Digital Commons Network^™

Ambulatory Surgery Nurses' Perceptions Of Their Ability To Provide Individualized Patient Care, Rebecca L. Brown

Masters Theses

This descriptive correlational study examined the extent to which nurses in an ambulatory surgery practice environment perceive their ability to individualize patient care. As patients shift to the outpatient setting, it is important to look at the effect this may have on individualizing patient care, a concept rooted in the foundation of the profession of nursing. Registered nurses from four ambulatory surgery sites within one large health care system in western Michigan were asked to rate the frequency which they performed select nursing care actions using the 45-item .Ambulatory Individualized Care Index (AICl). modified from van Servellen's (1988a) Individualized Care …

Designing An Analytic Deliberative Process For Environmental Health Policy Making In The U.S. Nuclear Weapons Complex, Seth Tuler, Thomas Webler

RISK: Health, Safety & Environment (1990-2002)

Using a National Research Council Report as a centerpiece, Drs. Tuler and Webler evaluate the effectiveness of a conceptual approach to risk policy-making.

A Comparison Of Practice Patterns Of Nurse Practitioners In Collaborative Practice And Those In Independent Practice Arrangements, Lee Wallace

MSN Research Projects

Nurse practitioners provide health care in a variety of settings, which can be subdivided into two broad categories: collaborative practice, indicating physician and nurse practitioner practice in the same setting, and independent practice, indicating physician preceptor not in the same facility. This study’s purpose was to determine if differences exist in practice patterns of nurse practitioners in collaborative and independent practice. This descriptive, conparative study was guided by the American Nurses Association Social Policy Statement. The setting was the predominately rural state of Mississippi. The sample

Improving Patient Satisfaction With A Major Healthcare Organization, Mary Carolyn Tornero

Theses Digitization Project

No abstract provided.

The Impact Of Family Planning Household Service Delivery On Women's Status In Bangladesh, James F. Phillips, Mian Bazle Hossain

Poverty, Gender, and Youth

Since 1982, the Maternal and Child Health and Family Planning Extension Project has compiled longitudinal panel data on rural women’s contact with household service providers who visit homes to discuss family planning and offer services to women on request. This study tests the hypothesis that home-based services reinforce customs of purdah (female seclusion) by sustaining the dependency and isolation of the women served by the program. Results show that household services improve women’s status. This effect is largely attributable to the impact of outreach on effective fertility regulation. Findings do not support the hypothesis that household service delivery is detrimental …

Kronos [1998], State University Of New York At Stony Brook, School Of Medicine

Kronos (School of Medicine)

This edition of Kronos, published in 1998, is the official yearbook of the State University of New York at Stony Brook, School of Medicine. Hard-bound.

Technical Assistance To Enhance The Institutionalization Of Operations Research Within The Philippines Family Planning Program, Population Council

Reproductive Health

This technical assistance project supports the goal of the Asia Near East Operations Research and Technical Assistance (ANE OR/TA) project of helping strengthen family planning (FP)/reproductive health (RH) operations research (OR) capabilities in the Philippines. During the extension period of the ANE OR/TA project, four OR studies were implemented in the Philippines dealing with cross-cutting issues, including a study to assess the feasibility of integrating RTI management within FP/MCH programs; an intervention study dealing with improving quality of care via expanded FP counseling; an intervention to address high unmet need in Pangasinan Province; and an intervention study to increase male …

Coping Mechanisms Utilized By Women Survivors Of Breast Cancer, Elizabeth Polk Thomas

MSN Research Projects

The suspected and confirmed diagnosis of breast cancer evokes feelings of fear, anxiety, guilt, frustration, and vulnerability in an individual. A woman diagnosed with breast cancer may utilize a variety of coping mechanisms. This descriptive study sought to identify the most common and most effective coping mechanisms utilized by women survivors of breast cancer answering the following research question: Which coping mechanisms are most effective and most frequently utilized by women survivors of breast cancer? This study used the theory of Lazarus and Folkman (1984) as a framework for understanding coping. The final sample (N = 20) consisted of women …

Nurse Practitioner's Beliefs Regarding Controlled Substance Prescriptive Priviledges, Holly Taylor Robertson

MSN Research Projects

Prescriptive authority for controlled substances for advanced practice nurses has been a very controversial topic over the past years and continues to be an issue today. Research has shown that nurse practitioners prescribe medications appropriately but that barriers to nurse practitioner’s prescribing practices remain even th o u ^ legal authority has been granted. This descriptive study sought to describe the beliefs of nurse practitioners in the state of Mississippi concerning prescriptive privileges of controlled substances. Erickson, Tomlin, and Swain’s Theory of Modeling and Role-modeling (1983) provided the conceptual framework for this study. The research question asked in this study …

Endothelial Nitric Oxide Synthase And Growth Factor Regulation Of Flow-Mediated Vascular Remodeling, David Anthony Tulis

