Medicine and Health Sciences Commons^™

Bridging The Gap With Old Order Amish: A Cultural Brokering Model Based On Culture Care Theory, Sharon M. Mcgill

Theses and Graduate Projects

The Old Order Amish people have chosen to live a humble lifestyle consistent with their cultural beliefs and values. This lifestyle guides the Amish people in utilizing home based care (generic care) for their everyday health need.s and professional care (Western medical- care) to meet their needs during a health crisis. In fact many Old Order Amish seek professional care as the last resort. The purpose of this protect is to develop a model of advanced transcultural nursing practice that bridges the gaps between the Old Order Amish generic care practices and Western professional health care practices - This model …

A Comparison Of An Individually Tailored And A Standardized Asthma Self-Management Education Program, Judy Ann Shackelford

Dissertations

Asthma is one of the most prevalent chronic diseases in the United States (Centers for Disease Control [CDC], 2003). According to the CDC (2003), prevalence of asthma continues to rise in epidemic proportions and is very costly. While asthma cannot be prevented or cured, it can be controlled to improve quality of life. Self-management is key to controlling asthma (CDC, 2003; National Heart, Lung, and Blood Institute [NHLBI], 2002). State of the science for asthma self-management establishes that health care costs decrease for self-management intervention groups (Lindberg et al, 2002; Thoonen et al, 2003). Education is essential to support asthma …

Missouri Ozark Women's Experiences Of Living With Postpartum Depression Symptoms, Nathalie B. Williams

Dissertations

Depression is a serious complication of the postpartum period that affects not only women but their children and families as well. Rural women are of particular concern because of the significant barriers to health care that they experience as a result of isolation, poverty, traditional beliefs, and a lack of accessible and adequate health related services. A review of the literature to identify evidence based nursing interventions that focused on primary and secondary prevention of postpartum depression revealed few interventions and there were no studies identified that targeted or even included women living in rural areas of the United States. …

Leadership Competencies In Today's Complex Healthcare Environment, Judy Moseley

Theses and Graduate Projects

The increasingly diverse, multicultural population in the United States is offering significant challenges to nurses to provide culturally competent care. If the provision of the best possible care for all patients is the goal, nurse leaders must have the expertise and skill to lead staff through the complex problems of organizations. Nurses must possess the ability to generate solutions consistent with the organization's mission and with sensitivity to the needs of a diverse patient population. Through the interconnected processes of teaching and practice, an innovative Master of Arts in Nursing program that emphasizes transcultural nursing practice experience for leaders was …

Perceptions Of Dyspnea, Physical Activity, And Functional Status In Obese Women, Donna Althea Jewell

Dissertations

PURPOSE: King's Theory of Goal Attainment guided this study exploring the physical sensation of dyspnea that obese women feel and how it affects their functioning. BACKGROUND AND SIGNIFICANCE: Obesity prevalence has doubled since 1980. Current research is investigating how to reduce prevalence and examining obesity's impact on the respiratory system. Little research was found that investigated the impact obesity has on routine activities because of dyspena and function and whether physical activity has a mitigating effect. METHODS: A comparative descriptive research design was used. A survey of dyspnea felt during routine activities was created; IRB approval to survey community-dwelling women …

Nursing In Hell: The Experience Of Providing Care During And After Hurricane Katrina, Marti L. Jordan-Welch

Doctoral Dissertations

Hurricane Katrina, a Category Four hurricane, made landfall on August 29, 2005, along the Gulf Coast of Mississippi and Louisiana. The strength and the extent of winds resulted in the worst destruction and the largest storm surge in the history of the United States. Within hours after the hurricane hit, the earthen levees in New Orleans were breached and 80% of the city became submerged in up to 20 feet of water. Health care workers and patients were stranded in hospitals, where they experienced extreme environmental conditions. The death toll was reported at, 1836 persons, and the damage was estimated …

An Integral Philosophy And Definition Of Nursing, Olga F. Jarrin

School of Nursing Scholarly Works

A unifying meta-theory of nursing is suggested, building from the foundation of the AQAL framework. A definition of nursing as situated caring is presented, along with a historical discussion of nursing epistemology and theory for context. Implications for practice, education, and research are also discussed. A unifying meta-theory will enable nurses at both the practical and academic levels to appreciate the complexity and simplicity of nursing, allowing them to articulate confidently what we do and why we do it.

