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Commencement Program 2013, Loma Linda University

Commencement Programs

CONTENTS

1 | Message from the President

3 | 2013 Events of Commencement

5 | The Academic Procession

7 | Significance of Academic Regalia

9 | The Good Samaritan

10 | University History Highlights

12 | Loma Linda University Song - "Healing Love"

13 | The Speakers

23 | The University Honorees

45 | The School Honorees

64 | The Programs

• School of Medicine, 65
• School of Pharmacy, 83
• School of Dentistry, 90
• School of Behavioral Health and School of Religion, 107
• School of Nursing, 120
• School of Pubic Health, 129
• School of Allied Health Professions - Physical Therapy, 145 …

The Lived Experience Of African American Nurses Who Attended Predominantly White University Baccalaureate Programs: Characteristics Of Success And Resilience, Carmen A. Stokes

Master's Theses and Doctoral Dissertations

This qualitative dissertation explores the lived experiences of successful African-American nurses who attended baccalaureate programs at predominantly White universities (PWUs). Only 5.4% of the national registered nurse workforce is identified as African American; yet African-American citizens account for approximately 12.9% of the United States' population, and 24% of all enrollments in nursing programs nationwide is composed of African-American students. Past nursing education research has almost exclusively focused on the deficits of African-American students. This dissertation study focuses on a gap in the literature because it addresses the strengths and attributes of those African-American students who succeed, thereby contributing to an …

Breastfeeding Influencing Factors In Thai Adolescent Mothers, Supannee Kanhadilok

Theses and Dissertations

Background: Breastfeeding is well established as the optimal method for ensuring healthy infant nutrition. However, many adolescents remain unaware of the role of breastfeeding. Adolescent mothers continue to have the lowest rate of breastfeeding in many countries including Thailand, with only 17% of Thai adolescent mothers continuing to breastfed at 6 months postpartum. Objective: Examine factors influencing breastfeeding behaviors in adolescent mothers, particularly those in Thailand. Methods: This dissertation project involved two research studies focusing on breastfeeding influencing factors in adolescent mothers. The first study was an integrative review of 22 articles published in 2000-2012. The findings revealed that personal …

Chhs May/June 2013 E-Newsletter, Dr. John Bonaguro, Dean, Vashon S. Wells, Editor, Wku College Of Health & Human Services

College of Health & Human Services Publications

No abstract provided.

The Effects Of Nursing Care On The Patient Experiencing A Stillborn Birth, Katherine Totten

Senior Honors Theses

Childbirth has the potential of being one of the most joyous and fulfilling experiences a woman goes through in her entire life. Being a mom, driving the kids to soccer practice, and sitting around the Christmas tree with the family can easily be seen as an ideal life. Conversely, the negative experiences with childbirth are rarely discussed. There is an overlooked category: moms who conceive but lose the baby in the womb. Not only are these women overlooked, but also the hospital care they receive proves inconsistent with the latest research. Nurses and doctors should be aware of the latest …

At Risk Young Adults: Healthcare Options During And After The Transition From Adolescence To Adulthood For Those Aging Out Of The Foster Care System, Michael Ockrin

Nursing Masters

Approximately 20,000 of the 500,000 foster care children in the United States age out of social services each year (Yen, Hammond, & Kushel, 2009). These youth lack the family support systems that most young adults have. They rarely receive the health care services that other young adults receive because of a lack of health insurance. Government programs have begun to address the problem. The Fostering Connections to Success and Increasing Adoptions Act of 2008 requires states to help youth in their transition to adulthood and addresses many issues including healthcare. The Foster Care Independence Act of 1999 doubled the amount …

Psychometrics Of The Depressive Cognition Scale In Caregivers Of Persons With Autism Spectrum Disorders, Abir K. Bekhet, Jaclene A. Zauszniewski

