Medicine and Health Sciences Commons^™

Neonatal Pain Management: The Evaluation Of Two Methods On Educating Neonatal Nurses, Jacqueline Jupin Manzi

Seton Hall University Dissertations and Theses (ETDs)

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Relationship Between Nursing Nutrition Knowledge And Attitudes And Identification Of Malnutrition In The Acute Care Setting, Susan D. Kendziorski

Masters Theses

Malnutrition is widespread in healthcare and effective protocols are needed to identify those at risk. Nurses are well suited to carry out screening for malnutrition because they are in close contact with the patient and are responsible to coordinate each patient's care. In order to perform this role nurses must have nutrition knowledge and the skills to complete an accurate nutrition screen. The purpose of this study was to examine relationships between nursing nutrition knowledge, nursing attitudes towards nutrition, and the accurate completion of a nutrition screening protocol. Patient's charts were reviewed for accurate completion of the nutrition screening protocol …

The Relationship Between Acculturation Level And Patient Satisfaction Among Adult Mexican American Emergency Department Patients, Sharon M. Schaaf

Theses and Dissertations - UTB/UTPA

The relationship between acculturation level and patient satisfaction among adult Mexican American emergency department patients was explored. Acculturation level was determined by the Acculturation Rating Scale for Mexican Americans-II (ARSMA-II). Patient satisfaction was measured with the Patient Satisfaction Inventory (PSI). The study was conducted in an emergency department in the Lower Rio Grande Valley of South Texas, where 23 participants provided the data. The questionnaires were offered in English and Spanish. The independent variable of acculturation level did not demonstrate a significant relationship with the dependent variable of patient satisfaction. A statistically significant difference was identified among the subscales of …

Breathlessness Descriptors In Patients With Chronic Obstructive Pulmonary Disease Versus Congestive Heart Failure, Adelaide De Souza Caroci

Loma Linda University Electronic Theses, Dissertations & Projects

This cross-sectional descriptive study investigated breathlessness (dyspnea) in stable patients with Chronic Obstructive Pulmonary Disease (COPD) and Congestive Heart Failure (CHF). The purpose of this study was (a) to characterize the most common terms COPD and CHF patients use to describe their breathing, (b) to identify the frequency of dyspnea in patients with COPD and CHF, and (c) to determine the intensity of dyspnea in these populations.

A purposive sample of 60 patients, 30 with moderate to severe COPD and 30 patients with moderate to severe CHF, met the inclusion criteria and were enrolled in this study. The participants provided …

Factors Related To Resilience Abilities And Self-Care Practices In Adolescents, Sandra L. Solem Phd, Msn, Rn

Dissertations

Identification of resilience factors in adolescents is necessary to promote health and decrease the incidence of negative health outcomes related to risk-behaviors in this age group. The purpose of this descriptive-correlational research was twofold: (1) to investigate the inter-relationships of perceived health status, perceived self-efficacy, resilience abilities, self-care agency and self-care practices in adolescents and (2) to evaluate a revised measure, The Solem Adolescent Resilience Abilities Scale (SARAS-R). Orem's self-care theory was used as the theoretical framework for this study. The convenience sample of 100 adolescents from San Diego county in southern California were recruited through health professionals and secondary …

Preconception Health Care Practices Of Nurse Practitioners In The Primary Care Setting, Charlotte Anne Williams

MSN Research Projects

The United States Public Health Service recommends that age appropriate preconception care be provided to all women of reproductive age. Preconception health care provides a woman the opportunity to assess her health status before pregnancy, make appropriate health promoting behavior changes and increase the potential for a healthy pregnancy outcome. Neural tube defects, fetal alcohol syndrome, congenital malformations and low birth weight are examples of adverse infant conditions that can be reduced through preconception health care interventions. Current research suggests that preconception health care according to United States Public Health Service recommendations is not practiced in the primary care setting. …

Outcomes Of An Abstinence Education Program On The Perceptions Of Risks And Intentions About Sexual Activity Among Eighth-Grade Students, Cindy Holcomb

MSN Research Projects

The rate of teenage sexual involvement is at an all-time high. Traditional sex education is obviously not working. Abstinence education programs have been initiated within some school districts in an effort to decrease the number of adolescent pregnancies and sexually transmitted diseases. The purpose of this quasi-experimental study was to investigate the perceptions of risks and intentions of sexual activity in eighth-grade students before and after an abstinence education program. Pender's Health Promotion Model was utilized as the theoretical framework for this research. Two null hypotheses were used throughout this study. The first hypothesis stated that there would be no …