Effectiveness Of An Evidence-Based Curriculum Module In Nursing Schools: Targeting Safe Patient Handling And Movement, Nancy Menzel, Audrey L. Nelson, Thomas R. Waters, Nancy Hughes, Pamela C. Hagan, Gail Powell-Cope, Viviam Thompson

Nursing Faculty Publications

Nursing schools in the United States have not been teaching evidence-based practices for safe patient handling, putting their graduates at risk for musculoskeletal disorders (MSDs). The specific aim of this study was to translate research related to safe patient handling into the curricula of nursing schools and evaluate the impact on nurse educators and students' intentions to use safe patient handling techniques. Nurse educators at 26 nursing schools received curricular materials and training; nursing students received the evidence-based curriculum module. There were three control sites. Questionnaires were used to collect data on knowledge, attitudes, and beliefs about safe patient handling …

Dyadic Relationship Scale: A Measure Of The Impact Of The Provision And Receipt Of Family Care, Margaret Sebern, Carol J. Whitlatch

College of Nursing Faculty Research and Publications

Purpose: This study evaluated the psychometric properties of the Dyadic Relationship Scale (DRS), which measures negative and positive dyadic interactions from the perspective of both the patient and the family caregiver. An important aspect of evaluating the DRS was that it be statistically sound and meaningful for both members of the dyad. Design and Methods: The study used a cross-sectional design. Survey packages were mailed to home health care patients and their family caregivers. The unit of analysis was the dyad, and exploratory and confirmatory factor analyses were conducted. We examined the reliability, discriminant, and concurrent validities of the instrument. …

Influence Of Stroke Clinical Pathway On Documentation, Shannon Sternberg

All Theses

The purpose of this study was to determine whether the implementation of a stroke clinical pathway could improve compliance with documentation of specific quality measures for patients admitted with the diagnosis of acute ischemic stroke, hemorrhagic stroke, or transient ischemic attack. The study used the ten standardized performance measures for stroke identified by the Joint Commission on Accreditation of Healthcare Organizations (JCAHO) and integrated documentation of those measures into a stroke clinical pathway consisting of physician order sets, an interdisciplinary plan of care, and a patient/family education flow sheet. The American Stroke Association's Get with the Guidelines - Stroke (GWTG-Stroke) …

Cardiopulmonary Predicators Of Dysfunctional Ventilator Weaning Response After Coronary Artery Bypass Graft, Annapoorna Mary

Theses and Dissertations (ETD)

Although the majority of coronary artery bypass graft (CABG) surgery patients are extubated within 6 to 8 hours following surgery, 20% to 40% of patients remain intubated 12 hours after surgery due to dysfunctional ventilator weaning response (DVWR). DVWR associated with increased morbidity and mortality (30% to 43%) following CABG surgery. Finding significant antecedence to predict DVWR could help to identify and prevent the complications from DVWR after CABG surgery. Literature review revealed that there is an association between cardiopulmonary indicators (CPI) and DVWR after CABG surgery. Cardiopulmonary indicators are the selected hemodynamic parameters that have an association with DVWR. …

Perceived Organizational Support And Ethical Work Climates As Predictors Of Turnover Intention Of Licensed Nurses In Skilled Nursing Facilities, Anna A. Filipova

Dissertations

The purpose of this study was twofold: (1) to replicate Victor and Cullen's (1987; 1988) studies to confirm whether ethical climates (ECs) arise in skilled nursing facilities (SNFs), and whether organizations and groups within organizations have identifiable ECs; and (2) to test a model that examines the effects of ECs and perceived organizational support (POS) on licensed nurses' turnover intention (TOI) through job satisfaction (JS) and organizational commitment (OC).

A cross-sectional survey design was implemented. Three hundred and fifty nine freestanding SNFs were selected in a midwestern state. While a total of 110 facilities (31%) agreed to participate, responses were …

The Suitability Of Mindfulness-Based Stress Reduction For Chronic Hepatitis C, Lynn Koerbel, Donna Zucker

Donna M. Zucker

As incidence of chronic hepatitis C (CHC) in the United States increases, management of physical and psychological symptoms over the long term becomes crucial. Research has shown meditation to be a valuable tool in reducing such symptoms for various chronic illnesses. In particular, the Mindfulness-Based Stress Reduction (MBSR) program offers curriculum that has been show to influence both physiology and perception of disease states. Although there has been not direct research to date on the effectiveness of the MBSR program for CHC, several studies have shown significant findings affecting other chronic conditions including heart disease, fibromyalgia and HIV. The purpose …

Delivering Library Services To Distance Learners: A Grass Roots Effort At A Regional Campus., Tammy Guerrero, Kimberly Whalen, Lynda Willer

Kimberly J. Whalen

No abstract provided.

