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Violence, Depression, Parental Stress, And Child Neglect Among High Risk Postpartum Women, Kristen D. Lambert Phd, Msn, Rn

Dissertations

The purpose of this study was to characterize a vulnerable population of postpartum women at risk for family violence and maladaptive outcomes and to determine the degree the identified attributes increase the risk of child neglect and psychological aggression. Lazarus' Appraisal Theory and Scaer's Traumatic Spectrum framework provided a conceptual basis to examine the interrelationships between intimate partner violence (IPV), depression, previous traumatic history, and child neglect. A descriptive correlation design using secondary analysis of longitudinal data collected for the Healthy Families San Diego Clinical Trial was used. Standardized measures including the CTS, CTS2, CTSPC, CES-D and PSI were administered …

What Behavioral Effect Does Recess Have On Elemetntary-Age Students Diagnosed With Attention Deficit Disorder And Attention Deficit Hyperactivity Disorder (Add/Adhd)?, Brittany Long

Honors Capstone Projects and Theses

No abstract provided.

The Use Of Physical Activity To Promote Effective Coping And Life Skill Development In Minneapolis Sheltered Youth, Kathleen M. Welle

Theses and Graduate Projects

Homeless youth are a marginalized culture in our society. The resiliency of this population is remarkable. It is crucial that the transcultural nurse aid these youth in finding inner strength, making healthy choices, and being a source of support lbr the youth. By developing and implementing this rnodel of integration, the author was able to I organize a time of physical activity, social interaction, relationship building, and positive reinforcement. The processes and relationships unfolded throughout the sessions. The model of integration allowed the author to experience personal and professional growth, acknowledge the profound impact of teamwork, and practice the use …

Pushing Techniques Used By Midwives When Providing Second Stage Labor Care, Kathryn Osborne

Dissertations (1934 -)

A growing body of evidence suggests that spontaneous pushing during the second stage of labor results in better outcomes than directed pushing, which usually involves repeated use of the Valsalva maneuver. However, birth attendants in the United States (U.S.) continue to use directive methods when caring for women in the second stage of labor. This study used quantitative methods with the Theory of Diffusion of Innovations as a framework to identify and describe the practices used by certified nurse-midwives and certified midwives, practicing in the U.S., when caring for women in second stage labor. Data were gathered using a questionnaire …

Volume 03, Cheryl Peck, Charles Hoever, Longwood Theater Department, Brittany Anderson, J. Ervin Sheldon, Richard Hayden, Yuri Calustro, Candice Fleming, Rebecca Franklin, Ashley Yocum, Danielle M. Jagoda, Cristina M. Valdivieso, Jameka Jones, Amy Ellis, Ashley Maser, Erikk Shupp, Jamie Yurasits, Joshua Davis, Alexander Leonhart, Kenny Wolfe, Sally Meadows, J. Haley, Amy Jackson, Morgan Howard, Adrienne Heinbaugh, Melissa Dorton, Ciarra Stalker

Incite: The Journal of Undergraduate Scholarship

Introduction from Dean Dr. Charles Ross

Little Shop of Horrors by Longwood Theater Department

Who Has the Hottest Hotsauce in Farmville: A Quantitative Comparison of Sauces from Local Restaurants by Cheryl Peck and Charles Hoever

Precipitation Effects on the Growth of White Oaks and Virginia Pines on the Mt. Vernon Plantation by Brittany Anderson

Design and Synthesis of Novel Ion Binding Molecules for Self-Assembly and Sensing Applications by J. Ervin Sheldon

A Statistical Analysis of Algorithms for Playing SameGame by Richard Hayden

Intersecting Cylinders at Arbitrary Angles by Yuri Calustro

Putting a Foot in the Revolving Door: Strategies for Reducing …

Reliability Measurement Of The Premature Infant Oral Motor Intervention, Clare A. Goebel

