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Fall Risk Assessment : A Prospective Investigation Of Nurses' Clinical Judgement And Risk Assessment Tools In Predicting Patient Falls In An Acute Care Setting, Helen Myers

Theses: Doctorates and Masters

Falls are a significant problem in acute care, hospital settings, and can have serious consequences, especially for older patients. Fall prevention has therefore been recognised as an important area for research and intervention. In order to target interventions and use resources effectively, a major strategy of many fall prevention programmes has been the development and/or use of risk assessment tools to identify patients who are at high risk of falling. Although many tools have been developed, few have been rigorously tested, and there is currently no evidence to support the clinical utility of fall risk assessment tools. There is a …

Te Contaria Mi Vida: I Would Tell You My Life, If Only You Would Ask, Ruth Ann Belknap, Pilar Sayeed

College of Nursing Faculty Research and Publications

Universal screening for domestic violence is recommended in many health care settings. This qualitative study was undertaken to explore the thoughts and feelings of Mexican American women regarding being asked questions about domestic violence by a health care provider. We wanted to further explore what characteristics about a nurse, or other health care provider, would give a woman confianza, the trust necessary to discuss this issue. Seven women, who self identified as abused or formerly abused, were recruited from a pool of Spanish-speaking women receiving services from a rural domestic violence agency in the midwestern United States. The researchers …

Covert Violence In Nursing, Susette Bakker

Theses: Doctorates and Masters

There is no official avenue in nursing for the reporting of incidences of covert violence to staff and so they remain unrecorded and often stressful. This study sought to collect data from currently employed nurses concerning covert violence in their workplace, and to collate the information to obtain a valid assessment of this hidden problem. A qualitative methodology was used to report on the experiences of nurses in relation to covert violence directed at them by their peers, other health professionals, patients and patients' families. The participants were all registered nurses employed by a suburban health service. Each was given …

An Analysis Of The Majority Report “Responsible Parenthood” And Its Recommendations On Abortion, Sterilization And Contraception, Richard J. Fehring

College of Nursing Faculty Research and Publications

This paper will focus on the majority report (titled “Responsible Parenthood”) of the 1966 Papal Birth Control Commission and its recommendations on abortion, sterilization, and contraception.(1) The analysis is made with the hindsight and perspective of thirty-seven years of scientific data on fertility, family planning, and family life. The analysis presented here does not concern the whole document but rather focuses on what are called the “objective criteria” that were provided in the document to help married couples make decisions on the use of contraception. While acknowledging the intellectual abilities and expertise of those who wrote the majority report, the …

An Investigation Of The Interest For A Nurse Re-Entry Program In Southeastern Ohio, Marsha K. Rodgers

Theses, Dissertations and Capstones

In the United States and throughout the world there is a serious concern in the growing nursing shortage. Many recruitment and retention techniques are currently being used to ease the nursing shortage. One such avenue is a nurse re-entry program. The primary purpose of this study was to determine the interest for a RN re-entry program in southeastern Ohio.

The data collected during the investigation used both qualitative and quantitative research techniques. Information was received through two survey questionnaires and two focus groups. The instruments were designed with the purpose of determining how many registered nurses were not working in …

District Hospital Based Injury Data-Are They An Option In A Developing Country?, Junaid Abdul Razzak, David Marsh, S. Stansfield

Department of Emergency Medicine

No abstract provided.

Specifying The Psychomotor Domain Of The Construct Of Nursing Competence, Joni L. Jones

Dissertations

The measurement of an individual's predicted performance in his/her field is a requirement of many professions. The NCLEX-RN® is the measurement tool used to determine whether or not new graduates of registered nursing programs are competent to enter the profession. Although there are three domains of learning in nursing (cognitive, affective, and psychomotor) the only domain tested for licensure is the cognitive. Many factors contribute to the lack of testing in the psychomotor area. One of the major impediments is that the entry-level psychomotor domain for registered nursing has yet to be defined. The purpose of this study was to …

The Development And Psychometric Testing Of An Instrument Measuring The Use Of Intuition By Nursing Students, Anita Joel Smith Phd, Mn, Rn

Dissertations

Measurement of intuition use among nursing students has not occurred because developed intuition measures have been designed specifically for experienced nurses. The purpose of this study was to develop and psychometrically evaluate an intuition instrument for nursing students. An intuition instrument can provide the means to (a) determine if students use intuition in care providing activities and (b) measure intuition use over time. Instrument development included (a) concept clarification, (b) item development, and (c) psychometric testing. Intuition was defined as a nonlinear process of knowing perceived through physical awareness, emotional awareness, and/or through physical or spiritual connections. Content experts established …

