Digital Commons Network^™

Intimate Partner Violence And Mental Health Effects: A Population-Based Study Among Married Women In Karachi, Pakistan, Tazeen S. Ali, Ingrid Mogren, Gunilla Krantz

School of Nursing & Midwifery

Background: Intimate partner violence (IPV) is recognized all over the world for its association with mental health problems in women. In Pakistan, such violence occurs commonly, but detailed information on mental health effects is scarce. The purpose of this study is to focused on married couples in urban Karachi to investigate mental health effects associated with physical, sexual and psychological violence perpetrated by husbands towards wives. Disclosure rates and health care-seeking behaviour were also investigated.
Method: This cross-sectional study involved 759 women between the ages of 25 and 60 years, selected using a multi-stage random sampling technique. The women …

Prevalence Of Perceived Heavy Postpartum Hemorrhage And Its Associated Factors Among Married Mothers In Squatter Settlements Of Karachi, Tazeen S. Ali, Fazal Ather

School of Nursing & Midwifery

Objectives; To estimate the prevalence of postpartum hemorrhage (PPH) and identify its associated factors among the married women of 15-49 years, residingin the Karachi, Pakistan. Methodology: This cross-sectional survey was carried out in five squatter settlements of Karachi during 2000-2001. Information was collected regarding age, gravida, education, antenatal, natal and postnatal care, with perceived puerperal morbidities from 525 mothers, who were in their 42nd to 56th post delivery day. Univariate and multivariate analyses were computed using multiple logistic regression method. Results: The estimated prevalence for perceived PPH was 7.24%. Three hundred and ninety six (75.4 %) women received ante-natal …

The Effect Of Maternal Beliefs And Behavior On The Body Weight Status Of Preschool-Aged Children, Nicole Lynn Boucher

Wayne State University Dissertations

Early onset pediatric obesity has become a major health concern in the United States. Pediatric obesity can lead to childhood hypertension, type II diabetes, and orthopedic problems. Currently, in the United States one in seven low-income preschools are overweight or obese. One of the key contributing factors to early onset childhood obesity is how children are socialized to the eating and mealtime environment. Maternal feeding styles play an integral role in how children are socialized to the eating and mealtime environment.

The purpose of the this study was to determine the extent to which maternal beliefs and behavior regarding the …

Standardized Care Of The Late Preterm Infant In Upper Midwest Hospitals, Michelle Susanne Foy

All Graduate Theses, Dissertations, and Other Capstone Projects

Standardizing care or critical pathways have delivered evidence-based care in adult medicine and have positive patient outcomes. Some aspects of standardized care have been used in neonatology, but less often in caring for the late preterm infant (gestational week 34-37 weeks). With each level of care nursery, Level-I, level-II or level-III, there can be a wide range of how to care for the late preterm infant. The purpose of this study was to determine if nurseries or various levels of care had established standards of care specific to the late preterm infant and what barriers existed that prohibited standards of …

An Exploration Of The Relationships Among Demographics, Risk Factors, Perceived Self-Efficacy, And Fall Prevention Behaviors In Community-Dwelling Thai Older Adults, Kanyarat Ubolwan

Wayne State University Dissertations

Background: Worldwide, falls among older adults lead to significant physical, psychological, and social problems. Studies have described fall prevalence, risk factors, and the impact of falls in Thailand. Although fall prevention requires significant self-care abilities, insufficient knowledge exists about how to prevent falls in Thai community settings or the predictors of fall prevention behaviors among Thai Older adults.

Purpose: Orem's Self-Care Theory was used: 1) to examine the relationships among the basic conditioning factors (BCFs) of age, gender, falls, comorbidity, mental and physical health status, self-care agency (i.e., self-efficacy), and fall prevention self-care behaviors and 2) to determine the predictors …

Congruence Between Nursing Home Resident And Staff Caregiver Perceptions Of Residents' Self-Perceived Autonomy, Paul E. Urbanski

Legacy Theses & Dissertations (2009 - 2024)

