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Major Trauma Outcomes: At What Cost? And For Whom? A Cost-Effectiveness Analysis, A. Elaine Bond Dnsc, Msn, Aprn, Ccrn

Dissertations

The purpose of this triangulated descriptive study was threefold: (a) to identify the financial costs for acute trauma care, including costs for those who die early in treatment, and who pays those costs; (b) to identify the relationship between costs and severity of injury; and (c) to identify survivor functional and psychosocial costs, or quality of life, not only by current health care outcome criteria, but also from patients' and families' perspectives. Retrospective review determined the financial differences (total charges of $9,945,973 and institutional costs of $7,089,962) for 370 patients' severity of injury and functional outcomes at discharge, using the …

Depression In Immigrant Chinese-American Elders, Sandy Chen Stokes

Master's Projects

Depression in later life is a treatable mental disorder (Blazer, 1993) if it is recognized as depression. Because depressive disorders may often go unrecognized and untreated in the Chinese-American elderly population and because treatment for depression can dramatically improve the quality of these later years, correct diagnosis and intervention are vital.

Political Psychology And Critiques Of The Scientific Method: Azt, Asia, Africa, Ibpp Editor

International Bulletin of Political Psychology

This article critiques critiques of clinical outcome studies carried out in Third World countries of Asia and Africa for new methods of AZT treatment that might affect the transmission of HIV from pregnant women to their infants. Some of these studies have been supported by the United States' Centers for Disease Control (CDC) and National Institutes of Health and opposed by several articles in The New England Journal of Medicine.

Quality Of Life In Grandparents After A Diagnosis Of Acute Lymphoblastic Leukemia In Their Grandchild, Laura S. Mullins

Masters Theses

The purpose of this study was to assess grandparents' perceptions of their quality of life (QOL) after the diagnosis and treatment of acute lymphoblastic leukemia (ALL) in their grandchild. The following questions were addressed: (a) How do grandparents of children with ALL perceive their current QOL; (b) How do grandparents of children with ALL perceive their current QOL has changed since their grandchild was diagnosed; (c) What specific changes in QOL have grandparents experienced since the diagnosis of ALL in their grandchild; (d) What is the grandparents' overall attitude about life with leukemia; (e) Is there a relationship between the …

Yale Nurse: Yale School Of Nursing Newsletter, April 1998, Yale University School Of Nursing

Yale School of Nursing Alumni Newsletters and Magazines

This issue includes part two of a two-part series, Graduate Entry Program in Nursing (GEPN): A Twenty-Year History.

Please contact the Medical Historical Library if you need a higher resolution version.

The Relationship Between Leadership/Followership In Staff Nurses And Employment Setting, Elaine S. Vandoren

Dissertations

This study tested the hypothesis that staff nurses in hospitals used different leadership and followership behaviors than staff nurses in home care settings. Leadership behaviors were measured using the Multifactor Leadership Questionnaire (Bass, 1995); followership was measured using Kelley’s Followership Style Questionnaire (1992). Three hospital and home care agencies belonging to a private nonprofit corporation in the Midwest provided data. A total of 136 surveys were used in data analysis; 57% of distributed surveys were returned.

Differences between the hospital and home care staff nurses were not found. Self-perception, difficulty in applying clinical behaviors to the MLQ, unknown aspects of …

Basics Of Research (Part 12): Qualitative Research, Cheryl Thompson, B. Lee Walker

Journal Articles: College of Nursing

Although both the assumptions and methods of qualitative and quantitative approaches in nursing research are different, both have the goal of furthering the scientific basis for practice. A variety of qualitative approaches are available, and which approach to use depends on the purpose of the research. In general, qualitative investigations address broad questions related to description, discovery, or theory building, and, as a consequence, the researcher is concerned with the entire context surrounding the phenomenon of interest rather than concentrating on specific variables thought to influence that phenomenon. The type of data collected and the methods of analysis differ, but …

Ethnographic Inquiry Of Social Support Throughout Women's Labor And Childbirth Experiences, Nancy Jane Pinder Saks Dnsc, Msn, Rn

Dissertations

The purpose of this study was to explore the phenomenon of social support throughout labor and childbirth in order to develop descriptive theory based on the behaviors of the labor and childbirth convoy. Utilizing ethnographic methodology, five women and their support convoys were observed throughout the women's labor and childbirth experience. Word processing and the ETHNOGRAPH software were used for data management, and constant comparative coding methodology was employed for data analysis. Affirmative, affective and aid-giving behaviors were enacted by all convoy members. Consistently, social support was found to be communicated to the laboring woman by her lay supporters by …

Health Ministry In The Life Of A Congregation With A Parish Nurse: Caring And Connecting Through Christ, Mary Ann Chase-Ziolek

Dissertations

No abstract provided.

Outcomes Of Comfort Touch In Institutionalized Elderly Female Residents., Mary Jane Butts

All ETDs from UAB

No abstract provided.

