Digital Commons Network^™

Are Unhygienic Practices During The Menstrual, Partum And Postpartum Periods Risk Factors For Secondary Infertility?, Tazeen S. Ali, Neelofar Sami, Ali Khan Khuwaja

School of Nursing & Midwifery

This study was aimed at identifying practices during the menstrual, partum and postpartum periods posing possible risk factors contributing towards secondary infertility in women of a selected population in Karachi, Pakistan. A matched case-control study was conducted from April 2003 to March 2004. Four hundred cases were selected from five infertility clinics affiliated with tertiary-care hospitals, and 400 age-matched controls were recruited from the neighbourhood of each case. After taking written consents, trained interviewers conducted interviews using a pretested structured questionnaire. Factors found to be independently associated with secondary infertility were: previous delivery at an unclean place (adjusted odds ratio …

Nutrient Intake In College Students In A Midwestern Regional University Compared To The Recommended Dietary Guidelines, Rukmini Sen

Master's Theses and Doctoral Dissertations

The prevalence of obesity is problematic in the United States. The objectives of the present study were to determine the extent of obesity in students studying at Eastern Michigan University and to evaluate their diet quality. Body Mass Index (BMI) of students (19-30 years, n=100) was measured from self-reported heights and weights as a benchmark of their weight category. Intakes of total energy (kilocalories), macronutrients and key micronutrients were assessed from three-day food diaries maintained by participants and compared with the Dietary Reference Intake Standards. Results indicated that 4% of EMU students were underweight, 52% were within a normal weight …

Office Nurse Educators: Improving Diabetes Self-Management For The Latino Population In The Clinic Setting, Dawn Weiler, Laura Tirrell

Nursing Faculty Publications and Presentations

Diabetes patients who understand their disease and how to manage it can achieve a lower complication rate. The American Diabetes Association recommends that patients receive self-management education and that patients' skills and knowledge be reassessed annually. The Healthy People 2010 objectives include a goal of at least 60% of diabetes patients receiving diabetes education. However, to date overall, far fewer (20%–50%) obtain comprehensive diabetes education and skills development to effectively implement self-management techniques. Low-income Latino patients generally fare even worse. This article describes a successful method to address this problem: the development and evaluation of an in-house diabetes education program, …

Advance Directives At End-Of-Life: Nursing Home Resident Preferences For Artificial Nutrition, Cheryl Monturo, Neville E. Strumpf

Nursing Faculty Publications

No abstract provided.

Giving Birth: The Voices Of Russian Women, Lynn Clark Callister, Natalia Getmanenko, Natalia Garvrish, Marakova Olga Eugenevna, Zotina Nataliya Vladimirova, Jane H. Lassetter, Natalia Turkina

Faculty Publications

Purpose: To gain an understanding of the meaning of childbirth to women living in St. Petersburg, the Russian Federation.

Study Design and Method: Twenty-four Russian women who had given birth in the past 6 months participated in this phenomenological study and were interviewed and audio-taped about the meaning of childbirth. Data collection and analysis occurred concurrently.

Results: The Russian sociocultural context of childbirth was identified in specific themes: (1) adhering to cultural traditions, (2) accessing information, (3) maintaining a healthy lifestyle, (4) articulating the spiritual and emotional meaning of giving birth, and (5) transforming as a mother and a person. …

Evaluation Of An Education Intervention For The Staff On The Head Of The Bed Elevation In The Pediatric Intensive Care Unit, Randall Johnson

Electronic Theses and Dissertations

Elevating the head of bed (HOB) reduces risks for aspiration and ventilator associated pneumonia (VAP) in the adult population. Educational interventions have resulted in improvements in achieving a target HOB elevation of 30° in adults. Limited research has addressed this intervention in the pediatric intensive care unit (PICU). The aim of this study was to determine if an educational intervention for the PICU staff would result in improvement in the HOB elevation in the PICU. Four research questions were studied: 1) What is the common practice related to the elevation of the HOB in the PICU? 2) Is there a …

Benchmarking Quality In Online Teaching And Learning: A Rubric For Course Construction And Evaluation, Mona P. Ternus, Kay L. Palmer, Debbie R. Faulk

Ellmer School of Nursing Faculty Publications

Online courses have many components and dimensions. Both the form (structure) and the content (expression) are situated in an overall environment. The sum of these elements results in student outcomes and learning. In order to facilitate construction and evaluate the quality of an online course, a four-part rubric was designed to reflect:

Structure (Context, Organization, and Environment)

Content (Presentation of Information)

Processes (Relationships and Interactions)

Outcomes (Mastery of Content and Course Evaluation)

This rubric was designed to provide quantitative and qualitative standardized evaluation for faculty self-evaluation, peer evaluation, and administrator evaluation. The rubric was piloted at two universities and shown …

Healing Our Hazardous Environment, K V. Hall, B M. Afzal, Barbara Sattler

Nursing and Health Professions Faculty Research and Publications

No abstract provided.

