Digital Commons Network^™

Proposal Of A Caring Companion Program For Emotional And Spiritual Wellness, Lori A. Larson

Theses and Graduate Projects

According to the Center for Disease Control and Prevention (CDC, 2013), Americans frequently struggle with more than one, if not several, health care conditions impacting their quality of life. Literature review substantiates the need for emotional support for patients impacting hope and emotional wellness. Caregivers may suffer a physical impact from caregiving and also psychological impact from worry and fatigue (Pinquart and Sorenson, 2003). Caregiver strain is common but it often goes unrecognized, which can lead to poor health outcomes for caregivers (Honea et al, 2008). In addition, nurses are at high risk for compassion fatigue, comparing nurses to 'first …

Advocacy For The Perioperative Patient, Patricia R. Ballinger

Theses and Graduate Projects

Thousands of surgeries and procedures happen daily. Patients place their lives and well-being in the hands of the surgical team. The operating room is a high risk environment and unfortunately, errors can occur resulting in harm and even death. Each surgical team member has a role and responsibilities during the surgical case. One main role of the perioperative nurse is patient advocacy and patient safety. However, this role can be impeded due to hierarchy and the operating room culture. Identifying the perioperative nurse's role and responsibility relating to patient advocacy will provide directions in the perioperative nurse's daily practice. An …

Influenza Vaccination: An Educational Module For Health Care Workers, Lisa A. Hogan

Theses and Graduate Projects

The seasonal influenza virus continues to have a significant impact on the health of hundreds of thousands of individuals in the United States each year, despite the availability of a vaccine shown to be effective at reducing both illness and death. All Health Care Workers (HCWs) at a large Midwestern medical center must make a choice whether to receive the yearly influenza vaccine or not, and approximately 5,000 HCWs chose to decline the vaccine in 20l2. Reasons given for these declinations included fears about vaccine safety and effectiveness, as well as misperceptions about vaccine side effects and the intended recipients. …

Integrating Mindfulness Meditation Into Undergraduate Nursing Curricula, Michelle Yankowiak

Theses and Graduate Projects

Stress and anxiety impact the lives of undergraduate nursing students. Learning how to cope with the stressful demands of nursing school is essential for student success. Watson's caring and healing philosophy notes that learning to care for self is foundational in learning to care for others. Literature also reports that nursing programs across the country are lacking instruction on alternative therapies as a self-care method. A need to integrate self-care into curricula was identified by personal knowing as a nursing clinical instructor and through a self-care questionnaire to undergraduate obstetric nursing students. The integration of mindfulness meditation, as a means …

Who Do You Think You Are? And Who Would You Like To Become?, Sandra Koeller

Theses and Graduate Projects

Ultimately -y goal would be to enhance staff satisfaction to the point of better retention of nursing assistants on my floor. I thought this would also assist in improving RN satisfaction, as there would be solid, reliable assistive staff on the floor. Research of the literature shows staff retention has a direct impact on patient satisfaction as well. The constant cycle of replacing staff is costly to the organization and diminishes satisfaction to all staff as they become trapped in the endless cycle of training new staff in. Patient quality of care suffers, as newly trained staff needs time to …

Reviving The Dream: Giving Form To A Faith-Based Holistic Clinic At An Urban Lutheran Church, Kathy Leu

Theses and Graduate Projects

To be able to live full, productive lives, all people can benefit from having a consistent, unified team of health care providers who offer emotional, physical, mental, and spiritual support at one health care center. Historically, churches have been involved in health care, and the Christian faith has been integral in holistic healing. Today, the spiritual component of health is often missing in clinic settings. This project will lay the foundation for the establishment of a faith-based holistic clinic in a large charismatic urban Lutheran church. Utilizing Leininger's Culture Care Theory, the transcultural nurse, a key member of the holistic …

Feeding The Homeless Through Collaboration: A Proposal For Consideration, Valetta M. Johnson Massaquoi

