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Enhancing The Cultural Competence Of Women’S Health Nurses Via Online Continuing Education, Ella T. Heitzler

UNLV Theses, Dissertations, Professional Papers, and Capstones

By 2050, current minority groups will comprise almost half of the US population further challenging healthcare providers and nurses to deliver culturally competent care. Numerous organizations have published documents supporting cultural competence and its incorporation into nursing curricula has been encouraged since 1986. However, practicing nurses, specifically those providing care to childbearing women and families, continue to acknowledge their lack of cultural competence. This is concerning as large health disparities exist between culturally diverse women and cultural competence can lead to greater health equality and better client care. Studies have shown face-to-face education increases the cultural competence of healthcare providers; …

Graduating Bsn Students' Ebp Knowledge, Ebp Readiness And Ebp Implementation, Ludy Sm. Llasus

UNLV Theses, Dissertations, Professional Papers, and Capstones

Emphasis on evidence-based practice (EBP) in healthcare delivery increased the expectation that nurses utilize research findings to make informed clinical decisions, and guide their nursing actions and interactions with clients in a constantly changing and increasingly complex healthcare environment. Increasing demand for patient safety and quality healthcare requires that translation of best possible evidence into practice is needed to ensure improved patient outcomes. Nursing education is responsible for preparing and providing society with knowledgeable and competent nurses who are ready to engage in EBP for improved patient outcomes.

The purpose of this non-experimental, descriptive, correlational, cross-sectional study was to describe …

The Development And Validation Of A Tool To Measure Self-Confidence And Anxiety In Nursing Students While Making Clinical Decisions, Krista Alaine White

UNLV Theses, Dissertations, Professional Papers, and Capstones

Clinical decision making (CDM) is a cornerstone skill for nurses. Self-confidence and anxiety are two affective influences that impact the learning and adeptness of CDM. Currently, no instruments exist that measure perceived self-confidence and anxiety level of undergraduate nursing students related to CDM. The purpose of this research was to develop, test, and establish psychometric properties for a quantitative instrument that measures the levels of self-confidence and anxiety experienced by undergraduate nursing students while making clinical decisions. The new tool is entitled the Nursing Anxiety and Self-Confidence with Clinical Decision Making (NASC-CDM) scale. The tool is a self-report, Likert-type instrument …

Factors Predicting Exercise Behavior Of Graduate Students, Bibha Gautam

Theses and Dissertations

Graduate school is often experienced as a time of increased demands/expectations resulting in heightened levels of stress due to academic work, family responsibilities, job demands, financial pressure, and other life related issues. Besides stress, graduate school also brings about significant physical inactivity due to the shift of the immediate priority to academic accomplishment. Reports of increasing prevalence of cardiovascular disease (CVD) risk factors among students highlight that this group may have particular risk not well-identified. Yet, relative risk can be reduced by lifestyle modifications, such as eating well, exercising, and stress reduction. The majority of the risk factors, to a …

Emergency Nurses' Perception Of Department Design As An Obstacle To End-Of-Life Care, Ryan Jay Rasmussen

Theses and Dissertations

Introduction: Of the 119.2 million visits to the emergency department (ED) in 2006, it was estimated that about 249,000 visits resulted in the patient dying or being pronounced dead on arrival. In two national studies of emergency nurses' perceptions of end-of-life (EOL) care, ED design was identified as a large and frequent obstacle to providing EOL care. The purpose of this study was to determine the impact of ED design on EOL care as perceived by emergency nurses.

Methods: A national, geographically dispersed, random sample of 500 members of the Emergency Nurses Association were sent a 25-item questionnaire regarding ED …

Oncology Nurses' Impact Scores For Obstacles And Supportive Behaviors At The End Of Life, Joan M. Collett

Theses and Dissertations

Introduction: Oncology nurses provide end-of-life (EOL) care to their patients daily. Oncology nurses' perceptions regarding how to provide quality care to dying patients could be an important addition to the ongoing research on quality EOL care. The purpose of this study was to determine the impact of specific obstacle and supportive behaviors in EOL care as perceived by hospital-based oncology nurses. This study extended the work of Beckstrand, Moore, Callister, and Bond (2009).

Methods: A 69-item questionnaire adapted from previous studies (Beckstrand & Kirchhoff, 2005; Beckstrand, Smith, Heaston, & Bond, 2008) was sent to 1,000 nurses who were members of …

The Last Frontier: Rural Emergency Nurses' Perceptions Of End-Of-Life Care, Virginia Claudia Giles

Theses and Dissertations

Introduction: Caring for dying patients is part of working in a rural emergency department. Rural emergency nurses are prepared to provide life-saving treatments but find there are barriers to providing end-of-life (EOL) care. This study was completed to discover what the size, frequency, and magnitude of obstacles were in providing EOL care in rural emergency departments as perceived by rural emergency nurses.