This qualitative cross-sectional study examines autonomy among long-term care residents and how certified nurse aides (CNAs) understand resident autonomy as expressed through residents' preferences. The study took place at one long-term care facility with N = 12 (7 residents and 5 CNAs). A phenomenological perspective is utilized in order to describe the meaning residents ascribe to personal preferences and the influence frailty has on those preferences. In addition, certified nurse aides, self-described as competent to report on a participating resident's preferences were interviewed separately. Open-ended interviews were conducted and the data obtained was examined for congruence between the resident's and …

Foot Assessment In The Dialysis Unit, Karen Robertson

Theses and Dissertations

ABSTRACT In 2010 the number of patients requiring renal replacement therapy in the United States increased by 1% to 593,086. This number was comprised of 593,086 in center hemodialysis patients, 179,361 functioning kidney transplants, and 29,773 peritoneal dialysis patients.

A principal difficulty in the end stage renal disease (ESRD) population is lower extremity amputation from vascular complications and nonhealing wounds. The incidence of nontraumatic lower extremity amputation among the end stage renal disease population in the United States is ten times higher when compared to the general public. Mortality rates for ESRD patients following amputation are elevated with less than …

Prevention Of Skin Breakdown In The Pediatric Intensive Care Unit, Lydia H. Palmer

Theses and Dissertations

Skin breakdown occurs when one or more layers of the skin have been disrupted (McLane et al., 2004; National Pressure Ulcer Advisory Panel, 2007). While some literature uses the terms skin breakdown and pressure ulcer interchangeably, these are actually two distinct conditions and pressure ulcers are encompassed in the definition of skin breakdown (Kuller, 2001; Lund, 1999; Suddaby et al., 2006). The consequences of skin breakdown in the pediatric population can include increased cost of treatment, infection, increased morbidity and mortality as well as psychological consequences from resulting alopecia or scarring (Schindler, 2010; Willock & Maylor, 2004). Development of skin …

Measuring The Impact Of Health Education Modules In Cameroon, West Africa, Paulette A. Chaponniere, Susan M. Cherup, Lillie Lodge

Peer Reviewed Articles

Each year, more than two million people die from diarrhea-associated diseases. Although there is a global need for safe drinking water, culturally appropriate health teaching is essential to behavior change. This study evaluated the impact of a health education program in a small rural community in Cameroon. Flash cards and a modified version of the CDC-KPC 2000 survey were used to collect data in 57 homes. Children who lived in households with working Manz BioSand filters were less likely to have had diarrhea in the 2 weeks prior to the evaluation. There remained a gap between health knowledge and healthy …

The Impact Of Endocrine Disruption A Consensus Statement On The State Of The Science, A. Bergman, J. J. Heindel, T. Kasten, K. A. Kidd, S. Jobling, M. Neira, R. T. Zoeller, G. Becher, P. Bjerregaard, R. Bornman, I. Brandt, A. Kortenkamp, D. Muir, M-N. B. Drisse, Roseline Ochieng, N. E. Skakkebaek, A. S. Byléhn, T. Iguchi, J. Toppari, T. J. Woodruff

Paediatrics and Child Health, East Africa

No abstract provided.

Evaluation Of A Mind-Body Website By Women With Breast Cancer, Laura Beck

Electronic Theses and Dissertations

Despite having access to volumes of information, women newly diagnosed with breast cancer report a moderate level of distress related to their diagnosis, treatment, life expectancy, threat to current roles, and life-changing surgery and treatment choices. Web sites designed to teach people strategies to reduce distress are readily available online. The online format may be useful and practical for women who can access the site at their convenience, learn the components of the interventions at their own pace, and practice the strategies in the comfort of their home. The purpose of this study was to evaluate an online Mind-Body web …

The Factors That Influence Duration Of Exclusive Breastfeeding: A Mixed Methods Design, Roxanne K. Bowman

Theses and Dissertations--Nursing

Breastfeeding is the gold standard of infant feeding and its benefits extend beyond the mother and child. Multiple organizations recommend exclusive breastfeeding for the first six months of an infant’s life. Exclusive breastfeeding rates nationally and in the state of Kentucky fall below the Healthy People 2020 goals. A mother’s intention to breastfeed has been shown to impact actual breastfeeding behavior. The current state of the measurement of intention was explored through a literature review. A majority of the measures were single item scales. The reliability and validity of the scales should be further tested in diverse populations.

