Digital Commons Network^™

Let Your Life Speak: Exploring The Lived Experience Of Graduate Nurses In An Emergency Department Setting, Mary Margaret Healy

Theses and Graduate Projects

The purpose of this research was to explore the lived experience of graduate nurses (GNs) who made the transition from academic to practice environment in the high-acuity setting of a Level 1 trauma center. These GNs entered clinical practice through a nurse residency program at Truman Medical Center (TMC) emergency department (ED) in Kansas City, Missouri. The researcher interviewed 6 GNs participating in the nurse residency program with IRB approval from the University of Missouri, Kansas City IRB. The method of inquiry was hermeneutic phenomenology. The basic research question for this study was as follows: As a participant in a …

Public Health Nursing And The Community: Partnering To Improve Health By Improving The Environment, Anna Haubrich

Theses and Graduate Projects

Florence Nightingale wrote that the environment is the single most important factor to a person's health. This paper discusses the process of bringing public health nursing together with community members to implement a Healthy Homes primary prevention project that improves the environment for people living in the Rondo Neighborhood of Saint Paul. The Rondo Neighborhood has a high ratio of low-income people. People living in lower socio-economic neighborhoods have poorer health outcomes, partially because of systemic environmental conditions. The framework of this community engagement project is guided by Community Based Participatory Action Research to emphasize the value of community involvement …

The Definition Of Insulin Resistance Using Homa-Ir For Americans Of Mexican Descent Using Machine Learning, Hui-Qi Qu, Quan Li, Anne R. Rentfro, Susan P. Fisher-Hoch, Joseph B. Mccormick

School of Nursing Faculty Publications

Objective

The lack of standardized reference range for the homeostasis model assessment-estimated insulin resistance (HOMA-IR) index has limited its clinical application. This study defines the reference range of HOMA-IR index in an adult Hispanic population based with machine learning methods.

Methods

This study investigated a Hispanic population of 1854 adults, randomly selected on the basis of 2000 Census tract data in the city of Brownsville, Cameron County. Machine learning methods, support vector machine (SVM) and Bayesian Logistic Regression (BLR), were used to automatically identify measurable variables using standardized values that correlate with HOMA-IR; K-means clustering was then used to classify …

Religiosity And Sexual Risk Behaviors Among Latina Adolescents: Trends From 1995 To 2008, Lisa M. Edwards, Kristin Haglund, Richard J. Fehring, Jessica E. Pruszynski

College of Nursing Faculty Research and Publications

Purpose: The purpose of this study was to determine trends in the influence of religiosity on sexual activity of Latina adolescents in the United States from 1995 to 2008 and to determine if differences existed between the Mexican American and other Latina groups.

Methods: The sample comprised the subset of unmarried, 15–21-year-old (mean 17 years) Latina female respondents in the 1995 (n=267), 2002 (n=306), and 2006–2008 (n=400) National Survey of Family Growth (NSFG) datasets. Associations between religiosity (importance of religion and service attendance) and history of ever having sex, number of sex partners, and …

Code Simulations And Death: Processing Of Emotional Distress, Jane D. Leavy, Calvin J. Vanderhoff, Patricia K. Ravert

Faculty Publications

It is important for nursing students to be exposed to critical patient care scenarios because high stress clinical situations, such as patient codes, occur unexpectedly and infrequently in the clinical setting. In addition, it is important for nursing students to be exposed to the reality of patient death in order to help them overcome fears associated with death and to develop effective coping strategies. Students may or may not have an opportunity to deal with patient codes or patient death in the clinical setting, therefore simulation labs provide students with the opportunity to practice important clinical skills and discuss emotions …

Librarians As Partners Of The Nursing Faculty In Teaching Scholarly Inquiry In Nursing To Undergraduates At Brigham Young University, Jane Lassetter, Barbara L. Mandleco, Lynn C. Callister, Elizabeth S. Hopkins, Meagan Astill

Faculty Publications

This paper describes collaboration between the nursing librarian and faculty members teaching Scholarly Inquiry in Nursing (Nursing Research), a course for baccalaureate nursing students. Workshops presented by the librarian enhanced nursing students' information literacy skills, particularly related to accessing evidence-based sources. Student perceptions of the library integration with Scholarly Inquiry in Nursing are presented, and suggest that librarians empower them with knowledge and skills that enhance their ability to integrate evidence into their nursing practice.

