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The Relationship Of Mid-Pregnancy Levels Of Cytokines, Stress, And Depression With Gestational Age At Delivery, Melissa Molinari Shelton

USF Tampa Graduate Theses and Dissertations

Pregnancy is a time of alternating states of inflammation. The establishment of pregnancy is marked by controlled inflammation and transition toward an anti-inflammatory state for much of the gestational period before returning to an inflammatory state at the onset of labor. Stress and depression trigger the HPA Axis to produce cortisol and levels are maintained in a state of elevation during pregnancy and continue to rise before parturition.

The aim of this research was to explore the relationship of gestational age at delivery with mid-pregnancy levels of cytokines, stress and depression. Participant samples (N = 122) were collected between 16 …

Bone Marrow Transplant Nurses' Attitudes About Caring For Patients Who Are Near The End Of Life: A Quality Improvement Project, Leslie Lauersdorf

USF Tampa Graduate Theses and Dissertations

In oncology setting, there is a range of emotions felt by patients and nurses alike such as helplessness, anger, sadness and anxiety; and this is especially the case as patients near the end of life. The literature shows there is an interest in nurses' attitudes toward caring for patients who are near the end of life. This project examines the overall attitude of Bone Marrow Transplant (BMT) nurses' attitudes toward caring for patients who are near the end of life using the Frommelt Attitudes Toward Care of the Dying Scale (FATCOD) and a Demographic Data Sheet. This project investigated the …

Nurse Manager Emotional Intelligence As A Predictor To Registered Nurse Job Satisfaction And Rn Perceptions Of The Practice Environment And The Relationship To Patient, Nursing And Hospital Outcomes, Jacqueline Cecilia Munro

USF Tampa Graduate Theses and Dissertations

The purpose of this study was to determine if the level of Nurse Manager (NM) emotional intelligence (EI) predicted registered nurse (RN) job satisfaction and RN perceptions of the practice environment. In addition, relationships to patient, nursing, and hospital outcomes were explored. Participants included RNs (N=659) and NMs (N=38) from 53 nursing units at eight hospitals located in the southeast region of the United States. A cross-sectional, correlational research design was used to test the hypotheses. Pearson product-moment correlation coefficients, simple linear and multiple regression statistics were conducted to analyze the data. Level of NM EI had a positive, not …

Responses Of Successful Latina Students To Academic Challenges Of Prerequisite Nursing Courses, Julie Wiggins Nadeau

Walden Dissertations and Doctoral Studies

Nursing schools struggle to prepare enough nurses to meet the health care needs of a diverse and aging population in the United States. Many students do not complete their degrees, contributing to the problem. The purpose of this qualitative study was to explore and describe how successful Latina students experience and respond to the academic challenges of prerequisite nursing courses. The nursing shortage; healthcare needs of Hispanic patients; student outcomes; self-efficacy, achievement goal orientation, and academic help-seeking; and Hispanic cultural values framed the study. Using semistructured private interviews, the researcher explored the lived experiences of 6 successful Latina students when …

Implementation Effectiveness Of Campus Tobacco-Free Policies, Amanda Fallin

University of Kentucky Doctoral Dissertations

Tobacco use and secondhand smoke exposure are leading causes of preventable morbidity and mortality in the United States. Outdoor tobacco smoke exposure conveys many of the same risks as indoor secondhand smoke exposure. Tobacco-free campuses policies are an intervention to promote a positive social norm that encourages smoking cessation, as well as reduces exposure to outdoor tobacco smoke. This dissertation contains a review of the policy implementation literature; findings from a psychometric analysis of the newly developed Tobacco-free Compliance Assessment Tool (TF-CAT) to assess compliance with tobacco-free campus policies; and results of a campus intervention study to promote compliance. The …

The Effects Of Positive Cognitions On The Relationship Between Alienation And Resourcefulness In Nursing Students In Egypt, Abir K. Bekhet, Mervat Elguenidi, Jaclene A. Zauszniewski

