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Orchestrated Synergism: The Nurse-Leader As Facilitator In Collaborative Caring, Nancy C. O'Rourke

UNF Graduate Theses and Dissertations

Little is known of the way that nurses' roles have evolved within a hospital setting in which efficient and affective interventions include caring for sicker patients. The emergence of the Patient Care Coordinator (PCC) is one role that nursing developed to participate in an interdisciplinary collaborative team approach to caring for sicker patients.

This qualitative study examined the exemplary role of eleven PCCs who practice in a regional nonprofit medical center. Research methodologies included interview, non-participant observation, and analysis of historical data. Interview questions were developed from the literature review on collaboration, caring, expertise, communication, and knowing the patient. Cognitive …

Perceived Social Support Of Family Members Of Aged Care Facility Residents And Its Relationship With Family Members Well-Being And Their Support Of Relatives In Residential Care, Christine Toye

Theses: Doctorates and Masters

When elderly people are cared for In Aged Care Facilities (ACFs) it is known that their family members frequently suffer negative effects. These effects may be alleviated by social support and, because they feel better, family members may then offer more support to residents. In this study, the researcher tested a model with a sample of 213 family members of ACF residents. Predictive relationships were hypothesised among incentives for family members to support residents, stress related factors, the perceived formal and Informal support of family members, their psychological wellbeing, and the support they offered to residents. The researcher also developed …

Faculty And Student Perceptions Of Effective Clinical Teachers, Patricia Frontczak

Masters Theses

The purpose of this study was to identify ADN faculty and ADN student perceptions of the most effective clinical teaching characteristics (ECTC). An exploratory, descriptive design was implemented. ADN faculty and ADN students were surveyed using the Clinical Teacher Characteristics Instrument (CTCI). The CTCI consists of 20 characteristics of clinical teachers that are ranked on a five point Likert-type scale according to importance. The collected data were analyzed using descriptive statistics. Significant differences in perceptions of the most ECTC between the two groups were identified by a Mann Whitney U procedure. A t-test was performed to identify differences of perceptions …

A Study Of Nursing Students And Intrinsic Spirituality, Christine Anderson Madsen

Master's Projects

This paper describes some theoretical perspectives of spirituality, the concepts of spiritual care and spiritual needs, and barriers to providing spiritual care as described in the literature. The two most frequently described barriers are lack of comfort with the topic and lack of education. Because there is so little written about the discussion of spirituality in schools of nursing, a descriptive study using nursing students on the central coast of California was conducted. The Spiritual Involvement and Beliefs Scale (SIBS) was used to measure intrinsic spirituality. This study looked for relationships between the scores on this scale, and the students' …

Self-Esteem: The Impact Of A Course In Growth And Development On Fifth Grade Students, Mary Jang

Master's Projects

Teens in the United States have the highest pregnancy, abortion, and sexually transmitted disease rates among the developed countries. The social and financial costs of teen births are staggering. Research shows that high self-esteem is significantly related to resistance to group pressures, willingness to express unpopular opinions, family adjustment, creativity, and effective communication between parents and youth. The research question is: Will a 5-hour course in growth and development increase the level of self-esteem in fifth grade students? A convenience sample of 20 students (13 girls and 7 boys) who attend a public elementary school in San Jose, California, comprised …

The Effect Of Pain Management Education On Nurses' Knowledge And Attitudes Regarding Opioids And Adjuvants, Lynne Hopper Mccoy

Master's Projects

The purpose of this research was to determine if a pain management class improved nurses' knowledge and influenced nurses' attitudes regarding pain management. The design was quasi-experimental using pretest-posttest intervention. 83 participants completed the Nurses Knowledge and Attitude Survey Regarding Pain twice. Those who attended a class showed improvement in their pain management knowledge and attitude scores on the survey. Implications for staff development and inservice educators are that continuing education increases nurses knowledge about pain management and must include opportunities for class members to apply concepts.

