Digital Commons Network^™

ผลของโปรแกรมการจัดการตนเองต่อสมรรถภาพปอดของผู้ป่วยสูงอายุโรคปอดอุดกั้นเรื้อรัง, นาตยา จิรัคคกุล, จิราพร เกศพิชญวัฒนา

Journal of Nursing Research, Innovation, and Health

วัตถุประสงค์: เพื่อเปรียบเทียบสมรรถภาพปอดของผู้ป่วยสูงอายุโรคปอดอุดกั้นเรื้อรังก่อนและหลังของการเข้าร่วมโปรแกรมการจัดการตนเอง และเปรียบเทียบระหว่างกลุ่มที่เข้าร่วมและไม่ได้เข้าร่วมโปรแกรมการจัดการตนเอง\n \nแบบแผนงานวิจัย: กาวิจัยแบบกึ่งทดลอง\n\nวิธีดำเนินการวิจัย: กลุ่มตัวอย่างเป็นผู้ป่วยสูงอายุโรคปอดอุดกั้นเรื้อรังที่มีระดับความรุนแรงของโรคอยู่ในระดับ 2-3 จำนวน 40 คน ที่มารับการรักษาแผนกตรวจผู้ป่วยนอก หน่วยโรคปอด โรงพยาบาลจุฬาลงกรณ์ แบ่งเป็นกลุ่มทดลอง 20 คน และกลุ่มควบคุม 20 คน จับคู่ในด้าน เพศ อายุ ระดับความรุนแรงของโรค และชนิดของยารักษาโรคปอดอุดกั้นเรื้อรัง กลุ่มทดลองได้รับโปรแกรมการจัดการตนเอง เป็นระยะเวลา 8 สัปดาห์ และกลุ่มควบคุมได้รับการพยาบาลตามปกติ เครื่องมือที่ใช้ในการทดลอง ได้แก่ โปรแกรมการจัดการตนเองที่สร้างขึ้นโดยใช้แนวคิดการจัดการตนเองของ Bourbeau (2008) ประกอบด้วย แผนการสอน คู่มือการจัดการตนเอง และวีดิทัศน์การบริหารการหายใจและการออกกำลังกาย ซึ่งผ่านการตรวจสอบความตรงตามเนื้อหาจากผู้ทรงคุณวุฒิ 5 คน เก็บรวบรวมข้อมูลโดยใช้เครื่องตรวจสมรรถภาพปอด วัดความเร็วสูงสุดของลมหายใจออก (Peak expiratory flow rate: PEFR) วิเคราะห์ข้อมูลโดยหาค่าเฉลี่ย ร้อยละ ส่วนเบี่ยงเบนมาตรฐาน และสถิติทดสอบที\n \nผลการวิจัย: 1) สมรรถภาพปอดของผู้ป่วยสูงอายุโรคปอดอุดกั้นเรื้อรัง ภายหลังได้รับโปรแกรมการจัดการตนเองสูงกว่าก่อนได้รับโปรแกรมจัดการตนเอง อย่างมีนัยสำคัญทางสถิติที่ระดับ .05\n2) สมรรถภาพปอดของผู้ป่วยสูงอายุโรคปอดอุดกั้นเรื้อรังภายหลังการทดลอง กลุ่มที่ได้รับ\nโปรแกรมการจัดการตนเองสูงกว่ากลุ่มที่ได้รับการพยาบาลปกติอย่างมีนัยสำคัญทางสถิติที่ระดับ .05\n \nสรุป: โปรแกรมจัดการตนเองส่งผลให้ผู้ป่วยสูงอายุโรคปอดอุดกั้นเรื้อรังมีสมรรถภาพปอดดีขึ้นและดีกว่าการพยาบาลตามปกติ\n