The Influences Of Culture, Socioeconomics, And Migration On The Mexican Immigrant Experience, Jean M. Gunderson

Theses and Graduate Projects

During the past eight years, there has been an increase in the migratory patterns offtamilies from Mexico to a rural community in Minnesota, served by Maternal Child public health nurses. Many of these families are undocumented or are of Mixed Citizenship status, citizens and undocumented residing together, and live in poverty. This ethnographic study examines the migratory experiences of these immigrants and the interconnection to the socioeconomic and cultural influences of community.

The primary tools of poetry, cultural stories, and photography, are incorporated in this field project. Understanding the cultural and socioeconomic context of migration for Mexican immigrants may strengthen …

Loma Linda Nurse - Vol. 11, No. 02, Loma Linda University School Of Nursing

Loma Linda Nurse

Table of Contents:

2 | A message from the dean

4 | Linda Linda NURSE news

11 | LLUSN mentoring program

12 | ANSWERING THE CALL OF NURSING : the story of Anabelle Mills Hills

16 | LLUSN development news

17 | 2001-2002 donor report

23 | Alumni Association President's letter

25 | HOT store

27 | The everyday hero feature

28 | Near and far

29 | In memory

The Flame, Fall 2002, Mennonite College Of Nursing

The Flame (1985-present)

The Flame is a newsletter of Illinois State University's Mennonite College of Nursing

The Effect Of An Interdisciplinary Community Health Project On Student Attitudes Toward Community Health, People Who Are Indigent And Homeless, And Team Leadership Skill Development, Molly A. Rose, Kevin J. Lyons, Kathleen Swenson Miller, Diane Cornman-Levy

College of Nursing Faculty Papers & Presentations

This study examined whether students’ attitudes about community health practice, attitudes toward people who are indigent and homeless, and perceived leadership skills changed after participation in a planned interdisciplinary community health experience with an urban homeless or formerly homeless population. Data were collected from medicine, nursing, occupational therapy, physical therapy, and social work students who participated in the community health experiences and from students in these disciplines who did not participate in this curriculum. The interdisciplinary community health curriculum and practicum experiences, based on the Community Health Empowerment Model (CHEM), were designed and implemented by a coalition of community and …

Evidence-Based Practice Perspective Of The Effects On Intuition On Clinical Practice As Perceived By The Nurse Practitioner, Alice F. Naquin

MSN Research Projects

The purpose of this study was to determine the level of physician acceptance of the performance of medical and interpretive procedures by nurse practitioners and to determine which specific procedures physicians find acceptable or unacceptable.

Physician Acceptance Of Medical Procedures And Interpretive Skills Completed By Nurse Practitioners, Alice F. Naquin

MSN Research Projects

The purpose of this study was to determine the level of physician acceptance of the performance of medical and interpretive procedures by nurse practitioners and to determine which specific procedures physicians find acceptable or unacceptable.

Family Nurse Practitioners' Perceptions Of Bereavement Care, Joy Young Loden

MSN Research Projects

Studies have shown that long-term effects of bereavement increase health problems among many individuals. There is an increased need for bereavement care among family nurse practitioners to lessen physical and mental anguish among those who have experienced a loss. The purpose of this study was to describe and explore family nurse practitioners' perceptions of bereavement care. This study's importance was to find out what is being done to address patients' bereavement issues by the family nurse practitioner. Orlando's Nursing Process Theory was the theoretical framework that guided this study. The research question for this study was as follows : What …

The Relationship Between Perceived Self-Efficacy, Regimen Adherence, And Glycemic Control In Adolescents With Type 1 Diabetes Mellitus: A Pilot Study, Antonieta Pelias Alteza

Theses and Dissertations - UTB/UTPA

This pilot study examined the relationship between perceived self-efficacy and regimen adherence on glycemic control among adolescents, aged 11 to 18 years, with Type 1 Diabetes Mellitus. Thirty-six adolescent-parent dyads participated in this study. Bivariate analysis using Pearson product moment-correlations identified no significant relationships among the variables. Regarding treatment regimen, adolescents on insulin pumps had a mean glycosylated hemoglobin level of 8.09% whereas adolescents on daily insulin injections had a mean glycosylated hemoglobin level of 9.26%. Bandura's theory of self-efficacy provided the theoretical framework for this study. The Self-Efficacy for Diabetes scale and Questionnaire of Self-Care Behaviors scale were used …

Kinney, Marjorie Interview For The Miami Valley College Of Nursing And Health Oral History Project, Donna M. Curry, Carol Holdcraft, Marjorie Kinney

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

Donna Miles Curry and Carol Holdcraft interviewed Marjorie Kinney on June 25, 2002, about the founding of Wright State University College of Nursing and Health. In the interview Marjorie discusses the early clinicals, classes, and early administration.

