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The Lived Experience: Stories From Those Who Have Encountered Catastrophic Loss From Flood, Margaret R. Rateau
The Lived Experience: Stories From Those Who Have Encountered Catastrophic Loss From Flood, Margaret R. Rateau
Graduate Theses, Dissertations, and Problem Reports
Natural disasters including flood affect thousands of people all over the world each year. As a direct result, millions of dollars in widespread damage occur in the regions directly impacted by such disasters. Analyzing stories from those who have suffered catastrophic loss from flood may offer a means to better understand what is important to the survivor from their perspective and may assist in the recovery process. The purpose of this research was to examine the lived experience of those who have experienced catastrophic loss from flood. The importance of this research and its impact on nursing knowledge development, research, …
Call-Shift Fatigue And Use Of Countermeasures And Strategies By Certified Registered Nurse Anesthetists, Ramona M. Domen Phd, Crna
Call-Shift Fatigue And Use Of Countermeasures And Strategies By Certified Registered Nurse Anesthetists, Ramona M. Domen Phd, Crna
Dissertations
Purpose: The purpose of this study was to examine whether Certified Registered Nurse Anesthetists (CRNAs) experience fatigue during call and to assess their use of fatigue avoidance strategies (practices that prevent fatigue) and fatigue countermeasures (practices that decrease fatigue) to mitigate its effects. Method: Using a cross sectional descriptive survey design, data were collected from a randomly selected sample of 323 practicing CRNAs who worked call shifts. Data analysis: Data were analyzed using descriptive and multivariate statistics. Results: The sample was fairly evenly distributed with slightly more female respondents, 55% (n = 179). Fifty four percent worked a weekday call …
Nursing Students' Lived Experiences Surrounding Medication Administration, Sally Nan Morgan Phd
Nursing Students' Lived Experiences Surrounding Medication Administration, Sally Nan Morgan Phd
Dissertations
Medication errors are abounding and the complexity of medication administration creates an environment where health care providers are at risk for making errors. This environment includes nursing students learning medication administration. Coupled with a rigid, protocol-driven pedagogy, nursing students may be placed in a learning experience counterproductive to accuracy. Previous studies have focused on causes and perceptions of medication errors looking for the delineation between safe and unsafe practice. In doing so, past research may have narrowed the path of discovery needed to diminish medication errors. In addition, research regarding the lived experience of nursing students while they are learning …
Students' Experiences Of Seeing The Whole Of A Clinical Situation, Mary Kay Rolloff
Students' Experiences Of Seeing The Whole Of A Clinical Situation, Mary Kay Rolloff
Dissertations
Nurses are the largest group of health care professionals. Their ability to think critically and communicate effectively even in ambiguous and uncertain situations has a direct effect on the quality, safety, and cost-effectiveness of health care. Nurses must be able to utilize critical thinking to move beyond seeing individual pieces or components of patients' clinical pictures to seeing the whole, with an appreciation of how the pieces connect and interrelate. Graduate nurses have reported difficulty in seeing the whole of a clinical situation. This qualitative study used descriptive phenomenology to describe how senior nursing students came to see the whole …
Nursing Educator's Experiences In Implementing The American Association Of Colleges Of Nursing's Accreditation Standards Related To Cultural Diversity Education, Molly Kuhle
Dissertations
No abstract provided.
