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Technological Change And The Practice Of Healthcare Communication: Implications For Patient-Centered Care, From A Communication Ethics Perspective, Emmalee Torisk

Electronic Theses and Dissertations

Written in a historical moment marked in many ways by the COVID-19 pandemic and the changes it has wrought, including the increased availability and use of telehealth services, this project attempts to consider the implications of the continued integration of technology into health care, centering on the following essential question: How do technological changes affect the contemporary practice of healthcare communication, particularly that which occurs between the patient—the consumer of health care—and their provider? This dissertation thus considers the ways in which such linkages of technology and health care seem to fit into a larger shift within health care …

Comparison Of Two Methods Of Pediatric Triage Education, Catherine Recznik

Electronic Theses and Dissertations

Introduction. The majority of pediatric emergency patients are seen in mixed-age emergency departments and triaged by general emergency nurses. Educational methods for teaching pediatric triage education to general emergency nurses have not been well studied, and previous studies of the use of the Emergency Severity Index in children have been performed primarily in centers that are high volume for pediatrics. Methods. A repeated measures, randomized crossover study comparing two different methods of pediatric triage education was conducted. Participants were general emergency triage nurses recruited from a general emergency department that is classified as low volume for pediatrics. Each participant was …

Registered Nurses’ Perceptions Of Organizational Power And Its Relationship To Perception Of Physician-Perpetrated Verbal Abuse, Stress, And Coping, Michael Neiswonger

Electronic Theses and Dissertations

The study was conducted to determine the relationships among organizational power, Registered Nurses (RN) perceptions of physician-perpetrated verbal abuse, and stress/coping behavior by exploring the following research questions: 1) What relationships exist between RNs’ perceptions of physician-perpetrated verbal abuse, perceived stress, and coping? 2) What is the relationship between RNs’ perceptions of physician-perpetrated verbal abuse and perceptions of power within an organization? 3) What are the relationships between RNs’ perceptions of stress and coping, and perceptions of power within an organization? 4) What relationships can be noted between RNs’ perceptions of physician-perpetrated verbal abuse, perceived stress and coping, organizational power …

A Randomized Controlled Trial Assessing The Impact Of An Innovative Approach To Educating New To Practice Nurses, Evelyn Lengetti

Electronic Theses and Dissertations

Background/Purpose

Catheter associated Urinary Tract Infections (CaUTI) are preventable, and hospitals receive no additional reimbursement for these infections. The purpose of this study was to evaluate the effect of mastery learning compared to traditional learning on new nurses’ skill acquisition and self-regulation practices for indwelling urinary catheter insertion.

Theoretical Framework

Mastery Learning posits that all learners have the potential to achieve mastery when given the time to learn along with deliberate practice and repetition. Traditional Learning, a more rote instructional approach, emphasizes memorization with a single summative assessment. Self-regulation signifies actions practiced by the learner to gain new knowledge which …

The Effect Of Education On Elder Abuse, Kathleen M. Evanina

Electronic Theses and Dissertations

This study was designed examine the effect of education on prevention of abuse in a long term care center. Participants in this study included direct care worker staff at a nursing home and nursing home residents.

The Impact Of Structured Debriefing, Following Simulation, On Bsn Student Development Of Clinical Reasoning And Clinical Judgment Skills, Robin Weaver

Electronic Theses and Dissertations

The necessity of appropriate clinical reasoning and clinical judgment skills is recognized as essential for the development of a competent practitioner. In response to the Institute of Medicine (IOM) report which called for a re-evaluation of the educational processes used to prepare practitioners, nursing educators have embraced the use of simulation technology as an innovative approach to enhance student learning. Simulation has been recognized as a vehicle to support student development of knowledge, skills, and attitudes necessary to become a competent practitioner. Recognized in the literature as the most essential element of simulation, debriefing practices vary throughout nursing education. Recently …

The Struggle For Balance: Culture Care Worldview Of Mexican Americans About Diabetes Mellitus, Jesus Antonio Hernandez