Transportation: A Crucial Issue For Adult Day Care In Vermont, Francis G. Caro, Regula H. Robnett, Jennifer Higgins

Gerontology Institute Publications

Transportation arrangements are an integral but fragile element in the effectiveness of adult day care services in Vermont and nationwide. Almost by definition, adult day center participants generally cannot drive due to cognitive and/or physical limitations. Since adult day care services are congregate in nature and serve community-residing elders, this long-term care option is feasible only when there are arrangements to transport elders to and from service centers. Transportation is therefore a major issue for adult day care services.

The aim of this report is to call attention to transportation issues in adult day care services in Vermont. The report …

Blending The Roles Of Home Care Nursing And Cardiovascular Specialties: A Model For Nursing Practice In The Community, Margaret A. Guthaus, Diane White

Peer Reviewed Articles

Changes in reimbursement and advances in technology have resulted in a decreased hospital stay for patients undergoing cardiac surgery. These patients are being discharged into the community setting earlier, resulting in an increased demand for transitional specialty home care. This article relates the experience of a Midwest home care agency charged with the development of specialty home care for these complex patients. It offers a new practice model for professional nursing staff delivering this level of care. This model challenges traditional beliefs that cardiac specialty home care can best be provided by nurses with critical care or acute care cardiology …

Commencement Program 2002, Loma Linda University

Commencement Programs

CONTENTS

2 | 2002 Events of Commencement

3 | The Academic Procession

4 | Significance of Academic Regalia

5 | The Speakers

11 | The University Honorees

18 | The School Honorees

27 | The Programs

• School of Medicine, 28
• School of Dentistry, 35
• Graduate School, 43
• School of Nursing, 53
• School of Allied Health Professions - Physical Therapy, 58
• School of Allied Health Professions, 66
• School of Public Health, 75

A Study Of The Relationships Among Secondary Traumatic Stress, Coping, And Years Of Service In Firefighter/Emergency Medical Service Personnel, Lynne S. Sanders

Faculty Dissertations

The purpose of this study is to examine relationships among stress, coping, and years of service in rescue personnel. One hundred sixteen voluntary subjects employed in Fire/EMS service in a small southern city participated in the study. Subjects completed a demographic questionnaire, The Davidson Trauma Scale (DTS), and The Coping Inventory for Stressful Situations (CISS).

The incidence of symptomatic stress for the sample was 19.8 percent, higher than the general population but comparable to rates found in other studies of rescue workers. Calls involving children were rated as most disturbing by the subjects. There was no relationship found between years …

Attitudes And Knowledge Of Nurses Regarding Herbal Medications, Janie Davis

Masters Theses & Specialist Projects

Much information has been published regarding herbal medication use. However, information is limited on how nurses incorporate this information into their practice, communicate information to the client, or collaborate with physicians to prevent drug/herbal interactions. The purpose of this study is to explore the attitudes and knowledge of nurses regarding the use of herbal remedies at various levels of practice. According to Henderson's Theory of Basic Care Components, the nurse has a responsibility to assess client needs, help clients meet health needs, and provide a safe environment for the client to perform activities unaided. These interventions help the client become …

Role Perceptions Of School Nurses Who Work With Medically Fragile Students, Cay Chapman Casey Phd

Dissertations

In 1999, the Supreme Court ruled that school districts were financially responsible to provide related services including nursing services, to medically fragile students. This decision applied to children attending public schools who have complex health problems and are tracheostomy dependent. The purpose of this grounded theory study was to explore role perceptions of eighteen school nurses caring for these children in classrooms. Six dimensions emerged from the data: Promoting Family/Nurse Connections, Adapting the Environment, Claiming Authority, “Standing Out There”, Striking a Balance and Experiencing Success. Promoting Family/Nurse Connections emerged as the central perspective, essential to implementing a plan of care. …

