Digital Commons Network^™

An Examination Of Collaborative Practice In Anesthesia Care Team Settings And Occupational Stress In Nurse Anesthetists, Steve Louis Alves

Open Access Dissertations

The purpose of this study was to provide a comprehensive understanding of the nature of certified registered nurse anesthetist (CRNA) scope of practice (SOP), collaboration with anesthesiologists in anesthesia care team (ACT) settings, and occupational stress. A critical philosophy viewpoint serves as a broad perspective in understanding the depiction of domination and conflict between CRNAs and anesthesiologists in ACT environments. The theoretical basis for this study was derived from the quality of nursing practice framework, with an elaboration of the process component to examine CRNA's scope of practice, collaboration between CRNAs and anesthesiologists, and role-related occupational stress. A mailed survey …

Breast Cancer Experiences: Women's Reflections Years After Diagnosis, Margaret Barton-Burke

Open Access Dissertations

Many women diagnosed with breast cancer m the last decade are either living with active treatment for the disease or are classified as cured but living with the sequelae of the disease or treatment. Most research has been on the physical aspects of the disease and conducted during or immediately after active treatment. Information beyond the physical dimension of women's experiences is small and narrowly focused, and research beyond 5 years is almost nonexistent. A full depiction of the multidimensional nature of being diagnosed with, treated for, recovering from, and living with the aftermath of breast cancer is lacking. The …

Peer Group Instructional Conversation: Collaboration In Context, Linda Greene Capalbo

Open Access Dissertations

American schools traditionally have reflected and promoted societal values of autonomy and independence in the development of the individual child. This limited perspective on how humans come to know focuses on the accrued cultural capital of each learner and neglects the role of 'the other' in the construction of meaning. Such a view can be especially debilitating for students who have been identified as marginal learners. This study examines how social interaction organizes participation opportunities and strategies for members of a peer learning group, including a student designated language learning disabled. The study documents the development and negotiation of individual …

An Exploratory Study Of The Effects Of A Training Program On The Ability To Prepare A Breakfast Meal By Clients With Mild Alzheimer's Disease, Alicia J. Curtin

Open Access Dissertations

Alzheimer's disease (AD) is characterized by the insidious onset of an array of cognitive deficits that progress over time and lead to changes in an individual's ability to even perform simple tasks, such as preparing meals. Recently, researchers have demonstrated that clients with mild AD have preserved procedural memory function despite significant cognitive deficits. Procedural memory is an automatic, unconscious process, requiring practice and repetition to activate the particular structures involved in learning tasks. Skills training is a strategy using repetition and practice to enhance the client's ability to perform a certain task. An exploratory design using direct observation and …

An Exploration Of The Nature Of Nursing Practice Related To The Presence Of Visitors In The Critical Care Setting, Mary E. Mcginn Farrell

Open Access Dissertations

The need for and importance of visiting hours for relatives of critically ill patients has been well documented and passionately debated in the nursing literature for many years. Nurses tend to be the primary gatekeepers in the ICU yet little empirical knowledge exists related to the phenomenon of visiting from the perspective of the bedside nurse. A three-phase qualitative research investigation was undertaken with eight critical care nurses identified by managers as being experts at working with families. Data were gathered using participant observation, interviews and document review. Three research questions guided this investigation: (1) How do expert nurses incorporate …

A Friend Of Edward's: Identity, Homosexuality, And The Literature Of Edward Ii, 1300-1630, Michael Gary Cornelius

Open Access Dissertations

England's King Edward II is a figure handed down throughout history largely because of his same-sex relationships. Medieval and Renaissance authors did not choose to write about Edward II in spite of his same-sex desires, but, rather, because of them; in essence, to explore issues surrounding same-sex relationships, these writers chose Edward II as their representational figure because his name was already inextricably linked with these desires. In doing so, these authors--including Adam Davy, John Lydgate, John Barbour, Christopher Marlowe, Michael Drayton, Francis Hubert, and Elizabeth Cary--create a genre of queer literature that extends back seven centuries and that, in …

The Nature Of Infant Relinquishment As Described By Two Voices: The Relinquishing Mother And The Obstetrical Nurse, Linda Jean Kobokovich

Open Access Dissertations

Little is known about the relinquishment experience and nursing interventions for infant relinquishment. The purpose of this study was to first, describe in the birth mother's voice, the relinquishment experience and her perception of nursing interventions, while second, creating an inventory of nursing interventions. Kim's (2000) Practice Domain provided the theoretical background. This two-phase study used an inductive, qualitative approach and employed a mixed method design of semi-structured interview and focus group interview. The interview was crafted upon the interview style of McCracken (1988) and Spradley (1969) while focus group methodology as detailed by Morgan (1993, 1996) guided the second …

A Participant Observation Study Of Experienced Nurses' Presence In Daily Care, Paulette Anne Osterman

Open Access Dissertations

As important as presence is to nursing, it often lacks conceptual clarity and systematic empirical observation in nursing practice. However, in the few qualitative studies with presence as a focus researchers have not considered both nurse and patient in interaction in present time nor included the nature of the patient's perception of the nurse's presence. In an earlier project in a long-term care setting, nurses were observed to be present in more than one way (presence, partial presence, full presence, and transcendent presence). In addition, nurses' employed presence for assessing impending health care changes early in the shift, and used …

One Step Forward, Two Steps Back: Making Change In Early Head Start, Patrice W. Hallock

Doctoral Dissertations

This is a field study of families and home visitors in Early Head Start. Its purpose is to understand the social context of infants born into poverty and to understand the home visiting relationship when families receive intervention services from home visitors who are socially and economically different. Two questions were posed: First, how do socially and economically diverse families perceive infant well-being? Second, what is the experience of families who participate in Early Head Start? The study used interviews, participant observation, and cultural interpretation to understand the perspective of participant families.

