Digital Commons Network^™

Informal Support To First-Parents After Childbirth: A Qualitative Study In Low-Income Suburbs Of Dar Es Salaam, Tanzania, Columba Mbekenga, Andrea B. Pembe, Kyllike Christensson, Elisabeth Darj, Pia Olsson

School of Nursing & Midwifery, East Africa

Background: In Tanzania, and many sub-Saharan African countries, postpartum health programs have received less attention compared to other maternity care programs and therefore new parents rely on informal support. Knowledge on how informal support is understood by its stakeholders to be able to improve the health in families after childbirth is required. This study aimed to explore discourses on health related informal support to first-time parents after childbirth in low-income suburbs of Dar es Salaam, Tanzania.

Methods: Thirteen focus group discussions with first-time parents and female and male informal supporters were analysed by discourse analysis.

Results: The dominant discourse was …

Health And Wellness Coaching For Older Adults Within A Faith Community, Julie K. Philbrook

Theses and Graduate Projects

By the year 2030, an estimated 22% of the U.S. population will be older than 65, which translates to more than 70 million people. Maintaining and improving an older adult's functional status in all aspects of his or her life will be crucial for elderly persons, their communities, and society as a whole. Nurses practicing within a faith community have a unique opportunity to autonomously implement community-focused wellness programs that will honor each person's self described needs. The purpose of this project is to develop a nurse facilitated health and wellness program for older adults in a suburban Lutheran faith …

Gender Roles And Their Influence On Life Prospects For Women In Urban Karachi, Pakistan: A Qualitative Study, Tazeen S. Ali, Gunilla Krantz, Raisa Gul, Nargis Asad, Eva Johansson, Ingrid Mogren

School of Nursing & Midwifery

BACKGROUND: Pakistan is a patriarchal society where men are the primary authority figures and women are subordinate. This has serious implications on women's and men's life prospects.
OBJECTIVE: The aim was to explore current gender roles in urban Pakistan, how these are reproduced and maintained and influence men's and women's life circumstances.
DESIGN: Five focus group discussions were conducted, including 28 women representing employed, unemployed, educated and uneducated women from different socio-economic strata. Manifest and latent content analyses were applied.
FINDINGS: TWO MAJOR THEMES EMERGED DURING ANALYSIS: 'Reiteration of gender roles' and 'Agents of change'. The first theme included perceptions …

Prophylactic, Risk-Reducing Surgery In Unaffected Brca-Positive Women: Quality Of Life, Sexual Functioning And Psychological Well-Being, Sharon Tollin

USF Tampa Graduate Theses and Dissertations

Women with an inherited BRCA mutation are at significantly increased risk for breast and ovarian cancer, often diagnosed at an earlier age than sporadic cancers. Prophylactic surgery, with bilateral mastectomy and/or bilateral prophylactic salpingo-oophorectomy, represents an option for risk reduction. The purpose of this study was to explore quality of life, sexual functioning, menopausal symptoms, psychological well-being and satisfaction with risk management decisions for BRCA-positive women ages 21 to 50 (M = 38.4 years), without a personal history of cancer. A web-based, cross-sectional study design was utilized to compare women opting for any prophylactic surgery (n = 160) with those …

Voluntary Career Transition Of Managers In China: A Grounded Theory Study, Judy Yi Sun

Nursing Theses and Dissertations

The purpose of this study is to investigate Chinese managers' voluntary career transitions (VCTs) in the contemporary Chinese organizational and socioeconomic context to offer an understanding and an explanation of the mass VCT phenomenon coupled with the Chinese organizational transformation. The study followed a qualitative research design with the traditional grounded theory approach. Following a theoretical sampling process, twenty-two Chinese managers were selected and interviewed for the study. The findings were reported in relation to three guiding research questions. A contextualized typology of VCTs emerged from data that revealed different patterns of VCTs from behavioral, cognitive and affective aspects. Career …

Smoking Cessation Outcomes Among Individuals With Substance Use And/Or Psychiatric Disorders, Milan Khara, Chizimuzo T.C. Okoli

Nursing Faculty Publications

Objectives: The population of individuals with substance use (SUD) and/or psychiatric disorders (PD) has a high prevalence of smoking and a consequent increase in tobacco-related morbidity and mortality when compared to the general population. The aim of this study is to examine the outcomes of a program in a real-life setting which takes a tailored approach to smoking cessation among individuals with SUD and/or PD.

