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Full-Text Articles in Medicine and Health Sciences

Perceived Barriers By Hispanic Mothers In Obtaining Primary Health Care For Their Childern, Michael Allen Hart Aug 2000

Perceived Barriers By Hispanic Mothers In Obtaining Primary Health Care For Their Childern, Michael Allen Hart

Master's Projects

Purpose: Hispanic mothers tend to over use hospital emergency services and under use primary care providers when seeking health care for their children. In order to change this health care utilization behavior, researchers must understand the barriers to health care perceived by Hispanic mothers. Design: In this non-experimental survey study, a non-probability, purposive sampling of 45 Hispanic mothers at a rural county pediatric clinic were surveyed. Methods: Using the Health Belief Model (HBM) as its framework an 18-item survey examined, barriers to health care, cues to action, subjects' knowledge, family satisfaction, access, and likelihood of action. Findings: The data suggest …


The Relationship Between Companion Animals And Health Status Among Older Adults Living In The Community, Agnes M. Eytchison May 2000

The Relationship Between Companion Animals And Health Status Among Older Adults Living In The Community, Agnes M. Eytchison

Master's Projects

A study was conducted on 18 older adult pet owners and non-pet owners residing in a mobile home park to determine self-perception of health status and the level of attachment to pets. Self-reported health status was high and equal for both pet owners and non-pet owners. The level of attachment to the pets was also high. Studies have demonstrated human-animal interactions being beneficial to both individuals and families; but for many residents of mobile home parks and common interest developments, such as condominiums and townhouses, rules prevent companion animal ownership. Family Nurse Practitioners (FNPs) aware of the benefits of animal …


A Comparison Of Perceived Nurse Practitioner Practice Barriers, Katherine Kinner May 2000

A Comparison Of Perceived Nurse Practitioner Practice Barriers, Katherine Kinner

Master's Projects

Novice nurse practitioners (NP) face unique obstacles to practice. Few studies examine factors influencing early NP clinical performance. Therefore, this research project analyzed data obtained from 243 members of an NP professional organization, who were asked to identify barriers encountered within the first 3 years of practice. Responses were received from beginning and more experienced NPs. The top 3 barriers named were lack of public knowledge, lack of positions for NPs, and a lower salary than anticipated. The promotion of NP assets through expanded media coverage and individual educational efforts, the national standardization of the role, and the elimination of …


Culture Of Origin And Illness Attribution: The Implications Of Cross-Cultural Awareness For Health Care Professionals, Eri Matsumoto-Lyons May 2000

Culture Of Origin And Illness Attribution: The Implications Of Cross-Cultural Awareness For Health Care Professionals, Eri Matsumoto-Lyons

Master's Projects

People from different cultural backgrounds have different beliefs and perceptions concerning health and illness. Differing illness beliefs between health professionals and patients may result in conflicting expectations regarding treatment choice and outcome. This non-experimental research was designed to explore illness attribution among Caucasian, Hispanics, and Asians with chronic or acute illness. The results suggest that there was no significant difference in illness attribution beliefs between the three ethnic groups; however, primary language, years spent in U.S., and educational backgrounds were associated with differences in illness attribution. Health care providers must think of culture in a broader spectrum than just race …


Nurse Practitioners' Attitudes And Knowledge Toward Cpt Coding, Tanya Lee Sa May 2000

Nurse Practitioners' Attitudes And Knowledge Toward Cpt Coding, Tanya Lee Sa

Master's Projects

This survey of nurse practitioners (NPs) determined their knowledge and attitudes regarding Current Procedural Terminology (CPT) codes. Overall, NPs lacked the requisite knowledge and did not perceive the significance of this essential reimbursement strategy.


Evaluation Of The Effectiveness Of A Urinary Continence Program With Urinary Incontinent Rehabilitation Patients, Pat Emmons May 2000

Evaluation Of The Effectiveness Of A Urinary Continence Program With Urinary Incontinent Rehabilitation Patients, Pat Emmons

Master's Projects

This study used a quasi-experimental design to evaluate the outcomes of a continence program in a rehabilitation center with patients receiving therapies (N=l2) and to evaluate the knowledge and attitudes of the rehabilitation staff (N=27) before and after reviewing a teaching module about urinary incontinence. Roy's adaptation theory was used as the conceptual framework for this research project. The tools used for data collection were: the Functional Independence Measure {FIM), daily 24 hour incontinence logs, pre/post true and false knowledge tests and pre/post staff attitude questionnaires. Eleven of the 12 patients admitted to the program had improved FIM scores and …


Evaluation Of The Effectiveness Of The "Youth Leadership" Class In The Prevention Of Adolescent Depression, Jacqueline Oria May 2000

Evaluation Of The Effectiveness Of The "Youth Leadership" Class In The Prevention Of Adolescent Depression, Jacqueline Oria

Master's Projects

Depression in adolescence is a common and potentially life-threatening health problem. Depending upon the severity of symptoms, anywhere from 2% to 40% of teenagers are affected with depression (Sadler, 1993). The purpose of this study is to evaluate the effects of prevention strategies on decreasing the rate of depression in adolescents. It is hoped that a class addressing specific skills identified as having an impact on adolescent depression will affect the youth participating in the program.