Methods: A 58-item questionnaire was sent to 52 rural hospitals in Idaho, Wyoming, Utah, Nevada, and Alaska. Respondents were asked to rate items on size and frequency of perceived barriers to providing EOL care in rural emergency departments. …

The Experiences Of Families Raising Children With Type 1 Diabetes Mellitus: A Qualitative Investigation, Carol A. Loucks

Theses and Dissertations

Type 1 diabetes mellitus (T1DM), a common, chronic disease, affects the patient as well as the family. It requires daily vigilance in blood sugar monitoring, dietary management and insulin administration. Research has examined the impact of T1DM on family adaptation and relationships. However, few current data describes parents' perceptions of challenges. The purpose of this study was to identify challenges and impact on the family perceived by parents raising children with T1DM. Using a qualitative descriptive design, 21 parents raising children with T1DM participated in audio-recorded focus groups. At the time of the interviews the children ranged in age from …

Holland, Cindra Interview For The Miami Valley College Of Nursing And Health Oral History Project, Donna M. Curry, Natasha Clinton, Stacy Harris, Cindra Holland

Wright State University - Miami Valley College of Nursing and Health Oral History Project

Donna Miles Curry, Stacy Harris, and Natasha Clinton interviewed Cindra Holland about the history of the Doctor of Nursing Practice program at Wright State University. In the interview Dr. Holland discusses her education as well as attending the DNP program.

Perceptions Of Coordination Of Care Between Hospice And Skilled Nursing Facility Care Providers, Kim Martz, Abigail Gerding

Nursing Faculty Publications and Presentations

The number of older Americans who are finding Nursing Homes (NH) or Skilled Nursing Facilities (SNF) as their final place of care is increasing each year, especially the fastest growing segment of the national population who are 85 years and older ¹. Although the majority of older adults would prefer to die in their homes, the frailty and complexities of advanced age are leading many to the nursing home setting ^{2, 3}. In 2020, it is reported that 40% of deaths of older adults will occur in the nursing home setting ^{4, 5}. Many studies have shown …

A Retrospective Analysis Of Maternal And Child Outcomes Following An Obesity Intervention Program, Melinda S. Bender Phd

Dissertations

Background: One of the highest risk groups for childhood obesity and associated co-morbidities in the United States are low-income Hispanic preschool children. To reduce obesity, effective interventions are being sought to improve health behaviors among high risks groups. Objectives: To evaluate a subset of data from a larger 9-month promotora facilitated obesity intervention study. The aims were to determine: 1) pre- to post-program differences in health behaviors including: (a) children's consumption of high carbohydrate beverages (HCB); and (b) maternal walking, beliefs, knowledge, self-efficacy, and relationship building regarding nutrition and physical activity; and 2) which covariates were significant for change in …

Experiences Of Faculty And Students Using An Audience Response System In The Classroom, Christine M. Thomas, Cheryl Monturo, Katherine Conroy

Nursing Faculty Publications

No abstract provided.

Lived Experience: East African Somali Speaking Women Accessing The U.S. Healthcare System, Shukri Adam Phd

Dissertations

Access to prenatal healthcare for East African Somali Speaking Women (EASSW) who are immigrants to the U.S. has been dependent on the availability of a systematic healthcare treatment model. The purpose of this study was to explore EASSW's lived experiences in accessing prenatal healthcare services in the U.S. A descriptive, qualitative phenomenological approach informed by the work of Husserl was used to explore EASSW's experiences, views, and problems encountered while attempting to access prenatal healthcare services in the U.S. Fifteen EASSW of childbearing age (ages 18–45) were recruited for this study. All participants interviewed privately, beginning with a semi-structured, open-ended …

Implementation Of A Virtual Journal Club In A Clinical Nursing Setting, Jill Berger, Heather K. Hardin, Robert V. Topp

College of Nursing Faculty Research and Publications

Healthcare practice is increasingly focused on delivering care that is based on published research evidence. Staff development nurses can institute journal clubs to teach nursing staff critical appraisal of research articles and ways to translate research findings into clinical practice. Unfortunately, attending meetings regularly is often a challenge for nurses, and relatively few have the knowledge and expertise to adequately critique research articles. One way to bridge the limitations of accessibility and limited research expertise of journal club members is to establish a virtual journal club. This article describes one hospital's experience with developing a virtual journal club.

