Digital Commons Network^™

Organizational Support, Perceived Social Support, And Intent To Turnover Among Psychiatric Nurses: A Mixed Methods Study., Beverly Jean Myers

All ETDs from UAB

Nurse turnover compromises the quality of patient care and leads to an increase in organizational costs. Nurse turnover is defined as the intent to leave one's current job position either to transfer to another unit within the organization or to terminate employment with the organization. Few studies have examined the role social support received at work as well as at home, personal characteristics and work factors play in guiding psychiatric nurses' decisions to leave a current nursing position (turnover). The overall purpose of this mixed-methods sequential explanatory study was to explore factors that contribute to psychiatric nurses' intent to turnover. …

Parental Separation Anxiety And Shared Responsibility For Diabetes-Related Tasks In Adolescents Diagnosed With Type 1 Diabetes Mellitus, Kathryn Anne Sheppard

All ETDs from UAB

Type 1 diabetes mellitus (T1D) is most commonly diagnosed in children and young adults, and complications may be life-long as well as life threatening. Management of T1D has proven to be very challenging during adolescence, and parental involvement in diabetes management has been shown to improve adherence and glycemic control in children and adolescents. Middle adolescents should become increasingly responsible for diabetes-related tasks under the supervision and guidance of parents (shared management). However, adolescents spend less time with their family as they get older, resulting in parents' being unable to validate effective self-management; this inability may lead to anxiety about …

Cardiometabolic Risk And Risk Perception Among Oklahoma American Indian Women With Previous Gestational Diabetes, Emily Jean Jones

All ETDs from UAB

Introduction: Cardiovascular disease (CVD) is the number one killer of women in the United States (US). Increasing rates of CVD have been associated with the epidemic rates of type 2 diabetes mellitus (T2DM) in the US. Minority women, particularly American Indian women, experience a greater burden of health risk factors and significant disparities in health status related to CVD and T2DM. Furthermore, women who have had gestational diabetes mellitus (GDM) during pregnancy are at greater risk for these diseases than women who have not had GDM. However, these women often do not perceive themselves to be at risk, or, if …

The Experiences Of Health Care Providers Providing Comfort For Nursing Home Patients At The End Of Life, Herma Baker

Electronic Theses and Dissertations

Research shows that healthcare providers (HCPs) are not adequately prepared to provide comfort care for patients who are at the end of life. Since the 1990s, numerous legislative, research, and clinical initiatives have addressed concerns about improving care at the end of life. The purpose of this study was to describe the experiences of HCPs providing comfort for patients in the nursing home who are at the end of life. This study focused on physicians, nurse practitioners, nurses and nurses' aides at a central Florida nursing home. A descriptive qualitative design was done utilizing a focus group discussion, individual interviews, …

Comparison Of Arnp And Physician Malpractice In States With And Without Controlled Substance Prescribing Authority, Deborah Chandler

Electronic Theses and Dissertations

Florida is one of two states that do not allow ARNPs to prescribe controlled substances. The Florida Legislature has expressed concern regarding the safety of ARNPs prescribing controlled substances. The purpose of this study was to compare malpractice rates of ARNPs and physicians in states with and without controlled substance prescribing. The design was a direct comparison of malpractice rates in states with and without ARNP controlled substance prescriptive authority. Comparison of malpractice claims was made between physicians (MDs and DOs collectively) and ARNPs in the United States and by state ARNP prescribing authority. Comparison of malpractice claims was also …

The Incidence And Epidemiologic Factors Of Community-Acquired Methicillin-Resistant Staphylococcus Aureus Skin And Soft Tissue I, Ivonne Johnson

Electronic Theses and Dissertations

Methicillin-resistant Staphylococcus aureus (MRSA) is a serious public health problem nationwide, threatening to develop into an epidemic. Many of these patients are presenting to their primary care clinics with skin and soft tissue infections (SSTIs). The CDC has reported that in 2005, MRSA was responsible for an estimated 94,000 life-threatening infections and 16,650 deaths. The purpose of this study is to estimate the incidence of CA-MRSA within a specific family practice in Florida and to identify epidemiologic factors, classify antibiotic susceptibility patterns, and evaluate patient education in regard to disease management and prevention. This study was a descriptive, epidemiologic, three-year …

Advanced Practice Nursing In The Faith Community Setting: A Case Study, Chianta Lindsey

