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Profiling The Quality Of End Of Life Care, Catherine Murton

All Theses

ABSTRACT
Despite increased national debate regarding quality of life and quality of care at the end of life, patients in the United States continue to die primarily in hospitals experiencing a myriad of distressing symptoms, leaving caregivers and healthcare professionals wondering if caring for the dying will ever change in this country. There are alternatives available, but it is necessary to assess current conditions for dying patients in order to change the status quo in end of life care. Profiling how patients experience the last few months of life, as well as their terminal hospital stay, is a starting point …

Home: A Concept Analysis With Application Of The Concept To Experiences Of Individuals With Serious And Persistent Mental Illness, Corinne A. Overmyer

Masters Theses

The purpose of this paper was to explore and define the concept of home through an extensive review of the literature. The concept analysis framework of Walker and Avant (1995) was used to structure the paper and the theories of Johnson (1980) and Maslow (1954) were used for operationalization. The literature search examined characteristics of home applicable to all individuals. The concept’s defining attributes were discovered and applied to the home experiences of those living with serious and persistent mental illness. Homes were evaluated to assess for attribute presence and to determine if the homes were model, borderline, or contrary. …

Method Of Infant Feeding As A Predictor Of Maternal Responsiveness, Emily Eiwen Drake

Theses and Dissertations

Infants need to develop effective, secure attachment to their primary caregivers in the first year of life. Researchers have not been able to identify all the factors that may influence the development of infant attachment. Most of the studies in this area have been done without regard to infant feeding as a potential factor. Maternal responsiveness appears to be key in the child's development of secure attachment behaviors, yet even after decades of research on infant attachment and maternal responsiveness, there is little evidence available to assist with early identification of families at risk and few interventions known to be …

Application Of Case Study Methodology In The Context Of Undergraduate Critical Care Nursing Education, James A. Hauschildt

Dissertations and Theses @ UNI

This study represented an initial effort to investigate how a case study methodology could be used in the context of critical care nursing education. The study hoped to improve students' content specific knowledge of critical care nursing and facilitate critical thinking processes vital to clinical decision making. The study describes the transformation of a critical care-nursing course from a traditional lecture-based approach to a case study approach.

The traditional approach addressed the content through abundant teacher centered lecture, but did not require students to actively engage in discourse or apply critical thinking skills to real nursing problems. The case study …

Leptin In Children With Newly Diagnosed Type 1 Diabetes: Effect Of Insulin Therapy, Kenneth Mccormick, Gail J. Mick, Lisa Butterfield, Hugh Ross, Elaine Parton, Joan P. Totka

College of Nursing Faculty Research and Publications

No abstract provided.

Fighting Aids With Holistic Weapons: An Integrated Approach, Tom Goodwin

Honors Theses

The current AIDS epidemic has changed the way we view the world as well as our society as a whole. Diseases have ravaged humanity since the dawn of time, so what makes AIDS so much different from every other disease encountered by man? One reason is its transmission method. We know that HIV passes from person to person via blood, semen, and vaginal secretions. Most people that suffer from this disease contract it during sex, during intravenous drug use, or during a blood transfusion. Early accounts of HIV disease occurred in minority groups, namely homosexual men. This may have bee …

Basics Of Research (Part 8): Unique Aspects Of Nursing Research, Cheryl Thompson, Cheryl J. Erler

Journal Articles: College of Nursing

No abstract provided.

The Effects Of Aids Education On Knowledge And Health Care Beliefs Of Freshman Nursing Students, Suzanne M. Nahan

Masters Theses

The purpose of this study was to examine the effects of AIDS education on knowledge and health care beliefs of freshman nursing students. It was hypothesized that freshman nursing students presented with AIDS instruction would have more AIDS knowledge than freshman student nurses without AIDS instruction. In addition, it has hypothesized that the strength of health care beliefs related to AIDS susceptibility, seriousness, benefits, barriers and health motivation of freshman nursing students with AIDS instruction would differ from those without AIDS instruction.; A quasi-experimental control group pretest/posttest design was used. The sample consisted of 50 freshman student nurses enrolled in …

Effects Of Positional Changes On Selected Physiological And Psychological Measurements In Clients With Atrial Fibrillation., Angela Smith Collins

All ETDs from UAB

No abstract provided.