The Effects Of Gentle Human Touch On The Vagal Tone Of Premature Infants: A Pilot Study., A Kay Williams

All ETDs from UAB

No abstract provided.

Graduate Bulletin, 1998-2000 (1998), Moorhead State University

Graduate Bulletins (Catalogs)

No abstract provided.

A Secondary Analysis Of Self Assessed Assets Of Ninth And Twelfth Grade Students, Carolyn H. Young

Masters Theses

The purpose of this study is to identify the assets possessed by ninth and twelfth graders. This is a secondary analysis of data collected from a survey taken in rural northeastern lower Michigan. This study compared and discussed the similarities and differences in the community, family, and personal characteristics that can be interpreted as assets possessed by these students. Thirty - nine such assets were identified as being possessed by at least one of the student populations. These data can be used to help develop programs which can prevent adolescents from engaging in high - risk behaviors such as early …

Behavioral And Emotional Indicators Of Sexual Abuse: A Comparison With Physically Abused And Non-Abused Children, Janine L. Post-Anderle

Masters Theses

The focus of this study was to identify behavioral and emotional symptoms among hospitalized children who were 1)sexually abused 2)physically abused 3)non-abused, and non-hospitalized non-abused children.

Information about children between the ages of 6 and 12 was obtained through a retrospective analysis of 120 closed records from two different child psychiatric hospitals. A convenience sample of 40 parents with non-hospitalized children was used to obtain data about non-hospitalized non-abused children.

The “Child Behavior/Emotion Checklist”, developed by the author, was used to collect data regarding symptoms exhibited by children. Results indicated no difference in symptoms among the hospitalized groups of children. …

Hiv/Aids Patients' Perceptions Of Nurse Caring Behaviors, Jennifer Lynn Jordahl

Masters Theses

The purpose of this descriptive study was to examine which nurse caring behaviors HIV/AIDS patient's perceived as most important. Subjects were recruited from an HIV/AIDS clinic in a large Midwestern city. Twenty-three subjects completed Cronin and Harrison (1988) Caring Behaviors Assessment (CBA) along with a patient demographic questionnaire and an open ended question asking, "Is there anything else a nurse could do to make you feel care for or about? If so what?".

Results of this study suggest that HIV/AIDS patients perceive expressive nurse caring behaviors, such as, listening to the patient, treating the patient with respect, and knowing when …

Patient Participation In Decision-Making Regarding Post-Operative Ambulation: How It Affects Patient Outcomes, Martha Ann Ruble

Masters Theses

The purpose of this study was to determine the effects of patient participation in decision-making regarding post-operative ambulation on ambulation behaviors, occurrence of post operative complications, and overall satisfaction for patients undergoing bowel surgery. A convenience sample consisted of 39 subjects, aged 20-80, who underwent bowel surgery at a 300-bed medical center in a midwest metropolitan area.

An active negotiated approach to encourage patient participation in decision-making regarding post-operative ambulation was utilized for subjects in the experimental group (n = 19). It was hypothesized that subjects in the experimental group would ambulate farther and more frequently, would experience fewer post-operative …

Adolescents' Perceived Reasons For Choosing Abstinence Or The Use Or Non-Use Of A Condom During Sexual Intercourse, Susan L. Vrobel

Masters Theses

Adolescents’ perceptions of reasons for abstinence, safer sex, and unsafe sex were investigated. The study used a descriptive design, with a questionnaire administered to 82 Midwestern ninth grade students enrolled in a school health class. From a written scenario describing a couple who are sexually attracted to each other, students were asked to identify reasons the couple might choose to abstain from, or use or not use a condom if they chose to have, sexual intercourse. This study supported earlier research by Keller et al. (1996) which identified four factors perceived by adolescents as contributing to sexual behavior; social norms, …

Evaluation Of The Community Living Adaptation Scale, Jane M. Morris

Masters Theses

The purpose of the study was to evaluate the CLAS. Seventy-three subjects participated from mental health case management agencies. The reliability coefficient for internal consistency o f the CLAS was .82. CLAS was compared to the Global Assessment of Functioning scale using the Pearson’s correlation. Convergent validity was significant to the .36 level indicating a significant relationship at the .01 level. The Self Profile Scale (SPS) was developed by this researcher as a parallel scale to compare the client’s perceptions to the case manager perceptions regarding functional status level. Item to item comparison of the CLAS and SPS indicated similar …

The Relationship Of Selected Health Beliefs And Exercise Adherence 6-12 Weeks Post Cardiac Event, Kristi L. Bianconi

Masters Theses

The hypothesis tested in this study was: Perceived benefits, barriers, and self-efficacy of individuals who are adherent to a cardiac exercise program will differ from individuals who are non-adherent. The study was a descriptive, correlational design using the Health Belief Model. Data were collected from 25 subjects, recruited from a private cardiology practice who participated in a cardiac rehabilitation program 6 to 12 weeks post hospitalization for a coronary event, defined as angina pectoris, myocardial infarction, coronary angioplasty or stenting, or coronary artery bypass grafting.

