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Anatomical And Physiological Facts Essential In The Nursing Care Of Patients With Pathology Within The Spinal Canal, Carol Ann Brady

Loma Linda University Electronic Theses, Dissertations & Projects

This study was conducted to identify those anatomical and physiological facts which are essential in the nursing care of patients with pathology involving structures within the spinal canal.

Review of literature revealed increasing awareness, on the part of nurses and others, of the importance of the basic science to nursing care. Studies exploring the relationship between anatomical and physiological facts and clinical nursing were available. Literature also revealed that the use of individual patients, case studies, or patient records have been useful adjuncts to the teaching of nursing.

The descriptive survey methods was used, with an adaptation of the Fedder …

A Comparison Of The Effectiveness Of Two Cooling Baths For Reducing Fever In Children, Mildred Bailey Howard

Loma Linda University Electronic Theses, Dissertations & Projects

The purpose of this study was to evaluate the relative effectiveness of two methods of administration of the cooling bath for reducing fever due to infection. Fifteen infants and children age six months to three years with rectal temperatures of 101 degrees Fahrenheit or over were included in the study.

The experimental method with a retroactive comparison of a parallel group was the research approach used. For a previous study by Kueffner, seven subjects had been immersed in tubs of water 95 degrees Fahrenheit which was gradually reduced to 75 degrees Fahrenheit, each subject remaining in the tub a total …

A Study Of Fever Differences Following Cardiac Surgery, Cleta Phyllis Lane

Loma Linda University Electronic Theses, Dissertations & Projects

The purpose of this study was to find out whether the temperature level following heart and great vessel surgery is greater following the use of the heart-lung machine than those following closed heart surgery or cardiac and great vessel surgery with the use of hypothermia.

The method used was the descriptive survey. Data were obtained from medical records in one selected hospital. The desired number of charts was 50 for each of the three categories. The categories were identified by groups as follows:

Group I: patients having had cardiac surgery by a closed heart technique. All of the patients in …

A Study Of Air Temperatures Within Croupettes, Mabel Starkey Pittendrigh

Loma Linda University Electronic Theses, Dissertations & Projects

An experimental study was conducted to find the variations in air temperature which occur within Croupettes during treatment of infants and small children with respiratory infections, and to discover some of the factors which influence change of air temperature. Fifty children, two months to three years of age, all of whom suffered respiratory illness and all of whom received Croupette therapy were included in the study. Data were collected over a test period of two hours and fifteen minutes for each child. The parallel group technique was used in analysis of data. Conclusions drawn were not conclusive because they were …

A Study Of Postpartum Uterine Massage, Beverly Eugenia Blake

Loma Linda University Electronic Theses, Dissertations & Projects

The purpose of this study was to determine if there is a significant difference in the amount of postpartum bleeding between two methods of uterine massage and no uterine massage. The experimental method with parallel groups technique and a single variable was used. The criterion used in determining the amount of bleeding was the volume of red cells lost.

The study was conducted at St. Bernardine's Hospital using three experimental groups selected from one hundred and nineteen deliveries between January 25 and March 2, 1963. Group A was composed of sixteen patients whose uterus' were externally held for one hour …

Factors Which Deterred A Group Of Women From Seeking Early Antepartum Care, Marcia H. Dunbar

Loma Linda University Electronic Theses, Dissertations & Projects

This study was done for the purpose of analyzing stated factors of deterrence to early antepartum clinic attendance by mothers who attended a selected antepartum care after the twenty-eighth week of pregnancy were selected for this study.

The normative survey was the method chosen for the study and the interview technique was used to obtain the data from the study.

Findings and conclusions drawn were: women who sought late care had established a pattern of care they apparently felt secure in continuing. They most often utilized clinic services. Further, decisions to finally seek care (desire for treatment; resolution of practical …

Knowledge Pediatric Nurses Have On The Medications They Are Giving, Opaljean Whiteaker

Loma Linda University Electronic Theses, Dissertations & Projects

The purpose of this survey was twofold (1) to find out what knowledge the pediatric nurse has regarding selected medications which she is administering, and (2) to make recommendations relative to drug knowledge for in-service education programs in hospitals.

The data regarding abdication knowledge as collected by using a checklist form developed for this study and administered to seventeen graduate nurses in three selected hospitals each supervising a pediatric unit.

A checklist included categories, the route, the action time of a drug, and the side effects that could he commonly expected.

From the fifteen categories listed, the hematological and anticonvulsant …

An Evaluation Of Two Cleansing Techniques Used On Female Catheterization, Fern Iva Potter

Loma Linda University Electronic Theses, Dissertations & Projects

The Problem: This study was designed to ascertain which of two pre-catheterization cleansing procedures now in common use for the female patient is more effective in producing an area relatively free of microorganisms.

