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A Mixed Methods Study Of The Symptom Experience Following Endovascular Treatment For Lower Extremity Peripheral Arterial Disease, Serena Greenhaw Gramling

Dissertations

Peripheral arterial disease (PAD) is one of the most understudied and undertreated diseases affecting three to ten percent of the general population. Patients with lower extremity PAD must manage multiple symptoms including pain in the hips, thighs, and calves during rest and physical activity. However, evidence is limited about patients' experience, especially following treatment. The purpose of this mixed methods study was to explore the symptom experience of individuals with peripheral arterial disease following endovascular treatment including perceptions of treatment benefit and concerns.

An Analytical Guide To Gonzalo Vidal’S Suite De La Postguerra [Post-War Suite], Jairo Garcia Valencia

Dissertations

ABSTRACT

Although Gonzalo Vidal (1863-1946) is arguably one of the most influential Colombian composers, sadly his music has been forgotten and remains unknown. Unfortunately, little is known about his work as a pianist, composer, teacher, capellmeister, conductor, and even as a writer of prose. Even though Vidal has a vast catalogue of works, the majority of which is piano music, his fame is limited to being known as the composer of the anthem of the department of Antioquia.

The purpose of this document is to focus on Vidal’s last piano compositions, which were a set entitled Suite de la Postguerra …

Shining A Light: Compassion Fatigue In Psychiatric Nursing And Nursing Students, Kathryn M. Chachula

Dissertations

Low levels of compassion satisfaction (CS) and high levels of compassion fatigue (CF), comprised of burnout (BO) and secondary traumatic stress (STS), have been identified as a serious concern among students within health science disciplines.

To conduct a cross-sectional survey to determine what factors are related to the development of BO and STS within a pre-licensure health studies student population of undergraduate nursing and psychiatric nursing disciplines, groups that have seldom been studied.

Humanizing The Inhumane: The Meaning Of The American Indian Patient-Cancer Care Nurse Relationship, Natalie M. Pool

Dissertations

This study described the unique relationships that develop while providing cancer care to AI populations and the underlying meaning that nurses ascribed to these experiences. Methods: This was an interpretive phenomenological study with multiple data collections and analysis. Nine cancer care nurses with a minimum of three years of experience working with AI patients participated by engaging in 2-3 exploratory, open-ended, reflective interviews over a period of nine months. Thematic reduction was completed to explicate the fundamental structures of this particular relationship. I then engaged in extensive reflective writing resulting in a linguistic transformation illuminating the essential meaning for nurses …

Evaluation Of A School Nurse-Led Intervention For Children With Severe Obesity In New York City Schools, Krista Schroeder

Dissertations

Severe childhood obesity, the fastest growing subcategory of childhood obesity, affects 4-6% of youth. Children from racial/ethnic minority groups and low income households are disproportionately affected. Severe obesity increases risk for metabolic syndrome, cardiovascular disease, non-alcoholic fatty liver disease, musculoskeletal problems, poor health-related quality of life, bullying, low self-worth, absenteeism, and adult obesity. One method of addressing childhood obesity is through school-based interventions. School nurses may be well-suited to lead obesity interventions because of their healthcare expertise, long-term relationships with students and families, and availability to students without financial burden.

An Historical Analysis Of The Frontier Nursing Service: History, Organization And The Changing Culture Of Care, Edith A. West

Dissertations

Mary Breckinridge established the Frontier Nursing Service (FNS) in a poor, rural, underdeveloped area of the Appalachian Mountains of Eastern Kentucky in 1925 and in so doing, marked the first effort to professionalize midwifery in the United States (US). Since its inception in 1925, the FNS has survived many challenges and still exists today. This historical analysis of the FNS' s 'early years' (1925-1960) yields valuable insights into not only on how such a remarkable feat was achieved but also on how these insights could benefit nurses today. The contemporary nursing profession is struggling with many of the same internal …

The Lived Experience Of Nurse Practitioners In Independent Practice, Annmarie Waite

Dissertations

The purpose of this qualitative phenomenological study was to explore the lived experience of Nurse Practitioners in independent practice. The aim was to give NPs a voice to express their individual experience, provide an inductive description of the lived experience, and gain understanding of the essence of being an independent practitioner. Philosophical Underpinning: This qualitative study was guided by the hermeneutic phenomenological approach of Max van Manen (1990).

Invisible Influence: Exploring Nurses' Interactions With Industry In Clinical Practice, Quinn H. Grundy

Dissertations

The purpose of this multi-sited, ethnographic study was to explore whether and how registered nurses (RNs) interact with medically-related industry in clinical practice.