Electronic Theses and Dissertations

The purpose of this case study is to demonstrate the effectiveness of an Advanced Practice Nurse in providing spiritual and nursing care within a faith community setting. The study will describe the process of developing a Parish Nurse program using a Nurse Practitioner to offer wholistic health care to parishioners. It will also illustrate the collaborative process of developing a free health center within a faith based organization, using the Nurse Practitioner to manage the health center and deliver health care services. In order to demonstrate the need for parish nurse care, the case study used an anonymous survey to …

The Impact Of An Interdependent Conferencing Activity In An Online Rn-Bsn Practicum Clinical Conference On Psychologocial Sense Of Community, Barbara Lange

Electronic Theses and Dissertations

RN-BSN students enrolled in a clinical course often have limited or no interaction with other students within the course due to geographic distance and individual preceptor assignments. Learning is often restricted to a student and his/her preceptor and instructor. Geographic and physical distance factors inhibit a student's perception of connectedness and learning. Interdependent interaction between peers, the instructor, and the professional community may increase student achievements and enhance a sense of connectedness. The purpose of this study was to assess the effects of an Interdependent Conferencing Activity (ICA) in an online clinical conference on RN-BSN students' Psychological Sense of Community …

Innovative Approaches To Generational Instruction: Welcoming The Nexters Via The Hybrid, Kellie Smith, Rn, Msn, Kathleen Clark, Rn, Msn, Cnrn, Apn, Bc

College of Nursing Faculty Papers & Presentations

Students currently entering higher
education were born between 1980-
2000 and are often referred to as
NeXters, Millennials, or Generation Y.

An undergraduate nursing core
curriculum course was developed and
implemented using a constructivist
pedagogy approach which
characterizes generational
distinctiveness to optimize learning
and student satisfaction.

Working Together: A Collaborative Approach To Disease Prevention Education: Move4health, Danielle Snyderman, Md, Kellie Smith, Rn, Msn, Christine Christine Wade, Edd, Pt, Rn

College of Nursing Faculty Papers & Presentations

Project Aim:

To promote opportunities for interprofessional education and collaboration between medical, nursing and physical therapy students at Thomas Jefferson University (TJU).

Evaluation Of A Simulation-Enhanced Obstetric Clinical Experience On Learning Outcomes For Knowledge, Self-Efficacy, And Transfer, Mary Elizabeth Guimond

Electronic Theses and Dissertations

Simulation using computerized patient mannequins may be a useful mechanism to teach safe and effective nursing care, thus improving the quality of education for nurses. As nursing program enrollments grow, clinical placement is becoming more difficult and may not offer consistent learning opportunities that reinforce safe and effective nursing practice. This study applied Ford, Smith, Weissbein, Gully, and Salas’ (1998) model of learning transfer as the theoretical framework to design a simulated obstetric clinical learning experience to augment the current clinical practice model, an approach that may lead to an improved educational experience. The purpose of this study was to …

Developing An Evidence-Based Practice For Psychiatric Nursing, Robin Buccheri, L Trygstad, M Buffum, A Gerlock

Nursing and Health Professions Faculty Research and Publications

No abstract provided.

Open To Being Different, Chenit Ong-Flaherty

Nursing and Health Professions Faculty Research and Publications

No abstract provided.

Dysrhythmia Monitoring Practices Of Nurses On A Telemetry Unit, Susan Jane Schultz

UNF Graduate Theses and Dissertations

Standards of practice for hospital electrocardiogram monitoring were recommended in 2004 by the American Heart Association; however they are not widely followed. Many nurses monitor in a single lead regardless of diagnosis and are unable to differentiate wide QRS complex tachycardias. The purpose of this project was to evaluate the effectiveness of an interactive web-based education program combined with unit-based collaborative learning activities on both telemetry staff nurses‘ knowledge of dysrhythmias and their monitoring practices for patients at risk for wide QRS complex tachycardias. This interventional, one group before-and-after cohort study design consisted of four components: interactive web-based educational program …

Self-Blood Pressure Monitoring, Stage Of Change, Medication Adherence, Self-Efficacy And Blood Pressure Control In Hypertensive Workers, Tonya Lynn Breaux-Shropshire

