Digital Commons Network^™

Exploring A Model Of Transcultural Nursing Practice That Promotes Cultural Care Preservation/Maintenance, Margaret Sormana

Theses and Graduate Projects

Migration is increasing due to instability in most parts of the world. Immigrants are faced with the choice to either maintain their unique cultural heritage or adopt the culture of the host country. Most immigrants desire to maintain their cultural heritage which requires balancing the values of their cultural heritage with those of the host country. Balancing includes silence which can reinforce self-blame when the values are in conflict. This project sought to break these patterns by engaging a group of Somali women in creative artistic activities. Based on Leininger's model of Cultural Care Diversity and Universality (1985), Watson's Human …

Characteristics Of A Spina Bifida Population Including North American Caucasian And Hispanic Individuals, Kit Sing Au, Phong X Tran, Chester C Tsai, Michelle R O'Byrne, Jone-Ing Lin, Alanna C Morrison, Amy W Hampson, Paul Cirino, Jack M Fletcher, Kathryn K Ostermaier, Gayle H Tyerman, Sabine Doebel, Hope Northrup

Faculty, Staff and Student Publications

BACKGROUND: Meningomyelocele (MM) is a common human birth defect. MM is a disorder of neural development caused by contributions from genes and environmental factors that result in the NTD and lead to a spectrum of physical and neurocognitive phenotypes.

METHODS: A multidisciplinary approach has been taken to develop a comprehensive understanding of MM through collaborative efforts from investigators specializing in genetics, development, brain imaging, and neurocognitive outcome. Patients have been recruited from five different sites: Houston and the Texas-Mexico border area; Toronto, Canada; Los Angeles, California; and Lexington, Kentucky. Genetic risk factors for MM have been assessed by genotyping and …

Prenatal Education: Priorities For Perinatal Nurses, Lisa Hanson

College of Nursing Faculty Research and Publications

No abstract provided.

The Contemporary Perspective Of Wellness Through The Voices Of The Kūpuna, Anne P. Odell Phd

Dissertations

Few studies successfully explain the decline of Hawaiian health, nor provide enough insight to the cultural determinants that affect Hawaiian wellness. For over two hundred years, Hawaiians have been influenced by a changing landscape mostly imposed upon Hawaiians and Hawaiian lands as a consequence of being conquered by powerful Western cultures. This grounded theory study utilized video elicitation and focus group methodologies to examine the perspective of wellness in a group of Hawaiian elders known as kūpuna. Following the viewing of a documentary film designed to elicit culturally based memories, a series of interview questions were asked to foster group …

Shea/Apic Guideline: Infection Prevention And Control In The Long-Term Care Facility, Philip W. Smith, Gail Bennett, Suzanne Bradley, Paul Drinka, Ebbing Lautenbach, James Marx, Lona Mody, Lindsay Nicolle, Kurt Stevenson

United States Department of Veterans Affairs: Publications

Long-term care facilities (LTCFs) may be defined as institutions that provide health care to people who are unable to manage independently in the community.¹ This care may be chronic care management or short-term rehabilitative services. The term nursing home is defined as a facility licensed with an organized professional staff and inpatient beds that provides continuous nursing and other services to patients who are not in the acute phase of an illness. There is considerable overlap between the 2 terms.

More than 1.5 million residents reside in United States (US) nursing homes. In recent years, the acuity of illness …

Resting Energy Expenditure And Delayed-Onset Muscle Soreness After Full-Body Resistance Training With An Eccentric Concentration, Kyle J. Hackney, Hermann J. Engels, Randall J. Gretebeck

College of Nursing Faculty Research and Publications

The purpose of this investigation was to determine the effect of an acute bout of high-volume, full-body resistance training with an eccentric concentration on resting energy expenditure (REE) and indicators of delayed-onset muscle soreness (DOMS). Eight resistance trained (RT) and eight untrained (UT) participants (mean: age = 23.5 years; height = 180.76 cm; weight = 87.58 kg; body fat = 19.34%; lean mass = 68.71 kg) were measured on four consecutive mornings for REE and indicators of DOMS: creatine kinase (CK) and rating of perceived muscle soreness (RPMS). Delayed-onset muscle soreness was induced by performing eight exercises, eight sets, and …

