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Quality Of Care Provided To Hiv-Infected Clients By Nurse Practitioners At A Specialized Nursing Center, Deborah A. Griggs

College of Graduate Studies: Theses & Dissertations (1964–2006)

This study evaluates the quality of care provided by nurse practitioners HIVinfected clients in a specialized nursing center in Georgia. Quality of care is evaluated using Donabedians' Structure-Process-Outcome domains as presented in the Unifying Model of Quality Health Care. Structure is evaluated as the nurse practitioners in this clinic providing health care. The interpersonal aspect ofthe process of quality health care is measured by the researcher developed Outpatient Client Satisfaction Survey. The technical aspect ofthe process ofquality health care is measured by the researcher developed Provider Adherence Measurement Tool which measures adherence to current clinical practice guidelines. Reliability and validity …

Medication Administration In Schools, Stephanie A. Painter

Masters Theses

The purpose of this study was to describe current practice of medication administration to children during school attendance in a district in Michigan. Information was collected by an audit of the policy and procedure manuals and medication records to assess a number of variables. It was found that 213 doses of medications were administered in 8 schools (enrollment 6,000) on the day of the study. Most of these were administered by nurses (40.8%) and secretaries (12.2%). While 25 different medications were administered, the medication most frequently administered was methylphenidate (60%). Medications were administered orally, per inhaler, nebulizer, topically or injected. …

Psychiatric Nurses' Perceptions Of Their Social Support, Elizabeth V.L. Howell

Masters Theses

This study investigated psychiatric nurses’ perceptions of their social support while working in a public psychiatric hospital. A descriptive correlational research design using a mailed self-administered questionnaire was employed for this study. Data collection and measurement of the phenomenon of perceived social support was done using the Norbeck Social Support Questionnaire (Norbeck, Lindsey, & Carrieri, 1995). The sample consisted of 57 registered nurses who had been employed for at least six months.

Data analyses consisted of reporting means, standard deviations, percentages, and range of scores for perceived social support. Results indicated emotional support (affect and affirmation) rated the highest among …

Relationship Between Professional Development And Education, Christine A. Frederick

Masters Theses

Nursing is a profession. It is important for nurses to know what impacts professional development. Educational preparation plays a large role in professional development.

Data were originally collected in 1995 through a survey of nurses from one chapter of Sigma Theta Tau International. The survey was sent to 544 members to determine their scores on professional development. The current study conducted a re-analysis of that data to determine if a relationship existed between professional development and education.

This thesis was based on Leddy and Pepper’s (1993) theory of professional development modified from Eric Erikson’s eight stages of the life cycle. …

Quality Nursing Care: The Nursing Home Residents' Perspective, Brenda L. Larsen

Masters Theses

The purpose of the study was to determine what nursing home residents consider quality nursing care. The information obtained can provide nurses with knowledge about quality care perceptions in this population. Care thus could be planned and provided that would promote resident centered quality.

For this qualitative study a phenomenological approach was used. The investigator collected data via audio-taped interviews and field note observations. A grounded theory approach was used to uncover residents' perceptions of quality nursing care. The meaning was then disclosed by the process of description and thematic interpretation.

The shared experience of living in a nursing home …

Meperidine Attenuates The Secretion But Not The Transcription Of Il-1ss In Human Mononuclear Leukocytes, Donna O. Mccarthy, Susan Murray, Dawn Galagan, James E. Gern, Paul R. Hutson

College of Nursing Faculty Research and Publications

Background: The infusion of amphotericin-B (AmB) often produces clinically distressing rigors and chills, which promptly abate with intravenous injection of meperidine, although its mechanism of action is unknown.

Objective: To examine the effects of meperidine on the transcription or secretion of Interleukin 1β (IL-1β) in human mononuclear leukocytes (MNL) exposed in vitro to the lipopolysaccharide (LPS) contained inEscherichia coli endotoxin or to AmB.

