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An Evaluation Of Interventions Designed To Impact Nurses : A Pilot Project, Pamela G. Bing Perry

Loma Linda University Electronic Theses, Dissertations & Projects

This pilot project was designed from a systems approach as defined within the field of marriage and family (MFT). Systems theory has been used successfully in examining and working with organizational relationships as exemplified in the work of Edwin H. Friedman. His contribution includes several books specifically developed for use in organizations; one that was tailored for religious groups; and another for managers (Friedman, 2007). While other MFT modalities have also been used effectively with organizations, the complexity of the influences operating within an organization most closely matches the systems approach. For this reason, this is the conceptual framework applied …

Gender Differences In Depression And Immune Response In Colorectal Cancer, Barbara Anne Rose Phd, Msn, Rn

Dissertations

The focus of this descriptive comparative study was to examine the relationship between gender and depression and immune system function in patients with colorectal cancer. The research questions were answered through secondary analysis, using data obtained from the answers of 117 men and women (71 men and 46 women) enrolled in a colorectal cancer study conducted between 1990 and 1991 in Pennsylvania. Descriptive statistics were used to characterize the sample, and general estimating equations were used to analyze depression and immune system function between men and women. Depression was measured by the Beck Depression Inventory, and immune system function was …

Contributions Of Supportive Relationships To Heart Failure Self-Care, Margaret Sebern, Barbara Riegel

College of Nursing Faculty Research and Publications

Supportive relationships are known to improve outcomes for persons with heart failure (HF). Supporters may do so by improving self-care, but little is known about the influence of supportive relationships on HF self-care.

The purpose of this study was to explore background characteristics associated with supportive relationships, and the contribution of supportive relationships to HF self-care. The construct of shared care was used to operationalize supportive relationships. Shared care refers to a system of interpersonal processes (communication, decision making, and reciprocity) used in close relationships to exchange support. A cross sectional design was employed recruiting 75 HF dyads.

Older patients …

Father-Daughter Attachment And Sexual Behavior In African-American Daughters, Karen Hill-Holliday

Theses and Dissertations

Although a relationship has been found in some studies between paternal attachment and female sexual behavior, knowledge of this relationship in African Americans has been limited. The purpose of this research was to determine if there was a relationship between father-daughter attachment, parent teen sexual risk communication and early sexual activity, condom use, history of sexually transmitted infection, global/sexual self-esteem and teen pregnancy in African-American females. An anonymous consent and survey was administered online to N=113 African American college women (age 18-21) attending a southeastern university. Measurements included the Parent Attachment Questionnaire (Father), Rosenberg’s Self-Esteem, Sexual Self-Esteem Inventory (short scale), …

What Is The Perception Of Preparedness Amongst Accelerated Bsn Students Compared To Traditional Bsn Students?, Sheetal Raman-Love

Master's Projects

With today's economic uncertainty, and nursing shortages, many have decided to join the health care industry in hopes of finding financial stability and job security. The impaction of nursing schools throughout the United States has led to the proliferation of accelerated nursing programs. These programs are designed for motivated students who are able to utilize their prior educational experience enabling them to accelerate and complete their BSN degree in a short period of time (Wu, C.Y., & Connelly, C.E., 1992). This study focused on the examination of the length of time in nursing school and the potential influence it may …

Faculty Perceptions Of Interactions Between Students And Registered Nurses In The Clinical Learning Envirorunent, Laurie M. Rosa

Master's Projects

Perceptions of the relationships between nurses and staff were evaluated from a faculty perspective to uncover the ways that the faculty react, respond, and help to support students. During interviews with faculty, access to practice and clinical unit atmosphere emerged as themes. Faculty described nurses granting access to practice by mentoring students and involving them in the entire care of the patient, or nurses who limited students' access to practice through unprofessional behavior, or "cutting corners." Unit atmosphere influenced learning both positively and negatively depending on inclusion of students, morale, and welcoming behaviors of staff. Faculty acted as guides and …

Psychiatrists' And Psychiatric Aprns' Views Of The Adolescent Mental Health Nurse's Role In The Inpatient Setting, Dana Lehner

