Digital Commons Network^™

Effects Of A Topical Application Of Chlorhexidine 1 % Cream On Clinical Signs Of Infection In Newborn Infants, Fiona Christine Bottin

Theses : Honours

For the past 40 years midwives and neonatal nurses have been applying antistaphylococcal cream to newborns, to reduce the risk of Staphylocccus aureus (Staph. aureus) infections. The purpose of this study was to determine whether there was any· difference in the incidence of clinical signs of infection in newborns, untreated or treated with a topical application of the currently used antistaphylococcal cream chlorhexidine 1%. The experimental design compared two groups of randomly assigned newborns, using an observation chart based on indicators of infection. Observations were recorded twice ~ day for four days. Any specific or nonspecific signs of infection …

Urinary Bladder Assessment Skills Used By Hospital Nurses Before A Decision Is Made To Institute Intermittent Catheterization, Marion L. Burke

Theses : Honours

Intermittent Catheterization is an invasive technique in which a hollow tube (catheter) is inserted into the bladder to drain urine at regular intervals when a patient does not void. Catheterization is a technique frequently performed by nurses. The skills of assessment by nurses of a patient's urinary bladder prior to instituting intermittent catherization (IC) have been neglected in the field of nursing research. The purpose of this descriptive-correlational study is to identify bladder assessment skills (BAS) among hospital nurses prior to instituting intermittent catheterization. The study asks the questions: To what extent do nurses utilize BAS, and what is the …

The Effect Of 'Environmental Manipulation' On Agitation And 24-Hour Sleep In Dementia Sufferers In An Institutional Setting, Ernest A. Matthews

Theses: Doctorates and Masters

Living in an institutional setting places on residents certain constraints in relation to freedom of choice as to when, where, and how they conduct activities of daily living, such as, sleeping eating, attending to hygiene needs. Studies indicate this loss of control over the environment contributes to loss of self-esteem, leads to stress, and at times precipitates agitation among nursing home residents. Cognitive impairment may render dementia sufferers more vulnerable to loss of control over their control over their environment and result in agitation, which may in turn influence sleep. The study therefore, investigated if ‘environmental manipulation’ as in introducing …

Preoperative Predictors Of Postoperative Pain, Robyn A. Paterson

Theses: Doctorates and Masters

The purpose of this study was to investigate five factors, which have been identified in the literature as having influence on the experience of postoperative pain. (1) Patient satisfaction with preoperative information, (2) Anticipated postoperative pain, (3) General self-efficacy, (4) Age, (5) Gender. These variables were examined to determine their relationship, if any with postoperative pain. Any relationship between these variables was also examined. Review of the literature revealed considerable research on pain, and that much of that research has been directed at the treatment of, rather than prediction of postoperative pain. Also, these studies have focused on patients who …

A Comparison Of Three Midwifery Interventions On The Continuity And Knowledge Of Breast Feeding, Athalie Johnston

Theses: Doctorates and Masters

Although it is widely recognised that breast milk is biologically perfect to provide nutrition for the newborn infant many new mothers do not continue to breast feed throughout the postpartum period. A possible influencing factor is the decreased length of hospital stay, whereby new mothers are discharged home away from the supportive-educative role of the midwife before they are ready to learn the art of breast feeding. The purpose of this study was to determine the influence of three midwifery interventions on the continuity and knowledge of first time breast feeding mothers at 6 weeks postpartum. A convenience sample of …

An Evaluation Of A Workshop On Pain Assessment And Management For Nurses, Beverley Bradshaw

Theses: Doctorates and Masters

The purpose of this study was to assess nurses’ knowledge of pain assessment and management, examine what change occurred immediately following a pain assessment and management workshop and examine whether any changes were retained one month later. Chin and Benne’s theory of change provided the theoretical framework for this study. Their approach to planned change involves assessing the existing structure, formulating and implementing a plan to change that structure, then evaluating the change. The following hypothesis was formulated for investigation: That nurses’ knowledge of pain assessment and management would increase after a workshop on the subject and be retained over …

Needs Of Terminally Ill Cancer Patients In An In-Patient Hospice Unit, Marylynn C. Oldham

