Digital Commons Network^™

A Comparison Of Patient And Nurse Perception Of Problem Areas Associated With Type 2 Diabetes, Kelley Oglesby

Nursing Theses and Capstone Projects

The purpose of the study was to explore the difference in problem areas perceived and reported by patients with type 2 diabetes and registered nurses caring for patients with type 2 diabetes. Diabetes affects a large number of patients both physically and fiscally. Decreasing perception of problems by nurse case management intervention has the potential to adversely affect patients. A convenience sample of 20 patients and 10 nurses was obtained and completed the Problem Areas in Diabetes (PAID) questionnaire. Statistical analysis found a significant difference in perception of problems among patients and nurses.

Monitoring Congestive Heart Failure Across The Healthcare Continuum, Katrina E. Walker

Nursing Theses and Capstone Projects

Congestive heart failure is a chronic condition where the heart no longer pumps adequate blood and oxygen to bodily organs. CHF is a chronic condition that affects millions of people on a yearly basis. Common diseases that cause CHF are coronary artery disease, high blood pressure, and diabetes. CHF patients face many compilations that affect their daily activities. Along with morbidity CHF has major financial implications because much of the cost associated with CHF healthcare is avoidable. The purpose of this study is to evaluate the effects of monitoring congestive heart failure across the healthcare continuum with application to the …

Nursing Students' Perception Of Comfort, Norma Mott

Nursing Theses and Capstone Projects

One of the most important goals of nursing care is to provide comfort to patients and their families. In order to provide comfort, nurses must be able to recognize and respond to patients in distress. Inconsistencies in the delivery of comfort care are based largely on the nurse's educational preparation. The degree to which comfort and comforting is evidenced in nursing performance depends in great measure on the way upcoming nurses perceive the concept during their education.

In this descriptive study guided by Kolcaba's Comfort Theory, the researcher surveyed a convenience sample of Associate Degree Nursing students to assess their …

Effects Of Early Initiation Of Induced Therapeutic Hypothermia, Frank Castelblanco

Nursing Theses and Capstone Projects

Cardiac arrests are responsible for about 325,000 deaths annually in the United States (Heart Rhythm Foundation, 2010). The majority of these cardiac arrests occur outside the hospital setting, with a dismal national survival rate of 8% (American Heart Association, 2010). The Bernard (2002) and HACA (2002) studies demonstrated that by initiating therapeutic hypothermia as a treatment modality for cardiac arrests the survival rate could be as high as 49% and 55% respectively. Therapeutic hypothermia can be initiated in many different settings. The question remains, does the setting of the initiation of therapeutic hypothermia effect patient outcomes? The purpose of this …

The Incidence Of Individual Sexually Based Counseling By School Nurses In An Urban School System, Tiffany Dunlap

Nursing Theses and Capstone Projects

The purpose of this study is to evaluate the incidence of individual counseling on sexual issues by school nurses in a large, urban, public school system in the Southeastern United States (U.S). Utilizing a descriptive, non-experimental method for the study, a secondary data analysis was conducted by the researcher using information self-reported by 117 school nurses regarding individual counseling of students in grades kindergarten through twelve on sexual topics. The topics included in the study were pregnancy, puberty/reproductive health and sexual abuse. There was a relationship established between grade level and rate of individual counseling. School nurses in the school …

The Effects Of Education And Training On Nurses' Perception Of Lateral Violence In The Healthcare Field, Tamara Cook

Nursing Theses and Capstone Projects

The effects of lateral violence are costly for all aspects of the healthcare profession. Lateral violence is an act of aggression directed towards another nurse. Educating nurses of lateral violence and its appearance may prove to increase nurse's perception of lateral violence therefore decreasing its occurrence. This study will explore the effects of education and training on nurses' perception of lateral violence in the healthcare field. Lateral violence threatens the integrity of each nurse, the nursing profession, and the organization. Increasing the awareness of lateral violence attempts to make a culture change among nurses in the healthcare profession. Minimizing lateral …

Preparing The New Graduate Nurse Entering Critical Or Progressive Care Practice Areas: What Is The Effect Of Blended Orientation Approaches On Their Level Of Self-Confidence And Satisfaction With Current Orientation Methods?, Jennifer L. Forbes

Nursing Theses and Capstone Projects

The transition from student nurse to professional nurse is often difficult for the new graduate especially if transitioning into critical or progressive care areas of practice. It is imperative for new graduates to receive a clinical orientation that meets their educational and transitional needs. The orientation process should provide them with a strong foundation in critical or progressive care practices. Educators are challenged to provide educational opportunities while accommodating diverse learning needs and continuing to maintain competency that ensures the highest quality of patient care and improved patient care outcomes.

