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Mortality Prognostication In Long-Term Care Residents: The Mds-Chess Scale, Caroline Etland Phd, Msn, Cns

Dissertations

Quality end of life (EOL) care for the elderly continues to be a challenge, in part due to late referral for palliative and/or hospice services. The purpose of this study was to determine the accuracy of the MDS-CHESS scale (Hirdes, Frijters & Teare, 2003) in predicting 6-month mortality in a stable American nursing home (NH) population. A secondary aim was to determine any differences in mortality between the 2 sites. A sample of 191 residents of two NHs was analyzed in a retrospective, correlational cohort study, using data collected from the federal MDS database. Correlational statistics and logistic regression were …

Sleep And Affect In Older Adults: Using Multilevel Modeling To Examine Daily Associations, Christina S. Mccrae, Joseph P. H. Mcnamara, Meredeth Rowe, Joseph M. Dzierzewski, Judith Dirk, Michael Marsiske, Jason G. Craggs

Nursing Faculty Publications

The main objective of the present study was to examine daily associations (intraindividual variability or IIV) between sleep and affect in older adults. Greater understanding of these associations is important, because both sleep and affect represent modifiable behaviors that can have a major influence on older adults’ health and well-being. We collected sleep diaries, actigraphy, and affect data concurrently for 14 days in 103 community-dwelling older adults. Multilevel modeling was used to assess the sleep–affect relationship at both the group (between-persons) and individual (within-person or IIV) levels. We hypothesized that nights characterized by better sleep would be associated with days …

Happiness: Theoretical And Empirical Considerations, Abir K. Bekhet, Jaclene A. Zauszniewski, Wagdy E. Nakhla

College of Nursing Faculty Research and Publications

TOPIC. Although happiness is important in maintaining health, few studies of happiness can be found in the nursing literature.

PURPOSE. This paper explicates the concept of happiness through examination of its defining attributes, antecedents, consequences, and measurement.

SOURCES OF INFORMATION. Literature review using hand search, and databases were used as sources of information.

CONCLUSION. The information provided can be used in clinical practice so that nursing strategies can be developed and tested to help people to become happy and healthy.

Caring Minds, University Of Texas Health Science Center At Houston School Of Nursing

Caring Minds

• DEAN’S MESSAGE
• CELEBRATING 35 YEARS
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The Positive Energy Patrol: One Nursing Division's Approach To Address The Issue Of Morale In The Workplace, Mary Ann Ryan

Theses and Graduate Projects

The purpose of this project is to develop an article for submission to a professional journal describing a staff led initiative to address employee morale in the hospital setting. It is well documented in professional nursing literature that the morale of a work environment has a direct effect upon the care provided to the patients and families served. Empowerment of staff, mutual respect, and transpersonal care as described by nursing theorist Jean Watson provide a healthy framework for a workplace where people want to engage and contribute. A morale initiative as trialed at one institution will be shared for consideration …

Palliative Care In Nursing Homes: A Comparison Of High And Low-Level Providers, Nancy A. Hodgson

Selected Works of Nancy Hodgson, PhD

No abstract provided.

Osteoporosis Education In College-Age Women, Elizabeth Byrne Rodzik

Master's Theses and Doctoral Dissertations

Osteoporosis, a degenerative bone disease, is a preventable disease. The purpose of this study was to determine if an educational intervention would increase knowledge and influence women to change their behaviors (i.e., exercise and dietary calcium intake) related to osteoporosis.

A random sample of 149 college female students participated in this study. Participants completed two questionnaires consisting of the Osteoporosis Knowledge Test and the Osteoporosis Self-Efficacy Scale. Participants were surveyed to determine their knowledge of osteoporosis and their intent to change their health behavior before and after an educational intervention.

Statistical analysis indicated that an educational intervention increased the subjects’ …

Implementing A Forensic Educational Package For Registered Nurses In Two Emergency Departments In Western Australia, Christine M. Michel

Theses

The results of violence are a major public health problem that infiltrates hospital emergency departments (ED) daily. Often, ED nurses are the first healthcare professionals to see patients, speak with family members, handle personal property and collect laboratory specimens. Such actions can be of extreme importance to the 27 different categories of forensic patients. To adequately address forensic patient issues, ED nurses need exposure to forensic education. The aim of this research was to develop and evaluate the effectiveness of a clinical forensic education package on ED nurses’ perceptions, knowledge and care of forensic patients. To accomplish this aim, this …