Methods: A retrospective chart review of tailored tobacco dependence treatment was performed on individuals with histories of SUD and/or PD attending a Tobacco Dependence Clinic (TDC) program in Vancouver, British Columbia, Canada. Participants of the …

Nurses Alumni Association Bulletin, Fall 2011, Susan Albrecht Curcio, Diane Warder Carugno, Sarah Hindson Wagner, Jane Ryan Dietrich, Aileen Ishuin Macmillan

Nursing Alumni Bulletins

2011 - 2012 Meeting Date Calendar

Cover 2012 Annual Luncheon & Meeting Notice

Officers, Committee Chairs, Satellite and Volunteers

Bulletin Publication Committee

The President's Message

Treasurer's Report

Resume of Minutes

Office News

Committee Reports

• Social
• Scholarship
• Relief Trust Fund
• Nominating
• Satellite - Harrisburg Satellite Area
• Bulletin
• By Laws

Annual Giving

Janet C. Hindson Award

Janet C. Hindson Award Criteria

Janet C. Hindson Award Recipient and Nominees

Memories

Era Ending (Part Two)

Mary Schaal, EdD, RN

Medical Clinic

Psychology and Nursing

Happy Birthday -To Be 80 or More

50th Anniversary Class Lists for 1961

Luncheon Attendees

Center Page

1962 - Anniversary …

Poor Women With Sexually Transmitted Infections: Providers’ Perspectives On Diagnoses, Genevieve R. Cox

Sociology

This article presents results from a study of health care providers, mainly nurses and nurse practitioners, who routinely diagnose sexually transmitted diseases (STDs) in rural low-income populations in West Virginia (WV). A qualitative analysis of eighteen semi-structured interviews reveals that providers who consistently work with low-income populations believe patients undergo a negative change in self-image in response to a chronic STD diagnosis. Providers express concerns about a number of issues related to low-income, rural women’s access to sexual health care and see the need for more sexuality education, more funding for free and reduced cost clinics, and more available health …

Health Literacy And Health Promotion Behaviors Among Samoans, Katherine Tong Phd, Msn, Cfnp, Phn

Dissertations

Limited health literacy is associated with failure to engage in health promotion behaviors. Few studies examine this relationship among Samoans. This study used a cross-sectional correlational design to determine health literacy levels and their relationship to health promoting behaviors in a southern California Samoan population. Health literacy (Short form Test of Functional Health Literacy in Adults) and health promotion behaviors (Health Promotion Lifestyle Profile II) were measured in a convenience sample of 87 Samoans in southern California. Data analysis employed chi-square, t-test, and one- way ANOVA. Significant associations were found for health literacy and demographic characteristics of employment and marital …

Analysis Of Texas Nurses' Preparedness And Perceived Competence In Managing Disasters, Sylvia Theresa Baack

Nursing Theses and Dissertations

Awareness of disaster preparedness has penetrated every level of the government and has captured the attention of citizens around the world. The increased prevalence of natural disasters cannot be denied, and the growing turbulence of world affairs is the focus of intense media attention. Nurses make up the largest sector of the healthcare workforce and are integral responders to major natural and human-induced disasters. It is essential that nurses have the knowledge and preparation needed to respond effectively, not only for the benefit of health care organizations, but for the safety of the community at large. This article explores the …

An Educational Intervention For Hospice Volunteers, Susan Conrey

Nursing Masters

Background and Significance: The House of John is a two-bed comfort care home located in rural, upstate NY and is staffed, in part, by a pool of adult volunteers. This researcher is an active member of that volunteer group. Volunteers are required to complete an eight week training course before they can begin caring for residents and fulfilling their volunteer hours. An estimated 60% of the active volunteers participated in their initial hospice volunteer training more than 5 years ago and have had little or no continuing or ongoing education since that time. In February of 2009, the newly organized …

What Can Parents Do To Reduce Youth Obesity? An Initial Study With A Diverse Sample, Marilyn Frenn, Amy Heinrich, Claire Schmidt Dohmen, Jessica E. Pruszynski

