Digital Commons Network^™

Evidence-Based Practice Considerations For The Role Of The Nurse Practitioner In Promoting Resilience, Amanda M. Weeks

MSN Research Projects

The importance o f resilience as a concept is clearly defined throughout the lifespan. Therefore it is very important to understand the responsibility o f nurse practitioners in promoting resilience. Resilience is affected by assessment, diagnosis, education, and health promotion given from all healthcare providers. McAllister (2003), states that “whilst a problem focus is criticized by some, it remains largely unchallenged as the guiding light for nursing practice” (p.l). She goes on to state that “by refocusing on a solution focused approach, we could show how we are different from medicine, and how we aim to do nursing differently through …

The Role Of The Nurse Practitioner In End Of Life Care, C'Sara R. Strong

MSN Research Projects

Comfort is an essential concept related to end of life care. Webster’s (2004) defines comfort as “ freedom from pain, want, anxiety, encouragement or discomfort.” The aging process of the body brings about increasing discomfort (Malinowski & Staimler, 2002). At the start of the 21st century, the oldest of America’s 76 million baby boomers are in their mid 50s and the youngest are approaching age 40 (CMS, 2004). As advances in medical technology continue to extend life, these aging Americans will have to contend with the aches, pains and progressive disabilities of chronic illness. The need for specialized palliative care …

Posttraumatic Stress Disorder And Civil War Reenactors, Kimberlee Bruce

Graduate Research Projects

The purpose of this phenomenological study was to explore the meaning of Civil War reenactments in military men with symptoms of posttraumatic stress disorder (PTSD). Six Caucasian males who have PTSD symptoms were interviewed in depth by responding to two questions. I. Why do you reenact? And 2. What sticks out in your mind about Civil War reenacting after having served in the military? Five themes emerged; escaping reality, structure and discipline, honor and duty, friendship and companionship, and love of history. The findings of this study will add to the body of nursing knowledge about PTSD by exploring a …

The Relationship Between The Health Behaviors Of Female University Freshmen And Their Academic Success, Courtney Taylor

MSN Research Projects

The purpose o f this study was to characterize the relationship between the health behaviors and academic achievement o f university women. To this end, female freshmen at Mississippi University for Women were given questionnaires measuring their healthrelated lifestyle habits that were then correlated with the students’ grade point averages. Lifestyle habits were assessed via the Wellness Worksheet questionnaire (WW), and academic success, first semester grade point averages (GPA). The analysis revealed a moderately weak and positive relationship between healthier lifestyle choices and first semester GPA, r = .34. Among the behaviors addressed by the WW, alcohol and other drug …

Role Of The Nurse Practitioner: Health Promotion And Education In Teenage Pregnancy Prevention, Alissa Anne Hood

MSN Research Projects

According to Martin, Kochanek, Strobino, Guyer, & MacDorman (2005), the lowest reported rate in the past six decades for teenage pregnancy in the United States occurred in the year 2003. Although this was found significant, the United States still holds the highest rate of teenage pregnancy in the industrialized world. It has been estimated that by the year 2010 there will be a 10% increase in the number of teenage girls between the ages of 15-19(Coren, 2005). Therefore, it was found imperative to increase the awareness and promotion of healthy sexual behaviors to reduce further teenage pregnancy. The purpose of …

A Retrospective Evaluation Of The Planetree Patient Centered Model Of Care Program's Impact On Inpatient Quality Outcomes, Susan Stone Phd

Dissertations

This retrospective quasi experimental study evaluated the effectiveness of Planetree's patient-centered model of care. Donabedian's model linking structure and process to outcome was used to frame this study. The structure variable is the inpatient acute care hospital unit and the process variable consists of the Planetree patient-centered model of care. Outcomes are (1) patient satisfaction, (2) length of stay, (3) readmission, (4) cost per case, and (5) productive nursing hours per patient day. All data for patient satisfaction, length of stay, readmission, cost per case and productive nurse hours per patient day were retrospective, no participant recruitment was needed. Data …

Unlv Magazine, Carol C. Harter, Karen Sharp, Gian Galassi, Tony Allen, Jennifer Lawson, Shane Bevell, Lori Bachand, Regina Vaccari, Pete Codella, Cate Weeks, Erin O'Donnell, Diane Russell, Phil Hagen

UNLV Magazine

No abstract provided.

