Digital Commons Network^™

Nursing Students' Perceptions Of Briefing In Simulation, Beena Maret

Dissertations

Briefing for a clinical simulation in nursing school is an information session that sets the stage for a meaningful simulation activity. Improper or inadequate briefing practices can impact the quality of learning nursing students receive through clinical simulation experience. The purpose of this study, guided by the novice to expert and social cognitive theories, was to explore accelerated baccalaureate nursing (ABN) students' perceptions of their briefing experiences and how the briefing experiences influenced the acquisition of clinical skills and knowledge. Twelve ABN students from a school of nursing in one of the Northeastern states were interviewed through e-mail correspondence. Thematic …

The Tenderness Process In Mother-Infant Couples: The Relationship Of Maternal Perception And Anxiety To Infant Satiety And Anxiety, Deidre Marion Blank

Dissertations

The purpose of the study was to identify what impact, if any, maternal perception and anxiety had on an infant at the time of feeding. The framework for testing the relationship was Harry Stack Sullivan's interpersonal theory of psychiatry, as it related specifically to mother-infant tenderness. For the study, tenderness was restricted to a reciprocal process in which the infant had a physiochemical need for milk and the mother a complimentary need to satisfy the infant. Of importance to Sullivan was the fact that an infant had to depend on the intervention of others for survival and therefore manifested a …

The Effect Of Ethnicity And Residential Setting On Cultural Factors Of Low-Income Pregnant Adolescents, Cynthia S. Selleck

Dissertations

Much research has been conducted on adolescent pregnancy; however, culture, as it relates to adolescent pregnancy, has been cited as an area in need of further study. This research focused on the effect of ethnicity and residential setting on cultural factors of low-income pregnant adolescents. The cultural factors studied were social support, knowledge of prevention of pregnancy, and importance of becoming pregnant. These variables were described and compared in white, black, rural, and urban pregnant adolescents. Relationships among these variables were also investigated.

Development And Testing Of A Cognitive Task Complexity Model, Marsha L. Lewis

Dissertations

The purposes of this study were (a) to develop a model of cognitive task complexity and (b) to test the extent to which four content characteristics in the model represent the complexity of decision-making tasks in the domain of nursing. A model of the defining characteristics of cognitive task complexity constitutes a first step toward understanding the relationship between the task itself and the decision maker's information processing, and offers direction for the teaching of clinical decision making-skills. The Cognitive Task Complexity Model has its roots in Newell and Simon's (1972) Information Processing Theory. The Cognitive Task Complexity Model includes …

Testing The Efficacy Of A Nurse-Led, Patient Self-Management Intervention To Decrease Rehospitalization In Older Adults, Merrily W. Evdokimoff

Dissertations

Rehospitalization rates of 20% within 30 days of hospital discharge and 27% within 60 days are one of the highest strains on the federal Medicare budget. The Center for Medicare and Medicaid Services (CMS) has responded by imposing financial disincentives in reimbursement regulations directed to those providers deemed responsible for preventable rehospitalizations. Identifying cost-effective interventions that are appropriate for individuals with chronic illnesses that may be provided within the current home health care system of reimbursement is critical. The purpose of this quasi-scientific intervention study was to test the efficacy of a cost-effective, nurse-led intervention to decrease rehospitalizations of community …

Online Faculty Mentoring And Transition Balance In Family Nurse Practitioner Students, Cathlin B. Poronsky

Dissertations

The purpose of this study was to examine the effect of online faculty mentoring on Registered Nurse (RN) to Family Nurse Practitioner (FNP) role transition balance during graduate education. Making the transition from RN to an FNP can seem daunting and there is limited information in the literature about RN to FNP role transition during graduate education. Nurse faculty may be in a position to aid graduate students to better balance their transition in role from RN to FNP. However, for faculty who seek to do this, there is little information available on methods that have proven successful. Factors that …

The Concept Of Interprofessional Collaboration In Baccalaureate Nursing Education Programs: A Descriptive Survey, Sylvia Kleiman Fields

