Digital Commons Network^™

Relationship Of Vulnerability To Coercive Control And Intimate Partner Violence (Ipv) Among Latinas, Susan D. Watson

Dissertations

IPV is the most common cause of violence-related injury to women in the United States and greater than one-third of all female homicide victims in the U.S. were killed by the victims' husband or partner. Nationally, intimate partner violence (IPV) has been identified as a public health issue, and internationally gender inequality is the number one human rights issue. In addition to risk factors identified among multicultural samples, characteristics that increase Latina vulnerability to IPV may relate to the specific cultural scripts between partners that are expected and supported within Latino culture.

Adolescent Females' Perceptions Of The Dating Experience, Sharyl E. Toscano

Dissertations

The purpose of this study was to explore the nature and characteristics of adolescent females' dating relationships, including any experiences of abuse. The research question to be answered was what are the characteristics of adolescent dating relationships? Answering this research question, using grounded theory methods, contributes to nursing knowledge about adolescent women's perceptions of factors and influences that foster non-abusive relationships and those factors and influences that support abusive relationships. The many health problems existing as the result of violence are of concern to nursing. Knowledge about dating violence in the adolescent population is limited and based mostly on findings …

A Correlational Study On Spiritual And Religious Well-Being, Social Determinants Of Health, And Self-Efficacy For Appropriate Medication Use Among African American Women With Hypertension, Tracie L. Augusta

Dissertations

African American (AA) women are disproportionately affected by hypertension and are less likely to adhere to their medication regimen when compared to White and Hispanic women. Very little is known about social factors associated with medication adherence among AA women. Spiritual well-being (SWB), religious well-being (RWB), and social determinants of health (SDOH) may be associated with self-efficacy for appropriate medication use (SEAM).

The purpose of the study is to: (1) examine the relationships among SDOH, namely age, education level, household income, and marital and insurance status, and SWB and RWB; (2) examine the relationships between SDOH and SEAM; and (3) …

Voices From The Frontier: Stories Of Nurse Practitioners Working In Remote Settings, Lynn Jakobs

Dissertations

Frontier communities are the most sparsely populated and geographically remote areas in the United States. Residents of these communities often lack access to healthcare resources of any kind. Nurse Practitioners (NPs) are more likely than physicians to practice in these areas and provide a vital link in the frontier healthcare safety net.

This narrative inquiry into the practice experiences of frontier NPs informs the discipline of nursing regarding the significant contribution frontier NP practice makes to the delivery of frontier healthcare. This inquiry creates a repository of stories upon which nurse leaders, health care policy makers, and nurse educators interested …

A Quantitative And Qualitative Inquiry Into Moral Distress, Compassion Fatigue, Medication Error, And Critical Care Nursing, Jeanne Maiden

Dissertations

A correlational embedded mixed method design was used for this study. A purposive sample of 205 critical care nurses (CCNs) provided quantitative data for the study. A focus group interview of five CCNs provided the qualitative data. The Moral Distress Scale (MDS), Professional Quality of Life Scale (ProQOL), and Medication Administration Error (MAE) Scale and demographics form were used to measure quantitative data.

The Relationships Among Unit Culture, Work Stress, Compassion Fatigue And Sense Of Wellbeing In Operating Room Nurses In Level One Or Two Trauma Centers, Evelyn A. Dogbey

Dissertations

The purpose of this study was to explore the relationships among unit culture, work stress, compassion fatigue, and sense of wellbeing in operating room (OR) nurses employed in level one and two trauma centers. Wellbeing was measured by two components, mental and physical. Several studies (Coeling, 1992; Hawkins & Kratsch, 2004; Seago, 1996; Waters, 2004; Wesorick, 2002) have documented the characteristics of organizational culture or organizational subcultures (nursing units) and the negative impact the culture has on individual wellbeing of nurses and the quality of patient care. This descriptive correlational study was guided by the Culture-Work-Health model (Peterson & Wilson, …

Factors Affecting Self-Reported Physical Activity In Children Ages 10-12, Shirley Sherrick-Escamilla

Dissertations

This study examined the relationship between the current level of physical activity in older school-age children and their self-perception of what promotes and hinders their participation in physical activity. The study also addresses how well Pender's Health Promotion Model (HPM) predicted older school-age children's current level of physical activity.