College of Nursing Faculty Research and Publications

The body mass index (BMI) of diverse, low-income fifth grade students (n = 36) was regressed on physical activity (Child Adolescent Activity Log), percentage dietary fat (Food Habits Questionnaire), and the Food/Activity Parenting Practices Questionnaire. The model explained 50% of the variance in student BMI, adjusted R² = .50, F (4, 19) = 6.84, p = .001. Students accurately perceived their weight status. Students' perception of parenting strategies, along with dietary fat, was significantly associated with their BMI. Parent's (n = 14) BMI, not the child's, was associated with the strategies they used. Three parents tested an …

Women’S Perceptions Of Caesarean Birth: A Roy International Study, Jacqueline Fawcett, Cynthia Aber, Susan Haussler, Marianne E. Weiss, Sheila Taylor Myers, Jaye L. Hall, V. Lynn Waters, Charlette King, Marja-Terttu Tarkka, Anja Rantanen, Paivi Astedt-Kurki, Jennifer Newton, Virginia Silva

College of Nursing Faculty Research and Publications

The purpose of this Roy adaptation model-based multi-site international mixed method study was to examine the relations of type of caesarean birth (unplanned/planned), number of caesarean births (primary/repeat), and preparation for caesarean birth to women’s perceptions of and responses to caesarean birth. The sample included 488 women from the United States (n = 253), Finland (n = 213), and Australia (n = 22). Path analysis revealed direct effects for type of and preparation for caesarean birth on responses to caesarean birth, and an indirect effect for preparation on responses to caesarean birth through perception of birth the …

The Meaning Of Breast Cancer Risk For African American Women., Janice Phillips, Marlene Z. Cohen

Journal Articles: College of Nursing

PURPOSE: To describe African American women's experience of being at high risk for breast cancer.

DESIGN: A hermeneutic phenomenological approach was used to guide in-depth interviews and analysis. Methods to ensure trustworthiness and rigor were included.

METHODS: Open interviews were conducted with 20 African American women who were at high risk for breast cancer (family history, personal history, genetic mutation). They were recruited from a cancer risk clinic and community-based settings. Data were transcribed verbatim, and themes were labeled among and between all interviews.

FINDINGS: Five themes were identified: (a) life-changing experience; (b) relationships: fears, support, and concerns; (c) the …

Associations Among Perceived Benefits, Barriers, Cues, And Physical Activity In Thai Primary Students, Sireewat Ar-Yuwat Phd, Mph, Rn

Dissertations

The purpose of this study is to examine the relationships between perceived benefits, perceived barriers, and cues to action and levels of physical activity in Thai fourth grade students. The Health Belief Model was used as the theoretical framework of the study to investigate students' beliefs related to physical activity. The participants in this cross-sectional study were fourth grade students selected by a simple random sampling method. A sample of 123 students was recruited from primary schools in Muang district, Phitsanulok province. The sample schools were selected by stratified random sampling. For data collection, the study utilized two instruments: the …

Chapter: The Advanced Practice Nurse In The Community, Kellie Smith, Molly A. Rose

College of Nursing Faculty Papers & Presentations

Objectives

After reading this chapter, the student should be able to do the following:

1. Briefly discuss the historical development of the roles of the advanced public health nurse and the nurse practitioner

2. Describe the educational requirements for population-focused advanced practice nurses

3. Discuss credentialing mechanisms in nursing as they relate to the role of the advanced practice nurse

4. Compare and contrast the various role functions of population-focused advanced practice nurses

5. Identify potential arenas of practice

6. Explore current issues and concerns related to practice

7. Identify five stressors that may affect nurses in expanded roles

Autism Spectrum Disorder: Parenting Stress, Family Functioning And Health-Related Quality Of Life, Norah L. Johnson, Marilyn Frenn, Suzanne Feetham, Pippa Simpson

College of Nursing Faculty Research and Publications

The prevalence of Autism Spectrum Disorder (ASD) is 1 in 110 persons in the U.S. Both parents of children with ASD are under stress that may impact their health-related quality of life (HRQL) (physical and mental health). The purpose of the current study was to explore the relationship of parenting stress, support from family functioning and the HRQL (physical and mental health) of both parents. Female (n = 64) and male (n = 64) parents of children with ASD completed Web-based surveys examining parenting stress, family functioning, and physical and mental health. Results of a Wilcoxon signed-ranks test showed that …

Testing The Integrated Theory Of Health Behaviour Change For Postpartum Weight Management, Polly Ryan, Marianne E. Weiss, Nicole Traxel, Michael J. Brondino

College of Nursing Faculty Research and Publications

Aim.  This is a report of a correlational study to test the Integrated Theory of Health Behaviour Change within the context of postpartum weight self‐management including the impact of race/ethnicity and weight classification.

