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Full-Text Articles in Medicine and Health Sciences

A Study Of Nursing Students And Intrinsic Spirituality, Christine Anderson Madsen Dec 1999

A Study Of Nursing Students And Intrinsic Spirituality, Christine Anderson Madsen

Master's Projects

This paper describes some theoretical perspectives of spirituality, the concepts of spiritual care and spiritual needs, and barriers to providing spiritual care as described in the literature. The two most frequently described barriers are lack of comfort with the topic and lack of education. Because there is so little written about the discussion of spirituality in schools of nursing, a descriptive study using nursing students on the central coast of California was conducted. The Spiritual Involvement and Beliefs Scale (SIBS) was used to measure intrinsic spirituality. This study looked for relationships between the scores on this scale, and the students' …


Self-Esteem: The Impact Of A Course In Growth And Development On Fifth Grade Students, Mary Jang Dec 1999

Self-Esteem: The Impact Of A Course In Growth And Development On Fifth Grade Students, Mary Jang

Master's Projects

Teens in the United States have the highest pregnancy, abortion, and sexually transmitted disease rates among the developed countries. The social and financial costs of teen births are staggering. Research shows that high self-esteem is significantly related to resistance to group pressures, willingness to express unpopular opinions, family adjustment, creativity, and effective communication between parents and youth. The research question is: Will a 5-hour course in growth and development increase the level of self-esteem in fifth grade students? A convenience sample of 20 students (13 girls and 7 boys) who attend a public elementary school in San Jose, California, comprised …


The Effect Of Pain Management Education On Nurses' Knowledge And Attitudes Regarding Opioids And Adjuvants, Lynne Hopper Mccoy Dec 1999

The Effect Of Pain Management Education On Nurses' Knowledge And Attitudes Regarding Opioids And Adjuvants, Lynne Hopper Mccoy

Master's Projects

The purpose of this research was to determine if a pain management class improved nurses' knowledge and influenced nurses' attitudes regarding pain management. The design was quasi-experimental using pretest-posttest intervention. 83 participants completed the Nurses Knowledge and Attitude Survey Regarding Pain twice. Those who attended a class showed improvement in their pain management knowledge and attitude scores on the survey. Implications for staff development and inservice educators are that continuing education increases nurses knowledge about pain management and must include opportunities for class members to apply concepts.


Evaluation Of The Effectiveness Of A Health Education Program For Classroom Assistants, Patricia A. Robinson Dec 1999

Evaluation Of The Effectiveness Of A Health Education Program For Classroom Assistants, Patricia A. Robinson

Master's Projects

Classroom Instructional Assistants are being used more frequently to provide care for medically fragile children who are mainstreamed into the regular education setting. The purpose of this evaluative study was to develop a beginning health curriculum that could be provided as an inservice program for classroom Instructional Assistants. Content for the inservice consisted of handwashing, medication administration, asthma, and seizures. This study used a pretest and posttest design to look at the effectiveness of the educational inservice. There were 17 participants, 16 of whom completed the pretest and posttest. A pretest was administered prior to the inservice followed by a …


Differentiation In Roles Of School Nurse And Unlicensed Assistive Personnel, Lynn Shieh Dec 1999

Differentiation In Roles Of School Nurse And Unlicensed Assistive Personnel, Lynn Shieh

Master's Projects

School nurses provide a vast number of health services for students, teachers, and staff. Despite school nurses' important contributions to the health status of students, through the years their positions have been gradually supplemented by Unlicensed Assistive Personnel (UAP)/ Health Clerks. With the number of UAPs increasing in the school setting, roles and responsibilities of school nurses and UAPs need to be clearly differentiated in order to utilize the UAP's services legally and efficiently. This research used a descriptive survey to investigate the perceptions that differentiate the role of school nurses and UAPs among school administrators, nurses, UAPs, secretaries, and …


Family Communication And Competence Among Siblings Of Pediatric Oncology Patients, Kimberly Olvera Butler Aug 1999

Family Communication And Competence Among Siblings Of Pediatric Oncology Patients, Kimberly Olvera Butler

Master's Projects

Pediatric oncologic diseases are a leading cause of mortality and morbidity among children. The chronicity of the treatment requires the family to adjust their daily routines to care for the ill child. The changes are experienced by all the family members: the ill child, the parents, and the well siblings. The literature reflects variable effects on the well sibling. There has been limited research that evaluates the effects of family interaction patterns. This pilot study examined communication within the family and sought to determine if communication, as measured on the Parent-Adolescent Communication Scale, correlated with competence, as measured on the …


An Evaluation Of A Nurse Case-Managed Program For Children With Diabetes, Jean Y. Caravalho May 1999

An Evaluation Of A Nurse Case-Managed Program For Children With Diabetes, Jean Y. Caravalho

Master's Projects

This study evaluates an integrated model of care for children with diabetes that was developed at an HMO. This model program of 56 subjects included a nurse case manager, a multidisciplinary team clinic, and educational and counseling interventions to empower families to improve self-management of the children's diabetes. The purpose of the program was to improve diabetes self-management as measured by pre- and postintervention glycosylated hemoglobin values, quality of life, and self-efficacy ratings. There were improvements in means of all measures of self-management and a statistically significant improvement in self-efficacy beliefs of the parents. The higher quality of life and …


