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Medicine and Health Sciences

Grand Valley State University

1995

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Loss Associated With Chronic Illness: Application Of The Roy Adaptation Model, Linda M. Dehaan Nov 1995

Loss Associated With Chronic Illness: Application Of The Roy Adaptation Model, Linda M. Dehaan

Masters Theses

The Roy Adaptation Model guided this pretest-posttest quasi-experimental study to test an intervention addressing loss associated with chronic illness. Differences in adaptation and well-being were evaluated between control (n = 20) and experimental groups (n = 20) 30 days after intervention. Adaptation was measured by PAIS-SR scores and analyzed using ANCOVA to adjust for pretest differences. T-test and Mann-Whitney U was used to evaluate well-being as measured by the Global Well-being Scale. Changes in adaptation were not significantly different between groups, but well-being improved 12.8% in the experimental group as compared with 1.4% in the control group. Inconsistency of results …


Health Beliefs And Adherence To Cardiac Exercise Following A Cardiac Event, Marianne Foster Jul 1995

Health Beliefs And Adherence To Cardiac Exercise Following A Cardiac Event, Marianne Foster

Masters Theses

The purpose of this study was to examine the relationship of cardiac patients' health beliefs regarding exercise and their adherence to an exercise program following a documented cardiac event. A sample of 90 subjects, recovering from a recent cardiac event, was selected from two acute care medical centers in southwestern Michigan and northwestern Michigan. Each subject responded to a mailed questionnaire six to eight weeks post hospitalization which assessed perceived benefits, perceived barriers and self-efficacy as they related to a regular, aerobic exercise program.; Descriptive statistics, along with t-test and chi-square were used to analyze the data. Findings include (a) …


Parent Knowledge Of Fas And The Risks Of Heavy Drinking During Pregnancy, Kimberly Lynne Spring Jul 1995

Parent Knowledge Of Fas And The Risks Of Heavy Drinking During Pregnancy, Kimberly Lynne Spring

Masters Theses

The purpose of this mini-study was to determine the level of parent knowledge of FAS and the risks of drinking during pregnancy.; The parents involved in this mini-study were members of a small, primarily rural community and had one or more children enrolled in grades kindergarten through four in the Hart Public School District.; A questionnaire was developed and mailed to a random sample of parents who were chosen from the school enrollment lists. Results of the survey indicated that the majority of parents had some basic knowledge of the term FAS; however they felt that they lacked enough knowledge …


Relationship Of Perceived Social Support To Readmission Of The Congestive Heart Failure Patient, Margaret A. Guthaus Jan 1995

Relationship Of Perceived Social Support To Readmission Of The Congestive Heart Failure Patient, Margaret A. Guthaus

Masters Theses

This study examined the relationship between perceived social support and the time between hospital admissions for congestive heart failure (CHF) patients based on Lazarus' Stress and Coping Theory. A descriptive correlational design was used with a convenience sample of 40 inpatients aged 33-100 at a mid-western hospital. The Personal Resource Questionnaire was used to measure social support.; Data indicated that 50% of the sample were readmitted within 90 days of discharge. However, the hypothesized positive relationship between perceived social support and the number of days between admissions was not supported. Subjects' age was related to time between admissions(r =.33, df …


The Psychological Effects Of Functional Electrical Stimulation Leg Cycle Ergometry On Persons With Spinal Cord Injury, Renee Christner, Scott Nolte Jan 1995

The Psychological Effects Of Functional Electrical Stimulation Leg Cycle Ergometry On Persons With Spinal Cord Injury, Renee Christner, Scott Nolte

Masters Theses

Major depressive disorder (MDD) affects many individuals in the general population. Spinal cord injury (SCI) may exacerbate depressive symptoms as individuals must adapt to an altered lifestyle as a result of the injury. The purpose of this study was to investigate the effects of Functional Electrical Stimulation Leg Cycle Ergometry (FES-LCE) on the subjective reports of the incidence and severity of symptoms of depression in individuals with SCI. Survey packets, including a demographic data sheet and the Inventory to Diagnose Depression (IDD), were mailed to 215 individuals participating in FES-LCE programs and 215 persons with SCI not involved in FES-LCE. …


Knowledge Of High School Students Concerning Physical Therapy, Occupational Therapy, And Nursing, Amy Godlewski, Karen Oorbeck, Beth Spitzley Jan 1995

Knowledge Of High School Students Concerning Physical Therapy, Occupational Therapy, And Nursing, Amy Godlewski, Karen Oorbeck, Beth Spitzley