College of Nursing Faculty Research and Publications

Caregivers of persons with autism spectrum disorders (ASD) are prone to depression, and early identification of cognitive depressive symptoms is important to prevent the development of clinical depression. The Depressive Cognition Scale (DCS) can be used for early detection, but the scale's psychometrics has not been tested in caregivers of persons with ASD. In this study, 95 caregivers of persons with ASD completed the eight-item DCS and measures of caregiver burden and resourcefulness. A Cronbach's alpha of .90 indicated internal consistency. Construct validity was supported by significant correlations with caregiver burden (.59) and resourcefulness (− .57). Principal component factor analysis …

Effects Of An Interprofessional Simulation Activity To Improve Students' Perceptions Of Other Healthcare Professions, Chase Raymond Poulsen

STEMPS Theses & Dissertations

Healthcare professionals have historically been educated and trained by members of their own profession within a curriculum that reinforces their individual discipline-specific strengths. This differentiation has contributed to students having little interaction with other professionals until after they have entered the workforce and consequently little formal education in collaboration or integration. The purpose of this mixed-method study was to evaluate the impact of an interprofessional (IP) collaborative activity on student's perceptions of the others discipline for the improvement in care of medical patients.

The sample population consisted of students from two programs, nursing (n=40) and respiratory therapy (n=33). Students were …

Lack Of Father Involvement In Research On Children With Autism Spectrum Disorder: Maternal Parenting Stress And Family Functioning, Norah L. Johnson, Pippa Simpson

College of Nursing Faculty Research and Publications

Autism Spectrum Disorder (ASD) has an estimated prevalence of greater than 1% of people in the US. Caring for children with ASD is stressful and challenging for parents. The purpose of the study is to understand the ramifications of the findings of a spouse/father's lack of participation for a study focused on stress and family functioning that attempted to recruit both parents of a child with ASD. The Kruskal-Wallis test compared medians of three groups of mothers of children with ASD in order to assess differences in parenting stress and family functioning discrepancy depending on their marital status and spouse …

Caregiver Burden And Sibling Relationships In Families Raising Children With Disabilities, Diane W. Allred

Theses and Dissertations

The purpose of this study was to examine sibling relationships and caregiver burden in families raising children with disabilities (CWD). In order to determine (a) are there differences in caregiver burden according to parent gender and types of disability (b) are there differences in sibling relationships according to parent gender and type of disability and (c) is there a relationship between caregiver burden and sibling relationships after controlling for CWD and sibling gender and age, and type of disability? After IRB approval, 166 families living in the west and raising typically developing children (TDC) or a CWD participated. Disabilities included …

Pregnancy Resolution Counseling With Adolescents, Michelle Taylor Skipper

Nursing Theses and Capstone Projects

The results of a positive pregnancy test for an adolescent female mandate a time-sensitive decision to be chosen on the outcome of that pregnancy--whether to continue to pregnancy or terminate. Ambivalence regarding the pregnancy in adolescence is typically high as the rate of unplanned pregnancies has been reported as high as eighty-six percent. In this project, Allanson's Abortion Decision Balance Sheet (ADBS) was modified to an age-appropriate literacy level and completed by nine adolescents in a public health department setting in the project "Pregnancy Resolution Counseling with Adolescents" (PRCA). Providing objective questions related to emotions regarding the pregnancy was proposed …

Transcultural Self-Efficacy Of Nursing Education Leaders And Faculty Related To Non-Binary Sexual Identities, Grace Hoyer

Master's Theses and Doctoral Dissertations

Higher nursing education has demonstrated effective modalities in leadership, practice, and health policy (Antrobus & Kitson, 1999). However, advancement in understanding populations of non-binary sexual identities need further recognition in nursing academic education, within both faculty and administration realms.