Caring For Children With Intellectual And Developmental Disabilities: Virtual Patient Instruction Improves Students' Knowledge And Comfort Level, Ida Slusher, Carla Sanders, Harold Kleinert, Teresa Free, Kim Clevenger, Stephanie Johnson, Sara Boyd

Ida Slusher

Nurses play a vital role in providing health care to children with developmental disability (DD) throughout the United States. Unfortunately, most nurses continue to report that they receive little or no clinical education in the area of DDs. In response to this need, a core development team consisting of nurse practitioners and nursing faculty from three universities, one physician assistant faculty, parents of children with DD, and educational specialists developed two multimedia (virtual patient) pediatric instructional modules in CD-ROM format—one involving a child with Down syndrome, and the other involving an infant born at 26 weeks' gestation. Participants were required …

Librarian Outreach: Better Research For Better Careers, Todd Prusin

University Library Faculty Publications

Medical librarianship is changing in healthcare environments. Since 1996, by which time the standards that determine how hospitals acquire accreditation changed, many hospitals are acquiring accreditation without a qualified medical librarian on site. For that reason, it has become even more important that healthcare professionals, doctors, nurses and other clinicians, learn to access and evaluate quality information as an integral part of their academic training. Because of this, medical clinicians must begin their careers with strong research skills. These skills must be attained during their academic matriculation and studies in the field of librarianship have shown that departmental outreach hours …

Librarian Outreach: Better Research For Better Careers, Todd Prusin

Todd Prusin

Medical librarianship is changing in healthcare environments. Since 1996, by which time the standards that determine how hospitals acquire accreditation changed, many hospitals are acquiring accreditation without a qualified medical librarian on site. For that reason, it has become even more important that healthcare professionals, doctors, nurses and other clinicians, learn to access and evaluate quality information as an integral part of their academic training. Because of this, medical clinicians must begin their careers with strong research skills. These skills must be attained during their academic matriculation and studies in the field of librarianship have shown that departmental outreach hours …

A Pilot Study To Prevent Hearing Loss In Farmers, Donna M. Gates, M. Susan Jones

Nursing Faculty Publications

Objective: Determine the feasibility and outcome of a pilot program to increase farm workers' use of hearing protection when performing activities with high noise exposure. Design: The study was a quasi-experimental study. Sample: Eight intervention farmers and 17 comparison farmers participated in the study. Measures: Before and after the intervention, farmers complted a survey to identify their frequency of use of hearing protection and their beliefs about hearing loss and use of hearing protection. Intervention: The intervention consisted of noise assessments, educational sessions, mailed reminders with brochures, and placement of hearing protection on the farm. Results: The intervention was effective …

Factors Influencing Cancer Screening Practices Of Underserved Women, Kelly Ackerson, Kimberlee A. Gretebeck

College of Nursing Faculty Research and Publications

Purpose: This integrated review was conducted to evaluate the factors that inhibit or promote decisions by African American and Hispanic women to obtain cervical cancer screening.

Data sources: Research articles were identified using MEDLINE, PubMed, and Cumulative Index to Nursing and Allied Health literature, published between 1999 and 2005.

Conclusions: Cervical cancer screening practices of African American and Hispanic women were influenced by extrinsic motivators including lack of insurance, no usual source of health care, acculturation, and socioeconomic factors. Intrinsic motivators were related to beliefs and perceptions of vulnerability, such as ignoring cervical cancer screening when no symptoms were present; …

Stormer, Karen Interview For The Miami Valley College Of Nursing And Health Oral History Project, Carol Holdcraft, Donna M. Curry, Karen Stormer

Wright State University - Miami Valley College of Nursing and Health Oral History Project

Carol Holdcraft and Donna Miles Curry interviewed Karen Stormer on October 30, 2007 about the founding of the Wright State University College of Nursing and Health. In the interview Ms. Stormer discusses her career and her decision to come to Wright State as a student with the College of Nursing and Health.

Rosencrans, Mary Ann Interview For The Miami Valley College Of Nursing And Health Oral History Project, Donna M. Curry, Mary Ann Rosencrans

Wright State University - Miami Valley College of Nursing and Health Oral History Project

Donna Miles Curry interviewed Mary Ann Rosencrans on October 29, 2007 about the founding of Wright State University College of Nursing and Health. In the interview, Rosencrans discusses her career and her decision to come to Wright State as a student for the College of Nursing and Health

Graduate Project To Explore Factors Affecting Completion Of Final Degree Requirements For A Master Degree In Nursing, Sharon Gentile

Theses and Graduate Projects

The purpose of this project was to explore issues that influence Master Degree completion as perceived by graduate nursing students, using focus groups. All eight graduate nursing student participants recently completed structured coursework, but had not submitted a final paper or project. Margaret Newman's Health as an Expanding Consciousness Nursing Theory was applied as the conceptual framework used to process the information obtained. Dialogue between moderator and participants occurred during accompaniment enabling valuable information to be elicited, and participants' personal clarification of concerns; therefore establishing praxis. Issues emerged related to adult learners seeking defined expectations and effective relationships with advisors. …

