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Understanding The Experience Of Weight Gain And Body Image During Adolescent Pregnancy, Jessica L. Hinkley, Liana J. Newcombe

Honors Theses and Capstones

This qualitative descriptive study explores the experience of adolescent pregnancy and the influence of body image and other factors on weight gain. It identified three main themes through content analysis: Continuity of Care, Adolescent Investment in a Healthy Pregnancy, and the Impact of Pregnancy Symptoms.

Shared Care Dyadic Intervention: Outcome Patterns For Heart Failure Care Partners, Margaret Sebern, Aimee Woda

College of Nursing Faculty Research and Publications

Up to half of heart failure (HF) patients are readmitted to hospitals within 6 months of discharge. Many readmissions are linked to inadequate self-care or family support. To improve care, practitioners may need to intervene with both the HF patient and family caregiver. Despite the recognition that family interventions improve patient outcomes, there is a lack of evidence to support dyadic interventions in HF. Thus, the purpose of this study was to test the Shared Care Dyadic Intervention (SCDI) designed to improve self-care in HF. The theoretical base of the SCDI was a construct called Shared Care. Shared Care represents …

Coronary Artery Bypass Grafting: Quality Of Life Of Patients In Karachi, Rozina Barolia, Fauziya Ali, Salma Jaffar

School of Nursing & Midwifery

In the Third World, cardiac Patients often suffer not only from the nature of their illnesses, but also the insufficiency of the facilities available. Although the effectiveness of coronary artery bypass grafting (CABG) is being evaluated in terms of mortality, complications or recurrence of symptoms, empirical studies assessing the change in Patients' quality of life (QOL) after CABG within the Pakistani cultural context are lacking.
Aims: The aims of the present study are to assess and compare the change in health-related quality of life before and 1 month after CABG and to assess the differences in QOL with respect to …

Testing A Model Of Bacterial Vaginosis Among Black Women, Jessica Brumley

USF Tampa Graduate Theses and Dissertations

Bacterial Vaginosis is an inbalance of vaginal flora which has been associated with increased risk of numerous gynecological and obstetric morbidities including increased risk of acquisition of HIV from an infected partner and increased risk of preterm delivery. Black race has been consistently identified as a risk factor for BV. Black women also suffer from significant disparities in most of the morbidities also associated with BV when compared to women of other ethnicities and races. Traditional predictors of BV such as douching practices and sexual behaviors do not fully account for the racial disparities in BV prevalence. Researchers have begun …

The Impact Of Guided Imagery On Sleep Quality In Mothers Of Preterm Infants, Linda M. Schaffer Phd, Mn, Rn

Dissertations

Background: Mothers who have given birth to preterm infants are at an increased risk for impaired sleep. Evidence based interventions are needed to assist mothers in improving their sleep quality as few are available. Purpose: Guided by the transactional framework of Lazarus and Folkman (1984), the purpose of this study was to: describe maternal and infant factors which influence sleep quality, examine the relationships between depression, anxiety, stress, social support, to sleep quality, and describe the influence of a R-GI intervention on sleep quality among a sample of mothers whose preterm babies were admitted to NICU. Methods: This prospective, descriptive, …

Development Of Students' Critical Thinking: The Educators' Ability To Use Questioning Skills In The Baccalaureate Programmes In Nursing In Pakistan, Tanveer Saeed, Shehla Khan, Azra Ahmed, Raisa Gul, Shanaz Hussein Cassum, Yasmin Parpio

School of Nursing & Midwifery

Objective: To enhance the Critical Thinking skills of educators associated with the nursing baccalaureate programmes in Pakistan. By focusing on the type and level of questions asked by the educators.
Methods: Ninety-one faculty members from 14 out of 17 schools participated in the study. Data on the faculty's questioning skills was obtained through classroom observations and field notes. The duration of the observations was 45-60 minutes. Using Bloom's Taxonomy for cognitive thinking, questions were categorised into high and low categories.
Results: Most of the questions (68.9 %) asked by the participants were of lower levels, while some (5.37 %) were …

Research Proposal -- Outpatient Chest Tube Management Following Thoracic Resection Improves Patient Length Of Stay And Satisfaction Without Compromising Outcomes, Megan Fuller, Jeremy S. Smith

Graduate Research Projects

No abstract provided.

