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How Caring Attitudes And Patient-Family Centered Care Beliefs Of Critical Care Registered Nurses Influence Family Members’ Perceptions Of Patient-Family Centered Care, Jennifer Shamloo

Dissertations, Theses and Capstone Projects (Full IR Collection)

Purpose: To examine the relationships between caring attitudes and PFCC beliefs of critical care nurses and family members’ perceptions of PFCC.

Design: A descriptive, cross-sectional research design was used.

Methods: One hundred and six critical care registered nurses and 76 critical care family members were recruited from a healthcare organization located in the southeastern United States. Data collection occurred from October 2012 to November 2012.

Results: Nurses reported a high level of caring efficacy and moderately high beliefs about PFCC principles. Family members reported a moderate level of PFCC needs being met. No statistically significant relationships …

The Effects Of Work Schedule Flexibility On Job Satisfaction Of Telephone Advice Nurses, Angela D. O'Neal

Dissertations, Theses and Capstone Projects (Full IR Collection)

Purpose: The purpose of this study was to explore the impact of work environment on job satisfaction of telephone advice nurses and describe any relationships that might exist among specific RN characteristics and overall job satisfaction.

Design: An exploratory, descriptive correlation design was selected to answer the research questions with the conceptual framework based on Herzberg’s Motivation-Hygiene Theory.

Methods: A convenience sample from77 telephone nurses at two call centers of a large metropolitan health care system in southeastern United States was utilized. Data collection took place in October 2012 using the McCloskey/Mueller Satisfaction Scale and specific demographic …

Academic Success Factors Influencing Linguistically Diverse And Native English Speaking Associate Degree Nursing Students, Josie Lynn Veal

Dissertations (1934 -)

To address the healthcare needs of vulnerable populations, nursing educators should evaluate educational preparedness and identify which factors influence a successive academic trajectory in nursing school. A prospective design was used to determine the relationships and differences among the anatomy and physiology course grade, self-efficacy, linguistic diversity, language acculturation, and components of the National League for Nursing pre-admission exam for registered nurses and first semester nursing course grades of linguistically diverse and native English speaking associate degree nursing students.

A relationship exists between the PAX-RN composite score, anatomy mean grade, language diversity, and general self-efficacy score, the Nursing Pharmacology and …

Resilience In Family Members Of Persons With Autism Spectrum Disorder: A Review Of The Literature, Abir K. Bekhet, Norah L. Johnson, Jaclene Zauszniewski

College of Nursing Faculty Research and Publications

Worldwide, caregivers find caring for children with Autism Spectrum Disorder (ASD) challenging. Family members must manage many aspects of care giving, which is demanding, overwhelming, and can affect the family members’ mental health. However learning how to be resilient may help family members overcome the stress and burden associated with caring for a person with ASD. A search was completed in Medline, PsycINFO, Proquest, Web of Science, and CINAHL using the key words “autism,” “caregivers,” “mothers,” and “fathers,” alone and in combination. Inclusion criteria were English language articles reporting studies with samples of children with ASD, as distinct from children …

Integrative Review: Parent Perspectives On Care Of Their Child At The End Of Life, Ann P. Aschenbrenner, Jill M. Winters, Ruth Ann Belknap

College of Nursing Faculty Research and Publications

This integrative review aims to describe parents' perspectives on end-of-life care for their children. Fifteen publications from a literature search of the Cochrane databases, CINAHL, MEDLINE, and PSYCHinfo were included in the review. Recurring themes included poor communication/lack of information, strained relationships/inadequate emotional support, parental need to maintain parent/child relationships in life and death, quality of care continues after the death of the child, influence of services/planning on parent/child impacts quality of life, and the difficult decision to terminate life support. No studies were identified that focused on parents' perspectives on the care their child received at the end of …

Situated Peer Coaching And Unfolding Cases In The Fundamentals Skills Laboratory, Deborah O. Himes, Patricia K. Ravert

Faculty Publications

Using unfolding case studies and situated peer coaching for the Fundamentals Skills Laboratory provides students with individualized feedback and creates a realistic clinical learning experience. A quasi-experimental design with pre- and post-intervention data was used to evaluate changes in student ratings of the course. An instrument was used to examine students' self-ratings and student comments about each lab. We found that students' ratings of the lab remained high with the new method and self-evaluations of their performance were higher as the semester progressed. Students appreciated the personalized feedback associated with peer coaching and demonstrated strong motivation and self-regulation in learning. …

