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A Quantitative And Qualitative Inquiry Into Moral Distress, Compassion Fatigue, Medication Error, And Critical Care Nursing, Jeanne Maiden Phd, Ms, Rn, Cns

Dissertations

A correlational embedded mixed method design was used for this study. A purposive sample of 205 critical care nurses (CCNs) provided quantitative data for the study. A focus group interview of five CCNs provided the qualitative data. The Moral Distress Scale (MDS), Professional Quality of Life Scale (ProQOL), and Medication Administration Error (MAE) Scale and demographics form were used to measure quantitative data. Quantitative findings included the majority of participants were female (91.7%); mean age 47 (SD = 7.91) years; mean years worked as a nurse was 23 (SD = 8.48); mean years worked on respective unit was 13.6 (SD …

Dyspnea: Effect Of Auricular Acupressure In End Stage Lung Cancer Patients, A Pilot Feasibility Study, Roger Alan Strong Phd

Dissertations

Introduction: Dyspnea is a debilitating symptom, common in advanced lung cancer patients, and poorly controlled. The National Institutes of Health has promoted the need for research regarding end of life care symptom control. Purpose: Conduct a feasibility study evaluating auricular acupressure effects on dyspnea in hospice lung cancer patients. Theoretical framework: The UCSF School of Nursing Symptom Management Faculty Group's Model for Symptom Management was used for the conceptual framework. The model includes three dimensions: symptom experience, symptom management strategies, and symptom outcomes. The Human Energy Field Theory provided context for using auricular acupressure. Aim: Conduct a pilot study evaluating …

Obesity Risk Knowledge, Self-Efficacy, And Physical Activity In Families Of Adolescents, Elaine M. Rutkowski Phd, Msn, Rn, Cns

Dissertations

There were no significant relationships found between parental obesity risk knowledge and physical activity in their children. nor between parent's self efficacy and their children's physical activity. In addition there was no significant relationship between the adolescents' obesity risk knowledge and their physical activity. There was, however, a statistically significant relationship between adolescent's self efficacy and physical activity. The result of the correlation between parent's self-efficacy and their level of physical activity was not significant but approached significance (p = .07) and may be identified as a trend. There was a statistically significant negative correlation between parents who describe their …

Volume 01, Jessica Fields, Stephanie Neeley, Derek W. Hambright, Mary E. Lehman, Andrew R. Grzankowski, Zachary Johnson, Boone M. Prentice, Ashley M. Swandby, Victoria Morgan, Katie Williamson, Kristine G. Bender, Katelyn N. Romaine, D. Nicole Swann, Jessica Fox, Mike Mcateer, Alex Grabiec, Laura Nodtvedt, Nick Costa, Rachel Wolfe, Zack Dalton

Incite: The Journal of Undergraduate Scholarship

Introduction from Dean Dr. Charles Ross

Three Decades of Digging: Undergraduate Archeology at Longwood by Jessica Fields and Stephanie Neeley

Interactions of Allelopathy and Heat Stress in Plants by Derek W. Hambright and Mary E. Lehman

Inertial Electrostatic Confinement D-D Fusion Device: Construction and Simulation by Andrew R. Grzankowski

Shackled Nim by Zachary Johnson

Development of GC-MS and Chemometric Methods for the Analysis of Accelerants in Arson Cases by Boone M. Prentice

A Comparison of Image Analysis Methods in cDNA Microarrays by Ashley M. Swandby

Perceived Sexual Activity of Short and Long-Term Relationships by Victoria Morgan and Katie Williamson

Elderly …

Mortality Prognostication In Long-Term Care Residents: The Mds-Chess Scale, Caroline Etland Phd, Msn, Cns

Dissertations

Quality end of life (EOL) care for the elderly continues to be a challenge, in part due to late referral for palliative and/or hospice services. The purpose of this study was to determine the accuracy of the MDS-CHESS scale (Hirdes, Frijters & Teare, 2003) in predicting 6-month mortality in a stable American nursing home (NH) population. A secondary aim was to determine any differences in mortality between the 2 sites. A sample of 191 residents of two NHs was analyzed in a retrospective, correlational cohort study, using data collected from the federal MDS database. Correlational statistics and logistic regression were …

Struggling With Disconnection: The Lived Experience Of Being Homeless And In Need Of Healthcare, Nonceba Mbangata

