Business Commons^™

An Evaluation Of Interventions Designed To Impact Nurses : A Pilot Project, Pamela G. Bing Perry

Loma Linda University Electronic Theses, Dissertations & Projects

This pilot project was designed from a systems approach as defined within the field of marriage and family (MFT). Systems theory has been used successfully in examining and working with organizational relationships as exemplified in the work of Edwin H. Friedman. His contribution includes several books specifically developed for use in organizations; one that was tailored for religious groups; and another for managers (Friedman, 2007). While other MFT modalities have also been used effectively with organizations, the complexity of the influences operating within an organization most closely matches the systems approach. For this reason, this is the conceptual framework applied …

The Effects Of An Intervention Program On Nursing Burnout, Maria Rosa-Morales

Loma Linda University Electronic Theses, Dissertations & Projects

The risk for professional burnout has become commonly recognized and in the past several years has been a focus of research efforts. Nursing is one of the professions generating a high level of stress which results in burnout.

The purpose of this study was to test the effects of an intervention program for nurses who felt they were experiencing burnout. Nursing burnout was defined as a chronic condition of stress among nurses, which leads to a syndrome of emotional exhaustion, depersonalization, and lack of personal accomplishment. The design used was a true experiment. Fifty-two nurses served as voluntary participants who …

Quality Assurance In Hospital Food Service, Carol Henry, Kathleen Zolber, David Abbey, Lydia Sonnenberg, Bertram Connell

Loma Linda University Electronic Theses, Dissertations & Projects

The implementation and maintenance of standards and procedures relevant to quality nutritional service in the hospital food service department is essential to effect optimal patient care. This research was conducted to determine the extent to which selected standards (activity task functions) relevant to quality assurance were being performed by hospital food service departments. The results indicated that only 14 percent of the departments performed more than 75 percent of the activity task functions. A compliance score consisting of the number of tasks performed by each food service department indicated statistically that as the years of employment increased the compliance score …

A Study Of The Physiological And Mental Effects Of Various Shift Patterns On Registered Nurses, Carolyn Taylor Smith

Loma Linda University Electronic Theses, Dissertations & Projects

The effects of shift work on circadian I an rhythms has become a subject of great Interest to many industries, hospitals, and sleep researchers. More and more recognition is being given to the results of these studies, especially the possible adverse effects on those working the night shift or a shift they are unable to adapt to adequately. Only a few of these studies, however, have been conducted on registered nurses, a major group involved with shift work.

The purpose of the present study was to investigate the effects on nurses working the a.m. shift (7 a.m. to 3:30 p.m.), …

Delegation Of Task Functions By Dietitians To Dietetic Technicians, James Lumsden

Loma Linda University Electronic Theses, Dissertations & Projects

Dietetics has been identified as one of the professions in which there is a shortage of qualified personnel. The need to delegate selected task functions to extend professional skills and contain costs has been recognized in many professions faced with a manpower shortage.

This research was done to determine the degree to which dietitians will utilize dietetic technicians in the role proposed by the American Dietetic Association. A questionnaire was the instrument utilized to collect data from the 197 randomly selected hospitals in the continental United States. Task functions identified in the proposed job descriptions for the dietetic technician in …

The Psychological Needs Of Hospital Dietary Supportive Personnel, Ralph Morales Jr.

Loma Linda University Electronic Theses, Dissertations & Projects

Achieving objectives in hospital food service systems is made more critical by the increasing rate of labor turnover. One of the major emphases that seems to offer promise for solving certain current manpower problems is a better understanding of the factors which may contribute to turnover. A quantitative approach to the identification of human needs in the work environment should provide information relevant to more effective planning and utilization of human resources.

The purpose of this research was to determine if by examining the psychological needs of hospital dietary supportive personnel, information could be derived for more objective management of …

Labor Time Analysis By Work Function Activity In Production Of Vegetarian Entrees, Maynard W. Lebrun

Loma Linda University Electronic Theses, Dissertations & Projects

The specific objectives of this research were to (1) develop a method for determining labor time and labor cost of cooks by work functions in the production of selected vegetarian entrees, and (2) determine the percentage relationship of cooks' labor to food cost in selected classifications of entrees.

