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African American Father-Child Reproductive Health Communication, Nnenna Ohalete Phd
African American Father-Child Reproductive Health Communication, Nnenna Ohalete Phd
Dissertations
African-American children have their sexual debut (first voluntary penile-vaginal penetration) earlier thus are at disproportionately greater risk for more sexual partners and sexually transmitted infections. Father-child reproductive health communication was found to influence the timing of sex in other children however, a dearth of studies in African-American fathers existed. In this qualitative study reproductive health communication was explored in tape-recorded interviews of 19 African-American fathers from the perspective of critical theory, with the use of critical ethnography as methodology. How the content and pattern of reproductive health communication influenced sexual debut, and how fathers' moral/ethical stances influenced reproductive health communication …
Beholding The Beauty Of Self: The Psychological Integration Of The Afrocentric-Self Among African-American Females Socialized In A Eurocentric Aesthetic, Donna Lynn Cook Phd
Beholding The Beauty Of Self: The Psychological Integration Of The Afrocentric-Self Among African-American Females Socialized In A Eurocentric Aesthetic, Donna Lynn Cook Phd
Dissertations
Self-esteem and body image disturbances prominently figure into many physical and psychological health disorders such as depression, eating disorders, anxiety disorders, and chemical dependency. In Euro-American culture, media images of femininity and physical attractiveness reinforce generally held perceptions of the idealized female beauty as tall, white, slender, and often blond and blue eyed. The physical morphology of African-American women does not genetically "fit" this westernized standard of beauty with implications for their mental health. The socialization of African-American women in a culture that embraces a different ethnic standard of beauty influences their perceptions of how physically attractive they see themselves. …
Defining Health And Health-Related Behaviors Following A Near-Death Experience, Suzanne C. Robertson Phd
Defining Health And Health-Related Behaviors Following A Near-Death Experience, Suzanne C. Robertson Phd
Dissertations
While broad categories of health and influences on definitions of health have been identified, the process through which adults define and re-define health has not been researched. The purpose of this study was to investigate the process of defining health and appropriate health-related behaviors following a near-death experience (NDE) as an adult and to articulate a grounded theory of decision-making. Five men and 15 women from the United States and United Kingdom were interviewed and the data were analyzed using the constant comparative method. The basic social process was I Still Had to Go Through the Process of Understanding. Understanding …
The Relationship Between Coping, Anxiety, And Quality Of Life For Taiwanese Post-Coronary Artery Bypass Graft Surgery Patients, Heng-Hsin Tung Phd
The Relationship Between Coping, Anxiety, And Quality Of Life For Taiwanese Post-Coronary Artery Bypass Graft Surgery Patients, Heng-Hsin Tung Phd
Dissertations
Coronary artery bypass grafting surgery (CABG) is a stressful event and requires coping strategies to achieve adaptation. In Taiwan, despite the fact that the incidence of CABG is increasing in both men and women, research on post-CABG adaptation is very limited and no research focuses on outcomes for women. This can lead to problems for health care providers who lack effective interventions to help these patients. The purpose of the study was to examine the relationship between coping, anxiety, and quality of life in Taiwanese post-CABG patients. A cross-sectional correlational design was used; the sample consisted of 50 female and …
A Retrospective Evaluation Of The Planetree Patient Centered Model Of Care Program's Impact On Inpatient Quality Outcomes, Susan Stone Phd
A Retrospective Evaluation Of The Planetree Patient Centered Model Of Care Program's Impact On Inpatient Quality Outcomes, Susan Stone Phd
Dissertations
This retrospective quasi experimental study evaluated the effectiveness of Planetree's patient-centered model of care. Donabedian's model linking structure and process to outcome was used to frame this study. The structure variable is the inpatient acute care hospital unit and the process variable consists of the Planetree patient-centered model of care. Outcomes are (1) patient satisfaction, (2) length of stay, (3) readmission, (4) cost per case, and (5) productive nursing hours per patient day. All data for patient satisfaction, length of stay, readmission, cost per case and productive nurse hours per patient day were retrospective, no participant recruitment was needed. Data …