Methods: Blood was drawn from eight healthy adult volunteers. The blood was centrifuged, and the layer containing MNL was separated; incubated with various combinations of medium, meperidine, and AmB; then tested for IL-1 content to determine …

A Comparative Study Of Nursing And Non-Nursing Majors Knowledge And Attitudes Toward Hiv And Aids At The Sophomore And Senior Level, Diana R. Lubandi

Electronic Dissertations and Theses

The primary purpose of this study was to examine the impact of a baccalaureate nursing program on the knowledge and attitudes of United States nursing students towards HIV/AIDS. Mathematics and engineering majors were used as a comparison group and to control the threats to internal validity of history and maturation. Data for this study was obtained using an AIDS Knowledge Scale and an AIDS Attitude Scale in the form of questionnaires. A convenience sample of 103 students comprised of 30 sophomore nursing students, 34 senior nursing students, 16 sophomore Non nursing students and 23 senior non-nursing students was utilized. The …

Patients' Attitudes Toward The Use Of Nurse Practitioners, Laurie Maxwell

Masters Theses & Specialist Projects

Since the advent of the role of nurse practitioner in the mid 1960s, nurse practitioners have practiced in traditional settings such as health departments, clinics, and physicians' offices. More recently, nurse practitioners have been utilized in non-traditional settings such as the emergency department. Some studies have been done that support the theory that nurse practitioners can function effectively in this setting; however additional studies are needed on this topic. The purpose of this study was to explore patients' attitudes toward the use of nurse practitioners and to determine what patient variables were related to these attitudes. More specifically, this study …

Characteristics And Resource Utilization Of Patients Of A Proprietary Home Health Agency In Rural South Central Kentucky, Linda Sewell

Masters Theses & Specialist Projects

The home health industry's introduction to managed care raises the prospect of reduced access to health care and poor outcomes for a vulnerable segment of our population—the rural elderly. Before effective intervention strategies can be accurately evaluated, a clearer picture of the sociodemographic features and home care service consumption is needed for this understudied group. The study was intended to provide a basis for future research into the evaluation of alternative methods of delivering effective care in terms of outcome and decreased cost for this population. A retrospective descriptive analysis was made of the patient record for the first six …

Critical Thinking Attributes Of Undergraduate Nursing Faculty, Julie A. Coon

Dissertations

The purpose of this study was to examine the critical thinking skills of undergraduate nursing faculty to determine how these skills compared with the established critical thinking skill norms for undergraduate nursing students and if the critical thinking skills of nursing faculty were related to the type of program they teach in, their years of experience in nursing education, their level of formal education, their preferred methods of instruction, and their level of formal training in critical thinking. Nursing faculty from 17 Associate Degree Nursing (ADN) programs and 11 Bachelor of Science in Nursing (BSN) programs in the State of …

Wheels At Camp, Judith A. Medlin

Master's Projects

Students with special needs are being included into regular education classrooms in increasing numbers. Teachers in these classrooms are often reluctant to include students with special needs on overnight field trips. This reluctance stems from the teacher's concern for the associated responsibilities. The purpose of this project is to demonstrate the process developed and used to successfully send a fully included student with disabilities to camp with his non-disabled peers. Dorthea Orem' s theory of nursing provided the conceptual framework for this case example. Overnight field trips (e.g., science camp) that are fun and safe learning experiences for the student …

Basics Of Research (Part 10): The Grant Application Process, Cheryl Thompson

Journal Articles: College of Nursing

No abstract provided.

Nurses Alumni Association Bulletin, Fall 1997, Betty Piersol, Elizabeth K. Prisnock, Marian E. Smith, Margaret Summers, Sue Henrie-Strup, Maureen Mcvail

Nursing Alumni Bulletins

1997-1998 Meeting Dates Calendar

1998 Annual Luncheon-Meeting Notice

Officers and Committee Chairs

Bulletin Publication Committee

1997-1998 Meeting Dates Calendar

The President's Message

Treasurer's Report

Trivia and News About Our Graduates

Highlights of 1997

Keeping Kids Healthy After Hours

Scholarship Funds At Work

Tribute to Tanya

Medical Mission Outreach 1996

History Of The Jefferson Pin

Facts Not Fiction

Rib Ticklers

Mama Will Protect Me

Happy Birthday

Fiftieth Anniversary

Resume of Minutes of Alumni Association Meetings

Alumni Office News

Committee Reports

• Bulletin
• By-Laws
• Development
• Diploma School of Nursing Alumni Association-Mabel C. Prevost Scholarship Fund
• Nominating
• Relief Fund
• Satellite
• Social
• Scholarship

Luncheon Photos …

From Welfare To What?: The Limitations Of Low-Income Work, Lande Ajose

New England Journal of Public Policy

The premise of the welfare law enacted by Congress is that people living in poverty could vastly improve their economic status if only they were employed. The author argues that economic security for welfare recipients will not be realized simply by increasing the labor-force attachment. Home health aides comprise an occupation that could absorb many of the large pool of workers expected to join the labor market because demand for their services is high and barriers to entry are low. However, as this survey shows, the home health field offers limited promise to welfare recipients because, significantly for women rolling …

