Medicine and Health Sciences Commons^™

Nurse Manager Role Stress, Rosemarie Mohn

Nursing Theses & Dissertations

The purpose of this study was to examine the influence of decision-making style, and right and left brain function on nurse manager role stress. Data were collected from 48 nurse managers employed at four acute care facilities along the Atlantic seaboard. A nonexperimental correlation descriptive design was utilized to determine if any positive or negative correlation existed between study variables and levels of stress. Findings suggested that nurse managers experienced moderate amounts of role stress, including role conflict and role ambiguity. One significant statistical correlation existed between role ambiguity and the decision making dimension of intuition. Recommendations for future research …

Coping Styles Of Nurse Practitioners And The Effectiveness Of These Styles In Managing Stress, Carol J. Kolarik Smith

MSN Research Projects

The purpose of this descriptive correlational study was to identify the coping styles used by nurse practitioners and determine the effectiveness of these styles in managing stress. The Roy Adaptation Model for Nursing was the theoretical framework used for this study. The research question which guided the data collection was what are the coping styles of nurse practitioners and how effective are these styles in managing the stress relative to functioning in the expanded role of nurse practitioner? The sample of convenience consisted of 72 nurse practitioners from Mississippi (30) and Tennessee (42) who completed and returned the survey questionnaire. …

Nurse Practitioners' Attitudes Toward Geriatric Euthanasia, Carol Thompson

MSN Research Projects

Health care professionals are being confronted with dilemmas about when and if life should be prolonged for the elder. This situation has been intensified because of the development of technology and the aging of the population. The purpose of this descriptive study was to examine nurse practitioners' attitudes toward geriatric euthanasia. Travelbee's Human-to-Human Relationship Model was the theoretical framework for this research. A sample of 47 nurse practitioners in Mississippi who had the probability of caring for the elder participated in this study. Nurse practitioners were asked to complete the Thompson Life- Prolonging Survey in which vignettes describing geriatric patients …

Impact Of Follow-Up Encounters By A Geriatric Nurse Clinician On Return Visits To The Emergency Department By Elderly Clients, Lynn Smith

MSN Research Projects

Wiedenbach's Theory of Nursing as the helping art was the framework for this quasi-experimental study. This study sought to determine the effects of a follow-up encounter by a Geriatric Nurse Clinician on return visits to the emergency department by elderly clients. A nonprobability quota sampling consisted of elders, 65 to 92 years of age with chronic health problems, who utilized the emergency department of a 474-bed urban hospital. Thirty subjects were randomly assigned to three equal groups: Groups A and B received either a telephone call or a home visit, while Group C received no follow-up encounter. Demographic data were …

The Effects Of A Teaching Program About Aids Prevention On The Knowledge, Attitudes, And Behaviors Of High School Students, Deborah Whitehead

MSN Research Projects

As the number of adolescents contracting Acquired Immunodeficiency Syndrome (AIDS) increases, the importance of educational interventions to change behaviors, attitudes, and knowledge regarding AIDS becomes more significant. The purpose of this study was to ascertain the effects of a teaching program about AIDS prevention on the knowledge, attitudes, and behaviors of high school students. Orem's Self-Care Theory was used to guide this quasi-experimental study. The sample consisted of 49 twelfth-grade students who were drawn from two high schools in rural Northeast Mississippi. The Student Health survey was utilized to assess students' knowledge, attitudes, and behaviors about AIDS. Descriptive analysis and …

Reasons Community-Based Hospice Patients Require Hospitalization, Patricia Northcutt Stephens

MSN Research Projects

The philosophy of a community-based hospice program involves care of terminally ill patients in their homes. However, some patients do not remain at home and are hospitalized. This descriptive study was conducted to determine reasons community-based hospice patients require hospitalization. Orem's Theory of Self-Care and Theory of Nursing Systems provided the theoretical framework. A convenience sample of 9 hospice patient primary caregivers from a community-based hospice program in West Central Alabama participated. These caregivers provided care to 9 hospice patients over the age of 40 years who required hospitalization in 1990 and had since expired. During scheduled home interview visits, …

A Comparison Study Of Coping Mechanisms In Clients And Significant Others Of Home And In-Center Hemodialysis, Judy Stevens