Nurse Practitioner Adoption Of Clinical Innovations, Rhoberta Jones Haley Phd
Nurse Practitioner Adoption Of Clinical Innovations, Rhoberta Jones Haley Phd
Dissertations
Adoption of clinical innovations by Nurse Practitioners (NP) is a complex phenomenon, rooted in personal values and influenced by challenges within health care environments. When clinical innovations are adopted or rejected by NPs, this decision has meaning for patients, NPs, health care agencies, and society. The decision controls the opportunity for patients to access a clinical innovation that could reduce morbidity and mortality, save money, and provide satisfaction related to the health care encounter. The purpose of the study was to increase knowledge about NP adoption of clinical innovations, particularly emotionally-laden clinical innovations. The lines of inquiry focused on what …
Older Single Women In Transition: Moving To A Supportive Retirement Community, Linda L. Hansen-Kyle Phd
Older Single Women In Transition: Moving To A Supportive Retirement Community, Linda L. Hansen-Kyle Phd
Dissertations
This study explored role changes, resilience, social, and health challenges encountered by older women who transitioned to a retirement community that provided social, health, and safety support structures. The aim of this study was to analyze and describe the transition from the viewpoint of the participants. Although previous research has shown transitions lead to psychosocial, emotional, physical, and health changes, the importance of this study stems from the lack of research on older women moving to supportive communities and their unique challenges. A convenience sample of 39 women, aged 70-94, who had been living alone before moving to a church …
Recruitment Of Men Into Nursing: Changing Attitudes, Nicklos M. Markey
Recruitment Of Men Into Nursing: Changing Attitudes, Nicklos M. Markey
School of Nursing Scholarly Works
No abstract provided.
Resilience And Quality Of Life In Taiwanese Survivors Of Childhood Cancer, Li-Na Chou Phd, Msn, Rn
Resilience And Quality Of Life In Taiwanese Survivors Of Childhood Cancer, Li-Na Chou Phd, Msn, Rn
Dissertations
Survivors of childhood cancer are at risk to develop physiologic-psychosocial complications that affect their quality of life. This study explored how the independent variables of illness-related risk (ILLRK), individual risks (IRK), protective factors (PF) and resilience (RS) affected the dependent variable---quality of life (QOL)--in Taiwanese survivors of childhood cancer. Triangulated research methodology was employed to (1) identify the statistical relationships between the variables and (2) explore qualitatively what these variables meant to the subjects and how their perceptions further explained the statistical results. Haase's (2004) Adolescent Resilience Model was used as the theoretical framework. Ninety-eight Taiwanese adolescent cancer survivors, diagnosed …
Exercise Self-Efficacy, Stages Of Exercise Change, Health Promotion Behaviors, And Physical Activity In Postmenopausal Hispanic Women, Pamela Wolfe Kohlbry Phd
Exercise Self-Efficacy, Stages Of Exercise Change, Health Promotion Behaviors, And Physical Activity In Postmenopausal Hispanic Women, Pamela Wolfe Kohlbry Phd
Dissertations
The purpose of this correlational research is to understand the relationships among the variables of exercise self-efficacy, stages of exercise change, health promotion behaviors, body mass index (BMI), health problems, and the level of physical activity in postmenopausal Hispanic women. The significance of this study is to contribute research that enhances the understanding of the relationship of psychosocial and health promotion correlates and physical activity in postmenopausal Hispanic women. On a national level, this is important because Hispanic women make up one of the fastest growing minority populations and they experience the second highest level of obesity. This research is …
The Influence Of Staff Nurse Ethnicity On Perceptions Of The Work Environment, Silvia Helena Martins
The Influence Of Staff Nurse Ethnicity On Perceptions Of The Work Environment, Silvia Helena Martins
Master's Projects
This study investigated the relationship among Registered Nurses (RNs) from different ethnic groups and their perceptions of the work environment in a community hospital in California. Moos' Work Environment Scale (WES) was used to examine three Dimensions of the work climate. Statistically significant differences were found in the way Caucasian and non-Caucasian RNs perceived Peer Cohesion and Work Pressure. These findings have implications for nurse leaders interested in transforming the work environment as perceptions of Peer Cohesion and Work Pressure are important factors influencing RN retention and quality of patient care.