Nursing: A New Day, A New Way, Lin Zhan, Jane Cloutterback

New England Journal of Public Policy

The U.S. health care environment is changing rapidly. Its structure, financing, and delivery are being reconfigured toward an integrated system based on managed care. Increasingly, national interest in health promotion and disease prevention is moving care away from a disease-oriented, institutionally based model to a population-focused, wellness-oriented, and community-based system. Health care consumers are diversifying in age, ethnicity, and socioeconomic status. The approach emerging from these changes and others requires nursing to rethink, redesign, and retool its workforce to meet new challenges. This article analyzes nursing education, practice, and operations. The authors discuss the dilemmas and complexity of developing an …

Job Mobility Of Entry-Level Workers: Black And Latina Women In Hospital Corridors, Maria Estella Carrión

New England Journal of Public Policy

Based on data from interviews with fifteen black and fifteen Latina women in entry-level jobs, this article discusses job access strategies, patterns of job mobility, and barriers to upward job mobility for low-income minority women in the hospital industry. Concentrated in the lowest wage levels and job tiers, they are quite diverse in subgroup composition, in age, and in training requirements. The research confirms that deficiencies in schooling and skills remain the major obstacles minority women confront when they apply for hospital jobs and restrict their opportunities once they are within the hospital labor market. Efforts to provide training and …

Minimizing Infant Exposure To And Risks From Medications While Breastfeeding, Sandra Banta-Wright

Faculty Publications - College of Nursing

The advantages of breastfeeding to the mother and newborn are many. Lactating mothers frequently ask about the safety of taking medications and the risk to their newborn. It is well established that all drugs are excreted into breast milk. However, most medications appear in only small amounts within the breast milk. With the availability of numerous resources on drug use while breastfeeding, a medication can be identified as contraindicated or compatible with breastfeeding. By understanding the anatomy of the breast, principles of lactation, and drug passage into breast milk, an approach to minimize the transfer of the medications in the …

Appreciation, Please, Patricia Rushton

Faculty Publications

The question to be addressed in this study is "Why do actively employed registered nurses work?" The goal of the study is to determine what factor financial reimbursement is in maintaining active employment as a nurse.

Autopsy In The Cancer Patient: The Nurse's Role, Patricia Rushton

Faculty Publications

Nurses spend many hours with dying cancer patients, developing close relationships with both the patients and their families. However, nurses are frequently not involved in the process of requesting an autopsy, either by choice or tradition. During this time of great stress, the nurse can be more involved. The nurse who understands the reasons for autopsy and its ramification for the grieving process can be actively involved in supporting the physician who makes the request and the family members who must make the this difficult decision. It is possible that the nurse can be the health team member designated to …

Nurse Practitioners' Attitudes Toward Substance Abuse, Anabel P. Pereda

MSN Research Projects

Substance abuse is a major health problem in the United States today. The prevalence of the problem in primary health care settings mandates examination of the nurse practitioner's attitudes toward substance abuse. Research has demonstrated that the attitude of the health care provider toward the substance abuser can affect the level and quality of care rendered. This descriptive study was designed to examine the attitudes of nurse practitioners certified and practicing in Mississippi. Pender's revised Health Promotion Model was utilized as the theoretical framework for the study. The research question asked in this study was : What are the attitudes …

Rural Acceptance Of The Nurse Practitioner, Mary Branstetter

Masters Theses & Specialist Projects

The rural community has lacked adequate healthcare providers for the past thirty years. Collaboration between physician and family nurse practitioner is an option for meeting the need for delivery of primary healthcare in the rural community. A descriptive design was used to describe the acceptance of the nurse practitioner by patients living in rural southcentral Kentucky who utilize the services of the community hospital. Every fifth inpatient and outpatient discharge was mailed the Kviz Assessment Questionnaire and a demographic survey. The questionnaires (N = 842) were mailed over a four week survey period with reminder postcards mailed to each survey …

Cytokine Profiles Of Stimulated Blood Lymphocytes In Asthmatic And Healthy Adolescents Cross The School Year, Duck-Hee Kang, Christopher L. Coe, Donna O. Mccarthy, Nizar N. Jarjour, Elizabeth A. Kelly, Raymond R. Rodriguez, William W. Busse