Theses and Graduate Projects

The homeless are faced with many challenges of adverse nutritional deficiencies that predispose them to several illnesses commonly associated with the lack of adequate nutrition and the frequent utilizations of health care resources. Provision of nutritious food for the homeless can help decrease the prevalence of these identifiable markers and can be accomplished by u collaborative effort. The purpose of this project is to describe a collaboration between Regions Hospital and the Dorothy Day Center to provide supplemental nutrition for the homeless. Leininger's culture care diversity and universality theory along with culture care accommodation/negotiation are used as a theoretical framework …

Creating A Healing Environment In The Operating Room By Reducing Noise, Emily Grimshaw

Theses and Graduate Projects

The operating room can be a very noisy environment. Noise in this setting can affect patient's physiologically as well as psychologically and it can also affect operating room staff. The review of the literafure shows the effects noise in the operating room has on patients and staff. Patients can become tachycardic and hypertensive due to the exposure to increased noise in the operating room while staff concentration can be impeded as well. The creation of a noise reduction program for the operating room will create a healing environment. The healing environment will help both patients and operating room staff, Patients …

Hope At The End Of Life Among U.S. Military Veterans, Jaime L. Huffman

Wayne State University Dissertations

The purpose of this research study was to examine the meaning of hope at the end of life among Veterans. As people enter the terminal phase of life hope becomes especially important. Recent research has been conducted examining hope among various cultural groups and their experiences of the phenomenon. These studies showed that although hope is a universal phenomenon, different cultural groups ascribe different meanings to it. These cultural variations are important for nurses to consider when caring for patients.

Research conducted among Veterans has shown that as a cultural group, Veterans have different experiences and needs throughout their lives …

Psychosocial And Environmental Factors Associated With Dog, Elizabeth Richards, Megan H. Mcdonough, Nancy E. Edwards, Rm Lyle, Philip J. Troped

School of Nursing Faculty Publications

Dog walking is associated with higher levels of physical activity (PA). However, not all dog owners walk their dog(s) at a level sufficient for health benefits. Therefore, identifying correlates of dog walking may help to inform the design of more effective interventions to promote this specific form of PA. The purpose of this study was to examine psychosocial and environmental correlates of dog walking and relationships of dog walking with overall PA. In 2010, 391 dog owners (M_age= 43.6±12.3 years) completed a survey. Multiple logistic regression and structural equation modeling were used to examine psychosocial and environmental …

Improving Chronic Kidney Disease Care With Group Visits, Vicki Montoya

Electronic Theses and Dissertations

First year death rates remain unacceptable high for the end-stage renal disease (ESRD) population. New effective methods are vital to improve first year morbidity and mortality outcomes for the population transitioning from Stage 4 chronic kidney disease (CKD) to ESRD)/Stage 5 CKD. Based on current methods, evidence-based recommendations made by nephrology providers are frequently not heeded by patients in Stage 4 CKD. Low levels of patient knowledge, self-efficacy, and a poor ability to self-manage CKD negatively influence a patient’s ability to follow provider recommendations. The group visit (GV) intervention has demonstrated improvements in disease-related outcomes through increased levels of patient …

The Early Postpartum Experience Of Previously Infertile Mothers, Sigrid Ladores

Electronic Theses and Dissertations

The lived experiences of previously infertile mothers in the early postpartum period have not been previously studied. The purpose of the research was to explore the experiences of previously infertile mothers during their early postpartum period. Colaizzi’s (1978) approach to descriptive phenomenological inquiry was used to analyze the interview data obtained from twelve first-time, previously infertile mothers. These new mothers, aged 27 to 43 years, were interviewed twice. The first interview focused on eliciting descriptions of new motherhood in the early postpartum period after overcoming infertility. The second interview validated the interpretations from the first interview and provided additional information …

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 …

Self-Management Education Interventions For Persons With Schizophrenia: A Meta-Analysis, Haiou Zou, Zheng Li, Marie T Nolan, David Arthur, Hongxing Wang, Lili Hu

School of Nursing & Midwifery

Although self-management education programs for persons with schizophrenia are being developed and advocated, uncertainty about their overall effectiveness remains. The purpose of this meta-analysis was to examine outcomes of self-management education interventions in persons with schizophrenia. Six electronic databases were searched. Manual searches were conducted of the reference lists of the identified studies and major psychiatric journals. Randomized controlled trials of self-management education interventions aimed at reducing relapse and hospital readmissions, as well as improving symptoms, psychosocial functioning, and adherence to medication treatment were identified. Data were extracted and the quality of included studies were rated by two authors independently. …

Undergraduate Student Catalog 2013-2014, Nova Southeastern University

Undergraduate Programs Course Catalogs

No abstract provided.