Situated Peer Coaching And Unfolding Cases In The Fundamentals Skills Laboratory, Deborah O. Himes, Patricia K. Ravert

Faculty Publications

Using unfolding case studies and situated peer coaching for the Fundamentals Skills Laboratory provides students with individualized feedback and creates a realistic clinical learning experience. A quasi-experimental design with pre- and post-intervention data was used to evaluate changes in student ratings of the course. An instrument was used to examine students' self-ratings and student comments about each lab. We found that students' ratings of the lab remained high with the new method and self-evaluations of their performance were higher as the semester progressed. Students appreciated the personalized feedback associated with peer coaching and demonstrated strong motivation and self-regulation in learning. …

Caregivers’ Incongruence: Emotional Strain In Caring For Persons With Stroke, Linda L. Pierce, Teresa L. Thompson, Amy L. Govoni, Victoria Steiner

Nursing Faculty Publications

Purpose:Guided by Friedemann's framework, the purpose of this study was to examine the dimensions of new family caregivers’ emotional strain in caring for persons with stroke. Method: Seventy-three caregivers who were new to that role participated in an interview every 2 weeks for a year as part of a NIH project. Of these caregivers, 36 participants were randomly assigned and had access to a Web-based intervention and its e-mail discussion. In this secondary data analysis, 2,148 e-mail discussion messages plus 2,455 narrative interview entries were used to examine dimensions of caregivers’ emotional strain. Rigorous content analysis was applied to these …

Day-To-Day Variability In Nap Duration Predicts Medical Morbidity In Older Adults, Natalie D. Dautovich, Daniel B. Kay, Michael L. Perlis, Joseph M. Dzierzewski, Meredeth Rowe, Christina S. Mccrae

Nursing Faculty Publications

Objective: The objectives for the present study were to (a) examine within-person variability of nap duration and (b) assess how variability in nap duration is related to the number of health conditions in a sample of older adults. For highly variable behaviors such as sleep, it is important to consider fluctuations within the person instead of solely comparing averages of behaviors across persons. Method: Data were drawn from a previous study examining sleep in 103 community-dwelling older adults. Subjective estimates of napping behavior were obtained from sleep diaries and objective estimates of napping behavior were obtained using actigraphy. Both measures …

The Impact Of Certification On Certified Perioperative Nurses: A Qualitative Descriptive Survey, Kathryn Schroeter, Michelle Byrne, Katharine Klink, Matthew Beier, Natalie S. Mcandrew

College of Nursing Faculty Research and Publications

As the practice of healthcare becomes more technologically advanced, specialized and complex, there is an increasing demand for accountability. Certification demonstrates that an individual practitioner has maintained an acceptable, or perhaps more advanced level of qualifications, knowledge, and skills in a specialty practice area. The nurses' perceptions, as shared in this study, revealed positive aspects related to their achievement of certification in perioperative practice. Although certification for nurses has been available for decades a detailed evaluation of its meaning and implications for practice seems to be unavailable. The purpose of this qualitative study, conducted in Chicago, Illinois and also online, …

A Framework Of Academic Persistence And Success For Ethnically Diverse Graduate Nursing Students, Margaret J. Bull, Judith Fitzgerald, Josie L. Veal

College of Nursing Faculty Research and Publications

The goal of this qualitative study was to examine how ethnically diverse graduate nursing students persisted with academic studies. Ethnically diverse nurses are vastly underrepresented in the workforce. This problem is accentuated by high attrition rates in academic programs. A grounded theory approach was used. Five focus groups were conducted with 16 ethnically diverse graduate students in nursing and interviews were conducted with two diversity advisers. Analysis of the data indicated that the process of learning to balance stressors with moderators was key to academic persistence and retention. A conceptual framework emerged from the data that provides a guide for …

Evaluation Of The Clinical Integration Model For Hospital Care Delivery, Cheryl Mckay

Nursing Theses and Dissertations

Purpose: Two studies were used to evaluate whether introduction of the Clinical Integration Model (CIM) would decrease cost, length of stay (LOS), and mortality in two populations: a psychiatric in-patient population and congestive heart failure (CHF) patients. Objectives: 1. Evaluate reliability and validity of a process tool, the CareGraph, essential in the CIM. 2. Determine if there is a difference for LOS and cost between patients receiving care in the CIM and those receiving care in a traditional primary care delivery model in a psychiatric population; compare the same parameters as well as survival in the CHF population. Methods: Reliability …

An Examination Of Maternal Stress, Inflammatory Markers, And Preterm Labor In Pregnant Women, Cecilia Boateng

Kaleidoscope

No abstract provided.