Fifth Grader's Weight Status Perceptions, Alice Parker Hannifin

Graduate Research Projects

Childhood obesity is rising and children's perceptions of their weight status may be influential. This study analyzed the responses of 18 fifth grade students regarding their perception of their weight status. The participants included 12 girls and 6 boys obtained from a convenience sample at a rural elementary school. A positive correlation between weight perception and BMI was demonstrated(r= .804, p< 0.01), although some misperceptions were evident. The majority of students worried about their weight even if they were at a healthy weight. Overweight children responded that healthcare providers and parents are not talking to them about their weight. Participants recognized that diet and exercise are the main reasons for overweight in children. Health implications of life-long obesity are significant. This small study showed, as other studies, that problems in weight perception are evident at the 5th grade level.

Uab Nursing - Summer 2008, University Of Alabama At Birmingham

UAB Nursing magazine

No abstract provided.

Identifying Determinants Of Physical Activity In Maritime Union Members Using The Theory Of Planned Behavior, Susan Atkinson Tweed

Health Services Research Dissertations

This study examined the usefulness of the Theory of Planned Behavior to predict how attitude, subjective norm, perceived behavioral control, and intention are associated with physical activity in longshoremen from the Hampton Roads Shipping Association-International Longshoreman's Association (HRSA-ILA). The study was conducted in two phases. In the first phase, five focus groups were conducted to elicit information about the health behaviors of longshoremen. From the results of these focus groups, a 90-question, theory based, self-reported questionnaire was developed to identify beliefs, attitudes, subjective norms, perceived behavioral control, and intentions that contribute to longshoremen engaging in physical activity. In the second …

Transformations With Tai Chi: The Experience Of Community-Dwelling Tai Chi Practitioners, Sunny Yim Alperson Phd

Dissertations

While Tai Chi practice has dramatically increased across the U.S., its mechanism is unknown, and overall understanding of the phenomenon is lacking. The purpose of this study was to explore the experience of community-dwelling Tai Chi practitioners through a qualitative study, detailing its social and personal appeal, the reasons for their continued involvement, its symbolic meanings, and its impact on their lives. Utilizing the grounded theory method and dimensional analysis, in-depth interview data from 23 practitioners, aged 49-82 were audio-recorded, transcribed, coded and analyzed to derive a grounded theory. A theoretical model, transformation with moving meditation was developed, reflecting the …

Becoming A Mother Across Cultures: Challenges Nurses Experience Teaching Prenatal Care To Recent Immigrant Sudanese Women, Cathy E. Miller

Theses and Graduate Projects

The purpose of this project is to provide an overview of Maternal Role Attainment (MRA) theory as discussed in nursing literature and explore how separation from culture may affect the transition to becoming a mother. Nursing issues related to teaching and supporting recent immigrant Sudanese women will also be identified. MRA is a complex developmental and transitional experience for women. In the United States, many women take on this role with the support of their culture, family, friends and community. However, over the past few years, the local public health agency has served a small number of immigrant pregnant Sudanese …

Giving Voice To Lived Experience Of Children Affected By Hiv/Aids In Namibia, Annie Retter

Theses and Graduate Projects

Namibia is one of the top five countries where HIV/AIDS is at epidemic proportions and thousands of Namibian children have become innocent victims of the disease. Research on children's lived experience of HIV/AIDS in Namibia is needed in nursing literature. The purpose of this project is to answer the question: What is it like to grow up in a society where AIDS is the leading cause of death and HIV infection rates are at epidemic proportions? Madeleine Leininger's Culture Care Theory will guide the research. An ethnonursing methodology that incorporates hermeneutic phenomenology will be used to answer the research question …

Commencement Program 2008, Loma Linda University

Commencement Programs

CONTENTS

2 | 2008 Events of Commencement

3 | The Academic Procession

4 | Significance of Academic Regalia

5 | The Good Samaritan

6 | The Speakers

14 | The University Honorees

24 | The School Honorees

35 | The Programs

36 | School of Medicine

47 | School of Pharmacy

52 | School of Dentistry

62 | School of Science and Technology and School of Religion

70 | School of Nursing

76 | School of Allied Health Professions - Physical Therapy

82 | School of Allied Health Professions

91 | School of Public Health

The Effects Of Flaxseed Sdg On Perimenopausal Women With Mild Hyperlipidemia, Bonnie Marblestone Phd