The Need: Indications of need for the study were: (1) an increasing body of literature linking catheterization with frequent urinary tract infections, many of which are "silent" but have extremely serious sequelae; (2) lack of uniformity in defining adequate pre-catheterization cleansing; and (3) absence of any recorded research to determine an adequate cleansing technique.

Method: The experimental method of research was used to collect data on one …

Distress In Children Going To X-Ray, Ina Madge Longway

Loma Linda University Electronic Theses, Dissertations & Projects

It is commonly recognized that hospitalized children need psychological support and preparation for painful procedures. It is probable that little thought is given by hospital personnel to a similar preparation of the child for non-painful procedures. This study attempted to evaluate the distress incurred by children subjected to non-painful hospital procedures with little or no preparation. The procedure of x-ray was selected as being common and typical. The method used was the descriptive survey. The tools used were the taking of a series of six blood pressure readings per child, the administration of two forms of a short psychological test …

The Incidence And Types Of Medication Errors Occurring Among A Selected Group Of Elderly Patients, Harriet Dinsmore

Loma Linda University Electronic Theses, Dissertations & Projects

The purpose of this study was to find the incidence of medication errors among a group of patients, sixty years of age and over, who were being treated in the outpatient department of a selected urban hospital; and to investigate the effect of certain selected factors on the errors found. It was also planned to compare findings from this study with one done by Schwartz et. al. in New York. The descriptive survey approach employing an interview guide was used.

Errors were classified as those of omission, self-medication, incorrect dosage, and errors in timing or sequence. Fifty-two per cent of …

Yale University School Of Nursing Alumni Association Newsletter, Winter 1963, Yale University School Of Nursing

Yale School of Nursing Alumni Newsletters and Magazines

This issue contains a letter from (Mrs.) Florence S. Wald, Dean, to alumnae that briefly summaries the state of nursing care as hospitals increase in size and complexity.

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

The Incidence Of Methods Of Postoperative Bladder Evacuation, Joan Marie Zabady

Loma Linda University Electronic Theses, Dissertations & Projects

The purposes of this descriptive survey were to (1) find out if the incidence of bladder infection could be reduced by decreasing the number of postoperative catheterizations, (2) find out what the incidence of current methods of postoperative bladder evacuation were, (3) find out if and what changes had occurred in the incidence of the methods of bladder evacuation since the publication of previous studies, and (4) discover the current relationships of the methods of bladder evacuation to various factors such as age, sex, marital status, admission status, type of operation, and type and length of anesthesia.

Need for the …

Effects Of Alternate Hot-And-Cold Treatment Following Hysterectomy, Teresa Eileen Holland

Loma Linda University Electronic Theses, Dissertations & Projects

This study was conducted to find out if the giving of alternate hot-and-cold treatments to the chest following abdominal hysterectomy would result in measurable benefits in improved patient comfort and rate of recovery. The White Memorial Hospital was selected as the control area and the Loma Linda Sanitarium and Hospital was selected as the experimental area.

Literature was reviewed to determine the value of wet heat and cold on the circulatory and respiratory system and whether or not their effects would be useful postoperatively.

Studies were further searched to find individual differences in the perception of pain. The influence of …

A Study To Help Identify Problems Sophomore Students Of Nursing Have In Establishing Initial Patient Communication, Constance J. Bethers

Loma Linda University Electronic Theses, Dissertations & Projects

The purpose of this study was to determine what problems beginning students of nursing have in establishing initial patient communication. A questionnaire was utilized to obtain the data.

The responses revealed that various feelings were experienced by the students when making the initial contact and establishing a communication with the patient. In most of the beginning contacts the students felt confident and at ease. Immediately following the initial contact the responses indicated that the students retained most of the positive feelings.

Some negative feelings were also experienced by the students during the initial contact. In most of these instances the …

A Survey Of Verbal Communications To Clinic Patients Related To Their Health Problem, Dorothy Kuester

Loma Linda University Electronic Theses, Dissertations & Projects

The purpose of this study was to see what information concerning eight aspects of their health problems was communicated to return patients in the General Medicine Clinic of a part-pay urban outpatient department, and who of the clinic personnel were involved in verbalizing this information.

The descriptive survey was chosen as the method of study, using the observation technique with a work sheet. The eight categories of the work sheet were decided upon by a review of literature. These were broken down into four levels beginning with no information or slight information and progressing to greater depth and detail.