Honors Projects

A study was conducted at a Level III Neonatal Intensive Care Unit (NICU) at a large Midwestern teaching medical center to determine the reliability of the Premature Infant Oral Motor Intervention (PIOMI). The PIOMI is a five minute, oral motor intervention using a gloved finger in the mouths of premature infants of at least 29 weeks post-menstrual age (PMA) developed by Dr. Brenda S. Lessen to improve feeding skills in preterm infants. The PIOMI was first introduced in a pilot study done by Dr. Lessen and the results demonstrated a decrease in the amount of time needed for premature infants …

Accelerated Baccalaureate Nursing Students: Perceptions Of Success, Barbara B. Blozen

Seton Hall University Dissertations and Theses (ETDs)

Although there are a number of anecdotal reports on demographic characteristics and academic success of accelerated nursing students, few empirical studies have been undertaken to examine these students' success, despite this type of programs' existence for more than a decade, and only three studies have soughtto examine the perspective of the accelerated nursing student. Using Knowles' adult learning theory as a guiding framework, the purpose of this qualitative study was to explore, from the accelerated nursing students' perspective, the factors they reported as contributing to their success on the NCLEX-RN. This study also examined demographic characteristics of these accelerated students. …

Team-Based Learning: Engagement And Accountability With Psychometric Analysis Of A New Instrument, Heidi Ann Mennenga

UNLV Theses, Dissertations, Professional Papers, and Capstones

With calls for transformation, innovation, and excellence in nursing education from national bodies of nursing, nurse educators must determine the best possible teaching strategies to meet educational standards. Team-based learning, an innovative teaching strategy, offers educators a structured, student-centered learning environment and may be more effective than current teaching pedagogies in meeting the needs of nurse educators.

The purpose of this study was to (a) examine differences in student engagement between baccalaureate nursing students taught using team-based learning and those taught using traditional lecture, (b) examine how levels of engagement affected examination scores, (c) examine potential differences in student examination …

Shared Presence: Caring For A Dying Spouse, Lana Sue Mclouth Kanacki Phd, Ms, Rn

Dissertations

There is limited research on female spouses and their end-of-life experience with their dying husbands. The purpose of this study was to explore wives' perceptions of hospital and hospice care at their husbands' end-of-life. The grounded theory method was used for this study. Data were collected over thirteen months and then transcribed and coded for meaning. Participants were 25 elderly widows (62-103 years of age) with 19 husbands' deaths in a hospice setting and 6 in the hospital. They were widowed from 6 months to 10 years after the death of their spouses. They were good informants with excellent recollections …

Neurodevelopmental Outcomes Of High Risk Infants, Lisa E. Miklush Phd, Msn, Rnc, Cns

Dissertations

Background: Infant developmental research has revealed amazing physical, cognitive, and social capacities of the human infant. Along with this knowledge is a growing appreciation of numerous factors that have the potential to impact the individual infant's developmental trajectory, either enhancing or compromising the eventual outcome. Enhanced understanding of those factors that shape infant developmental trajectories will provide an evidence base for the establishment of a supportive environment for the youngest members of society. Purpose: To determine the relationship between neurodevelopmental outcome and gestational age, birth weight, Apgar scores, NICU admission, infant gender, maternal depression, home environment, and parent-child interaction. Methodology: …

African American Women's Infant Feeding Choices: Analyzing Self-Efficacy And Narratives From A Black Feminist Perspective, Karen Marie Robinson

Dissertations (1934 -)

Breast milk is the optimal form of nutrition for infants up to six months of age. Commercial formula is unequal to breast milk nutritionally, economically, and psychologically. African American women (AAW) continue to breastfeed the least compared to other populations. Few researchers conducting research related AAW's infant feeding preferences have employed the Black Feminist philosophy or the theory of self-efficacy. This philosophy and theory may offer insight into factors that influence AAW's infant feeding choices.