The Use Of Grounded Theory To Develop A Framework For Understanding Student Retention In Community College Nursing Programs, Kimberly S. Priode

Dissertations

Gaining admission into pre-licensure nursing programs has proven to be quite difficult for the average college student. Topping the list of crucial priorities for many academic institutions is the retention of these nursing students. Yet, the reality is that many students decide not to complete their course of study for reasons other than academic failure. The retention of nursing students is essential to securing competent, well-educated nurses to care for society in years to come. Current research has indicated that the enrollment of students pursuing an Associate Degree of Nursing within the Community College systems has greatly increased; however, attrition …

The Relationships Among Stress, Burden, And Health Status In Rural Caregivers, Julie T. Sanford

Dissertations

The purpose of this study was to examine the relationships among stress, caregiver burden, and the health status of rural caregivers and assess whether caregiver burden and stress predict the physical health status of caregivers in the rural setting. This research study was a descriptive-correlational design and utilized a convenience sample of 63 rural caregivers. The subjects self-reported their perceptions of stress, burden, and health status using the Zarit Caregiver Burden Interview Scale, Lifestyle Appraisal Questionnaire, and the health status question from the National Health Interview Survey.

The relationships among stress, burden, and health status in rural caregivers were significantly …

Weight Change In College Freshmen: Personal, Interpersonal And Situational Influences, Kristin L. Kuhlmann

Dissertations

Obesity has become the most significant noninfectious health risk in the United States, and the major causes of death and disability are shifting to chronic, non-communicable health conditions that are largely attributable to physical inactivity, overweight and obesity, and other diet-related factors. Among children and adolescents, the overweight/obesity rate is approaching 32%, with 17.9% of adolescents becoming obese. While the obesity rate has doubled in all age groups in the United States, it has tripled among young adults aged 18 to 28 years, and 70% of adolescents who are at a healthy weight will become overweight or obese as adults. …

Barriers To Publication: Improving Health And Wellness Through Open Dissemination, Monica Jaramillo

General Submissions: Academic Settings and Education-based Materials

Professional dissemination and publications of current healthcare knowledge with cutting-edge research are essential to ensure wellness and public health internationally. Unfortunately, these scholarship collaborations face many barriers. To ensure global well-being, improving open and equitable access to all healthcare knowledge is imperative.

[Excerpt From] Hospice & Palliative Care Handbook: Quality, Compliance, And Reimbursement (4th Ed.), Tina M. Marrelli, Jennifer Kennedy

Sigma Publications: Book Excerpts

This item record pertains to an excerpt and additional resources from Hospice & Palliative Care Handbook: Quality, Compliance, and Reimbursement, Fourth Edition, which is provided free of charge by the publisher.

About this book: Hospice & Palliative Care Handbook, 4th Ed., offers updated coverage of all aspects of hospice and palliative care for the entire healthcare team who provide important care while meeting difficult multilevel regulations. This edition includes examples and strategies covering key topics related to standards, guidelines, goals, and effective care planning.

New to this edition are:

• Expanded pediatric and geriatric clinical care guidelines
• More robust …

The Experience Of Pediatric Intensive Care Nurses Caring For Dying Children, Rebecca L. Meyer

Dissertations

The purpose of the study was to explore the experience of pediatric nurses caring for dying children. An estimated 55,000 children die every year in the United States and another 400,000 live with life-threatening or life-limiting conditions requiring them to be admitted to the Pediatric Intensive Care Unit (PICU). Nurses who work in this area may have unexplored information and knowledge about the experience itself which could contribute to a better understanding of caring to the nursing profession. Watson's Theory of Human Caring was selected as the framework for the study.