Theses and Dissertations in Biomedical Sciences

This study was designed to characterize structural remodeling of male Wistar rat mesenteric arteries exposed to elevated blood flow in vivo for 1, 3, or 7 days. A series of arterial ligations induced blood flow increases in ileal and second-order branch arteries compared to same animal control vessels. Neither mean carotid nor local mesenteric arterial pressures changed significantly pre- to post-ligation. The primary flow-mediated force in both vessels was shear stress with possible involvement of acute stretch-induced wall stress in the ileal artery. Significant luminal expansion and medial wall hypertrophy occurred in the ileal and second-order arteries in a time-dependent …

Correlates Of Staff Nurse Work Satisfaction In Hospitals With Shared Governance, Mary Kay Flynn Dnsc, Rn, Ccrn

Dissertations

Lack of staff nurse participation in hospital decision-making has been cited as a major reason for the dissatisfaction in nursing. Shared governance has been proposed as an organizational model that provides staff nurses with both the structure and the mechanism for having increased decision-making authority. The purpose of this study was to investigate the relationship of organizational culture, perceived importance of involvement and actual involvement in decision-making, the discrepancy between importance and involvement, staff nurse years of involvement in shared governance, control over nursing practice, and work satisfaction among staff nurses working in hospitals with shared governance. A descriptive, correlational …

Patient-Focused Care: The Restructuring Of Healthcare, William E. Brown

Theses

This thesis will focus on the study of restructuring or redesigning the current healthcare delivery system. with a primary emphasis on the concept of patient-focused care. Patient-focused care is defined as the redesign of patient care so that hospital resources and personnel are organized around patients. rather than around various specialized departments.

An overview of the healthcare delivery system prior to 1980 pointed out that healthcare expenses were increasing at far too rapid a rate. The number of Americans without healthcare benefits was climbing and medical record management was out of control. Hospital information systems were obsolete and professional territorialism …

The Youth Empowerment Project: Strengthening Ngo Management, Research And Service Delivery Capabilities In Botswana, Mercy Rapelesega, Naomi Rutenberg

Reproductive Health

In an expansion of its efforts to fight a growing HIV epidemic and high teenage pregnancy rates, the Government of Botswana is encouraging nongovernmental organizations (NG0s) to be more active in providing reproductive health (RH) services, and especially HIV/AIDS education and care, to adolescents. NG0s have the potential to assume a larger role as health and education providers as well as implement pilot projects that the public health sector could learn from to increase the availability and quality of RH services for youth. The Africa OR/TA Project II designed and implemented the Youth Empowerment Project (YEP) to assist youth-oriented NG0s …

Work Redesign And Its Influence On Employee Motivation And Job Satisfaction, John Koscielniak

Masters Theses & Specialist Projects

Reengineering and work redesign have become the buzzwords of the healthcare industry giving rise to the unprecedented growth of reengineering / work redesign consultants who offer cookbook methods to make the organization efficient and reduce costs. The unfortunate consequence of this rush to redesign is that the employer accepts recommendations to change the organization without knowing the state of the workforce. The purpose of this research is to test the effects of work redesign as implemented at two for-profit hospitals using a measurement tool developed specifically for work redesign. The intent is to compare the hospitals separately as each work …

In The Affirmative, Vol.3, No.7 (Mid-October / Mid-November 1996), Mike Martin, The Aids Project

In the affirmative (1993-1999)

No abstract provided.

The Chironian Vol. 113 Spring/Summer 1996, New York Medical College

The Chironian

No abstract provided.

Fetal Alcohol Syndrome: Physical Therapy Implications And Treatment Strategies, Mary L. Emerson

Physical Therapy Scholarly Projects

Fetal Alcohol Syndrome (FAS) describes physical and neurological (motor, cognitive, and behavioral) deficits that result from maternal alcohol intake during pregnancy. FAS is the leading cause of mental retardation and birth defects in the U.S., ahead of spina bifida, fragile X syndrome, and down's syndrome. The incidence of FAS increased more than three-fold from 1979 to 1992; this increasing incidence rate, enhances the importance of the Physical Therapists' role in early recognition and intervention of FAS. A review of current F AS research studies, reveals a need for additional resource information on FAS, regarding implications for Physical Therapy and possible …

Rn And Lpn Perceptions Of Front-Line Delegation, Martha E. Colwell

Dissertations and Theses @ UNI

Healthcare organizations face increasing demands to provide the most efficient and economical care possible. Emerging patient care delivery systems require that front-line RNs take on a broader scope of responsibility for patient care, particularly in the area of delegation. Research identifies that staff RNs experience much difficulty in delegating patient care (Conger, 1993; Hansten & Washburn, 1994). The purpose of this study was to explore RN and LPN perceptions of front-line delegation in their working relationships. In particular, the study sought to: (a) determine how changing roles of RNs and LPNs influenced front-line delegation; (b) answer how RNs viewed front-line …

What's Happening: September 20, 1995, Maine Medical Center

What's Happening

No abstract provided.