Analysis Of Texas Nurses' Preparedness And Perceived Competence In Managing Disasters, Sylvia Theresa Baack
Analysis Of Texas Nurses' Preparedness And Perceived Competence In Managing Disasters, Sylvia Theresa Baack
Nursing Theses and Dissertations
Awareness of disaster preparedness has penetrated every level of the government and has captured the attention of citizens around the world. The increased prevalence of natural disasters cannot be denied, and the growing turbulence of world affairs is the focus of intense media attention. Nurses make up the largest sector of the healthcare workforce and are integral responders to major natural and human-induced disasters. It is essential that nurses have the knowledge and preparation needed to respond effectively, not only for the benefit of health care organizations, but for the safety of the community at large. This article explores the …
Health Literacy And Health Promotion Behaviors Among Samoans, Katherine Tong Phd, Msn, Cfnp, Phn
Health Literacy And Health Promotion Behaviors Among Samoans, Katherine Tong Phd, Msn, Cfnp, Phn
Dissertations
Limited health literacy is associated with failure to engage in health promotion behaviors. Few studies examine this relationship among Samoans. This study used a cross-sectional correlational design to determine health literacy levels and their relationship to health promoting behaviors in a southern California Samoan population. Health literacy (Short form Test of Functional Health Literacy in Adults) and health promotion behaviors (Health Promotion Lifestyle Profile II) were measured in a convenience sample of 87 Samoans in southern California. Data analysis employed chi-square, t-test, and one- way ANOVA. Significant associations were found for health literacy and demographic characteristics of employment and marital …
Associations Among Perceived Benefits, Barriers, Cues, And Physical Activity In Thai Primary Students, Sireewat Ar-Yuwat Phd, Mph, Rn
Associations Among Perceived Benefits, Barriers, Cues, And Physical Activity In Thai Primary Students, Sireewat Ar-Yuwat Phd, Mph, Rn
Dissertations
The purpose of this study is to examine the relationships between perceived benefits, perceived barriers, and cues to action and levels of physical activity in Thai fourth grade students. The Health Belief Model was used as the theoretical framework of the study to investigate students' beliefs related to physical activity. The participants in this cross-sectional study were fourth grade students selected by a simple random sampling method. A sample of 123 students was recruited from primary schools in Muang district, Phitsanulok province. The sample schools were selected by stratified random sampling. For data collection, the study utilized two instruments: the …
An Evaluation Of The Effectiveness Of A Nurse-Led Telephone Program For Patients With Heart Failure On Quality Of Life, Anxiety, Depression, And 30 Day Hospital Readmissions, Brooke Leaberry
Graduate Theses, Dissertations, and Problem Reports
Introduction. The prevalence of heart failure (HF) has continued to increase around the globe in the past 30 years. Despite advanced technology and rigorous management protocols, patients diagnosed with HF continue to suffer heart failure symptoms. These debilitating symptoms frequently lead to anxiety, depression, decreased quality of life, and frequent hospitalizations. The aim of this study was to examine the impact of an outpatient phone intervention on 30-day hospital readmissions, anxiety, depression, and quality of life in heart failure patients.;Methods. This study used a prospective, longitudinal design to evaluate the effectiveness of a phone intervention for patients discharged with a …
The Evaluation Of The Use Of A Paper Tracking Form To Improve Provider Adherence To Lipid Guidelines, Diane Ladd
The Evaluation Of The Use Of A Paper Tracking Form To Improve Provider Adherence To Lipid Guidelines, Diane Ladd
Graduate Theses, Dissertations, and Problem Reports
Heart disease is the leading cause of death in men and women in the United States. Significant research into the risk factors for cardiovascular disease has been done, and the effect of hyperlipidemia on cardiovascular risk has been well documented. Recent research has shown that there is a lack of adherence to lipid guidelines by primary care providers. Failure to follow clinical guidelines for lipid disorders leads to increased cardiovascular morbidity and mortality. The objective of the project was to evaluate whether a simple, paper-based, lipid tracking form could improve provider adherence to current lipid guidelines. This descriptive study used …
An Evaluation Of The Effectiveness Of A Nurse-Run Clinic For Women At Increased Risk For Breast Cancer On Anxiety, Depression, And Cancer Worry, Lisa Muto
Graduate Theses, Dissertations, and Problem Reports
Many women have risk factors that can increase their risk for developing breast cancer. These women may benefit from recommendations based on their personal and family history. Women at increased risk may experience higher levels of anxiety, depression, or cancer worry than women who are at average or only slightly increased risk. By providing these women with an accurate risk assessment, these factors may be decreased. The purpose of this project was to evaluate the effect of a nurse-run clinic for women at increased risk for breast cancer on anxiety, depression, and cancer worry.;A pre-test/post-test longitudinal design was used with …
