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The Influence Of Organizational Culture On Affinity For Knowledge Management Practices Of Registered Nurses, Gregory Allen

Faculty Publications - George Fox Digital

This study addressed the problems of hospitals’ duplicated effort and ad hoc knowledge management (KM) practices. The purpose of this quantitative study was to examine the focus and type of organizational culture in order to describe and predict the relationship between organizational culture and the affinity for KM of nurses working in health care organizations in Portland, Oregon. Guided by the competing values framework and social capital theory, this research study was undertaken to illuminate the possible relationship between the affinity for and probable use of KM and organizational culture in Oregon hospitals. Data were collected from 93 registered nurses …

A Support Model For Or Efficiency, Joseph M. Griffin

Patient Care Services / Nursing

No abstract provided.

Parents’ Perceptions Of Pediatric Diabetes Management Clinics, Kalie Diane Thornock, Dr. Barbara Mandleco

Journal of Undergraduate Research

One in every 400-600 young people in the United States are diagnosed with Type 1 diabetes (Centers for Disease Control and Prevention, 2005), a disease requiring constant vigilance to ensure continued health. Therefore, regular medical appointments to monitor hemoglobin A1C, LDL cholesterol level, blood pressure, eyes, and feet are needed along with special dietary and medication considerations for successfully managing diabetes (Saaddine et al., 2006).

Study Abroad Programs: Using Alumni And Graduate Students As Affiliate Faculty, Sheri Palmer, Debra Wing, Leslie Miles, Sondra Heaston, Karen H. De La Cruz

Faculty Publications

To expand student appreciation of global health and diversity, many schools of nursing offer study abroad programs. However, this type of labor-intensive program can be difficult in light of faculty shortages and constrained resources. The authors discuss how these issues were addressed using alumni and graduate students as affiliate teachers in 3 clinical study abroad settings.

The Relationships Between Nurse Attributes, Site Characteristics, And Labor Support Attitudes And Behaviors Among Intrapartum Nurses, Ann Prenger Aschenbrenner

Dissertations (1934 -)

Most American women deliver their babies in the hospital; an opportunity for nurses to make a positive impact. However, nursing labor support has been associated with fewer positive outcomes than support performed by lay providers, doulas, or midwives. Positive outcomes associated with continuous labor support include decreased cesarean deliveries, and use of medication or epidurals for pain. It was unclear why the outcomes were not as great when nurses provided labor support.

The purpose of this study was to describe the relationships between nurse attributes, organizational characteristics, and labor support attitudes, behaviors, and perception of barriers among intrapartum nurses. Conceptual …

Measuring Use Of Positive Thinking Skills: Psychometric Testing Of A New Scale, Abir K. Bekhet, Jaclene A. Zauszniewski

College of Nursing Faculty Research and Publications

Positive thinking interventions improve adaptive functioning and quality of life in many populations. However, no direct measure of positive thinking skills taught during intervention exists. This psychometric study of a convenience sample of 109 autism spectrum disorder (ASD) caregivers examined a new eight-item Positive Thinking Skills Scale (PTSS), which measures the frequency of use of positive thinking skills. The PTSS was found to be internally consistent (α = .90). Construct validity was supported by significant correlations (p < .01) with positive cognitions (r = .53), resourcefulness (r = .63), depression (r = −.45), and general well-being (r = .40). The findings …

Favorable Ratings Of Providers' Communication Behaviors Among U.S. Women With Depression: A Population-Based Study Applying The Behavioral Model Of Health Services Use, Abiola O. Keller, Ronald Gangnon, Whitney P. Witt

College of Nursing Faculty Research and Publications

Background

Little is known about the relationships between sociodemographic characteristics and ratings of provider communication behavior among women with depression in the United States. This study uses the Andersen Behavioral Model to examine the relationships among predisposing, enabling, and need factors and ratings of perceived patient–provider communication in women with depression.

Methods

The sample consisted of women with depression who visited any provider in the previous 12 months in the 2002–2008 Medical Expenditure Panel Survey (n = 3,179; weighted n = 4,707,255). Multivariate logistic regression was used to examine the independent contribution of predisposing, enabling, and need factors on …

Autism Spectrum Disorders And Hyperbilirubinemia, Amber Blake, Dr. Lora Jean Campbell

Journal of Undergraduate Research

Autism spectrum disorders (ASD) have increased tenfold over the past fifty years. These disorders include: autistic disorder, Asperger disorder, and pervasive developmental disorder-not otherwise specified (PDD-NOS) (Johnson & Myers, 1184). Symptoms of ASD are language delay, severe deficits in social skills, and repetitive behavioral patterns. These symptoms make it hard for children with ASD to form peer relationships, communicate effectively, and develop appropriately (Johnson, 1191-1194).