The purpose of this mixed-method study was to examine prenatal breastfeeding self-efficacy (confidence) and actively listen to and analyze AAW's reports of factors influencing their …

The Effectiveness Of Counselors As Care Managers In Improving Self-Management And Medical Outcomes In Persons With Poorly Controlled Diabetes, Ularisi Rebecca Green

Counseling & Human Services Theses & Dissertations

This study investigated whether providing counselors as care managers to individuals who were having difficulty managing their Type II diabetes improved their self-management, health, and functioning. Counselors used the Motivational Interviewing Model and met weekly over a six month period with patients who had Type II diabetes who had been identified as not functioning well in managing their disease. The success of the intervention was determined by a number of measures including physical symptoms of patients; patients' perceptions of the care they received; and patients' self-efficacy in managing their diabetes. The results of this study suggested that providing counselors as …

Eating Disorder Assessment Handbook For School Nurses In Hamilton County Schools, Victoria A. Brumlow

Graduate Research Projects

No abstract provided.

Using A Self-Learning Module To Teach Nurses About Caring For Patients With Eating Disorders, Carrie Steinwachs

Nursing Masters

Background: The rate of eating disorders is on a rise, especially in adolescents. Eating disorders are very serious and can cause detrimental health problems requiring hospitalizations. Due to the many complications associated with eating disorders, nurses who care for these patients should have proper training and education regarding the disease and its ‟ treatments. Purpose : The purpose of this study was to increase nurse‟s knowledge about caring for patients with eating disorders along with determining the effectiveness of using a self-learning module (SLM) as a teaching method. Methods: A pre and post-assessment test was used in this study. Participants …

Pilot Study On Pet Therapy And Quality Of Life, Kathy L. Vanvoorhis

Nursing Masters

The World Health Organization (WHO) defines quality of life (QOL) as an individual’s perception of his or her position in life in the context of their culture and value systems in relation to their goals and expectations. The goal of this pilot study was to determine how pet therapy can influence QOL of residents in assisted living facilities. To measure the anticipated change in QOL, each participant in the experimental group was required to complete the WHO Quality of Life brief questionnaire, WHOQOL-BREF, before the initiation of the pet therapy program and after the session, for a total of two …

Developing An Educational Module For Advanced Practice Nurses: The Screening And Management Of Postpartum Depression In Primary Care, Lynne Weiler

Nursing Masters

Postpartum depression (PPD) is thought to affect 13% of new mothers. Yet it is believed that up to 50% of cases escape detection, resulting in a host of adverse sequelae for mother, infant and family. The current state of the science is promising, as advances in pharmacotherapy and psychotherapy have demonstrated PPD's amenability to treatment. However, expertise among providers appears to be deficient, as seen in survey results which portray most physicians and nurse practitioners largely ill-equipped to detect and deal with PPD. A rich opportunity to intervene exists, particularly within primary care settings, where suffering women may be encountered. …

Parenting Behaviors And Their Relationship With A Child's Weight Status, Michele L. Polfuss

Dissertations (1934 -)

Pediatric obesity is a critical healthcare problem that has continued to increase in prevalence. It has been well established that pediatric obesity is a multifactorial problem

with no easy solution. Complicating matters has been the fact that there has been a disproportionate increase across ethnicity and socioeconomic status. Parents have been found to play a critical role supporting a child's behavior through environment, role modeling and ongoing parenting practices.

This study utilized a cross sectional correlational study design to determine what the relationship is, if any, between a child's weight status and parenting behaviors. In addition the study examined if …

Nurses Of 2010: The Dichotomy Between Continuity Of Patient Care And Nursing Fatigue As Related To Shift Length, Christy Kurtz

Capstone Research Projects

Nursing shift lengths are widely debated, and the implications on both nurse and patient safety are quite large. This work seeks to present a current review of literature describing the current work schedules of nurses in comparison to the Institute of Medicine’s 2004 recommendations and both the positive and negative effects that these schedules have on nurses and their patients. Eleven studies from the past five years (2004-2009) are included, with particular emphasis on those studies that address the dispute between continuity of care and nursing fatigue. Results show that nurses are regularly working longer than is recommended, and this …