Masters Theses

The purpose of this study was to determine the level of knowledge of Kent County high school students regarding physical therapy, occupational therapy and nursing. A survey created by the investigators asked specific questions concerning these professions. The survey was administered to 545 eleventh and twelfth grade students. The scores were compared to demographic data and school characteristics (i.e. urban, suburban, rural, public or private). The researchers' hypotheses were that students would have a low level of knowledge concerning all these professions, and that students would be more familiar with nursing compared to physical therapy or occupational therapy. These hypotheses …


A Descriptive Study Of The Needs Of Family Members Of Trauma Patients, Sally Laur Sutkowi Jan 1995

A Descriptive Study Of The Needs Of Family Members Of Trauma Patients, Sally Laur Sutkowi

Masters Theses

This study examined the perceived needs of family members of trauma patients using Molter's (1979) Critical Care Family Needs Inventory. The ranking of needs of major and minor trauma patients family members were analyzed to determine differences between these two groups.; A convenience sample of 41 family members of trauma patients were surveyed. They included family members of 17 minor trauma patients and 24 major trauma patients. Minor trauma patients were those patients with Injury Severity Scores 12 or less. Major trauma patients had ISSs scores of 13 or greater. All 45 needs were considered very important by at least …


Perceived Stress And Health-Promoting Behaviors In Nursing Students Using Pender's Health Promotion Model, Gail E. Dunham Jan 1995

Perceived Stress And Health-Promoting Behaviors In Nursing Students Using Pender's Health Promotion Model, Gail E. Dunham

Masters Theses

The purpose of this descriptive, correlational study was to add support to the literature that there is a relationship between the perceived stress (Student Stress Inventory) that nursing students report and their practice of health-promoting behaviors (Health Promoting Lifestyle Inventory). A convenience sample of 36 first-year associate degree nursing students was obtained. The conceptual framework used was Pender's Health Promotion Model. No relationships were found between demographic variables and perceived stress. Results indicated that subjects reported they engaged in health-promoting behaviors more than sometimes and they perceived themselves overall as slightly stressed. A negative correlation between perceived stress and health-promoting …


Normal Kinetic Patterns Of The Lower Extremities During Natural Walking In Children Aged Six To Ten, Thomas Ellexson, Christopher Nawrocki, Darrin Schober Jan 1995

Normal Kinetic Patterns Of The Lower Extremities During Natural Walking In Children Aged Six To Ten, Thomas Ellexson, Christopher Nawrocki, Darrin Schober

Masters Theses

The purpose of this research was to initiate a normative pediatric three-dimensional lower extremity kinetic database specific to the Mary Free Bed Hospital/Grand Valley State University Center for Human Kinetic Studies. Twenty healthy children (eleven girls and nine boys) with a mean age of 7.9 years volunteered for this study. Lower extremity kinetic data were obtained using a computerized three-dimensional motion analysis system coupled with a force plate. Kinematic and kinetic data were pooled and mean/standard deviations at each one percent of the gait cycle were determined for the twenty normative children. Results of the pediatric kinetic data were similar …


The Relationship Among Isokinetic Knee Parameters And Three Functional Tests, Kristen Brinks, Ronda Delong, Tanya Stout Jan 1995

The Relationship Among Isokinetic Knee Parameters And Three Functional Tests, Kristen Brinks, Ronda Delong, Tanya Stout

Masters Theses

The purpose of this study was to investigate the correlation between knee strength and endurance, as tested by the Biodex{dollar}\sp\circler{dollar} isokinetic system, and the lateral step-up, cross-over hop for distance, and triple hop for distance. Subjects included 20 males and 30 females aged 21-40 years with no history of low back, hip, knee, or ankle injury that was treated by a physician. Bilateral knee flexion and extension strength, power, and endurance was measured at 60, 180 and 300 degrees/second with the hip extended and flexed 115{dollar}\sp\circ{dollar}. Isokinetic data were normalized to body weight and correlated to hop distance which was …


African American Nurses' Perceptions Of Social Support Available During Graduate School, Jacquelyn Denese Pettis Jan 1995

African American Nurses' Perceptions Of Social Support Available During Graduate School, Jacquelyn Denese Pettis

Masters Theses

This study examined African American nurses' perceptions of social support available during graduate school that contributed to their completion of graduate studies. A descriptive correlational research design using a mailed questionnaire was employed for the study. The sample consisted of 91 African American nurses who were women and had completed graduate studies within the United States. A modified Norbeck Social Support Questionnaire (Norbeck, Lindsey, & Carrieri, 1981) was used to collect the data.; Data analysis consisted of reporting means, standard deviations, and range of scores for perceived social support available. Pearson's correlations and t-test were used to examine significant differences …