The Effects Of Aids Education On Knowledge And Health Care Beliefs Of Nursing Students, Catherine Taliaferro Earl

Masters Theses

The purpose of this study was to investigate the effects of AIDS education on knowledge and health care beliefs of nursing students. There were two hypotheses tested. Hypothesis one: nursing students presented with factual information about AIDS have more knowledge about AIDS than nursing students without AIDS instruction. Hypothesis two: strength of health care beliefs related to AIDS susceptibility, seriousness, benefits, barriers, and health motivation of students with AIDS instruction differ from those without AIDS instruction.; The study was conducted using a pretest-posttest quasi-experimental design. The sample included 29 second term nursing students enrolled in the nursing curriculum of an …

Personal Practice Of And Beliefs About Breast Self Examination In Students Of Nursing, Charles Lancaster

Theses : Honours

Epidemiological data reveal that breast cancer is a major health problem to women today. Although there are no known means for preventing it, detection and early diagnosis of breast cancer can be readily made through Breast Self Examination (BSE), an inexpensive, non-invasive, cost--effective procedure undertaken by women themselves. Yet, while most women have heard of BSE, very few perform it. By employing Pender's (1987) Health Promotion Model (HPM) as the theoretical nursing framework, it is possible to study reasons for this noncompliance. In this study, two areas are looked at specifically: perceived susceptibility to breast cancer and perceived benefits from …

Evaluation Of The Graduates Of The Morehead State University Associate Degree Nursing Program From May, 1973 Through May, 1976, Betty M. Porter

Morehead State Theses and Dissertations

An applied project submitted in partial fulfillment of the requirements for the Education Specialist Degree in Higher Education at Morehead State University by Betty M. Porter on July 5, 1977.

Patients' Reactions To Witnessing Cardio-Pulmonary Resuscitation, Lynn Andree Finch

Loma Linda University Electronic Theses, Dissertations & Projects

The purpose of this study was to describe the reactions to stress in patients witnessing a cardio-pulmonary resuscitation, in order to determine if the witnessing patients' needs are being met adequately, and to determine the effect of a specific psychological stressor on patients.

All resuscitations ("STATS") done over a two-month period at Loma Linda University Medical Center, with oriented patients in the room, were observed and recorded on an Observation Guide. A Questionnaire was also solicited from medical-surgical nursing personnel who had observed "STATS" with witnessing patients in the last three months. The Guide and the Questionnaire were developed from …

A Follow-Up Study Of Patients With Chronic Obstructive Lung Disease And Their Practice Of The Breathing Pattern, A. Theodora Djagia

Loma Linda University Electronic Theses, Dissertations & Projects

The purpose of this descriptive survey was to do a follow-up study on patients with COPD to find out to what extent these patients have followed instruction to continue exercising the abdominal and diaphragmatic muscles, with the utilization of a breathing pattern. Literature was reviewed which revealed contradictory findings in regard to the physiological benefits of the use of the breathing pattern. Nine patients met the criteria and signed a consent sheet to be visited in their homes. An Observation Data Sheet and Interview Guide were the tools used to collect data. A point system was constructed and used with …

A Survey Of Temperatures Of Adult Medical Patients, Marilyn Ruth Verabelle Pinder

Loma Linda University Electronic Theses, Dissertations & Projects

The problem of this study was (1) to find the incidence of fever among adult medical patients in the selected hospital, (2) to find the incidence of elevations of 100 degrees Fahrenheit or above after being below 100 for twenty-four hours or longer. and (3) to find what factor or factors, if any, could be used to identify these patients.

The study was conducted on the medical units of a selected hospital. Five hundred evening temperatures were taken from the temperature sheets and classified according to previous temperature, patterns. Four patients with beginning elevations were studied to find any factor …

Techniques Found In Administering Intragluteal Injection, Lee Lee Santimalapongse

Loma Linda University Electronic Theses, Dissertations & Projects

This descriptive survey study was concerned with the problem of determining whether nurses were using an acceptable technique in giving intragluteal injections. With the increase of intramuscular injections the complications and injuries resulting from the intragluteal injections have increased. A review of literature disclosed a general agreement among authorities that damage to nerves and muscles in the administration of intragluteal injections could be minimized by careful selection of the injection site and the use of proper technique. Fifty registered nurses giving intragluteal injections in two general hospitals were observed, guided by a check list from the criteria recommended by Zelman. …

Nurses' Interpretation Of Force Fluids, Colleen W. Blair

Loma Linda University Electronic Theses, Dissertations & Projects

This study was done to survey nurses on the medical units of one hospital in order to (1) ascertain their interpretation of a minimum and maximum amount of fluid in the order "Force fluids", and (2) determine criteria most used by these nurses to identify the fluid quantities.

