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Self-Preserving: Patterns Guiding The Experience Of Interpersonal Conflict For Female Nursing Faculty, Kathleen L. Harr Dnsc, Msn, Rn, C Dec 1990

Self-Preserving: Patterns Guiding The Experience Of Interpersonal Conflict For Female Nursing Faculty, Kathleen L. Harr Dnsc, Msn, Rn, C

Dissertations

The purpose of this study was to identify a substantive theory to explain and predict interpersonal conflict as it is experienced by nursing faculty. Gaining an understanding of this process may assist faculty and administrators of nursing education programs in dealing with interpersonal conflict in more constructive and helpful ways. It may also provide the basis for further development of formal theory and the potential for theory testing. The grounded theory method described by Glaser and Strauss (1967) and Glaser (1978) guided data collection and analysis. The sample was comprised of 18 full-time nursing faculty members from the field site …


Nursing Care Through The Eyes Of The Patient, Donna May Fosbinder Dnsc, Msn, Rn Dec 1990

Nursing Care Through The Eyes Of The Patient, Donna May Fosbinder Dnsc, Msn, Rn

Dissertations

Ethnographic methods were used to examine the nurse-patient interaction for the purpose of developing descriptive and explanatory theory of patient satisfaction based on patients' perceptions regarding their nurses' interpersonal skills. A private acute care hospital was the setting for 40 patients and 12 nurses who were study participants. Four processes provided the framework for the themes that emerged: "translating," "getting to know you," "establishing trust," and "going the extra mile." I labeled the action of nurses informing, explaining, instructing, and teaching patients the translation process. Informing and explaining were described by both patients and nurses as very important to the …


The Essential Characteristics Of Advocacy Associated With The Nurse-Client Relationship: The Client's Perspective, Victoria Louise Cole Schonlau Dnsc, Mpa, Bsn, Rn Nov 1990

The Essential Characteristics Of Advocacy Associated With The Nurse-Client Relationship: The Client's Perspective, Victoria Louise Cole Schonlau Dnsc, Mpa, Bsn, Rn

Dissertations

The purpose of this phenomenological study was to describe clients' lived experiences of advocacy associated with the nurse-client relationship. The sample consisted of ten non-hospitalized adults, 19 to 72 years of age, who had a hospitalization or ambulatory relationship with a registered nurse within the previous six months. Data were gathered via interviews initiated with the same open-ended question. Georgi's five step method was used for data analysis. Four essential characteristics of advocacy associated with the nurse-client relationship were identified. Described by clients as nurse attributes, behaviors, and actions, they were labelled: Competent Knower, Competent Doer, Humanizer, and Communicator. Clients …


The Experience Of Female Nurses Being Cared For: A Phenomenological Analysis, Sharon Lu Skinner Shetlar Dnsc, Ms, Bsn, Rn Nov 1990

The Experience Of Female Nurses Being Cared For: A Phenomenological Analysis, Sharon Lu Skinner Shetlar Dnsc, Ms, Bsn, Rn

Dissertations

The focus of this phenomenological inquiry was the question: What is the meaning (essential structure) of the experience of being cared for as lived by female nurses? The purpose of this study was to explore and describe the experience of being cared for. Phenomenologic methodology was used for this study. Data analysis was patterned after the guidelines set out by Colaizzi, and Miles and Huberman. Fifteen female nurses described their experiences of being cared for during two interviews with the researcher. Through analysis of the first audio-taped interview metathemes describing the phenomena and a unity of meaning emerged. During the …


Well-Being Of Elderly Women: Rural-Urban Differences, Betty J. Gale Dnsc, Ms, Rn Nov 1990

Well-Being Of Elderly Women: Rural-Urban Differences, Betty J. Gale Dnsc, Ms, Rn

Dissertations

Using a stress-coping theoretical framework, this path analytic study examined the effects of hardiness, self-esteem, social support, and stress on coping, service utilization, and well-being of elderly women. Fifty-five rural and fifty-five urban females living in the community comprised the sample whose mean age was 75 years. The overall level of well-being of these women was high. Hardiness was associated with greater social support and well-being. Self-esteem was related to lower stress. Hardiness and self-esteem were also associated with decreased use of emotion-focused coping. Stress had a positive relationship with service utilization and a negative relationship with well-being. Problem-focused coping …