College of Nursing Faculty Research and Publications

Alienation is a subjective state, a feeling of being a stranger, as if one were not one's normal self. It is also a sense of homelessness; a feeling of uneasiness or discomfort, which signifies the person's exclusion from social or cultural participation. Alienation can adversely affect healthy functioning of nursing students. Nursing students are the adolescents of today and the nurses of tomorrow who will deal with human behavior, and their psychological well-being will be important in managing their clients’ conditions. Healthy nursing students are likely to become healthy nurses who can then model and promote healthy lifestyles for their …

Measuring Use Of Resourcefulness Skills: Psychometric Testing Of A New Scale, Abir K. Bekhet

College of Nursing Faculty Research and Publications

Highly resourceful individuals have been found better able to meet life's challenges and to experience more positive health outcomes. Although psychometrically sound measures of resourcefulness exist and resourcefulness training trials show that the intervention increases adaptive functioning and enhances quality of life, there is no direct measure of intervention fidelity. This study examined the reliability and validity of an 8-item Resourcefulness Skills Scale (RSS), which measures the frequency with which intervention recipients use specific resourcefulness skills. The RSS was found to have acceptable internal consistency (� = .78), criterion-related validity (�'s = .50 and .52 with other resourcefulness scales), and …

Persistence To An Associate Of Applied Science Registered Nurse Degree: The Impact Of Placing Into Developmental Education Courses On Student Success, Caroline Clark Rivera

Educational Leadership & Workforce Development Theses & Dissertations

Student retention and success in nursing school has gained favor in educational research due to an increasing shortage of Registered Nurses. The purpose of this study is to measure the impact of student placement recommendation into developmental education courses on persistence to an Associate of Applied Science Registered Nurse degree. Using ex post facto research methodology rooted in the retention theories of Tinto, Bean and Metzner, and Jeffreys, this study aims to measure the effect of high school diploma type, age, race/ethnicity, and pre-requisite courses on student placement recommendation in developmental education and persistence to an Associate of Applied Science …

The Relationship Of Financial Performance, Quality Indicators, And The Role Of Nurse Executives In Virginia Nursing Homes, Jeany V. Murphy

Health Services Research Dissertations

Problem statement. The dynamic nature of the healthcare industry has triggered changes in nurse executive functions. The job has expanded into entrepreneurial roles to be able to provide the most cost effective services while maintaining good quality outcomes for the residents. The new responsibility requires a different set of knowledge and competencies that is usually achieved through advanced education. It is not known whether nurse executives in long term care in Virginia possess the skills to influence both the financial and quality outcomes of the facility.

Methods. This descriptive research study examined the relationship of the nurse executives' technical, human, …

The Influence Of Contraception On Abortion Among Women Of Reproductive Age In The United States, Richard J. Fehring

College of Nursing Faculty Research and Publications

There is a common notion that contraception is necessary for women (and couples) to avoid unwanted pregnancies and abortions. The thesis of this paper is that contraception actually will lead to more (not less) abortions. On the other hand, the use of natural family planning (NFP) and the acceptance of fertility lend itself to the openness to life. The specific purpose of the paper is to describe the influence of contraceptive use and NFP on the likelihood of having an abortion among United States (US) women of reproductive age as found in Cycle 7 of the National Survey of Family …

An Ethnographic Examination Of The Hourly Rounding Process, Lynn M. Deitrick Rn, Phd, Kathy Baker Rn, Mph, Hannah D. Paxton Rn, Mph, Michelle D. Flores Rn, Bsn, Deborah Swavely Rn, Msn

Administration & Leadership

No abstract provided.