How Nurses Perceive Their Ability To Support Newly Diagnosed Cancer Patients, Hannah Ross

Journal of Undergraduate Research

This study examined nurses’ feelings as they communicated with their newly diagnosed cancer patients. Qualitative interviews with ten oncology nurses from northern and central Utah were conducted. Nursing literature demonstrated that many newly diagnosed cancer patients felt healthcare staff were not empathetic. Qualitative interviews with study participants concluded that nurses with oncology experience feel confident and competent in supporting patients. The interviews also discussed that it is important for nurses to be empathetic, compassionate, understanding, and knowledgeable to feel competent in caring for these patients.

Apgar Scores And Oxygenation Levels: A Comparison Of Vaginal And Cesarean Section Modes Of Delivery, Allison Holt, Dr. Patricia Ravert

Journal of Undergraduate Research

Purpose Compare Apgar scores and oxygenation levels of well infants born by Cesarean section (c-section) to those delivered vaginally.

Cultural Competence Of Taiwanese Nurses, Chin-Nu Lin

Nursing Theses and Dissertations

Research on the cultural competence in nursing care in Taiwan is scarce. Little information has been documented regarding the level of cultural competence among its health care professionals. The aim of this study was to investigate the level of cultural competence among Taiwanese nurses. This study employed a quantitative design using a self-report online survey. Research findings indicated that Taiwanese nurses had low to moderate level of cultural competence. They perceived themselves as being not culturally competent when caring for clients from culturally and ethnically diverse backgrounds. While Taiwanese nurses scored high on cultural sensitivity and awareness, they scored low …

Daily Needs Of Family Members Of Icu Patients With Severe Traumatic Brain Injury, Christy Rae Lee, Dr. A. Elaine Bond

Journal of Undergraduate Research

In the intensive care unit (ICU), family members of severe traumatic brain-injured (STBI) patients struggle with the possibility of future dysfunction or untimely death. This is a vulnerable and precarious time for the families. In this crisis time, nurses must be able to provide holistic nursing care that includes the family as well as the patient. To determine and react to the family’s ongoing needs, nurses could return some stability to the family, aiding the patient’s recovery.

Childbirth Experience Of Chinese Women, Robin Kartchner, Dr. Lynn C. Callister

Journal of Undergraduate Research

Women across the world share in the same biological process of childbirth. However, their experience with childbirth can vary widely depending on their cultural and spiritual background. The quality of care a woman receives during and after her pregnancy is deeply influenced by the understanding of these factors that the nurse brings to their interaction (1). This research built on previous studies of women from other cultures (2) by interviewing Chinese women in China about their childbirth experience.

An Educational Approach: Increasing College Freshmen's Knowledge Regarding Sexually Transmitted Infections, Jennie Mcclain

Evidence-Based Practice Project Reports

According to the Centers for Disease Control (2009), young adults account for only 25% o fsexually active persons in the United States, but account for 50% of the newly diagnosed cases of sexually transmitted infections (STIs). Some young adults may not have received appropriate or credible information on sexual health by which to make knowledgeable decisions that may influence the rest of their lives. High schools are not required to offer comprehensive sex education. Therefore, some students may have received abstinence-only sex education. Risk reduction and disease prevention are important in college health. This evidenced-based practice project included the creation, …

The Experiences Of Siblings Of Children With Autism, Elizabeth Ward, Dr. Barbara Mandleco

Journal of Undergraduate Research

The social and behavioral issues of autism are very unique and have a deep impact on families, particularly siblings, as they learn to cope and live with a child with autism (CWA). However, there is limited information in the literature relative to the experience of the sibling, and the information that does exist is often conflicting. The research shows that siblings of CWA experience stress, frightening behavior, and violence in the home (Benderix & Sivberg, 2007). Furthermore, some researchers found that siblings demonstrated less intimacy in sibling relationships, and were negatively affected socially and emotionally (Hastings, 2003; Kaminsky & Dewey, …

Measuring Cultural Competence In Nursing: A Qualitative Comparison Of Education And Workforce Measures, Robin Ellis, Dr. Erin Maughan

Journal of Undergraduate Research

The most recently published United States census indicates that nearly one fourth of the United States population is non-Caucasian (“Race and Ethnic Distribution,” 2001). Unlike the general population, nearly 90% of registered nurses identify themselves as primary Caucasian. Consequently, cultural awareness in health care has become an imperative issue.

