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Culture Of Origin And Illness Attribution: The Implications Of Cross-Cultural Awareness For Health Care Professionals, Eri Matsumoto-Lyons

Master's Projects

People from different cultural backgrounds have different beliefs and perceptions concerning health and illness. Differing illness beliefs between health professionals and patients may result in conflicting expectations regarding treatment choice and outcome. This non-experimental research was designed to explore illness attribution among Caucasian, Hispanics, and Asians with chronic or acute illness. The results suggest that there was no significant difference in illness attribution beliefs between the three ethnic groups; however, primary language, years spent in U.S., and educational backgrounds were associated with differences in illness attribution. Health care providers must think of culture in a broader spectrum than just race …

Reducing The Potential For Falls Among Community Dwelling Older Adults, Sharon-Xiaowen Hu

Master's Projects

This research study used a pre-test and post-test design to determine if a nursing educational intervention would reduce the potential for falls among the community dwelling elderly. The participants (N=15) were: (a) age 65 or older, (b) mentally competent, (c) predisposed to falls, and (d) living independently. Four instruments were utilized to collect data: (a) the Folstein mini-mental state examination (MMSE), (b) a fall predisposition scale, (c) a home assessment checklist (Tideikaar, 1987), and (d) interview questions. Statistics were used to evaluate findings. The results show that a nursing educational intervention had a positive impact to help reduce the risk …

The Relationship Between Health Attitudes, Beliefs, Health Locus Of Control And Use Of Breast Cancer Screening Modalities In Elderly Hispanic Women, Debra Kay Gillett, Rosamaria Ortiz

Theses and Dissertations - UTB/UTPA

A non-experimental design was used to examine the relationship between health attitudes, beliefs, locus of control and the use of breast cancer screening modalities in elderly Hispanic women in this pilot study. Leininger's Theory of Culture Care Diversity and Universality and the Health Belief Model were the supporting theoretical frameworks. Research was conducted at the Amigos del Valle senior centers in Hidalgo County and included 52 English-speaking elderly Hispanic volunteer participants. Instruments used for data collection were the Health Care Attitudes and Beliefs Scale and the Multidimensional Health Locus of Control Scale. Results of this study revealed that there appears …

Perceived Barriers To The Teaching Of Critical Thinking Skills By Nursing Faculty In Generic Bsn Programs In Tennessee, Renee C. Shell

Electronic Theses and Dissertations

Teaching critical thinking is a national education goal. The ability to think critically is considered an essential skill of nursing graduates and is a necessary component of competent nursing practice. Therefore, nursing programs must address critical thinking for accreditation. The literature reports that teachers in all areas of education are having difficulties infusing critical thinking teaching strategies into their current teaching practices and critical thinking is lacking in new nursing graduates. This research study sought to identify barriers to the implementation of critical thinking teaching strategies as perceived by nursing faculty in generic, BSN programs in Tennessee. Data were collected …

The Lived Experience Of Older Mexcian American Adults With Type 2, Non-Insulin Dependent Diabetes Mellitus, Lizza C. Abella

Master's Projects

Purpose: The purpose of this study was to explore the lived experience of Mexican American older adults with type 2, non-insulin dependent diabetes. Research design and results: A phenomenological research approach was used when interviewing a sample of ten English speaking Mexican American older adults in Santa Clara County, California. Three collective themes were identified: Emotions prevalent in living with diabetes, diabetes' impact on life, and cultural factors affecting diabetes self care. Discussion/conclusions/implications: A duality of thoughts and experiences in living with diabetes, and the strong influence of culture and its beliefs characterize the life-world of Mexican American non-insulin dependent …

Prominent Signs Of Attention Deficit/Hyperactivity In The Adult, Marcia Katz

Master's Projects

Attention-deficit/hyperactivity disorder (ADHD) is a common neurophyschiatric syndrome which most commonly becomes apparent during the first few years of grade school. While it was previously thought that this disorder remitted before or during adolescence, it has become well established that many patients will have an illness course that persists well into adulthood. The purpose of this study was to determine the 10 most prominent symptoms of ADHD in the adult population. Using the Dunphy and Winland-Brown (1998) "Circle of Caring" conceptual framework and the Wender (1998) Utah Criteria Scale questionnaire, a convenience sample of females (N=l5) from northern California were …

Accommodationg Nursing Students With Learning Disablities, Debrayh Gaylle

Master's Projects

This study examined factors that facilitated or hindered the process of accommodating learning disabled nursing students in the classroom. Surveys were mailed to 300 faculty at associate and baccalaureate degree schools of nursing. The survey focused on faculty members' degree of ease or difficulty in providing accommodations, their perceptions of the adequacy of institutional support, and their own beliefs and understanding of the accommodation process. Analysis of the 109 returned surveys suggest the majority of faculty understood the need for accommodations. The majority of respondents stated they received adequate support from their respective institutions and were able to provide the …

