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The Decision Making Process Involved When Changing Career: A Qualitative Study Of Registered Nurses Who Have Left The Profession, Katherine S. Gallager

Theses : Honours

Career choice is an important decision an individual has to make during their lifetime. Personal, environmental and organisational factors all assist this decision process as individuals strive for a work-life balance within careers that meet their needs and realise their potential. This research study investigated which factors contributed to the decision process of Registered Nurses (RNs) who have left the profession for a career change. There is currently a global shortage of RNs, which is of major concern to healthcare policy makers in most countries, including Australia. This qualitative study examined the narrative interviews often females over the age of25 …

Spirit & Practice, Maine Medical Center

Annual Reports

Annual Report on Nursing, 2009-2010

A Study Of Clinical Behaviour In Intensive Care Unit, Vivienne-Marie Smith

Research outputs pre 2011

In order to support the needs of the staff working in discrete areas of nursing, the attitudes, behaviors and needs of the group must first be articulated. Unfortunately, there has been little research conducted to understand the culture of what it is that health care workers think and feel and why they make the choices they do in their working environment and also why they chose to leave the environment. Specifically, what do intensive care clinicians think about the work they do when managing end-of-life care in this technical, highly skilled environment. The focus of an ethnographic study conducted in …

The Effect Of Culture On Urinary Incontinence: Do We Really Understand?, Karen A. Karlowicz

Ellmer School of Nursing Faculty Publications

No abstract provided.

Culture Change And Quality Of Life In Elderly Persons Living In Long Term Care, Carol S. Jones

UNF Graduate Theses and Dissertations

Quality of life in long term care (LTC) is a concern for many stakeholders. The elders who are living in LTC facilities, their families, the staff, and government and policy makers are all interested in providing quality care and quality of life to those persons living within the facility. Culture change is one way for LTC facilities to begin to give decision making to the residents, and to increase quality of life of these elders. There are different culture change models that embrace the concept of person-centered care. No matter which model is chosen, the essence of the change is …

Pressure Ulcer Risk Factors For Patients With Hospital Versus Community Acquired Pressure Ulcers, Margaret Talley Phd, Mn, Rn, Cns, Cwcn-Ap

Dissertations

Purpose: Pressure ulcers are a major health problem in the United States. Patients who develop pressure ulcers have longer hospital stays, significant increase in morbidity and mortality, added pain and suffering. The purpose of this study was to examine community versus hospital specific pressure ulcer risk factors to identify whether the most severe pressure ulcer stages can be predicted from the knowledge of an individual's risk factors as has been reported in the literature. Methodology: The sample of patients with stageable III-IV and unstageable pressure ulcer patients included in the analysis was extracted from a Microsoft Access database developed by …

2010-2011 Nursing Undergraduate Student Handbook, Morehead State University. Nursing Department.

Nursing Department Publications Archive

2010-2011 Undergraduate Student Handbook of the Department of Nursing at Morehead State University.

Predictors Of Success Of The National Council Licensure Examination For Registered Nurses Among Transfer Bsn Students, Mary E. Fortier

Seton Hall University Dissertations and Theses (ETDs)

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Comparison Of Arnp And Physician Malpractice In States With And Without Controlled Substance Prescribing Authority, Deborah Chandler

Electronic Theses and Dissertations

Florida is one of two states that do not allow ARNPs to prescribe controlled substances. The Florida Legislature has expressed concern regarding the safety of ARNPs prescribing controlled substances. The purpose of this study was to compare malpractice rates of ARNPs and physicians in states with and without controlled substance prescribing. The design was a direct comparison of malpractice rates in states with and without ARNP controlled substance prescriptive authority. Comparison of malpractice claims was made between physicians (MDs and DOs collectively) and ARNPs in the United States and by state ARNP prescribing authority. Comparison of malpractice claims was also …

The Incidence And Epidemiologic Factors Of Community-Acquired Methicillin-Resistant Staphylococcus Aureus Skin And Soft Tissue I, Ivonne Johnson

Electronic Theses and Dissertations

Methicillin-resistant Staphylococcus aureus (MRSA) is a serious public health problem nationwide, threatening to develop into an epidemic. Many of these patients are presenting to their primary care clinics with skin and soft tissue infections (SSTIs). The CDC has reported that in 2005, MRSA was responsible for an estimated 94,000 life-threatening infections and 16,650 deaths. The purpose of this study is to estimate the incidence of CA-MRSA within a specific family practice in Florida and to identify epidemiologic factors, classify antibiotic susceptibility patterns, and evaluate patient education in regard to disease management and prevention. This study was a descriptive, epidemiologic, three-year …