Interprofessional Role Clarification Among Licensed Health Care Practitioners In Rural And Smaller Community Hospitals, Dianne E. Allen

Dissertations

Enhancement of healthcare systems has increased the demand for healthcare practitioners (HCPs) to share client care by functioning in a variety of roles within interprofessional teams. When these roles are integrated into team practice, the outcome can be collaborative sharing of client care responsibilities but without sharing, team members can experience uncertainty as to what their contributions should be. Understanding this shift in practice begins with role clarification, whereby HCPs have self-awareness about their own roles, and then gain an understanding of the roles of others in their collaborative practitioner groupings. Interprofessional role clarification (IPRC) is thought to be necessary …

A Quantitative Study Of Moral Distress In Vha Nurses, Mary E. Kelly

Dissertations

Ethical issues continue to be an important aspect in the practice of professional nursing. The complexities of nursing practice begin in nursing school and continue throughout a nurse's career. Advances in health-care technology, emphasis on cost-effectiveness, and higher acuity level patients in hospitals lead to ethical conflicts and a phenomenon known as moral distress. Moral distress constitutes a serious problem in nursing practice. Studies regarding moral distress correlate the phenomenon to nurse turnover, intent to leave, burnout, job dissatisfaction, and stress. Moral distress differs from experiencing an ethical dilemma in that moral distress is the inability to do what one …

[Excerpt From] Evidence-Informed Health Policy (2nd Ed., Rev.), Jacqueline M. Loversidge, Joyce Zurmehly

Sigma Publications: Book Excerpts

This item record pertains to an excerpt from Evidence-Informed Health Policy, Second Edition, which is provided free of charge by the publisher.

About this book:

What happens in health policy at local, state, and federal levels directly affects patients, nurses, and nursing practice. Some healthcare professionals, though, are intimidated by the complex and often nonlinear policy process or simply don't know how to take the first step toward implementing policy change.

In this second edition of Evidence-Informed Health Policy, authors Jacqueline M. Loversidge and Joyce Zurmehly demystify health policymaking and equip nurses and other healthcare professionals with …

When Nurse-Teachers Become Ill: A Narrative Inquiry Into The Personal Illness Experiences Of Three Nurse-Teachers, Jasna K. Schwind

Dissertations

In this inquiry I explore how a personal serious illness of three nurse-teachers impacts their teaching and nursing practice. My interest in illness stories emerges in response to my own experience of becoming a patient thirteen years ago. As a result of this circumstance I became curious to learn how other nurse-teachers may experience personal illness events. To help me think about my puzzle I chose Connelly and Clandinin's narrative inquiry, where narrative is both the method and the phenomenon of study. In this research my two co-participants and I talk about what it is like for a person, who …

How To Write Items For The Next Gen Nclex®: An Interactive Workshop, Rhonda Lawes, Becky Oglesby

Nursing Faculty Prep Webinars (Sigma and Lecturio)

The Next Generation NCLEX (NGN) has arrived, which is equally exciting and nerve-racking for students and faculty. Join our 90-minute interactive question-writing workshop to start preparing today. In this webinar, Prof. Rhonda Lawes, PhD, RN, Lecturio's Chief Nursing Officer, will personally guide you through the creation of challenging and accurate questions, and you'll learn how to prepare your students for success in new question types. Don't miss this opportunity to master the new formats and receive tips to ensure your students practice a complete range of case studies and standalone questions. Register now to help your students succeed on the …

The Depths Of Despair: Nurses Reflect On The Covid-19 Pandemic, Mary Maloney, Linda Taylor

Group: Samford University Moffett & Sanders School of Nursing

This project aimed to review nurses' responses to the COVID-19 Nurses Needs Assessment online survey conducted by the Alabama State Nurses Association and make recommendations based on descriptions of their experiences during the COVID-19 pandemic.

Substance Use Disorders: Raising Awareness Amongst Nurses, Evelynn Githiiyu

Group: Samford University Moffett & Sanders School of Nursing

The purpose of this project is to raise awareness among nurses working at selected organizations on the prevalence of substance use disorders (SUD) amongst nurses and the availability of non-punitive or alternate to discipline (ATD) peer support programs through a 90-minute educational event.