The Influence Of Cognitive-Perceptual Variables On Patterns Of Change Over Time In Rural Midlife And Older Women's Healthy Eating., Bernice C, Yates, Carol H. Pullen, Jonathan Bruce Santo, Linda Boeckner, Patricia A. Hageman, Paul J. Dizona, Susan Noble Walker

Journal Articles: College of Nursing

Although studies demonstrate that dietary interventions for healthy adults can result in beneficial dietary changes, few studies examine when and how people change in response to these interventions, particularly in rural populations. The purpose of this study was to examine patterns of change over time in healthy eating behaviors in midlife and older women in response to a one-year health-promoting intervention, and to examine what predictors (perceived benefits, barriers, self-efficacy, and family support for healthy eating) influence the changes during the intervention and follow-up. Data for this secondary analysis were from the Wellness for Women community-based trial. Women (N = …

Women Trafficking: Causes, Concerns, Care!, Shaneela Sadaruddin Khowaja, Ambreen Tharani, Ajmal Agha, Rozina Karmaliani Professor

School of Nursing & Midwifery

Pakistan is both a country of origin and destination as far as women trafficking is concerned. Poverty, gender discrimination, lack of education, and ignorance about legal rights are some of the underlying causes. Available data suggest several areas of concern, like, for instance: direct health effects, maladaptive coping leading to the use of illicit drugs, and inaccessibility to healthcare facilities. Therefore, numerous interventions would be required at three levels: the prevention of trafficking, the protection of victims and the prosecution of the traffickers.

A Change In Pre-Participation Exam Guidelines For Student Athletes In The State Of Mississippi, Alisha Tenhet

MSN Research Projects

Despite the current requirements for pre-participation physical exams (PPE) in Mississippi, student athletes medically cleared during PPEs continue to experience sudden cardiac death from undiagnosed cardiac abnormalities. Research states that one in every 200,000 high school athletes experiences sudden cardiac death, the majority of which are attributed to structural heart problems. Although most high school athletes are required to complete a PPE, the concern is that physical exams alone are not enough to identify cardiac abnormalities. The purpose of this study is to determine if student athletes are appropriately screened for cardiac risks. The researchers compared current practices with existing …

Healing Hands Reviewing The Potential Applications Of Energy Therapies To Redirect Pain During Labor And Childbirth, Cecilia Dinh

HIM 1990-2015

The birth experience is a highly subjective phenomenon that leaves a lasting impression for mothers and their families and friends. Although the passage of a child from the mother's womb into the world is typically joyous, the experience is not always as positive. Negative physical and psychological factors may greatly impact a woman's impression of the childbirth experience. Among childbearing women, the two main concerns of childbirth are pain and safe management. Similarly among healthcare providers, management of labor pain is one of the main goals of maternity care. Pain is a highly subjective phenomenon that is expected during the …

Minimizing Incivility In The Workplace To Increase Retention Of New Graduate Nurses, Amanda D'Ambra

HIM 1990-2015

Efforts to maintain a sufficient nurse workforce are hampered by dissatisfaction with the work environment. Incivility in the work environment is a major source of dissatisfaction. A healthy work environment is associated with higher levels of job satisfaction and improved retention. New graduate transition programs have been recommended as a deterrent to high levels of turnover associated within the first two years of employment, some of which is related to incivility. The purpose of this thesis was to examine the influence of incivility in the nursing workplace on new graduate job satisfaction and determine if there is an association between …

Spiritual Care Interventions To Improve The Quality Of Life In Patients With Advanced Cancer Receiving Palliative Care, Maria Ballen-Sanchez

