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Yale Nursing Matters Fall 2000 Volume 2 Number 1, Yale University School Of Nursing

Yale School of Nursing Alumni Newsletters and Magazines

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Loma Linda Nurse - Vol. 09, No. 01, Loma Linda University School Of Nursing

Loma Linda Nurse

2 | A message from the dean

4 | Loma Linda NURSE news

10 | Out of Africa: Serving in the land of the forgotten

12 | 1998–1999 Donor Report

22 | H.O.T. report

22 | New director of advancement

23 | Alumni president’s message

24 | Alumni weekend—1999

26 | Alumnae of the Year—1999

27 | Alumnae of the Year—2000

30 | Alumni weekend—2000

28 | Near and far

Global Connections In A Changing World: Romanian And U.S. Nurses Unite, Mary G. Schaal, Molly A. Rose, Ann Doherty, Adriana Vilan

College of Nursing Faculty Papers & Presentations

This article describes an international, interdisciplinary, university partnership project to collaborate with health professionals in the city of Cluj-Napoca, Transylvania, Romania, to improve the health status of Romanian workers. Academic and service-based public health nurses from the United States used the model of community competence in outlining the nursing aspect of the project. This model guided the assessment, objectives, collaborative activities, and the outcome evaluation of the project. The dimensions of the model (e.g., commitment, self-other awareness, articulateness, conflict accommodation, management of relations with larger society, and leadership) were used within the context of the political and social environment of …

Characteristics Of Nursing Doctoral Programs In The United States, Melanie Mcewen, Gregory A. Bechtel

Nursing Faculty Publications

The expansive growth of doctoral programs in the United States has necessitated a need to determine demographic attributes of the academic program, characteristics of the students, admission criteria, and curriculum patterns. Seventy-eight doctoral programs were sent a researcher-designed survey and 48 (62 per cent) responded. Results show an increasing shift away from clinical doctorates to the research doctorate, although few differences exist within the research focus of doctoral nursing programs. Consistent with previous reports in the literature, curricula are fairly standard and few differences were noted based on a number of criteria including geographic location, type of degree granted, Carnegie …

Community-Based Nursing Education At The Campsite, M. Susan Jones, Donna Bussey, Carrie Morgan

Nursing Faculty Publications

No abstract provided.

Perceived Barriers By Hispanic Mothers In Obtaining Primary Health Care For Their Childern, Michael Allen Hart

Master's Projects

Purpose: Hispanic mothers tend to over use hospital emergency services and under use primary care providers when seeking health care for their children. In order to change this health care utilization behavior, researchers must understand the barriers to health care perceived by Hispanic mothers. Design: In this non-experimental survey study, a non-probability, purposive sampling of 45 Hispanic mothers at a rural county pediatric clinic were surveyed. Methods: Using the Health Belief Model (HBM) as its framework an 18-item survey examined, barriers to health care, cues to action, subjects' knowledge, family satisfaction, access, and likelihood of action. Findings: The data suggest …

Effect Of Early Childhood Tobacco Education Program On Knowledge And Attitudes Of Elementary Students, Dianne G. Pittman

MSN Research Projects

Tobacco use is recognized as the number one preventable cause of disease and death in the United States. As such, development of better tobacco-use prevention strategies, utilized by health care providers, is a worthy endeavor. Where it exists, initiation of formal tobacco education within the schools is focused at sixth- to eighth-grade students, the age research has shown when most tobacco experimentation begins, yet well beyond the age when ideas and attitudes are developed in favor of or in opposition to tobacco use. The purpose of this quasi-experimental study was to determine the effect of an early childhood tobacco education …

Personal Health Screening Practices Among Female Nurse Practitioners, Lisa A. Dement

MSN Research Projects

The purpose of this study was to determine the extent to which female nurse practitioners within the state of Mississippi are in compliance with the United States Preventive Services Task Force Guidelines.