The Effect Of Support Groups On Aids Patients, Karen Bouwman Jan 1995

The Effect Of Support Groups On Aids Patients, Karen Bouwman

Masters Theses

The purpose of this study was to answer the following question: Will individuals with HIV/AIDS have the same or decreased levels of anxiety and hopelessness after participating in a support group? A one-group pretest-posttest design was used. A convenience sample consisted of 40 persons with HIV/AIDS attending a large support group which met on a weekly basis. Spielberger's State Anxiety Inventory (SAI) and Beck's Hopelessness Scale (HS) were administered to the participants. Six weeks later, the HS and SAI were repeated. A Social Support Inventory was also given to assess the subject's perceived satisfaction with the support group. Based on …


A Study Of The Relationship Between Registered Nurse Time Spent In Direct Care Activities, Nursing Skill Mix And Patient Perceptions Of Nurse Caring, Jeanne L. Roode Jan 1995

A Study Of The Relationship Between Registered Nurse Time Spent In Direct Care Activities, Nursing Skill Mix And Patient Perceptions Of Nurse Caring, Jeanne L. Roode

Masters Theses

There is a need for nurse administrators to understand how the use of nursing resources impacts the quality of patient care. A descriptive correlational research design was used to examine the relationship between R.N. time spent in direct care activities, nursing skill mix and patient perceptions of nurse caring. A secondary analysis was conducted using data previously collected as part of a large-scale data set from a 529 bed community teaching hospital. The data consisted of 76,491 activity samples obtained through work sampling of 16 nursing units, 2 categories of unit skill mix measurements, and a Caring Behaviors Inventory completed …


Timed Wheelchair Ambulation Of Children Aged 11-17 Years And Their Perceptions Of Their Function, Karen Feuerstein, Susan Fisher, Kristy Van Zee Jan 1995

Timed Wheelchair Ambulation Of Children Aged 11-17 Years And Their Perceptions Of Their Function, Karen Feuerstein, Susan Fisher, Kristy Van Zee

Masters Theses

Problem. Little data is available to aid physical therapists in writing functional wheelchair velocity goals. Purpose. This study begins to establish baseline data on wheelchair velocity. The authors hypothesize that there will be a significant relationship between a child's perceived function and their wheelchair velocity over a given distance. Methods. One female and 10 male community manual wheelchair users aged 11-17 completed 3 time trials of 150 feet on carpet with 1 minute rest between trials. Following the WRAT-R reading screen, the subjects completed a questionnaire about wheelchair function in the community. Results. A two-tailed significance test of the correlation …


Prediction Of In-Hospital Delirium In Elderly Hip Fracture Patients Using Family Assessment Of Pre-Morbid Cognitive Behaviors, Ronell R. Ruhlandt Jan 1995

Prediction Of In-Hospital Delirium In Elderly Hip Fracture Patients Using Family Assessment Of Pre-Morbid Cognitive Behaviors, Ronell R. Ruhlandt

Masters Theses

The elderly are the fastest growing segment of the population in the United States. Elderly persons are at high risk for developing delirium when hospitalized. The purpose of this study was to determine if pre-morbid cognitive behaviors were predictive of in-hospital delirium in elderly hip-fracture patients. The ability to predict or diagnose delirium early could prevent complications during hospitalization and decrease the length of hospital stays. The study was descriptive correlational. Subjects were admitted to a metropolitan teaching hospital during February through August 1993, were 60 years or older, and were diagnosed with hip fracture. Admission assessments included the Cognitive …


The Effect Of Family Participation On The Outcome Of Patients With Traumatic Brain Injury In Rehabilitation, Grant Middleton, Brett Ransom Jan 1995

The Effect Of Family Participation On The Outcome Of Patients With Traumatic Brain Injury In Rehabilitation, Grant Middleton, Brett Ransom

Masters Theses

The purpose of this study was to explore the relationship between physical therapists' perceptions and institutional policies relating to family participation in rehabilitation and rehabilitation outcome of patients with traumatic brain injury. Utilizing surveys, we collected information about institutional policy from institutions that were members of the Commission for Accreditation of Rehabilitation Facilities (CARF) in the Midwestern United States. Thirteen institutional surveys provided usable Functional Independence Measure (FIM) scores for patients rehabilitated in 1993, which were used as the outcome measure. The therapists' perceptions survey (n = 104) gathered data about the belief of physical therapists relating to family involvement …