All ETDs from UAB

ABSTRACT According to the World Health Organization, hypertension is the leading cause of death in the world and it is one of the primary reasons patients seek health care. Prior to 2010, uncontrolled blood pressure (BP) rates were approximately 18%, despite the fact that prescribed medical treatment is available to adequately control patients' BP. It has been established that medication adherence is a major factor in controlling BP, and self-BP monitoring is highly recommended by the national guideline to improve blood pressure control. However, information related to assessing hypertensive patients' readiness to engage in health care treatment and self-monitoring is …

The Role Of Parental Autonomy Support In The Motivation Of The Health Behaviors Of Diet And Exercise In Older Adolescents, Shannon A. Morrison

All ETDs from UAB

regardless of the degree of heteroskedasticity. Moreover, in the presence of high leverage

The Influence Of Self-Concept, Physical Activity, And Sedentary Screen Time Activities On Blood Pressure In 11-13 Year Old Middle School Children, Elizabeth Di Benedetto Gulledge

All ETDs from UAB

The aims of this study were to: 1) examine associations between self-concept (SC), physical activity (PA), sedentary screen time (SST), and blood pressure (BP) and 2) determine the amount of variance explained by SC, PA, and SST in BP. The increase in SST along with decreases in PA may contribute to increases in BP. SC, PA and SST have been associated with BP in adolescents but less is known about middle school children. A sample of 116 (36 males; 80 females; 51 African American, 65 White) 6th and 7th grade11-13 year old students were recruited in a southeastern state. Participants …

Occupational Stress, Job Satisfaction And Job Performance Among Hospital Nurses In Kampala Uganda, Rose Chalo Nabirye

All ETDs from UAB

ABSTRACT Occupational stress, a common occurrence among various professions worldwide, is regarded as a major occupational health problem for healthcare professionals especially nurses. Occupational stress has been reported to affect job satisfaction and job performance among nurses, thus compromising nursing care and placing patients' lives at risk. Stress is a complex phenomenon resulting from the interaction between individuals and the environment. Therefore, significant differences in occupational stress, job satisfaction and job performance among nurses may exist due to different work settings. The aims of the study were to: 1) examine the relationships between occupational stress, job satisfaction and job performance …

Neighborhood Factors Relevant For Walking In Older, Urban, African American Adults, N. A. Gallagher, Kimberlee A. Gretebeck, Jennifer C. Robinson, Elisa R. Torres, Susan L. Murphy, Kristy K. Martyn

College of Nursing Faculty Research and Publications

Focus-group and photo-voice methodology were used to identify the salient factors of the neighborhood environment that encourage or discourage walking in older, urban African Americans. Twenty-one male (n = 2) and female (n = 19) African Americans age 60 years and older (M = 70 ± 8.7, range = 61–85) were recruited from a large urban senior center. Photographs taken by the participants were used to facilitate focus-group discussions. The most salient factors that emerged included the presence of other people, neighborhood surroundings, and safety from crime, followed by sidewalk and traffic conditions, animals, public walking tracks …

The Co-Existence Of Diabetes Mellitus Type 2 And Depression Symptoms In Mexican American Adults: Its Relation To Glucose Control, Perceived Stress And Physical Health, Guillermina Rincon Solis

Open Access Theses & Dissertations

Type 2 diabetes is a common chronic metabolic disease affecting 23.6 million people (7.8%) in the U.S. and is the 6th leading cause of death among adults (CDC, 2007). Mexican-Americans, the largest group within the Hispanic U.S population, have double the rate of type 2 diabetes. Long-term glucose control (HbA1C) is essential to lessen the risk of diabetes complications; self-care demands for diabetes management may be overwhelming and creates stress that predisposes individuals to depression and affects long-term glucose control (Anderson et al., 2000; Black, 1999; Black, Markides, & Ray, 2003). The purpose of this study was to evaluate the …

Factors Related To The Recruitment And Retention Of Nurse Practitioners In Rural Areas, Dayle Boynton Sharp

Open Access Theses & Dissertations

For the past several decades, rural America has experienced significant health disparities. Changes in the demographics of rural locations in the U.S. have led to a) an increase in an aging population, b) an increase in minority populations, and c) a large number of unemployed individuals due to the shifting of jobs. In some locations, a large number of these unemployed or underemployed are uninsured or underinsured. Parallel to the changes in demographics, there has been a decrease in primary care providers in rural areas. Consequently, rural America is facing reduced and unequal access to healthcare. One solution to limited …

Parents' Perceptions And Parental Stress Related Obesity Of Children In United Arab Emirates, Salma Omar Sbait Ai-Nuaimi

Theses

Aim: This study aims to explore parents’ perception of obesity in children and stress related to obesity during childhood period in Emirate of Abu Dhabi in United Arab Emirates.

