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Nursing

Theses/Dissertations

1993

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A Comparison Of The Effectiveness Of Two Types Of Clinical Instruction On Selected Variables Among Urban Baccalaureate Nursing Students, Janice Parks Hylton Apr 1993

A Comparison Of The Effectiveness Of Two Types Of Clinical Instruction On Selected Variables Among Urban Baccalaureate Nursing Students, Janice Parks Hylton

Health Services Research Dissertations

The purpose of this study was to provide baseline data regarding student perceptions of bureaucratic, professional, and service values and of instructors/preceptors as role models for each model of clinical supervision, traditional versus preceptored. A non-probability, convenience sample included 113 baccalaureate nursing students from two accredited programs in an urban area. Two instruments were used to identify student perceptions of bureaucratic, professional, and service values and of instructors/preceptors as role models. The results of the questionnaires revealed no significant differences between the students' perceptions of bureaucratic and service values and perceptions of instructors/preceptors as role models, Students' perceptions of professional …


An Exploratory Study Of Terminal Syndrome, Phyllis Jean Adams Apr 1993

An Exploratory Study Of Terminal Syndrome, Phyllis Jean Adams

Nursing Theses & Dissertations

The purpose of this study was to establish the identity of a syndrome related to nursing care of the terminally ill patient, regardless of a malignant or non-malignant disease origin. The sample consisted of completed medical records of 15 chronic obstructive pulmonary disease patients and 15 cancer patients. The commonalities between the two groups are: (1) Defining Characteristics--dyspnea, anxiety, abnormal breath sounds, dry skin, pale skin, pain, anorexia, presence of pressure sores, incontinence, and generalized edema; (2) Nursing Diagnoses--high risk for altered respiratory function, anxiety (individual and family), skin integrity (impaired and high risk for impaired), altered comfort: pain, high …


Educational Preparation And Clinical Experience As Variables In Moral Judgement Development Of Staff Nurses, Jacquelyn A. Keehne Jan 1993

Educational Preparation And Clinical Experience As Variables In Moral Judgement Development Of Staff Nurses, Jacquelyn A. Keehne

Masters Theses

The purpose of this study was to compare moral judgement development levels of staff nurses with diverse levels of educational preparation and different lengths of clinical experience. Kohlberg's theory of moral development served as the theoretical basis for this descriptive correlational study. The Judgements About Nursing Decisions (JAND) was used to measure moral judgement in this study. The subjects (N = 115) were practicing staff nurses in the clinical areas of orthopedics, oncology, medical/surgical care, cardiac care/telemetry, and intensive care services. Varying lengths of clinical experience were reported and the majority recorded a Bachelors Degree in Nursing (BSN) as their …


Maternal Adjustment To Premature Birth: Utilizing The Roy Adaptation Model As A Theoretical Framework, Ivy Razmus Jan 1993

Maternal Adjustment To Premature Birth: Utilizing The Roy Adaptation Model As A Theoretical Framework, Ivy Razmus

Masters Theses

The purpose of this study was to ascertain whether the adjustment for primiparous mothers of preterm infants was less positive than for primiparous mothers of term infants utilizing the Roy Adaptation Model as a conceptual framework. This secondary analysis utilized data from a larger longitudinal study. The data was collected at three months post birth in the homes of the mothers. The sample consisted of 55 preterm and 46 full term mothers. The Affects Balance Scale (Derogatis, 1983) was used to measure adjustment. A significant difference was found between preterm and full term mothers on the Positive Affects Scale and …


Health Value And Health Locus Of Control: Impact Upon Compliance In Cardiac Patients, Laura C. Wightman Jan 1993

Health Value And Health Locus Of Control: Impact Upon Compliance In Cardiac Patients, Laura C. Wightman

Masters Theses

The purpose of this study was to examine the relationship of an individual's locus of control and health value to compliance to the prescribed rehabilitation regimen among post myocardial infarction and post cardiac surgery patients. Forty subjects were used in an ex post facto research design. The Multidimensional Locus of Control scale, the Value Survey, and a demographic data instrument were administered 1 to 2 days prior to discharge from the hospital. Thirty days after discharge the subjects completed the Health Behavior Scale.; It was hypothesized that male cardiac patients with an internal locus of control were more compliant to …


The Impact Of Demographic Variables On Views About Nursing As A Profession, Sandra Kaye Fatum Jan 1993

The Impact Of Demographic Variables On Views About Nursing As A Profession, Sandra Kaye Fatum