Effectiveness Of An Interdisciplinary Chronic Low Back Pain Program Based On Return To Work Outcome, John R. Bromfield, Deborah A. Knowles, Stacie M. Schoenberg Jan 1995

Effectiveness Of An Interdisciplinary Chronic Low Back Pain Program Based On Return To Work Outcome, John R. Bromfield, Deborah A. Knowles, Stacie M. Schoenberg

Masters Theses

The purpose of this study was to determine the effectiveness of a Midwestern Hospital's Interdisciplinary Outpatient Chronic Low Back Pain program. Rate of return to work was selected as the outcome measure for effectiveness. For purposes of discussion, the percentage of patients who were compliant with home exercise, who were involved in a vocational rehabilitation program, and who consulted a physician since discharge were analyzed. There were 118 male and female subjects, average age of 43; who successfully completed the 8 week chronic low back pain program between 1992 and 1994. Subjects were then sent questionnaires at 1, 3, 6, …


Clinical Teaching Effectiveness: The Perceptions Of Practicing Nurses, Anjanette M. Toth Jan 1995

Clinical Teaching Effectiveness: The Perceptions Of Practicing Nurses, Anjanette M. Toth

Masters Theses

This thesis presents a study of perceptions held by practicing nurses of effective clinical teaching behaviors (ECTB). Previous research on ECTB of clinical nurse teachers have concentrated on the perceptions held by nursing students and nursing teachers. King's Conceptual Framework forms the theoretical basis for the argument that perceptions of ECTB held by practicing nurses are also important. The data was derived from an anonymous questionnaire completed by practicing nurses employed at two community hospitals in southwestern Michigan. Respondents felt that "demonstrates skills, attitudes, and values that are to be developed by the student" was the most important ECTB from …


Relationship Between Coping Strategies And Perceived Quality Of Life In Icd Recipients, Jacquelyn M. Oliai Jan 1995

Relationship Between Coping Strategies And Perceived Quality Of Life In Icd Recipients, Jacquelyn M. Oliai

Masters Theses

A descriptive, correlational design was used to examine the relationship between use of the 8 coping strategies as identified by Jalowiec (1987) and quality of life (QOL). In addition, relationships and differences among demographic variables and stressors, as well as answers to open ended questions were examined. Thirty-nine Implantable Cardioverter Defibrillator (ICD) recipients who were {dollar}\ge{dollar}1 year post implant completed the Jalowiec Coping Scale, a revised Quality of Life Index Scale, and an informational questionnaire. Betty Neuman's conceptual framework for nursing provided the theoretical framework for this study.; There were no statistically significant results found from the data of this …


The Effects Of Lumbar Facet Joint Dysfunction Isoinertial Range Of Motion Testing, Mary Lomonaco-Parks Jan 1995

The Effects Of Lumbar Facet Joint Dysfunction Isoinertial Range Of Motion Testing, Mary Lomonaco-Parks

Masters Theses

The purpose of this study was to investigate the effects of lumbar facet joint dysfunction on individual trunk movement characteristics, as measured by computerized range of motion testing on asymptomatic subjects. A sample of 40 subjects was examined for lumbar facet joint dysfunction via palpatory exam and placed into two groups. Group one consisted of subjects with 0-2 levels of lumbar facet joint dysfunction. Group 2 consisted of subjects with greater than 2 levels of lumbar facet joint dysfunction. Each performed all planes of trunk range of motion without resistance and at 25% of their maximal isometric strength. The null …


A Comparison Study Of The Effects Of Methods Of Pain Control On Client Outcomes, Susan K. Cristofori Jan 1995

A Comparison Study Of The Effects Of Methods Of Pain Control On Client Outcomes, Susan K. Cristofori

Masters Theses

A correlational ex post facto design was used to study the relationships between methods of pain control and client perception of pain, achievement of the physical therapy regime and length of stay following total joint replacement surgery. Continuous epidural infusion and patient controlled analgesia (PCA) were the pain control methods examined in the study.; Perception of pain was measured using a 6-word descriptor verbal rating scale. Achievement of physical therapy was measured using the activity criteria on the case care map used at the study hospital. Length of stay was measured using daily census records. (1) The study site was …


Caregiver Wellness Following Interventions Based On Interdisciplinary Geriatric Assessment, Julie A. Smith Jan 1995

Caregiver Wellness Following Interventions Based On Interdisciplinary Geriatric Assessment, Julie A. Smith

