Digital Commons Network^™

An Evaluation Of A Nurse Case-Managed Program For Children With Diabetes, Jean Y. Caravalho

Master's Projects

This study evaluates an integrated model of care for children with diabetes that was developed at an HMO. This model program of 56 subjects included a nurse case manager, a multidisciplinary team clinic, and educational and counseling interventions to empower families to improve self-management of the children's diabetes. The purpose of the program was to improve diabetes self-management as measured by pre- and postintervention glycosylated hemoglobin values, quality of life, and self-efficacy ratings. There were improvements in means of all measures of self-management and a statistically significant improvement in self-efficacy beliefs of the parents. The higher quality of life and …

Childern Witnessing Domestic Violence, Meghan Denzel

Master's Projects

Statement of Problem: Although witnessing violence in the family may account for many symptoms brought to the attention of the primary care providers, such violence is seldom identified as an issue. The purpose of this study was to assess the incidence of children witnessing violence in the home, as self reported by victims of domestic violence in a clinical setting. Method: The study was a retrospective chart review. Data was gathered from a survey administered to individuals identified in the emergency department as victims of domestic violence. The survey addressed demographics, child witnesses to violence, and co-factors of violence including …

1999 Commencement For College Of Health Professions

Jefferson College of Nursing Commencements

No abstract provided.

Quality Of Life And Locus Of Control Of Migraineurs, Lesley L. Allen

Master's Projects

Advanced practice nurses are essential primary health care providers actively engaged in health promotion, illness prevention, and the management of acute and chronic diseases. The purpose of this study was to measure the quality of life and locus of control among three different groups of migraineurs. A retrospective quantitative study was conducted using Ferrans and Powers' (1985) Quality of Life Index and Martin, Holroyd, and Penzien's (1990) Headache Specific Locus of Control questionnaire. The analysis of 79 adult migraineurs indicated that those who received headache education had a higher quality of life and higher external locus of control scores than …

Women's Perception Of Provider, Social, And Program Support In An Outpatient Drug Treatment Program, Melaine Marie Salmon

Master's Projects

The purpose was to explore perceptions of pregnant and parenting substance abusing women in an outpatient drug treatment program regarding provider and social support. Also identified were aspects of the rehabilitation program perceived by the women as assisting them to maintain abstinence from substance use. Data were collected through a demographic questionnaire and a tool designed by the authors based on the Social Stress Model of Substance Abuse (Lindenberg, Gendrop, & Reiskin, 1993) and the literature of social support. The majority of the women were satisfied with their social support from family and friends. Sixty-seven percent of the women felt …

Crossing The Line: Experiences Of The Formerly Homeless Living Past Homelessness, Susan Marie Bennett Dnsc, Msn, Fnp, Rn, Cs

Dissertations

This grounded theory study explored the experiences of formerly homeless individuals and families who have moved from homelessness into stable housing. This was an ethnographic study and involved the researcher staying in an east coast shelter where some of the formerly homeless participants had become staff members and reside. Data analysis was informed by dimensional analysis. Moving out of homelessness was the studies perspective. Findings of the study revealed the following dimensions that related the formerly homeless's experiences: (a)reacting to circumstances, or how they became homeless; (b)surviving as homeless, or how they lived while homeless; (c)crossing the fine, or what …

Can A Multidisciplinary Team Decrease Hospital Length Of Stay For Elderly Trauma Patients?, Beth A. Ramsey

Masters Theses

Elderly trauma patients often experience prolonged hospital stays. This study was done to determine if a multidisciplinary team approach to patient care would decrease hospital length of stay (LOS) for elderly trauma patients in the intensive care unit (ICU). Using a descriptive, correlational design, a convenience sample of 74 elderly patients aged 65 to 99 years was obtained from a trauma registry. The hypothesis that hospital LOS decreases for elderly trauma patients in the ICU who have a team approach to care was not supported using the t-test for independent means (t=1.6, df=72, p=.114). A second hypothesis proposed that the …

Effects Of Collaborative Learning On Test Scores Of First Semester Nursing Students, Theresa Sue Rivera

Master's Projects

Thirty-two first-year nursing students enrolled in a first semester nursing fundamentals class at a local community college participated in a study that compared three test score grades between nursing students who studied with a partner(s) and those who studied alone. Four types of study groups were identified from a questionnaire by having students indicate whether they studied alone or with a partner(s) in-preparation for each of the three tests. Test scores were matched with the student I.D. number and recorded. In this study, a one-way analysis of variance (ANOV A) was used to test the effect of studying together and …

A Comparative Study Of Women's Perceptions Of Vaginal And Cesarean Births, Karen Blamer

Masters Theses

Perception of birth is an important consideration for all health care providers. A positive perception of birth can promote effective adaptation to the maternal role. The Roy Adaptation Model guided this research study comparing the perception of birth among women who delivered vaginally, by planned cesarean birth, and by unplanned cesarean birth.

