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Loss Associated With Chronic Illness: Application Of The Roy Adaptation Model, Linda M. Dehaan Nov 1995

Loss Associated With Chronic Illness: Application Of The Roy Adaptation Model, Linda M. Dehaan

Masters Theses

The Roy Adaptation Model guided this pretest-posttest quasi-experimental study to test an intervention addressing loss associated with chronic illness. Differences in adaptation and well-being were evaluated between control (n = 20) and experimental groups (n = 20) 30 days after intervention. Adaptation was measured by PAIS-SR scores and analyzed using ANCOVA to adjust for pretest differences. T-test and Mann-Whitney U was used to evaluate well-being as measured by the Global Well-being Scale. Changes in adaptation were not significantly different between groups, but well-being improved 12.8% in the experimental group as compared with 1.4% in the control group. Inconsistency of results …


Health Beliefs And Adherence To Cardiac Exercise Following A Cardiac Event, Marianne Foster Jul 1995

Health Beliefs And Adherence To Cardiac Exercise Following A Cardiac Event, Marianne Foster

Masters Theses

The purpose of this study was to examine the relationship of cardiac patients' health beliefs regarding exercise and their adherence to an exercise program following a documented cardiac event. A sample of 90 subjects, recovering from a recent cardiac event, was selected from two acute care medical centers in southwestern Michigan and northwestern Michigan. Each subject responded to a mailed questionnaire six to eight weeks post hospitalization which assessed perceived benefits, perceived barriers and self-efficacy as they related to a regular, aerobic exercise program.; Descriptive statistics, along with t-test and chi-square were used to analyze the data. Findings include (a) …


Parent Knowledge Of Fas And The Risks Of Heavy Drinking During Pregnancy, Kimberly Lynne Spring Jul 1995

Parent Knowledge Of Fas And The Risks Of Heavy Drinking During Pregnancy, Kimberly Lynne Spring

Masters Theses

The purpose of this mini-study was to determine the level of parent knowledge of FAS and the risks of drinking during pregnancy.; The parents involved in this mini-study were members of a small, primarily rural community and had one or more children enrolled in grades kindergarten through four in the Hart Public School District.; A questionnaire was developed and mailed to a random sample of parents who were chosen from the school enrollment lists. Results of the survey indicated that the majority of parents had some basic knowledge of the term FAS; however they felt that they lacked enough knowledge …


An Extended Year Program For At-Risk Middle School Children, Karen Patrice Flanigan Jul 1995

An Extended Year Program For At-Risk Middle School Children, Karen Patrice Flanigan

Masters Theses

At the beginning of this century only 6% of the American population even received a high school diploma. Now that diploma is so necessary that our society can no longer support or afford any undereducated citizens. Every year there is less and less room for them in the work force.; The states and school districts are reacting to this by trying to identify these at-risk children and to pose interventions to keep them in school. This is one account of an extended year program that was implemented for at-risk middle school children. The research focuses on the characteristics of these …


A Comparison Of Kentwood Public Schools' Algebra Standards And The Ucsmp Algebra Objectives, Carol A. Farrer Jul 1995

A Comparison Of Kentwood Public Schools' Algebra Standards And The Ucsmp Algebra Objectives, Carol A. Farrer

Masters Theses

This paper compares the Standards written by Kentwood Public Schools in Kentwood, Michigan for its algebra course and the objectives of the University of Chicago School Mathematics Project Algebra textbook. The paper includes an examination of national recommendations and publications which influenced the authors of the UCSMP text and the national and state publications which influenced Kentwood's Mathematics Curriculum Committee. Lessons are provided for Kentwood's algebra teachers for the few instances where the objectives of the textbook do not meet the district's standards.