The …

A Study Of The Effectiveness Of Two Cooling Measures For Reducing Fever In Children, Marilyn Catherine Kueffner

Loma Linda University Electronic Theses, Dissertations & Projects

The purpose of this study was to eventuate the effectiveness of two commonly used cooling measures for reducing fever due to infection. Seventeen infants and children age six months to three years with a rectal temperature of 102 degrees or over were selected.

The experimental method was the research approach used. The subjects were divided into two groups, A and B. The ten patients in Group A were sponged with water 75 degrees F. Each body part including the arms, chest and abdomen, legs, and back were covered by ten strokes, five up and five down. The patients were allowed …

A Study Of The Utilization Of Nursing Personnel On A Selected Hospital Unit, Lucille Mcdow

Loma Linda University Electronic Theses, Dissertations & Projects

This study was concerned with utilization of nursing personnel on a selected hospital unit. The purposes of the study were to: (1) show if the department was overstaffed or understaffed, (2) Indicate if there were too many students for the size of the department, (3) show how adjustments could he made within the department to equalize the nursing care provided to patients, and (4) see if it were possible to predict the proper number of personnel needed for optimum service.

The study was conducted on the seventeen-bed pediatric unit of a selected hospital. The descriptive survey was the method used …

The Relationship Of Hypothyroidism And Reading Retardation In Elementary School Children, Winifred Wilson

Loma Linda University Electronic Theses, Dissertations & Projects

The relationship between hypothyroidism and reading retardation was investigated among selected elementary school children for the purpose of contributing to data regarding the medical aspects of dyslexia in order to stimulate the interest of school health personnel. The experimental method was used to explore the hypothesis that a significant relationship exists between reading retardation and hypothyroidism.

Sixty-four underachievers in reading enrolled in one elementary school were selected for study. Physical examinations, laboratory tests, and individual psychometric measures were used to evaluate the physical and academic status of each of the study subjects. A diagnosis of hypothyroidism was made among the …

Differential Neonatal Mortality Of Premature Infants At A Selected Hospital, Jean M. Crider

Loma Linda University Electronic Theses, Dissertations & Projects

This study was directed toward an investigation of neonatal mortality of premature infant at a selected hospital. The sample included all premature infants who were born in and died at the selected hospital during the neonatal period between January 01, 1952 and December 31, 1959.

The epidemiological approach was used to study. Data concerning thirty-six selected phenomena related to the infant, the mother of the infant, and the delivery of the infant were abstracted from the medical records of each of the two hundred and one cases included in the study. These data were transferred to unisort cards, one card …

An Investigation Of Factors Relating To Turnover Among Nursing Personnel Of A Selected Hospital, Thelma I. Ogren

Loma Linda University Electronic Theses, Dissertations & Projects

The purpose of this study was to identify factors that contributed to the turnover among nursing personnel of a selected hospital in a large metropolitan city. It was felt that such a study would assist in the reduction of turnover among the nursing personnel.

Other similar studies revealed that reasons for turnover among hospital nursing personnel were due to low salaries, hours of work, work loads, communications, improper placement, poor supervision, and a lack of promotional opportunities. It was also found that the younger age group had a larger turnover rate than the older age group, that hospitals with schools …

A Study Of The Home-Care Instruction Needs Of Colostomy Patients, Nadine C. Lewis

Loma Linda University Electronic Theses, Dissertations & Projects

It was the purpose of this study to determine how well colostomy patients were prepared to undertake self-care at home. Related to this goal was the secondary purpose of preparation of a basic list of instructional needs of colostomy patients. Such a list should be useful in determination of content for colostomy self-care teaching programs in hospitals.

The interview method was used in this study in order to ensure more complete returns. Twelve colostomy patients were interviewed using an interview schedule. These patients had had colostomy surgery within the last year in one of two hospitals used in the study. …

Change In Selected Sensitive Psychological Areas Of The Only Child When A Sibling Is Born, Eveline H. Loewe

Loma Linda University Electronic Theses, Dissertations & Projects

A study was undertaken to see if, through the use of story projective fables, data could be obtained about the change in selected sensitive psychological areas of an only child when a sibling is born.

Projective stories from the Fine Revision of the Despert Fables were used to form brief tests of the sensitive psychological areas of parental rejection/sibling rivalry, dependency and aggression/hostility. These tests were given, both before and six weeks after the birth of a sibling, to fifty children from families in the Santa Clara Valley. Criteria used in selecting the children limited the subjects to those who …

Change In Selected Sensitive Psychological Areas Of The Only Child When A Sibling Is Born, Eveline H. Loewe

Loma Linda University Electronic Theses, Dissertations & Projects

A study was undertaken to see if, through the use of story projective fables, data could be obtained about the change in selected sensitive psychological areas of an only child when a sibling is born.