Background: The prevalence of excess weight among children is increasing in both developed and developing countries. Overweight and obesity are leading cause of the most common health problems in children. The degree of parents’ perception about their child’s weight is likely to play a critical role in the development and management of childhood obesity. Greater parental perception and involvement is likely to encourage more active monitoring and controlling of child’s dietary …

Quality Of Life And Health Outcomes In Overweight And Non-Overweight Children With Asthma., Amy Becker Manion

Dissertations

Over the last two decades the number of children and adolescents who are overweight has more than doubled. Currently, an estimated 18 percent of children and adolescents ages 6-19 years are overweight. Following this trend in childhood overweight, there has been an alarming increase in the number of children with asthma who are overweight. The increasing trend in both asthma and overweight has led to the suggestion of a causal relationship between the two. Childhood overweight has been found to have a profound negative impact on quality of life (QOL), yet there is a dearth of research regarding the impact …

Pushing On: A Grounded Theory Study Of Maternal Perinatal Bereavement., Patricia Wright

Dissertations

Over 1 million American women experience the unexpected loss of a pregnancy each year (Ventura, Abma, Mosher, & Henshaw, 2009). The care and support they receive from family members, friends, and health care providers is often inadequate. Despite nearly 3 decades of research, very little is known about women's experiences of loss and the trajectory of perinatal bereavement. This classic grounded theory study was undertaken to discover a substantive theory of maternal perinatal bereavement, which was empirically derived from the words of the participants.

Data were collected from interviews with 19 women who had experienced the loss of a pregnancy, …

Exploring The Impact Of Race On Mental Health Service Utilization Among African Americans And Whites With Severe Mental Illness, Michelle Hampton, Linda Chafetz, Mary White

Faculty Publications

BACKGROUND: Disparities among African Americans and Whites with severe mental illness have been identified in numerous studies. Yet it remains unknown if disparities are associated with race or other vulnerabilities common to this population. OBJECTIVES: This study used the Behavioral Model for Vulnerable Populations to examine mental health service utilization among 155 African Americans and Whites with severe mental illness for 12 months after discharge from a residential crisis program. DESIGN: This cross-sectional study was a secondary analysis of data from a randomized trial. RESULTS: Race did not emerge as a significant predictor of mental health service utilization. Factors associated …

Patient Ventilator Dyssynchrony: Types, Frequency And Patterns In Critically Ill Adults, Karen Mellott

Theses and Dissertations

Patient ventilator dyssynchrony (PVD) occurs frequently, but little is known about the types, frequency and patterns of PVD for longer than 30 minutes. Deeper levels of sedation are associated with PVD. Evaluation of ventilator graphics and the ability to identify PVD should assist clinicians to optimize patient ventilator interactions and promote earlier interventions. The purpose of this study was to identify the different types, frequency and patterns of PVD in critically ill adults and determine the effect of sedation level on PVD. Thirty medical and surgical ICU adult patients were enrolled; 27 were used for analysis. Pressure/time and flow/ time …

Predictors Of Success Of The National Council Licensure Examination For Registered Nurses Among Transfer Bsn Students, Mary E. Fortier

Seton Hall University Dissertations and Theses (ETDs)

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Expanding The Treatment Window Raising The Bar For Patient Safety, Claranne Mathiesen Rn, Msn, Cnrn

Patient Care Services / Nursing

No abstract provided.

The Development Of A Formal Preceptor Model To Improve Departmental Mentorship, Angela Lutz Bs, Rrt-Nps, Kenneth Miller Med, Rrt-Nps, Linda Cornman Bs, Rrt-Nps, Uma Bhatt Rrt, Bryn Surgeoner Rrt

Patient Care Services / Nursing

No abstract provided.

Merging Informatics And Respiratory To Improve Research And Patient Care Outcomes, Diane Horoski, Robert Leshko Bs,Rrt, Kenneth Miller Med, Rrt-Nps, Angela Lutz Bs, Rrt-Nps

Patient Care Services / Nursing

No abstract provided.