A Woman For All Seasons: A Biography Of Julia Catherine Stimson (1881-1948), Mary T. Weber Sarnecky Dnsc, Mn, Bsn Aug 1990

A Woman For All Seasons: A Biography Of Julia Catherine Stimson (1881-1948), Mary T. Weber Sarnecky Dnsc, Mn, Bsn

Dissertations

Little is known or written about one of nursing's most enduring and productive leaders, Julia Catherine Stimson. The purpose of this investigation was to examine the life and character of Miss Stimson and to identify the many, diverse contributions which she made to the profession of nursing and to humanity. Additionally through an analysis of her leadership qualities, a profile of an effective nursing leader evolved. The historical method was used in this investigation. Data was collected for the study from the National Archives, the Center of Military History, the New York Hospital/Cornell Medical Center Archives, the New York Historical …


An Interpretive Study Of The Professional Socialization Of Neophyte Nurses Into The Nursing Subculture, Elisabeth J. Hamel Edd, Rn May 1990

An Interpretive Study Of The Professional Socialization Of Neophyte Nurses Into The Nursing Subculture, Elisabeth J. Hamel Edd, Rn

Dissertations

Making the transition from nursing student to practicing nurse requires the novice to master an array of complex nursing skills in order to care for acutely ill patients. In an era of cost containment, today's hospitals are demanding efficient and effective delivery of nursing services. Nurse administrators are expecting competent, efficient graduates nurses upon entry into the organization. The transition from school to the work world is characterized by the loss of one familiar social setting and its replacement by a distinctly new culture. The disparity the neophyte experiences between the attitudes, beliefs, and behaviors of school and work divides …


The Nurse Manager: An Ethnography Of Hospital-Based First-Line Nurse Managers Practicing In An Expanded Role, Sally Everson-Bates Dnsc, Ma, Rn May 1990

The Nurse Manager: An Ethnography Of Hospital-Based First-Line Nurse Managers Practicing In An Expanded Role, Sally Everson-Bates Dnsc, Ma, Rn

Dissertations

The behaviors, beliefs and values that characterize everyday practice of first-line nurse managers role were analyzed. Ethnographic field research techniques were used including nine months of observation and in-depth interviews with practicing nurse managers. After reviewing historical events that shaped the role of the nurse manager, the role was then placed within the economic, social and health care context of the 1970's and 80's. Research and anecdotal descriptions of the manager role of the past twenty years were also explored. Research was conducted in two voluntary acute care, multi-service hospitals. One manager was observed intensively for two months to develop …


A History Of Women's Intercollegiate Athletics In San Diego Community Colleges From 1955 To 1972, Nan Elizabeth Haugen Edd May 1990

A History Of Women's Intercollegiate Athletics In San Diego Community Colleges From 1955 To 1972, Nan Elizabeth Haugen Edd

Dissertations

There has been a significant increase in the number of American women in athletics in colleges and universities during the twentieth century. The purpose of this research was to identify and trace the historical development of the women's athletic programs at community colleges in San Diego County from 1955-1972. This study was also designed to identify the leaders and the leadership abilities which enabled these women to develop successful women's athletic programs. The research design used was the historical method. Three types of historical sources were utilized: documents, quantitative records and oral histories. Thirteen oral interviews were conducted and taped. …


Autonomy In Practice: Conceptualization, Construction, And Psychometric Evaluation Of An Empirical Instrument, Judith Smith Dempster Dnsc, Msn, Rnc, Fnp May 1990

Autonomy In Practice: Conceptualization, Construction, And Psychometric Evaluation Of An Empirical Instrument, Judith Smith Dempster Dnsc, Msn, Rnc, Fnp