MSN Research Projects

The purpose of this study was to determine the coping mechanisms used by clients with end-stage renal disease and their significant others. This descriptive, comparative study was guided by the hypothesis: Clients and significant others of home hemodialysis use different coping mechanisms from the clients and significant others of in-center hemodialysis. Orem's Nursing Systems Theory provided the theoretical framework. The sample (N = 43) consisted of 12 home hemodialysis clients and 12 home significant others and 12 in-center hemodialysis clients and 12 in-center significant others who resided in East Central, West Central, and Central Mississippi. Data were collected utilizing the …

Postpartum Health Education Needs: Perceptions Of First-Time Mothers And Health Care Providers, Lisa Elam Rowland

MSN Research Projects

A descriptive study was designed to answer the following research questions: 1) What are the postpartum health education needs perceived by first-time mothers in the hospital setting and in the primary care setting, and 2) What are the postpartum health education needs of new mothers perceived by health care providers in the hospital setting and in the primary care setting. Mercer's Theory of Maternal Role Attainment was used to guide the research. Forty-nine subjects participated in the study. The samples consisted of first-time mothers in the hospital (n=22), first-time mothers in the primary care setting (n=15), hospital health care providers …

The Level Of Self-Confidence Related To Knowledge And Skills Of Nurse Clinicians Practicing In The Expanded Role, Myra E. Fitts

MSN Research Projects

The level of self-confidence attained in a particular role affects the ability to perform in that role. Self- confidence is not innate but is developed through the interactions and experiences one has. The purpose of this study was to identify the level of self-confidence related to knowledge and skills of nurse clinicians practicing in the expanded role. Benner’s (1984) framework. From Novice to Expert, provided the direction and structure for this descriptive study. Three hundred thirty- three nurse clinicians licensed to practice primarily in four southeastern states participated in this study. Data were collected using the Thibodeau/Hawkins Self-Assessment Scale and …

A Comparison Study Of Coping Mechanisms In Clients And Significant Others Of Home And In-Center Hemodialysis, Judy Stevens

MSN Research Projects

The purpose of this study was to determine the coping mechanisms used by clients with end-stage renal disease and their significal others.

The Impact Of Using Barrier Touch On The Client's Perception Of Caring, Barbara Chatham

MSN Research Projects

The purpose of this study was to determine if the client perceived any difference in caring when nurses wore gloves and when they did not.

Self-Perceived Health Concerns Of Early, Middle, And Late Adolescents, Diane Baker

MSN Research Projects

The purpose of this descriptive study was to identify the self-perceived health concerns of early, middle, and late adolescents.

A Comparative Analysis Of Registered Nurse Demand In Tennessee Rural And Urban Hospitals And Nursing Homes, Carol H. Pullen

Electronic Theses and Dissertations

The purpose of this study was to compare Registered Nurse (RN) current and future demand between Tennessee rural and urban licensed hospitals and nursing homes. Comparisons of Registered Nurse demand by principal duty or position and by educational level were also undertaken. The educational level of RNs was examined using the proportion of RNs at each of five educational levels: diploma, associate, baccalaureate, master's, and doctorate. The variables examined were 1988 and 1989 vacancy rates and proportion of budgeted positions, change in vacancy rates and proportions from 1988 to 1989, projected changes in positions and proportions from 1988 to 1992 …

Organized Nursing In The Silver State: A History Of The Nevada Nurses' Association, Ellen Suzanne Fries Dnsc, Mn, Rnc

Dissertations

Membership in a professional organization traditionally has been considered one of the characteristics of a person avowed to practice a profession. The purpose of this study was to conduct an historical analysis of the Nevada Nurses' Association (NNA) to determine the influence of national, state, and local societal issues on the evolution of the organization. Data was collected from the Nevada Historical Society in Reno, the NNA state office, the Special Collections at the University of Nevada, Las Vegas, and the Nursing Archives at Boston University. Articles in professional and lay literature also provided information. Organization theory and congruence with …

Baccalaureate Reentry Students: Effects Of Professional Support On Role Conflict And Role Transition, Ruth N. Grendell Dnsc, Msn, Rn