Perceptions Of Single Parents Raising A Child With Disabilities: A Pilot Study, Dr. Barbara Mandleco, Danielle Nyholm

Journal of Undergraduate Research

Parents raising a child with disabilities (CWD) are subject to a unique experience that is often accompanied by many challenges not experienced by a parent raising normally developing children. The experience requires extensive time and money, and the parents endure many stressors resulting in exhaustion (Green, 2007). In addition, Kelso, French, and Fernandez (2005) found stressors for two-parent families of a CWD include the process of diagnosis, treatment decisions, the ability to function spontaneously as a family, schooling for their child, and lack of professional attention to their CWD. If two-parent families experience these difficulties, single-parent families will likely have …

Relationship Between Grief And Sleep Among Grief Group Members, Diana Snyder, Beth Cole

Journal of Undergraduate Research

Grief and bereavement can be defined as experiences created by responses to the loss of a family member or close friend. Such distressing experiences can be amplified by sleep dysfunction because of the devastating effects poor sleep quality has in healthy functioning. In a study done by Richardson, Lund, Caserta, Dudley, and Obray (2003), it was noted that 50 % of a group of 192 bereaved widows and widowers reported sleep disturbance within the first few months after the death of a spouse. Sleep disturbances have been highly correlated with problems such as depression, emotional lability, anger, loss of control, …

Nursing Students’ Perceptions Of Learning Outcomes Throughout Simulation Experiences, Christina Hunter, Dr. Patricia Ravert

Journal of Undergraduate Research

Identified learning outcomes when using high-fidelity simulators in a nursing lab are 1) improving communication, 2) increasing psychomotor skills, 3) understanding classroom material, 4) developing critical thinking, and 5) facilitating teamwork (Bambini, Washburn, & Perkins, 2009; McGaghie, Issenberg, Petrusa, & Scalese, 2006). Nursing students in each semester develop different learning outcomes. Communication, improving nursing skills, and developing critical thinking are outcomes of simulation for novice students (Bambini et al.). However, data is limited on outcomes of simulation for other levels of nursing students. The purpose of this study is to determine students’ perceptions regarding learning outcomes and their development throughout …

Compassion Fatigue: Prevalence Among Nurses At A Midwest Pediatric Hospital, Branch Carole

Dissertations

Compassion fatigue is a term used to describe the unique stressors affecting people in care-giving professions (Joinson in 1992). For nurses, the impact of compassion fatigue may result in stress-related symptoms, job dissatisfaction, decreased productivity, patient satisfaction, safety issues, and job turnover. The purposes of this non-experimental descriptive survey using electronic distribution to collect data were to identify the prevalence of compassion fatigue composed of burnout and secondary traumatic stress and compassion satisfaction among nurses and nursing staff who deliver direct patient care at the hospital and the relationship between demographic variables (age, work category, level of education, work experience) …

A Pilot Project To Develop A Tool To Assess Gain In Knowledge In Third Graders Participating In A Science Based Drug Prevention Education Curriculum, Miriam Dawn Butler

Dissertations

Drug use and abuse presents a significant problem to individuals, families, and law enforcement in communities across the United States. Methamphetamine is a particular concern in one rural eastern Missouri county. Much work is being done in this county by multiple agencies to decrease methamphetamine production and use. Little attention, however, has been focused on prevention in the elementary schools. Substance use and experimentation may begin as early as 12 years old or even earlier. By initiating a proven drug prevention education curriculum before children begin to experiment with tobacco, alcohol and illicit drugs, drug use may be delayed or …

The Effect Of Heart Failure Education On Reducing Readmissions, Mayola Lara Villarruel

Evidence-Based Practice Project Reports

Management of heart failure is a significant financial challenge for the health care industry, costing approximately $33.2 billion annually. Common reasons for preventable heart failure readmissions include inadequate discharge education and lack of self-care and health management activities. Education at discharge is a vital component of improving heart failure outcomes. Following a review of the literature, high quality evidence supports that heart failure education should focus on medication adherence, sodium and fluid restriction, daily weights, activity tolerance, identification of deteriorating signs and symptoms of heart failure, and smoking cessation. The purpose of this EBP project was to reduce heart failure …

Sodium (Na) Levels In Drinking Water (H20) And Development Of Hypertension In Children, Sara Schiffman

HIM 1990-2015

This integrative review of the literature focused on sodium (Na) content in drinking water (H?O) supplies and the subsequent effect on blood pressure levels in children. Studies for this review were drawn from the Cumulative Index of Nursing and Allied Health, PubMED, Science and Technology Databases, PsychInfo, United States (US) Environmental Protection Agency (EPA) and EPA in Florida websites. Criterion for inclusion in the data base searches were hypertension, high blood pressure, sodium in drinking water, drinking water salinity, children or preg'. Subsequently, further article selection criteria included children (under 18 years of age) and published in the English language …

