Digital Commons Network^™

Cigarette Smoking Among Low-Income African Americans: A Serious Public Health Problem, Jorge Delva, Marisol Tellez, Tracy L. Finlayson, Kimberlee A. Gretebeck, Kristine Siefert, David R. Williams, Amid I. Ismail

College of Nursing Faculty Research and Publications

Background

This study examines the current prevalence of cigarette smoking and the number of cigarettes smoked in a community-based sample of 1021 low-income African-American men and women.

Methods

Participants were selected using a two-stage, area probability sample design. Data were collected in 2002–2003 in face-to-face interviews and analyzed in 2005. All data and analyses were weighted to account for the complex sampling design.

Results

Fifty-nine percent of men and 41% of women were current smokers, with younger individuals apparently initiating smoking at an earlier age than older individuals.

Conclusions

The high prevalence of cigarette use provides further evidence that the …

Adult Suicide Attempts In Relationship To Life Experiences And Familial Tendencies, Laura S. Ford

Graduate Research Projects

The purpose of this project was to describe the variables age, gender, child or adult abuse, educational level, family history of suicide, depression, economic level as factors related to adult attempted suicides. The Lazarus framework was used to examine factors contributing to adult attempted suicide. A suicide prevention community education project was developed with Lazarus’s theory of cognition and unconscious processes in mind. Lazarus’s theory focuses on the relationship between development of coping skills learned during childhood and how a person will respond using those skills as an adult. This project explored links between child and adult abuse, education or …

The Flame, Summer 2005, Mennonite College Of Nursing

The Flame (1985-present)

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

Adaptation To Cesarean Birth: Implementation Of An International Multisite Study, Jacqueline Fawcett, Cynthia Aber, Marianne E. Weiss, Susan Haussler, Sheila Taylor Myers, Charlette King, Jennifer Newton, Virginia Silva

College of Nursing Faculty Research and Publications

The purpose of this column is to describe the implementation of an international multisite Roy adaptation model-based study of women’s perceptions of and responses to cesarean birth. The need for the study arose from the concern that women’s childbearing needs may not be met to their full satisfaction, especially if the infant is born by cesarean. Serendipity and networking played a part in the selection of four study sites in the United States (Boston, Milwaukee, Norfolk, Oklahoma City) and two in other countries (Finland, Australia). Data were collected by nursing students and staff nurses. Post-hoc consideration of the diversity of …

Culture Brokering: A Case Study Resolving Conflict In A Health Care Setting, Katherine A. Baumgartner

Theses and Graduate Projects

This paper describes the application of a culture brokering model developed by Mary Ann Jezewski to a cultural conflict within a pediatric clinic. The purpose of the case study was to explore the usefulness of the culture brokering model as a tool in resolving conflict as well as a process to expand cross-cultural understanding and promote connectedness of the patient in the health care system. A practice model for the advanced practice nurse is discussed which combines the cultural brokering model and places it within the framework of Leininger's Theory of Culture Care Diversity and Universality. The cultural conflict in …

Commencement Program 2005, Loma Linda University

Commencement Programs

CONTENTS

2 | 2005 Events of Commencement

3 | President's Welcome

5 | Celebrating Our Centennial of Global Service

7 | Path of History: Loma Linda University Historical Sites

11 | The Academic Procession

12 | Significance of Academic Regalia

13 | The Speakers

20 | The University Honorees

25 | The School Honorees

35 | The Programs

• School of Medicine, 36
• School of Dentistry, 43
• Graduate School, 52
• School of Nursing, 62
• School of Allied Health Professions - Physical Therapy, 67
• School of Allied Health Professions, 73
• School of Public Health, 81

A Survey Of California Nurse Practitioners' Health Practices And Counseling Habits, Jessica Malone

Master's Projects

Morbidity and mortality due to obesity continues to rise in the United States despite well known Healthy People 2010 and American College of Sports Medicine guidelines on physical activity. In the U.S. today, more than 60 percent of Americans aged 20 years and older are overweight (Hedley et al., 2004). This study investigated the exercise practices of California nurse practitioners (NPs }, how their practices compare to recommended guidelines, and to what extent California NPs prescribe aerobic exercise and strength training to their clients. The California Nurse Practitioners Physical Activity Questionnaire was self-administered at the annual2005 California Association for Nurse …