Examining Nursing Schools' Strategies For Recruitment And Retention Of Nursing Faculty: An Exploratory Study, Naomi Elizabeth Himmelwright Lamm
Examining Nursing Schools' Strategies For Recruitment And Retention Of Nursing Faculty: An Exploratory Study, Naomi Elizabeth Himmelwright Lamm
Graduate Theses, Dissertations, and Problem Reports
The purpose of this qualitative dissertation study was to examine the types of strategies that academic leaders utilized to address nursing faculty recruitment and retention in various universities. Four research questions were formulated, focusing on current strategies used to recruit and retain nursing faculty, the effectiveness of those strategies, external partnerships utilized, and reasons behind lack of recruitment and retention of nursing faculty. A pilot study and two case studies were conducted, in which nursing administrators and nursing faculty completed a demographic questionnaire and were interviewed using a nursing administrator interview protocol and a nursing faculty interview protocol. Participants at …
Assisted Living Facilities In Louisville Kentucky : A Case Study To Examine Aging In Place., James Luther Wilson
Assisted Living Facilities In Louisville Kentucky : A Case Study To Examine Aging In Place., James Luther Wilson
Electronic Theses and Dissertations
As the older adult population in the United States continues its accelerated growth, there is a growing concern about the long-term care options for these elders. While nursing homes are no longer desirable and costly for federal and state governments, viable alternatives are being sought to meet this need. The development and rapid expansion of the numbers of assisted living communities have grown as older adults, family caregivers and government bureaucrats are looking for lower cost options. How beneficial are assisted living communities for the older adults that live in them? Most older adults seek to avoid multiple moves to …
Diabetes Group Medical Visits And Biophysical Outcomes Of Care In Uninsured Persons With Diabetes, Jennifer A. Mallow
Diabetes Group Medical Visits And Biophysical Outcomes Of Care In Uninsured Persons With Diabetes, Jennifer A. Mallow
Graduate Theses, Dissertations, and Problem Reports
Background. Rural populations with low socioeconomic status are at higher risk of late diabetes diagnosis, poor diabetes control, decreased self-management, and development of complications. Diabetes Group Medical Visits (DGMVs) have been used to improve outcomes for persons with diabetes. A gap in the literature exists related to the effectiveness of DGMVs for uninsured persons with diabetes.;Aims. The aims of the study were to describe the characteristics of uninsured persons with diabetes cared for in a free clinic, describe the biophysical outcomes of care, explore the differences in biophysical outcomes of care before and after attending DGMVs versus receiving usual care, …
Comparison Of Levels Of Empowerment And Clinical Decision-Making In Senior Bachelor Of Science Nursing Students Enrolled In A Curriculum Based On A Caring Nurse Theorist And A Curriculum Not Based On A Caring Nurse Theorist, Karen M. Johnson
Dissertations
No abstract provided.
Baccalaureate Nursing Student Civic Engagement Study, Lori A. Brown
Baccalaureate Nursing Student Civic Engagement Study, Lori A. Brown
Dissertations
No abstract provided.
A Retrospective Analysis Of Maternal And Child Outcomes Following An Obesity Intervention Program, Melinda S. Bender Phd
A Retrospective Analysis Of Maternal And Child Outcomes Following An Obesity Intervention Program, Melinda S. Bender Phd
Dissertations
Background: One of the highest risk groups for childhood obesity and associated co-morbidities in the United States are low-income Hispanic preschool children. To reduce obesity, effective interventions are being sought to improve health behaviors among high risks groups. Objectives: To evaluate a subset of data from a larger 9-month promotora facilitated obesity intervention study. The aims were to determine: 1) pre- to post-program differences in health behaviors including: (a) children's consumption of high carbohydrate beverages (HCB); and (b) maternal walking, beliefs, knowledge, self-efficacy, and relationship building regarding nutrition and physical activity; and 2) which covariates were significant for change in …
Lived Experience: East African Somali Speaking Women Accessing The U.S. Healthcare System, Shukri Adam Phd
Lived Experience: East African Somali Speaking Women Accessing The U.S. Healthcare System, Shukri Adam Phd
Dissertations
Access to prenatal healthcare for East African Somali Speaking Women (EASSW) who are immigrants to the U.S. has been dependent on the availability of a systematic healthcare treatment model. The purpose of this study was to explore EASSW's lived experiences in accessing prenatal healthcare services in the U.S. A descriptive, qualitative phenomenological approach informed by the work of Husserl was used to explore EASSW's experiences, views, and problems encountered while attempting to access prenatal healthcare services in the U.S. Fifteen EASSW of childbearing age (ages 18–45) were recruited for this study. All participants interviewed privately, beginning with a semi-structured, open-ended …