A Grounded Theory Study: Hispanic Adolescents' Experience Of Being Overweight, Wilma Powell Stuart

All ETDs from UAB

The number of overweight adolescents worldwide has continued to increase over the past several decades. Intervention studies for weight management with overweight adolescents are challenged by high rates of attrition and have failed to achieve sustained outcomes. Hispanic adolescents have a higher risk of being overweight than their African American and White peers do. However, Hispanic overweight adolescents have been poorly represented in intervention studies with overweight adolescents. The factors that influence the Hispanic overweight adolescents’ perceptions of weight and weight loss management are not known. This qualitative study used ground theory methodology to identify the factors that influence perceptions …

The Impact Of Stress Management On Nurse Productivity And Retention, Tammi F. Milliken, Paul T. Clements, Harry J. Tillman

Counseling & Human Services Faculty Publications

Throughout the history of nursing there is a seeming legacy of personnel shortage, lack of funds, and, based on the nature of the role and related services, heightened levels of stress involved in patient care.

The future of the profession and more imminently, patient care and the health of nurses, may be significantly impacted by repeated challenges where current levels of stress and burnout are contributing to organizational problems, burnout, and attrition.

Employee stress and burn out commonly lead to myriad health-related problems that result in significant organizational consequences.

There are many methods of stress management, and sometimes the best …

Effects Of Teaching Resourcefulness And Acceptance On Affect, Behavior, And Cognition Of Chronically Ill Elders, Jaclene Zauszniewski, Abir K. Bekhet, Chien-Yu Lai, Patricia Mcdonald, Carol M. Musil

College of Nursing Faculty Research and Publications

This clinical trial examined changes in affect, behavior, and cognition in 176 chronically ill elders who were randomly assigned to Resourcefulness Training (RT), Acceptance Training (AT), or Diversional Activities (DA). The RT group improved on affect (t(1,42) = 4.91; p < .001) and cognition (t(1,42) = 2.03; p< .05) and these effects lasted 12 weeks. The AT group improved on affect (t(1,36) = 3.08; p < .01), but this improvement did not persist. The RT and AT groups both showed positive behavior changes after six weeks. There were no changes in the DA group. The findings suggest that teaching elders resourcefulness and acceptance of chronic conditions may promote healthy functioning and improve their quality of life.

Resilience And Depressive Symptoms In Midlife Women, Keverne L. Lehman

Masters Theses

Rates of depression are increasing throughout the world, with women experiencing depression twice as often as men. This study utilized the Neuman Systems Model to examine the relationship in midlife women between depressive symptoms and resilience. Women ages 35-55, selected from four health care settings, completed written surveys on demographic information, life events, depression, and resilience. Results supported depressive symptoms as a health concern for mid-life women: 32% reporting current or previous treatment for depression, and 24% screening positive for depression. Resilience, measured by the Polk Resilience Patterns Scale, was related to education, perceived health, conflict in the living situation, …

Depression, Anxiety, Hazardous Drinking, Subjective Burden, And Rewards In Family Caregivers Of Patients With Chronic Liver Disease, Lois Vennesta Bolden

Theses and Dissertations (ETD)

This descriptive correlation study had three purposes. The study first described depressive and anxiety symptom levels, prevalence of hazardous drinking, rewards, and subjective burden reported by family caregivers of patients with chronic liver disease (CLD). Second, the investigator compared depressive and anxiety symptom levels, prevalence of hazardous drinking, rewards, and subjective burden reported by African Americans family caregivers with those reported by Caucasian family caregivers of patients with CLD. The third purpose was to determine the predictors of subjective burden and mental health status of family caregivers of persons with CLD.