Teachers As Lifetime Readers: How Teachers Might Serve As Models For Students, Beth Lorraine Korringa Jul 1995

Teachers As Lifetime Readers: How Teachers Might Serve As Models For Students, Beth Lorraine Korringa

Masters Theses

An informal reading survey questionnaire explored whether teachers are lifetime readers and if so how they might help their students become lifetime readers. Teachers from three schools, preschool through fifth grade responded to the survey. Research done showed teacher and students sharing, read alouds and silent reading and teachers communicating their love of books and reading to students were the major points needed to help students become lifetime readers. Conclusions drawn from the survey show that teachers need to "act" like lifetime readers by reading more themselves and reading more in their classrooms. The survey also revealed that teachers today …


Effects Of Witnessing Domestic Violence On Children, Theresa L. Bundy Apr 1995

Effects Of Witnessing Domestic Violence On Children, Theresa L. Bundy

Masters Theses

The purpose of this study was to investigate the impact of domestic violence on children. The main questions explored were the effects of domestic violence on the self-perception and behavior of children. The children at a shelter for domestic violence completed the Pictorial Scale of Perceived Competence and Social Acceptance for Young Children and the Self-Perception Profile for Children, depending on the child's age. The children also completed a questionnaire on their views of relationships and their future. The mothers of the children completed a standardized scale that paralleled the scale completed by the children, along with questionnaires on the …


Curriculum Packet Serving Autistic, Educable, And Trainable Students With Mental Impairments, Amy E. Upham Apr 1995

Curriculum Packet Serving Autistic, Educable, And Trainable Students With Mental Impairments, Amy E. Upham

Masters Theses

The education of the special needs population has been an ongoing debate since the creation of special education classes. While some educators feel that a slower version of the regular education curriculum is appropriate others feel that there is no room for the regular curriculum in the education of the autistic, educable, and trainable mentally impaired population.; In this thesis the research reviewed will support the need for a functional curriculum which emphasizes the areas of; self care/ personal development, basic math and language arts. The research will stress that a watered down regular education curriculum will not meet the …


Relationship Of Perceived Social Support To Readmission Of The Congestive Heart Failure Patient, Margaret A. Guthaus Jan 1995

Relationship Of Perceived Social Support To Readmission Of The Congestive Heart Failure Patient, Margaret A. Guthaus

Masters Theses

This study examined the relationship between perceived social support and the time between hospital admissions for congestive heart failure (CHF) patients based on Lazarus' Stress and Coping Theory. A descriptive correlational design was used with a convenience sample of 40 inpatients aged 33-100 at a mid-western hospital. The Personal Resource Questionnaire was used to measure social support.; Data indicated that 50% of the sample were readmitted within 90 days of discharge. However, the hypothesized positive relationship between perceived social support and the number of days between admissions was not supported. Subjects' age was related to time between admissions(r =.33, df …


The Psychological Effects Of Functional Electrical Stimulation Leg Cycle Ergometry On Persons With Spinal Cord Injury, Renee Christner, Scott Nolte Jan 1995

The Psychological Effects Of Functional Electrical Stimulation Leg Cycle Ergometry On Persons With Spinal Cord Injury, Renee Christner, Scott Nolte

Masters Theses

Major depressive disorder (MDD) affects many individuals in the general population. Spinal cord injury (SCI) may exacerbate depressive symptoms as individuals must adapt to an altered lifestyle as a result of the injury. The purpose of this study was to investigate the effects of Functional Electrical Stimulation Leg Cycle Ergometry (FES-LCE) on the subjective reports of the incidence and severity of symptoms of depression in individuals with SCI. Survey packets, including a demographic data sheet and the Inventory to Diagnose Depression (IDD), were mailed to 215 individuals participating in FES-LCE programs and 215 persons with SCI not involved in FES-LCE. …


Knowledge Of High School Students Concerning Physical Therapy, Occupational Therapy, And Nursing, Amy Godlewski, Karen Oorbeck, Beth Spitzley Jan 1995

Knowledge Of High School Students Concerning Physical Therapy, Occupational Therapy, And Nursing, Amy Godlewski, Karen Oorbeck, Beth Spitzley

Masters Theses

The purpose of this study was to determine the level of knowledge of Kent County high school students regarding physical therapy, occupational therapy and nursing. A survey created by the investigators asked specific questions concerning these professions. The survey was administered to 545 eleventh and twelfth grade students. The scores were compared to demographic data and school characteristics (i.e. urban, suburban, rural, public or private). The researchers' hypotheses were that students would have a low level of knowledge concerning all these professions, and that students would be more familiar with nursing compared to physical therapy or occupational therapy. These hypotheses …