Preparing Rn’S For The Online Learning Environment, Jayne Josephsen, Vivian Schrader

Nursing Faculty Publications and Presentations

Adult learners returning to online education can face considerable barriers to the successful completion of their degree. These obstacles may be due to work and family obligations, lack of familiarity with course and academic requirements, the use of educational technology, or lack of self-direction in their learning. The authors conceptualized, developed, and implemented a preparatory course in an RN-BS Online Completion program designed to familiarize students with online learning and technological and personal skill requirements that could lead to academic success. This article outlines course development and implementation, syllabus and course objectives related to distance learning, and assignments and rubrics …

The Role Of Self-Transcendence : A Missing Variable In The Pursuit Of Successful Aging?, Valerie Lander Mccarthy, Jiying Ling, Robert M. Carini

Faculty and Staff Scholarship

While successful aging is often defined as the absence of disease and disability or as life satisfaction, self-transcendence may also play an important role. The objective of this research was to test a nursing theory of successful aging proposing that transcendence and adaptation predict successful aging. In this cross-sectional exploratory study, a convenience sample of older adults (N = 152) were surveyed about self-transcendence, proactive coping, and successful aging. Using hierarchical multiple regression, self-transcendence, proactive coping, and all control variables (i.e., sex, race, perceived health, place of residence) together explained 50% of the variance in successful aging (p < 0.001). However, proactive coping alone was not a significant predictor of successful aging. Thus, this study did not support the theory that both self-transcendence and proactive coping predict successful aging. Self-transcendence was the only significant contributor to this multidimensional view of successful aging. Self-transcendence is an important variable in the pursuit of successful aging, which merits further investigation.

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 …

Risk Factors For Release In Nurses With Substance Use Disorder, Kathleen J. Tinklenberg

Electronic Theses and Dissertations

Substance Use Disorder (SUD) is defined as the continued use of mood-altering addicting substances despite adverse consequences (Morse & Flavin, 1992). Nurses are not immune from this progressive and fatal disease and if left untreated, a nurse with SUD poses a double jeopardy: risk to the patients and a threat to her or his own health. Many State Boards of Nursing (SBN) have implemented a non-disciplinary alternative to punitive treatment of professionals with SUD; such programs offer monitoring for nurses afflicted with SUD. While studies have found a lower relapse rate for healthcare professionals enrolled in these monitoring programs than …

Het Gebruik Van Risicotaxatie Instrumenten Onder Spv-En (The Use Of Risk Assessment Instruments Among Community Psychiatric Nurses), Sophie De Valk, Corine De Ruiter, Jorge Folino, Matthew Large, Thierry Pham, Kim Reeves, Carolina Condemarin, Louise Nielsen, Martin Rettenberger, Robyn Mei Yee Ho, Verónica Godoy-Cervera, Kimberlie Dean, Maria Francisca Rebocho, Karin Arbach-Lucioni, Martin Grann, Katharina Seewald, Michael W. Doyle, Sarah Desmarais, Richard Van Dorn, Randy Otto, Jay Singh

Faculty Scholarship

In Dutch
Auteur en een groot aantal alumni-collega's van de Universiteit van Maastricht, hebben gekeken welke risicotaxatie-instrumenten SPV-en gebruiken om het risico van recidive in te schatten bij clienten uit de forensische psychiatrie. Met behulp van START kan volgens hen het risico voor anderen, het risico op victimisatie, risico op zelfbeschadigend gedrag, suïcidegevaar, ongeoorloofde afwezigheid, middelenmisbruik en zelfverwaarlozing bij deze forensische groep vastgesteld worden.

