Medicine and Health Sciences Commons^™

Reimagining Associate Degree Nursing Education: An Insider’S View, Ntiense E. Otu

Theses and Dissertations

The demographics of nursing students in the Associate Degree Nursing (ADN) program are diverse, hence the need for nurse educators to prepare and handle the challenges faculty face in the ADN program. Although many pieces of literature have addressed different modalities of instructional delivery and teaching methods in nursing education, transition experience of nurse educators, and teaching preparation and readiness, these are not evident in the ADN programs in the Rio Grande Valley (RGV). The teaching preparation of nurse educators and their utilization of instructional methods in the ADN program in the RGV is limited in the literature. This study …

Black American Men's Resiliency And Persistence To Grow Old: A Midwest Qualitative Study, Kimberly Ann Walker

Theses and Dissertations

AbstractAs Black American men continue to experience the highest premature morbidity and mortality, few studies have centered on the intersection of class (low-income) and race (middle-aged and older Black men) with multiple morbidity from a critical race approach in the Midwest region of the U.S. Middle-aged Black men have 31% higher death rate than their White counterparts. A qualitative study was conducted by a community health nurse in the spring of 2021 in a metropolitan city. Thirty-one, low-income Black American men were interviewed focusing on their understanding and perceptions of their complex comorbidities, symptom management for quality of life, short …

Substance Use Disorder Treatment Among African American Men Living In The Rural South Of The United States, Serge Raoul Wandji

Theses and Dissertations

Substance use disorders (SUD) affect more than 40 million Americans. African American (AA) men are disproportionally affected by the negative health and social consequences of SUD, and men in rural areas may be particularly at risk due to disadvantaged socioeconomic conditions and persistent race-related stressors such as perceived discrimination. The overall purpose of this study is to advance the understanding of factors associated with SUD treatment acceptance and relapse potential among Southern rural AA men.

This purpose was achieved by determining differences in treatment acceptance and relapse potential by race and gender among rural residents admitted in a SUD treatment …

Nurse Perceptions Of Caring And Professional Governance, Lan Angela Nguyen

Theses and Dissertations

Background: Caring, a characteristic of an effective work environment, and clinical nurse control over the professional governance of nursing practice results in higher nursing retention and better patient outcomes. Although the concepts of caring and professional governance of nursing practice, and their discrete associations with patient outcomes, are widely studied, little to no research is published on the nature of the relationship between caring and professional governance of nursing practice. Without understanding this relationship, it is challenging to explore the impact of this relationship on nursing practice and patient outcomes.

Aims: The purpose of this study was to describe nurse …

Experiences And Perspectives Of Women Veterans Use Of The Veterans’ Health Administration Services, Leanne Anthon

Theses and Dissertations

Women make up 10% of the veteran population. With a projected increase of up to 16% by 2043, this is the fastest-growing demographic in the US military (National Center for Veterans Analysis and Statistics, 2017). This population may have experiences unique from their non-military counterparts such as military sexual trauma (MST), environmental exposures, post-traumatic stress disorder (PTSD), and stress related to their military occupation that may predispose this group to decreased quality of life (QOL). In recent years, the Veterans Health Administration (VA) healthcare system has attempted to increase the healthcare accessibility and services provided to the growing number of …

Parental Reports Of Vaccine Information Statement Usage In Utah, Angela T. Jacobs

Theses and Dissertations

Objective: Little is known about the parental perception of usage and delivery of Vaccine Information Statements (VISs), the timing of VIS delivery, parent opportunity to read VISs, and time for discussing content of VISs with providers. Parental reports of dissemination and use of VISs are explored in this study, including parental use, experience, and perceptions. Method: Data for this pilot cross-sectional descriptive study were collected via an online survey. The instrument consisted of 21questions including five demographic questions, 11 questions about VIS distribution, four questions about parental use and understanding of VISs, and one open-ended question about finding information about …

Critical Access Hospital Nurses' Qualitative Reports Of Major Obstacles In End-Of-Life Care, Con K. Newman

Theses and Dissertations

Background: Critical Care Nurses have previously noted obstacles in caring for dying patients. Obstacles noted by nurses working in more urban settings have been reported. What is not known is the obstacles to providing end-of-life (EOL) care as perceived by nurses working in Critical Access Hospitals (CAHs). Objective: To determine the stories/experiences related to obstacles in providing EOL care as reported by nurses working in CAHs. Methods: This was an exploratory, cross-sectional study. Previous quantitative data has been reported. Documentation of the qualitative stories/experiences of nurses working in CAHs related to obstacles to providing EOL care for dying patients and …