The Experience Of Forgiving In The Marital Relationship, Kathleen M. Leo
The Experience Of Forgiving In The Marital Relationship, Kathleen M. Leo
Seton Hall University Dissertations and Theses (ETDs)
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The Effect Of Tai Chi Exercise On Balance And Falls In Persons With Parkinson’S, Beth A. Gladfelter
The Effect Of Tai Chi Exercise On Balance And Falls In Persons With Parkinson’S, Beth A. Gladfelter
Evidence-Based Practice Project Reports
Parkinson’s disease (PD) is a neurodegenerative disease that progresses to impair one’s gait and balance, often causing falls and subsequent disability. Current management of PD is aimed at treating the symptoms but is not effective in treating the underlying cause, nor does typical treatment effectively improve postural stability. Exercise can decrease symptoms of the disease and lessen disability. Providers need to find alternatives to the costly physical therapy that is prescribed to treat progressive and debilitating PD. Tai Chi (TC) has been shown to offer an enjoyable exercise routine that participants want to maintain. There is evidence to support the …
Interventions To Improve The Management Of Medically Uninsured Adult Patients With Type 2 Diabetes Mellitus In Primary Care, Community-Based Settings, Lynn Miskovich
Evidence-Based Practice Project Reports
This project measured the effect of a clinical algorithm on the provision of care to medically uninsured adult patients with type 2 diabetes and a low socioeconomic status (SES). Primary providers often fail to implement established standards for diabetes care to their maximal benefit and do not achieve American Diabetes Association (ADA) treatment standards. Saydah, et al. (2004) reported that only 48% of patients with diabetes achieved the recommended HbA1c goal, and 33% reached blood pressure and LDL targets. Goals for all three clinical parameters were obtained by only 7% of patients. The Stetler Model of Evidence-based Practice (EBP) provided …
Cord Blood Collection In Pregnant Women For Stem Cell Research, Irene Carr Phd
Cord Blood Collection In Pregnant Women For Stem Cell Research, Irene Carr Phd
Dissertations
Umbilical cord blood (UCB) stem cells form commonly banked types of human tissue. Confusion remains about sources of stem cells and their use. Birth is a once in a lifetime opportunity with 74 million births per year in the world and four million occur in the United States. Cord blood contains hematopoietic stem cells and pluripotent mesenchymal cells (Moise, 2005). There is a surge of interest in the clinical use and research investigation of umbilical cord blood for transplantation and regenerative medicine. Clinicians need increased awareness and education of options for private versus public donation and banking of cord blood …
The Professional Practice Leader: The Role Of Organizational Power And Personal Influence In Creating A Professional Practice Environment For Nurses, Sara L. Lankshear
The Professional Practice Leader: The Role Of Organizational Power And Personal Influence In Creating A Professional Practice Environment For Nurses, Sara L. Lankshear
Electronic Thesis and Dissertation Repository
Professional Practice Leadership (PPL) roles were introduced in response to health care professionals’ concerns about the loss of professional autonomy and other possible negative consequences on professional practice arising out of the widespread implementation of program management during health care restructuring. Despite the extensive implementation of the PPL role in Ontario, there is a paucity of empirical studies examining the impact of the PPL role. The main purpose of this study was to address this knowledge gap by determining the role of organizational power and personal influence in enabling the PPL to fulfill their role functions toward creating a positive …
Evaluation Of A Protocol Change To Improve Screening Of Mineral Bone Disorders In Patients With Stage 3 Chronic Kidney Disease, Jarena Kelly
Evaluation Of A Protocol Change To Improve Screening Of Mineral Bone Disorders In Patients With Stage 3 Chronic Kidney Disease, Jarena Kelly
Graduate Theses, Dissertations, and Problem Reports
Chronic kidney disease (CKD) is a growing worldwide problem. Patients with CKD are at great risk for multiple health problems and ultimately face end stage renal disease (ESRD). One of the problems of concern is the loss of bone mass, termed mineral bone disorders (MBD). The literature reveals that bone mass loss can begin as early as stage 3 CKD. The National Kidney Foundation (NKF) Clinical Practice Guideline (2003), and The Kidney Disease: Improving Global Outcomes (KDIGO, 2009) recommend that persons identified in stage 3 CKD be screened for hypovitamintosis D, elevated intact parathyroid (iPTH) levels, and abnormal calcium and …
Exploring The Sleeping Experiences Of Shiftwork Nurses, Patricia A. Doty
Exploring The Sleeping Experiences Of Shiftwork Nurses, Patricia A. Doty
Master's Theses