Resilience: The Lived Experience Of Elderly Widowers Following The Death Of A Spouse, Dorothy Battersby Crummy Phd, Msn, Rn

Dissertations

Aged widowers are at risk for increased incidence of health problems and higher mortality rates following the death of a spouse. Mens' abilities for dealing with loss have been questioned, but little research has been done with this group. Surviving widowers provided significant insights illuminating the experience of resilience and providing relevant information regarding this population. Utilizing interpretive phenomenology, a methodology advocated by van Manen, in-depth interviews were conducted researching the lived experience of resilience among nineteen elderly widowers between 71 years and 100 years of age. Participants, identified by network sampling, lived independently and had survived the death of …

Development Of The Postpartum Smoking Questionnaire (Ppsq), Cynthia J. Gantt Phd, Msn, C-Fnp, Rn

Dissertations

Cigarette smoking is the leading preventable cause of death in the United States. Smoking also accounts for significant morbidity for others exposed to environmental tobacco smoke. Many women stop smoking during pregnancy. Most women relapse to smoking following delivery, yet postpartum smoking issues have received little attention. The purpose of this study was to develop and test an instrument, the Postpartum Smoking Questionnaire (PPSQ) using Ajzen's Theory of Planned Behavior. The belief-based items of the PPSR-Q were developed following content analysis of 35 individual, structured elicitation study interviews with postpartum women in the military healthcare system. Beliefs that prevented women …

A Descriptive Study Of The Organizational Attributes Of Exemplar Tennessee Hospitals., Sharron Rutledge Grindstaff

Electronic Theses and Dissertations

Tennessee's registered nurse vacancy rate is the highest in five years and the nursing shortage has dramatically impacted all portions of the state. The purpose of this study was to describe organizational attributes of exemplar Tennessee hospitals, as perceived by Chief Nurse Executives, which may influence the recruitment and retention of registered nurses.

In this study, 52 Tennessee hospitals were identified as exemplars of quality patient care, organizational policy, and administration. Their Chief Nurse Executive's were surveyed utilizing a Hospital Characteristics Questionnaire and the Organizational Support Subscale from the Nursing Workforce Index Revised (NWI-R). The hospital characteristics and organizational attributes …

Home-Care Nurses' Knowledge And Perceived Preparedness To Counsel Patients On Advance Directives, Mary Moran Barr

Masters Theses

This study examined home-care nurses’ knowledge and perceived preparedness to counsel patients on advance directives (ADs). Joyce Fitzpatrick’s “life perspective rhythm” model provided the framework for the thesis. Sixty-two registered nurses actively practicing in home-care in West Michigan were surveyed over a 4-week period. Each nurse completed a 16-question survey, which included an 11-question true-false test of knowledge of ADs. Survey results indicated that nurses who feel prepared to counsel patients are more knowledgeable than those who do not feel prepared to counsel (t=2.89, df=57, p=<0.05). Overall knowledge was high (87.4%) but only 40 nurses (64%) felt prepared to counsel patients on ADs. The study implies that factors other than knowledge may have an impact on preparedness to counsel. Possibilities for further study include more research on education of healthcare providers about ADs, patient education, and the need for mutual discussions on end-of-life care issues in relationship to completing ADs.

Ethics In Perioperative Practice—Patient Advocacy, Kathryn Schroeter

College of Nursing Faculty Research and Publications

Though often difficult, ethical decision making is necessary when caring for surgical patients. Perioperative nurses have to recognize ethical dilemmas and be prepared to take action based on the ethical code outlined in the American Nurses Association's (ANA's) Code of Ethics for Nurses with Interpretive Statements. In this second of a nine‐part series that will help perioperative nurses relate the ANA code to their own area of practice, the author looks at the third provision statement, which addresses nurses' position as patient advocates. AORN J 75 (May 2002) 941–949.

Ua61/1 Advisory Committee Meeting Minutes, Wku Nursing

WKU Administration Documents

Minutes of WKU Nursing Advisory Committee meeting.

Loma Linda Nurse - Vol. 11, No. 01, Loma Linda University School Of Nursing

Loma Linda Nurse

Table of Contents

2 | A message from the dean

4 | Loma Linda NURSE news

11 | LLUSN mentoring program

12 | WORKING TOGETHER : the legacy of partnership

16 | LLUSN Development news

18 | H. O. T report

19 | Alumni Association President's letter

20 | Alumni Homecoming, 2002

24 | Alumni Association news

29 | Near and far

30 | In memory