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Full-Text Articles in Medicine and Health Sciences

“You Came To Not Normal Land”: Nurses' Experience Of The Environment Of Disaster: A Phenomenological Investigation, Stasia Elizabeth Ruskie Dec 2015

“You Came To Not Normal Land”: Nurses' Experience Of The Environment Of Disaster: A Phenomenological Investigation, Stasia Elizabeth Ruskie

Doctoral Dissertations

Previous research suggests US nurses are unprepared for disaster, and suffer from adverse psychosocial outcomes following their disaster response. Current disaster preparedness focuses on providing hospital-centric trauma and acute care in fully resourced Western conditions, and does not include the environmental realities of the disaster setting. This study utilized an existential phenomenological approach to explore the meaning of the nurse’s experience of the disaster environment. Eleven nurses with broad disaster expertise and training levels participated in this research. The essence of their disaster experiences can be summed up by the central theme of “You came to not normal land.” Four …


Examining The Relationships Between Gratitude And Readiness For Self-Directed Learning In Undergraduate Nursing Students, Kellee Renee Vess Dec 2015

Examining The Relationships Between Gratitude And Readiness For Self-Directed Learning In Undergraduate Nursing Students, Kellee Renee Vess

Doctoral Dissertations

The purpose of this study was to explore the relationships between gratitude and readiness for self-directed learning among nursing students enrolled in a four-year baccalaureate nursing program. For this study a sample of 59 nursing students were selected from a four-year baccalaureate nursing program, situated in a private, faith-based college in the Southeast United States. During data collection, participants were asked to complete the Gratitude 6-item questionnaire [GQ-], the 40-item Self-Directed Learning Readiness Scale for Nursing Education [SDLRS-NE], and two demographic questions (i.e., age and class rank). Using both parametric and nonparametric statistics, this study examined eight research questions, and …


Experiences Of Newly Licensed Registered Nurses Who Stay In Their First Jobs, Lisa D. Kirkland Dec 2015

Experiences Of Newly Licensed Registered Nurses Who Stay In Their First Jobs, Lisa D. Kirkland

Doctoral Dissertations

Most newly licensed registered nurses go to work in acute care hospitals, which means they enter an increasingly complex healthcare environment where they experience staffing shortages, high nurse-patient ratios, and workplace violence. The purpose of this study is to attempt to understand the experiences of newly licensed registered nurses who have endured the early years of bedside hospital nursing and continue to work in their first nursing job. The existential phenomenological philosophy of Merleau-Ponty serves as the guiding framework for this qualitative research study. Following IRB approval, criterion and snowball sampling were used to recruit newly licensed registered nurses who …


Developing An Optimal Model For Infant Home Visitation, Isaac Atuahene Aug 2015

Developing An Optimal Model For Infant Home Visitation, Isaac Atuahene

Doctoral Dissertations

The United States, Great Britain, Denmark, Canada and many other countries have accepted home visitation (HV) as a promising strategy for interventions for infants after births and for their mothers. Prior HV studies have focused on theoretical foundations, evaluations of programs, cost/benefit analysis and cost estimation by using hospital/payer/insurance data to prove its effectiveness and high cost. As governments and private organizations continue to fund HVs, it is an opportune time to develop and formulate operations research (OR) models of HV coverage, quality and cost so they might be used in program implementation as done for adult home healthcare (HHC) …


Newly Licensed Registered Nurses' Experiences With Clinical Simulation, Carrie Ann Bailey Aug 2015

Newly Licensed Registered Nurses' Experiences With Clinical Simulation, Carrie Ann Bailey

Doctoral Dissertations

The purpose of this study was to understand how new graduate nurses perceive the value of simulation in making the transition into professional practice. This study will use a descriptive qualitative approach with a sample of first year nurses. Kolb’s Experiential Learning Model serves as this study’s conceptual framework. For the current study, the sample consisted of 10 newly graduated, female nurses with less than one year of experience working in the hospital setting were interviewed. Data analysis included interviews and transcription by the researcher. Finally, participants were asked about themes to increase rigor. Four themes emerged from this research: …


“It’S Killing Us!” Narratives Of Black Adults About Microaggression Experiences And Related Health Stress, Joanne M. Hall, Becky Fields Jul 2015

“It’S Killing Us!” Narratives Of Black Adults About Microaggression Experiences And Related Health Stress, Joanne M. Hall, Becky Fields