Theses and Graduate Projects

The intent of this field project was to study the disconnection that is experienced by homeless persons within the healthcare system. Homelessness is a growing concern that affects all age groups throughout the United States. It is not a secret that the increase in homelessness is stressing the health care system and limiting choices of becoming a healthy individual. The state of the health care system today and the nomadic habits of homeless persons make it impossible for those struggling with homelessness to stay connected to health care services. This project will illuminate the lived experiences of homeless persons as …

Sleep And Affect In Older Adults: Using Multilevel Modeling To Examine Daily Associations, Christina S. Mccrae, Joseph P. H. Mcnamara, Meredeth Rowe, Joseph M. Dzierzewski, Judith Dirk, Michael Marsiske, Jason G. Craggs

Nursing Faculty Publications

The main objective of the present study was to examine daily associations (intraindividual variability or IIV) between sleep and affect in older adults. Greater understanding of these associations is important, because both sleep and affect represent modifiable behaviors that can have a major influence on older adults’ health and well-being. We collected sleep diaries, actigraphy, and affect data concurrently for 14 days in 103 community-dwelling older adults. Multilevel modeling was used to assess the sleep–affect relationship at both the group (between-persons) and individual (within-person or IIV) levels. We hypothesized that nights characterized by better sleep would be associated with days …

Martin, Patricia Interview For The Miami Valley College Of Nursing And Health Oral History Project, Carol Holdcraft, Donna M. Curry, Anika Surrat, Patricia Martin

Wright State University - Miami Valley College of Nursing and Health Oral History Project

Carol Holdcraft, Donna Miles Curry, and Anika Surrat interviewed Patricia Martin about the Wright State University College of Nursing and Health.

Happiness: Theoretical And Empirical Considerations, Abir K. Bekhet, Jaclene A. Zauszniewski, Wagdy E. Nakhla

College of Nursing Faculty Research and Publications

TOPIC. Although happiness is important in maintaining health, few studies of happiness can be found in the nursing literature.

PURPOSE. This paper explicates the concept of happiness through examination of its defining attributes, antecedents, consequences, and measurement.

SOURCES OF INFORMATION. Literature review using hand search, and databases were used as sources of information.

CONCLUSION. The information provided can be used in clinical practice so that nursing strategies can be developed and tested to help people to become happy and healthy.

Easterly, Linda Interview For The Miami Valley College Of Nursing And Health Oral History Project, Carol Holdcraft, Linda Easterly

Wright State University - Miami Valley College of Nursing and Health Oral History Project

Carol Holdcraft interviewed Linda Easterly about the founding of the Wright State University College of Nursing and Health. In the interview, Easterly discusses her career and her decision to come to Wright State as a student with the College of Nursing and Health.

The Clinical Efficacy Of Reflexology In Nursing Home Residents With Dementia, Nancy A. Hodgson

Selected Works of Nancy Hodgson, PhD

No abstract provided.

M.S. In Nursing Course Catalog, Nova Southeastern University

Health Professions Divisions Course Catalogs and Course Descriptions

No abstract provided.

A Critical Disconnect: In Pain Management In The United States, Dr. Jeanette A. Mcneill Ph.D.

Verbum Incarnatum: An Academic Journal of Social Justice

Disparity in health care, and in particular care for pain related to disease, is a concern for many health professionals as well as those in the general population. Disparities in pain management for vulnerable societal groups, specifically the members of racial and ethnic groups, the poor and the elderly, are violations of the principles of social justice. This paper presents evidence of disparities in management of pain and cancer pain in vulnerable groups, explores the issues, and recommends health professional, individu alignal and system level actions to address disparity in this important area of health care.

Uab Nursing - Winter 2008, University Of Alabama At Birmingham

UAB Nursing magazine

No abstract provided.

The Positive Energy Patrol: One Nursing Division's Approach To Address The Issue Of Morale In The Workplace, Mary Ann Ryan

Theses and Graduate Projects

The purpose of this project is to develop an article for submission to a professional journal describing a staff led initiative to address employee morale in the hospital setting. It is well documented in professional nursing literature that the morale of a work environment has a direct effect upon the care provided to the patients and families served. Empowerment of staff, mutual respect, and transpersonal care as described by nursing theorist Jean Watson provide a healthy framework for a workplace where people want to engage and contribute. A morale initiative as trialed at one institution will be shared for consideration …

Nursing Education To Minimize Anxiety For Patient And Family During Transfer From Intense Care To General Care, Renee L. Wilson

Theses and Graduate Projects

The purpose of this project is to design an education module for nurses on the phenomenon of transfer anxiety so they are able to recognize patient and family behaviors manifested as a result of anxiety at the time of transfer from intensive to general care. Anxiety at the time of transfer can negatively impact patients' therapeutic response to health care as well as minimize the effectiveness of family members as needed support. The multifactorial causes of transfer anxiety are well documented in professional literature but not well known by nurses. Information from published literature that supports transfer anxiety as a …

Displaced And Dispossessed: Caring For The World’S Refugees, Shela Akbar Ali Hirani

School of Nursing & Midwifery

No abstract provided.

