Open Access. Powered by Scholars. Published by Universities.®
- Discipline
- Institution
Articles 1 - 30 of 35
Full-Text Articles in Entire DC Network
Preadmission Academic Achievement Criteria As Predictors Of Nursing Program Completion And Nclex -Rn Success, Tanya L. Rogers
Preadmission Academic Achievement Criteria As Predictors Of Nursing Program Completion And Nclex -Rn Success, Tanya L. Rogers
Graduate Theses, Dissertations, and Problem Reports
Admission policies and practices in higher education, including those in nursing programs, are diverse; yet administrators have traditionally relied upon preadmission academic achievement for selection of qualified students. Higher education administrators have the responsibility to serve the institution and all of its constituents, ensuring that admission policies and regular systematic evaluation of those policies are important aspects of that service.;The nursing shortage and limited resources have pressed nursing schools to implement innovative strategies to increase the number of qualified graduates. State University's School of Nursing has used a score sheet to rank associate degree nursing applicants since 1984. The preadmission …
The Development, Implementation And Evaluation Of A System Based Physical Activity Promotion Program In A Free, Rural, Primary Care Clinic, Martha E. Summers
The Development, Implementation And Evaluation Of A System Based Physical Activity Promotion Program In A Free, Rural, Primary Care Clinic, Martha E. Summers
Graduate Theses, Dissertations, and Problem Reports
Background. Despite the consequences of physical inactivity, it is under recognized and not addressed consistently in primary care. The Healthy People 2010 recommendations are that adults should engage in at least 30 minutes of moderate physical activity on most, preferably all, days of the week. Clinical practice guidelines advise that primary care practitioners take the opportunity whenever possible to advise, discuss, negotiate, or encourage physical activity in inactive adults. Objective. The primary objective was to identify beliefs about physical activity that act as barriers among providers and to educate them about the current recommendations for physical activity. An additional objective …
Is Parenting Style Related To Overweight In Mexican Or Mexican-American Preschoolers?, Darlene Mcpherson-Ventura Phd
Is Parenting Style Related To Overweight In Mexican Or Mexican-American Preschoolers?, Darlene Mcpherson-Ventura Phd
Dissertations
The prevalence of childhood overweight (OW) continues to rise and children from low-income, Mexican or Mexican-American families are disproportionately affected. The preschool years have been identified as a critical period for excessive weight gain and during this time children respond to parental cues as they form their early eating habits. Certain parenting styles have been associated with improved health outcomes in children. The purpose of this study was to evaluate the relationship of parenting styles and feeding practices to the Mexican or Mexican-American preschool child's risk of overweight. Interdependence Theory was used to inform this study to understand the interaction …
Evaluation Of The Expansion Of Behavioral Health Services In A Rural, Primary Care Clinic: A Pilot Project, Carolyn L. Donovan
Evaluation Of The Expansion Of Behavioral Health Services In A Rural, Primary Care Clinic: A Pilot Project, Carolyn L. Donovan
Graduate Theses, Dissertations, and Problem Reports
The trend towards integrated behavioral health and primary care services has been supported by the literature. To meet the growing demand for such services, one rural primary care clinic initiated and evaluated a pilot program increasing the number of behavioral health providers. One additional counselor was hired for six hours a week for twelve weeks. The aim of the evaluation was to determine if there was an increase in availability of services, improved communication about referred patients among providers, and increased satisfaction among patients. While outcomes were not statistically significant, positive changes were noted in all areas. The implementation was …
Initiating A Practice Change: Prescribing Probiotics Concurrently With Antibiotic Therapy, Patty Hermosilla
Initiating A Practice Change: Prescribing Probiotics Concurrently With Antibiotic Therapy, Patty Hermosilla
Graduate Theses, Dissertations, and Problem Reports
Background and significance. Over half of all hospitalized patients are treated with antibiotics and antibiotic use is rising. There has been a 500% increase in antibiotic associated diarrhea, a common side effect of antibiotic use, in the last decade. Probiotics are a safe and cost effective measure to prevent or reduce antibiotic associated diarrhea.;Problem statement. The majority of patients admitted to the medical intensive care unit receive antibiotic therapy; however, few are prescribed probiotic therapy concurrent with antibiotics.;Project design. Education was provided to health care providers regarding antibiotic associated diarrhea and the benefits of probiotic use. A guideline was developed …
Existence Of Implicit Racial Bias In Nursing Faculty, Kathleen A. Fitzsimmons
Existence Of Implicit Racial Bias In Nursing Faculty, Kathleen A. Fitzsimmons
Dissertations
No abstract provided.