Dissertations

An increasing number of registered nurses and other health care providers are entering upper division academic nursing programs to obtain the baccalaureate nursing degree. A path analytic model was developed to examine the interrelationships of multiple roles and focal role commitments, previous education, work experience, and role conflicts perceived by reentry adult students, and the influence of professional support in the subsequent transition to the professional role. Group differences between Registered Nurses (RNs) and military corpsmen were also investigated for the variables of importance. A sample of 206 RNs and 37 U.S. Navy corpsmen (from a current population of 96) …

Managing Patient Care: A Substantive Theory Of Clinical Decision Making In Home Health Care Nursing, Felicitas A. Dela Cruz Dnsc, Ma, Rn

Dissertations

This study investigates the phenomenon of clinical decision making, deriving a grounded substantive theory to explain how home health care nurses make patient care decisions. Despite the continuing shift of health care from acute care settings to the patient's home, little is known about home health care nurses' clinical decision making processes and the factors influencing them. The study employs a field research design using grounded theory based on symbolic interactionism. Data collection at two Visiting Nurse Associations includes participant observation and open-ended interviews of 21 nurses, and document analysis of patients' records and home care nursing practice policies. The …

Norfolk Resource Mothers Program Evaluation, Margaret Moore Konefal

Theses and Dissertations in Urban Services - Urban Management

This study uses the post-test only design to assess the preliminary effects of a community-based policy initiative, the Norfolk State University Resource Mothers Program (RMP), on the gestational ages, birth weights, and survival rates of infants born to participating adolescent mothers.

The RMP uses experienced mothers or paraprofessionals similar in race and socio-economic status to the participating teenagers. These persons are trained to assist pregnant adolescents and teen parents with nonmedical dimensions of pregnancy and child care. They recruit teens into the RMP, encouraging them to get early prenatal care. Resource Mothers provide teen mothers and their families with practical …

Nurse Leaders: The Relationship Between Return To School And Sex Role Traits, Family Demographics And Household Responsibilities, Mary Lynn Anderson

Dissertations

The purposes of this study were: (a) to describe differences , if any, in sex-role traits, age and number of children, proportionate income, and responsibility for household tasks and childcare between female registered nurses who return to college and those who do not; and (b) to extend the research regarding the adult learner's return to college in the specific area of baccalaureate degree completion by registered nurses. Chi square and analysis of variance of survey data, and interviews were used in determining differences between the student and nonstudent groups.

Four hypotheses were tested. The only hypothesis which was supported was …

Identification Of Health Promotion Behaviors, Perceived Health Status And Perceived Health Education Needs Of Older Women, Susan Carol Fellinger Reynolds

Nursing Theses & Dissertations

The health-promoting behaviors, perceived health status, and perceived health education needs of older women were identified in this non-experimental, descriptive, correlational study. Fifty women over 60 years of age, living in three housing complexes for the elderly, disabled and handicapped in two southeastern United States cities were asked to complete The Health-Promoting Lifestyle Profile, The Perceived Health Status Questionnaire, The Health Education Needs Questionnaire, and Demographic Data Sheet. It was concluded that the women engaged in a high level of health-promoting behaviors. The participants rated their health as good and rated their health as good compared to that of other …

Formal And Informal Educational Activities Of Transformational Nurse Leaders In Urban Hospitals, Sue Waltrip Young

Theses and Dissertations in Urban Services - Urban Education

Absence of educational programs designed to develop a specific leadership style has prompted educators in nursing administration to consider designing such programs. As the cost of hospital care escalates and the recruitment and retention of individuals into hospital nursing remains problematic, it is essential that methods be developed to address these issues. This study described the educational processes experienced by transformational nurse leaders employed in urban hospitals. By discovering the relative importance and amount of these activities for nurses identified as transformational leaders, data are provided for the design and testing of educational programs created to enhance a transformational leadership …

A Comparative Analysis Of Nurse Leaders' Degree Of Transformational Leadership And Staff Nurse Job Satisfaction, Kathie Sawyer Weatherly

Nursing Theses & Dissertations

The intensified pressure for change in nursing organizations has presented nurse leaders with opportunities to transform bureaucratic settings into professional practice environments. Transformational leadership has been identified as supporting the changing values of staff nurses and promoting job satisfaction. The purpose of this study was to explore nurse leaders' degree of transformational leadership and the relationship between transformational leadership and staff nurse job satisfaction. Quantitative analysis, using an independent t-test, indicated a significant difference between nurse leaders' and staff nurses' perception of the nurse leaders' degree of transformational leadership. Pearson correlation analysis indicated a significant relationship between transformational leadership and …