Perception of birth was measured by the use of a 29 item questionnaire developed by Marut and Mercer and completed by 78 subjects two to four weeks postpartum. The ANOVA and post hoc Scheffe tests were used to measure the differences between groups.

The findings supported the hypothesis …

Factors In Pediatrician Medication Administration, Kathleen Elaine Campbell

Masters Theses

King’s conceptual framework was used to examine the relationship between nurses’ stated beliefs of goals of pain management, their personal experience of pain, and their educational levels when choosing to intervene in the management of pain for pediatric patients. A descriptive correlational design was used with a convenience sample of 51 registered nurses in a West Michigan children’s hospital.

No significance was found between the goal of pain management and the level of stated intentions to intervene, the education level of the nurse and stated intentions to intervene, and nurses who have had a personal pain experience and their stated …

Depression In Women With Heart Disease, Kimberly M. Ashcraft

Theses, Dissertations and Capstones

The purpose of this study was to examine the relationship between anxiety and anger with depression in women with heart disease. A sample of 50 women participating in cardiac rehabilitation programs in Charleston, WV and Huntington, WV was used to evaluate the inter-relationship of suppressed, expressed, state and trait anger, state and trait anxiety and depression. This non-experimental, descriptive designed study was evaluated by using multiple linear regression and regression coefficients analyzed for the anger and anxiety scores and their interaction. Depression was measured by the Beck Depression Inventory II (BDI-II). Anxiety and anger were measured by Spielberger’s State-Trait Anxiety …

Caring For The Dying: The Importance Of Nursing, Patricia A. Grady

Journal of Health Care Law and Policy

No abstract provided.

Predictors Of Exercise Activity Among Rural Thai Older Adults., Taweeluk Vannarit

All ETDs from UAB

No abstract provided.

Great Suffering, Great Compassion: A Transcultural Opportunity For School Nurses Caring For Cambodian Refugee Children, Teresa L. Tellep

Master's Projects

The unique cultural ways of Cambodian refugee families, combined with the physical and psychological health problems inherent in their refugee experience, present challenging and rewarding opportunities for school nurses to engage in the process of transcultural nursing. The authors discuss the profound and devastating impact of the refugee experience upon the mind, body, and spirit of Cambodian children. The purpose of this exploratory and descriptive study was to understand the nature and meaning of a school district's cross-cultural team's experiences of providing health care for Cambodian refugee children. Focus group interviews of school nurses and Cambodian liaisons were conducted, utilizing …

The Meaning Of Stroke In Elderly Women: The Lived Experience., Edith L. Hilton

All ETDs from UAB

No abstract provided.

The Effects Of Personality Characteristics And Stress On Physical Illness, Carly A. Andersen

Honors Projects

Recent research has indicated that personality characteristics and stress may influence the incidence of illness (Dreher, 1995). The majority of studies have examined personality characteristics and stress in acutely and chronically ill populations. However, this phenomenon has not been extensively studied in healthy populations. The purpose of this study was to examine the relationships among personality characteristics, subjective stress, and physical illness in a sample of undergraduate students. This study tested a moderator model in which personality characteristics interact with stress to influence the incidence of physical illness using hierarchical multiple regression. Study participants included 55 undergraduate students selected from …

Maternal Identity In Previously Infertile And Never Infertile Women, Christal L. Saffee

Masters Theses

M the United States approximately one in five couples are infertile. Infertility can be a major life crisis to the affected individuals. This study compared the difference in maternal identity in previously infertile women as compared to never infertile women during the postpartum period. The conceptual framework used in this study was symbolic interactionist theory. Maternal identity was measured by Myself as Mother (Walker, 1977) scale in both groups of women. Demographic information was collected on each participant in the study. Previously infertile women's maternal identity scores were significantly lower than those scores of fertile women (t=-8.63 df=51 p=.00). This …

An Examination Of Patient And Nurse Perceptions Of Stressors During The Electrophysiology Study, Donna J. Thurn

Masters Theses

The purpose of this study was to (a) identify the perceived stressors of patients undergoing an electrophysiology study (EPS) and (b) compare them to the stressors identified by nurses caring for those patients.