Wearable Activity Trackers For Women: Motivating Factors For Increasing Physical Activity, Danielle A. Bate

Theses and Dissertations

Half of American women do not sustain recommended levels of physical activity (PA). Wearable activity trackers (WATs) may increase both awareness of, and PA if worn daily. Thus, WATs should include features and designs that encourage daily use. This study aimed to determine WAT features and designs most appealing to women and the motivational effects of various WATs. For this mixed-method pilot study, 15 women each trialed three WATs; documented daily PA levels; and rated their satisfaction with each device's comfort, features, and motivational effect. Additionally, participants shared experiences and feedback in focus groups. Features that promote adoption of WATs …

Genomics-Informed Nursing Care: A Survey Of Nicu Nurses' Experience And Perspectives Related To Genomic Sequencing, Rachel I. Anderson

Theses and Dissertations

Background: Genomic sequencing is used in the Neonatal Intensive Care Unit (NICU) to diagnose babies with genetic disorders. Purpose: To explore the experiences and knowledge of nurses working in NICUs related to genomic sequencing. Methods: This was a mixed-methods, cross-sectional descriptive survey of NICU nurses attending a national conference. Quantitative data were analyzed using descriptive statistics. Qualitative data were coded into categories and themes. Results: Of 188 NICU nurses, nearly half reported experience with genomic sequencing. Among nurses with experience, 62.7% rated the amount of discussion they had with families about genomic sequencing as "0". Additionally, 72.7% of participants reported …

Impacting Positive Breastfeeding Attitudes Of Prelicensure Nursing Students Using An Evidence-Based Breastfeeding Module, Stephanie D. Uhr

Theses and Dissertations

Background: Robust evidence demonstrates optimal breastfeeding behaviors provide unmatched short- and long-term health outcomes. Therefore, breast milk feeding is more than a feeding decision; it is a significant public health concern. Breast milk is species-specific nutrition for a developing infant. The health impact of providing breastmilk extends to the lactating parent. However, the existing breastfeeding education is often inadequate to support the care of the breastfeeding dyad. The dissertation examines the role breastfeeding plays in prelicensure nursing education and analyzes the use of an evidence-based breastfeeding educational module (EBBM) on breastfeeding attitudes.Method: An integrative review analyzed the current state of …

Use Of Mobile Phones For Hiv Prevention And Testing Information Needs By Emerging Adult Male Population In Rural Kenya. A Qualitative Study, Augustine Boswony Kiplagat

Theses and Dissertations

Human Immunodeficiency virus (HIV) and Acquired Immunodeficiency disease syndrome (AIDS) among young people in Sub-Saharan Africa (SSA) is a serious public health issue which needs urgent cost-effective interventions locally, regionally, and internationally. HIV and AIDS is currently the leading cause of death among young people in SSA, calling for strategic HIV prevention approaches applicable to emerging adults. While most studies have focused on young women, studies focusing on emerging male adults are lacking. The purpose of this dissertation study was to develop an in-depth understanding of the needs, barriers, and facilitators of using mobile phone to access HIV prevention and …

Dating App Facilitated Sexual Assault: A Growing Phenomenon, Kristen Mella Hamblin

Theses and Dissertations

Dating App Facilitated Sexual Assault (DAppSA) is a new phenomenon and growing concern. Research on DAppSA is extremely limited. This study aimed to identify unique victim and assault characteristics associated with DAppSAs. A retrospective SAMFE chart review of patients (N = 3,413) from 2017 to 2020 was conducted. Sexual assault nurse examiners completed SAMFEs. Inclusion criteria for DAppSA cases included 1) victim was 14 years of age or older; 2) victim indicated they met the perpetrator on a dating website or app; 3) the SA occurred at the initial in-person meeting; 4) victim had a SAMFE with evidence collection. DAppSAs …

Frequency And Magnitude Of Obstacles And Helpful Behavior Items In End-Of-Life Care As Perceived By Nurses Working In Critical Access Hospitals, Shalyn C. Larsen

Theses and Dissertations

Background: Twenty percent of Americans live in rural areas where most of their healthcare is provided in Critical Access Hospitals (CAHs). It is unknown how frequently obstacle and helpful behavior items occur in End-of-Life (EOL) care in CAHs. Objectives: To determine the frequency of occurrence scores of obstacle and helpful behavior items in providing EOL care in CAHs. To also determine which obstacles and helpful behaviors have the greatest or least impact on EOL care based on the magnitude scores. Methods: A questionnaire was sent to nurses working in 39 CAHs in the United States. Nurse participants were asked to …