A convenience sample of 73 caregivers of patients receiving …

Minority Adolescents At Risk For Obesity: Health Behaviors And Perceptions, Linda D. Jones

Master's Projects

The purpose of this study was to examine behaviors related to nutrition and physical activity of inner-city minority adolescents, and their perception of normal weight and overweight. The research study used a descriptive, non-experimental design which had a convenience sample of thirty-seven 8th grade minority adolescents who attended a chartered urban K-8 grade school in Northern California. There were no statistically significant differences in the results, however, over 50% of the students reported not eating the recommended daily servings of fruits and vegetables. Another 68% reported participating more than 30 minutes in exercising or playing sports during physical education class. …

Peters, Ann, Betty Schmoll, And Nancy Janssens Interview For The Miami Valley College Of Nursing And Health Oral History Project, Donna M. Curry, Carol Holdcraft, Ann Peters, Betty Schmoll, Nancy Janssens

Wright State University - Miami Valley College of Nursing and Health Oral History Project

Donna Miles Curry and Carol Holdcraft interviewed Ann Peters, Betty Schmoll, and Nancy Janssens in the first group interview for the oral history project on November 13, 2006. In this interview they discussed the struggles and hurdles they faced while applying and beginning their nursing school in addition to their careers.

Youth Soccer Intervention For Childhood Overweight In Mississippi, Robert A. Leach D.C.

MSN Research Projects

The scourge of childhood obesity in Mississippi threatens to undermine progress made in other national health goals espoused by the Centers for Disease Control (CDC). Community-based youth sport activities, and specifically soccer, may lower Body Mass Index (BMI) and have the potential to provide the vigorous physical activity preventive and intervention indicated by studies to date, especially given the explosive growth o f the sport in the US recently among females. After gaining approval from the Starkville School Board, access to FitnessGram data of all 4^^ grade students at a public school was obtained and data revealed 57 female students …

Stalter, Ann Interview For The Miami Valley College Of Nursing And Health Oral History Project, Donna M. Curry, Carol Holdcraft, Ann M. Stalter

Wright State University - Miami Valley College of Nursing and Health Oral History Project

Donna Miles Curry and Carol Holdcraft interviewed Ann Stalter on August 7, 2006 about the founding of Wright State University College of Nursing and Health. In the interview Ms. Stalter discusses her career and her decision to come to Wright State as a student with the College of Nursing and Health.

The Role Of Advanced Nurse Practitioner In Health Promotion And Disease Prevention Of Obesity In Children, Pamela Johnson

MSN Research Projects

Obesity is one of the most serious health problems facing the youth of the United States. Evidence suggests that the problem is getting worse rapidly. Obesity is now the most prevalent physiological and psychological disease of children and adolescents. Many people; i.e., governmental authorities and national leaders in the health care system perceived that obesity will impact health care in the United States, as well as in the world, now and in the future; specifically, increased cost, increased individual and community health infractions, problems, and quality of life. Many people think it is a cosmetic problem only, but in reality, …

The Role Of The Nurse Practitioner In Health Promotion And Childhood Obesity, Jennifer Fitzgerald Stanton

MSN Research Projects

The purpose of this study is to further explore literature regarding the role of the nurse practitioner in health promotion and childhood obesity.

Glaucoma And Quality Of Life And The Role Of The Nurse Practitioner, Jennifer Fitzgerald Stanton

MSN Research Projects

The purpose of this study is to further explore literature regarding the role of the nurse practitioner in health promotion and childhood obesity.

Providers' Use Of Standards Of Care For Methicillin Resistant Staphlyococcus Aureus Abcesses, Lesleigh Norris Wilbourbe

MSN Research Projects

The purpose of this research project was to develop a nurse practitioner knowledgebase regarding the role of the nurse practitioner in screening and caring for the patient with glaucoma in primary care.

Glaucoma And Quality Of Life And The Role Of The Nurse Practitioner, Lesleigh Norris Wilbourbe

MSN Research Projects

The purpose of this research project was to develop a nurse practitioner knowledgebase regarding the role of the nurse practitioner in screening and caring for the patient with glaucoma in primary care.

Effect Of Health Disparities On African American Clients, Sonia L. Mcclinton

MSN Research Projects

The concept of health disparities have moved to the forefront of the nation’s healthcare agenda in the 2T* century due to the overwhelming disproportionate numbers of health care problems noted in African American populations as opposed to their counter parts. Despite the advances that have been made in biotechnology, improvement in medical procedures, and the eradication o f certain infectious diseases, African Americans continue to have poorer health status than other Americans. The literature extensively described several contributing factors for disparities in health such as socioeconomic status, race, ethnicity, and geographical location. Many of the differences in health occur because …

The Role Of The Nurse Practitioner In Health Promotion During Pregnancy, Sarah Elizabeth Hendrix