African American Elementary School Principals' Perspectives Of The African American Student Achievement Gap, Lisa Broomfield

Dissertations

Purpose: The purpose of this phenomenological study was to identify and describe the strategies implemented by African American elementary school principals in Riverside County, California to close the achievement gap that exists for African American students using the CASEL SEL core competencies: (a) self-management, (b) self-awareness, (c) social awareness, (d) relationship skills, and (e) responsible decision making.

Methodology: A qualitative research design was chosen for this phenomenological study. A phenomenological study was used to study the lived experiences of TK-6 African American Principals. This technique involves the use of interviews, “directed toward understanding their perspectives on their everyday lived experience …

The Effect Of Consistent Operating Room Nursing Teams On Operating Room Nurses' Perceptions Of Job Stress, Group Cohesion, Conflict, Job Satisfaction And Anticipated Turnover, Ellen Cram

Dissertations

The purpose of this study was to examine the relationships among the type of OR assignment and OR nurses' perceptions of job stress, group cohesion, interpersonal conflict, job satisfaction and anticipated turnover. The Hinshaw and Atwood theoretical model of anticipated turnover guided this research. It was postulated that nurses who worked in consistent teams would have lower job stress, higher group cohesion, less conflict, greater job satisfaction and lower anticipated turnover.

The Influence Of Nurse Manager Leadership Style Factors On The Perception Of Staff Nurse Structural Empowerment, Work Engagement, And Intent To Stay, Jennifer Moody Manning

Dissertations

Healthcare is facing many challenges which impact all practice settings. Both nurse managers and staff nurses play critical roles in overcoming the challenges faced in healthcare today. Staff nurses are intimately involved in providing care to their patients but not always involved in the decisions impacting care delivery (Health Resources and Services Administration (HRSA), 2010; Institute of Medicine (IOM), 2010). Evidence has shown when staff nurses are not engaged and empowered in their work they are more likely to become dissatisfied in their job resulting in increased turnover and adverse patient outcomes (Hauck, Griffin & Fitzpatrick, 2011; Jenaro, Flores, Orgaz …

Implementing The Richmond Agitation-Sedation Scale To Assess Delirium In A Pediatric Icu, Leigh Paridy

Dissertations

Purpose: The purpose of this quality improvement project was to establish early identification of delirium in the intensive care setting to reduce the impact of long-term patient outcomes. Description of project: A retrospective-prospective medical chart review was completed. The retrospective chart review looked at fifty-two patients admitted to the pediatric intensive care unit (PICU) between October 1, 2020 and December 1, 2020 for patient demographics and State Behavior Scale (SBS) and the Cornell Assessment for Pediatric Delirium (CAPD) charting compliance especially with children with developmental delay and those with a high susceptibility to delirium. The prospective chart review looked at …

Senior Nursing Students' Knowledge, Attitudes, And Perceived Competency About Older Adults, Deborah Denise Brabham

Dissertations

Nurses entering the workforce may have limited education in gerontological nursing. Therefore, many nurses are unprepared to provide quality care to older adults. An unprepared nursing workforce could negatively influence older adults' health outcomes and care experience.

To determine differences in senior nursing students' knowledge, attitudes, and perceived competency about older adults based on enrollment in a bachelor of science in nursing degree (BSN), associate's degree nursing (ADN), and practical nursing (PN) program that offers geriatric content in curricula.

Giving Up Their Place In The Walls: The Lived Experience Of Community College Nursing Faculty Who Leave The Profession Of Teaching, Cherry A. Karl

Dissertations

Community college nursing faculty members are essential to the continuation and growth of the profession of nursing. Every loss of a nursing faculty member represents an even greater loss to the practice of nursing within the health care system. Previous research has documented the serious and inter-related shortage of both nursing professionals and nursing faculty. This phenomenological study explores the underlying themes leading to the decisions made by nursing educators to leave the practice of teaching, and presents strategies for preserving and strengthening the position of nursing faculty within the community college. The guiding question for this inquiry is: "What …

The Self-Directed Goal Theory Experiment: A Mixed Methods Study Of Personal Development Goal-Setting Programs And Self-Efficacy, Tara N. Strickland

Dissertations

Andragogy is not dead; it may be simply lying dormant until its essential component, self-directed learning, revives it again. The fact is that self-directed learning can be formal or informal. This mixed methods study explored the informal side of self-directed learning, concentrating on self-help (a popularized form of personal development goalsetting). Despite a thriving self-help market, several personal development goal-setting programs focus more on goal achievement, little on goal planning, and even less on the individual. A comparative analysis of autonomous, guided, and self-directed personal goal-setting programs determined if self-directedness maximizes self-efficacy. Additionally, the researcher’s original Self-Directed Goal Theory and …

Violation Of Personal And Professional Nursing Values: Six Case Studies Of Nurses Who Have Left Nursing, Robert James Muster

Dissertations

Registered Nurses (RNs) comprise the largest group of health care providers in the US. The shortage of RNs is expected to worsen to 29% by 2020. Many nurses depart practice prior to retirement. Previous research has linked professional turnover to various aspects of job satisfaction.