Comparison Of Workplace Protection Factors For Different Biological Contaminants, Kyungmin Jacob Cho, Tiina Reponen, Roy Mckay, Alok Dwivedi, Atin Adhikari, Umesh Singh, Rakesh Shukla, M. Susan Jones, Gordon Jones, Sergey A. Grinshpun

Nursing Faculty Publications

This study compared workplace protection factors (WPFs) for five different contaminants (endotoxin, fungal spores, (1→3)-β-D-glucan, total particle mass, and total particle number) provided by an N95 elastomeric respirator (ER) and an N95 filtering facepiece respirator (FFR). We previously reported size-selective WPFs for total particle numbers for the ER and FFR, whereas the current article is focused on WPFs for bioaerosols and total particle mass. Farm workers (n = 25) wore the ER and FFR while performing activities at eight locations representing horse farms, pig barns, and grain handling facilities. For the determination of WPFs, particles were collected on filters simultaneously …

Successful Aging And The Epidemiology Of Hiv, David E. Vance, Teena Mcguinness, Karen Musgrove, Nancy Ann Orel, Pariya L. Fazeli

Gerontology Faculty Publications

By 2015, it is estimated that nearly half of those living with HIV in the US will be 50 years of age and older. This dramatic change in the demographics of this clinical population represents unique challenges for patients, health care providers, and society-at-large. Fortunately, because of highly active antiretroviral therapy (HAART) and healthy lifestyle choices, it is now possible for many infected with HIV to age successfully with this disease; however, this depends upon one’s definition of successful aging. It is proposed that successful aging is composed of eight factors: length of life, biological health, cognitive efficiency, mental health, …

Applying Community Participatory Methods To Meet Women's Mental Health Needs In Karachi, Pakistan, Nargis Asad, Judith Mcfarlane, Saima Hirani, Farhana Madhani, Shireen Shehzad

School of Nursing & Midwifery

Poor mental health is a global epidemic with women affected more often compared to men. Compromised mental health jeopardizes women's health and functioning and also the health and wellbeing of their children. To promote women's mental health, principles of community participatory methods were used to design and implement a mental health program, which was predicated on empirical research, sensitive to community culture and needs, and delivered by Lady Health Workers in an urban slum area of Karachi, Pakistan. The sequential steps of community participation, program development, implementation and strategies for sustainability are described.

Persons With Dementia Missing In The Community: Is It Wandering Or Something Unique?, Meredeth Rowe, Sydney S. Vandeveer, Catherine Greenblum, Cassandra N. List, Rachael M. Fernandez, Natalie E. Mixson, Hyo C. Ahn

Nursing Faculty Publications

Background: At some point in the disease process many persons with dementia (PWD) will have a missing incident and be unable to safely return to their care setting. In previous research studies, researchers have begun to question whether this phenomenon should continue to be called wandering since the antecedents and characteristics of a missing incident are dissimilar to accepted definitions of wandering in dementia. The purpose of this study was to confirm previous findings regarding the antecedents and characteristics of missing incidents, understand the differences between those found dead and alive, and compare the characteristics of a missing incident to …

Re-Vitalizing Worthiness: A Theory Of Overcoming Suicidality, Evelyn Gordon, John R. Cutcliffe, Chris Stevenson

Nursing Faculty Publications

Rates of suicide and suicidality have risen in many countries in recent years and in Ireland this trend has been particularly evident among young men (NOSP, 2005), focusing attention on how best to respond to this group. Although mental health professionals have been identified as a key group to respond to the suicidal person, it has been suggested that they are ill-prepared for working in this area (Maltsberger & Goldblatt, 1996; Ting et al., 2006; Cutcliffe & Stevenson, 2007). This study aimed to address these issues by developing a theoretical understanding of suicidality among young men to inform professional practice. …

Chd Knowledge And Risk Factors Among Filipino-Americans Connected To Primary Care Services, Alona Dalusung-Angosta

Nursing Faculty Presentations

Problem:

Despite growing numbers of FAs in the U.S. and high CHD prevalence, only limited studies are available in the the literature.