Improving Communication Among Healthcare Providers: Preparing Student Nurses For Practice, Lorretta Krautscheid

Faculty Publications - College of Nursing

Communication errors are identified by the Joint Commission as the primary root cause of sentinel events across all categories. In addition, improving the effectiveness of communication among healthcare providers is listed as one of the Joint Commission’s 2008 National Patient Safety Goals. Nursing programs are expected to graduate practice-ready nurses who demonstrate quality and safety in patient care, which includes interdisciplinary communication. Through objectively structured clinical assessment simulations, faculty evaluate each nursing student’s ability to perform many aspects of care, including the ability to communicate effectively with physicians via telephone in an emergent situation. This quality improvement project reports the …

Investigating Factors Associate To Nurses’ Attitudes Towards Perinatal Bereavement Care, Moon Fai Chan, Feng-Lan Lou, David Arthur, Feng-Lin Cao, Lai Har Wu, Ping Li, Miharu Sagara- Rosemeyer, Loretta Yuet Foon Chung, Li Lui

School of Nursing & Midwifery

Aim: The purpose of this study was to explore nurses’ attitudes towards perinatal bereavement care and to identify factors associate with such attitudes. Background: Caring for and supporting parents whose infant has died is extremely demanding, difficult and stressful. It is likely that the attitude of nursing staff can influence recovery from a pregnancy loss and nurses with positive attitude to bereavement care can help bereaved parents to cope during their grieving period.
Method: Data were collected through a structured questionnaire; 334 nurses were recruited (63% response rate) from the Obstetrics and Gynaecology unit in five hospitals in …

Und Nursing: A Legacy Of Caring, 1982-2008, Diane Helgeson, Rennae Millette

UND Departmental Histories

This departmental history was written on the occasion of the UND Quasquicentennial in 2008.

Cultural Diversity: Pain Beliefs And Treatment Among Mexican-Americans, African-Americans, Chinese-Americans And Japanese-Americans, Anthony J. Alvarado

Senior Honors Theses and Projects

The purpose of this project was to examine culture and the impact it has on the pain experience. Pain, albeit acute or chronic, is an important subject to understand because it can have detrimental effects on the body if not properly managed. Culture has been found to be a factor that influences one’s pain experience and thus the need for healthcare professionals to acknowledge this is imperative. The cultures examined in this paper include: Mexican- Americans, African-Americans, Chinese-Americans and Japanese-Americans. Within these four cultural groups their beliefs about the origin of pain, physical responses to pain, health and illness beliefs …

Relationships Among Anger, Patterns Of Anger Expression And Blood Pressure, Glucose, And Cortisol In Overweight School-Aged Children, Kimberly Nichols

All ETDs from UAB

Overweight and obesity in school-aged children have become a major health issue. With overweight and obesity, children have increased risk of developing elevated blood pressure readings, glucose levels, and cortisol. Trait anger and patterns of anger expression have been shown to contribute to the elevations of blood pressure, glucose and cortisol in normoweight children and overweight adolescents. However, little research has been done with overweight school-aged children. The purpose of this study was to examine the relationships among trait anger and each of the patterns of anger expression (anger-suppression, anger-out, and anger-reflection/control) and blood pressure, glucose, and cortisol in overweight …

Mennonite College Of Nursing Annual Report, 2007-2008, Mennonite College Of Nursing

Annual Reports - Mennonite College of Nursing

Annual report of the Mennonite College of Nursing at Illinois State University

Family Experience With Eating Disorders Scale: Exploring Reliability And Validity And Evaluating The Clinical Utility Of Its Use In Treatment, Kathleen M. Hoff