Access To Adequate Outpatient Depression Care For Mothers In The Usa: A Nationally Representative Population-Based Study, Whitney P. Witt, Abiola O. Keller, Carrisa Gottlieb, Kristin Litzelman, John Hampton, Jonathan Maguire, Erika W. Hagen

College of Nursing Faculty Research and Publications

Maternal depression is often untreated, resulting in serious consequences for mothers and their children. Factors associated with receipt of adequate treatment for depression were examined in a population-based sample of 2,130 mothers in the USA with depression using data from the 1996–2005 Medical Expenditure Panel Survey. Chi-squared analyses were used to evaluate differences in sociodemographic and health characteristics by maternal depression treatment status (none, some, and adequate). Multivariate regression was used to model the odds of receiving some or adequate treatment, compared to none. Results indicated that only 34.8% of mothers in the USA with depression received adequate treatment. Mothers …

Effects Of Resistance Training On Functional Ability In Elderly Individuals, Mariane M. Fahlman, Nancy Mcnevin, Debra Boardley, Amy Morgan, Robert V. Topp

College of Nursing Faculty Research and Publications

Purpose. Determine the effects of 16 weeks of strength training on measures of functional ability in elderly who are functionally limited.

Design. Quasi-experimental trial in which elderly volunteers were assigned to either an exercise group or a control group.

Participants. Eighty-seven participants (65–93 years) living independently but with some functional limitations.

Intervention. Thirteen different strength training exercises using Thera-Band resistive bands (Hygenic Corporation, Akron, Ohio). The program was 16 weeks in duration, and the frequency was three times per week. Participants exercised in a group setting one time per week and were given a home exercise book to follow for …

Dog Models Of Naturally Occurring Cancer, Donna O. Mccarthy

College of Nursing Faculty Research and Publications

Studies using dogs provide an ideal solution to the gap in animal models for natural disease and translational medicine. This is evidenced by approximately 400 inherited disorders being characterized in domesticated dogs, most of which are relevant to humans. There are several hundred isolated populations of dogs (breeds) and each has a vastly reduced genetic variation compared with humans; this simplifies disease mapping and pharmacogenomics. Dogs age five- to eight-fold faster than do humans, share environments with their owners, are usually kept until old age and receive a high level of health care. Farseeing investigators recognized this potential and, over …

Prediction Of Vo2 Peak Using Sub-Maximum Bench Step Test In Children, Robert V. Topp, Dean E. Jacks, Justin B. Moore

College of Nursing Faculty Research and Publications

The purpose of this study was to develop a valid prediction of maximal oxygen uptake from data collected during a submaximum bench stepping test among children ages 8-12 years. Twenty seven active subjects (16 male and 11 female), weight 36.1 kg, height 144.4 cm and VO₂ 47.4 ± 7.9 ml/kg/min participated. Subjects completed a maximal oxygen consumption test with analysis of expired air and a submaximal bench stepping test. A formula to predict VO_2max was developed from height, resting heart rate and heart rate response during the submaximum bench stepping test. This formula accounted for 71% of the …

Double The Outcomes: Employing Sensory Based Approaches To Improve The Quality Of Care And Reduce The Use Of Restraints On Inpatient Behavioral Health Units, Mary Ellen O'Connell Rn, Bsn, Msn, Mba, Jennifer P. Maloney Ms, Otr/L, Stephanie Lenhart Mba, Cphq

Administration & Leadership

No abstract provided.

Improving The Quality Of Information Sent To Primary Care Physicians For Patients Discharged From Nursing Facilities, Catherine M. Glew Bm, Bs, Cmd, Anne M. Yawman Md

Department of Medicine

No abstract provided.

Implementing A Fall Prevention Newsletter To Enhance Patient Safety, Mary Ellen O'Connell Rn, Msn, Mba, Claire Kukielka Ms, Cphq, Carolyn Davidson Phd, Rn, Ccrn, Fnp-Bc

Administration & Leadership

No abstract provided.

Three Words To Engage A Network In Patient Safety, Georgene Saliba Mba, Cphrm, Kristie Lowery Rn, Bs, Cphq, Cphrm, Gwenis L. Browning Rn, Bsn

Administration & Leadership

No abstract provided.