The purposes …

Prolonged Sexual Abstinence After Childbirth: Gendered Norms And Perceived Family Health Risks. Focus Group Discussions In A Tanzanian Suburb, Columba Mbekenga, Andrea B. Pembe, Elisabeth Darj, Kyllike Christensson, Pia Olsson

School of Nursing & Midwifery, East Africa

Background: Prolonged sexual abstinence after childbirth is a socio-cultural practice with health implications, and is described in several African countries, including Tanzania. This study explored discourses on prolonged postpartum sexual abstinence in relation to family health after childbirth in low-income suburbs of Dar es Salaam, Tanzania.

Methods: Data for the discourse analysis were collected through focus group discussions with first-time mothers and fathers and their support people in Ilala, Dar es Salaam, Tanzania.

Results: In this setting, prolonged sexual abstinence intended at promoting child health was the dominant discourse in the period after childbirth. Sexual relations after childbirth involved the …

The Impact Of A Team-Based Intervention On The Lifestyle Risk Factor Management Practices Of Community Nurses: Outcomes Of The Community Nursing Snap Trial, B Chan, U Jayasinghe, B Christl, R Laws, N Orr, A Williams, K Partington, M Harris

Nursing Papers and Journal Articles

Background: Lifestyle risk factors like smoking, nutrition, alcohol consumption, and physical inactivity (SNAP) are the main behavioural risk factors for chronic disease. Primary health care is an appropriate setting to address these risk factors in individuals. Generalist community health nurses (GCHNs) are uniquely placed to provide lifestyle interventions as they see clients in their homes over a period of time. The aim of the paper is to examine the impact of a service-level intervention on the risk factor management practices of GCHNs.

Methods: The trial used a quasi-experimental design involving four generalist community nursing services in NSW, Australia. The services …

The Sociodemographic And Health-Related Characteristics Of A Regional Population With Chronic Disease At An Interprofessional Student-Assisted Clinic In Queensland Capricornia Allied Health Partnership, Kerrie-Anne Frakes, Sharon Brownie, Lauren Davies, Mary-Ellen Miller, Zephanie Tyack

School of Nursing & Midwifery, East Africa

Objective: This paper describes the socio-demographic and health-related characteristics of people with chronic disease attending an inter-professional student-assisted clinic in regional Queensland.

Design: A retrospective review of data collected during the first 10 months of operation of the clinic was conducted.

Setting, participants and outcome measures: Data was collected on up to 378 patients during an intake appointment at the Capricornia Allied Health Partner-ship (CAHP) community-based clinic and compared with normative reference groups where available. Socio-demographic characteristics included age, gender and education level; health-related characteristics included body mass index and hospitalizations in the previous 12months; and risk factors included prescribed …

Adolescent Athletes With Type 1 Diabetes: Experiences With Continuous Subcutaneous Insulin Infusion, Regina Tow

UNF Graduate Theses and Dissertations

Adolescent athletes with type 1 diabetes (T1DM) face unique challenges when compared to peers with and without diabetes. Continuous subcutaneous insulin infusion (CSII) provides a method of insulin delivery that can enhance flexibility in insulin regimens and lifestyle that may be especially appealing to the adolescent athlete. No studies have explored the impact of athletics in this population. This descriptive qualitative study explored and described the experiences of adolescent athletes using CSII as their primary insulin delivery method, with a focus on athletic participation and performance.

The purposeful sample consisted of four adolescent athletes, ages 13 to 15 years with …

Patient Perceptions Of Patient-Empowering Nurse Behaviors, Patient Activation, And Functional Health Status After Surgery, Teresa Arline Jerofke

Dissertations (1934 -)

PATIENT PERCEPTIONS OF PATIENT-EMPOWERING NURSE BEHAVIORS, PATIENT ACTIVATION, AND FUNCTIONAL HEALTH STATUS

AFTER SURGERY

Teresa A. Jerofke, BSN, MSN, APNP-BC

Marquette University, 2013

Patient empowerment has been advocated as a way to engage patients in self-management of chronic illnesses in emerging patient-centered models for healthcare improvement. The majority of research on patient empowerment has studied empowerment as an outcome in outpatient settings, with little attention to provider processes used to empower patients during a hospitalization. Post-operative patients with life-threatening chronic illnesses face multiple illness-related transitions associated with the recovery from their surgery and taking on the role of managing their …

