Medicine and Health Sciences Commons^™

Metabolism During Pregnancy And Postpartum: How Does It Change And What Factors Influence It?, Kristin Yoho

Masters Theses & Specialist Projects

PURPOSE: Pregnancy is a physically impactful process in a woman’s life. During this time, a woman will gain weight and research has shown that many women will retain some extra weight after delivery. Because of this, recovery in the postpartum period is pivotal to avoiding the implications of weight retention. The postpartum period is vastly understudied in both the research and medical communities and this gap between pregnancy and postpartum research needs to be bridged. Therefore, the purpose of this study was to investigate metabolic changes from pregnancy to postpartum and to study how factors such as sleep and breastfeeding …

Examining The Relationship Between Medical Concerns And Overall Mental Health Rating, Sarah M. Wilson

Masters Theses & Specialist Projects

It is widely supported that there are significant, positive relationships between the occurrence of some mental health symptoms and physical illnesses. Research indicates that the burden experienced by those with a physical and mental illness are magnified compared to individuals who do not experience an illness. More specifically, one of the burdens experienced by individuals is the monetary burden of affording the necessary health services to properly manage their illness.

This study attempts to reveal a difference between mental health symptom count for individuals who do and do not experience difficulty affording health care for their physical problems. The first …

An All-Terrain Vehicle Safety Educational Program: Is It Effective In Improving Attitudes, Safety Knowledge, And Behaviors In Adolescents Ages 12 To 18?, Kim Elaine Young Vickous

Masters Theses & Specialist Projects

All terrain vehicles (ATVs) are a popular source of recreation. For some rural adolescents, ATVs are frequently used for agricultural work. Whether for work or recreation, many adolescents operate ATVs improperly either from a lack of knowledge, poor judgment or they engage in risky behaviors resulting in injuries and fatalities.

The Kentucky Department of Agriculture (KDA) has devoted resources to provide ATV safety programs to educate adolescents statewide. However, there are no known studies evaluating the effectiveness of this KDA intervention. Therefore, a pilot study was proposed to determine the effectiveness of The KDA ATV safety program in improving ATV …

Colorectal Cancer Screening: A Non-Invasive Approach, Amy Beckman Frazier

Masters Theses & Specialist Projects

COLORECTAL CANCER SCREENING: A NON-INVASIVE APPROACH Amy Frazier May, 2004 58 Pages Directed by: Dr. Donna Blackburn, Dr. Patricia Bailey, and Dr. Thomas Nicholson Department of Nursing Western Kentucky University Colorectal cancer (CRC) is the third most common malignant neoplasm worldwide and is expected to affect six percent of Americans within their lifetime (National Cancer Institute, 2003). Clinicians worldwide struggle with selecting the most accurate, cost-effective CRC screening tool. Could a noninvasive screening tool be the answer or part of the answer to the dilemmas surrounding CRC screening? The purpose of this correlational, replication study was to determine whether symptoms …

Attitudes And Knowledge Of Nurses Regarding Herbal Medications, Janie Davis

Masters Theses & Specialist Projects

Much information has been published regarding herbal medication use. However, information is limited on how nurses incorporate this information into their practice, communicate information to the client, or collaborate with physicians to prevent drug/herbal interactions. The purpose of this study is to explore the attitudes and knowledge of nurses regarding the use of herbal remedies at various levels of practice. According to Henderson's Theory of Basic Care Components, the nurse has a responsibility to assess client needs, help clients meet health needs, and provide a safe environment for the client to perform activities unaided. These interventions help the client become …

Prevention Of Radiation-Induced Skin Reactions In Breast Cancer External Irradiation, Cathy Ammerman

Masters Theses & Specialist Projects

Radiation dermatitis is a common side effect of external beam radiation therapy. The purpose of this study was to evaluate the effectiveness of applying an aloe vera based skin gel to the target area skin in preventing the development of radiation dermatitis to postlumpectomy/ mastectomy patients receiving external beam radiation therapy in an ambulatory radiation-oncology clinic in the southeastern region of the United States. In this descriptive correlational study, a convenience sample of willing participants (n=18) was followed from initial treatment through the one-month follow-up examination to assess the intensity of their skin reaction. Five research questions were examined pertaining …

Sex Education Programs In Schools: Influence On Knowledge And Behaviors Of Teenagers, Tina Graham

Masters Theses & Specialist Projects

Due to the teenage pregnancy rates and the incidence of sexually transmitted diseases (STDs) that exist in today's society, it is very important for teenagers to be informed of the facts related to pregnancy and STDs and how to prevent them from occurring. With this knowledge, they are able to make informed decisions related to their sexual experiences. The prime opportunity for such sharing of information can be in schools. The purpose of this study is to determine if sex education in school influences the knowledge and behaviors of teenagers toward sexual behavior, pregnancy, and sexually transmitted diseases. This research …

