Digital Commons Network^™

Occupational Stress, Dietary Self-Efficacy, Eating Habits And Body Composition In Police Officers, Rebecca Witten Grizzle

All ETDs from UAB

Obesity is a paramount public health threat in the U.S. as approximately twothirds of the adult population is overweight. Police officers have an even higher prevalence of overweight and obesity and other cardiovascular risk factors. Police officers often attribute their above average cardiovascular disease risk to shift work, jobrelated stress, and poor dietary habits while working. Occupational stress is a major concern among police officers. Therefore, it is important to understand the relationships among occupational stress, obesity, and diet habits. However, few research studies have characterized these relationships in police officers. The specific aims of this study were to determine …

The Relationships Among Satisfaction With Social Support, Perceived Stress, And Coping On Quality Of Life And Survival At 5 To 10 Years After Heart Transplantation, Connie White-Williams

All ETDs from UAB

Introduction: Detailed information regarding satisfaction with social support and its relationship with quality of life (QOL) and survival 5 to 10 years (yrs) after heart transplantation (HT) is unknown. The purpose of this study was to examine the relationships among satisfaction with social support perceived stress, and coping with QOL and survival of patients (pts) who were 5 to 10 years post heart transplantation. Methods: This study was a retrospective outcome analysis from data collected from two existing data sets: The HT QOL Study and the Cardiac Transplant Research Database (CTRD). Institutional Review Board approval was obtained. Data on 555 …

Parenting Behaviors And Adolescent Obesity, Kathy Lynne Newman

All ETDs from UAB

PARENTING BEHAVIORS AND EARLY ADOLESCENT OBESITY KATHY NEWMAN SCHOOL OF NURSING ABSTRACT The incidence of adolescent obesity has more than tripled in the past 30 years with the rate increasing from 5% to 17%. Approximately 17.0% of adolescents in the United States are obese with 4% being categorized as morbidly obese. Obesity disproportionately affects minority adolescent groups. Previous studies have examined relationships between parental behaviors and adolescent health risk behaviors, but few studies have compared these relationships across different racial/ethnic groups. The purpose of this study was to examine the relationships between parental nurturance, parental involvement, family cohesion, and early …

16s Rrna Gene-Based Analysis Of Fecal Microbiota From Preterm Infants With And Without Necrotizing Enterocolitis, Yunwei Wang, Jeanette D. Hoenig, Kathryn J. Malin, Sanaa Qamar, Elaine O. Petrof, Jun Sun, Dionysios A. Antonopoulos, Eugene B. Chang, Erika C. Claud

College of Nursing Faculty Research and Publications

Neonatal necrotizing enterocolitis (NEC) is an inflammatory intestinal disorder affecting preterm infants. Intestinal bacteria play a key role; however no causative pathogen has been identified. The purpose of this study was to determine if there are differences in microbial patterns which may be critical to the development of this disease. Fecal samples from twenty preterm infants, ten with NEC and ten matched controls (including four twin pairs) were obtained from patients in a single site Level III neonatal intensive care unit. Bacterial DNA from individual fecal samples were PCR amplified and subjected to terminal restriction fragment length polymorphism analysis and …

Who Do You See When You Reflect?, Kathryn Schroeter

College of Nursing Faculty Research and Publications

No abstract provided.

Fiber’S Impact On High-Sensitivity C-Reactive Protein Levels In Cardiovascular Disease, Renea L. Beckstrand, Jennifer L. Butcher

Faculty Publications

The purpose of this study was to determine if increased dietary or supplemental intake of fiber slows or prevents inflammation as evidenced by hs-CRP values.

Implications For Nursing Practice: Delivering The Folic Acid Message, Kimberly Townsend Little

UNLV Theses, Dissertations, Professional Papers, and Capstones

In 1995, North Carolina (NC) had one of the highest prevalence rates of neural tube defects (NTDs) in the United States. Since the NC Folic Acid Council began focusing their efforts on educating women of childbearing age regarding NTDs in 1994, the prevalence of NTDs has declined overall by 40%; however, NTD prevalence among Hispanics in NC continues to be double the rate of non-Hispanics. Research has found daily consumption of a multivitamin with folic acid significantly decreases NTDs. Healthy People 2010 include in their objectives the need to increase folic acid consumption in women and reduce the NTD rates. …

Filipino Physician-Turned Nurses: A Phenomenological Study, Victor Rey Cui Vapor

UNLV Theses, Dissertations, Professional Papers, and Capstones

Foreign nurses have augmented the United States nursing workforce. The Philippines has remained the world's leading exporter of nurses, including the United States. More recently, a new phenomenon has emerged involving Filipino physicians who went back to school to take up nursing in the Philippines in order to migrate to foreign countries to work as nurses. The purpose of this study was to describe and to interpret the lived experiences of Filipino physician-turned nurses in the United States. Phenomenology was used as research design, with data obtained from a purposive sample of eight (8) self-identified physician-turned nurses in Las Vegas, …