College of Nursing Faculty Research and Publications

T cell cytokines play an important role in mediating airway inflammation in asthma. The predominance of a Th2 cytokine profile, particularly interleukin (IL)-4 and IL-5, is associated with the pathogenesis and course of asthma. The aim of this study was to test the hypothesis that a stressful life event alters the pattern of cytokine release in asthmatic individuals. Thirteen healthy controls and 21 asthmatic adolescents gave blood samples three times over a semester: midsemester, during the week of final examinations, and 2-3 weeks after examinations. Interferon-γ (IFN-γ), IL-2, IL-4, and IL-5 were measured from supernatants of cells stimulated with PHA/PMA …

Effect Of Peer Group Discussion On Self-Concept In The Gifted Adolescent Population, Helena Ann Rizer

MSN Research Projects

The purpose of this research study was to determine whether peer group discussions improve self-concept in the gifted adolescent population. The researcher also sought to ascertain what reflective themes emerged from journals written following the peer group discussions. The Theory of Modeling and Role-Modeling served as the theoretical framework for this quasi-experimental study. The sample consisted of 21 students enrolled in the 11th grade of a residential high school for mathematics and sciences. The school was located on a university campus in the southern region of the United States. The 21 students were randomly assigned to either the experimental (n …

Out Of The Comfort Zone, Patricia R.E. Harris

Collected Faculty Scholarship

Imagine the following experience: Your are a student nurse working with other health care providers in the obstetric unit of your facility. A fifteen-year-old Haitian girl, along with her grandmother, arrives seeking help because her two-day-old, eight-pound baby boy is having difficulty breathing...

The Flame, Summer-Fall 1997, Mennonite College Of Nursing

The Flame (1985-present)

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

The Relationship Between Job Satisfaction And Collegial Support To Retention Of Nurse Educators In Baccalaureate And Higher Degree Nursing Programs In Virginia, Estella Mary Henry Reynolds

Theses and Dissertations in Urban Services - Urban Education

This descriptive correlational study was designed to explore job satisfaction and collegial support in relation to the retention of nurse educators.

A survey questionnaire adapted from Batiste-Beaty (1990/1991) was used to collect data on nurse educators' retention rates and their perceptions of job satisfaction and collegial support in their present institutions. The survey was distributed to the 350 faculty members in the 12 baccalaureate and higher degree nursing programs in the Commonwealth of Virginia. The survey had a 51% return rate, with a total of 178 respondents. The two primary statistical procedures used in analyzing the data were Pearson's product-moment …

The Oncology Patient's Perception Of Support For The Use Of Alternative Therapies By Their Health Care Provider, Michelle Lynn Witkop

Masters Theses

The purpose of this descriptive study was to determine if patients with cancer communicated their use of alternative therapies to their health care providers, to identify factors that influenced their decision to share (or not to share) this information with the health care provider, to describe the types of alternative therapy they were using, to identify where information on the chosen alternative therapy was obtained, and to discuss the factors that influenced their use of an alternative therapy. A convenience sample of 29 subjects from five oncology practices in northwestern lower Michigan responded to questionnaires assessing their use of alternative …

Commencement Program 1997, Loma Linda University

Commencement Programs

CONTENTS

2 | 1997 Events of Commencement

3 | The Academic Procession

4 | The Speakers

9 | The Honorees

23 | The Zapara Award

Order of Programs

• School of Medicine, 25
• School of Dentistry, 33
• Graduate School, 41
• School of Nursing, 48
• School of Allied Health Professions (Physical Therapy), 53
• School of Allied Health Professions, 59
• School of Public Health, 66

Evaluation Of Patient Satisfaction In The Hypertension Management Clinic, Charu Bahuguna

Master's Projects

Hypertension is a disease that afflicts 50 million Americans. Hypertension is a major risk factor that contributes to coronary, renal, and cerebral artery diseases. In an effort to better serve the patients afflicted with hypertension, a major health maintenance organization has developed a nurse managed hypertension clinic. This hypertension clinic functions in accordance with the Joint National Commission on Hypertension guidelines. This study evaluated the satisfaction of those patients that were served by the health maintenance organization's clinic. The results of the study reflected that, overall, most of the patients surveyed were satisfied by the services they received in the …

Progressive Muscle Relaxation: A Stress Management Program For Nursing Students, Susan Cunningham

Master's Projects

The purpose of this study was to determine whether or not the use of progressive muscle relaxation reduced the physical complaints of stress among nursing students. This pilot quasi-experimental study used a pretest-posttest design with a convenience sample of five volunteers. Data were collected by the use of the stress-related complaint scale. In this 5-week intervention, students learned about stress management and practiced the use of this progressive muscle relaxation technique as a method for reducing the stress in their life. Stress-related symptoms rated as irritating or higher (3 on a 5 point scale) were tension headaches (3 .2), frequent …