ประสบการณ์การเป็นพยาบาลผู้ป่วยเด็กวิกฤต, อิศรา คำนึงสิทธิ, สุชาดา รัชชุกูล

Journal of Nursing Research, Innovation, and Health

วัตถุประสงค์: เพื่อศึกษาประสบการณ์การเป็นพยาบาลผู้ป่วยเด็กวิกฤต\n \nรูปแบบงานวิจัย: การวิจัยเชิงคุณภาพแบบปรากฏการณ์วิทยาเชิงตีความ\n \nวิธีดำเนินการวิจัย: ผู้ให้ข้อมูล คือ พยาบาลวิชาชีพที่ปฏิบัติงานในหอผู้ป่วยวิกฤตกุมารศัลยศาสตร์ โรงพยาบาลตติยภูมิแห่งหนึ่ง ในเขตกรุงเทพมหานคร ติดต่อกันเป็นระยะเวลานาน 5 ปีขึ้นไป จำนวน 14 ราย เก็บรวบรวมข้อมูลโดยการสัมภาษณ์แบบเจาะลึก และการบันทึกเสียงสนทนา ข้อมูลที่ได้นำมา วิเคราะห์ข้อมูลเชิงเนื้อหาตามวิธีการของ Colaizzi\n\nผลการวิจัย: พยาบาลผู้ป่วยเด็กวิกฤตให้ความหมายการเป็นพยาบาลผู้ป่วยเด็กวิกฤตไว้ว่า จะต้องเก่ง มีความรู้ ความเชี่ยวชาญ เป็นคนที่มีความละเอียด รอบคอบ ช่างสังเกต และจะต้องมีใจรักและใส่ใจในการดูแลผู้ป่วยและครอบครัว สำหรับประสบการณ์การเป็นพยาบาลผู้ป่วยเด็กวิกฤต พบว่า ประกอบด้วย 4 ประเด็นหลัก ประเด็นแรก คือ ความสามารถเฉพาะทาง ซึ่งเป็นสมรรถนะในบทบาทหน้าที่เชิงวิชาชีพของพยาบาลผู้ป่วยเด็กวิกฤต ประเด็นที่ 2 ความเครียด ซึ่งเกิดจากการขาดความรู้ และทักษะในการปฏิบัติงาน เครียดจากผู้ร่วมงาน และเครียดจากการติดต่อประสานงานกับแพทย์ ประเด็นที่ 3 การปรับตัว พบว่า พยาบาลผู้ป่วยเด็กวิกฤตจะมีการปรับตัวเข้ากับลักษณะงานที่ทำ ผู้ร่วมงาน และตารางการทำงาน เมื่อปรับตัวได้ ทำให้ความเครียดลดลงและมีความมั่นใจในการทำงานมากขึ้น ประเด็นสุดท้าย พบว่า สิ่งที่ทำให้พยาบาลผู้ป่วยเด็กวิกฤตคงอยู่ในงานได้ เพราะบรรยากาศในการทำงานที่อบอุ่นเป็นกันเอง มีความเอื้อเฟื้อต่อกัน รับรู้ถึงคุณค่าของการเป็นพยาบาล มีความภาคภูมิใจในองค์กรและมีความสุขในการทำงาน และการทำงานเป็นความมั่นคงของครอบครัว\n\nสรุป: ข้อมูลที่ได้จากการศึกษาในครั้งนี้ทำให้เข้าใจถึงประสบการณ์การเป็นพยาบาลผู้ป่วยเด็กวิกฤตได้ชัดเจนมากขึ้น ความรู้ที่ได้รับสามารถนำไปเป็นพื้นฐานให้ผู้บริหารทางการพยาบาลนำไปพัฒนาเป็นกลยุทธ์สร้างความพึงพอใจและเพิ่มอัตราการคงอยู่ในงานของพยาบาลผู้ป่วยเด็กวิกฤต\n

Displaced But Not Without Place: Refugee And Immigrant Integration Experiences In Greeley, Colorado, Rebekah Natalie Marsh

Electronic Theses and Dissertations

This thesis research focuses on the integration experiences of refugees and immigrants in Greeley, Colorado and the corresponding actions and reactions of local Greeley members and leaders who are involved with this population. This thesis explains how the political, industrial and economic needs of the historical sugar beet and current meat packing industries shaped and are shaping the segregated landscape of Greeley. This in turn shapes the integration experiences for the refugees and immigrants and local members of Greeley. These industries historically recruited undocumented Mexican laborers to fill high turnover manual labor jobs. Now, the JBS meat packing plant is …

2016 Alaska's Construction Spending Forecast, Pamela Cravez, Scott Goldsmith

ISER Reports

No abstract provided.