Understanding Why Professional Nurses Work, Patricia Rushton, Dennis L. Eggett

Faculty Publications

The project studied factors impacting professional registered nurses in maintaining active employment. Participants chose to enter the nursing profession to provide service. They were motivated to stay in the nursing profession in an employed situation to 1) provide financial support of themselves and their families,and 2) from a desire to serve. Respect as individuals was motivation to do their best work. The results of the study reinforce the desire of the nursing profession to serve its clients and patients. The results demonstrate the committment of registered nurses to the nursing profession. They also demonstrate the desire of professional nurses to …

The Effect Of Leadership Skill-Building On Nurse Leader Behaviors, Barbara Drummond-Huth

UNF Graduate Theses and Dissertations

Patient outcome data are an important factor in healthcare. Reports by the Institute of Medicine between 1999 and 2001, as well as recent research by Linda Aiken and her colleagues have added more emphasis to measures that can be taken to improve patient outcomes. Because of the role they play in healthcare facilities, nurse leaders are in a position to take the lead in improving patient outcomes. There is evidence to suggest that nurse leaders' transformational leadership behaviors are associated with positive patient outcomes.

The purpose of this project was to identify the effect of transformational leadership skill-building training on …

Engaging Students In The Fundamental Skill Lab: Scenario Based Simulations, Deborah O. Himes, Patricia K. Ravert, Colleen R. Tingey

Faculty Publications

Aims of this study: Students will be actively engaged in the basic nursing skills lab and develop critical nursing behaviors including:

- Assessment/ Intervention/ Evaluation

- Critical Thinking/ Clinical Decision Making

- Direct Patient Care

- Communication/ Collaboration

- Professional Behaviors.

Students will also remember more of what they learn through story-telling (patient cases) and role-playing. They will come prepared to perform as a nurse in lab.

A Semester Of Global Health & Human Diversity Among United States Veterans In Rural Utah, Kent D. Blad, Janelle Jackson, Petr Ruda, Angelynn Singley, Paula; Ulberg, Ron S.; Speirs, Ron S. Ulberg

Faculty Publications

Patients and health care providers in rural communities face a unique combination of factors which create disparities in healthcare when compared with urban areas, such as economic factors, cultural values, reduced rates of formal education, lack of recognition by legislators, and isolation. There are more veterans per capita in rural than in urban areas. Health care for the rural population is coupled with the unique challenges of caring for veterans. Because of this, we chose to devote a semester to the study of improving health care to the rural veteran population.

Effects Of Oral Magnesium Supplementation On Insulin Resistance And Type 2 Diabetes Mellitus, Renea L. Beckstrand, Loandra Berg

Faculty Publications

The purpose of this study was to examine the relationship of magnesium levels related to insulin resistance and type 2 diabetes mellitus. Diabetes is a metabolic disease in which the body does not produce or correctly use insulin to maintain proper levels of glucose in the blood resulting in serious health consequences. Diabetes is a major factor in coronary heart disease, stroke as well as blindness, kidney failure, and non-traumatic amputations due to disruption of the microvascular system (Schulze & Hu, 2005). The Center for Disease Control reported in 2007: 23.6 million people in the United States (7.8% of the …

Life Experiences Of Women With Cerebral Palsy Who Have Experienced Mistreatment, Catherine Coverston, Donna S. Freeborn, Barbara L. Mandleco, Mary Ann Curry, Kathleen A. Knafl

Faculty Publications

The purpose of this study was to describe the life experiences of women with cerebral palsy who have experienced mistreatment and also describe how these women understand the meaning of their disability and mistreatment experiences relative to gender, culture, social class, and power.

Post Discharge Nausea And Vomiting In Ambulatory Surgical Patients: Incidence And Management Strategies, Jan Odom Forren

University of Kentucky Doctoral Dissertations

Approximately 65% of all surgeries are conducted in the outpatient surgery setting involving more than 35 million patients. Thirty-five to fifty percent of these outpatients will experience post discharge nausea and vomiting (PDNV), nausea and vomiting that occurs after discharge from the health care facility after surgery. A dearth of literature details the problems associated with nausea and vomiting experienced by patients after discharge home from outpatient surgery.

The purposes of this dissertation were to (1) review the current knowledge in the area of post discharge nausea and vomiting; (2) present results of an integrative review of the research literature …

Community/Public Health Nursing Practice Leaders' Views Of The Doctorate Of Nursing Practice, Susan M. Swider, Pamela F. Levin, Julia M. Cowell, Susan Breakwell, Pearl Holland, Janet Wallinder

College of Nursing Faculty Research and Publications

ABSTRACT Objectives: This paper presents thoughts of practice leaders in the community/public health nursing (C/PHN) specialty on advanced nursing practice (ANP) and the necessary educational preparation for such practice.