This study sought to understand and describe the decision to leave nursing.

Coping Strategies, Social Support, And Self-Care Among Young Women With Pelvic Inflammatory Disease, Jessica L. Tillman

Dissertations

Pelvic inflammatory disease (PID), a spectrum of inflammatory disorders of the female upper genital tract, is a serious complication of sexually transmitted infections (STIs) that may lead to chronic pelvic pain, ectopic pregnancy, and tubal infertility. Although PID treatment is critical for the preservation of fertility and health-related quality of life, many young women diagnosed with PID do not fully adhere to treatment recommendations. Interventions focused on clinician practices, patient education, and behavioral modeling have generated limited improvements in outpatient PID treatment adherence among young women, thereby suggesting the influence of other determinants, such as psychosocial factors. Coping and social …

A Quality Improvement Project To Assess Anxiety Of Family Members Who Receive Standard Communication During The Intraoperative Period, Ashlie E. Sinclair

Dissertations

Introduction: The waiting period for surgical patients' family members can be stressful, causing increased frustration and fear. Most patients and families do not regularly experience the surgical environment in the same way that the operating room (OR) staff do, making this area unfamiliar. If there are inconsistent and insufficient information provided to the family, anxiety levels may increase. It is essential that staff attend to family members' needs while the patient is in surgery. The evidence is overwhelming that structured patient status updates to family members and varying waiting room techniques are critical in decreasing their anxiety.

Methods: This quality …

The Experiences Of Cancer Nurses' Existential Care In Response To The Threat Of Patients' Mortality Within The Culture Of Care, Doris Yuet Lan Leung

Dissertations

Patients are living longer with many types of cancer; however, often they face sudden possibilities of dying, not only due to their advancing illness but due to complications of their treatment. Consequently, they can express substantial existential distress. Nurses' close proximity to patients puts them in an ideal place to assess and engage with patients' existential distress; yet this kind of research has been scarce. The purpose of this doctoral thesis was to explore nurses' experiences of being with patients facing the threat of mortality.

Communication Of Prognostic Information In An Icu At End Of Life: Practices Among And Between Nurses, Physicians And Family Members, Karen Marie Gutierrez

Dissertations

Ethnographic study analyzing prognostic communication at end of life in ICU between/among family members of patients at high risk for death and critical care physicians and nurses.

(1) What are the communication practices of prognostic information at end of life between and among critical care nurses, physicians, and family members in ICU throughout patients' trajectories?; (2) "What are the social, institutional, professional, and political influences which shape these practices?"

The Meaning Of Immigrant Women's Experience Of Childbirth For The First Time In A United States Hospital, Carole A. Lorup

Dissertations

The increasing population of immigrants in the United States is largely comprised of immigrant women, whose first contact with the health care system is often to seek maternity care. The literature suggests that immigrant women frequently do not receive the same quality of care and satisfactory experiences from maternity care as their native population counterparts. This study described the experience of maternity care from the perspective of immigrant mothers who gave birth in the United States for the first time. A purposive sample of mothers, who were born outside of the United States, and who have given birth to a …

The Meaning Of Informal Bmt Caregiving, Loretta A. Williams

Dissertations

The aims of this qualitative descriptive exploratory study were to (1) describe informal caregiver commitment in informal caregiving; (2) describe caregiver expectations in informal caregiving; (3) describe caregiver role negotiation in informal caregiving, (4) identify other important caregiver energy sources; and (5) refine the conceptual model of Informal Caregiving Dynamics based on the study results.

