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A Lived Experience Of Being A Mother Of A Child With Depression: A Hermeneutic Phenomenological Inquiry, Maralou R. Brose

Theses and Graduate Projects

There have been few studies that have attempted to understand the world of parents raising a child with depression. This study introduces the magnitude of the problem of childhood depression and explores what it means to be the mother of an adolescent with depression. For this study, three mothers of adolescents wit.h depression were questioned interviews were in unstructured interviews. The taped transcribed, and the resulting texts were Four core themes were analyzed using a six-stage process. extracted-maternal role, support, and grief-and reveal_ed what it was family disequilibrium, like for mothers raising a child with depression. Hermeneutic phenomenology provided the …

Barriers To Domestic Violence Screening In The Emergency Department, Lisa Yonaka

Master's Projects

Are you in a relationship in which you're being abused? That is not an easy question to answer or ask. Identification of those who are victims of domestic violence is important to prevent further abuse and injury. The purpose of this non-experimental study was to determine barriers of Emergency Department Registered Nurses screening patients for domestic violence. 33 ED RNs completed a short anonymous questionnaire that was developed by Dr. Mary Lou Moore, Wake Forrest University, Winston-Salem, North Carolina. The most significant barriers to screening identified, were the lack of education on how to ask questions about abuse, language barriers, …

Effects Of A Supportive-Education Nursing Intervention On Quality Of Life In Patients With Heart Failure, Melodee L. Vanden Bosch

Masters Theses

The purpose of this secondary analysis was to examine the difference in quality of life (QOL) in home-care patients with heart failure (HF) receiving nursing intervention. The specific nursing intervention of interest was supportive-education (SE), based on Orem's (1995) self-care deficit theory. The second intervention of general health teaching acted as a placebo effect. The convenience sample of randomly assigned patients with HF was from two home-care agencies. The paired t-test was used to analyze the difference in QOL within the SE group and the placebo group from baseline to six months. The independent t-test was used to compare the …

The Effectiveness Of A Congestive Heart Failure Teaching Program To Community-Based Elders, Debbie Meggs

MSN Research Projects

Heart failure affects more than 4.6 million people in the United States (Dahl & Penque, 2000). While mortality from myocardial infarction is on the decline, congestive heart failure numbers continue to rise. Statistics indicate that 550,000 cases occur each year, at an estimated cost of $21.4 billion a year (National Institutes of Health, National Heart, Lung and Blood Institute, 2002). Elders with congestive heart failure (CHF) do not always understand their disease nor do they recognize its symptoms. Recognition of CHF symptoms can lead to improved management and self-care. Therefore, the purpose of this study was to provide basic, low-literacy …

Primary Care Providers' Prescribing Practices Of Selective Serotonin Reuptake Inhibitors, Ginger Dowell

MSN Research Projects

The use of selective serotonin reuptake inhibitors (SSRIs) is rapidly growing among the general population. Researchers have identified only minimal empirical data regarding the SSRI-prescribing practices among primary care providers. The focus of this descriptive study was to explore SSRI-prescribing practices of primary care providers. Benner's (1984) Novice to Expert Model was the theoretical framework used to conduct this study. The research questions used to guide the research were as follows: What factors influence the prescribing practices of primary care providers regarding SSRIs? And what are the perceived competency levels of primary care providers in prescribing SSRIs? The research design …

Knowledge Of Cardiovascular Disease Risk Factors And Perception Of Risk In Women, Kimberly Kuykendall-Marlar

MSN Research Projects

More women than men are dying of cardiovascular disease. The misconception persists that heart disease is a "man's disease" and not an urgent health care issue for women. In the United States, heart disease kills more women than all cancers combined. In 1997, 228,679 women died due to cardiovascular disease, and 41,443 women died from breast cancer. Yet, women are still not assessed effectively for their risk factors for cardiovascular disease; therefore, women are under-diagnosed and under-treated for this disease. The purpose of this study was to evaluate women's knowledge of cardiovascular disease risk factors, assess their perception of risk, …

