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The Level Of Self-Confidence Related To Knowledge And Skills Of Nurse Clinicians Practicing In The Expanded Role, Myra E. Fitts

MSN Research Projects

The level of self-confidence attained in a particular role affects the ability to perform in that role. Self- confidence is not innate but is developed through the interactions and experiences one has. The purpose of this study was to identify the level of self-confidence related to knowledge and skills of nurse clinicians practicing in the expanded role. Benner’s (1984) framework. From Novice to Expert, provided the direction and structure for this descriptive study. Three hundred thirty- three nurse clinicians licensed to practice primarily in four southeastern states participated in this study. Data were collected using the Thibodeau/Hawkins Self-Assessment Scale and …

Reasons Community-Based Hospice Patients Require Hospitalization, Patricia Northcutt Stephens

MSN Research Projects

The philosophy of a community-based hospice program involves care of terminally ill patients in their homes. However, some patients do not remain at home and are hospitalized. This descriptive study was conducted to determine reasons community-based hospice patients require hospitalization. Orem's Theory of Self-Care and Theory of Nursing Systems provided the theoretical framework. A convenience sample of 9 hospice patient primary caregivers from a community-based hospice program in West Central Alabama participated. These caregivers provided care to 9 hospice patients over the age of 40 years who required hospitalization in 1990 and had since expired. During scheduled home interview visits, …

A Comparison Study Of Coping Mechanisms In Clients And Significant Others Of Home And In-Center Hemodialysis, Judy Stevens

MSN Research Projects

The purpose of this study was to determine the coping mechanisms used by clients with end-stage renal disease and their significant others. This descriptive, comparative study was guided by the hypothesis: Clients and significant others of home hemodialysis use different coping mechanisms from the clients and significant others of in-center hemodialysis. Orem's Nursing Systems Theory provided the theoretical framework. The sample (N = 43) consisted of 12 home hemodialysis clients and 12 home significant others and 12 in-center hemodialysis clients and 12 in-center significant others who resided in East Central, West Central, and Central Mississippi. Data were collected utilizing the …

A Comparison Study Of Coping Mechanisms In Clients And Significant Others Of Home And In-Center Hemodialysis, Judy Stevens

MSN Research Projects

The purpose of this study was to determine the coping mechanisms used by clients with end-stage renal disease and their significal others.

Self-Perceived Health Concerns Of Early, Middle, And Late Adolescents, Diane Baker

MSN Research Projects

The purpose of this descriptive study was to identify the self-perceived health concerns of early, middle, and late adolescents.

Student Attitudes Toward Their Role As Patient Advocate, Jacquelyn Heinlein Graven

Honors Projects

Patient advocacy is a role which has been identified as an important one for nurses. Numerous definitions, models, opinions and philosophical justification of advocacy as a nursing role are described in the literature. The importance of this role is obvious when considering the philosophical dimensions of advocacy. It has been suggested that the concept of advocacy may be the fundamental or theoretical foundation of nursing (Donahue, 1985; Gadow, 1980). Although the role has been discussed for many years there are few established guidelines for implementation and little research exists regarding the advocacy role. The purpose of this descriptive study is …

Managing Patient Care: A Substantive Theory Of Clinical Decision Making In Home Health Care Nursing, Felicitas A. Dela Cruz Dnsc, Ma, Rn

Dissertations

This study investigates the phenomenon of clinical decision making, deriving a grounded substantive theory to explain how home health care nurses make patient care decisions. Despite the continuing shift of health care from acute care settings to the patient's home, little is known about home health care nurses' clinical decision making processes and the factors influencing them. The study employs a field research design using grounded theory based on symbolic interactionism. Data collection at two Visiting Nurse Associations includes participant observation and open-ended interviews of 21 nurses, and document analysis of patients' records and home care nursing practice policies. The …

Norfolk Resource Mothers Program Evaluation, Margaret Moore Konefal

Theses and Dissertations in Urban Services - Urban Management

This study uses the post-test only design to assess the preliminary effects of a community-based policy initiative, the Norfolk State University Resource Mothers Program (RMP), on the gestational ages, birth weights, and survival rates of infants born to participating adolescent mothers.

The RMP uses experienced mothers or paraprofessionals similar in race and socio-economic status to the participating teenagers. These persons are trained to assist pregnant adolescents and teen parents with nonmedical dimensions of pregnancy and child care. They recruit teens into the RMP, encouraging them to get early prenatal care. Resource Mothers provide teen mothers and their families with practical …

Identification And Ranking Of Stressors Specific To The Acute Head Care Nurse, Joan A. Breen

Community & Environmental Health Theses & Dissertations

No abstract provided.