The Impact Of Delirium On Mental Status And Physical Functioning Of The Hip Fracture Patient One To One And One Half Years Post-Injury, Delores L. Arendsen Jan 1995

The Impact Of Delirium On Mental Status And Physical Functioning Of The Hip Fracture Patient One To One And One Half Years Post-Injury, Delores L. Arendsen

Masters Theses

Delirium occurs frequently among hospitalized hip fractured elders. The purpose of this study was to examine the impact of a delirious episode on physical and mental status of those patients 12-18 months post-injury. This ex post facto correlational study utilized Levine's Conservation Principles as the conceptual framework. The sample consisted of 67 subjects age 60 or older. The Mini-Mental State Examination (MMSE) and Katz Index of Activities of Daily Living (ADL) were administered on admission and by telephone at the post-injury interview. The Confusion Assessment Method (CAM) Diagnostic Instrument was used to assess for the syndrome of delirium. Eleven (16%) …


Diversity Management: An Administrative Case Study In A Tax-Exempt Human Service Organization, Jerry L. Johnson Jan 1995

Diversity Management: An Administrative Case Study In A Tax-Exempt Human Service Organization, Jerry L. Johnson

Masters Theses

Diversity management is a business strategy that is intended to create an organizational climate where people from diverse backgrounds can succeed based on their work performance and not their personal similarities or differences with the organization's leadership. Diversity management programs are intended to help business remove barriers resulting from discrimination.; The present study investigated the need for a diversity management program in a tax-exempt human service organization. The perceptions and attitudes of organization employees, measured by survey instruments, in conjunction with an employee compensation study, provided the data for this investigation.; The instrument designed for this study and the random …


What Are The Perceived Needs Of Parents Of Critically Ill Neonates?, Linda B. Corliss Jan 1995

What Are The Perceived Needs Of Parents Of Critically Ill Neonates?, Linda B. Corliss

Masters Theses

The purpose of this study was to identify needs of parents during the hospitalization of their critically ill neonate. Studies indicate that parents of critically ill neonates are under a certain degree of stress and that sources of stress are identifiable by parents and equated to needs and the importance of those needs.; This study used an exploratory, descriptive design to document the needs of parents while also identifying variables that influenced those needs. Parents of 29 critically ill neonates (n = 53) were interviewed using a revised version of the Critical Care Family Needs Inventory (CCFNI) designed by Molter …


Nurse/Physician Perceptions Of The Nurse Practitioner Role, Deborah R. Bambini Jan 1995

Nurse/Physician Perceptions Of The Nurse Practitioner Role, Deborah R. Bambini

Masters Theses

As the role of the nurse practitioner (NP) continues to evolve, ambiguity in the scope of practice remains. This study described perceptions of the nurse practitioner role. This descriptive three group comparative study asked random samples of registered nurses (n = 51) and physicians (n = 46), and a convenience sample of 34 NPs to indicate their agreement with the appropriateness of 30 behaviors for the NP role. The modification of Hupcey's (1994) instrument had an alpha reliability of.97. A Kruskal-Wallis test revealed significant differences (p = {dollar}<{dollar}.001) among the three occupations for every behavior. The largest difference was found relative to defining the role/scope of nurse practitioner practice (X{dollar}\sp2{dollar} = 59.21, df = 2, p =.00). Knowing an NP was found to be a variable with some influence on the responses whereas interest in becoming or hiring an NP did not in most cases. Most physicians (53.3%) and 32% of RNs indicated that nurse practitioners should work under direct supervision only. Seventy three percent of nurse practitioners felt that a collaborative relationship was the best option.