Effects Of Organizational Trust, Pablo Velez Phd, Msn, Rn
Effects Of Organizational Trust, Pablo Velez Phd, Msn, Rn
Dissertations
This study examined the relationship between levels of organizational trust (OT) and nursing turnover rates, turnover expenditures, patient satisfaction scores, nurse managers' job satisfaction, and nurse managers' perception of fair compensation. An OT inventory and demographic questionnaire were used to collect data from 57 nurse managers working for not-for-profit hospitals in California. Pearson correlations analysis showed that OT was statistically significantly (p = .05) related to overall hospital patient satisfaction scores, nurse managers' job satisfaction, nurse managers' perception of fair compensation, and executives' tenure. OT was not correlated with nursing turnover rates or nursing turnover expenditures. By focusing on developing …
Changes In Functional Status Of Home Health Cardiac Patients From Admission To Discharge, Mary Rita Mcgoldrick Phd, Mph, Msn, Rn, Anp-Bc
Changes In Functional Status Of Home Health Cardiac Patients From Admission To Discharge, Mary Rita Mcgoldrick Phd, Mph, Msn, Rn, Anp-Bc
Dissertations
The purpose of this research is to examine the functional status (ADLs and IADLs) in patients with a primary/secondary diagnosis of cardiac disease in the home health setting. The independent variables of dyspnea and service were examined for the effect on discharge functional status while controlling for the effects of age, gender, race, admission functional status, primary and secondary diagnosis. A descriptive correlational, non-experimental study of cardiac patients in an urban home health agency from January 2003 to December 2004 was conducted using data collected through a retrospective chart review. Seventeen areas of OASIS (ADL and IADL) were assessed for …
Clients' Expectations Of Public Health Nurses' Home Visits, Eva G. Miller Dnsc, Ms, Rn, Phn
Clients' Expectations Of Public Health Nurses' Home Visits, Eva G. Miller Dnsc, Ms, Rn, Phn
Dissertations
Although there is considerable research on the relationship between client expectations and outcomes of care in acute care settings, less is known about clients' expectations for public health nurses' home visits. The aim of this study was to understand clients' expectations of public health nurses' home visits as a first step in making explicit how expectations affect client responses to, and ultimately, outcomes of public health nurses' care. Interviews were conducted with a convenience sample of 19 primary caretakers of high-risk infants admitted to a Neonatal Intensive Care Unit (NICU) and voluntarily enrolled in a High-Risk Infant (HRI) Program in …
Male Arab-Muslims Health And Health Promotion Perceptions And Practices, Abdel-Raheem O. Yosef Phd, Msn, Rn
Male Arab-Muslims Health And Health Promotion Perceptions And Practices, Abdel-Raheem O. Yosef Phd, Msn, Rn
Dissertations
The Arab Muslim population is one of the dramatically increasing minorities in the United States. In addition to other factors, gender, religion and cultural background influence individuals' beliefs, behaviors, and attitudes to health and illness. Little is known about Arab American male immigrants, how they perceive illness, how they promote their health, and the stressors they experience and barriers they face in accessing the American health care system. The purpose of this study was to develop knowledge about the male Arab-Muslims' health perceptions and health promotion perceptions and practices. This qualitative exploratory study used a grounded theory approach to gain …
Self Reported Pain Diary For Assessment Of Chronic Pain In The Communicative, Cognitively Intact Nursing Home Resident, Kathy K. Hager
Self Reported Pain Diary For Assessment Of Chronic Pain In The Communicative, Cognitively Intact Nursing Home Resident, Kathy K. Hager
DNP Projects
This paper describes a clinical project using a self-reported pain diary for the assessment of chronic pain in the communicative, cognitively-intact nursing home resident. There are estimates of chronic pain among nursing home residents that range from 4 – 83%. The goal of this clinical project was to evaluate a chronic pain diary in relation to its effectiveness and efficiency in accurately assessing pain among nursing home residents. Assessment has been identified as a major barrier in the control of chronic pain, and the self-report is accepted as the most reliable measure of a person’s pain. The self-reported pain diary’s …
Access To Care: The Experience Of Community-Dwelling Older Adults Receiving Medicare And Medicaid, Mary Ann Simanello Phd, Msn, Rn
Access To Care: The Experience Of Community-Dwelling Older Adults Receiving Medicare And Medicaid, Mary Ann Simanello Phd, Msn, Rn
Dissertations
Access to care represents a leading health indicator for meeting the complex healthcare and social needs of an exploding population of older adults living in the United States. This qualitative study was undertaken to discover the essence of access to care by community-dwelling older adults with Medicare and Medicaid. Participants were recruited from a metropolitan area in Southern California. Thirteen women and men aged 65 to 91 described their experiences with accessing care during a face-to-face, audio-recorded interview. The study aimed to: describe experiences of access to care, identify facilitators and barriers to care, and describe the effects of facilitators …