Adolescent Perceptions Of Risk-Taking Behaviors, Susan Matthews

Masters Theses & Specialist Projects

Adolescents often make adult decisions regarding their lifestyle and behavior with little support from their family and community. In this study the researcher examined the difference in risk-taking behaviors between genders and the role that families and communities play in reducing risk-taking behaviors. In the study I further analyzed self-reports of numbers of development assets those students reporting participation in high-risk behaviors. Method: Data were obtained from a sample of convenience of (N=82) 12^th grade students. Behaviors and attitudes were examined using the Search Institute’s Profiles of Student Life survey. Results: Chi square was used to test for significant …

Patients' Attitudes Toward The Use Of Nurse Practitioners, Laurie Maxwell

Masters Theses & Specialist Projects

Since the advent of the role of nurse practitioner in the mid 1960s, nurse practitioners have practiced in traditional settings such as health departments, clinics, and physicians' offices. More recently, nurse practitioners have been utilized in non-traditional settings such as the emergency department. Some studies have been done that support the theory that nurse practitioners can function effectively in this setting; however additional studies are needed on this topic. The purpose of this study was to explore patients' attitudes toward the use of nurse practitioners and to determine what patient variables were related to these attitudes. More specifically, this study …

Characteristics And Resource Utilization Of Patients Of A Proprietary Home Health Agency In Rural South Central Kentucky, Linda Sewell

Masters Theses & Specialist Projects

The home health industry's introduction to managed care raises the prospect of reduced access to health care and poor outcomes for a vulnerable segment of our population—the rural elderly. Before effective intervention strategies can be accurately evaluated, a clearer picture of the sociodemographic features and home care service consumption is needed for this understudied group. The study was intended to provide a basis for future research into the evaluation of alternative methods of delivering effective care in terms of outcome and decreased cost for this population. A retrospective descriptive analysis was made of the patient record for the first six …

Personality Types Of Registered Nurses Employed In A Rural Community Hospital, Tina Snodgrass

Masters Theses & Specialist Projects

The purpose of this study was to identify the personality types of registered nurses in a rural community. An extensive literature review revealed that no studies, utilizing the Myers-Briggs Type Indicator (MBTI) to identify personality types, had been conducted with rural nurses. Jung's Psychological Type Theory was the theoretical framework for the study. The MBTI operationalizes Jung's theory and was utilized to determine the most frequently occurring personality types of the nurses. A descriptive study was conducted at a 68 bed acute care hospital. The sample consisted of 40 experienced registered nurses working in staff positions within the hospital. Sensing, …

Maternal Age: Influence On Length Of Gestation And Birth Weight, Charlotte Bratcher

Masters Theses & Specialist Projects

The findings indicated no significant differences among the age groups in relation to infant birth weight nor in relation to the risk factors of smoking, maternal weight gain, trimester of first entry into prenatal care, or marital status They did indicate a significant difference [F(2,85) = 4.1364, p < .05] between the oldest and the youngest group (CD = 3.37, a = .05) in relation to gestational length. These findings are significant for healthcare providers in rural areas, since much of the previous research had been done in highly urbanized or inner city settings.

Rural Acceptance Of The Nurse Practitioner, Mary Branstetter

Masters Theses & Specialist Projects

The rural community has lacked adequate healthcare providers for the past thirty years. Collaboration between physician and family nurse practitioner is an option for meeting the need for delivery of primary healthcare in the rural community. A descriptive design was used to describe the acceptance of the nurse practitioner by patients living in rural southcentral Kentucky who utilize the services of the community hospital. Every fifth inpatient and outpatient discharge was mailed the Kviz Assessment Questionnaire and a demographic survey. The questionnaires (N = 842) were mailed over a four week survey period with reminder postcards mailed to each survey …

Health Risk Behaviors In Rural Adolescents At Two High Schools Located In One Kentucky County, Melinda Hann

Masters Theses & Specialist Projects

Many adolescents throughout the United States practice health risk behaviors that place them at risk for serious health problems. Despite the high incidence of reported adolescent health risk behaviors, no reports have been published to document the current risk to rural adolescents in individual counties of Kentucky. The purpose of this retrospective descriptive study was to identify the health risk behaviors of rural adolescents from two high schools in one county in Kentucky and to compare the two schools to determine if the health risk behaviors of these students were the same or different. The study was accomplished through analysis …

A Measurement Of Productivity For Kentucky Home Health Care Registered Nurses Full-Time Equivalence By Organizational Type, Kathy Holderman

Masters Theses & Specialist Projects

In today's competitive home health industry, productivity has become a major concern, and establishing productivity expectations is necessary for survival. Productivity can be described as a relationship between the outputs produced by an organization and the inputs provided to create the outputs. This means that the outputs consist of the number of home visits performed and the inputs consist of the time, supplies, mileage, and administrative support necessary for producing home visits. In order to have a complete understanding of productivity, one must understand the importance of examining significant service delivery factors that are unique to the home health industry. …