The descriptive survey was the method of study. A questionnaire, which centered around recorded chart information for four patients whose fluid therapy was prescribed as "Force fluids", was the research tool.

Findings revealed that the upper limits and modes on the minimum and maximum fluid distributions remained constant and the means and …

A Comparison Of Axillary And Rectal Temperatures In Children, Doris Payne

Loma Linda University Electronic Theses, Dissertations & Projects

This study was conducted on seventy-five children, three to eight years of age. The purpose was to compare a three-minute axillary with a three-minute rectal temperature. Known factors which might influence the findings were eliminated. These were emotional stress, physical exercise, antipyretic medications, cooling and heating measures, gastro-intestinal disturbances, and croupettes or oxygen tents. The range of the difference between the temperatures was from 0.8 degrees to 2.2 degrees with the mean difference of 1.13 degrees. A little less than half of the temperatures had one degree of difference. An additional thirty-two per cent were within 0.2 degrees of being …

Sex And The Transurethral Prostatectomy, Edward T. Moon

Loma Linda University Electronic Theses, Dissertations & Projects

The purpose of this research was to find out what effects the TURP has on ejaculatory ability, frequency of coitus and the emission of seminal fluid. The sample consisted of 50 men, age 46-65, who were married, and had no cancer or other possible physical causes for impotence. Each man was personally interviewed.

Forty-six patients (92 percent) were able to ejaculate. A decrease in the frequency of coitus was reported by 40 per cent of the men. A normal ejaculation of seminal fluid was experienced by thirteen (26 percent) of the men. Considering all the changes in the sexual function …

The Affect Of Activities In The Intensive Care Unit On Patients, Dorothy Millholland Mottweiler

Loma Linda University Electronic Theses, Dissertations & Projects

The purpose of this study was to find out whether there is a relationship between what the patient can see and hear of on-going activities in the intensive care unit and patient stress. The descriptive survey method was used. A checklist was developed from several sources in literature. Data were collected by observation of individual patients in two intensive care units and by recording their behavior on the checklist. Recording of stress signs was done for five minute intervals every thirty minutes for eight hours, making sixteen intervals for every eight hour period. Nineteen separate patient observations of eight hour …

The Effect Of Talking On Oral Thermometry, Norma E. Eldridge

Loma Linda University Electronic Theses, Dissertations & Projects

In this study an experiment was done to find out the effect of talking upon subsequent oral thermometry. A need for such a study was seen in 1) the apparent indifference of nursing service personnel to possible influences of talkativeness on sublingual temperature evaluations and 2) the seeming want of experimental evidence to indicate that talking does change the sublingual temperature. The sixty-one female students who volunteered as subjects were of the health professions at a selected university. For a thirty-minute period the subjects observed the restrictions of no eating, drinking, smoking, gum-chewing, mouth-breathing or talking. Three minute control oral …

Anatomical And Physiological Facts Essential In The Nursing Care Of Patients With Pathology Within The Spinal Canal, Carol Ann Brady

Loma Linda University Electronic Theses, Dissertations & Projects

This study was conducted to identify those anatomical and physiological facts which are essential in the nursing care of patients with pathology involving structures within the spinal canal.

Review of literature revealed increasing awareness, on the part of nurses and others, of the importance of the basic science to nursing care. Studies exploring the relationship between anatomical and physiological facts and clinical nursing were available. Literature also revealed that the use of individual patients, case studies, or patient records have been useful adjuncts to the teaching of nursing.

The descriptive survey methods was used, with an adaptation of the Fedder …

A Study Of A Selected Patient With Myocardial Infarction To Find Out Whether A Given List Of Basic Concepts Of Physiology Could Be Demonstrated In The Aspects Of Nursing Care Administered, Bethel Wareham

Loma Linda University Electronic Theses, Dissertations & Projects

The purpose of this study was to find out whether the basic concepts of physiology stated in a given list could be demonstrated in the nursing care of a selected patient with a diagnosis of myocardial infarction.

The review of literature aided in the following: choice of a given list of basic concepts of physiology important in the care of the patient with an uncomplicated acute myocardial infarction, formulation of criteria for the selection of the patient, setting up of an outline of aspects of nursing which were expected to be necessary in the case of the selected patient, finding …