Honors Scholar Theses

Current perceptions about nurses’ roles and responsibilities are examined in this study, specifically relating to adolescent inpatient MHNs. Psychiatrists and psychiatric advanced practice registered nurses (APRNs), who work with MHNs and have also published scholarly psychiatric articles, were contacted to request their participation in an anonymous survey hosted by SurveyMonkey.com. This research was conducted to examine the stereotypes that exist against nurses within the health care profession itself, as compared to the pre-existing stereotypes displayed by the media’s view of nurses. Due to investigator time constraints, only six subjects participated in the study. Analysis of survey responses revealed four overarching …

A Case Study On Using The Via Christi Breastfeeding Assessment Tool In A Clinical Setting, Rouba Taha

Honors Scholar Theses

Aims- The goal of this study is to obtain a subjective point of view of the use, benefits, and shortcomings of the Via Christi breastfeeding Assessment Tool in a clinical setting.

Methods- This case study is based on a single yet detailed interview with a lactation consultant who has utilized the Via Christi Breastfeeding Tool in a clinical setting.

Findings- Advantages of the Via Christi Breastfeeding Assessment Tool include that the tool is practical and concrete, encompassing both a subjective dimension and the basic elements of breastfeeding. Shortcomings of the tool include its non-specificity in focus on the feeding technique …

The Relationship Between Nurse To Population Ratio And State Health Ranking, Jeri Bigbee

Nursing Faculty Publications and Presentations

Objective: To evaluate the relationship between nurse to population ratio and population health, as indicated by state health ranking.

Design: Secondary analysis correlational design.

Sample: The sample consisted of all fifty states in the U.S.

Measurements: Data sources included the United Health Foundation’s 2006 state health rankings, the 2004 National Sample Survey for Registered Nurses, and the U.S. Health Workforce Profile from the New York Center for Health Workforce Studies.

Results: Significant relationships between nurse to population ratio and state health ranking (rho = -.446, p =.001) and 11 of the 18 components of the overall ranking (motor vehicle death …

Development And Psychometric Evaluation Of The Provider Response To Emergency Pandemic (Prep) Tool, Linda Suzzanne Good Phd

Dissertations

Background: History and science would suggest that a worldwide influenza pandemic is near and its implications are on the minds of healthcare workers (HCWs). Previous studies revealed that HCW have loss-related fears and concerns associated with working during a disaster, especially one with a biologic component. Most healthcare organizations have well-crafted disaster plans in place; however, these plans often rely on the assumption that HCWs will report to work as usual, which may not be the case. Objective: The purpose of this study was to determine if HCWs' fears and concerns are a predictor of their willingness to report to …

The Use Of Complementary And Alternative Medicine For Menopausal Symptoms Among Chinese-American Women, Rebecca Kwai-Ying Chung

Master's Projects

The objectives of this research were to study the use of complementary and alternative medicine (CAM) for menopausal symptoms among Chinese-American women, and to examine the correlation between CAM use, acculturation, and CAM insurance coverage. The study revealed that Chinese-American women experience menopausal symptoms even when they still have regular menstrual cycles. Early education on women's health, especially about menopause, is recommended. A significant correlation was found between the women being asked by their health care providers regarding CAM use, and open discussion regarding the women's CAM use with their health care providers (p<0.05). The researchers suggest that health care providers ask their patients about their CAM use in order to encourage open discussion of CAM use with their patients.

Evaluation Of Strategies To Enhance Nclex-Rn Success, Joyce Barnby

Master's Projects

Successful performance on the National Council Licensure Examination for Registered Nurses (NCLEX-RN) is a measure of competence indicating that newly licensed nurses have attained standards to ensure safe nursing practice. Concerned about a declining pass rate, one urban state university implemented multiple strategies over a period of time in order to enhance the success rate of frrst-time test-takers. The purpose of this research project was to focus on the state university's NCLEX-RN pass rates for frrst-time candidates, examined and evaluated new implemented strategies, and determined how the interventions influenced these pass rates. Data were collected using retrospective existing records on …