Quality Of Life, Hope, Social Support, And Self-Care In Heart Failure Patients, Karen A. Mcgurk Phd, Mn, Rn

Dissertations

Heart failure is a significant, chronic health problem. Much is known about physiological factors related to this condition. Less is known about the psychosocial aspects that influence disease risk, progression, and treatment. The purpose of this study was to describe the relationships between quality of life, hope, social support, and self-care. A descriptive, correlational study was conducted. The participants were 65 heart failure patients who attended 2 military-based heart failure clinics. Quality of Life was measured using the Left Ventricular Dysfunction Questionnaire (LVD-36), Hope was measured using the Herth Hope Index (HUI), Social Support was measured using the Medical Outcomes …

Impact Study Of A Central Lines Simulation Training Program Using Kirkpatrick’S Four-Level Evaluation Model, James P. Orlando Edd, Andrew C. Miller Do, William Bond Md, Ms, Valerie A. Rupp Rn, Bsn, Bryan G. Kane Md, Cindy Umbrell Rn, Msn, Michael Pasquale Md

Department of Emergency Medicine

No abstract provided.

Gis And Injury Prevention And Control: History, Challenges, And Opportunities, Nathaniel Bell, Nadine Schuurman

Faculty Publications

Intentional and unintentional injury is the leading cause of death and potential years of life lost in the first four decades of life in industrialized countries around the world. Despite surgical innovations and improved access to emergency care, research has shown that certain populations remain particularly vulnerable to the risks and consequences of injury. Recent evidence has shown that the analytical, data linkage, and mapping tools of geographic information systems (GIS) technology provide can further address these determinants and identify populations in need. This paper traces the history of injury prevention and discusses current and future challenges in furthering our …

Update - March 2010, Loma Linda University Center For Christian Bioethics

Update

In this issue:

-- Glorifying God in Our Body: A Seventh-day Adventist Theological Foundation for Nursing
-- Editorial
-- New Beginning at the Center for Christian Bioethics

Quality Of Life, Religious/Spiritual Coping, Demoralization And Depression In Heart Failure Patients, Terry Larsen Phd, Rn, Cns

Dissertations

Background: Research suggests that the heart failure (HF) population is particularly vulnerable to depression. Other factors may also affect quality of life such as religious/spiritual coping, and demoralization. Purpose: The purpose of this descriptive correlational study was to examine factors that predict health-related quality of life (HRQoL) in adults with heart failure. Specific Aims: (1) to examine level of religious/spiritual coping, spiritual distress, demoralization, depression and HRQoL among adults with heart failure; (2) to examine the relationships of religious/spiritual coping, spiritual distress demoralization, depression and selected demographic variables (age, gender, race/ethnicity and length of living with HF) with HRQoL. Methods: …

Nurse To Nurse Communication: Conveying The Patient's Story, Cheryl Fisher Laine

Theses and Graduate Projects

The focus of this project is to gain a better understanding of report given from nurse to nurse at the change of shift, in an effort to make this process more efficient and satisfactory to the nursing staff. The importance of precise shift-to-shift communication is essential to safe care for the patient. Shift report can be a multi-faceted process that serves to provide nurses with vital patient information to facilitate clinical decisions and patient care planning. A shift report also provides nurses a forum for functions, such as patient problem-solving and collaboration. The author conducted a literature review which indicates …

Factors Influencing Nurse Sedation Practices With Mechanically Ventilated Patients: A U.S. National Survey, Jill L. Guttormson, Linda L. Chlan, Craig R. Weinert, Kay Savik

College of Nursing Faculty Research and Publications

Objectives

Mechanically ventilated patients commonly receive sedative medications. There is increasing evidence that sedative medications impact on patient outcomes. Nursing behaviour is a key determinant of sedation administration. The purpose of this study was to determine factors that influence nurse sedation administration to mechanically ventilated patients.