Masters Theses

Understanding the impact of demographic variables on views about nursing will provide essential knowledge for nursing. This study evaluated the possible impact of demographic variables on the individual's view of the nursing profession. The sample was beginning students, senior students, recent graduates, and faculty from traditional and unified bachelor programs utilizing data from Setter-Kline's (1990) study. A significant difference was not found between the demographic variables of marital status (F = 2.248, df = 4, 463, p =.0630), role model (F =.653, df = 2, 37, p =.5263), and basic faculty preparation (F =.666, df = 4, 81, p =.6176) …


Effects Of Nurse Extern Programs On Student Nurse Performance, Lola A. Coke Jan 1993

Effects Of Nurse Extern Programs On Student Nurse Performance, Lola A. Coke

Masters Theses

This study was done to determine if summer nurse extern programs increased the nursing performance of student nurses. The conceptual framework for the study was developed from Benner's (1984) "From Novice to Expert". Forty-five students from six hospital based nurse extern programs in Southwestern Michigan participated in the study. A pretest-posttest design was used. Schwirian's (1978) Six Dimension Scale of Nursing Performance was used to measure six nursing performance sub scales: leadership, critical care, professional development, teaching/collaboration, planning/evaluation, and interpersonal relations/communication. Frequency and quality scores were obtained for each behavior. It was hypothesized that an increase in both frequency and …


Coping With Multiple Roles, Deborah J. Laughlin Jan 1993

Coping With Multiple Roles, Deborah J. Laughlin

Masters Theses

Women in increasing numbers have been combining career and family. Balancing the multiple roles may be stressful at times. The purpose of this study was to examine how different stressors influence a woman's ability to utilize coping responses. This study examined the relationships between situational variables and a nurse's ability to cope with multiple roles. The situational variables studied were: age, educational level, number of hours worked, job type, number of children, ages of the children, view of nursing, husband's agreement with the wife on the number of hours worked, and satisfaction with child care. The survey tool, the "Coping …


Hardiness And Its Relationship To Anticipatory Nausea And Vomiting Experienced By The Patient Receiving Cisplatin Chemotherapy, Colleen K. Smith Jan 1993

Hardiness And Its Relationship To Anticipatory Nausea And Vomiting Experienced By The Patient Receiving Cisplatin Chemotherapy, Colleen K. Smith

Masters Theses

Research suggests that the hardiness characteristic acts as a buffer in the stress/illness relationship. The purpose of this study was to assess the presence of hardiness and examine its relationship to the amount of anticipatory nausea and vomiting experienced within a sample of patients receiving cisplatin chemotherapy. It was hypothesized that individuals with a high level of hardiness would experience less anticipatory nausea and vomiting than individuals with a low level of hardiness.; A prospective descriptive correlational design was utilized. A convenience sample of adults with cancer (n = 29) receiving cisplatin intravenously was studied. All patients were assessed via …


Perceived Stress Levels Of Registered Nurses Employed In Medical-Surgical And Critical Care Units, Karen Snyder Keese Jan 1993

Perceived Stress Levels Of Registered Nurses Employed In Medical-Surgical And Critical Care Units, Karen Snyder Keese

Masters Theses

The purpose of this research was to compare perceived stress levels of registered nurses employed in medical-surgical units to perceived stress levels of registered nurses employed in critical care units. A descriptive, correlational study was conducted using Wolfgang's (1988) Health Professions Stress Inventory. Perceptions of stress were measured and related to specialty, years of experience, years of nursing education, hours worked per week, and shift worked. A convenience sample of 102 registered nurses from two midwestern hospitals participated by a self administered questionnaire. Study findings included: medical-surgical nurses perceived significantly higher levels of stress than critical care nurses; stressors for …


An Investigation Of Stress And Burnout In Hospital Registered Nurses, Ellen Nora Hale Jan 1993

An Investigation Of Stress And Burnout In Hospital Registered Nurses, Ellen Nora Hale

Masters Theses

This study investigated job stressors and burnout among hospital registered nurses and was based on a systems theory model in which inputs and throughputs interact to effect outputs. Job stressors were measured using the Job Stress Questionnaire (JSQ). Top-ranked stressors included heavy work load, insufficient resources, and inability to satisfy conflicting demands. Burnout was measured using the three subscales (emotional exhaustion, depersonalization, and personal accomplishment) of the Maslach Burnout Inventory. Based on multiple regression analyses, total JSQ scores accounted for 21% of the variance in emotional exhaustion scores. Together, years of experience and an education level of BSN or BA …