Self-Efficacy And Sexual Transmitted Disease Prevention Among College Women, Dominique M. Ly

Master's Projects

According to the Center of Disease Control (2002), sexual transmitted diseases (STDs) are on the rise, especially among women. By far, women bear the greatest burden of STDs because they suffer more frequently and develop more serious complications than men. This study explored the relationship between self-efficacy and safe sex behaviors among college women. The data was collected by using questionnaires from the General Perceived Self-Efficacy Scale (GPSE) and the Condom Use Self-Efficacy Scale(CUSES). The sample was composed of 38 unmarried female college students between the ages of 18 and 25 years-of-age who had been sexually active within the last …

Perceived Social Support Among Chinese American Hemodialysis Patients, Kaklam Wong

Master's Projects

Social support is linked to improved health outcomes both in Western and Asian societies and is a vital factor in a patient's adjustment to end-stage renal disease and its treatment regimen. This study explored perceived social support among 46 Chinese American hemodialysis patients in San Francisco's Chinatown using the Norbeck Social Support Questionnaire plus open-ended questions. Findings unexpectedly revealed low levels of perceived social support and lack of tangible support especially in elder patients. We can no longer assume that traditional family cultural values are providing adequate social support for this population.

Navigating The Change Of Life: The Menopausal Transition Of Thai Immigrant Women, Bulaporn Natipagon-Shah Phd, Msn, Rn

Dissertations

Given that women continue to live more than three decades after menopause and their health and well-being in later life are determined by quality of health during the menopausal transition, menopause has become an important issue in the healthcare arena. The growing number of immigrant women in the United States signifies a need for healthcare providers to develop cultural knowledge and sensitivity toward each immigrant group regarding the issue of menopause. The purpose of this qualitative study was to build a substantive grounded theory of the experiences of menopausal transition among Thai immigrant women in the United States. Data collection …

Rain Rhythms: Spring 2005, College Of Nursing & Professional Disciplines

RAIN Rhythms

No abstract provided.

Think First For Kids (Tffk): A Longitudinal Analysis Of A School-Based Injury Prevention Curriculum, Dorothy L. Zirkle Phd

Dissertations

Despite years of legislative and public health efforts, unintentional injury continues to be a serious public health problem and is identified as a major priority on the national health care agenda. The high incidence of unintentional injury in the middle childhood age group is of particular interest due to immaturity of the cognitive, psychosocial, and neurophysical dimensions of the child. The purpose of this study was to examine the effectiveness of a school-based curriculum on improving knowledge and self-reported safety behaviors over time among ethnically and socioeconomically diverse elementary school aged children. The social, cultural, cognitive, and behavioral learning theory …

Determinants Of Physical Activity And Low-Fat Diet Among Low Income African American And Hispanic Middle School Students, Marilyn Frenn, Shelly Malin, Antonia M. Villarruel, Kimberly Slaikeu, Stephanie Mccarthy, Joan Freeman, Erinn Nee

College of Nursing Faculty Research and Publications

African Americans, Hispanics, and those with low income experience disproportionate health problems that can be prevented by physical activity and a lower fat diet. In this descriptive cross-sectional study, antecedents of diet and exercise within the Health Promotion/Transtheoretical Model were examined among low-income African American and Hispanic seventh-grade students (n = 127). Total support was associated with higher physical activity for girls. African Americans perceived greater social support for activity than Hispanics. Family models and support for physical activity and low-fat diet were greater as family income increased. However, higher family role models and lower dietary fat were found …

Promoting Healthful Diets And Exercise: Efficacy Of A 12-Week After-School Program In Urban African Americans, Hermann-J. Engels, Randall J. Gretebeck, Kimberlee A. Gretebeck, Linda Jimenez

College of Nursing Faculty Research and Publications

This study examined the effectiveness of a unique extracurricular after-school initiative designed to promote healthy diets and exercise in urban African Americans. The Students and Parents Actively Involved in Being Fit after-school program was offered for 12 weeks to students and their parents/guardians at an urban middle school. Specific aims of the intervention were to increase participants’ vegetable and fruit intake by using established 5 A Day for Better Health educational resource materials/activities and to affect their health-related fitness through dance, games, and fitness activities. Fifty-six children and 25 parents/guardians completed a standard battery of evaluations before and after the …