Parenting A Second Time Around: An Ethnography Of African American Grandmothers Parenting Grandchildren Due To Parental Cocaine Abuse, Kristin Haglund

College of Nursing Faculty Research and Publications

This study describes a group of six African American grandmothers parenting their grandchildren secondary to cocaine abuse on the part of the parents. It explores the manner in which such parenting affected the grandmothers’ health. Data for this ethnography design were collected through participant observation, field notes, taped interviews, and supplementary data sources. The identification of cultural themes evolved from domain and taxonomic analyses. The themes—parenting a second time around, sacrifice, and God’s presence in daily life—expressed aspects of the grandmothers’ culture. The effects on health varied from none to exacerbation of chronic illnesses. The study results, and its picture …

Fighting Aids With Holistic Weapons: An Integrated Approach, Tom Goodwin

Honors Theses

The current AIDS epidemic has changed the way we view the world as well as our society as a whole. Diseases have ravaged humanity since the dawn of time, so what makes AIDS so much different from every other disease encountered by man? One reason is its transmission method. We know that HIV passes from person to person via blood, semen, and vaginal secretions. Most people that suffer from this disease contract it during sex, during intravenous drug use, or during a blood transfusion. Early accounts of HIV disease occurred in minority groups, namely homosexual men. This may have bee …

Yale Nursing Matters Spring 2000 Issue 2 Volume 1, Yale University School Of Nursing

Yale School of Nursing Alumni Newsletters and Magazines

Please contact the Medical Historical Library if you need a higher resolution version.

Adolescent Perceptions Of Parent-Adolescent Communication And Adolescent Pregnancy, Susan L. Tohm Lloyd Phd, Ms, Rn

Dissertations

Identification of adolescent perceptions of parent-adolescent communication, a significant factor in family functioning and connectedness, is important if effective interventions are to be provided by health care professionals related to decreasing the number as well as the adverse effects of adolescent pregnancy in the United States. The purpose of this descriptive, non-experimental, triangulated study was to examine the relationship between the perceived quality and effectiveness of parent-adolescent communication and pregnancy from the perspective of pregnant adolescent women in the Banning/Beaumont area of southern California. The theoretical framework for this study was based on adolescent and family developmental theories, family communication …

The Relationship Of Acculturation And Social Support To Birth Outcomes Of Pregnant Mexican-American Adolescents, Enriqueta Garcia, Martha Ruth Ramirez

Theses and Dissertations - UTB/UTPA

The adolescent pregnancy rate in the U.S. continues to be an issue that concerns nursing and allied health related fields. There has been minimal research published regarding Mexican-American adolescent pregnancy outcomes. The purpose of this was to assess the relationship between social support and acculturation on pregnancy outcomes of Mexican- American adolescents.

Statistical descriptive analysis analyzed the relationships between the demographic data, the Acculturation Rating Scale-II for Mexican-Americans, the Norbeck Social Support Questionnaire, and birth outcomes. Pearson's product moment correlation analyzed the relationship between acculturation and social support on birth outcomes. Several positive correlations were found at the p ≤ …

Self -Regulated Learning In Junior Baccalaureate Nursing Students In Selected Southern Schools Of Nursing., Kelly Anne Mcgarvey Goudreau

All ETDs from UAB

No abstract provided.

Estimating The Probability For Prolonged Mechanical Ventilation In Medicare Recipients After Coronary Artery Bypass Grafting Surgery., Judy Lynea Bezanson

All ETDs from UAB

No abstract provided.

Maternal-Infant Nurses' Knowledge Of Breast Feeding, Wendy S. Kershner

Masters Theses

This study explored the level of knowledge related to breastfeeding among maternal-infant nurses. It also explored whether there was a relationship between nurses' breastfeeding knowledge and level of education, type of clinical experience, years of experience and personal experience with breastfeeding.

A convenience sample of 67 maternal-infant nurses completed a modified version of Leadley's (1994) Breastfeeding Knowledge and Attitudes Survey.

Descriptive and correlational statistics were used to analyze the relationship between the variables and the nurse's breastfeeding knowledge. Data analysis revealed a mean score of 13.2 out of 20 questions on nurses' breastfeeding knowledge. There was no significant difference in …

Nurse Practitioners' Perceptions And Use Of Nursing Diagnoses, Gay R. Kaashoek

Masters Theses

The purpose of this study was to investigate the use of nursing diagnoses by nurse practitioners (NPs). Additionally, this study assessed NPs’ perceptions of the advantages and challenges to using nursing diagnoses. Data were collected by questionnaires mailed to a randomly selected national sample of 398 NPs.