Mennonite College Of Nursing Annual Report, 2007-2008, Mennonite College Of Nursing

Annual Reports - Mennonite College of Nursing

Annual report of the Mennonite College of Nursing at Illinois State University

The Physical And Mental Health Of Spouse Caregivers In Dementia: Finding Meaning As A Mediator Of Burden, Susan M. Mclennon

All ETDs from UAB

The purpose of this study was to examine the effect of caregiver burden on the physical and mental health of caregivers of spouses with dementia and to determine if finding meaning through caregiving mediated the relationship between burden and health. This was a cross-sectional, correlational study in a convenience sample of 84 community-residing spouse caregivers of adults with dementia recruited from North- Central Florida. Measures included the Zarit Burden Interview, the Finding Meaning through Caregiving Scale, and the Medical Outcomes Short Form-36, version 2. Data analyses consisted of descriptive, correlational, and standard multiple regression statistical methods. The sample consisted of …

Theoretical Substruction Illustrated By The Theory Of Learned Resourcefulness (Article), Abir K. Bekhet, Jaclene A. Zauszniewski

College of Nursing Faculty Research and Publications

This article describes the process of theoretical substruction and uses this process to examine the significance of Rosenbaum's resourcefulness theory for nursing research and practice. The article discusses relocation as a phenomenon of interest to gero-psychiatric nurses working with elders who have relocated to retirement communities, illustrated by the theory of learned resourcefulness. The literature was reviewed to assess the congruence between the theoretical and operational systems suggested by Rosenbaum's resourcefulness theory. A model of learned resourcefulness is presented that includes middle-range concepts, relational statements, and propositions derived from the research literature. Theoretical substruction provides a mechanism for testing middle-range …

Dyadic Relationship Scale: A Measure Of The Impact Of The Provision And Receipt Of Family Care, Margaret Sebern, Carol J. Whitlatch

College of Nursing Faculty Research and Publications

Purpose: This study evaluated the psychometric properties of the Dyadic Relationship Scale (DRS), which measures negative and positive dyadic interactions from the perspective of both the patient and the family caregiver. An important aspect of evaluating the DRS was that it be statistically sound and meaningful for both members of the dyad. Design and Methods: The study used a cross-sectional design. Survey packages were mailed to home health care patients and their family caregivers. The unit of analysis was the dyad, and exploratory and confirmatory factor analyses were conducted. We examined the reliability, discriminant, and concurrent validities of the instrument. …

Comeback Of Appalachian Female Stroke Survivors: The Interrelationships Of Cognition, Function, Self-Concept, Interpersonal, And Social Relationships., Patricia Mckenzie Vanhook

Electronic Theses and Dissertations

The purpose of this descriptive correlational study was to examine the comeback phase of the Trajectory of Chronic Illness Management for Appalachian women stroke survivors. This study predicted comeback as a relationship between physical healing, biographical reengagement, and psychological coming to terms that was mediated by rehabilitation.

The concepts were evaluated through investigation of function and cognitive abilities, self-assessment of recovery, health rating, ability to control life, relationship changes, physical and mental health, and limitations of activities due to poor physical or mental health. Data were collected using, the Stroke Impact Scale (3.0) (Duncan, Bode, Lia, & Perera, 2003), the …

Interdisciplinary Education In Emergency Preparedness: Assuring The Safety Of Aging Populations, Linda L. Strong, Dori Taylor Sullivan

Nursing Faculty Publications

Aging is a global phenomenon. It impacts unequally, with this inequality attributable to such factors as gender, culture, education, socioeconomic status and access to primary and preventive care. Access to care and the quality of that care are significantly impacted by governmental support and regulations. Most elderly live in developed countries; however, for a significant number life is not free of stress and struggle to meet basic needs. Elders in developing countries face even more challenges. Natural and man-made disasters increase the vulnerability of these populations through potential disruption of critical services. Currently there is a paucity of health and …

Transition To Nursing Home Of Korean-American Elders, Myungja Kim Hahm Phd

Dissertations

The purpose of this study was to explore factors affecting Korean-American (KA) elders during the transition to nursing homes in the first month following admission. The three aims of this proposed study were (1) to explore culture specific factors that affect KA elders' perspectives during the transitional period to a nursing home, (2) to identify thoughts and feelings of KA elders about their admission into a nursing home, (3) to describe the adjustment process associated with admission to a nursing home. A grounded theory design was utilized to explore KA elders' perceptions/experiences associated with adjustment to a nursing home. Open-ended, …