Development And Testing Of A Questionnaire: Beliefs About Cervical Cancer And Pap Test In Chilean Women, Maria Teresa Urrutia Soto
Development And Testing Of A Questionnaire: Beliefs About Cervical Cancer And Pap Test In Chilean Women, Maria Teresa Urrutia Soto
Open Access Dissertations
Every year 33,000 women die of cervical cancer in Latin American and the Caribbean. Cervical cancer has been the leading cause of potential years of life lost in Chile. Identifying factors that increase Pap test adherence will be extremely useful for developing interventions to increase the use of the Pap test and to reduce the prevalence of cervical cancer. The purpose of this study was to develop and validate a questionnaire to examine women's beliefs about cervical cancer and the Pap test in Chilean women. The questionnaire, developed following the guidelines by Robert de Vellis, is based on the Health …
Nurse-Patient Communication In Oncology Setting: A Phenomenological Study Of Trust From Patients' Perspectives, Julia B. Havelick
Nurse-Patient Communication In Oncology Setting: A Phenomenological Study Of Trust From Patients' Perspectives, Julia B. Havelick
Regis University Student Publications (comprehensive collection)
A phenomenological study was performed to explore trust within the contexts of nurse-patient relationships with oncology patients. Specifically, the present study explored trust within these relationships in oncology settings. Former and current patients were interviewed to determine their experiences of being trusted (or distrusted) by nurses. Four themes were derived from interviews: competence, personal attention, comfort and communication. Communication and competence were themes that were shown to most increase trust. Incompetence was shown to decrease trust. Nurses who appeared too busy did not instill trust either. Touch, positive facial expressions, and physical appearance increased trust. Non-verbal communication that decreased trust …
Contextual Factors Influencing The Acute Care Registered Nurse's Response To Clinical Alarms, Kathleen Mary Stacy Phd
Contextual Factors Influencing The Acute Care Registered Nurse's Response To Clinical Alarms, Kathleen Mary Stacy Phd
Dissertations
Nurses are faced with a multitude of clinical alarms on a daily basis. There is an inherent expectation that upon hearing an alarm the nurse will immediately respond to assess the situation and initiate appropriate action to correct the problem. Yet this does not always occur. Issues with alarm responsiveness can pose a serious threat to patient safety. The purpose of this qualitative study was to develop a broader understanding of the contextual factors that influenced the acute care nurse's response to clinical alarms. This study used an interpretive phenomenological methodology to study the lived experiences of the nurses who …
Nurses' Experiences With The Disclosure Of Errors To Patients, Debbie Greene
Nurses' Experiences With The Disclosure Of Errors To Patients, Debbie Greene
Nursing Dissertations (PhD)
The 1999 Institute of Medicine report, To Err is Human, raised awareness about the multitude of errors that occur in healthcare. Frequently, errors are not disclosed to patients or their families. While several studies have examined patient and physician perspectives on disclosure, limited research on nurse perspectives exist. In hospitals, nurses are often the last line of defense before errors reach the patient. Because nurses are often present when errors occur, nurses’ experiences with disclosure are integral to understanding the issues that surround the disclosure of errors. The purpose of this study was to gain an understanding of nurse experiences …
The Relationship Of Level Of Traumatic Exposure, Perceived Stress, And Resilience With Salivary Cortisol And Salivary Alpha-Amylase Diurnal Rhythm In Palestinian Children 10-12 Years Exposed To Chronic War Violence, Mohammad R. Asia Phd, Rn
The Relationship Of Level Of Traumatic Exposure, Perceived Stress, And Resilience With Salivary Cortisol And Salivary Alpha-Amylase Diurnal Rhythm In Palestinian Children 10-12 Years Exposed To Chronic War Violence, Mohammad R. Asia Phd, Rn
Dissertations
Political violence, war, and genocide exist across the world and often the innocent children and civilians become victims. War and long-term violence have potentially harmful psychological and physiological effects on children. There are limited studies on the effect of prolonged armed conflict on the child's physiologic and psychologic stress responses. The purpose of this study is to investigate the relationships between level of trauma, stress and resilience with salivary cortisol and salivary alpha-amylase (sAA) diurnal patterns in Palestinian children, ages 10-12, living in a long standing war zone. Salivary cortisol, a surrogate marker of hypothalamic-pituitary-adrenal axis (HPA) activity, and salivary …