A Comparative Analysis Of Nurse Leaders' Degree Of Transformational Leadership And Staff Nurse Job Satisfaction, Kathie Sawyer Weatherly

Ellmer School of Nursing Theses & Dissertations

The intensified pressure for change in nursing organizations has presented nurse leaders with opportunities to transform bureaucratic settings into professional practice environments. Transformational leadership has been identified as supporting the changing values of staff nurses and promoting job satisfaction. The purpose of this study was to explore nurse leaders' degree of transformational leadership and the relationship between transformational leadership and staff nurse job satisfaction. Quantitative analysis, using an independent t-test, indicated a significant difference between nurse leaders' and staff nurses' perception of the nurse leaders' degree of transformational leadership. Pearson correlation analysis indicated a significant relationship between transformational leadership and …

Formal And Informal Educational Activities Of Transformational Nurse Leaders In Urban Hospitals, Sue Waltrip Young

Theses and Dissertations in Urban Services - Urban Education

Absence of educational programs designed to develop a specific leadership style has prompted educators in nursing administration to consider designing such programs. As the cost of hospital care escalates and the recruitment and retention of individuals into hospital nursing remains problematic, it is essential that methods be developed to address these issues. This study described the educational processes experienced by transformational nurse leaders employed in urban hospitals. By discovering the relative importance and amount of these activities for nurses identified as transformational leaders, data are provided for the design and testing of educational programs created to enhance a transformational leadership …

Problems And Coping Styles Of Antepartal Patients Being Treated For Risk Of Preterm Labor, Janet Wiehrs Rogers

Ellmer School of Nursing Theses & Dissertations

The purpose of this study was to identify the range of problems and coping strategies as perceived by antepartal patients experiencing medical treatment to decrease risk of preterm labor. In this qualitative, interpretive study problems and coping strategies were identified through semi-structured interviews with a convenience sample of seven antepartal patients. Using content analysis of interview data, identified problems were categorized, and for each problem, coping strategies were identified and grouped using the categories of the Jalowiec Coping Scale. Major categories of problems were: bedrest, role change, finances, uncomfortable emotions, and reactions of families and friends. Supportant, palliative, and confrontive …

Elders Caring For Elders: Risk Of Abuse And Neglect?, Marjorie F. Bendik Dnsc, Msn, Rn

Dissertations

This study was designed to examine the phenomena of mood disturbance and associated potential to abuse in an elderly caregiver population. The data from which the results were obtained came from structured interviews, using quantitative measures, with 110 men and women caregivers aged 55 and over, living at home and caring for another physically or mentally ill elder (usually a spouse or other relative) who was living with them. A causal model was developed to examine the effects of locus of control, social support, physical health, stress perception, and coping efficacy on total mood disturbance and potential to abuse. Standardized …

Factors Related To Self-Care Agency And Self-Care Practices Of Obese Adolescents, Kathy Shadle James Dnsc, Msn, Rn

Dissertations

Identification of factors that influence obese adolescents' health behaviors is necessary if obese adolescents are to benefit from therapeutic interventions. The purpose of this descriptive-correlational study was to identify the relationships between selected basic conditioning factors (BCFs)--perceived health status (PHS), perceived self-efficacy (PSE), family satisfaction (FS), and life events (LE)--and the self-care agency (SCA) and self-care practices (SCP) among obese adolescents. The relative predictive strength of each BCF in relation to the outcome variables was also explored. Orem's self-care theory provided the conceptual framework for this study. The convenience sample of 100 obese adolescents included campers from two southern California …

Geriatic Nurse Practitioner's Health Promotive Behaviors: A Test Of Theory Of Reasoned Action, Sandra L. Venegoni

Theses and Dissertations

The purpose of this investigation was to develop an instrument to test the theory of reasoned action (Fishbein & Ajzen, 1975) in a new behavioral domain the health promotive behaviors of geriatric nurse practitioners (GNPs). The two behavioral categories included in the study were health assessment and health teaching, each with its individual index of actions.