Primary Care Family Nurse Practitioners’ Practices O F Assessment For The State O F Thriving Among Community-Based Elders, Judy Labonte

MSN Research Projects

The increasing life span of people within the developed world may produce major health problems for the elder. These health problems lead to premature declines in function and cognition. Many healthcare professionals do not recognize these declines until the need for institutionalized care is urgent. Research has demonstrated that healthcare professionals either fail to recognize or address these declines, contributing to poor outcomes for the elder and the exponential rise in healthcare expenses o f the Medicare and Medicaid funds. This exploratory, descriptive study was designed to examine the level of assessment by primary care family nurse practitioners (FNPs) for …

Identification Of Common Variables Among A Select Group Of Children With Autism, Angela Yarbrough

MSN Research Projects

Autism has become the topic of much recent debate. Autism is a serious, lifelong developmental disability characterized by significant impairments in reciprocal social interactions and communication skills, as well as a restricted and repetitive pattern of interests and or behaviors (American Psychiatric Association, 1994). Minimal information is available about the prevalence or causes of the disorder in the United States. The purpose of this descriptive study was to find and identify common variables among a select group of children diagnosed with autism. Roger's Science of Unitary Human Beings served as the theoretical framework for this study. Rogers (1980) states that …

The Relationship Among Lifestyle, Self-Esteem, And Body Mass Index In Children, Wanda Stroupe

MSN Research Projects

Current research demonstrated that childhood obesity has dramatically increased, especially in the rural South. Current research suggests that 25% of children are currently obese while there has been a 75% increase in relative obesity in children over the past three decades. A correlational, descriptive design was utilized to examine the following hypothesis : There will be a significant correlation among the variables of selfesteem, lifestyle, and body mass index in children. The purpose of this study was to determine if a significant correlation exists among body mass index, lifestyles, and self-esteem in children. Erickson, Tomlin, and Swain's Modeling-Role Modeling Theory …

Facilitators And Barriers To Compliance Of Middle-Aged Hypertensive African-American Adults, Monica Jones

MSN Research Projects

Hypertension is a major risk factor for cardiovascular disease, such as atherosclerosis, heart attack, and stroke. Surveys indicate that one out of four Americans has high blood pressure. It occurs more often in men than women and is most common in African-American males. Despite the fact that there are constantly improving treatments available, many hypertensive patients are noncompliant with prescribed treatment plans. The focus of this descriptive study was to identify facilitators and barriers to compliance in hypertensive middle-aged African American adults. Pender's Health Promotion Model served as the theoretical framework. The research question guiding this study was as follows: …

Effects Of Mentholatum On Onychomycosis Of The Toenail, Susan Cappleman

MSN Research Projects

As many as 25% of the population age 60 years and older may be affected by onychomycosis, a chronic infection that is difficult to cure. Onychomycosis can cause pain and soft tissue injury that can lead to infection affecting gait from discomfort. Current oral medications available for the treatment of onychomycosis are costly and can pose the risk of serious side effects. The purpose of this study was to determine if the use of Mentholatum was an effective and cost-efficient means to treat onychomycosis of the toenail in elders. The Neuman Systems Model was used as the theoretical framework: specifically, …

Attitudes Of Mexican American Women Regarding Type 2 Diabetes Mellitus And Its Management, Ofelia M. Bustos

Master's Projects

Latinos are twice as likely as the general population to have diabetes. Hispanic women with diabetes are medically undeserved. The purpose of this study was to examine Mexican American women's attitudes about type 2 diabetes and its treatment. A convenience sample of 43 Mexican American women, > 18 years of age, and residing in Northern California participated in this descriptive/exploratory non-randomized survey conducted in February and March 2003. The Diabetes Attitude Scale was used to measure the attitudes of Mexican American women about type 2 diabetes and its treatment. Results supported the beliefs that health care professionals needed special training to …

External Calf Compresses With Lemon As A Nursing Adjunct For Fever Treatment, Eira Klich-Heartt

Nursing | Master of Science in Nursing 2002 -2012

Fever is a common symptom of illness. Compresses are used in other areas and countries for comfort. Sponging has been studied and shown to be effective in lowering temperatures. This is a study that investigates the use of lemon calf compresses as a nursing adjunct for fever treatment

The Purpose of this study is: What are the experiences of adult patients during a febrile illness of greater than 101.5 degrees F. with the addition of a lemon calf compress to current treatment?