The Impact Of An Interdependent Conferencing Activity In An Online Rn-Bsn Practicum Clinical Conference On Psychologocial Sense Of Community, Barbara Lange

Electronic Theses and Dissertations

RN-BSN students enrolled in a clinical course often have limited or no interaction with other students within the course due to geographic distance and individual preceptor assignments. Learning is often restricted to a student and his/her preceptor and instructor. Geographic and physical distance factors inhibit a student's perception of connectedness and learning. Interdependent interaction between peers, the instructor, and the professional community may increase student achievements and enhance a sense of connectedness. The purpose of this study was to assess the effects of an Interdependent Conferencing Activity (ICA) in an online clinical conference on RN-BSN students' Psychological Sense of Community …

Evaluation Of A Simulation-Enhanced Obstetric Clinical Experience On Learning Outcomes For Knowledge, Self-Efficacy, And Transfer, Mary Elizabeth Guimond

Electronic Theses and Dissertations

Simulation using computerized patient mannequins may be a useful mechanism to teach safe and effective nursing care, thus improving the quality of education for nurses. As nursing program enrollments grow, clinical placement is becoming more difficult and may not offer consistent learning opportunities that reinforce safe and effective nursing practice. This study applied Ford, Smith, Weissbein, Gully, and Salas’ (1998) model of learning transfer as the theoretical framework to design a simulated obstetric clinical learning experience to augment the current clinical practice model, an approach that may lead to an improved educational experience. The purpose of this study was to …

The Role Of Parental Autonomy Support In The Motivation Of The Health Behaviors Of Diet And Exercise In Older Adolescents, Shannon A. Morrison

All ETDs from UAB

regardless of the degree of heteroskedasticity. Moreover, in the presence of high leverage

Organizational Support, Perceived Social Support, And Intent To Turnover Among Psychiatric Nurses: A Mixed Methods Study., Beverly Jean Myers

All ETDs from UAB

Nurse turnover compromises the quality of patient care and leads to an increase in organizational costs. Nurse turnover is defined as the intent to leave one's current job position either to transfer to another unit within the organization or to terminate employment with the organization. Few studies have examined the role social support received at work as well as at home, personal characteristics and work factors play in guiding psychiatric nurses' decisions to leave a current nursing position (turnover). The overall purpose of this mixed-methods sequential explanatory study was to explore factors that contribute to psychiatric nurses' intent to turnover. …

Occupational Stress, Job Satisfaction And Job Performance Among Hospital Nurses In Kampala Uganda, Rose Chalo Nabirye

All ETDs from UAB

ABSTRACT Occupational stress, a common occurrence among various professions worldwide, is regarded as a major occupational health problem for healthcare professionals especially nurses. Occupational stress has been reported to affect job satisfaction and job performance among nurses, thus compromising nursing care and placing patients' lives at risk. Stress is a complex phenomenon resulting from the interaction between individuals and the environment. Therefore, significant differences in occupational stress, job satisfaction and job performance among nurses may exist due to different work settings. The aims of the study were to: 1) examine the relationships between occupational stress, job satisfaction and job performance …

The Influence Of Self-Concept, Physical Activity, And Sedentary Screen Time Activities On Blood Pressure In 11-13 Year Old Middle School Children, Elizabeth Di Benedetto Gulledge

All ETDs from UAB

The aims of this study were to: 1) examine associations between self-concept (SC), physical activity (PA), sedentary screen time (SST), and blood pressure (BP) and 2) determine the amount of variance explained by SC, PA, and SST in BP. The increase in SST along with decreases in PA may contribute to increases in BP. SC, PA and SST have been associated with BP in adolescents but less is known about middle school children. A sample of 116 (36 males; 80 females; 51 African American, 65 White) 6th and 7th grade11-13 year old students were recruited in a southeastern state. Participants …

Parental Separation Anxiety And Shared Responsibility For Diabetes-Related Tasks In Adolescents Diagnosed With Type 1 Diabetes Mellitus, Kathryn Anne Sheppard

All ETDs from UAB

Type 1 diabetes mellitus (T1D) is most commonly diagnosed in children and young adults, and complications may be life-long as well as life threatening. Management of T1D has proven to be very challenging during adolescence, and parental involvement in diabetes management has been shown to improve adherence and glycemic control in children and adolescents. Middle adolescents should become increasingly responsible for diabetes-related tasks under the supervision and guidance of parents (shared management). However, adolescents spend less time with their family as they get older, resulting in parents' being unable to validate effective self-management; this inability may lead to anxiety about …