Honors Projects

The family plays a significant role in the development and maintenance of eating disorders, and may be equally influential in recovery. The deliberate use of an instrument that addresses the perceived family environment is useful in engaging the family in treatment and enhancing treatment outcomes. The Family Experience with Eating Disorders Scale (FEEDS) was used in this study because it addresses the psychometric deficits common in existing general family assessment instruments and captures family dynamics specific to eating disorders. The 53-item FEEDS was design to illicit the parental perception of the family environment and assesses family dynamics specific to eating …

African American Women And Hypertension: Their Resources Of Information, Knowledge Level, And Health Promoting Behaviors, Winnie Wood

Graduate Capstone Projects

The purpose of this study was to describe the information resources, level of knowledge on hypertension, and health promoting behaviors (diet and exercise) of young African American women, and to determine whether there was a relationship between their knowledge level and health promoting behaviors (diet and exercise). The study sample consisted of African American women (N=31) 18 to 30 years old. Data was collected using a demographic questionnaire, High Blood Pressure IQ Quiz, and the Health Promoting Lifestyle Profile II. Participants reported they received majority of their information from doctors, family, television, and schools. Participants scored an average of 70% …

Examining The Effects Of Nurse Work Hours, Inter-Shift Recovery, Fatigue, And Sleep Debt On Intent To Leave, Amy M. Manderscheid

Masters Theses

The nursing profession contains dedicated professionals who work varying shifts with assorted time frames to recover before returning to work. The purpose of this study was to examine shift work, inter-shift recovery, fatigue, sleep debt and intent to leave among full-time nurses. Data were collected through the use of electronic questionnaires from a sample of 36 registered nurses from the Sigma Theta Tau Kappa Epsilon Chapterat- Large.

Findings revealed significant differences among nurses working 10 hour shifts and their accumulation of sleep debt in comparison to nurses working 8 or 12 hour shifts. Significant differences were not found between acute …

The Efficacy Of Complementary Therapies In Reducing Cancer-Related Pain, Sarah A. Hocking

Student Works

Pain is a persistent and troubling condition for patients with cancer. Because medications often provide incomplete management of cancer-related pain, adjunct treatment may be necessary to provide more complete pain management. Complementary and alternative therapies are becoming increasingly prevalent in cancer pain management. However, lack of knowledge regarding the efficacy of complementary therapies may prevent patients and nurses from implementing them. The purpose of this article is to provide a review of literature on the efficacy of various complementary and alternative therapies for managing cancer-related pain, including massage, aromatherapy, hypnosis, and music therapy. Eighteen recent research articles related to this …

Evaluation Of The Antecedents Of Cultural Competence, Mary Harper

Electronic Theses and Dissertations

Purpose: The threefold purpose of this research is to identify the essential antecedents of cultural competence as identified by international nurse researchers, to compare the content of the extant cultural competence instruments to these antecedents and to potentially identify gaps in their conceptualization. A secondary aim of this research is to initiate validation of Harper's model of ethical multiculturalism. Conceptual Basis: The model of ethical multiculturalism depicts the attributes of ethical multiculturalism as the fulcrum of a balance between two ethical philosophies of fundamentalism and relativism. The attributes of moral reasoning, beneficence/nonmaleficence, respect for persons and communities, and cultural competence …

Osteoporosis Education In College-Age Women, Elizabeth Byrne Rodzik

Master's Theses and Doctoral Dissertations

Osteoporosis, a degenerative bone disease, is a preventable disease. The purpose of this study was to determine if an educational intervention would increase knowledge and influence women to change their behaviors (i.e., exercise and dietary calcium intake) related to osteoporosis.

A random sample of 149 college female students participated in this study. Participants completed two questionnaires consisting of the Osteoporosis Knowledge Test and the Osteoporosis Self-Efficacy Scale. Participants were surveyed to determine their knowledge of osteoporosis and their intent to change their health behavior before and after an educational intervention.

Statistical analysis indicated that an educational intervention increased the subjects’ …

The Influence Of Health Inquiries On Clinical Governance Systems: A Case Study Of The Douglas Inquiry, Heather Gluyas

Theses

Major failures in patient safety often lead to high profile inquiries set up to establish the facts, and to identify areas of improvement to prevent further failures. In order to learn from inquiries, we need to be able to identify if, and how, the inquiry process influences improvements. Using a case study strategy, this research study examined the perceptions of external stakeholders in regards to the impact or influence of the Douglas Inquiry on KEMH’s clinical governance systems. The research focused on two areas that were highlighted in the final Inquiry report as requiring reform. These systems deal with the …