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Engaging The Liminal: Indigenous Perceptions Within The Healthcare System, Karen J. Lottis Sep 2014

Engaging The Liminal: Indigenous Perceptions Within The Healthcare System, Karen J. Lottis

Nursing ETDs

It is well documented that there is decreased access and utilization of healthcare services by minority populations. The purpose of this study was to explore experiences with, and views of, the healthcare system among remotely situated First Nations people of coastal British Columbia (BC), to shed light on elements considered crucial to healthcare delivery. The study was conducted as a critical ethnography with an underlying framework of phenomenology and critical social theory. Multiple sources of data collection included private interviews, community observations, conversations, celebratory gatherings, participant-observer field notes, and the art and music of the people involved. Multiphase data management …


No More Sticky Notes: The Early Implementation Of An Ovarian Cancer Survivorship Care Plan, Carolyn Phillips Sep 2014

No More Sticky Notes: The Early Implementation Of An Ovarian Cancer Survivorship Care Plan, Carolyn Phillips

Nursing ETDs

Background: Over the past 10 years, the number of people diagnosed and living with cancer has increased exponentially. In 2006, the Institute of Medicine (IOM) released a report targeting survivorship care as an area that was not being appropriately addressed. Since then, the majority of research has focused on breast, colon, and prostate cancers, the three most common cancer types. Historically, survivorship care plans (SCPs) have been identified as important tools that can aid a patients transition from acute survivorship to extended and permanent survivorship and from oncologist to primary care provider. Purpose: The purpose of this descriptive qualitative pilot …


School-Age Children's Perception Of Stress In The Hospital: A Draw And Tell Story, Susan Wechter Jul 2014

School-Age Children's Perception Of Stress In The Hospital: A Draw And Tell Story, Susan Wechter

Nursing ETDs

The purpose of this study was to explore the perceptions of stress for hospitalized school-age child, seven to nine years of age, through a child-centered draw and tell technique. Over 3 million children are hospitalized every year (NACHRI, 2012). Hospitalization of children is reserved for increasingly complex care. Since the 1960s, it has been well known that hospitalization can be a traumatic experience for children (King & Ziegler, 1981; Thompson, 1986; Vernon, Foley, Simpowicz, & Schulman, 1965; Visintainer & Wolfer, 1975). This experience elicits feelings of fear, uncertainty, pain and discomfort that can affect a child's healing, behavior and health …


The Impact Of State Certification Of Community Health Workers On Team Climate Among Registered Nurses In The United States, Mark Siemon Jul 2014

The Impact Of State Certification Of Community Health Workers On Team Climate Among Registered Nurses In The United States, Mark Siemon

Nursing ETDs

A number of states have adopted certification programs for community health workers (CHWs) to increase oversight, allow for direct funding, and improve recognition of CHWs as members of the health care team. More states are considering CHW certification programs to increase the use of CHWs by health care organizations with the hopes of improving health outcomes and decreasing health disparities. There has been little research into the impact of state CHW certification on the adoption and dissemination of CHWs into the existing health care system. This study examined the impact of state CHW certification on the perceptions of team climate …


Perceived Social Support And Female Baccalaureate Nursing Students In The Southwest, Jane L. Smith Feb 2014

Perceived Social Support And Female Baccalaureate Nursing Students In The Southwest, Jane L. Smith

Nursing ETDs

Perceived social support has been shown to improve mental health, increase persistence, decrease stress, and decrease attrition in nursing students. A lack of it has been linked to increased dropout rates in nursing school. It is vital we identify methods of increasing perceived social support to reduce dropout rates in nursing programs. However, there is an absence of published research about social support in female baccalaureate nursing students. The purpose of this study was to examine the relationships between perceived social support, reciprocity, economic adequacy, marital status, marital satisfaction, and age in female baccalaureate nursing students. The participants were female …


The Phenomenology Of Husbands Caring For Wives With Dementia, Melanie Mayo Feb 2014

The Phenomenology Of Husbands Caring For Wives With Dementia, Melanie Mayo

Nursing ETDs

The lived experience of husbands caring for wives with dementia was investigated in order to develop a better understanding of their caregiver burden. The conceptual background for the study originated in the work of philosophical phenomenologists Edmund Husserl and Edith Stein with particular attention to their theories of inter-subjectivity and empathy. Amadeo Giorgis Descriptive Phenomenological Method in Psychology was used for study design and analysis. Results suggest an enduring connectedness of the couples and their bonds throughout the shifting of roles and emotions as the dementia progresses. Implications for nursing include the need to employ interventions respectful of the persistence …


Factors Contributing To Weight Gain In Children Who Take Atypical Antipsychotics, Martha Faulkner Feb 2014

Factors Contributing To Weight Gain In Children Who Take Atypical Antipsychotics, Martha Faulkner

Nursing ETDs

Children and adolescents with serious emotional disturbance (SED) who take atypical antipsychotics (AAs) gain significant amounts of weight. The purpose of this retrospective chart review study was to determine if type of AA, diagnosis, ethnicity/race, age, gender or months in treatment contribute to BMI z change score (weight gain). The sample was 110 children with SED who took AAs for 1-36 months, M age=10.5 years (SD=3.4, range 5-17), 67% male, 53% Hispanic or Latino. The average weight gain in the study was 22 pounds (0.33 BMI z change score). The percent of children classifed as overwieght or obese increased from …