Background.  Women experiencing childbirth face increasing challenges to manage their weight postpartum. Little is known about women’s weight self‐management during the complex physiological and psychosocial transition of the postpartum period.

Methods.  Data were collected during the birth hospitalization and 4 months postbirth during 2005 and 2006. A quota sample of 250 postpartum women using two strata, race/ethnicity and prepregnant weight classification, were enrolled; 179 women completed the …

Tailoring A Treatment Fidelity Framework For An Intensive Care Unit Clinical Trial, Linda L. Chlan, Jill L. Guttormson, Kay Savik

College of Nursing Faculty Research and Publications

Background:

Treatment fidelity (TF) refers to methodological strategies and practices used to monitor and enhance the reliability and validity of behavioral interventions. Treatment fidelity monitoring enhances internal and external validity and is needed for study replication and generalizability.

Objectives:

The aim of this study was to describe the implementation, monitoring, and impact of TF in an intensive-care-unit-based clinical trial testing music for anxiety self-management with mechanically ventilated patients.

Method:

Development of the criteria was based on the Five-Component Treatment Fidelity Framework from the Treatment Fidelity Workgroup. Descriptive statistics were used to evaluate adherence rates to the key TF criteria and …

Managing The Healthcare Needs Of Adolescents With Autism Spectrum Disorder: The Parents' Experience, Julie Strunk

Theses and Dissertations

The purpose of this phenomenological study was to describe the experiences of parents who manage the health needs of an adolescent with Autism Spectrum Disorder (ASD). Qualitative interviews were conducted with parents from 10 families of adolescents with ASD residing in Virginia. Data were analyzed using Clark Moustakas’ method of analysis of data in which the phenomenologist asks the following questions: What are the individual’s experiences, and in what context did they experience them? This study maximized credibility by using three strategies: prolonged engagement, peer debriefing, and member checking. “Parents needing help” emerged as the essence of the parents’ experiences. …

The Relationship Between Staff Nurse Perception Of Nurse Manager Leadership Behavior And Staff Nurse Job Satisfaction In A Hospital Applying For Magnet Recognition Status, Lorraine B. Bormann

Nursing Faculty Publications

Hospitals are challenged to understand factors related to staff nurse retention in the context of the nursing shortage slowdown (Huselid, 1995; Mancino, 2008; Mancino, 2009). Leadership is a major factor in organizational success (Gandossy & Guarnieri, 2008; Gettler, 2003; Wooten & Crane, 2003) and nurse managers are the direct link between the executive nurse leaders and the registered nurses (RN) in the staff position (Taunton, Boyle, Woods, Hansen, & Bott, 1997).

Studies show that nurse manager leader behaviors influence staff nurse job satisfaction (Blegen, 1993; Irvine & Evans, 1995; Lashinger & Finegan, 2005). A primary role of the nurse leader …

Occupational Health Assessment: A Tool For Nursing Faculty, Sherry R. Lovan, M. Susan Jones

Nursing Faculty Publications

No abstract provided.

Identifying Drug-Seeking Behaviors In The Emergency Department, Randi M. Bush Burman

HIM 1990-2015

Pain is the leading cause of Emergency Department (ED) visits making it one of the primary concerns of the emergency medical field. The experience of pain is subjective and unique to every individual making it difficult to effectively manage. As a result, the subjective nature of pain is also commonly associated with drug-seekers often claiming to have pain simply to receive narcotics to support their addiction. There have been numerous studies completed to determine how to effectively recognize drug-seeking. This integrative literature review will identify the common behaviors that have been seen as indicators of drug-seeking in the ED. The …

Review Of Instruments To Measure Breastfeeding Beliefs And Intent Among Nulliparous Black College Women, Jaime L. Eunice

HIM 1990-2015

United States breastfeeding rates are below Healthy People 2020 national goals, with African American women at the lowest rates. According to the theory of planned behavior, intention is a strong determinant of actual behavior. The purpose of this review is to uncover how researchers can best measure attributes that influence the intention to breast feed in the African American college aged population of nulliparous women. Tools to measure breastfeeding knowledge, attitudes, beliefs, cultural and social norms will be identified. Searches of health databases and Google Scholar located peer-reviewed journals using keywords such as Black, African American, instrument, female and student. …