Utilizing Adr In Domestic Adoptions For Same-Sex Couples, Nicole Hertzberg

Cardozo Journal of Conflict Resolution

This Note addresses the intricacies involved in same-sex couples, now legally married, overcoming state-placed legal obstacles in order to adopt children. The simple answer is to wait and see what the Supreme Court has to say about same-sex adoption. However, it is more complicated than that. Firstly, it took two years for Obergefell to reach the Supreme Court from the District Court, and it took this country two hundred and thirty nine years to legalize same-sex marriage. In other words, it might be years until the Supreme Court addresses this issue. Secondly, if this issue is litigated in court, the …

It Takes A Village: Using Seniors To Help Divorcing Families, Forrest S. Mosten, Lara Traum

Cardozo Journal of Conflict Resolution

The wisdom of an underappreciated elderly population can offer invaluable assistance to underserved pro-se litigants facing family conflict. This Article will uncover the confluent needs of the family court system and the growing elderly population in the United States. Section II of this Article will explain the struggles of the family court system, outline the historic role of the elderly in addressing family conflict, propose the creation of an Elder Volunteer Corps to address these communal needs, and discuss the benefits of creating such a corps. Section III will suggest logistical approaches to forming an Elder Volunteer Corps, focusing on …

"Boys Will Be Boys, And Girls Will Get Raped": How Public School Dress Codes Foster Modern Day Rape Culture, Stephan Wah

Cardozo Journal of Equal Rights & Social Justice

The note argues that public school dress codes perpetuate rape culture by disproportionately targeting female students, reinforcing patriarchal norms, and contributing to gender-based discrimination. These dress codes, often justified as preventing distractions, instead shame girls and place the responsibility of boys' behavior on them, thereby normalizing the objectification of women and supporting systemic sexism.

Working Towards The Welfare Of Our Children: An Argument For A Rebuttable Presumption Against Awarding Abusers Custody And Other Non-Legislative Proposals, Sapna Kishnani

Cardozo Journal of Equal Rights & Social Justice

The note examines the intersection of domestic violence and child custody determinations, highlighting the challenges faced by victims and the legal system in balancing the best interests of the child with the risks posed by abusive parents. It critiques the discretionary nature of the "best interests of the child" standard and proposes adopting Delaware’s rebuttable presumption against granting custody to perpetrators of domestic violence, while retaining New York’s preponderance of evidence standard. The analysis emphasizes the need for systematic approaches to child testimony and mediation to protect children’s well-being and ensure just outcomes.

Social Anxiety Disorder And The Americans With Disabilities Act's Impact On A Professional Athlete's Media Obligations, Matthew Gollub

Cardozo Public Law, Policy & Ethics Journal

No abstract provided.

Making The Cut: The State Of Public School Athletics For Disabled Students, Olivia Clement

Cardozo Arts & Entertainment Law Journal

No abstract provided.

Terrorists And Antiquities: Lessons From The Destruction Of The Bamiyan Buddhas, Current Isis Aggression, And A Proposed Framework For Cultural Property Crimes, Whitney Bren

Cardozo Arts & Entertainment Law Journal

No abstract provided.

