Digital Commons Network^™

Evaluation Of The Antecedents Of Cultural Competence, Mary Harper

Electronic Theses and Dissertations

Purpose: The threefold purpose of this research is to identify the essential antecedents of cultural competence as identified by international nurse researchers, to compare the content of the extant cultural competence instruments to these antecedents and to potentially identify gaps in their conceptualization. A secondary aim of this research is to initiate validation of Harper's model of ethical multiculturalism. Conceptual Basis: The model of ethical multiculturalism depicts the attributes of ethical multiculturalism as the fulcrum of a balance between two ethical philosophies of fundamentalism and relativism. The attributes of moral reasoning, beneficence/nonmaleficence, respect for persons and communities, and cultural competence …

The Influence Of Health Inquiries On Clinical Governance Systems: A Case Study Of The Douglas Inquiry, Heather Gluyas

Theses

Major failures in patient safety often lead to high profile inquiries set up to establish the facts, and to identify areas of improvement to prevent further failures. In order to learn from inquiries, we need to be able to identify if, and how, the inquiry process influences improvements. Using a case study strategy, this research study examined the perceptions of external stakeholders in regards to the impact or influence of the Douglas Inquiry on KEMH’s clinical governance systems. The research focused on two areas that were highlighted in the final Inquiry report as requiring reform. These systems deal with the …

How Well Does Spirituality Predict Health Status In People Living With Hiv-Disease?, Rachel Kidd Cobb

Theses and Dissertations

Problem: The United States of America has one of the highest number of HIV infections in the world; approximately 1.3 million people in North America were living with HIV in 2007. Factors influencing HIV survival are essential to disease management and care. Research findings suggest religion and spirituality may be essential components to health and well-being in individuals with HIV-Disease. Purpose: This study was designed to determine how well spirituality predicted health status in a convenience sample of 39 adults diagnosed with HIV-Disease. Procedure: A model building approach was used to explore relationships among the five variables of the Neuman …

Emoderation: Contextualising Online Learning In Undergraduate Nurse Education, Adrian K. Morgan

Nursing Papers and Journal Articles

The wide availability of flexible, mixed-mode methods of course delivery to nursing students places increased demands on the skills and adaptability of nurse educators. The rapid uptake of computer-moderated learning, in particular, has required educators to reconsider some of their long-established pedagogical beliefs and practices which, over time, have faithfully sustained face-to-face teaching in classrooms. Inevitably, a certain degree of pedagogical adjustment is required when teaching online to ensure that the qualities of educational processes are consonant with expected learning outcomes. This paper discusses these important aspects, together with strategies that can help optimise educational practice, with a view to …

Mmc Nursing...Caring Through Leadership, Knowledge & Compassion, Maine Medical Center

Annual Reports

Report on Nursing Research and Quality Outcomes, vol. 2, 2007 & 2008

Mmc Nursing...Caring Through Leadership, Knowledge & Compassion, Maine Medical Center

Annual Reports

Report on Nursing, vol. 1, 2007-2008

A Social Ecological Approach Of Community Efforts To Promote Physical Activity And Weight Management, Elizabeth Richards, Mary E. Riner, Laura P. Sands

School of Nursing Faculty Publications

Obesity and physical inactivity are major public health problems in the United States. Campus-Community partnerships have the potential to address the community health and quality of life issues at the local level. The purposes of this study were: 1) to identify groups who are at risk for being overweight and physically inactive; 2) to identify a relationship between broad social ecological layers and weight and exercise levels; and 3) to identify community features that are associated with weight and exercise levels. Interventions for physical activity and weight reduction should consider the social ecological framework including environmental and social influences.

Patient Simulator Sessions And Critical Thinking, Patricia K. Ravert

Faculty Publications

The project purpose was too determine whether measures of critical thinking show differences between three groups (simulator, non-simulator, control) of baccalaureate nursing students. The second purpose was to determine the moderating effect of students' preferred learning style. All groups experienced a moderate to large effect size in critical thinking scores. The corrected model for the total scale gain score was statistically significant but not significant for learning style or group.

Osteoporosis Education In College-Age Women, Elizabeth Byrne Rodzik

Master's Theses and Doctoral Dissertations

Osteoporosis, a degenerative bone disease, is a preventable disease. The purpose of this study was to determine if an educational intervention would increase knowledge and influence women to change their behaviors (i.e., exercise and dietary calcium intake) related to osteoporosis.