Gender Identity, Ethnic Identity, And Smoking Among First Nations Adolescents, Lorraine Greaves, Joy Johnson, Annie Qu, Chizimuzo T.C. Okoli, Natalie Hemsing, Lucy Barney

Nursing Faculty Publications

Smoking rates among Aboriginal adolescents are the highest of any population group in British Columbia, Canada. Recent studies suggest that substance use is affected by gender and ethnic identity among youth. The purpose of our study was to explore the association of gender and ethnic identity with smoking behaviour among First Nations adolescents. This study is based on a convenience sample (i.e., an on-hand, readily available sample) of 124 youth (123 First Nations and 1 Métis) recruited at youth drop-in centres, health fairs, and cultural activities. We obtained information on demographics, smoking history, Bem Sex Role Inventory (BSRI), composite measure …

Developing A Screening Measure For Early Detection Of Depressive Symptoms: The Depressive Cognition Scale, Jaclene Zauszniewski, Abir K. Bekhet

College of Nursing Faculty Research and Publications

Nearly 10% of American adults experience depressive symptoms each year. Negative thought patterns associated with risk for depression can be identified using a psychometrically sound measure, such as the Depressive Cognition Scale (DCS). However, no meaningful cutoff score has been established for the DCS. This study used a receiver operating characteristic (ROC) curve to establish a DCS cutoff score for risk for depression, using the Center for Epidemiological Studies–Depression Scale (CES-D) as the gold standard measure. In a national nondepressed sample of 629 adults, the ROC showed that the DCS accurately discriminated between participants with and without serious depressive thinking …

The Relationship Between Death Depression And Death Anxiety Among Cancer Patients In Saudi Arabia, Doaa A. Almostadi

USF Tampa Graduate Theses and Dissertations

Abstract

Cancer is one of the main public health problems in the world. People diagnosed with cancer may become depressed and fearful of dying. This causes them to question treatments and sometimes avoid treatment altogether. Cancer may change the person's life and the lives of others around them. The current study focused on the psychosocial impact of impending death for cancer patients in Saudi Arabia. Currently, the relationship between the death anxiety and death depression in persons with cancer in Saudi Arabia is not yet clear. Added to that, little research has been conducted with Muslim cancer patients and their …

Perioperative Experience Of Adolescents, Janean Carter Monahan

Wayne State University Dissertations

Research has shown that preoperative stress is associated with poorer health outcomes in adults and young children, but there is little in the literature about the stress experienced by adolescents. Clinical experience, however, has shown that adolescents behave differently throughout the perioperative experience than either adults or children. For example, common behaviors of adolescent's emerging from anesthesia include combativeness, thrashing, and crying. To promote adolescent health and to provide adolescents with appropriate interventions that will support a positive surgical outcome, research is needed to discover the perceptions and meanings adolescents attribute to the perioperative experience.

The purpose of this hermeneutic …

Student Perception Of Clicker Usage In Nursing Education, Pamela Fifer

Faculty Publications - College of Nursing

Nurse educators must explore innovative ways to engage students and stimulate learning. Student response system (SRS) technology is one tool educators can use to increase participation, provide immediate feedback, and encourage critical thinking. This study evaluated perceptions of first-year nursing students using SRS technology. The findings support the use of SRS technology as a positive pedagogical approach to incorporate in teaching associate degree nursing students.

Hospice Nurse Perceptions Of Constipation And Attitudes Towards Abdominal Massage, Elizabeth Everette

Nursing Theses and Capstone Projects

Constipation is a prevalent symptom in the hospice population, negatively effecting quality of life for patients. Constipation is frequently overlooked, undiagnosed, and untreated by healthcare providers. The role of the hospice nurse is ideal for managing the symptom of constipation with traditional and alternative therapies. Literature review reveals very limited research on constipation and hospice patients, and alternative therapies for constipation. No research was found regarding nurse attitudes towards alternative therapies, such as abdominal massage for constipation. This research study tested the following hypothesis: Hospice nurses perceive constipation as significantly impacting the quality of life for the hospice patient, and …

Nurses' Perceptions Of Intradermal Sterile Water Injection Use In Labor, Abby E. Garlock

Nursing Theses and Capstone Projects

Nurses' perceptions of barriers may influence the type of pain control options offered to women in labor. While effective in relieving low-back pain associated with labor, nurses rarely utilize intradermal sterile water injections for women during labor. Using the Nurses' Perceptions of the Use of Intradermal Sterile Water Injections in Labor survey, labor nurses identified barriers to offering intradermal sterile water injections during labor. Individual and institutional characteristics were associated with higher perceived barriers. Nurses who reported working primarily day shift ( t = 2.06, p = .05), higher epidural rates ( r = .45, p = .018), and higher …

Incivility Among Nurses - Prevalence And Impact, Nadin Knippschild

Nursing Theses and Capstone Projects

Incivility, horizontal violence, uncivil behavior or bullying are only a few terms used to describe the conduct one individual may display toward another that are undesirable in healthcare organizations and consequently gained the attention of regulatory agencies, such as The Joint Commission. Incivility adversely affects healthy work environments, impedes with patient safety and collaboration, has negative financial implications for organizations, and represents an ethical concern in nursing. The purpose of this study was to identify the overall prevalence as well as prevalence based on work areas. In addition, further aims were to examine the likelihood of the study participants calling …

Workplace Violence: Emergency Department Versus Medical Surgical Nurses, Dakeita K. Roakes

Nursing Theses and Capstone Projects

The purpose of this study is to answer the following question: Does a registered nurses department, medical-surgical versus emergency department, change the amount of workplace violence they may experience? To accomplish this, a cross sectional descriptive study using an anonymous web-based Workplace Violence questionnaire survey by Wolters Kluwer Health was used to collect data from nurses working on medical-surgical units and in the emergency department at the facility. The findings indicate more physical violence with more frequent or occasional occurrences in emergency departments. The medical-surgical nurses reported more intimidation or emotional violence and never experience workplace violence.