Psychometric Testing Of The Information-Motivation-Behavioral Skills Model Of Behavior Change Questionnaire In Mexican-Americans With Diabetes Type 2, Beverley Brownell Phd
Psychometric Testing Of The Information-Motivation-Behavioral Skills Model Of Behavior Change Questionnaire In Mexican-Americans With Diabetes Type 2, Beverley Brownell Phd
Dissertations
Background: The most successful diabetes self-management (DSM) programs focus on changing previously established behavior patterns. To develop focused and culturally appropriate self-management programs, health care providers need valid and reliable assessment tools. Purpose: To test the reliability and content and construct validity of an instrument developed to assess diabetes knowledge, motivation, and adherence to medical regimes. The Information-Motivation-Behavioral (IMB) Skills Diabetes scale was tested with 83 Mexican-American adults with type 2 diabetes from a community in Orange County, CA. Methodology: A cross-sectional correlational study design was conducted with 64 female and 19 male Mexican-American adults diagnosed diabetes type 2 patients. …
Gender Differences In Depression And Immune Response In Colorectal Cancer, Barbara Anne Rose Phd, Msn, Rn
Gender Differences In Depression And Immune Response In Colorectal Cancer, Barbara Anne Rose Phd, Msn, Rn
Dissertations
The focus of this descriptive comparative study was to examine the relationship between gender and depression and immune system function in patients with colorectal cancer. The research questions were answered through secondary analysis, using data obtained from the answers of 117 men and women (71 men and 46 women) enrolled in a colorectal cancer study conducted between 1990 and 1991 in Pennsylvania. Descriptive statistics were used to characterize the sample, and general estimating equations were used to analyze depression and immune system function between men and women. Depression was measured by the Beck Depression Inventory, and immune system function was …
Self-Transcendence And Spiritual Well-Being In Participants Of Short-Term, Faith-Based, Foreign, Health Care Missions, Elizabeth Ann Fiske
Self-Transcendence And Spiritual Well-Being In Participants Of Short-Term, Faith-Based, Foreign, Health Care Missions, Elizabeth Ann Fiske
Doctoral Dissertations
The purpose of the study was to investigate the presence and possible relationship of self-transcendence and spiritual well-being in persons who have completed at least one short-term, foreign, health care mission (SFHCM). There is a paucity of literature related to SFHCM; however, these trips are becoming increasingly commonplace. In the anecdotal literature, SFHCM are often described as life changing. The descriptions of this growth experience in the literature are quite similar to the concept of self-transcendence as defined in the nursing literature. Reed's (2003) middle range theory of self-transcendence was used as the theoretical framework for this study. The major …
Into The Unknown: Military Nurses' Experiences In Disaster Response, Felecia Marie Rivers
Into The Unknown: Military Nurses' Experiences In Disaster Response, Felecia Marie Rivers
Doctoral Dissertations
Frequently, military nurses are among the first responders to render aid following disaster events. Research has been completed regarding military nurses' experiences in combat, but little has been done to examine nurses' perspectives on their disaster response. The purpose of the study was to understand military nurses' experience of responding to disaster(s), with "disaster" defined as any non-combat mission-humanitarian relief, or response to a natural or human-made event-outside of warfare. A phenomenological approach to interviewing 23 military nurses was employed. Using a purposive, snowballing technique, single face-to-face interviews were conducted. Five figural polar themes of Nature of War v. Nature …
Educational Intervention To Develop Characteristics Of Transformational Leadership In Novice Nurse Managers, Mary Catherine Goetter
Educational Intervention To Develop Characteristics Of Transformational Leadership In Novice Nurse Managers, Mary Catherine Goetter
Dissertations
No abstract provided.