A Vaccine Education Module For University Students: Vaccine Concerns And Knowledge Gained, Joslyn D. Wilson

Theses and Dissertations

Purpose: The purposes of this research are to evaluate the effectiveness of a vaccine education module (VEM) in 1) contributing to new vaccine knowledge of university freshmen; and 2) identifying common vaccine concerns of university freshmen before and after completing the VEM. Methods: A VEM, including information about vaccine-preventable diseases, benefits of vaccines, principles of community or herd immunity, and where to go to get vaccinated, was created for freshman students. Student vaccine concerns were identified using a pretest/posttest quasi-experimental design using an online questionnaire before and after completing the VEM. After the VEM, participants were also asked to identify …

Black Hearts Matter: A Comparative Study Of Sociodemographic, Clinical, And Psychosocial Characteristics In Black And White Persons With Heart Failure, Hannah M Anderson Hughes

Theses and Dissertations

Heart failure (HF) is a chronic, progressive, debilitating illness that disproportionately affects Black individuals, often leading to poor quality of life (QOL). Various sociodemographic, clinical, and psychological characteristics are related to QOL in patients with HF. Because most studies do not include representative Black samples or report findings from racial subgroup analyses, these relationships and any existing racial differences are not well understood. The purpose of this descriptive, comparative study was to explore the relationships among sociodemographic, clinical, and psychological characteristics and QOL in patients with HF and to determine if there were racial differences between Black and White individuals. …

Family History Of Substance Problems Among African Americans: Associations With Drug Use, Drug Use Disorder, And Prescription Drug Misuse, Rebecca Mahrs-Gould

Theses and Dissertations

Background: Understanding individual risk for substance use and substance use disorders is important in the efforts of reducing risk and prevention of these problems. A family history of alcohol and/or drug problems often increases the risk for these problems, however the majority of research in this area is conducted in samples that are predominantly White. African Americans face disparate outcomes from substance use and substance use disorders, and the risks for substance problems may not be the same as for Whites. A systematic review of the literature identified nine studies that examined a family history of either substance problems or …

Splanchnic Oxygenation And Feeding Intolerance In The Very Low Birthweight Infant, Melissa C. Dollings

Theses and Dissertations

SPLANCHNIC OXYGENATION AND FEEDING INTOLERANCE IN THE VERY LOW BIRTHWEIGHT INFANT

By Melissa C. Dollings, Ph.D.

A dissertation submitted in partial fulfillment of the requirements for the degree of Doctor of Philosophy at Virginia Commonwealth University

Virginia Commonwealth University, 2022

Major Director: Lisa F. Brown, Ph.D., RN, School of Nursing

Background. Feeding intolerance is common in preterm infants but can be an ominous precursor of necrotizing enterocolitis, a life-threatening gastrointestinal disease. The definition and management of feeding intolerance vary widely. This research examined the relationship

between feeding intolerance, intrauterine factors, extrauterine factors, and intestinal immaturity and circulatory immaturity in the …

Implementation Of Teach-Back For Discharge Teaching In A Critical Access Hospital: A Quality Improvement Project, Katie Beth Notch

Theses and Dissertations

A lack of comprehension of discharge instructions may cause high readmission and emergency room revisit rates for organizations. At the project site, there was no current evidence-based practice to ensure patient comprehension of discharge instructions. The purpose of this quantitative, quasi-experimental quality improvement project was to determine if the implementation of the Institute for Healthcare Improvement (IHI) Always Use Teach-Back Toolkit would impact emergency room revisit rates among adult medical-surgical patients in a critical access hospital in rural Minnesota over four weeks. Afaf Meleis’ transitions theory and the Iowa model for evidence-based practice were the scientific underpinnings of the project. …

Lindja E Indukuar Dhe Përfundimi Peripartal, Arlinda Uka

Theses and Dissertations

Lindja e indukuar është proces i stimulimit artificial të mitrës për të filluar lindjen. Stimulimi i lindjes nënkupton stimulimin e mitrës gjatë lindjes për të rritur frekuencën dhe forcën e kontraktimeve. Induksioni dhe stimulimi i lindjes ende janë sfidë për obstetrit, mamitë dhe infermieret në botë edhe te ne, sepse bartin një sërë rreziqesh si për shëndetin e nënës ashtu edhe për frytin - të porsalindurin. Andaj, qëllimi i punimit tonë është që të hulumtohen rastet e lindjeve të indukuara dhe të stimuluara në Klinikën Obstetrike - Gjinekologjike ne QKUK, në periudhën Janar-Mars, 2020.