Dissertations

In response to multiple social and political forces towards interprofessional collaboration in health care delivery, professional educators and others have espoused the need for educational programs which prepare future health practitioners for team practice. A descriptive survey was conducted of National League for Nursing accredited baccalaureate programs during 1975 and 1976 to identify the current status of interprofessional learning for baccalaureate nursing students, to describe specific characteristics of these programs, and to identify the factors perceived as promoting and/or inhibiting interprofessional learning opportunities by nurse educators in programs providing such experiences and in programs not currently offering such opportunities. The …

Family System Patterns Of Cohesiveness And Autonomy: Relationship To Family Members' Health Behavior, Carol J. Loveland-Cherry

Dissertations

The purpose of this study was to examine the relationship between family system patterns of cohesiveness and promotion of autonomy and individual family members' health directed behavior in single-parent and two-parent families.

Low-Income Women With Genital Herpes: Recognizing And Managing Their Fear Trajectory, Shirley Countryman Gordon

Dissertations

Every illness tells a story and this study tells the story of low income women with genital herpes. The purpose of this research was to generate a substantive theory about the response of low income women to the critical event of being diagnosed with genital herpes. Data were collected from taped in-depth, interviews from a purposive sample of sixteen (16) low income women who had been diagnosed with genital herpes. Informal interviews were also conducted with five (5) health care providers and several clinic staff members on issues related to stigma and the experience of being diagnosed with genital herpes. …

A Description Of The Maternal Decision-Making Process Regarding Circumcision, Cathy L. Rozmus

Dissertations

Mothers, as dependent-care agents for their child, must make multiple decision concerning the health care of the child. One of the first decisions that must be made by mothers of male children is a decision for or against circumcision. A conceptual framework consisting of Orem's (1988) model of deliberate action during dependent-care and Fishbein and Ajzen's (1975) theory of reasoned action was proposed as an explanation of the maternal decision-making process. A qualitative study was conducted to determine if the proposed conceptual framework could provide an accurate description of the maternal decision-making process regarding circumcision. Interviews were conducted with 20 …

Professional Values Of Licensed Practical Nurses And Time Post Initial Licensure: A Correlational Study, Linda A. Otero

Dissertations

The purpose of this dissertation was to explore the correlation between professional values of licensed practical nurses working in long term care settings and time post initial licensure. A quantitative non-experimental correlational research design was used to capture self-reports of professional values of licensed practical nurses then determine if and to what extent a relationship exists between professional values and time post initial licensure. The Nurses Professional Values Scale- Revised (NPVS-R) instrument was used to capture the professional values of 101 LPNs employed in long term care settings in Vermont and correlate the results with time post initial licensure. The …

Does Using A Surgical Safety Checklist Improve Surgical Readiness?, Christina A. Colombo Goodall

Dissertations

Previous studies supported training multidisciplinary teams using an evidence-based tool such as the Comprehensive Surgical Checklist (CSC) to promote communication, teamwork, and safety. Evidence showed the CSC's four-phased approach reduced avoidable adverse events that were problematic in the single-phased checklist of the studied organization for completing the TimeOut. The aim of this quality-improvement project was to increase safe surgical readiness by adopting the CSC and creating surgical-team awareness of the Phase I Preprocedure Check-In elements.

The Relationship Of Denial Of Illness And Compliance With Inhaled Preventive Medications In Adults With Asthma, Elizabeth F. Mcgann

Dissertations

This descriptive, longitudinal, exploratory study was designed to investigate the relationship between denial of illness and compliance with inhaled preventive medication in adults with asthma. The association of severity of asthma in relation to denial and compliance was also examined.

Testing The Effect Of A Resident-Focused Hand Hygiene Intervention In A Long-Term Care Facility: A Mixed Methods Feasibility Study, Kathleen Aumann Morales

Dissertations

The purpose of this study was to test the feasibility and acceptability of a resident-focused hand hygiene intervention within a long-term care facility, using a mixed methods design. The study followed an exploratory sequential design. The strands were implemented sequentially, starting with qualitative data collection and analysis. The qualitative strand began with direct observation which is the gold standard to monitor hand hygiene adherence. Next, interviews of six residents and six staff members were completed using a semi-structured interview guide. Qualitative findings informed the second strand, which had a quantitative emphasis. The quantitative strand of the study was a quasi-experimental …

Internal Family Systems Informed Supervision: A Grounded Theory Inquiry, Daniel A. Reed

Dissertations

Internal family systems (IFS) is a meta-model of psychotherapy growing in popularity in the United States and internationally. In this process-oriented model, the psychotherapist supports clients in getting into relationship with parts of their experience to offer relief for aspects of themselves that have been stuck in tiring protective roles and provide corrective experiences for vulnerable aspects of themselves that have been stuck with limting beliefs and overwhelming feelings.