Contributing factors?

• Lack of knowledge
• Sociodemographic (SD)/Socioeconomic (SE) variables

Commencement Program 2011, Loma Linda University

Commencement Programs

CONTENTS

1 | Message from the President

3 | 2011 Events of Commencement

4 | The Academic Procession

6 | Significance of Academic Regalia

8 | The Good Samaritan

9 | University History Highlights

11 | Loma Linda University Song - "Healing Love"

12 | The Speakers

20 | The University Honorees

32 | The School Honorees

53 | The Programs

• School of Medicine, 54
• School of Pharmacy, 74
• School of Dentistry, 80
• School of Science and Technology and School of Religion, 96
• School of Nursing, 111
• School of Allied Health Professions - Physical Therapy, 121
• School of Allied Health …

The Experience Of Forgiving In The Marital Relationship, Kathleen M. Leo

Seton Hall University Dissertations and Theses (ETDs)

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Paramed Home: A Protocol For A Randomised Controlled Trial Of Paramedic Assessment And Referral To Access Medical Care At Home, Glenn Arendts, Moira Sim, Steven Johnston, Richard Brightwell

Research outputs 2011

Background: In Australia approximately 25% of Emergency Department (ED) attendances are via ambulance. ED overcrowding in Australia, as in many countries, is common. Measures to reduce overcrowding include the provision of enhanced timely primary care in the community for appropriate low risk injury and illness. Therefore paramedic assessment and referral to a community home hospital service, in preference to transfer to ED, may confer clinical and cost benefit.

Methods/Design: A randomised controlled trial. Consenting adult patients that call an ambulance and are assessed by paramedics as having an eligible low risk problem will be randomised to referral to …

Foundation For Evaluating Injured Firefighters Returning To Work, Deanna Stover

Loma Linda University Electronic Theses, Dissertations & Projects

The purpose of this study was to establish a foundation for developing an evidence-based assessment guideline to be used by nursing and medical personnel when evaluating a firefighter's ability to return to work after a lower extremity injury. Two on-line survey instruments were used to record the opinions and beliefs of healthcare providers and firefighters. The final samples included 63 California healthcare providers (with and without professional work experience with firefighters) and 312 California firefighters. Most of the healthcare providers with professional work experience with firefighters use the National Fire Protection Association (NFPA) 1582 Standard on Comprehensive Occupational Medical Program …

Developing Interprofessional Collaboration: An Action Research Approach To Change In Residential Care, Denise F. O Leary

Theses

This thesis presents a study which aimed to develop interprofessional teams to drive organisational change at residential care facilities in order to gain insight into the processes involved, as well as the factors influencing them. It is unrealistic to create a team and expect team members to immediately act in a collaborative way to address team goals, yet the development process has been largely overlooked in the literature. This thesis addresses this gap. Healthcare providers at three residential care facilities for older people were invited to become involved in the study and teams were successfully set up at two facilities. …

System-Wide Deployment Of Color Coded Pediatric Resuscitation Carts Supported By In Situ Simulation, Deborah Arnold Msn, Rn, Cmsrn, Jayne Febbraro Msn Rn Crnp, William Bond Md, Ms, Michele Dunstan, Margaret J. Chorazak, Melissa B. Walsh Bs, K Walker, T Dietz

Department of Education

No abstract provided.