The study provided evidence that economically and socially …

The Availability Heuristic In Judgments Of Research Findings: Manipulations Of Subjective Experience, Michele A. Shams

All Volumes (2001-2008)

Previous studies have demonstrated that what is easy to call to mind will influence judgments. The impact of a person's subjective experience was tested for its influence on judgments of social psychological research findings. Eighty three college students generated examples of 40 research findings. Students subsequently judged the ease with which the examples came to mind and the probability of experiencing similar examples. Students then evaluated the obviousness and importance of and their interest in the research outcomes. Students also provided demographic information and indicated their previous knowledge in psychology. In the current study, the ease with which examples of …

An Examination Of Collaborative Practice In Anesthesia Care Team Settings And Occupational Sress In Nurse Anesthetists, Steve Louis Alves

Open Access Dissertations

The purpose of this study was to provide a comprehensive understanding of the nature of certified registered nurse anesthetist (CRNA) scope of practice (SOP), collaboration with anesthesiologists in anesthesia care team (ACT) settings, and occupational stress. A critical philosophy viewpoint serves as a broad perspective in understanding the depiction of domination and conflict between CRNAs and anesthesiologists in ACT environments. The theoretical basis for this study was derived from the quality of nursing practice framework, with an elaboration of the process component to examine CRNA' s scope of practice, collaboration between CRNAs and anesthesiologists, and rolerelated occupational stress. A mailed …

Exercise Behavior In Older Adults: Processes Of Change, Andrea Mainardi

Open Access Master's Theses

Despite the significant health and quality of life benefits of exercise, more than 40% of the older adult population in America do not participate in any dedicated physical activity. As the number of older adults grows, it becomes increasingly important to meet the public health challenge to help seniors adopt and maintain exercise behavior in order enhance the overall well being of this population. The purpose of this study is to qualitatively explore the applicability of the Transtheoretical Model of Behavior Change with respect to exercise adoption and maintenance among older adults and to identify the processes of change used …

An Examination Of The Nature Of Reading Fluency, Emily D. Russell

Open Access Dissertations

The present study attempted to investigate the underlying cognitive and linguistic skills necessary for three different aspects of reading fluency: rate, phrasing, quality of expression. The variance accounted for by each of these skills on measures of reading comprehension was also evaluated. Oral reading skills of third and fourth-grade normal readers were assessed on narrative passages within each participant's independent reading level (i.e., fewer than two percent word reading errors). Results indicated similarities in the cognitive and reading skills necessary for rapid reading and appropriate phrasing. Specifically, word recognition was the strongest predictor in both cases. However, oromotor accuracy and …

Female Coping With Cardiac Rehabilitation After A Cardiac Event: A Qualitative Study, M. Patricia Burnside Quigley

Open Access Dissertations

Coronary heart disease is the leading cause of death in American women. Cardiac rehabilitation can reduce cardiac risk, but women underutilize cardiac rehabilitation. Research has not described how women who do participate cope with integrating cardiac rehabilitation into their lives. The purpose of this research study was to explore women's coping with a Phase II (12-week) cardiac rehabilitation program by analyzing interview data for common elements and other ways of coping. A secondary purpose was to explore to what extent the women's descriptions in their interviews corresponded with Lazarus' theoretical concepts of appraisal and coping. The purposive sample was comprised …

Help-Seeking Behaviors Among Latino And Latina College Students, Cecilia Maria Duarte

Open Access Dissertations

This study examines the ethnocultural and social factors, which impact the psychological well being and help-seeking behaviors among Latino and Latina client and non-client college populations. Latino/a help-seeking is commonly described as "crisis usage," and underutilization of counseling services has been attributed to cultural and social barriers. The underrepresentation of Latinos in higher education and in counseling centers nationally has led to speculation, of the ethnocultural perceptions of help-seeking among Latino and Latina college students. This research utilized quantitative methods in two studies to address the lack of comprehensive examination of this crisis phenomenon. The first study compared the presentation, …

An Analysis Of The Predictive Power Of The Transtheoretical Model Of Behavior Change Applied To Dietary Fat Intake, Julie A. Wright