Using Lean Principals To Improve Patient Flow, Keith Weinhold Mha, Fache, Eliot L. Friedman Md, Darlene Matthias Rn, Ms, Ocn, Mary R. Greenberg, Amy E. Levan Rn, Bsn, Ocn, Jill Korn Rn, Bsn, Ocn, Melissa Kratz Rn, Msn, Aocn, Mandy Melocheck Rn, Msn, Ocn, Cindy J. Fenton Rn, Ocn, Janine Barnaby Rph, Bcop, Jeanne Kenna Rn, Ocn, Jennifer Mesker Pharmad, Kyle Sabatino Rn, Msn, Aocn, Lori Turnbach, Maura Price Rn, Bsn, Ocn, Pamela Tobias Ms, Rhia, Patricia Shearburn Rn, Msn, Aocn, Ramona E. Chase Crnp, Stephanie Thomas, Pamela Repetz, Barbara Versage Rn, Mba, Cphq

Administration & Leadership

No abstract provided.

Developing A Multidisciplinary Perioperative Safety Course, William Bond Md, Ms, Hope L. Johnson Msn, Rn, Cnor, Michael Pasquale Md, Facs, Fccm, Melissa B. Walsh Bs, Deborah Arnold Msn, Rn, Cmsrn, Matthew W. Leclair, Kelly L. Lago Ms, Jeanne P. Luke Msn, Rn, Cnor

Department of Emergency Medicine

No abstract provided.

Literacy And Hazard Communication Comprehension Of Employees Presenting To An Occupational Health Clinic, Christine Bouchard

USF Tampa Graduate Theses and Dissertations

More than 100 million American workers, 7 million workplaces, and 945,000 hazardous chemical products are covered under the Hazard Communication Standard (HCS), regulated by the Occupational Safety and Health Administration. There were a total of 1,183,500 recordable non-fatal illnesses and injuries in private industry workplaces in 2006 resulting in days away from work. Of these, 19,480 were due to chemicals and chemical products. In addition, there were a total of 5,703 work-related fatalities in 2006. In 191 of these, chemicals and chemical products were listed as the primary source of injury and as the secondary source of injury in 104 …

A Meta-Analysis Of Cultural Competence Education In Professional Nurses And Nursing Students, Ruth Wilmer Gallagher

USF Tampa Graduate Theses and Dissertations

Cultural competence learning interventions have been suggested to positively improve knowledge, attitudes, and behaviors in both professional nurses and nursing students. A meta-analysis was used to examine the effectiveness of learning interventions designed to increase the cultural competence in professional nurses and nursing students. This is the first known meta-analysis of studies on cultural competence learning interventions in professional nurses and nursing students.

The meta-analysis was done using 13 research studies on cultural competence educational interventions from 1999 to 2010 that were published peer-reviewed literature found in electronic databases. Analyses were computed using a fixed-effect model and effect size data …

Relationship Between Cancer-Related Fatigue And Depression: A Pilot Study, Gloria Michelle Guess

USF Tampa Graduate Theses and Dissertations

Fatigue is one of the most bothersome symptoms reported by patients diagnosed with cancer, and research indicates that the majority of patients receiving chemotherapy report symptoms of fatigue. Fatigue can have an effect on quality of life; therefore, it is essential that healthcare providers gain a better understanding and recognition of fatigue.

Fatigue can also be a symptom of depression. Depression is another prominent symptom reported by patients diagnosed with cancer. Unfortunately, there are similarities between the symptoms of depression and fatigue making it difficult for health care providers to distinguish between the two. This study utilizes the subscale of …

A Comparison Of Oncology And Non-Oncology Nurses In Their Knowledge Of Cancer Pain Management, Nicole Houle

USF Tampa Graduate Theses and Dissertations

Approximately 1.5 million people are diagnosed with cancer each year. Most of these people will experience pain at some point during or after their treatment. Areas of knowledge that nurses have been shown to have deficits in include assessment and pharmacological management. These types of issues can affect the treatment given to their patients. The purpose of this study is to evaluate the level of knowledge of cancer pain management in oncology and non-oncology nurses and how they compare with each other.