Methods: This was prospective study with a quasi-experimental design. Ten patients identified with a fever greater than or …

The Lived Experience Of Latina Women Giving Birth In The United States, Ana-Maria Gallo Phd

Dissertations

As the Latino community continues to grow in the United States, it is essential that cultural considerations be addressed, particularly in health care. Cultural assessment is of the utmost importance when trying to understand the phenomena of childbirth. Childbirth is one of the most significant events in a woman's life. It is complicated when giving birth in a country other than one's own. Therefore, it is crucial to comprehend and appreciate how culture influences the birth experience. Nurses play an essential role in assisting women of diverse cultures to fulfill their expectations regarding traditions, beliefs, and practices regarding childbirth. The …

Managing Stigma In Planned Lesbian-Parent Families, Natalie Cheffer Phd, Mn, Cpnp

Dissertations

The gay-and lesbian-parent family is a family form becoming more prevalent in today's diverse society. Now, with advances in reproductive technology and a growing acceptance of homosexuality, gay men and lesbians are having, adopting, and raising children in record numbers. The purpose of this study was to identify how parents and children in planned lesbian-parent families live in a homophobic society where they face social prejudice on a daily basis. Data were obtained from interviews with 12 planned lesbian-parent families. Data analysis included interviews with the parents as well as analysis of 48 of the children's drawings and the stories …

An Investigation Of Pre-Nursing And Second-Year Baccalaureate Nursing Students' Perception Of Spirituality, Jacquelyn Kay R. Williams

Theses and Dissertations - UTB/UTPA

This pilot study investigated whether spiritual care education is a part of the baccalaureate nursing curriculum at a south Texas university. This study used two standardized scales to compare the pre-nursing students' and senior baccalaureate nursing students' attitude about spirituality at different levels in the nursing program. Two quantitative questionnaires were used to investigate the nursing students' personal spiritual involvement and beliefs and their opinions about the spiritual role of the nurse in meeting patient spiritual needs. No statistically significant differences in the two group's personal spiritual involvement and beliefs were found. Statistically significant differences were found in the opinions …

Exercise Level And Age As Related To Self-Perceived Physical Health, Mental Health, And Social Health In Older Adults, Barbara Jean Leach Phd, Msn, Rn

Dissertations

The purpose of this study was to examine the relationship between the level of exercise and age and self-perception of physical, mental and social health in older adults. Voluntary quota sampling was used to recruit 224 older adults aged 55 and up. The Physical Activity Questionnaire for the Elderly (Voorrips, Ravelli, Dongelmans, Deurenberg, & Van Staveren, 1990) was used to determine the current level of exercise of the older adult. Age was measured using the Demographic Questionnaire by Leach (1999) and self-perception of physical health and mental health was measured using the SF-36 Health Survey by Ware (1993). The Texas …

Nevada "Nurselessness": An Acute Or Chronic Condition? An Examination Of The Etiology And Possible Treatment Alternatives, Jeanine Warren-Newmon

UNLV Theses, Dissertations, Professional Papers, and Capstones

Data released by the Department of Health and Human Services in February, 2001, revealed that Nevada has the lowest number of registered nurses per 100,000 population in the nation. The state’s population is growing faster than the nursing programs are currently able to produce new graduates. Current predictions are that the existing nursing shortage will become more severe and have a longer duration than has ever before been experienced. While there may not be one single identifiable causative factor, the aging nursing workforce, low unemployment, and the universal nature of the shortage magnify the problem. This paper focuses on the …