Of the 249 participants, 48 NPs indicated that they use nursing diagnoses. No significant differences were found between nursing diagnosis use and selected demographic characteristics or educational preparation. However, the use of nursing diagnoses was significantly higher among participants who were expected to use them as NP students (χ²= 22.012; p …

The Frequency Of Breast Self-Examination In Women Who Participated In The Breast Cancer Prevention Trial, Kelly J. Moore

Masters Theses

This study used the Health Belief Model (HBM) to examine attitudes about breast health among women who had participated in the Breast Cancer Prevention Trial. More specifically, the purpose of this study was to identify the relationship between the HBM variables and the frequency of breast self-examination (BSE). A convenience sample of 80 women completed Champion’s (1993) HBM questionnaire.

It was hypothesized that the HBM concepts would significantly correlate with the frequency of BSE. However, only two significant correlations were found: a positive correlation between the frequency of BSE and perceived benefits (r=.37; p=.000) and a negative correlation between the …

Is There A Relationship Between Hardiness And Burnout In Full-Time Staff Nurses Versus Per Diem Nurses?, Carrie Hansen

Masters Theses

Recent advances in technology and the focus on cost-effective care may subject nurses to increasing demands in their jobs. These demands can lead to an increased level of stress and burnout. The concept of hardiness has been linked to burnout in studies among various groups. Hardiness is a set of personality characteristics that may function as a resource in coping with stress. This study examined the relationship between hardiness and burnout in full-time staff nurses and per diem nurses. The Neuman systems model served as a theoretical framework for the concepts of hardiness and burnout. A descriptive correlational design was …

The Effects Of Music Therapy On Anxiety In Surgical Patients, Mary Kay Williams

Masters Theses

The purpose of this study was to evaluate the effects of music therapy on cosmetic/reconstructive surgery patients’ preoperative anxiety. In this descriptive study, 48 patients were assigned to either the experimental or control group Patients in the experimental group listened to patient-selected music for 30 minutes in the preoperative period. A comparison was made between the patients’ vital signs and self-reports of anxiety, which was measured using the state portion of the State-Trait Anxiety Inventory. This was a partial replication of a study by Kaempf and Amodei (1989).

Betty Neuman’s health care systems model (1980) served as the theoretical framework …

The Effects Of Music On Pain And Anxiety During Intravenous Insertion In The Emergency Department, Paula R. Nichols

Masters Theses

The majority of patients presenting to the emergency department (ED) are anxious and experiencing some degree of pain. Betty Neuman's Neuman system model, provided the theoretical framework to explore and describe the effects of music on the pain and anxiety experienced during peripheral intravenous (IV) insertion in the ED. A convenience sample of 41 subjects completed pain and anxiety visual analogue scales as well as blood pressure and pulse monitoring before and after IV insertion. Twenty-one of those subjects received music during the intervention.

An analysis of covariance was performed for post-procedure pain, anxiety, pulse, and blood pressure. Anxiety was …

Adolescents' Perceived Importance Of And Satisfaction With Development Needs During Hospitalization, Jaclynn L. Lubbers

Masters Theses

The purpose of this study was two-fold. First, was to examine the relative importance of needs of hospitalized adolescents. Second, was to measure perceived satisfaction with five selected developmental needs. This study was a replication of earlier work by Gusella, Ward, and Butler (1998). A descriptive design was utilized to answer the research questions. Fifteen hospitalized adolescents admitted to the general pediatrics unit provided the data for this study. Data analysis using summative means was performed to rank and compare importance and perceived satisfaction. Adolescents ranked medical information as their most important need during hospitalization followed by mobility, visits from …

The Perceived Quality Of Life In Persons Performing Peritoneal Dialysis, Paula A. Armstrong

Masters Theses

This purpose of this study was to describe the quality of life in patients who independently performed peritoneal dialysis at home for the treatment of end stage renal disease.

A descriptive design was conducted using the Ferrans and Powers Quality of Life Index-dialysis version. A convenience sample of 31 patients from a Midwest dialysis facility participated in the study Subjects were asked to rate their level of satisfaction and the level of importance of 35 aspects of life. The reported quality of life was reported to be satisfactory There was a moderate positive correlation between the time on dialysis and …

Advanced Practice Nurses' Knowledge And Attitudes On Pain And Pain Management, Joann E. Baar

Masters Theses

The purpose of this study was to examine the knowledge and attitudes of advanced practice nurses regarding pain and pain management, and to determine if a relationship existed between education, experience, clinical specialty, and recent educational sessions on pain management, and scores on the Nurses’ Knowledge and Attitudes Survey. The convenience sample consisted of 78 advanced practice nurses or advanced practice nursing students in west Michigan. Data were collected via the use of mailed questionnaires. Dorothea Orem’s self-care deficit theory of nursing provided the theoretical framework for this study.

