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Understanding Teen Pregnancy Through The Younger Sister's Voice: A Focused Ethnography, Bonnie J. Simmons
Understanding Teen Pregnancy Through The Younger Sister's Voice: A Focused Ethnography, Bonnie J. Simmons
Nursing Dissertations (PhD)
Each year in the United States between 800,000 and 900,000 adolescents, aged 19 or younger, become pregnant. Over one-half of these pregnancies end in a live birth. Several studies have shown that the younger sisters of adolescent mothers have teenage childbearing rates two to six times higher than childbearing rates of women in the general population. The purpose of this focused ethnography was to gain a better understanding of the influences of a pregnant and parenting adolescent on her younger sister. Purposeful sampling was used to recruit younger sisters of parenting teens. Fifteen (15) African American females, ranging in age …
Illness Representations, Emotional Distress, Coping Strategies, And Coping Efficacy As Predictors Of Patient Outcomes For Type 2 Diabetes, Patricia Lynn Hart
Illness Representations, Emotional Distress, Coping Strategies, And Coping Efficacy As Predictors Of Patient Outcomes For Type 2 Diabetes, Patricia Lynn Hart
Nursing Dissertations (PhD)
Diabetes mellitus affects 20.8 million Americans in the United States and is the fifth leading cause of death in the United States. Acute and chronic disease-related complications can have a devastating effect on the life of individuals with Type 2 diabetes. Reduction in acute and chronic complications can be best achieved by individuals’ adhering to appropriate lifestyle changes and maintaining tight glycemic control through a process of self-regulation. Self-regulation treatment decisions and lifestyle behavioral changes can be influenced by physiological and psychosocial factors. The purpose of this study was to examine the relationship between illness representations, emotional distress, coping strategies, …
Factors Influencing Surrogate End-Of-Life Healthcare Decision-Making For A Family Member With Alzheimer's Disease, Sharlene Toney
Factors Influencing Surrogate End-Of-Life Healthcare Decision-Making For A Family Member With Alzheimer's Disease, Sharlene Toney
Nursing Dissertations (PhD)
Alzheimer’s disease (AD), a chronic terminal disease, progressively impairs cognitive function resulting in deterioration of intellect, memory, and personality. With disease progression, the surrogate decision-maker becomes more involved in intervention choices and end-of-life (EOL) care, which may or may not be based on patients’ wishes or best practice guidelines. Yet surrogate decision outcomes involve important issues of medical futility, quality of life and death. The purpose of this study was to examine factors that influence surrogate health care decision-making for a family member during the terminal stage of AD. A descriptive, predictive design was used to address the research questions: …
Maternal Confidence Of First-Time Mothers During Their Child's Infancy, Kendra Russell
Maternal Confidence Of First-Time Mothers During Their Child's Infancy, Kendra Russell
Nursing Dissertations (PhD)
Motherhood is a rewarding, but challenging experience. Mothers are expected to balance parenting with multiple roles including employment. How mothers adjust is influenced by their confidence in their role, their mental health, the social support from their partner, family, and friends, and their perceptions of their infants (Mercer, 1995). Maternal confidence has been identified in the literature as an essential variable in the adaptation to motherhood and to the maternal role (Mercer, 1986; Walker, Crain, & Thompson, 1986). Low maternal confidence delays the transitioning into the maternal role/identity as well as limits the satisfaction in the mothering role (Mercer, 1986). …