Assessment Of Nurse Practitioner Management Of Breast Cancer Screening, Renee M. Comee May 1999

Assessment Of Nurse Practitioner Management Of Breast Cancer Screening, Renee M. Comee

Master's Projects

The purpose of this study was to examine current practice behaviors of adult nurse practitioners when assessing and screening asymptomatic women over age 50 for breast cancer. Rosenstock's Health Model and Bandura's social learning theory guided this research. One hundred-fifty nurse practitioners were surveyed by questionnaire. Seventy-six surveys were completed and returned. Survey results revealed that those practitioners who had experienced breast cancer themselves were more aggressive in their screening and follow-up practices than those who had never had breast cancer. It was also noted that the nurse practitioners surveyed were performing initial breast cancer screening but not having patients …


Childern Witnessing Domestic Violence, Meghan Denzel May 1999

Childern Witnessing Domestic Violence, Meghan Denzel

Master's Projects

Statement of Problem: Although witnessing violence in the family may account for many symptoms brought to the attention of the primary care providers, such violence is seldom identified as an issue. The purpose of this study was to assess the incidence of children witnessing violence in the home, as self reported by victims of domestic violence in a clinical setting. Method: The study was a retrospective chart review. Data was gathered from a survey administered to individuals identified in the emergency department as victims of domestic violence. The survey addressed demographics, child witnesses to violence, and co-factors of violence including …


Quality Of Life And Locus Of Control Of Migraineurs, Lesley L. Allen May 1999

Quality Of Life And Locus Of Control Of Migraineurs, Lesley L. Allen

Master's Projects

Advanced practice nurses are essential primary health care providers actively engaged in health promotion, illness prevention, and the management of acute and chronic diseases. The purpose of this study was to measure the quality of life and locus of control among three different groups of migraineurs. A retrospective quantitative study was conducted using Ferrans and Powers' (1985) Quality of Life Index and Martin, Holroyd, and Penzien's (1990) Headache Specific Locus of Control questionnaire. The analysis of 79 adult migraineurs indicated that those who received headache education had a higher quality of life and higher external locus of control scores than …


A Comparison Of Domestic Violence Screening, Attitudes, And Knowledge Base, Terry Gardner May 1999

A Comparison Of Domestic Violence Screening, Attitudes, And Knowledge Base, Terry Gardner

Master's Projects

Objective: To compare advanced practice nurses' (APNs) and physicians' (MDs) domestic violence screening behaviors, perceived obstacles, and knowledge base so as to determine the efficacy of the collaborative practice model of care. Design: The survey questionnaires were the "Nurse Practitioners' Experience with Partner Abuse in Alaska" and the "Physicians' Experience with Partner Abuse in Alaska". Significant differences were evaluated by using one-way analysis of variance (ANOVA). Setting: Two 200-300 bed urban HMO medical centers. Participants: Thirty-five providers (23 MDs and 12 APNs) with the mean age of 40, and with 8 years clinical practice in California. Results: Of total providers, …


Women's Perception Of Provider, Social, And Program Support In An Outpatient Drug Treatment Program, Melaine Marie Salmon May 1999

Women's Perception Of Provider, Social, And Program Support In An Outpatient Drug Treatment Program, Melaine Marie Salmon

Master's Projects

The purpose was to explore perceptions of pregnant and parenting substance abusing women in an outpatient drug treatment program regarding provider and social support. Also identified were aspects of the rehabilitation program perceived by the women as assisting them to maintain abstinence from substance use. Data were collected through a demographic questionnaire and a tool designed by the authors based on the Social Stress Model of Substance Abuse (Lindenberg, Gendrop, & Reiskin, 1993) and the literature of social support. The majority of the women were satisfied with their social support from family and friends. Sixty-seven percent of the women felt …


Effects Of Collaborative Learning On Test Scores Of First Semester Nursing Students, Theresa Sue Rivera Apr 1999

Effects Of Collaborative Learning On Test Scores Of First Semester Nursing Students, Theresa Sue Rivera

Master's Projects

Thirty-two first-year nursing students enrolled in a first semester nursing fundamentals class at a local community college participated in a study that compared three test score grades between nursing students who studied with a partner(s) and those who studied alone. Four types of study groups were identified from a questionnaire by having students indicate whether they studied alone or with a partner(s) in-preparation for each of the three tests. Test scores were matched with the student I.D. number and recorded. In this study, a one-way analysis of variance (ANOV A) was used to test the effect of studying together and …


Great Suffering, Great Compassion: A Transcultural Opportunity For School Nurses Caring For Cambodian Refugee Children, Teresa L. Tellep Jan 1999

Great Suffering, Great Compassion: A Transcultural Opportunity For School Nurses Caring For Cambodian Refugee Children, Teresa L. Tellep

Master's Projects

The unique cultural ways of Cambodian refugee families, combined with the physical and psychological health problems inherent in their refugee experience, present challenging and rewarding opportunities for school nurses to engage in the process of transcultural nursing. The authors discuss the profound and devastating impact of the refugee experience upon the mind, body, and spirit of Cambodian children. The purpose of this exploratory and descriptive study was to understand the nature and meaning of a school district's cross-cultural team's experiences of providing health care for Cambodian refugee children. Focus group interviews of school nurses and Cambodian liaisons were conducted, utilizing …