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Full-Text Articles in Medicine and Health Sciences
Faculty And Student Perceptions Of Effective Clinical Teachers: A Replication, Kathleen L. Miller
Faculty And Student Perceptions Of Effective Clinical Teachers: A Replication, Kathleen L. Miller
Masters Theses
Clinical teaching in nursing has been found to be as problematic as it is in other practice-oriented professions. The purpose of this study is to identify student's and faculty's perceptions of effective characteristics of clinical teachers. An anonymous questionnaire was distributed to students and faculty at a university college of nursing in western Michigan to solicit their perceptions. The study data reveal both similarities and differences in their perceptions and raises awareness of how clinical teachers need to be atune with nursing student's learning needs and learning styles. Comparison of this study with the previous studies show a common direction …
The Effect Of Anxiety On Student Nurses' Performance When Administering Intramuscular Or Subcutaneous Injections, Sandra L. Osborne
The Effect Of Anxiety On Student Nurses' Performance When Administering Intramuscular Or Subcutaneous Injections, Sandra L. Osborne
Masters Theses
The purpose of this study was to determine what the relationship was between levels of trait and state anxiety and performance when giving intramuscular or subcutaneous injections. It was a replication of a study by Megal, Wilken, and Volcek (1987).; In May, 1990, the STAI Form Y-2 was used to assess trait anxiety of 17 students at a community college in the Midwest. State anxiety was measured by using the STAI Form Y-1 immediately before: (1) laboratory performance examinations and (2) giving first injections to clients. Instructors completed Injection Skill Check Lists to measure performance.; Students reported high levels of …
The Relationship Between Locus Of Control, Powerlessness, And Job Satisfaction Among Registered Nurses, Evelyn C. Wirsing
The Relationship Between Locus Of Control, Powerlessness, And Job Satisfaction Among Registered Nurses, Evelyn C. Wirsing
Masters Theses
A cross-sectional descriptive correlational design was used to investigate the following research questions: (a) How much variation in nurses' satisfaction can be predicted from locus of control and powerlessness? and (b) are there statistically significant (p {dollar}<{dollar}.05) differences in job satisfaction among nurses based upon their primary area of practice, highest earned degree, length of employment in current position, and employment status? A random sample of 300 staff nurses from a large acute care teaching hospital was surveyed utilizing a four-part questionnaire. The response rate was 51% (N = 152). Powerlessness accounted for 29% of the variance in job satisfaction scores and locus of control accounted for none of the variation in job satisfaction. Secondly, a weekly significant difference (F(5, 146) = 2.29, p {dollar}<{dollar}.05) in job satisfaction scores existed among clinical specialty groups, however no significant differences in job satisfaction were found for the remaining professional characteristics.
Evaluating Family Caregivers' Ability To Select Appropriate Care Techniques Following Discharge Instructions On Post Traumatic Brain Injury Symptoms, Connie J. Pardee
Evaluating Family Caregivers' Ability To Select Appropriate Care Techniques Following Discharge Instructions On Post Traumatic Brain Injury Symptoms, Connie J. Pardee
Masters Theses
Post traumatic brain injury symptoms can be very stressful to family caregivers. This study evaluated family caregivers' ability to select appropriate caregiver actions following discharge instructions on post traumatic brain injury symptoms. Subjects in the control group viewed videotaped discharge instructions on physical symptoms post traumatic brain injury. The experimental group viewed videotaped discharge instructions on physical symptoms, cognitive dysfunction and behavioral changes post traumatic brain injury. Both groups were given a written post test after viewing the videotape. Those who received information on physical symptoms, cognitive dysfunction, and behavioral changes had a higher mean score than those who received …
Evaluation Of Coagulation Studies Drawn From Heparinized Arterial Lines, Lois J. Van Donselaar
Evaluation Of Coagulation Studies Drawn From Heparinized Arterial Lines, Lois J. Van Donselaar
Masters Theses
