Digital Commons Network^™

The Relationship Of Selected Personal And Organizational Variables And The Tenure Of Directors Of Nursing In Nursing Homes., Connie J. Rowles

All ETDs from UAB

No abstract provided.

Nurse Educators' Perceptions Regarding Faculty Participation In University Governance., Janet J. Gross

All ETDs from UAB

No abstract provided.

The Association Among Critical Thinking, Clinical Decision-Making, And Selected Demographic Characteristics Of Generic Baccalaureate Nursing Students., Jan Busby Corder

All ETDs from UAB

No abstract provided.

Nutrition, More Than Body Requirement, Marilyn Frenn

College of Nursing Faculty Research and Publications

No abstract provided.

A Suffering Odyssey: A Phenomenological-Interpretive Analysis, William M. Scott

College of Graduate Studies: Theses & Dissertations (1964–2006)

The purpose of this study is to explicate how suffering is experienced and interpreted by sufferers. Nursing and medical literature, until quite recently, has been visibly bereft on the topic of human suffering. The subject is made even more confusing because of a lack of a standardized definition: By its very essence, suffering is a relative experience, highly personalized and intimately interpreted. In the past, it has been related to mental anguish, injury, loss, stress, and pain.

Five individuals from contextually different regions of the world were asked to share their suffering stories. Two lived in the southern coastal area …

The Health Belief Model And Needle Recapping: A Replication, Rosemary M. Rackow Ham

Masters Theses

The purpose of this study was to examine the knowledge of Universal Precautions, the attitudes and beliefs regarding the risk of AIDS among emergency room and critical care nurses and physicians, and the needle recapping behavior that places them at risk for acquiring HIV infection. The Health Belief Model was the conceptual model.; The sample (n = 80) consisted of nurses (n = 68) and physicians (n = 12) who practice in the emergency room (n = 19) or a critical care unit (n = 61) in a community hospital. They completed a 31 item questionnaire. In addition, needle disposal …

A Comparison Of Critical Thinking Ability And Clinical Judgement Skills In Associate And Baccalaureate Senior Nursing Students, Debra L. Sietsema

Masters Theses

The purpose of this descriptive, correlational study was to compare the critical thinking and clinical judgement skills of senior nursing students at two educational levels. A convenience sample of 34 students in the Midwest was obtained during the spring semester before graduation (n = 19 baccalaureate, n = 15 associate). The framework for the study was decision theory. Critical thinking ability was measured by the Watson Glaser Critical Thinking Appraisal. Clinical judgement was determined by the ability to recognize cues, provide nursing diagnosis, interventions and corresponding rationale after viewing five video vignettes produced by Performance Management Services. Demographic data was …

Weaning The Long-Term Ventilator Patient: A Nursing Protocol, Karen J. Trudell

Masters Theses

This study evaluated the effects of implementing a standardized nursing protocol on decreasing the length of time it takes the patient to wean from long-term ventilation using an ex post facto comparison group design. The standard nursing protocol is a set of 10 nursing interventions used to standardize the weaning process. A retrospective chart review was performed on 24 patients who were in the intensive care unit of a community teaching medical center, and required long-term ventilation of six days or more. After nine months of implementation of a standard nursing protocol, allowing for the intensive care nurses to become …

Hardiness And Adaptation To Hypertension, Marcia L. Smit

Masters Theses

Hardiness, a personality characteristic that is purposed to mediate the stress response and reduce the likelihood of illness, was studied in the context of adaptation to chronic disease. A descriptive correlational design was used to determine whether a positive relationship exists between the presence of hardiness and psychosocial adaptation to hypertension. The sample consisted of 50 individuals 60 years old or older. Data was analyzed using the product moment correlation coefficient, Spearman's Rho, and multiple regression. A moderately weak correlation (r =.39, df = 48, p =.003) between hardiness and adaptation was found. Other significant relationships identified included those between …