Open Access Dissertations

The present research was designed to advance the theory and science of health behavior change by evaluating one of the most commonly used behavior change theories, the Transtheoretical Model (TTM). Two criteria were selected for evaluation, empirical adequacy (predictive power) and generalizability of the TTM to dietary fat intake. Predictive power was evaluated by testing evidence-based a priori predictions. Generalizability was evaluated by testing a priori predictions founded on smoking data and tested on diet data. Longitudinal data from a large scale randomized control trial on adults recruited from primary care practices were used to test a priori predictions of …

A Proposed Model Of Medical Staff-Family Communication In The Context Of Cancer: Psychometric, Model And Mediational Testing, Dana Anne Gionta

Open Access Dissertations

This dissertation extends our knowledge of the relationships among complex communication variables involved in medical staff-family member communication in the context of adult cancer. It does this in three ways. First, communication variables are quantified using qualitative data from previous studies in the area of cancer, communication and the family to provide a more systematic means of studying these variables. Manuscript 1 examines the psychometric soundness of these instruments with results indicating a single factor structure for each instrument, preliminary evidence for construct and content validity and good to excellent internal consistency (.77, .91, .93., .97). Second, a model of …

Individual Differences In Toddler Emotion Coping: The Impact Of Temperament And Socialization Experiences On Regulation Development, Elena Mirsky

Open Access Dissertations

The current study explores the expression of emotion coping behaviors in the developmental context of temperamental and socialization experiences. 45 30- month-olds, whose families were involved in a larger longitudinal study, participated in a laboratory assessment including 4 contexts designed to provide an experience of stress for the child. Child coping behaviors were coded according to a system by Grolnick (1996) which rates behaviors along a continuum of adaptiveness from focusing on the course of frustration, to self-comforting and other-directed behaviors, to behavior that is re-oriented toward the environment. Correlations were run between coping data and data on child temperament …

When The Cure Is Worse Than The Disease: America's Failed War On Drugs, Peg Solomon

Public Interest Law Reporter

No abstract provided.

Child Sexual Abuse And Assault In Chicago: The Rest Of The Dismal Iceberg, Michael J. Howlett Jr.

Public Interest Law Reporter

No abstract provided.

Lessons From Martin: The Ada And Athletics Don't Mix, Thomas E. Green

Journal of Law and Health

Martin is a professional golfer in his twenties who is stricken by Klippel-Trenaunay-Weber Syndrome. This disability makes it medically impossible for him to play golf without the use of a golf cart. Martin sued the PGA Tour in 1997 after his request to use a golf cart in a tour event was denied. The U.S. Supreme Court affirmed the Ninth Circuit's ruling allowing Martin to use a golf cart for PGA events. In another case, after initially allowing the golfer, Olinger, to compete in the qualifying rounds, the District Court, and subsequently the Court of Appeals for the Seventh Circuit, …

Afsc And The Terrorist War, J. William Frost

Religion Faculty Works

No abstract provided.

Word Is Born: Critical Gaps And The Poetics Of Hip-Hop, Kabir Hamid

Honors Papers

I grew up listening to hip-hop music. Although I lived across the country from its birthplace, I would immerse myself in its sounds during the day and especially at night when my brother would play tapes before we fell asleep in our bunk beds. At a certain point in high school, I became obsessed with the music's lyrics. I was continually astonished by the cleverness, rhyme ability and edginess of the emcees I listened to. My admiration for hip-hop music developed alongside my admiration for the great authors I was reading at that time: F. Scott Fitzgerald, Herman Hesse and …

All Hands Withdrawn: Touch And The Failure Of Intimacy In A Passage To India And The Pisan Cantos, Douglas Diesenhaus

Honors Papers

Have there ever been two more dissimilar writers in literary history than E.M. Forster and Ezra Pound? Forster, fatherless from the age of twenty-two months, educated in the British public school system and at Cambridge, influenced by the Apostles and the Bloomsbury group, wrote from within the shaping pressures of English tradition. In pictures and paintings, he appears always out of place or fatigued, with his head falling back against a cushion or chair. With his slight build, dainty style, and small, roundish head projecting forward into his nose, he fails to cut much of a figure next to the …

African-American In Texas: The Nineteenth Century Legacy, George C. Wright

President Emeritus George C. Wright Speeches

No abstract provided.

The Challenge Of Absent Presence, Kenneth J. Gergen

Psychology Faculty Works

“Let your home know where your heart is.” (Billboard advertisement for cellular phone) The setting is a retirement home for the elderly. Wilfred enters the veranda in search of two close friends. He is in luck, they are both present. But alas, one is lost to her Walkman and the other is engrossed in his book. Neither notices Wilfred's presence. Frustrated, Wilfred is left to stare silently into space. Such is the beginning of Ronald Harwood's London play, Quartet. Young or old, we instantly identify with the scene. How often do we enter a room to find family, friends or …

"Our Mosquitoes Are Not So Big": Images And Modernity In Zimbabwe, Timothy Burke

History Faculty Works

No abstract provided.

Washington University Magazine, Fall 2002

Washington University Magazine

No abstract provided.

Mind And Heart 2002, Whitworth University

Mind and Heart Newsletter

No abstract provided.

Commencement Program 2002, Whitworth University

Commencement Programs

Undergraduate Commencement exercises of Whitworth College in May 2002.