MSN Research Projects

Health promotion is fundamental to nurse practitioner practice. To be effective in health promotion, the nurse practitioner must have a clear understanding of the nature of behavioral change, the individual issues each client brings to a particular behavior, and have expertise in health promotion. The nurse practitioner must possess specific skills to facilitate the client’s movement along the continuum of health behavior change. Health promotion that enhances prenatal care has been described and established by evidence-based research and professional practice guidelines. The purpose of this evidence-based research project was to develop a current nurse practitioner knowledgebase regarding the role of …

The Role Of The Nurse Practitioner Regarding The Promotion Of Health In Childhood Obesity, Joanna R. Mccollum

MSN Research Projects

Childhood obesity is a condition that is growing in epidemic proportions in the United States (U.S.). The prevalence of childhood obesity has doubled since the 1980’s. The Centers for Disease Control (CDC, 2002), stated that approximately 55 % o f the U.S. population is overweight. According to Moran (1999), preventing childhood obesity significantly decreases morbidity related to type II diabetes, hyperlipidemia, hypertension, hyperuricemia, and other chronic conditions. The purpose o f this Evidence Based Practice (EBP) project was to develop a nurse practitioner knowledgebase regarding health promotion in childhood obesity. The research questions asked: (a) What is the level o …

Autonomy As It Relates To The Role Of The Nurse Practitioner, James A. Ray

MSN Research Projects

The quintessential issue of nurse practitioner practice is the establishment of autonomy. The intention o f the pioneers o f nursing was to build on existing nursing autonomy and significantly expand it to accommodate the new role (Brown & Draye, 2003). While it is true nurse practitioners enjoy a limited amount of practice autonomy today, true autonomy cannot be achieved until the stigmata of collaborating physician is removed as a requirement for practice. The purpose o f this integrative literature review was to investigate the level of knowledge regarding nurse practitioner coping with role transition. The current level o f …

The Relationship Between The Health Behaviors Of Female University Freshmen And Their Academic Success, Courtney Taylor

MSN Research Projects

The purpose o f this study was to characterize the relationship between the health behaviors and academic achievement o f university women. To this end, female freshmen at Mississippi University for Women were given questionnaires measuring their healthrelated lifestyle habits that were then correlated with the students’ grade point averages. Lifestyle habits were assessed via the Wellness Worksheet questionnaire (WW), and academic success, first semester grade point averages (GPA). The analysis revealed a moderately weak and positive relationship between healthier lifestyle choices and first semester GPA, r = .34. Among the behaviors addressed by the WW, alcohol and other drug …

A Retrospective Evaluation Of The Planetree Patient Centered Model Of Care Program's Impact On Inpatient Quality Outcomes, Susan Stone Phd

Dissertations

This retrospective quasi experimental study evaluated the effectiveness of Planetree's patient-centered model of care. Donabedian's model linking structure and process to outcome was used to frame this study. The structure variable is the inpatient acute care hospital unit and the process variable consists of the Planetree patient-centered model of care. Outcomes are (1) patient satisfaction, (2) length of stay, (3) readmission, (4) cost per case, and (5) productive nursing hours per patient day. All data for patient satisfaction, length of stay, readmission, cost per case and productive nurse hours per patient day were retrospective, no participant recruitment was needed. Data …

The Current Level Of Nursing Knowledge Regarding The Management Of Cardiovascular Disease In Postmenopausal Women, Lynda Smith Hardin

MSN Research Projects

Cardiovascular disease (CYD) is the single leading cause o f death and a significant cause o f morbidity o f American women. Despite years of research and compelling data indicating that CYD is largely preventable, alarming trends in the prevalence and management o f risk factors in women continue to occur. In 2005, the estimated direct and indirect cost o f CYD was $393.5 billion (American Heart Association [AHA], 2005). Despite the fact that CYD kills more women per year than the next six causes of death combined; only 13% o f women consider CYD to be their greatest health …

The Relationship Between Perceived And Ideal Body Size And Body Mass Index Among 9th Grade Students In An Urban High School, Irma Orozco

Master's Projects

This study examined the perceptions of actual and ideal body size and how it related to body mass index in 82 ethnically and socioeconomically diverse 9th-graders from an urban high school. The height and weight were measured, and BMI was calculated for each of the 82 participants. Using the Childress Silhouette Scale (CSS), each student self-reported Perceived Actual Self Image (P ASI) and Perceived Ideal Self Image (PISI). The CSS was modified to offer 7 figure drawings that illustrated various examples of underweight, healthy weight, overweight, and obese. Results showed that 54% ofthe students had a healthy weight, 21% were …