Risk Behaviors Of Hiv-Infected Young Adults, Jennifer Doss Dewey

MSN Research Projects

Despite research, education, and preventive programs, HIV continues to thrive. It is estimated that half the HIV infections worldwide have occurred in individuals between the ages of 15 and 24 years. HIV-infected individuals who persist in the same behaviors that put them at risk are potentially infecting others as well as further endangering their own health. An awareness of the risk behaviors in which the fast growing HIV-infected young adult population is engaging might be useful in future education and prevention efforts. The purpose of this study was to explore the risk behaviors of HIV-infected young adults. The theoretical framework …

Facilitators And Barriers To Initiation Of Hormone Replacement Therapy By Nephrology Health Care Providers, Lynn Tramel

MSN Research Projects

Cardiovascular disease, osteoporosis, and dementia are three disease processes that have been directly linked to estrogen deficiency. Cardiovascular disease (CVD) is the number one cause of death for all postmenopausal women, including those with end-stage renal disease (ESRD). Osteoporosis and dementia are disease processes that profoundly affect the quality of life for postmenopausal women. Currently, 34% of women in the general population receive hormone replacement therapy (HRT), while only 10% of women with ESRD receive this therapy. Therefore, the purpose of this descriptive study was to examine the facilitators and barriers of nephrology health care providers to initiation of HRT …

Effects Of An Educational Program On Breast Health Promotion In Elderly Women, Patricia A. Bader

MSN Research Projects

Breast cancer risk increases with age, and disease mortality has a direct correlation to the stage of detection. Mammography remains the gold standard for early detection of the disease, yet females aged 65 and over have demonstrated a lack of compliance with recommended screening frequency. The purpose of this study was to determine the effects of an educational program on the variables of perceived susceptibility to breast cancer, benefits of and barriers to mammography, and intention to obtain mammography. The variables are constructs of the Health Belief Model which served as the theoretical framework for the study. The variables were …

Relationship Between Body Weight And Levels Of Self-Esteem In Overweight Women, Kristi Hollingsworth Goodson

MSN Research Projects

Current research suggests that 36% of American women are considered overweight. Women who are overweight by definition are at risk for major health problems as well as altered levels of self-esteem. A correlational design was utilized to examine the following null hypothesis: There is no relationship between body weight and levels of self-esteem in overweight women. Nola Pender's Health Promotion Model was the theoretical framework used to guide this study. The sample consisted of 42 women who were overweight by definition. Levels of self-esteem were ascertained using the Rosenberg Self-Esteem Scale. To obtain demographic data, the Goodson Demographic Survey was …

Adherence To Jnc Vi Guidelines For Hypertension Management By Primary Care Nurse Practitioners, Gregory N. Cagle

MSN Research Projects

Although improvement in the detection and treatment of hypertension has occurred over the last two decades, the trends have stagnated over the last 5 years with a related increase in mortality from cardiac failure and an increased incidence of end-stage renal disease. Current researchers have made a strong argument that many health care providers have not been successfully managing hypertension at a level, as established by research, to prevent target organ disease over time. As health care providers, family nurse practitioners (FNPs) and adult nurse practitioners (ANPs) are managing hypertension in outpatient settings as primary care nurse practitioners (PCNPs). This …

Knowledge Levels Of College Students Concerning Folic Acid, Lesa Faye Ferguson

MSN Research Projects

Neural tube defects (NTDs) are among the most serious birth defects affecting approximately 4,000 pregnancies in the United States each year. More than one third of these pregnancies are spontaneously aborted. Thus, about 2,500 infants per year are born with an NTD. Research spanning two decades has shown that women who consume folic acid- containing supplements have 50% to 75% fewer infants with NTDs than women who do not consume folic acid supplements. Despite the empirical evidence in the literature, the message about folic acid is not getting across to the general public. This quasi-experimental pretest-posttest study examined the impact …

Rural Elders' Knowledge Of Nurse Practitioners As Health Care Providers, Tim Watson

MSN Research Projects

The population of America is growing older every year. Thirteen percent of the population is at least 65 years old. Many elders have limited health care choices because fewer physicians are locating their practices in rural areas. Nurse practitioners are now practicing in underserved areas such as rural communities. The purpose of this descriptive exploratory study was to explore baseline knowledge of rural elders concerning the role of nurse practitioners as health care providers. Becker's Health Belief Model was used to guide the research. The research question was as follows: What is rural elders' knowledge of nurse practitioners as health …

Modifiable Risk Factors For Osteoporosis Prevention In The College Population, Sally Pearson

MSN Research Projects

The purpose of this descriptive study was to identify the known modifiable risk factors for osteoporosis in the college population. Pender's Theory of Health Promotion served as the theoretical framework for this study. The research question was as follows : What preventive behaviors are college students participating in that will increase their risk of osteoporosis? Risk factors were measured using the Osteoporosis Lifestyle Survey, a tool with face validity. The sample population (N = 121) consisted of students, ages 17 to 30 years, who were attending a small southern university and who submitted the questionnaire. Data analysis was performed using …

Maternal Knowledge Of Danger Signs Of Pregnancy, Rachel D. Kirksey

MSN Research Projects

The focus of this descriptive study was nurse practitioners' attitudes and management practices regarding emergency contraception.