A Descriptive Study Of The Needs Of Family Members Of Trauma Patients, Sally Laur Sutkowi Jan 1995

A Descriptive Study Of The Needs Of Family Members Of Trauma Patients, Sally Laur Sutkowi

Masters Theses

This study examined the perceived needs of family members of trauma patients using Molter's (1979) Critical Care Family Needs Inventory. The ranking of needs of major and minor trauma patients family members were analyzed to determine differences between these two groups.; A convenience sample of 41 family members of trauma patients were surveyed. They included family members of 17 minor trauma patients and 24 major trauma patients. Minor trauma patients were those patients with Injury Severity Scores 12 or less. Major trauma patients had ISSs scores of 13 or greater. All 45 needs were considered very important by at least …


Perceived Stress And Health-Promoting Behaviors In Nursing Students Using Pender's Health Promotion Model, Gail E. Dunham Jan 1995

Perceived Stress And Health-Promoting Behaviors In Nursing Students Using Pender's Health Promotion Model, Gail E. Dunham

Masters Theses

The purpose of this descriptive, correlational study was to add support to the literature that there is a relationship between the perceived stress (Student Stress Inventory) that nursing students report and their practice of health-promoting behaviors (Health Promoting Lifestyle Inventory). A convenience sample of 36 first-year associate degree nursing students was obtained. The conceptual framework used was Pender's Health Promotion Model. No relationships were found between demographic variables and perceived stress. Results indicated that subjects reported they engaged in health-promoting behaviors more than sometimes and they perceived themselves overall as slightly stressed. A negative correlation between perceived stress and health-promoting …


Normal Kinetic Patterns Of The Lower Extremities During Natural Walking In Children Aged Six To Ten, Thomas Ellexson, Christopher Nawrocki, Darrin Schober Jan 1995

Normal Kinetic Patterns Of The Lower Extremities During Natural Walking In Children Aged Six To Ten, Thomas Ellexson, Christopher Nawrocki, Darrin Schober

Masters Theses

The purpose of this research was to initiate a normative pediatric three-dimensional lower extremity kinetic database specific to the Mary Free Bed Hospital/Grand Valley State University Center for Human Kinetic Studies. Twenty healthy children (eleven girls and nine boys) with a mean age of 7.9 years volunteered for this study. Lower extremity kinetic data were obtained using a computerized three-dimensional motion analysis system coupled with a force plate. Kinematic and kinetic data were pooled and mean/standard deviations at each one percent of the gait cycle were determined for the twenty normative children. Results of the pediatric kinetic data were similar …


The Relationship Among Isokinetic Knee Parameters And Three Functional Tests, Kristen Brinks, Ronda Delong, Tanya Stout Jan 1995

The Relationship Among Isokinetic Knee Parameters And Three Functional Tests, Kristen Brinks, Ronda Delong, Tanya Stout

Masters Theses

The purpose of this study was to investigate the correlation between knee strength and endurance, as tested by the Biodex{dollar}\sp\circler{dollar} isokinetic system, and the lateral step-up, cross-over hop for distance, and triple hop for distance. Subjects included 20 males and 30 females aged 21-40 years with no history of low back, hip, knee, or ankle injury that was treated by a physician. Bilateral knee flexion and extension strength, power, and endurance was measured at 60, 180 and 300 degrees/second with the hip extended and flexed 115{dollar}\sp\circ{dollar}. Isokinetic data were normalized to body weight and correlated to hop distance which was …


A Comparison Of Two Teaching Methods In Basic Cardiac Life Support Training And Education, Patricia A. Merrill Jan 1995

A Comparison Of Two Teaching Methods In Basic Cardiac Life Support Training And Education, Patricia A. Merrill

Masters Theses

The purpose of this study was to compare the effect of two teaching methods on knowledge and skill acquisition in basic cardiac life support. A quasi-experimental, nonequivalent control group, pretest-posttest design was used to compare 37 nursing personnel recertifying in basic cardiac life support. The experimental group received a self-study module. The control group received a lecture and demonstration. Sample selection was one of convenience.; An analysis of covariance was performed to test the hypothesis. There was not a significant difference in acquisition of knowledge in the experimental or control group (p {dollar}>{dollar}.05). Subjects in the control group scored …


African American Nurses' Perceptions Of Social Support Available During Graduate School, Jacquelyn Denese Pettis Jan 1995