Class Size And Nursing Students' Perception Of Empowerment, Cynthia T. Keane

Master's Projects

Due to increases in enrollment and budget cuts in many states, college class sizes are reaching unprecedented sizes (Carpenter, 2006). Nursing schools are facing the same challenges. Only limited research has been conducted on the effects of class size on nursing students' perception of empowerment Conger (1989) defines empowerment as the act of reinforcing one's belief in his or her perception of competence. Empowerment is important for nursing students' education (Chally, 1992). To achieve the optimal learning experience in face of increasing class size, it is important to explore how nursing students experience learning in both small and large class …

English Language Acculturation And Academic Achievement Among Junior Year Nursing Students, Leah Lukrich

Master's Projects

Efforts to alleviate the current nursing shortage have focused on recruitment and retention of diverse nursing students. Language acculturation has been identified in the literature as one predictor of academic achievement (Salamonson et al, 2008) PURPOSE: This study examined the relationship between pathophysiology and pharmacology grades and scores on the English Language Acculturation Scale (ELAS) survey for junior-level nursing students (N = 65). The relationship between years living in the United States (U.S.) and pathophysiology and pharmacology grades was examined also. RESULTS: ELAS scores ranged from 7-25, with a mean of22 (SD = 4.27). No statistically significant correlation was found …

Productivity Environmental Preference Survey (Peps) Of Undergraduate Nursing Students - A Generational Perspective, Susana Machado

Master's Projects

A change in the generational demographics of college students is occurring throughout the United States. By 2012, the number of Millennial students, those born from 1982 to 2003, will jump from 44 percent to 75 percent of the total college enrollment. It has been suggested that their methods of learning are different from those of previous generations. The purpose of this study was to identify and compare individual productivity and learning style preferences of undergraduate nursing students that fall into the Generation X and Millennial age cohort. Using the Dunn & Dunn Learning Style Model and the Productivity Environmental Preferences …

Assessing Culture Competence Among Nurses In An Acute Care Setting, Maleka Virani

Master's Projects

The aim of the study was to assess cultural competence among nurses in an acute care setting. A 25-item questionnaire developed by Campinha-Bacote (2003) titled Inventory to Assess Cultural Competence Among Health Care Providers (IAPCC-R) along with a demographic survey were utilized to assess cultural competence among 100 nurses in an acute care hospital. The results of the study indicated that 70% of nurses (n=63) were culturally aware and 30% (n=27) were culturally competent. There was no statistical significance between the level of cultural competence and years of experience, educational degree or self rating of 'being culturally competent'. The findings …

Factors Influencing Nurse Faculty's Job Satisfaction And Intent To Stay, Sally Pulver Ruel

Dissertations

This study of nurse faculty examined the relationship of role conflict, role ambiguity, and work role balance, and their influence on job satisfaction and intent to stay in AACN nursing schools offering baccalaureate and higher degree programs within the United States. In light of the current nursing and nursing faculty shortage, this research was undertaken in an attempt to identify statistically significant predictors of job satisfaction and intent to stay in nursing education.

An online survey was conducted over seven weeks during the fall of 2008 and early spring 2009. A stratified random sample of each of the four regions …

Views About Health Of Russian-Americans Living In Central California, Mark Fiterman

Master's Projects

This quantitative research explored the health views of Russian-Americans to discover information about the health needs of this population. Data were collected via a demographic form and a tool, SF-36 Health Survey. 46 respondents participated and returned completed packets. Results were scored in eight scales representing two different groups of health measurement, physical health and mental health. The scores for each scale and group were compared to the nonn-based scoring for general U.S. population. The mean for the physical component summary (PCS) was 33.31, and the mean for the mental health summary (MCS) was 48.53 indicating that the physical health …

Student Nurses' Perceptions About Caring In Early Nursing Courses, Rosa Roman

Master's Projects

This descriptive study explored students' perceptions of caring at the end of their first nursing courses by identifying the caring behaviors they agreed were most important. The 35 item Care Dimensions Inventory (CDI-35) developed by Watson, Deary, and Hoogbruin (2001) was used to explore perceptions of caring of a convenience sample of 71 students enrolled in their first nursing courses in a baccalaureate program. The inventory asked participants to agree or disagree using a Likert scale whether the nursing actions were considered as caring. Most of the nursing actions considered important by the students were in the supporting/intimacy aspects of …