Expanding The Concept Of Presence During Radiation Therapy Treatment, Carol Thelen

Nursing Posters

Background: Radiation Oncology is an invasive invisible process often given during a time that both patients and their families feel considerable burden. The acute phase of treatment after diagnosis is a time of uncertainty, fear and anxiety. The psychological impacts of this fear and anxiety reduce patient's ability to take in all of the information they are given. Families are often active participants in supporting patients as a second set of eyes and ears. There are no national or organizational guidelines on family presence during radiation treatment. Coborn Cancer Center's practice is not consistent but generally included family waiting in …

Distress Screening, Jolene Dickerman

Nursing Posters

The purpose of this project is to implement an evidence-based distress screening tool and referral process to support patients diagnosed with cancer. Evaluations of success will include comparison of patient satisfaction and distress level changes over time.

Randomized Comparison Of Two Internet-Supported Natural Family Planning Methods (Preliminary Findings), Richard J. Fehring, Mary Schneider

Randomized Comparison of Two Internet-Supported Methods of Natural Family Planning

The aims of this study were to determine and compare efficacy, satisfaction, ease of use, and motivation in using an internet-based method of Natural Family Planning (NFP) that utilizes either electronic hormonal fertility monitoring (EHFM) or cervical-mucus monitoring (CMM). Four hundred fifty women (mean age 30.1) and their male partners (mean age 31.9) who sought to avoid pregnancy were randomized into either an EHFM (N=228) or CMM NFP group (N=222). Both groups utilized a Web site that provided NFP instructions, an electronic charting system, and support from professional nurses. Participants were assessed for satisfaction, ease of use, and motivation in …

Factors That Motivate Certified Registered Nurse Anesthetists To Practice Independently In The Appalachian Region, Michael Lee Frame Jr.

Theses, Dissertations and Capstones

Introduction: Independent Certified Registered Nurse Anesthetists (CRNAs) provide anesthesia services without the supervision or medical direction of anesthesiologists in healthcare facilities throughout the United States. The present literature is limited concerning the factors that motivate CRNAs to choose employment in rural independent practice.

Research Hypothesis: In a sample of CRNAs who practice independently in one of the 13 states of the Appalachian region there will be no differences between the CRNAs from Appalachian and Non-Appalachian counties in their responses to the motivation factors of achievement, recognition, responsibility, advancement, work itself, salary, working conditions, company and administrative policies, supervision, and …

Nurses' Perception Of Clinical Ladder Programs, Bobbie Baucom

Nursing Theses and Capstone Projects

The purpose of this study was to measure registered nurses' perceptions of clinical ladder programs and to determine what registered nurses consider to be satisfiers in order to keep them at the bedside. Clinical ladder programs reward registered nurses for their advancement in nursing education, nursing research, expert clinical skills, and leadership skills. This study was conducted on 68 post-licensed registered nurses from the ADN to BSN program at Gardner-Webb University. A quantitative descriptive study using an instrument which items measured perceptions of registered nurses' regarding clinical ladder programs was utilized. The results concluded that registered nurses thought autonomy and …

Nurse's Perception Of Factors Associated With Family Satisfaction In The Intensive Care, Phyllis K. Buie

Nursing Theses and Capstone Projects

In health care, family satisfaction has become one of the most important and challenging competitive elements of the industry. The purpose of this study is to determine the factors associated with the Registered Nurse's perception of family satisfaction with services provided during a patient's hospitalization in the intensive care unit (ICU). Registered Nurses, with critical care experience within the past five years, were asked to rate factors that influenced family satisfaction in the intensive care using the Critical Care Family Satisfaction Survey (CCFSS) developed by Thomas Wasser (2001). Watson's Theory of Human Caring was used as the theoretical framework for …

The Effect Of The Timing Of A Hospice Referral And The Perceived Quality Of Care By The Family, Melinda Reep

Nursing Theses and Capstone Projects

Late referrals to hospice can result in less time for the hospice team to perform assessments, establish relationships, and initiate goals. This secondary analysis addresses the effects of the length of stay of a hospice patient and the level of satisfaction reported by their caregivers after the passing of their loved one. The hypothesis of the study is that there is a direct relationship between a family's perception of the value of hospice and the length of stay of their terminally ill loved one. The setting for this secondary analysis was a non-profit hospice in the piedmont of North Carolina. …