Drawing blood from indwelling heparinized arterial catheters is a common procedure in critical care units. The accuracy of coagulation studies drawn from heparinized arterial lines has been a source of controversy and divergent results of research studies. The discarding of blood to provide an uncontaminated specimen is a concern as a source of infection for health care workers. This study evaluates the accuracy of aPTT results drawn from the Lab-Site pressure tubing system which provides a closed system that eliminates blood discard. Blood was obtained from radial artery catheters connected to the Lab-Site system and compared to specimens obtained simultaneously, …
Parental Coping With A Chronically Ill Child, Shari Jo Allore Bertolone
Parental Coping With A Chronically Ill Child, Shari Jo Allore Bertolone
Masters Theses
The purpose of this study was to determine what coping mechanisms families of chronically ill children indicated they utilized to cope on a daily basis. This study utilized the Coping Health Inventory for Parents (CHIP) to collect data. The CHIP is designed to assess parents perceptions of behaviors they are currently using to manage family life. There are three main coping patterns focused on and it is hypothesized that a balance of these three patterns is essential for a positive outcome. This study found there are certain mothers and fathers who are at risk for not using a balance of …
Hardiness And Adaptation To Hypertension, Marcia L. Smit
Hardiness And Adaptation To Hypertension, Marcia L. Smit
Masters Theses
Hardiness, a personality characteristic that is purposed to mediate the stress response and reduce the likelihood of illness, was studied in the context of adaptation to chronic disease. A descriptive correlational design was used to determine whether a positive relationship exists between the presence of hardiness and psychosocial adaptation to hypertension. The sample consisted of 50 individuals 60 years old or older. Data was analyzed using the product moment correlation coefficient, Spearman's Rho, and multiple regression. A moderately weak correlation (r =.39, df = 48, p =.003) between hardiness and adaptation was found. Other significant relationships identified included those between …
Positioning Of High Risk Infants: Effects On Oxygen Utilization, Umbilical Artery Catheter Integrity And Activity, Dawn Zuidgeest-Craft
Positioning Of High Risk Infants: Effects On Oxygen Utilization, Umbilical Artery Catheter Integrity And Activity, Dawn Zuidgeest-Craft
Masters Theses
In a prospective experimental study, 24 high risk infants over 1,000 grams and under 5 days of age were observed and evaluated for the effects of positioning on the umbilical artery catheter, activity, and oxygen utilization. Infants were positioned right lateral, left lateral, supine and prone, for 2 hours in each position. The purpose of the study was to evaluate whether prone position opposed to other positions increased sleep state behaviors, reduced oxygen need, or created any complication for the umbilical artery catheter. Using a repeated measures design and repeated measures analysis of variance, it was found that positioning prone …
The Relationship Between Attributions And Adjustment Following Myocardial Infarction, Margaret Elizabeth Bowles
The Relationship Between Attributions And Adjustment Following Myocardial Infarction, Margaret Elizabeth Bowles
Masters Theses
The purpose of this study was to identify if spontaneous attributional search was part of the reaction to a myocardial infarction (MI) and if there were relationships among attributional search, perception of control over attributions, gender and adjustment following MI. Attribution theory provided the framework for this study. A descriptive correlational design was utilized. The convenience sample included twenty male and twenty female subjects hospitalized with a MI. The Multiple Affect Adjective Check List and an attribution questionnaire constructed specifically for this study were administered prior to discharge from the hospital. It was hypothesized that of those subjects that have …
Derivation And Testing Of Tenets Of A Theory Of Social Organizations As Adaptive Systems, Louette R. Johnson Lutjens
Derivation And Testing Of Tenets Of A Theory Of Social Organizations As Adaptive Systems, Louette R. Johnson Lutjens
Peer Reviewed Articles
Management and organizational theories are commonly used to design nursing administration studies. This article proposes a nursing theory as a viable alternative and demonstrates its utility in the conduct of nursing administration research. The purpose of the research was to determine the explanatory power of the environmental stimuli of medical condition, nursing condition, nursing intensity, and medical severity on length-of-stay (LOS). Twenty-three percent of the variance in LOS was accounted for by the environmental stimuli with nursing acuity contributing 14%. The focal stimulus, medical condition (diagnosis-related groups), uniquely explained only one percent of the variance. The theory of social organizations …
