Digital Commons Network^™

Free Trade And The Environment: The Nafta, The Naaec, And Implications For The Future, Tseming Yang, Ignacia S. Moreno, James W. Rubin, Russell F. Smith Iii

Faculty Publications

No abstract provided.

Mothers And Doctors' Orders: Unmasking The Doctor's Fiduciary Role In Maternal-Fetal Conflicts, Michelle Oberman

Faculty Publications

This article reframes the contemporary legal and ethical debates generated by pregnant women who resist medical advice. Presently known as "maternal-fetal conflicts," these dilemmas arise in contexts ranging from religious refusals of blood transfusions to cocaine addiction. The vast literature discussing these conflicts focuses entirely on the competing rights of mothers and fetuses, and overwhelmingly concludes that the mother's rights prevail. Entirely absent from this analysis is one of the primary parties to these conflicts - the doctor. As a result, the doctor's role in generating these conflicts is eclipsed, and one scarcely notices that these scenarios all are linked …

Reflective Choice In Health Care: Using Information Technology To Present Allocation Options, Arti K. Rai

Faculty Scholarship

No abstract provided.

The Impact On Securitization Of Revised Ucc Article 9, Steven L. Schwarcz

Faculty Scholarship

No abstract provided.

Organized Violence And The Future Of International Law: A Practitioner's View Of The Emerging Issues, Charles J. Dunlap Jr.

Faculty Scholarship

No abstract provided.

Screening For Eating Disorders Utilizing The Minnesota Multiphasic Personality Inventory, Roseann M. Woodka

Dissertations

Problem

Eating disorders, in the form of anorexia nervosa and bulimia nervosa, have been recognized as significant mental-health issues for the last three decades, and the incidence is rising as we approach the new millennium. Currently, many women who come into a mental-health setting due to depression, anxiety, low self-esteem, relationship issues, sexual issues, etc., are also struggling with eating-disordered behaviors, thoughts, and feelings. These behaviors, thoughts, and feelings may remain well hidden from the counselor throughout the course of therapy or until they become severe and more difficult to treat. Because eating disorders are very complex involving psychological, physical, …

Stepping Into The Same River Twice: Rapidly Changing Facts And The Appellate Process, Stuart M. Benjamin

Faculty Scholarship

No abstract provided.

Heterosexual Privilege And The Internal Revenue Code, Patricia A. Cain

Faculty Publications

The Internal Revenue Code privileges married couples in several different ways. Not only do certain rules offer economic benefit, but the rules also serve an expressive function by delivering a message about the value of marriage. Despite the existence of the marriage tax penalty and a handful of other rules that only benefit the traditional one-earner married couple, the Internal Revenue Code, on balance, privileges marriage over non-marriage, and thus privileges heterosexuality. This article identifies three distinctive harms to gay men and lesbians that result from this privileging of heterosexual marriage. They are: (1) the denial of specific tax benefits …

The Domestication Of International Human Rights: Non-Self-Executing Declarations And Human Rights Treaties, David Sloss

Faculty Publications

No abstract provided.

A Second Redemption?, Bradley W. Joondeph

Faculty Publications

No abstract provided.

Object Relations And Identity Disturbances In Bulimic Women, Kathy Appledorn

Dissertations

Problem. Although diagnostic criteria of bulimia center on weight- and food-related issues, eating disorders may be viewed as a response to deficits in self-regulatory functions. The purpose of this study was to investigate the relationship between the severity of bulimia, object relations, and identity. This study tested the hypotheses that women with a more severe eating pathology have high scores on object-relations disturbance as well as identity disturbance. It was postulated that women who have been assessed as having a more cohesive ego might respond to cognitive behavioral therapy while those who are assessed as having less intact ego …

Effective Middle School Teachers : Becoming "Real", Rhoda C. Sommers

Dissertations

Problem. This study looks at four effective middle school teachers' stories in order to understand the experiences and beliefs which impact their choice to use developmentally responsive classroom practices. There is general agreement in the literature concerning characteristics of effective middle school teachers, but little has been done to understand what influences these teachers to teach the way they do.

Method. A qualitative case study design was used for this study. Two male and two female middle school teachers were observed and interviewed during the course of 1 school year. Each teacher's life experiences, classroom practices, and beliefs are …

Pastoral Effectiveness : A Study Of Differences Among Comparison Groups Of Seventh-Day Adventist Clergy, Peter Swanson

Dissertations

Problem. Methods of comparison are required to evaluate pastoral effectiveness. This study was an examination of statistically significant differences among contrasted groups of clergy to identify characteristics and performance patterns associated with productivity and effectiveness.