Theses : Honours

In Western Australia, in-patient hospice/palliative care units are caring for increasing numbers of terminally ill cancer patients. Hospice philosophy is based on the belief that the terminally ill patient in individual needs are of paramount importance. The needs of advanced cancer patients have been researched in the home, for patients continuing or having completed curative treatment, and for patients receiving palliative care. However, there is a lack of literature about the needs of terminally ill cancer patients in in-patient hospices. Using a descriptive approach, this study investigated the needs of six terminally ill cancer patients in a 26 bed in-patient …

The Effect Of A Semester Unit Of Study On Ethical Issues In Nursing On A Group Of Practising Registered Nurses, E. C. Ambrose

Theses : Honours

This study explored the effect an educational unit on ethical issues in nursing had on the ethical reasoning of practising registered nurses. The educational unit was conducted at a university school of nursing as part of a baccalaureate degree programme for already registered and practising nurses. A quasi-experimental posttest design utilising stratified random samples compared subjects from one group who had undertaken the unit (n=53) with subjects from another group who had not (n=61). Ethical reasoning was measured using Grisham's Nursing Dilemma Test and a researcher designed demographic data sheet provided information on additional variables for analysis.The group which had …

Comparison Of Primiparous Women's Expected And Experienced Pain In Labour, Shelagh Lawrence

Theses : Honours

Pain is a subjective phenomenon and is, in varying degrees, an inherent part of the childbirth experience. However, most Western societies view suffering as unacceptable and as such, regard analgesia as a necessity. Many women do not anticipate the intensity of pain experienced in childbirth and are, therefore, not ready to manage this amount of pain when it occurs. This prospective study compared the expected and experienced labour pain of 99 primiparous women, aged 17-40 years. The relationship between expected and experienced pain and acceptance of pregnancy; identification with the motherhood role; relationship with mother; relationship with husband/partner; preparation for …

A Descriptive Correllational Study Of Patient Satisfaction In Labor And Delivery, Holly B.O. Estes

Masters Theses

The concept of patient satisfaction continues to be one of the main concerns in the health care arena today. The purpose of this study was to investigate patients' perceived satisfaction level regarding their labor and delivery at one large Midwestern teaching hospital.; Satisfaction was measured using the Labor and Delivery Satisfaction Index by Lomas, Dore, Enkin, & Mitchell, and the Labor and Delivery Evaluation Scale by Humenick. Roy's Adaptation Model provided the conceptual framework for this study. The study sample was 33 primiparas, seventy-six percent reporting overall satisfaction with their labor and delivery experience.; Sixty-one percent reported the labor and …

An Investigation Of Stress And Burnout In Hospital Registered Nurses, Ellen Nora Hale

Masters Theses

This study investigated job stressors and burnout among hospital registered nurses and was based on a systems theory model in which inputs and throughputs interact to effect outputs. Job stressors were measured using the Job Stress Questionnaire (JSQ). Top-ranked stressors included heavy work load, insufficient resources, and inability to satisfy conflicting demands. Burnout was measured using the three subscales (emotional exhaustion, depersonalization, and personal accomplishment) of the Maslach Burnout Inventory. Based on multiple regression analyses, total JSQ scores accounted for 21% of the variance in emotional exhaustion scores. Together, years of experience and an education level of BSN or BA …

Does An Individualized Back Education Programme Change Nurses' Knowledge And Practice About Back Injury Prevention, Diane K. Riley

Theses: Doctorates and Masters

Back injury has predominantly been a problem which has affected a large cross-section of nursing staff involved with direct patient care. While back injury prevention has been instituted in hospitals for sometime, the percentage of nurses with back injury remains high. Within a major teaching hospital, a ward in which nurses suffered a high rate of back injuries was identified. Through an action research approach the researcher (who worked in the same area as the participants) developed and implemented an individualized back injury prevention programme. The 4 criteria by which the study was measured included, a reduction of back injuries, …

Sociolinguistic Dimensions Of Nurse Practitioner Practice: A Question Of Power, Merrily J. Allen Dnsc, Mn, Rn

Dissertations

Ethnographic methods were used to examine the sociolinguistic dimensions of female nurse practitioner interactions with female patients. The purpose was to provide a contextual account of the discursive practices used by the nurse practitioners during routine office visits with female patients. Direction for this research was provided by my concern about power inherent in professional-client dyadic relationships. Data collection methods included formal and informal interviews, participant observation and audio taping nurse-patient encounters. Nine nurse practitioners and 26 patients participated in the study in both private and public ambulatory care settings. Data analysis yielded two concurrent story lines which I labeled …