Sensory Experiences Of Children With An Autism Spectrum Disorder And Nursing Interventions For Over Stimulation, Felicia Ballentine

HIM 1990-2015

Background: Autism spectrum disorders (ASD) are a group of neuro-developmental disorders that are characterized by impaired social interaction, communication, and restricted or repetitive behavior. Children with an ASD also display significant sensory experiences due to sensory disintegration. This integrative review of literature examines the sensory experiences of children with an ASD and determines nursing interventions that will enable them to better cope within the hospital setting. Method: an extensive search of databases and current literature on sensory experiences of children with an ASD and interventions that facilitate coping. Results: Children with an ASD experience a wide range of sensitivity and …

Differences In Student Beliefs About Physical Activity In The Prevention Of Obesity During Pre-Adolescence And Adolescence., Elaine Hilton

Nursing Masters

Background: Obesity is a nationwide public health problem. During adolescence, individuals develop distinctive lifestyles which influence their personal habits and overall health. Adolescents, therefore, are an integral group to target to modify the decreasing activity levels observed during that period of life. Health education programs and national initiatives have been developed to change these alarming trends, but adolescents have been show to decrease their physical activity level despite having gained knowledge on the risks of obesity. Adolescents, therefore, are an important group to target to try to alter this tendency so that they develop healthier lifestyles and offset obesity related …

Enhancing The Cultural Competence Of Women’S Health Nurses Via Online Continuing Education, Ella T. Heitzler

UNLV Theses, Dissertations, Professional Papers, and Capstones

By 2050, current minority groups will comprise almost half of the US population further challenging healthcare providers and nurses to deliver culturally competent care. Numerous organizations have published documents supporting cultural competence and its incorporation into nursing curricula has been encouraged since 1986. However, practicing nurses, specifically those providing care to childbearing women and families, continue to acknowledge their lack of cultural competence. This is concerning as large health disparities exist between culturally diverse women and cultural competence can lead to greater health equality and better client care. Studies have shown face-to-face education increases the cultural competence of healthcare providers; …

Faculty’S Perceptions Of Students’ Abilities To Utilize Self-Regulated Learning Strategies To Improve Critical And Reflective Thinking In Making Clinical Decisions: A Methodological Study, Amber Lynn Donnelli

UNLV Theses, Dissertations, Professional Papers, and Capstones

With the rapidly changing health care system, new nurses are expected to be able to collect pertinent data, access resources, prioritize information, solve problems, and ultimately make sound clinical decisions (Kuiper, 2005). Supporting evidence has shown that using self-regulated learning strategies (SRLS) increases the development of critical and reflective thinking within the clinical reasoning context (Kuiper & Pesut, 2004). Despite the fact that instruments have been developed to examine students’ perception of the use of SRLS, there is no existing instrument to measure nursing faculty’s perceptions of a student’s ability to utilize self-regulated learning strategies in the clinical setting. This …

The Development And Validation Of A Tool To Measure Self-Confidence And Anxiety In Nursing Students While Making Clinical Decisions, Krista Alaine White

UNLV Theses, Dissertations, Professional Papers, and Capstones

Clinical decision making (CDM) is a cornerstone skill for nurses. Self-confidence and anxiety are two affective influences that impact the learning and adeptness of CDM. Currently, no instruments exist that measure perceived self-confidence and anxiety level of undergraduate nursing students related to CDM. The purpose of this research was to develop, test, and establish psychometric properties for a quantitative instrument that measures the levels of self-confidence and anxiety experienced by undergraduate nursing students while making clinical decisions. The new tool is entitled the Nursing Anxiety and Self-Confidence with Clinical Decision Making (NASC-CDM) scale. The tool is a self-report, Likert-type instrument …

Knowledge Of Palliative And End-Of-Life Care By Student Registered Nurse Anesthetists, Margaret Callahan, Susan Breakwell, Rosemarie Suhayda

College of Nursing Faculty Research and Publications

Individuals requiring palliative care frequently receive inadequate or no treatment. As part of a 5-year study funded by the National Institutes of Health, all graduate nursing students, including student registered nurse anesthetists (SRNAs), at a single institution participated in a 2–credit-hour course titled Interdisciplinary Palliative Care. The project team sought to identify SRNAs’ knowledge and attitudes regarding palliative and end-of-life care and to determine potential roles for CRNAs in this growing area of practice.