Projective stories from the Fine Revision of the Despert Fables were used to form brief tests of the sensitive psychological areas of parental rejection/sibling rivalry, dependency and aggression/hostility. These test were given, both before and six weeks after the birth of a sibling, to fifty children from families in the Santa Clara Valley. Criteria used in selecting the children limited the subjects to those who …

The Effect Of The Shave On Infection In Maternity Patients, Doris Christine Bethea

Loma Linda University Electronic Theses, Dissertations & Projects

The purpose of this study was to find out if the shave routinely received by maternity patients could be limited to the perineal area without increasing the incidence of infection among these patients. The experimental method, with the parallel group technique and a single variable, was used.

The study was conducted at two hospitals; the White Memorial Hospital in Los Angeles, California, called Hospital A; and the Washington Sanitarium and Hospital in Takoma Park, Maryland, referred to as Hospital B. Data were collected on ninety clinic patients at Hospital A and on two-hundred and one private patients at Hospital B. …

Determinants Of Nursing Activities Of Graduate Nurses, Grace D. Scheresky

Loma Linda University Electronic Theses, Dissertations & Projects

The purpose of this study was to find out if nurses who were responsible for planning patient care functioned primarily on the basis of hospital routines and physicians' orders or on the basis of known patient needs.

The interview technique was use to obtain data about determinants of nursing activities of twenty-five head nurses and team leaders in three hospitals. The interview questions were focused on the nursing activities involved in planning the care of three patients selected by the nurses.

Data were collected and analyzed to answer questions about (1) the way in which nurses perceived patients' nursing problems, …

Application Of Knowledge Of Medications By Senior Students In A Selected School Of Nursing, Patricia H. Okimi

Loma Linda University Electronic Theses, Dissertations & Projects

The problem arose from the need to study the present method of pharmacology instruction in a selected school of nursing. "How much knowledge of medications do selected senior students have, and how do they apply their knowledge in the administration of medications?"

For this study, the normative survey approach was used as the method of research. Eleven senior students of nursing engaged in the administration of medications, as team leaders, were observed and questioned on two different occasions during one quarter of their school year. The tool of research used to collect data was an observation code sheet developed for …

A Comparison Of Rectal And Axillary Temperatures On One Hundred Selected Newborn Infants, Marlene Van Puymbrouck

Loma Linda University Electronic Theses, Dissertations & Projects

This study was conducted on one hundred full-term normal newborn infants to compare body temperatures as obtained by axilla and rectal measures and to find out which measure recorded the highest temperature. Three time periods of axillary measurement and three time periods of the three depths of rectal measure were considered. The three time periods were (1) one and one-half, (2) three, and (3) five minutes. The three depths of rectal insertion were (1) insertion of the bulb end of the thermometer just beyond the sphincter, (2) 2.5 cm., and (3) 5 cm. into the rectum.

The research was carried …

A Study Of The Bacteriological Effectiveness Of Oral Thermometer Procedures In Three Selected Hospitals, Esther Mae Rose

Loma Linda University Electronic Theses, Dissertations & Projects

Because pathogens such as streptococcus and staphylococcus have been transferred in many hospitals, the source of the infections is of concern to doctors, nurses, and other medical personnel. As shown by the review of literature, good techniques are necessary to stop the spread of disease.

It was the purpose of this study to investigate one facet of patient safety by: (1) the culture of thermometers ready for use in three selected hospitals; (2) to determine the effectiveness of the Group, Individual, and Central Supply methods of disinfection currently practiced in the three selected hospitals.

The method for the experiment of …

Nursing Care Given To Hemiplegic Patients, Margaret Eugenia Messer

Loma Linda University Electronic Theses, Dissertations & Projects

Statement of the Problem: The purpose of this study was to ascertain whether nursing care currently being given to hemiplegic patients in the area of body mechanics was adequate; to develop a standard from current literature in the field of medicine, physical therapy, and nursing by which nursing care given to hemiplegic patients could be evaluated; and to learn if better prepared nursing personnel were giving better nursing care.

Method: The descriptive survey was the method used in this study. The data were gathered by making actual observations of nursing care given to hemiplegic patients in the area of body …

An Analysis Of Incidents Concerning Patient Safety On The Medical Unit Of A Selected Hospital, Florence Foster

Loma Linda University Electronic Theses, Dissertations & Projects

The purpose of this study was to identify safety factors in patient care on the medical service of a selected hospital in order to find information which could lead to recommendations for safety measures which might improve patient safety and patient care.

The descriptive-survey method of research was used. Data regarding the reported incidents were collected from the regular incident report forms, in use in the hospital. for a period of one year. Data regarding potential, unreported incidents were collected from special report forms, for a period of two months.

Review of available literature in the field of patient safety …