Differentiation In Roles Of School Nurse And Unlicensed Assistive Personnel, Lynn Shieh

Master's Projects

School nurses provide a vast number of health services for students, teachers, and staff. Despite school nurses' important contributions to the health status of students, through the years their positions have been gradually supplemented by Unlicensed Assistive Personnel (UAP)/ Health Clerks. With the number of UAPs increasing in the school setting, roles and responsibilities of school nurses and UAPs need to be clearly differentiated in order to utilize the UAP's services legally and efficiently. This research used a descriptive survey to investigate the perceptions that differentiate the role of school nurses and UAPs among school administrators, nurses, UAPs, secretaries, and …

Evaluation Of The Effectiveness Of A Health Education Program For Classroom Assistants, Patricia A. Robinson

Master's Projects

Classroom Instructional Assistants are being used more frequently to provide care for medically fragile children who are mainstreamed into the regular education setting. The purpose of this evaluative study was to develop a beginning health curriculum that could be provided as an inservice program for classroom Instructional Assistants. Content for the inservice consisted of handwashing, medication administration, asthma, and seizures. This study used a pretest and posttest design to look at the effectiveness of the educational inservice. There were 17 participants, 16 of whom completed the pretest and posttest. A pretest was administered prior to the inservice followed by a …

Update - December 1999, Loma Linda University Center For Christian Bioethics

Update

In this issue:

-- John and Alice Wong establish bioethics endowment
-- Richard Rice receives Templeton Award
-- "Humans" and "Persons" in Christian Bioethics (Commentary)
-- Mechanically Restraining the Ill and Elderly: Ethical Problems and Proposals
-- Clinical Ethics Consultation
-- Learn to minister in the clinical setting

Strategic Planning For Research Use In Nursing Practice, Chris Van Mullem, Laura Burke, Kari Dohmeyer, Marie Farrell, Sue Harvey, Laura John, Carolyn Kraly, Fran Rowley, Margaret Sebern, Kerry Twite, Roberta Zapp

College of Nursing Faculty Research and Publications

Background/Objective:

To prepare for a culture change to integrate research utilization into daily nursing practice, the authors conducted a descriptive survey of all registered nurses (RNs) in an integrated healthcare delivery system. The purposes of this study were to assess RNs' knowledge, attitudes, and practices (KAP) of nursing research activities, assess factors that support a research environment, and determine facilitating and challenging factors related to conducting regional nursing research.

Methods:

A 33-item survey based on the Iowa Model for Evidence-Based Practice was developed, validated, and determined to be reliable by the authors. Site coordinators organized and managed the orientation, administration, …

The Lived Experience Of Bosnian Refugees Who Have Suffered As A Result Of Genocide, Gazelle Raven Animalia

Masters Theses

In 1992, Bosnian Serbian and Serbian forces launched a campaign of genocide against Muslim and Croatian civilians in Bosnia-Herzegovina. This nightmarish odyssey ended for many non-Serbians when they escaped to other countries. Many of these families chose to come to the United States.

The purpose of this study was to examine the lived experience of Bosnian refugees who suffered as a result of genocide. The research method used for this study was a phenomenological method based on Husserlian philosophy. Four Bosnian refugees, who escaped to a midwestem state during and after the war, were asked to answer the following research …

Yale Nursing Matters Fall 1999 Issue 1 Volume 1, Yale University School Of Nursing

Yale School of Nursing Alumni Newsletters and Magazines

"I hope that as you read through this first issue of Yale Nursing Matters, you will realize how exquisitely Yale faculty discharge tile responsibility to advance nursing science while also contributing as leaders in practice and educating the next generation of nursing leaders." - Catherine Lynch Gillis, Dean and Professor

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

Katanyu Katavedi And Caregiving For Frail Elderly Parents: The Perspectives Of Thai Families In Metropolitan Bangkok, Thailand, จิราพร เกศพิชญวัฒนา

Journal of Nursing Research, Innovation, and Health

This study aimed to explicate and define Thai traditional cultural value of katanyu \nkatavedi in relation to caregiving for frail elderly parents from the perspectives of Thai families in Metropolitan Bangkok. A qualitative method, social setting analysis (Lofland & Lofland, 1995) was used by interviewing and observing 15 adult children who took care of \ntheir frail elderly parents. The concept of katanyu katavedi in relation to caregiving for elderly parents is structured by three dimensions which included bun khun of parents: total \nbenefits of parents have bestowed upon children, katanyu the sense of gratitude towards \nparents, and katavedi : the …

Family Communication And Competence Among Siblings Of Pediatric Oncology Patients, Kimberly Olvera Butler

Master's Projects

Pediatric oncologic diseases are a leading cause of mortality and morbidity among children. The chronicity of the treatment requires the family to adjust their daily routines to care for the ill child. The changes are experienced by all the family members: the ill child, the parents, and the well siblings. The literature reflects variable effects on the well sibling. There has been limited research that evaluates the effects of family interaction patterns. This pilot study examined communication within the family and sought to determine if communication, as measured on the Parent-Adolescent Communication Scale, correlated with competence, as measured on the …

Young Adult Women's Reflections Of Contraceptive Practices During Their Adolescence, Dana Martin

MSN Research Projects

The purpose of this descriptive study was to explore reasons for adolescent contraceptive choice and compliance as identified by young adult women.