Relationship Of Patient Age To Amount Of Postoperative Analgesic Prescribed And Administered, Beth Lee Sendre Jan 1993

Relationship Of Patient Age To Amount Of Postoperative Analgesic Prescribed And Administered, Beth Lee Sendre

Masters Theses

The purpose of this study was to determine if elderly patients receive less analgesic than younger patients postoperatively and if that reduction in analgesia results from the physician's order, the administration, or both. Hospital records of 161 females with abdominal surgery were reviewed to collect data. The sample was divided into 6 age groups. The findings did not support with increased age from 25 years, less analgesic medication was prescribed for the first and second 24 hour period postoperatively (p {dollar}>{dollar}.05). The findings indicate, as age increased from 25 years, less analgesic medication was administered in the first 24 …


Relationships Between Caregiver Satisfaction With Hospice Nursing Care And Selected Demographic Variables, Kathleen F. Nyeste Jan 1993

Relationships Between Caregiver Satisfaction With Hospice Nursing Care And Selected Demographic Variables, Kathleen F. Nyeste

Masters Theses

A descriptive correlational retrospective survey of caregivers of hospice patients was used to determine the degree of caregiver satisfaction with hospice nursing care and to examine the relationship between satisfaction with nursing care and selected caregiver demographic variables. A random sample of 180 caregivers from 12 randomly selected home based hospices in Michigan's lower peninsula was surveyed utilizing the Revised La Monica/Oberst Patient Satisfaction Scale and a Caregiver Demographic Sheet. Response rate was 63% (N = 114) with 56% (N = 100) of forms usable for data analysis.; The mean satisfaction score was 332 (possible range 51 to 357), indicating …


Life Satisfaction Of Persons With Chronic Obstructive Pulmonary Disease, Dennis A. Bertch Jan 1993

Life Satisfaction Of Persons With Chronic Obstructive Pulmonary Disease, Dennis A. Bertch

Masters Theses

The purpose of this study is to describe the adaptation of persons with Chronic Obstructive Pulmonary Disease on continuous nasal cannula oxygen using a self-reported assessment of life satisfaction tool. The Roy Adaptation Model provided the conceptual framework to describe perceived life satisfaction considering the effects of gender, age, race, education, marital status, employment status, length of time on nasal cannula oxygen, and amount/liter flow of oxygen.; A convenience sample of 56 persons was obtained through a medical supply company that services most of southwest Michigan. The majority of respondents (56.6%) were satisfied with life. No significant differences were reflected …


Relationship Of Psychosocial Characteristics And The Occurrence Of Infectious Complications In Continuous Ambulatory Peritoneal Dialysis Patients., Kalynn Brown Pressly Jan 1993

Relationship Of Psychosocial Characteristics And The Occurrence Of Infectious Complications In Continuous Ambulatory Peritoneal Dialysis Patients., Kalynn Brown Pressly

All ETDs from UAB

No abstract provided.


Flexible Time Management: Women Handling Responsibilities Of Multiple Roles To Implement Health-Promoting Activities., Nancy Merrill Magnuson Jan 1993

Flexible Time Management: Women Handling Responsibilities Of Multiple Roles To Implement Health-Promoting Activities., Nancy Merrill Magnuson

All ETDs from UAB

No abstract provided.


Clinical Decision-Making Processes Of Novice Female Baccalaureate And Associate Degree Nurses., Shelley Ann Yerger Huffstutler Jan 1993

Clinical Decision-Making Processes Of Novice Female Baccalaureate And Associate Degree Nurses., Shelley Ann Yerger Huffstutler

All ETDs from UAB

No abstract provided.


Nursing And Health Care Among Mormon Women: An Analysis Of The Relief Society Magazine, 1914-1930, Sarah Walker Barney Jan 1993

Nursing And Health Care Among Mormon Women: An Analysis Of The Relief Society Magazine, 1914-1930, Sarah Walker Barney

Theses and Dissertations

This descriptive study examined the nursing and health care activities of Mormon women in the pre-depression period of 1914 through 1930 through analysis of the official voice of the Relief Society, the Relief Society Magazine. Entries from the Relief Society Magazine that dealt with any nursing or health care topic were coded according to the themes they addressed. Five themes emerged: Nursing, faith, healing, women's health, children's health, and public health.