Dissertations

The purpose of this research was to conceptualize, construct and establish psychometric properties of an instrument to examine unmeasured dimensions of autonomy in practice through a process of retroduction and triangulation. In the context of ongoing rapid change and increasing competition in the health care delivery arena there is valid reason for nursing and other health professions to be concerned with their autonomous practice status. However, research and instrumentation activities have been hindered by the abstract nature of autonomy with only limited theoretical dimensions empirically measured. There is need to develop new, original, useful, and generalizable tools with a wide …


Education For Christian Leadership, James H. Ford Edd Apr 1990

Education For Christian Leadership, James H. Ford Edd

Dissertations

There is an increasing number of nonordained catholic men and women trained for leadership and ministry in the United States. What are the perspectives of these women and men on leadership in the church, the nature and purpose of leadership, and education for leadership? This qualitative study compared transforming leadership with the perspectives on leadership discovered among the 17 participants in the study. The respondents expect to exercise leadership in a church that faces a challenging future. The researcher also outlined those future challenges facing leaders and participants who practice the process of leadership. The author makes prescriptive suggestions on …


The Effects Of Collaboration, Organizational Climate, And Job Stress On Job Satisfaction And Anticipated Turnover In Nursing, Jaynelle F. Stichler Dnsc Jan 1990

The Effects Of Collaboration, Organizational Climate, And Job Stress On Job Satisfaction And Anticipated Turnover In Nursing, Jaynelle F. Stichler Dnsc

Dissertations

The purpose of this study was to examine the effects of collaborative behavior, organizational climate, and job stress on job satisfaction and anticipated turnover in nursing. The path analytic model of anticipated turnover was temporally ordered with all exogenous variables proposed to directly affect job satisfaction and anticipated turnover and indirectly affect anticipated turnover through job satisfaction. Subjects (N = 188) were female Registered Nurses from six hospitals in Southern California. The majority of the respondents were clinical nurses who worked full time on the day shift, although a significant percentage of the sample also worked part-time or perdiem and …


Impact Of Stress And Coping On Adherence And Health Status In Patients With Hypertension, Diane Darby Goldberger Dnsc, Mn, Rn Jan 1990

Impact Of Stress And Coping On Adherence And Health Status In Patients With Hypertension, Diane Darby Goldberger Dnsc, Mn, Rn

Dissertations

The purpose of this study was to describe and explain the impact of demographic variables (age, educational level, time since diagnosis) and subsequent psychosocial variables (perceived stress, ways of coping, professional support, and social support) on adherence and, ultimately, on health status (blood pressure, psychological symptoms, and subjective health) in patients with essential hypertension whose health care was managed by a nurse. Because nurses manage the therapeutic regimens of these patients, it is necessary to identify those factors that influence adherence and thus the health of hypertensive individuals. The transactional framework of stress, appraisal, and coping of Lazarus and Folkman …


Personal And Organizational Variables Related To The Strength Of Mentoring Relationships In Nursing, Willa Fields Dnsc Jan 1990

Personal And Organizational Variables Related To The Strength Of Mentoring Relationships In Nursing, Willa Fields Dnsc

Dissertations

Mentoring is viewed as a viable developmental process for nurses that promotes professional maturation, career satisfaction, and strong, competent leaders. Personal and organizational variables related to mentoring, such as mentoring potential, professional success, immediate organizational climate, general organizational climate, and experience as a mentee, have been described in the theoretical and research literature. A conceptual model for this investigation was developed which related these variables to the mentors' perceptions of the strength of their strongest mentoring relationship. The purpose of this study was to establish the strength of the relationships delineated in the model. The model was tested on 125 …


The Everyday Life Experiences Of Three To Six-Year-Old Children With Comforting Possessions, Susan H. Harris Dnsc Jan 1990

The Everyday Life Experiences Of Three To Six-Year-Old Children With Comforting Possessions, Susan H. Harris Dnsc