A Teaching Project For The Participants Of The Benton Boys & Girls Club To Optimize Nutritional Health, Karen Milen

Graduate Research Projects

The prevalence of childhood obesity has reached epidemic proportions in the United States. The long-term health problems and co-morbidities that are associated with obesity and increased Body Mass Index (BMI) are numerous and well documented. Recommendations from Healthy People 2020, a government program designed to provide a comprehensive set of disease prevention and health promotion objectives for the nation (U.S. Department of Health and Human Services, 2010) include “Nutrition and Weight Status” as one of the focus areas. Healthy People 2020 also have a list of Leading Health Indicators which will be used to measure the health of the Nation …

Success With Compassion: Peripheral Intravenous Cannulation In The Pediatric Population, Joanne Dinatale Bsn, Rn, Oncc, Marcia Summers Msn, Rn, April Saboe Bsn, Rn.

Patient Care Services / Nursing

No abstract provided.

Effect Of Topical Menthol On Ipsilateral And Contralateral Superficial Blood Flow Following A Bout Of Maximum Voluntary Muscle Contraction, Robert V. Topp, Lee J. Winchester, Jessica Schilero, Dean E. Jacks

College of Nursing Faculty Research and Publications

Purpose/Background: Various doses of topical menthol are commonly applied prior to, during, and after exercise to relieve pain although there is limited empirical evidence examining the physiological effects of this treatment. The purpose of this study was to examine the effects of two different doses of menthol (3.5% and 10%) on blood flow and arterial diameter before and after an acute bout of three isokinetic maximum voluntary muscular contraction (MVMC) of the quadriceps and hamstrings.

Methods: Blood flow and arterial diameter of the right and left popliteal arteries were measured with an ultrasound Doppler prior to and after subjects completed …

Accf/Aha 2011 Expert Consensus Document On Hypertension In The Elderly: A Report Of The American College Of Cardiology Foundation Task Force On Clinical Expert Consensus Documents, Wilbert S. Aronow, Jerome J. Fleg, Carl J. Pepine, Nancy Trygar Artinian, George Bakris, Alan S. Brown, Keith C. Ferdinand, Mary Ann Forciea, William H. Frishman, Cheryl Jaigobin, John B. Kostis, Giuseppi Mancia, Suzanne Oparil, Eduardo Ortiz, Efrain Reisin, Michael W. Rich, Douglas D. Schocken, Michael A. Weber, Deborah J. Wesley

Nursing Faculty Research Publications

This document was written with the intent to be a complete reference at the time of publication on the topic of managing hypertension in the elderly. This document has been developed as an expert consensus document by the American College of Cardiology Foundation (ACCF) and the American Heart Association (AHA), in collaboration with the American Academy of Neurology (AAN), the American College of Physicians (ACP), the American Geriatrics Society (AGS), the American Society of Hypertension (ASH), the American Society of Nephrology (ASN), the American Society for Preventive Cardiology (ASPC), the Association of Black Cardiologists (ABC), and the European Society of …

Motivational Interviewing With Patient Education To Promote A Safe Sleep Environment For Lakota Infants, Kari Johnson

Theses and Graduate Projects

Sudden Infant Death Syndrome (SIDS) has preventable risk factors; the sleep environment of the infant is one of those risk factors. SIDS is the leading cause of infant deaths in the Aberdeen Area of Indian Health Service, accounting for more than one fourth of the infant deaths. The project proposed utilizes Madeline Leininger's Culture Care Theory combined with an education model incorporating motivational interviewing with the current patient education used by the Public Health Nursing Department at the Pine Ridge Indian Health Service Hospital promoting a safe sleep environment.

New Graduate Nurse Orientation Program, Darcie L. Thies

Theses and Graduate Projects

The purpose of this project is to create a new nurse orientation program. The project provides socialization, mentorship, organizational context, and information that is crucial for a new graduate nurse to successfully integrate into the IHS healthcare team. It is critical for all new graduate nurses to be socialized and acculturated into their practice environments. This is particularly true when a nurse is hired to work in an environment that has a very specific cultural context, such as Pine Ridge Hospital, located on the Pine Ridge lndian Reservation in South Dakota. lnformation for this project was gathered through a literature …

The Effects Of Computer-Based Education On Children's Knowledge About Asthma, Matyt L. Adler