The Effect Of Education On Healthcare Personnel's Knowledge Of Lymphedema Detection And Prevention, Dolly Wilson

Nursing Theses and Capstone Projects

Secondary lymphedema (SLE) is a serious problem for many of the 2.6 million breast cancer survivors in the United States. It is estimated that 28 - 38% of breast cancer survivors develop lymphedema. The five-year incidence ranges from 43% to 94% (Armer, 2010). The purpose of this study was to evaluate the effectiveness of an education program on healthcare personnel's knowledge of the risk of and preventive measures for upper limb lymphedema in breast cancer patients. A sample of healthcare personnel (N = 32) included both trained healthcare personnel and ancillary staff who are employed in a single oncology center …

Care Of The Dying Patient: How Comfortable Are Nursing Students Toward The Care Of Dying Patients At The Completion Of The Associate Nursing Degree Program?, Phyllis Bray

Nursing Theses and Capstone Projects

People are living longer today due to lifestyle changes and treatment of illnesses. End of life nursing care has become a field of nursing practice that requires focus on meeting the needs of the patient and family. Nurses are central figures in advocating for interventions that minimize burden and distress and enhance quality of life for their patients. Given these extremely important responsibilities, new nurses must be adequately prepared to provide sensitive, quality of care for patients at the end of life. This quantitative study aimed to assess how comfortable nursing students feel toward the care of dying patients at …

Protocol Assessment Adherence For Depression Among Community-Dwelling And Inpatient Older Adults, Cassie Cabor

Nursing Student Work

Many older adults are under diagnosed and undertreated for depression by healthcare professionals (Brown, Bruce, McAvay, Raue, Lachs, & Nassisi, 2003). Depression is very prevalent in all older adults and, during times of war, veterans are at increased risk for development of some type of mental disorder (Allen & Annells, 2009). Cully, Khan, Peterson, and Zimmer (2008) indicate that almost one in 10 veterans are affected by depression. This study aimed to fill some of the gaps that exist in literature regarding depression screening and adherence to protocols for older adults. This retrospective study looked at impatient versus outpatient PHQ-2 …

Job Satisfaction Among A Multigenerational, Critical Care, Nursing Workforce, Sara Clay

Nursing Theses and Capstone Projects

Despite the slight ease of the nursing shortage due to the current recession, the United States is expected to still have a shortage of approximately 260,000 registered nurses by the year 2025 (American Association of Colleges of Nursing, 2011). Healthcare is an ever changing profession where nurses, no matter their generation, must learn to adapt to their constantly changing environment and expectations. Job satisfaction is a strong and constant predictor of retention and can vary greatly across generations. The purpose of this study was to get insight into generational differences related to job satisfaction and to use these data to …

Senior Nursing Students' Perception Of Clinical Teacher Behavior, Karen Baker

Nursing Theses and Capstone Projects

Clinical experience is the most important component of nursing education (Gaberson and Oermann, 2007; Walker, 2005). As part of the clinical education environment, the teaching behaviors of nursing faculty have considerable potential to influence students' learning. To produce effective learning by students, nurse educators have a responsibility to instruct students so that learning is optimal. The purpose of this study was to explore students' perception of clinical teaching behaviors of nursing faculty. The study uncovers new knowledge about clinical teaching behaviors based on the student's perceptions during their own clinical experiences. A non-experimental survey, descriptive exploratory design was used. A …

The Effect Of Medium Fidelity Simulation On Perceived Competence Level Of Novice Nursing Students, Tracy D. Arnold

Nursing Theses and Capstone Projects

This Capstone Project examined the effect of medium fidelity simulation on perceived competence level of novice nursing students. A convenience sample of 56 second-year associate degree nursing students enrolled in an Adult Medical-Surgical II nursing course and experiential laboratory course participated in this project. Students were divided into two separate groups based on course schedules: 27 students participated in the traditional laboratory experience, and 29 students participated in the instructor guided Mock Code simulation-based learning experience. Descriptive statistics were used to determine the overall mean of all student responses to each question on an altered version of the Perceived Competence …

Smoking And Tobacco Cessation Education, Leslie D. Bolin

Nursing Theses and Capstone Projects

The purpose of this study was to evaluate the impact of a brief computer-based learning module on nurses' self-efficacy regarding tobacco cessation counseling. Twelve registered nurses practicing in an acute care hospital system participated in the one-group pretest-posttest study. At registration, participants completed a demographical tool and the Modified "5 A's" Training Program Survey. The Modified "5 A's" Training Program Survey was completed again immediately after the training program. Descriptive statistics were used to analyze the demographic data. Statistical analysis did not reveal significant changes in the dependent variables for self-efficacy for smoking cessation counseling. Results of this study support …