The Use Of Simulation And Standardized Patients To Enhance Nursing Student Competency In Caring For Lgbtq Individuals, Laura Pittiglio

General Submissions: Presentations (Oral and Poster)

HP 2020 proposes that increasing training for health care providers in the provision of culturally competent care will improve health outcomes for this vulnerable population. Nurses are usually the first point of care for individuals seeking care. Therefore, that initial patient-provider encounter can influence decisions regarding future health care. In order to enhance nursing competencies in culturally competent care, a simulation experience using a narrative script and a high-fidelity manikin was incorporated into a undergraduate nursing course. The simulation scenario was designed to facilitate the delivery of healthcare to LGBTQ identifying individuals. A pre-simulation and post-simulation survey was administered in …

Adapting Nextgen With Your Lms, Marcia Callarman, Nickie Loftin, Staci Roeber

Next Generation NCLEX Webinars (Sigma and OADN)

Current Learning Management Systems (LMS) do not necessarily lend themselves to Next Generation NCLEX (NGN) item formats. While these barriers are not easily remedied, we have developed and are implementing creative ways to integrate the clinical judgment style questions by utilizing the formats supported by our LMS. Join us as we discuss how to optimize you LMS for NGN content.

Implementing An Evidence-Based Fetal Monitoring Practice Using A Transformational Leadership Model, Patti Gardner, Mary E. Stepans

Biennial Convention (CONV)

Implementing evidence-based practice requires professional clinical competence, institutional support, leadership skills, and a value for patient preferences. Leadership has been identified as a crucial component for implementing evidence-based practice. In this project, a transformational leadership model is utilized to implement evidence-based fetal monitoring in a rural community hospital through the work of a multidisciplinary team who set out to change practice and improve patient care for laboring women.

Evaluation Of A Behavioral Intervention For Prevention Of Weight Regain Following Bariatric Surgery, Lisa Kuntz

Group: Samford University Moffett & Sanders School of Nursing

The purpose of this DNP quality improvement project was to implement and evaluate the effectiveness of a behavioral intervention plan, including using MyFitnessPal in post-bariatric surgery patients to maximize weight loss and prevent weight gain between six and nine months post-op.

New Graduate Registered Nurse Well-Being Program To Improve Patient Outcomes, Heather Richardson, Carrie Flora

Group: Samford University Moffett & Sanders School of Nursing

The purpose of this evidence-based practice project is to develop, implement, and evaluate a well-being program for new graduate registered nurses supporting nurse retention and patient safety.

Attentive Presence: A Lived Experience Of Human Becoming, Karen A. Carroll

Dissertations

Attentive presence involves a vigorous rhythmical flow of relating to another, it makes explicit that the other is cherished, and it is inextricably related to the way people make choices about what is important. It is a universal lived experience that is important to health and quality of life. The purposes of this research were to identify the structure of the lived experience of being attentively present to another and to contribute to knowledge about human becoming, the nursing theory that guided this study. Participants included 11 families whose members ranged in age from 7 to 81 years. These family …

Faculty Perceptions Of Preparation Of Medical And Nursing Students For Interprofessional Collaboration, Jacqueline M. Loversidge

Dissertations

The effectiveness of teams comprised of physicians, nurses, pharmacists, and allied health care providers is critical to the safe and effective delivery of health care. Teamwork is necessary in the current health care environment because patient problems and health care needs have become so complex that no single practitioner can be expected to manage them effectively alone.

Hopelessness And Spiritual Well-Being In Persons With Hiv Infection, Kevin M. Gulliver

Theses

The purpose of this study was to examine the relationship between hopelessness and spiritual well-being in a population of persons diagnosed to be Human Immunodeficiency Virus (HIV) positive. Demographic variables were examined to determine their potential relationship to hopelessness and spiritual well-being. The Neuman Systems Model was used as the conceptual framework for the research.

Web-Based Cognitive Behavioral Intervention For Older Adult With Arthritis Fatigue; A Feasibility And Acceptability Study, Jeungok Choi, Miaomiao Shen, Rae Walker

Sigma Foundation for Nursing Research Grant Reports

The purpose of this project is to develop a web-based cognitive behavioral intervention (Web-CBI) and to test feasibility and acceptability of Web-CBI for older adults with arthritis fatigue.

Nurses' Experiences In Assessing Decision-Making Capacity Of Older Patients, Peggy N. Flannigan

Dissertations

A qualitative study was undertaken to explore and describe nurses' experiences in assessing decision-making capacity of patients over age 65 years. Their experiences with surrogate decision-makers were also described including specific health care decisions for which surrogate decision-makers were sought.