Problems And Coping Styles Of Antepartal Patients Being Treated For Risk Of Preterm Labor, Janet Wiehrs Rogers

Nursing Theses & Dissertations

The purpose of this study was to identify the range of problems and coping strategies as perceived by antepartal patients experiencing medical treatment to decrease risk of preterm labor. In this qualitative, interpretive study problems and coping strategies were identified through semi-structured interviews with a convenience sample of seven antepartal patients. Using content analysis of interview data, identified problems were categorized, and for each problem, coping strategies were identified and grouped using the categories of the Jalowiec Coping Scale. Major categories of problems were: bedrest, role change, finances, uncomfortable emotions, and reactions of families and friends. Supportant, palliative, and confrontive …

Identification And Ranking Of Stressors Specific To The Acute Head Care Nurse, Joan A. Breen

Community & Environmental Health Theses & Dissertations

No abstract provided.

Elders Caring For Elders: Risk Of Abuse And Neglect?, Marjorie F. Bendik Dnsc, Msn, Rn

Dissertations

This study was designed to examine the phenomena of mood disturbance and associated potential to abuse in an elderly caregiver population. The data from which the results were obtained came from structured interviews, using quantitative measures, with 110 men and women caregivers aged 55 and over, living at home and caring for another physically or mentally ill elder (usually a spouse or other relative) who was living with them. A causal model was developed to examine the effects of locus of control, social support, physical health, stress perception, and coping efficacy on total mood disturbance and potential to abuse. Standardized …

Factors Related To Self-Care Agency And Self-Care Practices Of Obese Adolescents, Kathy Shadle James Dnsc, Msn, Rn

Dissertations

Identification of factors that influence obese adolescents' health behaviors is necessary if obese adolescents are to benefit from therapeutic interventions. The purpose of this descriptive-correlational study was to identify the relationships between selected basic conditioning factors (BCFs)--perceived health status (PHS), perceived self-efficacy (PSE), family satisfaction (FS), and life events (LE)--and the self-care agency (SCA) and self-care practices (SCP) among obese adolescents. The relative predictive strength of each BCF in relation to the outcome variables was also explored. Orem's self-care theory provided the conceptual framework for this study. The convenience sample of 100 obese adolescents included campers from two southern California …

Outcome Evaluation Of A Critical Care Orientation Program For Nurses, Mary Frances Wisniewski

Master's Theses

No abstract provided.

Staff Nurse Perceptions Of Performance Feedback In A Clinical Ladder Performance Appraisal System, Eileen T. French

Master's Theses

No abstract provided.

Breast Self Examination: Factors Influencing Compliance And The Health Belief Model, Jean Marie Russell

Master's Theses

No abstract provided.

Relationships Of Osteoporosis Health Beliefs To Practiced Exercise Behaviors Of Women, Sandra J. Esch

Masters Theses

The purpose of this study was to examine the relationship of health beliefs contained in the Health Belief Model to practiced exercise behavior of women. A descriptive correlation design was used with a convenience sample of 201 women. The revised version of the Osteoporosis Health Belief Exercise Scale developed by Kim, Horan, Gendler and Patel (1991b) was used to measure health beliefs related to osteoporosis. The ARIC/Baecke questionnaire of Habitual Physical Activity was used to measure life style physical activity. Health motivation and exercise benefits were found to be positively correlated to exercise behavior. However, susceptibility and exercise barriers were …

Determinants Of Health Promotion In The Elderly, Victoria Ann Merren

Masters Theses

The purpose of this study was to look at determinants of health promotion in the elderly. Pender's (1982) Health Promotion Lifestyle Profile, Wallston & Wallston's (1979) Health Locus of Control Scale, and demographic variables were included on a questionnaire given to a convenience sample of 47 adults, ages ranged from 60-89. All subjects were Caucasian and 65% were female.; The theoretical framework that was used in this descriptive study was Pender's (1987) Health Promotion Model. Standardized z-scores for the Health Locus of Control subscales classified subjects as either "internal" or "external" locus of control. Thirty-five percent were internal.; Forward Regression …