New graduate nurses hired into the critical or progressive care …

Effect Of Remote Fetal Monitoring In An Inpatient Obstetrical Unit: A Retrospective Review, Lauren Reavis

Nursing Theses and Capstone Projects

Electronic Fetal Monitoring (EFM) has been used as a tool for inpatient obstetrical care in the United States since the 1980's. The litigious nature of our society has caused much emphasis to be placed upon EFM use and interpretation; however, little evolution has occurred in monitoring techniques. The review of relevant literature found a significant gap in knowledge in regards to research of the current monitoring practice. Therefore, this study was aimed to look at the effect of remote monitoring, like the practice currently used in telemetry, on inpatient obstetrical care. The study used a retrospective review to look at …

The Nurse's Knowledge Of Blood Conservation As A Part Of Blood Management, Lindsey Putnam Austin

Nursing Theses and Capstone Projects

Medicine has historically regarded blood transfusion as an integral component of major surgery or illness. However, clinical studies have shown that allogeneic blood transfusions are associated with increased morbidity and decreased survival. Knowledge of this research and the concepts of blood conservation so as to avoid unnecessary blood transfusions is needed in order to deliver holistic care and serve as patient advocate. This knowledge reaches every specialty of nursing care.

This study of the nurse's knowledge of blood conservation as a part of blood management utilizes The Conservation Model developed by Myra E. Levine in 1973. Levine's work is a …

A Study Of The Presence Of Relational Aggression In The Adult Population, Kathy C. Williams

Nursing Theses and Capstone Projects

Aggression can result in a challenge of the basic human need for safety and security (Plotnik, 1999). Historically there has been extensive research regarding physical aggression. However, only in the past two decades has relational aggression received attention. Most research studies regarding relational aggression have focused upon children, adolescents and young adults. The purpose of this study was to explore the presence of relational aggression in the adult population. The Self-Report of Aggression and Social Behavior Measure tool was used to survey a convenience sample of 67 nursing students. The participants were students enrolled in the school of nursing (associate, …

The Effect Of Emergency Department Length Of Stay On Clinical Outcomes For Critically Ill Or Injured Patients, Sheila Radcliff

Nursing Theses and Capstone Projects

The purpose of the study was to identify the effects of the emergency department length of stay on clinical outcomes for critically ill or injured patients in the regional referral community hospital. Delays in transfer have been associated with increased mortality rates, prolonged length of stays, and poor outcomes. Emergency departments are designed to respond to immediate life or limb threatening emergencies.

A quantitative, descriptive, retrospective design was used in this study. Data was collected from APACHE II, trauma databases, and ED logs. The study was conducted in a 752 bed hospital in the western North Carolina. Data was analyzed …

Nursing Homes' Compliance With State Nurse Staffing Standards And Its Relation To Quality-Of-Care Deficiencies, Seung Chun Paek

Electronic Theses and Dissertations

The purpose of this dissertation is to examine nursing homes‟ compliance with state minimum nurse staffing standards and its relation to quality-of-care deficiencies. Specifically, this study, reviewing staffing standards from 50 states and the District of Columbia for the year 2007, proposes a unique algorithm to calculate the states‟ expected nurse staffing levels for individual nursing homes in order to investigate their compliance with the state nurse staffing standards. By using hierarchical linear modeling method, this study attempts to capture the impact of the staffing standards on actual nurse staffing levels under resource dependence perspectives. Path analysis using structural equation …

Changes In Temperature Of Heel Skin Under Pressure In Hip Surgery Patients, Vivian K. Wong, N. A. Stotts, H. W. Hopf, G. A. Dowling, E. S. Froelicher

Faculty Publications

OBJECTIVE: The aim of the study was to examine the effect of external pressure of the bed surface on heel skin temperature in adults in the first 3 days after hip surgery. DESIGN: A quasi-experimental study in a prospective, within-subjects, repeated-measures design. SETTING: This study was performed at 2 acute-care hospitals. PARTICIPANTS: Eighteen subjects (9 men and 9 women) with a mean age of 58.3 (±16.1) years were recruited after hip surgery at the 2 hospitals. METHODS: Temperature sensors were placed on the plantar surface of each foot, close to the heels. Measures were taken when the heels were (1) …

Comparing Cultural Competence In Graduating Master Of Social Work And Nursing Students, Joanna Guadalupe Rubio, Jamie Anne Webb

Theses Digitization Project

The purpose of this study was to compare cultural competence between graduating Bachelor of Nursing students and Master of Social Work students. The study participants consisted of 107 students who were graduating from either the MSW program or the Bachelor of Nursing program at California State University, San Bernardino. Participants were asked to complete a cultural competence survey and quantitative data analysis was utilized to compare cultural competence among respondents.