Method. Pastors from Anglo Seventh-day Adventist churches in North America and Canada were assigned to five groups that were evaluated using the Adventist Pastor Inventory, Sixteen Personality Factor Questionnaire, Pastoral Tasks Survey, and Pastoral Tasks Questionnaire. Ministers who baptized 50 or more persons within 3 years were compared with those who baptized 10 or fewer in the same period and clergy rated most effective …

Abdication Or Delegation? Congress, The Bureaucracy, And The Delegation Dilemma, Mathew D. Mccubbins

Faculty Scholarship

No abstract provided.

Acute Care Nursing: Are Perceived Work Stressors Different For Nurses Working In Critical Care And Non-Critical?, Mary Jane Rolf

Masters Theses

The purpose of this study was to examine, using King’s Conceptual Framework, “stressful” nursing situations that might affect critical care (CC) and non-critical care (NCC) nurses in an acute health care setting. Similarities that existed between the two groups were evaluated using responses to Gray-Toft and Anderson s Nursing Stress Scale (NSS).

The sample of 131 included registered nurses and licensed practical nurses at a 300-bed acute care tertiary hospital in Northern Michigan representing two critical care areas and three non-critical care areas. The NSS, letter of explanation and waiver, and return envelope were sent to participants’ homes. Data indicate …

What Are Female University Students' Perceptions Of Their Healthcare Needs?, Kathleen K. Loose

Masters Theses

The purpose of this study was to gain a greater awareness of the self-perceived healthcare needs of female university students. An anonymous questionnaire was sent to a random sampling of the total female enrollment at a midwest university. A Healthcare Concern Score was tabulated on 230 completed questionnaires. There were 21 items identified as concerns. Students in the 17-24 year old age bracket had a higher healthcare concern score than individuals in the 24-53 year old age bracket. Orem’s Self-care Deficit Theory (1991) was the conceptual framework for this study. The majority of identified concerns fell within the category of …

Efficacy Of Sexual Assault Nurse Examiner Evidence Collection: A Northern Michigan Study, Camille J. Griswold

Masters Theses

King’s Theory of Goal Attainment provided the basis for this descriptive, two group comparison study design to determine if sexual assault evidence kits prepared by sexual assault nurse examiners (SANE) would be more complete than evidence kits prepared by non-sexual assault nurse examiners. A convenience sample of 100 evidence kits (41 SANE and 59 non-SANE) were analyzed using the Evidence Kit Audit Tool consisting of 18 questions that reflect the standards for submission of evidence.

The kits submitted by SANEs were significantly (t=5.6, df=71, p<.001) more complete (mean=93%) than those completed by non-SANEs (mean=77%). Corrected Chi-square comparisons of the two groups on whether or not individual items of evidence were complete indicated significant differences in 11 out of 18 items. A higher percentage of SANEs completed each item. Therefore, the hypothesis of sexual assault evidence kits prepared by a SANE will be more complete than sexual assault kits prepared by a non-SANE was supported.

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 …

Does The Method Of Treating Bacterial Vaginosis In Early Pregnancy Affect The Re-Occurrence Rate Near Term?, Karen Taylor

Masters Theses

There is no significant difference in the relationship between oral or vaginal metronidazole and oral clindamycin in the treatment of bacterial vaginosis (BV) in early pregnancy and the re-occurrence rate of BV at 35 to 37 weeks gestation. Treatment of BV in pregnancy has been shown to decrease the preterm delivery rate saving millions of dollars and improving the health of infants. This was a descriptive, correlational study using a retrospective chart review. A constructed checklist was used for collecting data from 186 charts.