Identification Of Needs In Treatment Of Breast Cancer, Luann Massey

MSN Research Projects

Breast cancer has been documented as the second leading cause of death in American women. Many needs are realized during the phases of treatment for breast cancer: at the time of diagnosis, during treatment, and after treatment. The purpose of this descriptive exploratory study was to identify the needs of women with breast cancer during phases of treatment. With the Neuman Systems Model as a theoretical framework, the research question was as follows : What are the needs of women with breast cancer during the phases of treatment? Data were obtained using the Massey Subject Profile and the Massey Questionnaire. …

Nurse Pracitioners' Assessment Of Sexuality Among Elders, Michelle Banks

MSN Research Projects

As older adults age, they are presented with a perplexity of lifestyle adaptations. Primary care providers often view physiologic losses elders have as inevitable. Sexuality accounts for one example of these losses that elders feel are important, but have difficulty discussing with health care providers. Thus, the purpose of this descriptive/exploratory research study was to explore the nurse practitioner's assessment of sexuality among elders. The theoretical framework used in this study is Shippee-Rice’s Conceptual Model of Sexuality. The model focuses on four elements: the self, the components of sexuality, significant others, and environmental variables. The research questions were: 1) How …

The Use And Effectiveness Of Coping Mechanisms In Parents Of Children With Type 1 Diabetes, J. Shelley Dornan

MSN Research Projects

Coping with the responsibility of raising a child with diabetes is a serious challenge for parents. The methods parents use to cope can influence the child's future outcome. Therefore, the purpose of this descriptive study was to identify the use and effectiveness of coping mechanisms among parents of children with Type 1 diabetes. A convenience sample of 4 0 parents with a diabetic child was obtained from a diabetic support group and a pediatric endocrinology clinic in the Southeastern United States. Data were collected using the Jalowiec Coping Scale and the researcher-designed Demographic Survey. Analysis of data was conducted using …

Outcomes Of A Teaching Intervention On College Cigarette Smokers, Jeanne Benson

MSN Research Projects

Even though there has been a significant decrease in the number of adults who smoke in recent years, adolescents are initiating the habit at an alarming rate. Cigarette smoking is the number one preventable cause of death and illness in the United States. The purpose of this quasi­ experiment al pretest/posttest study was to explore the knowledge levels and attitudes of college students in Northeast Mississippi regarding cigarette smoking. The study was guided by two null hypotheses. The convenience sample consisted of 53 college students enrolled in a public community college in Northeast Mississippi. The Cigarette Smoking Questionnaire was utilized …

Demographics At Diagnosis Of Children With Type 2 Diabetes, Marcia Fleming Hammett

MSN Research Projects

Since 1991 the diagnosis of Type 2 diabetes in children has increased at an alarming rate. Researchers have identified some common descriptors which may be predictive of early assessment and intervention for this population. Further validation of established descriptors and identification of other descriptors are needed. In this retrospective descriptive study, one research question guided the study: What are the demographic characteristics of children with Type 2 diabetes at the time of diagnosis? The Neuman Systems Model (198 9) provided the theoretical framework. Data were collected using the Hammett Chart Survey with 3 9 review variables. Charts from three endocrinology …

Influence Of Music Therapy On Adult Patients In An Outpatient Setting, Cathy Waldrop

MSN Research Projects

Patients requiring medical care frequently experience increased levels of anxiety. This increase in anxiety may be attributed to fear of the medical examination, procedures to be performed, or the findings. Music therapy was tested as a possible intervention to reduce anxiety. The focus of this quasi-experimental study was to examine the influence of music therapy on adult patients in an outpatient clinic. The purpose of this study was to compare responses in adult patients who received music therapy while awaiting medical treatment in an outpatient setting and those who did not. Martha Rogers' Unitary Human Beings served as the theoretical …

Factors That Influence Family Nurse Practitioner Job Satisfaction, Jeffrey M. Bishop

MSN Research Projects

Job satisfaction influences employee retention, employee self-actualization, worker productivity, and performance quality. This study investigated the factors that influence family nurse practitioners' (FNPs) job satisfaction and job dissatisfaction. Additionally, the study was an attempt to ascertain the intrinsic and extrinsic factors as well as the general level of job satisfaction. A descriptive survey design with a triangulated approach utilizing quantitative and qualitative methods was used. Job satisfaction was conceptualized based on Frank Herzberg's dual-factor theory of satisfaction and motivation. A random sample of 100 FNPs was surveyed with the Minnesota Satisfaction Questionnaire-Short Form and a researcher-designed Demographic Data Questionnaire that …

Comparison Of Self-Monitoring Blood Glucose Devices For Accuracy And Ease Of Use, Kelly Kitabchi Pfrommer

MSN Research Projects

The purpose of this comparative study was to evaluate several self-monitoring blood glucose devices with regard to accuracy and ease of use.