A random sample of 149 college female students participated in this study. Participants completed two questionnaires consisting of the Osteoporosis Knowledge Test and the Osteoporosis Self-Efficacy Scale. Participants were surveyed to determine their knowledge of osteoporosis and their intent to change their health behavior before and after an educational intervention.

Statistical analysis indicated that an educational intervention increased the subjects’ …

The Foundation, Education, And Practice Of Osteopathic Medicine, Anthony P. Salvador

Honors Theses

Osteopathic medicine has quickly grown into a successful and respectable branch of medical practice. It was created out of a necessity for change in the late 1800s, and continues to be a credible form of alternative medicine. After reviewing literary material, journal articles, and numerous osteopathic college sources it was seen that osteopathic medicine can be practiced in numerous settings and will become integral in the near future due to the shortage of physicians in the United States. Today, osteopaths work closely with all types of medical personal including medical doctors.

Registered Nurse Leadership Style, Confidence Level, And Delegation Practices To Unlicensed Assistive Personnel: An Exploration Of Confidence, Scott J. Saccomano

Seton Hall University Dissertations and Theses (ETDs)

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A Descriptive Study Of Parenting Styles, Parental Feeding Behaviors And Bmi Percentiles In School-Age Children And Adolescents, Stephanie Jane Smith

Browse all Theses and Dissertations

The rising rate of obesity in the pediatric population has demanded further investigation from members of the health care community. Numerous exercise and nutrition programs have been developed to help combat the growing rate of obesity within the pediatric population but many lack the family-centered approach needed to achieve increased compliance with the prescribed plan of care. Both parenting styles and parental feeding behaviors have been shown to play a contributing role in the weight of children. According to previous research, the authoritarian parenting style often leads to an increased BMI in children. Research examining parental feeding behaviors indicates that …

Implementing A Forensic Educational Package For Registered Nurses In Two Emergency Departments In Western Australia, Christine M. Michel

Theses

The results of violence are a major public health problem that infiltrates hospital emergency departments (ED) daily. Often, ED nurses are the first healthcare professionals to see patients, speak with family members, handle personal property and collect laboratory specimens. Such actions can be of extreme importance to the 27 different categories of forensic patients. To adequately address forensic patient issues, ED nurses need exposure to forensic education. The aim of this research was to develop and evaluate the effectiveness of a clinical forensic education package on ED nurses’ perceptions, knowledge and care of forensic patients. To accomplish this aim, this …

Mennonite College Of Nursing Annual Report, 2007-2008, Mennonite College Of Nursing

Annual Reports - Mennonite College of Nursing

Annual report of the Mennonite College of Nursing at Illinois State University

Intent To Migrate Among Nursing Students In Uganda Measures Of The Brain Drain In The Next Generation Of Health Professionals, Lisa Nguyen, Steven Ropers, Esther Nderitu, Anneke Zuyderduin, Sam Luboga, Amy Hagopian

School of Nursing & Midwifery, East Africa

Background: There is significant concern about the worldwide migration of nursing professionals from low-income countries to rich ones, as nurses are lured to fill the large number of vacancies in upper-income countries. This study explores the views of nursing students in Uganda to assess their views on practice options and their intentions to migrate.

Methods: Anonymous questionnaires were distributed to nursing students at the Makerere Nursing School and Aga Khan University Nursing School in Kampala, Uganda, during July 2006, using convenience sampling methods, with 139 participants. Two focus groups were also conducted at one university.

Results: Most (70%) of the …

Perioperative Music And Its Effects On Anxiety, Hemodynamics, And Pain In Women Undergoing Mastectomy, Pamela Gail Binns-Turner

All ETDs from UAB

The study purpose was to examine the effects of a perioperative music intervention on changes in mean arterial pressure (MAP), heart rate (HR), anxiety, and pain in women with a diagnosis of breast cancer undergoing mastectomy surgery. The convenience sample included 30 women between the ages of 42 and 70 who were undergoing mastectomy in a large urban hospital in the southern United States. Exclusion criteria included male gender, psychiatric disorder, use of psychotropic medications, cognitive mental disability, and American Society of Anesthesiologists (ASA) status 4 or greater. In a quasiexperimental, repeated measures design, participants were randomized equally into music …

Enhancing Teaching And Learning: Integrating Technology And Nursing Education, Kellie Smith, Edd, Rn, Elizabeth Elkind, Rnc, Msn, Mba, Phd(C)