Barriers To Diabetes Care In Appalachia: Challenges Faced By Healthcare Providers, Megan Cullinan

Senior Honors Theses

Appalachia is a region of the United States that is characterized by high rates of poverty, low levels of education, elevated incidence of chronic disease, and inadequate healthcare. Compared to the national average, the area has an elevated incidence of Type 2 diabetes. Though this disease process is an issue that must be addressed by healthcare providers, these providers face many challenges and barriers to providing adequate care for this disease in the Appalachian population. Barriers to care include geography with limited transportation, an inadequate number of healthcare personnel, patient inability to afford healthcare, patient attitudes toward diabetes care, and …

2013-2014 Nursing Undergraduate Student Handbook, Morehead State University. Nursing Department.

Nursing Department Publications Archive

2013-2014 Undergraduate Student Handbook of the Department of Nursing at Morehead State University.

An Exploration Of The Past, Present And Future Of Nursing In Early Parenting Services In Australia, Elaine Bennett

Theses

Nursing has a long history of providing services to families and children over the past century and more within Early Parenting Services (EPS) in Australia. Much has been written on issues regarding the general nursing workforce and requirements for the future, but little is known about the role of nursing within the EPS area around Australia in the context of an interdisciplinary team.

The aim of this study was to describe how nursing has responded to the changing needs of EPS in Australia and to investigate nurses’ and allied professionals’ perceptions of the nursing role within an interdisciplinary team. This …

Educational Materials And Brief Counseling Improve Diabetes Knowledge And Self-Efficacy, Tamara K. Wellman

DNP Projects

Purpose: The purpose of this study was to see if education and counseling of the Appalachian individual with diabetes and a family member/friend would improve knowledge of the disease and self-efficacy of the patient in regard to their diabetes care.

Setting: The setting was one of eight primary care offices of Our Lady of Bellefonte Hospital, Bon Secours, located in the Ashland, Kentucky.

Design: A pilot study of descriptive, comparative design was used.

Subjects: Data were collected from a convenience sample of patients with type 2 diabetes (n=15) that were established at the primary care office and their family members/friends …

Mennonite College Of Nursing Annual Report, 2012-2013, Mennonite College Of Nursing

Annual Reports - Mennonite College of Nursing

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

Preterm Birth A Risk Factor For Postpartum Depression In Pakistani Women, Salima Sulaiman Gulamani, Shahirose Premji, Zeenatkhanu Kanji, Syed Iqbal Azam

School of Nursing & Midwifery, East Africa

A Pakistani cohort of 170 mothers of full-term infants and 34 mothers of preterm infants were screened at 6 weeks after delivery to compare the rate of PPD, and examine the contribution of parenting stress and mother-infant interaction to PPD among mothers of preterm infants. Mothers completed the Edinburgh postnatal depression scale, and a general questionnaire. Mothers of preterm infants also completed the parental stress scale and parental bonding questionnaire. The rate of PPD was significantly higher with the adjusted odds increasing by 2.68 (95% Confidence Interval 1.16 - 6.17, p = .015) in mothers of preterm in- fants. Significantly …

Obesity, Prediabetes, And Perceived Stress In Municipal Workers, Louise Camilleri O'Keefe

All ETDs from UAB

Obesity and diabetes are major contributors to morbidity and mortality in the United States. According to the American Public Health Association and Partnership for Prevention, obesity is growing faster than any other public health problem in the United States. The prevalence of diabetes has also increased significantly with an estimated 79 million Americans aged 20 years or older suffering from prediabetes. Few studies have examined the influence of perceived stress on obesity and prediabetes among working adults. Investigations are needed to examine factors that can contribute to higher health care costs for both employees and employers. The aims of this …

Blood Pressure And Tobacco Exposure Among Rural Adolescents Ages 15-18, Luz Huntington-Moskos

All ETDs from UAB

High blood pressure is a prevalent precursor to cardiovascular disease. An estimated 3% of US adolescents have hypertension. In addition, prehypertension is predictive of hypertension in adolescents, with progression between these stages at approximately 7% per year. Tobacco use/exposure is strongly linked to cardiovascular risk and disease in adults. Further, rural communities have higher tobacco use prevalence and fewer community policies restricting tobacco use. Little is known about the effects of tobacco exposure on blood pressure and the mediating effects of inflammation (salivary C-reactive protein (CRP)) in rural adolescents. The purpose of this study is to determine the relationships between …