Pagophagia And Hemoglobin Levels In Pregnant Women, Contessa Ward

MSN Research Projects

Pica is a behavior characterized by the compulsive, persistent ingestion of non-food substances. It is a longstanding practice that has far-reaching implications for prevention and treatment. Pagophagia, or the excessive, compulsive consumption of ice, is a subcategory of pica. Although pica has been documented for centuries, there are limited studies regarding pagophagia and its effects in pregnant women. A comparative descriptive study was conducted to determine whether pagophagia is related to hemoglobin levels during pregnancy. Becker's Health Belief Model was utilized as the theoretical framework. Data were gathered by means of retrospective chart audit. The hypothesis was there would be …

Gender Discrimination In Nursing, Robert Swanson

MSN Research Projects

Gender discrimination related to women's struggles to gain access to career ladders and equal compensation within a male-dominated society has been documented. However, little research has been conducted regarding discrimination among male nurses in a female-dominated work environment. In particular, there is a paucity of empirical data regarding male nurses in advanced clinical practice. As the number of male nurse practitioners increases, there is heightened concern about discrimination. The purpose of this study was to determine whether male nurse practitioners perceived gender discrimination in the workplace. Using Leininger's (1991) Theory of Cultural Care Diversity and Universality and Trentham and Larwood's …

Evaluation Of Online Course Discussions: Faculty Facilitation Of Active Student Learning, Leona Vandevusse, Lisa Hanson

College of Nursing Faculty Research and Publications

Graduate nursing faculty evaluated their initial experiences with online course discussions after making the transition from traditional use of weekly face-to-face classroom discussions to primarily computer-based interactions with students at distant sites. The online discussion data were analyzed qualitatively. The ways the faculty member communicated to facilitate active student involvement in the online discussions were coded. Six categories were identified that describe the ways the faculty member communicated to facilitate active student involvement in online discussions: assist with navigation, explain expectations, clarify faculty role, stimulate critical thinking, share expertise, and provide encouragement. Examples of each were provided to demonstrate ways …

Neonatal Skin Disorders: A Review Of Selected Dermatologic Abnormalities, Juliana Campbell, Sandra Banta-Wright

Faculty Publications - College of Nursing

The skin serves many purposes, acting as a barrier to infection, protecting internal organs, contributing to temperature regulation, storing insulating fats, excreting electrolytes and water, and providing tactile sensory input. This article focuses on a review of normal skin structure and function and selected neonatal skin disorders. The disorders reviewed are Staphylococcal scalded skin syndrome, epidermolysis bullosa, and the ichthyoses. The basis for each skin disorder is presented. Nursing management and skin care are incorporated into the review of each selected disorder.

Commencement Program 2000, Loma Linda University

Commencement Programs

CONTENTS

2 | 2000 Events of Commencement

3 | The Academic Procession

4 | The Speakers

10 | The University Honorees

16 | The School Honorees

26 | The Programs

• School of Medicine, 27
• School of Dentistry, 34
• Graduate School, 41
• School of Nursing, 50
• School of Allied Health Professions - Physical Therapy, 55
• School of Allied Health Professions, 61
• School of Public Health, 69

The Relationship Between Companion Animals And Health Status Among Older Adults Living In The Community, Agnes M. Eytchison

Master's Projects

A study was conducted on 18 older adult pet owners and non-pet owners residing in a mobile home park to determine self-perception of health status and the level of attachment to pets. Self-reported health status was high and equal for both pet owners and non-pet owners. The level of attachment to the pets was also high. Studies have demonstrated human-animal interactions being beneficial to both individuals and families; but for many residents of mobile home parks and common interest developments, such as condominiums and townhouses, rules prevent companion animal ownership. Family Nurse Practitioners (FNPs) aware of the benefits of animal …

Evaluation Of The Effectiveness Of A Urinary Continence Program With Urinary Incontinent Rehabilitation Patients, Pat Emmons

Master's Projects

This study used a quasi-experimental design to evaluate the outcomes of a continence program in a rehabilitation center with patients receiving therapies (N=l2) and to evaluate the knowledge and attitudes of the rehabilitation staff (N=27) before and after reviewing a teaching module about urinary incontinence. Roy's adaptation theory was used as the conceptual framework for this research project. The tools used for data collection were: the Functional Independence Measure {FIM), daily 24 hour incontinence logs, pre/post true and false knowledge tests and pre/post staff attitude questionnaires. Eleven of the 12 patients admitted to the program had improved FIM scores and …