No significant differences in scores were found among those with different …

Mental Health In Oldest-Old Adults: An Investigation Of Self-Transcendence, Marsha Luchtman Harrison

Masters Theses

This study explored Reed’s theory of self-transcendence as a potential developmental resource and correlate of well-being within the long term care population. Self-transcendence is a healthy maturation process of expanding one’s conceptual boundaries inwardly through increased self-understanding; outwardly through investing in relationships with others and the environment; and/or temporally by integrating perceptions of one’s past and future in a way that enhances the present. A descriptive correlational research design examined the level of self-transcendence and the relationship of self-transcendence to depression among nursing home residents. The sample of 51 oldest-old adults ranged from 80 to 103 years old.

Participants were …

Efficacy Of Zinc Supplementation In Reducing The Incidence Of Recurrent Vaginitis, Bonnie R. Bartz

Masters Theses

The purpose of this study was to evaluate the efficacy of zinc supplementation in reducing the incidence of recurrent bacterial vaginosis (BY) and vulvovaginal candidiasis (W C ). Forty-one subjects were selected from researcher’s patients based on at least two episodes of vaginitis in a six-month period. A control group (placebo) and an experimental group (30 mg zinc gluconate) were randomly formed from this selection.

Evaluation of vaginitis status was accomplished through wet mounts, pH test, and KOH whiff tests at the initial, 3, and 6-month intervals. Subjects sought treatment for vaginitis when symptomatic.

A t-test analysis showed no statistically …

Evaluation Of The Effect Of Home Care Interventions On The Self-Care Agency And Hospital Readmission Rate Of Patients With Congestive Heart Failure, Patricia K. Rau

Masters Theses

Congestive heart failure (CHF) is prevalent and patients with CHF incur costly hospital readmissions. It is crucial to reduce rehospitalizations and improve self-care in these patients. This blind experimental study based on Dorothea Orem’s self-care deficit theory evaluated two nursing interventions provided to 49 home care patients with CHF from 42 to 94 years of age in western Michigan. The study results were drawn from a larger longitudinal study in progress by researcher Dr. Kay Setter-KIine, RN. PhD. One group received supportive-educative interventions and the other received placebo interventions. The study sought to determine if supportive-educative nursing interventions improved medication …

The Relationship Between Grandparent Caregiver Reactions And Support Group Participation, Karen F. Rishel

Masters Theses

The purpose of this study was to determine if there was a relationship between support group participation by grandparent caregivers and reactions to their care-giving situation. There were 25 grandparents primarily Caucasian, and from rural areas or small towns. All were high school graduates and nearly half attended college. A descriptive correlational design was used, and the conceptual framework was Dowdell's adaptation of Given's model on caregiver strain.

No correlations were found that were statistically significant between the number of groups attended and the sub-scales of Given's Caregiver Reaction Assessment. This may have been related to the sample size. Although …

The Effectiveness Of An Education Intervention Related To Knowledge Increase Among Adolescents Regarding Dietary Calcium And Prevention Of Osteoporosis, Deborah K. Fast

Masters Theses

The purpose of this study was to assess the effectiveness of an educational intervention for 6th - 11th grade adolescents regarding dietary calcium and the prevention of osteoporosis. This was a secondary analysis of data from a study that used a pre-experimental pre-test-post-test; no control group design. Eighty-two boys and 102 girls completed the Healthy Bones Knowledge Questionnaire (HBKQ) as a pretest, received an educational intervention based primarily on dietary calcium intake, then completed the questionnaire again as a post-test.

As a group, the students demonstrated a significant increase in correct answers to calcium-related HBKQ items (t = 3.31, p …

Relationship Of Osteoporosis Knowledge And Perceived Susceptibility To Osteoporosis Among Hispanic Women, Johannie M. Troncoso

Masters Theses

The purpose of this descriptive study was to examine the relationship of osteoporosis knowledge to perceived susceptibility to osteoporosis among Hispanic women. The Health Belief Model (Rosenstock, Strecker, & Becker, 1994) was the theoretical framework for the study. Data were collected from a convenience sample of 54 Hispanic women, ages 18 years and older, from two different areas in a Mid-Western state. The final sample, based on the inclusion criteria, constituted 41 subjects. The participants completed the Osteoporosis Knowledge Test (OKT) developed by Kim, Horan, and Gendler (1991) and the Osteoporosis Health Belief Scale (OHBS) also developed in 1991 by …

Predictors Of Self -Care Agency Among Community-Dwelling Older Adults., Mary Anne Martin White

All ETDs from UAB

No abstract provided.