Dissertations

The purpose of this study was to explore the phenomenon of comforting possessions in order to develop descriptive theory based on the perceptions, beliefs, values, symbolic meanings, and feelings of young children regarding comforting possessions. Using ethnographic methods, children with comforting possessions were observed extensively in a preschool setting (n = 10). Two of these children were later interviewed with a parent present. In addition, 17 other children were interviewed in the home or preschool setting with a parent present for a total study sample of 27 children. Several major patterns were supported by the data derived from these two …


Literary Perceptions Of Leadership, Dallas B. Boggs Edd Jan 1990

Literary Perceptions Of Leadership, Dallas B. Boggs Edd

Dissertations

The purpose of this study has been to seek out an active and influential pattern of human leadership in the pages of Western literature. Literature is a mirror of human perception and thought. It is a reflection of ideas, a means of transcribing not events as they have taken place, nor of human commentary of actual deeds, but of ideas and aspirations. As such, literature may be a more accurate reflection of the human mind than history or even philosophy. Therefore, if we are to acquire an understanding of this elusive concepts of leadership, it is necessary that we first …


The Impact Of Federal Regulation On Time To Equivalence And Compliance Within The Orthopaedic Medical Device Industry, John J. Carlow Edd Jan 1990

The Impact Of Federal Regulation On Time To Equivalence And Compliance Within The Orthopaedic Medical Device Industry, John J. Carlow Edd

Dissertations

The Medical Device Amendments of 1976 (Public Law 94-295) consolidated and expanded existing federal authority over manufacturers of medical devices. This meant that any medical device manufactured after the Medical Device Amendment of 1976 needed to establish that it is substantially equivalent in terms of content, composition, intended use and related risk. This study was designed to investigate the influences on the process of notifying the Food and Drug Administration (FDA) of an orthopaedic medical device manufacturer's intent to market a product. The study's primary objectives were twofold: 1) determine the relationships of three independent variables (i.e., the company's size …


A Study Of Factors Contributing To Achieving And Sustaining School Effectiveness In Elementary Schools, Janet A. Hageman Chrispeels Edd Jan 1990

A Study Of Factors Contributing To Achieving And Sustaining School Effectiveness In Elementary Schools, Janet A. Hageman Chrispeels Edd

Dissertations

An effective school is one in which there are overall high levels of achievement sustained over time and in which students from the lower socioeconomic (SES) subgroups are performing at levels comparable to higher SES groups. Through a case study methodology, the author analyzed the degree of effectiveness in eight elementary schools and factors that contributed to attaining this level of effectiveness. Over a five year period, data were collected at each school through interviews, effective schools surveys, CAP test results, and other school records. The effectiveness of each school was determined by applying three criteria that evaluated the overall …


Faith And Leadership: The Spiritual Journeys Of Transformational Leaders, Rita M. Marinoble Edd Jan 1990

Faith And Leadership: The Spiritual Journeys Of Transformational Leaders, Rita M. Marinoble Edd

Dissertations

Transformational leadership, as it has come to be understood in the study of leadership, is a relationship among people that is characterized by mutual purposes that transcend daily concerns--purposes directed is some way toward the common good. Transformational leaders hold and articulate vision, shape values, and engage themselves and others in efforts that somehow benefit the human community. Faith development and the spiritual journey can be viewed as providing a context for transformational leadership because they involve an individual's search for self-transcendence and ultimate meaning in life. This search is a process that includes movement towards wholeness and integration by …


The Effect Of Science Inservice Programs On The Self-Efficacy Belief Of Elementary School Teachers, P.A. Moore Edd Jan 1990

The Effect Of Science Inservice Programs On The Self-Efficacy Belief Of Elementary School Teachers, P.A. Moore Edd

Dissertations

The Problem: Science education at the elementary level has not been successful. As a nation we are producing fewer and fewer scientists and science teachers, as evidenced by the narrowing of the pipeline of students entering science classes in high school and beyond. Since a student's interest in science begins at the elementary level, any improvement in science education in these grades will help ameliorate the trend toward science illiteracy. Such an improvement rests on three critical areas: the teacher, the curriculum, and the methodology. Since preservice programs do not include rigorous science requirements, it is necessary to supplement teacher …