Advance Directives: A Policy Required In The Asian Countries, Nasreen Panjwani

School of Nursing & Midwifery

Advancements in health care have resulted in elaborate treatments all over the world and contributed to problems at times for the terminally ill who need palliative care. Futile treatments have demonstrated to defuse the symptoms of the disease without curing. In such scenarios physicians only prolong life of patients, keeping them away from dying peacefully and depriving them from quality of life. In this context, families exhaust their financial and material resources for the treatment of their loved ones without any substantial results. Health care systems are passionate about prolonging life and are ignoring the component of caring by disregarding …

Rallying The Team To Improve Glycemic Control In The Acute Care Setting: Mission Possible, Joyce Najarian Msn, Rn, Cde, Ann Flickinger Ms, Rd, Ldn, Marie Claude-Gutekunst Msn, Rn, Pccn, Brian D. Spadt

Patient Care Services / Nursing

No abstract provided.

An Investigation Of The Economic Viability And Ethical Ramifications Of Video Surveillance In The Icu, Laura Bagge

HIM 1990-2015

The purpose of this review of literature is to investigate the various roles of video surveillance (VS) in the hospital's intensive care unit (ICU) as well as its legal and ethical implications. Today, hospitals spend more money on the ICU than on any other unit. By 2030, the population of those 65 and over is expected to double. 80% of older adults have at least one chronic diseases (Centers for Disease Control and Prevention, 2013). As a consequence, the demand for ICU services will likely increase, which may burden hospital with additional costs. Because of increasing economic pressures, more hospitals …

Military Nurses Caring For The Enemy, Sharon Thompson, Beth Mastel-Smith, Gloria Duke, Barbara K. Haas, Shellye Vardaman, Susan Yarbrough

Nursing Theses and Dissertations

Purpose: This phenomenological study described the lived experience and aftermath of U.S. military nurses assigned enemy detainees during Operation Iraqi Freedom/Operation Enduring Freedom. Two themes emerged: Insurgent Assignments (subthemes included identification of and interactions with insurgents; training, precautions, and ethical issues, thoughts and feelings, coping, and meanings of insurgent care) and The Aftermath (subthemes were mental, emotional, personal, professional, and positive). Conclusions: Insurgent assignments caused ethical dilemmas and challenged theoretical constructs related to caring. Formal training is needed to prepare nurses for the practicalities of and responses to insurgent assignments.

This work is the dissertation manuscript of Sharon Thompson, completed …

Concept Analysis Of Empowerment From Survivor And Nurse Perspectives Within The Context Of Cancer Survivorship, Teresa Jerofke-Owen

College of Nursing Faculty Research and Publications

The liberal usage of the concept of empowerment has led to the development of a broad and ambiguous term. In health care, empowerment is a core principle of patient-centered care that promotes patient engagement in health management. This is an analysis of the concept of empowerment within the context of cancer survivorship using both Rodgers' evolutionary concept analysis and Caron and Bower's dimensional analysis. The dimensional analysis followed the evolutionary concept analysis as the perspectives of patients and nurse providers emerged in the analysis. Data sources included a sample of 249 papers from multiple disciplines covering the period 2000–2013. Empowerment …

Spiritual Care Of Couples Practicing Natural Family Planning, Richard J. Fehring, Dana Rodriguez

College of Nursing Faculty Research and Publications

There are few studies that have investigated the spiritual problems of couples practicing natural family planning (NFP). The purpose of this paper is to analyze the spiritual problems and interventions of couples who were taught NFP by means of a professional online Web-based support system. Responses from this online system and its forums were categorized according to spiritual responses, spiritual problems, and spiritual interventions to the practice of NFP. Themes addressed included spiritual care in regards to decisions about the transmission of new life, difficulties in dealing with chastity and abstinence, bioethical problems related to pregnancy and illness, end of …

Physical Activity Parenting Measurement And Research: Challenges, Explanations, And Solutions, Kirsten K. Davison, Louise C. Mâsse, Anna Timperio, Marilyn Frenn, Julie Saunders, Jason A. Mendoza, Erica Gobbi, Phillip Hanson, Stewart G. Trost

College of Nursing Faculty Research and Publications

Physical activity (PA) parenting research has proliferated over the past decade, with findings verifying the influential role that parents play in children's emerging PA behaviors. This knowledge, however, has not translated into effective family-based PA interventions. During a preconference workshop to the 2012 International Society for Behavioral Nutrition and Physical Activity annual meeting, a PA parenting workgroup met to: (1) Discuss challenges in PA parenting research that may limit its translation, (2) identify explanations or reasons for such challenges, and (3) recommend strategies for future research. Challenges discussed by the workgroup included a proliferation of disconnected and inconsistently measured constructs, …