Self-Blood Pressure Monitoring, Stage Of Change, Medication Adherence, Self-Efficacy And Blood Pressure Control In Hypertensive Workers, Tonya Lynn Breaux-Shropshire

All ETDs from UAB

ABSTRACT According to the World Health Organization, hypertension is the leading cause of death in the world and it is one of the primary reasons patients seek health care. Prior to 2010, uncontrolled blood pressure (BP) rates were approximately 18%, despite the fact that prescribed medical treatment is available to adequately control patients' BP. It has been established that medication adherence is a major factor in controlling BP, and self-BP monitoring is highly recommended by the national guideline to improve blood pressure control. However, information related to assessing hypertensive patients' readiness to engage in health care treatment and self-monitoring is …

The Co-Existence Of Diabetes Mellitus Type 2 And Depression Symptoms In Mexican American Adults: Its Relation To Glucose Control, Perceived Stress And Physical Health, Guillermina Rincon Solis

Open Access Theses & Dissertations

Type 2 diabetes is a common chronic metabolic disease affecting 23.6 million people (7.8%) in the U.S. and is the 6th leading cause of death among adults (CDC, 2007). Mexican-Americans, the largest group within the Hispanic U.S population, have double the rate of type 2 diabetes. Long-term glucose control (HbA1C) is essential to lessen the risk of diabetes complications; self-care demands for diabetes management may be overwhelming and creates stress that predisposes individuals to depression and affects long-term glucose control (Anderson et al., 2000; Black, 1999; Black, Markides, & Ray, 2003). The purpose of this study was to evaluate the …

Parents' Perceptions And Parental Stress Related Obesity Of Children In United Arab Emirates, Salma Omar Sbait Ai-Nuaimi

Theses

Aim: This study aims to explore parents’ perception of obesity in children and stress related to obesity during childhood period in Emirate of Abu Dhabi in United Arab Emirates.

Background: The prevalence of excess weight among children is increasing in both developed and developing countries. Overweight and obesity are leading cause of the most common health problems in children. The degree of parents’ perception about their child’s weight is likely to play a critical role in the development and management of childhood obesity. Greater parental perception and involvement is likely to encourage more active monitoring and controlling of child’s dietary …

Quality Of Life And Health Outcomes In Overweight And Non-Overweight Children With Asthma., Amy Becker Manion

Dissertations

Over the last two decades the number of children and adolescents who are overweight has more than doubled. Currently, an estimated 18 percent of children and adolescents ages 6-19 years are overweight. Following this trend in childhood overweight, there has been an alarming increase in the number of children with asthma who are overweight. The increasing trend in both asthma and overweight has led to the suggestion of a causal relationship between the two. Childhood overweight has been found to have a profound negative impact on quality of life (QOL), yet there is a dearth of research regarding the impact …

Pushing On: A Grounded Theory Study Of Maternal Perinatal Bereavement., Patricia Wright

Dissertations

Over 1 million American women experience the unexpected loss of a pregnancy each year (Ventura, Abma, Mosher, & Henshaw, 2009). The care and support they receive from family members, friends, and health care providers is often inadequate. Despite nearly 3 decades of research, very little is known about women's experiences of loss and the trajectory of perinatal bereavement. This classic grounded theory study was undertaken to discover a substantive theory of maternal perinatal bereavement, which was empirically derived from the words of the participants.

Data were collected from interviews with 19 women who had experienced the loss of a pregnancy, …

Exploring The Impact Of Race On Mental Health Service Utilization Among African Americans And Whites With Severe Mental Illness, Michelle Hampton, Linda Chafetz, Mary White

Faculty Publications

BACKGROUND: Disparities among African Americans and Whites with severe mental illness have been identified in numerous studies. Yet it remains unknown if disparities are associated with race or other vulnerabilities common to this population. OBJECTIVES: This study used the Behavioral Model for Vulnerable Populations to examine mental health service utilization among 155 African Americans and Whites with severe mental illness for 12 months after discharge from a residential crisis program. DESIGN: This cross-sectional study was a secondary analysis of data from a randomized trial. RESULTS: Race did not emerge as a significant predictor of mental health service utilization. Factors associated …

Health Promotion And Health Education: Nursing Students’ Perspectives, Kathleen Ann Halcomb