Changing The Tide: An Internet/Video Exercise And Low Fat Diet Intervention With Middle School Students, Marilyn Frenn, Shelly Malin, Roger L. Brown, Yvonne Greer, Jaime Fox, Jennifer Greer, Sarah Smyczek

College of Nursing Faculty Research and Publications

The rising tide of obesity erodes the health of youths and many times results in adult obesity. The purpose of this investigation was to examine the effectiveness of an eight-session health promotion/transtheoretical model Internet/video-delivered intervention to increase physical activity and reduce dietary fat among low-income, culturally diverse, seventh-grade students. Those who completed more than half the sessions increased exercise, t(103) = −1.99, p = .05, and decreased the percentage of dietary fat, t(87) = 2.73, p = .008. Responses to the intervention by stage of change, race, and income are examined.

2005, Kathe Gable

UNISON

No abstract provided.

Discovering The Barriers To Health-Promoting Lifestyles Among Appalachian Veterans With Uncontrolled Hypertension, Tara L. Porter

Theses, Dissertations and Capstones

Introduction: The purpose of this study was to discover the barriers to health promoting lifestyles among the Appalachian veteran population with uncontrolled hypertension.

Design: A quantitative research study was conducted over five months using a non-experimental, descriptive research design. Pender’s Health Promotion Model served as the study’s framework. Subjects were recruited from a primary care setting through advertisement within the hospital. A convenience sample of thirty-two subjects was obtained.

Method: The Health Promotion Lifestyle Profile (HPLP) II survey assessed for barriers to controlled hypertension in the following areas: health-promoting lifestyle, health responsibility, stress management, spiritual growth, interpersonal relationships, nutrition, and …

Parental Perceptions Of Their Child's Weight And Health, Julie Vy Pham

Theses Digitization Project

Childhood obesity is a major health problem facing children in the United States. How parents view their children's weight is an important consideration for health care professionals. The purpose of this study was to explore parental perceptions of their children's weight and health.

Educational Curriculum For Obesity In School Aged Youth, Carmen Vieyra Kemp, Melody Ann Mendiola

Theses Digitization Project

The purpose of this project was to develop an educational program to assist educators in keeping school children healthy. This program is designed to support professionals who are working to reduce the problem of oobesity in children and adolescents in elementary and middle school setting.

The Effects Of Childhood Obesity On Elementary School Absenteeism, Sarah Diane Schoonover, Wyona Marie Lagomarsino

Theses Digitization Project

The purpose of this study was to determine if a relationship existed between body mass index and school absence. The research was a retrospective study of school nurse height and weight reports and attendance reports for 2nd grade Hispanic students at an elementary school in Riverside, California.

Narratives Of Adolescent Students: The Integration Of Health And Learning Through Application Of Nursing Theory, Marjean Huber

Dissertations

Problem. There are few resources to show educators how to help students improve learning by improving health and mental well-being. There is a lack of integration in the literature in terms of how practitioners can reach these students in order to help them learn effectively and develop into successful, productive adults with meaningful lives. This study has three major sections. First, I examine my experiences within education to determine what values, truths, and principles mold my practice. Second, I identify my teaching practice in relationship to nursing theory integrating it with learning theory, thus highlighting the relationship between the health …

Hiv Infection Among African American Women: A Descriptive Study., Rebecca Bothwell-Ephraim

All ETDs from UAB

No abstract provided.

The Experience Of Decision Making In Adolescent Females And Young Women With Mobility Limiting Disorders, Bernice Balzer Allen

Theses and Dissertations

Young women with mobility limiting disorders face many challenges as they move through adolescence into young adulthood. In addition to the challenges of this developmental period, they must consider their disability as they manage their lives. Competent decision making is a foundational skill for self-management and for transition in adulthood. It is also a protective factor for resilience.There is little research on decision making in adolescents with disabilities. Therefore, the purpose of this qualitative study was to explore the decision making experiences of female adolescents and young women with mobility limiting disorders. Theoretical underpinnings for the study included Resilience Theory …

Understanding Palliative Care: An Ethnographic Study Of Three Australian Palliative Care Services, Judith M. Greaves