California Pioneers In Speech Pathology: 1915 Through 1951, Looking Back For The Future, Sandra L. Singleton Edd Jan 1990

California Pioneers In Speech Pathology: 1915 Through 1951, Looking Back For The Future, Sandra L. Singleton Edd

Dissertations

Speech pathologists are the only professionals educated and trained to treat human communication disorders. They work in a variety of settings such as schools, hospitals, and private practice. Despite the essential and integrated role speech pathology holds in society, it is continually threatened by internal concerns and external pressures. Regardless of the issues, those who cannot find resolve often call for leadership. When current situations do not yield solutions readily, an historical perspective may serve to provide answers or guidance. Historical documentation was available in detail regarding the foundation of speech pathology in Iowa and Wisconsin, in addition to published …


The Relationship Between Family Functioning And Adolescent Substance Use, Vicky R. Bowden Dnsc Jan 1990

The Relationship Between Family Functioning And Adolescent Substance Use, Vicky R. Bowden Dnsc

Dissertations

This study utilized an explanatory correlational design to examine the relationship which exists between the predictor variables of adolescent's perception of family adaptation, cohesion, and communication, parental use of substances, adolescent age and gender and the criterion variables of adolescent behavioral intention and self-reported use of alcohol, tobacco, and illicit drugs. The theoretical perspectives of the study, derived from developmental theory and the Circumplex Model of Marital and Family Systems viewed the adolescent stage as a period in which the entire family is challenged to balance levels of adaptation and cohesion in order to facilitate individuation and autonomy of adolescent …


Diverse Voices Of Leadership: Different Rhythms And Emerging Harmonies, Kathleen E. Allen Edd Jan 1990

Diverse Voices Of Leadership: Different Rhythms And Emerging Harmonies, Kathleen E. Allen Edd

Dissertations

In our current research literature leaders have been identified through traditional sampling techniques; techniques in which individuals are selected by positions, reputation, and organizational success. The background assumptions for these techniques include that of leadership as a top-down phenomenon, under the purview of CEOs and presidents. Articulated by these sampling techniques is a voice of leadership that is based within the American individualistic culture, a voice from leaders who are white, older, and men. The purpose of this study was to explore whether there are different voices of leadership which are not presently reflected in the leadership literature. Fifteen individuals …


Patterns Of Psychological Adaptation In Death And Dying: A Causal Model And Exploratory Study, Marjorie C. Dobratz Dnsc, Msn, Rn Jan 1990

Patterns Of Psychological Adaptation In Death And Dying: A Causal Model And Exploratory Study, Marjorie C. Dobratz Dnsc, Msn, Rn

Dissertations

The purpose of this study was to examine the interrelationships of the person-environment variables of age, sex, length of illness, pain, social support, and physical function as they affected psychological adaptation in dying. An adaptation paradigm of constructs from nursing, illness, and dying provided the theoretical framework which was used to formulate and test a causal model. This study, in addition, had a qualitative component that identified, from the participants' spontaneous responses, reactions to and perceptions of the dying process. A sample of 97 adults was recruited from two metropolitan home hospice programs, with testing occurring in the home. Regression …


Humanistic Caring: Personal Influences, Coping Processes, Psychological Outcomes And Coping Effectiveness, Christine Lynn Latham Dnsc Jan 1990

Humanistic Caring: Personal Influences, Coping Processes, Psychological Outcomes And Coping Effectiveness, Christine Lynn Latham Dnsc

Dissertations

Using a stress-coping theoretical framework, this path analytic study revealed personal influences and outcomes of caring by nurses from a patient's perspective. Rating the amount of humanistic caring from a specific nurse who had the greatest effect on them during their current hospital admission, this sample of 120 adult, hospitalized, medically-treated patients, between 25 to 65 years of age indicated that a moderate amount of caring tended to be beneficial. The personal factors which influenced these ratings included the desire to be kept informed, age, and pain perceptions. Younger patients, individuals who desired more cognitive control over health care, and …