Developing A Conceptual (Mosaic) Transcultural Model Of Nursing Care For Use At A Pediatric Inner-City Hospital, Lani Hollenbeck

Theses and Graduate Projects

The purpose of this project is to develop a transcultural model of nursing care for use at a pediatric inner-city hospital located in the Midwestern United States. The experience and outcome for pediatric patients and their families may be negatively impacted when language and culture are different from those of the nurse. Nurses working at the hospital have expressed discomfort when providing care for patients from diverse ethnic and cultural backgrounds. They feel challenged to provide supportive nursing care without imposing their own ethnocentric viewpoints or nursing practices that may be inconsistent with desires of those from another culture. The …

A Conceptual Framework For Providing Healthy Meals For A Marginalized Population, Hoching Wu

Theses and Graduate Projects

The purpose of this project is to create a conceptual framework grounded in a caring relationship that provides nutritious, economic, and efficient noon meals to 200 to 400 homeless people at an inner city church kitchen. Awareness of the concerns of the church kitchen coordinator and the needs of the homeless population provided the motivation to explore comprehensive and effective solutions through a conceptual framework. The typical menus from the inner city church kitchen and the research articles both showed the meal programs were fairly nutritious but high in total calories and low in dairy products. Creating new menus for …

Creating Community With Homeless And Marginally Housed Women, Judy Schlaefer

Theses and Graduate Projects

The purpose of this project is to create a weekly Drop-In Center where Homeless and Marginally Housed (HMH) women receive support, respite, and respect in a safe, welcoming environment. Homeless and Marginally Housed (HMH) women have unique needs due to daily struggles with disenfranchisement which include barriers to health services, battering, poor transportation, lack of recreation and education, neglect, and institutionalized poverty. The impetus for the Drop-In Center was to offer respite from the harsh environment created by the institutionalized violence against HMH women who deserve significant emotional and social support, nutrition, and respite. The transculrural nurse will be focused …

A Call To Action After A Patient Fall, Lisa D. Bungum

Theses and Graduate Projects

Fall prevention has always been a quality and safety initiative within hospitals. The purpose of this project is to define, develop, and implement an interdisciplinary huddle following a patient fall event so patient specific modifications to the plan of care can be initiated. The huddle will occur soon after the fall event to facilitate collaboration between all the patient's healthcare providers. The number of patients who repeat falls during a single hospitalization is significant and well documented in professional literature. A patient's risk for a repeat fall will be minimized by assessing and modifying interventions to reduce risk through an …

Frequent Users Of The Emergency Department: Guiding Patients To Comprehensive And Coordinated Care, Anne L. Draeger

Theses and Graduate Projects

The purpose of this project is to implement a rural community-based collaborative care network to assist high frequency emergency department users navigate a comprehensive system to access a full range of health care services and decrease reliance on the emergency department. Patients who frequent the emergency department are less apt to receive coordinated treatment of pain and other chronic disease which leads to suboptimal care focusing on symptoms rather than disease management. Nurses who practice in the emergency department identify the pattern of frequent use and lack of care coordination but struggle to provide a connection to preventative services and …

Empowering And Retaining New Graduate Nurses Through A Structured Mentoring Program, Kelly O. Gamble

Theses and Graduate Projects

The purpose of this project is to improve the orientation experience of the new graduate nurse at a metropolitan Minnesota hospital through the development of a structured mentoring program. The transition from student nurse to professional nurse is stressful for new graduate nurses. Stress combined with increased technology and patient acuity in the acute care setting has led to many new graduate nurses leaving the profession, contributing to the anticipated nursing shortage. Literature on new graduate nurse orientation, the nursing shortage, mentoring, and generational differences were incorporated in the development of the structured mentoring program. The importance of nursing leadership …

Creating An Environment That Fosters Feedback Among Nurses, Anne M. Egan

Theses and Graduate Projects

The goal of the project is to provide a voice for the nursing staff by adding their input on potential changes to the unit and to ultimately build stronger relationships among nurses. Involving staff from the beginning, this project started with a communication needs assessment completed in one unit at a small rural hospital in the Midwest. This included session meetings and a ballot survey. A project was designed to strengthen feedback among nurses on the unit, addressing horizontal violence in the workplace, and relating to Watson's nursing care theory. The project's goal is to create an environment that fosters …

Let Your Life Speak: Exploring The Lived Experience Of Graduate Nurses In An Emergency Department Setting, Mary Margaret Healy

Theses and Graduate Projects

The purpose of this research was to explore the lived experience of graduate nurses (GNs) who made the transition from academic to practice environment in the high-acuity setting of a Level 1 trauma center. These GNs entered clinical practice through a nurse residency program at Truman Medical Center (TMC) emergency department (ED) in Kansas City, Missouri. The researcher interviewed 6 GNs participating in the nurse residency program with IRB approval from the University of Missouri, Kansas City IRB. The method of inquiry was hermeneutic phenomenology. The basic research question for this study was as follows: As a participant in a …

Public Health Nursing And The Community: Partnering To Improve Health By Improving The Environment, Anna Haubrich