Current Sexual Behaviors Of Hiv-Positive Women, Nina Sublette

MSN Research Projects

The incidence of HIV among women of childbearing age in the United States continues to rise. Literature and statistics show that the number of new HIV infections continue to increase, despite the fact that the transmission of the disease is preventable. The purpose of this descriptive study was to describe the current sexual practices on HIV-positive women and to determine whether these behaviors had changed since the diagnosis of HIV. A convenience sample (N = 13) of HIV-positive women was obtained from a support group for HIV-positive women in a metropolitan city in the Southeastern United States. Albert Bandura's Social …

Screening Practices Of Primary Care Nurse Practitioners For Domestic Violence, Amy Branyon

MSN Research Projects

Domestic violence is prevalent in our society, affecting 2 million women each year (Butler, 1995). This creates a significant health problem for women, yet research has shown that few health care providers routinely screen for domestic violence. The purpose of this descriptive study was to identify the number of nurse practitioners screening for domestic violence among their clients, identify the methodology used for screening, and identify barriers to screening. The theoretical framework was based on the Health Promotion Model (Pender, 1997). The research questions for this study were as follows: What are the screening practices for domestic violence of nurse …

Bedtime Routines And Sleep-Rest Patterns Of Elders, Leanne Lott Tew

MSN Research Projects

Changes in elders" sleep patterns such as a decrease in sleep time, an increase in sleep latency, and changes in the sleep cycle often lead to sleep that is lighter, shorter, and interrupted (Foreman & Wykle, 1995) . Studies in the past have suggested that the presence of a bedtime routine may enhance sleep, but only minimal research has been done. The purpose of this descriptive study was to further evaluate nightly bedtime routines and sleep-rest patterns of elders. Two research questions were generated: What are the bedtime routines of elders and what are the sleep-rest patterns of elders? Orem"s …

Job Satisfaction Of Certified Registered Nurse Anesthetists In Tennessee, Kelly M. Nelson

Masters Theses and Doctoral Dissertations

Job satisfaction had been linked with improved job performance, increased productivity, decreased absenteeism, decreased job turnover rates and increased quality of care. For these reasons, employers have sought to determine what constitutes job satisfaction and what factors affect it. A wealth of information is available regarding job satisfaction in general and job satisfaction of nurses, yet little research has been done related to the job satisfaction of CRNAs. The purpose of this study was to evaluate overall job satisfaction of CRNAs; to evaluate CRNAs' level of intrinsic and extrinsic satisfaction as components of overall satisfaction; and to explore the effects …

Loma Linda Nurse - Vol. 08, No. 01, Loma Linda University School Of Nursing

Loma Linda Nurse

Contents

2 | A message from the dean

4 | Research...coming of age

8 | International nursing

10 | Friends...make a difference

11 | 1996 to 1997 Donor Report

21 | 1997 to 1998 Donor Report

30 | H.O.T. report

31 | Alumni president's message

32 | Alumni Homecoming Weekend

36 | Near and far

Home Health Nurses: Are They Satisfied With Their Work Environment, Said Abu Salem

Ellmer School of Nursing Theses & Dissertations

Objectives. This study addressed the questions, (1) To what degree are home health nurses satisfied in their job? (2) What variable ranks as the most important for home health nurses' satisfaction? and, (3) Is there a difference between job satisfaction of full time employment, part time, and per diem home health nurses?

Methods. The data were collected from six home health agencies in the Hampton Roads Area resulting in a sample of (N = 72). The McCloskey and Mueller Satisfaction Scale developed in 1990 (MMSS) was used to measure home health nurses' satisfaction.

Results. The home health …

Commencement Program 1999, Loma Linda University

Commencement Programs

CONTENTS

2 | 1999 Events of Commencement

3 | The Academic Procession

4 | The Speakers

9 | The University Honorees

15 | The School Honorees

The Programs

• School of Medicine, 23
• School of Dentistry, 30
• Graduate School, 38
• School of Nursing, 47
• School of Allied Health Professions - Physical Therapy, 52
• School of Allied Health Professions, 58
• School of Public Health, 65