Shiftwork scheduling in nursing can lead to diminished health status, quality of life and job dissatisfaction, and it can contribute significantly to decreases in the quality of patient care. In light of the current nursing shortage, and the increasing need for healthcare professionals and services in the coming years, it is imperative that nursing administrators focus on identifying and implementing interventions that counteract the deleterious effects of shiftwork now. This investigation was conducted to explore the sleeping experiences of shiftwork nurses. A convenience sample of 69 (N = 69) licensed nurses working day shift, evenings, nights and rotating shifts at …
Living With Migraine Headache: A Phenomenological Study Of Women's Experiences, Anthony R. Ramsey
Living With Migraine Headache: A Phenomenological Study Of Women's Experiences, Anthony R. Ramsey
Graduate Theses, Dissertations, and Problem Reports
Multiple studies have addressed migraine headache in recent years. There is little research related to women.s experiences of living with migraine headache. Researchers have explored migraine headache from a pathophysiological perspective and medical treatment perspective. Studies exploring what it is like for women to live with migraine headache on a day-to-day life basis have not been produced. This qualitative study explored the lived experience of eight women who had migraine headache. Participant stories were gathered and analyzed using the middle range story theory and the phenomenological approach described by van Manen. A structure of meaning of living with migraine headaches …
Evaluation Of A Medication Reconciliation Practice Change In Primary Care, Laura L. Danals
Evaluation Of A Medication Reconciliation Practice Change In Primary Care, Laura L. Danals
Graduate Theses, Dissertations, and Problem Reports
Statement of the Problem and Significance: Inaccuracies in patients' medication lists in primary care are safety concerns. Extensive research has been conducted on medication practices and patient safety within the hospital; however, the research for primary care is sparse.;Study Design: Lippitt's Change Theory was utilized as the theoretical framework. The project design was based on evidence derived from the 2008 The Joint Commission National Patient Safety Goals. The study was performed over a period of three months. Pre-intervention data was gathered and analyzed for the use of current electronic medication records. The healthcare team was educated on the electronic medication …
Evaluation Of The Impact Of The Creating Opportunity For Personal Empowerment (Cope) Healthy Lifestyles Thinking, Emotions, Exercise, And Nutrition (Teen) Program In A Rural High School Health Class, Teresa Ritchie
Graduate Theses, Dissertations, and Problem Reports
Background. More than 12.5 million children in the United States are overweight. More specifically, in 2007, 31% of 9th grade students in West Virginia were overweight. Healthy People 2010 identified obesity as among the top ten health issues and set a goal to reduce the proportion of children and adolescents who were overweight to 5%. This goal was not attained because most current interventions to prevent and treat obesity have not been effective in changing the weight status of children and adolescents. However, cognitive behavioral interventions, combined with parent education have been found to be an effective strategy in weight …
The Evaluation Of The Effectiveness Of A Structured Educational Program On Nurses' Assessment Ratings In An Epilepsy Monitoring Unit, Mona Baran Stecker
The Evaluation Of The Effectiveness Of A Structured Educational Program On Nurses' Assessment Ratings In An Epilepsy Monitoring Unit, Mona Baran Stecker
Graduate Theses, Dissertations, and Problem Reports
Background: There has been little published about nursing care on an epilepsy monitoring unit (EMU). Patients with epileptic and non-epileptic events require close monitoring and thorough assessments. In addition, it is especially important that these patients are provided a safe environment.;Purpose: The purpose of this project was to evaluate the impact of a structured educational program for nurses on an EMU in the assessment of patients with clinical events by quantitatively measuring nursing assessments before and after the program.;Objectives: There were two objectives for this project. The first objective was to measure nurses' assessments of patients on the EMU in …
The Post Deployment Lived Experience Of U.S. Military Troops After Combat-Related Blast Exposure, Shirely A. Jett Phd
The Post Deployment Lived Experience Of U.S. Military Troops After Combat-Related Blast Exposure, Shirely A. Jett Phd
Dissertations
Blast-induced neurotrauma (BINT) is a newly emerging re-occurrence of an old combat-related injury in U.S. military troops returning from deployment in Afghanistan and Iraq. BINT is leading to a silent epidemic of symptomatic troops who face barriers to accessing healthcare and suffer debilitating symptoms in silence. The purpose of this hermeneutic phenomenological study was to discover the meaning of the lived experience of U.S. troops returning from Afghanistan and Iraq after combat-related blast exposure. Eleven service members and veterans ranging in age from 21 to over 30 years old participated in semi-structured face to face interviews. These service members and …