Dissertations

In 2001, the National Cholesterol Education Program (NCEP) expanded their guidelines for evaluation and treatment of hyperlipidemia which includes not only a low cholesterol diet and exercise, but also the use of plant stanols such as Flaxseed and Soluble fiber. According to the NCEP III guidelines, women with mild hyperlipidemia and low risk cardiac factors would not qualify for drug therapy to control their cholesterol. However, the use of plant stanols could be used as an alternative. As there are limited studies involving postmenopausal women in regards to treatment of heart disease, there is virtually no information or research on …

Molecular Profile Of Women With And Without Secondary Breast Cancer After The Treatment Of Pediatric Hodgkin Lymphoma, Belinda Neal Mandrell

Theses and Dissertations (ETD)

dentification of genetic risk factors associated with the development of secondary cancers would facilitate identification of at risk patients and permit modification of therapy and heightened surveillance that may reduce cancer-related morbidity and mortality. Women survivors of pediatric Hodgkin lymphoma (HL) have an increased risk of morbidity and mortality associated with secondary effects of therapy, with a 35-75 fold excess risk of developing breast cancer over the general population. The mechanism for secondary breast cancer among Hodgkin survivors is not understood. Researchers have postulated that the familial characteristics of HL could be associated with mutations found within familial cancer syndromes; …

Predictors Of African American Women's Perceived Health Status In The Context Of Caring For A Relative With End Stage Renal Disease, Dina Jo Byers

Theses and Dissertations (ETD)

The purposes of this study of African American women who were family caregivers of persons with end stage renal disease (ESRD) were to: (1) identify their perceived health status and changes in perceived health status since assuming the caregiver role, (2) document the association between objective health status and caregiver age, (3) document the relationship between age and perceived health status, (4) identify demographic and subjective and objective health factors that predict perceived health status, and (5) identify their health promotion behaviors. The design for this study was a cross-sectional, descriptive correlational secondary analysis of data obtained from 75 African …

Comparing Net And Eri Standardized Exam Scores Between Baccaulureate Graduates Who Pass Or Fail The Nclex-Rn, Mary D. Bondmass, Sheniz Moonie, Susan Kowalski

Environmental & Global Health Faculty Research

In the United States, nursing programs are commonly evaluated by their graduates success on the National Council Licensure Examination for Registered Nurses (NCLEX-RN). The purpose of this paper is to describe a change in NCLEX-RN success rates following the addition of standardized exams throughout our program's curriculum, and to compare these exam scores between graduates who pass NCLEX-RN and those who do not. Our results indicate an 8.5% change (p < 0.000) in the NCLEX-RN pass rate from our previous 5-year mean pass rate, and significant differences in standardized test scores for those who pass the NCLEX-RN compared to those who do not (p < 0.03). We conclude that our selected standardized exam scores are able to significantly identify graduates who are more likely to pass NCLEX-RN than not.

Mortality Prognostication In Long-Term Care Residents: The Mds-Chess Scale, Caroline Etland Phd, Msn, Cns

Dissertations

Quality end of life (EOL) care for the elderly continues to be a challenge, in part due to late referral for palliative and/or hospice services. The purpose of this study was to determine the accuracy of the MDS-CHESS scale (Hirdes, Frijters & Teare, 2003) in predicting 6-month mortality in a stable American nursing home (NH) population. A secondary aim was to determine any differences in mortality between the 2 sites. A sample of 191 residents of two NHs was analyzed in a retrospective, correlational cohort study, using data collected from the federal MDS database. Correlational statistics and logistic regression were …

Nursing In Uganda: My Summer Of Unexpected Discoveries, Emily Roberts

Inquiry Journal 2008

No abstract provided.

Leadership, Bonnie M. Jennings, Joanne Disch, Laura Senn

Faculty Research, Scholarly, and Creative Activity

No abstract provided.