HIM 1990-2015

Title: Spiritual Care Interventions and Quality of Life in Cancer Patients Receiving Palliative Care Background: Despite the evidence supporting spiritual care in nursing and an increased quality of life among patients, patients feel that their spiritual needs are not being supported by medical professionals. Nurses agree that the role they play is significant in addressing the needs of cancer patients; however, they feel that they lack the knowledge for addressing spirituality concerns at the end of life. The purpose of this study is to identify spiritual care interventions that nurses can implement to improve quality of life (QOL) in patients …

Psychosocial Status And Health Outcomes In Older Adults Living With Human Immunodeficiency Virus, Amanada Fernandez

HIM 1990-2015

Purpose: To recognize and raise awareness about the psychosocial status and health outcomes in older adults living with HIV. Method: A literature search was conducted from the disciplines of nursing and medicine using the CINAHL, PubMed, and Medline databases. Inclusion criteria: articles exploring older adults who are HIV positive and factors related to depression, suicide and available healthcare resources. Exclusion criteria: articles including individuals under the age of 50 infected with HIV/AIDS and articles focused entirely on physiologic principles of HIV/AIDS. Results: In older adults living with HIV/AIDS, the literature review disclosed a comprehensive gap between identifying this age group …

Parenting And Feeding Behaviors Associated With School-Aged African American And White Children, Michele Polfuss, Marilyn Frenn

College of Nursing Faculty Research and Publications

Pediatric obesity is multifactorial and difficult to treat. Parenting and feeding behaviors have been shown to influence a child’s weight status. Most prior studies have focused on preschool-aged White children. Additional complicating factors include parents’ inability to accurately identify their child’s abnormal weight status. Parenting and feeding behaviors used by 176 African American and White parents of school-age children were examined. Assessment included (a) identifying what behaviors were reported when parent expressed concern with child’s weight and (b) the relationship of these behaviors on child’s body mass index percentile (BMI%), considering ethnicity, socioeconomic status (SES), and parent’s body mass index …

Parenting And Feeding Behaviors Associated With School-Aged African American And White Children, Michele L. Polfuss, Marilyn Frenn

College of Nursing Faculty Research and Publications

Pediatric obesity is multifactorial and difficult to treat. Parenting and feeding behaviors have been shown to influence a child’s weight status. Most prior studies have focused on preschool-aged White children. Additional complicating factors include parents’ inability to accurately identify their child’s abnormal weight status. Parenting and feeding behaviors used by 176 African American and White parents of school-age children were examined. Assessment included (a) identifying what behaviors were reported when parent expressed concern with child’s weight and (b) the relationship of these behaviors on child’s body mass index percentile (BMI%), considering ethnicity, socioeconomic status (SES), and parent’s body mass index …

Case Study Of Parents Caring For A Child Having Type-1 Diabetes With Optimal Hga1c, Elizabeth Ciaccio Phd

Dissertations

Type 1 diabetes in school age children is a complex condition requiring continuous physical, nutritional, and therapeutic monitoring to prevent lifelong complications and maintain quality of life. In 2011, one in 400 children in the United States were affected by it. The purpose of this research study was to understand how parents achieve optimal HgA1c for their school age children with type-1 diabetes. Currently, there is very little research documenting how parents achieve this goal. Understanding this phenomenon more clearly can be used to inform future research, improve practice and provide information for development of effective health policy. Management of …

Assessing The Feasibility And Perceptions Of Health Services For Refugees Of Resettlement Organizations, Heidi Jean Worabo

Dissertations

Background: Since 1975 the U.S. has resettled 2.6 million refugees who had to flee from their home countries. Many refugee resettlement organizations have developed different models of innovation to promote a smooth transition between previous foreign refugee camps to U.S. communities so that refugees swiftly become economically and socially self-sufficient. Providing refugees with health benefits and resources has been foremost priority upon arrival as they try to overcome health care barriers. Yet there is a lack of literature examining the impact of these health services and how they are perceived by the program recipients. Purpose: This scholarly project aimed to …

Evaluating The Effectiveness Of A Workshop/Support Group For Parents Raising Children With Type 1 Diabetes, Christina Marie Yazzie