Masters Theses

The study purpose was to examine the effect on interventions based on interdisciplinary geriatric assessment on family caregiver's wellness. A pretest-posttest research design was used, including a sample of 35 family caregivers of frail older adults. Neuman's Systems Model provided the theoretical framework. Care recipients and caregivers were evaluated by an interdisciplinary geriatric team and interventions for that family were developed and implemented. Paired t-tests and Wilcoxon matched-pairs signed rank test were performed to compare scores of pretest and posttest scores on self-rated health, the Burden Interview and Life Satisfaction, before and after the intervention. Results indicated that there was …


Development And Evaluation Of The Cardiac Exercise Health Belief Scale, Virginia R. Mcginn Jan 1995

Development And Evaluation Of The Cardiac Exercise Health Belief Scale, Virginia R. Mcginn

Masters Theses

The purpose of the study was to develop and evaluate the Cardiac Exercise Health Belief Scale (CEHBS) which is based on the Health Belief Model. The CEHBS focuses on the concepts of benefits and barriers. Ninety post cardiac event subjects, 69 males and 21 females, were recruited from two Michigan hospitals during their hospital stay. The CEHBS was mailed to subjects six to eight weeks following discharge.; Cronbach alpha for the CEHBS benefits subscale was.90 and for the barriers subscale was.84. Content validity was established by expert review. During factor analysis all items did load on factors related to the …


The Relationship Between The Level Of Codependent Behavior And The Level Of Differentiation Of Self Among Nursing Students, Vicki Lynn Brandes Hillborg Jan 1995

The Relationship Between The Level Of Codependent Behavior And The Level Of Differentiation Of Self Among Nursing Students, Vicki Lynn Brandes Hillborg

Masters Theses

The purpose of this research was to investigate the relationship between the level of codependent behavior and the level of differentiation of self among nursing students. This study employed a descriptive correlational design. The convenience sample of 241 nursing students (221 female, 20 male, ages 18-55) from associate degree, diploma, and baccalaureate degree nursing programs completed, by self-report, the Friel Adult Child/Codependent Assessment Inventory (Friel & Friel, 1988), the Haber Level of Differentiation of Self Scale (Haber, 1990), and an author created respondent characteristics questionnaire. There was a significant moderate negative correlation between the level of codependent behavior and the …


Cardiac Patients' Perceptions Of Nurse Caring Behaviors, Diane Lynn Dahl Jan 1995

Cardiac Patients' Perceptions Of Nurse Caring Behaviors, Diane Lynn Dahl

Masters Theses

The purpose of this descriptive study was to identify which nurse caring behaviors were perceived by patients hospitalized with cardiac problems as being most important in making them feel cared for. The study was a replication of Larson's (1984) study using a different patient population. A convenience sample of 37 patients was obtained from a large metropolitan hospital in the midwest. The conceptual framework used for this study was Watson's Theory of Human Care. The Caring Assessment Instrument was administered by the researcher. Subjects rated nurse caring behaviors from most important to least important using Q methodology. Patients reported "being …


Measurement Of Self-Care Agency In A Noninstitutionalized Elderly Population, Julie A. Nelson-Mcevers Jan 1995

Measurement Of Self-Care Agency In A Noninstitutionalized Elderly Population, Julie A. Nelson-Mcevers

Masters Theses

Major focus should be on the elderly's ability to initiate and perform self-care. Interventions to improve health in this age group are most appropriately based on an assessment of their ability to engage in self-care. Orem's framework guided this descriptive study of self-care ability of a convenience sample of 56 seniors residing within a midwestern community. A revision of the Exercise of Self-Care Agency Scale developed by Kearny and Fleischer (1979) was used to measure self-care agency. Relationships between self-care agency and age, gender, living pattern, education, income, and other variables were analyzed. A majority of the subjects perceived their …


The Effects Of Aids Education On Knowledge And Health Care Beliefs Of Freshman Nursing Students, Suzanne M. Nahan Jan 1995

The Effects Of Aids Education On Knowledge And Health Care Beliefs Of Freshman Nursing Students, Suzanne M. Nahan

Masters Theses

The purpose of this study was to examine the effects of AIDS education on knowledge and health care beliefs of freshman nursing students. It was hypothesized that freshman nursing students presented with AIDS instruction would have more AIDS knowledge than freshman student nurses without AIDS instruction. In addition, it has hypothesized that the strength of health care beliefs related to AIDS susceptibility, seriousness, benefits, barriers and health motivation of freshman nursing students with AIDS instruction would differ from those without AIDS instruction.; A quasi-experimental control group pretest/posttest design was used. The sample consisted of 50 freshman student nurses enrolled in …