Coinciding with the IFS model's increased popularity, the evidence base for the efficacy of psychotherapists using IFS with clients continues to increase. In 2015, the United States Department of Health and …

The Transformation Of Nursing Practice In The Acute Care Hospital, Bernadette M. Forget

Dissertations

The Delphi method elicited the opinions of 12 expert nurses regarding the knowledge, skills, relationships, and resources that were most important to the transformation of nursing practice in the acute care hospital.

Educators’ Perceptions Of Restorative Justice, Care, Inclusion, And Disability: A Phen[Women]Ological Study, Jennifer Hull

Dissertations

In the State of Illinois, changes are taking effect related to classroom culture and educational policy is moving from “safe schools/zero tolerance” policies to restorative justice practices. Through a feminist disability studies lens, the focus of this a phen[women]ological study of the lived experiences of six educators from two different schools in Illinois and their perceptions of restorative justice, care, inclusion, and disability was to ask: How are educators making sense of restorative justice practices? What are the implications for students with disabilities? Five topics of significance surfaced, including (a) caring; (b) restorative justice and inclusion; (c) impact of technology; …

Managerial Caring, Multicultural Competence, And Organizational Commitment In A Department Of Nursing, Eileen A. Sullivan-Kaplan

Dissertations

The purpose of this descriptive study was to investigate the relationships among caring behaviors, multicultural competence of nursing managers, and the organizational commitment of those managers and their staff members. Additionally, a qualitative component was added in order to maximize the contributions of the staff member participants to the study.

Composure Behaviours Of Advanced Beginner Nurses And Their Effects On The Wellness Outcome Among Selected Orthopaedic Patients: Basis For Action Plans, Bea-Gracia M. Cruz

Dissertations

The study determined the effects of the COMPOSURE behaviours of advanced beginner nurses on the wellness outcome among selected orthopaedic patients and used quasi-experimental 2-group pretest posttest design.

Differences In Coping Between Parents Of Mentally Handicapped Children And Parents Of Non Handicapped Children, Cynthia Chatham

Dissertations

The purpose of this study was to ascertain if there was a difference in perceived effectiveness of coping behaviors between mothers and fathers of a mentally handicapped child and mothers and fathers of a non handicapped child. The conceptual framework was derived from the work of Lazarus (1961) and Pearl in and Schooler (1978). Utilizing a descriptive design, 64 parents (28 parents of a mentally handicapped child and 36 parents of a non handicapped child) were surveyed using the Family Coping Inventory (FCI). Twenty-eight parents of a mentally handicapped child completed an additional instrument, the Coping Health Inventory for Parents …

Coping With Appraised Threat Of Breast Cancer: Primary Prevention Coping Behaviors Utilized By Women At Increased Risk, Diane R. Lancaster

Dissertations

Breast cancer affects nearly one in nine women and is a leading cause of cancer related deaths among this group. Yet, little is known about how high risk women deal with this health threat. Conceptualized within the Neuman Systems model, the purpose of this study was to examine how women with family histories of breast cancer appraise and cope with their breast cancer risk. Using a descriptive correlational design, a convenience sample of 209 women responded to a mailed questionnaire.