Studimi është i llojit retrospektiv, i …

Advancing Knowledge Of Exercise As A Therapeutic Management Strategy For Women With Polycystic Ovary Syndrome, Pamela J. Wright

Theses and Dissertations

Polycystic ovary syndrome (PCOS) is the most common endocrinopathy among premenopausal women with a prevalence that ranges 15-21%. The estimated financial burden in the United States for evaluating and treating premenopausal women with PCOS was over $8 billion in 2020. PCOS etiology is complex and poorly understood, as is the optimal treatment and management. Endocrine Society Clinical Practice Guidelines recommend exercise as first-line treatment. Yet, the optimal exercise type and “dosing” are not defined. As last reported for women with PCOS, less than 60% are regularly physically active and more than 25% are sedentary. Additionally, little to no published data …

Kualiteti I Jetës Së Pacientëve Në Hemodializë, Arlinda Salihu

Theses and Dissertations

Hyrje: Kushtet ekonomike të mira, përkrahja nga familja dhe miqtë, pjesëmarrja në seancat e hemodializës(HD)me rregull ,kufizimi i lëngjeve, respektimi i dietës, marrja e medikamenteve sipas rekomandimeve janë thelbësore për përmirësimin e kualitetit të jetës te pacientët në hemodializë. Qëllimi: Objektivi kryesor i këtij hulumtimi është vlerësimi i kualitetit të jetës te pacientët në hemodializë. Të vlerësohet regjimi dietik, dieta ushqimore, kushtet ekonomike, mbështetja familjare, përdorimi i rregullt i barnave të përshkruara nga mjeku, si dhe të vlerësohet roli i edukimit të profesionistëve shëndetësor. Metodologjia: Për hulumtim është zgjedhur Qendra e Hemodializës në Ferizaj, ku pjesëmarrësit në këtë …

Student Nurse Knowledge And Confidence Regarding Childhood Immunizations, Heather Westergard

Theses and Dissertations

Background: Immunization training is essential for nursing students. However, Brigham Young University's (BYU) Nursing Program lacks data regarding the current curriculum's effect on vaccination knowledge and confidence. Purpose: The purpose of the study is to explore BYU nursing students' knowledge and confidence regarding vaccinations. Methods: Nursing students at BYU in the second and fourth semesters were surveyed using pre-and post-test questionnaires designed to measure student nurses' knowledge of and confidence about immunizations. To help evaluate current curricula established immunization content was taught during both the public health course and pediatric course via direct instruction, assigned reading, quizzes, exams, lab, and …

Kujdesi Infermieror Tek Pacientët Me Diabet, Arianë Zogaj

Theses and Dissertations

No abstract provided.

Përdorimi I Antibiotikëve Te Fëmijët, Habibe Gjinolli

Theses and Dissertations

Qëllimi i këtij hulumtimi është të identifikohen antibiotiket më të përdorur te fëmijët si dhe të analizohen diagnozat më të përshkruara te fëmijët gjatë 1 muaji. Antibiotikët janë lëndë kimikisht të përcaktuara me origjinë biologjike, të cilët, edhe pse nuk zotërojnë karakter enzimatik, në përqendrime të ulëta ndalojnë proceset e rritjes.

Pjesëmarrësit ishin fëmijë të moshës 0-17 vjeç nga vende të ndryshme të Komunës së Ferizajit. Instrumenti i përdorur është libri i Protokolit i reaprtit të pediatrisë i cili tregon për moshën, gjinin, diagnozën dhe terapinë më të përdorur.

Rezultatet në këtë hulumtim treguan se antibiotiku më i përdorur ishte …

Kujdesi Infermieror Në Trajtimin E Plagëve Kirurgjikale, Adelina Krasniqi

Theses and Dissertations

Plaget operatore jane plage ne lekure ose ne inde te thella te kryera gjate nje procedure kirurgjikale nga nje mjet kirugjikal .si ne rastin konkret me instrumentin kirugjikal.bisturia. . Në kuptimin që ne përdorim sot plaga është dëmtimi apo prishja e tërësisë së lëkurës dhe elementeve anatomike të saj. Na duket i arsyeshëm se klasifikimi që i ndan plagët në dy tipa kryesorë: në plagë që kanë humbur ind dhe në plagë që nuk kanë humbur ind dhe lidhur me këtë pikë shumë të rëndësishme bëhet edhe vlerësimi i plagëve në vartësi të shkaktarit, karakteristikat anatomiko-patologjike.