College of Nursing Faculty Papers & Presentations

Enhancing teaching and learning: Integrating technology and nursing education. Jefferson School of Nursing Faculty Development Day: Understanding scholarship: The Boyer model and career development. Philadelphia, PA (podium)

15 PowerPoint slides.

Health-Care Seeking Behaviors Of Puerto Ricans With Diabetes Mellitus Who Live In South Florida: An Exploratory Study, Laura Gonzalez

Electronic Theses and Dissertations

Latinos are the fastest growing minority population in the United States (U.S.) and have the worst access to health care of any ethnic group. The chronic disease of diabetes is twice as common in adult Latinos as in non-Latino whites, and the risk of death related to diabetes is twofold. Reasons for this disparity have yet to be clearly identified. This study had two purposes: 1) to explore cultural beliefs regarding health-care seeking behaviors in Puerto Ricans with diabetes who live in South Florida; and 2) to examine Puerto Ricans' perceptions about their health-care providers. The cultural phenomena of interest …

The Impact Of A Nurse-Driven Evidence-Based Discharge Planning Protocol On Organizational Efficiency And Patient Satisfaction In, Tracey King

Electronic Theses and Dissertations

Purpose: Healthcare organizations are mandated to improve quality and safety for patients while stressed with shorter lengths of stay, communication lapses between disciplines, and patient throughput issues that impede timely delivery of patient care. Nurses play a prominent role in the safe transition of patients from admission to discharge. Although nurses participate in discharge planning, limited research has addressed the role and outcomes of the registered nurse as a leader in the process. The aim of this study was determine if implementation of a nurse-driven discharge planning protocol for patients undergoing cardiac implant would result in improved organizational efficiencies, higher …

A Comparison Of Computer And Traditional Face-To-Face Classroom Orientation For Beginning Critical Care Nurses, Patricia Anzalone

Electronic Theses and Dissertations

Purpose: Education of the novice critical care nurse has traditionally been conducted by critical care educators in face-to-face classes in an orientation or internship. A shortage of qualified educators and growth in electronic modes of course delivery has led organizations to explore electronic learning (e-learning) to provide orientation to critical care nursing concepts. Equivalence of e-learning versus traditional critical care orientation has not been studied. The primary aim of this study was to examine the equivalency of knowledge attainment in the cardiovascular module of the Essentials of Critical Care Orientation (ECCO) e-learning program to traditional face-to-face critical care orientation classes …

Towards Addressing The Opportunities And Challenges Of Web 2.0 For Health And Informatics, P. J. Murray, M. Cabrer, Margaret M. Hansen Edd, Msn, Rn, C. Paton, P. L. Elkin, W. S. Erdley

Nursing and Health Professions Faculty Research and Publications

Objective: To provide an overview of Web 2.0 and Health 2.0, and so facilitate a widespread discussion of the nature of these concepts and their possible application within the health domain, and implications for health and biomedical informatics and for IMIA. Methods: IMIA, the International Medical Informatics Association, has established a Web 2.0 Exploratory Taskforce to bring together interested individuals from within and outside IMIA to explore the nature and potential of Web 2.0 applications. The Taskforce aims to develop background materials and sample uses of Web 2.0 applications, so as to propose specific lines of action for the IMIA …

Report On Jesuit Grant Issued December 15, 2007 For "African Mothers Health Initiative: Future Usf Partnership Of Social Justice And Community Health?, Marcianna Nosek

Nursing and Health Professions Faculty Research and Publications

No abstract provided.

The Physical And Mental Health Of Spouse Caregivers In Dementia: Finding Meaning As A Mediator Of Burden, Susan M. Mclennon

All ETDs from UAB

The purpose of this study was to examine the effect of caregiver burden on the physical and mental health of caregivers of spouses with dementia and to determine if finding meaning through caregiving mediated the relationship between burden and health. This was a cross-sectional, correlational study in a convenience sample of 84 community-residing spouse caregivers of adults with dementia recruited from North- Central Florida. Measures included the Zarit Burden Interview, the Finding Meaning through Caregiving Scale, and the Medical Outcomes Short Form-36, version 2. Data analyses consisted of descriptive, correlational, and standard multiple regression statistical methods. The sample consisted of …

Relationships Among Anger, Patterns Of Anger Expression And Blood Pressure, Glucose, And Cortisol In Overweight School-Aged Children, Kimberly Nichols