In each of the themes, the Relief Society Magazine showed that the members of the Relief Society recognized the health care problems of their communities and claimed responsibility …


Continuing Nursing Education: An Analysis Of The Relationship Between Benefits, Participation And Socialization Of Registered Nurses In Southeastern Virginia, Barbara Simpkins Harrison Jan 1993

Continuing Nursing Education: An Analysis Of The Relationship Between Benefits, Participation And Socialization Of Registered Nurses In Southeastern Virginia, Barbara Simpkins Harrison

Dissertations, Theses, and Masters Projects

There has been limited research on the benefits nurses' derive from participation in continuing nursing education (CNE). Researchers have investigated sociodemographic and attitudinal characteristics of CNE participants or the effects of CNE on nursing practice.;The purpose of this study was to determine what factors influenced registered nurses in the Southeastern region of Virginia to participate or not to participate in CNE. Specifically, this study investigated the relationship of socialization (defined as level of nursing education, reading of professional nursing journals and professional nursing memberships), benefits (defined as either personal or social/professional type) derived from CNE attendance, the importance or non-importance …


Comparison Of Succinylcholine Induced Fasciculation Attenuation With Defasciculating Doses Of Vecuronium And Mivacurium Based On Ideal Body Weight, Marvin E. Early Jan 1993

Comparison Of Succinylcholine Induced Fasciculation Attenuation With Defasciculating Doses Of Vecuronium And Mivacurium Based On Ideal Body Weight, Marvin E. Early

Theses and Dissertations

This study was conducted to determine if Mivacurium (Miv) was as effective as Vecuronium (Vec) in attenuating Succinylcholine (Sch)-induced fasciculations with muscle relaxant doses based upon ideal body weight (IBW). A quasi experimental design was used to study 60 patients who were randomly assigned to one of three groups. The two study groups were compared to a control group and each other with regards to the incidence and intensity of fasciculations. Either Vec (0.01 mg/kg (IBW)), Miv (0.02 mg/kg (IBW)), or saline (control) was administered in a double-blinded manner 3 minutes prior an intubating dose of Sch (IBW). Both pretreatment …


Risk Factor Prevalence, Risk Status, And Perceived Risk For Coronary Heart Disease Among Thai Elderly., Linchong Pothiban Jan 1993

Risk Factor Prevalence, Risk Status, And Perceived Risk For Coronary Heart Disease Among Thai Elderly., Linchong Pothiban

All ETDs from UAB

No abstract provided.


The Meaning Of The Experience Of The Chinese Nurse Providing Nursing Care In A Western Medicine Context., Alva Joy Fuhro Mcroberts Jan 1993

The Meaning Of The Experience Of The Chinese Nurse Providing Nursing Care In A Western Medicine Context., Alva Joy Fuhro Mcroberts

All ETDs from UAB

No abstract provided.


A Descriptive Correllational Study Of Patient Satisfaction In Labor And Delivery, Holly B.O. Estes Jan 1993

A Descriptive Correllational Study Of Patient Satisfaction In Labor And Delivery, Holly B.O. Estes

Masters Theses

The concept of patient satisfaction continues to be one of the main concerns in the health care arena today. The purpose of this study was to investigate patients' perceived satisfaction level regarding their labor and delivery at one large Midwestern teaching hospital.; Satisfaction was measured using the Labor and Delivery Satisfaction Index by Lomas, Dore, Enkin, & Mitchell, and the Labor and Delivery Evaluation Scale by Humenick. Roy's Adaptation Model provided the conceptual framework for this study. The study sample was 33 primiparas, seventy-six percent reporting overall satisfaction with their labor and delivery experience.; Sixty-one percent reported the labor and …


The Effect Of A Semester Unit Of Study On Ethical Issues In Nursing On A Group Of Practising Registered Nurses, E. C. Ambrose Jan 1993

The Effect Of A Semester Unit Of Study On Ethical Issues In Nursing On A Group Of Practising Registered Nurses, E. C. Ambrose

Theses : Honours

This study explored the effect an educational unit on ethical issues in nursing had on the ethical reasoning of practising registered nurses. The educational unit was conducted at a university school of nursing as part of a baccalaureate degree programme for already registered and practising nurses. A quasi-experimental posttest design utilising stratified random samples compared subjects from one group who had undertaken the unit (n=53) with subjects from another group who had not (n=61). Ethical reasoning was measured using Grisham's Nursing Dilemma Test and a researcher designed demographic data sheet provided information on additional variables for analysis.The group which had …


Comparison Of Primiparous Women's Expected And Experienced Pain In Labour, Shelagh Lawrence Jan 1993