This study is about transcultural efficacy (TSE), an essential component of nursing education and leadership, as it relates to aspects of non-binary sexual identities. Non-binary sexual identities include groups and individuals identified publicly or personally outside the binary (male/female), majority group of heterosexuals. This group may include but is not limited by the titles of gay, lesbian, bisexual, transgendered, queer, genderqueer, …

Virtual Collaboration In The Online Educational Setting: A Concept Analysis, Henny Breen

Faculty Publications

This study was designed to explore the concept of virtual collaboration within the context of an online learning environment in an academic setting. Rodgers’ method of evolutionary concept analysis was used to provide a contextual view of the concept to identify attributes, antecedents, and consequences of virtual collaboration. Commonly used terms to describe virtual collaboration are collaborative and cooperative learning, group work, group interaction, group learning and teamwork. A constructivist pedagogy, group-based process with a shared purpose, support and web-based technology are required for virtual collaboration to take place. Consequences of virtual collaboration are higher order thinking and learning to …

Support Of The Informal Kinship Care Family, Emily J. Hansen

Theses and Graduate Projects

Most children cannot imagine living without their parents; for some though, because of social instability, substance abuse, or parental neglect, life apart from their parents is the reality. When these children are cared for by a relative or a close family friend without the involvement of a child welfare agency, the family that is created is known as an informal kinship care family. Because of the fluid nature of these families, little is known about them, leaving this group disadvantaged and neglected by the health care community. After a review of the existing literature, observation of informal kinship care families, …

Integrating Mindfulness Meditation Into Undergraduate Nursing Curricula, Michelle Yankowiak

Theses and Graduate Projects

Stress and anxiety impact the lives of undergraduate nursing students. Learning how to cope with the stressful demands of nursing school is essential for student success. Watson's caring and healing philosophy notes that learning to care for self is foundational in learning to care for others. Literature also reports that nursing programs across the country are lacking instruction on alternative therapies as a self-care method. A need to integrate self-care into curricula was identified by personal knowing as a nursing clinical instructor and through a self-care questionnaire to undergraduate obstetric nursing students. The integration of mindfulness meditation, as a means …

Culturally Appropriate Nursing Care For International Patients, Kate Larson

Theses and Graduate Projects

Cultural competence is a necessary skill for nurses. It requires ongoing learning for continuous improvement in the healthcare setting. Nurses who are knowledgeable in providing culturally appropriate nursing care are able to meet patients' needs by building trust and minimizing cultural pain. Providing nursing care with nurses who have advanced nursing degrees and knowledge of culture and international patient care is an effective model for the ambulatory setting. Trans-global travel for healthcare is increasing therefore a nursing model designed to meet the culture care needs of international patient care is required. This nursing model describes culturally appropriate nursing care in …

Congruence Between Nursing Home Resident And Staff Caregiver Perceptions Of Residents' Self-Perceived Autonomy, Paul E. Urbanski

Legacy Theses & Dissertations (2009 - 2024)

This qualitative cross-sectional study examines autonomy among long-term care residents and how certified nurse aides (CNAs) understand resident autonomy as expressed through residents' preferences. The study took place at one long-term care facility with N = 12 (7 residents and 5 CNAs). A phenomenological perspective is utilized in order to describe the meaning residents ascribe to personal preferences and the influence frailty has on those preferences. In addition, certified nurse aides, self-described as competent to report on a participating resident's preferences were interviewed separately. Open-ended interviews were conducted and the data obtained was examined for congruence between the resident's and …

Foot Assessment In The Dialysis Unit, Karen Robertson

Theses and Dissertations

ABSTRACT In 2010 the number of patients requiring renal replacement therapy in the United States increased by 1% to 593,086. This number was comprised of 593,086 in center hemodialysis patients, 179,361 functioning kidney transplants, and 29,773 peritoneal dialysis patients.

A principal difficulty in the end stage renal disease (ESRD) population is lower extremity amputation from vascular complications and nonhealing wounds. The incidence of nontraumatic lower extremity amputation among the end stage renal disease population in the United States is ten times higher when compared to the general public. Mortality rates for ESRD patients following amputation are elevated with less than …

The Sociodemographic And Health-Related Characteristics Of A Regional Population With Chronic Disease At An Interprofessional Student-Assisted Clinic In Queensland Capricornia Allied Health Partnership, Kerrie-Anne Frakes, Sharon Brownie, Lauren Davies, Mary-Ellen Miller, Zephanie Tyack

School of Nursing & Midwifery, East Africa

Objective: This paper describes the socio-demographic and health-related characteristics of people with chronic disease attending an inter-professional student-assisted clinic in regional Queensland.