Development And Psychometric Evaluation Of The Wikoff Spiritual Focus Questionnaire, Karen Luther Wikoff Phd

Dissertations

Spirituality is a concept that has been a part of nursing since nursing began. In every culture spirituality is a component of healing. However, in the United States, nurses seldom assess the concept of spirituality and the patient's spiritual needs are often not addressed. Wikoff Spiritual Focus Questionnaire was designed to help nurses assess and meet the patient's spiritual needs. A review of literature revealed that spirituality was comprised of a relationship between a Higher Power, Self, Others, and Nature which resulted in a sense of being, knowing and life purpose. A fifth dimension of Religion was identified through a …

A Qualitative Study To Analyze The Effectiveness Of A Researcher Designed Tool In Documenting Outcomes Of Caring Encounters, Both Individually And Over Time, Karen S. Ackerman

Theses and Graduate Projects

Background: Research into the documentation of quality-of-care outcomes is pivotal to developing nursing theory, increasing the knowledge base of nursing, and highlighting nursing accomplishments. This thesis presents a researcher-designed, agency-specific tool as one way of describing and documenting the outcomes of caring encounters. Purpose: The purpose of this study was to analyze the effectiveness of a researcher-designed tool in documenting the outcomes of caring encounters both individually and over time. Method: A descriptive research design was used to study the implementation of the tool. Watson's Theory of Human Caring served as the synthesizing framework. Results: Outcome tools applied to 34 …

Justifying Coercion: Nurses' Experiences Medicating Involuntary Psychiatric Patients, Paula K. Vuckovich Phd, Rn

Dissertations

This grounded theory study delineates the process inpatient psychiatric nurses use to respond to the challenging nursing problem of medicating resistant involuntary patients. Since approximately one third of all admissions to psychiatric units in the United States are involuntary (Durham, 1996), caring for involuntary patients is a significant part of psychiatric nursing. Medication administration is a major treatment modality that is expected in caring effectively for psychiatric patients (American Psychiatric Association (APA), 1994; APA, 1997; Patel & Hardy, 2001). The process of getting the involuntary patient to accept medication is a major nursing function in a psychiatric unit that treats …

An Interpretive Exploration Of The Meaning Of Being With Women During Birth For Midwives, Lauren P. Hunter Phd

Dissertations

This study explored the meaning of the phenomenon of the midwife's experience of being present with a woman during childbirth. The value and importance of being with a woman during childbirth, specific and unique to midwifery care, is reflected in midwifery philosophies and models of care. This study looked through the lens of midwives who have written poetry about births they have attended to learn more about the experience of being with a woman. Hermeneutical phenomenology was selected for the philosophical methodology and method because it looked at both the phenomenon and the use of language to describe the phenomenon. …

The Effect Of Professionally-Facilitated Group Support On Psychological Well-Being Among Clients With Cancer, Joann C. Harper Phd, Ms, Rn

Dissertations

Many persons suffer from cancer, some of whom seek psychological relief through group support. Despite the widely held belief that group support helps, its efficacy has not been consistently evident in the scientific literature. The purpose of this study was to compare the effect of professionally-facilitated group support on the psychological well-being of clients with cancer between persons who participated in professionally-facilitated group support with those who did not. A comparison design measured effect by the Psychological General Well-Being (PGWB) index. Each study enrollee was diagnosed with a new or recurrent cancer within 18 months of study entry. ANCOVA was …

Patients’ Perceptions Of Nurse Caring Behaviors In An Emergency Department, Lynn Kimble

Theses, Dissertations and Capstones

The purpose of this study was to (a) determine which caring behaviors of the nurse do patients’ perceive as being the most and the least important, (b) examine patients’ perceptions of nurse caring behaviors in relationship to their age and perception of illness; and (c) compare and contrast responses between patients and parents of children who are patients. Data for this questionnaire (N = 59) were collected over a two-month period at a not-for-profit, teaching hospital, which specializes in the care of women and children in an Appalachian state located in the southeastern United States. The Caring Behaviors Assessment instrument …