Characteristics And Outcomes Of Individuals Self-Selecting Yoga Versus Physical Therapy For The Treatment Of Chronic Low Back Pain, Dian Dowling Evans

Theses and Dissertations (ETD)

Chronic low back pain (cLBP) is a significant public health problem that is difficult and costly to treat. Determining whether a patient with cLBP will benefit from a particular treatment approach is challenging, since little is understood about the patient characteristics that predict improved treatment outcomes. Understanding these characteristics could reduce treatment failures and costs of care.

This study was designed to explore the demographic, clinical and treatment- related characteristics of individuals self-selecting yoga versus physical therapy (PT) for treatment of cLBP. A growing body of research demonstrates that yoga reduces pain and improves function in persons with cLBP. However, …

Associations Among Health Literacy Levels And Health Outcomes In Pregnant Women With Pregestational And Gestational Diabetes In An Urban Setting, Rosemary Ann Mclaughlin

Theses and Dissertations (ETD)

Purpose/Objectives: Poor health literacy is a problem for over 45% of American adults and is associated with a variety of adverse health outcomes. Low health literacy has been associated with poor prenatal care utilization and a higher likelihood of poorer glycemic control. Poor glycemic control can lead to poor birth outcomes for both the mother and infant. Health literacy levels of pregnant women with diabetes can influence these outcomes and need to be known early in the pregnancy. Interventions can influence tighter glycemic control and lessen the impact of diabetes for the mother and infant. Therefore, the purpose of this …

Advance Practice Nurses Readiness To Change Assessment Methods In Parents Of Obese Children, Carolyn Leach

UNLV Theses, Dissertations, Professional Papers, and Capstones

The worldwide epidemic of child and adolescent overweight and obesity continues to increase at disturbing rates. Unhealthy dietary practice is one of multiple causative behaviors leading to child and adolescent overweight and obesity. This behavior can contribute to short and long-term health consequences. Parents are modulators in the development of children's dietary behavior practices. It is recommended clinical practice that pediatric nurse practitioners (PNPs) assess readiness to change behavior in parents of overweight or obese children. The components of the Prochaska and DiClemente's Transtheoretical Model (TTM) in correlation with the counseling style of Rollnick, Miller and Butler's methods of Motivational …

Asthma Severity In School-Children And The Quality Of Life Of Their Parents, Noelle S. Cerdan

UNLV Theses, Dissertations, Professional Papers, and Capstones

Background . The everyday management of a child with asthma can affect the parent's quality of life. Past studies which examined the effects of asthma characteristics of the child on parental quality of life have not reached a consensus over findings. Few studies examine parent characteristics such as mental health and sociodemographics on the quality of life of parents of asthmatic children.

Purpose . To examine the effect of asthma severity of school-children and sociodemographic characteristics onthe caregiver's quality of life. It also investigates whether agreement exists between the caregiver's perception of asthma severity and physician-diagnosed asthma severity.

Methodology . …

Stories, Ethics And The Interpretation Of Meaning: Bearing Witness To Mothers' Stories Of Their Neonatal Intensive Care Unit Experience, Angela Chisum Blackburn

Dissertations

This study grounded in narrative perspectives was conducted to uncover mothers' experience of having a baby in the Neonatal intensive Care Unit (NICU). The purpose of this study was to describe and interpret mothers NICU experiences, and to sensitize health care professionals about the importance of mothers' personal experience stories.

The NICU experience began with mothers' birth experience or the incident that led up to her infant requiring care in the NICU and her experience extended beyond the NICU with future concerns about the health and wellbeing of her baby.

