Medicine and Health Sciences Commons^™

Nyc Is A Hotspot For Bedsores Among The Elderly And Immobile, Kara J. Brown

Capstones

New York City is a hotspot for bedsores in nursing homes, according to data provided by the federal government. The Big Apple is home to nine of the 10 nursing homes in the state with the highest rates of long-stay, high-risk patients suffering from bedsores. Nationwide, those 10 nursing homes are among the worst in the nation—the top 2%—for their high bedsore rates, the data shows. Residents considered high risk are, according to Medicare, those who are impaired in bed mobility or transfer, who are comatose, or who suffer from malnutrition.

More than one out of every four residents at …

The Lived Experience Of Spirituality In The Lives Of Caribbean Men, Camille A. O. Hamilton

Dissertations, Theses, and Capstone Projects

This is a qualitative phenomenological study exploring the lived experience of spirituality in the lives of English-speaking Caribbean men, aged 40-60 years old, living with chronic illness and residing in the United States. In this study Caribbean men living with chronic illness are asked to reflect on their lived experiences and evolution of the experienced phenomenon of spirituality. A purposive sample of eleven English-speaking men from the Caribbean, living with chronic illness were recruited and interviewed for this study. Max van Manen’s 1997 Methodological Structure of Human Science Research was used as the phenomenological guide. The exploration uncovered 4 essential …

Relations Amongst Power, Self-Health Patterning, And Quality Of Life In Older Adults With Chronic Illness, Philip J. Gimber

Dissertations, Theses, and Capstone Projects

The aim of this study was to examine the relationships between power, self-health patterning, and quality of life in older adults with chronic illness using Rogers’ science of unitary human beings and Barrett’s theory of power. A cross-sectional, correlational design was used to examine the variables in a sample of approximately 100 older adults with chronic illness. This study revealed that power, self-health patterning, and quality of life are related to one another and that both power and self-health patterning are associated with enhanced quality of life.

Adolescent Obesity In The Past Decade: A Systematic Review Of Genetics And Determinants Of Food Choice, Eleanor T. Campbell, Alexis T. Franks, Paule V. Joseph

Publications and Research

Background and purpose: As the incidence of global obesity increases, concerns about adverse health outcomes in adolescents continues to rise. The complexity and expense of this problem require early recognition and specific preventive treatments. Knowledge of genetics and determinants of food choices contributing to adolescent obesity warrants further examination. The primary goal was to appraise the literature from the past decade (2007–2017) on the current state of food choice and genetic determinants of adolescent overweight/obesity in the United States. The secondary goal was to determine trends in the literature and areas for future research.

Methods: A systematic review of research …

Just Culture: It's More Than Policy, Linda Ann Paradiso, Nancy Sweeney

Publications and Research

Any healthcare organization’s top priority is effective and safe care. Despite this, medical error is the third-leading cause of death in the US. Hospitals are imperfect systems where nurses have competing demands and are forced to improvise and develop workarounds. Errors rarely occur in a vacuum, rather they’re a sequence of events with multiple opportunities for correction. Clinical nurses can have a significant impact on reducing errors due to their proximity to patients. When errors are identified, the events and impact on safe care need to be shared. Just culture is a safe haven that supports reporting. In a just …

What Is The Relationship Among Team Psychological Safety, Nursing Agency, And Rapid Response System Activation?, Grace Mingsum Ng

Dissertations, Theses, and Capstone Projects

When patients show signs of clinical deterioration, nurses should activate the rapid response system (RRS) to summon specialized help to the bedside. Failure or delay to activate the RRS is associated with increased length of stay and increased mortality. Currently, nurses only activate the RRS 21-57% of the time. Nurses’ fear of criticism for making the wrong call has been identified as a reason or avoiding or delaying activation. Currently, only limited individual level factors affecting nurse RRS activation has been identified, but team-level barriers or facilitators or nurse RRS activation has not been systematically studied. A cross-sectional study was …

Development And Psychometric Analysis Of The Roy Adaptation Modes Scale (Rams) To Measure Coping And Adaptation, Sandra A. Russo