The Effect Of Faith Or Spirituality In Pregnancy: A Content Analysis, Darlene Elizabeth Jesse

D. Elizabeth Jesse

This study used a qualitative descriptive research design to discover the relevance and meaning of spirituality in the lives of 130 urban low-income pregnant women by asking the open-ended question, “How does your faith or spirituality affect your pregnancy if at all?” Forty-seven percent of the women in this study described how spirituality affected their pregnancy positively, 45% described that spirituality did not affect them, and 5.4% were unsure. A content analysis of those who answered positively revealed six themes from the data describing the meaning of faith or spirituality in pregnancy: (a) guidance and support; (b) protection, blessing, or …

Nursing Faculty Development And Satisfaction With Online Teaching, Kellie Smith, Edd, Rn, Elizabeth Elkind, Rnc, Msn, Mba, Phd(C)

College of Nursing Faculty Papers & Presentations

Faculty development and online teaching. Pennsylvania Higher Education Nursing Association Annual Fall Meeting. Harrisburg, PA. (podium).

19 PowerPoint slides.

Loma Linda Nurse - Vol. 16, No. 01, Loma Linda University School Of Nursing

Loma Linda Nurse

Contents

3 | Message from the dean

4 | News from the school

6 | My Years at Loma Linda: Longtime faculty member Eva Miller shares her story

10 | Feature - Adeeba Evans

12 | LLUSN survey

13 | Letter from the alumni president

14 | Alumni homecoming

19 | Remembering Hazel Wood

20 | Alumni feature - Marjorie Whitney

Rain Rhythms: Fall 2007 - Spring 2008, College Of Nursing & Professional Disciplines

RAIN Rhythms

No abstract provided.

Smoking Cessation In Later Life: An Evaluation Of The Impact Of Smoking Cessation Training On The Knowledge, Attitudes And Practice Of Members Of The Primary Care Team Who Work With Older People, Susan M. Kerr, Rosemary Whyte, Hazel Watson, Debbie Tolson, Angus Mcfadyen K

Dr. Susan Kerr

1. Introduction

Smokers aged 65 years and older are a vulnerable group who are likely to have conditions that are caused or complicated by smoking. Older smokers are also likely to die prematurely, losing on average 16 years from their projected life expectancy.

In recent years a growing body of research has demonstrated that older smokers can derive significant health benefits from stopping smoking in later life, despite having smoked for many years. The benefits of cessation are almost immediate for conditions such as heart disease and stroke. Stopping smoking also reduces the risk of developing cancer and stabilises existing …

Effects Of Smoke-Free Laws On Indoor Air Pollution, Chizimuzo T.C. Okoli, Ellen J. Hahn, Kiyoung Lee

Chizimuzo T.C. Okoli

Purpose:

To assess the impact of smoke-free laws on indoor air quality by monitoring particulate matter smaller than 2.5μm (PM 2.5) under both smoking and nonsmoking conditions in Kentucky, USA

Background:

• In April 2004, Lexington, Kentucky implemented the first comprehensive smoke-free ordinance in the state

• Tobacco smoke substantially contributes to indoor particle concentration in hospitality venues and can be greatly reduced by smoke-free laws.

Methods:

• Descriptive, prospective study of hospitality venues in Lexington (n = 10) and Louisville (n = 10)

• Pre-law in Lexington: Friday and Saturday, September 2003, 7:30 PM-12:30 AM

• Post-law and in …

The Relationship Between Nurse To Population Ratio And Population Density: A Pilot Study In A Rural/Frontier State, Jeri L. Bigbee

Nursing Faculty Publications and Presentations

The purpose of this study was to evaluate the relationship between nurse to population ratio and population density. A secondary analysis was conducted, correlating nurse to population data with county-based population density data. The sample consisted of all 17 counties in the state of Nevada (3 urban, 4 rural and 10 frontier). County nurse to population ratios ranged from 178 to 861 per 100,000 population and population density ranged from 0.3 to 173.9 people per square mile (mean of 39.3). Correlational analysis indicated a significant positive relationship between nurse to population ratio and population density (r = .65 (p <.005). Mean nurse to population ratios were found to be significantly different between frontier (356/100,000), rural (682/100,000), and urban (587/100,000) counties (F = 7.53, p =.006). Not surprisingly, the results indicated that the lowest nurse to population ratios occur in areas with the lowest population density. These findings provide rural and frontier nurses with support in advocating for aggressive strategies to address the nurse to population disparity affecting rural and frontier communities.

The Utilization Of Airway Pressure Release Ventilation As A Recruitment Strategy For Patients Who Develop Bilateral Atelectasis., Kenneth Miller Med, Rrt-Nps, Linda Cornman Bs, Rrt-Nps

Patient Care Services / Nursing

No abstract provided.