Human 5’-Tailed Mirtrons Are Processed By Rnasep, Mohammad Farid Zia

Dissertations

Approximately a thousand microRNAs (miRNAs) are documented from human cells. A third appear to transit non-canonical pathways that typically bypass processing by Drosha, the dedicated nuclear miRNA producing enzyme. The largest class of non-canonical miRNAs are mirtrons which eschew Drosha to mature through spliceosome activity. While mirtrons are found in several configurations, the vast majority of human mirtron species are 5’-tailed. For these mirtrons, a 3’ splice site defines the 3’ end of their hairpin precursor while a “tail” of variable length separates the 5’ base of the hairpin from the nearest splice site. How this tail is removed is …

Psychological Empowerment And Job Crafting Among Registered Nurses Working In Public Health In Ontario, Canada, Rebecca Ruth Harbridge

Dissertations

In this study, the relationship between psychological empowerment (PE), an intangible sense of feeling powerful from within, and job crafting (JC), proactively adjusting one's job by changing its core job characteristics, was examined among Ontario registered nurses (RNs) working in public health. Past research suggests PE and JC are associated with motivation and engagement. Yet, there are few PE studies and no JC studies in public health. There are also no studies that examine the PE and JC relationship of nurses in any health care setting.

Perceptions Toward A Restraint-Free Practice: A Case Study, Suzanne Barnum Goetz

Dissertations

The importance of reducing the use of psychiatric-mental health mechanical restraints has been the focus of clinical nursing practice. A hospital with two psychiatric-mental health units has demonstrated a sustained success related to reducing mechanical restraints. In this qualitative case study, nurses were interviewed to understand how the reduction of mechanical restraints on the psychiatric-mental health units impacts the practice culture and the perception of the psychiatric nurses toward a mechanical restraint-free practice. This study provided new knowledge related to evidence from the psychiatric-mental health nursing practice, themes of barriers, and facilitators toward a restraint-free practice. The participants describe the …

The Lived Experience Of Latina Women Giving Birth In The United States, Ana-Maria Gallo

Dissertations

As the Latino community continues to grow in the United States, it is essential that cultural considerations be addressed, particularly in health care. Cultural assessment is of the utmost importance when trying to understand the phenomena of childbirth. Childbirth is one of the most significant events in a woman's life. It is complicated when giving birth in a country other than one's own. Therefore, it is crucial to comprehend and appreciate how culture influences the birth experience. Nurses play an essential role in assisting women of diverse cultures to fulfill their expectations regarding traditions, beliefs, and practices regarding childbirth. The …

Coping With Addiction: A Case Study Exploring The Needs Of Struggling Substance Abuse Addicts, Shelly Wims

Dissertations

The purpose of this qualitative case study was to explore the current State Targeted Response (STR) Program in a Midwest recovery program that addressed increases in opioid abuse and barriers to recovery. The study sought to answer how substance abuse counselors detected and addressed potential barriers, if any, to addiction recovery; whether substance abuse counselors sought any need for improvements within the STR to reduce relapse; how counselors addressed the social aspects of addiction; whether counselors addressed the factors influencing addiction relapse; and whether counselors collected feedback from clients concerning their perception of the effectiveness of treatment in preventing addiction …

Newly Graduated Registered Nurses' Perceptions About And Use Of Principles Of Palliative Care In Acute Care Settings: An Interpretive Phenomenology Study, Latrina T. Geyer

Dissertations

The terms serious or life-threatening illness now included in current palliative care literature indicate the broadened scope of palliative care. However, the change in defining terminology has not consistently translated to a broadened understanding or advanced clinical practice for many healthcare professionals in acute care settings. The purpose of this research study was to discover NGRNs' perceptions, meanings, and use of principles of PC for seriously ill patients in acute care settings. The research question for this study was: What are NGRNs' lived experiences of providing PC for seriously ill patients in acute care settings?

Impact Of Water, Hygiene And Sanitation On Medication Adherence Intention Among Hiv Positive Women Enrolled In Option B+ Treatment Regimen In Zambia, Jerry John Yao Nutor

Dissertations

Mother-to-child transmission (MTCT) of HIV is a major problem in sub-Saharan Africa despite increasing availability of free and subsidized antiretroviral treatment (ART); MTCT can be significantly reduced provided pregnant and breastfeeding mothers adhere to prescribed regimens. Access to potable water and adequate sanitation is a major problem in low-resource countries including Zambia, located in sub-Saharan Africa. This study investigated the influence of water hygiene and sanitation (WASH) on ART adherence intention among HIV positive women enrolled in Option B+ regimen, the current World Health Organization recommendation for low resource countries.

Climate Control: Does Caring Really Matter?, Wendy A. Dubose

Dissertations

In an attempt to address healthcare disparities, nursing programs have been charged with increasing success rates of minority students to increase diversity within the profession. Despite an upsurge in enrollment numbers of minority students in nursing programs, attrition rates are higher for minority students as compared to majority students. Persistence is paramount for minority students to overcome barriers encountered while pursuing an education in nursing. Perceptions of faculty caring behaviors may heighten nursing students' academic self-efficacy.