The Relationship Between Attributions And Adjustment Following Myocardial Infarction, Margaret Elizabeth Bowles

Masters Theses

The purpose of this study was to identify if spontaneous attributional search was part of the reaction to a myocardial infarction (MI) and if there were relationships among attributional search, perception of control over attributions, gender and adjustment following MI. Attribution theory provided the framework for this study. A descriptive correlational design was utilized. The convenience sample included twenty male and twenty female subjects hospitalized with a MI. The Multiple Affect Adjective Check List and an attribution questionnaire constructed specifically for this study were administered prior to discharge from the hospital. It was hypothesized that of those subjects that have …

Concerns/Problems Experienced After Discharge From An Acute Care Setting: The Patient's Perspective, Karen R. Peper

Masters Theses

The purpose of this study was to examine the discharge planning process in terms of concerns that patients experience after discharge from an acute care setting. Betty Neuman's Health Care Systems Model was the conceptual framework. Aspects of secondary prevention were used to classify the concerns as either a lack of resources or a reaction to a stressor.; The sample (n = 146) consisted of medical and surgical patients, 18 years or older hospitalized at a community hospital for at least 24 hours.; Data were analyzed descriptively. Data revealed that patients do experience some concerns after discharge. The top four …

Nutrition, Less Than Body Requirement, Sharon Willadsen, Marilyn Frenn

College of Nursing Faculty Research and Publications

No abstract provided.

Nurse Manager Role Stress, Rosemarie Mohn

Ellmer School of Nursing Theses & Dissertations

The purpose of this study was to examine the influence of decision-making style, and right and left brain function on nurse manager role stress. Data were collected from 48 nurse managers employed at four acute care facilities along the Atlantic seaboard. A nonexperimental correlation descriptive design was utilized to determine if any positive or negative correlation existed between study variables and levels of stress. Findings suggested that nurse managers experienced moderate amounts of role stress, including role conflict and role ambiguity. One significant statistical correlation existed between role ambiguity and the decision making dimension of intuition. Recommendations for future research …

Coping Styles Of Nurse Practitioners And The Effectiveness Of These Styles In Managing Stress, Carol J. Kolarik Smith

MSN Research Projects

The purpose of this descriptive correlational study was to identify the coping styles used by nurse practitioners and determine the effectiveness of these styles in managing stress. The Roy Adaptation Model for Nursing was the theoretical framework used for this study. The research question which guided the data collection was what are the coping styles of nurse practitioners and how effective are these styles in managing the stress relative to functioning in the expanded role of nurse practitioner? The sample of convenience consisted of 72 nurse practitioners from Mississippi (30) and Tennessee (42) who completed and returned the survey questionnaire. …

The Level Of Self-Confidence Related To Knowledge And Skills Of Nurse Clinicians Practicing In The Expanded Role, Myra E. Fitts

MSN Research Projects

The level of self-confidence attained in a particular role affects the ability to perform in that role. Self- confidence is not innate but is developed through the interactions and experiences one has. The purpose of this study was to identify the level of self-confidence related to knowledge and skills of nurse clinicians practicing in the expanded role. Benner’s (1984) framework. From Novice to Expert, provided the direction and structure for this descriptive study. Three hundred thirty- three nurse clinicians licensed to practice primarily in four southeastern states participated in this study. Data were collected using the Thibodeau/Hawkins Self-Assessment Scale and …

Reasons Community-Based Hospice Patients Require Hospitalization, Patricia Northcutt Stephens

MSN Research Projects

The philosophy of a community-based hospice program involves care of terminally ill patients in their homes. However, some patients do not remain at home and are hospitalized. This descriptive study was conducted to determine reasons community-based hospice patients require hospitalization. Orem's Theory of Self-Care and Theory of Nursing Systems provided the theoretical framework. A convenience sample of 9 hospice patient primary caregivers from a community-based hospice program in West Central Alabama participated. These caregivers provided care to 9 hospice patients over the age of 40 years who required hospitalization in 1990 and had since expired. During scheduled home interview visits, …