Nursing Theory And Knowledge Development: A Descriptive Review Of Doctoral Dissertations, 2000–2004, Hila Spear

Faculty Publications and Presentations

Within the profession of nursing, nursing theory, conceptual models, and knowledge development continue to be points of discussion and debate. Some suggest that nursing research must either test or develop nursing theory, whereas others believe that research germane to practice can legitimately incorporate what is commonly referred to as borrowed theory. This descriptive analysis of nursing doctoral dissertations (N = 207) conducted from 2000 to 2004 focused primarily on the inclusion or exclusion of nursing theories. Almost half (45.4%) of the dissertations studied theories from fields other than nursing, 27.1% of the researchers studied nursing theories, and 27.5% of the …

Caring Minds, University Of Texas Health Science Center At Houston School Of Nursing

Caring Minds

• Greetings from Dean Patricia Starck
• New DNP program explores new frontiers of nursing
• Profile Joanne V. Hickey, PhD, APRN, BC, ACNP, FAAN, FCCM
• With assistance from PARTNERS scholarship, Family Practice Nurse pursues her dream through new DNP program
• School of Nursing offers training in geriatrics for nurses
• PARTNERS organization endows first professorship
• University of Texas Health Services planning to expand number of clinics
• Caring Leaders
• The Engine of Innovation: School of Nursing researchers part of $36 million NIH grant to spur innovation
• Johnson and Johnson gala spotlights nurses Chad and Heath LePray
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Diabetes Self-Management In The Migrant Latino Population, Dawn Weiler, Janice D. Crist

Nursing Faculty Publications and Presentations

This article will present an in-depth exploration and synthesis of current literature that informs nursing knowledge of diabetes self-management for the migrant Latino population. Extensive research in diabetes care has been conducted, however, there is a significant knowledge gap related to the factors that influence the achievement of glycemic control and self-management practices of the Latino population. Based on well-documented disparities in complications and health outcomes among Latinos when compared with White Americans, there is sufficient evidence to question whether traditional White beliefs about self-management are successful or appropriate for the Latino population in general and migrants specifically. Traditional models …

Advance Directives At End-Of-Life: Nursing Home Resident Preferences For Artificial Nutrition, Cheryl Monturo, Neville E. Strumpf

Nursing Faculty Publications

No abstract provided.

Mennonite College Of Nursing Annual Report, 2006-2007, Mennonite College Of Nursing

Annual Reports - Mennonite College of Nursing

Annual report of the Mennonite College of Nursing at Illinois State University

The Bath Environment, The Bathing Task, And The Older Adult: A Review And Future Directions For Bathing Disability Research, Susan L. Murphy, Kimberlee A. Gretebeck, Neil B. Alexander

College of Nursing Faculty Research and Publications

Purpose. To review existing research studies to identify optimal intervention strategies for remediation and prevention of bathing disability and future directions for bathing disability research.

Method. Bathing disability, defined as problems in the interaction between the person and the environment during bathing performance, is examined through a comprehensive, narrative literature review.

Results. Most studies focus on the relationship between the person and the environment (such as assistive device use and environmental hazards) while fewer studies focus on analysis of the bathing task or the interaction of the person, environment, and bathing task. Of intervention studies, most do …

Effects Of Teaching Resourcefulness And Acceptance On Affect, Behavior, And Cognition Of Chronically Ill Elders, Jaclene Zauszniewski, Abir K. Bekhet, Chien-Yu Lai, Patricia Mcdonald, Carol M. Musil

College of Nursing Faculty Research and Publications

This clinical trial examined changes in affect, behavior, and cognition in 176 chronically ill elders who were randomly assigned to Resourcefulness Training (RT), Acceptance Training (AT), or Diversional Activities (DA). The RT group improved on affect (t(1,42) = 4.91; p < .001) and cognition (t(1,42) = 2.03; p< .05) and these effects lasted 12 weeks. The AT group improved on affect (t(1,36) = 3.08; p < .01), but this improvement did not persist. The RT and AT groups both showed positive behavior changes after six weeks. There were no changes in the DA group. The findings suggest that teaching elders resourcefulness and acceptance of chronic conditions may promote healthy functioning and improve their quality of life.