Age, parity, and insurance were comparable in each of the three drug groups. The re-occurrence rate …

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 …

Perceived Benefits' And Barriers' Effect On Occurrence Of Exercise In Women, Denise K. Petersen

Masters Theses

Perceived benefits and barriers affect exercise occurrence. The purpose of this study was to determine the affect of perceived benefits of and perceived barriers to exercise in women, ages 20-69. A descriptive correlational design was used to determine this relationship. A convenience sample of 61 women were surveyed using the Exercise Benefits/Barriers scale, the activity section of the Health Promoting Lifestyle Profile, and demographical data. Data were analyzed using a Pearson's r correlation and an independent t-test. The hypothesis of a decrease in occurrence of exercise as perceived barriers increased and the hypothesis of an increase in occurrence of exercise …

Perceived Job Satisfaction Of Nurses Working With Unlicensed Personnel Versus Nurses Working With Licensed Personnel, Wendy J. Koopman

Masters Theses

The purpose of this study was to examine the perceived job satisfaction of nurses who worked primarily with unlicensed assistive personnel (UAP) compared to the job satisfaction of nurses working primarily with licensed personnel. A descriptive comparative study was employed using a random sample of 250 nurses registered in the state of Michigan. Data were collected using a survey methodology. One hundred three nurses responded. Data analysis included a comparison of job satisfaction of participants with the amount of time spent working with unlicensed personnel. The area of practice and level of education of the participants were also compared among …

Impact Of Attention Deficit Hyperactivity Disorder (Adhd) On Parents And Children: What Are The Lived Experiences Of A Parent With A Child With Adhd?, Deborah K. Taylor

Masters Theses

The purpose of this study was to seek a fuller understanding of and to identify and describe the underlying themes of the lived experiences of a parent with a child with attention deficit hyperactivity disorder (ADHD). The Husserelian phenomenological and Giorgi methods of research were utilized in this study. Four meanings emerged: 1) discovery, 2) searching for control, 3) struggling for normalization/overcoming obstacles, and 4) hope. The synthesized structural description of the experience that emerged was described as an emotional experience that progressed in stages that were cyclic and ongoing in nature. The data suggests that chronic sorrow, as it …

Quality Of Life In The Hospice Patient, Sidney S. Brush

Masters Theses

The purpose of this study was to determine if terminally ill patients experience a change in perceived quality of life between admission to a hospice program and after having been in the hospice program for three weeks.

A repeated measures design with a convenience sample was used The sample consisted of 56 subjects who completed the Missoula-Vitas Quality of Life Index (MVQOLI). Twenty completed the second MVQOLL Data were obtained from the scores of this self-assessment tool. Data analysis included a comparison of the relationship of the first and repeated scores. No significant differences were found between the MVQOLI scores …

The Effect Of An Osteoporosis Prevention Program On Knowledge And Self-Efficacy, Kathryn Hayter

Masters Theses

The purpose of this study was to examine the effects of an Osteoporosis Prevention Program on knowledge and self-efficacy for exercise and calcium intake. Bandura’s Self-Efficacy Model was used which describes efficacy expectations and outcome expectations as predictors of behavior.

A quasi-experimental design with pre-test and post-test was used with 32 women, age 40-62, at an urban outpatient center. The experimental group attended an Osteoporosis Prevention Program.

There were significant post-test differences between groups for osteoporosis knowledge and osteoporosis self-efficacy for calcium intake but not for osteoporosis self-efficacy for exercise. Additionally, paired t-tests found a significant improvement in scores pretest …

Concurrence Of Decreases In Barometric Pressure And Spontaneous Rupture Of Membranes In Term Gravid Women, Linda M. Owen

Masters Theses

A retrospective design was used to examine the relationship between spontaneous rupture of membranes in term gestation gravid women and decreased barometric pressure of ten millibars or greater in the twenty-four hours proceeding the rupture of membranes. Delivery logbooks and charts of all women who were admitted to a Midwestern Hospital in 1997-1998 with spontaneous rupture of membranes (N-533) were examined and data from the Midwest Climate Center was utilized to determine the changes in barometric pressure within the twenty-four hours proceeding the documented rupture of membranes.

No correlation was elucidated between the timing of spontaneous rupture of the amniotic …

Adolescent Knowledge About The Relationship Between Exercise And Prevention Of Osteoporosis, Alice M. Padilla

Masters Theses

The purpose of this study was to assess the intact of an educational intervention on adolescent knowledge concerning exercise as an osteoporosis preventive behavior. This study examined whether there was a knowledge gain in each group (girls and boys) after receiving the education intervention and it investigated the difference in knowledge gain between groups.

This was a secondary analysis of data from a study that used a pre-experimental pretest-post-test, no control group design. There were 82 boys and 102 girls who completed the Healthy Bones Knowledge Questionnaire as a pre-test, received an education intervention based primarily on nutrition, then completed …

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 …