Evidence-Based Practice Project Reports

Asthma is a global health problem affecting people of all ages that can cause severe limitations when uncontrolled. In the United States, asthma was the most prevalent chronic disease among children and youth in 2008 (U.S. Department of Health and Human Services, 2009). Because day-to-day management of asthma is the responsibility of the child or the parent, education of patients is one of four crucial components to effectively provide quality asthma care. Changes in workload complexities with primary care visits has increased and visit duration decreased, resulting in less available time to address individual patient needs including the education aspect …

Using A Telephone Reminder System To Improve Pneumococcal Vaccination Rates For Medicare Recipients, Julie A. Koch

Evidence-Based Practice Project Reports

Despite recent advances in healthcare, Streptococcus pneumonia-associated infections contribute to significant morbidity and mortality in older adults. Because of the pneumococcal vaccine’s efficacy for preventing invasive disease, guidelines for vaccinating older adults have been developed; yet, the nation has not met immunization goals. The purpose of this EBP project was to determine if a telephone reminder, as compared to provider recommendation, would increase pneumococcal vaccination rates. The Iowa model and Kotter’s eight stages of change guided this project within a multi-provider office in Northwest Indiana. Within the practice, Medicare patients scheduled from September 1 to November 10, 2010 received a …

The Effect Of Tai Chi Exercise On Balance And Falls In Persons With Parkinson’S, Beth A. Gladfelter

Evidence-Based Practice Project Reports

Parkinson’s disease (PD) is a neurodegenerative disease that progresses to impair one’s gait and balance, often causing falls and subsequent disability. Current management of PD is aimed at treating the symptoms but is not effective in treating the underlying cause, nor does typical treatment effectively improve postural stability. Exercise can decrease symptoms of the disease and lessen disability. Providers need to find alternatives to the costly physical therapy that is prescribed to treat progressive and debilitating PD. Tai Chi (TC) has been shown to offer an enjoyable exercise routine that participants want to maintain. There is evidence to support the …

Interventions To Improve The Management Of Medically Uninsured Adult Patients With Type 2 Diabetes Mellitus In Primary Care, Community-Based Settings, Lynn Miskovich

Evidence-Based Practice Project Reports

This project measured the effect of a clinical algorithm on the provision of care to medically uninsured adult patients with type 2 diabetes and a low socioeconomic status (SES). Primary providers often fail to implement established standards for diabetes care to their maximal benefit and do not achieve American Diabetes Association (ADA) treatment standards. Saydah, et al. (2004) reported that only 48% of patients with diabetes achieved the recommended HbA1c goal, and 33% reached blood pressure and LDL targets. Goals for all three clinical parameters were obtained by only 7% of patients. The Stetler Model of Evidence-based Practice (EBP) provided …

Transformational Leadership, Job Satisfaction, Organizational Commitment, And Non-Supervisory Nurses' Intention To Leave, Audrey E. Gregory

Graduate Student Dissertations, Theses, Capstones, and Portfolios

The United States is currently experiencing a nursing shortage. To compound the problem, hospital nurses are leaving their organizations and executives are scrambling to figure out the reasons behind the increased turnover. Many factors are associated with nurses' intention to leave their current employment. Among these factors are job satisfaction, organizational commitment, work satisfaction, work setting, control over practice, salary, nurse-physician collaboration, job stress, and leadership style. Effective nursing leadership is an integral factor in the retention of hospital nurses and nurses who perceive their nursing leadership as participative and transformational may be more likely to be satisfied with their …

Cord Blood Collection In Pregnant Women For Stem Cell Research, Irene Carr Phd

Dissertations

Umbilical cord blood (UCB) stem cells form commonly banked types of human tissue. Confusion remains about sources of stem cells and their use. Birth is a once in a lifetime opportunity with 74 million births per year in the world and four million occur in the United States. Cord blood contains hematopoietic stem cells and pluripotent mesenchymal cells (Moise, 2005). There is a surge of interest in the clinical use and research investigation of umbilical cord blood for transplantation and regenerative medicine. Clinicians need increased awareness and education of options for private versus public donation and banking of cord blood …