Blood Pressure Control And Perceived Stress, Job Satisfaction, Life Satisfaction, And Perceived Health Status In Municipal Workers, Debra D. Baldwin

All ETDs from UAB

Although hypertension is highly prevalent, associated with serious health consequences and treatable, fewer than half of those with hypertension have achieved blood pressure control (Centers for Disease Control and Prevention [CDC], 2011b). Limited studies have examined the influence of perceived stress, job satisfaction, life satisfaction, and perceived health status may have on blood pressure control, although epidemiological evidence reveals psychological factors can mediate and negatively influence health behavior leading to hypertension (Blanchflower & Oswald, 2008; Kulkarni, Farrel, Erasi, & Kochar, 1998; Walcott-McQuigg, 2000). The purpose of this study was to explore the prevalence of hypertension, obesity, and blood pressure control …

Hard On Your Heart: A Qualitative Description Of Adolescent Prenatal Stress, Candace Clayton Knight

All ETDs from UAB

Introduction: Pregnancy during adolescence is potentially stressful due to the concurrent tasks of navigating the typically tumultuous adolescent stage of development and the life altering experience of pregnancy (Kaye, 2008). There is a growing body of research linking prenatal stress to poor birth and developmental outcomes such as premature birth and low birth weight infants (K. Keenan, Sheffield, & Boeldt, 2007; Mulder et al., 2002), which makes describing the relatively unexplored perceptions and experience of stress during adolescent pregnancy important. The life course framework, with its emphasis on social, environmental, and family risk factors, has implications for reducing disparities among …

Type 2 Diabetes Risk Among Asian Indians In The Us: A Pilot Study, Annie Thomas, Alyce Ashcraft

Nursing: School of Nursing Faculty Publications and Other Works

The purpose of this pilot study was to investigate type 2 diabetes risk among Asian Indians of Kerala ethnicity living in a West Texas County of the USA. The study used a descriptive correlational design with thirty-seven adult nondiabetic Asian Indian subjects between 20 and 70 years of age. The measurement included nonbiochemical indices of obesity, family history of type 2 diabetes, length of immigration in the US, history of hypertension, physical activity pattern, and fruit and vegetable intake. The majority of the subjects showed an increased nonbiochemical indices corresponding with overweight and obesity, placing them at risk for type …

Effectiveness Of Moving On: An Australian Designed Generic Self-Management Program For People With A Chronic Illness, A Williams, L Bloomfield, E Milthorpe, D Aspinall, K Filocamo, T Wellsmore, N Manolios, U Jayasinghe, M Harris

Nursing Papers and Journal Articles

Background: This paper presents the evaluation of “Moving On”, a generic self-management program for people with a chronic illness developed by Arthritis NSW. The program aims to help participants identify their need for behavior change and acquire the knowledge and skills to implement changes that promote their health and quality of life.

Method: A prospective pragmatic randomised controlled trial involving two group programs in community settings: the intervention program (Moving On) and a control program (light physical activity). Participants were recruited by primary health care providers across the north-west region of metropolitan Sydney, Australia between June 2009 and October 2010. …

The Impact Of A Brief Lifestyle Intervention Delivered By Generalist Community Nurses (Cn Snap Trial), M Harris, B Chan, R Laws, A Williams, G Davies, U Jayasinghe, M Fanaian, N Orr, A Milat

Nursing Papers and Journal Articles

Background: The risk factors for chronic disease, smoking, poor nutrition, hazardous alcohol consumption, physical inactivity and weight (SNAPW) are common in primary health care (PHC) affording opportunity for preventive interventions. Community nurses are an important component of PHC in Australia. However there has been little research evaluating the effectiveness of lifestyle interventions in routine community nursing practice. This study aimed to address this gap in our knowledge.

Methods: The study was a quasi-experimental trial involving four generalist community nursing (CN) services in New South Wales, Australia. Two services were randomly allocated to an ‘early intervention’ and two to a ‘late …