Comparison Of Primiparous Women's Expected And Experienced Pain In Labour, Shelagh Lawrence

Theses : Honours

Pain is a subjective phenomenon and is, in varying degrees, an inherent part of the childbirth experience. However, most Western societies view suffering as unacceptable and as such, regard analgesia as a necessity. Many women do not anticipate the intensity of pain experienced in childbirth and are, therefore, not ready to manage this amount of pain when it occurs. This prospective study compared the expected and experienced labour pain of 99 primiparous women, aged 17-40 years. The relationship between expected and experienced pain and acceptance of pregnancy; identification with the motherhood role; relationship with mother; relationship with husband/partner; preparation for …


Needs Of Terminally Ill Cancer Patients In An In-Patient Hospice Unit, Marylynn C. Oldham Jan 1993

Needs Of Terminally Ill Cancer Patients In An In-Patient Hospice Unit, Marylynn C. Oldham

Theses : Honours

In Western Australia, in-patient hospice/palliative care units are caring for increasing numbers of terminally ill cancer patients. Hospice philosophy is based on the belief that the terminally ill patient in individual needs are of paramount importance. The needs of advanced cancer patients have been researched in the home, for patients continuing or having completed curative treatment, and for patients receiving palliative care. However, there is a lack of literature about the needs of terminally ill cancer patients in in-patient hospices. Using a descriptive approach, this study investigated the needs of six terminally ill cancer patients in a 26 bed in-patient …


A Comparison Of Three Midwifery Interventions On The Continuity And Knowledge Of Breast Feeding, Athalie Johnston Jan 1993

A Comparison Of Three Midwifery Interventions On The Continuity And Knowledge Of Breast Feeding, Athalie Johnston

Theses: Doctorates and Masters

Although it is widely recognised that breast milk is biologically perfect to provide nutrition for the newborn infant many new mothers do not continue to breast feed throughout the postpartum period. A possible influencing factor is the decreased length of hospital stay, whereby new mothers are discharged home away from the supportive-educative role of the midwife before they are ready to learn the art of breast feeding. The purpose of this study was to determine the influence of three midwifery interventions on the continuity and knowledge of first time breast feeding mothers at 6 weeks postpartum. A convenience sample of …


Preoperative Predictors Of Postoperative Pain, Robyn A. Paterson Jan 1993

Preoperative Predictors Of Postoperative Pain, Robyn A. Paterson

Theses: Doctorates and Masters

The purpose of this study was to investigate five factors, which have been identified in the literature as having influence on the experience of postoperative pain. (1) Patient satisfaction with preoperative information, (2) Anticipated postoperative pain, (3) General self-efficacy, (4) Age, (5) Gender. These variables were examined to determine their relationship, if any with postoperative pain. Any relationship between these variables was also examined. Review of the literature revealed considerable research on pain, and that much of that research has been directed at the treatment of, rather than prediction of postoperative pain. Also, these studies have focused on patients who …


St. Juan De Dios, 1495-1550 The Patron Saint Of Nurses, Christopher Churchouse Jan 1993

St. Juan De Dios, 1495-1550 The Patron Saint Of Nurses, Christopher Churchouse

Theses : Honours

For any profession to develop, grow and plan for the future, it is imperative that all members know from whence they have come. Nurses', however, do not generally consider this to be an important aspect to their professional development, and hence have focused more on empirical or experimental research. Whilst much literature has been written on nursing history, it has focused primarily on its founding women and its inception from the mid nineteenth century when a more structured training evolved. This study, therefore, goes beyond this period of time and examines a man who played an equally important role in …


A Comparison Of Axillary And Tympanic Temperature Measurement In The Preterm Infant, Susan Elizabeth Bearsby Jan 1993

A Comparison Of Axillary And Tympanic Temperature Measurement In The Preterm Infant, Susan Elizabeth Bearsby

Theses : Honours

The transition of the newborn to extrauterine life, especially the preterm infant, necessitates adaptation to environmental changes in temperature (Levene, Tudehope & Thearle, 1987). The need for a method of measuring an infant's temperature rapidly and with minimal disturbance is critical and accurate temperature measurement in a preterm infant is a vitally important nursing procedure. However, the literature is inconclusive regarding the optimum placement time required to achieve an accurate temperature measurement and few studies bad been conducted to ascertain the reliability and usefulness of tympanic thermometers in preterm infants. The study of 81 hospitalised preterm infants, compared axillary mercury, …