A Comparison Of Critical Thinking Ability And Clinical Judgement Skills In Associate And Baccalaureate Senior Nursing Students, Debra L. Sietsema
A Comparison Of Critical Thinking Ability And Clinical Judgement Skills In Associate And Baccalaureate Senior Nursing Students, Debra L. Sietsema
Masters Theses
The purpose of this descriptive, correlational study was to compare the critical thinking and clinical judgement skills of senior nursing students at two educational levels. A convenience sample of 34 students in the Midwest was obtained during the spring semester before graduation (n = 19 baccalaureate, n = 15 associate). The framework for the study was decision theory. Critical thinking ability was measured by the Watson Glaser Critical Thinking Appraisal. Clinical judgement was determined by the ability to recognize cues, provide nursing diagnosis, interventions and corresponding rationale after viewing five video vignettes produced by Performance Management Services. Demographic data was …
The Health Belief Model And Needle Recapping: A Replication, Rosemary M. Rackow Ham
The Health Belief Model And Needle Recapping: A Replication, Rosemary M. Rackow Ham
Masters Theses
The purpose of this study was to examine the knowledge of Universal Precautions, the attitudes and beliefs regarding the risk of AIDS among emergency room and critical care nurses and physicians, and the needle recapping behavior that places them at risk for acquiring HIV infection. The Health Belief Model was the conceptual model.; The sample (n = 80) consisted of nurses (n = 68) and physicians (n = 12) who practice in the emergency room (n = 19) or a critical care unit (n = 61) in a community hospital. They completed a 31 item questionnaire. In addition, needle disposal …
Perceptions Of Patients, Nurses, And Physicians Regarding Nursing As A Profession, Ann R. Robach
Perceptions Of Patients, Nurses, And Physicians Regarding Nursing As A Profession, Ann R. Robach
Masters Theses
The United States is facing a critical shortage of nurses. A prevailing societal perception of nursing having a subservient role in health care prevents many recruits from choosing this career, despite efforts by nursing leaders to change this perception (Styles, 1988). The purpose of this study was to determine the current perceptions of patients, nurses, and physicians regarding nursing as a profession.; A 20 item modified version of Valiga's View of Nursing Questionnaire was implemented for this study. The subjects included 102 patients, 126 nurses, and 68 physicians who completed the questionnaire in the fall of 1991.; Statistical analysis revealed …
Concerns/Problems Experienced After Discharge From An Acute Care Setting: The Patient's Perspective, Karen R. Peper
Concerns/Problems Experienced After Discharge From An Acute Care Setting: The Patient's Perspective, Karen R. Peper
Masters Theses
The purpose of this study was to examine the discharge planning process in terms of concerns that patients experience after discharge from an acute care setting. Betty Neuman's Health Care Systems Model was the conceptual framework. Aspects of secondary prevention were used to classify the concerns as either a lack of resources or a reaction to a stressor.; The sample (n = 146) consisted of medical and surgical patients, 18 years or older hospitalized at a community hospital for at least 24 hours.; Data were analyzed descriptively. Data revealed that patients do experience some concerns after discharge. The top four …
The Effects Of Prenatal Breast-Feeding Class On Breast-Feeding Success And Maternal Perception Of The Infant: A Replication, Eileen Grunstra, Susan Rowe
The Effects Of Prenatal Breast-Feeding Class On Breast-Feeding Success And Maternal Perception Of The Infant: A Replication, Eileen Grunstra, Susan Rowe
Masters Theses
The purpose of this study was to determine the effectiveness of prenatal breast-feeding education on a mother's perceived success at breast-feeding. This study also looked at the relationship of prenatal breast-feeding education on a mother's perception of her infant. The conceptual framework utilized was the Roy Adaptation Model. Motherhood and breast-feeding involve a change in role, which is why this theory served as a foundation for the study. The method for study was a quasi-experimental design. Subjects in the experimental group attended a prenatal breast-feeding class, those in the control group did not. In addition to a general survey questionnaire, …