Depression, Anxiety, Hazardous Drinking, Subjective Burden, And Rewards In Family Caregivers Of Patients With Chronic Liver Disease, Lois Vennesta Bolden

Theses and Dissertations (ETD)

This descriptive correlation study had three purposes. The study first described depressive and anxiety symptom levels, prevalence of hazardous drinking, rewards, and subjective burden reported by family caregivers of patients with chronic liver disease (CLD). Second, the investigator compared depressive and anxiety symptom levels, prevalence of hazardous drinking, rewards, and subjective burden reported by African Americans family caregivers with those reported by Caucasian family caregivers of patients with CLD. The third purpose was to determine the predictors of subjective burden and mental health status of family caregivers of persons with CLD.

A convenience sample of 73 caregivers of patients receiving …

Psychometric Properties Of The Readiness For Hospital Discharge Scale, Marianne E. Weiss, Linda Piacentine

College of Nursing Faculty Research and Publications

The purpose of the study was to assess the psychometrics properties of the Readiness for Hospital Discharge Scale (RHDS), a 23-item instrument that measures patients' perception of readiness for discharge. Data were obtained from 356 respondents from two urban tertiary medical centers (adult and children's) in the midwestern United States who were participants in a larger study of predictors and outcomes of readiness for hospital discharge. Confirmatory factor analysis, contrasted group comparisons, and predictive validity testing supported the 4-factor structure and construct validity of the instrument. Following deletion of two poorly performing items, Cronbach's alpha for the revised 21item scale …

Lancaster, Jeanette Interview For The Miami Valley College Of Nursing And Health Oral History Project, Donna M. Curry, Jeanette Lancaster

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

Donna Miles Curry interviewed Jeanette Lancaster about the founding of the Wright State University College of Nursing and Health. In the interview Dr. Lancaster discusses her career and her decision to come to Wright State as faculty with the College of Nursing and Health.

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

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

Donna Miles Curry and Carol Holdcraft interviewed Ann Stalter on August 7, 2006 about the founding of Wright State University College of Nursing and Health. In the interview Ms. Stalter discusses her career and her decision to come to Wright State as a student with the College of Nursing and Health.

An Evidence Based Practice Perspective Regarding The Role Of The Nurse Practitioner In Access To Mental Health Care, Alvin Terry Ricks Jr.

MSN Research Projects

Mental health care, persecuted without merit, has long suffered from the prejudice and shame fashioned by a public blinded by ignorance. The real barriers created by the primary health care system hampering access to mental health care are increased by the preconceived ideals that ridicule the patient in crisis confronts. The purpose o f this project is to identify the barriers to access, how access it mental health care can be achieved through primary care and how the nurse practitioner can aid in mental health access as a primary care provider. Research o f literature provides a base o f …

Heimbach, Susan Interview For The Miami Valley College Of Nursing And Health Oral History Project, Carol Holdcraft, Susan Mcclellan Heimbach, Stacy Baldwin

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

Carol Holdcraft interviewed Susan Heimbach about the founding of the Wright State University College of Nursing and Health. In the interview Heimbach discusses her career and her decision to come to Wright State as a student with the College of Nursing and Health.

Older Single Women In Transition: Moving To A Supportive Retirement Community, Linda L. Hansen-Kyle Phd

Dissertations

This study explored role changes, resilience, social, and health challenges encountered by older women who transitioned to a retirement community that provided social, health, and safety support structures. The aim of this study was to analyze and describe the transition from the viewpoint of the participants. Although previous research has shown transitions lead to psychosocial, emotional, physical, and health changes, the importance of this study stems from the lack of research on older women moving to supportive communities and their unique challenges. A convenience sample of 39 women, aged 70-94, who had been living alone before moving to a church …

Exercise Self-Efficacy, Stages Of Exercise Change, Health Promotion Behaviors, And Physical Activity In Postmenopausal Hispanic Women, Pamela Wolfe Kohlbry Phd

Dissertations

The purpose of this correlational research is to understand the relationships among the variables of exercise self-efficacy, stages of exercise change, health promotion behaviors, body mass index (BMI), health problems, and the level of physical activity in postmenopausal Hispanic women. The significance of this study is to contribute research that enhances the understanding of the relationship of psychosocial and health promotion correlates and physical activity in postmenopausal Hispanic women. On a national level, this is important because Hispanic women make up one of the fastest growing minority populations and they experience the second highest level of obesity. This research is …