Stories of mothers' experience were gleaned from data generated from …

Sustaining A Fall Prevention Initiative- It Can Be Done!, Liz Gutwein-Guenther, Rn Bsn- Tjuh, Patricia Horner, Rn Msn-Tjuh

Jefferson Hospital Nurses Week

Prompted by an increase in falls in December of 2006, a group of nurses convened to address new approaches in fall prevention. This group quickly identified the need for a multidisciplinary approach. During the first year, the interdisciplinary committee effected policy changes in many departments and provided multi-hospital wide education. The committee also supported the development of a nursing Fall Prevention Resource Group that meets monthly and is composed of nurses and aides from each unit. The members are the “Champions for Fall Prevention”. The monthly meetings of both groups keep the fall prevention initiative alive.

Getting The Most Out Of Conferences, Janet M. Brown, Nola A. Schmidt

Nursing and Health Professions Faculty Publications

No abstract provided.

Volume 02, Joseph A. Mann, Kathryn J. Greenly, Scott E. Jenkins, Andrew E. Puckette, Daniel M. Honey, Jeffery P. Ravenhorst, Jamie Elizabeth Mesrobian, Thomas Scott, Jay Crowell, Sarah Spangenberg, Amy S. Eason, Kenny Wolfe, Liz Hale, Rachel Bouchard, Will Semonco, Carley York, Ryan Higgenbothom, Adrienne Heinbaugh, Melissa Dorton, Madeline Hunter, June Ashmore, Clark Barkley, Jay Haley

Incite: The Journal of Undergraduate Scholarship

Introduction from Dean Dr. Charles Ross

Mike's Nite: New Jazz for an Old Instrument by Joseph A. Mann

Investigation of the use of Cucumis Sativus for Remediation Of Chromium from Contaminated Environmental Matrices: An Interdisciplinary Instrumental Analysis Project by Kathryn J. Greenly, Scott E. Jenkins, and Andrew E. Puckette

Development of GC-MS and Chemometric Methods for the Analysis of Accelerants in Arson Cases by Scott Jenkins

Building and Measuring Scalable Computing Systems by Daniel M. Honey and Jeffery P. Ravenhorst

Nomini Hall: A Case Study in the Use of Archival Resources as Guides for Excavation at An Archaeological Site by …

Culturally Tailored Cancer Communication, Education, And Research: The Highways And Back Roads Of Appalachia, Kelly A. Dorgan, Sadie P. Hutson, Abigail Gerding, Katie L. Duvall

Nursing Faculty Publications and Presentations

We have varying experiences with Appalachia, yet we all agree that there is a unique relationship between Appalachians and cancer. Two of us are nurses who have worked with various communities. Two of us grew up here; 1 watched several of her relatives battle cancer in their Appalachian homes. All of us are scholars who want to talk with practitioners and researchers who are developing culturally tailored cancer control interventions. This goal to have a dialogue emerged after we had a series of discussions about cancer in Appalachia, discussions resulting in our developing a list of cultural traits that seem …

Utilizing Community Based Participatory Research To Address Health Literacy Issues: An Example In Southeastern Mn, Jennifer A. Weis

Theses and Graduate Projects

Low health literacy interferes with an individual's ability to reduce and treat preventable diseases. Given the spectrum of disease burden throughout the US, there are a number of important health topics deserving of our immediate attention in order to improve the public's health literacy. Overweight and obesity have surfaced as societal topics and any quest to improve health literacy must address these growing problems as they are likely to contribute to disease prevention and improved disease management. Unfortunately, the growing problem of overweight and obesity is not restricted to adults. America's youth are also experiencing epidemic rates of overweight and …

Teaching Effective Pain Management Of Acute Thoracic Postoperative Pain In Chronic Pain Patients, Sheila L. Hoehn

Theses and Graduate Projects

This thesis will address the growing demand for the development of best practice initiatives when nurses care for patients experiencing acute postoperative pain while already coping with long-term chronic pain. The growing use of preoperative opioids has contributed to the incidence of escalated and unrelieved pain following a Thoracic surgical procedure. This occurrence continues to increase as the preoperative usage of opioids for medical and non-medical reasons is rising. The focus of addressing the challenges for providing adequate and individualized analgesia will be reviewed. Specific emphasis and analysis will be provided regarding current pain theories and recent nursing research that …