Obesity Risk Knowledge, Self-Efficacy, And Physical Activity In Families Of Adolescents, Elaine M. Rutkowski Phd, Msn, Rn, Cns

Dissertations

There were no significant relationships found between parental obesity risk knowledge and physical activity in their children. nor between parent's self efficacy and their children's physical activity. In addition there was no significant relationship between the adolescents' obesity risk knowledge and their physical activity. There was, however, a statistically significant relationship between adolescent's self efficacy and physical activity. The result of the correlation between parent's self-efficacy and their level of physical activity was not significant but approached significance (p = .07) and may be identified as a trend. There was a statistically significant negative correlation between parents who describe their …

Struggling With Disconnection: The Lived Experience Of Being Homeless And In Need Of Healthcare, Nonceba Mbangata

Theses and Graduate Projects

The intent of this field project was to study the disconnection that is experienced by homeless persons within the healthcare system. Homelessness is a growing concern that affects all age groups throughout the United States. It is not a secret that the increase in homelessness is stressing the health care system and limiting choices of becoming a healthy individual. The state of the health care system today and the nomadic habits of homeless persons make it impossible for those struggling with homelessness to stay connected to health care services. This project will illuminate the lived experiences of homeless persons as …

Nursing Annual Report 2007, Children's Mercy Hospital

Nursing Annual Reports

Annual report for nursing services at Children's Mercy Kansas City.

The Effect Of A Nurse-Respiratory Therapist Weaning Protocol On The Duration Of Mechanical Ventilation And The Incidence Of Ventilator-Associated Pneumonia, Andrea Lucas

Theses, Dissertations and Capstones

The purpose of this research study was to show the effectiveness of implementing a standardized nurse-respiratory driven weaning protocol in decreasing the time spent on mechanical ventilation and the incidence of ventilator-associated pneumonia in mechanically ventilated patients compared to using individual physician methods. Chart reviews were performed to compare the incidence of ventilator-associated pneumonia (VAP) prior to the initiation of the nurse-respiratory driven weaning protocol. Sister Callista Roy’s Adaptation theory was used as a framework for this study to show that nurses could promote adaption by using a standardized ventilator weaning protocol. The study did not show statistical significance that …

Disorders Of Fatty Acid Oxidation In The Era Of Tandem Mass Spectrometry In Newborn Screening, Sandra A. Banta-Wright, Kathleen C. Shelton, Michael J. Bennett

Faculty Publications - College of Nursing

With recent advances in laboratory technology with tandem mass spectrometry (MS/MS), the number of infants identified with a fatty acid oxidation disorder has increased dramatically. Disorders of fatty acid oxidation comprise one of the most rapidly growing groups within the field of errors of metabolism. This review will explore the recent developments in newborn screening related to the use of tandem mass spectrometry and disorders of fatty acid oxidation.

Uab Nursing - Winter 2008, University Of Alabama At Birmingham

UAB Nursing magazine

No abstract provided.

Und Nursing: A Legacy Of Caring, 1982-2008, Diane Helgeson, Rennae Millette

UND Departmental Histories

This departmental history was written on the occasion of the UND Quasquicentennial in 2008.

Cultural Diversity: Pain Beliefs And Treatment Among Mexican-Americans, African-Americans, Chinese-Americans And Japanese-Americans, Anthony J. Alvarado

Senior Honors Theses and Projects

The purpose of this project was to examine culture and the impact it has on the pain experience. Pain, albeit acute or chronic, is an important subject to understand because it can have detrimental effects on the body if not properly managed. Culture has been found to be a factor that influences one’s pain experience and thus the need for healthcare professionals to acknowledge this is imperative. The cultures examined in this paper include: Mexican- Americans, African-Americans, Chinese-Americans and Japanese-Americans. Within these four cultural groups their beliefs about the origin of pain, physical responses to pain, health and illness beliefs …

African American Women And Hypertension: Their Resources Of Information, Knowledge Level, And Health Promoting Behaviors, Winnie Wood

Graduate Capstone Projects

The purpose of this study was to describe the information resources, level of knowledge on hypertension, and health promoting behaviors (diet and exercise) of young African American women, and to determine whether there was a relationship between their knowledge level and health promoting behaviors (diet and exercise). The study sample consisted of African American women (N=31) 18 to 30 years old. Data was collected using a demographic questionnaire, High Blood Pressure IQ Quiz, and the Health Promoting Lifestyle Profile II. Participants reported they received majority of their information from doctors, family, television, and schools. Participants scored an average of 70% …

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 …