Design: A retrospective review of data collected during the first 10 months of operation of the clinic was conducted.

Setting, participants and outcome measures: Data was collected on up to 378 patients during an intake appointment at the Capricornia Allied Health Partner-ship (CAHP) community-based clinic and compared with normative reference groups where available. Socio-demographic characteristics included age, gender and education level; health-related characteristics included body mass index and hospitalizations in the previous 12months; and risk factors included prescribed …

An Exploration Of The Past, Present And Future Of Nursing In Early Parenting Services In Australia, Elaine Bennett

Theses

Nursing has a long history of providing services to families and children over the past century and more within Early Parenting Services (EPS) in Australia. Much has been written on issues regarding the general nursing workforce and requirements for the future, but little is known about the role of nursing within the EPS area around Australia in the context of an interdisciplinary team.

The aim of this study was to describe how nursing has responded to the changing needs of EPS in Australia and to investigate nurses’ and allied professionals’ perceptions of the nursing role within an interdisciplinary team. This …

Assessing The Relationship Between Caregivers Burden And Availability Of Support For Family Caregivers’ Of Hiv/Aids Patients In Calabar, South East Nigeria, Ekaete Asuquo, Josephine B. Etowa, Prisca Adejumo

School of Nursing & Midwifery, East Africa

Purpose: This study examined the level of burden and the extent of support on family caregivers of people living with AIDS (PLWHA) in Calabar, South East Nigeria.

Methods: A mixed method with cross sectional approach was used. Purposive sampling technique guided the recruitment process and data collection methods included, semi-structured questionnaires and focusing group discussion. 260 respondents participated in the study. The quantitative data were mined with the aid of SPSS and the qualitative data were analysed with the aid of NVivo8 using thematic analysis.

Results: Results indicated high level of burden with limited support to caregivers. A Chi-square value …

The Role Of Self-Transcendence : A Missing Variable In The Pursuit Of Successful Aging?, Valerie Lander Mccarthy, Jiying Ling, Robert M. Carini

Faculty and Staff Scholarship

While successful aging is often defined as the absence of disease and disability or as life satisfaction, self-transcendence may also play an important role. The objective of this research was to test a nursing theory of successful aging proposing that transcendence and adaptation predict successful aging. In this cross-sectional exploratory study, a convenience sample of older adults (N = 152) were surveyed about self-transcendence, proactive coping, and successful aging. Using hierarchical multiple regression, self-transcendence, proactive coping, and all control variables (i.e., sex, race, perceived health, place of residence) together explained 50% of the variance in successful aging (p < 0.001). However, proactive coping alone was not a significant predictor of successful aging. Thus, this study did not support the theory that both self-transcendence and proactive coping predict successful aging. Self-transcendence was the only significant contributor to this multidimensional view of successful aging. Self-transcendence is an important variable in the pursuit of successful aging, which merits further investigation.

The Impact Of The Clinical Nurse Leader/Navigator On Clinical Outcomes And Patient Satisfaction, Diane Smith Raines

UNF Graduate Theses and Dissertations

In an era of value based purchasing and healthcare reform, hospitals face the challenge of delivering high quality care in an environment of diminishing resources. This performance improvement project describes the use of master’s prepared nurses on medical surgical units to improve quality and patient satisfaction. The setting was five medical surgical units in a 200+ bed hospital in the southeastern United States. Declining resources necessitated an increase in the nurse to patient ratios on the units (from 5:1 to 6:1). The project involved the modification of the model of care through the change in nurse/patient ratios and the addition …