What Is The Relationship Between Perceived Job Stress, Job Satisfaction, And Psychological Symptoms Of Critical Care Nurses?, Barbara L. Hooper
What Is The Relationship Between Perceived Job Stress, Job Satisfaction, And Psychological Symptoms Of Critical Care Nurses?, Barbara L. Hooper
Masters Theses
House's Stress Paradigm provided the theoretical framework for this study which examined the relationship between job satisfaction and job stress, and the correlation of job stress with the experience of psychological symptoms in a sample of 32 critical care nurses from an urban midwestern hospital. The Brief Symptom Inventory and Atwood and Hinshaw's Nursing Job Satisfaction and Job Stress Scales were used to measure the variables. A moderately strong correlation (r = {dollar}-{dollar}.63, p =.001) was found between job satisfaction and perceived job stress. No significant relationship was found between perceived job stress and psychological symptoms. These findings suggest that …
Weaning The Long-Term Ventilator Patient: A Nursing Protocol, Karen J. Trudell
Weaning The Long-Term Ventilator Patient: A Nursing Protocol, Karen J. Trudell
Masters Theses
This study evaluated the effects of implementing a standardized nursing protocol on decreasing the length of time it takes the patient to wean from long-term ventilation using an ex post facto comparison group design. The standard nursing protocol is a set of 10 nursing interventions used to standardize the weaning process. A retrospective chart review was performed on 24 patients who were in the intensive care unit of a community teaching medical center, and required long-term ventilation of six days or more. After nine months of implementation of a standard nursing protocol, allowing for the intensive care nurses to become …
Aids: Knowledge And Attitudes Among Nurses, Jeanette J. Lochan
Aids: Knowledge And Attitudes Among Nurses, Jeanette J. Lochan
Masters Theses
Reports have indicated that nurses have negative and preconceived attitudes concerning persons with acquired immunodeficiency syndrome (AIDS) and that these biases may interfere with quality care. The purpose of this descriptive correlational study was to identify the relationship between nurses' knowledge about AIDS and their attitudes toward caring for patients who are diagnosed with AIDS and/or who test positive for HIV. Data was gathered by questionnaires from a convenient sample of nurses employed at an area hospital in West Michigan. Of the 500 nurses who received the questionnaire, 208 (41.6%) participated in the study. Knowledge about AIDS was correlated with …
Predictors Of Success On The Nclex-Rn Examination, Kathleen S. Pangle
Predictors Of Success On The Nclex-Rn Examination, Kathleen S. Pangle
Masters Theses
This ex post facto study was designed to determine if the scores of advanced standing LPNs' NCLEX-RN scores were significantly different from those of generic students and to identify predictors of success of NCLEX-RN performance. Based on Bandura's theory of self efficacy it was hypothesized that LPNs would score higher on the NCLEX-RN than generic students. The independent variables were final grades in nursing theory courses (Medical-Surgical, Obstetrics, Pediatrics, and Psychiatric Nursing), and NLN Achievement Tests and the Comprehensive Nursing Achievement Test. The study group included 195 graduates from a small, rural Associate Degree in Nursing program between the years …
Comparison Of The Efficacy Of Heparinized And Non-Heparinized Normal Saline Solutions In Maintaining Patency Of Arterial Catheters, Juanita K. Bogart
Comparison Of The Efficacy Of Heparinized And Non-Heparinized Normal Saline Solutions In Maintaining Patency Of Arterial Catheters, Juanita K. Bogart
Masters Theses
Although the need for heparin in flush solutions has not been established, the currently accepted standard of practice is to use heparinized solutions in arterial catheter flush devices. Exposure to heparin may place patients at risk for developing heparin-induced thrombocytopenia (HITP) and subsequent embolic events. The purpose of the study was to test the null hypothesis that there is no significant difference in patency of arterial catheters maintained with heparinized or non-heparinized normal saline solutions. An experimental design using a convenience sample (N = 31) and random assignment into experimental and control groups was used. There was no statistically significant …