Theses: Doctorates and Masters

Palliative care commenced in Australia in the early 1980s. Although the value of palliative care has become more widely recognised by the public and other health care professionals, there is still a lack of understanding about what palliative care is and the depth and scope of this specialty area of health care. The research that I present in this thesis is based on examination of palliative care practice in a selection of Australian services, undertaken with the aim of enhancing understanding of Palliative Care. The significance of the research arises from the notion that members of the Australian community should …

Conducting Life History Research With Adolescents, Kristin Haglund

College of Nursing Faculty Research and Publications

This article is a commentary on the life history approach, which specifically described aspects of and offered suggestions for conducting life history research with adolescents. The life history approach is well suited to a wide variety of types of health-related inquiry. In this article, the author used an exemplar study to show how well the life history approach was suited for questions regarding adolescent issues. This approach was also a good match for the developmental skills and needs of adolescents. The author uses the strengths and weaknesses of the approach and a detailed example of how she used the life …

Access To Quality Care: Links Between Evidence, Nursing Language, And Informatics, Beth Ann Swan Phd, Crnp, Norma M. Lang Phd, Rn, Faan, Frcn, Anne M. Mcginley Phd, Crnp

College of Nursing Faculty Papers & Presentations

Despite evidence on nursing’s contribution to the quality of care, much of what nurses “do” remains essentially invisible.

It is vital to recognize the need for a paradigm shift in nursing that utilizes new informatics tools required for optimum use of evidence related to the delivery of quality nursing care.

Embedding nursing language within informatics structures is essential to make the work of nurses visible, and articulate evidence about the quality and value of nursing in the care of patients, groups, and populations.

Ua61 Newsletter, Wku Health & Human Services

WKU Administration Documents

Newsletter created by and about the College of Health & Human Services.

• Bonaguro, John. Letter from the Dean
• WKU Clinical Education Complex Moves Forward
• College Welcomes New Associate Dean – Sylvia Gaiko
• Visiting Scholar from Bournemouth University, England – Mandy Rumley
• Partners Key to Successful Hispanic Health Fair & Screening Event
• Area Health Education Centers (AHEC) 4-H Program
• Hispanic Initiative Gets $700K in Funding
• American Humanics Program Implemented at WKU
• CHHS Focuses on Gerontology
• Gerontologist Dr. John Krout Visits WKU
• Rural Elderly Advocacy Program with Students (REAPS)
• Kentucky Emergency Medical Services Academy Offers EMS Management Workshops
• A Day to Give …

The Efficacy Of A School-Based Support Group On Adolescent Self-Esteem And Social Support, Julia Ann Smith Phd

Dissertations

Adolescents are faced with daily obstacles that affect their ability to progress into adulthood successfully. Rising divorce rates and subsequent single parenting, adolescent pregnancy, drug and alcohol abuse, violence, and lack of parental involvement represent only a few of the many issues teens confront. School nurses are on the front lines, attempting to educate youth against an alarming rise in personal and social controversies that impede their ability to come to school ready to learn. As part of the educational team, school nurses are in a prime position to develop and integrate intervention strategies aimed at assisting adolescents during this …

The Role Of Dairy Products In The Calcium Intake Of Suburban Adolescents, Simie Bredeweg-Dejager

Masters Theses

The purpose of this study was to examine consumption of dairy products by suburban adolescents. This was a secondary analysis of data from a questionnaire administered in late fall of 2003. There were 255 adolescents who completed the questionnaire. Data were examined to estimate calcium intake from dairy products.

There was a significant difference in the amount of calcium adolescents consume from cheese, compared to that supplied by milk (t = -8.502, p = .000). Further analyzing by gender, there was a significant difference between boys and girls intake of milk and cheese. No significant difference was found between boys …

Collaborative Management Of Hiv Infection In The Community: An Effort To Improve The Quality Of Hiv Care, Michael F. Parry, Julie G. Stewart, P. Wright, Gavin X. Mcleod

Nursing Faculty Publications

Our hospital led a multidisciplinary community team to improve the quality of care delivered to HIV-infected clients utilizing a disease management approach in a US metropolitan community of 150,000 people. Community needs assessment and client and community surveys were used to define the problems. Patient care flowcharting and the creation of an electronic patient database facilitated patient tracking across the entire community. Clinical guidelines and a consultation and referral immunology clinic standardized care practices. Measurable improvements in the quality of care were noted in multiple areas. Flowchart completion rates rose from 44% to 100%; medication adherence assessment rose from 82% …