Loma Linda Nurse - Vol. 03, No. 01, Loma Linda University School Of Nursing

Loma Linda Nurse

Contents

2 | Message from the dean

3 | School of Nursing celebrates graduation

3 | House of Thrift brings out volunteer spirit

5 | Alumna wins Jessie M. Scott award

6 | Annual awards chapel

6 | Class of 1992

6 | Class of 1967

7 | Advancement

9 | Donor List

15 | Message from the president

16 | Memo

17 | Bylaws

20 | Near and Far

Menno-Knight, October 1992, Mennonite College Of Nursing

Menno-Knight (1960s-1990s?)

Student newsletter of the Mennonite School/College of Nursing.

Development Of An Evidence-Based Program To Address Burnout And Resilience In Nursing, Heather Zink

Doctoral Dissertations & Projects

Abstract

Problem: Public health nurses at a county health department are experiencing burnout because of the COVID-19 pandemic.

Purpose: The purpose of this program development project was to address burnout in public health nurses during the COVID-19 pandemic through assessment and recommended resilience interventions.

Methods: Two survey tools to measure burnout and resilience were distributed to 70 public health nurses. A literature review using the Wiederman framework for battling burnout and building resilience guided the development of the resilience toolkit.

Intervention: A resilience toolkit consisting of evidence-based interventions, budgets, assessment tools, an example plan, and posters was developed for the …

Health-Risk Behaviors Of Adolescents In Southwest Mississippi, Irene J. Martin

MSN Research Projects

Early mortality among youth in the United States has prompted research to determine precipitating causes. It is believed that health-related behaviors are learned early in life and persist into adulthood. During the developmental period of adolescence, coping behaviors which may have positive or negative effects on teens' lives are adopted. These behaviors predispose adolescents to preventable premature death, disease, and social problems. The purpose of this descriptive study was to replicate and expand the research done by St. Lawrence and Brasfield (1991). This replicated survey expanded the population to include adolescents in Grades 7 and 8, ages 12 to 14 …

Benefits Of The Geriatric Nurse Clinician Role Within The Hospital Setting: A Quasi-Experimental Study, Gena Anne Vail

MSN Research Projects

The purpose of this quasi-experimental study was to assss the benefits to the patient of the geriatric nurse clinician role within the hospital setting.

Coping Strategies And Effectiveness In School-Age Children With Cystic Fibrosis, Carmen M. Redlin

MSN Research Projects

The purpose of this study was to determine the coping strategies and effectiveness in school age children with cystic fibrosis.

Parental Factors Related To The Use Of Car Seats For Children, Clara Rustin

MSN Research Projects

Automobile accidents are the leading cause of death and injury in children. Studies have shown that placing children in car seats can prevent injury and save lives. The purpose of this study was to identify parental factors related to the use of car seats for infant, toddler, and preschool children. A descriptive design was selected for this study to identify which parental factors impact on the use of car seats. The research question which guided this study was what are the parental factors related to the use of automobile car seats for infant, toddler, and preschool children. A convenience sample …

The Effect Of Participation In A Wellness Program On Employee Productivity, Absenteeism, And Medical Costs, Wynelle Benson

MSN Research Projects

Although some studies have determined a positive relationship between participation in a wellness program and job performance, no research had focused specifically on the older employee. In the next 10 to 15 years, companies will be retaining and recruiting older workers. Therefore, the purpose of this descriptive, retrospective study was to examine the effects of elder employee participation in a wellness program that includes aerobic activity. The Neuman Systems Model was used as the theoretical framework to guide this study. The sample (N = 30) consisted of blue-collar workers, age 50 years or older, who were randomly selected using a …

Utilization Of Community Service Programs By Elders In Rural Areas, Eddie Moore

MSN Research Projects

The purpose of this descriptive study was to identify existing community service programs and barriers to their use as identified by elders living in rural areas.