Nurse Practitioner Adoption Of Clinical Innovations, Rhoberta Jones Haley Phd

Dissertations

Adoption of clinical innovations by Nurse Practitioners (NP) is a complex phenomenon, rooted in personal values and influenced by challenges within health care environments. When clinical innovations are adopted or rejected by NPs, this decision has meaning for patients, NPs, health care agencies, and society. The decision controls the opportunity for patients to access a clinical innovation that could reduce morbidity and mortality, save money, and provide satisfaction related to the health care encounter. The purpose of the study was to increase knowledge about NP adoption of clinical innovations, particularly emotionally-laden clinical innovations. The lines of inquiry focused on what …

Healthcare Encounters Of Formerly Incarcerated Women: A Grounded Theory Study, Karen Sue Hoyt Phd

Dissertations

The adult correctional population in the United States soared to nearly 7 million people (Bureau of Justice Statistics [BJS], 2005). Over 2 million individuals were housed in prisons or jails in the United States. Nearly 7 percent (6.9%) were women (BJS, 2005). Recent trends in the adult correctional population suggest that there has been a stark increase in the number of formerly incarcerated women in the United States. The purpose of this research was to explore how formerly incarcerated women perceived their healthcare encounters. The aims of this study were to answer the following questions. How did formerly incarcerated women …

Enhancing Nurses' Autonomous Caring Practices In Ukrainian Villages Affected By Chornobyl, Lisa Prytula

Theses and Graduate Projects

Twenty years after the Chornobyl nuclear disaster of 1986, the people living in villages affected by Chornobyl in northern Ukraine suffer from poor health status. Compounding the biophysical effects of latent exposure to ionizing radiation, socio-economic instability and psychological stress increase their suffering, The nurses that serve these villages depend on inaccessible physicians to guide them and lack basic medical supplies. The purpose of this transcultural nursing practice project is two-fold: (1)to strengthen nursing caring practices used by village nurses to serve a socially, economically, and environmentally disadvantaged population in Ukrainian villages surrounding Chornobyl; and (2) to enhance village nurses' …

Older Single Women In Transition: Moving To A Supportive Retirement Community, Linda L. Hansen-Kyle Phd

Dissertations

This study explored role changes, resilience, social, and health challenges encountered by older women who transitioned to a retirement community that provided social, health, and safety support structures. The aim of this study was to analyze and describe the transition from the viewpoint of the participants. Although previous research has shown transitions lead to psychosocial, emotional, physical, and health changes, the importance of this study stems from the lack of research on older women moving to supportive communities and their unique challenges. A convenience sample of 39 women, aged 70-94, who had been living alone before moving to a church …

The Relationship Between Perceived And Ideal Body Size And Body Mass Index Among 9th Grade Students In An Urban High School, Irma Orozco

Master's Projects

This study examined the perceptions of actual and ideal body size and how it related to body mass index in 82 ethnically and socioeconomically diverse 9th-graders from an urban high school. The height and weight were measured, and BMI was calculated for each of the 82 participants. Using the Childress Silhouette Scale (CSS), each student self-reported Perceived Actual Self Image (P ASI) and Perceived Ideal Self Image (PISI). The CSS was modified to offer 7 figure drawings that illustrated various examples of underweight, healthy weight, overweight, and obese. Results showed that 54% ofthe students had a healthy weight, 21% were …

Recommendations For Sexuality Education For Early Adolescents, Kristin Haglund

College of Nursing Faculty Research and Publications

Objective: To determine community support and identify appropriate learning methodologies, parameters of delivery, and intervention content.