Differentiating Successful And Unsuccessful Nursing Students, Trilla A. Mays

Dissertations

Administrators of nursing programs in community colleges are aware of the need to retain and to graduate students to meet the growing demand for licensed practical nurses (LPNs). High attrition in a 2-year nursing program in South Carolina affected the number of students either graduating as a LPN after completing the third semester, or continuing in the program to become a registered nurse (RN). Guided by Jeffreys's nursing undergraduate retention and success model, this causal comparative study investigated the differences between students who were and were not successful in the initial 3 semesters of the program. Archival student records for …

Health-Seeking Behavior And Health Services Use By Latino Men In A Rural Iowa Community, Neil Scot Macnaughton

Dissertations

The purpose of this study was twofold: (a) to describe and compare the health-seeking behavior and health services use by Latino men, linked to the meatpacking industry, within the context of the community in which they reside; and (b) to describe and analyze the capacity of one typical Iowa community to respond to its changing ethnic composition, specifically with the provision of care to this immigrant group.

The Meaning Of Stressful Life Experiences As Described By Nine To Eleven-Year-Old Children: A Phenomenological Study, Gloria Jacobson

Dissertations

The preponderance of literature regarding stress and children has been based on adults' perceptions of how children view stressful life experiences. A qualitative study using the phenomenological method was conducted to answer the question: What is the meaning of stressful life experiences as described by nine to eleven-year-old children?

The Effects Of Environmental Turbulence On Nurse Performance, Jeanne Salyer

Dissertations

The purpose of this study was to determine the effects of environmental turbulence on nurse performance.

The Shortage Of Expert Nephrology Nurses And Patient Quality Care Indicators A Quantitative Cross-Sectional Study, Karen J. Gaietto

Dissertations

This quantitative cross-sectional study examined the problem regarding the shortage of expert nephrology nurses and potential consequences or outcomes on patient quality care indicators in the dialysis setting. The research study collected demographic data by survey method from 34 Ohio chronic dialysis units on nursing tenure, nephrology experience, education level, certification status and age. The corresponding Centers for Medicare and Medicaid Quality Incentive Program (CMS QIP) aggregate patient data for each unit was obtained for comparison. Chronic dialysis units with higher level of nursing experience and education were compared to chronic dialysis units with less experienced and educated registered nursing …

Intergenerational Health Promotion In African-Americans, Donna Behler Mcarthur

Dissertations

Heart disease is the leading cause of death for people over the age of 25 and is largely preventable through behavioral changes. Diet and physical activity patterns, which may be amenable to change through age- and generation-appropriate interventions, have not been extensively tested in school-based programs. The purposes of this study were to: (1) Assess the impact of a school-based intervention in promoting healthy cardiovascular behaviors in elementary school children; and, (2) Evaluate the efficacy of elementary school children as conduits of health promotion information for older generations. Three inner city public elementary schools located within a one mile radius …

Nurse Faculty Mentoring: Job Satisfaction And Mentoring Of Nurse Educators In A Baccalaureate Nursing Program, Debra Bohlender Walker

Dissertations

The purpose of this study was to analyze the effects of mentoring of nursing faculty and job satisfaction with intent of nursing faculty to stay at their current academic institution. A quantitative, descriptive design was used with a convenience sampling of baccalaureate nursing faculty from three mid-central schools of nursing in the United States. A revision of Fagan's Career Development Questionnaire was distributed via SurveyMonkey to professional e-mail addresses of 172 baccalaureate level nursing faculty, both online and onsite, who do not teach in a clinical laboratory or clinical settings. The total number of returned surveys was 54. A result …

Factors Associated With Health Care Personnel Intentions To Respond To A Public Health Event, Susan B. Connor

Dissertations

Health care personnel (HCP) are an important link in emergency response. Yet, researchers have reported that not all HCP intend to respond when a public health event (PHE) occurs. Ajzen's theory of planned behavior (TPB) was the theoretical framework for this study.

The objective of this study was to explore factors associated with HCP intentions to respond to a future PHE.

A Strategic Stakeholder Management Model For The Government Of Abu Dhabi, Ali Husain Ali Jasem Makki

Dissertations

Stakeholder management (SHM) is a recent managerial discipline that has gained much importance due to the need by most organizations to achieve global competitiveness by delivering complex projects within the time, budget, and minimum risk levels while ensuring optimum quality standards. The present study deals with the principal objective of analyzing existing stakeholder management practices in Abu Dhabi government organizations and aims to propose a strategic SHM model for handling stakeholder issues within these entities. The study also evaluates the barriers and enablers to stakeholder management by revealing several gaps in SHM especially during the delivery of government services and …