Digital Commons Network^™

Violence, Depression, Parental Stress, And Child Neglect Among High Risk Postpartum Women, Kristen D. Lambert Phd, Msn, Rn

Dissertations

The purpose of this study was to characterize a vulnerable population of postpartum women at risk for family violence and maladaptive outcomes and to determine the degree the identified attributes increase the risk of child neglect and psychological aggression. Lazarus' Appraisal Theory and Scaer's Traumatic Spectrum framework provided a conceptual basis to examine the interrelationships between intimate partner violence (IPV), depression, previous traumatic history, and child neglect. A descriptive correlation design using secondary analysis of longitudinal data collected for the Healthy Families San Diego Clinical Trial was used. Standardized measures including the CTS, CTS2, CTSPC, CES-D and PSI were administered …

What Behavioral Effect Does Recess Have On Elemetntary-Age Students Diagnosed With Attention Deficit Disorder And Attention Deficit Hyperactivity Disorder (Add/Adhd)?, Brittany Long

Honors Capstone Projects and Theses

No abstract provided.

The Use Of Physical Activity To Promote Effective Coping And Life Skill Development In Minneapolis Sheltered Youth, Kathleen M. Welle

Theses and Graduate Projects

Homeless youth are a marginalized culture in our society. The resiliency of this population is remarkable. It is crucial that the transcultural nurse aid these youth in finding inner strength, making healthy choices, and being a source of support lbr the youth. By developing and implementing this rnodel of integration, the author was able to I organize a time of physical activity, social interaction, relationship building, and positive reinforcement. The processes and relationships unfolded throughout the sessions. The model of integration allowed the author to experience personal and professional growth, acknowledge the profound impact of teamwork, and practice the use …

What Parents Want To Know Refugee Parenting Education, Will Baisden, Chetan Baxter, Brielle Brauner, Aireal Horn, Fadila Hrncic, Rachael Miller, Sadie Nelson, Kimberly Rider, Adrianna Torfin, Jeff Wheeler, Lisa Zhu

Service-Learning Program

Service Project Purpose To create curriculum to educate refugee parents on the parenting needs of children ages birth to two years. Learning Goals Apply basic concepts of population-focused practice to parental situations, perform targeted community assessments centered on parenting needs of the refugee population, and create curriculum focused on meeting identified needs.

Annual Report, Western Kentucky University College Of Health & Human Services, Dr. John Bonaguro, Dean, Wku College Of Health & Human Services

College of Health & Human Services Publications

No abstract provided.

Enhancing Personal Care Services For Senior Refugees, Alina Austin, Marissa Baker, Joei Beaman, Sarah Harris, Janina Harvell, Joanna Judd, Melody Keiser, Rn, Kylie Nebeker, Heather Niehoff, Marianne Palaia, Kristal Richens

Service-Learning Program

requested assistance to address quality of care issues identified among senior refugees receiving personal care services from a family member or refugee personal care provider. Our group interacted with the refugee community during English and citizenship classes, the Somali Bantu Food Distribution project. Our group worked closely with SW Idaho AAA to determine the need for a consistent training manual to be used in conjunction with interpreters to ensure that refugee caregivers receive adequate training to provide high quality care. Using extensive literature review our group developed a comprehensive, basic personal care manual addressing personal care services, while taking into …

Reliability Measurement Of The Premature Infant Oral Motor Intervention, Clare A. Goebel

Honors Projects

A study was conducted at a Level III Neonatal Intensive Care Unit (NICU) at a large Midwestern teaching medical center to determine the reliability of the Premature Infant Oral Motor Intervention (PIOMI). The PIOMI is a five minute, oral motor intervention using a gloved finger in the mouths of premature infants of at least 29 weeks post-menstrual age (PMA) developed by Dr. Brenda S. Lessen to improve feeding skills in preterm infants. The PIOMI was first introduced in a pilot study done by Dr. Lessen and the results demonstrated a decrease in the amount of time needed for premature infants …

Somali Bantu Refugees In Southwest Idaho: Assessment Using Participatory Research, Pamela J. Springer, Mikal Black, Kim Martz, Cathy Marie Deckys, Terri Soelberg

Nursing Faculty Publications and Presentations

Each year, refugees are forced to leave their homes and country due to result of wars or political turmoil. According to the National Office of Refugees, 2.6 million refugees have settled in the United States (U.S.) since 19751. Idaho is a state in which refugees are resettled. The majority of refugees in Idaho are located in the capitol city of Boise. The refugees come from over the globe including Latin America, Europe, Africa and the Middle East.