Design and Sample: Practice leaders were engaged in conversations specifically focused on the Doctor of Nursing Practice (DNP) as preparation for ANP in their specialties, and asked to consider the benefits of, and challenges to, this educational program.

Measures and Results: The resulting remarks were then assessed for themes by the interviewers and these are presented along with thoughts on the future of education for ANP.

Conclusion: Overall, there was much …

Is Breastfeeding The Moral Equivalent Of Emergency Contraception In Inducing Early Pregnancy Loss?, Richard J. Fehring

College of Nursing Faculty Research and Publications

This paper provides a counter-argument to the notion that breastfeeding acts as an abortifacient and is thus the moral equivalent of abortion-causing drugs, e.g., Plan B or what is referred to as emergency contraception. Those who make this comparison do so in order to ridicule health professionals who refuse to prescribe or refer abortifacient-type contraceptive drugs and to ridicule laws that protect this right of conscience for healthcare professionals. In this paper I will provide evidence that breastfeeding does not induce early pregnancy loss and that it is not the moral equivalent to the administration of abortifacient-type drugs.

Exploration Of African American Women’S Infant Feeding Choices, Karen Marie Robinson, Leona Vandevusse

College of Nursing Faculty Research and Publications

It is well documented in the literature that breastfeeding is more beneficial for infants and mothers than is formula feeding. Yet, African-American women are least likely to initiate and continue breastfeeding compared to other ethnic groups. Few studies have examined African-American women's infant feeding choices from the women's perspectives. Therefore, the purpose of this

exploratory study was to examine African-American women's infant feeding choices with individual narrative interviews at 3 weeks postpartum. Five African-American women participated. After coding and analyzing the narrative interviews, three major themes with sub-themes emerged that identified influencing factors on participants' choices and their opinions about …

Second-Stage Labor Care: Challenges In Spontaneous Bearing Down, Lisa Hanson

College of Nursing Faculty Research and Publications

Substantial scientific evidence supports spontaneous maternal bearing down for its associated maternal and fetal physiologic benefits. Imposing specific directions for Valsalva pushing does not result in optimal outcomes but continues to be widely used, particularly when labor progress is less than optimal. However, there are numerous evidence-based approaches that can be used to avoid reverting to directed, prolonged Valsalva bearing down. Nursing care challenges may be encountered when using physiologic approaches; therefore, strategies are detailed to alleviate a variety of problems including ways to promote physiological descent and effectively support women's spontaneous efforts. For example, maternal postural interventions are suggested …

Depressive Symptoms In Elderly Women With Chronic Conditions: Measurement Issues, Jaclene A. Zauszniewski, Abir K. Bekhet

College of Nursing Faculty Research and Publications

Objective: Depression is highly prevalent in elderly women with chronic conditions and measuring depressive symptoms is complicated by co-occurring chronic illnesses. The 20-item Center for Epidemiological Studies Depression (CES-D) Scale is commonly used with elders, but its length may result in missing data. Twelve short four to 16 item CES-D forms exist, but their psychometric properties have not been systematically evaluated.

Method: This study of 250 elderly women compared reliability and validity estimates for the 20-item CES-D and its 12 short forms; all scales used four response alternatives. The study also investigated whether women with varying numbers of chronic conditions …

The Flame, Winter 2008-2009, Mennonite College Of Nursing

The Flame (1985-present)

The Flame is a newsletter of Illinois State University's Mennonite College of Nursing

Ob-Pdcds English, Marianne E. Weiss

Quality of Discharge Teaching Scale

The Readiness for Hospital Discharge Scale, Quality of Discharge Teaching Scale, and Post-Discharge Coping Difficulty Scale were developed by Dr. Marianne Weiss to measure nurse-sensitive discharge care processes and patient outcomes. Three versions of the scales were developed concurrently for different patient populations – Adult medical-surgical patients, Parents of hospitalized children, and Postpartum Patient mothers (see Weiss & Piacentine, 2006, Weiss et al., 2007, and Bobay et al., 2018 for description of the development and initial testing). Additional scales and information about translation rights are located at Marquette Nursing.

PERMISSION TO USE

The Readiness for Discharge Scale, Quality of Discharge …

Ob-Pdcds English, Marianne E. Weiss

Quality of Discharge Teaching Scale

The Readiness for Hospital Discharge Scale, Quality of Discharge Teaching Scale, and Post-Discharge Coping Difficulty Scale were developed by Dr. Marianne Weiss to measure nurse-sensitive discharge care processes and patient outcomes. Three versions of the scales were developed concurrently for different patient populations – Adult medical-surgical patients, Parents of hospitalized children, and Postpartum Patient mothers (see Weiss & Piacentine, 2006, Weiss et al., 2007, and Bobay et al., 2018 for description of the development and initial testing). Additional scales and information about translation rights are located at Marquette Nursing.

