples so they could identify the problem.

“I appreciated that,” Raymond remarks. “This is the kind of impact you hope to have when you do a study like this.”

Poster Presentation

Barrett Raymond presenting his findings at a Tobacco Nicotine Research Symposium in Florence, Italy

Raymond also had the opportunity to present his findings at a Tobacco Nicotine Research Symposium in Florence, Italy. There he had the chance to interact with other e-cigarette researchers from around the world.

“It was an awesome opportunity to meet with these experts and share ideas with them,” Raymond says. “I’m so grateful to Dr. Merrill and the BYU College of Nursing for making this experience possible.”

Raymond and Merrill’s study, “The Nicotine Content of a Sample of E-cigarette Liquid Manufactured in the United States” was recently published in the March/April 2018 edition of The Journal of Addiction Medicine

 

Seize Your Moment! — Taking the Initiative for Mentored Learning

By Jonathan Schroeder

Fourth-semester BYU nursing student Jeana Escobar has never been afraid to take initiative. At the age of 16, Escobar performed her first surgical operation after her dog developed a tumor on the scruff of his neck. Before her parents could stop her, Escobar went to her dad’s tool bench, found some sharp tools, and took the tumor out herself (much to her parent’s dismay and the vet’s amazement). Now years later, Escobar’s initiative has led her to a new project – a unique mentored learning opportunity developing a post-fall assessment tool for nursing homes.

It all started during a class lecture in Escobar’s second-semester gerontology course. Assistant teaching professor Dr. Blaine Winters paused to mention that he was interested in writing a paper on post-fall assessments.

“Whenever a patient falls in a medical setting, you need to do a thorough assessment to make sure they’re OK before you put them back into bed,” Escobar says. “But oftentimes in a long-term care facility, the person who finds the patient doesn’t have the proper training to conduct those assessments.”

Winters explained that in older adults, injuries often take longer to manifest than in younger patients. “He talked about how if you or I fall and bump our elbow, we’ll have a bruise almost immediately,” Escobar says. “But in older adults, bruises can take a day or more to manifest.”

It was little more than a brief tangent to the lecture. Most students probably didn’t even take notice of it. Escobar, on the other hand, was already getting excited about the possibilities.

“In high school, my teacher always talked about the importance of getting involved in your discipline during college. It really is the best time because you have time and you have plenty of opportunities to interact with professors. Really, the only thing holding you back is yourself. So when I heard Blaine mention this paper, I knew I needed to take advantage of this opportunity.”

Within a few weeks, Escobar was hired on as research assistant and began meeting with Winters and assistant teaching professor Tracy Dustin. Together, the three of them sifted through dozens of studies and academic articles for information on post-fall assessments. Much to their surprise, they were only able to find four articles written on the subject over the past two decades. The team then came to a decision that none of them had originally anticipated. Instead of writing a paper, they would develop a standardized post-fall assessment tool.

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Image Source: Pexels, 2018.

The post-fall assessment tool is a procedure that long-term care facility staff can follow to ensure that patients receive the care they need. It’s based off of advanced trauma life-support (ATLS) procedures, as well as other important post-trauma assessments. The idea is that long-term care facility staff will be able to follow this procedure to provide better care for their patients.

And while some college research opportunities may seem like busy work, Escobar says she’s enjoyed being fully involved in this project.

“Blaine and Tracy are so supportive,” Escobar explains. “They make me feel like I’m an equal member of the team. I don’t feel like it’s their project and I’m just a footnote somewhere, helping him file papers. I’m really equally involved with them and that they value my input.”

Now that the tool has been developed, Escobar, Winters, and Dustin are working with the College of Nursing Media Team to create several training videos that will explain the tool to long-term care facility personnel. The hope is that, together with the tool, these videos will help staff provide better care for their patients.

“It’s been so exciting to see this tool come together,” Escobar says. “When Blaine mentioned he wanted to write a paper in class, it was almost like a passing thought. Now we’ve created this tool and we’re getting ready to create the training videos so we can test it out. I’ve loved seeing just how if you have an idea and you just put your best effort into it, it can really come alive.”

When asked what this project meant to her BYU experience, Escobar expressed how grateful she was for the chance to be involved and contribute to the nursing discipline. She also found that this project helped her rediscover her passion for gerontology.

“I always knew I liked gerontology; I think older adults are amazing. But participating in this project helped me see that not only do I like them, but I have a passion for their well-being and improving the quality of care that they receive.”

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Image Source: Pexels, 2018.

Even though she still has a year left in the nursing program, Escobar has already started looking at graduate programs that specialize in adult critical care and gerontology.

“When opportunities are presented to you, you just need to go for it,” Escobar advises other students seeking mentored learning opportunities. “If there’s something you’re interested in, even if you’re just curious about it, you should go talk to the professor and see what you can get involved in. If they don’t have any projects, tell them something you’re interested in and more than likely they’d be happy to work with you. But you’ll never know until you ask.”

The post-fall assessment training videos are scheduled to be introduced at several long-term care facilities in the Utah Valley sometime this summer. Escobar, Winters, and Dustin plan to present their findings on the effect of the training video at the Utah Nurses Association Conference in September 2018.