A Comparison Study Of Coping Mechanisms In Clients And Significant Others Of Home And In-Center Hemodialysis, Judy Stevens

MSN Research Projects

The purpose of this study was to determine the coping mechanisms used by clients with end-stage renal disease and their significant others. This descriptive, comparative study was guided by the hypothesis: Clients and significant others of home hemodialysis use different coping mechanisms from the clients and significant others of in-center hemodialysis. Orem's Nursing Systems Theory provided the theoretical framework. The sample (N = 43) consisted of 12 home hemodialysis clients and 12 home significant others and 12 in-center hemodialysis clients and 12 in-center significant others who resided in East Central, West Central, and Central Mississippi. Data were collected utilizing the …

A Comparison Study Of Coping Mechanisms In Clients And Significant Others Of Home And In-Center Hemodialysis, Judy Stevens

MSN Research Projects

The purpose of this study was to determine the coping mechanisms used by clients with end-stage renal disease and their significal others.

Self-Perceived Health Concerns Of Early, Middle, And Late Adolescents, Diane Baker

MSN Research Projects

The purpose of this descriptive study was to identify the self-perceived health concerns of early, middle, and late adolescents.

Student Attitudes Toward Their Role As Patient Advocate, Jacquelyn Heinlein Graven

Honors Projects

Patient advocacy is a role which has been identified as an important one for nurses. Numerous definitions, models, opinions and philosophical justification of advocacy as a nursing role are described in the literature. The importance of this role is obvious when considering the philosophical dimensions of advocacy. It has been suggested that the concept of advocacy may be the fundamental or theoretical foundation of nursing (Donahue, 1985; Gadow, 1980). Although the role has been discussed for many years there are few established guidelines for implementation and little research exists regarding the advocacy role. The purpose of this descriptive study is …

Managing Patient Care: A Substantive Theory Of Clinical Decision Making In Home Health Care Nursing, Felicitas A. Dela Cruz Dnsc, Ma, Rn

Dissertations

This study investigates the phenomenon of clinical decision making, deriving a grounded substantive theory to explain how home health care nurses make patient care decisions. Despite the continuing shift of health care from acute care settings to the patient's home, little is known about home health care nurses' clinical decision making processes and the factors influencing them. The study employs a field research design using grounded theory based on symbolic interactionism. Data collection at two Visiting Nurse Associations includes participant observation and open-ended interviews of 21 nurses, and document analysis of patients' records and home care nursing practice policies. The …

A Comparative Analysis Of Nurse Leaders' Degree Of Transformational Leadership And Staff Nurse Job Satisfaction, Kathie Sawyer Weatherly

Ellmer School of Nursing Theses & Dissertations

The intensified pressure for change in nursing organizations has presented nurse leaders with opportunities to transform bureaucratic settings into professional practice environments. Transformational leadership has been identified as supporting the changing values of staff nurses and promoting job satisfaction. The purpose of this study was to explore nurse leaders' degree of transformational leadership and the relationship between transformational leadership and staff nurse job satisfaction. Quantitative analysis, using an independent t-test, indicated a significant difference between nurse leaders' and staff nurses' perception of the nurse leaders' degree of transformational leadership. Pearson correlation analysis indicated a significant relationship between transformational leadership and …

Formal And Informal Educational Activities Of Transformational Nurse Leaders In Urban Hospitals, Sue Waltrip Young

Theses and Dissertations in Urban Services - Urban Education

Absence of educational programs designed to develop a specific leadership style has prompted educators in nursing administration to consider designing such programs. As the cost of hospital care escalates and the recruitment and retention of individuals into hospital nursing remains problematic, it is essential that methods be developed to address these issues. This study described the educational processes experienced by transformational nurse leaders employed in urban hospitals. By discovering the relative importance and amount of these activities for nurses identified as transformational leaders, data are provided for the design and testing of educational programs created to enhance a transformational leadership …

Norfolk Resource Mothers Program Evaluation, Margaret Moore Konefal

Theses and Dissertations in Urban Services - Urban Management

This study uses the post-test only design to assess the preliminary effects of a community-based policy initiative, the Norfolk State University Resource Mothers Program (RMP), on the gestational ages, birth weights, and survival rates of infants born to participating adolescent mothers.