Parental Satisfaction In A Pediatric Intensive Care Unit, Victoria S. Koontz

Theses, Dissertations and Capstones

Purpose: The purpose of this study was to identify if the factors which indicate parental satisfaction of parents who have children admitted to the Pediatric Intensive Care Unit (PICU) were being attained. The research questions were: 1) Was there a relationship between healthcare environment and parent satisfaction; 2) Was there a relationship between patient care and parent satisfaction; 3) Was there a relationship between communication and parent satisfaction? Parental satisfaction will be defined as meeting the parent’s perceived needs of the child and family during admission to the PICU (McPherson, 1999). This study used McPherson’s Parental Satisfaction Survey (PSS). The …

A Rural Hospital's Organ Donation Referral Pattern : A Pilot Study, Chris F. Carter

Theses, Dissertations and Capstones

It is unclear if hospitals correctly refer all potential organ donors to Organ Procurement Organizations. Unidentified or mis-referred patients may be present in rural acute care Appalachian hospitals. A one-year nonexperimental retrospective descriptive study was used to review medical records in one rural Appalachian hospital. Data from the chart review indicated that of the total (n = 34) patients, sixty-eight percent (n = 23) were properly referred as cardiac standstill and six percent (n = 2) were properly reported as brain dead. However, nine percent (n = 3) were not referred to the OPO (unidentified). Eighteen percent (n = 6) …

The Effect Of Backpack Weight On The Height Of Middle School Students, Barbara Dixon Shuman

Theses Digitization Project

The focus of this study investigates the effect backpack weight has on the height of middle school students. It provides data about the effects of backpack weight on height that has not previously been determined. This study aims to contribute information to a growing body of evidence which supports the limitation of backpack weight for children to be no more than 10% of body weight.

Perceptions Of Nursing Academic Administrators And Faculty Related To The Pursuit Of Upper-Level Administrative Careers, Lavonne M. Adams

Dissertations

Problem. To address the shortage of qualified candidates interested in academic administration, this study explored factors related to recruitment of nursing academic administrators, including leadership practices of current administrators, career aspirations of potential administrators, and perceptions of both groups toward a career in academic administration.

Method. Nursing academic administrators and full-time faculty from randomly selected National League for Nursing Accreditation Commission (NLNAC)-accredited nursing programs in private colleges or universities in the United States participated in the study. Administrators completed the Leadership Practices Inventory-Self (LPI-Self) and an investigator-designed Recruitment Questionnaire. Faculty completed the Leadership Practices Inventory-Observer (LPI-Observer) and an investigator-designed Career …

Intervention To Slow Progression Of Peripheral Arterial Disease, Sharon K. Christman

Faculty Dissertations

Lower extremity peripheral arterial disease (PAD), which results from peripheral atherosclerosis, affects up to 10 million people in the United States alone. Claudication, defined as walking-induced pain in one or both legs relieved by rest, is the primary symptom of lower extremity PAD. Vascular nurses play a critical role in the collaborative care of PAD patients by offering counseling to change unhealthy behaviors, yet patients experience problems in actually overcoming sedentary lifestyle and nicotine addiction--the cornerstones of lifestyle management for PAD. Therefore, the purpose of the current study was to identify factors that promote the adoption and maintenance of exercise …

Advanced Practice Nursing Health Care Needs Assessment In An Underserved Community, Michael Dean Conrad, Anna Kampanartsanyakorn

Theses Digitization Project

The purpose of this study was to gain information about the community health care needs through a comprehensive assessment. This information will allow providers to identify services and groups of people where the biggest gap exists in receiving needed health care services. This may provide the basis for the design of an advanced practice preventative health intervention for the community.