Emergency Contraception: A National Survey Of Nurse Practitioners' Attitudes And Management Practices, Rachel D. Kirksey

MSN Research Projects

The focus of this descriptive study was nurse practitioners' attitudes and management practices regarding emergency contraception.

Women's Experiences With Chronic Heart Failure, Denise M. Boren Phd, Msn, Cns

Dissertations

Nationwide, approximately 4.1 million Americans suffer from chronic heart failure accounting for estimated direct and indirect costs of over $21 billion spent annually for health care. The incidence of heart failure has doubled each decade since the 1940's and slightly more men were inflicted with the illness. This trend changed three years ago, with a decline in the overall incidence of heart failure and a slight predominance of the illness in women rather than men. The incidence of this condition was reduced in males nearly three times that of females. Women survive longer after diagnosis, however they are hospitalized more, …

Therapeutic Alliance: Development, Evaluation, And Application Of The Kim Alliance Scale, Son Chae Kim Phd, Msn, Fnp, Rn

Dissertations

The quality of therapeutic alliance between the patient and healthcare provider is a pivotal contributing factor toward optimal healthcare in the current context of rising healthcare costs, shorter hospital stays, and patient's rights. The availability of a well-designed and sound therapeutic alliance instrument can provide understanding and insight into improving the quality of healthcare. The purpose of this study was to develop a reliable and valid therapeutic alliance instrument, to evaluate its psychometric properties, and to explore its usefulness in predicting patient satisfaction. The retroductive triangulation method provided a framework for the development of the instrument, the Kim Alliance Scale …

Sepsis Bundle Completion, Jenna Churnock

Dissertations

Background: Sepsis is a serious condition resulting in end organ damage and ultimately, death. Communication techniques for nurses and physicians on septic patients admitted to the hospital from the emergency department was evaluated. Paper communication was used in 2020 to facilitate serum diagnostic acquisition and antibiotic administration (i.e., sepsis bundle), but an electronic communication form was utilized in 2021.

Method: An observational, descriptive design utilizing a medical record review was completed to compare the same time-period in 2020 and 2021. Communication methods for sepsis bundle completion were compared.

Results: A total of 100 medical records were reviewed (N …

Repeat Adolescent Pregnancy From The Perspective Of The Pregnant Teen, Marianna Wharton

MSN Research Projects

Despite the continuing high number o f repeat pregnancies to teens and the negative consequences o f a second birth, the American health care system continues to focus pregnancy prevention efforts on never-pregnant teens through a message o f abstinence. While abstinence is an important component o f pregnancy-prevention efforts, this approach does not address the needs o f teens who are already mothers. The purpose o f this descriptive, qualitative study was to explore the phenomenon o f repeat adolescent pregnancy from the perspective o f the teen mother pregnant with a second child. The following research question guided …

Nurses, Pharmacists, And Information Technology In Public Healthcare, Larry Allen Malato

UNLV Theses, Dissertations, Professional Papers, and Capstones

The purpose of this study was to explore the healthcare professional’s experience during the implementation of information technology. The focus is on the implementation of a computerized medication ordering, dispensing, and tracking system in acute care departments of a 600- bed public hospital. Spradley’s qualitative, ethnographic research methods were used to discover the personal meaning of the implementation. How do pharmacists and nurses feel about the implementation of an advanced technology system? Are there any barriers to implementation? Findings suggest a resistance to implementation by professionals in the disciplines of Pharmacy and Nursing. Resistance is based on their perceptions of …

A Longitudinal Study Examining The Stability Of Occupational Stressors Identified By Nursing Home Administrators, Gay Lynne Andrucci-Armstrong

Health Services Research Dissertations

As a result of the ever changing and expanding role of the nursing home administrator in conjunction with the stricter legislation governing nursing facilities over the past decade and the graying of America, a study specific to this population was warranted. The purpose of this study is to determine the relative change in the self-reported occupational stressors of nursing home administrators over a five year period (December 1994 to June 1999) secondary to the increased regulatory climate of the nursing home industry.