Design: Qualitative descriptive study in which participants were interviewed in a semistructured format. Data were analyzed thematically.

Setting: An urban pediatric primary care clinic from which youths and parents were recruited.

Participants: Ten youths, 10 parents, and 10 community members. Community members included professional and laypersons who had experience in working with early adolescents or in working with children of any age on sexuality issues. Overall, most participants were female (67%) and African American (67%).

Results: Descriptions of early adolescents ’ knowledge of sexuality, …

Diabetes Prevention Education For Mexican American Women With Gestational Diabetes: Pilot Testing A Videotape, Carol Anne Easton

Theses & Dissertations

The purpose of this study was to examine the effect of a culturally sensitive educational videotape on the knowledge of prevention of Type 2 diabetes after pregnancy, in pregnant gestational diabetic (GDM) women over 18 years old, who attended the Diabetes in Pregnancy Program at a university health center in a large southwestern city. Mexican American GDM women have a high risk for Type 2 diabetes, 80% in 5 years if their diabetes status is reclassified pre-diabetes or impaired glucose tolerance during their early postpartum exam (Kjos. 1995). But the return-to-clinic rate for the women who attend this clinic is …

Forensic Nursing: Death Investigation, Lauren Palazzo

Senior Honors Projects

Forensic Nursing is a fairly new exciting nursing specialty. Television shows such as CSI portray forensic nurses and investigators in a less than realistic manner. Forensic nursing and investigation are exciting fields to specialize in, but the role of the forensic nurse and investigator are often misunderstood. For my project I wrote a research paper on forensic nursing, joined the international association of Forensic nurses, attended the international conference in washington dc and set in on a few meetings with a board, including lawyers, represenatives from the rape crisis center, clinical managers from W&I ED, nurses, NP’s, etc. in discussing …

Academic Motivation: A Comparative Study Of Entry Level Baccaslaureate Nursing Students, Sharon Helene Davis

Master's Projects

Purpose: To examine academic motivation of students enrolled in an accelerated and a traditional baccalaureate nursing programs. Design: A convenience sample of30 (100%) respondents in an accelerated group and 37 (54%) respondents in a traditional group (54%) provided the data. A demographic survey and the Academic Motivation Scale (AMS C-28) were administered to both groups. Methods: This was a quantitative, correlational study. Analysis quantified item frequencies within the AMS C-28, and at-test was employed to evaluate the differences in intrinsic and extrinsic motivation and amotivation between the groups. Findings: There was no statistical difference in any of the motivation results …

Evaluation Of A School Based Disaster Preparedness Program, Sandra Linebarger

Master's Projects

This study evaluated a school based intervention designed to better prepare teachers and staff members in an elementary school to improve their knowledge and confidence of disaster preparedness. Participants included 19 teachers and I 0 staff members of an elementary school in San Mateo County, CA. With hundreds of schools scattered in the communities and the recent disasters in our country there is a growing awareness of the need for disaster preparedness in schools. A pretest-posttest was administered to measure changes in knowledge and confidence following a school based intervention of disaster preparedness education. There was a significant improvement in …

Effects Of Organizational Trust, Pablo Velez Phd, Msn, Rn

Dissertations

This study examined the relationship between levels of organizational trust (OT) and nursing turnover rates, turnover expenditures, patient satisfaction scores, nurse managers' job satisfaction, and nurse managers' perception of fair compensation. An OT inventory and demographic questionnaire were used to collect data from 57 nurse managers working for not-for-profit hospitals in California. Pearson correlations analysis showed that OT was statistically significantly (p = .05) related to overall hospital patient satisfaction scores, nurse managers' job satisfaction, nurse managers' perception of fair compensation, and executives' tenure. OT was not correlated with nursing turnover rates or nursing turnover expenditures. By focusing on developing …