African refugees represent a unique population in the United States and throughout the world. Many African refugees represent a preliterate population; they have …

The Effectiveness Of Counselors As Care Managers In Improving Self-Management And Medical Outcomes In Persons With Poorly Controlled Diabetes, Ularisi Rebecca Green

Counseling & Human Services Theses & Dissertations

This study investigated whether providing counselors as care managers to individuals who were having difficulty managing their Type II diabetes improved their self-management, health, and functioning. Counselors used the Motivational Interviewing Model and met weekly over a six month period with patients who had Type II diabetes who had been identified as not functioning well in managing their disease. The success of the intervention was determined by a number of measures including physical symptoms of patients; patients' perceptions of the care they received; and patients' self-efficacy in managing their diabetes. The results of this study suggested that providing counselors as …

Neurodevelopmental Outcomes Of High Risk Infants, Lisa E. Miklush Phd, Msn, Rnc, Cns

Dissertations

Background: Infant developmental research has revealed amazing physical, cognitive, and social capacities of the human infant. Along with this knowledge is a growing appreciation of numerous factors that have the potential to impact the individual infant's developmental trajectory, either enhancing or compromising the eventual outcome. Enhanced understanding of those factors that shape infant developmental trajectories will provide an evidence base for the establishment of a supportive environment for the youngest members of society. Purpose: To determine the relationship between neurodevelopmental outcome and gestational age, birth weight, Apgar scores, NICU admission, infant gender, maternal depression, home environment, and parent-child interaction. Methodology: …

African American Women's Infant Feeding Choices: Analyzing Self-Efficacy And Narratives From A Black Feminist Perspective, Karen Marie Robinson

Dissertations (1934 -)

Breast milk is the optimal form of nutrition for infants up to six months of age. Commercial formula is unequal to breast milk nutritionally, economically, and psychologically. African American women (AAW) continue to breastfeed the least compared to other populations. Few researchers conducting research related AAW's infant feeding preferences have employed the Black Feminist philosophy or the theory of self-efficacy. This philosophy and theory may offer insight into factors that influence AAW's infant feeding choices.

The purpose of this mixed-method study was to examine prenatal breastfeeding self-efficacy (confidence) and actively listen to and analyze AAW's reports of factors influencing their …

Using A Self-Learning Module To Teach Nurses About Caring For Patients With Eating Disorders, Carrie Steinwachs

Nursing Masters

Background: The rate of eating disorders is on a rise, especially in adolescents. Eating disorders are very serious and can cause detrimental health problems requiring hospitalizations. Due to the many complications associated with eating disorders, nurses who care for these patients should have proper training and education regarding the disease and its ‟ treatments. Purpose : The purpose of this study was to increase nurse‟s knowledge about caring for patients with eating disorders along with determining the effectiveness of using a self-learning module (SLM) as a teaching method. Methods: A pre and post-assessment test was used in this study. Participants …

Developing An Educational Module For Advanced Practice Nurses: The Screening And Management Of Postpartum Depression In Primary Care, Lynne Weiler

Nursing Masters

Postpartum depression (PPD) is thought to affect 13% of new mothers. Yet it is believed that up to 50% of cases escape detection, resulting in a host of adverse sequelae for mother, infant and family. The current state of the science is promising, as advances in pharmacotherapy and psychotherapy have demonstrated PPD's amenability to treatment. However, expertise among providers appears to be deficient, as seen in survey results which portray most physicians and nurse practitioners largely ill-equipped to detect and deal with PPD. A rich opportunity to intervene exists, particularly within primary care settings, where suffering women may be encountered. …

Parenting Behaviors And Their Relationship With A Child's Weight Status, Michele L. Polfuss

Dissertations (1934 -)

Pediatric obesity is a critical healthcare problem that has continued to increase in prevalence. It has been well established that pediatric obesity is a multifactorial problem

with no easy solution. Complicating matters has been the fact that there has been a disproportionate increase across ethnicity and socioeconomic status. Parents have been found to play a critical role supporting a child's behavior through environment, role modeling and ongoing parenting practices.