A questionnaire was developed to examine the beliefs of a sample of 200 certified geriatric nurse practitioners and to test the relationships of the theoretical model. Names of the subjects were randomly selected from the American Nurses' Association 1989 list of certified GNPs. Ninety-four …

The Relationship Of Osteoporosis Health Beliefs And Knowledge To Calcium Intake, Karen L. Boyer

Masters Theses

The purpose of this study was to examine the relationship between health beliefs (susceptibility, severity, benefits, barriers, health motivation and self-efficacy) and knowledge, to calcium intake. The study used a descriptive correlational design and a convenience sample of 201 women was selected. Data collection took place in a metropolitan area of west Michigan and a structured interview method was used. The subjects ranged in age from 35 to 95. Ninety-six and one half percent of the sample was white. The hypothesis--"knowledge and the health beliefs account for a significant amount of variance in calcium intake" was partially supported. Self-efficacy and …

Bedtime Routines And Sleep Patterns Of Hospitalized Elderly, Marie E. Vander Kooi

Masters Theses

The purpose of this study was to examine whether performance of a familiar bedtime routine was related to the self-reported nocturnal sleep pattern quality of the hospitalized elderly. A descriptive correlational design was used to analyze data collected on a convenience sample of 30 elderly patients. The Bedtime Routine Questionnaire was used to describe the bedtime routine at home and measure to what extent it was maintained in the hospital. The nocturnal sleep pattern quality was measured using the Richards Campbell Sleep Questionnaire. The most common bedtime routine activities of the elderly were found to be: going to the bathroom; …

Nursing Care Of The Elderly In The Acute Care Setting: An Investigation Of Powerlessness, Dorothy De Boer Zylstra

Masters Theses

This study's purpose was to identify whether persons 65 years of age or older hospitalized with congestive heart failure perceive personal powerlessness. Cognitive competence of the subjects was determined by the Short Portable Mental Status Questionnaire. A Powerlessness Interview Schedule (PIVS) was used to identify subjects' perceptions of personal powerlessness.; Perceived powerlessness was not conclusively apparent in the fifty-one subjects of this study. No subjects received a score of 38 or below. Ten of fifty-one subjects received scores ranging from 46 to 56 which may place them at risk for perceived personal powerlessness. Forty-nine subjects had areas of limited feelings …

Maternal Employment Status Following The Birth Of An Infant, Julie A. Hyde

Masters Theses

A descriptive correlational study was conducted in partial replication of the Youngblut (1989) study for the purpose of determining the relationship between variables related to mothers' employment status and the infants' developmental status at three months. Families of the sample (n = 105) were termed working, non-working or leave of absence (LOA) depending on the mothers' employment status at the infant age of three months.; Variables examined included demographic, reproductive histories, mother-child interaction, employment status, family functioning, neonatal morbidity, developmental outcomes and home/work orientation. Findings revealed that despite a higher SES category than nonworking and LOA families, working mothers also …

Patient Perceptions Of Nurse Caring Behaviors, Patricia A. Devries

Masters Theses

The purpose of this study was to examine which nurse caring behaviors in the critical care unit are perceived as most important and least important by patients with myocardial infarction. A sample of 44 subjects responded to an open-ended question and an assessment scale, the Caring Behaviors Assessment. Two comparison groups of 22 subjects each were formed from the sample to determine if number of previous admissions to the critical care unit made a difference in perceptions of most important and least important nurse caring behaviors.; Descriptive statistics along with t-test, chi-square, and two-way analysis of variance were used to …

The Relationship Among Self-Care Agency, Risk-Taking, And Health Risks In Adolescents., Jane Duval Hurst

All ETDs from UAB

No abstract provided.

The Effect Of The Arthritis Self-Help Course On Arthritis Self-Efficacy, Perceived Social Support, Purpose And Meaning In Life, And Arthritis Impact In People With Arthritis., Ann Mabe Newman

All ETDs from UAB

No abstract provided.

Transforming: Patterns Of Sexual Function In Adults With Insulin-Dependent Diabetes Mellitus., Priscilla Lemone

All ETDs from UAB

No abstract provided.

The Relationship Among Hope/Hopelessness, Self-Esteem, Perceived Social Support, And Life Events In Adolescents., Ruth Parmelee Rawlins

All ETDs from UAB

No abstract provided.

Psychological Stress Reaction, Coping Strategies, And Health Promotion Lifestyles Among Hospital Nurses., Wilma Ruth Vines

All ETDs from UAB

No abstract provided.

The Process Of Recovering In Women Who Have Been Depressed., Ann Rogers Peden

All ETDs from UAB

No abstract provided.

Family Responses And Self-Care Activities In School-Age Children With Diabetes., Melissa Ann Spezia

All ETDs from UAB

No abstract provided.

Having Faith: Experiencing Coronary Artery Bypass Grafting., Patricia Elliott Camp

All ETDs from UAB

No abstract provided.

Validation Of A Nursing Diagnosis: Alteration In Comfort, Nausea As Experienced By Oncology Patients Receiving Chemotherapy., Janet Powell Taylor

All ETDs from UAB

No abstract provided.

The Relationship Of Organizational Structure To Role Conflict And Role Ambiguity Of Top Level Nurse Administrators., Mary Lee Tracy

All ETDs from UAB

No abstract provided.