To study these variables, two instruments, the Pain Management Knowledge Test and a demographic survey, were distributed to …

Evaluating Knowledge And Attitudes Of Graduate Nursing Students Regarding Pain, Eric Bartholomew Jackson

USF Tampa Graduate Theses and Dissertations

Insufficient pain management continues to be problematic for hospitalized patients throughout the country. It significantly interferes with a person's quality of life making it an issue of great concern to nurses in any setting. However, nurses do not do a good job of managing pain. The purpose of this evaluation was to assess graduate nursing students' knowledge and attitudes toward pain management.

Forty (n=40) graduate nursing students were asked to participate in the evaluation. All students agreed and completed the Demographic Data Form, Nurses Attitude Survey and the Pain Management and Principles Assessment. Thirty-eight females and two males participated in …

Translation And Adaptation Of The Center For Epidemiologic Studies-Depression (Ces-D) Scale Into Tigrigna Language For Tigrigna Speaking Eritrean Immigrants In The United States, Mulubrhan Fisseha Mogos

USF Tampa Graduate Theses and Dissertations

Depression is one of the oldest known mental health conditions. It is acknowledged to be a global health problem that affects people from any culture or ethnic group. The prevalence of depression widely varied across countries and cultures. The cross-cultural relevance of the concept of depression, its screening or diagnosis, and cultural equivalence of items used to measure symptoms of depression has been area of research interest. Differences in prevalence rates in depression have been suggested as being due to research artifacts, such as use of instrument developed for one culture to another culture. With the current trend of globalization …

Feasibility Study Among Military Personnel With Traumatic Amputation During Military Combat Or Training, Michele (Shelly) R. Burdette-Taylor Phd, Msn, Rn-Bc, Cwcn, Cfcn

Dissertations

Military operations have resulted in a significant number of mangled extremities leading to traumatic amputations. Extremity injuries predominate, representing 50% to 70% of all injuries treated (Melcer, 2010). The majority of injuries sustained in Operation Endearing Freedom/Operation Iraqi Freedom (OEF/OIF) are combined penetrating, burn and blast injuries, traumatic amputation, and infections from the multi-drug resistant organism, Acinetobacter (Melcer, 2010). The purpose of this study was to measure the quality of well-being and impact of events in a group of adults who served in the U.S. armed forces and sustained the loss of one or more limbs during any combat or …

Shrouded In Stigma: A Heuristic Study Of Living With Hiv, Neal Stacy Rosenburg

Dissertations

HIV-related stigma is a serious hindrance to addressing the recruitment, maintenance, and follow-up nursing care of HIV-infected persons. This study was anchored within the heuristic research model, which engaged both the researcher and participants in a dialogical and aesthetic manner to unveil the stigma of HIV. The close proximity of the researcher and study participants revealed the most visceral, emotional, and self-reflective nature of gathering data, while maintaining the integrity and rigor of a qualitative study. The purpose of this heuristic study was to examine the lived experiences of HIV-infected individuals relating to internalized stigma within an existential context. This …

The Cultivation And Practice Of Spiritual Care Expertise In An Inpatient Palliative Care Setting, Gail Elaine Pittroff

Dissertations

Caregivers involved in palliative care seek to understand problems and challenges at end of life through research to determine the best care for patients and their families. Spiritual care is a key component of quality end of life care, yet there is a paucity of research on spiritual care in inpatient settings at end of life in nursing literature. The purpose of this study was to examine the personhood and spiritual care practices of inpatient palliative nurse consultants. This study describes expert nurse’s experience of delivering spiritual care for patients and families at end of life in inpatient palliative care …