African American Nurses' Perceptions Of Social Support Available During Graduate School, Jacquelyn Denese Pettis

Masters Theses

This study examined African American nurses' perceptions of social support available during graduate school that contributed to their completion of graduate studies. A descriptive correlational research design using a mailed questionnaire was employed for the study. The sample consisted of 91 African American nurses who were women and had completed graduate studies within the United States. A modified Norbeck Social Support Questionnaire (Norbeck, Lindsey, & Carrieri, 1981) was used to collect the data.; Data analysis consisted of reporting means, standard deviations, and range of scores for perceived social support available. Pearson's correlations and t-test were used to examine significant differences …


Utilization Of Collaborative Clinical Education Placements, Sandie Marston, Sally Talbot Jan 1995

Utilization Of Collaborative Clinical Education Placements, Sandie Marston, Sally Talbot

Masters Theses

The purpose of this study was to describe the collaborative model's utilization, effectiveness, and effect on ease of student placement. Surveys were sent to academic coordinators of clinical education at all 130 physical therapy programs in the United States. Four of these surveys were sent as a pilot study. Of 126 surveys sent, 114 were received for a 90% return rate. Frequencies of responses were calculated. 75% of respondents report using the collaborative model. Of those who use the model, 95% reported that it met their objectives for clinical education, and 93% reported decrease (24%) or no change (69%) in …


The Effect Of Support Groups On Aids Patients, Karen Bouwman Jan 1995

The Effect Of Support Groups On Aids Patients, Karen Bouwman

Masters Theses

The purpose of this study was to answer the following question: Will individuals with HIV/AIDS have the same or decreased levels of anxiety and hopelessness after participating in a support group? A one-group pretest-posttest design was used. A convenience sample consisted of 40 persons with HIV/AIDS attending a large support group which met on a weekly basis. Spielberger's State Anxiety Inventory (SAI) and Beck's Hopelessness Scale (HS) were administered to the participants. Six weeks later, the HS and SAI were repeated. A Social Support Inventory was also given to assess the subject's perceived satisfaction with the support group. Based on …


A Study Of The Relationship Between Registered Nurse Time Spent In Direct Care Activities, Nursing Skill Mix And Patient Perceptions Of Nurse Caring, Jeanne L. Roode Jan 1995

A Study Of The Relationship Between Registered Nurse Time Spent In Direct Care Activities, Nursing Skill Mix And Patient Perceptions Of Nurse Caring, Jeanne L. Roode

Masters Theses

There is a need for nurse administrators to understand how the use of nursing resources impacts the quality of patient care. A descriptive correlational research design was used to examine the relationship between R.N. time spent in direct care activities, nursing skill mix and patient perceptions of nurse caring. A secondary analysis was conducted using data previously collected as part of a large-scale data set from a 529 bed community teaching hospital. The data consisted of 76,491 activity samples obtained through work sampling of 16 nursing units, 2 categories of unit skill mix measurements, and a Caring Behaviors Inventory completed …


Concerns/Needs Experienced By Low-Income Mothers Following A Postpartum Hospital Stay Of Less Than Forty-Eight Hours, Karen S. Kujala Jan 1995

Concerns/Needs Experienced By Low-Income Mothers Following A Postpartum Hospital Stay Of Less Than Forty-Eight Hours, Karen S. Kujala

Masters Theses

The purpose of this study was to describe the needs and concerns that low income women experience during the first seven days at home following discharge from a postpartum hospital stay of less than forty-eight hours. Dorothea Orem's theory of self-care was the conceptual framework.; The sample (n = 50) consisted of Medicaid eligible postpartum mothers, 18 years of age or older, who were discharged with their infants in less than 48 hours after delivery. The mothers were contacted by telephone seven days after discharge to complete an interview regarding concerns they might have experienced.; Data were analyzed descriptively. The …


Personality Traits And The Extent To Which They Are Valued By Practicing Physical Therapists In The General Hospital Setting, Shiela M. Robison, Rachel K. Seppanen Jan 1995