Postpartum Weight Self-Management: A Concept Analysis, Jennifer M. Ohlendorf

College of Nursing Faculty Research and Publications

Aim: The aim of this concept analysis is to create a clear definition and framework to guide weight self-management research and promotion of healthy weight self-management during the postpartum period. Background: A woman’s ability to manage her weight through the postpartum transition has lifelong implications for her weight status. Methods: This concept analysis was guided by Walker and Avant (2005). A broad search of sources was performed, yielding 56 articles in which postpartum weight self-management was the main focus. Results: From consideration of the attributes of postpartum weight self-management, a descriptive, situation-specific theory emerged: Postpartum weight self-management is a process …

Recognition Of Compassion Fatigue Among Medical-Surgical Nurses: The Provision Of Education To Manage The Effects, Kandace Woodruff

Doctor of Nursing Practice (DNP) Projects

The Institute of Medicine (IOM) (2010) recommends that healthcare organizations make the “recruitment and retention of qualified nurses a priority”. The ability to comply with the recommendation is fraught with challenges. Nurses are required to care for patients across the age span with varying medical complexities. There are work related stressors which are inherent to the care of a more acutely ill patient population. The tenuousness produced by this type of environment can predispose the nurse to a stress induced phenomenon known as, Compassion Fatigue. The literature is abounding with information related to compassion fatigue among various nursing specialties. However, …

Living In Harmony: Health Perspectives Of Hispanics In Rural East Tennessee., Erin E. Bailey

Undergraduate Honors Theses

The purpose is to promote culturally competent care among healthcare providers by identifying and describing how Hispanics in East Tennessee view health and what they do to prevent illness. A focus group of six to ten Hispanics of mixed genders over age eighteen moderated by a native Spanish-speaking interpreter. Questions explored how Hispanics define health and sickness, health maintenance practices, and alternative medicines and practices. Results were interpreted from Spanish to English to be analyzed. The Circle in Which You Live was described by members as consisting of relationships, physical health, and peace of the mind and soul. In Shutting …

Exploring Healthcare Simulation As A Platform For Interprofessional Education, Janice Christine Palaganas

Loma Linda University Electronic Theses, Dissertations & Projects

Interprofessional education (IPE) is gradually recognized as essential to patient safety and implemented as a standard for healthcare education through professional organization recommendations and accrediting bodies. Given the increasing adoption of experiential and team-based learning, healthcare simulation (HCS) has become a preferred vehicle for IPE. As healthcare professional educators explore simulation as a platform for IPE, a need to better understand the state of the science has become apparent. This descriptive comparative study examines how the most commonly used simulation modalities and IPE teaching methods (low-technology versus high-technology; multiprofessional versus collaborative team-based activities; observational versus active methods; standardized patients versus …

Chhs November 2012 E-Newsletter, Dr. John Bonaguro, Dean, Vashon S. Wells, Editor, Wku College Of Health & Human Services

College of Health & Human Services Publications

No abstract provided.

Future Of Nursing: Advancing Health Through Interprofessional Collaboration, Margaret A. Hadinger Edd, Ms, Mary Ellen Miller Phd, Rn, Abby S. Letcher Md, Lucy Tuton Phd

Department of Education

No abstract provided.

Recommended Actions For Improved Care Transitions: Mental Ilnesses And/Or Substance Use Disorders, Chris Walker, Paul Goering, Cathy Brouwer, Kathy Knight, Karen Lloyd, Terry W. Crowson, Michael A. Trangle, Paul Davis, Jennifer Mcnertney, Sue Abderholden, Nancy Houlton, Kathy Cummings, Joann Foreman

Articles

The transition period between care settings is the most vulnerable time for patients and their caregivers. The unique vulnerabilities for patients with mental illnesses such as depression, mania, anxiety, schizophrenia and/or substance use disorders* heighten the need for coordinated transitions and aftercare. In 2010, depression was the fourth diagnosis by volume for readmissions in Minnesota according to the Potentially Preventable Readmissions data collected by the Minnesota Hospital Association.