Development And Psychometric Evaluation Of The Provider Response To Emergency Pandemic (Prep) Tool, Linda Suzzanne Good Phd
Development And Psychometric Evaluation Of The Provider Response To Emergency Pandemic (Prep) Tool, Linda Suzzanne Good Phd
Dissertations
Background: History and science would suggest that a worldwide influenza pandemic is near and its implications are on the minds of healthcare workers (HCWs). Previous studies revealed that HCW have loss-related fears and concerns associated with working during a disaster, especially one with a biologic component. Most healthcare organizations have well-crafted disaster plans in place; however, these plans often rely on the assumption that HCWs will report to work as usual, which may not be the case. Objective: The purpose of this study was to determine if HCWs' fears and concerns are a predictor of their willingness to report to …
An Examination Of Alcohol Use In The Gastric Bypass Patient, Kathleen Winston Phd, Msn, Rn
An Examination Of Alcohol Use In The Gastric Bypass Patient, Kathleen Winston Phd, Msn, Rn
Dissertations
Introduction: Obesity and morbid obesity, along with their co-morbidities, are impacting the national and international healthcare delivery systems and policy agendas. Bariatric surgery is a dynamic and fast-changing medical and surgical practice designed to mitigate the consequences of 60 million obese adults in the United States alone. Alcohol consumption after gastric bypass surgery presents potential physiological and psychological problems. Purpose: Examine the prevalence and incidence of increased alcohol consumption among a group of post-gastric bypass patients; identify the relationship of the alcohol use with time since surgery, psychosocial issues (depressive symptomatology, anxiety, coping) and demographic variables. Theoretical Framework: Coping serves …
Wellness Characteristics And Health Risk Behaviors Of Young Adult University Students, Nicole Mareno Phd
Wellness Characteristics And Health Risk Behaviors Of Young Adult University Students, Nicole Mareno Phd
Dissertations
The purpose of this study was to examine wellness and health risk behaviors of young adults at a university in the southwest. Nutrition, physical activity, alcohol use, and safe sexual practices are high priority health concerns on college campuses. Health promotion is integral to nursing. Early identification of risky health behaviors allows for the design of campus health interventions. Health behaviors continue to be formed during college and interventions may have a lasting impact on health promotion and disease prevention. This study added to the research on demographic factors impacting wellness. A correlation between BMI and wellness level was also …
Nursing Department Newsletters 2001-2009, Sandra Goodling
Nursing Department Newsletters 2001-2009, Sandra Goodling
Nursing Student Scholarship
Regularly updated newsletters from the Department of Nursing at Messiah College. It especially highlights the Integrative classroom and Clinical-based learning.
Some issues are missing from 2001 to 2009.