This study utilized a cross sectional correlational study design to determine what the relationship is, if any, between a child's weight status and parenting behaviors. In addition the study examined if …

Update - March 2010, Loma Linda University Center For Christian Bioethics

Update

In this issue:

-- Glorifying God in Our Body: A Seventh-day Adventist Theological Foundation for Nursing
-- Editorial
-- New Beginning at the Center for Christian Bioethics

Tuberculosis Awareness And Public Opinion On Expanding Health Insurance Coverage, Belal A. Saadeh Phd, Msn, Rn

Dissertations

This quantitative descriptive cross-sectional study examined the effect of TB awareness and demographic variables on the level of support for expanding health insurance coverage for all residents, including undocumented immigrants. A modified 13-item tool developed by Morisky et al. (1990) was used to measure TB awareness; a single item created by the researcher assessed personal opinion regarding expansion of health insurance coverage; and a demographic questionnaire was used to collect data from 281 registered voters in San Diego County. The majority of San Diego County voters participating in the study supported at least some expansion of health insurance coverage. ANOVA …

Congregational Health And Wellness Ministry Using Locus Of Control To Develop Teaching Methods, Theresa Lee Trivette

Nursing Theses and Capstone Projects

Faith communities have a unique opportunity to help congregational members modify health-seeking behaviors in order to reduce modifiable health risk factors. Health researchers have increased their use of health locus of control as a preferred method for studying health promotion and sick-role behaviors. Targeted education and activities designed from the context of the subjects' health locus of control may provide an effective method to influence people to make positive healthy behavior modifications with a higher likelihood of success because locus of control beliefs have been shown to have direct relationships with healthy behavior choices. The health locus of control theory …

Point Of Origin And Mortality When An Elderly Person Is Diagnosed With Sepsis, Monica Chamberlain

Graduate Research Projects

No abstract provided.

Development Of An Educational Resource Tool To Improve Hospital Wide Knowledge Of Rehabilitation Care And Services, Vickey R. Allen

Nursing Theses and Capstone Projects

Health Care Organizations (HCO) are businesses. In an effort to be successful and to remain viable, HCOs must provide a myriad of services to meet their customer's needs. Included in these services is competent rehabilitation care that manages patients holistically. Utilizing Orem's theory of self care deficit, this project will demonstrate the growing need for rehabilitation services and the importance of all healthcare providers to understand the profession in general. In addition, this project will provide a resource tool to educate healthcare workers and others; students and non-licensed personnel, on the care and services patients receive during their stay in …

What Are The Perceptions Of Hispanic Parents Associated With Eating Habits Of Hispanic Children Ages 6--12 And Obesity?, Amy Barrett

Nursing Theses and Capstone Projects

The main objective of this study is to identify the perceptions of Hispanic parents associated with eating habits of Hispanic children ages 6-12 and obesity. The purpose was to identify if the child's intake was different based on the parent's perception of whether or not their child had a weight problem. The idea was to examine how many times certain foods are consumed and compare that to the parent's perceptions. The study was a descriptive study. The childrenhad to be in the 95 th percentile and between the ages of 6-12 to qualify for the study. Parents were approached by …

Nursing Attitudes Towards Obese Patients, Diane M. Davis

Nursing Theses and Capstone Projects

All Registered Nurses and Licensed Practical Nurses who work in CICU, MSICU, NTICU and 7N .The attitudes of these nurses regarding obesity and the obese patients were measured. Objectives. To determine if there is a bias against obese patients in the health care setting and if further education is needed. Methods. Likert scale survey, modified from the NATOOPS survey (with permission) was sent electronically to each nurse and when completed transmitted to a data base where results were tabulated. Results. Among the 51 respondents, 60% had 4 years of college or more. Years in nursing ranged from 0-47.Age of nurse …

Factors Influencing Breastfeeding In A Hospital Setting, Mary Smith

Inquiry: The University of Arkansas Undergraduate Research Journal

Breastfeeding is promoted across the globe as the optimum method of infant feeding (World Health Organization, WHO, 2003). Though there is a plethora of published benefits of breastfeeding for baby and mother, breastfeeding rates are below the national goal of 75% for Healthy People 2010 during early postpartum and considerably lower at six months and at one year (Li et al., 2005; HHS, 2000). Arkansas is significantly below the national average and goals, with only 60% of mothers ever breastfeeding versus 74% nationally (Centers for Disease Control and Prevention, CDC, 2008). To meet these goals nationally and on a state …

Assessing Adult Attitudes Toward End-Of-Life Issues And Advanced Directives After Implementing An Educational Intervention In A, Marchina Tolbert-Jones

Electronic Theses and Dissertations

Purpose: There is a lack of discussion regarding end-of-life care planning which results in low advanced directive execution (AD) rates. This can lead to decision making by family, friends, and the health care team on behalf of patients whose end-of-life care wishes are unknown. The purpose of this study was to determine the effectiveness of an educational intervention in the work setting to increase end-of-life discussions and the execution of advanced directives. Methods: A descriptive design was used in an occupational workplace setting at a local bottling company after appropriate IRB approval was obtained. An educational intervention based on the …