Constitutional Economics, Luke P. Norris

Law Faculty Publications

This Article argues that the conventional narrative about the decline of Lochnerism and the rise of mid-century substantive due process jurisprudence is incomplete. That narrative focuses initially on how the premises underlying Lochner’s conception of economic freedom were rejected. The Article instead focuses on how the labor movement articulated an alternative conception of freedom that was adopted by Congress, the Executive, and the Supreme Court. While Lochnerism was premised on a negative view of freedom, the labor movement articulated a positive view of freedom and analogized it to republican freedom of association in the political sphere. By reframing the terms …

Exploring The Federal Arbitration Act Through The Lens Of History Symposium, Imre Stephen Szalai

Journal of Dispute Resolution

The United States Arbitration Act (known today as the Federal Arbitration Act, or FAA) is a relatively short and deceptively cryptic statute. The heart of the statute, section 2, is one sentence, and this key provision simply declares that arbitration agreements are generally “valid, irrevocable, and enforceable.” There is not much traditional legislative history surrounding this statute because much of the development of the bill that became the FAA occurred through organizations outside of Congress, like the American Bar Association and the New York Chamber of Commerce.3 As a result, to understand the FAA at a deeper level, it is …

Robbing The Cradle: The Use Of Mediation In Parental Rights Termination With Evidence Of Drug Abuse By The Mother, M. Katherine Kerbs

Journal of Dispute Resolution

This Comment will explore the use of mediation in termination of parental rights proceedings where there is evidence of drug abuse by the parents. First, this Comment will give an overview of termination proceedings and examine a specific statute’s guidelines for termination. Then, this Comment will provide an overview of mediation and its uses in family law. Finally, this Comment will argue for increased use of mediation in termination of parental rights cases where there is evidence of drug abuse by the mother.

Allergenicity Attributes Of Different Peanut Market Types, Stef J. Koppelman, Shyamali Jayasena, Dion Luykx, Erik Schepens, Danijela Apostolovic, Govardus A.H. De Jong, Thomas G. Isleib, Julie A. Nordlee, Joseph L. Baumert, Steve L. Taylor, Hsiaopo Cheng, Sohelia Maleki

Department of Food Science and Technology: Faculty Publications

Four different market classes of peanut (Runner, Virginia, Spanish, and Valencia) are commonly consumed in Western countries, but for some consumers peanuts are a main cause of food-induced anaphylaxis. Limited information is available on the comparative allergenicity of these distinct market classes. The aim of this study was to compare allergenicity attributes of different peanut cultivars. The protein content and protein profiles were highly comparable for all tested cultivars. All cultivar samples contained the major allergens Ara h 1, Ara h 2, Ara h 3 and Ara h 6, as assessed by SDS-PAGE and RP-HPLC, although some minor differences in …

Two Clinical Isolates Of Mycoplasma Hyosynoviae Showed Differing Pattern Of Lameness And Pathogen Detection In Experimentally Challenged Pigs, João Carlos Gomes-Neto, Matthew Raymond, Leslie Bower, Alejandro Ramirez, Darin M. Madson, Erin L. Strait, Everett L. Rosey, Vicki J. Rapp-Gabrielson

Department of Food Science and Technology: Faculty Publications

Mycoplasma (M.) hyosynoviae is known to colonize and cause disease in growing-finishing pigs. In this study, two clinical isolates of M. hyosynoviae were compared by inoculating cesarean-derived colostrum-deprived and specific-pathogen-free growing pigs. After intranasal or intravenous inoculation, the proportion and distribution pattern of clinical cases was compared in addition to the severity of lameness. Tonsils were found to be the primary site of colonization, while bacteremia was rarely detected prior to the observation of clinical signs. Regardless of the clinical isolate, route of inoculation, or volume of inocula, histopathological alterations and tissue invasion were detected in multiple …

2016-2017 Lindenwood University Accelerated Degree Program Course Catalog, Lindenwood University

Course Catalogs

Lindenwood University Accelerated Degree Program Course Catalog

2016-2017 Lindenwood University Undergraduate Course Catalog, Lindenwood University

Course Catalogs

Lindenwood University Undergraduate Course Catalog

Paleoparasitological Evidence Of Pinworm (Enterobius Vermicularis) Infection In A Female Adolescent Residing In Ancient Tehran (Iran) 7000 Years Ago, Niloofar Paknazhad, Gholamreza Mowlavi, Jean Dupouy Camet, Mohammad Esmaeili Jelodar, Iraj Mobedi, Mahsasadat Makki, Eshrat Beigom Kia, Mostafa Rezaeian, Mehdi Mohebali, Siamak Sarlak, Faezeh Najafi

Harold W. Manter Laboratory of Parasitology: Library Materials

Background: The Molavi street archeological site south of Tehran, Iran accidentally provided a unique opportunity for paleoparasitological studies in Iran. A female skeleton was unearthed and evaluated to be 7,000 years old. Soil samples were collected around the pelvic and sacrum bones.