Qëllimi parësor i hulumtimit: …

Njohuritë E Infermierëve Për Depresionin, Shkëlzen Niko

Theses and Dissertations

Qëllimi kryesor i këtij hulumtimi është vlerësimi në dallimet e njohjes dhe qëndrimeve të infermierëve ndaj të të sëmurëve depresivë. Çdo ditë e më shumë janë duke u shtuar rastet e personave me depresion dhe thuja se është duke u bërë shkaktari më i madh i vetëvrasjeve. Gjithashtu, qëllimi i këtij punimi është hulumtimi i shkallës së njohurive të infermiereve dhe i gatishmerise dhe qasjes së tyre ndaj pacientëve me depresion meqë ata duhet të trajtohen me kohë, të marrin terapinë e duhur, kujdesi infermieror të jetë sa më i mirë dhe i përkushtuar ndaj tyre, si dhe të japim …

Kujdesi Infermieror Tek Pacientët Me Hipertensioni Arterial, Endrin Sahiti

Theses and Dissertations

Hipertensioni po bëhet një epidemi globale dhe kërcënim për popullatën botërore. Ky studim ndër-sekcional u krye me pacientët me hipertension arterial që gravitojnë në QKMF e Lipjanit

për të studiuar njohuritë, qëndrimet dhe praktikat në lidhje me hipertensionin.

Metodat: Një total prej 30 të intervistuarve të moshës 18 vjeç e lart u zgjodhën me anë të marrjes të rastësishme të mostrave. Të dhënat u mblodhën duke përdorur një pyetësor të strukturuar të drejtuar nga intervistuesit me zgjedhje përgjigjesh në shkallën Likert.

Rezultatet Të gjithë të intervistuarit ishin me moshën mesatare 54.5 vjeç [Devijimi Standard (SD) = 11.828]. Prej pacienteve te …

Kujdesi Infermieror Te Pacientet Me Karcinome Te Gjirit, Fjolla Shabani

Theses and Dissertations

Profesioni universal i infermierit, shumë i respektuar dhe i nderuar nga të gjithë, historikisht është parë si mëshirim i vlerave humane në shërbim të individit dhe të kolektivit, si një mision I lartë për të ndihmuar ata që vuajnë nga sëmundjet. Personeli infermieror, në aktivitetin për të kryer kujdesin infermieror, aplikon tërë kapacitetin profesional e shpirtëror për parandalimin e kurimin e sëmundjeve, për tu shërbyer atyre që kanë nevojë për ndihmë jo vetëm mjekësore por edhe shpirtërore, psikologjike e morale. Sa më të përgaditur profesionalisht të jenë infermierët, aq më i kualifikuar e rezultativ është shërbimi dhe aq më të …

Roli I Kujdesit Infermieror Në Mjekësinë Familajre, Zahide Halimi

Theses and Dissertations

Hyrje: Para vitit 1989 shërbimet e pacientëve në spital operonin përmes gjashtë spitaleve. Kujdesi primar shëndetësor u ofrua përmes klinikave të mëdha (shtëpive shëndetësore) në 29 komuna që mbikëqyrnin një rrjet të klinikave të vogla (ambulanta dhe punkteve).

Shumica e shqiptarëve të Kosovës u pushuan nga drejtimi dhe pozitat e larta në të gjitha shërbimet publike gjatë viteve 1990 deri në 1992. Shoqata Nënë Tereza krijoi një sistem paralel të kujdesit shëndetësor parësor me 96 klinika në të gjithë Kosovën, të punësuar dhe të përdorur nga kosovarët shqiptarë.

Kujdesi parësor është kujdesi shëndetësorë që është i pranueshëm, i gjithanshëm, i …

Roli I Përkrahjes Në Shëndetin Mental, Lirjeta Mahmuti

Theses and Dissertations

Shëndeti ynë mendor ndikon drejtpërdrejt në mënyrën se si mendojmë, ndjejmë dhe veprojmë gjithashtu ndikon në shëndetin tonë fizik.

Për të gjithë individët, shëndeti mendor, fizik dhe social janë fillesa jetësore dhe të ndërthurura të jetës. Ndërsa kuptimi ynë për këtë marrëdhënie rritet, bëhet gjithnjë e më e qartë se shëndeti mendor është thelbësor për mirëqenien e përgjithshme të individëve, shoqërive dhe vendeve. Në të vërtetë, shëndeti mendor mund të përkufizohet si një gjendje e mirëqenies që u mundëson individëve të realizojnë aftësitë e tyre, të përballen me streset normale të jetës, të punojnë në mënyrë produktive dhe të frytshme …