Measurement of subject’s responses to perceived benefits, barriers and self-efficacy were collected through mailed questionnaires. …

The Effect Of Fear On Myocardial Infarction Patients In Intensive Care Units., Geraldine Williams Allen

All ETDs from UAB

No abstract provided.

Sensitizing Students To Functional Limitations In The Elderly: An Aging Simulation, Sherry Allen, Viki Lorraine, Anne Lockett, Carolyn M. Rutledge

Ellmer School of Nursing Faculty Publications

Background and Objectives: Using activities of daily living (ADLs) and instrumental activities of daily living (IADLs) as a focus, faculty at Eastern Virginia Medical School provide an aging simulation exercise for a mandatory fouth-year clerkship in geriatrics. The specific aims of the simulation are to 1) experience the physical frailties of aging, 2) develop creative problem-solving techniques, 3) identify feelings regarding the experience of functional loss, and 4) develop proactive clinical approaches to the care of the elderly.

Methods: Students are assigned one of four diagnoses (Parkinson's disease, rheumatoid arthritis, advanced diabetes, or stroke) and are then impaired to simulate …

Nurse Executives' Use Of A Labor Computer Decision Support System: Differences In Nursing Labor Cost Per Patient Day., Melondie Reeves Carter

All ETDs from UAB

No abstract provided.

Nurse Practitioner Utilization Of Computer Technologies In Practice, Jo Ann Dumas

Master's Projects

The research demonstrated that nurse practitioners (NP's) underutilized computer applications that would improve client care in their practice. Computer use by NP's in public clinics, private practice, health maintenance organizations (HMO 's) and other settings in the greater San Francisco Bay area was described. The descriptive research used a non-experimental design. Subjects were 200 nurse practitioners. The survey instrument was developed by the researcher. Of 104 respondents, 86 (83%) used computers at work. "Obtaining client records from other agencies or departments" was rated the most useful computer application for improving client care. "Internet searches" was rated the next most useful …

Does The Congestive Heart Failure Program Improve Patient's Functional Health Status?, Lily Lu

Master's Projects

Congestive heart failure (CHF) is a significant health problem in the U.S. There are over 2 million Americans diagnosed with CHF, with 200,000 CHF related deaths every year. A CHF Comprehensive Care Program in a Northern California medical center began in August, 1997 to case manage and educate CHF patients and their family members. The program educated CHF patients to self-manage the chronic condition by daily weight, low sodium diet, medication adherence, activity and rest balance, and daily exercise. This study used a one group. Pre and post test study design to evaluate the effectiveness of the CHF program. The …

Self-Care Agency, Learned Helplessness, And Health Status In Elderly Adults., Carol Dennis

All ETDs from UAB

No abstract provided.

Intentional Classroom Humor In Nursing : A Multiple Case Study, Joan Kay Ulloth

Dissertations

Problem. The purpose of this study was to examine the perceived connections between the intentional use of humor in the nursing classroom and student learning in the cognitive and affective domains while seeking to understand student and teacher perceptions and responses to humor.

Method. This study used a case study approach and the end result is a multiple case study of three associate degree nursing instructors in the Midwest. The data collection methods included observations, interviews, and surveys. Data from the different sources were examined within and across cases for commonality or difference of experience. Connections were made between …

Characteristics And Perceptions Of Trauma Recidivists And Non-Recidivists, Vicki A. Keough

Dissertations

No abstract provided.

The Caregiver's Experience Of Deliberative Mutual Patterning With Pain-Ridden Substance Users, Gaile Hausaman Nellett

Dissertations

No abstract provided.

Early Discharge Planning : Primiparous Women's Perceptions Of Their Readiness For Going Home, Graeme N. Boardley

Theses: Doctorates and Masters

Early discharge for women after childbirth was introduced in Australia approximately ten years ago. Early discharge involves going home from hospital within three days of giving birth. Since its introduction, early discharge has been the subject of much debate. Previous research has argued the cost effectiveness and safety of early discharge, but little has been done to examine this phenomenon from the human aspect. An exploratory study of first time mothers, in an early discharge programme was undertaken to address how these women felt in relation to their readiness for going home. A purposive sample of twenty Caucasian, English speaking …

Women's Perceptions Of Successful Breastfeeding During The Early Stages Of Being A Mother, Shelagh Lawrence

Theses: Doctorates and Masters

The purpose of this qualitative study, guided by Rubin's Model was to describe women's perceptions of successful breastfeeding during the early stages of being a mother. The transition to motherhood marks a time of great developmental change in a woman's life. Infant feeding is an important aspect of this adaptation to the maternal role. The physiological benefits of breastfeeding for mother and baby are well documented, but there is limited research on the psychological advantages of breastfeeding for the mother. This Masters research was a discrete part of a larger research project entitled the Perth Metropolitan Breastfeeding Study. This project …