Evaluation Of The Effectiveness Of A Teaching Program On The Care Provided To Jewish Clients, Ilana Cood Withop May 2000

Evaluation Of The Effectiveness Of A Teaching Program On The Care Provided To Jewish Clients, Ilana Cood Withop

Master's Projects

The purpose of this qualitative evaluation study was to determine how an educational program provided to nursing students changed their perceptions of the care they provided to Jewish clients. A teaching program on Jewish beliefs and culture was given to ten baccalaureate nursing students who were providing care to Jewish older adults through one of the university's Academic Nurse Managed Centers. The teaching program was given early in the semester and students were interviewed four and eight weeks later to determine how the teaching program influenced their interactions with clients. Three major themes emerged from the interview data: a) increased …


Accommodationg Nursing Students With Learning Disablities, Debrayh Gaylle May 2000

Accommodationg Nursing Students With Learning Disablities, Debrayh Gaylle

Master's Projects

This study examined factors that facilitated or hindered the process of accommodating learning disabled nursing students in the classroom. Surveys were mailed to 300 faculty at associate and baccalaureate degree schools of nursing. The survey focused on faculty members' degree of ease or difficulty in providing accommodations, their perceptions of the adequacy of institutional support, and their own beliefs and understanding of the accommodation process. Analysis of the 109 returned surveys suggest the majority of faculty understood the need for accommodations. The majority of respondents stated they received adequate support from their respective institutions and were able to provide the …


Factors Influencing Compliance In The Treatment Of Elderly Hypertensive Vietnamese Clients, Cuong Phu Pham May 2000

Factors Influencing Compliance In The Treatment Of Elderly Hypertensive Vietnamese Clients, Cuong Phu Pham

Master's Projects

Little is known about health care beliefs and practices among Vietnamese elderly persons living in the United States. In general, studies of patient compliance with medical advice consistently demonstrate a high level of noncompliance. Not following recommendations can have serious negative consequences in the management of disease. The purpose of this study was to investigate compliance among a group of elderly Vietnamese clients with the plan given to them by their physicians for control of hypertension. Because the literature reports a high correlation between income and level of education with compliance in other groups, these factors were also studied as …


The Lived Experience Of Older Mexcian American Adults With Type 2, Non-Insulin Dependent Diabetes Mellitus, Lizza C. Abella May 2000

The Lived Experience Of Older Mexcian American Adults With Type 2, Non-Insulin Dependent Diabetes Mellitus, Lizza C. Abella

Master's Projects

Purpose: The purpose of this study was to explore the lived experience of Mexican American older adults with type 2, non-insulin dependent diabetes. Research design and results: A phenomenological research approach was used when interviewing a sample of ten English speaking Mexican American older adults in Santa Clara County, California. Three collective themes were identified: Emotions prevalent in living with diabetes, diabetes' impact on life, and cultural factors affecting diabetes self care. Discussion/conclusions/implications: A duality of thoughts and experiences in living with diabetes, and the strong influence of culture and its beliefs characterize the life-world of Mexican American non-insulin dependent …


Reducing The Potential For Falls Among Community Dwelling Older Adults, Sharon-Xiaowen Hu May 2000

Reducing The Potential For Falls Among Community Dwelling Older Adults, Sharon-Xiaowen Hu

Master's Projects

This research study used a pre-test and post-test design to determine if a nursing educational intervention would reduce the potential for falls among the community dwelling elderly. The participants (N=15) were: (a) age 65 or older, (b) mentally competent, (c) predisposed to falls, and (d) living independently. Four instruments were utilized to collect data: (a) the Folstein mini-mental state examination (MMSE), (b) a fall predisposition scale, (c) a home assessment checklist (Tideikaar, 1987), and (d) interview questions. Statistics were used to evaluate findings. The results show that a nursing educational intervention had a positive impact to help reduce the risk …


Prominent Signs Of Attention Deficit/Hyperactivity In The Adult, Marcia Katz May 2000

Prominent Signs Of Attention Deficit/Hyperactivity In The Adult, Marcia Katz

Master's Projects

Attention-deficit/hyperactivity disorder (ADHD) is a common neurophyschiatric syndrome which most commonly becomes apparent during the first few years of grade school. While it was previously thought that this disorder remitted before or during adolescence, it has become well established that many patients will have an illness course that persists well into adulthood. The purpose of this study was to determine the 10 most prominent symptoms of ADHD in the adult population. Using the Dunphy and Winland-Brown (1998) "Circle of Caring" conceptual framework and the Wender (1998) Utah Criteria Scale questionnaire, a convenience sample of females (N=l5) from northern California were …


Attitudes, Knowledge, And Practice Strategies Of Nurse Practitioners In The State Of California Regarding Complementary Therapy, Steven J. Lenthe May 2000

Attitudes, Knowledge, And Practice Strategies Of Nurse Practitioners In The State Of California Regarding Complementary Therapy, Steven J. Lenthe

Master's Projects

Context: This is a replication of a study by Boucher and Lenz (1) concerning knowledge and attitudes of physicians in a Midwestern teaching hospital about complementary therapy. Approval for use of all or any part of the original questionnaire was obtained from the authors. Objective: To discover the attitudes, knowledge, and practice strategies related to complementary therapy by nurse practitioners in the state of California. Conclusion: Overall nurse practitioners view the combination of complementary therapies and allopathic medicine as beneficial to positive outcomes for their clients. Nurse practitioners in the State of California appear to be knowledgeable in the purposes …