Mary Bennett

Background/Objectives: Prior studies have shown that most students seeking entry into a nursing program (also known as pre-nursing students) do not make it into the nursing profession, mostly due to failing one or more science courses in their first year of college. These students give up on nursing, dropping out of college or changing to a less challenging major. Objectives: We aimed to determine the effect of a living learning community (LLC) on the retention and success of students seeking entry into a Baccalaureate Science Nursing (BSN) program. Methods: The aim of this descriptive, prospective cohort project was to improve student retention and success by creating a living–learning community (LLC) for first-year students preparing to apply to a BSN program. The effectiveness of this intervention was determined by comparing retention and success for those in the LLC with those who were not in the LLC over a period of 4 years. Results: Fewer students in the LLC dropped out of or failed college (21% vs. 33%), fewer changed majors (24% vs. 27%), and more were ultimately admitted to the BSN program (42% vs. 36%) during their 3rd year of college. Of those not admitted within the study’s timeframe, there were more students still preparing to apply to a BSN program than those not in the LLC (13% vs. 3%). Regarding minority outcomes, fewer LLC underrepresented minority (URM) students dropped out of college or failed (29% vs. 43%), but more of them changed majors and remained in college, working towards a college degree in another field of study (43% vs. 29%). There was no apparent effect of participation in the LLC program on minority student nursing program admission success. An equal percentage (29%) of minority students from the LLC group and the non-LLC group were admitted to the BSN program during this study. Conclusions: The limitations affecting this study include the prohibition of large face-to-face gatherings during the initial part of this study and the lingering effects of the pandemic and infection control efforts on student learning outcomes. As reported in prior research, first-year nursing students have a high risk of failing or dropping out of college. However, the students who were able to participate in the LLC demonstrated better student outcomes than those who did not, resulting in more students who were able to move towards their goal of becoming a nurse.

This research reports immune function and health outcomes in women with depression, as compared with a non-depressed control group. Using Psychoneuroimmunolgy theory and a descriptive comparison design, scores on the Beck Depression Inventory (BDI) were used to divide 40 non-hospitalized Caucasian women between the ages of 18 and 65 years into either the control or depression comparison group. Women with depression were found to report significantly more incidences of illness over the previous two months and they were found to have significantly more indicators of illness at the time of the exam as compared to the controls. However, contrary to what has been documented in some earlier studies of depression, women with depression were not found to have significantly different immune function measures as compared to the control group. There was also no significant correlation between scores on the BDI and natural killer cell cytotoxicity in this study. While these findings support a connection between depression and both increased self-report of illness and increased signs and symptoms of minor illness or inflammation on physical exam, this study was not able to document that these effects were related to decreased immune function, as measured by natural killer cell activity or white blood cell counts.

This is the final article in a four part series reviewing the influence of humor and laughter on physiological and psychological well‐being. This final article reviews the evidence for the effect of sense of humor, exposure to a humor stimulus and laughter on various immune system components, with a focus on the effects of laughter on natural killer cell cytotoxicity.

This article reviews the literature on psychoneuroimmunology and its theoretical underpinnings. It also reviews research related to the immune-system-link of stress, chronic stress, depression and health behaviors to breast cancer. Although the relationship between psychological characteristics and the immune system have been documented repeatedly, the significance of these effects has not been demonstrated in many studies empirically. The question whether the use of alternative therapies contributes to decreasing the progression of the diseased is often asked. Research in the area of psychoneuroimmunology can provide the answer to this question.