Theses and Graduate Projects

Florence Nightingale wrote that the environment is the single most important factor to a person's health. This paper discusses the process of bringing public health nursing together with community members to implement a Healthy Homes primary prevention project that improves the environment for people living in the Rondo Neighborhood of Saint Paul. The Rondo Neighborhood has a high ratio of low-income people. People living in lower socio-economic neighborhoods have poorer health outcomes, partially because of systemic environmental conditions. The framework of this community engagement project is guided by Community Based Participatory Action Research to emphasize the value of community involvement …

Code Simulations And Death: Processing Of Emotional Distress, Jane D. Leavy, Calvin J. Vanderhoff, Patricia K. Ravert

Faculty Publications

It is important for nursing students to be exposed to critical patient care scenarios because high stress clinical situations, such as patient codes, occur unexpectedly and infrequently in the clinical setting. In addition, it is important for nursing students to be exposed to the reality of patient death in order to help them overcome fears associated with death and to develop effective coping strategies. Students may or may not have an opportunity to deal with patient codes or patient death in the clinical setting, therefore simulation labs provide students with the opportunity to practice important clinical skills and discuss emotions …

Librarians As Partners Of The Nursing Faculty In Teaching Scholarly Inquiry In Nursing To Undergraduates At Brigham Young University, Jane Lassetter, Barbara L. Mandleco, Lynn C. Callister, Elizabeth S. Hopkins, Meagan Astill

Faculty Publications

This paper describes collaboration between the nursing librarian and faculty members teaching Scholarly Inquiry in Nursing (Nursing Research), a course for baccalaureate nursing students. Workshops presented by the librarian enhanced nursing students' information literacy skills, particularly related to accessing evidence-based sources. Student perceptions of the library integration with Scholarly Inquiry in Nursing are presented, and suggest that librarians empower them with knowledge and skills that enhance their ability to integrate evidence into their nursing practice.

Applying Community Participatory Methods To Meet Women's Mental Health Needs In Karachi, Pakistan, Nargis Asad, Judith Mcfarlane, Saima Hirani, Farhana Madhani, Shireen Shehzad

School of Nursing & Midwifery

Poor mental health is a global epidemic with women affected more often compared to men. Compromised mental health jeopardizes women's health and functioning and also the health and wellbeing of their children. To promote women's mental health, principles of community participatory methods were used to design and implement a mental health program, which was predicated on empirical research, sensitive to community culture and needs, and delivered by Lady Health Workers in an urban slum area of Karachi, Pakistan. The sequential steps of community participation, program development, implementation and strategies for sustainability are described.

Re-Vitalizing Worthiness: A Theory Of Overcoming Suicidality, Evelyn Gordon, John R. Cutcliffe, Chris Stevenson

Nursing Faculty Publications

Rates of suicide and suicidality have risen in many countries in recent years and in Ireland this trend has been particularly evident among young men (NOSP, 2005), focusing attention on how best to respond to this group. Although mental health professionals have been identified as a key group to respond to the suicidal person, it has been suggested that they are ill-prepared for working in this area (Maltsberger & Goldblatt, 1996; Ting et al., 2006; Cutcliffe & Stevenson, 2007). This study aimed to address these issues by developing a theoretical understanding of suicidality among young men to inform professional practice. …

Foundation For Evaluating Injured Firefighters Returning To Work, Deanna Stover

Loma Linda University Electronic Theses, Dissertations & Projects

The purpose of this study was to establish a foundation for developing an evidence-based assessment guideline to be used by nursing and medical personnel when evaluating a firefighter's ability to return to work after a lower extremity injury. Two on-line survey instruments were used to record the opinions and beliefs of healthcare providers and firefighters. The final samples included 63 California healthcare providers (with and without professional work experience with firefighters) and 312 California firefighters. Most of the healthcare providers with professional work experience with firefighters use the National Fire Protection Association (NFPA) 1582 Standard on Comprehensive Occupational Medical Program …

Commencement Program 2011, Loma Linda University

Commencement Programs

CONTENTS

1 | Message from the President

3 | 2011 Events of Commencement

4 | The Academic Procession

6 | Significance of Academic Regalia

8 | The Good Samaritan

9 | University History Highlights

11 | Loma Linda University Song - "Healing Love"

12 | The Speakers

20 | The University Honorees

32 | The School Honorees

53 | The Programs

• School of Medicine, 54
• School of Pharmacy, 74
• School of Dentistry, 80
• School of Science and Technology and School of Religion, 96
• School of Nursing, 111
• School of Allied Health Professions - Physical Therapy, 121
• School of Allied Health …

The Experience Of Forgiving In The Marital Relationship, Kathleen M. Leo

Seton Hall University Dissertations and Theses (ETDs)

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