A Comparison Of Perceived Nurse Practitioner Practice Barriers, Katherine Kinner

Master's Projects

Novice nurse practitioners (NP) face unique obstacles to practice. Few studies examine factors influencing early NP clinical performance. Therefore, this research project analyzed data obtained from 243 members of an NP professional organization, who were asked to identify barriers encountered within the first 3 years of practice. Responses were received from beginning and more experienced NPs. The top 3 barriers named were lack of public knowledge, lack of positions for NPs, and a lower salary than anticipated. The promotion of NP assets through expanded media coverage and individual educational efforts, the national standardization of the role, and the elimination of …

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 …

Evaluation Of The Effectiveness Of The "Youth Leadership" Class In The Prevention Of Adolescent Depression, Jacqueline Oria

Master's Projects

Depression in adolescence is a common and potentially life-threatening health problem. Depending upon the severity of symptoms, anywhere from 2% to 40% of teenagers are affected with depression (Sadler, 1993). The purpose of this study is to evaluate the effects of prevention strategies on decreasing the rate of depression in adolescents. It is hoped that a class addressing specific skills identified as having an impact on adolescent depression will affect the youth participating in the program.

Nurse Practitioners' Attitudes And Knowledge Toward Cpt Coding, Tanya Lee Sa

Master's Projects

This survey of nurse practitioners (NPs) determined their knowledge and attitudes regarding Current Procedural Terminology (CPT) codes. Overall, NPs lacked the requisite knowledge and did not perceive the significance of this essential reimbursement strategy.

Evaluation Of The Effectiveness Of A Teaching Program On The Care Provided To Jewish Clients, Ilana Cood Withop

Master's Projects

The purpose of this qualitative evaluation study was to determine how an educational program provided to nursing students changed their perceptions of the care they provided to Jewish clients. A teaching program on Jewish beliefs and culture was given to ten baccalaureate nursing students who were providing care to Jewish older adults through one of the university's Academic Nurse Managed Centers. The teaching program was given early in the semester and students were interviewed four and eight weeks later to determine how the teaching program influenced their interactions with clients. Three major themes emerged from the interview data: a) increased …

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 …

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 …

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 …

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 …

Factors Influencing Compliance In The Treatment Of Elderly Hypertensive Vietnamese Clients, Cuong Phu Pham

Master's Projects

Little is known about health care beliefs and practices among Vietnamese elderly persons living in the United States. In general, studies of patient compliance with medical advice consistently demonstrate a high level of noncompliance. Not following recommendations can have serious negative consequences in the management of disease. The purpose of this study was to investigate compliance among a group of elderly Vietnamese clients with the plan given to them by their physicians for control of hypertension. Because the literature reports a high correlation between income and level of education with compliance in other groups, these factors were also studied as …

Attitudes, Knowledge, And Practice Strategies Of Nurse Practitioners In The State Of California Regarding Complementary Therapy, Steven J. Lenthe

Master's Projects

Context: This is a replication of a study by Boucher and Lenz (1) concerning knowledge and attitudes of physicians in a Midwestern teaching hospital about complementary therapy. Approval for use of all or any part of the original questionnaire was obtained from the authors. Objective: To discover the attitudes, knowledge, and practice strategies related to complementary therapy by nurse practitioners in the state of California. Conclusion: Overall nurse practitioners view the combination of complementary therapies and allopathic medicine as beneficial to positive outcomes for their clients. Nurse practitioners in the State of California appear to be knowledgeable in the purposes …

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 …

Missionary Nurse Dorothy Davis Cook, 1940–1972: "Mother Of Swazi Nurses", Susan Elaine Elliott Phd

Dissertations

Dramatically absent from nursing's historical knowledge and professional recognition are the lives, roles, contributions, and legacies of Christian faith-based nurses. The purpose of this study was to investigate the ministry and service of Sister Tutor Dorothy Davis Cook, Church of the Nazarene missionary nurse in the African country of Swaziland 1940 to 1972. The multi-dimensional, multi-task expanded roles manifested in her integration of Christian missionary and nurse were explored and her legacy identified. The most significant primary source for this study was Mrs. Cook herself. She was interviewed on three occasions and has provided personal documents, journals, and photographs. Data …

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 …