Student Nurses' Perception Of Death And Dying, Joan E. Niederriter
Student Nurses' Perception Of Death And Dying, Joan E. Niederriter
ETD Archive
Student nurses are involved in caring for patients who are actively dying or who have been told they have a terminal illness and are faced with the process of dying. Students encounter these patients in hospitals, nursing homes, at home or in hospice care settings. According to Robinson (2004), "nurses are the healthcare providers that are most often with individuals at the end of their lives" (p. 89). Nurses should be knowledgeable about end-of-life care. Studies show that only 0.41 of nurses are certified in palliative care (Means to a better end, 2004). Nursing students often have a difficult time …
New Graduate Nurses' Perceptions Of Simulation Training, Karen S. Britt
New Graduate Nurses' Perceptions Of Simulation Training, Karen S. Britt
Master's Theses and Capstones
New graduate nurses enter practice with basic critical thinking skills and have minimal experience applying learned concepts into clinical practice. Hiring institutions aim orientation programs at developing new graduate nurses' skills so that they are better prepared to meet patient needs. Human Patient Simulation is one tool employers have recently begun using. A qualitative study was conducted to gain insight into seven new graduate nurses' perceptions of utilizing simulated mock code training during the orientation process. Analysis of the focus group discussion identified four emerging themes: Developing Confidence, Developing Knowledge Base, Developing Critical Thinking, and Developing a Sense of Realism. …
The Effectiveness Of Four Translation Strategies On Nurses' Adoption Of An Evidence -Based Bladder Protocol, Jamey S. Frasure
The Effectiveness Of Four Translation Strategies On Nurses' Adoption Of An Evidence -Based Bladder Protocol, Jamey S. Frasure
Graduate Theses, Dissertations, and Problem Reports
Background. Mixed evidence exists regarding the effective use of the use of the four translation strategies of educational materials, educational meetings, reminders, and audit and feedback on the adoption and implementation of interventions by nurses. Many clinical practice guidelines for the care of the stroke patient advocate for bladder training, but evidence-based bladder protocols for the stroke patient are not available. The best available bladder protocol identified was a prompted voiding algorithm from the Registered Nurses' Association of Ontario. Review of the literature reported 32--79% of hospitalized stroke patients suffer from urinary incontinence. Strong support for prompted voiding demonstrated the …
Lifestyle Behaviors And Illness Related Factors As Predictors Of Recurrent Headache In Us Adolescents, Suzy Mascaro Walter
Lifestyle Behaviors And Illness Related Factors As Predictors Of Recurrent Headache In Us Adolescents, Suzy Mascaro Walter
Graduate Theses, Dissertations, and Problem Reports
Purpose. Successful management of recurrent headache among adolescents requires an understanding of the lifestyle behaviors (skipping meals, water intake, tobacco use, alcohol use, and physical activity) and illness related factors (depression, somatic complaints, insomnia and obesity) reported to be associated with this headache type. This study describes a multivariate model demonstrating how lifestyle behaviors and illness related factors work together to predict recurrent headache in an adolescent population.;Method. A descriptive, cross-sectional, secondary analysis using survey data from the National Longitudinal Study of Adolescent Health (Add Health) (1996) will be reported. Add Health is a large database providing a nationally representative …
Efficacy Of A Behavioral Intervention To Decrease Medication Transcription Errors Among Professional Nurses, Kathleen Ann Becker
Efficacy Of A Behavioral Intervention To Decrease Medication Transcription Errors Among Professional Nurses, Kathleen Ann Becker
Dissertations (1934 -)
The purpose of this study, guided by Donabedian's structure-process-outcome model, was to evaluate if a cognitive-behavioral education intervention would decrease medication transcription errors among professional nurses when admitting patients 65 years of age or older on 5 or more prescribed medications to a hospital. The conceptual framework for this study is derived from Donabedian's structure-process-outcome health model. The premise suggests improving the structure or process of a system can improve health outcomes. My intervention (cognitive behavioral education), specifically influences the process of medication history obtainment which improved medication error score. In this study, a randomized intervention design was used where …