In English
The author and colleagues from the University of Maastricht investigated the use of structured risk assessment instruments in forensic psychiatry. Using instruments such as the START may aid in the assessment of violence, victimization, …

Assessing The Relationship Between Caregivers Burden And Availability Of Support For Family Caregivers’ Of Hiv/Aids Patients In Calabar, South East Nigeria, Ekaete Asuquo, Josephine B. Etowa, Prisca Adejumo

School of Nursing & Midwifery, East Africa

Purpose: This study examined the level of burden and the extent of support on family caregivers of people living with AIDS (PLWHA) in Calabar, South East Nigeria.

Methods: A mixed method with cross sectional approach was used. Purposive sampling technique guided the recruitment process and data collection methods included, semi-structured questionnaires and focusing group discussion. 260 respondents participated in the study. The quantitative data were mined with the aid of SPSS and the qualitative data were analysed with the aid of NVivo8 using thematic analysis.

Results: Results indicated high level of burden with limited support to caregivers. A Chi-square value …

Fear Of Hiv Susceptibility Influencing Burden Of Care Among Nurses In South-East Nigeria, Ekaete Asuquo, Prisca Adejumo, Josephine Etowa, Adebayo Adejumo

School of Nursing & Midwifery, East Africa

HIV/AIDS currently is a major cause of disability and mortality especially in sub-Saharan Africa. As the population affected by HIV/AIDS increases, so does the burden of this chronic disease and the challenges associated with caring. HIV scourge in Nigeria has been overwhelming since 1992 with debilitating impacts and this study presents the extent of fear of susceptibility and the level of caregivers burden among Nigerian nurses. To direct the study, three special objectives and one hypothesis were raised, which were to determine the extent of fear of susceptibility and perceived seriousness of HIV, to ascertain the percentage of nurses who …

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 …

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 …

Assessing Undergraduate Nursing Students' Knowledge, Attitudes And Cultural Competence In Caring For Lgbt Patients, Kristy L. Strong

Honors Projects

Lesbian, gay, bisexual, and transgender (LGBT) patients experience barriers to health care that include fear of discrimination and limited access to providers knowledgeable about and sensitive to the LGBT population and their specific health needs. This study examined the effectiveness of an educational intervention conducted at Illinois Wesleyan University designed to improve knowledge level and attitudes of nursing students toward LGBT patient care. The educational intervention focused on key terminology, health disparities, medical needs of transgender patients and culturally sensitive communication skills necessary for competent LGBT patient care. Knowledge level and attitudes were evaluated before and after the educational intervention …

Best Practice Guideline For Managing Interstitial Cystitis In Adult Women, Amanda Thomas Langford

Theses and Dissertations

Interstitial cystitis/painful bladder syndrome (IC/PBS) is a chronic disease characterized by symptoms of urinary urgency, frequency, bladder pain, and chronic pelvic pain in the absence of known pathology. Selection of appropriate treatments depended on the severity of the patient's symptoms and patient's preference. This review found that it is important for providers and patients to set realistic goals for symptom improvement when starting a new treatment.

The purposes of this project was to 1) conduct a substantive literature review on treatment guidelines for IC/PBS, 2) analyze the literature for comparing oral pharmacological interventions and behavioral interventions for IC/PBS, and 3) …

Graduate Bulletin, 2013-2014, Minnesota State University Moorhead

Graduate Bulletins (Catalogs)

No abstract provided.

The Possible Role Of Burnout In Nursing Errors, Kelley Hoskins

HIM 1990-2015

Nurse burnout and the commission of errors are two seemingly unrelated phenomena in the health care arena. Burnout was first described by Herbert J. Freudenberger in 1974 and has since been studied in many industries, including nursing. The issue of errors in health care has been a growing concern since the Institute of Medicine published the report, To Err is Human in 1999. Little research has been done to link burnout and the commission of errors. A literature review was performed to investigate these two issues. Peer-reviewed research articles were analyzed for contributing factors and effects on patient outcomes. The …

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 …