Spirituality And Spiritual Self-Care: Expanding Self-Care Deficit Nursing Theory, Mary Louise White

Wayne State University Dissertations

The purpose of this study was to extend the theory of self-care deficit nursing by including specific constructs of religion, spirituality, and spiritual self-care practices within the structure suggested by Orem's self-care deficit nursing theory. Based on an extensive literature review, practice experience, and a discovery theory-building approach, a new mid-range theory called White's theory of spirituality and spiritual self-care (WTSSSC) was developed. To begin to test this mid-range theory, empirical indices of many of the main concepts were identified from prior studies and one new instrument (the Spiritual Self-Care Practice Scale) was developed. Hypothesized relationships among the main concepts …

Examining The Relationship Between Spiritual Resources, Self-Efficacy, Life Attidues, Cognition, And Personal Characteristics Of Homeless African American Women, Jean Gash

Wayne State University Dissertations

African Americans comprise 12% of the American population and 45% of the homeless sheltered population (United States Department of Housing and Urban Development [HUD], 2007). The fastest growing segment is African American women and African American women with children. The purpose of this study was to examine the relationship between spiritual resources, self-efficacy, life attitudes, cognition, and personal characteristics (e.g., physical and mental health, age, marital status, number of children, number and length of times homeless and perceptions of being at risk for serious illness) of homeless African American women from 30 years of age and older who were trying …

Physical Activity Levels In Obese And Non-Obese Women And Their Relationship With Body Mass Index, Perceived Self-Efficacy, Perceived Benefits And Barriers Of Exercise, And Commitment To A Plan Of Action, Rose Lange

Wayne State University Dissertations

The purpose of this descriptive correlational study was to examine relationships among selected variables and concepts within the Health Promotion Model (perceived benefits, perceived barriers to exercise, self-efficacy, commitment to plan of action) in non-obese and obese women with a focus on the behavioral outcome of physical activity (leisure & lifestyle). A group of 137 women, aged 18-50 participated in this study. BMI was found to be positively correlated to an individual's perceived barriers to action. Findings did not support the hypothesis that as BMI increases perceived benefits, self-efficacy, commitment to a plan of action and physical activity levels would …

A New Measure Of Parental Self-Efficacy For Enacting Healthy Lifestyles In Their Children, Jonathan W. Decker

Electronic Theses and Dissertations

The issue of childhood obesity has become a pandemic of increasing prevalence and concern. Many behaviors contributing to overweight and obesity, such as dietary intake and physical activity, are learned in childhood. It is known that parents are key agents for change in their children. Therefore, interventions aimed at decreasing childhood overweight and obesity should be targeted at parents. Many parents state that they know the healthy dietary and physical activity behaviors they should adopt for their children, but lack the confidence, or self-efficacy, to enact these behaviors. A review of the literature for self-efficacy for behaviors in these domains …

Moral Distress And Avoidance Behavior In Nurses Working In Critical Care And Non-Critical Care Units, Mary Jo De Villers

Dissertations

Significance: Nurses facing impediments to what they perceive as moral practice may experience inner turmoil, frustration, and moral distress. These scenarios may culminate in resignation from employment at the individual level, increased attrition at the systems level, and poor patient outcomes, including increased morbidity and mortality.

Purpose: To explore the relationships between moral distress and avoidance thoughts and behavior between nurses currently practicing in critical care and non-critical care settings.

Methods: A descriptive cross-sectional comparative design was used. The sample was comprised of a randomized subset of 370 critical care nurses, a convenience sample of 87 nurses from a nursing …

Depressive Symptoms In Women Being Screened For Cardiovascular Disease Risk, Suzanne Marie Savoy

Dissertations

Background: Depressive symptomology is an independent risk factor for cardiovascular disease. Over 15% of persons with cardiovascular disease have depressive symptoms, and women are twice as likely to experience these symptoms as men. Depressive symptoms in women “ at risk ” for cardiovascular disease has not been well studied.

Purpose: This study investigated the relationship between depressive symptoms, health-promoting lifestyle behaviors, heart disease risk awareness, cardiac risk, and quality of life in women at risk for cardiovascular disease. Whether the effect of depressive symptoms on quality of life was mediated by cardiac risk and/or health-promoting lifestyle behaviors was also examined. …

Newborn Umbilical Cord Care: An Evidence Based Quality Improvement Project, Janeen Marie Whitmore

Doctor of Nursing Practice (DNP) Projects

No Abstract Available