Exercise Self-Efficacy, Stages Of Exercise Change, Health Promotion Behaviors, And Physical Activity In Postmenopausal Hispanic Women, Pamela Wolfe Kohlbry Phd

Dissertations

The purpose of this correlational research is to understand the relationships among the variables of exercise self-efficacy, stages of exercise change, health promotion behaviors, body mass index (BMI), health problems, and the level of physical activity in postmenopausal Hispanic women. The significance of this study is to contribute research that enhances the understanding of the relationship of psychosocial and health promotion correlates and physical activity in postmenopausal Hispanic women. On a national level, this is important because Hispanic women make up one of the fastest growing minority populations and they experience the second highest level of obesity. This research is …

Resilience And Quality Of Life In Taiwanese Survivors Of Childhood Cancer, Li-Na Chou Phd, Msn, Rn

Dissertations

Survivors of childhood cancer are at risk to develop physiologic-psychosocial complications that affect their quality of life. This study explored how the independent variables of illness-related risk (ILLRK), individual risks (IRK), protective factors (PF) and resilience (RS) affected the dependent variable---quality of life (QOL)--in Taiwanese survivors of childhood cancer. Triangulated research methodology was employed to (1) identify the statistical relationships between the variables and (2) explore qualitatively what these variables meant to the subjects and how their perceptions further explained the statistical results. Haase's (2004) Adolescent Resilience Model was used as the theoretical framework. Ninety-eight Taiwanese adolescent cancer survivors, diagnosed …

Creativity Fostering Behaviors In The Nurse Educator, Barbara Neher Taylor Phd

Dissertations

The purpose of this descriptive study of 93 BSN nurse educators in the State of California was to examine the relationship between creativity fostering behaviors in the nurse educator and intrinsic motivation, creativity fostering behaviors and the teaching/learning goals, and creativity fostering behaviors and class size, number of years teaching, and university type. This sample included 93 participants, 93% were female, Caucasian (91%), with a mean age of 53 and worked in a public university (65%). Medical/surgical was the most common clinical specialty (26%), with a mean of 29.15 years in nursing practice, and 15 years as a nurse educator. …

Does Culture Influence The Needs Of Critical Care Families?, Naomi Alston

Master's Projects

Purpose: This study explores ICU patient's family member needs, particularly Vietnamese and Latino families. Design: Convenience sampling at 24 bed ICU in acute care community hospital serving ethnically diverse population. Methods: Non-experimental survey with pretest-posttest design using Demographic sheet, Critical Family Needs Inventory (CCFNI), and Needs Met Inventory (NMI). Information pamphlets were distributed. Data analysis was by ethnic groups using measures of central tendency and descriptive statistics. Findings: CCFNI results indicate family members of all ethnicities experience the same priority of needs; support and information are top two needs. English, Spanish and Vietnamese pamphlets met information needs of the majority …

Addressing Student Nurses' Concerns In End Of Life Care, Tami Boroughf

Master's Projects

Recently, there has been a great deal of attention to the fact that there are few learning opportunities regarding end-of-life (EOL) care in nursing undergraduate education. One purpose of this research study was to provide an educational seminar for nursing students with information necessary to communicate with patients at the end of life and their families. The educational intervention consisted of an interdisciplinary panel discussion, a brief segment of a video, a case study with small group discussion, and an optional reflective activity. A quasi- ~; experimental, pretest and posttest design was used in a baccalaureate-nursing program in Northern California. …

The Relationship Between Parental Physical Activity Levels And Their Child's Body Mass Index, Juracia Carbajal

Master's Projects

This study compared the relationships between parental physical activity levels and their child's body mass index (BMI) using a convenience sample of volunteer parents at a school-based health clinic. Anonymously, parents completed a seven-question survey utilizing the International Physical Activity Questionnaire (IPAQ). The data analysis indicated that parental physical activity did not have a significant influence on a child's BMI. Forty-two percent of the children were overweight or at risk for overweight, demonstrating the need for increased physical activity and improved nutritional guidance. The school nurse has a significant role in providing education about health, nutrition, and obesity prevention strategies …