This study was carried out in three phases and included all practicing nursing home administrators in Virginia. Phase …

Effect Of Relaxation On Neuro-Immune Responses Of Persons Undergoing Chemotherapy, Patricia K. Taylor Pothier Phd, Ms, Rn

Dissertations

Chemotherapy can be considered both a physiologic and a psychological stressor. Anxiety, nausea, emesis, and immunosuppression are commonly associated with chemotherapy, and may adversely affect the outcome or the process of treatment. Chemotherapy-related anxiety can exacerbate negative side-effects. Some psychological stressors, such as anxiety, can result in down-regulation of certain immune functions. Studies have demonstrated that behavioral interventions, such as specific relaxation strategies, can modify stress-related immune modulation. These behavioral interventions have also been shown to decrease the degree of nausea and vomiting associated with chemotherapy. The purpose of this study was to examine whether a relaxation intervention would result …

The Meaning Of High-Quality Nursing Care As Derived From King's Interacting Systems, Mary Ellen Gunther

Doctoral Dissertations

The purpose of this study is to conceptualize quality with in a framework unique to nursing, King's Interacting Systems. Clarification of the concept with in the metaparadigm and a nursing conceptual framework provides the understanding of the domain and scope of nursing necessary for professional autonomy. This differentiation fosters the continued development of the discipline as well as facilitating collaboration with medicine and other health care disciplines for the ultimate benefit of the patient.

Gadamer's philosophical hermeneutics involves a dialogical interaction between the whole and parts of the text and between the horizons of the text and the interpreter. In …

Exploring The Effects Of Guilt, Spousal Support, And Role Conflict On The Psychological Well-Being Of The Educated Full-Time Stay-At-Home Mother, Susan Donley Desimone Phd

Dissertations

The purpose of this study was to examine the effect of guilt, degree of spousal support, role conflict, and decreased psychological well-being experienced by educated stay at home mothers with young children. Social role theory is utilized as a basis for the development of a theoretical model. Relevant research literature does not identify a link between guilt, degree of spousal support, role conflict, and decreased psychological well-being in stay at home educated mothers. The significance of this study was to bring recognition to the phenomenon among educated stay at home mothers that little or no attention has been acknowledged. The …

Crossing Myriad Borders: A Dimensional Analysis Of The Migration And Health Experiences Of Indigenous Oaxacan Women, Sharon Mcguire Phd, Op, Msn, Rn-C

Dissertations

The growing feminization of the migration of ethnic indigenous women, such as Mixtecs, Zapotecs and Triquis from the southern Mexican state of Oaxaca, are altering the dynamics and configuration of traditional Mexican migration, making it especially significant for the health professions. Informed by a postcolonial ecofeminist paradigm, this bi-national grounded theory study explored the migration and health experiences of indigenous Oaxacan immigrant/migrant women. Data collection using participant observation and interviewing occurred in Oaxaca, Mexico, along the US-Mexico border, and the interior of California. Dimensional analysis was used as the method of data analysis to generate theoretical understandings of these phenomena. …

Does Mutual Goal Setting Make A Difference In Level Of Self-Efficacy For Patients With Congestive Heart Failure Receiving Home Care, Avis A. Rogers

Masters Theses

This secondary analysis evaluated the effect of a mutual goal setting nursing approach on the level of self-efficacy to manage disease in general in patients with congestive heart failure (CHF). The conceptual frameworks utilized were King's theory of goal attainment and Bandura's theory of self-efficacy. The primary study used a convenience sample of 54 patients who had been admitted to two home healthcare agencies with the primary diagnosis of CHF. Data were collected at baseline, 3-months and 6-months. The data collection tool was the Self-Efficacy Tool, which was from Outcome Measures for Health Education and other Health Care Interventions (Lorig, …

Quality Of Life In A Heart Failure Population, Diane S. Rexford

Masters Theses

The purpose of this secondary analysis was to identify what impact nursing approaches had on quality of life over time in a heart failure population. The sample was those patients who were receiving home care for heart failure.

The theoretical framework was the King theory of goal attainment. This secondary analysis used data from the study by Dr. Kay Setter Kline, Home Care Outcomes for Heart Failure: A Test of Two Nursing Interventions. The specific tools utilized were a demographic tool and the Ferrans and Powers Quality of Life Index: Cardiac Version III. The subjects received nursing approaches from graduate …

Study To Test Nursing Smoking Cessation Interventions On The Stage Of Behavior Change Of Smokers, Barbara J. Goudie

Masters Theses

The purpose of the study was to test the effect of smoking cessation interventions given by nurses on the stage of behavior change of smokers. Prochaska & Velicer’s (1997) trans-theoretical model of behavior change was used to provide direction for the study. The sample was a convenience sample of ten. The subjects were patients on the medical/surgical floors of a general hospital who met the selection criteria. Demographic information and smoking history were obtained from the patients, and an intervention based on a protocol developed from Prochaska’s health promotion model was given to each subject One month after the intervention …