Electronic Theses and Dissertations

The purpose of this study was to describe, explain, and interpret perspectives, perceptions, meanings, symbols, and lifeways to explicate the culture care worldview about Diabetes Mellitus (DM) for Mexican American participants. Leininger's Culture Care Diversity and Universality Theory served as an organizing framework Interviews were conducted with thirty Mexican American key participants without DM. Four phases of analysis of ethnonursing method revealed thirteen categories, five patterns and three themes. The categories were: Health; faith and religion; natural living; tranquility and stress; strong emotions; susto; immigration; life in US; family advice and support; cultural beliefs; treatments of diabetes; care; and communication. …

The Lived Experience Of Parenting A Child Adopted From An Institution In Eastern Europe, Kimberly A Curry-Lourenco

Electronic Theses and Dissertations

This study sought to explore the lived experience of parenting a child adopted from an institution in Eastern Europe. A hermeneutic, phenomenologic method following the Utrecht School was used. The setting for this study was a southern state on the east coast of the United States. The sample consisted of 11 participants, nine mothers and two fathers, self- identified as adoptive parents to children from institutions in Eastern Europe. Semi-structured interviews, with thematic analysis of transcriptions were conducted. Five major themes were identified: choosing-being chosen, weaving the fabric, the importance of doing, remaining mindful, and looking-in, looking out. Conclusions were …

The Role Of Forensic Nurses In Communities Experiencing Environmental Contamination, Wendy Robinson

Electronic Theses and Dissertations

Purpose

The purpose of this study was to provide an understanding of the self-perceived physiological and psychosocial needs of persons living in communities which have been exposed to environmental contamination, and to provide an understanding of how forensic nurses can be utilized in these communities.

Background

This study was conducted to provide an opportunity for forensic nurses to advance their profession by finding ways that they can move beyond their traditional roles. Dixon and Dixon's Integrative Environmental Health Model was the theoretical framework.

Research Design

This cross-sectional triangulated study used quantitative and qualitative methods. The Community Environmental Health and Rights …

Nurse Educators' Perceptions About The Culture Of Nursing And Their Role In Bringing Students Into That Culture: A Focused Ethnography, Susan Maria Strouse

Electronic Theses and Dissertations

Purpose: The purpose of this study was to discover nurse educators' perceptions about the culture of nursing and how they bring students into that culture.

Background: Although the extant literature addresses the process of socialization to the profession, literature exploring socialization as enculturation is scant. Nurse educators' perspectives on the culture of nursing needed further exploration, as their voice on this topic is relatively silent and they provide the first formal enculturation to the profession. Viewing nursing as a professional culture may more effectively enable faculty to clarify and explicate for students the values, behaviors, symbols, and beliefs inherent in …

Discovering The Healthcare Beliefs And Practices Of Rural Mestizo Ecuadorians: An Ethnonursing Study, Julie A. Moss

Electronic Theses and Dissertations

Purpose

This qualitative ethnonursing study was to discover and understand the role of the nurse, healthcare beliefs and practices of rural mestizo Ecuadorians. Discovering these beliefs and practices will enable nurses and other healthcare workers to provide care that is acceptable, congruent in culture and health promoting.

Background

The current literature regarding Ecuadorian health practices has been limited to the study of indigenous Americo-Indian groups living in Ecuador. No studies have been conducted in the mestizo rural setting.

Research Design

An ethnonursing method developed by Leininger was used to guide this study which took place in Tosagua, Ecuador.

Conclusions and …

Reliability Of Urinary Bladder Pressure Measurement In Critical Care, Melanie Horbal Shuster

Electronic Theses and Dissertations

Background of the study: Intra abdominal pressure (IAP) theoretically may be a predictor of enteral nutrition tolerance (EN). Urinary bladder pressure (UBP) is the gold standard for estimating IAP. Current recommendations for UBP measurement (UBPM) calls for the instillation of normal sterile saline (NSS) into the bladder while the patient is supine with a zero degree (0°) head of bed elevation (HOBE). How different instill volumes (IVs) and body positions influence UBPM were unknown, and the intra- and inter-observer reliability had not been adequately investigated.

Specific aims: 1) Systematically evaluate the relative contribution of bladder IV and subject's position upon …