Application of the continuous time study methodology as developed in this research was restricted to the observation of entree cooks in a 408 bed non-profit university hospital. Observation of work function activities during the first week of a four week cycle menu for three consecutive cycles was classified under three major categories: …

Patient Satisfaction With Nursing Care During Labor And Delivery, Afton G. Pratt

Loma Linda University Electronic Theses, Dissertations & Projects

Within the scope of the questionnaire designed for this study, it was proposed to determine the satisfactions and dissatisfactions of obstetrical patients at a selected hospital. The study was concerned with patients' perception of nursing care through labor and delivery. Thirty postpartal clinic patients were interviewed in the hospital, using the interview guide which was constructed by the nurse researcher. Groups of questions in the interview guide corresponded to five categories. These five categories comprised the analysis sheet. The findings of the study are given for each of the following categories: One-A--Congeniality of Nurse to Mother. Friendliness of the admitting …

Knowledge Pediatric Nurses Have On The Medications They Are Giving, Opaljean Whiteaker

Loma Linda University Electronic Theses, Dissertations & Projects

The purpose of this survey was twofold (1) to find out what knowledge the pediatric nurse has regarding selected medications which she is administering, and (2) to make recommendations relative to drug knowledge for in-service education programs in hospitals.

The data regarding abdication knowledge as collected by using a checklist form developed for this study and administered to seventeen graduate nurses in three selected hospitals each supervising a pediatric unit.

A checklist included categories, the route, the action time of a drug, and the side effects that could he commonly expected.

From the fifteen categories listed, the hematological and anticonvulsant …

Factors In Clinical Instruction Which Influence Effective Student Performance, Lynette Kapualani Hong

Loma Linda University Electronic Theses, Dissertations & Projects

Teaching and maintenance of standards of nursing care are indeed a responsibility of the clinical instructor. If she is to do effective instruction of the student's clinical experience, she needs to know what factors are influencing the student's performance as a result of her presence.

The significance of the student's reactions to various educational experiences has been receiving increasing recognition during the last several years. This study was conducted to identify factors from nursing students' opinions concerning what clinical instructors do that influence effective student performance. These factors have been outlined for use in planning more effective clinical instructions.

The …

A Study Of The Utilization Of Nursing Personnel On A Selected Hospital Unit, Lucille Mcdow

Loma Linda University Electronic Theses, Dissertations & Projects

This study was concerned with utilization of nursing personnel on a selected hospital unit. The purposes of the study were to: (1) show if the department was overstaffed or understaffed, (2) Indicate if there were too many students for the size of the department, (3) show how adjustments could he made within the department to equalize the nursing care provided to patients, and (4) see if it were possible to predict the proper number of personnel needed for optimum service.

The study was conducted on the seventeen-bed pediatric unit of a selected hospital. The descriptive survey was the method used …

An Investigation Of Factors Relating To Turnover Among Nursing Personnel Of A Selected Hospital, Thelma I. Ogren

Loma Linda University Electronic Theses, Dissertations & Projects

The purpose of this study was to identify factors that contributed to the turnover among nursing personnel of a selected hospital in a large metropolitan city. It was felt that such a study would assist in the reduction of turnover among the nursing personnel.

Other similar studies revealed that reasons for turnover among hospital nursing personnel were due to low salaries, hours of work, work loads, communications, improper placement, poor supervision, and a lack of promotional opportunities. It was also found that the younger age group had a larger turnover rate than the older age group, that hospitals with schools …

Determinants Of Nursing Activities Of Graduate Nurses, Grace D. Scheresky

Loma Linda University Electronic Theses, Dissertations & Projects

The purpose of this study was to find out if nurses who were responsible for planning patient care functioned primarily on the basis of hospital routines and physicians' orders or on the basis of known patient needs.

The interview technique was use to obtain data about determinants of nursing activities of twenty-five head nurses and team leaders in three hospitals. The interview questions were focused on the nursing activities involved in planning the care of three patients selected by the nurses.

Data were collected and analyzed to answer questions about (1) the way in which nurses perceived patients' nursing problems, …

A Study Of Team Leader Activity On A Selected Medical Unit In A General Hospital, Margaret Elaine Schulhof

Loma Linda University Electronic Theses, Dissertations & Projects

The purpose of this study was to observe and analyze the activities of the nursing team leader on a selected medical unit of the Loma Linda Sanitarium and Hospital and to measure the percentage of time spent in each recognized function.

To accomplish this, the descriptive survey method was used. Six team leaders were "shadowed" by an. observer for a total of ten days. Record of all team leader activity was made on a specially prepared form which provided for classification of activity under Leino's six functions for the team leader. These are:

1. To Identify the Patient's Nursing problems
2. To …

Activities Of The Head Nurse In A Selected Medical Unit Of The Loma Linda Sanitarium And Hospital, Bessie Wat

Loma Linda University Electronic Theses, Dissertations & Projects

Assuming that the performance of duties not specifically on the head nurse level detract from her effectiveness as a head nurse, the problem of this study was to determine what proportion of time the head nurse spent in different activities, on what level of skill these activities were, where she performed them, with whom, and the duration of each activity.

This study was conducted on a selected medical unit of the Loma Linda Sanitarium and Hospital. The normative survey method as recommended by the Division of Nursing Resources was used. The morning and afternoon head nurses or their reliefs were …