The Effects Of Concept Care Maps On Critical Thinking In Baccaalureate Nursing Students, Sarah Michelle Fry

Theses Digitization Project

The purpose of this study with first year Baccalaureate nursing students was to test the effects of care mapping strategies on critical thinking skills. In a constantly evolving field of nursing, it is important that new graduates are able to assimilate assessment data and use critical thinking to derive sound clinical judgement. Concept mapping is believed to support this endeavor.

The Art Of Nursing: An Evaluation Of Congruence Of Nurse-Patient Perceptions Of The Healing Interaction, Gillian Yvonne Dargan-Doxzon

Theses Digitization Project

The purpose of this study is to pilot a new tool that encompasses both patients' and nurses' perceptions of the nurse-patient interaction. This pairing of surveys will measure congruence of the perceptions between the nurse and the patient.

A Supportive-Educative Program For Perinatal Depression Utilizing Orem's Theory Of Self-Care, Amy Michelle Larsen

Theses Digitization Project

The purpose of this study is to provide a support group, utilizing Dorothea Orem's self-care model, for perinatal depression in Riverside County. Perinatal depression in childbearing women is quite significant. Incidence rates of perinatal depression are estimated at 15% and higher in the United States and worldwide population.

Effect Of Simulated Clinical Interpersonal Skills Practice On Nursing Students' Communication Skills, Nancy Jean Wolf

Theses Digitization Project

This study examined the effect of a workshop with simulated clinical interpersonal skills practice and conversational analysis on second-year nursing students' interpersonal communication skills. The ultimate goal of the present researcher is to empower nursing students with the knowledge and skills to communicate effectively with all members of the healthcare team. The target population consists of second-year nursing students, with the accessible population at California State University, San Bernardino (CSUSB). A random sample of 28 participants were selected from among students enrolled in the Foundation of Nursing Process, Roles and skills course, on two campuses of CSUSB.

Screening, Brief Intervention, And Referral To Treatment For Alcohol Use In A Community College, Alexandra Aimee Bell

Theses Digitization Project

This study examines the impact of Screening, Brief Intervention, and Referral to Treatment (SBIRT) on the high-risk alcohol behavior of a sample of California community college students accessing services at the student health center.

Follow-Up Telephone Calls: A Comparative Study Of Calls Made Three Days And Ninety Days Post Discharge And Their Effect On Patient Satisfaction And Patient Outcomes, Darrin Compton, Susan Lewis, Diedre Suits

Graduate Research Projects

No abstract provided.

Ua61/1 Wku Nursing Class 2011, Wku Nursing

WKU Administration Documents

Members of the 2011 nursing class: Tamra Atwood, Shelly Davis, Connie Dickson, Traci Gentry, Marita Hockstedler, Josie Kroeger, Wendy Lai, Levita Larson, Nicole Loy, Allison McCutchen, Jackie Pardue, Jennifer Parrott, Kellye Rone, Annette Ploeg, Thomas Vogler, Louise Webb, Brandi White, Annie Wilson and Katrina Wood.

Cultural Competancy In Nursing Education, Linda Eileen Wolf, Cheryl Delgado

Nursing Faculty Publications

No abstract provided.

Enhancement Of Medical Interns' Levels Of Clinical Skills Competence And Self-Confidence Levels Via Video Ipods: Pilot Randomized Controlled Trial, Margaret M. Hansen Edd, Msn, Rn, George Oosthuizen, John Windsor, Iain Doherty, Samuel Greig, Katrina Mchardy, Lloyd Mccann

Nursing and Health Professions Faculty Research and Publications

Background: Designing and delivering evidence-based medical practice for students requires careful consideration from medical science educators. Social Web (Web 2.0) applications are a part of today’s educational technology milieu; however, empirical research is lacking to support the impact of interactive Web 2.0 mobile applications on medical educational outcomes.
Objectives: The aim of our study was to determine whether instructional videos provided by iPod regarding female and male urinary catheter insertion would increase students’ confidence levels and enhance skill competencies.
Methods: We conducted a prospective study with medical trainee intern (TI) participants: 10 control participants (no technological intervention) and 11 intervention …