Faculty Publications and Other Works -- Nursing

Perceived racism contributes to persistent health stress leading to health disparities. African American/Black persons (BPs) believe subtle, rather than overt, interpersonal racism is increasing. Sue and colleagues describe interpersonal racism as racial microaggressions: “routine” marginalizing indignities by White persons (WPs) toward BPs that contribute to health stress. In this narrative, exploratory study, Black adults (n= 10) were asked about specific racial microaggressions; they all experienced multiple types. Categorical and narrative analysis captured interpretations, strategies, and health stress attributions. Six iconic narratives contextualized health stress responses. Diverse mental and physical symptoms were attributed to racial microaggressions. Few strategies in …


Exploring Holistic Comfort In Children Who Experience A Clinical Venipuncture Procedure, April Athena Bice May 2015

Exploring Holistic Comfort In Children Who Experience A Clinical Venipuncture Procedure, April Athena Bice

Doctoral Dissertations

Children often experience the uncomfortable effects of invasive procedures as a part of primary health supervision and during times of illness. Inadequate procedural comfort management can lead to numerous lasting harmful effects including distrust of healthcare providers, future intensified pain responses, negative cognitive and emotional experiences, and psychosocial health problems (Czarnecki et al. 2011). Holistic comfort has been well documented in adult literature but little research exists on the understanding of holistic procedural comfort from the child’s perspective. The purpose of this study was to explore perspectives of children age 4 to 7 years and their caregivers regarding procedural holistic …


Disaster Resilience In Rural Appalachia, Erin K. Conley May 2015

Disaster Resilience In Rural Appalachia, Erin K. Conley

Chancellor’s Honors Program Projects

No abstract provided.


Parental Responses To Outcomes Of Developmental Screening Among Children: A Pilot Study, Ashley Elaine Manus May 2015

Parental Responses To Outcomes Of Developmental Screening Among Children: A Pilot Study, Ashley Elaine Manus

Chancellor’s Honors Program Projects

No abstract provided.


Exploring Nursing Students' Perceptions Of Electronic Fetal Monitoring App, Rachael Brooke Wyatt, Isaac Moore, Valerie White, Michelle Miller, Callie Heitzman Apr 2015

Exploring Nursing Students' Perceptions Of Electronic Fetal Monitoring App, Rachael Brooke Wyatt, Isaac Moore, Valerie White, Michelle Miller, Callie Heitzman

EURēCA: Exhibition of Undergraduate Research and Creative Achievement

Within the healthcare realm, innovative technology has become an integral part of teaching in today’s nursing education, specifically computer-generated teaching applications. A new application that combines both nursing simulation and teaching methods regarding electronic fetal monitoring and fetal heart rhythms was developed at the University of Tennessee in fall 2014.This application was created in collaboration with both the College of Engineering and the College of Nursing. The Electronic Fetal Monitoring App displays instructor-created fetal heart rate (FHR) and maternal contraction patterns to simulate a monitor enabling live- feed interpretation in the classroom or simulation setting. It also has the potential …


Red Bird Water Kiosk Pavilion _ Clean Water Clean Life, Garrett Keyes Nelli Apr 2015

Red Bird Water Kiosk Pavilion _ Clean Water Clean Life, Garrett Keyes Nelli

EURēCA: Exhibition of Undergraduate Research and Creative Achievement

Architecture has the power to strengthen community bonds, support a healthy life style and enrich individual lives. The Red Bird Water Kiosk seeks to achieve all three of these on the site of the Red Bird Mission campus, located deep in the Appalachian Mountains of Clay County, Kentucky. This is an area where most live below the poverty line, and about 64 percent of water sources are contaminated. As a result, lack of clean water has forced many locals to turn to unhealthy living standards. Because of these conditions, the county ranks as one of the poorest in the nation, …


Married And Unmarried Cohabitation Impact On Maternal Reproductive Behaviors And Neonatal Health Factors, Ashley Steinmetz Apr 2015

Married And Unmarried Cohabitation Impact On Maternal Reproductive Behaviors And Neonatal Health Factors, Ashley Steinmetz

EURēCA: Exhibition of Undergraduate Research and Creative Achievement

There has been a rapid increase in the number of unmarried couples that participate in the same family practices as their married counterparts such as having children and cohabiting in the same residence. Unmarried cohabiting mothers are at a higher risk of smoking, experiencing symptoms of depression and having more stressful pregnancies than married cohabiting mothers. These conditions place the neonates of unmarried cohabiting mothers at an increased risk for low birth weight, low Apgar scores and low gestational age. Such findings suggest that these unmarried cohabiting mothers and their neonates are not receiving the proper support required during pregnancy. …