Development And Testing Of An Explanatory Model Of Registered Nurse Empowerment, Marilyn D. Klakovich Dnsc, Msn, Rn, Cnaa

Dissertations

Recent innovations in patient care delivery and nursing governance require an empowered workforce. However, little is known about what combination of organizational, leadership, and personal characteristics maximize the prediction of registered nurse empowerment. The purpose of this study was to develop and test an explanatory model of registered nurse empowerment. The predictor variables included personal characteristics of registered nurses (age, experience, organizational tenure, education, and position level of clinical and/or management responsibility), perceptions of organizational culture, and connective leadership. The study was conducted in a tertiary-care hospital in Southern California. A total of 113 registered nurses completed the Organizational Culture …

Spring 1995, Southwestern Oklahoma State University

The Sig

The Sig Newsletter from the Southwestern Oklahoma State University College of Pharmacy - Spring 1995

Descriptive Epidemiology Of Physical Activity In Adolescents, Russell R. Pate, Barbara J. Long, Gregory W. Heath

Faculty Publications

This paper reviews the descriptive epidemiology of physical activity in adolescents. Large population-based studies were reviewed, along with smaller studies using objective monitoring of physical activity. Estimates showed that adolescents engage in physical activity of any intensity for a mean of one hour per day. Approximately two thirds of males and one quarter of females participate in moderate to vigorous activity for 20 min 3 or more days per week. Activity levels decline with increasing age across adolescence, and this decrease is more marked in females than in males. Comparison of these data to physical activity guidelines for adolescents suggests …

Jefferson Alumni Bulletin – Volume Xliii, Number 3, Fall 1994

The Bulletin (formerly the Jefferson Medical College Alumni Bulletin)

Jefferson Alumni Bulletin – Volume XLIII, Number 3, Fall 1994 Diary of an SCI, page 5 Colleagues honor Cotler with portrait, page 7 Neurosensory institute is established, department of neurosurgery expands, page 7 Teaching molecular medicine, preparing for practice in the 21st Century, page 8 On campus, page 11 Jefferson Research, page 12 Giving to Jefferson, page 14 Obituaries, page 16 Class notes, page 18

Effective Changes In Hospital Patient Accounting Since The Prospective Payment System (Pps), Carol L. Francke

Dissertations

This is a multiple case study that examined three hospital patient accounting departments since the adoption of the prospective payment system (PPS). The cases were chosen based on similarities such as their size and dependence on government programs for reimbursement, interviews were conducted and documents were reviewed from 1985 and 1990. Measures of gross revenue days in accounts receivable and the ratio of the number of full time equivalents (FTEs) to patient encounters were used to determine whether these patient accounting departments were more efficient in 1990 than in 1985.

Despite their selection of different forms of adaptation, all three …

Nsu Programs For Higher Education Catalog 1994–1995 (Includes Application And Admission Forms), Nova Southeastern University

Abraham S. Fischler College of Education and School of Criminal Justice College Archive

No abstract provided.

The Identification And Magnitude Estimation Of Occupational Stressors In The Industrial Hygiene Profession, Judith Hinch

Community & Environmental Health Theses & Dissertations

The industrial hygiene professional is responsible for the evaluation and control of hazards in the workplace. Job stress has been identified as a factor affecting the health, safety and productivity of workers and can be considered a workplace hazard.

This study involved the development of an instrument to identify and quantify sources of stress within a give profession. The industrial hygiene profession was chosen, though the method can be, and has been, used to evaluate stress in other groups of individuals. The method involved the identification of the most significant sources of stress by surveying a small number of the …

Leader Behavior, Timing, Type, And Faculty Acceptance Of Changes Initiated By Nurse Education Executives., Margaret Ruth Colyar

All ETDs from UAB

No abstract provided.

Responsibilities Of Worksite Health Promotion Directors, Anne Bernice Mcgown Patneaude

Dissertations and Theses @ UNI

The purpose of this study was to identify the areas of responsibility that were perceived by worksite health promotion directors as most important to the success of their organization's health promotion program. A survey instrument was designed and mailed to 111 health promotion directors in the state of Iowa, Minnesota, and Wisconsin that were 1992 members of the Association of Fitness in Business (AFB). Subjects were asked to rate the importance that 27 responsibilities associated with four areas of competence receive within their organization. The results are based on the responses of 23 (20.72%) of these directors. Females represented 7 …

Knowledge Synthesis - What Is It?, Judith A. Floyd

Nursing Faculty Research Publications

No abstract provided.

A Cipp Evaluation Of The Administrative Associate Training Program Through Sentara, Patricia A. Criswell

Community & Environmental Health Theses & Dissertations

Hospitals are facing change in today's environment. In order to meet these growing challenges, they are responding by providing value added services. Value added services have been defined as reducing inefficiencies and improving quality and service. Operational restructuring in the form of a new concept called patient-focused care has become the paradigm shift and structural revamping at several hospitals across the nation. Sentara Hospitals have adopted this program to improve the clinical and service quality delivered to the patient. An integral component of this new approach is the multiskilling of staff to reduce duplication, inefficiencies, and improve the quality provided …