The Composite First Person Narrative: Texture, Structure, And Meaning In Writing Phenomenological Descriptions, Marcia Stanley Wertz, Marcianna Nosek, Susan Mcniesh, Elizabeth Marlow

Nursing and Health Professions Faculty Research and Publications

This paper illustrates the use of composite first person narrative interpretive methods, as described by Todres, across a range of phenomena. This methodology introduces texture into the presently understood structures of phenomena and thereby creates new understandings of the phenomenon, bringing about a form of understanding that is relationally alive that contributes to improved caring practices. The method is influenced by the work of Gendlin, Heidegger, van Manen, Gadamer, and Merleau-Ponty. The method’s applicability to different research topics is demonstrated through the composite narratives of nursing students learning nursing practice in an accelerated and condensed program, obese female adolescents attempting …

Evaluation Of A Cultural Competancy Program, Cheryl Delgado, Linda Eileen Wolf

Nursing Faculty Publications

No abstract provided.

Bachelor Of Science In Nursing-Entry Level 2011, Nova Southeastern University

Health Professions Divisions Course Catalogs and Course Descriptions

No abstract provided.

Single Mother’S Adverse And Traumatic Experiences And Post-Traumatic Stress Symptoms, Joan A. Samuels-Dennis, Marilyn Ford-Gilboe, Susan Ray

Nursing Publications

A random sample of 247 Canadian single mothers currently receiving social assistance participated in a study designed to: a) provide a comprehensive description of mother’s lifetime exposure to 11 adversities, four psychological traumas, and eight assaultive traumas; b) examine the association between exposure to childhood and adulthood adversities and traumas, and mother’s current post-traumatic stress symptom. Of those surveyed, 31% met the criteria for a probable PTSD diagnosis. Between 78% and 80% reported 1 or more lifetime adversity, psychological trauma, and assaultive trauma. Rates of adversities were similar to the general female population. However, rates of psychological and assaultive trauma …

Improving Blood Pressure Control In Esrd Through A Supportive Educative Nursing Intervention, Zorica Kauric-Klein

Wayne State University Dissertations

ABSTRACT

IMPROVING BLOOD PRESSURE CONTROL IN ESRD THROUGH A

SUPPORTIVE EDUCATIVE NURSING INTERVENTION

by

ZORICA KAURIC-KLEIN

May 2011

Advisor: Dr. Nancy T. Artinian

Major: Nursing

Degree: Doctor of Philosophy

Problem: Hypertension in chronic hemodialysis (HD) patients contributes significantly to their morbidity and mortality. Statistics indicate the hypertension rate amongst HD patients ranges from 75 to 100 %. Studies have indicated that adherence rates to self-care behaviors related to salt and fluid intake and medication regimens are very poor in the HD population. Traditional hypertension management strategies have been found to be largely ineffective. There is modest evidence indicating that interventions …

Circadian Rhythm Of Cortisol And Estradiol In Healthy Women, Karyn G. Butler

Wayne State University Dissertations

ABSTRACT

CIRCADIAN RHYTHM OF CORTISOL AND ESTRADIOL IN HEALTHY WOMEN

by

KARYN G. BUTLER

AUGUST 2011

Advisor: Dr. Jean E. Davis

Major: Nursing

Degree: Doctor of Philosophy

Daily variation in human processes and behaviors has been identified for centuries. Study of these circadian rhythms demonstrates their role in human health. Sickness behaviors include alterations in affect, sleep quality and energy. The study of the relationship between circadian rhythms has been limited to isolated rhythms. The role of temporal relationships among rhythms has received little attention. Sickness behaviors are prevalent in many disorders including depression, cancer, and autoimmune disorders. Two hormones …

Perceived Familial Socialization And Ethnic Identity: Factors Associated With Physical Activity, Eating Behavior Patterns, And Social Physique Anxiety In African American Middle Adolescents, Nutrena H. Tate

Wayne State University Dissertations

Purpose: African American adolescents experience higher rates of obesity and have an increased risk of obesity related diseases than Caucasian American adolescents. Despite culturally sensitive obesity preventive interventions, obesity rates are increasing within the African American adolescent population. Current obesity interventions claim to be culturally sensitive, but do not address how ethnic identity and parental influences on body image and body change may affect the efficacy of the interventions. The purpose of this study was to examine the sociocultural factors related to weight behaviors and cognitions in African American adolescents. Differences based on socioeconomic status (SES), gender, and residential status …