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Research Question: How do psychological interventions impact health outcomes among children who have experienced ACEs

Westlund, Anna

Curran, Sara

Orozco, Kiki

Shaw, Michele

Gonzaga University 
The Repository of Gonzaga University 
NURS 404/406 Research & Info Management Nursing Student Scholarship 
Spring 2024 
Mindful Interventions for ACE Exposed Children 
Anna Westlund 
Sara Curran 
Kiki Orozco 
Michele Shaw 
Follow this and additional works at: https://repository.gonzaga.edu/nursing404_406 
Mindful Interventions for ACE Exposed Children
Anna Westlund, Sara Curran, Kiki Orozco, Dr. Michele Shaw, Department of Nursing, Gonzaga University
Research Question: How do psychological interventions impact health outcomes among children who have 
experienced ACEs?
Background: 64%
of U.S. adults reported 
they had experienced at 
least one type of ACE 
before age 18
(CDC, 2023)
- Adverse childhood experiences 
(ACEs) can have detrimental effects 
on growing adolescents.
- ACEs captured under three 
categories of childhood abuse – 
psychological, physical, and sexual.
- Examples of ACEs: bullying, divorce, 
witnessing parental violence, 
incarcerated family member.
- Studies indicate that art-
based interventions improve self-
confidence, self-esteem, social 
skills, and sense of belonging.
Intervention:
- Implement art therapy rooms in 
middle schools
- A licensed therapist is present to 
supervise
- The school nurse can administer 
ACE questionnaires to identify 
students who may need extra 
support
Implementation:
- Kids with ACEs have a scheduled 
weekly time
- During recess/free period, any 
student is free to go for support
- Students can choose any art form 
or simply talk with the therapist
Expected Outcomes:
- A 15% Improvement in stress levels 
in ACE exposed children
- An overall improvement in self-
reported PTSD symptoms in ACE 
exposed children


English

Mindful Interventions for ACE Exposed Children

Research Question: Does physical activity and exercise help with recovering from illness and/or surgery in the adult population

Steinhart, Emma

Sarlatte, Sarah

Cziesla, Elise

Gonzaga University 
The Repository of Gonzaga University 
NURS 404/406 Research & Info Management Nursing Student Scholarship 
Spring 2024 
The Benefits of Physical Activity on Recovery Times 
Emma Steinhart 
Sarah Sarlatte 
Elise Cziesla 
Michele Shaw 
Follow this and additional works at: https://repository.gonzaga.edu/nursing404_406 
The Benefits of Physical Activity on Recovery Times 
Emma Steinhart, Sarah Sarlatte, Elise Cziesla, Dr. Michele Shaw 
Department of Nursing, Gonzaga University 
  
Background: 
Throughout our time in nursing school, we 
have been taught that early ambulation is 
important in recovery. We decided to 
research this topic more in depth to 
determine the validity of what we have 
been learning. We have found and read 
different articles that discuss trials of 
ambulation and its effects on patients who 
are recovering from various illnesses and 
surgeries. 
Research Question: 
Does physical activity and exercise help 
with recovering from illness and/or surgery 
in the adult population? 
EBP Intervention: 
The EBP that we plan to implement is creating an exercise/activity 
plan before surgery or upon admission. How we will go about this 
is described below: 
• Plans will be created before surgery and early in care with the 
intention of being used while admitted at the hospital. 
• The nurse will make sure anyone involved in the care of the 
patient is aware of the exercise activity plan.  
• The physician or physical therapist can dictate if any part of 
the exercise plan is not appropriate for that patient. 
• NACs can help with ambulating the plan. 
• Family members and caregivers will be aware of the plans to 
potentially carry on the plan at home if they choose. 
• The nurse will have to conduct an assessment to determine the 
amount of assistance the patient needs and will collaborate 
with a physical therapist to get the most accurate plan.  
• The nurse will set goals that are realistic and individualized 
for the patients to act as a motivating factor. They will be 
written on the white board in the patient’s room. 
• The nurse will educate the patient on the importance of 
exercise/activity so they are aware of any safety precautions 
and how this will help them in the long run. 
Expected Outcomes: 
• Reduced risk of complications such as deep vein thrombosis, 
pulmonary embolism, pneumonia, urinary retention, and 
pressure ulcers. 
• Faster recovery since movement promotes tissue healing, 
reduces muscle atrophy, and restores normal physiological 
functions faster allowing for shorter hospital stays and quicker 
recovery times.  
• Improved respiratory function because activity promotes 
deep breathing and coughing, which helps prevent respiratory 
complications. 
• Improved circulation as movement stimulates blood flow 
which also reduces the risk of blood clots. 
• Reduced pain and discomfort by preventing muscle 
weakness and joint stiffness by maintaining use and mobility.  
• Improved physiological status by empowering patients with 
a sense of independence and control. 
Findings: 
Through our research of different studies 
we found evidence to support our initial 
question: Does physical activity and 
exercise help with recovering from illness 
and/or surgery in the adult population? For 
example, in an article about a study 
completed by J. Calatayud, we learned that 
Isometric knee flexion, isometric hip 
abduction, VAS, WOMAC, ROM 
extension and flexion were greater for 
intervention group compared to control 
(Calatayud, 2017). The intervention group 
completed high intensity resistance 
training prior to a total knee arthoplasty. 
Also, a study completed by S. Goddard 
proved that supervised exercise programs 
completed by ICU patients provided a 
positive influence on physical recovery 
and motivation (Goddard, 2024). 
References: 
Sarah Sarlatte, ssarlatte@zagmail.gonzaga.edu 
Emma Steinhart esteinhart@zagmail.gonzaga.edu 
Elise Cziesla ecziesla@zagmail.gonzaga.edu 
www.gonzaga.edu/nursing 


The Benefits of Physical Activity on Recovery Times

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Bumble Bees

[Striped Sweat Bees]

Bumble Bees

Cutworm Moths and Allies

European Woolcarder Bee

Mindful Interventions for ACE Exposed Children

The Benefits of Physical Activity on Recovery Times

European Woolcarder Bee

Nevada Bumble Bee

Nevada Bumble Bee

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