University of Kentucky Doctoral Dissertations

The purpose of this study was to determine student nurses’ perceptions of (1) the role of the nurse in health promotion, and (2) how the concept of health promotion is presented in nursing curricula. Research questions for this study included the following: 1) Can nursing students explain the difference between health education and health promotion? 2) What have nursing students been exposed to within their curriculum regarding health promotion? 3) What health promoting behaviors are nursing faculty role modeling as perceived by nursing students? 4) What is the role of the nurse in implementing health promotion as perceived by nursing …

Neighborhood Factors Relevant For Walking In Older, Urban, African American Adults, N. A. Gallagher, Kimberlee A. Gretebeck, Jennifer C. Robinson, Elisa R. Torres, Susan L. Murphy, Kristy K. Martyn

College of Nursing Faculty Research and Publications

Focus-group and photo-voice methodology were used to identify the salient factors of the neighborhood environment that encourage or discourage walking in older, urban African Americans. Twenty-one male (n = 2) and female (n = 19) African Americans age 60 years and older (M = 70 ± 8.7, range = 61–85) were recruited from a large urban senior center. Photographs taken by the participants were used to facilitate focus-group discussions. The most salient factors that emerged included the presence of other people, neighborhood surroundings, and safety from crime, followed by sidewalk and traffic conditions, animals, public walking tracks …

Physical Activity Effects On Depressive Symptoms In Black Adults, Jessica D. Richardson, Sarah Grace Dalton, Elisa R. Torres, Carolyn M. Sampselle, Kimberlee A. Gretebeck, David L. Ronis, Harold W. Neighbors

College of Nursing Faculty Research and Publications

Objectives

Randomized trials found physical activity (PA) effective in decreasing depressive symptoms. Few studies included Black participants. The purpose of this systematic literature review was to determine the effects of PA on depressive symptoms in Black adults.

Methods

Articles were abstracted by conducting a computer and hand search of eligible studies.

Results

Eight of 13 studies found a significant inverse relationship between PA and depressive symptoms in Black adults. Sources for the heterogeneity were explored.

Conclusion

Future studies should include representative samples of Black adults, incorporate a theory which considers multiple levels of influence, account for genetic factors in the …

The Mds Mortality Risk Index: The Evolution Of A Method For Predicting 6-Month Mortality In Nursing Home Residents, Davina Porock, Debra Parker-Oliver, Gregory F. Petroski, Marilyn Rantz

Publications and Research

Background: Accurate prognosis is vital to the initiation of advance care planning particularly in a vulnerable, at risk population such as care home residents. The aim of this paper is to report on the revision and simplification of the MDS Mortality Rating Index (MMRI) for use in clinical practice to predict the probability of death in six months for care home residents.

Methods: The design was a secondary analysis of a US Minimum Data Set (MDS) for long term care residents using regression analysis to identify predictors of mortality within six months.

Results: Using twelve easy to collect …

Current Medical Research: Summer–Fall 2009, Richard J. Fehring

College of Nursing Faculty Research and Publications

No abstract provided.

The Effect Of Acupressure On Constipation, Quality Of Life, And Depressive Symptoms In Cancer Patients With Constipation, Eun Jin Lee

University of Kentucky Doctoral Dissertations

Constipation is the most common gastrointestinal complaint in the United States, resulting in about 2 million annual visits to the doctor.

The purposes of this dissertation were to: 1) describe four theories of traditional Korean medicine; 2) review mechanisms of acupuncture and moxibustion and develop a conceptual model; 3) review findings from randomized controlled trials that tested the effects of acupressure used for the management of symptoms such nausea, pain, and dyspnea; 4) examine the reliability and validity of the Patient Health Questionnaire-9 (PHQ-9) in heart failure patients with constipation compared to those with gastrointestinal disease; 5) describe how Korean …

What Nurses Say: Communication Behaviors Associated With The Competent Nursing Handoff, Anne Claiborne Ray Streeter

University of Kentucky Doctoral Dissertations

Communication competence and medical communication competence served as the theoretical framework for this research that seeks to identify specific communication behaviors associated with what nurses say constitute a communicatively competent patient handoff at the nursing change of shift. Data collected from 286 nurses responding to an online modified Medical Communication Competence Scale posted at www.allnurses.com supported the hypotheses that information exchange (information giving, seeking and verifying) and socioemotional communication behaviors are rated more highly in the best patient handoffs than in the worst ones. Research questions found that the incoming nursing role rated behaviors associated with information verifying and socioemotional …