The Impact Of Feeding Methods On Exclusion From Child Care For Infants Under Six Months Of Age, Elizabeth G. Jones Edd, Mph, Rd Jan 1990

The Impact Of Feeding Methods On Exclusion From Child Care For Infants Under Six Months Of Age, Elizabeth G. Jones Edd, Mph, Rd

Dissertations

The increasing numbers of women entering the work force have created a greater need for accessible, quality, and affordable child care. Concurrently there is rising concern about the transmission of infection in child care settings. There is evidence, but no consensus, that breastfeeding may offer protection from infection, especially during the first months of life. However, employed/student mothers report that efforts to maintain breastfeeding are not well supported at the work/school site. The purpose of this investigation was to examine the impact of infant feeding methods on the exclusion rate due to illness among infants less than six months of …


Profiles In Faculty Leadership: The Experience Of 1985-1986 California Community College Senate Presidents, Candice Ann Francis Edd, Ms, Ba Jan 1990

Profiles In Faculty Leadership: The Experience Of 1985-1986 California Community College Senate Presidents, Candice Ann Francis Edd, Ms, Ba

Dissertations

The Problem: Very little has been written about leadership in community colleges from the faculty perspective. California, with its highly evolved system of community colleges, 20 year history of faculty senates and recent reform legislation mandating shared governance is a logical platform from which to explore the issue of faculty leadership. This study was conducted in an effort to learn more about those who have served as California community college senate presidents. Of particular interest were the individual's motivations, expectations and reflections on the experience as well as the individual's involvement in college governance activity in the five years following …


An Evaluation Instrument For The Selection Of An Integrated Learning System, Sally Ann Draper Zoll Edd Jan 1990

An Evaluation Instrument For The Selection Of An Integrated Learning System, Sally Ann Draper Zoll Edd

Dissertations

The purchase and integration of integrated learning systems (ILSs) in schools is on the rise. Dissatisfied with stand-alone computers and software, educators are looking for a more sophisticated integration of computer technology throughout the entire curriculum, specifically, an ILS. Current research evaluating such systems is scarce. The purpose of this study was to develop an instrument that decision makers in school districts could use to evaluate an ILS at the pre-purchase stage. The instrument was designed expressly for school district personnel who have completed a needs assessment and have determined that an ILS will meet their needs. The instrument was …


A Study Of Planned Organizational Change At General Dynamics, Richard A. Barker Edd Jan 1990

A Study Of Planned Organizational Change At General Dynamics, Richard A. Barker Edd

Dissertations

A case study approach was used to evaluate organizational change that occurred between 1986 and 1989 at General Dynamics Corporation. The purpose of the study was to determine how persons in leading positions can realistically expect to plan and implement significant, planned organizational changes. The changes specifically studied were those which resulted from the planning and implementation of the Ethics Program. The Ethics Program at General Dynamics was examined not only as a case example of a planned, intended change, but as a vehicle for broad strategic goals pertaining to human resources management. Historic data from corporate documents and surveys, …


Case Studies Of First-Year Elementary Teachers On St. Croix To Develop A Model For Teacher Leadership, Ruth Harrigan Beagles Edd Jan 1990

Case Studies Of First-Year Elementary Teachers On St. Croix To Develop A Model For Teacher Leadership, Ruth Harrigan Beagles Edd

Dissertations

First-year teachers in the St. Croix School District represent an infusion of new blood into the profession whose retention, personal and professional growth are of paramount importance to the future of the profession. The purposes of this research were: (1) to examine the assumptions, concerns, beliefs, and perceptions of first-year teachers about their entry into the teaching profession; (2) to investigate the beliefs, concerns, perception, and assumptions of central office administrators, a teacher educators, a member of the Board of Education, experienced teachers, principals, assistant principals, coordinators, secretaries, parents, and paraprofessionals have about support needs for first-year teachers; (3) to …