The RMP uses experienced mothers or paraprofessionals similar in race and socio-economic status to the participating teenagers. These persons are trained to assist pregnant adolescents and teen parents with nonmedical dimensions of pregnancy and child care. They recruit teens into the RMP, encouraging them to get early prenatal care. Resource Mothers provide teen mothers and their families with practical …

Identification And Ranking Of Stressors Specific To The Acute Head Care Nurse, Joan A. Breen

Community & Environmental Health Theses & Dissertations

No abstract provided.

Problems And Coping Styles Of Antepartal Patients Being Treated For Risk Of Preterm Labor, Janet Wiehrs Rogers

Ellmer School of Nursing Theses & Dissertations

The purpose of this study was to identify the range of problems and coping strategies as perceived by antepartal patients experiencing medical treatment to decrease risk of preterm labor. In this qualitative, interpretive study problems and coping strategies were identified through semi-structured interviews with a convenience sample of seven antepartal patients. Using content analysis of interview data, identified problems were categorized, and for each problem, coping strategies were identified and grouped using the categories of the Jalowiec Coping Scale. Major categories of problems were: bedrest, role change, finances, uncomfortable emotions, and reactions of families and friends. Supportant, palliative, and confrontive …

Elders Caring For Elders: Risk Of Abuse And Neglect?, Marjorie F. Bendik Dnsc, Msn, Rn

Dissertations

This study was designed to examine the phenomena of mood disturbance and associated potential to abuse in an elderly caregiver population. The data from which the results were obtained came from structured interviews, using quantitative measures, with 110 men and women caregivers aged 55 and over, living at home and caring for another physically or mentally ill elder (usually a spouse or other relative) who was living with them. A causal model was developed to examine the effects of locus of control, social support, physical health, stress perception, and coping efficacy on total mood disturbance and potential to abuse. Standardized …

Factors Related To Self-Care Agency And Self-Care Practices Of Obese Adolescents, Kathy Shadle James Dnsc, Msn, Rn

Dissertations

Identification of factors that influence obese adolescents' health behaviors is necessary if obese adolescents are to benefit from therapeutic interventions. The purpose of this descriptive-correlational study was to identify the relationships between selected basic conditioning factors (BCFs)--perceived health status (PHS), perceived self-efficacy (PSE), family satisfaction (FS), and life events (LE)--and the self-care agency (SCA) and self-care practices (SCP) among obese adolescents. The relative predictive strength of each BCF in relation to the outcome variables was also explored. Orem's self-care theory provided the conceptual framework for this study. The convenience sample of 100 obese adolescents included campers from two southern California …

Becoming Pregnant: Perceptions Of Black Adolescents., Margaret Guthrie Tennyson

All ETDs from UAB

No abstract provided.

The Relationship Of Osteoporosis Health Beliefs And Knowledge To Calcium Intake, Karen L. Boyer

Masters Theses

The purpose of this study was to examine the relationship between health beliefs (susceptibility, severity, benefits, barriers, health motivation and self-efficacy) and knowledge, to calcium intake. The study used a descriptive correlational design and a convenience sample of 201 women was selected. Data collection took place in a metropolitan area of west Michigan and a structured interview method was used. The subjects ranged in age from 35 to 95. Ninety-six and one half percent of the sample was white. The hypothesis--"knowledge and the health beliefs account for a significant amount of variance in calcium intake" was partially supported. Self-efficacy and …