Theses and Dissertations

The purpose of this study was to evaluate the effectiveness of a workshop/support group for parents raising children with type 1 diabetes mellitus (T1DM). Diagnosis of a chronic disease in a child generally arouses acute anxiety and stress in parents. Parental stress when raising a child with type 1 diabetes is often centered on worry about their child's health and parents' ability to maintain the care activities needed by these children. Parents are the primary caregivers of children with Type 1 diabetes, and the effect of stress on parents can impact the health of both children and parents. The present …

The Relationship Between Select Demographic Characteristics And Body Mass Index Among Native Hawaiian And Other Pacific Islander Caregiving Adults, Katrina Duncan

Theses and Dissertations

Purpose: Native Hawaiian and other Pacific Islanders (NHOPIs) have the highest prevalence of overweight and obesity in the world. This study identified the proportion of our NHOPI sample in each body mass index (BMI) category and explored relationships between demographic characteristics and BMI. Design: This descriptive correlational study included 364 NHOPI caregiver adults in Utah (n=155) and Hawaii (n=209). We gathered demographic information with a questionnaire. Height and weight were measured for BMI calculations. Results: According to the CDC's BMI categories, 84.3% of our sample was overweight (BMI=25.0-29.9) or obese (BMI ≥30). Participants in Utah had significantly higher BMIs than …

Nursing Science Research Consulting: A Multidisciplinary Framework, Thomas N. Templin

Nursing Faculty Research Publications

Nursing science research is at the intersection of the social and medical sciences and statistical developments in many different disciplines are relevant. A framework for nursing science statistics which recognizes and builds upon the statistical contributions from biostatistics, quantitative psychology, epidemiology, econometrics, survey research, computer science and statistics is presented. A broad eclectic framework is necessary to take advantage of new developments in statistical and research design methodology addressing specific problems common to a given area. This framework recognizes that awareness of differences in established expectations (conventions, guidelines, regulations, etc.) with regard to statistical methodology across different research areas is …

Feasibility And Compliance With Daily Home Ecg Monitoring Of The Qt Interval In Heart Transplant Recipients, Erik V. Carter, Kathleen T. Hickey, David M. Pickham, Lynn V. Doering, Belinda Chen, Patricia Harris, Barbara J. Drew

Collected Faculty Scholarship

Background: Recent evidence suggests that acute allograft rejection after heart transplantation causes an increased QT interval on electrocardiogram (ECG). The aims of this pilot study were to (1) determine whether heart transplant recipients could achieve compliance in transmitting a 30-second ECG every day for 1 month using a simple ECG device and their home telephone, (2) evaluate the ease of device use and acceptability by transplant recipients, and (3) evaluate the quality of transmitted ECG tracings for QT-interval measurement.

Methods: A convenience sample of adult heart transplant recipients were recruited and trained to use the device (HeartOne, Aerotel Medical Systems, …

The Socialization Of Bullying Through Community College Nursing Education: A Multiple Case Study, Margaret M. O'Conner Machon

Educational Leadership & Workforce Development Theses & Dissertations

Many recent studies propose that bullying in the workplace is prevalent and is a phenomenon which occurs in the nursing workplace as well as in nursing education. This qualitative study examined the effects of vertical bullying upon community college nursing students and graduates, and the effect of this behavior upon the socialization of those learning the nursing profession. The study is based on a theoretical framework based on the findings of Salin (2003) and Twale and De Luca (2008) adapting their theory of bullying in academia which incorporated enabling, motivating and precipitating factors leading to intensified bullying. The study investigated …

Evaluation Of A Coping Kit Of Items To Support Children With Developmental Disorders In The Hospital Setting, Jennifer Drake, Norah L. Johnson, Alice V. Stoneck, Deb M. Martinez, Megan Massey

College of Nursing Faculty Research and Publications

This study attempted to answer the question, "Do nurses perceive coping kits to be effective at meeting the needs of hospitalized children with developmental disabilities who are at increased risk for challenging behaviors?" A cross-sectional post-test survey study design was used, with a convenience sample of 24 registered nurses at a Midwestern free-standing children's hospital. A coping kit with simple communication cards, social script book, and distraction items (toys) was developed to enhance communication and distract children with developmental disabilities (including autism spectrum disorder) undergoing procedures in the hospital. A modified version of Hudson's (2006) intervention effectiveness survey was used …