Personality Traits And The Extent To Which They Are Valued By Practicing Physical Therapists In The General Hospital Setting, Shiela M. Robison, Rachel K. Seppanen

Masters Theses

This descriptive study seeks to identify the value placed on personality traits by physical therapists and to develop a personality trait profile indicating what is desired of physical therapists in the general hospital setting. Five hundred surveys were sent to the physical therapy (PT) directors of a nationwide sample of randomly selected hospitals accredited by the American Hospital Association with greater than 75, but less than 150 beds. Two hundred and ninety-four surveys (59%) were returned. Survey responses were coded and analyzed using the Statistical Package for the Social Sciences (SPSS). The data was analyzed by using the descriptive measures …


Timed Wheelchair Ambulation Of Children Aged 11-17 Years And Their Perceptions Of Their Function, Karen Feuerstein, Susan Fisher, Kristy Van Zee Jan 1995

Timed Wheelchair Ambulation Of Children Aged 11-17 Years And Their Perceptions Of Their Function, Karen Feuerstein, Susan Fisher, Kristy Van Zee

Masters Theses

Problem. Little data is available to aid physical therapists in writing functional wheelchair velocity goals. Purpose. This study begins to establish baseline data on wheelchair velocity. The authors hypothesize that there will be a significant relationship between a child's perceived function and their wheelchair velocity over a given distance. Methods. One female and 10 male community manual wheelchair users aged 11-17 completed 3 time trials of 150 feet on carpet with 1 minute rest between trials. Following the WRAT-R reading screen, the subjects completed a questionnaire about wheelchair function in the community. Results. A two-tailed significance test of the correlation …


Cooperative Learning: Does It Work And Do Students Like It?, Thomas Neal Vander Stelt Jan 1995

Cooperative Learning: Does It Work And Do Students Like It?, Thomas Neal Vander Stelt

Masters Theses

This study compares a teacher-centered approach to learning with a cooperative learning method in order to discover if either method has greater ability to deliver academic success in a fourth grade geography unit. In addition, the study examines the students' preferences for or against the teacher-centered method and the cooperative method.; There has been some movement toward cooperative learning methods in the school in which this study takes place, but there is also some reluctance of some teachers to try it because they feel that the time it takes is not worth the results it brings. This study includes an …


Prediction Of In-Hospital Delirium In Elderly Hip Fracture Patients Using Family Assessment Of Pre-Morbid Cognitive Behaviors, Ronell R. Ruhlandt Jan 1995

Prediction Of In-Hospital Delirium In Elderly Hip Fracture Patients Using Family Assessment Of Pre-Morbid Cognitive Behaviors, Ronell R. Ruhlandt

Masters Theses

The elderly are the fastest growing segment of the population in the United States. Elderly persons are at high risk for developing delirium when hospitalized. The purpose of this study was to determine if pre-morbid cognitive behaviors were predictive of in-hospital delirium in elderly hip-fracture patients. The ability to predict or diagnose delirium early could prevent complications during hospitalization and decrease the length of hospital stays. The study was descriptive correlational. Subjects were admitted to a metropolitan teaching hospital during February through August 1993, were 60 years or older, and were diagnosed with hip fracture. Admission assessments included the Cognitive …


The Effect Of Family Participation On The Outcome Of Patients With Traumatic Brain Injury In Rehabilitation, Grant Middleton, Brett Ransom Jan 1995

The Effect Of Family Participation On The Outcome Of Patients With Traumatic Brain Injury In Rehabilitation, Grant Middleton, Brett Ransom

Masters Theses

The purpose of this study was to explore the relationship between physical therapists' perceptions and institutional policies relating to family participation in rehabilitation and rehabilitation outcome of patients with traumatic brain injury. Utilizing surveys, we collected information about institutional policy from institutions that were members of the Commission for Accreditation of Rehabilitation Facilities (CARF) in the Midwestern United States. Thirteen institutional surveys provided usable Functional Independence Measure (FIM) scores for patients rehabilitated in 1993, which were used as the outcome measure. The therapists' perceptions survey (n = 104) gathered data about the belief of physical therapists relating to family involvement …