Methods

The Nurse Sedation Practices Scale was mailed to a random sample of 1250 members of the American Association of Critical Care Nurses.

Results

A response rate of 39% was obtained. Respondents were primarily staff nurses (73%) with a bachelor's degree in nursing (59%) from various intensive care unit (ICU) settings. We limited the …

What Is The Experience Of Emergency Department Nurses With Lateral Verbal Aggression?, Wendi Harper-Lonabaugh

Nursing Theses and Capstone Projects

This descriptive study investigated the incidence of lateral verbal aggression among emergency department nurses. A sample of registered emergency department nurses currently working in western North Carolina with more than one year of full time work experience was surveyed (N=68). Roy's adaptation model was used as a theoretical framework for this qualitative study. A survey was utilized to collect the frequency, source, and incidences of reporting the lateral verbal aggression that occurred. Nurses also reported personal and professional ramifications to the lateral verbal aggression. Aggregate data was examined; no specific individual data was analyzed. The most common perpetrators of lateral …

Reorientation Of The Experienced General Medical/Surgical Nurse To A Progressive Care Medical/Surgical Nurse Utilizing Benner's Novice To Expert Theory, Barbara Radford

Nursing Theses and Capstone Projects

The decisive factor for this project was the Health Care Organization's decision to combine the medical/surgical units from two campuses into one department. This process required the Registered Nurses to reapply for their positions, merge into one unit, and transition to a different physical location. The next major process to occur will be the changing of patient acuity-levels from general medical/surgical to medical/surgical progressive care.

This project will provide a cost effective educational plan based on Benner's novice to expert theory which will ensure efficient transition for the expert medical/surgical nurse to an expert progressive care nurse. A structured orientation …

A Model For Easily Incorporating Team-Based Learning Into Nursing Education, Heidi A. Mennenga, Tish Smyer

College of Nursing Faculty Publications

A sense of urgency exists among nurse educators to determine the best possible teaching strategies to create a rich, engaging learning environment for students. With the calls for transformation, innovation, and excellence in nursing education from the American Association of Colleges of Nursing, the National Council of State Boards of Nursing, and the National League for Nursing, educators may determine that current teaching strategies fall short. Team-based learning, an innovative teaching strategy, offers educators a structured, student-centered learning environment and may be effective in teaching necessary skills to students. An overview of how this strategy fosters many of the essential …

Increased Interleukin-6 Activity Associated With Painful Chemotherapy-Induced Peripheral Neuropathy In Women After Breast Cancer Treatment, Angela R. Starkweather

School of Nursing Publications

Accumulating evidence suggests that neural-immune interactions are involved in the development of painful chemotherapy-induced peripheral neuropathy, particularly through the increased release of proinflammatory cytokines. The purpose of this study was used to evaluate levels of interleukin [IL]-6 and IL-6 receptors in women with breast cancer after the conclusion of chemotherapy who either had painful symptoms of chemotherapy-induced peripheral neuropathy (CIPN group, ) or did not experience CIPN symptoms (Comparison group, ). CIPN participants had significantly higher levels of IL-6 and soluble IL-6R (sIL-6R) compared to women without CIPN symptoms ( for both). In addition, soluble gp130, which blocks the IL-6/sIL-6R …

Copd Care Coordination Program, Glenda Mccall

Nursing Theses and Capstone Projects

COPD is the fourth leading cause of death in the United States. Several studies confirm only 50% of COPD patients receive optimal care. The disease is greatly under-recognized and generally is not diagnosed until it is clinically apparent and moderately advanced. COPD is also a major resource consuming disease. Considering these facts, Mission Hospitals realized the opportunity to improve evidence based quality care for patients diagnosed with COPD as well as the development of a Care Coordinated Program to improve outcomes for the patient as well as the organization. The goal of the program is to provide correct, comprehensive, and …