All ETDs from UAB

Overweight and obesity in school-aged children have become a major health issue. With overweight and obesity, children have increased risk of developing elevated blood pressure readings, glucose levels, and cortisol. Trait anger and patterns of anger expression have been shown to contribute to the elevations of blood pressure, glucose and cortisol in normoweight children and overweight adolescents. However, little research has been done with overweight school-aged children. The purpose of this study was to examine the relationships among trait anger and each of the patterns of anger expression (anger-suppression, anger-out, and anger-reflection/control) and blood pressure, glucose, and cortisol in overweight …

An Exploration Of Factors Related To Hypertension Control In African American And Caucasian Municipal Employees, Sunun Sinsuesatkul

All ETDs from UAB

Hypertension is a major contributor to morbidity, mortality, and medical costs in the United States. African Americans (AAs) have the highest prevalence of hypertension in the world, exhibiting at least twice the rate for Caucasians in almost every age and sex group. AAs are also at higher risk for complications from hypertension than Caucasians. While several factors have been proposed as accounting for those differences, there is no consensus on which factors may be responsible; the reasons for disparities in hypertension control in AAs are complex, and need further investigation. This study explored relationships between multiple factors to identify how …

Effects Of Music Therapy On Preterm Infants In The Neonatal Intensive Care Unit, Ashley Hodges Wood

All ETDs from UAB

The study purpose was to examine the effects of a 15-min live-music therapy intervention on heart rate, oxygen saturation, level of motor activity, behavioral distress, and behavioral state levels in premature infants in the neonatal intensive care unit. The convenience sample included 20 infants born at 26 to 29 weeks’ gestational age who were hospitalized in a large teaching hospital in the southern United States. In a 1-group repeated-measures crossover design, infants were randomly assigned order of music versus no-music conditions. Data were collected on 4 occasions over a 2- to 4-week period beginning when the infants were 1 to …

Occupational Stressors, Job Satisfaction, And Back Pain In Firefighters, Mantana Damrongsak

All ETDs from UAB

Occupational back pain is a significant health and safety problem in many industrialized countries for persons who are required to perform work-related forceful movement and lifting. Firefighters, an occupational group at high risk for back injury, perform many job tasks under hazardous work conditions. One-third of firefighters retire due to job-related health and safety problems and 49.4% of this group retire as a result of back pain, the leading cause of early retirements in firefighters. Most studies have examined factors influencing back problems among other workers, especially nurses and hospital workers, but few studies have investigated factors that influence back …

Bridging The Theory Practice Gap, Judith Wilson

Nursing Papers and Journal Articles

The gap between theory and practice has long been identified as a problem in nursing and midwifery. In the past this has been described as an “embarrassing failure” (Rafferty et al., 1996 p.685) and presently there is a strong consensus that the existence of this gap is not only pressing but increasing (Spouse 2001; Landers 2000).

This article reports the findings of a qualitative descriptive study conducted. The purpose of this study was to explore the theory practice gap from the perspective of the midwifery student. This was considered to be a unique angle on this well researched and debated …

Towards A Conceptual Framework For Preceptorship In The Clinical Education Of Undergraduate Nursing Students, Melanie Zilembo, Leanne Monterosso

Nursing Papers and Journal Articles

A recent study undertaken by the authors (2007) highlighted that undergraduate nursing students were subjected to varying experiences in clinical practice, which were mediated by a number of factors. Mediating factors included continuity of preceptors, student attitudes, the clinical setting environment, student and preceptor expectations of the clinical practice experience and interactions between the student and preceptor.

Of note, interactions with preceptors were seen to 'make or break' the practical experience. Therefore, the relationship that is forged between preceptor and student is vital in shaping the student's experience of the clinical area and of the real world of nursing work. …

Exploring The Experience Of Benefit Finding In Parents Of Children With Cancer: A Grounded Theory Study, Carol E. Zogran

Theses and Dissertations

The diagnosis of cancer in a child is one of the most significant stressors a parent can experience, and research in the area of stress-related effects of illness on parents has emerged in many areas. The majority of studies have focused on the potential or actual negative impact on parents during and after treatment of their child's illness. However, studies that initially set out to explore the difficulties associated with coping with childhood cancer found that parents often reported positive aspects about the experience. There is now increasing interest and support for the study of "positive-health" factors that contribute to …