Findings: Careful microscopic investigation of rehydrated soil samples revealed the presence of one Enterobius vermicularis egg attached to the skeleton sacral region.

Conclusion: The present finding likely represents the oldest evidence of a human pinworm infection in Asia.

An Examination Of School Culture And English Language Learner Achievement, Tawanda Blackshear Hunter

Walden Dissertations and Doctoral Studies

English Language Learners (ELLs) do not achieve sufficiently on standardized tests, as required by federal law. Fourth grade ELLs at a suburban elementary school in the Southern United States experienced similar problems in the failure rate on the state standardized test. Still, this school outperformed several of the schools in the same area of the county. In this sequential, explanatory study, teacher and administrator perceptions of school culture and its impact on the achievement of ELLs in a Southern elementary school were examined. Vygotsky's cultural-historical theory provided the theoretical framework to ground this study, as culture within a school could …

Faculty Knowledge And Use Of Best Practices In Online Professional Continuing Education, Gladys Montane

Walden Dissertations and Doctoral Studies

A recent mandate by the American Registry of Radiologic Technologists requires that U.S. radiologic technologists complete continuous qualification requirements (CQR). This study examined faculty skills and practices at an American university that developed online CQR courses in response to this mandate. It was specifically designed to assess the knowledge and skills of this university's faculty with regard to best practices in an online learning environment, so as to provide the basis for meeting faculty needs in distance education. Dewey's work on constructivism served as the framework guiding this study. A qualitative, intrinsic case study was employed to collect data using …

A Nurse's Perception Of Hand-Off Communication Before And After Utilization Of The I-5 Verification Of Information Tool, Maryann Bowersox

Walden Dissertations and Doctoral Studies

Abstract

Miscommunication or omission of critical patient information contributes to preventable

medical errors that result in 98,000 patient deaths each year. The hand-off

communication process creates a critical time for the patient as necessary information for

the continuity of care must be communicated. The purpose of this practice project was to

evaluate the nurses' perception of the current hand-off communication process before and

after an educational intervention and implementation of the I-5 Verification of

Information Tool. Registered nurses were asked to complete a pre survey of their

perception of the current hand-off communication process, followed by an educational

power point …

Videotaped Role-Play Simulation In Teaching Transcultural Self-Efficacy To Interprofessional Healthcare Students, Holldrid Aner Odreman

Walden Dissertations and Doctoral Studies

Increased demand for culturally sensitive healthcare services suggests that interprofessional beginning healthcare students need to gain the necessary cultural competency skills to be successful in delivering positive health outcomes for diverse patients. Bandura's theory of observational learning, Mezirow's theory of transformative learning, and Purnell's and Paulanka's model of cultural competence informed the framework for this research. The purpose of this quasi-experimental quantitative study was to determine the relationship between mode of instruction (observing role models in videotaped role-play simulation) and increased transcultural self-efficacy in cultural competence instruction. A convenience sample of 196 students enrolled in an interprofessional education (IPE) course …

Supervisory Working Alliance And Job Satisfaction In Community Mental Health Settings, Jennifer Weigelt

Walden Dissertations and Doctoral Studies

Researchers have written extensively on many facets of supervision in the counseling profession, including the supervisee benefits associated with a strong supervisory working alliance. While the majority of studies have focused on the working alliance in academic settings with student trainees, there has been a lack of research exploring the role of the supervisory working alliance in workplace settings, where supervision can be different from supervision offered in a university clinic or counseling center. Employee job dissatisfaction has been a problem identified within the mental health workforce. Researchers have identified effective supervision as a mediating factor. The purpose of this …