Comparison Of Level Of Satisfaction By Hiv-Infected Clients Who Have Received Care From Nurse Practitioners And Physicians In Outpatient Settings, Michael Hoffman

MSN Research Projects

Few studies have been done that examine the acceptance of nurse practitioners as providers of care by persons infected with the Human Immunodeficiency Virus (HIV). The purpose of this study was to evaluate the level of satisfaction with care as experienced by the HIV-infected client in an outpatient setting who has received care from both nurse practitioners and physicians. The Health Belief Model (HBM) developed by Rosenstock, Hochbaum, and Kegeles in the 1950s, and specifically the concept of self-efficacy, was chosen as the conceptual framework for this study. In this descriptive study the null hypothesis examined was there will be …

Identified Barriers To Well Child Care For Homeless Children Under Age Thirteen, Judith G. Riemer

Loma Linda University Electronic Theses, Dissertations & Projects

The purpose of this study was to identify barriers perceived by homeless families to well child care for their children under age thirteen and to determine if there is a relationship between perceived barriers and duration of homelessness. Using an investigator-modified version of Melnyk's Barriers Scale and a demographic measure, a convenience sample of homeless families (N = 53) from three transitional shelters in two southern California counties were surveyed via questionnaire. Barriers to well child care for homeless children were identified. No relationship was determined to exist between duration of homelessness and perceived barriers using a measurement of correlation.

Hospital Patients' And Nurses' Perceptions Of Quality, June Hansen Larrabee

Theses and Dissertations (ETD)

Hospital quality assurance programs have been provider-oriented, focusing on structure and process elements of care rather than outcomes specific to patient needs and values. This study tested the relationship between quality and value, proposed in Larrabee's model of quality, by developing prediction indices for patient and nurse quality and value.

The sample consisted of 199 adult patients. Patient quality was measured by a 100 mm visual analog scale (VAS) (PQUALG) and a modified version of an existing instrument (PQUALT). Patient value was measured as patient goal achievement (PGOAL), the average of three VAS scores for patient defined goals …

Occupational Stress Among Nurse Administrators In General Hospitals In Tennessee, Ruby T. Davis

Electronic Theses and Dissertations

The purpose of this study was to determine the level of occupational stress among nurse administrators and to identify the types of strategies used by nurse administrators to deal with or manage occupational stress. The study examined the relationship between selected demographic variables, occupational stress, and strategies. The research design included five research questions along with seven null hypotheses testing the relationship between occupational stress and demographic variables--age, gender, marital status, years of professional nursing experience, years as a nurse administrator, educational attainment, and hospital bed capacity. There were seven additional hypotheses testing the relationship between the same demographic variables …

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

Loma Linda Nurse

Contents

2 | Message from the dean

3 | Alumni of the Year

4 | Homecoming weekend

8 | In memoriam

9 | "Volunteer air medic risks life in daring helicopter rescue"

10 | "99-member sophomore class dedicated"

11 | Advancement

11 | "Dr. Helen King hosts breakfast for KJN society members"

11 | "30 callers raise over $39,000 in pledges from alumni"

11 |"New development director welcomed"

12 | "Four classes give $22,000 during homecoming"

13 | A message from the president

14 | Near and Far

16 | Newsnotes

Menno-Knight, March 1992, Mennonite College Of Nursing

Menno-Knight (1960s-1990s?)

Student newsletter of the Mennonite School/College of Nursing.

How Latinas Come To Know About Aids And Aids Prevention, Patricia Walker Caudle Dnsc, Mnsc, Fnp, Rnc

Dissertations

By the year 2000, Latinos will become the largest minority group in the United States. Acquired Immunodeficiency Syndrome (AIDS) is occurring at a disproportionately high rate among Latinos. As care-giver and health decision-maker in the family, the Latina needs to know about AIDS and AIDS prevention. This research identified and offers an explanation of how the Latina comes to know about AIDS and AIDS prevention within the context of the family and the Latino culture. Grounded theory methodology was used to explore the complex socialization patterns within the Latino community that affect how the Latina perceives HIV/AIDS. Data were collected …

An Analysis Of The Values Influencing Neonatal Nurses' Perceptions And Behaviors In Selected Ethical Dilemmas, Deborah A. Raines

Theses and Dissertations

The purpose of this research was to identify the values influencing the nurse's perception and choice of behavior in a hypothetical clinical situation. The theoretical framework was Rokeach's (1973) Theory on the Nature of Human Values and Value Systems. A descriptive study using a mailed survey was conducted on a random sample of 331 members of the National Association of Neonatal Nurses. Data on individual nurses' values, perception of information and behavioral choices were collected with an investigator developed questionnaire, consisting of a values scale (alpha =.82) and an information scale and choice alternatives related to three hypothetical vignettes: a …