Dissertations, Theses, and Capstone Projects

Peoples’ lives are often interrupted or changed by experiencing a serious illness. It is important to study and understand the various coping processes that people have in adapting to illness. The purpose of this study was to develop an instrument to measure a person’s coping response to illness-related stimuli using the Roy Adaptation Model (RAM) as its structure and framework. This study is quantitative descriptive design to develop the validity and reliability of a new instrument the Roy Adaptation Modes Scale (RAMS). A review of RAM based measurement instruments found no instrument that measured all four adaptive modes that is …

The Lived Experience Of African American First-Time Breastfeeding Mothers At A Baby Friendly Hospital, Catherine A. Hagerty

Dissertations, Theses, and Capstone Projects

The purpose of this research study was to explore the lived experiences of African-American first-time mothers at a hospital following the Baby Friendly Hospital Initiative (BFHI) guidelines to promote breastfeeding. Breastfeeding rates for African-American mothers are lower than other racial groups. BFHI institutions offer breastfeeding support through adaptation of a set of practices designed to promoted exclusive breastfeeding. Reflection on this experience allows discovery of approaches that help both nurses and patients. The study methodology used is qualitative phenomenology developed by van Maned (1990) with its’ philosophical origin in the work of Merleau-Ponty (2008). Participants were nine first-time mothers who …

Living As A Dying Child: A Gadamerian Analysis Of The Poetry Of Mattie J. T. Stepanek, Corinne Ann Settecase-Wu

Dissertations, Theses, and Capstone Projects

Yearly, approximately 500,000 children live with life-limiting conditions in the United States; 50,000 die. Yet, details regarding children’s days of living as dying are unknown. The aim of this qualitative hermeneutic study is to gain understanding of the phenomenon of living as a dying child. A Gadamerian-inspired approach was implemented to underpin the study, and to analyze poetic text to address the research question: What is it to be living as a dying child? The text sample included 499 poems written by Mattie J. T. Stepanek, a dying child. The Settecase-Wu Conceptual Guide was developed and implemented to ensure accuracy …

A Living Experience Of Feeling Listened To: A Parsesciencing Inquiry, Teodora Duarte-Quilao

Dissertations, Theses, and Capstone Projects

Listening is the phenomenon of interest and feeling listened to is considered the universal humanuniverse living experience. The aim of this investigation is to contribute new knowings and understanding to the universal humanuniverse living experience of feeling listened to. The purposes of the investigation are: (a) to discover the discerning extant moment of the universal humanuniverse living experience of feeling listened to, (b) to expand the human becoming paradigm, and (c) enhance the disciplinary knowledge of Parsesciencing (Parse, 2016) and disciplinary knowledge in general. People in all areas of life experience being disregarded and not listened to. The significance is …

Case Presentation On Congestive Heart Failure And Pulmonary Edema, Tetiana Soloviova, Denise Aris

Publications and Research

No abstract provided.

A Narrative Inquiry Of Associate Degree Nursing Students' Stories About Their Experience Of Academic Misconduct, Bridget Anne Maley

Dissertations, Theses, and Capstone Projects

Academic misconduct is a growing national and global concern. There is a paucity of literature on academic misconduct in nursing. Among the research studies that have been conducted, all but one were quantitative. The purpose of this study is to gain a deeper understanding of Associate Degree (AD) nursing students’ experiences with academic misconduct during their nursing education. This study utilized the qualitative method of narrative inquiry to address the research question: What are the stories of Associate Degree nursing students with academic misconduct experiences during their nursing education? This sample included five volunteer research participants who were current associate …

A Writing Assignment To Address Gaps In The Nursing Curriculum Regarding Health Issues Of Lgbt+ Populations., Bridget Maley, Randy Gross

Publications and Research

Background: LGBT+ populations account for 4% of the US population, yet health disparities persist, which are considered a priority in health care systems. In nursing education programs, the allotment in time to cover LGBT+ health content is not mandated thus ranges from zero to several hours total in nursing curricula. Therefore, nursing students’ education regarding LGBT+ health issues remains minimal and inconsistent throughout the nation’s nursing programs.

Aim: To provide associate degree nursing students with exposure to the health disparities in LGBT+ populations through a reflective writing assignment.

Methods: The essays were culled from both sections of an established core …