Quality Of Life, Environmental Domain, And Use Of Identification Devices In Nursing, William Rhoads
Quality Of Life, Environmental Domain, And Use Of Identification Devices In Nursing, William Rhoads
Master's Theses
Significant attention has been brought to the safety of medical and nursing care in acute-care hospitals, but nursing homes are not immune to errors that result in injury (Kapp, 2003). Errors, even minor ones, can have significant impact in this population group of aged, frail individuals (Scott-Cawiezell, et al., 2006). Nursing home residents do not wear an identification device for varied reasons. This places an extra burden on those passing medications to ensure they have the right person receiving the right medication. The purpose of this study was to determine the relationships between variables with the resident’s willingness to wear …
Understanding Relationships In Health Related Quality Of Life For Parents Of Children With Autism Spectrum Disorder, Norah Louise Johnson
Understanding Relationships In Health Related Quality Of Life For Parents Of Children With Autism Spectrum Disorder, Norah Louise Johnson
Dissertations (1934 -)
Nurses encounter many parents of children with autism spectrum disorder (ASD). Both parents are under stress that ultimately impacts their health related quality of life (HRQL). Few studies assess the mediators of parenting stress on HRQL for both parents. This study explored the relationship of parenting stress, family functioning and HRQL for parenting dyads of children with ASD. Lazarus and Folkman's (1984) Transactional Model of Stress and Coping and Lakey and Cohen's (2000) Social Support Theory framed the study.
Implementing a cross sectional, descriptive design, 387 parents (n=64 dyads) of ASD-affected children, from 46 states, completed web-based surveys. Demographics, the …
Is A School Based Educational Program Effective In Changing Knowledge Regarding The Prevention Of Shaken Baby Syndrome?, Margaret Kay Stelzel
Is A School Based Educational Program Effective In Changing Knowledge Regarding The Prevention Of Shaken Baby Syndrome?, Margaret Kay Stelzel
Dissertations (1934 -)
Shaken baby syndrome (SBS) involves physiological and neuropsychological sequelae secondary to parental or caregiver handling of an infant or young child (Goldberg & Goldberg, 2002). According to the American Academy of Pediatrics (APA) (2001), non-accidental head injuries are the leading cause of traumatic death and cause of child abuse fatalities. The prognosis is extremely poor with a death rate of 26-36% and up to 78% of the survivors suffer long-term disability (Barlow & Minns, 2000). According to Prevent Violence Against Children Act, 2005 Wisconsin Act 165; SECTION 7.121.02(1)(L)6 educational SBS requirements are mandated, effective school year 2007-2008. Two instrument development …
Biofeedback Assisted Relaxation Training Program To Decrease Test Anxiety In Nursing Students, Catherine Andrea Prato
Biofeedback Assisted Relaxation Training Program To Decrease Test Anxiety In Nursing Students, Catherine Andrea Prato
UNLV Theses, Dissertations, Professional Papers, and Capstones
Nursing programs have been cited as being among the most stressful undergraduate programs. Students' knowledge and skills are consistently tested and monitored, and students may fail a course or be dropped from their nursing program if scores are not above a certain standard. Anxiety reactions are common to situations perceived as threatening; however, excessive anxiety may paralyze an individual and interfere with effective learning, functioning, and testing. Numerous studies have found increased anxiety causes physiological changes including increased respirations and heart rate, and decreased peripheral skin temperature. The purpose of this study was two fold. First test anxiety was measured …
Validity And Reliability Of The Critical Care Pain Observation Tool: A Replication Study, Kathleen Marie Keane
Validity And Reliability Of The Critical Care Pain Observation Tool: A Replication Study, Kathleen Marie Keane
Master's Theses and Capstones
Because critically ill patients are often not able to self report the presence of pain, an observer rating scale, the Critical Care Pain Observation Tool (CPOT) was developed for pain assessment of critically ill patients. This research examines the reliability and validity of the CPOT via replication of the original research study that developed the tool. Utilizing a repeated measures design, two nurse observers used the CPOT to score patient pain behaviors during rest, with repositioning and after repositioning. Results show fair to almost perfect interrater reliability and good discriminant validity of the instrument. The Critical Care Pain Observation Tool …