Nurse Practitioners' Attitudes Toward Obesity, Teresa Cueba Dionne

Master's Projects

Purpose: The purpose of this study was to explore if negative attitudes exist among nurse practitioners toward obese clients. Data Sources: Data sources included responses to a 23 item questionnaire and a 7 item demographic survey completed anonymously through the mail. 104 Nurse practitioner members of the American Academy of Nurse Practitioners (21% response rate) participated in the study. Participants were asked to respond to questions related to attitudes about obese persons and weight management.

Identifying Catholic School Teachers Attitudes And Perceptions About Death And Grief, Stephania Ann Higdon

Master's Projects

Death and grief are not frequently discussed with children as a normal part of life. Previous studies show that teachers are not comfortable discussing the subject in the classrooms. As a trusted source, school nurses are able to help school staff recognize potential signs and symptoms of death and grief with a student dealing with a loss, providing information, educational resources and support. The purpose of this study was to identify the attitudes and perceptions about death and grief of Catholic School teachers working among elementary school age children kindergarten through eighth grades. A convenience sample of 47 teachers from …

The Relationship Between Health Beliefs And Adherence To Treatment Of Russian Immigrants With Hypertension, Michael R. Kolesnikov

Master's Projects

Introduction: Hypertension (HTN) has been identified as a common health problem in every ethnic group in the USA. Due to the silent nature of the HTN, some cultures may not perceive this condition as being serious or potentially fatal. Objective: The purpose of this study was to investigate the health beliefs of Russian-speaking immigrants with hypertension and their adherence to the prescribed treatment. Design: The study was a non-experimental exploratory survey and interview. Convenience sampling was used. The Health Belief Model (HBM) provided the theoretical framework. Sample: A total of 62 subjects (27% male and 73% female, ages from 51 …

Factors Affecting Nursing Students' Attitudes Towards Older Adults, Tracy Mccammon

Master's Projects

The purpose of this study was to measure nursing students' attitudes towards older adults and to determine, if possible, factors which affect nursing students' attitudes toward older adults. A convenience sample of 94 senior, pre-licensed, baccalaureate nursing students, at a metropolitan university school of nursing in community and acute settings participated in the study. This non-experimental, descriptive survey focused on nursing students' attitudes towards older adults using the Kogan's Attitude Towards Old People Scale (KOP). A researcher developed questionnaire was also used to collect demographic information, as well as academic and non-academic experiences of students. The findings of this study …

The Influence Of Staff Nurse Ethnicity On Perceptions Of The Work Environment, Silvia Helena Martins

Master's Projects

This study investigated the relationship among Registered Nurses (RNs) from different ethnic groups and their perceptions of the work environment in a community hospital in California. Moos' Work Environment Scale (WES) was used to examine three Dimensions of the work climate. Statistically significant differences were found in the way Caucasian and non-Caucasian RNs perceived Peer Cohesion and Work Pressure. These findings have implications for nurse leaders interested in transforming the work environment as perceptions of Peer Cohesion and Work Pressure are important factors influencing RN retention and quality of patient care.

Self-Efficacy And Grade Point Average In Relationship To Academic Success In Baccalaureate Nursing Students, Cynthia Miller

Master's Projects

Academic success, defined as the completion of a nursing program and passing the National Council for Licensure Examination for Registered Nurses (NCLEX-RN), is the goal of all nursing programs. The identification of specific variables related to academic success could identify students at risk of failing early. The purpose of this research study was to explore the relationship of two variables related to academic success, self-efficacy and grade point averages (GPA), in accelerated and regular BSN students. The results of this study suggest that a statistically significant, positive relationship exists between prerequisite GP A and self-efficacy of BSN students. In addition, …