A descriptive two group comparative design with a non-probability convenience sample was used. Data were obtained using self report questionnaires. The sample consisted of 25 patients undergoing an EPS and 25 nurse responses. Data analyses included a comparison of the ordering of stressors according to perceived concern by the patient and the nurse. While similar items were identified, there was a difference in the perceived order of …

Therapeutic Touch For Treatment Of Chronic Pain Related To Fibromyalgia, Lois M. Christian

Masters Theses

Therapeutic touch (TT) has been used to treat persons with many different illnesses, especially those with chronic pain. The purpose of this study was to determine if TT reduces fibromyalgia pain.

In this study five TT treatments were given to each of 10 female subjects with fibromyaIgia from 36 to 59 years old using a quasi-experimental single-subject design.

Using a visual Analogue Scale (VAS) to measure the subject's pain before and after each of 5 TT treatments, a repeated measures ANOVA was employed to analyze the data. .A significant difference in pain levels was found between the pre- and post-test …

Lunar Phases, Time Variations, And Birthrate In Western Michigan, Janet Mitchell

Masters Theses

Staffing standards in the labor and delivery units of hospitals are based on estimates of the number of patients who will be admitted. Anecdotally, patients, visitors, and healthcare professionals frequently comment that the occurrence of the fell moon brings about an increase in the number of laboring women. The purpose of this study was to examine the associations between birthrate and time of day, day of the week, month of the year and new and full moons. Martha Rogers' theory, the Science of Unitary Human Beings, was used as the theoretical framework.

A descriptive ex post facto design using retrospective …

The Effect Of Social Support On The Psychological Adaptation Of An Individual Receiving An Alternate Form Of Nutrition Therapy, Kristin J. Ladd

Masters Theses

The purpose of this study was to examine the effect of social support on an individual's psychological adaptation to an alternate form of nutrition support. Betty Neuman's Systems Model provided the framework for this study. A descriptive correlational design was chosen for this study and data were collected using a questionnaire methodology. Proposed data analyses measures were Pearson's product moment correlation, t- Test, and Mann-Whitney U. The targeted sample size for this study was 20 patients with cancer or gastrointestinal disorders, however, termination of the study occurred when only four individuals were recruited after five months of data collection. This …

Ambulatory Surgery Nurses' Perceptions Of Their Ability To Provide Individualized Patient Care, Rebecca L. Brown

Masters Theses

This descriptive correlational study examined the extent to which nurses in an ambulatory surgery practice environment perceive their ability to individualize patient care. As patients shift to the outpatient setting, it is important to look at the effect this may have on individualizing patient care, a concept rooted in the foundation of the profession of nursing. Registered nurses from four ambulatory surgery sites within one large health care system in western Michigan were asked to rate the frequency which they performed select nursing care actions using the 45-item .Ambulatory Individualized Care Index (AICl). modified from van Servellen's (1988a) Individualized Care …

Differences Between The Nursing And Family Member Role In Acute Pain Assessment In Senior Nursing Students, Debra L. Fitzpatrick

Masters Theses

The purpose of this study was to explore how nursing students’ decisions regarding pain assessment and analgesic use may be influenced by the role the student assumes in hypothetical situations, specifically the role of nurse or family member. It was hypothesized that there would be no statistically significant difference in pain assessment, in choice of analgesic dose, and in concerns about analgesics.

A descriptive correlational design was used. A sample of 83 senior nursing students within two weeks of graduation was used. The instrument used was one of two surveys created by McCaffery and Ferrell (1997). All respondents were asked …

The Lived Experiences Of Persons Dependent On Hemodialysis, Molly A. Kidner

Masters Theses

End Stage Renal Disease (ESRD) affects almost 300,000 people in the United States. The growth rate is estimated at six to seven percent per year. Of these, over 182,000 chose hemodialysis as the treatment regimen to sustain their lives. Qualitative research is relatively absent specific to this population.