PERMISSION TO USE

The Readiness for Discharge Scale, Quality of Discharge …

Ob-Pdcds English, Marianne E. Weiss

Post-Discharge Coping Difficulty Scale (PDCDS)

The Readiness for Hospital Discharge Scale, Quality of Discharge Teaching Scale, and Post-Discharge Coping Difficulty Scale were developed by Dr. Marianne Weiss to measure nurse-sensitive discharge care processes and patient outcomes. Three versions of the scales were developed concurrently for different patient populations – Adult medical-surgical patients, Parents of hospitalized children, and Postpartum Patient mothers (see Weiss & Piacentine, 2006, Weiss et al., 2007, and Bobay et al., 2018 for description of the development and initial testing). Additional scales and information about translation rights are located at Marquette Nursing.

PERMISSION TO USE

The Readiness for Discharge Scale, Quality of Discharge …

Efficacy Of A Behavioral Intervention To Decrease Medication Transcription Errors Among Professional Nurses, Kathleen Ann Becker

Dissertations (1934 -)

The purpose of this study, guided by Donabedian's structure-process-outcome model, was to evaluate if a cognitive-behavioral education intervention would decrease medication transcription errors among professional nurses when admitting patients 65 years of age or older on 5 or more prescribed medications to a hospital. The conceptual framework for this study is derived from Donabedian's structure-process-outcome health model. The premise suggests improving the structure or process of a system can improve health outcomes. My intervention (cognitive behavioral education), specifically influences the process of medication history obtainment which improved medication error score. In this study, a randomized intervention design was used where …

Understanding Relationships In Health Related Quality Of Life For Parents Of Children With Autism Spectrum Disorder, Norah Louise Johnson

Dissertations (1934 -)

Nurses encounter many parents of children with autism spectrum disorder (ASD). Both parents are under stress that ultimately impacts their health related quality of life (HRQL). Few studies assess the mediators of parenting stress on HRQL for both parents. This study explored the relationship of parenting stress, family functioning and HRQL for parenting dyads of children with ASD. Lazarus and Folkman's (1984) Transactional Model of Stress and Coping and Lakey and Cohen's (2000) Social Support Theory framed the study.

Implementing a cross sectional, descriptive design, 387 parents (n=64 dyads) of ASD-affected children, from 46 states, completed web-based surveys. Demographics, the …

Parental Hesitation As A Factor In Delayed Childhood Immunization, Karlen E. (Beth) Luthy, Renea L. Beckstrand, Neil E. Peterson

Faculty Publications

Introduction: One reason for lower immunization rates is that some parents hesitate to have their children immunized. A hesitancy questionnaire was developed to identify reasons parents hesitate in having their children immunized.

Methods: The hesitancy questionnaire was distributed from local pediatric and family practice offices and from the area's county health department. To be eligible, participants needed to be present in the clinic with a child needing a minimum of one immunization that was at least 6 months overdue.

Results: When questioned why their child was overdue for immunizations, the most common response was that participants were confused about the …

Designing An International Friendship Model For Children, Charlotte Martins

Theses and Graduate Projects

In 2006 this writer traveled to Windhoek, Namibia to take the course Walking the Truth; Culture, Gender and HIV/AID,S in Sub-Saharan Africa. As part of that class each student was assigned to work with an organization or individual whose mission was working with HIV/AIDS patients or there families. It was from this experience that the project was born. The purpose of this project is to design a friendship model that links children of middle school age from different cultures and different nations together through letter writing.

Firearms And Children: A Public Health Issue, Janet M. Benz

Theses and Graduate Projects

This is the time for nurses as individuals and collectively as a profession to realize their obligation to society in regards to the injury and death caused by firearms. Not one population or single community is immune from gun violence in America; it is an epidemic that does not discriminate. There are monumental implications for both nurses in practice and leadership to make a difference when it comes to changing policy from a public health perspective to reduce gun violence and save lives. In this project, Margaret Newman's (1994) theory of Health as Expanding consciousness is applied to the role …

Supporting Charge Nurses In Their Leadership Development: A Framework For Education, Sonja Rivers

Theses and Graduate Projects

This project examines the complex and multifaceted role of the charge nurse in the acute care setting and compares the charge nurse's role to that of a front line leader. Charge nurse competencies are identified and leadership skills and behaviors necessary for the charge nurse to function effectively in the role are explored including those related to emotional intelligence. A conceptual framework for education is developed using Botatzis' Theory of Self-Directed Learning, and Swanson's middle range theory of caring, Nursing as Informed Caring for the Well-Being of others.