Adult Learning-Focused Professional Development For Dental Hygiene Clinical Instructors, Meghan Ann Mcguinness

Walden Dissertations and Doctoral Studies

At a dental hygiene program within a community college in New York State, clinical instructors are hired based on their expertise as practitioners. Most clinical instructors lack a background in adult learning theory and practice, which is an issue because their students are adult learners whose average age is 26. The instructors' lack of knowledge in this area challenges their effectiveness. The purpose of this qualitative case study was to explore dental hygiene instructors' views about what kind of professional development offerings related to adult learning might help improve their teaching effectiveness. The conceptual framework for this project study was …

Facilitators And Barriers To Physical Activity Among People With Spinal Cord Injury, Laura Nicole Richardson-Smith

Walden Dissertations and Doctoral Studies

Research has shown that people with physical disabilities are at risk for developing secondary health conditions. Many of these secondary health conditions may be reduced by engaging in physical activity, yet people with physical disabilities are less likely to participate in physical activity. Information gaps remain regarding facilitators and barriers to physical activity. The purpose of this phenomenological study was to understand the experiences with physical activity among adults with a spinal cord injury (SCI). Research questions asked were about exercise experiences, barriers and facilitators, and the role of the natural and social environment. The theoretical framework used was the …

The Effects Of Maturational Variation On The Performance Of Young Australian Footballers And Their Selection Into The Australian Football League's Talent Pathway, Ashley Cripps

Theses

Traditional player development pathways share a common goal, to identify and accelerate the development of talented adolescent players for senior competition. Players who gain selection into development programs gain greater access to experienced coaches, training facilities, support staff and competition. However, despite such advantages, research has shown that few players who gain initial selection into development pathways progress into professional senior competition. A major factor which potentially contributes to poor player retention in development pathways is the initial misidentification of talented athletes due to variations in biological maturity.

Earlier maturing individuals have been shown to be at a physical advantage …

Self-Efficacy And Select Characteristics In Nurses Who Respond To A Pediatric Emergency, Nancy Mcneill

Walden Dissertations and Doctoral Studies

Self-Efficacy and Select Characteristics in Nurses Who Respond to a Pediatric Emergency

by

Nancy McNeill

MA, New York University, 1996

BS, New York University, 1987

Doctoral Project Study Submitted in Partial Fulfillment

of the Requirements for the Degree of

Doctor of Education

Walden University

June 2016

Nurses at a suburban northeastern U.S. community hospital reported that they felt unprepared to effectively respond to a pediatric emergency. Empirical data were not available to identify if this local problem was due to a lack of the nurses' self-confidence or if other factors were involved. The purpose of this study was to determine …

Evaluating The Role Of Nurses In Educating Women During The Preconception Period, Oluwatoyin Ottun

Walden Dissertations and Doctoral Studies

Nurses play a crucial role in promoting educational programs aimed at informing women about their reproductive health. However, the role of nurses in providing the health related information is not well defined. Guided by the continuum model, this project evaluated nurses' perceived role in promoting the reproductive health of women during the preconception period. Twenty nurses from 2 outpatient offices wrote responses to an open-ended questionnaire. A summary of the responses indicated that 70% of the participants refer women to community-based programs to enhance awareness for preconception care. Twenty percent of the nurses indicated that they have an educational program …

Transition To The Professional Role For Graduate Nurses In A Hospital Orientation Program, Shirley Denise Richardson

Walden Dissertations and Doctoral Studies

This study focused on the transitioning of graduate nurses (GNs) employed by a teaching hospital in the eastern United States to the professional role of registered nurse after a 6-week orientation was the focus of this study. Benner's novice-to-expert theory served as the framework for this qualitative case study. Twelve participants were chosen from 3 specific populations: GNs, nursing preceptors, and nurse managers. Three research questions asked about the perceptions of newly licensed nurses after completion of the orientation process related to their ability to make critical decisions in the professional role of RN, how the preceptor educational training program …