The purpose of this phenomenological study was to discover the lived experiences of persons dependent on hemodialysis. Four self-identified persons dependent on hemodialysis were asked to describe their experiences of being a person dependent on hemodialysis. The verbal descriptions were tape-recorded and transcribed verbatim. These descriptions were analyzed for meaning using the …

Relationship Between Pulse Oximetry Measurements And Admission To A Hospital In The Wheezing Pediatric Population, Christine K. Dunnuck

Masters Theses

The purpose of this study was to assess the usefulness of pulse oximetry measurements as an objective measure of the severity of wheezing in pediatric emergency clients as demonstrated by subsequent admission. An ex-post facto study design with a retrospective chart review was used. Subjects (n=198) ranged in age from one month to 17 years. Consecutive admissions and random sampling of those discharged were used. Hypotheses were: (a) lower initial pulse oximetry measurements would increase the likelihood of admission and (b) younger patients would be admitted with higher pulse oximetry measurements.

Chi-square analysis and one way ANOVA statistical testing demonstrated …

Gender Differences In Importance Of Stroke Health Beliefs In Timing Of Seeking Treatment For Acute Stroke Symptoms, Brenda S. Nyenhuis

Masters Theses

The purpose of this study was to describe gender differences in importance of stroke health beliefs in timing of seeking treatment for acute stroke symptoms. The data came from a larger study titled ‘Discovering Factors Related to the Timing of Seeking Health Care for Acute Stroke Symptoms” (ODonnell, Roberts, Ruhlandt, & Baer, 1999). The current study included 51 subjects who were asked to rate the importance of 13 belief statements on their decision to seek treatment. The Health Belief Model (HBM) was the conceptual framework for this study.

Data were analyzed using frequencies, percentages and Mann-Whitney U. There were no …

The Effect Of An Initial Clinical Nursing Experience In A Nursing Home On Associate Degree Nursing Student Attitudes Toward The Elderly, Rita Lareau

Masters Theses

The purpose of this study was to examine the change in associate degree nursing (ADN) students’ attitudes toward the elderly following an initial clinical nursing experience in a nursing home. The Neuman Systems Model (Neuman, 1995) was the conceptual focus for the research. A convenience sample of ADN students in a basic nursing care clinical course at a community college was used. The Kogan Attitudes Toward Old People Scale (Kogan, 1961) was utilized to assess student attitudes toward the elderly. A pretest was administered at the beginning of the course prior to the nursing home experience, and a post-test was …

Quality Of Life Of The Hemodialysis Patient, Tammy Bronson

Masters Theses

There are over 250,000 people currently afflicted with end-stage renal disease and the number is rising every year. Although kidney transplant is the treatment of choice, lack of viable organs limits this option. Hemodialysis is the most common treatment modality for end stage renal disease. Quality of care is continuously monitored by physicians, nurses and dietitians, however there is also the need to examine the quality of life of the hemodialysis patient. This study replicated the works of Ferrans and Powers (1993).

Overall quality of life and four sub-scales (health and functioning, social and economic, psychological/spiritual, and family) were evaluated …

Unplanned Hospitalization Of A Child: Perceptions Of Stress, Family Life Events, And Coping Resources, Jennifer Lee Moes

Masters Theses

The purpose of this study was to identify the parental perceptions of family stress, family life events, and coping strategies of a family whose child is hospitalized in the pediatric unit.

A descriptive correlational design with a non-probability convenience sample consisted of 30 parents or primary caretakers of a child who was hospitalized in pediatrics. Data was obtained with three instruments; 1) demographic questionnaire assessing current perceived stress of the family, 2) Family Inventory of Life Events (FILE); and 3) Family Crisis Oriented Personal Evaluation Scales (F-COPES).

Data analysis included three correlations between (a) pile-up and perceived family stress, (b) …

Factors That Malawian Adolescents From Co-Educational Secondary Schools Of Lilongwe And Mchinji Identity As Affecting Their Ability To Discuss Sexual Issues, Susan K. Geloo

Theses: Doctorates and Masters

The purpose of this study was to explore the factors Malawian adolescents from co-educational secondary schools identified as affecting their ability to discuss sexual issues. A sample of 149 adolescent students from the coeducational secondary schools of Lilongwe and Mchinji districts was surveyed. Their ages ranged from 14-18 years of age. The schools and participants were chosen using cluster-sampling and data were obtained via a questionnaire. The questionnaire comprised of demographic variables, sources of sexual information, participant's sexual life, the sexual issues participants consider important and their ability to communicate sexual issues comfortably with different community members. Data were analysed …